Transcutaneous electrical nerve stimulation (TENS) and acupuncture for acute pain
Pamela E Macintyre, Suellen M Walker, David J Rowbotham in Clinical Pain Management, 2008
Trigger points are often used for pains of musculoskeletal origin. These tender points are manipulated by inserting needles with or without injection of other substances, such as local anesthetics.111 Dry needling is considered to be effective in the treatment of myofascial trigger point pain by deactivating the trigger point. Often these points can be relieved with superficial needling, occasionally deeper penetration of the needle is required particularly if nerve root compression is implicated.112 It is important following successful needling that the correction of the underlying musculoskeletal abnormality is addressed.
Chronic Pelvic Pain
Mark V. Boswell, B. Eliot Cole in Weiner's Pain Management, 2005
Women complaining of lower back pain without complaints of pelvic pain rarely have gynecologic pathology as the cause of their pain; however, low back pain may accompany pelvic pathology. Back pain may be caused by gynecologic, vascular, neurological, psychogenic, or spondylogenic (related to the axial skeleton and its structures) pathology (Morscher, 1981). Musculoskeletal abnormalities commonly contribute to the symptoms of chronic pelvic pain (Baker, 1993).
Cardiac surgery
Brian J Pollard, Gareth Kitchen in Handbook of Clinical Anaesthesia, 2017
Many of these patients are young in chronological age as well as mental capacity with learning disabilities, which can make anaesthetic management difficult, including issues with consent. Appropriate support in the postoperative period, including the help of relatives to facilitate ICU care, is important. Some of these patients have additional problems with mobility and musculoskeletal abnormalities. These need careful preoperative assessment.
Gross Motor, Physical Activity and Musculoskeletal Disorder Evaluation Tools for Rett Syndrome: A Systematic Review
Published in Developmental Neurorehabilitation, 2020
Alberto Romano, Tindara Caprì, Martina Semino, Ilaria Bizzego, Gabriella Di Rosa, Rosa Angela Fabio
In conclusion, this review underlies the lack of adequate evaluation tools to assess musculoskeletal abnormalities and deformities in this population. The absence of these assessments could be due to a statistical difficulty as it is challenging to build an evaluation tool that can score the entities of the abnormalities related to the amount of disability they cause. The building of a comprehensive motor evaluation protocol for motor impairment of individuals with RTT is needed to allow professionals working with these people to have an overview of all the elements which influence their mobility and to apply adequate and significative intervention.123,124 Appropriate functional evaluation tests represent an interesting manner to collect significant data to be used in clinical trials and rehabilitative settings both in RTT and other disabilities.43,56,125,126,127,128
Modelling disease risk for amyloid A (AA) amyloidosis in non-human primates using machine learning
Published in Amyloid, 2019
Eric T. Leung, Michael J. Raboin, Jessica McKelvey, Adam Graham, Anne Lewis, Kamm Prongay, Aaron M. Cohen, Amanda Vinson
Evaluation of this final model using the test data indicated good power for distinguishing affected from unaffected animals (Figure 1). The baseline odds ratio of 0.05 indicates that the expected odds of developing disease are very low when an animal lacks any indication of the other eight variables. Odds ratios for postmortem diagnoses ranged from 26.45 for endometriosis to 54.13 for colitis. Odds ratios for clinical problems were considerably lower, ranging from 0.44 for other GI abnormalities to 9.40 for musculoskeletal abnormalities. Our final model applied to the test data set had an AUC of 0.814 ± 0.120 (p < .01 by permutation, and p < .001 for Z = 2.611) and a 17.03% error rate in classification of disease. The optimal threshold for our final model calculated from the ROC curve is 0.393, above which animals are classified as affected. At this optimal threshold value, our model is expected to have a true positive rate or sensitivity of 0.821, and a false positive rate of 0.176, indicating a specificity of 0.824.
Impact of COVID – 19 on mental health and physical load on women professionals: an online cross-sectional survey
Published in Health Care for Women International, 2020
Approximately one-third of the participants stated that they did not sit with any proper support and they sit at same place for less than one fourth of the time spent in accomplishing a work and for the same time. Long hours of sitting in offices or institutes itself result in numerous postural and musculoskeletal abnormalities. This lockdown has further worsened the physical load while working from home as the individuals usually maintain same position for long hours by compromising their body ergonomics. Only 40.6% reported that their neck remains in static position while working. The work duration has been more in multinational company professionals and teachers. The healthcare professionals are aware of the ergonomics and posture and this could have introduced a bias in answering the questions of this segments.
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