scholarly journals Cervical Spine Joint Pain and Stiffness - Accuracy of Physical Assessment in Nursing: Pilot Study Protocol (Preprint)

10.2196/31878 ◽  
2021 ◽  
Author(s):  
Bruno Garrido Soares ◽  
Fatima Raquel Fonseca ◽  
Patrícia Fonseca ◽  
Paulo Jorge Alves
2021 ◽  
Author(s):  
Bruno Garrido Soares ◽  
Fatima Raquel Fonseca ◽  
Patrícia Fonseca ◽  
Paulo Jorge Alves

BACKGROUND Cervical spine dysfunction (CSD) is a problem with high personal, social and economic impact worldwide. Although its etiology is described as multifactorial, there is a need for better clarification. Literature has shown the relationship between the cervical condition, the mandibular functioning and the visceral condition. In order to guide and contribute to the accuracy of the physical assessment performed by nurses, we decided to study the influence of the stomatognathic system (SS) and viscerosomatic reflexes (VR) on pain and joint stiffness of the cervical spine. OBJECTIVE Describe the pilot study protocol of the influence of SS and RV on cervical structures. METHODS Pilot study, with a quasi-experimental design, carried out in 2019, with 50 volunteer participants from the university population of the Academic Federation of Porto, where the influence of the usual intercuspation change, the occlusal deprogramming and the pressure stimulus of the reflex skin region of the ilium/colon in the cervical spine were analyzed. This study was divided into two moments, where we first performed the kinematic and pain analysis in the passive mobilization of the upper cervical spine, using the Motion Capture System® and the Visual Analog Scale. In the second moment, we evaluated the pain threshold on palpation of the erector neck muscles and the structures of the stomatognathic system, using algometry. The influence of viscerosomatic reflexes on the structures of the stomatognathic system was also analyzed. RESULTS Selection and preparation of the data collection site, acquisition of materials, constitution of the sample group and data collection were completed. The analysis of the results is being carried out. CONCLUSIONS The data from this study will allow the observation of the possible influence of SS and VR on pain and range of motion of the upper cervical spine, providing data for future randomized studies. Potential limitations have been identified.


BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e030268
Author(s):  
Tobias Ingo Stacke ◽  
Johannes Michael Bergmann ◽  
Armin Michael Ströbel ◽  
René Müller-Widmer ◽  
Daniel Purwins ◽  
...  

IntroductionRegardless of the healthcare setting, person-centred care and its implementation in caring for older people are a central issue for those who are responsible as professional caregivers and for those in need of care within the care process. Both aspects encompass the possibility of recognising personal preferences. To provide person-centred care, professional caregivers need to know about the individual preferences of the persons being cared for. Therefore, the PELI (an acronym for ‘Preferences for Everyday Living Inventory’) instrument was developed at the Polisher Research Institute (USA) for the systematic recording of individual preferences of older people in need of care. There is currently no comparable instrument available in the German language.MethodsAs part of the proposed project PELI-D, all versions of the original PELI instrument (nursing home version) were (1) culture-sensitively translated into German and will be (2) examined in a pilot study for their reliability, feasibility and practicability. For the project PELI-D, we worked together with our practice partners in Germany (Diaconia and Caritas in North Rhine-Westphalia) and collaborated with our partners in the USA who developed the PELI instrument. This study protocol focuses on the pilot study, which will be conducted by the German Center for Neurodegenerative Diseases (DZNE) (site Witten).Ethics and disseminationThis study was approved by the internal quality control committee of the DZNE (ID number: WI029 PELI-D) and by the ethics committee of the German Society of Nursing Science Duisburg branch office (ID number: 18-010). All personal information will be deidentified with a specific identification code and stored in a secured location apart from the rest of the study data. Only qualified and study-related staff will be allowed access to the data. The results of the study will be distributed nationally and internationally through peer-reviewed journals, conferences and journals for nursing care practice.


Trials ◽  
2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Peter Nymberg ◽  
Eva Ekvall Hansson ◽  
Emelie Stenman ◽  
Susanna Calling ◽  
Kristina Sundquist ◽  
...  

2004 ◽  
Vol 51 (5) ◽  
pp. 716-721 ◽  
Author(s):  
Steven A. Mazzuca ◽  
Mark C. Page ◽  
Russell D. Meldrum ◽  
Kenneth D. Brandt ◽  
Satham Petty-Saphon

2019 ◽  
Vol 13 ◽  
pp. 100315 ◽  
Author(s):  
Christina Gallinat ◽  
Markus Moessner ◽  
Holger A. Haenssle ◽  
Julia K. Winkler ◽  
Matthias Backenstrass ◽  
...  

2014 ◽  
Vol 83 (3) ◽  
pp. 238-243
Author(s):  
Karolina Kilińska ◽  
Magdalena Cerbin-Koczorowska ◽  
Arleta Matschay ◽  
Michał Mierzwicki ◽  
Karolina Chmaj-Wierzchowska

Aim. The aim of the pilot study was to assess the effectiveness of the tool designed for detecting potential drug-drug interactions of combined oral contraceptives (COCs) with particular emphasis on those which can affect their contraceptive action. A proper study protocol design seems to be essential for further analysis of more data and for establishing correlations between observed interactions and demographic variables.Material and methods. The cross-sectional descriptive, retrospective study was carried out on Polish females from March to May 2013. Gathered data, including products used concomitantly with contraceptive drugs, were derived electronically by patients and underwent thematic analysis.Results. Out of 49 respondents who agreed to participate in the study and fit the inclusion criteria only 15 derived qualitative data about other medicinal products they used. However, some of them sent their monthly report more than once, which gave the total of 158 drugs listed in 25 forms gathered during the whole pilot study. Fifty-three potential drug interactions were found, including 13 (24.53%) which could have decreased the effectiveness of contraceptive drugs.Conclusions. Continuation of the study in accordance with the study protocol will result in identification of common potential drug-related problems, which may enable development of an educational solution for gynecologists, pharmacists and patients increasing their awareness of the potential risk of contraceptive failures and unintended pregnancies.


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