Spatiotemporal Gait Parameters and Gait Asymmetry in Patients With Lumbar Disc Herniation, Treated With Microdiscectomy: A Prospective, Observational Study.

OBJECTIVE: The aim of this study was to emphasize on the interaction of spatial and temporal gait parameters and analyse the gait asymmetry in the patients with lumbar disc herniation (LDH) before and after microdiscectomy. METHODS: This was a prospective, observational study conducted on 59 cases of LDH planned for lumbar microdiscectomy, and healthy control group with 54 participants for analysis was performed prior to surgery and 15 days after surgery. The spatiotemporal gait parameters were measured using a "Win-Track" gait analysis platform system. All the participants walked barefoot for 10 times with their normal walking speed in the same day. The 3 flawless walking data were recorded and the arithmetic means were computed. The gait symmetry index was used to calculate the walking asymmetry. The pain intensity of the patients was recorded shortly before performing the analysis by a visual analogue scale. RESULTS: In the postoperative assessment LDH patients had significantly shorter temporal parameters, longer spatial parameters, faster walking speed, and more cadence than the preoperative assessment (p < 0.05). There were improvements in the asymmetry values of the postoperative gait parameters compared to the preoperative values, but these differences were not significant (p > 0.05). In addition, there was a significant difference in all parameters in terms of gait asymmetry between the postoperative assessment and the healthy controls (p < 0.05). CONCLUSION: These results can guide the patient-specific evaluating and implementation of gait rehabilitation programs, and design protocols before or after surgery in the LDH patients.

The effect of mirror therapy in patients with frozen shoulder.

Introduction: This study was designed to compare mirror therapy and visual feedback with the control group in adhesive capsulitis patients. Methods: Thirty-six patients, divided into three groups as mirror therapy, visual feedback and control for 15 sessions of treatment. Evaluations were made before treatment, at 6th and 10th weeks. Bilateral glenohumeral exercise was performed at the end of each session with the affected extremity behind the mirror in the mirror group, with both upper extremities in front of the mirror in the visual feedback group, and without the mirror in the control group. Results: There were statistically significant differences between the mirror therapy and visual feedback in terms of pain severity change, and the visual feedback was superior to the change in pain severity compared to the control. Visual feedback showed significant improvement in mean change from baseline to week 10 in shoulder pain and disability index scores compared to control (p = 0.012). There was no significant difference between the groups in terms of modified constant score, proprioception and shoulder range of motion. Conclusion: It was determined that the exercises performed by seeing the affected extremity in the mirror were more effective than mirror therapy and control group.

A Deep Learning Method for the Prediction of the Index Mechanical Properties and Strength Parameters of Marlstone.

The index mechanical properties, strength, and stiffness parameters of rock materials (i.e., uniaxial compressive strength, c, ϕ, E, and G) are critical factors in the proper geotechnical design of rock structures. Direct procedures such as field surveys, sampling, and testing are used to estimate these properties, and are time-consuming and costly. Indirect methods have gained popularity in recent years due to their time-saving and highly accurate results, which are comparable to those obtained through direct approaches. This study presents a procedure for establishing a deep learning-based predictive model (DNN) for obtaining the geomechanical characteristics of marlstone samples that have been recovered from the South Pars region of southwest Iran. The model was implemented on a dataset resulting from the execution of numerous geotechnical tests and the evaluation of the geotechnical parameters of a total of 120 samples. The applied model was verified by using benchmark learning classifiers (e.g., Support Vector Machine, Logistic Regression, Gaussian Naïve Bayes, Multilayer Perceptron, Bernoulli Naïve Bayes, and Decision Tree), Loss Function, MAE, MSE, RMSE, and R-square. According to the results, the proposed DNN-based model led to the highest accuracy (0.95), precision (0.97), and the lowest error rate (MAE = 0.13, MSE = 0.11, and RMSE = 0.17). Moreover, in terms of R2, the model was able to accurately predict the geotechnical indices (0.933 for UCS, 0.925 for E, 0.941 for G, 0.954 for c, and 0.921 for φ).

A novel empirical classification method for weak rock slope stability analysis.

This study presents a novel empirical classification system for stability analysis of rock slopes in weak rock based on their geotechnical and geological properties. For this purpose, consideration is given to the marly rock slopes, which include three main groups of weak rock (lime marlstone, marlstone, and marly limestone). The 40 different slopes located in the South Pars special zone (Assalouyeh), southwest of Iran, are targeted in classification. To prepare comprehensive graphical stability charts for weak rocks, extensive field surveys, sampling, geotechnical laboratory tests, and ground measurements are conducted in slope sites. Using the findings of the study, empirical stability charts for slopes composed of weak materials were developed. The charts are associated with geotechnical indexes, geo-units' weathering impact, and in-situ stress conditions. Using these graphical charts assists in investigating the stability condition of rock slopes and estimating the geotechnical characteristics of clay-based weak rocks such as marlstones.

Assessment of Spatiotemporal Gait Parameters in Patients with Lumbar Disc Herniation and Patients with Chronic Mechanical Low Back Pain.

AIM: To assess spatiotemporal gait parameters in patients with lumbar disc herniation (LDH) and chronic mechanical low back pain (CMLBP), and compare with healthy control group. MATERIAL AND METHODS: A total of 70 patients was enrolled in this prospective, controlled cross-sectional study, of which 25 with LDH, 25 with CMLBP and 20 healthy individuals as the control group. Participants completed 10 passes on the "WIN-TRACK" Gait Analysis Platform at their self-selected walking speed. The arithmetic mean of the five flawless walking data was used for analysis. Pain intensity is assessed by the Visual Analog Scale (VAS). RESULTS: The spatiotemporal gait parameters were significantly decreased in LDH and CMLBP groups than the healthy control group, particularly in LDH groups (p≥0.001). It was found that pain intensity is negatively correlated to step and stride length, cadence and velocity (p < 0.001). Results of linear regression analysis showed that 10% of the changes in gait cycle duration of the left extremity and 74% of the changes in the velocity were associated with pain intensity. CONCLUSION: Pain intensity can affect the spatiotemporal gait parameters in patients with Low Back Pain (LBP). Rehabilitation programs with gait optimization should be considered in the management of patients with LDH and CMLBP.

Evaluation of strain in mandibular denture-supporting area in three different occlusal schemes during jaw movements.

Background. Various occlusal schemes have been introduced over the years to enhance the stability, comfort, beauty and function of complete denture, of which lingualized, bilateral balanced and monoplane occlusions are the most recommended. The aim of this study was to compare the strain in mandibular denture-supporting structures in three different occlusal schemes. Methods. Two mandibular and maxillary models were simulated using epoxy resin, and strain gauges were embedded on each side of the mandible in mental foramen, buccal shelf and distolingual area. Strain values were measured in three occlusal schemes at centric occlusion protrusive and lateral movements. Data were analyzed with one-way and three-way ANOVA, followed by post-hoc Tukey tests. The significant level was set at 0.05. Results. The mean strain in denture-supporting area was lower in monoplane occlusion than the two other occlusal schemes, and the mean of values in the buccal shelf was higher than that of mental foramen and distolingual area. In all the three occlusal schemes, the mean strain values on the working side were higher than those on the non-working side during eccentric movements. Conclusion. Monoplane occlusal scheme imposed lower strain on denture-supporting area, with the buccal shelf being the primary strain-bearing area to tolerate more pressure than the rest of the denture-supporting areas. In terms of strain distribu-tion scheme, in all the three occlusal schemes, the working side received more strain than the non-working side during eccen-tric movements.