scholarly journals Immediate Effects of Prophylactic Therapeutic Massage on Pain Tolerance and Threshold

Author(s):  
Kyle Knight ◽  
Erin Napier

Introduction: This study is meant to determine the immediate effects of therapeutic massage on pain tolerance and threshold.   Methods: Fourteen subjects were recruited from a sample of convenience. Subjects were randomized to have either the massage or no-massage protocol on their initial visit with the remaining protocol on their following visit. All subjects completed two sessions with the pain-eliciting test, one with the massage protocol and one with the no-massage protocol.   Results: All 14 subjects achieved a higher pain tolerance during the massage protocol compared to their own no-massage protocol. The pain tolerance difference between protocols was calculated by a paired T-Test (p value 0.0003) to be a significant difference. No significant difference was found for pain threshold between protocols.   Discussion: It appears that therapeutic massage does have a likelihood of increasing pain tolerance when subjects are submitted to a painful stimulus immediately post-massage. This study validates the use of therapeutic massage as an adjunct treatment to improve pain tolerance before a potentially painful procedure.   Conclusion: Prophylactic massage was shown to allow healthy participants to achieve a higher pain tolerance when subjected to a pain-eliciting test immediately after the massage was received.

Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Sharda Udassi ◽  
Jai P Udassi ◽  
Melissa Lamb ◽  
Doug Theriaque ◽  
Arno L Zaritsky ◽  
...  

Introduction: In animals Active Compression-Decompression(ACD)-CPR improves hemodynamics compared with standard CPR (S-CPR). We evaluated the feasibility of achieving ACD-CPR with a novel, simple and inexpensive Adhesive Glove Device (AGD) in an infant manikin model using two thumb (TT) chest compression. Hypothesis: AGD-ACD CPR provides better chest decompression compared to S-CPR in an infant manikin model without excessive rescuer fatigue. Methods: Laerdal ™ Baby ALS Trainer manikin was modified to digitally record compression pressure (CP), compression depth (CD) and decompression depth (DD). The thumb portion of two oven mitts were sewn together and a Velcro adhesive patch was stitched on the underside with an encircling adjustable strap for proper fit to create the AGD. An interlocking Velcro patch was glued to the manikin chest wall. Sixteen BLS or PALS certified healthcare providers were prospectively randomized to perform either two-thumb S-CPR or AGD-ACD-CPR for 5 minutes with a 30:2 compression:ventilation ratio using a crossover design. During AGD-ACD-CPR subjects were asked to pull up during chest decompression. Rescuer heart rate (HR), respiratory rate (RR), recovery time (RT) for HR/RR to return to baseline and actual compressions delivered per minute were recorded. Subjects were blinded to data recordings. Data (mean±SEM) was analyzed using 2 sided paired t-test; p-value ≤0.05 was considered significant. Results: Chest decompression was greater with AGD-ACD-CPR; the mean DD difference was 0.11±0.02 inches, p=<0.001. Compressions given per minute were 102±21 in S-CPR group vs. 96±16 in AGD-ACD-CPR group, p=0.04. In AGD-CPR 75% and in S-CPR only 12% of subjects achieved complete recoil to or beyond baseline. There was no significant difference in CD, CP, HR, RR and RT between the groups. Conclusions: Active decompression and improved recoil was achievable with the use of our simple, inexpensive AGD in this infant CPR model. Use of our device did not result in excessive rescuer fatigue compared to S-CPR. The clinical significance of 6 less compressions/minute in the AGD-CPR group needs to be determined.


Author(s):  
Pooja A Mulchandani ◽  
Trupti Warude ◽  
Amrutkuvar Pawar

Objectives: To compare the effect of gluteal muscle strengthening along with conventional exercises versus conventional exercises alone on flat foot.Method: An experimental study conducted at Physiotherapy Department of Krishna Institute of Medical Sciences, Karad. A total of 52 subjects were equally divided into two groups using convenient sampling with random allocation (Groups A and B). Baseline treatment was given to both groups (intrinsic muscle strengthening). Group A was given intrinsic muscle strengthening alone while Group B was given gluteal muscle strengthening along with intrinsic muscle strengthening.Result: Statistical analysis was performed using paired t-test and unpaired t-test. In pre-intervention there was no statistically significant difference seen with p values for the navicular drop was 0.3563 and for Ink test was 0.7342. While on comparing the post-interventional values, the results between the two groups using paired t-test revealed that there was extremely significant difference seen with p-value for the navicular drop was <0.0001 and for Ink test was <0.0001.Conclusion: From the study, it can be concluded that there was a significant effect of gluteal muscle strengthening on the flat foot.


2013 ◽  
Vol 16 (3) ◽  
pp. 154-160 ◽  
Author(s):  
Rahmadevita S.A.M ◽  
Yeni Rustina ◽  
Elfi Syahreni

AbstrakNeonatus yang menggunakan ventilasi mekanik akibat gangguan pernapasan mengalami masalah oksigenisasi dan frekuensi denyut jantung. Berbagai upaya perlu dilakukan agar neonates tenang sehingga kebutuhan oksigen dapat diminimalkan, salah satu upaya tersebut adalah terapi musik. Penelitian ini bertujuan untuk menguji pengaruh terapi musik terhadap saturasi oksigen, frekuensi denyut jantung dan frekuensi pernafasan neonatus yang menggunakan ventilasi mekanik. Penelitian kuasi eksperimen dengan rancangan pretest-posttest without control meibatkan 13 neonatus yang dipilih secara konsekutif. Intervensi yang diberikan adalah terapi musik dengan Brahm’s Lullaby selama 30 menit dengan headphone. Pengumpulan data menggunakan observasi dan dianalisis dengan Paired t test. Hasil penelitian menunjukkan adanya perbedaan bermakna antara rerata saturasi oksigen, frekuensi denyut jantung dan frekuensi pernafasan sebelum dan setelah pemberian terapi musik. Pada saturasi oksigen terjadi peningkatan, sedangkan pada frekuensi denyut jantung dan pernapasan mengalami penurunan. Terapi musik dapat digunakan sebagai pendamping terapi medis untuk memperbaiki oksigenisasi pada neonatus yang menggunakan ventilasi mekanik.Kata kunci: denyut jantung neonatus, pernapasan, saturasi oksigen, terapi musik, ventilasi mekanikAbstractImproving Oxygen Saturation, Heart Rate, and Respiratory Rate of Neonates Using Mechanical Ventilation with Music Therapy. Neonates using mechanical ventilation cause of respiratory disorder experience oxygenation and heart rate problems. Interventions should be made in order to calm neonates so that the need of oxygen can be minimized, one of these interventions is music therapy. This study aimed to identify the effect of music therapy on oxygen saturation, heart rate and respiratory rate of neonates using mechanical ventilation. This quasi experiment study with a pretest-posttest design without control involved 13 neonates selected by consecutive sampling. Data collected through observation and analyzed by paired t test. There was a significant difference on the average of oxygen saturation, heart rate and respiratory rate of infants using mechanical ventilation before and after music therapy (p value <0,05). Music therapy can be used as a complementary medical therapies to improve oxygenation in neonates using mechanical ventilation.Key words: heart rate, mechanical ventilation, music therapy, neonate, oxygen saturation, respiratory rate


1966 ◽  
Vol 22 (2) ◽  
pp. 383-390 ◽  
Author(s):  
E. Dean Ryan ◽  
Charles R. Kovacic

Using thermal, gross pressure, and muscle ischemia testing procedures to induce pain, an effort was made to determine the relationship between pain response and athletic participation by measuring the pain threshold and pain tolerance levels of three groups of Ss, i.e., contact athletes, non-contact athletes, and non-athletes. There were no significant differences between groups in pain threshold, but a highly significant difference between groups on pain tolerance, wherein the contact athlete tolerated more pain than the non-contact athlete, who in turn tolerated more pain than the non-athlete. Correlation between pain threshold and pain tolerance was .38 and that between the two measures of pain tolerance, .82.


2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Mahnaz Shoghi ◽  
Marzieh Ahmadi ◽  
Mahboube Rasouli

Introduction: Arterial blood sampling is a painful procedure, and is frequently performed in PICUs. Listening to mother's voice may be effective in reducing pain during arterial blood sampling in children. This study was aimed to determine the effect of mother’s recorded voice on pain and physiological parameters during arterial blood sampling in children hospitalized in PICUs. Methodology: This study was a single blind randomized clinical trial with crossover design. Fifty children hospitalized in PICUs participated in this study. The participants were selected through “sequential sampling” and randomly allocated into two groups; e.g., Group AB (n = 25) and Group BA (n = 25). Physiological parameters and pain in each child were measured before and during arterial blood sampling with (B) and without (A) listening to their mothers’ voices with a minimum of 24 hrs interval. To measure the pain, COMFORT pain scale was used and the physiological parameters were measured using the monitoring devices connected to the children. Data were analyzed with SPSS version 22, repeated measure test, paired and non-paired t-test, Wilcoxon and Mann-Whitney test. Results: Means of pain scores and physiologic parameters did not show a significant difference before the intervention on the first and second day between the two groups (AB-BA). The results showed the period effect (f = 0.581 and p = 0.89) and carry over effect (f = 0.055, p-value = 0.881) were not significant. Results of paired t-test showed that the mean pain score during arterial blood sampling with (B: 21.82 ± 5.53) and without (A: 22.40 ± 4.76) listening to their mothers’ voices was significantly different (p = 0.002). That is, with the mother’s voice, the children felt a lower level of pain. The SpO2 decline during the sampling was less with the mother’s voice. Additionally, the heart rate declined less during the sampling compared to the rate before the sampling with the mother’s voice; still, the difference was not significant (p > 0.05). Conclusion: Listening to mothers’ recorded voice was effective to alleviate pain during arterial blood sampling in children hospitalized in PICUs. The use of this method to reduce pain during this painful procedure is effective even in the absence of the mother. Key words: Pain; Mother’s voice; Arterial blood sampling; Physiological indices; PICU Citation: Shoghi M, Ahmadi M, Rasouli M. The effect of mother’s voice on pain and physiological parameters during arterial blood sampling in children hospitalized in PICUs. Anaesth. pain intensive care 2021;25(1):40-47.DOI: 10.35975/apic.v25i1.1440  Received: 20 June 2020, Reviewed: 16 September 2020, Accepted: 25 November 2020


2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Erna Ariyanti Kurnianingsih

Abstract: Sensory Integration Therapy-Muscle Tonus-Clinical Observation Of Neuromotor Performance. Special need children such as down syndrome, autism and intellectual disability suffered from Sensory Integration Disorder (SID) will have an impact on the weakness of postural muscle tone. Muscle tone measurement of children with SID is different from other children without SID. Clinical observation of neuromotor performance (CONP) is used as of one of criteria of muscle muscle tone in children with SID. The study aimed at finding theeffect of sensory integration therapy towards muscle tone based on Score of Clinical Observation of Neuromotor Performance (CONP) at Mitra Ananda Surakarta. The study was designed as quasi experiment one group pretest posttest design. population of this study is client with SID at Mitra Ananda Surakarta , by total sampling there are a number of 12 samples. Paired t-test is applied for analizing data with SPSS version 17.0. Paired t-test portrayed p-value > 0.05 it means that there are no significant difference in muscletone, before and after treatment. Sensory integration therapy doesn’t affect muscle tone for shildren with SID Based on Score of Clinical Observation of Neuromotor Performance (CONP) at Mitra Ananda Surakarta


2020 ◽  
Vol 9 (12) ◽  
pp. 4062
Author(s):  
Ángela Río-González ◽  
Ester Cerezo-Téllez ◽  
Cristina Gala-Guirao ◽  
Laura González-Fernández ◽  
Raquel Díaz-Meco Conde ◽  
...  

The aim of this study is to describe the short-term effects of manual lymph drainage (MLD) isolated in supraclavicular area in healthy subjects. A 4-week cross-sectional, double-blinded randomized clinical trial was conducted. Participants: 24 healthy participants between 18 and 30 years old were recruited from Universidad Europea de Madrid from December 2018 to September 2019. A total of four groups were studied: control, placebo, Vodder, and Godoy. The order of the interventions was randomized. Resting Heart Rate and Oxygen Saturation, blood pressure, pressure pain threshold of trapezius muscle, respiratory rate, range of active cervical movements were measured before and after every intervention. All the participants fulfilled four different interventions with a one-week-wash-out period. No statistically significant differences were found between groups in descriptive data; neither in saturation of oxygen, diastolic blood pressure and cervical range of motion. Significant differences were found in favor of Vodder (p = 0.026) in heart rate diminution and in cardiac-rate-reduction. A significant difference in respiratory rate diminution is found in favor of the Godoy group in comparison with the control group (p = 0.020). A significant difference is found in favor of the Godoy group in systolic blood pressure decrease (p = 0.015) even in pressure pain threshold (p < 0.05). MLD decreases systolic blood pressure in healthy participants. However, it does not produce any changes in other physiologic outcomes maintaining physiologic values, which may suggest the safety of the technique in patients suffering from other pathologies.


2017 ◽  
Vol 3 (6) ◽  
pp. 771-777
Author(s):  
Rif’atun Nisa ◽  
Ariawan Soejoenoes ◽  
Sri Wahyuni

Background: Anemia during pregnancy is one of the most common disorders in pregnant women in Indonesia. The Government has made efforts to overcome this problem, however, the rate of anemic mothers remains high. Rosella (Hibiscus Sabdariffa) is considered able to increase the hemoglobin levels in pregnant mothers.Objective: To analyze the effect of Rosella flower extract (Hibiscus Sabdariffa) on the increase of Hemoglobin level in pregnant women with anemia receiving Fe tablet.Methods: This study was a quasy experiment with pretest-posttest control group design conducted in November - December 2016 in the working area of Tlogosari Wetan Community Health Center. Forty-two participants were selected using accidental sampling, which 21 assigned in the experiment and control group. All samples were pregnant women in the second trimester suffering from anemia and receiving iron tablets. Hemoglobin levels were measured using hematology analyzer in laboratory. Independent t-test and paired t-test were used for data analysis.Results: Paired t-test obtained p-value 0.00 (<0.05), indicated that there was an increase of hemoglobin levels in both experiment and control group. The mean increase of hemoglobin levels in the control group was 0.61 gr and in the experiment group was 1.08. The hemoglobin levels in the experiment group were higher than the levels in the control group.  Independent t-test obtained p-value 0.000 (<0.05) indicating that there was a significant difference of mean of hemoglobin levels between the control group and the treatment group.Conclusion: The consumption of rosella extract combined with Fe tablet showed a significant increase of hemoglobin levels compared with the consumption of Fe tablet alone. Therefore, it is suggested for midwife to use the result of this research as a evidence practice through counseling for pregnant mother about utilization of rosella extract that can increase hemoglobin level in pregnant woman with anemia.


2019 ◽  
Vol 4 (1) ◽  
pp. 51
Author(s):  
Prasita Ayu Widyaningtyas

Abstract: Baby growth can be hampered if only given breast milk without getting breast milk supplementary food (MPASI) after the age of 6 months, because nutrients are not fulfilled for growth and development. However, if MPASI is given early it can cause negative problems in infants such as allergies and digestive disorders. One of the causes of malnutrition is due to the lack of knowledge of mothers about giving complementary feeding to infants. So that the mother provides complementary feeding at an earlier age and the type of food that is not suitable for the baby's age. This study aims to determine the differences in knowledge about complementary foods in mothers with underweight children aged 6-24 months before and after getting counseling in Mudung Village, Kepohbaru Bojonegoro Subdistrict. This study uses the pre-experimental method with the type of research using the one group pre test post test design. The sample in this study used a total sampling of 13 people. The data collection method used is a knowledge questionnaire. Data analysis was done by paired t test. Based on the results of the statistical test with paired t test obtained p value of (0.047) where the value of p value <0.05. Based on the results of the study it can be concluded that there is a significant difference between mother's knowledge about MP ASI to children aged 6-24 months before and after getting counseling. It is expected that mothers can apply complementary feeding behavior to infants aged 6-24 months correctly and accordingly in order to improve the nutritional status of infants and follow-up health workers to further improve health counseling to further improve health counseling about complementary foods.Keyword: counseling,complementary feeding, knowledgeAbstrak: Pertumbuhan bayi dapat terhambat apabila hanya diberi Air Susu Ibu (ASI) saja tanpa mendapat Makanan Pendamping Air Susu Ibu (MPASI) setelah berusia 6 bulan, karena tidak terpenuhinya zat gizi untuk pertumbuhan dan perkembangan. Namun, apabila MPASI diberikan secara dini dapat menimbulkan masalah negatif pada bayi seperti alergi dan gangguan pencernaan. Salah satu penyebab masalah gizi kurang karena tingkat pengetahuan ibu yang kurang tentang pemberian MPASI pada bayi. Sehingga ibu memberikan MPASI pada usia lebih dini dan jenis makanan MPASI yang tidak sesuai dengan usia bayi. Penelitian ini bertujuan untuk mengetahui perbedaan pengetahuan tentang makanan pendamping asi pada ibu dengan balita gizi kurang usia 6-24 bulan sebelum dan sesudah mendapatkan penyuluhan di Desa Mudung Kecamatan Kepohbaru Bojonegoro. Penelitian ini menggunakan metode pre-eksperimental dengan jenis penelitian menggunakan rancangan one grup pre test post test. Sampel dalam penelitian ini menggunakan total sampling sebanyak 13 orang. Metode pengumpulan data yang digunakan adalah kuesioner pengetahuan. Analisis data dilakukan dengan paired t test. Berdasarkan hasil dari uji statistik dengan paires t test diperoleh p value sebesar (0.047) dimana nilai p value < 0,05. Berdasarkan hasil penelitian dapat disimpulkan bahwa terdapat perbedaan yang signifikan antara pengetahuan ibu tentang MP ASI kepada balita usia 6-24 bulan sebelum dan sesudah mendapatkan penyuluhan. Diharapkan ibu dapat menerapkan perilaku pemberian makanan pendamping ASI pada bayi umur 6-24 bulan secara benar dan sesuai agar meningkatkan status gizi bayi serta tindak lanjut petugas kesehatan untuk lebih meningkatkan penyuluhan kesehatan untuk lebih meningkatkan penyuluhan kesehatan tentang makanan pendamping ASI. Kata Kunci : Penyuluhan, MP ASI, Pengetahuan


2021 ◽  
Vol 6 (3) ◽  
Author(s):  
Astuti Astuti ◽  
Kartika Asli ◽  
Asrida Asrida ◽  
Nunung Erviany ◽  
Ummul Khair

Honey contains complex nutrients including vitamins A, C, E, B and flavonoids which play a role in suppressing oxidative stress. This study aimed to determine the effect of honey and Fe on body weight and malondialdehyde (MDA) levels of anemia pregnant women. The type of this study was quasi-experimental with the pretest-posttest design. Data analysis using paired t-test and independent samples test. After implementation the average value of the intervention group was 2.30 ± 0.50 while the average value of the control group was 2.00 ± 0.20 which showed that there was an effect of giving honey + Fe and Fe to the weight of anemic pregnant women. Whereas the statistical test results of the independent samples test showed p> 0.05 (p = 0.307) which means that there was no significant difference between the administration of honey + Fe (intervention) and Fe (control). In the melondialdehyde (MDA) variable there was a decrease in the intervention group by 8.86 ± 2.78 with the paired t-test obtained p value 0.002, this indicates there is an effect of giving honey + Fe to malondialdehyde (MDA) levels. The average value in the control group was 0.92 ± 0.07 with the paired t-test p value of 0.653 indicating no effect of Fe on Melondialdehyde (MDA) levels. Based on the test of the independent samples test obtained p value 0.004 (α <0.05). Conclusion: administration of honey + Fe effectively reduces malondialdehyde (MDA) levels and increases the weight of anemic pregnant women.


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