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Physical Medicine & Rehabilitation (all articles)

M-A: Effectiveness and safety of non-steroidal anti-inflammatory drugs and opioid treatment for knee and hip osteoarthritis – although Etoricoxib 60 mg/day and diclofenac 150 mg/day seem to be most effective treatments, topical diclofenac 70-81 mg/day is safer and should be considered as first line treatment.

17 Oct, 2021 | 21:14h | UTC

Effectiveness and safety of non-steroidal anti-inflammatory drugs and opioid treatment for knee and hip osteoarthritis: network meta-analysis – The BMJ

News release: Topical pain-killers more effective, safer than opioids for knee osteoarthritis pain – St. Michael’s Hospital

Commentary: Network meta-analysis compares analgesic regimens for osteoarthritis – medwire News

 

Commentary on Twitter

 

Systematic Review: Short-term and long-term rates of postacute sequelae of SARS-CoV-2 infection.

14 Oct, 2021 | 10:15h | UTC

Short-term and Long-term Rates of Postacute Sequelae of SARS-CoV-2 Infection: A Systematic Review – JAMA Network Open

Commentaries:

Most COVID-19 survivors have symptoms 6 months on, review finds – CIDRAP

Expert reaction to systematic review on rates of postacute sequelae of SARS-CoV-2 infection (PASC) – Science Media Centre

How many people get ‘long COVID’? More than half, researchers find – Penn State

Related:

WHO Consensus: A clinical case definition of post COVID-19 condition (Long Covid).

Characterizing long COVID: a living systematic review.

Long Covid – The illness narratives.

New guidelines to help doctors manage long COVID patients published.

M-A: More than 50 long-term effects of COVID-19. (several articles on the subject)

 

Commentary on Twitter

 

RCT: Early treatment with mild aerobic exercise safely speeds recovery from sport-related concussion in adolescents.

11 Oct, 2021 | 23:58h | UTC

Early targeted heart rate aerobic exercise versus placebo stretching for sport-related concussion in adolescents: a randomised controlled trial – The Lancet Child & Adolescent Health

News release: Aerobic exercise after a sport-related concussion speeds recovery in adolescent athletes – University at Buffalo

Related:

Randomized Trial: Early Aerobic Exercise for Sport-Related Concussion

RCT: Limiting screen time for young adults after concussion results in shorter duration of symptoms.

Selected issues in sport-related concussion for the team physician: a consensus statement – “Current evidence suggests strict rest after SRC slows recovery and increases the probability of prolonged symptoms”.

RCT: Prescribed light exercise vs. standard management for emergency department patients with acute mild traumatic brain injury

 

Commentaries on Twitter

 

WHO report highlights global shortfall in investment in mental health.

10 Oct, 2021 | 21:39h | UTC

WHO report highlights global shortfall in investment in mental health – World Health Organization

Report: Mental Health ATLAS 2020 – World Health Organization

See also: World Mental Health Day 2021: Mental health care for all: let’s make it a reality – World Health Organization

 

Commentary on Twitter (thread – click for more)

 

WHO Consensus: A clinical case definition of post COVID-19 condition (Long Covid).

8 Oct, 2021 | 10:45h | UTC

A clinical case definition of post COVID-19 condition by a Delphi consensus, 6 October 2021 – World Health Organization

Related:

Characterizing long COVID: a living systematic review.

Long Covid – The illness narratives.

New guidelines to help doctors manage long COVID patients published.

M-A: More than 50 long-term effects of COVID-19. (several articles on the subject)

 

Commentary on Twitter (thread – click for more)

 

Choosing Wisely: Seven things physicians and residents/patients should question in long term care.

7 Oct, 2021 | 10:31h | UTC

Seven Things Physicians and Residents/Patients Should Question – Canadian Society for Long Term Care Medicine

See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada

 

Systematic Review: Is exercise an effective therapy to treat long-lasting low back pain?

3 Oct, 2021 | 22:32h | UTC

Summary: Is exercise an effective therapy to treat long-lasting low back pain? – Cochrane Library

Original Study: Exercise therapy for chronic low back pain – Cochrane Library

 

Commentary on Twitter

 

Guideline Synopsis: The Non-Surgical Management of Hip and Knee Osteoarthritis.

1 Oct, 2021 | 10:00h | UTC

Synopsis of the 2020 US Department of Veterans Affairs/US Department of Defense Clinical Practice Guideline: The Non-Surgical Management of Hip and Knee Osteoarthritis – Mayo Clinic Proceedings

 

Over a third of COVID-19 patients diagnosed with at least one long-COVID symptom.

30 Sep, 2021 | 10:25h | UTC

News release: Over a third of COVID-19 patients diagnosed with at least one long-COVID symptom – University of Oxford

Original study: Incidence, co-occurrence, and evolution of long-COVID features: A 6-month retrospective cohort study of 273,618 survivors of COVID-19 – PLOS Medicine

Commentaries:

Two studies tie long COVID-19 to severe initial illness – CIDRAP

Covid: 37% of people have symptoms six months after infection – The Guardian

Long Covid is a bigger problem than we thought – CNN

Expert reaction to study looking at incidence and co-occurrence of long COVID symptoms following COVID-19 infection and also after influenza – Science Media Centre

 

Supplement: Acute Respiratory Distress Syndrome.

30 Sep, 2021 | 10:03h | UTC

Homepage: Acute Respiratory Distress Syndrome – Critical Care Clinics

The Epidemiology of Acute Respiratory Distress Syndrome Before and After Coronavirus Disease 2019

Toward Optimal Acute Respiratory Distress Syndrome Outcomes

Pathophysiology of Acute Respiratory Distress Syndrome and COVID-19 Lung Injury

COVID-19–Associated Acute Respiratory Distress Syndrome

Pathophysiology of the Acute Respiratory Distress Syndrome

Acute Kidney Injury and Acute Respiratory Distress Syndrome

Acute Respiratory Distress Syndrome

Fluid Therapy and Acute Respiratory Distress Syndrome

Pharmacologic Treatments for Acute Respiratory Distress Syndrome

Long-Term Outcomes in Acute Respiratory Distress Syndrome

Related:

Position paper: Advancing precision medicine for acute respiratory distress syndrome.

Review: Personalized mechanical ventilation in acute respiratory distress syndrome.

Seminar | Acute respiratory distress syndrome.

M-A of randomized trials: In patients with acute respiratory distress syndrome, there was no difference in mortality between higher vs. lower positive end-expiratory pressure strategies.

M-A: High versus low PEEP levels for mechanically ventilated adult patients with acute lung injury and ARDS

M-A: Decreased mortality in acute respiratory distress syndrome patients treated with corticosteroids

ARDS: Contemporary management and novel approaches during COVID-19

Systematic review: Evidence-based practices for acute respiratory failure and Acute Respiratory Distress Syndrome

Current and evolving standards of care for patients with acute respiratory distress syndrome (ARDS). Definition, ventilatory support, fluid management, use of corticosteroids, indications of prone positioning and ECMO, and more.

 

Characterizing long COVID: a living systematic review.

29 Sep, 2021 | 10:29h | UTC

Characterising long COVID: a living systematic review – BMJ Global Health

Related:

Long Covid – The illness narratives.

New guidelines to help doctors manage long COVID patients published.

M-A: More than 50 long-term effects of COVID-19. (several articles on the subject)

 

Commentary on Twitter

 

Review: Sensory Dysfunction in Old Age.

29 Sep, 2021 | 09:57h | UTC

Sensory Dysfunction in Old Age – Deutsches Ärzteblatt International

 

M-A of randomized trials: Efficacy of exercise combined with standard treatment for depression compared to standard treatment alone.

28 Sep, 2021 | 08:55h | UTC

Efficacy of exercise combined with standard treatment for depression compared to standard treatment alone: A systematic review and meta-analysis of randomized controlled trials – Journal of Affective Disorders

 

Commentary on Twitter

 

Systematic Review: Pulmonary rehabilitation for interstitial lung disease.

26 Sep, 2021 | 21:31h | UTC

Pulmonary rehabilitation for interstitial lung disease – Cochrane Library

Summary: Pulmonary rehabilitation for interstitial lung disease – Cochrane Library

 

Consensus paper: Clinical indications for image-guided interventional procedures in the musculoskeletal system—part V, knee.

23 Sep, 2021 | 09:59h | UTC

Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)—part V, knee – European Radiology

See other articles in the series: Consensus paper: Clinical indications for image-guided interventional procedures in the musculoskeletal system.

 

Long Covid – The illness narratives.

22 Sep, 2021 | 10:19h | UTC

Long Covid – The illness narratives – Social Science & Medicine

 

Commentary on Twitter

 

AAOS Updates Clinical Practice Guideline for Osteoarthritis of the Knee.

21 Sep, 2021 | 09:03h | UTC

News release: AAOS Updates Clinical Practice Guideline for Osteoarthritis of the Knee – American Academy of Orthopaedic Surgeons

Guideline summary: Management of Osteoarthritis of the Knee (Non-Arthroplasty) (3rd Edition) – American Academy of Orthopaedic Surgeons

Full paper: Management of Osteoarthritis of the Knee (Non-Arthroplasty) Evidence-Based Clinical Practice Guideline

 

The use of head helmets to deliver noninvasive ventilatory support: a comprehensive review of technical aspects and clinical findings.

17 Sep, 2021 | 09:57h | UTC

The use of head helmets to deliver noninvasive ventilatory support: a comprehensive review of technical aspects and clinical findings – Critical Care

 

People with Parkinson’s may benefit from seven walking strategies.

12 Sep, 2021 | 21:40h | UTC

News release: People with Parkinson’s may benefit from seven walking strategies – American Academy of Neurology

Original study: Perception and Use of Compensation Strategies for Gait Impairment by Persons With Parkinson Disease – Neurology

Commentary: Compensation Strategies Benefit Parkinson Patients With Gait Impairment – HealthDay

 

Commentary on Twitter (thread – click for more)

 

Ten strategies to optimize early mobilization and rehabilitation in intensive care.

10 Sep, 2021 | 05:14h | UTC

Ten strategies to optimize early mobilization and rehabilitation in intensive care – Critical Care

 

Isn’t it time to abandon ARDS? The COVID-19 lesson.

7 Sep, 2021 | 21:34h | UTC

Isn’t it time to abandon ARDS? The COVID-19 lesson – Critical Care

 

Commentary on Twitter

 

Musculoskeletal complications following critical illness: A scoping review.

3 Sep, 2021 | 10:07h | UTC

Musculoskeletal complications following critical illness: A scoping review – Journal of Critical Care

 

Commentary on Twitter

 

Long COVID: the physical and mental health of children and non-hospitalized young people after SARS-CoV-2 infection – one in seven children may still have symptoms 15 weeks after infection.

2 Sep, 2021 | 10:10h | UTC

Long COVID – the physical and mental health of children and non-hospitalised young people 3 months after SARS-CoV-2 infection; a national matched cohort study (The CLoCk) Study.

Commentaries:

Long Covid in children ‘nowhere near scale feared’ – BBC

Long covid: One in seven children may still have symptoms 15 weeks after infection, data show – The BMJ

Related:

Do kids get long COVID? And how often? A pediatrician looks at the data – Children also get Long Covid, but much less often than adults.

Illness duration and symptom profile in symptomatic school-aged children tested for SARS-CoV-2 – “Only 25 (1.8%) of 1379 children experienced symptoms for at least 56 days.”

Long-term Symptoms After SARS-CoV-2 Infection in Children and Adolescents – “This study found a low prevalence of symptoms compatible with long COVID in a randomly selected cohort of children assessed 6 months after serologic testing”.

Study shows low incidence of post-acute COVID-19 symptoms (“Long Covid”) in children after mild disease

Cohort study: Risk factors for long covid in previously hospitalized children.

M-A: More than 50 long-term effects of COVID-19.

 

Commentary on Twitter (thread – click for more)

 

RCT: Among critically ill patients, targeting oxygenation to a low-normal range vs. high-normal range did not result in a reduction in organ dysfunction.

2 Sep, 2021 | 08:23h | UTC

Effect of Low-Normal vs High-Normal Oxygenation Targets on Organ Dysfunction in Critically Ill Patients: A Randomized Clinical Trial – JAMA (free for a limited period)

Related:

M-A of randomized trials: Conservative oxygen therapy for critically ill patients.

Oxygen administration for patients with ARDS – Journal of Intensive Care

Randomized trial: Similar outcomes with lower vs. higher oxygenation targets for acute hypoxemic respiratory failure

Systematic Review: Higher vs. Lower Fraction of Inspired Oxygen or Targets of Arterial Oxygenation for Adults Admitted to the Intensive Care Unit

 

Commentary on Twitter

 

RCT: In patients with acute hypoxemic respiratory failure, a strategy of lower tidal volume ventilation facilitated by extracorporeal carbon dioxide removal was not associated with improved outcomes.

2 Sep, 2021 | 08:21h | UTC

Effect of Lower Tidal Volume Ventilation Facilitated by Extracorporeal Carbon Dioxide Removal vs Standard Care Ventilation on 90-Day Mortality in Patients With Acute Hypoxemic Respiratory Failure: The REST Randomized Clinical Trial – JAMA (free for a limited period)

Related: Randomized Trial: Low vs Intermediate Tidal Volume Strategy in ICU Patients Without ARDS

 

Commentary on Twitter

 

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