scholarly journals Understanding of Traditional Chinese Medicine and Western Medicine on Swimming Shoulder

2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Jian Shen ◽  
Fan Yang ◽  
Pengsong Huang ◽  
Bin Jin
Keyword(s):  
Chinese Medicine ◽  
Shoulder Pain ◽  
Pain Syndrome ◽  
Difficult Problem ◽  
Training Level ◽  
Medical Doctors ◽  
Shoulder Joints ◽  
Common Causes ◽  
High Incidence ◽  
And Performance

Abstract: Swimming shoulder refers to shoulder pain syndrome which is caused by repeated impinges on shoulder joints among swimmers. It is one of the most common causes of shoulder pain among swimmers with high incidence. Swimming shoulder can affect the systematization of swimmers' training and the improvement of their training level and performance, which is a difficult problem for many swimmers, coaches, medical staff and sports medical doctors. Therefore, attention should be paid to the treatment of swimming shoulder in daily diagnosis and treatment.

scholarly journals Poststroke Pain

2021 ◽  
Vol 41 (01) ◽  
pp. 067-074
Author(s):  
Seoyon Yang ◽  
Min Cheol Chang
Keyword(s):  
Quality Of Life ◽  
Complex Regional Pain Syndrome ◽  
Shoulder Pain ◽  
Conventional Treatment ◽  
Pain Syndrome ◽  
Psychological State

AbstractPain is common but often underrecognized after stroke. Poststroke pain (PSP) hinders recovery, impairs quality of life, and is associated with the psychological state of patients with stroke. The most common subtypes of PSP include central PSP, complex regional pain syndrome, shoulder pain, spasticity-related pain, and headache. The pathophysiologies of these PSP subtypes are not yet clearly understood, and PSP is refractory to conventional treatment in many patients. However, recent studies have proposed potential pathophysiologies of PSP subtypes, which may help prioritize therapies that target specific mechanisms.

scholarly journals Deep learning for accurately recognizing common causes of shoulder pain on radiographs

2021 ◽  
Author(s):  
Nils F. Grauhan ◽  
Stefan M. Niehues ◽  
Robert A. Gaudin ◽  
Sarah Keller ◽  
Janis L. Vahldiek ◽  
...  
Keyword(s):  
Shoulder Pain ◽  
Sensitivity And Specificity ◽  
Area Under The Curve ◽  
Roc Curves ◽  
Clinical Situation ◽  
Assistive Device ◽  
Test Dataset ◽  
Joint Dislocation ◽  
Independent Expert ◽  
Common Causes

Abstract Objective Training a convolutional neural network (CNN) to detect the most common causes of shoulder pain on plain radiographs and to assess its potential value in serving as an assistive device to physicians. Materials and methods We used a CNN of the ResNet-50 architecture which was trained on 2700 shoulder radiographs from clinical practice of multiple institutions. All radiographs were reviewed and labeled for six findings: proximal humeral fractures, joint dislocation, periarticular calcification, osteoarthritis, osteosynthesis, and joint endoprosthesis. The trained model was then evaluated on a separate test dataset, which was previously annotated by three independent expert radiologists. Both the training and the test datasets included radiographs of highly variable image quality to reflect the clinical situation and to foster robustness of the CNN. Performance of the model was evaluated using receiver operating characteristic (ROC) curves, the thereof derived AUC as well as sensitivity and specificity. Results The developed CNN demonstrated a high accuracy with an area under the curve (AUC) of 0.871 for detecting fractures, 0.896 for joint dislocation, 0.945 for osteoarthritis, and 0.800 for periarticular calcifications. It also detected osteosynthesis and endoprosthesis with near perfect accuracy (AUC 0.998 and 1.0, respectively). Sensitivity and specificity were 0.75 and 0.86 for fractures, 0.95 and 0.65 for joint dislocation, 0.90 and 0.86 for osteoarthrosis, and 0.60 and 0.89 for calcification. Conclusion CNNs have the potential to serve as an assistive device by providing clinicians a means to prioritize worklists or providing additional safety in situations of increased workload.

scholarly journals Sonographic Evaluation of Fractures in Children

2017 ◽  
Vol 33 (3) ◽  
pp. 200-207 ◽  
Author(s):  
Crystal C. Wang ◽  
Kadine L. Linden ◽  
Hansel J. Otero
Keyword(s):  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Contralateral Side ◽  
Cross Sectional ◽  
Nasal Bones ◽  
Fractures In Children ◽  
Common Causes ◽  
Upper And Lower Extremities ◽  
Additional Imaging ◽  
And Performance

Fractures and suspected fractures are common causes for pediatric visits to the emergency department. Initial evaluation routinely includes imaging in the form of radiographs. Additional imaging modalities including sonography and magnetic resonance are used as problem-solving tools. Sonography has been reported to perform well when compared with radiography in multiple anatomies from the skull and nasal bones to the upper and lower extremities. In addition, sonography presents unique advantages including lack of ionizing radiation, cross-sectional coverage, evaluation of soft tissue injury, and the possibility of imaging the contralateral side. This article reviews the applications, advantages, disadvantages, technique, and performance of sonography in the imaging of fractures in children.

CASE SERIES: INSTANT EFFECT OF MARMA THERAPY IN THE PAIN MANAGEMENT WSR: TO SHOULDER PAIN

2020 ◽  
Vol 08 (11) ◽  
pp. 5174-5178
Author(s):  
Ashish Kumar Gupta ◽  
Shalini Gupta ◽  
Pankaj Gupta ◽  
Ashok Gupta
Keyword(s):  
Pain Management ◽  
Shoulder Pain ◽  
District Hospital ◽  
Case Series ◽  
The Body ◽  
Shoulder Joints ◽  
Shoulder Movement ◽  
Five Elements ◽  
Traumatic Effect ◽  
Stimulation Of

Science of Marma known as Marma Vigyanam is a dynamic part, specially described in Sushrut samhita and other Ayurvedic classics. According to Sushrut Mamsa, Sira, Snayu, Asthi, and Sandhi, these five elements collectively present at Marma point. This is the peculiarity of Marma.1 Marmas are the vital points on the body having importance regarding surgical procedure and traumatic effect. It is also known as Ayurvedic Accupressure. In this paper, three similar cases of pain and stiffness in shoulder joints are presented, who has attended OPD of District Hospital Shivaji Nagar, Bhopal. In during the clinical examination partially restriction of shoulder movement is also recorded. The case was initially treated with Marma therapy mainly the stimulation of bilateral Bahu Marma along withAmsa Marma for instant pain management. After the treatment of about ten minutes the patient got relief in pain and stiffness and felt lightness in surrounding area of painful place. Amsa Marma manipulation can be used to give instant relief from Shoulder pain effectively.

scholarly journals Autonomy in the Operating Room: A Multicenter Study of Gender Disparities During Surgical Training

2021 ◽  
Vol 13 (5) ◽  
pp. 666-672
Author(s):  
Jenny X. Chen ◽  
Edward H. Chang ◽  
Francis Deng ◽  
Shari Meyerson ◽  
Brian George ◽  
...  
Keyword(s):  
Surgical Training ◽  
Gender Disparities ◽  
Training Level ◽  
Surgical Performance ◽  
Surgical Trainees ◽  
Significant Difference ◽  
Multivariable Regression ◽  
Operative Performance ◽  
And Performance ◽  
Multivariable Regression Models

ABSTRACT Background Gender disparities are prevalent in medicine, but their impact on surgical training is not well studied. Objective To quantify gender disparities in trainee intraoperative experiences and explore the variables associated with ratings of surgical autonomy and performance. Methods From September 2015 to May 2019, attending surgeons and trainees from 71 programs assessed trainee autonomy on a 4-level Zwisch scale and performance on a 5-level modified Dreyfus scale after surgical procedures. Multivariable regression models were used to examine the association of trainee gender with autonomy and performance evaluations. Results A total of 3255 trainees and attending surgeons completed 94 619 evaluations. Attendings gave lower ratings of operative autonomy to female trainees than male trainees when controlling for training level, attending, and surgical procedure (effect size B = −0.0199, P = .008). There was no difference in ratings of autonomy at the beginning of training (P = .32); the gap emerged as trainees advanced in years (B = −0.0163, P = .020). The gender difference in autonomy was largest for the most complex cases (B = −0.0502, P = .002). However, there was no difference in attending ratings of surgical performance for female trainees compared to male trainees (B = −0.0124, P = .066). Female trainees rated themselves as having less autonomy and worse performance than males when controlling for training level, attending, procedure, case complexity, and attending ratings (autonomy B = −0.0669, P < .001; performance B = −0.0704, P < .001). Conclusions While there was no significant difference in ratings of operative performance, a small difference between ratings of operative autonomy for female and male surgical trainees was identified.

scholarly journals Treating Postlaparoscopic Surgery Shoulder Pain with Acupuncture

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Gur Kreindler ◽  
Samuel Attias ◽  
Anna Kreindler ◽  
Haim Hen ◽  
Bassel Haj ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Chinese Medicine ◽  
Side Effects ◽  
Traditional Chinese Medicine ◽  
Visual Analogue Scale ◽  
Shoulder Pain ◽  
Analogue Scale ◽  
Acupuncture Treatment ◽  
Common Side Effect ◽  
Analgesic Treatment

Objective.The purpose of this study was to examine the effect of acupuncture on postlaparoscopic shoulder pain (PLSP) which is a common side effect in patients undergoing abdominal laparoscopic surgery.Methods.Patients with moderate to severe PLSP in spite of analgesic treatment, which were referred by the medical staff to the Complementary-Integrative Surgery Service (CISS) at our institution, were provided with acupuncture treatment. The severity of PLSP and of general pain was assessed using a Visual Analogue Scale (VAS) from 0 to 10. Pain assessment was conducted prior to and two hours following acupuncture treatment. Acupuncture treatment was individualized based on traditional Chinese medicine diagnosis.Results.A total of 25 patients were evaluated during a 14-month period, from March 2011 to May 2012. A significant reduction in PLSP (mean reduction of6.4±2.3  P<0.0001) and general pain (mean reduction6.4±2.1  P<0.0001) were observed, and no significant side effects were reported.Conclusion.Individualized acupuncture treatments according to traditional Chinese medicine principles may improve postlaparoscopic shoulder pain and general pain when used in conjunction with conventional therapy. The primary findings of this study warrant verification in controlled studies.

576 INTERVENTIONAL REHABILITATION IN PATIENTS WITH SHOULDER PAIN SYNDROME

2006 ◽  
Vol 10 (S1) ◽  
pp. S151c-S152
Author(s):  
T. Gabrhelik ◽  
E. Berta ◽  
A. Krobot ◽  
M. Mikova
Keyword(s):  
Shoulder Pain ◽  
Pain Syndrome

Multi-institutional Study of Otolaryngology Resident Intraoperative Experiences for Key Indicator Procedures

2021 ◽  
pp. 019459982110503
Author(s):  
Jenny X. Chen ◽  
Francis Deng ◽  
Andrey Filimonov ◽  
Elizabeth A. Shuman ◽  
Emily Marchiano ◽  
...  
Keyword(s):  
Professional Learning ◽  
Training Programs ◽  
Smartphone Application ◽  
Medical Professional ◽  
Educational Goals ◽  
Training Level ◽  
Level Of Evidence ◽  
Key Indicator ◽  
Self Assessments ◽  
And Performance

Objective There is concern that current otolaryngology residents may not receive adequate surgical training. We aimed to characterize residents’ surgical experiences at 5 academic centers performing the 14 key indicator procedures (KIPs) outlined by the Accreditation Council for Graduate Medical Education. Study Design Prospective study. Setting Five otolaryngology training programs. Methods Data were gathered from December 2019 to December 2020 with a smartphone application from the Society for Improving Medical Professional Learning. After each operation, residents and faculty rated trainee autonomy on a 4-level Zwisch scale and performance on a 5-level modified Dreyfus scale. Results Residents and attendings (n = 92 and 78, respectively) logged 2984 evaluations. Attending ratings of resident autonomy and performance increased with training level ( P < .001). Resident self-assessments of autonomy and performance were lower than paired attending assessments ( P < .001). Among attending evaluations of KIPs performed by senior residents (postgraduate year 4 or 5), 55% of cases were performed with meaningful autonomy (passive help or supervision only). Similarly, attendings rated 55% of these cases as a practice-ready or exceptional performance. Senior residents had meaningful autonomy for ≥50% of cases for most KIPs, with the exception of flaps and grafts (40%), pediatric/adult airway (39%), and stapedectomy/ossiculoplasty (33%). Similarly, senior residents received practice-ready or exceptional performance ratings for ≥50% of cases across all KIPs other than pediatric/adult airway (42%) and stapedectomy/ossiculoplasty (33%). Conclusion In this multicenter study, resident surgical autonomy and performance varied across otolaryngology KIPs. The development of nationwide benchmarks will help programs and residents set educational goals. Level of evidence 2.

Innovative technologies in the treatment of humeroscapular pain syndrome at a health resort rehabilitation stage

2020 ◽  
Vol 96 (2) ◽  
pp. 90-93
Author(s):  
M.V. Nikitin ◽  
T.V. Konchugova ◽  
S.A. Pavlovskiy
Keyword(s):  
Clinical Effect ◽  
Pain Syndrome ◽  
Extracorporeal Shock Wave Therapy ◽  
Well Being ◽  
Shock Wave Therapy ◽  
Health Resort ◽  
Subjective Data ◽  
Shoulder Joints ◽  
Extracorporeal Shock Wave ◽  
Methods Of Treatment

In modern sanatorium-resort organizations there is an urgent need of effective innovative physiotherapeutic methods usage along with basic resort treatment, that is especially important for patients’ resort treatment duration reduction. Extracorporeal shock wave therapy (ESWT) is evidence-based physiotherapeutic method. The aim of the study is to evaluate the high clinical efficacy of ESWT method in comparison with traditional methods of treatment at the sanatorium-resort complex «Vulan». Materials and methods: ESWT method effectiveness study was carried out in 111 people with shoulder joints and periarticular tissues pathology of various etiology aged 30-79 years (average age 45.5 years), disease duration from 1 year to 10-12 years (average 4.5 years). Results: According to the Swanson Score, in patients of the main group (n=57) «pain score» improved from 3.5 (before) to 8.3 (after), that is 2.3 times. “Activity in everyday life” raised from 4.7 to 8.6 (1.7 times), the volume of active movements increased from 3.2 to 7.9 (2.5 times). According to the Likert scale, patients reported a subjective improvement in their own well-being by 4.6 point. According to VAS scale a decrease in pain syndrome intensity was recorded (2.2 times in average). In patients of comparison group, who received basic resort treatment, positive changes were less significant. Conclusion: Objective and subjective data obtained in this study indicates a high clinical effect of ESWT in a complex health-resort treatment of patients with humeroscapular pain syndrome.

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