Isokinetic evaluation of the trunk muscle strength in housewives with fibromyalgia: a cross-sectional study

Abstract Background: It is known that physical activity and muscular performance are reduced in fibromyalgia (FM) syndrome. This study aims to compare the performance of trunk muscles in women with FM and healthy controls and evaluate the correlation between trunk muscle strength and FM severity. Methods: Forty-six patients with FM and 42 age- and body mass index-matched healthy housewives without FM were included in the FM and control groups, respectively. The Fibromyalgia Impact Questionnaire (FIQ) was used for the assessment of FM severity. The pain intensity was evaluated using the visual analogical scale (VAS). An isokinetic dynamometer was used to measure the isokinetic trunk muscle strength. The peak torque (PT) values were recorded. The psychological status of the patients was evaluated using the Beck Depression Inventory. Results: There was no statistically significant difference in terms of age, BMI, and BDI scores in two groups (p > 0.05, for all). The isokinetic trunk extensor PT values were significantly lower in the FM group (p = 0.002 for 60°/s, and p < 0.001 for 90°/s and 120°/s) than control group. There was a statistically significant negative correlation between FIQ score and isokinetic extensor muscle parameters. Conclusion: The results indicate that trunk extensor muscles were significantly weaker in FM patients. Trunk extensor muscle strength decreased as FM severity increased in FM patients.(AU)

Complementary exams in blunt torso trauma. Perform only radiographs and fast: is it safe? / Exames complementares na condução do trauma contuso do tronco. É seguro realizar apenas radiografias e fast?

ABSTRACTObjective:to evaluate effectiveness of using chest X-ray (CXR), pelvis X-ray (RXP) and FAST (Focused Abdominal Sonography on Trauma) to exclude significant lesions of the body in blunt trauma.Methods:a prospective study involving 74 patients whom made the three tests (CXR, RXP and FAST) during the initial evaluation between October 2013 and February 2014. The results were compared to the tomography of the same patients or clinical outcome. If the patient did not have alterations on the CT scans or during the observation time, the initial workup was considered safe. All patients were evaluated at the Hospital João XXIII, Belo Horizonte, Brazil.Results:of the 74 patients studied the average age was 33 years, RTS: 6.98, ECG: 12. From 44 (59.45%) patients with exams (radiographs and FAST) unchanged, three had significant injuries (two splenic injuries and one liver injury) diagnosed by clinical monitoring. The remaining patients - 30 (40.55%) - had at least one alteration in conventional tests. Of these group 27 (90%) had significant injuries and three (10%) minor injuries. The sensitivity of all three tests for screening considerable lesions was 90% and the specificity was 93%. The negative predictive value was 93% and the positive predictive value 89%.Conclusion:this research showed that all the three exams - chest X-ray, pelvis and FAST - are safe to lead with the blunt trauma if well used and associated with clinical examination.

RESUMOObjetivo:avaliar a efetividade do uso da radiografia de tórax (RxT), pelve (RxP) e FAST (Focused Abdominal Sonography on Trauma) em excluir lesões significativas do tronco no trauma contuso.Métodos:estudo prospectivo envolvendo 74 pacientes no período de outubro de 2013 a fevereiro de 2014 que fizeram, durante a avaliação inicial, os três exames (RxT, RxP e FAST). Os resultados destes exames foram comparados à tomografia de tronco do mesmo paciente ou com a sua evolução clínica com base no tempo de observação protocolado pelo hospital. Todos os pacientes foram atendidos no Hospital João XXIII, Belo Horizonte/MG, Brasil.Resultados:Dos 74 pacientes estudados, a média de idade foi 33 anos, RTS: 6,98, Escala de Coma de Glasgow (ECG): 12. Desses, 44 (59,45%) possuíram os exames (radiografias e FAST) sem alterações, porém três pacientes desse grupo apresentaram lesões importantes (duas lesões esplênicas e uma hepática) suspeitadas através do acompanhamento clínico e definidas pela tomografia posterior. O restante dos pacientes, 30 (40,55%), tiveram pelo menos uma alteração nos exames convencionais, sendo que, dentro desse grupo, 27 (90%) apresentaram lesões significativas e três (10%) lesões leves. A sensibilidade do conjunto dos três exames para triagem de lesões significativas foi 90% e sua especificidade, 93%. O valor preditivo negativo encontrado foi 93% e o valor preditivo positivo, de 89%.Conclusão:O estudo demonstrou que o conjunto dos três exames (radiografia de tórax, pelve e FAST) é seguro para conduzir o trauma contuso do tronco, se for bem utilizado, associado ao exame clínico.

Pattern of torso-trauma in road traffic accidents in KSA

To study the pattern and severity of abdominal injuries due to road traffic accidents [RTA] in KSA. Retrospective descriptive. This study was conducted in the Department of Surgery, King Fahad Hospital Al-baha, Kingdom of Saudi Arabia during one year from 2012 to 2013. Materials and Methods: This is retrospective study of all patients admitted with torso-trauma in Department of Surgery KFH Al-Baha from the period of Aug. 2012 to Aug. 2013. In the 01 year period, 2520 patients were admitted following an RTA. Out of these, 537 were admitted due to torso trauma.120 patients were admitted in SICU, 280 in intermediate dependency unit while remaining 137 admitted in surgical ward. 27 patient died due to torso trauma with multiple injuries. 3 patients died of pure liver trauma while 2 patients died of splenic injury. Lot of burden over the hospital because of RTA related injuries. There was very severe and fatal injuries faced because of accidents happened in youth and male preponderance