scholarly journals Assessment of Acupuncture and Moxibustion Effects on the Electrophysiological Properties of the Ulnar Nerve: A Nerve Conduction Study

2018 ◽  
Vol 4 (3-4) ◽  
pp. 198-207 ◽  
Author(s):  
Sónia Chan ◽  
Sérgio Ferreira ◽  
Bruno Ramos ◽  
Maria João Santos ◽  
Luís Carlos Matos ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Ulnar Nerve ◽  
Rating Scale ◽  
Intervention Group ◽  
Maximum Amplitude ◽  
Numeric Rating Scale ◽  
Control Group ◽  
Reaction Velocity ◽  
Electrophysiological Properties ◽  
Acupuncture And Moxibustion

Background/Aims: Acupuncture and moxibustion, when used together, have act mechanically and thermally on treated reflexological areas. The main goal of this work was to evaluate the effects of acupuncture and moxibustion on the electrophysiological properties of the ulnar nerve. Methods: Electrical stimulation was applied to the ulnar nerve above the epi­condyle of 28 volunteers. A 20-V potential was applied, and after each 10 impulses it was increased by 10 V, up to a maximum of 80 V. At 20 and 80 V, the participants were asked to rate the discomfort from 0 to 10 on a Numeric Rating Scale for pain. After the first stimulation and data collection, the control group rested for 6 min, while the intervention group was submitted to acupuncture and moxibustion on Lingdao (HT 4). Following this period of time, a second electrical stimulation was performed on both groups. Results: The discomfort was greater in the intervention group during the second stimulation. The stimulus required to achieve the maximum amplitude decreased, but the changes were only statistically significant in the intervention group (p = 0.006). An increase in latency and a decrease in reaction velocity were noticed between the first and the second stimulation for both groups; however, only the control group presented statistically significant differences (p = 0.018 and p = 0.022, respectively). Conclusions: Acupuncture and moxibustion on HT 4 increased the electrical sensitivity, decreased the stimulus intensity to achieve the maximum amplitude, and avoided a significant increase in latency and decrease in reaction velocity in two consecutive electrical stimulations.

scholarly journals Breathing And Stretching Exercises Affect The Decrease in The Intensity of Leg Cramp Pain

2021 ◽  
Vol 8 (2) ◽  
pp. 182-192
Author(s):  
Achwan Achwan ◽  
Abdurahman B.B. Laksono
Keyword(s):  
Rating Scale ◽  
Intervention Group ◽  
Numeric Rating Scale ◽  
Common Side Effect ◽  
Control Group ◽  
P Value ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental ◽  
Stretching Exercises

Leg cramps are a common side effect of intradialysis CKD patients. Preventing intradialysis cramping pain can improve quality of life. Breathing and stretching exercises are non-pharmacological treatments for cramping pain. The purpose of this study was to prove the effect of breathing and stretching exercises on changes in the intensity of leg cramps in hemodialysis patients at the Haji Jakarta Hospital in 2018. This study was a quasi-experimental study with a two-group pre-post test research design. The sample was selected by purposive sampling, a sample of 34 patients. The intensity of muscle cramps was measured using the Numeric Rating Scale. The results of the analysis using the paired sample T-test. The results showed that the intervention group had a P-value = 0.01 and the control group had a P-value = 0.055, meaning that there was a difference in mean the intensity of cramping pain before and after breathing and stretching exercises was compared, so it was concluded that there was an effect of breathing and stretching exercises on the intensity of intradialysis leg cramps. Patients are advised to breathing and stretching exercises regularly, light exercise, eat and drink diet.

scholarly journals Squeezing a squishy object effectively controls pain in children during intravenous catheter insertion

2020 ◽  
Author(s):  
Grace Yuliona Sirtin Tumakaka ◽  
Nani Nurhaeni ◽  
Dessie Wanda
Keyword(s):  
Rating Scale ◽  
Intervention Group ◽  
Numeric Rating Scale ◽  
Catheter Insertion ◽  
Control Group ◽  
Control Groups ◽  
Intravenous Catheter ◽  
Significant Difference ◽  
And Control ◽  
Numeric Rating

This study aimed to identify the effect of distraction technique involving squeezing a squishy object on pain in children during intravenous catheter insertion. In this work, the control group posttest-only quasiexperimental design was used. This study involved 50 participants aged 3-15 years and was assigned into either intervention or control group. The intervention group was provided with a squishy object to squeeze as a form of distraction during intravenous catheter insertion, whereas the control group received the standard intervention. The pain was measured by using the Wong- Baker Faces Scale for 3-8 years old and the Visual Analog Scale or Numeric Rating Scale for children older than 8 years. Mann–Whitney analysis reveals significant difference in pain level between the intervention and control groups (P<0,001; α=0.05). The distraction technique involving squeezing a squishy object effectively reduced pain in children during intravenous catheter insertion and is recommended for pain management in nursing care in the pediatric ward.

scholarly journals Pengaruh Guided Imagery Terhadap Skala Nyeri Pada Pasien Kanker Payudara Di Ruangan Rawat Inap Bedah Wanita RSUP Dr. M.Djamil Padang

2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Weny Amelia ◽  
Dewi Irawaty ◽  
Riri Maria
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Guided Imagery ◽  
Rating Scale ◽  
Intervention Group ◽  
Numeric Rating Scale ◽  
Pain Scale ◽  
Control Group ◽  
P Value ◽  
Breast Cancer Patients

ABSTRACTBreast cancer is the abnormal growth of cells that occurs in breast tissue. The problem often arises in patients with breast cancer is pain. Guided Imagery is a nonpharmacological strategi that can reduce pain. The aimed of this research was to identify the effect of Guided Imagery to the scale of pain in breast cancer patients admited in female surgical wards Dr. M. Djamil hospital Padang. The study design was quasi experimental using pretest-posttest with control group and using a consecutive sampling. The number of samples was 30 people (15 control group and 15 the intervention group). Pain was measured by the Numeric Rating Scale (NRS). The statistical test was two different test mean. The result was a significant effect on the pain scale Guided Imagery in breast cancer patients (P Value = 0.000; α = 0.05). There was a significant relationship between the age with the pain scale (P Value = 0.000; α = 0.05), and there is no relationship between the tribe with the pain scale. The results of this study recommends Guided Imagery being implemented as nursing interventions to reduce the pain of breast cancer.

scholarly journals The Administration Of Red Fruit Extract (Pandanus Conoideus Lamk.) To Reduce Menstrual Pain Among Adolescent Girls

2021 ◽  
Vol 5 (1) ◽  
pp. 72
Author(s):  
Cory Chorajon Situmorang ◽  
Ni Nyoman Sri Artina Dewi
Keyword(s):  
Rating Scale ◽  
Univariate Analysis ◽  
Intervention Group ◽  
Numeric Rating Scale ◽  
Pain Scale ◽  
Bivariate Analysis ◽  
Control Group ◽  
Menstrual Pain ◽  
Fruit Extract ◽  
Two Samples

Menstrual pain or dysmenorrhea is felt by many young women and this can hinder their activities, including learning tasks at school and at home. Therefore, alternatives to overcome pain are always being developed, one of which in this study is the red fruit extract which is known to contain vitamin E with tocopherol as a substance that can inhibit inflammation. Using a pre- and posttest design, this study was divided into two samples (respondents), namely the intervention group by giving red fruit extract for 3 menstrual cycles and the control group that was without treatment. This study used measuring instrument in form of the observation sheet and a numeric rating scale (NRS) 0-10 for pain scale. Processing and data analysis used the SPSS program through editing, coding, scoring, and tabulating activities. Data were analyzed using univariate analysis and bivariate analysis with independent smaple t-test, Kolmogorov Smirnov and Mann-Whitney. The results obtained were that there was a change in the majority of respondents in the intervention group from the majority of pain in the moderate category to the mild category. These results were significantly different when looking at the results in the control group. Therefore, red fruit extract is recommended to be a useful alternative in reducing menstrual pain.

scholarly journals PENGARUH PROGRESSIVE MUSCLE RELAXATION (PMR) TERHADAP MYALGIA PADA PASIEN KANKER PARU YANG MENJALANI KEMOTERAPI

2018 ◽  
Vol 2 (2) ◽  
pp. 37-46
Author(s):  
Dedeh Komalawati
Keyword(s):  
Lung Cancer ◽  
Cancer Patients ◽  
Rating Scale ◽  
Muscle Relaxation ◽  
Intervention Group ◽  
Numeric Rating Scale ◽  
Progressive Muscle Relaxation ◽  
Control Group ◽  
P Value ◽  
Lung Cancer Patients

Myalgia can be occured by side effect of chemotherapy. The purpose of this study was to identify the effect of PMR against myalgia in lung cancer patients undergoing chemotherapy. This study design was a quasi experiment, used pre and post test with control group. Samples were 32 patients, recruited by consecutive sampling. Measuring pain assessment used numeric rating scale. The intervention group had been provided PMR fifteen minutes twice a day for five days post chemotherapy. The results showed significantly different reduction of pain intensity before and after providing PMR in the intervention group and control group as well (p value = 0,001). There was a significantly different reduction of myalgia intensity between both group after giving intervention with mean difference 0,81 (p value = 0,001). It can be concluded that PMR can reduce myalgia in lung cancer patients undergoing chemotherapy. Suggestion, PMR becomes one of the complementary therapies to overcome myalgia

scholarly journals Pengaruh Progressive Muscle Relaxation Terhadap Skala Nyeri pada Pasien Post Sectio Caesaria

2020 ◽  
Vol 3 (1) ◽  
pp. 59
Author(s):  
Asri Wiwi Marwati ◽  
Cucu Rokayah ◽  
Yeti Herawati
Keyword(s):  
Rating Scale ◽  
Muscle Relaxation ◽  
Intervention Group ◽  
Numeric Rating Scale ◽  
Pain Scale ◽  
Moderate Level ◽  
Progressive Muscle Relaxation ◽  
Control Group ◽  
P Value ◽  
Quasi Experimental

Banyaknya ibu post section dapat menimbulkan masalah pada luka sayatan di area abdomen yaitu nyeri. Ibu paska operasi Sectio Caesaria merasakan nyeri yang lebih tinggi dibandingkan dengan persalinan secara pervaginam sehingga kebutuhan ibu akan mobilisasi, perawatan diri dan bayinya, serta pemberian ASI kerapkali terganggu. Penelitian ini bertujuan untuk mengetahui pengaruh Progressive Muscle Relaxation (PMR) terhadap skala nyeri pada pasien post sectio caesaria di RSKIA Kota Bandung. Jenis penelitian ini berupa quasi eksperimen dengan metode pre test dan post test. Populasi penelitian sebanyak 34 pasien dibagi menjadi dua kelompok yaitu kelompok kontrol dan intervensi masing-masing 17 pasien. Metode pengumpulan data dengan carapurposive sampling. Instrumen penelitian ini menggunakan skala NRS (Numeric Rating Scale). Hasil penelitian menunjukkan skala nyeri sebelum dilakukan teknik PMR pada kelompok kontrol berada pada tingkat nyeri sedang sebanyak 7 responden (41.2%) dan pada kelompok intervensi berada pada tingkat sedang sebanyak 14 orang (82.4%). Skala nyeri sesudah dilakukan teknik PMR pada kelompok kontrol berada pada tingkat nyeri sedang sebanyak 10 orang (58.8%) dan pada kelompok intervensi pada tingkat sedang sebanyak 11 orang (64.7%).Pengaruh PMR pada kelompok kontrol memiliki nilai p-value 0.059. Pengaruh teknik PMR pada kelompok intervensi memiliki nilai p-value 0.001 sehingga terdapat pengaruh Progressive Muscle Relaxation pada pasien post sectio caesaria di RSKIA Kota Bandung. Pengaruh teknik PMR terhadap skala nyeri memiliki nilai p-value 0.030 sehingga dapat disimpulkan terdapat pengaruh Progressive Muscle Relaxation pada pasien post section caesaria di RSKIA Kota Bandung. Kata kunci: nyeri, progressive muscle relaxation, sectio caesaria THE EFFECT OF PROGRESSIVE MUSCLE RELAXATION ON THE SCALE OF PAIN IN POST SECTIO CAESARIA ABSTRACTSection caesare caused by problems in wound incisions in the abdominal area, namely pain. Respondent with section caesaria has a higher pain scale compared to respondents with normal delivery, so that the mother's need for mobilization, self-care and her baby, and breastfeeding are often disrupted. This study aims to determine the effect of Progressive Muscle Relaxation (PMR) on the scale of pain in post sectio caesaria patients at RSKIA in Bandung. This type of research is quasi-experimental. The study population was 34 patients divided into two groups, namely the control and intervention groups. This type of research is quasi-experimental with the pre-test and post-test methods. The instrument of this study uses the NRS (Numeric Rating Scale).The results showed the scale of pain before the PMR technique in the control group was at the level of moderate pain as many as 7 respondents (41.2%) and the intervention group was at a moderate level of 14 people (82.4%). The scale of pain after the PMR technique in the control group was at a moderate level of pain of 10 people (58.8%) and in the intervention group at a moderate level of 11 people (64.7%). The effect of PMR techniques on the control group has a p-value of 0.059. The effect of PMR technique on the intervention group has a p-value of 0.001 so that there is an effect of Progressive Muscle Relaxation in post sectio caesaria patients at RSKIA Bandung City. The effect of PMR technique on pain scale has a p-value of 0.030 so it can be concluded that there is an effect of Progressive Muscle Relaxation in post sectio caesaria patients at RSKIA Bandung City.It is hoped that the results of this study can be used as guidelines for nurses' interventions that can be taught to patients and families as a patient companion in conducting this PMR technique. Keywords: pain, progressive muscle relaxation, sectio caesaria

scholarly journals Kombinasi Swedish Massage dan Aromaterapi Lemon untuk Menurunkan Nyeri Post Sectio Caesarea

2021 ◽  
Vol 3 (2) ◽  
pp. 64-71
Author(s):  
Dafrosia Darmi Manggasa
Keyword(s):  
Rating Scale ◽  
Negative Impact ◽  
Combined Therapy ◽  
Intervention Group ◽  
Sampling Technique ◽  
Numeric Rating Scale ◽  
Mean Value ◽  
Sectio Caesarea ◽  
Control Group ◽  
P Value

Introduction: Artificial delivery with the Sectio Caesarea (SC) procedure can cause pain in the patient. Pain that is left untreated can have a negative impact on both the mother and the baby. Pain management can also use massage or aromatherapy interventions that provide a relaxing effect. This study aims to assess the effectiveness of combined therapy Swedish massage and lemon aromatherapy in reducing post-SC pain. Methods: Quasi-experimental design with two groups pre-post test. This study was conducted at Poso Regional Hospital from October to December 2019. The sample was 32 post-SC patients who experienced pain who were taken using the purposive sampling technique. Swedish massage intervention was carried out 4 times. The pain was measured before intervention and after intervention using the Numeric Rating Scale. Data analysis used the Wilcoxon and Mann-Whitney tests. Results: This study showed that the intervention group with combined therapy Swedish massage and lemon aromatherapy showed a significant reduction in pain scores with a mean after the intervention of 3.19 and in the control group with Swedish massage only the mean value was 3.88, statistical analysis obtained p-value 0.031. Conclusion: The combined therapy Swedish massage and lemon aromatherapy is effective in reducing the pain score of post-SC patients, so it is suggested to be one of the nursing interventions to reduce post-SC pain

The effectiveness of discharge planning and range of motion (ROM) training in increasing muscle strength of nonhemorrhagic stroke patients

2018 ◽  
Vol 2 (3) ◽  
pp. 57
Author(s):  
Mohamat Iskandar
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Rating Scale ◽  
Discharge Planning ◽  
Intervention Group ◽  
Sampling Technique ◽  
Control Group ◽  
Planning Program ◽  
Stroke Patients ◽  
Central Java

Background: Non-hemorrhagic stroke patients experience hemiparesis, an improper handling results in joint contractures. Discharge planning combined with a range of motion (ROM) training given to patients and their families are expected to improve muscle strength in patients after returning from the hospital. Aims: This study is to identify the effectiveness of discharge planning in increasing muscle strength. Methods: This is a quasi-experimental study with a pre-posttest design. A total of 34 respondents were selected by cluster random sampling technique, from RAA Soewondo Pati General Hospital of Pati, Central Java, Indonesia. The respondents were divided equally into two groups; an intervention group (N = 17) was given a discharge planning program together with stroke information and range of motion (ROM) training while the control group (N = 17) received a standard discharge planning available in the hospital. Further, Muscle Rating Scale (MRS) was employed to assess the muscle strength on the 2nd, 7th, and 14th day after discharge planning presented to the nonhemorrhagic stroke patients. Results: This present study clearly acknowledges the standard discharge planning program available in the hospital improve the muscle strength of the upper and lower extremity in the nonhemorrhagic stroke patients just 2nd day after the care (pretest), and the significant improvement was observed until the day 14. Moreover, combining the care with ROM training at the intervention group faster the recovery and the muscle strength improved significantly at the 7th day and continue increase at the day 14. Looking to the muscle strength since the 2nd day to the day 14, respectively the muscle strength of upper and lower limb at the control group improved at the point of 0.588 and 0.882, while at the group received the ROM training reached the value of 1.472 and 1.412. Conclusions: The ROM training combined to the current discharge planning program will faster the muscle strength recovery of the nonhemorrhagic stroke patients. This research provide insight how family plays important role to the success in monitoring the rehabilitation and recovery progress. 

Modulation of Remifentanil-induced Analgesia and Postinfusion Hyperalgesia by Parecoxib in Humans

2006 ◽  
Vol 105 (5) ◽  
pp. 1016-1023 ◽  
Author(s):  
Andreas Tröster ◽  
Ruth Sittl ◽  
Boris Singler ◽  
Martin Schmelz ◽  
Jürgen Schüttler ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Rating Scale ◽  
Control Level ◽  
Numeric Rating Scale ◽  
Cyclooxygenase 2 ◽  
Controlled Study ◽  
Double Blind ◽  
Antinociceptive Effects ◽  
Current Densities ◽  
Mu Opioids

Background Numerous experimental and clinical studies suggest that brief opioid exposure can enhance pain sensitivity. It is suggested that spinal cyclooxygenase activity may contribute to the development and expression of opioid tolerance. The aim of the investigation was to determine analgesic and antihyperalgesic properties of the cyclooxygenase-2 inhibitor parecoxib on remifentanil-induced hypersensitivity in humans. Methods Fifteen healthy male volunteers were enrolled in this randomized, double-blind, placebo-controlled study in a crossover design. Transcutaneous electrical stimulation at high current densities was used to induce spontaneous acute pain (numeric rating scale 6 of 10) and stable areas of pinprick hyperalgesia. Pain intensities and areas of hyperalgesia were assessed before, during, and after a 30-min intravenous infusion of remifentanil (0.1 microg x kg x min) or placebo (saline). Parecoxib (40 mg) was administered intravenously either with onset of electrical stimulation (preventive) or in parallel to the remifentanil infusion. Results Remifentanil reduced pain and mechanical hyperalgesia during the infusion, but upon withdrawal, pain and hyperalgesia increased significantly above control level. Preventive administration of parecoxib led to an amplification of remifentanil-induced antinociceptive effects during the infusion (71.3 +/- 7 vs. 46.4 +/- 17% of control) and significantly diminished the hyperalgesic response after withdrawal. In contrast, parallel administration of parecoxib did not show any modulatory effects on remifentanil-induced hyperalgesia. Conclusion The results confirm clinically relevant interaction of mu opioids and prostaglandins in humans. Adequate timing seems to be of particular importance for the antihyperalgesic effect of cyclooxygenase-2 inhibitors.

Effect of neuromuscular electrical stimulation on functional exercise capacity in patients undergoing cardiac surgery: A randomized clinical trial

2021 ◽  
pp. 026921552110709
Author(s):  
Telma Cristina Fontes Cerqueira ◽  
Manoel Luiz de Cerqueira Neto ◽  
Lucas de Assis Pereira Cacau ◽  
Amaro Afrânio de Araújo Filho ◽  
Géssica Uruga Oliveira ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Electrical Stimulation ◽  
Postoperative Period ◽  
Intervention Group ◽  
Neuromuscular Electrical Stimulation ◽  
Functional Independence Measure ◽  
Rectus Femoris ◽  
Functional Independence ◽  
Control Group ◽  
Electromyographic Activity

Objective To evaluate the effects of neuromuscular electrical stimulation on functional capacity of patients in the immediate postoperative period of cardiac surgery. Design A prospective, randomized controlled trial. Setting A cardiac surgery specialist hospital in Aracaju, Sergipe, Brazil. Subjects: Patients in the postoperative period of cardiac surgery. Intervention The control group received the conventional physiotherapy and the intervention group received neuromuscular electrical stimulation of the rectus femoris and gastrocnemius muscles bilaterally, applied for 60 min, twice a day for up to 10 sessions per patient, in the immediate postoperative period until postoperative day 5. Main measures The primary outcome was the distance walked, which was evaluated using the 6-min walk test on postoperative day 5. Secondary outcomes were gait speed, lactate levels, muscle strength, electromyographic activity of the rectus femoris and Functional Independence Measure, some of them evaluated on preoperative and postoperative period. Results Of 132 eligible patients, 88 patients were included and randomly allocated in two groups, and 45 patients were included in the analysis. No significant difference was found on the distance walked ( p = 0.650) between patients allocated in intervention group (239.06 ± 88.55) and control group (254.43 ± 116.67) as well as gait speed ( p = 0.363), lactate levels ( p = 0.302), knee extensor strength ( p = 0.117), handgrip strength ( p = 0.882), global muscle strength ( p = 0.104), electromyographic activity ( p = 0.179) and Functional Independence Measure ( p = 0.059). Conclusions Although the effects are still uncertain, the use of neuromuscular electrical stimulation carried out in five days didn't present any benefit on functional capacity of patients in the immediate postoperative period of cardiac surgery.

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