manual treatment
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Author(s):  
Anders F. Mikkelstrup ◽  
Morten Kristiansen ◽  
Ewa Kristiansen

AbstractHigh-frequency mechanical impact (HFMI) treatment is a well-documented post-weld treatment to improve the fatigue life of welds. Treatment of the weld toe must be performed by a skilled operator due to the curved and inconsistent nature of the weld toe to ensure an acceptable quality. However, the process is characterised by noise and vibrations; hence, manual treatment should be avoided for extended periods of time. This work proposes an automated system for applying robotised 3D scanning to perform post-weld treatment and quality inspection of linear welds. A 3D scan of the weld is applied to locally determine the gradient and curvature across the weld surface to locate the weld toe. Based on the weld toe position, an adaptive robotic treatment trajectory is generated that accurately follows the curvature of the weld toe and adapts tool orientation to the weld profile. The 3D scan is reiterated after the treatment, and the surface gradient and curvature are further applied to extract the quantitative measures of the treatment, such as weld toe radius, indentation depth, and groove deviation and width. The adaptive robotic treatment is compared experimentally to manual and linear robotic treatment. This is done by treating 600-mm weld toe of each treatment type and evaluating the quantitative measures using the developed system. The results showed that the developed system reduced the overall treatment variance by respectively 26.6% and 31.9%. Additionally, a mean weld toe deviation of 0.09 mm was achieved; thus, improving process stability yet minimising human involvement.


2021 ◽  
pp. 1-7
Author(s):  
Ranran Bi ◽  
Yahui Zhang ◽  
Xiaochen Liu ◽  
Shun Zhang ◽  
Rui Wang ◽  
...  

BACKGROUND: In the healthy body, the fascial system maintains elasticity and coordination of movements. If these functions are destroyed, facial paraly appears. Myofascial induction therapy (MIT), a manual physical therapy method that focuses on restoring altered fascial tissue, is prevalently and widely used in clinical treatment. OBJECTIVE: The study aimed to observe the application of MIT in the rehabilitation of patients with acute facial palsy. METHODS: Sixty-eight patients with acute facial palsy were divided into control group and manual treatment group. The control group received drug treatments, such as prednisone, methylcobalamin, and vitamin B1, and instrumental physical therapy, such as semiconductor laser, shortwave therapy, and facial muscle training. In addition to these treatments, the manual treatment group received MIT. Both groups were treated for 4 weeks. The patients were assessed using the following methods: the House-Brackmann facial nerve function evaluation, Sunnybrook facial grading system, facial nerve electrophysiological examination compound muscle action potential (CMAP) amplitude, and blink reflex (BR) R1 latency. RESULTS: House-Brackmann and Sunnybrook scores and CMAP amplitude and BRR1 latencies were significantly different between the two groups (p <  0.05). Furthermore, the manual treatment group showed greater improvement than the control group (p <  0.05). CONCLUSIONS: Treatment with MIT promoted better recovery of acute facial palsy and thus may be considered a valid rehabilitation intervention that is worthy of clinical application.


2021 ◽  
Vol 6 (4) ◽  
pp. 299-308
Author(s):  
Piumi Nakandala

Adhesive Capsulitis is a debilitating condition which causes the capsule of the Gleno-humeral joint to get thickened and contracted progressively. The prevalence of the disease is much higher in the middle aged and elderly community. It is characterized by pain in the shoulder, and advance towards the restriction of the active and passive glenohumeral motions and thereby obstructing the overall functional activities of the daily living. The effectiveness of various non-operative methods in the treatment of Adhesive Capsulitis has been demonstrated in the literature. Corticosteroid injections and the oral medications are known to be alleviating the pain levels and the inflammatory reactions but not the mobility of the affected joint. Joint mobilization techniques, electrotherapeutic modalities and other manual treatment methods are also found to be effective. In summary, this review focuses on the pathophysiology of the adhesive capsulitis, stages of the condition progress and various manual therapy interventions. Keywords: Gleno-humeral joint, frozen shoulder, rehabilitation, active and passive movements, functional activities.


2021 ◽  
Vol 58 (3) ◽  
pp. 0-0
Author(s):  
ibrahim alnassar ◽  
Mohamed Altinawi ◽  
Mohammad Salem Rekab ◽  
Imad Katbeh ◽  
Alexander Khasan ◽  
...  

2021 ◽  
Author(s):  
Anders Faarbæk Mikkelstrup ◽  
Morten Kristiansen ◽  
Ewa Kristiansen

Abstract High-frequency mechanical impact (HFMI) treatment is a well-documented post-weld treatment to improve the fatigue life of welds. Treatment of the weld toe must be performed by a skilled operator due to the curved and inconsistent nature of the weld toe to ensure an acceptable quality. However, the process is characterised by noise and vibrations; hence, manual treatment should be avoided for extended periods of time. This work proposes an automated system for applying robotised 3D scanning to perform post-weld treatment and quality inspection of linear welds. A 3D scan of the weld is applied to locally determine the gradient and curvature across the weld surface to locate the weld toe. Based on the weld toe position, an adaptive robotic treatment trajectory is generated that accurately follows the curvature of the weld toe and adapts tool orientation to the weld profile. The 3D scan is reiterated after the treatment, and the surface gradient and curvature are further applied to extract the quantitative measures of the treatment, such as groove radius, weld toe deviation, and indentation depth and width. The adaptive robotic treatment is compared experimentally to manual and linear robotic treatment. This is done by treating 600 mm weld toe of each treatment type and evaluating the quantitative measures using the developed system. The results showed that the developed system reduced the overall treatment variance by respectively 26.6 % and 31.9 %. Additionally, a mean weld toe deviation of 0.09 mm was achieved; thus, improving process stability yet minimising human involvement.


2021 ◽  
Vol 2 (8) ◽  
pp. e0118
Author(s):  
Hyun-Ju Kim ◽  
Youme Ko ◽  
Tae-Yong Park ◽  
Jin-Hyun Lee ◽  
Kwang-Sun Do ◽  
...  

Cureus ◽  
2021 ◽  
Author(s):  
Hugo Pasin Neto ◽  
Eduardo Bicalho ◽  
Gustavo Bortolazzo

Author(s):  
Alessandro Piras ◽  
Lorenzo Zini ◽  
Aurelio Trofè ◽  
Francesco Campa ◽  
Milena Raffi

Microcurrent electrical neuromuscular stimulation (MENS) is believed to alter blood flow, increasing cutaneous blood perfusion, with vasodilation and hyperemia. According to these physiological mechanisms, we investigated the short-term effects of MENS on constant-load exercise and the subsequent recovery process. Ten healthy subjects performed, on separate days, constant-load cycling, which was preceded and followed by active or inactive stimulation to the right quadricep. Blood lactate, pulmonary oxygen, and muscle deoxyhemoglobin on-transition kinetics were recorded. Hemodynamic parameters, heart rate variability, and baroreflex sensitivity were collected and used as a tool to investigate the recovery process. Microcurrent stimulation caused a faster deoxyhemoglobin (4.43 ± 0.5 vs. 5.80 ± 0.5 s) and a slower VO2 (25.19 ± 2.1 vs. 21.94 ± 1.3 s) on-kinetics during cycling, with higher lactate levels immediately after treatments executed before exercise (1.55 ± 0.1 vs. 1.40 ± 0.1 mmol/L) and after exercise (2.15 ± 0.1 vs. 1.79 ± 0.1 mmol/L). In conclusion, MENS applied before exercise produced an increase in oxygen extraction at muscle microvasculature. In contrast, MENS applied after exercise improved recovery, with the sympathovagal balance shifted toward a state of parasympathetic predominance. MENS also caused higher lactate values, which may be due to the magnitude of the muscular stress by both manual treatment and electrical stimulation than control condition in which the muscle received only a manual treatment.


2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Yasir Rehman ◽  
Hannah Ferguson ◽  
Adelina Bozek ◽  
Joshua Blair ◽  
Ashley Allison ◽  
...  

Abstract Context Reviews exploring harm outcomes such as adverse effects (AE), all-cause dropouts (ACD), dropouts due to inefficacy, and dropouts due to AE associated with osteopathic manipulative treatment (OMT) or osteopathic manual therapy (OMTh) are scant. Objectives To explore the overall AE, ACD, dropouts due to inefficacy, and AE in chronic noncancerous pain (CNCP) patients receiving OMTh through a systematic review of previous literature. Methods For this systematic review and meta-analysis, the authors searched MEDLINE, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), Physiotherapy Evidence Database (PEDro), EMCare, and Allied and Complementary Medicine Database (AMED), and Ostmed.Dr, as well as the bibliographical references of previous systematic reviews evaluating OMTh for pain severity, disability, quality of life, and return to work outcomes. Randomized controlled trials with CNCP patients 18 years or older with OMTh as an active or combination intervention and the presence of a control or combination group were eligible for inclusion. In this sub-study of a previous, larger systematic review, 11 studies (n=1,015) reported data that allowed the authors to perform meta-analyses on ACD and dropouts due to AE. The risk of bias (ROB) was assessed with the Cochrane ROB tool and the quality of evidence was determined with the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Results The pooled analysis showed that ACD was not significantly different for visceral OMTh (vOMTh) vs. OMTh control (odds ratio [OR]=2.66 [95% confidence interval [[CI]], 0.28, 24.93]) or for OMTh vs. standard care (OR=1.26 [95% CI, 0.84, 1.89]; I2=0%). Single study analysis showed that OMTh results were nonsignificant in comparison with chemonucleolysis, gabapentin, and exercise. OMTh in combination with gabapentin (vs. gabapentin alone) and OMTh in combination with exercise (vs. exercise alone) showed nonsignificant ACD. Dropouts due to AE were not significantly different, but the results could not be pooled due to an insufficient number of studies. Conclusions Most articles did not explicitly report AEs, ACD rates, or dropouts due to AEs and inefficacy. The limited data available on dropouts showed that OMTh was well tolerated compared with control interventions, and that the ACD and dropouts due to AEs were not significantly different than comparators. Future trials should focus on explicit reporting of dropouts along with beneficial outcomes to provide a better understanding of OMTh efficacy.


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