Physical examination: General principles

Swash, Michael; Glynn, Mark

doi:10.1016/b978-0-7020-2799-4.50007-8

Cited by 4 publications

(4 citation statements)

References 2 publications

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“…[ 24 ] Neck muscle tenderness grading of tenderness was done using the following key: Grade 1 = tenderness on deep palpation of para-cervical muscles, Grade 2 = patient winces on pressure, Grade 3 = patient winces and withdraws and Grade 4 = patient does not allow one to touch. [ 25 ] The NDS developed by Vernon et al ., was used. [ 26 ] It consists of 60 questions related to pain intensity, personal care, work, concentration, lifting, reading, driving, recreation, headache and sleeping.…”

Section: Methodsmentioning

confidence: 99%

Complimentary effect of yogic sound resonance relaxation technique in patients with common neck pain

Yogitha¹,

Nagarathna²,

Ebnezar³

et al. 2010

Int J Yoga

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Background:Studies have shown that conventional treatment methods with drugs, physiotherapy and exercises for common neck pain (CNP) may be inadequate. Yoga techniques have been found to be effective complimentary therapies in chronic low back pain and also for stress reduction in other diseases.Objective:The aim of the study was to examine the complimentary role of a yogic relaxation called mind sound resonance technique (MSRT) in non-surgical management of CNP.Materials and Methods:In this randomized controlled study, 60 patients with CNP were assigned to two groups (yoga, n=30) and (control, n=30). The yoga group received yogic MSRT for 20 minutes in supine position after the conventional physiotherapy program for 30 minutes using pre-recorded audio CD and the control group had non-guided supine rest for 20 minutes (after physiotherapy), for 10 days. MSRT provides deep relaxation for both mind and body by introspective experience of the sound resonance in the whole body while repeating the syllables A, U, M and Om and a long chant (Mahamrityunjaya mantra) several times in a meaningful sequence. Both the groups had pre and post assessments using visual pain analog scale, tenderness scoring key, neck disability score (NDS) questionnaire, goniometric measurement of cervical spinal flexibility, and state and trait anxiety inventory-Y1 (STAI-Y1).Results:Mann-Whitney U test showed significant difference between groups in pain (P<0.01), tenderness (P<0.01), neck movements (P<0.01). NDS (P<0.01) and state anxiety (STAI-Y1) showed higher reduction in yoga (P<0.01) than that in the control group. Wilcoxon’s test showed a significant improvement in both groups on all variables (P<0.01).Conclusions:Yoga relaxation through MSRT adds significant complimentary benefits to conventional physiotherapy for CNP by reducing pain, tenderness, disability and state anxiety and providing improved flexibility.

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Section: Methodsmentioning

confidence: 99%

Complimentary effect of yogic sound resonance relaxation technique in patients with common neck pain

Yogitha¹,

Nagarathna²,

Ebnezar³

et al. 2010

Int J Yoga

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“…One of these [19] included both assessment and treatment, but in both studies the content of the consultation was developed by a group of experts through discussion and reference to published guidelines, and the methodologies for these have not been published. Standard textbooks on clinical methods [21,22] are focused primarily on the examination rather than history taking and do not cover in detail the assessment of peripheral joints in older people. A textbook on the 10-minute clinical assessment [23] includes, in the section on the assessment of knee pain, many of the tasks with a high level of agreement for inclusion in our model OA consultation such as eliciting ideas and concerns, taking a “pain history” and understanding the effect of the problem on mobility and work.…”

Section: Discussionmentioning

confidence: 99%

Developing a model osteoarthritis consultation: a Delphi consensus exercise

Porcheret

Grime

Main

et al. 2013

BMC Musculoskelet Disord

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BackgroundOsteoarthritis (OA) is a common condition managed in general practice, but often not in line with published guidance. The ideal consultation for a patient presenting with possible OA is not known. The aim of the study was to develop the content of a model OA consultation for the assessment and treatment of older adults presenting in general practice with peripheral joint problems.MethodsA postal Delphi consensus exercise was undertaken with two expert groups: i) general practitioners (GPs) with expertise in OA management and ii) patients with experience of living with OA. An advisory group generated 61 possible consultation tasks for consideration in the consensus exercise. Expert groups were asked to consider which tasks should be included in the model OA consultation. The exercise was completed by 15 GPs and 14 patients. The level of agreement for inclusion in the model was set at 90%.ResultsThe model OA consultation included 25 tasks to be undertaken during the initial consultation between a GP and a patient presenting with peripheral joint pain. The 25 tasks provide detailed advice on how the following elements of the consultation should be addressed: i) assessment of chronic joint pain, ii) patient’s ideas and concerns, iii) exclusion of red flags, iv) examination, v) provision of the diagnosis and written information, vi) promotion of exercise and weight loss, vii) initial pain management and viii) arranging a follow-up appointment. Both groups prioritised a bio-medical approach to the consultation, rather than a bio-psycho-social one, suggesting a discordance between current thinking and research evidence.ConclusionsThis study has enabled the priorities of GPs and patients to be identified for a model OA consultation. The results of this consensus study will inform the development of best practice for the management of OA in primary care and the implementation of evidence-based guidelines for OA in primary care.

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“…Although the alimentary physiology is not severely affected in premature or even in timely aging, reduction in peristalsis and colonic transit time lead to constipation in such individuals. [ 16 ] The madhyama koshtha is found in 57.5% patients and 20.83% patients had krura koshtha . The 80% patients reported to have mandagni followed by 15% patients with vishamagni .…”

Section: Discussionmentioning

confidence: 99%

Effect of dietary, social, and lifestyle determinants of accelerated aging and its common clinical presentation: A survey study

Samarakoon

Chandola

Ravishankar

2011

AYU

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Aging is unavoidable and natural phenomenon of life. Modern gerontologists are realizing the fact that aging is a disease, which Ayurveda had accepted as natural disease since long. Rate of aging is determined by one's biological, social, lifestyle, and psychological conditions and adversity of which leads to accelerated form of aging (Akalaja jara or premature aging). The aim of this study is to identify potential factors that may accelerate aging in the context of dietry factors, lifestyle and mental makeup. The 120 diagnosed subjects of premature-ageing of 30-60 years were randomly selected in the survey study. Premature ageing was common among females (75.83%), in 30-40 age group (70%), 86.67% were married, had secondary level of education (36.66%), house-views (61.67%), belongs top middle class (58.33%) and engaged in occupations that dominating physical labour (88.33%). The maximum patients are constipated (60%), had mandagni (80%), vata-kapha prakriti (48.33%), rajasika prakriti (58.33%), madhyama vyayama shakti (73.33%), and madhyama jarana shakti (85.83%). Collectively, 43.33% patients were above normal BMI. The more patients had anushna (38.33%) and vishamasana dietary pattern (25.83%), consumed Lavana (88.33%) and Amla rasa (78.33%) in excess on regular basis. Some patients had addicted to tobacco (11.67%) and beetle chewing (5.83%). The maximum patients had no any exercise (79.17%) and specific hobby (79.17%) in their leisure times. Analyzing Hamilton Anxiety and Depression Rating Scales revealed that 39.80%, 37.86%, 33.98%, 24.27% and 18.44% patients had insomnia, depression, tension, GIT symptoms and anxious mood respectively. These data suggest that certain social, dietary and lifestyle factors contribute towards accelerated ageing among young individuals.

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Physical examination: General principles

Cited by 4 publications

References 2 publications

Complimentary effect of yogic sound resonance relaxation technique in patients with common neck pain

Complimentary effect of yogic sound resonance relaxation technique in patients with common neck pain

Developing a model osteoarthritis consultation: a Delphi consensus exercise

Effect of dietary, social, and lifestyle determinants of accelerated aging and its common clinical presentation: A survey study

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