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Talonavicular Subchondral Fracture Healing on MRI Post Single Autologous Fat-Derived Expanded Mesenchymal Stem Cell Therapy: A Case Report 自体脂肪源性间充质干细胞治疗后距舟骨软骨下骨折的MRI愈合:1例报告
Pub Date : 2023-01-01 DOI: 10.37722/aoasm.2023201
H. Mubark
A talonavicular fracture is a form of foot fracture that involves the talus and the navicular bones. This sort of fracture is typically triggered by a sudden injury. Management of talonavicular fracture commonly involves immobilizing the foot and ankle with a cast or brace to allow the bones to heal properly. In some instances, surgery could be necessary to realign the bones to ensure appropriate healing. This article presents a middle-aged female, a professional Pilates teacher who suffered an injury to her left talonavicular joint (TNJ) which led to chondral injury and subchondral talar fracture, with an accelerated traumatic TNJ osteoarthritis. She had significant symptoms that interfered with her daily activities and work. She failed anti-inflammatory medicine, intra-articular steroid, and platelet-rich plasma (PRP) combined with hyaluronic acid injections. She was offered surgical debridement of cartilage and fusion of the TNJ, instead, she elected experimental intra-articular autologous fat-derived expanded mesenchymal (MSCs) combined with PRP. She reported dramatic clinical improvement two months post-therapy, and a gradual return to her loved work with an MRI six months post-treatment revealing bone remodeling and complete healing of the fracture with associated articular and peri-articular high signals hypothesizing inflammatory healing response rather than the pathological inflammation given she had significant improvement of her clinical presentation and function. This case demonstrates the use of MSC therapy combined with PRP as a non-surgical approach in traumatic chondral injuries and subchondral fracture letting joint fusion as a last resort. Of note, she failed the intra-articular trial of PRP combined with hyaluronic acid while a positive result was achieved when expanded MSCs were combined with PRP as a superior regenerative therapy. We need a large randomized controlled trial to confirm our findings.
距舟骨骨折是一种涉及距骨和舟骨的足部骨折。这种骨折通常是由突然受伤引起的。距舟骨骨折的治疗通常包括用石膏或支架固定足部和踝关节,以使骨头正常愈合。在某些情况下,手术可能是必要的,以重新调整骨骼,以确保适当的愈合。本文介绍一位中年女性,专业普拉提教师,她的左距舟关节(TNJ)受伤,导致软骨损伤和软骨下距骨骨折,并伴有创伤性TNJ骨关节炎。她有严重的症状,影响了她的日常活动和工作。消炎药、关节内类固醇、富血小板血浆(PRP)联合透明质酸注射失败。她接受了手术软骨清创和TNJ融合,取而代之的是,她选择了实验性关节内自体脂肪源性间充质细胞(MSCs)联合PRP。治疗后2个月,患者的临床表现显著改善,治疗后6个月,MRI显示骨重塑和骨折完全愈合,相关关节和关节周围高信号假设炎症愈合反应,而不是病理性炎症,因为她的临床表现和功能有显著改善。本病例展示了骨髓间充质干细胞联合PRP作为外伤性软骨损伤和软骨下骨折的非手术治疗方法,使关节融合成为最后的手段。值得注意的是,她在PRP联合透明质酸的关节内试验中失败,而当扩大的MSCs与PRP联合作为一种优越的再生疗法时,取得了积极的结果。我们需要一个大型的随机对照试验来证实我们的发现。
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引用次数: 0
Territorial Model of Integrated Epidemical Control as a Functional Standard of a Practical Epidemiology 作为实用流行病学功能标准的传染病综合控制地域模型
Pub Date : 2022-01-01 DOI: 10.37722/aoasm.2022403
A. Andryan
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引用次数: 0
Volatility of Public Interest in Orthopaedics during the COVID-19 Pandemic COVID-19大流行期间公众对骨科兴趣的波动
Pub Date : 2022-01-01 DOI: 10.37722/aoasm.2022401
Maxwell Davison-Kerwood, Elana Gordy, J. Tafur, Y. Lin, Nicholas Boroda, Mark H. Gonzalez*
Background: Several studies have demonstrated the decrease of public interest in elective orthopaedic surgeries throughout the beginning and middle of the COVID-19 pandemic, but none have assessed the return, if any, of public interest as the pandemic has progressed. Questions/Purpose: Apply a user-friendly tool and replicable methodology to (1) determine differential impacts of COVID-19 on search frequencies for exploratory and interventional search terms; (2) evaluate if public interest towards some common orthopaedic symptoms and their respective elective procedures have returned to pre-pandemic baseline. Method: Google search frequencies for common orthopaedic procedures and symptoms were extracted from Google Extended Trends for Health (GETH) between January 7th, 2018, and January 15th, 2022, using the Google Trends Information Extraction Tool. Queried terms were split into two categories: exploratory and interventional. Control limit analysis was performed for each search term to determine special cause variations and assess any recovery. Results: All search terms saw significant decreases the week of March 15th, 2020, and five of the six saw at least one more drop during the 2020 holiday season. Search volumes for exploratory terms initially fell less and recovered nearly four times faster compared to search volumes for interventional terms, but volatility of public interest was seen until the end of the study window. Conclusions: Public interest in elective orthopaedic procedures continues to be chaotic during this pandemic. This study is the first to assess the initial recovery of public interest in elective orthopaedic procedures in the COVID-19 era using a novel application of the Google Trends Information Extraction Tool and provides a timely update on changes in public perception as the pandemic has progressed. These results can be used to better understand, quantify, and potentially anticipate the interests of the national patient population and tailor care, public outreach programs, or policy based on real-time search trends.
背景:几项研究表明,在COVID-19大流行的开始和中期,公众对选择性骨科手术的兴趣有所下降,但没有一项研究评估了随着大流行的发展,公众兴趣的恢复(如果有的话)。问题/目的:应用用户友好的工具和可复制的方法来(1)确定COVID-19对探索性和介入性搜索词搜索频率的不同影响;(2)评估公众对一些常见骨科症状及其各自选择程序的兴趣是否已恢复到大流行前的基线水平。方法:使用谷歌趋势信息提取工具,从2018年1月7日至2022年1月15日的谷歌扩展健康趋势(GETH)中提取常见骨科手术和症状的谷歌搜索频率。查询的术语分为两类:探索性和干预性。对每个搜索项进行控制极限分析,以确定特殊原因变化并评估任何回收率。结果:2020年3月15日当周,所有搜索词的搜索量都出现了显著下降,6个搜索词中有5个在2020年假期期间的搜索量至少又下降了一次。与介入性术语的搜索量相比,探索性术语的搜索量最初下降较少,恢复速度快近四倍,但直到研究窗口结束,公众兴趣的波动性才被发现。结论:在这次大流行期间,公众对选择性骨科手术的兴趣仍然是混乱的。本研究首次利用谷歌趋势信息提取工具的新应用,评估了COVID-19时代公众对选择性骨科手术兴趣的初步恢复情况,并及时提供了随着大流行的进展公众看法变化的最新信息。这些结果可用于更好地理解、量化和潜在地预测全国患者群体的利益,并根据实时搜索趋势定制护理、公共推广计划或政策。
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引用次数: 0
Athletic Monitoring in Basketball: A Qualitative Exploratory Approach 篮球运动监测:定性的探索性方法
Pub Date : 2022-01-01 DOI: 10.37722/aoasm.2022302
B. Serrano, M. Comer, Geoff Puls
The competitiveness of sport continues to increase with the corollary increase in sport technology. Sport technology is an umbrella that encompasses biometrics, wearable technology, and data analytics. Central to sport technology is a close relative, sport analytics. If sport technology is the general term for measuring what the athlete is experiencing from a performance standpoint, then sport analytics is the process of cleaning, processing, and manipulating these variables into meaningful output. The number of variables that can be collected are extensive but can be generally categorized into internal and external metrics. Internal metrics seek to measure how the athlete responds to training load (HR, HRV, Hormones, Sleep patterns). External metrics seek to measure how much work the athlete is performing (Live player tracking, Countermovement Jump, Isometric Mid-Thigh Pull). Internal and external metrics are continually evolving in the manner they are collected which depends on the time, resources, and staff allocation of an organization. This is where the collaboration between sport scientists and sport performance staff can come together to overlay variables and find relationships. There is no correct way to analyze data because each organization will have their own goals. For example, data could be used for injury mitigation, readiness assessment, or simply to establish baseline values. Some common statistical techniques that can be used include correlation, regression, and principal component analysis (PCA). However, performing these calculations may be complex and some organizations may lack a practitioner which can limit their ability to use data. In seeing this gap, the authors propose a qualitative approach to workload monitoring made for basketball but can be applied to most sports. The purpose of this paper is to empower sports performance staffs to learn and implement the basics of qualitative athletic monitoring approach.
随着体育技术的必然提高,体育的竞争力也在不断提高。体育技术是一个涵盖生物识别、可穿戴技术和数据分析的保护伞。体育技术的核心是一个近亲,体育分析。如果体育技术是从表现角度衡量运动员体验的总称,那么体育分析就是清理、处理和操纵这些变量以产生有意义的输出的过程。可以收集的变量数量很多,但通常可以分为内部和外部度量。内部指标旨在衡量运动员对训练负荷的反应(HR, HRV,激素,睡眠模式)。外部指标旨在衡量运动员进行了多少训练(实时运动员跟踪、反向跳跃、等距大腿中部拉)。内部和外部度量标准的收集方式不断发展,这取决于组织的时间、资源和人员分配。这就是运动科学家和运动表现人员之间的合作可以聚集在一起,覆盖变量并找到关系的地方。没有正确的方法来分析数据,因为每个组织都有自己的目标。例如,数据可用于减轻伤害、评估准备情况,或仅用于建立基线值。可以使用的一些常见统计技术包括相关性、回归和主成分分析(PCA)。然而,执行这些计算可能是复杂的,一些组织可能缺乏从业者,这可能限制他们使用数据的能力。在看到这种差距后,作者提出了一种定性的方法来监测篮球的工作量,但可以应用于大多数运动。本文的目的是使运动绩效工作人员能够学习和实施定性运动监测方法的基本知识。
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引用次数: 0
Motor Education and Intervention Strategies for the Autistic Child, Modeling of the Psychomotor Therapist's Skills and Construction of the Intervention Plan 自闭症儿童的运动教育与干预策略,心理运动治疗师技能的塑造与干预计划的构建
Pub Date : 2021-01-01 DOI: 10.37722/aoasm.2021403
Kacem Nejah, Naffeti Chokri, Grayri Ramzi, Elloumi Ali
The goal of our study is to empower people with autism to communicate and understand the world around them. It is about teaching skills and developing autonomy in life in society based on an education oriented to psychomotor intervention strategies while taking into account the particularities of the autistic person and the model of pedagogical and psychosocial skills of the teacher to create the best conditions, This by relying especially on the curriculum of the ESDM (Early start Denver model. Rogers, S., Dawson, G., 2013) [1] focused on the development of cognitive skills, including access to symbolism and communication for the construction of the intervention plan. Our work therefore ensures the development of a model of professional skills of the teacher in charge of building an intervention plan for autistic children in Tunisia. The aim of the programmed is to avoid this pathological process: The objective of this model is to reintegrate the child into the social loop, teaching him the basic elements of social life and filling the learning gaps that have accumulated over time The results show that the role of teachers tasked with developing the social and pedagogical skills of people with autism is based much more on the mode Active motor communication and adequate transfer of knowledge direct towards cooperation and understanding whose aim is integration and adaptation, learning is therefore a means and action of knowledge transfer which is only one component of the model of professional identification skills of the teacher.
我们研究的目的是让自闭症患者能够沟通和理解他们周围的世界。它是关于教学技能和发展在社会生活中的自主性,基于以心理运动干预策略为导向的教育,同时考虑到自闭症患者的特殊性,以及教师的教学和社会心理技能模式,以创造最佳条件,这尤其依赖于ESDM(早期开始丹佛模式)的课程。Rogers, S., Dawson, G., 2013)[1]关注认知技能的发展,包括对符号和沟通的获取,以构建干预计划。因此,我们的工作确保了负责为突尼斯的自闭症儿童制定干预计划的教师的专业技能模式的发展。程序的目的是避免这种病理过程:该模型的目标是将儿童重新融入社会循环,教他社会生活的基本要素,填补长期积累的学习空白。结果表明,教师的任务是发展自闭症患者的社会和教学技能,其作用更多地基于主动运动沟通和充分的知识转移,直接走向合作和理解,其目的是整合和适应。因此,学习是知识转移的一种手段和行动,而知识转移只是教师专业认同技能模型的一个组成部分。
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引用次数: 0
Conceptual Tools to Think Man 思考人的概念工具
Pub Date : 2021-01-01 DOI: 10.37722/aoasm.2021402
F. Almada, C. Fernando, António Vicente
But crisis, as Thomas Kuhn tells us, is not something bad that we need to exorcise to improve our lives. Crisis, according to Kuhn, is an important step in the development process that alerts us to dysfunctions that we have already felt (which means that we have already identified the problem) and which leads, consequently, to search for solutions that allow us to overcome the difficulties we face.
但正如托马斯•库恩(Thomas Kuhn)告诉我们的那样,危机并不是我们需要驱除才能改善生活的坏事。根据库恩的说法,危机是发展过程中的一个重要步骤,它提醒我们注意我们已经感觉到的功能失调(这意味着我们已经发现了问题),并因此导致我们寻找解决方案,使我们能够克服我们所面临的困难。
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引用次数: 0
Effects of Acute Creatine Monohydrate Supplementation on Arterial Stiffness and Muscle Oxygen Saturation in Young Men 急性补充一水肌酸对年轻男性动脉僵硬度和肌肉氧饱和度的影响
Pub Date : 2021-01-01 DOI: 10.37722/aoasm.2021401
C. Gimblet, T. Pellinger, J. Lamanca, A. Ortlip, M. Vance, M. Shepherd, Aaron T. Moore, T. Staudmyer, Z. Townsend, T. Werner
There are some important issues relating to the impact of acute creatine monohydrate supplementation on AS in the major elastic arteries and lower leg anterior compartment pressure. This study investigated the effects of acute creatine monohydrate supplementation on arterial stiffness (AS) and skeletal muscle oxygen saturation (SmO2) in young men. A total of 20 male, physically active participants were randomized in a double-blind fashion to placebo (PL) (n=10, 22.9±3.1 yrs) or creatine (CM) (n=10, 21.3±1.8yrs) groups. Subjects received 0.3 g/kg/day creatine monohydrate or placebo in gelatin capsules for 7 days. Ultrasonography of the carotid artery, applanation tonometry, submaximal exercise tests (10-minute treadmill activity at 3.7 mph and 9% incline), and SmO2measurements were conducted at baseline and on day 7 of the study period. There was a significant time effect (P<0.05) in the CM group on central systolic blood pressure (cSBP) (130±22 mmHg to 112±38 mmHg), central pulse pressure (cPP) (64±21 mmHg to 58±21 mmHg) and arterial compliance (AC) (1.09±0.35 mm2/mmHg x 10-1to 0.86±0.85 mm2/mmHg x 10-1). Using a randomly controlled, doubleblind trial, acute creatine supplementation does appear to impact vascular compliance or oxygen saturation in skeletal muscle in young, healthy males.
关于急性补充一水肌酸对主要弹性动脉和小腿前室压力的影响,有一些重要的问题。本研究探讨了急性补充一水肌酸对年轻男性动脉僵硬度(AS)和骨骼肌氧饱和度(SmO2)的影响。共有20名男性,体力活动参与者以双盲方式随机分为安慰剂(PL)组(n=10, 22.9±3.1年)或肌酸(CM)组(n=10, 21.3±1.8年)。受试者服用0.3 g/kg/天的一水肌酸胶囊或安慰剂,持续7天。在基线和研究期的第7天进行颈动脉超声检查、压平血压计、亚极限运动测试(以3.7 mph和9%倾斜度在跑步机上活动10分钟)和smo2测量。CM组中央收缩压(cSBP)(130±22 mmHg ~ 112±38 mmHg)、中心脉压(cPP)(64±21 mmHg ~ 58±21 mmHg)、动脉顺应性(AC)(1.09±0.35 mm2/mmHg × 10-1 ~ 0.86±0.85 mm2/mmHg × 10-1)有显著的时间效应(P<0.05)。在一项随机对照双盲试验中,急性肌酸补充确实会影响年轻健康男性骨骼肌的血管顺应性或氧饱和度。
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引用次数: 1
Association of Baseline Patient-Reported Outcome Measures with Comorbidities in Patients Undergoing Elective Shoulder Arthroscopy 选择性肩关节镜患者报告的基线结果与合并症的关系
Pub Date : 2021-01-01 DOI: 10.37722/aoasm.2021502
Sheena J. Amin, Steven DeDroda, J. Gil, M. Mulcahey
Shoulder pathology causes debilitating pain and can prevent individuals from participating in their activities of daily living. Following appropriate evaluation and failure of non-operative management, elective shoulder arthroscopy may be performed to alleviate symptoms in these patients. The purpose of this study was to determine the relationship between baseline patient-reported outcome measures (proms) and demographics, social factors, and medical comorbidities in patients undergoing elective shoulder arthroscopy.
肩部病理导致衰弱的疼痛,并可以阻止个人参与日常生活的活动。经过适当的评估和非手术治疗失败后,选择性肩关节镜检查可以缓解这些患者的症状。本研究的目的是确定基线患者报告的结果测量(proms)与人口统计学、社会因素和择期肩关节镜患者的合并症之间的关系。
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引用次数: 0
Examining Changes in Electromyography during Swing Performance in Various Strike Zone Locations of Collegiate Baseball Players 研究大学棒球运动员在不同好球带位置挥杆时肌电图的变化
Pub Date : 2021-01-01 DOI: 10.37722/aoasm.2021202
Charles C. Williams, Paul T. Donahue, Samuel J Wilson, J. Mouser, C. Hill, Lauren A. Luginsland, J. Gdovin, Chip Wade, John C. Garner
Swinging a bat is considered a sequential movement requiring coordinated muscle activation during each movement phase. There are a limited number of studies investigating swing performance as it relates to electromyography. The purpose of this study was to investigate the muscle activation pattern of the stride leg in respect to the phases within the swing and throughout the various locations within the strike zone in collegiate baseball players. Surface electromyography (EMG) examined the muscle activation patterns of the stride leg gluteus maximus (GM), vastus medialis (VMO), semitendinosus (H), medial gastrocnemius (MG), and tibilais anterior (TA) in 13 Division I college baseball players. The swing was broken down into three distinct phases for analysis (stride, transition, swing) determined by the use of a motion capture system. Participants completed counterbalanced swing trials in various locations of their respective strike zone. Repeated measures ANOVA were used to examine possible differences in EMG over the strike zone independent of each phase of the swing. Significant main effect differences in percent activation and mean muscle activity of the lower extremity were seen in trials completed at various tee heights and tee placements within their respective strike zone independent of swing phase (p<.05). Significant main effect differences in percent activation were also seen in the phases of the swing for the VMO, H, MG and TA (p<0.05). This information can provide insight to strength and conditioning professionals to focus on sport specific exercises within these distinct phases of the swing.
挥棒被认为是一个连续的运动,在每个运动阶段需要协调的肌肉激活。有有限数量的研究调查挥拍表现,因为它与肌电图有关。本研究的目的是研究大学棒球运动员在挥拍阶段和好球区内不同位置的跨步腿肌肉激活模式。表面肌电图(EMG)检测了13名甲级大学棒球运动员跨腿臀大肌(GM)、股内侧肌(VMO)、半腱肌(H)、腓骨内侧肌(MG)和胫前肌(TA)的肌肉激活模式。秋千被分解成三个不同的阶段进行分析(跨步,过渡,摇摆),由运动捕捉系统确定。参与者在各自好球带的不同位置完成了平衡挥杆试验。使用重复测量方差分析来检查独立于挥拍的每个阶段的打击区肌电图的可能差异。在不同发球台高度和发球台位置完成的试验中,与挥杆阶段无关,在不同击球区完成的试验中,下肢的激活百分比和平均肌肉活动的显著主效应差异(p< 0.05)。VMO、H、MG和TA在摇摆阶段的激活率也存在显著的主效应差异(p<0.05)。这些信息可以为力量和调节专业人士提供洞察力,以便在这些不同的挥杆阶段专注于特定的运动练习。
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引用次数: 0
Comparing Responsibilities between Outreach and Staff Secondary School Athletic Trainers 外展与教职员中学运动教练之责任比较
Pub Date : 2021-01-01 DOI: 10.37722/aoasm.2021302
T. Brown, Ronald James Ting, V. Fiaud
Context: Athletic trainers working in the secondary school setting is work can be hired through the institutions themselves or outreach through various clinics. Recently, researchers have found discrepancies in the job descriptions for athletic trainers can affect their ability to perform their necessary duties. Objective: To compare the differences in duties, job descriptions, and satisfaction between athletic trainers employed in the secondary school setting through outreach contracts and those employed by the schools or districts. Design: Cross-sectional study. Setting: Web-based online survey. Patient or Other Participants: A total of 82 individuals answered the survey, 68 of which identified themselves as certified athletic trainers working in the secondary school setting. Results: Many athletic trainers who had similar expectations in their hours or job descriptions to their actual duties had higher job satisfaction than those who did not. There was no difference found between athletic trainers who were outreach and those who were staff athletic trainers. Conclusions: Accuracy of job descriptions and expectations had positive job satisfaction. We believe that if athletic trainers are given appropriate job descriptions and expectations concerning their roles on campus, they will be better equipped to perform as needed.
背景:在中学环境中工作的体育教练可以通过机构本身或通过各种诊所外展来雇佣。最近,研究人员发现,运动教练职位描述中的差异会影响他们履行必要职责的能力。目的:比较外联合同聘用的中学体育教练员与学校或地区聘用的体育教练员在职责、工作描述和满意度方面的差异。设计:横断面研究。设置:基于网络的在线调查。患者或其他参与者:共有82人回答了调查,其中68人自称是在中学工作的认证运动教练。结果:许多对工作时间或工作描述的期望与实际职责相似的运动教练比那些没有相似期望的运动教练有更高的工作满意度。外展运动教练和教职员运动教练之间没有发现差异。结论:工作描述的准确性和期望对工作满意度有正向影响。我们相信,如果体育教练被给予适当的工作描述和对他们在校园中的角色的期望,他们将更好地按照需要表现。
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引用次数: 0
期刊
Advances in Orthopedics and Sports Medicine
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