M-mode sonograpny (US) of the diaphragmatic motion may be an aid for the respiratory therapist to better
calibrate the cough-assist machine in uncooperative patients
This work by respiratory physiotherapist Angelo Longoni aims to demonstrate how the use of diaphragmatic ultrasound can be helpful in the evaluation of results of rehabilitative respiratory programs.
ZMPCZM016000.11.09 Electrotherpay study summaries for surgeons provided by me...painezeeman
1) Several studies examined the effects of transcutaneous electrical nerve stimulation (TENS) and electrical muscle stimulation (EMS) after shoulder and knee surgeries.
2) The studies found that TENS reduced pain levels and analgesic consumption after shoulder surgery compared to placebo. EMS improved quadriceps strength and gait more than voluntary exercise alone after ACL reconstruction.
3) Home interferential current therapy also reduced pain, edema, and improved range of motion more than placebo after ACL reconstruction, meniscectomy, or knee chondroplasty procedures.
ZMPCZM019000.11.03 EMG based evaluation & therapy concept for pelvic floor Dy...painezeeman
(1) EMG is used to directly measure pelvic floor muscle function and innervation for evaluating and treating dysfunctions like incontinence. (2) A 4-channel EMG system measures the pelvic floor and surrounding muscles during standardized tests to analyze coordination and identify issues. (3) Biofeedback training then focuses on re-educating the pelvic floor muscle through isolated activation exercises and integrating it into whole body movements and daily activities. (4) Retests assess changes in muscle activation, endurance, and coordination from the training.
ZMPCZM016000.11.23 Electrotherapy for pain managementpainezeeman
This document summarizes research on the use of electrotherapy/electrical stimulation for pain management. It discusses two major theories for how electrotherapy relieves pain through gate control and opiate-mediated control. Research studies cited found electrotherapy effective at reducing pain and improving function for chronic musculoskeletal pain, low back pain, and post-operative knee pain. Meta-analyses showed significant decreases in pain from electrical nerve stimulation and reductions in analgesic consumption when using adequate stimulation parameters.
This document discusses fibromyalgia, including its characteristics, prevalence, risk factors, pathogenesis, diagnostic criteria, treatment approaches, and specific studies on treatments. It defines fibromyalgia as a syndrome characterized by widespread pain and tender points, stiffness, and other systemic symptoms. It notes the prevalence is highest in women ages 40-60 and discusses potential contributing factors and mechanisms. Diagnostic criteria including the 2010 ACR criteria are outlined. A variety of pharmacological and non-pharmacological treatment approaches are recommended, including exercise, CBT, manual therapy, and aquatic therapy. Specific studies demonstrating the effectiveness of treatments like tai chi, muscle energy technique, and perceptual rehabilitation are summarized.
L'ecografia nella BPCO: l'effetto dell'ostruzione delle vie aeree sull'escurs...Paj Ero
This document discusses using ultrasound to evaluate the diaphragm muscle in patients undergoing pulmonary rehabilitation.
The study examined over 1,300 patients using ultrasound before and after rehabilitation to measure diaphragm excursion. Ultrasound measurements improved in 76% of patients compared to 56% for the 6-minute walk test. Ultrasound was found to be a safe, fast, and reliable method for monitoring the effectiveness of rehabilitation.
The conclusions state that ultrasound evaluation of the diaphragm provides a valid, practical way to monitor treatment alongside traditional evaluation methods. Improvements measured by ultrasound correlate with improvements in walking tests and lung function tests. Ultrasound may be particularly useful for evaluating patients who cannot
DIAPHRAGMATIC MUSCLE SONOGRAPHY IN THE PHYSIOTHERAPIST CLINICAL PRACTICE AS ...Angelo Longoni
The aim of this work is to describe how the Ultrasound of the diaphragm muscle can be useful in the clinical practice of the physiotherapist as a support to the classical clinical tests such as wt 6 minutes and MIP/MEP pressures, after a rehabilitation program in COPD patients.
This document analyzes the influence of tumor motion parameters like amplitude and phase on dose distribution to determine appropriate dosimetric margins. Equipment and software are used to capture and analyze patient respiratory signals and tumor motion patterns. Various motion patterns are derived, including periodic motions with different amplitudes and periods, as well as irregular motions. Results show that periodic motions with variable periods have a stronger influence on isodose dimensions than other parameters. Irregularity in breathing phases also induces a greater effect than amplitude variations. To accurately calculate margins for individual patients, a detailed examination of the full respiratory pattern, including amplitude, phase, and their variations, is necessary.
This work by respiratory physiotherapist Angelo Longoni aims to demonstrate how the use of diaphragmatic ultrasound can be helpful in the evaluation of results of rehabilitative respiratory programs.
ZMPCZM016000.11.09 Electrotherpay study summaries for surgeons provided by me...painezeeman
1) Several studies examined the effects of transcutaneous electrical nerve stimulation (TENS) and electrical muscle stimulation (EMS) after shoulder and knee surgeries.
2) The studies found that TENS reduced pain levels and analgesic consumption after shoulder surgery compared to placebo. EMS improved quadriceps strength and gait more than voluntary exercise alone after ACL reconstruction.
3) Home interferential current therapy also reduced pain, edema, and improved range of motion more than placebo after ACL reconstruction, meniscectomy, or knee chondroplasty procedures.
ZMPCZM019000.11.03 EMG based evaluation & therapy concept for pelvic floor Dy...painezeeman
(1) EMG is used to directly measure pelvic floor muscle function and innervation for evaluating and treating dysfunctions like incontinence. (2) A 4-channel EMG system measures the pelvic floor and surrounding muscles during standardized tests to analyze coordination and identify issues. (3) Biofeedback training then focuses on re-educating the pelvic floor muscle through isolated activation exercises and integrating it into whole body movements and daily activities. (4) Retests assess changes in muscle activation, endurance, and coordination from the training.
ZMPCZM016000.11.23 Electrotherapy for pain managementpainezeeman
This document summarizes research on the use of electrotherapy/electrical stimulation for pain management. It discusses two major theories for how electrotherapy relieves pain through gate control and opiate-mediated control. Research studies cited found electrotherapy effective at reducing pain and improving function for chronic musculoskeletal pain, low back pain, and post-operative knee pain. Meta-analyses showed significant decreases in pain from electrical nerve stimulation and reductions in analgesic consumption when using adequate stimulation parameters.
This document discusses fibromyalgia, including its characteristics, prevalence, risk factors, pathogenesis, diagnostic criteria, treatment approaches, and specific studies on treatments. It defines fibromyalgia as a syndrome characterized by widespread pain and tender points, stiffness, and other systemic symptoms. It notes the prevalence is highest in women ages 40-60 and discusses potential contributing factors and mechanisms. Diagnostic criteria including the 2010 ACR criteria are outlined. A variety of pharmacological and non-pharmacological treatment approaches are recommended, including exercise, CBT, manual therapy, and aquatic therapy. Specific studies demonstrating the effectiveness of treatments like tai chi, muscle energy technique, and perceptual rehabilitation are summarized.
L'ecografia nella BPCO: l'effetto dell'ostruzione delle vie aeree sull'escurs...Paj Ero
This document discusses using ultrasound to evaluate the diaphragm muscle in patients undergoing pulmonary rehabilitation.
The study examined over 1,300 patients using ultrasound before and after rehabilitation to measure diaphragm excursion. Ultrasound measurements improved in 76% of patients compared to 56% for the 6-minute walk test. Ultrasound was found to be a safe, fast, and reliable method for monitoring the effectiveness of rehabilitation.
The conclusions state that ultrasound evaluation of the diaphragm provides a valid, practical way to monitor treatment alongside traditional evaluation methods. Improvements measured by ultrasound correlate with improvements in walking tests and lung function tests. Ultrasound may be particularly useful for evaluating patients who cannot
DIAPHRAGMATIC MUSCLE SONOGRAPHY IN THE PHYSIOTHERAPIST CLINICAL PRACTICE AS ...Angelo Longoni
The aim of this work is to describe how the Ultrasound of the diaphragm muscle can be useful in the clinical practice of the physiotherapist as a support to the classical clinical tests such as wt 6 minutes and MIP/MEP pressures, after a rehabilitation program in COPD patients.
This document analyzes the influence of tumor motion parameters like amplitude and phase on dose distribution to determine appropriate dosimetric margins. Equipment and software are used to capture and analyze patient respiratory signals and tumor motion patterns. Various motion patterns are derived, including periodic motions with different amplitudes and periods, as well as irregular motions. Results show that periodic motions with variable periods have a stronger influence on isodose dimensions than other parameters. Irregularity in breathing phases also induces a greater effect than amplitude variations. To accurately calculate margins for individual patients, a detailed examination of the full respiratory pattern, including amplitude, phase, and their variations, is necessary.
Diaphragmatic Sonography vs Structured Light Plethysmography in ALS patient a...Angelo Longoni
We compared the kinematic evaluation of the thorax with a structured light device( SLP) and the diaphragm muscle excursion of an ALS patient using sonography.
Waldmann A. et al.: Position-dependent distribution of lung Ventilation – A f...Hauke Sann
1) This study used electrical impedance tomography (EIT) to measure regional lung ventilation distribution in pigs with both healthy and injured lungs as they were rotated between positions and exposed to different levels of positive end-expiratory pressure (PEEP).
2) The results showed that regional ventilation distribution was highly dependent on gravity, especially in injured lungs. Increasing PEEP levels and more lateral rotation positions led to greater heterogeneity and overdistension of ventilation in healthy lungs.
3) In injured lungs, lateral rotation provided significant recruitment of collapsed lung tissue and improved oxygenation at all PEEP levels tested. Higher PEEP was needed to maintain this recruitment effect.
Sonographic evaluation of diaphragm excursion to strengthen non- invasive me...Angelo Longoni
We use the Sonography of the diaphragm muscle as an educational tool to strengthen a cardio-respiratory pulmonary rehabilitation program of non invasive ventilation in patient's with problem's of Niv adaptation.
This study aimed to detect and measure chest wall motion using an array of unobtrusive pressure sensors placed beneath a mattress. The pressure sensor data was compared to measurements from respiratory inductance plethysmography bands. Five participants performed different breathing patterns in various positions while sensor data was recorded. The pressure sensor signals were aligned using cross-correlation and summed to increase signal amplitude. Inspiration and expiration segments were identified and delays between signals were calculated. When corrected for delays, the pressure sensor data showed similar chest movement detection to the reference plethysmography bands, suggesting this method could enable long-term respiratory monitoring.
Transcranial Magnetic Stimulation ( TMS) for Chronic PainDr. Rafael Higashi
Aula sobre avanço no tratamento da dor crônica com o uso de Estimulação Magnética Transcraniana (EMT) ministrada por Dr. Rafael Higashi, médico neurologista, no departamento de tratamento da dor do Centro Médico da Universidade de Nova York, NYU, EUA.
www.estimulacaoneurologica.com.br
Acute Response of Manual Hyperinflation In Addition To Standard Chest Physiot...iosrjce
Background: Physiotherapists use manual hyperinflation (MHI) as a treatment for the recruitment of
collapsed lung and mobilization of excess pulmonary secretions .Purpose: To investigate the acute effect of
manual hyperinflation (MHI) on oxygenation and volume of secretions cleared in mechanically ventilated
patients.
Subjects and Methods: Manual hyperinflation was delivered in 30 medically stable, mechanically ventilated
patients . patients were randomly selected from Cairo university hospitals (critical care department). Their ages
ranged from 50 to 60 years .The study group A received both manual hyperinflation and standard chest
physiotherapy while control group B received standard chest physiotherapy only. Oxygenation parameters were
recorded before and after 30 minutes of treatment while secretion volume was recorded after 30 minutes of
treatment.
Results: The results of this study revealed statistically significant improvement in oxygenation parameters and
the amount of drained chest secretions in patients of both groups which was highly significant in favor of study
group A with P value ≤ 0.05.
Conclusion: Use of manual hyperinflation in combination with standard chest physiotherapy is a beneficial
method to clear lung secretions and improve oxygenation parameters in mechanically ventilated patients .
This document summarizes several sources on the use of kinesiology taping. The sources discuss research that has found kinesiology taping can reduce pain from contractions and lymphedema in breast cancer patients. Additional research discussed found that kinesiology taping can improve joint position sense after muscle fatigue and help recovery from occupational wrist disorders in physical therapists. One source discussed a study that found kinesiology taping decreased upper back pain in female sedentary workers with rounded shoulder posture. Another source described a randomized controlled trial that found a mixed kinesiology taping-compression technique reduced venous symptoms, pain, and clinical severity in postmenopausal women with chronic venous insufficiency.
A NALYSIS OF P AIN H EMODYNAMIC R ESPONSE U SING N EAR -I NFRARED S PECTROSCOPYijma
Despite recent advances in brain research, understa
nding the various signals for pain and pain intensi
ties
in the brain cortex is still a complex task due to
temporal and spatial variations of brain haemodynam
ics.
In this paper we have investigated pain based on ce
rebral hemodynamics via near-infrared spectroscopy
(NIRS). This study presents a pain stimulation expe
riment that uses three acupuncture manipulation
techniques to safely induce pain in healthy subject
s. Acupuncture pain response was presented and
Haemodynamic pain signal analysis showed the presence of dominant channels and their relationship
among surrounding channels, which contribute the fu
rther pain research area.
Effectiveness of Passive Range of Motion Exercises on Hemodynamic parameters ...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
1) A double-blind randomized controlled study evaluated a wearable pulsed radiofrequency electromagnetic field (PRFE) device for treating plantar fasciitis.
2) 70 subjects with plantar fasciitis were randomly assigned either an active or placebo PRFE device to wear overnight for 7 days.
3) The active PRFE device showed a progressive 40% decline in morning heel pain over 7 days, significantly greater than the 7% decline in the control group, demonstrating PRFE's potential as a drug-free noninvasive treatment for reducing plantar fasciitis pain.
EFFECT OF POSTURAL CONTROL BIOMECHANICAL GAIN ON PSYCHOPHYSICAL DETECTION THR...ijbbjournal
A Sliding Linear Investigative Platform for Assessing Lower Limb Stability (SLIP-FALLS) was employed to study postural control biomechanical reaction to external perturbations in a short ≤16mm postural perturbation. Head acceleration were evaluated while blindfolded subjects stood on a platform that was given a short anterior perturbation presented in one of 2 sequential 4s intervals (2-Alternative-ForcedChoice) for a set of 30 trials. Anterior-Posterior head acceleration (Head Accl AP) were investigated among the movement and non- movement intervals for the healthy adults. A strong ringing signal was observed in Head Accl AP movement interval that was absent in non-movement interval. A positive power
law trading relationship was found between Head Accl AP gain and move length standing blindfolded subjects. This could explain the observed negative power law relationship between translation length and peak acceleration threshold in previous psychophysical detection threshold studies.
Kinesio Tape is a material resembling human skin that can be stretched up to 140% of its length. When applied to the skin, it is believed to have various physiological effects such as reducing pain, improving circulation and lymphatic drainage, and assisting muscle movement. This document discusses the use of Kinesio Tape for orofacial myofunctional intervention, noting that it allows therapists to directly stimulate the skin and proprioceptors, potentially improving mandibular posture, swallowing frequency, and pain relief for conditions like craniomandibular dysplasia.
Different Splinting Time for Carpal Tunnel Syndrome in Women: Comparative Studyiosrjce
Study objective: To define the best splinting wear times, night or day, in pain relief for female patients with
idiopathic chronic CTS in exacerbation phase.
Design: Quasi experimental comparative design.
Method and measurements: 24 female patients (42 wrists) from military hospital in Riyadh participated in
this study. Their CTS was diagnosed by the nerve conduction velocity (NCV). On basis of splint wear time
patients were divided into two groups; day time and night time. Thermoplastic, custom-made,neutral
wristsplints were given to both groups (21 wrists each). Patients completed 3 consecutive weeks of follow-up.
Pain (pressure) threshold through, algometer, was used to measure the pain in both groups. Four
measurements were applied; one at the initial assessment and 3 during follow-up weeks.
Results: The current study showed a statistical s i g n i f i c a n t improvement (p = 0.0001) in pain threshold
with splint wear. This was true for both groups. Patients received splint in day time showed little increase in
pain threshold when compared with night time wear instruction but without significant difference.
Conclusion: W rist splint is an effective conservative treatment for CTS. No difference was found between
night or day time splint wear. Patient should wear the splint at their most adherent time
INFLUENCE OF GENDER ON MUSCLE ACTIVITY PATTERNS DURING NORMAL AND FAST WALKING ijbesjournal
Electromyography (EMG) signals are often described as electrical manifestation of neuromuscular
activation associated with the muscles. These signals are commonly utilized as principal input signals to
control several prosthetic devices such as prosthetic hands, arm, lower limbs, and exoskeleton robots as
well as in designing of rehabilitation and assistive devices. It is well proven that EMG signals vary among
subjects and gender is one of the major factors that play a significant role in this variation. This study
detects the possible gender differences by measuring changes in the EMG activity during different phases
of human walking by acquiring the surface EMG signals from Gluteus Maximus, Hamstrings (biceps
femoris), Quadriceps (rectus femoris) and Soleus muscles of the leg with the healthy subjects walking
barefoot at two paces-normal and fast. The statistical analysis of the results showed no gender differences
at normal speed of walking but when speed of walking changed; it showed clear differences in the
behavior of these muscles. The results from this study would aid in designing closed loop control strategy
for designing a smart functional electrical stimulator (FES) which is the larger goal of this research.
Classification of Normal and Crackles Respiratory Sounds into Healthy and Lun...IJECEIAES
Lung cancer is the most common cancer worldwide and the third most common cancer in Malaysia. Due to its high prevalence worldwide and in Malaysia, it is an utmost importance to have the disease detected at an early stage which would result in a higher chance of cure and possibly better survival. The current methods used for lung cancer screening might not be simple, inexpensive and safe and not readily accessible in outpatient clinics. In this paper, we present the classification of normal and crackles sounds acquired from 20 healthy and 23 lung cancer patients, respectively using Artificial Neural Network. Firstly, the sounds signals were decomposed into seven different frequency bands using Discrete Wavelet Transform (DWT) based on two different mother wavelets namely Daubechies 7 (db7) and Haar. Secondly, mean, standard deviation and maximum PSD of the detail coefficients for five frequency bands (D3, D4, D5, D6, and D7) were calculated as features. Fifteen features were used as input to the ANN classifier. The results of classification show that db7 based performed better than Haar with perfect 100% sensitivity, specificity and accuracy for testing and validation stages when using 15 nodes at the hidden layer. While for Haar, only testing stage shows the perfect 100% for sensitivity, specificity, and accuracy when using 10 nodes at the hidden layer.
1. This document describes a study protocol to evaluate if pre-procedural ultrasound of the lumbar spine can improve the procedural skill of performing subarachnoid blocks.
2. The study aims to compare outcomes like success on the first needle pass, number of needle passes, time taken between groups who receive pre-procedure ultrasound versus those who do not.
3. A review of previous literature found that ultrasound can help identify anatomy like the posterior longitudinal ligament that indicates ease of dural puncture, and may help predict difficult procedures. Simulation training and deliberate practice was also found to improve residents' skills in performing subarachnoid blocks.
This study evaluated the effects of different levels of neurally adjusted ventilatory assist (NAVA) and pressure support ventilation (PSV) on breathing patterns and carbon dioxide levels in 10 healthy volunteers. The volunteers' diaphragmatic electrical activity, tidal volume, respiratory rate, and transcutaneous carbon dioxide levels were measured during spontaneous breathing and at increasing levels of NAVA and PSV support. For both modes, diaphragmatic activity decreased with higher support levels, but tidal volume and carbon dioxide levels only changed with PSV, not NAVA. Subject-ventilator synchronization was better with NAVA. NAVA and PSV similarly reduced the abdominal contribution to tidal volume. The results suggest that adjustments to NAVA
1) The study compared the effectiveness of a 3-hour CPR/AED training program without hands-on practice to a traditional 4-hour program with hands-on practice.
2) Participants in the 3-hour program performed key CPR skills like chest compressions and maintaining the correct compression to ventilation ratio significantly worse compared to the 4-hour program.
3) However, both programs increased CPR/AED skills over 50% but the 4-hour program led to significantly better skill performance, suggesting hands-on practice is important for mastering skills like chest compressions.
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...rightmanforbloodline
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Versio
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
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Similar to M mode sonographic of diaphragmatic motion
Diaphragmatic Sonography vs Structured Light Plethysmography in ALS patient a...Angelo Longoni
We compared the kinematic evaluation of the thorax with a structured light device( SLP) and the diaphragm muscle excursion of an ALS patient using sonography.
Waldmann A. et al.: Position-dependent distribution of lung Ventilation – A f...Hauke Sann
1) This study used electrical impedance tomography (EIT) to measure regional lung ventilation distribution in pigs with both healthy and injured lungs as they were rotated between positions and exposed to different levels of positive end-expiratory pressure (PEEP).
2) The results showed that regional ventilation distribution was highly dependent on gravity, especially in injured lungs. Increasing PEEP levels and more lateral rotation positions led to greater heterogeneity and overdistension of ventilation in healthy lungs.
3) In injured lungs, lateral rotation provided significant recruitment of collapsed lung tissue and improved oxygenation at all PEEP levels tested. Higher PEEP was needed to maintain this recruitment effect.
Sonographic evaluation of diaphragm excursion to strengthen non- invasive me...Angelo Longoni
We use the Sonography of the diaphragm muscle as an educational tool to strengthen a cardio-respiratory pulmonary rehabilitation program of non invasive ventilation in patient's with problem's of Niv adaptation.
This study aimed to detect and measure chest wall motion using an array of unobtrusive pressure sensors placed beneath a mattress. The pressure sensor data was compared to measurements from respiratory inductance plethysmography bands. Five participants performed different breathing patterns in various positions while sensor data was recorded. The pressure sensor signals were aligned using cross-correlation and summed to increase signal amplitude. Inspiration and expiration segments were identified and delays between signals were calculated. When corrected for delays, the pressure sensor data showed similar chest movement detection to the reference plethysmography bands, suggesting this method could enable long-term respiratory monitoring.
Transcranial Magnetic Stimulation ( TMS) for Chronic PainDr. Rafael Higashi
Aula sobre avanço no tratamento da dor crônica com o uso de Estimulação Magnética Transcraniana (EMT) ministrada por Dr. Rafael Higashi, médico neurologista, no departamento de tratamento da dor do Centro Médico da Universidade de Nova York, NYU, EUA.
www.estimulacaoneurologica.com.br
Acute Response of Manual Hyperinflation In Addition To Standard Chest Physiot...iosrjce
Background: Physiotherapists use manual hyperinflation (MHI) as a treatment for the recruitment of
collapsed lung and mobilization of excess pulmonary secretions .Purpose: To investigate the acute effect of
manual hyperinflation (MHI) on oxygenation and volume of secretions cleared in mechanically ventilated
patients.
Subjects and Methods: Manual hyperinflation was delivered in 30 medically stable, mechanically ventilated
patients . patients were randomly selected from Cairo university hospitals (critical care department). Their ages
ranged from 50 to 60 years .The study group A received both manual hyperinflation and standard chest
physiotherapy while control group B received standard chest physiotherapy only. Oxygenation parameters were
recorded before and after 30 minutes of treatment while secretion volume was recorded after 30 minutes of
treatment.
Results: The results of this study revealed statistically significant improvement in oxygenation parameters and
the amount of drained chest secretions in patients of both groups which was highly significant in favor of study
group A with P value ≤ 0.05.
Conclusion: Use of manual hyperinflation in combination with standard chest physiotherapy is a beneficial
method to clear lung secretions and improve oxygenation parameters in mechanically ventilated patients .
This document summarizes several sources on the use of kinesiology taping. The sources discuss research that has found kinesiology taping can reduce pain from contractions and lymphedema in breast cancer patients. Additional research discussed found that kinesiology taping can improve joint position sense after muscle fatigue and help recovery from occupational wrist disorders in physical therapists. One source discussed a study that found kinesiology taping decreased upper back pain in female sedentary workers with rounded shoulder posture. Another source described a randomized controlled trial that found a mixed kinesiology taping-compression technique reduced venous symptoms, pain, and clinical severity in postmenopausal women with chronic venous insufficiency.
A NALYSIS OF P AIN H EMODYNAMIC R ESPONSE U SING N EAR -I NFRARED S PECTROSCOPYijma
Despite recent advances in brain research, understa
nding the various signals for pain and pain intensi
ties
in the brain cortex is still a complex task due to
temporal and spatial variations of brain haemodynam
ics.
In this paper we have investigated pain based on ce
rebral hemodynamics via near-infrared spectroscopy
(NIRS). This study presents a pain stimulation expe
riment that uses three acupuncture manipulation
techniques to safely induce pain in healthy subject
s. Acupuncture pain response was presented and
Haemodynamic pain signal analysis showed the presence of dominant channels and their relationship
among surrounding channels, which contribute the fu
rther pain research area.
Effectiveness of Passive Range of Motion Exercises on Hemodynamic parameters ...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
1) A double-blind randomized controlled study evaluated a wearable pulsed radiofrequency electromagnetic field (PRFE) device for treating plantar fasciitis.
2) 70 subjects with plantar fasciitis were randomly assigned either an active or placebo PRFE device to wear overnight for 7 days.
3) The active PRFE device showed a progressive 40% decline in morning heel pain over 7 days, significantly greater than the 7% decline in the control group, demonstrating PRFE's potential as a drug-free noninvasive treatment for reducing plantar fasciitis pain.
EFFECT OF POSTURAL CONTROL BIOMECHANICAL GAIN ON PSYCHOPHYSICAL DETECTION THR...ijbbjournal
A Sliding Linear Investigative Platform for Assessing Lower Limb Stability (SLIP-FALLS) was employed to study postural control biomechanical reaction to external perturbations in a short ≤16mm postural perturbation. Head acceleration were evaluated while blindfolded subjects stood on a platform that was given a short anterior perturbation presented in one of 2 sequential 4s intervals (2-Alternative-ForcedChoice) for a set of 30 trials. Anterior-Posterior head acceleration (Head Accl AP) were investigated among the movement and non- movement intervals for the healthy adults. A strong ringing signal was observed in Head Accl AP movement interval that was absent in non-movement interval. A positive power
law trading relationship was found between Head Accl AP gain and move length standing blindfolded subjects. This could explain the observed negative power law relationship between translation length and peak acceleration threshold in previous psychophysical detection threshold studies.
Kinesio Tape is a material resembling human skin that can be stretched up to 140% of its length. When applied to the skin, it is believed to have various physiological effects such as reducing pain, improving circulation and lymphatic drainage, and assisting muscle movement. This document discusses the use of Kinesio Tape for orofacial myofunctional intervention, noting that it allows therapists to directly stimulate the skin and proprioceptors, potentially improving mandibular posture, swallowing frequency, and pain relief for conditions like craniomandibular dysplasia.
Different Splinting Time for Carpal Tunnel Syndrome in Women: Comparative Studyiosrjce
Study objective: To define the best splinting wear times, night or day, in pain relief for female patients with
idiopathic chronic CTS in exacerbation phase.
Design: Quasi experimental comparative design.
Method and measurements: 24 female patients (42 wrists) from military hospital in Riyadh participated in
this study. Their CTS was diagnosed by the nerve conduction velocity (NCV). On basis of splint wear time
patients were divided into two groups; day time and night time. Thermoplastic, custom-made,neutral
wristsplints were given to both groups (21 wrists each). Patients completed 3 consecutive weeks of follow-up.
Pain (pressure) threshold through, algometer, was used to measure the pain in both groups. Four
measurements were applied; one at the initial assessment and 3 during follow-up weeks.
Results: The current study showed a statistical s i g n i f i c a n t improvement (p = 0.0001) in pain threshold
with splint wear. This was true for both groups. Patients received splint in day time showed little increase in
pain threshold when compared with night time wear instruction but without significant difference.
Conclusion: W rist splint is an effective conservative treatment for CTS. No difference was found between
night or day time splint wear. Patient should wear the splint at their most adherent time
INFLUENCE OF GENDER ON MUSCLE ACTIVITY PATTERNS DURING NORMAL AND FAST WALKING ijbesjournal
Electromyography (EMG) signals are often described as electrical manifestation of neuromuscular
activation associated with the muscles. These signals are commonly utilized as principal input signals to
control several prosthetic devices such as prosthetic hands, arm, lower limbs, and exoskeleton robots as
well as in designing of rehabilitation and assistive devices. It is well proven that EMG signals vary among
subjects and gender is one of the major factors that play a significant role in this variation. This study
detects the possible gender differences by measuring changes in the EMG activity during different phases
of human walking by acquiring the surface EMG signals from Gluteus Maximus, Hamstrings (biceps
femoris), Quadriceps (rectus femoris) and Soleus muscles of the leg with the healthy subjects walking
barefoot at two paces-normal and fast. The statistical analysis of the results showed no gender differences
at normal speed of walking but when speed of walking changed; it showed clear differences in the
behavior of these muscles. The results from this study would aid in designing closed loop control strategy
for designing a smart functional electrical stimulator (FES) which is the larger goal of this research.
Classification of Normal and Crackles Respiratory Sounds into Healthy and Lun...IJECEIAES
Lung cancer is the most common cancer worldwide and the third most common cancer in Malaysia. Due to its high prevalence worldwide and in Malaysia, it is an utmost importance to have the disease detected at an early stage which would result in a higher chance of cure and possibly better survival. The current methods used for lung cancer screening might not be simple, inexpensive and safe and not readily accessible in outpatient clinics. In this paper, we present the classification of normal and crackles sounds acquired from 20 healthy and 23 lung cancer patients, respectively using Artificial Neural Network. Firstly, the sounds signals were decomposed into seven different frequency bands using Discrete Wavelet Transform (DWT) based on two different mother wavelets namely Daubechies 7 (db7) and Haar. Secondly, mean, standard deviation and maximum PSD of the detail coefficients for five frequency bands (D3, D4, D5, D6, and D7) were calculated as features. Fifteen features were used as input to the ANN classifier. The results of classification show that db7 based performed better than Haar with perfect 100% sensitivity, specificity and accuracy for testing and validation stages when using 15 nodes at the hidden layer. While for Haar, only testing stage shows the perfect 100% for sensitivity, specificity, and accuracy when using 10 nodes at the hidden layer.
1. This document describes a study protocol to evaluate if pre-procedural ultrasound of the lumbar spine can improve the procedural skill of performing subarachnoid blocks.
2. The study aims to compare outcomes like success on the first needle pass, number of needle passes, time taken between groups who receive pre-procedure ultrasound versus those who do not.
3. A review of previous literature found that ultrasound can help identify anatomy like the posterior longitudinal ligament that indicates ease of dural puncture, and may help predict difficult procedures. Simulation training and deliberate practice was also found to improve residents' skills in performing subarachnoid blocks.
This study evaluated the effects of different levels of neurally adjusted ventilatory assist (NAVA) and pressure support ventilation (PSV) on breathing patterns and carbon dioxide levels in 10 healthy volunteers. The volunteers' diaphragmatic electrical activity, tidal volume, respiratory rate, and transcutaneous carbon dioxide levels were measured during spontaneous breathing and at increasing levels of NAVA and PSV support. For both modes, diaphragmatic activity decreased with higher support levels, but tidal volume and carbon dioxide levels only changed with PSV, not NAVA. Subject-ventilator synchronization was better with NAVA. NAVA and PSV similarly reduced the abdominal contribution to tidal volume. The results suggest that adjustments to NAVA
1) The study compared the effectiveness of a 3-hour CPR/AED training program without hands-on practice to a traditional 4-hour program with hands-on practice.
2) Participants in the 3-hour program performed key CPR skills like chest compressions and maintaining the correct compression to ventilation ratio significantly worse compared to the 4-hour program.
3) However, both programs increased CPR/AED skills over 50% but the 4-hour program led to significantly better skill performance, suggesting hands-on practice is important for mastering skills like chest compressions.
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1. “M-mode sonography of diaphragmatic motion in order to set the cough-assist
machine in the uncooperative patients”
A. Longoni Respiratory Therapist, A. Paddeu MD, D. Mangiacasale MD, P. Pozzi MD, A.D. Marco MD, L. Cattaneo MD, M. Vago Respiratory Therapist
Asst Lariana -U.O. of Specialistic Cardio-Respiratory Rehabilitation 2, “Paola Giancola Foundation”, Cantù, Italy
angelo.longoni@asst-lariana.it
M-mode sonograpny (US) of the diaphragmatic
motion may be an aid for the respiratory therapist to better
calibrate the cough-assist machine in uncooperative patients (Fig.1).
1 G. Soldati, R. Copetti, Ecografia toracica (2012)
2 Winfocus’ Lung ultrasound for anesthesia & intensive care (WLUS-AIC)
3 A. Sarwal, F. O. Walker, M. S. Cartwright, Neuromuscular Ultrasound for evaluation of diaphragm. Muscle Nerve (2013), 47(3): 319-329;
4 A.Zanforlin, Applicazioni cliniche e sperimentali dell’ecografia toracica in pneumologia: la diagnostica precoce delle patologie pleuropolmonari (2012)
5.E. O. Gerscovich, M. Cronan. J. P. McGahan, K. Jain, C. D. Jones, C. McDonald, Ultrasonographic evaluation of diaphragmatic motion. J Ultrasound Med (2001) 597-604;
6 G. Ferrari, G. De Filippi, F. Elia, F. Panero, G. Volpicelly, F. Aprà, Diaphragm ultrasound as a new index of discontinuation from mechanical ventilation. C. U. J. (2014) 6:8
7 A. Boussuges, Y. Gole, P. Blanc, Diaphragmatic motion studied by M-mode ultrasonography: Methods, reproducibility and normal values. Chest (2009) 135(2):391-40089
Our study suggests that the diaphragmatic
sonography is a safe, reliable, fast and useful modality to set the
cough-assist machine. It can be performed at the patient bedside
and it may help clinicians and therapists in offering uncooperative
patients a tailored therapy.
The treatments were completed at patient bedside with
a considerable saving of time by two RT therapists. The best cough
machine value was achieved by considering the best ratio between
the diaphragm recruitment/excursion and the less pressure of work
(Fig. 10). A high pressure of the cough machine didn’t always offer
effectiveness and comfort in the majority of patients (Fig. 11).
10 uncooperative patients (Fig.13) in spontaneous
breathing and mechanically ventilated were studied. The US machine,
a portable one with a 1.3-4 MHz Sector Phased Array Transducer, was
set in B and M-Mode modality (Fig.2-3). US sonography were
performed in an anterior subcostal approach (Fig. 4) on semi-
recumbent position (Fig. 5), initially during normal breathing (Fig.
6),then with the cough assistant machine (Fig.7). The cough machine
pressures were: PI/E=+-10, 20, 25, 30, 35 ,40 cmH2O (Fig .
8,9,10,11,12 are of patient n. 5) while the Inspiratory Time (TI=3s.),
Expiratory Time (TE=2s.) and the Pause (P=1s.) were unchanged.
Poster n. 475
Objective:
Methods:
Results:
Working phases
Fig. 1: Uncooperative pz. Fig. 2: Ecography –B mode Fig. 3: M-Mode Fig. 4:Subcostal approch
Fig.9: Pz n.5=+- 20 cm H2O Fig. 10: Pz n.5=+- 30 cm H2O Fig. 11: Pz n.5=+- 40 cm H2O Fig.12: Cough parameters
Fig.13: Uncooperative respiratory patient’s
Fig. 5 :Position Fig. 6: Normal breath Fig. 7: Cough machine Fig.8: Pz n.5=+- 10 cm H2O
Conclusion:
Contacts
Bibliography: