scholarly journals CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH THORACIC CAGE REDUCTION UPON MOVEMENT LEADING TO LOW BACK PAIN AND LUMBER HYPEREXTENSION

Respirology ◽  
2018 ◽  
Vol 23 ◽  
pp. 123-124
2007 ◽  
Vol 14 (4) ◽  
pp. 486-488 ◽  
Author(s):  
Ibrahim Sari ◽  
Vedat Davutoglu ◽  
Nazan Bayram ◽  
Serdar Soydinc

Thrombus formation in a morphologically normal a aorta is a very rare event. A 50-year-old man with a his- s tory of chronic obstructive pulmonary disease, pre- e sented to the emergency department with pulmonary C edema. Transthoracic and transesophageal echocardio- t graphy revealed a highly mobile, pedunculated floating c thrombus in the descending thoracic aorta 3-4 cm dis- t tal to the origin of the left subclavian artery. The orig- t inal lumen of the aorta was almost obliterated by the thrombus. The aortic wall was free of any atheroma. Thrombolytic treatment was administered, but 3 hours d after starting streptokinase, he developed sudden and severe low-back pain accompanied by loss of lower-extremity pulses which were patent on admission. Cardiopulmonary arrest developed within an hour and the patient died despite resuscitation. The potential causes of aortic thrombus, the clinical spectrum that the patients may present, diagnostic methods, and therapeutic options are discussed.


2018 ◽  
Vol 81 (2) ◽  
pp. 123 ◽  
Author(s):  
Su Jin Lim ◽  
Ju-Young Kim ◽  
Seung Jun Lee ◽  
Gi Dong Lee ◽  
Yu Ji Cho ◽  
...  

Pain medicine ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 56-66
Author(s):  
D. V. Babelyuk ◽  
Y. M. Polihas

About 80 % of adults feel pain in their backs at a definite moment of life. That’s also the most frequent reason why people lose their efficiency. It’s also the key factor due to which workable people miss their working days. Recently, the frequency of sickness rate of low back pain syndrome is getting higher and higher. For examples, according to the data of the organization, which aims at analyzing pathological conditions and diseases, which cause death or looseness of efficiency, in 1990 in the USA, low back pain syndrome took the sixth place, but in 2010 back pain went up to the third place, giving the way only to ischemic heart disease (IHD) and chronic obstructive pulmonary disease (COPD). So, we can imagine how common, widespread and serious for modern world became the problem of back pain. That’s why, only now doctors throughout the world are starting to form their separate individual researches into one qualitative and useful list of recommendations to begin an effective fight with this serious medical and social problem. Kinesiotaping (“kinesio” – movement + “tape”) – is an effective treatment and rehabilitation method of muscle and joints injuries with the help of special elastic tapes – namely kinesio tapes. The article focuses on the method of kinesiotaping and the ways of its usage for treating low back pain syndrome. The research also highlights the history of appearance and development of kinesiotaping as a method of treatment, physiological features of kinesio tape and ways of its usage in everyday medical practice. Besides analyzing recent researches in this field we provide descriptions of three clinical cases from our own medical practice which proves the effectiveness of kinesiotaping in the complex treatment of low back pain syndrome. After deep analysis of the patients’ condition we can state that due to kinesiotaping which is used together with other physiotherapeutic methods and exercises, they recover quickly than those who do not undergo kinesiotaping procedures.


2020 ◽  
Vol 29 (2) ◽  
pp. 864-872
Author(s):  
Fernanda Borowsky da Rosa ◽  
Adriane Schmidt Pasqualoto ◽  
Catriona M. Steele ◽  
Renata Mancopes

Introduction The oral cavity and pharynx have a rich sensory system composed of specialized receptors. The integrity of oropharyngeal sensation is thought to be fundamental for safe and efficient swallowing. Chronic obstructive pulmonary disease (COPD) patients are at risk for oropharyngeal sensory impairment due to frequent use of inhaled medications and comorbidities including gastroesophageal reflux disease. Objective This study aimed to describe and compare oral and oropharyngeal sensory function measured using noninstrumental clinical methods in adults with COPD and healthy controls. Method Participants included 27 adults (18 men, nine women) with a diagnosis of COPD and a mean age of 66.56 years ( SD = 8.68). The control group comprised 11 healthy adults (five men, six women) with a mean age of 60.09 years ( SD = 11.57). Spirometry measures confirmed reduced functional expiratory volumes (% predicted) in the COPD patients compared to the control participants. All participants completed a case history interview and underwent clinical evaluation of oral and oropharyngeal sensation by a speech-language pathologist. The sensory evaluation explored the detection of tactile and temperature stimuli delivered by cotton swab to six locations in the oral cavity and two in the oropharynx as well as identification of the taste of stimuli administered in 5-ml boluses to the mouth. Analyses explored the frequencies of accurate responses regarding stimulus location, temperature and taste between groups, and between age groups (“≤ 65 years” and “> 65 years”) within the COPD cohort. Results We found significantly higher frequencies of reported use of inhaled medications ( p < .001) and xerostomia ( p = .003) in the COPD cohort. Oral cavity thermal sensation ( p = .009) was reduced in the COPD participants, and a significant age-related decline in gustatory sensation was found in the COPD group ( p = .018). Conclusion This study found that most of the measures of oral and oropharyngeal sensation remained intact in the COPD group. Oral thermal sensation was impaired in individuals with COPD, and reduced gustatory sensation was observed in the older COPD participants. Possible links between these results and the use of inhaled medication by individuals with COPD are discussed.


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