The Experts below are selected from a list of 267 Experts worldwide ranked by ideXlab platform
Wassia Kessomtini - One of the best experts on this subject based on the ideXlab platform.
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Rehabilitation treatment of the thoracic outlet syndrome (TOS)
Annals of Physical and Rehabilitation Medicine, 2015Co-Authors: M. Rekik, A. Haj Salah, M. Sghir, I. Ksibi, W. Said, Wassia KessomtiniAbstract:Objective Identify the different modalities of rehabilitative care of TOS through a review of the literature and our experience in the unity of physical medicine and rehabilitation (PMR) in Mahdia. Material and methods A retrospective study during the last three years including patients with TOS addressed to the unity of PMR of Mahdia. The evaluation was clinical (visual analogue scale pain VAS, examination of the cervical spine and dynamic tensioning test of the brachial plexus), functional (Orset stage) and radiological. A program of 15 rehabilitation sessions has been achieved. Results 14 patients (13 women and one man) with a mean age 39.92 years were collected. Symptoms were primarily neurological with paresthesia in 71.42%, a C8-D1 cervical radiculopathy in 21.42% of cases, heaviness in the upper limbs in 14.28% of cases. Venous symptoms and Hand Edema were found in 28.57% of cases. Raynaud's syndrome was found in only one case (7.14%). The Wright manoeuvre was positive in 35.71% of cases and Roos test was positive in 78.57% of cases. The dynamic test revealed a tensioning of the brachial plexus by the median nerve in 57.14% of cases and by the ulnar nerve in 42.85% of cases. A double crush syndrome was found in 21.42% of cases. Initial average pain VAS was 73 mm. Radiological assessment revealed a cervical rib in 14.28% of cases and mega-apophysis C7 in 21.42% of cases. After rehabilitation, there was an improvement in pain (mean VAS 21 mm) and short-term results were good in 78.57% of cases. Discussion and conclusion TOS rehabilitation is often efficient; it corrects the muscle imbalance reducing the diameter of the thoracic outlet and decompensating his asymptomatic constitutional smallness. If there are no serious vascular or neurological complications, it remains the first-line treatment.
Bunzo Matsuoka - One of the best experts on this subject based on the ideXlab platform.
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Handgrip exercise by the non-affected Hand increases venous return in the contralateral axillary vein in patients with stroke: a pilot study
BMC Research Notes, 2018Co-Authors: Hiroyuki Hayashi, Motoyuki Abe, Bunzo MatsuokaAbstract:Objective Treatment of Hand Edema is important for maintaining upper limb function in patients with stroke, although the effects of many such treatments have been limited. This study aimed to examine, using ultrasound, the effect of Handgrip exercise by the non-affected Hand of stroke patients on venous return in the affected upper limb. Results Seven men participated, within 6 months of a unilateral first-ever stroke. With the patient supine, examinations were performed on the axillary vein of the affected side. The diameter and flow velocity of the axillary vein on the affected side were measured during two regimens: at rest or during rhythmic resistance exercise (30% of maximum grip strength for 20 s) performed by the non-affected Hand. The venous flow volume in the axillary vein was then calculated using the data obtained. During resistance exercise by the non-affected Hand, there were significant increases in both venous flow velocity (p = 0.01, d = − 0.80) and volume (p = 0.01, d = − 0.74) on the affected side, compared with baseline. The present preliminary study found that rhythmic resistance exercise with the non-affected Hand increased venous flow velocity and volume in the affected upper limb of patients with stroke.
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Handgrip exercise by the non-affected Hand increases venous return in the contralateral axillary vein in patients with stroke: a pilot study.
BMC research notes, 2018Co-Authors: Hiroyuki Hayashi, Motoyuki Abe, Bunzo MatsuokaAbstract:Treatment of Hand Edema is important for maintaining upper limb function in patients with stroke, although the effects of many such treatments have been limited. This study aimed to examine, using ultrasound, the effect of Handgrip exercise by the non-affected Hand of stroke patients on venous return in the affected upper limb. Seven men participated, within 6 months of a unilateral first-ever stroke. With the patient supine, examinations were performed on the axillary vein of the affected side. The diameter and flow velocity of the axillary vein on the affected side were measured during two regimens: at rest or during rhythmic resistance exercise (30% of maximum grip strength for 20 s) performed by the non-affected Hand. The venous flow volume in the axillary vein was then calculated using the data obtained. During resistance exercise by the non-affected Hand, there were significant increases in both venous flow velocity (p = 0.01, d = − 0.80) and volume (p = 0.01, d = − 0.74) on the affected side, compared with baseline. The present preliminary study found that rhythmic resistance exercise with the non-affected Hand increased venous flow velocity and volume in the affected upper limb of patients with stroke.
Tijana Simic - One of the best experts on this subject based on the ideXlab platform.
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vascular thoracic outlet syndrome
World Journal of Surgery, 2003Co-Authors: Lazar Davidovic, Dusan Kostic, Nenad Jakovljevic, Ilija L Kuzmanovic, Tijana SimicAbstract:Abstract The surgical treatment of 30 cases of vascular thoracic outlet syndrome (TOS) in 25 patients is presented. Patients included 17 women and 8 men with average age of 26.1 years. The causes of compression were cervical rib (n = 16), soft tissue anomalies (n = 12), and scar tissue after clavicle fracture (n = 2). Ten subclavian artery aneurysms containing intraluminal thrombus as well as one subclavian artery occlusion were found. All such cases had multiple distal arterial embolization. Presenting features of cases with arterial TOS included: Hand ischemia (n = 11), transient ischemic attack (TIA) (n = 1), and claudication or vasomotor phenomena during the arm hyperabduction (n = 11). Two patients with venous TOS developed Hand Edema during arm hyperabduction, and five other patients had axillary-subclavian venous thrombosis. In all cases decompressive procedures using a combined supraclavicular and infraclavicular approach were performed. Decompression was achieved by cervical rib excision (n = 12), combined cervical and first rib excision (n = 4), and first rib excision (n = 14). In all cases division of all soft tissue elements was also accomplished. Associated vascular procedures included resection and replacement of 10 subclavian artery aneurysms, one subclavian-axillary and one axillary-brachial bypass, as well as nine brachial embolectomies. All five cases with axillary-subclavian vein thrombosis before decompression were treated with anticoagulant therapy. The mean follow-up period was 3 years and 2 months (range 1 to 6 years). Two pleural entry injuries and two transient brachial plexus injuries were noted. All reconstructed arteries were patent during the follow-up period. Complete resolution of symptoms with a return to full activity was noticed in all cases with arterial TOS and in two cases with venous TOS without axillary-subclavian vein thrombosis. In cases with axillary-subclavian vein thrombosis relief of symptoms was mild, and there were limitations on daily activity. Vascular TOS is seen less frequently than the neurogenic form; however, in most cases it requires surgical treatment. We prefer a combined supraclavicular and infraclavicular approach because it offers complete exposure of the subclavian artery, cervical and first ribs, and all soft tissue anomalies.
Edzard Ernst - One of the best experts on this subject based on the ideXlab platform.
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Cupping for stroke rehabilitation: a systematic review.
Journal of the neurological sciences, 2010Co-Authors: Myeong Soo Lee, Tae-young Choi, Byung-cheul Shin, Chang-ho Han, Edzard ErnstAbstract:Cupping is often used for stroke rehabilitation in Asian countries. Currently, no systematic review of this topic is available. The aim of this systematic review is to summarize and critically evaluate the evidence for and against the effectiveness of cupping for stroke rehabilitation. Thirteen databases were searched from their inception through March of 2010 without language restrictions. Prospective clinical trials were included if cupping was tested as the sole treatment or as an adjunct to other conventional treatments for stroke rehabilitation. We found 43 potentially relevant articles, of which 5 studies including 3 randomized clinical trials (RCTs) and 2 uncontrolled observational studies (UOSs) met our inclusion criteria. Cupping was compared with acupuncture, electro-acupuncture and warm needling. Some superior effects of cupping were found in two of the RCTs when compared to acupuncture in hemiplegic shoulder pain and high upper-limb myodynamia after stroke. The other RCT failed to show favorable effects of cupping when compared to acupuncture and warm needling in patients with hemiplegic Hand Edema. The two UOSs reported favorable effects of cupping on aphasia and intractable hiccup after stroke. There are not enough trials to provide evidence for the effectiveness of cupping for stroke rehabilitation because most of the included trials compared the effects with unproven evidence and were not informative. Future RCTs seem warranted but must overcome the methodological shortcomings of the existing evidence.
Hiroyuki Hayashi - One of the best experts on this subject based on the ideXlab platform.
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Grip Exercise of Non-Paretic Hand Can Improve Venous Return in the Paretic Arm in Stroke Patients: An Experimental Study in the Supine and Sitting Positions.
Annals of vascular diseases, 2020Co-Authors: Hiroyuki Hayashi, Motoyuki AbeAbstract:Objective: This study aims to determine the effect of grip exercise by the non-paretic Hand on venous return in the paretic arm in stroke in sitting and supine positions. Methods: The study population included 21 stroke patients (mean age, 59.5 years). The diameter (mm) and time-averaged mean velocity (TAMV) (cm/s) of the axillary vein on the paretic side were measured by ultrasound during three distinct conditions: resting, rhythmic non-resistive grip exercise, and resistive exercise (30% of maximum grip strength) in supine and sitting positions. The venous flow volume (ml/min) was calculated using the obtained data. Results: In the supine and sitting positions, the venous flow volume during rhythmic non-resistive and resistive exercises was increased in comparison to resting, which resulted in more increased venous flow volume by rhythmic resistive grip exercise than by non-resistive grip exercise (both, p=0.01). Conclusion: Grip exercise by the non-paretic Hand was found to be effective for increasing the venous flow volume in the paretic Hand, and resistive grip exercise caused the greatest increase. Our results suggest that rhythmic Handgrip exercise may be clinically useful for reducing the incidence of Hand Edema in stroke patients.
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Handgrip exercise by the non-affected Hand increases venous return in the contralateral axillary vein in patients with stroke: a pilot study
BMC Research Notes, 2018Co-Authors: Hiroyuki Hayashi, Motoyuki Abe, Bunzo MatsuokaAbstract:Objective Treatment of Hand Edema is important for maintaining upper limb function in patients with stroke, although the effects of many such treatments have been limited. This study aimed to examine, using ultrasound, the effect of Handgrip exercise by the non-affected Hand of stroke patients on venous return in the affected upper limb. Results Seven men participated, within 6 months of a unilateral first-ever stroke. With the patient supine, examinations were performed on the axillary vein of the affected side. The diameter and flow velocity of the axillary vein on the affected side were measured during two regimens: at rest or during rhythmic resistance exercise (30% of maximum grip strength for 20 s) performed by the non-affected Hand. The venous flow volume in the axillary vein was then calculated using the data obtained. During resistance exercise by the non-affected Hand, there were significant increases in both venous flow velocity (p = 0.01, d = − 0.80) and volume (p = 0.01, d = − 0.74) on the affected side, compared with baseline. The present preliminary study found that rhythmic resistance exercise with the non-affected Hand increased venous flow velocity and volume in the affected upper limb of patients with stroke.
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Handgrip exercise by the non-affected Hand increases venous return in the contralateral axillary vein in patients with stroke: a pilot study.
BMC research notes, 2018Co-Authors: Hiroyuki Hayashi, Motoyuki Abe, Bunzo MatsuokaAbstract:Treatment of Hand Edema is important for maintaining upper limb function in patients with stroke, although the effects of many such treatments have been limited. This study aimed to examine, using ultrasound, the effect of Handgrip exercise by the non-affected Hand of stroke patients on venous return in the affected upper limb. Seven men participated, within 6 months of a unilateral first-ever stroke. With the patient supine, examinations were performed on the axillary vein of the affected side. The diameter and flow velocity of the axillary vein on the affected side were measured during two regimens: at rest or during rhythmic resistance exercise (30% of maximum grip strength for 20 s) performed by the non-affected Hand. The venous flow volume in the axillary vein was then calculated using the data obtained. During resistance exercise by the non-affected Hand, there were significant increases in both venous flow velocity (p = 0.01, d = − 0.80) and volume (p = 0.01, d = − 0.74) on the affected side, compared with baseline. The present preliminary study found that rhythmic resistance exercise with the non-affected Hand increased venous flow velocity and volume in the affected upper limb of patients with stroke.
