scholarly journals Potential Benefits of a Selective Region High-frequency Diathermy with Therapeutic Exercises on Older Persons with Degenerative Knee Osteoarthritis: A Case Report

2021 ◽  
Vol 10 (4) ◽  
pp. 387-397
Author(s):  
Sin Ho Ha ◽  
Dong Geon Lee ◽  
Soung Kyun Hong ◽  
Gyu Chang Lee
2020 ◽  
Author(s):  
SinHo Ha ◽  
GyuChang Lee

Abstract Background: Musculoskeletal degenerative diseases, such as osteoporosis, knee osteoarthritis and spondylolysis often occur in the elderly. The purpose of this case study was to investigate selective region high-frequency diathermy at trigger points with therapeutic exercises on pain, dysfunction, balance and gait in older patients with degenerative knee osteoarthritis.Methods. The patient who participated in this study was a 71-year-old woman, who had been diagnosed with moderate osteoarthritis with a Kellgren & Lawrence grading scale grade II. The treatment consisted of selective region high-frequency diathermy at trigger points, with hip and knee strengthening and stretching therapeutic exercises. Both treatments were applied simultaneously. The participant was given assessments before and after every training session using the Visual Analogue Scale (VAS), Western Ontario and McMaster Universities Arthritis Index (WOMAC), the Timed Up and Go test (TUG) and the 10 Meter Walk Test (10MWT). The participant was assessed a total of 19 times and treatment was performed 18 times for a total of 30 minutes each. Results. Consecutively, VAS decreased to 3 points, and the Western Ontario and McMaster Universities Arthritis Index decreased to 53 points. In addition, the Timed Up and Go test decreased to 3.25 s and the 10 Meter Walk Test decreased to 1.14 s.Conclusion. The results of this study suggest that selective region high-frequency diathermy at trigger points with therapeutic exercises may be an effective treatment to decrease pain, improve functional status, balance and gait in patients with degenerative knee osteoarthritis. The selective region high-frequency diathermy with therapeutic exercises may be feasible and provide potential benefits for rehabilitation of degenerative knee osteoarthritis.


2018 ◽  
Vol Volume 11 ◽  
pp. 1967-1970
Author(s):  
Gordon Ko ◽  
Kim Isabelle Thien Lam ◽  
Jonathan Looi ◽  
Kinga T Koprowicz ◽  
Mark Tsai ◽  
...  

2021 ◽  
Vol 156 (Supplement_1) ◽  
pp. S126-S126
Author(s):  
C Attaway ◽  
F El-Sharkawy Navarro ◽  
M Richard-Greenblatt ◽  
S Herlihy ◽  
C Gentile ◽  
...  

Abstract Introduction/Objective Nasopharyngeal (NP) swabs have been the traditional specimen source used for testing for respiratory viruses. However, at the start of the COVID-19 pandemic, several studies suggested that saliva could also be used as a specimen source for testing for SARS-CoV-2. Despite potential benefits, there was limited data on the characteristics of this specimen type and few commercial assays with FDA emergency use authorization allowed saliva as a specimen source. In order to explore the feasibility and validate using saliva as a specimen source for ambulatory and emergency department patients we designed a study to compare saliva to NP swabs for SARS-CoV-2 testing. Methods/Case Report Specimens were collected in the emergency department and ambulatory testing sites between May 6, 2020-July 7, 2020. Nasopharyngeal swabs were collected as part of routine clinical practice and patients were given written instructions to self-collect 1mL of saliva into a sterile specimen cup with or without a straw. SARS-CoV-2 testing was performed in parallel with both specimen types using the TaqPath COVID-19 Combo Kit (Thermo Fisher Waltham, MA). Saliva was diluted 1:1 in saline prior to testing. Specimens were transported to the lab at 4C and frozen at -80C prior to testing. Results (if a Case Study enter NA) Seventy-four patients had both an NP swab and saliva tested in this study. Thirty of the 74 patients (41%) were unable to produce the full 1mL of saliva requested, but all samples had sufficient volume for testing after dilution. There were 34 positive samples obtained with an 82% positive agreement between the NP swabs and saliva. In 6 cases, the NP swab was positive, and the paired saliva was negative. In 1 case, only the saliva was positive. The average Ct of the positive NP swabs with a paired negative saliva sample was 39.6. There was only a single invalid test for one of the saliva samples. Conclusion Saliva was a straightforward sample to collect and test for SARS-CoV-2. Challenges included obtaining sufficient sample and a less predictable matrix that required dilution to ensure proper pipeting. In this study, NP swabs were more sensitive for detection of SARS-CoV-2. Paired saliva was more often negative in patients shedding small amounts of SARS-CoV-2 based on a high Ct of the positive NP sample.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jingli Guo ◽  
Wenyi Tang ◽  
Wei Liu ◽  
Min Zhou ◽  
Qing Chang ◽  
...  

Abstract Background To report undescribed characteristics of patients with bilateral diffuse uveal melanocytic proliferation (BDUMP) on ultrasound biomicroscopy (UBM) and high-frequency B-scan ultrasonography. Case presentation Two of four participants presented with worsening bilateral vision after previously diagnosed primary pulmonary or ovarian carcinoma. The other two patients were diagnosed with lung carcinoma after presentation with BDUMP. All patients had ciliary body nevi-like lesion in combination with iris or ciliary body cysts, and uveal thickening on UBM. Focally elevated choroidal nevi-like lesion and exudative retinal detachment with choroidal thickening were detected with B-scan ultrasonography. Conclusions Our case series demonstrates the uveal characteristics of patients with BDUMP based on high-frequency B-scan ultrasonography and UBM. Ultrasonographic findings are crucial in the diagnosis of BDUMP because it is occult in nature.


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