The Effectiveness of Single Injection of Platelet-Rich Plasma for Knee Osteoarthritis Combined with Meniscus Injury: A Randomized Trial

Objectives : To explore the effectiveness of single injection of platelet-rich plasma with rehabilitation therapy for knee osteoarthritis combined with meniscus injury. Methods : Forty patients who met the inclusion criteria were randomly assigned to a rehabilitation group (REH group, 20 cases) receiving rehabilitation training, and a platelet-rich plasma group (PRP group, 20 cases) receiving an ultrasound-guided single injection of PRP in combination with rehabilitation training. Rehabilitation training in the two groups lasted for 2 weeks, and the patients were evaluated using the short-form McGill pain questionnaire (SF-MPQ), Western Ontario McMaster Universities index (WOMAC score), and infrared thermography (knee-joint mean temperature) before treatment, at 1 week, 1 month and 6 months after treatment. Results : Two patients were lost to follow-up in both the PRP group and the REH group. Significant reductions in pain scores, WOMAC scores and knee temperature were observed at 1 week and 1 month after treatment in both groups (p < 0.05). Significant lower SF-MPQ scores were observed in the PRP group than in the REH group at 6 months followup (p < 0.01). Similarly, the mean knee temperature was significantly lower in the PRP group than in the REH group at 6 months follow-up (p < 0.01). No severe complications occurred in either group. Conclusions: Compared to rehabilitation therapy alone, single injection of platelet-rich plasma in combination with rehabilitation therapy has beneficial effect on pain, knee function and mean knee temperature in patients with KOA combined with meniscus injury. Single injection of platelet-rich plasma combined with rehabilitation therapy has a good short-term effectiveness.

Kinematics analysis and gait planning for a hemiplegic exoskeleton robot

Background: As the world's aging population increases, the number of hemiplegic patients is increasing year by year. At present, in many countries with low medical level, there are not enough rehabilitation specialists. Due to the different condition of patients, the current rehabilitation training system cannot be applied to all patients. so that patients with hemiplegia cannot get effective rehabilitation training. Methods: Through a motion capture experiment, the mechanical design of the hip joint, knee joint and ankle joint was rationally optimized based on the movement data. Through the kinematic analysis of each joint of the hemiplegic exoskeleton robot, the kinematic relationship of each joint mechanism was obtained, and the kinematics analysis of the exoskeleton robot was performed using the Denavit-Hartenberg (D-H) method. The kinematics simulation of the robot was carried out in automatic dynamic analysis of mechanical systems (ADAMS), and the theoretical calculation results were compared with the simulation results to verify the correctness of the kinematics relationship. According to the exoskeleton kinematics model, a mirror teaching method of gait planning was proposed, allowing the affected leg to imitate the movement of the healthy leg with the help of an exoskeleton robot. Conclusions: A new hemiplegic exoskeleton robot designed by Shenzhen Institute of Advanced Technology (SIAT-H) is proposed, which is lightweight, modular and anthropomorphic. The kinematics of the robot have been analyzed, and a mirror training gait is proposed to enable the patient to form a natural walking posture. Finally, the wearable walking experiment further proves the feasibility of the structure and gait planning of the hemiplegic exoskeleton robot.

Influence of Psychological Supervision on Athletes’ Compliance, Mental Elasticity Characteristics and Acute Stress Disorder in Traumatic Fracture Rehabilitation Training

Background: We aimed to explore the effect of psychological supervision on rehabilitation training compliance, mental elasticity characteristics, and acute stress disorder. Methods: From March 2018 to March 2020, 128 athletes with traumatic fractures in Zhoukou Sports Club in China were divided into two groups using the random number table method, The intervention group (64 athletes) received psychological supervision during the rehabilitation training, while the control group (64 athletes) without psychological supervision. The rehabilitation training compliance in the two groups was observed, and the mental elasticity characteristics and acute stress disorder changes were compared between the two groups before and post-intervention. Results: The compliance rate during postoperative rehabilitation training in the intervention group is 92.19%, which was significantly higher than 73.44% in the control group (P<0.05). Compared with the scores before intervention, the CD-RISC score and SASRD score of the two groups were significantly lower than the scores post-intervention. The SMFA function and vexation indexes of the intervention group in three months after operation were significantly lower than those of the control group (P<0.05). The QOL scores of the intervention group in social, environmental, psychological, and physiological fields were significantly higher than those of the control group in three months after operation (P<0.05). Conclusion: The implementation of psychological supervision for athletes with traumatic fractures could improve rehabilitation training compliance, increase the level of mental elasticity, and relieve acute stress disorder.

Application of Embedded Smart Wearable Device Monitoring in Joint Cartilage Injury and Rehabilitation Training

Joint injuries cause varying degrees of damage to joint cartilage. The purpose of this paper is to study the application of embedded smart wearable device monitoring in articular cartilage injury and rehabilitation training. This paper studies what an embedded system is and what a smart wearable device is and also introduces the rehabilitation training method of articular cartilage injury. We cited an embedded matching cost algorithm and an improved AD-Census. The joint cartilage damage and rehabilitation training are monitored. Finally, we introduced the types of smart wearable devices and different types of application fields. The results of this paper show that, after an articular cartilage injury, the joint function significantly recovers using the staged exercise rehabilitation training based on embedded smart wearable device monitoring. We concluded that, from 2013 to 2020, smart wearable devices are very promising in the medical field. In 2020, the value will reach 20 million US dollars.

Computer Intelligent Algorithm in the Recovery of the Elbow Joint Sports Injury Model

In this study, the inverse kinematics mathematics computer intelligent algorithm model is used to study the sports injuries of the elbow joint of adolescents. At the same time, we simulated the movement parameter changes during the rehabilitation training of the patient’s wrist and proposed a joint angular velocity function based on cubic fitting. Research has found that when the training scene changes greatly or the target task is changed, the smoothness of the elbow joint movement will change. The research conclusions of this article provide a theoretical basis for the selection of man-machine action points and the formulation of rehabilitation training methods. This article establishes the degree-of-freedom simulation model of the operating arm, which is the number of independent position variables in the operating arm, and these position variables determine the positions of all parts in the mechanism.

Preventive effect of rehabilitation training therapy on muscle quality in patients with stroke: A retrospective study

A retrospective analysis was conducted in 45 patients with stroke. All patients received three weeks of rehabilitation training. Body composition was examined using Bio-impedance analysis methods before and after training. Barthel index was used to evaluate activities of daily living before and after the intervention. After rehabilitation training, total body water, muscle mass, protein content, inorganic salt content, and skeletal muscle content were increased while body fat content and body fat percentage were significantly decreased. Barthel Index scores showed that the ability of daily living was improved after rehabilitation. In conclusion, rehabilitation training therapy may have protective effects on sarcopenia in patients with stroke. Keywords: Stroke, sarcopenia, rehabilitation training

Upper Limb Action Identification Based on Physiological Signals and Its Application in Limb Rehabilitation Training

pper limb motor dysfunction brings huge pain and burden to patients with brain trauma, stroke, and cerebral palsy, as well as their relatives. Physiological signals are closely related to the recovery of patients with limb dysfunction. The joint analysis of two key physiological signals, namely, surface electromyographic (sEMG) signal and acceleration signal, enables the scientific and effective evaluation of upper limb rehabilitation. However, the existing indices of upper limb rehabilitation are incomplete, and the current evaluation approaches are not sufficiently objective or quantifiable. To solve the problems, this paper explores upper limb action identification based on physiological signals, and tries to apply the approach to limb rehabilitation training. Specifically, the upper limb action features during limb rehabilitation training were extracted and identified by time-domain feature method, frequency-domain feature method, time-frequency domain feature method, and entropy feature method. Then, the evaluation flow of upper limb rehabilitation, plus the relevant evaluation indices, were given. Experimental results demonstrate the effectiveness of the proposed composite feature identification of upper limb actions, and the proposed evaluation method for limb rehabilitation.

Factors Affecting Uptake of Orientation and Mobility Rehabilitation Training among Blind Older People in Nigeria

he study investigated the factors affecting the low uptake of Orientation and Mobility Rehabilitation Training (O&M RT) among 350 legally blind (VA ≤ LogMAR -1.00 and/or visual field loss to less than 10°) older adults aged ≥ 60 years who had never gone for O&M RT.