Pain management in Avabahuka

2018 ◽  
Vol 3 (3) ◽  
Author(s):  
Prashanth AS ◽  
Praveenkumar H Bagali
Keyword(s):  
Pain Management ◽  
Research Group ◽  
Shoulder Joint ◽  
Weight Bearing ◽  
Upper Limbs ◽  
Joint Management ◽  
Attack And Defense

In the process of evolution from quadrupeds to bipeds, the forelimbs developed into upper limbs. In quadrupeds they serve the purpose of weight bearing and attack. In bipeds they serve fine functions, holding an object, attack and defense. It has been estimated by research group that the hand performs approximately thousand different functions in an ordinary day today’s activity. Apabahuka is one such disease which hampers most of the foresaid functions of the hand. Although any of the classics do not mention about the Shoola as a Laxana of Apabahuka, it still is a feature practically seen in Avabahuka patients. Chikitsa Sara Sangraha and Nidana Sara, clearly mentions about Svedana as a predominant Laxana of Avabahuka, along with other Laxana. It is often said that ‘the pain is often severe enough to disturb the sleep’. Amsa Marma is primarily involved in Avabahuka, it is a Snayu Marma and one of Vaikalyakara Marma, any trauma to this will produce disability or deformity of the shoulder joint. Management of pain is facilitated by Marma Chikitsa i.e. Nidana Parivarjana, Abhyanga, Swedana, Uttarabhaktika Snehapana, Vata Hara Oushadha Sevana, Marmabhighata Chikitsa, Brumhana, Nasya, Lepa, Seka, Nasya, Nasaapaana, Agnikarma, Siravyadha, etc.

Ketamine Improves the Management of Exaggerated Postoperative Pain Observed in Perioperative Fentanyl-treated Rats

2005 ◽  
Vol 102 (2) ◽  
pp. 421-428 ◽  
Author(s):  
Philippe Richebé ◽  
Cyril Rivat ◽  
Jean-Paul Laulin ◽  
Pierre Maurette ◽  
Guy Simonnet
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Weight Bearing ◽  
Experimental Studies ◽  
Postoperative Pain Management ◽  
Opioid Use ◽  
Short Term ◽  
Postoperative Rehabilitation ◽  
Pain Hypersensitivity ◽  
Plantar Incision

Background Although opioids are unsurpassed analgesics, experimental and clinical studies suggest that opioids activate N-methyl-d-aspartate pronociceptive systems leading to pain hypersensitivity and short-term tolerance. Because it is difficult in humans to differentiate pain from hyperalgesia during the postoperative period, the authors performed experimental studies with fentanyl using the rat incisional pain model for evaluating relations between hyperalgesia and short-term tolerance. Because N-methyl-d-aspartate receptor antagonists oppose both pain hypersensitivity and tolerance induced by opioids, the authors examined the capability of ketamine for improving exaggerated postoperative pain management. Methods During halothane anesthesia, a hind paw plantar incision was performed in rats receiving four fentanyl subcutaneous injections (100 microg/kg per injection, every 15 min). In some groups, three subcutaneous ketamine injections (10 mg/kg per injection, every 5 h) were performed in saline- or fentanyl-treated rats. One day after surgery, the analgesic effect of morphine (2 mg/kg subcutaneous) was tested. Analgesia, mechanical hyperalgesia, tactile allodynia, and pain score were assessed for several days using the paw pressure vocalization test, the von Frey application test, and the postural disequilibrium test. Results Fentanyl induced analgesia but also produced exaggerated postoperative pain as indicated by the enhancement of hyperalgesia, allodynia, and weight-bearing decrease after hind paw plantar incision. Ketamine pretreatment prevented such a fentanyl-induced enhancement of postoperative pain and improved its management by morphine. Conclusions By opposing postoperative pain hypersensitivity and subsequent short-term tolerance induced by perioperative opioid use, ketamine not only improves exaggerated postoperative pain management but also provides better postoperative rehabilitation.

scholarly journals Impact of Educational Self-Efficacy Enhancement Program on Quality of Life, Pain Management, Self-Efficiency Behaviors and Its Impact of Satisfaction among Adults Diabetic Patients with Peripheral Neuropathy Pain: A Randomized Control Trial

2021 ◽  
Author(s):  
Jawad AHMAD Abu-Shennar ◽  
Nurhan Bayraktar
Keyword(s):  
Quality Of Life ◽  
Peripheral Neuropathy ◽  
Pain Management ◽  
Research Group ◽  
Self Efficacy ◽  
Controlled Study ◽  
Control Group ◽  
Diabetic Patients ◽  
Life Questionnaire

Abstract Background: Peripheral neuropathy pain is common among adult diabetic patients worldwide. Lifestyle behavior modification such as proper diet and exercise, quitting smoking, weight control and regular follow up, as well as enhancement of self-efficacy among adult diabetic patients can be helpful in managing peripheral neuropathy pain and, therefore, improving their quality of life and satisfaction.Aims: This study aims to investigate educational self-efficacy enhancement program's impact on pain management, self-efficiency behaviors, quality of life and satisfaction among adult diabetic patients with peripheral neuropathy pain.Materials and Methods: This randomized controlled study was conducted between October and March 2020 at the Jordanian Ministry of Health settings, where 72 adult diabetic patients with peripheral neuropathy pain were randomly assigned into research group (n = 36) or control group (n = 36), after obtaining ethical approval and informed consents. An educational self-efficacy enhancement program was implemented in the research group only. The instrument used for data collection consisted of Demographic Data Form, Diabetes Pain Intensity Scale, Self-Efficacy Scale, Quality of Life Questionnaire (EQ-5D) and Patient Satisfaction Questionnaire.Results: Statistically significant improvements in pain levels (p = 0.020), self-efficacy score (p = 0.000), quality of life scores (p = 0.000) and best imagined health status (p = 0 .000) were found among research group participants. Furthermore, multiple-linear regression models showed that the implementation of educational self-efficacy enhancement program significantly increased the explained variance of self-efficacy scores (R2 = 0.746, p = 0.000) and quality of life scores (R2 = 0.746, p = 0.000). At the end of implementation, research group participants showed a high overall satisfaction levels (4.33 out of 5). Conclusion: The findings suggest that an educational self-efficacy enhancement program is effective in modifying adult diabetic patients’ lifestyle, enhancing self-efficacy behaviors, managing peripheral neuropathy pain, improving quality of life and satisfaction among adult diabetic patients. It is, therefore, recommended to expand the implementation of this program among adult diabetic patients with peripheral neuropathy pain.

scholarly journals Analgesic effect of intra-articular ropivacaine injection after arthroscopic surgery on the shoulder joint in dogs

2018 ◽  
Vol 63 (No. 11) ◽  
pp. 513-521 ◽  
Author(s):  
J.H. Kim ◽  
S.H. Seok ◽  
T.Y. Park ◽  
H.J. Kim ◽  
S.W. Lee ◽  
...  
Keyword(s):  
Pain Management ◽  
Shoulder Joint ◽  
Analgesic Effect ◽  
Shoulder Arthroscopy ◽  
Short Form ◽  
Arthroscopic Surgery ◽  
Pain Scale ◽  
Degenerative Joint Disease ◽  
Human Medicine ◽  
Joint Disease

Shoulder joint disorders are a major cause of forelimb lameness in dogs, and osteochondrosis, degenerative joint disease, and bicipital tenosynovitis are common joint disorders that have been reported in dogs. Many studies have investigated pain management after arthroscopy in human medicine, but reports from veterinary medicine are rare. Ropivacaine is a new amide local anaesthetic drug and a single isomer drug that is used more widely than bupivacaine in human medicine because it has fewer side effects. The present study was conducted to evaluate the analgesic effect of intra-articular injection of ropivacaine after arthroscopic surgery in dog shoulder joints. To accomplish this, ten dogs were randomly divided into two groups of five who underwent the same anaesthesia protocol and shoulder arthroscopic examination. After shoulder arthroscopy, ropivacaine or 0.9% NaCl was injected into the shoulder joint cavity and the dogs were evaluated at one hour, two hours, four hours, six hours, 12 hours and 24 hours after surgery. The evaluated parameters were heart rate, respiratory rate, lameness score, visual analogue scale and the short form of the Glasgow composite measure pain scale. Ropivacaine showed a higher analgesic effect than 0.9% NaCl, indicating that it may be useful for pain management following arthroscopic surgery in dogs.

The acute effects of vibratory stimuli during exercise on the sensorimotor control of the shoulder complex: A pilot study

2021 ◽  
pp. 1-9
Author(s):  
Somu Kotoshiba ◽  
Noriaki Maeda ◽  
Masanori Morikawa ◽  
Mitsuhiro Yoshimi ◽  
Shogo Sakai ◽  
...  
Keyword(s):  
Upper Limb ◽  
Shoulder Joint ◽  
Injury Risk ◽  
Weight Bearing ◽  
Sensorimotor Control ◽  
Whole Body ◽  
Partial Weight Bearing ◽  
Serratus Anterior ◽  
The Impact ◽  
Partial Weight

BACKGROUND: Functional stability of the shoulder requires a balance of active forces, passive forces, and control subsystems of the joint complex. Although whole-body vibration enhances shoulder muscle function and proprioception, the impact of vibration on the sensorimotor control of the shoulder joint remains unclear. OBJECTIVE: To investigate the acute effect of vibratory stimuli on the sensorimotor control of the shoulder joint. METHODS: Fifteen male participants (age, 22.7 ± 2.3 years) were included and performed the exercise in a modified push-up position with partial weight-bearing on a vibration platform with and without vibratory stimuli. The vibration protocol included six sets lasting for 30 s each with a 30-s rest between sets. The main outcome measures included the upper limb static stability test, Upper Quarter Y Balance Test (UQYBT), and electromyography data of the upper limb. RESULTS: Vibratory stimuli resulted in an increased UQYBT score (all directions; P< 0.01) and infraspinatus, serratus anterior, and lower trapezius muscle activity (P< 0.05) between pre- and post-exercise versus the control condition. Stabilometric parameters showed no significant interaction between condition and time. CONCLUSIONS: Vibratory stimuli could maximize training benefits while limiting injury risk for athletes. Our findings could guide the development of rehabilitation programs for patients with shoulder instability.

scholarly journals Soft Robotic Shoulder Assist Device: Towards Prevention of Shoulder Overuse Syndrome in Wheelchair Users

2018 ◽  
Author(s):  
Saivimal Sridar ◽  
Ripujit Gindam Narasimha ◽  
Amogh Maharudra Gadagi ◽  
Vishwarath Taduru ◽  
Courtney Strzelczyk ◽  
...  
Keyword(s):  
Shoulder Joint ◽  
Assistive Devices ◽  
Wheelchair Propulsion ◽  
Upper Limbs ◽  
Assist Device ◽  
Related Condition ◽  
Repetitive Motion ◽  
Wheelchair Users ◽  
Overuse Syndrome ◽  
Shoulder Pathologies

Shoulder overuse syndrome (SOS) is a fatigue-related condition caused by repetitive motion or excessive practice, common amongst wheelchair users. Diagnostic treatment methods for SOS include physiotherapy sessions, kinesiology tapes and few other measures. Many commercial devices available in the market targeting rehabilitation and recovery of shoulder pathologies are expensive and inaccessible for in-home treatment. A detailed survey of the rehabilitative devices for upper limbs is given in [1]. Although, prognostic measures to avoid SOS in wheelchair users such as taking smoother strides and altering wheel stroke mechanics have been suggested [2], [3], there is a clear lack of assistive devices that augment the shoulder joint muscles during wheelchair propulsion.

scholarly journals Efektivitas Penggunaan Intervensi Fisioterapi Terapi Latihan dan Infrared Pada Kasus Dislokasi Sendi Bahu

2021 ◽  
Vol 1 (1) ◽  
pp. 20-30
Author(s):  
Aflah Tasya Salim ◽  
Andrew Wijaya Saputra
Keyword(s):  
Literature Review ◽  
Range Of Motion ◽  
Exercise Therapy ◽  
Shoulder Joint ◽  
Shoulder Dislocation ◽  
Glenohumeral Joint ◽  
Strength Increase ◽  
Upper Limbs ◽  
Wide Range ◽  
Ligament Laxity

Kegiatan dasar berupa gerak merupakan suatu kebutuhan dan tuntutan manusia terutama dalam era globalisasi seperti sekarang. Anggota gerak atas memiliki keterlibatan yang sangat tinggi dalam semua aktivitas yang dilakukan oleh manusia. Seluruh aktivitas yang dilakukan sehari-hari banyak bergantung terutama pada fungsi anggota gerak atas. Tangan dan lengan merupakan pemeran utama, sehingga apabila terjadi gangguan tertentu, hal tersebut akan mengganggu mobilitas dan kegiatan manusia. Sendi bahu merupakan salah satu sendi besar yang paling umum terjadi dislokasi, hal tersebut dapat terjadi karena rentang gerak sendi yang luas, dangkalnya fossa glenoid, dan ligament laxity pada beberapa orang. Dislokasi sendi bahu merupakan suatu kondisi dimana terjadi pergeseran caput humerus dari sendi glenohumeral, sehingga hal tersebut dapat menyebabkan kerusakan pada saraf serta dapat terjadi berulang. Jurnal ini bertujuan untuk menjelaskan efektivitas pemberian intervensi terapi latihan dan terapi infrared pada kasus dislokasi sendi bahu dan menambah pengetahuan pembaca mengenai kasus dislokasi sendi bahu. Metode penelitian yang digunakan yaitu deskriptif kualitatif dengan pengambilan materi berbasis literature review. Hasil penelitian menunjukkan bahwa pemberian terapi latihan dan terapi infrared efektif untuk menurunkan nyeri, meningkatkan kekuatan otot, meningkatkan lingkup gerak sendi (LGS), serta meningkatkan kemampuan fungsional pasien yang menderita kasus dislokasi sendi. Basic activities are in the form of a necessity and human need, especially in the era of globalization as it is now. Upper limbs have a very high involvement in all activities carried out by humans. Everything that is done daily, especially activities on the function of the upper limbs. Hands and arms are the main actors, so that if certain disturbances occur, it will interfere with mobility and human activities. The shoulder joint is one of the most commonly dislocated large joints, this can occur due to the wide range of motion of the joint, the shallowness of the glenoid fossa, and ligament laxity in some people. Dislocation of the shoulder joint is a condition in which the humeral head shifts from the glenohumeral joint, so that it can cause nerve damage and can occur repeatedly. This journal aims to explain the effectiveness of providing exercise therapy and infrared therapy in shoulder dislocation cases and the reader's knowledge about shoulder dislocation cases. The research method used is descriptive qualitative by taking material based on a literature review. The results showed that providing exercise therapy and infrared therapy to reduce pain, increase muscle strength, increase range of motion, and improve the ability of patients suffering from joint dislocation cases.

scholarly journals Impact of Educational Self-Efficacy Enhancement Program on Quality of Life, Pain Management, Self-Efficiency Behaviors and Its Impact of Satisfaction Among Adults Diabetic Patients with Peripheral Neuropathy Pain: A Randomized Control Trial

2021 ◽  
Author(s):  
Jawad Ahmad Abu-Shennar ◽  
Nurhan Bayraktar
Keyword(s):  
Quality Of Life ◽  
Peripheral Neuropathy ◽  
Pain Management ◽  
Research Group ◽  
Self Efficacy ◽  
Controlled Study ◽  
Control Group ◽  
Diabetic Patients ◽  
Life Questionnaire

Abstract Background: Peripheral neuropathy pain is common among adult diabetic patients worldwide. Lifestyle behavior modification such as proper diet and exercise, quitting smoking, weight control and regular follow up, as well as enhancement of self-efficacy among adult diabetic patients can be helpful in managing peripheral neuropathy pain and, therefore, improving their quality of life and satisfaction.Aims: This study aims to investigate educational self-efficacy enhancement program's impact on pain management, self-efficiency behaviors, quality of life and satisfaction among adult diabetic patients with peripheral neuropathy pain.Materials and Methods: This randomized controlled study was conducted between October and March 2020 at the Jordanian Ministry of Health settings, where 72 adult diabetic patients with peripheral neuropathy pain were randomly assigned into research group (n = 36) or control group (n = 36), after obtaining ethical approval and informed consents. An educational self-efficacy enhancement program was implemented in the research group only. The instrument used for data collection consisted of Demographic Data Form, Diabetes Pain Intensity Scale, Self-Efficacy Scale, Quality of Life Questionnaire (EQ-5D) and Patient Satisfaction Questionnaire.Results: Statistically significant improvements in pain levels (p = 0.020), self-efficacy score (p = 0.000), quality of life scores (p = 0.000) and best imagined health status (p = 0 .000) were found among research group participants. Furthermore, multiple-linear regression models showed that the implementation of educational self-efficacy enhancement program significantly increased the explained variance of self-efficacy scores (R2 = 0.746, p = 0.000) and quality of life scores (R2 = 0.746, p = 0.000). At the end of implementation, research group participants showed a high overall satisfaction levels (4.33 out of 5). Conclusion: The findings suggest that an educational self-efficacy enhancement program is effective in modifying adult diabetic patients’ lifestyle, enhancing self-efficacy behaviors, managing peripheral neuropathy pain, improving quality of life and satisfaction among adult diabetic patients. It is, therefore, recommended to expand the implementation of this program among adult diabetic patients with peripheral neuropathy pain.

scholarly journals Transcutaneous Spinal Neuromodulation Reorganizes Neural Networks in Patients with Cerebral Palsy

2021 ◽  
Author(s):  
Parag Gad ◽  
Susan Hastings ◽  
Hui Zhong ◽  
Gaurav Seth ◽  
Sachin Kandhari ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Weight Bearing ◽  
Lower Limbs ◽  
Upper Limbs ◽  
Acute Effects ◽  
Joint Angles ◽  
Extensor Muscles ◽  
Sensory Motor ◽  
Coordination Patterns ◽  
Gmfcs Level

AbstractSpinal neuromodulation and activity-based rehabilitation triggers neural network reorganization and enhances sensory-motor performances involving the lower limbs, the trunk, and the upper limbs. This study reports the acute effects of Transcutaneous Electrical Spinal Cord Neuromodulation (SCONE™, SpineX Inc.) on 12 individuals (ages 2 to 50) diagnosed with cerebral palsy (CP) with Gross Motor Function Classification Scale (GMFCS) levels ranging from I to V. Acute spinal neuromodulation improved the postural and locomotor abilities in 11 out of the 12 patients including the ability to generate bilateral weight bearing stepping in a 2-year-old (GMFCS level IV) who was unable to step. In addition, we observed independent head-control and weight bearing standing with stimulation in a 10-year-old and a 4-year old (GMFCS level V) who were unable to hold their head up or stand without support in the absence of stimulation. All patients significantly improved in coordination of flexor and extensor motor pools and inter and intralimb joint angles while stepping on a treadmill. While it is assumed that the etiologies of the disruptive functions of CP are associated with an injury to the supraspinal networks, these data are consistent with the hypothesis that spinal neuromodulation and functionally focused activity-based therapies can form a functionally improved chronic state of reorganization of the spinal-supraspinal connectivity. We further suggest that the level of reorganization of spinal-supraspinal connectivity with neuromodulation contributed to improved locomotion by improving the coordination patterns of flexor and extensor muscles by modulating the amplitude and firing patterns of EMG burst during stepping.

The role of negative intra-articular pressure in the maintenance of shoulder joint stability in dogs

2006 ◽  
Vol 19 (03) ◽  
pp. 157-161 ◽  
Author(s):  
R. M. McLaughlin ◽  
S. H. Elder ◽  
C. R. Boyle ◽  
E. B. Silverman ◽  
B. K. Sidaway
Keyword(s):  
Shoulder Joint ◽  
Motion Tracking ◽  
Tracking System ◽  
Weight Bearing ◽  
Joint Capsule ◽  
Neutral Position ◽  
Joint Stability ◽  
Flexion Extension ◽  
Before And After ◽  
Motion Tracking System

SummaryThe objective of this study was to evaluate the effect of negative intra-articular pressure on shoulder joint stability in canine cadavers. Cadaver forelimbs from 12 mature dogs were used. The forelimbs were placed in a testing frame and axially preloaded with 4 kg of weight. Shoulder joint stability was tested in flexion, extension, and neutral position before and after venting of the joint capsule. Humeral translation relative to the glenoid was induced by applying a 3 kg load in three different directions (cranial, lateral, and medial) and quantitatively measured by use of an electromagnetic motion tracking system. Peak translational data were compared in each joint position before and after venting of the joint capsule. After venting the shoulder joint capsule, a significant increase in translation was observed in the cranial direction with the joint in neutral position and in the medial direction with the joint in extension. The horizontal translations measured after venting of the joint capsule were likely not clinically relevant. Negative intra-articular pressure is not a major contributor to shoulder stability in dogs during weight-bearing.

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