1,721,008 research outputs found
Injection Therapies in Temporomandibular Region
No full textThe indications for injection therapies in temporomandibular joint (TMJ) are myofascial pain syndrome, osteoarthritis of TMJ, non-reducing disc displacements, TMJ involvement of inflammatory diseases, bruxism, masseter hypertrophy, orofacial dystonia and trigeminal neuralgia. Intra-articular injections, local trigger point injections, dry needling, botulinum toxin injections, and ganglion blocks are frequently used in this region. The general complications of the injections are bleeding, infections, syncope, local or severe allergic reactions and anaphylaxis. In the TMJ region, similar with the other parts of the body, success of the injection therapies depends on correct patient sellection, attention to application rules, using the right and adequate injection technique, and regular follow-up of the patients together with exercise program in post-injection period. Turk J Phys Med Rehab 2010; 56 Suppl 1:1-6
Ozone-oxygen therapies in musculoskeletal diseases
No full texton stabil olmayan ve güçlü oksitleme etkisine sahip antiseptik, immün modülatör, analjezik ve antienflamatuvar bir gazdır. Biyolojik ortamlarda, ozon hızla oksijene ve oksijen radikallerine dönüşerek, orta düzeyde oksidatif stres oluşturur. Ozon vücut için oksidatif bir tehdit olarak algılanır. Bunun sonucunda antioksidan savunma mekanizmalarında görev yapan enzimler aktive olur. Ozon uygulaması iki şekilde değerlendirilebilir: sistemik ve lokal. Sistemik uygulama yöntemleri arasında majör otohemoterapi, minör otohemoterapi ve rektal insuflasyon yer alırken, lokal uygulama yöntemleri düşük basınçlı ozon uygulaması, transkütanöz ozon irigasyonu, subkutan ve intrakütanöz ozon uygulamasıdır. Maliyet etkin ve uygulaması basit bir yöntem olmakla birlikte, tekniğin uygulanmasında ve yan etkilerin yönetilmesinde deneyim gereklidirone is an antiseptic, immune-modulator, analgesic, and antiinflammatory gas with an unstable and powerful oxidizing effect. In biological media, ozone rapidly turns into oxygen and oxygen radicals, creating a moderate oxidative stress. Ozone is perceived as an oxidative threat in the body. This results in activation of the enzymes working in antioxidant defense mechanisms. Ozone application can be evaluated in two different ways: systemic and local. Among systemic application methods are major otohemotherapy, minor otohemotherapy, and rectal insufflation, while local application methods are low-pressure ozone application, transcutaneous ozone irrigation, subcutaneous and intracutaneous ozone application. It is a cost-effective and simple method to use; however, experience is needed in the application of the technique and management of the adverse effect
ISOKINETIC STRENGTH MEASUREMENTS IN EARLY KNEE OSTEOARTHRITIS
No full textObjectives: One of the most important reasons for locomotor dysfunction and disability in patients with knee osteoarthritis (OA) is muscle weakness in the lower extremity. The aim of this study was to compare the isokinetic knee muscle strength of patients with early knee OA with those of healthy people. Patients and Methods: Fifty-one patients with bilateral knee osteoarthritis who were radiologically graded as stage I or II and forty-three healthy subjects were enrolled. Western Ontario and McMaster Universities Osteoarthritis Index and 100 mm VAS were used to assess patients with knee OA. Manual muscle strength testing for quadriceps muscle and circumference measurements 10 cm above the midpatellar line were performed. Bilateral isokinetic (concentric/concentric) knee flexion and extension with the protocol of 60 degrees/sec (four repetitions), 180 degrees/sec (four repetitions) and 240 degrees/sec (20 repetitions) were performed. Results: Regarding manual muscle testing of knee OA group, quadriceps muscle strength in six knees were 4/5 and in 96 knees were 5/5; whereas in the control group only two knees had 4/5 and the rest 84 knees had 5/5 muscle strengths (p=0.22). Thigh circumference measurements were statistically similar in this regard (all p values > 0.05). In all velocities knee flexor and extensor isokinetic muscle strength values were found to be significantly lower in patients with knee OA compared to healthy subjects (p<0.05). Patients with stage I OA had greater muscle strength than those of stage II (p<0.05). Conclusions: Whether being a cause or a consequence of knee OA, muscle strength loss which cannot be detected during clinical examination appears to be present during isokinetic measurements
Postoperative Rehabilitation in Patients with Hip Fracture
No full textAlthough hip fractures are important problems which cause worldwide severe issues, optimal healing and survival can be achieved with appropriate treatment management. The purpose of the rehabilitation is to convey patient to the highest possible functional level and to prevent new fractures. Both cooperation and coordination between surgeons and rehabilitation specialists are very important to provide suitable treatment and rehabilitation approach. Turk J Phys Med Rehab 2009; 55 Suppl 1: 8-14
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
PATHOPHYSIOLOGY OF MYOFASCIAL PAIN SYNDROME: THE LATEST OPINIONS
No full textIn this article, pathogenesis of myofascial trigger points, mechanisms of clinical signs, and the association of trigger points with the diseases which are related with central sensitization are summarized in the light of latest studies. Trigger points can initiate central sensitization. Trigger points are shown in a large number of painful musculoskeletal diseases associated with widespread central sensitization such as fibromyalgia and whiplash syndrome. Although central sensitization has been described in many chronic pain syndromes such as endometriosis, low back pain, irritable bowel syndrome, postsurgical pain, whiplash, shoulder impingement syndrome and fibromyalgia, it is not spesific to trigger points. However, due to trigger points are shown in almost all pain syndromes (whiplash, tension-type and chronic primary headaches, migraine, lateral epicondylitis, breast cancer surgery, fibromyalgia and temporomandibular dysfunction) it is likely that central sensitization and trigger points are in associated with each othe
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Knee vs hip single-joint intra-articular hyaluronic acid injection in patients with both hip and knee osteoarthritis: a pilot study
No full textThis paper aims to compare the results of single-joint knee vs hip hyaluronic acid (HA) injections in patients with osteoarthritis (OA) involving both the knee and hip joints. Thirty-eight patients who were diagnosed to have both hip and knee OA were enrolled. Patients were divided into two groups to receive HA injection three times at 1-week intervals either to the hip or knee joints. Pain level during activities and rest was measured by using visual analog scale (VAS). Western Ontario and McMaster University Osteoarthritis Index (WOMAC 5-point Likert 3.0) was also used prior to the injections and 1 month after the 3rd injection. In the knee injection group, the intragroup analysis revealed significant improvements in VAS activity pain, VAS rest pain, and WOMAC pain values following injection when compared with preinjection values, while no significant difference was detected in WOMAC stiffness, WOMAC physical function, and WOMAC total values. In the hip injection group, VAS activity pain, VAS rest pain, WOMAC pain, WOMAC stiffness, WOMAC physical function, and WOMAC total values showed significant improvement after the injection when compared with preinjection values. Although statistically not significant (p > 0.05), the comparison of the differences (preinjection-postinjection) between the groups demonstrated higher values in the hip injection group. We imply that intra-articular single-joint HA injections either to the knee or hip joints in OA patients with involvement of both of these joints are effective with regard to pain and functional status
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