1/5. Effects of the biopsychosocial approach (BPSA) on exercise-induced asthma (EIA).The Biopsychosocial Approach (BPSA) is a treatment program for allergic patients which includes therapy for psychological, behavioral and social factors as well as for physical problems, following basic principles of psychoneuroimmunology. BPSA was applied to patients with bronchial asthma and favorable results were obtained. The mechanism of the therapeutic effects of BPSA included normalization of the patient's autonomic nervous function, levels of blood histamine, and circadian rhythm of lymphocyte activity. BPSA was also used in patients with exercise induced asthma (EIA) and the same parameters were evaluated. Results showed that patients with EIA recovered physiological homeostasis after BPSA therapy normalized blood levels of histamine and substance p (SP), skin reactions to histamine and SP, and autonomic nervous function. We conclude that BPSA is effective for treating patients with EIA.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/5. Bronchial involvement in the cramp-fasciculation syndrome.BACKGROUND/AIMS: Cramp-fasciculation syndrome (CFS) is an acquired, chronic, usually benign and rather heterogeneous condition with isolated fasciculations and muscle cramps generally induced by physical exercise. They commonly involve calf and quadriceps muscles. The pathophysiology of CFS is related to peripheral nerve hyperexcitability, most often located at the motor nerve terminal or intramuscular arborization. methods: A 21-year-old man presented with a progressive syndrome of bronchospasm, cramps and muscle twitches related to physical exercise. Spirography showed bronchial hyperresponsiveness, so he received inhaled corticosteroids and beta2-agonists that improved respiratory symptoms. Electrodiagnostic studies were consistent with CFS. Gabapentin was then introduced. RESULTS: Both respiratory and muscle symptoms improved. A new spirogram after all inhaled medication had been discontinued was normal. CONCLUSION: This picture suggests a concomitant involvement of the peripheral motor nerves of both skeletal and airway autonomic smooth muscle, a presentation not previously reported in CFS.- - - - - - - - - - ranking = 2keywords = physical (Clic here for more details about this article) |
3/5. The occurrence of multiple physical allergies in the same patient: report of three cases.The syndromes of idiopathic anaphylaxis, exercise-induced anaphylaxis, and other physical allergies are well described as separate entities. This article describes the combination of these problems in the same patient. Two patients with idiopathic anaphylaxis are described. One also has exercise-induced anaphylaxis, and one also has exercise-induced bronchospasm and exercise-induced urticaria and angioedema. A third patient with exercise-induced anaphylaxis, idiopathic urticaria, angioedema, cholinergic urticaria, and dermatographism is described.- - - - - - - - - - ranking = 5keywords = physical (Clic here for more details about this article) |
4/5. Changes in angiotensin-converting enzyme activity and angiotensin i level in asthmatic and healthy children after submaximal physical work.The changes in angiotensin-converting enzyme activity and serum angiotensin i levels have been studied in 16 controls subjected to submaximal physical work. Baseline (Pre-exercise) angiotensin i levels were identical in both groups. Physical exercise caused an elevation that was more marked in the asthmatic group than in the control group. The activity of serum angiotensin-converting enzyme differed in the two groups even before physical exercise, the asthmatic children having exhibited an activity level significantly lower than that of the healthy controls. after submaximal work, the enzyme activity increased in healthy subjects but decreased in asthmatic children.- - - - - - - - - - ranking = 6keywords = physical (Clic here for more details about this article) |
5/5. Upper airway obstruction presenting as exercise-induced asthma.A patient presented with a ten-year history of exercise-induced wheezing. After trials of metaproterenol and cromolyn failed to improve her symptoms, she was observed during exercise. She proved to have inspiratory stridor caused by collapse of the posterior aryepiglottic folds over the vocal cords during inspiration only following exercise. Symptoms primarily improved with physical conditioning. Further improvement came after treatment of her chronic rhinitis and post-nasal drip with a steroid nasal spray.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |