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BackgroundAddressing lower limb disabilities in stroke survivors is crucial for enhancing gait patterns and overall mobility.ObjectiveThis study aimed to develop an active-control foot press trainer (AFPT) to strengthen lower extremity muscles to improve rehabilitation outcomes.MethodsThis study utilized AFPT to examine the effects of different exercise types (forefoot exercise, FFE; Rearfoot Exercise, RFE) and intensities (30 and 15 repetition maxima) on lower limb muscle activity. Ten healthy women participated in the evaluation of muscle activation during ankle exercises in the standing position.ResultsThe FFE primarily activated the Tibialis Anterior (TA), Gastrocnemius Medialis (GM), and Gastrocnemius Lateralis (GL), whereas the RFE engaged the Rectus Femoris (RF). Increased exercise intensity led to higher activity in the GM and GL in the FFE and TA in the RFE, indicating the potential for tailored exercise protocols.ConclusionsAFPT is a valuable tool for personalized rehabilitation, allowing variable exercise methods and intensities. Further research is needed to assess the efficacy of AFPT in a broader population, including stroke survivors. Moreover, enhancing AFPT technology and developing diverse training programs are crucial as these advancements will significantly support the rehabilitation of individuals requiring lower limb and gait training, including stroke survivors.
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http://dx.doi.org/10.1177/09287329241296731 | DOI Listing |
Spine (Phila Pa 1976)
October 2025
Department of Orthopaedic Surgery, Rothman Orthopaedic Institute at Thomas Jefferson University Hospital, Philadelphia, PA.
Study Design: Retrospective cohort.
Objective: To evaluate the impact of having a history of obstructive sleep apnea (OSA) in patients undergoing anterior cervical discectomy and fusion (ACDF) on postoperative outcomes.
Background: With an aging population and rates of obesity increasing, comorbidities that influence patient safety are increasingly common.
J Pediatr Orthop
October 2025
Department of Research, Gillette Children's, Saint Paul.
Background: Many children with cerebral palsy (CP) undergo orthopaedic surgery. Prospective studies exploring patient or psychological factors predictive of pain recovery or chronicity have not been investigated in CP and orthopaedic surgery. In studies with other pediatric clinical samples, preoperative pain, anxiety, and catastrophizing were shown to be predictive of pain outcomes.
View Article and Find Full Text PDFAnn Surg
September 2025
Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Objective: We hypothesized that anatomic location of metastatic melanoma is associated with the degree of therapeutic response to TVEC.
Summary: TVEC is the first FDA-approved injectable oncolytic virus to treat unresectable stage IIIB-IV metastatic melanoma patients. Previously published real-world outcomes demonstrated a 39% complete response (CR) rate to TVEC.
J Ultrasound Med
September 2025
Evandro Chagas Infectious Diseases National Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Objectives: The risk of major venous thromboembolism (VTE) among patients with COVID-19 is high but varies with disease severity. Estimate the incidence of lower extremity deep venous thrombosis (DVT) in critically ill hospitalized patients with COVID-19, validate the Wells score for DVT diagnosis, and determine patients' prognosis.
Methods: This was an observational follow-up study in the context of the diagnosis and prognosis of DVT.
Eur J Case Rep Intern Med
August 2025
Department of General Medicine, Chiba University Hospital, Chiba, Japan.
Introduction: Restless legs syndrome (RLS) is a common sensorimotor disorder that primarily affects the lower extremities. This condition is characterized by unpleasant sensations and an irresistible urge to move the affected body regions, typically during periods of rest or at night. While RLS most commonly involves the legs, atypical variants affecting other body parts, including the arms, abdomen, face, and even the head, have increasingly been reported.
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