scholarly journals Efficacy of Janda’s approach versus bruegger’s exercise in pelvic cross syndrome and its impact on quality of life

2020 ◽  
Vol 11 (2) ◽  
pp. 1701-1706
Author(s):  
Rajalaxmi V ◽  
Nandhini G ◽  
Senthilnathan C V ◽  
Mohan kumar G ◽  
Yuvarani G ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Gluteus Maximus ◽  
Abdominal Muscle ◽  
Mean Value ◽  
Dorsal Side ◽  
Medical College ◽  
Post Test ◽  
Group A ◽  
Group B

The objective of this study is to determine the Efficacy of Janda’s Approach Versus Bruegger’s Exercise in Pelvic Cross Syndrome and the quality of its impact in Life. Pelvic Cross Syndrome is characterized by tightness of thoracolumbar extensor on the dorsal side crosses with tightness of the Illiopsoas and Rectus femories. Weakness of the deep abdominal muscle ventrally crossed with weakness of the Gluteus maximus and Medius. This was an experimental study design with pre-post type conducted in outpatient physiotherapy department of ACS Medical college and hospital and took nearly 3 months to complete the study (January 2018-April 2018). 30 samples were selected from 45 volunteers based on the inclusion criteria. Group A received the Janda’s approach, Group B received the Bruegger’s exercise. Pre and post test outcome measures were taken with SF-12 scale,Visual analog scale, Goniometer.Post interventionally, both the groups showed decrease in pain and increase range of motion. However on comparing the results, Group A showed higher mean value and was more effective than Group B. The study concluded that the Group A Janda’s approach is an effective approach in reducing the pain and improved the range of motion in Pelvic Cross Syndrome.

scholarly journals A comparison of epidural analgesia provided by Bupivacaine plus Pethidine, Bupivacaine plus Morphine, or Bupivacaine plus Morphine plus Midazolam for lower limb Orthopaedic surgery

2014 ◽  
Vol 4 (1) ◽  
pp. 19-21
Author(s):  
NR Sharma ◽  
U Rai ◽  
S Panthee ◽  
P Shrestha
Keyword(s):  
Epidural Anaesthesia ◽  
Lower Limb ◽  
Orthopaedic Surgery ◽  
Epidural Morphine ◽  
P Value ◽  
Medical College ◽  
Group A ◽  
Group B ◽  
Good Patient Satisfaction

Epidural anaesthesia and analgesia in orthopaedic surgeries helps to prevent thromboembolic phenomenon by increasing venodynamics. Adequate post operative analgesia with good patient satisfaction has been observed with this technique. The objective of this study was to assess the duration of postoperative analgesia and complications in patients receiving epidural anesthesia with morphine, midazolam and pethidine in combination with bupivacaine. We prospectively studied 75 Patients who were scheduled for elective lower limb orthopaedic surgery with epidural anaesthesia. This study was conducted from March 2010 to March 2012 at Lumbini Medical College Palpa. They were randomly divided by lottery method into three equal groups. Group ‘A’ (BP) received 50 mg epidural pethidine (3 ml) with 0.5 % bupivacaine 13 ml. Group ‘ B’ (BM) received 5 mg (3 ml) epidural morphine with 13 ml of 0.5% bupivacaine and Group’ C’ (BMM) received 5 mg (1 ml) epidural morphine with 13 ml 0.5% bupivacaine and 2 mg (2 ml) epidural midazolam. All the patients were observed for 24 hours for quality of analgesia and other side effects like nausea vomiting, and pruritus. Data were analysed by SPSS-16.0 software. The result of the study shows the duration of analgesia was prolonged in BMM group than BM, and BP group and was statistically significant (P value <0.001). Incidence of nausea and vomiting in BMM group was lower than that of BP and BM group but was statistically insignificantly (P value 0.489). Pruritus was absent in BP group and was more with BM and BMM group (P value 0.007). In conclusion the use of epidural morphine and midazolam in combination with bupivacaine is the satisfactory method of post operative analgesia. By adding midazolam, duration of analgesia can be increased with decrease in incidence of nausea, vomiting and pruritus. DOI: http://dx.doi.org/10.3126/jcmc.v4i1.10842 Journal of Chitwan Medical College 2014; 4(1): 19-21

scholarly journals USE OF FASCIA LATA & DACRON

2006 ◽  
Vol 13 (04) ◽  
Author(s):  
MOHAMMUD AZIZ ◽  
MOHAMMUD IQBAL KHATTAK
Keyword(s):  
Range Of Motion ◽  
Young Patients ◽  
Elbow Dislocation ◽  
Fascia Lata ◽  
Civil Hospital ◽  
Medical College ◽  
Group A ◽  
Group B

Setting: In Civil Hospital and Bolan Medical College Complex HospitalQuetta. Period: From 1990 to 2003. Materials & Method: Eighty cases of old neglected elbow dislocation weretreated. by arthroplasty using fascia lata (Group A) and dacron meshwork ( group B). Forty cases were included ineach group. Results: Surgery was followed by physiotherapy. Patients were examined periodically upto six months.To evaluate the results three variables i.e range of motion, instability and pain were recorded for each patient for sixmonths. These were recorded before operation, at the time of review and points were awarded. Young patients anddislocated elbows of less duration gave better results. Prognosis in males (As compared to females) and right elbows(As compared to left) was better. Group A achieved better results than group B. Conclusions: Results of both theinterposing materials are encouraging. Fascia lata gave better results than dacron meshwork

scholarly journals Correlation between the efficacy of stem cell therapy to osteonecrosis of the femoral head and cell viability

2019 ◽  
Author(s):  
ZhanYu Wu ◽  
Qi Sun ◽  
Ming Liu ◽  
Brian Grottkau ◽  
ZhiXu He ◽  
...  
Keyword(s):  
Stem Cells ◽  
Stem Cell ◽  
Femoral Head ◽  
Cell Therapy ◽  
Core Decompression ◽  
Mean Value ◽  
Group A ◽  
The Mean ◽  
Group B

Abstract Background: Osteonecrosis of the femoral head (ONFH) is a common disease that greatly affects the quality of life of patients. Repair of necrotic area is the key to treatment.At present, the combination of stem cell transplantation and decompression is used clinically to promote the repair of necrotic areas through the characteristics of stem cells. However, a considerable number of patients cannot achieve a satisfactory outcome in repairing the femoral head necrotic area. It is very important to find out the reasons for the poor curative effect. The aim of this study was to investigate the correlation between stem cell viability and the repair efficacy of stem cell therapy combined with core decompression to early-stage of ONFH. Methods: A total of 30 patients with idiopathic ONFH were performed core decompression combined with autologous stem cell transplantation. The Harris score (HHS) and necrosis area change of patients before and after operation were observed. The mean value of repair ratio was set as a threshold dividing the patients into group A (ratios greater than the mean value) and group B (ratios less than the mean value). The ultrastructure, proliferative capacity and multidirectional differentiation ability were compared between the groups. Results: At 9 months after surgery, HHS and magnetic resonance imaging (MRI) findings had improved by varying degrees. Based on the repair ratio, i.e., (62.2 ± 27.0) %, 62.2% was set as a threshold dividing the patients into group A and group B. Better repair(Group A) showed faster proliferation efficiency and healthier ultrastructure. The cells of Group A also showed stronger specific staining after osteogenesis and chondrogenesis induced differentiation. The activity of alkaline phosphatase (ALP) was also higher in group A (OD 2.39 ± 0.44 vs 1.85 ± 0.52; P <0.05) after osteogenic differentiation. Conclusions: The quality of implanted stem cells is closely related to the efficacy of this procedure and determines whether the defects of self-repair in the necrotic areas can be corrected to enhance the repair capacity of necrotic tissue and to promote the repair of necrotic areas to achieve the desired therapeutic outcome.

scholarly journals A COMMUNITY SURVEY ON EFFECT OF STEP AEROBIC EXERCISES AND MUSIC THERAPY ON MENTAL HEALTH IN MENOPAUSAL WOMEN

2021 ◽  
Vol 10 (4) ◽  
pp. 3300-3303
Author(s):  
Waqar M. Naqvi
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Music Therapy ◽  
P Value ◽  
Versus Group ◽  
Menopausal Women ◽  
Post Test ◽  
Group A ◽  
Group B

To evaluate the effect of Step aerobic exercises and music therapy on mental health in menopausal women. Menopausal women of selected areas of Belagavi city were screened in a door to door survey using Menopause Quality Of Life (MENQOL) questionnaire. 69 menopausal women who fulfilled the inclusion criteria were divided randomly into 3 groups Group A was administrated Music therapy, for Group B Step Aerobic Exercises was given and Group C was administrated combination of Music therapy and step aerobic exercises. All three groups showed significant changes from pre and post intervention. The p-value for Group A versus Group B between pre-test and post-test was 0.001*.For Group A versus Group C was 0.001* and for Group B versus Group C between pre-test and post-test was 0.906 which was not significant. Step aerobics, music therapy and a combination of both were equally effective in improving the mental health status of post-menopausal women. Any one or combination of them can be used to help improve quality of life in these women.

scholarly journals Flexible Sigmoidoscopy: Optimal bowel preparation with enema versus polyethylene glycol

2018 ◽  
Vol 7 (2) ◽  
pp. 50-54 ◽  
Author(s):  
Roshan Ghimire ◽  
Y Limbu ◽  
R Chakradhar
Keyword(s):  
Polyethylene Glycol ◽  
Sodium Chloride ◽  
Bowel Preparation ◽  
Flexible Sigmoidoscopy ◽  
Medical College ◽  
Oral Preparation ◽  
Group A ◽  
Group B ◽  
Almost All

Background: Lower gastrointestinal endoscopy requires adequate bowel preparation. However there is no unanimous recommendation on choice of agent of bowel preparation for the purpose of screening flexible sigmoidoscopy.Objective: To compare the quality of bowel preparation and patient’s tolerance between Enema (Solution of Glycerin 15% w/v and Sodium Chloride 15% w/v)and Polyethylene glycol for screening flexible sigmoidoscopy.Methodology: All consecutive patients undergoing screening flexible sigmoidoscopy were included in the study. We prospectively divided the patients into two groups. Group A received per rectal enema and group B received oral bowel preparation with polyethylene glycol. Adequacy of bowel preparation and patient’s tolerance between two groups was graded. Data were analysed using Microsoft Excel 2010.Results: Results were comparable regarding quality of bowel preparation between two groups (A and B), excellent in 20% and 33.33% and good in 60% and 50% respectively. Almost all patients could tolerate the preparation agent in Group A (n=28). In-group B, eight patients (26.66%) considered the oral preparation agent difficult to tolerate and two patients (6%) were unable to complete the preparation.Conclusion: Enema (Solution of Glycerin 15% w/v and Sodium Chloride 15% w/v) and Polyethylene glycol have similar quality of bowel preparation and for screening sigmoidos copy. Enema is adequate and much easily tolerable compared to polyethylene glycol. Journal of Kathmandu Medical College,Vol. 7, No. 2, Issue 24, Apr.-Jun., 2018, page: 50-54

scholarly journals A Controlled and Comparative Study onVatari Guggulu and Shiva Guggulu in the Treatment ofGridhrasi.

2021 ◽  
Vol 04 (11) ◽  
pp. 38-48
Author(s):  
Veena C.S ◽  
Roopa Bhat
Keyword(s):  
Clinical Study ◽  
Oral Administration ◽  
Test Design ◽  
College Hospital ◽  
Medical College ◽  
Post Test ◽  
Comparative Clinical Study ◽  
Group A ◽  
Group B ◽  
Single Blind

A single blind controlled comparative clinical study with pre test and post test design to evaluate the therapeutic efficacy of Shiva Gugguluand Vatari Gugguluin the management of Gridhrasi.The study carried out at Dhanvantari Ayurveda medical college Hospital; Siddapur, Uttara Karnataka. 40 patients suffering from Gridhrasi / SCIATICA of either sex were selected for the study were treated under two groups; A and B. Group A with oral administration of Shiva Guggulu, in a dose of 500 mg after food twice a day with sukhoshna jalaas anupana and the same is continued for 30 days. Group B with oral administration of Vatari Guggulu, in a dose of 500 mg after food twice a day with sukhoshna jalaas anupana for 30 days. The response following the intervention was assessed on 1st,15th, 21st, and 30thdays to find out the progress of theCondition in both the groups.Final conclusion of this controlled comparative clinical study says Group A is more effective than Group B (Shiva gugguluis more effective than Vatari guggulu) in the management of Gridhrasi.

Comparative Study between IV Paracetamol and IM Pethidine for Post Operative Analgesia in Laparoscopic Cholecystectomy

2020 ◽  
Vol 11 (1) ◽  
pp. 46-53
Author(s):  
Raju Ahmed ◽  
Md Shafiul Alam Shaheen ◽  
Md Jashim Uddin ◽  
Md Mahmud Abbasi ◽  
Mohammad Noor A Alam
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Side Effects ◽  
Analgesic Efficacy ◽  
Moderate Pain ◽  
Medical College ◽  
Intravenous Paracetamol ◽  
Group A ◽  
Group B ◽  
Effective Analgesia

Background: Effective analgesia is important after laparoscopic cholecystectomy. Paracetamol have been used extensively as alternatives, and it seems that they are more effective for mild to moderate pain control postoperatively. As laparoscopic Cholecystectomy poses moderate pain, in this study we compare the quality of analgesia and side effects of paracetamol versus pethidine for post-operative analgesia after laparoscopic cholecystectomy. Objectives: This study was designed to observe the effect of I.V. paracetamol and I.M. pethidine for analgesic efficacy in post-operative analgesia with their side effects in laparoscopic cholecystectomy. Material and method: Sixty (60) patients were selected in the pre anaesthetic check up room whose were going to be operated for laparoscopic cholecystectomy. Each patient in group A received intravenous paracetamol (1g/100ml)15mg/kg over 15minutes and group B received intramuscular pethidine (100mg)- 2mg/kg postoperatively. Results: In group A that was paracetamol group and group B that was pethidine group the visual analogue scale (VAS) almost similar but total analgesic consumption in pethidine group were slightly higher than paracetamol group and the respiratory rate were significantly lower in pethidine group. Conclusion: Our results indicate that IV paracetamol 15mg / kg has better analgesic potency and less side effects than 2 mg / kg IM pethidine for postoperative analgesia after laparoscopic cholecystectomy. Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 46-53

scholarly journals Clinical Appraisal on Therapeutic Efficacy of Tankana & Sphatika Bhasma With Madhu Pratisarana In Tundikeri

2019 ◽  
Vol 9 (6) ◽  
pp. 130-134
Author(s):  
Itishree Sahoo ◽  
Sanjay S More ◽  
Vinod Jadhav ◽  
Sujit Dalai ◽  
Manoj Sahoo
Keyword(s):  
Clinical Study ◽  
Comparative Study ◽  
Therapeutic Efficacy ◽  
Chronic Tonsillitis ◽  
Test Design ◽  
Exclusion Criteria ◽  
Medical College ◽  
Post Test ◽  
Group A ◽  
Group B

The clinical study was carried out to find out the efficacy of Tankana & Sphatika bhasma with Madhu pratisarana in Tundikeri (Chronic Tonsillitis).The study was an Open Labelled Randomized Comparative study with a pre- and post-test design at the outpatient level of S.V.M. Ayurvedic Medical College & R.P.K Ayurvedic Hospital, Ilkal, Karnatak, India. In accordance to inclusion and exclusion criteria 30 patients were treated with Tankana bhasma (Purified borax powder) along with Madhu (honey) pratisarana and Sphatika bhasma (purified potash alum) along with Madhu pratisarana on alternative days for 13 days to Group A and Group B respectively. Each group comprised with 15 patients. After assessment of all data, the result conforms that both the drug Tankana bhasma with Madhu pratisarana and Sphatika bhasma with Madhu pratisarana on Tundikeri have significant result. However, in overall assessment, the efficacy of Tankana bhasma pratisarana is more significant than Sphatika bhasma pratisarana in the management of Tundikeri. Keywords: Tundikeri, Tonsillitis, Tankana, Borax, Sphatika, Alum, Madhu, Pratisarana

scholarly journals A comparison of epidural analgesia provided by Bupivacaine plus Pethidine, Bupivacaine plus Morphine, or Bupivacaine plus Morphine plus Midazolam for lower limb orthopaedic surgery

2014 ◽  
Vol 2 (3) ◽  
pp. 117-121
Author(s):  
Nil Raj Sharma ◽  
Pradip Timalsena ◽  
Sundip DC
Keyword(s):  
Epidural Anaesthesia ◽  
Lower Limb ◽  
Orthopaedic Surgery ◽  
Epidural Morphine ◽  
P Value ◽  
Medical College ◽  
Group A ◽  
The Difference ◽  
Group B

Background: Epidural anaesthesia and analgesia in orthopaedic surgeries helps to prevent thromboembolic phenomenon by increasing venodynamics. Adequate post-operative analgesia with good patient satisfaction has been observed with this technique. Objective: To assess the duration of postoperative analgesia and complications in patients receiving epidural anaesthesia with Morphine, Midazolam and Pethidine in combination with Bupivacaine. Methods: We prospectively studied 75 patients who were scheduled for elective lower limb orthopaedic surgery with epidural anaesthesia at Lumbini Medical College, Palpa from 2010 March to 2012 March. They were randomly divided by lottery method into three equal groups. Group ‘A’ (BP) received 50 mg epidural Pethidine (3 ml) with 13 ml of 0.5% Bupivacaine. Group ‘B’ (BM) received 5 mg (3 ml) epidural Morphine with 13 ml of 0.5% Bupivacaine and Group ‘C’ (BMM) received 5 mg (1 ml) epidural Morphine with 13 ml 0.5% Bupivacaine and 2 mg (2 ml) epidural Midazolam. All the patients were observed for 24 hours for quality of analgesia and other side effects like nausea, vomiting and pruritus. Data were analysed by Statistical Package for Social Sciences (SPSS-16) software. Results: The result of the study shows the duration of analgesia was prolonged in BM group than BP group and even more so in BMM group (p value <0.001). Incidence of nausea and vomiting in BMM group was lower than in BP and BM group but statistically the difference was not significant (p value: 0.489). Pruritus was absent in BP group, less in BMM group while significantly higher in BM group. Conclusion: The use of epidural Morphine and Midazolam in combination with Bupivacaine is the satisfactory method of post operative analgesia. When Midazolam is added, duration of analgesia can be increased with decrease in incidence of nausea, vomiting and pruritus.Journal of Kathmandu Medical College Vol. 2, No. 3, Issue 5, Jul.-Sep., 2013 Page: 117-121DOI: http://dx.doi.org/10.3126/jkmc.v2i3.9961Uploaded date : 3/4/2014

scholarly journals Effectiveness of tibolone in the management of postmenopausal symptoms

2021 ◽  
Vol 53 (1-2) ◽  
pp. 31-34
Author(s):  
Shamima Akhter ◽  
Md Nazrul Islam ◽  
Nasreen Akhter ◽  
SM Kamal
Keyword(s):  
Adverse Effects ◽  
Placebo Treatment ◽  
Baseline Assessment ◽  
College Hospital ◽  
Medical College ◽  
Postmenopausal Symptoms ◽  
Night Sweats ◽  
Group A ◽  
Group B

Background: Tibolone is a synthetic hormone relplacemert therpy prepration with estrogenic, progestogenic and androgenic tissue selective mechanism of action. It has advantages over traditional preparations of estrogen and progesterone considering the risks and adverse effects. Objective: To evaluate the extent of effectiveness and adverse effects of Tibolone. Method: This clinical trial was done in Khulna Medical College Hospital between January to December 2019. Postmenopusal women were selected by inclusion and exclusion criteria. Alternate participant was included in two different group. Participants of group A was treated with Tibolone for 6 months and participants of group B was treated with placebo for 6 months. Each participant was followed up after 3 and 6 months. Four categories of postmenopausal symptoms (hot flushes, night sweats, sleep disturbance and mood swinging) were evaluated. Participants were monitored for any adverse effects. Severity of postmenopausal symptoms was measured by using menopausal visual analogue scale. Results: Total 90 partcipants, were enrolled in this study, half of them were included in each group. Baseline assessment in group A participants revealed mild, moderate and severe symptoms in 05 (12%), 29 (64%) and 11 (24%) women respectively. After 6 months of treatment with tibolone, 35 (78%) participants became asymptomatic. This improvement is statistically significant (p<0.001). In group B, participant's baseline assessment revealed mild, moderate and severe symptoms in 07 (16%), 28 (62%) and 10 (22%) cases respectively. After 6 months of treatment with placebo, 02 (05%) women were asymptomatic. This improvement is not statistically significant. No adverse event was observed during treatment with tibolone. Comparison between the tibolone and placebo treatment group showed, tibolone treatment is better. Conclusion: Tibolone effectively relieves the postmenopausal symptoms and improves the quality of women's health at menopause. Bang Med J Khulna 2020: 53 : 31-34

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