Patients were admitted to the treatment as day visitors. Vagus nerve stimulation is carried out with a TENS device, which has specially designed surface electrodes in the shape of earphones, the size of which can be selected according to ear size. Electrodes were placed to correspond with the inner and rear surfaces of the tragus and the concha for both ears . The application is carried out, for 30 minutes, using a biphasic, asymmetrical waveform with a pulse duration that is less than 500 microseconds and a frequency of 10 Hertz.

The exercise group was assigned a program, which consisted of strengthening, stretching, isometric and posture exercises, targeting the body and upper and lower extremities. That program was home-based and the program was requested to be completed. Patients were asked to attend weekly face to face sessions with a total of 4 of these sessions in the study duration.

Fibromyalgia

Myofascial Pain Syndrome

Vagus nerve stimulation is carried out with a TENS device, which has specially designed surface electrodes in the shape of earphones, the size of which can be selected according to ear size. Electrodes were placed to correspond with the inner and rear surfaces of the tragus and the concha for both ears (Figure 1). The application is carried out, for 30 minutes, using a biphasic, asymmetrical waveform with a pulse duration that is less than 500 microseconds and a frequency of 10 Hertz.

Vagus nerve stimulator

exercise

Bahcesehir University

Auricular Vagus Nerve Stimulation For Fibromyalgia Syndrome

The Impact Of Auricular Vagus Nerve Stimulation On Pain And Life Quality In Patients With Fibromyalgia Syndrome

Life quality of patients was evaluated using the SF-36 life quality scale. The Turkish validity and reliability of this scale was carried out by Koçyiğit et al. Investigating life quality regarding overall health, this questionnaire contains 36 questions in 8 different categories.
The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability. To calculate the scores it is necessary to purchase special software. Pricing depends on the number of scores that the researcher needs to calculate.

hasan kerem alptekin

director of health sciences institute

Bahçeşehir University

Cervical isometrics and Muscle Stretching

Experimental group was given cyriax manipulation protocol along with the cervical isometrics and muscle stretching.

Cervical Discogenic Pain (Disorder)

Cervical isometrics 10 repetitions×1 set, 4 days/week and targeted muscle strechings (trapezius, scalenes and sternocleidomastoid) 10 repetitions×1 set, 4 days/week.
Total of 4 sessions were given each consisting of 40 mins.

Traditional physical therapy

Experimental group was given cyriax manipulation protocol along with the cervical isometrics and muscle strechings.
Traction with rotation was not given in cases of bilateral arm pain. cervical isometrics 10 repetitions×1 set, 4 days/week and targeted muscle strechings (trapezius, scalenes and sternocleidomastoid) 10 repetitions×1 set, 4 days/week.
Total of 4 sessions were given each consisting of 40 mins.

Cyriax manipulation

Riphah International University

Cyriax Manipulation in Cervical Discogenic Pain

Effects of Cyriax Manipulation in Cervical Discogenic Pain

Changes from base line Northwick disability index was developed first in Northwick Park hospital, England. It was designed to measure the neck pain and disability over time. It consists of 10, five parts sections. At the end, score is calculated by dividing the obtained score by total (50) multiplied by 100. As the driving section was missing in all the female patients, total score was considered as 45 instead of 50.

Changes from base Line Numeric Pain rating scale is a scale for pain starting from 0-10. where 0 indicate no pain and 10 indicate severe pain.

Changes from the Baseline ROM range of Motion of Cervical spine flexion was taken with the Help of Goniometer

Changes from the Baseline ROM range of Motion of Cervical spine extension was taken with the Help of Goniometer

Changes from the Baseline ROM range of Motion of Cervical spine right side flexion was taken with the Help of Goniometer

Changes from the Baseline ROM range of Motion of Cervical spine left side flexion was taken with the Help of Goniometer

Changes from the Baseline ROM range of Motion of Cervical spine right rotation was taken with the Help of Goniometer

Changes from the Baseline ROM range of Motion of Cervical spine left rotation was taken with the Help of Goniometer

Short cervical length equal or less than 20 mm
Singleton pregnant women between 18 -24 weeks with no prior history of preterm deliveries.
18 years or older at the time of enrollment.
Consent to participate in the study
Vaginal progesterone as standard of care plus Arabin pessary

Short cervical length equal or less than 20 mm
Singleton pregnant women between 18 -24 weeks with no prior history of preterm deliveries.
18 years or older at the time of enrollment.
Consent to participate in the study
Vaginal progesterone as standard of care

Focus: Prevent Preterm Delivery

Incidental Short Cervix at Mid-trimester

Insertion of Arabin pessary for the prevention of preterm delivery

Arabin Pessary

University of Illinois at Chicago

Arabin Pessary Combine With Vaginal Progesterone Compare With Vaginal Progesterone Alone to Prevent Preterm Delivery in Singleton Pregnancies

"Comparison of Vaginal Progesterone With Arabin Cervical Pessary and Vaginal Progesterone Alone in the Prevention of Preterm Delivery in Singleton Pregnancies With Incidental Premature Shortening of Cervical Length"

1. To compare the effectiveness of the combination of vaginal progesterone and Arabin pessary in the prevention of preterm delivery prior to 37 weeks compared to vaginal progesterone alone.

Mary Stephenson

Professor of Obstetrics and Gynecology

Randomization between two arms: short cervix with vaginal progesterone and Arabin pessary (study group) versus short cervix with vaginal progesterone alone (control group)

Injection of 10 mL of 0.9% sodium chloride into the cervical stroma divided between 3 and 9 o'clock

Injection of 10 mL of 0.5% bupivacaine into the cervical stroma divided between 3 and 9 o'clock.

Injection of 10 mL of 0.9% sodium chloride into the cervical stroma divided between 3 and 9 o’clock
0.9% Sodium Chloride: Inject 10 mL of 0.9% NaCl into cervical stroma

Control Group

Injection of 10 mL of 0.5% bupivacaine into the cervical stroma divided between 3 and 9 o’clock.
Bupivacaine: Inject 10 mL of 0.5% bupivacaine into cervical stroma

Study Group

Total

Sex: Female, Male

Race and Ethnicity Not Collected

Region of Enrollment

history of csection

Scale used is the Visual analogue scale for pain. Scale ranges from 0 being no pain, to 10 being worse pain ever experienced.

Pain Reported on the Visual Analogue Scale (VAS) at 30 Minutes Postoperative

Postoperative pain score on the Visual analgoue scale at 60 minutes from surgical stop time. Scale ranges from 0 being no pain, to 10 being worse pain ever experienced.

Pain Reported on the Visual Analogue Scale (VAS) at 60 Minutes Postoperative

Overall Study

Elaine Todd, Director of Sponsored Programs - Contracts and research agreements

Pain, Postoperative

Inject 10 mL of 0.5% bupivacaine into cervical stroma

Bupivacaine

Inject 10 mL of 0.9% NaCl into cervical stroma

prolapse/cefalea

Auricular Vagus Nerve Stimulation For Fibromyalgia Syndrome

Cyriax Manipulation in Cervical Discogenic Pain

Arabin Pessary Combine With Vaginal Progesterone Compare With Vaginal Progesterone Alone to Prevent Preterm Delivery in Singleton Pregnancies

Para-cervical Block Prior to Laparoscopic Hysterectomy as an Adjuvant Treatment to Reduce Postoperative Pain.

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