www.eposterboards.com Acute Rhinosinusitis • Sudden onset of symptoms (<12 weeks) include anterior/posterior mucopurulent discharge PLUS nasal obstruction/pressure/pain • RS is the 5 th most common diagnosis in the U.S. for which antibiotics are prescribed • Typically viral etiology, but can be bacterial, fungal or allergic • Regardless of etiology, antibiotics are prescribed to 85-98% of patients in the US Antibiotics • Antibiotics have been the standard treatment for Acute Rhinosinusitis even though the typical etiology is viral 2 . With the rise of antibiotic resistant organisms, exploring other potential treatment options is important and necessary. Physical activity • Physical activity has long been known to improve the general health of individuals who routinely engage in it 1 . • Several recent studies have shown that consistent physical activity can improve the course of several chronic diseases such as cancer 1 , diabetes 1 , and heart disease 1 . • We hope to determine if chronic physical activity can improve the course of acute cases of rhinosinusitis. Introduction Methods Setting Patients reporting to the clinic with nasal obstruction or facial pain/pressure/fullness AND anterior or posterior mucopurulent drainage were enrolled as patients with acute rhinosinusitis. Patients presenting to the clinic without those symptoms were enrolled as healthy controls. Patients were then asked to report their level of physical activity within the last 6 months and were divided into only 4 groups based on level of physical activity. Patients then monitored and recorded their symptoms every morning and evening for 1 week using the SNOT-20 questionnaire. Our hypothesis is that a recent history of routine physical activity will reduce symptom severity, time to symptom resolution, and inflammatory markers in patients with acute rhinosinusitis in comparison to patients who do not routinely exercise. The Effects of Routine Exercise on Acute Rhinosinusitis Hayden White OMS-II; Chelsea Weidman, M.S.; Jillian Bradley Ph.D. The study is being performed at two sites of a direct- payment outpatient clinic. Both sites are in the same mid- sized, manufacturing and industrial, rural town. Hypothesis Edward Via College of Osteopathic Medicine – Carolinas Campus Demographics Inclusion Criteria Exclusion Criteria Ages 18-70 Temperature ≥ 102.5°F Presenting with acute RS Used topic antibiotics within last 30 days OR Healthy (control) Taken oral antibiotics within last 15 days Independently read the informed consent form Has a comorbidity, taking antibiotics or antiviral therapy Needs to be hospitalized Is currently pregnant, nursing or suspect they may be pregnant Bone fractures to the face or neck Visible nasal polyps, abscesses, incisions Patient eligibility Category Amount of physical activity Minimal Physical Activity >30 minutes a week Mild Physical Activity 30 minutes 1-2 days a week Moderate Physical Activity 30 minutes 3-4 days a week Heavy Physical Activity <1 hour 4 or more days a week Physical activity categories TAP TO GO BACK TO KIOSK MENU
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The Effects of Routine Exercise on Acute Rhinosinusitis ... · Hayden White OMS-II; Chelsea Weidman, M.S.; Jillian Bradley Ph.D. The Effects of Routine Exercise on Acute Rhinosinusitis
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