scholarly journals Tennis elbow brace and wrist cock-up splint in the management of tennis elbow: a comparative study

2020 ◽  
Vol 6 (4) ◽  
pp. 813
Author(s):  
Sandeep Gavhale ◽  
Harshit Dave ◽  
Hitesh Rohra ◽  
Vipul D. Shet ◽  
Ganesh Aher ◽  
...  
Keyword(s):  
Tennis Elbow ◽  
Symptomatic Relief ◽  
Lateral Epicondylitis ◽  
Post Treatment ◽  
Wrist Extension ◽  
Proper Patient Selection ◽  
Group 3 ◽  
Pre Treatment ◽  
Group 2 ◽  
Group 1

<p class="abstract"><strong>Background:</strong> The purpose of our study was to compare the efficacy of a wrist splint with a forearm counterforce strap brace in the management of tennis elbow.</p><p class="abstract"><strong>Methods:</strong> This prospective study was conducted between January and December 2018 comprising of 75 patients suffering from lateral epicondylitis managed conservatively with splints. Patients were randomized into three treatment groups, group 1 received tennis elbow forearm brace, group 2 received wrist extension splint, group 3 received both tennis elbow forearm brace and wrist extension splint. The patient-rated tennis elbow evaluation (PRTEE) score and visual analogue scale (VAS) scores were calculated at 0, 3 and 6 weeks of the treatment.<strong></strong></p><p class="abstract"><strong>Results:</strong> Mean difference of pre-treatment and post-treatment PRTEE score was significant in all three groups and was maximum for group 3 patients (32.42) followed by group 2 patients (27.04) followed by group 1 patients (20.06). Pre-treatment and post-treatment VAS score difference was maximum for group 3 patients.</p><p class="abstract"><strong>Conclusions:</strong> Significant symptomatic relief can be achieved in patients with tennis elbow by using either tennis elbow forearm brace or wrist extension splint or both. Provided proper patient selection and compliance, wrist extension splint achieves better symptomatic relief and functional outcome as compared to tennis elbow brace.</p>

scholarly journals STUDY COMPARING THE EFFICACY OF PLATELET RICH PLASMA VERSUS TRIAMCINOLONE IN TREATING TENNIS ELBOW

2019 ◽  
Vol 3 (7) ◽  
Author(s):  
Pratush Kumar Goyal ◽  
Anil Kumar Pandey ◽  
Akhil Bansal ◽  
Mohammad Zuber
Keyword(s):  
Tennis Elbow ◽  
Platelet Rich Plasma ◽  
Randomized Study ◽  
Lateral Epicondylitis ◽  
Age Group ◽  
Elbow Pain ◽  
Therapy Assessment ◽  
Pre Treatment ◽  
Gandhi Medical College ◽  
Group 1

Background: Lateral epicondylitis is seen more commonly in non-athletes than athletes. Non-operative methods are the mainstay of treatment being effective in more than 95% of cases. Platelet rich plasma (PRP) has shown promising results in many studies as compared to steroid injection & other modes of conservative management. Hence, this study was done to evaluate PRP efficacy in our clinical setup and in the people of age group most commonly being affected. Methods: This randomized study was conducted at Gandhi Medical College & Hamidia Hospital, Bhopal, for a period of two years from Aug 2015 to Sep 2017 on 60 consenting patients diagnosed as suffering from lateral epicondylitis. Using lottery method for randomization the patients were divided into two groups, based on which the treatment was received. Group –1 with 30 patients received 2 ml of PRP. Group –2 with 30 patients received 2 ml of Triamcinolone injection. The data collected and recorded in the appropriate proforma. Post therapy assessment was done using with Oxford elbow score. Results:  Average age at presentation was 31.11 years, Range of age was from 20 to 40 years. Maximum incidence was in the age group of 35 to 40 years. Female preponderance was observed in Group 1. Most common presenting complaint was elbow pain seen in 100% of cases. Most common side involved was the dominant side right side involvement was seen in 41 cases and left side in 19 cases. The Oxford elbow score pre-treatment in all the groups was not statistically significant and the Oxford elbow score at the end of 6 weeks,12 weeks and 24 weeks treatment showed that PRP is better than  steroid  in control of pain. Conclusion: Lateral epicondylitis/Tennis elbow is a painful debilitating condition of elbow, which creates disturbance in functional activities. A single injection of PRP at the site of the elbow pain resulted in relief of pain in patients with longer duration as compared to local steroids to other conservative treatments. Keywords: Tennis elbow, Platelet rich plasma, Steroid, Triamcinolone, Lateral epicondylitis

scholarly journals Stability comparison of two different dentoalveolar expansion treatment protocols

2017 ◽  
Vol 22 (5) ◽  
pp. 75-82 ◽  
Author(s):  
Ezgi Atik ◽  
Tülin Taner
Keyword(s):  
Transverse Dimension ◽  
Post Treatment ◽  
P Value ◽  
Treatment Protocols ◽  
Significant Difference ◽  
Pre Treatment ◽  
Group 2 ◽  
Quad Helix ◽  
Group 1

ABSTRACT Objective: The aim of this study was to compare the longitudinal stability of the conventional straight-wire system after the use of a quad-helix appliance with Damon self-ligating system in patients with Class I malocclusion. Methods: 27 adolescent patients were evaluated at three different periods: pre-treatment (T1), post-treatment (T2) and three years post-treatment (T3). Group 1 included 12 patients (with a mean age of 14.65 year) treated with Damon 3MX bracket system; and Group 2 included 15 patients (with a mean age of 14.8 year) who underwent orthodontic treatment with Roth prescribed brackets after expansion with Quad-Helix appliance. Relapse was evaluated with dental cast examination and cephalometric radiograph tracings. Statistical analysis was performed with IBM-SPSS for Windows software, version 21 (SPSS Inc., Chicago, IL). A p-value smaller than 0.05 was considered statistically significant. Results: There were significant increases in all transverse dental and postero-anterior measurements (except for UL6-ML mm in Group 1) with active treatment. There was some significant relapse in the long-term in inter-canine width in both groups and in the inter-first premolar width in Group 2 (p< 0.05). Significant decrease in all frontal measurements from T2 to T3 was seen for both groups. Upper and lower incisors significantly proclined in T1-T2 (p<0.05), however no relapse was found for both groups. When two systems were compared, there was no significant difference for the long-term follow-up period. Conclusion: Conventional (quad-helix appliance with conventional brackets) and Damon systems were found similar with regard to the long-term incisor positions and transverse dimension changes of maxillary arch.

scholarly journals Manipulation of the Wrist for Management of Lateral Epicondylitis: A Randomized Pilot Study

2003 ◽  
Vol 83 (7) ◽  
pp. 608-616 ◽  
Author(s):  
Peter AA Struijs ◽  
Pieter-Jan Damen ◽  
Eric WP Bakker ◽  
Leendert Blankevoort ◽  
Willem JJ Assendelft ◽  
...  
Keyword(s):  
Success Rate ◽  
Large Scale ◽  
Tennis Elbow ◽  
Lateral Epicondylitis ◽  
Control Group ◽  
Muscle Stretching ◽  
Strengthening Exercises ◽  
Group 2 ◽  
Group 1

Abstract Background and Purpose. Lateral epicondylitis (“tennis elbow”) is a common entity. Several nonoperative interventions, with varying success rates, have been described. The aim of this study was to compare the effectiveness of 2 protocols for the management of lateral epicondylitis: (1) manipulation of the wrist and (2) ultrasound, friction massage, and muscle stretching and strengthening exercises. Subjects and Methods. Thirty-one subjects with a history and examination results consistent with lateral epicondylitis participated in the study. The subjects were randomly assigned to either a group that received manipulation of the wrist (group 1) or a group that received ultrasound, friction massage, and muscle stretching and strengthening exercises (group 2). Three subjects were lost to follow-up, leaving 28 subjects for analysis. Follow-up was at 3 and 6 weeks. The primary outcome measure was a global measure of improvement, as assessed on a 6-point scale. Analysis was performed using independent t tests, Mann-Whitney U tests, and Fisher exact tests. Results. Differences were found for 2 outcome measures: success rate at 3 weeks and decrease in pain at 6 weeks. Both findings indicated manipulation was more effective than the other protocol. After 3 weeks of intervention, the success rate in group 1 was 62%, as compared with 20% in group 2. After 6 weeks of intervention, improvement in pain as measured on an 11-point numeric scale was 5.2 (SD=2.4) in group 1, as compared with 3.2 (SD=2.1) in group 2. Discussion and Conclusion. Manipulation of the wrist appeared to be more effective than ultrasound, friction massage, and muscle stretching and strengthening exercises for the management of lateral epicondylitis when there was a short-term follow-up. However, replication of our results is needed in a large-scale randomized clinical trial with a control group and a longer-term follow-up.

Effects of Pausinystalia Yohimbe Extract On Xylazine Anaesthesia In The Red Sokoto Buck

2018 ◽  
Vol 1 (2) ◽  
pp. 48-53
Author(s):  
V.O Kolawole
Keyword(s):  
Plant Extract ◽  
Treatment Time ◽  
Control Group ◽  
Group 4 ◽  
Group 3 ◽  
Pre Treatment ◽  
Group 2 ◽  
Group Control Group ◽  
Different Doses ◽  
Group 1

The effects of Pausinystalia yohimbe extract and xylazine on the onset of sleep, duration of sleep and vital parameters were used as investigating parameters. Twenty (20) red Sokoto bucks were divided into four (4) groups consisting of five (5) bucks per group. Control group 1 (20mg Xylazine); Group 2 (10, 20, 30 mg plant extract); Group 3 (Plant extract and xylazine); Group 4. Different doses of Pausinystalia yohimbe extract were administered at 5 minutes pre-treatment time of xylazine HCI (20mg/kg). There was significant (p < 0.05) increase of different doses of Pausinystalia yohimbe in respiratory rate, pulse rate and temperature but a significant (p<0.05) decrease on combination of xylazine and Pausinystalia yohimbe extract.

The Effect of the Mother’s Participation in Therapy on Children with Vocal Fold Nodules

2021 ◽  
pp. 000348942110024
Author(s):  
Nevreste Didem Sonbay Yılmaz ◽  
Cansu Afyoncu ◽  
Nuray Ensari ◽  
Muhammet Yıldız ◽  
Özer Erdem Gür
Keyword(s):  
Vocal Fold ◽  
Vocal Folds ◽  
Post Treatment ◽  
Voice Therapy ◽  
Maximum Phonation Time ◽  
Significant Difference ◽  
Pre Treatment ◽  
Group 2 ◽  
Vocal Fold Nodules ◽  
Group 1

Objectives: Vocal fold nodules (VFN) are a bilateral epithelial thickening of the membranous vocal folds. In this study, children with VFN and their mothers took part in voice therapy. We then compared acoustic analyzes and subjective evaluations to those in previous literature to determine whether voice therapy is more effective for children with VFN when their mothers also take part in therapy. Methods: Children aged eight to 12 years who were diagnosed with bilateral VFN between January 2018 and January 2020 were included in this study. Participating children diagnosed with bilateral VFN were divided into two groups based on the wishes and cooperation of their families. Group 1 consisted of 16 patients; Group 2 included 17 patients. The children in Group 1 received voice therapy alone; children in Group 2 took part in therapy with their mothers. For all participants, the average fundemental frequency (F0), jitter percentages, shimmer percentages, maximum phonation time (MPT) and s/z ratios were measured. Pediatric voice handicap index (p-VHI) values were calculated as well. Results: The two groups’ measures pre-treatment and post-treatment were compared. Except for p-VHI, no significant difference was observed between the two groups. However, p-VHI post-treatment was significantly lower in Group 2 than in Group 1. Conclusions: Involving the families and even teachers of children with VFN in voice therapy can increase the effectiveness of therapy. The family’s involvement increases the child’s motivation in therapy. The mother’s presence during therapy, supporting the child or even doing the work with the child, can be a very important source of motivation for the child, who may already be tired from school and other activities. Thus, the mother’s involvement increases the child’s compliance with and interest in therapy.

ROLE OF LOCAL CORTICOSTEROID INJECTION VS THERAPEUTIC ULTRASOUND REGARDING IMPROVEMENT IN PAIN FREE GRIP STRENGTH OF TENNIS ELBOW PATIENTS

2021 ◽  
pp. 76-77
Author(s):  
Pradip Kumar Mallick ◽  
Ushnish Mukherjee
Keyword(s):  
Grip Strength ◽  
Steroid Injection ◽  
Tennis Elbow ◽  
Corticosteroid Injection ◽  
Initial Period ◽  
Therapeutic Ultrasound ◽  
Lateral Epicondylitis ◽  
Local Steroid Injection ◽  
Group 2 ◽  
Group 1

Background: Tennis elbow or Lateral epicondylitis is now a days a well known condition with mixed etiopathogenesis of inammation and microtear resulting in decreased hand grip strength. Among the various treatment options, therapeutic ultrasound and local steroid injection are commonly used in managing these patients, but comparative effectiveness of these two treatment procedures are often debated. To compare the efcacy of local cortic Aim of Study: osteroid injection versus therapeutic ultrasound in terms of improvement in painfree grip strength(PFGS) of affected upper limb. This i Method: nterventional study was conducted on 56 patients of both sexes within the age group of 18-60 years with unilateral Tennis elbow. They were randomly divided in two groups of same number(28 in each group)- Group-1: managed with local injection of steroid (methylprednisolone-10mg, single dose) with 2% of 0.5 ml lignocaine and Group-2 : managed with Therapeutic Ultrasound. Improvement of PFGS was assessed by hand held Dynamometer. Data collected at 0 week (Visit-1 or Pre-initiation), 3weeks (Visit-2 ), 6 weeks (Visit-3), 12 weeks (Visit-4). For PFGS score, in both Group-1 and Group-2, there Result: was signicant increase in subsequent visits (p<0.05). The mean PFGS score of Group-1 was signicantly higher than that of Group-2 in visit2(p<0.01), but in visit-3(p>0.05) & visit-4(p>0.05) there was no statistically signicant difference noted. Local Steroid injection & Conclusion: therapeutic ultrasound both are effective in improving PFGS. Though Local steroid injection is more effective in initial period, but in subsequent followups, the difference was statistically insignicant.

scholarly journals Serum CA-125: biomarker of pulmonary tuberculosis activity and evaluation of response to treatment

2012 ◽  
Vol 35 (4) ◽  
pp. 223 ◽  
Author(s):  
Füsun Şahin ◽  
Pinar Yildiz
Keyword(s):  
Pulmonary Tuberculosis ◽  
Post Treatment ◽  
Response To Treatment ◽  
Ca 125 ◽  
Significant Difference ◽  
Group 3 ◽  
Group 2 ◽  
Tuberculosis Activity ◽  
Group 1

Purpose: CA-125 is a high molecular weight mucin-like glycoprotein and an ovarian cancer antigen. Elevated CA-125 levels are also seen with various other benign and malignant conditions. In this study, the ability of CA-125 to predict pulmonary tuberculosis activity was investigated. Methods: This analytical study included 42 cases with active tuberculosis (Group 1), 35 cases with  inactive tuberculosis  (Group 2) and 20 healthy subjects (Group 3). CA-125 measurements were taken in all three groups. Measurements in Group 1 were repeated after completing a two month anti-tuberculosis treatment in 38 of the 42 patients. Results: Mean serum CA-125 level for Group 1 was 76.48±24.71 U/mL, which was significantly higher than levels in Group 2 (20.01±7.89 U/mL) and Group 3 (18.32±2.87 U/mL) (p < 0.001). Of the 38 patients in Group 1 who were studied both pre- and post-treatment, CA-125 levels decreased significantly: from 78.88±24.72 U/mL before treatment to 22.78±8.02 U/mL after treatment (p < 0.001). There was no statistically significant difference between the  post-treatment  values  of   Group 1 and either Group 2 and Group 3 values (p > 0.05).  Group 2 and Group 3 levels were not  significantly different (p > 0.05). The cut-off level for accurate determination of activity was 36.35 U/mL. The sensitivity at this level was 97.6% and specificity was 100%. Conclusion: Our findings suggest that CA-125 can be a beneficial parameter in determination of pulmonary tuberculosis activity and the evaluation of response to treatment.

scholarly journals The relative effectiveness of cross friction and Mill's manipulation as compared to cross friction alone in the treatment of lateral epicondylitis (tennis elbow)

2000 ◽  
Author(s):  
◽  
Junaid Shaik
Keyword(s):  
General Population ◽  
Sampling Methods ◽  
Tennis Elbow ◽  
Relative Effectiveness ◽  
Lateral Epicondylitis ◽  
Controlled Study ◽  
Group 2 ◽  
Prospective Controlled Study ◽  
Group 1

The purpose of this study was to determine the relative effectiveness of cross friction combined with Mill's manipulation compared to cross friction alone in the treatment of lateral epicondylitis. This was a prospective, controlled study. The study involved thirty subjects, fifteen randomly allocated into two groups. These patients were selected from the general population by purposive sampling methods. Group 1 received cross friction and Mill's manipulation while Group 2 received cross friction only. Each subject was treated 6 times over a three-week period. Patients were required to return for a one-month follow-up from the date of their last consultation.

Abstract 74: Degree of Clot-related Susceptibility Artifact is an Independent Risk Factor for Parenchymal Hematoma Following Mechanical Thrombectomy

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Ana M Franceschi ◽  
Zeshan A Chaudhry ◽  
Albert J Yoo ◽  
Shervin Kamalian ◽  
Joshua A Hirsch ◽  
...  
Keyword(s):  
Mechanical Thrombectomy ◽  
Ratio Score ◽  
Stroke Patients ◽  
Mri Sequences ◽  
Group 3 ◽  
Pre Treatment ◽  
Group 2 ◽  
Iv Tpa ◽  
Group 1

Purpose: We observed that in several cases of embolectomy treated acute stroke patients complicated by parenchymal hematoma (PH), there was marked susceptibility change (“blooming artifact”) on admission gradient echo MRI sequences surrounding the occlusive thrombus. We sought to determine if this imaging feature was associated with hemorrhagic risk. Methods: We identified 91 consecutive embolectomy treated patients who had admission susceptibility weighted MRI sequences (51 MPGR, 26 perfusion GRE, and 14 low B) and follow-up imaging. PH was defined as PH1 or PH2 per ECASS criteria. A “susceptibilty ratio score” (SRS) was determined by dividing the maximum width of the blooming artifact of the involved vessel (n=69 proximal MCA, 13 ICA/MCA, and 10 terminal ICA) by that of the corresponding segment of the contralateral uninvolved vessel. Patients were stratified according to SRS <2 (Group 1), 2-4 (Group 2), or >4 (Group 3). Univariate and multivariate analyses were performed to test the association between SRS scores and PH on post-treatment follow-up imaging. Results: Mean age was 67.3 ± 17.7, and median NIHSS score was 17 (IQR 14-20). The mean SRS was 2.5 ± 1.3. Using ECASS criteria, no hemorrhages were seen in 46 (50.5%); HI1 in 26 (28.6%); HI2 in 10 (11.0%); PH1 in 4 (4.4%); and PH2 in 5 (5.5%). The PH rate was 0% (0/22) for Group 1, 9.6% (5/52) for Group 2, and 24% (4/17) for Group 3 (p=0.04, two-tailed Fishers Exact Test). Adjusting for age, NIHSS score, TICI reperfusion, and IV tPA pre-treatment, ordinal SRS was an independent predictor of parenchymal hematoma (O.R. 4.13, 95%C.I.:1.2-13.8; p=0.02). There was an interaction between ordinal SRS and IV tPA (multivariate p=0.02 for interaction term), such that IV tPA prior to embolectomy resulted in a higher rate of PH in the SRS >4 group (33.3% vs 12.5%). Conclusion: An easy to calculate “susceptibility ratio score” appears to be associated with development of PH in acute stroke patients treated with mechanical thrombectomy, with low risk (SRS<2, 0% PH incidence) and high risk (SRS>4, 24% PH incidence) groups. For the high risk group, PH was more likely in those with IV tPA pre-treatment. We speculate that this imaging sign may be a biomarker for occlusive thrombus burden and/or the degree of baseline vessel wall injury surrounding the occlusive clot. Replication of this novel observation in independent cohorts is needed. Figure 1 A. Sample measurement for calculation of SRS from MPGR image. Figure 1 B. CT scan post mechanical thrombectomy demonstrates acute development of PH2 superior to the region of maximal susceptibility.

In-vivo evaluation of the effect of cyanoacrylate on prosthetic vascular graft infection – does cyanoacrylate increase the severity of infection?

VASA ◽  
2020 ◽  
Vol 49 (4) ◽  
pp. 281-284
Author(s):  
Atıf Yolgosteren ◽  
Gencehan Kumtepe ◽  
Melda Payaslioglu ◽  
Cuneyt Ozakin
Keyword(s):  
Vascular Graft ◽  
Graft Infection ◽  
Vascular Graft Infection ◽  
Group 4 ◽  
Significant Difference ◽  
Group 3 ◽  
Group 2 ◽  
Prosthetic Vascular Graft Infection ◽  
Group 1

Summary. Background: Prosthetic vascular graft infection (PVGI) is a complication with high mortality. Cyanoacrylate (CA) is an adhesive which has been used in a number of surgical procedures. In this in-vivo study, we aimed to evaluate the relationship between PVGI and CA. Materials and methods: Thirty-two rats were equally divided into four groups. Pouch was formed on back of rats until deep fascia. In group 1, vascular graft with polyethyleneterephthalate (PET) was placed into pouch. In group 2, MRSA strain with a density of 1 ml 0.5 MacFarland was injected into pouch. In group 3, 1 cm 2 vascular graft with PET piece was placed into pouch and MRSA strain with a density of 1 ml 0.5 MacFarland was injected. In group 4, 1 cm 2 vascular graft with PET piece impregnated with N-butyl cyanoacrylate-based adhesive was placed and MRSA strain with a density of 1 ml 0.5 MacFarland was injected. All rats were scarified in 96th hour, culture samples were taken where intervention was performed and were evaluated microbiologically. Bacteria reproducing in each group were numerically evaluated based on colony-forming unit (CFU/ml) and compared by taking their average. Results: MRSA reproduction of 0 CFU/ml in group 1, of 1410 CFU/ml in group 2, of 180 200 CFU/ml in group 3 and of 625 300 CFU/ml in group 4 was present. A statistically significant difference was present between group 1 and group 4 (p < 0.01), between group 2 and group 4 (p < 0.01), between group 3 and group 4 (p < 0.05). In terms of reproduction, no statistically significant difference was found in group 1, group 2, group 3 in themselves. Conclusions: We observed that the rate of infection increased in the cyanoacyrylate group where cyanoacrylate was used. We think that surgeon should be more careful in using CA in vascular surgery.

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