Search results for: MCTF

Authors: Zenah Gheblawi, Susan Armijo-Olivo, Elisa B. Pelai, Vaishali Sharma, Musa Tashfeen, Angela Fung, Francisca Claveria

Abstract:

Due to physiological differences between men and women, pain is experienced differently between the two sexes. Chronic pain disorders, notably temporomandibular disorders (TMDs), disproportionately affect women in diagnosis, and pain severity in opposition of their male counterparts. TMDs are a type of musculoskeletal disorder that target the masticatory muscles, temporalis muscle, and temporomandibular joints, causing considerable orofacial pain which can usually be referred to the neck and back. Therapeutic methods are scarce, and are not TMD-centered, with the latest research suggesting that subjects with chronic musculoskeletal pain disorders have abnormal alterations in the grey matter of their brains which can be remedied with exercise, and thus, decreasing the pain experienced. The aim of the study is to investigate the effects of exercise therapy in TMD female patients experiencing chronic jaw pain and to assess the consequential effects on brain activity. In a randomized controlled trial, the effectiveness of an exercise program to improve brain alterations and clinical outcomes in women with TMD pain will be tested. Women with chronic TMD pain will be randomized to either an intervention arm or a placebo control group. Women in the intervention arm will receive 8 weeks of progressive exercise of motor control training using visual feedback (MCTF) of the cervical muscles, twice per week. Women in the placebo arm will receive innocuous transcutaneous electrical nerve stimulation during 8 weeks as well. The primary outcomes will be changes in 1) pain, measured with the Visual Analogue Scale, 2) brain structure and networks, measured by fractional anisotropy (brain structure) and the blood-oxygen level dependent signal (brain networks). Outcomes will be measured at baseline, after 8 weeks of treatment, and 4 months after treatment ends and will determine effectiveness of MCTF in managing TMD, through improved clinical outcomes. Results will directly inform and guide clinicians in prescribing more effective interventions for women with TMD. This study is underway, and no results are available at this point. The results of this study will have substantial implications on the advancement in understanding the scope of plasticity the brain has in regards with pain, and how it can be used to improve the treatment and pain of women with TMD, and more generally, other musculoskeletal disorders.

Keywords: exercise therapy, musculoskeletal disorders, physical therapy, rehabilitation, tempomandibular disorders

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Authors: Tao Lin, Hongzhi Song, Zhongtao Yuan, Shanshan Lin, Chunyue Tong

Abstract:

Offshore heavy oil in the production of thick oil fields, old wells of low production and low efficiency are mainly caused by plugging, heavy oil, insufficient stratigraphic energy, etc., the use of heat - gas - chemical and other composite production enhancement role, can be better to achieve the purpose of unblocking and increase the efficiency of the production. Through indoor physical simulation experiments, comprehensive grey correlation analysis, combined with theoretical methods to analyze the composite production enhancement effect of heat-gas-chemical and other factors was in the order of heat>gas>chemical agent; and quantitative analysis of the data shows that the contribution of heat is the highest in the range of 68.5%-82.8%, the gas role in the range of 9.3%-11.3%, and the contribution of the chemical agent in the range of 6.0%-22.2%. Combined with indoor physical simulation experiments and reservoir engineering calculations, it shows that the production capacity is restored and increased by about 50%, and numerical simulation calculations show that the cumulative increase in production by using thermal-gas-chemical decongestion process measures can be up to 40%. Through the optimization of this kind of compound production enhancement technology, it can meet the requirements of original production string operation, and this technology has the advantages of short, flat and fast operation and has good application prospects.

Keywords: MCTF, old heavy oil wells, low production and low efficiency, immobile tubular column, composite production increase

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