Background: Remaining phenomena presented by people who endured COVID -19 at various times after the acute pha-se of the disease, remain the objectives of the medical and social approaches. ...Musculoskeletal pain is increasingly re-ported by patients as one of the persistent symptoms in post-COVID-19 syndrome. The purpose of the study was the qualitative and quantitative assessment of musculoskeletal pain post _COVID 19 in the process of in-hospital medical rehabilitation.
Methods: A group of 124 people who suffered SARS-Cov-2 infection were analyzed and underwent rehabilitation treat-ment with physiotherapy, halotherapy and electrotherapy sessions in the specialized “Post COVID rehabilitation” ward during a period of 14 days. For the analysis of the pain phenomenon, 103 people who presented musculoskeletal pain, before and after treatment were assessed by the Nordic Musculoskeletal Questionnaire, pain intensity by VAS scale and intensity of fatigue syndrome.
Results. Musculoskeletal pain was present in 84.3% of cases among persons admitted for rehabilitation treatment. Re-habilitation programs applied under inpatient conditions increased the rate of people with moderate and mild pain by 6.8% and decreased the rate of those with severe pain by 13.6% (p< 0.05), assessed by the Nordic Musculoskeletal Ques-tionnaire. The proportion of patients with severe pain, assessed by the VAS scale, decreased by 13.8% at discharge from the hospital.
Conclusion. In-hospital medical rehabilitation programs applied to people with musculoskeletal pain post -COVID 19 had a beneficial effect by decreasing the number of painful areas and pain intensity.
Background: Biological materials derived from decellularized tissues could be a good basis for progress in regenerative medicine while maintaining the main components of the extracellular matrix. A ...promising scaffold for tissue-engineered is the human amniotic membrane. It is one of the oldest biomaterials used for scaffolds. Material and methods: 3 placentas were obtained through Human Tissue Bank. Under sterile condition human amniotic membrane was collected. The human amniotic membrane was treated with 0.5% of sodium dodecyl sulphate (SDS), 1% Triton for 24 and 5 hours. Amniotic membrane decellularization was also carried out in combination with ultrasound bath for 20 minutes 3 times. For morphological and structure evaluation of human amniotic membrane the scanning electron microscopy of native amniotic membrane and histology of decellularized and native amniotic membrane were performed. Results: The human amniotic membrane decellularization process with 0.5% SDS solution and 1% Triton solution showed that decellularization for 24 hours is too aggressive for human amniotic membrane structure. The decellularization for 5h with 1% Triton solution was incomplete. Conclusions: The method of decellularization with 0.5% SDS solution is more suitable for amniotic membrane decellularization and can be performed in only 5 hours. The use of ultrasound bath did not have a significant effect on the obtained results.
Background: Peripheral neuropathy usually leads to a major cause of motor disability, but the functional restoration after treatment continues to show modest results. Acupoint thread-embedding ...therapy is a subtype of acupuncture treatment in which biodegradable threads are inserted into skin, subcutaneous tissue or muscles at specific points for long stimulation. Different biodegradable materials have been developed and widely used. Human amniotic membrane is rich in collagen, extracellular matrix proteins and growth factors. The avascular, low immunogenic, anti-inflammatory, antibacterial, anti-fibrotic and non-tumorigenic properties of amniotic membrane make it valuable in medical applications and its use has no ethical problems. Elasticity, stiffness and other biomechanical properties also make it possible to use the amniotic membrane for various medical purposes. AM is almost always considered as discarded substance, it satisfies most of the criteria of an ideal biological tissue and shows almost zero rejection phenomenon. Conclusions: The human amniotic membrane, the cellular compounds and extracellular matrix have a lot of benefic proprieties that are or could be used in treatment of many human diseases. Its biological and biomechanical properties are promising in the manufacture and use of filaments in acupoint thread embedding therapy.
Objectives. The aim of the study was to investigate the effect of low-frequency transcutaneous electrical nerve stimulation (LF-TENS) in the treatment of neuropathic pain in patients with spinal cord ...injury (SCI). Methods. A total of 25 SCI patients with neuropathic pain were included in the study during October 2013 and April 2014. History, duration, localization and characteristics of pain were recorded. Visual analog scale (VAS) was used to investigate the effect of LF-TENS two times during the day. Patients were randomly assigned to study and control groups. The study group was treated with 30 min of LF-TENS daily for 10 days while the control group with 30 min of placebo TENS. Results. The mean age of the patients was 30.38 ± 6.91 years. Out of 21 patients, 3 were tetraplegic and 18 were paraplegic. Four patients had complete SCI while 17 patients had incomplete injuries. Two groups were similar with respect to age, gender, duration, level and severity of injury. All patients were assigned to therapy with gabapentin for 10 days. In the LF-TENS treatment group, a more statistically significant reduction of the VAS values was observed than in the control group. Conclusion. This study revealed that in treatment of neuropathic pain of SCI patients, LF-TENS may be effective in combination with gabapentin. This article presents LF-TENS may effectively complement pharmacological treatment in patients with SCI and neuropathic pain.
In this article, we report an 18-year-old male patient with extrapulmonary paravertebral hydatid cysts with coexisting costovertebral tuberculosis. During the recent years the patient underwent ...multiple surgical interventions due to recurrent paravertebral abscess in the thoracic region, which resulted in mass effect at the spinal cord and palsy with urinary disorders. The cause of the abscess turned to be coexistent extrapulmonary tuberculosis and hydatid disease. This case emphasizes the importance of considering the coexistence of echinococcosis and tuberculosis in endemic areas.
Remaining phenomena presented by people who endured COVID -19 at various times after the acute phase of the disea-se, remain the objectives of the medical and social approaches. Musculoskeletal pain ...is increasingly reported by pati-ents as one of the persistent symptoms in post-COVID-19 syndrome. The purpose of the study was the qualitative and quantitative assessment of musculoskeletal pain post _COVID 19 in the process of in-hospital medical rehabilitation.
Methods: A group of 124 people who suffered SARS-Cov-2 infection were analyzed and underwent rehabilitation treat-ment with physiotherapy, halotherapy and electrotherapy sessions in the specialized “Post COVID rehabilitation” ward during a period of 14 days. For the analysis of the pain phenomenon, 103 people who presented musculoskeletal pain, before and after treatment were assessed by the Nordic Musculoskeletal Questionnaire, pain intensity by VAS scale and intensity of fatigue syndrome.
Results. Musculoskeletal pain was present in 84.3% of cases among persons admitted for rehabilitation treatment. Re-habilitation programs applied under inpatient conditions increased the rate of people with moderate and mild pain by 6.8% and decreased the rate of those with severe pain by 13.6% (p< 0.05), assessed by the Nordic Musculoskeletal Ques-tionnaire. The proportion of patients with severe pain, assessed by the VAS scale, decreased by 13.8% at discharge from the hospital.
Conclusion. In-hospital medical rehabilitation programs applied to people with musculoskeletal pain post -COVID 19 had a beneficial effect by decreasing the number of painful areas and pain intensity.
Keywords: post-COVID medical rehabilitation, musculoskeletal pain
Acupoint embedding therapy Olga Ignatov; Oleg Pascal; Viorel Nacu
The Moldovan Medical Journal,
03/2020, Letnik:
63, Številka:
1
Journal Article
Recenzirano
Odprti dostop
Background: Peripheral nerve trauma remains a major cause of motor disability, at the same time functional restoration after treatment continues to show modest results. Acupoint embedding therapy is ...a type of acupuncture treatment in which different biodegradable materials are inserted into specific points for long-term stimulation. It has a good analgesic effect in chronic pain, and it is considered a cure for many diseases. Different biodegradable materials have been developed and widely used. Catgut has a good biodegradability and low price, but it could cause infections and having unstable chemical properties had been limited in clinical use. Such synthetic materials as polylactic acid and polyglycolic acid present low-cost, good biodegradability and biocompatibility compared with the catgut. However, their poor hydrophilicity and cell adhesion limited their therapeutic efficacy. The ideal embedding materials are required to be safe, non-toxic, biocompatible, and to have excellent swelling and biodegradation behaviors. Acupoint embedding therapy can be a promising treatment method of peripheral nerve disorders. Conclusions: Acupoint embedding therapy is an invasive treatment which can prolong point stimulation, reduces the frequencies of pain and psychological fear of patients. It seems to be a promising method of neuropathy treatment. The properties of the filaments for acupoint embedding therapy can be improved by surface modification technologies.
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