scholarly journals Strategies for prevention of lower limb post-amputation pain: A clinical narrative review

2018 ◽  
Vol 34 (4) ◽  
pp. 439 ◽  
Author(s):  
Babita Ghai ◽  
Vanita Ahuja ◽  
Deepak Thapa
Keyword(s):  
Lower Limb ◽  
Narrative Review ◽  
Clinical Narrative

scholarly journals From outcome measurement to improving health outcomes following lower limb amputation - making outcome measurement work from a clinical practice perspective

2020 ◽  
Author(s):  
Chantel Ostler ◽  
Helen Scott ◽  
Imad Sedki ◽  
Sisary Kheng ◽  
Maggie Donovan-Hall ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Health Outcomes ◽  
Lower Limb ◽  
Care Delivery ◽  
Outcome Measurement ◽  
Narrative Review ◽  
Successful Outcome ◽  
Prosthetic Rehabilitation ◽  
Clinical Narrative ◽  
The Impact

Background: Outcome measurement is essential to understand the impact of clinical interventions and the performance of services. Despite national and professional encouragement outcome measurement has failed to become embedded in clinical practice and its value continues to be questioned. Objectives: To address the outcome measurement debate within lower limb prosthetic rehabilitation and provide a critical synthesis of the evidence surrounding the discussion applied within the clinical context of the UK National Health Service (NHS).Study Design: Narrative review Methods: The authors drew on over 20 years clinical experience in prosthetic rehabilitation to synthesise and critique the outcome literature across a breadth of healthcare services. A narrative review methodology was selected to give voice to the clinical narrative thread.Results: This review addresses why we should measure health outcomes, the health care delivery and organisational scenarios in which outcome measurement can be beneficial and explores where lessons can be learnt for prosthetic rehabilitation from approaches in different specialities. The current outcome measurement literature within prosthetic rehabilitation is critiqued and we discuss the issues facing this field in the future.Conclusions: The dilemma of successful outcome measurement in clinical practice is multifaceted. Understanding and embedding value at every step is key to success. Addressing the questions of `why’, `what’ and `how’ we measure outcome will move us closer to a national consensus. Routine outcome measurement implementation at the clinical level must ensure data collection is valuable to clinical practice, makes use of IT solutions and has all important organisational buy in.

scholarly journals Thrombin generation and bleeding in cardiac surgery: a clinical narrative review

2020 ◽  
Vol 67 (6) ◽  
pp. 746-753 ◽  
Author(s):  
John Fitzgerald ◽  
Robert McMonnies ◽  
Aidan Sharkey ◽  
Peter L. Gross ◽  
Keyvan Karkouti
Keyword(s):  
Cardiac Surgery ◽  
Thrombin Generation ◽  
Narrative Review ◽  
Clinical Narrative

Effects of extracorporeal shock wave on upper and lower limb spasticity in post-stroke patients: A narrative review

2016 ◽  
Vol 23 (4) ◽  
pp. 293-303 ◽  
Author(s):  
Robert Dymarek ◽  
Kuba Ptaszkowski ◽  
Lucyna Słupska ◽  
Tomasz Halski ◽  
Jakub Taradaj ◽  
...  
Keyword(s):  
Shock Wave ◽  
Lower Limb ◽  
Narrative Review ◽  
Stroke Patients ◽  
Post Stroke ◽  
Extracorporeal Shock Wave ◽  
Limb Spasticity ◽  
Lower Limb Spasticity

Gait and rehabilitation in lower limb amputees: a narrative review v1

2021 ◽  
Author(s):  
Irene Aprile ◽  
Marco Gallotti ◽  
Marco Germanotta ◽  
Pasquale Alessio Sauchelli
Keyword(s):  
Gait Analysis ◽  
Lower Limb ◽  
Data Extraction ◽  
Controlled Trial ◽  
Rehabilitation Program ◽  
Narrative Review ◽  
Study Selection ◽  
Assess Quality ◽  
Lower Limb Amputees

Introduction:Even if gait analysis is a validated outcome measure to assess the effects of a rehabilitation program on gait performance, few articles have been produced about the evaluation of a rehabilitation program in lower limb amputees using the gait analysis as a measure of outcome. Inclusion criteria:The inclusion criteria of the following narrative review is to investigate all the studies, without year limitations but only in English, whose population was lower limb adult amputees that underwent a rehabilitation process evaluated through the use of the gait analysis as a measure of outcome. Methods:Three databases will be investigated: Scopus, Pubmed and Embase, without year limitations but only in English. Study selection will be done following the inclusion and exclusion criteria, data extraction will follow the review’s objectives. Agree II scale will be used to assess the quality of guidelines, Amstar 2 scale will be used to evaluate systematic review, Pedro scale will be used to assess quality of randomized controlled trial, Stard-2015 scale will be used to assess observational studies. Two reviewers will screen the articles in blind and a third reviewer will solve the conflicts raised. Objective:The aim of this narrative review will be the investigation of the extent, type and results of evidence in relation to gait and rehabilitation in lower limb amputees.  

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