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The contemporary model of vertebral column joint dysfunction and impact of high-velocity, low-amplitude controlled vertebral thrusts on neuromuscular function.

PURPOSE: There is growing evidence that vertebral column function and dysfunction play a vital role in neuromuscular control. This invited review summarises the evidence about how vertebral column dysfunction, known as a central segmental motor control (CSMC) problem, alters neuromuscular function and how spinal adjustments (high-velocity, low-amplitude or HVLA thrusts directed at a CSMC problem) and spinal manipulation (HVLA thrusts directed at segments of the vertebral column that may not have clinical indicators of a CSMC problem) alters neuromuscular function. METHODS: The current review

Trekstock RENEW: evaluation of a 12-week exercise referral programme for young adult cancer survivors delivered by a cancer charity.

PURPOSE: To evaluate the uptake and effect of RENEW, a 12-week exercise referral programme for young adult cancer survivors delivered by Trekstock, a UK-based cancer charity. METHODS: The RENEW programme provides one-to-one individually tailored support from a level-4 cancer-rehabilitation-qualified gym instructor, free gym membership and access to information resources online. Objective and self-report data on cardiorespiratory function, strength, body composition, fatigue, sleep quality and general health-related quality of life (HRQoL) was collected from participants before the programme (

Feeding and Swallowing Problems in Infants with Spinal Muscular Atrophy Type 1: an Observational Study.

BACKGROUND: Infantile hereditary proximal spinal muscular atrophy (SMA) type 1 is characterized by onset in the first 6 months of life and severe and progressive muscle weakness. Dysphagia is a common complication but has not been studied in detail. OBJECTIVE: To study feeding and swallowing problems in infants with SMA type 1, and to explore the relation between these problems and functional motor scores. METHODS: We prospectively included 16 infants with SMA type 1 between September 2016 and October 2018. Eleven infants received palliative care and five infants best supportive care in comb

Deconstructing post-exertional malaise in myalgic encephalomyelitis/ chronic fatigue syndrome: A patient-centered, cross-sectional survey.

BACKGROUND: Post-exertional malaise (PEM) is considered to be the hallmark characteristic of myalgic encephalomyelitis/ chronic fatigue syndrome (ME/CFS). Yet, patients have rarely been asked in formal studies to describe their experience of PEM. OBJECTIVES: To describe symptoms associated with and the time course of PEM. METHODS: One hundred and fifty subjects, diagnosed via the 1994 Fukuda CFS criteria, completed a survey concerning 11 symptoms they could experience after exposure to two different types of triggers. We also inquired about onset and duration of PEM and included space for su

Outpatient toxicology clinic experience of patients with hip implants.

CONTEXT: With regard to biological effects, the increasing number of early failure of metal-on-metal (MoM) hip arthroplasties and possible parenteral exposure to orthopedic metal alloys have caused concern for patients and providers alike. OBJECTIVE: We sought to characterize our outpatient clinical experience of patients with MoM and other forms of hip implants and associated serum/blood chromium and cobalt levels, with a focus on possible systemic sequelae. METHODS: This was an observational and retrospective chart review of consecutive patients presenting to two outpatient medical toxicol

Metabolic cost and mechanics of walking in women with fibromyalgia syndrome.

BACKGROUND: Fibromyalgia syndrome (FS) is characterized by the presence of widespread pain, fatigue, muscle weakness and reduced work capacity. Previous research has demonstrated that women with fibromyalgia have altered walking (gait) patterns, which may be a consequence of muscular pain. This altered gait is characterized by greater reliance on hip flexors rather than ankle plantar flexors and resembles gait patterns seen in normal individuals walking at higher speeds, suggesting that gait of individuals with fibromyalgia may be less efficient.This study compared rates of energy expenditure

Motor unit function during evolution of proximal axonal swellings.

beta,beta'-Iminodipropionitrile (IDPN) impairs axonal transport of neurofilaments; their accumulation leads to the formation of proximal swellings in motor axons. Similar proximal swellings are a feature of some cases of motor neuron disease such as amyotrophic lateral sclerosis (ALS). Motor units in IDPN-treated animals were assessed to determine their relative susceptibilities to impaired function and whether the functional changes resulting from proximal axonal swellings share certain electromyographic features with ALS. Intrinsic properties of medial gastrocnemius motoneurones (MN) and con

Разработка и оценка мягкой одежды для обнаружения и контроля виртуальной окружающей среды на основе SEMG.

По мере увеличения числа лиц, диагностированных нейродегенеративными расстройствами (НД), возрастает потребность в повышении как количества, так и качества подходов, используемых для лечения этих изнурительных заболеваний. Прогресс ND может вызывать мышечную слабость нижних или верхних конечностей. Мы уделяем особое внимание площади верхней конечности, в частности реабилитации сцепления, путем разработки системы (VRGrip), которая может надежно регистрировать электромиографические (EGM) события ручных мышц сгибания, чтобы контролировать адаптивную и игру с помощью хватки. Цель этого исследовани

Совпадение в аннотации оригинала
BACKGROUND: As the number of individuals diagnosed with neurodegenerative disorders (NDs) rises, there is a growing need to enhance both the … omfortable, engaging, and enjoyable. Additionally, we potentially identified age-related changes in muscle fatigue. CONCLUSION: The results of this study demonstrate that our VRGrip system could be used for hand grip detection in a virtual environment. In the future, we aim to conduct longitudinal studies to determine if repeated use of the system has merit for …

Salidroside alleviates cachexia symptoms in mouse models of cancer cachexia via activating mTOR signalling.

BACKGROUND: Cachexia has a devastating impact on survival and quality of life for many cancer patients and contributes to nearly one-third of all cancer deaths; also, it is associated with poor responses to chemotherapy and survival. A better understanding of the underlying mechanisms of cancer-associated cachexia (CAC), coupled with effective therapeutic approaches, will improve management of progressive functional impairment in cancer patients. Salidroside, a phenylpropanoid glycoside in Rhodiola rosea L, has been reported to possess potential anti-fatigue, anti-ageing, and anti-Alzheimer's

Electromyography Activation of the Lower-Limb Muscles Adopting a Physioball and Elastic Band to Stabilize the Knee Joint During Multiple Sets With Submaximal Loads.

STUDY DESIGN: Crossover design. CONTEXT: Excessive valgus and varus force which affected the knee joint during dynamic tasks has been often associated to lower extremity injuries. Strategies to increase the resistance against these asymmetries (eg, the use of a physioball between the knees or elastic bands around the knees) are often applied in rehabilitation and conditioning programs. OBJECTIVE: The purpose of this study was to investigate the effect of performing leg press (LP) 45° using a physioball and elastic band over multiple sets with submaximal loads on electromyographic (EMG) ampli

Plastic and reconstructive surgery approaches in the management of anal cancer.

Various reliable reconstructive options are available for treatment of perineal and perianal skin and soft tissue defects resulting from tumor ablation. Indications for TAR include the following: very low rectal cancers, in which low anterior resection or resection with coloanal anastomosis is not possible: persistent or recurrent anal cancer that has failed to respond to chemoradiation therapy; and previous rectal excision with either recurring colostomy complications or an unacceptable quality of life with a stoma. Of course, adequate surgical oncologic principles must not be compromised to

Development and clinical validation of passive shoulder exoskeleton with novel gravity compensation mechanism for stabilizing arm tremor of surgeons during minimally invasive surgery.

INTRODUCTION: During tasks like minimally invasive surgery (MIS), various factors can make working environment not be ergonomic, and those situations will accumulate fatigue in the surgeon's muscles which will inevitably lead to poor surgical performance. Therefore, there has been a need for technical solutions to solve this problem and one of the methods is exoskeleton robots. METHODS: We designed a passive shoulder exoskeleton whose workspace could be used for MIS to assist the surgeon's movements and performed computational and clinical validation. First, the joint order of the shoulder ex

Effectiveness and safety of a simple home-based rehabilitation program in pulmonary arterial hypertension: an interventional pilot study.

BACKGROUND: Rehabilitation plays an important role in the management of patients with pulmonary arterial hypertension (PAH) and current guidelines recommend implementation of a monitored individualized exercise training program as adjuvant therapy for stable PAH patients on optimal medical treatment. An optimal rehabilitation model for this group of patients has not yet been established. This randomized prospective study assessed the effectiveness and safety of a 6-month home-based caregiver-supervised rehabilitation program among patients with pulmonary arterial hypertension. METHODS: A tota

Efficacy and safety of ICI-based triple combination therapy for gene-negative advanced lung adenocarcinoma.

In order to evaluate the efficacy and safety of immune checkpoint inhibitors (ICIs) combined with anti-angiogenic agents and chemotherapy regimens as first-line treatment for gene-negative advanced lung adenocarcinoma, a retrospective analysis was performed on the clinical data of patients with driver gene-negative advanced lung adenocarcinoma who received the ICI-Based Triple Combination regimen at The Sixth Affiliated Hospital (School of Medicine, South China University of Technology, Foshan, China) between January 2022 and December 2024. Among the enrolled patients, the objective response r

Antimitochondrial Antibody-Negative Primary Biliary Cholangitis in a Patient with a History of Colon Cancer and Chemotherapy: A Case Report.

BACKGROUND: Primary biliary cholangitis (PBC) is a chronic, immune-mediated liver disease with progressive destruction of bile ducts, cirrhosis, and liver failure. Diagnosis is usually based on detecting antimitochondrial antibodies (AMA), found in 95% of patients with PBC. However, some patients test negative for AMA and other antibodies, which complicates the diagnosis process. CASE PRESENTATION: We report a case of a 57-year-old Syrian woman who presented with fatigue, jaundice, pruritus, and abdominal pain, and her medical history included colon cancer and chemotherapy. Laboratory tests s

Nemaline myopathy patient and caregiver perspectives: a multinational cross-sectional study.

Nemaline myopathy (NM) is among the most common of the congenital myopathies, characterized by hypotonia and muscle weakness. Despite its prevalence and morbidity, NM remains underrepresented in studies of lived experience and the impact on patients and caregivers. To expand upon the current knowledge, we conducted an international cross-sectional survey to systematically characterize patient and caregiver perspectives, including daily challenges, medical complications across age groups, and priorities for future treatment development. All respondents reported facing daily challenges, regardle

Impact of the Combination of Epigallocatechin Gallate and Ellagic Acid Supplemented with Ketone Bodies on Energetic Restoration of Mitochondrial Dysfunction and Metabolic Inefficiencies in Patients with Multiple Sclerosis: A Review.

Multiple sclerosis (MS) is characterized by progressive mitochondrial dysfunction affecting complexes I, III, and IV of the electron transport chain, contributing to axonal energy failure and neurodegeneration. This review examines the potential of combining β-hydroxybutyrate (βHB), epigallocatechin-3-gallate (EGCG), and ellagic acid (EA) as a multi-target therapeutic strategy to restore mitochondrial function in patients with MS. Experimental and clinical studies demonstrate that each compound exerts complementary mechanisms. Ketone bodies provide an alternative energy substrate and restore c

Insights Into the Role of Obesity in Heart Failure With Preserved Ejection Fraction: Pathophysiology and Management.

Heart failure (HF) is a significant global health issue, categorized by left ventricular ejection fraction, being either reduced (HFrEF < 0.40) or preserved (HFpEF > 0.50), or in the middle of this range. Although the overall incidence of HF remains stable, HFpEF cases are increasing, representing about 50% of all HF cases. Outcomes for HFpEF are similar to those for HFrEF, leading to substantial health-care resource use. Despite extensive research over the past 2 decades, the prognosis and mortality rates for HFpEF remain high. A key feature of HFpEF is exercise intolerance, characterized by

Brain-computer interface and functional electrical stimulation: a novel approach to motor rehabilitation in CNS injury patients.

Central nervous system (CNS) injuries, such as stroke and spinal cord injury, often result in persistent motor impairments that conventional rehabilitation can only partially alleviate. Recent developments in brain-computer interfaces (BCIs) combined with functional electrical stimulation (FES) have introduced a novel approach to motor rehabilitation by directly linking cortical signals with specific muscle activation. This closed-loop system compensates for disrupted neural transmission and simultaneously promotes activity-dependent plasticity, thereby supporting functional reorganisation wit

Prominent and fast response to eculizumab in myasthenic crisis: the potential as rescue therapy in refractory myasthenia gravis.

INTRODUCTION: Myasthenia gravis (MG) is a chronic autoimmune neuromuscular disease caused by antibodies against the postsynaptic membrane at the neuromuscular junction, leading to muscle weakness, fatigue, and respiratory failure in severe cases. Myasthenic crisis (MC) is a life-threatening condition which requires hospitalization and treatments with intravenous immunoglobulin, plasma exchange and high dose steroids. We report a case of a patient with refractory MC and anti-AChR antibodies positivity who started Eculizumab as rescue therapy, leading to a complete resolution of the acute neurom