Related Articles
The effect of a physical activity program on decreasing physical disability indicated by musculoskeletal pain and related symptoms among workers: a pilot study.
Int J Occup Saf Ergon. 2014;20(1):55-64

Related Articles

Reasons for low quality of life in South Indian cancer patient population: a prospective observational study.

Indian J Pharm Sci. 2014 Jan;76(1):2-9

Authors: Damodar G, Gopinath S, Vijayakumar S, Rao AY

Over the last decade, quality of life investigations of cancer patients’ have became a critical evaluation parameter in the clinical cancer research and treatment evaluation programs. This study was carried out in a 1200 bed tertiary care teaching hospital, MGM Hospital, located at Warangal, India. Present study assessed the overall quality of life, symptoms of patients affected by breast, head and neck, cervical and stomach cancers by using guidelines and modules of The European Organisation for Research and Treatment of Cancer. The assessment was carried out in two phases, as review I at ≤2 cycles and review II at ≥5 cycles of treatment. Data were analyzed for 104 individuals with the mean age of 46.1±11.2 years. The evaluation was characterised as functional scale and symptom scale. In the functional scale physical, and role functions were significant (P<0.05) in all the 4 types of cancers studied. Additional, future perspective, social and emotional functions were observed to be significant in breast cancer, head and neck cancer and cervical cancer, respectively. Where as in symptom scale pain was observed to be significant for all cancers studied. Individually, breast cancer patient also showed significant parameters like fatigue, arm symptoms, and upset by hair loss. Head and neck cancer patients had insomnia and diarrhoea as additional significant symptom scale parameters. In cervical cancer patients, fatigue, insomnia, menopausal symptoms, and in stomach cancer patients, nausea and vomiting, dysphagia, reflex symptoms and eating restrictions were significantly affected. Most of the findings are similar to past studies in the respective type of cancer patients which shows that, quality of life was mostly influenced by the above mentioned factors and have some interesting implications for management and treatment of cancer.

PMID: 24799733 [PubMed]

Related Articles
A self-management program for employees with complaints of the arm, neck, or shoulder (CANS): study protocol for a randomized controlled trial.
Trials. 2013;14:258
Authors: Hutting N, Staal JB, He…

Related Articles
Child neurology: tick paralysis: a diagnosis not to miss.
Neurology. 2014 Mar 18;82(11):e91-3
Authors: Chagnon SL, Naik M, Abdel-Hamid H
A 4-year-old girl presented to our …

Comparison of the short- and long-term treatment effect of cervical disk replacement and anterior cervical disk fusion: a meta-analysis.

Eur J Orthop Surg Traumatol. 2014 May 5;

Authors: Muheremu A, Niu X, Wu Z, Muhanmode Y, Tian W

BACKGROUND: Anterior cervical discectomy and fusion (ACDF) has been used as a gold standard for the treatment of cervical spondylosis, but it may cause complications such as pseudarthrosis and junctional degeneration. Cervical disk arthroplasty (CDA) may help overcome such problems, but there are inconsistencies among the published literature on its effectiveness comparing with ACDF.
METHODOLOGY: We searched “PubMed” (2000.1-2013.10), “Medline” (2000.1-2013.10), “Elsevier” (2000.1-2013.10), Cochrane library (2008.1-2013.10) databases with the key words of “cervical disk arthroplasy”, “CDA”, “anterior cervical disk fusion”, “ACDF”, “cervical”, “randomized controlled study”, “RCT” and searched for randomized controlled trials comparing the efficacy of ACDF and CDA for the treatment of cervical spondylosis. Neck disability index (NDI), VAS arm pain score, VAS neck pain score, ROM of the adjacent level, SF36-PCS score, SF36-MCS score and patient satisfaction were calculated by Revman5.2 software.
RESULTS: From 1,400 papers found, we chose 18 randomized controlled trials and cohorts evaluating the efficacy of CDA and ACDF on symptomatic cerebral spondylosis. The total number of patients is 3,056, in which 1,576 were in the CDA group and 1,480 were in the ACDF group. The CDA group demonstrated better results than the ACDF group concerning VAS arm pain score 1, 2, 4 years after the surgery, VAS neck pain score 1, 2, 4 years after the surgery, ROM of the adjacent level 1 and 2 years after the surgery, patient satisfaction 1, 2, 4 years after the surgery, NDI scores 1, 2, 4 years after the surgery, SF36-PCS score 1 and 2 years after the surgery and SF36-MCS score at 1 and 4 years after the surgery. There are no significant differences between the groups concerning SF36-PCS score 4 years after the surgery and SF36-MCS score at 2 years after the surgery.
CONCLUSIONS: CDA can be an effective alternative method to ACDF for the treatment of cervical spondylosis.

PMID: 24791930 [PubMed – as supplied by publisher]

Effects of Cervical Spine Manual Therapy on Range of Motion, Head Repositioning and Balance in Participants with Cervicogenic Dizziness: A Randomized Controlled Trial.

Arch Phys Med Rehabil. 2014 Apr 30;

Authors: Reid SA, Callister R, Katekar MG, Rivett DA

OBJECTIVE: To evaluate and compare the effects of two manual therapy interventions on cervical spine range of motion (ROM), head repositioning accuracy and balance, in patients with chronic cervicogenic dizziness.
DESIGN: Randomized controlled trial with 12-week follow-up using blinded outcome assessment.
SETTING: University in New South Wales, Australia.
PARTICIPANTS: Participants (N=86; mean ± SD age 62.0 ± 12.7 years; 50% women) with chronic cervicogenic dizziness.
INTERVENTIONS: Participants were randomly assigned to one of three groups: sustained natural apophyseal glides (SNAGs) with self-SNAG exercises, passive joint mobilization (PJM) with ROM exercises, or a placebo. Participants each received 2-6 treatments over six weeks.
MAIN OUTCOME MEASURES: Cervical ROM, head repositioning accuracy, and balance.
RESULTS: SNAG therapy resulted in improved (p≤0.05) cervical spine ROM in all six physiological cervical spine movement directions immediately post-treatment and at 12 weeks. Treatment with PJM resulted in improvement in one of the six cervical movement directions post-treatment, and one movement direction at 12 weeks. There was a greater improvement (p<0.01) after SNAGs than PJM in extension (mean difference -7.5 degrees, 95% CI -13, -2.0) and right rotation (-6.8, -11.5, -2.1) post treatment. Manual therapy had no effect on balance or head repositioning accuracy.
CONCLUSIONS: SNAG treatment, improved cervical ROM and the effects were maintained for 12 weeks after treatment. PJM had very limited impact on cervical ROM. There was no conclusive effect of SNAGs or PJMs on joint repositioning accuracy or balance in people with cervicogenic dizziness.

PMID: 24792139 [PubMed – as supplied by publisher]

Related Articles

Computed tomography diagnosis of active bleeding into the thyroid gland.

Thyroid. 2013 Oct;23(10):1326-8

Authors: Veverková L, Bakaj-Zbrožková L, Hallamová L, Heřman M

BACKGROUND: Fine-needle biopsy of the thyroid gland is the most common interventional procedure used to diagnose thyroid diseases. Serious complications are rare in this procedure. They comprise an infection with abscess formation and hemorrhage. To date, only a few case reports have described an ultrasound diagnosis of active bleeding into the thyroid gland. We established such a diagnosis using computed tomography (CT).
PATIENT FINDINGS: A 74-year-old woman presented to the emergency department of our hospital with complications after fine-needle biopsy of the thyroid gland. Ultrasound revealed a large hematoma surrounding the gland. A subsequent CT scan confirmed the presence of hematoma and, moreover, showed active bleeding. This finding prompted rapid surgical intervention.
CONCLUSION: CT has the capability to show active bleeding into the thyroid gland.

PMID: 23405871 [PubMed – indexed for MEDLINE]

Related Articles
Clinical characteristics of cervicogenic-related dizziness and vertigo.
Semin Neurol. 2013 Jul;33(3):244-55
Authors: Yacovino DA, Hain TC
Cervical vertigo has long been a c…

Related Articles
Preoperative consultations for medicare patients undergoing cataract surgery.
JAMA Intern Med. 2014 Mar;174(3):380-8
Authors: Thilen SR, Treggiari MM, Lange JM, Lowy E, Weaver EM, Wijeysundera DN

Related Articles
Postpartum Internal Carotid and Vertebral Arterial Dissections.
Obstet Gynecol. 2014 Apr;123(4):848-856
Authors: Kelly JC, Safain MG, Roguski M, Edlow AG, Malek AM

© 2017 - London Spine unit

For emergency cases        (+44) 0844 589 2020