scholarly journals Ultrasound-Guided Prolotherapy with Polydeoxyribonucleotide for Painful Rotator Cuff Tendinopathy

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Kyoungho Ryu ◽  
Dongchan Ko ◽  
Goeun Lim ◽  
Eugene Kim ◽  
Sung Hyun Lee
Keyword(s):  
Rotator Cuff ◽  
Shoulder Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Specific Subset ◽  
End Of Treatment ◽  
Scale Scores ◽  
Pain Visual Analog Scale ◽  
Numerical Rating ◽  
Rotator Cuff Tendinopathy

Background. Rotator cuff tendinopathy is a primary cause of shoulder pain and dysfunction. Several effective nonsurgical treatment methods have been described for chronic rotator cuff tendinopathy. Prolotherapy with polydeoxyribonucleotide (PDRN), which consists of active deoxyribonucleotide polymers that stimulate tissue repair, is a nonsurgical regenerative injection that may be a viable treatment option. The objective of this study was to assess the efficacy of PDRN in the treatment of chronic rotator cuff tendinopathy. Method. The records of patients with chronic rotator cuff tendinopathy (n=131) were reviewed retrospectively, and the patients treated with PDRN prolotherapy (n=32) were selected. We measured the main outcome of the shoulder pain and disability index score on a numerical rating scale of average shoulder pain. Results. Compared with baseline data, significant improvements in the shoulder pain and disability index and pain visual analog scale scores were demonstrated at one week after the end of treatment, and at one month and three months later. Conclusions. PDRN prolotherapy may improve the conservative treatment of painful rotator cuff tendinopathy for a specific subset of patients.

scholarly journals A Case Report on a Patient Treated with Combined Korean Medicine for Chronic Headache with Digestive Symptoms

2021 ◽  
Vol 42 (5) ◽  
pp. 923-90
Author(s):  
Gyu-cheol Choi ◽  
Ji-eun Bae ◽  
Jae-won Park ◽  
Dong-jin Kim ◽  
Jeong-su Hong
Keyword(s):  
Medical Treatment ◽  
Chronic Headache ◽  
Impact Test ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Five Dimensions ◽  
End Of Treatment ◽  
Numerical Rating ◽  
Headache Impact

Objectives: The purpose of this study was to examine the effect of combined Korean medical treatment on chronic headache with digestive symptoms.Methods: We collected data from October to December 2020 and evaluated the efficacy of combined Korean medical treatment using the Korean Headache Impact Test-g (KHIT-6), European Quality of Life Five Dimensions (EQ5D) Scale, and Numerical Rating Scale (NRS) at admission, after two weeks of hospitalization, and on discharge.Results: At the end of treatment, the patient had increased EQ5D and reduced KHIT-6 and NRS scores.Conclusions: After the combined Korean medical treatment, the patient showed improvement, suggesting the efficacy of treatment.

scholarly journals Jaw Exercise Therapy and Psychoeducation to Reduce Oral Parafunctional Activities for the Management of Persistent Dentoalveolar Pain

2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Izumi Makino ◽  
Young-Chang Arai ◽  
Shuichi Aono ◽  
Masayuki Inoue ◽  
Hiroki Sakurai ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Combination Therapy ◽  
Pain Intensity ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
End Of Treatment ◽  
Before And After ◽  
Numerical Rating ◽  
Therapy Treatment ◽  
Nonpharmacological Treatments

Objective. To retrospectively analyze the effects of our original combination therapy treatment on patients with nonodontogenic persistent dentoalveolar pain. Methods. Twenty-one patients suffering from persistent dentoalveolar pain (nineteen females and two males; mean age ± standard deviation: 55.7 ± 19.6 years) participated in this study. They were treated with a therapy combination of jaw exercise and psychoeducation to reduce oral parafunctional activities every month. The intensity of pain in these subjects was evaluated using a numerical rating scale (NRS) before and after treatment. Results. The NRSs at the baseline ranged from 5 to 10 (median, 8), from 0 to 10 (median, 2) at one month after treatment, from 0 to 10 (median, 1) at three months after treatment, and from 0 to 10 (median, 0) at the end of treatment. Pain intensity after treatment improved significantly. Conclusion. There was a significant reduction in pain after our combination of therapies as nonpharmacological treatments, and therefore this treatment could be useful in the management of NPDP patients.

scholarly journals Comparing Clinical Impacts Between Valveless Trocar System and Standard Insufflation in Bariatric Surgery

2021 ◽  
Author(s):  
Fang-Chin Hsu ◽  
Chien-Hua Lin ◽  
Ting-Yuan Feng ◽  
An-Chieh Feng ◽  
Ting-Yi Chu ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Shoulder Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Patient Characteristics ◽  
Abdominal Pressure ◽  
Laparoscopic Bariatric Surgery ◽  
Significant Difference ◽  
Scale Scores ◽  
Surgical Field

Abstract Purpose In laparoscopic surgery, higher intra-abdominal pressure is needed to achieve a well-exposed surgical field in obese patients, which may results in undesirable effects on cardiopulmonary systems. The AirSeal Intelligent Flow System™ provides stable pneumoperitoneum and constant smoke evacuation. However, studies regarding VTS in bariatric surgery are rare. This study aimed to investigate the effects of VTS on laparoscopic bariatric surgery. Methods We conducted a retrospective study using our prospective database. Sixty patients were enrolled equally to the VTS group and standard insufflation device group. Patient characteristics, intraoperative and postoperative data were analyzed. The Visual Analog Scale (scores: 0–10) was applied to measure the intensity of shoulder pain at 1, 12, 24, and 48 h after surgery, and surgeon’s satisfaction on the surgical field visualization was assessed using a numerical rating scale of 0 (not adequate) to 10 (optimal). Results There was no significant difference in bradycardia during insufflation, operative time, blood loss, shoulder pain, and complications as well as shoulder pain between groups. VTS group showed a significant higher scores of surgical field visualization. Conclusions There was no significant difference in most perioperative and postoperative outcomes; however, VTS group achieved a better surgical field visualization for surgeons.

scholarly journals Sensori-motor recovery in post-stroke shoulder pain: a correlation study

2020 ◽  
Vol 7 (12) ◽  
pp. 4854
Author(s):  
Ushnish Mukherjee ◽  
Sourav Kundu ◽  
Rachit Gulati ◽  
Pankaj Kumar Mandal
Keyword(s):  
Shoulder Pain ◽  
Upper Limb ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Correlation Coefficients ◽  
Correlation Study ◽  
Motor Recovery ◽  
Post Stroke ◽  
Numerical Rating ◽  
Negative Role

Background: The prevalence of pain in affected shoulder among post-stroke patients ranges from 34% to 84%. Numerous theories exist to explain the patho-mechanics behind development of Post-stroke shoulder pain, but its relationship with the sensori-motor recovery of the affected limb is still controversial. This study was conducted to detect the correlation, if any, between post-stroke shoulder pain and sensori-motor recovery of the affected upper limb.  Methods: This observational longitudinal study was conducted on 73 patients of both sexes within the age group of 45-65 years having presentation of post-stroke (duration<6weeks) shoulder pain. Pain intensity was recorded in numerical rating scale (NRS). Sensorimotor recovery of the affected limb was assessed by Fugl- Meyer assessment scale of upper extremity (FMA-UE). Data were collected at the baseline (visit1), at 6 weeks (visit 2), 12 weeks (visit 3) and at the end of the study i.e., 24 weeks (visit 4).  Results: Statistically significant negative correlations were found between severity of pain (assessed with NRS) and sensory-motor recovery (assessed with FMA-UE) on each visit with correlation coefficients (Spearman rho, r) being r=-0.890, p=0.000 on visit1, r=-0.685, p=0.000 on visit2, r=-0.629, p=0.000 on visit3 and r=-0.458, p=0.000 on visit 4.Conclusions: Post-stroke shoulder pain plays a significant negative role in sensori-motor recovery of the affected upper limb requiring early intervention.

Good correlation between visual analogue scale and numerical rating scale in the assessment of nasal obstruction

2018 ◽  
Vol 132 (4) ◽  
pp. 327-328 ◽  
Author(s):  
R Haye ◽  
L K Døsen ◽  
M Tarangen ◽  
O Shiryaeva
Keyword(s):  
Visual Analogue Scale ◽  
Nasal Obstruction ◽  
Analogue Scale ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Telephone Interviews ◽  
Septal Surgery ◽  
Significant Difference ◽  
Scale Scores ◽  
Numerical Rating

AbstractObjective:Results from telephone interviews may be needed to supplement those from mailed questionnaires when response rates are inadequate. This study assessed the correlation between visual analogue scale ratings used in mailed questionnaires and numerical rating scale scores used in telephone interviews.Methods:Patients scheduled for nasal septal surgery routinely respond to a visual analogue scale of obstruction during the day and at night. In this study, they were also asked to verbally rate their sense of obstruction using whole numbers.Results:There was no significant difference between visual analogue scale and numerical rating scale obstruction scores.Conclusion:Ratings of nasal obstruction obtained with a numerical rating scale in telephone interviews are comparable to visual analogue scale scores in mailed questionnaires.

scholarly journals Efficacy of Rikkosan For Primary Burning Mouth Syndrome: A Retrospective Study

2021 ◽  
Author(s):  
Hiroyuki Hato ◽  
Ken-ichiro Sakata ◽  
Jun Sato ◽  
Takuya Asaka ◽  
Noritaka Ohga ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Burning Mouth Syndrome ◽  
Medical System ◽  
Hot Water ◽  
Main Body ◽  
End Of Treatment ◽  
Numerical Rating ◽  
Burning Mouth

Abstract Background Burning mouth syndrome (BMS) is a chronic condition characterized by pain in the oral cavity. Kampo medicine is a traditional Japanese medical system, which has its roots partly in ancient Chinese medicine. The purpose of this study is to evaluate the efficacy of rikkosan—a traditional Japanese herbal medicine (kampo)—in the treatment of primary BMS. Main body: A single-center retrospective study was conducted in 32 patients who were diagnosed with primary BMS and treated with rikkosan alone through gargling (2.5 g rikkosan dissolved in 50 mL hot water) three times daily. Patients were asked to evaluate their pain using the numerical rating scale (NRS) at first visit, after 1 month, and the end of rikkosan treatment. One patient had stomatitis as a side effect after gargling with rikkosan, however, no side effects were observed in other patients. Overall NRS scores decreased significantly between the first visit (7.6 ± 2.7) and the end of treatment with rikkosan (4.4 ± 3.3). Conclusions Rikkosan may be an effective treatment for primary BMS.

scholarly journals Yangshimtang-gamibang Therapy for Sleep Disorder Caused by a Traffic Accident: A Case Report

2021 ◽  
Vol 42 (5) ◽  
pp. 1020-1026
Author(s):  
Jin-young Song ◽  
Geon-sik Kong ◽  
So-won Kim ◽  
Jin-hun Park ◽  
Yen-min Wang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Sleep Disorder ◽  
Traffic Accident ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Scale Scores ◽  
Numerical Rating

This report describes the efficacy of using Yangshimtang-gamibang for a sleep disorder caused by a traffic accident. We treated a patient with Yangshimtang-gamibang for 12 days for sleep disorder caused by a traffic accident. To evaluate the results, we used the Korean Modified Leeds Sleep Evaluation Questionnaire (KMLSEQ) to measure sleep disorder. The degree of sleep disorder was also evaluated using the Numerical Rating Scale (NRS). The generic health status was evaluated using the European Quality of Life-5 Dimensions (EQ-5D) scale. Improvements in the NRS and EQ-5D scale scores were observed after the treatments. The change in the KMLSEQ score indicates that the patient's sleep disorder was relieved. The results of this case study suggest that Yangshimtang-gamibang may be an effective treatment for sleep disorders caused by traffic accident.

Physiotherapy after ultrasound-guided percutaneous irrigation in rotator cuff calcific tendinopathy

2021 ◽  
pp. 1-6
Author(s):  
Giovanni D’Elia ◽  
Barbara Meoni ◽  
Matteo Paci ◽  
Filippo Parretti ◽  
Giuliana Roselli ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Rehabilitation Program ◽  
Ultrasound Guided ◽  
Medium Term ◽  
Calcific Tendinopathy ◽  
Numerical Rating ◽  
Clinical Benefits ◽  
Personal Decision

BACKGROUND: Rotator cuff calcific tendinopathy (RCCT) is a very frequent and debilitating disease often treated with Ultrasound-guided percutaneous irrigation (UGPI) followed by physiotherapy. OBJECTIVE: A multicenter observational clinical study was designed to assess the effects of physiotherapy after UGPI on the functional recovery of the shoulders of patients suffering from RCCT. METHOD: One hundred sixty-six patients (mean age 50.7± 7.6 years), 121 women, with painful RCCT were treated with UGPI and assessed at the day of UGPI (T0), and at one (T1), 3 (T2) and 6 (T3) months after treatment by the Constant- Murley Score (CMS), Oxford Shoulder Scale (OSS) and Numerical Rating Scale (NRS). Patients were divided into 2 groups, Physiotherapy (PT+) and not Physiotherapy (PT-) according to the performance of the rehabilitation program based on personal decision. RESULTS: A significant improvement at T1 in all outcomes in both groups and between T1 and T3 for NRS during movement and OSS was found, but not for NRS at rest and CMS. There was no difference between groups for all outcome measures. In 27,1% of patients symptoms recurred in an average of 13 ± 8 weeks. CONCLUSIONS: Results suggest that post-UGPI not-standardized physiotherapy might not provide additional clinical benefits in short and medium term. Further studies could assess the effectiveness of physiotherapy performed after three months in patients with recurrence of pain.

Shockwave therapy associated with progressive exercises in rotator cuff tendinopathy: a clinical trial protocol

2021 ◽  
Author(s):  
Athilas Braga de Menezes ◽  
Rodrigo Scattone Silva ◽  
Juliana Franco Adala ◽  
Renata Michelini Guidi ◽  
Richard Eloin Liebano
Keyword(s):  
Rotator Cuff ◽  
Shoulder Pain ◽  
Rating Scale ◽  
Exercise Program ◽  
Score Function ◽  
Shockwave Therapy ◽  
Patient Reported ◽  
Progressive Exercise ◽  
And Function ◽  
Rotator Cuff Tendinopathy

The aim of the present study is to determine whether adding shockwave therapy (SWT) to a progressive exercise program improves shoulder pain and function in individuals with rotator cuff tendinopathy (RC tendinopathy). Ninety patients diagnosed with rotator cuff tendinopathy will be randomly allocated into two groups: active SWT plus a progressive exercise program or placebo SWT plus a progressive exercise program. Primary outcomes will be measured using the Constant–Murley Score function questionnaire and by assessing patient-reported pain intensity with the numerical pain rating scale. The secondary outcomes will be measured using the Global Perceived Effects Scale and Shoulder Pain and Disability Index. All the outcomes will be measured immediately after the end of treatment and at 3-month follow-up.

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