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Numerical Simulation of Fluid Shear Stress Distribution in Microcracks of Trabecular Bone.
IF 1.8 4区 计算机科学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-01-15 eCollection Date: 2025-01-01 DOI: 10.1155/abb/5634808
Yan Gao, Sen Zhao, Ailing Yang

Bone is one of the hardest tissues in the human body, but it can undergo microcracks under long-term and periodic mechanical loads. The Newton iterative method was used to calculate the steady state, and the effects of different inlet and outlet pressures, trabecular gap width and height, and microcrack's depth and width on the fluid shear stress (FSS) were studied, and the gradient of FSS inside the microcrack was analyzed. The results show that the pressure difference and trabecular gap heigh are positively correlated with the FSS (the linear correlation coefficients R 2 were 0.9768 and 0.96542, respectively). When the trabecular gap width was 100 μm, the peak of FSS decreased by 28.57% compared with 800 and 400 μm, and the gradient of FSS inside the microcrack was 0.1-0.4 Pa/mm. This study can help people more intuitively understand the internal fluid distribution of trabecular bone and provide a reliable theoretical basis for the subsequent construction of gradient FSS devices in vitro.

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引用次数: 0
Local Linear Wavelet Neural Network-Based Unscented Kalman Filter for Vehicle Collision Estimate Warning System and Ensuring Stable Vehicle-to-Infrastructure Communication. 基于局部线性小波神经网络的无气味卡尔曼滤波在车辆碰撞估计预警系统中的应用。
IF 1.8 4区 计算机科学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-22 eCollection Date: 2024-01-01 DOI: 10.1155/abb/2451501
Yonas Kebede Lema, Satyasis Mishra, Demissie J Gelmecha

The accident mortality rates are rapidly increasing due to driver inattention, and traffic accidents become a significant problem on a global scale. For this reason, advanced driver assistance systems (ADASs) are essential to enhance traffic safety measures. However, adverse environmental factors, weather, and light radiation affect the sensors' accuracy. Furthermore, potential risks may go unreported if they obstruct the sensor's line of sight or are outside its limited field of view. To overcome these problems, this research presents a vehicle collision estimate warning system that leverages a combined approach of a local linear wavelet neural network (LLWNN) and an unscented Kalman filter (UKF). The system integrates sensor data and vehicle-to-everything (V2X) communication to enhance the accuracy and reliability of vehicle state estimation and collision prediction. The LLWNN module is responsible for forecasting the future states of the vehicle based on historical sensor measurements. This powerful time-series modeling technique allows the system to anticipate the vehicle's trajectory and potential collision risks. The UKF then optimally fuses the LLWNN predictions with the real-time sensor data, including information received through V2X communication, to generate accurate, up-to-date estimates of the vehicle's state. The V2X technology enables the seamless exchange of critical safety information between the host vehicle, surrounding vehicles, infrastructure, and other road users. This includes data on vehicle position, speed, acceleration, and intended maneuvers. By incorporating this V2X-based situational awareness, the system can better perceive the dynamic traffic environment and identify potential collision threats that may be outside the line of sight or detection range of the vehicle's onboard sensors alone. The LLWNN-based UKF module then processes this rich, multimodal data to provide timely and pertinent collision alerts to the driver. These alerts can warn the driver of impending collisions with distant objects, enabling them to take appropriate evasive action. By implementing this integrated LLWNN-UKF approach leveraging sensor data and V2X communication, we aim to reduce the number of collisions caused by reckless driving, which will lead to a decrease in traffic-related fatalities and injuries.

由于驾驶员注意力不集中,交通事故死亡率正在迅速上升,交通事故已成为全球性的重大问题。因此,先进驾驶辅助系统(ADASs)对于提高交通安全措施至关重要。然而,恶劣的环境因素、天气和光辐射会影响传感器的精度。此外,如果潜在风险阻碍了传感器的视线或超出了其有限的视野范围,则可能无法报告。为了克服这些问题,本研究提出了一种车辆碰撞估计预警系统,该系统利用了局部线性小波神经网络(LLWNN)和无气味卡尔曼滤波器(UKF)的组合方法。该系统集成了传感器数据和车对一切(V2X)通信,以提高车辆状态估计和碰撞预测的准确性和可靠性。LLWNN模块负责根据历史传感器测量结果预测车辆的未来状态。这种强大的时间序列建模技术使系统能够预测车辆的轨迹和潜在的碰撞风险。然后,UKF将LLWNN预测与实时传感器数据(包括通过V2X通信接收的信息)进行最佳融合,生成准确、最新的车辆状态估计。V2X技术可以在主车、周围车辆、基础设施和其他道路使用者之间无缝交换关键安全信息。这包括车辆位置、速度、加速度和预期机动的数据。通过整合这种基于v2x的态势感知,该系统可以更好地感知动态交通环境,并识别可能超出车辆车载传感器视线或检测范围的潜在碰撞威胁。然后,基于llwnn的UKF模块处理这些丰富的多模式数据,向驾驶员提供及时和相关的碰撞警报。这些警报可以警告驾驶员即将与远处物体发生碰撞,使他们能够采取适当的规避行动。通过利用传感器数据和V2X通信实现这种集成的LLWNN-UKF方法,我们的目标是减少因鲁莽驾驶造成的碰撞数量,从而减少交通相关的死亡和伤害。
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引用次数: 0
Pathogenic Factor Analysis of Shoulder Periarthritis and Design of Virtual Reality Exercise Intervention System. 肩周炎致病因素分析及虚拟现实运动干预系统设计。
IF 1.8 4区 计算机科学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-19 eCollection Date: 2024-01-01 DOI: 10.1155/abb/6543337
Yucheng Tian, Dan Qiu, Renjie Song, Xue Cheng, Feiyu Chen, Dongqing Sun, Yiduo Zhou, Shaomin Cai, Zhaowei Wang, Weijia Zhang

Shoulder periarthritis, a prevalent musculoskeletal disorder, causes significant pain and functional impairment, severely affecting patients' quality of life. With the increasing incidence of shoulder periarthritis linked to modern lifestyle changes, effective prevention and treatment strategies remain elusive. This study explores two areas: first, identifying risk factors for shoulder periarthritis through Mendelian randomization (MR) analysis, and second, designing a motion intervention system incorporating MediaPipe and virtual reality (VR) technology. The MR analysis revealed positive causal relationships between shoulder periarthritis and body mass index (BMI), cigarettes per day, insomnia, and sedentary behavior, while higher educational attainment was inversely associated with the condition. Based on these findings, we developed a "VR Harvest" exercise system aimed at alleviating shoulder stiffness due to prolonged sitting and reducing shoulder pain. By adjusting task difficulty to increase physical activity, the system also facilitates BMI reduction, potentially lowering the risk of shoulder periarthritis. The experimental results indicate that the "VR Harvest" therapy effectively alleviates pain and, compared to traditional exercise therapy, offers greater enjoyment, thereby enhancing participant engagement. Moreover, participants across different BMI categories experienced reductions in BMI after completing the intervention. This study offers a novel approach for shoulder periarthritis prevention and treatment, leveraging VR technology to improve both symptom relief and underlying risk factors.

肩周炎是一种常见的肌肉骨骼疾病,会引起明显的疼痛和功能障碍,严重影响患者的生活质量。随着肩周炎发病率的增加与现代生活方式的改变有关,有效的预防和治疗策略仍然难以捉摸。本研究探讨了两个方面:第一,通过孟德尔随机化(Mendelian randomization, MR)分析识别肩周炎的危险因素;第二,设计结合MediaPipe和虚拟现实(virtual reality, VR)技术的运动干预系统。磁共振分析显示肩周炎与身体质量指数(BMI)、每天吸烟、失眠和久坐行为呈正相关,而较高的受教育程度与病情呈负相关。基于这些发现,我们开发了一种“VR Harvest”运动系统,旨在缓解因长时间坐着而导致的肩部僵硬和减轻肩部疼痛。通过调整任务难度来增加体力活动,该系统还有助于降低BMI,潜在地降低肩周炎的风险。实验结果表明,“VR收获”疗法有效缓解了疼痛,与传统运动疗法相比,提供了更大的享受,从而提高了参与者的参与度。此外,不同BMI类别的参与者在完成干预后都经历了BMI的下降。本研究为肩周炎的预防和治疗提供了一种新的方法,利用VR技术改善症状缓解和潜在的危险因素。
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引用次数: 0
A Pilot Study on Developed Shoes That Enhance Gait Parameters Without Increasing Muscle Activity. 在不增加肌肉活动的情况下提高步态参数的开发鞋的初步研究。
IF 1.8 4区 计算机科学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-14 eCollection Date: 2024-01-01 DOI: 10.1155/abb/5587738
Teppei Abiko, Shin Murata, Yoshihiro Kai, Hideki Nakano, Masashi Sakamoto, Keita Suzuki, Dai Matsuo, Michio Kawaguchi

This pilot study investigated the potential of a newly developed shoe design to improve gait parameters without altering muscle activity in healthy women. The shoe design features a V-shaped heel and a high-elasticity midsole, which are intended to enhance stability during heel contact and promote efficient load transfer throughout the gait cycle. Ten study participants underwent a randomized crossover design, wearing developed and general shoes during the trials. Spatiotemporal gait data and muscle activity were measured to assess the impact of the shoe design developed on gait efficiency. Significant improvements in gait speed, step and stride length, and swing time were observed with the developed shoes, indicating improved gait efficiency. Importantly, these improvements were achieved without significant changes in muscle activity, suggesting that the developed shoe design improves gait efficiency without increasing muscle workload. Considering the limitations of the small sample size and the exploratory nature of this pilot study, further research with a larger cohort is necessary to validate these preliminary findings. Trial Registration: Clinical Trial Registry identifier: UMIN000054260.

这项初步研究调查了一种新开发的鞋子设计在不改变健康女性肌肉活动的情况下改善步态参数的潜力。鞋的设计特点是一个v形的鞋跟和一个高弹性的中底,这是为了提高稳定性的鞋跟接触和促进有效的负荷转移在整个步态周期。10名研究参与者进行了随机交叉设计,在试验期间穿着高级鞋和普通鞋。测量了时空步态数据和肌肉活动,以评估鞋子设计对步态效率的影响。在步态速度、步幅和步幅长度以及摆动时间上观察到明显的改善,表明步态效率提高。重要的是,这些改善是在没有显著改变肌肉活动的情况下实现的,这表明开发的鞋子设计在不增加肌肉负荷的情况下提高了步态效率。考虑到小样本量的局限性和本初步研究的探索性,需要进一步研究更大的队列来验证这些初步发现。试验注册:临床试验注册标识:UMIN000054260。
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引用次数: 0
Real-Time Gait Intention Recognition for Active Control of Unilateral Knee Exoskeleton. 用于单侧膝关节外骨骼主动控制的实时步态意图识别。
IF 1.8 4区 计算机科学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-13 eCollection Date: 2024-01-01 DOI: 10.1155/2024/9426782
Ziwei Zhang, Xuefeng Cai, Minbo Zhang, Wuxiong Chen, Yijie Chen, Pu Wang

Real-time gait estimation is important for the synchrony control of robotic exoskeleton to provide walking assistance. However, for stroke patients with hemiplegic paralysis, the gait pattern is very complex. Accurate and timely gait intention recognition is therefore difficult. To achieve human-robot synchrony control for an unilateral knee exoskeleton, a gait intention recognizer coupling the adaptive frequency oscillator (AFO) and back propagation neural networks (BPNN) is proposed in this paper. The BPNN is trained with gait data of healthy subjects and stroke patients to improve the accuracy of recognized gait pattern, which is then imported into flexible interaction module to provide appropriate assistance. To evaluate the performance of gait intention recognition, three stroke patients were recruited to conduct level ground walking tests. The kinematic and biomechanical data were captured in each test and processed for the evaluation. Experimental results demonstrate the effectiveness of gait intention recognition and movement assistance.

实时步态估计对于同步控制机器人外骨骼提供行走辅助非常重要。然而,中风偏瘫患者的步态模式非常复杂。因此,准确、及时地识别步态意图非常困难。为了实现单侧膝关节外骨骼的人机同步控制,本文提出了一种将自适应频率振荡器(AFO)和反向传播神经网络(BPNN)相结合的步态意图识别器。利用健康人和中风病人的步态数据对 BPNN 进行训练,以提高识别步态模式的准确性,然后将其导入柔性交互模块以提供适当的辅助。为了评估步态意图识别的性能,本文招募了三名脑卒中患者进行平地行走测试。每次测试都采集了运动学和生物力学数据,并进行了评估处理。实验结果证明了步态意图识别和运动辅助的有效性。
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引用次数: 0
Design and Control of an Upper Limb Bionic Exoskeleton Rehabilitation Device Based on Tensegrity Structure. 基于张力结构的上肢仿生外骨骼康复装置的设计与控制
IF 1.8 4区 计算机科学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-08-29 eCollection Date: 2024-01-01 DOI: 10.1155/2024/5905225
Peng Ni, Jianwei Sun, Jialin Dong

Upper limb exoskeleton rehabilitation devices can improve the quality of rehabilitation and relieve the pressure of rehabilitation medical treatment, which is a research hotspot in the field of medical robots. Aiming at the problems such as large volume, high cost, low comfort, and difficulty in promotion of traditional exoskeleton rehabilitation devices, and considering the lightweight, discontinuous, high flexibility, and high biomimetic characteristics of tensegrity structure, we designed an upper limb bionic exoskeleton rehabilitation device based on tensegrity structure. First, this article uses mapping methods to establish a mapping model for upper limb exoskeletons based on the tensegrity structure and designs the overall structure of upper limb exoskeletons based on the mapping model. Second, a bionic elbow joint device based on gear and rack was designed, and the stability of the bionic elbow joint was proved using the positive definite matrix method. This device can simulate the micro displacement between bones of the human elbow joint, improve the axial matching ability between the upper limbs and the rehabilitation device, and enhance the comfort of rehabilitation. Third, an impedance control scheme based on back propagation (BP) neural network was designed to address the low control accuracy of flexible structures and patient spasms. Finally, we designed the impedance control scheme of the PSO-BP neural network based on a fuzzy rehabilitation state evaluator. The experimental results show that the exoskeleton rehabilitation device has good flexion motion stability and assist ability and has significant advantages in volume and mobility. The control strategy proposed in this paper has high control precision and adaptive ability and has potential application value in the field of medical rehabilitation.

上肢外骨骼康复装置可以提高康复质量,缓解康复医疗压力,是医疗机器人领域的研究热点。针对传统外骨骼康复装置体积大、成本高、舒适度低、推广难等问题,考虑到张力团结构轻便、不连续、高柔性、高仿生等特点,我们设计了一种基于张力团结构的上肢仿生外骨骼康复装置。首先,本文利用映射方法建立了基于张斯格理结构的上肢外骨骼映射模型,并根据映射模型设计了上肢外骨骼的整体结构。其次,设计了一种基于齿轮和齿条的仿生肘关节装置,并利用正定矩阵法证明了仿生肘关节的稳定性。该装置可以模拟人体肘关节骨骼间的微小位移,提高上肢与康复装置的轴向匹配能力,增强康复的舒适性。第三,针对柔性结构控制精度低、患者痉挛等问题,设计了基于反向传播(BP)神经网络的阻抗控制方案。最后,我们设计了基于模糊康复状态评价器的 PSO-BP 神经网络阻抗控制方案。实验结果表明,外骨骼康复装置具有良好的屈曲运动稳定性和辅助能力,在体积和移动性方面具有显著优势。本文提出的控制策略具有较高的控制精度和自适应能力,在医疗康复领域具有潜在的应用价值。
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引用次数: 0
The Effect of Different Degrees of Ankle Dorsiflexion Restriction on the Biomechanics of the Lower Extremity in Stop-Jumping. 不同程度的踝关节外翻限制对止步跳跃中下肢生物力学的影响
IF 1.8 4区 计算机科学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-08-28 eCollection Date: 2024-01-01 DOI: 10.1155/2024/9079982
Zanni Zhang, Datao Xu, Xiangli Gao, Minjun Liang, Julien S Baker, Yaodong Gu

Purpose: The functional status of the ankle joint is critical during dynamic movements in high-intensity sports like basketball and volleyball, particularly when performing actions such as stopping jumps. Limited ankle dorsiflexion is associated with increased injury risk and biomechanical changes during stop-jump tasks. Therefore, this study aims to investigate how restricting ankle dorsiflexion affects lower extremity biomechanics during the stop-jump phase, with a focus on the adaptive changes that occur in response to this restriction. Initially, 18 participants during stop-jumping with no wedge plate (NW), 10° wedge plate (10 W), and 20° wedge plate (20 W) using dominant leg data were collected to explore the relationship between limiting ankle mobility and lower extremity biomechanics. Following this, a musculoskeletal model was developed to simulate and calculate biomechanical data. Finally, one-dimensional parametric statistical mapping (SPM1D) was utilized to evaluate between-group variation in outcome variables using a one-way repeated measures analysis of variance (ANOVA).

Results: As the ankle restriction angle increased, knee external rotation angles, knee extension angular velocities, hip extension angle, and angular velocity increased and were significantly different at different ankle restriction angles (p  < 0.001 and p=0.001), coactivation of the peripatellar muscles (BF/RF and BF/VM) increased progressively, and patellofemoral joint contact force (PTF) increased progressively during the 3%-8% phase (p=0.015). These results highlight the influence of ankle joint restriction on lower limb kinematics and patellofemoral joint loading during the stop-jump maneuver.

Conclusion: As the angle of ankle restriction increased, there was an increase in coactivation of the peripatellar muscles and an increase in PTF, possibly because a person is unable to adequately adjust their body for balance when the ankle valgus angle is restricted. The increased coactivation of the peripatellar muscles and increased patellofemoral contact force may be a compensatory response to the body's adaptation to balance adjustments.

目的:在篮球和排球等高强度运动的动态运动中,踝关节的功能状态至关重要,尤其是在做急停跳等动作时。踝关节外展受限与受伤风险增加和急停跳任务中的生物力学变化有关。因此,本研究旨在探讨限制踝关节外展如何影响止跳阶段的下肢生物力学,重点关注这种限制所产生的适应性变化。首先,收集了 18 名参与者在无楔形板(NW)、10° 楔形板(10 W)和 20°楔形板(20 W)情况下使用优势腿进行止跳的数据,以探索限制踝关节活动度与下肢生物力学之间的关系。随后,开发了一个肌肉骨骼模型来模拟和计算生物力学数据。最后,利用单向重复测量方差分析(SPM1D)来评估结果变量的组间差异:结果:随着踝关节限制角度的增加,膝关节外旋角度、膝关节伸展角速度、髋关节伸展角度和角速度增加,且在不同的踝关节限制角度下有显著差异(p < 0.001 和 p=0.001),髌周肌肉(BF/RF 和 BF/VM)的共激活逐渐增加,髌股关节接触力(PTF)在 3%-8% 阶段逐渐增加(p=0.015)。这些结果突显了踝关节限制对停止跳跃动作时下肢运动学和髌股关节负荷的影响:随着踝关节受限角度的增加,髌骨周围肌肉的共激活增加,PTF 增加,这可能是因为当踝关节外翻角度受限时,人无法充分调整身体以保持平衡。髌骨周围肌肉共激活增加和髌股接触力增加可能是身体适应平衡调整的一种补偿反应。
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引用次数: 0
Evaluation of Cyclic Fatigue Resistance of Novel Replica-Like Instruments in Static Test Model. 在静态测试模型中评估新型仿制仪器的循环抗疲劳性
IF 1.8 4区 计算机科学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI: 10.1155/2024/8842478
Uğur Aydın, Melih Özdemir, Emre Çulha, Muazzez Naz Baştürk Özer, Bilal Turan

Introduction: The aim of our study is to comparatively analyze the canal cyclic fatigue resistance of widely used rotary file systems, including EndoArt Touch Gold (ETG), Perfect MTF Plus Gold (PPG), Fanta V-Taper Gold (FVG), and ProTaper Next (PTN).

Methods: Stainless steel canals with a 60° angle and a 3-mm curvature radius were specially prepared. The canals were shaped with each rotary file system and tested for resistance using a cyclic fatigue testing apparatus. The number of fracture cycles (NFC; K file tip separation) was measured. Data were analysed by one-way ANOVA and post hoc LSD tests.

Results: PTN and PPG rotary file systems exhibited the highest NFC. The NFC value for PTN was 589 ± 63, and for PPG, it was 507 ± 51.

Conclusion: The results of this study demonstrate that rotary file systems such as PTN and PPG exhibit higher cyclic fatigue resistance. ETG and FVG rotary file systems also possess generally acceptable cyclic fatigue resistance levels.

简介:我们的研究旨在比较分析广泛使用的旋转锉系统(包括EndoArt Touch Gold (ETG)、Perfect MTF Plus Gold (PPG)、Fanta V-Taper Gold (FVG)和ProTaper Next (PTN))的根管循环疲劳抗力:专门制备了角度为 60°、曲率半径为 3 毫米的不锈钢牙道。使用每种旋转锉系统对牙槽骨进行塑形,并使用循环疲劳测试仪器对其进行耐受性测试。测量了断裂循环次数(NFC;K 锉尖分离)。通过单因素方差分析和事后 LSD 检验对数据进行分析:结果:PTN 和 PPG 旋转锉系统的 NFC 值最高。结果:PTN 和 PPG 旋转锉系统的 NFC 值最高,PTN 为 589 ± 63,PPG 为 507 ± 51:研究结果表明,PTN 和 PPG 等旋转锉系统具有更高的抗循环疲劳性能。ETG 和 FVG 旋转锉系统也具有一般可接受的抗循环疲劳水平。
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引用次数: 0
UCH-L1 Inhibitor Alleviates Nerve Damage Caused by Moyamoya Disease. UCH-L1 抑制剂可缓解莫亚莫亚病造成的神经损伤
IF 1.8 4区 计算机科学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-07-25 eCollection Date: 2024-01-01 DOI: 10.1155/2024/2550642
Minghua Xu, Xiaomin Zhao, Jiang Zhao, Zhisheng Tan, Chengshi Zhang, Yun Huang, Huiping Zhong, Meifeng Guo, Chen Zhang, Ping Ye, Wentao Zheng

Background: Moyamoya disease (MMD) leads to nerve injury. Exosomes are touted as bio-shuttles for the delivery of distinct biomolecules inside the cells. Recently, UCH-L1 was shown to play a vital role in nerve injury. However, it is still unknown whether UCH-L1 can improve the nerve injury of MMD.

Materials and methods: Exosomes were isolated from the serum of patients with MMD and healthy controls. The total RNA was extracted from the exosomes, and the level of GFAP and UCH-L1 between the serum exosomes of the two groups was analyzed by a quantitative reverse transcription-polymerase chain reaction and western blot. Exosome labeling and uptake by SH-SY5Y cells were observed by confocal laser microscopy. Cell counting kit-8 assay and flow cytometry were used to determine the viability and apoptosis of SH-SY5Y cells, respectively.

Results: Exosomes were successfully isolated and identified from serum. The expression of GFAP and UCH-L1 was significantly higher in the serum-derived exosomes from MMD patients compared with the healthy controls (P  < 0.05). Compared to the blank and control exosome group, serum-derived exosomes from MMD significantly suppress cellular vitality and promote apoptosis of SH-SY5Y cells, while the use of LDN-91946, a specific inhibitor of UCH-L1, could reverse the effects induced by serum-derived exosomes from MMD.

Conclusion: UCH-L1 inhibitor could reverse MMD-induced inhibition of SH-SY5Y cell viability and promotion of apoptosis. UCH-L1 may be a therapeutic target for the treatment of nerve damage caused by MMD.

背景:莫亚莫亚病(MMD)会导致神经损伤。外泌体被誉为在细胞内输送独特生物分子的生物舱。最近,UCH-L1 被证明在神经损伤中发挥重要作用。然而,UCH-L1能否改善MMD的神经损伤仍是未知数:从 MMD 患者和健康对照者的血清中分离出外泌体。从外泌体中提取总 RNA,并通过逆转录聚合酶链式反应和 Western 印迹定量分析两组血清外泌体中 GFAP 和 UCH-L1 的水平。激光共聚焦显微镜观察了外泌体标记和SH-SY5Y细胞的摄取情况。细胞计数试剂盒-8检测法和流式细胞术分别用于测定SH-SY5Y细胞的存活率和凋亡率:结果:从血清中成功分离并鉴定了外泌体。与健康对照组相比,MMD 患者血清外泌体中 GFAP 和 UCH-L1 的表达明显升高(P < 0.05)。与空白和对照外泌体组相比,MMD血清衍生外泌体明显抑制细胞活力并促进SH-SY5Y细胞凋亡,而使用UCH-L1的特异性抑制剂LDN-91946可以逆转MMD血清衍生外泌体诱导的影响:结论:UCH-L1抑制剂可逆转MMD诱导的对SH-SY5Y细胞活力的抑制和对细胞凋亡的促进作用。结论:UCH-L1抑制剂可逆转MMD诱导的SH-SY5Y细胞活力抑制和凋亡促进作用,UCH-L1可能是治疗MMD引起的神经损伤的治疗靶点。
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引用次数: 0
Influence of Critical Shoulder Angle and Rotator Cuff Tear Type on Load-Induced Glenohumeral Biomechanics: A Sawbone Simulator Study. 临界肩角和肩袖撕裂类型对负荷诱导盂肱生物力学的影响:锯骨模拟器研究
IF 1.8 4区 计算机科学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2024-07-02 eCollection Date: 2024-01-01 DOI: 10.1155/2024/4624007
Jeremy Genter, Eleonora Croci, Andreas M Müller, Annegret Mündermann, Daniel Baumgartner

Glenohumeral (GH) biomechanics after rotator cuff (RC) tears are not fully understood. The purpose of our study was to determine if the critical shoulder angle (CSA), type of RC tears, and level of weight bearing increase GH translation, instability based on the instability ratio, muscle forces and joint reaction force (JRF), and shifts the center of force (CoF) superiorly. A GH simulator with muscle-mimicking cable systems was used to simulate 30° abduction in the scapular plane. A Sawbone humerus and five specimen-specific scapular anthropometries were used to test six types of RC tears, three weight-bearing loads, and the native and adjusted (to different CSAs) deltoid origin sites. Linear mixed effects models (CSA, RC tear type, and weight bearing) with random effects (specimen and sex) were used to assess differences in GH biomechanics. With increasing CSA, GH translation increased, JRF decreased, and the CoF position was more inferior. RC tears did not significantly alter GH translation but shifted the CoF position superiorly, close to where glenoid erosion occurs in patients with RC tears with secondary osteoarthritis. Weight bearing significantly increased GH translation and JRF. RC and deltoid muscle forces increased with the presence of RC tears and increased weight bearing. The remaining RC muscles of intact tendons compensated for the torn RC tendons but not for the altered CoF position. GH translation remained comparable to shoulders with intact RC. These findings highlight the importance of early detection, clinical management, and targeted rehabilitation strategies for patients with RC tears.

肩袖(RC)撕裂后的盂肱关节(GH)生物力学尚不完全清楚。我们的研究旨在确定临界肩角 (CSA)、RC 撕裂的类型和负重水平是否会增加 GH 平移、基于不稳定比值的不稳定性、肌肉力和关节反作用力 (JRF),以及力中心 (CoF) 是否向上方移动。使用带有肌肉模拟索系统的 GH 模拟器模拟肩胛平面内收 30°。使用锯骨肱骨和五种特定的肩胛骨人体测量法来测试六种类型的RC撕裂、三种负重负荷以及原生和调整后(不同CSA)三角肌起源部位。线性混合效应模型(CSA、RC撕裂类型和负重)与随机效应(标本和性别)被用来评估GH生物力学的差异。随着CSA的增加,GH平移增加,JRF减少,CoF位置更低。RC撕裂没有明显改变GH平移,但使CoF位置上移,接近继发性骨关节炎的RC撕裂患者发生盂骨侵蚀的位置。负重明显增加了GH平移和JRF。RC和三角肌的力量随着RC撕裂的存在和负重的增加而增加。肌腱完好的其余 RC 肌肉可补偿撕裂的 RC 肌腱,但不能补偿改变的 CoF 位置。GH平移仍与RC完好的肩部相当。这些发现强调了早期检测、临床管理和有针对性的康复策略对 RC 撕裂患者的重要性。
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Applied Bionics and Biomechanics
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