scholarly journals Analysis of the scoliosis onset mechanisms for children and optimal rehabilitation interventions through aquatic activities

2021 ◽  
pp. 171-175
Author(s):  
Elena VIZITIU ◽  
Mihai CONSTANTINESCU ◽  
Mariana-Rodica MILICI ◽  
Sinziana Calina SILISTEANU

It is known, certainly, that it is much easier to form a correct attitude than to correct the vicious one, a reason that must determine the approach of prophylactic means of physical therapy and therapeutic swimming. The identification, at an early stage, of the etiological factors responsible for the installation of postural deficiencies, is a determining factor in the management of programs for their maintenance or recovery in children of prepubertal age. The study took place at the Constantinescu Mihai Physiotherapy Office of Suceava and at the Cornișa Botoșani Swimming Complex. It is known that the correct position is formed from childhood, and movement and exercise are the main factors of its construction. In this sense, the paper proposes kinetic recovery and therapeutic swimming programs in order to strengthen the postural status in children during growth and development. In this regard, we have set the following objectives: identification of children with vicious postural attitudes because of the overloads in the prepubertal period and analysis of the scoliosis mechanisms in children of prepubertal age on a vulnerable somato-functional status. Keywords: therapeutic swimming, evaluation, scoliosis, children, analysis,

Author(s):  
Mónica Sánchez ◽  
Xochitl Estrada ◽  
Silvia Ledesma ◽  
Miriam Fabiola González

The analysis of micro and small enterprises in Mexico (mypes) is considered as a fundamental element due to its relevance in the economy. This paper focuses its study on companies that have closed operations and seeks to identify the main factors that strengthen or weaken their growth and development, particularly considering the Director and his performance as an important factor for this to occur. Among the results found, it stands out that the skills, abilities, experience and knowledge of the director or entrepreneur contribute greatly to the success or failure of a business, but above all, it was found that there are important functions of the mypes that are not performed, what which is an internal determining factor in the closure of companies, which makes it necessary for the directors of the mypes to be trained and supported by experts to carry out their functions, in addition to establishing governmental training and accompaniment strategies to strengthen to the micro-entrepreneur.


2020 ◽  
Author(s):  
Aya Sedky Adly ◽  
Mahmoud Sedky Adly ◽  
Afnan Sedky Adly

BACKGROUND With the growing stress on hospitals caused by the COVID-19 pandemic, the need for home-based solutions has become a necessity to support these overwhelmed hospitals. OBJECTIVE The goal of this study was to compare two nonpharmacological respiratory treatment methods for home-isolated COVID-19 patients using a newly developed telemanagement health care system. METHODS In this single-blinded randomized clinical trial, 60 patients with stage 1 pneumonia caused by SARS-CoV-2 infection were treated. Group A (n=30) received oxygen therapy with bilevel positive airway pressure (BiPAP) ventilation, and Group B (n=30) received osteopathic manipulative respiratory and physical therapy techniques. Arterial blood gases of PaO<sub>2</sub> and PaCO<sub>2</sub>, pH, vital signs (ie, temperature, respiratory rate, oxygen saturation, heart rate, and blood pressure), and chest computed tomography scans were used for follow-up and for assessment of the course and duration of recovery. RESULTS Analysis of the results showed a significant difference between the two groups (<i>P</i>&lt;.05), with Group A showing shorter recovery periods than Group B (mean 14.9, SD 1.7 days, and mean 23.9, SD 2.3 days, respectively). Significant differences were also observed between baseline and final readings in all of the outcome measures in both groups (<i>P</i>&lt;.05). Regarding posttreatment satisfaction with our proposed telemanagement health care system, positive responses were given by most of the patients in both groups. CONCLUSIONS It was found that home-based oxygen therapy with BiPAP can be a more effective prophylactic treatment approach than osteopathic manipulative respiratory and physical therapy techniques, as it can impede exacerbation of early-stage COVID-19 pneumonia. Telemanagement health care systems are promising methods to help in the pandemic-related shortage of hospital beds, as they showed reasonable effectiveness and reliability in the monitoring and management of patients with early-stage COVID-19 pneumonia. CLINICALTRIAL ClinicalTrials.gov NCT04368923; https://clinicaltrials.gov/ct2/show/NCT04368923


Author(s):  
T. R. Yu

The constitution and properties of soils have their macroscopic and microscopic aspects. Macroscopically, the profile of a soil consists of several horizons, each containing numerous aggregates and blocks of soil particles of different sizes. These structures are visible to the naked eye. Microscopically, a soil is composed of many kinds of minerals and organic matter interlinked in a complex manner. In addition, a soil is always inhabited by numerous microorganisms which can be observed by modern scientific instruments. To study these various aspects, several branches of soil science, such as soil geography, soil mineralogy, and soil microbiology, have been developed. If examined on a more minute scale, it can be found that most of the chemical reactions in a soil occur at the interface between soil colloidal surface and solution or in the solution adjacent to this interface. This is because these colloidal surfaces carry negative as well as positive charges, thus reacting with ions, protons, and electrons of the solution. The presence of surface charge is the basic cause of the fertility of a soil and is also the principal criterion that distinguishes soil from pure sand. The chief objective of soil chemical research is to deal with the interactions among charged particles (colloids, ions, protons, electrons) and their chemical consequences in soils. As depicted in Fig. 1.1, these charged particles are closely interrelated. The surface charge of soil colloids is the basic reason that a soil possesses a series of chemical properties. At present, considerable knowledge has been accumulated about the permanent charge of soils. On the other hand, our understanding is still at an early stage about the mechanisms and the affecting factors of variable charge. The quantity of surface charge determines the amount of ions that a soil can adsorb, whereas the surface charge density is the determining factor of adsorbing strength for these ions. Because of the complexities in the composition of soils, the distribution of positive and negative charges is uneven on the surface of soil colloidal particles. Insight into the origin and the distribution of these charges should contribute to a sound foundation of the surface chemistry of soils.


2011 ◽  
Vol 77 (10) ◽  
pp. 1305-1308 ◽  
Author(s):  
Jennifer Cronin ◽  
Masha Livhits ◽  
Cheryl Mercado ◽  
Formosa Chen ◽  
Nova Foster ◽  
...  

The elderly are a growing surgical population with more comorbidities and less physiological reserve compared with nonelderly patients. The objective of our study was to implement a quality improvement pilot program targeting the specific needs of the elderly. We prospectively enrolled consecutive patients aged 65 years or older undergoing inpatient general or vascular surgery operations. Patients completed a preoperative assessment including the Vulnerable Elder Survey (VES) to determine baseline functional status and incidence of polypharmacy (five or more medications). They were interviewed postdischarge Day 2 and Day 30 for changes in functional status. An intervention was implemented consisting of an elderly-specific postoperative order set and preoperative risk reports sent to the surgical team with instructions to order physical therapy consults and home health nursing on discharge for VES 3 or greater and geriatrics consults for patients with polypharmacy. The elderly-specific order set was used for 71 per cent of the post-intervention group. There were no differences in the percentage of participants receiving physical therapy, geriatric, or home health nursing consults between the two groups. The postintervention group had significantly better functional status on postdischarge Day 30 ( P < 0.01). Our preliminary data suggest that individualizing care for elderly patients is feasible and may improve postoperative outcomes.


2016 ◽  
Vol 2 (3) ◽  
pp. 113-119
Author(s):  
Murat ULU ◽  
Özgür GÖZLÜKLÜ ◽  
Derya ÖZER KAYA ◽  
Hilal ÖZTÜRK GÖZLÜKLÜ ◽  
Nükhet KÜTÜK ◽  
...  

2005 ◽  
Vol 85 (2) ◽  
pp. 159-168 ◽  
Author(s):  
David A Brown ◽  
Sabina Nagpal ◽  
Sam Chi

Abstract Background and Purpose. This case report describes implementation of a limb-loaded cycling (LLC) training program as a feasible exercise for people in early phases of locomotor training following stroke. Case Description. Two individuals with early-stage poststroke hemiplegia participated in the LLC program as an adjunct to physical therapy intervention. Performance of LLC involved cycling while supporting progressive amounts of applied load and weight shifting from one lower extremity to the other lower extremity. The LLC was conducted daily during 2 to 3 weeks of inpatient rehabilitation. Outcomes. The LLC progressed with increases in weight bearing and force generation, as evidenced by larger amounts of limb loading during pedaling. The patients tolerated all loads without cardiorespiratory distress. Discussion. Limb-loaded cycling can accommodate people with little force-generating capability or weight-bearing ability as they practice locomotor skills. Gains in locomotor ability may be aided by the addition of this exercise regimen to patients' daily physical therapy.


1993 ◽  
Vol 41 (3) ◽  
pp. 326-328 ◽  
Author(s):  
Cynthia D. Mulrow ◽  
Meghan B. Gerety ◽  
Deanna Kanten ◽  
Louis A. DeNino ◽  
John E. Cornell

2016 ◽  
Vol 4 ◽  
pp. 205031211667385 ◽  
Author(s):  
Carlotta Mainini ◽  
Patrícia FS Rebelo ◽  
Roberta Bardelli ◽  
Besa Kopliku ◽  
Sara Tenconi ◽  
...  

Surgical resection appears to be the most effective treatment for early-stage non-small cell lung cancer. Recent studies suggest that perioperative pulmonary rehabilitation improves functional capacity, reduces mortality and postoperative complications and enhances recovery and quality of life in operated patients. Our aim is to analyse and identify the most recent evidence-based physical exercise interventions, performed before or after surgery. We searched in MEDLINE, EMBASE, CINAHL, Cochrane Library and PsycINFO. We included randomised controlled trials aimed at assessing efficacy of exercise-training programmes; physical therapy interventions had to be described in detail in order to be reproducible. Characteristics of studies and programmes, results and outcome data were extracted. Six studies were included, one describing preoperative rehabilitation and three assessing postoperative intervention. It seems that the best preoperative physical therapy training should include aerobic and strength training with a duration of 2–4 weeks. Although results showed improvement in exercise performance after preoperative pulmonary rehabilitation, it was not possible to identify the best preoperative intervention due to paucity of clinical trials in this area. Physical training programmes differed in every postoperative study with conflicting results, so comparison is difficult. Current literature shows inconsistent results regarding preoperative or postoperative physical exercise in patients undergoing lung resection. Even though few randomised trials were retrieved, treatment protocols were difficult to compare due to variability in design and implementation. Further studies with larger samples and better methodological quality are urgently needed to assess efficacy of both preoperative and postoperative exercise programmes.


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