Tag: USG

Assessing the severity of sarcopenia in cirrhotic patients independent to conventional prognostic scores

Elham Mohamed Sobhy, Heba Mahmoud Mohamed, Heba Ahmed Kamal, Nevien Ezzat Elliethy, Mohammed Sayed Hassan


Elham Mohamed Sobhy, Heba Mahmoud Mohamed, Heba Ahmed Kamal, Nevien Ezzat Elliethy, Mohammed Sayed Hassan – Assessing the severity of sarcopenia in cirrhotic patients independent to conventional prognostic scores. Fizjoterapia Polska 2022; 22(2); 60-69

Abstract
Purpose. To assess the severity of sarcopenia in liver cirrhosis patients by comparing them to control participants and determining its relation to conventional prognostic scores for liver cirrhosis, such as (CTP and MELD) scores.
Methods. This prospective observational study was conducted on 101 cirrhotic patients and 30 healthy participants aged (40–70 y.o.). Mid upper arm circumference (MUAC) and HGS were measured. BMI, Nutrition risk sore (NRS), Child-Pugh and MELD scores were calculated. CT L3 psoas volume, surface area and psoas muscle index (PMI) were measured. Ultrasonography was used to assess mid-upper arm and mid-thigh. Quadriceps muscle index (QMI) was calculated. It was determined how long the patient would be admitted to the hospital.
Results. According to the HGS cutoff established by the Foundation for the National Institutes of Health (FNIH), 87 percent of the patients were sarcopenic.  Psoas muscle index (PMI) was (4.6 for male, 3.19 cm/m
 for female) and Quadricepes muscle index (QMI) cutoff was (1.67 for male, 1.58 cm/m2 for female) based on the FNIH HGS cutoff. CT L3 Psoas and ultrasound parameters showed significant negative correlation with (Child and MELD) scores, duration of hospital stay and NRS. Also, they showed a significant positive correlation with HGS. We found a positive correlation between PMI and QMI with (p < 0.001). AUC in Roc analysis for QMI considering sarcopenia by PMI was 0.9.
Conclusion. Sarcopenia, as measured by CT psoas, ultrasonography, and HGS in cirrhotic patients, is an independent predictor of liver disease severity. USG and HGS are bedside methods that are as sensitive as CT for assessing sarcopenia.
Key words:
Sarcopenia, cirrhosis, CT L3 psoas, ultrasonography, HGS
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Correlation between supraspinatus tendon echo texture, acromiohumeral distance, and pain in patients with shoulder impingement syndrome

Mariam Abdel Rhaman Mohamed Abd Alla, Hatem Mohamed El-Azizi, Hamada Ahmed Hamada Ahmed, Maha Mostafa Mohammed

Mariam Abdel Rhaman Mohamed Abd Alla, Hatem Mohamed El-Azizi, Hamada Ahmed Hamada Ahmed, Maha Mostafa Mohammed – Correlation between supraspinatus tendon echo texture, acromiohumeral distance, and pain in patients with shoulder impingement syndrome. Fizjoterapia Polska 2020; 20(2); 156-159

Abstract
Background. Shoulder impingement syndrome (SIS) is the most common cause of shoulder pain and loss of function among the shoulder problems. All p revious studies have rendered this pathology to the narrowing of the subacromial space or reduced acromiohumeral distance (AHD) as a main cause of symptoms. However, no concern was directed towards the supraspinatus tendon degeneration, and its relation to the patient’s pain or to the narrowing of the subacromial space. Purpose. The objective of this study was to examine if there any correlation between supraspinatus tendon degeneration and AHD both at rest and during motion and the shoulder pain. Methods. A 60 unilateral SIS patients (38 females, 22 male) aged between 25 and 45 years were included in the current study. All patients were examined by ultrasonography (US) for detecting supraspinatus tendon echo texture; hence the grade of the tendon degeneration, and measuring the AHD. Additionally, the patients were evaluated for the intensity of the shoulder pain by visual analogue scale (VAS). Finally, a correlation was carried out to determine if there was any relationship between the supraspinatus tendon echo texture, the AHD, and the VAS scores for shoulder pain. Results. A strong positive correlation (p < 0.05) was found between tendon echo texture and VAS while a strong negative correlation (p < 0.05) was found between tendon echo texture, and AHD both at rest and motion. Conclusion. The degree of supraspinatus tendon degeneration can be an additional source for shoulder pain along with the reduced subacromial space in patients with SIS, and addressing the degeneration of that tendon should be implemented as well as increasing the subacromial space during the rehabilitation of SIS.

Key words:
Subacromial impingement, Supraspinatus tendinopathy, Ultrasonography, Subacromial space, Visual analogue scale (VAS)

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USG-feedback – novelty in Polish physiotherapy

Tomasz Wolny, Edward Saulicz, Andrzej Myśliwiec, Michał Kuszewski, Mirosław Kokosz

T. Wolny, E. Saulicz, A. Myśliwiec, M. Kuszewski, M. Kokosz  – USG-feedback – nowość w polskiej fizjoterapii. FP 2012; 12(4); 293-304

Abstract

Ultrasounds have been used in the physiotherapy for a long time, however up till now their application was connected with the therapeutic process. They are applied in the treatment of pain syndromes, in the course of degenerative diseases of peripheral and spinal articulations, neuralgia, soft tissue overload syndromes and after sport injuries. The ultrasound application for diagnostic purposes, as well as support for exercises (sonofeedback), is a new approach which takes its first steps in the Polish physiotherapy and arouses some controversies of the formal-legal as well as factual nature. The great value of the USG application in physiotherapy is primarily connected with the fact that it makes it possible to dynamically assess various tissues in real time at rest as well as during movement. It is a perfect tool to specify the functional diagnosis and to detect contraindications for a therapy. Its application both in a functional diagnosis as well as in a therapy improves the clinical analysis of the osteo-articulo-muscular system which is emphasized and recommended by many authors.
Applying the USG in physiotherapy is beneficial, both for the physiotherapists and their patients. For the physiotherapists – because it improves the efficiency and effectiveness of the therapy program and increases in the range of provided services and for the patients becouse of a significantly higher level of treatment.

Keywords

Ultrasonography, sonofeedback, physiotherapy