BACKGROUND Patients with Parkinson's disease(PD)exhibit symptoms such as antecollis(AC)and camptocormia(CC).The pathology of these two conditions is unclear.Additionally,standard treatment methods have not been es...BACKGROUND Patients with Parkinson's disease(PD)exhibit symptoms such as antecollis(AC)and camptocormia(CC).The pathology of these two conditions is unclear.Additionally,standard treatment methods have not been established.The article reports the case of a 65-year-old female patient with AC and CC who was treated with central and peripheral interventions to alleviate symptoms.CASE SUMMARY We present the case of a 65-year-old female PD patient with AC and CC.The course of the disease was 5 years.She was treated with rehabilitation strategies such as sensory tricks and trunk strength training.During the inpatient period,we compared and analyzed the patient's gait,rehabilitation assessment scale score,and angles of her abnormal trunk posture in the first week,the third week,and the fifth week.The patient's stride length increased,indicating that the patient's walking ability was improved.The Unified Parkinson's Disease Scale Part Three score and CC severity score decreased.Furthermore,the score of the other scale increased.In addition,the patient showed significant improvements in AC,upper CC,and lower CC angles.CONCLUSION This case study suggested that sensory tricks and trunk strength training are beneficial and safe for patients with AC and CC.展开更多
Despite its considerable potential,oil palm trunk(OPT)remains underutilized,largely owing to the cyclical replanting process that occurs every 25–30 years.This study aimed to address this issue by developing an ecofr...Despite its considerable potential,oil palm trunk(OPT)remains underutilized,largely owing to the cyclical replanting process that occurs every 25–30 years.This study aimed to address this issue by developing an ecofriendly oriented strand board(OSB)using vascular bundles(VBs)from oil palm,both in binderless form and with the incorporation of natural adhesives made from sucrose and ammonium dihydrogen phosphate(ADP).The VB was extracted from OPT using a pressure cooker and mixed with a sucrose-ADP solution at various ratios.The mixture was then pressed at temperatures of 180℃ and 200℃ for 10 min to form boards,which were evaluated based on the Japanese Industrial Standard(JIS)A 5908 for particleboards.Binderless OSB was also manufactured without the use of any adhesive components.Fourier-transform infrared(FTIR)spectroscopy was conducted to evaluate the VB and its board.The results indicated that the mechanical properties of the binderless OSB met the JIS A 5908 Type 8 requirements.Furthermore,the addition of sucrose-ADP improved the physical and mechanical properties of the board,with an optimal sucrose-to-ADP ratio of 85:15.The OSB with the best properties met the JIS A 5908 Type 13 requirements.The FTIR results indicated that carbonyl groups,furan rings,and lignin played important roles in the bonding properties of the OSB.In conclusion,this research demonstrated the potential of VBs as a raw material for producing environmentally friendly OSB,both in binderless form and with the use of sucrose-ADP.展开更多
Postural problems are very common, which is why plenty of Techniques have been created to solve them: Mezieres Technique (including muscle chains), RPG (Global Postural Re-Education, including pelvic diaphragm), Pilat...Postural problems are very common, which is why plenty of Techniques have been created to solve them: Mezieres Technique (including muscle chains), RPG (Global Postural Re-Education, including pelvic diaphragm), Pilates Method (including core muscles), Bobath Concept (including COG, center of gravity) and Yoga. In this work, I show a new way of treating and solving postural problems. I am basing this physiotherapy approach on a new Image I created. Every patient can use it for every correction and change in posture. I called the new Image: “OMINO (little man)”. “Postural Card” could be a good work to make “OMINO” possible. “OMINO” is immediately understandable and, using “OMINO POCKET INSTRUCTIONS”, it can be easily done. Contribution of paper: • Trunk is a vital element for any kind of rehabilitation;• “Core stability” is the key to activating the trunk. • Doing “OMINO” means working on “core stability”;• “OMINO” makes rehabilitation simple for the patient.展开更多
Median arcuate ligament syndrome (MALS), is a rare abdominal vascular compression syndrome caused by the compression of the proximal celiac trunk by the median arcuate ligament. According to many authors, a low insert...Median arcuate ligament syndrome (MALS), is a rare abdominal vascular compression syndrome caused by the compression of the proximal celiac trunk by the median arcuate ligament. According to many authors, a low insertion of the diaphragmatic crura or an abnormally high origin of the celiac trunk from the aorta can cause compression of the celiac artery. Usually, patients with MALS are asymptomatic. Computed tomography (CT) angiography of the abdomen is the main imaging modality to confirm the diagnosis. The coexistence of celiac trunk and superior mesenteric artery compression by the median arcuate ligament is rarely described in the literature. To our knowledge, until now, a simultaneous combination of three abdominal vascular compressions by the median arcuate ligament has never been described. From this case, we report a simultaneous compression of the celiac trunk, superior mesenteric artery, and renal arteries by the median arcuate ligament.展开更多
文摘BACKGROUND Patients with Parkinson's disease(PD)exhibit symptoms such as antecollis(AC)and camptocormia(CC).The pathology of these two conditions is unclear.Additionally,standard treatment methods have not been established.The article reports the case of a 65-year-old female patient with AC and CC who was treated with central and peripheral interventions to alleviate symptoms.CASE SUMMARY We present the case of a 65-year-old female PD patient with AC and CC.The course of the disease was 5 years.She was treated with rehabilitation strategies such as sensory tricks and trunk strength training.During the inpatient period,we compared and analyzed the patient's gait,rehabilitation assessment scale score,and angles of her abnormal trunk posture in the first week,the third week,and the fifth week.The patient's stride length increased,indicating that the patient's walking ability was improved.The Unified Parkinson's Disease Scale Part Three score and CC severity score decreased.Furthermore,the score of the other scale increased.In addition,the patient showed significant improvements in AC,upper CC,and lower CC angles.CONCLUSION This case study suggested that sensory tricks and trunk strength training are beneficial and safe for patients with AC and CC.
基金The authors are grateful to the Directorate General of Higher Education,Research,and Technology of Ministry of Education,Culture,Research,and Technology of the Republic of Indonesia and Universitas Gadjah Mada(Indonesian Collaborative Research Project-World Class University Program:No.1566/UN1/DITLIT/Dit-Lit/PT.01.03/2022).
文摘Despite its considerable potential,oil palm trunk(OPT)remains underutilized,largely owing to the cyclical replanting process that occurs every 25–30 years.This study aimed to address this issue by developing an ecofriendly oriented strand board(OSB)using vascular bundles(VBs)from oil palm,both in binderless form and with the incorporation of natural adhesives made from sucrose and ammonium dihydrogen phosphate(ADP).The VB was extracted from OPT using a pressure cooker and mixed with a sucrose-ADP solution at various ratios.The mixture was then pressed at temperatures of 180℃ and 200℃ for 10 min to form boards,which were evaluated based on the Japanese Industrial Standard(JIS)A 5908 for particleboards.Binderless OSB was also manufactured without the use of any adhesive components.Fourier-transform infrared(FTIR)spectroscopy was conducted to evaluate the VB and its board.The results indicated that the mechanical properties of the binderless OSB met the JIS A 5908 Type 8 requirements.Furthermore,the addition of sucrose-ADP improved the physical and mechanical properties of the board,with an optimal sucrose-to-ADP ratio of 85:15.The OSB with the best properties met the JIS A 5908 Type 13 requirements.The FTIR results indicated that carbonyl groups,furan rings,and lignin played important roles in the bonding properties of the OSB.In conclusion,this research demonstrated the potential of VBs as a raw material for producing environmentally friendly OSB,both in binderless form and with the use of sucrose-ADP.
文摘Postural problems are very common, which is why plenty of Techniques have been created to solve them: Mezieres Technique (including muscle chains), RPG (Global Postural Re-Education, including pelvic diaphragm), Pilates Method (including core muscles), Bobath Concept (including COG, center of gravity) and Yoga. In this work, I show a new way of treating and solving postural problems. I am basing this physiotherapy approach on a new Image I created. Every patient can use it for every correction and change in posture. I called the new Image: “OMINO (little man)”. “Postural Card” could be a good work to make “OMINO” possible. “OMINO” is immediately understandable and, using “OMINO POCKET INSTRUCTIONS”, it can be easily done. Contribution of paper: • Trunk is a vital element for any kind of rehabilitation;• “Core stability” is the key to activating the trunk. • Doing “OMINO” means working on “core stability”;• “OMINO” makes rehabilitation simple for the patient.
文摘Median arcuate ligament syndrome (MALS), is a rare abdominal vascular compression syndrome caused by the compression of the proximal celiac trunk by the median arcuate ligament. According to many authors, a low insertion of the diaphragmatic crura or an abnormally high origin of the celiac trunk from the aorta can cause compression of the celiac artery. Usually, patients with MALS are asymptomatic. Computed tomography (CT) angiography of the abdomen is the main imaging modality to confirm the diagnosis. The coexistence of celiac trunk and superior mesenteric artery compression by the median arcuate ligament is rarely described in the literature. To our knowledge, until now, a simultaneous combination of three abdominal vascular compressions by the median arcuate ligament has never been described. From this case, we report a simultaneous compression of the celiac trunk, superior mesenteric artery, and renal arteries by the median arcuate ligament.
