The influence of biomechanical parameters on the expression of VEGF and endostatin in the bone and joint system

2005 ◽  
Vol 187 (5-6) ◽  
pp. 461-472 ◽  
Author(s):  
Thomas Pufe ◽  
Bodo Kurz ◽  
Wolf Petersen ◽  
Deike Varoga ◽  
Rolf Mentlein ◽  
...  
2021 ◽  
Vol 10 (9) ◽  
pp. 1905
Author(s):  
Cristina Peris-Martínez ◽  
María Amparo Díez-Ajenjo ◽  
María Carmen García-Domene ◽  
María Dolores Pinazo-Durán ◽  
María José Luque-Cobija ◽  
...  

(1) Purpose: To assess the main corneal response differences between normal and subclinical keratoconus (SCKC) with a Corvis® ST device. (2) Material and Methods: We selected 183 eyes of normal patients, of a mean age of 33 ± 9 years and 16 eyes of patients with SCKC of a similar mean age. We measured best corrected visual acuity (BCVA) and corneal topography with a Pentacam HD device to select the SCKC group. Biomechanical measurements were performed using the Corvis® ST device. We carried out a non-parametric analysis of the data with SPSS software (Wilcoxon signed rank-test). (3) Results: We found statistically significant differences between the control and SCKC groups in some corneal biomechanical parameters: first and second applanation time (p = 0.05 and p = 0.02), maximum deformation amplitude (p = 0.016), highest concavity radius (p = 0.007), and second applanation length and corneal velocity ((p = 0.039 and p = 0.016). (4) Conclusions: Our results show that the use of normalised biomechanical parameters provided by noncontact tonometry, combined with a discriminant function theory, is a useful tool for detecting subclinical keratoconus.


2013 ◽  
Vol 16 (10) ◽  
pp. 1749-1761 ◽  
Author(s):  
Xiaodun Wang ◽  
Kai Weng ◽  
Hongbo Liu ◽  
Yulan Zhang ◽  
Zhihua Chen

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yoo Jin Choo ◽  
Min Cheol Chang

AbstractWe conducted a meta-analysis to investigate the effectiveness of ankle–foot orthosis (AFO) use in improving gait biomechanical parameters such as walking speed, mobility, and kinematics in patients with stroke with gait disturbance. We searched the MEDLINE (Medical Literature Analysis and Retrieval System Online), CINAHL (Cumulative Index to Nursing and Allied Health Literature), Cochrane, Embase, and Scopus databases and retrieved studies published until June 2021. Experimental and prospective studies were included that evaluated biomechanics or kinematic parameters with or without AFO in patients with stroke. We analyzed gait biomechanical parameters, including walking speed, mobility, balance, and kinematic variables, in studies involving patients with and without AFO use. The criteria of the Cochrane Handbook for Systematic Reviews of Interventions were used to evaluate the methodological quality of the studies, and the level of evidence was evaluated using the Research Pyramid model. Funnel plot analysis and Egger’s test were performed to confirm publication bias. A total of 19 studies including 434 participants that reported on the immediate or short-term effectiveness of AFO use were included in the analysis. Significant improvements in walking speed (standardized mean difference [SMD], 0.50; 95% CI 0.34–0.66; P < 0.00001; I2, 0%), cadence (SMD, 0.42; 95% CI 0.22–0.62; P < 0.0001; I2, 0%), step length (SMD, 0.41; 95% CI 0.18–0.63; P = 0.0003; I2, 2%), stride length (SMD, 0.43; 95% CI 0.15–0.71; P = 0.003; I2, 7%), Timed up-and-go test (SMD, − 0.30; 95% CI − 0.54 to − 0.07; P = 0.01; I2, 0%), functional ambulation category (FAC) score (SMD, 1.61; 95% CI 1.19–2.02; P < 0.00001; I2, 0%), ankle sagittal plane angle at initial contact (SMD, 0.66; 95% CI 0.34–0.98; P < 0.0001; I2, 0%), and knee sagittal plane angle at toe-off (SMD, 0.39; 95% CI 0.04–0.73; P = 0.03; I2, 46%) were observed when the patients wore AFOs. Stride time, body sway, and hip sagittal plane angle at toe-off were not significantly improved (p = 0.74, p = 0.07, p = 0.07, respectively). Among these results, the FAC score showed the most significant improvement, and stride time showed the lowest improvement. AFO improves walking speed, cadence, step length, and stride length, particularly in patients with stroke. AFO is considered beneficial in enhancing gait stability and ambulatory ability.


2021 ◽  
Vol 10 (12) ◽  
pp. 2637
Author(s):  
Mª. Ángeles del Buey-Sayas ◽  
Elena Lanchares-Sancho ◽  
Pilar Campins-Falcó ◽  
María Dolores Pinazo-Durán ◽  
Cristina Peris-Martínez

Purpose: To evaluate and compare corneal hysteresis (CH), corneal resistance factor (CRF), and central corneal thickness (CCT), measurements were taken between a healthy population (controls), patients diagnosed with glaucoma (DG), and glaucoma suspect patients due to ocular hypertension (OHT), family history of glaucoma (FHG), or glaucoma-like optic discs (GLD). Additionally, Goldmann-correlated intraocular pressure (IOPg) and corneal-compensated IOP (IOPcc) were compared between the different groups of patients. Methods: In this prospective analytical-observational study, a total of 1065 patients (one eye of each) were recruited to undergo Ocular Response Analyzer (ORA) testing, ultrasound pachymetry, and clinical examination. Corneal biomechanical parameters (CH, CRF), CCT, IOPg, and IOPcc were measured in the control group (n = 574) and the other groups: DG (n = 147), FHG (n = 78), GLD (n = 90), and OHT (n = 176). We performed a variance analysis (ANOVA) for all the dependent variables according to the different diagnostic categories with multiple comparisons to identify the differences between the diagnostic categories, deeming p < 0.05 as statistically significant. Results: The mean CH in the DG group (9.69 mmHg) was significantly lower compared to controls (10.75 mmHg; mean difference 1.05, p < 0.001), FHG (10.70 mmHg; mean difference 1.00, p < 0.05), GLD (10.63 mmHg; mean difference 0.93, p < 0.05) and OHT (10.54 mmHg; mean difference 0.84, p < 0.05). No glaucoma suspects (FHG, GLD, OHT groups) presented significant differences between themselves and the control group (p = 1.00). No statistically significant differences were found in the mean CRF between DG (11.18 mmHg) and the control group (10.75 mmHg; mean difference 0.42, p = 0.40). The FHG and OHT groups showed significantly higher mean CRF values (12.32 and 12.41 mmHg, respectively) than the DG group (11.18 mmHg), with mean differences of 1.13 (p < 0.05) and 1.22 (p < 0.001), respectively. No statistically significant differences were found in CCT in the analysis between DG (562 μ) and the other groups (control = 556 μ, FHG = 576 μ, GLD = 569 μ, OHT = 570 μ). The means of IOPg and IOPcc values were higher in the DG patient and suspect groups than in the control group, with statistically significant differences in all groups (p < 0.001). Conclusion: This study presents corneal biomechanical values (CH, CRF), CCT, IOPg, and IOPcc for diagnosed glaucoma patients, three suspected glaucoma groups, and a healthy population, using the ORA. Mean CH values were markedly lower in the DG group (diagnosed with glaucoma damage) compared to the other groups. No significant difference was found in CCT between the DG and control groups. Unexpectedly, CRF showed higher values in all groups than in the control group, but the difference was only statistically significant in the suspect groups (FHG, GLD, and OHT), not in the DG group.


2017 ◽  
Vol 29 (3) ◽  
pp. 175-181 ◽  
Author(s):  
Roghiyeh Elham ◽  
Ebrahim Jafarzadehpur ◽  
Hassan Hashemi ◽  
Kazem Amanzadeh ◽  
Fereshteh Shokrollahzadeh ◽  
...  

Author(s):  
U. Yuceoglu ◽  
O. Gu¨vendik ◽  
V. O¨zerciyes

In this present study, the “Free Bending Vibrations of a Centrally Bonded Symmetric Double Lap Joint (or Symmetric Double Doubler Joint) with a Gap in Mindlin Plates or Panels” are theoretically analyzed and are numerically solved in some detail. The “plate adherends” and the upper and lower “doubler plates” of the “Bonded Joint” system are considered as dissimilar, orthotropic “Mindlin Plates” joined through the dissimilar upper and lower very thin adhesive layers. There is a symmetrically and centrally located “Gap” between the “plate adherends” of the joint system. In the “adherends” and the “doublers” of the “Bonded Joint” assembly, the transverse shear deformations and the transverse and rotary moments of inertia are included in the analysis. The relatively very thin adhesive layers are assumed to be linearly elastic continua with transverse normal and shear stresses. The “damping effects” in the entire “Bonded Joint” system are neglected. The sets of the dynamic “Mindlin Plate” equations of the “plate adherends”, the “double doubler plates” and the thin adhesive layers are combined together with the orthotropic stress resultant-displacement expressions in a “special form”. This system of equations, after some further manipulations, is eventually reduced to a set of the “Governing System of the First Order Ordinary Differential Equations” in terms of the “state vectors” of the problem. Hence, the final set of the aforementioned “Governing Systems of Equations” together with the “Continuity Conditions” and the “Boundary conditions” facilitate the present solution procedure. This is the “Modified Transfer Matrix Method (MTMM) (with Interpolation Polynomials). The present theoretical formulation and the method of solution are applied to a typical “Bonded Symmetric Double Lap Joint (or Symmetric Double Doubler Joint) with a Gap”. The effects of the relatively stiff (or “hard”) and the relatively flexible (or “soft”) adhesive properties, on the natural frequencies and mode shapes are considered in detail. The very interesting mode shapes with their dimensionless natural frequencies are presented for various sets of boundary conditions. Also, several parametric studies of the dimensionless natural frequencies of the entire system are graphically presented. From the numerical results obtained, some important conclusions are drawn for the “Bonded Joint System” studied here.


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