Effect of Matrix Rhythm Therapy Along With Conventional Physiotherapy Management in Quadriplegic Patient: A Case Study

A 26-year old Yemeni girl with a gunshot injury with cervical spine fracture at C6-C7 Level injury in June 2018 with complete loss of sensation in all the limbs, motor loss below C3 level with loss of saddle sensation and anal tone. The patient sustained spinal cord injury at C6-7 levels and edema extending upto C3 level, resulting in quadriplesgia.She was airlifted in medevac from yemen to Sultan Qaboos Hospital Salalah Oman in 28th June 2018.The patient underwent extensive Neuro surgical procedures for cervical fracture and spinal decompression.Additionally, the patient received education and counseling, nursing and nutritional intervention, and comprehensive physical therapy treatment including Matrix Rhythm therapy and other conventional Physiotherapy management.We conclude that Physiotherapy management with other medical disciplines are crucial in recovary of the patient and to improve quality of life.

The improved faster-RCNN for spinal fracture lesions detection

Purpose: Reading spinal CT (Computed Tomography) images is very important in the diagnosis of spondylosis, which is time-consuming and prones to make biases. In this paper, we propose a framework based on Faster-RCNN to improve detection performances of three spinal fracture lesions: cfracture (cervical fracture), tfracture (thoracic fracture) and lfracture (lumbar fracture). Methods: First, we use ResNet50 to replace VGG16 in backbone network in Faster-RCNN to increase depth of training network. Second, we utilize soft-NMS (Non-Maximum Suppression) instead of NMS to avoid missed detection of overlapped lesions. Third, we simplify RPN (Region Proposal Network) to accelerate training speed and reduce missed detection. Finally, we modify the classifier layer in Faster-RCNN and choose appropriate length-width ratio by changing anchor sizes in sliding window, then adopt multi-scale strategy in training to improve efficiency and accuracy. Results: The experimental results show that the proposed scheme has a good performance, mAP (mean average precision) is 90.6%, IOU (Intersection of Union) is 88.5 and detection time is 0.053 second per CT image, which means our proposed method can accurately detect spinal fracture lesions. Conclusion: Our proposed method can provide assistance and scientific references for both doctors and patients in clinically.

Cervical Fracture with Piriform Sinus Laceration

Particular case of complex cervical trauma by associating a cervical fracture with piriform sinus laceration. The trauma is located in the anatomo-topographic zone II. Delayed onset at 24 hours of digestive symptoms, swallowing disorders, sialorrhea, dysphagia, subcutaneous cervical emphysema. CT with Optiray contrast agent is performed, an investigation that reveals a gap in the left piriform sinus of 5-6 mm. The evolution is favourable under conservative treatment, nasogastric tube, broad spectrum antibiotic treatment.