Knowledge, Motivation Behavior and Level of Physical Activity for Medical Students

T. Swee, N. Hanafi, M. N. A. Mohamed, A. Abdullah
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Abstract

Introduction: Intense therapeutic ultrasound (ITU) is a newly established ultrasound-based, non-invasive therapy in which sound waves are concentrated and focused on musculoskeletal tissue for the purpose of pain reduction. This technology produces selective thermal coagulative changes over a small controlled area while leaving the surrounding tissue unaffected and without impacting the integrity of the dermis.Methods: A clinical study evaluating 29 patients (Age: 39 – 60, Male: 59%, Female 41%) for the effectiveness, safety and patient tolerance of Intense Therapeutic Ultrasound (ITU) for treatment of chronic (average length of symptoms prior to treatment: 12.9 Months), subcutaneous lateral Epicondylitis musculoskeletal tissue pain reduction was conducted. All patients enrolled in this IRB approved study had been previously diagnosed with Chronic Lateral Epicondylitis and had failed previous Standard-of-Care treatment regimen. Two ITU treatments were administered four weeks apart. Self-reported lateral elbow Universal Visual Analog pain scores and Patient-Rated Tennis Elbow Evaluation pain scores while performing normal daily tasks, were recorded pre-treatment (baseline measurement) and again at each follow-up time point - 4, 8, 12, and 26 weeks - after initial treatment. The goal for all subjects was to reduce overall pain and pain while performing everyday tasks by at least 25% on the average and more than 25% individually. While arbitrary, such criteria appear to be rigorous to reduce standard error and individual selfassessment variability.Results: Successful reduction of overall pain scores at 12 and 26 weeks following the first treatment are 88% and 82% of patients meeting the pain reduction criteria respectively. Also, at the same follow-up time points, patients reported an average VAS Pain Score reduction of 59% (Week 12) and 57% (Week 26) from a pre-treatment average of 5.08 down to an average of 2.2 at week 26. Additionally, patients reported an average pain reduction while performing everyday tasks of 58% and 61% respectively. Patient satisfaction remained over 80% for all follow-up dates.Conclusion: ITU is a promising non-invasive pain relief treatment for cases of chronic lateral epicondylitis.
医学生身体活动的知识、动机、行为与水平
导语:强超声治疗(ITU)是一种新建立的基于超声的非侵入性治疗方法,其中声波集中并聚焦于肌肉骨骼组织以减轻疼痛。这项技术在一个小的控制区域内产生选择性的热凝固变化,同时不影响周围组织,也不会影响真皮层的完整性。方法:对29例患者(年龄39 ~ 60岁,男性59%,女性41%)进行临床研究,评价高强度治疗性超声(ITU)治疗慢性(治疗前平均症状持续时间12.9个月)皮下外上髁炎肌肉骨骼组织疼痛减轻的有效性、安全性和患者耐受性。所有参加这项IRB批准的研究的患者以前都被诊断为慢性外上髁炎,并且以前的标准治疗方案失败。两次国际电联治疗间隔四周进行。在执行正常日常任务时,记录治疗前(基线测量)和每个随访时间点(初始治疗后4,8,12和26周)的自我报告外侧肘关节通用视觉模拟疼痛评分和患者评定网球肘关节疼痛评分。所有受试者的目标是在执行日常任务时减少总体疼痛和疼痛,平均至少减少25%,个别减少25%以上。虽然是任意的,但这些标准似乎是严格的,以减少标准误差和个人自我评估的可变性。结果:在第一次治疗后12周和26周,成功降低总体疼痛评分的患者分别为88%和82%达到疼痛减轻标准。此外,在相同的随访时间点,患者报告的VAS疼痛评分平均降低了59%(第12周)和57%(第26周),从治疗前的平均5.08降至第26周的平均2.2。此外,患者报告在执行日常任务时平均疼痛减轻了58%和61%。在所有随访期间,患者满意度保持在80%以上。结论:ITU是一种很有前途的非侵入性治疗慢性外上髁炎的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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