Movement Ability Research Articles

Impacts of evidence-based nursing combined with enteral nutrition on nutritional status and quality of life in acute cerebral infarction patients: A randomized controlled trial.

To explore the impacts of evidence-based nursing (EBN) combined with enteral nutrition (EN) on nutritional status as well as quality of life in acute cerebral infarction (ACI) patients. In this randomized controlled cluster trial, 80 ACI patients admitted to our hospital from January 2021 to December 2022 were selected and randomly separated into study group (SG) and control group (CG), with 40 patients in each group. Patients in CG received routine nursing, and patients in the SG received EBN combined with EN. The neurological function, limb movement ability, nutritional status, anxiety and depression, incidence of complications and quality of life between two groups were compared. After intervention, the NIHSS score in the SG was lower than that in the CG (CG = 5.62 ± 0.56, SG = 3.27 ± 0.33. p < .001). The FMA score in the SG was higher compared with the CG (CG = 52.58 ± 5.32, SG = 68.85 ± 6.87. p < .001). The Hb level, TP level and ALB level in the SG were higher relative to the CG (p < .001). The Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) scores in the SG were lower in comparison with the CG (SAS score: CG = 42.32 ± 4.25, SG = 36.28 ± 3.64; SDS score: CG = 48.27 ± 4.85, SG = 40.06 ± 4.05. p < .001). The incidence of complications in SG was lower than that in CG. Finally, we found that SF-36 scores in the SG in all dimensions were higher than those in the CG (Physiological function: CG = 70.23 ± 7.05, SG = 82.71 ± 8.26. Role function: CG = 66.28 ± 6.64, SG73.39 ± 7.36. Physical pain: CG = 70.67 ± 7.06, SG = 82.69 ± 8.29. General health: CG = 58.74 ± 5.86, SG66.62 ± 6.65. Mental health: CG = 53.68 ± 5.37, SG = 62.39 ± 6.31. Energy: CG = 60.75 ± 6.08, SG = 67.87 ± 6.78. Social function: CG = 76.25 ± 7.25, SG = 85.78 ± 8.59. Emotional function: CG = 61.23 ± 6.15, SG = 75.74 ± 7.56. p < .001). EBN combined with EN can improve the nutritional status and the quality of life in ACI patients compared with the traditional routine nursing, and is suggested as a valuable strategy for clinical management of ACI.

Insight into continuous growth mechanisms of ZrO2-Al2O3 composite PEO coatings with superior cavitation erosion resistance

The ZrO2-Al2O3 composite coatings were fabricated on TiB2/2024Al composite by the plasma electrolytic oxidation (PEO) treatment with either monoclinic (m-ZrO2) or tetragonal zirconia (t-ZrO2) nanoparticles (NPs) addition. Such PEO coatings showed a double layer morphology due to the limited physical motion ability of ZrO2 colloidal particles into coatings. t-ZrO2 remained as the main phase in ZrO2-Al2O3 PEO composite coatings whether t-ZrO2 or m-ZrO2 NPs were added. Based on the microstructure analyses by focus ion beam plus scanning electron microscopy and transmission electron microscopy, ZrO2 showed netlike morphology in the outer layer with NPs partially melted at the mesh boundary and lines-like morphology fully melted at the inner mesh in the coating. A prominent morphological transition of ZrO2 was clearly observed at the interface between outer layer and inner layer. Therefore, the continuous growth mechanisms of ZrO2-Al2O3 composite PEO coatings were proposed in terms of morphological evolution process. Furthermore, electrochemical measurements and cavitation erosion tests were conducted to study the comprehensive surface properties (corrosion and impact resistance) of ZrO2-Al2O3 composite coatings. As a result, the ZrO2-Al2O3 composite PEO coatings with m-ZrO2 addition exhibited the greatly reduced corrosion rate, and superior cavitation erosion resistance. Accordingly, the underlying mechanisms for these improved properties were intensively discussed.

Effect of Low-Level Laser Therapy on Knee Range of Motion and Functional Abilities After Total Knee Arthroplasty.

The aim of this study was to determine the effectiveness of combined low-level laser therapy (LLL) and rehabilitation in patients following recent total knee replacement (TKR). A double-blind randomized controlled study was conducted at the Orthopedic Department of Mansoura University Hospital. Forty-four patients were chosen from a total of 58 patients who met the inclusion criteria and were assigned randomly into control and experimental groups of equal size. Ultimately, 40 patients completed the study (20 from each group). Both groups participated in an intensive functional rehabilitation program, and the experimental group also received LLL therapy around the knee at the incisional line, the medial and lateral intra-articular space, above and below the patella, and at the popliteal fossa at low fluence (6 J/cm2, 650 nm continuous wave) and 60 s per point with a total dose of 48 J per session over 12 treatment sessions for six weeks. Knee range of motion (ROM) was measured with a digital goniometer, and functional abilities were assessed with the Arabic version of the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) index. There were significant differences in all variables pre- and post-treatment within each group. Before treatment, there was no significant difference in any of the measured variables between the groups (P>0.05). After treatment, there were significant differences in knee flexion ROM and WOMAC index (P<0.05)but no significant difference in knee extension ROM between the groups (P>0.05). The addition of low-level laser therapy to a rehabilitation program post-TKR resulted in substantial enhancements in knee flexion range of motion and the WOMAC index.

Research on the progress of neurorehabilitation

With the intensification of global aging problems, the incidence of central nervous system diseases such as stroke is getting higher and higher. At the same time, the number of disabled people has also increased. Amputation and neurological diseases are important causes of disability, and neurorehabilitation is an important method for restoring the nervous function and autonomous movement ability of the disabled. At present, neurorehabilitation methods commonly used in clinical treatment mainly include: wearing prosthetic limbs, functional electrical stimulation (FES) therapy, rehabilitation robots, and so on. The prosthetic limb refers to an artificial device used to replace the function of a lost limb. Many advanced technologies are being used to improve the motion control of prosthetics to achieve natural movement. FES is a technique that can improve physiological function or treat diseases by stimulating nerves or tissues through current, and has become one of the important means to promote nerve regeneration and restore motor function. Rehabilitation robots are the equipment that uses mechanical devices and advanced control technology to assist rehabilitation treatment and functional recovery. This article mainly discusses the current research progresses of prosthetic limbs, EFS and rehabilitation robots, so as to promote the development of neurorehabilitation.

Markerless vision-based functional movement screening movements evaluation with deep neural networks

The functional movement screen (FMS) test is a seven-test battery used to assess fundamental movement abilities of individuals. It is commonly used to predict sports injuries but relies on clinical expertise and is not suitable for self-examination. This study presents an automatic FMS movement assessment framework using a multi-view deep neural network called MVDNN. The framework combines automatic skeleton extraction with manual feature selection to extract 3D trajectory features of human skeleton joints from two different directions. Three mainstream methods of time-series modeling are then used to learn high-level feature representation from skeleton sequences, and motion features from two views are fused to provide complementary information. Results of public FMS movements dataset demonstrate that our MVDNN outperforms current state-of-the-art methods with an average miF1 score of 0.857, maF1 score of 0.768, and Kappa score of 0.640 over ten runs.

Self-Powered and Self-Healable Extraocular-Muscle-Like Actuator Based on Dielectric Elastomer Actuator and Triboelectric Nanogenerator.

Although dielectric elastomer actuators (DEAs) are promising artificial muscles for use as visual prostheses in patients with oculomotor nerve palsy (ONP), high driving voltage coupled with vulnerable compliant electrodes limits their safe long-term service. Herein, a self-healable polydimethylsiloxane compliant electrode based on reversible imine bonds and hydrogen bonds is prepared and coated on an acrylic ester film to develop a self-healable DEA (SDEA), followed by actuation with a high-output triboelectric nanogenerator (TENG) to construct a self-powered DEA (TENG-SDEA). Under 135.9kVmm-1 , the SDEA exhibits an elevated actuated strain of 50.6%, comparable to the actuation under DC power. Moreover, the mechanically damaged TENG-SDEA displays a self-healing efficiency of over 90% for 10 cycles. The TENG ensures the safe using of TENG-SDEAs and an extraocular-muscle-like actuator with oriented motion ability integrated by several TENG-SDEAs is constructed. Additionally, the SDEA is directly used as a flexible capacitive sensor for real-time monitoring of the patient's muscle movement. Accordingly, a medical aid system based on a conjunction of the extraocular-muscle-like actuator and a flexible capacitive sensor is manufactured to help the patients suffering from ONP with physical rehabilitation and treatment.

Effects of Size and Asymmetry on Catalase-Powered Silica Micro/nanomotors.

Enzyme-powered micro/nanomotors that can autonomously move in biological environment are attractive in the fields of biology and biomedicine. The fabrication of enzyme-powered micro/nanomotors normally focuses on constructing Janus structures of micro/nanomaterials, based on the intuition that the Janus coating of enzymes can generate driving force from asymmetric catalytic reactions. Here, in the fabrication of catalase-powered silica micro/nanomotors (C-MNMs), an archetypical model of enzyme-powered micro/nanomotors, we find the silica size rather than asymmetric coating of catalase determines the motion ability of C-MNMs. The effects of size and asymmetry have been investigated by a series of C-MNMs at various sizes (0.5, 2, 5 and 10 μm) and asymmetric levels (full-, half- and most-coated with catalase). The motion performance indicates that 500 nm and 2 μm C-MNMs show obvious increases (varying from 134% to 618%) of diffusion coefficient, but C-MNMs bigger than 5 μm have no self-propulsion behaviour at all, regardless of asymmetric levels. In addition, although asymmetry facilitates enhanced diffusion of C-MNMs, only 2 μm C-MNMs are sensitive to asymmetric level. This work elucidates the primary and secondary roles of size and asymmetry in the preparation of C-MNMs, paving the way to fabricate enzyme-powered micro/nanomotors with high motion performance in future.

Pengaruh pembelajaran senam irama terhadap peningkatan kemampuan gerak dasar manipulatif dalam mningkatkan teknik dasar permainan kasti

The aim of this research is to find out and describe the differences in the ability to throw, catch and hit the ball in the basic techniques of playing rounders as manipulative movement abilities before and after learning rhythmic gymnastics. This research includes quantitative research with a pre-experimental approach, with a one group pre-test post-test design. The subjects of this research were 29 class IV students at SD Negri 1 Ranbatan, Ciniru, Kuningan. In carrying out the research, it started by giving a test in the form of test items in the pretest, then providing treatment by applying rhythmic gymnastics learning in 5 meetings, then ending by giving the test items again at the posttest. Based on the results of data analysis, the average throwing test score increased from 19 to 32, then the average catching score increased from 10 to 14 and the average hitting score increased from 21 to 27 so it can be concluded: (1) there are differences in throwing and catching abilities. and hitting the ball in the game of rounders before learning rhythmic gymnastics with the ability to throw, catch and hit the ball in the game of rounders after learning rhythmic gymnastics. (2) there is an increase in basic manipulative movement abilities in the game of rounders by using rhythmic gymnastics learning.

Revolutionary resistance against full autocratization. Actors and strategies of resistance after the 2021 military coup in Myanmar

Resistance against autocratization is an important contemporary issue that calls for increased scholarly attention. The global wave of autocratization has generated a proliferation of research on the drivers of autocratization, but fewer studies on the possibilities, strategies, spatialities, and effectiveness of resistance. This article responds to these knowledge needs through a case study of revolutionary resistance against full autocratization in Myanmar after the 2021 military coup. The article examines the junta's strategies for autocratic control, trace the development of the resistance movement and analyze its strategies, spatialities and effectiveness. The article shows that the coup has been followed by a mass resistance movement that is remarkably successful in countering the regime strategies for authoritarian consolidation and survival. We argue that this effectiveness rests on the movement's ability to deploy mutually reinforcing strategies of economic, symbolic, political, and armed resistance to contest the military's claims on state authority, legitimacy, economic resources, and monopoly of armed force. The Myanmar case thus confirms the centrality of civil resistance under full autocratization, but also points to the importance of insurgent political institutions and armed resistance to counter authoritarian repression, legitimation, and co-optation strategies. The case study also shows that the spatialities of resistance strategies – being both embedded in places and territories and extended through spatial networks and scalar strategies – are key contributors to the effectiveness of the movement. This broad mobilization behind a common revolutionary goal offers the best prospect for defeating military dictatorship in Myanmar and provides relevant lessons for similar cases elsewhere.

Diffusion-Ordered Spectroscopy (DOSY) as a Powerful NMRMethod to Investigate Molecular Mobitiesand IntermolecularInteractions in Complex Oil Mixtures.

Studying the characteristics and molecular mechanisms of liquid self-diffusion coefficient and viscosity changes is of great significance for, e.g., chemical and petroleum processing. As an example of a highly complex liquid, asphaltene-free high-acid and high-viscosity crude oil and its extracted fractions were studied by comparing their 1H DOSY diffusion maps. The crude oil exhibited a polydisperse diffusion distribution, including multiple diffusion portions with diffusion coefficients much smaller than that of any single fraction in independent diffusion. The main mechanism that leads to the decreases in the diffusion coefficients of crude oil is attributed to diffusion resistance enhanced by Dynamical Molecular-Interaction Networks (DMINs), rather than by enlargement of the diffusion species caused by molecular aggregation. Constructed through the synergistic interactions of various polar molecules in crude oil, DMINs dynamically bind polar molecules, trap polarizable molecules, and spatially hinder the free motion of non-polar molecules. Overall, this reduces the diffusion coefficients of all molecular. This study demonstrates that DOSY is a powerful NMR method to investigate molecular motion abilities in complex mixtures. In addition, the insights in the influence of the interaction matrix on the molecular mobility also help to understand the contribution of "structural viscosity" to the viscosity of heavy oil.

Effects of dimpropyridaz on feeding behavior, locomotivity and biological parameters of Aphis gossypii

Aphis gossypii is a worldwide agricultural pest insect that has developed resistance to multiple pesticides. Dimpropyridaz is a new chordotonal organ regulator and has been registered for control of sap-sucking insects including A. gossypii. For the aim to effectively apply dimpropyridaz for A. gossypii control, it is necessary to clarify the toxic effects of dimpropyridaz on cotton aphids. In the present study, the effects of dimpropyridaz on feeding behavior, locomotivity and biological parameters of A. gossypii were investigated. The bioassay results showed that dimpropyridaz had good insecticidal activity against A. gossypii, with LC50 as 1.91 mg/L at 72 h post exposure. Moreover, the dimpropyridaz treated A. gossypii showed obvious poisoning symptoms of dehydration and shrivel. Through the gentle-touch experiment and feeding experiment, it was found that dimpropyridaz treatment had significant adverse impacts on the locomotivity and feeding behavior of A. gossypii. Compared with the control group, the coordinated movement ability of the treated A. gossypii attenuated, moreover the feeding behavior of A. gossypii was inhibited. The feeding rate decreased by 62.00%, 64.00% and 71.67% after treatment with 50.33 mg/L dimpropyridaz for 24 h, 48 h and 72 h, respectively. Especially, EPG recordings showed that the number of intracellular stylet puncture and the total duration of phloem sap ingestion and concurrent salivation decreased substantially, while the total duration of non-probing increased after exposure to dimpropyridaz. Furthermore, the treatments with LC10 and LC30 of dimpropyridaz significantly reduced the longevity and fecundity of F0, and led to a decrease of the relative fitness of F0 to 0.48 and 0.32, respectively. The net reproductive rate (R0) and mean generation time (T) of F1 generation were also significantly reduced, moreover the duration of reproduction was significantly shortened. In addition, at 72 h post treatment with LC30 dimpropyridaz, the gene expression levels of JHEH and USP of cotton aphids significantly increased, while the expression of FOXO, INR, EcR and INRS decreased. These results provide basis for clarifying the toxicology of dimpropyridaz to cotton aphids, and also are beneficial for effective control of cotton aphid using dimpropyridaz.

Evaluation of the improvement of walking ability in patients with spinal cord injury using lower limb rehabilitation robots based on data science.

Spinal cord injury (SCI) is a serious disabling injury, and the main factors causing SCI in patients include car accidents, falls from heights, as well as heavy blows and falls. These factors can all cause spinal cord compression or even complete rupture. After SCI, problems with the movement, balance, and walking ability of the lower limbs are most common, and SCI can cause abnormalities in patient's movement, sensation, and other aspects. Therefore, in the treatment of SCI, it is necessary to strengthen the rehabilitation training (RT) of patients based on data science to improve their motor ability and play a positive role in the recovery of their walking ability. This article used lower limb rehabilitation robot (LLRR) to improve the walking ability of SCI patients and applied them to SCI rehabilitation. The purpose is to improve the limb movement function of patients by imitating and assisting their limb movements, thereby achieving pain relief and muscle strength enhancement and promoting rehabilitation. The experimental results showed that the functional ambulation category (FAC) scale scores of Group A and Group B were 0.79 and 0.81, respectively, in the first 10 weeks of the experiment. After 10 weeks of the experiment, the FAC scores of Group A and Group B were 2.42 and 4.36, respectively. After the experiment, the FAC score of Group B was much higher than that of Group A, indicating that Group B was more effective in improving patients' walking ability compared to Group A. This also indicated that LLRR rehabilitation training can enhance the walking ability of SCI patients.

The maluma/takete effect is late: No longitudinal evidence for shape sound symbolism in the first year.

The maluma/takete effect refers to an association between certain language sounds (e.g., /m/ and /o/) and round shapes, and other language sounds (e.g., /t/ and /i/) and spiky shapes. This is an example of sound symbolism and stands in opposition to arbitrariness of language. It is still unknown when sensitivity to sound symbolism emerges. In the present series of studies, we first confirmed that the classic maluma/takete effect would be observed in adults using our novel 3-D object stimuli (Experiments 1a and 1b). We then conducted the first longitudinal test of the maluma/takete effect, testing infants at 4-, 8- and 12-months of age (Experiment 2). Sensitivity to sound symbolism was measured with a looking time preference task, in which infants were shown images of a round and a spiky 3-D object while hearing either a round- or spiky-sounding nonword. We did not detect a significant difference in looking time based on nonword type. We also collected a series of individual difference measures including measures of vocabulary, movement ability and babbling. Analyses of these measures revealed that 12-month olds who babbled more showed a greater sensitivity to sound symbolism. Finally, in Experiment 3, we had parents take home round or spiky 3-D printed objects, to present to 7- to 8-month-old infants paired with either congruent or incongruent nonwords. This language experience had no effect on subsequent measures of sound symbolism sensitivity. Taken together these studies demonstrate that sound symbolism is elusive in the first year, and shed light on the mechanisms that may contribute to its eventual emergence.

Leaping fishbot by combustion and propulsion hybrid actuation

AbstractAutonomous underwater vehicles have been extensively developed in the past decades and deployed for various ocean research activities. While the leaping‐out motions of underwater creatures have motivated the development of underwater robots with the motion ability to jump out of water, the dynamics of such jumping robots have not been fully described. In this study, we developed a leaping fishbot, a flying fish‐inspired underwater soft robot that can leap out of the water and further sail on the surface using the combustion and propulsion hybrid actuation. Specifically, the fishbot uses the transient driving method, in which a premixed oxygen–propane gas generates an instant pushing impulse to launch the robot out of the water at a transiently high speed while the attached jetting propellers provide a sustained thrust as it swims on the water surface at a stable velocity. A series of flume experiments and solid–fluid hybrid computational fluid dynamics numerical simulations were conducted to study the kinematic performance of the robot. Experimental results established a quantitative relationship between the kinematic performance, gas amount, and launch angle. The numerical results accurately predicted the water–air multiphase jumping motions, the numerical result of kinematic was significantly agreeing with the experimental results, the error in the horizontal direction is less than 15%, and that in the vertical direction is less than 10%. We further analyzed the flow field generated by the leaping fishbot to gain a better understanding of the velocity and vortex distribution around it. Our research findings provide valuable insights into bionic application of underwater robots in the future.

Decomposition and Reconstruction of Human Palm Movements.

The human hand is known to have excellent manipulation ability compared to other primate hands. Without the palm movements, the human hand would lose more than 40% of its functions. However, uncovering the constitution of palm movements is still a challenging problem involving kinesiology, physiology, and engineering science. By recording the palm joint angles during common grasping, gesturing, and manipulation tasks, we built a palm kinematic dataset. Then, a method for extracting the eigen-movements to characterize the common motion correlation relationships of palm joints was proposed to explore the palm movement constitution. This study revealed a palm kinematic characteristic that we named the joint motion grouping coupling characteristic. During natural palm movements, there are several joint groups with a high degree of motor independence, while the movements of joints within each joint group are interdependent. Based on these characteristics, the palm movements can be decomposed into seven eigen-movements. The linear combinations of these eigen-movements can reconstruct more than 90% of palm movement ability. Moreover, combined with the palm musculoskeletal structures, we found that the revealed eigen-movements are associated with joint groups that are defined by muscular functions, which provided a meaningful context for palm movement decomposition. This paper suggests that some invariable characteristics underlie the variable palm motor behaviors and can be used to simplify palm movement generation. This paper provides important insights into palm kinematics, and helps facilitate motor function assessment and the development of better artificial hands.

The impact of the balance beam on early age balance skills at DBL Academy Yogyakarta

The key foundation for a child’s overall development is their early years. As children learn new things and acquire new types of movement, they require continuous and appropriate support for their cognitive development and movement abilities at this stage. Children’s lives revolve around play because it gives them the opportunity to engage with others, explore their surroundings, and acquire new skills. Stability of posture, or postural balance, is important for young children’s development. A child’s general health can suffer as a result of decreased muscle strength, coordination, and cognitive function brought about by accidents, sports injuries, or aging. This increases the risk of a child falling. Children have the opportunity to exercise and enhance their balance while walking on a balance beam, which is a stable board with supports underneath. Open-ended play, such as that involving a balance beam, can foster children’s imagination and creativity. Data for this study were collected through an online survey method. The entire existing population was used as the sample in a targeted sampling strategy. The online survey was given to 11 participants, and the results showed that 84.3% observed an improvement in balance in young children, 66.9% understood the advantages and risks of using a balance beam, and 87.2% of coaches had used a balance beam when they were younger. One of the training methods to enhance balance skills in young children is the balance beam.

Effect of Physiotherapy Management of the Post-Traumatic Stiff Elbow: A Case Report

23 years old female who is a student by occupation had a history of a direct fall on her right elbow and injury takes place on her left elbow. After the injury, an orthopedic surgeon and the patient wastreated conservatively. The patient came to the physiotherapy department with a chief complaint of left elbow pain with difficulty in moving the left elbow. On examination, restriction in elbow flexion and extension assortment of motion and tightness of left biceps brachii were seen. The intervention was carried out for 6 sessions per week for 6 weeks. The patient was treated with electrotherapy and exercise therapy. After 6 weeks of intervention pain was reduced (VAS score from 7 to 3), elbow extension range of motion was improved and OES was 20 to 39. This case report results suggest that physiotherapy treatment is important in reducing pain and increasing range of motion and functional ability.

Effects of Schlemm's Canal Suture Implantation Surgery and Pilocarpine Eye Drops on Trabecular Meshwork Pulsatile Motion.

The trabecular meshwork is an important structure in the outflow pathway of aqueous humor, and its movement ability directly affects the resistance of aqueous humor outflow, thereby affecting the steady state of intraocular pressure (IOP). (1) Objective: The purpose of this study was to preliminarily estimate the effects of pilocarpine eye drops and trabeculotomy tunneling trabeculoplasty (3T) on trabecular meshwork (TM) pulsatile motion via phase-sensitive optical coherence tomography (Phs-OCT). (2) Method: In a prospective single-arm study, we mainly recruited patients with primary open-angle glaucoma who did not have a history of glaucoma surgery, and mainly excluded angle closure glaucoma and other diseases that may cause visual field damage. The maximum velocity (MV) and cumulative displacement (CDisp) of the TM were quantified via Phs-OCT. All subjects underwent Phs-OCT examinations before and after the use of pilocarpine eye drops. Then, all subjects received 3T surgery and examinations of IOP at baseline, 1 day, 1 week, 1 month, 3 months, and 6 months post-surgery. Phaco-OCT examinations were performed at 3 and 6 months post-surgery, and the measurements were compared and analyzed. (3) Results: The MV of TM before and after the use of pilocarpine eye drops was 21.32 ± 2.63 μm/s and 17.00 ± 2.43 μm/s. The CDisp of TM before and after the use of pilocarpine eye drops was 0.204 ± 0.034 μm and 0.184 ± 0.035 μm. After the use of pilocarpine eye drops, both the MV and CDisp significantly decreased compared to those before use (p < 0.001 and 0.013, respectively). The IOP decreased from baseline at 22.16 ± 5.23 mmHg to 15.85 ± 3.71 mmHg after 3 months post-surgery and from 16.33 ± 2.51 mmHg at 6 months post-surgery, showing statistically significant differences (p < 0.001). The use of glaucoma medication decreased from baseline at 3.63 ± 0.65 to 1.17 ± 1.75 at 3 months and 1.00 ± 1.51 at 6 months post-surgery; the differences were statistically significant (p < 0.001). Additionally, there was no statistically significant difference in the MV between 3 and 6 months after surgery compared to baseline (p = 0.404 and 0.139, respectively). Further, there was no statistically significant difference in the CDisp between 3 and 6 months after surgery compared to baseline (p = 0.560 and 0.576, respectively) (4) Conclusions: After the preliminary study, we found that pilocarpine eye drops can attenuate TM pulsatile motion, and that 3T surgery may reduce IOP without affecting the pulsatile motion status of the TM.

Efectividad de una aplicación de telerrehabilitación para tableta en pacientes con fractura de extremo distal del radio

IntroductionTo assess whether, in patients with distal radius fracture feedback-guided exercises performed on a tablet touchscreen reduce healthcare usage and improve clinical recovery, more than the conventional home exercise program prescribed on paper. Material and methodsA multicentre, parallel, two-group, pragmatic, controlled trial with assessor blinding and intention-to-treat analysis. Forty-six patients with distal radius fracture were recruited in Andalusian Public Health System. Participants in the experimental and control groups received the same in-patient physiotherapy sessions. Experimental group received a home exercise program using the ReHand tablet application and control group received an evidence-based home exercise program on paper. The primary outcome was the number of physiotherapy sessions tallied from hospitals data management system. Secondary outcomes included: the face-to-face rehabilitation consultations with a physiatrist, and clinical outcomes such as functional ability, grip strength, dexterity, pain intensity and range of motion. ResultsThe experimental group required fewer physiotherapy sessions (MD: −16.94; 95%CI: −32.5 to −1.38) and rehabilitation consultations (MD: −1.7; 95%CI: −3.39 to −0.02) compared to the control group. ConclusionsIn patients with distal radius fracture, prescribing feedback-guided exercises performed on a tablet touchscreen provided by ReHand reduced number of physiotherapy sessions and rehabilitation consultations.

Rapid recovery in a patient with severe COVID-19 after a low-load, high-frequency rehabilitation program using an ergometer in the supine position.

Background Rehabilitation therapy for patients with severe coronavirus disease 2019 (COVID-19) is crucial; however, studies regarding rehabilitation strategies for intensive care unit (ICU) patients with COVID-19 are limited. We report a case of severe COVID-19 in an ICU patient whose physical function and basic movement ability rapidly improved after the initiation of active aerobic exercise in the supine position.Case A 70-year-old man with hypertension and obesity was admitted to the ICU and managed with a ventilator because of severe COVID-19. Physical therapy started on postadmission day 34. Problems encountered during physical therapy included low saturation of percutaneous oxygen (SpO2; <90%), dyspnea with a light exercise load, advancing muscle weakness, and endurance decline. The rehabilitation program included getting out of bed and resistance training of the upper and lower limbs twice daily while maintaining SpO2 at ≥90%. After ventilator weaning, we initiated aerobic training using a supine ergometer with varying load volume. On discharge from the ICU on postadmission day 45, the patient' s physical function (handgrip strength, Medical Research Council score, and Borg scale) and basic movement ability (Functional Status Score for ICU) rapidly improved.Conclusion Rehabilitation therapy involving aerobic cycling training based on a quantitative load setting may be effective in treating COVID-19.