AIM To compared outcomes between the hypothenar fat pad flap(HTFPF) and conventional open carpal tunnel release(COR) in primary carpal tunnel syndrome(CTS). METHODS Forty-five patients(49 hands) were enrolled into the...AIM To compared outcomes between the hypothenar fat pad flap(HTFPF) and conventional open carpal tunnel release(COR) in primary carpal tunnel syndrome(CTS). METHODS Forty-five patients(49 hands) were enrolled into the study from January 2014 to March 2016, 8 patients were excluded. Randomization was conducted in 37 patients(41 hands) by computer generated(Block of four randomization) into COR and HTFPF group. Nerve conduction study(NCS) included distal sensory latency(DSL), distal motor latency(DML), sensory amplitude (S-amp), motor amplitude(M-amp) and sensory nerve conduction velocity(SCV) were examined at 6 and 12 wk after CTR. Levine score, grip and pinch strength, pain [visual analog scale(VAS)], 2-point discrimination(2-PD), Semmes-Weinstein monofilament test(SWM), Phalen test and Tinel's sign were evaluated in order to compare treatment outcomes.RESULTS The COR group, 19 patients(20 hands) mean age 50.4 years. The HTFPF group, 20 patients(21 hands) mean age 53.3 years. Finally 33 patients(36 hands) were analysed, 5 patients were loss follow-up, 17 hands in COR and 19 hands in HTFPF group. NCS revealed significant difference of DSL in HTFPF group at 6 wk(P < 0.05) compared with the COR group. S-amp was significant improved postoperatively in both groups(P < 0.05) but not significant difference between two groups. No significant difference of DML, M-amp and SCV postoperatively in both groups and between two groups. Levine score, pain(VAS), grip and pinch strength, 2-PD, SWM, Phalen test and Tinel's sign were improved postoperatively in both groups, but there was no significant difference between two groups.CONCLUSION There is no advantage outcome in primary CTS for having additional HTFPF procedure in CTR. COR is still the standard treatment. Nevertheless, improvement of DSL and S-amp could be observed at 6 wk postoperatively.展开更多
<strong>Background:</strong> Arch support has the effect of maintaining arch and correcting alignment, and it is broadly used for the prevention of sports impediment and treatment of athletes with lowered ...<strong>Background:</strong> Arch support has the effect of maintaining arch and correcting alignment, and it is broadly used for the prevention of sports impediment and treatment of athletes with lowered MLA and foot problems. The fact that the morphological change of MLA damages balance sense and postural control, it was reported that the insole supporting the arch of MLA improved postural balance. There are several studies regarding the effects of arch support;however, its effects on landing control have not been clarified. Therefore, in our research, we discussed the effect of MLA support for landing control, using lower limb dynamic alignment and the moment during landing as indexes. <strong>Methods: </strong>This study measured the landing motion to be evaluated was to jump from a platform with a height of 30 cm by taking-off with a single foot, and landing on a single foot on a floor reaction force gauge placed ahead and stay still for three seconds for the subjects were 13 healthy females. A soft 6 mm Boron sheet cut in the size of 9 × 3.5 cm, applied with double-sided tape (MLA pad) was used for arch support (hereafter referred to as “pad”). For the lower limb evaluation, an 8-camera with a three-dimensional behavioral analyzer (CORTEX, NAC product, sampling frequency: 120 Hz) and a floor reaction force gauge (AMTI product, sampling frequency: 1000 Hz) were used. Ten successful jump-landing tests for each limb were used for further analyses using Visual 3D software (Cmotion Inc., Kingston, Canada). Analysis objects were knee joint bending angle and valgus angle during landing;knee joint maximum bending angle;bending knee joint valgus angle, hip joint bending angle, adduction angle, ankle joint plantar flexion angle, varus angle at the time of knee joint maximum bending angle;and each joint moment. For statistical processing, the average value of three trials out of five trials was regarded as a representative value. <strong>Results:</strong> Regarding joint angles, significant differences were observed in maximum knee joint bending angle, knee joint bending angle during maximum valgus knee joint and ankle joint varus angle during knee joint maximum bending angle between before and after intervention. No significant differences were observed in other joint angles. Regarding joint moments, no significant difference was observed in each joint moment before and after the intervention. <strong>Significance:</strong> The decrease of knee joint valgus angle during landing by the use of MLA pad suggests the possibility of decreasing the risk of ACL injury. As the incidence of ACL injury in females is higher than that of males, and the evaluation for females had proceeded, it can be useful information for the prevention of ACL injury.展开更多
Greenhouses are used for the main purpose of improving the environmental conditions in which plants are grown. There are many parameters can affect the growing of plants inside greenhouse, such as air temperature and ...Greenhouses are used for the main purpose of improving the environmental conditions in which plants are grown. There are many parameters can affect the growing of plants inside greenhouse, such as air temperature and relative humidity. The adjustment of these parameters is achieved by selecting appropriate control actions. This work proposes a controlling technique for greenhouse indoor temperature and relative humidity. The proposed greenhouse cooling system temperature controller is designed to adjust the air volume flow rate in pad-fan cooling system to fix the greenhouse indoor temperature at 20?C and 70% relative humidity. The designed control technique is realized to ensure the required and continuous operation of the greenhouse. Moreover, this work present, a complete mathematical modeling and simulation of cooling system is introduced. In addition, a computer model based on MATLAB SIMULINK software has been used to predict the temperature and relative humidity profiles inside the greenhouse. The results are realized the requirements of the greenhouse cooling system environment.展开更多
文摘AIM To compared outcomes between the hypothenar fat pad flap(HTFPF) and conventional open carpal tunnel release(COR) in primary carpal tunnel syndrome(CTS). METHODS Forty-five patients(49 hands) were enrolled into the study from January 2014 to March 2016, 8 patients were excluded. Randomization was conducted in 37 patients(41 hands) by computer generated(Block of four randomization) into COR and HTFPF group. Nerve conduction study(NCS) included distal sensory latency(DSL), distal motor latency(DML), sensory amplitude (S-amp), motor amplitude(M-amp) and sensory nerve conduction velocity(SCV) were examined at 6 and 12 wk after CTR. Levine score, grip and pinch strength, pain [visual analog scale(VAS)], 2-point discrimination(2-PD), Semmes-Weinstein monofilament test(SWM), Phalen test and Tinel's sign were evaluated in order to compare treatment outcomes.RESULTS The COR group, 19 patients(20 hands) mean age 50.4 years. The HTFPF group, 20 patients(21 hands) mean age 53.3 years. Finally 33 patients(36 hands) were analysed, 5 patients were loss follow-up, 17 hands in COR and 19 hands in HTFPF group. NCS revealed significant difference of DSL in HTFPF group at 6 wk(P < 0.05) compared with the COR group. S-amp was significant improved postoperatively in both groups(P < 0.05) but not significant difference between two groups. No significant difference of DML, M-amp and SCV postoperatively in both groups and between two groups. Levine score, pain(VAS), grip and pinch strength, 2-PD, SWM, Phalen test and Tinel's sign were improved postoperatively in both groups, but there was no significant difference between two groups.CONCLUSION There is no advantage outcome in primary CTS for having additional HTFPF procedure in CTR. COR is still the standard treatment. Nevertheless, improvement of DSL and S-amp could be observed at 6 wk postoperatively.
文摘<strong>Background:</strong> Arch support has the effect of maintaining arch and correcting alignment, and it is broadly used for the prevention of sports impediment and treatment of athletes with lowered MLA and foot problems. The fact that the morphological change of MLA damages balance sense and postural control, it was reported that the insole supporting the arch of MLA improved postural balance. There are several studies regarding the effects of arch support;however, its effects on landing control have not been clarified. Therefore, in our research, we discussed the effect of MLA support for landing control, using lower limb dynamic alignment and the moment during landing as indexes. <strong>Methods: </strong>This study measured the landing motion to be evaluated was to jump from a platform with a height of 30 cm by taking-off with a single foot, and landing on a single foot on a floor reaction force gauge placed ahead and stay still for three seconds for the subjects were 13 healthy females. A soft 6 mm Boron sheet cut in the size of 9 × 3.5 cm, applied with double-sided tape (MLA pad) was used for arch support (hereafter referred to as “pad”). For the lower limb evaluation, an 8-camera with a three-dimensional behavioral analyzer (CORTEX, NAC product, sampling frequency: 120 Hz) and a floor reaction force gauge (AMTI product, sampling frequency: 1000 Hz) were used. Ten successful jump-landing tests for each limb were used for further analyses using Visual 3D software (Cmotion Inc., Kingston, Canada). Analysis objects were knee joint bending angle and valgus angle during landing;knee joint maximum bending angle;bending knee joint valgus angle, hip joint bending angle, adduction angle, ankle joint plantar flexion angle, varus angle at the time of knee joint maximum bending angle;and each joint moment. For statistical processing, the average value of three trials out of five trials was regarded as a representative value. <strong>Results:</strong> Regarding joint angles, significant differences were observed in maximum knee joint bending angle, knee joint bending angle during maximum valgus knee joint and ankle joint varus angle during knee joint maximum bending angle between before and after intervention. No significant differences were observed in other joint angles. Regarding joint moments, no significant difference was observed in each joint moment before and after the intervention. <strong>Significance:</strong> The decrease of knee joint valgus angle during landing by the use of MLA pad suggests the possibility of decreasing the risk of ACL injury. As the incidence of ACL injury in females is higher than that of males, and the evaluation for females had proceeded, it can be useful information for the prevention of ACL injury.
文摘Greenhouses are used for the main purpose of improving the environmental conditions in which plants are grown. There are many parameters can affect the growing of plants inside greenhouse, such as air temperature and relative humidity. The adjustment of these parameters is achieved by selecting appropriate control actions. This work proposes a controlling technique for greenhouse indoor temperature and relative humidity. The proposed greenhouse cooling system temperature controller is designed to adjust the air volume flow rate in pad-fan cooling system to fix the greenhouse indoor temperature at 20?C and 70% relative humidity. The designed control technique is realized to ensure the required and continuous operation of the greenhouse. Moreover, this work present, a complete mathematical modeling and simulation of cooling system is introduced. In addition, a computer model based on MATLAB SIMULINK software has been used to predict the temperature and relative humidity profiles inside the greenhouse. The results are realized the requirements of the greenhouse cooling system environment.
