1.Cystic Adventitial Disease of the Popliteal Artery - A Case Report.
Yuzuru MATSUYAMA ; Shigeo TANAKA ; Junichi NINOMIYA ; Tetsuo ASANO ; Kiyoshi KOIZUMI ; Masashi KAWAMOTO ; Naoko OHKUBO ; Tasuku SHOJI ; Tatsuo KUMAZAKI
Japanese Journal of Cardiovascular Surgery 1991;20(9):1502-1507
Cystic adventitial disease of the popliteal artery is an uncommon disorder. 58-year-old male complained of left intermittent calf claudication and couldn't sit straight. He preferred playing baseball and jogging. Digital subtraction angiograms revealed a smooth extrinsic compression on the proximal left popliteal artery. Surgical procedure was performed with posterior approach. The left popliteal artery was confirmed to be surrounded by two adventitial cysts at operation. After the evacuation and removal of these cystic wall, peripheral popliteal artery pulse was improved. Postoperative course was smooth and calf claudication was completely disappeared, post operative angiogram showed no stenosis. Histological examination of the resected specimen showed degenerated elastic fiber and inflammatory granulation. We have found 40 cases previously reported in Japan and the present case was 2nd one in our institute.
2.Successful Use of the Hybrid Assistive Limb for Care Support to Reduce Lumbar Load in a Simulated Patient Transfer
Kousei MIURA ; Hideki KADONE ; Tetsuya ABE ; Masao KODA ; Toru FUNAYAMA ; Hiroshi NOGUCHI ; Hiroshi KUMAGAI ; Katsuya NAGASHIMA ; Kentaro MATAKI ; Yosuke SHIBAO ; Kosuke SATO ; Hiroaki KAWAMOTO ; Yoshiyuki SANKAI ; Masashi YAMAZAKI
Asian Spine Journal 2021;15(1):40-45
Methods:
Nineteen volunteers (16 men, three women) lifted a 60-kg doll from a seated position to a standing position. The first transfer was performed without the HAL for Care Support, and the second was performed with the HAL for Care Support assistive robot. We evaluated transfer performance, the visual analog scale (VAS) score for lumbar fatigue, and electromyogram analyses of the trunk and hip.
Results:
Four participants (two men, two women) succeeded with the HAL for Care Support even though they were unable to perform the task without it. The mean lumbar fatigue VAS score for all participants without the HAL for Care Support was 62 mm, while that with it was 43 mm. With lumbar assistance from the HAL for Care Support, subjective lumbar fatigue during the transfer decreased significantly. A power analysis indicated adequate statistical power to detect a difference in the VAS score for lumbar fatigue (0.99). The activity of the left gluteus maximus alone increased significantly during transfers with the HAL for Care Support. No adverse events occurred during use of the HAL for Care Support for transfers.
Conclusions
The HAL for Care Support was able to reduce lumbar load in a simulated patient transfer.
3.Validity of Japanese Version of Neuropathic Pain Screening Questionnaire for Cancer Pain with Neuropathic Pain
Yumi IKEJIRI ; Kyoko OSHITA ; Ryuji NAKAMURA ; Hiroshi HAMADA ; Yumi HAYASHI ; Akiko KURATA ; Yasumasa OKAMOTO ; Masashi KAWAMOTO ; Yasuo TSUTSUMI
Palliative Care Research 2020;15(1):15-20
Introduction: The diagnosis of cancer-related neuropathic pain is often difficult for non-pain medicine specialists. We examined whether a Japanese version of a neuropathic pain screening questionnaire (Japan-Q), which was developed for chronic pain, is appropriate for screening cancer-related neuropathic pain. Methods: Our palliative care team screened 104 patients from May 2014 to December 2015 and compared total points of the Japan-Q with diagnosis of the type of cancer pain by specialized pain clinicians. Validity was evaluated using a receiver operating characteristic (ROC) curve. Results: The area under the ROC curve in terms of the total score, sensitivity, and specificity for the Japan Q was 0.82, which indicated a moderate level of diagnostic accuracy. A cut-off value of 3 points was shown to be best (sensitivity: 79%, specificity: 82%). When a cut-off value of 9 points was used as the diagnostic criterion for neuropathic pain, there was greatly reduced sensitivity (sensitivity: 40%, specificity: 97%). Conclusion: Although the Japan-Q shows moderate diagnostic accuracy related to cancer pain, the cut-off value for this tool is lower than that for chronic pain. Cancer-related neuropathic pain should be suspected with a total score of 3 or more in the Japan-Q.