The Impact of Whole Body Vibration Therapy on Spasticity and Disability of the Patients with Poststroke Hemiplegia.

OBJECTIVE: To determine if whole body vibration therapy (WBV) effectively improves functional outcome in patients with poststroke hemiplegia. MATERIALS AND METHODS: In this single-blind RCT, WBV group (n = 10) had 40 hz frequency/4 mm amplitude vibration during 5 minutes/session, 3 days a week, for a duration of 4 weeks. The control group (n = 11) had no vibration therapy for the same duration while standing on the same platform. Patients in both of the groups did 15 minutes of stretching and active range of motion exercises before the intervention. Outcome measures were Modified Ashworth Scale (MAS), Functional Independence Measurement (FIM), and Timed 10-Meter Walk Test (10 mWT). RESULTS: Only 10 mWT improved at the 1st week (p = 0.002), 1st month (p < 0.001), and 3rd month (p < 0.001) in favor of the intervention group. There was positive correlation also between 10 mWT and ankle spasticity (p < 0.001, r = 0.931). CONCLUSION: This study suggests that WBV therapy may be a complementary therapy in gait rehabilitation and functional outcome of the patients with calf muscle spasticity.

Photocatalytic degradation of dichloromethane by chlorocuprate(II) ions.

Near UV irradiation of aerated solutions of (Et 4N) 2[CuCl 4] in dichloromethane causes the decomposition of CH 2Cl 2, as evidenced by the buildup of HCl, C 2H 2Cl 4, and peroxides. A net reduction to [CuCl 2] (-) occurs in the early stages, but is later reversed. In CH 2Cl 2, [CuCl 4] (2-) is in equilibrium with [Cu 2Cl 6] (2-), and only the latter species is photoactive. The decomposition is initiated by the photodissociation of chlorine atoms, which propagate to peroxy radicals, CHCl 2OO. Experimental evidence, including a linear dependence of the decomposition rate on the incident light intensity and on the fraction of light absorbed by [Cu 2Cl 6] (2-), is consistent with a mechanism in which CHCl 2OO is reduced by electron transfer from [CuCl 2] (-), following which protonation yields CHCl 2OOH. The hydroperoxide accumulates during irradiation and it too can reoxidize [CuCl 2] (-). The quantum yield for HCl production at the outset of irradiation at 313 nm is 1.3 mol/einstein, based on the fraction of light absorbed by [Cu 2Cl 6] (2-).

The photolysis of Chlorocarbonylbis(triphenylphosphine)iridium(I) in chloroform.

Under 254 or 313 nm irradiation in chloroform, [IrCl(CO)(PPh3)2] is converted cleanly to [IrCl2(CO)H(PPh3)2] through the addition of HCl, produced photochemically. Under 254 nm irradiation, some of the reaction of [IrCl(CO)(PPh3)2] occurs by direct photolysis of chloroform, though a greater contribution arises from a reaction initiated through absorption of light by the metal complex. Under 313 nm irradiation, essentially all of the reaction is metal-initiated. The linear dependence of the reaction rate on light intensity and on the fraction of light absorbed by the Ir(I) complex as well as the lack of a deuterium isotope effect rule out a radical process. Instead it is proposed that an association complex between excited state [IrCl(CO)(PPh3)2] and CHCl3 leads to dissociation of a chlorine atom from CHCl3, yielding HCl after abstraction of a hydrogen from another CHCl3. HCl then adds to a ground state [IrCl(CO)(PPh3)2] complex.