Normal Movement Research Articles

Efficacy of Dashmool Vasti as an adjuvant therapy with the standard of care (modern + physiotherapy) in the rehabilitation of stroke as compared to standard of care – a clinical trial protocol

Background Stroke is ischemia and neurological dysfunction caused by acute brain circulation loss. It causes acute localized neurological abnormalities such as weakness, sensory deficit, or language issues that require long-term treatment. These deficiencies harm the patient and their family psychologically, socially, and economically. Thus, combination treatment can rapidly rehabilitate such patients. Detoxification methods like Ayurvedic medicated enema help stroke pathophysiology. Physical modalities in physiotherapy have been shown to facilitate normal movement and function on the stroke patient’s affected side, increasing independence with everyday duties. A stroke patient may benefit from Dashmoola Niruha Vasti, Function Electrical Stimulation (FES), and Motor Relearning Programme (MRP). Aim & Objectives This study compares the adjuvant role of Dashmoola Vasti with MRP and FES in stroke recovery. The main goals of this study are to assess and compare the adjuvant role of Dashmoola Vasti with standard control over sensorimotor function of lower extremities; static & dynamic balance in stroke patients; gait parameters; resistance experienced during passive range of motion; quality of life of patients; Barthel Index; Modified Ashworth Scale; and Fuglmeyer assessment, Single Limb Stance Test, Functional Reach Test. Methods A total of 40 patients will be enrolled and divided randomly into two equal groups. In Group A (control), standard treatment (modern + physiotherapy) will be prescribed for one month. In Group B (interventional group), Dashmoola Vasti will be added to the afore-said standard treatment for one month. Expected results Improvement in Fuglmeyer assessment, Single Limb Stance Test, Functional reach test, quality of life of patients, Barthel Index, Modified Ashworth scale and National Institute of Health (NIH) stroke-scale-score, will be observed and recorded. Conclusions Results and conclusions will be derived according to the data collected in case record form and assessment sheets filled at baseline and follow-up visits. Trial registration CTRI/2021/10/037445 dated 21.10.2021.

Short-term clinical results of bicruciate-retaining total knee arthroplasty using personalized alignment

BackgroundBicruciate-retaining (BCR) prosthesis has been introduced to recreate normal knee movement by preserving both the anterior and posterior cruciate ligaments. However, the use of BCR total knee arthroplasty (TKA) is still debatable because of several disappointing reports. We have been performing BCR TKAs with personalized alignment (PA). This study aimed to reveal the limb alignment and soft tissue balance of FA-BCR TKAs and compare the clinical outcomes of FA-BCR TKAs with those of unicompartmental knee arthroplasty (UKA).MethodsFifty BCR TKAs and 58 UKAs were included in this study. The joint component gaps of BCR TKA were evaluated intraoperatively and the postoperative hip–knee–ankle (HKA) angle, medial proximal tibial angle (MPTA), and lateral distal femoral angle (LDFA) were measured using full-length standing radiography. The short-term clinical outcomes of BCR TKAs were compared with those of UKA using the scoring system of 2011 Knee Society Scoring (KSS) and the knee injury and osteoarthritis outcome score (KOOS) at an average of 2 years postoperatively (1-4yeras).ResultsThe coronal alignment values of PA-BCR TKA were as follows: HKA angle, 177.9° ± 2.3°; MPTA, 85.4° ± 1.9°; and LDFA, 87.5° ± 1.9°. The joint component gaps at flexion angles of 10°, 30°, 60°, and 90° were 11.1 ± 1.2, 10.9 ± 1.4, 10.7 ± 1.3, and 11.2 ± 1.4 mm for the medial compartment and 12.9 ± 1.5, 12.6 ± 1.8, 12.5 ± 1.8 and 12.5 ± 1.7 mm for the lateral compartment, respectively. The patient expectation score and maximum extension angle of PA-BCR TKA were significantly better than those of UKAs.ConclusionsThe short-term clinical outcomes of PA-BCR TKA were comparable or a slightly superior to those of UKAs.

An AI-based ambulatory ankle brace with wearable sensor used for preventing ankle sprains

Ankle sprain is one of the most common injuries in the game of basketball. The ankle sprain may bring tremendous time and cost loss, and patients with a history of ankle sprain are susceptible to further ankle injuries. This paper proposes an AI-based ambulatory ankle brace with wearable sensors that can be used for ankle-sprain prevention. The equipment consists a sensor, a microcomputer, a Bluetooth module, and a muscle stimulator. Ten volunteers performed twelve basketball moves with the ankle brace on, and the twelve basketball moves were labeled as high-risk and low-risk. The sensor on the ankle brace measured the 3-dimensional angular velocity and angular displacement of the subjects ankle in real-time, and the data were then fed to different machine learning algorithms to create models to predict future ankle motions. The model with the best performance created by the Random Forest algorithm was imported into the microcomputer. Once the model predicts a high-risk move, the microcomputer sends a Bluetooth signal to the muscle stimulator. The one end of the stimulator is a pair of electrodes attached to the peroneal muscles to restrict ankle motion. When the stimulator receives the high-risk signal, its activated and the spraining motion would be alleviated. In this way, the ankle brace doesnt restrict normal ankle movement while providing adequate protection for potential ankle sprain cases.

EFFECTIVENESS OF PHYSICAL THERAPY AND REHABILITATION IN IMPROVING MOTOR SKILLS AND MENTAL FUNCTION IN CHILDREN WITH CEREBRAL PALSY

Cerebral palsy was first described by William John Little in 1846. There are many definitions of cerebral palsy that vary from author to author. However, we can say that cerebral palsy (CP) is a chronic non-progressive brain damage, postural and body motility disorder. Apart from sensorimotor abnormalities, some cases are accompanied by mental disorders as well as disorders of cognitive functions. It can occur during pregnancy, at birth or during the postnatal period, ie. prenatal, perinatal and postnatal - equally in both sexes. There are different classifications of cerebral palsy: according to changes in muscle tone, according to topographic features and according to the severity of the clinical picture.According to changes in muscle tone, they are divided into: Spastic form, Athetoid form, Ataxic form, Hypotonic form and Mixed form. According to the topography they are classified as: Diplegia, Quadriplegia, Hemiplegia, Triplegia and Monoplegia Physical therapy program is determined based on the clinical form of the disease. When determining a rehabilitation program, the principle of an individual approach is followed. Rehabilitation includes: physical medicine, kinesitherapy, reflex exercises according to Vojta, manual massage, thermotherapy, education of parents for rehabilitation at home; orthopedic aids; special education techniques. The aim of this study is to determine the role and impact of Physical Medicine and Rehabilitation in the treatment of children with Cerebral Palsy in early childhood. The research was conducted at the University of Southeast Europe - (Stul University) at the Faculty of Health Sciences in the Department of Physical Therapy and Rehabilitation, over a period of 6 months, from the beginning of April to the end of September 2023. 61 patients with cerebral palsy are included in the research, of which 28 are male, and the remaining 33 patients are female. The patients included in the research are classified into groups according to: gender, age and clinical form of cerebral palsy. The treatment of Cerebral Palsy (CP) has a complex character and includes medical, pedagogical and social rehabilitation. The individual tasks of the rehabilitation are determined after a functional examination of the motor abilities, where the main role is played by muscle tone, normal and pathological reflex motor activity, in the period up to 1 year of age. The goal of treatment with Physical Therapy and Rehabilitation is to achieve correct and timely development of movements and correction of pathological movement stereotypes (models), which occurred as a result of brain tissue damage. As for the motor deficit, kinesitherapy plays a major role. Established modern methods for kinesitherapy are the specialized methods for neuromuscular re-education of Vojta and Bobath. The Rood and Rabat methods werw also be used to facilitate the required movements and train coordination. Physical therapy and rehabilitation combined with kinesitherapy have an exceptional positive effect in: prevention of pathological primitive reflexes;creation and automation of normal active movements;saving irregular positions of the limbs and the whole body;establishment of balance and correct pattern of movement; fight against spasticity, secondary contractures and deformities; improvement of coordination and awareness of the body in relation to the environment.

PHYSICAL THERAPY AND NEUROREHABILITATION OF PATIENTS WITH CEREBROVASCULAR STROKE

Cerebral stroke represents an acute disturbance of circulation in the brain, which occurs with local and general brain symptoms. Main etiological factors are: arteriosclerosis, increased blood pressure, arterial hypotension, heart diseases, malformations of brain blood vessels, etc. Stroke is the most common neurological disease and the leading cause of mortality in the world, right after cardiovascular and malignant diseases. Cerebrovascular stroke is a focal neurological deficit caused by intracerebral hemorrhage. It is a condition that occurs due to a change in blood circulation in the brain and a very low supply of oxygen and nutrients to parts of the brain, which results in their damage and disruption of the functions that depend on them. There are two types of cerebrovascular stroke: ischemic - thrombosis and thromboembolism (85%) and hemorrhagic – intracerebral and subarachnoid bleeding (15%). The clinical picture can develop gradually or, the patient can suddenly fall into a coma. Absence of movements of the affected limbs predominates, always opposite to the side of the impact with an outburst of the facial nerve of the central type. Hemiplegia is a loss of the voluntary movements of one half of the body, caused by damage to the opposite brain hemisphere. The musculature is atonic, tendon reflexes are reduced or lost. The aim of the research is to determine the effectiveness of physical therapy and neurorehabilitation in patients with cerebrovascular brain stroke. Treatment of stroke: In the acute stage, physical therapy is aimed at preventing complications of the loco-motor apparatus (contractures, muscle and tendon retraction, heterotropic ossifications), the respiratory system (hypostatic pneumonia) and the skin (decubitus). This is achieved through treatment with position (frequent change of the position of the body in bed), passive exercises performed according to strictly defined rules, breathing exercises, exercises for healthy limbs and great care of the skin. The trophic changes of the skin are treated with ultraviolet radiation in suberythemic doses or with D’Arsonval currents. The research was conducted at the University of Southeast Europe - (Stul University) at the Faculty of Health Sciences in the Department of Physical Therapy and Rehabilitation, over a period of 6 months, from the beginning of From the beginning of May - to the end of October 2023. The research included 27 stroke patients, of which 11 patients had a left-sided stroke, and the remaining 14 patients had a right-sided stroke. According to the gender structure, 12 patients are male and the remaining 15 patients are female. After completing the six-month treatment with physical therapy, kinesitherapy and the methods of Vojta and Carl and Bertha Bobat, the results show great progress in almost all parameters. A decrease in tonic primitive reflexes, neck and labyrinthine tonic reflexes, reduction of extensor hypertonia, improvement of motor-reflex activity, proprioceptive afference, coordination, reduction of neck tone, foot reflex, stimulation of the grip reflex and improvement of the position of the neck, limbs and body. The presented results shows significant improvement in both groups of participants. Physical therapy and rehabilitation combined with kinesitherapy have an exceptional positive effect in: prevention of pathological primitive reflexes;creation and automation of normal active movements;saving irregular positions of the limbs and the whole body;establishment of balance and correct pattern of movement; fight against spasticity, secondary contractures and deformities; improvement of coordination and awareness of the body in relation to the environment.

Biomedical Radar System for Real-Time Contactless Fall Detection and Indoor Localization

Fall incidents represent a major public health problem among elderly people. This resulted in a significant increase of the number of investigated systems aiming at detecting falls promptly. In this respect, in this work, a biomedical radar system is proposed for remote real-time fall detection and indoor localization. The system, consisting of a sensor and a base station, combines radar and wireless communication techniques, and uses a data processing technique to distinguish between fall events and normal movements. The classification, based on a Least-Square Support Vector Machine (LS -SVM), combined with the sliding window principle allows to perform fall detection in real-time. Moreover, it is capable to localize the subjects when the fall incident has been detected. The in-vivo validation showed a high success rate in detecting fall events, with a maximum delay of 340 ms. Moreover, a maximum mean absolute errors (MAE) of 3.8 cm and a maximum root-mean-square error (RMSE) of 7.5 cm were reported in measuring the subject's absolute distance.

Design of boom expansion principle and luffing system of side - mounted tower crane

In order to ensure normal movement and avoid interference in the erection and recovery process of the side-mounted rapid erection tower crane, our takes it as the research object, analyzes the structure composition and erection working principle of the boom part of the quick erection tower, and uses SolidWorks three-dimensional simulation to complete the drawing of different structure models of the tower crane. At the same time, the design of steel wire rope system is being studied, which provides a theoretical basis for the design of this kind of side-mounted tower crane.

The effect of fault systems on volcanic activity: Insights from the subduction-related, Quaternary Villamaría-Termales monogenetic volcanic field in Colombia

Structural control of volcanic activity is a topic of great significance around volcanic fields, mostly associated with risk management near cities. Structural geology provides valuable information for understanding the magmatic processes associated with the rise of magma and the presence of volcanoes. The Villamaría-Termales Monogenetic Volcanic Field (VTMVF) is a group of Quaternary monogenetic volcanoes settled in an active fault system, which allows us to propose the role that these faults play in the volcanic activity. The field is located near the city of Manizales (∼475.000 inhabitants), Colombia, on an active fault system at the western flank of the Cordillera Central in the northern Andes. The VTMVF is characterized by andesitic lava domes and flows, which individually reach volumes of up to 2.5 km3. This work uses 1) geometry and kinematics of the faults that affect the VTMVF to define the structural features associated with the emplacement of the volcanoes, and 2) new and published ages to evaluate periods of volcanic activity. Three trends of fault systems associated with the location of the volcanoes were identified: 1) NW-SE (Villamaría-Termales), 2) NE-SW (Sancancio, El Perrillo, Santa Rosa and Palestina), and 3) N-S to NNE-SSW (San Jerónimo and Samaná-sur). The fault kinematics are dominantly normal, with dextral (NE) and sinistral (NW) movements. Analysis of ages shows that the field has temporally evolved since 2 Ma in different time intervals (2.0–1.2 Ma, 0.18–0.045 Ma, and 0.045 Ma – Present). This supports the presence of different emplacement mechanisms related to both the movement in the strike of some faults and the intersection between faults. The pauses of volcanic activity could coincide with the absence of structural conditions (interseismic cycles for faults, where the sealing of the faults is generated) to facilitate the rise of magma; this is related to temporary compressive conditions. Despite the apparent structural controls, there is no clear spatial or temporal pattern of volcano distribution within the field. There is evidence of seismic activity in the area. Thus, the future formation of dilatating zones that allow the magma to rise and the emplacement of new monogenetic volcanoes is feasible not only in the area defined for the volcanic field but also in the continuation of the fault lines around it.

Dynamic coupling model of FDS and cellular automata considering trampling behavior

Fire accidents usually cause large casualties. In this paper, a fire evacuation model based on the dynamic coupling of FDS and CA, which dynamically couples disaster data and evacuation behavior, is designed to reflect the impact of disaster factors on the pedestrian evacuation process in real-time. Furthermore, pedestrians are divided into two categories, one type of pedestrians will choose to move against the wall to reduce the risk of stampede accidents, and the other type of pedestrian will evacuate to the exit according to the normal movement method. And considering the role of information transmission between pedestrians, the two types of pedestrians will transform into each other. In addition, the concept of pedestrian crowding, support, and friction is introduced and viewed as an influencing factor of normal pedestrian falls. Set the panic value as the influencing factor of the efficiency of pedestrian information transmission and the death probability of downed pedestrians. The impact of pedestrian density, pedestrian walking behavior towards walls, evacuation response time, information propagation radius, heat release rate of the fire source, and the interference of smoke on the pedestrians' visibility range on evacuation outcomes has been discussed through numerical simulations. The analysis shows that although the presence of pedestrians walking against the wall will slightly increase the evacuation time, when the available evacuation time allows, the risk of a stampede will be greatly reduced; The increase in evacuation response time will aggravate the panic psychology of pedestrians and increase the risk of stampede accidents; The increase of the pedestrian information transmission radius will reduce the risk of a stampede, and the effect is more obvious when the pedestrian density is smaller; Selecting building materials with lower heat release rates can effectively reduce the risk of fire incidents; The restriction of visibility range by smoke seriously endangers pedestrian safety and reduces the efficiency of evacuation.Our research results can play a reference and guide for future building disaster prevention design and public safety research.

The lateral approach water bath: A novel method of ultrasound imaging of the hand

BackgroundTraditional water baths for ultrasound exams place a hand into a pan of water and submerge an ultrasound probe into the water. While this improves ultrasound transmission and moves structures into the focal zone to make higher resolution images, this method does have limitations. Patients must be manipulated directly under the probe, which can be limited by pain or normal movement restrictions. The probe must also be held very still in water to minimize motion artifact. The lateral approach water bath method addresses such limitations by imaging through the side of a thin-walled plastic container without submerging the probe. This reduces much need for patient manipulation by imaging through the side of a column-shaped bath, which has 360 degrees of imaging freedom. It also stabilizes the probe directly against the flat, firm container to reduce image degrading motion artifact. We hypothesized that because of these improvements the lateral approach water bath might create higher quality images than traditional water baths. MethodsWe compared twenty images from each method, which were obtained with the same model and ultrasound operator at the same time. Two ultrasound fellowship trained blinded reviewers rated the images for quality and adequacy for clinical decision making on a scale from 1 to 5. ResultsImage quality was better for the lateral water bath, with an average rating of 4.2 compared to the traditional bath's 2.6 (p < 0.001). Adequacy to aid clinical decision making was better for the lateral approach bath with an average rating of 4.0 compared to the traditional bath's 2.6 (p < 0.001). The lateral bath also had a smaller range for image quality and thus greater consistency. ConclusionsThe lateral approach water bath is a method of hand imaging that produces higher quality, more consistent, and more clinically useful images than traditional water bath imaging.

Tectonic-magmatic-hydrothermal interactions in a hot dry rock geothermal system: The role of the transfer and normal faults in the Acoculco caldera (Mexico)

In the Acoculco caldera (hot dry rock system) two geothermal boreholes were planned to intersect fracture systems in the carbonate basement. Even though the caldera is located in an area of active deformation with high rainfall, a scarce permeability was recognized. To shed light on this apparent mismatch, we investigate the area by integrating a structural and kinematic dataset on faults and fractures with the volcanological data. The results highlighted two main coeval fault systems, NW- and NE striking respectively, and two associated minor N-S and E-W striking sets, affecting the area of the Acoculco caldera and controlling its volcanic evolution. The kinematic analysis on fault-slip surfaces demonstrated that the NW-striking faults are characterized by two superposed movements: the first comprises right strike-slip to right lateral oblique-slip, while the second is dominantly normal. In contrast, the NE-striking structures display only dominantly normal movements. We explain the kinematic evolution by two recurring events, determined by the interplay between regional extension and uplift: when a crustal extension was dominant in the region (first kinematic event), the NW- and NE-trending structures played the role of transfer and normal faults, respectively; in contrast, when uplift predominated (second kinematic event) both the pre-existing NW- and NE-striking faults acted with normal movements. The location of eruptive centers is controlled by the permeability along the regional faults and their step-over zones. A closer analysis carried out in the surroundings of the geothermal boreholes suggests that deformation migrated northwards, and that fractures are sealed in this sector of Acoculco, thus strongly reducing permeability. In this view, the most promising areas for potential permeability at depth might occur northwards, beyond of the Acoculco caldera, and along the NW-trending structures. In conclusion, the fault kinematics is influenced by periods of increased partial melting of the lithosphere, the latter determining anomalous heat flux and uplift. This process interacts with the fluid pathways that are in turn controlled by the tectonic segmentation, and this is a new model to explain the tectonic-magmatic and hydrothermal interaction of this region.

Pseudotumor inflamatorio ocular asociado a IgG4. Reporte de un caso

IgG4-associated ocular inflammatory pseudotumor is a rare, non-neoplastic inflammatory process with an incidence of 0.28-1.08 per 100,000 people. The diagnosis of this pathology is one of exclusion, having to meet histopathological criteria, enlargement of a specific organ, and serious concentrations of IgG4. Treatment aims to avoid secondary complications. Clinical case: A 54-year-old woman with no previous re-ported pathologies, reports that for the past 6 months she has itching at the level of the eyeball and the left eyelid, suddenly and without apparent cause, in addition to decreased visual acuity and retro-ocular pain; this is why she asked for the evaluation. The physical examination revealed normal eye movements, left proptosis, pain on palpation, subconjunctival hyperemia, corneal opacity, absence of red reflex, and the left eye being more resistant to pressure in relation to the contralateral eye. The cranio-thoraco-abdominal tomography reported images at the left ocular level that were suggestive of choroidal melanoma without findings of metastatic activity. Enucleation of the left eye was performed. The specimen was sent to pathology which reported diffuse lymphoplasmacytic infiltrate positive for IgG4. Conclusion: Ocular IgG4 disease is a very rare pathology with non-specific symptoms and complex diagnosis. However, a quick and correct approach is essential to avoid complications.

Rancang Bangun Aplikasi Diet untuk Ibu Menyusui Pasca Persalinan dengan Algoritma Mifflin-St Jeor

Pregnancy is a significant and transformative period for women, both physically and emotionally. During this time, it is crucial for expectant mothers to prioritize their own health and well-being to create a healthy environment for their growing baby. One of the physical changes that many breastfeeding mothers experience after childbirth is weight gain. Factors contributing to this include increased caloric needs, lack of sleep, reduced physical activity, and feelings of stress and fatigue due to caring for a newborn. Maintaining a healthy weight is vital to reduce the risk of various health issues and ensure the quality of breast milk for the baby. However, it is important to note that mothers should not engage in strict dieting during the postpartum period, or the puerperium, which lasts up to 40 days after delivery. During this time, mothers should gradually resume normal activities and movement. To support breastfeeding mothers in maintaining their health after childbirth, a structured and monitored approach that provides tailored information according to each stage of development is necessary. The Laav application, available for iOS, is designed to calculate and record the caloric intake of breastfeeding mothers, helping them achieve proper nutrition while maintaining an ideal weight. The application is built using the User-Centered Design (UCD) methodology and uses the Mifflin-St Jeor algorithm to calculate calories. The application is programmed in SwiftUI, a language optimized for the iOS platform

A braided construction of ionogels as a wearable sensor for human motion monitoring

A highly stable flexible sensor from the braided organization of linear ionogel (IG-BPS) was reported in this work to monitor the human physiological signals and daily movements. The compression effect in the normal direction arisen from the longitudinal stretching is prone to sensor distortion and energy dissipation. This braid construction can effectively reduce the interference of stretching on the stress sensing accuracy. The piezoresistive variations in the longitude and latitude directions of the braided structure can be mutually compensated during sensor deformation, simultaneously generating ample conductive pathway to attenuate hysteresis behaviors significantly. The IG-BPS features great flexibility with broad pressure applications (0–30kPa), high sensing behavior (S=0.137 kPa−1, GF=0.029) and stability (>1000 cycles), which can be fabricated in a simple but efficient strategy. This sensor is capable to accurately detect normal movement and subtle epidermal pulse waves at various locations of human body (heart beating and pulse bounding), which is crucial for real-time tracking the changes in overall wellness status especially the cardiovascular health went through an intensive exercise process. It is expected that this braided organization sensor would act as an exciting part in sports-level tracking, healthcare assessment as well as human-machine interactions development.

Association of Age, Gender and Body Mass Index with Proprioception in Knee Joint in Healthy Individuals

Background: The word proprioception is derived from Latin word “proprius” means it is one’s own and “reception” means it receives. In Musculoskeletal rehabilitation, proprioception plays significant role in maintaining normal motor control. The proprioception is an important non-invasive clinical procedure which helps in diagnosing pre-existing and treating knee conditions. Proprioception assessment is foremost because loss in proprioception will lead to altered weight bearing at joints and alteration of normal body movement causing fall or injury. Purpose of this study is to find out the association of knee joint proprioception with age, gender and BMI in healthy individuals. Methods: Total 132 participants are included in the study. Their height and weight was measured to calculate their BMI. After that, proprioception was assessed with the help of goniometer mounted on the stand. Knee joint proprioception was measured for Test angles 30°, 45° and 60° toward extension. At all angles test was performed three times in sequence. Result: The collected data were analyzed in SPSS software version 21.0. At 30° correlations between both side of knee joint proprioception with Age, Gender and BMI was non-significant except left side of proprioception with gender. However, at 45° correlations between both side of knee joint proprioception with Age, Gender and BMI was found significant. Additionally, similar of most result was found at 60° except left side of knee joint proprioception was found not significant with BMI. Conclusion: Knee joint proprioception decreases with ageing and are more in females than males. This study finds weak to moderate correlation with BMI.

Prodigy Long-Established Solution in Degenerative Musculoskeletal Disease as Vishwachi with Special Reference to Cervical Spondylosis - A Novel Case Report

A rectifier that is a unique merger of the two utterly non-identical therapeutic procedures, namely Viddhakarma (piercing) and Agnikarma(thermal cauterization), collectively termed "Viddhagnikarma." It is a modification of the concept by the types of Agni karma procedure developed byAcharya Sushrut that states the use of different instruments for Agni karma at different sites. As muscles, tendons, and ligaments are deep structures, theheat produced must reach them via a medium that bypasses the skin to prevent skin burn, so viddhagnikarma was brought into play. Vishwachi can becorrelated to cervical spondylosis as they both have the same signs and symptoms. Vishwachi is most commonly found in the geriatric age group withsymptoms of morning stiffness at the cervical region, difficulty in neck movements, radiating pain, tingling sensation in the upper limb, and difficulty inneck movements. The study aims to relieve pain and regression in other symptoms by restoring normal neck and arm movements without adverseeffects. NSAID and many more have been more aggressively used and have to be replaced by some alternative therapy that is safe in the geriatric agegroup that is cheap comparatively.This case study introduces a therapeutic regimen called viddhagnikarma for pain management in an 81-year-old ladydiagnosed with Vishwachi (cervical spondylosis) that presented with no relief from topical analgesics and muscle relaxants. The patient has great reliefwithin two sittings, i.e., after 7 days, with no adverse effects.

Collecting the energy generated by manual workers to monitor their working status and improve their working conditions by using a flexible rack mechanism

Currently, an increasing quantity of portable energy harvesting modules are being developed to capture the energy generated by human motion. However, the size and weight of a device can affect the smoothness and comfort of a user’s normal limb movements in the process of collecting energy generated by human movement. Especially on manual workers, this effect will significantly increase their physical exertion, so the design of energy-harvesting devices for wearing on manual workers has higher requirements. The bend knee energy harvester (BKEH) designed in the work presented in this paper used a laboratory-made flexible rack to harvest the energy generated by manual workers’ frequently bent knees during work. It converts the collected energy into electricity for various wearable devices to monitor the working status of manual workers and improve their working conditions. One end of the flexible rack is fixed to the upper thigh. When the user bends the knee, the flexible rack will move downward, causing the gear to rotate, thereby collecting the energy generated by the body’s movement. The BKEH was made of many lightweight materials and weighed only 406 g, greatly reducing the impact on the user’s normal limb movements and physical exertion. Practical experiments showed that the BKEH output open-circuit voltage is up to 80.3 V, the output power reached as high as 3.16 W, and the power density reached as high as 7.9 W kg−1, which can effectively supply sufficient electrical power for wearable devices to work normally. The BKEH has a high practical value and good adaptability to human movement posture and can generate enough voltage and power to allow some wearable devices to work properly. These wearable devices can effectively provide users with the ability to monitor their work status and improve working conditions.

Use of the Motor Optimality Score-Revised (MOS-R) to predict neurodevelopmental outcomes in infants with congenital anomalies

AimsTo describe the Motor Optimality Score-Revised (MOS-R) in infants with congenital anomalies requiring major surgery in the neonatal period; and to determine the predictive validity of the MOS-R, including specific movement and postural patterns, for neurodevelopmental outcomes at 3 years of age. MethodA retrospective cohort study of 201 infants born with congenital anomalies requiring surgery in the neonatal period (mean gestational age 38.2 weeks, SD 2.2). MOS-R completed using the pre-recorded General Movements Assessment (GMA) videos taken at 12 to 14 weeks post-term age (mean 12.45, SD 1.54). Developmental outcomes were assessed at 3 years of age (38.13 months, SD 1.76) using the Bayley Scales of Infant and Toddler Development (3rd ed). ResultThe mean score for the MOS-R was 21.85 (SD 5.16), with scores ranging from 6 to 28. Fifty-six infants (27.9 %) scored within the optimal range (25–28) with only 12 % demonstrating a normal movement character. A MOS-R total score of <21 was identified as the best performing cut-off to predict a mild, moderate or severe delay or CP diagnosis with sensitivity 0.39 (95 % CI: 0.25, 0.54) and specificity 0.86 (95 % CI: 0.80, 0.91), and an area under the ROC curve of 0.63. Outcome at 3 years was significantly associated with the MOS-R total (p < 0.01) and the subscales for observed movement patterns (p < 0.01) and age adequate repertoire (p = 0.02). ConclusionThe MOS-R may be an effective tool to use in addition to existing assessments to identify infants who are at risk of adverse developmental outcomes. Our study found that a MOS-R of <21 identified infants who would benefit from referral to early intervention.

КОМПЛЕКСНЫЙ РЕГИОНАРНЫЙ БОЛЕВОЙ СИНДРОМ У ДЕТЕЙ: ОБЗОР ЛИТЕРАТУРЫ И КЛИНИЧЕСКОЕ НАБЛЮДЕНИЕ ИЗ ПРАКТИКИ ВРАЧА-ТРАВМАТОЛОГА-ОРТОПЕДА

Complex regional pain syndrome (CRPS) in children has specific features that distinguish it from the adult form. In addition, there are no specific data on possible manifestations, diagnostic criteria and therapeutic aspects of this pathology. Depending on the severity of symptoms, CRPS leads to functional disorders of the body, a decrease in the quality of life. The research includes a case report of a patient with CRPS in the distal segment of the limb (foot); the diagnosis was made 4 months earlier and the patient responded well to the treatment. The Authors also speculate about CRPS determinants. In the reported case, the combination of following factors was revealed: a pathological relationship in the talonavicular and calcaneal junction (vertical talus) making the normal biomechanical movements in the foot impossible; trauma; hypersthenic physique of a child with pronounced subcutaneous fat in the foot as well. No genetic criteria or significant neurological abnormalities were identified in the patient. Undoubtedly, the causes and ways of CRPS occurrence in children should be carefully studied by pediatricians as well as experts in other fields.

Rehabilitation of complete edentulism and temporomandibular joint

Rehabilitation of complete edentulism is naturally related to temporomandibular joint (TMJ) since the proper functioning of complete denture depends on the normal movement of TMJ. This review briefly introduced the design of occlusion in complete denture, characteristic of different occlusal patterns, and key points in registration of maxillomandibular relationship and occlusal adjustment. This review emphasized the significance of complete denture restoration to the health of TMJ.