Publications by authors named "Li-Chieh Kuo"

Background: Satellite glial cells (SGCs) in the dorsal root ganglia (DRG) play a pivotal role in the formation of neuropathic pain (NP). Sciatic nerve stimulation (SNS) neuromodulation was reported to alleviate NP and reduce neuroinflammation. However, the mechanisms underlying SNS in the DRG remain unclear.

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The Fracture Risk Assessment Tool (FRAX®) is a widely utilized country-specific calculator for identifying individuals with high fracture risk; its score is calculated from 12 variables, but its formulation is not publicly disclosed. We aimed to decompose and simplify the FRAX® by utilizing a nationwide community survey database as a reference module for creating a local assessment tool for osteoporotic fracture community screening in any country. Participants ( = 16384; predominantly women (75%); mean age = 64.

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Rationale: The conventional treatment of giant cell tumors is intralesional curettage with local adjuvant therapy. Because hand tumors have a high local recurrence, the primary goal for treating tumors of the hand is to eradicate the lesion.

Patient Concerns: To preserve the metacarpophalangeal (MCP) joint function as well as avoid further recurrence after surgery.

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Article Synopsis
  • Diabetes mellitus and chronic kidney disease are increasing global health issues that often come with similar neuromuscular problems affecting daily life; distinguishing between them could be crucial for early detection and continuous monitoring.
  • A study utilized a new pinch-holding-up activity test, combined with advanced deep learning models, to analyze motor performance of 271 participants across three groups: healthy adults, those with diabetes, and those with chronic kidney disease.
  • The deep learning models achieved high accuracy rates of over 95% in distinguishing between the groups, indicating significant differences in sensorimotor performance that might lead to better clinical screening methods for these conditions.
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Patients with stroke often use ankle-foot orthoses (AFOs) for gait improvement. 3D printing technology has become a popular tool in recent years for the production of AFOs due to its strengths on customization and rapid manufacturing. However, the porosity of the 3D printed materials affects the kinetic features of these orthoses, leading to its lower-strength than solid ones.

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  • The study aimed to enhance the Tenodesis-Induced-Grip Exoskeleton Robot (TIGER) by integrating an assist-as-needed (AAN) control mode to improve motor recovery for chronic stroke patients.
  • Participants underwent a 9-week intervention involving robotic training and task-specific motor training, assessing upper limb function through various standardized tests.
  • Results showed positive outcomes in motor performance and function among the 16 stroke patients who completed the training program.
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Background: Children with developmental coordination disorder show difficulties in making rapid online corrections, and this has been demonstrated in experiments where reaching/pointing movements were employed. However, typical hand movements in real-life contexts involve subsequent movements, such as grasping and manipulating objects after reaching. This study aimed to reinvestigate online correction of reaching movements that were connected with grasping and object manipulation and to explore its impact on the coordination of subsequent hand movements in children with developmental coordination disorder.

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In this study, we investigated a novel approach to fabricate multifunctional ionic gel sensors by using deep eutectic solvents (DESs) as replacements for water. When two distinct DESs were combined, customizable mechanical and conductive properties were created, resulting in improved performance compared with traditional hydrogel-based strain sensors. DES ionic gels possess superior mechanical properties, transparency, biocompatibility, and antimicrobial properties, making them suitable for a wide range of applications such as flexible electronics, soft robotics, and healthcare.

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Background: Previous works reported people with schizophrenia experienced inferior hand functions which influence their daily participation and work efficiency. Sensorimotor capability is one of indispensable elements acting in a well-executed feed-forward and feedback control loop to contribute to hand performances. However, rare studies investigated contribution of sensorimotor ability to hand functions for people with schizophrenia.

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  • This study explored how chronic hamstring injuries affect muscle activation and recruitment during jumping tasks among athletes.
  • Thirteen athletes with hamstring injuries were compared to thirteen healthy athletes, measuring muscle response during jumps in both vertical and horizontal directions.
  • Results showed that the injured athletes had delayed muscle activation and lower recruitment levels, resulting in higher landing forces, suggesting the need for direction-specific strategies in rehabilitation.
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  • The study investigates how hamstring stiffness affects muscle activation in the lower limbs during jumping activities among male athletes.* -
  • Thirty athletes were divided into high- and low-stiffness groups, and hamstring stiffness was measured using MyotonPRO, while muscle activation was recorded using electromyography.* -
  • Results showed that athletes with greater hamstring stiffness had increased muscle recruitment during jumping phases and landed with less ground reaction force, indicating that hamstring stiffness is important for absorbing impact during sports.*
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Kinesio taping (KT) is widely used in sports for performance improvement and injury prevention. However, little is known of the behavior of the muscle region beneath the KT with movement, particularly when the muscle is fatigued. Accordingly, this study investigated the changes in the medial gastrocnemius muscle architecture and fascia thickness when using KT during maximum isometric plantar flexion (MVIC) and badminton lunges following heel rise exercises performed to exhaustion.

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Introduction: Regular physical exercise is believed to counteract the adverse physiological consequences of aging. However, smart fitness equipment specifically designed for older adults is quite rare. Here we designed an exergame-integrated internet of things (IoT)-based ergometer system (EIoT-ergo) that delivers personalized exercise prescriptions for older adults.

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Falls represent an important adverse effect associated with knee osteoarthritis and result in a significant financial burden on the healthcare system. Therefore, identification of fall predictors is essential to minimize fall incidence. However, few studies have investigated falls and fall predictors, particularly focused on the fear of falls and proprioception.

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Slow movements and irregular muscle contraction have been reported separately in different studies targeting individuals with psychotic-like experiences (PLEs). To date, it remains unknown whether these two movement abnormalities, possibly associated with hypo- and hyper-dopaminergia, respectively, co-existed in one sample with PLEs and interrelated in the early stage of psychotic progression. Therefore, this study was to examine if facial and upper-limb slow movements and irregular muscle contraction co-existed in individuals with PLEs, interrelated, and were associated with PLEs.

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Background: to compare the 52-week effectiveness and safety between HYAJOINT Plus (HJP) and Durolane in knee osteoarthritis (OA) treatment. Methods: consecutive patients received a single injection of 3 mL HJP or Durolane. The primary outcome was a visual analog scale (VAS) pain measurement at 26 weeks post-injection.

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Objective: To compare the effects of using an Internet of things (IoT)-assisted tenodesis-induced-grip exoskeleton robot (TIGER) and task-specific motor training (TSMT) as home programs for the upper-limb (UL) functions of patients with chronic stroke to overturn conventional treatment modes for stroke rehabilitation.

Design: A randomized 2-period crossover study.

Setting: A university hospital.

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The combination of cross-linked hyaluronate (cHA) and corticosteroid showed more rapid pain or functional improvement in knee osteoarthritis and adhesive capsulitis. However, rare evidence of this combination in treating tendinopathy has been reported. We hypothesized that the specific formulations of cHA and dexamethasone (DEX) conferred amelioration of tendinopathy via anti-apoptosis and anti-senescence.

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Background: To better understand biomechanical factors that affect intervertebral alignment throughout active therapeutic exercise, it is necessary to determine spinal kinematics when subjects perform spinal exercises. This study aims to investigate the outcomes of active cervical therapeutic exercise on intervertebral foramen changes in neck pain patients with disc herniation.

Methods: Thirty diagnosed C4/5 and/or C5/6 disc-herniated patients receiving an 8-week cervical therapeutic exercise program were followed up with videofluoroscopic images.

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CD44 exerts anti-senescence effects in many disease models. We examined senescence in tendinopathy and the effect of CD44 on senescence-associated secretory phenotypes (SASPs). Senescent markers were determined in human tendinopathic long head of bicep (LHB) and normal hamstring tendons.

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Article Synopsis
  • Handwriting difficulty (HD) is a significant issue affecting children's writing performance, and previous research has primarily focused on movement patterns rather than the underlying forces involved.
  • This study evaluated the writing performance of 64 children (36 without HD and 28 with HD) using a force acquisition pen to gather data on the force exerted during writing tasks.
  • Results indicated that children with HD applied less force with their pen and fingers, exhibited greater variations in finger force, and demonstrated unique patterns that could inform future handwriting training strategies.
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  • * This study aims to estimate thigh muscle mass using electronic impedance myography (EIM) data combined with body parameters, employing machine learning techniques for better accuracy.
  • * Using 96 subjects, the research found that the proposed machine learning models showed promising results, suggesting that EIM can help monitor muscle health in non-clinical settings.
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  • A study explored the impact of conventional occupational therapy (COT), mirror therapy (MT), and VR-based mirror therapy (VR-MT) on improving motor function in chronic stroke patients.
  • Fifty-four participants were divided into three groups, each receiving different therapy sessions for 9 weeks, with multiple assessments conducted to evaluate their motor skills.
  • Results indicated significant improvements in certain motor function metrics with VR-MT, suggesting its promise in rehabilitation, but further studies are needed to confirm its overall effectiveness.
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  • The study focuses on improving the visualization of neovascularization in injured finger tendons using a novel high-frequency micro-Doppler imaging (HFμDI) technique instead of traditional ultrasound, which lacks the necessary resolution.
  • The HFμDI method was tested on both small animal models and human patients, showing superior imaging capabilities and enhanced visibility of microvasculature in injuries.
  • Results indicated significant neovascularization early in the healing process, which reduced after rehabilitation, suggesting that physical therapy can positively affect tendon healing by lowering neovascular density.
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