共查询到20条相似文献,搜索用时 15 毫秒
1.
Xuhui Chen Liming Cao Hongye Feng Xuming Huang 《The Journal of international medical research》2021,49(1)
Patients with essential thrombocythemia (ET) can experience hemorrhagic or ischemic vascular events. The prevention of these complications is challenging, and the overall risk of vascular events caused by ET is often overlooked. A 34-year-old man was admitted for a 10-day history of weakness and numbness in his right limbs. He had been diagnosed with ET in 2008 but had stopped receiving treatment half a year before admission. Physical examination showed a superficial sense of disturbance in the right limbs and decreased muscle strength in the right upper and lower limbs (4/5). His platelet count (459 × 109/L) was elevated. Magnetic resonance imaging showed acute watershed infarction, and he was treated successfully. However, he was readmitted for headache and left limb weakness 14 months later. A head computed tomography scan revealed spontaneous subdural hemorrhage. He underwent subdural hematoma removal and decompressive craniectomy. Surgery and pathological investigation revealed no venous sinus thrombosis or vascular malformation. His condition improved, and he exhibited a stable condition 1 year after discharge. Successive development of ischemic stroke and spontaneous subdural hemorrhage is rare in a patient with ET. This case suggests that ET is not only a risk factor for stroke but can also cause highly heterogeneous strokes. 相似文献
2.
Hitomi Tanaka Takatoshi Anno Haruka Takenouchi Katsumasa Koyama Fumiko Kawasaki Katsumi Kurokawa Niro Okimoto Koichi Tomoda Hideaki Kaneto 《The Journal of international medical research》2022,50(8)
Pulmonary diseases often cause significant health issues and nutritional disorders. Weight loss and malnutrition are related to the severity of obstructive disorders. Therefore, patients with such conditions often experience low nutritional energy. Acetonemic vomiting is caused by acetonemic syndrome. Previously, it was believe that acetonemic vomiting was observed only in childhood. However, it was recently suggested that acetonemic vomiting can also occur in adults. It is also considered that acetonemic vomiting can occur in subjects with low body weight because stored carbohydrate levels are reduced and fats are mainly used for energy. Consequently, large amounts of acetone are produced, ultimately resulting in nausea and vomiting. In this study, we report a case of adult acetonemic vomiting complicated by low body weight in a subject with Mycobacterium avium complex pulmonary disease. 相似文献
3.
John Jacob Mischke Alicia J. Emerson Kavchak Carol A. Courtney 《Physiotherapy theory and practice》2016,32(2):153-158
Massive irreparable rotator cuff tears can be difficult to treat conservatively, especially when the patient has multiple comorbidities. Although there is evidence to support interventions aimed at the spine, there is paucity in the literature describing interventions to the sternoclavicular joint (SCJ) in individuals with rotator cuff pathology. A 57-year-old female with multiple comorbidities and a body mass index of 59 was referred to physical therapy with a 4-month history of right shoulder pain, significant functional limitations, and magnetic resonance imaging (MRI), demonstrating a full-thickness supraspinatus tear. She presented initially with active shoulder flexion range of motion (ROM) 0–80°, numeric pain rating scale (NPRS) 7/10, and QuickDASH 65.9%. After six physical therapy sessions, the patient had plateaued with improvements in pain and ROM. SCJ mobilizations at visit 7 immediately improved pain, active ROM, and subjective reports of function. The patient was discharged after 13 visits with increased active shoulder flexion ROM to 0–170°, NPRS 1/10, QuickDASH 31.8%, and Global Rating of Change (GROC) +5. This case highlights the successful conservative treatment of an individual with an irreparable rotator cuff tear and numerous comorbidities by using a multimodal approach including SCJ mobilizations. 相似文献
4.
Young-dong Kim 《Journal of Physical Therapy Science》2015,27(4):1277-1278
[Purpose] This study investigated the efficacy on postural control of a bridging exercise
in order to suggest a pertinent procedure for the bridging exercise. [Subject] One
poststroke hemiplegic patient who had received surgery for lumbar spinal stenosis
participated in this study [Methods] A reverse ABAB single-case experimental design was
used. To assess postural control, foot pressure and the stability limit test were
evalulated once a week a total of 4 times during the intervention period. [Results]
Noticeable improvement in the distribution of foot pressure and increased stability limit
were shown after performing the bridging exercise supervised by a physical therapist.
[Conclusion] Bridging exercise on a plinth is effective at balancing body weight-bearing
and resulted in the patient putting her weight on both feet evenly and in both the
anterior and posterior directions.Key words: Bridging exercise, Hemiplegia, Postural control 相似文献
5.
[Purpose] The aim of this study was to examine the effects of proprioceptive
neuromuscular facilitation techniques and simple exercise on subjective pain reduction and
blood flow velocity in supraspinatus tear patients and to evaluate muscle recovery.
[Subjects and Methods] The 20 subjects of this study were diagnosed with supraspinatus
tears by MRI. The subjects have performed PNF techniques and Simple exercise for 12 weeks.
[Results] After 12 weeks of proprioceptive neuromuscular facilitation techniques and
simple exercise, the blood flow velocity, Visual Analogue Scale, and disabilities of the
arm, shoulder, and hand score showed statistically significant difference. Also, the
difference between the proprioceptive neuromuscular facilitation techniques and simple
exercise was statistically significant. [Conclusion] In conclusion, 12 weeks of
proprioceptive neuromuscular facilitation treatment and simple exercise therapy had no
effect on pain reduction in patients with supraspinatus tear, but in terms of
functionality, the proprioceptive neuromuscular facilitation treatment was effective.Key words: DASH, PNF, Supraspinatus tear 相似文献
6.
《Journal of Manual and Manipulative Therapy》2013,21(5):246-253
Finger injuries are common and can greatly affect a musician’s quality of life. A 55-year-old man, who had injured the proximal interphalangeal joint of the left index finger 6 months prior to any intervention, was treated with a manual therapy approach incorporating instrument-assisted soft tissue mobilization (IASTM). Initial examination findings included self-reported pain and functional limitations and physical impairments that significantly impeded his ability to play the acoustic guitar. He was treated once a week for 6 weeks with IASTM, joint mobilization, therapeutic exercise, and ice massage. Additionally, a home exercise program and self-care instructions were provided. The patient gained positive outcomes with improvements in pain (Numerical Pain Rating Scale while playing the guitar: initial 5/10, discharge 1/10) and function (Disability Arm Shoulder Hand Sports-Performing Arts Optional Module: initial 75; discharge 6·25), each reaching a minimum clinically important difference. Importantly, he was able to play the guitar with minimal to no pain as desired. Physical measures also improved, including an immediate gain in finger range of motion with IASTM alone. Manual therapy approaches integrating IASTM may provide an effective conservative treatment strategy for patients with finger/hand conditions in the performing arts and other patient populations. 相似文献
7.
M. Terry Loghmani Amy J. Bayliss Greg Clayton Evelina Gundeck 《Journal of Manual and Manipulative Therapy》2015,23(5):246-253
Finger injuries are common and can greatly affect a musician’s quality of life. A 55-year-old man, who had injured the proximal interphalangeal joint of the left index finger 6 months prior to any intervention, was treated with a manual therapy approach incorporating instrument-assisted soft tissue mobilization (IASTM). Initial examination findings included self-reported pain and functional limitations and physical impairments that significantly impeded his ability to play the acoustic guitar. He was treated once a week for 6 weeks with IASTM, joint mobilization, therapeutic exercise, and ice massage. Additionally, a home exercise program and self-care instructions were provided. The patient gained positive outcomes with improvements in pain (Numerical Pain Rating Scale while playing the guitar: initial 5/10, discharge 1/10) and function (Disability Arm Shoulder Hand Sports-Performing Arts Optional Module: initial 75; discharge 6·25), each reaching a minimum clinically important difference. Importantly, he was able to play the guitar with minimal to no pain as desired. Physical measures also improved, including an immediate gain in finger range of motion with IASTM alone. Manual therapy approaches integrating IASTM may provide an effective conservative treatment strategy for patients with finger/hand conditions in the performing arts and other patient populations. 相似文献
8.
Alessandro Circelli Etrusca Brogi Emiliano Gamberini Emanuele Russo Marco Benni Giovanni Scognamiglio Andrea Nanni Federico Coccolini Francesco Forfori Paola Fugazzola Luca Ansaloni Piergiorgio Solli Fabrizio Di Benedetto Matteo Cescon Vanni Agnoletti 《The Journal of international medical research》2021,49(3)
Even with encouraging recipient outcomes, transplantation using donation after circulatory death (DCD) is still limited. A major barrier to this type of transplantation is the consequences of warm ischemia on graft survival; however, preservation techniques may reduce the consequences of cardiac arrest and provide better organ conservation. Furthermore, DCD in trauma patients could further expand organ donation. We present five cases in which organs were retrieved and transplanted successfully using normothermic regional perfusion (NRP) in trauma patients. Prompt critical care support and surgical treatment allowed us to overcome the acute phase. Unfortunately, owing to the severity of their injuries, all of the donors died. However, the advanced and continuous organ-specific supportive treatment allowed the maintenance of general clinical stability and organ preservation. Consequently, it was possible to retrieve and transplant the donors’ organs. Death was ascertained in accordance with cardio-circulatory criteria, which was followed by NRP. We consider that DCD in trauma patients may represent an important source of organs. 相似文献
9.
[Purpose] To investigate the effect of coordination movement using the Proprioceptive
Neuromuscular Facilitation pattern underwater on the balance and gait of stroke patients.
[Subjects and Methods] Twenty stroke patients were randomly assigned to an experimental
group that performed coordination movement using the Proprioceptive Neuromuscular
Facilitation pattern underwater and a control group (n =10 each). Both the groups
underwent neurodevelopmental treatment, and the experimental group performed coordination
movement using the Proprioceptive neuromuscular facilitation pattern underwater. Balance
was measured using the Berg Balance Scale and Functional Reach Test, and gait was measured
using the 10-Meter Walk Test and Timed Up and Go Test. To compare in-group data before and
after the intervention, paired t-test was used. Independent t-test was used to compare
differences in the results of the Berg Balance Scale, Functional Reach Test, 10-Meter Walk
Test, and Timed Up and Go Test before and after the intervention between the groups.
[Results] Comparison within the groups showed significant differences in the results of
the Berg Balance Scale, Functional Reach Test, 10-Meter Walk Test, and Timed Up and Go
Test before and after the experimental intervention. On comparison between the groups,
there were greater improvements in the scores of the Berg Balance Scale, Functional Reach
Test, 10-Meter Walk Test, and Timed Up and Go Test in the experimental group. [Conclusion]
The findings demonstrate that coordination movement using the Proprioceptive Neuromuscular
Facilitation pattern under water has a significant effect on the balance and gait of
stroke patients.Key words: Coordination movement using the PNF pattern, Balance, Gait 相似文献
10.
Xiaobo Ding Meizi Cui Tiejun Wang Helei Wang Xinyu Wang Wei Qiu Yanbo Wang 《The Journal of international medical research》2021,49(3)
Angiomyolipoma (AML) is a benign tumor that mainly occurs in the kidneys. Simultaneous involvement of the kidney and local regional lymph nodes is very rare and might be misdiagnosed as a metastasizing malignant cancer. In the present study, a 50-year-old woman was referred to our hospital after a routine health screening ultrasound. Sporadic multiple renal AML with lymph node involvement was suspected based on the clinical manifestations and radiologic features. Partial nephrectomy was performed and a para-inferior vena cava lymph node was removed. The pathologic results confirmed multiple AML with lymph node invasion. We also reviewed the English-language literature regarding renal AML with lymph node involvement. We found that middle-aged women were likely to develop this disease and that loin pain was the main presenting feature. Most patients had no history of tuberous sclerosis complex. Radical nephrectomy was the predominant treatment. No local recurrence or distant metastasis occurred in any patients after radical nephrectomy or partial nephrectomy. In conclusion, renal AML with lymph node involvement is rare but can occur in both patients with tuberous sclerosis complex and those with multiple sporadic AML. Partial nephrectomy should be the first-line treatment, after which further treatment is not necessary. 相似文献
11.
Suad Aljohani Riham Fliefel Teresa Franziska Brunner Aristeidis Chronopoulos Nada Binmadi Sven Otto 《The Journal of international medical research》2022,50(6)
ObjectiveOsteoradionecrosis of the jaw (ORNJ) is one of the most severe head and neck complications in patients treated with radiotherapy. The goal of treatment is to suppress ORNJ progression. Currently, surgical removal of necrotic bone is an effective management approach for advanced stages. In this study, we present our experience in managing ORNJ using fluorescence-guided surgery.MethodsNineteen ORNJ lesions in 15 hospitalized patients were treated with fluorescence-guided surgery. We retrospectively reviewed patients’ demographic data, comorbidities, local preceding event, location, ORNJ stage, and treatment outcomes with a median follow-up of 12 months.ResultsTwelve lesions (63%) were treated surgically under tetracycline fluorescence, and seven lesions (37%) were surgically treated under auto-fluorescence. Overall, four lesions (21%) achieved complete mucosal healing, eight lesions (42%) showed partial mucosal healing with bone exposure and no signs or symptoms of inflammation, and seven lesions (37%) were progressive. The results showed that either healing or ORNJ stabilization was achieved in 63% of lesions (n = 12).ConclusionFluorescence-guided surgery can be beneficial in curing or stabilizing ORNJ. However, randomized clinical trials are needed to confirm these findings. 相似文献
12.
Theodore Croy Nicole L Cosby Jay Hertel 《Journal of Manual and Manipulative Therapy》2013,21(3):127-134
AbstractMusculoskeletal pain is commonly reported by pre- and postnatal women, with the most common complaint being low back pain. However, lower leg pain is also frequently reported by women particularly in the third trimester. The purpose of the case study is to illustrate how instrument-assisted soft tissue mobilization (ISTM) can be used to treat a patient with a 2-year history of chronic calf pain. The subject was a 35-year-old female who developed calf pain during the last trimester of her pregnancy following severe lower leg edema. The calf pain was present for the 2 years following delivery and was described as a dull ache, typically aggravated by direct pressure on the calf, prolonged standing, and stairs. An X-ray, magnetic resonance imaging (MRI) with contrast, and ultrasound Doppler study prior to referral ruled out tumors, vascular, lymphatic, or skeletal bone abnormalities. However, her MRI did show a dense superficial venous tissue asymmetry in the same location of her symptoms. Impairments were minimal; the only asymmetrical objective findings were calf length, strength, and soft tissue restrictions detected on palpation. After nine treatments incorporating an ISTM approach, soft tissue mobility, pain, calf strength, and lower extremity functional scale score all improved and her symptoms were abolished. 相似文献
13.
14.
Joong-San Wang 《Journal of Physical Therapy Science》2015,27(10):3329-3331
[Purpose] The purpose of this study was to analyze the effect of joint mobilization and
stretching of the thoracic cage for very severe chronic obstructive pulmonary disease
(COPD) on a patient with thoracic kyphosis. [Subject and Methods] The subject is a
73-year-old female COPD patient with thoracic kyphosis. The intervention methods were
comprised of joint mobilization and stretching. The program consisted of 30 minute
sessions three days per week for eight weeks. Respiratory function, spinal curve, and
spinal movement (thoracic and lumbar spine) were measured. [Results] Joint mobilization
and stretching did not result in noticeable changes in the respiratory function of the
patient; however, positive changes were observed, including decreased thoracic kyphosis
curve, increased lumbar lordosis curve, and increased spinal movement. [Conclusion] The
results of the analysis show that the patient’s age, body mass index, duration of the
disease, COPD level, and posture should be considered in the clinical decision to perform
pulmonary physical therapy for patients with complicated diseases such as COPD with
thoracic kyphosis.Key words: COPD, Joint mobilization, Stretching 相似文献
15.
Wei Li Ling He Xiaodong Jin Li Li Congcong Sun Cuilan Wang 《The Journal of international medical research》2022,50(8)
Myasthenia gravis (MG) is an acquired autoimmune disease. Its clinical manifestations comprise ptosis, diplopia, dysarthria, dysphagia, limb weakness, and in severe cases, respiratory muscle involvement. Dysarthria as an exclusive initial and primary complaint in MG is rare and seldom reported. In this paper, we report a case of type IIIb MG with isolated dysarthria as the only clinical manifestation and we review the relevant literature. The patient was a 62-year-old man who presented with episodes of slurred speech for 20 days that had worsened in the previous 9 days. His medical history comprised hypertension, diabetes mellitus, and coronary heart disease. The initial diagnosis on admission was transient ischemic attack. Careful re-examination of the patient’s history revealed that his symptoms mainly involved increasingly worse slurred speech episodes without drinking or swallowing difficulties, and no significant improvement with rest was observed. Electromyography and autoantibody profiling led to a diagnosis of type IIIb MG. His symptoms improved after the oral administration of pyridostigmine bromide 60 mg. Laryngeal MG is important to differentiate from stroke. It is necessary to perform a computerized voice analysis when encountering patients with atypical symptoms of MG. 相似文献
16.
This study was designed to investigate whether concurrent quantitative feedback of performance could improve the learning of a joint mobilization technique. A group of 110 physical therapy students had been randomly divided into two groups for teaching purposes. All students had previously learned mobilization of peripheral joints and were currently learning spinal mobilization. From one of the groups, 22 students volunteered to comprise a control group, which was taught a spinal mobilization technique in the traditional way. Additional concurrent quantitative feedback of the level of force applied to the patient was given to 31 volunteers from the other group. These students formed the experimental group. A force plate was used for force measurement, and the feedback was given via an oscilloscope. The average force applied by the students' instructors was taken as an "ideal" force. The oscilloscope showed both the applied force and the "ideal" force. Consistency was measured by the variance of the group's performance. Accuracy was assessed by calculating the difference between the applied force and the "ideal" force. Results indicated that this feedback was associated with a significant improvement in accuracy and consistency in the application of the mobilizing force. This improvement was still present at a follow-up test conducted one week later. This result supports a greater use of such feedback in the teaching and practice of joint mobilization techniques, although the need for further research is emphasized. 相似文献
17.
Jun-Feng Yan Hai-Yong Zhou Sheng-Fu Luo Xing Wang Jian-Di Yu 《World Journal of Clinical Cases》2021,9(21):6009-6016
BACKGROUNDProstatitis caused by Brucella infection is rare and usually lacks typical lower urinary tract symptoms. However, Brucella infection can cause serum prostate-specific antigen levels to become abnormally elevated. When concurrent with lumbar vertebra infection and erosion, brucellosis can easily be misdiagnosed as prostate cancer with bone metastasis.CASE SUMMARYA 45-year-old man complained of recurrent low back pain and fever for 2 wk. Magnetic resonance imaging of the lumbar vertebrae showed abnormal signs at the rear of the L4–5 vertebral body. Serum prostate-specific antigen level was 17.64 ng/mL, and positron emission tomography/computed tomography suggested the possibility of prostate cancer with liver and lumbar metastases. The patient was transferred to our department for further treatment. He experienced repeated bouts of fever and low back pain during hospitalization. Biopsy results indicated prostatitis. There was no significant increase in white blood cell count or procalcitonin levels. The Mycobacterium tuberculosis smear and antibody detection results were negative. Cefoperazone sulbactam was not effective. Blood culture test results were positive for brucellosis, confirming the diagnosis of brucellosis. After oral anti-infection treatment with doxycycline and rifampicin, the body temperature gradually returned to normal, and lumbago improved. After continuous treatment for 6 mo, the patient recovered.CONCLUSIONIn patients with low back pain and fever accompanied by elevated prostate-specific antigen levels and lesions of the prostate and lumbar spine, a detailed medical history and blood and urine cultures should be obtained, and attention should be given to the local epidemic infectious disease situation. 相似文献
18.
He-Jie Shi Rui-Xia Yuan Jun-Zhi Zhang Jia-Hui Chen An-Min Hu 《The Journal of international medical research》2022,50(4)
ObjectiveTo observe the association between exposure to midazolam within 24 hours prior to delirium assessment and the risk of delirium.MethodsWe performed a systematic cohort study with two sets of cohorts to estimate the relative risks of outcomes among patients administered midazolam within 24 hours prior to delirium assessment. Propensity score matching was performed to generate a balanced 1:1 matched cohort and identify potential prognostic factors. The outcomes included the odds of delirium, mortality, length of intensive care unit stay, length of hospitalization, and odds of being discharged home.ResultsA total of 78,364 patients were included in this study, of whom 22,159 (28.28%) had positive records. Propensity matching successfully balanced covariates for 9348 patients (4674 per group). Compared with no administration of midazolam, midazolam administration was associated with a significantly higher risk of delirium, higher mortality, and a longer intensive care unit stay. Patients treated with midazolam were relatively less likely to be discharged home. There was no significant difference in hospitalization duration.ConclusionsMidazolam may be an independent risk factor for delirium in critically ill patients. 相似文献
19.
Henry Olayere Obanife Akaba Kingsley John Ashindointiang Joseph Asuquo Olabisi Ogunleye Iwasam E. Joshua 《The Journal of international medical research》2021,49(12)
Osteochondromas are common in the long bones and relatively rare in the head and neck regions. We herein report a case of a solitary temporal bone osteochondroma associated with a functional pituitary adenoma hypersecreting prolactin. The patient was a 48-year-old man with progressive, painless temporal swelling associated with gradual visual loss, gynaecomastia, erectile dysfunction, and loss of libido. A brain computed tomography scan with bone windows showed right temporal sessile bony expansion and a pituitary tumour. A pituitary function test revealed hyperprolactinaemia. His symptoms resolved with medical management, and excisional biopsy of the temporal tumour confirmed an osteochondroma. To the best of our knowledge, this is the first reported case of a solitary temporal bone osteochondroma with a functional pituitary adenoma hypersecreting prolactin. 相似文献