Can a conservative rehabilitation strategy improve shoulder proprioception? A systematic review

Context: Proprioception deficits contribute to persistent and recurring physical disability, particularly with shoulder disorders. Proprioceptive training is thus prescribed in clinical practice. It is unclear whether nonsurgical rehabilitation can optimize shoulder proprioception. Objectives: To summarize the available evidence of conservative rehabilitation (ie, nonsurgical) on proprioception among individuals with shoulder disorders. Evidence Acquisition: PubMed, Web of Science, and EBSCO were systematically searched, from inception until November 24, 2019. Selected articles were systematically assessed, and the methodological quality was established using the Dutch Cochrane Risk of Bias Tool and the Newcastle-Ottawa Quality Assessment Scale. The Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines were utilized for this review. The conservative treatments were categorized as follows: (1) conventional therapy, (2) proprioceptive training, (3) elastic kinesiology tape, and (4) other passive therapies. Evidence Synthesis: Twelve articles were included, yielding 58 healthy control shoulders and 362 shoulders affected by impingement syndrome, glenohumeral dislocations, nonspecific shoulder pain, rotator cuff dysfunction, or subluxation poststroke. The level of agreement between the evaluators was excellent (84.9%), and the studies were evaluated to be of fair to excellent quality (risk of bias: 28.5%–100%). This review suggests, with moderate evidence, that proprioceptive training (upper-body wobble board or flexible foil training) can improve proprioception in the midterm. No decisive evidence exists to suggest that conventional therapy is of added value to enhance shoulder proprioception. Conflicting evidence was found for the improvement of proprioception with the application of elastic kinesiology tape, while moderate evidence suggests that passive modalities, such as microcurrent electrical stimulation and bracing, are not effective for proprioceptive rehabilitation of the shoulder. Conclusions: Proprioceptive training demonstrates the strongest evidence for the effective rehabilitation of individuals with a shoulder proprioceptive deficit. Elastic kinesiology tape does not appear to affect the sense of shoulder proprioception. This review suggests a possible specificity of training effect with shoulder proprioception.This project did not receive funding from any sources

Antibiofilm, Antioxidant, Antimutagenic Activities and Phenolic Compounds of Allium orientale BOISS.

ABSTRACT This is the first study to investigate the antibiofilm, antioxidant and antimutagenic activities and phenolic compounds of Allium orientale. Antimicrobial activity of ethanolic extracts of A. orientale was determined by a broth microdilution method. Antibiofilm activity was evaluated by microplate biofilm assay. The antioxidant activity was determined using three complementary assays; namely, DPPH scavenging, β-carotene-linoleic acid, and total phenolic compounds assays. Phenolic compounds were evaluated by reverse-phase high-performance liquid chromatography. The antimutagenic effect of extracts was analyzed by the Ames test. In RP-HPLC analysis, (+)-catechin, apigenin and caffeic acid were identified as major phenolic compounds in the aerial parts of A. orientale. The aerial parts extract possessed the highest total phenolic content (120.979 ± 1.05 mg gallic acid equivalent/g), which were in good correlation with its significant DPPH (IC50 42.18 ± 1.68 mg/mL) and lipid peroxidation (89.98 ± 0.69% at 10 mg/mL concentration) capacities. A. orientale exhibited potent antimicrobial activity against the organisms tested with MICs ranging from 3.125 to 25 mg/mL. Escherichia coli biofilm formation was inhibited maximum by the aerial parts extract to an extent of 68.51%. The strongest antimutagenic activity was observed at 2.5 mg/plate concentration of aerial parts extract against Salmonella typhimurium TA98.These results suggested that the ethanolic extract of the aerial parts of A.orientale could become useful supplement for pharmaceutical products as a new antioxidant, antibiofilm and antimutagenic agent

The effect of diethylnitrosamine treatment on the nuclear activity of rat hepatocytes

FLWNOinfo:eu-repo/semantics/publishe

Simplicity is not Simple: How Business Architecture in One of Belgium’s Biggest Companies Can Be Simple and Easy-to-Use

Part 9: Engineering MethodsInternational audienceAs organizations are becoming more complex, Enterprise Architecture (EA) serves as an important means to align the strategy with the operations and to achieve business/IT (i.e., Information Technology) alignment. Although numerous approaches have been designed for large enterprises, little EA research was oriented towards small- and medium-sized enterprises (SMEs). However, both organizational types are fundamentally different and require a tailored approach. Therefore, CHOOSE was designed as an EA approach that is in accordance with the needs of SMEs. By performing a case study in the department of a large enterprise, this paper aims to investigate how CHOOSE can be used outside its original context. More specifically, it will be examined how the metamodel and modeling method could be extended to deliver an overview and valuable insights about a complex business reality. To realize this, potential solutions for the encountered issues are formulated and evaluated by the involved business stakeholders