scholarly journals Impact of Myocardial Revascularization on the Range of Joint Motion of the Superior and Inferior Members

Author(s):  
Lisboa Cordeiro AL ◽  
De Lima ASF ◽  
Silva Bispo RDS ◽  
Lisboa Cordeiro AL ◽  
Borges DL ◽  
...  

Introduction: The surgical procedure for myocardial revascularization (MRI) may compromise chest stability, compliance and range of motion (ROM) of the shoulder joint due to sternotomy and knee joint due to saphenectomy. Objective: To evaluate the impact of myocardial revascularization surgery on upper and lower limb ROM Methodology: This is a prospective cohort study, performed with a group of patients submitted to cardiac surgery. In the preoperative period the ROM was evaluated through a goniometer, for flexion, horizontal abduction and vertical abduction of the right and left shoulder, as well as evaluation of the flexo-extension movement of the right knee. On the day of discharge from the Intensive Care Unit, the patients were reassessed. Results:Twenty patients were evaluated during the time of the study. The majority were men 14 (70%), with a mean age of 60 ± 10 years. Regarding ROM, it was verified that all the movements presented a significant reduction in the postoperative period. The right shoulder flexion (75 ± 11ºvs66 ± 8º, p = 0, p <0.01), right shoulder abduction (155 ± 17º vs127 ± 22º, p < (P = 0.02), right vertical abduction (142 ± 24º vs117 ± 22º, p <0.01), left vertical abduction (142 ± 24º vs121 ± 22º, p = 0), left horizontal abduction (79 ± 9º vs70 ± 5º, p=0,02), Knee flexion (100 ± 14º vs75 ± 19º, p <0.01) and knee extension (94 ± 13º vs79 ± 15º, p <0.01). Conclusion: It can be concluded that the surgery promote reduction of the range of joint motion in this sample of patients submitted to myocardial revascularization.

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Prisilia M. Pinontoan ◽  
Sylvia R. Marunduh ◽  
Herlina I. S. Wungouw

Abstract: The aim of this study was to find out the profile of muscle strength on elderly at BPLU Senja Cerah Paniki Bawah. This was a descriptive study with cross sectional design. There were 26 respondents who met the inclusion criteria, consisted of 10 elderly men and 16 elderly women. Respondents were selected by using purposive sampling method. The measurements of the muscle strength were done by using 1 RM method while doing elbow flexion, elbow extension, shoulder flexion, shoulder extension, shoulder abduction, knee flexion, knee extension and dorsoflexion. Data were analyzed manually and computerized then presented in tabular form. The result shows that the average muscle strength in elderly men were greater than women and the average muscle strength of respondents that were included in the age group 60-79 years old were greater than those in 80-99 years.Keywords: muscle strength, elderly.1 RMAbstrak: Tujuan dari penelitian ini yaitu untuk mengetahui gambaran kekuatan otot pada Lansia di BPLU Senja Cerah Paniki Bawah. Penelitian ini merupakan peneliltian deskriptif dengan rancangan potong lintang. Responden yang memenuhi kriteria inklusi terdiri dari 26 orang yang terdiri dari 10 orang laki-laki dan 16 orang perempuan. Sampel dipilih menggunakan cara purposive sampling. Kekuatan otot pada lansia diukur dengan menggunakan metode 1 RM yang diukur pada gerakan fleksi siku, ekstensi siku, fleksi bahu, ekstensi bahu, abduksi bahu, fleksi lutut, ekstensi lutut serta dorsofleksi. Data yang sudah didapatkan kemudian dikumpul dan diolah secara manual dan komputerisasi serta disajikan dalam bentuk tabel. Hasil penelitian menunjukkan rerata kekuatan otot responden laki-laki lebih besar dibanding perempuan dan rerata kekuatan responden yang termasuk dalam kelompok umur 60-79 tahun lebih besar dibanding kelompok umur 80-99 tahun.Kata kunci: kekuatan otot, lansia, 1 RM.


2018 ◽  
Vol 8 (29) ◽  
pp. 47-53 ◽  
Author(s):  
Mohammed Khalid Alruzayhi ◽  
Muath Salman Almuhaini ◽  
Akrm Ibrahem Alwassel ◽  
Osama Mansour Alateeq

Abstract The current study aims to investigate the effect of smartphone usage on the upper extremity performance among Saudi youth. A goniometer to measure the Range of Motion (ROM), the Smartphone Addiction Scale (SAS), McGill Pain scale and Chattanooga stabilizer were used to perform the current study on a sample of 300 university students from Al-Imam Mohammed Bin Saud University. The results have shown that smartphone addiction is negatively correlated to the elbow flexion, shoulder flexion, shoulder extension, shoulder abduction, shoulder adduction, and both shoulder internal and external rotation. Furthermore, the results have shown that McGill pain scores were positively correlated to elbow flexion, shoulder flexion, shoulder extension, shoulder abduction, shoulder adduction, and both shoulder internal and external rotation. The study has concluded that smartphone usage among Saudi youth negatively affects the upper extremity and causes a significant increase in the pain intensity. The study has recommended that there is an urgent need for a significant awareness campaign to warn the community regarding the impact of using smartphones for long periods of time.


2019 ◽  
Vol 33 (2) ◽  
pp. 313-322
Author(s):  
Allan James de Castro Bussmann ◽  
Márcia Greguol ◽  
Emanuel Messias Oliveira de Carvalho ◽  
Felipe Arruda Moura

The objective of this study was to evaluate the propulsion technique of wheelchairs basketball athletes. The group of study was formed for 11 athletes practicing, the modality studied, with an average age of 30.27 ± 6.51 years. The sample was divided in two groups (faster, slowest) according to the performance in the agility and speed tests. To analyze the angular kinematics of the upper limbs, each person performed threeattempts to “round trip” in a distance of 5 meters. The results indicate a strong positive association between the results obtained in the speed and agility tests (r = 0.83; p = 0.002) and negative between speed test time and sports practice time (r = −0.68; p = 0.02). For the analysis of angular behavior significant difference was observed (p = 0.02), only in the variable maximum angle of the left elbow and the faster group presentedthe highest values. The angular behavior analyzes during all the movement, present significant difference at some point of the cycle, for the variables abduction angle on the left shoulder, absolute angle of the right and left forearm, absolute angles of the shoulder in the sagittal plane left and right, maximum angle of the right and left elbow. The results indicate that the athletes present specific characteristics of propulsion, andthat some angular movement characteristics, as a smaller angle of shoulder abduction during early stages of the propulsion, influence the performance in the speed test.


2018 ◽  
Vol 71 (5) ◽  
pp. 2392-2397 ◽  
Author(s):  
Eduardo Tavares Gomes ◽  
Regina Célia de Oliveira ◽  
Simone Maria Muniz da Silva Bezerra

ABSTRACT Objective: to investigate the patients' experience in the cardiac surgery preoperative period under the Heideggerian perspective. Method: exploratory qualitative research. Twelve patients were interviewed, from March to April, 2016, while they waited for myocardial revascularization surgery or valve replacement surgery. Results: the analysis of the speeches allowed finding two dimensions of the being-there-patient-waiting-for-cardiac surgery, two meanings of the beingness: being-there-in-a-reduced-world and being-there-in-a-unknown-world. Conclusion: the experiences were related to alterations and limitations coming from the surgery, potential generators of anxiety, depression and existential conflicts in the cardiac surgery preoperative period. Reinforcing the care as being-with-the-other is suggested, considering the dimensions referred to and the patient's integrality.


Author(s):  
Tomás E. Lindheimer ◽  
Kay Fitzpatrick ◽  
Raul Avelar ◽  
Jeffrey D. Miles

Chapter 3 in the 2004 AASHTO high-occupancy-vehicle guidelines includes a prioritized trade-off table of various design options for high-occupancy-vehicle lanes (now known as managed lanes). The design trade-offs include the reduction of lane, shoulder, or buffer width. The key measure thought to be affected by lane, shoulder, and buffer width is lateral position. The presented study identified the relationship between operations and cross-section width, including the type of buffer design separating the managed lanes from the general-purpose lanes. This research study collected lateral position data on existing managed lane facilities with a range of geometric elements within both tangent and horizontal curves and identified potential relationships between the geometric design element values and the measure of effectiveness. The field studies included data collected at 28 sites with fixed video cameras and along 161 centerline miles with an instrumented vehicle that recorded data for the vehicle immediately in front of the instrumented vehicle. The study found that managed-lane drivers shifted away from the pylons placed in the buffer. Horizontal alignment (tangent or curve) and the direction of the horizontal curve (left or right) influenced lateral position. Left shoulder, lane, and buffer width affected lateral position. Modifying a 6.5-ft shoulder to a minimum shoulder (i.e., 1.5 ft) will result in drivers moving to the right about 0.5 ft; however, if an 18.5-ft shoulder is reduced by 5 ft, the impact in operations is negligible (drivers would shift only about 0.11 ft toward the right).


2020 ◽  
Vol 24 (3) ◽  
Author(s):  
Mirosław Mrozkowiak

Introduction. The continuing percentage of postural statics disorders may have its roots in the method of carrying the loads of school supplies. Aim. The aim of the study was to show the effects of the load of the container with school supplies carried obliquely on the left shoulder and right hip or on the right shoulder and left hip in the sagittal and transverse planes on the posture. Material and methods. Body posture tests were carried out on a group of 65 pupils aged 7 years, using the projection moire method in four positions: 1-the habitual posture, 2 – the posture after a 10-minute asymmetric loading, 3 – the posture assumed one minute after removing the load, 4 - two minutes after taking the load off. Physical fitness was measured with the Sekita test. The analysis included the values of posture features to determine the significance of their differences and correlation with physical fitness to determine its relationship with the size of these differences. Conclusions. (1) The mode of carrying school items obliquely on the right or left shoulder and on different hips may cause significant adaptation changes in the skeletal and muscular system. It should be assumed that the bigger these changes are, the longer the carriage time is, the greater the mass of the container and the intensity of physical effort are. The changes are not gender specific. The analyzed carriage method should not be practiced among 7-year-old children of both sexes. (2) The overall fitness level shows a diversified relationship with changes in the values of postural traits as a result of the assumed carriage of school supplies. This relationship is bigger among boys. In case of girls, correlations are observed between endurance and the size of the inclination angle of the thoracic-lumbar spine. Among boys, all the features of physical fitness correlate most often with asymmetry of convexity of the lower angles of shoulder blades and the pelvic torsion in the transverse plane. The impact is gender dependent.


2019 ◽  
Vol 33 (2) ◽  
pp. 313-322
Author(s):  
Allan James de Castro Bussmann ◽  
Márcia Greguol ◽  
Emanuel Messias Oliveira de Carvalho ◽  
Felipe Arruda Moura

The objective of this study was to evaluate the propulsion technique of wheelchairs basketball athletes. The group of study was formed for 11 athletes practicing, the modality studied, with an average age of 30.27 ± 6.51 years. The sample was divided in two groups (faster, slowest) according to the performance in the agility and speed tests. To analyze the angular kinematics of the upper limbs, each person performed threeattempts to “round trip” in a distance of 5 meters. The results indicate a strong positive association between the results obtained in the speed and agility tests (r = 0.83; p = 0.002) and negative between speed test time and sports practice time (r = −0.68; p = 0.02). For the analysis of angular behavior significant difference was observed (p = 0.02), only in the variable maximum angle of the left elbow and the faster group presentedthe highest values. The angular behavior analyzes during all the movement, present significant difference at some point of the cycle, for the variables abduction angle on the left shoulder, absolute angle of the right and left forearm, absolute angles of the shoulder in the sagittal plane left and right, maximum angle of the right and left elbow. The results indicate that the athletes present specific characteristics of propulsion, andthat some angular movement characteristics, as a smaller angle of shoulder abduction during early stages of the propulsion, influence the performance in the speed test.


2015 ◽  
Vol 29 (4) ◽  
pp. 135-146 ◽  
Author(s):  
Miroslaw Wyczesany ◽  
Szczepan J. Grzybowski ◽  
Jan Kaiser

Abstract. In the study, the neural basis of emotional reactivity was investigated. Reactivity was operationalized as the impact of emotional pictures on the self-reported ongoing affective state. It was used to divide the subjects into high- and low-responders groups. Independent sources of brain activity were identified, localized with the DIPFIT method, and clustered across subjects to analyse the visual evoked potentials to affective pictures. Four of the identified clusters revealed effects of reactivity. The earliest two started about 120 ms from the stimulus onset and were located in the occipital lobe and the right temporoparietal junction. Another two with a latency of 200 ms were found in the orbitofrontal and the right dorsolateral cortices. Additionally, differences in pre-stimulus alpha level over the visual cortex were observed between the groups. The attentional modulation of perceptual processes is proposed as an early source of emotional reactivity, which forms an automatic mechanism of affective control. The role of top-down processes in affective appraisal and, finally, the experience of ongoing emotional states is also discussed.


2019 ◽  
Vol 10 (12) ◽  
pp. 1183-1199
Author(s):  
Mohammed Alrouili ◽  

This study attempted to identify the impact of internal work environment on the retention of healthcare providers at Turaif General Hospital in the Kingdom of Saudi Arabia. In particular, the study aimed to identify the dimensions of work circumstances, compensation, and relationship with colleagues, professional growth, and the level of healthcare providers’ retention. In order to achieve the study goals, the researcher used the descriptive analytical approach. The researcher used the questionnaire as the study tool. The study population comprised all the healthcare providers at Turaif General Hospital. Questionnaires were distributed to the entire study sample that consisted of 220 individuals. The number of questionnaires valid for study was 183 questionnaires. The research findings were as follows: the participants’ estimate of the work circumstances dimension was high (3.64), the participants’ estimate of the compensation dimension was moderate (3.32), the participants’ estimate of the relationship with colleagues dimension was high (3.62), the participants’ estimate of the professional growth dimension was weak (2.39), and the participants’ estimate of healthcare providers’ retention level was intermediate (2.75). Accordingly, the researcher’s major recommendations are: the need to create the right atmosphere for personnel in hospitals, the interest of the hospital to provide the appropriate conditions for the staff in terms of the physical and moral aspects for building the work adjustment in the staff, and conducting training courses and educational lectures for personnel in hospitals on how to cope with the work pressures.


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