Efficacy of Dynamic VS Closed Kinematic Exercise Combined with Stretching in Adhesive Capsulitis- a double blinded randomized controlled trial

2021 ◽  
Vol 20 (2) ◽  
pp. 368-373
Author(s):  
V Rajalaxmi ◽  
S Vasanthi ◽  
S Sathya ◽  
K Kirupa ◽  
SM Divya Mary ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Adhesive Capsulitis ◽  
Medical Science ◽  
Dynamic Exercise ◽  
Post Test ◽  
Group A ◽  
Group B ◽  
Double Blinded ◽  
Better Than ◽  
Experimental Study Design

Objective: To compare the efficacy of Dynamic exercise and Closed kinematic exercise combined with stretching in adhesive capsulitis. Background of the study: Adhesive capsulitis is a condition characterized by stiffness and pain in the shoulder joint. It is a painful and disabling disorder of unclear cause in which the shoulder capsule, the connective tissue surrounding the shoulder becomes inflamed and stiff, restricting ROM and causing chronic pain. Methodology: This was an experimental study design with Pre-Post test. 30 samples were selected from 45 volunteers based on the inclusion criteria. Group A-Dynamic exercise with stretching, Group B-Closed kinematic exercise with stretching, SWD is commonly given to the patients for 1 week. Results: The result concludes both the groups showed improvement while group A received Dynamic exercise with stretching was comparatively better than the Group B received Closed kinematic exercise with stretching Bangladesh Journal of Medical Science Vol.20(2) 2021 p.368-373

scholarly journals Improved Analgesic Effect of Paravertebral Blocks before and after Video-Assisted Thoracic Surgery: A Prospective, Double-Blinded, Randomized Controlled Trial

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Lihua Chu ◽  
Xiaolin Zhang ◽  
Yaping Lu ◽  
Guohao Xie ◽  
Shengwen Song ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Thoracic Surgery ◽  
Controlled Trial ◽  
Analgesic Efficacy ◽  
Video Assisted Thoracic Surgery ◽  
Randomized Controlled ◽  
Video Assisted ◽  
Group A ◽  
Group B ◽  
Double Blinded

Despite being less invasive, patients who underwent video-assisted thoracic surgery (VATS) suffered considerable postoperative pain. Paravertebral block (PVB) was proven to provide effective analgesia in patients with VATS; however, there is no difference in pain relief between preoperative PVB and postoperative PVB. This study was aimed to investigate the analgesic efficacy of combination of preoperative and postoperative PVB on the same patient undergoing VATS. In this prospective, double-blinded, randomized controlled trial, 44 patients undergoing VATS were enrolled, and they received patient-controlled intravenous analgesia (PCIA) with sufentanil plus preoperative PVB (Group A, n = 15) or postoperative PVB (Group B, n = 15), or combination of preoperative and postoperative PVB (Group C, n = 14). The primary outcome was sufentanil consumption and PCIA press times in the first 24 hours postoperatively. Also, data of postoperative use of PCIA and visual analogue scale (VAS) were collected. In the first 24 hours postoperatively, median sufentanil consumption in Group C was 0 (0–34.75) μg, which was much less than that in Group A (45.00 (33.00–47.00) μg, p=0.005) and Group B (36 (20.00–50.00) μg, p=0.023). Patients in Group C pressed less times of PCIA (0 (0–0) times) than patients in Group A (2 (1–6) times, p<0.001) and Group B (2 (1–3) times, p=0.009). Kaplan–Meier analysis showed patients with combination of preoperative and postoperative PVB had a higher PCIA-free rate than patients with either technique alone (p=0.003). The VAS among the three groups was comparable postoperatively. The combination of both preoperative and postoperative PVB provides better analgesic efficacy during the early postoperative period and may be an alternative option for pain control after VATS. This trial is registered with ChiCTR1800017102.

scholarly journals Comparison of efficacy of needling and a combination of needling and platelet rich plasma in relieving pain and improving function in patients of tennis elbow: a prospective, randomized, double blinded, placebo controlled clinical trial

2021 ◽  
Vol 7 (2) ◽  
pp. 258
Author(s):  
Vikram Sharma ◽  
Vivek Chandak
Keyword(s):  
Tennis Elbow ◽  
Platelet Rich Plasma ◽  
Controlled Trial ◽  
Lateral Epicondylitis ◽  
Secondary Outcome ◽  
Controlled Clinical Trial ◽  
Group A ◽  
Group B ◽  
Double Blinded

<p><strong>Background: </strong>Lateral epicondylitis is a common musculoskeletal disorder for which an effective treatment strategy remains unknown. Aim of the study was to examine whether a single injection of platelet-rich plasma (PRP) with needling is more effective than needling with placebo in reducing pain in adults with lateral epicondylitis. Study design used was randomized controlled trial.    </p><p><strong>Methods: </strong>A total of 66 patients with chronic lateral epicondylitis were randomized (1:1) to receive either a blinded injection of PRP (group A) or saline (placebo) group B. The primary end point was a change in pain using the VAS and patient-rated tennis elbow evaluation (PRTEE) questionnaire. The secondary outcome being improvement in function (PRTEE scores).<strong></strong></p><p><strong>Results: </strong>The VAS score and PRTEE score improved significantly in both the groups at all 3 follow-up examinations. Group A had significantly better results than the group B.</p><p><strong>Conclusions: </strong>PRP injection are safe and effective management strategy for lateral epicondylitis</p>

scholarly journals Effectiveness of Exposure to Virtual Learning before Cadaveric Dissection to Study Anatomy for Students in Health Sciences at DMIMSU Wardha, Maharashtra

2021 ◽  
pp. 81-88
Author(s):  
Darshna Fulmali ◽  
Preeti P. Thute ◽  
Harsha Atul Keche ◽  
Vilas K. Chimurkar
Keyword(s):  
Test Score ◽  
Medical Science ◽  
Virtual Learning ◽  
Cadaveric Dissection ◽  
Validated Questionnaire ◽  
Virtual Dissection ◽  
Post Test ◽  
Group A ◽  
Group B ◽  
Study Participants

Background: Anatomage dissection table offers detailed and interactive anatomical images which complement the anatomy textbook and the cadaveric studies. In this regard, the study was carried out to assess the effectiveness of exposure to virtual learning on the Anatomage table before cadaveric dissection and to assess the perception of students about the virtual dissection. Methods: A comparative cross-sectional study was conducted on 200 first phase medical students  from Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Sawangi, Meghe, Wardha. Study participants were divided into two groups, group A and group B. Group A performed dissection of the triangle of the neck on the Anatomage table before performing the traditional dissection of the same region while group B performed traditional only. Pre and post-tests were conducted for both group participants using a pre-validated questionnaire. 5 point Likert scale was used for obtaining feedback from study participants. The student's t-test was used for statistical analysis. Results: Observation Post-test score in group A, exposed to virtual dissection prior to cadaveric dissection was 9.18 (Std = 0.84) as compared to the post-test score of 7.11 (Std = 7.01) in group A which was not exposed to the virtual dissection table. 144 (72 %) of students agreed that virtual dissection helps in better understanding of the complex relation of structure with each other and 152 (76 %) students feel that prior exposure to virtual dissection develops an interest in cadaveric dissection.  Conclusions: Exposure to virtual dissection before cadaveric dissection was very effective way to learn anatomy for students of first MBBS as students were used to enjoy learning anatomy when virtual dissection was complemented with used before real cadaveric dissection.

scholarly journals Gender based variations of mulligan mobilization with movement on chronic nonspecific low back pain

2021 ◽  
Vol 20 (3) ◽  
pp. 543-549
Author(s):  
Mohan Kumar G ◽  
Jibi Paul ◽  
Sundaram MS ◽  
Mahendranath P
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Medical Science ◽  
Lumbar Vertebra ◽  
Low Back ◽  
Pain Disability ◽  
Post Test ◽  
Group A ◽  
Gender Based ◽  
Group B

Objective: To discover the adequacy of mulligan mobilization with movement to lessen the pain to enhance the functional activities, to enhance the ROM of lumbar vertebra and to expand the back muscle function on subjects with chronic nonspecific low back pain. Background of the study: These days, a large portion of the populations are experiencing low back pain comprehensively. It has turned into a main source for inability most likely the population influencing from low back pain has been thought to be understudies and stationary employment laborers. Along these lines investigation goes for diminishing the likelihood of low back pain in those populations by mediating with a method mulligan mobilization with movement (MWM). Materials and methods: This was an experimental examination with sixty subjects between the age group of 18-50 (males and females) with chronic nonspecific low back pain(Natour et al 2015). The length of the examination is thrice a week for four weeks. The examination was hung on Dr.MGR Educational and Research Institute. The subjects in avoidance criteria are specific low back pain (spondylosis, radiculopathy, and spondylolisthesis), intellectual issue, pregnancy. VAS scale, Modified Oswestry Low Back Pain Disability Questionnaire and Finger to Floor test (FFT) were utilized as a result measures. Result: There is vast improvement in the post-test estimations of the VAS Score, MODQ, and FFT of Group A when comparing with Group B. On correlation there is distinction in Group A than Group B. In this way the after effect of the investigation has been found to enhance useful functional activity, ROM and lessens pain. Conclusion: Outcome has been proposed that Mulligan Mobilization with Movement (MWM) with SNAG to the Group A has given huge difference and more noteworthy change when compared with Group B. Bangladesh Journal of Medical Science Vol.20(3) 2021 p.543-549

scholarly journals Effect of Cyriax Deep Friction Massage Versus Cryotherapy in Stage 1 & 2 of Adhesive Capsulitis: A Randomized Controlled Trial

2021 ◽  
pp. 40-48
Author(s):  
Saumya Srivastava ◽  
K. Sukanya ◽  
Harramb Mittal
Keyword(s):  
Randomized Controlled Trial ◽  
Physical Therapy ◽  
Range Of Motion ◽  
Controlled Trial ◽  
Adhesive Capsulitis ◽  
Statistical Significance ◽  
Randomized Controlled ◽  
Group A ◽  
Group B ◽  
Stage 1

Background: Adhesive capsulitis is one of the common pathologies of the Shoulder. The prevalence of adhesive capsulitis is estimated to be 2% to 5% of the general population. Several treatment techniques are existing for the improvement of adhesive capsulitis and Cyriax deep friction massage is a technique designed to improve adhesive capsulitis. Objective: To compare between the effects of Cyriax deep friction massage and conventional physical therapy with Cryotherapy and conventional physical therapy in stage 1 &2 of adhesive capsulitis. Methods/ Design: The study is a randomized controlled trial which included 34 subjects of the age group 40-85 years and were randomly assigned into two groups: group A (n=17) and group B (n=17). The Group A was given Cyriax deep friction massage with conventional physical therapy while group B was given Cryotherapy therapy with conventional physical therapy. Outcome measure were taken at baseline, and then taken on last day of sixth session by using Visual Analogue Scale (VAS), Range of Motion (ROM), and Shoulder Pain and Disability Index (SPADI). The treatment was given for 6 sessions over a period of two weeks. Results: Group A showed greater improvement after 2 weeks of intervention with a statistical significance value for SPADI, VAS and ROM. Conclusion: Cyriax deep friction massage with conventional physical therapy has significant effect on pain, range of motion and functional activity in patients with adhesive capsulitis. Trial registration: prospectively registered in the clinical trial registry-India in the registration number of CTRI/2019/09/021375.

scholarly journals Comparison of the use of levobupivacaine with dexamethasone versus plain levobupivacaine in patients undergoing forearm surgeries under an infraclavicular block - a double-blinded randomized controlled trial

2020 ◽  
Vol 11 (1) ◽  
pp. 39-43
Author(s):  
Anandbabu Medidi ◽  
Serina Ruth Salins
Keyword(s):  
Controlled Trial ◽  
Motor Blockade ◽  
Rescue Analgesia ◽  
Pain Scores ◽  
Group A ◽  
Infraclavicular Block ◽  
Group B ◽  
Double Blinded ◽  
Larger Sample

Regional anesthesia can provide greater patient satisfaction. An infraclavicular approach to block the brachial plexus aided with ultrasound is proven to be safe. Lesser toxic, levobupivacaine, advocates its use, with the addition of dexamethasone, to prolong the action. After approval from the ethics committee, the consenting patients, for orthopedic forearm surgeries, were recruited, randomized into two groups of 20 patients. Group-A, received 30mls of 0.5% levobupivacaine with dexamethasone 4mgs(1ml) and Group-B,30mls of 0.5% levobupivacaine and 1ml normal saline.18-70 Year olds, ASA I-III, weight greater than or equal to 50 kg, were included and non-consenting, coagulopathic, local infection, pregnant women, general anesthesia requirement, less than 50kg, allergy to local anesthetic, were excluded. Both groups received the infraclavicular block. The onset and duration of sensory and motor blockade were noted. Comparisons made at 3 and 20 minutes. Required data was acquired. Visual Analogue Scale(VAS)used to assess pain. The onset of sensory and motor blockade was assessed and graded separately on radial, median and ulnar nerves, with significant findings of about 70-80% in Group-A at 4-5 minutes,80-87% complete at 20 minutes.87.5% Patients in both groups achieved adequate surgical anesthesia. There was a significant improvement in sensory grading of the median nerve and ulnar nerve between at 3 minutes and 20 minutes and also in motor grading improvement at 20 minutes duration in the Group-A than Group-B. Postoperatively, the VAS score showed scores hovering around 1-4, over 24 hours, with no difference, in scores, duration, and use of rescue analgesia in both arms. There were no statistical differences in the onset and duration of sensory and motor blockade in both groups, with some difference in the quality of analgesia between the nerves studied in group-A. Although a larger sample size might have brought out some difference in pain scores, with the addition of dexamethasone, its clinical implication is doubtful.

scholarly journals Efektifitas latihan nebraska agility drill dan shuttle run untuk meningkatkan kelincahan dribble dalam permainan sepakbola pada Ssb Putra Rayung Kususma

2021 ◽  
Vol 2 (2) ◽  
pp. 195-203
Author(s):  
Dwicky Nurma Hendra Data
Keyword(s):  
Test Group ◽  
Control Group ◽  
Training Methods ◽  
Average Difference ◽  
Post Test ◽  
Group A ◽  
Group B ◽  
The Right ◽  
Shuttle Run ◽  
Better Than

Footballers at SSB Putra Rayung Kusuma tend to make mistakes when dribbling the ball that is not maximal in training and mini-game conditions, the athlete is not placed in the right position, he should be placed with the athlete's ability, because the coach only obeys the athlete's wishes for positioning. Therefore, the researcher intends to analyze the Nebraska Agility Drill and shuttle run on SSB footballer Putra Rayung Kusuma to find out the footballer's talent. The research method used by the author is experimental. The characteristic in this design is the presence of a control group. The type of data used in this study is premier data. The premiere data in this study were obtained directly from observations at SSB Putra Rayung Kusuma. Based on the results of the t-test, it shows that there is no difference between the two training methods, with t count 0.49> t table 1.73 with a significance value p of 0.67> 0.05, this result shows that there is no difference between the post-test group A and group B. Based on the results of the analysis shows that the increase in the percentage of group A is better than group B, and the average post-test for group A is 17.00 and group B is 17.20 with an average difference of 0.20. Thus the hypothesis which reads "The Nebraska Agility Drill training method is more effective for increasing dribble agility in soccer for athletes aged 12-14 years than shuttle run training", Thus, it can be concluded that the Nebraska Agility Drill Method is more effective for increasing dribble agility in football for athletes aged 12-14 years than shuttle run training with an average difference of 0.20.

scholarly journals A study to compare outcomes of Sodium tetra-decyl sulphate and Polidocanol in the treatment of varicosities due to incompetent tributaries of superficial vein of leg: a randomized controlled trial

2018 ◽  
Vol 5 (11) ◽  
pp. 3515
Author(s):  
Jitendra K. Kushwaha ◽  
Akshay Anand ◽  
Abhinav A. Sonkar ◽  
Rajni Gupta
Keyword(s):  
Skin Necrosis ◽  
Controlled Trial ◽  
Superficial Vein ◽  
Foam Sclerotherapy ◽  
Group A ◽  
Cosmetic Outcomes ◽  
Group B ◽  
Visual Disturbances ◽  
Better Than

Background: Various options for treatment of varicosities of tributaries are mini-phlebectomy, hook phlebectomy, Trivex and sclerotherapy. Sodium tetra-decyl sulphate (STD) and polidocanol (POL) are most commonly used sclerosants. Adverse events caused by sclerosants are pain, thrombophlebitis, hyperpigmentation, allergy, anaphylactic shock, cutaneous necrosis, deep venous thrombosis, headache, visual disturbances and chest tightness. Foam sclerotherapy has been considered to be better than liquid sclerosant. In this study we have compared foam prepared by STD versus POL in the treatment of varicosities of tributaries of superficial vein of Leg.Methods: Patients treated for SFJ or SPJ incompetency post their primary admission and management were attended and evaluated in outpatient department. Patients having varicosities were enrolled for study and treated in OPD by foam sclerotherapy. Patients were randomized to two groups - A or B. Patients were followed up for one month and various clinical outcomes were analyzed.Results: In group A (STD) out of n=20 patients pain, hyperpigmentation and skin necrosis was present in n1=18 patients, n2=14 patients and in n3=2 patients respectively on the first post-operative day while in group B (POL) out of 24 patients it was present in n1=14, n2=8 and n3=1 patient respectively. Post sclerotherapy at one month follow up, in Group A pain and hyperpigmentation decreased to n1=08 and n2=04 patients respectively but skin necrosis was persisting in all n3=02 patients. In-group B pain and hyperpigmentation was present in patients each n1= n2=02 and skin necrosis was present in n3=01 patient.Conclusions: Polidocanol is better than Sodium tetra-decyl sulphate for foam sclerotherapy in terms of better cosmetic outcomes. 

scholarly journals To study and evaluate the effect of intravenous lignocaine on haemodynamic responses to intubation, extubation and post‐operative analgesia in laparoscopic cholecystectomy surgeries

2017 ◽  
Vol 4 (6) ◽  
pp. 1649
Author(s):  
Amitha S. ◽  
Vinay P. V.
Keyword(s):  
Tracheal Intubation ◽  
Normal Saline ◽  
Intravenous Infusion ◽  
Controlled Trial ◽  
Tracheal Extubation ◽  
Medical College ◽  
Arterial Blood ◽  
Group A ◽  
Group B ◽  
Double Blinded

Background: Laryngoscopy, tracheal intubation and subsequent extubation are often associated with an increase in arterial blood pressure (BP), heart rate, arrhythmias, and raised intracranial and intraocular pressure. Lignocaine as bolus I.V. dose just prior to tracheal intubation or extubation has been effectively used to decrease haemodynamic responses associated with them.Methods: Double blinded Randomized Controlled Trial was undertaken at Department of Anesthesia, Sri Siddartha Medical College for a period of one year among ASA 1 and 2 patients. Group A: 0.9% normal saline was used as placebo for perioperative intravenous infusion. Group B: Preservative free lignocaine (xylocard) diluted with normal saline and made to 1% used as intravenous infusion started at a dose of 1.5 mg per kg of lignocaine given as bolus over 10 minutes before induction followed by an infusion of 1.5mg/kg/hr till 1 hour post op.Results: There was significantly less rise in PR and MAP in Group B as compared to Group A. It was also seen that during tracheal extubation there was significantly less rise in PR and MAP in the Group B as compared to the Group A.Conclusions: Administration of lignocaine infusion attenuates the rise in PR as well as MAP duringthe peri‑intubation and peri‑extubation period. Furthermore, infusion of lignocaine significantly increases the mean pain‑free period post‑operatively.

Comparative Study Between Clean Intermittent Self-Catheterization (Cisc) and Continuous Indwelling Catheterization (Cidc) in Relieving Acute Refractory Retention of Urine Due to Benign Enlargement of Prostate (Bep)

2020 ◽  
Vol 21 (2) ◽  
pp. 105-110
Author(s):  
Md Shawkat Alam ◽  
Sudip Das Gupta ◽  
Hadi Zia Uddin Ahmed ◽  
Md Saruar Alam ◽  
Sharif Muhammod Wasimuddin
Keyword(s):  
Comparative Study ◽  
Acute Urinary Retention ◽  
Bladder Capacity ◽  
Inclusion Criteria ◽  
College Hospital ◽  
Medical College ◽  
High Incidence ◽  
Group A ◽  
Group B ◽  
Better Than

Objective: To compare the clean intermittent self-catheterization (CISC) with continuous indwelling catheterization (CIDC) in relieving acute urinary retention (AUR) due to benign enlargement of prostate (BEP). Materials and Methods :A total 60 patients attending in urology department of Dhaka Medical college hospital were included according to inclusion criteria ,Patients were randomized by lottery into two groups namely group –A and group –B for CISC and IDC drainage respectively . Thus total 60 patients 30 in each group completed study. Results : Most men can safely be managed as out-patients after AUR due to BPH. The degree of mucosal congestion and inflammation within the bladder was found to be lower in those using CISC and the bladder capacity in these patients was also found higher.Patients with an IDC had a high incidence of UTIs then that of patients with CISC. During the period of catheterization the incidence of UTI was 43.3% in group B in comparison to 40% in group A; before TURP 36% in group B in comparison to 10% incidence in group A.According to patient’s opinion CISC is better than IDC in the management of AUR. Experiencing bladder spasm, reporting blood in urine, management difficulties, incidence and severity of pain were less in CISC group, and the method of CISC was well accepted by patients as well as their family members. Conclusion: From the current study it may be suggested that CISC is better technique for management of AUR patient due to BPH than IDC. It can also be very helpful when surgery must be delayed or avoided due to any reasons in this group of patients. Bangladesh Journal of Urology, Vol. 21, No. 2, July 2018 p.105-110

Sign in / Sign up

Export Citation Format

Share Document