scholarly journals PERCEPTION OF PHYSIOTHERAPIST ON EFFECTS OF TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION IN COMPARISON TO THERAPEUTIC ULTRASOUND FOR THE TREATMENT OF GRADE V BELL’S PALSY

2021 ◽  
Vol 10 (2) ◽  
pp. 50-55
Author(s):  
Farida Shaheen
Keyword(s):  
Sample Size ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Bell’S Palsy ◽  
Care Hospital ◽  
Bell's Palsy ◽  
Electrical Nerve Stimulation ◽  
Burst Mode

BACKGROUND AND AIMS Transcutaneous Electrical Nerve Stimulation (TENS) and Ultrasound (US) both are the most common therapeutic intervention modalities applied for Bell’s palsy treatment. The study was conducted in a tertiary care hospital in order to evaluate the perception of physiotherapist regarding the effects of TENS and US in comparison for the treatment of grade V Bell’s palsy. METHODOLOGY It is an observational study based on cross sectional survey based on questionnaire from the physical therapists of a tertiary care hospital with the clinical experience of one year or more. The sample size was 45 based on convenient sampling technique with the mean age of 27.4 ± 7.75 years. RESULTS The results of the study indicated that preference of therapist for the effective treatment of grade 5 Bell’s palsy is TENS in comparison to US for early prognosis and patient’s satisfaction. Further, the therapist prefers burst mode of TENS for effective results. CONCLUSION Though the study favors use of TENS However, due to small sample size, further studies are required to be conducted in domain to strengthen the role of Burst Mode of TENS as an effective intervention for Bell’s palsy.

scholarly journals Electroacupuncture and Transcutaneous Electrical Nerve Stimulation Induced Sensations in Bell’s Palsy Patients: A Quantitative Current Intensity Analysis

2021 ◽  
Vol 15 ◽  
Author(s):  
Han Cui ◽  
Haibo Yu ◽  
Xingxian Huang ◽  
Lixiong Wu ◽  
Weizheng Zhong ◽  
...  
Keyword(s):  
Finite Element ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Massachusetts General Hospital ◽  
Bell’S Palsy ◽  
Current Intensity ◽  
Bell's Palsy ◽  
Element Analysis ◽  
Electrical Nerve Stimulation ◽  
De Qi

BackgroundThe intensity of electrical acupoint stimulation such as electroacupuncture (EA) and transcutaneous electrical nerve stimulation (TENS) is regulated by the observation of skin shivering or the participant’s comfort response. However, the specific intensity and spatial scope following EA or TENS stimulation are unclear.ObjectiveThis study aimed to test the stimulatory current intensities of lower and upper sensation thresholds in TENS- and EA-based treatment of Bell’s palsy patients. Also, the spatial scope of the stimulation at these current intensities was simulated and measured quantitatively.MethodsA total of 19 Bell’s palsy patients were recruited. Six acupoints on the affected side of the face were stimulated by TENS and EA successively at 30-min intervals. During the stimulation, the current intensity was regulated gradually from 0 to 20 mA, and we simultaneously measured the lower (sensory) and upper (tolerability) sensations. After the treatment by TENS and EA, the modified Chinese version of the Massachusetts General Hospital Acupuncture Sensation Scales (C-MMASS) was applied to survey the de-qi sensations during stimulation. Additionally, we analyzed the correlation between current intensities and C-MMASS and comfort scores. Finite element models were established to depict the spatial distribution of electric field gradients at the lower and upper thresholds.ResultsThe mean sensory and tolerability thresholds of TENS were 3.91–4.37 mA and 12.33–16.35 mA, respectively. The median sensory and tolerability thresholds of EA were 0.2 mA and 2.0–3.2 mA, respectively. We found a significant correlation between total C-MMASS scores and the current intensities at the tolerability threshold of TENS. The finite element model showed that the activated depths of TENS and EA at the lower threshold were 3.8 and 7 mm, respectively, whereas those at the upper threshold were both 13.8 mm. The cross-sectional diameter of the activated area during TENS was 2.5–4 times larger than that during EA.ConclusionThis pilot study provided a method for exploring the current intensity at which the de-qi sensations can be elicited by TENS or EA. The finite element analysis potentially revealed the spatial scope of the electrical stimulation at a specific current intensity.

scholarly journals EFFECTIVENESS OF MANUAL TRACTION IN COMPARISON TO ELECTROTHERAPY (TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION - TENS) IN THE TREATMENT OF KNEE OSTEOARTHRITIS

2014 ◽  
Vol 3 (2) ◽  
pp. 26-30
Author(s):  
Sunny Kumar ◽  
M. Usman Khan ◽  
Qurat ul Ain Adnan
Keyword(s):  
Knee Osteoarthritis ◽  
Knee Pain ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Tertiary Care ◽  
Care Hospital ◽  
Session Key ◽  
Key Words Knee ◽  
Electrical Nerve Stimulation ◽  
Manual Traction

OBJECTIVE To determine the effects of manual traction in knee arthritis patients in comparison to electrotherapy (TENS). STUDY DESIGN Randomized Control Trial (Experimental Study). STUDY SETTINGS & PARTICIPANTS Study was conducted in a Tertiary Care Hospital with a sample of 310 participants. INTERVENTIONS Manual traction and Electrotherapy Transcutaneous electrical nerve stimulation (TENS) will be used to manage pain in patients with Knee Osteoarthritis. OUTCOME MEASURES Oxford Knee Pain Scale was used to measure pain and functional activities. RESULTS Improvements were seen in both groups but results of manual traction were more significant. There were major differences present in knee pain intensity before and after treatment. The group that received manual traction reported a decrease in the severity of pain of mean 15.01 which is comparatively better than the group that received electro therapy and reported a decrease in severity of pain of mean 12.42. CONCLUSION The result of this research supports the application of manual TF joint traction as a mean of stretching shortened articular and periarticular tissues with decreased in levels of pain either during the treatment or at the end of session. There is significant improvement in knee flexion AROM. Pain level decreases during every treatment session. KEY WORDS Knee Pain, Traction, Mobilization, Tibio-Femoral Joint, TENS, Knee OA.

scholarly journals BELL’S PALSY AMONG INFANTS - OUR EXPERIENCES IN A TERTIARY CARE HOSPITAL OF EASTERN INDIA

2017 ◽  
Vol 10 (9) ◽  
pp. 85
Author(s):  
Santosh Kumar Swain ◽  
Ishwar Chandra Behera ◽  
Mahesh Chandra Sahu
Keyword(s):  
Facial Nerve ◽  
Facial Palsy ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Bell’S Palsy ◽  
Oral Steroid ◽  
Care Hospital ◽  
Age Group ◽  
Bell's Palsy ◽  
Oral Steroids

Objectiv:The most common etiology of unilateral facial palsy is Bell’s palsy, also called as idiopathic facial palsy. Bell’s palsy in infant is rare and an uncommon clinical entity and often taken as pediatric emergency by parents. Paralysis of facial nerve has a tremendous impact on patient as well as parents particularly when a pediatric patient is affected.  It is regarded as a diagnosis of exclusion.  Bell’s palsy in infants is rare than adults and diagnosis is made on the basis of exclusion.Aim and Objectives:Clinical diagnosis and management of Bell’s palsy among infants from a tertiary care hospital of eastern India.Material and Methods:In this prospective study, we have documented detail clinical manifestation and management of infants of Bell’s palsy from the pediatric age group. When an infant presents with facial nerve paralysis, a full clinical history and detailed examination were recommended for accurate diagnosis.  Simultaneously, the parents were reassured and the prognosis was explained to the parents.  Oral steroids along with physiotherapy were started in the outdoor basis.Results:We diagnosed six infants of Bell’s palsy in age group of 5 months to 12 months. Among them 4 females and rest 3 were male. These Infants showed improvement with complete recovery in 83% cases within 3 weeks whereas partial recovery was seen in rest.Conclusion:In this study, we find out that, oral steroids along with physiotherapy and eye care are effective for Bell’s palsy in infants.Keywords:Bell’s palsy, infant, facial nerve, oral steroid.

scholarly journals Gambaran Peningkatan Fungsional Pasien Bell’s Palsy Setelah Pemberian Kombinasi Transcutaneous Electrical Nerve Stimulation (Tens) Dan Exercise : Literature Review

2021 ◽  
Vol 1 ◽  
pp. 1243-1249
Author(s):  
Adinda Sofiaputri ◽  
Lia Dwi Prafitri
Keyword(s):  
Literature Review ◽  
Facial Nerve ◽  
Functional Recovery ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Bell’S Palsy ◽  
Google Scholar ◽  
Bell's Palsy ◽  
Electrical Nerve Stimulation ◽  
Post Test

AbstractBell's palsy is an acute weakness or paralysis of the peripheral facial nerve with no known cause. The incidence of Bell's palsy is about 40-70% of all acute peripheral facial nerve palsy, the average prevalence ranges from 10-30% per 100,000 population per year) Data collected from 4 hospitals in Indonesia shows that the frequency of Bell's palsy shows 19.55% of all cases of neuropathy. The incidence of Bell's palsy ranges from 23 cases per 100,000 people annually, most of the cases 85 % cured within 1-2 months which occurs in 8% of cases. The literature Review research is to analyze the description of the functional improvement of Bell's Palsy patients after the combination of Transcutaneous Electrical Nerve Stimulation (TENS) and Exercise. The selection of articles in this study used the PICO mnemonic design. 160 reviewed articles via PubMed and google scholar, article search via PubMed (1), Google Scholar (4). Inclusion and exclusion criteria according to keywords, published in 2010-2021. The results of the analysis of the literature review of 5 articles showed that the male gender was at risk of experiencing Bell's palsy, namely 29 (52.7%) compared to the female sex, which was 26 (47.3%). Functional recovery in Bell's palsy from the mean pre-test and post-test scores, it can be seen that the average pre-test is 5.19 and the average post-test is 3.65. Improved functional recovery in Bell's palsy patients after administering TENS with a combination of Exercise with massage methods.Keywords: Bell’s palsy, TENS and Massage AbstrakBell's palsy adalah kelemahan akut atau kelumpuhan saraf wajah perifer tanpa diketahui penyebabnya. Kejadian Bell's palsy sekitar 40-70% dari seluruh kelumpuhan saraf fasialis perifer akut, prevalensi rata-rata berkisar 10-30% per 100.000 penduduk per tahun) Data yang dikumpulkan dari 4 rumah sakit di Indonesia menunjukkan bahwa frekuensi Bell's palsy menunjukkan 19,55 % dari semua kasus neuropati. Angka kejadian Bell's palsy berkisar 23 kasus per 100.000 orang setiap tahunnya, sebagian besar 85% sembuh dalam waktu 1-2 bulan yang terjadi pada 8% kasus. Penelitian Literatur Review ini untuk menganalisis gambaran peningkatan fungsional pasien Bell's Palsy setelah pemberian kombinasi Transcutaneous Electrical Nerve Stimulation (TENS) dan Latihan. Pemilihan artikel dalam penelitian ini menggunakan desain mnemonic PICO. 160 artikel yang diulas melalui PubMed dan google sarjana, pencarian artikel melalui PubMed (1), Google Cendekia (4). Kriteria inklusi dan eksklusi menurut kata kunci, terbit tahun 2010-2021. Hasil analisis literature review dari 5 artikel menunjukkan bahwa jenis kelamin laki-laki berisiko mengalami Bell’s palsy yaitu 29 (52,7%) dibandingkan dengan jenis kelamin perempuan, yaitu 26 (47,3%). Pemulihan fungsional pada Bell's palsy dari rerata skor pre-test dan post-test, terlihat bahwa rata-rata pre-test adalah 5,19 dan rata-rata post-test adalah 3,65. Peningkatan pemulihan fungsional pada pasien Bell's palsy setelah pemberian TENS dengan kombinasi Latihan dengan metode pijat.Kata kunci: Bell’s palsy, TENS dan pijat

scholarly journals The burden of caesarean section and its determinants from a tertiary care hospital, Thrissur, Kerala, India

2019 ◽  
Vol 9 (1) ◽  
pp. 216
Author(s):  
Merin Baby ◽  
Sruthi M. V.
Keyword(s):  
Caesarean Section ◽  
Sample Size ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Educational Status ◽  
Care Hospital ◽  
Normal Delivery ◽  
Delivery Date ◽  
Increasing Trend

Background: Caesarean section is a surgical procedure done when vaginal delivery is contraindicated. The prevalence of caesarean section in Kerala showing an increasing trend. Even though the caesarean section is an emergency lifesaving procedure, various other factors like socio-demographic determinants, economic factors and patient’s or clinician’s preferences also influence this increasing trend. The present study was undertaken to compare the various determinants of caesarean section with normal delivery from a tertiary care hospital in Thrissur district.Methods: A hospital-based case control study was done taking mothers who had undergone caesarean section as cases and mothers who had undergone normal delivery as controls during two-month period. The sample size was calculated using the formulae: (Zα + Zβ)2x2xPQ/d2, and the calculated sample size was 88. The various determinants used were socio-demographic, obstetrics and cultural determinants.Results: In this study, it was found that the most common indications for C-section were previous C-section, PPROM and foetal distress. There was a statistically significant association between obstetrics determinants like complications during pregnancy, number of USG taken, period of gestation with mode of delivery. The present study also shows that mothers with educational status up to graduate/PG have lesser incidence of caesarean section. There was a statistically significant association between delivery date close to holidays/festival days and C-section.Conclusions: It is necessary to have health awareness sessions to pregnant mothers about the complication of pregnancy, benefits of normal delivery and complications of C-sections in-order to reduce the patients’ preference for C-section.

scholarly journals Prevalence of Ventilator Associated Pneumonia in Neonates in A Tertiary Care Hospital in Western Nepal

2019 ◽  
Vol 57 (216) ◽  
Author(s):  
Anita Lamichhane ◽  
Aparna Mishra
Keyword(s):  
Sample Size ◽  
Neonatal Intensive Care ◽  
Tertiary Care Hospital ◽  
Late Onset ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Point Estimate ◽  
Ventilator Associated Pneumonia ◽  
Care Hospital ◽  
Cross Sectional

Introduction: Ventilator-associated pneumonia is a serious problem which needs to be addressed for a better outcome of the ventilated babies. The present study is undertaken to find out the prevalence of ventilator-associated pneumonia in neonates in a tertiary care hospital in western Nepal.Methods: A descriptive cross-sectional study was carried out in a tertiary care hospital in the western region of Nepal from March 2016 to February 2019 after approval from the Institutional review committee. Sample size was calculated and convenience sampling was done to reach the sample size. Data were collected from hospital records and entered in Statistical Package for the Social Sciences, point estimate at 95% confidence interval was calculated along with frequency and proportion for binary data.Results: Out of 95 patients ventilated in neonatal intensive care unit in the last 3 years, 23 (24.01%) developed ventilator-associated pneumonia. Prevalence of ventilator-associated pneumonia is 23 (24.01%) at 95% (14%-34%). Late onset ventilator associated pneumonia was seen in 15 (15.78%) while early onset ventilator associated pneumonia was seen in 8 (8.42%). Conclusions: Prevalence of ventilator associated pneumonia in neonates in tertiary care hospital is high compared to other studies conducted in neonates.

scholarly journals A retrospective study on management of bell\'s palsy in a tertiary care hospital

2021 ◽  
Vol 11 (2) ◽  
pp. 173-176
Author(s):  
P.K Purushothaman ◽  
Dhanyan Harshidan ◽  
Priyangha Elangovan
Keyword(s):  
Clinical Symptoms ◽  
Tertiary Care ◽  
Bell’S Palsy ◽  
Care Hospital ◽  
Bell's Palsy ◽  
College Hospital ◽  
Medical College ◽  
Therapeutic Measures

Bell's palsy is the most common facial nerve disorder. The clinical symptoms of Bell's palsy include facial muscle paralysis, difficulty in eating, drinking and talking. Bell's palsy management is still controversial. Many patients recover spontaneously; some require medicines like corticosteroids, antiviral drugs and other managements.To study the effectiveness of Bell's palsy management that has been followed in our institution.This analysis had carried out from June 2016 to June 2019at SRM Medical College Hospital and Research Institute, Chennai. Total of 30 patients with Bell's palsy who had admitted in the Department of Otorhinolaryngology had enrolled in this study. All the patients underwent thorough clinical examination and laboratory investigation, and the results were statistically analyzed and discussed.Out of 30 patients, 16(53%) patients were males, and 14(47%) patients were females. 53.3% of patients had onset of symptoms after 48 hours. There was a statistical significant improvement in House-Brackman scale on 6 months follow-up.The therapeutic measures for Bell's palsy if initiated within 72 hours of onset aids in bringing better outcome and improves the quality of life in patients.

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