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Biomedical subjects

C B Parry

Publications and source records attributed to C B Parry.

35 records · Page 2Linked to original sources
PubMed1976

Sensory re-education after median nerve lesions.

Technique for re-educating sensory function after median nerve lesions at the wrist is described. Results of re-education of Twenty-three patients are presented. The functional results are good and belie the traditional view of sensory function after nerve suture. Recent advances in sensory neuro-physiology are discussed which may explain the successes of this technique.

Evaluation Studies as Topic↗
PubMed1970

Trick movements.

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Gravitation↗
PubMedDate not supplied

The clinical experience of novice students in nursing.

The learning experience of nursing students in their first clinical laboratory in a hospital was examined in a qualitative investigation. Graduate students in a nursing research seminar course participated as co-investigators in the study of clinical learning among sophomore nursing students. Findings revealed that sophomore students in nursing reflected on their role in the clinical setting and in nursing; pursued ways to learn in clinical settings; actively sought mentors; made connections to staff, patients, and peers; and searched for ways to validate the competence of their beginning skills. Parallels of the students' behaviors to the novice-to-expert paradigm were found. The study was valuable for both undergraduate and graduate students involved in the investigation.

Adaptation, Psychological↗
PubMedDate not supplied

Management of causalgia after peripheral nerve injury.

The authors report on a series of patients with severely painful disorders of peripheral nerves--they review the modern theories on the nature of causalgia and reflex sympathetic dystrophy. Peripheral causes include spontaneous discharges from neuroma sprouts, their sensitivity to adrenergic compounds, ectopic generator activity in abnormally myelinated fires and increased firing in dorsal root ganglia. Central causes include spontaneous activity of deafferented nerves in the dorsal horn and development of response to new receptive fields. The natural history of such disorders is poor--many patients suffering pain for 10 years or more--the clinical picture is characterized by spontaneous burning pain and allodynia and hyperpathia, chronicity, osteoporosis, skin and nail changes and deformities. The basis of treatment is sympathetic blockade using intravenous guanethedine on alternate days. At least 6 blocks are given as the majority of patients do not respond until the 5th or 6th block. Each block is followed by desensitization and intensive rehabilitation. The authors emphasize that sympathetic blockade is only one, albeit the most important, modality in a multi-faceted treatment programme. Surgical attempts to relieve pain almost uniformly failed--causing as they do further neuronal changes peripherally and centrally. Recurrences depend on the degree of initial response. Those who obtained virtually complete relief of pain had a lower recurrence rate but a high proportion needed repeated sessions of treatment at yearly intervals. Follow-ups must therefore be indefinite.

Autonomic Nerve Block↗
PubMedDate not supplied

Mechanical back pain and the facet joint syndrome.

Mechanical back pain is a common disability often associated with the facet joint syndrome. Treatment is based on early, adequate pain relief with simple techniques of regional analgesia. In a few cases this is not enough and more sophisticated methods, such as radiofrequency denervation, cryo-analgesia and possibly intrathecal midazolam, are necessary. However, the main thrust of our approach is to treat the underlying structural disorder with strengthening of the back muscles and correction of postural abnormalities responsible for the mechanical back pain. Our report is based on an analysis of 83 patients who failed to respond to long periods of rest, suitable analgesic and allied drugs and other non-invasive measures. There had been no overriding indication for major surgery. A large number of these patients have been improved by our methods, but further work is in progress to extend the proportion of satisfactory results.

Analgesia↗