Validation of a Functional Pyelocalyceal Renal Model for the Evaluation of Renal Calculi Passage While Riding a Roller Coaster

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  • Si tu as des calculs rénaux, va plutôt te faire centrifuger chez Disney !

    Roller Coasters Could Help People Pass Kidney Stones - The Atlantic
    https://www.theatlantic.com/health/archive/2016/09/for-kidney-health-roller-coaster-therapy/501278

    “What was amazing was within just a few rides it became obvious that there was a huge difference in passage rates whether you sat in the front or the rear of the coaster,” Wartinger tells me. “There was a lot more whipping around in that rear car.”

    The stones passed 63.89 percent of the time while the kidneys were in the back of the car. When they were in the front, the passage rate was only 16.67 percent. That’s based on only 60 rides on a single coaster, and Wartinger guards his excitement in the journal article: “Preliminary study findings support the anecdotal evidence that a ride on a moderate-intensity roller coaster could benefit some patients with small kidney stones.”

    • L’article original

      Validation of a Functional Pyelocalyceal Renal Model for the Evaluation of Renal Calculi Passage While Riding a Roller Coaster | The Journal of the American Osteopathic Association
      http://jaoa.org/article.aspx?articleid=2557373

      Abstract
      Context: The identification and evaluation of activities capable of dislodging calyceal renal calculi require a patient surrogate or validated functional pyelocalyceal renal model.

      Objective: To evaluate #roller_coaster facilitation of calyceal renal calculi passage using a functional pyelocalyceal renal model.

      Methods: A previously described adult ureteroscopy and renoscopy simulator (Ideal Anatomic) was modified and remolded to function as a patient surrogate. Three renal calculi of different sizes from the patient who provided the original computed tomographic urograph on which the simulator was based were used. The renal calculi were suspended in urine in the model and taken for 20 rides on the Big Thunder Mountain Railroad roller coaster at Walt Disney World in Orlando, Florida. The roller coaster rides were analyzed using variables of renal calculi volume, calyceal location, model position on the roller coaster, and renal calculi passage.

      Results: Sixty renal calculi rides were analyzed. Independent of renal calculi volume and calyceal location, front seating on the roller coaster resulted in a passage rate of 4 of 24. Independent of renal calculi volume and calyceal location, rear seating on the roller coaster resulted in a passage rate of 23 of 36. Independent of renal calculi volume in rear seating, calyceal location differed in passage rates, with an upper calyceal calculi passage rate of 100%; a middle calyceal passage rate of 55.6%; and a lower calyceal passage rate of 40.0%.

      Conclusion: The functional pyelocalyceal renal model serves as a functional patient surrogate to evaluate activities that facilitate calyceal renal calculi passage. The rear seating position on the roller coaster led to the most renal calculi passages.