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Knowledge, attitude, and preventive behavior toward pathogen spreading of high school students in Thailand 泰国高中生对病原体传播的知识、态度及预防行为
Pub Date : 2021-01-01 DOI: 10.5455/ijmsph.2021.07069202127082021
Chonrakarn Leeya
Background: The spread of pathogens rapidly affects all aspects of life. Although the medicine is more advanced, the epidemic situations still can occurred. This continues to increase and is a major public health problem. Therefore, public health maintenance behavior has the effect of inhibiting the spread of pathogens. Breaking the chain of pathogen spread can reduce the spread of bacterial infections and the severity of the epidemic. Objectives: This study aimed to assess community knowledge, attitude, and preventive behavior toward pathogen spreading among high school students in Chonburi, Thailand. Materials and Methods: The study was conducted using a questionnaire. A total of 329 students participated. Knowledge about infection prevention, attitude toward preventive behavior, attitude toward preventive rules and regulation supported, and pathogen transmission preventive behavior were assessed. Independent t-test and ANOVA were used to analyze differences between outcomes and sociodemographic. Results: Students revealed a poor level of knowledge about infection prevention, correctly answering 2.52 (SD = 1.31) question in a total of 5, a high level of attitude toward preventive behavior, average score was 23.31 (SD = 2.22) of 25, and a high level of attitude toward preventive rules and regulation supported, the average scores at 21.48 (SD = 2.71), question in a total of 25, and a high level of pathogen transmission preventive behavior at the average score of 29.69 (SD = 4.06) questions in a total of 35. Conclusion: This research revealed that the high school students of Chonburi Science School at Prince Chulabhorn have a low level of knowledge about pathogens, and shows that they have a positive attitude toward prevention behavior, a good attitude toward supporting prevention rules and regulations, and good prevention behavior. Students have very little knowledge because the school does not have guidance, but some students can discover information by themselves through internet channels as long as they have equipment and connections. Therefore, this study can provide positive attitudes for a young teenager because he is constantly listening and following the rules. Therefore, specific knowledge about the basic prevention of pathogen transmission and infection is essential for all, and should be taught and strengthened in schools where all students know and are aware of this need, and all students will regularly take action to protect themselves such as wearing a mask and washing hands with alcohol gel.
背景:病原体的传播迅速影响生活的方方面面。虽然药物更先进,但疫情仍然可能发生。这种情况还在继续增加,是一个重大的公共卫生问题。因此,公共卫生维护行为具有抑制病原体传播的作用。打破病原体传播链可以减少细菌感染的传播和疫情的严重程度。目的:本研究旨在了解泰国春武里市中学生对病原体传播的知识、态度和预防行为。材料与方法:采用问卷调查法进行研究。共有329名学生参与。对感染预防知识、预防行为态度、支持预防规章制度的态度、病原体传播预防行为进行评价。采用独立t检验和方差分析分析结果与社会人口学差异。结果:学生对感染预防知识水平较低,正确回答了2.52道(SD = 1.31)题共5道;对预防行为态度水平较高,平均得分为23.31分(SD = 2.22),平均得分为25分;对预防规章制度态度水平较高,平均得分为21.48分(SD = 2.71),平均得分为25题。在35道题中,平均得分为29.69 (SD = 4.06),病原体传播预防行为水平较高。结论:本研究发现楚拉蓬王子春武里科学学校高中生对病原体的知识水平较低,对预防行为态度积极,对配套预防规章制度态度良好,预防行为良好。由于学校没有指导,学生的知识很少,但一些学生只要有设备和连接,就可以通过互联网渠道自己发现信息。因此,这项研究可以为一个年轻的青少年提供积极的态度,因为他一直在倾听和遵守规则。因此,关于基本预防病原体传播和感染的具体知识对所有人都至关重要,应在所有学生都知道并意识到这一需求的学校中教授和加强这些知识,所有学生都将定期采取行动保护自己,例如戴口罩和用酒精凝胶洗手。
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引用次数: 0
Attitude and acceptance of a coronavirus disease 2019 vaccine: A cross-sectional study of Chiang Mai University's undergraduate students, Chiang Mai in Thailand 对2019冠状病毒病疫苗的态度和接受程度:对泰国清迈大学本科生的横断面研究
Pub Date : 2021-01-01 DOI: 10.5455/ijmsph.2021.07068202120072021
Jidapa Wattanasiri
Background: Coronavirus disease 2019 (COVID-19) has affected all aspects of life globally and becomes a major threat to public health around the world. One of the most important actions that need to be taken to stop the pandemic is vaccinations. Managing the COVID-19 pandemic in the long-term, vaccine hesitancy and negative attitudes toward vaccines are major barriers. Objectives: This study aimed to investigate undergraduate students' knowledge, risk perceptions, and attitudes toward COVID-19 vaccinations among undergraduate students in Chiang Mai University, Thailand. Materials and Methods: The study was conducted using a questionnaire. A total of 280 students participated. COVID-19 related knowledge, risk perception, and attitude toward COVID-19 vaccines were assessed. Statistical test using SPSS statistics to analyze differences between intention to be vaccinated and socio-demographic was done using exact P-value, Pearson's Chi-square test, and Binary Logistic Regression. Results: Students revealed a moderate level of COVID-19 related knowledge. A moderate level of risk perception of getting COVID-19 has the highest number of students who want to get vaccinated (n = 76, 51.0%). Intention to get vaccinated was 53% (n = 148). The analysis of a binary logistic regression indicated that the monthly household income of students had a statistically significant effect on the intention to get vaccinated. Level of monthly household income predicted the deposition of intention to get vaccinated of students (Exp [B] = 0.773, P < 0.001). Most students had no intention to be vaccinated against COVID-19 due to concerns on side effects and efficacy of the current availability of COVID-19 vaccine in Thailand. Therefore, to increase more acceptance of COVID-19 vaccination among students, more choices of COVID-19 vaccine with high efficacy should be provided. Conclusion: Government should take firm and faster action for the unavailability of vaccines in Thailand to decrease vaccine hesitancy rate and give Thai citizens more choices of vaccine brands with higher levels of vaccine efficacy. Side effects from vaccines are one of the reasons for increase in vaccine hesitancy. Therefore, if Thai people can choose a higher efficacy vaccine, the news about vaccine side effects will be lower. Government should start educating and letting people know about side effects and whether the side effects are life threatening or not.
背景:2019冠状病毒病(COVID-19)已经影响到全球生活的方方面面,成为全球公共卫生的主要威胁。为制止大流行需要采取的最重要行动之一是接种疫苗。长期管理COVID-19大流行、疫苗犹豫和对疫苗的消极态度是主要障碍。目的:本研究旨在调查泰国清迈大学本科生对COVID-19疫苗接种的知识、风险认知和态度。材料与方法:采用问卷调查法进行研究。共有280名学生参与。评估患者对COVID-19疫苗的相关知识、风险认知和态度。统计学检验采用SPSS统计方法,采用精确p值、Pearson卡方检验和二元Logistic回归分析接种意愿与社会人口统计学差异。结果:学生对新冠肺炎相关知识掌握程度中等。对COVID-19风险认知中等的学生中,想要接种疫苗的人数最多(n = 76, 51.0%)。有接种意向的占53% (n = 148)。二元logistic回归分析表明,学生家庭月收入对接种意愿有统计学显著影响。家庭月收入水平对学生接种意愿的沉积有预测作用(Exp [B] = 0.773, P < 0.001)。由于担心泰国目前可获得的COVID-19疫苗的副作用和有效性,大多数学生不打算接种COVID-19疫苗。因此,为提高学生对新型冠状病毒疫苗接种的接受程度,应提供更多高效的新型冠状病毒疫苗选择。结论:泰国政府应采取果断和迅速的行动解决疫苗短缺问题,以降低疫苗犹豫率,并给予泰国公民更多的疫苗品牌选择和更高水平的疫苗效力。疫苗的副作用是疫苗犹豫增加的原因之一。因此,如果泰国民众能够选择效力更高的疫苗,有关疫苗副作用的新闻就会少一些。政府应该开始教育和让人们了解副作用,以及副作用是否危及生命。
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引用次数: 0
Knowledge, attitude, and infection prevention: A study among high school students in Bangkok, Thailand 知识、态度与感染预防:泰国曼谷高中生的研究
Pub Date : 2021-01-01 DOI: 10.5455/jmsph.2021.08091202110102021
Tanatpong Anantawittayanon
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引用次数: 0
A study to assess knowledge, attitude, and practices regarding road safety among college students in Goa 一项评估果阿邦大学生道路安全知识、态度和实践的研究
Pub Date : 2021-01-01 DOI: 10.5455/IJMSPH.2020.02029202019012021
J. Cacodcar, Akshaya V Naik
Background: Road traffic accidents (RTAs) constitute leading cause of death among adolescents as well as young adults making it an important public health problem. Road traffic injuries are now the leading killer among people aged 5–29 years. Annually, roughly 400,000 youngsters under 25 years age succumb to death in a road traffic crash accounting to about 1049 youngsters every day. Knowing the rules and regulations regarding road safety forms an important aspect in preventing RTAs. Objective: This study aimed at assessing the knowledge, attitudes, and practices regarding road safety among college students. Materials and Methods: A cross-sectional study was conducted among 428 college students from B. Com, M. Com, BCA, BBA, and BA studying at Rosary College of Commerce and Arts, Navelim, Salcete, South Goa, using a pre-designed questionnaire to assess the awareness and practices regarding road safety. Sampling was done using census method. Results: Majority of the students were aged 20 years with female preponderance. Overall knowledge and attitude regarding road safety was good, however, it was seen that it was not well practiced. There was a statistically significant difference found between gender and some variables such as compulsory use of seatbelt and helmet, use of mobile phones while driving, and having a valid license for driving. The most common reasons for RTAs cited by the study participants were bad roads (45.4%), overspeeding (21.3%), and overtaking (19.4%). Conclusions: Bringing about behavior change regarding road safety measures through information, education, and communication activities and improving legislative measures of traffic rules will contribute in making people responsible citizens of the country which will eventually bring reduction in the sufferings and death due to RTAs.
背景:道路交通事故是青少年和青壮年死亡的主要原因,是一个重要的公共卫生问题。道路交通伤害现在是5至29岁人群的主要杀手。每年约有40万25岁以下的年轻人死于道路交通事故,相当于每天约有1049名年轻人。了解有关道路安全的规章制度是预防rta的重要方面。目的:本研究旨在了解大学生道路安全知识、态度及行为。材料与方法:采用预先设计的调查问卷,对南果阿纳韦利姆、萨尔塞特、南果阿Rosary商业与艺术学院的428名学生进行了横断面研究,他们分别来自b.com、m.com、BCA、BBA和BA。抽样采用普查方法。结果:学生年龄以20岁为主,女性居多。总的来说,关于道路安全的知识和态度是好的,但是,人们看到这一点没有得到很好的实践。性别与强制使用安全带和头盔、驾驶时使用手机、持有有效驾驶执照等变量之间存在统计学上的显著差异。研究参与者提到的最常见的rta原因是糟糕的道路(45.4%),超速(21.3%)和超车(19.4%)。结论:通过信息、教育和沟通活动带来道路安全措施方面的行为改变,并改善交通规则的立法措施,将有助于使人们成为负责任的国家公民,最终减少rta造成的痛苦和死亡。
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引用次数: 2
The effect of coronavirus disease-19 lockdown on the incidence and profile of penetrating ocular injuries 冠状病毒covid -19封锁对穿透性眼损伤发生率和特征的影响
Pub Date : 2021-01-01 DOI: 10.5455/ijmsph.2021.07066202118072021
Aakanksha Gupta, J. Manoher
Background: Perforating ocular injuries in particular carry a high risk of visual morbidity in all age groups. Risk factors associated with ocular trauma include gender, age, occupation, and lower socioeconomic status. Eye injuries are causing a major concern to the general ophthalmologists both in the developed and developing countries. Objective: The objective of this article is to study the profile of penetrating ocular injuries before and during the period of lockdown. Materials and Methods: A study was done to make a comparative analysis of the penetrating ocular injuries occurring during the period of lockdown of 3 months (April 1, 2020–June 30, 2020) and 3 months (January 1, 2020–March 31, 2020) before lockdown. Results: The study included 33 patients hospitalized before lockdown and 45 hospitalizations during the lockdown in all age groups. Injuries were more common in males. The injuries reported in the age group of 0–15 years before lockdown were 36.36% while during lockdown 60% injuries were observed. Modes of injuries reported before lockdown were indoor injuries (36.36%) and road traffic accidents (36.36%) while during lockdown, the major mode of injuries were indoor injuries (76.6%) whereas the road traffic accidents (10.0%) declined. Conclusion: During the lockdown, indoor injuries were more common in comparison to the outdoor injuries such as road traffic accidents, the latter being more prevalent before lockdown. During lockdown, increase in the indoor leisure activities of children led to a rise in the cases of eye injuries and an increase of almost double the number was observed. In addition to this, immobilization led to a decrease in the injuries due to road traffic accidents. The coronavirus disease-19 lockdown did have an impact on the profile of penetrating ocular injuries.
背景:在所有年龄组中,尤其是眼穿孔损伤具有很高的视力发病率风险。与眼外伤相关的危险因素包括性别、年龄、职业和较低的社会经济地位。无论是在发达国家还是在发展中国家,眼损伤都是普通眼科医生关注的主要问题。目的:研究闭锁前和闭锁期间穿透性眼损伤的概况。材料与方法:对封锁3个月(2020年4月1日至2020年6月30日)和封锁前3个月(2020年1月1日至2020年3月31日)发生的穿透性眼损伤进行对比分析。结果:该研究包括所有年龄组封锁前住院的33名患者和封锁期间住院的45名患者。受伤在男性中更为常见。在封锁前0 - 15岁年龄组报告的损伤为36.36%,而在封锁期间观察到60%的损伤。封锁前报告的伤害模式为室内伤害(36.36%)和道路交通事故(36.36%),封锁期间报告的伤害模式主要为室内伤害(76.6%),道路交通事故(10.0%)下降。结论:在封锁期间,室内伤害比道路交通事故等室外伤害更为常见,后者在封锁前更为普遍。在封锁期间,儿童室内休闲活动的增加导致眼睛受伤的病例增加,观察到的数量几乎增加了一倍。除此之外,不能动还减少了道路交通事故造成的伤害。冠状病毒covid -19的封锁确实对穿透性眼部损伤的情况产生了影响。
{"title":"The effect of coronavirus disease-19 lockdown on the incidence and profile of penetrating ocular injuries","authors":"Aakanksha Gupta, J. Manoher","doi":"10.5455/ijmsph.2021.07066202118072021","DOIUrl":"https://doi.org/10.5455/ijmsph.2021.07066202118072021","url":null,"abstract":"Background: Perforating ocular injuries in particular carry a high risk of visual morbidity in all age groups. Risk factors associated with ocular trauma include gender, age, occupation, and lower socioeconomic status. Eye injuries are causing a major concern to the general ophthalmologists both in the developed and developing countries. Objective: The objective of this article is to study the profile of penetrating ocular injuries before and during the period of lockdown. Materials and Methods: A study was done to make a comparative analysis of the penetrating ocular injuries occurring during the period of lockdown of 3 months (April 1, 2020–June 30, 2020) and 3 months (January 1, 2020–March 31, 2020) before lockdown. Results: The study included 33 patients hospitalized before lockdown and 45 hospitalizations during the lockdown in all age groups. Injuries were more common in males. The injuries reported in the age group of 0–15 years before lockdown were 36.36% while during lockdown 60% injuries were observed. Modes of injuries reported before lockdown were indoor injuries (36.36%) and road traffic accidents (36.36%) while during lockdown, the major mode of injuries were indoor injuries (76.6%) whereas the road traffic accidents (10.0%) declined. Conclusion: During the lockdown, indoor injuries were more common in comparison to the outdoor injuries such as road traffic accidents, the latter being more prevalent before lockdown. During lockdown, increase in the indoor leisure activities of children led to a rise in the cases of eye injuries and an increase of almost double the number was observed. In addition to this, immobilization led to a decrease in the injuries due to road traffic accidents. The coronavirus disease-19 lockdown did have an impact on the profile of penetrating ocular injuries.","PeriodicalId":14153,"journal":{"name":"International Journal of Medical Science and Public Health","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84022458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An analysis of Sri Lankan government policies for prevention and control of non-communicable diseases and its risk factors 对斯里兰卡政府预防和控制非传染性疾病及其风险因素的政策进行分析
Pub Date : 2021-01-01 DOI: 10.5455/IJMSPH.2021.01012202110032021
S. Ranasinghe, N. Gunawardena
{"title":"An analysis of Sri Lankan government policies for prevention and control of non-communicable diseases and its risk factors","authors":"S. Ranasinghe, N. Gunawardena","doi":"10.5455/IJMSPH.2021.01012202110032021","DOIUrl":"https://doi.org/10.5455/IJMSPH.2021.01012202110032021","url":null,"abstract":"","PeriodicalId":14153,"journal":{"name":"International Journal of Medical Science and Public Health","volume":"32 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85620159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Compliance assessment with tobacco control regulations at wheelchair-based tobacco Point of sale in Delhi, India 在印度德里的轮椅烟草销售点对烟草控制法规的遵守情况进行评估
Pub Date : 2021-01-01 DOI: 10.4103/JNCD.JNCD_76_20
S. Kapoor, Shammi Kumar, Renu Sharma, A. Pandey, RanaJ Singh
{"title":"Compliance assessment with tobacco control regulations at wheelchair-based tobacco Point of sale in Delhi, India","authors":"S. Kapoor, Shammi Kumar, Renu Sharma, A. Pandey, RanaJ Singh","doi":"10.4103/JNCD.JNCD_76_20","DOIUrl":"https://doi.org/10.4103/JNCD.JNCD_76_20","url":null,"abstract":"","PeriodicalId":14153,"journal":{"name":"International Journal of Medical Science and Public Health","volume":"40 1","pages":"38"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81390639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Knowledge, attitudes, and preventive behaviors toward pathogens transmission: A study among Grade 10-12 students of Mahidol University International Demonstration School at Nakhon Pathom 对病原体传播的知识、态度和预防行为:一项对Nakhon Pathom玛希隆大学国际示范学校10-12年级学生的研究
Pub Date : 2021-01-01 DOI: 10.5455/ijmsph.2021.06048202118062021
Supakarn Vathanakitanond, Kanyapak Udom
Background: It is important for humans to protect themselves from the pathogens because when there are pathogens inside the bodies, it means that our bodies will be weaker which results in inability to work. Getting infected by a disease does not only cause the problems to the individual but it also results in affecting the life of a whole human population. First of all, effective infection prevention will help minimize the risk of infection transmission between people. One of the largest causes of this transmission is pandemic disease. Pandemics disease is widely spread all over the world. This would lead to economic, social, and political disruption. Objective: The purpose of this study was to assess knowledge, attitudes, and behavior about pathogens among high school students. Materials and Methods: The study was conducted during January 2021–April 2021, all students and teachers from Mahidol University International Demonstration School were invited to participate in completing an online questionnaire. A total of 213 students participated. Differences between outcomes and sociodemographics were analyzed through independent t-test and the ANOVA. A generalized linear model was calculated to determine the predictive variables of preventive behaviors. Results: Students revealed low knowledge on preventing transmission of pathogens, scored 2.07 (SD = 1.12) points in a total of 5 points, good attitude toward preventive behavior, 10.75 in a total of 15 questions (SD = 1.67), and low preventive behavior by scoring the average score of 14.55 (SD = 2.32) out of 20 questions. From Pearson’s correlation efficient test, the finding indicated that knowledge about pathogens prevention and the preventive behavior has no correlation (P = 0.01). The attitude toward preventive behaviors of pathogens either has no correlation with the preventive behaviors (P = 0.01). The knowledge about pathogens prevention had positive correlation with the attitude toward pathogens prevention (r = 213, P = 0.01). Statistically tested by generalized linear regression model, knowledge about pathogens prevention, and attitude toward preventive behavior cannot predict the adoption of those preventive behaviors. Conclusion: This study provides useful data to plan health education training about transmission of pathogens among high school students. The consistency in knowledge and attitude training by schools in preventive campaigns is essential to promote good preventive behaviors.
背景:对人类来说,保护自己免受病原体的侵害是很重要的,因为当体内有病原体时,这意味着我们的身体会变弱,导致无法工作。感染一种疾病不仅会给个人带来问题,而且还会影响整个人类的生活。首先,有效的感染预防将有助于最大限度地减少人与人之间感染传播的风险。这种传播的最大原因之一是大流行性疾病。流行病在世界各地广泛传播。这将导致经济、社会和政治的混乱。目的:了解高中学生对病原体的知识、态度和行为。材料和方法:该研究于2021年1月至2021年4月进行,邀请玛希隆大学国际示范学校的所有学生和教师参与完成在线问卷。共有213名学生参加。通过独立t检验和方差分析分析结果与社会人口统计学的差异。计算广义线性模型,确定预防行为的预测变量。结果:学生对预防病原体传播知识的认知程度较低,总分为5分,得分为2.07分(SD = 1.12);对预防行为的态度较好,总分为15题,得分为10.75分(SD = 1.67); 20题,平均得分为14.55分(SD = 2.32),预防行为较低。Pearson相关效率检验结果显示,病原菌预防知识与预防行为无相关性(P = 0.01)。对病原体预防行为的态度与预防行为无相关性(P = 0.01)。病原菌预防知识与病原菌预防态度呈正相关(r = 213, P = 0.01)。经广义线性回归模型统计检验,病原体预防知识和预防行为态度不能预测预防行为的采取。结论:本研究为规划中学生病原体传播的健康教育培训提供了有益的数据。学校在预防活动中的知识和态度培训的一致性对于促进良好的预防行为至关重要。
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引用次数: 1
Non-suicidal self-injury: Demographics, self-harm events, characteristics, and reasons 非自杀性自伤:人口统计学,自伤事件,特征和原因
Pub Date : 2021-01-01 DOI: 10.5455/IJMSPH.2021.03023202117032021
Iman Haji, A. Ansari, W. Sharbati, A. Sabbagh, Aysha Muqahwi
{"title":"Non-suicidal self-injury: Demographics, self-harm events, characteristics, and reasons","authors":"Iman Haji, A. Ansari, W. Sharbati, A. Sabbagh, Aysha Muqahwi","doi":"10.5455/IJMSPH.2021.03023202117032021","DOIUrl":"https://doi.org/10.5455/IJMSPH.2021.03023202117032021","url":null,"abstract":"","PeriodicalId":14153,"journal":{"name":"International Journal of Medical Science and Public Health","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82317840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of neurodynamic techniques on radiating symptoms and mechanosensitivity of neural tissue in subjects with lumbosacral radiculopathy: A double-blind randomized controlled trial 神经动力学技术对腰骶神经根病患者放射症状和神经组织力学敏感性的影响:一项双盲随机对照试验
Pub Date : 2021-01-01 DOI: 10.5455/ijmsph.2021.07074202127082021
Mohit Shah, N. Soni
Background: Lumbosacral radiculopathy has a prevalence ranging from 1.2% to 43%. It is associated with altered mechanosensitivity of the neural tissue and symptoms of pain and paresthesia radiating to the lower extremity. Neurodynamic techniques described by Shacklock have shown beneficial results clinically in subjects with radiculopathy. However, there is lack of research on systematic protocol of neurodynamic techniques in lower limb radiculopathy. Objectives: The objectives of the present study were to evaluate the effect of neurodynamic techniques including treatment of neural tissues and interface dysfunctions as advocated by Michael Shacklock. Materials and Methods: A double-blind randomized controlled trial on 108 subjects with lumbosacral radiculopathy was conducted using computer generated block randomization after taking ethics approval. They were divided into two equal groups of 54. The treatment for both groups was given in six sessions, thrice a week for 2 weeks. Interventional group received neurodynamic techniques based on diagnosis of neural and interface dysfunctions and control group received sham neurodynamic techniques. Both groups additionally received hydrocollator packs for 20 min and 10 repetitions of isometric back exercises. The outcome measures were Sciatica Bothersomeness Index and Sciatica Frequency Index for Bothersomeness and frequency of radiating symptoms, pain site codes on overlay template for centralization of radiating symptoms and active knee extension range of motion in slump posture using universal goniometer for mechanosensitivity of neural tissue. The outcome assessor and the subjects were blinded to the treatment allocation. Results: Wilcoxon signed-ranks test showed a statistically significant difference in all the outcome measures in both groups (P < 0.05). Mann–Whitney U-test showed that the interventional group had better improvement compared to the control group (P < 0.05). Conclusion: Neurodynamic techniques are effective in reducing the Bothersomeness and frequency of radiating symptoms, producing centralization, and reducing mechanosensitivity of the neural tissue in subjects with lumbosacral radiculopathy.
背景:腰骶神经根病的患病率从1.2%到43%不等。它与神经组织的机械敏感性改变以及放射到下肢的疼痛和感觉异常症状有关。由Shacklock描述的神经动力学技术在神经根病患者的临床治疗中显示出有益的结果。然而,关于神经动力学技术治疗下肢神经根病的系统方案研究尚缺乏。目的:本研究的目的是评估Michael Shacklock倡导的神经动力学技术的效果,包括治疗神经组织和界面功能障碍。材料与方法:对108例腰骶神经根病患者进行双盲随机对照试验,经伦理批准,采用计算机生成块随机法。他们被分成两组,每组54人。两组治疗分6次进行,每周三次,持续2周。介入组在诊断神经和界面功能障碍的基础上采用神经动力学技术,对照组采用假神经动力学技术。另外,两组患者均接受20分钟的水整理包和10次等长背部运动。结果测量为坐骨神经痛疼痛指数和坐骨神经痛频率指数测量放射症状的疼痛和频率,覆盖模板上的疼痛部位编码测量放射症状的集中程度,以及用通用角计测量神经组织的机械敏感性,测量塌陷体位时膝关节主动伸展活动度。结果评估者和受试者对治疗分配不知情。结果:经Wilcoxon sign -rank检验,两组患者各项转归指标差异均有统计学意义(P < 0.05)。Mann - Whitney u检验显示,干预组较对照组有更好的改善(P < 0.05)。结论:神经动力学技术可有效减少腰骶神经根病患者放射症状的困扰和频率,产生集中,降低神经组织的机械敏感性。
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引用次数: 0
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International Journal of Medical Science and Public Health
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