Pub Date : 2024-07-02DOI: 10.15406/ipmrj.2024.09.00379
Hiroyuki Maeda, Mutsuhiro Maeda, Takahiro Maeda
Purpose: Using Fast-Acting Sub-Perception (FAST) and Contour Therapy, new stimulation settings for spinal cord stimulation therapy, we investigated whether patients with low back and leg pain were able to run after surgery in Japan. Method: Spinal cord stimulation trial was conducted from 2023 to 2024 and a prospective study was conducted. Fifteen patients (6 male, 9 female) were evaluated on whether they could run after spinal cord stimulation therapy using the average walking time (seconds) when walking 210 cm and the Numerical Rating Scale (NRS) for pain assessment. Patient satisfaction was rated on a 5-point scale, with 5 being very satisfied, 4 somewhat satisfied, 3 normal, 2 somewhat dissatisfied, and 1 very dissatisfied. Sleep quality was rated on a 10-point scale. Statistical t-test was used and P < 0.01 was considered a significant difference. Results: The NRS showed improvement from 10 to 2.72. The average walking time was 3.48 seconds faster. Regarding patient satisfaction, 11 patients were very satisfied, 2 somewhat satisfied, 1 normal, and 1 somewhat dissatisfied. Sleep quality (good 10 to poor 0) improved from an average of 4.8 to 7.3. Twelve patients were able to run. Significant differences were found. Discussion: FAST and Contour stimulation, new stimulation settings in spinal cord stimulation therapy, improved not only low back and leg pain, but also walking ability and sleep quality. We believe that patients feel more motivated and ultimately patients are able to run and patient satisfaction increase. As a new evaluation of spinal cord stimulation therapy, whether patients will be able to run should also be considered in the future.
{"title":"Clinical outcomes of running with FAST and contour stimulation in the spinal cord stimulation therapy trial only in Japan","authors":"Hiroyuki Maeda, Mutsuhiro Maeda, Takahiro Maeda","doi":"10.15406/ipmrj.2024.09.00379","DOIUrl":"https://doi.org/10.15406/ipmrj.2024.09.00379","url":null,"abstract":"Purpose: Using Fast-Acting Sub-Perception (FAST) and Contour Therapy, new stimulation settings for spinal cord stimulation therapy, we investigated whether patients with low back and leg pain were able to run after surgery in Japan. Method: Spinal cord stimulation trial was conducted from 2023 to 2024 and a prospective study was conducted. Fifteen patients (6 male, 9 female) were evaluated on whether they could run after spinal cord stimulation therapy using the average walking time (seconds) when walking 210 cm and the Numerical Rating Scale (NRS) for pain assessment. Patient satisfaction was rated on a 5-point scale, with 5 being very satisfied, 4 somewhat satisfied, 3 normal, 2 somewhat dissatisfied, and 1 very dissatisfied. Sleep quality was rated on a 10-point scale. Statistical t-test was used and P < 0.01 was considered a significant difference. Results: The NRS showed improvement from 10 to 2.72. The average walking time was 3.48 seconds faster. Regarding patient satisfaction, 11 patients were very satisfied, 2 somewhat satisfied, 1 normal, and 1 somewhat dissatisfied. Sleep quality (good 10 to poor 0) improved from an average of 4.8 to 7.3. Twelve patients were able to run. Significant differences were found. Discussion: FAST and Contour stimulation, new stimulation settings in spinal cord stimulation therapy, improved not only low back and leg pain, but also walking ability and sleep quality. We believe that patients feel more motivated and ultimately patients are able to run and patient satisfaction increase. As a new evaluation of spinal cord stimulation therapy, whether patients will be able to run should also be considered in the future.","PeriodicalId":336722,"journal":{"name":"International Physical Medicine & Rehabilitation Journal","volume":"20 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141684769","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}
Pub Date : 2024-05-10DOI: 10.15406/ipmrj.2024.09.00376
Maria Eduarda Sales Rocha, Lívia Nogueira Moreira, Maria Júlia Justino Pimenta, Larissa Vitória Polississo, J. P. Pagnossa, Luciana Vasconcelos
An alternative option to conventional cigarettes, electronic cigarettes are being presented as a new habit, especially among the young population. Offering flavors and high concentrations of nicotine, it has already established itself as a choice among teenagers and young people. Since 2019, lung diseases have been described and associated with electronic cigarette use, but data is still scarce. Thus, this review aims to aggregate data on the effects of electronic cigarettes on the respiratory and nervous systems, becoming a source for new research or information for the population.
{"title":"Anatomophysiological repercussions of the electronic cigarette with emphasis on the respiratory and nervous systems: a narrative review","authors":"Maria Eduarda Sales Rocha, Lívia Nogueira Moreira, Maria Júlia Justino Pimenta, Larissa Vitória Polississo, J. P. Pagnossa, Luciana Vasconcelos","doi":"10.15406/ipmrj.2024.09.00376","DOIUrl":"https://doi.org/10.15406/ipmrj.2024.09.00376","url":null,"abstract":"An alternative option to conventional cigarettes, electronic cigarettes are being presented as a new habit, especially among the young population. Offering flavors and high concentrations of nicotine, it has already established itself as a choice among teenagers and young people. Since 2019, lung diseases have been described and associated with electronic cigarette use, but data is still scarce. Thus, this review aims to aggregate data on the effects of electronic cigarettes on the respiratory and nervous systems, becoming a source for new research or information for the population.","PeriodicalId":336722,"journal":{"name":"International Physical Medicine & Rehabilitation Journal","volume":" 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141128883","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}
Pub Date : 2024-04-10DOI: 10.15406/ipmrj.2024.09.00373
Hiroyuki Maeda, Mutsuhiro Maeda, Takahiro Maeda
Objective: Orthopedic surgeons commonly encounter patients with low back pain and leg pain. Despite conservative treatment, which may involve the use of weak opioids or NSAIDs, some patients do not experience improvement and may require increased dosages, contributing to concerns about opioid overuse overseas. Spinal cord stimulation (SCS) therapy, which can be trialed without surgical intervention, offers a potential treatment option. We evaluated Inceptiv (Medtronic), a generator that allows new stimulation settings using evoked compound action potentials (ECAPs)-controlled Closed-Loop technology. Methods: We evaluated six patients (four females, two males) who underwent implantation of the Inceptiv generator for SCS therapy. The average walking time (seconds) during a 2.1-meter walk and pain assessment using the Numerical Rating Scale (NRS) were conducted. Patient satisfaction was assessed using a 5-point scale: very satisfied (5), somewhat satisfied (4), neutral (3), somewhat dissatisfied (2), very dissatisfied. (1). Results: The average walking time improved from 11.8 seconds to 6.6 seconds, and the NRS score decreased from 7.6 to 4.2. Patient satisfaction was high, with four patients being very satisfied (5), one somewhat satisfied (4), and one neutral (3). Discussion: SCS therapy with Closed-Loop technology using the Inceptiv generator offers the potential to adjust electrical stimulation to minimize discomfort in daily activities and provide pain relief. It is considered a new treatment option for patients with common orthopedic conditions such as thoracolumbar compression fractures and lumbar spinal stenosis who suffer from chronic refractory pain in routine clinical practice.
{"title":"Outcomes of ECAP-controlled closed-loop spinal cord stimulation therapy in JAPAN: how to increase patient satisfaction with spinal cord stimulation","authors":"Hiroyuki Maeda, Mutsuhiro Maeda, Takahiro Maeda","doi":"10.15406/ipmrj.2024.09.00373","DOIUrl":"https://doi.org/10.15406/ipmrj.2024.09.00373","url":null,"abstract":"Objective: Orthopedic surgeons commonly encounter patients with low back pain and leg pain. Despite conservative treatment, which may involve the use of weak opioids or NSAIDs, some patients do not experience improvement and may require increased dosages, contributing to concerns about opioid overuse overseas. Spinal cord stimulation (SCS) therapy, which can be trialed without surgical intervention, offers a potential treatment option. We evaluated Inceptiv (Medtronic), a generator that allows new stimulation settings using evoked compound action potentials (ECAPs)-controlled Closed-Loop technology. Methods: We evaluated six patients (four females, two males) who underwent implantation of the Inceptiv generator for SCS therapy. The average walking time (seconds) during a 2.1-meter walk and pain assessment using the Numerical Rating Scale (NRS) were conducted. Patient satisfaction was assessed using a 5-point scale: very satisfied (5), somewhat satisfied (4), neutral (3), somewhat dissatisfied (2), very dissatisfied. (1). Results: The average walking time improved from 11.8 seconds to 6.6 seconds, and the NRS score decreased from 7.6 to 4.2. Patient satisfaction was high, with four patients being very satisfied (5), one somewhat satisfied (4), and one neutral (3). Discussion: SCS therapy with Closed-Loop technology using the Inceptiv generator offers the potential to adjust electrical stimulation to minimize discomfort in daily activities and provide pain relief. It is considered a new treatment option for patients with common orthopedic conditions such as thoracolumbar compression fractures and lumbar spinal stenosis who suffer from chronic refractory pain in routine clinical practice.","PeriodicalId":336722,"journal":{"name":"International Physical Medicine & Rehabilitation Journal","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140716738","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}
Pub Date : 2023-07-11DOI: 10.15406/ipmrj.2023.08.00350
K. Pushkala, PD Gupta
The microbiota regulates health and many diseases both infectious and metabolic. The makeup and density of intestinal microbiota can be influenced by diet and therefore, they play a major role in the development of obesity by regulating energy metabolism. Recent evidence, primarily from investigations from animal models, suggests that the gut microbiota affects nutrient acquisition and energy regulation. Gut microbiota regulates obesity by regulating energy absorption, central appetite, fat storage, chronic inflammation, and circadian rhythms. Several members of phylum Proteobacteria, were reported to be obesity-associated. Among non-antibiotic therapeutic method, the faecal microbiota transfer technology seems to be one of the effective therapeutic and management techniques to treat and/or manage some of the metabolic disorders in particular obesity.
{"title":"Management of obesity and other metabolic disorders through faecal microbiota transplant technology","authors":"K. Pushkala, PD Gupta","doi":"10.15406/ipmrj.2023.08.00350","DOIUrl":"https://doi.org/10.15406/ipmrj.2023.08.00350","url":null,"abstract":"The microbiota regulates health and many diseases both infectious and metabolic. The makeup and density of intestinal microbiota can be influenced by diet and therefore, they play a major role in the development of obesity by regulating energy metabolism. Recent evidence, primarily from investigations from animal models, suggests that the gut microbiota affects nutrient acquisition and energy regulation. Gut microbiota regulates obesity by regulating energy absorption, central appetite, fat storage, chronic inflammation, and circadian rhythms. Several members of phylum Proteobacteria, were reported to be obesity-associated. Among non-antibiotic therapeutic method, the faecal microbiota transfer technology seems to be one of the effective therapeutic and management techniques to treat and/or manage some of the metabolic disorders in particular obesity.","PeriodicalId":336722,"journal":{"name":"International Physical Medicine & Rehabilitation Journal","volume":"32 5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139360520","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}
Pub Date : 2023-07-07DOI: 10.15406/ipmrj.2023.08.00349
Milena Soares Lima, Eliane Gouveia de Morais Sanchez, Hugo Machado Sanchez
Neck pain is associated with factors such as sudden exertion, inappropriate postures, emotional issues and bad lifestyle habits. For this reason, physiotherapists use electro-electronic equipment that emits electromagnetic radiation to treat cervical dysfunctions. The aim of this study was to present the applicability of therapeutic electrical currents in the treatment of neck pain. This is bibliographical research, with a search in online libraries in the following databases: SciELO (Scientific Electronic Library Online), Portal of the Coordination for the Improvement of Higher Education Personnel (Capes), US National Library of Medicine National institutes of Health (Pubmed), in addition to Classic books. For the search and analysis of the studies, the following Health Sciences Descriptors (DeCS) were evaluated and used: TENS and neck pain; Neck pain and Electric currents; Functional electrical stimulation and neck pain; combined with Boolean operators (OR and AND). The eligibility criteria for the selection of articles were: articles in Portuguese and English; published in the period from 2012 to 2022; randomized controlled clinical trials and non-controlled studies, applied in a human model. The study reveals that among the main types of therapies used for cervical pain, Transcutaneous Electrical Nerve Stimulation (TENS) was the one that presented the most positive results, according to the studies revisited. It was verified, through the analyzed survey, that the increase of electrotherapy to physiotherapy can potentiate the conducts, especially to relieve pain in cases of acute and chronic neck pain.
{"title":"Therapeutic electric currents in the treatment of cervicalgy: integrative review","authors":"Milena Soares Lima, Eliane Gouveia de Morais Sanchez, Hugo Machado Sanchez","doi":"10.15406/ipmrj.2023.08.00349","DOIUrl":"https://doi.org/10.15406/ipmrj.2023.08.00349","url":null,"abstract":"Neck pain is associated with factors such as sudden exertion, inappropriate postures, emotional issues and bad lifestyle habits. For this reason, physiotherapists use electro-electronic equipment that emits electromagnetic radiation to treat cervical dysfunctions. The aim of this study was to present the applicability of therapeutic electrical currents in the treatment of neck pain. This is bibliographical research, with a search in online libraries in the following databases: SciELO (Scientific Electronic Library Online), Portal of the Coordination for the Improvement of Higher Education Personnel (Capes), US National Library of Medicine National institutes of Health (Pubmed), in addition to Classic books. For the search and analysis of the studies, the following Health Sciences Descriptors (DeCS) were evaluated and used: TENS and neck pain; Neck pain and Electric currents; Functional electrical stimulation and neck pain; combined with Boolean operators (OR and AND). The eligibility criteria for the selection of articles were: articles in Portuguese and English; published in the period from 2012 to 2022; randomized controlled clinical trials and non-controlled studies, applied in a human model. The study reveals that among the main types of therapies used for cervical pain, Transcutaneous Electrical Nerve Stimulation (TENS) was the one that presented the most positive results, according to the studies revisited. It was verified, through the analyzed survey, that the increase of electrotherapy to physiotherapy can potentiate the conducts, especially to relieve pain in cases of acute and chronic neck pain.","PeriodicalId":336722,"journal":{"name":"International Physical Medicine & Rehabilitation Journal","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139362102","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}
Pub Date : 2023-05-16DOI: 10.15406/ipmrj.2023.08.00345
A. Fogliata, Alessandra Garassino
The purpose of this study was to evaluate the effectiveness of general proprioception (Sincrony method) as an integrative tool for functional recovery in young athletes who had suffered a grade 2 ankle sprain. The study was a case report conducted on a 13-year-old athlete, G.P., and a same-aged, history, and sport-role-matched control athlete (both left-side attackers). Both athletes had suffered a similar injury in the dynamics of landing from a jump with eversion of the right ankle, about 65 days apart. They had the same hospital and medical prognosis, but only one was proposed a general proprioceptive work protocol with attention focused on the injury and consequent increase in blood flow during the complete stop phase following the injury. The athletes were evaluated using the Five Step Test at three different times during the inactive period before the start of functional recovery. The tests applied, like the chosen inventory exercise, were selected to isolate the physiological component as much as possible from the psychological ones. Although not statistically significant, the results showed a drastic improvement in the athlete who integrated the medical protocol with the proprioceptive one, suggesting the development of new studies in this field.
{"title":"Preliminary study on the potential benefits of proprioceptive activity in functional recovery:comparison between two athletes affected by ankle sprain","authors":"A. Fogliata, Alessandra Garassino","doi":"10.15406/ipmrj.2023.08.00345","DOIUrl":"https://doi.org/10.15406/ipmrj.2023.08.00345","url":null,"abstract":"The purpose of this study was to evaluate the effectiveness of general proprioception (Sincrony method) as an integrative tool for functional recovery in young athletes who had suffered a grade 2 ankle sprain. The study was a case report conducted on a 13-year-old athlete, G.P., and a same-aged, history, and sport-role-matched control athlete (both left-side attackers). Both athletes had suffered a similar injury in the dynamics of landing from a jump with eversion of the right ankle, about 65 days apart. They had the same hospital and medical prognosis, but only one was proposed a general proprioceptive work protocol with attention focused on the injury and consequent increase in blood flow during the complete stop phase following the injury. The athletes were evaluated using the Five Step Test at three different times during the inactive period before the start of functional recovery. The tests applied, like the chosen inventory exercise, were selected to isolate the physiological component as much as possible from the psychological ones. Although not statistically significant, the results showed a drastic improvement in the athlete who integrated the medical protocol with the proprioceptive one, suggesting the development of new studies in this field.","PeriodicalId":336722,"journal":{"name":"International Physical Medicine & Rehabilitation Journal","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126100749","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}
Pub Date : 2023-05-02DOI: 10.15406/ipmrj.2023.08.00344
Mohammad Habibur Rahman
{"title":"Rehabilitation of cerebral palsy and need for collaborative assessment using rehabilitation problem solving (RPS) form","authors":"Mohammad Habibur Rahman","doi":"10.15406/ipmrj.2023.08.00344","DOIUrl":"https://doi.org/10.15406/ipmrj.2023.08.00344","url":null,"abstract":"","PeriodicalId":336722,"journal":{"name":"International Physical Medicine & Rehabilitation Journal","volume":"459 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123023387","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}
Pub Date : 2023-03-27DOI: 10.15406/ipmrj.2023.08.00343
Natasha M. Ganem
The present study reports a successful case of selective mutism in a four-year-old child. it goes according to the current literature that says that combined treatment (CBT + medication) and early intervention ensure a good prognosis.
{"title":"Selective mutism: report of a successful case","authors":"Natasha M. Ganem","doi":"10.15406/ipmrj.2023.08.00343","DOIUrl":"https://doi.org/10.15406/ipmrj.2023.08.00343","url":null,"abstract":"The present study reports a successful case of selective mutism in a four-year-old child. it goes according to the current literature that says that combined treatment (CBT + medication) and early intervention ensure a good prognosis.","PeriodicalId":336722,"journal":{"name":"International Physical Medicine & Rehabilitation Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124240992","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}
Background: Uncontrolled hypertension results in hypertension crisis, and it is an important public health concern around the world. The incidence of complicating hospitalizations with hypertension continues to grow and is associated with increased mortality and adverse discharge. Hypertension crisis and stroke are caused by numerous factors; however, there is a paucity of studies to identify determinants of hypertension crisis and stroke in Ethiopia, particularly the study area. Objective: To identify determinants of hypertension crisis and stroke among hypertensive patients in South Wollo zone and Oromia special zone public hospitals, 2022. Methods: An institution based cross-sectional study was conducted among 416 participants in South Wollo and Oromia special zones public hospitals. Systematic random sampling technique was used to select study participants. Data were entered into Epidata version 3.1 and analyzed using Statistical package for social sciences version 23. Variables having P<0.25 in binary logistic regression was retained in the multivariable analysis to control the effect of confounding. Finally, determinants were identified based on adjusted odds ratio along with 95% confidence level at p-value less than 0.05. Model fitness was checked using Hosmer-Lemshow test. Results: In this study, the magnitude of hypertensive crisis was 35.6%(95%CI:31.1,40.4). Age(41-60years)(AOR=0.76,95%CI:0.42,0.98), Social support(AOR=0.82,95%CI:0.41,0.93), living in urban(AOR=0.56,95%CI:0.24,0.86) and good medication adherence(AOR=0.48,95%CI:0.29,0.83) were determinants of hypertensive crisis. Another, the magnitude of stroke was 5.0%(95%CI:3.1,7.8). Rural residence (AOR=3.4,95%CI:1.23,9.44), Systolic blood pressure (AOR=9.6,95%CI:2.71,34.06), family history of stroke (AOR=0.26,95%CI:0.07,0.79) were determinants of stroke. Conclusion and recommendation: The magnitude of hypertensive crisis was high, whereas the magnitude of stroke was relatively low. Age 41-60 years, urban residence, having social support and good medication adherence were determinants of hypertensive crisis, while rural residence, systolic blood pressure and family history of stroke were determinants of stroke. Thus, health care providers should screen aged patients and patients with family history of stoke.
背景:高血压不受控制可导致高血压危像,这是世界范围内一个重要的公共卫生问题。高血压住院并发症的发生率持续增长,并与死亡率和不良出院增加有关。高血压危象和脑卒中是由多种因素引起的;然而,在埃塞俄比亚,特别是在研究地区,缺乏确定高血压危机和中风决定因素的研究。目的:探讨2022年南沃罗区和奥罗米亚特区公立医院高血压患者高血压危象和脑卒中的影响因素。方法:采用基于机构的横断面调查方法,对南沃罗和奥罗米亚特区公立医院的416名参与者进行调查。采用系统随机抽样方法选择研究对象。数据输入Epidata 3.1版本,使用Statistical package for social sciences version 23进行分析。在多变量分析中保留二元逻辑回归中P<0.25的变量,以控制混杂的影响。最后,根据调整后的优势比和p值小于0.05的95%置信水平确定决定因素。采用Hosmer-Lemshow检验模型适应度。结果:本组患者高血压危重程度为35.6%(95%CI:31.1,40.4)。年龄(41-60岁)(AOR=0.76,95%CI:0.42,0.98)、社会支持(AOR=0.82,95%CI:0.41,0.93)、居住在城市(AOR=0.56,95%CI:0.24,0.86)和良好的药物依从性(AOR=0.48,95%CI:0.29,0.83)是高血压危重症的决定因素。另一方面,卒中程度为5.0%(95%CI:3.1,7.8)。农村居住(AOR=3.4,95%CI:1.23,9.44)、收缩压(AOR=9.6,95%CI:2.71,34.06)、卒中家族史(AOR=0.26,95%CI:0.07,0.79)是卒中的决定因素。结论与建议:高血压危象的严重程度较高,而卒中的严重程度相对较低。41 ~ 60岁城市居住、社会支持和药物依从性是高血压危重的决定因素,农村居住、收缩压和卒中家族史是卒中的决定因素。因此,医疗保健提供者应该筛查老年患者和有家族病史的患者。
{"title":"Determinants of hypertension crisis and stroke among hypertensive patients in South Wollo and Oromia special zones public hospitals","authors":"Belachew Tegegne, Debernesh Goshiye, Zemen Mengesha, Mekuriaw Wuhib","doi":"10.15406/ipmrj.2023.08.00337","DOIUrl":"https://doi.org/10.15406/ipmrj.2023.08.00337","url":null,"abstract":"Background: Uncontrolled hypertension results in hypertension crisis, and it is an important public health concern around the world. The incidence of complicating hospitalizations with hypertension continues to grow and is associated with increased mortality and adverse discharge. Hypertension crisis and stroke are caused by numerous factors; however, there is a paucity of studies to identify determinants of hypertension crisis and stroke in Ethiopia, particularly the study area. Objective: To identify determinants of hypertension crisis and stroke among hypertensive patients in South Wollo zone and Oromia special zone public hospitals, 2022. Methods: An institution based cross-sectional study was conducted among 416 participants in South Wollo and Oromia special zones public hospitals. Systematic random sampling technique was used to select study participants. Data were entered into Epidata version 3.1 and analyzed using Statistical package for social sciences version 23. Variables having P<0.25 in binary logistic regression was retained in the multivariable analysis to control the effect of confounding. Finally, determinants were identified based on adjusted odds ratio along with 95% confidence level at p-value less than 0.05. Model fitness was checked using Hosmer-Lemshow test. Results: In this study, the magnitude of hypertensive crisis was 35.6%(95%CI:31.1,40.4). Age(41-60years)(AOR=0.76,95%CI:0.42,0.98), Social support(AOR=0.82,95%CI:0.41,0.93), living in urban(AOR=0.56,95%CI:0.24,0.86) and good medication adherence(AOR=0.48,95%CI:0.29,0.83) were determinants of hypertensive crisis. Another, the magnitude of stroke was 5.0%(95%CI:3.1,7.8). Rural residence (AOR=3.4,95%CI:1.23,9.44), Systolic blood pressure (AOR=9.6,95%CI:2.71,34.06), family history of stroke (AOR=0.26,95%CI:0.07,0.79) were determinants of stroke. Conclusion and recommendation: The magnitude of hypertensive crisis was high, whereas the magnitude of stroke was relatively low. Age 41-60 years, urban residence, having social support and good medication adherence were determinants of hypertensive crisis, while rural residence, systolic blood pressure and family history of stroke were determinants of stroke. Thus, health care providers should screen aged patients and patients with family history of stoke.","PeriodicalId":336722,"journal":{"name":"International Physical Medicine & Rehabilitation Journal","volume":"22 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132938869","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}
Pub Date : 2023-01-27DOI: 10.15406/ipmrj.2023.08.00335
Bitsoyev Vladimir Dodtievich
Optimal combination of drug therapy and physical factors increases the effectiveness of treatment and medical rehabilitation of patients. It is regrettable that search for methods of improvement of individual dosing of applied energies with approximation to the cellular level of dynamism (constant correction of parameters of applied physical factors during the whole period of treatment) and complex (in the presence of several diseases) treatment is conducted today obviously insufficiently. Perhaps this search is hampered by the current lack of a general theory of physiotherapy and imperfect classification of physical factors. In connection with this there appeared a necessity of development of principles and methods of comprehensive study of the action of physical methods in clinical conditions, and requirements for testing new apparatuses for physiotherapy increased sharply. The author of this direction was the outstanding scientist Vladimir Sergeyevich Ulashchik. In his opinion, creation of general theory of physiotherapy is one of the perspective tasks of scientific physiotherapy. It is known that since the end of XIX century the principles of neurovism and reflex theory have been the theoretical basis of domestic physiotherapy. Subsequently, to the reflex theory of the mechanism of healing action of the International Physical Medicine & Rehabilitation Journal Review Article Open Access external environment (natural and preformed physical factors) the influence of humoral and endocrine changes was added, but still with the leading principle of neurovism. It should be noted that there have always been doubts that the reflexive theory can fully explain all causes and consequences of the interaction of external physical factors with the human body. On this basis, “permanent” problems remained unresolved: • common and specific in the action of physical factors; • the selectivity of their action; • correlation of nervous and humoral, local and general, functional and morphologic3al at single and course application of physiotherapeutic influence; • inability to determine “dose-effect”; • the nature of the organism’s primary reactions to environmental influences; • the direction of the processes that predetermine the final result of the interaction between external physical factors and the whole organism; • realization of all potential possibilities of obtaining the maximum desired positive clinical effect in physiotherapy. Thanks to the tremendous advances in quantum mechanics (optics), chemistry, biology, supramolecular chemistry, and fiber-optic physics, it became necessary to review the mechanism of action of a physical factor and the response of the whole body in order to diagnose, prevent, treat, and rehabilitate patients. Quantum therapy emerged before our era, when man began to consciously apply “natural factors” for therapeutic purposes with controlling “verbal support and explanation”. With the subsequent development of scientific, technica
{"title":"The mechanism of interaction between natural physical factors and the holistic organism forms the basis of the general theory of physiotherapy","authors":"Bitsoyev Vladimir Dodtievich","doi":"10.15406/ipmrj.2023.08.00335","DOIUrl":"https://doi.org/10.15406/ipmrj.2023.08.00335","url":null,"abstract":"Optimal combination of drug therapy and physical factors increases the effectiveness of treatment and medical rehabilitation of patients. It is regrettable that search for methods of improvement of individual dosing of applied energies with approximation to the cellular level of dynamism (constant correction of parameters of applied physical factors during the whole period of treatment) and complex (in the presence of several diseases) treatment is conducted today obviously insufficiently. Perhaps this search is hampered by the current lack of a general theory of physiotherapy and imperfect classification of physical factors. In connection with this there appeared a necessity of development of principles and methods of comprehensive study of the action of physical methods in clinical conditions, and requirements for testing new apparatuses for physiotherapy increased sharply. The author of this direction was the outstanding scientist Vladimir Sergeyevich Ulashchik. In his opinion, creation of general theory of physiotherapy is one of the perspective tasks of scientific physiotherapy. It is known that since the end of XIX century the principles of neurovism and reflex theory have been the theoretical basis of domestic physiotherapy. Subsequently, to the reflex theory of the mechanism of healing action of the International Physical Medicine & Rehabilitation Journal Review Article Open Access external environment (natural and preformed physical factors) the influence of humoral and endocrine changes was added, but still with the leading principle of neurovism. It should be noted that there have always been doubts that the reflexive theory can fully explain all causes and consequences of the interaction of external physical factors with the human body. On this basis, “permanent” problems remained unresolved: • common and specific in the action of physical factors; • the selectivity of their action; • correlation of nervous and humoral, local and general, functional and morphologic3al at single and course application of physiotherapeutic influence; • inability to determine “dose-effect”; • the nature of the organism’s primary reactions to environmental influences; • the direction of the processes that predetermine the final result of the interaction between external physical factors and the whole organism; • realization of all potential possibilities of obtaining the maximum desired positive clinical effect in physiotherapy. Thanks to the tremendous advances in quantum mechanics (optics), chemistry, biology, supramolecular chemistry, and fiber-optic physics, it became necessary to review the mechanism of action of a physical factor and the response of the whole body in order to diagnose, prevent, treat, and rehabilitate patients. Quantum therapy emerged before our era, when man began to consciously apply “natural factors” for therapeutic purposes with controlling “verbal support and explanation”. With the subsequent development of scientific, technica","PeriodicalId":336722,"journal":{"name":"International Physical Medicine & Rehabilitation Journal","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133962948","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}