Publications by authors named "Hui Dong Wu"

Background: Spinal orthoses are commonly prescribed for adolescent idiopathic scoliosis (AIS), yet their three-dimensional correction was not fully understood. The amount of deformity control largely depends on the corrective forces applied, which remain empirically based due to a lack of consensus on optimal force application. This study investigated the effects of different corrective force directions exerted by spinal orthoses on patients with AIS.

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Article Synopsis
  • Stretching exercises may enhance spinal flexibility in patients with adolescent idiopathic scoliosis (AIS) but do not significantly improve initial correction when wearing orthoses.
  • A pilot study compared a group performing self-stretching exercises (13 subjects) with a control group (19 subjects) that did not stretch, measuring changes in spinal flexibility and initial Cobb angles.
  • Results indicated that while spinal flexibility improved in the stretching group, the initial correction angles were not significantly different between the two groups, suggesting larger studies are needed for long-term effects.
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Aims: To investigate the reliability, validity, and level of evidence of applying ultrasound in assessing the lower-limb muscles of patients with cerebral palsy (CP).

Method: Publications in Medline, PubMed, Web of Science, and Embase were searched on May 10, 2023, to identify and examine relevant studies investigating the reliability/validity of ultrasound in evaluating the architecture of CP lower-limb muscles systematically, following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis 2020 guidelines.

Results: Out of 897 records, 9 publications with 111 CP participants aged 3.

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Background: Patient's acceptance and compliance to spinal orthosis could influence the outcome of orthotic treatment in adolescent idiopathic scoliosis. Two innovative undergarments (thin and thick designs) were designed to improve the patient's orthosis wearing experience and acceptance.

Objective: This study aimed to evaluate the effects of patients' self-provided undergarment and 2 newly designed undergarments with respect to the orthosis wearing compliance and quality of life (QoL) measures.

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Background: In this globalization era, institutions are developing strategies including international service-learning pedagogies to integrate global perspectives and dimensions into the learning and teaching processes to develop students' capacity in intercultural competence.

Objective: This study aimed to assess the students' intercultural learning outcome through provision of orthotic community service to the less-privileged children.

Methods: A Hong Kong-based university collaborated with 2 American universities to conduct an orthotic community service program for the children with cerebral palsy in mainland China.

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Background: Hip protectors have been widely used for hip fracture prevention in the elderly, but its efficacy remains controversial. Users' compliance to hip protector is an important factor for its efficacy. However, the assessment of users' compliance tended to be subjective and unreliable in the past.

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Purpose: The coronal Cobb angle is commonly used for assessing the adolescent idiopathic scoliosis (AIS); however, it may underestimate the severity of AIS while the plane of maximum curvature (PMC) could be a promising descriptor for three-dimensional assessment of AIS. This study aimed to develop a computational method (CM) for estimating the PMC based on the coronal and sagittal images of the spine, and to verify the results with computed tomography (CT).

Methods: Twenty-eight thoracic and 24 lumbar curves from 30 subjects with AIS were analysed.

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Background: In the assessment of three-dimensional features of adolescent idiopathic scoliosis, the plane of maximum curvature was compared with the coronal Cobb angle.

Objectives: To investigate the intrarater reliability, variability, and difference of the prone plane of maximum curvature measurements taken from computed tomography using the constrained and unconstrained Cobb methods; to assess the difference and correlation between the prone plane of maximum curvature measurements obtained using the constrained and unconstrained Cobb methods; and to examine differences and correlation between the prone plane of maximum curvature Cobb angle and coronal Cobb angle measurements.

Study Design: Retrospective study.

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Article Synopsis
  • Clinical ultrasound is a promising tool for assessing scoliosis due to its radiation-free nature, low cost, and ease of use, prompting a need for a comprehensive review of its effectiveness.
  • A systematic review of 14 studies found that most ultrasound methods demonstrated very high reliability and good to excellent validity, although evidence levels varied, with some methods showing moderate to limited evidence.
  • The research strongly supports the reliability and validity of the COL ultrasound method, suggesting more studies are needed to bolster evidence for other methods that showed limited or conflicting results.
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