scholarly journals Effect of Ketoprofenphonophoresis and Femoral Nerve Block in Knee Osteoarthritis

2021 ◽  
Vol 5 (6) ◽  
pp. 72-78
Author(s):  
Fan Fan ◽  
Wei Wei ◽  
Binyan He ◽  
Chaonan Li ◽  
Qing Yang ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Nerve Block ◽  
Femoral Nerve Block ◽  
Combined Treatment ◽  
Femoral Nerve ◽  
Control Group ◽  
Before And After ◽  
Effective Efficiency ◽  
Experimental Group

Objective: To evaluate the effect of ketoprofenphonophoresis and femoral nerve block in knee osteoarthritis. Methods: One hundred and fourteen patients with knee osteoarthritis were randomly divided into two groups. The control group consisted of 57 patients who were treated with only ketoprofenphonophoresis. The experimental group consisted of patients were treated with ketoprofenphonophoresis and femoral nerve block. The patients were followed for more than one month. The treatment effect assessed by observing their WOMAC index before and after therapy. Results: All the patients finished the follow-up. Their WOMAC indexes were reduced after therapy and one month after treatment, especially in the experimental group (P < 0.05). The effective efficiency of ketoprofenphonophoresis and femoral nerve block were higher than that in the control group after treatment and after one month of follow-up (P < 0.05). Conclusion: Compared with only ketoprofenphonophoresis, the combined treatment of ketoprofenphonophoresis and femoral nerve block was more appropriate in knee osteoarthritis.

Ultrasound-Guided Femoral Nerve Block Anesthesia for Tibiofibular Fracture

2020 ◽  
Vol 10 (6) ◽  
pp. 1333-1337
Author(s):  
Yi Xu ◽  
Jiansheng Fang ◽  
Yanzhi Xia ◽  
Nana Zhang
Keyword(s):  
Internal Fixation ◽  
Nerve Block ◽  
Ultrasound Guidance ◽  
Femoral Nerve Block ◽  
Femoral Nerve ◽  
Control Group ◽  
Lateral Side ◽  
Ultrasound Guided ◽  
Blood Oxygen Saturation ◽  
Experimental Group

Objective: The intraspinal anesthesia is the main anesthesia method for the internal fixation of lower limb fracture. It is easy to cause pain aggravation during the process of puncture. Pre-anesthesia by femoral nerve block can reduce the pain of patients. Our purpose study is to complete the internal fixation of tibiofibular fracture through ultrasound-guided femoral nerve block, and to explore its anesthesia effect. Method: A total of 60 patients undergoing internal fixation and reduction of tibiofibular fractures in our hospital in recent years were randomly divided into control group (routine intraspinal anesthesia) and experimental group (addition ultrasoundguided femoral nerve block before intraspinal anesthesia). The localization of femoral nerve under ultrasound guidance was evaluated. The visual analog scale (VAS) of pain at the time of moving from delivery bed to operation bed (T0) and the placement of intraspinal anesthesia (T1) was emulated. The heart rate (HR), mean arterial pressure (MAP) and Blood oxygen saturation (SPO2) were recorded at the time of before operation bed (T2), after operation bed (T3), lateral position during puncture (T4), supine position after puncture immediately (T5), and 3 min after puncture (T6). The mini mental state examination scale (MMSE) were evaluated 2 h before operation (T7) and 2 h after operation (T8). Result: During the ultrasound guidance, the femoral nerve was the light-colored region of the inverted triangular hyperechoic area on the lateral side of the femoral artery. Compared with control group, the VAS score of T1 and the HR and MAP of T4–T6 in the experimental group were significantly lower. Conclusion: Ultrasound-guided femoral nerve block is simple in location, and it is safe and reliable in anesthesia for the internal fixation of tibiofibular fracture.

Psychoeducation and cognitive-behavioral therapy for patients with refractory bipolar disorder: A 5-year controlled clinical trial

2014 ◽  
Vol 29 (3) ◽  
pp. 134-141 ◽  
Author(s):  
A. González Isasi ◽  
E. Echeburúa ◽  
J.M. Limiñana ◽  
A. González-Pinto
Keyword(s):  
Bipolar Disorder ◽  
Cognitive Behavioral Therapy ◽  
Pharmacological Treatment ◽  
Behavioral Therapy ◽  
Combined Treatment ◽  
Control Group ◽  
Time Points ◽  
Evaluation Time ◽  
Experimental Group

AbstractObjective:The aim of this research, which represents an additional and longer follow-up to a previous trial, was to evaluate a 5-year follow-up study of a combined treatment (pharmacological + psychoeducational and cognitive-behavioral therapy) as compared with a standard pharmacological treatment in patients with refractory bipolar disorder.Method:Forty patients were randomly assigned to either an Experimental group–under combined treatment — or a Control group — under pharmacological treatment. Data were analyzed by analysis of variance (ANOVA), with repeated measures at different evaluation time points.Results:Between-group differences were significant at all evaluation time points after treatment. Experimental group had less hospitalization events than Control group in the 12-month evaluation (P = 0.015). The Experimental group showed lower depression and anxiety in the 6-month (P = 0.006; P = 0.019), 12-month (P = 0.001; P < 0.001) and 5-year (P < 0.001, P < 0.001) evaluation time points. Significant differences emerged in mania and misadjustment already in the post-treatment evaluation (P = 0.009; P < 0.001) and were sustained throughout the study (6-month: P = 0.006, P < 0.001; 12-month: P < 0.001, P < 0.001; 5-year: P = 0.004, P < 0.001). After 5-year follow-up, 88.9% of patients in the Control group and 20% of patients in the Experimental group showed persistent affective symptoms and/or difficulties in social-occupational functioning.Conclusions:A combined therapy is long-term effective for patients with refractory bipolar disorder. Suggestions for future research are commented.

scholarly journals The Effect of Manual Therapy and Stabilizing Exercises on Forward Head and Rounded Shoulder Postures: a six-week intervention with a one-month follow-up study (Preprint)

2017 ◽  
Author(s):  
Kiana Fatholahnezhad ◽  
Amir Letafatkar ◽  
Malihe Hadadnezhad
Keyword(s):  
Neck Pain ◽  
Manual Therapy ◽  
Combined Treatment ◽  
Control Group ◽  
Post Intervention ◽  
Before And After ◽  
Group 2 ◽  
And Function ◽  
Group 1

BACKGROUND forward head and round shoulder posture is believed to alter scapular kinematics and muscle activity placing increased stress on the shoulder, leading to shoulder pain and dysfunction. OBJECTIVE The purpose of this study was to evaluate the effect of a six-week combined treatment consisting of manual therapy and stabilizing exercises, with a one-month follow-up, on neck pain with forward head and rounded shoulder postures. METHODS A total of 60 women aged 32-42 years of age with neck pain, and forward head and rounded shoulder postures were randomized into three groups: group 1 performed stabilizing exercises and received manual therapy (n=20), group 2 performed stabilizing exercises (n=20), and group 3 (control group) performed home exercises (n=20) over six weeks.The follow-up time was one month after the post test. The craniocervical and rounded shoulder angles, pain, and function were measured before and after six-week interventions, and a one-month follow- up. RESULTS The results showed significant positive changes within the experimental groupsin all variables, but there were minor changes in the control group in all variables before and after the intervention. Also, there were significant function and pain improvement in the experimental group 1 comparing to group 2. There were no differences between post intervention and one-month follow-up on posture and function in the experimental groups. CONCLUSIONS These findings suggest that both interventions were significantly effective for reducing neck pain, and improving function and posture in patients with chronic neck pain, and forward head and rounded shoulder postures. However, the improvement in function and pain was more effective in group 1 than those of group 2 suggesting that manual therapy can be used as a supplement method to the stabilizing intervention in the treatment of neck pain. More research is needed to confirm the result of this study.

Supplementing Lecture with Simulations in Developmental Disabilities: SIDD Software

2001 ◽  
Vol 28 (3) ◽  
pp. 227-230 ◽  
Author(s):  
Marcie N. Desrochers ◽  
Anna M. House ◽  
Puja Seth
Keyword(s):  
Developmental Disabilities ◽  
Behavioral Assessment ◽  
Control Group ◽  
Clinical Knowledge ◽  
Multimedia Software ◽  
Significant Difference ◽  
Before And After ◽  
Assessment And Treatment ◽  
Experimental Group

We evaluated Simulations in Developmental Disabilities (SIDD), a multimedia software program that provides students with practice in behavioral assessment and treatment decisions for persons with developmental disabilities. Following a lecture on clinical strategies, students in an experimental group received instruction with SIDD whereas students in the control group did not. We collected assessments of students' clinical knowledge before and after the lecture, immediately after training, and several weeks later. The lecture had no immediate impact on clinical knowledge; however, there was a significant difference in test scores between the experimental group and the control group following exposure to SIDD training, which remained at follow-up.

scholarly journals The Effect of Cognitive–Behavioral Play Therapy on Improvements in Expressive Linguistic Disorders of Bilingual Children

2022 ◽  
Vol 12 ◽  
Author(s):  
Shahrzad Rezaeerezvan ◽  
Hossein Kareshki ◽  
Majid Pakdaman
Keyword(s):  
Data Analysis ◽  
Play Therapy ◽  
Cognitive Behavioral ◽  
Bilingual Children ◽  
Control Group ◽  
Clinical Interviews ◽  
Before And After ◽  
Group Members ◽  
Experimental Group

The present study attempted to investigate the effect of cognitive-behavioral play therapy (CBPT) on the improvements in the expressive linguistic disorders of bilingual children. The population consists of all bilingual children with expressive linguistic disorders studying in preschools. Considering the study’s objectives, a sample of 60 people, in three groups (experimental, control, and pseudo-control), were selected using WISC, TOLD, and clinical interviews. The experimental group members participated in CBPT training sessions. The training consisted of twelve 90-min sessions, three times per week programs held every other day. The pseudo-control group received training different from play therapy. The experimental group members were subjected to the follow-up test 2 months after the end of the intervention. All three groups sat the TOLD3 test before and after the experiment. Data analysis was carried out using ANCOVA. The results of data analysis suggested that CBPT can improve the expressive language disorders of bilingual children.

scholarly journals Observation on the Anesthesia Effect of Ultrasound-Guided Nerve Block for Elderly Patients with Lower Limb Fractures

2021 ◽  
Vol 5 (3) ◽  
Author(s):  
Lihong Cheng ◽  
Shanzhi Luo
Keyword(s):  
Elderly Patients ◽  
Nerve Block ◽  
Lower Limb ◽  
Adverse Reactions ◽  
Femoral Nerve ◽  
Control Group ◽  
Ultrasound Guided ◽  
Lower Limb Fractures ◽  
Limb Fractures ◽  
Experimental Group

Objective: To explore the anesthesia effect of ultrasound-guided nerve block in elderly patients with lower limb fractures. Methods: From November 2017 to November 2020, 50 elderly patients with lower limb fractures in our hospital were divided into experimental group (25 cases, general anesthesia + femoral nerve and sciatic nerve block) and control group (25 cases, general body anesthesia). Compare the MAP, HR, anesthesia effect, and adverse reactions between the two groups at each time period. Results: Before induction, the difference in MAP and HR between the two groups of patients did not form, p>0.05; the MAP and HR of the experimental group were compared with the control group at the time of skin incision, 1 hour during the operation, and removal of the laryngeal mask, P?0.05; the time of extubation in the experimental group (14.28±3.18) min, awake time (5.57±1.32) min, orientation recovery time (11.89±2.23) min, propofol dosage (191.36±22.48) mg, remifentanil dosage (0.23±0.04) mg, Compared with the control group, P<0.05; the adverse reaction rate of the experimental group (8%, 2/25) was lower than that of the control group (32%, 8/25), P<0.05. Conclusion: The use of ultrasound-guided femoral nerve and sciatic nerve block for elderly patients with lower limb fractures can enhance the effect of anesthesia, effectively reduce the use of anesthetics, and have fewer adverse reactions. It is worthy of promotion.

scholarly journals Effectiveness of Ultrasonography Guided Femoral Nerve Block for Patient Positioning during Central Neuraxial Block in Elderly Patients for Fracture of Femur - A Prospective, Randomized Control Trial

2021 ◽  
Vol 10 (31) ◽  
pp. 2390-2395
Author(s):  
Ratindra Kumar Barman ◽  
Karamchand Basumatary ◽  
Ananta Hazarika
Keyword(s):  
Elderly Patients ◽  
Nerve Block ◽  
Spinal Anaesthesia ◽  
Randomized Control Trial ◽  
Femoral Nerve Block ◽  
Femoral Nerve ◽  
Control Group ◽  
Total Consumption ◽  
Fracture Femur ◽  
Randomized Control

BACKGROUND Central neuraxial blocks, mainly spinal anaesthesia is the preferred anaesthesia over general anaesthesia in fracture of femur surgeries in elderly patients because of various side effects associated with general anaesthesia. However, the majority of the patients during positioning for spinal anaesthesia are associated with severe pain for which positioning becomes difficult. We wanted to assess the effectiveness of ultrasound (USG) guided femoral nerve block (FNB) to reduce pain during the positioning for spinal anaesthesia in fracture femur patients. METHODS It was a randomized control trial conducted on 80 elderly ASA I, II and III patients (45 - 70 years) posted for various femur surgeries under spinal anaesthesia having visual analogue scale (VAS) ≥ 4 during positioning. Patients in group FNB (N = 40) received USG guided femoral nerve block with 0.2 % ropivacaine and in control group (N = 40) didn’t receive any interventions preoperatively. All patients received injection fentanyl during positioning if VAS ≥ 4. Parameters recorded included VAS at baseline, 15 mins and during positioning, anaesthesiologist’s satisfaction (yes or no), total fentanyl consumption and patient’s satisfaction (Likert scale). RESULTS Demographic variables were comparable to each group. VAS in FNB at 15 mins and during positioning was 2.3 ± 1.042 and 3.025 ± 0.831 in comparison to 6.125 ± 0.607 and 7.2 ± 0.822 in control group respectively. Only 5 patients required injection fentanyl and total consumption was 142 ± 3.21 µg in FNB group while all patients in control group required injection fentanyl and total consumption was 1162 ± 4.43 µg. Anaesthesiologists and patients satisfaction were much higher in FNB group. CONCLUSIONS USG - guided FNB is very effective in controlling pain during positioning for spinal anaesthesia in fracture femur patients. KEY WORDS Ultrasound, Femoral Nerve Block, Spinal Anaesthesia, Ropivacaine, Fracture Femur

scholarly journals The Comparing of Ultrasound-guided Techniques: Sciatic Block with Continuous Lumbar Plexus Block or Continuous Femoral Nerve Block for Anesthesia and Analgesia of Total knee Replacement

2013 ◽  
Vol 7 (1) ◽  
pp. 19-25
Author(s):  
M. Dauri ◽  
S. Faria ◽  
L. Celidonio ◽  
P. David ◽  
A. Bianco ◽  
...  
Keyword(s):  
Sciatic Nerve ◽  
Nerve Block ◽  
Femoral Nerve Block ◽  
Femoral Nerve ◽  
Lumbar Plexus ◽  
Ultrasound Guided ◽  
Lumbar Plexus Block ◽  
Total Knee ◽  
Plexus Block

Background and Aims: This double blind prospective randomized clinical trial evaluated the efficacy and safety of continuous ultrasound-guided lumbar plexus block compared to continuous ultrasound-guided femoral nerve block, in the intra-operative and postoperative periods after total knee replacement. Methods: Forty ASA I-III patients were randomized to receive: continuous femoral block (n= 20, 30 ml of ropivacaine 5 mg/ml) or continuous lumbar plexus block (n= 20, 30 ml of ropivacaine 5 mg/ml) both in association with single injection sciatic nerve block. All patients received continuous infusion of 2 mg/ml of ropivacaine at 8 ml/h for 48 hours and intravenous morphine for patient-controlled analgesia. Primary outcomes were intra-operative sufentanil consumption and verbal analogue scale (VAS) score at rest at 24h follow up. Results: Intra-operative sufentanil consumption was higher in the femoral block (FEM) group compared to the lumbar plexus block (PSOAS) group (FEM: 10.00 (10.00, 17.50) µg; PSOAS: 2.50 (0.00, 10.00) µg. p= 0.002). Obturator motor blockade occurred more frequently in the PSOAS group (70%) than in the FEM group (40%) (p=0.1); however, we found no differences in sensory blockade (p=0.6). VAS at rest was similar in the two groups at 24h postoperatively (FEM: 29.50 ± 14.74 mm; PSOAS: 25.60 ±17.42 mm. p=0.4), and throughout the follow-up period. No differences were detected in pain scores during physiotherapy. Conclusion: Continuous femoral and lumbar plexus blocks, both in association with sciatic nerve block, provided similar VAS scores at 24h, and throughout the follow-up period; intra-operative sufentanil consumption was, however, lower in the lumbar plexus block group.

scholarly journals The Effectiveness of Religious Psychological Counseling Based Program in Reducing Psychological Stress among Mothers of Disabled Children

2019 ◽  
Vol 13 (2) ◽  
pp. 30
Author(s):  
Yahya Al-Qatawneh ◽  
Saleh Al-Khawaldeh
Keyword(s):  
Training Program ◽  
Psychological Stress ◽  
Control Group ◽  
Disabled Children ◽  
Psychological Counseling ◽  
Before And After ◽  
And Control ◽  
The Impact ◽  
Experimental Group

The study aimed at investigating the effectiveness of a religious psychological counseling based program in reducing the level of psychological stress of a sample of mothers of disabled children. The sample was intentionally chosen from Al Amal Center for Multi- Disabilities. The sample of this study was assigned randomly into two groups: an experimental group which consisted of (15) mothers who received the training program and a control group which consisted of (15) mothers who did not receive the training program. The researcher administered a pre -post scale on both groups before and after the implementation of the training program to test hypotheses of the study and calculate means, standard deviations, MANOVA and ANCOVA. The results revealed significant differences between the means of the two groups (experimental and control) in favor of the experimental group. Such results were evidenced through a two -month follow up that followed the training program. The study recommended conducting further research on the impact of religious counseling in reducing psychological stress.

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