Inter- and intra-tester reliability of sensibility testing in digital nerve repair

Bulut, Tuğrul; Akgün, Ulaş; Özcan, Cihat; Ünver, Bayram; Şener, Muhittin

doi:10.1177/1753193415621273

Cited by 17 publications

(13 citation statements)

References 18 publications

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“…Physical variables were pressure pain thresholds (PPTs) assessed bilaterally in the cranial and extracranial areas with a digital algometer [34] (Fx. 25 Force Gage, Wagner Instruments, Greenwich, CT, USA); two-point discrimination was tested in the trigeminal areas with an esthesiometer [35]; and cervical flexor endurance was measured with a craniocervical flexion test [36]. Psychological variables were as follows: impact of headache on the quality of life and work performance (HIT-6 scale) [37], pain catastrophizing (PC Scale) [38], neck disability (neck disability Index) [39] and depression symptoms (Hamilton depression rating scale) [40].…”

Section: Methodsmentioning

confidence: 99%

Endogenous Neurostimulation and Physiotherapy in Cluster Headache: A Clinical Case

et al. 2019

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Objective: The aim of this paper is to describe the progressive changes of chronic cluster headaches (CHs) in a patient who is being treated by a multimodal approach, using pharmacology, neurostimulation and physiotherapy. Subject: A male patient, 42 years of age was diagnosed with left-sided refractory chronic CH by a neurologist in November 2009. In June 2014, the patient underwent a surgical intervention in which a bilateral occipital nerve neurostimulator was implanted as a treatment for headache. Methods: Case report. Results: Primary findings included a decreased frequency of CH which lasted up to 2 months and sometimes even without pain. Besides this, there were decreased levels of anxiety, helplessness (PCS subscale) and a decreased impact of headache (HIT-6 scale). Bilateral pressure pain thresholds (PPTs) were improved along with an increase in strength and motor control of the neck muscles. These improvements were present at the conclusion of the treatment and maintained up to 4 months after the treatment. Conclusions: A multimodal approach, including pharmacology, neurostimulation and physiotherapy may be beneficial for patients with chronic CHs. Further studies such as case series and clinical trials are needed to confirm these results.

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Section: Methodsmentioning

confidence: 99%

Endogenous Neurostimulation and Physiotherapy in Cluster Headache: A Clinical Case

et al. 2019

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“…Peripheral nerve injury (PNI) is a major public health burden, however, current treatments have remained suboptimal, often resulting in poor functional recovery. [1][2][3] The annual incidence of PNI is estimated between 13 and 23 per 100 000 persons in developed countries. 2,4 In the United States alone, more than 20 million patients suffer from PNI caused by trauma and medical disorders, and approximately $150 billion health care dollars are spent on nerve injuries each year.…”

Section: Introductionmentioning

confidence: 99%

Exosomes and Their MicroRNA Cargo: New Players in Peripheral Nerve Regeneration

Qing

Chen

Tang

et al. 2018

Neurorehabil Neural Repair

133

107

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Peripheral nerve injury is a major clinical problem and often results in a poor functional recovery. Despite obvious clinical need, treatment strategies have been largely suboptimal. In the nervous system, exosomes, which are nanosized extracellular vesicles, play a critical role in mediating intercellular communication. More specifically, microRNA carried by exosomes are involved in various key processes such as nerve and vascular regeneration, and exosomes originating from Schwann cells, macrophages, and mesenchymal stem cells can promote peripheral nerve regeneration. In this review, the current knowledge of exosomes' and their miRNA cargo's role in peripheral nerve regeneration are summarized. The possible future roles of exosomes in therapy and the potential for microRNA-containing exosomes to treat peripheral nerve injuries are also discussed.

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“…Locations on the dorsal and volar side of the hand are assessed: each fingertip, each dorsal proximal phalanx, index and pinkey volar proximal phalanx, six points on the palm, and two points on the dorsal hand. The SWME is a standardized measure with moderate reliability, greater than the static two-point discrimination test in some conditions [ 39 , 40 ]. This assessment was done weekly using the same brand of filaments, same evaluator, and filaments were replaced if damaged or bent.…”

Section: Methodsmentioning

confidence: 99%

Wearable vibrotactile stimulation for upper extremity rehabilitation in chronic stroke: clinical feasibility trial using the VTS Glove

Seim

Wolf

Starner

2021

J NeuroEngineering Rehabil

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Objective Evaluate the feasibility and potential impacts on hand function using a wearable stimulation device (the VTS Glove) which provides mechanical, vibratory input to the affected limb of chronic stroke survivors. Methods A double-blind, randomized, controlled feasibility study including sixteen chronic stroke survivors (mean age: 54; 1-13 years post-stroke) with diminished movement and tactile perception in their affected hand. Participants were given a wearable device to take home and asked to wear it for three hours daily over eight weeks. The device intervention was either (1) the VTS Glove, which provided vibrotactile stimulation to the hand, or (2) an identical glove with vibration disabled. Participants were randomly assigned to each condition. Hand and arm function were measured weekly at home and in local physical therapy clinics. Results Participants using the VTS Glove showed significantly improved Semmes-Weinstein monofilament exam results, reduction in Modified Ashworth measures in the fingers, and some increased voluntary finger flexion, elbow and shoulder range of motion. Conclusions Vibrotactile stimulation applied to the disabled limb may impact tactile perception, tone and spasticity, and voluntary range of motion. Wearable devices allow extended application and study of stimulation methods outside of a clinical setting.

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Inter- and intra-tester reliability of sensibility testing in digital nerve repair

Cited by 17 publications

References 18 publications

Endogenous Neurostimulation and Physiotherapy in Cluster Headache: A Clinical Case

Endogenous Neurostimulation and Physiotherapy in Cluster Headache: A Clinical Case

Exosomes and Their MicroRNA Cargo: New Players in Peripheral Nerve Regeneration

Wearable vibrotactile stimulation for upper extremity rehabilitation in chronic stroke: clinical feasibility trial using the VTS Glove

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