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Nurse self-evaluation of assessment of chemotherapy-induced peripheral neuropathy in patients with cancer.

The focus of this study was to assess the feasibility and clinical implementation of a standardized assessment for chemotherapy-induced peripheral neuropathy (CIPN) by registered nurses in patients undergoing neurotoxic chemotherapy. A total of 24 registered nurses from 4 different institutions were enrolled into the study. A pre- and posttest design was used to assess changes in nurses' attitudes, knowledge, and perceived skill in CIPN assessment. Using selected data collection instruments, nurses performed standardized assessments during the course of chemotherapy treatments. Patient-reporte

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… Sensory manifestations of CIPN include diminished proprioception, vibratory and cutaneous sensation and symptoms of numbness, tingling, burning, and pain. Motor neuropathy results in muscle atrophy and weakness. …

Оценка функциональной мобильности у людей с множественным склерозом.

Функциональная мобильность включает в себя походку и баланс. У людей с множественным склерозом часто бывают нарушения походки и трудности с ходьбой, а также повышенный риск падения. Цель исследования состояла в том, чтобы оценить функциональную мобильность и изучить взаимосвязь между походкой и балансом у людей с множественным склерозом, а также влияние падения на эти две переменные. МЕТОДЫ: В выборке исследования было 92 человека с множественным склерозом, средний возраст которых составлял 45,10 года (SD = 9,57 года), и оба пола (82,6 процента - женщины). Для оценки воздействия множественных

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… Balance Training: Since there is a link between balance confidence and walking ability, rehabilitation programs should incorporate exercises aimed at improving postural control and proprioception. …

Acupuncture and Reflexology for Chemotherapy-Induced Peripheral Neuropathy in Breast Cancer.

BackgroundTreatment of chemotherapy-induced peripheral neuropathy (CIPN), which affects approximately 30% to 40% of patients treated with neuropathy-causing agents, is mainly symptomatic. Currently available interventions are of little benefit.Study designThis study was conducted as a retrospective analysis of the efficacy of acupuncture and reflexology in alleviating CIPN in breast cancer patients.MethodsMedical records of 30 consecutive breast cancer patients who received both chemotherapy and treatment for CIPN according to our Acupuncture and Reflexology Treatment for Neuropathy (ART-N) pr

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… Physiotherapy and occupational therapy have also been used when proprioception was affected. …

Proximal Femur Megaprostheses in Orthopedic Oncology: Evaluation of a Standardized Post-operative Rehabilitation Protocol.

BackgroundReconstructions of the proximal femur after massive resections represent one of the main challenges in orthopedic oncology. Among the possible treatments, megaprostheses represent one of the most used and reliable reconstructive approaches. Although literature about their outcomes has flourished through the last decades, a consensus rehabilitative treatment is still far from being established.Materials and methodsWe evaluated the functional results of all our oncologic cases treated between 2016 and 2022 that could follow our standardized post-operative rehabilitative approach, consi

Axial Multicentric Osteosarcoma in an English Cocker Spaniel.

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Indian Society of Periodontology Good Clinical Practice Recommendations for dental pain management and use of analgesics.

Pain is one of the most frequent reasons for seeking dental care and significantly influences patient comfort, treatment acceptance, and clinical outcomes. Effective management of dental pain requires accurate diagnosis, timely intervention, and the rational use of analgesics supported by evidence-based clinical decision-making. Recognizing the need for structured guidance for everyday dental practice, the Indian Society of Periodontology has developed Good Clinical Practice Recommendations on Pain Management and the Use of Analgesics in Dental Clinics. These recommendations were formulated by

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… Musculoskeletal system | Weakness/flaccidity | Abnormal movements | Reduced light touch or proprioception | Limited range of motion 4. … Neurological examination | Cranial nerve function | Motor strength | Reflexes and sensory testing (pinprick, proprioception) | Coordination Basics Onset of recent pain Aggravating and alleviating factors Quality of pain experience Location of pain Severity of pain Circumstances of original pain. …

Association between metabolic syndrome and diabetic peripheral neuropathy in patients with type 2 diabetes mellitus: a cross-sectional study.

Background and aimsDiabetic peripheral neuropathy (DPN) is the most prevalent chronic complication of diabetes. Several risk factors have been identified in recent studies, in particular metabolic syndrome (MetS). However, this association remains unclear. We aimed to determine the prevalence of DPN and to study its associated factors, especially the MetS as a potential risk factor of DPN in patients with Type 2 diabetes mellitus (T2DM).MethodsThis was a retrospective and comparative study, with cross-sectional collected data, involving patients with T2DM from North Africa, followed up in the

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… Clinical tests used were: vibration perception, ankle reflexes, 10-g monofilament test, proprioception, pinprick sensation, and thermal discrimination. Neuropathic pain was evaluated using the DN4 questionnaire, which is comprised of 10 items. …

Multiple myeloma presenting as an intramedullary spinal cord tumor: a case report and review of the literature.

BackgroundExtramedullary disease in multiple myeloma often portends a worse diagnosis. In approximately 1% of cases, multiple myeloma may metastasize to the central nervous system as either leptomeningeal involvement or an intracranial, intraparenchymal lesion. Spinal cord metastases, however, are exceedingly rare. We present a case of spinal cord multiple myeloma as well as a literature review of reported cases.Case presentationA 66-year-old African American man with multiple myeloma presented with acute midthoracic pain and lower extremity paresis and paresthesia. Magnetic resonance imaging

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… Postoperatively, the patient’s motor function improved from his preoperative baseline with mild worsening of proprioception. His neurologic examination result remained stable at 3 months. He completed fractionated stereotactic radiosurgery with 2 Gy in eight fractions. …

An adaptive hand exoskeleton rehabilitation training system integrating virtual reality and an AI-based assessment engine.

INTRODUCTION: Post-stroke hand motor impairment is a major cause of long-term functional disability and reduced quality of life, with approximately 70% of stroke survivors experiencing persistent limitations in fine motor control. Conventional rehabilitation is constrained by low adherence, subjective assessment, and insufficient individualization, which limits exploitation of the neuroplasticity window for motor relearning. To address these challenges, we propose a bio-AI-VR integrated hand rehabilitation system that fuses biosignal sensing (bio), AI-based analysis, and virtual reality (VR) i

Haematological and Oncological Training Therapy With Stationary Strength and Cardio Machines (HOT) in Routine Cancer Care: A 3-Year Real-World Evaluation of Acceptance, Feasibility, Safety, and Effects.

BackgroundExercise improves physical function and health-related quality of life (HRQoL) in patients with cancer; however, nationwide structured programmes remain limited. A hospital in Germany implemented a donation-funded Haematological and Oncological Training Therapy with Stationary Strength and Cardio Machines (HOT), and a 3-year real-world data analysis aimed to evaluate its acceptance, feasibility, safety, and effects.MethodsHOT comprised 24 sessions of combined resistance and aerobic training, complemented by a sensorimotor module for patients with chemotherapy-induced peripheral neuro

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… SMT aims to improve proprioception, neuromuscular control, and balance, thereby compensating for sensory deficits, reducing fall risk, and enhancing functional performance in daily activities [ 6 , 30 , 66 ]. … However, as outcomes were assessed only via PROs, which primarily reflect symptoms such as pain and paraesthesia, no direct conclusions can be drawn regarding changes in proprioception or balance. …

Vertebral giant cell tumour of bone in a domestic shorthair cat.

Case summaryA 10-year-old male neutered domestic shorthair cat was presented with a 5-month history of progressive non-ambulatory paraparesis. Initial vertebral column radiographs revealed an L2-L3 expansile osteolytic lesion. Spinal MRI showed a well-demarcated, compressive expansile extradural mass lesion affecting the caudal lamina, caudal articular processes and right pedicle of the second lumbar vertebra. The mass was hypointense/isointense on T2-weighted images, isointense on T1-weighted images and had mild homogeneous contrast enhancement after gadolinium administration. MRI of the rema

Review of the Agnostic-Type Treatment Approach: Treating Cancer by Mutations, Not by Location.

Recent years has seen the discovery and description of genetic alterations responsible for oncogenesis in a wide variety of cancers, together with the finding that some markers are actionable and can be targeted by medications. Such developments have enabled cancer treatments to evolve from empirical palliative chemotherapy, with low chances of response or curative intent in most types of cancers, to targeted therapy, with some studies showing promising results in terms of improved overall response rates, overall survival and quality of life, although, like all new groups of medications, with

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… These proteins are involved in the origin and development of the nervous system in utero and in the development of sensation pain, proprioception, and appetite postnatally under normal circumstances [ 29 , 30 ]. …

Прогрессивная слюнная речь как нетипичное представление GDAP2-относительно Spinocerebellar Ataxia: доклад по делу.

47-летний мужчина с сахарным диабетом и дислипидемией за четыре года развил прогрессивную речь. МРТ не выявила атрофии мозга, и обычные лабораторные и нейрофизиологические исследования были непримечательными. У его брата были похожие, но продвинутые симптомы, включая дисфагию и серьезные походки, что привело к зависимости от инвалидных колясок. Полноэкзомная последовательность выявила вероятную патогенную гомозиговую мутацию в гене GDAP2, подтверждающую диагноз атаксии 27 (SCAR27). В этом докладе подчеркивается важность рассмотрения наследственных атаксий при дифференциальном диагностике прогр

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… Also, there was preservation of sensory features of touch, pain, vibration, and proprioception. The cerebellar examination indicated that the patient has poor performance on tandem gait and heel-to-shin tests, on the left side. Finger-to-nose test was normal. Romberg's test was negative. …

Прогрессивная многофокальная лейкоэнцефалопатия, разоблаченная Теклистамбом в пациенте с множественным миеломой.

В настоящем докладе описывается развитие прогрессивной многофукальной лейкоэнцефалопатии (ПМЛ) 72-year-old самец с рецидивированной/рефрактной множественной миэломой (RRMM) после единой дозы теклистамб в среде a COVID-19 инфекция. Вскоре после начала лечения теклистамбом у пациента появились симптомы, включая лихорадку, изменение психического состояния и правосторонний парезис. Диагноз PML был подтвержден путем обнаружения ПЦР вируса JC в цереброспинной жидкости. В нашем докладе подчеркивается наличие PML только после one Доза теклистамб и подчеркивает потенциал теклистамб для серьезных инфекц

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… By hospital day 4, his progressive weakness had deteriorated, alongside worsening proprioception and vibratory sense in the lower extremities. …

Bortezomib-induced painful neuropathy in patients with multiple myeloma.

Neurotoxicity towards the peripheral nervous system which appears clinically in the form of painful neuropathy is an essential dose-limiting factor during the treatment of multiple myeloma. In this review article different forms of this painful neuropathy are presented together with currently available diagnostic tools which are usually applied to confirm the diagnosis. Also, the most often used neurological scales estimating neurological deficit are presented. Special attention is paid to the management of the reversibility of bortezomib-induced neuropathic pain.

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… If present it occurs in abnormal proprioception. Abnormalities in two-point discrimination, astereognosis, can appear. Patients complain of walking disturbances (walking on stones/crumpled socks); there is also positive Romberg sign. …

Cellular Pathogenesis of Chemotherapy-Induced Peripheral Neuropathy: Insights From Drosophila and Human-Engineered Skin Models.

Chemotherapy-induced peripheral neuropathy (CIPN) is a highly prevalent and complex condition arising from chemotherapy cancer treatments. Currently, there are no treatment or prevention options in the clinic. CIPN accompanies pain-related sensory functions starting from the hands and feet. Studies focusing on neurons in vitro and in vivo models significantly advanced our understanding of CIPN pathological mechanisms. However, given the direct toxicity shown in both neurons and non-neuronal cells, effective in vivo or in vitro models that allow the investigation of neurons in their local envir

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… Classes I-IV md-da neurons have different sensory modalities, proprioception (cI), touch (II, III), cold nociception (III), mechanical and thermal nociception (IV) ( 98 – 101 ). … Larval Drosophila fed with 10 and 25 μg/mL cisplatin showed a deficit in both motor and sensory behaviors: hypersensitivity to heat and attenuated motor-proprioceptive behavior. …

Accumulated incidence of falls in people hospitalised with cancer and related factors.

AimTo study the accumulated incidence of falls of people hospitalised with cancer and analyse the related intrinsic and extrinsic factors.DesignA prospective study of people hospitalised with cancer at the Catalan Institute of Oncology.MethodsIntrinsic factors and extrinsic factors related to the fall have been studied. The data were gathered from the clinical history and a specific adverse events notification programme and patients were followed during hospitalisation.ResultsA total of 117 of 6090 patients admitted during the period of study were included, with an accumulated incidence of fal

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… Cancer and its treatment potentiate muscular weakness, lack of balance, proprioception, cognitive deterioration and functional disability, all of which are important risk factors (Morris & Lewis, 2020 ). …

Spinal cord infarction attributed to SARS-CoV-2, with post-acute sequelae of COVID-19: A case report.

BACKGROUND: While stroke and lower extremity venous thromboemboli have been commonly reported following acute infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), spinal cord infarction or ischemia has been extremely rare. Findings of long coronavirus disease (COVID) in this select population have not been studied. CASE SUMMARY: We present the case of a 70-year-old female with sudden onset of trunk and lower extremity sensorimotor loss due to spinal cord infarction, attributed to acute infection with SARS-CoV-2. Diagnostic work up confirmed a T3 complete (ASIA impairme

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… However, this individual had no dorsal column function of proprioception, position sense or vibration. …

Chemotherapy-Induced Peripheral Neuropathy and its Impact on Health-Related Quality of Life among Multiple Myeloma Patients: A Single-Center Experience.

AIM: Chemotherapy-induced peripheral neuropathy (CIPN) is a long-term neurological health issue in patients diagnosed with multiple myeloma (MM). The aim of this study was to assess CIPN symptoms and health-related quality of life (HRQOL) among MM patients. METHODS: A cross-sectional survey was conducted among patients diagnosed with MM in a tertiary care hospital using a self-reported Arabic questionnaire, European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire for CIPN scale (QLQ-CIPN20). The HRQOL was assessed using EORTC multiple myeloma module (QLQ-MY20).

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… Sensory symptoms such as pain, dysesthesia, numbness, and tingling in the hands and feet are more prevalent and predominant than autonomic symptoms (constipation, urinary retention, and erectile dysfunction).[ 6 13 16 19 ] Clinical examination reveals impairment of perception of touch vibration and proprioception …

Comparative effects of dual-task training versus combined exercise training in water and on land on patients with multiple sclerosis: a study protocol of a randomised factorial trial.

INTRODUCTION: People with multiple sclerosis (PwMS) experience cognitive and motor impairments, including cognitive training and exercise training. This study compares dual task and combined exercise training in water and on land. Water-based training may enhance cognitive and motor function more effectively than land-based training, presenting a promising intervention for PwMS. We explore dual-task training (DTT), including cognitive and motor exercise, with combined exercise in water and on land on the cognition, balance and gait PwMS. METHODS AND ANALYSIS: This is a double-blind 3*2*2 fact

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… This is based on the importance of balance enhancement for improving gait, proprioception, coordination and postural stability. Strengthening muscles is crucial for maintaining alignment and restoring the ability to respond quickly to stimuli, which can positively affect gait dynamics. …