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1.
The short tandem repeat system FES/FPS was amplified by the polymerase chain reaction (PCR) in 211 unrelated Austrians and analysed by horizontal, non-denaturing electrophoresis. The allele distribution was in Hardy-Weinberg equilibrium. No mutations were found in 25 families (50 meioses). The mean exclusion chance was 0.49, the discriminating power 0.86 and the heterozygosity rate 74.4%. Amplification could be achieved with as little as 100 pg of high molecular weight DNA, which could be reduced to 75 pg by using 32 instead of 30 cycles. By reamplifying 1 l for another 15 cycles, the threshold could be reduced to less than 20 pg. In a degradation experiment DNA extracted from bloodstains stored for up to 24 days in a moist chamber and DNA boiled for up to 18 min could be amplified.  相似文献   
2.

Objectives

To compare the effects of conventional core stabilization and dynamic neuromuscular stabilization (DNS) on anticipatory postural adjustment (APA) time, balance performance, and fear of falls in chronic hemiparetic stroke.

Design

Two-group randomized controlled trial with pretest-posttest design.

Setting

Hospital rehabilitation center.

Participants

Adults with chronic hemiparetic stroke (N=28).

Interventions

Participants were randomly divided into either conventional core stabilization (n=14) or DNS (n=14) groups. Both groups received a total of 20 sessions of conventional core stabilization or DNS training for 30 minutes per session 5 times a week during the 4-week period.

Main Outcome Measures

Electromyography was used to measure the APA time for bilateral external oblique (EO), transverse abdominis (TrA)/internal oblique (IO), and erector spinae (ES) activation during rapid shoulder flexion. Trunk Impairment Scale (TIS), Berg Balance Scale (BBS), and Falls Efficacy Scale (FES) were used to measure trunk movement control, balance performance, and fear of falling.

Results

Baseline APA times were delayed and fear of falling was moderately high in both the conventional core stabilization and DNS groups. After the interventions, the APA times for EO, TrA/IO, and ES were shorter in the DNS group than in the conventional core stabilization group (P<.008). The BBS and TIS scores (P<.008) and the FES score (P<.003) were improved compared with baseline in both groups, but FES remained stable through the 2-year follow-up period only in the DNS group (P<.003).

Conclusions

This is the first clinical evidence highlighting the importance of core stabilization exercises for improving APA control, balance, and fear of falls in individuals with hemiparetic stroke.  相似文献   
3.

Objective

To compare virtual reality (VR) combined with functional electrical stimulation (FES) with cyclic FES for improving upper extremity function and health-related quality of life in patients with chronic stroke.

Design

A pilot, randomized, single-blind, controlled trial.

Setting

Stroke rehabilitation inpatient unit.

Participants

Participants (N=48) with hemiplegia secondary to a unilateral stroke for >3 months and with a hemiplegic wrist extensor Medical Research Council scale score ranging from 1 to 3.

Interventions

FES was applied to the wrist extensors and finger extensors. A VR-based wearable rehabilitation device was used combined with FES and virtual activity–based training for the intervention group. The control group received cyclic FES only. Both groups completed 20 sessions over a 4-week period.

Main Outcome Measures

Primary outcome measures were changes in Fugl-Meyer Assessment–Upper Extremity and Wolf Motor Function Test scores. Secondary outcome measures were changes in Box and Block Test, Jebsen-Taylor Hand Function Test, and Stroke Impact Scale scores. Assessments were performed at baseline (t0) and at 2 weeks (t1), 4 weeks (t4), and 8 weeks (t8). Between-group comparisons were evaluated using a repeated-measures analysis of variance.

Results

Forty-one participants were included in the analysis. Compared with FES alone, VR-FES produced a substantial increase in Fugl-Meyer Assessment–distal score (P=.011) and marginal improvement in Jebsen-Taylor Hand Function Test–gross score (P=.057). VR-FES produced greater, although nonsignificant, improvements in all other outcome measures, except in the Stroke Impact Scale–activities of daily living/instrumental activities of daily living score.

Conclusions

FES with VR-based rehabilitation may be more effective than cyclic FES in improving distal upper extremity gross motor performance poststroke.  相似文献   
4.

Objective

To evaluate the effect of quadriceps functional electrical stimulation (FES)-cycling on exertional oxygen uptake (V˙o2) compared with placebo FES-cycling in patients with chronic obstructive pulmonary disease (COPD).

Design

A randomized, single-blind, placebo-controlled crossover trial.

Setting

Pulmonary rehabilitation department.

Participants

Consecutive patients (N=23) with COPD Global Initiative for Chronic Obstructive Lung Disease stage 2, 3, or 4 (mean forced expiratory volume during the first second, 1.4±0.4L [50.3% predicted]) who had recently begun a respiratory rehabilitation program.

Intervention

Two consecutive 30-minute sessions were carried out at a constant load with active and placebo FES-cycling.

Main Outcome Measures

The primary outcome was mean V˙o2 during the 30-minute exercise session. The secondary outcomes were respiratory gas exchange and hemodynamic parameters averaged over the 30-minute endurance session. Lactate values, dyspnea, and perceived muscle fatigue were evaluated at the end of the sessions.

Results

FES-cycling increased the physiological response more than the placebo, with a greater V˙o2 achieved of 36.6mL/min (95% confidence interval [CI], 8.9–64.3mL/min) (P=.01). There was also a greater increase in lactate after FES-cycling (+1.5mmol/L [95% CI, .05–2.9mmol/L]; P=.01). FES-cycling did not change dyspnea or muscle fatigue compared with the placebo condition.

Conclusions

FES-cycling effectively increased exercise intensity in patients with COPD. Further studies should evaluate longer-term FES-cycling rehabilitation programs.  相似文献   
5.
电脑控制功能性电刺激辅助截瘫病人行走系统的临床应用   总被引:1,自引:0,他引:1  
本文以功能性电刺激为基础,研制了一套电脑控制的截瘫锻炼和辅助行走系统,并探索了一套康复锻炼方法,经临床应用,锻炼后瘫痪下肢的肌力、肌耐力均有明显提高。本文设计的辅助行走选用骶棘肌、臂大肌、股四头肌及下肢屈曲肌群,有效的延缓了肌疲劳的发生,增加了站立行走时间,使辅助行走过程更接近于自然行走。  相似文献   
6.
Microwave technology has been successfully applied to enhance the effectiveness of radiolabeling reactions. The use of a microwave as a source of heat energy can allow chemical reactions to proceed over much shorter reaction times and in higher yields than they would do under conventional thermal conditions. A microwave reactor developed by Resonance Instrument Inc. (Model 520/521) and CEM (PETWave) has been used exclusively for the synthesis of radiolabeled agents for positron emission tomography by numerous groups throughout the world. In this study, we have developed a novel resonant‐type microwave reactor powered by a solid‐state device and confirmed that this system can focus microwave power on a small amount of reaction solution. Furthermore, we have demonstrated the rapid and facile radiosynthesis of 16α‐[18F]fluoroestradiol, 4‐[18F]fluoro‐N‐[2‐(1‐methoxyphenyl)‐1‐piperazinyl]ethyl‐N‐2‐pyridinylbenzamide, and N‐succinimidyl 4‐[18F]fluorobenzoate using our newly developed microwave reactor.  相似文献   
7.
目的总结31例易发生脂防栓塞的高危患者的预见性护理。方法对高危患者严密监测生命体征.妥善固定骨折部位,预防感染,防治休克,纠正酸中毒,结氧等。结论本组除3例因病情急、起病隐匿,在典型症状出现之前很快死亡,其余均痊愈出院。  相似文献   
8.
Abstract

Objectives: Drop-foot when incurred as a deficit post-stroke significantly contributes to the development of physical disability and social restriction. The condition is most commonly treated using a custom moulded ankle foot orthosis (AFO) or functional electrical stimulation (FES). No previous systematic review has assessed the evidence for both an orthotic (while the device is still on) and therapeutic (when the device is no longer worn) effect of FES, including all types of methodology and outcome measure. This is certainly a gap in the literature in terms of informing the practising clinician.

Methods: A systematic search was conducted to identify all articles published between 1990 and 2008 relating to the effectiveness of FES for the treatment of drop-foot post-stroke using strict inclusion/exclusion criteria. Included literature was quality-appraised according to the Guidelines for Cochrane reviewers.

Results: Thirty studies were analysed (264 excluded) and results support the conclusion that FES can have a positive orthotic effect particularly for gait speed and physiological cost index (PCI), in chronic post-stroke patients. Research supporting a therapeutic effect of FES post-stroke is less conclusive. Some support exists for FES in combination with 'conventional rehabilitation' or treadmill training or for increasing the effectiveness of Botulinum toxin injections.

Discussion: While more evidence exists to support an orthotic than therapeutic effect of FES, further research is needed to define the extent of a therapeutic effect (particularly in acute patients) and compare the efficacy of FES with an AFO. More standardisation of protocols and a more collaborative approach between engineers, researchers, clinicians and users is required.  相似文献   
9.
To evaluate the value of automated semiquantitative analysis of fat within alveolar macrophages as an early diag-nostic tool for fat embolism syndrome (FES), we investigated 3 patients with respiratory failure following long-bone frac-tures. The mean area of fat droplets per alveolar macrophage was determined in pixels and, additionally, the percentage of the evaluated areas was calculated. In 2 patients, the diagnosis of FES could be established as early as 24 hr after trauma. Both patients showed an increase in the area of fat per alveolar macrophage (pixels: 851, 1069) as well as in the percentage of fat area per alveolar macrophage area (40.04%, 52.73%), whereas the analysis of the bronchoalveolar lavage (BAL) specimens of a third patient, who later recovered without ap-pearance of clinical signs of FES, revealed only minimal fat content (pixels: 82; 3.82%). Automated semiquantitative anal-ysis of fat within alveolar macrophages may be helpful in the early diagnosis of FES.  相似文献   
10.
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