Az ortopédiai nagyműtétek során alkalmazott terápiás                     szuggesztiók hatása a beteg gyógyulására

Abstract: Introduction and aim: Hip and knee replacement surgery is very demanding for patients. Medication consumption is further increased by perioperative anxiety. Besides pain killer and anxiolytic medications, patients’ recovery can be enhanced by applying therapeutic suggestions, which are easily applicable during the patient–physician communication. Method: In our prospective, randomized, controlled study we examined the effects of positive suggestions on patients undergoing hip or knee arthroplasty in spinal anaesthesia. Members of the suggestion group received the therapeutic suggestions during a pre-surgery physician visit, and by listening to an audio recording during surgery. Results: Compared to the control group (n = 50), in the suggestion group (n = 45) the need of medication (pain killer and adjuvant pain medication) during the surgery was lower (p = 0.037), the mean change from baseline in the well-being of the patients was better on the 2nd [1.31 (0.57; 2.04); p<0.001] and 4th [0.97 (0.23; 1.7); p = 0.011] postoperative day and less transfusion had to be administered (OR: 2.37; p = 0.004). However, there was no difference between the two groups in the postoperative need of medications, in the length of hospitalisation and in the frequency of complications. Conslusion: Our results indicate that the administration of therapeutic suggestions in the perioperative period may be beneficial for orthopaedic surgery patients. Orv Hetil. 2018; 159(48): 2011–2020.

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Foam Rolling Elicits Neuronal Relaxation Patterns Distinct from Manual Massage: A Randomized Controlled Trial

Brain Sciences ◽

10.3390/brainsci11060818 ◽

2021 ◽

Vol 11 (6) ◽

pp. 818

Author(s):

Yann Kerautret ◽

Aymeric Guillot ◽

Sébastien Daligault ◽

Franck Di Rienzo

Keyword(s):

Skin Conductance ◽

Muscle Pain ◽

Controlled Trial ◽

Muscle Relaxation ◽

Well Being ◽

Self Report ◽

Controlled Study ◽

Control Group ◽

Foam Rolling ◽

Randomized Controlled

The present double-blinded, randomized controlled study sought to compare the effects of a full-body manual massage (MM) and a foam rolling (FR) intervention on subjective and objective indexes of performance and well-being. A total of 65 healthy individuals were randomly allocated to an FR, MM, or a control group who received a cognitively oriented relaxation routine. Self-report ratings of perceived anxiety, muscle relaxation, and muscle pain were used to index changes in affect and physical sensations. The sit-and-reach and toe-touch tests, as well as a mental calculation task, were used to index motor and cognitive performances, respectively. We also conducted resting-state electroencephalography and continuous skin conductance recordings before and after the experimental intervention. Both FR and MM groups exhibited neural synchronization of alpha and beta oscillations during the posttest. Skin conductance increased from the pretest to the posttest in the relaxation group, but decreased in the FR group. All interventions improved range of motion, although only the MM group outperformed the relaxation group for the toe-touch performance. MM was associated with reduced muscle pain and increased muscle relaxation. Reduced perceived anxiety after the intervention was observed in the FR group only. Overall, MM and FR both improved objective and subjective indexes of performance and well-being. Differences between the two massage interventions are discussed in relation to the effects of pressure stimulation on autonomic regulations and the proactive vs. retroactive nature of FR, compared to MM.

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Self-Managed Music-Guided Exercise Intervention Improved Upper and Lower Extremity Muscle Strength for ICU Survivors—A Pilot Randomized Controlled Study

Biological Research For Nursing ◽

10.1177/10998004211050297 ◽

2021 ◽

pp. 109980042110502

Author(s):

Zhan Liang ◽

Hilary Yip ◽

Kimberly Sena Moore ◽

Tanira Ferreira ◽

Ming Ji ◽

...

Keyword(s):

Muscle Strength ◽

Lower Extremity ◽

Active Control ◽

Exercise Intervention ◽

Controlled Study ◽

Control Group ◽

Active Control Group ◽

Randomized Controlled ◽

Left And Right ◽

The Mean

Objective The objective of this study was to evaluate effects of a self-managed music-guided exercise intervention on muscle strength among intensive care unit (ICU) survivors. Methods We used a two-arm randomized-controlled trial. Following ICU discharge, eligible participants were assigned to one of two groups: music group ( n = 13) or active control group ( n = 13). The music group was taught to self-manage upper and lower extremity exercise movements by listening to an individualized music-guided playlist twice daily for 5 days. The active control group was provided an exercise brochure and advised to perform the same exercises at the same intervals. Dynamometers were used to measure muscle strength. T-tests and Weighted GEE models were used for testing the intervention effect between groups. Results Twenty-six subjects were enrolled. The mean age was 62.8 ( SD = 13.8), 53.8% were male, 65.4% were Caucasian, and the mean APACHE severity of illness score was 59 ( SD = 23.4). Reasons for ICU admission were mainly cardiac and medical. The music group showed significant improvements in handgrip, plantar flexion, leg extension, elbow flexion, and shoulder adduction strengths on left and right sides. Additionally, left and right leg extensor and left plantar flexor strengths showed significant post-differences, and small to moderately large effect sizes, between the music group and control group. Conclusion These findings suggest that a music-guided exercise intervention has the potential to improve muscle strength in ICU survivors and prevent further post-ICU deterioration in ICU survivors. Future trials should build upon these preliminary findings.

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Effect of Tourniquet Use in Ankle Arthroscopic Surgery on Postoperative Recovery: A Prospective Non- Randomized Controlled Study

10.21203/rs.3.rs-89991/v1 ◽

2020 ◽

Author(s):

Tingting Huang ◽

Haixiao Liu ◽

Yuezheng Hu ◽

Xinxian Xu

Keyword(s):

Functional Outcome ◽

Ischemia Reperfusion Injury ◽

Ischemia Reperfusion ◽

Arthroscopic Surgery ◽

Randomized Controlled Study ◽

Controlled Study ◽

Control Group ◽

Complication Rates ◽

Randomized Controlled ◽

The Mean

Abstract The aim of this prospective non- randomized controlled study was to explore the effect of tourniquet use on joint swelling, pain, functional outcome, and tourniquet- related ischemia- reperfusion injury (IRI) during ankle arthroscopic surgery.52 patients who received ankle arthroscopy were allocated to had the procedure done with the tourniquet inflated (the Control group, n= 27) or without the tourniquet inflated (the NT group, n= 25). The main outcome measures were: (1) The amount of swelling of the ankle; (2) Pain as measured by a visual analog scale (VAS); (3) The levels of MDA, IMA,TOS, TAS and OSI at 10 min before incision (T1)，after the completion of surgery (T2), and 30 min after tourniquet deflation (T3); (4) The functional outcome as measured by American Orthopaedic Foot and Ankle Society (AOFAS) ankle hindfoot score; (5) The rate of complication. All patients were reviewed at a mean follow- up of 14.2 months (range, 12- 19 months). The mean circumferences of the ankle in the NT group were significantly lower than those in the Control group on postoperative day 2 and 5 (p<0.05). The mean level of VAS in the Control group was significantly higher on postoperative day 2 (p<0.05). The outcomes of AOFAS ankle hindfoot score were comparable between groups postoperatively (p>0.05). The levels of MDA, IMA, TOS and OSI were all significantly lower in the NT group compared at T2 and T3 (p<0.05), and the level of TAS was significantly lower in the NT group at T3 (p<0.05). The complication rates of two groups were comparable (p>0.05).With the use of tourniquet during ankle arthroscopic surgery, there was increased joint swelling and pain postoperatively, and a trend toward increased levels of MDA, IMA, TOS, TAS and OSI intraoperatively. Thus, we do not recommend using a tourniquet in this type of procedure.

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Transcutaneous Electrical Acupoint Stimulation Before Induction of Anesthesia Prevents Sufentanil-Induced Cough: A Prospective, Randomized, Controlled Study

10.21203/rs.3.rs-35069/v1 ◽

2020 ◽

Author(s):

Junjie Xie ◽

Yunchang Mo ◽

Junkai Wang ◽

Lili Yang ◽

Haijuan He ◽

...

Keyword(s):

Statistical Difference ◽

Inhibitory Effect ◽

Controlled Study ◽

Common Side Effect ◽

Control Group ◽

Trial Registry ◽

Clinical Trial Registry ◽

Randomized Controlled ◽

The Mean ◽

Acupoint Stimulation

Abstract Background. Sufentanil-induced cough is a common side effect during the induction of general anesthesia.This study is to determine the inhibitory effect of transcutaneous electrical acupoint stimulation(TEAS) on sufentanil-induced cough.Methods. A total of 339 patients were recruited in this trial.After the unqualified patients were removed,300 patients were enrolled and randomly allocated into five groups(n=60):Patients did not receive TEAS in control group(C group);Patients received 2Hz TEAS at Hegu/Neiguan(LI4/PC6) in 2A group;Patients received 100Hz TEAS at LI4/PC6 in 100A group;Patients received 2Hz TEAS at Zusanli/sanyinjiao(ST36/SP6) in 2B group;Patients received 100Hz TEAS at ST36/SP6 in 100B group.Except for C group,all groups received TEAS for 30 min before the induction.Then 0.5μg/kg sufentanil was given within 2 s,the occurrence of cough was observed and recorded for 1 min.The severity of cough was graded as mild(1-2 coughs),moderate(3-5 cough),and severe(>5 coughs).The mean arterial pressure(MAP) and heart rate(HR) before (T0) and 1 min after(T1) sufentanil injection were recorded.Results. The incidence of sufentani-induced cough in C group,2A group,2Bgroup,100A group and 100B group were 37%,27%,27%,12% and 13%,respectively.Compared with C group,the incidence of 100A group and 100B group were significantly lower(P<0.05).The MAP and HR between five groups had no statistical difference.Conclusion. Groups the received 100Hz TEAS for 30 min before sufentanil injection can effectively reduce the incidence of sufentanil-induced cough during the induction of general anesthesia.Trial registration: Chinese clinical trial registry(ChiCTRINR16008759)

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Customized Arch Support Insoles Improve Physical Functional Performance in Children: A Randomized Controlled Study

10.21203/rs.3.rs-964161/v1 ◽

2021 ◽

Author(s):

Ying-Chen Kuo ◽

Ru-Lan Hsieh ◽

Wen-Chung Lee

Keyword(s):

Physical Function ◽

Effect Size ◽

Functional Performance ◽

Well Being ◽

Controlled Study ◽

Control Group ◽

Psychological Well Being ◽

Randomized Controlled ◽

Arch Support ◽

Physical Functional Performance

Abstract The effectiveness of arch-support insoles on children remains controversial. We evaluated the short-term therapeutic effects of arch-support insoles on the physical functional performance, physical function, and psychological well-being of healthy children under the International Classification of Functioning, Disability, and Health (ICF) framework. It was a prospective double-blind randomized controlled study. The participants were randomized into 2 groups, the treatment group (with customized arch-support insoles) and the control group (without insoles) for a 12-week intervention period. The walking speed test, stairs ascent and descent tests, the Five Times Sit-to-Stand test, and the Timed Up and Go test for physical functional performance, and the Pediatric Outcome Data Collection Instrument-Parent (PODCI) and the Child Health Questionnaire-Parent Form (CHQ-PF28) for the physical function and psychological well-being of children were assessed. Forty-five children completed the study. Compared with the control group, after 12 weeks of wearing customized insoles, the treatment group exhibited significant improvement in physical functional performance in terms of fastest walking speed (effect size: .515, P = .046), stairs ascent time (effect size: .658, P = .023), and stairs descent time (effect size: .718, P = .012). No significant difference was found between PODCI and CHQ-PF28 scores.Conclusions: Children wearing customized arch-support insoles for 12 weeks improved their physical functional performance which belonged to the domain of activity in the ICF. However, using insoles did not affect the physical function and psychological well-being of children.ClinicalTrials.gov (NCT03198299), date of registration: June 2017, retrospectively registered.

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Effect of illusory kinesthesia on hand function in patients with distal radius fractures: a quasi-randomized controlled study

Clinical Rehabilitation ◽

10.1177/0269215516688048 ◽

2017 ◽

Vol 31 (5) ◽

pp. 696-701 ◽

Cited By ~ 1

Author(s):

Ryota Imai ◽

Michihiro Osumi ◽

Tomoya Ishigaki ◽

Shu Morioka

Keyword(s):

Distal Radius ◽

Pain Catastrophizing ◽

Hand Function ◽

Distal Radius Fractures ◽

Controlled Study ◽

Control Group ◽

Radius Fractures ◽

Randomized Controlled ◽

The Mean ◽

Pain At Rest

Objectives: We investigated the effects of the illusion of motion through tendon vibration on hand function in patients with distal radius fractures. Setting: Kawachi General Hospital, Japan. Subjects: A total of 22 patients with distal radius fractures were divided into either an illusory kinesthesia group ( n = 11) or a control group ( n = 11). Intervention: We performed the intervention for seven consecutive days after surgery. Evaluations were performed at one day, seven days, one month, and two months postsurgery. Main measures: Data were collected on pain at rest and pain during movement. The Patient-Rated Wrist Evaluation and Pain Catastrophizing Scale were also used. Results: The illusory kinesthesia group showed significantly better scores on Patient-Rated Wrist Evaluation ( p < 0.01) compared with the control group at seven days, one month, and two months postsurgery. The mean (SD) of the Patient-Rated Wrist Evaluation total score was 97.6 (2.2) at one day postsurgery and 9.1 (5.3) at seven days postsurgery in the illusory kinesthesia group, while the Patient-Rated Wrist Evaluation total score was 96.3 (4.4) at one day postsurgery and 20.1 (17.0) at seven days postsurgery in the control group. Conclusion: Our results indicate that illusory kinesthesia is an effective postsurgery management strategy not only for pain alleviation, but also hand function in patients with distal radius fractures. Furthermore, the significant improvements persisted for up to two months after intervention in the illusory kinesthesia group, but not in the control group. In addition, patients in the kinesthetic illusions group showed increased use of the affected limb in daily living.

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Mindfulness-Based Eudaimonic Enhancement for Well-Being of Individuals with Alcohol-Dependence: A Pilot Randomized Controlled Study

The Open Psychology Journal ◽

10.2174/1874350102114010167 ◽

2021 ◽

Vol 14 (1) ◽

pp. 167-178

Author(s):

Allen Joshua George ◽

Eslavath Rajkumar ◽

Romate John ◽

Ranganathappa Lakshmi ◽

Maria Wajid

Keyword(s):

Alcohol Dependence ◽

Well Being ◽

T Test ◽

Controlled Study ◽

Control Group ◽

Rehabilitation Centre ◽

Treatment As Usual ◽

Randomized Controlled ◽

Experimental Group

Background: Theoretically, mindfulness or the non-judgmental awareness of the present generates eudaimonic well-being. Mindfulness-based interventions are effective for addictions like alcohol-dependence but its well-being outcomes should be validated empirically. Objectives: Current pilot study intended to explore the feasibility of a novel intervention, Mindfulness-Based Eudaimonic Enhancement Training (MEET), among individuals undergoing treatment for alcohol-dependence at an Integrated Rehabilitation Centre for Addicts (IRCA), Kerala, India. Methods: The experimental group (N=12) was administered with the intervention and Treatment as Usual (TaU) while the control group (N=12) received TaU alone. Obtained data were analysed using independent sample t-test and paired sample t-test. Results: After intervention the experimental group had reported better mindfulness, eudaimonic well-being, hedonic well-being, and flourishing. The results delineate the efficacy of the intervention as a mindfulness-based positive psychology intervention that enhances well-being and flourishing. Conclusion: This is the first study reporting the efficacy of a mindfulness-based intervention aimed exclusively at eudaimonic enhancement that showed promising impact among individuals with alcohol-dependence. The study contributes to the existing scientific literature, on the role of well-being and its enhancement for the effective treatment of addiction and relapse prevention.

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Effect of Fatiguing Maximal Isokinetic Quadriceps Contractions on Ability to Estimate Knee-Position

Perceptual and Motor Skills ◽

10.2466/pms.1993.77.3f.1195 ◽

1993 ◽

Vol 77 (3_suppl) ◽

pp. 1195-1202 ◽

Cited By ~ 31

Author(s):

Ray Marks ◽

H. Arthur Quinney

Keyword(s):

Sensory Modality ◽

Controlled Study ◽

Control Group ◽

Randomized Controlled ◽

Algebraic Error ◽

Knee Position ◽

Isokinetic Contractions ◽

Single Bout ◽

The Mean ◽

Experimental Group

This randomized controlled study compared the accuracy of knee positioning by 8 women after fatiguing maximal isokinetic contractions of the quadriceps with those of 8 controls who performed no exercise. The mean algebraic error (AE) and variable error (VE) showed a significant posttest improvement for the control group after a 5-min. intertrial period. There was no change in accuracy of knee positioning postexercise, however, for the experimental group. These findings suggest that, while a single bout of fatiguing knee exercises may not alter absolute accuracy of knee positioning, the movements may undermine the relative proficiency attainable by learning. They suggest a role for central as well as peripheral mechanisms in mediating this sensory modality

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The effect of the emotion regulation training on the resilience of caregivers of patients with schizophrenia: a parallel randomized controlled trial

BMC Psychology ◽

10.1186/s40359-021-00542-5 ◽

2021 ◽

Vol 9 (1) ◽

Author(s):

Maryam Behrouian ◽

Tahereh Ramezani ◽

Mahlagha Dehghan ◽

Abdoreza Sabahi ◽

Batool Ebrahimnejad Zarandi

Keyword(s):

Randomized Controlled Trial ◽

Emotion Regulation ◽

Controlled Trial ◽

Intervention Group ◽

Well Being ◽

Control Group ◽

Psychological Traits ◽

Randomized Controlled ◽

Significant Difference ◽

The Mean

Abstract Background Schizophrenia is the most severe mental chronic disabling disease that the majority of the patients need constant care in a variety of aspects. Regarding the role of family caregivers in taking care of these patients, caregivers need to be resilient, in addition to other psychological traits, to adapt to the circumstance. This study aimed to investigate the effect of the emotion regulation training on the resilience of caregivers of patients with schizophrenia in southeastern Iran. Methods The study was a parallel randomized controlled trial. Seventy caregivers of patients with schizophrenia were selected by convenience sampling method and randomly assigned to an emotion regulation training group and a control group. The intervention group received eight 90-min training sessions (one session weekly) about emotion regulation. The participants completed the Conner–Davidson resilience scale before and one month after the intervention. Results The mean scores of the resilience increased in the control and intervention groups at the end of the study. A significant difference was found between the two groups (p < 0.001). At the beginning of the study, the mean score of the resilience was 59.94 in the control group and 51.97 in the intervention group. However, the mean score of the resilience in the control group was 61.28 after the intervention, which was not significant, but it was 69.08 in the intervention group, which was significant. A significant difference was observed between two groups in the mean scores (p = 0.01). Conclusions According to the results of this study, cognitive and metacognitive skills of emotion regulation can be suggested as one of the methods for increasing the psychological well-being of schizophrenia patients’ caregivers. The increase of mental well-being and resilience of caregivers can help them better manage a patient with schizophrenia. Trial registration IRCT registration number: IRCT2017061733997N2, Registration date: 2017-08-16, 1396/05/25, Registration timing: prospective, https://en.irct.ir/trial/26116

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Impact on antimicrobial consumption of procalcitonin-guided antibiotic therapy for pneumonia/pneumonitis associated with aspiration in comatose mechanically ventilated patients: a multicenter, randomized controlled study

Annals of Intensive Care ◽

10.1186/s13613-021-00931-4 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Guylaine Labro ◽

François Aptel ◽

Marc Puyraveau ◽

Jonathan Paillot ◽

Sébastien Pili Floury ◽

...

Keyword(s):

Mechanical Ventilation ◽

Antibiotic Therapy ◽

Antibiotic Treatment ◽

Intervention Group ◽

Controlled Study ◽

Control Group ◽

Randomized Controlled ◽

Saps Ii Score ◽

Significant Difference ◽

The Mean

Abstract Background In comatose patients receiving oro-tracheal intubation for mechanical ventilation (MV), the risk of aspiration is increased. Aspiration can lead to chemical pneumonitis (inflammatory reaction to the gastric contents), or aspiration pneumonia (infection caused by inhalation of microorganisms). Distinguishing between the two types is challenging. We tested the interest of using a decisional algorithm based on procalcitonin (PCT) values to guide initiation and discontinuation of antibiotic therapies in intubated patients. Methods The PROPASPI (PROcalcitonin Pneumonia/pneumonitis Associated with ASPIration) trial is a multicenter, prospective, randomized, controlled, single-blind, superiority study comparing two strategies: (1) an intervention group where threshold PCT values were used to guide initiation and discontinuation of antibiotics (PCT group); and (2) a control group, where antibiotic therapy was managed at the physician’s discretion. Patients aged 18 years or over, intubated for coma (Glasgow score ≤ 8), with MV initiated within 48 h after admission, were eligible. The primary endpoint was the duration of antibiotic treatment during the first 15 days after admission to the ICU. Results From 24/2/2015 to 28/8/2019, 1712 patients were intubated for coma in the 5 participating centers, of whom 166 were included in the study. Data from 159 were available for intention-to-treat analysis: 81 in the PCT group, and 78 in the control group. Overall, 67 patients (43%) received antibiotics in the intensive care unit (ICU); there was no significant difference between groups (37 (46%) vs 30 (40%) for PCT vs control, p = 0.432). The mean duration of antibiotic treatment during the first 15 days in the ICU was 2.7 ± 3.8 days; there was no significant difference between groups (3.0 ± 4.1 days vs 2.3 ± 3.4 days for PCT vs control, p = 0.311). The mean number of days under MV was significantly higher in the PCT group (3.7 ± 3.6 days) than in controls (2.7 ± 2.5 days, p = 0.033). The duration of ICU stay was also significantly longer in the PCT group: 6.4 ± 6.5 days vs 4.6 ± 3.5 days in the control group (p = 0.043). After adjustment for SAPS II score, the difference in length of stay and duration of mechanical ventilation between groups was no longer significant. Conclusion The use of PCT values to guide therapy, in comparison to the use of clinical, biological (apart from PCT) and radiological criteria, does not modify exposure to antibiotics in patients intubated for coma. Trial registration Clinicaltrials.gov Identifier NCT02862314.

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