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EVALUATION OF NASOPHARYNGEAL CARCINOMA CELLS TREATED WITH REPEATED DOSING OF EPIGALLOCATECHIN-3-GALLATE, THYMOQUINONE, OR 5 – FLUOROURACIL 重复给药表没食子儿茶素-3-没食子酸酯、百里醌或5 -氟尿嘧啶治疗鼻咽癌细胞的评价
Pub Date : 2022-07-15 DOI: 10.34107/lwwj5713186
S. Williams, M. Tucci, H. Benghuzzi
Nasopharyngeal carcinoma (NPC) is a malignancy arising from the epithelium of the nasopharynx. Ethnic background, being exposed to the Epstein Barr virus, and increased alcohol use are risk factors for the development of NPC. The majority of patients are diagnosed when the cancer has spread beyond the local area. Radiation therapy, chemotherapy, and surgery are options for treating NPC and are dependent upon location and stage of the disease. Although NPC is a radiosensitive tumor, long-term survival for patients with advanced disease remains poor. The goal of this study was to determine if natural products (thymoqunione (TQ) and Epigallo-catechin-3-gallate (EgCg)) when given by continuous delivery methods rather than a single dose method would destroy cells over a shorter period of time than conventional delivery. The FaDu squamous cell carcinoma cell line was used to test repeated doses of natural (EgCg and TQ) drugs to determine if repeated doses would be as effective at destroying cancer cells as repeated doses of a known chemotherapeutic (5-FU) drug. Cells were treated repeatedly with IC50 concentrations of EgCg, TQ, and 5-FU at 24, 48, and 72 hours. Cells showed similar levels of cellular reduction at 72 hours. Increases in cellular membrane damage were observed in all treated groups with a significant difference seen in 5-FU treated cells compared to EgCg and TQ treated cells. Nitric oxide levels increased in a time dependent manner in EgCg and TQ treated groups. Overall, EgCg and TQ were proved they are as effective as 5-FU in cellular reduction and disrupting cellular function.
鼻咽癌是一种发生于鼻咽上皮的恶性肿瘤。民族背景、暴露于eb病毒和饮酒增加是鼻咽癌发生的危险因素。大多数患者在癌症扩散到局部以外时才被诊断出来。放疗,化疗和手术是治疗鼻咽癌的选择,取决于疾病的位置和分期。虽然鼻咽癌是一种放射敏感的肿瘤,但晚期患者的长期生存率仍然很低。本研究的目的是确定天然产物(胸腺醌(TQ)和表没食子儿茶素-3-没食子酸酯(EgCg))在连续给药而不是单次给药的情况下,是否会在较短的时间内破坏细胞。FaDu鳞状细胞癌细胞系被用来测试重复剂量的天然(EgCg和TQ)药物,以确定重复剂量是否与重复剂量的已知化疗(5-FU)药物一样有效地破坏癌细胞。在24、48和72小时用IC50浓度的EgCg、TQ和5-FU反复处理细胞。在72小时内,细胞显示出类似水平的细胞减少。在所有处理组中都观察到细胞膜损伤的增加,与EgCg和TQ处理的细胞相比,5-FU处理的细胞有显著差异。在EgCg和TQ处理组中,一氧化氮水平呈时间依赖性增加。总的来说,EgCg和TQ被证明在细胞减少和破坏细胞功能方面与5-FU一样有效。
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引用次数: 0
HAPT-EDGE: HAPTICS IN SOFT EFFECTORS FOR SMART INTERACTIVE ASSISTIVE FRAMEWORKS HAPT-EDGE:用于智能交互式辅助框架的软效应器中的触觉
Pub Date : 2022-07-15 DOI: 10.34107/lwwj5713162
P. Sundaravadivel, Ashton Fitgerald, P. Ghosh, Md. Sharif Ahmed
Tactile sensors help in modeling the intrinsic and external touch sensation. Tactile sensing can refer to the touch in multiple points of contact and refer to the process of detecting and measuring a given property of a contact event in a predetermined area at multiple points of contact. The Haptic system helps in creating a “sense of touch” about the environment through stimuli at a single contact point. Effectors are the end point of robotic frameworks that interact with the real world. From prosthetic hands to precision grippers, effectors made of soft flexible materials have been used for various biomedical applications. The research goal of this project is to integrate haptics in soft effectors for two-way communication in an assistive framework. In this research, we will investigate the use of haptics for creating environmental awareness and for taking the user input. Modeling the user input using the haptics will include interpreting the hand gestures. The proposed framework will use the haptic signals at specific frequencies to provide sensor feedback and interpret the user’s hand gestures as user inputs for navigation assistance. In implementing such a framework, the research will also focus on the use of micro actuators or vibration motors for providing precise feedback. The framework will include custom-made soft effectors, robotic cane/walker, algorithms to model the user input, actuators, and vibration sensitive filaments for closing the loop. This research will significantly contribute to the next generation mobility assistive frameworks with interactive feature.
触觉传感器有助于对内在和外在触摸感觉进行建模。触觉感测可以指多个接触点中的触摸,并且指在多个接触点将预定区域中的接触事件的给定性质检测和测量的过程。触觉系统有助于通过单个接触点的刺激来创造对环境的“触觉”。效应器是与现实世界交互的机器人框架的终点。从假手到精密夹具,由柔软柔性材料制成的效应器已被用于各种生物医学应用。该项目的研究目标是将触觉集成到软效果器中,以便在辅助框架中进行双向交流。在这项研究中,我们将研究触觉在创造环境意识和获取用户输入方面的应用。使用触觉对用户输入建模将包括解释手势。所提出的框架将使用特定频率的触觉信号来提供传感器反馈,并将用户的手势解释为导航辅助的用户输入。在实施这样一个框架时,研究还将侧重于使用微致动器或振动电机来提供精确的反馈。该框架将包括定制的软效应器、机器人拐杖/助行器、对用户输入建模的算法、致动器和用于闭合回路的振动敏感细丝。这项研究将为下一代具有交互功能的移动辅助框架做出重大贡献。
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引用次数: 2
THE CERIUM OXIDE GENERATED RADICAL ELIMINATION PROPERTIES OF PEG-NANOCERIA 氧化铈生成的PEG-noceria自由基消除性能
Pub Date : 2022-07-15 DOI: 10.34107/lwwj5713200
Jonna Shephard, C. Spivey, K. White, Vijay Mohakar, V. Reukov
Reactive oxygen species (ROS) have been linked to cellular degeneration, irreversible DNA damage, and various diseases. Cerium oxide nanoparticles have shown promising medical applications for their SOD mimetic activity to catalyze the breakdown of various ROS. Increasing the biocompatibility, longevity of residence, and rate of internalization of nanoceria are essential to increase its range of biomedical applications. Polyethylene glycol’s (PEG) hydrophilic, nonimmunogenic, and antioxidative properties make it an ideal coating for increasing cerium nanoparticle’s applicability. Gelatin’s low cost and versatility have made it widely employed as an antioxidant drug carrier in a variety of physiological systems. Because of gelatin’s susceptibility to ROS denaturation and well-researched structure, it is a useful tool for assessing conformational damage in applications that involve acute oxidative stress. PEG-nanoceria of various molar weights was synthesized from Ce (III) nitrate and incorporated into gelatin hydrogels that were exposed to hydrogen peroxide to provide oxidative stress damage. This study aims to assess changes to gelatin conformation were assessed using Fourier transform infrared spectroscopy. PEGNanoceria showed radical damage mitigation in hydrogels as evident by the decreased change in transmittance over its nonPEG counterpart. There was notably exceptional damage mitigation in the amide A and amide II regions. These promising findings suggest more research should be done to examine polymer-coated nanoceria’s antioxidative properties in more biologically relevant models.
活性氧(ROS)与细胞退化、不可逆DNA损伤和各种疾病有关。氧化铈纳米颗粒具有模拟SOD的活性,可以催化各种活性氧的分解,因此在医学上具有很好的应用前景。提高纳米微球的生物相容性、停留时间和内化率是扩大其生物医学应用范围的必要条件。聚乙二醇(PEG)的亲水性、非免疫原性和抗氧化性使其成为提高铈纳米颗粒适用性的理想涂层。明胶的低成本和多功能性使其作为抗氧化药物载体广泛应用于各种生理系统。由于明胶对活性氧变性的敏感性和充分研究的结构,它是评估急性氧化应激应用中构象损伤的有用工具。以硝酸铈(III)为原料合成了不同摩尔质量的聚乙二醇纳米粒,并将其掺入明胶水凝胶中,使其暴露于过氧化氢中以产生氧化应激损伤。本研究旨在评估明胶构象的变化,利用傅里叶变换红外光谱进行评估。PEGNanoceria在水凝胶中表现出自由基损伤缓解,其透过率变化明显低于非peg对应物。在酰胺A和酰胺II区域有明显的特殊损害缓解。这些有希望的发现表明,在更多生物学相关的模型中,应该进行更多的研究来检验聚合物涂层纳米微球的抗氧化特性。
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引用次数: 0
STRESSORS & MENTAL HEALTH AMONG COLLEGE STUDENTS ON HBCU & PBI CAMPUSES HBCU和PBI校园大学生的压力源与心理健康
Pub Date : 2022-07-15 DOI: 10.34107/lwwj5713120
Lashanda Brumfield, M. Sandifer
Introduction: As of 2019, the Annual Report of the Center for Collegiate Mental Health [2] reported that anxiety continues as the most common problem among students who completed the Counseling Center Assessment of Psychological Symptoms, with 67.7% of 82,685 respondents participating in the report. Clinicians also reported that anxiety continues to be the most common diagnosis among students seeking services at on-campus counseling centers. Mental illness can affect students’ motivation, concentration, social interactions, and college success [1]. The effects of the lockdown and stay-at-home orders have brought a negative impact on higher education. It has brought into focus the mental health of various affected populations and the many disparities facing them, as well as the need for more programming aimed to serve students at historically black universities. A recent review of virus outbreaks and pandemics documented stressors such as infection fears, frustration, boredom, inadequate supplies, inadequate information, financial loss, and stigma [5]. Much of the current literature on the psychological impacts of COVID-19 has emerged from the earliest hot spots in China [6,10,11]. Although several studies have assessed mental health issues during epidemics, most have focused on health workers, patients, children, and the general population [6,7]. Review results support a baseline need for future HBCU studies to support anticipated funding by way of applied grants, to better serve the disparities faced by the students on an HBUC & a PBI campus, as a result of Mental Illness.
引言:截至2019年,大学心理健康中心的年度报告[2]报告称,在完成咨询中心心理症状评估的学生中,焦虑仍然是最常见的问题,82685名受访者中有67.7%参与了该报告。临床医生还报告说,在寻求校内咨询中心服务的学生中,焦虑仍然是最常见的诊断。精神疾病会影响学生的动机、注意力、社交互动和大学成功[1]。封锁和居家令的影响给高等教育带来了负面影响。它关注了各种受影响人群的心理健康和他们面临的许多差异,以及需要更多旨在为历史上黑人大学的学生服务的节目。最近对病毒爆发和流行病的审查记录了压力源,如感染恐惧、沮丧、无聊、供应不足、信息不足、经济损失和耻辱[5]。目前关于新冠肺炎心理影响的许多文献都来自中国最早的热点[6,10,11]。尽管有几项研究评估了流行病期间的心理健康问题,但大多数研究都集中在卫生工作者、患者、儿童和普通人群[6,7]。审查结果支持了未来HBCU研究的基线需求,以通过申请助学金的方式支持预期资金,更好地解决HBUC和PBI校园学生因精神疾病而面临的差异。
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引用次数: 0
CHANGES TO ROTATOR CUFF MUSCLE LENGTH DURING ABDUCTION AFTER SUPERIOR CAPSULAR RECONSTRUCTION (SCR) AND REVERSE TOTAL SHOULDER ARTHROPLASTY (RTSA) 上囊重建和反向全肩关节置换术后外展时肩袖肌长度的变化
Pub Date : 2022-07-15 DOI: 10.34107/lwwj5713213
E. Hu, M. Dolan, J. Koh, F. Amirouche
The rotator cuff (RC) is a group of four muscles that helps maintain dynamic stability of the glenohumeral joint and provides force rotation of the shoulder [1]. Rotator cuff tears are a common injury that may result in pain and limited joint stability [1]. Superior capsular reconstruction (SCR) and reverse total shoulder arthroplasty (rTSA) are two popular treatment options for complete RC tears that can improve abduction strength and mobility [2,3]. During joint rotation, the change in muscle length, or excursion, can be used to assess muscle function [4]. This study aims to measure muscle excursion during shoulder abduction in SCR/rTSA repaired shoulders to demonstrate their biomechanical contributions during limb movement after surgery. The experiment was performed using an apparatus to abduct six cadaveric shoulders under three conditions: intact, SCR, and rTSA. Digital points were tracked at muscle origin and insertion to calculate muscle length. While the supraspinatus no longer contributes to abduction after rTSA, our results showed significantly greater values of theoretical excursion compared to the intact shoulder, which is in line with the inferior-medial shift of the glenohumeral joint center of rotation produced after rTSA (p<0.05). Teres minor showed no significant differences in excursion between conditions, while subscapularis excursion was significantly smaller after SCR (p<0.05). For infraspinatus, rTSA and SCR produced significantly smaller excursions (p<0.05). Significantly lower excursion values could suggest that the muscle was utilized more as a stabilizer. These results may be necessary for evaluating RC performance after surgical repair.
肩袖(RC)由四块肌肉组成,有助于保持肩关节的动态稳定性,并提供肩部的力量旋转[1]。旋转袖撕裂是一种常见的损伤,可能导致疼痛和关节稳定性受限[1]。上囊重建术(SCR)和反向全肩关节置换术(rTSA)是完全RC撕裂的两种流行治疗选择,可以提高外展强度和灵活性[2,3]。在关节旋转过程中,肌肉长度或偏移的变化可用于评估肌肉功能[4]。本研究旨在测量SCR/rTSA修复肩关节外展过程中的肌肉偏移,以证明其在术后肢体运动中的生物力学贡献。实验使用一种仪器在三种条件下外展六个尸体肩膀:完整、SCR和rTSA。在肌肉起点和插入处跟踪数字点以计算肌肉长度。虽然rTSA后冈上肌不再有助于外展,但我们的研究结果显示,与完整的肩部相比,理论偏移值显著更大,这与rTSSA后产生的肩关节旋转中心的下内侧偏移一致(p<0.05),而SCR后肩胛下肌的偏移量明显较小(p<0.05)。对于冈下肌,rTSA和SCR产生的偏移量显著较小(p>0.05)。偏移值显著较低可能表明肌肉更多地被用作稳定器。这些结果对于评估外科修复后的RC性能可能是必要的。
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引用次数: 0
THE EFFECT OF A FREE COMMUNITY PEDIATRIC HEALTH INITIATIVE ON BMI, FITNESS MEASURES, AND QUALITY OF LIFE: A PILOT STUDY 免费社区儿科健康倡议对体重指数、健康测量和生活质量的影响:一项试点研究
Pub Date : 2022-07-15 DOI: 10.34107/lwwj5713126
Leah M. Swahlan, Benjamin Killen, Alison L. Olsen, K. C. Wilcox, W. Pannell, Shuying Lin, Janet P. Slaughter, Rachel K. Dear
Background: Pediatric obesity affects approximately 18% of children in the United States. Childhood obesity contributes to several health-related issues, including diabetes, hypertension, decreased quality of life (QOL), and adult morbidity. Risk factors for developing childhood obesity include socioeconomic factors, sedentary lifestyle, diet, and genetics. Programs tailored toward educating children and parents on healthy lifestyle choices, exercise, and nutrition have been shown to improve health-related outcomes for this population. Objective: The purpose of this study was to retrospectively investigate the effects of an 8-week community pediatric health program on body mass index (BMI), fitness measures, and QOL in overweight children. Methods: Subjects aged 8-16 years were recruited from a hospital-based weight management clinic to participate in an 8-week weight loss program. Subjects attended weekly one-hour sessions of health and wellness education, exercise instruction, home program development, and practical goal-setting. Seven children participated in the program and completed all outcome measures. Outcome measures included Body Mass Index (BMI), functional strength (jumping jacks, wall sits, push-ups, and sit-ups), balance (single-limb stance, SLS), flexibility (straight leg raise, SLR), endurance (6-minute walk test, 6MWT), and QOL assessment (Pediatric Quality of Life Inventory, PQOL). Outcomes were assessed at baseline and week eight. Results: Although the BMI did not show clinically significant improvement, three functional strength measures (wall sit p=0.026; push-ups p=0.010; sit-ups p=0.003), endurance (6MWT, p=0.026), and flexibility (left SLR, p=0.011, right SLR, p= 0.046) showed statistically significant improvement at week eight. Jumping jacks and the PQOL showed improvement without reaching statistical significance (p>0.05). No improvement in SLS was noted (p>0.05). Conclusion: The findings indicate a community-based pediatric health and wellness program significantly improved overweight children's fitness. Further research is needed to determine the long-term effects of this program.
背景:在美国,大约18%的儿童患有儿童肥胖症。儿童肥胖导致了一些与健康相关的问题,包括糖尿病、高血压、生活质量下降和成人发病率。儿童肥胖的危险因素包括社会经济因素、久坐不动的生活方式、饮食和遗传。旨在教育儿童和父母健康生活方式选择、锻炼和营养的计划已被证明可以改善这一人群的健康结果。目的:本研究的目的是回顾性调查为期8周的社区儿科健康计划对超重儿童体重指数(BMI)、健身措施和生活质量的影响。方法:从医院体重管理诊所招募8-16岁的受试者参加为期8周的减肥计划。受试者每周参加一小时的健康和身心健康教育、锻炼指导、家庭计划制定和实际目标设定课程。七名儿童参加了该方案,并完成了所有成果测量。结果测量包括身体质量指数(BMI)、功能力量(跳跃式千斤顶、壁坐、俯卧撑和仰卧起坐)、平衡(单肢站立,SLS)、灵活性(直腿抬高,SLR)、耐力(6分钟步行测试,6MWT)和生活质量评估(儿科生活质量量表,PQOL)。在基线和第8周评估结果。结果:尽管BMI没有显示出临床上显著的改善,但在第八周,三项功能力量指标(仰卧起坐p=0.026;俯卧撑p=0.010;仰卧起起p=0.003)、耐力(6MWT,p=0.026)和灵活性(左SLR,p=0.011,右SLR,p=0.046)显示出统计学上显著的改进。跳跃千斤顶和PQOL显示出改善,但没有达到统计学意义(p>0.05)。SLS没有改善(p>0.05)。结论:研究结果表明,以社区为基础的儿童健康计划显著改善了超重儿童的体质。需要进一步的研究来确定这项计划的长期效果。
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引用次数: 0
GROWTHINHIBITIONOF Streptococcus mutans USING NANOCERIA 利用纳米粒抑制变形链球菌的生长
Pub Date : 2022-07-15 DOI: 10.34107/lwwj5713205
Sejal Ghandi, A. Goodman, Emily Long, Herchel Patel, K. Patel, R. Patel, Dhruvi Patel, Vijay Mohakar, A. Sorkin, V. Reukov
A leading cause of tooth decay stems from the build-up of microbes and the formation of biofilms on the surfaces of teeth. Oral health is impacted by this proliferation of bacteria, which often produce harmful acids as by-products of metabolism. In particular, the oral bacteria Streptococcus mutans metabolizes sugars into lactic acid and plays a prevalent role in tooth decay. Research regarding the nanoparticle cerium oxide (nanoceria, CeO2) shows nanoceria as a potential antimicrobial agent and biofilm disruptor through the lysis of bacterial cell walls. We propose that synthesized nanoceria can be utilized as an inhibitor of S. mutans; by reducing growth and lactic acid production, tooth decay may be reduced. We first studied the growth pattern of S. mutans through optical density (OD) and colony-forming unit (CFU) measurements. Next, we examined the effect of nanoceria on lactic acid production through pH tests conducted at varying sucrose concentrations. After initial measurements were taken, the antimicrobial effect of nanoceria on pH and OD was studied. Preliminary tests showed nanoceria inhibiting lactic acid production and decreasing the log phase of the bacteria, and future trials will further examine these associations. In the future, these findings could support using nanoceria in dental applications as an antibacterial agent.
蛀牙的主要原因是微生物的积累和牙齿表面生物膜的形成。口腔健康受到细菌增殖的影响,细菌通常会作为代谢的副产物产生有害的酸。特别是,口腔细菌变形链球菌将糖代谢成乳酸,并在蛀牙中发挥着普遍作用。关于纳米氧化铈(纳米氧化铈,CeO2)的研究表明,纳米氧化铈是一种潜在的抗菌剂和生物膜破坏剂,可以通过裂解细菌细胞壁。我们提出,合成的纳米二氧化铈可以作为变形链球菌的抑制剂;通过减少生长和乳酸的产生,可以减少蛀牙。我们首先通过光密度(OD)和菌落形成单位(CFU)的测量来研究变异链球菌的生长模式。接下来,我们通过在不同蔗糖浓度下进行的pH测试,研究了纳米二氧化铈对乳酸生产的影响。在进行初步测量后,研究了纳米二氧化铈对pH和OD的抗菌作用。初步测试表明,纳米二氧化铈可以抑制乳酸的产生并降低细菌的对数相,未来的试验将进一步研究这些联系。在未来,这些发现可能支持在牙科应用中使用纳米二氧化铈作为抗菌剂。
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引用次数: 0
EFFECTS OF BOTULINUM TOXIN ON GAIT IN CHILDREN WITH CEREBRAL PALSY: A SYSTEMATIC REVIEW 肉毒毒素对脑瘫患儿步态的影响:一项系统综述
Pub Date : 2022-07-15 DOI: 10.34107/lwwj5713132
Shuying Lin, Cora N. Geno, Kolby D. Wesson, Allyn C. Edmonson, Rachel A. Sollie
Background: Cerebral palsy (CP) is the most common cause of chronic motor disability in childhood. Children with CP often demonstrate various types of abnormal muscle tone, with spastic CP being the most common presentation. Spasticity and the resulting decrease in joint range of motion of lower extremities could lead to gait difficulties in this patient population. Previous research has shown that botulinum toxin (BTX) can decrease muscle spasticity and improve joint range of motion. However, it remains unclear whether BTX improves ambulation capacity in children with CP. Objective: The purpose of this systematic review (SR) was to evaluate the effects of BTX on gait in children with CP. Methods: PubMed and Embase were searched on November 18, 2021 for randomized controlled trials or quasi-experimental studies with control that investigated the effectiveness of BTX on gait in children with CP. Only studies published since 2011 were included in the current review. Risk of bias of the included studies was assessed with PEDro. Results: Seven studies with a total number of 367 individuals with spastic CP were included in this SR. The control group received conventional physical therapy, while the interventional group received single dose of BTX injection in one of the lower extremity muscle groups in addition to conventional physical therapy. Our findings revealed BTX improved gait parameters at 4-12 weeks following injection as compared to the control group (p<0.05) in 6 out of 7 studies. However, one study showed BTX did not add to the clinical effectiveness of rehabilitation as compared to control (p>0.05). Side effects including local muscle weakness were noted in a small portion of participants. The average PEDro score is 7.7/10, indicating good quality of the included studies. Conclusion: BTX could potentially improve ambulation capacity in children with CP.
背景:脑瘫(CP)是儿童慢性运动障碍的最常见原因。患有CP的儿童通常表现为各种类型的异常肌张力,痉挛性CP是最常见的表现。痉挛和由此导致的下肢关节活动范围的减少可能导致这类患者的步态困难。先前的研究表明,肉毒杆菌毒素(BTX)可以减少肌肉痉挛,提高关节活动范围。然而,BTX是否能改善CP患儿的行走能力尚不清楚。目的:本系统综述(SR)的目的是评估BTX对CP患儿步态的影响。方法:于2021年11月18日检索PubMed和Embase,以调查BTX对CP患儿步态的有效性的随机对照试验或准实验研究。本综述仅纳入2011年以来发表的研究。采用PEDro评估纳入研究的偏倚风险。结果:本研究共纳入7项研究,共367例痉挛性CP患者。对照组采用常规物理治疗,介入组在常规物理治疗的基础上,在某一下肢肌群注射单剂量BTX。我们的研究结果显示,与对照组相比,BTX在注射后4-12周改善了步态参数(p0.05)。在一小部分参与者中发现了包括局部肌肉无力在内的副作用。平均PEDro评分为7.7/10,表明纳入的研究质量良好。结论:BTX可能改善CP患儿的行走能力。
{"title":"EFFECTS OF BOTULINUM TOXIN ON GAIT IN CHILDREN WITH CEREBRAL PALSY: A SYSTEMATIC REVIEW","authors":"Shuying Lin, Cora N. Geno, Kolby D. Wesson, Allyn C. Edmonson, Rachel A. Sollie","doi":"10.34107/lwwj5713132","DOIUrl":"https://doi.org/10.34107/lwwj5713132","url":null,"abstract":"Background: Cerebral palsy (CP) is the most common cause of chronic motor disability in childhood. Children with CP often demonstrate various types of abnormal muscle tone, with spastic CP being the most common presentation. Spasticity and the resulting decrease in joint range of motion of lower extremities could lead to gait difficulties in this patient population. Previous research has shown that botulinum toxin (BTX) can decrease muscle spasticity and improve joint range of motion. However, it remains unclear whether BTX improves ambulation capacity in children with CP. Objective: The purpose of this systematic review (SR) was to evaluate the effects of BTX on gait in children with CP. Methods: PubMed and Embase were searched on November 18, 2021 for randomized controlled trials or quasi-experimental studies with control that investigated the effectiveness of BTX on gait in children with CP. Only studies published since 2011 were included in the current review. Risk of bias of the included studies was assessed with PEDro. Results: Seven studies with a total number of 367 individuals with spastic CP were included in this SR. The control group received conventional physical therapy, while the interventional group received single dose of BTX injection in one of the lower extremity muscle groups in addition to conventional physical therapy. Our findings revealed BTX improved gait parameters at 4-12 weeks following injection as compared to the control group (p<0.05) in 6 out of 7 studies. However, one study showed BTX did not add to the clinical effectiveness of rehabilitation as compared to control (p>0.05). Side effects including local muscle weakness were noted in a small portion of participants. The average PEDro score is 7.7/10, indicating good quality of the included studies. Conclusion: BTX could potentially improve ambulation capacity in children with CP.","PeriodicalId":75599,"journal":{"name":"Biomedical sciences instrumentation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48150993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
EFFECTS OF BACKWARD WALKING ON GAIT PARAMETERS IN PEOPLE WITH STROKE: A SYSTEMATIC REVIEW 倒走对中风患者步态参数的影响:一项系统综述
Pub Date : 2022-07-15 DOI: 10.34107/lwwj5713145
Brian P. Kramer, Taytum M. Reid, Alex T. Shepard, Madeline O. Tisdale, K. C. Wilcox
According to the Centers for Disease Control, roughly 795,000 people in the United States experience a stroke each year. A common result of a stroke is the negative impact on the person’s gait, including an asymmetrical gait pattern, a slower cadence, and decreased stride and step lengths. A well-structured, comprehensive rehabilitation program is necessary to address the gait deficits and reduce the risk of falls in people following stroke. Backward walking training has been reported as an appropriate therapeutic intervention to address these deficits for people following a stroke. Due to the range of benefits reported, the purpose of this systematic review was to examine the effects of backward walking training on gait parameters in people following stroke. A search of Embase, CINAHL, and PubMed databases was performed using specific search terms related to backward walking, stroke, and gait parameters. Following a defined process of title screen, abstract screen, full text screen, and application of inclusion/exclusion criteria, six articles were included in the final systematic review. Study results indicate significant evidence within the experimental groups for improvement in gait speed, step length, stride length, endurance, and balance. The findings from this systematic review indicate that backward walking training is an effective therapeutic intervention to improve gait parameters in people following stroke.
根据疾病控制中心的数据,美国每年大约有79.5万人中风。中风的一个常见结果是对人的步态产生负面影响,包括步态不对称,节奏变慢,步幅和步长减少。一个结构良好,全面的康复计划对于解决步态缺陷和减少中风后跌倒的风险是必要的。据报道,向后行走训练是一种适当的治疗干预措施,可以解决中风后患者的这些缺陷。由于所报道的益处范围广泛,本系统综述的目的是检查向后行走训练对中风后患者步态参数的影响。对Embase、CINAHL和PubMed数据库进行搜索,使用与倒走、中风和步态参数相关的特定搜索词。经过标题筛选、摘要筛选、全文筛选和纳入/排除标准的筛选,6篇文章被纳入最终的系统评价。研究结果表明,实验组在步态速度、步长、步幅、耐力和平衡方面有显著的改善。本系统综述的研究结果表明,向后行走训练是一种有效的治疗干预措施,可以改善中风后患者的步态参数。
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引用次数: 0
A PORCINE FORELEG FINITE ELEMENT MODEL FOR SURFACE WAVE CHARACTERIZATION 用于表面波表征的猪前腿有限元模型
Pub Date : 2022-04-15 DOI: 10.34107/nsjx733536
Carolyn Hampton
Injuries from BB shots are responsible for thousands of injuries each year, with many resulting in contusions or superficial embedments to the extremities. To help better understand the injury biomechanics of BB shots, a porcine foreleg finite element model was selected for comparison with some documented porcine ballistic experiments. The model was created by segmenting a porcine leg computerized tomography (CT) scan into the major bones, skin, and soft tissues, and then generating a mesh from the resulting geometries. A previously published hyperelastic material model was incorporated to represent the skin’s non-linear mechanical behavior. The pig leg model was used to simulate the skin response to 87.1 and 114.6 m/s stainless steel BB shots. The simulation matched the non-penetrative behavior from the experiments, predicting peak dynamic deformations of 12.6 and 25.4 mm respectively. MatLab was used to collect the movement of surface nodes and reconstruct continuous surfaces every 0.5 ms. The position and speed of the impact-induced wave was non-linear and did not depend on the BB initial velocity. Future work is needed to compare the simulation results against experimental digital image correlation (DIC) data, increase the time and spatial resolution of simulated sampling surface, and eventually include dynamic material data to account for skin damage with increasing BB initial velocity.
BB注射造成的损伤每年造成数千人受伤,其中许多导致挫伤或四肢浅埋。为了更好地了解BB弹的损伤生物力学,选择了一个猪前腿有限元模型与一些有文献记载的猪弹道实验进行比较。该模型是通过将猪腿计算机断层扫描(CT)分割到主要骨骼、皮肤和软组织中,然后根据生成的几何形状生成网格来创建的。先前发表的超弹性材料模型被纳入以表示皮肤的非线性力学行为。猪腿模型用于模拟皮肤对87.1和114.6m/s不锈钢BB注射的反应。模拟与实验中的非穿透行为相匹配,预测峰值动态变形分别为12.6和25.4 mm。MatLab用于收集表面节点的运动,并每0.5ms重建一次连续表面。冲击波的位置和速度是非线性的,不取决于BB初始速度。未来的工作需要将模拟结果与实验数字图像相关(DIC)数据进行比较,提高模拟采样表面的时间和空间分辨率,并最终包括动态材料数据,以说明BB初速度增加时的皮肤损伤。
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引用次数: 0
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Biomedical sciences instrumentation
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