scholarly journals The effectiveness of preliminary traction in the treatment of congenital dislocation of the hip

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Pasquale Farsetti ◽  
Kristian Efremov ◽  
Alessandro Caterini ◽  
Martina Marsiolo ◽  
Fernando De Maio ◽  
...  
Keyword(s):  
Hospital Costs ◽  
Control Group ◽  
Congenital Dislocation ◽  
Older Children ◽  
Level Of Evidence ◽  
Before And After ◽  
Study Population ◽  
Group 2 ◽  
Dislocation Of The Hip ◽  
Group 1

Abstract Background Historical papers on the treatment of congenital dislocation of the hip suggest the use of preliminary traction to facilitate closed reduction or to decrease the risk of avascular necrosis (AVN) of the femoral head. In the 1980s, some authors questioned the role of preliminary traction and suspended its use, yielding satisfactory results. Since then, several studies called into question this method, and some authors have continued to recommend preliminary traction while other authors have discouraged its use. Materials and methods We reanalysed the full set of radiographs of 71 hips (52 patients) surgically treated by a medial approach after 4 weeks of preoperative longitudinal traction. The mean age at operation was 16 months. Before and after traction, the height of the dislocation was graded according to the Gage and Winter method. The hips were divided into two groups: group 1, in which the traction was effective, and group 2, in which the traction was not effective. These two groups were statistically analysed regarding the severity of the dislocation, the age of the patient at surgery and the incidence of AVN. Results Preliminary traction was effective in 48 hips (68%, group 1), while it was not effective in the remaining 23 (32%, group 2). The effectiveness of preliminary traction was statistically related to the height of the dislocation and to the age of the patient at surgery, with traction being less effective in more severe dislocations and in older children. The incidence of AVN was statistically lower in group 1 than in group 2. Conclusions In our study population, despite not having a control group, preliminary traction—when effective—seemed to reduce the incidence of AVN in patients surgically treated for congenital dislocation of the hip. The effectiveness of the traction was influenced by the severity of the dislocation and the age of the patient; it worked better for less severe dislocations and in younger children. To reduce hospital costs, traction should be applied at home. Level of evidence 3.

scholarly journals Efficacy of Abdominal Control Feedback and Scapula Stabilization Exercises in Participants With Forward Head, Round Shoulder Postures and Neck Movement Impairment

2019 ◽  
Vol 11 (3) ◽  
pp. 272-279 ◽  
Author(s):  
Shirin Shiravi ◽  
Amir Letafatkar ◽  
Lucia Bertozzi ◽  
Paolo Pillastrini ◽  
Mehdi Khaleghi Tazji
Keyword(s):  
Signs And Symptoms ◽  
Control Group ◽  
Neck Movement ◽  
Level Of Evidence ◽  
Exercise Interventions ◽  
Stabilization Exercise ◽  
Before And After ◽  
Group 2 ◽  
Control Feedback ◽  
Group 1

Background: Signs and symptoms of impaired function of the musculoskeletal system may be targeted by treating dysfunction located elsewhere. Hypothesis: Abdominal control feedback and scapular stabilization exercise interventions would result in positive changes in pain intensity, strength, electromyography, and flexion-relaxation phenomena in women with forward head and round shoulder postures and neck movement impairment. Study Design: Pretest-posttest intervention. Level of Evidence: Level 1. Methods: A total of 135 women (aged 27.23 ± 1.9 years) with forward head and round shoulder postures were randomized to 3 groups. Group 1 received 6-week scapular stabilization exercises with abdominal control feedback (n = 45), group 2 received 6-week scapular stabilization exercises without abdominal control feedback (n = 45), and group 3 received active self-exercise as a control group (n = 45). Posture, pain, proprioception, strength, and electromyography were assessed before and after the interventions. Results: There were significant between-group differences in pain, proprioception, strength, and electromyography favoring group 1. There were significant within-group changes in posture, pain, proprioception, strength, and electromyography in both groups 1 and 2. No significant change was observed for muscle strength. Conclusion: The addition of abdominal control feedback to the scapular stabilization exercises was shown to be superior to the scapular stabilization exercises alone for decreasing neck pain and restoring proper proprioception, strength, and electromyography in females with forward head and round shoulder postures and neck movement impairment. Clinical Relevance: The addition of abdominal control feedback to scapular stabilization exercises is superior to scapular stabilization exercises alone on the neck for improving electromyography, strength, and function in females with forward head and round shoulder postures and neck movement impairment.

scholarly journals Training Badminton Footwork Ten Repetitions Two Sets Better Than Five Repetitions Four Sets for The Improvement of Leg Muscle Strength

2021 ◽  
Vol 2 (1) ◽  
pp. 10-15
Author(s):  
I Putu Astrawan ◽  
I Putu Prisa Jaya
Keyword(s):  
Muscle Strength ◽  
T Test ◽  
Control Group ◽  
Control Group Design ◽  
Before And After ◽  
The Mean ◽  
Leg Muscle ◽  
Group 2 ◽  
Better Than ◽  
Group 1

Background: Footwork training is important in coaching basic movements in badminton. This research aims to learn about the influence of footwork training on improving leg muscles strength. Methods: The study used a randomized pretest-posttest control group design. The participants consisted of 42 male badminton players of Universitas Pendidikan Ganesha, Bali, Indonesia, who split into two groups of footwork training (ten repetitions two sets (group 1) and five repetitions with four sets (group 2)). The coach gave the footwork exercise three times per week for 6 weeks to each group and measured the leg muscle strength using the dynamometer test. Results: The result of the within-group paired T-test before and after the training shows group 1 and group 2 (p<0.05). For group 1, the mean of leg muscle strength was 114.19±33.13 kg before the training and 183.19±33.56 kg after the training, with an increase of 60% (69 kg). On the other hand, for group 2, the mean score of leg muscle strength before the training was 113.05±31.30 kg and after the training was 141.10±34.91, with an increase of 25% (28 kg). The leg muscle strength difference between the groups before and after the training was tested using the independent T-test with a significant α=0.05. Comparing the differences of leg muscle strength for both the groups before the training was p= 0.90, and after the training was p=0.00. Conclusion: The conclusion is training badminton footwork ten repetition two sets better than five repetitions four sets to improve leg muscle strength.

scholarly journals Lateral and apical root resorption in teeth orthodontically moved into edentulous ridge areas

2020 ◽  
Vol 25 (5) ◽  
pp. 24-29
Author(s):  
Adilson Luiz Ramos ◽  
Rodrigo Lorenzi Poluha ◽  
Pablo Guilherme ◽  
Gabriel Araújo Khoury ◽  
Joao Marcos Pedro Rosa Junior
Keyword(s):  
Root Resorption ◽  
Control Group ◽  
Orthodontic Movement ◽  
Apical Root Resorption ◽  
External Root Resorption ◽  
Before And After ◽  
External Apical Root Resorption ◽  
Group 2 ◽  
Control Group Group ◽  
Group 1

ABSTRACT Objective: The present study aimed at comparing the external lateral root resorption (ELRR) and external apical root resorption (EARR) between teeth moved through the atrophic edentulous ridge and those undergoing the usual orthodontic movement. Methods: Fifty-four premolars were evaluated, where 27 of them had been moved toward the edentulous ridge (Group 1) and 27 from the same patient, had not been translated, which comprised the control group (Group 2). ELRR was evaluated by 0-3 scores and EARR was evaluated by 0-4 scores, before and after movement. Measurements were compared by Kruskal-Wallis and Student-Newman-Keuls tests. Results: ELRR increased statistically only in the Group 1 (p< 0.05). After orthodontic treatment, it was observed that almost 56% (n = 15) of teeth in Group 1 presented scores 2 and 3, while Group 2 presented scores 2 and 3 in about 11% (n= 3) of the teeth. EARR increased in both groups after orthodontic movement, however, statistically analyses showed no significant differences between groups (p> 0.05). Conclusions: Orthodontic movement into the atrophic edentulous ridge is subject to a greater lateral external root resorption.

scholarly journals The Effect of Manual Therapy and Stabilizing Exercises on Forward Head and Rounded Shoulder Postures: a six-week intervention with a one-month follow-up study (Preprint)

2017 ◽  
Author(s):  
Kiana Fatholahnezhad ◽  
Amir Letafatkar ◽  
Malihe Hadadnezhad
Keyword(s):  
Neck Pain ◽  
Manual Therapy ◽  
Combined Treatment ◽  
Control Group ◽  
Post Intervention ◽  
Before And After ◽  
Group 2 ◽  
And Function ◽  
Group 1

BACKGROUND forward head and round shoulder posture is believed to alter scapular kinematics and muscle activity placing increased stress on the shoulder, leading to shoulder pain and dysfunction. OBJECTIVE The purpose of this study was to evaluate the effect of a six-week combined treatment consisting of manual therapy and stabilizing exercises, with a one-month follow-up, on neck pain with forward head and rounded shoulder postures. METHODS A total of 60 women aged 32-42 years of age with neck pain, and forward head and rounded shoulder postures were randomized into three groups: group 1 performed stabilizing exercises and received manual therapy (n=20), group 2 performed stabilizing exercises (n=20), and group 3 (control group) performed home exercises (n=20) over six weeks.The follow-up time was one month after the post test. The craniocervical and rounded shoulder angles, pain, and function were measured before and after six-week interventions, and a one-month follow- up. RESULTS The results showed significant positive changes within the experimental groupsin all variables, but there were minor changes in the control group in all variables before and after the intervention. Also, there were significant function and pain improvement in the experimental group 1 comparing to group 2. There were no differences between post intervention and one-month follow-up on posture and function in the experimental groups. CONCLUSIONS These findings suggest that both interventions were significantly effective for reducing neck pain, and improving function and posture in patients with chronic neck pain, and forward head and rounded shoulder postures. However, the improvement in function and pain was more effective in group 1 than those of group 2 suggesting that manual therapy can be used as a supplement method to the stabilizing intervention in the treatment of neck pain. More research is needed to confirm the result of this study.

scholarly journals The prognostic value of visually assessing enamel microcracks: Do debonding and adhesive removal contribute to their increase?

2016 ◽  
Vol 86 (3) ◽  
pp. 437-447 ◽  
Author(s):  
Irma Dumbryte ◽  
Tomas Jonavicius ◽  
Laura Linkeviciene ◽  
Tomas Linkevicius ◽  
Vytaute Peciuliene ◽  
...  
Keyword(s):  
Control Group ◽  
Naked Eye ◽  
Room Illumination ◽  
Before And After ◽  
Ceramic Brackets ◽  
Group 3 ◽  
The Mean ◽  
Group 2 ◽  
Adhesive Removal ◽  
Group 1

ABSTRACT Objective:  To find a correlation between the severity of enamel microcracks (EMCs) and their increase during debonding and residual adhesive removal (RAR). Materials and Methods:  Following their examination with scanning electron microscopy (SEM), 90 extracted human premolars were divided into three groups of 30: group 1, teeth having pronounced EMCs (visible with the naked eye under normal room illumination); group 2, teeth showing weak EMCs (not apparent under normal room illumination but visible by SEM); and group 3, a control group. EMCs have been classified into weak and pronounced, based on their visibility. Metal brackets (MB) and ceramic brackets (CB), 15 of each type, were bonded to all the teeth from groups 1 and 2. Debonding was performed with pliers, followed by RAR. The location, length, and width of the longest EMCs were measured using SEM before and after debonding. Results:  The mean overall width (Woverall) was higher for pronounced EMCs before and after debonding CB (P &lt; .05), and after the removal of MB. Pronounced EMCs showed greater length values using both types of brackets. After debonding, the increase in Woverall of pronounced EMCs was 0.57 µm with MB (P &lt; .05) and 0.30 µm with CB; for weak EMCs, − 0.32 µm with MB and 0.30 µm with CB. Conclusions:  Although the teeth having pronounced EMCs showed higher width and length values, this did not predispose to greater EMCs increase after debonding MB and CB followed by RAR.

scholarly journals Sperm phenotypes in varicocele

2019 ◽  
Vol 20 (4) ◽  
pp. 24-33
Author(s):  
O. B. Zhukov ◽  
E. E. Bragina ◽  
A. V. Levin
Keyword(s):  
Surgical Treatment ◽  
Treatment Group ◽  
Conservative Treatment ◽  
Control Group ◽  
Sperm Ultrastructure ◽  
Study Objective ◽  
Sperm Analysis ◽  
Before And After ◽  
Group 2 ◽  
Group 1

The study objective is to microscopically evaluate the morphology of sperm in patients with varicocele after surgical treatment and therapy with Prostatilen® AC.Materials and methods. The treatment group included 20 males between 26 and 45 years of age (mean age 31.6 ± 6.1 years) with various stages of varicocele and fertility problems; among them, 10 patients with subclinical stages of varicocele received conservative treatment with Prostatilen® AC (group 1) and were examined before and after the treatment; 10 males with infertility caused in part by varicocele of the spermatic cord veins were examined 6 months to 3 years after surgical treatment (group 2). Standard clinical and lab tests, sperm analysis, electron microscopy of the ejaculate were performed. The control group included 65 fertile males whose sperm samples were obtained from a bank of reproductive cells and tissues and used for comparison in microscopic examination.Results. In patients who received conservative treatment the number of sperm with immature chromatin decreased (p = 0.045) compared to the control group. This characteristic differed in patients after varicocelectomy and patients after conservative treatment (p = 0.037). Compared to control, the number of sperm with excess residual cytoplasm in the head and neck was higher in patients after varicocelectomy (p = 0.011). After conservative treatment, the number of sperm with excess residual cytoplasm was close to the control number and lower than in patients after varicocelectomy (р = 0.028).Conclusion. In patients with subclinical varicocele, conservative treatment with Prostatilen® AC leads to significant improvement in sperm ultrastructure compared to patients who underwent surgery to treat this pathology. 

PENGARUH BOOKLET TERHADAP PENGETAHUAN, KONSUMSI ENERGI DAN PROTEIN ANAK SEKOLAH DASAR NEGERI 16 PONTIANAK TIMUR

2018 ◽  
Vol 12 (01) ◽  
Author(s):  
Suaebah Suaebah ◽  
Ayu Rafiony
Keyword(s):  
Independent Test ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental ◽  
Study Population ◽  
Group 3 ◽  
The Mean ◽  
Group 2 ◽  
Paired T Test ◽  
Group 1

                                                  ABSTRACTThis research aims to determine the effect of nutritional counseling in the form of booklets towards knowledge, consumption of energy and protein of children in elementary school. This research is a quasi-experimental design with a controlled group pre-post test. This research was conducted in August-September, 2017. The study population was students of 5A and 5B grades of SDN 16 East Pontianak. The samples are 24 children, each group consist of 8 children by randomly sampling. Group 1 was given nutrition counseling with booklet media once a month, group 2 was given twice a month and group 3 was given 3 times a month. Data analysis used paired t-test and independent test. The results showed that knowledge of group 1 increased by 11.0%, group 2 increased by 11.0% and group 3 increased by 10.5%. Energy consumption in group 1 increased to 1270.6 calories, group 2 decreased to 1310.7 calories, and group 3 increased to 1204.2 calories. Protein consumption in group 1 increased to 43.9 gr/day, group 2 increased to 48.5 gr/day, group 3 increased to 39.4 gr/day. In conclusion, the mean score of knowledge in each group significantly increased before and after the intervention as well as energy and protein intake. However, there was no difference before and after the intervention. Counseling about healthy breakfast is needed so that student nutrition can be fulfilled.Keywords: Booklet, Nutrition Knowledge, Energy, protein

Preliminary assessment of low-intensity transcranial magnetic stimulation (TMS) during the treatment for brain glioblastomas.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. 2545-2545
Author(s):  
Ivan A. Popov ◽  
Oleg I. Kit ◽  
Alla I. Shikhlyarova ◽  
Elena M. Frantsiyants ◽  
Eduard E. Rostorguev ◽  
...  
Keyword(s):  
Combined Treatment ◽  
Low Frequency ◽  
Residual Tumor ◽  
Projection Area ◽  
Control Group ◽  
Perifocal Edema ◽  
Before And After ◽  
The Difference ◽  
Group 2 ◽  
Group 1

2545 Background: The standard treatment of malignant brain gliomas, including surgical and radiation therapies, does not provide recovery and a long-time favorable prognosis. The development of technologies and international guidelines on the introduction of electric (TTF) and electromagnetic (TMS) fields in combination treatment for glioblastomas aims to improve immediate results, as shown in experiments on human glioblastoma cell culture. The TMS protocol requires further refinement in parameters of frequency, intensity, and exposure with an assessment of the immediate results of combined treatment. Methods: The study included 60 patients diagnosed with MBG receiving osteoplastic craniotomy with radical (within visible unchanged tissues) tumor removal. Starting from the second day after the surgery, patients of group 1 (n = 30) received 10 sessions of magnetotherapy in the double exposure mode. For the first morning exposure, we used an ultra-low-frequency magnetic field (ULFMF) (0.03 to 9.0 Hz) on the hypothalamus projection area to induce a general antistress reaction. After 2.5-3 hours, local (on the surgical site) TMS exposure with the Neuro-MSD system (Russia) was applied in the pulse algorithm, up to 1 GHz and 5 Hz, 15 mT, 3 min. The induction was reduced exponentially (C = 0.8). The control group 2 (n = 30) did not receive ULFMF or TMS. Magnetic resonance imaging (MRI) was used to determine the volume of tumors (Vt, cm3) and perifocal edema (Ve, cm3) calculated according to the Shrek’s formula for an ellipsoid (V = a×b×c×π/6). Results: Before surgery, Vt = 54.7±5.7cm3 in group 1, in group 2 - Vt = 60.9±8.5cm3 (no statistical differences). After surgery and the subsequent course of ULFMF and TMS, residual tumor volumes in group 1 were 2.5 times lower than in controls (p < 0.05). The difference between Ve values before and after treatment was on average 80.7 cm3 in group 1 and 41.8 cm3 in group 2 (p < 0.05). Conclusions: The inclusion of sequential ULFMF and TMS exposures into postoperative therapy for gliomas, taking into account various vectors of the influence on the projection of centers of homeostasis regulation and the surgical field, as well as the development of programmed modes of biotropic exposure parameters, improves antitumor and anti-edematous effects.

scholarly journals Saliva Contamination Effect on Shear Bond Strength of Self-etching Primer with Different Debond Times

2007 ◽  
Vol 77 (5) ◽  
pp. 901-906 ◽  
Author(s):  
Tamer Turk ◽  
Selma Elekdag-Turk ◽  
Devrim Isci ◽  
Fethiye Cakmak ◽  
Nurhat Ozkalayci
Keyword(s):  
Control Group ◽  
Group 4 ◽  
Contamination Effect ◽  
Significant Difference ◽  
Before And After ◽  
Group 3 ◽  
Bond Strengths ◽  
Group 2 ◽  
Saliva Contamination ◽  
Group 1

Abstract Objective: To evaluate shear bond strengths (SBSs) of a self-etching primer (SEP) following saliva contamination at different stages of bonding at debond times of 5, 15, and 30 minutes and 24 hours. Materials and Methods: Two-hundred forty human premolars were divided into four groups: group 1, uncontaminated; group 2, saliva contamination after priming; group 3, saliva contamination before priming; and group 4, saliva contamination before and after priming. Four subgroups according to debond times of 5, 15, 30 minutes and 24 hours were composed. Metal brackets were bonded with an SEP (Transbond Plus) and light-cure adhesives paste (Transbond XT). SBS values and the adhesive remnants were determined. Results: The highest SBS was obtained at a debond time of 24 hours for the control group. This was significantly different from the other groups. SBSs at 5, 15, and 30 minutes showed no significant difference from each other in the control group (P &gt; .05). Lowest SBSs were obtained at a debond time of 5 minutes for groups 1, 2, 3, and 4 (8.38, 7.10, 7.06, and 6.26 MPa, respectively) and were not significantly different from each other (P &gt; .05). SBSs at 24 hours were not significantly different from each other for groups 2, 3, and 4 (P &gt; .05). Significant differences were found in the adhesive remnant (P &lt; .001). Conclusions: SEP (Transbond Plus) may produce clinically acceptable bracket bonding after 5, 15, and 30 minutes from time of placement on the teeth, even with light and heavy saliva contamination.

scholarly journals PENGARUH PEMBERIAN ULTRASOUND THERAPY DAN NEUROMUSCULAR TAPING DALAM MENINGKATAN AKTIVITAS FUNGSIONAL PADA KASUS OSTEOARTHRITIS LUTUT

2019 ◽  
Author(s):  
Trisna Narta Dewi, A.A.N ◽  
Yudi Pramana ◽  
Eka Septian Utama, A.A.Gd ◽  
Surya Adhitya P.Gd
Keyword(s):  
Functional Activity ◽  
Joint Disease ◽  
Control Group ◽  
Ultrasound Therapy ◽  
Functional Activities ◽  
A Value ◽  
Significant Difference ◽  
Before And After ◽  
Group 2 ◽  
Group 1

Background: Osteoarthritis is a complaint characterized by abnormalities in the cartilage of joints and bones nearby, this complaint is commonly felt and has become a chronic joint disease. Cartilage abnormalities will result in bones rubbing against each other, resulting in symptoms of stiffness, pain and restriction of movement in the joints that will affect the quality of functional activities performed. The aim of this study was to determine the effect of ultrasound therapy and neuromuscular taping (nmt) in increasing functional activity in cases of knee osteoarthritis.Research method: The study used experimental with randomized design type pre test and post test control group design. The study was divided into 2 groups, namely group 1 would receive Ultrasound intervention and group 2 would receive Ultrasound and neuromuscular taping intervention. The number of samples in this study was 11 samples per group so that the total number of samples in the two groups was 22 respondents. Measurements of knee functional activity values were measured by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire.Results: Group 1 with a value of p = 0,000 (p <0.05) which showed a significant difference between the value of tenderness before and after the intervention of ultrasound therapy. Group 2 obtained a value of p = 0,000 (p <0.05) indicating there was a significant difference between the value of tenderness before and after the intervention of ultrasound therapy and neuromuscular taping. The results of the calculation of the mean difference were p = 0,0001, the data showed that there was no difference in influence between groups, which means that the provision of ultrasound therapy and neuromuscular taping was no better in increasing functional activities of knee OA patients compared to ultrasound therapy.Conclusion: the provision of ultrasound therapy and neuromuscular taping is not better in increasing

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