OBJECTIVE To investigate the intervention effects of tissue-bone homeostasis manipulation(TBHM)on peripatellar biomechanical parameters and knee joint function in knee osteoarthritis(KOA)patients.METHODS Sixty patient...OBJECTIVE To investigate the intervention effects of tissue-bone homeostasis manipulation(TBHM)on peripatellar biomechanical parameters and knee joint function in knee osteoarthritis(KOA)patients.METHODS Sixty patients with KOA(Kellgren-Lawrence gradeⅡ-Ⅲ)were recruited from the Acupuncture-Moxibustion Rehabilitation Department,Anhui University of Chinese Medicine between October 2024 and May 2025.Participants were randomized into a TBHM group(n=30)or a transcutaneous electrical neuromuscular stimulation(TENS)group(n=30).Using two-way repeated measures ANOVA,biomechanical indicators,including rectus femoris tension,vastus medialis tension,vastus lateralis tension,patellar ligament tension,lateral patellar displacement(LPD),medial patellar displacement(MPD),normalized patellar mobility(LPD/patellar width[PW],MPD/PW),knee flexion range of motion,and functional indicators,including KOOS subscales,time up and go test(TUGT),were compared between groups at baseline and after 6 weeks of intervention.RESULTS After intervention,all biomechanical and knee joint function indicators in the TBHM group were significantly improved(P<0.05,P<0.01),while only the vastus medialis tension,TUGT and KOOS Pain,ADL and QoL scores in the control group were significantly improved(P<0.01).The improvement amplitudes of biomechanical indicators in the TBHM group,including rectus femoris tension,vastus lateralis tension,patellar ligament tension,MPD/PW,LPD/PW and knee flexion range of motion were better than those in the control group(P<0.05,P<0.01).In the functional evaluation,the interaction effects of the TBHM group in all dimensions of the KOOS score and TUGT were statistically significant(P<0.05,P<0.01).Post-hoc simple effect analysis confirmed that there were significant differences in the above indicators between the two groups after intervention(P<0.05),and all indicators showed a significant main effect of time(P<0.01),suggesting that the intervention measures had continuous and cumulative curative effects.CONCLUSION TBHM effectively improves joint function and quality of life in KOA patients by restoring dynamic equilibrium in soft tissue tension and patellar mobility,ultimately achieving the therapeutic goal of concurrent tissue-bone management.展开更多
Large-area two-dimensional(2D)materials,such as graphene,MoS_(2),WS_(2),h-BN,black phosphorus,and MXenes,are a class of advanced materials with many possible applications.Different applications need different substrat...Large-area two-dimensional(2D)materials,such as graphene,MoS_(2),WS_(2),h-BN,black phosphorus,and MXenes,are a class of advanced materials with many possible applications.Different applications need different substrates,and each substrate may need a different way of transferring the 2D material onto it.Problems such as local stress concentrations,an uneven surface tension,inconsistent adhesion,mechanical damage and contamination during the transfer can adversely affect the quality and properties of the transferred material.Therefore,how to improve the integrity,flatness and cleanness of large area 2D materials is a challenge.In order to achieve high-quality transfer,the main concern is to control the interface adhesion between the substrate,the 2D material and the transfer medium.This review focuses on this topic,and finally,in order to promote the industrial use of large area 2D materials,provides a recipe for this transfer process based on the requirements of the application,and points out the current problems and directions for future development.展开更多
文摘OBJECTIVE To investigate the intervention effects of tissue-bone homeostasis manipulation(TBHM)on peripatellar biomechanical parameters and knee joint function in knee osteoarthritis(KOA)patients.METHODS Sixty patients with KOA(Kellgren-Lawrence gradeⅡ-Ⅲ)were recruited from the Acupuncture-Moxibustion Rehabilitation Department,Anhui University of Chinese Medicine between October 2024 and May 2025.Participants were randomized into a TBHM group(n=30)or a transcutaneous electrical neuromuscular stimulation(TENS)group(n=30).Using two-way repeated measures ANOVA,biomechanical indicators,including rectus femoris tension,vastus medialis tension,vastus lateralis tension,patellar ligament tension,lateral patellar displacement(LPD),medial patellar displacement(MPD),normalized patellar mobility(LPD/patellar width[PW],MPD/PW),knee flexion range of motion,and functional indicators,including KOOS subscales,time up and go test(TUGT),were compared between groups at baseline and after 6 weeks of intervention.RESULTS After intervention,all biomechanical and knee joint function indicators in the TBHM group were significantly improved(P<0.05,P<0.01),while only the vastus medialis tension,TUGT and KOOS Pain,ADL and QoL scores in the control group were significantly improved(P<0.01).The improvement amplitudes of biomechanical indicators in the TBHM group,including rectus femoris tension,vastus lateralis tension,patellar ligament tension,MPD/PW,LPD/PW and knee flexion range of motion were better than those in the control group(P<0.05,P<0.01).In the functional evaluation,the interaction effects of the TBHM group in all dimensions of the KOOS score and TUGT were statistically significant(P<0.05,P<0.01).Post-hoc simple effect analysis confirmed that there were significant differences in the above indicators between the two groups after intervention(P<0.05),and all indicators showed a significant main effect of time(P<0.01),suggesting that the intervention measures had continuous and cumulative curative effects.CONCLUSION TBHM effectively improves joint function and quality of life in KOA patients by restoring dynamic equilibrium in soft tissue tension and patellar mobility,ultimately achieving the therapeutic goal of concurrent tissue-bone management.
基金the National Key R&D Program of China(2022YFA1505200)the National Natural Science Foundation of China(22472140,22021001)the Fundamental Research Funds for the Central Universities(20720210017 and 20720210009)。
文摘Large-area two-dimensional(2D)materials,such as graphene,MoS_(2),WS_(2),h-BN,black phosphorus,and MXenes,are a class of advanced materials with many possible applications.Different applications need different substrates,and each substrate may need a different way of transferring the 2D material onto it.Problems such as local stress concentrations,an uneven surface tension,inconsistent adhesion,mechanical damage and contamination during the transfer can adversely affect the quality and properties of the transferred material.Therefore,how to improve the integrity,flatness and cleanness of large area 2D materials is a challenge.In order to achieve high-quality transfer,the main concern is to control the interface adhesion between the substrate,the 2D material and the transfer medium.This review focuses on this topic,and finally,in order to promote the industrial use of large area 2D materials,provides a recipe for this transfer process based on the requirements of the application,and points out the current problems and directions for future development.
