Inhalant Anesthesia and Partial Intravenous Anesthesia
Michele Barletta, Jane Quandt, Rachel Reed in Equine Anesthesia and Pain Management, 2023
Advantages of inhalant anesthesia: Provides ventilation support and protects the airway.Improves oxygenation (this is debatable in the horse).Improves control over movement.Increases muscle relaxation and improves operative conditions.Very little drug metabolism is needed to wake up from the procedure.Easy to adjust and titrate depth of anesthesia.More suitable for procedures of long duration because of the ability to support respiratory function and the ability to be rapidly eliminated by the lung for recovery.
Psychological relaxation techniques to enhance recovery in sports
Michael Kellmann, Jürgen Beckmann in Sport, Recovery, and Performance, 2017
One of the most used techniques in sports is progressive muscle relaxation (Kudlackova et al., 2013). A reason could be that athletes are already familiar with relaxing and activating their muscles during the training process. Therefore, this technique is supposed to be the most ‘physical’ of the relaxation procedures. The change of tension and relaxation during the exercise is so familiar to the athletes that they usually have no difficulties to relax while following the instructions (see Table 17.1 for modified instructions). Consequently, progressive muscle relaxation is usually preferred over other procedures. However, it should also be taken into account that not all athletes react similarly to each technique. Regular feedback loops are an important feature for the learning process during the relaxation process, if necessary, to: (a) modify the procedure; or (b) select another technique. A detailed description of a progressive muscle relaxation session is provided in the following section.
Psychological Rehabilitation of COVID-19
Wenguang Xia, Xiaolin Huang in Rehabilitation from COVID-19, 2021
It includes the following methods: Muscle relaxation training: The most commonly used is progressive muscle relaxation training. The rehabilitative subjects can feel the difference when their muscles are tense first and then relaxed. Instruct patients to clench their fists, then tense their arms, shoulders, chest, abdomen, buttocks, and legs, etc., then relax at each step. Finally, the whole body is relaxed by gradually relaxing each muscle group.Breath control training and abdominal breathing: Inhale through the nose, and exhale through the nose (mouth), and use the abdomen to breathe. Drop the shoulders naturally, slowly close eyes, place one hand on the abdomen and the other on the chest. The expiration time is twice the inhalation time. Experience the feeling of inhaling deeply and exhaling slowly.Imagine relaxation: Imagine the most comfortable, coziest, and most relaxing situation, usually at the sea.Other therapies include meditation, self-hypnosis, relaxation assisted by biofeedback, etc.
Update on nonpharmacological interventions in parasomnias
Published in Postgraduate Medicine, 2020
Maria Ntafouli, Andrea Galbiati, Mary Gazea, Claudio L.A. Bassetti, Panagiotis Bargiotas
There are no published controlled studies for the treatment of ISP. Jalal et al. suggested a combination of cognitive behavioral techniques for the treatment of ISP [87]. This combination consists of a focused-attention meditation and a muscle relaxation technique. The model contains four components: (a) reappraisal of the content of the ISP episode; (b) neuropsychological distancing; (c) train to focused-attention meditation; (d) muscle relaxation techniques. This model aims mainly in identify the source of ISP [87]. A different case study indicates that ISP occurrence can be decreased by reassurance and explanation of the physiological basis of the patient`s experience [88]. Recent studies suggested that even simple measures such as the change of sleeping positions (e.g. sleeping on the side instead of their backs) and sleeping patterns (e.g. amount of time spent asleep), can prevent future ISP episodes [85].
Management of long-COVID-19 patients with sleep disorders: practical advice to general practitioners
Published in Libyan Journal of Medicine, 2023
Fatma Guezguez, Mohamed Romdhani, Amine Boutaleb-Joutei, Karim Chamari, Helmi Ben Saad
Relaxation aims at reducing somatic and cognitive hyperarousal states, which interfere with sleep [14,16,46]. The relaxation techniques include abdominal breathing, guided imagery, meditation, and progressive muscle relaxation [16]. The latter has proven its effectiveness in patients with acute COVID-19 [47]. Yet, the optimal relaxation method for insomnia remains the one that is the easiest to learn and the most acceptable for patients [46]. Progressive muscle relaxation involves methodological tensing and relaxing different muscle groups to learn how to distinguish between the sensation of muscle tension and relaxation [14,16]. Specific techniques can be delivered via live instruction, audio form, video, or immersive video forms [48]. Thus, the instructions include i) forcing tension with a group of muscles and concentrating on the feeling of tension; and ii) trying to hold the feeling of tension for seconds, and then relax. LC19Ps should experience the sensation of muscle relaxation resulting from the very recent relaxation exercise. They are recommended to move to another muscle group, once the previous group is relaxed.
A qualitative examination of the usability of a digital cognitive behavioral therapy for insomnia program after stroke
Published in Brain Injury, 2022
Tom Smejka, Alasdair L Henry, Catherine Wheatley, Colin A Espie, Heidi Johansen-Berg, Melanie K Fleming
We were pleased to find no clear physical issues associated with operating the program for participants with one-sided arm weakness. However, advice to leave the bed when unable to sleep was considered unsafe for participants with reduced mobility. This has also been noted for in-person CBT-I in this population as well as in people with traumatic brain injury (10,11). This could be adapted by advising users to sit on the edge of a bed, if leaving the room is not feasible, or using relaxation techniques such as those implemented in the study by Herron et al. (11). This may still help to break the bed-insomnia association. Similarly, it was noted that progressive muscle relaxation was deemed to be unsuitable for people with high tone (a common complication associated with motor deficits). It is worth mentioning that all participants are provided information on progressive muscle relaxation, however, following this “the Prof” instructs anyone who experiences muscular or joint problems to use autogentic relaxation instead. Progressive muscle relaxation could therefore be avoided if needed.
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