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1.
Phys Ther Sport ; 48: 177-187, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33493991

RESUMO

OBJECTIVE: The aim of this review and meta-analysis was to evaluate the effect of heat and cold therapy on the treatment of delayed onset muscle soreness (DOMS). METHODS: We followed our protocol that was registered in PROSPERO with ID CRD42020170632. A systematic review and meta-analysis of randomized controlled trials (RCT) was conducted. Nine databases were searched up to December 2020. Data was extracted from the retained studies and underwent methodological quality assessment and meta-analysis. RESULTS: A total of 32 RCTs involving 1098 patients were included. Meta-analysis showed that, the application of cold therapy within 1 h after exercise could reduce the pain of DOMS patients within 24 h (≤24 h) after exercise (SMD -0.57,95%CI -0.89 to -0.25, P = 0.0005) and had no obvious effect within more than 24 h (>24 h) (P = 0.05). In cold therapies, cold water immersion (SMD -0.48, 95%CI -0.84 to -0.13, P = 0.008) and other cold therapies (SMD -0.68, 95%CI -1.28 to -0.08, P = 0.03) had the significant effects within 24 h. Heat treatment could reduce the pain of patients. It had obvious effects on the pain within 24 h (SMD -1.17, 95%CI -2.62 to -0.09, P = 0.03) and over 24 h (SMD -0.82, 95%CI -1.38 to -0.26, P = 0.004). Hot pack effect was the most obvious, which reduced the pain within 24 h (SMD -2.31, 95%CI -4.33 to -0.29, P = 0.03) and over 24 h (SMD -1.78, 95%CI -2.97 to -0.59, P = 0.003). Other thermal therapies were not statistically significant (P > 0.05). Both cold and heat showed effect in reducing pain of patients, however there was no significant difference between cold and heat group (P = 0.16). CONCLUSIONS: The current evidence indicated that the application of cold and heat therapy within 1 h after exercise could effectively reduce the pain degree of DOMS patients for 24 h cold water immersion and hot pack therapy, which had the best effect, could promote the recovery of DOMS patients. But more high-quality studies are needed to confirm whether cold or heat therapy work better.


Assuntos
Crioterapia , Temperatura Alta/uso terapêutico , Mialgia/terapia , Exercício Físico/fisiologia , Humanos , Mialgia/etiologia , Manejo da Dor/métodos , Ensaios Clínicos Controlados Aleatórios como Assunto , Fatores de Tempo
3.
Proc Natl Acad Sci U S A ; 117(35): 21588-21597, 2020 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-32817432

RESUMO

Proteasome inhibitors, such as bortezomib (BTZ), are highly effective and widely used treatments for multiple myeloma. One proposed reason for myeloma cells' exceptional sensitivity to proteasome inhibition is that they produce and continually degrade unusually large amounts of abnormal immunoglobulins. We, therefore, hypothesized that, heat shock may also be especially toxic to myeloma cells by causing protein unfolding, increasing further the substrate load on proteasomes, and, thus, putting further stress on their capacity for protein homeostasis. After a shift from 37 to 43 °C, all four myeloma lines studied underwent extensive apoptosis in 4 h, unlike 13 nonmyeloma cell lines, even though the myeloma cells induced heat-shock proteins and increased protein degradation similar to other cells. Furthermore, two myeloma lines resistant to proteasome inhibitors were also more resistant to 43 °C. Shifting myeloma cells to 43, 41, or 39 °C (which was not cytotoxic) dramatically increased their killing by proteasome inhibitors and inhibitors of ubiquitination or p97/VCP. Combining increased temperature with BTZ increased the accumulation of misfolded proteins and substrate load on the 26S proteasome. The apoptosis seen at 43 °C and at 39 °C with BTZ was mediated by caspase-9 and was linked to an accumulation of the proapoptotic Bcl-2-family member Noxa. Thus, myeloma cells are exceptionally sensitive to increased temperatures, which greatly increase substrate load on the ubiquitin-proteasome system and eventually activate the intrinsic apoptotic pathway. Consequently, for myeloma, mild hyperthermia may be a beneficial approach to enhance the therapeutic efficacy of proteasome inhibitors.


Assuntos
Resposta ao Choque Térmico/fisiologia , Mieloma Múltiplo/metabolismo , Proteostase/fisiologia , Antineoplásicos/farmacologia , Apoptose/fisiologia , Bortezomib/uso terapêutico , Linhagem Celular Tumoral , Temperatura Alta/uso terapêutico , Humanos , Mieloma Múltiplo/fisiopatologia , Complexo de Endopeptidases do Proteassoma/metabolismo , Inibidores de Proteassoma/metabolismo , Inibidores de Proteassoma/farmacologia , Pirazinas/farmacologia , Transdução de Sinais/efeitos dos fármacos , Ubiquitina/metabolismo , Ubiquitinação/efeitos dos fármacos
4.
Exerc Sport Sci Rev ; 48(4): 163-169, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32658042

RESUMO

The prolonged impairment in muscle strength, power, and fatigue resistance after eccentric exercise has been ascribed to a plethora of mechanisms, including delayed muscle refueling and microvascular and mitochondrial dysfunction. This review explores the hypothesis that local heat therapy hastens functional recovery after strenuous eccentric exercise by facilitating glycogen resynthesis, reversing vascular derangements, augmenting mitochondrial function, and stimulating muscle protein synthesis.


Assuntos
Exercício Físico/fisiologia , Temperatura Alta/uso terapêutico , Músculo Esquelético/lesões , Mialgia/terapia , Adaptação Fisiológica , Animais , Glicogênio/biossíntese , Humanos , Microcirculação , Mitocôndrias Musculares/fisiologia , Fadiga Muscular/fisiologia , Proteínas Musculares/biossíntese , Força Muscular/fisiologia , Músculo Esquelético/irrigação sanguínea , Mialgia/etiologia
5.
Clin Chim Acta ; 509: 288-292, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32569631

RESUMO

BACKGROUND: To establish a safe and accurate method for detecting SARS-CoV-2 IgM and IgG, we assessed the impact of sera after heat-inactivation on the SARS-CoV-2 IgM and IgG levels measured by ELISA-immunoassay. METHODS: The serum samples of 62 patients with COVID-19 and 18 healthy controls were collected in Hankou's Hospital of Wuhan from February 27 to March 6, 2020. Before and after the samples were inactivated, the levels of IgM and IgG antibodies were measured. RESULTS: The indexes of antibodies after inactivated were significantly higher than those in fresh sera, while the positive rates in all participants or in patients with COVID-19 did not change. The positive coincidence rate, negative coincidence rate and total coincidence rate of IgM antibodies before and after inactivation were 100.00% (55/55), 96.00% (24/25) and 98.75% (79/80), respectively (κ = 0.971, P < 0.001), while those for IgG antibodies were 98.21% (55/56), 91.67% (22/24) and 98.75% (79/80) respectively (κ = 0.910, P < 0.001). These results showed a good consistency. CONCLUSIONS: Heating-activation does not decrease the diagnostic efficacy of SARS-CoV-2 IgM or IgG antibodies. Sera inactivated by heating at 56 °C for 30 min should be recommended to minimize the risk of virus contamination of laboratory staff.


Assuntos
Anticorpos Antivirais/sangue , Betacoronavirus , Técnicas de Laboratório Clínico/métodos , Infecções por Coronavirus/sangue , Temperatura Alta , Imunoglobulina G/sangue , Imunoglobulina M/sangue , Pneumonia Viral/sangue , Adulto , Idoso , Idoso de 80 Anos ou mais , Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/diagnóstico , Ensaio de Imunoadsorção Enzimática/métodos , Feminino , Temperatura Alta/uso terapêutico , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/diagnóstico , Estudos Retrospectivos
7.
Ann Afr Med ; 19(2): 137-143, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32499471

RESUMO

Objective: Administration of warm intravenous (IV) fluid infusion and use of forced air warmers is the most easy and physiologically viable method for maintaining normothermia during surgery and postsurgical periods This study was conducted to assess the effect of combination of active warming (AW) methods namely warm IV fluid infusion and forced air warming versus forced air warming only (WA) on maternal temperature during elective C-delivery under spinal anesthesia. Materials and Methods: A total of 100 patients scheduled for elective c-section were grouped into those who received both warmed IV fluid infusion and forced air warmer (Combination of active warming WI= 50) and those who received only forced air warmer (WA = 50). Core body temperature and shivering incidence were recorded using a tympanic thermometer from prespinal till the end of surgery every 10 min and in postanesthesia care unit (PACU) at 0, 15, and 30 min. Results: Core temperature showed statistically significant difference in 15, 35, 45, and 55 min between air warmer and warm infusion groups and in PACU at 0, 15, and 30 min, it was statistically significant (P = 0.000) among WI group (mean temperature = 36.79°C) when compared to WA group (mean temperature = 35.96°C). There was a lower incidence of shivering in WI compared to WA group, which is statistically significant. Conclusion: Combination of warm Intravenous fluid infusion and Forced air warming is better than forced air warming alone. In maintaining near normal maternal core body temperature during elective cesarean section following spinal anesthesia. Combined warming method also reduces shivering incidence.


Assuntos
Anestesia Obstétrica/métodos , Raquianestesia/efeitos adversos , Cesárea/efeitos adversos , Temperatura Alta/uso terapêutico , Hipotermia/prevenção & controle , Infusões Intravenosas/métodos , Cuidados Intraoperatórios/métodos , Administração Intravenosa , Adulto , Período de Recuperação da Anestesia , Anestesia Obstétrica/efeitos adversos , Raquianestesia/métodos , Regulação da Temperatura Corporal , Cesárea/métodos , Feminino , Humanos , Hipotermia/induzido quimicamente , Hipotermia/etiologia , Monitorização Intraoperatória/métodos , Gravidez , Tremor por Sensação de Frio/efeitos dos fármacos , Tremor por Sensação de Frio/fisiologia , Fatores de Tempo , Resultado do Tratamento
8.
Complement Ther Clin Pract ; 39: 101149, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32379681

RESUMO

Hot sand baths are used for the treatment musculoskeletal diseases. The aim of this study was to assess beneficial effect of black sand bathing in the treatment of antenatal carpal tunnel syndrome (CTS). Study was conducted in single case with CTS of the right dominant hand. The treatment time was 20 min/day, 5 days/week for 2 weeks. CTS were evaluated using a visual analogue scale (VAS), pinch gauge dynamometer and Boston Carpal Tunnel Questionnaire (BCTQ) with electrophysiological studies at baseline and at week 2. Pain intensity (VAS) was decreased (34.2%), Tip, Key and Tripod pinch strengths were increased (14.29%), (19.23%) and (21.74%) respectively. Mean scores on the BCTQ-SSS and BCTSQ-FSS were decreased (23.69%) and (20.7%) respectively. Electrophysiological studies revealed that decreased mMDL (11.47%), increased mSNCV (9.23%) at the end of treatment. The black sand bathing is supported as a complementary therapy in antenatal CTS.


Assuntos
Síndrome do Túnel Carpal/terapia , Temperatura Alta/uso terapêutico , Areia , Adulto , Feminino , Humanos , Masculino , Gravidez , Inquéritos e Questionários , Escala Visual Analógica
9.
PLoS One ; 15(4): e0230951, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32240228

RESUMO

BACKGROUND: Restless Legs Syndrome (RLS) is a sensorimotor condition with a wide range of severity. Symptoms negatively affect sleep and quality of life. Pharmacologic options are not universally effective and side effects are common. Objective data regarding non-pharmacologic treatment is limited. The study objective was to evaluate the efficacy of the MMF07 foot massager and heat therapy on the severity of RLS symptoms. METHODS: In this pilot randomized controlled trial, twenty-eight patients with diagnosed, bothersome RLS were randomized to four treatment arms: no active intervention (n = 7), foot massager (n = 8), heat therapy (n = 6), and foot massager plus heat therapy (n = 7). Participants completed the RLS Severity Scale, RLS Quality of Life questionnaire, and the Medical Outcomes Study Sleep scale at the baseline visit and at the 4-week follow up visit. RESULTS: Four weeks post randomization, participants in the massager group had significant improvement in the RLS severity score (average difference: -9.0, 95% CI: -16.3, -1.7, p = 0.017) and sleep scale (average difference: -22.0, 95% CI: -36.5, -7.5, p = 0.005) compared to the no intervention group. The heat alone group had a significant improvement in the sleep scale compared to the no-intervention group (average difference: -17.4, 95% CI: -32.5, -2.3, p = 0.026). Quality of life improved in the massage only group compared to control (average difference 25.3, 95% CI: -2.4, 53.0, p = 0.072). CONCLUSIONS: Results suggest that the MMF07 foot massage device and heat therapy may be feasible and effective treatment options to improve RSL symptoms.


Assuntos
Pé/fisiopatologia , Temperatura Alta/uso terapêutico , Síndrome das Pernas Inquietas/terapia , Adulto , Idoso , Feminino , Humanos , Hipertermia Induzida/métodos , Masculino , Massagem/métodos , Pessoa de Meia-Idade , Manejo da Dor/métodos , Projetos Piloto , Estudos Prospectivos , Qualidade de Vida , Índice de Gravidade de Doença , Sono/fisiologia , Resultado do Tratamento
10.
Medicine (Baltimore) ; 99(9): e19386, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32118788

RESUMO

Case-control studies have shown that noxious thermal stimulation (TS) can improve arm function in patients with stroke. However, the neural mechanisms underlying this improvement are largely unknown. We explored functional neural activation due to noxious and innocuous TS intervention applied to the paretic arm of patients with stroke. Sixteen participants with unilateral cortical infarctions were allocated to one of two groups: noxious TS (8 patients; temperature combination: hot pain 46°C to 47°C, cold pain 7°C-8°C) or innocuous TS (n = 8; temperature combination: hot 40°C-41°C, cold 20°C-21°C). All subjects underwent fMRI scanning before and after 30 min TS intervention and performed a finger tapping task with the affected hand. Immediate brain activation effects were assessed according to thermal type (noxious vs. innocuous TS) and time (pre-TS vs post-TS). Regions activated by noxious TS relative to innocuous TS (P < .05, adjusted for multiple comparisons) were related to motor performance and sensory function in the bilateral primary somatosensory cortices, anterior cingulate cortex, insula, thalamus, hippocampus and unilateral primary motor cortex, secondary somatosensory cortex at the contralateral side of lesion, and unilateral supplementary motor area at the ipsilateral side of lesion. Greater activation responses were observed in the side contralateral to the lesion, suggesting a significant intervention effect. Our preliminary findings suggest that noxious TS may induce neuroplastic changes unconstrained to the local area.Trial registration: NCT01418404.


Assuntos
Temperatura Alta/uso terapêutico , Estimulação Física/métodos , Reabilitação do Acidente Vascular Cerebral/métodos , Adulto , Idoso , Análise de Variância , Estudos de Casos e Controles , Feminino , Humanos , Imagem por Ressonância Magnética/métodos , Masculino , Pessoa de Meia-Idade , Estimulação Física/instrumentação , Acidente Vascular Cerebral/fisiopatologia , Acidente Vascular Cerebral/terapia , Reabilitação do Acidente Vascular Cerebral/instrumentação
11.
Complement Ther Med ; 49: 102280, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32147036

RESUMO

OBJECTIVES: Examine effect of single hand heating with and without negative pressure on fasting blood glucose (FBG) and postprandial blood glucose (PBG). DESIGN: Double-blind randomized controlled trial with crossover design. SUBJECTS: FBG experiment: 17 healthy subjects (4 males). PBG experiment: 13 healthy subjects (1 males). INTERVENTIONS: Devices included one providing heat only, one heat and negative pressure, and one acting as a sham. For the FBG experiment the devices were used for 30 min. For the PBG experiment the devices were used for one hour during an oral glucose tolerance test (OGTT). OUTCOME MEASURES: Blood glucose measurements were used to determine change in FBG, peak PBG, area under the curve (AUC), and incremental AUC (iAUC). RESULTS: Temperature: Change in tympanic temperature was ≤ 0.15 °C for all trials. FBG: There was no effect on FBG. PBG: Compared to the sham device the heat plus vacuum and heat only device lowered peak blood glucose by 16(31)mg/dL, p = 0.092 and 18(28)mg/dL, p = 0.039, respectively. AUC and iAUC: Compared to the sham device, the heat plus vacuum device and heat only device lowered the AUC by 5.1(15.0)%, p = 0.234 and 7.9(11.1)%, p = 0.024 respectively and iAUC by 17.2(43.4)%, p = 0.178 and 20.5(34.5)%, p = 0.054, respectively. CONCLUSIONS: Heating a single hand lowers postprandial blood glucose in healthy subjects.


Assuntos
Glicemia/análise , Mãos/fisiologia , Temperatura Alta/uso terapêutico , Período Pós-Prandial , Adolescente , Adulto , Estudos Cross-Over , Método Duplo-Cego , Feminino , Voluntários Saudáveis , Humanos , Masculino , Adulto Jovem
12.
Complement Ther Med ; 49: 102325, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32147053

RESUMO

OBJECTIVES: Pain relief is one of the main goals of treatment in Diabetic peripheral neuropathy (DPN). Abzan(foot- bath) is one of the effective ways to relief various types of pain in Persian Medicine (PM). DESIGN: This study is a randomized clinical trial (RCT) conducted on 60 patients of age range within 30 to 70 years, which were randomly divided into three groups. Group A (warm water bath):For one month each night before bedtime, they were asked to sit on a chair with trousers pulled up to about 5 cm above the ankles and both feet immersed in an electrical foot-bath that contained 5 liters of warm tolerable water (between 40 and 45 ° C) for 15 minutes without any massage. In Group B (salt water bath) was added and dissolved 250 grams of powdered mineral salt to their warm water. Other stages were similar to the group A. Group C (control) did not receive any interventions. Patients were evaluated prior to and following the intervention by the Douleur Neuropathique 4 questionnaire (DN4), The McGill Pain questionnaire and The World Health Organization Bref Quality of Life (WHOQOL-BREF) questionnaire. RESULTS: Decrease in DN4 score level in the salt warm water group was significant while The McGill questionnaire showed a significant decrease of pain level the same group. CONCLUSIONS: Application of a specific Abzan (salt water bath) may significantly decrease the pain of DPN patients.


Assuntos
Balneologia , Pé Diabético/terapia , Neuropatias Diabéticas/terapia , Temperatura Alta/uso terapêutico , Manejo da Dor/métodos , Adulto , Idoso , Banhos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor , Cloreto de Sódio , Inquéritos e Questionários
13.
Sci Rep ; 10(1): 5122, 2020 03 20.
Artigo em Inglês | MEDLINE | ID: mdl-32198424

RESUMO

Nanosecond Pulsed Electric Fields (nsPEF) have the potential to treat a variety of cancer types including melanoma, pancreatic and lung squamous cancers. Recent studies show that nsPEF-based cancer therapy may be improved further with the assistance of moderate heating of the target. A feedback-looped heating system, utilizing a 980-nm fiber optic laser, was integrated into nsPEF electrodes for tumor ablation. The laser beam profile was determined to be Gaussian using a knife-edge technique. Thermal properties of the biological target were evaluated based on the treatment area, penetration depth and thermal distribution due to laser irradiation with or without nsPEF. Synergistic effects between nsPEF and the moderately elevated temperature at the target was observed, resulting in enhanced overall survival tumor regression up to 50% in the treatment of lung squamous cell cancer in mice.


Assuntos
Carcinoma de Células Escamosas/radioterapia , Raios Infravermelhos/uso terapêutico , Terapia a Laser/métodos , Neoplasias Pulmonares/radioterapia , Tratamento por Radiofrequência Pulsada/métodos , Pele/efeitos da radiação , Animais , Engenharia Biomédica , Linhagem Celular Tumoral , Feminino , Tecnologia de Fibra Óptica , Temperatura Alta/uso terapêutico , Camundongos , Camundongos Endogâmicos DBA , Suínos
14.
Am J Nurs ; 120(3): 58-60, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32079801

RESUMO

Editor's note: From its first issue in 1900 through to the present day, AJN has unparalleled archives detailing nurses' work and lives over more than a century. These articles not only chronicle nursing's growth as a profession within the context of the events of the day, but they also reveal prevailing societal attitudes about women, health care, and human rights. Today's nursing school curricula rarely include nursing's history, but it's a history worth knowing. To this end, From the AJN Archives highlights articles selected to fit today's topics and times.In this month's article, from the May 1925 issue, nurse Ellen G. Dawson from Evanston Hospital in Illinois presents three case studies as evidence for a new use for immobilizing traction: the treatment of osteoarthritis. The protocol includes the use of traction for days or weeks, hot fomentations (poultices) applied to the skin over the painful joint, and a body cast (for back pain) or leg cast (for knee pain) worn for an extended period afterward. If the joint pain was severe, a lotion made from tinctures of opium and arnica, witch hazel, and lead water was also applied. The author notes, "We could cite case after case, with varying lengths of time, where the results have been equally gratifying."Today, nurses are involved in more formal arthritis research. In this issue, So-Hyun Park and Shiela M. Strauss examine the impact of arthritis on recommended physical activity in their original research article, "Arthritis-Related Functional Limitations and Inadequate Physical Activity Among Female Adult Cancer Survivors."


Assuntos
Temperatura Alta/uso terapêutico , Osteoartrite/terapia , Tração/enfermagem , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
15.
Int J Hyperthermia ; 37(1): 184-191, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32046537

RESUMO

Background: Waon therapy (WT) is the predominant thermal therapy for chronic heart failure in Japan, involving use of a far-infrared dry sauna. As sauna therapy requires certain equipment not readily available in hospitals, we tested the use of whole-body hot pack thermal therapy (HPTT). We compared the magnitude of skin vasodilation post-HPTT with that post-WT.Methods: We recruited 19 healthy men (age [mean ± S.D.]: 26.8 ± 4.6 years) and employed a simple randomized crossover design. The HPTT required subjects to remain in a supine position on a bed for at least 10 min. Hot packs were then applied on the back, lower abdomen, and popliteal regions for 15 min (warming phase). Participants continued bed rest for 30 min (heat-retention phase) after removal of the hot pack. WT was performed as previously described. Blood pressure (BP), heart rate (HR), tympanic temperature (TT), and peak and average flow velocity of the right radial artery (PFV and AFV, respectively) and right brachial artery (BA) diameter were measured during HPTT and WT.Results: HR, TT, PFV, and AFV persistently and significantly increased during warming and heat-retention phases of HPTT. In WT, HR and TT significantly increased during warming but decreased and plateaued during heat-retention. BP did not change significantly after either therapy; however, BA was dilated equally in both (HPTT: 3.70 ± 0.57 ⇒ 4.05 ± 0.59 mm, p = .001; WT: 3.63 ± 0.63 ⇒ 3.93 ± 0.61 mm, p < .001).Conclusion: HPTT may be equivalent to WT with respect to vasodilation response of the skin.


Assuntos
Temperatura Alta/uso terapêutico , Banho a Vapor/métodos , Adulto , Estudos Cross-Over , Voluntários Saudáveis , Coração , Humanos , Masculino
16.
PLoS One ; 15(2): e0228529, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32027688

RESUMO

Postpartum care is a critical element for ensuring survival and health of mothers and newborns but is often inadequate in low- and middle-income countries due to barriers to access and resource constraints. Newly delivered mothers and their families often rely on traditional forms of postnatal care rooted in social and cultural customs or may blend modern and traditional forms of care. This ethnographic study sought to explore use of biomedical and traditional forms of postnatal care. Data were collected through unstructured observation and in-depth interviews with 15 mothers. Participants reported embracing traditional understandings of health and illness in the post-partum period centered on heating the body through diet, steaming, and other applications of heat, yet also seeking injections from private health care providers. Thematic analysis explored concepts related to transitioning forms of postnatal care, valuing of care through different lenses, and diverse sources of advice on postnatal care. Mothers also described concurrent use of both traditional medicine and biomedical postnatal care, and the importance of adhering to cultural traditions of postnatal care for future health. Maternal and newborn health are closely associated with postnatal care, so ensuring culturally appropriate and high-quality care must be an important priority for stakeholders including understand health practices that are evolving to include injections.


Assuntos
Antropologia Cultural , Temperatura Corporal/fisiologia , Temperatura Alta/uso terapêutico , Injeções , Medicina Tradicional/métodos , Cuidado Pós-Natal/métodos , Adulto , Camboja/epidemiologia , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Hipertermia Induzida/métodos , Hipertermia Induzida/psicologia , Hipertermia Induzida/estatística & dados numéricos , Saúde do Lactente , Recém-Nascido , Injeções/psicologia , Injeções/estatística & dados numéricos , Masculino , Medicina Tradicional/estatística & dados numéricos , Mães , Aceitação pelo Paciente de Cuidados de Saúde , Cuidado Pós-Natal/estatística & dados numéricos , Período Pós-Parto , Padrões de Prática Médica/estatística & dados numéricos , Gravidez , Inquéritos e Questionários
17.
BMC Musculoskelet Disord ; 21(1): 46, 2020 Jan 20.
Artigo em Inglês | MEDLINE | ID: mdl-31959172

RESUMO

BACKGROUND: Calf muscle strain and Achilles tendon injuries are common in many sports. For the treatment of muscular and tendinous injuries, one of the newer approaches in sports medicine is capacitive-resistive electric transfer therapy. Our objective was to analyze this in vitro, using invasive temperature measurements in cadaveric specimens. METHODS: A cross-sectional study designed with five fresh frozen cadavers (10 legs) were included in this study. Four interventions (capacitive and resistive modes; low- and high-power) was performed for 5 min each by a diathermy "T-Plus" device. Achilles tendon, musculotendinous junction and superficial temperatures were recorded at 1-min intervals and 5 min after treatment. RESULTS: With the low-power capacitive protocol, at 5 min, there was a 25.21% increase in superficial temperature, a 17.50% increase in Achilles tendon temperature and an 11.27% increase in musculotendinous junction temperature, with a current flow of 0.039 A ± 0.02. With the low-power resistive protocol, there was a 1.14% increase in superficial temperature, a 28.13% increase in Achilles tendon temperature and an 11.67% increase in musculotendinous junction temperature at 5 min, with a current flow of 0.063 A ± 0.02. With the high-power capacitive protocol there was an 88.52% increase in superficial temperature, a 53.35% increase in Achilles tendon temperature and a 39.30% increase in musculotendinous junction temperature at 5 min, with a current flow of 0.095 A ± 0.03. With the high-power resistive protocol, there was a 21.34% increase in superficial temperature, a 109.70% increase in Achilles tendon temperature and an 81.49% increase in musculotendinous junction temperature at 5 min, with a current flow of 0.120 A ± 0.03. CONCLUSION: The low-power protocols resulted in only a very slight thermal effect at the Achilles tendon and musculotendinous junction, but current flow was observed. The high-power protocols resulted in a greater temperature increase at the Achilles tendon and musculotendinous junction and a greater current flow than the low-power protocols. The high-power resistive protocol gave the greatest increase in Achilles tendon and musculotendinous junction temperature. Capacitive treatments (low- and high-power) achieved a greater increase in superficial temperature.


Assuntos
Tendão do Calcâneo/lesões , Tendão do Calcâneo/patologia , Capacitância Elétrica/uso terapêutico , Terapia por Estimulação Elétrica/métodos , Temperatura Alta/uso terapêutico , Músculo Esquelético/patologia , Idoso , Idoso de 80 Anos ou mais , Cadáver , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Traumatismos dos Tendões/patologia , Traumatismos dos Tendões/terapia
18.
Postgrad Med J ; 96(1132): 94-101, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31757873

RESUMO

The ultimate cure for the tendon pathology continues to elude current science. Despite great steps in technology, the causation and treatment is still not clear. The number of different theories and treatment modalities in the literature may confuse clinicians and patients. In this paper we outline the definitions, evolution of pathogenesis and treatment for tendinopathy. By highlighting these, the aim of this paper is to guide the practitioner in counselling and treating their patients.


Assuntos
Anti-Inflamatórios não Esteroides/uso terapêutico , Tratamento Conservador , Terapia por Exercício , Tendinopatia/terapia , Corticosteroides/uso terapêutico , Desbridamento , Descompressão Cirúrgica , Agulhamento Seco , Tratamento por Ondas de Choque Extracorpóreas , Temperatura Alta/uso terapêutico , Humanos , Injeções , Peptídeos e Proteínas de Sinalização Intercelular , Terapia com Luz de Baixa Intensidade , Massagem , Transplante de Células-Tronco Mesenquimais , Plasma Rico em Plaquetas , Proloterapia , Descanso , Escleroterapia , Tendinopatia/diagnóstico , Tendinopatia/fisiopatologia , Terapia por Ultrassom
19.
Burns ; 46(1): 104-109, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31859085

RESUMO

INTRODUCTION: Knowledge of thermally induced skin injury has increased, but its pathophysiology remains unclear. Although it is assumed that local cooling may protect tissue, little is known about the impact of local heating on human skin. This study aimed to evaluate acute skin perfusion dynamics following thermal stimuli in healthy human volunteers. MATERIAL AND METHODS: In 54 subjects, a TSA-II-NeuroSensory Analyzer was used to induce local hypothermia (15 °C and 5 °C) and local hyperthermia (40 °C and 45 °C) at the palmar forearm of healthy volunteers. Changes in tissue microcirculation were assessed using an O2C device before and after each temperature change. RESULTS: Blood flow and velocity values showed a continuous decrease with decreasing skin temperature, whereas haemoglobin oxygen saturation (SO2) showed a continuous increase in superficial (2 mm) and deep layers (8 mm). With increasing skin temperature, flow, SO2 and velocity increased in the superficial and deep layers. The relative amount of haemoglobin (rHB) did not show a continuous alteration. DISCUSSION: Local cooling may protect damaged tissue due to increased SO2 (lower oxygen consumption). However, reduced blood flow and velocity in response to local cooling limit nutrient requirements and the transport of metabolites. Despite higher oxygen consumption of tissue at higher temperatures, both blood flow and SO2 increase. Thus, we hypothesize that not only hypothermia but also hyperthermia may provide tissue protection.


Assuntos
Hemoglobinas/metabolismo , Hipertermia Induzida , Hipotermia Induzida , Microcirculação/fisiologia , Oxigênio/metabolismo , Pele/irrigação sanguínea , Pele/metabolismo , Adolescente , Adulto , Temperatura Baixa , Crioterapia , Feminino , Voluntários Saudáveis , Temperatura Alta/uso terapêutico , Humanos , Fluxometria por Laser-Doppler , Masculino , Pessoa de Meia-Idade , Temperatura Cutânea , Espectrofotometria , Adulto Jovem
20.
J Back Musculoskelet Rehabil ; 33(1): 21-28, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31594202

RESUMO

BACKGROUND: Heating the skin and muscles is a commonly accepted method of pain relief and a modality to increase relaxation in muscles and increase tissue blood flow. OBJECTIVE: The purpose of the present study was to examine the effect of local heat applied to trigger points and to determine if there was pain relief in the neck and plantar fascia. METHODS: Forty adults were divided into 2 different groups according to their pain; twenty subjects had plantar foot pain and the other 20 had nonspecific neck pain. The 20 subjects in each group were randomly subdivided into a heat and a sham group. Sensitivity to pressure was measured with an algometer. A stopwatch was given to the subject and started when either the heat patch or placebo was applied. Heat cells were applied at trigger points on the pain area. RESULTS: Subjective pain significantly decreased in both sham and heat group patients with neck pain (p< 0.05), however, the change was greater in the heat group and there was a significant difference between the heat and sham groups (p= 0.002, d= 0.81). For the plantar pain group, a significant decrease in subjective pain was found in the heat group but not in the sham group. Pressure pain threshold significantly decreased in the heat group patients both with neck and plantar pain but for the sham group there was an increase in the pressure after sham treatment. Pain relief during the intervention was also significantly different between the heat and sham group in both patients with neck and plantar pain. CONCLUSION: The effect of local heat on trigger points of the body on pain relief was significantly better in the heat groups than in the sham groups. This finding is significant because using heat on trigger points could be an alternative to dry needling performed by healthcare professionals. This modality can be alternative for home use and avoids opioids.


Assuntos
Fasciíte Plantar/terapia , Temperatura Alta/uso terapêutico , Cervicalgia/terapia , Manejo da Dor/métodos , Pontos-Gatilho/fisiopatologia , Adulto , Fáscia/fisiopatologia , Fasciíte Plantar/fisiopatologia , Feminino , Pé/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Músculo Esquelético/fisiopatologia , Cervicalgia/fisiopatologia , Limiar da Dor/fisiologia , Resultado do Tratamento , Adulto Jovem
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