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At least 703 records · Page 39Linked to original sources

Closed chest cardiac massage in the newborn infant.

The recommended techniques for external cardiac compression during cardiopulmonary resuscitation of the newborn are reviewed. The American Heart Association advises the rescuer to depress the infant's midsternum with the index and forefingers. An alternative recommendation is to encircle the chest with both hands and appose the thumbs on the midsternum. The cases reported here prove the superiority of the latter maneuver over the former in improving cardiac output and systemic blood pressures. The history of external cardiac compression in infants and children is briefly reviewed, further supporting the conclusion that the technique of encircling the chest with thumbs at midsternum is more efficacious and hence the preferred approach to closed chest cardiac massage in the newborn.

Blood Pressure↗

Effects of sequential connective tissue massage on autonomic nervous system of middle-aged and elderly adults.

The purpose of this study was to describe autonomic nervous system responses to serial connective tissue massage (CTM) in healthy middle-aged and elderly subjects. Fourteen healthy middle-aged or elderly subjects (means age = 61.3 years) were randomly assigned to either a CTM or placebo group. Subjects received nine separate treatments (CTM or placebo) on alternate days over a three-week period. Each treatment was divided into 15-minute control, intervention, and recovery periods. Subjects in the CTM Group (n = 8) were given CTM on the basic section (low back), and subjects in the Placebo Group (n = 6) had sham ultrasound applied to the same area. Variables monitored were skin temperature (right great toe and popliteal fossa), galvanic skin response, mean arterial blood pressure, and heart rate. Variable measurements were made every five minutes. An analysis of variance and single-case analyses showed no changes in the variables measured in the CTM or Placebo Group. The results of this study suggest that CTM has no consistent immediate or long-term effects on the autonomic nervous system in healthy middle-aged and elderly subjects.

Aged↗

[Clitoral massage as a supporting measure in manipulation of the bovine uterus].

A method of exciting the clitoris is described. After such a massage or stimulation of the clitoris, the cervix lumen enlarges and allows an easier passage. Thus one can assume that a reflex arc exists. Directions on how to arouse the "clitoris-cervix-reflex" can be requested by sending an international self addressed stamped envelope to the author.

Animals↗

Ocular massage before cataract surgery.

We used the Honan intraocular pressure reducer, a balloon that applies a constant force, to the eyes in ten subjects with senile cataracts. An initially significant decrease in intraocular pressure after removal disappeared exponentially with a half-time of 9.6 minutes, indicating that the benefits derived from the Honan balloon do not result from a sustained reduction in intraocular pressure. Measurements made on a phantom eye showed both marked variability and unexpectedly high intraocular pressure during typical preoperative digital massage by a group of ophthalmic surgeons. Measurements made on a cadaver eye after application of the Honan balloon showed that very high intraocular pressures may be achieved under some conditions.

Cataract Extraction↗

An analysis of cerebral bood flow systemic base deficit accumulation and mean arterial pressure as a function of internal cardiac massage rates.

The effect of varying rate of internal cardiac massage on the cerebral blood flow equivalent (CBF/CMRO2 = (Formula: see text), where CBF = cerebral arteriovenous oxygen difference, CMRO2 = Cerebral metabolic oxygen consumption, and (Formula: see text), = cerebral; arteriovenous oxygen content difference) was investigated in the dog. Also, systemic base balance and mean arterial pressure were analyzed as functions of rate. Nine dogs 14-27 kg in weight were subjected to rates of 14-200 compressions per minute. For rates between 14 and 200 per minute, there was no significant rate-related effect on the parameters monitored.

Acid-Base Imbalance↗

Closed-chest massage: an effective resuscitative procedure for the maintenance of the circulation during cardiac arrest.

Reports of clinical benefits of closed-chest cardiac resuscitation refute recently published studies contesting its effectiveness.Our experimental investigations demonstrate that closed-chest massage is able to achieve adequate cerebral circulation and oxygenation during cardiac arrest.Clinical studies indicate that a significant number of coronary patients can be saved if a monitor system is used to warn of the onset of ventricular fibrillation or arrest. To be successful, closed-chest resuscitation must be instituted within the four-minute limit after onset of cardiac arrest. When ventricular fibrillation occurs, electrical countershock is usually obligatory. Cardiac pacemaking is a specific necessity for patients with ventricular arrest.

Adult↗

[Anomalies of the T wave following treatment of complete chronic left branch block by massage of the carotid sinus or injection of adenosine triphosphate].

We studied the T wave during normal conduction in 25 patients aged 42 to 81 years (average 62 +/- 5) during sinus rhythm and complete left bundle branch block which regressed transiently after carotid sinus massage (22 cases) or injection of adenosine triphosphate (5 cases). Six patients had angina pectoris; coronary arteriography in 3 of the other 19 patients was normal. The reversion to normal intraventricular conduction was obtained with a lengthening of the ventricular cycle in all patients. The T wave axis with narrow QRS complexes was between + 70 degrees and -140 degrees (normal T axis in 11/25 patients); in the horizontal plane, the T wave was negative in V2 in 4 patients, in V2-V4 in 12 patients, in V2-V6 in 7 patients and in V4 in 1 patient. The amplitude of inversion in V2 varied from 0.1 to 1.5 mV; there was no significant difference between the patients with angina (0.50 +/- 0.31) and the remainder (0.43 +/- 0.16). In normal conduction, the T wave changes were more common in the horizontal plane (24/25 patients: 96%) than in the frontal plane (14/25 patients, 56%). The high incidence of abnormalities of ventricular repolarisation after regression of complete left bundle branch block does not appear to be related to coronary artery disease. Another explanation is proposed because of the analogy with the changes observed after terminating right ventricular pacing and after regression of a Wolff-Parkinson-White syndrome. An abnormality of initial ventricular depolarisation--common to left bundle branch block, the Wolff syndrome and right ventricular pacing--could be responsible for these T wave changes during normal conduction.(ABSTRACT TRUNCATED AT 250 WORDS)

Adenosine Triphosphate↗

[Diagnosis of chronic prostatitis: urinary cytology following prostatic massage].

The difficulties in the diagnosis of chronic prostatitis depend mainly on anatomical factors. 48 patients were investigated by cytological examination of the urine after prostatic massage. The results were compared with the issues of urethrography, uroflowmetry and bacteriology. Cytological examination was demonstrated as being the simplest and most reliable method for both diagnosis and follow-up after treatment in chronic prostatitis. Three inflammatory groups are defined and commented and a treatment is proposed.

Chronic Disease↗

[Assessment of external cardiac massage efficiency or Kouwenhoven revisited (author's transl)].

The external cardiac massage mechanism is commonly related to the ventricles compression between the vertebral block and the sternum. This over-simple explanation must be reconsidered. Following recent data, the intra thoracic pressure changes take probably a major part in it efficiency. Six patients have been studied by hemodynamic intra aortic measurements and Doppler carotidian velocimetry. Intra thoracic pressure have been recorded by an oesophageal catheter. Results are in agreement with the prominent part of the intra thoracic pressure variations. Various external cardiac methods are investigated following this monitoring. Some aspects of the classical management of the cardiac arrest have to be discussed.

Heart Massage↗

[External heart massage by the leg-heel method (author's transl)].

60 persons were asked to perform external cardiac massage on two phantoms by the arm-hand and leg-heel method respectively. This leg-heel method does not offer any special advantages over the arm-hand technique if the helper is tired; nor is it easier to learn. Because of its general applicability the latter method should remain the standard technique taught, especially as laymen are apt to become confused by a multiplicity of methods.

Foot↗

Application of intensified (+) Qi Gong energy, (-) electrical field, (S) magnetic field, electrical pulses (1-2 pulses/sec), strong Shiatsu massage or acupuncture on the accurate organ representation areas of the hands to improve circulation and enhance drug uptake in pathological organs: clinical applications with special emphasis on the "Chlamydia-(Lyme)-uric acid syndrome" and "Chlamydia-(cytomegalovirus)-uric acid syndrome".

Various methods of improving circulation and enhancing drug uptake which were used in treating some intractable medical problems caused by infections, and two syndromes based on the co-existence of Chlamydia trachomatis infection (mixed with either Lyme Borrelia burgdorferi or Cytomegalovirus) with increased Uric acid are described. The principal author's previous studies have indicated that there are two opposite types of Qi Gong energy, positive (+) and negative (-). Positive (+) Qi Gong energy has been used clinically to enhance circulation and drug uptake in diseased areas where there is a micro-circulatory disturbance and drug uptake is markedly diminished. (-) Qi Gong energy has completely the opposite effect and therefore has not been used although there may be some as yet undiscovered application. Since the late 1980's the principal author has succeeded in storing (+) Qi Gong energy on a variety of substances including small sheets of paper, and recently has been able to intensify this energy by concentrating it as it passes through a cone-shaped, tapered glass or plastic object placed directly on the (+) Qi Gong energy stored paper. Application of (+) Qi Gong energy stored paper on the cardio-vascular representation area of the medulla oblongata at the occipital area of the skull often improved circulation and enhanced drug uptake. If the drug-uptake enhancement was still not sufficient for the drug to reach therapeutic levels in the diseased organ, direct application of (+) Qi Gong from the practitioner's hand often enhanced the drug uptake more significantly. However, this direct method often results in the practitioner developing intestinal micro-hemorrhage within 24 hours which may or may not be noticed as mild intestinal discomfort with soft, slightly tarry stool. For intensifying (+) Qi Gong energy one of the most efficient shapes is a cone with increased intensification occurring at an optimal height. However when the total mass and the total distance from base to peak is increased beyond an optimal limit, the power decreases. Clinical application of Intensified (+) Qi Gong stored energy was evaluated in this preliminary study which indicated that intensified (+) Qi Gong energy application on the heart representation area of the middle finger on the hands markedly improved circulation in the corresponding organ, and increased drug uptake and acetylcholine even more effectively than some of the previously used drug enhancement methods (Shiatsu massage of the organ representation areas and/or application of (+) Qi Gong energy stored paper to the occipital area above the cardiovascular representation area of the medulla oblongata).(ABSTRACT TRUNCATED AT 400 WORDS)

Acupuncture Therapy↗

[Psychological aspects of massage. Basic considerations and advanced concepts for physical therapists].

This article outlines the effect of physical treatment on the psyche. The early phase of childhood and its importance for the further development of personality in relation to the special situation of massage-treatment is pointed out. Further a education-concept for professions in physical therapy which contains several aspects of communication and counseling is being described.

Communication↗

[Foot reflex zone massage].

Foot reflexology is defined as massage of zones on the feet which correspond to different parts of the body. A medline-search yielded no literature in the field of foot reflexology. Indications for and results of foot reflexology have been extrapolated from case-descriptions and two pilot studies with small samples. One study (Lafuente et al.) found foot reflexology to be as helpful to patients with headaches as medication (flunarizine), yet foot reflexology was fraught with less side-effects than medication. In a second study (Eichelberger et al.) foot reflexology was used postoperatively on gynecological patients. The intervention group showed a lesser need for medication to enhance bladder tonus than did the control group. The literature describes foot reflexology as enhancing urination, bowel movements and relaxation.

Female↗

[Conservative therapy of backache. Part 5: TENS, acupuncture, biofeedback, traction, cryotherapy, massage and ultrasound].

In addition to the major therapeutic modalities for use in back pain already discussed, a number of other forms of treatment are also available and in common use some of which at least have a solid scientific basis. Recent data suggest that subthreshold TENS is no effective treatment for low back pain. Whether this is also true of higher-dose TENS is not yet clear. Electro-acupuncture, in contrast, does appear to be effective, but not biofeedback or traction. Other commonly employed treatment modalities, such as cryotherapy, heat, massage or ultrasound cannot definitively be assessed at present, since controlled trials have not been carried out.

Acupuncture Points↗

Healing and the mind/body arts: massage, acupuncture, yoga, t'ai chi, and Feldenkrais.

1. The health practitioner may encounter clients who are faced with problems that do not seem to respond to traditional health care. 2. One way that some choose to confront these systemic complaints is to employ some of the health traditions of other cultures and to view the body and mind as a balanced whole. 3. Massage, acupuncture and acupressure, t'ai chi, and Feldenkrais focus on the mind/body connection to facilitate healing through relaxation, pressure points, and movement.

Complementary Therapies↗

Extracranial internal carotid artery dissection secondary to neck massage: visualization of mural hematoma by MRI.

A 52-year-old man was admitted due to a severe pain in the right side of the neck and a progressive weakness of the left-side extremities. One week prior to admission, the patient began to use massage balls to relieve his long-lasting nuchal soreness. Carotid arteriography revealed a segment of tapered stenosis of the extracranial internal carotid artery with distal occlusion at the proximal middle cerebral artery. Magnetic resonance imaging (MRI) demonstrated a well-defined mural hematoma which is a distinctive feature of arterial dissection.

Carotid Artery Diseases↗