Limited Movement Research Articles

Development of a COVID-19 pandemic psychological endurance and coping efficiency model

Lockdown procedures brought on by the COVID-19 outbreak have severely limited athletes' possibilities to exercise, creating both physical and psychological difficulties. This study looked into how lockdowns affected people who participated in adventure sports, including cycling, swimming, and running. Examining the effect of lockdown on athletes' perceptions of instruction barriers. The study's specific goal was to look into the relationships between instruction volume, lockdown-specific resilience, perceptions of movement limitations, and instruction hurdles. The study also sought to examine the relationship between athletes' personal dedication to their sports and lockdown resilience, coping mechanisms, and perceived instruction constraints. An online survey was used to collect participant information. The survey was used to examine variables such as age, gender, country of residence, personal involvement in endurance sports, resilience, emotion regulation mechanisms, mobility limits, instruction regimens, and mental health. To find participants on pertinent internet sites, convenience sampling techniques were used. The data were examined statistically using multiple regression analysis and nonparametric testing. According to the study's findings, poorer instruction volume, a lower level of lockdown-specific resilience, and more unfavorable views of lockdown mobility limits were all linked to higher levels of perceived instruction barriers during the lockdown. According to the data, athletes that had a strong personal commitment to their sport showed stronger mental resilience. COVID-19 pandemic lockdown had an effect on athletes' preparation and mental health. Reduced instruction, a lack of resilience, and unfavorable opinions all increased hurdles. Strongly devoted athletes showed resilience, adaptive coping, and less burdens. Personal dedication and coping skills are essential for athletes' wellbeing through trying circumstances.

Utilising Discriminant Function Analysis (DFA) for Classifying Osteoarthritis (OA) Patients and Volunteers Based on Biomarker Concentration.

Osteoarthritis (OA) is a degenerative joint disease characterised by the breakdown of cartilage, causing pain, stiffness, and limited movement. Early diagnosis is crucial for effective management but remains challenging due to non-specific early symptoms. This study explores the application of Discriminant Function Analysis (DFA) to classify OA patients and healthy volunteers based on biomarker concentrations of Interleukin-6 (IL-6), Tumour necrosis factor-alpha (TNF-α), and Myeloperoxidase (MPO). DFA was employed to analyse biomarker data from 86 participants (58 patients, 28 volunteers) to evaluate the discriminatory power of these biomarkers in predicting OA. Significant differences were observed in MPO and TNF-α levels between groups, while IL-6 did not show a significant distinction. The iterative classification process improved model assumptions and classification accuracy, achieving a pre-classification accuracy of 71.8%, which adjusted to 57.1% post-classification. The results highlight DFA's potential in OA diagnosis, suggesting its utility in managing complex data and aiding personalised treatment strategies. The study underscores the need for larger sample sizes and additional biomarkers to enhance diagnostic robustness and provides a foundation for integrating DFA into clinical practice for early OA detection.

Temporomandibular joint alloplastic replacement failure

Temporomandibular joint disorders are common, with alloplastic temporomandibular joint replacement (TMJR) being one method of addressing chronic pain and movement limitations that cannot otherwise be managed. Despite this, TMJR has known complications that can lead to failure. We present our experience of managing these cases and review the current evidence on the management and outcomes of alloplastic TMJR failures. Until 2015 our unit regularly used Dundee full metal prostheses, and encountered multiple issues such as infection, heterotopic bone formation, and progression of osteoarthritis beneath the condylar element. We also present our experience with other standard TMJR implants. One common cause of failure we observed is improper placement of a prosthesis due to poor technique, for instance, placement of the fossa implant too close to the ear canal can cause unresolved postoperative pain. There is no consensus on the management of TMJR, but non-surgical measures are preferred initially and surgical intervention is reserved for later stages. Recently our unit has managed numerous failure cases, employing a multidisciplinary approach combined with thorough preoperative planning and postoperative care, which has proven effective in reducing complications and improving outcomes. Based on our experience, we do not recommend the use of Dundee full metal prostheses for TMJR. Appropriate training in the placement of contemporary implants remains crucial. Suboptimal alignment of the implant in some cases does not need surgical intervention, but surgical management is justifiable in cases of persistent symptoms and functional limitations. When placing stock implants or designing a custom-made implant for an adult, we recommend that the posterior edge of the fossa component is at least 3 mm away from the bone of the ear canal.

Exploring the Association Between Physical Fitness (High Intensity and Low Intensity) and the Incidence of Temporomandibular Disorders: A Comparative Study.

Temporomandibular joint disorders affect the temporomandibular joint (TMJ), masticatory muscles, and associated structures. Symptoms include TMJ pain, limited jaw movement, muscle tenderness, and referred pain. Physical activity can alleviate musculoskeletal pain. This study explored the link between physical fitness (high and low intensity) and temporomandibular disorder (TMD) incidence. Sixty patients were divided into three groups in this comparative study. Group I underwent 30 minutes of high-intensity aerobic training. Group II had 30 minutes of low-intensity yoga sessions weekly. Group III received health education. TMD was diagnosed using the Fonseca Anamnestic Index (FAI). Pain intensity was measured using the Visual Analogue Scale (VAS) and the Pain Self-Efficacy Questionnaire (PSEQ). Of the participants, 38.1% were males and 61.9% were females. TMD severity was mild (25.0%), moderate (55.0%), and severe (20.0%). High-intensity training groups had higher TMD symptom severity than low-intensity groups (p = 0.001). VAS scores increased in group I and decreased in group II (significant). PSEQ scores decreased in group I and increased significantly in group II. Group III showed no significant differences in PSEQ scores. High-intensity training resulted in moderate TMD symptoms. Low-intensity training was beneficial for TMD pain. The study recommends combining low-intensity physical workouts with medications to alleviate TMD.

Evaluation of the suitability of using ArtiSential in various renal surgery: IDEAL stage 1 study

BackgroundArtiSential, a new articulating laparoscopic instruments, addresses the limited movement associated with conventional laparoscopic instruments. This study was conducted to assess the clinical effectiveness of ArtiSential in detailed steps of various renal surgery.MethodsThis study was approved by the Institutional Review Board of our institution and registered on the Clinical Research Information Service site of the Korea Disease Control and Prevention Agency. Participants meeting all inclusion and exclusion criteria were included in the clinical trial and underwent renal surgery. The clinical effectiveness of ArtiSential was assessed in terms of the feasibility and objective and subjective parameters across 9 detailed steps.ResultsOf the 15 potential candidates enrolled from October 2021 to November 2021, 1 patient dropped out due to anaphylaxis from an anesthetic agent, and 14 patients underwent laparoscopic surgery using ArtiSential. Of the 14 patients, 2 patients were converted to laparoscopic surgery using straight-shaped instruments due to the ischemia time exceeding 30 min, and 1 patient due to excessive bleeding. The feasibility for most steps was more than 90%, except the renorrhaphy step. The median total operation time and ischemia time were 161 and 23 min, respectively. The median estimated blood loss was 58.5 mL. Two cases of venous injury occurred during renal pedicle dissection step. The accuracy of the procedure judged by reviewers and usability judged by the operator were acceptable in all steps. The surgeon’s quantitatively measured stress score was the highest during renorrhaphy step.ConclusionsLaparoscopic surgery using ArtiSential is feasible for most steps except the renorrhaphy step. The difficulty of performing renorrhaphy is attributed to prolonged ischemia time, which could be addressed by overcoming the learning curve.Trial registrationClinical Research Information Service site of the Korea Disease Control and Prevention Agency, KCT0006532. Registered 03/09/2021, https://cris.nih.go.kr/cris/search/detailSearch.do?seq=24071.

Prevalence of stress associated oral mucosal disorders among patients from Southern Rajasthan, India

Data on the prevalence of stress associated oral mucosal lesions/conditions such as Oral lichen planus, Apthous ulcers, Burning mouth syndrome, Headache, Xerostomia, Halitosis, Myofacial pain Dysfunction syndrome amongst population of Southern Rajasthan is of interest to dentists. Cross sectional study had been conducted on 5214 patients from 18-60 years age group who visited the Department of the Oral Medicine and Radiology, Pacific Dental College and Research Centre, Bedla, Udaipur. Findings such as burning of oral mucosa, presence of vesicles and ulcers, striation in oral cavity, limitation of jaw movement, muscular pain were assessed for the establishment of diagnosis. Prevalence of stress associated oral mucosal lesions/conditions like Oral lichen planus, Apthous ulcers, Burning mouth syndrome, Headache, Xerostomia, Halitosis, Myofacial pain Dysfunction syndrome was reported to be 12%, 17%, 3%, 21%, 6 %, 23 and 18% respectively. Besides stress management therapy, Professional consultation along with proper investigation and medicinal treatment is required

Insight into the role of droplets in quinoa starch-based Pickering high internal phase emulsion for enzymatic hydrolysis reaction

Pickering high internal phase emulsion has emerged as potential platforms for biocatalytic reactions. Herein, native quinoa starch was used as the emulsifier to form a stable Pickering HIPE with an internal phase up to 80 %. The catalytic performance of lipase loaded in HIPE was evaluated for the enzymatic hydrolysis of hexyl hexanoate. Compared with the typical Pickering emulsion, biphasic, and monophasic systems, the Pickering HIPE system displayed higher conversion (83.54 % at 1440 min) and specific enzyme activity (1.41 U/mg), thus emphasizing the crucial role of microdroplets and large interface area created by both the starch particles and high internal phase volume. Subsequently, HIPEs with different starch concentrations were fabricated to further understand the catalysis behavior happening at compartmentalized microdroplets and interfaces. The microstructural, interfacial, and rheological properties of the HIPEs were systematically determined to explain the correlation between emulsion properties and catalytic efficiency. High starch concentration reduced the droplet size and increased the interfacial area, thus shortening the mass transfer distance and enlarging the reaction area. Meanwhile, the increased surface coverage and viscosity led to poor accessibility and limited mass movement. This trade-off made the maximum conversion be obtained at 2 wt% concentration. The study provides novel information about the role of emulsion droplets in the catalytic performance of lipase in starch-based HIPE.

Relationship between Maternal Stress and Neurobehavioral Indicators of Preterm Infants in the Neonatal Intensive Care Unit.

Preterm birth and prolonged neonatal hospitalization are potential sources of stress for mothers of preterm and low birth weight infants. To evaluate maternal stress and its association with neurobehavioral indicators of preterm infants during hospitalization in the neonatal intensive care unit. A cross-sectional study was conducted in a neonatal intensive care unit of a hospital in Goiânia, Brazil. The study included preterm and low birth weight infants of both genders and their mothers. The Parental Stressor Scale: Neonatal Intensive Care Unit and the Neurobehavioral Assessment of the Preterm Infant were respectively applied to mothers and infants in the neonatal intensive care unit. The study involved 165 premature infants and their mothers. The mean age of the mothers was 26.3 years and most had a high school education level (57.6%). Mothers perceived the experience of having an infant in the neonatal intensive care unit as moderately stressful (2.96 ± 0.81). The parental role alteration (4.11 ± 1.03) and sights and sounds (2.15 ± 0.90) subscales exhibited the highest and lowest stress levels, respectively. Significant correlations (rho < -0.3; p < 0.05) were found between maternal stress and neurobehavioral indicators of infants. In the multivariate analysis, low leg tone was a predictor of higher maternal stress. Low tone and limited arm movement were predictors of higher maternal stress in the maternal role item. The experience of having a preterm infant hospitalized was considered moderately stressful for mothers. Maternal stress levels were significantly correlated with low scores on neonatal neurobehavioral indicators.

Immediate efficacy of acupuncture combined with active exercise as 10 min rapid therapy for pain and movement disorders in patients suffering from acute stiff neck: protocol for a randomised controlled trial

IntroductionStiff neck is a condition mainly characterised by persistent pain and limited neck movement, which can substantially impact patients’ daily lives during acute episodes. Accordingly, rapid pain relief and restoration...

A case report of primary Kaposiform hemangioendothelioma of the humerus.

To examine the clinicopathological and immunohistochemical features of Kaposiform hemangioendothelioma (KHE) and discuss its differential diagnosis and prognosis. A patient with KHE was examined; the patient's clinical and histopathological features were observed, and the expression levels of CD31, CD34, ERG, D2-40, SMA, GLUT-1, and LANA-1 were assessed. The patient was a four-year-old child with primary KHE of the humerus. She was admitted to the hospital because of pain in the right elbow joint and limited movement for more than 2years. Imaging revealed Langerhans cell histiocytosis. The child was not diagnosed with Kasabach-Merritt phenomenon (KMP). The tumor consists of multiple hemangiomatous nodules with infiltrative growth separated by fibrous connective tissue. The proliferating hemangiomatoid nodules consisted of crisscrossing short spindle-shaped cell bundles and erythrocyte-containing lacunar or crescentic vessels. Immunohistochemical staining showed that the tumor cells diffusely expressed CD31, CD34, ERG, and other vascular endothelium-derived markers; further, the tumor cells expressed neither GLUT-1 nor LANA-1. The patient's general condition improved after surgical resection. There was no tumor recurrence after more than 8months of follow-up. Primary KHE of the humerus is a rare vasculogenic tumor. It presents with morphological features that require an accurate differential diagnosis.

An agent-based method to estimate 3D cell migration trajectories from 2D measurements: Quantifying and comparing T vs CAR-T 3D cell migration

Background and objective:Immune cell migration is one of the key features that enable immune cells to find invading pathogens, control tissue damage, and eliminate primary developing tumors. Chimeric antigen receptor (CAR) T-cell therapy is a novel strategy in the battle against various cancers. It has been successful in treating hematological tumors, yet it still faces many challenges in the case of solid tumors. In this work, we evaluate the three-dimensional (3D) migration capacity of T and CAR-T cells within dense collagen-based hydrogels. Quantifying three-dimensional (3D) cell migration requires microscopy techniques that may not be readily accessible. Thus, we introduce a straightforward mathematical model designed to infer 3D trajectories of cells from two-dimensional (2D) cell trajectories. Methods:We develop a 3D agent-based model (ABM) that simulates the temporal changes in the direction of migration with an inverse transform sampling method. Then, we propose an optimization procedure to accurately orient cell migration over time to reproduce cell migration from 2D experimental cell trajectories. With this model, we simulate cell migration assays of T and CAR-T cells in microfluidic devices conducted under hydrogels with different concentrations of type I collagen and validate our 3D cell migration predictions with light-sheet microscopy. Results:Our findings indicate that CAR-T cell migration is more sensitive to collagen concentration increases than T cells, resulting in a more pronounced reduction in their invasiveness. Moreover, our computational model reveals significant differences in 3D movement patterns between T and CAR-T cells. T cells exhibit migratory behavior in 3D whereas that CAR-T cells predominantly move within the XY plane, with limited movement in the Z direction. However, upon the introduction of a CXCL12 chemical gradient, CAR-T cells present migration patterns that closely resemble those of T cells. Conclusions:This framework demonstrates that 2D projections of 3D trajectories may not accurately represent real migration patterns. Moreover, it offers a tool to estimate 3D migration patterns from 2D experimental data, which can be easily obtained with automatic quantification algorithms. This approach helps reduce the need for sophisticated and expensive microscopy equipment required in laboratories, as well as the computational burden involved in producing and analyzing 3D experimental data.

Electrically Conductive Adhesives in Microelectronics Packaging

Abstract Electronic packaging is integral to safeguarding electronic devices while ensuring electrical connectivity and heat dissipation. This paper reviews electrically conductive adhesives (ECAs), focusing on two main types: isotropic conductive adhesives (ICAs) and anisotropic conductive adhesives (ACAs). ECAs offer advantages over traditional solders, including lower processing temperatures, environmental friendliness, and the ability to conform to flexible substrates. The paper explores the working mechanisms of ICAs and ACAs, highlighting their limitations and recent developments aimed at improvement. Key challenges for ICAs include low electrical conductivity and moisture absorption, while ACAs face limitations in fine-pitch applications and electric field-induced particle movement. Recent advancements discussed include the use of organic monolayers, nanofiber integration, magnetic self-assembly, low-temperature sintering of nano-silver particles, and copper nanoparticle fillers. These innovations hold promise for enhancing the electrical conductivity, mechanical strength, and reliability of ECAs. Finally, the paper explores applications of ECAs in die attach, flip-chip bonding, and chip-on-flex (COF) packaging, highlighting their potential for various electronic devices.

Short-term time-series observations of phytoplankton light-absorption and productivity in Prydz Bay, coastal Antarctica

The optical characteristics of coastal Antarctic waters exhibit complexity due to the dynamic hydrography influenced by meltwater intrusion, which alters nutrient levels, thermohaline structure, and optically active substances (OAS) regimes. Studies on bio-optical variability and its implications on phytoplankton productivity (PP) are scanty in coastal polar regions. On this backdrop, time-series measurements (72 h at 6 h intervals) of bio-optical properties such as phytoplankton biomass (chlorophyll-a), absorption (aph), and total suspended matter (TSM) concurrently with PP were measured to understand their interplay and variability in relation to the ambient physicochemical settings in the under-sampled Prydz Bay, coastal Antarctica. Our findings revealed thermohaline stratification within the bay, likely attributed to the inflow of less saline meltwater from nearby glaciers and minimal wind activity. The consistent presence of sub-surface chlorophyll maximum (SCM) beneath the stratified layer underscored the light-acclimatization response of shade-adapted phytoplankton. Surface waters exhibited higher TSM compared to deeper layers, indicating glacial melt influence, while the depth of the sunlit layer remained relatively stable, suggesting limited water mass movement and/or variability in OAS at the study site. An inverse relation between chlorophyll-a and chlorophyll-a-specific phytoplankton light absorption (a*ph(λ)) manifested ‘pigment package effect’ within the prevailing phytoplankton community, implying reduced light-absorption efficiency and consequent lower PP. Compared to chlorophyll-a, the phytoplankton light absorption (aph(λ)) emerged as a better proxy for explaining PP variability. Nutrient availability was not limiting, which was conducive to micro (large) phytoplankton growth. Classification of phytoplankton size classes (micro, nano, and pico) based on the B/R ratio (aph at Blue (443 nm)/Red (676 nm) region) confirmed the dominance of larger (micro) phytoplankton that are more susceptible to package effect, thus have implications on reduced PP potential of this polar marine ecosystem.

Characteristics and outcomes of patients with low back pain with and without radiating leg pain following the GLA:D back program

BackgroundSome patients with low back pain (LBP) also report radiating leg pain which is a prognostic factor for poorer clinical outcomes. We aimed: 1) to compare the baseline characteristics of patients with LBP with - (LBP + leg pain) and without radiating leg pain (LBP - alone); 2) to investigate whether patients with LBP + leg pain show similar post-treatment outcomes as compared to LBP – alone, after participation in an exercise and patient education program, i.e. the GLA:D Back program. MethodsThe patient sample included 3508 patients in the GLA:D Back program between March 2018 and August 2022. The outcomes were mean changes in LBP intensity, back-related activity limitation, self-efficacy and fear of movement measured from baseline to 3, 6 and 12 months. Baseline characteristics were compared with descriptive statistics, and linear mixed models were used to estimate group differences in changes from baseline to 3-, 6- and 12 months. Results1915 (55%) of the patients were in the group LBP- alone and 1593 (45%) in the LBP + leg pain. The LBP + leg pain group displayed higher STarT back classification (greater risk of chronicity) compared to the LBP–alone. The LBP + leg pain group showed almost similar improvements in all outcomes compared to LBP – alone after the GLA:D Back program. ConclusionIn long-lasting (chronic) LBP patients, the LBP + leg pain group improved to the same extent as LBP - alone regarding LBP intensity, disability, and fear of movement following an exercise and patient education program, GLA:D Back.

Requirement and User Modeling for Decision Support System Children Disabilities in Pandemic

The Covid-19 pandemic is not only felt by parents and children but also by children with special needs. Public Health England reported in 2020-2022, more than 400 per 100 thousand people with disabilities died from Covid-19. Children with special needs or student disabilities receive special attention because they are not like normal children. Children with disabilities cannot do activities like people in general. Children with special needs have several limitations, there are limitations in movement, hearing, seeing, speaking, and several other limitations. This research is used to determine the initial requirements for children with special needs during the Pandemic. Preparing systems such as Technology Collaborative or Decision Support Systems (DSS), a place with the support of a Red Zone Location is an anticipation for children's activities in the environment when dangerous conditions occur during the Pandemic. The requirement-capturing Analysis process is crucial because it determines what is needed in this research. Requirement Capturing is very important before heading to the process of making technology or DSS. Requirement Capturing includes the process of user requirements and capturing user modeling. The User Modeling process will be carried out. In this research, Requirement Capturing and User Modeling includes Making User requirements, Initial use case diagrams to processes, activity diagrams, and other user modeling according to the capturing process.

Examining the enablers of street food attachment: an integrated attachment-SOR perspective

ABSTRACT COVID-19-induced lockdowns and movement restrictions led to individuals’ limited movement and recall of street food memories. Against this backdrop, the current study explores the enabler role of the perceived scare of COVID-19 on street food attachment and its contribution to recommending and revisiting intention. A prominent contribution of this study is the evaluation of the moderating role of perceived price fairness, food authenticity, vendor hygiene practices, and income. The proposed model is validated with perceptual responses gathered from two prominent destinations viz. India and the Middle East and analyzed with partial least squares. Results showed that the perceived scare of COVID-19 does significantly enhance one’s attachment associated with street food. Moreover, street food attachment does enhance an individual’s revisit and recommendation intention in the new normal. Furthermore, results showed that the contingent effects of food authenticity, perceived price fairness, vendor’s hygiene practice, and income have a positive moderation on the relationship between perceived scare of COVID-19 and street food attachment. The study is one of the few studies on street food attachment in the new normal for developing countries like India and the Middle East. The implications have relevance for street food businesses and small food business owners in Asian countries.

Peculiar Presentation: Dirofilariasis Unveiled in the Temporalis Muscle of a Teenager.

Dirofilariasis, a parasitic infection typically affecting animals, occasionally presents in humans, transmitted through mosquito bites. This article explores an unusual case of dirofilariasis affecting the temporalis muscle, a rare occurrence. With 40 identified Dirofilaria species, human infections are primarily attributed to Dirofilaria repens and Dirofilaria immitis, causing pulmonary and subcutaneous lesions. While deep tissue infections are exceptionally rare, we present a unique case in a 15-year-old girl. The patient exhibited a 3-month history of a slowly growing swelling in the left temporal region, accompanied by intermittent pain and limited jaw movement. Initial differential diagnoses included benign tumors, cysts, or abscesses. Ultrasound revealed a hypoechoic mass, leading to surgical excisional biopsy. Histopathological examination confirmed Dirofilaria, prompting a combination of antiparasitic medication and surgical intervention. Dirofilariasis in deep tissues, especially muscles, is uncommon. Diagnosis challenges arise due to its rarity and similarity to other conditions. Imaging may not be specific, necessitating histopathological examination. Treatment involves antiparasitic medications like ivermectin, supplemented with surgery in specific cases. Our patient's favorable outcome underscores the importance of early recognition and a multidisciplinary approach for effective management.

Contemporaneous Symptom Networks of Breast Cancer-Related Upper Limb Lymphedema: A Network Analysis.

Upper limb lymphedema (ULL) is a common and deliberating complication for breast cancer survivors (BCSs). Breast cancer survivors with ULL reported a wide range of symptoms. However, little is known about symptom patterns and interrelationships among them. This study was designed to explore symptom clusters and construct symptom networks of ULL-related symptoms among BCSs and to identify the core symptoms. This study is a secondary data analysis using datasets from three cross-sectional studies of BCSs in China. A total of 341 participants with maximum interlimb circumference ≥2 cm and complete responses in Part I of the Breast Cancer and Lymphedema Symptom Experience Index were included. Symptom clusters were identified through principal component analysis, and multiple linear regression analysis was employed to explore factors associated with severity of overall ULL-related symptoms. A contemporaneous network with 20 frequently reported symptoms were constructed after controlling for covariates. Three symptom clusters, including lymph stasis symptom cluster, nerve symptom cluster, and movement limitation symptom cluster, were identified. Postsurgery time, axillary lymph node dissection, and radiotherapy were associated with the severity of ULL-related symptoms. Tightness (rs = 1.379; rscov = 1.097), tingling (rs = 1.264; rscov = 0.925), and firmness (rs = 1.170; rscov = 0.923) were the most central symptoms in both networks with and without covariates. Breast cancer survivors with ULL experienced severe symptom burden. Tightness, tingling, and firmness were core symptoms of ULL among BCSs. Our findings demonstrated that the assessment and targeted intervention of specific core symptoms might help to relive effectively the burden of ULL-related symptom among BCSs.

Enhancing Motivation for Oral Hygiene Implementation among Immobilized Compos Mentis Patients through The Development of a Dental Care Table in Inpatients Settings

Brushing teeth is one way to maintain oral hygiene. Implementation of tooth brushing with oral hygiene protocols in hospitalized patients in addition to avoiding infection can also improve the quality of life of patients during treatment. There are often cases of neglected oral hygiene in hospitalized patients. This is due to the limitation of movement (immobilization) in patients to carry out these activities. Often the appearance of discomfort when using supporting infrastructure in the room such as basins. Dental care table (DCT) is an idea in supporting the implementation of oral hygiene while in bed. Interest in the latest innovations is expected to encourage the motivation of immobilized patients with compost mentis to carry out oral hygiene activities that have been carried out at home. This study aims to determine the description of the motivation for implementing oral hygiene for immobilized patients with kompos mentis in the inpatient installation . This type of research with Research and Development (R&amp;D) and pre-experiment research (Pretest and Posttest group design) with purposive sampling technique obtained 32 respondents. The method of measuring product feasibility uses David Garvin's "Eight Dimensions of Quality" test with 32 questions, while measuring motivation using TSRQ (Treatment Self Regulation Quetionnaire) with 12 questions. At the research stage with information gathering to informants and observation. Followed by designing product builds tailored to the needs and study of patient characteristics according to anthropometric data based on ergonomic principles, then proposed to experts. The next stage is through testing and measuring the feasibility score. The completed product improvement stage is tested again until it is declared feasible. Before the trial on the patient, a measurement of motivation to implement oral hygiene on the patient was carried out to obtain a pretest value of motivation. Then the trial use of the product and finally evaluate the value of the oral hygiene implementation motivation score. The feasibility data analysis technique uses Aiken V and ICC, to test the difference in motivation scores using the Wilcoxon test. The results showed that the Dental care table (DCT) was feasible with a score of 85.16%, with an ICC score of 0.958. Increased motivation to implement oral hygiene for immobilized patients with compost mentis in the inpatient installation from 74.93% to 80.60% with a significance value of 0.046 (p-value &lt;0.005). Immobilized patients with mentis compost have motivation in the strong motivation category, with a motivation score value between 67% - 100%.

A Review of Knee Ankle-Foot Orthoses in Managing Neuromuscular Disorders: Focus on Children with Cerebral Palsy

Neuromuscular disorders (NMDs) significantly impact the musculoskeletal system, leading to lower extremity muscle weakness and impaired coordination, notably affecting the quadriceps. These impairments compromise knee stability during standing and walking, increasing fall risks and hindering mobility and independence. Knee-ankle-foot orthoses (KAFOs) are vital in enhancing gait efficiency and knee stability. Traditional locked KAFOs rigidly immobilize the knee throughout the gait cycle, offering maximal stability but limited natural movement. Advances in orthotic technology have led to the development of stance control KAFOs (SCKAFOs), which dynamically lock the knee only during the stance phase, promoting a more natural and energy-efficient gait. The E-MAG Active and NEURO TRONIC knee joints are prominent examples of SCKAFOs, featuring sophisticated electronic control mechanisms to improve functional outcomes in individuals with NMDs. This review also focuses on the application of SCKAFOs in children with cerebral palsy (CP), the most common neuromotor disorder affecting movement, posture, and muscle tone due to early brain injury. The prevalence and diverse etiologies of CP necessitate individualized therapeutic interventions. The review aims to evaluate the efficacy and satisfaction of orthotic management in pediatric CP, providing evidence-based recommendations for optimizing orthotic interventions and enhancing quality of life for affected children and their families.