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Biomedical subjects

L E Bertolucci

Publications and source records attributed to L E Bertolucci.

8 recordsLinked to original sources

Clinical analysis of mid-laser versus placebo treatment of arthralgic TMJ degenerative joints.

Laser therapy has been found effective in the management of pain associated with rheumatoid and degenerative joint arthritis and disease. The efficacy of mid-laser therapy has been tested specifically on patients with degenerative joint disease (DJD) involving the temporomandibular joint (TMJ). The following controlled clinical study was designed to test the efficacy of mid-laser therapy to placebo therapy in the reduction of pain associated with TMJ disorders specific to arthralgic DJD.

Arthralgia↗

Clinical comparative study of microcurrent electrical stimulation to mid-laser and placebo treatment in degenerative joint disease of the temporomandibular joint.

Mid-laser and microcurrent stimulation (MENS) have been found to be effective in the reduction of painful temporomandibular joints (TMJ) with internal derangement. There was significant improvement in mobility with the reduction of pain. Mid-laser was superior to MENS in its application and effect, and both were significantly better than the placebo treatment.

Electric Stimulation Therapy↗

Efficacy of a portable acustimulation device in controlling seasickness.

BACKGROUND: Nausea and vomiting caused by motion sickness are serious and sometimes debilitating symptoms for commercial and recreational seafarers. HYPOTHESIS: In order to treat these symptoms, a portable device, the Relief Band, was designed to deliver acustimulation to the Neiguan (P6) acupuncture point. METHOD: Nine volunteers used the device on a placebo point or the P6 active point on the open seas outside the San Francisco Bay. Motion sickness symptoms were graded from 1 ("feel fine") to 5 ("intermittent vomiting, with or without nausea"). RESULTS: Five subjects with motion sickness initially positioned the device at the placebo site and reported minimal symptom improvement (3.6 +/- 0.6 to 3.4 +/- 1.1) (mean, +/- SD), whereas the other four subjects initially used the device in the P6 position and reported decreased symptoms (4.3 +/- 1.0 to 1.0 +/- 0.2). The position of the Relief Band was then switched; in the four subjects who switched to the placebo position, symptoms worsened (1.0 +/- 0.2 to 4.0 +/- 1.4); whereas, in the five subjects where the device was switched to the P6 position, symptoms improved in each subject (3.4 +/- 1.1 to 1.0 +/- 0.7) (p < 0.01). CONCLUSIONS: Motion sickness symptoms were suppressed by portable acustimulation in field studies of seasickness. The Relief Band may be an alternative to drug treatments of the nausea and vomiting of seasickness.

Acupressure↗

Suppression of pregnancy-induced nausea and vomiting with sensory afferent stimulation.

This study examined the effect of sensory affect stimulation (SAS) delivered through the volar surface of the wrist on pregnancy-induced nausea and vomiting. Twenty-three women with significant nausea and vomiting in the first 14 weeks of pregnancy were enrolled in a randomized, crossover study comparing an active SAS unit and an inactive placebo unit. Twenty-one women experienced improvement in symptoms, 20 (87%) with the SAS unit and 10 (43%) with the placebo device. Nine women had an improvement with both devices. Eleven women reported an improvement with SAS only, while one woman had placebo improvement only. SAS applied to the wrist can effectively improve pregnancy-induced nausea and vomiting as compared to a placebo device.

Adult↗

Physical therapy post-arthroscopic TMJ management (update).

Arthroscopic surgery of the temporomandibular joint is now being widely used for therapeutic, rather than diagnostic, benefits. However, there still remains a void in the literature as to the various rehabilitative protocols used on those patients who have undergone arthroscopy. This article presents a revision of techniques and procedures in the treatment and postoperative management of arthroscopic cases. This revision has been written after five years of experience and the treatment of approximately 300 cases.

Arthroscopy↗

Postoperative physical therapy in temporomandibular joint arthroplasty.

This article offers a revised physical therapy treatment approach for rehabilitating a temporomandibular joint (TMJ) following arthroplastic surgical intervention. Surgical repair is only advised in those chronic cases where refractory symptoms affect the quality of the patient's life and prevent patients from carrying out their normal daily activities. Previous nonsurgical and surgical management usually fails to correct the problem in these types of cases. Rehabilitation guidelines discussed include plication, diskectomy (with or without interpositional implant), costochondral graft, fossa implant, and total joint replacement.

Arthroplasty↗

Trilogy of the "Triad of O'Donoghue" in the knee and its analogy to the TMJ derangement.

An attempt has been made to describe the similarities between the pathological injury "Triad of O'Donoghue" in the knee and its analogous equivalent in the internal derangements of the temporomandibular joint (internal derangements). Because of the similarities between these internal derangements and the treatment they require, TM joint internal derangements should be reimbursed as a medical problem by insurance carriers as internal derangements in the knee are reimbursed. A description of the anatomical, physiological, and arthro-kinomatics of these two synovial joints has been done to further point out that they both operate by the same physiological principles, and therefore should be treated as similar dysfunctions. Treatment should be rendered to the TM joint, as in the knee, from an orthopedic viewpoint. This requires that treatment to the TM joint include a cooperative rehabilitative team approach. This team approach encompasses medical and dental cooperative care to stabilize the joint and secondarily control joint related soft tissue compensation and pain.

Abstracting and Indexing↗

Postoperative physical therapy in temporomandibular joint arthroplasty.

This article offers an approach to rehabilitation of the temporomandibular joint (TMJ) following arthroplastic intervention. Surgical repair is recommended in selected chronic cases where symptoms are refractory to previous nonsurgical and surgical management. The surgical procedures and rehabilitation guidelines discussed include plication and menisectomy (with and without implant), costochondral graft, and total joint replacement.

Adult↗