Comparison of psoas major activation during standing hip flexion between chronic low back pain and healthy populations.

BACKGROUND: The psoas major (PM) has been identified as a potential contributor to chronic low back pain (LBP). However, few studies have investigated the effects of upright functional movement on PM activation in cLBP individuals. OBJECTIVE: This cross-sectional study aims to compare PM muscle activation characteristics in chronic LBP (cLBP) and healthy subjects during the transition from quiet double-leg standing to standing hip flexion. METHODS: Ultrasound Imaging was used to assess PM thickness at the lumbar vertebral level of L4-5 in 12 healthy and 12 cLBP participants. The changes in thickness between the test positions were utilized as a proxy for PM activation. RESULTS: The cLBP group exhibited greater thickness changes on the non-dominant side PM during contralateral hip flexion but not ipsilateral hip flexion (p= 0.369) compared to their healthy counterparts (p= 0.011; cLBP: resting 27.85 mm, activated 34.63 mm; healthy: resting 29.51 mm, activated 29.00 mm). There were no significant differences in dominant side PM thickness changes between the two groups during either contralateral or ipsilateral hip flexion (p= 0.306 and p= 0.077). CONCLUSION: Our findings suggest a potential overactivation of the PM in the cLBP population. This insight may aid in the development of tailored rehabilitation programs.

Gradient Pores Enhance Charge Storage Density of Carbonaceous Cathodes for Zn-Ion Capacitor.

Engineering carbonaceous cathode materials with adequately accessible active sites is crucial for unleashing their charge storage potential. Herein, activated meso-microporous shell carbon (MMSC-A) nanofibers are constructed to enhance the zinc ion storage density by forming a gradient-pore structure. A dominating pore size of 0.86 nm is tailored to cater for the solvated [Zn(H2O)6]2+. Moreover, these gradient porous nanofibers feature rapid ion/electron dual conduction pathways and offer abundant active surfaces with high affinity to electrolyte. When employed in Zn-ion capacitors (ZICs), the electrode delivers significantly enhanced capacity (257 mAh g-1), energy density (200 Wh kg-1 at 78 W kg-1), and cyclic stability (95% retention after 10 000 cycles) compared to nonactivated carbon nanofibers electrode. A series of in situ characterization techniques unveil that the improved Zn2+ storage capability stems from size compatibility between the pores and [Zn(H2O)6]2+, the co-adsorption of Zn2+, H+, and SO4 2-, as well as reversible surface chemical interaction. This work presents an effective method to engineering meso-microporous carbon materials toward high energy-density storage, and also offers insights into the Zn2+ storage mechanism in such gradient-pore structures.

Solvent-Free Synthesis of Hollow Carbon Nanostructures for Efficient Sodium Storage.

The structural characteristics of hollow carbon nanostructures (HCNs) result in intriguing physicochemical properties and various applications, especially for electrochemical energy storage applications. However, the currently solvent-based template methods to prepare HCNs are still far from meeting the facile, environment-friendly, and scalable demand. Herein, we explored a general and facile solvent-free block copolymer self-assembly approach to prepare various hollow hard carbon nanostructures, including hollow carbon nanofibers, hollow carbon Janus nanotadpoles, hollow carbon spheres, etc. It was found that the obtained HCNs possess abundant active sites, fast pathways for electrons/ions transport, and superior electronic conducting connectivity, which are promising for efficient electrochemical energy storage. Typically, the resultant hollow carbon nanofibers with a thick-walled tube deliver a high reversible capacity (431 mAh g-1) and excellent rate performance (259 mAh g-1 at 800 mA g-1) for sodium ion storage. This intelligent solvent-free block copolymer self-assembly method would inspire the design of hollow hard carbon-based nanostructures for advanced applications in various energy conversion and storage.

Comparison of transversus abdominis activation characteristics between healthy and chronic low back pain population during upright functional movement.

BACKGROUND: Previous literature suggests that transversus abdominis (TrA) activation is diminished in chronic low back pain (cLBP) subjects compared to healthy subjects in less-functional positions. However, few studies have investigated the effects of upright functional movement on TrA activation in cLBP individuals. OBJECTIVE: This pilot study aimed to compare TrA activation characteristics in healthy and cLBP subjects during the movement of double leg standing (DLS) to single leg standing (SLS) and to a 30∘ single leg quarter squat (QSLS). METHODS: TrA activation was determined by the percentage change in TrA thickness from DLS to SLS and DLS to QSLS. TrA thickness was measured in 14 healthy and 14 cLBP participants using ultrasound imaging with a probe holder at 20 mm and 30 mm from the fascia conjunction point. RESULTS: At both measurement points (20 and 30 mm), there were no significant main effects of body sides, lower limb movements and the interactions between them on TrA activations between the healthy and cLBP participants even after covariates were adjusted for (all p> 0.05). CONCLUSIONS: Results from this study suggest the evaluation of TrA activation during upright functional movements as part of an assessment for cLBP management may not be suggested.

Amine-aldehyde resin derived porous N-doped hollow carbon nanorods for high-energy capacitive energy storage.

Electrochemical double layer capacitors (EDLCs) are known for their high power density but hampered by low energy density. Herein, N-doped hollow carbon nanorods (NHCRs) have been constructed by a hard templating method using MnO2nanorods as the hard templates andm-phenylenediamine-formaldehyde resin as the carbon precursor. The NHCRs after activation (NHCRs-A) manifest abundant micropores/mesopores and an ultrahigh surface area (2166 m2g-1). When employed in ionic liquid (IL) electrolyte-based EDLCs, the NHCRs-A delivers a high specific capacitance (220 F g-1at 1 A g-1), an impressive energy density (110 Wh kg-1), and decent cyclability (97% retention over 15 000 cycles). The impressive energy density is derived from the abundant ion-available micropores, while the decent power density is originated from the hollow ion-diffusion channels as well as excellent wettability in ILs.In situinfrared spectroscopy together within situRaman unveil that both counter-ion adsorption and ion exchange are involved in the charge storage of NHCRs-A. This study provides insight into the construction of porous carbon materials for EDLCs.

Amine-Aldehyde Condensation-Derived N-Doped Hard Carbon Microspheres for High-Capacity and Robust Sodium Storage.

Hard carbon is generally accepted as the choice of anode material for sodium-ion batteries. However, integrating high capacity, high initial Coulombic efficiency (ICE), and good durability in hard carbon materials remains challenging. Herein, N-doped hard carbon microspheres (NHCMs) with abundant Na+ adsorption sites and tunable interlayer distance are constructed based on the amine-aldehyde condensation reaction using m-phenylenediamine and formaldehyde as the precursors. The optimized NHCM-1400 with a considerable N content (4.64%) demonstrates a high ICE (87%), high reversible capacity with ideal durability (399 mAh g-1 at 30 mA g-1 and 98.5% retention over 120 cycles), and decent rate capability (297 mAh g-1 at 2000 mA g-1 ). In situ characterizations elucidate the adsorption-intercalation-filling sodium storage mechanism of NHCMs. Theoretical calculation reveals that the N-doping decreases the Na+ adsorption energy on hard carbon.

Potential of the omnidirectional walking platform with virtual reality as a rehabilitation tool.

Introduction: The combination of virtual reality (VR) with an omnidirectional walking platform (ODWP) may have potential in rehabilitation settings. However, its use, acceptance, safety, and effectiveness are unclear. This preliminary study aims to understand the feasibility, safety, and user experience (including investigating the onset of cybersickness) while walking on the ODWP with fully immersive VR. Methods: Participants engaged with eight immersive VR walking scenarios. The scenarios were created using 360-degree videos and were programmed to run with the ODWP. Safety modifications for the ODWP were made, with the addition of parallel bars. Quantitative feedback on the perceived safety and acceptance of using VR with an ODWP for rehabilitation was collected. Cybersickness was evaluated using the Simulation Symptoms Questionnaire (SSQ). Results: Thirty-five participants (n = 8 physiotherapists, n = 27 healthy adults) were recruited for this study. The mean perceived safety score was 78.9/100 and acceptance was 64.5/100. Seventy-one percent of participants experienced mild to moderate symptoms of cybersickness as reported on the SSQ. The SSQ scores were not correlated to participant age or simulation exposure time. Conclusion: VR while using ODWP has the potential for rehabilitation, however, more consideration is needed to address acceptance and cybersickness.

A High-Energy NASICON-Type Na3.2 MnTi0.8 V0.2 (PO4 )3 Cathode Material with Reversible 3.2-Electron Redox Reaction for Sodium-Ion Batteries.

Na superionic conductor (NASICON) structured cathode materials with robust structural stability and large Na+ diffusion channels have aroused great interest in sodium-ion batteries (SIBs). However, most of NASICON-type cathode materials exhibit redox reaction of no more than three electrons per formula, which strictly limits capacity and energy density. Herein, a series of NASICON-type Na3+x MnTi1-x Vx (PO4 )3 cathode materials are designed, which demonstrate not only a multi-electron reaction but also high voltage platform. With five redox couples from V5+/4+ (≈4.1 V), Mn4+/3+ (≈4.0 V), Mn3+/2+ (≈3.6 V), V4+/3+ (≈3.4 V), and Ti4+/3+ (≈2.1 V), the optimized material, Na3.2 MnTi0.8 V0.2 (PO4 )3 , realizes a reversible 3.2-electron redox reaction, enabling a high discharge capacity (172.5 mAh g-1 ) and an ultrahigh energy density (527.2 Wh kg-1 ). This work sheds light on the rational construction of NASICON-type cathode materials with multi-electron redox reaction for high-energy SIBs.

The MedRisk instrument for measuring patient satisfaction with physical therapy care: validation in the Singapore outpatient physiotherapy setting.

BACKGROUND: Patient satisfaction (PS) serves an important role in physiotherapy. Being able to measure PS is important for improving service delivery. The MedRisk has not been validated in the Singapore population. OBJECTIVE: To validate the use of the MedRisk instrument for measuring PS in a local outpatient clinic, and to explore if PS was affected by continuity of care or individual items in the MedRisk. METHODS: Three hundred and one participants who underwent physiotherapy in the clinic completed the MedRisk instrument. Factor analysis was adopted to group the individual items in the MedRisk questionnaire into components and multiple regression was conducted to explore items predicting the two global ratings. RESULTS: Factors affecting PS can be grouped into two distinct components, therapist-related attributes and organizational factors (47.7% and 11.8% of variance explained, respectively). All questionnaire items were retained. Giving patients a home exercise program (overall satisfaction [OS] r = 0.691 and willingness to return to the same clinic [WR] r = 0.578) and listening to the patients' concerns (OS r = 0.685, WR r = 0.569) correlated with both overall satisfaction and willingness to return. Continuity of care was not correlated to overall satisfaction (r = 0.001, p = .988) or willingness to return for treatment (r = 0.069, p = .234). CONCLUSION: The MedRisk instrument is applicable to the local population. Patient satisfaction with outpatient physiotherapy services was predominantly influenced by therapist-related attributes.

Regulation of gut microbiota of Astragali Radix in treating for chronic atrophic gastritis rats based on metabolomics coupled with 16S rRNA gene sequencing.

Astragali Radix (HQ), a common traditional Chinese medicine (TCM), is widely used to treat chronic atrophic gastritis (CAG). However, its mechanism in treating CAG is still not clear. Accumulating evidence highlights the link between gut microbiota and CAG. We hypothesized that the gut microbiota might be involved in the effect of HQ. Ultra-performance liquid chromatography coupled with time-of-flight mass spectrometry (UPLC-Q-TOF/MS) based metabolomics and 16S rRNA gene sequencing techniques of the cecal contents were applied to study its mechanisms. As a result, nine metabolites and fifteen gut microbiotas changed significantly in cecal contents samples between control group and model group. Among them, two metabolites (7-keto-3A ·12-α-hydroxyalkanoic acid and deoxycholic acid) and two gut microbiota genera (Acetobacter and Escherichia), had the most obvious callback effect after the administration of HQ. Sixty-seven correlated pairs exhibited the significant link between the involved metabolites and gut microbiotas through the correlation analysis, where two strong correlation pairs: Tetrahydrohydroxone âˆ¼ Bacteroides (r = 0.895) and Deoxycholic acid âˆ¼ Acetobacter (r = -0.843) were regulated by HQ. The results showed that HQ had the potential protection from metabolic perturbation involved into gut microbiotas induced by CAG. Two gut microbiotas, Acetobacter and Escherichia, and two metabolites, 7-keto-3A ·12-α-hydroxyalkanoic acid and deoxycholic acid were the potential targets of HQ.

Regulating the Interlayer Spacings of Hard Carbon Nanofibers Enables Enhanced Pore Filling Sodium Storage.

Hard carbon (HC) represents an attractive anode material for sodium-ion batteries. However, most HC materials deliver limited capacity and the sodium storage mechanisms in the slope and plateau regions are controversial. Herein, a series of hard carbon nanofibers (HCNFs) with tunable interlayer spacings are designed to understand the sodium storage manners in HC. The optimized HCNFs featuring short-range graphitic layers with sufficient interlayer spacings (0.37-0.40 nm) for Na+ intercalation deliver a high reversible capacity (388 mAh g-1 at 30 mA g-1 ) and good rate capability. In-situ X-ray diffraction and Raman characterizations reveal a revised adsorption/insertion-filling sodium storage mechanism. Combined with the density functional theory (DFT) calculation, the detailed relationship between pore-filling plateau capacity and interlayer spacing is disclosed. It is found that sufficient interlayer spacings (>0.37 nm) provide diffusion channels for Na+ to reach the pores for further filling. Additionally, the reason for plateau-region capacity degradation of the HCNFs is completely demonstrated. This contribution provides insights into the sodium storage mechanism and rational construction of high-performance HC anode materials.

PRMT5 Enables Robust STAT3 Activation via Arginine Symmetric Dimethylation of SMAD7.

Protein arginine methyltransferase 5 (PRMT5) is the type II arginine methyltransferase that catalyzes the mono- and symmetrical dimethylation of protein substrates at the arginine residues. Emerging evidence reveals that PRMT5 is involved in the regulation of tumor cell proliferation and cancer development. However, the exact role of PRMT5 in human lung cancer cell proliferation and the underlying molecular mechanism remain largely elusive. Here, it is shown that PRMT5 promotes lung cancer cell proliferation through the Smad7-STAT3 axis. Depletion or inhibition of PRMT5 dramatically dampens STAT3 activation and thus suppresses the proliferation of human lung cancer cells. Furthermore, depletion of Smad7 blocks PRMT5-mediated STAT3 activation. Mechanistically, PRMT5 binds to and methylates Smad7 on Arg-57, enhances Smad7 binding to IL-6 co-receptor gp130, and consequently ensures robust STAT3 activation. The findings position PRMT5 as a critical regulator of STAT3 activation, and suggest it as a potential therapeutic target for the treatment of human lung cancer.

Micropore-Rich Yolk-Shell N-doped Carbon Spheres: An Ideal Electrode Material for High-Energy Capacitive Energy Storage.

Increasing the energy density of electrochemical double layer capacitors (EDLCs) can broaden their applications in energy storage but remains a formidable challenge. Herein, micropore-rich yolk-shell structured N-doped carbon spheres (YSNCSs) were constructed by a one-pot surfactant-free self-assembly method in aqueous solution. The resultant YSNCSs after activation possessed an ultrahigh surface area of 2536 m2 g-1 , among which 80 % was contributed from micropores. When applied in EDLCs, the activated YSNCSs demonstrated an unprecedentedly high capacitance (270 F g-1 at 1 A g-1 ) in 1-ethyl-3-methylimidazolium tetrafluoroborate ([EMIM][BF4 ]) ionic liquid, affording an ultrahigh energy density (133 Wh kg-1 at 943 W kg-1 ). The present contribution provides insight into engineering porous carbons for capacitive energy storage.

Porous V2O5 microspheres: a high-capacity cathode material for aqueous zinc-ion batteries.

Porous V2O5 microspheres are synthesized via spray-drying and employed as the cathode material for aqueous zinc-ion batteries (ZIBs). The obtained porous V2O5 microspheres exhibit an ultrahigh reversible capacity and superior rate and cycling performances. In particular, a discharge capacity of 401 mA h g-1 can be achieved at 100 mA g-1. The specific energy density reaches 286 W h kg-1, surpassing most reported V-based cathode materials. The super electrochemical performances demonstrate that the porous V2O5 microsphere is a promising cathode material for aqueous ZIBs.

Effect of Post-Exercise Massage on Passive Muscle Stiffness Measured Using Myotonometry - A Double-Blind Study.

It is commonly believed that massage can reduce muscle stiffness and is desirable for recovery from exercise. However, the effect massage on muscle stiffness following eccentric exercises is currently unknown. This study aimed to examine the effect of post-exercise massage on passive muscle stiffness over a five-day period. A randomised cross-over study design was adopted. After 40 minutes of downhill running, 18 male recreational runners had one leg received a 16-minute massage and the contralateral leg received a 16-minute sham ultrasound treatment. Passive stiffness for four leg muscles (rectus femoris, biceps femoris, tibialis anterior, and gastrocnemius) was assessed using myotonometry at baseline, immediately post-run, post-treatment, 24, 48, 72, and 96 hours post-run. A 2 (treatment) × 7 (time) mixed ANOVA was conducted with a robust procedure on the myotonometry data of each leg muscle to examine the effect of treatment on stiffness. Passive stiffness for all muscles changed over time but no treatment effect was found. Stiffness increased at 24 hours post-run and remained elevated from baseline levels for up to 96 hours across all four muscles. Significant treatment × time interaction was only found in the tibialis anterior but no post-hoc differences were identified. Passive stiffness of major leg muscles increased after a bout of unaccustomed eccentric exercise and remained elevated for up to four days post-exercise. Compared with the placebo treatment, post-exercise massage had no beneficial effect in alleviating altered muscle stiffness in major leg muscles.

Comparison of Lower Limb and Back Exercises for Runners with Chronic Low Back Pain.

INTRODUCTION: This single-blind randomized trial was conducted to compare the treatment effect of lower limb (LL) exercises versus conventional lumbar extensor (LE) and lumbar stabilization (LS) exercises in recreational runners with chronic low back pain (cLBP), because there is currently no specific protocol for managing runners with cLBP. METHODS: Eighty-four recreational runners with cLBP were allocated to three exercise groups (LL, LE, LS) for an 8-wk intervention. Outcome measures included self-rated pain and running capability, LL strength, back muscle function, and running gait. Participants were assessed at preintervention, mid-intervention, and end-intervention; selected outcomes also followed up at 3 and 6 months. Generalized estimating equation was adopted to examine group-time interaction. RESULTS: The LL group improved 0.949 points per time point in Patient-Specific Functional Scale (P < 0.001), which was higher than the LE (B = -0.198, P = 0.001) and LS groups (B = -0.263, P < 0.001). All three groups improved on average 0.746 points per time point in Numeric Pain Rating Scale for running-induced pain (P < 0.001). Knee extension strength increased 0.260 N·m·kg per time point (P < 0.001) in the LL group, which was higher than the LE (B = -0.220, P < 0.001) and LS groups (B = -0.206, P < 0.001). The LL group also showed a greater increase in running step length (2.464 cm per time point, P = 0.001) compared with LS group (B = -2.213, P = 0.013). All three groups improved similarly in back muscle function. CONCLUSION: LL exercise therapy could be a new option for cLPB management given its superior effects in improving running capability, knee extension strength, and running gait.

Low back and lower-limb muscle performance in male and female recreational runners with chronic low back pain.

STUDY DESIGN: Controlled laboratory study, cross-sectional. OBJECTIVE: To compare lumbar extensor muscle fatigability, lumbar stabilizing muscle activation, and lower-limb strength between male and female runners with chronic low back pain (LBP) and healthy runners. BACKGROUND: Little is known about muscle performance in runners with chronic LBP. METHODS: Eighteen recreational runners with chronic LBP (9 men, 9 women; mean age, 27.8 years) and 18 healthy recreational runners (9 men, 9 women; mean age, 24.6 years) were recruited. The median frequency slopes for bilateral iliocostalis and longissimus were calculated from electromyographic signals captured during a 2-minute Sorensen test. The thickness changes of the transversus abdominis and lumbar multifidus between resting and contraction were measured using an ultrasound scanner. Peak concentric torques of the bilateral hip extensors, hip abductors, and knee extensors were measured using an isokinetic dynamometer at 60°/s. The average values for both sides were used for statistical analysis. RESULTS: When averaged across sexes, peak knee extensor torque was 12.2% lower in the LBP group compared to the healthy group (mean difference, 0.29 Nm/kg; 95% confidence interval: 0.06, 0.53; P = .016). Male runners with chronic LBP exhibited smaller lumbar multifidus thickness changes compared to healthy male runners (mean difference, 0.13 cm; 95% confidence interval: 0.01, 0.25; P = .033). No other group differences were observed. CONCLUSION: Runners with chronic LBP exhibited diminished knee extensor strength compared to healthy runners. Male runners with chronic LBP demonstrated additional deficits in lumbar multifidus activation.

Development of a clinical prediction rule to identify patients with neck pain who are likely to benefit from home-based mechanical cervical traction.

The objective of the study was to identify the population of patients with neck pain who improved with home-based mechanical cervical traction (HMCT). A prospective cohort study was conducted in a physical therapy clinic at a local hospital. Patients with neck pain referred to the clinic for physical therapy were included in the study. A HMCT program was given to participants for 2 weeks. The patient's demographic data, Numerical Pain Scale (NPS) score, Neck Disability Index (NDI) and Fear-Avoidance Beliefs Questionnaire score were collected, and standard physical examination of the cervical spine was conducted before intervention. The NPS score, NDI and a global rating of perceived improvement were collected after the intervention was completed. A total of 103 patients participated in the study and 47 had a positive response to HMCT. A clinical prediction rule with four variables (Fear-Avoidance Beliefs Work Subscale score < 13, pre-intervention pain intensity ≥ 7/10, positive cervical distraction test and pain below shoulder) was identified. With satisfaction of at least three out of four variables (positive likelihood ratio = 4.77), the intervention's success rate increased from 45.6% to over 80%. It appears that patients with neck pain who are likely to respond to HMCT may be identified.

A clinical prediction rule for classifying patients with low back pain who demonstrate short-term improvement with mechanical lumbar traction.

The objective of the study was to develop a clinical prediction rule for identifying patients with low back pain, who improved with mechanical lumbar traction. A prospective, cohort study was conducted in a physiotherapy clinic at a local hospital. Patients with low back pain, referred to physiotherapy were included in the study. The intervention was a standardized mechanical lumbar traction program, which comprised three sessions provided within 9 days. Patient demographic information, standard physical examination, numeric pain scale, fear-avoidance beliefs questionnaire and Oswestry low back pain disability index (pre- and post-intervention) were recorded. A total of 129 patients participated in the study and 25 had positive response to the mechanical lumbar traction. A clinical prediction rule with four variables (non-involvement of manual work, low level fear-avoidance beliefs, no neurological deficit and age above 30 years) was identified. The presence of all four variables (positive likelihood ratio = 9.36) increased the probability of response rate with mechanical lumbar traction from 19.4 to 69.2%. It appears that patients with low back pain who were likely to respond to mechanical lumbar traction may be identified.

Treadmill walking with body weight support is no more effective than cycling when added to an exercise program for lumbar spinal stenosis: a randomised controlled trial.

QUESTION: Is 6 weeks of treadmill walking with body weight support more effective than cycling in people with lumbar spinal stenosis when added to an exercise program? DESIGN: Randomised controlled trial with concealed allocation, assessor blinding, and intention-to-treat analysis. PARTICIPANTS: Sixty-eight patients aged 58 (SD 8) with symptoms of lumbar spinal stenosis for 12 weeks (SD 49). INTERVENTION: Participants performed either treadmill with body weight support or cycling, twice weekly, for 6 weeks. Both groups also received an exercise program consisting of heat, lumbar traction, and flexion exercises. OUTCOME MEASURES: The primary outcome was disability measured using the modified Oswestry Disability Index. Secondary outcomes were disability, measured using the Roland-Morris Disability Questionnaire, pain severity, and patient perceived benefit. Measures were collected midway through intervention at 3 weeks and after intervention at 6 weeks. RESULTS: There was no difference between the groups in reduction in disability or pain over the 6-week intervention period. The between-group difference in the modified Oswestry Disability Index was 3.2 points (95% CI -3.1 to 7.7) at 6 weeks, and in pain severity was 2 mm on a 100 visual analogue scale (95% CI -5 to 10). Furthermore, the wide confidence intervals associated with estimates of patient benefit are consistent with no difference between the two groups. However, both groups did improve. CONCLUSION: Treadmill with body weight support and cycling may be equally effective in the conservative management of people with lumbar spinal stenosis. However, the improvement observed in both groups was probably a combination of the intervention and the natural course of recovery of lumbar spinal stenosis.