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Liu Xinzhou - One of the best experts on this subject based on the ideXlab platform.

Yue Zhao - One of the best experts on this subject based on the ideXlab platform.

  • modified constraint induced movement therapy versus traditional rehabilitation in patients with upper extremity dysfunction after stroke a systematic review and meta analysis
    Archives of Physical Medicine and Rehabilitation, 2011
    Co-Authors: Jin H Tian, Ke H Yang, Yue Zhao
    Abstract:

    Abstract Shi YX, Tian JH, Yang KH, Zhao Y. Modified constraint-induced movement therapy versus traditional rehabilitation in patients with upper-extremity dysfunction after stroke: a systematic review and meta-analysis. Objective To compare the effectiveness of modified constraint-induced movement therapy (CIMT) with traditional rehabilitation (TR) therapy in patients with upper-extremity dysfunction after stroke. Date Sources Computerized Database searches and hand-searches, as 2 main search strategies, were used to collect studies. A comprehensive search of PubMed, EMBASE, the Cochrane Library, the Chinese academic journals Full-Text Database, the Chinese biomedical literature Database, the Chinese scientific journals Database, and Chinese medical association journals was conducted. Relevant journals and article reference lists were hand-searched. Meanwhile, we searched unpublished trials by using the System for Information on Gray Literature Database. Study Selection Randomized controlled trials (RCTs) only about modified CIMT versus TR for treatment of patients with upper-extremity dysfunction after stroke were identified in this systematic review. Participants included adults age over 18 years with a clinical diagnosis of stroke and met the inclusion criteria of modified CIMT. Date Extraction Two reviewers extracted relevant information from included studies according to a date extraction form. The methodologic quality of the included studies was assessed using a quality-scoring instrument, which was a 5-point scale that included a description of randomization, double-blind structure, and withdrawals/dropouts. Data Synthesis Thirteen RCTs involving 278 patients (modified CIMT/TR=143/135) were included. Meta-analysis showed that patients receiving modified CIMT showed higher scores for the Fugl Meyer Assessment (mean difference [MD]=7.8; 95% confidence interval [CI], 4.21–11.38), the Action Research Arm Test (MD=14.15; 95% CI, 10.71–17.59), the FIM (MD=7.00; 95% CI, .75–13.26), and the Motor Activity Log: Amount of Use (MD=.78; 95% CI, .37–1.19) and Quality of Use (MD=.84; 95% CI, .42–1.25) than patients in the TR group. In kinematic variables, patients receiving modified CIMT had a shorter reaction time and a higher percentage of movement time where peak velocity occurred than patients receiving TR ( P P =.99), normalized total displacement ( P =.44), and normalized movement unit ( P =.68). Conclusions This systematic review provided fairly strong evidence that modified CIMT could reduce the level of disability, improve the ability to use the paretic upper extremity, and enhance spontaneity during movement time, but evidence is still limited about the effectiveness of modified CIMT in kinematic analysis.

Jin H Tian - One of the best experts on this subject based on the ideXlab platform.

  • modified constraint induced movement therapy versus traditional rehabilitation in patients with upper extremity dysfunction after stroke a systematic review and meta analysis
    Archives of Physical Medicine and Rehabilitation, 2011
    Co-Authors: Jin H Tian, Ke H Yang, Yue Zhao
    Abstract:

    Abstract Shi YX, Tian JH, Yang KH, Zhao Y. Modified constraint-induced movement therapy versus traditional rehabilitation in patients with upper-extremity dysfunction after stroke: a systematic review and meta-analysis. Objective To compare the effectiveness of modified constraint-induced movement therapy (CIMT) with traditional rehabilitation (TR) therapy in patients with upper-extremity dysfunction after stroke. Date Sources Computerized Database searches and hand-searches, as 2 main search strategies, were used to collect studies. A comprehensive search of PubMed, EMBASE, the Cochrane Library, the Chinese academic journals Full-Text Database, the Chinese biomedical literature Database, the Chinese scientific journals Database, and Chinese medical association journals was conducted. Relevant journals and article reference lists were hand-searched. Meanwhile, we searched unpublished trials by using the System for Information on Gray Literature Database. Study Selection Randomized controlled trials (RCTs) only about modified CIMT versus TR for treatment of patients with upper-extremity dysfunction after stroke were identified in this systematic review. Participants included adults age over 18 years with a clinical diagnosis of stroke and met the inclusion criteria of modified CIMT. Date Extraction Two reviewers extracted relevant information from included studies according to a date extraction form. The methodologic quality of the included studies was assessed using a quality-scoring instrument, which was a 5-point scale that included a description of randomization, double-blind structure, and withdrawals/dropouts. Data Synthesis Thirteen RCTs involving 278 patients (modified CIMT/TR=143/135) were included. Meta-analysis showed that patients receiving modified CIMT showed higher scores for the Fugl Meyer Assessment (mean difference [MD]=7.8; 95% confidence interval [CI], 4.21–11.38), the Action Research Arm Test (MD=14.15; 95% CI, 10.71–17.59), the FIM (MD=7.00; 95% CI, .75–13.26), and the Motor Activity Log: Amount of Use (MD=.78; 95% CI, .37–1.19) and Quality of Use (MD=.84; 95% CI, .42–1.25) than patients in the TR group. In kinematic variables, patients receiving modified CIMT had a shorter reaction time and a higher percentage of movement time where peak velocity occurred than patients receiving TR ( P P =.99), normalized total displacement ( P =.44), and normalized movement unit ( P =.68). Conclusions This systematic review provided fairly strong evidence that modified CIMT could reduce the level of disability, improve the ability to use the paretic upper extremity, and enhance spontaneity during movement time, but evidence is still limited about the effectiveness of modified CIMT in kinematic analysis.

Katherine W Mccain - One of the best experts on this subject based on the ideXlab platform.

  • assessing obliteration by incorporation in a Full Text Database jstor economics and the concept of bounded rationality
    Scientometrics, 2014
    Co-Authors: Katherine W Mccain
    Abstract:

    To evaluate the usefulness of a Full-Text Database as a source for assessing obliteration by incorporation (OBI), 3,707 article records including the catchphrases "bounded rationality" and/or "boundedly rational" (connected with the work of H. A. Simon) in the article Text were retrieved from JSTOR, a Full-Text Database with broad disciplinary coverage. Two subsets were analyzed--a 10 % systematic sample of all records and a set of all articles in Economics journals (with the addition of the Journal of Economic Theory). A majority of articles in the 10 % sample came from Economics and Management journals, while Psychology was poorly represented. In the 10 % sample, based on the percentage of true implicit citations between 1992 and 2009 in the 80 % of records that had a catchphrase in the body of the article, rather than just in the reference list, annual OBI ranged from 0 to 70 % (mean 33 %) with no discernible trend. The Economics articles showed a narrower range of OBI--fluctuating around 40 % implicit citations over the same time period. In both data sets, a large proportion of indirect citations were to sources that themselves cited a relevant work by Simon. Over 90 % of the articles in both the 10 % sample and the economics journal set would not have been retrieved with a Database record search because they lacked the catchphrase in the record fields.

Edzard Ernst - One of the best experts on this subject based on the ideXlab platform.

  • acupuncture related adverse events a systematic review of the chinese literature evenements indesirables lies a l acupuncture une evaluation systematique de la documentation chinoise acontecimientos adversos relacionados con la acupuntura revision si
    Bulletin of The World Health Organization, 2010
    Co-Authors: Junhua Zhang, Hongcai Shang, Edzard Ernst
    Abstract:

    Introduction Acupuncture is popular in most countries, but nowhere more than in China. Because its use is so widespread, safety is an important issue that deserves close attention. Serious adverse events resulting from acupuncture, including pneumothorax, cardiac tamponade, spinal cord injury and viral hepatitis, have been identified in previous literature reviews. (1-4) Prospective surveys to determine the frequency of acupuncture-related adverse events have been conducted in Germany, (5,6) Norway (7) and the United Kingdom of Great Britain and Northern Ireland. (8,9) These studies have shown an incidence of mild, transient acupuncture-related adverse events that ranges from 6.71% to 15%. The most common adverse events of this type were local pain from needling (range: 1.1-2.9%) and slight bleeding or haematoma (range: 2.1-6.1%). In a prospective observational study of 190 924 patients, the incidence of serious adverse events (death, organ trauma or hospital admission) was about 0.024%. (5) Another large-scale observational study showed a rate of adverse events requiring specific treatment of 2.2% (4963 incidents among 229 230 subjects). (6) Studies such as these have shown that in extremely tare cases acupuncture can lead to serious, sometimes life-threatening complications, in addition to mild and transient adverse events. Because most reports on the safety of acupuncture have been published outside China, the objective of this article was to summarize the Chinese literature on the subject of acupuncture-related adverse events and determine the possible reasons that such events occur. Methods Inclusion/exclusion criteria In December 2009 we searched the following electronic Databases: Chinese Biomedical Literature Database (1980-2009), Chinese Journal Full-Text Database (1980-2009) and Weipu Journal Database (1989-2009). The search terms were: (acupuncture OR needle) AND (induce OR cause OR adverse event OR adverse reaction OR side effect OR complication OR harm OR risk OR mistake OR infection OR injury OR fainting OR haemorrhage OR bleeding OR death OR pneumothorax OR pain). We searched for these terms (in Chinese) as free Text in the title or abstract, and we also hand-searched the reference lists of all reports located through the electronic searches. Case reports, case series, surveys and other observational studies were included in the review if they reported factual data on complications related to acupuncture. Review articles, translations and clinical trials were excluded. The search was limited to Chinese-language papers. Different types of acupuncture can lead to different adverse events. To present clear results, we only included reports on traditional needle acupuncture, defined as a procedure in which stainless steel filiform needles are inserted into acupoints--acupuncture points located throughout the body that are associated with specific therapeutic effects--and manipulated in place. Other types of acupuncture, such as electroacupuncture, laser acupuncture and auricular acupuncture, were excluded. Two authors (Zhang and Shang) independently examined the titles and abstracts of all papers found through the search to determine if they fulfilled the inclusion criteria outlined above. The Full Texts of potentially relevant articles were retrieved for detailed assessment. Disagreements between the two authors were resolved by discussion. [FIGURE 1 OMITTED] Information on author, patient, acupuncturist, acupuncture site, adverse event, treatment and outcome was extracted from the primary articles and entered into a preformulated spreadsheet. Acupoints were described by pinyin name (i.e. the Latinized spilling of traditional Mandarin Chinese names) and code according to a standard nomenclature developed by the World Health Organization. (10,11) These data have been summarized in three tables according to the type of adverse event. …