Functional study
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- MeSH
- dítě MeSH
- echokardiografie MeSH
- koarktace aorty diagnóza MeSH
- srdce - funkce komor MeSH
- srdeční komory patologie MeSH
- Check Tag
- dítě MeSH
- Publikační typ
- srovnávací studie MeSH
Oxford medical publications
xiii, 390 s. : il., tab., grafy ; 26 cm
iii, 540 s. : il., tab.
Akým efektom pôsobí funkčná elektrostimulácia (FES) na pooperačnú atrofiu m. quadriceps femoris? Môže kombináciou FES s aktívnym liečebným telocvikom dôjsť k zabráneniu pooperačnej atrii a k urýchleniu priebehu doby regenerácie? V predpokladanom porovnaní skupín (skupina I s FES, skupina 2 výlučne s liečebným telocvikom) boli v druhom, štvrtom a šiestom pooperačnom týždni bol sonograficky meraný priemer m. quadriceps femoris a bol daný do vzťahu k východiskovému predoperačnému stavu. Získané údaje boli medzi skupinami ako aj počas rehabilitácie porovnané. v obidvoch skupinách došlo k pooperačnému ubudnutiu priemeru sledovaného svalu, čo bolo v druhom pooperačnom týždni 20-40%. V nasledujúcich týždňoch sa podstatne zmenšoval, ale do 6. Pooperačného týždňa nebol deficit vyrovnaný. Skupina s FES dosiahla v šiestom pooperačnom týždni signifikantne (p menej ako 0,05) lepší výsledok ako skupina 2. Dodatočné nasadenie FES, ako aj aktívny liečebný telocvik v skorej fáze rehabilitácie nemohlo zabrániť pooperačnej atrofii m. quadriceps femoris. To umožňuje v nasledujúcich týždňoch rýchlejšiu regeneráciu a /edie k preukázateľne lepšiemu vyrovnaniu deficitu.
What kind of effect has functional elektrostimulation (FES) on postoperative atrophy of quadriceps femoris muscle? Can combination of FES an active therapeutic exercise prevent postoperative atrophy and accelerate regeneration? In two groups of patients (group 1 treated with FES, group 2 treated only with therapeutic exercise) we using sonography measured diameter of quadriceps muscle at second fourth and sixth week postoperatively. These parameters we correlate with diameter before operation. Acquired data were compared between groups and during the rehabilitation. In both groups appeared postoperative muscle atrophy. In second week this atrophy was 20-40 %. During next weeks diameter of the muscle enlarge, but up to sixth week does not reached preoperative size. Results of group 1 was significantly superior (p < 0, 05) to results of group 2. FES and active therapeutic exercise early after operation could not prevent postoperative atrophy of quadriceps femoris muscle. On the other hand utilization of both techniques facilitates faster regeneration and induces demonstrable better compensation of deficit.
Annals of clinical research, ISSN 0003-4762 vol. 6, suppl. 14, 1974
72 s. : il., tab., grafy ; 24 cm
- Konspekt
- Patologie. Klinická medicína
- NLK Obory
- gastroenterologie
- radiologie, nukleární medicína a zobrazovací metody
- NLK Publikační typ
- studie
Methods in molecular biology ; Vol. 272
[1st ed.] xix, 385 s. : il.
The development and selection of optimal outcome measures is increasingly recognized as a key component of evidence-based medicine, particularly the need for the development of a standardized set of measures for use in clinical trials. This process is particularly complex for functional neurological disorder (FND) for several reasons. FND can present with a wide range of symptoms that resemble the full spectrum of other neurological disorders. Additional physical (e.g., pain, fatigue) and psychological (e.g., depression, anxiety) symptoms are commonly associated with FND, which also can be highly disabling with implications for prognosis, and warrant concurrent assessment, despite an unclear etiological relationship with FND. Furthermore, several unique clinical aspects of FND make it likely that the usual prioritization of "objective" (or clinician-rated) over "subjective" (or patient-rated) measures might not be appropriate. Self-report measures may be more clinically meaningful in this patient population. Despite being a common and disabling disorder, there has been little research into outcome measures in FND, and to date trials have largely used measures designed for the assessment of other disorders. An international FND Core Outcome Measure group (FND-COM) has been established to develop a consensus battery of outcomes for FND: a "core outcome set." In this perspective article, the authors reviewed the process of outcome measure development and selection before considering the specific features of FND affecting the development of a core outcome set, as well as a research agenda to optimize outcome measurement in this complex neuropsychiatric disorder.
