Search results for " Neuromuscular"

Proprioceptive Neuromuscular Facilitation for Accessory Respiratory Muscles Training in Patients After Ischemic Stroke

2019

This study focused on how pulmonary function is affected by proprioceptive neuromuscular facilitation (PNF) of accessory respiratory muscles in the chronic post-stroke phase. The study involved patients who had had ischemic stroke 6 months or more before the PNF treatment investigated. The objective was to define the effect of PNF on bioelectrical resting and maximum activity of the accessory muscles. Patients were randomly assigned to PNF treatment and just positioning treatment as a reference for comparison; 30 patients each. Electromyography of accessory muscles was investigated before and after physiotherapeutic treatments. We found that there was a greater reduction in EMG activity in …

Ventilator Settings to Avoid Nuisance Alarms During Mouthpiece Ventilation

2016

BACKGROUND: A recent study found that activation of disconnection and low-pressure alarms is common during mouthpiece ventilation and may represent a major limitation to its use. The aim of this bench study was: (1) to investigate the technical aspects that can influence the setting of the ventilator during mouthpiece ventilation and (2) to provide a practical setting strategy to avoid the alarm activation. METHODS: Eight life-support ventilators able to deliver volume controlled ventilation were tested in a bench study using a single-limb non-vented circuit configuration connected to a standard mouthpiece. Disconnection and apnea alarm were turned off or set at the least sensitive setting.…

Postural and neuromuscular strategies during upright stance and hand standing

2017

Immediate effects of the respiratory stimulation on ventilation parameters in ischemic stroke survivors: A randomized interventional study (CONSORT).

2019

Background: Post-stroke brain damage, which affects the central control of respiration, leads to various respiratory disorders. They can be caused by the weakening of the respiratory muscles and chest movements, which can indirectly contribute to an impairment of the ventilation function. The aim of the study is an objective assessment of the effect of a single-session intervention of respiratory stimulation through Proprioceptive Neuromuscular Facilitation (PNF) on chosen respiratory parameters and the following comparison of these changes with a group in which positioning was used (intra- and intergroup comparison). Methods: This was a randomized interventional study evaluating the respir…

El Fenómeno de Facilitación y sus implicaciones en al monitorización neuromuscular durante anestesia general

2015

INTRODUCCIÓN: No siempre los anestesiólogos, como el resto de individuos a pesar de la preparación profesional que tengan, son capaces de tomar decisiones basadas en un análisis racional (están sometidos a sesgos cognitivos) sobre todo cuando están sometidos a presiones exteriores como una situación de urgencia o un escenario clínico complejo que se tiene que resolver en poco tiempo. A esto se añade una cierta dificultad intrínseca en la interpretación de datos probabilísticos. Partiendo de datos exclusivamente poblacionales sobre la acción de un fármaco no nos es posible a priori saber cuánto durará la acción del fármaco en un paciente concreto sin ninguna medida suplementaria una vez efec…

Introduction: Recent Advances in Hereditary Neuromuscular Diseases of Childhood

2006

Efectos de la estimulación eléctrica neuromuscular en el tratamiento fisioterápico de la mano del paciente mayor con hemiplejia espástica tras ictus

2017

Introducción: El ictus representa un problema de salud pública de primer orden, no solamente a nivel nacional, sino también a nivel mundial. Supone una de las causas más importantes de discapacidad y además, se prevé un aumento del número de casos, sobre todo en la población mayor, incrementándose los cuidados sociosanitarios de estos pacientes. La recuperación después de un ictus es compleja. La afectación de la mano es una de las consecuencias que más persisten tras esta patología, que en muchas ocasiones se encuentra asociada a la espasticidad y a cambios reológicos en los tejidos debido a la inactividad muscular e inmovilidad articular, dando lugar a unos trastornos que conllevarán una …

Acute HIT session induced changes and recovery in muscle activation level, voluntary force production and jump performance during 8 weeks of HIT trai…

2017

High-intensity interval training (HIT) has gained wide popularity among competitive athletes and sport enthusiasts in the recent decades. While an extensive amount of research has been done on acute neuromuscular (NM) response and recovery after low-moderate intensity endurance training, the data regarding HIT in recreational athletes remains to be limited. In order to reduce that gap, the present study investigated the acute HIT session induced changes and recovery in muscle activation level, voluntary force production and counter movement jump performance during 8 weeks of HIT training in recreationally endurance trained men. A total of 9 subjects age 30.7 years (± 5.8), participated in t…

The effects of physiotherapy using proprioceptive neuromuscular facilitation techniques on the gait of patients after hip and knee arthroplasty: a ca…

2021

Background: Gait disturbances are a major problem for patients after arthroplasty. After the surgery, walking speed, the rhythm of locomotion, and the length of the steps are significantly reduced. One of the therapeutic methods used in gait re-education is proprioceptive neuromuscular facilitation (PNF). Aim of the study: This study aimed to evaluate the effects of physiotherapy using PNF techniques on the gait of patients after hip and knee arthroplasty. Case report: A 60-year-old woman with advanced osteoarthritis that received bilateral hip and right knee arthroplasties was examined. Before and after the therapy, the following tests were performed: measurement of the range of motion (RO…

Impact of COVID-19 in AChR Myasthenia Gravis and the Safety of Vaccines: Data from an Italian Cohort.

2022

Background and aims. Patients with Myasthenia gravis (MG) are considered vulnerable as they may present with respiratory muscle weakness and because they are on immunosuppressive treatment; thereby, COVID-19 may have a detrimental effect on these patients. Vaccines against COVID-19 are currently available and it has been shown as they can prevent severe COVID-19 in vulnerable patients. Notwithstanding their efficacy, vaccine hesitancy has not been completely dispelled in the general population. Unfortunately, there is limited data about the safety of these vaccines in MG patients. The aims of this study are to evaluate the impact of COVID-19 in a MG cohort, the adherence to COVID-19 vaccina…