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Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
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Introduction
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An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
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Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
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慢性疲劳综合征的运动疗法

Lillebeth Larun1, Kjetil G Brurberg1, Jan Odgaard-Jensen2

  • 1Division for Health Services, Norwegian Institute of Public Health, Oslo, Norway.

The Cochrane database of systematic reviews
|December 19, 2024
PubMed
概括

与被动治疗相比,运动疗法可能会减少患有慢性疲劳综合征 (CFS) 或肌痛性脑炎 (ME) 的成年人的疲劳. 然而,关于副作用的证据和与CBT等其他疗法的比较仍然不确定.

科学领域:

  • 临床医学 临床医学
  • 康复医学 康复医学 康复医学
  • 基于证据的实践.

背景情况:

  • 慢性疲劳综合征 (CFS),也称为肌痛性脑筋炎 (ME),是一种复杂的疾病,其特点是持续的疲劳和多系统性症状.
  • 目前的管理重点是缓解症状和改善功能,运动疗法是正在探索的一项干预措施.

研究的目的:

  • 评估对被诊断患有CFS/ME的成年人进行运动治疗的疗效.
  • 将运动疗法与各种控制干预措施进行比较,包括被动疗法,认知行为疗法 (CBT) 和自适应节奏.

主要方法:

  • 随机对照试验 (RCT) 的系统审查和元分析,涉及患有CFS/ME的成年人.
  • 搜索了多个数据库,直到2014年5月为相关研究.
  • 使用GRADE方法评估偏差风险和证据确定性.

主要成果:

  • 与被动对照相比,运动疗法可能会在短期内减少疲劳 (中等确定性证据).
  • 关于长期减轻疲劳,副作用以及对疼痛,生活质量和情绪的影响的证据不确定或确定性很低.
  • 有限的证据表明,运动治疗和CBT对于疲劳,身体功能或睡眠之间几乎没有差异.

结论:

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  • 与通常的护理或被动疗法相比,运动疗法对CFS/ME患者的疲劳可能有好处.
  • 对CBT,自适应节奏和其他干预措施的比较有效性尚未得到充分确立,因为证据有限且确定性低.
  • 结果是基于使用特定诊断标准 (1994年CDC或牛津) 的研究,对于其他标准诊断的患者,结果可能有所不同.