scholarly journals Effect of Cupping Therapy versus Continuous Aerobic Exercise on Lipid Proϑile in Hypertensive Men

2020 ◽  
Vol 11 (4) ◽  
pp. 6537-6542
Author(s):  
Aya M. Mahmoud ◽  
Karim A. Fathy ◽  
Ahmed Y. Ali

Blood pressure and lipid profile are strongly linked to function, particularly in patients with hypertension disease (HTN). That study was aimed to differentiate between the cupping therapy and continuous aerobic exercise effect on lipid profile in hypertensive men. Thirty volunteers male patient with primary hypertension selected from outpatients Desouk general hospital. Their age ranged between 40-50 years, they were divided into two equal groups: group (A) attended a program of cupping therapy one time per month for three months and group (B) attended a program of continuous aerobic exercise on a treadmill for 30 minutes, two times per week for three months. Analysis of the results revealed that there was a major decrease in blood pressure (systole and diastole) and lipid profile (Triglyceride LDL, and Total Cholesterol) and increase in HDL during the cupping therapy closely same continuous aerobic exercise. A major decrease post treatment compared with that pre-treatment (p > 0.05) in both groups, but there was no major difference between both groups (A, B) in pre-treatment and also post treatment (p > 0.05). Both cupping therapy, as well as continuous aerobic exercises, showed a significant decrease in blood pressure and lipid profile (Total Cholesterol, Triglyceride and LDL) and a significant increase in HDL post-treatment compared with that pre-treatment.

2001 ◽  
Vol 19 (1) ◽  
pp. 19-26 ◽  
Author(s):  
Roisin Haslam

Acupuncture is becoming a common technique within the physiotherapy profession as a treatment modality for pain relief; however, few randomised controlled trials have been undertaken to assess the effectiveness of acupuncture, particularly in the treatment of osteoarthritis (OA) of the hip. Therefore, a randomised trial to compare the effectiveness of acupuncture with advice and exercises on the symptomatic treatment of OA of the hip was carried out. Thirty-two patients awaiting a total hip arthroplasty were randomly allocated to either the experimental group, (A), to have six sessions of acupuncture each lasting up to 25 minutes, or the control group, (B), to be given advice and exercises for their hip over a six week period. Group A consisted of three men and 13 women, and group B consisted of four men and eight women. The average age in group A was 66 years and in group B it was 68 years. Patients were assessed for pain and functional ability, using a modified version of the WOMAC questionnaire, pre-treatment, immediately post-treatment and at eight weeks post-treatment. The pre-treatment WOMAC scores in the two groups were similar (p=0.85). There was a significant improvement in group A (decrease in WOMAC score) immediately post-treatment (p=0.002) and this was maintained at the eight-week follow-up (p=0.03). There were no significant changes in group B. When the changes in WOMAC scores were compared between groups, a significantly greater improvement was found between pre-treatment and immediately post-treatment in group A, compared with group B (p=0.02). The changes between pre-treatment and the eight-week follow-up also showed a significant improvement in group A compared with group B (p=0.03). In conclusion, this trial supports the hypothesis that acupuncture is more effective than advice and exercises in the symptomatic treatment of OA of the hip.


Author(s):  
Fatima Mehmood ◽  
Dr. Aiesha Malik ◽  
Muhammad Zeeshan

Plantar Fasciitis is among the major causes of heel pain. Mechanical stress of plantar aponeurosis usually causes inflammation thus result in problem with weight bearing and difficulty in walking. Pain often exacerbates and may stick at for months with unremitting activity, limiting the activities of daily living and the functional status. The objective of the study was to compare the effects of low level laser and ultrasound therapy in patients for pain and their functional status presents with plantar fasciitis. This study was a Quasi-experimental trial and conducted at Physical therapy Center for Arthritis & Rehabilitation Excellence (PT CARE), Gulberg III Lahore. The study completed in the time duration of six months (Aug 2019 – Jan 2020). Consecutive sampling technique was used to collect the data. A sample size of `total 28 patients were taken in this study; patients were divided into two groups. Conventional Physiotherapy protocol was given to both groups as baseline treatment. (Group A patients were treated with low level laser protocol whereas Group B was treated with ultrasound therapy protocol). Functional Foot Index (FFI) score was used to ask some questions related to patients symptoms and daily activities and to measure the intensity of pain Numeric Pain Rating Scale (NPRS) was used. All participants of the study filled the FFI & NPRS score and Numeric pain rating scale on day 1 in first cycle as pretreatment values and at the end of 5th session and 10th session as first and second cycles as post treatment values respectively. Data was analyzed on SPSS 21.The means of pre-treatment NPRS in group A was 7.78 and in group B means of pre-treatment NPRS was 7.35 with p value <0.05. Means difference of NPRS for group A was 4.07 and in group B the post treatment-1 means difference 4.85 with p value <0.05. Means of post treatment-2 in group A was 1.71 and in group B was 2.64 with p value <0.05. While means of pre-treatment in group A for FFI was 77.66 in group A and group B was 73.35 with p value <0.05. Means of post treatment-1 for group A for FFI was 54.50 and for group B 58.27 with p value <0.05. And means of post treatment-2 in FFI for group-A was 28.22 and for group B was 35.88 with p values <0.05. Low Level Laser Therapy is more effective than Ultrasound Therapy in reducing pain and improving functions in patients with plantar fasciitis and vice versa.


2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Irfan Ahmad ◽  
Tabassum Manzoor ◽  
Saima Riaz ◽  
Muhammad Zeeshan ◽  
Mehboob Ali ◽  
...  

The purpose of this study was to research the effect of performing Remote myofascial release of sub occipital region in asymptomatic individual with hamstring tightness. Keeping these muscles loose is important. If muscles have tightened up then muscles are working at less than 100 % of capacity and performance will be down as a result. Objective: The objective of this study was to find out the effect of performing Remote myofascial release of sub occipital region in asymptomatic individual with hamstring tightness. Methods: The study was a Quasi experimental trial and was conducted in Physiotherapy center for arthritis. 64participant in this research & divided into 2 Groups. (Group A was   treated with static Stretching exercises of hamstrings and Group B was treated with remote Myofascial release of sub occipital region and static Stretching exercises). For analysis we were used Knee Extension angle and Sit to reach test at baseline and after 2 weeks of treatment in both groups. Data analysis was done by SPSS. Results: p value of within the group comparison for  knee extension angle and Sit to reach test score was significant i.e. <0.001.Mayofascial Release of sub occipital region and static stretch give us best result.IN group A Pre-treatment knee extension angle was 14.68 & post treatment 10.87 with mean difference 3.81 P <0.01.In Group B pre-treatment knee extension angle 14.78.& post-treatment   knee extension angle 13.75 with mean difference 11.03 & p<0.001 which concludes that remote myofascial release of sub-occipital region improve the flexibility of hamstring tightness. Conclusion: The current study concludes that myofascial release of sub occipital region along with static stretching and static stretching alone, both are effective in improving flexibility in patients with hamstring tightness. However, myofascial release of sub occipital region along with static stretching is more effective than static stretching alone.


Author(s):  
K. Paventhan ◽  
Pradeep Krishna R. ◽  
Ramya Shree C.

<p class="abstract"><strong>Background:</strong> Nasal douching is a best effective and simple treatment procedure for chronic rhinosinusitis. This study compares the efficacy of nasal douching with isotonic saline solution versus ringer lactate solution in patients suffering from chronic rhinosinusitis.</p><p class="abstract"><strong>Methods:</strong> This randomized control trial was conducted among the patients with chronic rhinosinusitis who were attending the outpatient department of Otorhinolaryngology in Chettinad Hospital and Research Institute, Chennai, during the study period from June 2019 to December 2019. After randomization group A and B includes thirty cases of chronic rhinosinusitis each and they received nasal douching with saline and Ringer lactate two times a day for a period of three weeks and assessed using sino-nasal outcome test (SNOT) 20 during pre-treatment and post treatment. Data was entered in Microsoft excel and data analysis was done using SPSS version 17.  </p><p class="abstract"><strong>Results:</strong> On assessing the overall SNOT 20 mean score, in both group A and group B, there was statistically significant improvement post treatment score when compare to pre-treatment scores. But the differences in improvement between the two groups were not found to be significant.</p><p class="abstract"><strong>Conclusions:</strong> Though isotonic saline and ringer lactate solution showed significant improvement after treatment both these are same with respect to efficacy in the treatment of douching for chronic rhinosinusitis with no difference in outcome.</p><p class="abstract"> </p>


Author(s):  
Mohammad Afkhami-Ardekani ◽  
Mahmoo Emami-Meibodi ◽  
Naimeh Mostafae ◽  
Arezoo Afkhami-Ardekani ◽  
Boshra Najafi

Objective: The risk of cardiovascular disease increased in diabetic patients due to lipoprotein metabolism disorder and insulin resistance. There is different type of dyslipidemia in diabetic patient. The nicotinic acid (niacin) is categorized as vitamin B family and decreases low-density lipoproteins (LDL) and triglyceride (TG) level and increases high-density lipoproteins (HDL). The aim of this study was to compare the effect of niacin treatment with and without atorvastatin on lipid profile on diabetic patient. Materials and Methods: This study is cross over clinical trial on 30 diabetic patients (9 men, 21women) referred to diabetes research center of Yazd (IRAN). At initiation of study administered atorvastatin alone (20 mg/day) for 6 weeks (protocol A), and after 3 weeks washout period, started atorvastatin (20 mg/day) with niacin (50 mg/day) for 6 weeks (protocol B). Statistical analysis was accomplished by using SPSS for windows, version 11.50 and kappa and paired T-test. Results: Patients on protocol B had statistically significant more increase of HDL-C (P-value= 0.08) and decrease of TG than profile A (P-value= 0.024). Also, 2 hours post prandial blood sugar and HbA1c changes in two groups were not significant A (P-value= 0.226), B (P-value= 0.918). Patient in group B had statistically significant decrease in systolic blood pressure and diastolic blood pressure than group A (P-value= 0.010, P-value= 0.015). Conclusion: This study showed decrease of TG, LDL-C and total cholesterol and increase of HDL in both groups. There are significant changes in HDL-C and TG in group B that used niacin with atorvastatin than group A.


2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
J Correia ◽  
V Neto ◽  
J Santos ◽  
I Pires ◽  
L Goncalves ◽  
...  

Abstract Funding Acknowledgements Type of funding sources: None. Introduction Several studies have suggested a relationship between dyslipidemia and atherogenesis, which displays a main role in the pathophysiology of Acute Coronary Syndrome (ACS). Aim To compare the lipid profile between younger (&lt;55 years) and older (≥55 years) patients admitted due to ACS. Methods A single-centre retrospective study was conducted, with inclusion of all consecutive patients admitted in the Cardiology Department due to ACS. Several analytical parameters were evaluated, including total cholesterol (CT), HDL cholesterol (HDL), LDL cholesterol (LDL) and triglycerides (TG) and CT/HDL, LDL/HDL and TG/HDL ratios were calculated. All parameters are presented in mg/dL. Afterwards, comparison of these data between younger (age &lt; 55 years, Group-A) and older (age≥55 years, Group-B) patients was done. Statistical analysis was performed with SPSS and a p value &lt; 0.05 was considered statistically significant. Results 1168 patients (70.1% male, mean age 69 ±12 years) were included in this study. 15.8% of patients were from Group-A. Mean levels of the analysed parameters were the following: CT 176 ± 55, LDL 111 ± 45, HDL 40 ± 12 and TG 137 ± 102. The following mean ratios were obtained: CT/HDL 4.6 ± 1.9, LDL/HDL 2.9 ± 1.4 and TG/HDL 3.8 ± 3.5. Comparison of the analysed parameters and calculated ratios is exhibited in table 1. Conclusion Overall, a worse lipid profile was observed in younger patients. This data reveals the role of dyslipidemia in coronary heart disease, which displays a main role in atherosclerosis at a younger age. This fact highlights the importance of adopting a healthy lifestyle and the adherence to primary and secondary prevention measures of cardiovascular events. Lipid profile: young vs old patient Group A Group B Total Cholesterol 199 ± 44 170 ± 56 p &lt; 0.001 LDL Cholesterol 128 ± 37 107 ± 46 p &lt; 0.001 HDL Cholesterol 39 ± 10 40 ± 12 p = 0.307 Triglycerides 195 ± 189 125 ± 66 p &lt; 0.001 CT/HDL 5.3 ± 1.5 6.8 ± 2.0 p &lt; 0.001 LDL/HDL 3.4 ± 1.1 2.8 ± 1.4 p &lt; 0.001 TG/HDL 5.6 ± 6.3 3.5 ± 2.5 p &lt; 0.001


2021 ◽  
Vol 71 (Suppl-1) ◽  
pp. S268-72
Author(s):  
Muhammad Mudassir ◽  
Ali Amar ◽  
Naeem Raza ◽  
Ayesha Khokhar ◽  
Adeel Siddiqui ◽  
...  

Objective: To compare oral Azithromycin with oral Doxycycline in treatment of moderate Acne Vulgaris. Study design: Randomized control trial Place and duration of the study: Dermatology Department , Pak Emirates Military Hospital, Rawalpindi from 1st August 2017 till 31st January 2018. Materials and methods: A total of 92 patients with moderate Acne were selected from Dermatology outpatient department (OPD) Pak Emirates Military Hospital Rawalpindi, after written informed consent. Patients were randomly allocated to one of the two treatment groups: Group A and Group B by lottery method. Patients in group A were given oral Azithromycin 500 mg daily for four consecutive days each month for 03 months and patients in group B were given oral Doxycycline 100 mg daily for 03 months. Patients were reviewed monthly for 03 months and Acne Severity Index (ASI) was recorded at baseline, at one month and three months. The primary outcome measured was more than 50% decrease from baseline in ASI within 3 months of treatment, using Global Acne Grading System (GAGS). Results: Mean age of patients in group A was 21.80 + 4.64 years whereas mean age of patients in group B was 21.61 + 4.48 years. In group A mean pre-treatment ASI was 24.83 + 3.15 and mean post-treatment ASI was 10.15 + 1.7. In group B mean pre-treatment ASI was 25.30 ± 2.96 and mean post-treatment ASI was 9.86 + 1.58. Conclusion: Azithromycin is comparable to Doxycycline in terms of mean change in ASI, in the treatment of moderate Acne Vulgaris.


2018 ◽  
Vol 5 (4) ◽  
pp. 1523
Author(s):  
Anamika Gora ◽  
Deveshwar Dev ◽  
Palak Gupta ◽  
M. L. Gupta

Background: Atherosclerotic cardiovascular disease (CVD) is a major cause for morbidity and mortality in the adult population. Altered lipid levels are the recognized factors. This process is considered to begin in early life and progress silently over decades. Maternal lipid concentrations may exert an in-utero influence on infant’s lipid profile. The objective of the study was to find out the correlation of maternal lipid profile with newborn’s lipid profile.Methods: This is a hospital based, cross sectional study. After applying inclusion and exclusion criteria, a total of 220 parturients and their respective newborns were enrolled. Out of 220 newborns, 110 were <2.5 kg (group A) and 110 were ≥2.5kg (group B) babies. 2.5 ml of Cord blood sample from each of enrolled newborns was collected from the placental end of the cord just after the delivery. Blood samples from the parturients were collected right after delivery. The concentrations of total cholesterol, triglycerides and HDL-c were determined by an enzymatic colorimetric method and LDL-c was calculated by the Friedewald formula.Results: In present study there was a statistically significant but poor negative correlation between maternal TG and babies’ TG level among low birth weight (˂2.5kg) babies and no other significant correlation was observed between maternal lipid profile and newborn’s lipid profile.Conclusions: Change in maternal lipid profile is not significantly associated with the mean concentrations of total cholesterol, LDL-c, HDL-c and triglycerides in newborns. Hence it shows that neonatal lipogenesis may be independent of maternal lipogenesis.


Author(s):  
Roohie Singh ◽  
Jeevan R. Galagali ◽  
Santosh Kumar ◽  
Yogesh Bahurupi ◽  
Mandar Chandrachood

<p class="abstract"><strong>Background:</strong> Allergic rhinitis (AR) is a chronic disease with variable response to therapy.<strong> </strong>Nasal irrigation with saline, including hypertonic saline, has been recommended for sinonasal conditions<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> All consecutive patients reporting with AR symptoms established by ARIA at a zonal and tertiary care referral hospital from July 1 to September 30, 2015 were enrolled in the study. Patients were randomly divided into two groups. Patients in Group A were treated with hypertonic seawater saline (HSS) 2.2% Group B with normal saline (NS) 0.9% respectively. Symptoms were assessed at the start of the treatment and after 2 months using 4 point scale.<strong></strong>60 patients were included in final analysis<span lang="EN-IN">.  </span></p><p class="abstract"><strong>Results:</strong> The mean total nasal symptoms post treatment when compared to pre-treatment were low in both the groups [2.19 (pre- treatment) vs. 1.03 (post treatment) in Group A and 2.18 (pre-treatment) vs. 1.46 (post treatment) in Group B] and the difference was statistically significant for both groups (P =0.0001). On comparing post-treatment symptom scores between both groups, Group a benefitted more than Group B and it was statistically significant (P =0.002). The difference in individual symptom improvement (except sneezing) post treatment exhibited a statistical significance in Group A.No side-effects were seen with either of the sprays<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> In our study, both treatments provided clinically meaningful responses, but the overall result favored HSS. Hence, HSS can be an effective and safe therapy for AR<span lang="EN-IN">.</span></p>


Author(s):  
Ranjodh Jeet Singh ◽  
Kanika Kohli ◽  
Parveen Gupta ◽  
Ashwani Kumar Gupta

Background: The increase in CVS morbidity and mortality could be significantly reduced by control of SBP and DBP, as well as reduction in Hyperlipidemia.Methods: The patients of stage-1 HTN with either sex according to JNC VII criteria were included and were followed up every 2 weeks from baseline upto 12 weeks. The randomized patients were divided into two groups to receive beta blocker viz. Atenolol 50 mg (group A, N=50) and ARB Olmesartan medoxomil 40 mg (group B, N=50).Results: The average Total cholesterol measured among Group A subjects was significantly increased by 1.8% by the end of 12th week whereas the average cholesterol measured among Group B subjects at baseline period was reduced by 7.9% after 12 weeks therapy. The average HDL measured among Group A subjects at baseline period significantly reduces by 5.9% by the end of 12th week whereas the HDL levels measured among Group B subjects at baseline period was significantly increased by after 12 weeks therapy. The average Triglyceride (TG) levels measured among Group A subjects at baseline period was significantly increased by 12.4% by the end of 12th week whereas the Triglyceride (TG) levels measured among Group B subjects at baseline period was significantly reduced by 9.5% after 12 weeks therapy. The average LDL levels measured among Group A subjects at baseline period was significantly increased by 1.5% by the end of 12thweek whereas the average LDL measured among Group B subjects at baseline period was significantly reduced by 11.2% to after 12 weeks therapy. The average VLDL levels measured among Group A subjects at baseline period was significantly increased by 12.4% by the end of 12th week whereas the average VLDL measured among Group B subjects at baseline period was significantly reduced by 9.5% after 12 weeks therapy.Conclusions: ARB- Olmesartan medoxomil is a better drug than beta blocker-Atenolol as it leads to greater deduction in lipid profile.


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