3D technology may be effective for use in urologic laparoscopic training programs of novice surgeons. It may also contribute to the skills of specialists and experts, shortening the surgical time, which may decrease the surgical morbidity.
Background:Our study is an analysis of the histological and radiological changes in degenerated lumbar intervertebral discs, after transplantation of fibroblasts in rabbits. With that study we aimed to show the viability of the fibroblasts injected to the degenerated discs, and observe their potential for further studies.Method:The apoptosis of the cell is one of the factors at the disc degeneration process. Fibroblasts may act as mesenchymal stem cells at the tissue to which they are injected and they may replace the apoptotic cells. The nucleus pulposus of the discs from eight rabbits were aspirated under scopic guidance to induce disc degeneration.Results:One month later, cultured fibroblasts, which had been taken from the skin, were injected into the disc. The viability and the potential of the injected cells for reproduction were studied histologically and radiologically. Cellular formations and organizations indicating to the histological recovery were observed at the discs to which fibroblasts were transplanted. The histological findings of the discs to which no fibroblasts were transplanted, did not show any histological recovery. Radiologically, no finding of the improvement was found in both groups. The fibroblasts injected to the degenerated discs are viable.Conclusion:The findings of improvement, observed in this study, suggest that fibroblast transplantation could be an effective method of therapy for the prevention or for the retardation of the degenerative disease of the discs.
Objective:The main aim of this study was to measure effects of kinesiotaping on pain and range of motion in the conservative treatment of postoperative anterior cruciate ligament(ACL) rupture.Material-Methods:A total of 26 patients(24 women, 2 men) who had unilateral ACL rupture 64.46±9.00 years old(46-81years), 13 had physiotherapy only(mean age 64.46±9.35 years),13 had physiotherapy and kinesiotape(mean age 64.46±9.01 years).The patients in both groups received physiotherapy program (ultrasound with 1 MHz, 1W/cm2 during 5minutes; CPM; strength exercise for quadriceps muscle and cold pack during 15 minute). Kinesiotape was applied to the knee and quadriceps of the patient’s leg using a prescribed application to facilitate muscle performance for the experimental group versus a only physiotherapy group.The patients were treated 20 times for four weeks. Socio-demographic variables (gender, age, body mass index, Kellgren-Lawrence system for classification of knee osteoarthritis, use of analgesic drug, pain during rest and activity (VAS=Visual Analog Scale), range of motion of knee flexion and extansion (universal goniometer), circumference measurements of the knee and the quadriceps muscle (up to 10 cm of patella) were measured at baseline, mid the treatment program and after the treatment program. Statistical analysis was conducted using SPSS 22.0 for Windows.Frequency and percentage (average, standard deviation)were used as descriptive statistics of the study.The Wilcoxon test was used to compare the differences between before and after treatment measurements.The Kruskal Wallis test was used to compare groups.Significance was accepted as p<0.05.Results:No significant differences were found in age and BMI between groups (p=0.898, 0.505). The data of stage 3(n=22) and 4(n=4) patients with osteoarthritis were gathered according to the Kellgren-Lawrence classification. Mean day of use of analgesic drug were 17.30±7.33 in KT group, 18.23±9.84 in physiotherapy group. When we compared pretreatment and posttreatment measures, significant differences were found in 2 groups. But KT group was better than the physiotherapy group in all parameters. Table 1 shows the comparison of the pre-treatment and post-treatment evaluation results between 2 groups. VAS scores during rest and activity, active flexion and extension of the knee, circumference measurements of the knee and the quadriceps muscle had better in KT group of patients when compare with physiotherapy program (p=0.008,0.000, 0.001, 0.000, 0.015, 0.045).Comparison of the pre-treatment and post-treatment evaluation results between 2 groupsWilcoxon Test; Kruskal Wallis Test; ROM: Range of Motion; VAS: Vizuel Analog Scale; *p<0.05, **p<0.001.Conclusion:For KT group of patients, pain, range of motion and circumference measurements were improved after 20 sessions physiotherapy plus kinesiotape implementation in patients with anterior cruciate ligaman rupture. The findings showed decreased pain and increase range of motion.
Introduction: This study evaluated the relationship between relative handgrip strenght index (rHGSi) as well as chronotropic response index (Cri) and heart rate recovery index (HRRi), which are the prognostic parameters of treadmill exercise.Patients and Methods: In total, 490 patients who were recommended to undergo the exercise electrocardiographic test were recruited in this study. The participants were divided into two groups based on both Cri (normal and low CRi groups) and rHGSi (high and low rHGSi groups). Results:The treadmill exercise time, peak heart rate, and metabolic equivalents were higher in the high rHGSi group than in the low rHGSi group. In addition, the 1 st minute HRRi and Cri were higher in the high rHGSi group than in the low rHGSi group. The treadmill exercise time, basal and peak heart rate, metabolic equivalents, and 1 st minute HRRi were significantly lower in the low CRi group than in the normal Cri group. rHGSi was considered an independent predictor of low chronotropic response index. Based on a bivariate analysis, a statistically significant positive correlation was observed between Cri and rHGSi. Similarly, there was a positive association between rHGSi and 1 st minute HRRi. Conclusion:rHGSi might be a practical and effective tool in cardiovascular risk stratification.
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