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PubMed2005

A microswitch cluster to enhance arm-lifting responses without dystonic head tilting by a child with multiple disabilities.

This study assessed whether a microswitch duster with favorite stimulation could help a 9.1-yr.-old child with multiple disabilities increase arm-lifting responses without dystonic, sideways head tilting. The microswitch cluster involved two microswitches, one at the child's arm to monitor the lifting response, and the other at the child's head to monitor whether it was tilted during arm lifting. Analysis showed that the percentage of arm-lifting responses occurring without head tilting increased most visibly when favorite stimulation focused on those (appropriate) responses.

Arm↗

PubMedDate not supplied

Lifting patients: the challenge for nursing.

This article examines how nursing will need to respond to the guidelines included in the new Health and Safety Regulations on the minimum requirements for the handling of loads. Many lifts that nurses undertake are called into question and the author outlines where nurses may be at risk and suggests alternative methods to lifting. The article also looks at what can go wrong when decisions about lifting miss out key points related to lifting stance and sequence.

Biomechanical Phenomena↗

PubMed2000

[The modern surgery of face lift: indications and results].

In this retrospective study with a group of 55 patients aged 47.7 +/- 8.3 years, surveyed for a period of 16 months, the results of different face lift techniques--subcutaneous face lift combined with imbrication of the SMAS-Platysma complex versus sub-SMAS-dissection with transposition of the SMAS-Platysma complex--were compared in order to evaluate risks and complication rates of these two techniques. Various indications and different techniques including special features were discussed. A slightly higher complication rate is evident in the patient group treated with the sub-SMAS face lift technique, mainly referring to temporary asthenia of the nervus facialis, which regressed in all cases after 7 months. The post op bleeding rate was 2.3%, within the range given in the literature. Concludingly, the pure subcutaneous face lift with imbrication of the SMAS-Platysma complex still is an established method in modern rhytidectomy treatment.

Adult↗

PubMed2003

The upper lip lift using the 'bull's horn' approach.

Our lift lip technique consists of an excision of the white part of the upper lip directly beneath the nose in the shape of a 'bull's-horn', with advancement of the inferior border of the incision to the area directly beneath the nose. Pre-operative markings on the skin ensure the lip lift is approximately symmetric. Advancement of the inferior edge of skin directly beneath the nasal base lifts the lip, producing more visible vermilion and about 3 mm of tooth show at rest. The position of the final incision is such that it is located within the shadow of the nose. Meticulous technique produces an almost invisible scar. The amount and width of skin excised is individualized depending on the desired aesthetic goals. The procedure is straightforward and is usually performed under local anesthetic. Abdominal fat is frequently injected into both the upper and lower lips to increase the volume and improve the rejuvenation. Lip lifts using this technique provide an immediate, dramatic, and permanent result.

Anesthesia, Local↗

PubMed2003

[Lifting of the maxillary sinus: complementary use of platelet rich plasma, autologous bone deproteinised bovine bone. Case report].

The present paper describes a clinical case in which autologous bone, removed during an operation from the maxillary tuberosity, platelet rich plasma (PRP) and deproteinised bovine bone (Bio-oss, Geistlich) were used as graft material in a bilateral maxillary sinus lift procedure. During the same operating session, it was planned to carry out the lift of the maxillary sinus, employing a "combined" graft (autologous bone, PRP, deproteinised bovine bone), and to insert 6 fixtures at maxillary level, 3 in each quadrant, and 6 fixtures at mandibular level. The use of PRP, or rather of the platelet gel derived from it, represented an improvement compared to standard bone graft techniques. A graft consisting of autologous bone and PRP (with or without deproteinised bovine bone) makes it possible in fact to carry out more demanding operations, such as a major lift of the maxillary sinus, without the need for a block graft, but employing autologous bone particulate, which is easier to find. Furthermore, a "combined" graft is easily malleable and adjustable and can be adapted perfectly to the bone defect in which it is inserted. Finally, it guarantees a better quality of cure both in terms of speed and degree of mineralisation. This is very important if we consider that usually, lifting of the maxillary sinus is carried out precisely to guarantee adequate bone volume in cases where bone has been lost and to permit the insertion of osteointegrated implants.

Aged↗

PubMed1992

The coronal forehead lift--modifications and results.

The coronal forehead lift has produced excellent results in the rejuvenation of the upper face. The problem of brow and glabellar ptosis, as well as the problem of frontoglabellar rhytids, are directly addressed with this procedure while producing no visible scars. In addition, the pretrichial modification of it can be used without alteration in the hairline. The success and low morbidity of the coronal forehead lift has made it the procedure of choice for upper facial rejuvenation in females, and many male patients. A review of 41 coronal forehead lifts performed by the senior author is presented, with emphasis placed on the results and the refinements brought to the surgical technique. A discussion comparing this procedure to other brow lift procedures is also presented, outlining their respective advantages and disadvantages.

Adult↗

PubMed2005

Lift-(gasless) laparoscopic surgery under regional anesthesia.

The objective of this Chapter was to investigate the feasibility and outcome of gasless laparoscopy under regional anesthesia. A prospective evaluation of Lift-(gasless) laparoscopic procedures under regional anesthesia (Canadian Task Force classification II-1) was done at three endoscopic gynecology centers (franchise system of EndGyn(r)). Sixty-three patients with gynecological diseases comprised the cohort. All patients underwent Lift-laparoscopic surgery under regional anesthesia: 10 patients for diagnostic purposes, 17 for surgery of ovarian tumors, 14 to remove fibroids, and 22 for hysterectomies. All patients were operated without conversion to general anesthesia and without perioperative or anesthesiologic complications. Lift-laparoscopy under regional anesthesia can be recommended to all patients who desire laparoscopic intervention without general anesthesia. For elderly patients, those with cardiopulmonary risks, during pregnancy, or with contraindications for general anesthesia, Lift-laparoscopy under regional anesthesia should be the procedure of choice.

Anesthesia, Conduction↗

PubMed1989

Predictors of registered nurses' lifting behavior.

1. Nurses continue to experience back pain and injury as a result of occupational stressors, with most attributed to lifting clients. 2. Research found that only 2% of nurses lifted clients as prescribed by current nursing textbooks. 3. Nurses' lifting behavior was related to the age of the nurse and the type of client movement. 4. Ongoing education regarding prescribed lifting behavior in clinical settings and continued research regarding strategies to increase the prevalence of safe behavior in the workplace are recommended.

Back Injuries↗

PubMed1985

Quantification of lumbar function. Part 4: Isometric and isokinetic lifting simulation in normal subjects and low-back dysfunction patients.

The present study collected the first normative data on a new dynamic isokinetic lifting device and compared a normal subject sample (n = 65) with a chronic low-back pain patient sample (n = 68) on this device. In addition, a comparison was made between isometric lifting measures collected for these controls and patients, and a normative industrial sample used in an earlier isometric testing protocol. Results demonstrated significant differences between controls and patients on all measures. An unanticipated finding was the greater lifting capacity levels of the present normal sample relative to those reported in the earlier isometric testing. These findings demonstrate that dynamic lifting simulation offers an important new tool for medical and industrial assessment, and conservative medical management.

Adult↗

PubMed1977

Obliteration of alopecia by hair-lifting: a new concept and technique.

A new concept and technique of treatment of male-pattern alopecia are described. The concept is to remove, in serial stages, segments of skin that measure about 3 cm by 7 to 10 cm from the bald area of an alopecic scalp, and to raise the remaining hairy portion into the previously bald area.The technique consists of undermining the skin in the normal plane of cleavage between the galea and the sub-aponeurotic loose connective tissue after each removal of bald skin and "lifting" of hairy skin into the operative defects as they are obliterated by primary closure. By this method, which we call hair-lifting, the patient benefits also from an associated partial face-lift. Whatever remains of baldness after as much hair-lifting as feasible has been performed, is filled with "punch" grafts or free or pedicled strips. Each stage of the procedure is done under local anesthesia. The entire procedure is particularly suitable for tonsure baldness in men and even in the skull-cap type of androgenic alopecia in women.

Alopecia↗

PubMed1988

Reproducibility of intra-abdominal pressure when lifting.

Reproducibility of intra-abdominal pressure (IAP) variation was investigated in fifteen young male subjects when lifting three loads, 49, 98 and 147 N, with three speeds of movement, slow, fast and spontaneous, and starting from four standing postures: trunk erect, trunk forward flexed at 30, 60, and 90 degrees of dorsolumbar inclination. Each lift was replicated five times successively and the whole protocol was replicated at one a week interval. The intra-individual variability in IAP response was assessed using the standard deviation of each series of ten lifts. Results showed that variability of peak IAP increased with the load and with the lifting speed. This effect of speed was especially observed for light loads and in forward bending postures. Trunk posture had in itself no significant effect on IAP reproducibility. However, when the variations in the moment acting at lumbar level were taken into account by considering the IAP to moment ratio, the reproducibility of the response was not affected by the load but only by the trunk posture. Reproducibility was lower in the erect posture than in the three flexed positions. It is suggested that this difference relates to the importance in each posture of the moment acting at the shoulder with respect to the total moment acting at lumbar level.

Abdomen↗

PubMed1987

Electromyographic changes of leg muscles with heel lift: therapeutic implications.

The effects of heel lifts on activity in gastrocnemius and tibialis anterior muscles were analyzed by signal averaged EMG. The goal was to formulate a more rational approach to prescribing heel lifts for conditions such as tendoachilles bursitis and postoperative management of heel cord rupture. Thirteen men walked on a level floor and a treadmill with heel heights of zero, 1.9, 3.8, and 5.7 cm. Results showed that as heel height increased there was a significant decrease (p = 0.03) in gastrocnemius EMG activity and an increase (p = 0.04) in tibialis anterior EMG activity during level floor walking. Treadmill walking produced less remarkable decreases in gastrocnemius activity and increases in tibialis anterior activity, indicating differences between treadmill and level walking. We conclude that heel lifts of 1.9 to 5.7 cm for men decrease gastrocnemius muscle activity, thereby reducing tension in the Achilles tendon during normal level walking. Therefore, therapeutic use of heel lift is justified for men with tendoachilles bursitis, tenosynovitis of Achilles tendons, and postoperative management of ruptured Achilles tendons.

Achilles Tendon↗

PubMed1986

[The influence of individual and total lifted objects on the equilibrium of the uterus].

Analysed were the dependencies between the single and total weight of lifted objects and disturbed equilibrium of working women's uterus. The examined population covered 167 women working in standing position, lifting objects of different single and total mass during their workday. The analysis involved: workers' age, type of menstruation, childbirth, urine incontinence and equilibrium of the uterus and vagina. The percentage of women with the descent of uterus and vagina, uterus displacement and effort urine incontinence was found to increase with age, length of employment and number of deliveries, particularly high percentage being the one relating to women lifting, just once, heavy objects. No correlation was found between the incidence rate of the health disturbances and the total weight of the objects lifted during the workday.

Adult↗

PubMed1979

Blepharoplasty: when to combine it with brow, temple, or coronal lift.

Some patients coming for esthetic blepharoplasty should have one of three supplemental procedures performed to elevate or change the position of the eyebrows. The most precise eyebrow alterations are effected with brow lifting procedures, but these may produce adverse scarring. The temple lift may be employed to draw the lateral part of the eyebrow upward and laterally. Drooping of the central part of the eyebrow requires a frontal or coronal lift or an eyebrow lift. Additional guides to the selection and combination of the procedures are provided.

Eyebrows↗

PubMed1977

The physiological costs of box lifting.

Thirteen male subjects lifted boxes of three different weights for 20 min periods each. Ventilation, oxygen uptake and heart rates were measured. Each subject made subjective estimates of the degree of difficulty of the work he was doing. Oxygen uptake and ventilation were found to reach steady state after about four minutes and remain there for the rest of the work session. Heart rate for the two lighter boxes reached steady state after about thirteen minutes while the heart rate continued to rise when lifting was done with the heaviest box. The relationships between oxygen uptake, heart rate and work load tended to be curvilinear, whereas the ventilation was linear when compared to work load. The heart rate and oxygen uptake relationship was also curvilinear, while ventilation and oxygen uptake had a linear relationship. The subjective ratings were expected to be about one-tenth of the heart rate. Only the ratings made while lifting the lightest box reflected this. The heavier boxes were rated as being more difficult to lift than 10 times the heart rate per minute. The mechanical efficiencies were found to range between 4.4% and 6.2%.

Adult↗

PubMed1977

Lifting capacity of workers.

In order to establish a valid criteria on which to establish lifting guidelines, lifting capacity determination must be made. This has been attempted using several approaches mainly psychophysical, physiological, and biomechanical methodologies. Although the data obtained from these approaches yield information about lifting capacity, some conflict in these data can be found. The purpose of this paper is to discuss the three different approaches, the data obtained from these approaches, and some data on the lifting capacity for males and females in the industrial workforce. In addition, the conflicts in these data are also presented.

Biomechanical Phenomena↗

PubMed1983

Objective electromyographic evidence for use and effects of lift therapy.

Thirty nine subjects with chronic low back complaints which were unresponsive to other conservative therapies were tested by postural loading electromyography (EMG) to assess their possible response to lift therapy. Of the 35 subjects included in the study, seven (20%) showed no alteration of their muscular asymmetry during stance with either heel of ischial supports placed unilaterally; 18 (51%) of the remaining 28 subjects demonstrated a balancing of the paraspinal activity as a result of the use of heel lifts, while all 28 (80%) were balanced by an ischial support. It was concluded that lift placement by EMG criteria is more accurate than customary radiographic methods of assessing pelvic tilt and/or sacral unleveling. Further study of EMG lift placement, as well as other possible applications, is warranted.

Back Pain↗

PubMed1981

[Features of the lifting reflex in the white rat following prolonged space flight (effect of weightlessness and artificial gravity)].

The latent time of the lifting reflex (LTLR) was studied in weightless and centrifuged SPF-Wistar rats before and after 19-day space flights onboard Cosmos-936 and 1129. The LTLR was determined when the lifting reflex was induced in a special trainer on the basis of the mechanical component of muscle reaction (MCMR) and electromyography of the oculomotor and gastrocnemius muscles. The LTLR persisted in all the animals postflight. The LTLR of weightless rats as determined by the MCMR increased significantly, and as determined by electromyography, remained unchanged. Centrifuged rats did not show significant changes in the LPLR. It is believed that the initial stages of the lifting reaction - vestibular receptors and conductive pathways - remained unaltered in weightlessness. Changes in the LPLR observed after prolonged space flights are consequent on muscle function, representing the final stage of the lifting reflex.

Animals↗