Clinical Observation of Self-made Four-step Tendon Regulating Manipulation in the Treatment of 30 Cases of Thumb Stenotic Tenosynovitis

[Objectives] To observe the effectiveness of four-step tendon manipulation in the treatment of thumb stenotic tenosynovitis, under the guidance of "tendon first" theory. [Methods] 30 patients with stenotic tenosynovitis of thumb were treated with four-step tendon manipulation and traditional manipulation respectively, 3 times a week, a total of two weeks. The clinical efficacy, changes of visual analogue scale (VAS) and the recurrence rate after 15 d of follow-up treatment were observed before and after treatment. The differences were statistically significant ( P <0.05). [Results] After treatment, the VAS and the recurrence rate after 15 d of treatment in the observation group were significantly lower than those in the control group ( P <0.05). After treatment, the total effective rate was 73.33% in the control group and 93.33% in the observation group ( P <0.05). [Conclusions] The effect of four-step tendon regulating manipulation in the treatment of thumb stenotic tenosynovitis is ideal. The effect is significantly better than that of traditional Chinese medicine in improving thumb pain and function, which is worthy of clinical promotion.

Effect of tendon and bone setting manipulation combined with Kinesio Taping on de Quervain disease

Objective:To observe the effect of the treatment of tendon-regulation and bone-setting manipulation and Kinesio Taping on patients with de Quervain Disease.Methods:60 cases with de Quervain Disease were divided into 30 treatment group and 30 control group according to random number table.The observation group was treated withtendon-regulation and bone-setting manipulation and Kinesio Taping,and the control group was given Votalin emulsion combined with Kinesio Taping.The patients were evaluated and compared according to the VAS before and after treatment,the degree of tenderness,the methods of electric integral value(integral electromyogram,iEMG),the degree of wrist ulnar deviation,and the cooney wrist score,and the curative effect was observed using the diagnostic curative effect criteria of TCM disease(the evaluation process was blinded).Results:Compared with the same group before treatment,after treatment,the pain and tenderness of the two groups were reduced,iEMG value increased,the ulnar deviation of the wrist increased,and the cooney wrist score increased(all P<0.05);the improvement of the treatment group was significantly better.In the control group,the difference was statistically significant(P<0.05)and the total effective rate of the treatment group was 93%higher than that of the control group 80%(P<0.05).Conclusion:The combination of the tendon-regulation and bone-setting manipulation combined with the Kinesio Taping can effectively reduce the pain and tenderness of the patients withde Quervain Disease,increase the ulnar mobility of the wrist joint,and improve the joint function of the wrist joint.

Simulation Modeling of the Motion Control of a Two Degree of Freedom,Tendon Based,Parallel Manipulator in Operational Space Using MATLAB

In this paper a dynamical model of a two degree of freedom,tendon based,parallel manipulator (TBPM) system is proposed. The motion control methods of the TBPM system were designed. Using MATLAB,the motion control simulation of this model TBPM system was implemented in preparation for actual experiments. The results of the simulation demonstrated that the response time of the system was in a reasonable range,the motion behavior of the platform was stable and the tension forces acting on the tendons were in a safe range and acceptable. Furthermore,the parameters of the controllers were optimized using MATLAB and better results for the time response were obtained.

Modeling and motion control simulation of tendon based parallel manipulator translation mechanism for sensor based high value waste processing

A novel sorting system based on one degree of freedom (DOF) tendon based parallel manipulator (TBPM) for high value waste processing was presented and designed. In order to control the motion of loads, nonlinear state feed forward control algorithm in the tendon length coordinate was used. Considering the system redundancy and actuation behavior, algorithms of optimal tension distribution and forward kinematics were designed. Then, the simulation experiments of motion control were implemented. The results demonstrate that the proposed TBPM translation system performs robust capacities. It can transfer the loads 1 m away within 1.5 s. With further optimization, the translation duration can be further reduced to be about 1 s and the optimized translation is followed with 43.59 m/s2 maximum acceleration. The translation errors at the aim position remain below 0.4 mm.