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Femoral compressive neuropathy from iliopsoas haematoma complicating dengue hemorrhagic fever

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Asian Pacific Journal of Tropical Medicine 2013年第5期6卷 419-420页

作者： Sneha Ganu Yesha Mehta department of physiotherapy MGM Hospital & College of PhysiotherapyNavi MumbaiIndia

Dengue fever is a debilitating mosquito-borne disease caused by dengue *** reported a case of femoral compression neuropathy due to iliopsoas hematoma complicating dengue hemorrhagic *** muscle hematoma can cause femoral neuropathy with resultant pain and *** manifestations are not well documented in the *** pathogenesis of hematoma and compressive neuropathy with its appropriate management is discussed.

关键词： Dengue Dengue hemorrhagic fever Femoral neuropathy Iliopsoas hematoma

Effects of Needle-knife Therapy on iNOS Activity and NO Content in Skeletal Muscles in the L_3 Transverse Process Syndrome Model Rat

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Journal of Traditional Chinese Medicine 2011年第2期31卷 83-87页

作者：乔晋琳李金牛汲广成马广昊付本升向东东陈裔英路平 department of Rehabilitation and physiotherapy Navy General Hospital department of Rehabilitation Beijing City Zhongguancun Hospital department of physiotherapy and Rehabilitation Liaoning Wushun Petrochemical Works General Hospital department of Pathology Navy General Hospital

Objective: To study on relationship of inducible nitric oxide synthase (iNOS) activity and nitric oxide (NO) content in the injured local soft tissue with injured degrees of the soft tissue in the third lumbar vertebrae (L3) transverse process syndrome model rat and to observe the effect of needle-knife therapy. Methods: One hundred and sixty male SD rats were randomly divided into normal group, model group, aminoguanidine (AG) group, needle-knife group, 40 rats in each group. The L3 transverse process syndrome rat model was established, and after treatment of needle-knife and AG, iNOS activities and NO contents and histomorpholocal changes in the soft tissues around L3 transverse process on 1, 3, 7 and 14 days were observed in the groups. Results: Compared with the normal group, iNOS activity and NO content in the model group were significantly increased (P<0.01); Compared with the model group, iNOS activities and NO contents were significantly decreased in both the needle-knife group and the AG group (both P<0.01); And both iNOS activities and NO contents were identical with both local inflammation response and injured degrees of the injured tissue in the groups. Conclusion: Needle-knife therapy can significantly inhibit generation of NO, alleviate inflammatory response and injured degree of the injured soft tissue, improve microcirculation, prevent formation of pathological scar tissue, and promote repair of the chronic soft tissue injury.

关键词： trauma and injury skeletal muscle nitric oxide nitric oxide synthase needle-knife therapy

Outcomes of early physiotherapy in patients with cerebral aneurysms treated by surgical clipping or endovascular embolization

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Neural Regeneration Research 2012年第24期7卷 1900-1905页

作者： Arzu Guclu-Gunduz Sevil Bilgin Nezire Kse Hakan Oruckaptan department of physiotherapy and Rehabilitation Faculty of Health SciencesGazi UniversityAnkaraTurkey department of physiotherapy and Rehabilitation Faculty of Health SciencesHacettepe UniversityAnkaraTurkey department of Neurosurgery Faculty of MedicineHacettepe UniversityAnkaraTurkey

Early physiotherapy was given to 124 patients with ruptured or unruptured cerebral aneurysms who were treated by surgical clipping or endovascular *** were divided into four groups according to their Hunt and Hess grade at admission and aneurysm treatment modality： Group 1,Hunt and Hess grade≤II and surgical clipping;Group 2,Hunt and Hess grade≤II and endovascular embolization;Group 3,Hunt and Hess grade≥III and surgical clipping;Group 4,Hunt and Hess grade≥III and endovascular *** of consciousness was evaluated using the Glasgow Coma Scale,functional status using the Glasgow Outcome Scale,level of the mobility using the Mobility Scale for acute stroke patients,and independence in activities of daily living using the Barthel *** early physiotherapy,the level of consciousness and functional status improved significantly in Groups 1,3,and 4;mobility improved significantly in all groups;and independence in activities of daily living improved significantly in Groups 1 and *** discharge, Groups 1 and 2 had better functional status than Groups 3 and *** of consciousness,functional status,mobility and independence in activities of daily living improved after early physiotherapy. These findings suggest that early physiotherapy improved the prognosis of patients with cerebral aneurysms who were treated by surgical clipping or endovascular *** with a worse clinical status at presentation had a poorer functional status at *** outcome of physiotherapy was not affected by whether surgical clipping or endovascular embolization was chosen for treatment of the aneurysm.

关键词： cerebral aneurysm Hunt and Hess grade Glasgow Coma Scale Glasgow Outcome Scale functional status surgical clipping endovascular treatment physiotherapy neural regeneration

Entropy-based guidance and predictive modelling of pedestrians’visual attention in urban environment

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Building Simulation 2024年第10期17卷 1659-1674页

作者： Qixu Xie Li Zhang department of Architecture School of ArchitectureTsinghua UniversityBeijing 100084China Urban ergonomics Lab School of ArchitectureTsinghua UniversityBeijing 100084China

Selective visual attention determines what pedestrians notice and ignore in urban *** consistency exists between different individuals’visual attention,designers can modify design by underlining mechanisms to better meet user ***,the mechanism of pedestrians’visual attention remains poorly understood,and it is challenging to forecast which position will attract pedestrians more in urban *** address this gap,we employed 360°video and immersive virtual reality to simulate walking scenarios and record eye movement in 138 *** findings reveal a remarkable consistency in fixation distribution across individuals,exceeding both chance and orientation *** driver of this consistency emerges as a strategy of information maximization,with participants tending to fixate areas of higher local ***,we built the first eye movement dataset for panorama videos of diverse urban walking scenes,and developed a predictive model to forecast pedestrians’visual attention by supervised deep *** predictive model aids designers in better understanding how pedestrians will visually interact with the urban environment during the design phase.

关键词： visual attention pedestrian eye-tracking local entropy deep learning urban ergonomics

Slacklining as therapy to address non-specific low back pain in the presence of multifidus arthrogenic muscle inhibition

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World Journal of Orthopedics 2021年第4期12卷 178-196页

作者： Charles Philip Gabel Hamid Reza Mokhtarinia Markus Melloh Sebastien Mateo department of physiotherapy Access PhysiotherapyCoolum Beach 4573QLDAustralia department of ergonomics University of Social Welfare and Rehabilitation SciencesTehran 0001Iran department of physiotherapy University of Social Welfare and Rehabilitation SciencesTehran 0001Iran School of Health Professions Zurich University of Applied SciencesWinterthur 8310Switzerland INSERM U1028 CNRS UMR5292Lyon Neuroscience Research CenterUniversitéde LyonLyon 69000France

Low back pain(LBP)represents the most prevalent,problematic and painful of musculoskeletal conditions that affects both the individual and society with health and economic *** is a heterogeneous condition with multiple diagnoses and *** the absence of consensus definitions,partly because of terminology inconsistency,it is further referred to as non-specific LBP(NSLBP).In NSLBP patients,the lumbar multifidus(MF),a key stabilizing muscle,has a depleted role due to recognized myocellular lipid infiltration and wasting,with the potential primary cause hypothesized as arthrogenic muscle inhibition(AMI).This link between AMI and NSLBP continues to gain increasing *** date there is no‘gold standard’or consensus treatment to alleviate symptoms and disability due to NSLBP,though the advocated interventions are numerous,with marked variations in costs and levels of supportive ***,there is consensus that NSLBP management be cost-effective,self-administered,educational,exercise-based,and use multi-modal and multi-disciplinary *** adjuvant therapy fulfilling these consensus criteria is‘slacklining’,within an overall rehabilitation ***,the neuromechanical action of balance retention on a tightened band,induces strategic indirect-involuntary therapeutic muscle activation exercise incorporating spinal motor *** several models have been proposed,understanding slacklining’s neuro-motor mechanism of action remains *** has demonstrated clinical effects to overcome AMI in peripheral joints,particularly the knee,and is reported in clinical case-studies as showing promising results in reducing NSLBP related to MF deficiency induced through AMI(MF-AMI).Therefore,this paper aims to:rationalize why and how adjuvant,slacklining therapeutic exercise may positively affect patients with NSLBP,due to MF-AMI induced depletion of spinal stabilization;considers current understandings and interventions for

关键词： Slacklining Arthrogenic muscle inhibition Low back pain Therapyintervention Multifidus Hypothesis

Effect of Medical Qigong Therapy on Distress,Fatigue,and Quality of Life in Head and Neck Cancer Patients Undergoing Intensity-Modulated Radiation Therapy:A Single Arm Clinical Trial

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World Journal of Traditional Chinese Medicine 2021年第4期7卷 427-435页

作者： Priyanka S.Sagaonkar Renu Pattanshetty department of Oncology physiotherapy KLE Academy of Higher Education and Research Institute of PhysiotherapyBelagaviKarnatakaIndia

Background:Cancer of Head and Neck(HNC)is the 2 nd common cancer in India leading to around 8%of the global cancer ***-modulated radiation therapy(IMRT)is advanced method minimizing exposure of radiation to adjacent normal structures but is associated with higher fatigue indirectly elevating distress *** Qigong(MQ),a meditative mind therapy has numerous health *** purpose of the current study was to investigate effect of MQ therapy on distress,fatigue,and quality of life in HNC patients undergoing *** and Methods:This experimental study was conducted on 16 Hospitalized HNC subjects undergoing IMRT aged 18–65 *** the subjects performed Qigong Walk Cycle for 5 weekdays for 4 weeks from initiation of *** of Brief Fatigue Inventory(BFI),6 min walk distance(6 MWD),Functional Assessment of Cancer Therapy-Head and Neck(FACT-HN)were documented at the baseline and at end of 4 th week and ***:IBM SPSS Statistics version 23.0;Indian version of Windows was used for statistical *** 16 HNC subjects majorly rural residents(62.5%)of mean age group 47.68±10.25 years with tobacco chewing as prevalent habit(94%)with maximum cases recorded in stage III of the *** pre and post test score comparison of serum cortisol,BFI and 6 MWD found high statistical significance with P=0.001 while that of the total and all components of FACT HN was found to be significant with P≤***:MQ therapy was effective in managing the levels of distress and fatigue thereby improving quality of life of all HNC subjects.

关键词： Distress fatigue head and neck cancer intensity-modulated radiation therapy medical qigong quality of life serum cortisol tobacco chewing

Slacklining:An explanatory multi-dimensional model considering classical mechanics,biopsychosocial health and time

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World Journal of Orthopedics 2021年第3期12卷 102-118页

作者： Charles Philip Gabel Bernard Guy Hamid Reza Mokhtarinia Markus Melloh department of physiotherapy Access PhysiotherapyCoolum Beach 4573Australia Ecole des Mines de Saint-Etienne Industrial and Natural Processes DivisionSaint Etienne 4200LoireFrance department of ergonomics University of Social Welfare and Rehabilitation SciencesTehran 12345Iran School of Health Professions Institute of Health SciencesZurich University of Applied SciencesWinterthur 8400Switzerland

This paper aims to overcome slacklining’s limited formulated explanatory *** is an activity with increasing recreational use,but also has progressive adoption into prehabilitation and *** is achieved through self-learned strategies that optimize energy expenditure without conceding dynamic stability,during the neuromechanical action of balance retention on a tightened *** from rope-walking or‘Funambulus’,slacklining has an extensive history,yet limited and only recent published research,particularly for clinical interventions and in-depth hypothesized multi-dimensional models describing the neuromechanical control ***‘knowledge-gaps’can be overcome by providing an,explanatory model,that evolves and progresses existing standards,and explains the broader circumstances of slacklining’s *** model details the individual’s capacity to employ control strategies that achieve stability,functional movement and progressive technical *** model considers contributing entities derived from:Self-learned control of movement patterns;subjected to classical mechanical forces governed by Newton’s physical laws;influenced by biopsychosocial health factors;and within time’s multi-faceted perspectives,including as a quantified unit and as a spatial and cortical ***,specific patient and situational uses may be initiated within the framework of evidence based medicine that ensures a multi-tiered context of slacklining applications in movement,balance and *** research is required to investigate and mathematically define this proposed model and potentially enable an improved understanding of human functional *** will include its application in other diverse constructed and mechanical applications in varied environments,automation levels,robotics,mechatronics and artificial-intelligence factors,including machine learning related to movement phenotypes and applications.

关键词： Slacklining Model Human movement Biopsychosocial Time

Grounded theory qualitative approach from Foucault's ethical perspective:Deconstruction of patient self-determination in the clinical setting

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World Journal of Clinical Cases 2021年第28期9卷 8312-8326页

作者： Jesús Molina-Mula Nursing and physiotherapy department University of Balearics IslandPalma 07122Illes BalearsSpain

This paper aims to explain the construction of the autonomous subject from Foucault's ethical perspective for the qualitative analysis of interprofessional relationships,patient-professional relationships,and moral ethics *** tried to break loose from the self,which is merely the result of a biopol-itical subjectivation and constituted an interpersonal *** this,different elements involved in the decision-making capacity of patients in a clinical setting were ***,the context in which decision-making occurs has been explained,distinguishing between traditional practices involved in self-care and the more modern conceptions that make certain possible ***,an attempt is made to explain the formation of the medicalisation of society using the transformations of what Foucault called"techniques of the self".Finally,the ethical framework for a subject's"self-creation",insisting more on the exercises of self-subjectivation,reinforcing the ethics of the self by itself,the"care of the self",has been *** role of the patient is understood as an autonomous subject to the extent that the clinical institution and the professionals involved comprehend how the patient’s autonomy in the clinical environment is *** these elements could generate grounded theory on the qualitative methodology of this *** current ethical model based on universal principles is not useful to provide a capacity for patients decision-making,relegating to the background their opinions and ***,a new ethical perspective emerges that aims to return the patient to the fundamental axis of attention.

关键词： Decision making Personal autonomy Foucault Principle-based Ethics Bioethics,Qualitative methodology,Grounded theory

Gait and Glasgow Coma Scale scores can predict functional recovery in patients with traumatic brain injury

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Neural Regeneration Research 2012年第25期7卷 1978-1984页

作者： Sevil Bilgin Arzu Guclu-Gunduz Hakan Oruckaptan Nezire Kose Bülent Celik department of physiotherapy and Rehabilitation Faculty of Health SciencesHacettepe UniversityAnkaraTurkey department of physiotherapy and Rehabilitation Faculty of Health SciencesGazi UniversityAnkaraTurkey department of Neurosurgery Faculty of MedicineHacettepe UniversityAnkaraTurkey department of Biostatistics Faculty of Health SciencesGazi UniversityAnkaraTurkey

Fifty-one patients with mild （n -- 14）, moderate （n = 10） and severe traumatic brain injury （n = 27） received early rehabilitation. Level of consciousness was evaluated using the Glasgow Coma Score Functional level was determined using the Glasgow Outcome Score, whilst mobility was evaluated using the Mobility Scale for Acute Stroke. Activities of daily living were assessed using the Barthel Index. Following Bobath neurodevelopmental therapy, the level of consciousness was significantly improved in patients with moderate and severe traumatic brain injury, but was not greatly influenced in patients with mild traumatic brain injury. Mobility and functional level were significantly improved in patients with mild, moderate and severe traumatic brain injury. Gait recovery was more obvious in patients with mild traumatic brain injury than in patients with moderate and severe traumatic brain injury. Activities of daily living showed an improvement but this was insignificant except for patients with severe traumatic brain injury. Nevertheless, complete recovery was not acquired at discharge. Multiple regression analysis showed that gait and Glasgow Coma Scale scores can be considered predictors of functional outcomes following traumatic brain injury.

关键词： brain injury traumatic brain injury rehabilitation early rehabilitation function prognosis GlasgowComa Scale Glasgow Outcome ScaLe functional level neural regeneration