ABSTRACT
BACKGROUND: Stroke is one of the leading causes for disability worldwide. Exercise therapy is a key element of stroke rehabilitation but no evidence are present in literature. Moreover recently focal muscle vibrationis described as a useful therapeutic approach in the post stroke recovery. In this study the efficacy of the vibration therapy in association to progressive modular re balancing rehabilitative approach has been evaluated and compared to the conventional therapy alone and associated to the muscle vibration. METHODS: A pilot randomized controlled trial, using a pragmatic triple-blind, parallel-group study design in chronic stroke patients upper limb function. RESULTS: Functional outcomes resulted increased in the group treated with vibration therapy and in particular in the group associated to progressive modular rebalancing approach. CONCLUSION: The combining neurophysiologically-based rehabilitative technique and vibration therapy may improve functional recovery in chronic stroke patients.
Subject(s)
Exercise Therapy/methods , Physical Therapy Modalities , Stroke Rehabilitation/methods , Stroke/therapy , Adult , Aged , Chronic Disease , Double-Blind Method , Female , Humans , Male , Middle Aged , Muscles/metabolism , Pilot Projects , Recovery of Function , Treatment Outcome , Upper Extremity , Vibration/therapeutic useABSTRACT
A case of renal clear-cell carcinoma presenting as a nodular thyroid metastasis is reported. The possibility of a metastatic lesion from the kidney should be taken into account in each case of clear-cell thyroid lesion. Fine needle aspiration cytology may be unable to discriminate between the renal or thyroid origin of such lesions unless PAS staining is performed.