This systematic review aimed to determine the effects of neuromuscular gait modification strategies on indicators of medial knee joint load in people with medial knee osteoarthritis. Databases ...(Embase, MEDLINE, Cochrane Central, CINAHL and PubMed) were searched for studies of gait interventions aimed at reducing medial knee joint load indicators for adults with medial knee osteoarthritis. Studies evaluating gait aids or orthoses were excluded. Hedges' g effect sizes (ES) before and after gait retraining were estimated for inclusion in quality-adjusted meta-analysis models. Certainty of evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Seventeen studies (k = 17; n = 362) included two randomised placebo-controlled trials (RCT), four randomised cross-over trials, two case studies and nine cohort studies. The studies consisted of gait strategies of ipsilateral trunk lean (k = 4, n = 73), toe-out (k = 6, n = 104), toe-in (k = 5, n = 89), medial knee thrust (k = 3, n = 61), medial weight transfer at the foot (k = 1, n = 10), wider steps (k = 1, n = 15) and external knee adduction moment (KAM) biofeedback (k = 3, n = 84). Meta-analyses found that ipsilateral trunk lean reduced early stance peak KAM (KAM1, ES and 95%CI: -0.67, -1.01 to -0.33) with a dose-response effect and reduced KAM impulse (-0.37, -0.70 to -0.04) immediately after single-session training. Toe-out had no effect on KAM1 but reduced late stance peak KAM (KAM2; -0.42, -0.73 to -0.11) immediately post-training for single-session, 10 or 16-week interventions. Toe-in reduced KAM1 (-0.51, -0.81 to -0.20) and increased KAM2 (0.44, 0.04 to 0.85) immediately post-training for single-session to 6-week interventions. Visual, verbal and haptic feedback was used to train gait strategies. Certainty of evidence was very-low to low according to the GRADE approach. Very-low to low certainty of evidence suggests that there is a potential that ipsilateral trunk lean, toe-out, and toe-in to be clinically helpful to reduce indicators of medial knee joint load. There is yet little evidence for interventions over several weeks.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
A greenhouse study was conducted to test the effects of low herbicide dose exposure on different crops measuring visible damages, plant height, leaf area, and dry matter. Seven crops were tested: ...lettuce (Lactuca sativa L.) cv. Novosadska majska maslena, oil pumpkin (Cucurbita maxima Duch) cv. Olivija, oilseed rape (Brassica napus L.) cv. NS Ras, pepper (Capsicum annuum L.) cv. Kurtovska kapija, soybean (Glycine max (L.) Merr) cv. ZP Laura, sunflower (Helianthus annuus L.) cv. NS Kruna, and tomato (Solanum lycopersicum L.) cv. Dunavski Rubin. Herbicide dicamba in the range of 0.14 to 1 155.6 g a.i. (active ingredient)/ha inhibited biomass, height, leaf area, and visual injury of all crops, while glyphosate doses from 0.48 to 3 840 g a.i./ha also reduced the growth of all tested species. A rate of 116 g a.i./ha mesotrione was needed to reach 80% visual injury in oilseed rape, while the same effects on lettuce only required 1.8 g a.i./ha of mesotrione. Tomato and oil pumpkin were also sensitive to low mesotrione doses, where only 1.3 g and 0.5 g a.i./ha of mesotrione was needed for 80% of biomass reduction, respectively. Lettuce was the most sensitive crop of all tested species; biomass was reduced by 80% by dicamba, glyphosate, mesotrione, and nicosulfuron at the low rates of 33 g a.i./ha, 19 g a.i./ha, 1.25 g a.i./ha, and 2.7 g a.i./ha, respectively. Among all herbicides, visible injuries were detected in dicamba at the lowest rates. Soybean was the most tolerant of glyphosate, mesotrione, and nicosulfuron. Based on the available literature and obtained results, herbicide off-target movement must be mitigated to maximise herbicide efficacy and decrease the negative influence on susceptible plants and the environment.
Background:
There is evidence that frontal plane knee joint motion plays a crucial role in the pathogenesis of knee osteoarthritis, yet investigation of individuals with chronic anterior cruciate ...ligament–deficient (ACLD) knees remains sparse.
Purpose:
To investigate (1) if individuals with chronic ACLD knees demonstrate higher biomechanical measures of medial knee load as compared with their anterior cruciate ligament–intact (ACLI) knees, (2) if differences in static knee alignment of the ACLD knee will demonstrate a difference in the magnitude of biomechanical measures of medial knee load when compared with the ACLI knee, and (3) the side-to-side concordance of varus thrust among individuals with chronic ACLD knees.
Study Design:
Descriptive laboratory study.
Methods:
Participants were sourced from a metropolitan orthopaedic surgeon group. Those who met the inclusion criteria and agreed to participate underwent a 3-dimensional gait analysis assessment to measure knee adduction moment (KAM), knee flexion moment (KFM), KAM peaks, KAM impulse, and varus thrust. Frontal plane knee static alignment was measured with a digital inclinometer fixed to medical calipers. The participants were divided according to their static knee alignment (neutral, varus, and valgus) for subgroup analysis. Peak knee angular velocity and frontal plane knee angle were used to establish if a participant was walking with a knee thrust. An individual was deemed to have knee thrust during gait if the largest frontal plane knee movement coincided with the peak knee angular velocity that occurred within the first 30% of stance phase.
Results:
Forty-five participants were recruited. The mean (SD) time from injury was 34.5 (55.6) months. ACLD knees did not demonstrate higher mean KAM and KFM (P > .5) or early-stance peak KAM (P = .3-.8) and KAM impulse (P = .3-.9) as compared with ACLI knees as a whole group or when the varus, neutral, and valgus alignment subgroups were investigated separately. Twenty-three percent (n = 9) of the participants had a varus thrust at the ACLD or ACLI knee, 44% (n = 4) had a varus thrust at the ACLD knee, and 22% (n = 2) had varus thrust at both knees.
Conclusion:
There were no side-to-side differences in mean KAM and KFM and early-stance peak KAM and KAM impulse among high-functioning individuals with chronic unilateral ACLD knees. There was a low prevalence of varus thrust among high-functioning individuals with chronic unilateral ACLD knees.
A soil tillage system adjusted to the soil type and agro-ecological conditions, together with the optimal nutrient supply, is a prerequisite for high maize (Zea mays L.) yield. However, there is ...little knowledge about the influence of soil tillage and nitrogen (N) rates on maize grain quality. A study was initiated in 1978 in Zemun Polje, Belgrade, Serbia, on the chernozem soil type. The effects of three N rates—0, 180 and 240 kg N ha−1—within three tillage practices—no-tillage, reduced and conventional tillage—and their influence on grain yield (GY) and the content of proteins, starch, oil, total tocopherols and carotenoids, phytic phosphorus (Phy), glutathione (GSH), phenols and inorganic P (Pi) in maize grain were analysed in the period 2016–2018. Differences in maize GY were 2.57 and 3.01 t ha−1 for reduced- or no-tillage, respectively, in comparison to conventional tillage. Conventional tillage and higher N rates contributed to the increase in maize yield and the grain nutritional quality with regard to the increased level of proteins, GSH and Phy. On the other hand reduced inputs were beneficial only for grain quality, in relation to the increase in tocopherols and phenols.
IntroductionPsychological factors such as fear avoidance beliefs, depression, anxiety, catastrophic thinking and familial and social stress, have been associated with high disability levels in people ...with chronic low back pain (LBP). Guidelines endorse the integration of psychological interventions in the management of chronic LBP. However, uncertainty surrounds the comparative effectiveness of different psychological approaches. Network meta-analysis (NMA) allows comparison and ranking of numerous competing interventions for a given outcome of interest. Therefore, we will perform a systematic review with a NMA to determine which type of psychological intervention is most effective for adults with chronic non-specific LBP.Methods and analysisWe will search electronic databases (MEDLINE, Embase, PsycINFO, Cochrane Central Register of Controlled Trials, Web of Science, SCOPUS and CINAHL) from inception until 22 August 2019 for randomised controlled trials comparing psychological interventions to any comparison interventions in adults with chronic non-specific LBP. There will be no restriction on language. The primary outcomes will include physical function and pain intensity, and secondary outcomes will include health-related quality of life, fear avoidance, intervention compliance and safety. Risk of bias will be assessed using the Revised Cochrane risk-of-bias tool for randomised trials (RoB 2) tool and confidence in the evidence will be assessed using the Confidence in NMA (CINeMA) framework. We will conduct a random-effects NMA using a frequentist approach to estimate relative effects for all comparisons between treatments and rank treatments according to the mean rank and surface under the cumulative ranking curve values. All analyses will be performed in Stata.Ethics and disseminationNo ethical approval is required. The research will be published in a peer-reviewed journal.PROSPERO registration numberCRD42019138074.
Load modifying gait retraining strategies, such as changing the foot progression angle (FPA) to toe-in and toe-out gait, are used for people with medial knee osteoarthritis. The FPA can be measured ...using a pressure sensitive walkway (PSW), but inertial measurement units (IMUs) are considered more suitable for clinical use. This study evaluated the reliability and validity of an IMU system, to measure FPA under different gait retraining strategies. Twenty healthy participants walked a 10-m-long path using different gait strategies (natural (2), toe-out gait (1), toe-in gait (1)) during four 90-s trials. FPA was measured simultaneously with IMUs and a PSW, the latter considered the reference standard. There was good and excellent reliability for the IMUs and PSW FPA measurements, respectively (ICC: IMU, 0.89; PSW, 0.97). Minimal detectable change (MDC) was 4.5° for the IMUs and 2.7° for the PSW. Repeated measures ANOVA indicated a significant effect of gait type on FPA (p < 0.001), but not the measurement instrument (p = 0.875). Bland–Altman plots demonstrated the good agreement of both systems for the baseline condition, though the IMUs seemed to consistently overestimate the FPA value compared to the PSW. In conclusion, IMUs are a reliable and valid measurement system for measuring FPA under different gait retraining strategies. The differences between the systems are significant for all gait strategies, so the systems should not be used interchangeably.
Cover crops (CC) are an important low-input strategy in sustainable agricultural systems. The impact of different CC (common vetch, field pea, winter oats, fodder kale, common vetch + winter oats and ...field pea + winter oats), organic mulch, control treatment-fallow, and bio-fertilizer (BF) application, on yield and quality of sweet maize kernel was evaluated. CC biomass was higher in mixtures: field pea + winter oats, and common vetch + winter oats, as well as in fodder kale. Kernel yield and its chemical composition varied significantly by CC, BF, year, and their interaction. Organic mulch enhanced the concentration of sugars and glutathione in maize kernel. BF increased kernel yield, the concentration of sugars, vitamin C, Mg, Fe, Zn, and reduced phytate concentration. The highest Mg and Mn concentration in maize kernel was achieved with fodder kale, Zn concentration with common vetch + winter oats + BF, and Fe concentration with winter oats. The same treatments expressed the highest impact on variability in concentration of the phytate, phenolics, and yellow pigment, thus affecting further bio-availability of essential elements. Results indicate that in a semi-arid climate, under rain-fed conditions, CC such as fodder kale and winter oats + common vetch could enhance sweet maize productivity and kernel quality, serving as an important part of a sustainable cropping system, to facilitate food security.
The examination of the aerial parts, roots, and seeds of the endemic plant Rindera umbellata is reported in this paper for the first time. Phytochemical investigation of R. umbellata led to the ...isolation and characterization of ten pyrrolizidine alkaloids and eleven fatty acids in the form of triglycerides. Pyrrolizidine alkaloids 1-9 were found in the aerial parts, 7 and 8 in the roots, and 6-10, together with eleven fatty acids, in the seeds of this plant species. The structures of compounds 1-10 were established based on spectroscopic studies (¹H- and ¹³C-NMR, 2D NMR, IR and CI-MS). After trans-esterification, methyl esters of the fatty acids were analyzed using GC-MS. The effect of lindelofine-N-oxide (7) on tubulin polymerization was determined.
The objective of this study was to evaluate the impact of two foliar fertilizers applied on five maize (Zea mays L.) lines. Fertilizers were applied at different growth stages of maize, during three ...consecutive years (2010–2012) at the experimental field of the Maize Research Institute “Zemun Polje”, Serbia. Maize growth parameters such as fresh matter, height, leaf area and grain yield were recorded. Foliar fertilizer with amino acids (FAA) was more advantageous to maize plants compared to fertilizer containing phosphorus (FP) as a main component. Applied FAA has shown positive effects by increasing fresh matter, leaf area index, and plant height in all three years. In 2012, due to unfavorable meteorological conditions, grain yield and harvest index were very low, compared to the previous two years, although, positive effects on morphological traits were observed 21 days after treatments (DAT), as well as in the anthesis stage. The best results of 30% of grain yield and harvest index increase were recorded in line L1 in 2010 and 2011. The same line had an increase of more than 40% of fresh matter and leaf area on average for all three years. The positive effects that have been noticed in this research could recommend foliar fertilizing with fertilizer containing N in a form of an amino acids complex.
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