Early Detection of Exercise - Associated Muscle cramp

One of the deep and painful involuntary contractions of skeletal muscle is muscle cramp which takes place during various other conditions. The origin for the cramps that occur during or soon after exercise and the appropriate remedies continue to prove uncertain. Soon after an implant process and forceful workout, past voluntary dehydration cramps occur at many sections. The process of identifying the type of cramp is time consuming and treatment process to cramps is also quite tedious. If not treated at the right time, Muscle cramps may cause vigorous side effects and worsening in day to day physiological activities. The main motive of this vest is to locate and identify the cramp and alert so that further injury can be detected. It would also be helpful in preventing the person from further muscular cramps and other complications. EMG signals which are obtained from adhesive electrodes are amplified by using IC741 (op-amp) with instrumentation amplifier configuration.LM35 temperature sensor is used to monitor the temperature at specified locations. Wherever the cramp occurring possibilities are high. Flex sensor is used to identify the abnormal contraction and relaxation muscles in upper limbs. The three input bio potential signals are fed to the micro controller (Arduino UNO). The main objective of this system is to provide a comfortable vest which would monitor the cramps occurring in athletes whenever it occurs. Therefore with the help of this wearable device muscle cramps occurring at upper limbs can be detected and further injuries, complications such as fractures can be reduced.

Effectiveness of Intradialytic Stretching Exercises on Muscle Cramps among Patients Undergoing Haemodialysis in a Selected Tertiary Care Hospital Kancheepuram District, Tamil Nadu, India

Background: Chronic kidney disease is the vital and non-communicable disease epidemic that affects the world population including India. Muscle cramps are a common complication of haemodialysis treatments and they often result in the early termination of the session, it is an important priority to provide timely intervention to improve their muscle cramps of haemodialysis patients. Materials and Methods: The aim of the study is to evaluate the effectiveness of intradialytic stretching exercises on muscle cramps among patients on haemodialysis. Time series quasi experimental design was conducted in dialysis unit of Chettinad Super Specialty Hospital, Kelambakkam at Chengalpet District, Tamil Nadu, India.Total sample of 138 belong to 30 to 60 years were selected with the use of purposive sampling technique as per the statistical calculation and equally allocated to control 69 samples and to Study group 69. The structured questionnaire are demographic, Clinical variables & Modified cramps questionnaire chart was used to assess the effectiveness of intradialytic stretching exercises on level of muscle cramps. Results: The study findings concluded that in pre test 41(59.4 %) of the patients in study group and 38(55.1 %) of the patients in control group had mild muscle cramps whereas in post test 4(5.8 %) of the patients in study group had severe muscle cramps and 16 (23.2 %) of the patients in control group had severe muscle cramps. While comparing the post test mean value of control group 2.652±0.854 the study group mean value was 2.101±0.769 was significantly reduced with‘t’ value of 10.185 at p ≤ 0.000. Therefore the Research hypothesis H1 was retained. Hence there was no significant association between the test scores on intensity of muscle cramps among patients undergoing haemodialysis with selected demographic and clinical variables of group 2 (study) at P ≤ 0.000 level. Therefore the Research hypothesis H2 was rejected.The majority finding of the study results that in pre test 32 (46.4 %) of the patients were in mild muscle cramps in post test 1.More than half of the patients 30 (43.5 %) of moderate muscle cramps in post test 2. And majority 40 (58 %) of the patients in moderate muscle cramps in post test 3.The effect of intradialytic stretching exercises in reducing the level of muscle cramps during haemodialysis. Conclusion: Intradialytic stretching exercises is an effective method which can be used as a preventive therapy in the treatment of muscle cramps.

Factors Related to Muscle Cramps during Hemodialysis in End Stage Renal Disease Patients

Background: Muscle cramps are a common complication during hemodialysis that can cause patients extremely painful.Objective: To determine factors related to muscle cramps during hemodialysis in patients with end-stage renal disease.Methods: A descriptive correlational study was conducted in end-stage renal disease patients undergoing hemodialysis at Hemodialysis center, Faculty of Medicine Ramathibodi Hospital between February and March 2020. The data collection instruments included muscle cramps report form, demographic questionnaire, and factors related to muscle cramps questionnaire. The data were analyzed using descriptive statistics and multiple logistic regression.Results: A total of 44 patients were recruited in the study. The mean age was 63.3 years. A total of 458 muscle cramps during hemodialysis assessments were recorded in the one month. The result showed that 45 muscle cramps (9.8%) occurred during hemodialysis. Factors significantly related to muscle cramps during hemodialysis included interdialytic weight gain ≥ 3.5 kilograms (OR = 4.5, P < .05), experiencing cramps before hemodialysis (OR = 25.5, P < .05), and high serum bicarbonate concentration (OR = 5.6, P < .05).Conclusions: This study found that 9.8% of patients reported muscle cramps during hemodialysis. Interdialytic weight gain, having cramps before hemodialysis, and serum bicarbonate concentration were significantly related to muscle cramps during hemodialysis in patients with end-stage renal disease.

A case of motor and sensory polyneuropathy induced by primary hyperparathyroidism

Primary hyperparathyroidism (PHP) is a disease in which excessive amounts of parathyroid hormone (PTH) are secreted and calcium levels in the blood increase. Hypercalcemia caused by PHP has a major influence on the peripheral nervous system and produces symptoms such as muscle cramps, paresthesia, and proximal muscle weakness. Here we report a rare case of sensory-dominant polyneuropathy caused by PHP, which improved after surgery.

Effect of Fermented Rice Drink “Amazake” on Patients with Nonalcoholic Fatty Liver Disease and Periodontal Disease: A Pilot Study

The worldwide increase in nonalcoholic fatty liver disease (NAFLD) is a major public health problem. Obesity and diabetes are risk factors for NAFLD and the development of liver fibrosis is a risk factor for liver cancer. Periodontal disease bacteria can also exacerbate NAFLD. We previously reported that amazake, a traditional Japanese fermented food, improves the quality of life (QOL) of patients with liver cirrhosis. In this study, we investigated the effect of amazake intake on NAFLD patients with periodontal disease. Ten patients (mean age: 57.1 ± 19.2 years) consumed 100 g of amazake daily for 60 days. On days 0 and 60, their body mass index (BMI), body fat percentage, serum biochemical parameters, periodontal disease bacteria in saliva, and ten visual analog scales (VASs), namely, sense of abdomen distension, edema, fatigue, muscle cramps, loss of appetite, taste disorder, constipation, diarrhea, depression, and sleep disorder, were measured. For periodontal bacteria, the numbers of six types of bacteria in saliva (Porphyromonas gingivalis, Tannerella forsythia, Treponema denticola, Aggregatibacter actinomycetemcomitans, Prevotella intermedia, and Fusobacterium necleatum) and P. gingivalis-specific fimA genotype were determined. After 60 days of amazake consumption, eosinophils (p < 0.05), immune reactive insulin (IRI) (p < 0.01), and HOMA-IR (p < 0.05) had significantly increased and tumor necrosis factor α (TNFα) (p < 0.01), muscle cramps (p < 0.05), and depression (p < 0.05) had significantly decreased. All subjective symptoms improved after amazake intake. No change was observed in the periodontal bacteria. In conclusion, amazake significantly decreased TNFα and improved the QOL of the patients with NAFLD and periodontitis. However, caution should be exercised because amazake, which is manufactured using techniques that lead to concentrations of glucose from the saccharification of rice starch, may worsen glucose metabolism in NAFLD patients. Amazake may be an effective food for improving the symptoms of a fatty liver if energy intake is regulated.

AIR KELAPA HIJAU MENURUNKAN DISMENORE PADA REMAJA PUTRI

Menstrual pain or commonly known as dysmenorrhea is muscle cramps felt in the lower abdomen that appear before or during menstruation (menstruation). Menstrual pain is caused by the muscles of the uterine wall contracting, compressing the surrounding blood vessels, as a result, the oxygen supply to the uterus is blocked and triggers pain. The purpose of this study was to determine the effect of giving green coconut water in reducing dysmenorrhoea pain in adolescent girls in the Stikes Dormitory of Pasapua Ambon. This study uses a pre-design experimental design with static group comparison: randomized control group only. The results showed that there was an effect of giving green coconut water to dysmenorrhea in adolescent girls in the Stikes Dormitory of Pasapua Ambon with p = 0.000 (p <0.05). The conclusion is that there is an effect of giving green coconut water on dysmenorrhea in adolescent girls in the STIKES Pasapua Ambon dormitory

Effective Management of Hypothyroidism by Using Ayurvedic Interventions: A Case Report

Hypothyroidism is an endocrine disorder that mainly occurs due to insufficient thyroid gland stimulation or primary gland failure by the pituitary or hypothalamus gland. Symptoms of hypothyroidism include fatigue, gastric trouble, face puffiness with edematous eyelids, retarded nail growth, weight gain, hoarseness of voice, decreased libido, pallor, dry skin, dry hair, alopecia, constipation, abnormal menstrual cycle, muscle cramps, myalgia etc. A 30-year-old married Hindu, non-alcoholic, non-smoking male patient visited OPD of Shuddhi Ayurveda Clinic, Jeena Sikho Lifecare Pvt. Ltd. Noida on 18 November 2020 with known case of subclinical hypothyroidism. On the basis of clinical diagnosis and laboratory investigations, ayurvedic medicines having action on thyroid gland and digestion improvement were prescribed for over a period of six months. After this ayurvedic medicinal treatment for four months i.e. from November 2020 to February 2021, significant results were noted in terms of reduction in level of increased TSH. TSH level was significantly reduced from 181µIU/ml to 0.11 µIU/ml within two months of ayurvedic treatment. Then, there was a mild increase in the TSH level when patient was tested for TFT after four months i.e. on 21st of June 2021, investigated level of TSH was 5.59 µIU/ml. Overall, a satisfactory result was observed in patient clinical conditions proving significant efficacy of ayurvedic treatment.

Benefit of an Internet-Based Management System among Hemodialysis Patients at the Risk of Intradialytic Hypotension and Muscle Cramps: A Controlled before and after Study

<b><i>Background:</i></b> The purpose of this study was to observe the impact of an internet-based management system on the incidence of intradialytic hypotension (IDH) and muscle cramps in hemodialysis patients. <b><i>Methods:</i></b> The patients, who underwent maintenance hemodialysis in the center from January 2018 to June 2020, were recruited and divided into the pre-intervention group (before operation of the internet-based hemodialysis management system, from January 2018 to December 2018) and intervention group (after operation of the system, from June 2019 to June 2020). The clinical outcomes were compared between groups. <b><i>Results:</i></b> The compound endpoint of &#x3e;1 IDH or muscle cramps happened in 182 patients (61.7%) in the pre-intervention group and 99 participants (30.8%) in the intervention group (relative risk [RR] = 0.50 [95% confidence interval [CI], 0.42; 0.60]). IDH occurred in 122 patients (1–5 episodes in 47 patients, 6–10 episodes in 25 patients, and &#x3e;10 episodes in 50 patients) and 33 patients (30 patients had 1–5 episodes and 3 patients had 6–10 episodes) before and after execution of the internet-based management system, respectively (RR = 0.25 [95% CI, 0.18; 0.35]). The incidence of muscle cramps was significantly decreased (RR = 0.57 [95% CI, 0.45; 0.73]) after the implementation of the system, and the number of patients with 6–10 episodes dropped from 10 to 1. Multivariate analyses also showed significantly lower RRs in the intervention group: 0.29 ([95% CI, 0.20; 0.41]) for IDH and 0.58 ([95% CI, 0.45; 0.74]) for muscle cramps. Compared with the pre-intervention, participants in the intervention group had a large improvement in self-management (<i>p</i> &#x3c; 0.001) and self-efficacy (<i>p</i> &#x3c; 0.001). <b><i>Conclusion:</i></b> The study found that the internet-based hemodialysis management system was effective in reducing the IDH and muscle cramp events and improving self-management. It provided a significant implication for the development and application of internet-based programs in hemodialysis management.