Comparison of Post Isometric Relaxation of Gluteus Maximus and Static Stretching of Hip Flexors on Pain and Functional Status in Patients with Anterior Innominate Dysfunction

2021 ◽  
Vol 15 (11) ◽  
pp. 3434-3437
Author(s):  
Farwa Asad ◽  
Sana Hafeez ◽  
Sameen Saeed ◽  
Saima Riaz ◽  
Rehan Ramzan Khan ◽  
...  
Keyword(s):  
Functional Status ◽  
Oswestry Disability Index ◽  
Rating Scale ◽  
Gluteus Maximus ◽  
P Value ◽  
Static Stretching ◽  
Treatment Techniques ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Group B

Objective: To compare the effects of Post Isometric Relaxation (PIR) of gluteus maximus and Static Stretching (SS) of hip flexors on pain and functional status in patients with Anterior Innominate Dysfunction. Methodology: A quasi experimental trial was conducted on thirty six patients of Anterior Innominate Dysfunction. All were randomly allocated to post isometric relaxation group and static stretching group. Both groups were treated with 12 treatment sessions in 4 weeks at frequency of 3 sessions per week. Numeric Pain Rating Scale (NPRS) and Modified Oswestry Disability Index (MODI) were used to measure the treatment effect at baseline, after 2 weeks and after 4 weeks. Data was analyzed by SPSS 21. Results: Mean Age of Group A (PIR) was 34.28±7.76 and Group B (SS) was 35.72±7.16. Mean BMI of participants was 23.84±3.29. Across group, both post isometric relaxation and static stretching had shown significant results with P value <0.05. But within group, post isometric relaxation had shown more significant results as compared to static stretching with P value <0.05. Conclusion: Both treatment techniques; Post isometric relaxation and Static stretching are effective and produced significant difference in NPRS and MODI score to improve pain and functional status but PIR had shown more promising results in patients with anterior innominate dysfunction. Key words: Sacroiliac Joint Dysfunction (SIJD), Muscle Energy Technique (MET), MODI (Modified Oswestry Disability Index).

Dexamethasone Versus Ondansetron in Preventing Postoperative Nausea and Vomiting In Laparoscopic Surgery

2021 ◽  
Vol 17 (3) ◽  
pp. 222-226
Author(s):  
Anum Malik ◽  
Arshad Shahani ◽  
Jawad Zahir ◽  
Hassam Zulfiqar ◽  
Tabassum Aziz
Keyword(s):  
Postoperative Nausea ◽  
Postoperative Nausea And Vomiting ◽  
Nausea And Vomiting ◽  
P Value ◽  
Inclusion Criteria ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Group A ◽  
The Mean ◽  
Group B

Objective: To compare the efficacy of dexamethasone 8mg versus ondansetron 4mg in preventing postoperative nausea and vomiting (PONV) in patients undergoing laparoscopic cholecystectomy Methodology: This quasi-experimental study was conducted at the Department of Anaesthesia and Intensive Care, Holy Family Hospital from 29th July 2018 to 28th January 2019.  Anesthesia was induced with propofol (2mg/kg IV) and Atracurium (0.5 mg/kg IV) was given to facilitate tracheal intubation. Nalbuphine (0.2mg/kg) was used as analgesic.Patients were randomly divided into two groups. Patients in Group A received 4mg ondansetron at end of surgery and Group B received 8mg dexamethasone at induction. Results: A total of 90 patients were included according to the inclusion criteria of the study. The mean age (years) in the study was 37.11+10.60 years. Frequency and percentage of nausea (up to 24 hours) among both the groups was 28 (62.2) and 28 (62.2) respectively (p-value = 1.0) while the frequency and percentage of vomiting (within 24 hours after extubation) was 28 (62.2) and 27 (60.0) respectively (p-value = 0.829) Conclusion: The study concluded that there was no significant difference dexamethasone and ondansetron in preventing postoperative nausea and vomiting.

Perbedaan Teknik Pemberian Jelly Dengan Cara Mengoleskan Ke Selang Kateter Dan Menyemprotkan Ke Meatus Uretra Terhadap Kecepatan Pemasangan Dan Keluhan Nyeri Pada Pasien Kateterisasi Urin

2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Mei Fitria K ◽  
Maslichah Maslichah ◽  
Ferawati Ferawati
Keyword(s):  
Rating Scale ◽  
Health Workers ◽  
Numeric Rating Scale ◽  
Control Group ◽  
P Value ◽  
Purposive Sampling ◽  
Significant Difference ◽  
Quasi Experimental ◽  
The Mean ◽  
Numeric Rating

ABSTRAK Retensi urin merupakan suatu keadaan darurat sistem perkemihan yang sering ditemukan sehingga perlu penatalaksanaan yang baik salah satunya adalah kateterisasi. Penelitian ini bertujuan menganalisis  perbedaan kecepatan pemasangan dan keluhan nyeri yang dialami pria dewasa  usia 25-65 tahun yang pertama kali menjalani kateterisasi urin dengan cara pelumasan yang berbeda.Rancangan penelitian ini adalah quasy eksperimen. Sampel diambil dengan metode purposive sampling. Populasi dalam penelitian ini adalah seluruh pasien yang akan dipasang kateter Ruang IGD RSUD dr.Soeprapto Cepu. Sampel dalam penelitian ini adalah pasien pria dewasa yang pertama kali dilakukan pemasangan kateter. Variabel independen yaitu metode pemasangan kateter yaitu dengan metode oles dan metode lubrikasi(menyemprot pada uretra) Variabel dependen yaitu kecepatan pemasangan diukur dengan stopwatch sedangkan intensitas nyeri diukur dengan Visual Analog  Numeric Rating Scale. Analisa data dengan Uji  Mann Whitney U Test terhadap mean tersebut untuk mengetahui signifikansi perbedaan keduanya dengan program SPSS pada œ =0,05.Hasil penelitian dengan uji Mann Whitney U Testumtuk kecepatan didapat nilai p value = 0,016 dan untuk keluhan nyeri didapat nilai p value = 0,010. Hal ini menunjukkan ada perbedaan yang signifikan dari kelompok kontrol dan perlakuan.Perawat sebagai tenaga kesehatan dalam melakukan kateterisasiurin dapat memilih cara pelumasan yang dapat mengurangi resiko gangguan rasa nyaman (nyeri) yang dialami klien. Diharapkan dapat dipergunakan sebagai bahan   pertimbangan dalam memberikan tindakan kateterisasi yang cepat, efisien  dan sedikit keluhan. Kata kunci : Teknik pelumasan kateter, kecepatan pemasangan dan keluhan nyeri.   ABSTRACT Urinary retention is an emergency urinary system are often found so it needs good management of one of them is catheterization.This study regarding the installation of a speeddifference and the pain experienced by adult men aged 25-65 years who first underwent urinary catheterization in a manner different lubricationThe study design is quasi-experimental. The sample was taken by purposive sampling method. The population in this study were all patients who would catheter Hospital emergency room dr.Soeprapto Cepu. The sample in this study is adult male patients who first performed catheter placement. Independent variables, methods catheter is by topical methods and methods of lubrication (spraying of the urethra) The dependent variable is the speed of installation are measured with a stopwatch while pain intensity measured by the Visual Analog Numeric Rating Scale. Analysis of the data by finding the mean of the speed of installation and complaints of pain in each group followed by Mann Whitney U Test against the mean to determine the significance of differences in both the SPSS program on œ = 0.05.The results showed no difference in between the speed of installation of the lubrication method and the method OLES is: 24 seconds. There is a difference between a complaint of pain in the control group and the treatment group which looks mean lower treatment groups. The results of the Mann Whitney U Test showed that p = 0.010 and showed no significant difference from the control and treatment groups.Nurses as health workers in the catheterization urine can choose how lubrication can reduce the risk of disruption comfortable feeling (pain) were experienced by clients. Expected to be used as consideration in giving catheterization action is fast, efficient and few complaints. Keywords: Mechanical lubrication catheter, speeds installation and pain

Comparative Study to Evaluate Efficacy and Safety for Management of Neuropathic Pain with Gabapentin, Pregabalin, and Amitriptyline

2021 ◽  
Vol 15 (9) ◽  
pp. 2995-2998
Author(s):  
Abdulrahman Alharbi
Keyword(s):  
Neuropathic Pain ◽  
Adverse Effects ◽  
Rating Scale ◽  
P Value ◽  
Lumbosacral Spine ◽  
X Rays ◽  
Open Label ◽  
Significant Difference ◽  
Group A ◽  
Group B

Background: Current treatments for neuropathic pain (NeP) are tricyclic antidepressants (TCA), such as pregabalin and gabapentin are first-line drugs for the management of NeP complaints. Current treatment for the management of neuropathic pain is often sub-standard. Methods: It's a three-arm, prospective, comparative, open-label study. A total of 270 patients with persistent lumbar radiculopathy were randomized into three groups based on clinical examination, symptoms, X-rays, and MRI scans of the lumbosacral spine. Patients in Groups A and B got Gabapentine 300 mg, Pregabaline 75 mg, and Amitriptyline 75 mg, respectively. Results: The mean NPRS score at two months was 3.72 ± 2.65 for Group A, 3.63 ± 2.65 for Group B, and 5.21 ± 2.65 for Group C. The F-value was 6.63, and the p-value was 0.001, which was statistically significant. As compared to the other two treatment groups, the subjects in Group 3 saw a significant difference. ‎ The adverse effects reported occurrence of dizziness was significantly more in group B with 21 patients (23.33%) as compared to group A with 11 patients (12.22%) and group C with 4 patients (4.44%), [p=0.041). The sedation occurred in 28 patients of group B (31.11%), which was significantly more than group A i,e, in 23 patients (25.55%) and group C, i.e., 22 patients (24.44%), [P=0.036]. Conclusions: In patients with NeP Thus, in conclusion, three groups Gabapentine, Pregabaline, and Amitriptyline, are equally efficacious in relieving pain in NeP. Pregabalin has advantages in terms of Numeric pain rating scale (NPRS) score over the Gabapentine and Amitriptyline. Gabapentine has fewer reported adverse effects and hence better patient compliance on long-term use. Keywords: Gabapentine, Amitriptyline, Pregabalin, Neuropathic pain

scholarly journals Efektivitas Aromaterapi Lavender dan Peppermint Terhadap Skala Nyeri Haid Pada Remaja Putri

2021 ◽  
Vol 16 (3) ◽  
pp. 614-619
Author(s):  
Lia Fitria ◽  
Anisa Febrianti ◽  
Arifah Arifin ◽  
Arifatul Hasanah ◽  
Dianatul Firdausiyeh
Keyword(s):  
Adolescent Girls ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Sampling Technique ◽  
Pain Scale ◽  
Wilcoxon Test ◽  
P Value ◽  
Menstrual Pain ◽  
Significant Difference ◽  
Quasi Experimental

Adolescent girls will experience changes in the reproductive system marked by menstruation. Menstruation experienced in adolescents is often accompanied by complaints of menstrual pain. Menstrual pain can interfere with daily activities, so it requires treatment to reduce menstrual pain. One way of handling that can be done is with aromatherapy. Lavender and peppermint aromatherapy is a treatment that uses lavender and peppermint essential oils which contain linalool and linalyl acetate which are useful for reducing menstrual pain. The purpose of this study was to determine the effectiveness of lavender aromatherapy with peppermint on the menstrual pain scale in adolescent girls. The research design used was quantitative, quasi-experimental method with a two-group pre-test and post-test design with a sample of 14 respondents, 7 respondents in the lavender aromatherapy group and 7 respondents in the peppermint aromatherapy group. The sampling technique used consecutive sampling. The instrument used is a numerical rating scale (NRS). Data were processed by Wilcoxon test and Mann Whitney test. The results of this study indicate that lavender aromatherapy and lemon aromatherapy are effective in reducing menstrual pain scale with p value 0.001 (p < 0.05). Levender aromatherapy and peppermint aromatherapy were effective in reducing menstrual pain scale, but there was no significant difference in reducing pain scale in both lavender and peppermint therapy groups.

scholarly journals Effect of acupuncture TENS versus conventional TENS on post cesarean section incision pain

2018 ◽  
Vol 7 (9) ◽  
pp. 3738
Author(s):  
Priti A. Mehendale ◽  
Mayur T. Revadkar
Keyword(s):  
Pain Intensity ◽  
Rating Scale ◽  
Control Group ◽  
P Value ◽  
Random Allocation ◽  
Lower Segment Caesarean Section ◽  
Post Operative Pain ◽  
Group A ◽  
Group B ◽  
Pain Rating Scale

Background: There is evidence regarding beneficial use of Transcutaneous Electrical Nerve Stimulation (TENS) on post Lower Segment Caesarean Section (LSCS) incision pain. However, efficacy of different types of TENS following C section pain has not yet been explored adequately.Methods: 96 women who had recently undergone LSCS were included for the study. The subjects were in the age group of 20 to 40 years (25.84±3.96); having pain intensity 4 or more on Numerical Pain Rating Scale (NPRS). They were divided into three groups by random allocation method; namely Group A: Acupuncture (Low/Motor) TENS, Group B: Conventional (High/Sensory) TENS and Group C: Control group. Group A and B received specific type of TENS twice a day for 15 minutes. Control group C did not receive any TENS intervention. All subjects received standard post-operative medications and physiotherapy. Pain intensity was recorded on NPRS pre and post intervention.Results: Both Acupuncture TENS and Conventional TENS significantly decreased post-operative pain intensity as compared to control group (p value <0.0001).Conclusions: Both, acupuncture and conventional TENS are equally effective in reducing post LSCS incision pain at a strong and non-painful intensity.

scholarly journals Effectiveness of Environmentally Friendly Mosquito Trap Contained Sugar Yeast Solution

2017 ◽  
Vol 12 (2) ◽  
pp. 270-276 ◽  
Author(s):  
Tutik Ida Rosanti ◽  
S Juwono Mardihusodo ◽  
Wayan T Artama
Keyword(s):  
Experimental Design ◽  
Environmentally Friendly ◽  
P Value ◽  
Mosquito Trap ◽  
Significant Difference ◽  
Rank Score ◽  
Quasi Experimental ◽  
Two Phases ◽  
Materials Used ◽  
Indoor And Outdoor

Environmentally friendly mosquitoes trap using common daily materials used by community may give hopes in reducing mosquitoes density. This study aims to determine the effectiveness of environmentally friendly mosquitoes trap made from bottle contained sugar yeast solution for reducing the number of trapped mosquitoes. This study consist of two phases and quasi experimental design was used. Mann Whitney test was used to determine the differences the number of trapped mosquitoes indoor and outdoor. The result showed p value 0,000 which was lower than ? value (0,05), so there was significant difference between the number of indoor and outdoor trapped mosquitoes. The average Rank score of outdoor mosquitoes trap (42,75) was more than indoor mosquitoes trap (18,25). We concluded that the mosquitoes trapped which contained of sugar-yeast solution was effective for trapping the mosquitoes especially outdoor .

scholarly journals Comparison between scalpel incision and electrocautery incision in midline abdominal surgery: a comparative study

2021 ◽  
Vol 8 (5) ◽  
pp. 1507
Author(s):  
Amit Yadav ◽  
Lakshman Agarwal ◽  
Sumit A. Jain ◽  
Sanjay Kumawat ◽  
Sandeep Sharma
Keyword(s):  
Postoperative Pain ◽  
Blood Loss ◽  
Abdominal Surgery ◽  
Wound Infection ◽  
Skin Incision ◽  
P Value ◽  
Wound Area ◽  
Significant Difference ◽  
Group A ◽  
Group B

Background: Fear of poor wound healing have curtailed the use of diathermy for making skin incision. Scalpel produces little damage to surrounding tissue but causing more blood loss. Our aim of study was to compare electrocautery incision with scalpel incision in terms of incision time, blood loss, postoperative pain and wound infection.Methods: Total of 104 patients were included in the study undergoing midline abdominal surgery. Patients were randomized into electrocautery (group A) and scalpel (group B). The incision dimension, incision time and blood loss were noted intraoperatively. Postoperative pain was noted on postoperative day 2 using visual analog scale. Wound complications were recorded on every postoperative day till the patient was discharged.Results: 52 patients in each of the two groups were analyzed. There was significant difference found between group A and group B in terms of mean incision time per unit wound area, 8.16±1.59 s\cm2 and 11.02±1.72 s\cm2 respectively (p value=0.0001). The mean blood loss per unit wound area was found to be significantly lower in group A (0.31±0.04 ml\cm2) as compared to group B (1.21±0.21), p value=0.0001. There was no significant difference noted in terms of postoperative pain and wound infection between both groups.Conclusions: Electrocautery can be considered safe in making skin incision in midline laparotomy compared to scalpel incision with comparable postoperative pain and wound infection with less intraoperative blood loss and less time consuming.

scholarly journals A double-blind randomized placebo-controlled study of low dose mirtazapine once daily in patients of major depressive disorders on escitalopram

2019 ◽  
Vol 8 (5) ◽  
pp. 1067
Author(s):  
Mallikarjuna Rao I. ◽  
Usha Kiran Prayaga ◽  
Dharma Rao Uppada ◽  
Ramachandra Rao E. ◽  
B. L. Kudagi
Keyword(s):  
Depressive Disorders ◽  
Low Dose ◽  
Rating Scale ◽  
Controlled Study ◽  
P Value ◽  
Chi Square ◽  
Double Blind ◽  
Increased Risk ◽  
Significant Difference ◽  
Chi Square Test

Background: The SSRIs being used as 1st line therapy in treatment of depression have delayed therapeutic effect which makes the patient vulnerable to an increased risk of suicide and decreased adherence to the treatment and will prematurely discontinue the therapy. The present study was conducted to evaluate if low dose mirtazapine-escitalopram combination therapy has any add on benefit over monotherapy with escitalopram.Methods: In a single-centered, comparative study involving patients with depression attending the out-patient after screening and exclusion, 60 eligible patients were randomly assigned to receive tablet mirtazapine 7.5 mg plus tablet escitalopram 10 mg intervention or tablet escitalopram 10 mg plus placebo intervention in a double-blind 6-week treatment phase. The primary outcome measure was the change in the 17-item Hamilton Depression Rating Scale (HDRS) and Montgomery-Asberg Depression Rating Scale (MADRS) score from baseline. Participants were evaluated at baseline, 1st, 2nd,4th and 6th week. Results were analyzed using Chi-Square test for adverse effects and independent t-test analysis for efficacy parameter.Results: In the analysis of results at 6th week the numbers of patients achieved remission in mirtazapine group are more with a p-value of 0.018 which is significant and the numbers of responders in mirtazapine group are also more which is statistically significant on chi-square test. There is no significant difference was observed between the two groups with reference to occurrence of adverse effect.Conclusions: Adding low dose mirtazapine has an added benefit in terms of efficacy and getting remission early with more number of responders in the treatment of major depression.

scholarly journals Comparison of Recovery Time of Propofol and Midazolam with Propofol Alone for Sedation in Endoscopic Retrograde Cholangiopancreatography

2021 ◽  
Vol 15 (5) ◽  
pp. 1024-1027
Author(s):  
Asma Samreen ◽  
Aamir Waseem ◽  
Muhammad Azam ◽  
Itrat Hussain Kazmi ◽  
Aamir Bashir ◽  
...  
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Recovery Time ◽  
Controlled Trial ◽  
P Value ◽  
Time Data ◽  
Endoscopic Retrograde ◽  
Intravenous Anesthetic ◽  
Significant Difference ◽  
Group A ◽  
Group B

Background: Procedural sedation is required for multiple short duration procedures outside of the operating rooms especially in radiology and endoscopy suites. Intravenous anesthetic agent with rapid recovery profile is desirable in such circumstances. This study aims to compare two regimens of intravenous anesthetic agents. Aim: To compare the mean recovery time of propofol and midazolam with propofol alone for sedation in endoscopic retrograde cholangiopancreatography. Study Design: Randomized controlled trial. Settings: Department of Anesthesia, Shalamar Hospital, Lahore. Study Duration: June 2017 to December 2017. Methods: A total of 70 adult patients aged 20-60 years undergoing ERCP under sedation were included. Patients were given a combination of propofol and midazolam in group A while propofol alone was given in group B. After procedure, pts were transferred to recovery room and were followed for assessment of recovery time. Data were analyzed in SPSS vr 21, Independent t-test was applied & p-value ≤0.05 was considered statistically significant. Results: Significant difference was found in mean recovery time amongst both the groups. Mean recovery time in Group A (propofol and midazolam) was 19.29±4.50 minutes while in Group B (propofol alone) was 26.66±3.70 minutes showing statistically significant result with p-value = 0.0001. Conclusion: We conclude that mean recovery time with propofol plus midazolam is shorter as compared to propofol alone for sedation in ERCP. Keywords: Propofol, midazolam, sedation outside operation theatre.

scholarly journals THE COMPARISON OF THE EFFECT OF HONEY AND CHLORHEXIDINE IN PREVENTING VENTILATOR ASSOCIATED PNEUMONIA IN PATIENTS ON MECHANICAL VENTILATON

2018 ◽  
Vol 4 (2) ◽  
pp. 161-167
Author(s):  
Syaukia Adini ◽  
Bedjo Santoso ◽  
Sarkum Sarkum ◽  
Sudirman Sudirman
Keyword(s):  
Oral Hygiene ◽  
Control Group ◽  
P Value ◽  
Ventilator Associated Pneumonia ◽  
Control Group Design ◽  
Group Design ◽  
Significant Difference ◽  
Quasi Experimental ◽  
The Mean ◽  
Honey Solution

Background: Ventilator Associated Pneumonia (VAP) is one of the causes of infection in the hospital and the main cause of death due to nosocomial infection. The strategy to prevent VAP is by oral hygiene. Honey may be a good solution for oral hygiene.Objective: This study aims to compare the effect of the use of 20% honey solution and 0.2% chlorhexidine as oral hygiene on VAP prevention in patients on mechanical ventilation.Methods: This was a quasi-experimental study with posttest only control group design in an incentive care unit of a general hospital in Indonesia. Thirty respondents were selected using consecutive sampling, which 15 respondents assigned in a 20% honey group and 0.2% chlorhexidine group. Clinical Pulmonary Infection Score (CPIS) was used to measure Ventilator Associated Pneumonia. Data were analyzed using Independent t-test.Results: The mean of CPIS in the honey group was 3.33 and the chlorhexidine group was 3.53. Independent t-test showed p-value 0.618 (>0.05), which indicated that there was no significant difference of the effect of honey and chlorhexidine on VAP event.Conclusions: The 20% honey solution has the same effect with 0.2% chlorhexidine in preventing VAP events in patients on mechanical ventilation.

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