scholarly journals Ultrasound-guided percutaneous neuromodulation in chronic lateral elbow pain

2019 ◽  
Vol 02 (02) ◽  
pp. 103-104
Author(s):  
De la Cruz-Torres B.
Keyword(s):  
Effect Size ◽  
Radial Nerve ◽  
Tennis Elbow ◽  
Accommodation Coefficient ◽  
Initial Assessment ◽  
Control Group ◽  
Ultrasound Guided ◽  
Large Effect Size ◽  
Painful Condition ◽  
Lateral Epicondylalgia

Abstract Background Lateral epicondylalgia (LE), also known as tennis elbow, refers to a painful condition around the lateral epicondyle of the humerus and the common extensor tendon, which worsens with dorsiflexion and/or wrist supination against resistance. The aim of this study was to evaluate the effect of ultrasound-guided percutaneous neuromodulation (PNM) applied to the radial nerve in relation to pain, functionality, electrophysiological excitation and the morphology of the nerve in patients with chronic lateral epicondylalgia. Material and Methods A randomized clinical trial was performed. In total, 28 patients (15 women, 13 men) with chronic unilateral LE were randomly divided into two groups: a control group (CG = 12) who did not receive any treatment and an experimental group (PNM = 16) who received a weekly session during three weeks of ultrasound-guided PNM on the affected radial nerve. Concretely, the therapy consisted of the application of an asymmetric biphasic current on the symptomatic side, with a frequency of 10 Hz, a phase duration of 250 microseconds, and sufficient current intensity to observe a contraction in the forearm during 1.5 minutes. The variables analyzed were: pain, measured via the visual analog scale (VAS); functionality, measured using the Patient-Rated Tennis Elbow Evaluation (PRTEE); the morphology of the nerve with the calculation of the cross-sectional area (CSA) and the electrophysiological excitability with the intensity-time curve (accommodation coefficient) of the radial nerve studied Results There were no differences between the two groups in the initial assessment regarding pain, functionality and nerve morphology (all comparisons obtained a p > 0.05). However, at the end of the study, the groups were significantly different. After treatment, there were significant differences in all variables: for the VAS (p < 0.001) with a large effect size (d > 0.8); for all values of the PRTEE (p < 0.001) the effect size was median (d > 0.5) and for the CSA (p = 0.001) the effect size was large (d > 0.8). Only the PNM group displayed significant increases in their values compared to the initial assessment, with a large effect size for all variables (d > 0.8). Regarding the accommodation coefficient, 75% of patients (12/16) displayed hypoexcitability of the nerve in the PNM group and 64% of patients (8/12) in the CG at the beginning of the study. After treatment, only the PNM group showed significant improvements in the pattern of excitability of the radial nerve, reaching normal nerve function in all subjects (p < 0.001). Conclusion Ultrasound-guided PNM leads to a decrease in pain and CSA of the radial nerve; furthermore, it produces an increased functionality of the elbow and normalization of the electrophysiological excitability of the affected radial nerve. Ultrasound-guided PNM appears to be an appropriate tool for the treatment of patients with chronic LE.

The effect of midodrine on lactate clearance in patients with septic shock: a pilot study

2021 ◽  
Author(s):  
Effat Davoudi-Monfared ◽  
Mostafa Mohammadi ◽  
Meysam Khoshavi ◽  
Hossein Khalili
Keyword(s):  
Septic Shock ◽  
Pilot Study ◽  
Effect Size ◽  
Critically Ill Patients ◽  
Lactate Clearance ◽  
Control Group ◽  
Large Effect Size ◽  
Group 13 ◽  
Registration Number ◽  
To Receive

Background: The effect of midodrine on lactate clearance has not been assessed in critically ill patients yet. Objective: The goal of this study was to assess the effect of adjunctive midodrine therapy on lactate clearance in patients with septic shock. Materials & methods: Patients with septic shock were assigned to receive either adjunctive midodrine 10 mg three-times a day for 5 days (midodrine group = 15 patients) or not (control group = 13 patients). Results: The lactate clearance was significantly faster in the midodrine group than the control group (p = 0.049) with a large effect size ([Formula: see text] = 0.141). Conclusion: When midodrine was added to intravenous vasopressors, it significantly accelerated lactate clearance in patients with septic shock. Trial registration number: IRCT20100228003449N25 (Clinicaltrials.gov).

scholarly journals Validasi Modul Pelatihan Pendampingan Klien pada Pekerja Sosial

2019 ◽  
Vol 3 (2) ◽  
pp. 66
Author(s):  
Yova Tri Yolanda ◽  
Muhana Sofiati Utami
Keyword(s):  
Social Worker ◽  
Effect Size ◽  
Test Sample ◽  
Control Group ◽  
Control Groups ◽  
Large Effect Size ◽  
Control Group Design ◽  
Sample Data ◽  
Post Test ◽  
And Control

Purpose of this research is to validated the module Client Facilitating Training to increase social worker knowledge about stress  and skill for facilitating client. Training included psychoeducation about stress and management stress, basic of client facilitating method and communication skill in facilitating process. Subjects of this research are 12 social worker and divided to experiment and control group. This research using quasi experiment with non control group design with pretest and post test sample. Data collected by management stres questionnaire, facilitating scale and field data collected by observer and supervisor. Results indicated that there is a significant differences between experiment and control groups in stress and management stress (Z=-3,017; p<0,05) with large effect size of 0,87 and Facilitatting skill (Z= -1,354; p<0,05) with large effect size of 0,84. Client Facilitating Training is valid to improve social worker knowledge stress  and management stress  and facilitating skill.

Strength–Duration Curves of Radial Nerve in Patients With Lateral Elbow Pain

2020 ◽  
Vol 29 (6) ◽  
pp. 754-759 ◽  
Author(s):  
Blanca de la Cruz Torres
Keyword(s):  
Radial Nerve ◽  
Tennis Elbow ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Painful Condition ◽  
Duration Of Symptoms ◽  
Lateral Epicondyle ◽  
Lateral Elbow Pain ◽  
Left Limb ◽  
The Right

Context:Lateral epicondylalgia (LE) refers to a painful condition at or around the lateral epicondyle of the humerus. LE is one of the most common injuries of the elbow; however, the cause of the pathology is not clear. Patients often experience symptoms consistent with a radial nerve injury; however, data on the involvement of the radial nerve are needed.Objective:To analyze the relationship between electrophysiologic excitability and morphology of the radial nerve in patients with unilateral chronic LE.Design:Cross-sectional study.Setting:Department of Physiotherapy, University of Seville.Patients:A total of 56 elbows (28 right, 28 left) in 28 patients (12 females, 16 males; age 49 [7.37] y) were recruited by convenience sampling.Main Outcome Measures:Strength–duration curves (chronaxia and accommodation index) and cross-sectional area (CSA) of the radial nerve were made in all participants. All parameters were compared between both limbs. Also, pain with palpation in the lateral epicondyle and functional pain of involved extremities was assessed using visual analog scale and the Patient-Rated Tennis Elbow Evaluation, respectively.Results:Symptomatic limb showed higher CSA values of the radial nerve when compared with the asymptomatic limb (P < .001). On the symptomatic limb, duration of symptoms was positively correlated with CSA values. Chronaxia values were all normal and similar between both limbs (P = .35). Regarding accommodation index, 14 (54%) patients showed accommodation indices that suggested pathological radial nerve on the right limb, 4 (14%) on the left limb, 5 (18%) on both limbs, and 4 (14%) had none of the affected nerves. Eight-six percent of patients showed accommodation indices that suggested pathological radial nerve, independently of symptomatic limb. In these cases, affected nerves had higher CSA than the unaffected nerve (P = .01). On the affected nerves, duration of symptoms was positively correlated with accommodation indices.Conclusions:These findings suggest that patients with unilateral chronic LE show a decreased excitability in any radial nerve, independently of the symptomatic limb, and that pathological nerves have higher CSA than the nonpathological nerves.

scholarly journals Postactivation Performance Enhancement (PAPE) Increases Vertical Jump in Elite Female Volleyball Players

2022 ◽  
Vol 19 (1) ◽  
pp. 462
Author(s):  
Lamberto Villalon-Gasch ◽  
Alfonso Penichet-Tomas ◽  
Sergio Sebastia-Amat ◽  
Basilio Pueo ◽  
Jose M. Jimenez-Olmedo
Keyword(s):  
Effect Size ◽  
Performance Enhancement ◽  
Vertical Jump ◽  
Control Group ◽  
Large Effect Size ◽  
Jump Performance ◽  
Volleyball Players ◽  
And Control

The purpose of this study was to verify if a conditioning activity was effective to elicit postactivation performance enhancement (PAPE) and to increase the performance in vertical jump (VJ) in elite female volleyball players. Eleven national Superliga-2 volleyball players (22.6 ± 3.5 years) were randomly assigned to an experimental and control group. Countermovement jumps (CMJ) were performed on eight occasions: before (Pre-PAPE) and after activation (Post-PAPE), after the match (Pre-Match), and after each of the five-match sets (Set 1 to 5). ANOVA showed significantly increased jump performance for the experiment between baseline (Pre-PAPE) and all the following tests: +1.3 cm (Post-PAPE), +3.0 cm (Pre-Match), +4.8 cm (Set 1), +7.3 cm (Set 2), +5.1 cm (Set 3), +3.6 cm (Set 4), and +4.0 cm (Set 5), all showing medium to large effect size (0.7 < ES < 2.4). The performance of the control group did not show significant increases until Set 3 (+3.2 cm) and Set 5 (+2.9 cm), although jump heights were always lower for the control group than the experimental. The use of conditioning activity generates increased VJ performance in Post-PAPE tests and elicited larger PAPE effects that remain until the second set of a volleyball match.

scholarly journals Learning to Read by Learning to Write: Evaluation of a Serious Game to Foster Business Process Model Comprehension

10.2196/15374 ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. e15374 ◽  
Author(s):  
Michael Winter ◽  
Rüdiger Pryss ◽  
Thomas Probst ◽  
Manfred Reichert
Keyword(s):  
Business Process ◽  
Effect Size ◽  
Process Model ◽  
Serious Game ◽  
Process Models ◽  
Control Group ◽  
Large Effect Size ◽  
Complex Process ◽  
The Impact

Background The management and comprehension of business process models are of utmost importance for almost any enterprise. To foster the comprehension of such models, this paper has incorporated the idea of a serious game called Tales of Knightly Process. Objective This study aimed to investigate whether the serious game has a positive, immediate, and follow-up impact on process model comprehension. Methods A total of two studies with 81 and 64 participants each were conducted. Within the two studies, participants were assigned to a game group and a control group (ie, study 1), and a follow-up game group and a follow-up control group (ie, study 2). A total of four weeks separated study 1 and study 2. In both studies, participants had to answer ten comprehension questions on five different process models. Note that, in study 1, participants in the game group played the serious game before they answered the comprehension questions to evaluate the impact of the game on process model comprehension. Results In study 1, inferential statistics (analysis of variance) revealed that participants in the game group showed a better immediate performance compared to control group participants (P<.001). A Hedges g of 0.77 also indicated a medium to large effect size. In study 2, follow-up game group participants showed a better performance compared to participants from the follow-up control group (P=.01); here, a Hedges g of 0.82 implied a large effect size. Finally, in both studies, analyses indicated that complex process models are more difficult to comprehend (study 1: P<.001; study 2: P<.001). Conclusions Participants who played the serious game showed better performance in the comprehension of process models when comparing both studies.

scholarly journals Learning to Read by Learning to Write: Evaluation of a Serious Game to Foster Business Process Model Comprehension (Preprint)

2019 ◽  
Author(s):  
Michael Winter ◽  
Rüdiger Pryss ◽  
Thomas Probst ◽  
Manfred Reichert
Keyword(s):  
Business Process ◽  
Effect Size ◽  
Process Model ◽  
Serious Game ◽  
Process Models ◽  
Control Group ◽  
Large Effect Size ◽  
Complex Process ◽  
The Impact

BACKGROUND The management and comprehension of business process models are of utmost importance for almost any enterprise. To foster the comprehension of such models, this paper has incorporated the idea of a serious game called Tales of Knightly Process. OBJECTIVE This study aimed to investigate whether the serious game has a positive, immediate, and follow-up impact on process model comprehension. METHODS A total of two studies with 81 and 64 participants each were conducted. Within the two studies, participants were assigned to a game group and a control group (ie, study 1), and a follow-up game group and a follow-up control group (ie, study 2). A total of four weeks separated study 1 and study 2. In both studies, participants had to answer ten comprehension questions on five different process models. Note that, in study 1, participants in the game group played the serious game before they answered the comprehension questions to evaluate the impact of the game on process model comprehension. RESULTS In study 1, inferential statistics (analysis of variance) revealed that participants in the game group showed a better immediate performance compared to control group participants (<italic>P</italic>&lt;.001). A Hedges g of 0.77 also indicated a medium to large effect size. In study 2, follow-up game group participants showed a better performance compared to participants from the follow-up control group (<italic>P</italic>=.01); here, a Hedges g of 0.82 implied a large effect size. Finally, in both studies, analyses indicated that complex process models are more difficult to comprehend (study 1: <italic>P</italic>&lt;.001; study 2: <italic>P</italic>&lt;.001). CONCLUSIONS Participants who played the serious game showed better performance in the comprehension of process models when comparing both studies.

scholarly journals An Islamic Form of Logotherapy in the Treatment of Depression, Anxiety and Stress Symptoms in University Students in Iran

2022 ◽  
Author(s):  
Shapour Fereydouni ◽  
Simon Forstmeier
Keyword(s):  
University Students ◽  
Effective Treatment ◽  
Beck Depression Inventory ◽  
Effect Size ◽  
Interaction Effect ◽  
Control Group ◽  
Depression Symptoms ◽  
Large Effect Size ◽  
Stress Symptoms ◽  
Treatment Of Depression

AbstractPrevious research demonstrated that spiritually sensitive psychotherapy is an effective treatment for clients with depression or anxiety, with outcomes equivalent to secular control interventions. The goal of this study was to evaluate the efficacy of spiritually sensitive logotherapy intervention in the treatment of depression, anxiety, and stress symptoms in university students in Iran. Sixty students with elevated depression symptoms (Beck Depression Inventory II, BDI-II, 22 or greater) were randomly assigned to either a twelve-session group logotherapy programme or a control group. Results showed that spiritually sensitive logotherapy significantly reduced depression, anxiety, and stress, and significantly more so than in the control group (e.g. interaction effect for BDI-II: F = 56.8, p < 0.001, with a large effect size).

scholarly journals COMPARATIVE STUDY REGARDING THE BENEFITS OF USING MEDICAL FLOSSING IN LATERAL EPICONDYLITIS

2021 ◽  
Author(s):  
Diana VRABIE ◽  
Beatrice-Aurelia ABALAȘEI ◽  
George-Sebastian IACOB
Keyword(s):  
Pain Intensity ◽  
Tennis Elbow ◽  
Intervention Group ◽  
Lateral Epicondylitis ◽  
Rehabilitation Program ◽  
Initial Assessment ◽  
Functional Score ◽  
Control Group ◽  
Jump Performance ◽  
Lateral Epicondyle

Although there are multiple published reviews about the effects of the most common techniques, such as stretching or the use of foam roller on the range of motion (Behm et al., 2016; Wilke et al., 2020) or performance parameters (Behm & Wilke, 2019; Konrad et al., 2021), there is no analysis on the effects of medical flossing. To date, two reviews have been publishedabout effectiveness of using ankle flossing to improve dorsiflexion amplitude or jump performance (Pisz et al., 2020; Kielur & Powden, 2020). This study aimed to investigate the effectiveness of medical flossing added to routine treatment in patients with epicondylitis, compared to conventional physiotherapy treatment. The study included 6 subjects who showed localized pain in the area of the lateral epicondyle exacerbated with the Cozen test. The other criteria for selecting patients were the duration of the symptoms, less than 3 months from the onset of the disease and pain intensity more than 5 on the Visual Analog scale.To monitor the evolution of the subjects involved, we used a visual analog pain scale to assess the intensity of pain at different times during the application of therapy, before and after the end of the treatment. Another tool used to measure the degree of pain and dysfunction was the PRTEE Questionnaire (Patient-Rated Tennis Elbow Evaluation). The rehabilitation program took place between August and September 2021, for 30 days, with afrequency of 3 times per week. 6 patients with lateral epicondylitis were included and medical flossing was used only in the case of 3 patients at each therapy session. The differences between groups at the time of the initial assessment, in terms of pain intensity were statistically insignificant (p=0.288, p>0.05). The results obtained in terms of decreasing pain were in favor of the use of medical flossing as an adjuvant method in specific pain existing in lateral epicondylitis. Although in both groups there was a decrease in pain after 4 weeks of treatment, the intervention group recorded significant reduced values compared to the control group (p=0.024; p<0.05). Regarding PRTEE Functional Score, at the final assesment there was a decrease in both groups, which means the functional condition of the patients has improved.

Feasibility of a Nurse Coached Walking Intervention for Informal Dementia Caregivers

2021 ◽  
pp. 019394592110013
Author(s):  
Jane Flanagan ◽  
Kathryn Post ◽  
Rebecca Hill ◽  
John DiPalazzo
Keyword(s):  
Perceived Stress ◽  
Effect Size ◽  
Statistical Difference ◽  
Retention Rate ◽  
Intervention Group ◽  
Well Being ◽  
Control Group ◽  
Large Effect Size ◽  
Dementia Caregivers ◽  
Walking Intervention

This study’s purpose was to determine the feasibility of a nurse coached walking intervention for informal caregivers of persons with dementia. Participants were randomly assigned to a nurse coached intervention or a control group. Five male and 27 female caregivers ( n = 32) participated. Measures included steps, walked well-being, and perceived stress. For steps walked, each group experienced a statistical difference ( p = .01 control; p = .02 intervention) and large effect size (0.90). Neither group had a statistical difference in well-being ( p = .38 control; p = .08 intervention) or perceived stress ( p = .56 control; p = .18 intervention). The intervention group achieved a large effect size in well-being (1.38) and moderate effect size in perceived stress (0.51). A 0.94 pedometer adherence, self-reported user ease with technology and 100% retention rate support feasibility. Many participants described feelings of loneliness and grief, but reported the pedometer motivated them to walk.

Caffeine supplementation for 4-day, followed by acute ingestion, did not impact triathlete output power after submaximal intensity exercise

2019 ◽  
Vol 18 (3) ◽  
pp. 118
Author(s):  
Anderson Pontes Morales ◽  
Felipe Sampaio-Jorge ◽  
Thiago Barth ◽  
Alessandra Alegre De Matos ◽  
Luiz Felipe Da Cruz Rangel ◽  
...  
Keyword(s):  
Blood Lactate ◽  
Output Power ◽  
Body Mass ◽  
Effect Size ◽  
Power Output ◽  
Anaerobic Power ◽  
Lactate Concentration ◽  
Wingate Test ◽  
Large Effect Size ◽  
Acute Ingestion

Introduction: The aim of this study was to test the hypothesis that caffeine supplementation (6 mg·kg-1 body mass) for 4-days, followed by acute intake, would impact five male triathletes output power after performed submaximal intensity exercise. Methods: This was a randomized, double-blind, placebo-controlled crossover study, placebo (4-day) - placebo (acute) PP, placebo (4-days) -caffeine (acute) PC, and caffeine (4-day) - caffeine (acute) CC. Participants abstained from dietary caffeine sources for 4 days and ingested capsules containing either placebo or caffeine (6 mg.kg-1 body mass day in one absorption). The acute trials the capsules containing placebo or caffeine (6 mg.kg-1 body mass day in one absorption) were ingested 60min before completing exercise in a treadmill for 40min (80% VO2max) and to perform the Wingate test. Results: Blood lactate was determined before, 60min after ingestion, and immediately after the exercise on the treadmill, the Wingate test, and after the recovery (10-min). CC and PC trials did not change the cardiopulmonary variables (P>0.05) and the anaerobic power variables (peak/mean power output and fatigue index) (P>0.05). The PC trial compared with PP promoted improvements in the curve power output in 2 sec by 31.19% (large effect-size d = 1.08; P<0.05) and 3 sec by 20% (large effect-size d = 1.19; P<0.05). A 10min recovery was not sufficient to reduce blood lactate concentration in the PC trial compared with PP (PC, 13.73±2.66 vs. PP, 10.26±1.60 mmol.L-1; P<0.05, respectively) (P<0.05). Conclusion: In conclusion, these results indicate that caffeine supplementation (6 mg·kg-1 body mass) for 4 days, followed by acute ingestion, did not impact the triathletes output power after performed submaximal intensity exercise. Nutritional interventions may help researchers and athletes to adapt strategies for manipulating caffeine use.Key-words: caffeine metabolism, Wingate test, blood lactate, performance.

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