Mittwoch, 18. September 2013

Synaptisches Feuern und Neurochemie

"Neuronen, die Nervenzellen des Gehirns, sind nicht direkt miteinander verbunden. Zwischen ihnen befindet sich ein schmaler Spalt, die Synapse. Ein elektrischer Impuls, der durch den Nervenstrang geleitet wird, wird an der Synapse in ein chemisches Signal verwandelt. Auf beiden Seiten der Synapse befinden sich Rezeptoren, die Botschaften aus derlei chemischen Signalen aufnehmen.  Synapsen senden und empfangen eines von zwei Signalen: entweder einen exzitatorischen Inpuls, der das Neuron aktiviert, oder ein inhibitorisches Signal, welches das Neuron an weiterer Tätigkeit hindert Dieses elektrische-zu-chemische-zu-elektrische Kommuniaktionssystem über die Synapsen wird manchmal als synaptisches Feuern bezeichnet. Billionen von sich ständig verändernden Neuronen sind durch Muster neuronalen Feuerns zu Netzwerken verbunden. Diese Netzwerke sind die mentalen Karten......

........dass eine Synapse im präfrontalen Kortex nur dann konkret feuert, wenn das richtige Maß an zwei neurochemischen Stoffen präsent ist. Diese chemischen Stoffe heißen Dopamin und Noradrenalin (auch Norepinephrin)."

Quelle: David Rock - Brain at work - Campus-Verlag - 2011 - S.94 "Auf der Suche nach optimaler Leistungsfähigkeit"

Kursiv: im Original


Jörg Linder – Master of Arts in Gesundheitsmanagement und Prävention


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JÖRG LINDER AKTIV-TRAINING
Mauerbergstraße 110
76534 Baden-Baden
Tel.: 07223 / 8004699
Mobil: 0177 / 4977232
Mail: info@aktiv-training.de
Fax: 07223 / 8005271
Aktiv-Training: www.aktiv-training.de
Sturzprävention: www.sturztraining.de
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Donnerstag, 12. September 2013

Treatment of myotendinous achilles ruptures

Not much literature exists regarding the treatment of myotendinous Achilles ruptures. The authors conducted this study in order to retrospectively examine clinical outcomes from uniform nonsurgical treatment of these injuries. Between November 2005 and May 2011, 30 patients presented with an acute, complete myotendinous Achilles rupture. The location of the Achilles injury was confirmed on magnetic resonance imaging (MRI) for all patients. All patients were treated nonsurgically, with a system including 3 weeks of non-weight-bearing and then 3 weeks of progressive to full weight-bearing in an Achilles boot. Physical therapy was provided for 4 to 6 weeks after this period of immobilization. 21 males and 9 females participated. The patients had a mean age of 40.8 years (range, 24-54). Patients were followed an average of 40.5 months (range, 23-81). They achieved full healing of the Achilles myotendinous junction  clinically in all 30 patients . All patients experienced improved function and less pain at their latest follow-up. Mean Foot and Ankle Ability Measure-Sports (FAAM-Sports) increased from 20.2% at the time of initial presentation to 95.2% at the latest follow-up (P < .05). Mean Visual Analog Scores (VAS) of pain decreased from 8.2 at the time of initial presentation to 1.3 at latest follow-up (P < .01). In all, 23 (76.7%), 6 (20%), and 1 (3.3%) patients rated their satisfaction as excellent, good, and fair, respectively. None of the patients they treated have developed recurrent myotendinous Achilles ruptures to date.

They concluded that a nonsurgical approach to the treatment of myotendinous Achilles ruptures results in a high rate of myotendinous healing with improved patient function and pain relief.
- See more at: http://www.physiospot.com/research/treatment-of-myotendinous-achilles-ruptures/#sthash.xbNFyzNu.dpuf
Not much literature exists regarding the treatment of myotendinous Achilles ruptures. The authors conducted this study in order to retrospectively examine clinical outcomes from uniform nonsurgical treatment of these injuries. Between November 2005 and May 2011, 30 patients presented with an acute, complete myotendinous Achilles rupture. The location of the Achilles injury was confirmed on magnetic resonance imaging (MRI) for all patients. All patients were treated nonsurgically, with a system including 3 weeks of non-weight-bearing and then 3 weeks of progressive to full weight-bearing in an Achilles boot. Physical therapy was provided for 4 to 6 weeks after this period of immobilization. 21 males and 9 females participated. The patients had a mean age of 40.8 years (range, 24-54). Patients were followed an average of 40.5 months (range, 23-81). They achieved full healing of the Achilles myotendinous junction  clinically in all 30 patients . All patients experienced improved function and less pain at their latest follow-up. Mean Foot and Ankle Ability Measure-Sports (FAAM-Sports) increased from 20.2% at the time of initial presentation to 95.2% at the latest follow-up (P < .05). Mean Visual Analog Scores (VAS) of pain decreased from 8.2 at the time of initial presentation to 1.3 at latest follow-up (P < .01). In all, 23 (76.7%), 6 (20%), and 1 (3.3%) patients rated their satisfaction as excellent, good, and fair, respectively. None of the patients they treated have developed recurrent myotendinous Achilles ruptures to date.

They concluded that a nonsurgical approach to the treatment of myotendinous Achilles ruptures results in a high rate of myotendinous healing with improved patient function and pain relief.
- See more at: http://www.physiospot.com/research/treatment-of-myotendinous-achilles-ruptures/#sthash.xbNFyzNu.dpuf
Not much literature exists regarding the treatment of myotendinous Achilles ruptures. The authors conducted this study in order to retrospectively examine clinical outcomes from uniform nonsurgical treatment of these injuries. Between November 2005 and May 2011, 30 patients presented with an acute, complete myotendinous Achilles rupture. The location of the Achilles injury was confirmed on magnetic resonance imaging (MRI) for all patients. All patients were treated nonsurgically, with a system including 3 weeks of non-weight-bearing and then 3 weeks of progressive to full weight-bearing in an Achilles boot. Physical therapy was provided for 4 to 6 weeks after this period of immobilization. 21 males and 9 females participated. The patients had a mean age of 40.8 years (range, 24-54). Patients were followed an average of 40.5 months (range, 23-81). They achieved full healing of the Achilles myotendinous junction  clinically in all 30 patients . All patients experienced improved function and less pain at their latest follow-up. Mean Foot and Ankle Ability Measure-Sports (FAAM-Sports) increased from 20.2% at the time of initial presentation to 95.2% at the latest follow-up (P < .05). Mean Visual Analog Scores (VAS) of pain decreased from 8.2 at the time of initial presentation to 1.3 at latest follow-up (P < .01). In all, 23 (76.7%), 6 (20%), and 1 (3.3%) patients rated their satisfaction as excellent, good, and fair, respectively. None of the patients they treated have developed recurrent myotendinous Achilles ruptures to date.

They concluded that a nonsurgical approach to the treatment of myotendinous Achilles ruptures results in a high rate of myotendinous healing with improved patient function and pain relief.
- See more at: http://www.physiospot.com/research/treatment-of-myotendinous-achilles-ruptures/#sthash.xbNFyzNu.dpuf
Not much literature exists regarding the treatment of myotendinous Achilles ruptures. The authors conducted this study in order to retrospectively examine clinical outcomes from uniform nonsurgical treatment of these injuries. Between November 2005 and May 2011, 30 patients presented with an acute, complete myotendinous Achilles rupture. The location of the Achilles injury was confirmed on magnetic resonance imaging (MRI) for all patients. All patients were treated nonsurgically, with a system including 3 weeks of non-weight-bearing and then 3 weeks of progressive to full weight-bearing in an Achilles boot. Physical therapy was provided for 4 to 6 weeks after this period of immobilization. 21 males and 9 females participated. The patients had a mean age of 40.8 years (range, 24-54). Patients were followed an average of 40.5 months (range, 23-81). They achieved full healing of the Achilles myotendinous junction  clinically in all 30 patients . All patients experienced improved function and less pain at their latest follow-up. Mean Foot and Ankle Ability Measure-Sports (FAAM-Sports) increased from 20.2% at the time of initial presentation to 95.2% at the latest follow-up (P < .05). Mean Visual Analog Scores (VAS) of pain decreased from 8.2 at the time of initial presentation to 1.3 at latest follow-up (P < .01). In all, 23 (76.7%), 6 (20%), and 1 (3.3%) patients rated their satisfaction as excellent, good, and fair, respectively. None of the patients they treated have developed recurrent myotendinous Achilles ruptures to date.

They concluded that a nonsurgical approach to the treatment of myotendinous Achilles ruptures results in a high rate of myotendinous healing with improved patient function and pain relief.
- See more at: http://www.physiospot.com/research/treatment-of-myotendinous-achilles-ruptures/#sthash.xbNFyzNu.dpuf
Not much literature exists regarding the treatment of myotendinous Achilles ruptures. The authors conducted this study in order to retrospectively examine clinical outcomes from uniform nonsurgical treatment of these injuries. Between November 2005 and May 2011, 30 patients presented with an acute, complete myotendinous Achilles rupture. The location of the Achilles injury was confirmed on magnetic resonance imaging (MRI) for all patients. All patients were treated nonsurgically, with a system including 3 weeks of non-weight-bearing and then 3 weeks of progressive to full weight-bearing in an Achilles boot. Physical therapy was provided for 4 to 6 weeks after this period of immobilization. 21 males and 9 females participated. The patients had a mean age of 40.8 years (range, 24-54). Patients were followed an average of 40.5 months (range, 23-81). They achieved full healing of the Achilles myotendinous junction  clinically in all 30 patients . All patients experienced improved function and less pain at their latest follow-up. Mean Foot and Ankle Ability Measure-Sports (FAAM-Sports) increased from 20.2% at the time of initial presentation to 95.2% at the latest follow-up (P < .05). Mean Visual Analog Scores (VAS) of pain decreased from 8.2 at the time of initial presentation to 1.3 at latest follow-up (P < .01). In all, 23 (76.7%), 6 (20%), and 1 (3.3%) patients rated their satisfaction as excellent, good, and fair, respectively. None of the patients they treated have developed recurrent myotendinous Achilles ruptures to date.

They concluded that a nonsurgical approach to the treatment of myotendinous Achilles ruptures results in a high rate of myotendinous healing with improved patient function and pain relief.
- See more at: http://www.physiospot.com/research/treatment-of-myotendinous-achilles-ruptures/#sthash.xbNFyzNu.dpuf
Not much literature exists regarding the treatment of myotendinous Achilles ruptures. The authors conducted this study in order to retrospectively examine clinical outcomes from uniform nonsurgical treatment of these injuries. Between November 2005 and May 2011, 30 patients presented with an acute, complete myotendinous Achilles rupture. The location of the Achilles injury was confirmed on magnetic resonance imaging (MRI) for all patients. All patients were treated nonsurgically, with a system including 3 weeks of non-weight-bearing and then 3 weeks of progressive to full weight-bearing in an Achilles boot. Physical therapy was provided for 4 to 6 weeks after this period of immobilization. 21 males and 9 females participated. The patients had a mean age of 40.8 years (range, 24-54). Patients were followed an average of 40.5 months (range, 23-81). They achieved full healing of the Achilles myotendinous junction  clinically in all 30 patients . All patients experienced improved function and less pain at their latest follow-up. Mean Foot and Ankle Ability Measure-Sports (FAAM-Sports) increased from 20.2% at the time of initial presentation to 95.2% at the latest follow-up (P < .05). Mean Visual Analog Scores (VAS) of pain decreased from 8.2 at the time of initial presentation to 1.3 at latest follow-up (P < .01). In all, 23 (76.7%), 6 (20%), and 1 (3.3%) patients rated their satisfaction as excellent, good, and fair, respectively. None of the patients they treated have developed recurrent myotendinous Achilles ruptures to date.

They concluded that a nonsurgical approach to the treatment of myotendinous Achilles ruptures results in a high rate of myotendinous healing with improved patient function and pain relief.
- See more at: http://www.physiospot.com/research/treatment-of-myotendinous-achilles-ruptures/#sthash.xbNFyzNu.dpuf
Not much literature exists regarding the treatment of myotendinous Achilles ruptures. The authors conducted this study in order to retrospectively examine clinical outcomes from uniform nonsurgical treatment of these injuries. Between November 2005 and May 2011, 30 patients presented with an acute, complete myotendinous Achilles rupture. The location of the Achilles injury was confirmed on magnetic resonance imaging (MRI) for all patients. All patients were treated nonsurgically, with a system including 3 weeks of non-weight-bearing and then 3 weeks of progressive to full weight-bearing in an Achilles boot. Physical therapy was provided for 4 to 6 weeks after this period of immobilization. 21 males and 9 females participated. The patients had a mean age of 40.8 years (range, 24-54). Patients were followed an average of 40.5 months (range, 23-81). They achieved full healing of the Achilles myotendinous junction  clinically in all 30 patients . All patients experienced improved function and less pain at their latest follow-up. Mean Foot and Ankle Ability Measure-Sports (FAAM-Sports) increased from 20.2% at the time of initial presentation to 95.2% at the latest follow-up (P < .05). Mean Visual Analog Scores (VAS) of pain decreased from 8.2 at the time of initial presentation to 1.3 at latest follow-up (P < .01). In all, 23 (76.7%), 6 (20%), and 1 (3.3%) patients rated their satisfaction as excellent, good, and fair, respectively. None of the patients they treated have developed recurrent myotendinous Achilles ruptures to date.

They concluded that a nonsurgical approach to the treatment of myotendinous Achilles ruptures results in a high rate of myotendinous healing with improved patient function and pain relief.
- See more at: http://www.physiospot.com/research/treatment-of-myotendinous-achilles-ruptures/#sthash.xbNFyzNu.dpuf
Not much literature exists regarding the treatment of myotendinous Achilles ruptures. The authors conducted this study in order to retrospectively examine clinical outcomes from uniform nonsurgical treatment of these injuries. Between November 2005 and May 2011, 30 patients presented with an acute, complete myotendinous Achilles rupture. The location of the Achilles injury was confirmed on magnetic resonance imaging (MRI) for all patients. All patients were treated nonsurgically, with a system including 3 weeks of non-weight-bearing and then 3 weeks of progressive to full weight-bearing in an Achilles boot. Physical therapy was provided for 4 to 6 weeks after this period of immobilization. 21 males and 9 females participated. The patients had a mean age of 40.8 years (range, 24-54). Patients were followed an average of 40.5 months (range, 23-81). They achieved full healing of the Achilles myotendinous junction  clinically in all 30 patients . All patients experienced improved function and less pain at their latest follow-up. Mean Foot and Ankle Ability Measure-Sports (FAAM-Sports) increased from 20.2% at the time of initial presentation to 95.2% at the latest follow-up (P < .05). Mean Visual Analog Scores (VAS) of pain decreased from 8.2 at the time of initial presentation to 1.3 at latest follow-up (P < .01). In all, 23 (76.7%), 6 (20%), and 1 (3.3%) patients rated their satisfaction as excellent, good, and fair, respectively. None of the patients they treated have developed recurrent myotendinous Achilles ruptures to date.

They concluded that a nonsurgical approach to the treatment of myotendinous Achilles ruptures results in a high rate of myotendinous healing with improved patient function and pain relief.
- See more at: http://www.physiospot.com/research/treatment-of-myotendinous-achilles-ruptures/#sthash.xbNFyzNu.dpu
Not much literature exists regarding the treatment of myotendinous Achilles ruptures. The authors conducted this study in order to retrospectively examine clinical outcomes from uniform nonsurgical treatment of these injuries. - See more at: http://www.physiospot.com/research/treatment-of-myotendinous-achilles-ruptures/#sthash.xbNFyzNu.dpuf
Not much literature exists regarding the treatment of myotendinous Achilles ruptures. The authors conducted this study in order to retrospectively examine clinical outcomes from uniform nonsurgical treatment of these injuries. Between November 2005 and May 2011, 30 patients presented with an acute, complete myotendinous Achilles rupture. The location of the Achilles injury was confirmed on magnetic resonance imaging (MRI) for all patients. All patients were treated nonsurgically, with a system including 3 weeks of non-weight-bearing and then 3 weeks of progressive to full weight-bearing in an Achilles boot. Physical therapy was provided for 4 to 6 weeks after this period of immobilization. 21 males and 9 females participated. The patients had a mean age of 40.8 years (range, 24-54). Patients were followed an average of 40.5 months (range, 23-81). They achieved full healing of the Achilles myotendinous junction  clinically in all 30 patients . All patients - See more at: http://www.physiospot.com/research/treatment-of-myotendinous-achilles-ruptures/#sthash.xbNFyzNu.dpuf
They concluded that a nonsurgical approach to the treatment of myotendinous Achilles ruptures results in a high rate of myotendinous healing with improved patient function and pain relief. - See more at: http://www.physiospot.com/research/treatment-of-myotendinous-achilles-ruptures/#sthash.xbNFyzNu.dpuf

Hier finden Sie eine Studie zu Achillessehnenrisse (Englisch; Kurzversion):
Treatment of myotendinous achilles ruptures.Not much literature exists regarding the treatment of myotendinous Achilles ruptures. The authors conducted this study in order to retrospectively examine clinical outcomes from uniform nonsurgical treatment of these injuries. Between November 2005 and May 2011, 30 patients presented with an acute, complete myotendinous Achilles rupture. The location of the Achilles injury was confirmed on magnetic resonance imaging (MRI) for all patients. All patients were treated nonsurgically, with a system including 3 weeks of non-weight-bearing and then 3 weeks of progressive to full weight-bearing in an Achilles boot. Physical therapy was provided for 4 to 6 weeks after this period of immobilization. 21 males and 9 females participated. The patients had a mean age of 40.8 years (range, 24-54). Patients were followed an average of 40.5 months (range, 23-81). They achieved full healing of the Achilles myotendinous junction  clinically in all 30 patients . All patients experienced improved function and less pain at their latest follow-up. Mean Foot and Ankle Ability Measure-Sports (FAAM-Sports) increased from 20.2% at the time of initial presentation to 95.2% at the latest follow-up (P < .05). Mean Visual Analog Scores (VAS) of pain decreased from 8.2 at the time of initial presentation to 1.3 at latest follow-up (P < .01). In all, 23 (76.7%), 6 (20%), and 1 (3.3%) patients rated their satisfaction as excellent, good, an
- See more at: http://www.physiospot.com/research/treatment-of-myotendinous-achilles-ruptures/#sthash.xbNFyzNu.dpuf

http://www.physiospot.com/research/treatment-of-myotendinous-achilles-ruptures/



Not much literature exists regarding the treatment of myotendinous Achilles ruptures. The authors conducted this study in order to retrospectively examine clinical outcomes from uniform nonsurgical treatment of these injuries. Between November 2005 and May 2011, 30 patients presented with an acute, complete myotendinous Achilles rupture. The location of the Achilles injury was confirmed on magnetic resonance imaging (MRI) for all patients. All patients were treated nonsurgically, with a system including 3 weeks of non-weight-bearing and then 3 weeks of progressive to full weight-bearing in an Achilles boot. Physical therapy was provided for 4 to 6 weeks after this period of immobilization. 21 males and 9 females participated. The patients had a mean age of 40.8 years (range, 24-54). Patients were followed an average of 40.5 months (range, 23-81). They achieved full healing of the Achilles myotendinous junction  clinically in all 30 patients . All patients - See more at: http://www.physiospot.com/research/treatment-of-myotendinous-achilles-ruptures/#sthash.xbNFyzNu.dpuf

Jörg Linder – Master of Arts in Gesundheitsmanagement und Prävention


————————————————————————–

JÖRG LINDER AKTIV-TRAINING
Mauerbergstraße 110
76534 Baden-Baden
Tel.: 07223 / 8004699
Mobil: 0177 / 4977232
Mail: info@aktiv-training.de
Fax: 07223 / 8005271
Aktiv-Training: www.aktiv-training.de
Sturzprävention: www.sturztraining.de

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