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Posterior Night Splint

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21. Neuromuscular Occlusion Concept-based Diagnosis and Treatment of Tempromandibular Joint Disorders: A Review of the Clinical Evidence

that TENS treatment was associated a statistically significant difference between groups in terms of the vertical evaluation; however, these differences were not provided for the anterior/posterior index or the ratio of vertical/ anterior-posterior indices. In the randomized-controlled trial by Jadidi et al., the use of contingent electrical stimulation for the treatment of TMD patients was not statistically different from placebo in terms of sleep hours during the night, maximum pain-free jaw-opening (...) The available evidence does not support the use of electromyography as a diagnostic test for temporomandibular disorder. The use of electrical stimulation for the treatment of TMD is not supported by the current evidence. No conclusions can be made on the efficacy of occlusal splint based on the neuromuscular occlusion concept. METHODS Literature Search Strategy A limited literature search was conducted on key resources including PubMed, The Cochrane Library (2012, Issue 11), University of York Centre

2013 Canadian Agency for Drugs and Technologies in Health - Rapid Review

22. Nasopharyngeal airway (NPA)

is to be sized correctly in patients: if the airway is too short it will fail to separate the soft palate from the pharynx and if too long it can pass into the larynx and aggravate cough and gag reflexes ( ). The NPA primarily acts as a 'splint' which maintains patency of the airway, or keeps the tongue from falling back on the posterior pharyngeal wall and occluding the airway, therefore preventing airway obstruction, hypoxia and asphyxia ( ). NPAs are generally well tolerated by conscious children (...) Nasopharyngeal airway (NPA) Nasopharyngeal airway (NPA) | Great Ormond Street Hospital Google Tag Manager Navigation Search Search You are here Nasopharyngeal airway (NPA) Nasopharyngeal airway (NPA) ). The purpose of a NPA is to bypass upper airway obstruction at the level of the nose, nasopharynx or base of the tongue. A correctly placed NPA will sit just above the epiglottis, having separated the soft palate from the posterior wall of the oropharynx. This knowledge is vital if the NPA

2014 Great Ormond Street Hospital

23. Clinical Study of Customized Adjustable Oral in Treatment of Patients With Obstructive Sleep Apnea Syndrome

on the craniofacial features assessment. The Epworth Sleepiness Scale (ESS) will be used to evaluate daytime sleepiness. They then will be fitted with a costumed adjustable oral appliance. The appliances are taken with a mandibular advancement of 2-3 mm and vertical rise of 4-5 mm, that is, the vertical position set at the minimum occlusal elevation to allow mandibular advancement and to avoid backward rotation. The participants were asked to wear the test appliance for 7 nights, and in case of compliance (...) ,application it every night at least for 6 months. The selected patients will be record their usage of the appliance and any adverse effects in a treatment journal. The research focus on the following outcomes: sleep apnea and the the volumetric changes of the upper airway. All patients were radiographically evaluated with a specific diagnostic examination: the cone beam computed tomography scan. For each patient, 3 CBCT scans were performed positioning his head in a neutral way and were performed without

2018 Clinical Trials

24. Primary Care Management of Headache in Adults

for specialist referral and/or a brain MRI scan to exclude a Chiari 1 malformation or a posterior fossa lesion (but it must also be considered that patients with typical migraine may have exertion as one of their headache triggers). CS (G4) + qSR (IHE Database) Patients in whom postural change has a major effect on headache intensity need specialist consultation and will require investigation. CS (G4) For headache that worsens on standing, brain MRI scanning with gadolinium enhancement may be needed to look

2012 Toward Optimized Practice

26. Conservative Therapy Interventions in Plantar Fasciitis

tubercule of calcaneus are painful. According to the literature, non-surgical treatment modalities relieve symptoms of patients successfully. Orthotics, night splints, manipulation interventions with conventional methods are effective to decrease pain and improve function. There are various physiotherapy treatment approaches in plantar fasciitis but there is no consensus about most effective treatment program. Stretching of plantar flexor muscles and plantar fascia is one of the core elements (...) of the treatment plan. Strengthening exercises together with stretching were shown more effective than only stretching. Foot orthoses are thought to prevent increased pronation and relieving stress on plantar fascia in patients with plantar fasciitis. Usage of insoles with night splints is found more effective. Taping is also helpful to acute pain control. Short foot exercises as isolated intrinsic foot muscles strengthening helps to providing subtalar foot position and supports plantar fascia and foot arches

2017 Clinical Trials

27. Determinants of Tooth Movement in Oral Appliance Treatment of OSA.

repositioning splint therapy will include average OAM adherence (hours/night), quality of life (Functional Outcomes of Sleep Questionnaire, FOSQ), and change in mandibular incisor root length and attachment loss. Adherence will be measured by compliance monitors embedded in the oral appliance and mandibular repositioning splints. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 105 participants Allocation: Randomized Intervention Model (...) and mandibular repositioning splints. The adherence will be measured in hours per night and nights per week. Quality of Life using Functional Outcomes of Sleep Questionnaire (FOSQ-10) [ Time Frame: Data collected at 0, 1, 2, 18 and 36 months after appliance insertion. ] FOSQ-10 measures functional status and difficulty in performing everyday activities via 10 questions. The range of scores for any question is from 1 to 4. There is also a 0 score option for participants who do not engage in a particular

2017 Clinical Trials

28. Bone Sarcomas: ESMO Clinical Practice Guidelines

network beforebiopsy[10–13][III,A]. The medical history should focus on symptoms such as dur- ation, intensity, and timing of complaints, for example night pain or fracture. Moreover, speci?c events for bone tumours include prior benign/malignant lesions, family history, and previous radiotherapy. A recent injury does not rule out a ma- lignant tumour and must not prevent appropriate diagnostic procedures. All patients should have a full physical examin- ation. Speci?c attention should be given (...) be a strong case for immobilising the part following biopsy, usually by application of an external splint. Chemotherapy treatment can result in renal, cardiac, and auditory dysfunction, and patients undergoing this treatment must have baseline renal functiontestingandassessment ofcardiacfunctionaswellasan audiogram (in the case of treatment with platinum derivatives). Sperm storage is recommended for male patients of reproduct- ive age. For female patients, a fertility physician should be con

2015 European Society for Medical Oncology

29. Ozone Therapy for Masticatory Muscle Pain (OTMMP)

: OzonytroneX Placebo Comparator: Placebo Sham ozone application to the greatest points of pain in the related muscle, 3 times per week for 2 weeks Device: Placebo (for Ozone) Experimental: Occlusal splint Occlusal splint use every night over a period of 4 weeks. Device: Dental treatment with occlusal splint Outcome Measures Go to Primary Outcome Measures : Change From Baseline in Pain Values (kg/cm2) on the Pressure pain threshold measurement (PPT) using a Pressure Algometry at 1 month [ Time Frame: Change (...) Description Go to Brief Summary: This study investigates the efficacy of bio-oxidative ozone application in the treatment of TMD of muscular origin. Condition or disease Intervention/treatment Phase Orofacial Pain Temporomandibular Joint Disorders Device: Ozone Device: Placebo (for Ozone) Device: Dental treatment with occlusal splint Not Applicable Detailed Description: Ozone is a natural pale blue gas that can be found in the atmosphere. Medical grade ozone is a powerful oxidizing agent which can

2016 Clinical Trials

30. Family Practice Notebook Updates 2017

with both sugar tong and posterior splint applied and a well padded heel and non-weight bearing for 6-8 weeks Subtalar fusion indications include Bohler's Angle <4 degrees or Sanders Type 4 (derm, exam, , er) Serious to life-threatening dermatosis with generalized skin erythema and Causes include underlying or , , infection (HIV, toxic shock) and Associated with significant morbidity and mortality risk Admit all patients suspected of having (pharm, , ) When s are needed, consider immediate release 10-30 (...) ) Consider deep s to reduce skin tension Avoid subcuticular as a sole method of skin closure (lung, procedure) Flush rate oxygenation at 40-70 lpm is optimal for RSI (rather than 15 lpm) (lung, procedure) Premedications ( , , ) for RSI are nearly never indicated In , does not decrease ICP with intubation ( may offer benefit, but is associated with ) (ortho, peds, ) Emergent surgery for open s, neurovascular injury (or risk of injury), unreducible joint dislocations Removable ankle splints are safe

2018 FP Notebook

31. Should I Have Meniscus Surgery?

, pivoting and twisting and some patients, if the meniscus tear is large will complain that the knee is buckling or giving way or feels unstable. Many of you will also find you need to sleep with a pillow between your legs at night. A meniscus tear hurts because they sometimes irritate the lining of the knee joint called the synovium. Tears can also hurt if there is a loose piece which is getting caught in the joint. Types of meniscus tears? What are the ? The majority of tears are degenerative meniscal (...) are as follows: “No evidence of fracture or dislocation. No suspicious focal bony lesion. No obvious soft tissue abnormality. Trace joint effusion. Quadriceps tendon and patellar tendon are intact. Anterior cruciate ligament and posterior cruciate ligament are intact. Medial collateral ligament and lateral collateral ligament are intact. Mild anterior extrusion of the anterior horn of the medial meniscus. Complex tear involving the posterior horn of the medial meniscus which extends into the body

2016 Howard J. Luks, MD blog

32. Femoral Anteversion

rotation (60 to 90 degrees) Decreased external hip rotation (10 to 15 degrees) VII. Differential Diagnosis See Infants or other neuromuscular disorder Toddlers Teen and pre-teen VIII. Diagnosis Biplanar Radiography Used to Measure Femoral Anteversion IX. Management Watchful waiting until age 8 years Avoid non-helpful measures Shoe Modifications Night splints Dennis-Browne splint Twister cables Passive s Physical Therapy Femoral Rotational Osteotomy Indications Comorbid neuromuscular disease (e.g (...) Normal hip Femoral head slightly anterior to Femoral neck Retroverted hip Femoral head posterior to Femoral neck Associated with IV. Mechanism Excessive medial rotation of the femur Normal Femoral Neck Anteversion angles Adults: 15-25 degrees Children Age 3-12 months: 39 degrees Age 1-2 years: 31 degrees V. Symptoms Standing appearance: "Kissing e" Clumsy gait appearance: "Egg-Beater" feet (" ") Sitting position: "Inverted W" Sitting with hips flexed and internally rotated (feet at either side

2018 FP Notebook

33. Family Practice Notebook Updates 2017

with both sugar tong and posterior splint applied and a well padded heel and non-weight bearing for 6-8 weeks Subtalar fusion indications include Bohler's Angle <4 degrees or Sanders Type 4 (derm, exam, , er) Serious to life-threatening dermatosis with generalized skin erythema and Causes include underlying or , , infection (HIV, toxic shock) and Associated with significant morbidity and mortality risk Admit all patients suspected of having (pharm, , ) When s are needed, consider immediate release 10-30 (...) ) Consider deep s to reduce skin tension Avoid subcuticular as a sole method of skin closure (lung, procedure) Flush rate oxygenation at 40-70 lpm is optimal for RSI (rather than 15 lpm) (lung, procedure) Premedications ( , , ) for RSI are nearly never indicated In , does not decrease ICP with intubation ( may offer benefit, but is associated with ) (ortho, peds, ) Emergent surgery for open s, neurovascular injury (or risk of injury), unreducible joint dislocations Removable ankle splints are safe

2018 FP Notebook

35. Plantar fasciitis

comprehensive advice on referral; referral recommendations are therefore based on what CKS considers to be good clinical practice. The purpose of referral is to: Reinforce . Ensure that are being carried out correctly. Check the suitability of footwear and orthoses. Consider the need for custom made orthoses (such as heel cups, longitudinal arch supports, and custom made full-length shoe insoles), taping, and night splints. Considering custom-made orthoses Expert advice can be given on the use of custom (...) -made orthoses, although from randomized controlled trials that these are superior to prefabricated orthoses is lacking. Orthotic devices theoretically work by reducing the load on the plantar fascia by reducing pronation [ ]. Considering taping and night splints Low-dye taping is thought to decrease the symptoms of heel pain by reducing fascia strain during standing or walking. A systematic review found evidence for its effectiveness in the short-term from two high quality trials included

2014 NICE Clinical Knowledge Summaries

36. Management of hip fracture in older people

(either skin or skeletal) is not recommended prior to surgery for a hip fracture. Foam gutter splints can be used to alleviate heel pressure. ; 5.4 reducing infection 5.4.1 PROPHylAXIS AGAINST INFECTION A meta-analysis found that compared to placebo, antibiotic prophylaxis significantly reduced the overall wound infection, deep wound and superficial wound infection after hip fracture repair. 52 Antibiotic use was also associated with a significant reduction in urinary tract infection but not mortality

2009 SIGN

38. Radial Nerve Entrapment: Diagnosis and Treatment

: radial tunnel syndrome (RTS) or posterior interosseous nerve syndrome (PINS) 1,2 . Although RNE may occur from compression at any point along the course of the radial nerve due to acute trauma (e.g. humerus fracture, Saturday night palsy), space- occupying lesion (e.g. lipoma, ganglion), local edema or inflammation, this guideline focuses on RTS and PINS, which are more typical for RNE arising from repetitive work activities. RTS and PINS have been described to occur at one of five potential sites (...) . Returning to Work following Surgery VII. ELECTRODIAGNOSTIC WORKSHEET References *This guideline does not apply to severe or acute traumatic injury to the upper extremities. 2 I. Review Criteria *Work-Related Radial Nerve Entrapment: radial tunnel syndrome (RTS) or posterior interosseous nerve syndrome (PINS) Review Criteria for the Diagnosis and Treatment of Work-Related Radial Nerve Entrapment (RNE*) CLINICAL FINDINGS CONSERVATIVE TREATMENT SURGICAL TREATMENT SUBJECTIVE (Symptoms) OBJECTIVE (Signs

2010 Washington State Department of Labor and Industries

39. Osteoarthritis

minutes; night pain; stiffness and pain relieved by activity; multiple joints affected; possible systemic symptoms. See the CKS topics on , , , and for more information. Septic joint — suggested by a red, hot, swollen joint associated with systemic symptoms. Fracture of the bone adjacent to the joint — suggested by a history of trauma. Malignancy including bony metastases — suggested by persistent and progressive bone pain unrelated to activity; rapid worsening of symptoms; night pain; unexplained (...) topic on for more information. Spinal stenosis — suggested by lateral or posterior hip pain that may radiate to the lower leg or groin; symptoms are exacerbated when walking or standing and relieved by sitting and leaning forward, or by lying down; may be numbness and weakness in the lower leg, which is exacerbated by walking. Osteonecrosis of the hip — suggested by anterior groin pain which is exacerbated by activity and rest; may cause thigh and buttock pain; may be a history of corticosteroid use

2013 NICE Clinical Knowledge Summaries

40. Tennis elbow

topic on for more information. Osteochondritis dissicans of the capitellum — may present with joint effusion; more common in young people especially following repetitive overhead throwing activities. Radial tunnel syndrome (compression of the posterior interosseous nerve) — maximal tenderness is localized to the area distal to the radial head, pain is often worse at night. Resisted wrist extension may not be painful, however resisted thumb and index finger extension may cause pain. Note (...) that they can reduce pain, maintain range of movement, and improve function [ ]. Arranging orthotics referral The recommendations on bracing (forearm straps and wrist extension splints) are based on the fact that these may provide symptom relief by offloading and decreasing stress on the diseased common extensor tendon and reducing extensor muscle activity [ ; ]. CKS notes, however, that there is limited, conflicting evidence on the benefits of orthoses in the literature. Orthotics are recommended

2012 NICE Clinical Knowledge Summaries

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