scholarly journals Degeneration of lumbar paravertebral muscles in lumbar degenerative kyphosis with dynamic sagittal imbalance

2021 ◽  
Author(s):  
Nan Ru ◽  
Guodong Wang ◽  
Yang Li ◽  
Xingang Cui ◽  
Jianmin Sun
Keyword(s):  
Erector Spinae ◽  
Magnetic Resonance Imaging Examination ◽  
Control Group ◽  
P Value ◽  
Sagittal Imbalance ◽  
Paravertebral Muscle ◽  
Muscle Strengthening ◽  
Paravertebral Muscles ◽  
Before And After ◽  
And Control

Abstract Background: The aim of this study was to probe the degeneration of lumbar paravertebral muscles in lumbar degenerative kyphosis (LDK) with dynamic sagittal imbalance (DSI).Method: A total of 132 patients with LDK were enrolled in the study. According to the ΔSVA of the full-spine lateral radiographs before and after walking, enrolled patients were divided into two groups: DSI group (31 cases) and control group (42 case). Lumbar magnetic resonance imaging examination was taken for each subject. Fat infiltration area (FIA)and muscle muscularity of multifidus (MF) and erector spinae (ES) were quantitatively measured though Image J software. Independent-sample t test were performed for comparison of quantitative variables between two groups. P value<0.05 was considered statistically significant.Result: DSI group had lower muscle muscularity both in ES and MF than control group. ES muscularity at L2 level was 0.42±0.08 in DSI group and 0.82±0.17 in control group. (p=0.016). ES muscularity at L4 level was 0.36±0.11in DSI group and 0.76± 0.22 in control group. (p＜0.001).MF muscularity at L2 level was 0.17±0.08 in DSI group and 0.36±0.07in control group. (p＜0.001). MF muscularity at L4 level was 0.34±0.18 in DSI group and 0.48±0.14 in control group. (p＜0.001).DSI group had higher FIA both in ES and MF than control group.ES FIA at L2 level was 0.50±0.17 in DSI group and 0.31±0.10 in control group. (p=0.023). ES FIA at L4 level was 0.55±0.27 in DSI group and 0.34±0.07 in control group. (p＜0.001).MF FIA at L2 level was 0.63±0.22 in DSI group and 0.36±0.12 in control group. (p＜0.001). MF FIA at L4 level was 0.76±0.31 in DSI group and 0.40±0.19 in control group. (p＜0.001). Conclusions: LDK patients with DSI suffered lower muscle muscularity and higher FIA both in ES and MF compared to control group. Our study revealed that the weakness of the paravertebral muscles plays an important role in DSI process, targeted paravertebral muscle strengthening training may be a potentially effective treatment for this disease.

scholarly journals Degeneration of lumbar paravertebral muscles in lumbar degenerative kyphosis with dynamic sagittal imbalance: A case-control study.

2021 ◽  
Author(s):  
Nan Ru ◽  
Guodong Wang ◽  
Yang Li ◽  
Jianmin Sun ◽  
Xingang Cui
Keyword(s):  
Erector Spinae ◽  
Magnetic Resonance Imaging Examination ◽  
Control Group ◽  
P Value ◽  
Sagittal Imbalance ◽  
Paravertebral Muscle ◽  
Muscle Strengthening ◽  
Paravertebral Muscles ◽  
Before And After ◽  
And Control

Abstract Background: The aim of this study was to probe the degeneration of lumbar paravertebral muscles in lumbar degenerative kyphosis (LDK) with dynamic sagittal imbalance (DSI).Method: A total of 132 patients with LDK were enrolled in the study. According to the ΔSVA of the full-spine lateral radiographs before and after walking, enrolled patients were divided into two groups: DSI group (31 cases) and control group (42 case). Lumbar magnetic resonance imaging examination was taken for each subject. Fat infiltration area (FIA)and muscle muscularity of multifidus (MF) and erector spinae (ES) were quantitatively measured though Image J software. Independent-sample t test were performed for comparison of quantitative variables between two groups. P value<0.05 was considered statistically significant.Result: DSI group had lower muscle muscularity both in ES and MF than control group. ES muscularity at L2 level was 0.42±0.08 in DSI group and 0.82±0.17 in control group. (p=0.016). ES muscularity at L4 level was 0.36±0.11in DSI group and 0.76± 0.22 in control group. (p＜0.001).MF muscularity at L2 level was 0.17±0.08 in DSI group and 0.36±0.07in control group. (p＜0.001). MF muscularity at L4 level was 0.34±0.18 in DSI group and 0.48±0.14 in control group. (p＜0.001).DSI group had higher FIA both in ES and MF than control group.ES FIA at L2 level was 0.50±0.17 in DSI group and 0.31±0.10 in control group. (p=0.023). ES FIA at L4 level was 0.55±0.27 in DSI group and 0.34±0.07 in control group. (p＜0.001).MF FIA at L2 level was 0.63±0.22 in DSI group and 0.36±0.12 in control group. (p＜0.001). MF FIA at L4 level was 0.76±0.31 in DSI group and 0.40±0.19 in control group. (p＜0.001). Conclusions: LDK patients with DSI suffered lower muscle muscularity and higher FIA both in ES and MF compared to control group. Our study revealed that the weakness of the paravertebral muscles plays an important role in DSI process, targeted paravertebral muscle strengthening training may be a potentially effective treatment for this disease.

scholarly journals Degeneration of the Lumbar Paravertebral Muscle in Patients With Dynamic Sagittal Imbalance, A Retrospective Cohort Study

2020 ◽  
Author(s):  
Nan Ru ◽  
Yang Li ◽  
Xingang Cui ◽  
Jianmin Sun ◽  
Guodong Wang
Keyword(s):  
Retrospective Cohort ◽  
Vertical Axis ◽  
Erector Spinae ◽  
Control Group ◽  
Sagittal Imbalance ◽  
Muscle Degeneration ◽  
Sagittal Vertical Axis ◽  
Cross Sectional ◽  
Paravertebral Muscle ◽  
Paravertebral Muscles

Abstract Study Design: A retrospective cohort study.Background: Sagittal imbalance of the spine is a comprehensive concept ..In appearance, it is often manifested as body leaning forward instability; whereas on standing full-spine lateral digital radiographs, it shows an increased sagittal vertical axis (SVA) .Clinically, we found that some patients showed normal sagittal balance at initiation, but hunched or leaned forward after a period of walk or activity. This condition is called dynamic sagittal imbalance(DSI). There is no systematic study to explore the paravertebral muscles changes of dynamic sagittal imbalance.Method: The study group comprised 31 DSI patients and 42 control patients. All subjects underwent radiologic whole spine X-ray examination and lumbar MRI( Magnetic Resonance Imaging) scanning. Spinal-pelvic parameters at initiation such as sagittal vertical axis (SVA), thoracic kyphosis (TK), thoracolumbar kyphosis (TLK), lumbar lordosis (LL), sacral slope (SS), pelvic tilt (PT) and pelvic incidence (PI) was measured. The cross-sectional areas CSA of the erector spinae (ES), multifidus (MF), and vertebral body area were measured at L2/L3 and L4/L5. The fat infiltration (FI) and relative cross-sectional area (RCSA)of muscle of these above muscles were quantitatively measured though Image J softwore.Result : Compared with the control group, the DSI group had a smaller lumbar lordosis, more severe fat infiltration and lower relative functional cross-sectional area(RFCSA) of paravertebral muscle (erector spinae and multifidus) . In DSI group, the point-in-time of occurrence of dynamic sagittal imbalance was statistically correlated with degeneration of paravertbral muscles at L4/L5 level, whereas no correlation between the two above at L2/L3 level.Conclusion: In conclusion, DSI an normal SVA (SVA＜40mm) at initiation, and prominent increase in SVA after activity with thunks marked inclined. Paravertebral muscle degeneration plays an important role in the DSI process, Patients in the DSI group had more severe paravertebral muscle degeneration compared with patients in control group. There was a significant correlation between the severity of DSI symptoms and the degeneration of lower lumbar paravertebral muscles. These findings may help spinal surgeons better understand sagittal balance of spine.

scholarly journals EFFECT OF COMBINATION OF HYPNOBREASTFEEDING AND ACUPRESSURE ON ANXIETY AND WOUND PAIN IN POST-CAESAREAN MOTHERS

2017 ◽  
Vol 3 (5) ◽  
pp. 525-532
Author(s):  
Diah Evawanna Anuhgera ◽  
Tjahjono Kuncoro ◽  
Sri Sumarni ◽  
Mardiyono Mardiyono ◽  
Ari Suwondo
Keyword(s):  
Public Hospital ◽  
Alternative Therapy ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Group Data ◽  
Before And After ◽  
Wound Pain ◽  
And Control

Background: Post-cesarean mothers often experience anxiety and discomfort due to long-term pain. The combination of hypnobreastfeeding and acupressure is considered to be effective in reducing anxiety and pain levels. Objective: This study aims to examine the effect of combination of hypnobreastfeeding and acupressure on anxiety and pain levels in post-caesarean mothers.Methods: This study was a true experiment with pretest-posttest control group design, conducted in the Ambarawa Public Hospital on 5 November to 9 December 2016. There were 36 participants selected using stratified random sampling, with 18 assigned in the experiment and control group. Data were analyzed using paired t-test and wilcoxon test.Results: There were statistically significant differences of anxiety and pain levels before and after intervention in the experiment and control group with p-value 0.001 (<0.05).Conclusion: The combination of hypnobreastfeeding and acupressure has a significant effect in reducing anxiety and pain levels in post-cesarean mothers. This intervention could be applied as an alternative therapy in treating post-caesarean mothers.

scholarly journals Application Model of Pranic Healing Therapy for Emotional Stress Using Accurate Bio-Well GDV Camera

2019 ◽  
Vol 125 ◽  
pp. 05005
Author(s):  
Cahyaning Puji Astuti ◽  
Melyana Nurul Widyawati ◽  
Suryono Suryono
Keyword(s):  
Emotional Stress ◽  
Controlled Trial ◽  
Pharmacological Therapy ◽  
The Body ◽  
Control Group ◽  
P Value ◽  
Test Results ◽  
Emotional Instability ◽  
Before And After ◽  
And Control

Pregnancy is a period of both hormonal and non-hormonal overall change in the body. Emotional instability is commonly experienced by women during this period. However, this somewhat complex issue is often not addressed optimally. Pharmacological therapies using CPZ and lithium are often administered, but they have effects for the body. Therefore, there is a need to administer non-pharmacological therapy that has minimum side effects. This research aims to increase the healthy energy within the body using Pranic Healing, which is measured by the Bio-Well GDV camera. This research employed the pretest-posttest method on two groups (treatment and control) using the Randomized Controlled Trial design. Pranic Healing therapy was performed for 30 minutes once a week for 3 weeks, while GDV measurement was performed once a week for 4 weeks. Paired t-test results for Pranic Healing on emotional pressure showed p-value of 0.0001 (<0.05) for posttest2 and p-value of 0.005 (<0.05) for posttest3. Meanwhile, the control group did not indicate any changes in emotional stress both before and after treatment. It is found that Pranic Healing as measured using a bio-well GDV camera is capable of improving health energy within the body by relieving emotional stress experienced in trimester III primigravida.

scholarly journals What is Important For You (WIFY) dan Life Map berbasis Goal Attaintment Model terhadap Self Care Behaviour pada Pasien Diabetes Melitus Tipe 2

2019 ◽  
Vol 12 (1) ◽  
pp. 1-11
Author(s):  
Kusnanto Kusnanto ◽  
Moh Zen Arifin ◽  
Ira Suarilah ◽  
Hidayat Arifin
Keyword(s):  
Goal Attainment ◽  
Self Care ◽  
Control Group ◽  
P Value ◽  
Significant Difference ◽  
Before And After ◽  
And Control ◽  
Type 2 Diabetic ◽  
Care Behavior

Introduction: Diabetes mellitus was an uncurable metabolic disease but it can be controlled. Diabetes can be controlled independently by diabetic with diabetes self-care behavior. Self-care behavior was challenge problem causing in adherence in majority diabetic clients especially in Persadia Darmo Hospital. Method: Research design was Quasy-Experiment study among type 2 diabetic client. This study involved 30 samples taken by purposive sampling. The independent variable were What is Important For You (WIFY) and Life Map. The dependent variable was self-care behavior. Data were taken by using SDSCA questionnaire then analyzed by using t-test with a= £0.05. Result and Analyze: WIFY and Life Map change self-care behavior in treatment group before and after treatment significantly with p value = 0,024. There was significant difference between treatment and control group of self-care behavior with p value = 0,029. Discussion: It could be concluded that application of WIFY and Life Map with goal attainment model increase self-care behavior in type 2 diabetic clients. The use of this approach could be optimizing diabetic counseling and education for clients. Further research to investigate WIFY and Life map effect on blood glucose level and HbA1c test in Type 2 Diabetic.

scholarly journals OPTIMALISASI POSISI JANIN MELALUI PRENATAL YOGA TERHADAP OUTPUT PERSALINAN DI PUSKESMAS WILAYAH KOTA CIREBON

2020 ◽  
Vol 8 (3) ◽  
pp. 396
Author(s):  
Nurasih Nurasih ◽  
Endang Nurrochmi
Keyword(s):  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Test Results ◽  
Chi Square ◽  
Control Group Design ◽  
Before And After ◽  
Chi Square Test ◽  
And Control

In Indonesia, Yoga is currently one of the most popular sports, not only for the general public but also for pregnant women. Many benefits can be obtained from prenatal yoga including the mother feeling comfortable and relaxed throughout pregnancy and during childbirth, training the pelvic floor muscles and perineum, keeping the body's muscles relaxed, balanced during childbirth, reducing stress, increasing and improving oxygen circulation to the body and fetus. . This study aims to determine the effect of prenatal yoga on optimizing fetal position on third trimester Primigravida maternal delivery output at Puskesmas Cirebon City. This research is a quasi-experimental research pre post control group design and only post control group design with T test and Chi Square test. Paired T Test results of the intervention group (mean difference = 3.111, P value = 0.000, control group (mean difference = 0.833, P value = 0.318). Independent T Test results obtained (average difference = -1.944, P value = 0.024), Chi Square test obtained a value of P = 0.73. There is a difference in the average anxiety before and after the intervention in the intervention group, there is no difference in average anxiety before and after the intervention in the control group. There is a difference in the average anxiety between the intervention and control groups. There is a difference in mean Long I stage between the intervention and control groups There was no effect of prenatal yoga on the type of labor.

scholarly journals Pengaruh kompres hangat terhadap nyeri leher pada penderita hipertensi esensial di wilayah Puskesmas Depok I, Sleman Yogyakarta

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Siti Fadlilah
Keyword(s):  
Essential Hypertension ◽  
Neck Pain ◽  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Before And After ◽  
Post Test ◽  
Headache Pain ◽  
And Control

Hypertension is increased blood pressure in the artery. Signs and indication arise from this disease are a dizzy, headache, pain in the nape of the neck (neck pain), easily angered, and hard to breathe. This neck pain can offend essential hypertension in daily patient activities. One of the non-pharmacological actions to decrease or overcome the neck pain is by a warm compress. The warm compress is giving a sense of warm/heat in a certain area. This research is purposed to find out the influence of warm compress towards neck pain in essential hypertension patients. This research is carried out in Puskesmas Depok I area, Sleman, Yogyakarta. Type of this research is quasi-experiment with pre-test post-test with control group design. Several samples consist of 40 respondents and divided into two groups, which are 20 respondents of the intervention group and 20 respondents of the control group. Statistic test used in this research is Wilcoxon and Mann Whitney tests. Before applying pre-test, 12 respondents (60%) are having moderate pain, and after giving warm compress (post-test), 17 respondents (75%) are having minor pain. There is a significant scale of neck pain before and after the warm compress treatment (p-value = 0,003) as well as contrast scale of neck pain between intervention group and control group (p-value = 0,000). There is the influence of warm compress towards neck pain in essential hypertension patients in Puskesmas Depok I area, Sleman, Yogyakarta.

scholarly journals Effect of the Use Lethal Ovitrap to Population Aedes sp

2017 ◽  
Vol 1 (1) ◽  
pp. 20
Author(s):  
Tri Ramadhani ◽  
Bondan Fajar Wahyudi
Keyword(s):  
Population Control ◽  
Total Sample ◽  
Control Group ◽  
P Value ◽  
Before And After ◽  
Quasi Experimental ◽  
The Mean ◽  
The Difference ◽  
And Control ◽  
Experimental Group

<p><em>Dengue vector control has been done in various ways, however, has not been able to obtain optimal </em><em>results. Ovirap use to determine the presence of Aedes sp in a region is often done, but the application </em><em>of lethal ovitrap for population control Aedes sp still rarely done. This study was aimed to assess the </em><em>effect of LO applications on populations of Aedes sp. </em></p><p><em></em><em>This research includes quasi experimental design with a pretest-posttest control group without </em><em>randomization. Research sites in dengue in endemic areas in Banyumas district, with a total sample of </em><em>100 homes in each treatment and control areas. Insecticides used on ovistrip is cypermethrin at a dose </em><em>of 12.5 mg ai/strip. Populations of Aedes sp measured each week for three weeks prior to the </em><em>intervention and twelve weeks during the intervention. The mean density of Aedes sp compared before </em><em>and after intervention and between treatment and control areas.</em><br /><em>The study showed the difference of mosquito densities before and after the intervention in the </em><em>experimental group was 0,07 ( p-value 0.044), whereas the control group was 0.037 (p-value 0.341). </em><em>LO use with the addition of insecticide active ingredient cypermetrin on ovistrip impact on the decline </em><em>density of Aedes sp.</em></p>

scholarly journals Acupressure to Reduce Dysmenorrhea in Adolescent

2021 ◽  
pp. 1-6
Author(s):  
Dewi Siyamti ◽  
Eka Adimayanti ◽  
Hapsari Windayanti
Keyword(s):  
Intervention Group ◽  
Early Period ◽  
Pain Severity ◽  
Control Group ◽  
P Value ◽  
Analog Scale ◽  
Treatment Techniques ◽  
Before And After ◽  
Spss Software ◽  
And Control

Background: Dysmenorrhea is uncomfort symptom which suffered by adolescents during menstruation period. Adolescents experienced with dysmenorrhea and this commonly primary. Dysmenorrhea affects almost half of all woman, and it is need the safe and effective pain management. One of non-medical treatment techniques is acupressure. The purpose of this study to analize the effect of acupressure to reduce dysmenorrhea in adolescents. Methods: The design was quantitative experiment with intervention group and control group for each 26 respondents. The acupoints are SP6, Li4, and PC6. Intervention group got acupressure for 2 days in early period with 30times massage for each accupoint twice a day. The pain was measured using visual analog scale (VAS) before and after intervention. Data analize using SPSS software. Results: The result showed diffreneces in pain severity after acupressure to intervention group with mean 2,43 and p value 0.027(p<0,005). Conclution: Acupressure at the SP6, Li4 and PC6 can reduce pain severity of dysmenorrhea in adolescents.

scholarly journals Pengaruh Media Pembelajaran Dengan Audio Visual Terhadap Tingkat Kompetensi Mahasiswa Dalam Perekaman EKG

2016 ◽  
Vol 1 (2) ◽  
Author(s):  
Sugiyarto Sugiyarto
Keyword(s):  
Nursing Students ◽  
Visual Learning ◽  
Control Group ◽  
P Value ◽  
Treatment Groups ◽  
Nursing Services ◽  
Before And After ◽  
Post Test ◽  
Learning Competence ◽  
And Control

Abstract: Audio Visual Learning, Competence, ECG Recording. This study aimed to determine the affect of audio-visual learning media to the level of students' competences of ECG recording. This research is a quantitative study with Quasy Experimental methods. The research design of this study used pre-test and post-test control group. The numbers of respondents were 44 nursing students of Poltekkes Surakarta. Dependent Test is used to pre-test and post-test in treatment groups and also pre-test and post-test in control group if data distributed normally, if not normal using Wilcoxon. Independent T tests is used to post-test in treatment and control group if data distributed normally, if not normal using Mann Whitney. Normality test data used Kolmogor-Smirnov. The P value of treatment and control groups, before and after the intervention, were similiar (0.000), P value <0.05. The conclusion of this study was audio-visual learning media has better effect on students' competences of ECG recording than using phantom media. So that, educators are expected to use audio-visual learning media as their learning media for students. Students are expected to have better skills in nursing services.

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