scholarly journals Immediate and Lasting Effect of Cryoflow (IR Guided) on Pain in Patients with Frozen Shoulder: An Interventional Study

2021 ◽  
Vol 11 (8) ◽  
pp. 45-47
Author(s):  
Manmitkaur A. Gill ◽  
Neela C. Soni
Keyword(s):  
Frozen Shoulder ◽  
Treatment Results ◽  
Interventional Study ◽  
Steady Temperature ◽  
Vas Score ◽  
Lasting Effect ◽  
Biofeedback System ◽  
Ethical Approval ◽  
Convenience Sampling ◽  
Pain At Rest

Background: Frozen shoulder is a painful and debilitating condition with an occurrence of 3% to 5% in the general population and up to 20% in those with diabetes. Physiotherapy has been established to be very effective in treatment of frozen shoulder. “Cryoflow IR machine is the first cryotherapy apparatus for cooling down free surrounding air with a biofeedback system, thereby it ensures a steady temperature on a treated area”. Hence, this study was conducted to study the immediate and lasting effect of Cryoflow (IR guided) on pain in patients with frozen shoulder. Aims and Objectives: To study an immediate and lasting effect of Cryoflow (IR guided) on pain in patients with frozen shoulder. Methodology: 15 patients of frozen shoulder were included by convenience sampling after taking ethical approval for the present study. The patients were given Cryoflow (IR guided) for 10 minutes. Study Duration was of 1 month. Pre and post interventional outcome measures in terms of VAS score at rest and during activity were evaluated immediately and after 24 hours of treatment. Results: Patients showed significant improvement when pre and post data were analyzed for VAS score at rest and during activity. (p< 0.05). Conclusion: Cryoflow (IR guided) has significant immediate and lasting effect (after 24 hrs) on pain at rest and on activity in patients with frozen shoulder. Key words: Frozen shoulder, Pain, Cryoflow (IR guided).

scholarly journals Research governance delays for a multicentre non-interventional study

2009 ◽  
Vol 102 (5) ◽  
pp. 195-198 ◽  
Author(s):  
Andrew A Mallick ◽  
Finbar JK O'Callaghan
Keyword(s):  
United Kingdom ◽  
Observational Study ◽  
Research Governance ◽  
Childhood Stroke ◽  
Interventional Study ◽  
The United Kingdom ◽  
Median Delay ◽  
Ethical Approval ◽  
The Times ◽  
Governance Approval

Summary Objectives To evaluate the delay in research governance approval for a non-interventional, multicentre study in the United Kingdom. Design The times taken from application to the granting of research governance approval for an observational study of childhood stroke with ethical approval were prospectively recorded. Setting Ninety-two acute NHS Trusts in the United Kingdom. Main outcome measures Median delay (in working days) between application and research governance approval. Results The median delay between application and research governance approval was 43 working days (interquartile range 27–62, range 0–147). The reason for delay beyond 43 working days was inexplicable in 30 (70%) of 44 trusts. Conclusions There is considerable variation in the processes undertaken by research and development departments that can lead to significant delays in commencing an ethically approved study. Any improvements to the systems for gaining approval are welcome.

scholarly journals Preliminary Report on the Effect of Ketamine in Patients with Central Pain

1997 ◽  
Vol 2 (2) ◽  
pp. 95-100 ◽  
Author(s):  
Sylvie Rostaing-Rigatti ◽  
Pierre Cesaro ◽  
Jean-Paul N’Guyen ◽  
Jean-François Ejzenbaum ◽  
Bernard Pollin ◽  
...  
Keyword(s):  
Heart Rate ◽  
Pain Relief ◽  
Arterial Pressure ◽  
Light Touch ◽  
Cold Stimulation ◽  
Moderate Sedation ◽  
Vas Score ◽  
Provide Pain Relief ◽  
Pain At Rest ◽  
Open Prospective Study

This preliminary open prospective study reports on the effect of ketamine, an N-methyl-D-aspartate (NMDA)-receptor noncompetitive antagonist, in five patients suffering from central poststroke pain (CPSP). Patients were evaluated at rest on a visual analogue scale (VAS) graded from 0 to 10. Pain measurement was repeated at 15 and 30 mins following intravenous administration of 0.15 to 0.25 mg/kg ketamine and then every 30 mins for 6 h. Pain evoked by light touch or cold stimulation was also measured in three patients at those times. Patients were monitored for arterial pressure, heart rate, sedation and side effects during the study. Ketamine provided a significant improvement in pain at rest and in evoked pain. A 51% to 84% decrease in the VAS score for pain at rest was observed within 60 to 180 mins. Satisfactory pain relief (more than 50% decrease in the VAS score) lasted for 150 to 210 mins. Two patients had a prolonged improvement over two or three days. Arterial pressure and heart rate did not change significantly. Mild or moderate sedation was noticed in all patients for 20 to 30 mins. These results suggest that blockade of NMDA receptors may provide pain relief in patients suffering from CPSP.

scholarly journals Study of the Head of Human Dry Radii in a Medical College of Nepal: A Descriptive Cross-sectional Study

2020 ◽  
Vol 58 (223) ◽  
pp. 141-143
Author(s):  
Muna Kadel ◽  
Trilok Pati Thapa
Keyword(s):  
Radial Head ◽  
Cross Sectional Study ◽  
Transverse Diameter ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Orthopedic Surgeons ◽  
Ethical Approval ◽  
Convenience Sampling ◽  
Common Shape

Introduction: Radius is a lateral bone of forearm. Its proximal end forms a part of elbow joint and superior radioulnar joint. Knowledge of the shape and size of radial head is essential for construction of radial head prosthesis. The objective of this study is to study the morphology of head of human dry radii. Methods: A descriptive cross-sectional study was conducted in human dry radii in the Dissection hall of Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal from September to October 2019. Ethical approval was taken. Altogether, 68 dry bones were enrolled in the study by convenience sampling method. Radial head was studied in respect to anteroposterior and transverse diameter, height at medial and distal end and shape. Mean and standard deviations of the parameters were obtained by using Statistical Package for Social Sciences version 20. Results: Mean height of radial head at medial and lateral end was 0.91cm and 0.76cm respectively.  Mean anteroposterior and transverse diameter of radial head were 2.09 cm and 2.02 cm respectively. Most common shape of radial head in this study was circular in 40 radii (59%) followed by elliptical in 23 (34%). Mean depth of the superior articular facet of the radial head was 0.19 mm. Conclusions: The most common shape of radial head is elliptical but it was found to be circular  in this study. This study will be useful for orthopedic surgeons in making prosthesis of radial head.    

scholarly journals COMPARATIVE STUDY ON THE EFFICACY OF MAITLAND TECHNIQUE (GRADE IV) AND MULLIGAN TECHNIQUE, IN THE TREATMENT OF FROZEN SHOULDER

2013 ◽  
Vol 2 (1) ◽  
pp. 10-14
Author(s):  
Syed Abid Mehdi Kazmi ◽  
Jharna Devi ◽  
Faisal Yamin ◽  
Sunil Kumar
Keyword(s):  
Experimental Study ◽  
Functional Activity ◽  
Frozen Shoulder ◽  
Group Interventions ◽  
Treatment Results ◽  
Treatment Groups ◽  
Before And After ◽  
Group A ◽  
Group B ◽  
Positive Results

OBJECTIVES To compare the effectiveness of Maitland technique (Grade IV) and Mulligan technique for the treatment of frozen shoulders. STUDY DESIGN Experimental Study. STUDY SETTINGS & PARTICIPANTS This study has been conducted at Ziauddin Hospital with 50 volunteers who participated in the study that were equally divided into two groups (pre and post treatment groups). Subjects were randomly assigned to each group. INTERVENTIONS Intervention given to Group A was Maitland Technique (Grade IV) and Group B, Mulligan Technique. OUTCOME MEASURES Functional activity of shoulder is measured by using Shoulder Pain and Disability Index (SPADI) score, Pain is measured by VAS Score, and Range of motion, measured by Goniometer both before and after treatment. RESULTS Both the treatments showed positive results but Mulligan technique was found to be more effective. The total SPADI score was 15.48 before and 11.92 after the Mulligan technique and 15.32 before and 13.16 after the Maitland technique. CONCLUSIONS It is evident that Mulligan technique is more effective for the treatment of frozen shoulder compared to Maitland technique.

scholarly journals Correlation between Heavy School Bags and Upper Limb Disabilities among School Going Children

2021 ◽  
Vol 15 (9) ◽  
pp. 2323-2324
Author(s):  
Umer Ilyas ◽  
Shoaib Waqas ◽  
Zahid Mehmood Bhatti ◽  
Wajida Perveen ◽  
Misbah Amanat Ali
Keyword(s):  
Upper Limb ◽  
Test Results ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Ethical Approval ◽  
Chi Square Test ◽  
The Mean ◽  
Convenience Sampling ◽  
Quick Dash

Aim: To find out correlation between heavy school bags and upper limb disabilities among school going children. Methods: This descriptive cross-sectional survey, using non-probability convenience sampling, was conducted on 396 students of 11 to 15 years after ethical approval in 6 months. Height (in cm) and weight (in Kg) were noted and BMI was calculated. Students with the normal BMI were included in the study. Weigh of the students were recorded with their shoes off while the weight of the bags was calculated with all the stationary included. Quick DASH scale score was calculated and correlated with the weight of the bag by applying Chi-Square test. Results: The mean age of the participants was13.49±1.12 years. The mean weight of the school bag was 6.10±2.1Kgs while the students were carrying more than one-quarter of their body weight. The disability calculated from the quick DASH scale was as high as 40%. Chi-square showed a significant correlation between the upper limb disabilities and the weight of the bag. Conclusion: The study showed that there is a significant correlation that the use of heavy school bags can cause upper limb disabilities in children. Keywords: Heavy School Bags, Upper Limb Disabilities, Children, Disabilities of Arm Shoulder and Hand

TO EVALUATE THE EFFECT OF ESMOLOL ON PERIOPERATIVE ANALGESIC REQUIREMENT IN PATIENTS UNDERGOING LAPAROSCOPIC SURGERY UNDER GENERAL ANESTHESIA.

2021 ◽  
pp. 34-36
Author(s):  
Asha Bansal ◽  
Shiwani Bhagat ◽  
Ajamal PM ◽  
Durga Shankar Patel
Keyword(s):  
Laparoscopic Surgery ◽  
Informed Consent ◽  
Visual Analogue Score ◽  
Interventional Study ◽  
Analgesic Requirement ◽  
Double Blind ◽  
Medical College ◽  
Vas Score ◽  
Treatment Of Hypertension ◽  
Jawaharlal Nehru

BACKGROUND: Esmolol is a short acting beta blocker. Esmolol is primarily used in the treatment of hypertension and tachycardia during anesthesia, but some study claim that it can be used to modulate pain. The main objective of this study was to evaluate the effect of esmolol on perioperative analgesic requirement in patients undergoing laparoscopic surgery. METHOD: It was a prospective, randomized, double blind interventional study. Total number of participants was 60. The study was carried out for a period of 3 years from 2015- 2017 in the department of Anesthesiology, Jawaharlal Nehru Medical College, Aligarh Muslim University. Informed consent was taken from all the participants included in this study. RESULT: In Group E, 27/30 patients had VAS score ≤ 3 compared to 8/30 patients in the Group C at 15 minutes. Similarly at 30 minutes and next 24 hours, all of 30 patients in Group E had VAS score of≤ 3 compared to 18/30 patients in Group C. CONCLUSION: Esmolol decreases perioperative analgesic requirement and postoperative pain. The visual analogue score for pain assessment was found to be signicantly lower in the esmolol group.

scholarly journals Effects of arthroscopic capsular and inferior glenohumeral ligament release on function and stability for patients with frozen shoulder

2020 ◽  
Author(s):  
Yao Zhang ◽  
Shichao Cao ◽  
Mingsheng Liu ◽  
Wenyong Fei ◽  
Jingcheng Wang
Keyword(s):  
Shoulder Joint ◽  
External Rotation ◽  
Constant Score ◽  
Frozen Shoulder ◽  
Joint Stability ◽  
Postoperative Rehabilitation ◽  
Glenohumeral Ligament ◽  
Vas Score ◽  
Inferior Glenohumeral Ligament ◽  
And Function

Abstract Background The inferior glenohumeral ligament (IGHL) plays an important role in maintaining shoulder joint stability. However, no systematic studies on shoulder stability and function of patients with FS after IGHL release exist. This study assessed the functional and clinical outcomes of IGHL release for FS.Methods Forty-seven patients underwent arthroscopic capsule and IGHL release with the same postoperative rehabilitation procedure. Five functional parameters were measured postoperatively at 4, 8, 12 and 28 weeks: the apprehension test result, American Shoulder and Elbow Surgeons Score (ASES), Constant score, visual analog scale (VAS) score and active range of motion (ROM).Results All patients improved in the aforementioned evaluations. At 28 weeks, the ASES, Constant score and VAS score improved from 31.30±6.41 to 92.43±3.89, 30.15±6.85 to 90.71±4.27 and 6.73±0.72 to 0.60±0.74, respectively (p<0.05). Forward flexion (FF) and abduction (ABD) improved from 73.85±14.94 to 166.70±7.23 and from 69.65±12.74 to 165.03±6.36, respectively (p<0.05). External rotation (ER) and internal rotation (IR) also significantly improved. In total, 95% of the patients were able to perform full elevation, and 97.5% of the patients could place the dorsum of their hands between their shoulder blades. All patients had negative apprehension tests, and no dislocations occurred. No other serious postoperative complications were observed.Conclusions Arthroscopic capsule and IGHL release was effective and could improve the active ROM and relieve pain in patients with FS. This surgical procedure did not cause instability or dislocations in the shoulder joint.

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