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Sample records for cephalic containtment orthosis

  1. Joint Contracture Orthosis (JCO)

    Science.gov (United States)

    Lunsford, Thomas R.; Parsons, Ken; Krouskop, Thomas; McGee, Kevin

    1997-01-01

    The purpose of this project was to develop an advanced orthosis which is effective in reducing upper and lower limb contractures in significantly less time than currently required with conventional methods. The team that developed the JCO consisted of an engineer, orthotist, therapist, and physician.

  2. Cephalic vein aneurysm.

    Science.gov (United States)

    Faraj, Walid; Selmo, Francesca; Hindi, Mia; Haddad, Fadi; Khalil, Ismail

    2007-11-01

    Cephalic vein aneurysms are rare malformations that may develop in any part of the vascular system, and their history, presentation, and management vary depending on their site. The etiology of venous aneurysms remains unclear, although several theories have been elaborated. Venous aneurysms are unusual vascular malformations that occur equally between the sexes and are seen at any age; they can present as either a painful or a painless subcutaneous mass. No serious complications have been reported from upper extremity venous aneurysms. Surgical excision is the definitive management for most of these. The case reported here presented with a painless and mobile, soft, subcutaneous mass that caused only cosmetic concern.

  3. Benign cephalic histiocytosis.

    Science.gov (United States)

    Gianotti, F; Caputo, R; Ermacora, E; Gianni, E

    1986-09-01

    Benign cephalic histiocytosis is a self-healing non-X, nonlipid cutaneous histiocytosis of children, characterized by a papular eruption on the head. Mucous membranes and viscera are always spared. In the 13 cases reported herein, the children were otherwise in good general health. The disease appeared during the first three years of life, and spontaneous regression was complete by the age of nine years in the four cases healed to date. The histiocytic infiltrate was localized in the upper and middle dermis and contained no lipids at any stage of evolution. All the histiocytes contained coated vesicles, and 5% to 30% also contained comma-shaped bodies in their cytoplasm.

  4. Active Elbow Orthosis

    Directory of Open Access Journals (Sweden)

    Tomas Ripel

    2014-09-01

    Full Text Available This paper presents a novel approach to the design of a motorized rehabilitation device – active elbow orthosis (AEO – inspired by the principles of robotic exoskeletons. The device is currently designed for the elbow joint, but can be easily modified for other joints as well. AEO determines the motion activity of the patient using a strain gauge and utilizes this measurement to control the actuator that drives the forearm part of the orthosis. Patient activity level is related to a free arm measurement obtained via a calibration procedure prior to the exercise. A high-level control module offers several types of exercises mimicking the physiotherapist. The device was successfully verified by tests on a number of patients, resulting in extended range of elbow-joint motion.

  5. Cephalic Aura after Frontal Lobe Resection

    OpenAIRE

    2014-01-01

    A cephalic aura is a common sensory aura typically seen in frontal lobe epilepsy. The generation mechanism of cephalic aura is not fully understood. It is hypothesized that to generate cephalic aura more extensive cortical areas need to be excited. Here we report a patient who started to have cephalic aura after right frontal lobe resection. MEG showed interictal spike and ictal change during cephalic aura, both of which were distributed on right frontal region, and the latter involved much m...

  6. Cephalic aura after frontal lobe resection.

    Science.gov (United States)

    Kakisaka, Yosuke; Jehi, Lara; Alkawadri, Rafeed; Wang, Zhong I; Enatsu, Rei; Mosher, John C; Dubarry, Anne-Sophie; Alexopoulos, Andreas V; Burgess, Richard C

    2014-08-01

    A cephalic aura is a common sensory aura typically seen in frontal lobe epilepsy. The generation mechanism of cephalic aura is not fully understood. It is hypothesized that to generate a cephalic aura extensive cortical areas need to be excited. We report a patient who started to have cephalic aura after right frontal lobe resection. Magnetoencephalography (MEG) showed interictal spike and ictal change during cephalic aura, both of which were distributed in the right frontal region, and the latter involved much more widespread areas than the former on MEG sensors. The peculiar seizure onset pattern may indicate that surgical modification of the epileptic network was related to the appearance of cephalic aura. We hypothesize that generation of cephalic aura may be associated with more extensive cortical involvement of epileptic activity than that of interictal activity, in at least a subset of cases.

  7. 21 CFR 890.3475 - Limb orthosis.

    Science.gov (United States)

    2010-04-01

    ... PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3475 Limb orthosis. (a) Identification... improvement. Examples of limb orthoses include the following: A whole limb and joint brace, a hand splint,...

  8. Cephalic Tetanus from Penetrating Orbital Wound

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    Eloïse Guyennet

    2009-01-01

    Full Text Available Tetanus is a neurologic disorder caused by tetanospasmin, a protein toxin elaborated by Clostridium tetani. Cephalic tetanus is a localized form of the disease causing trismus and dysfunction of cranial nerves. We report the case of a man who presented with facial trauma, complete ophthalmoplegia, exophthalmos, areactive mydriasis, and periorbital hematoma. An orbital CT revealed air bubbles in the right orbital apex. The patient was given a tetanus toxoid booster and antibiotherapy. After extraction of a wooden foreign body, the patient developed right facial nerve palsy, disorders of swallowing, contralateral III cranial nerve palsy, and trismus. Only one case of cephalic tetanus from penetrating orbital wound has been reported in literature 20 years ago. When a patient presents with an orbital wound with ophthalmoplegia and signs of anaerobic infection, cephalic tetanus should be ruled out.

  9. Benign cephalic histiocytosis: report of four cases.

    Science.gov (United States)

    de Luna, M L; Glikin, I; Golberg, J; Stringa, S; Schroh, R; Casas, J

    1989-09-01

    We cared for four patients with benign cephalic histiocytosis, a self-healing non-X, nonlipid cutaneous histiocytosis of children. The age of onset of the disease was 5 to 9 months, with papules and erythematous macules involving the head (mainly the cheeks), and posterior spread to the trunk and limbs in three patients. Microscopic examination of skin biopsies revealed a histiocytic infiltrate in the superficial dermis that was S100 protein-negative by immunoperoxidase (PAP method). One patient showed comma-shaped bodies and desmosomelike junctions on electron microscopy. No Birbeck's granules were present. Benign cephalic histiocytosis is a self-limiting condition that requires no treatment.

  10. Cephalic veins in coronary artery bypass surgery

    DEFF Research Database (Denmark)

    Licht, P; Jakobsen, Erik; Lerbjerg, G;

    1996-01-01

    Various alternative conduits for aortocoronary bypass grafting have been suggested when the saphenous vein quality is inadequate. During a 10-year period we have used the cephalic vein in 39 patients. Eighteen entered an angiographic follow-up study. A total of 31 arm vein grafts were used with 4...

  11. FES-Assisted Walking with Spring Brake Orthosis: Simulation Studies

    OpenAIRE

    R. Jailani; Tokhi, M.O.; Gharooni, S. C.; B.S.K.K Ibrahim

    2011-01-01

    This paper presents a simulation of bipedal locomotion to generate stimulation pulses for activating muscles for paraplegic walking with wheel walker using functional electrical stimulation (FES) with spring brake orthosis (SBO). A new methodology for paraplegic gait, based on exploiting natural dynamics of human gait, is introduced. The work is a first effort towards restoring natural like swing phase in paraplegic gait through a new hybrid orthosis, referred to as spring brake orthosis (SBO...

  12. Noninvasive brain-computer interface driven hand orthosis.

    Science.gov (United States)

    King, Christine E; Wang, Po T; Mizuta, Masato; Reinkensmeyer, David J; Do, An H; Moromugi, Shunji; Nenadic, Zoran

    2011-01-01

    Neurological conditions, such as stroke, can leave the affected individual with hand motor impairment despite intensive treatments. Novel technologies, such as brain-computer interface (BCI), may be able to restore or augment impaired motor behaviors by engaging relevant cortical areas. Here, we developed and tested an electroencephalogram (EEG) based BCI system for control of hand orthosis. An able-bodied subject performed contralateral hand grasping to achieve continuous online control of the hand orthosis, suggesting that the integration of a noninvasive BCI with a hand orthosis is feasible. The adoption of this technology to stroke survivors may provide a novel neurorehabilitation therapy for hand motor impairment in this population.

  13. Development and evaluation of prefabricated antipronation foot orthosis

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    Rachel Majumdar, BSc (Hons

    2014-02-01

    Full Text Available Our aim was to develop and evaluate a new antipronation foot orthosis that addressed problems perceived by clinicians and users with existing foot orthoses. Clinicians and users were engaged to develop a user specification for the orthosis, and orthotic geometry and materials were developed using clinical reasoning. The orthotic material properties were tested and the ability of the orthosis to reduce foot pronation evaluated on 27 individuals. Clinicians expressed concern that current prefabricated orthoses often did not offer sufficient support to the foot because of a combination of the shape and materials used, and users concurred but also highlighted issues of durability and hygiene. The geometry of the new orthosis was, therefore, adjusted to enable individual foot size orthoses to be produced. A material was selected that was harder and more durable than materials used in many prefabricated orthoses. When the new orthosis was being worn, maximum rearfoot eversion was reduced in both walking (mean reduction −3.8 degrees, p < 0.001 and running (mean reduction −2.5 degrees, p < 0.001. Through a structured process, orthotic design decisions were made that addressed the specific concerns of clinicians and users and the new orthosis was proven to reduce rearfoot pronation.

  14. Voluntary driven elbow orthosis with speed controlled tremor suppression

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    Gil eHerrnstadt

    2016-03-01

    Full Text Available Robotic technology is gradually becoming commonplace in the medical sector and in the service of patients. Medical conditions that have benefited from significant technological development include stroke, for which rehabilitation with robotic devices is administered, and surgery assisted by robots. Robotic devices have also been proposed for assistance of movement disorders. Pathological tremor, among the most common movement disorders, is such one example. In practice, the dissemination and availability of tremor suppression robotic systems has been limited. Devices in the marketplace tend to either be non-ambulatory or to target specific functions such as eating and drinking.We have developed a one degree-of-freedom (DOF elbow orthosis that could be worn by an individual with tremor. A speed controlled voluntary driven suppression approach is implemented with the orthosis. Typically tremor suppression methods estimate the tremor component of the signal and produce a canceling counterpart signal. The suggested approach, instead estimates the voluntary component of the motion. A controller then actuates the orthosis based on the voluntary signal while simultaneously rejecting the tremorous motion.In this work, we tested the suppressive orthosis using a 1 DOF robotic system that simulates the human arm. The suggested suppression approach does not require a model of the human arm. Moreover, the human input along with the orthosis forearm gravitational forces, of nonlinear nature, are considered as part of the disturbance to the suppression system. Therefore, the suppression system can be modeled linearly. Nevertheless, the orthosis forearm gravitational forces can be compensated by the suppression system.The electromechanical design of the orthosis is presented, and data from an Essential Tremor patient is used as the human input. Velocity tracking results demonstrate an RMS error of 0.31 rad/s, and a power spectral density shows a reduction of

  15. CEPHALIC INDEX IN NEWBORNS: THE EFFECT OF HEREDITY AND SEX

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    Aprajita

    2016-01-01

    Full Text Available Anthropometric dimensions are the basis of evaluation of health of new-borns. MATERIALS AND METHOD Head length and Head Width of three hundred sixty normal new-borns (180 male and 180 female belonging to three different endogamous groups, i.e. Jat Sikhs, Banias and Majhbi Sikhs were recorded and Cephalic Index was calculated. RESULTS The difference in mean Cephalic index was found to be highly significant in the three endogamous groups (p<0.001, whereas it was just significant in males and females. CONCLUSION Cephalic index varies with heredity and also shows sexual dimorphism. This variation can be used in forensic practice for identification of skeletal remains. It is also useful in plastic surgery, facial reconstruction, pediatrics, oral surgery, dentistry and various other craniofacial surgeries.

  16. Indeterminate cell histiocytosis that presented clinically as benign cephalic histiocytosis.

    Science.gov (United States)

    Haimovic, Adele; Chernoff, Karen; Hale, Christopher S; Meehan, Shane A; Schaffer, Julie V

    2014-12-16

    Indeterminate cell histiocytosis (ICH) is a rare, heterogeneous disorder that is characterized by immunophenotypic features of both Langerhans cell histiocytosis (LCH) and non-LCH. We describe a 12-month-old boy with a four-month history of asymptomatic, small, pink-tan papules on his face. Histopathologic evaluation showed a superficial, dermal infiltrate of histiocytes that was positive for S100, CD1a, CD68, and Factor XIIIa. To our knowledge, this represents the first report of the clinical presentation of benign cephalic histiocytosis with immunohistochemical findings of ICH. We review the classification of histiocytic disorders and the clinical and immunohistochemical features of both ICH and benign cephalic histiocytosis.

  17. A Convertible Spinal Orthosis for Controlled Torso Rigidity

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    Nicole I. Kern

    2013-01-01

    Full Text Available A traditional spinal orthosis in conjunction with a hip-knee-ankle-foot orthosis (HKAFO improves posture in persons with paraplegia during standing and walking. It also limits the wearer's range of motion when worn during other activities, such as vehicle transfer or sitting and reaching for objects. In order to regain full torso flexibility the user would need to remove the spinal orthosis which can be arduous and time consuming. A Convertible Spinal Orthosis (CSO that allows the user to switch between Locked rigid torso support and Unlocked free motion has been designed, fabricated and tested. It shows promise for increasing functionality, wear time and subject comfort. Analysis of movement has been performed with an able-bodied and a paraplegic subject wearing a rigid spinal orthosis, the CSO in both states, and without any bracing. Configuration state had the most impact on lateral bending. Mean values for the paraplegic subject of 27°, 38°, 48°, and 48° and for the able-bodied subject of 22°, 26°, 48°, and 45° were found for lateral bending of the upper torso relative to the thighs in the Rigid, Locked, Unlocked, and No-Brace states, respectively.

  18. Theory analysis and structure optimization design of powered gait orthosis

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    Meng Ning

    2016-03-01

    Full Text Available Patients suffering from paraplegia are special disabled groups in society. In order to help them with lower-limb rehabilitation, a kind of power-assisted gait orthosis is designed. In consideration of the crutches that are rather necessary to keep balance when walking, the effects of crutches on analysis of mechanism cannot be ignored. Based on the gait characteristics, this gait orthosis mechanism is designed, of which the structure is optimized by genetic algorithm and the dynamical model is generated. The periodic movement of hip joints, knee joints, and ankle joints in corrected gait are achieved and the torque can be transferred to the driving force of the back motor and the pushrod according to the orthosis structure. Finally, a verification test shows this design is reasonable and practical.

  19. Neurogenesis of cephalic sensory organs of Aplysia californica

    DEFF Research Database (Denmark)

    Wollesen, Tim; Wanninger, Andreas; Klussmann-Kolb, Annette

    2007-01-01

    The opisthobranch gastropod Aplysia californica serves as a model organism in experimental neurobiology because of its simple and well-known nervous system. However, its nervous periphery has been less intensely studied. We have reconstructed the ontogeny of the cephalic sensory organs (labial te...

  20. Characterization of the cephalic arch and location of stenosis

    Science.gov (United States)

    Bennett, Shelby; Hammes, Mary S.; Blicharski, Tom; Watson, Sydeaka; Funaki, Brian

    2015-01-01

    Purpose The purpose of this study is to accurately characterize the cephalic arch segments into four domains and to enable more specific evaluation of cephalic arch stenosis (CAS) and determine the frequency of stenosis in each domain. Methods After Institutional Review Board (IRB) approval, a retrospective chart review was done to define a population of patients receiving hemodialysis who developed CAS as apparent on clinically indicated radiologic imaging. A standardized approach was devised to categorize four domains of the cephalic arch. Domain I was defined as the peripheral portion of the arch and Domain IV was the distal portion of the cephalic vein near termination with the axillary vein. The magnitude of stenosis as measured by percentage was determined and compared in the four domains. Results The most frequent location for stenosis was found in domain IV when compared with domains II or I (p<0.01). The magnitude of stenosis differed across all domains (p<0.001) with the least common place for CAS in domain I. Treatment of CAS included angioplasty in all, thrombectomy in eight, and stent placement in five. Conclusions CAS occurs most commonly in the terminal portion of the arch. Four standardized domains have been defined; future work will validate these findings and determine the best intervention for each domain. PMID:25198819

  1. Implementation of the external cephalic version in breech delivery. Dutch national implementation study of external cephalic version

    NARCIS (Netherlands)

    Vlemmix, F.; Rosman, A.N.; Fleuren, M.A.H.; Rijnders, M.E.B.; Beuckens, A.; Haak, M.C.; Akerboom, B.M.C.; Bais, J.M.J.; Kuppens, S.M.I.; Papatsonis, D.N.; Opmeer, B.C.; Post, J.A.M. van der; Mol, B.W.J.; Kok, M.

    2010-01-01

    Background: Breech presentation occurs in 3 to 4% of all term pregnancies. External cephalic version (ECV) is proven effective to prevent vaginal breech deliveries and therefore it is recommended by clinical guidelines of the Royal Dutch Organisation for Midwives (KNOV) and the Dutch Society for Obs

  2. The freedom to heal: nonrigid immobilization by a halo orthosis.

    Science.gov (United States)

    Genin, Guy M; Rosenberg, Stuart P; Seger, Laura M; Tran, Elizabeth L; Rivet, Dennis J; Leuthardt, Eric C

    2014-11-01

    Halo orthoses present a paradox. On the one hand, the nominally rigid immobilization they provide to the head aims to remove loads on the cervical spine following injury or surgery, and the devices are retightened routinely to maintain this. On the other hand, bone growth and remodeling are well known to require mechanical stressing. How are these competing needs balanced? To understand this trade-off in an effective, commercial halo orthosis, the authors quantified the response of a commercial halo orthosis to physiological loading levels, applied symmetrically about the sagittal plane. They showed for the first time that after a few cycles of loading analogous to a few steps taken by a patient, the support presented by a standard commercial halo orthosis becomes nonlinear. When analyzed through straightforward structural modeling, these data revealed that the nonlinearity permits mild head motion while severely restricting larger motion. These observations are useful because they open the possibility that halo orthosis installation could be optimized to transfer mild spinal loads that support healing while blocking pathological loads.

  3. Enteral nutrition in malnutrition following gastric resection and cephalic pancreaticoduodenectomy.

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    Kornowski, A; Cosnes, J; Gendre, J P; Quintrec, Y

    1992-02-01

    Nutritional recovery was studied during continuous enteral nutrition in 29 patients who had developed malnutrition after gastric surgery. Patients were divided into three groups according to the type of surgery involved: total gastrectomy (n = 10), partial gastrectomy (n = 12), or cephalic pancreaticoduodenectomy (n = 7). The evolution of anthropometric and biological nutritional parameters in each group was compared with that observed in a control group of 10 nonoperated anorectic patients. Significant gains in body weight, arm muscle circumference, triceps skinfold, serum transferrin and global nutritional status were observed after 3 to 4 weeks of enteral nutrition in each group, while serum albumin, serum cholesterol, hemoglobin, and total lymphocyte count did not change significantly. No significant difference was observed between the groups. However, weight gain tended to be slower in patients with cephalic pancreaticoduodenectomy. This study confirms that enteral nutrition is an effective method of nutritional repletion after gastrectomy. Enteral nutrition can be used in undernourished gastrectomized patients when dietary measures alone have proven inadequate.

  4. Obesity-related complications in Danish single cephalic term pregnancies

    DEFF Research Database (Denmark)

    Rode, Line; Nilas, Lisbeth; Wøjdemann, Karen

    2005-01-01

    OBJECTIVE: Our objective was to investigate the relationship between prepregnancy and obstetric body mass index (BMI) as well as fetal complications in a large, unselected cohort of Danish women with single cephalic pregnancies. METHODS: A cohort of 8,092 women from the Copenhagen First Trimester...... Study with a registered prepregnancy BMI and a single cephalic term delivery were stratified into 3 BMI groups: normal weight (BMI obese (BMI >/= 30 kg/m(2)). The effects of BMI and parity on the outcome were analyzed using multivariate logistic...... regression analyses. RESULTS: Overweight women had an odds ratio (OR) of 3.4 for diabetes, 1.9 for hypertension, 1.7 for preeclampsia, and 1.5 for cesarean delivery. The corresponding figures for obese women were 15.3, 4.8, 2.7, and 1.7, respectively. No relationship was found between BMI and vacuum...

  5. Classic metaphyseal lesion following external cephalic version and cesarean section

    Energy Technology Data Exchange (ETDEWEB)

    Lysack, John T.; Soboleski, Don [Department of Diagnostic Radiology, Queen' s University, Kingston General Hospital, 76 Stuart Street, K7L 2V7, Kingston, Ont. (Canada)

    2003-06-01

    We report a case of an otherwise healthy neonate diagnosed at birth with a classic metaphyseal lesion of the proximal tibia following external cephalic version for frank breech presentation and a subsequent urgent cesarean section. Although the classic metaphyseal lesion is considered highly specific for infant abuse, this case demonstrates the importance of obtaining a history of obstetric trauma for neonates presenting to the imaging department for suspected non-accidental injury. (orig.)

  6. Neurogenesis of cephalic sensory organs of Aplysia californica.

    Science.gov (United States)

    Wollesen, Tim; Wanninger, Andreas; Klussmann-Kolb, Annette

    2007-11-01

    The opisthobranch gastropod Aplysia californica serves as a model organism in experimental neurobiology because of its simple and well-known nervous system. However, its nervous periphery has been less intensely studied. We have reconstructed the ontogeny of the cephalic sensory organs (labial tentacles, rhinophores, and lip) of planktonic, metamorphic, and juvenile developmental stages. FMRFamide and serotonergic expression patterns have been examined by immunocytochemistry in conjunction with epifluorescence and confocal laser scanning microscopy. We have also applied scanning electron microscopy to analyze the ciliary distribution of these sensory epithelia. Labial tentacles and the lip develop during metamorphosis, whereas rhinophores appear significantly later, in stage 10 juveniles. Our study has revealed immunoreactivity against FMRFamides and serotonin in all major nerves. The common labial nerve develops first, followed by the labial tentacle base nerve, oral nerve, and rhinophoral nerve. We have also identified previously undescribed neuronal pathways and other FMRFamide-like-immunoreactive neuronal elements, such as peripheral ganglia and glomerulus-like structures, and two groups of conspicuous transient FMRFamide-like cell somata. We have further found two distinct populations of FMRFamide-positive cell somata located both subepidermally and in the inner regions of the cephalic sensory organs in juveniles. The latter population partly consists of sensory cells, suggesting an involvement of FMRFamide-like peptides in the modulation of peripheral sensory processes. This study is the first concerning the neurogenesis of cephalic sensory organs in A. californica and may serve as a basis for future studies of neuronal elements in gastropod molluscs.

  7. FES-Assisted Walking with Spring Brake Orthosis: Simulation Studies

    Directory of Open Access Journals (Sweden)

    R. Jailani

    2011-01-01

    Full Text Available This paper presents a simulation of bipedal locomotion to generate stimulation pulses for activating muscles for paraplegic walking with wheel walker using functional electrical stimulation (FES with spring brake orthosis (SBO. A new methodology for paraplegic gait, based on exploiting natural dynamics of human gait, is introduced. The work is a first effort towards restoring natural like swing phase in paraplegic gait through a new hybrid orthosis, referred to as spring brake orthosis (SBO. This mechanism simplifies the control task and results in smooth motion and more-natural like trajectory produced by the flexion reflex for gait in spinal cord injured subjects. SBO can eliminate reliance on the withdrawal reflex and foot-ground clearance without extra upper body effort. The stored energy in the spring of SBO is used to replace stimulation pulses in knee flexion and reduce total required torque for the paraplegic walking with wheel walker. The study is carried out with a model of humanoid with wheel walker using the Visual Nastran (Vn4D dynamic simulation software. Stimulated muscle model of quadriceps is developed for knee extension. Fuzzy logic control (FLC is developed in Matlab/Simulink to regulate the muscle stimulation pulse-width required to drive FES-assisted walking gait and the computed motion is visualised in graphic animation from Vn4D. The simulation results show that SBO can be successfully used with FES for paraplegic walking with wheel walker with all the advantages discussed over the current hybrid orthoses available.

  8. Obesity-related complications in Danish single cephalic term pregnancies

    DEFF Research Database (Denmark)

    Rode, Line; Nilas, Lisbeth; Wøjdemann, Karen

    2005-01-01

    extraction. Obese women had an increased risk of delivering macrosomic but also low birth weight children. No differences existed among the 3 weight groups with regard to neonatal morbidity estimated by Apgar score, umbilical cord pH, or admittance to a neonatal intensive care unit. Nulliparous women had......OBJECTIVE: Our objective was to investigate the relationship between prepregnancy and obstetric body mass index (BMI) as well as fetal complications in a large, unselected cohort of Danish women with single cephalic pregnancies. METHODS: A cohort of 8,092 women from the Copenhagen First Trimester...

  9. Ambulation with the reciprocating-gait orthosis - Experience in 15 children with myelomeningocele or paraplegia

    NARCIS (Netherlands)

    GerritsmaBleeker, CLE; Heeg, M; VosNiel, H

    1997-01-01

    We reviewed 15 children with spina bifida or paraplegia who have used a reciprocating-gait orthosis between 1985 and 1995. All were nonfunctional ambulators. The level of the spinal lesions ranged from Th10 to L3. The mean age of fitting the orthosis was 5 years. 8 children have stopped using it at

  10. Implementation of the external cephalic version in breech delivery. Dutch national implementation study of external cephalic version

    Directory of Open Access Journals (Sweden)

    Papatsonis Dimitri N

    2010-05-01

    Full Text Available Abstract Background Breech presentation occurs in 3 to 4% of all term pregnancies. External cephalic version (ECV is proven effective to prevent vaginal breech deliveries and therefore it is recommended by clinical guidelines of the Royal Dutch Organisation for Midwives (KNOV and the Dutch Society for Obstetrics and Gynaecology (NVOG. Implementation of ECV does not exceed 50 to 60% and probably less. We aim to improve the implementation of ECV to decrease maternal and neonatal morbidity and mortality due to breech presentations. This will be done by defining barriers and facilitators of implementation of ECV in the Netherlands. An innovative implementation strategy will be developed based on improved patient counselling and thorough instructions of health care providers for counselling. Method/design The ultimate purpose of this implementation study is to improve counselling of pregnant women and information of clinicians to realize a better implementation of ECV. The first phase of the project is to detect the barriers and facilitators of ECV. The next step is to develop an implementation strategy to inform and counsel pregnant women with a breech presentation, and to inform and educate care providers. In the third phase, the effectiveness of the developed implementation strategy will be evaluated in a randomised trial. The study population is a random selection of midwives and gynaecologists from 60 to 100 hospitals and practices. Primary endpoints are number of counselled women. Secondary endpoints are process indicators, the amount of fetes in cephalic presentation at birth, complications due to ECV, the number of caesarean sections and perinatal condition of mother and child. Cost effectiveness of the implementation strategy will be measured. Discussion This study will provide evidence for the cost effectiveness of a structural implementation of external cephalic versions to reduce the number of breech presentations at term. Trial

  11. Botulinum toxin A for trismus in cephalic tetanus

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    Luiz Augusto F. Andrade

    1994-09-01

    Full Text Available Cephalic tetanus is a localized form of tetanus. As in generalized forms , trismus is a prominent feature of the disease, leading to considerable difficulty in feeding, swallowing of the saliva and mouth hygiene. These difficulties often precede respiratory problems and aspiration bronchopneumonia is a frequent life-threatening complication. Muscle relaxants other than curare drugs may show a limited benefit for relieving trismus. Tetanospasmin, the tetanic neurotoxin, and botulinum toxin share many similarities, having a closely related chemical structure, an origin from related microorganisms (Clostridium tetani and Clostridium botulinum, respectively, and presumably, the same mechanisms of action in the neuron. The difference between the two lies in their peculiar neurospecificity, acting in different neurons. Injection of minute doses of botulinum toxin in the muscles involved in focal dystonias or other localized spastic disorders have proved to be very effective in these conditions. We describe the use of botulinum toxin A in the successful treatment of trismus in a patient suffering from cephalic tetanus. We believe that this form of treatment may be of value in lowering the risk of pulmonary complications in tetanic patients.

  12. Cephalic arch stenosis in autogenous brachiocephalic hemodialysis fistulas: results of cutting balloon angioplasty

    DEFF Research Database (Denmark)

    Heerwagen, Søren Thorup; Lönn, Lars; Schroeder, Torben V;

    2010-01-01

    Cephalic arch stenosis is a known cause of hemodialysis access failure in patients with brachiocephalic fistulas (BCFs). Outcomes of endovascular treatment are affected by resistance of the stenosis to balloon dilation, a high vein rupture rate and the development of early restenosis. The purpose...... of this retrospective study was to report outcomes after cutting balloon angioplasty (CBA) of cephalic arch stenosis....

  13. Prevalence, outcome, and women's experiences of external cephalic version in a low-risk population

    NARCIS (Netherlands)

    Rijnders, M.; Offerhaus, P.; Dommelen, P. van; Wiegers, T.; Buitendijk, S.

    2010-01-01

    Background: Until recently, external cephalic version to prevent breech presentation at birth was not widely accepted. The objective of our study was to assess the prevalence, outcomes, and women's experiences of external cephalic version to improve the implementation of the procedure in the Netherl

  14. Design a New Orthosis and Assessment of Its Effects on Knee Joint Kinetics and Kinematics During Gait

    Directory of Open Access Journals (Sweden)

    Mostafa Kamali

    2015-12-01

    Methods: Ten subjects without any neuromuscular disease participated in this study. New orhosis with the same structure of Scottish rite orthosis was designed. Qualysis system analyses with seven cameras as well as a Kistler force plate were used to measure the kinematics and kinetics variables during the gait with and without orthosis. For statistical analysis independent student-t test was used. The significance level was set at p0.05. There was significant difference between peak medio-lateral forces applied on knee during walking with and without orthosis (p<0.05. Conclusion: The new orthosis decreases the adductor moment on knee joint therefore, it can decrease the forces applied on medial compartment of the knee joint. This orthosis improves walking because it does not let inferior transition. This orthosis can improve femur alignment. It is recommended that physiotherapist prescribe this orthosis in order to decrease pain in patients with OA.

  15. Update on external cephalic version performed at term.

    Science.gov (United States)

    Stine, L E; Phelan, J P; Wallace, R; Eglinton, G S; van Dorsten, J P; Schifrin, B S

    1985-05-01

    External cephalic version under tocolysis at term was investigated during a prospective study at the Los Angeles County/University of Southern California Medical Center from October 1, 1979 to March 16, 1983. Two hundred twelve patients were considered for attempted version. Forty-one patients were excluded, and 23 patients as previously reported were randomized to the control group. The procedure was successful in 73% (108 of 148). Of the 102 successful versions observed until delivery (six lost to follow-up), 93% (95 of 102) presented in labor with a vertex presentation; seven fetuses reverted to abnormal lies. The cesarean section rate in the success group with a vertex presentation was 24% (23 of 95).

  16. Creating a custom fabricated neoprene orthosis for optimal thumb positioning.

    Science.gov (United States)

    Trujillo, Leonard G; Amini, Debbie

    2013-01-01

    Neoprene orthoses are used extensively in treating conditions of the hand when flexibility and support are sought. Devices such as these may be prefabricated from Neoprene alone or may include a thermoplastic or metal stay. Neoprene devices can also be custom fabricated by a practitioner in a time effective manner and at low cost. The custom fabricated orthosis described in this article is designed to support the thumb in a position of palmar abduction and opposition while maintaining CMC extension and an adequately open web space to prevent soft tissue contracture.

  17. Locomotor adaptation to a powered ankle-foot orthosis depends on control method

    Directory of Open Access Journals (Sweden)

    Gordon Keith E

    2007-12-01

    Full Text Available Abstract Background We studied human locomotor adaptation to powered ankle-foot orthoses with the intent of identifying differences between two different orthosis control methods. The first orthosis control method used a footswitch to provide bang-bang control (a kinematic control and the second orthosis control method used a proportional myoelectric signal from the soleus (a physiological control. Both controllers activated an artificial pneumatic muscle providing plantar flexion torque. Methods Subjects walked on a treadmill for two thirty-minute sessions spaced three days apart under either footswitch control (n = 6 or myoelectric control (n = 6. We recorded lower limb electromyography (EMG, joint kinematics, and orthosis kinetics. We compared stance phase EMG amplitudes, correlation of joint angle patterns, and mechanical work performed by the powered orthosis between the two controllers over time. Results During steady state at the end of the second session, subjects using proportional myoelectric control had much lower soleus and gastrocnemius activation than the subjects using footswitch control. The substantial decrease in triceps surae recruitment allowed the proportional myoelectric control subjects to walk with ankle kinematics close to normal and reduce negative work performed by the orthosis. The footswitch control subjects walked with substantially perturbed ankle kinematics and performed more negative work with the orthosis. Conclusion These results provide evidence that the choice of orthosis control method can greatly alter how humans adapt to powered orthosis assistance during walking. Specifically, proportional myoelectric control results in larger reductions in muscle activation and gait kinematics more similar to normal compared to footswitch control.

  18. SCRIPT passive orthosis: design and technical evaluation of the wrist and hand orthosis for rehabilitation training at home.

    Science.gov (United States)

    Ates, Serdar; Lobo-Prat, Joan; Lammertse, Piet; van der Kooij, Herman; Stienen, Arno H A

    2013-06-01

    In this paper, a new hand and wrist exoskeleton design, the SCRIPT Passive Orthosis (SPO), for the rehabilitation after stroke is presented. The SPO is a wrist, hand, and finger orthosis that assists individuals after stroke that suffer from impairments caused by spasticity and abnormal synergies. These impairments are characterized in the wrist and hand by excessive involuntary flexion torques that make the hand unable to be used for many activities in daily life. The SPO can passively offset these undesired torques, but it cannot actively generate or control movements. The user needs to use voluntary muscle activation to perform movements and thus needs to have some residual muscle control to successfully use the SPO. The SPO offsets the excessive internal flexion by applying external extension torques to the joints of the wrist and fingers. The SPO physically interacts with the users using the forearm shell, the hand plate and the digit caps from the Saebo Flex, but is otherwise a completely novel design. It applies the external extension torques via passive leaf springs and elastic tension cords. The amount of this support can be adjusted to provide more or less offset force to wrist, finger, or thumb extension, manually. The SPO is equipped with sensors that can give a rough estimate of the joint rotations and applied torques, sufficient to make the orthosis interact with our interactive gaming environment. Integrated inertial and gyroscopic sensors provide limited information on the user's forearm posture. The first home-based patient experiences have already let to several issues being resolved, but have also made it clear that many improvement are still to be made.

  19. Cephalic vein: Saviour in the microsurgical reconstruction of breast and head and neck cancers

    Directory of Open Access Journals (Sweden)

    Vinay K Shankhdhar

    2012-01-01

    Full Text Available Background: Reconstruction with microvascular free flaps is considered the reconstructive option of choice in cancer of the head and neck regions and breast. Rarely, there is paucity of vessels, especially the veins, at the recipient site. The cephalic vein with its good caliber and constant anatomy is a reliable recipient vein available in such situations. Materials and Methods: It is a retrospective study from January 2010 to July 2012 and includes 26 patients in whom cephalic vein was used for free-flap reconstruction in head and neck (3 cases and breast cancers (23 cases. Results: All flaps in which cephalic vein was used survived completely. Conclusion: Cephalic vein can be considered as a reliable source of venous drainage when there is a non-availability/unusable of veins during free-flap reconstruction in the head and neck region and breast and also when additional source of venous drainage is required in these cases.

  20. Teratological Development in the Cephalic Anatomy of the Nematode Romanomermis culicivorax

    OpenAIRE

    Wright, K A; S. Richter

    1982-01-01

    Adults of Romanomermis culicivorax obtained from mass cultures were examined by scanning and transmission electron microscopy to determine the organization of their anterior sense organs. The normal pattern apparently consists of two lateral amphids plus six cephalic papillae. Lateral cephalic papillae contain two sense organs, each with a cuticular pore, while subdorsal and subventral papillae have three sense organs, each with a cuticular pore. About 30% of females and 80% of males examined...

  1. Cell shape change and invagination of the cephalic furrow involves reorganization of F-actin.

    Science.gov (United States)

    Spencer, Allison K; Siddiqui, Bilal A; Thomas, Jeffrey H

    2015-06-15

    Invagination of epithelial sheets to form furrows is a fundamental morphogenetic movement and is found in a variety of developmental events including gastrulation and vertebrate neural tube formation. The cephalic furrow is a deep epithelial invagination that forms during Drosophila gastrulation. In the first phase of cephalic furrow formation, the initiator cells that will lead invagination undergo apicobasal shortening and apical constriction in the absence of epithelial invagination. In the second phase of cephalic furrow formation, the epithelium starts to invaginate, accompanied by both basal expansion and continued apicobasal shortening of the initiator cells. The cells adjacent to the initiator cells also adopt wedge shapes, but only after invagination is well underway. Myosin II does not appear to drive apical constriction in cephalic furrow formation. However, cortical F-actin is increased in the apices of the initiator cells and in invaginating cells during both phases of cephalic furrow formation. These findings suggest that a novel mechanism for epithelial invagination is involved in cephalic furrow formation.

  2. Design and Evaluation of the AIRGAIT Exoskeleton: Leg Orthosis Control for Assistive Gait Rehabilitation

    Directory of Open Access Journals (Sweden)

    Mohd Azuwan Mat Dzahir

    2013-01-01

    Full Text Available This paper introduces the body weight support gait training system known as the AIRGAIT exoskeleton and delves into the design and evaluation of its leg orthosis control algorithm. The implementation of the mono- and biarticular pneumatic muscle actuators (PMAs as the actuation system was initiated to generate more power and precisely control the leg orthosis. This research proposes a simple paradigm for controlling the mono- and bi-articular actuator movements cocontractively by introducing a cocontraction model. Three tests were performed. The first test involved control of the orthosis with monoarticular actuators alone without a subject (WO/S; the second involved control of the orthosis with mono- and bi-articular actuators tested WO/S; and the third test involved control of the orthosis with mono- and bi-articular actuators tested with a subject (W/S. Full body weight support (BWS was implemented in this study during the test W/S as the load supported by the orthosis was at its maximum capacity. This assessment will optimize the control system strategy so that the system operates to its full capacity. The results revealed that the proposed control strategy was able to co-contractively actuate the mono- and bi-articular actuators simultaneously and increase stiffness at both hip and knee joints.

  3. The Effectiveness of a Hip Abduction Orthosis for Perthes Disease

    Directory of Open Access Journals (Sweden)

    Mohanty RK

    2016-05-01

    Full Text Available Perthes disease is a rare childhood disorder of femoral head affecting 5-10 per 100,000 children. Prognostic factors remain uncertain after age five which requires careful evaluation of subject, planning for treatment always associated with a slow recovery. Orthoses are provided as a conservative treatment to reduce weight bearing stress across hip joint, maintenance of joint congruity, allowing safe and pain free ambulation for school growing children by keeping the limb in abduction and internal rotation. Though there are different number of orthoses used earlier, the present literature does not provide sufficient evidence to support its use in Perthes disease. We report a case of 8 years old active school going subject with Perthes disease of right hip who was fitted with an ambulatory trilateral hip abduction orthosis and assessed by radiographic examination with satisfactory result

  4. Design optimization of a magnetorheological brake in powered knee orthosis

    Science.gov (United States)

    Ma, Hao; Liao, Wei-Hsin

    2015-04-01

    Magneto-rheological (MR) fluids have been utilized in devices like orthoses and prostheses to generate controllable braking torque. In this paper, a flat shape rotary MR brake is designed for powered knee orthosis to provide adjustable resistance. Multiple disk structure with interior inner coil is adopted in the MR brake configuration. In order to increase the maximal magnetic flux, a novel internal structure design with smooth transition surface is proposed. Based on this design, a parameterized model of the MR brake is built for geometrical optimization. Multiple factors are considered in the optimization objective: braking torque, weight, and, particularly, average power consumption. The optimization is then performed with Finite Element Analysis (FEA), and the optimal design is obtained among the Pareto-optimal set considering the trade-offs in design objectives.

  5. Cephalic arch stenosis in dialysis patients: review of clinical relevance, anatomy, current theories on etiology and management.

    Science.gov (United States)

    Sivananthan, Gajan; Menashe, Leo; Halin, Neil J

    2014-01-01

    Arteriovenous hemodialysis fistulas (AVFs) serve as a lifeline for many individuals with end-stage renal failure. A common cause of AVF failure is cephalic arch stenosis. Its high prevalence compounded with its resistance to treatment makes cephalic arch stenosis important to understand. Proposed etiologies include altered flow in a fistulized cephalic vein, external compression by fascia, the unique morphology of the cephalic arch, large number of valves in the cephalic outflow tract and biochemical changes that accompany renal failure. Management options are also in debate and include angioplasty, cutting balloon angioplasty, bare metal stents, stent grafts and surgical techniques including flow reduction with minimally invasive banding as well as more invasive venovenostomy with transposition surgeries for refractory cases. In this review, the evidence for the clinical relevance of cephalic arch stenosis, its etiology and management are summarized.

  6. Performance of spinal cord injury individuals while standing with the Mohammad Taghi Karimi reciprocal gait orthosis (MTK-RGO).

    Science.gov (United States)

    Karimi, Mohammad Taghi; Amiri, Pouya; Esrafilian, Amir; Sedigh, Jafar; Fatoye, Francis

    2013-03-01

    Most patients with spinal cord injury use a wheelchair to transfer from place to place, however they need to stand and walk with orthosis to improve their health status. Although many orthoses have been designed for paraplegic patients, they have experienced various problems while in use. A new type of reciprocal gait orthosis was designed in the Bioengineering Unit of Strathclyde University to solve the problems of the available orthoses. Since there was no research undertaken regarding testing of the new orthosis on paraplegic subjects, this study was aimed to evaluate the new orthosis during standing of paraplegic subjects. Five paraplegic patients with lesion level between T12 and L1 and aged matched normal subjects were recruited into this study. The stability of subjects was evaluated during quiet standing and while undertaking hand tasks during standing with the new orthosis and the knee ankle foot orthosis (KAFO). The difference between the performances of paraplegic subjects while standing with both orthoses, and between the function of normal and paraplegic subjects were compared using the paired t test and independent sample t test, respectively. The stability of paraplegic subjects in standing with the new orthosis was better than that of the KAFO orthosis (p < 0.05). Moreover, the force applied on the crutch differed between the orthoses. The functional performance of paraplegic subjects was better with the new orthosis compared with normal subjects. The performance of paraplegic subjects while standing with the new orthosis was better than the KAFO. Therefore, the new orthosis may be useful to improve standing and walking in patients with paraplegia.

  7. A pneumatically powered knee-ankle-foot orthosis (KAFO with myoelectric activation and inhibition

    Directory of Open Access Journals (Sweden)

    Ferris Daniel P

    2009-06-01

    Full Text Available Abstract Background The goal of this study was to test the mechanical performance of a prototype knee-ankle-foot orthosis (KAFO powered by artificial pneumatic muscles during human walking. We had previously built a powered ankle-foot orthosis (AFO and used it effectively in studies on human motor adaptation, locomotion energetics, and gait rehabilitation. Extending the previous AFO to a KAFO presented additional challenges related to the force-length properties of the artificial pneumatic muscles and the presence of multiple antagonistic artificial pneumatic muscle pairs. Methods Three healthy males were fitted with custom KAFOs equipped with artificial pneumatic muscles to power ankle plantar flexion/dorsiflexion and knee extension/flexion. Subjects walked over ground at 1.25 m/s under four conditions without extensive practice: 1 without wearing the orthosis, 2 wearing the orthosis with artificial muscles turned off, 3 wearing the orthosis activated under direct proportional myoelectric control, and 4 wearing the orthosis activated under proportional myoelectric control with flexor inhibition produced by leg extensor muscle activation. We collected joint kinematics, ground reaction forces, electromyography, and orthosis kinetics. Results The KAFO produced ~22%–33% of the peak knee flexor moment, ~15%–33% of the peak extensor moment, ~42%–46% of the peak plantar flexor moment, and ~83%–129% of the peak dorsiflexor moment during normal walking. With flexor inhibition produced by leg extensor muscle activation, ankle (Pearson r-value = 0.74 ± 0.04 and knee ( r = 0.95 ± 0.04 joint kinematic profiles were more similar to the without orthosis condition compared to when there was no flexor inhibition (r = 0.49 ± 0.13 for ankle, p = 0.05, and r = 0.90 ± 0.03 for knee, p = 0.17. Conclusion The proportional myoelectric control with flexor inhibition allowed for a more normal gait than direct proportional myoelectric control. The current

  8. Scoliosis curve analysis with Milwaukee orthosis based on Open SIMM modeling

    Directory of Open Access Journals (Sweden)

    Mohammad Karimi

    2015-01-01

    Full Text Available Background: Scoliosis is a three-dimensional spinal deformity characterized by lateral curvature and rotational deformity of the spine. Various methods have been used to investigate the performance of the subjects during walking with an orthosis, but nobody study the biomechanics of orthotic use by understanding the length of the muscles and the force produced by them. Therefore, the aim of this research is to test the effect of the orthosis on the muscular force, tendon length during walking with and without orthosis. Materials and Methods: A 12-year-old scoliosis subject was recruited in this study. The forces produced by trunk musculature, joint reaction force, length of trunk musculature were some parameters selected in this study. Open SIMM and Visual 3D software were used to model the subject. Results: The results of this research showed that the length of erector spine muscles increased follow the use of orthosis. Moreover, the force produced by trunk muscles differed during walking with and without orthosis and also between right and left sides. Discussion: It seems that Open SIMM software can be used to predict the length of muscles, active-passive forces produced by muscles in scoliotic subjects. Therefore, it is recommended this research be done on more number of subjects.

  9. Wearing an active spinal orthosis improves back extensor strength in women with osteoporotic vertebral fractures

    DEFF Research Database (Denmark)

    Valentin, Gitte Hoff; Pedersen, Louise Nymann; Maribo, Thomas

    2014-01-01

    Background:Vertebral fractures are the most common clinical manifestations of osteoporosis. Vertebral fractures and reduced back extensor strength can result in hyperkyphosis. Hyperkyphosis is associated with diminished daily functioning and an increased risk of falling. Improvements in back...... extensor strength can result in decreased kyphosis and thus a decreased risk of falls and fractures.Objectives:The aim was to examine the effects of an active spinal orthosis - Spinomed III - on back extensor strength, back pain and physical functioning in women with osteoporotic vertebral fractures.......Study design:Experimental follow-up.Methods:The women used the active spinal orthosis for 3 months. Outcomes were changes in isometric back extensor strength, changes in back pain and changes in physical functioning.Results:A total of 13 women were included in the trial. Wearing the orthosis during a 3-month...

  10. Ergonomy of paraplegic patients working with a reciprocating gait orthosis.

    Science.gov (United States)

    Bernardi, M; Canale, I; Felici, F; Macaluso, A; Marchettoni, P; Sproviero, E

    1995-08-01

    A reciprocating gait orthosis (RGO) is, among others, the most widely adopted device to restore the standing and walking capability of paraplegic patients. The aim of the present study was the evaluation of the energy demand (VO2), and cardiopulmonary load (HR and VE) imposed on the subject by different working tasks while sitting in a wheelchair or standing using a RGO. In addition, a comparison with the performance of normal subjects was also attempted. The RGO use allowed a dramatic improvement of patients' mobility and reach space in the workplace. A further advantage provided by the use of the RGO was represented by the increased mobility of the subjects with respect to the wheelchair confined situation. The energy demand and the cardiorespiratory load imposed on the subjects by the use of the RGO were not different from those observed both in the same subjects sitting in a wheelchair and in the controls. The energy demand slightly exceeded the values typical of light work and was, thus, compatible with the normal duration of a working day. On the other hand, the cardiac load corresponded to that typical of moderate activity, thus limiting the duration of the working task to 5-8 h. Based on the ergometry test, all of the working activities considered can be classified as aerobic activities, energy demand being under the ventilatory threshold.

  11. Mina: A Sensorimotor Robotic Orthosis for Mobility Assistance

    Directory of Open Access Journals (Sweden)

    Anil K. Raj

    2011-01-01

    Full Text Available While most mobility options for persons with paraplegia or paraparesis employ wheeled solutions, significant adverse health, psychological, and social consequences result from wheelchair confinement. Modern robotic exoskeleton devices for gait assistance and rehabilitation, however, can support legged locomotion systems for those with lower extremity weakness or paralysis. The Florida Institute for Human and Machine Cognition (IHMC has developed the Mina, a prototype sensorimotor robotic orthosis for mobility assistance that provides mobility capability for paraplegic and paraparetic users. This paper describes the initial concept, design goals, and methods of this wearable overground robotic mobility device, which uses compliant actuation to power the hip and knee joints. Paralyzed users can balance and walk using the device over level terrain with the assistance of forearm crutches employing a quadrupedal gait. We have initiated sensory substitution feedback mechanisms to augment user sensory perception of his or her lower extremities. Using this sensory feedback, we hypothesize that users will ambulate with a more natural, upright gait and will be able to directly control the gait parameters and respond to perturbations. This may allow bipedal (with minimal support gait in future prototypes.

  12. A portable powered ankle-foot orthosis for rehabilitation

    Directory of Open Access Journals (Sweden)

    K. Alex Shorter, PhD

    2011-05-01

    Full Text Available Innovative technological advancements in the field of orthotics, such as portable powered orthotic systems, could create new treatment modalities to improve the functional outcome of rehabilitation. In this article, we present a novel portablepowered ankle-foot orthosis (PPAFO to provide untethered assistance during gait. The PPAFO provides both plantar flexor and dorsiflexor torque assistance by way of a bidirectional pneumatic rotary actuator. The system uses a portable pneumatic power source (compressed carbon dioxide bottle and embedded electronics to control the actuation of the foot. We collected pilot experimental data from one impaired and three nondisabled subjects to demonstrate design functionality. The impaired subject had bilateral impairment of the lower legs due to cauda equina syndrome. We found that data from nondisabledwalkers demonstrated the PPAFO’s capability to provide correctlytimed plantar flexor and dorsiflexor assistance during gait. Reduced activation of the tibialis anterior during stance and swing was also seen during assisted nondisabled walking trials. An increase in the vertical ground reaction force during the second half of stance was present during assisted trials for the impaired subject. Data from nondisabled walkers demonstrated functionality, and data from an impaired walker demonstrated the ability to provide functional plantar flexor assistance.

  13. The Effect of the Cervical Orthosis on Swallowing Physiology and Cervical Spine Motion During Swallowing.

    Science.gov (United States)

    Mekata, Kojiro; Takigawa, Tomoyuki; Matsubayashi, Jun; Toda, Kazukiyo; Hasegawa, Yasuhiro; Ito, Yasuo

    2016-02-01

    Cervical orthosis is used to immobilize the neck in various disorders such as trauma and post-operation. However, it is still uncertain how cervical orthosis restricts the degree of movement of the cervical spine during swallowing and how they affect swallowing physiology. The purpose of this study was to evaluate these issues using the Philadelphia(®) Collar. We conducted videofluorography of swallowing in 39 healthy subjects (23 men, 16 women; mean age of 34.3 years) with and without cervical orthosis. To compare the two conditions regarding the cervical spine motion, we determined the angular and positional changes of the occipital bone (C0) and each cervical vertebra (C1-C7) from the oral phase to the pharyngeal phase. Similarly, to compare swallowing physiology, we assessed the start and end times and the durations of soft palate elevation, rapid hyoid anterosuperior movement, epiglottis inversion, closure of the laryngeal vestibule, and pharyngoesophageal segment (PES) opening. Finally, we compared the transit times of contrast agent in the two conditions. The respective extensions of C1, C2, and C3 were 0.31°, 0.07°, and 0.05° (mean) with cervical orthosis, and the respective flexions of C1, C2, and C3 were 0.98°, 1.42°, and 0.85° (mean) without. These results suggested that cervical orthosis restricted the flexion of C1-C3. Analysis of swallowing physiology revealed that the average durations of hyoid anterosuperior elevation, epiglottic inversion, and PES opening were prolonged by 0.09, 0.19, and 0.05 s, respectively. In conclusion, the cervical orthosis restricted the movement of the cervical spine during swallowing and changed swallowing physiology.

  14. A new hybrid spring brake orthosis for controlling hip and knee flexion in the swing phase.

    Science.gov (United States)

    Gharooni, S; Heller, B; Tokhi, M O

    2001-03-01

    In this study it is proposed that active contraction of muscles might be artificially replaced by a spring brake orthosis (SBO) to provide near-natural knee and hip swing phase trajectories for gait in spinal cord injured subjects. The SBO is a new gait restoration system in which stored spring elastic energy and potential energy of limb segments are utilized to aid gait. It is also shown that hip flexion can be produced without the need for withdrawal reflex, hip flexor stimulus or any mechanical actuator at the hip. A hip flexion angle of 21 degrees was achieved by a nonimpaired subject wearing a prototype orthosis.

  15. Long-Term Use of a Static Hand-Wrist Orthosis in Chronic Stroke Patients: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Aukje Andringa

    2013-01-01

    Full Text Available Background. Long-term splinting, using static orthoses to prevent contractures, is widely accepted in stroke patients with paresis of the upper limb. A number of stroke patients complain about increased pain and spasticity, which leads to the nonuse of the orthosis and a risk of developing a clenched fist. Objectives. Evaluating long-term use of static hand-wrist orthoses and experienced comfort in chronic stroke patients. Methods. Eleven stroke patients who were advised to use a static orthosis for at least one year ago were included. Semistructured telephone interviews were conducted to explore the long-term use and experienced comfort with the orthosis. Data were analyzed using descriptive statistics. Results. After at least one year, seven patients still wore the orthosis for the prescribed hours per day. Two patients were unable to wear the orthosis 8 hours per day, due to poor comfort. Two patients stopped using the orthosis because of an increase in spasticity or pain. Conclusions. These pilot data suggest that a number of stroke patients cannot tolerate a static orthosis over a long-term period because of discomfort. Without appropriate treatment opportunities, these patients will remain at risk of developing a clenched fist and will experience problems with daily activities and hygiene maintenance.

  16. Risk factors for cesarean section and instrumental vaginal delivery after successful external cephalic version.

    Science.gov (United States)

    de Hundt, Marcella; Vlemmix, Floortje; Bais, Joke M J; de Groot, Christianne J; Mol, Ben Willem; Kok, Marjolein

    2016-01-01

    Aim of this article is to examine if we could identify factors that predict cesarean section and instrumental vaginal delivery in women who had a successful external cephalic version. We used data from a previous randomized trial among 25 hospitals and their referring midwife practices in the Netherlands. With the data of this trial, we performed a cohort study among women attempting vaginal delivery after successful ECV. We evaluated whether maternal age, gestational age, parity, time interval between ECV and delivery, birth weight, neonatal gender, and induction of labor were predictive for a vaginal delivery on one hand or a CS or instrumental vaginal delivery on the other hand. Unadjusted and adjusted odds ratios were calculated with univariate and multivariate logistic regression analysis. Among 301 women who attempted vaginal delivery after a successful external cephalic version attempt, the cesarean section rate was 13% and the instrumental vaginal delivery rate 6%, resulting in a combined instrumental delivery rate of 19%. Nulliparity increased the risk of cesarean section (OR 2.7 (95% CI 1.2-6.1)) and instrumental delivery (OR 4.2 (95% CI 2.1-8.6)). Maternal age, gestational age at delivery, time interval between external cephalic version and delivery, birth weight and neonatal gender did not contribute to the prediction of failed spontaneous vaginal delivery. In our cohort of 301 women with a successful external cephalic version, nulliparity was the only one of seven factors that predicted the risk for cesarean section and instrumental vaginal delivery.

  17. Cephalic arch stenosis in autogenous brachiocephalic hemodialysis fistulas: results of cutting balloon angioplasty

    DEFF Research Database (Denmark)

    Heerwagen, Søren Thorup; Lönn, Lars; Schroeder, Torben V;

    2010-01-01

    Cephalic arch stenosis is a known cause of hemodialysis access failure in patients with brachiocephalic fistulas (BCFs). Outcomes of endovascular treatment are affected by resistance of the stenosis to balloon dilation, a high vein rupture rate and the development of early restenosis. The purpose...

  18. A study of cephalic index and facial index in Visakhapatnam, Andhra Pradesh, India

    Directory of Open Access Journals (Sweden)

    K. Lakshmi Kumari

    2015-06-01

    Full Text Available Background: The description of the human body has been a major concern since ancient times. The use of medical terminology enhances reliability of comparison made between studies from different areas thereby contributing higher level of scientific evidence. Cephalic index is an important parameter in forensic medicine, anthropology and genetics to know the sex and racial differences between individuals. Facial index is useful index for forensic scientists, plastic surgeons and anatomist. The parameters are useful for plastic surgeons during treatment of congenital and traumatic deformities, identification of individuals in medicolegal cases by forensic scientists and identifying craniofacial deformities of genetic syndromes by geneticist. Methods: 170 males and 110 female adults from Visakhapatnam, Andhra Pradesh, India region are included in this study. Anthropometric points for cephalic index were measured by using spreading calipers. Facial index measurements were taken by measuring tape. All measurements were taken in subjects sitting in relaxed condition and subjects head is in anatomical position. Cranial index and facial index were calculated as per the formula. Results: Maximum number of males with mean cephalic index values of 80.21 were observed as mesocephalic and female with mean value of 79.25 observed as brachycephalic. Regarding facial index males were leptoprosopic and females were mesoprosopic. Conclusion: Cephalic index and facial index were terms used by anthropologists, anatomists, plastic surgeons and forensic scientists to identify individual's race and sex for treatment of craniofacial deformities. [Int J Res Med Sci 2015; 3(3.000: 656-658

  19. Contraindications for external cephalic version in breech position at term: A systematic review

    NARCIS (Netherlands)

    Rosman, A.N.; Guijt, A.; Vlemmix, F.; Rijnders, M.; Mol, B.W.J.; Kok, M.

    2013-01-01

    Objective. External cephalic version (ECV) is a safe and effective intervention that can prevent breech delivery, thus reducing the need for cesarean delivery. It is recommended in national guidelines. These guidelines also mention contraindications for ECV, and thereby restrict the application of E

  20. Cephalic phase secretion of insulin and other enteropancreatic hormones in humans

    DEFF Research Database (Denmark)

    Veedfald, Simon; Plamboeck, Astrid; Deacon, Carolyn F

    2016-01-01

    Enteropancreatic hormone secretion is thought to include a cephalic phase, but the evidence in humans is ambiguous. We studied vagally induced gut hormone responses with and without muscarinic blockade in 10 glucose-clamped healthy men (age: 24.5 ± 0.6 yr, means ± SE; body mass index: 24.0 ± 0.5 ...

  1. Below-knee orthosis: a wrap-around design for ankle-foot control.

    Science.gov (United States)

    Gans, B M; Erickson, G; Simons, D

    1979-02-01

    Control of foot and ankle positions with orthotic appliances is generally more difficult to accomplish in children with spastic than flaccid paralytic disorders. Our new design for a custom molded plastic ankle-foot orthosis has proven superior to other designs in most applications. The appliance is vacuum molded from very thin polypropylene plastic and innerfaced with a foam material (Aliplast). The limb is enclosed completely in plastic with an anterior opening secured by several Velcro straps. Although the material is soft and pliable, the circumferential support provides remarkably rigid control of the limb. The orthosis has been successfully applied to children with polio, meningomyelocele and all forms of spastic and athetoid cerebral palsy. In addition to superior limb control, another advantage appears to be reflex inhibition of abnormal motor tone in may spastic patients. Patients have preferred this orthosis to those previously worn probably due to greater comfort. The limitation of adjustability of dorsiflexion can be compensated by heel or sole shoe lifts. Excessive heat created by the "wrap-around" design can be reduced by a thin cotton sock extended above the orthosis.

  2. Three dimensional design, simulation and optimization of a novel, universal diabetic foot offloading orthosis

    Science.gov (United States)

    Sukumar, Chand; Ramachandran, K. I.

    2016-09-01

    Leg amputation is a major consequence of aggregated foot ulceration in diabetic patients. A common sense based treatment approach for diabetic foot ulceration is foot offloading where the patient is required to wear a foot offloading orthosis during the entire treatment course. Removable walker is an excellent foot offloading modality compared to the golden standard solution - total contact cast and felt padding. Commercially available foot offloaders are generally customized with huge cost and less patient compliance. This work suggests an optimized 3D model of a new type light weight removable foot offloading orthosis for diabetic patients. The device has simple adjustable features which make this suitable for wide range of patients with weight of 35 to 74 kg and height of 137 to 180 cm. Foot plate of this orthosis is unisexual, with a size adjustability of (US size) 6 to 10. Materials like Aluminum alloy 6061-T6, Acrylonitrile Butadiene Styrene (ABS) and Polyurethane acted as the key player in reducing weight of the device to 0.804 kg. Static analysis of this device indicated that maximum stress developed in this device under a load of 1000 N is only 37.8 MPa, with a small deflection of 0.150 cm and factor of safety of 3.28, keeping the safety limits, whereas dynamic analysis results assures the load bearing capacity of this device. Thus, the proposed device can be safely used as an orthosis for offloading diabetic ulcerated foot.

  3. The Influence of Dynamic Orthosis Training on Upper Extremity Function after Stroke: A Pilot Study

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    Rodrigo Cappato de Araújo

    2014-01-01

    Full Text Available The goal of this study was to assess the use of a dynamic orthosis on upper extremity function in chronic stroke patients. A case series approach was utilized, with provision of a training program (3x/week, 50 minutes/session for 8 weeks and employment of a dynamic orthosis. Six volunteers with persistent hemiparesis due to a single, unilateral stroke performed task-oriented movements with the aid of a dynamic orthosis. Tests were administered before and after training. Functional capacity was assessed using the TEMPA (Test d'Évaluation des Membres Supérieurs de Personnes Âgées test. The Wilcoxon test was used for pre-training and post-training comparisons of TEMPA scores. The volunteers showed significant improvement of upper extremity function in the performance of a bilateral task (p = 0.01 and three unilateral tasks (p = 0.04. This pilot study suggests that the dynamic orthosis associated with the performance of functional tasks can have positive outcomes regarding the improvement of functional capacity of upper extremity.

  4. Studying the effect of kinematical pattern on the mechanical performance of paraplegic gait with reciprocating orthosis.

    Science.gov (United States)

    Nakhaee, Koorosh; Farahmand, Farzam; Salarieh, Hassan

    2012-08-01

    Paraplegic users of mechanical walking orthoses, e.g. advanced reciprocating gait orthosis (ARGO), often face high energy expenditure and extreme upper body loading during locomotion. We studied the effect of kinematical pattern on the mechanical performance of paraplegic locomotion, in search for an improved gait pattern that leads to lower muscular efforts. A three-dimensional, four segment, six-degrees-of-freedom skeletal model of the advanced reciprocating gait orthosis-assisted paraplegic locomotion was developed based on the data acquired from an experimental study on a single subject. The effect of muscles was represented by ideal joint torque generators. A response surface analysis was performed on the model to determine the impact of the kinematical parameters on the resulting muscular efforts, characterized by net joint torques. Results indicated that a lateral bending manoeuvre at the trunk would facilitate the foot clearance by reducing the torque requirement of the whole body lateral tilting. For swing leg advancement, the trunk posterior bending manoeuvre was found to be more effective and efficient than the whole body axial rotation, owing to the coupled reciprocal action of the advanced reciprocating gait orthosis. It was hypothesized that a modified gait pattern, with larger trunk movements and no axial rotation, could improve the energy expenditure and upper body loading during advanced reciprocating gait orthosis-assisted locomotion. More detailed modelling and experimental studies are needed to verify this hypothesis and evaluate its potential effects on the soft tissue strains.

  5. What Are the Next Steps in Designing an Orthosis for Paraplegic Subjects?

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    Mohammad Taghi Karimi

    2012-01-01

    Conclusion: Although the HGO has better functional performance than other available orthoses, the subjects are more willing to use the RGO. The new design of orthoses must allow easy donning and doffing by the users, have enough stability during walking and standing, and enable the patients to change the alignment of the orthosis to suit their needs.

  6. Evaluation of performance and personal satisfaction of the patient with spastic hand after using a volar dorsal orthosis.

    Science.gov (United States)

    Garros, Danielle dos Santos Cutrim; Gagliardi, Rubens José; Guzzo, Regina Aparecida Rossetto

    2010-06-01

    The performance and the satisfaction of the patient were quantitatively compared with the use of the volar dorsal orthosis in order to position the spastic hand. Thirty patients wearing the orthosis for eight hours daily were evaluated by the Canadian Occupational Performance Measure and the box and blocks test, for a three-month period. Five activities were selected (among daily life activities, productive activities, and leisure activities) by the patients, which were impaired by spasticity. There was an improvement related to performance after use of orthosis, with an average of 1.4 + or - 0.5 to 6.3 + or - 0.8 (pPatient satisfaction average after wearing the orthosis was of 1.7 + or - 0.4 to 6.3 + or - 0.6 (ppatient satisfaction.

  7. A Newly Designed Tennis Elbow Orthosis With a Traditional Tennis Elbow Strap in Patients With Lateral Epicondylitis

    OpenAIRE

    2016-01-01

    Background Lateral epicondylitis is a common cause of pain and upper limb dysfunction. The use of counterforce straps for treatment of lateral epicondylitis is widespread. This kind of orthosis can be modified to have a greater effect on relieving pain by reducing tension on the origin of the extensor pronator muscles. Objectives To determine the immediate effects of a newly designed orthosis on pain and grip strength in patients ...

  8. Biomechanics of an orthosis-managed cranial cruciate ligament-deficient canine stifle joint predicted by use of a computer model.

    Science.gov (United States)

    Bertocci, Gina E; Brown, Nathan P; Mich, Patrice M

    2017-01-01

    OBJECTIVE To evaluate effects of an orthosis on biomechanics of a cranial cruciate ligament (CrCL)-deficient canine stifle joint by use of a 3-D quasistatic rigid-body pelvic limb computer model simulating the stance phase of gait and to investigate influences of orthosis hinge stiffness (durometer). SAMPLE A previously developed computer simulation model for a healthy 33-kg 5-year-old neutered Golden Retriever. PROCEDURES A custom stifle joint orthosis was implemented in the CrCL-deficient pelvic limb computer simulation model. Ligament loads, relative tibial translation, and relative tibial rotation in the orthosis-stabilized stifle joint (baseline scenario; high-durometer hinge]) were determined and compared with values for CrCL-intact and CrCL-deficient stifle joints. Sensitivity analysis was conducted to evaluate the influence of orthosis hinge stiffness on model outcome measures. RESULTS The orthosis decreased loads placed on the caudal cruciate and lateral collateral ligaments and increased load placed on the medial collateral ligament, compared with loads for the CrCL-intact stifle joint. Ligament loads were decreased in the orthosis-managed CrCL-deficient stifle joint, compared with loads for the CrCL-deficient stifle joint. Relative tibial translation and rotation decreased but were not eliminated after orthosis management. Increased orthosis hinge stiffness reduced tibial translation and rotation, whereas decreased hinge stiffness increased internal tibial rotation, compared with values for the baseline scenario. CONCLUSIONS AND CLINICAL RELEVANCE Stifle joint biomechanics were improved following orthosis implementation, compared with biomechanics of the CrCL-deficient stifle joint. Orthosis hinge stiffness influenced stifle joint biomechanics. An orthosis may be a viable option to stabilize a CrCL-deficient canine stifle joint.

  9. Enhanced ghrelin secretion in the cephalic phase of food ingestion in women with bulimia nervosa.

    Science.gov (United States)

    Monteleone, Palmiero; Serritella, Cristina; Scognamiglio, Pasquale; Maj, Mario

    2010-02-01

    In humans, the cephalic phase response to food ingestion consists mostly of vagal efferent activation, which promotes the secretion of entero-pancreatic hormones, including ghrelin. Since symptomatic patients with bulimia nervosa (BN) are characterized by increased vagal tone, we hypothesized an enhanced ghrelin secretion in the cephalic phase of vagal stimulation. Therefore, we investigated ghrelin response to modified sham feeding (MSF) in both BN and healthy women. Six drug-free BN women and 7 age-matched healthy females underwent MSF with initially seeing and smelling a meal, and then chewing the food without swallowing it. Blood samples were drawn immediately before and after MSF for hormone assay. Circulating ghrelin increased after MSF in both groups with BN individuals exhibiting a greater ghrelin increase, which positively correlated with the patients' weekly frequency of binge-purging. These results show for the first time an increased ghrelin secretion in the cephalic phase of vagal stimulation in symptomatic BN patients, likely resulting in a potentiation of the peripheral hunger signal, which might contribute to their aberrant binge-purging behavior.

  10. Transposition of cephalic vein to rescue hemodialysis access arteriovenous fistula and treat symptomatic central venous obstruction

    Directory of Open Access Journals (Sweden)

    Felipe Jose Skupien

    2014-03-01

    Full Text Available It is known that stenosis or central venous obstruction affects 20 to 50% of patients who undergo placement of catheters in central veins. For patients who are given hemodialysis via upper limbs, this problem causes debilitating symptoms and increases the risk of loss of hemodialysis access. We report an atypical case of treatment of a dialysis patient with multiple comorbidities, severe swelling and pain in the right upper limb (RUL, few alternative sites for hemodialysis vascular access, a functioning brachiobasilic fistula in the RUL and severe venous hypertension in the same limb, secondary to central vein occlusion of the internal jugular vein and right brachiocephalic trunk. The alternative surgical treatment chosen was to transpose the RUL cephalic vein, forming a venous necklace at the anterior cervical region, bypassing the site of venous occlusion. In order to achieve this, we dissected the cephalic vein in the right arm to its junction with the axillary vein, devalved the cephalic vein and anastomosed it to the contralateral external jugular vein, providing venous drainage to the RUL, alleviating symptoms of venous hypertension and preserving function of the brachiobasilic fistula.

  11. The Management of Cephalic Arch Stenosis in Arteriovenous Fistulas for Hemodialysis: A Systematic Review

    Energy Technology Data Exchange (ETDEWEB)

    Vasanthamohan, Lakshman, E-mail: lakshman.vasanthamohan@medportal.ca; Gopee-Ramanan, Prasaanthan, E-mail: Prasa.gopee@medportal.ca; Athreya, Sriharsha, E-mail: sathreya@stjoes.ca [McMaster University, Faculty of Health Sciences (Canada)

    2015-10-15

    AimTo conduct a systematic review of management of current cephalic arch stenosis (CAS) and associated outcomes in the context of dysfunctional hemodialysis access.Materials and MethodsPubMed, Web of Science, and Cochrane Library were searched to retrieve literature on the management of CAS. Studies had to focus on management of access stenosis solely in the cephalic arch. Case reports and literature reviews were excluded. Studies were categorized by intervention, and primary and secondary patency data were compiled. Studies were aggregated, and meta-analyses were performed where possible.ResultsNine papers satisfied the aforementioned criteria: five were retrospective studies and four were prospective studies. CAS management strategies have included percutaneous transluminal balloon angioplasty (PTA), peripheral cutting balloons, surgical cephalic vein transpositions, bare stents, and stent grafts. Reporting strategies varied between studies. Meta-analyses showed that results were variable even within studies using the same modality, particularly for PTA.ConclusionNo singular, definitive management strategy exists for CAS. Current studies are limited by being primarily single-center retrospective trials featuring heterogenous patient populations, interventions, and endpoints. Priorities for future studies should include larger randomized trials, more uniform management strategies and endpoints, and a longer duration of follow-up.

  12. Cephalic measures in normal pre-school children 3 to 7-years of age

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    A. J. Diament

    1976-12-01

    Full Text Available In a study designed to determine standards for the Developmental Neurological Examination (DNE several measures of the head were also recorded. The study consisted in the examination of 200 children, half from each sex, 40 from each age group (3 to 7-years of age. These children were selected among 755 normal pre-school-age children, living in the city of São Paulo (Brazil. The criteria for selection were both anamnestic and clinic. The following measures of the head were recorded: cephalic perimeter, biauricular and antero-posterior distances (Diament, 1967. A new cephalic index (nCI was also determined (Diament, 1968. This index is useful in detecting changes in head shape mainly in cases of precocious cranioestenosis (Diament, 1968; Facure, 1972. The statistical analysis consisted in determining means and standard errors for each measure. For the new cephalic index it was shown through the Kruskal-Wallis test that there were no significant difference between age and sex. Therefore we considered all groups together to find out the tolerance region for the new index which turned out to be given by the interval: 0.848-1.002. This result is based in 186 cases since 14 were excluded because of some problems in the recording process. Therefore we expect with a confidence of 95% that the above interval covers 90% of the population, in the 3 to 7 years age-groups independently of sex.

  13. Study about the ontogenetic development of cephalic sensory system of Cottus Gobio Linaeus 1758 (Pisces; Cottidae

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    Ilie C. TELCEAN

    2005-05-01

    Full Text Available The lateral-cephalic channels system of Cotus gobio L. was studied for a number of 66 juveniles originated from the upper Tisa River. The topography of cephalic channels system and the number of their opening pores present a lot of similarities between different fishes groups that is close related in their phylogeny. The jointly characters are in fact the results of convergent evolution.The study on the ontogenesis of cephalic-laterals channels system and its pores at Cottus gobio can offer an image on the main stages of their phylogeny. The first channels which are forming are the preoperculo-mandibularis (POM followed by the infraorbitalis (IO, supratemporalis (ST and the occipital (OC channel. The last formed seem to be the supraorbital channels (SO. The main stages of this ontogeny suggest that the sensory channels from the mandible and upper head have the priority in their development. A number of genipores are the forerunner for the cephalic pores. The beginning genipores from the infraorbital and supratemporal cephalic surface are the most similar with those from the Gobiidae fish family. The secondary process in sensory system ontogeny consists in developing of the channel structure. The channels structure development occurred principally in the fresh water fishes it seems to be related with their environment.The total length of lateral line at the populations of Cottus gobio from the upper Tisa River is already complete at the individuals with 35-40 mm standard length. That earliest development of the cannels and its opening pores are distinctive for Cottus gobio from the Tisa River system or generally for the entire lower Danube rivers system. The mature individuals have an average number of 30-33 pores on the lateral line. The comparative study of the lateral line lengthiness correlated with the standard length of specimens reveal that the individuals from Tisa River have similarities with the populations of Cottus gobio from Czech

  14. The "baseball cap orthosis": a simple solution for dropped head syndrome.

    Science.gov (United States)

    Fast, Avital; Thomas, Mark A

    2008-01-01

    Dropped head syndrome (DHS) is a well-recognized condition characterized by gradual sagging of the head. At the extreme, the condition may lead to a "chin on chest deformity" where the chin rests on the chest wall and the patient is unable to look straight ahead. Dropped head syndrome tends to develop in patients with severe weakness of the neck extensors. Various neuromuscular disorders and surgical procedures may compromise the stability of the cervical spine and lead to this disorder. The condition may severely compromise the patient's quality of life and result in significant disability. A simple device-the "baseball cap orthosis"-was developed to help patients maintain their head in the upright position. Two patients with DHS who were provided with the baseball cap orthosis are presented.

  15. Unilateral compression neuropathy of the hypoglossal nerve due to head suspension orthosis in mitochondriopathy.

    Science.gov (United States)

    Finsterer, Josef; Hess, Barbara

    2004-12-01

    An 85-year-old woman with multisystem mitochondriopathy experienced tension headache, cervical pain, torque head-posture, and vertigo since 1980 for which she was continuously wearing a head-suspension-orthosis- since 1990. Since 1996 she developed severe left-sided weakness and wasting of the tongue. Needle-EMG of the left genioglossus muscle revealed abnormal spontaneous activity and reduced interference-pattern. No morphological alterations in the anatomical course of the hypoglossal nerve were found. Severe, unilateral weakness and wasting of the tongue was interpreted due to chronic compression of the hypoglossal nerve by long-standing use of a head-suspension-orthosis for cervical pain from cervical muscle weakness and resulting spinal degeneration.

  16. Stress distribution in the ankle-foot orthosis used to correct pathological gait.

    Science.gov (United States)

    Chu, T M; Reddy, N P

    1995-11-01

    Abnormal motion of the ankle-foot complex presents a major problem in the rehabilitation of stroke patients. These patients often develop drop foot, a problem involving excessive and uncontrolled plantar flexion. An ankle-foot orthosis (AFO) is prescribed to constrain and inhibit this abnormal motion. The purpose of this investigation was to simulate the drop foot problem to determine the stress distribution in the orthosis. A quasi-static 3-D finite element analysis of the AFO complex was conducted using ADINA. Results confirmed the hypotheses that the maximum peak stress occurs in the neck, heel, and side-arc region of the AFO. However, the neck region of the AFO experienced the largest amount of stress. High stress concentration in the neck region observed in the present analysis is consistent with the common clinical observation that AFOs break down in the neck region.

  17. Orthosis for thoracolumbar burst fractures without neurologic deficit: A systematic review of prospective randomized controlled trials

    Directory of Open Access Journals (Sweden)

    Gabriel Alcala-Cerra

    2014-01-01

    Full Text Available Background: Traditionally, conservative treatment of thoracolumbar (TL burst fractures without neurologic deficit has encompassed the application of an extension brace. However, their effectiveness on maintaining the alignment, preventing posttraumatic deformities, and improving back pain, disability and quality of life is doubtful. Objective: The objective was to identify and summarize the evidence from randomized controlled trials (RCTs to determine whether bracing patients who suffer TL fractures adds benefices to the conservative manage without bracing. Materials and Methods: Seven databases were searched for relevant RCTs that compared the clinical and radiological outcomes of orthosis versus no-orthosis for TL burst fractures managed conservatively. Primary outcomes were: (1 Loss of kyphotic angle; (2 failure of conservative management requiring subsequent surgery; and (3 disability and pain outcomes. Secondary outcomes were defined by health-related quality of life and in-hospital stay. Results: Based on predefined inclusion criteria, only two eligible high-quality RCTs with a total of 119 patients were included. No significant difference was identified between the two groups regarding loss of kyphotic angle, pain outcome, or in-hospital stay. The pooled data showed higher scores in physical and mental domains of the Short-Form Health Survey 36 in the group treated without orthosis. Conclusion and Recommendation: The current evidence suggests that orthosis could not be necessary when TL burst fractures without neurologic deficit are treated conservatively. However, due to limitations related with number and size of the included studies, more RCTs with high quality are desirable for making recommendations with more certainty.

  18. The Effect of Different Foot Orthosis Inverted Angles on Plantar Pressure in Children with Flexible Flatfeet.

    Directory of Open Access Journals (Sweden)

    Soo-Kyung Bok

    Full Text Available Although orthotic modification using the inverted technique is available for the treatment of flatfoot, empirical evidence for the biomechanical effects of inverted-angle foot orthoses (FOs is lacking. The aim of this study was to evaluate the effects of different FO inversion angles on plantar pressure during gait in children with flatfoot. Twenty-one children with flexible flatfeet (mean age 9.9 years were enrolled in this study. The plantar pressures were measured for the rearfoot; medial and lateral midfoot; and medial, central, and lateral forefoot as participants walked on a treadmill while wearing shoes only and shoes with the following 3 orthotic conditions: (i orthosis with no inverted angle, (ii orthosis with a 15° inverted angle, and (iii orthosis with a 30° inverted angle. A one-way repeated measures analysis of variance (ANOVA with the Bonferroni-adjusted post-hoc test was used to compare the mean values of each orthotic condition. Compared with the shoe only condition, the peak pressure decreased significantly under the medial forefoot and rearfoot with all FOs (p <0.05. However, no significant differences in the peak pressure under the medial forefoot and rearfoot were observed between the FOs. The peak pressure under the medial midfoot increased significantly with all FOs, and a maximal increase in the peak pressure was obtained with a 30° inverted angle orthosis. Furthermore, the contact area under the medial midfoot and rearfoot increased significantly with all FOs, compared with the shoe only condition (p <0.05. Again, no significant differences were observed between the FOs. For plantar pressure redistribution, a FO with a low inverted angle could be effective, accommodative, and convenient for children with flatfoot.

  19. A Critical Analysis of a Hand Orthosis Reverse Engineering and 3D Printing Process.

    Science.gov (United States)

    Baronio, Gabriele; Harran, Sami; Signoroni, Alberto

    2016-01-01

    The possibility to realize highly customized orthoses is receiving boost thanks to the widespread diffusion of low-cost 3D printing technologies. However, rapid prototyping (RP) with 3D printers is only the final stage of patient personalized orthotics processes. A reverse engineering (RE) process is in fact essential before RP, to digitize the 3D anatomy of interest and to process the obtained surface with suitable modeling software, in order to produce the virtual solid model of the orthosis to be printed. In this paper, we focus on the specific and demanding case of the customized production of hand orthosis. We design and test the essential steps of the entire production process with particular emphasis on the accurate acquisition of the forearm geometry and on the subsequent production of a printable model of the orthosis. The choice of the various hardware and software tools (3D scanner, modeling software, and FDM printer) is aimed at the mitigation of the design and production costs while guaranteeing suitable levels of data accuracy, process efficiency, and design versatility. Eventually, the proposed method is critically analyzed so that the residual issues and critical aspects are highlighted in order to discuss possible alternative approaches and to derive insightful observations that could guide future research activities.

  20. A Critical Analysis of a Hand Orthosis Reverse Engineering and 3D Printing Process

    Directory of Open Access Journals (Sweden)

    Gabriele Baronio

    2016-01-01

    Full Text Available The possibility to realize highly customized orthoses is receiving boost thanks to the widespread diffusion of low-cost 3D printing technologies. However, rapid prototyping (RP with 3D printers is only the final stage of patient personalized orthotics processes. A reverse engineering (RE process is in fact essential before RP, to digitize the 3D anatomy of interest and to process the obtained surface with suitable modeling software, in order to produce the virtual solid model of the orthosis to be printed. In this paper, we focus on the specific and demanding case of the customized production of hand orthosis. We design and test the essential steps of the entire production process with particular emphasis on the accurate acquisition of the forearm geometry and on the subsequent production of a printable model of the orthosis. The choice of the various hardware and software tools (3D scanner, modeling software, and FDM printer is aimed at the mitigation of the design and production costs while guaranteeing suitable levels of data accuracy, process efficiency, and design versatility. Eventually, the proposed method is critically analyzed so that the residual issues and critical aspects are highlighted in order to discuss possible alternative approaches and to derive insightful observations that could guide future research activities.

  1. A Critical Analysis of a Hand Orthosis Reverse Engineering and 3D Printing Process

    Science.gov (United States)

    2016-01-01

    The possibility to realize highly customized orthoses is receiving boost thanks to the widespread diffusion of low-cost 3D printing technologies. However, rapid prototyping (RP) with 3D printers is only the final stage of patient personalized orthotics processes. A reverse engineering (RE) process is in fact essential before RP, to digitize the 3D anatomy of interest and to process the obtained surface with suitable modeling software, in order to produce the virtual solid model of the orthosis to be printed. In this paper, we focus on the specific and demanding case of the customized production of hand orthosis. We design and test the essential steps of the entire production process with particular emphasis on the accurate acquisition of the forearm geometry and on the subsequent production of a printable model of the orthosis. The choice of the various hardware and software tools (3D scanner, modeling software, and FDM printer) is aimed at the mitigation of the design and production costs while guaranteeing suitable levels of data accuracy, process efficiency, and design versatility. Eventually, the proposed method is critically analyzed so that the residual issues and critical aspects are highlighted in order to discuss possible alternative approaches and to derive insightful observations that could guide future research activities. PMID:27594781

  2. Exoskeleton Technology in Rehabilitation: Towards an EMG-Based Orthosis System for Upper Limb Neuromotor Rehabilitation

    Directory of Open Access Journals (Sweden)

    Luis Manuel Vaca Benitez

    2013-01-01

    Full Text Available The rehabilitation of patients should not only be limited to the first phases during intense hospital care but also support and therapy should be guaranteed in later stages, especially during daily life activities if the patient’s state requires this. However, aid should only be given to the patient if needed and as much as it is required. To allow this, automatic self-initiated movement support and patient-cooperative control strategies have to be developed and integrated into assistive systems. In this work, we first give an overview of different kinds of neuromuscular diseases, review different forms of therapy, and explain possible fields of rehabilitation and benefits of robotic aided rehabilitation. Next, the mechanical design and control scheme of an upper limb orthosis for rehabilitation are presented. Two control models for the orthosis are explained which compute the triggering function and the level of assistance provided by the device. As input to the model fused sensor data from the orthosis and physiology data in terms of electromyography (EMG signals are used.

  3. The Effect of Different Foot Orthosis Inverted Angles on Plantar Pressure in Children with Flexible Flatfeet

    Science.gov (United States)

    Lee, Hyunkeun; Ahn, Soyoung; Song, Youngshin; Park, Insik

    2016-01-01

    Although orthotic modification using the inverted technique is available for the treatment of flatfoot, empirical evidence for the biomechanical effects of inverted-angle foot orthoses (FOs) is lacking. The aim of this study was to evaluate the effects of different FO inversion angles on plantar pressure during gait in children with flatfoot. Twenty-one children with flexible flatfeet (mean age 9.9 years) were enrolled in this study. The plantar pressures were measured for the rearfoot; medial and lateral midfoot; and medial, central, and lateral forefoot as participants walked on a treadmill while wearing shoes only and shoes with the following 3 orthotic conditions: (i) orthosis with no inverted angle, (ii) orthosis with a 15° inverted angle, and (iii) orthosis with a 30° inverted angle. A one-way repeated measures analysis of variance (ANOVA) with the Bonferroni-adjusted post-hoc test was used to compare the mean values of each orthotic condition. Compared with the shoe only condition, the peak pressure decreased significantly under the medial forefoot and rearfoot with all FOs (p flatfoot. PMID:27458719

  4. Three-dimensional finite element stress analysis of the polypropylene, ankle-foot orthosis: static analysis.

    Science.gov (United States)

    Chu, T M; Reddy, N P; Padovan, J

    1995-07-01

    An asymmetric 3-dimensional finite element model (FEM) of the ankle-foot orthosis (AFO) together with the ankle-foot complex was developed using the computer aided design (CAD) program PATRAN. Static analysis of normal and pathological motions of the ankle-foot complex such as the "drop-foot" problem were conducted using the FEM program ADINA. A total of 313 three dimensional solid elements and 10 truss elements were used. Heel strike and toe-off condition were simulated. Results revealed that the peak compressive stress (1.6 MPa) in the AFO model occurred in the heel regions of the AFO and the maximum tensile stress (0.8 MPa) occurred in the neck region of the AFO during toe-off. Parametric analyses revealed that the model was sensitive to the elastic moduli of the AFO and of the soft tissue, but was relatively insensitive to the ligament stiffness. The results confirmed the hypothesis that peak stresses in the orthosis occur in the heal and neck regions of the orthosis.

  5. Design and construction of custom-made neoprene thumb carpo-metacarpal orthosis with thermoplastic stabilization for first carpo-metacarpal joint osteoarthritis.

    Science.gov (United States)

    Bani, Monireh Ahmadi; Arazpour, Mokhtar; Curran, Sarah

    2013-01-01

    Individuals with first carpo-metacarpal (CMC) osteoarthritis (OA) often experience pain and difficulty with functional activities. Thus, designing orthotics to improve function and decrease pain is common practice. These therapists designed an orthosis using a combination of neoprene and thermoplastic materials to create a soft orthosis that provides support to the first CMC joint - Victoria Priganc, PhD, OTR, CHT, CLT.

  6. A Newly Designed Tennis Elbow Orthosis With a Traditional Tennis Elbow Strap in Patients With Lateral Epicondylitis

    Directory of Open Access Journals (Sweden)

    Saremi

    2016-05-01

    Full Text Available Background Lateral epicondylitis is a common cause of pain and upper limb dysfunction. The use of counterforce straps for treatment of lateral epicondylitis is widespread. This kind of orthosis can be modified to have a greater effect on relieving pain by reducing tension on the origin of the extensor pronator muscles. Objectives To determine the immediate effects of a newly designed orthosis on pain and grip strength in patients with lateral epicondylitis. Materials and Methods Twelve participants (six men and six women were recruited (mean age = 41 ± 6.7 years and evaluated for pain and grip strength in three sessions. A 48-hour break was taken between each session. The first session was without any orthosis, the second session was with the new modified tennis elbow orthosis, and the third session was with a conventional tennis elbow strap. Results Both counterforce straps were effective. However, significantly more improvement was observed in pain and grip strength after using the newly modified orthosis (P < 0.05. Conclusions The newly designed strap reduces pain more effectively and improves grip strength by causing greater localized pressure on two regions with different force applications (two component vectors versus one.

  7. Cephalic And Prosopic Indices: Comparison In One-Day Newborn Boys In Zahedan

    Directory of Open Access Journals (Sweden)

    Heidari Z

    2004-07-01

    Full Text Available Background: Cephalometry is one of the important branches of anthropometry that has wide uses in identification, forensic medicine, plastic surgery, orthodontics, archeology and determining the origins of races. This research was investigated to determine the head and face phenotypes among one-day newborn boys in two aborigines of Sistani and Baluchi who were resident in Zahedan. Materials and Methods: The investigation is based on cross-sectional analytical descriptions of 420 newborn aborigine boys (216 Sistani & 204 Baluchi, who were clinically healthy, in Quds hospital in summer 1381, in Zahedan. In this study cephalic and prosopic indices were determined by classical cephalometric. Results: The mean and the standard deviations of cephalic index were 83.67±4.80 and 83.64±4.77 and prosopic index 86.79±5.87 and 86.53±6.76 for Sistani and Baluchi subjects respectively. Based on the cephalic index, the dominant head types in sistani group were hyperbrachycephalic (37% and brachycephalic (37%. In Blachui group, the hyperbrachycephalic (37.3% and brachycephalic (35.3% type were the dominant one. Furthermore, according to the prosopic index. The dominant face type among sistanis was euryprosopic type (42.6%. In Baluchi group, the dominant face type was also euryprosopic (39.2%. Conclusion: This research showed no statistically significant differences in terms of head and face type indices between two aborigines of Zahedan. Based on this cross-sectional study, it seems that there is similarities between the aforementioned groups

  8. Automatic Assessment of Global Craniofacial Differences between Crouzon mice and Wild-type mice in terms of the Cephalic Index

    DEFF Research Database (Denmark)

    Ólafsdóttir, Hildur; Oubel, Estanislao; Frangi, Alejandro F.;

    2006-01-01

    This paper presents the automatic assessment of differences between Wild-Type mice and Crouzon mice based on high-resolution 3D Micro CT data. One factor used for the diagnosis of Crouzon syndrome in humans is the cephalic index, which is the skull width/length ratio. This index has traditionally...... been computed by time-consuming manual measurements that prevent large-scale populational studies. In this study, an automatic method to estimate cephalic index for this mouse model of Crouzon syndrome is presented. The method is based on constructing a craniofacial atlas of Wild-type mice...... and then registering each mouse to the atlas using affine transformations. The skull length and width are then measured on the atlas and propagated to all subjects to obtain automatic measurements of the cephalic index. The registration accuracy was estimated by RMS landmark errors. Even though the accuracy...

  9. Cephalic Disorders

    Science.gov (United States)

    ... it is believed that the mother's diet and vitamin intake may play a role, scientists agree that ... Complications of AIDS Information Page Neurological Complications of Lyme Disease Information Page Neuromyelitis Optica Information Page Neuronal Migration ...

  10. Cephalic Disorders

    Science.gov (United States)

    ... include a study to evaluate increased risk of neural tube defects and various other congenital malformations in association ... involved in neurulation -- the process of forming the neural tube. Investigators are also conducting a variety of genetic ...

  11. Neutral Sterols of Cephalic Glands of Stingless Bees and Their Correlation with Sterols from Pollen

    Directory of Open Access Journals (Sweden)

    Maria Juliana Ferreira-Caliman

    2012-01-01

    de novo and, thus, all phytophagous insects depend on an exogenous source of sterols for growth, development, and reproduction. The sterol requirements of social bees are not fully known due to the fact that there is no well-defined diet available throughout the year with regard to floral resources. Our study aimed to characterize the sterols present in pollen stored in Melipona marginata and Melipona scutellaris colonies, as well as evaluating their presence in the mandibular, hypopharyngeal, and cephalic salivary gland secretions. We analyzed the chemical composition of pollen stored in the colonies and the composition of the cephalic glands of workers in three adult functional phases (newly emerged, nurses, and foragers by gas chromatography and mass spectrometry. The results showed that the pollen analyzed contained campesterol, stigmasterol, sitosterol, isofucosterol, lanosterol, and small amounts of cholesterol. The glands showed the same compounds found in the pollen analyzed, except lanosterol that was not found in M. scutellaris glands. Surprisingly, cholesterol was found in some glands with relative ratios greater than those found in pollen.

  12. In situ cephalic vein bypasses from axillary to the brachial artery after catheterization injuries.

    Science.gov (United States)

    Hudorovic, Narcis; Lovricevic, Ivo; Ahel, Zaky

    2010-07-01

    The need to bypass to the brachial artery is rare. Over a five-year period, 16 patients had suffered iatrogenic post-catheterization injuries of the upper extremity. We have performed 16 bypasses, in 16 patients, mean age was 65 years (range 47-75), to the brachial artery originating from an artery proximal to the shoulder joint. In all cases, the axillary artery was the donor artery. All bypasses were created by using the cephalic vein with the in situ technique and distal anastomoses were made to a distance-free section of brachial artery. No operative mortality, neurological complications or major upper-extremity amputation was associated with the procedure. Life-long-conduit analysis showed 75% patency in the five-year period. After iatrogenic post-catheterization trauma of arterial system of upper extremity, bypasses from axillary to brachial artery with the cephalic vein with the in situ technique is a safe operation with satisfactory long-term patency.

  13. Peripheral sensory cells in the cephalic sensory organs of Lymnaea stagnalis.

    Science.gov (United States)

    Wyeth, Russell C; Croll, Roger P

    2011-07-01

    The peripheral nervous system in gastropods plays a key role in the neural control of behaviors, but is poorly studied in comparison with the central nervous system. Peripheral sensory neurons, although known to be widespread, have been studied in a patchwork fashion across several species, with no comprehensive treatment in any one species. We attempted to remedy this limitation by cataloging peripheral sensory cells in the cephalic sensory organs of Lymnaea stagnalis employing backfills, vital stains, histochemistry, and immunohistochemistry. By using at least two independent methods to corroborate observations, we mapped four different cell types. We have found two different populations of bipolar sensory cells that appear to contain catecholamines(s) and histamine, respectively. Each cell had a peripheral soma, an epithelial process bearing cilia, and a second process projecting to the central nervous system. We also found evidence for two populations of nitric oxide-producing sensory cells, one bipolar, probably projecting centrally, and the second unipolar, with only a single epithelial process and no axon. The various cell types are presumably either mechanosensory or chemosensory, but the complexity of their distributions does not allow formation of hypotheses regarding modality. In addition, our observations indicate that yet more peripheral sensory cell types are present in the cephalic sensory organs of L. stagnalis. These results are an important step toward linking sensory cell morphology to modality. Moreover, our observations emphasize the size of the peripheral nervous system in gastropods, and we suggest that greater emphasis be placed on understanding its role in gastropod neuroethology.

  14. Prediction of neonatal metabolic acidosis in women with a singleton term pregnancy in cephalic presentation.

    Science.gov (United States)

    Westerhuis, Michelle E M H; Schuit, Ewoud; Kwee, Anneke; Zuithoff, Nicolaas P A; Groenwold, Rolf H H; Van Den Akker, Eline S A; Van Beek, Erik; Van Dessel, Hendrikus J H M; Drogtrop, Addy P; Van Geijn, Herman P; Graziosi, Guiseppe C M; Van Lith, Jan M M; Nijhuis, Jan G; Oei, S Guid; Oosterbaan, Herman P; Porath, Martina M; Rijnders, Robert J P; Schuitemaker, Nico W E; Wijnberger, Lia D E; Willekes, Christine; Wouters, Maurice G A J; Visser, Gerard H A; Mol, Ben Willem J; Moons, Karel G M

    2012-03-01

    We sought to predict neonatal metabolic acidosis at birth using antepartum obstetric characteristics (model 1) and additional characteristics available during labor (model 2). In 5667 laboring women from a multicenter randomized trial that had a high-risk singleton pregnancy in cephalic presentation beyond 36 weeks of gestation, we predicted neonatal metabolic acidosis. Based on literature and clinical reasoning, we selected both antepartum characteristics and characteristics that became available during labor. After univariable analyses, the predictors of the multivariable models were identified by backward stepwise selection in a logistic regression analysis. Model performance was assessed by discrimination and calibration. To correct for potential overfitting, we (internally) validated the models with bootstrapping techniques. Of 5667 neonates born alive, 107 (1.9%) had metabolic acidosis. Antepartum predictors of metabolic acidosis were gestational age, nulliparity, previous cesarean delivery, and maternal diabetes. Additional intrapartum predictors were spontaneous onset of labor and meconium-stained amniotic fluid. Calibration and discrimination were acceptable for both models (c-statistic 0.64 and 0.66, respectively). In women with a high-risk singleton term pregnancy in cephalic presentation, we identified antepartum and intrapartum factors that predict neonatal metabolic acidosis at birth.

  15. Isolated Unilateral Tongue Atrophy: A Possible Late Complication of Juxta Cephalic Radiation Therapy.

    Science.gov (United States)

    Alqahtani, Saeed A; Agha, Caroline; Rothstein, Ted

    2016-07-26

    BACKGROUND Isolated unilateral hypoglossal nerve injury is extremely rare. It may be caused by radiation therapy targeting neoplasms of the cephalic region. CASE REPORT A 51-year-old man with synovial sarcoma of the left upper arm status post extensive radiation therapy in 1980 presented in late 2014 with gradual onset of speech difficulty and difficulty moving his tongue for a couple of weeks. Neurological examination revealed isolated left-sided unilateral tongue atrophy. Postradiation residual extensive cicatrix with erythema over the whole left upper extremity extending to the neck on the affected side was noticed. On head magnetic resonance imaging (MRI) before and after administration of gadolinium, he was found to have asymmetrically fatty striations, atrophy, and fibrosis in the left tongue consistent with radiation toxicity. The patient's tongue weakness persisted without improvement. CONCLUSIONS The diagnosis of unilateral hypoglossal nerve injury is usually difficult. Detailed neurological examinations and thorough investigations including head MRI are very helpful. Previous exposure to radiation therapy is a potential cause of hypoglossal nerve injury. To our knowledge, this is the first case report that presents isolated unilateral tongue atrophy as a late complication of juxta cephalic radiation therapy.

  16. 截瘫步行器的仿生效果%Bionic effect of reciprocating gait orthosis

    Institute of Scientific and Technical Information of China (English)

    陈文远

    2011-01-01

    BACKGROUND: Reciprocating gait orthosis makes the paraplegia patients walking, but reciprocating gait orthosis can only perform walking rehabilitation training and simple walking, which was far from real walking function compensation.OBJECTIVE: To summarize and analyze construction features, action mechanism and bionic effect of reciprocating gait orthosis.METHODS: We retrieved PubMed Database and Wanfang Database for articles concerning features, bionic effect and clinical application of reciprocating gait orthosis published from January 1990 to December 2008. The key words were "reciprocation gait orthosis, walkabout, bionice". A total of 32 articles were researched.RESULTS AND CONCLUSION: At present, unpowered reciprocating gait orthosis has been extensively utilized , but it can only perform walking rehabilitation training and simple walking, which was far from real walking function compensation for paraplegia patients. The bionic effects of reciprocation gait orthosis and walkabout were poor; gait lacked fidelity; physical ability was greatly consumed. However, the gait orthosis that requires outer energy for supplement can overcome the disadvantage of unpowered gait orthosis. With the wide usage of artificial intellectual technology in robot and many industry fields, its development can provide gait orthosis that has good function, safety, reliability, and bionics.%背景:截瘫步行器的临床应用,使截瘫患者重建步行功能成为可能,但截瘫步行器只为进行步行康复训练及简单的行走,距离真正意义上的步行功能代偿相差还很远.目的:对目前几种截瘫步行器的结构特点、作用机制及仿生效果进行归纳、分析.方法:应用计算机检索1990-01/2008-12 PubMed数据库及万方数据库有关截瘫步行器的特点、仿生效果及临床应用方面的相关文献,英文检索词"reciprocation gait orthosis,walkabout,bionice",中文检索词"截瘫步行器,仿生".检索文献量总计32篇.

  17. Implementation of client versus care-provider strategies to improve external cephalic version rates: a cluster randomized controlled trial

    NARCIS (Netherlands)

    Vlemmix, F.; Rosman, A.N.; Rijnders, M.E.; Beuckens, A.; Opmeer, B.C.; Mol, B.W.J.; Kok, M.; Fleuren, M.A.H.

    2015-01-01

    Onjective: To determine the effectiveness of a client or care-provider strategy to improve the implementation of external cephalic version. Design: Cluster randomized controlled trial.Setting: Twenty-five clusters; hospitals and their referring midwifery practices randomly selected in the Netherland

  18. Amnioinfusion for women with a singleton breech presentation and a previous failed external cephalic version: a randomized controlled trial.

    Science.gov (United States)

    Diguisto, Caroline; Winer, Norbert; Descriaud, Celine; Tavernier, Elsa; Weymuller, Victoire; Giraudeau, Bruno; Perrotin, Franck

    2017-03-09

    Purpose Our trial aimed to assess the effectiveness of amnioinfusion for a second attempt at external cephalic version (ECV). Material and methods This open randomized controlled trial was planned with a sequential design. Women at a term ≥ 36 weeks of gestation with a singleton fetus in breech presentation and a first unsuccessful ECV were recruited in two level-3 maternity units. They were randomly allocated to transabdominal amnioinfusion with a 500-mL saline solution under ultrasound surveillance or no amnioinfusion before the second ECV attempt. Trained senior obstetricians performed all procedures. The primary outcome was the cephalic presentation rate at delivery. Analyses were conducted according to intention to treat (NCT00465712) Result Recruitment difficulties led to stopping the trial after a 57-month period, 119 women were randomized: 59 allocated to amnioinfusion + ECV and 60 to ECV only. Data were analyzed without applying the sequential feature of the design. The rate of cephalic presentation at delivery did not differ significantly according to whether the second version attempt was or was not preceded by amnioinfusion (20% vs 12%, p = 0.20). Premature rupture of the membranes occurred for 15% of the women in the amnioinfusion group. Conclusion Amnioinfusion before a second attempt to external version does not significantly increase the rate of cephalic presentation at delivery.

  19. Radiotherapy of the cephalic segment in patients with advanced neuroblastoma; Radioterapia do segmento cefalico em pacientes portadores de neuroblastoma avancado

    Energy Technology Data Exchange (ETDEWEB)

    Weltman, Eduardo

    1995-07-01

    Although the treatment results have significantly improved for several pediatric malignant neoplasms, particularly Wilms's tumor, lymphomas and leukemia, in the last decade, the prognosis of the INSS, stage 4 neuroblastoma over one year one old patients remains poor. Even for the more advanced centers, using the more aggressive treatment schedules, such as bone marrow transplantation, the probability of a 2 year progression free interval varies from 6 to 50% and at 3 to 6 years, from 13 to 54%. Thereby, at least, 46 to 94% of these patients are expected to die due to the merciless neoplasm progression. The hypothesis here to be tested is regarding the impact of the cephalic irradiation on the outcome of stage 4 patients with skull metastasis at diagnosis. The end point was to establish, under the NEURO-III-85 protocol chemotherapy schedule, the possible benefit of this radiotherapy in preventing the cephalic recurrence, and its reflex on these patients total and diseases free survival. These results disclosed that the cephalic segment irradiation may prevent recurrences at this site. Unfortunately, the decrease in the cranial recurrence frequency did not affect either the disease free interval, or the total survival. The conclusion was that cephalic irradiation have the potential of avoiding these recurrences, without modifying the final outcome. This modality of radiotherapy must be reevaluated under more effective systemic treatments. (author)

  20. Decreased energy cost and improved gait pattern using a new orthosis in persons with long-term stroke.

    NARCIS (Netherlands)

    Thijssen, D.H.J.; Paulus, R.; Uden, C. van; Kooloos, J.G.M.; Hopman, M.T.E.

    2007-01-01

    OBJECTIVE: To measure energy cost and gait analysis in persons with stroke with and without a newly developed orthosis. DESIGN: Immediate and long-term (3wk) intervention (before-after trial). SETTING: University medical center. PARTICIPANTS: Volunteer sample of 27 persons with long-term (range, 0.6

  1. The Influence of a Prefabricated Foot Orthosis on Lower Extremity Mechanics During Running in Individuals With Varying Dynamic Foot Motion.

    Science.gov (United States)

    Almonroeder, Thomas G; Benson, Lauren C; O'Connor, Kristian M

    2016-09-01

    Study Design Controlled laboratory study, cross-sectional. Background Orthotic prescription is often based on the premise that the mechanical effects will be more prominent in individuals with greater calcaneal eversion. Objective To compare the effects of a prefabricated foot orthosis on lower extremity kinematics and kinetics between recreational athletes with high and low calcaneal eversion during running. Methods Thirty-one recreational athletes were included in this study. Three-dimensional kinematic and kinetic data were collected while running with and without a foot orthosis. Participants were grouped based on the degree of calcaneal eversion during the running trials relative to a standing trial (dynamic foot motion). The effects of the orthosis on the frontal and transverse plane angles and moments of the hip and knee were compared between the 10 participants with the greatest and least amount of dynamic foot motion. Results There were no significant interactions (group by orthotic condition) for any of the kinematic or kinetic variables of interest. Conclusion The effects of an orthosis on the mechanics of the hip and knee do not appear to be dependent on an individual's dynamic foot motion. J Orthop Sports Phys Ther 2016;46(9):749-755. Epub 5 Aug 2016. doi:10.2519/jospt.2016.6253.

  2. Direct effect of a dynamic wrist and hand orthosis on reach and grasp kinematics in chronic stroke

    NARCIS (Netherlands)

    Nijenhuis, S.M.; Prange, G.B.; Stienen, A.H.A.; Buurke, J.H.; Rietman, J.S.; Yu, Haoyong; Braun, David; Campolo, Domenico

    2015-01-01

    Many stroke patients have impaired arm and hand function. Distal arm and hand devices may support functional use of the upper extremity in activities in daily life. The present study assessed the direct effects of a passive dynamic wrist and hand orthosis on hand and arm movements during the perform

  3. Role of nitrite in regulation of fetal cephalic circulation in sheep.

    Science.gov (United States)

    Truong, Giang T; Schröder, Hobe J; Liu, Taiming; Zhang, Meijuan; Kanda, Eriko; Bragg, Shannon; Power, Gordon G; Blood, Arlin B

    2014-04-15

    Nitrite has been postulated to provide a reservoir for conversion to nitric oxide (NO), especially in tissues with reduced oxygen levels as in the fetus. Nitrite would thus provide local vasodilatation and restore a balance between oxygen supply and need, a putative mechanism of importance especially in the brain. The current experiments test the hypothesis that exogenous nitrite acts as a vasodilator in the cephalic vasculature of the intact, near term fetal sheep. Fetuses were first instrumented to measure arterial blood pressure and carotid artery blood flow and then studied 4-5 days later while in utero without anaesthesia. Initially l-nitro-arginine (LNNA) was given to block endogenous NO production. Carotid resistance to flow increased 2-fold from 0.54 ± 0.01 (SEM) to 1.20 ± 0.08 mmHg min ml(-1) (in 13 fetuses, P fetal sheep.

  4. OrthoJacket: an active FES-hybrid orthosis for the paralysed upper extremity.

    Science.gov (United States)

    Schill, Oliver; Wiegand, Roland; Schmitz, Bastian; Matthies, Richard; Eck, Ute; Pylatiuk, Christian; Reischl, Markus; Schulz, Stefan; Rupp, Rüdiger

    2011-02-01

    The loss of the grasp function in cervical spinal cord injured (SCI) patients leads to life-long dependency on caregivers and to a tremendous decrease of the quality of life. This article introduces the novel non-invasive modular hybrid neuro-orthosis OrthoJacket for the restoration of the restricted or completely lost hand and arm functions in high tetraplegic SCI individuals. The primary goal of the wearable orthosis is to improve the paralysed upper extremity function and, thus, to enhance a patient's independence in activities of daily living. The system combines the advantage of orthotics in mechanically stabilising joints together with the possibilities of functional electrical stimulation for activation of paralysed muscles. In patients with limited capacity, for force generation, flexible fluidic actuators are used to support the movement. Thus, the system is not only intended for functional restoration but also for training. Several sensor systems together with an intelligent signal processing allow for automatic adaptation to the anatomical and neurological individualities of SCI patients. The integration of novel user interfaces based on residual muscle activities and detection of movement intentions by real-time data mining methods will enable the user to autonomously control the system in a natural and cooperative way.

  5. The smart Peano fluidic muscle: a low profile flexible orthosis actuator that feels pain

    Science.gov (United States)

    Veale, Allan J.; Anderson, Iain A.; Xie, Shane Q.

    2015-03-01

    Robotic orthoses have the potential to provide effective rehabilitation while overcoming the availability and cost constraints of therapists. These orthoses must be characterized by the naturally safe, reliable, and controlled motion of a human therapist's muscles. Such characteristics are only possible in the natural kingdom through the pain sensing realized by the interaction of an intelligent nervous system and muscles' embedded sensing organs. McKibben fluidic muscles or pneumatic muscle actuators (PMAs) are a popular orthosis actuator because of their inherent compliance, high force, and muscle-like load-displacement characteristics. However, the circular cross-section of PMA increases their profile. PMA are also notoriously unreliable and difficult to control, lacking the intelligent pain sensing systems of their biological muscle counterparts. Here the Peano fluidic muscle, a new low profile yet high-force soft actuator is introduced. This muscle is smart, featuring bioinspired embedded pressure and soft capacitive strain sensors. Given this pressure and strain feedback, experimental validation shows that a lumped parameter model based on the muscle geometry and material parameters can be used to predict its force for quasistatic motion with an average error of 10 - 15N. Combining this with a force threshold pain sensing algorithm sets a precedent for flexible orthosis actuation that uses embedded sensors to prevent damage to the actuator and its environment.

  6. Effectiveness of modified ankle foot orthosis of low-temperature thermoplastics in idiopathic congenital talipes equino varus.

    Science.gov (United States)

    Solanki, Punita Vasant; Sheth, Binoti Arun; Poduval, Murali; Sams, Stephen Brian Austin

    2010-07-01

    The aim of this study was to study the effectiveness of modified ankle foot orthosis fabricated from low-temperature thermoplastics, as an alternative orthosis for the maintenance of correction in idiopathic congenital talipes equino varus (CTEV) deformity. The study was conducted in infants after the completion of the Ponseti serial manipulation and cast treatment, with or without, percutaneous Achilles tenotomy. Both male and female infants with unilateral or bilateral CTEV deformity were included in our study. A custom-made modified ankle foot orthosis was fabricated on the day of the removal of the last plaster of Paris cast. Initial clinical assessment, including medical history, Pirani score, modified Dimeglio score, clinical method of evaluating tibial torsion, ankle and foot range of motion were carried out on the day of the fabrication of the orthosis. Follow-up assessments were carried out at regular intervals for a duration of 6 months. All infants were provided with a set of exercises in the outpatient department three to five times per week, and other sessions were carried out by the caregivers in the form of home exercise programmes, daily every 2 h. In our study, we had 40 infants. Of these, 12 were lost to follow-up. The remaining 28 infants (22 males and six females) were included in the study. Of the 28 infants, six were left sided, seven were right sided and 15 were bilateral cases. The age at which cast treatment was initiated ranged from 1 week to 8 months, and the age at which modified ankle foot orthosis was given ranged from 1 month 1 week to 15 months. The average number of plaster of Paris casts given was six. Sixteen infants required tenotomy. We found that there was a significant reduction in the Pirani and modified Dimeglio scores from baseline to the third and to the sixth months, that is, improvement and/or maintenance of the baseline scores of Pirani and modified Dimeglio was observed (P0.05). The difference was independent of the

  7. Association between improved trunk stability and walking capacity using ankle-foot orthosis in hemiparetic patients with stroke: evidence from three-dimensional gait analysis

    Institute of Scientific and Technical Information of China (English)

    LAN Yue; XU Guang-qing; HUANG Dong-feng; MAO Yu-rong; CHEN Shao-zhen; PEI Zhong; ZENG Jin-sheng

    2013-01-01

    Background Restoration of both normal movement of the pelvis and centre of mass is a primary goal of walking rehabilitation in post-stroke patients because these movements are essential components of effective gait.The aim of this study is to quantitatively analyze the effect of ankle-foot orthosis on walking ability,and to investigate the correlation between improvements in trunk motion and walking capacity.Methods Walking speed,centre of mass displacement,and pelvic movements were examined in 20 post-stroke hemiparetic patients with and without ankle-foot orthosis using three-dimensional motion analysis.Results Using ankle-foot orthosis improved walking speed,pelvic rotation and tilt,and lateral and vertical displacements of the centre of mass (P <0.01).Moreover,the gait asymmetry index was significantly decreased (P <0.01),and the Functional Ambulation Categories score improved significantly when patients used an anklefoot orthosis (P <0.05).There was significant correlation between improvements in the walking capacity and the displacement of the centre of mass in both vertical and lateral directions (P <0.01).Conclusions Using ankle-foot orthosis improves the walking capacity by improving the stability and concordant of the trunk in hemiplegic patients.The improvement in the walking capacity from using an ankle-foot orthosis may be attributed to its prevention of foot drop and compensation for the instability of the ankle joint.

  8. Morphological changes in the cephalic salivary glands of females and males of Apis mellifera and Scaptotrigona postica (Hymenoptera, Apidae).

    Science.gov (United States)

    Poiani, Silvana Beani; Da Cruz-Landim, Carminda

    2010-06-01

    The cephalic salivary glands of some species of bees are exclusive and well developed only in Apinae. These glands were studied with light and scanning electron microscopy in workers, queens and males from the honey bee Apis mellifera, and the stingless bee Scaptotrigona postica in different life phases. The results show that the cephalic salivary glands are present in females of both the species, and in males of S. postica. Nevertheless, they are poorly developed in young males of A. mellifera. In both species, gland growth is progressive from the time of emergence to the oldest age but, in A. mellifera males, the gland degenerates with age. Scanning electron microscopy shows that the secretory units of newly emerged workers are collapsed while in older workers they are turgid. Some pits on the surface of the secretory units correspond to open intercellular spaces. The possible functions of these glands in females and males of both species are discussed.

  9. Morphological changes in the cephalic salivary glands of females and males of Apis mellifera and Scaptotrigona postica (Hymenoptera, Apidae)

    Indian Academy of Sciences (India)

    Silvana Beani Poiani; Carminda Da Cruz-Landim

    2010-06-01

    The cephalic salivary glands of some species of bees are exclusive and well developed only in Apinae. These glands were studied with light and scanning electron microscopy in workers, queens and males from the honey bee Apis mellifera, and the stingless bee Scaptotrigona postica in different life phases. The results show that the cephalic salivary glands are present in females of both the species, and in males of S. postica. Nevertheless, they are poorly developed in young males of A. mellifera. In both species, gland growth is progressive from the time of emergence to the oldest age but, in A. mellifera males, the gland degenerates with age. Scanning electron microscopy shows that the secretory units of newly emerged workers are collapsed while in older workers they are turgid. Some pits on the surface of the secretory units correspond to open intercellular spaces. The possible functions of these glands in females and males of both species are discussed.

  10. A modified DRIL procedure by flow reversal of an aborted distal cephalic vein for critical hand ischaemia.

    Science.gov (United States)

    Danzer, D; Czerny, M; Widmer, M K

    2011-09-01

    Treatment of dialysis access-related hand ischaemia with preservation of the access remains an issue. We report the case of a patient presenting critical hand ischaemia 2 years after proximalisation of a distal radio-cephalic fistula with preservation of the original access. After valvulotomy, the distal cephalic vein was used as in situ bypass and directly anastomosed to the distal brachial artery, providing a direct flow to the hand. This procedure relieved the hand ischaemia without sacrificing the functioning fistula. Six months later, the fistula and bypass were still patent, showing that flow reversal of a previous fistula can be an efficient strategy to correct dialysis access-related hand ischaemia in selected cases.

  11. Arm Orthosis/Prosthesis Movement Control Based on Surface EMG Signal Extraction.

    Science.gov (United States)

    Suberbiola, Aaron; Zulueta, Ekaitz; Lopez-Guede, Jose Manuel; Etxeberria-Agiriano, Ismael; Graña, Manuel

    2015-05-01

    This paper shows experimental results on electromyography (EMG)-based system control applied to motorized orthoses. Biceps and triceps EMG signals are captured through two biometrical sensors, which are then filtered and processed by an acquisition system. Finally an output/control signal is produced and sent to the actuators, which will then perform the actual movement, using algorithms based on autoregressive (AR) models and neural networks, among others. The research goal is to predict the desired movement of the lower arm through the analysis of EMG signals, so that the movement can be reproduced by an arm orthosis, powered by two linear actuators. In this experiment, best accuracy has achieved values up to 91%, using a fourth-order AR-model and 100ms block length.

  12. Joint Motion Control of a Powered Lower Limb Orthosis for Rehabilitation

    Institute of Scientific and Technical Information of China (English)

    Nelson Costa; Milan Bezdicek; Michael Brown; John O. Gray; Darwin G. Caldwell; Stephen Hutchins

    2006-01-01

    Many patients with spinal injures are confined to wheelchairs, leading to a sedentary lifestyle with secondary pathologies and increased dependence on a carer. Increasing evidence has shown that locomotor training reduces the incidence of these secondary pathologies, but the physical effort involved in this training is such that there is poor compliance. This paper reports on the design and control of a new "human friendly" orthosis (exoskeleton), powered by high power pneumatic Muscle Actuators (pMAs). The combination of a highly compliant actuation system, with an intelligent embedded control mechanism which senses hip, knee, and ankle positions, velocity, acceleration and force, produces powerful yet inherently safe operation for paraplegic patients. This paper analyzes the motion of ankle, knee, and hip joints under zero loading, and loads which simulate human limb mass, showing that the use of "soft" actuators can provide a smooth user friendly motion.The application of this technology will greatly improve the rehabilitative protocols for paraplegic patients.

  13. Biomechanical evaluation of wrist-driven flexor hinge orthosis in persons with spinal cord injury.

    Science.gov (United States)

    Kang, Yeoun-Seung; Park, Yoon-Ghil; Lee, Bum-Suk; Park, Hyung-Soon

    2013-01-01

    The wrist-driven flexor hinge orthosis (WDFHO) is a device used to restore hand function in persons with tetraplegic spinal cord injury by furnishing three-point prehension. We assessed the effectiveness and biomechanical properties of the WDFHO in 24 persons with cervical 6 or 7 tetraplegia who have severely impaired hand function. This study introduces a mechanical operating model to assess the efficiency of the WDFHO. Experimental results showed that pinch force increased significantly (p < 0.001) after using the WDFHO and was found to positively correlate with the strength of wrist extensor muscles (r = 0.41, p < 0.001). However, when the strength of the wrist extensors acting on the WDFHO was greater, the reciprocal wrist and finger motion that generates three-point prehension was less effective (r = 0.79, p < 0.001). Reliable and valid biomechanical evaluation of the WDFHO could improve our understanding of its biomechanics.

  14. Biomechanical evaluation of wrist-driven flexor hinge orthosis in persons with spinal cord injury

    Directory of Open Access Journals (Sweden)

    Yeoun-Seung Kang, MD, PhD, CPO

    2013-11-01

    Full Text Available The wrist-driven flexor hinge orthosis (WDFHO is a device used to restore hand function in persons with tetraplegic spinal cord injury by furnishing three-point prehension. We assessed the effectiveness and biomechanical properties of the WDFHO in 24 persons with cervical 6 or 7 tetraplegia who have severely impaired hand function. This study introduces a mechanical operating model to assess the efficiency of the WDFHO. Experimental results showed that pinch force increased significantly (p < 0.001 after using the WDFHO and was found to positively correlate with the strength of wrist extensor muscles (r = 0.41, p < 0.001. However, when the strength of the wrist extensors acting on the WDFHO was greater, the reciprocal wrist and finger motion that generates three-point prehension was less effective (r = 0.79, p < 0.001. Reliable and valid biomechanical evaluation of the WDFHO could improve our understanding of its biomechanics.

  15. Fuzzy-logic-based hybrid locomotion mode classification for an active pelvis orthosis: Preliminary results.

    Science.gov (United States)

    Yuan, Kebin; Parri, Andrea; Yan, Tingfang; Wang, Long; Munih, Marko; Vitiello, Nicola; Wang, Qining

    2015-01-01

    In this paper, we present a fuzzy-logic-based hybrid locomotion mode classification method for an active pelvis orthosis. Locomotion information measured by the onboard hip joint angle sensors and the pressure insoles is used to classify five locomotion modes, including two static modes (sitting, standing still), and three dynamic modes (level-ground walking, ascending stairs, and descending stairs). The proposed method classifies these two kinds of modes first by monitoring the variation of the relative hip joint angle between the two legs within a specific period. Static states are then classified by the time-based absolute hip joint angle. As for dynamic modes, a fuzzy-logic based method is proposed for the classification. Preliminary experimental results with three able-bodied subjects achieve an off-line classification accuracy higher than 99.49%.

  16. Chopart prosthesis and semirigid foot orthosis in traumatic forefoot amputation. Comparative gait analysis.

    Science.gov (United States)

    Hirsch, G; McBride, M E; Murray, D D; Sanderson, D J; Dukes, I; Menard, M R

    1996-01-01

    Gait was analyzed in seven otherwise healthy males at least 11 mo after they had recovered from a traumatic unilateral transmetatarsal amputation incurred during the course of their usual occupation. All seven were fitted with a semirigid foot orthosis. Four were also fitted with a Chopart prosthesis. Gait was evaluated with forceplate measurements of ground reaction force during free walking, by clinical observation of such ambulation on videotape, and by the subjective impression of the men as obtained by a questionnaire. In all men, with unmodified footwear, with the orthosis, and with the prosthesis, the forceplate data showed an abnormal pattern characterized by reduced stance duration and deficient forward propulsion on the amputated side. The abnormality and asymmetry of ground-reaction forces were less with greater preserved stump length and for a given stump length were with the above-ankle concept (Chopart) prosthesis than with the below-ankle concept. These features were recognized during the clinical analysis of all footwear, but there was an extra irregularity of weight progression noted with the fixed ankle of the Chopart prosthesis. The questionnaire reported stump problems to be the principal difficulty, and the follow-up revealed persistent attempts at surgical management including consideration of amputation at a higher level. It was concluded that the patient and the surgeons are likely to choose preservation of limb length over considerations of function during acute care and that the prosthetic concept best suited to deal with the resulting stump should emphasize unloading the distal part of the stump and smoothing out the impulsive force peak on the stump in late stance to minimize pain and to enhance ambulation capacity.

  17. A pneumatic power harvesting ankle-foot orthosis to prevent foot-drop

    Directory of Open Access Journals (Sweden)

    Chin Robin

    2009-06-01

    Full Text Available Abstract Background A self-contained, self-controlled, pneumatic power harvesting ankle-foot orthosis (PhAFO to manage foot-drop was developed and tested. Foot-drop is due to a disruption of the motor control pathway and may occur in numerous pathologies such as stroke, spinal cord injury, multiple sclerosis, and cerebral palsy. The objectives for the prototype PhAFO are to provide toe clearance during swing, permit free ankle motion during stance, and harvest the needed power with an underfoot bellow pump pressurized during the stance phase of walking. Methods The PhAFO was constructed from a two-part (tibia and foot carbon composite structure with an articulating ankle joint. Ankle motion control was accomplished through a cam-follower locking mechanism actuated via a pneumatic circuit connected to the bellow pump and embedded in the foam sole. Biomechanical performance of the prototype orthosis was assessed during multiple trials of treadmill walking of an able-bodied control subject (n = 1. Motion capture and pressure measurements were used to investigate the effect of the PhAFO on lower limb joint behavior and the capacity of the bellow pump to repeatedly generate the required pneumatic pressure for toe clearance. Results Toe clearance during swing was successfully achieved during all trials; average clearance 44 ± 5 mm. Free ankle motion was observed during stance and plantarflexion was blocked during swing. In addition, the bellow component repeatedly generated an average of 169 kPa per step of pressure during ten minutes of walking. Conclusion This study demonstrated that fluid power could be harvested with a pneumatic circuit built into an AFO, and used to operate an actuated cam-lock mechanism that controls ankle-foot motion at specific periods of the gait cycle.

  18. Cephalic Arch Stenosis in Autogenous Haemodialysis Fistulas: Treatment With the Viabahn Stent-Graft

    Energy Technology Data Exchange (ETDEWEB)

    Shawyer, Andrew, E-mail: andrew.shawyer@bartsandthelondon.nhs.uk [The Royal London Hospital, Radiology Department (United Kingdom); Fotiadis, Nicos I., E-mail: fotiadis.nicholas@gmail.com [Royal Marsden Hospital, Radiology Department, The Royal Marsden NHS Foundation Trust (United Kingdom); Namagondlu, Girish, E-mail: girish.namagondlu@bartsandthelondon.nhs.uk [The Royal London Hospital, Renal Medicine Department (United Kingdom); Iyer, Arun, E-mail: arun.iyer@bartsandthelondon.nhs.uk [The Royal London Hospital, Radiology Department (United Kingdom); Blunden, Mark, E-mail: mark.blunden@bartsandthelondon.nhs.uk; Raftery, Martin, E-mail: martin.raftery@bartsandthelondon.nhs.uk; Yaqoob, Magdi, E-mail: magdi.yaqoob@bartsandthelondon.nhs.uk [The Royal London Hospital, Renal Medicine Department (United Kingdom)

    2013-02-15

    Cephalic arch stenosis (CAS) is an important and common cause of dysfunction in autogenous haemodialysis fistulas that requires multiple reinterventions and aggressive surveillance. We evaluated the safety and efficacy of the Viabahn stent-graft for the management of CAS. Between April 2005 and October 2011, 11 consecutive patients [four men and seven women (mean age 56.7 years)] with CAS and dysfunctional fistulas were treated with insertion of 11 Viabahn stent-grafts. Six stent-grafts were inserted due to residual stenosis after angioplasty and five for fistuloplasty-induced rupture. No patient was lost to follow-up. The technical and clinical success rate was 100 %. Primary access patency rates were 81.8 % [95 % confidence interval (CI) 0.482-0.977] at 6 months and 72.7 % (95 % CI 0.390-0.939) at 12 months. Secondary access patency rates were 90.9 % at 6 months (95 % CI 0.587-0.997). There were no procedure-related complications. Mean follow-up was 543.8 days (range 156-2,282). The use of the Viabahn stent-graft in the management of CAS is technically feasible and, in this small series, showed patency rates that compare favorably with historical data of angioplasty and bare stents.

  19. Does fetal weight estimated by ultrasound really affect the success rate of external cephalic version?

    Science.gov (United States)

    Burgos, Jorge; Melchor, Juan Carlos; Cobos, Patricia; Centeno, Marimar; Pijoan, Jose Ignacio; Fernandez-Llebrez, Luis; Martinez-Astorquiza, Txanton

    2009-01-01

    OBJECTIVE. To determine whether fetal weight estimated by ultrasound on the day the external cephalic version (ECV) is related to the procedure's success rate. DESIGN. Retrospective cohort study. Setting. University hospital. POPULATION OR SAMPLE. Two hundred women with a singleton pregnancy undergoing an ECV attempt between March 2002 and March 2006. METHOD. Projected birthweight at delivery was calculated. Logistic regression analysis, by grams and by weight intervals, and multiple correspondence analysis were performed to determine whether or not the weight was related to the procedure's success. Specific statistical analysis was undertaken to minimize measurement bias in fetal weight estimation. MAIN OUTCOME MEASURE. Success of ECV in relation to estimated fetal weight. RESULTS. Measurement bias was ruled out because no statistically significant differences were identified with the Student's t-test (p>0.05), Bland-Altman's agreement analysis, and the interclass correlation coefficient analysis (ICC = 0.829; CI95% 0.772-0.871; psuccess was detected, while multiple correspondence analysis suggested that variations in fetal weight are weakly related to the procedure's success or failure. No relation was identified between ECV and birthweight (p = 0.38) when the delivery took place in the same week as the version. CONCLUSIONS. Estimated fetal weight before ECV seems not to be related to the outcome of ECV.

  20. Cephalic salivary glands of two species of advanced eusocial bees (Hymenoptera: Apidae: morphology and secretion

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    Silvana B. Poiani

    2010-01-01

    Full Text Available Some adult eusocial bees have a pair of cephalic salivary glands (CSG in addition to the thoracic labial or salivary gland pairs. This paper deals with variations in morphological features and secretion production of the CSG of females and males of Apis mellifera Linnaeus, 1758 and Scaptotrigona postica Latreille, 1807. The following life stages were studied: newly emerged, nurse, and forager workers; newly emerged and egg-laying queens; and newly emerged and sexually mature males. The histological results showed that the CSG differs between the two species in the following features: while alveoli and duct cells are cuboidal in workers and queens of A. mellifera, they change from cuboidal to flat in S. postica as the workers age. The glands of newly emerged males and females of A. mellifera are similar. However, as males become sexually mature, glands degenerate and practically disappear. The secretion from the glands of females of both species is oleaginous and gradually accumulates in the lumen of the alveoli in the beginning of the adult phase. Consequently, forager workers and egg-laying queens exhibit more turgid alveoli than younger individuals. Sudan black and Nile's blue staining indicated that the CSG secretion consists of neutral lipids. The possible role of gland secretion is discussed taking in account tasks performed by the individuals in the particular phases studied.

  1. A comparative ultrastructural investigation of the cephalic sensory organs in Opisthobranchia (Mollusca, Gastropoda).

    Science.gov (United States)

    Göbbeler, K; Klussmann-Kolb, A

    2007-12-01

    Cephalic sensory organs (CSOs) are specialised structures in the head region of adult Opisthobranchia involved in perception of different stimuli. The gross morphology of these organs differs considerably among taxa. The current study aims at describing the cellular morphology of the CSOs in order to reveal cellular patterns, especially of sensory epithelia, common for opisthobranchs. Transmission electron microscopy was used to characterise the fine structure of the organs and to compare the CSOs of four different opisthobranch species. The cellular composition of the sensory system is conserved among taxa. The epidermal cells in sensory regions are always columnar and ciliated cells are frequently apparent. The sensory cells are primary receptors arranged in subepidermal cell clusters. They extend dendrites which penetrate the epithelium and reach the surface. Some of the dendrites bear cilia, whereas others only build a small protuberance. Processing of sensory information takes place in the peripheral glomeruli of all species. Moreover, few taxa possess additional peripheral ganglia at the base of their CSOs. The results of the present study might support other investigations indicating that the posterior CSOs are primarily involved in distance chemoreception, whereas the anterior CSOs might be used for contact chemoreception and mechanoreception.

  2. Characteristics of the muscle activities of the elderly for various pressures in the pneumatic actuator of lower limb orthosis

    Science.gov (United States)

    Kim, Kyong; Yu, Chang-Ho; Kwon, Tae-Kyu; Hong, Chul-Un; Kim, Nam-Gyun

    2005-12-01

    There developed a lower limb orthosis with a pneumatic rubber actuator, which can assist and improve the muscular activities in the lower limb of the elderly. For this purpose, the characteristics of the lower limbs muscle activities for various pressures in the pneumatic actuator for the lower limb orthosis was investigated. To find out the characteristics of the muscle activities for various pneumatic pressures, it analyzed the flexing and extending movement of the knees, and measured the lower limbs muscular power. The subjects wearing the lower limbs orthosis were instructed to perform flexing and extending movement of the knees. The variation in the air pressure of the pneumatic actuator was varies from one kgf/cm2 to four kgf/cm2. The muscular power was measured by monitoring electromyogram using MP100 (BIOPAC Systems, Inc.) and detailed three-dimensional motions of the lower limbs were collected by APAS 3D Motion Analysis system. Through this study, it expected to find the most suitable air pressure for the improvement of the muscular power of the aged.

  3. Anatomy of the lateral antebrachial cutaneous nerve in relation to the lateral epicondyle and cephalic vein.

    Science.gov (United States)

    Wongkerdsook, Wachara; Agthong, Sithiporn; Amarase, Chavarin; Yotnuengnit, Pattarapol; Huanmanop, Thanasil; Chentanez, Vilai

    2011-01-01

    The lateral antebrachial cutaneous nerve (LACN) is the terminal sensory branch of the musculocutaneous nerve supplying the lateral aspect of forearm. Because of its close proximity to the biceps brachii tendon (BBT), the lateral epicondyle (LE), and the cephalic vein (CV), surgery and venipuncture in the cubital fossa can injure the LACN. Measurement data regarding the relative anatomy of LACN are scarce. We, therefore, dissected 96 upper extremities from 26 males and 22 females to expose the LACN in the cubital fossa and forearm. The LACN consistently emerged from the lateral margin of BBT. It then pierced the deep fascia distal to the interepicondylar line (IEL) in 84.4% with mean distances of 1.8 ± 1.1 and 1.2 ± 0.9 cm (male and female, respectively). At the level of IEL, the LACN in all cases was medial to the LE (5.9 ± 1.1 cm male and 5.2 ± 0.9 cm female). Two types of branching were observed: single trunk (78.1%) and bifurcation (21.9%). Asymmetry in the branching pattern was observed in 6 males and 1 female. Concerning the relationship to the CV, the LACN ran medially within 1 cm at the level of IEL in 78.7%. Moreover, in 10 specimens, the LACN was directly beneath the CV. In the forearm, the LACN tends to course medial to the CV. Significant differences in the measurement data between genders but not sides were found in some parameters. These data are important for avoiding LACN injury and locating the LACN during relevant medical procedures.

  4. Effects of a functional foot orthosis on the knee angle in the sagittal plane of college students in their 20s with flatfoot

    Science.gov (United States)

    Park, KwangYong; Seo, KyoChul

    2015-01-01

    [Purpose] The purpose of this study was to examine the effects of a functional foot orthosis on the knee angle in the sagittal plane of college students in their 20s who had flatfoot. [Subjects and Methods] The subjects of this study were 20 college students diagnosed as having flatfoot. The variations of their knee angle (Q-angle) in the sagittal plane during the stance phase were measured using the VICON Motion System (Vicon, Hansung, Korea) before and while wearing a foot orthosis. The experimental data were analyzed using SPSS 12.0 for Windows. [Results] The Q-angle in the test group during the stance phase showed statistically significant declines on the right and left sides while wearing the foot orthosis during the gait-phases of loading response and midstance. During initial contact, terminal stance, and preswing, the Q-angle also decreased on the right and left sides after wearing the foot orthosis, but the changes were not statistically significant. [Conclusion] The college students with flatfoot exhibited declines in the Q-angle in the sagittal plane while wearing a foot orthosis. In this regard, the application of active gait training using orthotic shoes for long hours is likely to help individuals with flatfoot to achieve normal gait. PMID:25995591

  5. Increased muscular and cutaneous pain sensitivity in cephalic region in patients with chronic tension-type headache.

    Science.gov (United States)

    Ashina, S; Babenko, L; Jensen, R; Ashina, M; Magerl, W; Bendtsen, L

    2005-07-01

    Increased excitability of the central nervous system generated by repetitive and sustained pericranial myofascial nociception may be responsible for transformation of episodic tension-type headache into chronic form. We aimed to compare mechanical and electrical (intramuscular and cutaneous) pain thresholds in trapezius and anterior tibial regions between 20 patients with chronic tension type headache and 20 healthy controls. Pain thresholds to three types of electrical stimulation (single pulse, 2 and 100 Hz) were significantly lower in patients than in controls in trapezius muscle (P tension-type headache than in healthy controls. Increased sensitivity in nociceptive pathways from cephalic region may be of importance in the pathophysiology of chronic tension type headache.

  6. Development of an assistive motorized hip orthosis: kinematics analysis and mechanical design.

    Science.gov (United States)

    Olivier, Jeremy; Bouri, Mohamed; Ortlieb, Amalric; Bleuler, Hannes; Clavel, Reymond

    2013-06-01

    With the increase of life expectancy, a higher number of elderly need assistance to maintain their mobility and their independance. The hip joint is crucial for walking and is problematic for a large number of aged people. In this paper we present a novel design of a motorized hip orthosis to assist elderly people while walking, stair climbing and during the sit-to-stand transistions. The kinematics was developed based on biomechanics considerations. To be able to achieve a large assistance rate, velocity and torques of the hip joint were studied from the literature. In order to fit with these requirements, an amplification mechanism inspired by excavators was developed and implemented. Comfort considerations were also taken into account and a custom interface was designed with the collaboration of a professional orthopaedic technician. First tests with the prototype showed that the workspace is sufficient for walking, for stair climbing as well as for sit-to-stand transitions. The assistance rate can go up to 30% for a 70 kg subject during walking at a cadence of 100 steps/min. The comfort is guaranteed despite the important weight (4.3 kg) of this first prototype.

  7. Development and Feasibility Assessment of a Rotational Orthosis for Walking with Arm Swing.

    Science.gov (United States)

    Fang, Juan; Xie, Qing; Yang, Guo-Yuan; Xie, Le

    2017-01-01

    Interlimb neural coupling might underlie human bipedal locomotion, which is reflected in the fact that people swing their arms synchronously with leg movement in normal gait. Therefore, arm swing should be included in gait training to provide coordinated interlimb performance. The present study aimed to develop a Rotational Orthosis for Walking with Arm Swing (ROWAS), and evaluate its feasibility from the perspectives of implementation, acceptability and responsiveness. We developed the mechanical structures of the ROWAS system in SolidWorks, and implemented the concept in a prototype. Normal gait data were used as the reference performance of the shoulder, hip, knee and ankle joints of the prototype. The ROWAS prototype was tested for function assessment and further evaluated using five able-bodied subjects for user feedback. The ROWAS prototype produced coordinated performance in the upper and lower limbs, with joint profiles similar to those occurring in normal gait. The subjects reported a stronger feeling of walking with arm swing than without. The ROWAS system was deemed feasible according to the formal assessment criteria.

  8. Genetic Algorithms Based Approach for Designing Spring Brake Orthosis – Part I: Spring Parameters

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    M. S. Huq

    2012-01-01

    Full Text Available Spring brake orthosis (SBO concentrates purely on the knee to generate the swing phase of the paraplegic gait with the required hip flexion occurring passively as a consequence of the ipsilateral knee flexion, generated by releasing the torsion spring mounted at the knee joint. Electrical stimulation then drives the knee back to full extension, as well as restores the spring potential energy. In this paper, genetic algorithm (GA and its variant multi-objective GA (MOGA is used to perform the search operation for the ‘best’ spring parameters for the SBO spring mounted on an average sized subject simulated in the sagittal plane. Conventional torsion spring is tested against constant torque type spring in terms of swing duration as, based on first principles, it is hypothesized that constant torque spring would be able to produce slower SBO swing phase as might be preferred in assisted paraplegic gait. In line with the hypothesis, it is found that it is not possible to delay the occurrence of the flexion peak of the SBO swing phase further than its occurrence in the natural gait. The use of conventional torsion spring causes the swing knee flexion peak to appear rather faster than that of the natural gait, resulting in a potentially faster swing phase and hence gait cycle. The constant torque type spring on the other hand is able to stretch duration of the swing phase to some extent, rendering it the preferable spring type in SBO.

  9. Cost-effectiveness of external cephalic version for term breech presentation

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    Carvalho Brendan

    2010-01-01

    Full Text Available Abstract Background External cephalic version (ECV is recommended by the American College of Obstetricians and Gynecologists to convert a breech fetus to vertex position and reduce the need for cesarean delivery. The goal of this study was to determine the incremental cost-effectiveness ratio, from society's perspective, of ECV compared to scheduled cesarean for term breech presentation. Methods A computer-based decision model (TreeAge Pro 2008, Tree Age Software, Inc. was developed for a hypothetical base case parturient presenting with a term singleton breech fetus with no contraindications for vaginal delivery. The model incorporated actual hospital costs (e.g., $8,023 for cesarean and $5,581 for vaginal delivery, utilities to quantify health-related quality of life, and probabilities based on analysis of published literature of successful ECV trial, spontaneous reversion, mode of delivery, and need for unanticipated emergency cesarean delivery. The primary endpoint was the incremental cost-effectiveness ratio in dollars per quality-adjusted year of life gained. A threshold of $50,000 per quality-adjusted life-years (QALY was used to determine cost-effectiveness. Results The incremental cost-effectiveness of ECV, assuming a baseline 58% success rate, equaled $7,900/QALY. If the estimated probability of successful ECV is less than 32%, then ECV costs more to society and has poorer QALYs for the patient. However, as the probability of successful ECV was between 32% and 63%, ECV cost more than cesarean delivery but with greater associated QALY such that the cost-effectiveness ratio was less than $50,000/QALY. If the probability of successful ECV was greater than 63%, the computer modeling indicated that a trial of ECV is less costly and with better QALYs than a scheduled cesarean. The cost-effectiveness of a trial of ECV is most sensitive to its probability of success, and not to the probabilities of a cesarean after ECV, spontaneous reversion

  10. THE EFECTS OF MAGNESIUM NITRATE ON THE DEVELOPMENT OF THE CEPHALIC EXTREMITY OF ROSS-308 AVIAN EMBRYOS

    Directory of Open Access Journals (Sweden)

    Anca TEUȘAN

    2015-06-01

    Full Text Available Magnesium nitrate, a substance occurring naturally in soil and water, or obtainable through synthesis, is mostly used as a compound in plant fertilizers. If animals ingest food previously treated with large amounts of magnesium nitrate, residues of it may remain in their flesh, then can reach the human body. Epidemiological studies suggest that high levels of nitrates in food and water can cause congenital malformations and spontaneous abortions in humans. The goal of the present study was to determine the effects of magnesium nitrate on the development of chicken embryos, and to observe the changes induced in their cephalic extremity. Egg inoculation with a magnesium nitrate solution of two different concentrations (0.16 and 0.61%, respectively showed that: the higher concentration affected the hatching process (32.64% of the viable embryos, the rest of them dying at 43-45 embryonic stages/HH, while 2.04% of them evidenced severe malformations of the cephalic extremity (abnormally developed jaw and beak, absence of eyelids, growths in the occipital and frontal areas of the skull.

  11. a Study on the Structural Stress Analysis of Plastic Ankle Foot Orthosis (afo) Under Dorsiflexion and Plantarflextion Conditions

    Science.gov (United States)

    Lee, Young-Shin; Choi, Young-Jin; Kim, Hyun-Soo; Lee, Hyun-Seung; Cho, Kang-Hee

    The ankle foot orthosis (AFO) is used as the gait assistive tool for hemiplegic patients. The structural characteristics of the AFO are applied to the state of the patient. However, the prescription guide for hemiplegic patients is not well established. The purpose of this study is to develop design guide to find out the structural characteristics of polypropylene of AFO used for hemiplegics. In this study, the rigidities of dorsiflexion and plantarflexion of the AFO with varied types of ankle widths are investigated and performed by using FEM code.

  12. Comparison of Venous Return Characteristics with Right Ventricular Mechanics During Cephalic Fluid Shift

    Science.gov (United States)

    Elliott, Morgan; Martin, David

    2015-01-01

    For my summer internship project, I organized a pilot study to analyze the effects of a cephalic fluid shift on venous return and right ventricular mechanics to increase right ventricular and venous knowledge. To accomplish this pilot study, I wrote a testing protocol, obtained Institutional Review Board (IRB) approval, completed subject payment forms, lead testing sessions, and analyzed the data. This experiment used -20deg head down tilt (20 HDT) as the ground based simulation for the fluid shift that occurs during spaceflight and compared it to data obtained from the seated and supine positions. Using echocardiography, data was collected for the right ventricle, hepatic vein, internal jugular vein, external jugular vein, and inferior vena cava. Additionally, non-invasive venous pressure measurements, similar to those soon to be done in-orbit, were collected. It was determined that the venous return from below the heard is increased during 20 HDT, which was supported by increased hepatic vein velocities, increased right ventricular inflow, and increased right ventricular strain at 20 HDT relative to seated values. Jugular veins in the neck undergo an increase in pressure and area, but no significant increase in flow, relative to seated values when a subject is tilted 20 HDT. Contrary to the initial expectations based on this jugular flow, there was no significant increase in central venous pressure, as evidenced by no change in Doppler indices for right arterial pressure or inferior vena cava diameter. It is suspected that these differences in pressure are due to the hydrostatic pressure indifference point shifting during tilt; there is a potential for a similar phenomenon with microgravity. This data will hopefully lead to a more in-depth understanding of the response of the body to microgravity and how those relate to the previously mentioned cardiovascular risk of fluid shift that is associated with spaceflight. These results were presented in greater detail

  13. Modulation of anticipatory postural adjustments of gait using a portable powered ankle-foot orthosis.

    Science.gov (United States)

    Petrucci, Matthew N; MacKinnon, Colum D; Hsiao-Wecksler, Elizabeth T

    2013-06-01

    Prior to taking a step, properly coordinated anticipatory postural adjustments (APAs) are generated to control posture and balance as the body is propelled forward. External cues (audio, visual, somatosensory) have been shown to facilitate gait initiation by improving the magnitude and timing of APAs in Parkinson's disease (PD), but the efficacy of these cueing strategies has been limited by their inability to produce the forces required to generate an appropriate APA. To date, mechanical cueing paradigms have been relatively underexplored. Using healthy young adults, we investigated the use of a portable powered ankle-foot orthosis (PPAFO) to provide a modest torque at the ankle as a mechanical cue to initiate gait. Subjects were instructed to initiate gait in five test conditions: (1) self-initiated in running shoes [baseline-shoe], (2) self-initiated trial in unpowered passive PPAFO [baseline-passive], (3) with acoustic go-cue in passive PPAFO [acoustic-passive], (4) acoustic go-cue and simultaneous mechanical assist from powered PPAFO [acoustic-assist], and (5) mechanical assist cue only [assist]. APA characteristics were quantified using ground reaction force (GRF), center of pressure (COP), and electromyography (EMG) data. Mechanical cueing significantly increased medial-lateral COP and GRF peak amplitude, and decreased GRF time to peak amplitude, COP and GRF onset times, and time to toe off. Mechanical cueing conditions also demonstrated consistent bimodal EMG behaviors across all subjects. Overall, these data suggest that the mechanical assist from the PPAFO can significantly improve APA timing parameters and increase APA force production in healthy young adults.

  14. Evaluating a novel cervical orthosis, the Sheffield Support Snood, in patients with amyotrophic lateral sclerosis/motor neuron disease with neck weakness.

    Science.gov (United States)

    Baxter, Susan; Reed, Heath; Clarke, Zoë; Judge, Simon; Heron, Nicola; Mccarthy, Avril; Langley, Joe; Stanton, Andrew; Wells, Oliver; Squire, Gill; Quinn, Ann; Strong, Mark; Shaw, Pamela J; Mcdermott, Christopher J

    2016-01-01

    Current practice and guidelines recommend the use of neck orthoses for people with amyotrophic lateral sclerosis (ALS) to compensate for neck weakness and to provide surrogate neck control. However, available options are frequently described by patients as restrictive and unsuitable and there was a need for a new device that addressed the needs of people with ALS. This project utilized a co-design process to develop a new neck orthosis that was more flexible yet supportive. Following development of a prototype device, a mixed methods cohort study was undertaken with patients and carers, in order to evaluate the new orthosis. Twenty-six patients were recruited to the study, with 20 of these completing all phases of data collection. Participants described the impact of neck weakness on their life and limitations of existing supports. Evaluation of the new orthosis identified key beneficial features: notably, increased support while providing a greater range of movement, flexibility of use, and improved appearance and comfort. In conclusion, the results of this evaluation highlight the value of this alternative option for people with ALS, and potentially other patient groups who require a neck orthosis.

  15. Design and Evaluation of a New Type of Knee Orthosis to Align the Mediolateral Angle of the Knee Joint with Osteoarthritis

    Directory of Open Access Journals (Sweden)

    Amir Esrafilian

    2012-01-01

    Full Text Available Background. Osteoarthritis (OA is a disease which influences the performance of the knee joint. Moreover, the force and moments applied on the joint increase in contrast to normal subjects. Various types of knee orthoses have been designed to solve the mentioned problems. However, there are other problems in terms of distal migration during walking and the alignment of the orthosis which cannot be changed following the use of brace. Therefore, the main aim of the research was to design an orthosis to solve the aforementioned problems. Method. A new type of knee orthosis was designed with a modular structure. Two patients with knee OA participated in this research project. The force applied on the foot, moment transmitted through the knee joint, and spatiotemporal gait parameters were measured by use of a motion analysis system. Results. The results of the research showed that the adduction moment applied on the knee joint decreased while subjects walked with the new knee orthosis (P-value < 0.05. Conclusion. The new design of the knee brace can be used as an effective treatment to decrease the loads applied on the knee joint and to improve the alignment whilst walking.

  16. Design and evaluation of a new type of knee orthosis to align the mediolateral angle of the knee joint with osteoarthritis.

    Science.gov (United States)

    Esrafilian, Amir; Karimi, Mohammad Taghi; Eshraghi, Arezoo

    2012-01-01

    Background. Osteoarthritis (OA) is a disease which influences the performance of the knee joint. Moreover, the force and moments applied on the joint increase in contrast to normal subjects. Various types of knee orthoses have been designed to solve the mentioned problems. However, there are other problems in terms of distal migration during walking and the alignment of the orthosis which cannot be changed following the use of brace. Therefore, the main aim of the research was to design an orthosis to solve the aforementioned problems. Method. A new type of knee orthosis was designed with a modular structure. Two patients with knee OA participated in this research project. The force applied on the foot, moment transmitted through the knee joint, and spatiotemporal gait parameters were measured by use of a motion analysis system. Results. The results of the research showed that the adduction moment applied on the knee joint decreased while subjects walked with the new knee orthosis (P-value knee brace can be used as an effective treatment to decrease the loads applied on the knee joint and to improve the alignment whilst walking.

  17. The capacity to restore steady gait after a step modification is reduced in people with poststroke foot drop using an ankle-foot orthosis

    NARCIS (Netherlands)

    Swigchem, R. van; Roerdink, M.; Weerdesteyn, V.G.M.; Geurts, A.C.H.; Daffertshofer, A.

    2014-01-01

    BACKGROUND: A reduced capacity to modify gait to the environment may contribute to the risk of falls in people with poststroke foot drop using an ankle-foot orthosis. OBJECTIVE: This study aimed to quantify their capacity to restore steady gait after a step modification. DESIGN: This was a cross-sec

  18. Evaluation of the autonomic response in healthy subjects during treadmill training with assistance of a robot-driven gait orthosis.

    Science.gov (United States)

    Magagnin, Valentina; Porta, Alberto; Fusini, Laura; Licari, Vittorio; Bo, Ivano; Turiel, Maurizio; Molteni, Franco; Cerutti, Sergio; Caiani, Enrico G

    2009-04-01

    Body weight supported treadmill training assisted with a robotic driven gait orthosis is an emerging clinical tool helpful to restore gait in individuals with loss of motor skills. However, the autonomic response during this rehabilitation protocol is not known. The aim of the study was to evaluate the autonomic response during a routine protocol of motor rehabilitation through spectral and symbolic analyses of short-term heart rate variability in a group of 20 healthy subjects (11 men, mean age 25+/-3.8 years). The protocol included the following phases: (1) sitting position; (2) standing position; (3) suspension during subject instrumentation; (4 and 5) robotic-assisted treadmill locomotion at 1.5km/h and 2.5km/h respectively with partial body weight support; (6) standing recovery after exercise. Results showed a significant tachycardia associated with the reduction in variance during the suspended phase of the protocol compared to the sitting position. Spectral analysis did not demonstrate any significant autonomic response during the entire protocol, while symbolic analysis detected an increase in sympathetic modulation during body suspension and an increase of vagal modulation during walking. These results could be used to improve understanding of the cardiovascular effects of rehabilitation in subjects undergoing robotic driven gait orthosis treadmill training.

  19. Development of body weight support gait training system using pneumatic Mckibben actuators -control of lower extremity orthosis.

    Science.gov (United States)

    Mat Dzahir, M A; Nobutomo, T; Yamamoto, S I

    2013-01-01

    Recently, robot assisted therapy devices are increasingly used for spinal cord injury (SCI) rehabilitation in assisting handicapped patients to regain their impaired movements. Assistive robotic systems may not be able to cure or fully compensate impairments, but it should be able to assist certain impaired functions and ease movements. In this study, the control system of lower extremity orthosis for the body weight support gait training system which implements pneumatic artificial muscle (PAM) is proposed. The hip and knee joint angles of the gait orthosis system are controlled based on the PAM coordinates information from the simulation. This information provides the contraction data for the mono- and bi-articular PAMs that are arranged as posterior and anterior actuators to simulate the human walking motion. The proposed control system estimates the actuators' contraction as a function of hip and knee joint angles. Based on the contraction model obtained, input pressures for each actuators are measured. The control system are performed at different gait cycles and two PMA settings for the mono- and bi-articular actuators are evaluated in this research. The results showed that the system was able to achieve the maximum muscle moment at the joints, and able to perform the heel contact movement. This explained that the antagonistic mono- and bi-articular actuators worked effectively.

  20. Immediate effects of a controllable knee ankle foot orthosis for functional compensation of gait in patients with proximal leg weakness.

    Science.gov (United States)

    Moreno, Juan C; Brunetti, Fernando; Rocon, Eduardo; Pons, José L

    2008-01-01

    Application of intermittent control of the knee joint stiffness in a knee ankle foot orthosis (KAFO) during gait is proposed. The approach combines inertial sensors and an actuator system in order to apply compensation in quadriceps weakness with a wearable device. Two methods, segment-angular rotation based and segment-angular velocity based, are analysed for the control of the knee joint state (intermittent stiffness) based on the inertial sensors signals. Protocolled tests are developed with two post-polio syndrome patients (PPS). In this study, the cases of gait with free-swinging leg and safe stance with the orthotic system are presented in terms of quantified kinematics (average peak angle of knee flexion of 50 degrees ) and evidences of reduction of frequent compensations (e.g. leg lateral movement) in post-polio syndrome patients. The results from immediate inspection indicate an important improvement of the gait patterns in two patients with proximal leg weakness by means of compensations applied by the wearable orthosis.

  1. An observational study of the success and complications of 2546 external cephalic versions in low-risk pregnant women performed by trained midwives

    NARCIS (Netherlands)

    Beuckens, A.; Rijnders, M.; Verburgt-Doeleman, G.H.M.; Rijninks-van Driel, G.C.; Thorpe, J.; Huttom, E.K.

    2016-01-01

    Objective To evaluate the success of an external cephalic version (ECV) training programme, and to determine the rates of successful ECV, complications, and caesarean birth in a low-risk population. Design Prospective observational study. Setting Primary health care and hospital settings throughout

  2. Patients' and professionals' barriers and facilitators to external cephalic version for breech presentation at term, a qualitative analysis in the Netherlands

    NARCIS (Netherlands)

    Rosman, A.N.; Vlemmix, F.; Fleuren, M.A.H.; Rijnders, M.E.; Beuckens, A.; Opmeer, B.C.; Mol, B.W.J.; Zwieten, M.C.B. van; Kok, M.

    2014-01-01

    Objective: external cephalic version (ECV) is a relatively simple and safe manoeuvre and a proven effective approach in the reduction of breech presentation at term. There is professional consensus that ECV should be offered to all women with a fetus in breech presentation, but only up to 70% of wom

  3. Bilateral bi-cephalic tDCS with two active electrodes of the same polarity modulates bilateral cognitive processes differentially [corrected].

    Directory of Open Access Journals (Sweden)

    Elise Klein

    Full Text Available Transcranial direct current stimulation (tDCS is an innovative method to explore the causal structure-function relationship of brain areas. We investigated the specificity of bilateral bi-cephalic tDCS with two active electrodes of the same polarity (e.g., cathodal on both hemispheres applied to intraparietal cortices bilaterally using a combined between- and within-task approach. Regarding between-task specificity, we observed that bilateral bi-cephalic tDCS affected a numerical (mental addition but not a control task (colour word Stroop, indicating a specific influence of tDCS on numerical but not on domain general cognitive processes associated with the bilateral IPS. In particular, the numerical effect of distractor distance was more pronounced under cathodal than under anodal stimulation. Moreover, with respect to within-task specificity we only found the numerical distractor distance effect in mental addition to be modulated by direct current stimulation, whereas the effect of target identity was not affected. This implies a differential influence of bilateral bi-cephalic tDCS on the recruitment of different processing components within the same task (number magnitude processing vs. recognition of familiarity. In sum, this first successful application of bilateral bi-cephalic tDCS with two active electrodes of the same polarity in numerical cognition research corroborates the specific proposition of the Triple Code Model that number magnitude information is represented bilaterally in the intraparietal cortices.

  4. Changes in the size of cephalic salivary glands of Apis mellifera and Scaptotrigona postica (Hymenoptera: Apidae queens and workers in different life phases

    Directory of Open Access Journals (Sweden)

    Silvana B. Poiani

    2010-01-01

    Full Text Available The bee species of the Apinae, in addition to the thoracic salivary glands, possess a pair of cephalic glands originating as branches of the excretory duct that crosses the head. These glands are known as cephalic salivary or labial cephalic glands. The degree of development of these glands in newly emerged, nurse and forager workers and virgin and egg-laying queens of Apis mellifera Linnaeus, 1758 and Scaptotrigona postica Latreille, 1807 were evaluated by measuring the secretory alveolar units. The area of the secretory alveoli, measured in total gland preparations, was used to evaluate differences in size. In both species, gland size was found to increase progressively from newly emerged workers to foragers and from virgin to egg-laying queens. A statistical analysis revealed significant differences (p < 0.05 in the area of gland alveoli of workers in different life phases in both species, and between S. postica virgin and egg-laying queens, but not between A. mellifera queens. In the case of workers, this suggests cephalic salivary gland secretion has a function in forager activity and, in queens, a possible pheromonal function.

  5. Facilitators and barriers to external cephalic version for breech presentation at term among health care providers in the Netherlands: A quantitative analysis

    NARCIS (Netherlands)

    Rosman, A.N.; Vlemmix, F.; Beuckens, A.; Rijnders, M.E.; Opmeer, B.C.; Mol, B.W.J.; Kok, M.; Fleuren, M.A.H.

    2014-01-01

    OBJECTIVE: guidelines recommend that external cephalic version (ECV) should be offered to all women with a fetus in breech presentation at term. However, only 50-60% of the women receive an ECV attempt. We explored the determinants (barriers and facilitators) affecting the uptake of the guidelines a

  6. Efficacy of a trunk orthosis with joints providing resistive force on low-back load in elderly persons during static standing

    Directory of Open Access Journals (Sweden)

    Katsuhira J

    2015-09-01

    Full Text Available Junji Katsuhira,1 Ko Matsudaira,2 Tadashi Yasui,3 Shinno Iijima,4 Akihiro Ito4 1Department of Nursing and Rehabilitation Science at Odawara, International University of Health and Welfare, Odawara, Kanagawa, 2Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical and Research Center, The University of Tokyo, Tokyo, 3Kawamura-Gishi Company, Ltd., Daito-shi, Osaka, 4Graduate School of International University of Health and Welfare, Otawara, Tochigi, Japan Purpose: Postural alignment of elderly people becomes poor due to aging, possibly leading to low-back pain and spinal deformity. Although there are several interventions for treating these conditions, no previous study has reported the effectiveness of a spinal orthosis or lumbosacral orthosis (LSO in healthy elderly people without specific spinal deformity. We therefore developed a trunk orthosis to decrease low-back muscle activity while training good postural alignment through resistive force provided by joints with springs (here, called the ORF, which stands for orthosis with joints providing resistive force as a preventive method against abnormal posture and low-back pain in healthy elderly persons. Patients and methods: Fifteen community-dwelling elderly men participated in this study. Participants stood freely for 10 seconds in a laboratory setting under three conditions: without an orthosis, with the ORF, and with an LSO. The Damen corset LSO was selected as it is frequently prescribed for patients with low-back pain. Postural alignment during static standing was recorded using a three-dimensional motion capture system employing infrared cameras. Two force plates were used to record center of pressure. Electromyograms were obtained for bilateral erector spinae (ES, left internal abdominal oblique, and right gluteus medius muscles. Results: Pelvis forward tilt angle tended to increase while wearing the ORF and decrease while wearing the LSO, but these

  7. Wernicke's encephalopathy after cephalic pancreaticoduodenectomy Encefalopatía de Wernicke tras duodenopancreatectomía cefálica

    Directory of Open Access Journals (Sweden)

    Francisco Gabriel Onieva-González

    2011-11-01

    Full Text Available Wernicke's encephalopathy is an acute neurological disorder resulting from thiamine deficiency. We report a case in a young patient who underwent a cephalic duodenopancreatectomy with a bleeding duodenal ulcer refractory to endoscopic and surgical treatment, requiring total parenteral nutrition, without thiamine supplementation.La encefalopatía de Wernicke (EW es un trastorno neurológico agudo resultado del déficit de tiamina. Presentamos la aparición de dicho cuadro en un enfermo joven que es sometido a una duodenopancreatectomía cefálica ante una úlcera duodenal sangrante refractaria a tratamiento endoscópico y quirúrgico previo, precisando de una nutrición parenteral total, sin suplementos de tiamina.

  8. Intranidal worker reactions to volatile compounds identified from cephalic secretions in the stingless bee,Scaptotrigona postica (Hymenoptera, Meliponinae).

    Science.gov (United States)

    Engels, E; Engels, W; Schröder, W; Francke, W

    1987-02-01

    From pentane extracts of worker heads of the stingless bee (Scaptotrigona postica), 70 volatile compounds were identified by combined gas chromatographic-mass spectroscopic analyses. A bioassay was developed to evaluate intranidal reactions of workers to synthetic volatiles. Thirty-six of the cephalic volatiles were tested. Thirteen types of behavioral reactions were recorded in a semiquantitative manner. The test was run in the brood nest where mainly young nurse bees are present and also in the storage area of the nest with old foragers traffic. The results obtained were compared and discussed in order to understand the chemical communication system of this species. Especially in the dark interior of the nest, which in nature is found in hollow tree cavities, chemical messages obviously play a particularly important role in the communication systems of the bees.

  9. Mobility training using a bionic knee orthosis in patients in a post-stroke chronic state: a case series

    Directory of Open Access Journals (Sweden)

    Byl Nancy N

    2012-07-01

    Full Text Available Abstract Introduction An emerging area of neurorehabilitation is the use of robotic devices to enhance the efficiency and effectiveness of lower extremity physical therapy post-stroke. Many of the robotic devices currently available rely on computer-driven locomotive algorithms combined with partial bodyweight-supported treadmill training that drive reflex stepping with minimal patient intention during therapy. In this case series, we examined the effect of task-oriented mobility training in patients in a post-stroke chronic state using a novel, wearable, mobile, intention-based robotic leg orthosis. Case presentation Three individuals, all of whom had reached a plateau with conventional bodyweight-supported treadmill training, participated in task-oriented mobility therapy (1.5 hours, two to four times per week for four weeks with a robotic leg orthosis under supervision by a physical therapist. Participant 1 was a 59-year-old Caucasian man, who had an ischemic left stroke six years previously with resultant right hemiparesis. Participant 2 was a 42-year-old Caucasian woman with left hemiparesis after a right stroke 15 months previously. Participant 3 was a 62-year-old Caucasian woman with a history of a right middle cerebral artery aneurysm with third degree sub-arachnoid hemorrhage 10 years ago. Immediately after training, all participants demonstrated improved gait speed (10 meter walk, stride length and walking endurance (6 minute walk compared with baseline measurements. Improvements were maintained one month after training. Timed up and go and five times sit-to-stand were maintained for all three participants, with only one individual remaining outside the safety performance norm. Conclusions Lower extremity training integrating an intention-based robotic leg orthosis may improve gait speed, endurance and community levels of participation in select patients in a post-stroke chronic state after plateauing within a bodyweight

  10. To introduce hand tendon functional exercise orthosis and explore its clinical application%手部肌腱功能锻炼支具的临床应用

    Institute of Scientific and Technical Information of China (English)

    朱胜军

    2015-01-01

    目的:介绍目前手部肌腱功能锻炼支具的现状并探讨其临床应用。方法:总结手部肌腱功能支具的功能,分类,材料及特点,选取2012年6月至2014年10月收治的合并肌腱断裂手外伤患者54例,且术后使用手部肌腱功能支具进行锻炼,通过随访根据手指总主动度(TAM)对疗效进行评定。结果:使用手部肌腱功能锻炼支具后的患者手指关节功能改善明显,TAM优良率为88.9%,疗效确切。结论:手部肌腱功能锻炼支具应该越来越受到重视。在神经系统和关节病损的中早期,合理地选用适配的支具有利于手部功能恢复。%Objective:To introduce the current status of hand tendon functional exercise orthosis and explore its clinical application.Method:Summarized the functions, classifications, materials and characteristics of hand tendon functional exercise orthosis. Total 21 hand trauma patients with tendon rupture were collected in a period of 06/2012 – 10/2014. All of them had been worn hand tendon functional exercise orthosis to observe the TAM.Result:Using hand tendon functional exercise orthosis can effectively promote the functional recovery of metacarpophalangeal joint of patients. The ratio of recovery with favorable function according to TAM was 88.9%.Conclusion:Hand tendon functional exercise orthosis should be paid more and more attention in China. Choosing adaptive hand orthosis in the early of nervous system and joint damage has a remarkable effect on the hand functional rehabilitation.

  11. Evaluation of the magnitude of hip joint deformation in subjects with avascular necrosis of the hip joint during walking with and without Scottish Rite orthosis.

    Science.gov (United States)

    Karimi, Mohammad Taghi; Mohammadi, Ali; Ebrahimi, Mohammad Hossein; McGarry, Anthony

    2017-02-01

    The femoral head in subjects with leg calve perthes disease (LCPD) is generally considerably deformed. It is debatable whether this deformation is due to an increase in applied loads, a decrease in bone mineral density or a change in containment of articular surfaces. The aim of this study was to determine the influence of these factors on deformation of the femoral head. Two subjects with LCPD participated in this study. Subject motion and the forces applied on the affected leg were recorded using a motion analysis system (Qualsis(TM)) and a Kistler force plate. OpenSim software was used to determine joint contact force of the hip joint whilst walking with and without a Scottish Rite orthosis. 3D Models of hip joints of both subjects were produced by Mimics software. The deformation of femoral bone was determined by Abaqus. Mean values of the force applied on the leg increased while walking with the orthosis. There was no difference between bone mineral density (BMD) of the femoral bone of normal and LCPD sides (p-value>0.05) and no difference between hip joint contact force of normal and LCPD sides. Hip joint containment appeared to decrease follow the use of the orthosis. It can be concluded that the deformation of femoral head in LCPD may not be due to change in BMD or applied load. Although the Scottish Rite orthosis is used mostly to increase hip joint containment, it appears to reduce hip joint contact area. It is recommended that a similar study is conducted using a higher number of subjects.

  12. Early functional postoperative therapy of distal radius fracture with a dynamic orthosis: results of a prospective randomized cross-over comparative study.

    Directory of Open Access Journals (Sweden)

    Fabian M Stuby

    Full Text Available This study was conducted according to GCP criteria as a prospective randomized cross-over study. The primary goal of the study was to determine clinical findings and patient satisfaction with postoperative treatment. 29 patients with a distal radius fracture that was surgically stabilized from volar and who met the inclusion criteria were enrolled over a 12-month period. Each patient randomly received either a dorsal plaster splint or a vacuum-fit flexible but blocked orthosis applied postoperatively in the operating theatre to achieve postoperative immobilization. After one week all patients were crossed over to the complementary device maintaining the immobilization until end of week 2. After week 2 both groups were allowed to exercise wrist mobility with a physiotherapist, in the orthosis group the device was deblocked, thus allowing limited wrist mobility. After week 4 the devices were removed in both groups. Follow-up exams were performed after postoperative weeks 1, 2, 4 and 12.Results were determined after week 1 and 2 using SF 36 and a personally compiled questionnaire; after weeks 4 and 12 with a clinical check-up, calculation of ROM and the DASH Score. Comparison of the two groups showed a significant difference in ROM for volar flexion after 4 weeks, but no significant differences in DASH Score, duration of disability or x-ray findings. With regard to satisfaction with comfort and hygiene, patients were significantly more satisfied with the dynamic orthosis, and 23 of the 29 patients would prefer the flexible vacuum orthosis in future.German Clinical Trials Register (DRKS DRKS00006097.

  13. Dart-Splint: An innovative orthosis that can be integrated into a scapho-lunate and palmar midcarpal instability re-education protocol.

    Science.gov (United States)

    Braidotti, Federica; Atzei, Andrea; Fairplay, Tracy

    2015-01-01

    The Authors describe a novel hinged orthosis that permits selective midcarpal mobilization along the plane of the dart throwing motion. This orthotic device can be used to assist rehabilitation protocols aimed to limit radiocarpal joint mobility and scapho-lunate ligament overload and to accelerate wrist functional recovery after ligamentous injuries around the proximal carpal row. - VictoriaW. Priganc, PhD, OTR, CHT, CLT, Practice Forum Editor.

  14. Ultrastructural detection of lipids in the cephalic salivary glands of Apis mellifera and Scaptotrigona postica (Hymenoptera: Apidae workers

    Directory of Open Access Journals (Sweden)

    Silvana Beani Poiani

    Full Text Available ABSTRACT Secretory cells of the cephalic salivary glands (CSGs of eusocial bees produce and accumulate lipid-like secretion in the lumens of their alveoli. Correspondingly, secretory cells present typical ultrastructural features of lipid-compound producers. Previous work on bees has revealed inter-specific differences in the chemical composition of secretion, and the production mechanisms and secretory cycle of secretory cells. In this work a comparative analysis of the mechanisms of lipid storage in the CSGs of Apis mellifera (Linnaeus, 1758 and Scaptotrigona postica (Latreille, 1807 workers was carried out. The ultrastructural location of lipids was ascertained using imidazole-osmium (IO, using individuals in different stages of their life cycles. Lipid deposits were identified inside glandular cells and in the alveolar lumens in all individuals, but differences were observed between the species. The glandular cells of A. mellifera workers presented positive reactions to IO as droplets dispersed in the cytoplasm, as vesicles and in the channels formed by apical plasma membrane infolds. In S. postica , lipid compounds were detected inside the mitochondrial matrix and in smooth endoplasmic reticulum cisterns. In both species, forager workers exhibited the largest amounts of lipids stored in the alveolar lumen. The differences between the species are discussed, taking into account specific behavioral differences.

  15. Botulinum toxin type A for cephalic cutaneous allodynia in chronic migraine: a randomized, double-blinded, placebo-controlled trial

    Directory of Open Access Journals (Sweden)

    Luciano Hollanda

    2014-12-01

    Full Text Available Cephalic allodynia (CA can be observed in 50-70% of patients with chronic migraine (CM. The aim of this trial was to assess the efficacy of botulinum toxin type A (Botx-A in the treatment of CA associated with CM. In this placebo-controlled trial, patients were randomized either into Botx-A or 0.9% saline injections and efficacy measures were assessed every 4 weeks for 3 months. Efficacy endpoints were number of migraine episodes associated with CA, changes from baseline in visual analogical scale scores for pain (VAS and frequency of common analgesics use for migraine. A total of 38 subjects were randomized to saline (n=18 or Botx-A (n=20. There were no significant differences in baseline between active intervention or placebo groups regarding mean age, number of headache episodes [mean 12.1 (9.22 and 17.00 (9.69 respectively; P=0.12], pain severity as measured by the VAS or frequency of analgesic use for headache episodes. Efficacy analysis showed that Botx-A injections led to an important decrease from baseline in the mean migraine episodes associated with CA after 12 weeks (5.20 versus 11.17; P=0.01. Also, VAS scores and frequency of analgesics use for headache were significantly reduced in the Botx-A group. This study suggests that Botx-A injections are superior to saline in the treatment of CA associated with CM, with mild self limited side effects.

  16. Changes in the chemical profile of cephalic salivary glands of Scaptotrigona postica (Hymenoptera, Meliponini) workers are phase related.

    Science.gov (United States)

    Poiani, Silvana B; Morgan, E David; Drijfhout, Falko P; da Cruz-Landim, Carminda

    2015-09-01

    Most advanced eusocial bees recruit their nest mates to food resources. Recent studies in Meliponini species have revealed that the cephalic salivary (labial) glands (CSGs) are responsible for the production of scent trail pheromones. Studies on CSGs have shown that changes occur in worker glandular cell morphology from emergence from brood combs until forager phase, which may be correlated to changes in the composition of the CSG secretion. However, the composition of the CSG secretion and the chemical changes that occur in it according to the worker's life phase or tasks performed are unknown for many species, including Scaptotrigona postica. In this study, the chemical profile of CSG secretion in S. postica workers was studied. Glands were taken from specimens that were newly emerged (NE), working in the brood comb area (CA) and foraging (FO), and were analyzed by gas chromatography-mass spectrometry. The results showed that the glandular secretion consists of oxygenated compounds of middle volatility (acids, alcohols, aldehydes, ketones, esters and ether), and their quantity varies among the different life phases, increasing as the individual moves from intra- to extra-colonial activities. The NE phase contained the smallest variety and quantity of compounds. Because of the variability of compounds, the CA workers were separated into three subgroups according to the chemical constitution of their secretion. Forager workers showed the largest quantity and variety of chemical compounds. The major compounds in forager gland secretion were 7-hexadecen-1-yl acetate and 5-tetradecen-1-yl acetate. Statistical analysis indicates that the chemical composition of glandular secretion is phase related.

  17. Effect of Posture Training with Weighted Kypho-Orthosis (WKO on Improving Balance in Women with Osteoporosis

    Directory of Open Access Journals (Sweden)

    Seyed Ahmad Raeissadat

    2014-01-01

    Full Text Available Objectives. To determine the effect of weighted kypho-orthosis (WKO on improving balance in women with osteoporosis. In this nonrandomized controlled clinical trial, 31 patients with osteoporosis were included. The patients were assigned to two groups: (1 control group who received 4-week home-based daily exercise program including weight bearing, back strengthening, and balance exercises and (2 intervention group (WKO who performed aforementioned exercises and wore WKO for one hour twice a day. Patients were assessed using clinical balance tests (timed up and go test, functional reach test, and unilateral balance test before and 4 weeks after start of treatment. Results. Functional reach and timed up and go test were improved significantly in both groups compared to baseline. The improvement in intervention group was more significant in comparison to control group (P<0.05. Discussion. Posture training with WKO together with exercise program improved two clinical balance tests in women with osteoporosis. Conclusion. Posture training support (PTS applied as WKO together with back extension exercises can be prescribed as an intervention in elderly women in order to reduce the risk of falling.

  18. Role of ankle foot orthosis in improving locomotion and functional recovery in patients with stroke: A prospective rehabilitation study

    Science.gov (United States)

    Sankaranarayan, H.; Gupta, Anupam; Khanna, Meeka; Taly, Arun B.; Thennarasu, K.

    2016-01-01

    Objective: To study role of ankle foot orthosis (AFO) in improving locomotion and functional recovery after stroke. Setting: Neurological Rehabilitation Department of a university research tertiary hospital. Patients and Methods: AFO and activity based rehabilitation. Main Outcome Measures: Distance (meters) covered during the 6-minute walk test (6MWT) and speed (meter/second) during the 10-meter walk test. Functional abilities assessed using Functional Independence Measure (FIM®). Results: Twenty-six patients (21 male) with stroke (mean duration 196.7 days, range 45–360 days) and mean age of 41.6 years (range 18–65 years, standard deviation [SD] 12.5) were included. Fourteen had right hemiplegia. The mean length of stay in the unit was 26.5 days (range 18–45 days, SD 5.5). All patients had equinus deformity with spastic foot drop and were provided with AFO. Walking endurance with 6MWT was 90 m on admission (without AFO). At discharge, it improved to 174 m with AFO and 121 m without AFOs (P 0.16 m/s speed gain; >50 m endurance gain) at discharge. The mean FIM® score on admission was 84.3 ± 18.6. At discharge FIM® improved to 101.9 ± 13.7 (P < 0.001). Conclusions: Use of AFOs improve gait parameters significantly in only one-third stroke patients in the study when combined with activity-based inpatient-rehabilitation. PMID:27695234

  19. Adaptive control of a variable-impedance ankle-foot orthosis to assist drop-foot gait.

    Science.gov (United States)

    Blaya, Joaquin A; Herr, Hugh

    2004-03-01

    An active ankle-foot orthoses (AAFO) is presented where the impedance of the orthotic joint is modulated throughout the walking cycle to treat drop-foot gait. During controlled plantar flexion, a biomimetic torsional spring control is applied where orthotic joint stiffness is actively adjusted to minimize forefoot collisions with the ground. Throughout late stance, joint impedance is minimized so as not to impede powered plantar flexion movements, and during the swing phase, a torsional spring-damper control lifts the foot to provide toe clearance. To assess the clinical effects of variable-impedance control, kinetic and kinematic gait data were collected on two drop-foot participants wearing the AAFO. For each participant, zero, constant, and variable impedance control strategies were evaluated and the results were compared to the mechanics of three age, weight, and height matched normals. We find that actively adjusting joint impedance reduces the occurrence of slap foot allows greater powered plantar flexion and provides for less kinematic difference during swing when compared to normals. These results indicate that a variable-impedance orthosis may have certain clinical benefits for the treatment of drop-foot gait compared to conventional ankle-foot orthoses having zero or constant stiffness joint behaviors.

  20. Development of an Active Ankle Foot Orthosis to Prevent Foot Drop and Toe Drag in Hemiplegic Patients: A Preliminary Study

    Directory of Open Access Journals (Sweden)

    Jungyoon Kim

    2011-01-01

    Full Text Available We developed an active ankle-foot orthosis (AAFO that controls dorsiflexion/plantarflexion of the ankle joint to prevent foot drop and toe drag during hemiplegic walking. To prevent foot slap after initial contact, the ankle joint must remain active to minimize forefoot collision against the ground. During late stance, the ankle joint must also remain active to provide toe clearance and to aid with push-off. We implemented a series elastic actuator in our AAFO to induce ankle dorsiflexion/plantarflexion. The activator was controlled by signals from force sensing register (FSR sensors that detected gait events. Three dimensional gait analyses were performed for three hemiplegic patients under three different gait conditions: gait without AFO (NAFO, gait with a conventional hinged AFO that did not control the ankle joint (HAFO, and gait with the newly-developed AFO (AAFO. Our results demonstrate that our newly-developed AAFO not only prevents foot drop by inducing plantarflexion during loading response, but also prevents toe drag by facilitating plantarflexion during pre-swing and dorsiflexion during swing phase, leading to improvement in most temporal-spatial parameters. However, only three hemiplegic patients were included in this gait analysis. Studies including more subjects will be required to evaluate the functionality of our newly developed AAFO.

  1. 分娩镇痛对头位难产影响的观察%Observation of labor analgesia on cephalic presentation dystocia

    Institute of Scientific and Technical Information of China (English)

    刘莉

    2013-01-01

    Objective To observe analgesia clinical effect of cephalic presentation diystocia.Methods Our hospital between February 2010 to December 2010,78 patients with cephalic presentation dystocia were randomly divided into two groups,the control group received conventional delivery method,the observation group in the conventional intervention methods give the town childbirth pain were observed maternal childbirth.Results The observation group stage of labor,fetal asphyxia,fetal distress and pain VAS scores were significantly lower than those the control group,the difference was statistically significant (P < 0.05).Conclusions Cephalic presentation dystocia give labor analgesia can effectively shorten delivery time,reduce maternal pain and improve fetal outcomes,worthy of clinical application.%目的 观察头位难产实施分娩镇痛的临床效果.方法 将深圳市西乡人民医院2010年2月至2010年12月之间收治的78例头位难产产妇随机的分为两组,对照组给予常规的分娩方法,而观察组在常规干预方法给予镇分娩痛,观察两组产妇的分娩情况.结果 观察组产程时间、胎儿窒息率、胎儿窘迫率以及疼痛VAS评分均明显的低于对照组的情况,差异具有统计学意义(P<0.05).结论 对于头位难产产妇给予分娩镇痛能够有效的缩短分娩时间,降低产妇疼痛,并改善胎儿结局,值得临床中应用.

  2. The evaluation of off-loading using a new removable oRTHOsis in DIABetic foot (ORTHODIAB) randomized controlled trial: study design and rational

    OpenAIRE

    Mohammedi, Kamel; Potier, Louis; François, Maud; Dardari, Dured; Feron, Marilyne; Nobecourt-Dupuy, Estelle; Dolz, Manuel; Ducloux, Roxane; Chibani, Abdelkader; Eveno, Dominique-François; Crea Avila, Teresa; Sultan, Ariane; Baillet-Blanco, Laurence; Rigalleau, Vincent; Velho, Gilberto

    2016-01-01

    Background Off-loading is essential for diabetic foot management, but remains understudied. The evaluation of Off-loading using a new removable oRTHOsis in DIABetic foot (ORTHODIAB) trial aims to evaluate the efficacy of a new removable device “Orthèse Diabète” in the healing of diabetic foot. Methods/design ORTHODIAB is a French multi-centre randomized, open label trial, with a blinded end points evaluation by an adjudication committee according to the Prospective Randomized Open Blinded End...

  3. Morphology of the prosomal endoskeleton of Scorpiones (Arachnida) and a new hypothesis for the evolution of cuticular cephalic endoskeletons in arthropods.

    Science.gov (United States)

    Shultz, Jeffrey W

    2007-03-01

    Skeletomuscular anatomy of the scorpion prosoma is examined in an attempt to explain the evolution of two endoskeletal features, a muscular diaphragm dividing the prosoma and opisthosoma and cuticular epistomal entapophyses with a uniquely complex arrangement of muscles, tendons and ligaments. Both structures appear to be derived from modifications of the mesodermal intersegmental endoskeleton that is primitive for all major arthropod groups. The scorpion diaphragm is a compound structure comprising axial muscles and pericardial ligaments of segments VI to VIII and extrinsic muscles of leg 4 brought into contact by longitudinal reduction of segment VII and integrated into a continuous subvertical sheet. This finding reconciles a long-standing conflict between one interpretation of opisthosomal segmentation based on scorpion embryology and another derived from comparative skeletomuscular anatomy. A new evolutionary-developmental mechanism is proposed to account for the complex morphology of the epistomal entapophyses. Each entapophysis receives 14 muscles and tendons that in other taxa would attach to the anterior connective endoskeleton in the same relative positions. This observation suggests that the embryological precursor to the connective endoskeleton can initiate and guide ectodermal invagination and thereby serve as a spatial template for the development of cuticular apodemes. This mesoderm-template model of ectodermal invagination is potentially applicable to all arthropods and may explain structural diversity and convergence in cephalic apodemes throughout the group. The model is used to interpret the cephalic endoskeletons of two non-chelicerate arthropods, Archaeognatha (Hexapoda) and Symphyla (Myriapoda), to demonstrate the generality of the model.

  4. Abnormalities on cephalic hooklets of advanced third-stage larvae from Gnathostoma Owen, 1836 (Nematoda: Gnathostomidae) collected from Mexican rivulus Millerichthys robustus Costa, 1995 (Ciprinodontiformes: Rivulidae) in Tlacotalpan, Veracruz, Mexico.

    Science.gov (United States)

    Mosqueda-Cabrera, Miguel Angel; Ocampo-Jaimes, Angélica

    2009-11-01

    Morphological abnormalities were observed on the cephalic bulb hooklets of advanced third-stage larvae (AdvL(3)) of genus Gnathostoma. The larvae were obtained from the fish "Mexican rivulus" Millerichthys robustus collected from a seasonal pond near Tlacotalpan, Veracruz, Mexico. The abnormalities involved (1) extra rudimentary hooklets, located between the four rows and after the fourth row, (2) branched or lobulated hooklets, and (3) fragmented hooklets not uniformly disposed in rows. The alterations observed on the cephalic bulb hooklets do not represent intraspecific variations, and they may be considered as a potential tool for assessing the presence of pollutants or stressors located within the ecosystem.

  5. A Comparative Study Between Total Contact Cast and Pressure-Relieving Ankle Foot Orthosis in Diabetic Neuropathic Foot Ulcers

    Science.gov (United States)

    Chakraborty, Partha Pratim; Ray, Sayantan; Biswas, Dibakar; Baidya, Arjun; Bhattacharjee, Rana; Mukhopadhyay, Pradip; Ghosh, Sujoy; Mukhopadhyay, Satinath; Chowdhury, Subhankar

    2014-01-01

    Background: Off-loading of the ulcer area is extremely important for the healing of plantar ulcers. Off-loading with total contact cast (TCC) may be superior to other off-loading strategies studied so far, but practical limitations can dissuade clinicians from using this modality. This study was conducted to evaluate the efficacy of TCC compared with that of a pressure-relieving ankle foot orthosis (PRAFO) in healing of diabetic neuropathic foot ulcers and their effect on gait parameters. Methods: Thirty adult diabetic patients attending the foot clinic with neuropathic plantar ulcers irrespective of sex, age, duration and type of diabetes were randomly assigned to 1 of 2 off-loading modalities (TCC and PRAFO). Main outcome measures were ulcer healing after 4 weeks of randomization and effect of each of the modalities on various gait parameters. Results: The percentage reduction of the ulcer surface area at 4 weeks from baseline was 75.75 ± 9.25 with TCC and 34.72 ± 13.07 with PRAFO, which was significantly different (P < .001). The results of this study however, showed that most of the gait parameters were better with PRAFO than with TCC. Conclusions: This study comprehensively evaluated the well known advantages and disadvantages of a removable (PRAFO) and a nonremovable device (TCC) in the treatment of diabetic neuropathic foot ulcer. Further studies are needed involving larger subjects and using 3D gait analysis to collect more accurate data on gait parameters and wound healing with different off-loading devices. PMID:25452635

  6. Computed-torque method for the control of a 2 DOF orthosis actuated through pneumatic artificial muscles: a specific case for the rehabilitation of the lower limb

    CERN Document Server

    Prattico, Flavio; Yamamoto, Shin-ichiroh

    2014-01-01

    In this paper we give a new control model based on the so called computed-torque method for the control of a 2 degrees of freedom orthosis for the rehabilitation of the lower limb, the AIRGAIT exoskeleton's leg orthosis. The actuation of the AIRGAIT is made through self-made pneumatic muscles. For this reason this work starts with the static and dynamic characterization of our pneumatic muscles. The followed approach is based on the analytical description of the system. For this, we describe the pneumatic muscles behaviour with an easy-invertible polynomial fit function in order to model its non-linear trend. We give a geometrical model of the mechanical system to compute the length between the attachments of the pneumatic muscles to the structure for every angles assumed by the two joints. We evaluate through Newton-Euler equation the couples at the joints for each values of the angles. At last we show some validation tests in order to characterize the functioning of the proposed control model on the actuati...

  7. Ambulatory Function and Perception of Confidence in Persons with Stroke with a Custom-Made Hinged versus a Standard Ankle Foot Orthosis

    Directory of Open Access Journals (Sweden)

    Angélique Slijper

    2012-01-01

    Full Text Available Objective. The aim was to compare walking with an individually designed dynamic hinged ankle foot orthosis (DAFO and a standard carbon composite ankle foot orthosis (C-AFO. Methods. Twelve participants, mean age 56 years (range 26–72, with hemiparesis due to stroke were included in the study. During the six-minute walk test (6MW, walking velocity, the Physiological Cost Index (PCI, and the degree of experienced exertion were measured with a DAFO and C-AFO, respectively, followed by a Stairs Test velocity and perceived confidence was rated. Results. The mean differences in favor for the DAFO were in 6MW 24.3 m (95% confidence interval [CI] 4.90, 43.76, PCI −0.09 beats/m (95% CI −0.27, 0.95, velocity 0.04 m/s (95% CI −0.01, 0.097, and in the Stairs Test −11.8 s (95% CI −19.05, −4.48. All participants except one perceived the degree of experienced exertion lower and felt more confident when walking with the DAFO. Conclusions. Wearing a DAFO resulted in longer walking distance and faster stair climbing compared to walking with a C-AFO. Eleven of twelve participants felt more confident with the DAFO, which may be more important than speed and distance and the most important reason for prescribing an AFO.

  8. Phylogeny and revision of the bee genus Rhinocorynura Schrottky (Hymenoptera, Apidae, Augochlorini, with comments on its female cephalic polymorphism

    Directory of Open Access Journals (Sweden)

    Rodrigo B. Gonçalves

    2012-03-01

    Full Text Available Phylogeny and revision of the bee genus Rhinocorynura Schrottky (Hymenoptera, Apidae, Augochlorini, with comments on its female cephalic polymorphism. A taxonomic revision and a phylogeny for the species of Rhinocorynura are provided. Six species are recognized: R. briseis, R. crotonis, R. inflaticeps and R. vernoniae stat. nov., the latter removed from synonymy with R. inflaticeps, in addition to two newly described species, R. brunnea sp. nov. and R. viridis sp. nov. Lectotypes for Halictus crotonis Ducke, 1906 and Halictus inflaticeps Ducke, 1906 are hereby designated. Another available name included in Rhinocorynura, Corynuropsis ashmeadi Schrottky, 1909, is removed from the genus and treated as species inquerenda in Augochlorini. Rhinocorynura is monophyletic in the phylogenetic analysis and the following relationships were found among its species: (R. crotonis (R. briseis ((R. brunnea sp. nov. + R. viridis sp. nov. (R. inflaticeps + R. vernoniae. Biogeographic relationships within the genus and comparisons with related taxa are presented. Females of all species exhibit pronounced variation in body size, in two of them, R. inflaticeps and R. vernoniae, with structural modifications possibly linked to division of labor. Identification key and illustrations for the species are provided.Filogenia e revisão taxonômica das abelhas do gênero Rhinocorynura Schrottky (Hymenoptera, Apidae, Augochlorini, com comentários sobre o poliformismo cefálico das fêmeas. São apresentadas uma revisão taxonômica e filogenia para as espécies de Rhinocorynura. Seis espécies são reconhecidas, duas descritas como novas, R. brunnea sp. nov. e R. viridis sp. nov., e quatro com nomes disponíveis, R. briseis, R. crotonis, R. inflaticeps e R. vernoniae stat. nov., esta última removida da sinonímia com R. inflaticeps. Designam-se aqui lectótipos para Halictus crotonis Ducke, 1906 e Halictus inflaticeps Ducke, 1906. Outro nome disponível incluído em

  9. Simple in vitro migration assay for neural crest cells and the opposite effects of all-trans-retinoic acid on cephalic- and trunk-derived cells.

    Science.gov (United States)

    Usami, Makoto; Mitsunaga, Katsuyoshi; Irie, Tomohiko; Miyajima, Atsuko; Doi, Osamu

    2014-08-01

    Here, we describe a simple in vitro neural crest cell (NCC) migration assay and the effects of all-trans-retinoic acid (RA) on NCCs. Neural tubes excised from the rhombencephalic or trunk region of day 10.5 rat embryos were cultured for 48 h to allow emigration and migration of NCCs. Migration of NCCs was measured as the change in the radius (radius ratio) calculated from the circular spread of NCCs between 24 and 48 h of culture. RA was added to the culture medium after 24 h at embryotoxic concentrations determined by rat whole embryo culture. RA (10 μM) reduced the migration of cephalic NCCs, whereas it enhanced the migration of trunk NCCs, indicating that RA has opposite effects on these two types of NCCs.

  10. Absorbed doses received by infants subjected to panoramic dental and cephalic radiographs; Dosis absorbida recibida por infantes sometidos a radiografias dentales panoramicas y cefalicas

    Energy Technology Data Exchange (ETDEWEB)

    Carrizales, L.; Carreno, S. [Instituto Venezolano de Investigaciones Cientificas. Laboratorio Secundario de Calibracion Dosimetrica. Carretera Panamericana Km. 11. Apartado Postal 21827, Caracas (Venezuela)

    1998-12-31

    The IAEA Report No. 115 recommends that each country or region can establish levels of absorbed doses for each radiographic technique employed in diagnostic. assuming the extended and expensive of this purpose, we have been to begin in a first step with the dentistry area, in order to estimate the dose levels received at crystalline and thyroid level in infants that go to an important public institution in our country to realize panoramic and cephalic radiographs. This work will serve to justify and impel a quality assurance program in Venezuela on the dentistry area which includes aspects such as training for the medical lap referring the justification of the radiological practice, optimization of X-ray units to produce an adequate image quality that delivers to patient an absorbed dose as much lower as reasonably it can be reached without diagnostic detriment. (Author)

  11. 良性头部组织细胞增多症1例%A Case of Benign Cephalic Histiocytosis

    Institute of Scientific and Technical Information of China (English)

    王晓川; 曹萍; 吴一菲

    2012-01-01

    A 10-month-old boy has presented with papular and plaques on his head for 7 months and generalized to trunk in 3 months. Histopathological examination showed a large number of histiocytes and lymphocytes infiltration in dermis. Immunohistochemistry revealed CD68( + ) ,LCA( + ) ,S-100( - ) ,CD34( - ) and CD12 scattered positive in epidermis. Diagnosis of benign cephalic histiocytosis was made.%患儿男,10个月,头部丘疹、斑块7个月,泛发全身3个月.皮损组织病理示:真皮层见大量的组织细胞、淋巴细胞浸润.免疫组化示:CD68(+),LCA(+),S-100(-),CD34(-),CD12表皮内散在阳性.符合良性头部组织细胞增多症诊断.

  12. TRH/TRH-R1 receptor signaling in the brain medulla as a pathway of vagally mediated gut responses during the cephalic phase.

    Science.gov (United States)

    Taché, Yvette; Adelson, David; Yang, Hong

    2014-01-01

    Pavlov's seminal findings in the early twentieth century showed that the sight, smell or taste of food in dogs with chronic esophagostomy induces a vagal-dependent gastric acid secretion. These observations established the concept of the cephalic phase of digestion. Compelling experimental evidence in rats indicates that the three amino acid peptide thyrotropin-releasing hormone (TRH) expressed in the brainstem plays a key role in the vagal stimulation of gastric function. Neurons in the dorsal motor nucleus of the vagus (DMN) expressed TRH receptor subtype (TRH-R1) and received efferent input from TRH containing fibers arising from TRH synthesizing neurons in the raphe pallidus, raphe obscurus, and the parapyramidal regions. TRH microinjected into the DMN or intracisternally excites the firing of DMN neurons and stimulates efferent activity in the gastric branch of the vagus nerve and gastric myenteric cholinergic neurons. At the functional level, this results in a vagally-mediated and atropine-sensitive stimulation of gastric epithelial and endocrine cells secreting acid, pepsin, serotonin, histamine and ghrelin, and enteric neurons leading to increased gastric motility and emptying. Importantly, the blockade of TRH or TRH-R1 in the brainstem by pretreatment into the cisterna magna or the DMN with TRH antibody or TRH-R1 oligodeoxynucleotide antisense respectively abolishes the stimulation of gastric acid induced by sham-feeding. The gastric response to TRH injected into the DMN is potentiated by serotonin and the proTRH flanking peptide, Ps4 and suppressed by a number of brainstem peptides and cytokines activated during stress or immune response and inhibiting food intake and gastric acid secretion. These convergent data strongly support a physiological involvement of TRH signaling pathway in the brainstem to stimulate vagal activity and identified TRH-TRH-R1 system as a major effector in the dorsal vagal complex to drive the vagally mediated gut response

  13. Auto-rotação cefálica ativa em pacientes com tontura/ vertigem Active cephalic auto-rotation in patients with dizziness/ vertigo

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    Aída R.M. de Assunção

    Full Text Available Introdução: A auto-rotação cefálica ativa é um teste rápido, de simples realização, não invasivo, que não causa desconforto ao paciente, pode ser realizado com facilidade em crianças e avalia o reflexo vestíbulo-ocular nas freqüências fisiológicas de movimentação da cabeça, utilizadas na vida cotidiana (de 1 a 4 Hz. Forma de estudo: clínico retrospectivo não randomizado. Objetivo: Avaliar pacientes com queixas de tontura/vertigem através da auto-rotação cefálica ativa comparando os sintomas com as alterações encontradas. Material e método: Um grupo de 1281 pacientes com queixa de tontura/vertigem foi submetido ao teste de auto-rotação cefálica ativa horizontal com alvo fixo, como uma etapa da avaliação otoneurológica. Resultados: As idades variaram de três a 93 anos com média de 49,6 anos, sendo 946 (73,8% do sexo feminino e 335 (26,2% do sexo masculino. A queixa de vertigem foi relatada por 896 (69,9% dos pacientes e a tontura por 385 (30,1%. A faixa de freqüência de resposta à prova de auto-rotação cefálica variou de 1,5 a 7,5Hz com média de 3,5Hz. A prova de auto-rotação cefálica ativa foi normal em 937 (73,1% e alterada em 344 (26,9% dos pacientes. As alterações mais freqüentes foram as relacionadas ao ganho (aumento, redução isoladas ou associadas a alterações de fase e simetria, em 241 (19% pacientes. O aumento do ganho isolado foi verificado em 92 pacientes (7,2%. Conclusão: Não houve relação entre as alterações na prova de auto-rotação cefálica ativa horizontal e as queixas de tontura e vertigem.Introduction: Active cephalic auto-rotation is a rapid, easy, painless and comfort test, that can be done in children and evaluate the vestibulo-ocular reflex in the physiologic frequencies of head, used in the every day life (from one to four hertz. Study design: clinical retrospective not randomized. Aim: Evaluate patients with complaints of dizziness/vertigo through the active

  14. 腰椎术后患者佩戴支具的依从性研究%The Compliance Research of Orthosis Wearing Among Patients after Lumbar Vertebral Operation

    Institute of Scientific and Technical Information of China (English)

    贾宇; 贾燕瑞

    2015-01-01

    Objectives To acquire the compliance status of orthosis wearing and the views of patients through telephone interview after vertebral column operation, and provide evidence for improving the compliance of orthosis wearing after operation as well as reducing complications risks. Methods To adopt questionnaires research on 100 patients who need to wear orthosis after vertebral column operation, then conduct statistical analysis on the questionnaires after clearing up with the application of SPSS19.0.Results The percent of high compliance of 100 patients with orthosis wearing after vertebral column operation only accounted for 41% and middle compliance accounted for 47%. There were significant differences in aspects such as lack of necessity awareness of wearing orthosis(p=0.001), afraid of taking activities after operation(p=0.012) and felt uncomfortableness while wearing orthosis(p=0.001).Conclusions The compliance of orthosis wearing among patients after vertebral column operation was not high, which were due to the shortage of diseases related knowledge or the necessity of wearing orthosis, had no ideas on rehabilitation exercise on the early phase after operation as well as the uncomfortable feeling. Therefore, the clinical nursing staff should carry out pointed nursing work according to different situations, so as to increase the compliance of orthosis wearing among patients after vertebral column operation.%*摘要目的通过对脊柱术后患者进行电话采访,了解患者佩戴支具的依从性现状及其对支具佩戴的看法,为提高患者术后佩戴支具的依从性、减少发生术后并发症的风险提供依据。方法采取问卷调查的方式对100名脊柱疾病术后需要佩戴支具的患者进行问卷调查,将收取后的问卷整理后输入SPSS19.0统计学软件进行统计学分析。结果100名脊柱疾病术后患者中支具佩戴依从性高者仅占41.0%,依从性中等者占47.0%;不同依从性的患者,

  15. The supratemporal system and the pattern of ramification of cephalic sensory canals in Denticeps clupeoides (Denticipitoidei, Teleostei: additional evidence for monophyly of Clupeiformes and Clupeoidei

    Directory of Open Access Journals (Sweden)

    Fabio Di Dario

    2006-01-01

    Full Text Available The cephalic portions of the latero-sensory canal system in Denticeps clupeoides are described and analyzed. The species, a small herring-like fish from relictual West African streams, is the most primitive living clupeomorph and sole Recent representative of suborder Denticipitoidei. As sister group to over 360 species in Clupeoidei, Denticeps is a key taxon in understanding clupeomorph and lower teleostean relationships. Observations on recently-collected specimens of Denticeps clupeoides revealed comparatively-important and previously-unrecorded details of the cephalic latero-sensory canals which are relevant for understanding relationships at different levels in clupeomorph phylogeny. The infraorbital, supraorbital, preopercular, extrascapular and post-temporal canals of Denticeps have unbranched tubules in soft tissue, as in the hypothesized plesiomorphic condition for lower teleosts. Contrastingly, the presence of a complex network formed by a high order of branching of cephalic canals is hypothesized as a synapomorphy of the Clupeoidei. Denticeps and the Clupeoidei share an exclusive sensory branch that originates at the junction between the extrascapular bone and the recessus lateralis, here hypothesized as an additional synapomorphy of Clupeiformes. A supratemporal system is newly recorded in Denticeps, and the character is proposed as a synapomorphy of Clupeiformes, and not of Clupeoidei as previously thought. The hypothesis that the supratemporal system is homologous to the supraorbital cavern is refuted, and the latter is corroborated as an autapomorphy of Denticeps. Another autapomorphy of Denticeps (or Denticipitoidei is the presence of the postorbital bulla, a hitherto unrecorded specialization of the infraorbital canal associated with infraorbitals 4 and 5. Homologies of other tubules of the cephalic sensory canals in Denticeps are also discussed, with emphasis on their bearing on the recognition of homologies of infraorbital

  16. AN ANALYSIS OF THE MANUFACTURING POSSIBILITY OF SPECIAL ANKLE FOOT ORTHOSIS COMPONENTS BY OMPARISON BETWEEN THE REQUIRED PRECISION AND THE VAILABLE PRECISION ON A VERTICAL MACHINING CENTER PROGRAMED WITH TOPSOLID

    Directory of Open Access Journals (Sweden)

    Alexandru STANIMIR

    2010-06-01

    Full Text Available Validation of different solutions adopted to achieve new ankle foot orthosis involves among others their prototyping. In these paper we developed a representative part for two axis machining that requires the use of the main features of TopSolid Cad and Cam modules, and that assumes the use of the main manufacturing processes that usually may be met on a vertical machining center. Also, in order to determine the dimensional and geometrical deviations of the part this was done on the YMC 1050 machining center. After comparing the measured deviations with the requirements of various components of orthesis, we concluded that the available precision meets the requirements and that the machining center with TopSolid software that we have will enable us to realize special ankle foot orthosis of quality, for experimental research .

  17. The cephalic and pharyngeal sense organs of Calliphora vicina 3rd instar larvae are mechanosensitive but have no profound effect on ongoing feeding related motor patterns.

    Science.gov (United States)

    Hückesfeld, Sebastian; Niederegger, Senta; Heinzel, H-G; Spiess, Roland

    2010-11-01

    The anterior segments of cyclorraphous Diptera larvae bear various sense organs: the dorsal- and terminal organ located on the cephalic lobes, the ventral- and labial organs associated with the mouthplate and the internal labral organ which lies on the dorsal surface of the esophagus. The sense organs are connected to the brain via the antennal nerve (dorsal- and labral organ) or the maxillary nerve (terminal-, ventral-, labial organ). Although their ultrastructure suggests also a mechanosensory function only their response to olfactory and gustatory stimuli has been investigated electrophysiologically. Here we stimulated the individual organs with step-, ramp-, and sinusoidal stimuli of different amplitude while extracellulary recording their afferents from the respective nerves. The external organs show a threshold of approximately 2 microm. All organs responded phasically and did not habituate to repetitive stimuli. The low threshold of the external organs combined with their rhythmically exposure to the substrate suggested a putative role in the temporal coordination of feeding. We therefore repetitively stimulated individual organs while simultaneously monitoring the centrally generated motor pattern for food ingestion. Neither the dorsal-, terminal- or ventral organ afferents had an obvious effect on the ongoing motor rhythm. Various reasons explaining these results are discussed.

  18. Cystein-serine-rich nuclear protein 1, Axud1/Csrnp1, is essential for cephalic neural progenitor proliferation and survival in zebrafish.

    Science.gov (United States)

    Feijóo, Carmen G; Sarrazin, Andres F; Allende, Miguel L; Glavic, Alvaro

    2009-08-01

    The CSRNP (cystein-serine-rich nuclear protein) family has been conserved from Drosophila to human. Although knockout mice for each of the mammalian proteins have been generated, their function during vertebrate development has remained elusive. As an alternative to obtain insights on CSRNP's role in development, we have analysed the expression pattern and function of one member of this family, axud1, during zebrafish development. Our expression analysis indicates that axud1 is expressed from cleavage to larval stages in a dynamic pattern, becoming restricted after gastrulation to anterior regions of the developing neuraxis and later on concentrated predominantly in proliferating domains of the brain. Knockdown analysis using antisense morpholinos shows that reducing Axud1 levels impairs neural progenitor cell proliferation and survival, revealing an essential function of this gene for the growth of cephalic derivatives. The brain growth phenotypes elicited by decreasing Axud1 expression are specific and independent of anterior-posterior patterning events, initial establishment of neural progenitors, or neural differentiation occurring in this tissue. However, Axud1 is necessary for six3.1 expression and is positively regulated by sonic hedgehog. Phylogenetic examination shows that axud1 is likely to be the ortholog of the only member of this family present in Drosophila, as well as to the previously described mouse CSRNP1 and to human AXUD1 (Axin upregulated-1). Thus, we provide evidence as to the role of axud1 in brain growth in vertebrates.

  19. Caudal polymorphism and cephalic morphology among first-stage larvae of Parelaphostrongylus odocoilei (Protostrongylidae: Elaphostrongylinae) in Dall's sheep from the Mackenzie Mountains, Canada.

    Science.gov (United States)

    Hoberg, Eric P; Jenkins, Emily J; Rosenthal, Benjamin; Wong, Mayee; Erbe, Eric F; Kutz, Susan J; Polley, Lydden

    2005-12-01

    We demonstrate polymorphism in the structure of the tail among first-stage larvae of Parelaphostrongylus odocoilei (Protostrongylidae). Two distinct larvae, both with a characteristic dorsal spine, include (1) a morphotype with a kinked conical tail marked by 3 distinct transverse folds or joints and a symmetrical terminal tail spike and (2) a morphotype with a digitate terminal region lacking folds or joints and with an asymmetrical, subterminal tail spike. These divergent larval forms had been postulated as perhaps representing distinct species of elaphostrongyline nematodes. Application of a multilocus approach using ITS-2 sequences from the nuclear genome and COX-II sequences from the mitochondrial genome confirmed the identity of these larvae as P. odocoilei. Additionally, based on scanning electron microscopy (low-temperature field emission), the cephalic region of these larvae consisted of a cuticular triradiate stoma surrounded by 6 single circumoral papillae of the inner circle, 10 papillae of the outer circle (4 paired and 2 single), and 2 lateral amphids. Our's is the first demonstration of structural polymorphism among larval conspecifics in the Metastrongyloidea and Strongylida. The basis for this polymorphism remains undetermined, but such phenomena, if discovered to be more widespread, may contribute to continued confusion in discriminating among first-stage larvae for species, genera, and subfamilies within Protostrongylidae.

  20. 头静脉周围血管营养皮瓣修复皮肤缺损45例%Repairing skin and soft tissue defect in 45 cases by vasculotrophic flaps around cephalic vein

    Institute of Scientific and Technical Information of China (English)

    王宣生; 周巨良; 应素兰; 石小龙; 王振翼; 李庆泰

    2014-01-01

    Objective To discuss the clinical effect of treating skin defect with vasculotrophic flaps around cephalic veins. Methods We used 45 vasculotrophic flaps around cephalic veins to treat 45 patients with skin defect, from February 2008 to March 2012. The follow-up time was 6 months to 1 year, 10 months on average. Based on the surgical methods, the surgical flaps were divided into two classes, one was antegrade flap, with the flap at the distal end of the pedicle. And the other was retrograde flap, with the flap at the proximal of the pedicle. Type I of the second class:reflux vein could be found inside the wound surface, and the cephalic vein inside the flap was anastomosed with the reflux vein inside the wound surface. Type II of the second class: reflux vein could not be found inside the wound surface, and the cephalic vein inside the flap tissues was ligated. Flaps were cut from deep fascial layer, the pedicle width has cephalic vein as the center, not less than 3.0 cm, and the flap length-to-width ratio should not be greater than 5:1. The pedicle of free flap has a strip of skin for reducing tension during suturing. The superficial cutaneous nerves should be kept when cutting the skin flaps. Results Through the method of vasculotrophic flaps around cephalic veins, 45 flaps all survived. As the cutaneous nerve was kept when cutting the flaps, the sensory function of the body was good. Conclusion The cephalic veins exist inside the fascia tissues, and have more concentrated arteries around to supply blood, which provide nutrition to cephalic veins and peripheral tissues. Various vasculotrophic flaps around cephalic veins could be designed by utilizing these tissues for blood supply. As the skin flaps only contain cephalic veins and don't injure nerves and arteries, the damage to the limb is small and higher survival rate, so it has broad application prospects.%目的:探讨头静脉周围血管营养皮瓣修复皮肤缺损的临床疗效。方法对2008年2

  1. The mechanical changes of finger tendons under use of dynamic orthosis%使用动力型支具时手指肌腱的力学变化分析

    Institute of Scientific and Technical Information of China (English)

    李连楚

    2014-01-01

    Objective To study the mechanical changes of extensor and flexor tendons during use of dynamic orthosis after repair operation on the flexor tendons of hand.Methods An experiment model was established in eight groups (at different stages) using eight descarded fresh and integral human fingers which were broken from the distal plane to the proximal plane of metacarpal bone,thereby while using a dynamic orthosis the extension and flexion movement of extensor and flexor tendons of fingers were induced.An initial tensile force (F) of 0.2 N ~ 0.5 N was exerted on the flexor tendons of each group to simulate the extension and flexion movement of the muscle and a tensometer was connected to the extensor tendon exerting a tensile force (F2) and pulling the finger to the proximal interphalangeal joint at various positions of 20° ~ 50°,thus the tensile force (Fx) of flexor tendons and the tensile force (F2) of extensor tendons were measured.A rubber band was fixed at the distal end of the finger nails to simulate the dynamic orthosis and was pulled toward the proximal-end of the finger,while exerting an initial traction force (F1) of 0.1 N ~ 0.4 N and pull the extensor tendons with the tensometer to cause the finger extension until they reach the same position as that before the simulated dynamic orthosis was employed.Then the tensile force (Fx') of flexor tendons of each group as well as the tensile force (F2') of extensor tendons were measured,after which a statistical comparison was made with regard to the tensile force Fx and Fx' of flexor tendons and the tensile force F2 and F2' of extensor tendons before and after the simulated dynamic orthosis was employed.Results The tensile force (Fx') of flexor tendons during the simulated orthosis was used was compared with the tensile force (Fx) during the simulated orthosis was not used,it showed no statistical significant (P > 0.05) ; in the meantime,by comparing the tensile force F2' and F2 of extensor tendons,it was

  2. Efficacy analysis for adolescent idiopathic scoliosis treated with Milwaukee or Boston orthosis%Milwaukee和Boston支具治疗青少年特发性脊柱侧凸的疗效分析

    Institute of Scientific and Technical Information of China (English)

    张宏其; 黄术; 盛斌; 高琪乐; 王昱翔; 郭超峰; 唐明星

    2011-01-01

    regularly used for 21 to 23hours per day,and 27 cases could consist on wearing only 6 to 15 hours per day.The other 28 cases of 85AIS cases were only treated with orthopedic gymnastics instead of orthosis treatment.All patients were periodically observed with lateral side (X)-ray photograph at standing position and photograph,and Cobb angle and Risser sign were measured every 3 to 6 months.Since 2008 all adolescent idiopathic scoliosis patients treated with orthosis were requested to fill with simplified Chinese SRS-22.Results 73 cases adolescent idiopathic scoliosis patients were followed up for 2 ~5 years [ mean(26.3 ± 33.7)months ].Milwaukee orthosis group showed the regular wearing group had 91.67 % ( 11/12) effective rate and the intermittent wearing group had 56.25% (9/16) effective rate and the group without wearing orthosis only had 20% (4/20)effective rate.The group regularly wearing Milwaukee brace had superior effect than the other two groups (P < 0.05 ).Boston orthosis group showed the regular wearing group had 88.89% (16/18) effective rate and the intermittent wearing group had 54.55% (6/11 ) effective rate and the group without wearing brace with 25% (2/8) effective rate.The group regularly wearing Boston brace had better effect than the other two groups ( P < 0.05 ).Due to the different choice of AIS patients and orthosis,the effective rate of the Milwaukee and Boston orthosis was not compared.Conclusions The adolescent idiopathic scoliosis patients should insist on regularly wearing brace regardless of the Milwaukee or Boston orthosis ( this article suggest that the wearing time should not less than 21 ~ 23 h/d).The group regularly wearing with the Milwaukee or Boston orthosis had better effect than the intermittent group or the group without wearing brace.It's a good treatment for the AIS patients who have with the indication of orthosis treatment.

  3. Oxygen costs using a reciprocating gait orthosis in a paraplegic (T9) patient with a bilateral below-knee amputation: case report.

    Science.gov (United States)

    Smith, W E; Clark, P F; MacArthur, D; Allatt, R D; Hayes, K C; Cunningham, D A

    1997-02-01

    The Reciprocating Gait Orthosis (RGO) is a useful aid to ambulation for patients with paraplegia. Its use has been described previously though not in conjunction with limb prostheses. We report here the energy costs of ambulation of a patient, disabled by paraplegia at T9 and bilateral below-knee amputations, walking at her preferred rate using an RGO while gas exchange was measured by the Douglas bag method. Oxygen uptake (VO2) rose from 0.198 1 min-1 at rest to 0.582 1 min-1 in the last minute of exercise, representing a VO2 of 14.3 ml kg-1 min-1. During the fourth minute of ambulation, energy consumption was 30.44 J kg-1 s-1 with an energy cost of 4.17 J kg-1 m-1 at a velocity of 0.13 m s-1, Ambulation with this combination of disability is possible with the aid of limb prostheses and an RGO though it is slow and the energy expenditure as consumption per second and cost per metre are high.

  4. Orthosis-Shaped Sandals Are as Efficacious as In-Shoe Orthoses and Better than Flat Sandals for Plantar Heel Pain: A Randomized Control Trial.

    Directory of Open Access Journals (Sweden)

    Bill Vicenzino

    Full Text Available To investigate efficacy of a contoured sandal being marketed for plantar heel pain with comparison to a flat flip-flop and contoured in-shoe insert/orthosis.150 volunteers aged 50 (SD: 12 years with plantar heel pain (>4 weeks were enrolled after responding to advertisements and eligibility determined by telephone and at first visit. Participants were randomly allocated to receive commercially available contoured sandals (n = 49, flat flip-flops (n = 50 or over the counter, pre-fabricated full-length foot orthotics (n = 51. Primary outcomes were a 15-point Global Rating of Change scale (GROC: 1 = a very great deal worse, 15 = a very great deal better, 13 to 15 representing an improvement and the 20-item Lower Extremity Function Scale (LEFS on which participants rate 20 common weight bearing activities and activities of daily living on a 5-point scale (0 = extreme difficulty, 4 = no difficulty. Secondary outcomes were worst level of heel pain in the preceding week, and the foot and ankle ability measure. Outcomes were collected blind to allocation. Analyses were done on an intention to treat basis with 12 weeks being the primary outcome time of interest.The contoured sandal was 68% more likely to report improvement in terms of GROC compared to flat flip-flop. On the LEFS the contoured sandal was 61% more likely than flat flip-flop to report improvement. The secondary outcomes in the main reflected the primary outcomes, and there were no differences between contoured sandal and shoe insert.Physicians can have confidence in supporting a patient's decision to wear contoured sandals or in-shoe orthoses as one of the first and simple strategies to manage their heel pain.The Australian New Zealand Clinical Trials Registry ACTRN12612000463875.

  5. Effects of robot-driven gait orthosis treadmill training on the autonomic response in rehabilitation-responsive stroke and cervical spondylotic myelopathy patients.

    Science.gov (United States)

    Magagnin, Valentina; Bo, Ivano; Turiel, Maurizio; Fornari, Maurizio; Caiani, Enrico G; Porta, Alberto

    2010-06-01

    Body weight supported treadmill training (BWSTT) assisted with a robotic-driven gait orthosis is utilized in rehabilitation of individuals with lost motor skills. A typical rehabilitation session included: sitting, standing, suspension, robotic-assisted walking at 1.5 and 2.5km/h, respectively with 50% body weight support and recovery. While the effects of robotic-assisted BWSTT on motor performances were deeply studied, the influences on the cardiovascular control are still unknown. The aim of the study was to evaluate in stroke (ST) and cervical spondylotic myelopathy (CSM) patients: (1) the autonomic response during a traditional robotic-assisted BWSTT session of motor rehabilitation; (2) the effects of 30 daily sessions of BWSTT on cardiovascular regulation. The autonomic response was assessed through symbolic analysis of short-term heart rate variability in 11 pathologic subjects (5 ST and 6 CSM patients) whose motor skills were improved as a result of the rehabilitation therapy. Results showed variable individual responses to the rehabilitation session in ST patients at the beginning of the therapy. At the end of the rehabilitation process, the responses of ST patients were less variable and more similar to those previously observed in healthy subjects. CSM patients exhibited an exaggerated vagal response to the fastest walking phase during the first rehabilitative session. This abnormal response was limited after the last rehabilitative session. We conclude that robotic-assisted BWSTT is helpful in restoring cardiovascular control in rehabilitation-responsive ST patients and limiting vagal responses in rehabilitation-responsive CSM patients.

  6. EFFECT OF KINESIO TAPING AND SOFT ORTHOSIS APPLICATION ON THE PAIN AND FUNCTIONAL DISABILITY IN LUMBAR REGION PATHOLOGIES WITHOUT NEUROLOGICAL DEFICITS: A RANDOMIZED CONTROLLED EXPERIMENTAL STUDY

    Directory of Open Access Journals (Sweden)

    Burcu TALU

    2016-12-01

    Full Text Available Background: Back pain caused by lumbar region pathologies is a condition that leads to loss of productivity and physical disability, with high costs of diagnosis and treatment. This study was planned to investigate the effect of taping and soft orthosis application on the pain and functional disability in the pathology of lumbar region without neurological deficit. Methods: This study is randomized controlled trial. Sixty-three volunteer patients were randomly divided into three groups of 21 people. Group I, soft orthotics and stabilization exercise program; Group II, Kinesio taping and stabilization exercise program; Group III, stabilization exercise program was applied. After obtaining demographic data of the participants; patients were evaluated in terms of range of motion and muscle strength. We used visual analog scale for pain level assessment, sit and reach test for flexibility assessment, timed up and go test (TUG for functional ambulation and balance, modified Schober test for lumbar spine flexibility, Oswestry Disability Index in the assessment of functional disability. They were assessed at the pretreatment, third (post treatment and six week (home programs and follow-up. Results: The results showed that significant differences (p<0.05 occurred over time in the study parameters such as functional ambulation, flexibility, lumbar flexibility, functional disability, pain, strength, range of motion in all groups. In comparisons between groups, there was a difference mainly in favor of Group II (p<0.05. Conclusions: We have concluded that in lumbar region pathologies without neurological deficits, stabilization exercises combined with orthotics and Kinesio taping applications reduces pain and functional disability.

  7. Cephalic phase responses and appetite

    NARCIS (Netherlands)

    Smeets, P.A.M.; Erkner, A.; Graaf, de C.

    2010-01-01

    The current food supply in many parts of the world differs substantially from that which existed during most of human evolution. It is characterized by a high variety of palatable foods with high energy density and low fiber content. Many foods can be eaten very quickly, and there is not always cong

  8. 3D打印技术在矫形鞋垫中的应用进展%Application of 3D Printing Technology in Custom-made Foot Orthosis (review)

    Institute of Scientific and Technical Information of China (English)

    曹萍; 吴小高

    2015-01-01

    3D printing technology has become the focus of the study on rapid proyotyping technology in recent years. This paper intro-duced the principle, material and equipments of 3D printing, as well as the foot orthosis. This paper also summarized the application of 3D printing in custom-made foot orthosis, and the differences between 3D printing and traditional technology from the aspect of structure de-sign, material, and clinical application, etc., and discussed the problems and future development of 3D printing.%3D打印技术的快速发展使其成为近年国内外快速成型技术研究的重点。本文简要介绍3D打印技术原理、原材料和加工设备;介绍矫形鞋垫制作;总结国内外3D打印技术在矫形鞋垫制作中的应用现状,从鞋垫的结构设计、打印材料、临床应用等方面对3D打印和传统工艺的区别进行阐述,并对存在的问题和未来发展进行讨论。

  9. 模塑式颈椎矫形器对颈部烧伤患者屈曲畸形的预防作用%Preventive effects of moulded cervical orthosis on the flexion deformity in burn pateints

    Institute of Scientific and Technical Information of China (English)

    张孝超; 杨文兵; 陈述清

    2005-01-01

    背景:颈椎矫形器是矫正颈部畸形的非手术治疗方法之一,引入因颈部烧伤而导致屈曲畸形的治疗中,可以让患者的颈部功能得以最大限度的恢复.目的:分析模塑式颈椎矫形器(moulded cervical orthosis,MCO)在颈部烧伤临床上的应用形式及其影响.设计:以患者为研究对象,前后对照,验证性研究.单位:一所省级假肢中心假肢矫形部.对象:2003-01/09福建省假肢中心门诊接收19例头、颈、胸严重烧伤植皮术后患者,男13例,女6例.方法:通过对19例颈部烧伤患者进行配戴矫形器的治疗与随访,分析MCO的治疗效果.主要观察指标:疗效评估结果.结果:19例因烧伤而引发颈部屈曲症的患者,通过配戴MCO,均能达到纠正颈部屈曲、恢复颈部功能的效果.7例颈部功能完全恢复正常;8例颈部功能基本恢复;4例畸形程度有所减轻.结论:MCO能够对因颈部烧伤而引起的颈部屈曲畸形症,具有良好的矫治及康复作用.%BACKGROUND: Cervical orthosis is one of the non-surgical therapeutic methods for the remedy of cervical deformities. The introduction of cervical orthosis into the clinical remedy of cervical deformities resulted by burn can maximally restore the cervical function of the patients.OBJECTIVE: To analyse the clinical applicative mode and the effects of moulded cervical orthosis (MCO) on cervical burn.DESIGN: A before-and-after verification study by employing pateitns as subjects.SETTING: Prosthetics and orthotic department in a provincial artificial limb center.PARTICIPANTS: Totally 19 cases including 13 males and 6 females after skin-transplantation due to serious burn in head, neck and chest admitted by the outpatient department of prosthetics center between January and September 2003.METHODS: Nineteen patients with cervical burn wore MCO. Return visits were made afterwards for the evaluation of the treatment effects of MCO.MAIN OUTCOME MEASURES: Resutls of therapeutic

  10. A retrospective analysis of 52 cases with cephalic presentation dystocia of painless labor%无痛分娩发生头位难产病例的回顾性分析

    Institute of Scientific and Technical Information of China (English)

    顾丽芳; 黄鹰; 苏平平

    2011-01-01

    Objective To explore the incidence and causes of cephalic presentation dystocia of painless labor. Methods 506 cases of painless labor ( observation group ) in Pudong New Area Maternity & Child Health Hospital in 2009 were retrospectively analyzed, and contemporary 506 cases of vaginal deliver ( control group ) were randomly selected as the controls. The incidence of cephalic presentation dystocia, indication of cesarean section, neonatal birth weight and the influence on mother and infant were compared between two groups.Results The incidence of cephalic presentation dystocia in observation group ( 10.28%, 52/506 ) was lower than that in control group ( 22.13%, 112/506 ). Abnormal fetal position was the major cause of cesarean section in two groups. The difference in cesarean section because of protracted active phase and social factors between two groups was statistically significant (x2 was 6. 413 and 4. 772 respectively,P < 0. 05 ). There was no significant difference in neonatal birth weight, postpartum hemorrhage within 2 hours and Apgar score.Conclusion Painless labor can reduce the incidence of cesarean sections because of protracted active phase and social factors, and it does not increase the probability of cephalic presentation dystocia. In addition, it has no harmful effect on mother and infant. Painless labor is worth popularizing.%目的 分析无痛分娩发生头位难产的比率及原因.方法 回顾性分析2009年上海市浦东新区妇幼保健院506例无痛分娩病例,并随机抽取同期非无痛分娩阴道试产506例作为对照,分析两组头位难产的发生率、剖宫产指征、新生儿体重及对母儿的影响.结果 观察组发生头位难产占10.28%(52/506),低于对照组的22.13%(112/506);胎位异常是两组行剖宫产的主要指征,两组因活跃期停滞和社会因素导致的剖宫产比较差异有统计学意义(χ2值分别为6.413、4.772,均P0.05).结论 无痛分娩可减少因社会因素及活

  11. Morfología cefálica en fetos bovinos. Un estudio en la raza “Bruna dels pirineus” - Cephalic morphology in bovine fetuses. A study in the race “Bruna dels pirineus”

    Directory of Open Access Journals (Sweden)

    Pere-Miquel Parés i Casanova

    2009-12-01

    Full Text Available ResumenA partir del estudio de treinta fetos bovinos de la raza bovina “Brunadels Pirineus” se obtuvieron diez medidas lineales y cuatro índicescefálicos con el objetivo de describir la conformación cefálica durante el desarrollo fetal. En el estudio se refleja claramente que son los índices relacionados con el víscerocráneo las variables más discriminantes, siendo además los índices las variables que no presentaban ninguna correlación significativa con la edad estimada.SummaryThirty heads of fetus belonging to “Bruna dels Pirineus” bovine breedwere studied. Ten lineal measurements and four indexes were obtainedin order to describe the cephalic conformation during fetal growth.Indexes related with viscerocranium appear as the most discriminantones and were no related with estimated fetus age.

  12. Therapy of Acupressure Pointer before Intravenous Infusion in Cephalic Vein Applied Nursing Research%穴位指针疗法在头静脉输液前应用的护理研究

    Institute of Scientific and Technical Information of China (English)

    蒋应玲; 刘倩; 冯珏; 肖艳平; 郭庆; 乔艾春; 邓玲华

    2013-01-01

    Objective To investigate the cephalic vein puncture on hand in three acupressure pointer therapy intervention on the comfortable degree of infusion nursing. Methods In 2010 March to 2012 March in hospitalized patients with standard 160 patients according to the time of admission, were randomLy divided into experimental group and control group, 80 cases in each group. The control group in the"new"basis of nursing science"for the standard, using conventional intravenous infusion method. In experimental group received puncture side hand in three acupressure pointer therapy after routine intravenous infusion, observe two groups of patients in the cephalic vein puncture disposable puncture success rate, pain response and transfusion puncture nursing satisfaction were compared. Results The patients in the experimental group received acupuncture needle therapy, cephalic vein puncture success rate of puncture, disposable transfusion puncture pain reaction and nursing satisfaction compared with the control group had statistical significance (P<0.05). Conclusion The cephalic vein puncture on hand in three acupressure pointer therapy intervention, can significantly reduce the puncture pain, so that patients can cooperate smoothly infusion operation, improve the success rate of puncture and intravenous transfusion of patients satisfaction.%  目的探讨头静脉穿刺前行手三里穴位指针疗法干预对输液护理舒适度的影响.方法将2010年3月至2012年3月住院患者中符合标准的160例患者按照入院时间,随机分成实验组和对照组,每组80例.对照组以《新编护理学基础》为标准,采用常规静脉输液法.实验组在接受穿刺侧手三里穴位指针疗法后按常规静脉输液法,观察两组患者在头静脉穿刺的一次性穿刺成功率、疼痛反应及输液穿刺满意度等进行比较.结果实验组患者在接受穴位指针疗法后,头静脉穿刺的一次性穿刺成功率、疼痛反应及

  13. Mathematical model and applicable prescription of ankle-foot orthosis and its early application in analysis of hemiplegic gait of stroke patients%踝足矫形器数学模型、应用处方及其早期应用对脑卒中患者偏瘫步态影响的趋势分析

    Institute of Scientific and Technical Information of China (English)

    钱竞光; 沈鑫

    2008-01-01

    随着多体系统动力学理论和计算机技术的发展,矫形器的计算机辅助设计和制造(CAD/CAM)技术已经日趋成熟,利用这项新技术可建立人体和矫形器的数学力学模型,通过模拟计算来确定矫形器处方、预测疗效和康复效果.踝足矫形器(AFO)早期应用对于脑卒中患者脑功能恢复、偏瘫步态恢复以及对于纠正异常步态起重要作用,在康复临床矫形器处方中,建立相应的数学模型,推测足踝功能变化和脑卒中后脑功能恢复的作用和机制,这对偏瘫步态的分析、矫形器的设计和患者步态的恢复等方面都会产生积极影响.%With the development of the Multi-Rigid-Body system dynamics theory and computer technology, computer aided design and manufacturing of orthosis have already matured, mathematical mechanical model of human body and orthosis can be established using this new technology, and simulation calculation can be used to determine the orthosis prescription, predict the efficacy and effectiveness of rehabilitation. Early application of ankle-foot orthosis plays an important role in restoration of brain function in stroke patients, resumption of hemiplegic gait and abnormal gait correction. In clinical orthosis prescription, establishment of corresponding mathematical model and speculation of ankle-foot function changes, as well as the effect and mechanism of resumption of brain function in post-stroke patients, have a positive impact on the analysts of hemiplegic gait, orthosis design and gait resumption.

  14. Effect of knee ankle foot orthosis in the rehabilitation of patients with complete spinal cord injury%膝踝足矫形器对完全性脊髓损伤患者的康复作用

    Institute of Scientific and Technical Information of China (English)

    林志伟; 练振坚; 符俏

    2013-01-01

    Objective To investigate effect of knee ankle foot orthosis (KAFO) in the rehabilitation of patients with complete spinal cord injury. Methods Seventeen patients (11 males and 6 females) with spinal cord injury of L1 or under L1 were enrolled in the study, aged from 19 to 42 years old (34.7 in average), of which 9 cases were L1 level, 5 cases were L2 level, 3 cases were L3 level. Several rehabilitation therapies were needed before assembly of KAFO, including muscle strength, cardiopulmonary function, wheelchair transfer, the activities daily living (ADL), bladder training. After assembly of KAFO, intensive gait training was performed, with walking function tests (including 6 min walking test and 10 m walking time evaluation) before orthosis assembly and before discharge. The gait analysis and the modified Barthel index (MBI) were evaluated. Results All patients could not walk independently without orthosis conditions. After the orthosis assembly and training, the 10 m walking time was (76.35±32.45) s, the average 6 min walking distance was (67.48±24.35) m, and the average step size was 37.9 cm. Conclusion The KAFO combined with systematic rehabilitation treatment can improve the walking ability and the activities of daily living in patients with complete spinal cord injury.%目的 探讨膝踝足矫形器(KAFO)对完全性脊髓损伤患者的康复作用.方法 L1及以下脊髓损伤患者17 例,其中男性11 例,女性6 例;损伤节段:L1损伤9 例,L2损伤5 例,L3损伤3 例;年龄19~42 岁,平均34.7岁.在装配膝踝足矫形器前需进行多项康复治疗,包括肌肉力量、心肺功能、轮椅转移、日常活动能力(ADL)、膀胱训练等,装配矫形器后加强步态训练;分别于矫形器装配前及出院前进行限时的步行功能检查(包括6 min 步行评测和10 m步行时间评测)、步态分析及改良Barthel 指数(MBI)作为指标进行评定.结果 17 例患者在不使用矫形器的情况下均不能独立行

  15. Chronic stroke survivors achieve comparable outcomes following virtual task specific repetitive training guided by a wearable robotic orthosis (UL-EXO7) and actual task specific repetitive training guided by a physical therapist.

    Science.gov (United States)

    Byl, Nancy N; Abrams, Gary M; Pitsch, Erica; Fedulow, Irina; Kim, Hyunchul; Simkins, Matt; Nagarajan, Srikantan; Rosen, Jacob

    2013-01-01

    Survivors post stroke commonly have upper limb impairments. Patients can drive neural reorganization, brain recovery and return of function with task specific repetitive training (TSRT). Fifteen community independent stroke survivors (25-75 years, >6 months post stroke, Upper Limb Fugl Meyer [ULFM] scores 16-39) participated in this randomized feasibility study to compare outcomes of upper limb TSRT guided by a robotic orthosis (bilateral or unilateral) or a physical therapist. After 6 weeks of training (18 h), across all subjects, there were significant improvements in depression, flexibility, strength, tone, pain and voluntary movement (ULFM) (p physical therapist significantly reduced arm impairments around the shoulder and elbow without significant gains in fine motor hand control, activities of daily living or independence.

  16. Construction features and application of a new wrist-hand orthosis%一种新型腕手矫形器的结构特点及其使用

    Institute of Scientific and Technical Information of China (English)

    冉春风

    2008-01-01

    AIM: To introduce a new kind of wrist-hand orthosis.METHODS: The major frame of wrist-hand orthosis is composed of dorsal carpal guard plate and carpal bracket; while, a U-shaped anterior bracket is fixed on the anterior side of the major frame. Ferrules of index finger, middle finger, fourth finger and little finger respectively connect to dorsal carpal guard plate of the major frame via elastic brace; ferrule of thumb is fixed on one side of ferrule of index finger by using steel wires; an abduct elastic sleeve is designed on the lateral dorsal carpal guard plate of ferrule of little finger by using steel wires. According to experimental demands, wrist with the palms upward or downward puts into the major frame, which is composed of dorsal carpal guard plate and carpal bracket. The hand is anterior to the major frame; ferrules are located over rolling sleeve by forward and fingers are located below the rolling sleeve by forward; ferrules are respectively rang the index, middle, fourth and little fingers; ferrule of thumb is rang the thumb. Continuously, wrist rotates based on orthopaedic demands to realize various orthopaedic functions.RESULTS: The wrist-hand orthosis is used to help the hand maintain extension after extensor tendon injury operation in order to restrict active areas of fingers and promote healing of injured side. On the other hand, this new orthosis is also used to help wrist joint and digital joint maintain flexion after extensor tendon injury operation in order to improve flexion and extension of wrist joint, enlarge active area of flexion of wrist joint, enlarge drifting active area of radialis of wrist joint, and increase muscle strength of radial flexor muscle, ulnar flexor muscle, extensor carpi radialis muscle, extensor carpi ulnaris muscle, extensor carpi ulnaris muscle, flexor carpi ulnaris muscle, extensor digitorum communis muscle, superficial flexor muscle and deep flexor muscle.CONCLUSION: The wrist-hand orthosis refers to protection

  17. Anatomic research on distally based compound flap pedicled with the nutrient vessels of cephalic vein%头静脉营养血管远端蒂复合瓣的解剖学研究

    Institute of Scientific and Technical Information of China (English)

    张发惠; 林松庆; 郑和平; 张国栋

    2006-01-01

    BACKGROUND: Distally based flap pedicled with the distal nutritional vessels in forearm is especially suitable for reconstructing the tissue defects in the distal end of hands, while high rotation point cannot satisfy the requirements of reconstructing the distal injuries or defects in hands, and severer lesion may even be caused in the donor site.OBJECTIVE: To study the anatomic proceeding of artery perforators in distal radial margin of forearms, so as to provide anatomic basis for the design of distally based compound flap pedicled with the nutrient vessel of cephalic vein in distal radial margin of forearms.DESIGN: Single sample experiment.SETTING: Center for Clinical Anatomy of the Department of Orthopedics,Fuzhou General Hospital of Chinese PLA of Nanjing Military Area Command.MATERIALS: The experiment was conducted in the Laboratory of Center for Clinical Anatomy of Department of Orthopedics, Fuzhou General Hospital of Chinese PLA of Nanjing Military Area Command between August and December 2004. The upper extremities of 30 cadavers injected with a mixture of red gelatin into the artery (provided by the Center for Clinical Anatomy of Department of Orthopedics, Fuzhou General Hospital of Chinese PLA of Nanjing Military Area Command) were adopted.METHODS: The vascular external diameter and distance were measured with sliding caliper and ruler with radial styloid process as the marker.MAIN OUTCOME MEASURES: ① The perforator artery in distal radial margin of forearms. ② The nutrient vessels of cephalic vein. ③ The relationship of blood supply between the nutrient vessels and vicinal bone and skin as well as the lateral antebrachial cutaneous nerve. ④ The superficial and deep communicating branches of cephalic vein.RESULTS: The perforator artery in distal radial margin of forearms derived from: 6-11 cutaneous branches of radial artery with external diameter of (0.7±0.3) mm; 2-6 cutaneous branches of superficial palma with the external diameter of (0.5±0

  18. Cephalic measures in normal pre-school children 3 to 7-years of age Medidas cranianas em crianças pré-escolares normais de 3 a 7 anos

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    A. J. Diament

    1976-12-01

    Full Text Available In a study designed to determine standards for the Developmental Neurological Examination (DNE several measures of the head were also recorded. The study consisted in the examination of 200 children, half from each sex, 40 from each age group (3 to 7-years of age. These children were selected among 755 normal pre-school-age children, living in the city of São Paulo (Brazil. The criteria for selection were both anamnestic and clinic. The following measures of the head were recorded: cephalic perimeter, biauricular and antero-posterior distances (Diament, 1967. A new cephalic index (nCI was also determined (Diament, 1968. This index is useful in detecting changes in head shape mainly in cases of precocious cranioestenosis (Diament, 1968; Facure, 1972. The statistical analysis consisted in determining means and standard errors for each measure. For the new cephalic index it was shown through the Kruskal-Wallis test that there were no significant difference between age and sex. Therefore we considered all groups together to find out the tolerance region for the new index which turned out to be given by the interval: 0.848-1.002. This result is based in 186 cases since 14 were excluded because of some problems in the recording process. Therefore we expect with a confidence of 95% that the above interval covers 90% of the population, in the 3 to 7 years age-groups independently of sex.As medidas da cabeça — perímetro craniano e distâncias bi-auricular e ântero-posterior — foram estudadas em 200 crianças, metade de cada sexo, 40 para cada grupo etário de pré-escolares normais de 3 a 7 anos de idade. A análise estatística consistiu em se determinar médias, desvios-padrões e limites de tolerância (LT para cada medida. Utilisando as duas distâncias (BA e AP determinou-se um índice Cefálico novo (ICn, para o qual tam- bém se calculou médias, desvios-padrões e LT para cada idade e sexo. Pelo teste de Kruskal-Wallis verificou-se n

  19. "降落伞式"缝合技术在鼻烟窝动静脉内瘘中的应用%The application of parachute-style running suture for radio-cephalic fistulae in anatomical snuff-box

    Institute of Scientific and Technical Information of China (English)

    周忠信; 刘正军

    2012-01-01

    目的 探讨"降落伞式"连续缝合技术(PSRS)在鼻烟窝桡动脉-头静脉内瘘(RCF)中的应用.方法 回顾性分析42例尿毒症患者PSRS行鼻烟窝RCF的资料.结果 左鼻烟窝造瘘36例,右鼻烟窝造瘘6例,手术时间45~120 min,出血5~30 mL.所有患者术后扪及震颤,39例术后5~6周经内瘘行透析,3例术后6周内瘘血流量低于220 mL/min,均为女性,其中2例为糖尿病肾病患者,1例为高血压肾病患者.结论 鼻烟窝内采用PSRS行RCF可确保吻合口的质量,大大降低吻合的难度,提高造瘘成功率.%Objective To explore the application of parachute-style running suture( PSRS ) during end-to-side anastomosis for radio-cephalic fistulae( RCF ) in anatomical snuff-box. Methods There were 42 cases of uremia who admitted the procedures of RCF with end-to-side anastomosis in anatomical snuff-box, and whose data were analyzed retrospectively. Results There were 36 cases who had RCF in left anatomical snuff-box, and 6 cases in right anatomical snuff-box. The operating time was 45120 minutes, and the bleeding volume was 530 mL. All patients were palpated tremor along cephalic veins after operation. 39 cases had routine dialysis from RCF 6 weeks after operations, and 3 cases whose RCF was dysfunctional, among whom 2 cases had diabetic nephropathy and 1 had hypertensive nephropathy. Conclusion It is favorable to have RCF in anatomical snuff-box with PSRS, which can decrease difficulty of anastomosis and improve the success of RCF.

  20. Ankle-foot orthosis improves walking ability of hemiplegic patients:a Meta-analysis%踝足矫形器改善偏瘫患者步行能力的荟萃分析

    Institute of Scientific and Technical Information of China (English)

    刘维红; 刘涛; 易莉; 付丽娜

    2014-01-01

    BACKGROUND:Studies have shown that ankle-foot orthosis can increase the feedback on the input information from receptors in the skin of the foot and leg to improve the ankle joint position sense, and promote brain function reorganization. OBJECTIVE:To systematical y evaluate the effect of ankle-foot orthosis on the improvement of walking in hemiplegic patients. METHODS:The Chinese Biomedical Literature Database, CNKI, WanFang Data and VIP database were searched for reports of randomized control ed trials of ankle-foot orthosis to improve walking ability in hemiplegic patients, from the date of establishment of each database to June 2013. The randomized control ed trials which met the criteria were included for the Meta-analysis. RESULTS AND CONCLUSION:A total of 9 randomized control ed trials involving 456 patients were included. Meta-analysis showed that, compared with conventional treatment and drug therapy, ankle foot orthosis via the continuous treatment shows certain advantages to improve lower extremity motor function in hemiplegic patients, life skil s and 10-meter maximum walking speed. Due to a limited number of included documents, the remaining indicators such as walking speed, stride difference and balance function were only for appropriate descriptive analysis. The results suggested that, by improving abnormal gait, walking speed, stride frequency, gait cycle, space asymmetry, ankle muscle spasms and balancing, the ankle-foot orthosis could achieve the goal of improving walking function. Ankle-foot orthoses could not be confirmed to exert the role in the fol owing indicators, including time asymmetry, double support phase prolongation and stride length. This evidence shows that ankle-foot orthoses in hemiplegic patients may promote recovery of motor function of the lower limbs and activities of daily living to a certain extent, but the more high-quality, multi-center randomized control ed trials with large samples are necessary.%背景:已有研究

  1. Comparison of different orthosis for improving gait in patients with spinal cord injury%脊髓损伤患者E-MAG和落环锁式膝踝足矫形器的应用对比◆

    Institute of Scientific and Technical Information of China (English)

    吴强; 马宗浩; 何成奇

    2013-01-01

    BACKGROUND: Drop ring lock knee-ankle-foot orthosis has been widely used in patients with higher level spinal cord injury, with one primary limitation in ambulation being attributable to the absence of knee flexion in swing phase. As a result, an individual is forced to use compensatory upper body motions to advance the legs. At present, the research on the comparison between different knee-ankle-foot orthoses is rare. OBJECTIVE: To investigate and compare the clinical effect of E-MAG and drop ring lock knee-ankle-foot orthosis in the treatment of the patients with spinal cord injury. METHODS: With the approach of case crossover study, the application effect of drop ring lock knee-ankle-foot orthosis in combination with an E-MAG on a patient with a T10 spinal cord injury was observed. With the measurement of three-dimensional gait data, a comparison was made between the scenarios of having the knees locked during the entire gait cycle to that of al owing the knees to flex freely during the swing phase, yet stil be locked for stability during stance. RESULTS AND CONCLUSION: Qualitative observation and kinematic three-dimensional gait data demonstrated that this patient ambulated with a faster, more efficient gait pattern when using E-MAG. Despite having no voluntary control of knees, this orthotic option afforded the ability to walk safely and smoothly with both knees flexing during swing and knee lock in stance phase, and with less upper body compensation. Compared with drop ring lock knee-ankle-foot orthosis, E-MAG active orthosis contains stance phase control, so it has higher degree of acceptance and practicality%  背景:落环锁式膝踝足矫形器在较高位脊髓损伤患者中被广泛应用,但该矫形器在行走时有一个主要限制即摆动期膝关节锁定,导致患者在行走时需要通过上肢活动来补偿。目前有关不同矫形器治疗效果的对比鲜有研究。目的:探究并对比E-MAG活跃型矫形器和落环

  2. Effect of paraplegia walking orthosis on rehabilitation of the lower extremity in patients with thoracic spinal cord injury%胸段脊髓损伤患者应用截瘫步行矫形器对下肢康复的影响

    Institute of Scientific and Technical Information of China (English)

    杨勤; 唐丹; 赵艳玲; 朱正坤; 颜修盛; 胡佛生; 徐鸿辉

    2015-01-01

    BACKGROUND:Thoracic spinal cord injury often leads to double lower limb paralysis. Paraplegia walking orthosis can improve lower limb dysfunction, improve the daily living activity, and regain the ability to stand and walk in patients with paraplegia. OBJECTIVE:To discuss the effects of paraplegia walking orthosis on muscle spasticity and recovery of function of the affected lower extremity in patients with thoracic spinal cord injury. METHODS:The 20 patients with thoracic spinal cord injury (T5-12), according to the damage plane by American Spinal Injury Association standard, were divided into complete damage group and incomplete damage group (n=10). Al patients were fitted out paraplegia walking orthosis. They received residual muscle strength training, sitting balance training, and transfer training prior to assembly, and then subjected to standing exercise within paralel bar, balance and transfer training, and walking aid devices training indoor and outdoor, and elbow crutch training on foot after the assembly. RESULTS AND CONCLUSION:Compared with pre-treatment, American Spinal Injury Association score increased at 12 weeks after treatment with paraplegia walking orthosis, and sensation did not obviously alter. Spasm worsened with prolonged course of disease in the complete damage group. At 12 weeks after treatment, American Spinal Injury Association score increased, sensation apparently improved, and the spasm did not change with time in the incomplete damage group. Activities of daily living (modified Barthel index, and functional independence evaluation) evidently improved in both groups. Compared with 2 weeks, the 10-m walking time was noticeably reduced and the 6-minute walking distance was prolonged at 12 weeks in both groups. These results confirm that paraplegia walking orthosis fitted out in patients with thoracic spinal cord injury significantly improves the patient’s motor function, activities of daily living and walking ability, and also has

  3. Efeito do uso de órtese de punho na ativação da musculatura flexora e extensora do punho Effect of the use of wrist orthosis on forearm muscle activation

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    Adriana Maria Valladão Novais Van Petten

    2010-01-01

    (James® dynamometer under three conditions: free hand, wearing a composite orthosis, and wearing a thermoplastic orthosis. The tests were carried out using the dominant hand only. During the tests, surface electrodes were placed on the flexor and extensor muscles of the forearm to record the electrical muscle activity. The results obtained in the three conditions were compared, and the results analyzed using the statistical Wilcoxon Test. RESULTS: Significant differences were found in muscle activation when comparing the free hand with the use of any of the orthoses. In the comparison of data for the two different orthoses, no significant differences were found. A decrease in activity of the extensor muscles of the forearm was observed during all the tasks, as well as an increase in activation of the flexor muscles with the use of the orthoses. CONCLUSION: These results are important for the prescription of an orthosis during the rehabilitation process of a wide range of pathologies, such as tendinitis of the flexors and extensors of the first and fingers, as well as for forecasting the time of use of these devices.

  4. Osteology and myology of the cephalic region and pectoral girdle of Pimelodus blochii, comparison with other pimelodines, and comments on the synapomorphies and phylogenetic relationships of the Pimelodinae (Ostariophysi: Siluriformes).

    Science.gov (United States)

    Diogo, Rui

    2005-07-01

    The cephalic and pectoral girdle structures of the pimelodin Pimelodus blochii (Pimelodus group) are described and compared to those of representatives of the two other main pimelodin groups, namely Calophysus macropterus (Calophysus group) and Pseudoplatystoma fasciatum (Sorubim group), and of a representative of the peculiar pimelodin genus Hypophthalmus, H. edentatus, and several other catfishes, as the foundation for a discussion on the synapomorphies and phylogenetic relationships of the Pimelodinae. Three new, additional potential synapomorphies to support the monophyly of the Pimelodinae are pointed out: (1) presence of a 'muscle 1 of the mandibular barbels' running from the antero-ventro-mesial surface of the cartilaginous plates carrying these barbels to the dentaries; (2) presence of a muscle tensor tripodis running from the posterior surface of the neurocranium to the dorsal surface of the swimbladder near the tripus; and (3) presence of a 'drumming muscle of the swimbladder' running from the parapophyses of the fourth vertebra and, eventually, the posterior surface of the neurocranium, to the antero and antero-ventral surface of the swimbladder. The subfamilies Pimelodinae, Heptapterinae and Pseudopimelodinae seem to constitute a monophyletic assemblage, thus contradicting the commonly accepted idea that the family Pimelodidae is a polyphyletic clade.

  5. Evaluation of performance and personal satisfaction of the patient with spastic hand after using a volar dorsal orthosis Avaliação do desempenho e da satisfação pessoal do paciente com mão espástica após o uso da órtese dorsal volar

    Directory of Open Access Journals (Sweden)

    Danielle dos Santos Cutrim Garros

    2010-06-01

    Full Text Available The performance and the satisfaction of the patient were quantitatively compared with the use of the volar dorsal orthosis in order to position the spastic hand. Thirty patients wearing the orthosis for eight hours daily were evaluated by the Canadian Occupational Performance Measure and the box and blocks test, for a three-month period. Five activities were selected (among daily life activities, productive activities, and leisure activities by the patients, which were impaired by spasticity. There was an improvement related to performance after use of orthosis, with an average of 1.4±0.5 to 6.3±0.8 (pComparou-se quantitativamente o desempenho e a satisfação do paciente com o uso da órtese dorsal volar para posicionamento da mão espástica. Foram analisados 30 pacientes que fizeram uso da órtese por 8 horas diárias, avaliados por meio da Medida Canadense de Desempenho Ocupacional e teste caixa e blocos, no intervalo de 3 meses. Foram selecionadas 5 atividades (entre as atividades de vida diária, produtivas e de lazer pelos pacientes que estavam comprometidas pela espasticidade. Obteve-se melhora em relação ao desempenho após o uso da órtese, com média de 1,4±0,5 para 6,3±0,8 (p<0,01. Quanto à média da satisfação foi de 1,7±0,4 para 6,3±0,6 (p<0,01 com o uso da órtese. Nesta casuística, o uso da órtese de punho e dedos para espasticidade apresentou melhora no desempenho funcional e satisfação do paciente.

  6. 弹性悬带矫形器对偏瘫患者步行功能的影响%Effection of a New Elastic Suspension Orthosis on the Walking Ability of Stroke Patients

    Institute of Scientific and Technical Information of China (English)

    于大君; 刘志华; 张洪翠; 李铁山

    2011-01-01

    Objective To evaluate the efficiency of a new elastic strap orthosis in improving the motor function and waling ability of stroke patients.Methods Twenty-eight stroke patients with hemiplegia were divided randomly into a control group and an elastic group. The patients in the control group accepted normal training without orthosis for 8 weeks; while the patients of the treatment group accepted the same training with the assistance of the orthosis. Before the treatment, after 4 weeks and after 8 weeks, the assessment were performed by the same therapist including the Fugl-Meyer scores (FMA), PCI (physical consume index), the temporal spatial parameters of gait such as walking speed for 10m (at cosy speed and volant speed,separately), cadence, step length, toe out angle and stride width.Results After 4 weeks, the temporal spatial parameters of gait such as walking speed for 10m (at cosy speed and volant speed, separately), step length, cadence improved significantly in the two groups (all P<0.01); whereas stride width and PCI decreased significantly in the two groups (all P<0.01). The treatment group improved significantly more than the control group with regard to walking speed for 10m (at cosy speed and volant speed, separately), step length (P=0.0298, 0.0225,0.025); while tride width and PCI decreased significantly more than the control group (P=0.001,0.026). There had no significant differences in scores of FMA, cadence and toe out between the two groups.After 8 weeks, walking speed for 10m (at cosy speed and volant speed, separately), step length,cadence, scores of FMA improved significantly; stride width and PCI decreased significantly in the two groups (all P<0.01). There had no significant difference of toe out in the two groups. The treatment group improved significantly more than the control group in walking speed for 10m (at cosy speed and volant speed, separately), step length, cadence, scores of FMA (P=0.042, 0.015,0.024, 0.024, 0.038); and

  7. The effect of sumatriptan on cephalic arteries

    DEFF Research Database (Denmark)

    Amin, Faisal Mohammad; Asghar, Mohammad Sohail; Ravneberg, Julie W;

    2013-01-01

    AIM: To explore a possible differential effect of sumatriptan on extracerebral versus cerebral arteries, we examined the superficial temporal (STA), middle meningeal (MMA), extracranial internal carotid (ICAextra), intracranial internal carotid (ICAintra), middle cerebral (MCA) and basilar arteries...

  8. Influences of Reciprocating Gait Orthosis on Rehabilitation Effect of Patients with T1 Spinal Cord and Injury%往复式步行矫形器对胸1脊髓损伤患者康复疗效的影响

    Institute of Scientific and Technical Information of China (English)

    陈庆亮; 石芝喜; 王小燕

    2011-01-01

    Objective: to observe the influences of reciprocating gait orthosis on rehabilitation effect of patients with T1 spinal cord injury (SCI) .Methods: 18 cases with T1 SCI received rehabilitation therapy. Before assembling the reciprocating gait orthosis, and additional gait training after fixing orthosis.Modified Barthel Index (MBI) and Functional Independence Measure (FMI) were used to assess pre and post two- months training, and 6-min walking test and timed 10 meters walking test were used to assess. Results: The ADL ability of all eases improved obviously after equipping reciprocating ambulation orthosis, and the walking ability was also improved (P〈 0.05) .The mean timed 10 meters was (90.11±67.14) s, mean of 6- min walk test was (56.71±28.28) m, and 18 cases achieved domestic walking ability. Conclusion: the reciprocating gait orthosis combined with comprehensive rehabilitation therapy has better effect on walking ability and ADL of patients with T1 SCI, deserving the clinical expansion.%目的:观察装配往复式步行矫形器对胸1(T1)脊髓损伤(SCI)患者康复疗效的影响。方法:18例T1SCI后截瘫患者在配戴步行矫形器前进行强化康复治疗,矫形器配戴后配合步行等综合康复训练。配戴矫形器前和后2个月用改良Barthel指数(MBI)和功能独立性评测(EIM)进行评定,并测定6min步行距离和10m步行时间,再进行比较分析。结果:配戴往复式步行矫形器后综合康复训练2个月后和装配前相比,患者的ADL能力提高(P〈0.05),10m步行时间(90.11±67.14)s,6min步行距离(56.71±28.28)m,并且18例患者均达到室内实用性步行。结论:配戴往复式步行矫形器配合系统康复治疗对T1节段SCI患者步行能力及ADL有较好的康复效果,值得临床推广。

  9. Effects of function improvement in acute knee- joint ligament injury between knee orthosis and dynamic action plaster immobilization%膝关节韧带损伤早期应用膝矫形器与动态石膏固定对膝关节功能恢复的影响

    Institute of Scientific and Technical Information of China (English)

    张毅; 黄东锋; 毛玉容; 伍丹

    2001-01-01

    Objective: To explore the different effect to function improvement of acute knee- joint ligament injure after rehabilitation therapy with hinge-locked knee orthosis or dynamic action plaster immobilization. Method: Orthosis or dynamic action plaster immobilization were used 4 weeks after acute injure in two groups. Rehabilitation therapy were arranged during immobilization and free periods, Function assessment comparison were conducted 3 months later. Result:ROM active and ROM passive were significantly different between the two groups (P<0.001, P<0.01 ). The Lysholmp scorings of the two groups were also significantly different (P<0.01). Couclusion: Dynamic action plaster immobilization could gently prevent contraction, but could not obviously improve muscle weakness and instability of the joint. Hinge-locked keen orthosis provided not only safe training within protective ROM. Stable immobilization could obviously improve ROM and function of the knee-joint.%目的:探讨膝韧带损伤急性期康复治疗中配置加锁膝关节绞链矫形器与动态石膏固定对膝关节功能恢复的不同影响。方法:两组伤后即分别配置矫形器与动态石膏固定4周,固定期间及拆除固定后进行康复治疗,3月后进行功能评估比较疗效。结果:矫形器组与动态石膏组膝关节主动ROM与被动ROM差异在统计学上有显著性(t值分别为4.59及3.23,P分别<0.001及<0.01),膝关节功能Lyshdmp评分差异在统计学上亦有显著性(t值为2.93,P<0.01)。结论:动态石膏固定在一定程度上可预防关节挛缩,但肌无力及关节不稳不能解除。加锁膝关节绞链矫形器配置有利于膝关节在保护范围内进行功能训练,有效地解决了制动与功能训练之间的矛盾,可显著改善膝关节ROM与综合功能。

  10. 3D gait analysis in modern traumatic patients of spinal cord injury with advanced reciprocating gait orthosis%现代战创伤致脊髓损伤患者的三维步态分析

    Institute of Scientific and Technical Information of China (English)

    孙嘉利; 单守勤; 黄美贤; 颜晗; 钟世镇

    2015-01-01

    目的 通过对现代战创伤致脊髓损伤(spinal cord injury,SCI)患者配戴改良往复式步行矫形器(Advanced reciprocating gait orthosis,ARGO)进行三维步态分析,比较分析SCI患者的脊髓损伤平面与其步行能力(下肢关节运动学、动力学及时空参数等)之间的关系,探讨重建SCI患者步行能力的方法.方法 选择在我院住院且配戴ARGO进行步行训练的完全性SCI患者15例,采用Vicon三维步态分析系统进行步态检测与分析.应用Spearman秩和相关性检验对SCI患者的不同脊髓损伤平面与其步态的运动学、动力学和时空参数之间的相关性进行统计学分析.结果 15例患者的步频和跨步长分别为(34.9± 1.97) step/min和(95.7±10.39) cm.髋关节摆动角度及髋关节伸展和屈曲时相的角速度分别为(45.28±4.84)°、(22.34±1.96)°/s和(121.35±10.54)°/s.SCI患者的步速(rs=0.914,P<0.001),跨步长(rs=0.926,P<0.001),助行架的压力均值(rs=-0.877,P=0.001),骨盆的旋转角度(rs=-0.926,P<0.001)和髋关节摆动角度(rs=0.963,P<0.01)与SCI平面之间均存在着显著的相关性.结论 骨盆的异常运动、髋关节摆动幅度的受限及上肢的过度负载是完全性SCI患者步行能力受限的主要原因.SCI患者应接受一些能够降低其过度生理负荷的康复训练方法,从而改善其重建的步行功能.

  11. Changes in joint kinematics in children with cerebral palsy while walking with and without a floor reaction ankle-foot orthosis Mudanças na cinemática articular em crianças com paralisia cerebral durante o andar com e sem órteses de reação ao solo

    Directory of Open Access Journals (Sweden)

    Paulo Roberto Garcia Lucareli

    2007-02-01

    Full Text Available INTRODUCTION: The floor reaction ankle-foot orthosis is commonly prescribed in the attempt to decrease knee flexion during the stance phase in the cerebral palsy (CP gait. Reported information about this type of orthosis is insufficient. PURPOSE: The purpose of this study was to determine the effect of clinically prescribed floor reaction ankle-foot orthosis on kinematic parameters of the hip, knee and ankle in the stance phase of the gait cycle, compared to barefoot walking on children with cerebral palsy. METHODS: A retrospective chart review of 2200 patients revealed that 71 patients (142 limbs had a diagnosis of diplegia, with no contractures in hip, knee or ankle flexion. Their average age was 12.2 ± 3.9. All of them were wearing clinically prescribed hinged floor reaction ankle-foot orthosis undergoing a three dimensional gait analysis. We divided the patients in three groups: Group I, with limited extension (maximum knee extension less than 15º; Group II, with moderate limited extension (maximum knee extension between 15º and 30º and Group III Crouch (maximum knee extension in stance more than 30º. RESULTS: Results indicate the parameters maximum knee extension and ankle dorsiflexion were significant in Group II e III; no change was observed in Group I. The maximum hip extension was not significant in all three groups. Conclusion: when indicated to improve the extension of the knees and ankle in the stance of the CP patients floor reaction ankle-foot orthosis was effective.INTRODUÇÃO: A órtese de reação ao solo é freqüentemente prescrita com o objetivo de reduzir a flexão do joelho durante a fase de apoio na marcha de pacientes com paralisia cerebral. Não há informações suficientes relatadas na literature sobre este tipo de órteses. OBJETIVOS: O objetivo deste estudo foi determinar o efeito que a órtese de reação ao solo tem na cinamática angular das articulações do quadril, joelho e tornozelo durante a fase de

  12. Uso de órtese para abdução do polegar no desempenho funcional de criança portadora de paralisia cerebral: estudo de caso único Use of abduction thumb orthosis in functional performance of a child with cerebral palsy: a single-subject study

    Directory of Open Access Journals (Sweden)

    Adriana M. Valladão N. Rodrigues

    2007-12-01

    Full Text Available OBJETIVOS: documentar o impacto do uso da órtese de abdução do polegar no desempenho funcional de uma criança hemiparética com leve espasticidade. MÉTODOS: foi utilizado um desenho experimental de caso-único do tipo AB. A fase A consistiu na coleta de dados durante um período sem intervenção (condição controle. A fase B incluiu o uso de órtese de abdução do polegar como procedimento terapêutico associado ao atendimento de terapia ocupacional tradicional. A fase A teve a duração de seis semanas e a fase subseqüente de oito semanas. A criança foi avaliada semanalmente quanto à amplitude ativa de movimento de extensão e flexão de punho, abdução e oponência do polegar e quanto à função manual. A análise dos dados foi realizada através dos métodos estatísticos Celeration Line e Banda de Dois Desvios-Padrão, assim como da Análise Visual. RESULTADOS: a criança apresentou melhora significativa na amplitude de movimento do punho e polegar (ADM ativa. Com relação à função manual observou-se redução do tempo para realização das tarefas, porém não significativa, exceto para a tarefa de empilhar blocos. CONCLUSÕES: os resultados sugerem que o uso da órtese de abdução do polegar pode ser útil no tratamento de crianças com paralisia cerebral espástica para a melhoria da ADM ativa da mão, podendo ser utilizada como adjuvante a outras terapêuticas.OBJECTIVE: to investigate the impact of a thumb abduction orthosis on functional skills of a child with hemiparetic cerebral palsy and mild spasticity. METHODS: an AB single-subject design was used in this study. Baseline A consisted of data collected during a period without intervention (control conditions. The intervention phase B included the use of a thumb abduction orthosis in association with traditional occupational therapy. The baseline lasted six weeks and the intervention period eight weeks. Assessments were performed once a week throughout the study and

  13. The effect of dynamic ankle-foot orthosis on ankle joints of children with cerebral palsy%动踝矫形鞋对脑瘫儿童踝关节的影响

    Institute of Scientific and Technical Information of China (English)

    杜文静; 李慧慧; 谈恩民; 王磊

    2015-01-01

    Aim:To analyze the effects of ankle foot orthosis on angle of ankle plantar flexion and dorsiflexion,and the walking cycle of lower limbs of children with cerebral palsy.Methods:25 subjects with cerebral palsy came to the physical therapy rehabilitation center volunteered to participate in the ex-periment in Shenzhen Disabled Rehabilitation Center,Guangdong,China in 2014 -06 /2014 -07,who were abnormal during walking.The child's parents or guardian informed consent.According to the chron-ological age,subjects were divided into four groups,5 of 2 ~4 years old group (2y ≤ age 0.05),and there was no significant difference between left and right side (P >0.05 ),the variance was equal.Between each age group,the parameters had no significant difference (P >0.05)expect for the cycle time between no wearing ankle-foot orthopedic and wearing ankle -foot orthopedic (P =0.02 <0.05).The cycle of time of left/right was 0.989 ±0.071 during no wearing ankle-foot orthopedic,and the coefficient of variation was 7.18% in all the samples.The cycle of time of left/right was 1.003 ±0.045 during wearing ankle-foot orthopedic,and the coefficient of variation was 4.49% in all the samples.It indicated that the gait of left and right was symmetry.Conclusion:The datas of 25 subjects were different between no wearing ankle-foot orthopedic and wearing ankle-foot ortho-pedic.① The more age were older,the smaller the angles of ankle plantar flexion were during no wearing ankle-foot orthopedic in all groups except 2 ~4 years old group.② The angle of ankle plantar flexion of children with wearing ankle-foot orthopedic were bigger than that of children without wearing ankle-foot orthopedic in different groups except the right side of 2 ~4 years old group and left side of 8 ~10 years old group,and the angle of ankle dorsiflexion of children with wearing ankle-foot orthopedic were bigger than that of children without wearing ankle-foot orthopedic in different groups.③ The more age were ol

  14. 项八针配合头部阿是穴留针治疗颈源性头痛临床研究%ClinicalStudy of Nape Eight Needles plus Cephalic Ashi Point Needle Retention for Treatment of Cervicogenic Headache

    Institute of Scientific and Technical Information of China (English)

    罗建昌; 郎伯旭

    2015-01-01

    ObjectiveTo investigate the clinical efficacy of nape eight needles plus cephalic ashi point acupuncture in treating cervicogenic headache.MethodA randomized controlled trial was carried out. Eighty-nine patients with cervicogenic headache were randomly allocated to two groups, the treatment group of 45 cases and the control group of 44 cases. Nape eight points [bilateral Fengchi(GB20), Fengfu(GV16), Dazhui(GV14) and “nape Sihuaxue”] and cephalic ashi points were selected inthe treatment group and Huatuo jiaji(Ex-B2) points at the affected cervical vertebrae and points Tianzhu(BL10), Fengchi, Yuzhen(BL9), Lieque(LU7), Taichong(LR3)and Zulinqi(GB41), in the control group. Every group was treated three times a week for two weeks. A follow-up was performed at one month after the completion of treatment. Headache was scored using the VAS, and continuous headache time, headache frequency and range of motion (ROM) of cervical spine were scored before treatment, at the end ofone week’s treatment, at the completion of treatment and at one month after the completion of treatment. The therapeutic effect at the completion of treatment and the follow-up was evaluated according to criteria for assessing the therapeutic effect.ResultAt the completion of treatment and the follow-up, the headache score and the range of motion of cervical spine score were lower in the treatment group than in the control group (P<0.05). In the treatment group, the total efficacy rate was 91.1% at the completion of treatment and 86.7% at the follow-up; the short-term and the long-term therapeutic effects were superior to those in the control group (P<0.05). After one week of treatment, the total efficacy rate was 57.8%, which was higher than 11.4% in thecontrol group (P<0.05).ConclusionTreatment with nape eight needles plus cephalic ashi point needle retention has a marked improving effect on headache symptoms and range of motion of cervical spine in cervicogenic headache. Its short-term and

  15. Influence of an advanced reciprocating gait orthosis on walking function in complete spinal cord injury patients%改进型往复式步行矫形器对完全性脊髓损伤患者步行能力的影响

    Institute of Scientific and Technical Information of China (English)

    吴华; 顾旭东; 姚云海; 李岩; 张雄伟; 傅建明

    2009-01-01

    目的 探讨应用改进型往复式步行矫形器(ARGO)对完全性脊髓损伤患者步行能力的影响.方法 对12例T4~L1节段完全性脊髓损伤患者安装ARGO,安装前、后对患者进行系统的综合康复训练,训练后对患者进行限时的步行功能检查和评价,日常生活活动能力应用改良Barthel指数(MBI)及功能独立性评分法(FIM)进行综合评定.结果 患者经过安装ARGO训练后,步行能力明显改善,其MBI、FIM评分明显增加.结论 ARGO能帮助T4以下完全性脊髓损伤患者改善步行能力,提高日常生活质量.%Objective To explore the value of an advanced reciprocating gait orthosis (ARGO) combined with comprehensive rehabilitation treatment in rehabliltating complete spinal cord injury (SCI) patients. Methods Twelve patients with complete SCI at the T4~L2 level were fitted with an ARGO. Before and after fitting the ARGO,comprehensive rehabilitative excecises were conducted. After training, ambulation was evaluated, and competence in the activities of daily living was evaluated using the Barthel index and Functional Independence Measure. Results The patients' ambulation improved markedly after fitting the ARGO and training. Barthel index and FIM scres improved significantly. All 12 patients achieved therapeutic or functional ambulation. Conclusion With the aid of an ARGO, patients suffering from complete SCI below the T4 level can achieve functional walking and improve their quality of life.

  16. 序贯压力联合自制简易矫形器在儿童手部烧伤瘢痕挛缩康复期的应用%Study on the application of sequential pressure combined simple orthosis for rehabilitation of scar contracture in children with hand burn

    Institute of Scientific and Technical Information of China (English)

    潘南芳; 卓金; 王欣

    2016-01-01

    目的:探讨序贯压力联合自制简易矫形器在儿童手部烧伤瘢痕挛缩康复期的应用效果。方法手部烧伤瘢痕挛缩患儿120例根据随机抽签原则分为治疗组与对照组各60例,所有患者均采用统一的手术方案治疗,康复期对照组给予序贯压力康复,在此基础上治疗组加用积极自制简易矫形器进行康复,康复周期为8周。比较两组临床临床疗效、日常生活活动能力评分以及手指关节主动与被动活动度等情况。结果治疗组与对照组的康复优良率分别为95.0℅和78.3℅,治疗组的康复优良率明显高于对照组( P ﹤0.05)。康复后治疗组的进食与洗脸评分为12.51±2.16和12.52±2.93分,对照组为9.43±2.85分和8.52±3.17分,两组的进食与洗脸评分明显高于康复前( P ﹤0.05),且治疗组高于对照组,差异有统计学意义( P ﹤0.05)。康复后治疗组的手指关节主动与被动活动度为44.93±2.64°和42.26±2.37°,对照组为34.23±2.06°和33.21±2.01°,两组的手指关节主动与被动活动度都明显高于康复前( P ﹤0.05),且治疗组高于对照组,差异有统计学意义( P ﹤0.05)。结论序贯压力联合自制简易矫形器在儿童手部烧伤瘢痕挛缩康复期的应用能有效提高手部关节活动度,促进患儿日常生活行为能力的提高,从而改善总体康复效果。%Objective To explore the effect of application of sequential pressure combined simple orthosis for the rehabilitation of scar contracture in children with hand burn. Methods A total of 120 pediatric patients with scar contracture in hands caused by burn were equally di-vided into trial group and control group based on random draw principle,all patients were treated with uniform surgergical program,rehabilitation of patients in control group received sequential pressure for recovery,on this basis,patients in trial group were given with actively

  17. 改良腕手关节矫形器对脑卒中偏瘫患者腕手关节屈肌痉挛及运动功能的疗效%Effect of Modified Wrist-hand Orthosis on Spasm and Motor Function of Wrist and Hand in Hemiplegics post Stroke

    Institute of Scientific and Technical Information of China (English)

    叶大勇; 张希彬; 李宝

    2015-01-01

    Objective To investigate the effect of the modified wrist-hand orthosis on the spasm and function of wrist-hand in hemiple-gic patients. Methods 56 patients with hemiplegia after stroke were divided into observation group (n=28) and control group (n=28). All the patients received routine rehabilitation, including physical therapy, occupational therapy, and Hufschmidt therapy. The observation group wore modified wrist-hand orthosis 4-8 hours a day after the treatment, with interval of 15 min per 30-60 min. All the patients were assessed with modified Ashworth Scale (MAS), simple Fugl-Meyer Assessment (FMA) and active range of motion (AROM) of flexion, extension, ra-dial deviation and ulnar deviation of wrist before and 4 weeks, 8 weeks and 12 weeks after treatment. Results There was no significant im-provement in both groups 4 weeks after treatment, nor difference between groups. The scores of MAS and FMA improved 8 weeks after treatment in both groups (P<0.05), and improved more in the observation group than in the control group (P<0.01). While the AROMs im-proved in the observation groups (P<0.05), and the AROM of extension was more than that of the control group (P<0.01). 12 weeks after treatment, the scores of MAS and FMA improved further in the observation group (P<0.01), and improved more than those of the control group (P<0.01). The AROMs of flexion, extension and radial deviation improved more in the observation group than in the control group (P<0.05). Conclusion The modified wrist-hand orthosis can obviously relieve the spasm of wrist-hand flexor in patients with hemiplegia af-ter stroke, and promote the motor function.%目的:探讨改良腕手关节矫形器对偏瘫患者腕手关节屈肌痉挛及运动功能的疗效。方法脑卒中后偏瘫患者56例分为观察组与对照组各28例。两组均接受常规康复训练,包括运动疗法、作业疗法、痉挛肌电刺激疗法,观察组加用改良腕手关节矫形器,于每

  18. Cephalic malformations in Saethre-Chotzen syndrome. Acrocephalosyndactyly type III.

    Science.gov (United States)

    Evans, C A; Christiansen, R L

    1976-11-01

    Specific anomalies of the skull in eight family members affected with Saethre-Chotzen syndrome were documented by cephalometric analysis of standardized skull radiographs. The most severe deviations included reduced length and abnormal position of the posterior cranial base, low position of the sella turcica, reduced mandibular ramus length, steep mandibular plane angle, and, in adults, reduced facial depth. A feature of the syndrome may be the absence or reduced size of cranial sinuses.

  19. Cephalic morphology in the Cavall Pirinenc Català breed

    OpenAIRE

    Pere-Miquel Parés i Casanova

    2009-01-01

    Thirty-five metric parameters were taken on 19 skulls belonging to adult Cavall Pirinenc Català horse breed and were subjected to a Principal Component Analysis. Parameters related with neurocranium width, ventral lengths and those related with ocular orbit are poorly discriminants. On the other hand, parameters related with viscerocranium are strongly discriminant. Our study strengths the importance in using parameters linked to viscerocranium, and frontal length, in equine racial studies on...

  20. How to improve walking, balance and social participation following stroke: a comparison of the long term effects of two walking aids--canes and an orthosis TheraTogs--on the recovery of gait following acute stroke. A study protocol for a multi-centre, single blind, randomised control trial

    Directory of Open Access Journals (Sweden)

    Maguire Clare

    2012-03-01

    Full Text Available Abstract Background Annually, some 9000 people in Switzerland suffer a first time stroke. Of these 60% are left with moderate to severe walking disability. Evidence shows that rehabilitation techniques which emphasise activity of the hemiplegic side increase ipsilesional cortical plasticity and improve functional outcomes. Canes are commonly used in gait rehabilitation although they significantly reduce hemiplegic muscle activity. We have shown that an orthosis "TheraTogs" (a corset with elasticated strapping significantly increases hemiplegic muscle activity during gait. The aim of the present study is to investigate the long term effects on the recovery of gait, balance and social participation of gait rehabilitation with TheraTogs compared to gait rehabilitation with a cane following first time acute stroke. Methods/Design Multi-centre, single blind, randomised trial with 120 patients after first stroke. When subjects have reached Functional Ambulation Category 3 they will be randomly allocated into TheraTogs or cane group. TheraTogs will be applied to support hip extensor and abductor musculature according to a standardised procedure. Cane walking held at the level of the radial styloid of the sound wrist. Subjects will walk throughout the day with only the assigned walking aid. Standard therapy treatments and usual care will remain unchanged and documented. The intervention will continue for five weeks or until patients have reached Functional Ambulation category 5. Outcome measures will be assessed the day before begin of intervention, the day after completion, 3 months, 6 months and 2 years. Primary outcome: Timed "up and go" test, secondary outcomes: peak surface EMG of gluteus maximus and gluteus medius, activation patterns of hemiplegic leg musculature, temporo-spatial gait parameters, hemiplegic hip kinematics in the frontal and sagittal planes, dynamic balance, daily activity measured by accelerometry, Stroke Impact Scale

  1. Can an Ankle-Foot Orthosis Change Hearts and Minds?

    Science.gov (United States)

    2011-01-01

    ities. The most common fracture of the lower extremity is to the tibia and fibula . As opposed to prior military From 1Orthopaedic Surgery Service...patients, demonstrates that 26% of patients with extremity wounds have fractures , 82% of which are open, divided evenly between the upper and lower extrem...sustained a severe open ankle fracture and underwent irrigation and debridement with splint immobilization in theater on the day of injury. Thereafter he

  2. Experimental and computational analysis of composite ankle-foot orthosis.

    Science.gov (United States)

    Zou, Dequan; He, Tao; Dailey, Michael; Smith, Kirk E; Silva, Matthew J; Sinacore, David R; Mueller, Michael J; Hastings, Mary K

    2014-01-01

    Carbon fiber (CF) ankle-foot orthoses (AFOs) can improve gait by increasing ankle plantar-flexor power and improving plantar-flexor ankle joint moment and energy efficiency compared with posterior leaf spring AFOs made of thermoplastic. However, fabricating a CF AFO to optimize the performance of the individual user may require multiple AFOs and expensive fabrication costs. Finite element analysis (FEA) models were developed to predict the mechanical behavior of AFOs in this study. Three AFOs, two made of CF composite material and one made of thermoplastic material, were fabricated and then mechanically tested to produce force-displacement data. The FEA models were validated by comparing model predictions with mechanical testing data performed under the same loading and boundary conditions. The actual mechanical testing demonstrated that CF performs better than thermoplastic. The simulation results showed that FEA models produced accurate predictions for both types of orthoses. The relative error of the energy return ratio predicted by the CF AFO FEA model developed in this study is less than 3%. We conclude that highly accurate FEA models will allow orthotists to improve CF AFO fabrication without wasting resources (time and money) on trial and error fabrications that are expensive and do not consistently improve AFO and user performance.

  3. Experimental and computational analysis of composite ankle-foot orthosis

    Directory of Open Access Journals (Sweden)

    Dequan Zou, DSc

    2015-03-01

    Full Text Available Carbon fiber (CF ankle-foot orthoses (AFOs can improve gait by increasing ankle plantar-flexor power and improving plantar-flexor ankle joint moment and energy efficiency compared with posterior leaf spring AFOs made of thermoplastic. However, fabricating a CF AFO to optimize the performance of the individual user may require multiple AFOs and expensive fabrication costs. Finite element analysis (FEA models were developed to predict the mechanical behavior of AFOs in this study. Three AFOs, two made of CF composite material and one made of thermoplastic material, were fabricated and then mechanically tested to produce force-displacement data. The FEA models were validated by comparing model predictions with mechanical testing data performed under the same loading and boundary conditions. The actual mechanical testing demonstrated that CF performs better than thermoplastic. The simulation results showed that FEA models produced accurate predictions for both types of orthoses. The relative error of the energy return ratio predicted by the CF AFO FEA model developed in this study is less than 3%. We conclude that highly accurate FEA models will allow orthotists to improve CF AFO fabrication without wasting resources (time and money on trial and error fabrications that are expensive and do not consistently improve AFO and user performance.

  4. Comparative Effect of Orthosis Design on Functional Performance

    Science.gov (United States)

    2012-03-21

    bearing prosthesis located at the proximal part of the leg, with a posterior attachment to the proximal end of the carbon fiber strut. The distal...performed with two independent observers using hand timers. The four-square step test is a dynamic test of balance and agility 16 . Subjects were...to ascend the staircase as fast as safely possible without using the hand railing and making contact with each step. The time needed to place both feet

  5. 踝足矫形器联合肉毒毒素治疗痉挛型脑性瘫痪儿童尖足畸形的疗效观察%Ankle-foot orthosis combined with botulinum toxin type A injection in treating tip foot deformity in children with cerebral palsy

    Institute of Scientific and Technical Information of China (English)

    周陶成; 童光磊; 张敏; 李司南; 易昕; 陈露露; 温祖芳; 康倩倩; 陈婧

    2015-01-01

    目的 观察踝足矫形器(A FO)联合A型肉毒毒素(BTX-A)肌肉注射治疗痉挛型脑瘫患儿尖足的疗效.方法 痉挛型脑瘫患儿尖足畸形50例,采用随机数字表法将其分为对照组和观察组,每组25例,对照组患儿采用BTX-A肌肉注射与运动康复训练,观察组在对照组基础上加用AFO训练,与其运动康复训练同步.分别于治疗前、治疗后1、3和6个月,使用量角器测量踝关节的被动背屈角(APROM),改良Ashworth量表的评分(MAS)以及粗大运动功能量表(GMFM-88)的D区(站立)和E区(走跑跳)评分.结果 治疗前,观察组APROM、MAS和GMFM(D、E)分别为(109.25±12.38)°、(3.12±0.56)分和(55.32±11.23)分,与对照组[(107.11±13.44)°、(3.05±0.66)分和(56.21±10.81)分]比较,差异均无统计学意义(P>0.05).2组患儿的APROM、MAS和GMFM评分在治疗后1、3和6个月时与组内与治疗前比较,差异均有统计学意义(P<0.05);治疗后,观察组APROM、MAS和GMFM评分分别与对照组治疗比较,差异亦均有统计学意义(P<0.05).2组治疗后各时间点之间的评估指标比较,观察组差异均有统计学意义;对照组治疗后1个月与治疗后3个月比较,差异有统计学意义(P<0.05),治疗后3个月和治疗后6个月比较,差异无统计学意义(P>0.05).结论 AFO联合BTX-A疗法能进一步缓解痉挛型脑瘫患儿的下肢痉挛程度,减轻尖足异常姿势,维持时间更持久.%Objective To observe the clinical efficacy of ankle-foot orthosis (AFO) combined with botulinum toxin type A (BTX-A) injection in treating tip foot deformity in children with cerebral palsy (CP).Methods Fifty CP children with tip foot deformity were selected and randomly divided into a control group and an observation group according to a random number table.Both groups were given BTX-A injection, and the observation group was additionally treated with AFO.All children were assessed before, 1 month, 3 months and 6 months after the treatment

  6. 运动疗法联合自制简易矫形器治疗儿童手部烧伤瘢痕挛缩的疗效观察%Curative effects of kinesitherapy in combination with self-made simple orthosis in treatment of scar contracture of burned hand in children

    Institute of Scientific and Technical Information of China (English)

    雷芳; 唐有玲; 陈佩; 罗皓; 王娟; 谢卫国

    2014-01-01

    改善分值差异明显(t=2.246,P=0.029). 结论 简易矫形器结合运动疗法,有利于烧伤患儿手部功能的恢复及防治手部挛缩畸形,值得推广应用.%Objective To survey the curative effects of kinesitherapy in combination with self-made simple orthosis (SO) in treatment of scar contracture of burned hand in children.Methods Fifty-eight children with burns of unilateral hand and received treatment in our rehabilitation center from January 2012 to January 2014 were divided into common rehabilitation (CR) and SO groups according to the random number table,with 29 cases in each group.After the wounds were healed,patients in group CR were treated with kinesitherapy combined with hand game exercises and pressure gloves,while patients in group SO were treated with kinesitherapy combined with hand game exercises and self-made SO,which was composed of finger web dividing belt,self-adhesive bandage,and infusion set fixing plate.Before treatment and 16 weeks after treatment,scar condition was assessed with the Vancouver Scar Scale (VSS) ; hand function was evaluated by the Jebsen Test of Hand Function,and the completion time was recorded ; and the activities of daily life (ADL) was measured by the modified Barthel Index.Sixteen weeks after treatment,the range of motion was measured with the Total Active Movement (TAM) method.Data were processed with t test and chisquare test.Results The score of VSS in group SO was (12.2 ± 1.3) points before treatment and (6.7 ± 2.2) points 16 weeks after treatment,and the improvement score was (5.6 ± 1.8) points.The score of VSS in group CR was (12.0 ± 1.4) points before treatment and (7.0 ± 1.8) points 16 weeks after treatment,and the improvement score was (5.0 ± 1.0) points.There was no obvious difference in improvement score of VSS between the two groups (t =1.452,P =0.152).The ratio of excellent and good results according to TAM method in group SO was 75.9% (22/29),while it was 37.9% (11/29) in group CR (t =8.507,P =0.004).The

  7. The benefit of external cephalic version with tocolysis as a routine procedure in late pregnancy

    DEFF Research Database (Denmark)

    Thunedborg, P; Fischer-Rasmussen, W; Tollund, L

    1991-01-01

    /1038 = 9.6%. As the mean caesarean section rate in women with breech presentation was 81% during the period studied, the estimated reduction in the number of caesarean sections during those seven years was 81. Thus the total caesarean section rate (11.3%) was estimated to be reduced by 0.4%. No immediate...

  8. Antennal and cephalic organelles in the social wasp Paravespula germanica (Hymenoptera, Vespinae): form and possible function.

    Science.gov (United States)

    Agmon, Ifaat; Plotkin, Marian; Ermakov, Natalya Y; Barkay, Zahava; Ishay, Jacob S

    2006-01-01

    This paper deals with hairs and organelles present on the head and antennae of the German wasp, Paravespula germanica, and their possible role in sensing the physical and chemical ambience, as well as in intercommunicating both while in flight outside or in the nest. Via scanning electron microscope photography, we detected on the frons plate of the wasp's head, hairs that were about 300 microm long and comprised the longest hairs on the body of the wasps. Additionally, the two antennae bore along their entire length photoreceptors, placoids, campaniforms, trichoids, and agmons. These organelles are located at high but variable density along the antennal segments. The paper provides the dimensions of each of the mentioned organelles, and discusses the possible functions of the organelles as well as of the hairs on the frons. Photographs taken via atomic force microscope reveal that the epicuticle of the antenna is of two typical shapes; one, bearing both longitudinal stripes as well as transverse bands that are about 1 mum in width, and a second granulated form. Conceivably, the wasp uses the various organelles mentioned to communicate with its mates that are some distance away, somewhat like the use of radar by humans.

  9. Low frequency oscillations in cephalic vessels assessed by near infrared spectroscopy

    DEFF Research Database (Denmark)

    Phillip, Dorte; Schytz, Henrik W; Selb, Juliette

    2012-01-01

    BACKGROUND AND METHODS: Low frequency oscillations (LFO) of cerebral vessels are believed to reflect cerebral autoregulation. We investigated day-to-day and hemispheric variations in 0.1 Hz LFO with near infrared spectroscopy (NIRS) and transcranial Doppler (TCD) to determine phase shift and gain...... of oxygenated haemoglobin (oxyHb) and the velocity of the middle cerebral artery (Vmca) to the arterial blood pressure (ABP). The direct left-right phase shifts of oxyHb and Vmca were also assessed. We examined 44 healthy volunteers by simultaneous recordings of ABP, oxyHb and Vmca during spontaneous and paced...

  10. Neonatal injury at cephalic vaginal delivery: a retrospective analysis of extent of association with shoulder dystocia.

    Directory of Open Access Journals (Sweden)

    Cantekin Iskender

    Full Text Available PURPOSE: To describe the risk factors and labor characteristics of Clavicular fracture (CF and brachial plexus injury (BPI; and compare antenatal and labor characteristics and prognosis of obstetrical BPI associated with shoulder dystocia with obstetrical BPI not associated with shoulder dystocia. METHODS: This retrospective study consisted of women who gave birth to an infant with a fractured clavicle or BPI between January 2009 and June 2013. Antenatal and neonatal data were compared between groups. The control group (1300 was composed of the four singleton vaginal deliveries that immediately followed each birth injury. A multivariable logistic regression model, with backward elimination, was constructed in order to find independent risk factors associated with BPI and CF. A subgroup analysis involved comparison of features of BPI cases with or without associated shoulder dystocia. RESULTS: During the study period, the total number of vaginal deliveries was 44092. The rates of CF, BPI and shoulder dystocia during the study period were 0,6%, 0,16% and 0,29%, respectively. In the logistic regression model, shoulder dystocia, GDM, multiparity, gestational age >42 weeks, protracted labor, short second stage of labor and fetal birth weight greater than 4250 grams increased the risk of CF independently. Shoulder dystocia and protracted labor were independently associated with BPI when controlled for other factors. Among neonates with BPI whose injury was not associated with shoulder dystocia, five (12.2% sustained permanent injury, whereas one neonate (4.5% with BPI following shoulder dystocia sustained permanent injury (p = 0.34. CONCLUSION: BPI not associated with shoulder dystocia might have a higher rate of concomitant CF and permanent sequelae.

  11. Prediction of Success in External Cephalic Version under Tocolysis: Still a Challenge.

    Science.gov (United States)

    Vaz de Macedo, Carolina; Clode, Nuno; Mendes da Graça, Luís

    2015-01-01

    Introdução: A versão cefálica externa é o procedimento de rotação fetal para uma apresentação cefálica através de manobras sobre o abdómen materno. Encontram-se descritos na literatura vários factores prognósticos para o sucesso da versão cefálica externa e foram propostos scores preditores, mas a sua verdadeira implicação para a prática clínica é controversa. Pretendemos identificar possíveis factores contributivos para o sucesso de uma tentativa de versão cefálica externa na nossa população. Material e Métodos: Examinámos retrospectivamente 207 tentativas consecutivas de versão cefálica externa sob tocólise conduzidas entre Janeiro de 1997 e Julho de 2012. Consultámos a base de dados do departamento para as seguintes variáveis: raça, idade, paridade, índice de massa corporal, idade gestacional, peso fetal estimado, categoria de apresentação, localização placentária e índice de líquido amniótico. Efectuámos avaliação estatística descritiva e analítica monovariada e regressão binária logística. Resultados: A versão cefálica externa foi bem-sucedida em 46,9% dos casos (97/207). Nenhuma das variáveis incluídas se associou com o desfecho da tentativa após ajuste para factores de confundimento.Discussão: Apresentamos uma taxa de sucesso semelhante ao descrito na literatura. No entanto, ao contrário de estudos anteriores, não associámos nenhuma das variáveis analisadas com o sucesso das tentativas de versão cefálica externa. Acreditamos que esta discrepância poderá ser parcialmente explicada pelo tipo de análise estatística efectuada. Conclusões: Apesar de terem sido identificados numerosos factores de prognóstico para o seu sucesso, o aconselhamento e selecção de grávidas para versão cefálica externa deverão ser cautelosos. Os dados obtidos sugerem que a versão cefálica externa deverá continuar a ser oferecida a todas as grávidas elegíveis independentemente de factores prognósticos de sucesso.

  12. Cephalic and appendage morphology of the Cambrian arthropod Sidneyia inexpectans Walcott, 1911

    DEFF Research Database (Denmark)

    Stein, Martin

    2013-01-01

    as an evidence for variability of head segment counts in Cambrian arthropods, and to falsify the hypothesis of a head with three postantennular segments in the euarthropod ground pattern. Restudy of a substantial amount of material of S. inexpectans shows that previous interpretations of a short head were based...... understood, but the exopod seemed to differ from that of other artiopodans, except for the shared presence of lamellae. The head was considered to comprise only the ocular and antennular segments, these being covered entirely on the ventral side by a large doublure. This short head was often taken...... postantennular appendage bearing segments. The appendage morphology is shown to be consistent with artiopodan affinities. The exopod is of the bilobate flap-like type with lamellae inserting on the proximal portion, earlier proposed as a potential autapomorphy of Artiopoda. Reinforcement of artiopodan affinities...

  13. The central projection of cephalic mechanosensory axons in the haematophagous bug Triatoma infestans

    Directory of Open Access Journals (Sweden)

    Insausti Teresita C

    2000-01-01

    Full Text Available The projections of mechanosensory hairs located on the dorsal and lateral head of the adult haematophagous bug Triatoma infestans were analyzed by means of cobalt filling. Axons run into the anterior and posterior tegumentary nerve and project through the brain to the ventral nerve cord. The fibres are small in diameter and run as a fascicle. Some branches run into suboesophageal and prothoracic centres; others run as far as to the mesothoracic ganglion. These sensory projections resemble that of wind-sensitive head hairs of the locust. The functional role of this sensory system in this species is discussed.

  14. Cephalic morphology in bovine fetuses. A study in the race “Bruna dels pirineus”

    OpenAIRE

    Pere-Miquel Parés i Casanova

    2009-01-01

    ResumenA partir del estudio de treinta fetos bovinos de la raza bovina “Brunadels Pirineus” se obtuvieron diez medidas lineales y cuatro índicescefálicos con el objetivo de describir la conformación cefálica durante el desarrollo fetal. En el estudio se refleja claramente que son los índices relacionados con el víscerocráneo las variables más discriminantes, siendo además los índices las variables que no presentaban ninguna correlación significativa con la edad estimada.SummaryThirty heads of...

  15. Discrepancy between strong cephalic arterial dilatation and mild headache caused by prostaglandin D₂ (PGD₂)

    DEFF Research Database (Denmark)

    Wienecke, Troels; Olesen, Jes; Ashina, Messoud

    2011-01-01

    Prostaglandins (PGs) are involved in nociception and mast cell degranulation. Prostaglandin D₂ (PGD₂) is a vasodilatator released during mast cell degranulation. The headache-eliciting effect of PGD₂ has not been studied in man.......Prostaglandins (PGs) are involved in nociception and mast cell degranulation. Prostaglandin D₂ (PGD₂) is a vasodilatator released during mast cell degranulation. The headache-eliciting effect of PGD₂ has not been studied in man....

  16. Cephalic Phase Pancreatic Polypeptide Responses to Liquid and Solid Stimuli in Humans

    OpenAIRE

    TEFF, KAREN L.

    2009-01-01

    The hormone, pancreatic polypeptide (PP) is postulated to be involved in body weight regulation. PP release is dependent on vagal activation and is a marker of vagal efferent activity. Because vagal activity plays a role in glucose homeostasis, elucidating the conditions of activation has important implications for nutrient metabolism. In humans, modified sham-feeding is known to elicit vagally-mediated hormonal responses. We present results of 3 studies in which healthy human subjects tasted...

  17. The role of plastic surgeon in complex cephalic malformations. Our experience.

    Science.gov (United States)

    Chiumariello, Stefano; Del Torto, Giuseppe; Guarro, Giuseppe; Alfano, Carmine

    2014-01-01

    Le malformazioni complesse del distretto cefalico comprendono tutta una serie di anomalie di sviluppo che oltre a presentare una notevole difficoltà classificativa e di inquadramento, comprendono forme che sono talora di stretta pertinenza specialistica. La correzione delle malformazioni craniofacciali fa ricorso ad una disciplina chirurgica particolarmente esigente, che deve associare una formazione chirurgica di base con un apprendimento delle tecniche specifiche per il territorio craniofacciale e una conoscenza della patologia malformativa. L’eziologia malformativa pone il chirurgo davanti a problemi specifici, dominati dallo sviluppo della tecnica chirurgica. Si stabilisce dunque un protocollo terapeutico dopo aver identificato la malformazione, stimato la gravità delle alterazioni tissutali e valutato la capacità di crescita dei territori interessati. E’ fondamentale, oltre che il rimodellamento della morfologia, il recupero delle funzioni ed il trattamento rieducativo. E’ quindi evidente che si tratta di una chirurgia di equipe che può portare risultati positivi solo se realizzata con fiducia reciproca tra i vari operatori.

  18. The effect of ankle foot orthosis stiffness on the energy cost of walking: A simulation study

    NARCIS (Netherlands)

    Bregman, D.J.J.; Van der Krogt, M.M.; De Groot, V.; Harlaar, J.; Wisse, M.; Collins, S.H.

    2011-01-01

    Background In stroke and multiple sclerosis patients, gait is frequently hampered by a reduced ability to push-off with the ankle caused by weakness of the plantar-flexor muscles. To enhance ankle push-off and to decrease the high energy cost of walking, spring-like carbon-composite Ankle Foot Ortho

  19. Reliability of movement workspace measurements in a passive arm orthosis used in spinal cord injury rehabilitation

    Directory of Open Access Journals (Sweden)

    Rudhe Claudia

    2012-06-01

    Full Text Available Abstract Background Robotic and non-robotic training devices are increasingly being used in the rehabilitation of upper limb function in subjects with neurological disorders. As well as being used for training such devices can also provide ongoing assessments during the training sessions. Therefore, it is mandatory to understand the reliability and validity of such measurements when used in a clinical setting. The aim of this study was to evaluate the reliability of movement measures as assessed in the Armeo Spring system for the eventual application to the rehabilitation of patients suffering from cervical spinal cord injury (SCI. Methods Reliability (intra- and inter-rater reliability of the movement workspace (representing multiple ranges of movement and the influence of varying seating conditions (5 different chair conditions was assessed in twenty control subjects. In eight patients with cervical SCI the test-retest reliability (tested twice on the same day by the same rater was assessed as well as a correlation of the movement workspace to retrieve self-care items as scored by the spinal cord independence measure (SCIM 3. Results Analysis of workspace measures in control subjects revealed intra-class correlation coefficients (ICC ranging from 0.747 to 0.837 for the intra-rater reliability and from 0.661 to 0.855 for the inter-rater reliability. Test-retest analysis in SCI patients showed a similar high reliability with ICC = 0.858. Also the reliability of the movement workspace between different seating conditions was good with ICCs ranging from 0.844 to 0.915. The movement workspace correlated significantly with the SCIM3 self-care items (p  Conclusion The upper limb movement workspace measures assessed in the Armeo Spring device revealed fair to good clinical reliability. These findings suggest that measures retrieved from such a training device can be used to monitor changes in upper limb function over time. The correlation between the workspace measures and SCIM3 self-care items indicates that such measures might also be valuable to document the progress of clinical rehabilitation, however further detailed studies are required.

  20. Control Motion Approach of a Lower Limb Orthosis to Reduce Energy Consumption

    Directory of Open Access Journals (Sweden)

    Daniel Sanz-Merodio

    2012-12-01

    Full Text Available By analysing the dynamic principles of the human gait, an economic gait‐control analysis is performed, and passive elements are included to increase the energy efficiency in the motion control of active orthoses. Traditional orthoses use position patterns from the clinical gait analyses (CGAs of healthy people, which are then de‐normalized and adjusted to each user. These orthoses maintain a very rigid gait, and their energy cost is very high, reducing the autonomy of the user. First, to take advantage of the inherent dynamics of the legs, a state machine pattern with different gains in each state is applied to reduce the actuator energy consumption. Next, different passive elements, such as springs and brakes in the joints, are analysed to further reduce energy consumption. After an off‐line parameter optimization and a heuristic improvement with genetic algorithms, a reduction in energy consumption of 16.8% is obtained by applying a state machine control pattern, and a reduction of 18.9% is obtained by using passive elements. Finally, by combining both strategies, a more natural gait is obtained, and energy consumption is reduced by 24.6% compared with a pure CGA pattern.

  1. How Does Ankle-foot Orthosis Stiffness Affect Gait in Patients With Lower Limb Salvage?

    Science.gov (United States)

    2014-05-10

    tested and between the patient and control groups. Results An increase in AFO compliance resulted in 20% to 26% less knee flexion relative to the...was calculated from the forward progression of a marker on the seventh cervical vertebrae and corresponded to a dimensionless Froude number of 0.16...in a 20% decrease in stance phase knee flexion relative to the nominal strut (p = 0.003) and a 26% decrease relative to the stiff strut (p = 0.001

  2. Sumatriptan does not change calcitonin gene-related peptide in the cephalic and extracephalic circulation in healthy volunteers

    DEFF Research Database (Denmark)

    Hansen, Jakob Møller; Petersen, Jesper; Wienecke, Troels;

    2009-01-01

    not differ between the four vascular compartments (P=0.49). It was found that Sumatriptan did not change the levels of circulating CGRP in the intra or extracerebral circulation in healthy volunteers. This speaks against a direct CGRP-reducing effect of sumatriptan in vivo in humans when the trigemino...

  3. Does Maturity Affect Cephalic Perfusion and T/QRS Ratio during Prolonged Umbilical Cord Occlusion in Fetal Sheep?

    Directory of Open Access Journals (Sweden)

    Guido Wassink

    2014-01-01

    Full Text Available T/QRS ratio monitoring is used to help identify fetal asphyxia. However, immature animals have greater capacity to maintain blood pressure during severe asphyxia, raising the possibility that they may show an attenuated T/QRS increase during asphyxia. Chronically instrumented fetal sheep at 0.6 of gestation (0.6 GA; n = 12, 0.7 GA (n = 12, and 0.8 GA (n = 8 underwent complete umbilical cord occlusion for 30 min, 25 min, or 15 min, respectively. Cord occlusion was associated with progressive metabolic acidosis and initial hypertension followed by severe hypotension, with a more rapid fall in mean arterial blood pressure (MAP and carotid blood flow (CaBF with advancing gestation. T/QRS ratio rose after occlusion more rapidly at 0.8 GA than in immature fetuses, to a similar final peak at all ages, followed by a progressive fall that was slower at 0.8 GA than in the immature fetuses. The increase in T/QRS ratio correlated with initial hypertension at 0.8 GA (P<0.05, R2 = 0.38, and conversely, its fall correlated closely with falling MAP in all gestational groups (P<0.01, R2 = 0.67. In conclusion, elevation of the T/QRS ratio is an index of onset of severe asphyxia in the last third of gestation, but not of fetal compromise.

  4. [The supra-occipital bone in cetaceans and burrowing rodents. morphological convergence induced by the post-cephalic pole?].

    Science.gov (United States)

    Courant, F; Marchand, D

    2000-02-01

    A comparative study of the cranial morphologies of cetaceans and of rodents that use their incisors for burrowing brings out morphological convergences concerning the supra-occipital bone. These phyletically very remote groups are both subject to the same mechanical constraint, viz. the need for the spinal column to be aligned with the anteroposterior axis of the skull. This constraint, which is related to swimming in cetaceans and burrowing in rodents, entails three major points of convergence: 1) a clearly backward facing foramen magnum; 2) a shortened or even greatly shortened neck, sometimes with cervical vertebrae fused together; and 3) an uprighted or even forward tilted supra-occipital bone.

  5. Inhibitory effect of BIBN4096BS on cephalic vasodilatation induced by CGRP or transcranial electrical stimulation in the rat

    DEFF Research Database (Denmark)

    Petersen, Kenneth A; Birk, Steffen; Doods, Henri;

    2004-01-01

    therapeutic principle. We used an improved closed cranial window model to measure changes of the middle meningeal artery (MMA) and cortical pial artery/arteriole diameter (PA) and changes in local cortical cerebral blood flow (LCBF(Flux)) in anaesthetised artificially ventilated rats. The ability of BIBN4096...

  6. Numerical and experimental investigation of the structural behavior of a carbon fiber reinforced ankle-foot orthosis.

    Science.gov (United States)

    Stier, Bertram; Simon, Jaan-Willem; Reese, Stefanie

    2015-05-01

    Ankle-foot orthoses (AFOs) are designed to enhance the gait function of individuals with motor impairments. Recent AFOs are often made of laminated composites due to their high stiffness and low density. Since the performance of AFO is primarily influenced by their structural stiffness, the investigation of the mechanical response is very important for the design. The aim of this paper is to present a three dimensional multi-scale structural analysis methodology to speed up the design process of AFO. The multi-scale modeling procedure was applied such that the intrinsic micro-structure of the fiber reinforced laminates could be taken into account. In particular, representative volume elements were used on the micro-scale, where fiber and matrix were treated separately, and on the textile scale of the woven structure. For the validation of this methodology, experimental data were generated using digital image correlation (DIC) measurements. Finally, the structural behavior of the whole AFO was predicted numerically for a specific loading scenario and compared with experimental results. It was shown that the proposed numerical multi-scale scheme is well suited for the prediction of the structural behavior of AFOs, validated by the comparison of local strain fields as well as the global force-displacement curves.

  7. Locomotor Training in Subjects with Sensori-Motor Deficits: An Overview of the Robotic Gait Orthosis Lokomat

    Directory of Open Access Journals (Sweden)

    R. Riener

    2010-01-01

    Full Text Available It is known that improvement in walking function can be achieved in patients suffering a movement disorder after stroke or spinal cord injury by providing intensive locomotor training. Rehabilitation robots allow for a longer and more intensive training than that achieved by conventional therapies. Robot assisted treadmill training also offers the ability to provide objective feedback within one training session and to monitor functional improvements over time. This article provides an overview of the technical features and reports the clinical data available for one of these systems known as "Lokomat". First, background information is given for the neural mechanisms of gait recovery. The basic technical approach of the Lokomat system is then described. Furthermore, new features are introduced including cooperative control strategies, assessment tools and augmented feedback. These features may be capable of further enhancing training intensity and patient participation. Findings from clinical studies are presented covering the feasibility as well as efficacy of Lokomat assisted treadmill training.

  8. Relationship of temporomandibular disorders to muscle tension-type headaches and a neuromuscular orthosis approach to treatment.

    Science.gov (United States)

    Cooper, Barry C; Kleinberg, Israel

    2009-04-01

    A prominent etiological theory proposed for TMD related headache is that it results from a dysfunctional masticatory muscle system, wherein muscle hyperactivity is frequently caused by dental temporomandibular disharmony. The central goal of this article was to determine from a literature review of the subject whether there is significant evidence to support a relationship between headaches and TMD prevalence. A second purpose was to determine from such a review whether any relationship was one of cause and effect and whether treatment of the TMD condition can result in meaningful reduction or resolution of headaches. In the literature, there was a substantial amount of evidence for a positive relationship between TMD and the prevalence of headaches, and most importantly, that these were the muscle tension-type. Evidence for a cause and effect relationship was strong. It generally showed in numerous patients that TMD treatment of a large number of patients resulted in significant improvement in the physiological state of the masticatory system (muscles, joints and dental occlusion). Reduction or resolution of muscle tension-type headaches that were present was clinically significant. The authors concluded that TMD should be considered and explored as a possible causative factor when attempts are made to determine and resolve the cause of headaches in patients with this affliction. A benefit of resolving headaches at an early stage in their development is that it might result in the reduction of its potential for progression to a chronic and possibly migraine headache condition.

  9. Intra-oral orthosis vs amitriptyline in chronic tension-type headache: a clinical and laser evoked potentials study

    Directory of Open Access Journals (Sweden)

    Sardaro Michele

    2006-05-01

    Full Text Available Abstract Background In the present study, we examined clinical and laser-evoked potentials (LEP features in two groups of chronic tension-type headache (CTTH patients treated with two different approaches: intra-oral appliance of prosthesis, aiming to reduce muscular tenderness, and 10 mg daily amitriptyline. Methods Eighteen patients with diagnosed CTTH participated in this open label, controlled study. A baseline evaluation was performed for clinical features, Total Tenderness Score (TTS and a topographic analysis of LEPs obtained manually and the pericranial points stimulation in all patients vs. healthy subjects. Thereafter, patients were randomly assigned to a two-month treatment by either amitriptyline or intra-oral appliance. Results and discussion Both the intra-oral appliance and amitriptyline significantly reduced headache frequency. The TTS was significantly reduced in the group treated with the appliance. The amplitude of P2 response elicited by stimulation of pericranial zones showed a reduction after amitriptyline treatment. Both therapies were effective in reducing headache severity, the appliance with a prevalent action on the pericranial muscular tenderness, amitriptyline reducing the activity of the central cortical structures subtending pain elaboration Conclusion The results of this study may suggest that in CTTH both the interventions at the peripheral and central levels improve the outcome of headache.

  10. First Autologous Cord Blood Therapy for Pediatric Ischemic Stroke and Cerebral Palsy Caused by Cephalic Molding during Birth: Individual Treatment with Mononuclear Cells

    Directory of Open Access Journals (Sweden)

    A. Jensen

    2016-01-01

    Full Text Available Intracranial laceration due to traumatic birth injury is an extremely rare event affecting approximately one newborn per a population of 4.5 million. However, depending on the mode of injury, the resulting brain damage may lead to lifelong sequelae, for example, cerebral palsy for which there is no cure at present. Here we report a rare case of neonatal arterial ischemic stroke and cerebral palsy caused by fetal traumatic molding and parietal depression of the head during delivery caused by functional cephalopelvic disproportion due to a “long pelvis.” This patient was treated by autologous cord blood mononuclear cells (45.8 mL, cryopreserved, TNC 2.53×10e8 with a remarkable recovery. Active rehabilitation was provided weekly. Follow-up examinations were at 3, 18, 34, and 57 months. Generous use of neonatal head MRI in case of molding, craniofacial deformity, and a sentinel event during parturition is advocated to enhance diagnosis of neonatal brain damage as a basis for fast and potentially causative treatment modalities including autologous cord blood transplantation in a timely manner.

  11. Cephalic and limb anatomy of a new Isoxyid from the Burgess Shale and the role of "stem bivalved arthropods" in the disparity of the frontalmost appendage.

    Science.gov (United States)

    Aria, Cédric; Caron, Jean-Bernard

    2015-01-01

    We herein describe Surusicaris elegans gen. et sp. nov. (in Isoxyidae, amended), a middle (Series 3, Stage 5) Cambrian bivalved arthropod from the new Burgess Shale deposit of Marble Canyon (Kootenay National Park, British Columbia). Surusicaris exhibits 12 simple, partly undivided biramous trunk limbs with long tripartite caeca, which may illustrate a plesiomorphic "fused" condition of exopod and endopod. We construe also that the head is made of five somites (= four segments), including two eyes, one pair of anomalocaridid-like frontalmost appendages, and three pairs of poorly sclerotized uniramous limbs. This fossil may therefore be a candidate for illustrating the origin of the plesiomorphic head condition in euarthropods, and questions the significance of the "two-segmented head" in, e.g., fuxianhuiids. The frontalmost appendage in isoxyids is intriguingly disparate, bearing similarities with both dinocaridids and euarthropods. In order to evaluate the relative importance of bivalved arthropods, such as Surusicaris, in the hypothetical structuro-functional transition between the dinocaridid frontal appendage and the pre-oral-arguably deutocerebral-appendage of euarthropods, we chose a phenetic approach and computed morphospace occupancy for the frontalmost appendages of 36 stem and crown taxa. Results show different levels of evolutionary decoupling between frontalmost appendage disparity and body plans. Variance is greatest in dinocaridids and "stem bivalved" arthropods, but these groups do not occupy the morphospace homogeneously. Rather, the diversity of frontalmost appendages in "stem bivalved" arthropods, distinct in its absence of clear clustering, is found to link the morphologies of "short great appendages," chelicerae and antennules. This find fits the hypothesis of an increase in disparity of the deutocerebral appendage prior to its diversification in euarthropods, and possibly corresponds to its original time of development. The analysis of this pattern, however, is sensitive to the-still unclear-extent of polyphyly of the "stem bivalved" taxa.

  12. Cephalic and Limb Anatomy of a New Isoxyid from the Burgess Shale and the Role of “Stem Bivalved Arthropods” in the Disparity of the Frontalmost Appendage

    Science.gov (United States)

    Aria, Cédric; Caron, Jean-Bernard

    2015-01-01

    We herein describe Surusicaris elegans gen. et sp. nov. (in Isoxyidae, amended), a middle (Series 3, Stage 5) Cambrian bivalved arthropod from the new Burgess Shale deposit of Marble Canyon (Kootenay National Park, British Columbia). Surusicaris exhibits 12 simple, partly undivided biramous trunk limbs with long tripartite caeca, which may illustrate a plesiomorphic “fused” condition of exopod and endopod. We construe also that the head is made of five somites (= four segments), including two eyes, one pair of anomalocaridid-like frontalmost appendages, and three pairs of poorly sclerotized uniramous limbs. This fossil may therefore be a candidate for illustrating the origin of the plesiomorphic head condition in euarthropods, and questions the significance of the “two-segmented head” in, e.g., fuxianhuiids. The frontalmost appendage in isoxyids is intriguingly disparate, bearing similarities with both dinocaridids and euarthropods. In order to evaluate the relative importance of bivalved arthropods, such as Surusicaris, in the hypothetical structuro-functional transition between the dinocaridid frontal appendage and the pre-oral—arguably deutocerebral—appendage of euarthropods, we chose a phenetic approach and computed morphospace occupancy for the frontalmost appendages of 36 stem and crown taxa. Results show different levels of evolutionary decoupling between frontalmost appendage disparity and body plans. Variance is greatest in dinocaridids and “stem bivalved” arthropods, but these groups do not occupy the morphospace homogeneously. Rather, the diversity of frontalmost appendages in “stem bivalved” arthropods, distinct in its absence of clear clustering, is found to link the morphologies of “short great appendages,” chelicerae and antennules. This find fits the hypothesis of an increase in disparity of the deutocerebral appendage prior to its diversification in euarthropods, and possibly corresponds to its original time of development. The analysis of this pattern, however, is sensitive to the—still unclear—extent of polyphyly of the “stem bivalved” taxa. PMID:26038846

  13. 蜱媒脑炎自然疫源探究%A study on natural source of tick-borne cephalitis

    Institute of Scientific and Technical Information of China (English)

    陈国仕

    2004-01-01

    蜱媒脑炎包含森林脑炎(远东亚型)、西方蜱媒脑炎(中欧亚型)及双波脑膜脑炎。它们是虫媒病毒(Arboviruses)中黄病毒科(Flaviviridae)黄病毒属(Flavivirus)蜱媒脑炎群(tickborne encephalitis complex)中抗原上极其近似的森林脑炎病毒(Encephalophilus silvestris Zil’ber,1937年)、西方蜱媒脑炎病毒(Encephalophilus occidentalis Zil’ber,1945年)及双波脑膜

  14. Role of BKCa channels in cephalic vasodilation induced by CGRP, NO and transcranial electrical stimulation in the rat

    DEFF Research Database (Denmark)

    Gozalov, A.; Jansen-Olesen, I.; Klærke, Dan Arne;

    2007-01-01

    by the NO donor glyceryltrinitrate (GTN) or by CGRP is partially mediated via large conductance calcium-activated potassium (BK(Ca)) channels. The effects of the BK(Ca) channel selective inhibitor iberiotoxin on dural and pial vasodilation induced by CGRP, GTN and endogenously released CGRP by transcranial...... electrical stimulation (TES) were examined. Iberiotoxin significantly attenuated GTN-induced dural and pial artery dilation in vivo and in vitro, but had no effect on vasodilation induced by CGRP and TES. Our results show that GTN- but not CGRP-induced dural and pial vasodilation involves opening of BK...

  15. Role of KATP channels in cephalic vasodilatation induced by calcitonin gene-related peptide, nitric oxide, and transcranial electrical stimulation in the rat

    DEFF Research Database (Denmark)

    Gozalov, Aydin; Jansen-Olesen, Inger; Klærke, Dan Arne;

    2008-01-01

    in migraine pathogenesis. We hypothesized that vasodilatation induced by CGRP and the NO donor glyceryltrinitrate (GTN) is mediated via K(ATP) channels. METHODS: We examined the effects of the K(ATP) channel inhibitor glibenclamide on dural and pial vasodilatation induced by CGRP, NO, and endogenously....... In anesthetized rats glibenclamide significantly attenuated CGRP induced dural and TES induced dural/pial artery dilatation (P = .001; P = .001; P = .005), but had no effect on dural/pial vasodilatation induced by GTN. In vitro glibenclamide failed to significantly inhibit CGRP- and GTN-induced vasodilatation....... CONCLUSIONS: These results show that a K(ATP) channel blocker in vivo but not in vitro inhibits CGRP, but not GTN-induced dilatation of dural and pial arteries, a mechanism thought to be important in migraine....

  16. The Effects of Clinical Hypnosis versus Neurolinguistic Programming (NLP) before External Cephalic Version (ECV): A Prospective Off-Centre Randomised, Double-Blind, Controlled Trial.

    Science.gov (United States)

    Reinhard, Joscha; Peiffer, Swati; Sänger, Nicole; Herrmann, Eva; Yuan, Juping; Louwen, Frank

    2012-01-01

    Objective. To examine the effects of clinical hypnosis versus NLP intervention on the success rate of ECV procedures in comparison to a control group. Methods. A prospective off-centre randomised trial of a clinical hypnosis intervention against NLP of women with a singleton breech fetus at or after 37(0/7) (259 days) weeks of gestation and normal amniotic fluid index. All 80 participants heard a 20-minute recorded intervention via head phones. Main outcome assessed was success rate of ECV. The intervention groups were compared with a control group with standard medical care alone (n = 122). Results. A total of 42 women, who received a hypnosis intervention prior to ECV, had a 40.5% (n = 17), successful ECV, whereas 38 women, who received NLP, had a 44.7% (n = 17) successful ECV (P > 0.05). The control group had similar patient characteristics compared to the intervention groups (P > 0.05). In the control group (n = 122) 27.3% (n = 33) had a statistically significant lower successful ECV procedure than NLP (P = 0.05) and hypnosis and NLP (P = 0.03). Conclusions. These findings suggest that prior clinical hypnosis and NLP have similar success rates of ECV procedures and are both superior to standard medical care alone.

  17. The Effects of Clinical Hypnosis versus Neurolinguistic Programming (NLP before External Cephalic Version (ECV: A Prospective Off-Centre Randomised, Double-Blind, Controlled Trial

    Directory of Open Access Journals (Sweden)

    Joscha Reinhard

    2012-01-01

    Full Text Available Objective. To examine the effects of clinical hypnosis versus NLP intervention on the success rate of ECV procedures in comparison to a control group. Methods. A prospective off-centre randomised trial of a clinical hypnosis intervention against NLP of women with a singleton breech fetus at or after 370/7 (259 days weeks of gestation and normal amniotic fluid index. All 80 participants heard a 20-minute recorded intervention via head phones. Main outcome assessed was success rate of ECV. The intervention groups were compared with a control group with standard medical care alone (=122. Results. A total of 42 women, who received a hypnosis intervention prior to ECV, had a 40.5% (=17, successful ECV, whereas 38 women, who received NLP, had a 44.7% (=17 successful ECV (>0.05. The control group had similar patient characteristics compared to the intervention groups (>0.05. In the control group (=122 27.3% (=33 had a statistically significant lower successful ECV procedure than NLP (=0.05 and hypnosis and NLP (=0.03. Conclusions. These findings suggest that prior clinical hypnosis and NLP have similar success rates of ECV procedures and are both superior to standard medical care alone.

  18. Cephalic and limb anatomy of a new Isoxyid from the Burgess Shale and the role of "stem bivalved arthropods" in the disparity of the frontalmost appendage.

    Directory of Open Access Journals (Sweden)

    Cédric Aria

    Full Text Available We herein describe Surusicaris elegans gen. et sp. nov. (in Isoxyidae, amended, a middle (Series 3, Stage 5 Cambrian bivalved arthropod from the new Burgess Shale deposit of Marble Canyon (Kootenay National Park, British Columbia. Surusicaris exhibits 12 simple, partly undivided biramous trunk limbs with long tripartite caeca, which may illustrate a plesiomorphic "fused" condition of exopod and endopod. We construe also that the head is made of five somites (= four segments, including two eyes, one pair of anomalocaridid-like frontalmost appendages, and three pairs of poorly sclerotized uniramous limbs. This fossil may therefore be a candidate for illustrating the origin of the plesiomorphic head condition in euarthropods, and questions the significance of the "two-segmented head" in, e.g., fuxianhuiids. The frontalmost appendage in isoxyids is intriguingly disparate, bearing similarities with both dinocaridids and euarthropods. In order to evaluate the relative importance of bivalved arthropods, such as Surusicaris, in the hypothetical structuro-functional transition between the dinocaridid frontal appendage and the pre-oral-arguably deutocerebral-appendage of euarthropods, we chose a phenetic approach and computed morphospace occupancy for the frontalmost appendages of 36 stem and crown taxa. Results show different levels of evolutionary decoupling between frontalmost appendage disparity and body plans. Variance is greatest in dinocaridids and "stem bivalved" arthropods, but these groups do not occupy the morphospace homogeneously. Rather, the diversity of frontalmost appendages in "stem bivalved" arthropods, distinct in its absence of clear clustering, is found to link the morphologies of "short great appendages," chelicerae and antennules. This find fits the hypothesis of an increase in disparity of the deutocerebral appendage prior to its diversification in euarthropods, and possibly corresponds to its original time of development. The analysis of this pattern, however, is sensitive to the-still unclear-extent of polyphyly of the "stem bivalved" taxa.

  19. A cephalic influence on gastric motility upon seeing food in domestic turkeys (Melagris gallopavo), great-horned owls (Bubo virginianus) and red-tailed hawks (Buteo jamaicensis).

    Science.gov (United States)

    Duke, G E; Evanson, O A; Redig, P T

    1976-11-01

    Strain gage transducers were permanently implanted on the muscular stomachs of 13 turkeys, 3 great-horned owls and 2 red-tailed hawks to monitor gastric motility before, during and after eating. Following fasting, the sight of food resulted in significant increases in gastric contractile activity in all three species. Gastric motility further increased when the birds were allowed to eat. In raptors, however, a brief interruption in gastric motility occurred immediately after eating. This is apparently analogous to receptive relaxation which occurs in the stomach of mammals.

  20. Morfología cefálica en el Cavall pirinenc català (Cephalic morphology in the Cavall pirinenc català breed

    Directory of Open Access Journals (Sweden)

    Pere-Miquel Parés i Casanova

    2009-09-01

    Full Text Available ResumenSe han analizado 35 variables métricas de 19 cráneos procedentes deanimales adultos de la raza equina Cavall Pirinenc Català,procediendo a su estudio por Análisis de Componentes Principales.Las variables relacionadas con la anchura del neurocráneo, laslongitudes ventrales y las variables relacionadas con la órbita ocularson muy poco discriminantes. En cambio, las variables relacionadascon el viscerocráneo aparecen como especialmente discriminantes.Proponemos dar un especial énfasis, en estudios raciales equinossobre material óseo, al trabajo con las medidas que corresponden aesta zona (longitud del diastema, anchura mínima del espaciointeralveolar, longitud de la línea ocular anterior, altura facialcranealmente a P2, altura facial entre P4 y M1, asi como la LongitudFrontal.SummaryThirty-five metric parameters were taken on 19 skulls belonging toadult Cavall Pirinenc Català horse breed and were subjected to aPrincipal Component Analysis. Parameters related with neurocraniumwidth, ventral lengths and those related with ocular orbit are poorlydiscriminants. On the other hand, parameters related withviscerocranium are strongly discriminant. Our study strengths theimportance in using parameters linked to viscerocranium, and frontallength, in equine racial studies on bone.

  1. The influence of frontal alignment in the advanced reciprocating gait orthosis on energy cost and crutch force requirements during paraplegic gait

    NARCIS (Netherlands)

    IJzerman, Maarten J.; Baardman, Gert; Holweg, Gerlinde G.J.; Hermens, Hermie J.; Veltink, P.H.; Boom, H.B.K.; Zilvold, G.

    1997-01-01

    Reduction of energy cost and upper body load during paraplegic walking is considered to be an important criterion in future developments of walking systems. A high energy cost limits the maximum walking distance in the current devices, whereas wrist and shoulder pathology can deteriorate because of

  2. Using an electrohydraulic ankle foot orthosis to study modifications in feedforward control during locomotor adaptation to force fields applied in stance

    Directory of Open Access Journals (Sweden)

    Bouyer Laurent J

    2009-06-01

    Full Text Available Abstract Background Adapting to external forces during walking has been proposed as a tool to improve locomotion after central nervous system injury. However, sensorimotor integration during walking varies according to the timing in the gait cycle, suggesting that adaptation may also depend on gait phases. In this study, an ElectroHydraulic AFO (EHO was used to apply forces specifically during mid-stance and push-off to evaluate if feedforward movement control can be adapted in these 2 gait phases. Methods Eleven healthy subjects walked on a treadmill before (3 min, during (5 min and after (5 min exposure to 2 force fields applied by the EHO (mid-stance/push-off; ~10 Nm, towards dorsiflexion. To evaluate modifications in feedforward control, strides with no force field ('catch strides' were unexpectedly inserted during the force field walking period. Results When initially exposed to a mid-stance force field (FF20%, subjects showed a significant increase in ankle dorsiflexion velocity. Catches applied early into the FF20% were similar to baseline (P > 0.99. Subjects gradually adapted by returning ankle velocity to baseline over ~50 strides. Catches applied thereafter showed decreased ankle velocity where the force field was normally applied, indicating the presence of feedforward adaptation. When initially exposed to a push-off force field (FF50%, plantarflexion velocity was reduced in the zone of force field application. No adaptation occurred over the 5 min exposure. Catch strides kinematics remained similar to control at all times, suggesting no feedforward adaptation. As a control, force fields assisting plantarflexion (-3.5 to -9.5 Nm were applied and increased ankle plantarflexion during push-off, confirming that the lack of kinematic changes during FF50% catch strides were not simply due to a large ankle impedance. Conclusion Together these results show that ankle exoskeletons such as the EHO can be used to study phase-specific adaptive control of the ankle during locomotion. Our data suggest that, for short duration exposure, a feedforward modification in torque output occurs during mid-stance but not during push-off. These findings are important for the design of novel rehabilitation methods, as they suggest that the ability to use resistive force fields for training may depend on targeted gait phases.

  3. The effect of varying the plantarflexion resistance of an ankle-foot orthosis on knee joint kinematics in patients with stroke.

    Science.gov (United States)

    Kobayashi, Toshiki; Leung, Aaron K L; Akazawa, Yasushi; Hutchins, Stephen W

    2013-03-01

    Ankle-foot orthoses (AFOs) can improve gait in patients with hemiplegia. However, it is anecdotally known that excessive plantarflexion resistance of an AFO could induce undesired knee flexion at early stance. The aim of this study was to systematically investigate the effect of varying the degrees of plantarflexion resistance of an AFO on knee flexion angles at early stance in five subjects with chronic stroke who demonstrated two clear knee flexion peaks at early stance and swing. Each subject wore an experimental AFO constructed with an oil-damper type ankle joint and was instructed to walk at their self-selected walking speed under five plantarflexion resistance conditions. The sagittal plane ankle and knee joint kinematics and gait speed were analyzed using a 3-D Motion Analysis System. A number of significant differences (Pknee flexion angles at early stance amongst different plantarflexion resistance conditions were revealed. The knee flexion angle was 23.80 (3.25) degrees under the free hinge joint condition (condition 1), while that was 26.09 (3.79) degrees under the largest resistance condition (condition 5). It was therefore demonstrated that increasing the plantarflexion resistance of an AFO would induce more knee flexion at early stance phase in patients with stroke.

  4. The Effects of Varying Ankle Foot Orthosis Stiffness on Gait in Children with Spastic Cerebral Palsy Who Walk with Excessive Knee Flexion.

    Directory of Open Access Journals (Sweden)

    Yvette L Kerkum

    Full Text Available Rigid Ankle-Foot Orthoses (AFOs are commonly prescribed to counteract excessive knee flexion during the stance phase of gait in children with cerebral palsy (CP. While rigid AFOs may normalize knee kinematics and kinetics effectively, it has the disadvantage of impeding push-off power. A spring-like AFO may enhance push-off power, which may come at the cost of reducing the knee flexion less effectively. Optimizing this trade-off between enhancing push-off power and normalizing knee flexion in stance is expected to maximize gait efficiency. This study investigated the effects of varying AFO stiffness on gait biomechanics and efficiency in children with CP who walk with excessive knee flexion in stance. Fifteen children with spastic CP (11 boys, 10±2 years were prescribed with a ventral shell spring-hinged AFO (vAFO. The hinge was set into a rigid, or spring-like setting, using both a stiff and flexible performance. At baseline (i.e. shoes-only and for each vAFO, a 3D-gait analysis and 6-minute walk test with breath-gas analysis were performed at comfortable speed. Lower limb joint kinematics and kinetics were calculated. From the 6-minute walk test, walking speed and the net energy cost were determined. A generalized estimation equation (p<0.05 was used to analyze the effects of different conditions. Compared to shoes-only, all vAFOs improved the knee angle and net moment similarly. Ankle power generation and work were preserved only by the spring-like vAFOs. All vAFOs decreased the net energy cost compared to shoes-only, but no differences were found between vAFOs, showing that the effects of spring-like vAFOs to promote push-off power did not lead to greater reductions in walking energy cost. These findings suggest that, in this specific group of children with spastic CP, the vAFO stiffness that maximizes gait efficiency is primarily determined by its effect on knee kinematics and kinetics rather than by its effect on push-off power.Dutch Trial Register NTR3418.

  5. Effect of peroneal electrical stimulation versus an ankle-foot orthosis on obstacle avoidance ability in people with stroke-related foot drop.

    NARCIS (Netherlands)

    Swigchem, R. van; Duijnhoven, H.J.R. van; Boer, J. den; Geurts, A.C.H.; Weerdesteijn, V.G.

    2012-01-01

    BACKGROUND: Walking ability of people with foot drop in the chronic phase after stroke is better with functional electrical stimulation (FES) of the peroneal nerve than without an orthotic device. However, the literature is not conclusive on whether peroneal FES also is better than an ankle-foot ort

  6. Opensourcové řešení redakčního systému a elektronického obchodu

    OpenAIRE

    Moravcová, Iva

    2008-01-01

    This bachelor thesis describes one of possible solutions how create web pages and internet shop by opensource software, especially web content managment system Wordpress. First part of thesis is about Wordpress and containts database and features description of Wordpress version 2.7 At the end is mentioned the procedure of instalation and general recommended settings. Second part is engaged in online shopping plugins for this system. The three most frequently used plugins - WP ShoppingCart, W...

  7. El granito Precambrico deValsequillo (zona de Ossa-Morena, Macizo Iberico, España)

    OpenAIRE

    Bandrés, A.; Eguiluz, Luis; Apraiz, A

    1999-01-01

    The Valsequillo granite is situated in the Peraleda de Zaucejo antiform (Obejo-Valsequillo-Puebla de la Reina Domain) at the northern Ossa-Morena Zone. This antiform is defined by Armorican Quartzite and Devonian rocks. Beneath this rocks there are arkosic conglomerates from Tremadoc. Tremadoc rocks are discordant, over Malcocinado poligenics conglomerates. Malcocinado conglomerates containt decimetric pebbes of Valsequillo granite and dioritoids. The Valsequillo granite is a subvolcanic igne...

  8. 八种颈椎支架与颈椎解剖、温度关系的临床试验研究%Clinical Research on Anatomy and Temperature of Cervical Vertebrae with 8 Kinds of Cervical Orthosis

    Institute of Scientific and Technical Information of China (English)

    闵熙敬; 丁月根; 王荣根; 宋花玲; 闵沛如; 李晨; 詹松华

    2008-01-01

    目的 通过观察在 8 种颈椎支架与枕头上颈脊柱的解剖状态和颈部皮肤体表温度,了解为了防治颈椎病,应该根据实验室检查指标,选择睡觉使用的支架或枕头.方法 31 例颈椎病人按照随机化的顺序先后平卧与右侧卧于Ⅲ-1 型支架、Ⅲ-4 型支架、Ⅲ-弱型支架、Ⅲ-强型支架、零支架、木棉枕、涤纶枕、天年素枕上,用 CT 分别测量每一种支架上平卧时颈脊柱的弧弦距、颈脊柱与水平线的交角、颈脊柱弧的数值,以及右侧卧时颈脊柱与水平线的交角.用 WMZ-03 温度计分别测量平卧时每一种支架上颈项部的皮肤体表温度.对各组间各指标的差别进行统计学分析.结果 (1)平卧时颈脊柱弧弦距分别是:Ⅲ-强型(6.3±3.3)mm,Ⅲ-弱型( 3.8±4.7)mm,零支架(3.4±4.7)mm,Ⅲ-4 型(3.2±3.7)mm,Ⅲ-1 型(2.3±4.9)mm,天年素枕(0.7±4.0)mm,涤纶枕(0.6±4.3)mm,木棉枕(-0.2±4.2)mm.Ⅲ-强型分别与其他 7 种支架比较,P<0.05.(2)平卧时颈脊柱与水平线交角:零支架(0.8±3.7)度,Ⅲ-1 型(8.0±4.3)度,Ⅲ-弱型(8.1±4.0)度,Ⅲ-强型(8.3±4.8)度,Ⅲ-4 型(9.1±4.0)度,天年素枕(17.0±4.2)度,涤纶枕(17.4±3.4)度,木棉枕(27.3±6.3)度.零支架分别与其他7种支架比较,P<0.05.Ⅲ-1 型、Ⅲ-4 型、Ⅲ-弱型、Ⅲ-强型分别与木棉枕、涤纶枕、天年素枕比较,P<0.05.(3)平卧时颈脊柱弧的数值: Ⅲ-强型 1.0±0.2, Ⅲ-弱型 2.0±2.0, 零支架 2.1±2.4, Ⅲ-4 型 2.2±2.5, Ⅲ-1 型 2.6±2.9, 天年素枕 3.7±3.6, 涤纶枕 4.1±3.9, 木棉枕 5.1±4.0.Ⅲ-1 型、Ⅲ-4 型、Ⅲ-弱型、Ⅲ-强型、零支架分别与木棉枕、涤纶枕、天年素枕比较,P<0.05.(4)右侧卧时颈脊柱与水平线的交角:天年素枕(0.5±7.5)度,Ⅲ-强型(2.0±6.1)度,涤纶枕(2.0±7.7)度,Ⅲ-1 型(2.1±7.2)度,Ⅲ-弱型(2.7±7.1)度,Ⅲ-4 型(3.0±6.8)度,木棉枕(7.8±8.4)度,零支架(-20.5±8.9)度.零支架、木棉枕分别与其他 6 种支架比较,P<0.05.(5)平卧时颈部皮肤体表温度:Ⅲ-强型(34.1±0.9)℃,Ⅲ-弱型(34.0±0.9)℃,零支架(33.6±0.8)℃,Ⅲ-强型、Ⅲ-弱型分别与零支架比较,P<0.05.结论 (1)本试验中 8 种颈椎支架或枕头,是颈脊柱在卧位时的力学支架平台.(2)为了防治颈椎病,应该根据实验室检查指标,选择睡觉时用的支架或枕头.

  9. Clinical application and nursing care of orthosis after cervical scar surgery%颈部瘢痕术后矫形器的临床应用及护理

    Institute of Scientific and Technical Information of China (English)

    汪丽萍; 丛林

    2002-01-01

    @@ 颈部瘢痕因其范围及挛缩程度的不同在临床上分为4度,治疗手段通常采用瘢痕切除及厚、中厚皮片移植术.因颈前区自颏部到胸骨为一个具有生理曲线的柔软凹面,继发性皮片收缩已成为整形外科术后治疗的一大难题.另外,小儿患者因制动差而影响皮片存活,术后的固定十分重要.我科自2000年11月至2002年2月,自制颈部矫形器应用于植皮术后患者,因其具有可塑性、透气性好,固定支撑作用强,抗挛缩、穿脱方便等优点,临床治疗效果良好.

  10. 订制颈椎矫形器与成品颈托治疗椎动脉型颈椎病的比较%Effect of Designed Cervical Orthosis on Vertebroarterial Cervical Spondylopathy

    Institute of Scientific and Technical Information of China (English)

    马峥; 沈磊; 白跃宏

    2010-01-01

    目的 观察订制颈椎矫形器(CO)与成品颈托在治疗椎动脉型颈椎病中的疗效.方法 70例椎动脉型颈椎病患者根据确诊时间分为订制CO组和对照组,每组35例,分别采用订制CO与成品颈托进行治疗佩戴.结果 经过4周治疗,订制CO组优良率为94.3%,成品颈托组优良率为71.4%,两组比较具有显著性差异(P<0.01).结论 在治疗椎动脉型颈椎病中订制颈椎矫形器的疗效优于成品颈托.

  11. 简易指背支具治疗闭合性腱性锤状指的疗效观察%Clinical effect observation of simple digital dorsal orthosis to repair closed tendinous hammer finger

    Institute of Scientific and Technical Information of China (English)

    罗小庆

    2016-01-01

    目的 探讨指背支具治疗闭合性腱性锤状指的临床疗效.方法 固定材料采用低温热塑材料,根据患指的大小现场制作,长度为近指间关节至指尖的距离,塑形至远指间关节背伸10°,使支具尽量贴服于指背,塑形成功后衬以薄的海绵内衬,分别用纸胶布固定于手指的中节和末节,不固定近指间关节,固定时间为6周.结果 手功能评定采用Patel评定法,本组获随访33例患者中优15例,良11例,中4例,差3例.26例患者对治疗满意,优良率78.7%.结论 采用简易指背支具治疗闭合性腱性锤状指可提高患者的依从性,固定更牢靠,是一种简单、有效的方法.

  12. The Cubic B-spline Interpolation Method Used in Machining Platform of the Foot Orthosis%三次B样条插补在足底矫形器加工平台的应用

    Institute of Scientific and Technical Information of China (English)

    宣伯凯; 杨鹏; 孙昊; 冀云

    2008-01-01

    由工业PC机+运动控制卡组成的数控平台具有多轴联动功能,能够完成具有复杂曲面的足底矫形器的加工.为提高足底矫形器的加工质量,将三次B样条的方法引入加工过程.B样条方法能很好的表示自由曲线曲面的形状.通过反算控制顶点的方法,使构造的轮廓曲线能精确控制到模型每个数据点,还原曲线的原形.在教据点间进行插值,计算容易曲线光滑.为提高生产效率,在加工过程中采用连续插补的方式.多点加工一次完成减少了运行过程中电机的起停频率,不仅缩短运行时间而且能减小系统震荡.

  13. 支具治疗中度特发性脊柱侧凸患儿59例8年随访%Orthosis for adolescent midrange idiopathic scoliosis in 59 cases: Eight years follow-up

    Institute of Scientific and Technical Information of China (English)

    李卫平; 王志勇; 宋斌; 黄建荣; 沈慧勇; 宋富强; 宋洋

    2008-01-01

    背景:对于中度脊柱侧弯畸形患者的治疗干预方法的选择至关重要.目的:观察规律佩戴支具治疗中度特发性脊柱侧凸的疗效,并与间断佩戴和未佩戴矫形支具比较.设计、时间及地点:回顾性病例对比分析,1996-01/2004-12中山大学附属第二医院.对象:中度脊柱侧凸患儿59例,男21例,女38例,年龄12~16岁.34例患儿进行支具治疗,其中部分患儿遵医嘱规律佩戴,每天20~22 h;另有部分患儿没有坚持规律佩戴,每天8~10 h.另25例因各种原因未遵医嘱佩戴支具而行体操疗法.方法:观察时间为3~7年,平均时间为4.5年.支具的佩戴终止时间以Risser征5度为主要参考指标.通过摄X-ray的脊柱全长片,对比患者观察前后的侧弯角度,原Cobb角> 20°现Cobb < 10°为消退, Cobb角减少5°以上为减轻,Cobb角相差在5°内为未变,Cobb角增加5°以上为进展, Cobb角大于40°,最终选择手术治疗为失败.主要观察指标:各组治疗结束后临床疗效.结果:规律佩戴支具组有效率达90.9%,间断佩戴支具组有效率达50.0%,未佩戴支具组有效率为48.0%.经比较支具规律组优于支具间断组和无支具组(P < 0.05).结论:坚持正确规律佩戴支具(佩戴时间不应少于20 h)治疗中度特发性脊柱侧凸疗效确切.

  14. Nowcasting Convective Storm Evolution in East-Central Florida Using Satellite and Doppler Radar Data

    Science.gov (United States)

    1994-01-01

    34Pneumatically-Powered Orthosis and Electronic Control System for Stroke Patient Rehabilitation" (93-002), University of California Maj A. L. Burman, "Marine...Colorado State University Maj M. Kulpa, "The Relationship of Recent Tampon Use, Douching, Coitus, and Vaginal Medications to Reported Cervical Cytology...University of Texas Capt W. Brogan, Jr., "Pneumatically-Powered Orthosis and Electronic Control System for Stroke Patient Rehabilitation" (93-002

  15. Effect of hyperbaric oxygen on level of β-endorphin in cerebrospinal fluid in children with hand-foot-mouth disease complicating cephalitis%高压氧综合治疗对手足口病并发脑炎患儿脑脊液β-内啡肽含量的影响

    Institute of Scientific and Technical Information of China (English)

    杨莲荣; 张迎春; 李守超; 刘春和; 魏清洁; 马永信

    2008-01-01

    手足口病(hand-foot—mouthdisease,HFMD)是全球性传染病,在儿童中常见流行,主要表现包括发热、口腔黏膜溃疡性疱疹及四肢末端水疱样皮疹。肠道病毒71型是其主要病原体之一,该病毒不仅可以引起HFMD,而且可以引起严重中枢神经系统并发症。脑脊液中β-内啡肽(β-endorphin,β-EP)含量是反应中枢神经系统功能状态的敏感指标之一,

  16. Estimulación eléctrica invasiva de C2-C3 en el tratamiento del dolor cefálico y facial: Neuralgia occipital. Migraña transformada. Cefalea en racimos. Algias faciales C2-C3 Invasive Electrical Stimulation for the Treatment of Cephalic and Facial Pain: Occipital Neuralgia. Transformed Migraine. Cluster Headache. Facial Algias

    OpenAIRE

    M. D. Rodrigo; Quero, J.; P. Cía; R. Escartín; P. Acín; C. Bono; Polo, C

    2008-01-01

    Introducción. La estimulación eléctrica extraespinal periférica cervico-occipital, llevada a cabo con un sistema implantado, es una técnica quirúrgica poco cruenta que puede proporcionar buenos resultados en pacientes con dolor neuropático refractario localizado en región cefálica y facial. Presentamos treinta y cuatro pacientes con dolor cervico-facial de larga evolución, persitente, severo, no controlado, de diferentes etiologías, en los que se habían agotado otras posibilidades terapéutica...

  17. Short-term oral exposure to white wine transiently lowers serum free fatty acids

    NARCIS (Netherlands)

    Joosten, M.M.; Graaf, C. de; Rietman, A.; Witkamp, R.F.; Hendriks, H.F.J.

    2010-01-01

    In humans little is known as to whether oral sensory stimulation with alcohol elicits cephalic phase responses. This study sought to determine whether oral alcohol exposure, in the form of white wine, provokes cephalic phase responses in normal-weight and overweight women. In a semi-randomized, cros

  18. Application of Prosthesis and Orthosis and Physical Therapy for Walking Ability in Meningomyelocele: A Case Reported%假肢矫形器结合功能训练改善脊髓脊膜膨出患者的步行能力1例

    Institute of Scientific and Technical Information of China (English)

    裴倩; 曹学军; 姚中思; 胡中华; 庄建龙; 张倩

    2008-01-01

    目的 探讨假肢矫形器结合功能训练在提高脊髓脊膜膨出患者步行能力中的应用.方法 个案报道.结果 和结论经过装配假肢矫形器和3周的物理治疗,患者从双手扶手杖行走提高到扶单侧手杖步行1000 m,速度达36 m/min.

  19. The Research of the Functions in the Cerebral Palsy Children Walking level Improvement by Combining the Kneeling Posture Control Training with the Application of Ankle foot Orthosis%跪位姿势控制训练结合应用踝足矫形器在提高脑瘫儿步行水平中的作用研究

    Institute of Scientific and Technical Information of China (English)

    林国良

    2014-01-01

    Objective:To study the cerebral palsy children's kneeling posture control ability improved through rehabilitation therapy , and the function of combined application of ankle foot orthoses in improving the walking level of cerebral palsy children .Methods:The 50 cases of children with cerebral palsy received and cured during 2011 .09-2013 .07 were selected and randomly divided into treatment group and control group .On the basis of routine rehabilitation therapy , the treatment group more focused on kneeling posture control train-ing and wore ankle foot orthoses ( AFO);while the control group was treated with routine rehabilitation therapy , the kneeling posture con-trol ability was assessed by C -zone of the gross motor function measure ( GMFM) , and walking level was evaluated with Gillette function-al walking measure .Results:In the control group , 2 cases were off on midway , so a total of 48 cases of children entered into the result a-nalysis .Results:showed that , after treatment , GMFM C-zone grade of the treatment group was significantly higher than that before treat -ment (P<0.01), and after treatment, GMFM C-zone grade of the treatment group was notably better than that of control group (P<0. 01);Gillette functional walking measure walking level grading assessment showed that : After treatment, the walking level of treatment group was remarkably better than that of control group (P<0.05).Conclusions:Kneeling posture control ability (hip joint motor control) and the stability of the ankle foot control play a very important role in cerebral palsy children walking , and the role of these two aspects mainly lies in maintaining the stability of gravity center in walking , only on the basis of which , can the gait be improved , and can walking level be enhanced .%目的:研究经过康复治疗改善脑瘫( cerebral palsy )患儿的跪位姿势控制能力并结合应用踝足矫形器在提高脑瘫儿步行水平中所起的作用。方法:选择2011年9月~2013年7月收治的脑瘫患儿50例,随机分为治疗组和对照组,治疗组在常规康复治疗的基础上,重点强化跪位姿势控制训练并佩戴踝足矫形器( ankle foot orthoses , AFO),对照组常规康复治疗,跪位姿势控制能力采用粗大运动功能量表( gross motor function measure ,GMFM)的C区评定,步行水平采用Gillette功能性步行量表评定。结果:对照组中途脱落2例,共有48例患儿进入结果分析。结果表明治疗组治疗后GMFM C区评分显著高于治疗前(P<0.01),并且治疗后治疗组GMFM C区评分显著优于对照组(P<0.01);Gillette功能性步行量表步行水平分级评定显示:治疗后治疗组步行水平显著优于对照组(P<0.05)。结论:跪位姿势控制能力(髋关节运动控制)、踝足控制的稳定性在脑瘫儿步行中的作用非常重要,这2方面的作用主要在于维系步行中控制重心的稳定,在此基础上步态才能改善,步行水平才能提高。

  20. Application of self-made controlled orthosis in prosthesis of patients with hand flexor tendon injury of the second area%自制控制性支具在手Ⅱ区屈肌腱损伤修复术后中的应用

    Institute of Scientific and Technical Information of China (English)

    娄湘红; 李萍; 曹群秀; 陈振兵

    2007-01-01

    @@ 手Ⅱ区屈肌腱损伤修复术后常规石膏固定3周,3周后石膏拆除才进行功能锻炼,常有并发症发生,最多见的是肌腱粘连,往往需做粘连松解术,而且术后极易发生再次粘连,又需要重新手术,给病人带来身心痛苦和经济上的困扰,如果早期锻炼又容易造成肌腱断裂.

  1. An EMG-Controlled SMA Device for the Rehabilitation of the Ankle Joint in Post-Acute Stroke

    Science.gov (United States)

    Pittaccio, S.; Viscuso, S.

    2011-07-01

    The capacity of flexing one's ankle is an indispensible segment of gait re-learning, as imbalance, wrong compensatory use of other joints and risk of falling may depend on the so-called drop-foot. The rehabilitation of ankle dorsiflexion may be achieved through active exercising of the relevant musculature (especially tibialis anterior, TA). This can be troublesome for patients affected by weakness and flaccid paresis. Thus, as needs evolve during patient's improvements, a therapeutic device should be able to guide and sustain gradual recovery by providing commensurate aid. This includes exploiting even initial attempts at voluntary motion and turns those into effective workout. An active orthosis powered by two rotary actuators containing NiTi wire was designed to obtain ankle dorsiflexion. A computer routine that analyzes the electromyographic (sEMG) signal from TA muscle is used to control the orthosis and trigger its activation. The software also provides instructions and feed-back for the patient. Tests on the orthosis proved that it can produce strokes up to 36° against resisting torques exceeding 180 Ncm. Three healthy subjects were able to control the orthosis by modulating their TA sEMG activity. The movement produced in the preliminary tests is interesting for lower limb rehabilitation, and will be further improved by optimizing body-orthosis interface. It is hoped that this device will enhance early rehabilitation and recovery of ankle mobility in stroke patients.

  2. Investigation on Reaction Synthesis of Sialon Multiphase Refractory from Clay and Additive TiO2

    Institute of Scientific and Technical Information of China (English)

    XULihua; QIANYangbo; 等

    2001-01-01

    Sialon multiphase composites containting titanium-carbon or titanium-nitrogen have been synthesized from clay nd additive titania through different sintering processes,The experimental results indicated that there was a great change of crystal phase in the similar-composition specimens singtering in air ,nitrogen and bedding protecive poder respectively,determined by XRD analysis,The subsequent evidences were also supplied by SEM.The improvement in mehanical properties of multiphase refracto-ries was observed as the amount of titania changing from 0 to 16%,The main causes maybe come from the excellent properties of high hardness and in-situ strengthening effects of the in-situ formed secondary phase,TiC or TiN.

  3. Optimum design of steel structures

    CERN Document Server

    Farkas, József

    2013-01-01

    This book helps designers and manufacturers to select and develop the most suitable and competitive steel structures, which are safe, fit for production and economic. An optimum design system is used to find the best characteristics of structural models, which guarantee the fulfilment of design and fabrication requirements and minimize the cost function. Realistic numerical models are used as main components of industrial steel structures. Chapter 1 containts some experiences with the optimum design of steel structures Chapter 2 treats some newer mathematical optimization methods. Chapter 3 gives formulae for fabrication times and costs. Chapters 4 deals with beams and columns. Summarizes the Eurocode rules for design. Chapter 5 deals with the design of tubular trusses. Chapter 6 gives the design of frame structures and fire-resistant design rules for a frame. In Chapters 7 some minimum cost design problems of stiffened and cellular plates and shells are worked out for cases of different stiffenings and loads...

  4. A robust DCT domain watermarking algorithm based on chaos system

    Science.gov (United States)

    Xiao, Mingsong; Wan, Xiaoxia; Gan, Chaohua; Du, Bo

    2009-10-01

    Digital watermarking is a kind of technique that can be used for protecting and enforcing the intellectual property (IP) rights of the digital media like the digital images containting in the transaction copyright. There are many kinds of digital watermarking algorithms. However, existing digital watermarking algorithms are not robust enough against geometric attacks and signal processing operations. In this paper, a robust watermarking algorithm based on chaos array in DCT (discrete cosine transform)-domain for gray images is proposed. The algorithm provides an one-to-one method to extract the watermark.Experimental results have proved that this new method has high accuracy and is highly robust against geometric attacks, signal processing operations and geometric transformations. Furthermore, the one who have on idea of the key can't find the position of the watermark embedded in. As a result, the watermark not easy to be modified, so this scheme is secure and robust.

  5. Four new species of free-living marine nematodes of the family Desmodoridae (Nematoda: Desmodorida) and a redescription of Desmodora nini (Inglis, 1963) from the continental shelf off northeastern Brazil.

    Science.gov (United States)

    Larrazábal-Filho, Alexandre L; Silva, Maria Cristina Da; Esteves, André M

    2015-09-24

    Four new species of marine nematodes were collected from the continental shelf of the Potiguar Basin in northeastern Brazil. Zalonema vicentei sp. n. and Zalonema mariae sp. n. are characterized by having multispiral fovea amphidialis, lateral alae and ventral ala. These features also are found in Pseudochromadora, Desmodorella and Psammonema. They differ in the cephalic arrangement, and shape of the cephalic capsule and the fovea amphidialis. Croconema fortis sp. n. resembles Desmodora in the shape of the fovea amphidialis and cephalic capsule, but differs in the number of subcephalic setae and ornamentation on the cuticule. Desmodora paraconica sp. n. is characterized by the loop-shaped fovea amphidialis and the long conical-cylindrical tail. This species is similar to the genus Bolbonema, but differs in having the cephalic setae anterior to the fovea amphidialis. Desmodora nini is redescribed, to record details lacking in the original description.

  6. Morfologia externa do adulto de Hemiargus hanno (Stoll (Lepidoptera, Lycaenidae, Polyommatinae, Polyommatini: I. cabeça Adult exoskeletal morphology of Hemiargus hanno (Stoll (Lepidoptera, Lycaenidac, Polyommatinae, Polyommatini: I. head morphology

    Directory of Open Access Journals (Sweden)

    Marcelo Duarte

    2001-03-01

    Full Text Available This is the first of a series of contributions concerning exoskeletal morphology of neotropical lycaenid butterflies (blues and hairstreaks. The cephalic capsule morphology of Hemiargus hanno (Stoll, 1790 is herein presented with drawings and SEM photographs.

  7. Couple Control Model Implementation on Antagonistic Mono- and Bi-Articular Actuators

    CERN Document Server

    Prattico, Flavio; Yamamoto, Shin-ichiroh

    2014-01-01

    Recently, robot assisted therapy devices are increasingly used for spinal cord injury (SCI) rehabilitation in assisting handicapped patients to regain their impaired movements. Assistive robotic systems may not be able to cure or fully compensate impairments, but it should be able to assist certain impaired functions and ease movements. In this study, a couple control model for lower-limb orthosis of a body weight support gait training system is proposed. The developed leg orthosis implements the use of pneumatic artificial muscle as an actuation system. The pneumatic muscle was arranged antagonistically to form two pair of mono-articular muscles (i.e., hip and knee joints), and a pair of bi-articular actuators (i.e., rectus femoris and hamstring). The results of the proposed couple control model showed that, it was able to simultaneously control the antagonistic mono- and bi-articular actuators and sufficiently performed walking motion of the leg orthosis.

  8. The effect of new dynamic splint in pinch strength in De Quervain syndrome: a comparative study.

    Science.gov (United States)

    Nemati, Zahra; Javanshir, Mohammad Ali; Saeedi, Hassan; Farmani, Farzad; Aghajani Fesharaki, Siamak

    2016-02-17

    Objective For patients with De Quervain syndrome using thumb spica orthosis is restricting, so many patient are dissatisfied with using static model. The aim of this study is to compare the effect of modified dynamic and conventional static orthoses on pinch power and functional abilities of hand in De Quervain syndrome. Method In this quasi-experimental study, palmar and lateral pinch strength of the thumb, pain and functional abilities of hand, patient's satisfaction of orthoses, were evaluated after using modified dynamic and conventional static orthosis in two groups. Results Both orthoses improved palmar and lateral pinch strength of the thumb, pain level and functional abilities. In comparison of mentioned variables, there was no significant difference between two groups regarding to pain recovery and abilities improvement (p > 0.05). However, the satisfaction level of the patients who had used dynamic orthosis was higher (p Quervain syndrome.

  9. A review of assistive devices for arm balancing.

    Science.gov (United States)

    Dunning, A G; Herder, J L

    2013-06-01

    Due to neuromuscular disorders (e.g., Duchenne Muscular Dystrophy) people often loose muscle strength and become wheelchair bound. It is important to use muscles as much as possible. To allow this, and to increase independency of patients, an arm orthosis can be used to perform activities of daily life. The orthosis compensates for the gravity force of the arm, allowing people to perform movements with smaller muscle forces. For patients, the aesthetics of the orthosis is one of the critical issues. This paper presents the state-of-the-art in passive and wearable active arm orthoses, and investigates how to proceed towards a suitable structure for a wearable passive arm orthosis, that is able to balance the arm within its natural range of motion and is inconspicuous; in the ideal case it fits underneath the clothes. Existing devices were investigated with respect to the body interface, the volume, and the workspace. According to these evaluation metrics it is investigated to what extent the devices are wearable and inconspicuous. Furthermore, the balancing principle of the devices, the architecture, force transmission through the devices, and alignment with the body joints are investigated. It appears that there is only one wearable passive orthosis presented in literature. This orthosis can perform throughout the natural workspace of the arm, but is still too bulky to be inconspicuous. The other passive orthoses were conspicuous and mounted to the wheelchair. Except one, the wearable active orthoses were all conspicuous and heavy due to a large backpack to enclose the actuators. They also could not achieve the entire natural workspace of the human arm. A future design of an inconspicuous, wearable, passive arm orthoses should stay close to the body, be comfortable to wear, and supports pronation and supination.

  10. 21 CFR 890.3025 - Prosthetic and orthotic accessory.

    Science.gov (United States)

    2010-04-01

    ... intended for medical purposes to support, protect, or aid in the use of a cast, orthosis (brace), or prosthesis. Examples of prosthetic and orthotic accessories include the following: A pelvic support band and belt, a cast shoe, a cast bandage, a limb cover, a prosthesis alignment device, a postsurgical pylon,...

  11. Military Medical Revolution: Military Trauma System

    Science.gov (United States)

    2012-01-01

    for hypotensive patients with penetrating torso injuries. N Engl J Med. 1994;331:1105. 10. Arishita GI, Vayer JS, Bellamy RF. Cervical spine... orthosis change hearts and minds? J Surg Orthop Adv. 2011;20:8 18. 49. Patzkowski JC, Blanck RV, Owens JG, et al. Comparative effect of or- thosis

  12. Preliminary Derivation of Test Item Clusters for Predicting Injuries, Poor Physical Performance, and Overall Attrition in Basic Combat Training

    Science.gov (United States)

    2006-12-01

    examination and patient self-report measures for cervical radiculopathy. Spine. Jan 1 2003;28(1):52-62. 36 11. Wainner RS, Fritz JM, Irrgang JJ...foot orthosis use and modified activity: a preliminary investigation. Phys Ther. Jan 2004;84(1):49-61. 18. Solomon DH, Avorn J, Warsi A, et al

  13. Creating gesture controlled games for robot-assisted stroke rehabilitation

    NARCIS (Netherlands)

    Basteris, A.; Johansson, E.; Klein, P.; Nasr, N.; Nijenhuis, S.; Sale, P.; Schätzlein, F.; Stienen, A.H.A.

    2014-01-01

    Regular training exercises are fundamental to regain functional use of arm and hand control after a stroke. With the SCRIPT system, the patient can practice hand excercising independently at home by playing gesture controlled games using a robotic glove (orthosis). The system could offer prolonged r

  14. Functional electrical stimulation-assisted walking for persons with incomplete spinal injuries

    DEFF Research Database (Denmark)

    Ladouceur, M.; Barbeau, H.

    2000-01-01

    This study investigated the changes in maximal overground walking speed (MOWS) that occurred during; walking training with a functional electrical stimulation (FES) orthosis by chronic spinal cord injured persons with incomplete motor function loss. The average walking: speed over a distance of 10...

  15. Three dimensional analysis of brace biomechanical efficacy for patients with AIS

    DEFF Research Database (Denmark)

    Lebel, David E; Al-Aubaidi, Zaid; Shin, Eyun-Jung

    2013-01-01

    Corrective three dimensional (3D) effect of different braces is debatable. We evaluated differences in in-brace radiographic correction comparing a custom thoracic-lumbo-sacral-orthosis (TLSO) (T) brace to a Chêneau type TLSO (C) brace using 3D EOS reconstruction technology. Our primary research ...

  16. Human Walk Modeled by PCPG to Control a Lower Limb Neuroprosthesis by High-Level Commands

    Directory of Open Access Journals (Sweden)

    Matthieu Duvinage

    2012-06-01

    Full Text Available Current active leg prostheses do not integrate the most recent advances in Brain-Computer Interfaces (BCI and bipedal robotics. Moreover, their actuators are seldom driven by the subject’s intention. This paper aims at showing a summary of our current results in the field of human gait rehabilitation. In a first prototype, the main focus was on people suffering from foot drop problems, i.e. people who are unable to lift their feet. However, current work is focusing on a full active ankle orthosis. The approach is threefold: a BCI system, a gait model and an orthosis. Thanks to the BCI system, patients are able to generate high-level commands. Typically, a command could represent a speed modification. Then, a gait model based on a programmable central pattern generator is used to generate the adequate kinematics. Finally, the orthosis is tracking this kinematics when the foot is in the air, whereas, the orthosis is mimicking a spring when the foot is on the ground.

  17. Evidence-Based Evaluation of Physiological Effects of Standing and Walking in Individuals with Spinal Cord Injury

    Directory of Open Access Journals (Sweden)

    Mohammad Taghi Karimi

    2011-12-01

    Full Text Available Spinal Cord Injury (SCI is damage to spinal cord, which is categorized according to the extent of functional loss, sensation loss and inability of the subjects to stand and walk. The patients use two transportation systems including orthosis and wheelchair. It was claimed that standing and walking bring some benefits such as decreasing bone osteoporosis, prevention of pressure sores, and improvement of the function of the digestive system for SCI patients. Nevertheless, the question of wether or not there is enough evidence to support the effect of walking with orthosis on the health status of the subjects with SCI remains unanswered. In order to answer this question a review of the relevant literature was carried out. The review of the literature showed that evidence reported in the literature regarding the effectiveness of orthoses for improving the health condition of SCI patients was controversial. Many investigators had only used the comments of the users of orthoses. The benefits mentioned in various research studies regarding the use of orthosis included decreasing bone osteoprosis, preventing joint deformity, improving bowl and bladder function, improving digestive system function, decreasing muscle spasm, improving independent living, and improving respiratory and cardiovascular systems function. The findings of the studies reviewed also showed that improving the independent living and physiological health of the subjects were the only two benefits, which were supported by strong evidence. The review of the literature suggests that most published studies are in fact surveys, which collected questionnaire-based information from the users of orthosis

  18. Comparative trials on hybrid walking systems for people with paraplegia: An analysis of study methodology

    NARCIS (Netherlands)

    IJzerman, M.J.; Baardman, G.; Hermens, H.J.; Veltink, P.H.; Boom, H.B.K.; Zilvold, G.

    1999-01-01

    A new orthosis (SEPRIX) which combines user friendliness with low energy cost of walking has been developed and will be subject to a clinical comparison with conventional hip-knee-ankle-foot orthoses. In designing such comparative trials it was considered it may be worthwhile to use previous clinica

  19. Alternative venous outflow vessels in microvascular breast reconstruction.

    Science.gov (United States)

    Mehrara, Babak J; Santoro, Timothy; Smith, Andrew; Arcilla, Eric A; Watson, James P; Shaw, William W; Da Lio, Andrew L

    2003-08-01

    The lack of adequate recipient vessels often complicates microvascular breast reconstruction in patients who have previously undergone mastectomy and irradiation. In addition, significant size mismatch, particularly in the outflow veins, is an important contributor to vessel thrombosis and flap failure. The purpose of this study was to review the authors' experience with alternative venous outflow vessels for microvascular breast reconstruction. In a retrospective analysis of 1278 microvascular breast reconstructions performed over a 10-year period, the authors identified all patients in whom the external jugular or cephalic veins were used as the outflow vessels. Patient demographics, flap choice, the reasons for the use of alternative venous drainage vessels, and the incidence of microsurgical complications were analyzed. The external jugular was used in 23 flaps performed in procedures with 22 patients. The superior gluteal and transverse rectus abdominis musculocutaneous (TRAM) flaps were used in the majority of the cases in which the external jugular vein was used (72 percent gluteal, 20 percent TRAM flap). The need for alternative venous outflow vessels was usually due to a significant vessel size mismatch between the superior gluteal and internal mammary veins (74 percent). For three of the external jugular vein flaps (13 percent), the vein was used for salvage after the primary draining vein thrombosed, and two of three flaps in these cases were eventually salvaged. In three patients, the external jugular vein thrombosed, resulting in two flap losses, while the third was salvaged using the cephalic vein. A total of two flaps were lost in the external jugular vein group. The cephalic vein was used in 11 flaps (TRAM, 64.3 percent; superior gluteal, 35.7 percent) performed in 11 patients. In five patients (54.5 percent), the cephalic vein was used to salvage a flap after the primary draining vein thrombosed; the procedure was successful in four cases. In three

  20. Catching prey with the antennae - The larval head of Corethrella appendiculata (Diptera: Corethrellidae).

    Science.gov (United States)

    Förster, Maria; Beutel, Rolf G; Schneeberg, Katharina

    2016-11-01

    The larval cephalic morphology of Corethrella appendiculata Grabham, 1906 is described and documented in detail. The observed features are compared to conditions found in Chaoboridae, Culicidae, and other culicomorph families. The function of antennae, mouthparts and associated muscles is interpreted based on the morphological results. The prey catching mechanism is compared to what occurs in other predaceous larvae of Culicomorpha. The cephalic larval morphology is discussed with respect to homology and possible phylogenetic implications. The horizontal frontoclypeal antennal grooves and the lateral rows of strongly developed bristles are likely larval autapomorphies of Corethrellidae. The presence of raptorial antennae is a highly unusual apomorphy shared with Chaoboridae. The systematic position of Corethrellidae remains ambiguous.

  1. Topological entropy of catalytic sets: Hypercycles revisited

    Science.gov (United States)

    Sardanyés, Josep; Duarte, Jorge; Januário, Cristina; Martins, Nuno

    2012-02-01

    The dynamics of catalytic networks have been widely studied over the last decades because of their implications in several fields like prebiotic evolution, virology, neural networks, immunology or ecology. One of the most studied mathematical bodies for catalytic networks was initially formulated in the context of prebiotic evolution, by means of the hypercycle theory. The hypercycle is a set of self-replicating species able to catalyze other replicator species within a cyclic architecture. Hypercyclic organization might arise from a quasispecies as a way to increase the informational containt surpassing the so-called error threshold. The catalytic coupling between replicators makes all the species to behave like a single and coherent evolutionary multimolecular unit. The inherent nonlinearities of catalytic interactions are responsible for the emergence of several types of dynamics, among them, chaos. In this article we begin with a brief review of the hypercycle theory focusing on its evolutionary implications as well as on different dynamics associated to different types of small catalytic networks. Then we study the properties of chaotic hypercycles with error-prone replication with symbolic dynamics theory, characterizing, by means of the theory of topological Markov chains, the topological entropy and the periods of the orbits of unimodal-like iterated maps obtained from the strange attractor. We will focus our study on some key parameters responsible for the structure of the catalytic network: mutation rates, autocatalytic and cross-catalytic interactions.

  2. EFEKTIVITAS NIRA AREN SEBAGAI BAHAN PENGEMBANG ADONAN ROTI

    Directory of Open Access Journals (Sweden)

    Mody Lempang

    2013-12-01

    Full Text Available Fermentation is a natural process that happen in fresh-sweet sap of aren trees (Arenga pinnata Merr., because many kinds of microorganism stay and life in this substance e.g. bakteria (Acetobacter acetic and yeast (Saccharomyces tuac. Species of yeast from genus of Saccharomyses, e.g. Saccharomyses serivisae is wellknown as microorganism that can ferment sugar (glucose into alchohol and CO2. This natural process as well happen in aren sap, so that this substance potencially using as a swollen agent of bread or cake dough. This research objective is to recognize the effectiveness of aren sap as a swollen agent of bread dough. Fermentation duration of bread dough was one hour by using swollen agent of fresh, 10 hours old and 20 hours old of aren sap. Daily yield of sap tapped from aren trees in Maros district, South Sulawesi province was 7 litre (4-5 litre collected in the morning and 2-3 litre colected in the afternoon. Aren sap containt some of nutritions e.g. carbohydrate, protein, fat, vitamin C and mineral. Sweet taste of aren sap caused by it’s charbohydrate content of 11.18%. The effectiveness of aren sap as a swollen agent of bread dough is lower than instant (commercial yeast. The older of aren sap the lower of it’s effectiveness as a swollen agent of dough and kuality of bread yield.    Keywords : Sap, Arenga pinnata, swollen agent, bread dough

  3. Experimental investigation of thermal characteristics of lithium ion battery using phase change materials combined with metallic foams and fins

    Science.gov (United States)

    Deng, Y. C.; Zhang, H. Y.; Xia, X.

    2016-08-01

    Phase change materials are of great interest in energy storage and energy management applications due to their high latent heat and excellent cycling stability. In this paper, the thermal characteristics of phase change materials (PCM) for thermal management of cylindrical 18650 lithium-ion battery (LIB) were experimentally investigated. A commercial paraffin wax with a melting temperaturerange between 47 - 53.8oC was used in this study. A metal cylinder with a heater was used to emulate the heat generation from a battery, which was surrounded with the paraffin PCM and containted in a metal housing. The experiment was conducted in an environmental test chamber with controlled ambient temperatures and power inputs. Both the battery temperature and the housing wall temperature were measured during steady-state heating and cyclic heating conditions. Since PCM has low thermal conductivity, thermal enhancement techniques were investigated by adding metal foams (MFs) or combining metallic foam and fins into the PCM to enhance the thermal conductivity. The battery temperatures were measured for all the cases and the results were analyzed and discussed.

  4. Bra.Di.P.O. and P.I.G.R.O.: Innovative Devices for Motor Learning Programs

    Directory of Open Access Journals (Sweden)

    Guido Belforte

    2014-01-01

    Full Text Available Two mechatronics prototypes, useful for robotic neurotreatments and new clinical trainings, are here presented. P.I.G.R.O. (pneumatic interactive gait rehabilitation orthosis is an active exoskeleton with an electropneumatic control. It imposes movements on lower limbs in order to produce in the patient’s brain proper motor cortex activation. Bra.Di.P.O. (brain discovery pneumatic orthosis is an MR-compatible device, designed to improve fMRI (functional magnetic resonance imaging analysis. The two devices are presented together because both are involved in the study of new robotic treatments of patients affected by ictus or brain stroke or in some motor learning experimental investigations carried out on healthy subjects.

  5. Modification of spastic gait through mechanical damping.

    Science.gov (United States)

    Maki, B E; Rosen, M J; Simon, S R

    1985-01-01

    The effect of dissipative mechanical loads on spastic gait has been studied, to evaluate the feasibility of using mechanically damped orthoses to effect functional improvements in the gait of spastic patients. This concept is based on a hypothesis citing uninhibited, velocity-dependent stretch reflexes as a possible causal factor in spastic gait abnormalities, such as equinus and back-kneeing. In order to screen potential experimental subjects and to quantify velocity-dependent reflex behaviour, ankle rotation experiments and filmed gait analysis were performed. The results supported the existence of a velocity threshold. Orthosis simulation experiments were performed with one spastic subject, using a wearable, computer-controlled, electromechanical, below-knee orthosis simulator to apply a variety of damping loads to the ankle as the subject walked. Results indicated that appropriate damping can improve local joint kinematics. The damping causes a reduction in muscle stretch velocity which apparently results in reduced spastic reflex activity.

  6. Adiós al color carne

    OpenAIRE

    Campos Soriano, Nadia; Fernández Barrachina, Leopoldo; Bermejo Bosch, Ignacio; Sancho Mollá, Maria; CEREZO GANDIA, MIQUEL; Moreno Sarrión, Laura

    2011-01-01

    [EN] How to design products for delight? This question is asked by many companies every year. IBV has a methodology that help companies to know how they should design their products and services to meet the needs of their customers and thus to create a reliable emotional relationship with them. This methodology is User-Friendly Design. Thanks to this methodology, EMO company (Especialidades Médico Ortopédicas, SL) has learnt that when it is time to buy an orthosis,...

  7. A Hybrid Neuromechanical Ambulatory Assist System

    Science.gov (United States)

    2015-06-01

    Huq MS, Tokhi OM, Genetic algorithms based approach for designing spring brake orthosis – Part I: Spring parameters. Applied Bionics and Biomechanics ...states and stimulation pattern state. The embedded control board has a microprocessor control unit which runs the finite state controller, and...communicate wirelessly with a finite state controller running onboard HNP2. A gait event detector using FSRs as inputs to the finite state controller

  8. COMPLEX TREATMENT OF PATIENT WITH MULTIPLE FRACTURES OF THE VERTEBRAE IN THE THORACIC SPINE

    Directory of Open Access Journals (Sweden)

    S. V. Vissarionov

    2012-01-01

    Full Text Available The authors presented an example of a complex treatment of pediatric patient with multiple fractures of the vertebrae in the thoracic spine. The child was operated on the burst fracture of a Th5 vertebra. Due to the presence of vertebral compression fractures Th8 a course of conservative treatment by the orthosis in hyperextension brace. Follow-up was 15 months.

  9. Proprioceptive feedback and brain computer interface (BCI based neuroprostheses.

    Directory of Open Access Journals (Sweden)

    Ander Ramos-Murguialday

    Full Text Available Brain computer interface (BCI technology has been proposed for motor neurorehabilitation, motor replacement and assistive technologies. It is an open question whether proprioceptive feedback affects the regulation of brain oscillations and therefore BCI control. We developed a BCI coupled on-line with a robotic hand exoskeleton for flexing and extending the fingers. 24 healthy participants performed five different tasks of closing and opening the hand: (1 motor imagery of the hand movement without any overt movement and without feedback, (2 motor imagery with movement as online feedback (participants see and feel their hand, with the exoskeleton moving according to their brain signals, (3 passive (the orthosis passively opens and closes the hand without imagery and (4 active (overt movement of the hand and rest. Performance was defined as the difference in power of the sensorimotor rhythm during motor task and rest and calculated offline for different tasks. Participants were divided in three groups depending on the feedback receiving during task 2 (the other tasks were the same for all participants. Group 1 (n = 9 received contingent positive feedback (participants' sensorimotor rhythm (SMR desynchronization was directly linked to hand orthosis movements, group 2 (n = 8 contingent "negative" feedback (participants' sensorimotor rhythm synchronization was directly linked to hand orthosis movements and group 3 (n = 7 sham feedback (no link between brain oscillations and orthosis movements. We observed that proprioceptive feedback (feeling and seeing hand movements improved BCI performance significantly. Furthermore, in the contingent positive group only a significant motor learning effect was observed enhancing SMR desynchronization during motor imagery without feedback in time. Furthermore, we observed a significantly stronger SMR desynchronization in the contingent positive group compared to the other groups during active and

  10. Kinetic analysis of supine stepping for early rehabilitation of walking.

    Science.gov (United States)

    Fang, Juan; Galen, Sujay; Vuckovic, Aleksandra; Conway, Bernard A; Hunt, Kenneth J

    2014-05-01

    In order to promote gait restoration in patients who cannot maintain an upright position in the early post-injury phase, a Gait Orthosis for Early Rehabilitation was proposed for supine stepping. Although supine stepping can generate lower-limb joint trajectories which are close to normal gait, the inter-segmental dynamics of supine stepping are believed to be different from those of upright walking. Furthermore, training in a supine position requires a certain loading on the foot to mimic the ground reaction forces, where different loading amplitudes influence the joint dynamics. This work analysed the kinetics of supine stepping with variable loading and investigated structural modifications for the Gait Orthosis for Early Rehabilitation system to address this kinetic difference. Three able-bodied subjects walked overground while their walking performance was recorded. Based on the experimental data, a leg-linkage model was developed to simulate the dynamics of upright walking. This model was then rotated by 90° with different foot loadings to investigate the kinetics of supine stepping. Compared to upright walking, supine stepping had a large kinetic difference at the hip joint due to the supine leg position. The ankle joint during supine stepping was sensitive to the force amplitude simulated on the foot. Thus, the Gait Orthosis for Early Rehabilitation system requires a leg frame to compensate the position change and a shoe platform to activate the leg muscles, especially at the ankle joint. This study provided important structural information for the further development of the Gait Orthosis for Early Rehabilitation system.

  11. File list: NoD.CDV.05.AllAg.Brachiocephalic_endothelial_cells [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available NoD.CDV.05.AllAg.Brachiocephalic_endothelial_cells hg19 No description Cardiovascular Brachio...cephalic endothelial cells DRX014747 http://dbarchive.biosciencedbc.jp/kyushu-u/hg19/assembled/NoD.CDV.05.AllAg.Brachiocephalic_endothelial_cells.bed ...

  12. File list: Unc.CDV.10.AllAg.Brachiocephalic_endothelial_cells [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available Unc.CDV.10.AllAg.Brachiocephalic_endothelial_cells hg19 Unclassified Cardiovascular Brachio...cephalic endothelial cells http://dbarchive.biosciencedbc.jp/kyushu-u/hg19/assembled/Unc.CDV.10.AllAg.Brachiocephalic_endothelial_cells.bed ...

  13. File list: ALL.CDV.50.AllAg.Brachiocephalic_endothelial_cells [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available ALL.CDV.50.AllAg.Brachiocephalic_endothelial_cells hg19 All antigens Cardiovascular Brachio...cephalic endothelial cells DRX014747 http://dbarchive.biosciencedbc.jp/kyushu-u/hg19/assembled/ALL.CDV.50.AllAg.Brachiocephalic_endothelial_cells.bed ...

  14. Effect of maternal Tp53 gene G412C polymorphism on neural tube defects: A study from North India

    Directory of Open Access Journals (Sweden)

    Jyoti Arora

    2012-01-01

    Conclusion: The study highlights the selective advantage provided by maternal ′CC′ genotype, thereby reducing risk of cephalic NTDs, probably due to the lower apoptotic activity of the protein, however, more specifically in the presence of community-specific microenvironment.

  15. Parasympathetic involvement in rapid meal-associated conditioned insulin secretion in the rat

    NARCIS (Netherlands)

    Strubbe, J.H.

    1992-01-01

    Blood glucose and plasma insulin concentrations were measured in blood sampled via a cardiac catheter in freely moving rats. To obtain a rapid conditioned cephalic phase of insulin secretion, rats were habituated to one of two feeding schedules. Clock-activated opening of doors in front of the food

  16. The cholinomimetic agent carbachol induces headache in healthy subjects

    DEFF Research Database (Denmark)

    Schytz, H W; Wienecke, Troels; Oturai, P S;

    2009-01-01

    The parasympathetic nervous system is likely to be involved in migraine pathogenesis. We hypothesized that the cholinomimetic agonist carbachol would induce headache and vasodilation of cephalic and radial arteries. Carbachol (3 microg/kg) or placebo was randomly infused into 12 healthy subjects...

  17. [Arterial steal via an arteriovenous fistula for hemodialysis. A clinical case and review of the literature].

    Science.gov (United States)

    Juliá Montoya, J; Lozano Vilardell, P; Corominas Roura, C; Blanes Mompó, I; Flores López, D; Manuel-Rimbau Muñoz, E; García de la Torre, A

    1993-01-01

    We related a case of arterial atrappment in the left upper limb by an arteriovenous humerus-cephalic hyperfunctioning fistula. Surgical procedure consisted on the insertion of a PTFE's banding around the arterialized vein obtaining satisfactory clinic and functional results. We review in the literature, the frequency the pathogeny and the therapeutics possibilities.

  18. Appetite suppression through smelling of dark chocolate correlates with changes in ghrelin in young women

    NARCIS (Netherlands)

    Massolt, Elske T.; van Haard, Paul M.; Rehfeld, Jens F.; Posthuma, Eduardus F.; van der Veer, Eveline; Schweitzer, Dave H.

    2010-01-01

    Cephalic effects on appetite are mediated by vagal tone and altered gastrointestinal hormones. The objective of this study is to explore the relationship between appetite and levels of gastrointestinal hormones after smelling chocolate and after melt-and-swallow 30 g chocolate (1.059 oz, 85% cocoa,

  19. 78 FR 58938 - Endangered and Threatened Wildlife and Plants; Determination of Endangered Species Status for the...

    Science.gov (United States)

    2013-09-25

    ... size and cephalic pore size (Adams et al. 2013, p. 490). Morphology of brain structures in hypogean... White-Nose Syndrome Decontamination Protocol, which is readily available on the internet. Two federally... hormone-related genes, affect normal larval development, and affect normal brain development. Pyrene...

  20. Functional and molecular characterization of prostaglandin E2 dilatory receptors in the rat craniovascular system in relevance to migraine

    DEFF Research Database (Denmark)

    Myren, Maja; Baun, Michael; Ploug, Kenneth Beri;

    2010-01-01

    Migraine pain is thought to involve an increase in trigeminal nerve terminal activity around large cerebral and meningeal arteries, leading to vasodilatation. Because prostaglandin E(2) (PGE(2)) is elevated in cephalic venous blood during migraine attacks, and is also capable of inducing headache...... in healthy volunteers, we hypothesize that PGE(2) dilatory receptors, EP(2) and EP(4), mediate the response....

  1. Association of acetazolamide infusion with headache and cranial artery dilation in healthy volunteers

    DEFF Research Database (Denmark)

    Arngrim, Nanna; Schytz, Henrik Winther; Asghar, Mohammad Sohail;

    2014-01-01

    The carbonic anhydrase inhibitor acetazolamide causes extracellular acidosis and dilatation of cerebral arterioles. In this study, we tested the hypothesis that acetazolamide also may induce headache and dilatation of cranial arteries. In a randomized double-blind crossover study design, 12 young...... by acetazolamide causes sensitization of cephalic perivascular nociceptors, which, in combination with vasodilatation, leads to delayed headache....

  2. Moxibustion did not have an effect in a randomised clinical trial for version of breech position

    DEFF Research Database (Denmark)

    Bue, Linda; Lauszus, Finn Friis

    2016-01-01

    INTRODUCTION: In Chinese traditional medicine, the stimulation of acupuncture point no. 67 - the bladder meridian - is recommended to favour cephalic version in case of foetal breech presentation. The point can be stimulated by an acupuncture needle, ginger application, fingertip pressure, laser...

  3. New genus, three new and two known species of the family Onchulidae Andrassy, 1964 with notes on systematics and biology of the family

    NARCIS (Netherlands)

    Holovachov, O.V.; Winiszewska, G.; Sturhan, D.; Esquivel, A.; Wu, J.

    2008-01-01

    Tobrilonchulus novaezelandiae gen. n., sp. n. from New Zealand is particularly characterized by outer labial and cephalic sensilla arranged at the same level; stoma with one minute dorsal tooth, two ventrosublateral denticles and two drop-shaped sclerotizations; presence of gubernaculum; and long fl

  4. Functional magnetic resonance imaging of human hypothalamic responses to sweet taste and calories

    NARCIS (Netherlands)

    Smeets, P.A.M.; Graaf, de C.; Stafleu, A.; Osch, M.J.P.; Grond, van der J.

    2005-01-01

    BACKGROUND: Evidence exists that beverages do not trigger appropriate anticipatory physiologic responses, such as cephalic phase insulin release. Therefore, it is of interest to elucidate the food properties necessary for triggering adaptive responses. Previously, we found a prolonged dose-dependent

  5. Functional magnetic resonance imaging of human hypothalamic responses to sweet taste and calories

    NARCIS (Netherlands)

    Smeets, P.A.M.; Graaf, C. de; Stafleu, A.; Osch, M.J.P. van; Grond, J. van der

    2005-01-01

    Background: Evidence exists that beverages do not trigger appropriate anticipatory physiologic responses, such as cephalic phase insulin release. Therefore, it is of interest to elucidate the food properties necessary for triggering adaptive responses. Previously, we found a prolonged dose-dependent

  6. The tantulocarid genus Arcticotantalus removed from Basipodellidae into Deoterthridae (Crustacea

    DEFF Research Database (Denmark)

    Knudsen, Steen Wilhelm; Kirkegaard, Maja; Olesen, JØrgen

    2009-01-01

    is tentatively placed in Deoterthridae based on the mode of formation of the male trunk sac, the pattern of ornamentation on the tergites and cephalic shield, and the number of setae on the thoracopods and caudal rami. It is suggested that the genus Arcticotantulus Kornev, Tchesunov & Rybnikov, 2004 is removed...

  7. Kodymirus and the case for convergence of raptorial appendages in Cambrian arthropods

    Science.gov (United States)

    Lamsdell, James C.; Stein, Martin; Selden, Paul A.

    2013-09-01

    Kodymirus vagans Chlupáč and Havlíček in Sb Geol Ved Paleontol 6:7-20, 1965 is redescribed as an aglaspidid-like arthropod bearing a single pair of enlarged raptorial appendages, which are shown to be the second cephalic appendage. A number of early Palaeozoic arthropods, recognized from predominantly Cambrian Konservat-Lagerstätten, are known to have borne single pairs of large raptorial appendages. They are well established for the iconic yet problematic anomalocarids, the common megacheirans, and the ubiquitous bivalved Isoxys. Further taxa, such as fuxianhuiids and Branchiocaris, have been reported to have single pairs of specialized cephalic appendages, i.e., appendages differentiated from a largely homonomous limbs series, members of which act in metachronal motion. The homology of these raptorial appendages across these Cambrian arthropods has often been assumed, despite differences in morphology. Thus, anomalocaridids, for instance, have long multiarticulate "frontal appendages" consisting of many articles bearing an armature of paired serial spines, while megacheirans and Isoxys have short "great appendages" consisting of few articles with well-developed endites or elongate fingers. Homology of these appendages would require them to belong to the same cephalic segment. We argue based on morphological evidence that, to the contrary, the raptorial appendages of some of these taxa can be shown to belong to different cephalic segments and are the result of convergence in life habits. K. vagans is yet another important example for this, representing an instance for this morphology from a marginal marine environment.

  8. Functional and molecular characterization of prostaglandin E2 dilatory receptors in the rat craniovascular system in relevance to migraine

    DEFF Research Database (Denmark)

    Myren, Maja; Baun, Michael; Ploug, Kenneth Beri;

    2010-01-01

    Migraine pain is thought to involve an increase in trigeminal nerve terminal activity around large cerebral and meningeal arteries, leading to vasodilatation. Because prostaglandin E(2) (PGE(2)) is elevated in cephalic venous blood during migraine attacks, and is also capable of inducing headache...

  9. Surface ultrastructure of third-instar Megaselia scalaris (Diptera: Phoridae

    Directory of Open Access Journals (Sweden)

    Sukontason Kabkaew L

    2002-01-01

    Full Text Available We describe some ultrastructure of the third-instar Megaselia scalaris (Diptera: Phoridae using scanning electron microscopy, with the cephalic segment, anterior spiracle and posterior spiracle being emphasized. This study provides the taxonomic information of this larval species, which may be useful to differentiate from other closely-related species.

  10. Indicators for intervention during the expulsive second-stage arrest of labour

    NARCIS (Netherlands)

    E. Leushuis; M. Tromp; A.C.J. Ravelli; A.M. van Huis; B.W. Mol; G.H.A. Visser; J.A.M. van der Post

    2009-01-01

    Objective To identify antepartum and intrapartum indicators of obstetric interventions during the expulsive second-stage arrest of labour. Design Retrospective cohort study. Setting The Netherlands. Population A cohort of 389 086 women with singleton, cephalic, term, live-birth deliveries from 2002

  11. Evaluation of the efficiency of cervical orthoses on cervical fracture: A review of literature

    Directory of Open Access Journals (Sweden)

    Mohammad Taghi Karimi

    2016-01-01

    Full Text Available Background: Various methods have been used to stabilize the vertebra in cervical fractures, including the use of various orthoses and surgery. However, it is not cleared which type of orthosis is more suitable for the subjects with cervical fractures to best immobilize the vertebra and to decrease the associated side effects. Therefore, the aim of this study was to evaluate the efficiency of various orthoses based on the available literature. Materials and Methods: A search was done in some databases include PubMed, ISI Web of Knowledge, EBSCO, Embasco, and Google Scholar. The search was done with some key words such as: Cervical spine injuries; odontoid fractures; hangman′s fractures; axis fracture; axis, atlas, cervical fractures; trauma; neck fracture; neck injury in combination with cervical orthoses. The quality of the studies was evaluated by use of Downs and Black assessment and Assessment of Multiple Systematic Reviews (AMSTAR for original research and review articles, respectively. Results: Based on the aforementioned key words, 25 papers were selected. The quality of the studies varies 10-24. Most of the studies were on the use of the halo vest orthosis, its side effects and also on complications associated with various orthoses. Discussion: Halo orthoses provide a high degree of restriction and immobilization; however, there are some side effects associated with this orthosis, including swallowing, pin loosening, and infection. It should be emphasized that other types of orthoses fewer complications, with reasonable outputs on motion restrictions.

  12. Wearable Monitoring Devices for Assistive Technology: Case Studies in Post-Polio Syndrome

    Directory of Open Access Journals (Sweden)

    Giuseppe Andreoni

    2014-01-01

    Full Text Available The correct choice and customization of an orthosis are crucial to obtain the best comfort and efficiency. This study explored the feasibility of a multivariate quantitative assessment of the functional efficiency of lower limb orthosis through a novel wearable system. Gait basographic parameters and energetic indexes were analysed during a Six-Minute Walking Test (6-MWT through a cost-effective, non-invasive polygraph device, with a multichannel wireless transmission, that carried out electro-cardiograph (ECG; impedance-cardiograph (ICG; and lower-limb accelerations detection. Four subjects affected by Post-Polio Syndrome (PPS were recruited. The wearable device and the semi-automatic post-processing software provided a novel set of objective data to assess the overall efficiency of the patient-orthosis system. Despite the small number of examined subjects, the results obtained with this new approach encourage the application of the method thus enlarging the dataset to validate this promising protocol and measuring system in supporting clinical decisions and out of a laboratory environment.

  13. [Survey of carbon fiber reinforced plastic orthoses and occupational and medical problems based on a questionnaire administered to companies involved in the manufacture of prosthetics and orthotics].

    Science.gov (United States)

    Kaneshiro, Yuko; Furuta, Nami; Makino, Kenichiro; Wada, Futoshi; Hachisuka, Kenji

    2011-09-01

    We surveyed carbon fiber reinforced plastic orthoses (carbon orthoses) and their associated occupational and medical problems based on a questionnaire sent to 310 companies which were members of the Japan Orthotics and Prosthetics Association. Of all the companies, 232 responded: 77 of the 232 companies dealt with ready-made carbon orthoses, 52 dealt with fabricated custom-made orthoses, and 155 did not dealt with carbon orthoses. Although the total number of custom-made carbon ortheses in Japan was 829/ 5 years, there was a difference by region, and one company fabricated only 12 (per 5 years) custom-made carbon orthoses on average. The advantages of the carbon orthosis were the fact that it was "light weight", "well-fitted", had a "good appearance", and "excellent durability", while the disadvantages were that it was "expensive", "high cost of production", of "black color", and required a "longer time for completion", and "higher fabrication techniques". From the standpoint of industrial medicine, "scattering of fine fragments of carbon fibers", "itching on the skin" and "health hazards" were indicated in companies that manufacture the orthosis. In order to make the carbon orthosis more popular, it is necessary to develop a new carbon material that is easier to fabricate at a lower cost, to improve the fabrication technique, and to resolve the occupational and medical problems.

  14. Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment

    Directory of Open Access Journals (Sweden)

    Marcelo Pires Prado

    2013-08-01

    Full Text Available OBJECTIVE: This trial has the objective to investigate the incidence of mechanical ankle instability after the conservative treatment of first episode, severe ankle ligamentar lesions. This common lesion affects young, professional and physical active patients, causing important personal and economic consequences. There are difficulties related to adequate diagnosis and treatment for these lesions. METHOD: 186 patients with severe ankle ligament lesions were included in this trial. They were randomized in two treatment options. In group A patients were treated using ankle long orthoosis, weight bearing allowed as confortable, pain care, ice, elevation with restricted joint mobilization for three weeks. After that they were maintained in short, functional orthosis (air cast, starting the reabilitation program. In group B patients were immobilized using a functional orthosis (air cast, following the same other sequences that patients in group A. RESULTS: We did not find significant differences in relation to the residual mechanical ankle instability between both groups. We did not find differences in the intensity of pain, but the functional evaluation using AOFAS score system showed better results in the functional treatment group. CONCLUSION: The functional treatment (Group B had better AOFAS score and few days off their professional activities, comparing with patients treated with rigid orthosis (Group A, without increased chance in developing ankle mechanical instability.

  15. The use of upper limb orthoses in patients with rheumatoid arthritis: a literature review in the field of occupational therapy

    Directory of Open Access Journals (Sweden)

    Talita Silvério de Souza Silva

    2015-09-01

    Full Text Available Introduction: Rheumatoid arthritis is a chronic systemic disease that most often affects smaller joints such as hands and wrists. It may cause deformities that jeopardize hand function, thus impacting the subject occupational performance. In order to assist the hand function restoration, occupational therapists often use orthosis to improve autonomy and/or independence to perform daily activities in patients with rheumatoid arthritis. Objective: This study aimed to identify the upper limb’s orthoses used in patients with rheumatoid arthritis, who were assisted by the Occupational Therapy, featuring the population, the type of research and the outcomes obtained. Method: This study is literature review and its selection criteria consists of publications in English, Spanish and Portuguese published within the last ten years, divided between experimental, observational and case studies, all with diagnosis of rheumatoid arthritis and assisted by an occupational therapist. Twelve articles were selected for review. Findings: The literature review points out the benefits achieved through the use of the orthosis to manual dexterity, grip strength, pain relief and aspects related to comfort and patient satisfaction. Conclusion: In this context, the orthosis appears as an important assistive technology resource to keep function and restore compromised activities.

  16. The Effect of Foot Orthoses on Energy Consumption in Runners with Flat Feet

    Directory of Open Access Journals (Sweden)

    Farzad Farmani

    2010-01-01

    Full Text Available Introduction Foot orthosis is used as protective treatment in people with flatfoot. This study aimed at assessing the effects of Foot orthosis on energy consumption in 20 runners with flat feet.Methods: In this study a treadmill and a Quark b2 were used to measure oxygen consumption. For each patient, a pair of foot orthosis with the appropriate size was prepared. The maximum running Heart rate, vo2 max and vo2 of the subjects were measured and calculated with and without foot orthoses. The data were compared through paired T-test.Results: In this study, after using the foot orthoses, the mean VO2 (ML/M, theVO2 max (ML/M for each Kg of body weight and the maximum heart rate respectively reduced from 4504.6 to 4488.3, from 63.6 to 63.4 and from 168.7 to 168.0, all of which indicating a significant observed reduction (P<0.05.Conclusion: Foot support devices (orthoses result in realignment of lower extremity joints in patients with flat feet, thus length- tension relationship of muscles improve. This prevents muscle fatigue in long- distance running. Finally, when suitable foot orthoses was applied energy consumption during running decreased.

  17. The Physiological Benefits and Problems Associated With Using Standing and Walking Orthoses in Individuals With Spinal Cord Injury—A Meta-analytic Review

    Directory of Open Access Journals (Sweden)

    Mohammad Karimi Taghi

    2012-06-01

    Full Text Available Spinal cord injury (SCI patients use two transportation systems that include orthosis and wheelchair. It was claimed that standing and walking bring some benefits for SCI patients, such as decreasing bone osteoporosis, preventing pressure sores, and improving various physiological functions. The main question posted here is as follows: Is there enough evidence to support the effect of walking with orthosis on the health status of the patients with SCI? A review of the relevant literature was carried out in Bioengineering Unit of Strathclyde University. The benefits of orthoses were evaluated. Evidence reported in the literature regarding the effectiveness of orthoses for improving the health condition of SCI patients is conflicting. The benefits that were mentioned in various research studies regarding using the orthosis include decreasing bone osteoporosis, preventing joint deformity, improving bowl and bladder function, improving digestive system function, decreasing muscle spasm, improving independent living, improving respiratory and cardiovascular systems function. Improvement of independence living and physiological health of the patients are the only two benefits that are supported by strong evidence. Unfortunately, conflicting results in the literature have led to criticism of most hypotheses based on theoretical grounds, with the effects of using orthoses on the health status remaining a matter of considerable debate.

  18. General trigeminospinal central sensitization and impaired descending pain inhibitory controls contribute to migraine progression.

    Science.gov (United States)

    Boyer, Nelly; Dallel, Radhouane; Artola, Alain; Monconduit, Lénaïc

    2014-07-01

    Migraine is a chronic disease with episodic manifestations. In a subgroup, attack frequency increases over time, leading to chronic migraine. One of the most important risk factors for migraine progression is frequency of headache attacks at baseline. Unfortunately, the actual effects of repeated activation of dural nociceptors are poorly known. We investigated the behavioral, anatomical, and electrophysiological changes induced by repeated low- and high-intensity stimulation of meningeal nociceptor by injecting an inflammatory soup in rats. Single high-intensity, but not low-intensity, stimulation produces a reversible cephalic allodynia. Upon repetition, however, low-intensity stimulation, too, induces a reversible cephalic allodynia, and high-intensity, reversible cephalic and extracephalic allodynia. Moreover, cephalic allodynia becomes, in part, persistent upon repeated high-intensity stimulation. Fos expression reveals that a single high-intensity stimulation already leads to widespread, trigeminal, and spinal central sensitization, and that such general central sensitization potentiates upon repetition. Trigeminovascular nociceptive neurons become persistently sensitized and their diffuse noxious inhibitory controls (DNIC) concomitantly impaired. Thus, compared with single stimulation, repeated dural nociceptor activation specifically leads to: 1) a gradual worsening of cutaneous hypersensitivity and general neuronal hyperexcitability and 2) spreading of cutaneous hypersensitivity superimposed on 3) persistent cephalic cutaneous hypersensitivity and trigeminal central sensitization. Such repetition-induced development of central sensitization and its consequence, cutaneous allodynia, may arise from both the general neuronal hyperexcitability that results from DNIC impairment and hyperexcitability that likely develops in trigeminal nociceptive neurons in response to their repetitive activation. These neuronal changes may in turn elevate the risk for

  19. Decohesion Kinetics of PEDOT:PSS Conducting Polymer Films

    KAUST Repository

    Dupont, Stephanie R.

    2013-10-17

    The highly conductive polymer PEDOT:PSS is a widely used hole transport layer and transparent electrode in organic electronic devices. To date, the mechanical and fracture properties of this conductive polymer layer are not well understood. Notably, the decohesion rate of the PEDOT:PSS layer and its sensitivity to moist environments has not been reported, which is central in determining the lifetimes of organic electronic devices. Here, it is demonstrated that the decohesion rate is highly sensitive to the ambient moisture content, temperature, and mechanical stress. The kinetic mechanisms are elucidated using atomistic bond rupture models and the decohesion process is shown to be facilitated by a chemical reaction between water molecules from the environment and strained hydrogen bonds. Hydrogen bonds are the predominant bonding mechanism between individual PEDOT:PSS grains within the layer and cause a significant loss in cohesion when they are broken. Understanding the decohesion kinetics and mechanisms in these films is essential for the mechanical integrity of devices containing PEDOT:PSS layers and yields general guidelines for the design of more reliable organic electronic devices. Decohesion rate in PEDOT:PSS conducting films is studied under varied environmental conditions. The moisture content in the environment is the most important factor accelerating the decohesion in the PEDOT:PSS layer, which is detrimental for device reliability. The findings on the decohesion rate and mechanisms, elucidated by atomic kinetic models, are essential for the design of more reliable organic electronic devices containting PEDOT:PSS layers. © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  20. The Dilemmas over Credit Policy Management in a Company

    Directory of Open Access Journals (Sweden)

    Maria Gorczyńska

    2013-11-01

    Full Text Available Purpose of the article: The paper identifies the core dilemmas over the establishment of the credit policy in a company. It considers the general scope and basic stages of credit policy management and analyses each stage of credit policy in terms of decisive aspects. The main areas of concerns are discussed within the settlement of credit policy and its implementation with regard to the model of optimal credit policy. Scientific aim: The paper aims at constructing a unified model of issues rising dilemmas while setting and implementing the credit policy management. It also aims at identifying core decisive problems in each of these fields and at providing a structured questions framework. Methodology/methods: The paper is based on conceptual analysis and deduction of the literature and general review of issues related to credit policy management. It containts autors’ own view on the problems included in each stage of credit policy management. Findings: Credit policy management is a subject for numerous dilemmas. The main areas of concerns are related to: the decision about the goal of credit policy managemet with regard to its restrictiveness, the settlement of credit policy with regard to elements of credit policy, and finally the implementation with regard to the risk of bad debts occurrence. Conclusions: (limits, implications etc The establishment of credit policy in a company requires to balance contrary interests and thus involves wide variety of issues to be considered. The presented model of decisive problems might be applied in each company regardless to their size.

  1. Danish obstetricians' personal preference and general attitude to elective cesarean section on maternal request: a nation-wide postal survey

    DEFF Research Database (Denmark)

    2004-01-01

    OBJECTIVE: To assess Danish obstetricians' and gynecologists' personal preference and general attitude towards elective cesarean section on maternal request in uncomplicated single cephalic pregnancies at term. DESIGN: Nation-wide anonymous postal questionnaire. POPULATION: Four hundred and fifty......-five obstetricians and gynecologists identified in the records of the Danish Society of Obstetrics and Gynecology from January 2000. MAIN OUTCOME MEASURES: Personal preference on the mode of delivery and general attitude towards elective cesarean section on maternal request in an uncomplicated single cephalic...... pregnancies at term. RESULTS: Of Danish specialists in obstetrics and gynecology, 1.1% would prefer an elective cesarean section in an uncomplicated pregnancy at 37 weeks of gestation with fetal weight estimation of 3.0 kg. This rose to 22.5% when the fetal weight estimation was 4.5 kg at 37 weeks. The main...

  2. Can classic metaphyseal lesions follow uncomplicated caesarean section?

    Energy Technology Data Exchange (ETDEWEB)

    O' Connell, AnnaMarie [Children' s University Hospital, Radiology Department, Dublin 1 (Ireland); Donoghue, Veronica B. [Children' s University Hospital, Radiology Department, Dublin 1 (Ireland); National Maternity Hospital, Radiology Department, Dublin (Ireland)

    2007-05-15

    Classic metaphyseal lesion (CML) is the term given to a fracture that most often occurs in the posteromedial aspect of the distal femur, proximal tibia, distal tibia, and proximal humerus in infants; this finding is strongly associated with non-accidental injury. To demonstrate that the CML may occur following simple lower segment caesarean section (LSCS). A review of 22 years of an obstetric practice that delivers 8,500 babies per year. We identified three neonates born by elective LSCS, each with distal femoral metaphyseal fractures on postpartum radiographs. All caesarean sections were elective and uncomplicated. External cephalic version was not employed preoperatively. Postpartum radiographs demonstrated a fracture of the distal femoral metaphysis in each neonate, typical of a CML. We propose that a CML can occur in the setting of a simple, elective and uncomplicated LSCS where no external cephalic version is employed. (orig.)

  3. Two new dwarfgobies of the genus Eviota from the Ryukyu Islands, Japan (Teleostei: Gobiidae).

    Science.gov (United States)

    Greenfield, David W; Suzuki, Toshiyuki; Shibukawa, Koichi

    2014-03-10

    Two species of dwarfgoby are described from the Ryukyu Islands, Japan. Eviota flebilis n. sp. belongs to cephalic sensory-pore system pattern 2 (lacking only IT pore), has a dorsal/anal fin-ray formula of 8/7, unbranched pectoral-fin rays, the 5th pelvic-fin ray 12.9% of the 4th, a distinctive narrow, red-orange line under the eye, and a dark vertical line at the caudal-fin base. Eviota specca n. sp. has a cephalic sensory-pore system pattern 1 (complete), has a dorsal/anal-fin formula of 8/8, the body heavily sprinkled with chromatophores, and a single dark spot on the upper pectoral-fin base.

  4. Two new dwarfgobies from the Indian and Western Pacific Oceans (Teleostei: Gobiidae: Eviota).

    Science.gov (United States)

    Greenfield, David W; Jewett, Susan L

    2016-06-13

    Two new species of dwarfgobies are described, Eviota asymbasia from the Sulu Sea, Philippine Islands, south to Java and west to Damar, and E. bipunctata occurring from the Indian Ocean eastward into the western Pacific Ocean. Eviota asymbasia lacks the IT pore of the cephalic sensory-pore system and usually also the POP, has a dorsal/anal-fin formula of 8/8, has some pectoral-fin rays branched and usually 15 rays, two spots on the pectoral-fin base, no dark spot over the preural centrum, first dorsal fin may be filamentous, six ventral postanal spots, and the male genital papilla is not fimbriate. Eviota bipunctata belongs to the group with cephalic sensory-pore system pattern 2 (lacking only the IT pore), some pectoral-fin rays branched, pectoral-fin base with 1 or 2 prominent dark spots, dorsal/anal-fin formula usually 8/8, and no occipital spots.

  5. Dracunculus mulbus n. sp. (Nematoda: Spirurida) from the water python Liasis fuscus (Serpentes: Boidae) in northern Australia.

    Science.gov (United States)

    Jones, Hugh I; Mulder, Eridani

    2007-03-01

    A new species of Dracunculus Reichard, 1759 (Nematoda: Spirurida) is described from the tissues surrounding organs in the body-cavity of the water python Liasis fuscus Peters in northern Australia. One to 14 worms were recovered from 22% (27/120) of pythons examined. Males were located principally around the lungs, liver and heart of the hosts, and females were recovered from peritoneal tissue surrounding the intestines and lining the body-cavity. This species differs from previously described species of Dracunculus in the position of the papillae at the posterior end in males, and in the possession of thick, narrow caudal alae. Submedian cephalic papillae are single in both sexes. Dorsal and ventral anterior cephalic papillae are absent in males. This is the first report of a species of Dracunculus from the Australian region.

  6. Batwanema gen. n. and Chokwenema gen. n. (Oxyurida, Hystrignathidae), new nematode genera as parasites of Passalidae (Coleoptera) from the Democratic Republic of Congo.

    Science.gov (United States)

    Morffe, Jans; García, Nayla

    2013-01-01

    Two new genera and species parasitizing passalid beetles from the Democratic Republic of Congo are described. Batwanema congo gen. n. et sp. n. is characterized by having females with the cervical cuticle armed with scale-like projections, arranged initially in rows of eight elements that gradually divide and form pointed spines toward the end of the spiny region, two cephalic annuli, clavate procorpus and genital tract monodelphic-prodelphic. Two Malagasian species of Artigasia Christie, 1934 were placed in this genus as B. latum (Van Waerebeke, 1973) comb. n. and B. annulatum (Van Waerebeke, 1973) comb. n. Chokwenema lepidophorum gen. n. et sp. n. is characterized by having females with the cervical cuticle armed with scale-like projections, arranged initially in rows of eight elements (similar to Batwanema) that divide gradually, forming spines; a single cephalic annule cone-like, truncated, moderately inflated; procorpus sub-cylindrical and genital tract didelphic-amphidelphic.

  7. Batwanema gen. n. and Chokwenema gen. n. (Oxyurida, Hystrignathidae, new nematode genera as parasites of Passalidae (Coleoptera from the Democratic Republic of Congo

    Directory of Open Access Journals (Sweden)

    Jans Morffe

    2013-12-01

    Full Text Available Two new genera and species parasitizing passalid beetles from the Democratic Republic of Congo are described. Batwanema congo gen. n. et sp. n. is characterized byfemales with the cervical cuticle armed with scale-like projections, arranged initially in rows of eight elements that gradually divide and form pointed spines toward the end of the spiny region, two cephalic annuli, clavate procorpus and genital tract monodelphic-prodelphic. Two Malagasian species of Artigasia Christie, 1934 were placed in this genus as B. latum (Van Waerebeke, 1973 comb. n. and B. annulatum (Van Waerebeke, 1973 comb.n. Chokwenema lepidophorum gen. n. et sp. n. is characterized byfemales with the cervical cuticle armed with scale-like projections, arranged initially in rows of eight elements (similar to Batwanema that divide gradually, forming spines; a single cephalic annule cone-like, truncated, moderately inflated; procorpus sub-cylindrical and genital tract didelphic-amphidelphic.

  8. Seven new species and one new species record of Sabatieria (Nematoda: Comesomatidae) from the continental slope of New Zealand.

    Science.gov (United States)

    Leduc, Daniel

    2013-01-01

    Sabatieria is the most abundant nematode genus on the upper continental slope of New Zealand but no Sabatieria species have yet been recorded/described from the region's deep-sea habitats. The present study describes seven new and one known species of this genus from the continental margin of New Zealand. S. bitumen Botelho et al. 2007 was originally described from the South Atlantic Ocean, and is recorded from the first time in the Pacific Ocean. Sabatieria challengerensis sp. n. is characterised by a combination of short cephalic setae, large fovea amphidialis with 3 turns, short arcuate spicules without distal hook, and short tail with cylindrical proximal portion and blunt, rounded distal portion. Sabatieria parapraedatrix sp. n. is characterised by having a slender body, cuticle with striations resulting from fusion of every second lateral row of dots,fovea amphidialis with 2.0-2.5 turns, spicules with distal hook, and short conico-cylindrical tail. Sabatieria bubulba sp. n. is characterised by the presence of a large muscular pharyngeal bulb, secretory-excretory system with large ventral gland at level of intestine and with cuticularised pore opening. Sabatieria exculta sp. n. is characterised by having a slender body, cuticle with faint annulations resulting from fusion of every second or third lateral row of dots, short cephalic setae, a large ventral gland, and long, narrow gubernacular apophyses. Sabatieria balbutiens sp. n. is characterised by having a dorsally-directed mouth opening and assymetrical mouth cavity and spicules with small distal hook. Sabatieria pumila sp. n. is characterised by the combination of short body length, short cephalic setae, spicules with distal hook and short distal lamella, and 8-9 precloacal supplements. Sabatieria bathycopia sp. n. is characterised by having a stout body, short cephalic setae, curved gubernaculum, and spicules with swollen, lightly cuticularised distal tip.

  9. Chiral recognition of pinacidil and its 3-pyridyl isomer by canine cardiac and smooth muscle: Antagonism by sulfonylureas

    Energy Technology Data Exchange (ETDEWEB)

    Steinberg, M.I.; Wiest, S.A.; Zimmerman, K.M.; Ertel, P.J.; Bemis, K.G.; Robertson, D.W. (Eli Lilly and Company, Indianapolis, IN (USA))

    1991-01-01

    Pinacidil, a potassium channel opener (PCO), relaxes vascular smooth muscle by increasing potassium ion membrane conductance, thereby causing membrane hyperpolarization. PCOs also act on cardiac muscle to decrease action potential duration (APD) selectively. To examine the enantiomeric selectivity of pinacidil, the stereoisomers of pinacidil (a 4-pyridylcyanoguanidine) and its 3-pyridyl isomer (LY222675) were synthesized and studied in canine Purkinje fibers and cephalic veins. The (-)-enantiomers of both pinacidil and LY222675 were more potent in relaxing phenylephrine-contracted cephalic veins and decreasing APD than were their corresponding (+)-enantiomers. The EC50 values for (-)-pinacidil and (-)-LY222675 in relaxing cephalic veins were 0.44 and 0.09 microM, respectively. In decreasing APD, the EC50 values were 3.2 microM for (-)-pinacidil and 0.43 microM for (-)-LY222675. The eudismic ratio was greater for the 3-pyridyl isomer than for pinacidil in both cardiac (71 vs. 22) and vascular (53 vs. 17) tissues. (-)-LY222675 and (-)-pinacidil (0.1-30 microM) also increased 86Rb efflux from cephalic veins to a greater extent than did their respective optical antipodes. The antidiabetic sulfonylurea, glyburide (1-30 microM), shifted the vascular concentration-response curve of (-)-pinacidil to the right by a similar extent at each inhibitor concentration. Glipizide also antagonized the response to (-)-pinacidil, but was about 1/10 as potent with a maximal shift occurring at 10 and 30 microM. Glyburide antagonized the vascular relaxant effects of 0.3 microM (-)-LY222675 (EC50, 2.3 microM) and reversed the decrease in APD caused by 3 microM (-)-LY222675 (EC50, 1.9 microM). Nitroprusside did not alter 86Rb efflux, and vascular relaxation induced by sodium nitroprusside was unaffected by sulfonylureas.

  10. 头静脉修剪高位重建动静脉内瘘11例

    Institute of Scientific and Technical Information of China (English)

    陆猛桂

    2013-01-01

    目的:观察头静脉修剪高位重建动静脉内瘘的结果。方法:11例慢性肾脏病5期维持血液透析伴动静脉内瘘血栓形成的患者。首次建立动静脉内瘘采用的是头静脉及桡动脉端侧吻合,使用时间为6-24个月。再次手术、切除头静脉血栓部分血管,近端与桡动脉高位重新予端侧吻合。结果:手术均取得成功,随访6-12个月,内瘘均通畅,无血栓形成。结论:头静脉修剪高位重建动静脉内瘘可行,值得推广应用。%Objective:To observe the cephalic vein reconstruction trim high arteriovenous fistula results. Methods:11 patients with chronic kidney disease with five hemodialysis arteriovenous fistula thrombosis patients. First created arteriovenous fistula is used cephalic vein and radial artery end to side anastomosis, the use of time is 6-24 months. Reoperation, removal of part of the cephalic vein thrombosis of blood vessels, and the radial artery proximal to the high re-side anastomosis. The results were successful surgery, fol ow-up 6-12 months, fistula were patent, without thrombosis. Conclusion:trim high cephalic vein arteriovenous fistula reconstruction feasible, should be widely applied.

  11. Eviota piperata, a new gobiid species from Palau (Teleostei: Gobiidae).

    Science.gov (United States)

    Greenfield, David W; Winterbottom, Richard

    2014-01-22

    A new species of dwarfgoby, Eviota piperata is described from Palau. It belongs to the cephalic sensory-pore system Group II (lacking only the IT pore); has a dorsal/anal-fin formula of 8/8; has some pectoral-fin rays branched; no dark spot over the ural centrum; the male genital papilla is not fimbriate; and the cheek and body are heavily peppered with chromatophores.

  12. Experimental headache in humans

    DEFF Research Database (Denmark)

    Iversen, Helle Klingenberg

    1995-01-01

    -dependent headache and dilatation of the temporal, radial and middle cerebral artery. NTG-induced headache, although less intense, resembles migraine in pain characteristics, but the accompanying symptoms are rarely present. Cephalic large arteries are dilated during migraine headache as well as during NTG headache...... interventions and sumatriptan reduced the NTG-induced headache. The NTG model may be a valuable tool in the development of future migraine drugs....

  13. Descrição de uma nova espécie de Micrurus do Estado de Roraima, Brasil (Serpentes, Elapidae

    Directory of Open Access Journals (Sweden)

    Carvalho Celso Morato de

    2002-01-01

    Full Text Available Micrurus pacaraimae, sp. n., from Vila Pacaraima, Roraima, Brasil/Venezuela border (04°31'N, 61°09'W, is characterized by: 201 ventrals; 43 subcaudals; no supra-anal tubercles; anal divided; black cephalic cap in contact with the nuchal black ring on the posterior margin of the parietals; throat white; black and red single rings on body and tail.

  14. Pollination by sexual mimicry in Mormolyca ringens: a floral chemistry that remarkably matches the pheromones of virgin queens of Scaptotrigona sp.

    Science.gov (United States)

    Flach, Adriana; Marsaioli, Anita J; Singer, Rodrigo B; Amaral, Maria do Carmo E; Menezes, Cristiano; Kerr, Warwick Estevam; Batista-Pereira, Luciane G; Corrêa, Arlene G

    2006-01-01

    The chemical composition of some volatile (2-heptanol) and nonvolatile constituents (a homologous 9-alkene/alkane series) of Mormolyca ringens flowers and Scaptotrigona sp. queen waxes (homologous 9-alkene/alkane series) and cephalic extracts (homologous series of 2-alkanols, including 2-heptanol) involved with the pseudocopulation or sexual mimicry in Orchidaceae pollination is compared. The similarity in chemical composition of flowers and insects is assigned to the chemically induced copulatory activity in Scaptotrigona males.

  15. Hystrignathus dearmasi sp. n. (Oxyurida, Hystrignathidae, first record of a nematode parasitizing a Panamanian Passalidae (Insecta, Coleoptera

    Directory of Open Access Journals (Sweden)

    Jans Rodríguez

    2010-09-01

    Full Text Available Hystrignathus dearmasi sp. n. (Oxyurida: Hystrignathidae is described from an unidentified passalid beetle (Coleoptera: Passalidae from Panama. It resembles Hystrignathus cobbi Travassos & Kloss, 1957 from Brazil, bya similar form of the cephalic end, extension of cervical spines and absence of lateral alae. It differs from the latter species bythe body shorter, the oesophagus and tail comparatively larger, the vulva situated more posterior and the eggs ridged. This species constitutes the first record of a nematode parasitizing a Panamanian passalid.

  16. Hystrignathus dearmasi sp. n. (Oxyurida, Hystrignathidae), first record of a nematode parasitizing a Panamanian Passalidae (Insecta, Coleoptera)

    OpenAIRE

    Jans Rodríguez; Nayla Rodríguez

    2010-01-01

    Abstract Hystrignathus dearmasi sp. n. (Oxyurida: Hystrignathidae) is described from an unidentified passalid beetle (Coleoptera: Passalidae) from Panama. It resembles Hystrignathus cobbi Travassos & Kloss, 1957 from Brazil, by having a similar form of the cephalic end, extension of cervical spines and absence of lateral alae. It differs from the latter species by having the body shorter, the oesophagus and tail comparatively larger, the vulva situated more posterior and the eggs ridged. This...

  17. Hystrignathus dearmasi sp. n. (Oxyurida, Hystrignathidae), first record of a nematode parasitizing a Panamanian Passalidae (Insecta, Coleoptera).

    Science.gov (United States)

    Morffe, Jans; García, Nayla

    2010-09-21

    Hystrignathus dearmasi sp. n. (Oxyurida: Hystrignathidae) is described from an unidentified passalid beetle (Coleoptera: Passalidae) from Panama. It resembles Hystrignathus cobbi Travassos & Kloss, 1957 from Brazil, by having a similar form of the cephalic end, extension of cervical spines and absence of lateral alae. It differs from the latter species by having the body shorter, the oesophagus and tail comparatively larger, the vulva situated more posterior and the eggs ridged. This species constitutes the first record of a nematode parasitizing a Panamanian passalid.

  18. Complete penoscrotal transposition: A three-stage procedure.

    Science.gov (United States)

    Somoza, Ivan; Palacios, Maria G; Mendez, Roberto; Vela, Diego

    2012-10-01

    Complete penoscrotal transposition (CPST) with an intact scrotum is a rare anomaly in which the scrotum is located cephalic to the penis. It is the most severe degree of malformation of a spectrum of abnormalities in scrotal development. There are few cases reported in the literature, and there are few descriptions of the technique for correction and results. We describe a new case of CPST and its sequential correction.

  19. Complete penoscrotal transposition: A three-stage procedure

    Directory of Open Access Journals (Sweden)

    Ivan Somoza

    2012-01-01

    Full Text Available Complete penoscrotal transposition (CPST with an intact scrotum is a rare anomaly in which the scrotum is located cephalic to the penis. It is the most severe degree of malformation of a spectrum of abnormalities in scrotal development. There are few cases reported in the literature, and there are few descriptions of the technique for correction and results. We describe a new case of CPST and its sequential correction.

  20. Contracaecumovale (Nematoda: Anisakidae) from Rollandia rolland Quoy & Gaimard 1824 (Aves, Podicipedidae) in Argentina.

    Science.gov (United States)

    Galeano, Noelia Adelina; Tanzola, Ruben Daniel

    2012-01-01

    Necropsy on 15 specimens of white-tufted grebe, Rollandiarolland, caught in the Mar Chiquita and Chascomús lagoons (Buenos Aires province), revealed the presence of Contracaecumovale (Linstow, 1907). This nematode shows a marked specificity for podicipediform birds. The specimens were identified from morphological study on features such as cephalic and esophageal structures and caudal papillae, using both optical and scanning electron microscopy. This is the first record of C. ovale parasitizing R. rolland in Argentina.

  1. Plasticity of Ectomesenchymal Stem Cells and its Ability of Producing Tissue Engineering Tooth by Recombining with Dental Epithelial Cells

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    1 IntroductionRecently, it has been found that human dental pulp stem cells could generate dentin-pulp complex-like structures in nude mice, but studies on tissue engineering tooth-like structures by cultured human dental epithelial and mesenchymal stem cells are still reported rarely. Ectomesenchyme is an unique structure of vertebrates embryo compose of postmigratory cephalic neural crest cells (NCC) and its derivatives. The aim of the present study was to identify and isolate the ectomesenchymal stem cel...

  2. Rhipidocotyle gibsoni n. sp. from a Brazilian Freshwater Fish and Rhipidocotyle froesi n.sp. for r. baculum (linton, 1905 of Eckmann (1932 (Bucephalidae; Digenea

    Directory of Open Access Journals (Sweden)

    Anna Kohn

    1994-12-01

    Full Text Available Rhipidocotyle gibsoni n.sp. is described from Acestrorhynchus lacustris from Paraná River, brazil. It is most closely related to r. froesi n. sp. and to R. eckmanni in the shape of the cephalic hood, differing in the extent of the uterus, in the position of the vitelline follicles and in that the host is a freshwater fish. Rhipidocotyle froesi n. sp. is proposed for the marine specimens described by Eckmann (1932 as R. baculum (Linton, 1905.

  3. Pseudascarophis brasiliensis sp. nov. (Nematoda: Cystidicolidae)

    OpenAIRE

    2015-01-01

    A new species of Pseudascarophis Nematoda: Cystidicolidae) found in the stomach of Kyphosus sectatrix (Linnaeus) (Kyphosidae), off Rio de Janeiro, Brazil, is described. The new species can be differentiated from the other congeners by the presence of lateral alae, distinct but inconspicuous cephalic papillae at the anterior end, three pairs of precloacal and one pair of adcloacal papillae in males, egg morphology and morphometry of glandular oesophagus and spicules. Pseudascarophis tropica is...

  4. Report of the Avian Development Working Group

    Science.gov (United States)

    Fallon, J. F.

    1985-01-01

    The anteroposterior axis of the avian embryo is established before it is laid. Baer's rule states that the cephalic end of the avian embryo will be away from the observer when the pointed end of the shell is on the observer's right. There are experimental data available which indicate gravity has a role in the establishment of the anteroposterior axis while the egg is in the uterus; this results in Baer's rule. The influence of gravity on egg development is studied.

  5. Percutaneous, Minimally Invasive Repair of Traumatic and Simultaneous Rupture of Both Achilles Tendons: A Case Report.

    Science.gov (United States)

    Zietek, Pawel; Karaczun, Maciej; Kruk, Bartosz; Szczypior, Karina

    2016-01-01

    Achilles injury is a common musculoskeletal disorder. Bilateral rupture of the Achilles tendon, however, is much less common and usually occurs spontaneously. Complete, traumatic, and bilateral ruptures are rare and typically require long periods of immobilization before the patient can return to full weightbearing. A 52-year-old male was hospitalized for bilateral traumatic rupture to both Achilles tendons. No risk factors for tendon rupture were found. Blood samples revealed no peripheral blood pathologic features. Both tendons were repaired with percutaneous, minimally invasive surgery using the Achillon(®) tendon suture system. Rehabilitation was begun 4 weeks later. An ankle-foot orthosis was prescribed to provide ankle support with an adjustable range of movement, and active plantar flexion was set at 0° to 30°. The patient remained non-weightbearing with the ankle-foot orthosis device and performed active range-of-motion exercises. At 8 weeks after surgery, we recommended that he begin walking with partial weightbearing using a foot-tibial orthosis with the range of motion set to 45° plantar flexion and 15° dorsiflexion. At 10 weeks postoperatively, he was encouraged to return to full weightbearing on both feet. Beginning rehabilitation as soon as possible after minimally invasive surgery, compared with 6 weeks of immobilization after surgery, provided a rapid resumption to full weightbearing. We emphasize the clinical importance of a safe, simple treatment program that can be followed for a patient with damage to the Achilles tendons. To our knowledge, ours is the first report of minimally invasive repair of bilateral simultaneous traumatic rupture of the Achilles tendon.

  6. Bitters: Time for a New Paradigm

    Directory of Open Access Journals (Sweden)

    Michael K. McMullen

    2015-01-01

    Full Text Available In plant-based medical systems, bitter tasting plants play a key role in managing dyspepsia. Yet when it comes to defining their mechanism of activity, herbalists and pharmacologists are split between two theories: one involves cephalic elicited vagal responses while the other comprises purely local responses. Recent studies indicate that bitters elicit a range of cephalic responses which alter postprandial gastric phase haemodynamics. Caffeine and regular coffee (Coffea arabica semen, L. increase heart rate whereas gentian (Gentiana lutea radix, L. and wormwood (Artemisia absinthium herba L. increase tonus in the vascular resistance vessels. Following meals increased cardiac activity acts to support postprandial hyperaemia and maintain systemic blood pressure. The increased vascular tonus acts in parallel with the increased cardiac activity and in normal adults this additional pressor effect results in a reduced cardiac workload. The vascular response is a sympathetic reflex, evident after 5 minutes and dose dependent. Thus gentian and wormwood elicit cephalic responses which facilitate rather than stimulate digestive activity when postprandial hyperaemia is inadequate. Encapsulated caffeine elicits cardiovascular responses indicating that gastrointestinal bitter receptors are functionally active in humans. However, neither encapsulated gentian nor wormwood elicited cardiovascular responses during the gastric phase. These findings provide the platform for a new evidence-based paradigm.

  7. [Tumors of the vaterian region indications, findings and prognosis : about 49 cases].

    Science.gov (United States)

    Beyrouti, Mohamed Issam; Beyrouti, Ramez; Louhichi, Skander; Ben Amar, Mohamed; Gargouri, Faouzi; Frikha, Foued; Bouaziz, Mounir; Karoui, Abdelhamid; Boudawara, Tahia; Krichen, Mohamed Salah; Sellami, Abdelhafidh

    2006-04-01

    This retrospective study is about 49 cases of tumors of the vaterian region collected between 1976 and 2001. Tumors of the vaterian region represented 7% of the bilio-pancreatic tumors. The study was about 18 women and 31 men, with sex-ratio of 1.7. The mean age was 61 years. Treatment was surgical : cephalic duodeno-pancreatectomy (28 patients) or ampullectomy (5 patients). Rate of tumor resectability was 69.4%. Bilio-digestive derivation was practiced on 13 patients and therapeutic abstention was decided for 3 patients. Age over 65 years, rate of bilirubine superior to 120 mmol/l and surgery done in emergency were elements of bad prognosis that increased post-operative mortality of following cephalic duodeno-pancreatectomy. Global mortality and morbidity were respectively 16% and 24%. Factors of poor prognosis were essentially: Tumor of large size, infiltration of the surrounding structures and tumor with metastases. The survival after bilio-digestive derivation didn't pass the 8 months. Five year survivals cephalic duodeno-pancréatectomy represented 20%. It depended on the degree of the local invasion. This 5 years survival rate to was 85% for stage I (classification of Martin) and 10% for stage IV.

  8. New Concept for FES-Induced Movements

    Science.gov (United States)

    Ahmed, Mohammed; Huq, M. S.; Ibrahim, B. S. K. K.; Ahmed, Aisha; Ahmed, Zainab

    2016-11-01

    Functional Electrical Stimulation (FES) had become a viable option for movement restoration, therapy and rehabilitation in neurologically impaired subjects. Although the number of such subjects increase globally but only few orthosis devices combine with the technique are available and are costly. A factor resulting to this could be stringent requirement for such devices to have passed clinical acceptance. In that regard a new approach which utilize the patient wheelchair as support and also a novel control system to synchronize the stimulation such that the movement is accomplished safely was proposed. It is expected to improve well-being, social integration, independence, cost, and healthcare delivery.

  9. Design and preliminary testing of the RIC hybrid knee prosthesis.

    Science.gov (United States)

    Lenzi, T; Sensinger, J; Lipsey, J; Hargrove, L; Kuiken, T

    2015-08-01

    We present a novel hybrid knee prosthesis that uses a motor, transmission and control system only for active dynamics tasks, while relying on a spring/damper system for passive dynamics activities. Active dynamics tasks require higher torque, lower speed, and occur less frequently than passive dynamic activities. By designing the actuation system around active tasks alone, we achieved a lightweight design (1.7 Kg w/o battery) without sacrificing peak torque (85Nm repetitive). Preliminary tests performed by an able-bodied person using a bypass orthosis show that the hybrid knee can support reciprocal stairs ambulation with low electrical energy consumption.

  10. Prediction of Lower Extremity Movement by Cyclograms

    Directory of Open Access Journals (Sweden)

    P. Kutilek

    2012-01-01

    Full Text Available Human gait is nowadays undergoing extensive analysis. Predictions of leg movements can be used for orthosis and prosthesis programming, and also for rehabilitation. Our work focuses on predicting human gait with the use of angle-angle diagrams, also called cyclograms. In conjunction with artificial intelligence, cyclograms offer a wide area of medical applications. We have identified cyclogram characteristics such as the slope and the area of the cyclogram for a neural network learning algorithm. Neural networks learned by cyclograms offer wide applications in prosthesis control systems.

  11. Fracture of the occipital condyle caused by minor trauma in child.

    Science.gov (United States)

    Kapapa, Thomas; Tschan, Christoph A; König, Kathrin; Schlesinger, Arkadius; Haubitz, Bernd; Becker, Hartmut; Zumkeller, Matthias; Eckhard, Rickels

    2006-10-01

    We report a case of fractured occipital condyle caused by minor trauma accompanied by light pain on palpation at the lateral cervical trigonum. A 15-year-old boy complained of nuchal pain, particularly pain on palpation at the left lateral cervical trigonum in the absence of neurologic deficits after head deceleration trauma. Computed tomography demonstrated a unilateral nonluxated fracture of the occipital condyle. Owing to consequent immobilization by means of cervical orthosis, pain disappeared after the first 48 hours. Follow-up examination 4 weeks later showed no neurologic deficits. The boy had no severe impairment of movements at the cervical spine.

  12. Using the Hephaistos orthotic device to study countermeasure effectiveness of neuromuscular electrical stimulation and dietary lupin protein supplementation, a randomised controlled trial

    Science.gov (United States)

    Schopen, Kathrin; Albracht, Kirsten; Gerlach, Darius A.; Frings-Meuthen, Petra; Maffiuletti, Nicola A.; Bloch, Wilhelm; Rittweger, Jörn

    2017-01-01

    Purpose The present study investigated whether neuromuscular electrical stimulation for 20 min twice a day with an electrode placed over the soleus muscle and nutritional supplementation with 19 g of protein rich lupin seeds can reduce the loss in volume and strength of the human calf musculature during long term unloading by wearing an orthotic unloading device. Methods Thirteen healthy male subjects (age of 26.4 ± 3.7 years) wore a Hephaistos orthosis one leg for 60 days during all habitual activities. The leg side was randomly chosen for every subject. Six subjects only wore the orthosis as control group, and 7 subjects additionally received the countermeasure consisting of neuromuscular electrical stimulation of the soleus and lateral gastrocnemius muscles and lupin protein supplementation. Twenty-eight days before and on the penultimate day of the intervention cross-sectional images of the calf muscles were taken by magnetic resonance imaging (controls n = 5), and maximum voluntary torque (controls n = 6) of foot plantar flexion was estimated under isometric (extended knee, 90° knee flexion) and isokinetic conditions (extended knee), respectively. Results After 58 days of wearing the orthosis the percentage loss of volume in the entire triceps surae muscle of the control subjects (-11.9 ± 4.4%, mean ± standard deviation) was reduced by the countermeasure (-3.5 ± 7.2%, p = 0.032). Wearing the orthosis generally reduced plantar flexion torques values, however, only when testing isometric contraction at 90° knee ankle the countermeasure effected a significantly lower percentage decrease of torque (-9.7 ± 7.2%, mean ± SD) in comparison with controls (-22.3 ± 11.2%, p = 0.032). Conclusion Unloading of calf musculature by an orthotic device resulted in the expected loss of muscle volume and maximum of plantar flexion torque. Neuromuscular electrical muscle stimulation and lupin protein supplementation could significantly reduce the process of atrophy. Trial

  13. The rehabilitative approach in rheumatoid arthritis

    Directory of Open Access Journals (Sweden)

    N. Pappone

    2011-09-01

    Full Text Available The rehabilitative approach for the patient with rheumatoid arthritis should be early, global and complementary to an early pharmacological therapy, in the context of a multidisciplinary approach, that should include physicians with different specialties and other health professionals. Evaluation scales assessing disability and quality of life are necessary for the rehabilitative approach. These can be classified in 2 groups: specific tools and generic tools, each evaluating different components of the health status. After the evaluation and the definition of the aims of the rehabilitation, a rehabilitative project, potentially including physical therapies, therapeutic exercises, occupational therapy and orthosis should be defined.

  14. Physical Therapy Management of Atlas Fracture (Jefferson's Fracture) : A Case Report

    OpenAIRE

    Taketomi, Yoshio; Muraki,Toshiaki; YONEDA, Toshihiko

    1997-01-01

    The purpose of this report is to document a pain-reducing effect of physical therapy on a patient with fracture of the atlas (Jefferson's fracture). A 51-year-old man was caught in an automobile accident. He had been unconscious under respiratory management in an intensive care unit for two days following the accident. On the 48th day, the patient was referred to the physical therapy department. His neck was firmly fixed with a cervicothoracic-style orthosis. Physical therapy was performed fi...

  15. Biomechanics of longitudinal arch support mechanisms in foot orthoses and their effect on plantar aponeurosis strain.

    Science.gov (United States)

    Kogler, G F; Solomonidis, S E; Paul, J P

    1996-07-01

    OBJECTIVE: The purpose of this investigation was to quantify the longitudinal arch support properties of several types of foot orthosis. DESIGN: An in vitro method that simulated 'static stance' was used to determine arch support capabilities, with plantar aponeurosis strain implemented as the performance measure. BACKGROUND: A longitudinal arch support mechanism of an orthosis resists depression of the foot's arches by transferring a portion of the load to the medial structures of the foot. Since the plantar aponeurosis is in tension when the foot is loaded, a quantifiable decrease in strain should occur with an adequate orthotic arch control mechanism. METHODS: A differential variable reluctance transducer was surgically implanted in the plantar aponeurosis of cadaveric donor limb feet (n = 7). Each specimen was mounted in an electromechanical test machine which applied a load of up to 900 N axially to the tibia. The test schedule was divided into seven test conditions: specimen barefoot; specimen with shoe and specimen with shoe and five different orthoses. RESULTS: The University of California Biomechanics Laboratory Shoe Insert and two other foot orthoses significantly decreased the strain in the plantar aponeurosis compared to the barefoot control and were considered effective arch supports (P plantar aponeurosis strain. Significant variations of time required to achieve the specified load levels were recorded among the test conditions, indicating the relative cushioning properties of the shoe/orthosis systems. CONCLUSIONS: The patterns of plantar aponeurosis strain observed in cadaveric tests suggest that certain types of orthoses are more effective than others in the support of the foot's longitudinal arches. It is suggested that to support the longitudinal arches of the foot effectively the medial surface contours of the orthosis must stabilize the apical bony structure of the foot's arch. RELEVANCE: Reducing tension in the plantar aponeurosis is an

  16. Prosthetic restoration in patient with incomplete spinal cord injury

    OpenAIRE

    Mustafah, Nadia Mohd; Bakar, Noriani Abu; Yang, Chung Tze

    2016-01-01

    We describe a case of 55-years-old man with a known T11 AIS C since 1985. The muscle strength of his left leg is better than the right leg and he is an active community ambulator. He walks using his right knee ankle foot orthosis without a knee lock. However, on April 2012 he had undergone a left transtibial amputation secondary to infected diabetic foot ulcer. He only had his first contact with rehabilitation team 2 months after the amputation and started on gait retraining since. Given the ...

  17. IpsiHand Bravo: an improved EEG-based brain-computer interface for hand motor control rehabilitation.

    Science.gov (United States)

    Holmes, Charles Damian; Wronkiewicz, Mark; Somers, Thane; Liu, Jenny; Russell, Elizabeth; Kim, DoHyun; Rhoades, Colleen; Dunkley, Jason; Bundy, David; Galboa, Elad; Leuthardt, Eric

    2012-01-01

    Stroke and other nervous system injuries can damage or destroy hand motor control and greatly upset daily activities. Brain computer interfaces (BCIs) represent an emerging technology that can bypass damaged nerves to restore basic motor function and provide more effective rehabilitation. A wireless BCI system was implemented to realize these goals using electroencephalographic brain signals, machine learning techniques, and a custom designed orthosis. The IpsiHand Bravo BCI system is designed to reach a large demographic by using non-traditional brain signals and improving on past BCI system pitfalls.

  18. Error signals driving locomotor adaptation

    DEFF Research Database (Denmark)

    Choi, Julia T; Jensen, Peter; Nielsen, Jens Bo

    2016-01-01

    perturbations. Forces were applied to the ankle joint during the early swing phase using an electrohydraulic ankle-foot orthosis. Repetitive 80 Hz electrical stimulation was applied to disrupt cutaneous feedback from the superficial peroneal nerve (foot dorsum) and medial plantar nerve (foot sole) during...... anaesthesia (n = 5) instead of repetitive nerve stimulation. Foot anaesthesia reduced ankle adaptation to external force perturbations during walking. Our results suggest that cutaneous input plays a role in force perception, and may contribute to the 'error' signal involved in driving walking adaptation when...

  19. The specific role of gravitational accelerations for arterial adaptations.

    Science.gov (United States)

    Weber, Tobias; Ducos, Michel; Mulder, Edwin; Herrera, Frankyn; Brüggemann, Gert-Peter; Bloch, Wilhelm; Rittweger, Jörn

    2013-02-01

    It is mostly agreed that arterial adaptations occur, among others, in response to changes in mechanical stimuli. Models like bed rest, spinal cord injury, or limb suspension have been applied to study vascular adaptations to unloading in humans. However, these models cannot distinguish the role of muscle contractions and the role of gravitational accelerations for arterial adaptation. The HEPHAISTOS orthosis allows normal ambulation, while it significantly reduces force generation in the lower leg muscles. Eleven subjects wore HEPHAISTOS unilaterally for 56 days and were followed up for another 4 wk. Arterial diameters, intima media thickness (IMT), flow-mediated dilation (FMD), and resting blood flow (BF(rest)) were measured using high-frequency ultrasonography. Arterial adaptations were investigated in the superficial femoral artery (SFA), the brachial artery (BA), and the carotid artery (CA). Mean SFA resting diameter was decreased from 6.57 mm (SD = 0.74 mm) at baseline to 5.77 mm (SD = 0.87 mm) at the end of the intervention (P muscular contractions for arterial diameter adaptations. Moreover, we propose that FMD and wall-to-lumen ratio are unaffected by ambulating with the HEPHAISTOS orthosis, which is suggestive of habitual acceleration profiles in the lower leg constituting an important stimulus for the maintenance of FMD and wall-to-lumen ratio.

  20. Congenital subtalar dislocation--a case report.

    Science.gov (United States)

    Saini, Raghav; Dhillon, M S; Gill, S S

    2009-09-01

    Congenital dislocation of the subtalar joint is one of the rarest forms of presentation of a calcaneo-valgus foot. We report the second case of this type published; an 18-month female child aged was seen with calcaneo-valgus deformity of left foot since birth. She was walking over the medial malleolus and medial border of foot. Radiographs and 3D CT scan of the left foot confirmed the diagnosis of a congenital subtalar dislocation. Surgical correction was achieved through a posterolateral incision, and the reduced joint was fixed with a k-wires for 6 weeks; the foot was immobilized in below knee cast for another 6 weeks, and an ankle foot orthosis was used for another 3 years. At 3 years post-surgical follow up, the child has a plantigrade foot with no functional impairment. Follow up radiographs and 3D CT scan confirmed the maintenance of well aligned talo-calcaneal joint. This type of dislocation should be considered in the differential diagnosis of calcaneo-valgus foot; a clear understanding of the pathology, a precise operative reduction, and long-term use of orthosis results in a favourable outcome.

  1. The effect of orthoses in the management of patients with stroke

    Directory of Open Access Journals (Sweden)

    Pourghasem Ali

    2016-03-01

    Full Text Available Background: The abilities of the subject with stroke during walking differ from that of normal subjects. They have to use various Ankle foot orthosis (AFO to control the motions of ankle joint and improve their stability. This case study compared kinematic and kinetic parameters of a stroke subject while walking with plastic and Carbon AFO. Moreover, the gait of stroke subject was compared with that of a matched normal subject. Method: A normal and a stroke subjects were recruited in this study. A motion analysis system (Qualysis was used to monitor the motions of the joints. Moreover, the force applied on the leg was evaluated by a Kistlerforceplate. Result and discussion: The range of motions and moments of the lower limb joints differed significantly from that of normal subject. Although the plantar flexor moment of ankle joint improved by use of orthosis (especially Carbon AFO, none of the orthoses influenced spatiotemporal gait parameter significantly. It seems that plastic AFO increases stability of ankle joint more than that with carbon AFO.

  2. 3D MODELLING OF PROPHYLACTIC FOOTWEAR FOR A HIGH ARCHED FOOT

    Directory of Open Access Journals (Sweden)

    COSTEA Mariana

    2016-05-01

    Full Text Available This article approaches the methodology of designing customized footwear for high arched foot. The authors propose to reconsider the classical structure of footwear bottom components for people with high arched foot and recommend incorporating custom components, with the role of compensation or adjustment. This study continues the authors’ research, starting from a foot’s 3D shape obtained by 3D scanning, the anthropometrical and biomechanical parameters, shoe lasts’ 3D modelling and continuing with 3D footwear design. Including customized orthosis can help to stop the evolution of abnormalities, diminishes sensations of pain during walking and improves performance in various physical activities carried out during the day, walking, running, and standing. The prophylactic footwear has to meet four main requirements: to protect the foot and ankle during walking and static; to ensure the normal resistance systems (bones, muscle and joint of the foot; to prevent the installation of irreversible structural changes by reducing stress on the foot; to contribute to increased performance in conducting regular physical activity. It is presented the steps of modelling an orthosis, a virtual simulation of its cutting process, followed by the integration and development of the insole, filling and sole for a customized shoe. Delcam Crispin CAD system and its applications for orthopaedics are used to design the bottom components of prophylactic footwear for a high arched foot.

  3. Surgical therapy by sandwich transplantation using a dermal collagen-elastin matrix and full thickness split grafts and gait rehabilitation with individualized orthesis

    Directory of Open Access Journals (Sweden)

    Uwe Wollina

    2012-01-01

    Full Text Available Painful callosities of the feet (PCOF are a rare complaint in children with severe impairment of mobility and quality of life. There is no medical treatment available.We investigated the usefulness of a recently developed combined transplant technique-the sandwich transplantation with dermal collagen-elastin template in this rare condition. A 14-year-old boy suffered from PCOF for several years without any improvement by topical therapy, dermabrasion, and oral retinoids. He was unable to walk normally and suffered from severe pain. We performed a complete deep excision of the hyperkeratotic plantar tissue in general anaesthesia in combination with sandwich transplantation in the same setting. Dry sheets of collagen-elastin matrix (1 mm thickness were placed on the soft tissue defects and covered by full-thickness mesh graft transplants from the upper leg. An individualized orthosis was produced for gait rehabilitation. Two weeks after surgery the gait-related pain was reduced remarkably. Using the orthosis, the boy was able to walk pain-free even on staircase. Surgery of PCOF with sandwich transplantation and gait rehabilitation appears to be a promising strategy for this rare condition.

  4. Intralimb compensation strategy depends on the nature of joint perturbation in human hopping.

    Science.gov (United States)

    Chang, Young-Hui; Roiz, Ronald A; Auyang, Arick G

    2008-01-01

    Due to the well-described spring-mass dynamics of bouncing gaits, human hopping is a tractable model for elucidating basic neuromuscular compensation principles. We tested whether subjects would employ a multi-joint or single-joint response to stabilize leg stiffness while wearing a spring-loaded ankle-foot orthosis (AFO) that applied localized resistive and assistive torques to the ankle. We analyzed kinematics and kinetics data from nine subjects hopping in place on one leg, at three frequencies (2.2, 2.4, and 2.8Hz) and three orthosis conditions (freely articulating AFO, AFO with plantarflexion resistance, and AFO with plantarflexion assistance). Leg stiffness was invariant across AFO conditions, however, compensation strategy depended upon the nature of the applied load. Biological ankle stiffness increased in response to a resistive load at twice the rate that it decreased with an assitive load. Ankle adjustments alone fully compensated for an assistive load with no net change in combined (biological plus applied) total ankle stiffness (p > or =0.133). In contrast, a resistive load resulted in a 7.4-9.0% increase in total ankle stiffness across frequencies and a concomitant 10-15% increase in knee joint stiffness at each frequency (pcompensation strategies that are specific to the nature of the joint loading.

  5. Efficacy of a hybrid assistive limb in post-stroke hemiplegic patients: a preliminary report

    Directory of Open Access Journals (Sweden)

    Takeda Koji

    2011-09-01

    Full Text Available Abstract Background Robotic devices are expected to be widely used in various applications including support for the independent mobility of the elderly with muscle weakness and people with impaired motor function as well as support for nursing care that involves heavy laborious work. We evaluated the effects of a hybrid assistive limb robot suit on the gait of stroke patients undergoing rehabilitation. Methods The study group comprised 16 stroke patients with severe hemiplegia. All patients underwent gait training. Four patients required assistance, and 12 needed supervision while walking. The stride length, walking speed and physiological cost index on wearing the hybrid assistive limb suit and a knee-ankle-foot orthosis were compared. Results The hybrid assistive limb suit increased the stride length and walking speed in 4 of 16 patients. The patients whose walking speed decreased on wearing the hybrid assistive limb suit either had not received sufficient gait training or had an established gait pattern with a knee-ankle-foot orthosis using a quad cane. The physiological cost index increased after wearing the hybrid assistive limb suit in 12 patients, but removal of the suit led to a decrease in the physiological cost index values to equivalent levels prior to the use of the suit. Conclusions Although the hybrid assistive limb suit is not useful for all hemiplegic patients, it may increase the walking speed and affect the walking ability. Further investigation would clarify its indication for the possibility of gait training.

  6. Foot trajectory approximation using the pendulum model of walking.

    Science.gov (United States)

    Fang, Juan; Vuckovic, Aleksandra; Galen, Sujay; Conway, Bernard A; Hunt, Kenneth J

    2014-01-01

    Generating a natural foot trajectory is an important objective in robotic systems for rehabilitation of walking. Human walking has pendular properties, so the pendulum model of walking has been used in bipedal robots which produce rhythmic gait patterns. Whether natural foot trajectories can be produced by the pendulum model needs to be addressed as a first step towards applying the pendulum concept in gait orthosis design. This study investigated circle approximation of the foot trajectories, with focus on the geometry of the pendulum model of walking. Three able-bodied subjects walked overground at various speeds, and foot trajectories relative to the hip were analysed. Four circle approximation approaches were developed, and best-fit circle algorithms were derived to fit the trajectories of the ankle, heel and toe. The study confirmed that the ankle and heel trajectories during stance and the toe trajectory in both the stance and the swing phases during walking at various speeds could be well modelled by a rigid pendulum. All the pendulum models were centred around the hip with pendular lengths approximately equal to the segment distances from the hip. This observation provides a new approach for using the pendulum model of walking in gait orthosis design.

  7. Design of a knee and leg muscle exerciser for paraplegics using a shape memory alloy rotary joint actuator

    Science.gov (United States)

    Wang, Guoping; Shahinpoor, Mohsen

    1998-07-01

    This paper presents a design of an active knee and leg muscle exerciser using a shape memory alloy (SMA) rotary joint actuator. This active exerciser is designed for a paraplegic to exercise his or her knee and leg muscles. The exerciser is composed of a lower extremity orthosis or a knee brace, an SMA rotary joint actuator, and an electronic control unit. The lower extremity orthosis and knee brace are commercially available. The analysis model of the SMA rotary joint actuator is introduced and the design formulas are derived. A quasi-static analysis of the SMA rotary joint actuator is assumed in this design. The actuating component of the SMA rotary joint actuator is a bundle of lengthy SMA wires which are wrapped on several wrapping pulleys. A constant force spring is incorporated in this actuator to provide the SMA wires with a bias force to maintain a recoverable initial position of the actuator. A prototype of the active knee and leg muscle exerciser is designed, and an electronic control unit in the prototype provides users with a means of adjusting forward rotation speed and cycle time of the exerciser.

  8. TINGKAT KANDUNGAN UNSUR RADIOAKTIF AIR SUNGAI AYUNG DI DENPASAR BALI

    Directory of Open Access Journals (Sweden)

    Dewa Nyoman Alit Ardana

    2012-11-01

    Full Text Available Ayung river is one of the longest rivers in Bali. The upstream of the river is in regency of Bangli, Badung, Buleleng, Tabananand downstream is located in Padang Galak beach, East Denpasar Sub-regency. As the sample of the study, the water of the river wastaken from the stream entering the city of Denpasar. The sample was taken in five different points and for each point was taken twice. Thefirst was taken at 5 p.m, and the second was at 6 a.m. This study aims at finding out the rate of radioactive content of Ayung river water inthe city of Denpasar.The water sample was analyzed in Radiometry Analysis Group of Radiation Physics and environmental research centre andNuclear Technique Development, Jalan Taman Sari 71 Bandung – 40132. The process of counting was conducted in this place in order toknow the rate of the element activities and then identification of elements contens in the sample. The result of the counting and identifyingwas compered with standard grade of radioactivity in the area.The element of identification result and the amount of activity rate found showed that the element were natural radioactiveelements, the content: 40K (Kalium-40, 234Th (Thorium-234, 233Th (Thorium-233, 228Ac (Actinium-288, 114mIn (Indium-114m. Thehighest activity of radioactive elements in each sample point: in E2 point content element 40K with the activity 2.08 Bq/lt, in point A1 234Thwith the activity 16.34 Bq/lt, in point E1 containts 233Th with activity 598.29 Bq/lt, in point E1 and E2 contain 228Ac with the activity939.63 Bq/lt. The height of activity value of the counting and identifying elements was still under the rate of the highest level.The result of the study showed that radioactive elements 40K had the tendency of increasing radioactivity. The same thinghappened to 233Th at the peak of energi 185.00 keV. The content of its radioactive tends to exist in each point of sample point and theactivity tends to increase. Though the rate of

  9. [Study on the Effects of Ginsenoside Rb1 on DPPC Bilayers by Using Thermo-Raman Spectrum and DSC].

    Science.gov (United States)

    Hui, Ge; Liu, Wei; Zhang, Jing-zhou; Zhou, Tie-li; Wang, Si-ming; Zhao, Yu; Zhao, Bing

    2015-08-01

    concentration of ginsenoside Rb1, the pre-transition temperature of DPPC bilayers dropped immediately with small amount of the Rb1 drug when the containtion was only 5 mol% and the whole system has been destructed at the same time, the main phase transition peak showed as a new little shoulder seam, however, both pre- and main transition peak disappeared completely until the drug concentration increased to 20 mol%, the phase transition temperature of DPPC has been reduced significantly, and the fluidity of bilayers has been increased. Both experiments indicated that the strong effects of ginsenoside Rb1 on DPPC.

  10. 《汉志》所载《高祖传》辑佚与目录编次%The Compiling, Editting and Indexing of The Biography of Emperor Gao, Recorded in Han Zhi

    Institute of Scientific and Technical Information of China (English)

    王丹

    2014-01-01

    The whole words of “The Biography of Emperor Gao” in “Han Zhi” had been lost , but can we see its remains in Lei Shu , Collected Works Of Han Writers and history books . Relying on those works we can find out the “The Biography of Emperor Gao” 's lost words . Than , the paper attempts to carry out a preliminary discussion of the relationship among Zhuan , Ji , Qi Ju Zhu and Zhu Ji , consequentlly , draw a conclusion that “The Biography of Emperor Gao” and “Han four Emperor” (also containted in “Han Zhi”) can category into Qi Ju Zhu , just like “Mu Tian Zi Zhuan” . At last , make a discusion about the order of contents of “Han Zhi” . There are still wide numbers of controvery around this question . According to the analyze of remained words can deduce that “The Biography of Emperor Gao” and “Han Four Emperor” had been cut from “Han Zhu Ji” which is list in “The Spring And Autumn period class” in “Han Zhi” .%《汉志》所载《高祖传》十三篇亡,但其轶文多存在类书、汉代文集及史书中,本文着重从这些类书和文集中勾辑出《高祖传》之轶文;其次,探讨传、纪、起居注、着纪之间的关系,得出结论《高祖传》以及与其并列出现在《汉志·儒家类》的《孝文传》同《穆天子传》一样皆是起居注类。最后,探求《高祖传》的目录编次问题,对于这个前人多有争议的问题,根据对辑出的轶文进行分析,认为《高祖传》以及《孝文传》乃是从《汉志·春秋类》中《汉着记》裁篇别出的,是一种别裁之法,而非班固的讹误。

  11. The effect of anaerobic fermentation processing of cattle waste for biogas as a renewable energy resources on the number of contaminant microorganism

    Science.gov (United States)

    Kurnani, Tb. Benito A.; Hidayati, Yuli Astuti; Marlina, Eulis Tanti; Harlia, Ellin

    2016-02-01

    Beef cattle waste has a positive potential that can be exploited, as well as a negative potential that must be controlled so as not to pollute the environment. Beef cattle waste can be processed into an alternative energy, namely biogas. Anaerobic treatment of livestock waste to produce gas can be a solution in providing optional energy, while the resulted sludge as the fermentation residue can be used as organic fertilizer for crops. However, this sludge may containt patogenic microorganism that will damage human and environmet healt. Therefor, this study was aimed to know the potency of beef cattle waste to produce biogas and the decrease of the microorganism's number by using fixed dome digester. Beef cattle waste was processed into biogas using fixed dome digester with a capacity of 12 m3. Biogas composition was measured using Gas Cromatografi, will microorganism species was identified using Total plate Count Methode. The result of this study shows that the produced biogas contains of 75.77% Mol (CH4), 13.28% Mol (N), and 6.96% Mol (CO2). Furthermor, this study show that the anaerobic fermrntation process is capable of reducing microorganisms that could potentially pollute the environment. The number of Escherichia coli and Samonella sp. were <30 MPN/ml respectively save for environment. This process can reduce 84.70% the amount of molds. The only molds still existed after fermentation was A.fumigatus. The number of protozoa can be reduced in order of 94.73%. Protozoa that can be identified in cattle waste before, and after anaerobic fermentation was merely Eimeria sp.. The process also reduced the yeast of 86.11%. The remaining yeast after fermentation was Candida sp. Finally, about 93.7% of endoparasites was reduced by this process. In this case, every trematode and cestoda were 100% reduced, while the nematode only 75%. Reducing some microorganisms that have the potential to pollute the environment signifies sludge anaerobic fermentation residue is safe to

  12. Comparison of the effect of posterior lumbar interbody fusion with pedicle screw fixation and interspinous fixation on the stiffness of adjacent segments

    Institute of Scientific and Technical Information of China (English)

    LI Chun-de; SUN Hao-lin; LU Hong-zhang

    2013-01-01

    Background Adjacent segment degeneration could seriously affect the long-term prognosis of lumbar fusion.Dynamicfixation such as the interspinous fixation,which is characterized by retaining the motion function of the spinal segment,has obtained satisfactory short-term effects in the clinical setting.But there are few reports about the biomechanicalexperiments on whether dynamic fixation could prevent adjacent segment degeneration.Methods The surgical segments of all 23 patients were L4/5.Thirteen patients with disc herniation of L4/5 underwentWallis implantation surgery,and 10 patients with spinal stenosis of L4/5 underwent posterior lumbar interbody fusion(PLIF).L3-S1 segmental stiffness and displacement were measured by a spine stiffness gauge (SSG) device duringsurgery when the vertebral plate was exposed or during spinal decompression or internal fixation.Five fresh,frozencadavers were used in the self control experiment,which was carried out in four steps:exposure of the vertebral plate,decompression of the spinal canal,implantation of a Wallis fixing device,and PLIF of L4/5 after removing the Wallis fixingdevice.Then,L3-S1 segment stiffness was measured by an SSG device.Results The experiments showed that the average stiffness of the L4/5 segment was (37.1±8.9) N/mm after exposure of the vertebral plate,while after spinal decompression,the average stiffness fell to (26.2±7.1) N/mm,decreasing by 25.8% (P <0.05).For the adjacent segments L3/4 and L5/S1,their stiffness showed no significant difference between the L4/5 segment decompression and the exposure of the vertebral plate (P >0.05).After Wallis implantation of L4/5,the stiffness of the cephalic adjacent segment L3/4 was (45.8±10.7) N/mm,which was 20.5% more than that after the exposure of the vertebral plate (P <0.05); after L4/5 PLIF surgery,the stiffness of L3/4 was (35.3±10.7) N/mm and was decreased by 12.4% more than that after the exposure of the vertebral plate (P <0.05).The

  13. WHO Global Survey on Maternal and Perinatal Health in Latin America: classifying caesarean sections

    Directory of Open Access Journals (Sweden)

    Faúndes Anibal

    2009-10-01

    Full Text Available Abstract Background Caesarean section rates continue to increase worldwide with uncertain medical consequences. Auditing and analysing caesarean section rates and other perinatal outcomes in a reliable and continuous manner is critical for understanding reasons caesarean section changes over time. Methods We analyzed data on 97,095 women delivering in 120 facilities in 8 countries, collected as part of the 2004-2005 Global Survey on Maternal and Perinatal Health in Latin America. The objective of this analysis was to test if the "10-group" or "Robson" classification could help identify which groups of women are contributing most to the high caesarean section rates in Latin America, and if it could provide information useful for health care providers in monitoring and planning effective actions to reduce these rates. Results The overall rate of caesarean section was 35.4%. Women with single cephalic pregnancy at term without previous caesarean section who entered into labour spontaneously (groups 1 and 3 represented 60% of the total obstetric population. Although women with a term singleton cephalic pregnancy with a previous caesarean section (group 5 represented only 11.4% of the obstetric population, this group was the largest contributor to the overall caesarean section rate (26.7% of all the caesarean sections. The second and third largest contributors to the overall caesarean section rate were nulliparous women with single cephalic pregnancy at term either in spontaneous labour (group 1 or induced or delivered by caesarean section before labour (group 2, which were responsible for 18.3% and 15.3% of all caesarean deliveries, respectively. Conclusion The 10-group classification could be easily applied to a multicountry dataset without problems of inconsistencies or misclassification. Specific groups of women were clearly identified as the main contributors to the overall caesarean section rate. This classification could help health care

  14. Sonic hedgehog is a chemotactic neural crest cell guide that is perturbed by ethanol exposure.

    Science.gov (United States)

    Tolosa, Ezequiel J; Fernández-Zapico, Martín E; Battiato, Natalia L; Rovasio, Roberto A

    2016-01-01

    Our aim was to understand the involvement of Sonic hedgehog (Shh) morphogen in the oriented distribution of neural crest cells (NCCs) toward the optic vesicle and to look for potential disorders of this guiding mechanism after ethanol exposure. In vitro directional analysis showed the chemotactic response of NCCs up Shh gradients and to notochord co-cultures (Shh source) or to their conditioned medium, a response inhibited by anti-Shh antibody, receptor inhibitor cyclopamine and anti-Smo morpholino (MO). Expression of the Ptch-Smo receptor complex on in vitro NCCs was also shown. In whole embryos, the expression of Shh mRNA and protein was seen in the ocular region, and of Ptch, Smo and Gli/Sufu system on cephalic NCCs. Anti-Smo MO or Ptch-mutated plasmid (Ptch1(Δloop2)) impaired cephalic NCC migration/distribution, with fewer cells invading the optic region and with higher cell density at the homolateral mesencephalic level. Beads embedded with cyclopamine (Smo-blocking) or Shh (ectopic signal) supported the role of Shh as an in vivo guide molecule for cephalic NCCs. Ethanol exposure perturbed in vitro and in vivo NCC migration. Early stage embryos treated with ethanol, in a model reproducing Fetal Alcohol Syndrome, showed later disruptions of craniofacial development associated with abnormal in situ expression of Shh morphogen. The results show the Shh/Ptch/Smo-dependent migration of NCCs toward the optic vesicle, with the support of specific inactivation with genetic and pharmacological tools. They also help to understand mechanisms of accurate distribution of embryonic cells and of their perturbation by a commonly consumed teratogen, and demonstrate, in addition to its other known developmental functions, a new biological activity of cellular guidance for Shh.

  15. Description of Marylynnia puncticaudata n. sp. (Nematoda, Cyatholaimidae from Bizerte Lagoon, Tunisia

    Directory of Open Access Journals (Sweden)

    Boufahja, F.

    2014-12-01

    Full Text Available A new free–living marine nematode species of Cyatholaimidae, Marylynnia puncticaudata n. sp. from Bizerte Lagoon (Tunisia is morphologically described. Males are characterized by a slightly larger body than females, a cephalic ring followed by ten subcephalic setae, modified cuticular punctuation, caudal lateral differentiation of large dots, and strongly cuticularized gubernaculum with a unique shape and bidenticulated distal half. The cuticle ornamentation of females is similar to the males. However, their caudal lateral differentiation is composed of smaller and more spaced dots. An updated morphological key to species of Marylynnia is given.

  16. Long-term follow-up of cognitive outcome after breech presentation at birth

    DEFF Research Database (Denmark)

    Sørensen, Henrik Toft; Steffensen, Flemming Hald; Olsen, Jørn;

    1999-01-01

    with the Boerge Prien IQ test. A total of 164 conscripts were born in breech presentation and 70 (42.7%) of these were delivered after Caesarean section. The mean Boerge Prien test score was 43.2 among men born in cephalic presentation and 39.9 among those born in breech presentation for a difference of 3.3 (95......% confidence interval = 1.8-4.7). The negative association between breech presentation and cognitive outcome persisted after stratifying by Caesarean section and after adjustment for confounders. It also persisted when we restricted the analyses to term singleton pregnancies....

  17. Three-dimensional structure of brain tissue at submicrometer resolution

    Science.gov (United States)

    Saiga, Rino; Mizutani, Ryuta; Inomoto, Chie; Takekoshi, Susumu; Nakamura, Naoya; Tsuboi, Akio; Osawa, Motoki; Arai, Makoto; Oshima, Kenichi; Itokawa, Masanari; Uesugi, Kentaro; Takeuchi, Akihisa; Terada, Yasuko; Suzuki, Yoshio

    2016-01-01

    Biological objects are composed of submicrometer structures such as cells and organelles that are essential for their functions. Here, we report on three-dimensional X-ray visualization of cells and organelles at resolutions up to 100 nm by imaging microtomography (micro-CT) equipped with Fresnel zone plate optics. Human cerebral tissue, fruit fly cephalic ganglia, and Escherichia coli bacteria labeled with high atomic-number elements were embedded in epoxy resin and subjected to X-ray microtomography at the BL37XU and BL47XU beamlines of the SPring-8 synchrotron radiation facility. The obtained results indicated that soft tissue structures can be visualized with the imaging microtomography.

  18. Multilocular True Ulnar Artery Aneurysm in a Pediatric Patient.

    Science.gov (United States)

    Stalder, Mark W; Sanders, Christopher; Lago, Mary; Hilaire, Hugo St

    2016-01-01

    Ulnar artery aneurysms are an exceedingly rare entity in the pediatric population and have no consistent etiologic mechanism. We present the case of a 15-year-old male with a multilocular ulnar artery aneurysm in the setting of no antecedent history of trauma, no identifiable connective tissue disorders, and no other apparent etiological factors. Furthermore, the patient's arterial palmar arch system was absent. The aneurysm was resected, and arterial reconstruction was successfully performed via open surgical approach with cephalic vein interposition graft. We believe this treatment modality should be considered as the primary approach in all of these pediatric cases in consideration of the possible pitfalls of less comprehensive measures.

  19. Taste processing in Drosophila larvae

    Directory of Open Access Journals (Sweden)

    Anthi A. Apostolopoulou

    2015-10-01

    Full Text Available The sense of taste allows animals to detect chemical substances in their environment to initiate appropriate behaviors: to find food or a mate, to avoid hostile environments and predators. Drosophila larvae are a promising model organism to study gustation. Their simple nervous system triggers stereotypic behavioral responses, and the coding of taste can be studied by genetic tools at the single cell level. This review briefly summarizes recent progress on how taste information is sensed and processed by larval cephalic and pharyngeal sense organs. The focus lies on several studies, which revealed cellular and molecular mechanisms required to process sugar, salt, and bitter substances.

  20. Alveolar wound healing after x-irradiation: a histologic, radiographic, and histometric study

    Energy Technology Data Exchange (ETDEWEB)

    Guglielmotti, M.B.; Ubios, A.M.; Cabrini, R.L.

    1986-12-01

    Healing of extraction wounds in rats following cephalic irradiation was studied by histologic, radiographic, and histometric methods 14 days after tooth extraction. Irradiation was given at 0, 3, and 7 days after surgery in doses of either 15, 20, or 30 Gy. No significant differences were seen with the different doses given seven days post-extraction. However, socket healing was delayed when irradiation was given immediately and three days after extraction. On the basis of these observations, it is recommended that radiation not begin until at least one week after the extraction of teeth.

  1. Postoperative stabilization and intrusion of midface osteotomies with high-pull headgear.

    Science.gov (United States)

    Davis, W H; Suckiel, J M; Kaminishi, R M; Patakas, B M; Parsch, N E

    1977-09-01

    The two cases presented here illustrate advantageous uses of orthopedic-type craniomandibular headgear. Both cases demonstrate the use of headgear for postoperative cephalad movement of the maxilla. In Case 1 the use of headgear accomplished 6 mm. of anterior maxillary cephalad movement and 3.5 mm. of posterior maxillary cephalad movement. In Case 2 the use of postoperative headgear accomplished 8 mm. of anterior maxillary cephaled movement and 6.25 mm. of posterior maxillary cephalad movement. Table I indicates the duration of intermaxillary immobilization and the ensuing time that the cranial traction appliance was used. Fig. 10 illustrates the profile changes for Cases 1 and 2.

  2. Eviota santanai, a new Dwarfgoby from Timor-Leste (Teleostei: Gobiidae).

    Science.gov (United States)

    Greenfield, David W; Erdmann, Mark V

    2013-11-29

    Eviota santanai is described based on four specimens from Timor-Leste, taken in 5-8 m depth. In general coloration pattern, the species is most similar to E. latifasciata, but differs in the cephalic sensory-pore system pattern, the absence of an occipital spot, and live color including pinkish-mauve bars. Eviota santanai has a dorsal/anal fin-ray formula of 8/8, 5th pelvic-fin ray absent, some lower pectoral-fin rays branched, and IT and PITO pores absent.

  3. An unusual case of fistula formation and thrombosis between arteriovenous graft and a native vein

    Directory of Open Access Journals (Sweden)

    Young Sub Kim

    2016-03-01

    Full Text Available Arteriovenous graft for hemodialysis vascular access is a widely used technique with many advantages. However, it has crucial complications with graft thrombosis and infection. We recently experienced an unusual case of arteriovenous graft complication involving graft thrombosis related to fistula formation between the graft and the natural vein with infection. We diagnosed this condition using Doppler ultrasound and computed tomography angiography. Successful surgical treatment including partial graft excision and creation of a secondary arteriovenous fistula using an inadvertently dilated cephalic vein was performed. The dialysis unit staff should keep this condition in mind and try to prevent this complication.

  4. Monanema joopi n. sp. (Nematoda, Onchocercidae) from Acomys (Acomys) spinosissimus Peters, 1852 (Muridae) in South Africa, with comments on the filarial genus

    OpenAIRE

    Junker K.; Medger K.; Lutermann H.; Bain O.

    2012-01-01

    Monanema joopi n. sp. is described from blood drawn from the heart of the murid Acomys (Acomys) spinosissimus in South Africa. It is characterised by a non-bulbous cephalic extremity, shared with only one of its five congeners, and a cylindrical tail with caudal alae and a spicular ratio of 2.7 in the male. As is typical for the genus, microfilariae are skin-dwelling. They are 185 to 215 micrometres long and have no refractory granules beneath their sheath. A key to the species of Monanema is...

  5. [Twin dystocia: about one case of compaction].

    Science.gov (United States)

    Desseauve, D; Voluménie, J-L

    2008-09-01

    We report a case of twin dystocia during the evacuation of full-term fetus both in cephalic presentation. A low-outlet forceps for second-phase arrest was performed for the first twin but the head remained stuck to maternal perineum, mimicking a shoulder dystocia. Digital examination found a twin compaction, that is the presence of the second twin's fetal head at the level of the first twin's chest. The discrepancy between fetal weights and the use of forceps could favor this rare complication. Various maneuvers were described previously attempted to solve the problem. Forcing back the second head may help to achieve delivery of the first twin.

  6. Social allostasis: anticipatory regulation of the internal milieu

    Directory of Open Access Journals (Sweden)

    Jay eSchulkin

    2011-01-01

    Full Text Available Social regulation of the internal milieu is a fundamental behavioral adaptation. Cephalic capabilityis reflected by anticipatory behaviors to serve systemic physiological regulation. Homeostaticregulation, a dominant perspective, reflects reactive responses; allostatic regulation, thephysiology of change, emphasizes longer-term anticipatory, and feedforward systems. Steroids,such as cortisol, and peptides such as corticotrophin releasing hormone are but one exampleof such anticipatory regulatory systems. The concept of allostasis is in part to take accountof anticipatory control amidst diverse forms of adaptation underlying this regulatory adaptationthat supports social contact and internal milieu.

  7. Dulichiella celestun, a new species of amphipod (Crustacea: Amphipoda: Melitidae) from the Gulf of Mexico, with a key and zoogeographic remarks for the genus in the western Atlantic.

    Science.gov (United States)

    Paz-Ríos, Carlos E; Ardisson, Pedro-Luis

    2014-03-10

    The discovery of a new melitid amphipod in the Celestun Biosphere Reserve (northern Yucatan peninsula, SE Gulf of Mexico) is reported. Dulichiella celestun sp. nov. differs from its congeners by an unique set of characteristics: truncated lateral cephalic lobe, mandibular palp article 1 having inner margin produced distally, carpus longer than the propodus of gnathopod 1, gnathopod 2 propodus distolateral crown with four spines, pereopods 3-7 dactylar unguis anterior margin with two accessory spines, and urosomite 3 bearing four dorsal spines. A key to species and zoogeographical affinities among members of the genus in the western Atlantic are also provided.

  8. Place of radiotherapy in head and neck paraganglioma: about a series of 30 patients treated at the Bordeaux university hospital centre between 1987 and 2010; Place de la radiotherapie des paragangliomes de la tete et du cou: a propos d'une serie de 30 patients traites au centre hospitalier universitaire de Bordeaux entre 1987 et 2010

    Energy Technology Data Exchange (ETDEWEB)

    Galland-Girodet, S.; Darrouzet, V.; Maire, J.P.; De-Mones-del-Pujol, E.; Demeaux, H.; Digue, L.; Benech, J.; Protat, B.; Trouette, R.; Aymeri, H. [Service de radiotherapie, CHU de Bordeaux, Bordeaux (France)

    2011-10-15

    The authors report a study which aimed at revealing the long term effect of radiations on the tumour para-ganglionic tissue, at assessing the efficiency and the role of radiotherapy in taking into care of cervical-cephalic paraganglioma, and at assessing the post-therapeutic quality of life. The study is based on a retrospective analysis of 30 patients treated by irradiation, and the analysis is performed in terms of treatment type, received dose, response to radiotherapy, survival rate, tumour control. Short communication

  9. Modulation of central sensitisation by detoxification in MOH

    DEFF Research Database (Denmark)

    Munksgaard, Signe B; Bendtsen, Lars; Jensen, Rigmor H

    2013-01-01

    BackgroundHuman and animal models suggest that central sensitisation plays a role in medication-overuse headache (MOH). We aimed to study pain perception in MOH patients before and a year after withdrawal.MethodsWe examined pain perception in 35 MOH patients before and two, six and 12 months after...... patients, 21 patients completed the entire study and remained cured of MOH. Statistically significant differences between patients and healthy controls were found in cephalic pressure-pain thresholds (137.3 kPa vs. 170 kPa, p ...

  10. Effect of osteoporosis and intervertebral disc degeneration on endplate cartilage injury in rats

    Institute of Scientific and Technical Information of China (English)

    Lei Wang; Wei Cui; Jean Pierre Kalala; Tom Van Hoof; Bao-Ge Liu

    2014-01-01

    Objective:To investigate the effect of osteoporosis and intervertebral disc degeneration on the endplate cartilage injury in rats.Methods:A total of48 femaleSpragueDawley rats(3 months) were randomly divided intoGroupsA,B,C andD with12 rats in each group.Osteoporosis and intervertebral disc degeneration composite model, simple degeneration model and simple osteoporosis model were prepared inGroupsA,B andC respectively.After modeling, four rats of each group at12th,18th and24th week were sacrificed.Intervertebral height of cervical vertebra C6/C7 was measured.Micro-CT was used to image the endplate of cephalic and caudal cartilage atC6/C7 intervertebral disc.Abraded area rate ofC6 caudal andC7 cephalic cartilage endplate was calculated, and thenC6/C7 intervertebral disc was routinely embedded and sectioned, stained with safraninO to observe histological changes microscopically.Results:At12,18 and 24 weeks, intervertebral disc height ofC6/C7 were(0.58±0.09) mm,(0.53±0.04) mm and(0.04±0.06) mm inGroupA rats,(0.55±0.05) mm,(0.52±0.07) mm and(0.07±0.05) mm inGroupB rats.At24th week, intervertebral disc height ofGroupA rats was significantly lower than that ofGroupB rats (P0.05).At12 and18 weeks, the abraded rate ofC6 caudal andC7 cephalic cartilage endplate inGroupA rats were significantly higher than that inGroupsB,C andD rats(P0.05).Microscopic observation ofCT showed that ventral defects inC6 caudal orC7 cephalic cartilage endplate inGroupsA andB appeared after12 weeks of modeling;obvious cracks were found in front of theC6 andC7 vertebral body, and cartilage defect shown the trend of "repairing" at18 and24 weeks after modeling.Conclusions:Intervertebral disc degeneration and osteoporosis can cause damage to the cartilage endplate.Co-existence of these two factors can induce more serious damage to the endplate, which has possitive correlation with intervertebral disc degeneration.Osteoporosis plays a certain role in intervertebral disc degeneration process, and

  11. Novel technique for placement of hemodialysis catheters using a combined open procedure with the Seldinger micropuncture technique.

    Science.gov (United States)

    Maa, J; Gosnell, J E; Chuter, T A M

    2005-03-01

    Percutaneous placement of large-diameter dialysis catheters via the Seldinger technique can be technically challenging in patients with coagulopathy, difficult anatomy, or several previous central line insertions. We describe a method for achieving safer access by combining an open approach to delineate the venous anatomy of the chest wall, with a micropuncture device and smaller diameter guidewire to gain intravascular access to the cephalic vein or its major tributaries. Serial dilation of otherwise unusable vessels can then permit successful and safer hemodialysis catheter insertion in these difficult cases.

  12. Scanning Electron Microscopy of Lagochilascaris minor Leiper, 1909 (Nematoda: Ascarididae

    Directory of Open Access Journals (Sweden)

    Lanfredi Reinalda Marisa

    1998-01-01

    Full Text Available Lagochilascaris minor Leiper, 1909 is a parasitic nematode with its biological cycle still unknown, even though it was found in humans, domestic and silvatic animals. Adult worms, collected by surgical drainage from a human patient from the State of Pará, Brazil, were micrographed using a scanning electron microscope. Morphological aspects of males and females such as cephalic structures, caudal papillae and cuticular patterns were analyzed and compared with the previous descriptions adding new data for the identification of this species.

  13. One new species of free-living marine nematodes (Enoplida, Anticomidae, Cephalanticoma) from the Huanghai Sea

    Institute of Scientific and Technical Information of China (English)

    HUANG Yong; ZHANG Zhinan

    2007-01-01

    One new species of free-living marine nematodes Cephalanticoma filicaudata sp. nov. from the Huanghai Sea, China is described and illustrated. Cephalanticoma filicaudata sp. nov. is characterized by well developed cephalic capsule, three teeth at the anterior of oesophagus, excretory pore opens posterior to cervical setae, only two cervical setae per file, body length longer than 5 200 μm, tail long and no ventral-lateral seta between the supplement and the cloacal opening. Types are deposited in the College of Marine Life Sciences, Ocean University of China.

  14. An adult case of polysplenia syndrome associated with sinus node dysfunction, dextrocardia, and systemic venous anomalies.

    Science.gov (United States)

    Fukuda, Kentaro; Onda, Toshihito; Kimura, Yuki; Miura, Seiji; Matsumori, Rie; Masaki, Yoshiyuki; Nishino, Akihisa; Inoue, Kenji; Fujiwara, Yasumasa; Sumiyoshi, Masataka

    2015-01-01

    A 54-year-old woman was referred to our hospital for symptomatic sinus bradyarrhythmia with a sinus pause of 8 seconds. She was diagnosed with dextrocardia during childhood and discovered to have heterotaxy syndrome when she had an appendectomy during her teenager years. Chest and abdominal examinations by computed tomography showed multiple spleens located on the right side and abnormal drainages of the superior and inferior vena cava. Left isomerism was diagnosed by bilaterally bilobed lungs. Because of a patent bilateral superior vena cava, pacemaker leads were implanted using the right cephalic vein approach. Her fainting symptoms disappeared after pacemaker implantation.

  15. Genetic Characterization of Atypical Mansonella (Mansonella) ozzardi Microfilariae in Human Blood Samples from Northeastern Peru

    Science.gov (United States)

    Marcos, Luis A.; Arrospide, Nancy; Recuenco, Sergio; Cabezas, Cesar; Weil, Gary J.; Fischer, Peter U.

    2012-01-01

    DNA sequence comparisons are useful for characterizing proposed new parasite species or strains. Microfilariae with an atypical arrangement of nuclei behind the cephalic space have been recently described in human blood samples from the Amazon region of Peru. Three blood specimens containing atypical microfilariae were genetically characterized using three DNA markers (5S ribosomal DNA, 12S ribosomal DNA, and cytochrome oxidase I). All atypical microfilariae were clustered into the Mansonella group and indistinguishable from M. ozzardi based on these DNA markers. PMID:22826497

  16. Drug: D07650 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available osporin, cephalosporinase-resistant Same as: C08114 ATC code: J01DD13 Semisynthetic cephalosporin...: broad spectrum cephalosporin penicillin binding proteins inhibitor ko00550 Peptidoglycan bio...IINFECTIVES FOR SYSTEMIC USE J01 ANTIBACTERIALS FOR SYSTEMIC USE J01D OTHER BETA-LACTAM ANTIBACTERIALS J01DD Third-generation cephalo...D07650 Drug Cefpodoxime (INN); CPDX; Epoxim (TN) C15H17N5O6S2 427.062 427.4554 D07650.gif Antibiotic, cephal...sporins J01DD13 Cefpodoxime D07650 Cefpodoxime (INN) USP drug classification [BR:br

  17. Description of a new Pratylenchus species from China (Tylenchida, Pratylenchidae).

    Science.gov (United States)

    Liu, Ning; Zhou, Xiao-Song; Chen, Li-Jie; Duan, Yu-Xi

    2013-10-01

    Pratylenchus ekrami from maize (Zea mays) roots in Shenyang and luffa (Luffa cylindrica) roots in Dalian, China, are described in this paper. Nematodes from the two areas were identified consistently, and were characterized by a heavy cephalic sclerotization, extending posteriorly up to two body annuli, stylet 11-13 μm long, elongating conoid tail, and becoming thinner from vulva. Males were not found. Pratylenchus ekrami is close to Pratylenchus vulnus, but the most critical characteristics between the two species were the number of lip annuli, stylet size, and shape of stylet knobs. This species is the first reported in China.

  18. A new species of Carnoya Gilson, 1898 (Rhigonematida: Carnoyidae) parasite of a spirobolid (Diplopoda: Spirobolida) from Cuba.

    Science.gov (United States)

    Rodríguez, Nayla García; Rodríguez, Jans Morffe

    2014-05-15

    Carnoya isabelica n. sp. is described parasitizing Nesobolus piedra from Eastern Cuba. The new species is characterized by the presence of 13 copulatory papillae in males (the post-cloacal arranged in two trios, with two lateral papillae and one median papilla that can be laterally displaced), the presence of collars of spines in the both sexes and females with 23-25 collars of spines, cephalic end not swollen and lateral alae extending from the end of spines to the base of the tail. SEM images of both sexes are given.

  19. A special adapted retractor for the mini-sternotomy approach.

    Science.gov (United States)

    Massetti, M; Babatasi, G; Bhoyroo, S; Le Page, O; Khayat, A

    1999-07-01

    Minimally invasive cardiac operations are now possible through different approaches. To provide the best exposure and sufficient space to manipulate the heart, a special adapted thoracic retractor has been developed for the ministernotomy approach. It is universally adjustable and provides excellent and consistent exposure especially below the incision edges. The retractor has the further advantage of a very low profile on the surgeon's side and at the cephalic and caudal extremes of the operative field, which permits the greatest possible access through a limited access. We have successfully used this retractor in more than 180 patients. A less invasive median sternotomy through a 6-9-cm incision has been our original approach.

  20. Pseudascarophis brasiliensis sp. nov. (Nematoda: Cystidicolidae parasitic in the Bermuda chub Kyphosus sectatrix (Perciformes: Kyphosidae from southeastern Brazil

    Directory of Open Access Journals (Sweden)

    Felipe Bisaggio Pereira

    2013-06-01

    Full Text Available A new species of Pseudascarophis (Nematoda: Cystidicolidae found in the stomach of Kyphosus sectatrix (Linnaeus (Kyphosidae, off Rio de Janeiro, Brazil, is described. The new species can be differentiated from the other congeners by the presence of lateral alae, distinct but inconspicuous cephalic papillae at the anterior end, three pairs of precloacal and one pair of adcloacal papillae in males, egg morphology and morphometry of glandular oesophagus and spicules. Pseudascarophis tropica is transferred to Ascarophis as Ascarophis tropica (Solov'eva comb. n. due to its ambiguous diagnosis.

  1. Co-occurrence of Pain Symptoms and Somatosensory Sensitivity in Burning Mouth Syndrome: A Systematic Review

    Science.gov (United States)

    Moisset, Xavier; Calbacho, Valentina; Torres, Pilar; Gremeau-Richard, Christelle; Dallel, Radhouane

    2016-01-01

    Background Burning mouth syndrome (BMS) is a chronic and spontaneous oral pain with burning quality in the tongue or other oral mucosa without any identifiable oral lesion or laboratory finding. Pathogenesis and etiology of BMS are still unknown. However, BMS has been associated with other chronic pain syndromes including other idiopathic orofacial pain, the dynias group and the family of central sensitivity syndromes. This would imply that BMS shares common mechanisms with other cephalic and/or extracephalic chronic pains. The primary aim of this systematic review was to determine whether BMS is actually associated with other pain syndromes, and to analyze cephalic and extracephalic somatosensory sensitivity in these patients. Methods This report followed the PRISMA Statement. An electronic search was performed until January 2015 in PubMed, Cochrane library, Wiley and ScienceDirect. Searched terms included “burning mouth syndrome OR stomatodynia OR glossodynia OR burning tongue OR oral burning”. Studies were selected according to predefined inclusion criteria (report of an association between BMS and other pain(s) symptoms or of cutaneous cephalic and/or extracephalic quantitative sensory testing in BMS patients), and a descriptive analysis conducted. Results The search retrieved 1512 reports. Out of these, twelve articles met criteria for co-occurring pain symptoms and nine studies for quantitative sensory testing (QST) in BMS patients. The analysis reveals that in BMS patients co-occurring pain symptoms are rare, assessed by only 0.8% (12 of 1512) of the retrieved studies. BMS was associated with headaches, TMD, atypical facial pain, trigeminal neuralgia, post-herpetic facial pain, back pain, fibromyalgia, joint pain, abdominal pain, rectal pain or vulvodynia. However, the prevalence of pain symptoms in BMS patients is not different from that in the age-matched general population. QST studies reveal no or inconsistent evidence of abnormal cutaneous cephalic

  2. Visualisation to enhance biomechanical tuning of ankle-foot orthoses (AFOs in stroke: study protocol for a randomised controlled trial

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    Carse Bruce

    2011-12-01

    Full Text Available Abstract Background There are a number of gaps in the evidence base for the use of ankle-foot orthoses for stroke patients. Three dimensional motion analysis offers an ideal method for objectively obtaining biomechanical gait data from stroke patients, however there are a number of major barriers to its use in routine clinical practice. One significant problem is the way in which the biomechanical data generated by these systems is presented. Through the careful design of bespoke biomechanical visualisation software it may be possible to present such data in novel ways to improve clinical decision making, track progress and increase patient understanding in the context of ankle-foot orthosis tuning. Methods A single-blind randomised controlled trial will be used to compare the use of biomechanical visualisation software in ankle-foot orthosis tuning against standard care (tuning using observation alone. Participants (n = 70 will have experienced a recent hemiplegia (1-12 months and will be identified by their care team as being suitable candidates for a rigid ankle-foot orthosis. The primary outcome measure will be walking velocity. Secondary outcome measures include; lower limb joint kinematics (thigh and shank global orientations & kinetics (knee and hip flexion/extension moments, ground reaction force FZ2 peak magnitude, step length, symmetry ratio based on step length, Modified Ashworth Scale, Modified Rivermead Mobility Index and EuroQol (EQ-5D. Additional qualitative measures will also be taken from participants (patients and clinicians at the beginning and end of their participation in the study. The main aim of the study is to determine whether or not the visualisation of biomechanical data can be used to improve the outcomes of tuning ankle-foot orthoses for stroke patients. Discussion In addition to answering the primary research question the broad range of measures that will be taken during this study are likely to contribute to a

  3. Assessment of a virtual functional prototyping process for the rapid manufacture of passive-dynamic ankle-foot orthoses.

    Science.gov (United States)

    Schrank, Elisa S; Hitch, Lester; Wallace, Kevin; Moore, Richard; Stanhope, Steven J

    2013-10-01

    Passive-dynamic ankle-foot orthosis (PD-AFO) bending stiffness is a key functional characteristic for achieving enhanced gait function. However, current orthosis customization methods inhibit objective premanufacture tuning of the PD-AFO bending stiffness, making optimization of orthosis function challenging. We have developed a novel virtual functional prototyping (VFP) process, which harnesses the strengths of computer aided design (CAD) model parameterization and finite element analysis, to quantitatively tune and predict the functional characteristics of a PD-AFO, which is rapidly manufactured via fused deposition modeling (FDM). The purpose of this study was to assess the VFP process for PD-AFO bending stiffness. A PD-AFO CAD model was customized for a healthy subject and tuned to four bending stiffness values via VFP. Two sets of each tuned model were fabricated via FDM using medical-grade polycarbonate (PC-ISO). Dimensional accuracy of the fabricated orthoses was excellent (average 0.51 ± 0.39 mm). Manufacturing precision ranged from 0.0 to 0.74 Nm/deg (average 0.30 ± 0.36 Nm/deg). Bending stiffness prediction accuracy was within 1 Nm/deg using the manufacturer provided PC-ISO elastic modulus (average 0.48 ± 0.35 Nm/deg). Using an experimentally derived PC-ISO elastic modulus improved the optimized bending stiffness prediction accuracy (average 0.29 ± 0.57 Nm/deg). Robustness of the derived modulus was tested by carrying out the VFP process for a disparate subject, tuning the PD-AFO model to five bending stiffness values. For this disparate subject, bending stiffness prediction accuracy was strong (average 0.20 ± 0.14 Nm/deg). Overall, the VFP process had excellent dimensional accuracy, good manufacturing precision, and strong prediction accuracy with the derived modulus. Implementing VFP as part of our PD-AFO customization and manufacturing framework, which also includes fit customization, provides a novel and powerful method to

  4. Design of splints based on the NiTi alloy for the correction of joint deformities in the fingers

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    Puértolas Sergio

    2010-09-01

    Full Text Available Abstract Background The proximal interphalange joint (PIP is fundamental for the functional nature of the hand. The contracture in flexion of the PIP, secondary to traumatisms or illnesses leads to an important functional loss. The use of correcting splints is the common procedure for treating this problem. Its functioning is based on the application of a small load and a prolonged stress which can be dynamic, static progressive or static serial. It is important that the therapist has a splint available which can release a constant and sufficient force to correct the contracture in flexion. Nowadays NiTi is commonly used in bio-engineering, due to its superelastical characteristics. The experience of the authors in the design of other devices based on the NiTi alloy, makes it possible to carry out a new design in this work - the production of a finger splint for the treatment of the contracture in flexion of the PIP joint. Methods Commercial orthosis have been characterized using a universal INSTRON 5565 machine. A computational simulation of the proposed design has been conducted, reproducing its performance and using a model "ad hoc" for the NiTi material. Once the parameters have been adjusted, the design is validated using the same type of test as those carried out on commercial orthosis. Results and Discussion For commercial splint the recovering force falls to excessively low values as the angle increases. Angle curves for different lengths and thicknesses of the proposed design have been obtained, with a practically constant recovering force value over a wide range of angles that vary between 30° and 150° in every case. Then the whole treatment is possible with only one splint, and without the need of progressive replacements as the joint recovers. Conclusions A new model of splint based on NiTi alloy has been designed, simulated and tested comparing its behaviour with two of the most regularly used splints. Its uses is recommended

  5. Semi-rigid brace and taping decrease variability of the ankle joint position sense

    Directory of Open Access Journals (Sweden)

    Márcia Barbanera

    2014-12-01

    Full Text Available The present study investigated the effect of taping and the semi-rigid ankle brace on ankle joint position sense. Sixteen healthy women (20.8 ± 2.3 years old actively placed the ankle in a target position. The experimental conditions were: 1 wearing no orthosis device, 2 using semi-rigid brace, and 3 wearing ankle taping. Absolute error (AE and variable error (VE were calculated to obtain the joint position sense. We found an interaction effect between condition and target angle at 15o of plantar flexion for the variable VE, which showed smaller errors during the use of taping and semi-rigid brace. In conclusion, the use of ankle joint orthoses, whether taping or semi-rigid brace, decrease the variability of the position sense at 15o of plantar flexion, potentially decreasing ankle sprains occurrence.

  6. Autologous osteochondral plug transplantation for osteochondrosis of the second metatarsal head: a case report

    Directory of Open Access Journals (Sweden)

    Kokubu Takeshi

    2011-07-01

    Full Text Available Abstract Introduction Osteochondrosis of the second or third metatarsal head is a rare condition called Freiberg's disease. To relieve foot pain, conservative treatment with a foot orthosis to reduce weight-bearing and immobilize the foot are recommended. In cases in which such treatments have proved to be ineffective, several surgical treatments have been performed. The appropriate surgical treatment for Freiberg's disease remains controversial. Case presentation We describe the case of a 20-year-old Japanese woman with a three-year history of right forefoot pain and no history of trauma. Two years after treatment by autologous osteochondral plug transplantation, she has neither complaints nor symptoms. Conclusion Autologous osteochondral plug transplantation represents a potentially successful surgical arthroplastic option in preserving the metatarsophalangeal joint in patients with Freiberg's disease.

  7. Technologies for Medical Sciences

    CERN Document Server

    Tavares, João; Barbosa, Marcos; Slade, AP

    2012-01-01

    This book presents novel and advanced technologies for medical sciences in order to solidify knowledge in the related fields and define their key stakeholders.   The fifteen papers included in this book were written by invited experts of international stature and address important technologies for medical sciences, including: computational modeling and simulation, image processing and analysis, medical imaging, human motion and posture, tissue engineering, design and development medical devices, and mechanic biology. Different applications are treated in such diverse fields as biomechanical studies, prosthesis and orthosis, medical diagnosis, sport, and virtual reality.   This book is of interest to researchers, students and manufacturers from  a wide range of disciplines related to bioengineering, biomechanics, computational mechanics, computational vision, human motion, mathematics, medical devices, medical image, medicine and physics.

  8. The health belief model and factors associated with adherence to treatment recommendations for positional plagiocephaly.

    Science.gov (United States)

    Lam, Sandi; Luerssen, Thomas G; Hadley, Caroline; Daniels, Bradley; Strickland, Ben A; Brookshier, Jim; Pan, I-Wen

    2017-03-01

    OBJECTIVE This study aimed to examine factors associated with adherence to recommended treatment among pediatric patients with positional skull deformity by reviewing a single-institution experience (2007-2014) with the treatment of positional plagiocephaly. METHODS A retrospective chart review was conducted. Risk factors, treatment for positional head shape deformity, and parent-reported adherence were recorded. Univariate and multivariate analyses were used to assess the impact of patient clinical and demographic characteristics on adherence. RESULTS A total of 991 patients under age 12 months were evaluated for positional skull deformity at the Texas Children's Hospital Cranial Deformity Clinic between 2007 and 2014. According to an age- and risk factor-based treatment algorithm, patients were recommended for repositioning, physical therapy, or cranial orthosis therapy or crossover from repositioning/physical therapy into cranial orthosis therapy. The patients' average chronological age at presentation was 6.2 months; 69.3% were male. The majority were white (40.7%) or Hispanic (32.6%); 38.7% had commercial insurance and 37.9% had Medicaid. The most common initial recommended treatment was repositioning or physical therapy; 85.7% of patients were adherent to the initial recommended treatment. Univariate analysis showed differences in adherence rates among subgroups. Children's families with Medicaid were less likely to be adherent to treatment recommendations (adherence rate, 80.2%). Families with commercial insurance were more likely to be adherent to the recommended treatment (89.6%). Multivariate logistic regression confirmed that factors associated with parent-reported adherence to recommended treatment included primary insurance payer, diagnosis (plagiocephaly vs brachycephaly), and the nature of the recommended treatment. Families were less likely to be adherent if they had Medicaid, a child with a diagnosis of brachycephaly, or were initially recommended

  9. Biomedical technology transfer. Applications of NASA science and technology

    Science.gov (United States)

    Harrison, D. C.

    1980-01-01

    Ongoing projects described address: (1) intracranial pressure monitoring; (2) versatile portable speech prosthesis; (3) cardiovascular magnetic measurements; (4) improved EMG biotelemetry for pediatrics; (5) ultrasonic kidney stone disintegration; (6) pediatric roentgen densitometry; (7) X-ray spatial frequency multiplexing; (8) mechanical impedance determination of bone strength; (9) visual-to-tactile mobility aid for the blind; (10) Purkinje image eyetracker and stabilized photocoalqulator; (11) neurological applications of NASA-SRI eyetracker; (12) ICU synthesized speech alarm; (13) NANOPHOR: microelectrophoresis instrument; (14) WRISTCOM: tactile communication system for the deaf-blind; (15) medical applications of NASA liquid-circulating garments; and (16) hip prosthesis with biotelemetry. Potential transfer projects include a person-portable versatile speech prosthesis, a critical care transport sytem, a clinical information system for cardiology, a programmable biofeedback orthosis for scoliosis a pediatric long-bone reconstruction, and spinal immobilization apparatus.

  10. Prosthetic ambulation in a paraplegic patient with a transfemoral amputation and radial nerve palsy.

    Science.gov (United States)

    Shin, J C; Park, C; Kim, D Y; Choi, Y S; Kim, Y K; Seong, Y J

    2000-08-01

    Great importance and caution should be placed on prosthetic fitting for a paraplegic patient with an anesthetic residual limb if functional ambulation is to be achieved. The combination of paraplegia with a transfemoral amputation and radial nerve palsy is a complex injury that makes the rehabilitation process difficult. This article describes a case of L2 paraplegia with a transfemoral amputation and radial nerve palsy on the right side. Following the rehabilitation course, the patient independently walked using a walker at indoor level with a transfemoral prosthesis with ischial containment socket, polycentric knee assembly, endoskeletal shank and multiaxis foot assembly and a knee ankle foot orthosis on the sound side. The difficulties of fitting a functional prosthesis to an insensate limb and the rehabilitation stages leading to functional ambulation are reviewed.

  11. Nonsurgical Corrective Union of Osteoporotic Vertebral Fracture with Once-Weekly Teriparatide

    Directory of Open Access Journals (Sweden)

    Naohisa Miyakoshi

    2015-01-01

    Full Text Available Osteoporotic vertebral fractures usually heal with kyphotic deformities with subsidence of the vertebral body when treated conservatively. Corrective vertebral union using only antiosteoporotic pharmacotherapy without surgical intervention has not been reported previously. An 81-year-old female with osteoporosis presented with symptomatic fresh L1 vertebral fracture with intravertebral cleft. Segmental vertebral kyphosis angle (VKA at L1 was 20° at diagnosis. Once-weekly teriparatide administration, hospitalized rest, and application of a thoracolumbosacral orthosis alleviated symptoms within 2 months. Corrective union of the affected vertebra was obtained with these treatments. VKA at 2 months after injury was 8° (correction, 12° and was maintained as of the latest follow-up at 7 months. Teriparatide has potent bone-forming effects and has thus been expected to enhance fracture healing. Based on the clinical experience of this case, teriparatide may have the potential to allow correction of unstable vertebral fractures without surgical intervention.

  12. Odontoid screw fixation for fresh and remote fractures

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    Rao Ganesh

    2005-01-01

    Full Text Available Fractures of the odontoid process are common, accounting for 10% to 20% of all cervical spine fractures. Odontoid process fractures are classified into three types depending on the location of the fracture line. Various treatment options are available for each of these fracture types and include application of a cervical orthosis, direct anterior screw fixation, and posterior cervical fusion. If a patient requires surgical treatment of an odontoid process fracture, the timing of treatment may affect fusion rates, particularly if direct anterior odontoid screw fixation is selected as the treatment method. For example, type II odontoid fractures treated within the first 6 months of injury with direct anterior odontoid screw fixation have an 88% fusion rate, whereas fractures treated after 18 months have only a 25% fusion rate. In this review, we discuss the etiology, biomechanics, diagnosis, and treatment (including factors affecting fusion such as timing and fracture orientation options available for odontoid process fractures.

  13. Use of an abduction brace for developmental dysplasia of the hip after failure of Pavlik harness use.

    Science.gov (United States)

    Hedequist, Daniel; Kasser, James; Emans, John

    2003-01-01

    The authors reviewed the records of 15 infants who were treated with an abduction brace after Pavlik harness use for developmental dysplasia of the hip (DDH) failed. Failure was defined as persistent dislocation or instability of the hip. Thirteen of these 15 patients had resolution of DDH with the use of an abduction brace. The median time spent in the brace before stabilization of examination findings was 24 days; the median time in the brace before normalization of ultrasound parameters was 46 days. There were no complications with regard to use of the abduction orthosis. At final follow-up of an average of 3 years and 7 months, no patient had undergone surgery and no patient had residual dysplasia or avascular necrosis of the hip. The two patients in whom both the Pavlik harness and abduction brace failed went on to successful closed reduction and spica cast application.

  14. Posterior C1-C2 Fixation Using Absorbable Suture for Type II Odontoid Fracture in 2-Year-Old Child: Description of a New Technique and Literature Review.

    Science.gov (United States)

    Labbe, Jean L; Peres, Olivier; Leclair, Olivier; Goulon, Renaud; Scemama, Patrice; Jourdel, François; Bertrou, Véronique; Murgier, Jerome

    2016-12-01

    Odontoid synchondrosis fractures are rare in children, even though they are the more common cervical fracture in children less than 7 years old. Nonoperative treatment with external orthosis immobilization is the treatment of choice for stable undisplaced or minimally displaced injuries. In unstable fractures, when reduction cannot be achieved or maintained, surgical fixation is recommended. We report a 2-year-old boy with an unstable fracture of the odontoid treated surgically using an absorbable monofilament suture for C1-C2 interlaminar fixation without bone grafting. This suture was strong enough to provide the stability necessary to allow healing of the synchondrosis and the delayed resorption of the suture was followed by complete restoration of the mobility between C1 and C2. This case illustrates that surgical stabilization using an absorbable suture in young children with an unstable odontoid fracture is a safe and effective alternative to other surgical techniques.

  15. [Spinal injuries in children and adolescents].

    Science.gov (United States)

    Schrödel, M; Hertlein, H

    2013-12-01

    Pediatric cervical spine injuries are rare. Knowledge of possible types of injury, physiological development and anomalies is necessary in order to not overlook the injury and to initiate suitable therapy. Description of the clinical assessment, Management of diagnostics and therapy of specific injuries. Based on a selective literature search and taking into consideration our own experience, typical injuries at the upper and lower cervical spine in pediatric patients are depicted. In the presence of neurological deficits, identification of the cause is crucial. Odontoid fractures and injuries to the second cervical vertebra are common in upper cervical spine injuries, compression fractures and facet joint dislocation injuries are common in lower cervical spine injuries. Depending on the location of the injury and on the grade of instability, specific therapy, including conservative treatment (orthosis, halo fixation) and operative treatment (internal fixation, fusion) might be necessary.

  16. Sensor-based hip control with hybrid neuroprosthesis for walking in paraplegia.

    Science.gov (United States)

    To, Curtis S; Kobetic, Rudi; Bulea, Thomas C; Audu, Musa L; Schnellenberger, John R; Pinault, Gilles; Triolo, Ronald J

    2014-01-01

    The objectives of this study were to test whether a hybrid neuroprosthesis (HNP) with an exoskeletal variable-constraint hip mechanism (VCHM) combined with a functional neuromuscular stimulation (FNS) controller can maintain upright posture with less upper-limb support and improve gait speed as compared with walking with either an isocentric reciprocating gait orthosis (IRGO) or FNS only. The results show that walking with the HNP significantly reduced forward lean in FNS-only walking and the maximum upper-limb forces by 42% and 19% as compared with the IRGO and FNS-only gait, respectively. Walking speed increased significantly with VCHM as compared with 1:1 reciprocal coupling and by 15% when using the sensor-based FNS controller as compared with HNP with fixed baseline stimulation without the controller active.

  17. Plantar fasciitis

    Directory of Open Access Journals (Sweden)

    Mohammad Ali Tahririan

    2012-01-01

    Full Text Available Heel pain, mostly caused by plantar fasciitis (PF, is a common complaint of many patients who requiring professional orthopedic care and are mostly suffering from chronic pain beneath their heels. The present article reviews studies done by preeminent practitioners related to the anatomy of plantar fasciitis and their histo-pathological features, factors associated with PF, clinical features, imaging studies, differential diagnoses, and diverse treatment modalities for treatment of PF, with special emphasis on non-surgical treatment. Anti-inflammatory agents, plantar stretching, and orthosis proved to have highest priority; corticosteroid injection, night splints and extracorporeal shock wave therapy were of next priority, in patients with PF. In patients resistant to the mentioned treatments surgical intervention should be considered.

  18. Treatment of atlantoaxial rotatory fixation with botulinum toxin muscle block and manipulation.

    Science.gov (United States)

    Lin, Chia-Hung; Chen, Chun-Jung; Chen, Chuan-Mu; Liao, Su-Lan; Raung, Shue-Ling; Tsai, Sen-Wei

    2010-04-01

    Slippage after reduction of atlantoaxial rotatory fixation (AARF) is usually treated with repeated cervical traction and brace immobilization. To date, no data have been published on the management of muscle spasm during treatment. Here, we describe the case of a 7-year-old girl with AARF for 1 month who visited our hospital for treatment. During physical examination, spasm of the sternocleidomastoid muscle was noted. The patient was treated with manipulative reduction, and slippage after reduction was managed with botulinum spasticity block of the sternocleidomastoid and splenius capitis muscles, and repeated manipulation. Cervical orthosis immobilization with a rehabilitation program of isometric contract-relax exercise for the neck was conducted for 3 months. The subject had full recovery from AARF at 1-year follow-up. This report demonstrates that, in selected cases of slippage after reduction from AARF, conservative management with manipulation under anesthesia is a good method, and the muscle components may play a crucial role in AARF.

  19. Slow walking model for children with multiple disabilities via an application of humanoid robot

    Science.gov (United States)

    Wang, ZeFeng; Peyrodie, Laurent; Cao, Hua; Agnani, Olivier; Watelain, Eric; Wang, HaoPing

    2016-02-01

    Walk training research with children having multiple disabilities is presented. Orthosis aid in walking for children with multiple disabilities such as Cerebral Palsy continues to be a clinical and technological challenge. In order to reduce pain and improve treatment strategies, an intermediate structure - humanoid robot NAO - is proposed as an assay platform to study walking training models, to be transferred to future special exoskeletons for children. A suitable and stable walking model is proposed for walk training. It would be simulated and tested on NAO. This comparative study of zero moment point (ZMP) supports polygons and energy consumption validates the model as more stable than the conventional NAO. Accordingly direction variation of the center of mass and the slopes of linear regression knee/ankle angles, the Slow Walk model faithfully emulates the gait pattern of children.

  20. Long term curative effects of postoperative rehabilitation after posterior spinal fusion on congenital scoliosis%先天性脊柱侧弯后路融合术后康复的远期疗效 .

    Institute of Scientific and Technical Information of China (English)

    雷伟; 黄耀添; 赵黎; 崔庚; 袁志; 韩利华; 杜俊杰

    2002-01-01

    Objective To review our experience on correction of low grade and medium congenital scoliosis by posterior spinal fusion. Method During 1978~ 1998, 56 patients with low grade and medium congenital scoliosis were treated by posterior spinal fusion with autologous bone、 xenogenic bone and recombining xenogenic bone in our department. Preoperative Cobb angles of all patients were less than 40 degrees. Result The study covered 50 patients with minimum follow up period from surgery of 2 years ( mean 9.5 years, ranging from 2~ 22 years ). All patients have got satisfactory fusion, and the Cobb angels of all patients after operation have no increase with the increase of age. Conclusion Posterior spinal fusion in treatment of low grade and medium congenital scoliosis is easy to do, safe and less injury and cost. The follow up results are satisfying. It is necessary and important to use orthosis and doing orthopedic exercise to consolidate and improve the curative effect after operation.

  1. Electrical resistivity-based study of self-sensing properties for shape memory alloy-actuated artificial muscle.

    Science.gov (United States)

    Zhang, Jian-Jun; Yin, Yue-Hong; Zhu, Jian-Ying

    2013-09-26

    Shape memory alloy (SMA) has great potential to develop light and compact artificial muscle (AM) due to its muscle-like high power-to-weight ratio, flexibility and silent operation properties. In this paper, SMA self-sensing properties are explored and modeled in depth to imitate the integrated muscle-like functions of actuating and self-sensing for SMA-AM based on the investigation of SMA electrical resistivity (ER). Firstly, an ER transformation kinetics model is proposed based on the simulation of SMA differential scanning calorimetry (DSC) curves. Then a series of thermal-electrical-mechanical experiments are carried out to verify the validity of the ER model, whereby the SMA-AM self-sensing function is well established under different stress conditions. Finally the self-sensing capability is further demonstrated by its application to a novel SMA-AM-actuated active ankle-foot orthosis (AAFO).

  2. Electrical Resistivity-Based Study of Self-Sensing Properties for Shape Memory Alloy-Actuated Artificial Muscle

    Directory of Open Access Journals (Sweden)

    Jian-Ying Zhu

    2013-09-01

    Full Text Available Shape memory alloy (SMA has great potential to develop light and compact artificial muscle (AM due to its muscle-like high power-to-weight ratio, flexibility and silent operation properties. In this paper, SMA self-sensing properties are explored and modeled in depth to imitate the integrated muscle-like functions of actuating and self-sensing for SMA-AM based on the investigation of SMA electrical resistivity (ER. Firstly, an ER transformation kinetics model is proposed based on the simulation of SMA differential scanning calorimetry (DSC curves. Then a series of thermal-electrical-mechanical experiments are carried out to verify the validity of the ER model, whereby the SMA-AM self-sensing function is well established under different stress conditions. Finally the self-sensing capability is further demonstrated by its application to a novel SMA-AM-actuated active ankle-foot orthosis (AAFO.

  3. The effects of total contact insole with forefoot medial posting on rearfoot movement and foot pressure distributions in patients with flexible flatfoot.

    Science.gov (United States)

    Tang, Simon Fuk-Tan; Chen, Chien-Hung; Wu, Chih-Kuan; Hong, Wei-Hsien; Chen, Kuan-Jung; Chen, Chih-Kuang

    2015-02-01

    The purpose of this study is to evaluate the therapeutic effect of total contact insole with forefoot medial posting (TCIFMP) orthosis in patients with flexible flatfoot. The TCIFMP insole was custom- mode, made from semi-rigid plastazote and PPT. Using the gait analysis and the plantar-pressure measure systems, we investigate rearfoot motion and plantar pressure redistribution in these patients. The results of this study showed that the excessive valgus movement of the rearfoot can be reduced significantly by the TCIFMP insole in these patients. Besides, there were significant decreases in the peak pressure under the toe, lateral metatarsal, lateral foot and heel areas. Therefore, we suggested that the TCIFMP insole is an effective orthotic device for rearfoot motion control, plantar pressure reduction and re-distribution in patients with flexible flatfoot.

  4. Estudo da impressão plantar obtida durante o teste de Jack em crianças Footprint study in children during the Jack test

    Directory of Open Access Journals (Sweden)

    José Antonio Pinto

    2011-01-01

    Full Text Available OBJETIVO: Avaliar as impressões plantares durante o teste de Jack em crianças quantificando e observando os resultados numa faixa etária crítica para a formação do arco plantar. MÉTODO: Avaliamos 60 crianças brancas (120 pés sendo 35 meninos e 25 meninas com idades entre 2 e 5 anos, sem queixas ortopédicas. Simulamos o teste de Jack com uma órtese em cunha de 45º apoiada sob o hálux. Obtivemos impressões em apoio monopodálico bilateralmente utilizando um pedígrafo. O exame dividiu-se em duas etapas: com e sem o uso da órtese. A metodologia de Valenti e Volpon foi utilizada para mensurar as impressões plantares e os dados obtidos foram analisados estatisticamente. RESULTADOS: Os valores dos índices de Valenti e Volpon diminuiram quando a órtese foi utilizada. A diferença entre os índices com ou sem órtese diminuiu gradualmente com a progressão etária. CONCLUSÕES: É possível quantificar o teste de Jack pelwas impressões plantares pelo método de Valenti e Volpon. A variação do seu formato apresentou tendência a ser menor a partir dos 4 anos. O teste de Jack perdeu gradativamente a capacidade de modificar a impressão plantar com a idade, diminuindo sua acuidade como parâmetro de bom prognóstico na formação do arco longitudinal medial. Nível de Evidência: Nível IV, estudo descritivo observacional.OBJECTIVE: To assess the plantar impressions obtained in children during the Jack test, with the aim of quantifying and analyzing their variability in the critical period for plantar foot arch formation. METHOD: A hundred and twenty feet from 60 healthy White children, recruited in an outpatient pediatric clinic, were examined. Our sample included 35 boys and 25 girls, ranging from 2 to 5 years. The Jack test was simulated using a 45o wedge-shaped orthosis applied to the hallux. Bilateral plantar impressions were acquired in the alternate single-foot standing position using a pedigraph. Two plantar impressions were

  5. Sensor-based hip control with hybrid neuroprosthesis for walking in paraplegia

    Directory of Open Access Journals (Sweden)

    Curtis S. To, PhD

    2014-03-01

    Full Text Available The objectives of this study were to test whether a hybrid neuroprosthesis (HNP with an exoskeletal variable-­constraint hip mechanism (VCHM combined with a functional neuromuscular stimulation (FNS controller can maintain upright posture with less upper-limb support and improve gait speed as compared with walking with either an isocentric reciprocating gait orthosis (IRGO or FNS only. The results show that walking with the HNP significantly reduced forward lean in FNS-only walking and the maximum upper-limb forces by 42% and 19% as compared with the IRGO and FNS-only gait, respectively. Walking speed increased significantly with VCHM as compared with 1:1 reciprocal coupling and by 15% when using the sensor-based FNS controller as compared with HNP with fixed baseline stimulation without the controller active.

  6. Evaluation of the influences of various force magnitudes and configurations on scoliotic curve correction using finite element analysis.

    Science.gov (United States)

    Karimi, Mohammad Taghi; Ebrahimi, Mohammad Hossein; Mohammadi, Ali; McGarry, Anthony

    2017-03-01

    Scoliosis is a lateral curvature in the normally straight vertical line of the spine, and the curvature can be moderate to severe. Different treatment can be used based on severity and age of subjects, but most common treatment for this disease is using orthosis. To design orthosis types of force arrangement can be varied, from transverse loads to vertical loads or combination of them. But it is not well introduced how orthoses control scoliotic curve and how to achieve the maximum correction based on force configurations and magnitude. Therefore, it was aimed to determine the effect of various loads configurations and magnitudes on curve correction of a degenerative scoliotic subject. A scoliotic subject participated in this study. The CT-Scan of the subject was used to produce 3D model of spine. The 3D model of spine was produced by Mimics software and the finite element analysis and deformation of scoliotic curve of the spine under seven different forces and in three different conditions was determined by ABAQUS software. The Cobb angle in scoliosis curve decreased significantly by applying forces. In each condition depends on different forces, different corrections have been achieved. It can be concluded that the configurations of the force application mentioned in this study is effective to decrease the scoliosis curve. Although it is a case study, it can be used for a vast number of subjects to predict the correction of scoliosis curve before orthotic treatment. Moreover, it is recommended that this method and the outputs can be compared with clinical findings.

  7. The effect of different depths of medial heel skive on plantar pressures

    Directory of Open Access Journals (Sweden)

    Bonanno Daniel R

    2012-08-01

    Full Text Available Abstract Background Foot orthoses are often used to treat lower limb injuries associated with excessive pronation. There are many orthotic modifications available for this purpose, with one being the medial heel skive. However, empirical evidence for the mechanical effects of the medial heel skive modification is limited. This study aimed to evaluate the effect that different depths of medial heel skive have on plantar pressures. Methods Thirty healthy adults (mean age 24 years, range 18–46 with a flat-arched or pronated foot posture and no current foot pain or deformity participated in this study. Using the in-shoe pedar-X® system, plantar pressure data were collected for the rearfoot, midfoot and forefoot while participants walked along an 8 metre walkway wearing a standardised shoe. Experimental conditions included a customised foot orthosis with the following 4 orthotic modifications: (i no medial heel skive, (ii a 2 mm medial heel skive, (iii a 4 mm medial heel skive and (iv a 6 mm medial heel skive. Results Compared to the foot orthosis with no medial heel skive, statistically significant increases in peak pressure were observed at the medial rearfoot – there was a 15% increase (p = 0.001 with the 4 mm skive and a 29% increase (p  Conclusions This study found that a medial heel skive of 4 mm or 6 mm increases peak pressure under the medial rearfoot in asymptomatic adults with a flat-arched or pronated foot posture. Plantar pressures at the midfoot and forefoot were not altered by a medial heel skive of 2, 4 or 6 mm. These findings provide some evidence for the effects of the medial heel skive orthotic modification.

  8. Influence of virtual reality soccer game on walking performance in robotic assisted gait training for children

    Directory of Open Access Journals (Sweden)

    Zimmerli Lukas

    2010-04-01

    Full Text Available Abstract Background Virtual reality (VR offers powerful therapy options within a functional, purposeful and motivating context. Several studies have shown that patients' motivation plays a crucial role in determining therapy outcome. However, few studies have demonstrated the potential of VR in pediatric rehabilitation. Therefore, we developed a VR-based soccer scenario, which provided interactive elements to engage patients during robotic assisted treadmill training (RAGT. The aim of this study was to compare the immediate effect of different supportive conditions (VR versus non-VR conditions on motor output in patients and healthy control children during training with the driven gait orthosis Lokomat®. Methods A total of 18 children (ten patients with different neurological gait disorders, eight healthy controls took part in this study. They were instructed to walk on the Lokomat in four different, randomly-presented conditions: (1 walk normally without supporting assistance, (2 with therapists' instructions to promote active participation, (3 with VR as a motivating tool to walk actively and (4 with the VR tool combined with therapists' instructions. The Lokomat gait orthosis is equipped with sensors at hip and knee joint to measure man-machine interaction forces. Additionally, subjects' acceptance of the RAGT with VR was assessed using a questionnaire. Results The mixed ANOVA revealed significant main effects for the factor CONDITIONS (p Conclusions The VR scenario used here induces an immediate effect on motor output to a similar degree as the effect resulting from verbal instructions by the therapists. Further research needs to focus on the implementation of interactive design elements, which keep motivation high across and beyond RAGT sessions, especially in pediatric rehabilitation.

  9. Relationship Between Bone Mineral Density and Functional Parameters of Paraplegic Patients in Short-Term After Spinal Cord Injury-Original Investigation

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    Duygu Geler Külcü

    2008-12-01

    Full Text Available Aim: To determine the relationship between bone mineralization and functional activity level of paraplegic patients in short-term after spinal cord injury (SCI. Material and Methods: Thirty paraplegic patients and twentynine healthy controls were admitted to this study. Bone mineral density (BMD and Z-scores, together with serum calcium, phosphorus, alkaline phosphatase, parathyroid hormone and 25-hydroxyvitamin-D levels, urinary calcium and deoxypyridinoline excretion were measured. All patients underwent a rehabilitation program including range of motion and progressive resistance exercises, upper body ergometry exercises, standing training with long leg orthosis, wheelchair ambulation or walking either by orthosis or walking aids five times/week during hospitalization. Results: There was no difference between the groups regarding BMD values and Z-scores. Mean serum calcium and parathyroid hormone levels were lower (p=0.016 and p<0.001, respectively, serum phosphorus and alkaline phosphatase levels were higher (p<0.001 and p=0.049, respectively in the paraplegics as compared to the controls. Positive correlations were found between the radius BMD values and total duration of upper body ergometry exercise (r=0.550, p=0.027 and wheelchair use (r=0.622, p=0.010 and also between the femur BMD values and total duration of therapeutic standing (r=0.351, p=0.039. There was an inverse relationship between the femur BMD values and total duration of immobilization (r= -0.404, p= 0.033. Conclusion: Early rehabilitation interventions may prevent bone demineralization. Paraplegic patients should be followed and evaluated also in long term for the increased risk of osteoporosis. (From the World of Osteoporosis 2008;14: 57-61

  10. Examination of the torque required to passively palmar abduct the thumb CMC joint in a pediatric population with hemiplegia and stroke.

    Science.gov (United States)

    Stirling, Leia; Ahmad, Mona Qureshi; Kelty-Stephen, Damian; Correia, Annette

    2015-12-16

    Many activities of daily living involve precision grasping and bimanual manipulation, such as putting toothpaste on a toothbrush or feeding oneself. However, children afflicted by stroke, cerebral palsy, or traumatic brain injury may have lost or never had the ability to actively and accurately control the thumb. To translate insights from adult rehabilitation robotics to innovative therapies for hand rehabilitation in pediatric care, specifically for thumb deformities, an understanding of the torque needed to abduct the thumb to assist grasping tasks is required. Participants (n=16, 10 female, 13.2±3.1 years) had an upper extremity evaluation and measures were made of their passive range of motion, anthropometrics, and torques to abduct the thumb for both their affected and non-affected sides. Torque measures were made using a custom wrist orthosis that was adjusted for each participant. The torque to achieve maximum abduction was 1.47±0.61inlb for the non-affected side and 1.51±0.68inlb for the affected side, with a maximum recorded value of 4.87inlb. The overall maximum applied torque was observed during adduction and was 5.10inlb. We saw variation in the applied torque, which could have been due to the applied torques by the Occupational Therapist or the participant actively assisting or resisting the motion rather than remaining passive. We expect similar muscle and participant variation to exist with an assistive device. Thus, the data presented here can be used to inform the specifications for the development of an assistive thumb orthosis for children with "thumb-in-palm" deformity.

  11. Differential influences of unilateral tDCS over the intraparietal cortex on numerical cognition

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    Christina eArtemenko

    2015-03-01

    Full Text Available Recent neuro-imaging research identified the bilateral intraparietal sulcus (IPS to be a key area associated with number processing. However, causal structure-function relationships are hard to evaluate from neuro-imaging techniques such as fMRI. Nevertheless, brain stimulation methods like transcranial direct current stimulation (tDCS allow for investigating the functional relevance of the IPS for number processing. Following up on a study using bilateral bi-cephalic tDCS over the IPS, the current study aimed at evaluating the differential lateralized functional contributions of the left and right IPS to number processing using unilateral bi-cephalic tDCS over either the left or right IPS. Results indicated a right lateralization for the processing of the place-value structure of the Arabic number system. Importantly, the processing of number magnitude information was not affected by unilateral IPS corroborating the assumption that number magnitude is processed in the bilateral IPS. Taken together, these data suggest that even though number magnitude is represented bilaterally, the left and right IPS seem to contribute differentially to numerical cognition with respect to the processing of specific other aspects of numerical information.

  12. Effectiveness of skin perfusion pressure monitoring during surgery for an ischemic steal syndrome associated refractory ulcer.

    Science.gov (United States)

    Okubo, Kentaro; Sato, Takashi; Matsubara, Chieko; Tsuboi, Masato; Ishii, Yasuo; Tojimbara, Tamotsu

    2015-01-01

    We describe an 80-year-old man with end-stage renal disease due to type 2 diabetes who had been maintained on hemodialysis for 9 years. He developed refractory ulcers from an abraded wound in the right hand of his access arm. The arteriovenous fistula (AVF) was located between the right brachial artery and the median antecubital vein draining into the cephalic vein and the deep veins close to the elbow. The blood flow of the right brachial artery measured by using Doppler ultrasonography was 920 ml/min. On the contrary, the radial and ulnar arteries were poorly palpable near the wrist, and ultrasonography could not be performed accurately because of a high degree of calcification. The skin perfusion pressure (SPP) of the first finger on the affected side decreased to 22 mmHg. However, the SPP improved to approximately 40 mmHg upon blocking an inflow into the deep vein. According to SPP data, only a communicating branch of the deep vein was ligated, and the AVF itself was preserved. One month after surgery, the skin ulcer healed, and maintenance hemodialysis was performed by using the preserved cephalic vein for blood access.In conclusion, we successfully treated a refractory wound associated with steal syndrome, without terminating the AVF. SPP-guided surgery may be safe and effective to adjust the blood flow in patients with AVF having steal syndrome.

  13. Dbx1-expressing cells are necessary for the survival of the mammalian anterior neural and craniofacial structures.

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    Frédéric Causeret

    Full Text Available Development of the vertebrate forebrain and craniofacial structures are intimately linked processes, the coordinated growth of these tissues being required to ensure normal head formation. In this study, we identify five small subsets of progenitors expressing the transcription factor dbx1 in the cephalic region of developing mouse embryos at E8.5. Using genetic tracing we show that dbx1-expressing cells and their progeny have a modest contribution to the forebrain and face tissues. However, their genetic ablation triggers extensive and non cell-autonomous apoptosis as well as a decrease in proliferation in surrounding tissues, resulting in the progressive loss of most of the forebrain and frontonasal structures. Targeted ablation of the different subsets reveals that the very first dbx1-expressing progenitors are critically required for the survival of anterior neural tissues, the production and/or migration of cephalic neural crest cells and, ultimately, forebrain formation. In addition, we find that the other subsets, generated at slightly later stages, each play a specific function during head development and that their coordinated activity is required for accurate craniofacial morphogenesis. Our results demonstrate that dbx1-expressing cells have a unique function during head development, notably by controlling cell survival in a non cell-autonomous manner.

  14. The kinematics of swimming and relocation jumps in copepod nauplii

    DEFF Research Database (Denmark)

    Borg, Marc Andersen; Bruno, Eleonora; Kiørboe, Thomas

    2012-01-01

    Copepod nauplii move in a world dominated by viscosity. Their swimming-by-jumping propulsion mode, with alternating power and recovery strokes of three pairs of cephalic appendages, is fundamentally different from the way other microplankters move. Protozoans move using cilia or flagella, and cop......Copepod nauplii move in a world dominated by viscosity. Their swimming-by-jumping propulsion mode, with alternating power and recovery strokes of three pairs of cephalic appendages, is fundamentally different from the way other microplankters move. Protozoans move using cilia or flagella......, and copepodites are equipped with highly specialized swimming legs. In some species the nauplius may also propel itself more slowly through the water by beating and rotating the appendages in a different, more complex pattern. We use high-speed video to describe jumping and swimming in nauplii of three species...... larger copepodites. A slow-swimming mode is only displayed by T. longicornis. In this mode, beating of the appendages results in the creation of a strong feeding current that is about 10 times faster than the average translation speed of the nauplius. The nauplius is thus essentially hovering when...

  15. A survey of the southernmost representatives of the tricolor species group, genus Phalotris (Serpentes, Colubridae

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    Geraldo C. Leynaud

    2005-12-01

    Full Text Available Colubrid snakes of the South American genus Phalotris are difficult to detect because of their secretive habits, and thus they are poorly represented in collections. The species Phalotris cuyanus and P. tricolor, the southernmost representatives of the tricolor species group, were studied to determine the limits of intraspecific variation of P. cuyanus and to consolidate the taxonomic relationship between both species, the phenetically and geographically closest members in the group. The distribution of selected external characters (cephalic, ventral and subcaudal scales, coloration pattern, width of white and black collars, and hemipenis morphology were analyzed. Comparative data on the other members of the group, P. mertensi and P. matogrossensis, are briefly discussed. Males of P. cuyanus have a higher number of ventral scales than males of P. tricolor (mean of 220.3 vs. 204.6. Cephalic melanism varies among individuals and does not have discriminant orgeographic value for this species group. The white nuchal collar may partially cover the parietal scales in the four species. The black collar is moderately narrow in P. cuyanus, but it can be up to 12 scales wide in P. tricolor. Vertebral dotting is neither constant nor exclusive of any species. The four species of the group are wellcharacterized by combinations of character states for each one. We suggest considering to P. cuyanus as an evolutionary species typical of the Monte biogeographic province.

  16. Obstetric Risk factors for Low Birth Weight amongst Full Term Babies Born at a Tertiary Care Hospital of Belgaum District, South India

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    Damaru Prasad Paneru, Vijaya A Naik, B R Nilgar, Mahesh D Mallapur

    2014-01-01

    Full Text Available Introduction: Low Birth Weight is a multifaceted socio- medical and public health problem, especially in developing countries where Intrauterine Growth Retardation remains major manifestation. This study was carried out to identify obstetric risk factors for Low Birth Weight amongst full term babies born at a tertiary care hospital. Methodology: This was the retrospective record-based study, carried out at the Dr P.K Charitable Hospital of Belgaum district, South India. Records of all consecutive full term (?37 weeks of gestation singleton live births occurring during the period from 1st April–September 31, 2012 was examined to obtain relevant information. Results: A total of 1299 women delivered singleton live births at full term during the stipulated time period. Mean maternal age was 23.28±3.39 years, 53% were primi-gravida and 48.8% were high risk pregnancy. Low birth weight (LBW was prevalent amongst 19.3% new born. Among the independent significant factors associated with the LBW, primigravida, hypertensive mothers, non cephalic presentation, female baby had 1.31, 1.96, 2.89 and 1.33 times higher odds of delivering/having LBW as against multigravida, normotensive mothers, cephalic presentation and male baby respectively. Conclusions: Primigravida, hypertensive disorders during pregnancy, fetal presentation at delivery and sex of the new born were significantly associated with the LBW. Early identification, monitoring and management of hypertensive disorders during pregnancy eventually reduce the LBWs attributable to hypertension.

  17. The reverse abdominal reduction and the 'waistcoating' procedure for the correction of the fixated Pfannenstiel incision.

    Science.gov (United States)

    Harrison, Douglas H

    2016-05-01

    The principles of a standard abdominal reduction are well understood; this technique has been used for many years. However, a reverse abdominal reduction may be considered in some cases, for example, continued weight loss, and thus skin redundancy on the upper abdomen in patients who have already undergone abdominal reduction and upper abdomen improvement in patients requiring a mastopexy or breast reduction simultaneously. Reverse abdominal reduction is rarely mentioned in the medical literature, but it can prove successful; although the scar across the lower sternum has often been considered to be unsatisfactory, often it does not prove to be so. Thus, this procedure can be proven to be successful in suitable cases. Secondly, the Pfannenstiel incision, if not satisfactorily repaired in the first instance, can become fixated to the abdominal wall; this fixation along with the inevitable migration of skin and fat at its cephalic edge causes a rather displeasing contour defect when wearing tight-fitting swimwear. The principle of the waistcoating procedure is essentially to chamfer the fat cephalically; this procedure is employed for removing the Pfannenstiel scar from the abdominal wall. The principle is simple and effective and can be applied in cases with fixated scars. These two aforementioned principles are not commonly used, but they can prove particularly effective in suitable cases. We illustrate the principles.

  18. New Aspidoderidae species parasite of Didelphis aurita (Mammalia: Didelphidae): a light and scanning electron microscopy approach.

    Science.gov (United States)

    Chagas-Moutinho, V A; Sant'anna, V; Oliveira-Menezes, A; De Souza, W

    2014-02-01

    Nematodes of the family Aspidoderidae (Nematoda: Heterakoidea) Skrjabin and Schikobalova, 1947, are widely distributed in the Americas. The family Aspidoderidae includes the subfamilies Aspidoderinae Skrjabin and Schikobalova, 1947, and Lauroiinae Skrjabin and Schikobalova, 1951. These two subfamilies are delineated by the presence or absence of cephalic cordons at the anterior region. The nematodes in the subfamily Aspidoderinae, which includes the genus AspidoderaRailliet and Henry, 1912, are represented by nematodes with anterior cephalic cordons at the anterior end. The nematodes of the genus AspidoderaRailliet and Henry, 1912, are found in the cecum and large intestine of mammals of the orders Edentata, Marsupialia and Rodentia. Species within this genus have many morphological similarities. The use of scanning electron microscopy allows the specific characterization of the species within this genus. In the present work, we describe a new species of Aspidodera parasite of the large intestine of Didelphis aurita (Mammalia: Didelphidae) Wied-Neuwied, 1826, collected from Cachoeiras de Macacu, Rio de Janeiro. The combination of light and scanning electron microscopy allowed us a detailed analysis of this nematode.

  19. Sensitization of the Trigeminovascular Pathway: Perspective and Implications to Migraine Pathophysiology

    Science.gov (United States)

    Bernstein, Carolyn

    2012-01-01

    Migraine headache is commonly associated with signs of exaggerated intracranial and extracranial mechanical sensitivities. Patients exhibiting signs of intracranial hypersensitivity testify that their headache throbs and that mundane physical activities that increase intracranial pressure (such as bending over or coughing) intensify the pain. Patients exhibiting signs of extracranial hypersensitivity testify that during migraine their facial skin hurts in response to otherwise innocuous activities such as combing, shaving, letting water run over their face in the shower, or wearing glasses or earrings (termed here cephalic cutaneous allodynia). Such patients often testify that during migraine their bodily skin is hypersensitive and that wearing tight cloth, bracelets, rings, necklaces and socks or using a heavy blanket can be uncomfortable and/or painful (termed her extracephalic cutaneous allodynia). This review summarizes the evidence that support the view that activation of the trigeminovascular pathway contribute to the headache phase of a migraine attack, that the development of throbbing in the initial phase of migraine is mediated by sensitization of peripheral trigeminovascular neurons that innervate the meninges, that the development of cephalic allodynia is propelled by sensitization of second-order trigeminovascular neurons in the spinal trigeminal nucleus which receive converging sensory input from the meninges as well as from the scalp and facial skin, and that the development of extracephalic allodynia is mediated by sensitization of third-order trigeminovascular neurons in the posterior thalamic nuclei which receive converging sensory input from the meninges, facial and body skin. PMID:22787491

  20. A new species of Torrestrongylus (Trichostrongylidae, Anoplostrongylinae) from Macrotus waterhousii (Chiroptera: Phyllostomidae) in Central Mexico.

    Science.gov (United States)

    Caspeta-Mandujano, Juan Manuel; Peralta-Rodríguez, Jorge Luis; Galindo-García, María Guadalupe; Jiménez, Francisco Agustín

    2015-01-01

    A new species of nematode, Torrestrongylus tetradorsalis n. sp., is described herein, based on specimens recovered from the small intestine of the leaf-nosed bat, Macrotus waterhousii, from the Biosphere Reserve "Sierra de Huautla" in the state of Morelos, Mexico. The new species is included in Torrestrongylus because it features a bursa of the type 3 - 2, a divided cephalic vesicle with an anterior half in the shape of an umbrella, and a posterior widened half. The new species can be distinguished from the only other congener T. torrei Pérez-Vigueras, 1935 by four key features: first, by the absence of cervical alae in both males and females; second, by the relatively longer second half of the cephalic cap; third, by the configuration of the dorsal ray, that does not have a medial terminal ray, and finally, by the structure of the spicules. This is the second species in the genus, previously known from bats of the families Phyllostomidae and Molossidae in Cuba, and now in Mexico.

  1. 胸腰段陈旧性压缩性骨折患者椎体变形与相邻椎间盘退变的相关性%Correlation of vertebral body deformity and adjacent disc degeneration in patients with old thoracolumbar compression fractures

    Institute of Scientific and Technical Information of China (English)

    崔运能; 李绍林; 赵银霞; 岑黄

    2015-01-01

    Objective To assess the correlation between vertebral body deformity and degeneration of the adjacent intervertebral discs in patients with old thoracolumbar compression fractures. Methods Seventy-one patients who had been conservatively treated after single segment thoracolumbar compression fractures between April, 2011 and May, 2014 were enrolled in this study. Both radiographic and magnetic resonance (MR) images of the thoracolumbar segment were obtained. The involved vertebral body deformity was rated on radiography according to the Genant criterion, and the degeneration of the adjacent cephalic and caudal discs was assessed on MR images using the Oner and Pfirrmann classification schemes, respectively. The relationship between vertebral body deformity and adjacent disc changes was assessed using correlation analysis, and the changes in the adjacent cranial and caudal discs was compared. Results The Genant classification of the involved vertebral bodies was moderately correlated with Oner morphological scores (r=0.48, P0.05). The Oner classification of the adjacent cephalic discs was higher than that of the adjacent caudal discs (P0.05),变形椎体相邻头侧的椎间盘Oner分度较相邻尾侧椎间盘高(P0.05)。结论胸腰段椎体压缩性骨折主要影响相邻头侧椎间盘的形态,两者严重程度相一致,而相邻尾侧椎间盘不受影响。

  2. Conservation, Innovation, and Bias: Embryonic Segment Boundaries Position Posterior, but Not Anterior, Head Horns in Adult Beetles.

    Science.gov (United States)

    Busey, Hannah A; Zattara, Eduardo E; Moczek, Armin P

    2016-07-01

    The integration of form and function of novel traits is a fundamental process during the developmental evolution of complex organisms, yet how novel traits and trait functions integrate into preexisting contexts remains poorly understood. Here, we explore the mechanisms by which the adult insect head has been able to integrate novel traits and features during its ontogeny, focusing on the cephalic horns of Onthophagus beetles. Specifically, using a microablation approach we investigate how different regions of the dorsal head of adult horned beetles relate to their larval and embryonic counterparts and test whether deeply conserved regional boundaries that establish the embryonic head might also facilitate or bias the positioning of cephalic horns along the dorsal adult head. We find that paired posterior horns-the most widespread horn type within the genus-are positioned along a border homologous to the embryonic clypeolabral (CL)-ocular boundary, and that this placement constitutes the ancestral form of horn positioning. In contrast, we observed that the phylogenetically much rarer anterior horns are positioned by larval head regions contained firmly within the CL segment and away from any major preexisting larval head landmarks or boundaries. Lastly, we describe the unexpected finding that ablations at medial head regions can result in ectopic outgrowths bearing terminal structures resembling the more anterior clypeal ridge. We discuss our results in the light of the developmental genetic mechanisms of head formation in holometabolous insects and the role of co-option in innovation and bias in developmental evolution.

  3. Double half-cone flap umbilicoplasty for proboscoid umbilical hernia in a 2 years old child with satisfactory results 2 years later.

    Science.gov (United States)

    Ashu, Eseme Ebai; Leroy, Guifo Marc; Aristide, Bang Guy; Joss, Bitang Mafok Louis; Bonaventure, Jemea; Patrick, Savom Eric; Myriam, Fotso Guegne

    2015-01-01

    Surgical repair of large umbilical hernias may present a challenging surgical problem; standard surgical techniques have proven to be inadequate for both closing the fascial defect of the umbilicus and providing a satisfactory cosmetic result. We describe here a case of double half-cone flap umbilicoplasty that was performed in a 2 years old boy. The case of a 2 years old child with proboscoid umbilical hernia. The protruding umbilical skin was excised sharply by two V-shaped cuts leaving two half cones, a short cephalic (0.5cm) and a long caudal (1cm). A classic herniotomy was carried out, with repair of the facial defect. The caudal half cone was sutured from its apex till half it's length upon itself with interrupted sutures and it was anchored deeply to the fascia. Then we inverted the cephalic half cone which was sutured to the caudal cone to form the new umbilicus. The early result was excellent with no complications and the result after 2years revealed a cosmetically satisfactory shape of the umbilicus. this technique provides a good solution for reconstruction of the protruding umbilical skin and it is easy to learn, easy to be taught and perform in surgical environments and may be applicable for any kind of umbilical reconstruction.

  4. Male meliponine bees (Scaptotrigona aff. depilis) produce alarm pheromones to which workers respond with fight and males with flight.

    Science.gov (United States)

    Schorkopf, Dirk Louis P

    2016-10-01

    In highly social hymenopteran societies, males mainly serve reproductive purposes. Semiochemicals enable the different hymenopteran sexes and castes to communicate with each other and to coordinate important functions within colonies. I hereby show that sexual dimorphism in meliponine bees incorporates the alarm and defence communication system. I chemically analysed the mandibular glands of Scaptotrigona aff. depilis using GCMS methods and conducted behavioural experiments in both males and female workers using cephalic and mandibular gland extracts. In addition, behaviour studies with male cephalic extracts were also conducted in Scaptotrigona bipunctata and Partamona cupira. Males and female worker bees showed differences in the content of the mandibular glands, which are responsible for alarm communication in meliponines. Males never attacked but usually fled when confronted with the mandibular gland extract content of other conspecific males or females. Interestingly, however, meliponine males were still able to raise alarm and to induce substantial amounts of aggression at nest entrances, which is different from the much better known and studied honey bees. Potential reasons are briefly discussed.

  5. Hezarfen wings: a lower lateral cartilage-based cartilage suspension technique for the adjustment of nasal tip rotation and projection and the correction of supratip deformity.

    Science.gov (United States)

    Yeşiloğlu, Nebil; Sarici, Murat; Temiz, Gökhan; Yildiz, Kemalettin; Mersa, Berkan; Filinte, Gaye Taylan

    2014-05-01

    Nasal tip surgery is one of the most important parts of rhinoplasty to achieve an attractive nose. There are numerous techniques focusing on the correction of nasal tip rotation and projection. In this article, a new cartilage support derived from the cephalic border of lower lateral cartilages is used for the adjustment of tip rotation and projection, whereas improving supratip fullness is presented. Bilaterally harvested cartilage extensions are resembled as bird's wings and dedicated to the wings that were created by the world's first scientist who flew from one continent to another: Hezarfen Ahmed Çelebi. Thirty-two patients who underwent open-approach rhinoplasty operation including the abovementioned method were evaluated retrospectively. After performing conventional steps of open approach rhinoplasty, a wing is created by making a cephalic incision parallel to the lateral crural axis leaving the medial attachment intact and then undermined. Then, the cartilage is turned over the midline bilaterally as it acts like a curb by pulling or releasing the wings to adjust to the desired tip rotation and projection and sutured to the repaired upper lateral cartilage roof. Other 2 types of using these wings were asymmetric suturing one of the wings to help in the redirection of deviated nasal tip (n = 12) and suturing each other at midline to support the overlying skin like a tent with supratip deficiency (n = 7). The authors presented here both esthetic and functional outcomes of Hezarfen wings' method that was used for both nasal tip adjustments and supratip support.

  6. csrnp1a is necessary for the development of primitive hematopoiesis progenitors in zebrafish.

    Directory of Open Access Journals (Sweden)

    Jaime Espina

    Full Text Available The CSRNP (cystein-serine-rich nuclear protein transcription factors are conserved from Drosophila to human. Functional studies in mice, through knockout for each of their paralogs, have resulted insufficient to elucidate the function of this family of proteins in vertebrate development. Previously, we described the function of the zebrafish ortholog, Csnrp1/Axud1, showing its essential role in the survival and proliferation of cephalic progenitors. To extend our understanding of this family, we have studied the function of its paralog csrnp1a. Our results show that csrnp1a is expressed from 0 hpf, until larval stages, particularly in cephalic territories and in the intermediate cell mass (ICM. Using morpholinos in wild type and transgenic lines we observed that Csrnp1a knockdown generates a mild reduction in head size and a depletion of blood cells in circulation. This was combined with in situ hybridizations to analyze the expression of different mesodermal and primitive hematopoiesis markers. Morphant embryos have impaired blood formation without disruption of mesoderm specification, angiogenesis or heart development. The reduction of circulating blood cells occurs at the hematopoietic progenitor level, affecting both the erythroid and myeloid lineages. In addition, cell proliferation was also altered in hematopoietic anterior sites, specifically in spi1 expression domain. These and previous observations suggest an important role of Csnrps transcription factors in progenitor biology, both in the neural and hematopoietic linages.

  7. A new species of Parodontophora (Nematoda: Axonolaimidae) from the intertidal zone of the East China Sea

    Science.gov (United States)

    Wang, Haixia; Huang, Yong

    2016-02-01

    This study described a new species of free-living nematode discovered in the intertidal mudflat of Ximen Island, East China Sea. The new species, designated Parodontophora longiamphidata sp. nov., was characterized by a cylindrical body with tapering extremeties; cuticle smooth without somatic setae; four short cephalic setae; cylindrical buccal cavity with six clawlike teeth at the top of stoma; pharynx cylindrical with widened base; amphidial fovea crook-shaped with elongated scalariform branch extending past level of base of pharynx and ventral gland; ventral gland cell long-oval shaped located posterior to pharyngo-intestinal junction; excretory pore at level of middle of buccal cavity; tail conico-cylindrical with enlarged tip; three caudal gland cells, male spicules arched with cephalic proximal end and tapered distal end; gubernaculum with dorso-caudal apophysis; female with two opposed outstretched ovaries; and vulva at slightly post-midpoint of body length. This new species was close to P. wuleidaowanensis Zhang, 2005 and P. polita Gerlach, 1955 in terms of long amphidial fovea branch. The newly found species was easily distinguishable from the two documented; its amphidial fovea branch (255-290 µm versus 72-106 and 125-150 µm) was obviously longer. Key to the Parodontophora species with a longer amphidial fovea branch was given.

  8. Life cycle and immature stages of the arctiid moth, Phoenicoprocta capistrata.

    Science.gov (United States)

    Rodríguez-Loeches, Laura; Barro, Alejandro

    2008-01-01

    Phoenicoprocta capistrata (Fabricius 1775) (Lepidoptera: Arctiidae) is an arctiid moth reported for the Caribbean and Brazil, whose immature stages and life cycle are unknown. In this study, and for the first time, a host plant is registered and the immature stages and the captivity life cycle are described using a Cuban population. Larvae feed on fowlsfoot, Serjania diversifolia (Jacq.) Radlk (Sapindales: Sapindaceae). One complete cohort was obtained from December of 2004 to February of 2005 and about 57 days lapsed from oviposition to adult emergence. The egg is light green-yellowish and semi-spherical. Most larvae developed through 6 or 7 instars, although there were individuals with 8 instars. The last instar has a cephalic capsule width of 2.04 +/- 0.06 mm (n = 29) irrespective of the number of instars. The cephalic capsule growth curves of the larvae with 6 and 7 instars have different slopes, but both follow a geometric pattern consistent with the Dyar's rule. In each larval molt the setae types and the larvae coloration change. Adult females have two color morphs, one orange-reddish and the other blue. Female descendants of blue and red females differ in the proportion of color morphs, which could indicate the existence of a female-limited polymorphism phenomenon in this species.

  9. Redescription of the females of Hystrignathus rigidus Leidy, 1850 (Nematoda: Hystrignathidae), parasites of Odontotaenius disjunctus (Coleoptera: Passalidae) from eastern USA.

    Science.gov (United States)

    Morffe, Jans; García, Nayla; Davis, Andrew K

    2015-03-30

    The female of Hystrignathus rigidus Leidy, 1850 (Nematoda: Hystrignathidae) is redescribed on the basis of new material from Odontotaenius disjunctus (Coleoptera: Passalidae) from Athens, Georgia, USA; which also constitutes a new locality record. SEM images are provided for the first time for the species. It is also first shown that H. rigidus presents ridged-shelled eggs. A differential diagnosis is provided. H. rigidus can be differentiated from the rest of the species of this genus by having a short, non inflated first cephalic annule; spines that surpass the level of the oesophagus, an absence of lateral alae, ridged-shelled eggs and its length of the body and tail. The material from the present study differs from a previous redescription by Christie (1934) by its shorter body (2.125-2.950 vs. 2.130-4.200), first cephalic annule (0.003-0.005 vs. 0.012) and oesophagus (0.350-0.430 vs. 0.650-0.670).

  10. In vivo venous assessment of red blood cell aggregate sizes in diabetic patients with a quantitative cellular ultrasound imaging method: proof of concept.

    Directory of Open Access Journals (Sweden)

    Julien Tripette

    Full Text Available Diabetic patients present higher level of red blood cell (RBC aggregation contributing to the development of vascular complications. While it has been suggested that this hematology/rheology parameter could bring additional prognostic information for the management of those patients, RBC aggregation screening is not included as a clinical practice. Most medical centers are not equipped to measure properly this parameter, although sedimentation tests can bring some indication. Here, we aimed at evaluating the feasibility of using ultrasound to assess in-vivo hyper-aggregation in type 2 diabetic patients.Seventeen diabetic patients and 15 control subjects underwent ultrasound measurements of RBC aggregation in both cephalic and great saphenous veins. Non-invasive in-vivo ultrasound measurements were performed using a newly developed cellular imaging technique, the structure factor size and attenuation estimator (SFSAE. Comparisons with an ex-vivo gold standard rheometry technique were done, along with measurements of pro-aggregating plasma molecule concentrations.In-vivo RBC aggregation was significantly higher in diabetic patients compared with controls for cephalic vein measurements, while a trend (p = 0.055 was noticed in the great saphenous vein. SFSAE measurements were correlated with gold standard in-vitro measures, fibrinogen and C-reactive protein plasma concentrations.RBC aggregation can be measured in-vivo in diabetic patients using ultrasound. Prospective studies are needed to determine whether the SFSAE method could help clinicians in the early management of vascular complications in this patient population.

  11. Structure and expression of three Emx genes in the dogfish Scyliorhinus canicula: functional and evolutionary implications.

    Science.gov (United States)

    Derobert, Y; Plouhinec, J L; Sauka-Spengler, T; Le Mentec, C; Baratte, B; Jaillard, D; Mazan, S

    2002-07-15

    We report the characterization of three Emx genes in a chondrichthyan, the dogfish Scyliorhinus canicula. Comparisons of these genes with their osteichthyan counterparts indicate that the gnathostome Emx genes belong to three distinct orthology classes, each containing one of the dogfish genes and either the tetrapod Emx1 genes (Emx1 class), the osteichthyan Emx2 genes (Emx2 class) or the zebrafish Emx1 gene (Emx3 class). While the three classes could be retrieved from the pufferfish genome data, no indication of an Emx3-related gene in tetrapods could be found in the databases, suggesting that this class may have been lost in this taxon. Expression pattern comparisons of the three dogfish Emx genes and their osteichthyan counterparts indicate that not only telencephalic, but also diencephalic Emx expression territories are highly conserved among gnathostomes. In particular, all gnathostomes share an early, dynamic phase of Emx expression, spanning presumptive dorsal diencephalic territories, which involves Emx3 in the dogfish, but another orthology class, Emx2, in tetrapods. In addition, the dogfish Emx2 gene shows a highly specific expression domain in the cephalic paraxial mesoderm from the end of gastrulation and throughout neurulation, which suggests a role in the segmentation of the cephalic mesoderm.

  12. A revision of brain composition in Onychophora (velvet worms suggests that the tritocerebrum evolved in arthropods

    Directory of Open Access Journals (Sweden)

    Mayer Georg

    2010-08-01

    Full Text Available Abstract Background The composition of the arthropod head is one of the most contentious issues in animal evolution. In particular, controversy surrounds the homology and innervation of segmental cephalic appendages by the brain. Onychophora (velvet worms play a crucial role in understanding the evolution of the arthropod brain, because they are close relatives of arthropods and have apparently changed little since the Early Cambrian. However, the segmental origins of their brain neuropils and the number of cephalic appendages innervated by the brain - key issues in clarifying brain composition in the last common ancestor of Onychophora and Arthropoda - remain unclear. Results Using immunolabelling and neuronal tracing techniques in the developing and adult onychophoran brain, we found that the major brain neuropils arise from only the anterior-most body segment, and that two pairs of segmental appendages are innervated by the brain. The region of the central nervous system corresponding to the arthropod tritocerebrum is not differentiated as part of the onychophoran brain but instead belongs to the ventral nerve cords. Conclusions Our results contradict the assumptions of a tripartite (three-segmented brain in Onychophora and instead confirm the hypothesis of bipartite (two-segmented brain composition. They suggest that the last common ancestor of Onychophora and Arthropoda possessed a brain consisting of protocerebrum and deutocerebrum whereas the tritocerebrum evolved in arthropods.

  13. Acupuncture and/or sweeping of the fetal membranes before induction of labor

    DEFF Research Database (Denmark)

    Andersen, Bodil Birgitte; Knudsen, Birthe; Lyndrup, Jens

    2013-01-01

    AIMS: To evaluate the efficacy of acupuncture, and sweeping of the fetal membranes, as methods for induction of labor. METHODS: Four hundred and seven pregnant women with normal singleton pregnancies and cephalic presentations were randomized at three delivery wards in Denmark at day 290 of gesta......AIMS: To evaluate the efficacy of acupuncture, and sweeping of the fetal membranes, as methods for induction of labor. METHODS: Four hundred and seven pregnant women with normal singleton pregnancies and cephalic presentations were randomized at three delivery wards in Denmark at day 290...... of gestation into groups of acupuncture, sweeping, acupuncture and sweeping and controls. The primary objective was to compare the proportion of women going into labor before induction of labor at 294 days in the four groups. The secondary objective was to compare the combined groups: with and without...... acupuncture, and with and without sweeping of the fetal membranes. The midwives, completing the forms for the trial at labor or induction, were blinded to group assessments. RESULTS: Four hundred and seventeen women were randomized. Ten were excluded after randomization. One hundred and four women were...

  14. Pupillary behaviour in relation to wavelength and age

    Directory of Open Access Journals (Sweden)

    Luis-Lucio Lobato Rincón

    2014-04-01

    Full Text Available Pupil light reflex can be used as a non-invasive ocular predictor of cephalic autonomic nervous system integrity. Spectral sensitivity of the pupil´s response to light has, for some time, been an interesting issue. It has generally, however, only been investigated with the use of white light and studies with monochromatic wavelengths are scarce. This study investigates the effects of wavelength and age within three parameters of the pupil light reflex (amplitude of response, latency, and velocity of constriction in a large sample of younger and older adults (N=97, in mesopic conditions. Subjects were exposed to a single light stimulus at four different wavelengths: white (5600 ºK, blue (450 nm, green (510 nm and red (600 nm. Data was analysed appropriately, and, when applicable, using the General Linear Model (GLM, Randomised Complete Block Design (RCBD, Student´s t test and/or ANCOVA. Across all subjects, pupillary response to light had the greatest amplitude and shortest latency in white and green light conditions. In regards to age, older subjects (46-78 years showed an increased latency in white light and decreased velocity of constriction in green light compared to younger subjects (18-45 years old. This study provides data patterns on parameters of wavelength-dependent pupil reflexes to light in adults and it contributes to the large body of pupillometric research. It is hoped that this study will add to the overall evaluation of cephalic autonomic nervous system integrity.

  15. Secrets of safe laparoscopic surgery: Anaesthetic and surgical considerations

    Directory of Open Access Journals (Sweden)

    Srivastava Arati

    2010-01-01

    Full Text Available In recent years, laparoscopic surgery has gained popularity in clinical practice. The key element in laparoscopic surgery is creation of pneumoperitoneum and carbon dioxide is commonly used for insufflation. This pneumoperitoneum perils the normal cardiopulmonary system to a considerable extent. Every laparoscopic surgeon should understand the consequences of pneumoperitoneum; so that its untoward effects can be averted. Pneumoperitoneum increases pressure on diaphragm, leading to its cephalic displacement and thereby decreasing venous return, which can be aggravated by the position of patient during surgery. There is no absolute contraindication of laparoscopic surgery, though we can anticipate some problems in conditions like obesity, pregnancy and previous abdominal surgery. This review discusses some aspects of the pathophysiology of carbon dioxide induced pneumoperitoneum, its consequences as well as strategies to counteract them. Also, we propose certain guidelines for safe laparoscopic surgery.

  16. Walker-Warburg syndrome: a report of 3 cases.

    Science.gov (United States)

    Denis, D; Gambarelli, D; Luciani, A; Aymé, S; Philip, N; Saracco, J B

    1993-01-01

    Walker-Warburg syndrome is a congenital malformation syndrome of unknown etiology which is characterized by fatal neurological lesions. It was first described by Walker in 1942 as involving agyria, hydrocephalus and eye malformations. Its etiology has been discussed in all of the articles on the subject in the literature, but the majority of the authors describe it as an autosomal recessive syndrome. Ultrasonography plays a key role in detecting a cephalic anomaly by prenatal diagnosis as in our 2 cases. The aim of this article is to report 3 new cases of Walker-Warburg syndrome in two families. Knowledge of this syndrome emphasizes both the need for ultrasonographic observation and genetic counselling for families at risk.

  17. Congestive heart failure from suspected ductal closure in utero.

    Science.gov (United States)

    Arcilla, R A; Thilenius, O G; Ranniger, K

    1969-07-01

    This is the 1st case report of a ductal closure occurring during fetal growth. The case was a spontaneous delivery in cephalic presentation from a 31-year-old gravida 3, para 3 Black woman who had been treated with isoniazid and spreptomycin up to 2 months before her delivery. Gestational age was 37 weeks when the fetus was delivered weighing 3.15 kgm. The cord had been wrapped around the fetus's neck, and breathing was delayed 2 minutes. In the nursery, the baby's general condition was poor, and congestive heart failure was diagnosed. The newborn had trieuspid insufficiency, severe heart failure, and acidosis at birth. These disappeared the next day. Hemodynamic studies when the baby was 4 hours old showed a large cone-shaped ductus arteriousus extending from the pulmonary artery but ending blindly at the aortic end.

  18. Investigation of carbachol and PACAP38 in a human model of migraine

    DEFF Research Database (Denmark)

    Schytz, Henrik Winther

    2011-01-01

    not induce migraine-like attacks in migraine patients. Interestingly, PACAP38 activates the same VPAC receptors as VIP, but also specifically activates the PAC1 receptor. The present thesis includes four double-blind placebo-controlled crossover studies aimed to explore the role of acetylcholine, PACAP......The parasympathetic signalling molecules acetylcholine, pituitary adenylate cyclase activating peptide-38 (PACAP38) and vasoactive intestinal peptide (VIP) may be released from parasympathetic fibres and activate sensory nerve fibres during migraine attacks. Recently, it was shown that VIP does...... of acute pain. Study I-II showed that carbachol induced short lasting mild headache and moderate cephalic vasodilatation in both healthy volunteers and migraine patients, but did not induce migraine-like attacks. In study III PACAP38 induced headache in healthy subjects and delayed migraine-like attacks...

  19. Perception gustative des lipides alimentaires : paradigme et paradoxes

    Directory of Open Access Journals (Sweden)

    Gaillard Dany

    2008-01-01

    Full Text Available Origin of spontaneous fat preference in mammals remains elusive. It is clearly a multimodal system resulting from the integration of orosensory and post-ingestive signals. For a long time, dietary lipids were thought to be only sensed in the oral cavity through their textural and olfactory cues. Recent data strongly suggest that the sense of taste also plays a significant role in the preference for lipid-rich foods and in lipid-mediated induction of cephalic phase of the digestion in rodents and in humans. Molecular and physiological mechanisms of this new paradigm become known. Some of these data were not fully expected and might be considered, as first sight, as paradoxical. The « fatty taste » paradigm and paradoxes are analyzed in this minireview.

  20. Herpetofauna of the Quaternary sand dunes of the Middle Rio São Francisco, Bahia, Brazil. VIII. Amphisbaena arda sp. nov., a fulliginosa-like checkered patterned Amphisbaena (Squamata: Amphisbaenidae.

    Directory of Open Access Journals (Sweden)

    Miguel Trefaut Rodrigues

    2002-01-01

    Full Text Available Amphisbaena arda sp. nov. is described based on a specimen obtained at Mocambo do Vento, on the left bank of the São Francisco river, Bahia state, Brazil. A. arda is a medium size amphisbaenian with a checkered black and white color pattern similar to the one present in the fuliginosa group but differing from that by having a lighter pigmentation, an uniformly white ventral surface, and by several other important morphological characters. A. arda is similar to Amphisbaena vermicularis in meristic characters currently used to assist amphisbaenian identification but can be separated from it by its color pattern, its flatter cephalic shields, and by the more ventral position of the nostril.

  1. UNE COLORATION SIMPLE ET RAPIDE DU FROTTIS DU SPERME

    Institute of Scientific and Technical Information of China (English)

    杨建华; 朱继业

    2003-01-01

    Objective To introduce a rapid simple staining method for sperm morphology.MethodsLiquified semen was on the glass, fixed by methanol, treated with phosphonic acid buffer, stained by A,B staining solution separately, and rinsed by running water.ResultsAfter staining,the whole spermatozoid was very clear. The cephalic zone of spermatozoid head, acrosome area, was colored pink; its caudal zone colored violet red or violet blue. The body and tail of spermatozoid colored pink or light blue. Normal and abnormal morphology of spermatozoid could be differentiated easily. The sloughed spermatogenic cells and white blood cells could be differentiated also.ConclusionThis rapid staining method of semen smear can produce the same effect of other usual staining method , but the staining time is shorter and the procedure is simpler.

  2. Incidence and outcomes of dystocia in the active phase of labor in term nulliparous women with spontaneous labor onset

    DEFF Research Database (Denmark)

    Kjaergaard, Hanne; Olsen, Jørn; Ottesen, Bent

    2009-01-01

    OBJECTIVE: To estimate the incidence of dystocia among nulliparous women without apparent co-morbidity and to examine maternal and fetal short-term outcomes after dystocia. DESIGN: A multi-center cohort study with prospectively collected data. SETTING: Nine obstetric departments with annual birth...... rates between 850 and 5,400. POPULATION: Low-risk nulliparous women in term spontaneous labor with a singleton fetus in cephalic presentation. METHODS: Follow-up of 2,810 nulliparas using self-administered questionnaires supplemented with clinical records. CRITERIA FOR DYSTOCIA: Cervical dilatation...... OUTCOME MEASURES: Incidences of dystocia, maternal, and fetal outcomes. RESULTS: The cumulative incidence of dystocia was 37% and of the diagnoses 61% were given in the second stage of labor. Women with dystocia treated by augmentation had more cesarean and ventouse deliveries, more often non...

  3. Presence and distribution of serotonin immunoreactivity in the cyprids of the barnacle Balanus amphitrite

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    L Gallus

    2009-06-01

    Full Text Available In this work, the presence and distribution of serotonin in the cyprid of the barnacle Balanus amphitrite were investigated by immunohistochemical methods. Serotonin-like immunoreactive neuronal cell bodies were detected in the central nervous system only. Various clusters of immunoreactive neuronal cell bodies are distributed in the brain (protocerebrum, deutocerebrum, optical lobes, and at least, four pairs of neuronal cell bodies were detected in the centrally positioned neuropil of the posterior ganglion. Rich plexuses of immunoreactive nerve fibers in the neuropil area were also observed. Furthermore, bundles of strongly immunoreactive nerve fibers surrounding the gut wall were localized, and immunoreactive nerve terminals in the antennules and compound eyes were observed. These data demonstrate the presence of a serotonin-like immunoreactive substance in the barnacle cyprids; furthermore, its immunolocalization in the cephalic nerve terminals allows us to postulate the involvement of this bioactive molecule in substrate recognition during the settlement process.

  4. Macrolaimus richteri spec. nov. (Nematoda: Chambersiellidae from the Richtersveld, South Africa

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    Antoinette Swart

    1992-09-01

    Full Text Available Specimens of Macrolaimus richteri spec. nov. were examined with the aid of a scanning electron microscope (SEM and some hitherto undescribed features of Macrolaimus were discovered. The sense organs are arranged in an inner circlet of six huge outer labial setae, a second circlet of four small cephalic setae and two pore-like amphid apertures in the first annule posterior to the head. The stomatal opening is surrounded by six flap-like lips covering the peculiar triangular cheilorhabdions which seem to be protmsible. The prominent anterior lip of the vulval opening is ornamented with about ten horizontal grooves. Distinctive characters ofM. richteri spec. nov. are the strongly annulated cuticle, slightly dorsad curved tail terminus and the length of the cheilorhabdions (1,6-1,8 times prorhabdion length.

  5. Macuahuitloides inexpectans n. gen., n. sp. (Molineidae: Anoplostrongylinae) from Mormoops megalophylla (Chiroptera: Mormoopidae).

    Science.gov (United States)

    Jiménez, F Agustín; Peralta-Rodríguez, Jorge Luis; Caspeta-Mandujano, Juan; Ramírez-Díaz, Silvia Edith

    2014-10-01

    Macuahuitloides inexpectans n. gen., n. sp. (Molineidae: Anoplostrongylinae) is herein described. The description is based on specimens removed from the small intestine of ghost-faced bats, Mormoops megalophylla, from central Mexico. The monotypic genus is unique in featuring sexual dimorphism on the cuticular ornamentation, which consists of the presence of spines on the anterior quarter of females, and of the presence of rugosities on the surface of the cephalic vesicle of males. The cuticular spines are arranged in spiral rings on the anterior quarter of the body, and there is no trace of said structures on the cuticle of males. The synlophe of the males possess 12 ridges, whereas there is no synlophe in females. Finally, females show a prominent caudal terminus (spine) and 3 subterminal tubercles, whereas males show bursal rays in a 3-2 arrangement, with a relatively prominent dorsal ray.

  6. A new species of Aristias Boeck, 1871 (Amphipoda: Gammaridea: Aristiidae from Aysén Region, Chile

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    Jorge Pérez-Schultheiss

    2015-07-01

    Full Text Available A new species of Aristias is described from the Aysén Region, southern Chile. The new taxon is similar to A. antarcticus Walker, 1906; however differs of all previous record of this species in Southern Ocean by a combination of characters: the anterior margin of lateral cephalic lobe is straight; the upper lip is bounded by a pit, not distinctly projecting in front of the epistome; the posterior margin of the epimeron 3 is smoothly crenulated; the inner ramus of uropod 3 is shorter than outer ramus, while the lobes of the telson are subtriangular. A complete description and illustrations of Aristias linnaei n. sp. are provided, and its relationship with similar species is discussed.

  7. Arterial responses during migraine headache

    DEFF Research Database (Denmark)

    Iversen, Helle Klingenberg; Nielsen, T H; Olesen, J

    1990-01-01

    The superficial temporal artery has been thought to be the main focus of pain during migraine attacks, but its diameter has never been measured directly. The use of a new, high-resolution ultrasound machine to measure arterial size in 25 migraine patients with unilateral head pain showed...... that the lumen was wider on the painful than on the non-painful side during a migraine attack. The diameters of both radial arteries and the temporal artery on the non-painful side were smaller during than between attacks. The generalised vasoconstriction was not shared by the temporal artery on the affected...... side, which suggests a local vasodilatory response. The findings suggest that cephalic arteries may play a role in migraine pathogenesis....

  8. Sphenopalatine ganglion neuromodulation in migraine

    DEFF Research Database (Denmark)

    Khan, Sabrina; Schoenen, Jean; Ashina, Messoud

    2014-01-01

    OBJECTIVE: The objective of this article is to review the prospect of treating migraine with sphenopalatine ganglion (SPG) neurostimulation. BACKGROUND: Fuelled by preliminary studies showing a beneficial effect in cluster headache patients, the potential of treating migraine with neurostimulation...... has gained increasing interest within recent years, as current treatment strategies often fail to provide adequate relief from this debilitating headache. Common migraine symptoms include lacrimation, nasal congestion, and conjunctival injection, all parasympathetic manifestations. In addition......, studies have suggested that parasympathetic activity may also contribute to the pain of migraineurs. The SPG is the largest extracranial parasympathetic ganglion of the head, innervating the meninges, lacrimal gland, nasal mucosa, and conjunctiva, all structures involved in migraine with cephalic...

  9. The orb-weaving spider genus Chrysometa in Uruguay: distribution and description of a new species (Araneae, Tetragnathidae).

    Science.gov (United States)

    Simó, Miguel; Álvarez, Luis; Laborda, Álvaro

    2016-01-26

    The spider genus Chrysometa Simon, 1895 comprises 138 species of small (3-5 mm) Neotropical orb-weavers spiders (Nogueira et al. 2011; World Spider Catalogue 2015) mainly associated with arboreal vegetation from intermediate to low altitude forests (Levi 1986). Males of Chrysometa differ from other tetragnathids by having the palpal tibial length approximately as long as its widest point; paracymbium articulated and with several apophyses located at both ends; male cephalic region narrower than in the female and having cymbial ectobasal and ectomedian processes. Females are diagnosed by having femora without trichobothria; abdomen covered with silver guanine patches; a flat epigynum and also by their fertilization ducts originating anteriorly and crossing over the spermathecae (Levi 1986; Alvarez-Padilla & Hormiga 2011).

  10. Appetite suppression through smelling of dark chocolate correlates with changes in ghrelin in young women

    DEFF Research Database (Denmark)

    Massolt, Elske T; van Haard, Paul M; Rehfeld, Jens F

    2010-01-01

    Cephalic effects on appetite are mediated by vagal tone and altered gastrointestinal hormones. The objective of this study is to explore the relationship between appetite and levels of gastrointestinal hormones after smelling chocolate and after melt-and-swallow 30 g chocolate (1.059 oz, 85% cocoa......, 12.5 g of sugar per 100g product). Twelve female residents (BMI between 18 and 25 kg/m(2)) all participated in two 60-minute study sessions. In the first session, all 12 women ate chocolate; for the second session, they were randomized either to smell chocolate (n=6) or to serve as a control (no...... eating or smelling; n=6). At the start of the sessions, levels of insulin, glucagon-like peptide-1 (GLP-1) and cholecystokinin (CCK), but not glucose, correlated with appetite scored on a visual analogue scale (VAS). In contrast, ghrelin levels correlated inversely with scored appetite. Chocolate eating...

  11. Three-dimensional structure of brain tissue at submicrometer resolution

    Energy Technology Data Exchange (ETDEWEB)

    Saiga, Rino; Mizutani, Ryuta, E-mail: ryuta@tokai-u.jp [Department of Applied Biochemistry, Tokai University, Hiratsuka, Kanagawa 259-1292 (Japan); Inomoto, Chie; Takekoshi, Susumu; Nakamura, Naoya; Tsuboi, Akio; Osawa, Motoki [Tokai University School of Medicine, Isehara, Kanagawa 259-1193 (Japan); Arai, Makoto; Oshima, Kenichi; Itokawa, Masanari [Tokyo Metropolitan Institute of Medical Science, Setagaya, Tokyo 156-8506 (Japan); Uesugi, Kentaro; Takeuchi, Akihisa; Terada, Yasuko; Suzuki, Yoshio [Japan Synchrotron Radiation Research Institute (JASRI/SPring-8), Sayo, Hyogo 679-5198 (Japan)

    2016-01-28

    Biological objects are composed of submicrometer structures such as cells and organelles that are essential for their functions. Here, we report on three-dimensional X-ray visualization of cells and organelles at resolutions up to 100 nm by imaging microtomography (micro-CT) equipped with Fresnel zone plate optics. Human cerebral tissue, fruit fly cephalic ganglia, and Escherichia coli bacteria labeled with high atomic-number elements were embedded in epoxy resin and subjected to X-ray microtomography at the BL37XU and BL47XU beamlines of the SPring-8 synchrotron radiation facility. The obtained results indicated that soft tissue structures can be visualized with the imaging microtomography.

  12. Use your head! Perception of action possibilities by means of an object attached to the head.

    Science.gov (United States)

    Wagman, Jeffrey B; Hajnal, Alen

    2016-03-01

    Perceiving any environmental property requires spontaneously assembling a smart perceptual instrument-a task-specific measurement device assembled across potentially independent anatomical units. Previous research has shown that to a large degree, perception of a given environmental property is anatomically independent. We attempted to provide stronger evidence for this proposal by investigating perception by an organization of anatomical and inert components that likely requires the spontaneous assembly of a novel smart perceptual instrument-a rod attached to the head. Specifically, we compared cephalic and manual perception of whether an inclined surface affords standing on. In both conditions, perception reflected the action capabilities of the perceiver and not the appendage used to wield the rod. Such results provide stronger evidence for anatomical independence of perception within a given perceptual system and highlight that flexible task-specific detection units can be assembled across units that span the body and inert objects.

  13. LRP2 is an auxiliary SHH receptor required to condition the forebrain ventral midline for inductive signals.

    Science.gov (United States)

    Christ, Annabel; Christa, Anna; Kur, Esther; Lioubinski, Oleg; Bachmann, Sebastian; Willnow, Thomas E; Hammes, Annette

    2012-02-14

    Sonic hedgehog (SHH) is a regulator of forebrain development that acts through its receptor, patched 1. However, little is known about cellular mechanisms at neurulation, whereby SHH from the prechordal plate governs specification of the rostral diencephalon ventral midline (RDVM), a major forebrain organizer. We identified LRP2, a member of the LDL receptor gene family, as a component of the SHH signaling machinery in the RDVM. LRP2 acts as an apical SHH-binding protein that sequesters SHH in its target field and controls internalization and cellular trafficking of SHH/patched 1 complexes. Lack of LRP2 in mice and in cephalic explants results in failure to respond to SHH, despite functional expression of patched 1 and smoothened, whereas overexpression of LRP2 variants in cells increases SHH signaling capacity. Our data identify a critical role for LRP2 in SHH signaling and reveal the molecular mechanism underlying forebrain anomalies in mice and patients with Lrp2 defects.

  14. On the growth and regeneration of the exoskeleton in early jawless vertebrates (Osteostraci, Agnatha).

    Science.gov (United States)

    Afanassieva, O B

    2016-01-01

    Based on the study of sculpture of the cephalic shield and histological structure of the exoskeleton in Reticulaspis menneri Afanassieva et Karatajute -Talimaa (Osteostraci, Agnatha) from the Lower Devonian of the Severnaya Zemlya Archipelago, it has been established that, in the ontogeny of the form under study, dentin generation of the exoskeleton may have developed repeatedly, depending on the requirements of the organism. It is established for the first time that, on the shield surface of osteostracans, dentin structures of various types (tubercles, ridges, networks) could be formed both primarily and in subsequent generations with the growth of the exoskeleton. Injury of the integument and, hence, changes in mechanical tension in covering tissues caused activation of the formation of subsequent generations (of dentin) in the areas involved in reparative regeneration of the shield.

  15. Osteology and ontogeny of the wrymouths, genus Cryptacanthodes (Cottiformes: Zoarcoidei: Cryptacanthodidae).

    Science.gov (United States)

    Schnell, Nalani K; Hilton, Eric J

    2015-02-01

    The four species included in the family Cryptacanthodidae are eel-like, burrowing fishes distributed in the cold-temperate coastal waters of the North Pacific and the western North Atlantic. This study describes the osteology and aspects of the ontogenetic skeletal development of two species, Cryptacanthodes maculatus from the western North Atlantic and C. aleutensis from the eastern North Pacific. We discuss the relationships of Cryptacanthodidae among other zoarcoid families. The Cryptacanthodidae have been previously included in the Stichaeidae, but removed and classified as a separate family based on the skull, pectoral radial, and cephalic lateral-line morphology. Our observations (similarities in gill arch and pectoral girdle morphology; specifically, a thin sheet-like flange of bone from the posterior margin of the supracleithrum) suggest a close relationship to at least some of the members of the family Stichaeidae.

  16. Evemphyron sinense, a new genus and species infesting legume seedpods in China (Coleoptera, Attelabidae, Rhynchitinae)

    Science.gov (United States)

    Lv, Xiangyang; Alonso-Zarazaga, Miguel A.; Xiao, Zhishu; Wang, Zhiliang; Zhang, Runzhi

    2016-01-01

    Abstract A new genus Evemphyron Alonso-Zarazaga, Lv & Wang, gen. n., belonging to Attelabidae Rhynchitinae, is described. Its single species, Evemphyron sinense Alonso-Zarazaga, Lv & Wang, sp. n., was reared from larvae found inside seed pods of the legume Callerya dielsiana (Fabaceae, Millettieae) in Sichuan Province (China). The species is figured and placed in the Deporaini because of the presence of minute labial palpi, the strongly crescentic apex of the postmentum, and the apodemes of male IX sternite and female VIII sternite curved sinistro-anterially near their cephalic end. It shows 3-segmented labial palpi and male sex patches on the procoxae, characters that suggest a basal position in the tribe. PMID:27408602

  17. The Vascularized Medial Femoral Corticoperiosteal Flap for Thumb Reconstruction

    Science.gov (United States)

    Amin, Kavit; Darhouse, Nagham; Sivakumar, Bran; Floyd, David

    2015-01-01

    Summary: We present an interesting method of shaping a vascularized medial femoral condyle (MFC) flap into a “neophalanx” for phalangeal reconstruction. Our patient presented with limited strength and function secondary to fracture nonunion of the proximal phalanx of the dominant thumb. Following excision of the pseudarthrosis, an MFC corticoperiosteal flap was harvested, sculpted into a prism shape and inset. The superomedial genicular pedicle was anastomosed to the princeps pollicis artery and a cephalic tributary. On follow-up, new bone growth was seen on radiographs and the patient had substantially improved function, with full metacarpophalangeal extension, a Kapandji score of 9, and a markedly reduced Disabilities of the Arm, Shoulder and Hand score of 2.68. The MFC flap is useful for reconstruction of bony defects, with minimal donor morbidity. This versatile vascularized flap can be crafted to requisite shapes and is useful for small defects in the hand, including phalangeal reconstruction. PMID:26495205

  18. Arvustused / Jan Berkovitch

    Index Scriptorium Estoniae

    Berkovitch, Jan

    2007-01-01

    Heliplaatidest: Municipal Waste "The Art Of Partying", Fueled By Fire "Spread The Fire", Apocryphal Voice "Stilltrapped", Amorphis "Silent Waters", As I Lay Dying "An Ocean Between Us", Baroness "Red Album", Behemoth "The Apostasy", Beherit "H418ov21.C / Electric Doom Synthesis", Cephalic Carnage "Xenosapien", Beneath The Massacre "Mechanics Of Dysfunction", Crionics "Neuthrone", Depressed Mode "Ghosts Of Devotion", Down "III - Over The Under", Drudkh "Estrangement", Einstürzende Neubauten "Alles Wieder Offen", Entombed "Serpent Saints - The Ten Amendments", Fall Of The Leafe "Aerolithe", Helena Nova "Vaenlasega voodis", King Diamond "Give Me Your Soul... Please!", Manes "How The World Came To An End", Must Missa "Martyr Of Wrath", Mustasch "Latest Version Of Truth", Nile "Ithyphallic", Pig Destroyer "Phantom Limb", Reverend Bizarre "Ill: So Long Suckers", Terhen "Eyes Unfolded", Throne Of Katarsis "An Eternal Dark Horizon", Tulus "Biography Obscene", Turbonegro "Retox", Weedeater "God Luck and Good Speed", Vreid "I Krig

  19. Unusual case of persistent Horner's syndrome following epidural anaesthesia and caesarean section.

    Science.gov (United States)

    Goel, Shubhra; Burkat, Cat Nguyen

    2011-01-01

    This is a rare case of persistent Horner's syndrome following epidural anesthesia and Caesarean section. A 33-year-old female presented with persistent ptosis and miosis following epidural anesthesia and Caesarian section several months prior. Magnetic resonance imaging (MRI)/magnetic resonance angiography (MRA) of head, neck, and chest were unremarkable. Medline search using terms Horner's, epidural, spinal anesthesia, delivery, childbirth, Caesarian, and pregnancy identified 31 articles describing Horner's syndrome in obstetric epidural anesthesia, of which 11 were following Caesarean section. The increased incidence of Horner's syndrome in the setting of epidural anesthesia in pregnancy may be related to epidural venous engorgement and cephalic spread of the local anaesthetic, with disruption in the oculosympathetic pathway. It is important to include recent epidural anesthesia within the differential diagnosis of acute Horner's syndrome in a postpartum female. Rarely, the ptosis may be permanent and require surgical intervention.

  20. An Exploratory Evaluation of Tyrosine Hydroxylase Inhibition in Planaria as a Model for Parkinsonism

    Directory of Open Access Journals (Sweden)

    David Prokai

    2013-11-01

    Full Text Available Planaria are the simplest organisms with bilateral symmetry and a central nervous system (CNS with cephalization; therefore, they could be useful as model organisms to investigate mechanistic aspects of parkinsonism and to screen potential therapeutic agents. Taking advantage of the organism’s anti-tropism towards light, we measured a significantly reduced locomotor velocity in planaria after exposure to 3-iodo-L-tyrosine, an inhibitor of tyrosine hydroxylase that is an enzyme catalyzing the first and rate-limiting step in the biosynthesis of catecholamines. A simple semi-automatic assay using videotaped experiments and subsequent evaluation by tracking software was also implemented to increase throughput. The dopaminergic regulation of locomotor velocity was confirmed by bromocriptine, a drug whose mechanisms of action to treat Parkinson’s disease is believed to be through the stimulation of nerves that control movement.