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The relationship between scapular dyskinesia, pain, range of motion, and flexibility in patients with neck and shoulder problems [Boyun ve omuz a?rili olgularda skapular diskinezi, a?ri, eklem hareket açikli?i ve esneklik arasindaki ilişki]

Özunlu Pekyavas N. | Kunduracilar Z. | Ersin A. | Ergüneş C. | Tonga E. | Karataş M.

Article | 2014 | Agri26 ( 3 ) , pp.119 - 125

Objectives: To investigate the relationship between scapular dyskinesia, pain, and flexibility in patients with neck, shoulder, or both injuries. Methods: A total of 160 patients who came to Baskent University Hospital, Department of Physical Medicine and Rehabilitation with pathology and pain in the neck and shoulder regions were included to our study. Patients were divided into three groups; Neck group, shoulder group and neck+shoulder group. Visual Analog Scale (VAS) for pain intensity, goniometer for range of motion, and tape measurement for evaluation of flexibility was used. Lateral Scapular Slide Test (LSST) and Scapular Retr . . .action Test (SRT) vs Skapular Assisstance Test (SAT) were used for evaluation of scapular dyskinesia. Results: SRT (r=0.617, p=0.000) and SAT (r=0.565, p=0.000) positivity was found to be correlated with dominant and nondominant sides in patients with neck pathology. Pain at night and during rest were found to correlate with pain during activity in patients with neck+shoulder pathology (r=0.572, p=0.002). No significant correlation was found between pain intensity and scapular dyskinesia in all groups. LSST values were found under 1.5 cm and therefore, scapular mobilization was considered as normal (LSST1=0.76±0.74; LSST2=0.68±0.81; LSST3=0.75±0.75). Conclusion: In addition to joint limitations and flexibility, scapular dyskinesia should also be evaluated in order to solve problems related to pain in patients with neck, shoulder and neck+shoulder pathology. In future studies, the classification of groups according to pathology may help to understand the impact of scapular dyskinesia on the pathology of shoulder and neck pain Daha fazlası Daha az

Investigation of the effect of the virtual reality application on experimental pain severity in healthy

Karaman D. | Erol F. | Yılmaz D. | Dikmen Y.

Article | 2019 | Revista da Associacao Medica Brasileira65 ( 3 ) , pp.446 - 451

OBJECTIVE: This study aimed to investigate the effect of virtual reality application on experimental ischemic pain created with a blood pressure instrument in healthy volunteers. METHODS: The research sample consisted of 172 volunteer adult students who conformed to the inclusion criteria. These individuals were assigned into an experimental (n=86) and a control group (n=86) by a simple randomization method. All individuals in the experimental and control groups wereexperimentally subjected to pain for two minutes by applying 260 mmHg of pressure 3-4 cm above the antecubital region of the left arm with an aneroid adult-type blood pr . . .essure instrument. During the procedure, the volunteers in the experimental group watched virtual reality images, while those in the control group received no intervention. Immediately after the procedure, the pain levels of the individuals in both groups were assessed with a Visual Analog Scale (VAS). RESULTS: We found that the mean pain score of the individuals in the experimental group was 2.62±1.82, and that of individuals in the control group was 5.75±1.65. Results of the statistical analysis showed a statistically significant difference between the mean pain scores of the individuals in the experimental and control groups (p&0.001). CONCLUSION: This study found that the use of virtual reality was effective in reducing the level of pain in healthy individuals. This method used a smartphone with widespread availability and ease of transportation, which can be used by health professionals as a non-pharmacological method in the management of pain. © 2019 Associacao Medica Brasileira. All rights reserved Daha fazlası Daha az

Çocuklarda venöz kan alımı sırasında kullanılan sanal gerçeklik gözlüğünün hissedilen ağrı üzerine etkisi

Göksu, Fatma

Master Thesis | 2017 | Bülent Ecevit Üniversitesi Sağlık Bilimleri Enstitüsü, Çocuk Sağlığı ve Hastalıkları Hemşireliği Anabilim Dalı

Araştırma, kan alma işlemi sırasında sanal gerçeklik gözlüğü ile yapılan dikkati dağıtma tekniğinin çocuğun ağrısını azaltmaya yönelik etkisini belirlemek amaçlı yapılan randomize kontrollü deneysel bir çalışmadır. Araştırmanın evrenini Zonguldak Bülent Ecevit Üniversitesi Sağlık Uygulama ve Araştırma Merkezi çocuk kan alma polikliniğine Mayıs 2016-Eylül 2016 tarihleri arasında gelen 6-10 yaş arası çocuklar oluşturmuştur. Örnekleme 40’ı kontrol ve 40’ı deney grubu olmak üzere toplam 80 çocuk alınmıştır. Çocukların ve ailelerin sosyodemografik özelliklerini belirlemek için Tanıtıcı Bilgi Formu, çocukların işlem sırasında hissettikler . . .i ağrı düzeyini değerlendirmek için Yüzler Ağrı Kıyaslama Ölçeği ve Görsel Kıyaslama Ölçeği kullanılmıştır. Deney grubundaki çocuklara kan alma işlemi süresince sanal gerçeklik gözlüğü ile video izletilmiştir. Verilerin değerlendirilmesi SPSS 19.0 paket programıyla yapılmıştır. Deney grubu çocukların işlem sonrası “Yüzler Ağrı Kıyaslama Ölçeğine” verdikleri puanın ortalamasının 1.02±1.12, “Görsel Ağrı Kıyaslama Ölçeğine” verdikleri puanın ortalaması 1.87±1.97, kontrol grubu çocukların ise “Yüzler Ağrı Kıyaslama Ölçeğine” verdikleri puanın ortalamasının 2.47±1.83, “Görsel Ağrı Kıyaslama Ölçeğine” verdikleri puanın ortalaması 4.17±3.16 olduğu belirlenmiş, iki grup arasında ileri düzeyde anlamlı fark olduğu saptanmıştır (p=0.0001 ve p=0.001). Sonuç olarak kan alma işlemi sırasında çocuklarda ağrıyı azaltmada sanal gerçeklik gözlüğünün etkili bir yöntem olduğu belirlenmiştir. This was a randomized, controlled experimental study that was performed to determine the effect of distraction technique which was applied by a virtual reality headset for decreasing the pain of the child during blood drawal. The universe of the study was composed of children between the ages of 6-10 years old who admitted to blood drawal service in Zonguldak Bulent Ecevit University Health Practice and Research Center between May 2016-September 2016. A total of 80 children, 40 in the control group and 40 in the experimental group, were taken. Descriptive Information Form was used to determine sociodemographic characteristics of the children and their families, and Faces Comparative Pain Scale and Visual Comparative Pain Scale were used to determine the pain level experienced by the children during the procedure. Children in the experimental group were made to watch a video by a virtual reality headset during the blood drawal procedure. Data were assessed by SPSS 19.0 package program. It was found that mean score of the children in the experimental group from “Faces Pain Scale” was 1.02±1.12 following the procedure and their mean score from “Visual Comparative Pain Scale” was 1.87±1.97. For the children in control group, mean score from “Faces Comparative Pain Scale was 2.47±1.83 and mean score from “Visual Comparative Pain Scale” was 4.17±3.16; and also, a statistically significant difference was found between two groups (p=0.0001 and p=0.001). In conclusion, virtual reality headset was found to be an effective method in decreasing pain in children during blood drawal Daha fazlası Daha az

Effect of platelet rich fibrin on edema and pain following third molar surgery: A split mouth control study

Gülşen U. | Şentürk M.F.

Article | 2017 | BMC Oral Health17 ( 1 ) , pp.1 - 74

Background: To evaluate the efficacy of platelet-rich fibrine (PRF) on postoperative edema and pain after impacted mandibular third molar surgery. Methods: The prospective study was comprised 30 patients who presented for the removal of bilateral impacted mandibular third molar teeth. After extraction, the sockets were filled with PRF or without PRF in the study and control groups, respectively. Postoperative edema was measured with a flexible tape measure by calculating the distance between several facial landmarks on postoperative days two and seven. Postoperative pain was evaluated with a line-type visual analogue scale (VAS) and . . . a verbal scale (VRS). SPSS version 20.0 was used for data analysis. Results: Both groups recorded significant improvement compared to the baseline levels in almost all of the outcome variables. There was no statistically significant difference between the study and control groups (p > 0.05). Conclusions: Using or not using PRF to reduce postoperative pain and edema in third molar surgery was equally successful. Trial registration: This study was retrospectively registered at the ISRCTN registry (ISRCTN16849867) on 6 March 2017. © 2017 The Author(s) Daha fazlası Daha az

Determination of pain in musculoskeletal system reported by office workers and the pain risk factors

Celik S. | Celik K. | Dirimese E. | Tasdemir N. | Arik T. | Büyükkara İ.

Article | 2018 | International Journal of Occupational Medicine and Environmental Health31 ( 1 ) , pp.91 - 111

Objectives: This research was conducted as a cross-sectional descriptive study aimed at determining the existence of pain in the musculoskeletal system among office workers and the reasons for it. Material and Methods: The sample consisted of 528 office workers. Collection of data was achieved using a questionnaire prepared by the researchers in line with information from the literature. Results: The male and female office workers most frequently complained of pain in the lower back (55.1%), neck (52.5%) and back (53%). It was seen that out of the variables relating to the work environment, those which had the most significant effec . . .t on muscular-skeletal system pain were sitting at the desk for a long time without a break, working sitting on a chair that supported only the lumbar area and the arms, having the computer mouse at a distance from the keyboard, having the head inclined at 45° when working, working holding both forearms above the level of the desk, not taking exercise in daily life, and having a moderate or extremely stressful workplace (p < 0.05). Conclusions: The conclusion has been reached in this study that in order for office workers not to suffer musculoskeletal system pain, it is very important that the working environment should be ergonomically arranged and that various measures should be taken to ensure healthy life behavior Daha fazlası Daha az

Posterior scleritis presenting with angle closure glaucoma

Ugurbas S.H. | Alpay A. | Ugurbas S.C.

Article | 2012 | Ocular Immunology and Inflammation20 ( 3 ) , pp.218 - 220

https://dx.doi.org/10.3109/09273948.2012.666613 https://hdl.handle.net/20.500.12628/7075

A novel method for pain control: infiltration free local anesthesia technique (INFLATE) for transrectal prostatic biopsy using transcutaneous electrical nerve stimulation (TENS)

Bolat M.S. | Cinar O. | Asci R. | Buyukalpelli R.

Article | 2019 | International Urology and Nephrology51 ( 12 ) , pp.2119 - 2126

Purpose: To describe a novel method for the control of pain during prostate biopsies, infiltration free local anesthesia technique (INFLATE) for transrectal prostatic biopsies with no further needle insertions for local anesthetic infiltration. Methods: A total of 138 men with elevated prostate-specific antigen levels and/or abnormal digital rectal examination findings were included in the study. Of the patients, 73 were assigned to the INFLATE group and 65 to the TRUS-PNB group. Demographic data, PSA levels, findings of digital rectal examinations, and multiparametric prostatic magnetic resonance imaging were recorded. In the INFLA . . .TE group, a two-channel TENStem eco basic device with two electrodes was used for pain control during the biopsy. For the TRUS-PNB group, 60 mg lidocaine gel was given intrarectally in addition to infiltration of a prilocaine and bupivacaine mixture (5 mL of 2% prilocaine + 5 mL of 0.25% bupivacaine). Pain perception was assessed using a linear numeric rating scale. Results: The mean ages, BMIs, prostate volumes, and PSA levels were similar between the two groups (p > 0.05). Of the 56 participants with prostate adenocarcinoma, 28 were in the INFLATE group, and 28 were in the TRUS-PNB group with a 40.6% overall cancer detection rate. The mean preoperative and post-operative pain scores during probe insertion, biopsy and post-biopsy were similar between the groups (p > 0.05). Conclusion: The results of the study confirmed that INFLATE for transrectal prostate biopsy using a TENS device could safely and effectively be used for pain control with the advantage of two fewer needle attempts with no increase in significant complications. © 2019, Springer Nature B.V Daha fazlası Daha az

Effects of parent's presence on pain tolerance in children during venipuncture: A randomised controlled trial

Ozcetin M. | Suren M. | Karaaslan E. | Colak E. | Kaya Z. | Guner O.

Article | 2011 | Hong Kong Journal of Paediatrics16 ( 4 ) , pp.247 - 252

Introduction: The aim of this study is to determine whether presence of parents can change tolerance of pain and distress in children. Materials and Methods: A hundred thirty five children (62 girls, and 73 boys) between 3-6 years who were admitted to the paediatric outpatient clinic were included in the study. The cases were randomised into two groups: those who were accompanied by a parent (group 1), and those who were accompanied by a hospital staff member (group 2). We used the Wong-Baker FACES Pain Rating Scale to evaluate pain. Analyses were performed using commercially software (PASW ver. 18, ID:33478001 SPSS inc. Chicago, IL . . .). A p-value Daha fazlası Daha az

Effect of sevoflurane–nitrous oxide induction on the incidence of rocuronium injection pain in adults

Küçükosman G. | Pişkin Ö. | Hancı V. | Ayoğlu H. | Okyay D. | Yurtlu S. | Çalışkan A.

Article | 2017 | Erciyes Medical Journal39 ( 4 ) , pp.149 - 153

Objective: This randomized, prospective study was designed to investigate the effect of sevoflurane–nitrous oxide application on the incidence of the hand/arm withdrawal movement caused by rocuronium injection. Materials and Methods: There were 90 individuals undergoing elective surgery included in the study. After preoxygen-ation, Group T was given intravenous (i.v.) 5 mg/kg thiopental, Group S was given 7% sevoflurane and 40%/60% air/ O2, and Group N was given 7% sevoflurane and 40%/60% N2O/O2 for induction. After the eyelash reflex was lost, 0.6 mg/kg rocuronium was applied intravenously over 5 seconds, and then 2 ml saline was a . . .dministered. Patients’ response to rocuronium injection was graded by using a 4-point scale (0–3). Hemodynamic data were recorded. Results: After the rocuronium injection, the mean arterial pressure (MAP) and heart rate (HR) values were different between the groups ( Daha fazlası Daha az

Self-reported pain relief interventions of patients before emergency department arrival

Tasdemir N. | Celik S.

Article | 2016 | International Emergency Nursing28 , pp.20 - 24

Introduction Pain is the most common reason for visiting the Emergency Department (ED), and pain management is an important aspect of emergency care. Pain management might begin before emergency department arrival, by a patient's self-administered medications or alternative therapies. Aim This study aimed to determine Turkish patients' self-reported pain relief interventions before ED arrival. Methods A prospective questionnaire survey was used for the study. A total of 150 adult ED patients from a teaching hospital ED in a two month period constituted the sample of the study. Results Of the patients surveyed, 62.7% had used medicat . . .ion and/or alternative therapies. Medication use was 30.1%, alternative therapy use was 21.3%, and use of both medication and alternative therapies before ED arrival was 11.3%. Conclusion The rate of self-administered intervention for pain relief before ED arrival was high. ED nurses have to take these interventions into account while performing pain assessment. The information may help to achieve better pain management in the ED. © 2016 Elsevier Lt Daha fazlası Daha az

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