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Health Technology Assessment Reports

Massage Therapy for Autism Spectrum Disorders in Children

Friday, February 10th, 2012

Purpose of Technology

Massage therapy for children diagnosed with autism spectrum disorder and pervasive developmental disorder is designed to improve abnormalities in sensory processing and sensory integration that are prevalent in these complex disorders, and to ultimately improve cognitive, behavioral, and social functioning of autistic individuals.

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Spinal Cord Stimulation for Relief of Neuropathic Pain

Thursday, January 19th, 2012

Purpose of Technology

Spinal cord stimulation (SCS) involves the electrical stimulation of spinal nerves using electrodes implanted in the epidural space of the spinal column. The goal of SCS is to suppress pain in specific areas for patients with a variety of chronic pain disorders, including chronic, refractory, neuropathic pain.

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Botulinum Toxin Treatment for Chronic Tension-Type Headache

Friday, December 30th, 2011

Purpose of Technology

Botulinum toxin (BTX), a neurotoxin produced by the bacterium Clostridium (C.) botulinum, inhibits the release of the neurotransmitter acetylcholine at the neuromuscular junction and causes muscle paralysis. BTX has been investigated as a treatment for chronic tension-type headache because of the potential for it to reduce muscle tension and modulate pain receptor activity in the central nervous system.

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Botulinum Toxin Treatment for Detrusor Instability

Friday, December 30th, 2011

Purpose of Technology

Botulinum toxin (BTX), a neurotoxin produced by the bacterium Clostridium
(C.)
botulinum, is being evaluated as a treatment for urinary incontinence (UI) due to detrusor overactivity (also known as detrusor instability or detrusor hyperreflexia), involuntary contractions of the detrusor muscle, which causes contraction of the bladder. BTX inhibits muscular contraction so it is being investigated as a means to relieve excessive or uncontrolled contractions of the detrusor and improve urinary control.

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Functional Electrical Stimulation for Rehabilitation Following Spinal Cord Injury

Thursday, December 29th, 2011

Purpose of Technology

Functional electrical stimulation (FES) is the direct application of electric current to intact nerve fibers in a coordinated fashion to cause involuntary but purposeful muscle contraction. FES bypasses the central nervous system and targets motor neurons innervating either skeletal muscle or other organ systems. When used for rehabilitation of patients with spinal cord injury, FES is used to improve general health and fitness through exercise and to enable functional use of partially or completely paralyzed limbs.

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Minimally Invasive Coronary Artery Bypass Graft Surgeries for Coronary Revascularization

Thursday, December 29th, 2011

Purpose of Technology

Minimally invasive coronary artery bypass grafting (MI-CABG) techniques utilize less invasive cardiac surgical techniques than conventional CABG surgery in patients requiring surgical coronary revascularization for coronary artery disease (CAD). The goal of MI-CABG procedures is to achieve coronary revascularization without cardiopulmonary bypass (CPB) using limited access incisions in order to limit morbidity from CPB and reduce the surgical trauma and wound complications associated with median sternotomy.

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Total Ankle Replacement

Saturday, December 24th, 2011

Purpose of Technology

Total ankle replacement involves the surgical removal of a dysfunctional, painful ankle joint and its replacement with a prosthetic device. The purpose of total ankle replacement is to relieve pain and restore joint function in patients with medically refractory, end-stage degenerative joint disease resulting from conditions such as osteoarthritis, posttraumatic osteoarthritis, or rheumatoid arthritis.

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Signal-Averaged Electrocardiogram (SAECG) to Identify Risk of Ventricular Tachyarrhythmias and Sudden Cardiac Death

Wednesday, December 21st, 2011

Purpose of Technology

Electrocardiogram (ECG) signal analysis technologies represent enhanced versions of the standard resting or exercise ECG. ECG signal analysis systems entail specialized software that conducts complex analyses of the biosignals recorded by an ECG. The form of ECG signal analysis referred to as signal-averaged ECG (SAECG) averages signals from 200 to 1000 beats from a standard 12-lead ECG and typically produces three time-domain variables. SAECG may be used to predict future arrhythmic events, including sudden cardiac death (SCD).

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Capsule Endoscopy for the Diagnosis of Small Bowel Crohn’s Disease

Saturday, December 17th, 2011

Purpose of Technology

Capsule endoscopy, also called wireless capsule endoscopy or video capsule endoscopy, is a noninvasive procedure in which the patient swallows a multivitamin-sized capsule containing a miniaturized video camera, light transmitter, and batteries. The camera takes a video recording of the mucosal lining of the esophagus, small bowel and/or colon as the capsule moves through the gastrointestinal tract. This procedure is intended to detect signs of gastrointestinal disease.

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Computer-Aided Semen Analysis (CASA) for the Diagnosis of Male Infertility

Thursday, December 15th, 2011

Purpose of Technology

The evaluation of sperm characteristics is part of the diagnostic process for infertile couples. Computer-aided semen analysis (CASA) uses a hardware- and software-based system to determine characteristics of sperm, including the kinematics/motility, concentration, and morphology.

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