Medical engineering & physics
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Comparative Study
Posturographic measures in healthy young adults during quiet sitting in comparison with quiet standing.
Measures of postural steadiness - known as posturography - are commonly used for balance assessment during quiet standing. Although quiet sitting balance may be studied via posturography as well, this has not been done to date. As such, the purpose of this study was to characterize the posturography during quiet sitting in comparison with quiet standing and to provide a benchmark for future studies investigating differences in balance regulation and execution. ⋯ The observed differences can be partially explained by biomechanical and dynamic differences of the body portions that are in motion during quiet sitting and standing. The SDF analysis suggests, however, that also the balance control strategies are not identical. These findings may be especially useful for the assessment of sitting balance and the development of novel balance rehabilitation techniques and assistive devices.
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Concerns over accelerated damage to the untreated compartment of the knee following unicompartmental knee arthroplasty (UKA), as well as the relatively poor success rates observed for lateral as opposed to the medial arthroplasty, remain issues for attention. Finite element analysis (FEA) was used to assess changes to the kinematics and potential for cartilage damage across the knee joint in response to the implantation of the Oxford Mobile Bearing UKA. FE models of lateral and medial compartment arthroplasty were developed, in addition to a healthy natural knee model, to gauge changes incurred through the arthroplasty. ⋯ Resection of the cartilage in the medial compartment reduced the overall risk of progressive OA in the knee, whereas removing the cartilage from the lateral compartment, and in particular introducing a valgus femoral misalignment, increased the overall risk of progressive OA in the knee. Based on these results, under the conditions tested herein, both medial and lateral UKA can be said to induce kinematics of the knee which could be considered broadly comparable to those of the natural knee, and that even a 10 degrees varus-valgus misalignment of the femoral component may not induce highly irregular kinematics. However, elevated posterior translation of the tibia in lateral UKA and large excursions of the insert may explain the higher incidence of bearing dislocation observed in some clinical studies.
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The conventional zero-heat-flow thermometer, which measures the deep body temperature from the skin surface, is widely used at present. However, this thermometer requires considerable electricity to power the electric heater that compensates for heat loss from the probe; thus, AC power is indispensable for its use. Therefore, this conventional thermometer is inconvenient for unconstrained monitoring. ⋯ The average deep body temperature measurements taken using both the dual-heat-flux and then the zero-heat-flow thermometers from the foreheads of 17 healthy subjects were 37.08 degrees C and 37.02 degrees C, respectively. In addition, the correlation coefficient between the values obtained by the 2 methods was 0.970 (p<0.001). These results show that our method can be used for monitoring the deep body temperature as accurately as the conventional method, and it overcomes the disadvantage of the necessity of AC power supply.