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Conflicts of Interest
The authors declare no conflicts of interest.
PMC10780457
References
BLOOD
Study design. S1, S2, S3, S4—study series; LH–TL—live high–train low protocol; DAA—D-aspartic acid.Blood serum testosterone (Training program during the experiment.Selected hematological variables and area under the curve for testosterone (AUC T), free testosterone (AUC fT), cortisol (AUC C), and luteinizing hormone (A...
PMC10780457
1. Introduction
abortion, menstrual abnormalities, ±, uterine adenomyosis, reduced menorrhagia, infertility, dysmenorrhea, adenomyosis, muscular hypertrophic, menorrhagia, Adenomyosis
ENDOMETRIOSIS, OBSTETRICAL COMPLICATIONS, DYSMENORRHEA, ADENOMYOSIS, SECONDARY, MENORRHAGIA, ADENOMYOSIS
Beneficial and detrimental effect of surgical adenomyomectomy is still controversial in infertile women with severely diffuse adenomyosis. The primary objective of this study was to assess whether a novel method of fertility-preserving adenomyomectomy could improve pregnancy rates. The secondary objective was to evalua...
PMC10063302
2. Materials and methods
PMC10063302
2.1. Study participants
adenomyosis, ovulation disorder, infertility, dysmenorrhea
EXCESSIVE MENSTRUAL FLOW, SECONDARY INFERTILITY, ADENOMYOSIS, DYSMENORRHEA, BLOCKED FALLOPIAN TUBES, IRON DEFICIENCY ANEMIA
A prospective clinical trial was conducted between December 2007 and September 2016 at Dongguk University Ilsan Hospital, South Korea. Fifty study participants were selected based on the following criteria: patients diagnosed with diffuse adenomyosis via pelvic ultrasonography and magnetic resonance imaging (MRI); pati...
PMC10063302
2.2. Ethical approval
The Institutional Review Board of Dongguk University Ilsan Hospital approved this study (IRB No. 2007-24). Written informed consent was obtained from all participants. All study procedures were performed in accordance with the guideline of Act on Bioethics and Sefety of South Korea. This study has been registered in Cl...
PMC10063302
2.3. Adenomyomectomy procedure
bleeding, cancer, dysmenorrhea, adenomyosis, menorrhagia
BLEEDING, CANCER, DYSMENORRHEA, ADENOMYOSIS, REMISSION, MENORRHAGIA, COMPLICATIONS
We designed a novel operative procedure consisting of the following methods. First, an initial measurement of the adenomyotic lesion was made using ultrasonography and MRI (Fig. Schematic (a–e) and actual images (f–j) of the adenomyomectomy procedure. (a & f) A T-shaped incision is made on the uterine wall. (b & g) The...
PMC10063302
2.4. Antepartum management
PRETERM BIRTH
After 6 months of adenomyomectomy, participants could try to conceive and the method of pregnancy was left to the patients’ preference, including natural means or ART.In antepartum, to prevent preterm birth and uterine rupture during pregnancy, progestin treatment was provided to all patients for up to 34 weeks of gest...
PMC10063302
2.5. Statistical analysis
±, SD
The data are presented as mean ± SD or median with ranges. Comparison of clinical outcomes before and after surgery was performed using the paired
PMC10063302
3. Results
PMC10063302
3.1. Clinical and surgical outcomes
±, cancer, SD, dysmenorrhea, premature ovarian insufficiency, NRS
PREMATURE OVARIAN INSUFFICIENCY, CANCER, DYSMENORRHEA
The clinical characteristics and surgical features of the patients are summarized in Table Clinical and surgical features of enrolled patients.Values are presented as mean ± SD, n (%) and median (range).POI = premature ovarian insufficiency.Six months postoperatively, all patients obtained symptom relief of dysmenorrhe...
PMC10063302
3.2. Pregnancy outcomes
Pregnancy outcomes are shown in Table Pregnancy outcomes in infertile patients following adenomyomectomy.Data are n (%).Two cases of twin pregnancies and 1 patient who successfully gave birth twice.Flowchart reporting the pregnancy outcome of study subjects after adenomyomectomy.
PMC10063302
4. Discussion
ovarian insufficiency, ureter fistula, postoperative ovarian insufficiency, infertility, dysmenorrhea, adenomyosis, Pelvic pain, premature ovarian insufficiency, menorrhagia, hematoma, adenomyotic lesion, comorbid diseases
ENDOMETRIOSIS, PREMATURE OVARIAN INSUFFICIENCY, RECURRENCE, ABNORMAL UTERINE BLEEDING, POSTOPERATIVE COMPLICATIONS, PATHOLOGICAL PROCESS, UTERUS, COMPLICATIONS, DYSMENORRHEA, ADENOMYOSIS, MENORRHAGIA, HEMATOMA, DISEASES, UTERUS
The present study evaluated the clinical efficacy of conservative debulking surgery in infertile patients with severely diffuse adenomyosis. Our novel method of fertility-preserving adenomyomectomy resulted in increased pregnancy rates with successful outcomes, as well as symptom relief of dysmenorrhea and menorrhagia....
PMC10063302
Acknowledgments
Jimin J. are greatly acknowledged for helping the preparation of the manuscript.
PMC10063302
Abbreviations:
adenomyosis
ADENOMYOSIS
assisted reproductive technologycancer antigen 125gonadotropin-releasing hormone agonistin vitro fertilization and embryo transfermagnetic resonance imagingnumeric rating scaleTrial registration: This study has been registered in Clinical Research Information Service, Republic of Korea (KCT0004135).The authors have no ...
PMC10063302
References
PMC10063302
Abstract
Shared last authorship.
PMC10441870
Background
PD, cancer
CANCER
Psychological distress (PD) and fear of cancer recurrence (FCR) are common consequences of surviving cancer. Online self-help training could help many cancer survivors deal with PD and FCR at low costs.
PMC10441870
Purpose
PD, CAncer, CAREST
To evaluate the long-term effectiveness of the CAncer REcurrence Self-help Training (CAREST trial) to reduce PD and FCR. Moreover, to evaluate the relation between FCR and PD across time and identify subgroups representing different change trajectories in FCR over time and their predictors.
PMC10441870
Methods
PD, Cancer
FEMALE BREAST CANCER, RECURRENCE, CANCER
This multicenter randomized controlled trial included 262 female breast cancer survivors, assigned to online self-help training or care as usual. Participants completed questionnaires at baseline and four times during the 24-month follow-up. The primary outcomes were PD and FCR (Fear of Cancer Recurrence Inventory). La...
PMC10441870
Results
PD
LGCM showed no differences between the average latent slope in both groups for both PD and FCR. The correlation between FCR and PD at baseline was moderate for the intervention group and strong for the CAU group and did not significantly decrease over time in both groups. RMLCA revealed five latent classes and several ...
PMC10441870
Conclusions
PD, cancer recurrence and psychological distress, breast cancer
BREAST CANCER
We did not find a long-term effect of the CBT‐based online self-help training in reducing PD or FCR, nor in their relation. Therefore, we recommend adding professional support to online interventions for FCR. Information about FCR classes and predictors may contribute to improvement of FCR interventions.This study show...
PMC10441870
Introduction
breast) cancer, cancer, PD, breast cancer
CANCER, BREAST CANCER
Advances in the diagnosis and treatment of (breast) cancer have resulted in increased survival rates. As a result, there is an increasing group of breast cancer survivors that have to cope with the long-term consequences of cancer. Fear of cancer recurrence (FCR) is one of the most common long-term psychological conseq...
PMC10441870
Materials and Methods
CAREST
The CAREST trial was registered in the Dutch Trial Register (NTR4119). The Medical Ethical Committee of the Maasstad hospital (TWOR) in Rotterdam approved this trial (reference number 2013/41) and all participating hospitals provided local ethics approval. The study protocol of this trial has been published [
PMC10441870
Design
We conducted a multicenter randomized controlled trial (RCT) with two conditions. The intervention group received a CBT-based online self-help training to reduce FCR. Both the intervention group and the control group received care as usual (CAU), standard care in their own hospital.The original sample size calculation ...
PMC10441870
Participants
breast cancer
DISEASE, RECURRENCE, METASTATIC DISEASE, BREAST CANCER
Women were eligible to participate when they had a diagnosis of breast cancer 1–5 years ago, had no signs of local or regional recurrence or metastatic disease (according to their oncologist or oncology nurse), were capable of completing questionnaires in Dutch, were 18 years or older at disease onset, and had access t...
PMC10441870
Recruitment
Cancer
MAY, RECURRENCE, CANCER
Eligible patients were recruited consecutively during their regular checkup at the outpatient clinic of a hospital or by sending them a comprehensive information letter by mail (differed because of pragmatic reasons) between April 2014 and May 2016. Participating hospitals (all situated in the Netherlands) were the Maa...
PMC10441870
Randomization
Participants were randomly allocated to either the online self-help training (intervention) or CAU with an allocation ratio of 1:1, stratified by hospital. Block randomization (block size 10) was carried out through the sealed envelope system. Randomization was conducted by a researcher who was not otherwise involved i...
PMC10441870
Intervention
POSITIVE
In short, the intervention is a CBT-based online self-help to reduce FCR. The program included two generic modules containing psycho-education about FCR and the basic principles of CBT, and four optional modules: (a) Stop worrying; (b) Positive actions; (c) Relax; and (d) Reassurance [
PMC10441870
Measures
breast cancer, PD, Cancer
BREAST CANCER, RECURRENCE, CANCER
Socio-demographic and medical variables were self-reported and assessed at baseline and at all time points, respectively. The self-report questionnaires were assessed at all time points.The primary outcomes FCR and PD were both assessed with the Dutch translation of the Fear of Cancer Recurrence Inventory (FCRI-NL) [Si...
PMC10441870
Statistical Analyses
Prior to data analysis, we checked the normality assumptions. When the assumption of multivariate normality was not met, we executed transformations of the dependent variable. When transformation did not lead to multivariate normality, we used robust maximum likelihood estimation (MLR) to fit the model.
PMC10441870
RQ1: Long-Term Effectiveness of Online Self-Help Training in Reducing FCR and PD
PD
To answer the first research question (i.e., do the intervention and CAU group differ in the change in FCR/PD over time), a multi-group second-order latent growth model was estimated. A second-order growth model estimates individual growth curves for each participant based on the individual FCR or PD item scores. A mul...
PMC10441870
RQ2: Relation Between FCR and PD Over Time
PD
Answering the second research question (i.e., does the association between FCR and PD decrease over time), we started with a multivariate multi-group growth model including both FCR and PD scores over time. However, as this multivariate second order growth model did not converge, we used a first order growth model that...
PMC10441870
RQ3: Change Trajectories in FCR Over Time and Their Predictors
For the last research question (i.e., can we distinguish characteristics of patients for whom the intervention worked), we modeled a repeated measures latent class analysis (RMLCA) within the intervention group. RMLCA analyses were performed with Latent Gold (version 5.0.0) [
PMC10441870
Results
PMC10441870
Response Rate and Sample Characteristics
CAREST
Details about enrollment, intervention allocation, follow-up, and drop-out can be found in the flowchart (CONSORT diagram for participant inclusion and retention up to 24 months in the CAREST randomized controlled trial. Women in the RCT had a mean age of 55.8 years (
PMC10441870
RQ1: Long-Term Effectiveness of Online Self-help Training in Reducing FCR and PD
PD
When testing the assumption of longitudinal measurement invariance for FCR, the multi-group univariate second order latent growth model indicated no differences between the loadings of the five longitudinal factors across time, based on the chi-square difference test comparing sub-models 0a and 1a (Latent Growth Models...
PMC10441870
RQ2: Relation Between FCR and PD Over Time
PD, cancer recurrence and psychological distress
In line with the findings of the second order growth model, the results of the first order growth model indicate no significant change in FCR across time, for both the intervention (The results of these chi-square difference tests were confirmed by the model fit indices. Both AIC and BIC suggest a slightly better fit t...
PMC10441870
RQ3: Change Trajectories in FCR Over Time and Their Predictors
Cancer
RECURRENCE, POSITIVE, CANCER
First, we identified the optimal number of latent classes, where each class represents a distinct change pattern of FCRI for participants in the intervention group. BIC showed that a model with three different classes fitted the data best, while AIC and AIC3 suggested a model with five different classes. Because of the...
PMC10441870
Sensitivity Analyses
More than one-third (37%) of the intervention group reported they did not actually follow the online self-help training, although they had access to the intervention. However, participants who followed the online self-help intervention and participants who did not follow the intervention did not differ from one another...
PMC10441870
Discussion
PD, cancer, anxiety
CANCER
The current study is one of the few studies that investigate the effect of an online self-help training for FCR with a follow-up of 24 months. Results indicate no change of both FCR and PD across time, for both the intervention and CAU group, nor any effect of the intervention on the relation between FCR and PD, nor di...
PMC10441870
Limitations and Strengths
PD, Depression, Anxiety
SENSITIVITY
This study had several limitations. First, since R package Lavaan gave a warning for all growth models using both MLR estimation and other robust estimators, ML estimation was used to fit the model. Presumably, the model with several hundred parameters was too large for our data. The ML estimator is not robust against ...
PMC10441870
Clinical Implications
PD, breast cancer
BREAST CANCER
Levels of FCR and PD seem to be stable over time (showed no significant natural decrease), which underlines the importance to develop interventions for both FCR and PD in breast cancer survivors. In the current study, we found no (long-term) effect of our online self-help training. To retain the benefits of online inte...
PMC10441870
Conclusions
cancer, PD
CANCER
In conclusion, five latent classes and several predictors of class membership were found. Knowing more about the specific needs of FCR groups, may contribute to the improvement of interventions for FCR.Furthermore, there was no (long-term) effect of the CBT‐based online self-help training “Less fear after cancer” in re...
PMC10441870
Supplementary Material
Click here for additional data file.
PMC10441870
Acknowledgements
der
DER
This research is funded by a grant from Pink Ribbon, the Netherlands (2012.WO43.C158), awarded to Dr. M.L. van der Lee. We are grateful to the patients for their participation in this trial and to oncology nurses, nurse practitioners, and oncologists from the Maasstad hospital in Rotterdam, St. Antonius hospital in Utr...
PMC10441870
Funding
DER
This study was funded by Pink Ribbon (2012.WO43.C158) awarded to Dr Marije L. van der Lee. Pink Ribbon was not involved in the collection, analysis, and interpretation of data, in writing manuscripts or deciding to submit manuscripts for publication.
PMC10441870
Compliance with Ethical Standards
PMC10441870
References
PMC10441870
Methods
malaria, malaria infection
MALARIA, REGRESSION, SECONDARY
The trial was a community randomized control in which there were two malaria prevalence cross-sectional household surveys each year (June and December) from 2015 to 2017 in Muleba. In this study we conducted a secondary data analysis of the December surveys only. Multilevel Poisson regression analysis was used to asses...
PMC10734997
Results
malaria, malaria infection
MALARIA
A total of 10,941 children and 4,611 households were included in this study. Overall malaria prevalence was 35.8%, 53.3% and 54.4% in the year 2015, 2016 and 2017 respectively. Living in an area with standard LLIN as opposed to the novel PBO synergist LLIN, being a male child, above 5 years of age, living in a house wi...
PMC10734997
Conclusions
malaria infection
Using PBO LLIN reduced the risk of malaria infection. However, additional measures could further reduce malaria infection in areas of insecticide resistance such as housing improvement.
PMC10734997
Data Availability
Data in Tanzania are governed by strict law and cannot be shared outside the country without a Data Transfer agreement (DTA.pdf (nimr.or.tz)) and appropriate ethical approval. There was no provision under this study to share the data widely outside and was not mentioned in the consent form. A DTA process will need to b...
PMC10734997
Background
malaria
MALARIA, WEST, DISEASE
After a decade of successful control, malaria is on the rise again in Sub- Saharan Africa [In Tanzania, malaria accounts for 30% to 40% of all disease burden and 7% of all mortality [LLIN has been a core component of the Tanzanian malaria control strategy since 2009 [In 2008, Kagera region in North West Tanzania had th...
PMC10734997
Materials and methods
PMC10734997
Data source
malaria, malaria infection
MALARIA, MALARIA
The trial was a four arms, single-blinded, cluster randomized factorial design conducted in Muleba district in the northwestern part of Tanzania from 2015 to 2017. This trial is registered with ClinicalTrials.gov, number NCT02288637. The detail of the parent study procedures have been described elsewhere [Standard LLNs...
PMC10734997
Description of the sub- study
The cross-sectional data from December surveys was used for risks factors analysis over the three year’ life span of the LLINs. The type of LLIN was considered as the primary exposure therefore the arms receiving the same type of LLIN (Standard LLIN or PBO LLIN) were combined to form two arms regardless of IRS. Sample ...
PMC10734997
Data management and statistical analysis
Data were extracted from the parent study database which was in Microsoft Access (Microsoft Corporation, Redmond, USA) format and transferred into STATA version13 (Stata-Corp, College Station, TX, USA) for further cleaning and statistical analysis. A description of all the independent variables included in the study is...
PMC10734997
Description of the study variables.
malaria, malaria infection
MALARIA, REGRESSION, INTERACTIONS, INTERACTION
For categorical variables, numbers and proportions (percentages) in each level were calculated. For continuous variable median and inter-quartile range (IQR) were calculated.Given that malaria prevalence was more than 40% in the study area; Poisson regression was used as an alternative to logistic regression to determi...
PMC10734997
Ethics statement
SECONDARY
The main trial was approved by the ethics review committees of the Kilimanjaro Christian Medical University College, the London School of Hygiene & Tropical Medicine, and the Tanzanian Medical Research Coordinating Committee (NIMR/HQ/R.8a/VolIX/1803). Written informed consent from parents or guardians was obtained for ...
PMC10734997
Results
PMC10734997
Participants and household characteristics
malaria, malaria infection
MALARIA
A total of 48 clusters were surveyed at each time point. For the three surveys, data were available for 5,221 households with children aged 6 months to 14 years and 11,275 children were tested for malaria. About 11% of selected children in each survey year were not tested for malaria infection. After data cleaning and ...
PMC10734997
Flow chart of selected households and children included in the study, Muleba Tanzania.
A total of 10,941 children with a median age of 7 (IQR: 4, 10) years were analysed. There were an almost equal number of children between study arms across all surveys. LLIN usage dropped over survey time. However, the proportion was almost balanced between arms, except during the second year of the trial in 2016, 1221...
PMC10734997
Household and individual characteristics of study participants by study arm for 2015–2017 surveys, Muleba Tanzania.
*Two households (0.3%) missing.
PMC10734997
Malaria prevalence and factors associated with malaria infection
malaria
MALARIA
The malaria prevalence increased over the years from 35.8% in 2015 to 54.4% in 2017. Overall malaria prevalence was 41.6% in the PBO LLIN arm and 51.6% among children living in the standard LLIN arm (
PMC10734997
Univariate multilevel Poisson regression of factors associated with malaria infection among children in Muleba, Tanzania.
malaria, malaria infection
REGRESSION, MALARIA
In the univariate multilevel Poisson regression analysis, all factors except for the household IRS status had a statistically significant association with malaria infection among the selected children (In the multivariable multilevel analysis, about 5% (ICC = 0.05) of the total variability in the risk of malaria infect...
PMC10734997
Multivariable multilevel Poisson regression analysis of factors associated with malaria infection among children in Muleba, Tanzania(N = 10,880).
infection, malaria infection
MALARIA, INFECTION, SECONDARY
*Risk ratio adjusted for all variables in the table.The age of the child was highly associated with malaria infection, children aged 5 to 10 years and above 10 years had 27% and 26% higher risk respectively compared to those less than 5 years of age with (aRR = 1.27; 95%CI: 1.18, 1.36) and (aRR = 1.26; 95%CI: 1.18, 1.3...
PMC10734997
Discussion
malaria, infection, malaria infection
MALARIA, INFECTION
The results show an overall increase in malaria prevalence in the study area over the years. Prevalence was higher amongst children living in areas with standard LLINs as opposed to those living in villages with PBO LLINs. Other factors associated with malaria infection were being a male and greater than 5 years old. C...
PMC10734997
Conclusions
malaria infection
The present analysis suggests that using of PBO LLINs reduced the risk of malaria infection in this area of high pyrethroid resistance compared to Standard LLIN. However, the overall prevalence still remains high and increased during the 3 years of the trial. This suggest increasing coverage of the PBO LLINs as well as...
PMC10734997
Supporting information
PMC10734997
STROBE statement—checklist of items that should be included in reports of observational studies.
MALARIA
(DOC)Click here for additional data file.Would like to convey our gratitude to Ifakara Health Institute-IHI, Tanzania under clinical trial unit and DELTAS Sub-Saharan Africa Consortium for Advanced Biostatistics (SSACAB) Training Programme for financial support during the MSc. Training. Authors would like to acknowledg...
PMC10734997
References
PMC10734997
Background
postoperative pain, musculoskeletal injuries
Postoperative intravenous diclofenac reduces patient opioid demand and is commonly used in surgical units. Orphenadrine is mainly used in combination with diclofenac for musculoskeletal injuries and postoperative pain control. The objective of this study was to compare the analgesic efficacy of diclofenac-orphenadrine,...
PMC9938044
Methods
delirium
We performed a double-blind, randomized, placebo-controlled, parallel-group, single-center clinical study investigating the opioid-sparing effect of a combination of diclofenac and orphenadrine versus diclofenac alone versus isotonic saline solution. Initially 72 patients were included and received total intravenous an...
PMC9938044
Results
±
There was no significant difference between the groups in cumulative dose of PCA analgesics required after 24 h postsurgery, with 5.90 mg (SD ± 2.90 mg) in the placebo group, 5.73 mg (SD ± 4.75 mg) in the diclofenac group, and 4.13 mg (SD ± 2.57 mg) in the diclofenac-orphenadrine group. Furthermore, there was no signif...
PMC9938044
Conclusion
postoperative pain
Orphenadrine-diclofenac failed to significantly reduce postoperative opioid requirements. However, in an exploratory post hoc analysis the diclofenac-orphenadrine and the diclofenac group combined versus placebo showed a tendency to reduce opioid demand in postoperative pain control. Further research is required to det...
PMC9938044
Keywords
Open access funding provided by Medical University of Vienna.
PMC9938044
Introduction
Parkinson’s disease, hyperalgesia, pain
SECONDARY
The benefits of effective pain management after surgery and the favorable effect on fast recovery and outcome are well documented [Orphenadrine is a centrally acting muscle relaxant initially used for the treatment of Parkinson’s disease. In addition, it has anticholinergic and antihistaminic properties and a potential...
PMC9938044
Methods
PMC9938044
Study design
The study was performed at the Vienna General Hospital, which is also the site of the Medical University of Vienna and provides more than 50,000 surgeries per year. The study was conducted as a double-blind, randomized, placebo-controlled, parallel-grouped, single-center clinical study.
PMC9938044
Ethics
This study was conducted in accordance with the declaration of Helsinki and the good clinical practice guidelines. The study protocol as well as the written consent form were approved (EK 1494/2016) by the Ethics Committee of the Medical University of Vienna (Chairperson: Univ.-Doz. Dr. Martin Brunner; Borschkegasse 8b...
PMC9938044
Study population
Included were patients undergoing elective cruciate ligament surgery. Every patient received a standard of care total intravenous anesthesia consisting of an induction with propofol, remifentanil and, if relaxation required, rocuronium followed by a maintenance with remifentanil (0.15–0.25 μg⋅kgSample size calculations...
PMC9938044
Study intervention
Patients were randomly allocated in a 1:1:1 ratio to 1 of 3 study arms and received either 2×250 ml solutions of 75 mg diclofenac combined with 30 mg of orphenadrine, 2×250 ml solutions of 75 mg diclofenac or 2×250 ml solutions of isotonic saline in a double-blind setting. Randomization of the study patients in a 1:1:1...
PMC9938044
Statistics
delirium, pain
SECONDARY
The primary outcome of the study was the total dose of PCA analgesics required 24 h after surgery. The secondary outcomes were PCA analgesics required 2 h after surgery, pain intensity measured by visual analogue scales (VAS) 2 h and 24 h after surgery.Exploratory outcomes: furthermore, the local and systemic tolerabil...
PMC9938044
Discussion
postoperative pain, bleeding, hyperalgesia, low pain, allodynia, pain, renal dysfunction
THROMBOPHLEBITIS, EVENTS, BLEEDING, PCP
In the present study, there was no significant difference for the postoperative opioid PCA requirements between the diclofenac-orphenadrin, the diclofenac and the placebo group for the treatment of postoperative pain in patients receiving cruciate ligament surgery. However, a distinct trend towards a reduction of hydro...
PMC9938044
Acknowledgements
We want to thank Dr. Martina Hermann, Dr. Stefan Koch and Dr. Udo Eggenreich for their help with carrying out the study.
PMC9938044
Funding
This study was partially funded by Fresenius Kabi Austria GmbH (Graz, Austria).
PMC9938044
Author Contribution
S. Zeiner: conceptualization, formal analysis, methodology, project administration, validation, writing—original draft, visualization, data curation; T. Haider, O. Zotti, P. Höbart, E. Knolle: conceptualization, data curation, resources, writing—review & editing; O. Kimberger.: conceptualization, formal analysis, metho...
PMC9938044
Funding
Open access funding provided by Medical University of Vienna.
PMC9938044
Conflict of interest
Thomas
Professor Kimberger was a member of the advisory board of ZOLL Medical Österreich GmbH (Vienna, Austria) until 2019. Thomas Haider, Petra Höbart, Oliver Zotti, Katrin Thüringer, Erich Knolle and Sebastian Zeiner declare that they have no conflicts of interest.
PMC9938044
References
PMC9938044
1. Introduction
sore throat, nausea, myalgia, fatigue, fever, pain, cough, dizziness, skin rash, sleep problems, depressive, loss of taste and smell, headache, coronavirus disease 2019, Fatigue
SORE THROAT, VIRUS, CORONAVIRUS DISEASE 2019, VIRAL DISEASES, RESPIRATORY TRACT INFECTIONS, SYNDROME, CORONAVIRUS
The aim of this study was to compare the effectiveness of traditional neurological rehabilitation and neurological rehabilitation combined with a rehabilitation robot for patients with post-COVID-19 fatigue syndrome. Eighty-six participants transferred from intensive care units due to post-viral fatigue after COVID-19 ...
PMC10575211
2. Materials and Methods
muscle contraction, fatigue
MUSCLE WEAKNESS, CONTRACTION, POLAND
A prospective randomized clinical trial was conducted in the Neuro-rehabilitation Ward of the Provincial Hospital in Poznan, Poland, between January and August 2022. The study has been registered with ClinicalTrials.gov, ID: NCT05130736.Participants who were transferred directly from Intensive Care Units (ICUs) due to ...
PMC10575211
2.1. Measurement
hand dynamometer
Several measurement tools were used to assess functional physical ability (Berg scale, Tinetti scale, six-minute walking test (6MWT)), muscle strength (isokinetic muscle force of elbow flexors and extensors, hand grip strength (GS)), and independence in activities of daily living (Barthel Index, Functional Independence...
PMC10575211
2.2. Statistical Analysis
POLAND
Statistical analysis was performed with Statistica 13.3 software (TIBCO Software/StatSoft Polska Sp. z o.o., Krakow, Poland). The threshold for statistical significance was set at
PMC10575211
3. Results
A total of 86 participants were included in the study. However, due to various causes, five participants did not complete the study. Therefore, data from 81 participants (42 in IG and 39 in CG) were analyzed. There were significant differences between groups in terms of weight and BMI, yet groups did not differ in age,...
PMC10575211
4. Discussion
stroke, fatigue, Kawasaki
STROKE, SYNDROME, KAWASAKI
The use of robots in rehabilitation gained significant traction in 1990 [Villafañe et al. [Some other authors found that robot-assisted rehabilitation can be more efficient than traditional rehabilitation. Dehem et al. [As stated previously, the majority of available studies using robots in rehabilitation were conducte...
PMC10575211
5. Conclusions
fatigue
SYNDROME
In light of the results of the present study, implementing EMG-driven robots in the rehabilitation of post-COVID-19 fatigue syndrome patients is effective. Substituting a part of traditional rehabilitation with robotic rehabilitation did not negatively alter rehabilitation outcomes. Our results indicate that the implem...
PMC10575211
Author Contributions
Conceptualization, E.Z., D.K., S.T. and K.H.; formal analysis, T.T. and A.P. (Anna Pieczyńska); investigation, R.M.; methodology, T.T., D.K. and I.Z.; project administration, R.M. and E.Z.; resources, K.H., M.M. and A.P. (Anna Poświata); supervision, K.H.; writing—original draft, T.T.; writing—review and editing, T.T.,...
PMC10575211
Institutional Review Board Statement
The study was conducted in accordance with the Declaration of Helsinki and approved by the Bioethics Committee of Poznan University of Medical Sciences (Protocol No. 514/21).
PMC10575211