The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Sheila Kitchen - One of the best experts on this subject based on the ideXlab platform.
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Electrotherapy evidence based practice
2001Co-Authors: Sheila KitchenAbstract:Section A: Scientific background Introduction: Safety 1. Electrophysical properties 2. Electrical properties of cells and tissues 3. Tissue repair 4. Sensory and motor nerve activation 5. Physiology of pain Section B: Scientific basis of therapy 6. Thermal effects 7. Low energy treatments: Nonthermal or microthermal 8. Stimulative effects Section C: Conductive agents 9. Heat and cold: conduction materials Section D: Electromagnetic agents 10. Infrared radiation 11 Part 1 Shortwave diathermy Part 2 Microwave diathermy 12. Low intensity laser therapy 13. Ultraviolet therapy Section E: Ultrasound 14. Ultrasound therapy Section F: Low-frequency currents 15. Low-frequency currents - an introduction 16. Neuromuscular and muscular electrical stimulation 17. Transcutaneous electrical nerve stimulation (TENS) 18. Interferential for pain control 19. Part 1 Diagnostic applications Part 2 Assessment 20. Electrical stimulation for wound healing Appendix: Safety in Practice Index
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adverse effects of Electrotherapy used by physiotherapists
Physiotherapy, 1999Co-Authors: Cecily Partridge, Sheila KitchenAbstract:A system was set up to collect reports of adverse effects on patients receiving Electrotherapy from physiotherapists in NHS hospitals in England and Wales. Report cards were circulated to 200 hospital departments and 148 completed forms were returned over an 18-month period. There were reports of local effects such as burns and rashes and increased pain (87); and general effects such as nausea and fainting (98). A number of different agents were implicated but the largest number of reports were related to the use of interferential. These results, though not enough to demonstrate a causal link, are of concern and suggest caution in the use of some agents in vulnerable patients. A small number of patients (5) with neurological conditions reported serious side effects and because of this a survey of 1 in 10 members of the Association of Chartered Physiotherapists with an Interest in Neurology was undertaken. The results showed that members rarely used the physical agents implicated in the reports of adverse effects in this study, and they recommended caution in their use with neurological patients. For patient safety and best practice more information needs to be collected in a systematic way about the occurrence of adverse side effects of Electrotherapy used by physiotherapists.
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ultrasound shortwave diathermy and laser a survey to examine patterns of use in england
British Journal of Therapy and Rehabilitation, 1997Co-Authors: Sheila Kitchen, Cecily PartridgeAbstract:The nature and use of Electrotherapy has changed considerably over recent years, with the introduction of new agents and modification of the old. This article reports the results of a questionnaire sent to a randomly selected population to examine the patterns of use of ultrasound, shortwave diathermy and laser in the management of soft tissue lesions, and explore factors which may affect selection of both agent and dosage.
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a survey to examine the clinical use of ultrasound shortwave diathermy and laser in england
British Journal of Therapy and Rehabilitation, 1996Co-Authors: Sheila Kitchen, Cecily PartridgeAbstract:The nature and use of Electrotherapy has changed considerably over recent years, with the introduction of new agents and modification of the old (see Vol 2(8) 1995, p. 423). This article reports the results of a questionnaire to a randomly selected population of physiotherapists to examine current use of ultrasound, shortwave and diathermy in the management of soft tissue lesions.
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ultrasound shortwave diathermy and laser treatment 2 an exploratory interview study
British Journal of Therapy and Rehabilitation, 1995Co-Authors: Sheila KitchenAbstract:The nature and use of Electrotherapy has changed considerablyover recentyears, with the introduction of new agents and modification of the old (see Vol. 2(8) 1995, p.423). This second part of this ...
Cecily Partridge - One of the best experts on this subject based on the ideXlab platform.
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adverse effects of Electrotherapy used by physiotherapists
Physiotherapy, 1999Co-Authors: Cecily Partridge, Sheila KitchenAbstract:A system was set up to collect reports of adverse effects on patients receiving Electrotherapy from physiotherapists in NHS hospitals in England and Wales. Report cards were circulated to 200 hospital departments and 148 completed forms were returned over an 18-month period. There were reports of local effects such as burns and rashes and increased pain (87); and general effects such as nausea and fainting (98). A number of different agents were implicated but the largest number of reports were related to the use of interferential. These results, though not enough to demonstrate a causal link, are of concern and suggest caution in the use of some agents in vulnerable patients. A small number of patients (5) with neurological conditions reported serious side effects and because of this a survey of 1 in 10 members of the Association of Chartered Physiotherapists with an Interest in Neurology was undertaken. The results showed that members rarely used the physical agents implicated in the reports of adverse effects in this study, and they recommended caution in their use with neurological patients. For patient safety and best practice more information needs to be collected in a systematic way about the occurrence of adverse side effects of Electrotherapy used by physiotherapists.
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ultrasound shortwave diathermy and laser a survey to examine patterns of use in england
British Journal of Therapy and Rehabilitation, 1997Co-Authors: Sheila Kitchen, Cecily PartridgeAbstract:The nature and use of Electrotherapy has changed considerably over recent years, with the introduction of new agents and modification of the old. This article reports the results of a questionnaire sent to a randomly selected population to examine the patterns of use of ultrasound, shortwave diathermy and laser in the management of soft tissue lesions, and explore factors which may affect selection of both agent and dosage.
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a survey to examine the clinical use of ultrasound shortwave diathermy and laser in england
British Journal of Therapy and Rehabilitation, 1996Co-Authors: Sheila Kitchen, Cecily PartridgeAbstract:The nature and use of Electrotherapy has changed considerably over recent years, with the introduction of new agents and modification of the old (see Vol 2(8) 1995, p. 423). This article reports the results of a questionnaire to a randomly selected population of physiotherapists to examine current use of ultrasound, shortwave and diathermy in the management of soft tissue lesions.
Dario Tedesco - One of the best experts on this subject based on the ideXlab platform.
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drug free interventions to reduce pain or opioid consumption after total knee arthroplasty a systematic review and meta analysis
JAMA Surgery, 2017Co-Authors: Dario Tedesco, Davide Gori, Karishma Desai, Steven M Asch, Ian Carroll, Catherine Curtin, Kathryn M Mcdonald, Maria Pia Fantini, Tina HernandezboussardAbstract:Importance There is increased interest in nonpharmacological treatments to reduce pain after total knee arthroplasty. Yet, little consensus supports the effectiveness of these interventions. Objective To systematically review and meta-analyze evidence of nonpharmacological interventions for postoperative pain management after total knee arthroplasty. Data Sources Database searches of MEDLINE (PubMed), EMBASE (OVID), Cochrane Central Register of Controlled Trials (CENTRAL), Cochrane Database of Systematic Reviews, Web of Science (ISI database), Physiotherapy Evidence (PEDRO) database, and ClinicalTrials.gov for the period between January 1946 and April 2016. Study Selection Randomized clinical trials comparing nonpharmacological interventions with other interventions in combination with standard care were included. Data Extraction and Synthesis Two reviewers independently extracted the data from selected articles using a standardized form and assessed the risk of bias. A random-effects model was used for the analyses. Main Outcomes and Measures Postoperative pain and consumption of opioids and analgesics. Results Of 5509 studies, 39 randomized clinical trials were included in the meta-analysis (2391 patients). The most commonly performed interventions included continuous passive motion, preoperative exercise, cryotherapy, Electrotherapy, and acupuncture. Moderate-certainty evidence showed that Electrotherapy reduced the use of opioids (mean difference, −3.50; 95% CI, −5.90 to −1.10 morphine equivalents in milligrams per kilogram per 48 hours; P = .004; I2 = 17%) and that acupuncture delayed opioid use (mean difference, 46.17; 95% CI, 20.84 to 71.50 minutes to the first patient-controlled analgesia; P I2 = 19%). There was low-certainty evidence that acupuncture improved pain (mean difference, −1.14; 95% CI, −1.90 to −0.38 on a visual analog scale at 2 days; P = .003; I2 = 0%). Very low-certainty evidence showed that cryotherapy was associated with a reduction in opioid consumption (mean difference, −0.13; 95% CI, −0.26 to −0.01 morphine equivalents in milligrams per kilogram per 48 hours; P = .03; I2 = 86%) and in pain improvement (mean difference, −0.51; 95% CI, −1.00 to −0.02 on the visual analog scale; P I2 = 62%). Low-certainty or very low-certainty evidence showed that continuous passive motion and preoperative exercise had no pain improvement and reduction in opioid consumption: for continuous passive motion, the mean differences were −0.05 (95% CI, −0.35 to 0.25) on the visual analog scale ( P = .74; I2 = 52%) and 6.58 (95% CI, −6.33 to 19.49) opioid consumption at 1 and 2 weeks ( P = .32, I2 = 87%), and for preoperative exercise, the mean difference was −0.14 (95% CI, −1.11 to 0.84) on the Western Ontario and McMaster Universities Arthritis Index Scale ( P = .78, I2 = 65%). Conclusions and Relevance In this meta-analysis, Electrotherapy and acupuncture after total knee arthroplasty were associated with reduced and delayed opioid consumption.
Gabriel Tan - One of the best experts on this subject based on the ideXlab platform.
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efficacy of cranial Electrotherapy stimulation for neuropathic pain following spinal cord injury a multi site randomized controlled trial with a secondary 6 month open label phase
Journal of Spinal Cord Medicine, 2011Co-Authors: Gabriel Tan, Diana H Rintala, Mark P Jensen, Scott J Richards, Sally Ann Holmes, Rama Parachuri, Shamsi Lashgarisaegh, Larry R PriceAbstract:Background Chronic pain is a significant problem for many individuals following spinal cord injury (SCI). Unfortunately, SCI-related neuropathic pain has proven to be largely refractory to analgesic medications and other available treatments. Cranial Electrotherapy stimulation (CES) has been effective in managing some types of pain. It involves the application of a small amount of current through the head via ear clip electrodes. Objective Explore the effectiveness of CES for neuropathic pain in persons with SCI and chronic pain. Study design Multi-site, double-blind, sham-controlled study. Participants Adults with SCI and chronic neuropathic pain at or below the level of injury were randomized to receive active or sham CES. Intervention Application of active CES or sham CES 1 hour daily for 21 days. Six-month open-label phase to assess ‘as-needed’ CES use. Outcome measures Change in pre- to post-session pain ratings as well as change in pain intensity, pain interference, pain quality, pain beliefs and co...
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feasibility of using cranial Electrotherapy stimulation for pain in persons with parkinson s disease
Parkinson's Disease, 2010Co-Authors: Diana H Rintala, Gabriel Tan, Pamela Willson, Mon S Bryant, Eugene C H LaiAbstract:Objectives. To assess the feasibility of treating musculoskeletal pain in the lower back and/or lower extremities in persons with Parkinson's disease (PD) with cranial Electrotherapy stimulation (CES). Design. Randomized, controlled, double-blind trial. Setting. Veterans Affairs Medical Center, Community. Participants. Nineteen persons with PD and pain in the lower back and/or lower extremities. Thirteen provided daily pain rating data. Intervention. Of the thirteen participants who provided daily pain data, 6 were randomly provided with active CES devices and 7 with sham devices to use at home 40 minutes per day for six weeks. They recorded their pain ratings on a 0-to-10 scale immediately before and after each session. Main Outcome Measure. Average daily change in pain intensity. Results. Persons receiving active CES had, on average, a 1.14-point decrease in pain compared with a 0.23-point decrease for those receiving sham CES (Wilcoxon Z = −2.20, P = .028). Conclusion. Use of CES at home by persons with PD is feasible and may be somewhat helpful in decreasing pain. A larger study is needed to determine the characteristics of persons who may experience meaningful pain reduction with CES. Guidelines for future studies are provided.
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using cranial Electrotherapy stimulation to treat pain associated with spinal cord injury
Journal of Rehabilitation Research and Development, 2006Co-Authors: Gabriel Tan, Diana H Rintala, John Thornby, June Yang, Walter Wade, Christine VasilevAbstract:Treatments for chronic pain in persons with spinal cord injury (SCI) have been less than effective. Cranial Electrotherapy stimulation (CES), a noninvasive technique that delivers a microcurrent to the brain via ear clip electrodes, has been shown to effectively treat several neurological and psychiatric disorders. The present study examined the effects of daily 1-hour active CES or sham CES treatment (randomly assigned) for 21 days on pain intensity and interference with activities in 38 males with SCI. The active CES group (n = 18) reported significantly decreased daily pain intensity compared with the sham CES group (n = 20) (mean change: active CES = -0.73, sham CES = -0.08; p = 0.03). Additionally, the active CES group reported significantly decreased pain interference (-14.6 pre- vs postintervention, p = 0.004) in contrast to the nonsignificant decrease in the sham CES group (-4.7 pre- vs postintervention, p = 0.24). These results suggest that CES can effectively treat chronic pain in persons with SCI.
Christine Vasilev - One of the best experts on this subject based on the ideXlab platform.
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using cranial Electrotherapy stimulation to treat pain associated with spinal cord injury
Journal of Rehabilitation Research and Development, 2006Co-Authors: Gabriel Tan, Diana H Rintala, John Thornby, June Yang, Walter Wade, Christine VasilevAbstract:Treatments for chronic pain in persons with spinal cord injury (SCI) have been less than effective. Cranial Electrotherapy stimulation (CES), a noninvasive technique that delivers a microcurrent to the brain via ear clip electrodes, has been shown to effectively treat several neurological and psychiatric disorders. The present study examined the effects of daily 1-hour active CES or sham CES treatment (randomly assigned) for 21 days on pain intensity and interference with activities in 38 males with SCI. The active CES group (n = 18) reported significantly decreased daily pain intensity compared with the sham CES group (n = 20) (mean change: active CES = -0.73, sham CES = -0.08; p = 0.03). Additionally, the active CES group reported significantly decreased pain interference (-14.6 pre- vs postintervention, p = 0.004) in contrast to the nonsignificant decrease in the sham CES group (-4.7 pre- vs postintervention, p = 0.24). These results suggest that CES can effectively treat chronic pain in persons with SCI.