The effect of a spinal orthosis on posture and cardio-respiratory functions in progressive myopathic scoliosis

2012 ◽  
Vol 36 (4) ◽  
pp. 450-455
Author(s):  
Rajesh K Mohanty ◽  
Abhishek Tripathi ◽  
Prasanna Lenka ◽  
Ameed Equebal ◽  
Ratnesh Kumar

Background: Historically, the orthotic treatment in progressive myopathic scoliosis has not been as effective as expected. The purpose of this study was to investigate the effect of a spinal orthosis on scoliotic curve correction, alignment of altered posture and cardio-respiratory functions. Case Description and Methods: An 11 year-old girl diagnosed with myopathy was fitted with a custom molded thoraco-lumbo-sacral orthosis to enhance the sitting ability. The cardio-respiratory tests were performed by a COSMED K4 b2; metabolic analyzer. The anterior posterior radiographs were analyzed for measuring Cobb angle and Ferguson angle. A plumb line test was used to assess the postural improvements. Findings and Outcomes: No significant difference was observed for variables such as O2 consumption level, PaO2, tidal volume, heart rate and energy expenditure/min. The improved posture was evident by shifting of the plumb line 18 mm towards the mid line with the use of orthosis. Very minor improvements in both angles were observed with the use of the brace. Conclusion: The brace treatment cannot be expected to have a lasting corrective effect although it can be used as a sitting support and for maintaining posture Clinical relevance This case study provides an objective prescription of thoraco-lumbo-sacral orthosis as a sitting support and for improving posture in progressive myopathic scoliosis if suitably designed and properly fitted.

2021 ◽  
Vol 11 (5) ◽  
pp. 196-199
Author(s):  
Parthasarathi Swain ◽  
Sonali Mohanty ◽  
Bapina Kumar Rout

Introduction: Available orthotic brace options for Congenital scoliosis are a few and are quite cumbersome to be tolerated by infants. Considering comfort, acceptance, and effectiveness, we have designed and developed a new spinal Orthosis, incorporating a flexible strap system. The purpose of this study was to investigate the effect of this novel flexible spinal Orthosis on scoliotic curve correction and progression. Methods: A 1-year-old female infant diagnosed with congenital Scoliosis was fitted with the novel flexible spinal orthotic brace to control the curve progression and to maintain an upright posture. The anterior-posterior radiographs were analyzed for measuring the Cobb angle. The plumb line test was used to assess the postural improvements. Before and After tests were conducted with and without the Novel spinal brace with an intervention period of 2 months. Discussion: The Cobb’s angle was found to be 7˚ less after the intervention period of 2 months. There was also a marked improvement in Body posture with a 6mm plumbline shift towards the midline. This indigenous flexible spinal brace can be considered as a new, effective method for the treatment of Congenital Scoliosis and it also can be used for maintaining an aligned posture. Key words: Congenital Scoliosis, Flexible spinal Brace, Cobb’s angle.


Author(s):  
Youngjun Park ◽  
Haekwon Chung ◽  
Sohyun Park

Aim: This study explores the changes in regular walking activities during the phases of the pandemic. Background: With the spread of COVID-19 transmission, people are refraining from going out, reducing their physical activity. In South Korea, COVID-19 broke out in the 4th week of 2020 and experienced the first cycle phases of the pandemic, such as outbreak, widespread, and decline. In response to the pandemic, the government encouraged voluntary participation in social distancing campaigns, and people reduced their outside activities. Methods: This article examines the decrease and increase of the Prevalence of Regular Walking (≥30 min of moderate walking a day, on ≥5 days a week) by the COVID-19 phases. This study is based on weekly walking data for 15 weeks in 2020, via the smartphone healthcare app, which is managed by 25 public health offices of the Seoul government. Results: According to the findings, the level of prevalence of regular walking (PRW) has a significant difference before and after the outbreak, and every interval of the four-stage COVID-19 phases, that is, pre-pandemic, initiation, acceleration, and deceleration. The level of PRW sharply decreased during initiation and acceleration intervals. In the deceleration interval of COVID-19, the PRW kept increasing, but it has not yet reached the same level as the previous year when the COVID-19 did not exist. Conclusions: As a preliminary study, this study explains empirically how COVID-19 changed PRW in Seoul. It would be helpful to enhance our understanding of the changes in physical inactivity in the pandemic period.


Author(s):  
Hiroki Sato ◽  
Takahiro Kato ◽  
Tomoaki Motoyanagi ◽  
Kimihiro Takemasa ◽  
Yuki Narita ◽  
...  

Abstract In recent years, a novel technique has been employed to maintain a distance between the prostate and the rectum by transperineally injecting a hydrogel spacer (HS). However, the effect of HS on the prostate positional displacement is poorly understood, despite its stability with HS in place. In this study, we investigated the effect of HS insertion on the interfraction prostate motion during the course of proton therapy (PT) for Japanese prostate cancer patients. The study population consisted of 22 cases of intermediate-risk prostate cancer with 11 cases with HS insertion and 11 cases without HS insertion. The irradiation position and preparation were similar for both groups. To test for reproducibility, regular confirmation computed tomography (RCCT) was done four times during the treatment period, and five times overall [including treatment planning CT (TPCT)] in each patient. Considering the prostate position of the TPCT as the reference, the change in the center of gravity of the prostate relative to the bony anatomy in the RCCTs of each patient was determined in the left–right (LR), superior–inferior (SI) and anterior–posterior (AP) directions. As a result, no significant difference was observed across the groups in the LR and SI directions. Conversely, a significant difference was observed in the AP direction (P < 0.05). The proportion of the 3D vector length ≤5 mm was 95% in the inserted group, but 55% in the non-inserted group. Therefore, HS is not only effective in reducing rectal dose, but may also contribute to the positional reproducibility of the prostate.


Human Affairs ◽  
2020 ◽  
Vol 30 (4) ◽  
pp. 587-596
Author(s):  
Elena Popa

AbstractThis paper investigates the concept of behavioral autonomy in Artificial Life by drawing a parallel to the use of teleological notions in the study of biological life. Contrary to one of the leading assumptions in Artificial Life research, I argue that there is a significant difference in how autonomous behavior is understood in artificial and biological life forms: the former is underlain by human goals in a way that the latter is not. While behavioral traits can be explained in relation to evolutionary history in biological organisms, in synthetic life forms behavior depends on a design driven by a research agenda, further shaped by broader human goals. This point will be illustrated with a case study on a synthetic life form. Consequently, the putative epistemic benefit of reaching a better understanding of behavioral autonomy in biological organisms by synthesizing artificial life forms is subject to doubt: the autonomy observed in such artificial organisms may be a mere projection of human agency. Further questions arise in relation to the need to spell out the relevant human aims when addressing potential social or ethical implications of synthesizing artificial life forms.


2021 ◽  
Vol 11 (5) ◽  
pp. 632
Author(s):  
Valentina Pacella ◽  
Giuseppe Kenneth Ricciardi ◽  
Silvia Bonadiman ◽  
Elisabetta Verzini ◽  
Federica Faraoni ◽  
...  

The anarchic hand syndrome refers to an inability to control the movements of one’s own hand, which acts as if it has a will of its own. The symptoms may differ depending on whether the brain lesion is anterior, posterior, callosal or subcortical, but the relative classifications are not conclusive. This study investigates the role of white matter disconnections in a patient whose symptoms are inconsistent with the mapping of the lesion site. A repeated neuropsychological investigation was associated with a review of the literature on the topic to identify the frequency of various different symptoms relating to this syndrome. Furthermore, an analysis of the neuroimaging regarding structural connectivity allowed us to investigate the grey matter lesions and white matter disconnections. The results indicated that some of the patient’s symptoms were associated with structures that, although not directly damaged, were dysfunctional due to a disconnection in their networks. This suggests that the anarchic hand may be considered as a disconnection syndrome involving the integration of multiple antero-posterior, insular and interhemispheric networks. In order to comprehend this rare syndrome better, the clinical and neuroimaging data need to be integrated with the clinical reports available in the literature on this topic.


2016 ◽  
Vol 18 (2) ◽  
pp. 203-213 ◽  
Author(s):  
Supattra Sroypetch ◽  
Neil Carr ◽  
Tara Duncan

This paper examines host and backpacker perceptions of the environmental impacts of backpacker tourism on local communities in less-developed countries. The discussion is based on data collected in 2011 via surveys and interviews with host and backpacker populations in the Yasawa Islands of Fiji. The results suggest that there is a significant difference between the perceptions of hosts and their guests towards the environmental impacts of backpacker tourism. Backpackers believe that they generate a higher extent of negative environmental impacts on the destination than those perceived by their hosts. This study broadens the understanding of the impacts of backpacker tourism from dual perspectives – both the hosts and guests.


Author(s):  
Anggun Putri Romadhina ◽  
Eka Kusuma Dewi

The first Covid-19 case in Indonesia was announced on March 2, 2020. This study aims to determine whether there is a significant difference in stock prices, stock transaction volume and stock returns due to the COVID-19 pandemic (case study at PT. Agung Podomoro Land, Tbk). This research data was taken 90 days before and 90 days after the announcement of the first case of COVID-19 in Indonesia. The data was processed by paired sample t-test, using SPSS version 20. From the results of data processing, it was shown that there was a significant difference in stock prices before and after the announcement of the first case of covid-19 in Indonesia. This is indicated by a significance value of 0.000 < 0.05 where the stock price has decreased compared to before the Covid-19 case. Meanwhile, the volume of stock transactions also showed a significant difference with a significance value of 0.007 <0.05, where the volume of stock transactions after the announcement showed a decrease. Likewise, stock returns show a significant difference with a significance value of 0.025 < 0.05 where stock returns have decreased after the announcement of the first case of covid-10 in Indonesia.  


2014 ◽  
Vol 21 (1) ◽  
pp. 111-126 ◽  
Author(s):  
Palaneeswaran Ekambaram ◽  
Peter E.D. Love ◽  
Mohan M. Kumaraswamy ◽  
Thomas S.T. Ng

Purpose – Rework is an endemic problem in construction projects and has been identified as being a significant factor contributing cost and schedule overruns. Causal ascription is necessary to obtain knowledge about the underlying nature of rework so that appropriate prevention mechanisms can be put in place. The paper aims to discuss these issues. Design/methodology/approach – Using a supervised questionnaire survey and case-study interviews, data from 112 building and engineering projects about the sources and causes of rework in projects were obtained. A multivariate exploration was conducted to examine the underlying relationships between rework variables. Findings – The analysis revealed that there was a significant difference between rework causes for building and civil engineering projects. The set of associations explored in the analyses will be useful to develop a generic causal model to examine the quantitative impact of rework on project performance so that appropriate prevention strategies can be identified and developed. Research limitations/implications – The limitations include: small data set (112 projects), which include 75 from building and 37 from civil engineering projects. Practical implications – Meaningful insights into the rework occurrences in construction projects will pave pathways for rational mitigation and effective management measures. Originality/value – To date there has been limited empirical research that has sought to determine the causal ascription of rework, particularly in Hong Kong.


Soil Research ◽  
2009 ◽  
Vol 47 (2) ◽  
pp. 198 ◽  
Author(s):  
Shutao Chen ◽  
Yao Huang

Studies on the CO2 and N2O emission patterns of agricultural soils under different ploughing practices may provide an insight into the potential and magnitude of CO2 and N2O mitigation in highly managed farmland soils. In this study, field measurements of soil respiration and N2O flux with different ploughing depths were performed in the 2003–04 wheat (Triticum aestivum L.), 2004 maize (Zea mays L.), and 2004–05 wheat seasons. Soil temperature and moisture were simultaneously measured. Results showed that, in each cropping season, the seasonal variation in soil respiration developed with a similar pattern for different treatments, which was primarily regulated by soil temperature. This work demonstrates that ploughing depth can influence long-term loss of carbon from soil, but this was contingent on preceding cropping types. Given the same preceding cropping practice, no significant difference in N2O emission was found among different ploughing depths in each cropping season.


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