scholarly journals EFFECT OF NADIFLOXACIN PHONOPHORESIS AND PULSED ULTRASOUND IN SUBJECTS WITH ACUTE SINUSITIS- A RANDOMIZED CLINICAL TRIAL

2020 ◽  
Vol 8 (9) ◽  
pp. 1179-1182
Author(s):  
Anil Rachappa Muragod ◽  
◽  
Anil S. Harugop ◽  
Kirti Khemlapure ◽  
Krupa Varahmurty ◽  
...  

Aim: To find effectiveness of nadifloxacin phonophoresis over pulsed ultrasound in acute sinusitis subjects. Methods: Study was approved by Institutional Ethical Committee of KAHER Institute of Physiotherapy, Belagavi.40subjects with acute sinusitis were divided randomly into group A, treated with nadifloxacin phonophoresis and group B, treated with pulsed ultrasound. Subjects were assessed using Sinusitis Symptom Score, Numerical Rating scale and Sino-nasal outcome test-22 before and after 4 days of intervention. Result: For sinusitis symptom measure within the groups, mean difference were 6.16±1.97 and 6.27±1.8 with p-value of 0.001 for both the groups which was significant. For between the groups, p-value was 0.700 which was not significant. For numerical rating scale within the groups, mean difference was 0.37±0.14. and 0.27±0.08 with p-value of 0.001 for both the groups which was significant. For between the groups, p-value of 0.014 which was significant. For Sino nasal outcome test within the groups, mean difference was 16.33±9.55 and 7.50±1.85 with p-value of 0.001 for both the groups which was significant. For between the groups, p-value was 0.001 which was significant. Conclusion: Nadifloxacin phonophoresis was more effective than pulsed ultrasound in acute sinusitis.

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Richard Oluchukwu Okafor ◽  
Bolanle Dupe Remi-Adewunmi ◽  
Samuel Tanko Fadason

The study evaluates effects of varied doses of ascorbic acid and piroxicam on behavioural signs of pain in orchidectomised Savannah Brown goats during their postsurgical pain management. The goats were divided into 6 groups of 3 goats each. Orchidectomy was performed on all animals under sedation with xylazine and linear infiltration with lignocaine. After surgery, varied doses of piroxicam (IM) and ascorbic acid (IV) were administered to the goats: Group A = piroxicam, 5 mg/kg + ascorbic acid, 100 mg/kg; Group B = piroxicam, 5 mg/kg + ascorbic acid, 200 mg/kg; Group C = piroxicam, 10 mg/kg + ascorbic acid, 100 mg/kg; Group D = piroxicam, 5 mg/kg; Group E: ascorbic acid, 100 mg/kg together with antibiotics, procaine penicillin, 20,000 IU/kg + streptomycin, 10 mg/kg (IM); and Group F (control) received only the antibiotics. After surgery, pain intensity was determined in each goat by numerical rating scale. Vocalisation, teeth grinding, rapid and shallow breathing, tail wagging, occasionally bleating, neck extension, and dorsal lip curling were recorded at varying degrees across the experimental groups. The goats in the control group showed the highest degree of behavioural signs of pain. It is concluded that treatment with a combination of piroxicam and ascorbic acid ameliorated pain more than either of the agents in orchidectomised Savannah Brown goats.


2021 ◽  
Vol 8 (13) ◽  
pp. 830-834
Author(s):  
Srinivas Kalabhavi ◽  
Revanasiddappa A Kanagali ◽  
Bhuvanesa Nanjappa ◽  
Ravi Bhat ◽  
Promod Makanavar

BACKGROUND Erector spinae block is a paraspinal, fascial block that targets the ventral, dorsal rami and rami communications of spinal nerves. The present study was conducted to know the efficacy of ultrasound guided erector spinae block (ESP) block in preoperative analgesia among patients with percutaneous nephrolithotomy (PCNL) attending a tertiary care hospital. METHODS The study was carried out on 596 patients from Jan 2015 to Jan 2020 who were indicated for PCNL. They were divided into two groups, group A (ESP = 373) and group B (intravenous-IV analgesia = 273). In the group A (N = 373), after induction of general anaesthesia, ESP block with 0.5 % bupivacaine and 1 / 200,000 epinephrine (single shot) was given at lower thoracic level (T10 - 12) and IV analgesia was given in group B. All patients were monitored for supplemental opioid requirement intraoperatively as assessed by their haemodynamic status (baseline change in heart rate-HR & mean arterial blood pressure-MAP). The primary outcome of the study was consumption of tramadol in 24 hrs. Pain assessment every 2-hour pre- and post-operatively using numerical rating (NR) scale was considered as the secondary outcome. Categorical outcomes were compared between study groups using chi-square test / Fisher's exact test; Pvalue of < 0.05 was considered statistically significant using IBM SPSS. RESULTS Most of them in group A were free of pain for 24 hours postoperatively with numerical rating scale score of < 3 and did not require any postop rescue analgesics. Only 1 patient showed numerical rating scale score of 4 around 16 hrs. after the surgery and was given tramadol. Supplemental opioid analgesic was not required by any of the patients during the entire intraoperative period. CONCLUSIONS ESP block is a favourable technique that results in very good analgesic effect preoperatively and also lessens the use of intravenous opioids and other analgesics. KEYWORDS ESP Block, PCNL Surgery, Tramadol, Kidney Stones


2021 ◽  
Vol 3 (2) ◽  
pp. 226-230
Author(s):  
Fadlilah Widyaningsih ◽  
Anggi Isnani Parinduri ◽  
Irmayani . ◽  
Santi Jeni Hanrika Simarmata

Static positions during work such as sitting for too long can cause exercise loads, stretching muscles, ligament of the spine causing a feeling of comfort in the lower back. One of the non-pharmacological pain management used in pain reduction is by doing relaxation movements. This research wasa quantitative study with a quasi-experimental approach to giving relaxation be used one group pretest posttest. Population of the research is 65 workers with 32 workers as the sample (using purposive sampling technique). The instrument used was numerical rating scale. Data analysis was performed by using univariate and bivariate (using wilcoxon test with α = 0,05).The result of this study showed that the p-value is 0,0001. It was indicate that the value of p < 0,05. It could be concluded that the relaxation was that there is an effect of providing relaxation movements to decrease complaints of low back pain in ulos weaver workers in the gallery ulos sianipar medan. A suggestion to the workers is they should do a relaxation when before and after working and using ergonomic position.


2022 ◽  
Author(s):  
Adria Yared Sadala ◽  
Érika Patrícia Rampazo ◽  
Richard Eloin Liebano

Background: To date, there has been no investigation addressing the effects of vibration anesthesia during carboxytherapy. Aim: Investigate the analgesic effect of different vibratory devices during carboxytherapy for the treatment of cellulite. Materials & methods: A total of 78 women between 18 and 49 years of age with cellulite in the gluteal region will be randomly allocated to three groups: Group A (carboxytherapy and vibratory device A), Group B (carboxytherapy and vibratory device B) and control group. Pain intensity will be assessed using a numerical rating scale after each puncture. Expected outcome: Vibration anesthesia is expected to be effective at diminishing the pain intensity caused by carboxytherapy comparison with the control group, with no differences between the vibratory devices. Trial registry: Brazilian Registry of Clinical Trials- ReBEC (RBR-8jcqy7c)


2020 ◽  
Vol 48 (12) ◽  
pp. 030006052097649
Author(s):  
Wei Li ◽  
Jiayu Mao ◽  
Yang Liu ◽  
Ying Zhu ◽  
Xiaojing Li ◽  
...  

Objectives Adenomyosis is a common and refractory disease in gynecology. Preserving the uterus during treatment for adenomyosis remains a problem. High-intensity focused ultrasound (HIFU) is widely used in treatment of solid tumors. This study aimed to analyze patients with adenomyosis who were treated by HIFU and to preliminarily examine the characteristics of patients who are more suitable for HIFU to treat adenomyosis with reliable efficacy. Methods Over 2 years, 67 women who were diagnosed with adenomyosis and treated with HIFU at our gynecology department were included in this study. We investigated outcomes of their symptoms (dysmenorrhea and hypermenorrhea) and the volume of their uterine lesions. We also compared the patients’ clinical profiles. Results The women had a mean follow-up duration of 11.6 ± 0.46 months. In the numerical rating scale, used to assess the degree of dysmenorrhea, the score was significantly lower (mean difference: −1.94, 95% confidence interval: −2.704 to −1.176) 3 months after HIFU treatment compared with before treatment, then it remained stable for 3 to 12 months. Hypermenorrhea was reduced to a certain degree, with a mean difference of −0.54 (−1.01–0.02). Conclusions HIFU is a new noninvasive treatment method for adenomyosis that may help relieve dysmenorrhea.


Author(s):  
Priti A. Mehendale ◽  
Mayur T. Revadkar

Background: There is evidence regarding beneficial use of Transcutaneous Electrical Nerve Stimulation (TENS) on post Lower Segment Caesarean Section (LSCS) incision pain. However, efficacy of different types of TENS following C section pain has not yet been explored adequately.Methods: 96 women who had recently undergone LSCS were included for the study. The subjects were in the age group of 20 to 40 years (25.84±3.96); having pain intensity 4 or more on Numerical Pain Rating Scale (NPRS). They were divided into three groups by random allocation method; namely Group A: Acupuncture (Low/Motor) TENS, Group B: Conventional (High/Sensory) TENS and Group C: Control group. Group A and B received specific type of TENS twice a day for 15 minutes. Control group C did not receive any TENS intervention. All subjects received standard post-operative medications and physiotherapy. Pain intensity was recorded on NPRS pre and post intervention.Results: Both Acupuncture TENS and Conventional TENS significantly decreased post-operative pain intensity as compared to control group (p value <0.0001).Conclusions: Both, acupuncture and conventional TENS are equally effective in reducing post LSCS incision pain at a strong and non-painful intensity.


2010 ◽  
Vol 62 (3) ◽  
pp. 555-563 ◽  
Author(s):  
E.C. Soares ◽  
G.G. Pereira ◽  
L.C. Petrus ◽  
M. Leomil Neto ◽  
F.L. Yamaki ◽  
...  

Sixty dogs with idiopathic dilated cardiomyopathy were randomly treated with traditional therapy - digitalis, diuretics, angiotensin-converting inhibitors - (group A) or treated with these drugs plus carvedilol (group B). Echocardiographic variables were measured before and after 3, 13, 26, and 52 weeks of treatment or until death. Comparisons between groups and time were performed. No significant differences between groups were found in the most of the echocardiographic variables. The left ventricular end-systolic diameter indexed to body surface area (LVESDi) increased significantly in the group A dogs compared to the group B animals. The survival of groups A and B dogs were not different (P-value=0.1137). In conclusion, the stability of the LVESDi observed in the group treated with carvedilol may represent the beneficial effect over the ventricular remodeling.


2021 ◽  
Vol 9 (4) ◽  
pp. 3949-3953
Author(s):  
Minhaj Tahir ◽  
◽  
Tahzeeb Fatima ◽  
Devendra Trivedi ◽  
Manjit Kumar ◽  
...  

Background: Pleural effusion is one of the commonly seen respiratory conditions in India with approximately 1 million people being diagnosed each year. Twenty to forty percent of hospitalized patients with bacterial pneumonia develop pleural effusion. In India unlike western countries, tuberculosis pleura effusion is common. The pleural cavity is involved in approximately 5% of all patients with tuberculosis. Since there was no literature regarding the effectiveness chest mobility exercise with staked breathing or chest mobility exercises with incentive spirometery in pleural effusion. There was a need to find out as to which approach are the best ones to implement. Objective: To compare the efficacy of chest mobility exercise with stacked breathing versus chest mobility exercise with incentive spirometery on chest expansion in patients with pleural effusion. Materials and Method: 20 patients with pleural effusion were selected by easy sampling and randomly assigned into two groups (10 patients each groups). Group A received chest mobility exercises and intensive spirometery and group B received chest mobility exercises and stacked breathing. Both groups were instructed to perform the intervention 3 time per day, 8 to 10 time per session for one week. Chest expansion was measured by thoracic flow cytometry before and after one week of intervention. Result: In group A chest expansion increase from 2.68 to 2.87 which was statistically significant (P value < 0.0023). In Group B the chest expansion increases from 2.94 to 3.09 which was not statistically significant (P value < 0.216). Conclusion: It was concluded from the result that both chest mobility exercises with intensive spirometery and chest mobility exercise with stacked breathing are equally effective in improving the chest expansion in subject with pleural effusion. KEY WORDS: Pleural effusion, Chest mobility exercises, Incentive Spirometry, Stacked breathing, Thoracic flow cytometry.


2009 ◽  
Vol 67 (2b) ◽  
pp. 474-479 ◽  
Author(s):  
Gisele Maria Campos Fabri ◽  
Silvia R.D.T. Siqueira ◽  
Caio Simione ◽  
Cibele Nasri ◽  
Manoel Jacobsen Teixeira ◽  
...  

OBJETIVE: To evaluate the influence of the periodontal disease (PD), a chronic infection, in patients with chronic craniofacial pain complaints. METHOD: Twenty patients with chronic craniofacial pain and PD (CFP group) and 20 patients with PD (PD group) were assessed before and after periodontal treatment (baseline, 30 and 180 days after treatment). The paramenters evaluated were: plaque index, bleeding index, clinical probe insertion, Visual Analogic Scale (VAS) for pain intensity and Numerical Rating Scale (NRS) and Verbal Rating Scale (VRS) for the "chief complaint". RESULTS: After 180 days PD was controlled in both groups (p<0.001); the VAS decreased in CFP group (p<0.001); "chief complaint" improved (p=0.005 and p=0.027, respectively in CFP and PD group). VRS showed improvement between the groups in 30 (p=0.004) and 180 days (p=0.001). CONCLUSION: These results suggest a possible influence of periodontal disease, as a comorbidity, in refractory craniofacial pain patients and in their pain levels.


2020 ◽  
Vol 3 (1) ◽  
pp. 1-5
Author(s):  
Detty Chotimah ◽  
Yulia Herliani ◽  
Endang Astiriyani

Sectio caesarea is a surgical procedure in giving birth with an abdominal incision and uterus that have higher morbidity than normal childbirth. Foot bath treatment is one part of post natal spa can release endorphins in the brain which is a natural pain reliever. The purpose of this research is to determine the effect of foot bath treatment on post SC pain in Melati room RSUD dr Soekardjo Tasikmalaya. This research was used pre eksperimental with pretest posttest design. The research instrument used Numerical Rating Scale (NRS). Sampling technique was used purposive sampling with 30 respondents. Foot bath treatment is done for 15 minutes. The analyzed was by Wilcoxon Signed Rank Test. The result of this research showed that the scale of pain before getting foot bath treatment is mostly moderate pain as many as 26 peoples (87,7%). The scale of pain after getting foot bath treatment is mostly mild pain as many as 25 peoples (83,3%). The result of the statistical test showed p value 0,000 <0,05 it means there is an effect of foot bath treatment to post SC pain.


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