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Objective To further explore the complication of spinal cord injury occured after transcatheter arterial chemoemboliza-tion(TACE)for hepatocellular carcinoma via inferior phrenic artery. Methods The clinical and imaging data of one patient with spinal cord injury caused by TACE for hepatocellular carci-noma via inferior phrenic artery was retrospectively analyzed.The pathologic mechanism,risk factors and out-come of rehabilitative treatment were discussed after literature review. Results The abnormal opening of communicating branches between inferior phrenic artery and spinal cord blood supply-ing was the underlying mechanism inducing spinal cord injury after TACE. The risk factors included contrast agent,chemotherapy drug,embolic agent,and multiple interventional therapy,etc.Most patients returned almost to normal state within several months after early rehabilitation. Conclusion Spinal cord injury occurred after TACE for hepatocellular carcinoma via inferior phrenic artery is an ex-tremely rare complication.Most patients have a favorable outcome with early detection and timely rehabilitation.
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Objective To investigate the safety and effectiveness of ultrasound-guided paravertebral anaes-thesia combined with propofol in the thoracoscopic sympathectomy. Methods Total 63 male and 59 female patients with hyperhidrosis were recruited. The patients were equally divided into two groups:group A and C. Patients in group A received ultrasound-guided paravertebral anaesthesia combined with propofol. Patients in group C received general intravenous anesthesia with endotracheal intubation. The heart rate (HR),mean arterial pres-sure(MAP)and the oxygen saturation(SpO2)at the time of entering the operating room(T0),completing anesthe-sia(T1),incising the skin(T2),cutting the T4 sympathetic trunk(T3),completing the operation were record-ed. The awake time after operation ,VAS score after operation and postoperative throat discomfort were also record-ed. Results The two groups successfully completed the surgery. There were no significant differences of the HR , MAP and SpO2 at T0-T4 between the two groups. There were significant differences of the awake time after opera-tion,postoperative feeding time and hospitalization expenses. The VAS score after operation of group A were better than group C(P<0.05)at T2 h,T4 h,T8 h,and T12 h. There was no significant difference of VAS score at T24 h between the two groups. Conclusion Ultrasound-guided paravertebral anaesthesia combined with propofol can pro-vide a safe and effective approach for patients receiving the thoracoscopic sympathectomy.
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Introducción. La buena postura consiste en la alineación del cuerpo con una máxima eficacia fisiológica y biomecánica, que minimiza los esfuerzos y tensiones a los que se somete el sistema de soporte a causa de la gravedad. Los ejercicios terapéuticos alivian los síntomas, mejoran la función y mantienen o frenan el deterioro de la salud, acciones que se reflejan en una adecuada postura. Objetivo. Describir los cambios en la postura después de un programa de intervención con técnicas de ejercicios terapéuticos, tales como estiramientos analíticos, miofasciales, au-toposturas de rehabilitacion postural global, ejercicios propioceptivos, técnica de Klapp y método de McKensie®, en 17 sujetos de 18 a 23 años que cursaban el quinto semestre del programa de Fisioterapia de la Universidad de Boyacá. Material y métodos. Se llevó a cabo un estudio descriptivo, de serie de casos, en que se analizaron los cambios en los componentes posturales, después de la implementación de un programa de ejercicio terapéutico, de media hora o más al día, cinco veces por semana, durante 16 semanas. Se utilizó la carta de simetría postural como instrumento para evaluar la postura en sus diferentes planos, previo consentimiento informado de los sujetos partici-pantes. Resultados. Se evaluaron los cambios en la alineación de la cabeza, simetría de los hombros, caída de los dedos, rotación del tronco, simetría en las rodillas, y base de sustentación y apoyo.Conclusiones. Mediante el ejercicio terapéutico basado en técnicas utilizadas en forma se-cuencial según su complejidad, que se inicia con estiramientos analíticos, seguidos de esti-ramientos miofasciales, ejercicios propioceptivos, técnica de Klapp y método de McKenzie, y culmina con autoposturas de rehabilitación postural global, se producen cambios posturales.
The position involves aligning the body with maximum physiological efficiency and mini-mizing biomechanical stresses and strains carried by the support system because of gravity, where therapeutic exercises relieve symptoms, improve function and maintain or slow the deteriorating health, actions that are reflected in a proper posture. Objective: To describe changes in the posterior position to an intervention program with therapeutic exercise techniques such as analytical technique Mckenzie stretching, myofascial autoposturas Global Postural Rehabilitation, proprioceptive exercises, Klapp technique in 17 subjects aged 18-23 years, who were enrolled in the fifth semester of the program of Phys-iotherapy, Universidad de Boyacá. Material and methods: A descriptive case series that analyzed changes in postural compo-nents, after the implementation of a therapeutic exercise program with duration equal to or greater than half an hour a day, five times a week, for 16 weeks. We used the letter of pos-tural symmetry as an instrument to assess the position in its different levels, prior informed consent of participating subjects Results: Changes in the alignment of head, shoulders symmetry, flanks of light falling fingers trunk rotation, symmetry knees support base and support. Conclusions: The therapeutic exercise based on techniques used sequentially depending on their complexity, which begins with analytical stretching, followed by myofascial stretching, proprioceptive exercises, technique Klapp, technical and culminating autoposturas Mckenzie Global Postural Rehabilitation produce postural changes.
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Humans , Posture , Muscle Stretching Exercises , Physical Therapy Specialty , Proprioception , RehabilitationABSTRACT
This paper systematically analyzed the background and development of World Report on Disability (WRD). Disability is an issue of human right and development. The theoretical framework and contents of WRD had been discussed. WRD concluded the evidences and proposed recommendations for policy making of disability and rehabilitation. This paper had been proposed WRD implications to dis-ability.