Effects of Fatigue Produced by Isokinetic Exercise on the Communication Ability of Aphasic Adults

1973 ◽  
Vol 16 (2) ◽  
pp. 222-230 ◽  
Author(s):  
Robert C. Marshall ◽  
Philip S. King
Keyword(s):  
Adverse Effect ◽  
Physical Therapy ◽  
Clinical Observation ◽  
Therapy Session ◽  
Isokinetic Exercise ◽  
Communicative Ability ◽  
Physical Therapy Session ◽  
Exercise Period ◽  
Communication Ability

The Porch Index of Communicative Ability (PICA) was administered to 16 aphasic adults following periods of isokinetic exercise and rest. Results support the previous clinical observation that fatigue, such as might be incurred in a typical physical therapy session, has an adverse effect upon aphasic patients' communication. Of the 16 subjects, 14 had lower overall PICA means following the exercise period, and overall group verbal, graphic, and PICA means were significantly lower when testing followed exercise than when testing followed rest.

scholarly journals Physical Therapist Treatment of Patients in the Neurological Intensive Care Unit: Description of Practice

2015 ◽  
Vol 95 (7) ◽  
pp. 1006-1014 ◽  
Author(s):  
Peter D. Sottile ◽  
Amy Nordon-Craft ◽  
Daniel Malone ◽  
Darcie M. Luby ◽  
Margaret Schenkman ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Physical Therapy ◽  
Physical Therapist ◽  
Icp Monitoring ◽  
Neurological Intensive Care Unit ◽  
Neurological Intensive Care ◽  
Physical Therapy Session ◽  
Therapy Sessions

Background Although studies have established the safety and feasibility of physical therapy in the critical care setting, minimal information about physical therapist practice in the neurological intensive care unit (NICU) is available. Objective This study describes physical therapists' treatment of people admitted to a NICU. Design People admitted to the NICU with a diagnosis of subarachnoid hemorrhage, subdural hematoma, intracranial hemorrhage, or trauma were retrospectively studied. Methods Data on patient demographics, use of mechanical ventilation, and intracranial pressure (ICP) monitoring were collected. For each physical therapy session, the length of the session, the location (NICU or post-NICU setting), and the presence of mechanical ventilation or ICP monitoring were recorded. Data on safety parameters, including vital sign response, falls, and dislodgement of lines, were collected. Results Over 1 year, 180 people were admitted to the NICU; 86 were evaluated by a physical therapist, for a total of 293 physical therapy sessions in the NICU (n=132) or post-NICU setting (n=161). Only one session (0.3%) was stopped, secondary to an increase in ICP. The first physical therapy session occurred on NICU day 3.0 (25%–75% interquartile range=2.0–6.0). Patients received a median of 3.4 sessions per week (25%–75% interquartile range=1.8–5.9). Patients with mechanical ventilation received less frequent physical therapy sessions than those without mechanical ventilation. Patients with ICP monitoring received less frequent sessions than those without ICP monitoring. However, after multivariate analysis, only the admission Glasgow Coma Score was independently associated with physical therapy frequency in the NICU. Patients were more likely to stand, transfer, and walk in the post-NICU setting than in the NICU. Limitations The results are limited by the retrospective, single-center nature of the study. There is inherent bias of evaluating only those patients who had physical therapy, and therapists were unable to completely adjust for the severity of illness of a given patient. Conclusions Physical therapy was performed safely in the NICU. Patients who required invasive support received less frequent physical therapy.

scholarly journals Online Games, Brain and Communication Ability

2019 ◽  
Vol 8 (6S) ◽  
pp. 732-734
Keyword(s):  
Literature Review ◽  
Physical Exercise ◽  
Cognitive Training ◽  
Online Games ◽  
Online Game ◽  
Negative Effects ◽  
Communicative Ability ◽  
Communication Ability ◽  
Teachers And Parents

This study outlines the literature relevant to the effects of online games issues and the positive and negative effects of online games on child brain and communicative ability. Recent study, online games are now increasingly used for purposes other that entertainment. These games play on role in fields as diverse as education, cognitive training, physical exercise, and rehabilitation. Using games, which is communicative essence are often considered effective in developing child communicative ability. In this review, the result from the literature review indicate a number of gaps in the present framework. As a result, can guide teachers and parents to be able to know the processes that occur in the online game for child.

Drug-induced agranulocytosis (clinical observation)

2021 ◽  
Vol 1 (30) ◽  
pp. 19-23
Author(s):  
N. A. Sokolova ◽  
L. V. Pozdnyakova ◽  
I. S. Tatarinova
Keyword(s):  
Adverse Effect ◽  
Clinical Observation ◽  
Granulocyte Colony Stimulating Factor ◽  
Colony Stimulating Factor ◽  
Drug Induced ◽  
Life Threatening ◽  
Inflammatory Drugs ◽  
Anti Inflammatory ◽  
Antithyroid Agents ◽  
Stimulating Factor

The majority of agranulocytosis cases are caused by drugs, including nonsteroidal anti-inflammatory drugs, antibiotics, antithyroid agents, etc. Here, we report a case of severe agranulocytosis in a 67-year-old woman following nonsteroidal anti-inflammatory therapy which was successfully managed using recombinant human granulocyte colony-stimulating factor. Although metamizole, has been in use since 1922 in the management of postoperative pain, colic pain, cancer pain and migraine, agranulocytosis as a direct side effect of metamizole therapy has been rarely reported. It is important to keep in mind this rare but potentially life-threatening adverse effect of metamizole, when initiating therapy.

Rehabilitation and Injections

2018 ◽  
pp. 323-340
Author(s):  
Joaquin Sanchez-Sotelo
Keyword(s):  
Adverse Effect ◽  
Physical Therapy ◽  
Local Anesthetic ◽  
Nonoperative Management ◽  
Physical Therapists ◽  
Pharmacological Agents ◽  
Imaging Guidance ◽  
Know How ◽  
Treatment Plans ◽  
Corticosteroid Injections

Rehabilitation modalities, particularly physical therapy exercises, are extremely important for the operative and nonoperative management of shoulder conditions. Shoulder surgeons must understand the principles of shoulder rehabilitation so that they can guide physical therapists and patients through treatment plans. Injections of local anesthetic, corticosteroids, or other pharmacological agents are used commonly in the diagnosis and treatment of shoulder conditions. Shoulder surgeons must know how to perform these injections (with and without imaging guidance); they must also be aware of the potential adverse effect of multiple corticosteroid injections to be able to inform patients and prevent unwanted sequelae.

scholarly journals Adverse effects associated to the application of ultrasound-guided percutaneous needle electrolysis

2019 ◽  
Vol 02 (02) ◽  
pp. 115-116
Author(s):  
Valera Garrido F. ◽  
Minaya Muñoz F. ◽  
Ramírez Martínez P. ◽  
Medina i Mirapeix F.
Keyword(s):  
Adverse Effect ◽  
Physical Therapy ◽  
Adverse Effects ◽  
Case Series ◽  
Lower Limbs ◽  
Ultrasound Guided ◽  
Post Intervention ◽  
Case Series Study ◽  
Degenerative Processes

Abstract Background Percutaneous needle electrolysis is a technique of invasive physical therapy which is increasingly used by physical therapists in their clinical practice. However, to date, no studies have analyzed the presence of adverse effects.The aim of the present study was to evaluate the incidence of adverse effects and the associated impact of the application of ultrasound-guided percutaneous needle electrolysis in disorders of the neuro-musculoskeletal system. Material and Method A prospective case series study was performed over a period of six months at the Sannus Clinic center (Madrid). A sample of patients was identified and recruited, and follow-up was performed up to six months after discharge. Initial information was collected regarding demographic data (age and sex) and clinical data (affected structure, area, type of pain and process associated to the pathology). During each of the sessions performed, percutaneous needle electrolysis was applied in an isolated manner and data were gathered on the treatment received, as well as the presence of any adverse effects. An adverse effect was considered as being any incident related with the application of percutaneous needle electrolysis which caused any damage, as perceived by both the patient and the physical therapist who applied the treatment. The type of adverse effect was recorded (pain, bleeding, hematoma, post-intervention vegetative reactions [sweating, pallor, abdominal discomfort], syncope, skin lesions, damage to organs, nerve lesions, pneumothorax, metal allergy), the moment these appeared (during application, after application, days after the application), its severity (transitory (<48h), reversible (resolved at discharge), irreversible), its impact (did not require any specific intervention, required an additional specific physical therapy intervention, required intervention from medical staff (without hospitalization), and cause (insufficient skill with the technique, malpractice, inappropriate protocol). The adverse effects were classified as mild or severe depending on whether or not an intervention was required. Results 214 patients (60.7% men; 39.3% women) received a total of 772 sessions, the mean number (and standard deviation) of sessions was 3.6 (1.1). The totality of patients treated with ultrasound-guided percutaneous electrolysis received more than one session, according to the methodology described by Valera & Minaya. The main reasons for consultation were tendinous pathologies (70.5%), muscle pathologies (11.7%), ligaments (6.5%), joint capsule-synovia (5.6%), nerve entrapments (4.2%) and others (1.4%). Degenerative processes were more common than acute inflammatory processes. The greatest incidence was in the lower limbs. Degenerative processes were significantly more frequent than tendinous problems. During the 772 sessions of ultrasound-guided percutaneous needle electrolysis, the most common adverse effects were pain during the intervention (96.1%) and in the days following treatment (71.1%), as well as mild vasovagal responses post-intervention (80.1%). One syncope was recorded (0.13%). All the effects were transitory and without impact. No hematomas were detected in the days after a mild bleeding, when this occurred (9.3%). Interventions were performed on the thorax in 1.5% of the procedures, close to organs (0.5%) or close to peripheral nerves (4.2%) without any adverse effect. In the 6-week follow-up after discharge no adverse effects were detected. Conclusions Percutaneous needle electrolysis is a safe technique. The adverse effects provoked by the application of percutaneous needle electrolysis are mild, transitory, without impact on the person's health and following a homogenous pattern. The pain and the mild vasovagal response associated with the intervention are frequent and inherent to the stimulus generated by the needling and the electric current employed.

scholarly journals Development of the Rat Model of Lapatinib-Induced Diarrhoea

Scientifica ◽  
2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Joanne M. Bowen
Keyword(s):  
Adverse Effect ◽  
Targeted Therapy ◽  
Tyrosine Kinase ◽  
Tyrosine Kinase Inhibitors ◽  
Rat Model ◽  
Kinase Inhibitors ◽  
Clinical Observation ◽  
Clinically Significant ◽  
Egfr Tki

Targeted therapy of cancer is often associated with clinically significant diarrhoea; however, the mechanisms underpinning this adverse effect are currently unknown. Diarrhoea following treatment with tyrosine kinase inhibitors (TKIs) of EGFR is particularly troublesome. Until recently, understanding of EGFR TKI-induced diarrhoea has been limited to clinical observation. However, our group has recently developed the first rat model of EGFR TKI-induced diarrhoea. This paper reviews the published and unpublished findings.

scholarly journals Pharmacotherapy of Essential Tremor

2013 ◽  
Vol 5 ◽  
pp. JCNSD.S6561 ◽  
Author(s):  
Peter Hedera ◽  
FrantišEk Cibulčík ◽  
Thomas L. Davis
Keyword(s):  
Adverse Effect ◽  
Molecular Modeling ◽  
Movement Disorder ◽  
Essential Tremor ◽  
Clinical Observation ◽  
Treatment Algorithm ◽  
Invasive Therapy ◽  
Therapeutic Trials

Essential tremor (ET) is a common movement disorder but its pathogenesis remains poorly understood. This has limited the development of effective pharmacotherapy. The current therapeutic armamentaria for ET represent the product of careful clinical observation rather than targeted molecular modeling. Here we review their pharmacokinetics, metabolism, dosing, and adverse effect profiles and propose a treatment algorithm. We also discuss the concept of medically refractory tremor, as therapeutic trials should be limited unless invasive therapy is contraindicated or not desired by patients.

scholarly journals Aggression as a violation of dialogic interaction in adolescence

2018 ◽  
Vol 27 (3) ◽  
pp. 57-63
Author(s):  
V. Buchma
Keyword(s):  
Aggressive Behavior ◽  
Interpersonal Communication ◽  
Effective Means ◽  
Correction Method ◽  
Communication Process ◽  
Formation Condition ◽  
Communicative Ability ◽  
Communication Ability ◽  
Juvenile Behavior ◽  
Dialogic Interaction

The article is dedicated to the research of the aggression as a violation of dialogic interaction in adolescence. It should be noted that aggression is considered as one of the ways to fill in the need for communication. The research results received witness the fact that aggressive behavior is the reason for interpersonal communication process complicacy. As a rule, children of the same age evade communication with their aggressive contemporaries, but adults blame them for conduct of the kind, intensifying aggression manifestation in their behavior. Interpersonal character talent plays a fundamental role in psychological development of an individual, in the process of his socialization and obtaining the necessary forms of social behavior by him. Interpersonal communication is not only the juvenile personality formation condition, but a fundamental sphere of his self-realization. At the very age it is more conscious and purposeful, obtaining subjective importance, and is noted for its selectivity, durability and moral explanation. Communicative ability not properly developed in the definite periods of time becomes evident in the next periods of a person’s lifetime and in his communicative activity, unable to be flexible to combine his activity with the activity of other people. The communication problem in adolescence has an important part as communication is the main activity of this age period and is considered to be fundamental in adolescent personality socialization. It is proved juvenile communicative ability formation to support the aggressive behavior level decrease. Communication ability process formation in adolescence requires the investigation of such aspects as a personal motivation, cognition, willing and conduct aspects. A conduct therapy, as one of the most effective juvenile behavior breaking correction method, can serve as the basis for communication training and an effective means of the communication ability formation.

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