Purpose: This study aimed to examine the accuracy and validity of the Biosculptor's Bioscanner shape capturing system as a portable measuring device by analysing the changes in transtibial residual limb circumference parameters while walking. Assessment on an amputee could also allow for the clinical usability of the digital scanner to be studied.
Methods: To verify the accuracy of the system, the Bioscanner method was compared to the widely used standard anthropometric manual measurement technique (i.e., tape measure). One transtibial prosthetic user was recruited to conduct a walking activity at a normal walking pace for 5 to 15 minutes. Circumferential profiles of the participant were obtained digitally and manually during 2-5 minutes of resting walking intervals. The mean differences between the two methods were compared and percentage differences were calculated. The means were used to calculate the standard error measurement (SEM) and the 95% confidence intervals. Study of the limit of agreement between the two method was also used to validate the accuracy of Bioscanner.
Results: The findings showed that both measurements gave a general comparable linear pattern. The averaged results from both methods resulted in only small distinctive differences especially at circumference near the mid-patella tendon. Similarly, the pressure-sensitive areas of the limb resulted in only an average of 2.28% differences between the two measurement techniques. The system showed high reliability and SEM with <1 of 95% CI values and repeatability study gave ICC >0.9.
Conclusions: Bioscanner appeared to be comparable with the standard manual method. The Biosculptor system provides the portability, fast, reliable, and high accuracy measurements of the transtibial residual limb circumference, thus, it can be considered as a valuable tool for daily measurement of amputee's residual limb and pre-prosthetic training.
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Am J Emerg Med
January 2025
Department of Emergency Medicine, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, United States of America. Electronic address:
Bacterial meningitis is an increasingly rare disease that carries significant morbidity and mortality. We describe the case of a 38-year-old male with a past medical history of pituitary macroadenoma with prior endonasal surgeries on prednisone therapy daily for resultant hypopituitarism and juvenile myoclonic epilepsy on lamotrigine daily who was transferred to an academic tertiary emergency department due to concern for developing pituitary apoplexy. At the outside emergency department, the patient presented complaining of sudden onset severe headache.
View Article and Find Full Text PDFComput Biol Med
January 2025
Neurological Sciences and Cerebrovascular Research Laboratory, Department of Neurology and Stroke Centre, Neurology and Cerebrovascular Disease Group, Neuroscience Area La Paz Institute for Health Research (idiPAZ), (La Paz University Hospital- Universidad Autónoma de Madrid), Spain. Electronic address:
The quantitative evaluation of motor function in experimental stroke models is essential for the preclinical assessment of new therapeutic strategies that can be transferred to clinical research; however, conventional assessment tests are hampered by the evaluator's subjectivity. We present an artificial intelligence-based system for the automatic, accurate, and objective analysis of target parameters evaluated by the ledged beam walking test, which offers higher sensitivity than the current methodology based on manual and visual counting. This system employs a residual deep network model, trained with DeepLabCut (DLC) to extract target paretic hindlimb coordinates, which are categorized to provide a ratio measurement of the animal's neurological deficit.
View Article and Find Full Text PDFJ Clin Med
January 2025
Department of Trauma Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany.
: Tactile gnosis derives from the interplay between the hand's tactile input and the memory systems of the brain. It is the prerequisite for complex hand functions. Impaired sensation leads to profound disability.
View Article and Find Full Text PDFMedicina (Kaunas)
January 2025
Hospital Virgen de la Concha, 49022 Zamora, Spain.
: Up to 27% of anterior cruciate ligament (ACL) reconstruction cases result in a residual positive pivot shift sign, indicating anteroposterior and rotational instability. This instability can compromise returning to sports and increase the risk of further injuries. The biomechanical role of the anterolateral ligament (ALL) in controlling internal knee rotation is well known.
View Article and Find Full Text PDFEur J Trauma Emerg Surg
January 2025
Department of Orthopedic, Trauma and Reconstructive Surgery, Percy Military Hospital, 101 Avenue Henri Barbusse, Clamart, 92140, France.
Introduction: Targeted muscle reinnervation (TMR) is a technique that has proven effective for the treatment and prevention of chronic pain following amputation, though its adoption remains limited. The authors report on their initial experience using TMR.
Methods: A prospective study was conducted in a military trauma center involving traumatic amputees treated with either curative or preemptive TMR.
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