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Therapies in Stiff-Person Syndrome: Advances and Future Prospects Based on Disease Pathophysiology.

Among the glutamic acid decarboxylase (GAD)-antibody-spectrum disorders, the most common phenotypic subset is the stiff-person syndrome (SPS), caused by impaired GABAergic inhibitory neurotransmission and autoimmunity characterized by very high titers of GAD antibodies and increased GAD-IgG intrathecal synthesis. If not properly treated or untreated because of delayed diagnosis, SPS progresses leading to disability; it is therefore fundamental to apply the best therapeutic schemes from the outset. This article is focused on the rationale of specific therapeutic strategies based on the SPS path

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… Supportive Physical Therapies Although not always needed, preferred, or tolerated, selective physiotherapy (such as aqua therapy, deep tissue massage, heat, or ultrasound therapy) may offer benefits to some patients at various stages of the disease. …

Impact of whole-body vibration exercise on physical performance and bone turnover in patients with monoclonal gammopathy of undetermined significance.

OBJECTIVE: Monoclonal Gammopathy of Undetermined Significance (MGUS) is a risk factor for reduced physical performance, osteoporosis, and fractures due to compromised musculoskeletal metabolism. In this condition it is unknown whether whole-body vibration (WBV) exercise favorably alters physical performance and bone metabolism. METHODS: To evaluate the effect of three-months WBV exercise (30 min; 2x/week) including an optional three-month extension on physical performance, bone metabolism and bone mineral density. Endpoints included functional assessments, bone turnover markers and bone miner

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… A randomized exploratory phase 2 study in patients with chemotherapy-related peripheral neuropathy evaluating whole-body vibration training as adjunct to an integrated program including massage, passive mobilization and physical exercises, Exp Hematol. …

Feasibility of whole body vibration during intensive chemotherapy in patients with hematological malignancies - a randomized controlled pilot study.

BackgroundHospitalized cancer patients undergoing intensive or high-dose chemotherapy often experience a considerable decline in functional performance associated with the increased risk of adverse health events. Exercises, particularly resistance-based exercises that may counteract this decline are restricted by therapy-related side effects. Since whole body vibration (WBV) is known to efficiently stimulate the neuromuscular system without significantly raising blood pressure, we hypothesize that especially WBV is particularly feasible even during intensive or high-dose chemotherapy (primary

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… A randomized exploratory phase 2 study in patients with chemotherapy-related peripheral neuropathy evaluating whole-body vibration training as adjunct to an integrated program including massage, passive mobilization and physical exercises. …

Fatigue Experience in Oncology; a Targeted Qualitative Literature Review and Novel Patient-Centric Conceptual Model.

IntroductionTraditionally, treatment endpoints in oncology have focused on increasing overall survival and progression-free survival. Although fatigue may be a meaningful outcome measure across different cancers, it is assessed less frequently. To explore the impact of fatigue on patients with cancer, confirm the importance of fatigue measurement and inform future measurement strategies in oncology, we aimed to characterise the patient experience of fatigue and the associated impact on how patients feel and function, including aspects of health-related quality of life (HRQoL).MethodsA targeted

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… Engaging in activities/hobbies [ 28 – 30 , 41 ], or physical activity and/or exercise, such as walking, helped some patients cope [ 21 , 23 , 27 – 29 , 38 , 41 , 44 ], as did passive activities such as massage or stretching [ 24 ]. …

Rice Bran Arabinoxylan Compound and Quality of Life (RBAC-QoL) of Cancer Patients: An Interim Analysis of the RBAC-QoL Study.

Background The effect of rice bran arabinoxylan compound (RBAC), a plant-based immunomodulator, on the quality of life (QoL) in cancer patients and underlying physiological pathways remains unclear. Trial design The RBAC-QoL study, a double-blind, randomised, controlled pilot feasibility study, aimed to determine RBAC's effects on QoL and the associated action mechanisms. Primary outcomes were the EORTC QLQ-C30 functional, symptom, and global QoL scores with inflammatory, nutritional, and cytokine parameters as secondary and exploratory outcomes. Methods Participants were adults diagnosed with

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… CAMQ was a custom-designed questionnaire comprising 15 items covering the usage frequency of different complementary therapies, including herbal medicine, nutritional supplements, massage, etc. The questionnaire assessed the respondent’s perception towards the efficacy of complementary therapies. …

Safety, Precautions, and Modalities in Cancer Rehabilitation: an Updated Review.

Purpose of reviewProviding rehabilitation to patients with cancer can be challenging due to the medical complexity associated with the illness and its treatments. This article provides the reader with a summary of frequently encountered medical conditions in the cancer population and associated safety considerations and precautions. An update on treatment modalities commonly used for symptom management is also presented.Recent findingsCancer and cancer treatments can cause changes in multiple organ systems. Special considerations and precautions are necessary to provide safe and effective reha

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… , 96 , 113 , 114 ] | –Musculoskeletal pain – Lymphedema –Polyneuropathy | – Skin fragility | – Malignant tumor – Multiple myeloma – Acute leukemia – Severe coagulopathy – Wound infections – Growth plate Manual therapy [ 1 ••, 91 , 115 ] | – Tissue and muscle relaxation − Joint mobility − Lymphatic massage …

Update on the optimal use of bortezomib in the treatment of multiple myeloma.

The proteasome inhibitor (PI) "bortezomib" has now been in routine clinical practice for over a decade. It is now considered an important backbone therapy for all stages of the disease, and data continue to grow to support its use in newly diagnosed patients, relapsed and relapsed/refractory disease, maintenance therapy, high risk, and renal failure. Much has been learnt about the most clinically effective way of delivering therapy, with patients often benefiting more from a triplet bortezomib combination compared to a doublet combination. It is well tolerated and can be administered in the ou

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… Many patients find that vitamin B12, vitamin B6, capsaicin, or menthol cream or massage therapy may also help. When bortezomib was delivered intravenously, autonomic neuropathy was also an issue with a number of patients either complaining of orthostatic hypotension or diarrhea following dosing. …

Trimodal prehabilitation for hematopoietic stem cell transplantation: A best evidence summary.

ObjectiveTo systematically evaluate and synthesize the best practice evidence of trimodal prehabilitation comprising exercise, nutritional optimization, and psychological support in patients undergoing hematopoietic stem cell transplantation, so as to enhance patients' physiological reserve and stress resistance, and provide a scientific basis and practical reference for formulating individualized prehabilitation programs in clinical practice.MethodsA comprehensive computerized literature search was conducted across multiple databases and evidence sources, including UpToDate, BMJ Best Practice

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… Complementary and alternative therapies such as yoga, acupuncture, acupressure, auricular therapy, and massage therapy may also be utilized to improve fatigue in patients. 18 | Level 1 | B 30. …

Отологические проявления временных нарушений.

Фон/цели: Временное расстройство (ТМО) затрагивает треть взрослого населения и связано с отологическими симптомами. Эти симптомы часто недооцениваются первичными отологическими заболеваниями, что приводит к задержкам в диагностике и лечении. Цель этого обзора состоит в обобщении сообщаемых данных о распространенности, предлагаемых патофизиологических механизмов и стратегий управления отологическими проявлениями у пациентов с ТМР. Методы: Был проведен обзор литературы с использованием терминов MESH "временная болезнь сустава" и "отологические симптомы". Five Дополнительные обыски проводились с

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… Thus, treatment modalities such as therapeutic exercises, occlusal splinting, and massage therapy should be attempted and exhausted prior to progressing to more advanced management. …

Outcomes of Conservative Versus Surgical Treatment of Dropped Head Syndrome in a Single Institution: A Case Series and Review of the Literature.

Dropped head syndrome (DHS), also known as camptocephalia, is characterized by a mobile chin-on-chest deformity from hypotonia of the cervical extensor muscle or hypertonia of the anterior neck muscles. There remains a paucity of quality published literature on this topic, particularly its management. The objective of this study is to identify radiographic and clinical outcomes of surgery as compared to nonsurgical treatment, to summarize the literature, and to create a decision-making paradigm for managing patients with DHS. As such, we report outcomes of our retrospective chart review series

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… Other descriptors of intensive rehabilitation involve 40 months of cervical and lumbar manipulation, spinal traction, micro-vibration deep muscle massage, and core muscle training with resolution of DHS [ 36 ]. …

Informal caregivers' quality of life and management strategies following the transformation of their cancer caregiving role: A qualitative systematic review.

ObjectivesGlobally, informal caregivers caring for cancer patients meet challenges within their caregiving role, which significantly influence their quality of life. This qualitative systematic review aimed to analyze how cancer caregiving influence the quality of life of informal caregivers and the management strategies of informal caregivers for their role as cancer caregivers.MethodsFollowing the enhancing transparency in reporting the synthesis of qualitative research (ENTREQ) statement, Wanfang database, the China National Knowledge Infrastructure (CNKI), CINAHL, MEDLINE, PubMed, Cochrane

Quality of patient-reported outcome reporting and related trial characteristics in randomized controlled trials of cancer pain: A systematic review based on the CONSORT-PRO extension.

ObjectiveTo systematically evaluate the reporting completeness of patient-reported outcomes (PROs) in randomized controlled trials of cancer pain and to descriptively examine how reporting completeness varied across trial characteristics.MethodsA systematic search of four Chinese literature databases (CNKI, SinoMed, VIP, Wanfang) and three international databases (PubMed, Cochrane Library, Embase) was conducted to identify relevant trials. Randomized controlled trials (RCTs) on cancer pain published from 1 January 2015 to 1 March 2026 that used PROs as either primary or secondary outcomes were

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… Acupuncture vs massage for pain in patients living with advanced cancer: the IMPACT randomized clinical trial JAMA Netw Open 6 11 2023 e2342482 10.1001/jamanetworkopen.2023.42482 PMC10646731 37962891 25 Groninger H. Violanti D. Mete M. …

Sclerosing diseases of the skin.

Sclerosing skin diseases comprise a group of distinct dermatological conditions characterized by fibrotic changes that may severely impair patients' quality of life. These conditions often present with cutaneous manifestations and, in some cases, may extend to extracutaneous tissues, potentially resulting in significant morbidity and mortality. This review explores the current understanding of the four most prevalent sclerosing skin diseases - localized scleroderma (morphea), systemic sclerosis (SSc), scleromyxedema, and scleredema adultorum of Buschke - as well as sclerotic conditions induced

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… Massage and lymphatic drainage are beneficial in the sclerotic phase. …

Bibliometric Analysis of Acupuncture Therapy for Cancer Pain Over the Past 10 Years.

PURPOSE: Cancer pain is a common symptom of cancer patients and greatly affects quality of life. Acupuncture has certain curative effects on cancer pain. The aim of this study was to analyze and visualize the current status and research trend of acupuncture treatment for cancer pain over the last 10 years and provide directions for future development. METHODS: A search of the Web of Science Core Collection from 2012-01-01 to 2022-08-20 was performed to collect studies related to acupuncture therapy for cancer pain. CiteSpace was used to conduct bibliometric analysis and visualization from the

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… Complementary therapies correspond to growing demand in patients with cancer pain, 7 and complementary therapies for the treatment of cancer pain include acupuncture, dietary supplements, massage, guided imagery and cryotherapy. 8 Acupuncture, as a nonpharmacologic intervention, has been widely used …

Prevalence of unmet supportive care needs reported by individuals ever diagnosed with cancer in Australia: a systematic review to support service prioritisation.

PurposeImproved health outcomes for individuals ever diagnosed with cancer require comprehensive, coordinated care that addresses their supportive care needs. Implementing interventions to address these is confounded by a lack of evidence on population needs and a large pool of potential interventions. This systematic review estimates the point prevalence of different supportive care needs stratified by the tool used to measure needs and cancer type in Australia.MethodsWe searched MEDLINE, Embase, and Scopus from 2010 to April 2023 to identify relevant studies published on the prevalence of su

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… Most reviews focused on exercise interventions, whilst others included acupuncture, Chinese medicine, complementary and alternative medicines, diet, psychological therapy, expressive writing, art therapy, music therapy, massage, education, and pharmacological interventions [ 23 ]. …

Management of adults and children undergoing chimeric antigen receptor T-cell therapy: best practice recommendations of the European Society for Blood and Marrow Transplantation (EBMT) and the Joint Accreditation Committee of ISCT and EBMT (JACIE).

Chimeric antigen receptor (CAR) T cells are a novel class of anti-cancer therapy in which autologous or allogeneic T cells are engineered to express a CAR targeting a membrane antigen. In Europe, tisagenlecleucel (Kymriah™) is approved for the treatment of refractory/relapsed acute lymphoblastic leukemia in children and young adults as well as relapsed/refractory diffuse large B-cell lymphoma, while axicabtagene ciloleucel (Yescarta™) is approved for the treatment of relapsed/refractory high-grade B-cell lymphoma and primary mediastinal B-cell lymphoma. Both agents are genetically engineered a

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… If thawing is conducted in a water bath, the spike ports that protrude out of the water must be carefully massaged to ensure that they thaw in synchrony with the rest of the product. …

Intravenous vitamin C for reduction of cytokines storm in acute respiratory distress syndrome.

The recent outbreak of Covid19 has required urgent treatments for numerous patients. No suitable vaccines or antivirals are available for Covid19. The efficiency against Covid19 of WHO therapies of choice, that are two antivirals developed for other pathologies, is controversial. Therefore, alternative approaches are required. Intravenous (IV) Vitamin C (Vit-C) has emerged as one of the other alternatives for this purpose. Here we review the effects of IV Vit-C on the immune system response, the antiviral properties of IV Vit-C, and finally the antioxidant properties of IV Vit-C to specificall

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… The vitamin and massage treatment for acute poliomyelitis. South Med. Surg. 1952;114:8. 24. Sabin A.B. Vitamin C in relation to experimental poliomyelitis. J. Exp. Med. 1939;69:507. doi: 10.1084/jem.69.4.507. 25. Jungeblut C.W. Vitamin C therapy and prophylaxis in experimental poliomyelitis. J. …

Disorders of the Spinal Cord

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… Physical therapy (e.g., massage, passive range-of-motion exercises) may be helpful. Surgical therapy can be performed in cases of caudal occipital malformation syndrome. A. …

Chemotherapy-induced peripheral neuropathy in children and adolescent cancer patients.

Brain cancer and leukemia are the most common cancers diagnosed in the pediatric population and are often treated with lifesaving chemotherapy. However, chemotherapy causes severe adverse effects and chemotherapy-induced peripheral neuropathy (CIPN) is a major dose-limiting and debilitating side effect. CIPN can greatly impair quality of life and increases morbidity of pediatric patients with cancer, with the accompanying symptoms frequently remaining underdiagnosed. Little is known about the incidence of CIPN, its impact on the pediatric population, and the underlying pathophysiological mecha

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… One study has investigated the benefit of combination therapy and implemented a 15-week integrated program of massage, passive mobilization and physical exercises with or without whole body vibration and patients reported less pain and improved function over time ( Schönsteiner et al., 2017 ). …

Экспертный консенсус в отношении многодисциплинарного подхода к лечению множественных заболеваний костей, связанных с миеломой.

Этот консенсус по множественным болезням костей, связанным с миеломой, подчеркивает важность многодисциплинарного подхода, который охватывает гематологию, радиологию, ортопедию и дополнительные специальности для решения сложных проблем. МБД, широко распространенное и изнуряющее осложнение множественной миэломы, приводит к боли в костях, переломам и событиям, связанным со скелетом, что оказывает глубокое воздействие на качество жизни пациентов. Эти руководящие принципы обеспечивают тщательную основу для диагностики, лечения и постоянной оценки с уделением особого внимания раннему обнаружению и

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… However, therapies that increase the local blood flow in the tumor area, such as ultrasound therapy, heat therapy, and massage, should be avoided to prevent potential complications. 64 Additionally, orthotic devices such as braces or splints may be recommended to provide support and immobilization for …