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Selective Functional Movement Assessment

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https://www.readbyqxmd.com/read/28211818/comparison-of-the-effects-of-bilateral-and-unilateral-training-after-stroke-a-meta-analysis
#1
Yejin Lee, Moon Young Kim, Ji-Hyuk Park, Hae Yean Park
BACKGROUND: The differential effects of bilateral and unilateral training on upper extremity (UE) function remain unclear. OBJECTIVE: To compare the effectiveness of bilateral and unilateral training on UE function and activities of daily living (ADL) after stroke. METHODS: Randomized controlled trials (RCTs) were selected for inclusion by two reviewers after searching the following databases: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), and KoreaMed...
February 15, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28204861/factors-influencing-planning-of-a-familiar-grasp-to-an-object-what-it-is-to-pick-a-cup
#2
Elisabeth Rounis, Zuo Zhang, Gloria Pizzamiglio, Mihaela Duta, Glyn Humphreys
We assessed the factors influencing the planning of actions required to manipulate one of two everyday objects with matching dimensions but openings at opposite ends: a cup and a vase. We found that, for cups, measures of movement preparation to reach and grasp the object were influenced by whether the grasp was made to the functional part of the object (wide opening) and whether the action would end in a supinated as opposed to a pronated grasp. These factors interacted such that effects of hand posture were found only when a less familiar grasp was made to the non-functional part of the cup (the base)...
February 16, 2017: Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale
https://www.readbyqxmd.com/read/28181984/factors-that-affected-functional-outcome-after-a-delayed-excision-and-split-thickness-skin-graft-on-the-dorsal-side-of-burned-hands
#3
Ryuji Shichinohe, Yamamoto Yuhei, Kunihiro Kawashima, Chu Kimura, Kentaro Ono, Katsumi Horiuchi, Tetsunori Yoshida, Naoki Murao, Toshihiko Hayashi, Emi Funayama, Akihiko Oyama, Hiroshi Furukawa
Early excision and skin grafting is the principle treatment for a burned hand although there are occasions when it cannot be done such as severe general condition, delayed consultation, and the lack of a definitive assessment of burn depth. This study analyzes the factors that affected function after a delayed excision and skin graft for hands with a deep dermal burn. This study retrospectively evaluated 43 burned hands that required a delayed excision and split-thickness skin graft on the dorsal side. Cases were required to only have split-thickness skin grafting from the dorsum of the hand and fingers distally to at least the proximal interphalangeal joint at least 8 days after the injury...
February 7, 2017: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/28166879/innovation-evaluation-of-tangible-direct-manipulation-digital-drawing-pens-for-children
#4
Tai-Hua Lee, Fong-Gong Wu, Huei-Tsz Chen
Focusing on the theme of direct manipulation, in this study, we proposed a new and innovative tangible user interface (TUI) design concept for a manipulative digital drawing pen. Based on interviews with focus groups brainstorming and experts and the results of a field survey, we selected the most suitable tangible user interface for children between 4 and 7 years of age. Using the new tangible user interface, children could choose between the brush tools after touching and feeling the various patterns. The thickness of the brush could be adjusted by changing the tilt angle...
April 2017: Applied Ergonomics
https://www.readbyqxmd.com/read/28160187/a-multilevel-analysis-of-patient-engagement-and-patient-reported-outcomes-in-primary-care-practices-of-accountable-care-organizations
#5
Stephen M Shortell, Bing Ying Poon, Patricia P Ramsay, Hector P Rodriguez, Susan L Ivey, Thomas Huber, Jeremy Rich, Tom Summerfelt
BACKGROUND: The growing movement toward more accountable care delivery and the increasing number of people with chronic illnesses underscores the need for primary care practices to engage patients in their own care. OBJECTIVE: For adult primary care practices seeing patients with diabetes and/or cardiovascular disease, we examined the relationship between selected practice characteristics, patient engagement, and patient-reported outcomes of care. DESIGN: Cross-sectional multilevel observational study of 16 randomly selected practices in two large accountable care organizations (ACOs)...
February 3, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28145740/adaptive-alterations-in-shoulder-range-of-motion-and-strength-in-young-tennis-players
#6
Benoit Gillet, Mickaël Begon, Violaine Sevrez, Christian Berger-Vachon, Isabelle Rogowski
CONTEXT:  Playing tennis requires unilateral and intensive movement of the upper limb, which may lead to functional adaptations of the shoulder and an increased injury risk. Identifying which athletes will be future elite tennis players starts at 5 to 6 years of age. Therefore, highly skilled players practice intensively in their childhood. However, whether these functional changes occur during the prepubertal years has not been established. OBJECTIVES:  To assess changes in glenohumeral-joint-rotation range of motion and strength of the shoulder-complex muscles in prepubertal elite tennis players...
February 1, 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/28131725/the-5-alpha-reductase-inhibitor-finasteride-reduces-dyskinesia-in-a-rat-model-of-parkinson-s-disease
#7
Roberto Frau, Paola Savoia, Silvia Fanni, Chiara Fiorentini, Camino Fidalgo, Elisabetta Tronci, Roberto Stancampiano, Mario Meloni, Antonino Cannas, Francesco Marrosu, Marco Bortolato, Paola Devoto, Cristina Missale, Manolo Carta
Levodopa-induced dyskinesia (LID) is a disabling motor complication occurring in Parkinson's disease patients (PD) after long-term l-DOPA treatment. Although its etiology remains unclear, there is accumulating evidence that LID relies on an excessive dopamine receptor transmission, particularly at the downstream signaling of D1 receptors. We previously reported that the pharmacological blockade of 5-alpha reductase (5AR), the rate limiting enzyme in neurosteroids synthesis, rescued a number of behavioral aberrations induced by D1 receptor-selective and non-selective agonists, without inducing extrapyramidal symptoms...
January 26, 2017: Experimental Neurology
https://www.readbyqxmd.com/read/28130960/fetal-face-as-important-indicator-of-fetal-brain-function
#8
Mohamed Ahmed Mostafa AboEllail, Toshiyuki Hata
Fetuses show various facial expressions, such as blinking, yawning, sucking, mouthing, tongue expulsion, scowling, and smiling, assessed by four-dimensional ultrasound from the early second trimester of pregnancy. Moreover, some fetuses demonstrate emotion-like behaviors as noted in infants, children, and adults. Selective fetal responses to stimuli indicate a high degree of brain development, which is reflected in the facial reactions. The fetal face with its movements and expressions can mirror the fetal brain function and development during different stages of the fetus in utero...
January 28, 2017: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/28115486/phosphodiesterase-10a-opposite-changes-in-striato-pallidal-and-striato-entopeduncular-pathways-of-a-transgenic-mouse-model-of-dyt1-dystonia
#9
V D'Angelo, V Castelli, M Giorgi, S Cardarelli, I Saverioni, F Palumbo, P Bonsi, A Pisani, C Giampà, R Sorge, S Biagioni, F R Fusco, G Sancesario
: We report that changes of phosphodiesterase-10A (PDE10A) can map widespread functional imbalance of basal ganglia circuits in a mouse model of DYT1 dystonia overexpressing mutant torsinA. PDE10A is a key enzyme in the catabolism of second messenger cAMP and cGMP, whose synthesis is stimulated by D1 and inhibited by D2 receptors, expressed in striato-entopeducuncular/substantia nigra or striato-pallidal pathways, respectively.PDE10A was studied in control mice (NT), and in mice carrying human wild-type torsinA (hWT) or mutant torsinA (hMT)...
January 23, 2017: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/28110171/long-term-usability-and-bio-integration-of-polyimide-based-intra-neural-stimulating-electrodes
#10
S Wurth, M Capogrosso, S Raspopovic, J Gandar, G Federici, N Kinany, A Cutrone, A Piersigilli, N Pavlova, R Guiet, G Taverni, J Rigosa, P Shkorbatova, X Navarro, Q Barraud, G Courtine, S Micera
Stimulation of peripheral nerves has transiently restored lost sensation and has the potential to alleviate motor deficits. However, incomplete characterization of the long-term usability and bio-integration of intra-neural implants has restricted their use for clinical applications. Here, we conducted a longitudinal assessment of the selectivity, stability, functionality, and biocompatibility of polyimide-based intra-neural implants that were inserted in the sciatic nerve of twenty-three healthy adult rats for up to six months...
January 13, 2017: Biomaterials
https://www.readbyqxmd.com/read/28062862/efficacy-of-selected-electrical-therapies-on-chronic-low-back-pain-a-comparative-clinical-pilot-study
#11
Joanna Rajfur, Małgorzata Pasternok, Katarzyna Rajfur, Karolina Walewicz, Beata Fras, Bartosz Bolach, Robert Dymarek, Joanna Rosinczuk, Tomasz Halski, Jakub Taradaj
BACKGROUND In the currently available research publications on electrical therapy of low back pain, generally no control groups or detailed randomization were used, and such studies were often conducted with relatively small groups of patients, based solely on subjective questionnaires and pain assessment scales (lacking measurement methods to objectify the therapeutic progress). The available literature also lacks a comprehensive and large-scale clinical study. The purpose of this study was to assess the effects of treating low back pain using selected electrotherapy methods...
January 7, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/28002636/caregiver-mediated-exercises-for-improving-outcomes-after-stroke
#12
REVIEW
Judith Dm Vloothuis, Marijn Mulder, Janne M Veerbeek, Manin Konijnenbelt, Johanna Ma Visser-Meily, Johannes Cf Ket, Gert Kwakkel, Erwin Eh van Wegen
BACKGROUND: Stroke is a major cause of long-term disability in adults. Several systematic reviews have shown that a higher intensity of training can lead to better functional outcomes after stroke. Currently, the resources in inpatient settings are not always sufficient and innovative methods are necessary to meet these recommendations without increasing healthcare costs. A resource efficient method to augment intensity of training could be to involve caregivers in exercise training. A caregiver-mediated exercise programme has the potential to improve outcomes in terms of body function, activities, and participation in people with stroke...
December 21, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27993094/talonavicular-ligament-prevalence-of-injury-in-ankle-sprains-histological-analysis-and-hypothesis-of-its-biomechanical-function
#13
Miriam De Dea, Constantinos Loizou, Georgina M Allen, David J Wilson, Nick Athanasou, Yoshinobu Uchihara, Paul Cooke, Thomas Cosker
OBJECTIVES: To assess the prevalence of injury of the talonavicular ligament (TNL) in ankle sprains, its anatomy and the stability of the talonavicular joint (TNJ) before and after dividing the TNL in a cadaver. METHODS: During a prospective study of 100 patients to assess the outcome of ankle injuries we noted high incidence of TNL injuries: we will discuss here the TNL findings. Each patient had undergone ultrasound (US) and cone beam computed tomography examination of the ankle...
December 20, 2016: British Journal of Radiology
https://www.readbyqxmd.com/read/27943473/gender-age-and-race-ethnicity-based-differential-item-functioning-analysis-of-the-movement-disorder-society-sponsored-revision-of-the-unified-parkinson-s-disease-rating-scale
#14
Christopher G Goetz, Yuanyuan Liu, Glenn T Stebbins, Lu Wang, Barbara C Tilley, Jeanne A Teresi, Douglas Merkitch, Sheng Luo
OBJECTIVE: Assess MDS-UPDRS items for gender-, age-, and race/ethnicity-based differential item functioning. BACKGROUND: Assessing differential item functioning is a core rating scale validation step. For the MDS-UPDRS, differential item functioning occurs if item-score probability among people with similar levels of parkinsonism differ according to selected covariates (gender, age, race/ethnicity). If the magnitude of differential item functioning is clinically relevant, item-score interpretation must consider influences by these covariates...
December 2016: Movement Disorders: Official Journal of the Movement Disorder Society
https://www.readbyqxmd.com/read/27935483/predicting-sport-and-occupational-lower-extremity-injury-risk-through-movement-quality-screening-a-systematic-review
#15
Jackie L Whittaker, Nadine Booysen, Sarah de la Motte, Liz Dennett, Cara L Lewis, Dave Wilson, Carly McKay, Martin Warner, Darin Padua, Carolyn A Emery, Maria Stokes
BACKGROUND: Identification of risk factors for lower extremity (LE) injury in sport and military/first-responder occupations is required to inform injury prevention strategies. OBJECTIVE: To determine if poor movement quality is associated with LE injury in sport and military/first-responder occupations. MATERIALS AND METHODS: 5 electronic databases were systematically searched. Studies selected included original data; analytic design; movement quality outcome (qualitative rating of functional compensation, asymmetry, impairment or efficiency of movement control); LE injury sustained with sport or military/first-responder occupation...
December 1, 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27922659/eye-movement-analysis-and-cognitive-assessment-the-use-of-comparative-visual-search-tasks-in-a-non-immersive-vr-application
#16
Pedro J Rosa, Pedro Gamito, Jorge Oliveira, Diogo Morais, Matthew Pavlovic, Olivia Smyth, Inês Maia, Tiago Gomes
BACKGROUND: An adequate behavioral response depends on attentional and mnesic processes. When these basic cognitive functions are impaired, the use of non-immersive Virtual Reality Applications (VRAs) can be a reliable technique for assessing the level of impairment. However, most non-immersive VRAs use indirect measures to make inferences about visual attention and mnesic processes (e.g., time to task completion, error rate). OBJECTIVES: To examine whether the eye movement analysis through eye tracking (ET) can be a reliable method to probe more effectively where and how attention is deployed and how it is linked with visual working memory during comparative visual search tasks (CVSTs) in non-immersive VRAs...
December 6, 2016: Methods of Information in Medicine
https://www.readbyqxmd.com/read/27917149/wavelet-packet-feature-assessment-for-high-density-myoelectric-pattern-recognition-and-channel-selection-toward-stroke-rehabilitation
#17
Dongqing Wang, Xu Zhang, Xiaoping Gao, Xiang Chen, Ping Zhou
This study presents wavelet packet feature assessment of neural control information in paretic upper limb muscles of stroke survivors for myoelectric pattern recognition, taking advantage of high-resolution time-frequency representations of surface electromyogram (EMG) signals. On this basis, a novel channel selection method was developed by combining the Fisher's class separability index and the sequential feedforward selection analyses, in order to determine a small number of appropriate EMG channels from original high-density EMG electrode array...
2016: Frontiers in Neurology
https://www.readbyqxmd.com/read/27872281/interactions-of-divalent-cations-with-calcium-binding-sites-of-bk-channels-reveal-independent-motions-within-the-gating-ring
#18
Pablo Miranda, Teresa Giraldez, Miguel Holmgren
Large-conductance voltage- and calcium-activated K(+) (BK) channels are key physiological players in muscle, nerve, and endocrine function by integrating intracellular Ca(2+) and membrane voltage signals. The open probability of BK channels is regulated by the intracellular concentration of divalent cations sensed by a large structure in the BK channel called the "gating ring," which is formed by four tandems of regulator of conductance for K(+) (RCK1 and RCK2) domains. In contrast to Ca(2+) that binds to both RCK domains, Mg(2+), Cd(2+), or Ba(2+) interact preferentially with either one or the other...
December 6, 2016: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/27859842/movement-reveals-scale-dependence-in-habitat-selection-of-a-large-ungulate
#19
Joseph M Northrup, Charles R Anderson, Mevin B Hooten, George Wittemyer
Ecological processes operate across temporal and spatial scales. Anthropogenic disturbances impact these processes, but examinations of scale dependence in impacts are infrequent. Such examinations can provide important insight to wildlife-human interactions and guide management efforts to reduce impacts. We assessed spatiotemporal scale dependence in habitat selection of mule deer (Odocoileus hemionus) in the Piceance Basin of Colorado, USA, an area of ongoing natural gas development. We employed a newly developed animal movement method to assess habitat selection across scales defined using animal-centric spatiotemporal definitions ranging from the local (defined from five hour movements) to the broad (defined from weekly movements)...
December 2016: Ecological Applications: a Publication of the Ecological Society of America
https://www.readbyqxmd.com/read/27845501/treatment-for-ulnar-neuropathy-at-the-elbow
#20
REVIEW
Pietro Caliandro, Giuseppe La Torre, Roberto Padua, Fabio Giannini, Luca Padua
BACKGROUND: Ulnar neuropathy at the elbow (UNE) is the second most common entrapment neuropathy after carpal tunnel syndrome. Treatment may be conservative or surgical, but optimal management remains controversial. This is an update of a review first published in 2010 and previously updated in 2012. OBJECTIVES: To determine the effectiveness and safety of conservative and surgical treatment in ulnar neuropathy at the elbow (UNE). We intended to test whether:- surgical treatment is effective in reducing symptoms and signs and in increasing nerve function;- conservative treatment is effective in reducing symptoms and signs and in increasing nerve function;- it is possible to identify the best treatment on the basis of clinical, neurophysiological, or nerve imaging assessment...
15, 2016: Cochrane Database of Systematic Reviews
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