[Compression of the median nerve in the carpal canal].
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Biomedical subjects
Publications and source records attributed to K Mechelse.
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In this paper the basic requirements for a clinical therapeutic trial in Bell's palsy are discussed. The available therapeutic studies are analysed in view of these requirements. The following conclusions seem justified: (1) Galvanic stimulation has not been proved to lead to a better recovery. (2) There is no evidence that decompression of the mastoid part of the facial nerve in the second or third week has a positive effect. Whether surgery at an earlier stage or decompression of the complete intratemporal part of the nerve is effective, has not yet been studied. (3) There is no convincing proof that prednisone administration up to a daily dose of 60-80 mg during the first days has any effect.
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The application of an integrated gait analysis system in clinical research is described. With this system it is possible to analyse the walking pattern of various groups of patients with regard to foot-floor contact, kinematics and kinetics, using a Selspot system. In order to study various groups of patients an extensive body-segment model adapted to the variety in patient groups is dealt with and is related to data from the literature. Special attention has been paid to the analysis or errors in the quantities used in kinematics and kinetics. The various sources of errors leading to inaccuracy of the data describing the walking pattern are discussed.