Background: Neural impairments that follow hemiparetic stroke may negatively affect passive muscle properties, further limiting recovery. However, factors such as hypertonia, spasticity, and botulinum neurotoxin (BoNT), a common clinical intervention, confound our understanding of muscle properties in chronic stroke.
Objective: To determine if muscle passive biomechanical properties are different following...
Background
Over-testing and overtreatment in older adults may lead to harm. Clinician decision support redirecting attention to possible harms and engaging social and reputational concerns might reduce overuse.
Methods
We performed an 18-month pragmatic cluster-randomized trial in 60 primary care practices with 371 clinicians, comparing behavioral-science-informed point-of-care clinical decision support...