RESUMO

BACKGROUND: Weakness of the shoulder girdle muscles has been reported in patients with chronic lateral elbow tendinopathy. The aim of this study was to assess the short- and long-term effects of a conventional treatment plus scapular exercises program in patients with chronic lateral elbow tendinopathy. METHODS: A single-group prestudy and poststudy were conducted. The primary outcome was the Patient-Rated Tennis Elbow Evaluation questionnaire score. Secondary outcomes were grip strength; Disabilities of the Arm, Shoulder, and Hand questionnaire score; Visual Analogue Scale score at rest and at grip, and presence of scapular dyskinesis. RESULTS: A total of 65 patients (72.3% females), with a mean age of 41.8 years, were analyzed. At the end of 6 weeks, the results showed clinically and statistically significant differences (P < .05). At 1-year follow-up, the differences were: Patient-Rated Tennis Elbow Evaluation -31 points (P < .001); grip strength +33.6% (P < .001); Disabilities of the Arm, Shoulder, and Hand -34.2 points (P < .001); Visual Analogue Scale at rest -2.5 cm (P < .001); and Visual Analogue Scale at grip -2.3 cm (P < .001). CONCLUSION: At the end of 6 weeks and at 1-year follow-up, conventional treatment plus scapular exercises program showed statistically and clinically significant differences in all functional outcomes assessed in patients with lateral elbow tendinopathy.

Assuntos

RESUMO

BACKGROUND: The aim of this study was to determine the effectiveness of scapular mobilization on range of motion, shoulder disability, and pain intensity in patients with primary adhesive capsulitis (AC). METHODS: An electronic search was performed in the MEDLINE, EMBASE, SCOPUS, CENTRAL, LILACS, CINAHL, SPORTDiscus, and Web of Science databases up to March 2023. The eligibility criteria for selected studies included randomized clinical trials that included scapular mobilization with or without other therapeutic interventions for range of motion, shoulder disability, and pain intensity in patients older than 18 years with primary AC. Two authors independently performed the search, study selection, and data extraction, and assessed the risk of bias using the Cochrane Risk of Bias 2 tool. RESULTS: Six randomized clinical trials met the eligibility criteria. For scapular mobilization versus other therapeutic interventions, there was no significant difference in the effect sizes between groups: the standard mean difference was -0.16 (95% confidence interval [CI] = -0.87 to 0.56; P = .66) for external rotation, -1.01 (95% CI = -2.33 to 0.31; P = .13) for flexion, -0.29 (95% CI = -1.17 to 0.60; P = .52) for shoulder disability, and 0.65 (95% CI = -0.42 to 1.72; P = .23) for pain intensity. CONCLUSIONS: Scapular mobilization with or without other therapeutic interventions does not provide a significant clinical benefit regarding active shoulder range of motion, disability, or pain intensity in patients with primary AC, compared with other manual therapy techniques or other treatments; the quality of evidence was very low to moderate according to the grading of recommendation, assessment, development and evaluation approach.

Assuntos

RESUMO

Evaluar la motilidad y morfología espermática en los estudiantes de la Universidad de Oriente. Se realizó el espermatograma a 100 estudiantes de la Universidad de Oriente, Núcleo de Sucre, Cumaná, Venezuela, y se aplicó a los datos un análisis de regresión lineal simple con un nivel de confianza del 95 por ciento. El 12 por ciento de los estudiantes fueron astenospérmicos, 11 por ciento oligospérmicos y 9 por ciento oligoastenospérmicos. Los astenospérmicos, tuvieron una correlación negativa moderada entre motilidad y anormalidades de la pieza principal (r=-0,58), estadísticamente significativa. En los oligoastenospérmicos hubo una correlación lineal negativa moderada (r=-0,57) entre motilidad y anormalidades de cabeza, estadísticamente no significativa. Se sugiere que la causa probable de alteración de la motilidad progresiva, es por defectos de la cola y exceso de citoplasma residual en espermatozoides de estudiantes astenospérmicos, y anormalidades de cabeza en espermatozoides de oligoastenospérmicos.

To evaluate motility and sperm morphology in students of the Universidad de Oriente. We performed semen analysis to 100 students from the Universidad de Oriente, Nuclei Sucre, Cumana, Venezuela, according to WHO criteria, 1999, and applied to the data a simple linear regression analysis with a confidence level of 95 percent. Diagnosis was 12 percent asthenozoospermic, 11 percent oligozoospermic and 9 percent oligoasthenozoospermic. The asthenozoospermic, had a moderate negative linear correlation between motility and principal piece abnormalities (r =- 0.58) statistically significant. In oligoasthenozoospermic there was a moderate negative correlation (r =-0.57) between motility and abnormalities of the head, not statistically significant. We suggest that the probable cause of altered motility is principal tail defects and excess residual cytoplasm in sperm asthenozoospermic students, and abnormalities in sperm head oligoasthenozoospermic.

Assuntos

RESUMO

El significado clínico de especies de Klebsiella, tradicionalmente, ha sido limitado a neumonía pulmonar, sin embargo, se le ha asociado como causante de una gran variedad de infecciones, incluyendo gastrointestinales. Con el propósito de determinar la frecuencia de Klebsiella spp. asociada a síndrome diarreico agudo (SDA) en pacientes de 0 a 2 años de edad, se analizaron 142 muestras fecales de pacientes asistidos en el Servicio Autónomo Hospital Universitario “Antonio Patricio de Alcalᔠde Cumaná, estado Sucre, durante julio 2002 a enero 2003. del total de coprocultivos procesados, 94 (66,19 por ciento) resultaron positivos, y en 34 (23,94 por ciento) se desarrolló un crecimiento denso de Klebsiella spp. No aislándose bacterias enteropatógenas. Al asociar la presencia de Klebsiella spp., en niños con SDA, según edad y tipo de alimentación, se obtuvo 79,41 por ciento de frecuencia en pacientes alimentados con leche materna y en el grupo etario de 0 a 6 meses, siendo la asociación altamente significativa (p<0,05) en ambos casos. La presentación de Klebsiella spp. En niños con SDA no dependió del sexo (p>0,05). En el diagnóstico microbiológico de las diarreas, debe cuidarse la exclusión del rol patogénico de algunas bacterias, especialmente, Klebsiella spp., no solo deben considerarse las bacterias clásicamente definidas como patógenos entéricos, sino valorar cambios cuantitativos en la microflora intestinal, tomando en cuenta características propias del paciente como la edad

Assuntos