Sunday, January 26, 2020

The Consequence From The Ineffective Listening English Language Essay

The Consequence From The Ineffective Listening English Language Essay There are few common barriers to good and effective listening. One of them is,Knowing the answer. It means that you assume that you already have an idea on the content of the message before the speaker actually finishes it. In some situation, you might interrupt her or selfishly try to make the sentence complete for them. The worst thing is you interfere the speaker and say you are disagreeing with their opinion. It is rude because you are not letting others to finish up their sentences. This is the main factor that makes a discussion to end up without a decision and it is common happen when two team in an organization have their own idea and both not listening each other and stand on their own way. It can be said that you are not appreciating and not value the message send by the speaker to you by distracting the speaker before letting them to finish their sentences. Crucial component in good listening is showing respect to the speaker. Pre-judgement on what the speaker going to say or it can be said as closed mindedness contributes to listening barrier. Be open or receptive minded person is a characteristic of a good listener. Good listener will stretch his mind and looks for available chance to obtain new idea or insight rather than stick to existing idea or their own point of view. Other than that, trying to be helpful is another barrier in listening skill. Although we assume that it seems to be beneficial if we are trying to be helpful, but it turns into horrible situation when it come into listening. Its actually interferes effective listening. This is because the listeners is considering solving the speakers problem. The result is the listener misses the words throws or what actually message saying by the speaker. When walking, walk. When eating, eat., this is some proverb say in old Zen. This can be clearly stated that we need to put our full attention to anything that we are currently doing. It is worth stressing that the aim of good listening depends on how much attention we put on listening to receive the message sends by the speakers. Giving advice during speakers try to explain something which they experience may break the flow of conversation. Thus, it affects both parties by which the speakers did not pass the message accurately and the listeners did not get the exact content from the communication process. Messiah complex is one of the common problem faces by many people. It can well describe as we try to rescue or fix other people problem as a means of feeling fulfilled. This type of people usually not called as problem-solvers. Nevertheless, mannerism can be a huge obstacle to good listening. Trying to say something while listening will also reflect that you have made particular judgments about the message sender which is the speaker. Emotional distractions carry few percentages in effective communication. Early judgement by the listener can mean that the listeners does not have whole comprehended on the message though by the speakers. The true act of love and respect which you can offer is you give a person your 100% attention while listening. Listen and understand your team mate can empower the relationship between team members because human beings are such social animals. When the speakers starts to explain their long-term problem and you offer a facile or off-the-cuff solution and this would be inappropriate. This is because you might forget that the speaker may take into consideration your immediate solution long time before. Another significant barrier to good listening is some people feel that it is a sign of weakness when we agree or in the same line with the speaker during a heated conference. They feel induced to argue each point the speaker said even though if the listener inwardly agrees. The person who keeps arguing will wins the most point in a discussion. When we treat a discussion as a competition will be the biggest barriers to good listening. It prevents the listener from viewing an idea in difference prospective. It can be very frustrating on behalf of the speaker. This situation often we can see in an organization. When two teams try to defend their own opinion and idea, they tend to interfere when opposition team explaining their arguments. This makes an organization to rupture. A good listener just relies on listening. Any unnecessary motive will indirectly diminish the concentration of the listener. Trying to influence or impress the speaker is an example of ulterior motive. When a listeners have any other agenda rather than simply to understand what the speakers try to think and feel will not helping them to focus while listening. People can understand a language three or two times faster than any words they speak this is what been claim by psychologists. This shows that a listener has a lot of extra mental bandwidth or wide range of field to think about other things when listen to speaker. Spare few space or capacity to contemplate about what the content of message send by speaker will be a valuable characteristic of a good listener. During conversation process in an organization, an ulterior motive employee will try to impress the manager and will possibly make use of the spare capacity to start thinking of his next move. This type of employee will thin k what they need to say next or rebuttal when their manager finished with their sentences. The employee is not focusing on understanding the message send to them. Believing in language can be arduous barriers to an effective listening. In other word is, we tend to interpret some rarely used or double meaning words with unmatched meaning. Some people think that, language can be a guessing game. Both speaker and listener use language to surmise each other to think on the subject matter. Some words do have several meaning. When the speaker throws any words by assuming that listener must understand it, thus the fallacy on the speaker side. It is not practical to think that definition of a word can be sent live from the dictionary to the listener through the word. Why didnt you understand, I already said it perfectly and clearly?, this is an example of fallacy which a speaker may do during conversation. Of course, the simple-minded assumption here is words that other people understand can be understand by others too. These can be applicable, when particular word containing absolute meaning. This is because each word gives unique effect to a person. The consequence is the person will try to relate the word based on their unique experience. Few differences can be tolerated but it will cause misunderstanding when we try to interpret most of the word in our own definition and experience. It will become a severe problem when senior worker use any word or term in conversation which based on experience with their junior worker. If the junior worker does not have the same experience as the senior worker, then the words is pointless. The worst case is the junior worker may silently make the word match with a difference experience. There are few strategies can be taken to create a good listening. A good listener will listen not only to what is being said, but also to what is left unsaid or only partially said. Listening involves observing body language and noticing inconsistencies between verbal and non-verbal messages. For example, if someone tells you that they are happy with their life but through gritted teeth or with tears filling their eyes, you should consider that the verbal and non-verbal messages are in conflict, they maybe dont mean what they say.   Listening requires you to concentrate and use your other senses in addition to simply hearing the words spoken.  Listening is not the same as hearing and in order to listen effectively you need to use more than just your ears. 1. Stop Talking If we were supposed to talk more than we listen, we would have two tongues and one ear. Mark Twain. Dont talk, listen.   When somebody else is talking listen to what they are saying, do not interrupt, talk over them or finish their sentences for them.   Stop, just listen.   When the other person has finished talking you may need to clarify to ensure you have received their message accurately. 2. Prepare Yourself to Listen Relax.  Focus on the speaker.  Put other things out of mind.   The human mind is easily distracted by other thoughts whats for lunch, what time do I need to leave to catch my train, is it going to rain try to put other thoughts out of mind and concentrate on the messages that are being communicated. 3. Put the Speaker at Ease Help the speaker to feel free to speak.   Remember their needs and concerns.   Nod or use other gestures or words to encourage them to continue.   Maintain eye contact but dont stare show you are listening and understanding what is being said. 4. Remove Distractions Focus on what is being said: dont doodle, shuffle papers, look out the window, pick your fingernails or similar. Avoid unnecessary interruptions.   These behaviours disrupt the listening process and send messages to the speaker that you are bored or distracted. 5. Empathise Empathy is a selfless act, it enables us to learn more about people and relationships with people it is a desirable skill beneficial to ourselves, others and society.   Ã‚  Phrases such as being in your shoes and soul mates imply empathy empathy has even been likened to a spiritual or religious state of connection with another person or group of people. I call him religious who understands the suffering of others. -Mahatma Gandhi Try to understand the other persons point of view.   Look at issues from their perspective.   Let go of preconceived ideas.   By having an open mind we can more fully empathise with the speaker.   If the speaker says something that you disagree with then wait and construct an argument to counter what is said but keep an open mind to the views and opinions of others. 6. Be Patient A pause, even a long pause, does not necessarily mean that the speaker has finished.   Be patient and let the speaker continue in their own time, sometimes it takes time to formulate what to say and how to say it.   Never interrupt or finish a sentence for someone. 7. Avoid Personal Prejudice Try to be impartial.   Dont become irritated and dont let the persons habits or mannerisms distract you from what they are really saying.   Everybody has a different way of speaking some people are for example more nervous or shy than others, some have regional accents or make excessive arm movements, some people like to pace whilst talking others like to sit still.   Focus on what is being said and try to ignore styles of delivery. 8. Listen to the Tone Effective speaking has nothing to do with the outdate concept of elocution where everyone was encouraged to speak in the same correct manner.   Rather, effective speaking concerns being able to speak in a public context with confidence and clarity, while at the same time reflecting ones own personality. Volume and tone both add to what someone is saying.   A good speaker will use both volume and tone to their advantage to keep an audience attentive; everybody will use pitch, tone and volume of voice in certain situations let these help you to understand the emphasis of what is being said. 9. Listen for Ideas Not Just Words You need to get the whole picture, not just isolated bits and pieces.   Maybe one of the most difficult aspects of listening is the ability to link together pieces of information to reveal the ideas of others.  Ã‚   With proper concentration, letting go of distractions, and focus this becomes easier. 10. Wait and Watch for Non-Verbal Communication Gestures, facial expressions, and eye-movements can all be important.   We dont just listen with our ears but also with our eyes watch and pick up the additional information being transmitted via non-verbal communication. Do not jump to conclusions about what you see and hear. You should always seek clarification to ensure that your understanding is correct. Non-verbal communications include  facial expressions, the  tone and pitch  of the voice,  gestures  displayed through  body language (kinesics)  and the physical  distance between communicators (proxemics). These non-verbal signals can give clues and additional information and meaning over and above spoken (verbal) communication.

Saturday, January 18, 2020

Hamstring Tightness Is Common Health And Social Care Essay

Among the musculus undergoing adaptative shortening, hamstring is the 1 normally traveling for adaptative shortening. The hamstring comprises of three big musculuss viz. semimembranosus, semitendinosus, and bicep femur which arises from the tubercle of ischial bone. They are present over the posterior compartment of the thigh and cross the hip and articulatio genus articulations. Hence they are the extensors of the hip and flexors of the articulatio genus. Hamstringing stringency is common in normal single because of immobilisation of a tissue in a sawed-off place consequences in adaptative shortening. As the musculus shortens, its snap of the normal tissue was decreased and a alteration in the length tenseness relationship of the musculus, loss of flexibleness besides occurs. Hamstring stringency could do the musculo sinewy unit more susceptible to injury, increase opposition to assorted anatomical constructions, which may take to overdrive syndrome. Stringency could besides leads to pathological conditions at the articulation on which the musculus Acts of the Apostless, particularly on a musculus like hamstring which passes over the two articulations. Muscle stringency has a important impact on neuromuscular control. Muscle stringency affects the normal length tenseness relationships. When one musculus in a force twosome becomes tight or hypertonic, it alters the normal arthrokinematics of the involved articulation. This affects the interactive map of the full kinetic concatenation, taking to unnatural emphasis, soft tissue disfunction, nervous via media and vascular/lymphatic stasis. Muscle stringency besides cause mutual suppression. Increased musculus spindle activity in a specific musculus will do reduced nervous thrust to that musculus ‘s functional adversary. This alters the normal arthrokinematics of the involved section. Flexibility has been defined as the ability of a musculus to lengthen and let one articulation ( or more than one articulation in a series ) to travel through a scope of gesture. Anderson and Burke defined Flexibility as the â€Å" scope of gesture available in a joint or a group of articulation that is influenced by musculuss, ligaments and castanetss † . Loss of flexibleness agencies reduced ability of a musculus to deform. Loss of flexibleness may take to diminish in lumbar hollow-back, decrease of musculus strength and quadriceps disfunction during pace, lumbar pelvic beat was disturbed, anterior pelvic joust was restricted, lumbar gesture was increased. Excessive mobility of lumbar spinal column leads to pulling of lumbar ligaments and accordingly hurting and instability. ( Levangie and Norkin, 2001 ) Loss of flexibleness can besides do hurting originating from musculus, connective tissue or periosteum. ( Hardy, 1989 ; Tillmann and Cummings, 1992 ) With respect to of import function of hamstring flexibleness Restoration of its normal length is necessary. Muscle tissue length is thought to play an of import function in efficiency and effectivity of human motion. Benefits of flexibleness is to heighten the scope of gesture, improved organic structure place, possible alleviation of achings and hurting, protection against low back hurting and hurts, decrease of station exercising musculus tenderness, and promotes relaxation. Hamstringing stringency can be measured utilizing the ( 1 ) Active one-sided straight leg rise trial, ( 2 ) Passive one-sided straight leg rise trial, ( 3 ) Sit and make trial, ( 4 ) Active articulatio genus extension trial. Straight leg rise trial are widely used as a neurologic trials, hence they do non give valid steps of hamstring stringency because of pelvic rotary motion that occurs during the trial. Active articulatio genus extension trial is the dependable trial. Continuous ultrasound therapy additions tendon length by altering their viscousness and malleability ( Ziskin et al, 1986 ) . Skeletal musculuss have a higher rate of soaking up of ultrasound moving ridges when compared to fatty tissue. ( Dyson, 1987 ; Low and Reed, 1990 ) . Elevation of collagen tissue temperature affects on mechanical and physical features of tissues and facilitates distortion of the collagen. As hurting and uncomfortableness was reduced during stretching and collagen fiber ability to digest greater forces was increased. Ultrasound increases soft tissue extensibility and may be an effectual adjunct in the intervention of articulatio genus contractures secondary to connective tissue shortening ( Folconer et al, 1992 ) . Inactive stretching allow the musculus spindle to suit, cut down their fire rate ; hence inactive stretch is effectual in increasing the length of musculus. ( Gordon and Ghez, 1991 ) . Longer keep times during stretching of the hamstring musculuss resulted in a greater rate of additions in scope of gesture ( Feland et al, 2001 ) . Stretch continuance lower than 30 seconds did non increase musculus flexibleness ( Beaulien, 1981 ) . Inactive stretch of 30 seconds is sufficient to increases the hamstring musculus length. Combination of ultrasound therapy with 30 seconds stretch is more effectual than ultrasound therapy with 15 seconds stretch in increasing hamstring flexibleness ( A.Akbari, H.Moodi, A.A.Moein, and R.Nazok 2006 ) . Muscle energy techniques ( MET ) are manually applied stretching techniques that use rules of neurophysiology to loosen up hyperactive musculus and stretch inveterate shortened musculuss. Muscle energy techniques ( MET ) have the ability to loosen up hyperactive musculuss or stretch tight musculuss and their associated fascial constituents when connective tissue or viscoelastic alterations have occurred. When utilizing Muscle energy techniques ( MET ) , it is of import to relax/inhibit the neuromuscular constituent before trying to stretch the involved muscular structure. Two cardinal neurophysiologic rules account for the neuromuscular suppression. The first rule of Muscle energy techniques ( MET ) is post contraction suppression / autogenous suppression / station isometric relaxation. The 2nd rule is mutual suppression. Muscle energy technique produced an immediate addition in inactive articulatio genus extension in persons with hamstring stringency ( Ballantyne 2003 ) . Muscle energy technique is significantly bettering the hamstring flexibleness in collegiate males ( Wassim.M et Al 2009 ) .1.1 NEED FOR THE STUDY:Continuous ultrasound therapy, inactive stretching, musculus energy technique ( MET ) are important in bettering hamstring flexibleness in persons with hamstring stringency. These methods of intervention are good accepted and practised by assorted research workers harmoni zing to old literature, but there was no survey to compare the consequence of musculus energy technique ( MET ) and ultrasound therapy with inactive stretching in bettering the hamstring flexibleness in persons with hamstring stringency. So the intent of this survey is to analyze the efficaciousness of musculus energy technique and ultrasound therapy with inactive stretching in bettering the hamstring flexibleness in persons with hamstring stringency.1.2 Purposes:To happen out the consequence of musculus energy technique versus ultrasound therapy with inactive stretching in bettering the hamstring flexibleness in persons with hamstring stringency.1.3 Aim:To analyze the consequence of musculus energy technique in bettering the hamstring flexibleness in persons with hamstring stringency. To analyze the consequence of ultrasound therapy with inactive stretching in bettering the hamstring flexibleness in persons with hamstring stringency. To compare the consequence of musculus energy technique and ultrasound therapy with inactive stretching in bettering the hamstring flexibleness in persons with hamstring stringency.1.4 KEYWORDS:Hamstringing flexibleness, Muscle energy technique, Ultrasound therapy with inactive stretching, Active articulatio genus extension trial.1.5 HYPOTHESIS1.5.1 Null Hypothesis:There is no important consequence of musculus energy technique in bettering the hamstring flexibleness in persons with hamstring stringency. There is no important consequence of ultrasound therapy with inactive stretching in bettering the hamstring flexibleness in persons with hamstring stringency. There is no important difference between the consequence of musculus energy technique and ultrasound therapy with inactive stretching in bettering the hamstring flexibleness in persons with hamstring stringency.1.5.2 ALTERNATE HYPOTHESISThere is a important consequence of musculus energy technique in bettering the hamstring flexibleness in persons with hamstring stringency. There is a important consequence of ultrasound therapy with inactive stretching in bettering the hamstring flexibleness in persons with hamstring stringency. There is a important difference between the consequence of musculus energy technique and ultrasound therapy with inactive stretching in bettering the hamstring flexibleness in persons with hamstring stringency.II.REVIEW OF LITERATUREHamstring Stringency:Worrel et Al ( 2003 )Stated that hamstring hurts in jocks is chiefly due to the deficiency of hamstring flexibleness.Kishner and Colby et Al ( 2002 )Stated that equal mobility of soft tissues and articulations is thought to be an of import factor in bar of hurt ( or ) reinjury to soft tissues.Donald E Hartig et Al ( 1999 )Stated that addition in hamstring flexibleness lessenings overuse hurts in lower appendages.Sarhmann.S et Al ( 1997 )Stated that musculus stringency and hypertonicity has a important impact on the neuromuscular control. Muscle stringency affects the normal length tenseness relationship.Bullock-Saxton.J, Lewit.K et Al ( 1997, 1984 )Stated that musculus stringency alters the normal arthrokinematics of the involved arti culation. This affects the interactive map taking to abnormal joint emphasis, soft tissue disfunction, nervous via media and vascular or lymphatic stasis.Ronald F, Zernickle et Al ( 1996 )Stated that pull outing flexibleness alterations related with structural and physiological alterations influence the degree of physical activity.Zachazewski et Al ( 1989 )Stated that loss of flexibleness of hamstring may take to diminish in lumbar hollow-back, decrease of musculus strength and quadriceps disfunction during pace.Cummingss, GS, Crutchfeld, CA, Barnes et Al ( 1983 )Stated that stringency is referred to mild shortening of a healthy musculo sinewy unit otherwise referred to as a mild transeunt contracture. A musculus that is â€Å" tight † can be lengthened to all but the outer bounds of its scope. Normal person who do non on a regular basis take part in a flexibleness plan can develop mild myostatic contractures or stringency, peculiarly in two joint musculuss such as hamstrings , rectus femur or gastronemius.Fox E.L et Al ( 1979 )Stated that flexibleness enhances motion by bettering organic structure consciousness with greater easiness and sleight.Lawrence Gold et AlStated that the hamstrings are the musculuss that run from buttocks and below the articulatio genuss up to the dorsum of the thigh till the â€Å" sitbones † . Soft tissue hurts, articulatio genus hurting, lacerate semilunar cartilage, chondromalacia kneecap and hapless position frequently come from tight hamstrings. Tight hamstrings can forestall the person from making full extension or from flexing over wholly.ULTRASOUND THERAPY WITH STATIC StretchingShadmer.A, Astaneh.H.N, et Al ( 2010 )Conducted a survey to analyze the consequence of two different manners ( Continuous versus Pulsed ) in diminishing the shortening of hamstrings. Thirty non impaired work forces aged 20 to 30 old ages were included. Ultrasound was applied over short hamstrings. Hamstringing flexibleness was measured by inactive articulatio genus extension trial. Continuous ultrasound of 2W/CmA? , 1MHZ, five proceedingss and Pulsed ultrasound of 200A µs explosion of 1MHZ, 0.5W/CmA? , five proceedingss was used. They concluded that the warming effects of uninterrupted ultrasound may be more effectual than not thermic belongingss of pulsed ultrasound for increasing the flexibleness of sawed-off hamstrings.Meroni, Roberto, Cerri, Cesare Giuseppe, Lanzarini, Carlo, Barindelli, Guido, Morte, Giancesare Della, Gessaga, Viviana, Cesana, Gian Carlo, DeVito, Giovanni et Al ( 2010 )Stated that the addition in flexibleness was maintained for a period of 4 hebdomads after the surcease of preparation. This betterment was more significantly noticed in active stretching group by utilizing active articulatio genus extension trial than the inactive stretching group.Buker N. , Aslan E. , Kitis A. , Carluk U et Al ( 2008 )Stated that the superficial ( or ) deep heat applications before inactive stretching exercisin gs shows positive effects to increasing flexibleness of hamstring musculuss.Nichole Lee Lounsberry et Al ( 2008 )Stated that the ultrasound intervention produced greater immediate additions in hamstring extensibility than moist heat battalions intervention.A.Akbari, H.Moodi, A.A.Moein and R.Nazok et Al ( 2006 )Stated that the additions in scope of inactive articulatio genus extension obtained in uninterrupted curative ultrasound and 30 seconds stretch group were significantly greater than curative ultrasound and 15 seconds stretch group in topics with tight hamstrings.Denegar C, Saliba E, et Al ( 2006 )Stated that 3 MHZ ultrasound provides superficial warming, 1MHZ ultrasound heats tissue at deepness of 3-5 centimeter and is considered to be a deep warming agent.Odunaiya N.A, Hamzat T.K, Ajayi O et Al ( 2004 )Stated that statically stretching tight hamstrings for any continuance between 15 and 120 seconds on surrogate yearss for six hebdomads would significantly increase its flexibl eness. The consequence was besides sustained for upto 7 yearss post intercession.Trae Sakiyo Tashiro et Al ( 2003 )Stated that the clinically practical parametric quantities of thermic ultrasound in concurrence with inactive stretching is an effectual manner of increasing hamstring extensibility but ultrasound application location did n't showed difference in increasing articulatio genus extension scope of gesture in a healthy population.C.D.Weijer et Al ( 2003 )Stated that the inactive stretching is one of the safest and most normally performed stretching methods used to mensurate musculus length.Feland et Al ( 2001 )Reported that longer keep times during stretching of the hamstring musculuss resulted in a greater rate of addition in scope of gesture.Prentice WE, McClure M, Becker RO et Al ( 2001 )Stated that when slow stretch applied to muscle, golgi tendon organ get stimulated and thereby muscle tenseness is reduced. This leads is to an addition in length of musculus.Robert and W ilson et Al ( 1999 )Stated that inactive stretching additions muscle length by leting musculus spindle to accommodate overtime and cease fired. It besides elicits golgi sinew response and hence provides an effectual flexibleness preparation stimulation.William D Bandy et Al ( 1996 )Stated that a inactive stretch of 30 seconds at a frequence of individual session is sufficient to increase the musculus length.Bandy WD, Irion JM et Al ( 1995 )Stated that the continuance of 30 seconds of stretching is an effectual clip of heightening the flexibleness of the hamstring musculuss.Bandy WD, Irion JM et Al, Lentell G, Hetherington T et Al, Madding SW et Al ( 1994 )Stated that Inactive stretching is a method of stretching in which the musculuss and connective tissue being stretched are held in a stationary place at their greatest possible length for some period. When utilizing inactive stretching on a clinical footing, stretches should be held a lower limit of 15 to 30 seconds.Chan et Al ( 19 93 )Stated that sinew ranges greater temperature and heat more rapidly than musculus and the sinew was able to keep vigorous heating for longer period than musculus.Draper D, Sunderland S, Kirkendall et Al ( 1993 )Stated that tendon tissue is less vascularized than musculus tissue ; sinews will retain heat for longer periods of clip.Folconer et Al ( 1992 )Stated that ultrasound additions soft tissue extensibility and may be an effectual adjunct in the intervention of articulatio genus contractures secondary to connective tissue shortening.Gordon and Ghez et Al ( 1991 )Stated that inactive stretching may be effectual in increasing the length of musculus due to the drawn-out stretching which allows the musculus spindle to accommodate over clip and cease fire.Low and Reed et Al ( 1990 ) , Dyson et Al ( 1987 )Stated that low soaking up of ultrasound moving ridges is seen in tissues that are in H2O content ( eg. , fat ) , whereas soaking up is higher in tissues rich in protein ( e.g. , s keletal musculus ) .Warren C, Lehman J, Koblanski J, Strickler T, Malone T, Masock A, Garrett W et Al ( 1990 )Stated that ultrasound therapy can be used to aim the collagen rich sinewy unit of the hamstring musculus because of its ability to perforate deeper tissues, and shown that increasing the temperature of collagen to 40A ° Celsius will increase the snap of the tissue. This increased extensibility allows for an even distribution of force and reduces the emphasis on localised countries of the tissue.Gajdosik RL, Godges JJ et Al ( 1989 )Stated that a low strength maintained stretch that is applied bit by bit is less likely to ease the stretch physiological reaction and increase tenseness in the musculus being lengthened. This is called inactive stretch.Ziskin et Al ( 1986 )Stated that an increasing in tendon length following uninterrupted ultrasound therapy is due to alter of their viscousness and malleability.Beaulien et Al ( 1981 )Stated that stretch continuance lower than 30 seconds did n't increase musculus flexibleness.Coakley et Al ( 1978 )Stated that frequence of 1MHZ ultrasound used for patients with more hypodermic fat who sustained hurts at deeper degree because of its incursion to a deepness of 3 to 5 centimeter.Lehman et Al ( 1968 )Emphasized on the thermic effects of uninterrupted ultrasound compared to other heating modes in increasing hamstring flexibleness.De Vries HA et Al ( 1962 )Stated that inactive stretching offers advantages of utilizing less overall force, diminishing the danger of transcending the tissue extensibility bounds, lower energy demand, and a lower likeliness of musculus tenderness. Inactive stretching besides has less consequence on the Ia and II spindle sensory nerve fibers than ballistic stretching, which would be given to increase a musculuss ‘ opposition to stretch and ease Golgis tendon organ, thereby cut downing the contractile elements opposition to distortion.MUSCLE ENERGY TECHNIQUE:Ahmad Faheem, Ahmad Sham in, Anjani Agarwal, Begum Shabana, Ram C.S, Waseem Mohd et Al ( 2010 )Conducted a survey in Indian collegiate males on hamstring flexibleness by comparing the effectivity of musculus energy technique and bizarre preparation. Sum of 20 males with hamstring stringency falling between age group of 18-25 old ages were included in the survey. Hamstring stringency was measured by popliteal angle/active articulatio genus extension trial. One group was treated with musculus energy technique and the other with bizarre preparation. This survey stated that hamstring flexibleness can be improved with musculus energy technique utilizing station isometric relaxation than bizarre preparation.Wassim M et Al ( 2009 )Reported that musculus energy technique utilizing station isometric relaxation significantly bettering the hamstring flexibleness ( by active articulatio genus extension trial ) in normal Indian collegiate males with hamstring stringency.Azadeh Shadmehr, Mohmmed Reza Hadian, Sedigheh Sad et Naiemi, Shohreh Jalaie et Al ( 2009 )Concluded that the hamstring stretches in normal immature adult females utilizing either inactive stretch or musculus energy technique had similar effects on reconstructing flexibleness to hamstrings.Madeline Smith, Gary Fryer et Al ( 2008 )Stated that the musculus energy technique is effectual in increasing hamstring extensibility, and at that place appeared to be sustained betterment one hebdomad following the initial intervention.Ross A, Clark et Al ( 2008 )Stated that musculus energy technique can bring forth creep and fictile alterations in the connective tissue thereby the length of the musculus can be increased.Lindsey Samilian et Al ( 2007 )Stated that musculus energy technique is a method used to beef up weak musculuss, lengthen the short musculuss ( or ) increase a musculus ‘s scope of gesture. These techniques involve stretch during which a mutual force is imposed on the targeted musculus for short period of clip, doing the mu sculus to loosen up and stretch farther.Ballantyne F, Fryer G, MC.Laughlin P et Al ( 2003 )Conducted a survey to happen the effectivity of musculus energy technique in increasing inactive articulatio genus extension and to research the mechanism behind any ascertained alteration. Forty symptomless topics between age of 18 to 45 old ages were indiscriminately allocated to experimental and command group. Experimental group was given with musculus energy technique and Control group with no intervention. They concluded that musculus energy technique produced an immediate addition in inactive articulatio genus extension. This ascertained alteration is due to an increased tolerance to stretch.Chaitlow L, Liebenson C et Al ( 2001 )The other name for Muscle energy technique is active muscular relaxation technique.Freyer G et Al ( 2000 ) , Richard L, Gajodsik, Melonie A, Rieck and Debra K et Al ( 1993 )Stated that an addition in flexibleness after musculus energy technique occurred due to bi omechanical or neurophysiologic alterations or due to an addition in tolerance to stretching.Lewit et Al ( 1999 )Concluded that station isometric relaxation is directed towards relaxation of hypertonic musculus, particularly if this relates to reflex contraction or the engagement of myofascial trigger points.Lewit, Libenson, Murphy et Al ( 1999 )Stated that station isometric relaxation is an first-class technique for handling neuromuscular component musculus of a stiff, shortened or tight musculus.Lewit et Al ( 1999 ) , Greenman et Al ( 1989 )Suggested that in musculus energy technique, the keeping clip of 7-10 seconds is more effectual than 3-5 seconds.Kuchera et Al ( 1997 )Stated that addition in scope of gesture of a joint after Muscle energy technique is based on neurological mechanism via repressive golgi sinew physiological reaction. Muscle energy technique activates this physiological reaction during isometric musculus contraction. Muscle energy technique produces a stretch o n golgi sinew organ and a automatic relaxation of musculus.Goodridge and Kuchera et Al ( 1997 )Suggested that 3 repeats of isometric contractions is optimum in using musculus energy technique.Lederman et Al ( 1997 )Stated that a viscoelastic alteration in musculus is responsible for the addition in musculus flexibleness after musculus energy technique.Chaitlow L et Al ( 1997 )Stated that the isometric contraction should be held for 10 seconds. This is the clip required to excite the excitatory threshold of the Golgi sinew organ, which has a neurophysiologic inhibitory consequence on the musculus spindle. This provides the chance to take the musculus into a new scope of gesture. Following the isometric contraction, there is a latency period of about 25 to 30 seconds, during which the musculus can be stretched.Philip Greenman et Al ( 1996 )Stated that manual medical specialty intervention process includes Muscle energy technique which involves the contraction of the topic ‘s mus culus by the voluntary attempt in a exactly controlled way, at different degrees of strength, against a counterforce applied by the operator. This process can be used to lengthen a sawed-off, contracted or spastic musculus ; to beef up a physiologically diminished musculus ; to cut down localised hydrops, to mobilise an articulation with restricted mobility.Ward, Robert C et Al ( 1990 )Stated that musculus energy technique is an active, direct technique ( prosecuting the barrier ) that promotes musculus relaxation by triping the Golgi sinew physiological reaction.Libenson et Al ( 1989 )Stated that musculus energy technique is effectual in handling the musculus tenseness upset and it efficaciously relaxes stretches, strengthens the musculuss and re-educate unnatural sensory motor tract.Lewit et Al ( 1986 )Stated that when a musculus is isometrically contracted its adversary will be inhibited and cut down tone instantly.Stiles and Greenman et Al ( 1984 )Suggested that musculuss which requires stretching ( agonist ) should be the chief beginning of energy for isometric contractions and achieves a more important grades of relaxation and so a more utile ability to later stretch the musculus were the relaxation consequence being achieved through usage of adversary ( utilizing mutual suppression ) .ACTIVE KNEE EXTENSION Trial:C.M. Norris et Al ( 2005 )Stated that active articulatio genus extension trial when used in concurrence with goniometry, accurate surface devising, and manual monitoring of the trial leg is a dependable step of hamstring musculus length.M.Mathews et Al ( 2005 )Stated that active articulatio genus extension represents maximal length of hamstring musculuss.Denise M. Cameron, Richard W. Bohannon et Al ( 1985 )Stated that active articulatio genus extension trial is said to be a utile option to the consecutive leg raise trial for supplying an indicant of hamstring musculus length.Gajdosik R.L et Al ( 1983 )Stated that active articulatio genus extensi on trial is a more nonsubjective step of hamstring stringency which produces high dependability co-efficient.III. METHODOLOGY3.1 STUDY DESIGN:Pre trial and station trial experimental group survey design.3.2 STUDY Setting:Study will be conducted at Physiotherapy Out Patient Department, KG College of Physiotherapy, Coimbatore.3.3 STUDY DURATION:Entire continuance was one twelvemonth. Individual received the intervention for the continuance of one hebdomad.3.4 POPULATION STUDIED:30 normal persons with hamstring stringency who fulfilled the preset inclusive and sole standards were selected and divided into two experimental groups by simple random trying method. Each group consists of 15 patients. Groups are named as group A and group B3.5 CRITERIA FOR SELECTION3.5.1 Inclusive Standards:Age between 18 to 25 old ages Both males and females Normal persons with tight hamstrings ( inability to accomplish greater than 160A ° knee extension with hip at 90A ° flexure. )3.5.2EXCLUSIVE Standards:Low back pain – Acute accent or chronic. Hamstringing hurt – Acute accent or chronic. Soft tissue hurts around articulatio genus. Pregnancy. Metallic element implants in lower appendage. Recent break and stiffness in lower appendage.3.6 Variables:3.6.1 Independent Variables:Muscle energy technique. Ultrasound therapy with Inactive stretching.3.6.2 Dependent Variables:Hamstringing flexibleness.3.7 Parameters:Hamstringing flexibleness3.8 MEASUREMENT TOOLS:Active articulatio genus extension trial.Active articulatio genus extension trial was used for measuring of hamstring stringency. The topic was instructed to lie on their dorsum with hip and articulatio genuss bent 90 grades. Pelvic motion was controlled by the usage of straps. By utilizing the sidelong condyle of thighbone as the goniometric axis, the stationary arm positioned along the thighbone, and the movable arm was positioned parallel to the leg. Keep hip and articulatio genus in 90 grades so instruct the topic to unbend the articulatio genus every bit for as possible boulder clay a esthesis of stretch being felt. Repeat the same for three times and mean were measured as the concluding consequence.3.9 Procedures:GROUP A: MUSCLE ENERGY TECHNIQUE.Technique USED: Post isometric relaxation. INDIVIDUAL ‘S Position: Supine prevarication. Procedure: Ask the persons to presume supine place. Therapist flexes the affected hip to the full and so extends the flexed articulatio genus with the dorsum of lower leg resting on the shoulder of the healer who stands confronting the caput of the tabular array. Individual is asked to flex i.e. doing downward force per unit area against the therapist shoulder with the dorsum of lower leg at the same clip therapist defy the persons voluntary attempt so that, slight isometric contraction of hamstrings develops and persons hold this for 10 seconds. After this attempt, the person is asked to expire and loosen up the musculus wholly. Then the healer takes the musculus to its new limitation barrier without stretch. Get downing from this new barrier, the same process is repeated two or three more times. FREQUENCY OF TREATMENT: Once in a twenty-four hours. TREATMENT DURATION: One hebdomad.GROUP B: ULTRASOUND THERAPY WITH STATIC Stretching:ULTRASOUND Therapy:INDIVIDUAL ‘S Position: Prone lying Parameters: Frequency: 1 MHz Intensity: 2W/cmA? Manner: Continuous. AREA OF APPLICATION: Hamstring country Duration: Five Minutess daily ( Two proceedingss for median hamstrings, Two proceedingss for sidelong hamstrings and One min for between the two sinew ) . FREQUENCY OF TREATMENT: Once in a twenty-four hours TREATMENT DURATION: One hebdomadInactive Stretching:Technique USED: Active inactive stretching. INDIVIDUAL ‘S Position: Standing place. Procedure: Subjects performed the hamstring stretch by standing erect with the pes planted on the floor and toes pointed frontward. The heel of the pes to be stretched was placed on a pedestal with the toes directed towards the ceiling. The topic so flexed frontward at the hip, keeping the spinal column in impersonal place while making the arm forward. The topics continued to flex the hip until a soft stretch was felt in the posterior thigh. Then keep this place for 30 seconds and so loosen up for 10 seconds and reiterate the same process for three more times a twenty-four hours. FREQUENCY OF TREATMENT: Once in a twenty-four hours. TREATMENT DURATION: One hebdomad3.10 STATISTICAL TOOLSThe undermentioned statistical tools used in this survey is Paired t-test and Unpaired t-testFormula: Paired t-test=Where, = difference between the pre trial versus station trial = mean difference = entire figure of topics = criterion divergence Unpaired t-test was used to compare the average difference between Group A and Group B.Formula: Unpaired t-testWhere, = Mean of Group A = Mean of Group B i = amount of the value n1 = figure of topics in Group A n1 = figure of topics in Group B S = criterion divergenceDegree of significance: 5 %IV.DATA ANALYSIS AND INTERPRETATIONTABLE-1PAIRED ‘t ‘ TrialPRE TEST AND POST TEST VALUES OF GROUP AGroup A – MUSCLE ENERGY TECHNIQUEHAMSTRING FLEXIBILITY – ACTIVE KNEE EXTENSIONThe comparative mean values, average differences, standard divergence and Paired ‘t ‘ trial values of Group A, who were treated with Muscle energy Technique.S.NOGroup AMeanMEAN DEVIATIONStandard DEVIATION‘t ‘ VALUE1. Pre trial 135.2 22.87 6.46 30.03 2. Post trial 158.07 4.50GRAPH-1GRAPHICAL REPRESENTATION OF PRE TEST AND POST TEST VALUES OF GROUP A ( MUSCLE ENERGY TECHNIQUE ) .TABLE-IIPAIRED ‘t ‘ TrialPRE TEST AND POST TEST VALUES OF GROUP BGROUP B – Ultrasound THERAPY WITH STATIC StretchingHAMSTRING FLEXIBILITY – ACTIVE KNEE EXTENSIONThe comparative mean values, average differences, standard divergence and Paired ‘t ‘ trial values of Group B, who were treated with Ultrasound therapy with inactive stretching.S.NOGROUP BMeanMEAN DEVIATIONStandard DEVIATION‘t ‘ VALUE1. Pre trial 134.5 17.5 5.95 21.6 2. Post trial 152 5.11GRAPH-IIGRAPHICAL REPRESENTATION OF PRE TEST AND POST TEST VALUES OF GROUP B ( ULTRASOUND THERAPY WITH STATIC STRETCHING )TABLE-IIIUNPAIRED't ‘ TrialCOMPARISON BETWEEN THE PRE TEST VALUES OF GROUP A AND BHAMSTRING FLEXIBILITY – ACTIVE KNEE EXTENSIONThe comparative mean values, average differences, standard divergence and Unpaired't ‘ trial values of Group A and Group B, who were treated with Muscle energy technique and Ultrasound therapy with inactive stretching.S.NOGroupMeanMEAN DEVIATIONStandard DEVIATION‘t ‘ VALUE1. Group A 135.2 0.67 6.46 0.2940 2. Group B 134.5 5.95GRAPH-IIIGRAPHICL REPRESENTATION OF PRE TEST VALUES FOR GROUP A AND GROUP B:TABLE-IVUNPAIRED ‘t ‘ TrialCOMPARISON BETWEEN THE POST TEST VALUES OF GROUP A AND BHAMSTRING FLEXIBILITY – ACTIVE KNEE EXTENSIONThe comparative mean values, average differences, standard divergence and Unpaired ‘t ‘ trial values of Group A and Group B, who were treated with Muscle energy technique and Ultrasound therapy with inactive stretching.S.NOGroupMeanMEAN DEVIATIONStandard DEVIATION‘t ‘ VALUE1. Group A 158.07 6.07 4.50 3.53 2. Group B 152 5.11GRAPH-IVGRAPHICL REPRESENTATION OF POST TEST VALUES FOR GROUP A AND GROUP B:Analysis OF RESULTS:30 persons with hamstring stringency were divided into two groups. Group A were treated with musculus energy technique. Group B were treated with ultrasound with inactive stretching. Hamstringing flexibleness was measured by active articulatio genus extension trial. Statistical analysis was done by utilizing Student't ‘ trial. Paired ‘t ‘ trial was used to happen out the betterment within the group. Unpaired ‘t ‘ trial was used to happen out the difference between two groups.Paired't ‘ trial:Group A – MUSCLE ENERGY TECHNIQUEUsing Paired ‘t ‘ trial with 14 grades of freedom and 5 % at degree of significance, the deliberate ‘t ‘ value is 30.03 which is greater than table ‘t ‘ value 1.761.This trial showed that there is a important consequence of musculus energy technique in bettering the hamstring flexibleness in persons with hamstring stringency.Group B – Ultrasound THERAPY WITH STATIC StretchingUsing Paired ‘t ‘ trial with 14 grades of freedom and 5 % at degree of significance, the deliberate ‘t ‘ value is 21.6 which is greater than table ‘t ‘ value 1.761.This trial showed that there is a important consequence of ultrasound t herapy with inactive stretching in bettering the hamstring flexibleness in persons with hamstring stringency.Unpaired't ‘ trial:Comparing pre trial values of active articulatio genus extension trial between Group A and Group B:Pre trial values of Group A and Group B is analysed by Unpaired ‘t ‘ trial. The deliberate ‘t ‘ value is 0.294 which is lesser than table ‘t ‘ value 1.701 at 5 % degree of significance. This trial showed that there is no important difference between the consequence of musculus energy technique and ultrasound therapy with inactive stretching in bettering hamstring flexibleness in persons with hamstring stringency.Comparing station trial values of active articulatio genus extension trial between Group A and Group B:Post trial values of Group A and Group B is analysed by Unpaired ‘t ‘ trial. The deliberate ‘t ‘ value is 3.53 which is greater than table ‘t ‘ value 1.701 at 5 % degree of significance. This trial showed that there is a important difference between the consequence of musculus energy technique and ultrasound therapy with inactive stretching in bettering hamstring flexibleness in persons with hamstring stringency.V.DISCUSSIONThe intent of this survey was to happen out the consequence of musculus energy technique versus ultrasound therapy with inactive stretching in bettering the hamstring flexibleness in persons with hamstring stringency. 30 topics were selected who fulfilled the preset inclusive and sole standards. The topics were divided into two groups, 15 in each group. Group A underwent musculus energy technique and Group B underwent ultrasound therapy with inactive stretching. Statistical analysis utilizing Unpaired ‘t ‘ trial showed that there was a important difference between Muscle energy technique and ultrasound therapy with inactive stretching in bettering hamstring flexibleness in persons with hamstring stringency. Paired ‘t ‘ trial concluded that there was a important betterment in hamstring flexibleness in both muscle energy technique and ultrasound therapy with inactive stretching, which was supported by surveies as follows. Overuse hurts in lower limbs are reduced by increasing flexibleness of hamstring musculuss. ( Donald E Hartig, 1999 ) Extracting flexibleness alterations related with structural and physiological alterations influence the degree of physical activity. ( Ronald F, Zernickle 1996 ) Loss of flexibleness of hamstring may take to diminish in lumbar hollow-back, decrease of musculus strength and quadriceps disfunction during pace. ( Zachazewski, 1989 ) Continuous ultrasound therapy additions soft tissue extensibility and may be an effectual adjunct in the intervention of articulatio genus contractures secondary to connective tissue shortening. Ultrasound soaking up is higher in tissues rich in protein like skeletal musculus. Continuous ultrasound therapy additions tendon and musculus length due to alter of their viscousness and malleability. ( Folconer 1992, Dyson 1987, Low and Reed1990 ) Elevation of collagen tissue temperature affects on the mechanical and physical features of tissues and facilitates distortion of collagen. Therefore hurting and uncomfortableness was reduced during stretching and collagen fiber ability to digest greater force was increased. ( Coakley, 1978 ) Thermal effects of ultrasound additions collagen temperature which will increase snap of tissue. Increased snap allows for an even distribution of force and reduces the emphasis on localised countries of tissues. It besides increases blood flow within the musculus. ( Warren C, Lehmann J, Stricker T, 1970, 1990 ) Longer keep times during stretching of hamstring musculuss result in greater additions in scope of gesture. ( Feland, 2001 ) Inactive stretching additions muscle length by leting musculus spindle to accommodate overtime and cease fired. It besides elicits golgi sinew response and hence provides an effectual flexibleness preparation stimulation. ( Robert and Wilson, 1999 ) Addition in length of the musculus which occurs after the application of musculus energy technique consequences in effectual venous or lymphatic drainage and addition in scope of gesture. ( Ballantyne F et Al 2003 ) Stated that musculus energy technique can bring forth creep and fictile alterations in the connective tissue thereby the length of the musculus can be increased. ( Ross A, Clark, 2008 ) An addition in flexibleness after Muscle energy technique occurred due to biomechanical or neurophysiological alterations or due to an addition in tolerance to stretching. ( Freyer G, Richard L, Melonie A, Rieck 1993, 2003 ) Addition in scope of gesture of a joint after Muscle energy technique is based on neurological mechanism via repressive golgi sinew physiological reaction. Muscle energy technique activates this physiological reaction during isometric musculus contraction. Muscle energy technique produces a stretch on golgi sinew organ and a automatic relaxation of musculus. ( Kuchera, 1997 ) By station isometric relaxation, consequence of sustained contraction on Golgi sinew organ set the sinew and musculus to new musculus length by suppressing it. Muscle energy technique utilizing station isometric relaxation resulted in maximal betterment when compared to eccentric preparation on hamstring flexibleness. ( Ahmad Faheem, Ahmad Shamin, Anjani Agarwal, Begum Shabana, Ram C.S, Waseem Mohd, 2010 ) Muscle energy technique utilizing station isometric relaxation significantly bettering the hamstring flexibleness ( by active articulatio genus extension trial ) in normal Indian collegiate males with hamstring stringency. ( Wassim M, 2009 ) Muscle energy technique produced an immediate addition in inactive articulatio genus extension. This ascertained alteration is due to an increased tolerance to stretch. ( Ballantyne F, Fryer G, MC.Laughlin P, 2003 ) Muscle energy technique is an active, direct technique ( prosecuting the barrier ) that promotes musculus relaxation by triping the Golgi sinew physiological reaction. ( Ward, Robert C, 1990 ) The warming effects of uninterrupted ultrasound may be more effectual than not thermic belongingss of pulsed ultrasound for increasing the flexibleness of sawed-off hamstrings. ( Shadmer.A, Astaneh.H.N, 2010 ) Initiation of inactive stretching exercises involves the applications of superficial ( or ) deep heat agencies which show a positive consequence to increase the hamstring flexibleness. ( Buker N. , Aslan E. , Kitis A. , Carluk U, 2008 ) The additions in scope of inactive articulatio genus extension obtained in uninterrupted curative ultrasound and 30 seconds inactive stretch group were significantly greater than curative ultrasound and 15 seconds inactive stretch group in topics with tight hamstrings. ( A.Akbari, H.Moodi, A.A.Moein and R.Nazok, 2006 ) The clinically practical parametric quantities of thermic ultrasound in concurrence with inactive stretching is an effectual manner of increasing hamstring extensibility but ultrasound application location did n't showed difference in increasing articulatio genus extension scope of gesture in a healthy population. ( Trae Sakiyo Tashiro,2003 ) The continuance of 30 seconds of stretching is an effectual clip of heightening the flexibleness of the hamstring musculuss. ( Bandy WD, Irion JM, 1995 ) Inactive stretching is one of the safest and most normally performed stretching methods used to mensurate musculus length. ( C.D.Weijer, 2003 ) Inactive stretch of 30 seconds at a frequence of individual session is sufficient to increase the musculus length. ( William D Bandy, 1996 ) Inactive stretching may be effectual in increasing the length of musculus due to the drawn-out stretching which allows the musculus spindle to accommodate over clip and cease fire. ( Gordon and Ghez, 1991 ) Muscle energy technique activates golgi sinews organ and bring forth a automatic relaxation of musculus. Ultrasound therapy increases the collagen temperature and increases the snap of tissue. Inactive stretching addition musculus length by leting musculus spindle to accommodate overtime and cease fire and besides elicits golgi tendon response. This survey concluded that musculus energy technique showed greater betterment in hamstring flexibleness than ultrasound therapy with inactive stretching in persons with hamstring stringency.V1.SUMMARY AND CONCLUSIONThe purpose of this survey was to happen out the consequence of musculus energy technique versus ultrasound therapy with inactive stretching in bettering the hamstring flexibleness in single with hamstring stringency. 30 topics were selected in the age group between 18-25 old ages after due consideration of inclusion and exclusion standards. The topics were allotted into two groups. Group A received musculus energy technique and Group B received ultrasound therapy with inactive stretching. Hamstringing flexibleness was measured by active articulatio genus extension trial. The values of result steps were recorded before the beginning of intervention government Day1 and at the terminal of intervention government Day7. Statistical analysis was done by utilizing Student ‘t ‘ trial. Paired ‘t ‘ trial was used to happen out the betterment within the group. Unpaired ‘t ‘ trial was used to happen out the difference between two groups. The consequences showed that there was a important difference between musculus energy technique and ultrasound therapy with inactive stretching in bettering the hamstring flexibleness in persons with hamstring stringency. This survey concluded that musculus energy technique is more effectual than ultrasound therapy with inactive stretching in bettering the hamstring flexibleness in persons with hamstring stringency.VII.LIMITATION AND RECOMMENDATIONThis survey is a short term survey, it is hence necessary to make a long term survey to do the consequence more valid. Hamstringing flexibleness can besides recorded by inactive articulatio genus extension trial. Sample studied was little and the survey reduces the generalising ability hence survey with a much larger population is recommended. Surveies aimed to happen out the consequence of musculus energy technique ( by utilizing station isometric relaxation ) with other electrotherapy modes such as hot battalion, short moving ridge diathermy and with other techniques like PNF, Irish burgoo ‘s grip straight leg rise technique, mutual suppression, etc can be conducted for farther research.

Friday, January 10, 2020

Family Heritage

Family is defined by the dictionary as a â€Å"fundamental social group in society typically consisting of one or two parents and their children, sharing the same goals, common ancestry and living under the same roof. † In modern times a family might consist of one or two parents of the opposite sex or two of the same sex as a growing number of countries and jurisdictions including the United States have lifted bans or have established some legal recognition for this type of â€Å"modern families† (J. Burkholder, ,. , & Burbank, P. 012) Regardless of how society defines the family structure or how families are composed they all care for the well-being and health of its members, taken greater efforts to develop healthy family structures, investing time to ensure each family member is provided with the necessary tools to become a productive and healthy member of society. Families have many factors in common, those factors is what makes them unique also gives healthcare providers clues to treat medical conditions affecting a particular family. A family medical history is important it should include information transmitted from generation to generation primarily from close relatives such as grandparents, parents, individuals own children, brothers and sisters, aunts and uncles, nieces and nephews. Knowing one’s family medical history allows taking necessary steps to potentially reduce the risk of developing a disease later on in life, even if the medical condition runs in their family; also knowing about what specific disease affects the family and how to take preventive measures, contributes to the promotion of health among family members and its recovery. Respect for each other’s beliefs is an important part of my family. The family is composed of 16 members, we practice three different religions Christian, Catholic and Judaism; religious services, birthdays and other holidays are important events for the whole family to get together. Identified three wellness and family diagnosis that can relate to my family: 1. Effective Therapeutic Regimen Management, pain under control using meditation due to poor tolerance to pain killers. Applies to my mother’s method of pain control. 2. Ineffective Health Maintenance, surgical interventions and neuropathic pain related to diabetes and uncontrolled weight. Applies to my sister’s struggle with her weight and diabetes. 3. Risk for Situational Low Self-Esteem, not feeling or seen self as beautiful related to overweight issues. Applies to my older niece and her struggle with her image and her weight.

Thursday, January 2, 2020

Analysis Of The Canterbury Tales - 1806 Words

The Canterbury Tales is a collection of twenty-four stories regarding numerous pilgrims and their pilgrimage to Canterbury written in Middle English by Geoffrey Chaucer. The subjects of these tales range from knights to the clergy to government officials. The various tales in the Work are presented in the manner of a contest at the Tabard Inn in London, in which the prize for the best story is a free meal upon their return. Chaucer’s first impressions of the Miller as a rude and sinful man continue to manifest as the tale progresses. After the Knight finishes his story and the Monk starts his, the Miller interrupts him and begins his tale, much to the disapproval of the pilgrims. Even the Miller himself warns the others that his tale will†¦show more content†¦However, this ideal of behavior is contrasted with the human reality of a cuckolded husband and his wife, for the â€Å"Knight’s courtly romance is succeeded by the Miller’s bawdy fabliau† (P opescu 32). These two tales being told in succession clearly shows the disparity between the human reality and ideal expectations during this time period. The main conflict in this this fabliau is between a Church clerk Absolon, Oxford clerk Nicholas, both of which exemplify the struggle between the ideal of the courtly lover and the reality of human sexuality. Both Absolon and Nicholas are pining over the young woman Alison, who is married to a carpenter significantly older than she. Both men are determined to get her to sleep with them, though they have very different approaches. From the very first lines, the Miller describes Nicholas as â€Å"skilled in secret love affairs† and who, after meeting the carpenter’s wife, â€Å"began with this young wife to fool and play† (Chaucer 242). While Nicholas is a very flirtatious man, Absolon, on the other hand, approaches her from the more traditional and accepted route. Rather than stooping to Nicholas’s vulga rity, he attempts to employ the â€Å"medieval discourses† of the ideal man behavior: â€Å"Christian masculinity, courtly masculinity, and discourse of the intellectual male† (Forbes 3). In fact, Absolon succeeds at many of these traits; he is a clerk of the Church, courts Alison respectfully, and is intelligent, as he canShow MoreRelatedAnalysis Of The Canterbury Tales 1189 Words   |  5 Pagessuch examples following this concept is The Canterbury Tales, written by Geoffrey Chaucer in 1478, and Frankenstein, written by Mary Shelley 1818. Three characters in The Canterbury Tales (The Wife of Bath, The Pardoner, and The Knight) and The Monster in Frankenstein have developed a talent for successful storytelling, proven by their abilities to engage the audience with their pathos and passion. While storytelling is used differently in The Canterbury Tales (as a method of entertainment) than in FrankensteinRead MoreCanterbury Tales Analysis841 Words   |  4 PagesIn th e Canterbury Tales, Chaucer gives a detailed description of what life was like in Medieval times . In the â€Å"Prologue†, the reader comes to better understand the people of the time period through the characters words and actions. Chaucer uses a variety of groups of society to give the reader a deeper insight into the fourteenth century Pilgrims customs and values. Through the Court, Common people and the Church, Gregory Chaucer gives a detailed description of ordinary life in the medieval timesRead MoreCanterbury Tales Character Analysis1988 Words   |  8 Pages The Canterbury Tales, by Geoffrey Chaucer, is a collection of tales and prologues of stories told by many characters whilst on a pilgrimage to the city of Canterbury. From religious figures such as nuns, monks and pardoners; to doctors, cooks and millers, this pilgrimage embarked on by many interesting people with stories that range from inspiring to gruesome. A few of the most predominant stories include those of the Prioress, the Summoner, the Wife of Bath, the Miller, and the Reeve. In theseRead MoreAnalysis Of The Canterbury Tales1157 Words   |  5 PagesThe Canterbury Tales, written by English poet Geoffrey Chaucer, is arguably the most notable yet controversial work of British Literature. Known as the Father of British Literature, Chaucer ultimately revolutionized both the English language and literature by refusing to follow the status quo and writing his works in Middle English instead of the more widely accepted languages at the time, such as Latin or French. Chaucer used The Canterbury Tales to target and satirize society of the Middle AgesRead MoreCanterbury Tales Analysis1124 Words   |  5 PagesIn Geoffrey Chaucer’s The Canterbury Tales, various people band together to go on a pilgrimage from England to Canterbury. Their aim is to see a shrine of St Thomas Beckett, the revered Archbishop of Canterbury who had reportedly healed others when they were ill. The pilgrims have a variety of occupations and are divided fairly evenly amongst the three estates (clergy, nobility, and commoners). The pilgrims who are members of the clergy are ironically depicted as the least moral, compared to theRead MoreCanterbury Tales Analysis1934 Words   |  8 PagesUnderstanding the Canterbury Tales Geoffrey Chaucer is considered by many scholars to by the father of early English poetry literature. Prized for his literary talent and philosophic disposition, some of his best works include The Canterbury Tales and Troilus and Criseyde (Encyclopedia of World Biography). The Canterbury Tales, in particular, shows a remarkable depiction of society during the Middle Ages. Through this piece of literary work, Chaucer provides powerful commentary the church, socialRead More Summary and Analysis of The Shipmans Tale (The Canterbury Tales)928 Words   |  4 PagesSummary and Analysis of The Shipmans Tale (The Canterbury Tales) Introduction to the Shipmans Tale: The Host asks the priest to tell a tale, but the Shipman interrupts, insisting that he will tell the next tale. He says that he will not tell a tale of physics or law or philosophy, but rather a more modest story. The Shipmans Tale: A merchant at St. Denis foolishly took a desirable woman for a wife who drained his income by demanding clothes and other fine array to make her appearRead MoreCanterbury Tales Character Analysis997 Words   |  4 Pageslanguages grants her access to the forms of power that patriarchy denies to women, establishing her character as an authoritative female through the authentication of English as a literary language. In the dissertation â€Å"Geoffrey Chaucers The Canterbury Tales: Rhetoric and Gender in Marriage,† Andrea Marcotte analyzes Chaucer’s usage of ethos to grant the Wife authority in her male-dominated culture. Marcotte argues that the Wife reflects on her experiences in marriage throughout the general prologueRead MoreCanterbury Tales Character Analysis981 Words   |  4 PagesUpon first reading of the Canterbury Tales by Geoffrey Chaucer, the reoccurring theme of social status is not blatantly obvious. Upon further reading, however, it becomes apparent that it in fact plays large role in most of the aspects of the tales. In both the Wife of Bath’s Tale and the Nun’s Priest Tale, social status plays a role in the plot, characters, and themes in order to more effectively portray the messages Chaucer is trying to get across. The underlying theme addressing social statusRead MoreCanterbury Tales Character Analysis1334 Words   |  6 PagesThe Canterbury Tales is a written work, by Geoffrey Chaucer, that is a representation of the society he lived in. His work portrays the feudal system during the medieval times and how each level of livelihood was a character, whose personalities reflect how Chaucer and his culture view them. During his time, his society regarded the Christian Church as corrupt and manipulative, with a few clergy who are honest and genuine in their exertion. Therefore, the ecclesiastical persona has the dispositions