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1.
J Am Chem Soc ; 2024 Jul 18.
Artículo en Inglés | MEDLINE | ID: mdl-39022834

RESUMEN

Excitonic insulators are long-sought-after quantum materials predicted to spontaneously open a gap by the Bose condensation of bound electron-hole pairs, namely, excitons, in their ground state. Since the theoretical conjecture, extensive efforts have been devoted to pursuing excitonic insulator platforms for exploring macroscopic quantum phenomena in real materials. Reliable evidence of excitonic character has been obtained in layered chalcogenides as promising candidates. However, owing to the interference of intrinsic lattice instabilities, it is still debatable whether those features, such as the charge density wave and gap opening, are primarily driven by the excitonic effect or by the lattice transition. Herein, we develop an intercalation chemistry strategy for obtaining a novel charge-transfer excitonic insulator in organic-inorganic superlattice interfaces that serves as an ideal platform to decouple the excitonic effect from the lattice effect. In this system, we observe a narrow excitonic gap, formation of a charge density wave without periodic lattice distortion, and metal-insulator transition, providing visualized evidence of exciton condensation occurring in thermal equilibrium. Our findings identify self-assembly intercalation chemistry as a new strategy for developing novel excitonic insulators.

2.
Chem Sci ; 15(20): 7781-7788, 2024 May 22.
Artículo en Inglés | MEDLINE | ID: mdl-38784731

RESUMEN

Glass microfluidic chips are suitable for coupling with mass spectrometry (MS) due to their flexible design, optical transparency and resistance to organic reagents. However, due to the high hardness and brittleness of glass, there is a lack of simple and feasible technology to manufacture a monolithic nanospray ionization (nESI) emitter on a glass microchip, which hinders its coupling with mass spectrometry. Here, a continuous fluid-assisted etching strategy is proposed to fabricate monolithic three-dimensional (3D) nESI emitters integrated into glass microchips. A continuous fluid of methanol is adopted to protect the inner wall of the channels and the bonding interface of the glass microfluidic chip from being wet-etched, forming sharp 3D nESI emitters. The fabricated 3D nESI emitter can form a stable electrospray plume, resulting in consistent nESI detection of acetylcholine with an RSD of 4.5% within 10 min. The fabricated 3D emitter is integrated on a glass microfluidic chip designed with a T-junction droplet generator, which can realize efficient analysis of acetylcholine in picoliter-volume droplets by nESI-MS. Stability testing of over 20 000 droplets detected by the established system resulted in an RSD of 9.1% over approximately 180 min. The detection of ten neurochemicals in rat cerebrospinal fluid droplets is achieved. The established glass droplet microfluidic chip-MS system exhibits potential for broad applications such as in vivo neurochemical monitoring and single-cell analysis in the future.

3.
Angew Chem Int Ed Engl ; : e202407856, 2024 May 25.
Artículo en Inglés | MEDLINE | ID: mdl-38795326

RESUMEN

Aqueous Sn-air batteries are attracting a great deal of interest in recent years due to the ultra-high safety, low cost, dendrite-free and highly reversible Sn anode. However, the slurry oxygen reduction/evolution reaction (ORR/OER) kinetics on the air cathodes seriously affect the Sn-air battery performances. Although various advanced catalysts have been developed, the charge overpotentials (~1000 mV) of these Sn-air batteries are still not satisfactory. Herein, iron oxide (Fe2O3) modified titanium dioxide (TiO2) nanorods with heterogeneous structure are firstly synthesized on Ti mesh (Fe2O3@TiO2/Ti), and the obtained Fe2O3@TiO2/Ti films are further applied as catalytic electrodes for Sn-air batteries. The core-shell heterogeneous structure of Fe2O3@TiO2/Ti can effectively facilitate the conversion of electrochemical intermediates and separation of photo-excited electrons and holes to activate oxygen-related reaction processes. Density functional theory (DFT) and experimental results also confirm that Fe2O3@TiO2/Ti can not only act as the electrocatalysts to improve ORR/OER properties, but also exhibit the superior photo-catalytic activity to promote charging kinetics. Hence, the Fe2O3@TiO2/Ti-based Sn-air batteries show ultra-low overpotential of ~40 mV, excellent rate capability and good cycling stability under light irradiation. This work will shed light on rational photo-assisted catalytic cathode design for new-type metal-air batteries.

4.
Environ Sci Technol ; 58(23): 10398-10408, 2024 Jun 11.
Artículo en Inglés | MEDLINE | ID: mdl-38803193

RESUMEN

It is a great challenge to remove VOCs and NOx simultaneously from flue gas in nonelectric industries. This study focuses on the construction of Fe-MnO2 catalysts that perform well in the simultaneous removal of toluene and NOx at low temperatures. Utilizing the Fe-induced phase transition of MnO2, Fe-MnO2-F&R catalysts with a composite morphology of nanoflowers and nanorods were successfully prepared that provided an abundant microporous structure to facilitate the diffusion of molecules of different sizes. Through in-depth investigation of the active sites and reaction mechanism, we discovered that Fe-induced phase transition could modulate the surface acidity of Fe-MnO2-F&R. The higher concentration of surface Mn4+ provided numerous Brønsted acid sites, which effectively promoted the activation of toluene to reactive intermediates, such as benzyl alcohol/benzoate/maleic acid. Simultaneously, Fe provided a large number of Lewis acid sites that anchor and activate NH3 species, thereby inhibiting NH3 nonselective oxidation. Furthermore, additional Brønsted acid sites were generated during the simultaneous reaction process, enhancing toluene activation. Consequently, the simultaneous removal of toluene and NOx was achieved through regulation of the physical structure and the concentration of acidic sites. The present work provides new insights into the rational design of bifunctional catalysts for the synergistic control of VOCs and NOx emissions.


Asunto(s)
Tolueno , Tolueno/química , Compuestos de Manganeso/química , Catálisis , Óxidos/química , Transición de Fase , Óxidos de Nitrógeno/química , Frío
5.
ACS Nano ; 18(16): 10930-10945, 2024 Apr 23.
Artículo en Inglés | MEDLINE | ID: mdl-38604994

RESUMEN

Rechargeable alkali metal-CO2 batteries, which combine high theoretical energy density and environmentally friendly CO2 fixation ability, have attracted worldwide attention. Unfortunately, their electrochemical performances are usually inferior for practical applications. Aiming to reveal the underlying causes, a combinatorial usage of advanced nondestructive and postmortem characterization tools is used to intensively study the failure mechanisms of Li/Na-CO2 batteries. It is found that a porous interphase layer is formed between the separator and the Li/Na anode during the overvoltage rising and battery performance decaying process. A series of control experiments are designed to identify the underlying mechanisms dictating the observed morphological evolution of Li/Na anodes, and it is found that the CO2 synergist facilitates Li/Na chemical corrosion, the process of which is further promoted by the unwanted galvanic corrosion and the electrochemical cycling conditions. A detailed compositional analysis reveals that the as-formed interphase layers under different conditions are similar in species, with the main differences being their inconsistent quantity. Theoretical calculation results not only suggest an inherent intermolecular affinity between the CO2 and the electrolyte solvent but also provide the most thermodynamically favored CO2 reaction pathways. Based on these results, important implications for the further development of rechargeable alkali metal-CO2 batteries are discussed. The current discoveries not only fundamentally enrich our knowledge of the failure mechanisms of rechargeable alkali metal-CO2 batteries but also provide mechanistic directions for protecting metal anodes to build high-reversible alkali metal-CO2 batteries.

7.
Nat Commun ; 15(1): 2326, 2024 Mar 14.
Artículo en Inglés | MEDLINE | ID: mdl-38485720

RESUMEN

Transition metal oxides (TMOs) exhibit fascinating physicochemical properties, which originate from the diverse coordination structures between the transition metal and oxygen atoms. Accurate determination of such structure-property relationships of TMOs requires to correlate structural and electronic properties by capturing the global parameters with high resolution in energy, real, and momentum spaces, but it is still challenging. Herein, we report the determination of characteristic electronic structures from diverse coordination environments on the prototypical anatase-TiO2(001) with (1 × 4) reconstruction, using high-resolution angle-resolved photoemission spectroscopy and scanning tunneling microscopy/atomic force microscopy, in combination with density functional theory calculation. We unveil that the shifted positions of O 2s and 2p levels and the gap-state Ti 3p levels can sensitively characterize the O and Ti coordination environments in the (1 × 4) reconstructed surface, which show distinguishable features from those in bulk. Our findings provide a paradigm to interrogate the intricate reconstruction-relevant properties in many other TMO surfaces.

8.
J Am Chem Soc ; 146(10): 6536-6543, 2024 Mar 13.
Artículo en Inglés | MEDLINE | ID: mdl-38412553

RESUMEN

The past decade has witnessed substantial progress in understanding nontrivial band topology and discovering exotic topological materials in condensed-matter physics. Recently, topological physics has been further extended to the chemistry discipline, leading to the emergence of topological catalysis. In principle, the topological effect is detectable in catalytic reactions, but no conclusive evidence has been reported yet. Herein, by precisely manipulating the topological surface state (TSS) of Bi2Se3 nanosheets through thickness control and the application of a magnetic field, we provide direct experimental evidence to illustrate topological catalysis for CO2 electroreduction. With and without the cooperation of TSS, CO2 is mainly reduced into liquid fuels (HCOOH and H2C2O4) and CO, exhibiting high (up to 90% at -1.1 V versus reversible hydrogen electrode) and low Faradaic efficiency (FE), respectively. Theoretically, the product and FE difference can be attributed to the TSS-regulated adsorption of key intermediates and the reduced barrier of the potential-determining step. Our work demonstrates the inherent correlation between band topology and electrocatalysis, paving a new avenue for designing high-performance catalysts.

9.
ACS Appl Mater Interfaces ; 16(10): 12781-12792, 2024 Mar 13.
Artículo en Inglés | MEDLINE | ID: mdl-38415631

RESUMEN

The traditional methods for creating oxygen vacancies in materials present several challenges and limitations, such as high preparation temperatures, limited oxygen vacancy generation, and morphological destruction, which hinder the application of transition metal oxides in the field of zinc-air batteries (ZABs). In order to address these limitations, we have introduced a pioneering lithium reduction strategy for generating oxygen vacancies in δ-MnO2@MXene composite materials. This strategy stands out for its simplicity of implementation, applicability at room temperature, and preservation of the material's structural integrity. This research demonstrates that aqueous Ov-MnO2@MXene-5, with introduced oxygen vacancies, exhibits an outstanding oxygen reduction reaction (ORR) activity with an ORR half-wave potential reaching 0.787 V. DFT calculations have demonstrated that the enhanced activity could be attributed to adjustments in the electronic structure and alterations in adsorption bond lengths. These adjustments result from the introduction of oxygen vacancies, which in turn promote electron transport and catalytic activity. In the context of zinc-air batteries, cells with Ov-MnO2@MXene-5 as the air cathode exhibit outstanding performance, featuring a significantly improved maximum power density (198.3 mW cm-2) and long-term cycling stability. Through the innovative strategy of introducing oxygen vacancies, this study has successfully enhanced the electrochemical catalytic performance of MnO2, overcoming the limitations associated with traditional methods for creating oxygen vacancies. Consequently, this research opens up new avenues and directions for nonprecious metal catalyst application in ZABs.

10.
IEEE Trans Vis Comput Graph ; 30(1): 338-347, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37871058

RESUMEN

Understanding how helpful a visualization is from experimental results is difficult because the observed performance is confounded with aspects of the study design, such as how useful the information that is visualized is for the task. We develop a rational agent framework for designing and interpreting visualization experiments. Our framework conceives two experiments with the same setup: one with behavioral agents (human subjects), and the other one with a hypothetical rational agent. A visualization is evaluated by comparing the expected performance of behavioral agents to that of a rational agent under different assumptions. Using recent visualization decision studies from the literature, we demonstrate how the framework can be used to pre-experimentally evaluate the experiment design by bounding the expected improvement in performance from having access to visualizations, and post-experimentally to deconfound errors of information extraction from errors of optimization, among other analyses.

11.
IEEE Trans Vis Comput Graph ; 30(1): 208-218, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37871070

RESUMEN

Visual analytics (VA) tools support data exploration by helping analysts quickly and iteratively generate views of data which reveal interesting patterns. However, these tools seldom enable explicit checks of the resulting interpretations of data-e.g., whether patterns can be accounted for by a model that implies a particular structure in the relationships between variables. We present EVM, a data exploration tool that enables users to express and check provisional interpretations of data in the form of statistical models. EVM integrates support for visualization-based model checks by rendering distributions of model predictions alongside user-generated views of data. In a user study with data scientists practicing in the private and public sector, we evaluate how model checks influence analysts' thinking during data exploration. Our analysis characterizes how participants use model checks to scrutinize expectations about data generating process and surfaces further opportunities to scaffold model exploration in VA tools.

12.
Nanomicro Lett ; 16(1): 60, 2023 Dec 20.
Artículo en Inglés | MEDLINE | ID: mdl-38117416

RESUMEN

Two-dimensional (2D) transition metal chalcogenides (TMCs) hold great promise as novel microwave absorption materials owing to their interlayer interactions and unique magnetoelectric properties. However, overcoming the impedance mismatch at the low loading is still a challenge for TMCs due to the restricted loss pathways caused by their high-density characteristic. Here, an interface engineering based on the heterostructure of 2D Cr5Te8 and graphite is in situ constructed via a one-step chemical vapor deposit to modulate impedance matching and introduce multiple attenuation mechanisms. Intriguingly, the Cr5Te8@EG (ECT) heterostructure exhibits a minimum reflection loss of up to - 57.6 dB at 15.4 GHz with a thin thickness of only 1.4 mm under a low filling rate of 10%. The density functional theory calculations confirm that the splendid performance of ECT heterostructure primarily derives from charge redistribution at the abundant intimate interfaces, thereby reinforcing interfacial polarization loss. Furthermore, the ECT coating displays a remarkable radar cross section reduction of 31.9 dB m2, demonstrating a great radar microwave scattering ability. This work sheds light on the interfacial coupled stimulus response mechanism of TMC-based heterogeneous structures and provides a feasible strategy to manipulate high-quality TMCs for excellent microwave absorbers.

13.
Int J Nanomedicine ; 18: 6425-6448, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-38026522

RESUMEN

Chronic wounds are recalcitrant complications of a variety of diseases, with pathologic features including bacterial infection, persistent inflammation, and proliferation of reactive oxygen species (ROS) levels in the wound microenvironment. Currently, the use of antimicrobial drugs, debridement, hyperbaric oxygen therapy, and other methods in clinical for chronic wound treatment is prone to problems such as bacterial resistance, wound expansion, and even exacerbation. In recent years, researchers have proposed many novel materials for the treatment of chronic wounds targeting the disease characteristics, among which metal-phenolic networks (MPNs) are supramolecular network structures that utilize multivalent metal ions and natural polyphenols complexed through ligand bonds. They have a flexible and versatile combination of structural forms and a variety of formations (nanoparticles, coatings, hydrogels, etc.) that can be constructed. Functionally, MPNs combine the chemocatalytic and bactericidal properties of metal ions as well as the anti-inflammatory and antioxidant properties of polyphenol compounds. Together with the excellent properties of rapid synthesis and negligible cytotoxicity, MPNs have attracted researchers' great attention in biomedical fields such as anti-tumor, anti-bacterial, and anti-inflammatory. This paper will focus on the composition of MPNs, the mechanisms of MPNs for the treatment of chronic wounds, and the application of MPNs in novel chronic wound therapies.


Asunto(s)
Antiinfecciosos , Antiinfecciosos/uso terapéutico , Fenoles/química , Antibacterianos/farmacología , Antibacterianos/uso terapéutico , Metales , Antiinflamatorios , Iones , Hidrogeles/química
14.
Ecotoxicol Environ Saf ; 266: 115550, 2023 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-37832486

RESUMEN

Microglia-mediated chronic neuroinflammation has been associated with cognitive decline induced by rotenone, a well-known neurotoxic pesticide used in agriculture. However, the mechanisms remain unclear. This work aimed to elucidate the role of complement receptor 3 (CR3), a highly expressed receptor in microglia, in cognitive deficits induced by rotenone. Rotenone up-regulated the expression of CR3 in the hippocampus and cortex area of mice. CR3 deficiency markedly ameliorated rotenone-induced cognitive impairments, neurodegeneration and phosphorylation (Ser129) of α-synuclein in mice. CR3 deficiency also attenuated rotenone-stimulated microglial M1 activation. In microglial cells, siRNA-mediated knockdown of CR3 impeded, while CR3 activation induced by LL-37 exacerbated, rotenone-induced microglial M1 activation. Mechanistically, CR3 deficiency blocked rotenone-induced activation of nuclear factor κB (NF-κB), signal transducer and activator of transcription 1 (STAT1) and STAT3 signaling pathways. Pharmacological inhibition of NF-κB or STAT3 but not STAT1 was confirmed to suppress microglial M1 activation elicited by rotenone. Further study revealed that CR3 deficiency or knockdown also reduced rotenone-induced expression of C3, an A1 astrocyte marker, and production of microglial C1q, TNFα and IL-1α, a cocktail for activated microglia to induce neurotoxic A1 astrocytes, via NF-κB and STAT3 pathways. Finally, a small molecule modulator of CR3 efficiently mitigated rotenone-elicited cognitive deficits in mice even administered after the establishment of cognitive dysfunction. Taken together, our findings demonstrated that CR3 is a key factor in mediating neurotoxic glial activation and subsequent cognitive impairments in rotenone-treated mice, giving novel insights into the immunopathogenesis of cognitive impairments in pesticide-related Parkinsonism.


Asunto(s)
Disfunción Cognitiva , Plaguicidas , Ratones , Animales , FN-kappa B/genética , FN-kappa B/metabolismo , Rotenona/toxicidad , Disfunción Cognitiva/inducido químicamente , Receptores de Complemento
15.
J Colloid Interface Sci ; 652(Pt B): 1356-1366, 2023 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-37659305

RESUMEN

Sodium-ion hybrid capacitors (SIHCs) have attracted extensive interest due to their applications in sodium-ion batteries and capacitors, which have been considered expectable candidates for large-scale energy storage systems. The crucial issues for achieving high-performance SIHCs are the reaction kinetics imbalances between the slow Faradic battery-type anodes and fast non-Faradaic capacitive cathodes. Herein, we propose a simple self-template strategy to prepare kinetically well-matched porous framework dual-carbon electrodes for high-performance SIHCs, which stem from the single precursor, sodium ascorbate. The porous framework carbon (PFC) is obtained by direct calcination of sodium ascorbate followed by a washing process. The sodium-ion half cells with PFC anodes exhibit high reversible capacity and fast electrochemical kinetics for sodium storage. Moreover, the as-obtained PFC can be further converted to porous framework activated carbon (PFAC) with rich porosity and a high specific surface area, which displays high capacitive properties. By using kinetically well-matched battery-type PFC anodes and capacitive PFAC cathodes, dual-carbon SIHCs are successfully assembled, which can work well in 0-4 V. The optimal PFC//PFAC SIHC exhibits high energy density (101.6 Wh kg-1 at 200 W kg-1), power density (20 kW kg-1 at 51.1 Wh kg-1), and cyclic performance (71.8 % capacitance attenuation over 10,000 cycles).

16.
Carbohydr Polym ; 313: 120884, 2023 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-37182972

RESUMEN

Based on the biocompatibility and macrophage targeting of natural polysaccharides, combined with the physiological and pathological characteristics of the gastrointestinal tract and colonic mucosa of ulcerative colitis (UC), we prepare dexamethasone (Dex)-loaded oral colon-targeted nano-in-micro drug delivery systems coated with multilayers of chitosan (CS), hyaluronic acid (HA), and finally Eudragit S100 (ECHCD MPs) using a layer-by-layer coating technique for UC treatment through regulating the M1/M2 polarization of intestinal macrophages. HA/CS/Dex nanoparticles (HCD NPs) are ingested by macrophages via CD44 receptor-mediated endocytosis to regulate M1-to-M2 macrophage polarization and exert anti-inflammatory effects. Moreover, ECHCD MPs show better colon-targeting properties than Dex-loaded chitosan nanoparticles (CD NPs) and HCD NPs which is demonstrated by stronger mucoadhesion to inflamed colon tissues. After oral administration, ECHCD MPs exert significant anti-UC effects. Therefore, ECHCD MPs are proven to be as promising oral colon-targeting drug delivery systems for Dex and have potential application in UC treatment.


Asunto(s)
Quitosano , Colitis Ulcerosa , Colitis , Nanopartículas , Humanos , Ácido Hialurónico/farmacología , Quitosano/farmacología , Sistemas de Liberación de Medicamentos , Colitis/tratamiento farmacológico , Colitis/patología , Colitis Ulcerosa/tratamiento farmacológico , Colitis Ulcerosa/patología , Macrófagos , Colon
17.
Chem Commun (Camb) ; 59(49): 7635-7638, 2023 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-37255212

RESUMEN

A highly efficient catalyst for Li-O2 batteries based on Ru and MnFe phosphides nanoparticles entrapped in a MnFe Prussian blue analogue (PBA) substrate (Ru-MnFeP/PBA) was explored. Synergy between homogeneous Ru and MnFe phosphides nanoparticles improved the catalytic activity and alleviated side reactions. The Li-O2 battery based on Ru-MnFeP/PBA exhibited excellent performance.


Asunto(s)
Suministros de Energía Eléctrica , Ferrocianuros , Electrodos , Iones , Litio
18.
J Phys Chem Lett ; 14(14): 3360-3367, 2023 Apr 13.
Artículo en Inglés | MEDLINE | ID: mdl-36995045

RESUMEN

Interfacial polarons determine the distribution of free charges at the interface and thus play important roles in manipulating the physicochemical properties of hybridized polaronic materials. In this work, we investigated the electronic structures at the atomically flat interface of the single-layer MoS2 (SL-MoS2) on the rutile TiO2 surface using high-resolution angle-resolved photoemission spectroscopy. Our experiments directly visualized both the valence band maximum and the conduction band minimum (CBM) of SL-MoS2 at the K point, which clearly defines a direct bandgap of ∼2.0 eV. Detailed analyses corroborated by density functional theory calculations demonstrated that the CBM of MoS2 is formed by the trapped electrons at the MoS2/TiO2 interface that couple with the longitudinal optical phonons in the TiO2 substrate through an interfacial Fröhlich polaron state. Such an interfacial coupling effect may register a new route for tuning the free charges in the hybridized systems of two-dimensional materials and functional metal oxides.

19.
Bioorg Chem ; 135: 106485, 2023 06.
Artículo en Inglés | MEDLINE | ID: mdl-36963370

RESUMEN

Small interfering RNA (siRNA) can be exploited to silence specific genes associated with cancer development, and successful siRNA therapy is highly dependent on the efficiency of the siRNA delivery vector. Herein, a well-designed novel redox- and enzyme-responsive fluorinated polyarginine (PFC-PR) was developed to be used as an anti-cancer siRNA carrier. The multiple guanidine groups could provide positive charges and bind with siRNA efficiently, and further fluorination modification enhanced the interaction with siRNA, resulting in a more stable PFC-PR/siRNA nanocomplex, improving serum tolerance, and promoting cellular uptake and endosome escape. Meanwhile, the PFC-PR was responsive to overexpressed cathepsin B and high levels of glutathione in cancer cells, conferring its ability to enhance siRNA release within cancer cells and making it cancer-targeting. Consequently, PFC-PR showed good biocompatibility and high gene silencing efficiency, which could inhibit cancer cell growth when delivered the siRNA targeting vascular endothelial growth factor, suggesting that it can be potentially used for anti-cancer gene therapy applications.


Asunto(s)
Neoplasias , Factor A de Crecimiento Endotelial Vascular , Humanos , ARN Interferente Pequeño/farmacología , ARN Interferente Pequeño/genética , Factor A de Crecimiento Endotelial Vascular/genética , Catepsina B/genética , Péptidos , Neoplasias/terapia , Glutatión , Línea Celular Tumoral
20.
Biomed Eng Online ; 22(1): 9, 2023 Feb 06.
Artículo en Inglés | MEDLINE | ID: mdl-36747170

RESUMEN

BACKGROUND: Impairments of trunk movements in gait of stroke are often reported. Ankle foot orthosis (AFO) is commonly used to improve gait of stroke; however, the effect of different types of AFOs on the pelvic and thoracic movements during gait in stroke has not been clarified. METHODS: Thirty-four patients with stroke were randomly allocated to undergo 2 weeks of gait training by physiotherapists while wearing a rigid AFO (RAFO) with a fixed ankle or an AFO with an oil damper (AFO-OD) that provides plantarflexion resistance and free dorsiflexion. A motion capture system was used for measurements of shod gait without AFO at baseline and with and without AFO after gait training. Two-way repeated ANOVA, Wilcoxon signed-rank test, and Mann-Whitney U test were performed for the data after the gait training to know the effect of different kinds of AFOs. RESULTS: Twenty-nine patients completed the study (AFO-OD group: 14, RAFO group: 15). Interactions were found in pelvic rotation angle, change of shank-to-vertical angle (SVA) in the stance, and paretic to non-paretic step length, which increased in AFO-OD group with AFOs (p < 0.05), while the SVA decreased in RAFO group with AFOs (p < 0.05). The main effects were found in pelvic rotation at the contralateral foot off, and thoracic tilt at foot off when an AFO was worn. The change of SVA in stance was positively correlated with the pelvic rotation in the AFO-OD group (r = 0.558). At initial contact, pelvic rotation was positively correlated with thoracic rotation in both groups. CONCLUSIONS: The findings in 29 patients with stroke showed that pelvic and thoracic movements especially the rotation were affected by the type of AFOs. Pelvic rotation and lower limb kinematics exhibited significant improvements with AFO-OD, reflecting more desirable gait performance. On the other hand, the increase in thoracic in-phase rotation might expose the effect of insufficient trunk control and dissociation movement. Trial registration UMIN000038694, Registered 21 November 2019, https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_his_list.cgi?recptno=R000044048 .


Asunto(s)
Ortesis del Pié , Rehabilitación de Accidente Cerebrovascular , Accidente Cerebrovascular , Humanos , Tobillo , Articulación del Tobillo , Fenómenos Biomecánicos , Marcha , Rango del Movimiento Articular , Accidente Cerebrovascular/complicaciones , Accidente Cerebrovascular/terapia
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