Up to date, only four cases of primary intradural extramedullary spinal cord melanoma (PIEM) have been reported. No previous reports have described a case of PIEM located in the lower thoracic spine with long-termfollow-up. Purpose. Demonstrating an unusual, extremely rare case of melanoma manifestation. Study Design. Case report. Methods. We report a case of a 57-year-old female suffering from increasing lower extremity pain, left-sided paresis, and paraesthesia due to spinal cord compression caused by PIEM in the lower thoracic spine. Results. Extensive investigation excluded other possible primary melanoma sites and metastases. For spinal cord decompression, the tumor at level T12 was resected, yet incompletely. Adjuvant radiotherapy was administered two weeks after surgery. The patient was recurrence-free at 104 weeks after radiotherapy but presents with unchanged neurological symptoms. Conclusion. Primary intradural extramedullary melanoma (PIEM) is extremely rare and its clinical course is unpredictable.

Title: Effect of Kinesio Taping on the functional condition of the musculoskeletal system The concept of the problem: The kinesiotaping method is currently very popular therapeutic method in sport as well as in physiotherapy. Although this method was primarily developed as therapeutic method, there is only a few studies, in which the kinesiotaping method is used on healthy individuals. Objective: The objective of this thesis is to evaluate the immediate effect of applied kinesio tape on changes in the range of motion of the thoracic spine in the sagittal plane on healthy individuals. Methods: The theoretical part deals with summary of the taping method as well as with anatomical and kinesiological aspects of flexion and extension of the thoracic spine. The practical part as an experiment (single blinded controlled trial) is dedicated to the application of kinesio and placebo tape, the way that both tapes were applied was specifically designed for the purpose of this thesis and for specifically selected individuals. For gathering the data and for the evaluation the changes in the range of motion, the index of thoracic spine mobility was used. Results: For experimental group - kinesio tape there were no statistically significant increase in the range of motion. Vice versa, according to the obtained...

Previous research suggests that lung cancer patients are at an increased risk for depressive symptomatology; however, little is known about the possible etiology or correlates of depression among these patients. This study examined the relationship between perceived stigma and depressive symptomatology among lung cancer patients, and sought to find potential mediators of this relationship. It was hypothesized that more perceived stigma would be related to greater depressive symptomatology and that perceived stigma would contribute unique variance to depressive symptomatology above and beyond that contributed by clinical, demographic, and psychosocial variables. A sample of 95 participants receiving chemotherapy for stage II-IV non-small cell lung cancer was recruited during routine outpatient chemotherapy visits. A medical chart review was conducted to assess clinical factors and participants completed a standard demographic questionnaire as well as measures of perceived stigma, depressive symptomatology, and other psychosocial variables. As hypothesized, there was a positive association of perceived stigma to depressive symptomatology. Perceived stigma contributed significant unique variance to depressive symptomatology. In addition dyadic adjustment and dysfunctional attitudes mediated this relationship. Future research should aim to replicate and extend these findings in longitudinal analyses and attempt to ameliorate lung cancer patients' depressive symptomatology by targeting perceived stigma.

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Background: Individuals with Subacromial Pain Syndrome (SPS) often present with a variety of contributing factors. It is possible that a subgroup exists within SPS that has primary impairments of scapular mobility and/or muscle strength. In an attempt to better identify scapular contributions in SPS, the Scapular Assistance Test (SAT) and Scapula Reposition Test (SRT) have been described. Additionally, thoracic spine thrust manipulation has been shown to be effective for shoulder pain. Problem Statement: It is currently unknown whether or not there are impairments in scapulothoracic muscle force generation or scapular mobility in individuals with SPS who have positive results on the SAT and SRT. It also remains unknown whether individuals with SPS respond differently in the immediate effects on scapular motion, scapulothoracic muscle force generation, pain, or function following different manipulation techniques. Methodology: Sixty subjects with shoulder pain were enrolled in the study. Baseline measures were obtained for scapular upward rotation and posterior tilt, scapulothoracic muscle force generation, pectoralis minor muscle length, pain, and function. Participants were randomized to receive a seated thrust manipulation, supine thrust manipulation, or sham manipulation. Measures were reassessed immediately after treatment and the Penn Shoulder Score (PSS) was reassessed at 48 hours. Results: The results indicated no significant differences in scapular upward rotation or posterior tilt, or muscle force generation based on the results of the SAT or SRT. There was a small but significant difference in pectoralis minor muscle length based on the result of the SAT. There were no significant between-group differences in scapular motion, muscle force generation, or pectoralis minor muscle length based on the treatment received. There were no significant differences in 48-hour improvement in pain, function, satisfaction, and total PSS scores. Small but significant within group changes existed on several measures. Discussion: The SAT and SRT may be ineffective in differentiating scapular movement associated impairments. Thoracic spine thrust manipulation resulted in no greater immediate improvements in scapular motion, strength, pectoralis minor muscle length, pain, or function compared to a sham treatment. The improvements in pain and function are likely not biomechanical in nature and are likely not derived from the manipulative thrust.

京都大学 / 0048 / 新制・課程博士 / 博士(医学) / 甲第21628号 / 医博第4434号 / 新制||医||1033(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 溝脇 尚志, 教授 平井 豊博, 教授 森田 智視 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

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Bibliographical record DVOŘÁK, J. Physiological movements of the spine during locomotion. Prague: Charles University, 2nd Faculty of Medicine, Department of Rehabilitation and Sports Medicine 2021. 75 p. Thesis supervisor PhDr. Marcela Šafářová, Ph.D. Abstract The diploma thesis Physiological movements of the spine during locomotion deals with the relationship between locomotion, spatiotemporal properties of gait and spinal movements. The theoretical part of the work summarizes the knowledge about the phylogenetic and ontogenetic development of the spine. The paper discusses the influences that affect the motility of the spine from intrauterine development to old age. The main part of the theoretical part is devoted to an overview of studies examining the movements of the spine during human locomotion. The experimental part was performed by testing a group of younger (24.6 ± 3.6 years) and older adults (43.5 ± 4.6 years). Both groups consisted of 8 women and 8 men. A total of 32 volunteers were tested. Otto's spine distance, thoracic spine rotation, 95% COP standing, and spatiotemporal gait data were measured using a Zebris Rehawalk FDM-T. Thereafter, therapy was applied to the chest to affect the dynamics of movement. Finally, control measurements of all olunteers were performed. Statistical data...