Psychotherapy in patients with long/post-COVID – A systematic review on the feasibility, acceptability, safety, and efficacy of available and emerging interventions

Journal of Psychosomatic Research, Год журнала: 2025, Номер 190, С. 112048 - 112048

Опубликована: Фев. 8, 2025

Язык: Английский

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Whole-Body Cryostimulation in Multiple Sclerosis: A Scoping Review

Journal of Clinical Medicine, Год журнала: 2024, Номер 13(7), С. 2003 - 2003

Опубликована: Март 29, 2024

Multiple sclerosis (MS) is the most common cause of non-traumatic long-term disability in young adults. Whole-body cryostimulation (WBC) a cold-based physical therapy known to induce physiological exercise-mimicking changes cardiovascular, neuromuscular, immune, and endocrine systems influence functional psychological parameters by exposing human body cryogenic temperatures (≤−110 °C) for 2–3 min. The purpose this scoping review present an overall view on potential role WBC as adjuvant treatment MS. PubMed, ScienceDirect, Embase, Web Science were searched up 30 November 2023, total 13 articles included. may have beneficial antioxidant effects short-term There no significant enzymes, nitric oxide levels, metalloproteinase blood counts, rheology, biochemistry. can lead reduction fatigue improvement status, with effect both mental well-being. reported adverse effects. results suggest that complement therapeutic options patients MS, cold stimulation been shown activate processes improve mood, anxiety, fatigue.

Язык: Английский

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Whole Body Cryostimulation: A New Adjuvant Treatment in Central Sensitization Syndromes? An Expert Opinion

Healthcare, Год журнала: 2024, Номер 12(5), С. 546 - 546

Опубликована: Фев. 25, 2024

Central sensitisation is defined as a multifactorial etiopathogenetic condition involving an increase in the reactivity of nociceptive neurons and alterations pain transmission perception central nervous system. Patients may present with widespread chronic pain, fatigue, sleep disturbance, dizziness, psychological (e.g., depression, anxiety, anger) social impairment. Pain can be spontaneous onset persistence, characterised by exaggerated response spread beyond site origin, sometimes triggered non-painful stimulus. Whole-body cryostimulation (WBC) could adjuvant therapy management this type because its global anti-inflammatory effect, changes cytokines hormone secretion, reduction nerve conduction velocity, autonomic modulation, release neurotransmitters involved pathway. In several conditions fibromyalgia, rheumatoid arthritis, musculoskeletal pain), WBC affects physical performance, perception, aspects. Given multiple targets effects at different organs levels, appears to versatile treatment for wide range rehabilitation interest. Further research needed fully understand mechanisms analgesic effect potential actions on pathways, well study long-term uses other conditions.

Язык: Английский

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Tackling Kinesiophobia in Chronic Shoulder Pain: A Case Report on the Combined Effect of Pain Education and Whole-Body Cryostimulation

Journal of Clinical Medicine, Год журнала: 2024, Номер 13(7), С. 2094 - 2094

Опубликована: Апрель 3, 2024

Background: Chronic shoulder pain may cause significant functional disability and reduced psychosocial well-being. Detailed Case Description: In this case, we propose the use of neuroscience education whole-body cryostimulation (WBC) to treat a 64-year-old woman with severe limitations chronic right pain. The aim was overcome kinesiophobia improve her motor function, autonomy, quality life. Functional clinical assessments were conducted at admission, discharge, one-month follow-up via phone call. patient’s global health, life showed improvement during hospitalisation maintained after one month. Discussion: Pain is crucial in managing pain, especially addressing promoting positive patient outcomes. context, WBC used as supplementary treatment traditional relief exercise tolerance therapies. This can help individuals participate more actively their rehabilitation process, ultimately recovery an improved Conclusion: combination cryostimulation, tailored physical exercises, education, manual therapy, psychological support created synergistic effect that addressed both aspects kinesiophobia.

Язык: Английский

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Mechanisms and Efficacy of Contrast Therapy for Musculoskeletal Painful Disease: A Scoping Review

Journal of Clinical Medicine, Год журнала: 2025, Номер 14(5), С. 1441 - 1441

Опубликована: Фев. 21, 2025

Background: Contrast therapy (CT) is a non-pharmacological treatment that alternates between cryotherapy and thermotherapy. It helps reduce VAS pain, improve joint ROM, enhance function, alleviate muscle soreness, manage swelling, while also improving blood circulation. This scoping review summarizes recent studies on its use for musculoskeletal injuries (e.g., exercise-induced damage, ankle sprain), degenerative conditions osteoarthritis), painful disorders complex regional pain syndrome), assessing healing potential compared to other conservative therapies. Methods: PubMed, Scopus, Cochrane Library were searched identify relevant publications. Articles selected using the following inclusion criteria: randomized controlled trials, written in English, published 2004 2024, addressing of CT management conditions. Results: Data from 7 articles 303 patients with treated included. There was considerable heterogeneity terms protocols, significant differences application method, duration, sequence individuals each hot/cold cycle, total time, pathologies studied. Nevertheless, all showed an improvement patients’ initial clinical Conclusions: highlights lack guidelines The reviewed (different scores, follow-up periods, data, samples) makes results imprecise. In addition, modest quality trials does not allow authors draw clear conclusions about effectiveness

Язык: Английский

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Post-covid in patients with obesity: a narrative review

Deleted Journal, Год журнала: 2025, Номер 3, С. 185 - 185

Опубликована: Фев. 18, 2025

Objective: This study aims to conduct a brief literature review on post-COVID-19 complications in obese patients.Design: A based narrative synthesis.Data Sources: The databases consulted include Science Direct, Scopus, Scielo, Google Scholar, and PubMed.Study Selection: Multiple articles were selected, applying inclusion criteria focused patients, with publications ranging from 2020 2024. Irrelevant studies excluded. final selection included 10 different countries.Data Extraction: From each study, key data extracted, including research design, population characteristics, main reported complications. information was organized narratively facilitate comparison of findings across studies.Results: Out 261,357 articles, 15 relevant selected for the review. These published countries, as follows: Spain (3 middle-income 1 lower-middle income), Italy (1 income, high-income, mixed-income), India (2 middle lower Russia Japan high, middle, low Germany United States Mexico Brazil China high income). indicate that socioeconomic inequalities tend increase risk COVID-19-related mortality.Conclusion: COVID-19 is associated type 2 diabetes, an increased coronary problems, hypertension, nerve damage such polyneuropathy, affecting muscle strength increasing mortality rate respiratory diseases COPD, leading lung fibrosis. Treatment should be comprehensive, vaccines, exercises, physiotherapy, where drug Veklury (remdesivir) has shown efficacy accelerating recovery strengthening immune system. Additionally, post-COVID conditions anxiety, depression, persistent issues addressed.

Язык: Английский

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Психофізіологічні аспекти фізичної реабілітації: інтеграція фізичних і психологічних методів у відновленні пацієнтів

Likarska sprava, Год журнала: 2025, Номер 1

Опубликована: Март 31, 2025

Фізична реабілітація відіграє важливу роль у відновленні пацієнтів після важкого перебігу серцево-судинних, неврологічних, онкологічних та інших захворювань, що призводять до втрати працездатності. Ціль дослідження полягала систематизації сучасних методів реабілітації визначенні ролі психологічних для відновлення здоров’я. Методологія включала методи аналізу, систематизації, анкетування 278 пацієнтів, які були поділені на 3 групи залежно від методів, включали в основний курс реабілітації. У 1 групі (n = 91) психологічні не застосовувались, 2 93) проводили консультації, 94) групові заняття. Опитування включало оцінювання рівня настрою мотивації серед за 10-бальною шкалою. Результати опитування порівнювали допомогою однофакторного дисперсійного аналізу ANOVA. Аналіз підходів визначив перспективу застосування телереабілітації, яка має економічні логістичні переваги, а також поширення комплексних реабілітаційних програм з застосуванням індивідуального підходу. Попри важливість психофізіологічних аспектів визначили низький рівень виключенням психічними розладами. достовірно вищий груп порівняно групою, якій застосовувались методи, підтверджує необхідність включення реабілітацію незалежно виду захворювання.

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Contraindications to Whole-Body Cryostimulation (WBC). A position paper from the WBC Working Group of the International Institute of Refrigeration and the multidisciplinary expert panel

Frontiers in Rehabilitation Sciences, Год журнала: 2025, Номер 6

Опубликована: Апрель 15, 2025

Background Whole-Body Cryostimulation (WBC) is a treatment that involves short exposures of the entire body to very cold and dry air in specially adapted cryochambers. A growing literature suggests safe application this technique medical settings. Aim The primary purpose study was generate an international consensus on updated contraindications for WBC through interactive process questionnaire interspersed with controlled feedback from steering committee. Design design based systematic review Delphi methodology. Setting Administration electronic online questionnaires concerning WBC. Population multidisciplinary panel 48 experts fields rehabilitation, cardiology, neurology, endocrinology, oncology, clinical nutrition or invited participate study. Methods search PubMed, Scopus Embase databases carried out identify possible items inclusion form. two-round survey then conducted according guidelines, consisting questionnaire. had rate their agreement each item 5-point Likert scale. Expert assessed. Results total 28 European participated survey. first round consisted 59 items, 3 which were discarded after data analysis. second rearranged previous suggestions panellists. All completed two rounds. At end survey, reached final list temporal absolute identified. Conclusions This resulted expert statements agreed most decisions produced contraindications. Clinical rehabilitation impact results provide robust evidence framework help clinicians improve practice patient safety.

Язык: Английский

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Lesson from COVID-19—Adapting Respiratory Rehabilitation Through Early Multidisciplinary Care: An Opinion Paper from Retrospective Data

Journal of Clinical Medicine, Год журнала: 2025, Номер 14(11), С. 3745 - 3745

Опубликована: Май 27, 2025

The COVID-19 pandemic significantly challenged healthcare systems worldwide, highlighting the critical role of early and multidisciplinary rehabilitation interventions. There remains uncertainty about whether these principles developed in response to can be effectively generalized chronic respiratory diseases. This opinion paper evaluates retrospective data from stages propose a comprehensive model, potentially applicable across various conditions. We retrospectively analyzed 62 patients hospitalized at University Hospital Messina, Italy, between March June 2020. underwent structured sessions initiated upon achieving clinical stability. Functional improvements were assessed weekly using Barthel Index (BI). Significant correlations observed initial BI scores functional discharge (p < 0.001) gains number administered = 0.025). Early physiatric evaluation enhanced recovery 0.036). during acute hospitalization demonstrated clear benefits patients, indicating potential for broad applicability disease management. Systematic implementation could improve outcomes, reduce resource utilization, enhance patients’ quality life.

Язык: Английский

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Whole-Body Cryostimulation, a Complementary Treatment for Phantom Limb Syndrome: Preliminary Evidence from a Case Study

Medicina, Год журнала: 2023, Номер 60(1), С. 22 - 22

Опубликована: Дек. 22, 2023

Phantom limb pain (PLP) is a challenging condition affecting significant proportion of amputees. In this article, we describe the case 54-year-old Paralympic athlete with phantom syndrome following right leg amputation and widespread sports-related enthesitic who underwent whole-body cryostimulation (WBC) cycle, an emerging treatment known for its rapid pain-relieving anti-inflammatory effects. Assessments were conducted before after 10-session WBC including quality life assessment use medications. A substantial reduction in pain, PLP intensity, paresthesia, tingling related to atmospheric events improved function reported cycle lasted two weeks. One month WBC, sports activity gradually returned, but lesser intensity. Similarly, stump’s sensitivity changes lower frequency. Pain at night remained than significantly sleep. This study suggests that could be valuable adjuvant alleviating PLP. Controlled studies are warranted validate findings report elucidate mechanisms underlying positive effects condition.

Язык: Английский

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