Objective:To evaluate the efficacy and safety of transcutaneous electrical acupoint stimulation(TEAS)for muscle atrophy in patients with immobilization after surgical fixation of foot and ankle fractures.Methods:This ...Objective:To evaluate the efficacy and safety of transcutaneous electrical acupoint stimulation(TEAS)for muscle atrophy in patients with immobilization after surgical fixation of foot and ankle fractures.Methods:This was a two-arm randomized controlled trial wherein 80 patients were recruited and divided into control(n=40)and intervention(n=40)groups.The control group received conventional orthopedic treatment,whereas the intervention group received TEAS and conventional treatment.The intervention group received TEAS 3 times a week for 30 min each time for 8 weeks.The primary out-comes were muscle thickness(MT)and cross-sectional area(CSA)of the rectus femoris and gastroc-nemius muscles,whereas the secondary outcome measure was echo intensity(EI).Data were collected before the fixation operations(baseline assessment)and 4 and 8 weeks after intervention.Results:Compared with baseline,the MT and CSA were reduced in both groups by the end of treatment,whereas EI increased in both groups.At week 4,the reduction in the rectus femoris CSA in the inter-vention group was significantly lower than that in the control group(P=0.02);however,the between-group differences in the MT and EI(all P>0.05)were not significant.No serious adverse events were observed in either group.Conclusion:Our study showed that TEAS can improve muscle atrophy by attenuating the decline in the muscle CSA.Because this was only a pilot trial,subsequent studies will need longer follow-ups and larger sample sizes.展开更多
Objective To investigate the effect of computer aided 3D simulation technique for treating complicated foot and ankle fractures precisely.Methods From November 2007 to August 2009,255 patients with complicated foot an...Objective To investigate the effect of computer aided 3D simulation technique for treating complicated foot and ankle fractures precisely.Methods From November 2007 to August 2009,255 patients with complicated foot and ankle fractures展开更多
Purpose:To comprehensively analyze the geographic and temporal trends of foot fracture,understand its health burden by age,sex,and sociodemographic index(SDI),and explore its leading causes from 1990 to 2019.Methods:T...Purpose:To comprehensively analyze the geographic and temporal trends of foot fracture,understand its health burden by age,sex,and sociodemographic index(SDI),and explore its leading causes from 1990 to 2019.Methods:The datasets in the present study were generated from the Global Burden of Diseases Study 2019,which included foot fracture data from 1990 to 2019.We extracted estimates along with the 95%uncertainty interval(UI)for the incidence and years lived with disability(YLDs)of foot fracture by location,age,gender,and cause.The epidemiology and burden of foot fracture at the global,regional,and national level was exhibited.Next,we presented the age and sex patterns of foot fracture.The leading cause of foot fracture was another focus of this study from the viewpoint of age,sex,and location.Then,Pearson's correlations between age-standardized rate(ASR),SDI,and estimated annual percentage change were calculated.Results:The age-standardized incidence rate was 138.68(95%UI:104.88-182.53)per 100,000 persons for both sexes,174.24(95%UI:134.35-222.49)per 100,000 persons for males,and 102.19(95%UI:73.28-138.00)per 100,000 persons for females in 2019.The age-standardized YLDs rate was 5.91(95%UI:3.58-9.25)per 100,000 persons for both genders,7.35(95%UI:4.45-11.50)per 100,000 persons for males,and 4.51(95%UI:2.75-7.03)per 100,000 persons for females in 2019.The global incidence and YLDs of foot fracture increased in number and decreased in ASR from 1990 to 2019.The global geographical distribution of foot fracture is uneven.The incidence rate for males peaked at the age group of 20-24 years,while that for females increased with advancing age.The incidence rate of older people was rising,as younger age incidence rate declined from 1990 to 2019.Falls,exposure to mechanical forces,and road traffic injuries were the 3 leading causes of foot fracture.Correlations were observed between ASR,estimated annual percentage change,and SDI.Conclusions:The burden of foot fracture remains high globally,and it poses an enormous public health challenge,with population aging.It is necessary to allocate more resources to the high-risk populations.Targeted realistic intervention policies and strategies are warranted.展开更多
基金supported by the funded project(HYZHX M05005)in the field of space medical experiments of manned spaceflight engineering.
文摘Objective:To evaluate the efficacy and safety of transcutaneous electrical acupoint stimulation(TEAS)for muscle atrophy in patients with immobilization after surgical fixation of foot and ankle fractures.Methods:This was a two-arm randomized controlled trial wherein 80 patients were recruited and divided into control(n=40)and intervention(n=40)groups.The control group received conventional orthopedic treatment,whereas the intervention group received TEAS and conventional treatment.The intervention group received TEAS 3 times a week for 30 min each time for 8 weeks.The primary out-comes were muscle thickness(MT)and cross-sectional area(CSA)of the rectus femoris and gastroc-nemius muscles,whereas the secondary outcome measure was echo intensity(EI).Data were collected before the fixation operations(baseline assessment)and 4 and 8 weeks after intervention.Results:Compared with baseline,the MT and CSA were reduced in both groups by the end of treatment,whereas EI increased in both groups.At week 4,the reduction in the rectus femoris CSA in the inter-vention group was significantly lower than that in the control group(P=0.02);however,the between-group differences in the MT and EI(all P>0.05)were not significant.No serious adverse events were observed in either group.Conclusion:Our study showed that TEAS can improve muscle atrophy by attenuating the decline in the muscle CSA.Because this was only a pilot trial,subsequent studies will need longer follow-ups and larger sample sizes.
文摘Objective To investigate the effect of computer aided 3D simulation technique for treating complicated foot and ankle fractures precisely.Methods From November 2007 to August 2009,255 patients with complicated foot and ankle fractures
基金sponsored by the National Key R&D Program of China(Grant No.2022YFC2009505).
文摘Purpose:To comprehensively analyze the geographic and temporal trends of foot fracture,understand its health burden by age,sex,and sociodemographic index(SDI),and explore its leading causes from 1990 to 2019.Methods:The datasets in the present study were generated from the Global Burden of Diseases Study 2019,which included foot fracture data from 1990 to 2019.We extracted estimates along with the 95%uncertainty interval(UI)for the incidence and years lived with disability(YLDs)of foot fracture by location,age,gender,and cause.The epidemiology and burden of foot fracture at the global,regional,and national level was exhibited.Next,we presented the age and sex patterns of foot fracture.The leading cause of foot fracture was another focus of this study from the viewpoint of age,sex,and location.Then,Pearson's correlations between age-standardized rate(ASR),SDI,and estimated annual percentage change were calculated.Results:The age-standardized incidence rate was 138.68(95%UI:104.88-182.53)per 100,000 persons for both sexes,174.24(95%UI:134.35-222.49)per 100,000 persons for males,and 102.19(95%UI:73.28-138.00)per 100,000 persons for females in 2019.The age-standardized YLDs rate was 5.91(95%UI:3.58-9.25)per 100,000 persons for both genders,7.35(95%UI:4.45-11.50)per 100,000 persons for males,and 4.51(95%UI:2.75-7.03)per 100,000 persons for females in 2019.The global incidence and YLDs of foot fracture increased in number and decreased in ASR from 1990 to 2019.The global geographical distribution of foot fracture is uneven.The incidence rate for males peaked at the age group of 20-24 years,while that for females increased with advancing age.The incidence rate of older people was rising,as younger age incidence rate declined from 1990 to 2019.Falls,exposure to mechanical forces,and road traffic injuries were the 3 leading causes of foot fracture.Correlations were observed between ASR,estimated annual percentage change,and SDI.Conclusions:The burden of foot fracture remains high globally,and it poses an enormous public health challenge,with population aging.It is necessary to allocate more resources to the high-risk populations.Targeted realistic intervention policies and strategies are warranted.
