Foundation for Physical Medicine and Rehabilitation

Pirandai (Cissus quadrangularis) is a medicinal herb that has long been revered in the Siddha medical tradition as a "bone-setter herb." Siddha Yoga practices work towards holistic health through the integration of the body, diet, and discipline. This article proposes the hypothesis that the anti-inflammatory, antioxidant, and osteogenic (bone-formation stimulating) properties of Pirandai, as confirmed by modern science, can offer significant benefits for women's health when combined with the holistic approach of Siddha Yoga. This integration would be particularly relevant for specific women's health challenges such as post-partum recovery, menopausal bone health, and dysmenorrhea (menstrual pain). The article first explains the traditional foundations of Pirandai's use in the Siddha Yoga tradition, and then examines its efficacy based on modern scientific evidence regarding its phytochemical components and biological mechanisms. Finally, it proposes a therapeutic model that integrates traditional knowledge and modern science. பிரண்டை (Cissus quadrangularis) சித்த மருத்துவப் பாரம்பரியத்தில் நீண்டகாலமாகவே "எலும்பு மருந்தாக" மதிக்கப்படும் ஒரு மருத்துவ மூலிகையாகும். சித்தர் யோக முறைகள் உடல், உணவு மற்றும் ஒழுக்கம் ஆகியவற்றின் ஒருங்கிணைப்பு மூலம் முழுமையான ஆரோக்கியத்தை நோக்கி செயல்படுகின்றன. இந்தக் கட்டுரை, பிரண்டையின் நவீன அறிவியலால் உறுதிப்படுத்தப்பட்ட எரிச்சல்-எதிர்ப்பு (Anti-inflammatory), ஆக்சிஜனேற்ற-எதிர்ப்பு (Antioxidant) மற்றும் எலும்பு உருவாக்கத்தைத் தூண்டும் (Osteogenic) பண்புகள் ஆகியவை, சித்த யோகத்தின் முழுமையான அணுகுமுறையுடன் இணைந்து, பெண்களின் உடல்நலத்திற்கு குறிப்பிடத்தக்க நன்மைகளை வழங்கும் என்ற கருதுகோளை முன்வைக்கிறது. இந்த ஒருங்கிணைப்பு, பிரசவத்திற்குப் பிந்தைய வலுவூட்டல் (Post-partum recovery), மாதவிடாய் நிறுத்த கால எலும்பு ஆரோக்கியம் (Menopausal bone health), மற்றும் வயிற்று வலி (Dysmenorrhea) போன்ற குறிப்பிட்ட பெண்கள் உடல்நலச் சவால்களுக்கு மிகவும் பொருத்தமானதாக இருக்கும். இக்கட்டுரை சித்த யோகவழியில் பிரண்டை பயன்பாட்டின் மரபுசார் அடிப்படைகளை விளக்கியவுடன், அதன் தாவர வேதியியல் கூறுகள் (Phytochemical) மற்றும் உயிரியல் செயல்முறைகள் குறித்த நவீன அறிவியல் ஆதாரங்களை வைத்து அதன் பயனுறுதிறனை ஆய்வு செய்கிறது. இறுதியாக, மரபு மற்றும் நவீன அறிவியலை இணைக்கும் ஒரு சிகிச்சை மாதிரியை இது முன்மொழிகிறது.

Abstract Introduction The climateric is a period of notable physical and social changes, often accompanied by emotional problems, especially in women experiencing symptoms of the genitourinary syndrome of menopause (GSM), notably dyspareunia. There is orrelation between dyspareunia and depression, adversely affecting the quality of life during this period. While acknowledging its complexity and multifaceted nature, it is understood that a substantial aspect of the pathophysiology of depression in menopausal and postmenopausal women is sustained by hypoestrogenism. The estriol is the primary estrogen specifically targeting issues associated with estrogen deficiency, including dyspareunia. Objective To investigate the relationship between the risk of anxiety and depression in women with dyspareunia undergoing estriol treatment on proximal and distal vaginal wall. Methods this is a randomized controlled trial. A total of 176 postmenopausal women aged 40 to 65 years, diagnosed with dyspareunia, were randomly allocated into three groups: proximal estriol group (PEG), distal estriol group (DEG), and a vaginal water-based lubricating gel group during sexual intercourse (GL). The treatment duration spanned 12 weeks, with follow-up assessments conducted accordingly. Main Outcome Measures: The HADS instrument was utilized to evaluate mood disorder symptoms. Results The sample was homogeneous among the groups concerning baseline data (Age, BMI, FSH, Glucose, TSH, and estriol). Serum estriol levels after treatment did not significantly increase and remained within normal parameters. When comparing the baseline assessment to three months after intervention, a notable decrease in the scores of the Hospital Anxiety and Depression Scale (HAD) was observed in both the PEG group (15.95 ± 7.61 to 6.53 ± 3.4, p < 0.01) and the distal estriol groups (15.46 ± 8.11 to 6.68 ± 4.71, p < 0.01), while there was a non-significant decrease in the GL group (15.67 ± 6.26 to 7.26 ± 4.01, p = 0.08). For the anxiety domain, all treatments were effective in reducing scores (PEG: 8.47 ± 4.64-5.62 ± 3.35, p < 0.01; DEG: 8.35 ± 4.83-5.31 ± 3.61, p < 0.01; LG: 8.14 ± 3.89-7.01 ± 4.17, p = 0.04). In the depression domain, a significant reduction was observed for the estriol-treated groups (PEG: 7.47 ± 3.91-12.24 ± 6.18, p < 0.01; DEG: 7.11 ± 3.79-11.97 ± 7.77, p < 0.01; LG: 7.52 ± 3.19-14.36 ± 7.35, p = 0.34). In the comparison between groups, PEG and DEG interventions were superior to the GL. Conclusions All treatments resulted in reductions in mood disorder scores. However, estriol treatments exhibited superiority in improving the HADS scores for anxiety and depression compared to GL. Despite this, there was no significant increase in serum estriol levels. Therefore, it can be inferred that the treatment of dyspareunia may have positively influenced the mood of these women. Disclosure No.

Opening wedge high tibial osteotomy (OWHTO) influences the knee extensor mechanism, the range of passive motion of knee extension and persistent quadriceps, and anterior knee pain and weakness. Rehabilitation should focus on quadriceps strength and improving joint mobility. The single-joint hybrid assistive limb device (HAL-SJ) is a wearable exoskeleton cyborg. In this study, we investigated the feasibility and safety of HAL-SJ training after the early postoperative period following OWHTO and whether the use of this device can improve functional outcomes, including knee muscle extensor strength and knee extension range of motion without knee pain. Patients who had been diagnosed with knee osteoarthritis and had undergone OWHTO were assessed for eligibility in this prospective trial conducted at our institution between June 2015 and November 2020. The participants were split into two groups, i.e., 10 patients in the hybrid assistive limb (HAL) group and eight patients in the control group. We initiated HAL-SJ therapy on postoperative day 8 and continued it until the patient's discharge. During the hospitalization period, patients engaged in HAL-SJ-assisted knee extension exercises. This exercise routine encompassed five sets, each comprising 10 repetitions, and was conducted twice a week. We conducted assessments aimed at detecting any potential adverse events that could be linked to HAL training. Assessment of the knee extension angle via the visual analog scale (VAS) and strength assessments using a hand-held dynamometer (HHD) were conducted. To compare clinical outcomes before and after OWHTO, knee extension angle, the VAS, HHD, Japanese Orthopaedics Association (JOA) score, and the Japanese Knee Osteoarthritis Measure (JKOM) were assessed at four distinct time points. No adverse events were observed during the study. The assessment of clinical outcomes before and after OWHTO demonstrated a gradual improvement in outcomes. The single-joint hybrid assistive limb device in patients who underwent OWHTO appears to be potentially safe. It contributed to enhanced muscle activity efficiency by reducing knee pain and improving knee extension angles in the early postoperative phase.

incio da pandemia de COVID-19.Essa doena nova, causada pelo vrus SARS-CoV-2, j assolava outros pases mundialmente, desafiando a sobrevivncia dos seres humanos.Sua magnitude foi expressa pela elevada letalidade e formas graves da doena, bem como por sua rpida disseminao.Como resposta, as entidades governamentais tiveram que ampliar o nmero de leitos hospitalares de terapia intensiva e de enfermaria, alm de implementar uma srie de medidas preventivas na inteno de conter a propagao do vrus.Nesse contexto, o objetivo principal desta monografia estimar a magnitude da adeso s medidas de preveno da COVID-19, e o impacto socioeconmico da pandemia de COVID-19 na cidade de Ribeiro Preto, SP.Bem como descrever os sintomas persistentes em pessoas sobreviventes da COVID-19.Mtodo: A tese foi construda a partir do inqurito domiciliar epidemiolgico realizado no municpio de Ribeiro Preto

Pruitt, David W. M.D.; Burris, Joseph E. M.D.; Worsowicz, Greg M. M.D.; Kinney, Carolyn L. M.D. Author Information

To help paramedicine professionals maintain literature currency in our discipline, the 'Paramedicine Contents' section shares the tables of contents of scholarly journals that are primarily focused on the paramedicine discipline. In this first appearance of the 'Paramedicine Contents' section, we start with the contents from two of the most prominent journals in our discipline, Prehospital Emergency Care and Paramedicine.

The flexor digitorum accessorius longus is an anomalous muscle with a reported prevalence of 1.6%-12.2% in cadaveric studies. Flexor digitorum accessorius longus courses through the tarsal tunnel and has been reported as an etiology of tarsal tunnel syndrome in previous case reports. The flexor digitorum accessorius longus is intimately related to the neurovascular bundle and may impinge on the lateral plantar nerves. However, very few cases of lateral plantar nerve compression by the flexor digitorum accessorius longus have been reported. Herein, we report a case of lateral plantar nerve compression caused by the flexor digitorum accessorius longus muscle in a 51-year-old man who complained of insidious pain at the lateral sole and hypoesthesia at the left third-fifth toe and lateral sole, and the pain improved after treatment of botulinum toxin injection into the flexor digitorum accessorius longus muscle.