TY - JOUR. T1 - Differences in abdominal muscle thicknesses between chronic low back pain patients and healthy subjects. AU - Ota, Megumi. AU - Kaneoka, Koji. PY - 2011. Y1 - 2011. N2 - [Purpose] It has been reported that chronic low-back pain (CLBP) patients exhibit asymmetric atrophy of the lumbar multiidus muscle. However, studies focusing on the abdominal muscles have not yet been conducted. The purpose of this study was to determine abdominal muscle thickness and symmetry in CLBP patients and healthy subjects. [Subjects and Methods] Data were obtained from 50 healthy subjects (30.2 ± 6.1 years) and 50 CLBP patients (31.5 ± 8.7 years). The thicknesses of the rectus abdominis (RA), external oblique (EO), internal oblique (IO), and transversus abdominis (TrA) were measured by ultrasonography. We calculated the mean thicknesses of both sides. In addition, we calculated the asymmetry ratio as a percentage of the difference between the sides. The differences in muscle thickness between the CLBP ...
This study was performed to compare analgesic outcomes after cesarean section. At a hospital in Southwestern Uganda where this study was undertaken, most of the basic postoperative nursing care after cesarean section is provided by family or friends of the patient. The current study was performed to compare outcomes when intrathecal morphine or transversus abdominis plane (TAP) block was used to p...
Purpose:The purpose of this study was to investigate the change of abdominal muscle activation during unilateral leg raising in supine position among three hip abduction angles(0〫 , 15〫 , 30〫 ). Methods:Twenty eight able-body volunteers who had no medical history of low back and hip joint were recruited for this study. Abdominal muscle activity was recorded using surface EMG from both sides of the rectus abdominis, internal/external oblique muscle during leg raising in each position. Results:The
Kulen FT, Duman U, Bayam E, Zaim G. Laparoscopic partial cholecystectomy: A safe and effective alternative surgical technique in difficult cholecystectomies. Turkish Journal of Surgery. DOI: 10.5152/UCD.2015.3086. Mitra S, Khandelwal P, Roberts K, Kumar S, Vadivelu N. Pain relief in laparoscopic cholecystectomy - A review of the current options. Pain Pract 2012;12(6):485-96. http://dx.doi.org/10.1111/j.1533-2500.2011.00513.x. Ra YS, Kim CH, Lee GY, Han JI. The analgesic effect of the ultrasound-guided transverse abdominis plane block after laparoscopic cholecystectomy. Korean J Anesthesiol 2010;58(4):362-8. http://dx.doi.org/10.4097/kjae.2010.58.4.362. Rafi AN. Abdominal field block: A new approach via the lumbar triangle. Anaesthesia 2001;56(10):1024-6. http://dx.doi.org/10.1111/j.1365-2044.2001.2279-40.x, http://dx.doi.org/10.1046/j.1365-2044.2001.02279-40.x. Owen DJ, Harrod I, Ford J, Luckas M, Gudimetla V. The surgical transversus abdominis plane block - A novel approach for performing an ...
Thesis, English, POSTOPERATIVE PAIN MANAGEMENT AFTER LOWER ABDOMINAL SURGERY BY TRANSVERSUS ABDOMINIS PLANE BLOCK IN COMPARISON TO LUMBAR EPIDURAL BLOCK for Hassan Walaa Mohamed Sayed
METHODS: In this prospective trial, patients with American Society of Anesthesiologists class I-III physical status undergoing robotic partial nephrectomy were randomly assigned to standard general anesthetic plus ultrasound-guided TAPb (TAP group) or sole standard general anesthetic (NO-TAP group). The primary end point was morphine consumption 24 hours after surgery. Secondary outcomes were postoperative nausea and vomiting in the first 24 hours, sensitivity, and acute and chronic pain, as measured by multiple indicators ...
TY - JOUR. T1 - Are computed tomography-based measures of specific abdominal muscle groups predictive of adverse outcomes in older cancer patients?. AU - Looijaard, S. M.L.M.. AU - Maier, A. B.. AU - Voskuilen, A. F.. AU - Van Zanten, T.. AU - Bouman, D. E.. AU - Klaase, J. M.. AU - Meskers, C. G.M.. PY - 2020/11. Y1 - 2020/11. N2 - Purpose: It is unknown whether computed tomography (CT)-based total abdominal muscle measures are representative of specific abdominal muscle groups and whether analysis of specific abdominal muscle groups are predictive of the risk of adverse outcomes in older cancer patients. Methods: Retrospective single-center cohort study in elective colon cancer patients aged ≥65 years. CT-based skeletal muscle (SM) surface area, muscle density and intermuscular adipose tissue (IMAT) surface area were determined for rectus abdominis; external- and internal oblique and transversus abdominis (lateral muscles); psoas; and erector spinae and quadratus lumborum (back muscles). ...
Deborah S Keller, MS, MD1, Sergio Ibarra, MD1, Juan R Flores-Gonzalez, MD1, Nisreen Madhoun, DO1, Oscar I Moreno-Ponte, MD1, Eric M Haas, MD, FACS, FASCRS2. 1Colorectal Surgical Associates, Houston, TX, 2Colorectal Surgical Associates, Houston Methodist Hospital, The University of Texas Medical School, Houston, TX. Background: Transversus Abdominis Plane (TAP) blocks are advocated to reduce perioperative pain, narcotic requirements, and improve clinical outcomes. However, no previous work has investigated the learning curve of TAP block placement. Our goal was to evaluate the learning curve for TAP block placement in novices, identify issues that may impede successful placement, and their solutions.. Methods: Three novices were prospectively evaluated performing an ultrasound-guided TAP block in 10 consecutive patients undergoing laparoscopic colorectal surgery. Operators were assessed on medication knowledge, set-up and placement, technical steps of the procedure, and performance time. Set-up ...
Transversus abdominis plane (TAP) block has gained popularity for the control of postoperative pain in various surgeries. Three studies showed inconsistent result on pain control after TAP block in laparoscopic cholecystectomy. The TAP technique used in these studies was classic ultrasound guided TAP block. Besides periumbilical incision, sub-xiphoid incision is usually made during laparoscopic cholecystectomy. As typical posterior TAP rarely extend above T8, the investigators undergo subcostal TAP block for this type of surgery. The investigators are going to investigate the effect of subcostal TAP on early postoperative pain after laparoscopic cholecystectomy ...
Background: Due to the importance of pain control after abdominal surgery, several methods such as transversus abdominis plane (TAP) block are used to reduce the pain after surgery. TAP blocks can be performed using various ultrasound-guided approaches. Two important approaches to do this are ultrasound-guided lateral and posterior approaches. This study aimed to compare the two approaches of ultrasound-guided lateral and posterior TAP blocks to control pain after cesarean section. Materials and methods: In this double-blind clinical trial study, 76 patients scheduled for elective cesarean section were selected and randomly divided into two groups of 38 and underwent spinal anesthesia ...
External Oblique Origin And Insertion The Definitive Guide To External Oblique Anatomy Exercises Rehab Abdominals Are Our Muscles Referred To As Abs Or 6 Pack External Oblique Origin And Insertion, External Oblique Origin And Insertion Internal And External Obliques Anatomy Origin Insertion Action, External Oblique Origin And Insertion Anatomy Tables Abdominal Wall, External Oblique Origin And Insertion The Definitive Guide To External Oblique Anatomy Exercises Rehab, ...
It turned simple for dinner conversations to be about nothing but kids and what we were doing to get one. The U. In case your PMS signs are so severe that you really feel very depressed, talk with a mum or dad, guardian, or trusted grownup, and seek herniated abdominal muscle after pregnancy advice of your health care provider as quickly as potential. After ovulation, the fimbriae decide up the oocyte from the herniated abdominal muscle after pregnancy fluid that has gathered within the cul-de-sac. Be sure to use a primary morning urine pattern. I am literally not consuming any factor and even when I attempt to eat some rice or cereals I vomit instantly. The raised levels of estrogen in the physique causes the abdomen to empty herniated abdominal muscle after pregnancy slowly and heightens your sense of smell which herniated abdominal muscle after pregnancy why women typically feel sick when smelling meals cooking, smoke and even fragrance. And of course the heart is thrashing. This mom briefly ...
This is a prospective single blind randomized controlled study. The study pool consisted of patients admitted in Department of General & Laparoscopic
Having highlighted some of the assumptions made by Allison et al1 and Cook2 it is also worth considering some issues in the clinical literature as a whole that have spawned some of this current debate. In my view the whole debate around transversus abdominis is missing a critical issue. Back pain is not an issue of a single muscle, it is associated with complex changes across a whole system. Although the early studies focussed on this muscle,25 26 an abundant literature has evolved that shows that the changes in back pain are complex and involve many muscles and many control properties. One of the factors that have perpetuated the confusion is that, although the changes in transversus abdominis appear to be relatively consistent,25 26 the changes in the other muscles are variable,27 28 and therefore harder to find in a non-specific pain population. Recent work even suggests that many people with back pain may have increased stability rather than decreased stability,29 potentially as a result of ...
Caudal block (CB) is the gold standard technique for analgesia in children undergoing surgical interventions in the groin.. Although the efficacy and the safety of this technique is high, nonetheless, there are several caveats such as unwarranted motor blockade of the lower limbs and disturbances of the bladder function, potentially resulting in delayed demission in the ambulatory setting. The effect of the blockade wears off within 4-5h post-block, making the administration of additional pain medication necessary.. Peripheral nerve blockades (PNB) are an alternative to CB and have a prolonged duration of the analgesic effect. More recently, an alternative method to block neural structures which innervate lower abdominal wall has been described; the transverse abdominal plane block. The ultrasound guided technique improves the safety of margin. However, although this new technique seems to offer substantial advantages so far only experience from small case series are available. In particular, ...
abdominal external oblique muscle definition | thesaurus, dictionary, english dictionary | definition of abdominal external oblique muscle, legal, medical, encyclopedia, term, law, explanation, information
A laparoscopic approach is now considered the gold standard in colorectal resection for benign and malignant disease [1]. Laparoscopic surgery is associated with a significant reduction in postoperative pain and opioid consumption, lower morbidity, faster recovery and shorter hospital stay [1]. However, strategies for postoperative pain management after laparoscopic surgery are mainly derived from concepts that have been established for open surgical procedures [2]. As such, patient-controlled epidural and intravenous analgesia are still the most frequently used techniques for postoperative analgesia after laparoscopic colorectal surgery [3]. Epidural analgesia (EA) is known to provide excellent pain control; however, the role of EA in laparoscopic surgery is increasingly being scrutinized [1]. Following laparoscopic colorectal surgery, the use of EA has been shown to result in a prolonged time to mobilization, an increase in hospital costs, length of hospital stay and a higher incidence of ...
Kumar N., Singh R., Kumar Sharma R., Jain A. ✉. Department of Anaesthesiology, Critical Care and Pain, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India. ...
Continued From Above... the pubis toward the xiphoid process (the smallest of the three parts of the breastbone). One side also bends the vertebral column sideways and rotates it, bringing the shoulder of that side forward. The external abdominal oblique muscle is also irregularly four-sided in form and lies superficial to the internal oblique muscle. Both sides, acting together, flex the vertebral column, drawing cartilage down toward the pubis. One side acts alone bending the vertebral column sideways, rotating it to bring the shoulder of the opposite side forward. Both of the abdominal oblique muscles work to compress abdominal contents, assist in the digestive process and in forced expiration.. ...
The analgesic effects of intrathecal morphine in comparison with ultrasound-guided transversus abdominis plane block after caesarean section: a randomised controlled trial at a Ugandan regional referral hospital. ...
This lengthening of the torso takes place through several mechanisms that work in concert to variable degrees depending on the position of the trunk. The first action relates to intra-abdominal pressure (IAP). Engaging the abdominals increases IAP, which numerous scientific studies have indicated stabilizes the lumbar spine. The second mechanism relates to tensioning the TLF. Activating the transversus abdominis muscle tensions the TLF, thereby providing resistance to flexion at the lumbar spine. Furthermore, the transversus abdominis muscle has attachments to the thorax; engaging it transfers stresses from the lumbar region to the thorax and shoulders. Tensioning the TLF also improves the efficiency of the back muscles (surrounded by this fascia) through a mechanism known as the hydraulic amplifier. Because the erector spinae are surrounded by the TLF, its various layers resist muscle expansion during contraction. This tends to straighten the spine (think of how a bicycle tire straightens when ...
Anatomy and Physiology of the Core Muscles in Training the Abdominal Muscles. This article will discuss the details of the anatomy and physiology of the core muscles when exercising the abdominal muscles. In terms of anatomy, Core muscle consists of a cylindrical muscle that envelopes the inner lining of the stomach.
Abdominal exercises for the lower, upper and oblique abdominal muscle, the netfit team have provided some free samples from there collection of over 200 different abdominal muscles.
The abdominal muscles support your abdominal organs and spine. Because your abdominal muscles stretch over the growing baby and uterus, they can become less effective. Gentle tummy exercises will help you maintain core stability.
Context: Lumbar instability can cause lumbar spondylolisthesis and chronic low-back pain in sports situation. Abdominal hollowing is commonly used in clinical practice to preferentially target the transversus abdominis (TrA) to stabilize the lumbar vertebrae; however, the contribution of muscle elasticity and lateral slide of the TrA to lumbar stability has not yet been clarified. Objective: To clarify the contribution of elasticity and lateral slide of the TrA to lumbar stability and to identify an effective exercise to stabilize the lumbar vertebrae. Design: Experimental study. Setting: Laboratory. Patients: A total of 29 healthy males participated in this study. Interventions: The participants performed hollowing during measurement of muscle elasticity of TrA and both knees extension from crook lying position for pelvic stability measurement. Main Outcome Measures: Lumbar stability, muscle elasticity change ratio, and lateral slide amount of TrA. Results: There was a significant correlation ...
BACKGROUND: The primary aim of this prospective, randomized, clinical, 2-armed trial was to evaluate the risk for recurrence using 2 different operative techniques for repair of abdominal rectus diastasis. Secondary aims were comparison of pain, abdominal muscle strength, and quality of life and to compare those outcomes to a control group receiving physical training only.. METHODS: Eighty-six patients were enrolled. Twenty-nine patients were allocated to retromuscular polypropylene mesh and 27 to double-row plication with Quill technology. Thirty-two patients participated in a 3-month training program. Diastasis was evaluated with computed tomography scan and clinically. Pain was assessed using the ventral hernia pain questionnaire, a quality-of-life survey, SF-36, and abdominal muscle strength using the Biodex System-4.. RESULTS: One early recurrence occurred in the Quill group, 2 encapsulated seromas in the mesh group, and 3 in the suture group. Significant improvements in perceived pain, the ...
Spigelian hernia occurs through congenital or acquired defects in the Spigelian fascia. This is the area of the transversus abdominis aponeurosis, lateral to the edge of the rectus muscle but medial to the Spigelian line, which is the point of transition of the transversus abdominis muscle to its aponeurotic tendon [1,3]. Although named after Adriaan van der Spieghel, he only described the semilunar line (linea Spigeli) in 1645. The hernia was first described by Klinkosch in 1764 [4]. It was his description of the linea semilunaris, which defines the transition from muscle to aponeurosis in the transversus abdominus, and its relationship with the lateral border of the rectus muscle, which outlines the medial and lateral aspect of what we now call the Spigelian fascia. It is within this Spigelian fascia that this defect occurs. This hernia most commonly presents at the level of the semicircular line (arcuate line of Douglas). Below this line the Spigelian aponeurosis is a single layer and ...
When the abdominal muscles are properly developed, this adjustment always occurs; when the vertical position is assumed, provided that the attitude of the body is such as to make the adjustment possible. When the trunk is bent forward, the distance between the ribs and the pelvic bones, the points of attachment of the two ends of the abdominal muscles are brought nearer together. The normal distance may be lessened as much as two inches, or even more. The tone of the muscles is not sufficient to take up so much slack, and consequently, if a person assumes a stooped and relaxed or slouched position, there is certain to be an undue accumulation of blood in the vessels of the abdomen. The liver, spleen, stomach, intestines and Pelvic organs--every structure in this region of the body is overcharged with blood, in a condition of passive congestion, a condition which is an open invitation to disease and, sooner or later, results in the development of various disorders, such as constipation, ...
Transverse abdominis Plane blocks (TAP) provide effective postoperative analgesia following surgical incisions of the lower and middle abdominal wall, including those associated with cesarean section. This study investigated the efficacy of liposomal bupivacaine diluted with 0.25% bupivacaine administered in bilateral TAP blocks for post-operative analgesia after Ce-sarean section preformed under neuraxial anesthesia. The patients who received the TAP blocks with liposomal bupivacaine had noticeably low pain scores of 1.0 ± 1.4, 1.4 ± 2.1, 1.7 ± 1.9, 1.9 ± 3.3 and 1.9 ± 2.3 at 6, 12, 24, 48 and 72 hours respectively. Only 3 patients used oxycodone (5 mg)/acetaminophen (325 mg) postoperative. One patient took two tables of oxycodone (5 mg)/acetamino-phen (325 mg) after 24 hours, a second patient used oxycodone (5 mg)/aceta-minophen (325 mg) after 72 hours and the third patient was transferred to the intensive care unit (ICU) since she developed postpartum cardiac complications, and was give
This page contains the article The Effects of Abdominal Muscle Coactivation on Lumbar Spine Stability http://www.chiro.org/LINKS/ABSTRACTS/Effects_of_Abdominal_Muscle_Coactivation.shtml
Probable Local Anesthetic Systemic Toxicity in a Postpartum Patient with Acute Fatty Liver of Pregnancy After a Transversus Abdominis Plane Block | Naidu, Ramana K.; Richebe, Philippe | download | BookSC. Download books for free. Find books
The iliohypogastric nerve runs posterior to the psoas major on its proximal lateral border to run laterally and obliquely on the anterior side of quadratus lumborum. Lateral to this muscle, it pierces the transversus abdominis to run above the iliac crest between that muscle and abdominal internal oblique. It gives off several motor branches to these muscles and a sensory branch to the skin of the lateral hip. Its terminal branch then runs parallel to the inguinal ligament to exit the aponeurosis of the abdominal external oblique above the external inguinal ring where it supplies the skin above the inguinal ligament (i.e. the hypogastric region) with the anterior cutaneous branch. [2] The ilioinguinal nerve closely follows the iliohypogastric nerve on the quadratus lumborum, but then passes below it to run at the level of the iliac crest. It pierces the lateral abdominal wall and runs medially at the level of the inguinal ligament where it supplies motor branches to both transversus abdominis ...
Anesthesiology Research and Practice is a peer-reviewed, Open Access journal that provides a forum for health care professionals engaged in perioperative medicine, critical care, and pain management. The journal publishes original research articles, review articles, and clinical studies related to anesthetic administration, preoperative and postoperative considerations, perioperative care, critical care, pediatric anesthesia, obstetric anesthesia, analgesia, clinical and experimental research, administration and efficacy, as well as technology and monitoring.
Pacira Pharmaceuticals, Inc. (NASDAQ: PCRX) today announced the first data presentation supporting the use of EXPAREL® (bupivacaine liposome injectabl
The deep circumflex iliac artery (DCIA) ( Fig. 72-1 ) originates from the lateral portion of the external iliac artery just above the inguinal ligament. It is a robust artery that is generally 2 to 3 mm in diameter. The DCIA ascends parallel to the inguinal ligament to a point medial to the anterior superior iliac spine (ASIS) and then penetrates the transversalis fascia and continues its course along the medial lip of the iliac crest between the iliacus and transversus abdominis muscles. The main course of the artery serves the bone of the iliac crest through periosteal and endosteal branches. The bone supplied extends from the ASIS to the sacroiliac joint. Perforating vessels to the surrounding soft tissues are somewhat variable. In the majority of patients (70% to 80%), a large (1 mm) single vessel termed the ascending branch originates from the DCIA and serves the internal oblique muscle. A minority of individuals have multiple perforating vessels serving the muscular layers of the abdominal ...
Video articles in JoVE about abdominal muscles include Diagnostic Necropsy and Tissue Harvest, Respiratory Exam I: Inspection and Palpation, Membrane Potentials, Synaptic Responses, Neuronal Circuitry, Neuromodulation and Muscle Histology Using the Crayfish: Student Laboratory Exercises, Biodegradable Magnesium Stent Treatment of Saccular Aneurysms in a Rat Model - Introduction of the Surgical Technique, Adult and Embryonic Skeletal Muscle Microexplant Culture and Isolation of Skeletal Muscle Stem Cells, Isolation of Microvascular Endothelial Tubes from Mouse Resistance Arteries, Multi-exon Skipping Using Cocktail Antisense Oligonucleotides in the Canine X-linked Muscular Dystrophy, An Immunological Model for Heterotopic Heart and Cardiac Muscle Cell Transplantation in Rats, Tissue-Engineered Graft for Circumferential Esophageal Reconstruction in Rats, Glomerular Outgrowth as an Ex Vivo Assay to Analyze Pathways Involved in Parietal Epithelial Cell Activation, Modified Heterotopic
Exercises That Strengthen the Diaphragm & Abdominal Muscles to Help in the Breathing Process. Stress from work, family and relationships can make you forget to relax and breathe deeply. Your heartbeat quickens and your chest tightens, forcing you to breathe shallowly and more rapidly, The next time you feel ...
I was wondering how come some men have abdominal muscles that look shifted, like one side is lower than the other and sometimes the top two of the six pack are separated alot? Is that just how some peoples muscles are or is there some exercise that can be done to make the muscles look more aesthetically pleasing ...
Learn the function of the abdominal muscles and weight training exercises that can be used to train and strengthen these muscles.
The abdominal muscles during pregnancy go through an immense amount of stretching in different directions. The connective tissues present in the muscles provide some elasticity.
There is a connection between the lower back support and thestrong abdominal muscles. Most people are aware that this connection exists butthey are not sure why and how.
Hello everyone ! Im 18 years old. I really require urgent help, I am really desperate now... I felt sharp pain in lower abdominal muscle area 3 months ago after working out my lower back on Extensi...
Dr. Hoepfner responded: Exercise. Usually after you have healed, gradual return to full activities and exercises will usually improve your abdominal muscles. Walking, |a href=/topics/bicycling track_data={
Can you pick the Actions of Neck/Back/Abdominal Muscles Test your knowledge on this science quiz to see how you do and compare your score to others. Quiz by Sir_Teddington
Apparatus for use in exercising the abdominal muscles, which improves the physiological effectiveness of the familiar sit-up exercise, is disclosed. The apparatus is comprised of a specially shaped ba
List of causes of Abdominal muscle spasm and Upper abdominal spasm, alternative diagnoses, rare causes, misdiagnoses, patient stories, and much more.
List of 21 causes for Abdominal muscle spasm and Stomach numb, alternative diagnoses, rare causes, misdiagnoses, patient stories, and much more.
Learn more about Abdominal Muscle Strain at Reston Hospital Center DefinitionCausesRisk FactorsSymptomsDiagnosisTreatmentPreventionrevision ...