The document summarizes recent advances in the management of hemiplegic shoulder pain in stroke patients. It discusses key factors that contribute to shoulder pain post-stroke like muscle weakness, tone alterations, and subluxation. Interventions studied till 2019 included cryotherapy, mobilization, ultrasound, TENS, PNF and exercise. Recent studies from 2020-2023 investigated extracorporeal shock wave therapy, kinesiotaping, sling exercise therapy, and trigger point dry needling. Meta-analyses found these newer interventions improved pain, function and quality of life compared to conventional treatment alone. Mechanisms of benefit included proprioceptive stimulation, muscle activation, joint support and increased blood flow.
Comparison between Effectiveness of Hand Arm Bimanual Intensive Training and ...ijtsrd
Background and Objective: According to world Health Organization (WHO) stroke is defined as œrapidly developing clinical sign of focal (or global) disturbance of cerebral function lasting more than 24 hours or leading to death, with no apparent cause other than vascular origin.1 Focal neurological deficits must persists for at least 24 hours, motor deficits are characterized by paralysis (hemiplegia) or weakness (hemiparesis), typically on the side of the body opposite site of lesion.Materials and Methods: The study was performed among 30 patients of both genders, aged 45-60 years. Subjects were selected on the basis of inclusion criteria and randomly divided into two groups by convenience sampling and allocating alternate patient group A and group B, 15 in each group. Group A was treated with Repetitive Facilitation Exercises (RFE), Group B was treated with Hand Arm Bimanual Intensive Training (HABIT). Baseline assessments were taken using WMFT and FMA and data was analyzed.Results: The groups showed significant differences in WMFT and FMA variables. But on comparing the mean of both the groups: there was no significant difference between both the groups. Conclusion: This study concluded that RFE and HABIT both are effective in treatment of patients with hemiparesis. Dr. Shilpy Jetly | Sukhwinder Kaur | Dr. Jaspinder Kaur"Comparison between Effectiveness of Hand Arm Bimanual Intensive Training and Repetitive Facilitation Exercises on Upper Limb Functions In Post Stroke Hemiparetic Patients" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-1 | Issue-5 , August 2017, URL: http://www.ijtsrd.com/papers/ijtsrd2375.pdf http://www.ijtsrd.com/medicine/other/2375/comparison-between-effectiveness-of-hand-arm-bimanual-intensive-training-and-repetitive-facilitation-exercises-on-upper-limb-functions-in-post-stroke-hemiparetic-patients/dr-shilpy-jetly
Presented an in-service on the evidence behind and the application of thoracic spine manipulation to the Martinsburg VA Medical Center's rehabilitation staff including: 7 PTs, 8 PTAs, 3 OTs, and 4 students.
Comparison between Effectiveness of Hand Arm Bimanual Intensive Training and ...ijtsrd
Background and Objective: According to world Health Organization (WHO) stroke is defined as œrapidly developing clinical sign of focal (or global) disturbance of cerebral function lasting more than 24 hours or leading to death, with no apparent cause other than vascular origin.1 Focal neurological deficits must persists for at least 24 hours, motor deficits are characterized by paralysis (hemiplegia) or weakness (hemiparesis), typically on the side of the body opposite site of lesion.Materials and Methods: The study was performed among 30 patients of both genders, aged 45-60 years. Subjects were selected on the basis of inclusion criteria and randomly divided into two groups by convenience sampling and allocating alternate patient group A and group B, 15 in each group. Group A was treated with Repetitive Facilitation Exercises (RFE), Group B was treated with Hand Arm Bimanual Intensive Training (HABIT). Baseline assessments were taken using WMFT and FMA and data was analyzed.Results: The groups showed significant differences in WMFT and FMA variables. But on comparing the mean of both the groups: there was no significant difference between both the groups. Conclusion: This study concluded that RFE and HABIT both are effective in treatment of patients with hemiparesis. Dr. Shilpy Jetly | Sukhwinder Kaur | Dr. Jaspinder Kaur"Comparison between Effectiveness of Hand Arm Bimanual Intensive Training and Repetitive Facilitation Exercises on Upper Limb Functions In Post Stroke Hemiparetic Patients" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-1 | Issue-5 , August 2017, URL: http://www.ijtsrd.com/papers/ijtsrd2375.pdf http://www.ijtsrd.com/medicine/other/2375/comparison-between-effectiveness-of-hand-arm-bimanual-intensive-training-and-repetitive-facilitation-exercises-on-upper-limb-functions-in-post-stroke-hemiparetic-patients/dr-shilpy-jetly
Presented an in-service on the evidence behind and the application of thoracic spine manipulation to the Martinsburg VA Medical Center's rehabilitation staff including: 7 PTs, 8 PTAs, 3 OTs, and 4 students.
Objective: To assess the effect of a kinesitherapeutic
program of special exercises for treatment of pain intensity and
endurance of the extensor trunk muscles in patients with
chronic lumbalgy.
Methods: The study included 110 patients with chronic
lumbalgy, equally distributed in two treatment groups.
Participants in the experimental group performed the
recommended special exercises 3 times a week at home, while
those in the control group only followed the guidelines of a
physician. At the beginning of the study and 12 months later,
the pain intensity of all the participants was assessed by means
of Visual Analog Scale.
Results: In contrast to the participants in the control
group, those in the experimental group at the end of observation
were reported to experience a significant reduction in pain
intensity.
Conclusions: Treatment with specific exercises proved
more effective in terms of pain complaints in patients with
chronic lumbalgy.
To Compare The Effect Of Core Stability Exercises And Muscle Energy Technique...IOSR Journals
Abstract: Low back pain is considered one of the commonest condition in the western and industrialized
countries. It is estimated that up to 50% of adults experience low back pain during their life span. People of all
age group can be effected 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 muscle energy technique etc. It has been concluded in various studies core
stability exercises and muscle energy technique 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 core stability exercises and muscle energy techniques on low back pain
patients. 60 subjects aged 18 – 45 years with low back pain were made part of the study based on inclusion and
exclusion criteria and were then divided into three groups named A, B and C. Group A received core stability
exercise and conventional physiotheraphy and group B received muscle energy techniques and conventional
physiotherapy. The exercise program was given on alternate days 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,
ROM and quality of life scale. Results were analyzed using paired, unpaired t- test and ANOVA. Results showed
that there is significant effect on pain, ROM and quality of life scale in the three groups but group A was
clinically more significant than the other groups. The study concluded that patients with low back pain are
benefitted more by core stability exercises. So, core stability exercises should be practiced more.
Keywords: Low Back Pain, Core Stabilization Exercises, Muscle Energy Technique.
Title: A Study to Evaluate the Hemodynamic Effects of Swiss Ball Exercise in Post-Operative Coronary Artery Bypass Graft Patients
Introduction:
Coronary artery bypass graft (CABG) surgery is a common procedure to restore blood flow to the heart in patients with coronary artery disease.
Post-operative cardiac rehabilitation is crucial for optimizing recovery and improving overall cardiovascular health.
Swiss ball exercises have gained popularity as a rehabilitation tool due to their potential to improve balance, core stability, and functional capacity.
Objective:
To assess the hemodynamic effects of Swiss ball exercise in patients undergoing post-operative coronary artery bypass graft surgery.
Methods:
Study Design: A prospective, randomized controlled trial.
Participants: Patients who underwent coronary artery bypass graft surgery and met inclusion criteria.
Randomization: Patients will be randomly assigned to either the intervention group (Swiss ball exercise) or the control group (standard cardiac rehabilitation).
Intervention: The intervention group will perform supervised Swiss ball exercises as part of their cardiac rehabilitation program.
Control Group: The control group will receive standard cardiac rehabilitation without Swiss ball exercises.
Outcome Measures: Hemodynamic parameters, including heart rate, blood pressure, cardiac output, stroke volume, and systemic vascular resistance, will be measured at baseline and at specified time intervals during the study period.
Data Analysis: Statistical analysis will be performed to compare the hemodynamic parameters between the intervention and control groups.
Expected Results:
Improved Hemodynamic Parameters: It is hypothesized that the Swiss ball exercise group will exhibit improved hemodynamic parameters compared to the control group.
Increased Cardiac Output and Stroke Volume: Swiss ball exercises may enhance cardiac performance, leading to increased cardiac output and stroke volume.
Decreased Systemic Vascular Resistance: Swiss ball exercises may result in improved vascular function, leading to reduced systemic vascular resistance.
Enhanced Functional Capacity: Patients in the intervention group may experience improved functional capacity, as reflected by increased exercise tolerance and reduced exertional symptoms.
Significance:
Clinical Application: The findings of this study may provide evidence supporting the inclusion of Swiss ball exercises in post-operative cardiac rehabilitation programs for CABG patients.
Rehabilitation Guidelines: The study results may contribute to the development of guidelines for incorporating Swiss ball exercises into standard cardiac rehabilitation protocols.
Improved Patient Outcomes: If Swiss ball exercises are found to have positive hemodynamic effects, their implementation in post-operative rehabilitation
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.
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.
Neuroplasticity, also known as brain plasticity, is an umbrella term that describes lasting change to the brain throughout an animal's life course. The term gained prominence in the latter half of the 20th century, when new research showed many aspects of the brain remain changeable (or "plastic") even into adulthood.
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.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Objective: To assess the effect of a kinesitherapeutic
program of special exercises for treatment of pain intensity and
endurance of the extensor trunk muscles in patients with
chronic lumbalgy.
Methods: The study included 110 patients with chronic
lumbalgy, equally distributed in two treatment groups.
Participants in the experimental group performed the
recommended special exercises 3 times a week at home, while
those in the control group only followed the guidelines of a
physician. At the beginning of the study and 12 months later,
the pain intensity of all the participants was assessed by means
of Visual Analog Scale.
Results: In contrast to the participants in the control
group, those in the experimental group at the end of observation
were reported to experience a significant reduction in pain
intensity.
Conclusions: Treatment with specific exercises proved
more effective in terms of pain complaints in patients with
chronic lumbalgy.
To Compare The Effect Of Core Stability Exercises And Muscle Energy Technique...IOSR Journals
Abstract: Low back pain is considered one of the commonest condition in the western and industrialized
countries. It is estimated that up to 50% of adults experience low back pain during their life span. People of all
age group can be effected 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 muscle energy technique etc. It has been concluded in various studies core
stability exercises and muscle energy technique 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 core stability exercises and muscle energy techniques on low back pain
patients. 60 subjects aged 18 – 45 years with low back pain were made part of the study based on inclusion and
exclusion criteria and were then divided into three groups named A, B and C. Group A received core stability
exercise and conventional physiotheraphy and group B received muscle energy techniques and conventional
physiotherapy. The exercise program was given on alternate days 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,
ROM and quality of life scale. Results were analyzed using paired, unpaired t- test and ANOVA. Results showed
that there is significant effect on pain, ROM and quality of life scale in the three groups but group A was
clinically more significant than the other groups. The study concluded that patients with low back pain are
benefitted more by core stability exercises. So, core stability exercises should be practiced more.
Keywords: Low Back Pain, Core Stabilization Exercises, Muscle Energy Technique.
Title: A Study to Evaluate the Hemodynamic Effects of Swiss Ball Exercise in Post-Operative Coronary Artery Bypass Graft Patients
Introduction:
Coronary artery bypass graft (CABG) surgery is a common procedure to restore blood flow to the heart in patients with coronary artery disease.
Post-operative cardiac rehabilitation is crucial for optimizing recovery and improving overall cardiovascular health.
Swiss ball exercises have gained popularity as a rehabilitation tool due to their potential to improve balance, core stability, and functional capacity.
Objective:
To assess the hemodynamic effects of Swiss ball exercise in patients undergoing post-operative coronary artery bypass graft surgery.
Methods:
Study Design: A prospective, randomized controlled trial.
Participants: Patients who underwent coronary artery bypass graft surgery and met inclusion criteria.
Randomization: Patients will be randomly assigned to either the intervention group (Swiss ball exercise) or the control group (standard cardiac rehabilitation).
Intervention: The intervention group will perform supervised Swiss ball exercises as part of their cardiac rehabilitation program.
Control Group: The control group will receive standard cardiac rehabilitation without Swiss ball exercises.
Outcome Measures: Hemodynamic parameters, including heart rate, blood pressure, cardiac output, stroke volume, and systemic vascular resistance, will be measured at baseline and at specified time intervals during the study period.
Data Analysis: Statistical analysis will be performed to compare the hemodynamic parameters between the intervention and control groups.
Expected Results:
Improved Hemodynamic Parameters: It is hypothesized that the Swiss ball exercise group will exhibit improved hemodynamic parameters compared to the control group.
Increased Cardiac Output and Stroke Volume: Swiss ball exercises may enhance cardiac performance, leading to increased cardiac output and stroke volume.
Decreased Systemic Vascular Resistance: Swiss ball exercises may result in improved vascular function, leading to reduced systemic vascular resistance.
Enhanced Functional Capacity: Patients in the intervention group may experience improved functional capacity, as reflected by increased exercise tolerance and reduced exertional symptoms.
Significance:
Clinical Application: The findings of this study may provide evidence supporting the inclusion of Swiss ball exercises in post-operative cardiac rehabilitation programs for CABG patients.
Rehabilitation Guidelines: The study results may contribute to the development of guidelines for incorporating Swiss ball exercises into standard cardiac rehabilitation protocols.
Improved Patient Outcomes: If Swiss ball exercises are found to have positive hemodynamic effects, their implementation in post-operative rehabilitation
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.
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.
Neuroplasticity, also known as brain plasticity, is an umbrella term that describes lasting change to the brain throughout an animal's life course. The term gained prominence in the latter half of the 20th century, when new research showed many aspects of the brain remain changeable (or "plastic") even into adulthood.
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.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
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2. Introduction
• Stroke, also known as cerebrovascular accident (CVA), is the rapid demise of
brain cells owing to a shortage of oxygen caused by a blood vessel blockage
or arterial rupture to the brain.1
• Stroke is the third most common cause of mortality and the leading cause of
acquired adult impairment.2
3. • The greatest impact on patients and their families is typically caused by
long-term impairment, activity restrictions (disability), and decreased
engagement (handicap).2
• The most frequent and well-known disability brought on by a stroke is
motor impairment and complications which cause loss or restriction of
function in muscle control or movement or a restriction in mobility,
usually impacting the ability to move one side of the body's face, arm,
and leg.2
4. • It is found that 16% to 84% of patients have hemiplegic shoulder pain (HSP)
as a result of upper extremity complications.3
• It is usually discovered to happen between 4 weeks and 2 months following
a stroke, which is the optimal time for stroke patients to undergo
rehabilitation.4
• Although the exact causes of HSP poststroke are yet unknown, the key risk
factors are diminished motor function, tone alterations, soft tissue lesions,
and changed peripheral and central neuronal activity such as spasticity and
severe arm paralysis.5
5. • Another factor is shoulder subluxation where the glenohumeral joint tends to
collapse because of muscle weakness occurring around the shoulder joint and
the weight of the upper limb causing Hemiplegic shoulder pain.11
• Hemiplegic shoulder pain (HSP) can significantly interfere with upper limb
exercises, restrict motion, and have a certain impact on patients' capacity to
regain functional ability, daily living activities, and quality of life.
Additionally, it harms patient’s mental health, causing the formation and
exacerbation of negative psychological responses such as post-stroke despair
and anxiety.4
6. Interventions available till 20196
• Cryotherapy
• Joint Mobilization
• Ultrasound
• Transcutaneous electrical nerve stimulation
• Neuromuscular electrical stimulation
• Proprioceptive Neuromuscular Facilitation
• Good limb position and ROM exercises for the affected shoulder
• Bobath therapy
• Brunnstrom therapy
7. Need for Recent Studies
• Upper limb dysfunction in post-stroke patients leads to an increase in
disability and a decrease in the Quality of Life.
• Pain is the primary component due to which there will be activity
limitation.
8. • Recovery is hampered or delayed in post-stroke patients due to the
presence of hemiplegic shoulder pain hence there is a need to address
this problem early.
• Therefore in order to effectively treat hemiplegic shoulder pain, get
longer-lasting relief and improve Quality of Life it is crucial to look
for recent evidence in physiotherapy.
9. Search Strategies
• Database searched: PubMed, Google scholar, Science Direct.
• Key words: Shoulder pain, Shoulder Subluxation, Stroke, Post-stroke,
Physiotherapy management, Intervention, Exercise Therapy.
• Selection Criteria:
1) The search was limited to data published between 2020-2023 and only
English-language articles were included with full-text or abstract of the
articles.
2) Articles before 2020 were excluded.
10. Title Year
Level Of
Evidence
1) Extracorporeal shock wave therapy for shoulder
pain after stroke: A systematic review and meta-
analysis (Abstract)
2023 1a
2) Effect of Kinesiotaping on pain relief and upper
limb function in stroke survivors: A systematic
review and meta-analysis
2022 1a
3) Effects of sling exercise therapy on balance,
mobility, activities of daily living, quality of life and
shoulder pain in stroke patients: a randomized
controlled trial
2020 1b
11. Title Year Level Of
Evidence
4) Post-needling soreness and trigger point dry
needling for hemiplegic shoulder pain following
stroke
2020 1b
5) Effects of Repetitive Peripheral Magnetic
Stimulation on Shoulder Subluxations Caused by
Stroke: A Preliminary Study
2020 4
12. 1) Extracorporeal shock wave therapy for
shoulder pain after stroke: A systematic review
and meta-analysis (2023)
Authors: Tingyu Zhang, Cai Zhang
Physiotherapy Department, School of Rehabilitation Science, Shanghai
University of Traditional Chinese Medicine, Shanghai, China
Journal: Clinical Rehabilitation (Sage Journals) (Impact factor: 2.88)
13. Patient Population Intervention
• Patients with Shoulder pain after stroke • Trials taken to check the effectiveness of
Extracorporeal Shock Wave Therapy (ESWT)
Comparison Outcomes
• ESWT compared with conventional
treatment
• VAS – Visual Analogue Scale
• FMA-UE – Fugl-Meyer Assessment Upper
Extremity Scale
• AROM - Active Range of Motion Assessment
• CMS - Constant-Murley Score
• MBI – Modified Barthel Index
14. Conclusion
• The ESWT has been shown to improve pain levels, motor
function, active mobility, comprehensive function of the
shoulder, and activities of daily living (ADL) better than
conventional treatment in patients with shoulder pain after
stroke
15. 2) Effect of Kinesiotaping on pain relief and
upper limb function in stroke survivors: A
systematic review and meta-analysis (2022)
Authors: Botao Tan, Gongwei Jia, Yunling Song, Wei Jiang
Department of Rehabilitation Medicine, The Second Affiliated Hospital of
Chongqing Medical University, Chongqing, China
Journal: American Journal of Translational Research (Impact factor: 4.06)
16. Patient Population Intervention
• Stroke patients with upper limb
dysfunction – Hemiplegic shoulder pain
were included
• Not limited to any race, nationality and
duration of symptoms
• Treatment with Kinesiotaping for checking its
effect on HSP and upper limb function
Comparison Outcomes
• Kinesiotaping compared with a
sham/placebo tape or with conventional
physical therapy alone
• Primary outcome measures:
ROM of the upper limb joints
Pain – VAS, Digital Rating scales
Spasticity - Modified Ashworth scale (MAS)
Shoulder subluxation
• Secondary outcome measures
Barthel index (BI)
Fugl-Meyer for upper extremity (FMA-UE)
assessment score
17.
18. Possible mechanism
• Kinesiotaping provides mechanical support due to the pressure and
stretching exerted by the tape, stimulates the nervous system by giving
proprioceptive feedback, and also accelerates blood circulation, thus
reducing pain and helping to improve joint ROM and activating muscles.
19. Conclusion
• Kinesiotaping effectively relieved shoulder pain, improved
upper limb spasticity and ROM, and reduced shoulder
subluxation in stroke survivors.
20. 3) Effects of sling exercise therapy on balance, mobility,
activities of daily living, quality of life and shoulder
pain in stroke patients: a randomized controlled trial
(2020)
Authors: Jing Liu, Weibing Feng, Jun Zhou, Fujing Huang, Liping Long, Yalin Wang,
Pengcheng Liu, Xiarong Huang, Mingzhu Yang, Ke Wang, Zhilu Sun
Department of Emergency,The First Affiliated Hospital of University of South
China,NO.69 Chuanshan Road,Hengyang, Hunan,China;
Journal: European Journal of Integrative Medicine (Impact Factor: 1.31)
21. Patient Population Intervention
• Stroke patients
• Age 20-70 years
• Course of disease within 6 months
• Sling exercise therapy (SET)
• Routine physiotherapy
• Both performed in a day session for 30 minutes,
5 times per week for 4 weeks
Comparison Outcomes
• One group being given Sling exercise
therapy using a suspension device (n=25)
compared with the control group being
given Routine Physiotherapy (n=25)
• Balance - Berg Balance Scale (BBS)
• Motor Function – Fugl-Meyer Assessment
(FMA)
• ADLs – Barthel Index (BI)
• QoL – Short Form 36 (SF-36)
• Pain – Visual Analogue Scale (VAS) [For
shoulder pain that occurred after stroke]
22.
23.
24. Possible mechanism
• As a training program, the SET focuses on strengthening the trunk and limb
muscles, as well as on stimulating the proprioceptors, thus promoting
coordination of the neuromuscular system.
• Sling suspension training could induce active contraction of shoulder muscle,
thus, it could effectively reduce shoulder subluxation, and improve
proprioception and upper limb function in acute stroke.
25. • In this study, through some progressive approaches like relaxation training,
manipulative therapy, and stability training, they activated the soft tissue
around the hemiplegic shoulder joint, corrected the abnormal scapula posture,
and balanced the muscle strength and muscle tension around the shoulder
joint.
• This significantly relieved the patient’s pain and improved upper extremity
motor function. Therefore by activating the proprioception of nerve and
muscle, and improving the stability of the shoulder joint, the SET was more
effective to relieve shoulder pain and improve the upper limb movement
function of stroke patients than the conventional treatment.
26. Conclusion
• The sling exercise therapy has been shown to be a safe and effective
method to improve balance, mobility, activities of daily living, quality
of life, and shoulder pain in stroke patients.
• It could be an important therapeutic strategy to promote
comprehensive functional recovery post-stroke.
27. 4) Post-needling soreness and trigger point dry
needling for hemiplegic shoulder pain following
stroke (2020)
Authors: Ana Mendigutía-Gómez, María T Quintana-García, Miriam Martín-Sevilla,
Diego de Lorenzo-Barrientos, Jorge Rodríguez-Jiménez, César Fernández-de-las-
Peñas and José L Arias-Buría
Department of Physical Therapy, Occupational Therapy, Physical Medicine and
Rehabilitation, Universidad Rey Juan Carlos, Alcorcón, Spain
Journal: Acupuncture in Medicine (Sage Journals) (Impact factor: 2.26)
28. Patient Population Intervention
• Stroke patients
• Aged 30-60 years
• Hypertonic upper extremity with
hemiplegic shoulder pain
• Active Trigger Points (TrPs) in
shoulder muscles with referred pain
• TrPs Dry Needling (single session)
• Neurorehabilitation program with modulatory
interventions
• 45 minutes each session
Comparison Outcomes
• Rehabilitation program alone
compared with Rehabilitation
combined with TrPs Dry Needling
• Primary outcome - intensity of post-needling induced
pain assessed with an 11-point numerical pain rating
scale (NPRS; 0=no pain; 10=maximum pain)
assessed at 1min, 24 h and 72 h after DN
• Secondary outcome - intensity of shoulder pain and
the presence of active TrPs assessed before, and 3
and 7 days after the intervention
29.
30.
31. Possible mechanism
• The mechanisms underlying the observed changes in shoulder pain after the
application of DN are unclear, but some hypotheses are proposed.
• It seems that DN exerts several mechanical effects on the TrP and the central
nervous system, which may potentially initiate a cascade of
neurophysiological mechanisms leading to anti-nociceptive effects.
• In fact, TrP-DN may reduce peripheral and central sensitization by removing
the source of peripheral nociception (i.e. the TrP), by modulating spinal
dorsal horn activity, and by activating central inhibitory pain pathways.
32. Conclusion
• The results showed that application of a single session of DN of the active
TrPs reproducing the shoulder pain symptoms was effective at reducing
the intensity of shoulder pain at a 1 week follow-up time point
• This trial found that 50% of stroke patients receiving DN experienced
post-needling-induced pain, a side effect that almost disappeared 72h after
the intervention without any additional therapeutic action.
• In addition, the inclusion of TrP-DN into a rehabilitation session was
effective at decreasing shoulder pain in the patients
33. 5) Effects of Repetitive Peripheral Magnetic
Stimulation on Shoulder Subluxations Caused by
Stroke: A Preliminary Study (2020)
Authors: Kenta Fujimura, Hitoshi Kagaya, Chiharu Endou, Akihito
Ishihara, Kozue Nishigaya, Kana Muroguchi, Hiroki Tanikawa, Masayuki
Yamada, Yoshikiyo Kanada, Eiichi Saitoh
Faculty of Rehabilitation, School of Health Sciences, Fujita Health
University, 1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi, Japan
Journal: Neuromodulation Journal (Elsevier) (Impact factor: 4.02)
34. Patient Population Intervention
• 12 hemiplegic patients
• Shoulder subluxation post stroke
measuring half at least
fingerbreadth with more than 30
days since onset
• Conventional Rehabilitation for 180min/day, 7 days a
week
• Repetitive peripheral magnetic stimulation (RPMS) to
Supraspinatus, Infraspinatus and Posterior Deltoid
Muscles for 17min/day, 5 days a week, for 4 weeks
Comparison Outcomes
• None • Primary Outcome – Acromio-humeral interval with
Xray using a scale
• Shoulder Pain – Numerical Rating scale
• Active range of motion of shoulder abduction
• Spasticity – Modified Ashworth Scale
• Fugl Meyer Assessment Scale (FMA-UE)
35.
36. Possible mechanism
• rPMS activates without stimulating the skin nociceptors by using time-
varying electromagnetic fields to induce eddy currents in the adjacent volume
without passing the skin.
• It does not excite the Aδ-fibers and C-fibers of the skin. Therefore, in
addition to providing stronger stimulation while limiting pain, rPMS can
stimulate peripheral nerves and muscles located relatively deep in the body
37. Conclusion
• Repetitive peripheral magnetic stimulation effectively reduced
shoulder subluxations and subluxation-related shoulder pain caused by
stroke and improved voluntary upper-limb movements in stroke
patients.
38. Clinical Implications
Intervention – Kinesiotaping
Clinic Condition – HSP post-stroke (Acute, Subacute, Chronic
1 month to 1-year approx.)
Duration – 12-72 hours, 3-5 days per week for an average of 4
weeks
Applied over – Deltoid (anterior, middle, and posterior fibers),
Supraspinatus, Biceps, Triceps, Pectoralis Major, Teres Minor.
39. Intervention – Sling Exercise Therapy using Suspension
Clinic Condition – Stroke patients (course of the disease within 6
months)
Duration – 30 minutes per session, 5 times per week for 4 weeks
Exercises Performed
1) The patient’s chest and abdomen suspended by a wide elastic band
and positioning in the prone position with the fulcrum of bilateral
elbows and knees, then swaying the torso in all directions,
therapists can assist.
2) Target elbow and wrist suspended, according to the patient's ability
to do passive/active open and close chain movement,
supplementing by shoulder loosening technology
40. Intervention – TrPs Dry Needling combined with rehabilitation
Clinic Condition – Stroke patient with HSP presenting with active
TrPs in Shoulder muscles
Duration – 45 mins single session including unilateral arm training
focusing on decreased muscle tone, passive positioning of the
shoulder girdle, and repetitive task training exercises along with TrPs
Dry Needling on active TrPs
Technique – The needle is inserted into the skin over the TrP area
and advanced into the muscle using the “fast-in and fast-out”
technique until a first local twitch response is obtained, the needle
moved up and down (3–5mm vertical motions, no rotations) for 60
seconds until no more local twitch responses are elicited.
41. Intervention – Repetitive Peripheral Magnetic Stimulation
Clinic Condition – Stroke patients with shoulder subluxation
Duration – rPMS for 17mins/day, 5 days per week for 4 weeks.
One stimulation was 30 Hz for 2 sec. Off time was set at 3 sec.
100 cycles of stimulation for each muscle (6,000 pulses).
Conventional Rehabilitation – 180 mins/day, 7 days per week
rPMS applied over Supraspinatus, Posterior deltoid and
Infraspinatus
Conventional Rehabilitation including neuromuscular
facilitation, joint mobilization, and muscle stretching for shoulder
joints
42. Future Recommendations
1. According to the SR and MA, comparing Kinesiotaping with
sham/placebo tape or with conventional physical therapy alone, the
sample size is small which can cause publication bias. Therefore
studies with larger sample sizes are recommended for better
generalizability and higher-quality evidence for clinical practice.
43. 2. According to the RCT for TrPs Dry Needling for HSP, the follow-up
taken was only for changes that lasted for a week. Since stroke
survivors are chronic patients it is recommended to take longer follow-
ups to see how long the effects last and also take a larger sample size.
Also only a single session of Dry Needling was done for the
intervention. Future studies can look for effects with an increased
number of treatment sessions.
44. References
1) Johnson W, Onuma O, Owolabi M, Sachdev S. Stroke: a global response is needed. Bull World Health Organ.
2016;94(9):634-634A. doi:10.2471/BLT.16.181636
2) Langhorne P, Coupar F, Pollock A. Motor recovery after stroke: a systematic review. Lancet Neurol. 2009;8:741-54.
3) Alanbay E, Aras B, Kesikburun S, Kizilirmak S, Yasar E, Tan AK. Effectiveness of Suprascapular Nerve Pulsed
Radiofrequency Treatment for Hemiplegic Shoulder Pain: A Randomized-Controlled Trial. Pain Physician.
2020;23(3):245-252.
4) Wei YH, Du DC, Jiang K. Therapeutic efficacy of acupuncture combined with neuromuscular joint facilitation in
treatment of hemiplegic shoulder pain. World J Clin Cases. 2019 Dec 6;7(23):3964-3970. doi:
10.12998/wjcc.v7.i23.3964. PMID: 31832398; PMCID: PMC6906577.
5) Kim MS, Kim SH, Noh SE, Bang HJ, Lee KM. Robotic-Assisted Shoulder Rehabilitation Therapy Effectively
Improved Poststroke Hemiplegic Shoulder Pain: A Randomized Controlled Trial. Arch Phys Med Rehabil.
2019;100(6):1015-1022. doi:10.1016/j.apmr.2019.02.003
6) Walsh K. Management of shoulder pain in patients with stroke. Postgrad Med J. 2001;77(912):645-649.
doi:10.1136/pmj.77.912.645
45. 7) Zhang T, Zhang C. Extracorporeal shock wave therapy for shoulder pain after stroke: A systematic review and meta-analysis
[published online ahead of print, 2023 Jan 22]. Clin Rehabil. 2023;2692155231152134. doi:10.1177/02692155231152134
8) Tan B, Jia G, Song Y, Jiang W. Effect of kinesiotaping on pain relief and upper limb function in stroke survivors: a
systematic review and meta-analysis. Am J Transl Res. 2022 May 15;14(5):3372-3380. PMID: 35702074; PMCID:
PMC9185082.
9) Liu J, Feng W, Zhou J, Huang F, Long L, Wang Y, Liu P, Huang X, Yang M, Wang K, Sun Z, Effects of Sling Exercise
Therapy on balance, mobility, activities of daily living, quality of life and shoulder pain in stroke patients: a randomized
controlled trial, European Journal of Integrative Medicine (2020), doi: https://doi.org/10.1016/j.eujim.2020.101077
10) Mendigutía-Gómez A, Quintana-García MT, Martín-Sevilla M, et al. Post-needling soreness and trigger point dry needling
for hemiplegic shoulder pain following stroke. Acupunct Med. 2020;38(3):150-157. doi:10.1177/0964528419882941
11) Fujimura K, Kagaya H, Endou C, et al. Effects of Repetitive Peripheral Magnetic Stimulation on Shoulder Subluxations
Caused by Stroke: A Preliminary Study. Neuromodulation. 2020;23(6):847-851. doi:10.1111/ner.13064
The acromiohumeral interval refers to the distance between the acromion and the greater tuberosity of the humerus (upper arm bone) in the shoulder joint. The normal acromiohumeral interval is approximately 1.5 cm
Shoulder loosening technology refers to techniques, exercises, or equipment used to loosen and improve the mobility of the shoulder joint. This can involve physical therapy, yoga, stretching, foam rolling, massage, or the use of resistance bands, weights, or other exercise equipment. The goal of shoulder loosening technology is to improve range of motion, reduce pain and stiffness, and enhance overall shoulder function. Some techniques may also target the soft tissue surrounding the shoulder joint, such as the rotator cuff, to improve flexibility and prevent injury. The specific approach will depend on the individual's needs and goals, as well as any underlying medical conditions
Small sample sizes in studies can result in publication bias because studies with smaller sample sizes are more likely to produce false positive results, and therefore are more likely to be published in academic journals. This is because smaller sample sizes increase the likelihood of random fluctuations, leading to more false positive results, which can be more exciting or sensational than negative results. As a result, journals may be more likely to publish studies with positive results, even if they have small sample sizes, creating a skewed representation of the data in the scientific literature