This study examined changes in the diffusion of water within lumbar intervertebral discs before and after spinal manipulative therapy in patients with low back pain. Nineteen patients underwent MRI scans before and after a single treatment. Patients who reported over a 2-point reduction in pain ("responders") had a significant post-treatment increase in water diffusion at lumbar levels L1-2, L2-3, and L5-S1, compared to non-responders. This suggests increased water diffusion within intervertebral discs may be related to reductions in low back pain following spinal manipulative therapy.
Medical shockwaves for chronic low back pain - a case seriesKenneth Craig
This case series examines the use of medical shockwave therapy for 10 patients with chronic low back pain. Shockwave therapy involves using focused acoustic pulses to target deep tissue. After 3 sessions of 1000 pulses each over 3 weeks, 8 of the 9 patients showed excellent improvement in pain levels, functional disability, and reduced need for pain medication that was maintained at the 12 week follow up. This positive preliminary outcome supports further investigation of shockwave therapy as a potential disease-modifying treatment for chronic low back pain.
This study compared the effects of three exercise interventions on motor performance in patients with Parkinson's disease: LSVT1BIG therapy, Nordic walking, and unsupervised home exercises. Sixty patients were randomly assigned to one of the three groups. The LSVT1BIG group showed a significant mean improvement of 25.05 points on the UPDRS motor score, while the Nordic walking and home exercise groups showed little to no change or mild deterioration. LSVT1BIG therapy was also superior in tests of timed up-and-go and timed 10m walking. There were no significant differences between groups for quality of life. The results provide evidence that LSVT1BIG is an effective technique for improving motor function
Three randomized controlled trials were reviewed to determine the efficacy of kinesio tape for shoulder impingement pathologies. Two studies found that kinesio tape used in conjunction with therapeutic exercises was more effective at reducing pain and improving function and range of motion, as measured by DASH and VAS scores, than exercises alone. One study found no significant differences between kinesio tape and sham taping without additional interventions. Overall, the evidence suggests kinesio tape combined with exercises may provide better outcomes than exercises alone for shoulder impingement, though more research is still needed.
1. This document provides summaries of 4 recent studies related to chiropractic care, beginning with a major study published in Annals of Internal Medicine that found spinal manipulative therapy and home exercises were superior to medication for neck pain.
2. The second study summarized was the first randomized controlled trial to examine chiropractic management for patients with chest pain, finding that chiropractic patients improved significantly more than those receiving self-management.
3. References and appendices are provided for each study summarized. The document concludes by commenting on how chiropractic addresses the mechanical cause of problems rather than just symptoms.
This document summarizes and discusses several articles on physical medicine and rehabilitation (PMR) topics that were published in recent issues of various journals. The articles cover a range of topics including the treatment of 12th rib syndrome, the use of the tourniquet ischemia test to diagnose complex regional pain syndrome, physiotherapy interventions for treating spasticity, a telehealth intervention to increase fitness for those with spinal cord injuries, spinal cord involvement in COVID-19, the use of local anesthetic injections in athletes, and a comparison of video-based and text-based physical activity interventions. The document also provides an introduction and welcome from the editor as well as information about new contributors.
Comparison of Passive Stretching Versus Massage on Preventing the Symptoms of...dbpublications
OBJECTIVE: To compare the effectiveness of passive stretching versus massage on preventing the symptoms of delayed onset muscle soreness in normal adults. STUDY DESIGN: Quasi- Experimental study design. SUBJECTS: 50subjects, with the age group of 18-21 years of both the genders were selected. INTERVENTION: Subjects were randomly divided into 2 groups (Group A& Group B), 25 subjects in Group A received passive stretching and 25 subjects in Group B received Massage after 3 hours of inducing DOMS. OUTCOME MEASURE: Pain, Elbow Range of Motion and swelling were assessed by Visual analogue scale, goniometer, Inch tape. RESULTS: Statistical analysis was done by using independent ‘t’ test and paired ‘t’ test which showed there is no statistical significant difference between Group A(Passive stretching) and Group B(Massage). CONCLUSION: The result of this study concludes that massage decreased the pain immediately after intervention and regained the Elbow Range of Motion at immediately at 24 hours, at 48 hours and 72 hours than passive stretching. But massage and passive stretching has equal effect on pain reduction at 24hours, 48 hours and 72 hours after intervention. Similarly they both have equal effect on Arm Circumference.
This study compared the effectiveness of hydroplasty versus intra-articular steroid injection for the treatment of idiopathic frozen shoulder. The study included 50 patients divided into two groups. The hydroplasty group showed significantly greater improvement in pain, shoulder function and range of motion compared to the steroid injection group at the 1 month and 3 month follow ups. Hydroplasty was found to be a more effective treatment for idiopathic frozen shoulder than intra-articular steroid injection alone.
Recent advances in Manipulative MedicineSoniya Lohana
What new techniques are been used in manipulative medicine and physical therapy that help the patients to recover better and address their condition by various approaches where surgery is not required.
This document discusses effective physical treatments for chronic low back pain. It finds that exercise is one of the few clearly effective treatments, with systematic reviews finding exercise reduces pain and disability. While exercise is effective, the optimal implementation is unclear. Two example programs discussed are group general exercise and individually supervised specific spinal stabilization exercise. The document also discusses laser therapy for chronic back pain, but notes no systematic review has evaluated its efficacy.
This study evaluated the effectiveness of progressive muscle relaxation (PMR) exercises in reducing pain and fatigue among 100 hospitalized cancer patients receiving radiotherapy. The patients were randomly assigned to an intervention group that received four PMR sessions over 4 weeks or a control group that received standard treatment. Pain was measured using a numerical pain rating scale and fatigue was measured using a cancer fatigue scale before and after the intervention. The results showed a significant reduction in reported pain and fatigue scores in the PMR group compared to the control group, indicating that PMR exercises can effectively reduce pain and fatigue in hospitalized cancer patients receiving radiotherapy when used as an adjuvant therapy.
This study compared the incidence of neurobehavioral side effects of levetiracetam versus phenytoin in patients with traumatic brain injury (TBI). In a prospective observational study of 100 TBI patients treated with either levetiracetam or phenytoin, researchers found:
1. Levetiracetam was associated with significantly fewer neurobehavioral side effects than phenytoin, including less irritability, aggression, and confusion.
2. Phenytoin treatment resulted in nearly double the incidence of neurobehavioral side effects compared to levetiracetam.
3. Levetiracetam appears to be a better-tolerated antiepileptic drug for
This meta-analysis reviewed 22 randomized controlled trials involving 1014 patients to determine the effectiveness of low-level laser therapy (LLLT) for pain relief in various joint areas. The average methodological quality score of the trials was 7.96 out of 10. The analysis found that 11 trials reported positive effects of LLLT for pain relief while 11 reported negative effects. However, when pooling the results, the mean weighted difference in pain reduction on a visual analogue scale was 13.96 mm in favor of the active LLLT groups, indicating LLLT provides statistically significant pain relief for joints. Restricting the analysis to trials using energy doses within previously suggested therapeutic windows produced even greater mean pain relief of 19.88-21
12 aaom reeves workshop apr 19 research summaryNomienredes
The document summarizes research on prolotherapy, which involves injections to repair soft tissues like ligaments and tendons. It discusses definitions of prolotherapy and focuses on dextrose prolotherapy. It provides evidence that prolotherapy is not experimental, as it is taught in postgraduate medical programs and supported by published studies. Several studies on specific conditions like Achilles tendinosis, knee osteoarthritis, and low back pain are summarized, demonstrating safety and efficacy of prolotherapy though some need further research.
A guide to beginners helping writing thesis protocol.
Comparison between USG guided Suprascapular Nerve block and Interscalene Nerve Block post operative analgesia after arthroscopic shoulder surgery- a prospective randomized double blind study.
ZMPCZM016000.11.20 TENS can reduce postoperative analgesic consumption.A meta...painezeeman
TENS can reduce postoperative analgesic consumption according to a meta-analysis of 21 randomized controlled trials. The analysis found that TENS reduced overall analgesic use by 26.5% compared to placebo. For trials using strong, subnoxious TENS at adequate frequencies, analgesic consumption was reduced by 35.5% compared to 4.1% for trials without these optimal parameters. The difference between optimal and non-optimal TENS was statistically significant, indicating TENS can significantly reduce pain medication needs when administered optimally.
To Compare The Effect Of Proprioceptive Neuromuscular Facilitation Program Ve...IOSR Journals
Abstract: Low back pain has been a matter of concern, affecting up to 90% of population at some point in
their lifetime, up to 50% have more than one episode. People of all age group can be affected by this menace
irrespective to their gender and quality of life. It has become one of the leading causes for the visit to physician
thus also puts a heavy burden on the currency of the country. Physiotherapy is the most widely used form of
treatment adopted for gaining relief from low back pain. The exercises include stretching, strengthening, range
of motion exercises, McKenzie therapy and core stability exercises other techniques like Proprioceptive
neuromuscular facilitation program etc. It has been concluded in various studies core stability exercises and
Proprioceptive neuromuscular facilitation are beneficial in low back pain patients but comparison of their effect
needs to be established to provide early and better relief from the disability. Therefore objective of the study was
to compare the effect of Proprioceptive neuromuscular facilitation program and Core stabilization exercises on
low back pain patients. 40 subjects aged 30 – 50 years with low back pain for more than 4 weeks were made
part of the study based on inclusion and exclusion criteria and were then divided into two groups named A, B.
Group A received Proprioceptive neuromuscular facilitation and group B received Core stabilization exercises
and hot pack given initially for 10-15 minutes to the lower back. The exercise program was given for 4 weeks
with a total of 24 sessions and progression of the activity was made within the tolerance of the patient. Pre and
post treatment readings were taken of pain, Oswestry Disability Questionnaire and Functional Reach Test.
Results were analyzed using paired, unpaired t- test. Results showed that there is significant effect on pain,
Oswestry Disability Questionnaire and Functional Reach Test in the two groups but group A was clinically
more significant than groups B. The study concluded that patients with low back pain are benefitted more by
Proprioceptive neuromuscular facilitation program. So, Proprioceptive neuromuscular facilitation program
should be practiced more.
Keywords: Low Back Pain, Core Stabilization Exercises, Proprioceptive Neuromuscular Facilitation.
The effect of various cold‑water immersion protocolsFernando Farias
This study investigated the effects of different cold-water immersion (CWI) protocols on inflammatory response and functional recovery following high-intensity exercise. Eight males completed a high-intensity sprint protocol followed by one of four CWI protocols or passive rest. Blood samples showed CWI of 30 minutes at 10 or 20°C increased some inflammatory markers compared to shorter or colder CWI. Muscle performance decreased immediately after exercise but recovered faster with CWI, though the mechanism is unclear. CWI appears to aid muscle performance recovery but not power, and longer CWI may worsen inflammation without improving recovery.
This study examined the effects of using the upper limb tension test (ULTT) as a neural mobilization technique in addition to conservative treatment for patients with cervical radiculopathy. 40 patients were divided into a control group receiving conservative treatment only and an experimental group receiving conservative treatment plus ULTT. Outcome measures of cervical range of motion and pain were assessed before and after treatment. The results showed significantly greater improvements in cervical flexion, extension, and side flexion ranges of motion as well as pain levels for the experimental group compared to the control group, indicating that ULTT provides additional benefits for managing symptoms of cervical radiculopathy.
This clinical trial investigated whether neuromuscular electrical stimulation (NMES) could improve quadriceps muscle strength and activation in women with mild to moderate osteoarthritis of the knee. Thirty women were randomly assigned to either receive NMES treatments three times per week for four weeks or to a control group that received no treatment. Outcomes were assessed at baseline and at 5 and 16 weeks post-enrollment and found no improvements in muscle strength or activation in the NMES group compared to controls. The study was limited by a small sample size and lack of blinding of the assessor and participants to group assignment. Four weeks of NMES may have been insufficient to induce gains in this population and future research is needed to examine longer or more
This document discusses chronic low back pain, including its natural course, diagnosis, interventional treatments, and costs. It notes that while low back pain is very common, affecting 80-90% of people at some point, its definition and classification are inconsistent. The natural course of low back pain is poorly understood. While previously thought to have a generally favorable prognosis, more recent research shows that a majority of patients still experience pain long after initial episodes. The document calls for a standardized classification system to improve research and guide treatment. It also reviews options for diagnostic testing, conservative and interventional treatments, and notes the need to base treatment selection on available evidence. Finally, it discusses issues around the organization and costs of medical specialist care for low
This randomized controlled trial investigated the effectiveness of pulsatile dry cupping therapy compared to no intervention for knee osteoarthritis. 40 patients were randomly assigned to receive either 8 cupping sessions over 4 weeks or no treatment. Outcome measures including pain, stiffness, physical function, and quality of life were assessed at 4 and 12 weeks. At 4 weeks, cupping resulted in significantly greater improvements in pain, physical function, and quality of life scores compared to the control group. Many benefits were still present at 12 weeks, though some scores were no longer significantly different. The study provides preliminary evidence that cupping may be an effective treatment for relieving symptoms of knee osteoarthritis.
Pilot Study of Massage in Veterans with Knee OsteoarthritisMichael Juberg
This pilot study assessed the feasibility and preliminary efficacy of Swedish massage therapy for 25 veterans with knee osteoarthritis. The study found high retention and adherence rates, suggesting massage was feasible and acceptable for veterans. Veterans receiving 8 weekly one-hour massage sessions experienced statistically significant improvements in self-reported knee pain, stiffness, function, and quality of life, as well as trends toward improved range of motion. The results support further study of massage as a treatment approach for knee osteoarthritis in veterans.
This study examined the prognosis of 118 patients with chronic low back pain who participated in a private, community-based group exercise program over 12 months. The patients experienced substantial improvements in pain intensity, disability, function and bothersomeness during the study period. Pain intensity and bothersomeness improved most in the first 6 months, while disability and function continued improving throughout the full year. At 12 months, 25% of patients were fully recovered from their back pain. Baseline pain intensity predicted 10% of the variation in pain outcomes at 12 months, while duration of current episode, disability, and education level together predicted 15% of the variation in disability outcomes.
This study compared the effects of static stretching and proprioceptive neuromuscular facilitation stretching on heart rate, blood pressure, and oxygen saturation in female athletes. Twelve swimmers were randomly assigned to perform one of two stretching protocols (static stretching or PNF stretching of the pectoral and biceps muscles) or act as a control group. While heart rate and blood pressure did not significantly change with stretching, oxygen saturation levels decreased significantly following both stretching protocols but not in the control group. The decreases in oxygen saturation were likely due to reduced blood flow caused by the stretching.
critique osteoarthritis and cartilagefinal4182016James Nichols
This document summarizes a research study that evaluated the efficacy of non-surgical treatment for pain and sensitization in patients with knee osteoarthritis. The study used a pre-defined ancillary analysis of a randomized controlled trial to compare outcomes between a treatment group receiving neuromuscular exercise, education, diet, insoles and pain medications (MEDIC-treatment) and a control group receiving usual care. Outcomes included measures of pain intensity, pain pattern, pain spreading, medication usage, and pain sensitization, which were assessed at baseline and 3-month follow up. The study found some improvements in pain outcomes in the MEDIC-treatment group compared to usual care, though limitations in generalizability and potential confounding factors
Efficacy of classification-based_cft_in_nsclbpMeziat
Artigo (6) importante para a preparação para o curso de dor lombar crônica. "Eficácia da Terapia Cognitiva Funcional em pacientes com dor lombar crônica inespecífica: ensaio clínico randomizado controlado."
Sub153105.pdf my article Outcome Measurement of Electrical Stimulation on Qua...jayanta Jayanta0074U
Outcome Measurement of Electrical Stimulation on
Quadriceps Muscles for Knee Osteoarthritis
Jayanta Nath
Abstract: Introduction: Outcome measurement is very essential part to assess efficacy of treatment intervention. The first objective
was to perform a review of all outcome measurement used in manangement of knee OA. Secondly to know if there was any difference
of outcome measurement of electrical stimulation on quadriceps muscle based on collected review article. Question: What were the
various outcome measurement used for assessment of knee osteoarthritis specially when used electrical stimulation? Design: Review of
literature. Participant: reviewer. Adults with osteoarthritis of the knee. Intervention: Electrical stimulation for quadriceps. Outcome
measure : VAS, WOMAC, dynamometer,MMT,EMG etc Development: Literature searches were made in these databases: Medline
(Ovid), Pedro, SCOPUS, PsycINFO, Web of knowledge, CINAHL (EBSCOHost), SportDicus (EBSCOHost), DOAJ, Cochrane,
EMBASE, Academic Search Complete (EBSCOHost), Fuente Académica (EBSCOHost), and MedicLatina (EBSCOHost). A
retrospective search of 13 years was used until February 2015. 33 records were selected based on the affinity with the subject of the
review and their internal validity according to the PEDro scale. Conclusions: WOMAC, VAS, were most commonly used outcome
measurement for OA knee. recommend further research on ES and outcome measurement.There were many outcome measure for knee
OA based on literature search .The review evidence suggest that VAS,WOMAC,were useful for assessing quality of management.Out of
all outcome measurement tool the WOMAC,PPT, EMG were most valid and reliable tool.
Outcome Measurement of Electrical Stimulation on
Quadriceps Muscles for Knee Osteoarthritis.Abstract: Introduction: Outcome measurement is very essential part to assess efficacy of treatment intervention. The first objective
was to perform a review of all outcome measurement used in manangement of knee OA. Secondly to know if there was any difference
of outcome measurement of electrical stimulation on quadriceps muscle based on collected review article. Question: What were the
various outcome measurement used for assessment of knee osteoarthritis specially when used electrical stimulation? Design: Review of
literature. Participant: reviewer. Adults with osteoarthritis of the knee. Intervention: Electrical stimulation for quadriceps. Outcome
measure : VAS, WOMAC, dynamometer,MMT,EMG etc Development: Literature searches were made in these databases: Medline
(Ovid), Pedro, SCOPUS, PsycINFO, Web of knowledge, CINAHL (EBSCOHost), SportDicus (EBSCOHost), DOAJ, Cochrane,
EMBASE, Academic Search Complete (EBSCOHost), Fuente Académica (EBSCOHost), and MedicLatina (EBSCOHost). A
retrospective search of 13 years was used until February 2015. 33 records were selected based on the affinity with the subject of the
review and their internal validity according to the PEDro scale. Conclusions: WOMAC, VAS, were most commonly used outcome
measurement for OA knee. recommend further research on ES and outcome measurement.There were many outcome measure for knee
OA based on literature search .The review evidence suggest that VAS,WOMAC,were useful for assessing quality of management.Out of
all outcome measurement tool the WOMAC,PPT, EMG were most valid and reliable tool.
better Rehabilitation through vibro-acoustic-therapy.pdfmichel582642
Sound vibrations and sound wave therapy and their positive effects on the human body have been extensively researched and sufficiently proven.
These studies on the subject of rehabilitation are intended to illustrate how broadly the spectrum of possible patient groups that could benefit from sound wave therapy can be defined. In addition, this form of therapy could be a so-called game changer for prevention.
Enjoy reading!
Michel Menzel
Founder of THERAPIEGOLD
www.therapiegold.de
Motivational Enhancement Therapy in Addition to Physical
Therapy Improves Motivational Factors and Treatment
Outcomes in People With Low Back Pain: A Randomized
Controlled Trial
This document summarizes a project that compared the effects of prone lumbar traction versus supine lumbar traction when combined with an extension-oriented treatment approach for chronic low back pain. The project reviewed literature showing mixed results on the effectiveness of lumbar traction and a lack of evidence for supine traction. The project aimed to determine if prone traction was more effective for reducing pain and disability when combined with exercises to promote lumbar extension. Outcome measures of pain and disability were collected before and after treatment to evaluate the two approaches. The results were statistically analyzed to determine if prone traction provided greater benefits for patients with chronic low back pain.
This document contains summaries of 4 research studies:
1. A randomized controlled trial that found suprascapular nerve blocks were no more effective than saline injections for treating subacute adhesive capsulitis.
2. A study that found intra-articular injections of hyaluronic acid plus dextrose for knee osteoarthritis resulted in greater improvements in physical function and pain reduction compared to hyaluronic acid plus saline.
3. A randomized controlled trial that demonstrated alendronate effectively prevented bone loss in the hip in men during the first year after a traumatic spinal cord injury.
4. A study that found patients with acquired brain injuries who had contractures required more intensive rehabilitation therapy, longer
To Determine Preference of Shoulder Pain Management by General Physicians in ...suppubs1pubs1
Rotator cuff muscles are functionally active and provide stability to the shoulder joint and also thereby allow the full Range of Motion (ROM) by moving the head of humerus in the glenoid cavity. Any tear or fragility of the rotator cuff muscles can cause the dislocation or instability and hence damaging other muscles specially the long head of biceps muscle. The diseases related to the supraspinatus tendon are frequently linked with the long head of the biceps tendon. Other cause of chronic shoulder pain is the adhesive capsulitis with large prevalence rates of more than 5.3% in the general target population [3].
As her final thesis topic for London College of Osteopathy and Health Sciences (LCO) Diploma in Osteopathic Manual Practice (DOMP) program, Dr. Fadila Naji examines the effects of osteopathy on patients' psychology.
Acupuncture and/or moxibustion for the treatment of lumbar disc herniation: q...LucyPi1
This document summarizes a systematic review that assesses the quality of 18 systematic reviews on the use of acupuncture and/or moxibustion for treating lumbar disc herniation. It finds that acupuncture and moxibustion show some advantages in efficacy and safety for lumbar disc herniation treatment. However, the quality of evidence is generally low according to GRADE assessments. While the methodological quality of the reviews was moderate and report quality was good, the original research had poor quality, which was reflected in the low quality of evidence ratings. More high-quality studies are still needed to determine if acupuncture is more effective than other treatments.
This meta-analysis reviewed 16 randomized controlled trials comparing the effectiveness of motor control exercises (MCE) to other treatments for chronic or recurrent low back pain. The analysis found that MCE was superior to general exercise in reducing both disability in the short, intermediate, and long term, and pain in the short and intermediate term. MCE was also superior to minimal interventions like advice or placebo for both pain and disability outcomes at all time periods. Compared to spinal manual therapy, MCE demonstrated superior results for reducing disability but not pain. The studies varied in quality but provided evidence that MCE can better improve pain and disability for low back pain over the short to long term compared to other common treatments.
This study aims to investigate whether a 12-week neuromuscular exercise program combined with pain neuroscience education provides greater pain relief and improved physical function than pain neuroscience education alone for patients experiencing chronic pain after knee replacement surgery. 120 patients with chronic pain after knee replacement surgery will be randomly assigned to receive either the 12-week neuromuscular exercise program combined with pain neuroscience education or pain neuroscience education alone. Outcomes will be assessed at baseline and 3, 6, and 12 months post-intervention and will include measures of pain, physical function, fear avoidance beliefs, and pain catastrophizing. The findings may help establish effective treatment strategies for chronic pain after knee replacement surgery.
This document summarizes several studies related to foot and ankle research. It highlights studies on muscle strength in patients with gout, muscle and joint factors associated with foot deformities in diabetics, the effectiveness of extracorporeal shock wave therapy for lower limb tendinopathies, and multidisciplinary management of diabetic foot disease. It also reviews evidence on treatments for plantar heel pain and vascular assessment techniques used by podiatrists. The introduction provides an overview of various foot and ankle conditions and clinical factors considered by clinicians in lower limb rehabilitation.
Similar to Terapia manual e hidratação dos discos (20)
This randomized controlled trial evaluated the immediate effects of a thoracic spine manipulation (TSM) on shoulder pain and scapular kinematics in individuals with and without shoulder impingement syndrome (SIS). Fifty subjects with SIS and 47 asymptomatic subjects were randomly assigned to receive either TSM or a sham intervention. Shoulder pain was reduced after both TSM and the sham intervention in those with SIS. Scapular kinematics changed minimally in both groups after the interventions. The study found an immediate reduction in shoulder pain following TSM in individuals with SIS, but observed only small changes in scapular kinematics that were not considered clinically meaningful.
This study evaluated the ability of rasterstereography to detect changes in posture induced by different neuromuscular stimulation techniques and proprioceptive insoles. 27 healthy volunteers underwent rasterstereography to measure 14 posture parameters under 6 test conditions: normal stance, foot elevation, foot exercises, loose jaw, biting, and wearing proprioceptive insoles. Rasterstereography measurements had low variability. Several posture parameters showed significant changes between test conditions, indicating that neuromuscular stimulation and insoles induce detectable postural shifts. Proprioceptive insoles specifically altered lateral spine deviation, demonstrating rasterstereography's sensitivity to subtle posture variations.
Este estudo comparou os efeitos do uso de palmilhas customizadas e pré-fabricadas em trabalhadoras que permaneciam em posição estática por longos períodos. Ambas as palmilhas reduziram os níveis de dor nos pés e coluna lombar após oito semanas, porém aumentaram a pressão máxima e média nos pés. Não houve diferença significativa entre os grupos nos dados de pressão plantar ou nos níveis de dor.
This study examined the effectiveness of computer-designed insoles in reducing low back pain among 58 employees whose jobs involved extensive walking. The employees were randomly assigned to use either the computer-designed insoles or placebo insoles for 5 weeks, then switched to the other insole for another 5 weeks. Those using the computer-designed insoles experienced a greater reduction in reported low back pain according to a standardized questionnaire, with average pain decreasing by 1.49 points compared to a decrease of 0.31 points for those using placebo insoles. 81% of employees preferred the computer-designed insoles as more effective and comfortable than the placebo insoles. The results suggest computer-designed insoles more effectively reduce low back pain in workers whose
This systematic review analyzed 12 controlled trials that compared the effects of different insoles on postural balance. The insoles studied included vibrating insoles, textured insoles, insoles with different densities, and insoles with wedges or sensors. Most studies found that the insoles improved postural balance and reduced sway, especially in the anteroposterior direction. Textured insoles and vibrating insoles showed benefits by increasing sensory input from the feet. While insole rigidity did not influence balance, soft gel insoles and insoles with spikes were found to improve postural control. The review concluded that insoles can provide benefits that favor better postural balance and control.
This study compared the effectiveness of global postural reeducation (GPR) to segmental exercises (SE) in treating scapular dyskinesis associated with neck pain. 30 patients were randomly assigned to 10 weeks of GPR or SE. Both groups improved in upper extremity and neck function and pain. However, only GPR improved physical and mental quality of life. When comparing groups, GPR was superior in improving pain and physical quality of life. This preliminary study suggests GPR may be more effective than SE for reducing pain and improving well-being in patients with scapular dyskinesis and neck pain.
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Chair and Presenter, Stephen V. Liu, MD, Benjamin Levy, MD, Jessica J. Lin, MD, and Prof. Solange Peters, MD, PhD, discuss NSCLC in this CME/MOC/NCPD/AAPA/IPCE activity titled “Decoding Biomarker Testing and Targeted Therapy in NSCLC: The Complete Guide for 2024.” For the full presentation, downloadable Practice Aids, and complete CME/MOC/NCPD/AAPA/IPCE information, and to apply for credit, please visit us at https://bit.ly/4bBb8fi. CME/MOC/NCPD/AAPA/IPCE credit will be available until July 1, 2025.
Chair and Presenter, Stephen V. Liu, MD, Benjamin Levy, MD, Jessica J. Lin, MD, and Prof. Solange Peters, MD, PhD, prepared useful Practice Aids pertaining to NSCLC for this CME/MOC/NCPD/AAPA/IPCE activity titled “Decoding Biomarker Testing and Targeted Therapy in NSCLC: The Complete Guide for 2024.” For the full presentation, downloadable Practice Aids, and complete CME/MOC/NCPD/AAPA/IPCE information, and to apply for credit, please visit us at https://bit.ly/4bBb8fi. CME/MOC/NCPD/AAPA/IPCE credit will be available until July 1, 2025.
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- Video recording of this lecture in Arabic language: https://youtu.be/kbDs1uaeyyo
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In this lecture, we delve into the intricate anatomy and physiology of the coronary blood supply, a crucial aspect of cardiac function. We begin by examining the physiological anatomy of the coronary arteries, which lie on the heart's surface and penetrate the cardiac muscle mass to supply essential nutrients. Notably, only the innermost layer of the endocardial surface receives direct nourishment from the blood within the cardiac chambers.
We then explore the specifics of coronary circulation, including the dynamics of blood flow at rest and during strenuous activity. The impact of cardiac muscle compression on coronary blood flow, particularly during systole and diastole, is discussed, highlighting why this phenomenon is more pronounced in the left ventricle than the right.
Regulation of coronary circulation is a complex process influenced by autonomic and local metabolic factors. We discuss the roles of sympathetic and parasympathetic nerves, emphasizing the dominance of local metabolic factors such as hypoxia and adenosine in coronary vasodilation. Concepts like autoregulation, active hyperemia, and reactive hyperemia are explained to illustrate how the heart adjusts blood flow to meet varying oxygen demands.
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We also examine coronary steal syndrome, a condition where increased cardiac activity diverts blood flow away from ischemic areas, exacerbating the condition. The long-term impact of myocardial infarction on cardiac reserve is discussed, showing how the heart's capacity to handle increased workloads is significantly reduced.
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Finally, the lecture includes a case study to apply theoretical knowledge to a practical scenario, helping students understand the real-world implications of coronary circulation and ischemic heart disease. The role of biochemical factors in cardiac pain and the interpretation of ECG changes in myocardial infarction are also covered.
JMML is a rare cancer of blood that affects young children. There is a sustained abnormal and excessive production of myeloid progenitors and monocytes.
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Not all women with hydrosalpinx should choose laparoscopy. Natural medicine Fuyan Pill can also be a nice option for patients, especially when they have fertility needs.
A comparative study on uroculturome antimicrobial susceptibility in apparentl...Bhoj Raj Singh
The uroculturome indicates the profile of culturable microbes inhabiting the urinary tract, and it is often required to do a urine culture to find an effective antimicrobial to treat UTIs. This study targeted to understand the profile of culturable pathogens in the urine of apparently healthy (128) and humans with clinical UTIs (161). In urine samples from UTI cases, microbial counts were 1.2×104 ± 6.02×103 colony-forming units (cfu)/ mL, while in urine samples from apparently healthy humans, the average count was 3.33± 1.34×103 cfu/ mL. In eight samples (six from UTI cases and two from apparently healthy people) of urine, Candida (C. albicans 3, C. catenulata 1, C. krusei 1, C. tropicalis 1, C. parapsiplosis 1, C. gulliermondii 1) and Rhizopus species (1) were detected. Candida krusei was detected only in a single urine sample from a healthy person and C. albicans was detected both in urine of healthy and clinical UTI cases. Fungal strains were always detected with one or more types of bacteria. Gram-positive bacteria were more commonly (OR, 1.98; CI99, 1.01-3.87) detected in urine samples of apparently healthy humans, and Gram -ve bacteria (OR, 2.74; CI99, 1.44-5.23) in urines of UTI cases. From urine samples of 161 UTI cases, a total of 90 different types of microbes were detected and, 73 samples had only a single type of bacteria. In contrast, 49, 29, 3, 4, 1, and 2 samples had 2, 3, 4, 5, 6 and 7 types of bacteria, respectively. The most common bacteria detected in urine of UTI cases was Escherichia coli detected in 52 samples, in 20 cases as the single type of bacteria, other 34 types of bacteria were detected in pure form in 53 cases. From 128 urine samples of apparently healthy people, 88 types of microbes were detected either singly or in association with others, from 64 urine samples only a single type of bacteria was detected while 34, 13, 3, 11, 2 and 1 samples yielded 2, 3, 4, 5, 6 and seven types of microbes, respectively. In the urine of apparently healthy humans too, E. coli was the most common bacteria, detected in pure culture from 10 samples followed by Staphylococcus haemolyticus (9), S. intermedius (5), and S. aureus (5), and similar types of bacteria also dominated in cases of mixed occurrence, E. coli was detected in 26, S. aureus in 22 and S. haemolyticus in 19 urine samples, respectively. Gram +ve bacteria isolated from urine samples' irrespective of health status were more often (p, <0.01) resistant than Gram -ve bacteria to ajowan oil, holy basil oil, cinnamaldehyde, and cinnamon oil, but more susceptible to sandalwood oil (p, <0.01). However, for antibiotics, Gram +ve were more often susceptible than Gram -ve bacteria to cephalosporins, doxycycline, and nitrofurantoin. The study concludes that to understand the role of good and bad bacteria in the urinary tract microbiome more targeted studies are needed to discern the isolates at the pathotype level.