11, 12 However, comparing these methods, separately and in combination, has not been critically evaluated or compared. 8–10 Among these methods, IC and dry cupping show the most promise. Massage, dry needle, cupping, and ischemic compression (IC) are the most common conventional treatment approaches for treating TP. 6, 7 Several studies have attempted to examine TP complications, which have resulted in the development of various treatments. TP management has become a popular topic in the literature. However, both types can lead to a decrease in functional capacity. 4 TPs are classified as latent or active. When this spot is manipulated, impulsive or exertion pain may be experienced. A TP is associated with a tender spot situated in a taut band of muscle. 2, 3 TP is one of the most widespread long-lasting muscle disorders affecting all ages and social groups, regardless of occupation, physical build, or physical activity levels. 1 Studies suggest that active trigger points (TPs) are widespread in patients who experience nonspecific NP. Nonspecific neck pain (NP) is typically caused by mechanical or myofascial disorders. Both IC and dry cupping may hold promise in treating TPs a combination of the two therapies may provide superior improving rate. Although no significant difference was detected between ischemic compression (IC) and dry cupping, the combination approach showed significantly higher and faster improvement ( p < 0.05).Ĭonclusions: It is feasible to conduct a main RCT. Results: The results showed a statistically significant improvement in NDI, PPT, and NROM compared with values before the treatment ( p < 0.05) in all groups. PPT, NROM, and NDI were assessed before and after 4 weeks of treatment. Patients were randomly assigned to three groups: the cupping group, the ischemic compression group, and the combination therapy group. Besides, assess the feasibility of conducting a randomized clinical trial (RCT).ĭesign: A randomized pilot study was conducted on 24 patients with TPs and nonspecific NP. Objectives: To reveal preliminary evidence on the clinical efficacy of ischemic compression therapy, dry cupping, and their combination on improving the TPs' pressure pain threshold (PPT), neck range of motion (NROM), and neck disability index (NDI) in patients with TPs and nonspecific NP. In the United States, 30%–85% of pain patients have been affected by myofascial TPs. Trigger points (TPs) are the physical interpretation of the myofascial pain syndrome. Improvements.Background: Chronic neck pain (NP) attributed to myofascial pain syndrome is one of the particularly common skeletal muscle disorder associated with the hyperirritable zone in the taut band of muscle. Model performance, and to highlight potential directions for further We perform ablations and error analyses to assess aspects that contribute to Manual (expert)Īnd automated evaluations indicate that framing evidence extraction as aĬonditional generation task and fine-tuning LLMs for this purpose realizesĬonsiderable ($\sim$20 point absolute F1 score) gains over the previous SOTA. Jointly extract Interventions, Outcomes, and Comparators (ICO elements) fromĬlinical abstracts, and infer the associated results reported. Text-to-text model built on instruction-tuned Large Language Models (LLMs) to Process has motivated work on (semi-)automating extraction of structuredĮvidence from trial reports. Interventions and outcomes of interest from such articles. Outcomes of trials clinicians must manually extract findings pertaining to Unstructured) natural language articles describing the design, execution, and However, results from RCTs are presented in (often Wallace Download PDF Abstract: Results from Randomized Controlled Trials (RCTs) establish the comparativeĮffectiveness of interventions, and are in turn critical inputs forĮvidence-based care. Download a PDF of the paper titled Jointly Extracting Interventions, Outcomes, and Findings from RCT Reports with LLMs, by Somin Wadhwa and Jay DeYoung and Benjamin Nye and Silvio Amir and Byron C.
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