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Showing 4 results for Wrist

Ahmad Hashemzadeh, Farhad Heidarian,
Volume 5, Issue 4 (12-2005)

  Background & Objectives: Juvenile Immune Arthritis (JIA), which is a disorder with unkuown etiology, occurs in children under 16 and is one of the most common collagen vascular diseases in pediatrics and among the important causes of permanent deformity of joints and blindness in children. With regard to its importance, we studied the incidence, different types as well as clinical and laboratory features of this disorder.

  Methods: This descriptive and cross-sectional study was performed on 24 patients (age range: 6 months-12 years) admitted to pediatric wards of Ghaem and Imam Reza hospitals in Mashhad during 1998-2001. The data were collected from the patients’ records using a questionnaire and analyzed by SPSS software.

  Results: Polyarticular type was the most common form of the disease. Peak age of involvment was 11 years old. Boys were more frequently affected than girls. Knees, ankles and wrists were the most commonly involved joints. Most of the patients suffered from loss of appetite and irritability. Fever was detected in 100% of the patients with systemic type and 2/3 of the cases with polyarticular form. The most important laboratory findings were elevated ESR, positive CRP and anemia. There was an excellent response to aspirin or glucocorticoids.

  Conclusion: In comparison to similar studies the onset of disease in our patients was a little later. Fever was seen in all patients with sytemic disorder and skin rash was observed in most of the cases. So, it would be quite wise to suspect JIA in such cases. Aspirin or prednisolone are suitable drugs to treat most of these patients.

Giti Ozgoli , Samra Shahbazzadegan, Nayer Rassaian , Hamid Alave Majd,
Volume 7, Issue 3 (9-2007)

  Background & Objectives : nausea and vomiting is one the most common problem during pregnancy. There are several reports about treating effect of acupressure for nausea and vomiting. Our propose was to investigate of p6 acupressure in reducing and relieving of symptoms of nausea and vomiting during pregnancy.

  Methods : A single blind clinical trial has been conducted in order to examine the effect of P6 acupressure on nausea and vomiting of pregnancy in women referring to health center of Ardebil at 2005. 75 women complained of nausea and vomiting after being matched on the basis of the intensity of nausea and vomiting and pregnancy period were invited to participate in the study. Subjects were divided into three groups of treatment, placebo, and control (25 persons in each group), accidentally. Women in treatment group use acupressure wristbands with pressure to P6 acu-point, in placebo group use acupressure wristbands without pressure to P6 and control with no intervention. The symptoms were evaluated for 6 days and twice daily using a questionnaire inspired by Rhodes Inventory of Nausea and Vomiting. In the first 3 days all there groups equally filled the questionnaire and in the second 3days the treatment and placebo groups filled there out. Data of frequency, duration, and severity of nausea and frequency of vomiting were analyzed by Analysis of variance and Wilcoxon means were compared with Tukey and Kruskal-wallis tests.

  Results: Analysis revealed that the participants in three groups didn't have significant differences in regard to age (treatment 24.3 ±3.9 , placebo 24.9 ±4.3 , control 25.4 ± 3.3 year), gestational age (treatment 12.4 ±2.8 , placebo 12.9 ± 3.1, control 12.4 ±2.8 week) number of parity (treatment 1.7, placebo 1.6, control 1.4 times) education, job, number of pregnancy. The mean score of nausea severity decreased from 25.1 ±18.6 to 12.0 ±11.0 in treatment group, from 22.8 ± 14.6 to 16.1 ±12.31 in placebo group but increased from 16.3 ± 7.48to 17.5 ±8.92 in control group. The mean of vomiting frequency also decreased from 3.1 ± 3.33 to 1.5 ±1.66 and from 3.1 ± 4.30 to 1.9 ±3.68 in treatment and placebo group, respectively but its value changed from 1.2 ± 2.2 to 1.4 ± 1.4 in control group. Differences between pre-treatment and treatment period of nausea and vomiting symptoms was not significant in treatment group than placebo groups (p<0.043) and it was more in the placebo compared to control group (p<0.009). Comparing of means in treatment and placebo groups showed significant difference in nausea frequency and severity but not significant differences in duration of nausea and frequency of vomiting.

  Conclusion: P6 acupressure wristband is effective in the treatment compared to control and placebo for reduction of severity, duration and frequency of nausea and frequency of vomiting. The wristband without pressure to P6 acu-point also is affected in reducing nausea and vomiting symptoms but its effect is lower than P6 wristband.

Maryam Ghorbani , Yahia Sokhangouei , Heidar Sadeghi ,
Volume 13, Issue 3 (9-2013)

  Background & objectives : The surgery of breast cancer like any other surgeries may bring about some problems and complications, which the knowledge of these problems may be an effective way for prevention or dealing with the complications. The motor and sensory impairments in the upper limb of the surgery side necessitate the utilization of the rehabilitation methods. The main purpose of this research was to show the effect of Pilates exercise on range of motion and edema of upper limb in females suffering from breast cancer after going through surgery.

  Methods: This quasi- experimental study was conducted on 25 patients randomly chosen among the patients referring to Cancer Institute. The designed exercise included five "Mat Pilates" moves which were done for 15 sessions until the patient reached fatigue borderlines. Meantime, the control group was doing routine active exercises in physiotherapy center. The range of motion and edema of upper limb was measured before and after applying the designed exercise. For describing the data, the mean and standard deviation, and for inferential analysis, the correlated T-tests and one way analysis of variance were used in level of significance of 5%, to compare the variants before and after applying the designed exercise.

  Results: The results showed a significant difference between the flexion, extension, and internal, external rotation of shoulder, flexion and extension of elbow, flexion, extension, supination deviation and pronation deviation of the wrist and forearm before and after experiment in Pilates group. While in the control group, flexion, extension, internal and external rotation of shoulder, flexion and extension of elbow, and flexion of wrist showed a significant difference before and after the experiment.

  Conclusion: The use of Pilates exercise after mastectomy surgery can increase the range of motion of the upper limb in the involved side of the patients, and decrease the edema, and improve the motion of the upper limb.

Yousef Shafaiee, Vahid Sadeghifard , Bita Shahbazzadegan ,
Volume 14, Issue 3 (9-2014)

  Introduction: Complete Amputation of wrist is physical and psychological trauma that can affect person's life. During recent years, various amputated organs were replanted back into their own body leading to improvement in quality of life, function and body image.

  Case Report : The case was a34 years old man with complete amputation at left hand at wrist level, while working with chainsaw. Patient was admitted to the emergency unit at Fatemi hospital of Ardabil city, and underwent tosurgery for replantation.

  Conclusion: Complete amputation of wrist and its successful replantation are among rarely occured and reportable cases . The5 -month follow-up indicated a successful operation . During this period, no abnormalities were found in the blood circulation . The finger grasping and nerve development were acceptable and no symptom of infection was observed

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مجله دانشگاه علوم پزشکی اردبیل Journal of Ardabil University of Medical Sciences
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