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Case-Based Differential Diagnostic Mental Health Evaluation for Adults
Published in Kunsook S. Bernstein, Robert Kaplan, Psychiatric Mental Health Assessment and Diagnosis of Adults for Advanced Practice Mental Health Nurses, 2023
Kunsook S. Bernstein, Robert Kaplan
Signs and Symptoms: Excessive anxiety and worry about a number of events or activities, such as work or school performance. The anxiety and worry are associated with three (or more) of the following six symptoms:Restlessness or feeling keyed up or on edge.Being easily fatigued.Difficulty concentrating or mind going blank.Irritability.Muscle tension.Sleep disturbance.
Therapeutic intervention
Published in Stephanie Martin, Working with Voice Disorders, 2020
This can be done while sitting. Contrast tense and contracted muscles with tension-free muscles, enabling a more relaxed posture and alignment. Once you have released tension, try to maintain a balanced level of tension and release as you move around. Use tension-release exercises to increase your awareness of muscle tension and bring it into your control.
Psychogenic Factors in Benign Chronic Orofacial Pain
Published in Eli Ilana, Oral Psychophysiology, 2020
Many studies have pointed to the effect of psychological stress on TMPDS patients. Stress has been shown to affect muscle activity, leading to increased muscle tension and concomitant pain. TMPDS patients seem to respond to stress with increased masticatory muscle tension which has the potential to cause symptoms of pain and dysfunction. The studies reviewed by Rugh16 and Rugh and Solberg17 indicate that TMPDS patients have psychological characteristics which make them more likely to experience emotional difficulties in dealing with life events.
Physiotherapeutic assessment and management of overactive bladder syndrome: a case report
Published in Physiotherapy Theory and Practice, 2023
Bartlomiej Burzynski, Tomasz Jurys, Karolina Kwiatkowska, Katarzyna Cempa, Andrzej Paradysz
Assessment examination of the lumbopelvic hip complex was then carried out with the patient lying on her back and her lower extremities fully extended. The physiotherapist performed palpation assessment in the anterolateral abdominal wall area using both hands. Muscle tension and pain were evaluated. During palpation, the patient reported any pain and defined its intensity using the NRS. The physiotherapist assessed the following areas with results presented in parentheses: 1) musculus rectus abdominis at the level of umbilicus on the left side (7/10) and right side (7/10); 2) musculus psoas major on the left side (0/10) and right side (5/10); musculus iliacus on the left side (0/10) and right side (8/10); 3) musculus transversus abdominis in the middle of the line connecting the anterior superior iliac spine and public symphysis on the left side (4/10) and right side (8/10); and 4) Abdominal palpation showed abnormalities in the tension of muscles generating intra-abdominal pressure, which may cause symptoms of urgency.
Electroacupuncture with rehabilitation training for limb spasticity reduction in post-stroke patients: A systematic review and meta-analysis
Published in Topics in Stroke Rehabilitation, 2021
Jiyao Zhang, Luwen Zhu, Qiang Tang
Currently, the treatment of spasticity after stroke mainly includes both drug and non-drug treatments, such as anti-spasticity drugs, physical therapy, surgery, and acupuncture,8 which relieve increased muscle tension to some extent. However, oral anti-spasticity drugs, including tizanidine hydrochloride and baclofen, are associated with adverse reactions, such as drowsiness, dizziness, fatigue, and dry mouth, and are not helpful for the improvement of limb function. Intramuscular administrations of anti-spasticity drugs, such as botulinum toxin type A, have a significant therapeutic effect; however, it is expensive.9–12 Although physical therapy relieves pain and joint contracture due to post-stroke spasticity and improves motor function, treatment compliance is poor because of the long course of treatment and slow effect.13 Furthermore, surgical treatment is often difficult for patients and their families to accept because of its complexity and high risk.14 Thus, a better treatment for post-stroke spasticity is still needed.
The Effectiveness of Group-based Cognitive Hypnotherapy on the Psychological Well-being of Patients with Multiple Sclerosis: A Randomized Clinical Trial
Published in American Journal of Clinical Hypnosis, 2020
Mohammad Malekzadeh, Nazir Hashemi Mohammadabad, Shirali Kharamin, Sadegh Haghighi
Among different ways of relaxation, PMR is a technique which can be easily acquired. PMR was developed by Edmund Jacobson in 1930 in order to reduce stress and anxiety. He alleged that muscle tension can be a consequence of anxiety. Jacobson (1938) believed that if one’s body is relaxed, one’s mind cannot be anxious (Jacobson, 1938; Vancampfort et al., 2011; Varvogli & Darviri, 2011). In PMR, patients learn to know which muscles are tensed by creating purposive tension and relaxing muscles. Each muscle or muscle group is tensed for 5–7 seconds, and then is relaxed for 20–30 seconds. Patients should understand the difference between these two states in muscles. Becoming aware of the relaxing sensation in muscles is a great achievement of PMR (Jacobson, 1938). Several studies have indicated that PMR is effective in reducing stress, anxiety and pain (Fink, Urech, Cavelti, & Alder, 2012; Jacobson, 1938; Li et al., 2015).