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La Touche R.,University of San Pablo - CEU | Goddard G.,University of California at San Francisco | De-La-Hoz J.L.,University of San Pablo - CEU | Wang K.,Center for Sensory Motor Interaction | And 5 more authors.
Clinical Journal of Pain | Year: 2010

Objectives: The aim of this study is to perform a qualitative and quantitative analysis of the scientific literature regarding the use of acupuncture in the treatment of pain associated with temporomandibular disorders (TMDs). Methods: By using electronic databases, the goal was to search and evaluate all the randomized controlled trials (RCTs) in which acupuncture was used in the management of pain attributed to these clinical entities. For the meta-analysis, an adequate description of the results' statistical data was required along with a comparison of the treatment with a control group using a placebo or sham. Two independent reviewers evaluated the quality of the studies using the Jadad scale. Results: A total of 8 RCTs were selected, and the quality of only 4 was considered acceptable. These 4 studies showed positive results such as reducing pain, improving masticatory function, and increasing maximum interincisal opening. By combining the studies (n=96) and analyzing the results, it was concluded that acupuncture is more effective than placebo in reducing pain intensity in TMD (standardized mean difference 0.83; 95% confidence interval, 0.41-1.25; P=0.00012). Discussion: The results of this meta-analysis suggest that acupuncture is a reasonable adjunctive treatment for producing a short-term analgesic effect in patients with painful TMD symptoms. Although the results described are positive, the relevance of these results was limited by the fact that substantial bias was present. These findings must be confirmed by future RCTs that improve the methodologic deficiencies of the studies evaluated in this meta-analysis. © 2010 Lippincott Williams & Wilkins.

Rueterbories J.,Center for Sensory Motor Interaction | Spaich E.G.,Center for Sensory Motor Interaction | Andersen O.K.,Center for Sensory Motor Interaction
Medical Engineering and Physics | Year: 2010

After stroke, hemiparesis is a common problem resulting in very individual needs for walking assistance. Often patients suffer from foot drop, i.e. inability to lift the foot from the ground during the swing phase of walking. Functional electrical stimulation is commonly used to correct foot drop. For all supporting stimulation devices, it is vital to adequately detect the gait events, which is traditionally obtained by a foot switch placed under the heel. To investigate present methods of gait analysis and detection for use in ambulatory rehabilitation systems, we carried out a meta-analysis on research studies. We found various sensors and sensor combinations capable of analyzing gait in ambulatory settings, ranging form simple force based binary switches to complex setups involving multiple inertial sensors and advanced algorithms. However additional effort is needed to minimize donning/doffing efforts, to overcome cosmetical aspects, and to implement those systems into closed loop ambulatory devices. © 2010 IPEM.

Ge H.-Y.,Center for Sensory Motor Interaction | Wang Y.,Center for Sensory Motor Interaction | Danneskiold-Samsoe B.,The Parker Institute | Graven-Nielsen T.,Center for Sensory Motor Interaction | Arendt-Nielsen L.,Center for Sensory Motor Interaction
Journal of Pain | Year: 2010

The aim of this present study is to test the hypotheses that the 18 predetermined sites of examination for tender points (TP sites) in fibromyalgia syndrome (FMS) are myofascial trigger points (MTrPs), and that the induced pain from active MTrPs at TP sites may mimic fibromyalgia pain. Each TP site was evaluated with manual palpation followed by intramuscular electromyographic (EMG) registration of spontaneous electrical activity to confirm or refute the existence of an MTrP in 30 FMS patients. Overall spontaneous pain intensity and pain pattern were recorded before manual identification of MTrPs. Local and referred pain pattern from active MTrPs were drawn following manual palpation at TP sites. Results: Showed that most of the TP sites are MTrPs. Local and referred pain from active MTrPs reproduced partly the overall spontaneous pain pattern. The total number of active MTrPs (r = .78, P < .0001), but not latent MTrPs (r = -.001, P = .99), was positively correlated with spontaneous pain intensity in FMS. The current study provides first evidence that pain from active MTrPs at TP sites mimics fibromyalgia pain. MTrPs may relate to generalized increased sensitivity in FMS due to central sensitization. Perspective: This article underlies the importance of active MTrPs in FMS patients. Most of the TP sites in FMS are MTrPs. Active MTrPs may serve as a peripheral generator of fibromyalgia pain and inactivation of active MTrPs may thus be an alternative for the treatment of FMS. © 2010 American Pain Society.

Samani A.,Center for Sensory Motor Interaction | Kawczynski A.,University School of Physical Education in Wroclaw | Madeleine P.,Center for Sensory Motor Interaction
IFMBE Proceedings | Year: 2011

The design of an advanced biofeedback system was introduced using neuro-fuzzy concept. Eleven healthy volunteers took part in six sessions over two weeks in which computer work was performed for 10 min. The six sessions were divided into two identical parts where each part was taken place in two consecutive days. After the first session, the subjects underwent excessive eccentric exercises of shoulder elevation to induce muscle soreness. The second session was performed immediately after the exercises and third session 24 hours after the exercises. The second part was performed exactly one week after the first part. Surface electromyography (EMG) of descending and ascending trapezius, deltoideus anterior and serratus anterior was recorded. Linear and nonlinear indices of muscular load were calculated from EMG signals. The first session was utilized as the benchmark of normal muscle condition during computer work and all the rest as mal-functioning/altered condition. A neuro-fuzzy system was trained and tested to discriminate between the first session and all the rest. Using a greedy forward search strategy most discriminative features were found. A high sensitivity ~90% but a low specificity ∼60% was observed. It was concluded that apart from the trapezius, the deltoideus and serratus anterior should also benefit from a biofeedback design. Combining of such system with timing constraint on biofeedback alarming can render a viable biofeedback system aiming at preventing musculoskeletal disorders. © 2011 Springer-Verlag.

Lontis E.R.,Center for Sensory Motor Interaction | Struijk L.N.S.A.,Center for Sensory Motor Interaction
Disability and Rehabilitation: Assistive Technology | Year: 2010

Purpose.The paper introduces a novel design of air-core inductive sensors in printed circuit board (PCB) technology for a tongue control system. The tongue control system provides a quadriplegic person with a keyboard and a joystick type of mouse for interaction with a computer or for control of an assistive device. Method.Activation of inductive sensors was performed with a cylindrical, soft ferromagnetic material (activation unit). Comparative analysis of inductive sensors in PCB technology with existing hand-made inductive sensors was performed with respect to inductance, resistance, and sensitivity to activation when the activation unit was placed in the center of the sensor. Optimisation of the activation unit was performed in a finite element model. Results.PCBs with air-core inductive sensors were manufactured in a 10 layers, 100μm and 120μm line width technology. These sensors provided quality signals that could drive the electronics of the hand-made sensors. Furthermore, changing the geometry of the sensors allowed generation of variable signals correlated with the 2D movement of the activation unit at the sensors' surface. Conclusion.PCB technology for inductive sensors allows flexibility in design, automation of production and ease of possible integration with supplying electronics. The basic switch function of the inductive sensor can be extended to two-dimensional movement detection for pointing devices. © 2010 Informa UK Ltd.

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