Objective: An inter and intra rater reliability (INTERR and INTRAR) study was designed. Methods: 71 subjects, with primary hip coxarthrosis, were included and randomly divided in a study group (SG= 36) and a control group (CG= 35) to assess the efficacy of the Fascial Manipulation® (FM®) method. The primary objective was the assessment of INTERR and INTRAR about movement verification (MV) and palpation verification (PV) of FM® performed by two physiotherapists (PtA and PtB). The secondary objective was evaluate the efficacy of FM® through MV, PV and pain score. Pain was assessed using the Numeric Rating Scale (NRS). SG received three weekly sessions of FM® byPtA. PtB re-evaluated all the subjects at the end of the study. Results: Results of the INTERR analysis showed for SG: MV (ICC= 0.92, k= 72.7%); PV (ICC= 0.91, k= 75.7%). For CG : MV (ICC= 0.95, k= 84.2%); PV (ICC= 0.90, k= 75%). Results of the INTRAR analysis for SG reported: MV (ICC= 0.82, k= 74,8%); PV (ICC= 0.60, k= 46.8%); for CG: MV (ICC= 0.93, k= 78.7%); PV (ICC= 0.84, k= 53.3%). Statistical significance were reported in NRS (p = 0.001), MV (p = 0.0003) and PV (p < 0.0001) with better results for SG using "Intention To Treat" method. Discussion: This study demonstrates that FM® assessment procedures have a high reliability even if applied by practitioners with basic experience. Furthermore FM® treatment can improve pain and ROM in individuals with primary coxarthrosis
A model of both uniform finite-length optical fiber Bragg gratings and grating arrays is presented. The model is based on the Floquet-Bloch formalism and allows rigorous investigation of all the physical aspects in either single- or multiple-periodic structures realized on the core of a monomodal fiber. Analytical expressions of reflectivity and transmittivity for both single gratings and grating arrays are derived. The influence of the grating length and the index modulation amplitude on the reflected and transmitted optical power for both sinusoidal and rectangular profiles is evaluated. Good agreement between our method and the well-known coupled-mode theory (CMT) approach has been observed for both single gratings and grating arrays only in the case of weak index perturbation. Significant discrepancies exist there in cases of strong index contrast because of the increasing approximation of the CMT approach. The effects of intragrating phase shift are also shown and discussed.
We present an accurate numerical method based on the Floquet-Bloch formalism to analyze the propagation properties and the radiation loss in infinitely long uniform fiber Bragg gratings. The model allows us to find all the propagation characteristics including the propagation constants, the space harmonics and the total field distribution, the guided and radiated power, and the modal loss induced by the periodic structure. The influence of the geometrical and physical parameters on the performance of the Bragg gratings has been established. A clear explanation of the physical phenomena related to the index modulation amplitude changes is presented, including the photonic bandgap effect, which is not easily described by the finite-difference time-domain method and cannot be described by the widely used coupled-mode theory.
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