Clozapine has become a widely popular and effective medication in the treatment of refractory schizophrenia and refractory bipolar disorder. Although the use of clozapine proves to be an effective resort, it has to be closely monitored due to its narrow therapeutic range and multiple dangerous adverse effects. In rare cases, clozapine has been known to cause an antagonistic myoclonic jerk that leads to knee buckling. Here, we present the case of a 29-year-old female who is being treated for schizoaffective disorder, bipolar, manic type, who reported two instances of knee buckling associated with falls while taking clozapine.
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http://dx.doi.org/10.7759/cureus.55865 | DOI Listing |
Traffic Inj Prev
November 2024
ProBiomechanics LLC, Bloomfield Hills, Michigan.
Objective: This study compared kinematic and biomechanic responses of the 5 female Hybrid III in the right-rear and right-front passenger seats in frontal NCAP tests with 2015-16 MY vehicles. It focused on the lap-shoulder belt restraint of the rear passenger.
Methods: Eleven frontal NCAP tests were conducted by NHTSA at 56 km/h with a lap-shoulder belted 5 Hybrid III dummy in the right-rear and right-front seats.
Traffic Inj Prev
November 2024
Department of Neurosurgery Research, Medical College of Wisconsin, Milwaukee, WI.
Objective: In frontal crashes belt-positioning boosters (BPB) may prevent submarining when the seatback is reclined. It is unclear if the BPB can also mitigate injuries in far-side lateral-oblique crashes in reclined conditions, where current restraints are less effective in reducing lateral excursion. This study aimed to understand reclined child injury risk during lateral-oblique impacts, with and without a booster seat, by using the Large Omni-Directional Child (LODC) test device.
View Article and Find Full Text PDFFront Neurol
May 2024
Department of Rehabilitation Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Introduction: A knee-ankle-foot orthosis (KAFO) prevents knee buckling during walking and enables gait training for acute hemiplegic stroke patients with severe gait disturbances. Although the goal of gait training with a KAFO is to improve gait ability, that is, to acquire walking with an ankle-foot orthosis (AFO), it is not clear how gait training with a KAFO contributes to improving gait ability. Therefore, this study aimed to investigate the relationship between muscle activities during walking with a KAFO and the improvement of gait ability in hemiplegic stroke patients with severe gait disturbance.
View Article and Find Full Text PDFJ Orthop Surg Res
May 2024
Guangdong Key Lab of Orthopedic Technology and Implant, General Hospital of Southern Theater Command of PLA, The First School of Clinical Medicine, Southern Medical University, Guangzhou, People's Republic of China.
Purpose: To determine whether posterior cruciate ligament (PCL) buckling (angular change) is associated with anterior cruciate ligament (ACL) status (intact or ruptured), meniscal bone angle (MBA), anterior tibial translation (ATT), body weight, femoral-tibial rotation (FTR), posterior tibial slope (PTS), PCL length and femoral-tibial distance (FTD) and to identify the factors that have the greatest influence.
Methods: All enrolled participants were scanned with a 3.0 T, 8-channel coil MRI system (Magnetom Verio; Siemens).
NeuroRehabilitation
April 2024
Department of Physical Medicine and Rehabilitation, Tohoku University Graduate School of Medicine, Sendai, Japan.
Background: Stroke often induces gait abnormality, such as buckling knee pattern, compromising walking ability. Previous studies indicated that an adequate trailing limb angle (TLA) is critical for recovering walking ability.
Objective: We hypothesized that correcting gait abnormality by immobilizing the knee joint using a knee orthosis (KO) would improve walking patterns and increase the TLA, and investigated whether walking training using a KO would increase the TLA in post-stroke patients.
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