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Postural control

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https://www.readbyqxmd.com/read/28231596/-impact-of-a-senso-motoric-intervention-in-copd-patients-participating-in-an-outpatient-pulmonary-rehabilitation-program-a-randomized-controlled-trial
#1
M Spielmanns, K Müller, N Schott, A Winkler, H Polanski, C Nell, T Boeselt, A R Koczulla, J H Storre, W Windisch, F S Magnet, K Baum
Objective: Exercise training provides a cornerstone of pulmonary rehabilitation (PR) in COPD-patients. However, the components of the training are not yet fully investigated. We conducted a randomized controlled trial to investigate the effectiveness of a sensory-motoric training (SMT) in comparison to a conventional strength training (KT) according to the physical performance. Patients and Methods: 43 COPD patients were randomized and participated either in the intervention group (SMT = 30 minutes SMT per day) or in the control group (KT = 30 minutes KT per day)...
February 23, 2017: Die Rehabilitation
https://www.readbyqxmd.com/read/28231556/compliant-support-surfaces-affect-sensory-reweighting-during-balance-control
#2
I M Schut, D Engelhart, J H Pasma, R G K M Aarts, A C Schouten
To maintain upright posture and prevent falling, balance control involves the complex interaction between nervous, muscular and sensory systems, such as sensory reweighting. When balance is impaired, compliant foam mats are used in training methods to improve balance control. However, the effect of the compliance of these foam mats on sensory reweighting remains unclear. In this study, eleven healthy subjects maintained standing balance with their eyes open while continuous support surface (SS) rotations disturbed the proprioception of the ankles...
February 9, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28230070/an-fmri-compatible-force-measurement-system-for-the-evaluation-of-the-neural-correlates-of-step-initiation
#3
Andrea Cristina de Lima-Pardini, Raymundo Machado de Azevedo Neto, Daniel Boari Coelho, Catarina Costa Boffino, Sukhwinder S Shergill, Carolina de Oliveira Souza, Rachael Brant, Egberto Reis Barbosa, Ellison Fernando Cardoso, Luis Augusto Teixeira, Rajal G Cohen, Fay Bahling Horak, Edson Amaro
Knowledge of brain correlates of postural control is limited by the technical difficulties in performing controlled experiments with currently available neuroimaging methods. Here we present a system that allows the measurement of anticipatory postural adjustment of human legs to be synchronized with the acquisition of functional magnetic resonance imaging data. The device is composed of Magnetic Resonance Imaging (MRI) compatible force sensors able to measure the level of force applied by both feet. We tested the device in a group of healthy young subjects and a group of elderly subjects with Parkinson's disease using an event-related functional MRI (fMRI) experiment design...
February 23, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28228797/femoral-neck-s-fracture-in-fahr-s-syndrome-case-report
#4
Marcello Sallì, Antonio D'Arienzo, Mariella Bonanno, Salvatore Morello, Antonino Sanfilippo, Giulia Letizia Mauro, Michele D'Arienzo
Fahr's syndrome, also known as "Bilateral Striopallidodentate Calcinosis" (BSPDC) primitive, is a rare neurological disease characterized by the presence of idiopathic, bilateral, symmetrical and abnormal deposition of calcium in areas of the brain that control movements including the basal ganglia, dentate nuclei of the cerebellum, nuclei of thalamus and semi-oval center. We describe a case of a 76-year-old male patient underwent reduction and fixation of a subtrochanteric fracture with intramedullary nail...
September 2016: Clinical Cases in Mineral and Bone Metabolism
https://www.readbyqxmd.com/read/28228582/multi-digit-force-control-during-unconstrained-grasping-in-response-to-object-perturbations
#5
Abdeldjallil Naceri, Alessandro Moscatelli, Robert Haschke, Helge Ritter, Marco Santello, Marc O Ernst
Because of the complex anatomy of the human hand, in the absence of external constraints a large number of postures and force combinations can be used to attain a stable grasp. Motor synergies provide a viable strategy to solve this problem of motor redundancy. In this study, we exploited the technical advantages of an innovative sensorized object to study unconstrained hand grasping within the theoretical framework of motor synergies. Participants were required to grasp, lift, and hold the sensorized object...
February 22, 2017: Journal of Neurophysiology
https://www.readbyqxmd.com/read/28227900/automated-assessment-of-postural-stability-system
#6
Alessandro Napoli, Christian R Ward, Stephen M Glassd, Carole Tucker, Iyad Obeid, Alessandro Napoli, Christian R Ward, Stephen M Glass, Carole Tucker, Iyad Obeid, Christian R Ward, Carole Tucker, Alessandro Napoli, Iyad Obeid, Stephen M Glass
The Balance Error Scoring System (BESS) is one of the most commonly used clinical tests to evaluate static postural stability deficits resulting from traumatic brain events and musculoskeletal injury. This test requires a trained operator to visually assess balance and give the subject a performance score based on the number of balance "errors" they committed. Despite being regularly used in several real-world situations, the BESS test is scored by clinician observation and is therefore (a) potentially susceptible to biased and inaccurate test scores and (b) cannot be administered in the absence of a trained provider...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227777/analysis-of-a-cardiovascular-model-for-the-study-of-the-autonomic-response-of-brugada-syndrome-patients
#7
Mireia Calvo, Virginie Le Rolle, Daniel Romero Perez, Nathalie Behar, Pedro Gomis, Philippe Mabo, Alfredo I Hernandez, Mireia Calvo, Virginie Le Rolle, Daniel Romero Perez, Nathalie Behar, Pedro Gomis, Philippe Mabo, Alfredo I Hernandez, Mireia Calvo, Daniel Romero Perez, Pedro Gomis, Philippe Mabo, Nathalie Behar, Alfredo I Hernandez, Virginie Le Rolle
This paper describes the integration of mathematical models of the cardiac electrical activity, the cardiovascular system and the baroreceptor reflex control of the autonomic nervous system, with a model representing a head-up tilt test. Sensitivity analyses are performed in order to determine those model parameters producing the greatest significant effects on heart rate and blood pressure. An optimization step is then applied to the most influential parameters in order to find the best model fit to real cardiac data obtained from a patient suffering from Brugada syndrome and a healthy subject, in supine and upright postures during a tilt test...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227539/robot-assisted-assessment-of-wrist-proprioception-does-wrist-proprioceptive-acuity-follow-weber-s-law
#8
Sara Contu, Francesca Marini, Leonardo Cappello, Lorenzo Masia, Sara Contu, Francesca Marini, Leonardo Cappello, Lorenzo Masia, Lorenzo Masia, Sara Contu, Leonardo Cappello, Francesca Marini
Proprioception is essential for planning and controlling limb posture and movement. In our recent work, we introduced a standardized robot-aided method for measuring proprioceptive discrimination thresholds at the wrist to obtain reliable and accurate measures of proprioceptive acuity. Weber's law defines discrimination thresholds as a constant ratio between the just noticeable difference and the reference or standard stimulus. Reporting Weber's fractions thus provides the possibility of comparing results with the reports of others collected worldwide...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227531/step-length-and-width-variability-while-walking-on-a-motion-simulator-mounted-treadmill
#9
Timothy Boerger, Jacob Van Dehy, Tanya Onushko, Brian Schmit, Allison Hyngstrom, Timothy Boerger, Jacob Van Dehy, Tanya Onushko, Brian Schmit, Allison Hyngstrom, Timothy Boerger, Brian Schmit, Allison Hyngstrom, Jacob Van Dehy, Tanya Onushko
While devices which allow scientists to perturb normal walking are becoming increasingly common, postural adaptations to these perturbations have not been fully quantified. One way to quantify postural responses to perturbations are through the assessment of variability of step length and width. In the present study we determined variability of both step length and width while subjects walked under perturbations of varying amplitude in roll, pitch, yaw, anteroposterior, lateral, and combined roll, pitch, yaw directions...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227236/a-wheelchair-with-lever-propulsion-control-for-climbing-up-and-down-stairs
#10
Kai Sasaki, Yosuke Eguchi, Kenji Suzuki, Kai Sasaki, Yosuke Eguchi, Kenji Suzuki, Kenji Suzuki, Yosuke Eguchi, Kai Sasaki
This study proposes a novel stair-climbing wheelchair based on lever propulsion control using the human upper body. Wheelchairs are widely used as supporting locomotion devices for people with acquired lower limb disabilities. However, steps and stairs are critical obstacles to locomotion, which restrict their activities when using wheelchairs. Previous research focused on power-assisted, stair-climbing wheelchairs, which were large and heavy due to its large actuators and mechanisms. In the previous research, we proposed a wheelchair with lever propulsion mechanism and presented its feasibility of climbing up the stairs...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226984/analysis-of-causal-cardio-postural-interaction-under-orthostatic-stress-using-convergent-cross-mapping
#11
Ajay K Verma, Amanmeet Garg, Andrew Blaber, Reza Fazel-Rezai, Kouhyar Tavakolian, Ajay K Verma, Amanmeet Garg, Andrew Blaber, Reza Fazel-Rezai, Kouhyar Tavakolian, Ajay K Verma, Amanmeet Garg, Kouhyar Tavakolian, Reza Fazel-Rezai, Andrew Blaber
Knowledge of a cause-and-effect relationship between different physiological systems is helpful in predicting their performance under perturbations, such as orthostatic challenge. The causal coupling between representative signals of the cardiovascular and postural systems under orthostatic challenge remains unknown. Understanding the causal relationship between these two systems is critical, as their interplay is vital to maintain stable upright posture of the human body during quiet standing. In this research, convergent cross mapping (CCM) method was applied to study the causal relationship between the cardiovascular and postural systems previously shown to have coherent activity during quiet standing...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226938/a-wearable-skin-stretch-haptic-feedback-device-towards-improving-balance-control-in-lower-limb-amputees
#12
M A B Husman, H F Maqbool, M I Awad, A Abouhossein, A A Dehghani-Sanij, M A B Husman, H F Maqbool, M I Awad, A Abouhossein, A A Dehghani-Sanij, A Abouhossein, A A Dehghani-Sanij, M A B Husman, M I Awad, H F Maqbool
Haptic feedback to lower limb amputees is essential to maximize the functionality of a prosthetic device by providing information to the user about the interaction with the environment and the position of the prostheses in space. Severed sensory pathway and the absence of connection between the prosthesis and the Central Nervous System (CNS) after lower limb amputation reduces balance control, increases visual dependency and increases risk of falls among amputees. This work describes the design of a wearable haptic feedback device for lower limb amputees using lateral skin-stretch modality intended to serve as a feedback cue during ambulation...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226877/a-wearable-biofeedback-control-system-based-body-area-network-for-freestyle-swimming
#13
Rui Li, Zibo Cai, WeeSit Lee, Daniel T H Lai, Rui Li, Zibo Cai, WeeSit Lee, Daniel T H Lai, WeeSit Lee, Daniel T H Lai, Rui Li, Zibo Cai
Wearable posture measurement units are capable of enabling real-time performance evaluation and providing feedback to end users. This paper presents a wearable feedback prototype designed for freestyle swimming with focus on trunk rotation measurement. The system consists of a nine-degree-of-freedom inertial sensor, which is built in a central data collection and processing unit, and two vibration motors for delivering real-time feedback. Theses devices form a fundamental body area network (BAN). In the experiment setup, four recreational swimmers were asked to do two sets of 4 x 25m freestyle swimming without and with feedback provided respectively...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226625/visual-transparent-visual-occlusion-an-eeg-and-cop-study
#14
Kwang Leng Goh, Susan Morris, Wee Lih Lee, Alexander Ring, Tele Tan, Kwang Leng Goh, Susan Morris, Wee Lih Lee, Alexander Ring, Tele Tan, Tele Tan, Kwang Leng Goh, Susan Morris, Alexander Ring, Wee Lih Lee
Electroencephalography (EEG) and centre of pressure (COP) data were recorded in young adults for 60 seconds during standing in visual transparent (VT) and visual occlusion (VO) conditions. In both of these conditions, participants wore VO liquid crystal spectacles which allowed the experimenter to accurately control visual information being presented or occluded to the participant. Alpha band (8-13 Hz) revealed significant differences in channel-averaged power spectrum in these two conditions, but not theta band (4-8 Hz) and beta band (13-30 Hz)...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226433/preliminary-results-of-residual-deficits-observed-in-athletes-with-concussion-history-combined-eeg-and-cognitive-study
#15
Tamanna T K Munia, Jeffrey L Gendreau, Ajay K Verma, Benjamin D Johnson, Mark Romanick, Kouhyar Tavakolian, Reza Fazel-Rezai, Tamanna T K Munia, Jeffrey L Gendreau, Ajay K Verma, Benjamin D Johnson, Mark Romanick, Kouhyar Tavakolian, Reza Fazel-Rezai, Reza Fazel-Rezai, Jeffrey L Gendreau, Benjamin D Johnson, Tamanna T K Munia, Ajay K Verma, Kouhyar Tavakolian, Mark Romanick
Assessment, treatment, and management of sport-related concussions are a widely recognized public health issue. Although several neuropsychological and motor assessment tools have been developed and implemented for sports teams at various levels and ages, the sensitivity of these tests has yet to be validated with more objective measures to make return-to-play (RTP) decisions more confidently. The present study sought to analyze the residual effect of concussions on a sample of adolescent athletes who sustained one or more previous concussions compared to those who had no concussion history...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226432/reinforcement-learning-for-stabilizing-an-inverted-pendulum-naturally-leads-to-intermittent-feedback-control-as-in-human-quiet-standing
#16
Kenjiro Michimoto, Yasuyuki Suzuki, Ken Kiyono, Yasushi Kobayashi, Pietro Morasso, Taishin Nomura, Kenjiro Michimoto, Yasuyuki Suzuki, Ken Kiyono, Yasushi Kobayashi, Pietro Morasso, Taishin Nomura, Ken Kiyono, Pietro Morasso, Kenjiro Michimoto, Yasushi Kobayashi, Yasuyuki Suzuki, Taishin Nomura
Intermittent feedback control for stabilizing human upright stance is a promising strategy, alternative to the standard time-continuous stiffness control. Here we show that such an intermittent controller can be established naturally through reinforcement learning. To this end, we used a single inverted pendulum model of the upright posture and a very simple reward function that gives a certain amount of punishments when the inverted pendulum falls or changes its position in the state space. We found that the acquired feedback controller exhibits hallmarks of the intermittent feedback control strategy, namely the action of the feedback controller is switched-off intermittently when the state of the pendulum is located near the stable manifold of the unstable saddle-type upright equilibrium of the inverted pendulum with no active control: this action provides an opportunity to exploit transiently converging dynamics toward the unstable upright position with no help of the active feedback control...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226431/virtual-reality-applications-in-assessing-the-effect-of-anxiety-on-sensorimotor-integration-in-human-postural-control
#17
Christopher Widdowson, Jatin Ganhotra, Mohammed Faizal, Marissa Wilko, Saurin Parikh, Zainulabidin Adhami, Manuel E Hernandez, Christopher Widdowson, Jatin Ganhotra, Mohammed Faizal, Marissa Wilko, Saurin Parikh, Zainulabidin Adhami, Manuel E Hernandez, Marissa Wilko, Zainulabidin Adhami, Manuel E Hernandez, Saurin Parikh, Mohammed Faizal, Jatin Ganhotra, Christopher Widdowson
Falls are a leading cause of injury and mortality among adults over the age of 65 years. Given the strong relation between fear of falling and fall risk, identification of the mechanisms that underlie anxiety-related changes in postural control may pave the way to the development of novel therapeutic strategies aimed at reducing fall risk in older adults. First, we review potential mechanisms underlying anxiety-mediated changes in postural control in older adults with and without neurological conditions. We then present a system that allows for the simultaneous recording of neural, physiological, and behavioral data in an immersive virtual reality (VR) environment while implementing sensory and mechanical perturbations to evaluate alterations in sensorimotor integration under conditions with high postural threat...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226429/postural-responses-after-utilization-of-a-computerized-biofeedback-based-intervention-aimed-at-improving-static-and-dynamic-balance-in-traumatic-brain-injury-a-case-study
#18
Rakesh Pilkar, Nibal Arzouni, Arvind Ramanujam, Kathleen Chervin, Karen J Nolan, Rakesh Pilkar, Nibal Arzouni, Arvind Ramanujam, Kathleen Chervin, Karen J Nolan, Arvind Ramanujam, Kathleen Chervin, Nibal Arzouni, Karen J Nolan, Rakesh Pilkar
Balance dysfunction is one of the most disabling aspects of Traumatic Brain Injury (TBI). Without rapid transmission and accurate perception of somatosensory inputs, the automatic postural responses required during standing may be delayed or absent after TBI which can lead to instability. Further, the sensitivity level to which environmental perturbations can be detected is also vital, as the central nervous system will only employ balance control strategies when it perceives a change in equilibrium. Such undetectable perturbations, however small they may be, can result in fatal falls, especially after TBI...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226425/the-brain-can-mix-different-control-strategies-in-a-task-oriented-and-multi-referential-manner-a-simulation-study
#19
Pietro Morasso, Taishin Nomura, Yasuyuki Suzuki, Jacopo Zenzeri, Pietro Morasso, Taishin Nomura, Yasuyuki Suzuki, Jacopo Zenzeri, Jacopo Zenzeri, Taishin Nomura, Yasuyuki Suzuki, Pietro Morasso
In everyday life the brain must adapt to variable situations that may require a mixture of approaches including anticipatory synergy formation, through an internal body schema, and different control strategies. Unstable tasks are particularly challenging because deteriorate the predictive power of internal models and further enhance the instability potential of delayed sensory feedback. We explore this issue by means of three simulation studies: A) The hybrid control of a double inverted pendulum model, B) The bimanual stabilization of a saddle-like instability, C) Whole-body focal-postural dynamics...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28225476/comparative-postural-control-in-copd-patients-and-healthy-individuals-during-dynamic-and-static-activities
#20
Elias F Porto, Cristiane O Pradella, Carolina M Rocco, Mario Chueiro, Rafaella Q Maia, Fernando F Ganança, Antonio A M Castro, Oliver A Nascimento, José R Jardim
PURPOSE: Patients with chronic obstructive pulmonary disease (COPD) have body balance deficits, with consequent fall risk. It is possible that body sway in patients with COPD affects their ability to perform daily activities. The purpose of this study was to determine whether body balance is similar in patients with COPD and healthy persons when performing static and dynamic activities. In addition, we wanted to assess whether impairment of balance is related to the presence of falls in patients with COPD...
March 2017: Journal of Cardiopulmonary Rehabilitation and Prevention
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