腰背肌康复训练联合脊柱微调手法对腰椎间盘突出症患者功能康复、血液流变学和生活质量的影响

摘要 目的：探讨腰背肌康复训练联合脊柱微调手法对腰椎间盘突出症（LDH）患者功能康复、血液流变学和生活质量的影响。方法：采用随机数字表法,将我院2020年3月~2022年3月期间收治的120例LDH患者分为对照组（60例,腰背肌康复训练）和观察组（60例,腰背肌康复训练联合脊柱微调手法）。观察两组患者临床疗效、功能康复效果、血液流变学和生活质量。结果：观察组的临床总有效率高于对照组（P<0.05）。观察组干预4周后日本骨科协会腰椎功能（JOA）评分高于对照组,Oswestry功能障碍指数（ODI）、视觉模拟评分法（VAS）评分低于对照组（P<0.05）。观察组干预4周后腰部屈曲腰部活动范围（ROM）、伸展ROM、测屈ROM和屈肌肌力、伸肌肌力高于对照组（P<0.05）。观察组干预4周后全血高切黏度、全血低切黏度、红细胞聚集指数低于对照组（P<0.05）。观察组干预4周后躯体功能、精神健康、活力、躯体疼痛、社会功能、总体健康、情感职能、生理机能维度评分高于对照组（P<0.05）。结论：腰背肌康复训练联合脊柱微调手法用于LDH患者干预中,可改善血液流变学,促进功能康复,有利于患者生活质量的提高。     

The dorsal groove and associated structures on the head of the sucking loach, Gyrinocheilus aymonieri (Cypriniformes)

A prominent transverse groove is present on the snout of the adult sucking loach, Gyrinocheilus aymonieri . It is absent in juveniles. The groove is formed by fibrous thickenings of the dermis that create skin folds at its anterior and posterior margins. It accommodates movement of the joint between the maxillae and the neurocranium. The anterior fibrous thickening also provides anchorage for fibrous strands that partition dermal mucochondroid in the upper lip of the oral sucker into distinct segments. This structure forms a buffer that protects the delicate premaxillary bones when fish probe the substrate for food.     

Dorsal fin in the white shark, Carcharodon carcharias: a dynamic stabilizer for fast swimming

Transverse sections of the skin in the dorsal fin of the white shark, Carcharodon carcharias, tiger shark, Galeocerdo cuvier, and spotted raggedtooth shark, Carcharias taurus, show large numbers of dermal fiber bundles, which extend from the body into the fin. The bundles are tightly grouped together in staggered formation (not arranged in a straight line or in rows). This arrangement of dermal fibers gives tensile strength without impeding fiber movement. Tangential sections indicate that the fibers in all three species are strained and lie at angles in excess of 60 degrees . Of the three species investigated the dermal fibers in C. carcharias are the most densely concentrated and extend furthest distally along the dorsal fin. The overall results indicate that the dorsal fin of C. carcharias functions as a dynamic stabilizer and that the dermal fibers are crucial to this role. The fibers work like riggings that stabilize a ship's mast. During fast swimming, when the problems of yaw and roll are greatest, hydrostatic pressure within the shark increases and the fibers around the body, including in the dorsal fin, become taut, thereby stiffening the fin. During slow swimming and feeding the hydrostatic pressure is reduced, the fibers are slackened, and the muscles are able to exert greater bending forces on the fin via the radials and ceratotrichia. In C. carcharias there is a trade-off for greater stiffness of the dorsal fin against flexibility.     

Termination of the afferent fiber in the spinal cord of the turtle Testudo horsfieldi and three-dimensional reconstruction of the sensory-motoneuron connection

Horseradish peroxidase (HRP) tracing methods and subsequent computer reconstruction were used to study the structural organization of sensory-motoneuron connections in turtles. HRP was applied through suction electrodes to thin dorsal and ventral root filaments of superfused isolated lumbar spinal cord of the turtle Testudo horsfieldi. Single motoneurons were labeled ionophoretically with intracellular glass microelectrodes. Labeled elements were examined under a light microscope. The Eutectic neuron tracing system and its associated program were used for three-dimensional reconstructions and morphometry. The distribution of afferent fibers of the dorsal root and their terminations were presented in a new scheme in which new zones, in addition to those that were already well known, were shown, including the following: in the Lissauer zone, motor nuclei, and ventrolateral funiculus, as well as in the contralateral medial gray matter (laminae IV–V). Unlike in frogs, the motoneuron dendritic field in turtles was restricted to an ellipsoid space with a short axis in the rostrocaudal direction (300–500 µm). The afferent fibers of the dorsal root connected to motoneurons produced very short branches in a restricted rostrocaudal direction (50–70 μm). One fiber collateral of the dorsal root had about 80 synapse-like enlargements (approximately tenfold fewer than in frogs). Putative sensory-motoneuron contacts were found on the I–VII-order dendritic segments of the dorsal and ventro-medial dendritic trees. It was shown that, in turtles, only one first-order collateral of the dorsal root fiber participated in the sensory-motoneuron connection with a small number (about 4) of putative contacts, which is also one order less than in frogs. It is likely that the simplification of the synapse structure in turtles is compensated by a higher efficiency of the signal transmission comparable to that in mammals.     

Ultrastructural studies of dorsal ciliated organs in Spionidae (Annelida: Polychaeta)

The distribution and structural components of dorsal ciliated organs (dco) in 15 species of the Spionidae were studied by scanning- and transmission electron microscopy. Based on the distribution patterns of dco, the investigated species are divided into four non-systematic groups: (I) paired anterior dco, (II) paired dco extending posteriorly for several chaetigers, (III) paired anterior dco in combination with unpaired, sexually dimorphic, metameric dco, and (IV) paired anterior dco in combination with paired, metameric dco. Previous ultrastructural studies have only included species possessing organs of groups I and III. In the present investigation the ultrastructure of dco found in Laonice bahusiensis and Spio cf. filicornis (species with dco of groups II and IV) is studied in an attempt to consider their homology. Apart from the metameric dco of group III, similarities of the cellular components of the dco indicate a homology to nuchal organs.     

Calcium signaling in diabetic neuropathy

Diabetic neuropathy is a frequent complication of diabetes mellitus, for which no adequate clinical treatment is currently available. One of the main reasons for the absence of effective treatment of this disease is that information on how metabolic, vascular, and other abnormalities involved in the pathogenesis of diabetic neuropathy lead to dysfunction of nerve cells and pathways remains insufficient. Recent studies demonstrated that substantial abnormalities of calcium homeostasis in input neurons of the somatosensory nociceptive system are associated with many symptoms of diabetic neuropathy. Although proof of the causal linkage between calcium abnormalities and neuropathic complications is not conclusive, current research in neuroscience mostly indicates that such a linkage exists. Practically all known modifications of synaptic transmission in both central and peripheral nervous systems result from calcium-dependent modifications of the molecular players involved in this transmission. This is why the main goal of our review is to analyze in detail the fundamental cellular and molecular calcium-regulating mechanisms that are deteriorated in diabetes. As an important end-point of the proposed review, the capability of a widely used calcium channel blocker, nimodipine, to correct cytosolic and endoplasmic reticulum calcium abnormalities in neurons of the dorsal root ganglia and spinal dorsal horn and possible curative value of this agent in diabetic neuropathy are discussed.Neirofiziologiya/Neurophysiology, Vol. 36, No. 4, pp. 348–353, July–August, 2004.This revised version was published online in April 2005 with a corrected cover date.     

Role of Ca2+,Mg2+-ATPases in Diabetes-Induced Alterations in Calcium Homeostasis in Input Neurons of the Nociceptive System

In a rat model of streptozotocin (STZ)-induced diabetes, we earlier showed that under these conditions the concentration of free cytosolic Ca²⁺ in input neurons of the nociceptive system increases, Ca²⁺ signals are prolonged, while Ca²⁺ release from intracellular calcium stores decreases. The aim of our study was to test the hypothesis that changes in the activities of Ca²⁺,Mg²⁺-ATPases of the endoplasmic reticulum (SERCA) and plasmalemma (PMCA) could be responsible for diabetes-induced disorders of calcium homeostasis in nociceptive neurons. We measured the Ca²⁺,Mg²⁺-ATPase activities in microsomal fractions obtained from tissues of the dorsal root ganglia (DRG) and spinal dorsal horn (DH) of control rats and rats with experimentally induced diabetes. The integral specific Ca²⁺,Mg²⁺-ATPase activity in microsomes from diabetic rats was lower than that in the control group. The activity of SERCA in samples of DRG and DH of diabetic rats was reduced by 50 ± 8 and 48 ± 12%, respectively, as compared with the control (P < 0.01). At the same time, the activity of PMCA decreased by 63 ± 6% in DRG and by 60 ± 9% in DH samples (P < 0.01). We conclude that diabetic polyneuropathy is associated with the reduction of the rate of recovery of the Ca²⁺ level in the cytosol of DRG and DH neurons due to down-regulation of the SERCA and PMCA activities.