Dynamics of disability and pain indicators under the influence of physical therapy for adhesives capsulitis and myofascial pain syndrome.

OBJECTIVE: Aim: To compare the effectiveness of end-range mobilization and therapeutic exercises, used in combination with ischemic compression, on disability and pain indicators among patients with adhesive capsulitis of the shoulder joint and thoracic myofascial pain syndrome. PATIENTS AND METHODS: Materials and Methods: The study involved 68 patients. Goniometry of the shoulder joint, assessment of pain in myofascial trigger points, and the Shoulder Pain and Disability Index questionnaire were used before and after physical therapy. The duration of physical therapy comprised 3 weeks. Physical therapy of the first group of patients consisted of end-range mobilization and ischemic compression. Patients of the second group performed therapeutic exercises and ischemic compression. RESULTS: Results: Both groups demonstrated positive dynamics of shoulder joint mobility, Shoulder Pain and Disability Index and pain in trigger points. However, the final results of the studied indicators were better in the first group of patients. CONCLUSION: Conclusions: Physical therapy based on the combination of end-range mobilization and ischemic compression had a more positive impact on disability and pain indicators for adhesive capsulitis of the shoulder joint and myofascial pain syndrome as compared to the combination of therapeutic exercises and ischemic compression.

Development and Experimental Validation of Real Fluid Models for CFD Calculation of ORC and Steam Turbine Flows.

The article describes an interpolation-analytical method of reconstruction of the IAPWS-95 equations of state and the modified Benedict-Webb-Rubin equations of state with 32 terms (mBWR32). The method enables us to provide the thermodynamic closure in 3D computational fluid dynamics (CFD) calculations of turbomachinery flows with real working media, such as steam and Organic Rankine Cycle (ORC) fluids. The described approach allows for the sufficient accuracy of 3D flow calculations and does not require a significant increase in computational cost over perfect gas calculations. The method is validated against experimental data from measurements and compared with computational results from the model using the Tammann equation of state. Three turbine blading systems are considered-a multi-stage configuration from a low-pressure cylinder of a large-power steam turbine and two ORC microturbines working with organic media HFE7100 and R227ea. The calculation results obtained using the described method of approximation of the IAPWS-95 and mBWR32 equations exhibit satisfactory agreement with the experimental data, considering pressures, temperatures and enthalpies in key sections, as well as turbine power and efficiency in a wide range of changing thermodynamic parameters. In contrast, the Tammann equation of state provides acceptable results only for relatively small changes of thermodynamic parameters.