Ultrasonographic evaluation of three approaches for botulinum toxin injection into tibialis posterior muscle in chronic stroke patients with equinovarus foot: An observational study

Spastic equinovarus (SEV) foot deformity is commonly observed in patients with post-stroke spasticity. Tibialis posterior (TP) is a common target for botulinum toxin type-A (BoNT-A) injection, as a first-line treatment in non-fixed SEV deformity. For this deep muscle, ultrasonographic guidance is crucial to achieving maximum accuracy for the BoNT-A injection. In current clinical practice, there are three approaches to target the TP: an anterior, a posteromedial, and a posterior. To date, previous studies have failed to identify the best approach for needle insertion into TP. To explore the ultrasonographic characteristics of these approaches, we investigated affected and unaffected legs of 25 stroke patients with SEV treated with BoNT-A. We evaluated the qualitative (echo intensity) and quantitative (muscle depth, muscle thickness, overlying muscle, subcutaneous tissue, cross-sectional area) ultrasound characteristics of the three approaches for TP injection. In our sample, we observed significant differences among almost all the parameters of the three approaches, except for the safety window. Moreover, our analysis showed significant differences in cross-sectional area between treated and untreated. Advantages and disadvantages of each approach were investigated. Our findings can thus provide a suitable reference for clinical settings, especially for novice operators

The Lantern Vol. 49, No. 1, Fall 1982

• The Dormant Tree • Les Maitres des mots... • The Bartender • Time • Small Silent Creatures • Appreciation de la vie • Mon Seigneur, Mon Ami • In Gratitude • Cathedral • Child • Grow Old With Me • To Keep The Land • Lesetta • No Answer • The Hunt • You Came to Me • A Day in the Life of a Thought • Revenge • The Dance • Unclaimed • Where e\u27er There Be a Reason • Pour le coin • Thinking of You • You Were The Onehttps://digitalcommons.ursinus.edu/lantern/1121/thumbnail.jp

Differentiation among bio- and augmented- feedback in technologically assisted rehabilitation

Introduction: In rehabilitation practice, the term ‘feedback’ is often improperly used, with augmented feedback and biofeedback frequently confused, especially when referring to the human-machine interaction during technologically assisted training. The absence of a clear differentiation between these categories represents an unmet need for rehabilitation, emphasized by the advent of new technologies making extensive use of video feedback, exergame, and virtual reality. Area covered: In this review we tried to present scientific knowledge about feedback, biofeedback, augmented feedback and neurofeedback, and related differences in rehabilitation settings, for a more proper use of this terminology. Despite the continuous expansion of the field, few researches clarify the differences among these terms. This scoping review was conducted through the searching of current literature up to May 2020, using following databases: PUBMED, EMBASE and Web of Science. After literature search a classification system, distinguishing feedback, augmented feedback, and biofeedback, was applied. Expert opinion: There is a need for clear definitions of feedback, biofeedback, augmented feedback, and neurofeedback in rehabilitation, especially in the technologically assisted one based on human-machine interaction. In fact, the fast development of new technologies requires to be based on solid concepts and on a common terminology shared among bioengineers and clinicians

The Grizzly, January 28, 1983

Break-in Over Break: Olevian Burglarized • New Faculty Added • Wilder Play at Ritter • Retention Number Assessed • Soviet Policy Analyzed • News Briefs: Lantern Anniversary; ISC Has a Baby • President\u27s Corner • The New Valley Girl • Back at College • New Ski Club Formed at U.C. • Grizzly Football Banquet a Very Rewarding Night • Despite Tough Performances, Aquabears Fall to Lycoming • Early Breaks Diving Record: Lady Swimmers Stroke to 3-1 Record • Grapplers Dump Mules to Up Record to 3-1-1 • Badminton Tops F&M; Set Back by Temple • Lehigh Comeback Sinks Lady Bears • Men\u27s Hoops Tops Haverford • Christmas not a Good Time for Bearshttps://digitalcommons.ursinus.edu/grizzlynews/1091/thumbnail.jp

The Grizzly, November 12, 1982

Nobel Prize Winner at Ursinus • Tray Contest at Wismer • Life in the Fast Lane • International Accord Signed • Berry Brings About Changes • Eclectic Exhibit • President\u27s Corner • Registrar Announces Finals Schedule • Stallone Knocked Out in First Blood • From Bar to Bard • UPB Bus to New Market • No Encore, Please • Immersion Excursion • USGA Notes • Frostburg Freezes UC in ECAC Playoffs • Field Hockey Ends Season at .500 • Career Options Presented • Grizzlies Drop Season Finale to Widener • Harriers Take Second in MAC Meethttps://digitalcommons.ursinus.edu/grizzlynews/1088/thumbnail.jp