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Sample records for gross motor quality

  1. Concurrent Validity of Preschooler Gross Motor Quality Scale with Test of Gross Motor Development-2

    Science.gov (United States)

    Sun, Shih-Heng; Sun, Hsiao-Ling; Zhu, Yi-Ching; Huang, Li-chi; Hsieh, Yueh-Ling

    2011-01-01

    Preschooler Gross Motor Quality Scale (PGMQ) was recently developed to evaluate motor skill quality of preschoolers. The purpose of this study was to establish the concurrent validity of PGMQ using Test of Gross Motor Development-2 (TGMD-2) as the gold standard. One hundred and thirty five preschool children aged from three to six years were…

  2. Gross motor control

    Science.gov (United States)

    Gross motor control is the ability to make large, general movements (such as waving an arm or lifting a leg). ... Gross motor control is a milestone in the development of an infant. Infants develop gross motor control before they develop ...

  3. Development and Initial Validation of the Preschooler Gross Motor Quality Scale

    Science.gov (United States)

    Sun, Shih-Heng; Zhu, Yi-Ching; Shih, Ching-Lin; Lin, Chien-Hui; Wu, Sheng K.

    2010-01-01

    Motor skills have great impact on children in adapting to an environment and developing interpersonal interaction, cognition, and social behavior. Understanding what children can do and how they perform it is essential. Most motor tests seldom contain quality evaluation in the items or criteria. The purpose of this study was to develop and…

  4. Quality of life in mothers of children with cerebral palsy: The role of children's gross motor function.

    Science.gov (United States)

    Dehghan, Leila; Dalvand, Hamid; Feizi, Awat; Samadi, Sayyed Ali; Hosseini, Seyed Ali

    2016-03-01

    Four hundred and twenty-four Iranian mothers of children with cerebral palsy (CP) were recruited using the convenience sampling approach in a cross-sectional study. The researchers assessed the quality of life (QOL) in mothers according to the gross motor function levels and types of CP. The evaluation was done using a well-validated Persian version of the 36-item Short Form Health Survey (SF-36) questionnaire. In 2012, demographic data and clinical relevant information were also collected in rehabilitation clinics affiliated to Tehran University of Medical Sciences. The results indicated that the mean score for the study sample on physical component summary (PCS) and mental component summary (MCS) was 39.21 and 41.23, respectively. This suggests that participants considered themselves to have a low QOL (p motor function, and CP types (p < .05 and p < .01, respectively). The results indicate that mothers of children with CP suffer from poor physical and mental health. Therefore, particular attention should be paid to the QOL in mothers of children with CP, and rehabilitation professionals should offer supportive strategies to promote aspects of their QOL.

  5. Caregiver-reported health-related quality of life of children with cerebral palsy and their families and its association with gross motor function: A South Indian study

    OpenAIRE

    Surender, S.; Gowda, Vykuntaraju K; Sanjay, K. S.; G V Basavaraja; Naveen Benakappa; Asha Benakappa

    2016-01-01

    Introduction: In children, health-related quality of life (HRQOL) includes parental impact and family functioning along with concepts of illness, functional status, mental health, and comfort. We are focusing on the impact of cerebral palsy (CP) on children's HRQOL and their families, and its relationship with gross motor dysfunction. Subjects and Methods: CP children aged 3–10 years under regular neurology follow-up were enrolled. The HRQOL and motor severity were prospectively assessed usin...

  6. Validating the Rett Syndrome Gross Motor Scale

    DEFF Research Database (Denmark)

    Downs, Jenny; Stahlhut, Michelle; Wong, Kingsley;

    2016-01-01

    Rett syndrome is a pervasive neurodevelopmental disorder associated with a pathogenic mutation on the MECP2 gene. Impaired movement is a fundamental component and the Rett Syndrome Gross Motor Scale was developed to measure gross motor abilities in this population. The current study investigated...... the validity and reliability of the Rett Syndrome Gross Motor Scale. Video data showing gross motor abilities supplemented with parent report data was collected for 255 girls and women registered with the Australian Rett Syndrome Database, and the factor structure and relationships between motor scores, age...... and genotype were investigated. Clinical assessment scores for 38 girls and women with Rett syndrome who attended the Danish Center for Rett Syndrome were used to assess consistency of measurement. Principal components analysis enabled the calculation of three factor scores: Sitting, Standing and Walking...

  7. Validating the Rett Syndrome Gross Motor Scale.

    Science.gov (United States)

    Downs, Jenny; Stahlhut, Michelle; Wong, Kingsley; Syhler, Birgit; Bisgaard, Anne-Marie; Jacoby, Peter; Leonard, Helen

    2016-01-01

    Rett syndrome is a pervasive neurodevelopmental disorder associated with a pathogenic mutation on the MECP2 gene. Impaired movement is a fundamental component and the Rett Syndrome Gross Motor Scale was developed to measure gross motor abilities in this population. The current study investigated the validity and reliability of the Rett Syndrome Gross Motor Scale. Video data showing gross motor abilities supplemented with parent report data was collected for 255 girls and women registered with the Australian Rett Syndrome Database, and the factor structure and relationships between motor scores, age and genotype were investigated. Clinical assessment scores for 38 girls and women with Rett syndrome who attended the Danish Center for Rett Syndrome were used to assess consistency of measurement. Principal components analysis enabled the calculation of three factor scores: Sitting, Standing and Walking, and Challenge. Motor scores were poorer with increasing age and those with the p.Arg133Cys, p.Arg294* or p.Arg306Cys mutation achieved higher scores than those with a large deletion. The repeatability of clinical assessment was excellent (intraclass correlation coefficient for total score 0.99, 95% CI 0.93-0.98). The standard error of measurement for the total score was 2 points and we would be 95% confident that a change 4 points in the 45-point scale would be greater than within-subject measurement error. The Rett Syndrome Gross Motor Scale could be an appropriate measure of gross motor skills in clinical practice and clinical trials.

  8. The Gross Motor Skills of Children with Mild Learning Disabilities

    Science.gov (United States)

    Nonis, Karen P.; Jernice, Tan Sing Yee

    2014-01-01

    Many international studies have examined the gross motor skills of children studying in special schools while local studies of such nature are limited. This study investigated the gross motor skills of children with Mild Learning Disabilities (MLD; n = 14, M age = 8.93 years, SD = 0.33) with the Test of Gross Motor Development-2 (TGMD-2, Ulrich,…

  9. Psychiatric Symptoms in Children with Gross Motor Problems

    Science.gov (United States)

    Emck, Claudia; Bosscher, Ruud J.; van Wieringen, Piet C. W.; Doreleijers, Theo; Beek, Peter J.

    2012-01-01

    Children with psychiatric disorders often demonstrate gross motor problems. This study investigates if the reverse also holds true by assessing psychiatric symptoms present in children with gross motor problems. Emotional, behavioral, and autism spectrum disorders (ASD), as well as psychosocial problems, were assessed in a sample of 40 children…

  10. Gross Motor Profile and Its Association with Socialization Skills in Children with Autism Spectrum Disorders

    Directory of Open Access Journals (Sweden)

    Hardiono D. Pusponegoro

    2016-12-01

    Conclusion: Children with ASD had lower gross motor skills compared to typically developing children. Gross motor impairments were found in 20% of the ASD children, and these children also had lower socialization skills than those without gross motor impairments.

  11. Brief Assessment of Motor Function: Content Validity and Reliability of the Upper Extremity Gross Motor Scale

    Science.gov (United States)

    Cintas, Holly Lea; Parks, Rebecca; Don, Sarah; Gerber, Lynn

    2011-01-01

    Content validity and reliability of the Brief Assessment of Motor Function (BAMF) Upper Extremity Gross Motor Scale (UEGMS) were evaluated in this prospective, descriptive study. The UEGMS is one of five BAMF ordinal scales designed for quick documentation of gross, fine, and oral motor skill levels. Designed to be independent of age and…

  12. Assessing Gross Motor Skills of Kosovar Preschool Children

    Science.gov (United States)

    Shala, Merita

    2009-01-01

    In the light of the new developments in preschool education in Kosovo, this study attempts to carry out an assessment of the development of gross motor skills of preschool children attending institutional education. The emphasis is on creating a set of tests to measure the motor attainments of these children by conducting assessments of the…

  13. Interlimb Coordination: An Important Facet of Gross-Motor Ability

    Science.gov (United States)

    Bobbio, Tatiana; Gabbard, Carl; Cacola, Priscila

    2009-01-01

    Motor development attains landmark significance during early childhood. Although early childhood educators may be familiar with the gross-motor skill category, the subcategory of interlimb coordination needs greater attention than it typically receives from teachers of young children. Interlimb coordination primarily involves movements requiring…

  14. Assessment of Preschoolers' Gross Motor Proficiency: Revisiting Bruininks-Oseretsky Test of Motor Proficiency

    Science.gov (United States)

    Lam, Hazel Mei Yung

    2011-01-01

    Literature reveals that there are very few validated motor proficiency tests for young children. According to Gallahue and Ozmun, the Bruininks-Oseretsky Test of Motor Proficiency is a valid test. However, manipulative skills, which are classified as gross motor skills by most motor development specialists, are only tested in the Upper Limb…

  15. Effective Collaboration among the Gross Motor Assessment Team Members

    Science.gov (United States)

    Menear, Kristi S.; Davis, Timothy D.

    2015-01-01

    This article describes the gross motor assessment team (GMAT) members' roles and collaborative approach to making appropriate decisions and modifications when addressing the needs of individuals with disabilities in physical education. Case studies of students are used to demonstrate effective uses of the GMAT. The primary outcome of the GMAT's…

  16. Rubriek 'Meten in de praktijk': Gross Motor Function Measure.

    NARCIS (Netherlands)

    Veenhof, C.; Ketelaar, M.

    2004-01-01

    De Gross Motor Function Measure (GMFM) is een instrument dat de grof-motorische vaardigheden meet van kinderen met cerebrale parese. De GMFM is expliciet ontwikkeld als evaluatief meetinstrument, wat betekent dat het bedoeld is om veranderingen over de tijd of verandering en die optreden na behandel

  17. Development of the Gross Motor Function Classification System (1997)

    Science.gov (United States)

    Morris, Christopher

    2008-01-01

    To address the need for a standardized system to classify the gross motor function of children with cerebral palsy, the authors developed a five-level classification system analogous to the staging and grading systems used in medicine. Nominal group process and Delphi survey consensus methods were used to examine content validity and revise the…

  18. Effective Collaboration among the Gross Motor Assessment Team Members

    Science.gov (United States)

    Menear, Kristi S.; Davis, Timothy D.

    2015-01-01

    This article describes the gross motor assessment team (GMAT) members' roles and collaborative approach to making appropriate decisions and modifications when addressing the needs of individuals with disabilities in physical education. Case studies of students are used to demonstrate effective uses of the GMAT. The primary outcome of the GMAT's…

  19. Fine and Gross Motor Ability in Males with ADHD

    Directory of Open Access Journals (Sweden)

    J Gordon Millichap

    2003-09-01

    Full Text Available Both fine and gross motor abilities were evaluated in 10-year-old males with attention deficit hyperactivity disorder (ADHD and compared to a group of control children at the School of Psychology, Curtin University of Technology, Perth, Australia.

  20. Gross Motor Development, Movement Abnormalities, and Early Identification of Autism

    Science.gov (United States)

    Ozonoff, Sally; Young, Gregory S.; Goldring, Stacy; Greiss-Hess, Laura; Herrera, Adriana M.; Steele, Joel; Macari, Suzanne; Hepburn, Susan; Rogers, Sally J.

    2008-01-01

    Gross motor development (supine, prone, rolling, sitting, crawling, walking) and movement abnormalities were examined in the home videos of infants later diagnosed with autism (regression and no regression subgroups), developmental delays (DD), or typical development. Group differences in maturity were found for walking, prone, and supine, with…

  1. Relationship Between Gross Motor Function and Daily Functional Skill in Children With Cerebral Palsy

    OpenAIRE

    Kwon, Tae Gun; Yi, Sook-Hee; Kim, Tae Won; Chang, Hyun Jung; Kwon, Jeong-Yi

    2013-01-01

    Objective To investigate the relationship between gross motor function and daily functional skill in children with cerebral palsy (CP) and to explore how this relationship is moderated by the Gross Motor Function Classification System, Bimanual Fine Motor Function (BFMF), neuromotor types, and limb distribution of CP. Methods A cross-sectional survey of 112 children with CP (range, 4 years to 7 years and 7 months) was performed. Gross motor function was assessed with the Gross Motor Function ...

  2. Effect of cerebrolysin on gross motor function of children with cerebral palsy: a clinical trial.

    Science.gov (United States)

    Nasiri, Jafar; Safavifar, Faezeh

    2017-01-10

    Gross motor dysfunction is considered as the most challenging problem in cerebral palsy (CP). It is proven that improvement of gross motor function could reduce CP-related disabilities and provide better quality of life in this group of patients. Therefore, the aim of this trial is to evaluate the effectiveness of cerebrolysin (CBL) on gross motor function of children with CP who are undergoing treatment. In this clinical trial study, paediatric patients aged 18-75 months with spastic diplegic or quadriplegic cerebral palsy, who were under rehabilitation therapy, were selected and randomly allocated in control and CBL groups. Patients in CBL group underwent treatment with standard rehabilitation therapy plus CBL. The latter was administrated intramuscularly as a single daily dose of 0.1 cc/kg for 10 days and then continued weekly for 4 months. Gross motor function of participants in the two studied groups, before and after trial, was evaluated and compared using the validated Persian version of gross motor function classification system-expanded and revised (GMFCS-E&R). During this trial, 108 patients with CP were evaluated for eligibility. From these, 50 patients were enrolled and randomly allocated in the CBL and control groups. Four months after trial, the mean level of GMFCS decreased significantly in the two groups (P < 0.05). However, it was significantly lower in the CBL group than in the control group (2.1 vs. 3.16, P < 0.05). The results of this trial indicated that CBL could improve gross motor function in patients with CP. This finding is consistent with neurotrophic and neuroprotective effects of CBL, which have been reported in various clinical trials in other neurological disorders. Further studies are recommended to establish the value of continued neuroprotection and to determine the pharmacokinetics/dynamics of CBL in this group of patients.

  3. The relationship between gross motor skills and academic achievement in children with learning disabilities

    NARCIS (Netherlands)

    Westendorp, Marieke; Hartman, Esther; Houwen, Suzanne; Smith, Joanne; Visscher, Chris

    2011-01-01

    The present study compared the gross motor skills of 7- to 12-year-old children with learning disabilities (n = 104) with those of age-matched typically developing children (n = 104) using the Test of Gross Motor Development-2. Additionally, the specific relationships between subsets of gross motor

  4. The relationship between gross motor skills and academic achievement in children with learning disabilities

    NARCIS (Netherlands)

    Westendorp, Marieke; Hartman, Esther; Houwen, Suzanne; Smith, Joanne; Visscher, Chris

    2011-01-01

    The present study compared the gross motor skills of 7- to 12-year-old children with learning disabilities (n = 104) with those of age-matched typically developing children (n = 104) using the Test of Gross Motor Development-2. Additionally, the specific relationships between subsets of gross motor

  5. Effects of Aquatic Intervention on Gross Motor Skills in Children with Cerebral Palsy: A Systematic Review.

    Science.gov (United States)

    Roostaei, Meysam; Baharlouei, Hamzeh; Azadi, Hamidreza; Fragala-Pinkham, Maria A

    2016-12-14

    To review the literature on the effects of aquatic intervention on gross motor skills for children with cerebral palsy (CP). Six databases were searched from inception to January 2016. Aquatic studies for children aged 1-21 years with any type or CP classification and at least one outcome measuring gross motor skills were included. Information was extracted on study design, outcomes, and aquatic program type, frequency, duration, and intensity. Quality was rated using the Centre of Evidence-Based Medicine: Levels of Evidence and the PEDro scale. Of the 11 studies which met inclusion criteria, only two used randomized control trial design, and the results were mixed. Quality of evidence was rated as moderate to high for only one study. Most studies used quasi-experimental designs and reported improvements in gross motor skills for within group analyses after aquatic programs were held for two to three times per week and lasting for 6-16 weeks. Participants were classified according to the Gross Motor Function Classification System (GMFCS) levels I-V, and were aged 3-21 years. Mild to no adverse reactions were reported. Evidence on aquatic interventions for ambulatory children with CP is limited. Aquatic exercise is feasible and adverse effects are minimal; however, dosing parameters are unclear. Further research is needed to determine aquatic intervention effectiveness and exercise dosing across age categories and GMFCS levels.

  6. Gross Motor Profile and Its Association with Socialization Skills in Children with Autism Spectrum Disorders.

    Science.gov (United States)

    Pusponegoro, Hardiono D; Efar, Pustika; Soedjatmiko; Soebadi, Amanda; Firmansyah, Agus; Chen, Hui-Ju; Hung, Kun-Long

    2016-12-01

    While social impairment is considered to be the core deficit in children with autism spectrum disorder (ASD), a large proportion of these children have poor gross motor ability, and gross motor deficits may influence socialization skills in children with ASD. The objectives of this study were to compare gross motor skills in children with ASD to typically developing children, to describe gross motor problems in children with ASD, and to investigate associations between gross motor and socialization skills in children with ASD. This was a cross-sectional study including 40 ASD children aged from 18 months to 6 years and 40 age-matched typically developing controls. Gross motor and socialization skills were scored using the Vineland Adaptive Behavior Scales, 2(nd) edition (Vineland-II). Below average gross motor function was found in eight of 40 (20%) ASD children. The mean gross motor v-scale score in the ASD group was 15.1 [standard deviation (SD) 3.12], significantly lower than in the control group [18.7, SD 2.09, p = 0.0001; 95% confidence intervals (CI) from -4.725 to -2.525]. The differences were most prominent in ball throwing and catching, using stairs, jumping, and bicycling. The ASD children with gross motor impairments had a mean socialization domain score of 66.6 (SD 6.50) compared to 85.7 (SD 10.90) in those without gross motor impairments (p = 0.0001, 95% CI from -25.327 to -12.736). Children with ASD had lower gross motor skills compared to typically developing children. Gross motor impairments were found in 20% of the ASD children, and these children also had lower socialization skills than those without gross motor impairments. Copyright © 2016. Published by Elsevier B.V.

  7. Gross Motor Development of Malaysian Hearing Impaired Male Pre- and Early School Children

    Science.gov (United States)

    Zawi, Khairi; Lian, Denise Koh Choon; Abdullah, Rozlina Tan

    2014-01-01

    Acquisition of gross motor skill is a natural developmental process for children. This aspect of human development increases with one's chronological age, irrespective of any developmental conditions. The purpose of this study was to assess the level of gross motor skill development among pre- and early school-aged children with motor disability.…

  8. Effect of physical therapy frequency on gross motor function in children with cerebral palsy.

    Science.gov (United States)

    Park, Eun-Young

    2016-06-01

    [Purpose] This study attempted to investigate the effect of physical therapy frequency based on neurodevelopmental therapy on gross motor function in children with cerebral palsy. [Subjects and Methods] The study sample included 161 children with cerebral palsy who attended a convalescent or rehabilitation center for disabled individuals or a special school for children with physical disabilities in South Korea. Gross Motor Function Measure data were collected according to physical therapy frequency based on neurodevelopmental therapy for a period of 1 year. [Results] The correlation between physical therapy frequency and Gross Motor Function Measure scores for crawling and kneeling, standing, walking, running and jumping, and rolling, and the Gross Motor Function Measure total score was significant. The differences in gross motor function according to physical therapy frequency were significant for crawling, kneeling, standing, and Gross Motor Function Measure total score. The differences in gross motor function according to frequency of physical therapy were significant for standing in Gross Motor Function Classification System Level V. [Conclusion] Intensive physical therapy was more effective for improving gross motor function in children with cerebral palsy. In particular, crawling and kneeling, and standing ability showed greater increases with intensive physical therapy.

  9. Effect of physical therapy frequency on gross motor function in children with cerebral palsy

    Science.gov (United States)

    Park, Eun-Young

    2016-01-01

    [Purpose] This study attempted to investigate the effect of physical therapy frequency based on neurodevelopmental therapy on gross motor function in children with cerebral palsy. [Subjects and Methods] The study sample included 161 children with cerebral palsy who attended a convalescent or rehabilitation center for disabled individuals or a special school for children with physical disabilities in South Korea. Gross Motor Function Measure data were collected according to physical therapy frequency based on neurodevelopmental therapy for a period of 1 year. [Results] The correlation between physical therapy frequency and Gross Motor Function Measure scores for crawling and kneeling, standing, walking, running and jumping, and rolling, and the Gross Motor Function Measure total score was significant. The differences in gross motor function according to physical therapy frequency were significant for crawling, kneeling, standing, and Gross Motor Function Measure total score. The differences in gross motor function according to frequency of physical therapy were significant for standing in Gross Motor Function Classification System Level V. [Conclusion] Intensive physical therapy was more effective for improving gross motor function in children with cerebral palsy. In particular, crawling and kneeling, and standing ability showed greater increases with intensive physical therapy. PMID:27390440

  10. The clinical effect of hippotherapy on gross motor function of children with Cerebral Palsy

    Directory of Open Access Journals (Sweden)

    K Litlle

    2013-12-01

    Full Text Available Background: Cerebral palsy (CP is the most common cause of physical disability affecting gross motor function (GMF in early childhood. Hippotherapy is a treatment approach aimed at improving GMF in children with CP. Several systematic reviews have been published showing an improvement in Dimension E of the Gross Motor Function Measure (GMFM after hippotherapy. However, these reviews failed to evaluate the clinical effect of hippotherapy in improving GMF in children with CP.Objective: To critically appraise the evidence of hippotherapy to ascertain whether it is a clinically meaningful approach for children with CP.Methodology: Five computerised bibliographic databases were searched. Predetermined inclusion and exclusion criteria were set. The PEDro scale was used to assess the quality of the studies. A revised JBI Data extraction tool was used to extract data from the selected articles. Revman© Review Manager Software was used to create forest plots for comparisons of results.Results: All studies used the GMFM as an outcome measure for gross motor function. The added benefit of hippotherapy is a minimum 1% and a maximum 7% increase on the GMFM scores. However, all 95% confidence intervals (CI around all the mean differences were insignificant.Conclusion: The clinical effect of hippotherapy on the GMF of children with CP is small. Larger studies are required to provide evidence of the effect of hippotherapy within this population.

  11. Can Clinical Assessment of Locomotive Body Function Explain Gross Motor Environmental Performance in Cerebral Palsy?

    Science.gov (United States)

    Sanz Mengibar, Jose Manuel; Santonja-Medina, Fernando; Sanchez-de-Muniain, Paloma; Canteras-Jordana, Manuel

    2016-03-01

    Gross Motor Function Classification System has discriminative purposes but does not assess short-term therapy goals. Locomotion Stages (LS) classify postural body functions and independent activity components. Assessing the relation between Gross Motor Function Classification System level and Locomotion Stages will make us understand if clinical assessment can explain and predict motor environmental performance in cerebral palsy. A total of 462 children were assessed with both scales. High reliability and strong negative correlation (-0.908) for Gross Motor Function Classification System and Locomotion Stages at any age was found. Sensitivity was 83%, and specificity and positive predictive value were 100% within the same age range. Regression analysis showed detailed probabilities for the realization of the Gross Motor Function Classification System depending on the Locomotion Stages and the age group. Postural body function measure with Locomotion Stages is reliable, sensitive, and specific for gross motor function and able to predict environmental performance.

  12. Neonatal Stroke Causes Poor Midline Motor Behaviors and Poor Fine and Gross Motor Skills during Early Infancy

    Science.gov (United States)

    Chen, Chao-Ying; Lo, Warren D.; Heathcock, Jill C.

    2013-01-01

    Upper extremity movements, midline behaviors, fine, and gross motor skills are frequently impaired in hemiparesis and cerebral palsy. We investigated midline toy exploration and fine and gross motor skills in infants at risk for hemiplegic cerebral palsy. Eight infants with neonatal stroke (NS) and thirteen infants with typical development (TD)…

  13. Gross Motor Performance and Self-Perceived Motor Competence in Children with Emotional, Behavioural, and Pervasive Developmental Disorders: A Review

    Science.gov (United States)

    Emck, Claudia; Bosscher, Ruud; Beek, Peter; Doreleijers, Theo

    2009-01-01

    Aims: Motor performance and self-perceived motor competence have a great impact on the psychosocial development of children in general. In this review, empirical studies of gross motor performance and self-perception of motor competence in children with emotional (depression and anxiety), behavioural, and pervasive developmental disorders are…

  14. De Gross Motor Function Measure (GMFM): een onderzoek naar de responsiviteit van de Nederlandse vertaling.

    NARCIS (Netherlands)

    Veenhof, C.; Ketelaar, M.; Petegem-van Beek, E. van; Vermeer, A.

    2003-01-01

    This article is about the psychometric characteristics of the Dutch translation of the Gross Motor Function Measure (GMFM). It describes the responsiveness to change. The article "Gross Motor Function Measure (GMFM): a reliability study of the Dutch translation" focuses on the reliability of the GMF

  15. De Gross Motor Function Measure (GMFM): een onderzoek naar de betrouwbaarheid van de Nederlandse vertaling.

    NARCIS (Netherlands)

    Veenhof, C.; Ketelaar, M.; Petegem-van Beek, E. van

    2003-01-01

    This article is about the psychometric characteristics of the Dutch translation of the Gross Motor Function Measure (GMFM). It describes the reliability of the instrument. The article "Gross Motor Function Measure" (GMFM): a validity study of the Dutch translation focusses on the responsiveness of t

  16. The Effects of Basketball Basic Skills Training on Gross Motor Skills Development of Female Children

    Science.gov (United States)

    Bayazit, Betul

    2015-01-01

    The purpose of this study was to investigate the effects of basketball basic skills training on gross motor skills development of female children in Turkey. For that purpose, 40 female children took part in the study voluntarily. Basketball basic skills test was used to improve the gross motor skills of the female children in the study. Also,…

  17. The Effects of Basketball Basic Skills Training on Gross Motor Skills Development of Female Children

    Science.gov (United States)

    Bayazit, Betul

    2015-01-01

    The purpose of this study was to investigate the effects of basketball basic skills training on gross motor skills development of female children in Turkey. For that purpose, 40 female children took part in the study voluntarily. Basketball basic skills test was used to improve the gross motor skills of the female children in the study. Also,…

  18. Confirmatory Factor Analysis of the Test of Gross Motor Development-2

    Science.gov (United States)

    Wong, Ka Yee Allison; Cheung, Siu Yin

    2010-01-01

    The purpose of this study was to examine the underlying structure of the second edition of the Test of Gross Motor Development-2 (Ulrich, 2000) as applied to Chinese children. The Test of Gross Motor Development-2 was administered to 626 Hong Kong Chinese children. The outlier test with standard scoring was utilized. After data screening, a total…

  19. Developmental and physical-fitness associations with gross motor coordination problems in Peruvian children.

    Science.gov (United States)

    de Chaves, Raquel Nichele; Bustamante Valdívia, Alcibíades; Nevill, Alan; Freitas, Duarte; Tani, Go; Katzmarzyk, Peter T; Maia, José António Ribeiro

    2016-01-01

    The aims of this cross-sectional study were to examine the developmental characteristics (biological maturation and body size) associated with gross motor coordination problems in 5193 Peruvian children (2787 girls) aged 6-14 years from different geographical locations, and to investigate how the probability that children suffer with gross motor coordination problems varies with physical fitness. Children with gross motor coordination problems were more likely to have lower flexibility and explosive strength levels, having adjusted for age, sex, maturation and study site. Older children were more likely to suffer from gross motor coordination problems, as were those with greater body mass index. However, more mature children were less likely to have gross motor coordination problems, although children who live at sea level or at high altitude were more likely to suffer from gross motor coordination problems than children living in the jungle. Our results provide evidence that children and adolescents with lower physical fitness are more likely to have gross motor coordination difficulties. The identification of youths with gross motor coordination problems and providing them with effective intervention programs is an important priority in order to overcome such developmental problems, and help to improve their general health status.

  20. The relationship between spasticity and gross motor capability in nonambulatory children with spastic cerebral palsy.

    Science.gov (United States)

    Katusic, Ana; Alimovic, Sonja

    2013-09-01

    Spasticity has been considered as a major impairment in cerebral palsy (CP), but the relationship between this impairment and motor functions is still unclear, especially in the same group of patients with CP. The aim of this investigation is to determine the relationship between spasticity and gross motor capability in nonambulatory children with spastic CP. Seventy-one children (30 boys, 41 girls) with bilateral spastic cerebral palsy and with Gross Motor Function Classification System (GMFCS) levels IV (n=34) and V (n=37) were included in the study. The spasticity level in lower limbs was evaluated using the Modified Modified Ashworth Scale and the gross motor function with the Gross Motor Function Measure (GMFM-88). Spearman's correlation analysis was used to determine the nature and the strength of the relationship. The results showed a moderate correlation between spasticity and gross motor skills (ρ=0.52 for the GMFCS level; ρ=0.57 for the GMFM-88), accounting for less than 30% of the explained variance. It seems that spasticity is just one factor among many others that could interfere with gross motor skills, even in children with severe forms of spastic CP. Knowledge of the impact of spasticity on motor skills may be useful in the setting of adequate rehabilitation strategies for nonambulatory children with spastic CP.

  1. Longitudinal Association Between Gross Motor Capacity and Neuromusculoskeletal Function in Children and Youth With Cerebral Palsy

    NARCIS (Netherlands)

    Vos, Rimke C.; Becher, Jules G.; Voorman, Jeanine M.; Gorter, Jan Willem; van Eck, Mirjam; van Meeteren, Jetty; Smits, Dirk Wouter; Twisk, Jos W.; Dallmeijer, Annet J.

    2016-01-01

    Objective: To examine associations over longitudinal measurements between neuromusculoskeletal function and gross motor capacity in children and youth with cerebral palsy (CP). Design: A prospective cohort study. Setting: Rehabilitation departments of university medical centers and rehabilitations c

  2. Longitudinal Association Between Gross Motor Capacity and Neuromusculoskeletal Function in Children and Youth With Cerebral Palsy

    NARCIS (Netherlands)

    Vos, Rimke C.; Becher, Jules G.; Voorman, Jeanine M.; Gorter, Jan Willem; van Eck, Mirjam; van Meeteren, Jetty; Smits, Dirk Wouter; Twisk, Jos W.; Dallmeijer, Annet J.; van Schie, P. E M; Schuengel, C.; Ketelaar, M.; Lindeman, E.; Jongmans, M.; Roebroeck, M. E.; Tan, S. S.; Wiegerink, D. J H G; Reinders-Messelink, H. A.; Verheijden, J.

    2016-01-01

    Objective To examine associations over longitudinal measurements between neuromusculoskeletal function and gross motor capacity in children and youth with cerebral palsy (CP). Design A prospective cohort study. Setting Rehabilitation departments of university medical centers and rehabilitations cent

  3. The central role of trunk control in the gross motor function of children with cerebral palsy

    DEFF Research Database (Denmark)

    Curtis, Derek John; Butler, Penny; Saavedra, Sandy;

    2015-01-01

    Aim Improvement of gross motor function and mobility are primary goals of physical therapy in children with cerebral palsy (CP). The purpose of this study was to investigate the relationship between segmental control of the trunk and the corresponding gross motor function in children with CP....... Method This retrospective cross-sectional study was based on 92 consecutive referrals of children with CP in Gross Motor Function Classification System (GMFCS) levels I to V, 39 females, 53 males (median age 4y [range 1–14y]), and 77, 12, and 3 with spastic, dyskinetic, and ataxic CP respectively....... The participants were tested using the Gross Motor Function Measure (GMFM), the Pediatric Evaluation of Disability Inventory (PEDI), and the Segmental Assessment of Trunk Control (SATCo). Results Linear regression analysis showed a positive relationship between the segmental level of trunk control and age...

  4. Longitudinal Association Between Gross Motor Capacity and Neuromusculoskeletal Function in Children and Youth With Cerebral Palsy

    NARCIS (Netherlands)

    Vos, Rimke C.; Becher, Jules G.; Voorman, Jeanine M.; Gorter, Jan Willem; van Eck, Mirjam; van Meeteren, Jetty; Smits, Dirk Wouter; Twisk, Jos W.; Dallmeijer, Annet J.

    Objective: To examine associations over longitudinal measurements between neuromusculoskeletal function and gross motor capacity in children and youth with cerebral palsy (CP). Design: A prospective cohort study. Setting: Rehabilitation departments of university medical centers and rehabilitations

  5. Longitudinal Association Between Gross Motor Capacity and Neuromusculoskeletal Function in Children and Youth With Cerebral Palsy

    NARCIS (Netherlands)

    Vos, Rimke C.; Becher, Jules G.; Voorman, Jeanine M.; Gorter, Jan Willem; van Eck, Mirjam; van Meeteren, Jetty; Smits, Dirk Wouter; Twisk, Jos W.; Dallmeijer, Annet J.; van Schie, P. E M; Schuengel, C.; Ketelaar, M.; Lindeman, E.; Jongmans, M.; Roebroeck, M. E.; Tan, S. S.; Wiegerink, D. J H G; Reinders-Messelink, H. A.; Verheijden, J.

    2016-01-01

    Objective To examine associations over longitudinal measurements between neuromusculoskeletal function and gross motor capacity in children and youth with cerebral palsy (CP). Design A prospective cohort study. Setting Rehabilitation departments of university medical centers and rehabilitations

  6. Effect of physical therapy frequency on gross motor function in children with cerebral palsy

    OpenAIRE

    Park, Eun-Young

    2016-01-01

    [Purpose] This study attempted to investigate the effect of physical therapy frequency based on neurodevelopmental therapy on gross motor function in children with cerebral palsy. [Subjects and Methods] The study sample included 161 children with cerebral palsy who attended a convalescent or rehabilitation center for disabled individuals or a special school for children with physical disabilities in South Korea. Gross Motor Function Measure data were collected according to physical therapy fr...

  7. GENDER DIFFERENCES IN FINE AND GROSS MOTOR SKILLS OF NORMALLY DEVELOPING OVERWEIGHT AND OBESE ADOLESCENTS

    Directory of Open Access Journals (Sweden)

    Şehmus ASLAN

    2016-12-01

    Full Text Available The purpose of this research is to compare girls’ and boys’ fine and gross motor skills in normally developing overweight and obese adolescents. 18 girls and 28 boys with 12-18 age range, in totally 46 overweight and obese adolecents participated in the study. Body mass index of participants were calculated. Fine and gross motor skills of adolescents were assessed by Short Form Bruininks-Oseretsky Test of Motor Proficiency (BOT-2 SF. There was no differences between girls and boys for BOT-2 SF total scores (p>0.05, but it was found differences in several items of BOT-2 SF. Scores of test items for fine motor scores in the girls were higher than the boys (p0.05. Gross motor skill tests including jumping in place, dribling a ball, sit-ups, one- legged stationary hop test scores were higher in the boys, while tapping feet and fingers test score was higher in the girls (p<0.05. Our results suggested that there is differences between girls’ and boys’ fine and gross motor skills in normally developing overweight and obese adolescents. Girls have better fine motor skill performance while boys have better gross motor skill performance in overweight and obese adolescents.

  8. Gross Motor Function Measure Evolution Ratio: Use as a Control for Natural Progression in Cerebral Palsy.

    Science.gov (United States)

    Marois, Pierre; Marois, Mikael; Pouliot-Laforte, Annie; Vanasse, Michel; Lambert, Jean; Ballaz, Laurent

    2016-05-01

    To develop a new way to interpret Gross Motor Function Measure (GMFM-66) score improvement in studies conducted without control groups in children with cerebral palsy (CP). The curves, which describe the pattern of motor development according to the children's Gross Motor Function Classification System level, were used as historical control to define the GMFM-66 expected natural evolution in children with CP. These curves have been modeled and generalized to fit the curve to particular children characteristics. Research center. Not applicable. Not applicable. Not applicable. Assuming that the GMFM-66 score evolution followed the shape of the Rosenbaum curves, by taking into account the age and GMFM-66 score of children, the expected natural evolution of the GMFM-66 score was predicted for any group of children with CP who were Motor Function Measure Evolution Ratio, was defined as follows: Gross Motor Function Measure Evolution Ratio=measured GMFM-66 score change/expected natural evolution. For practical or ethical reasons, it is almost impossible to use control groups in studies evaluating effectiveness of many therapeutic modalities. The Gross Motor Function Measure Evolution Ratio gives the opportunity to take into account the expected natural evolution of the gross motor function of children with CP, which is essential to accurately interpret the therapy effect on the GMFM-66. Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  9. Effect of Spark Motor Program on the development of gross motor skills in intellectually disabled educable boys

    Directory of Open Access Journals (Sweden)

    Hashem Faal Moganloo

    2013-11-01

    Results: Spark Program caused significant changes in all the variables of the study, except speed and agility, in the experimental group after 24 sessions. The changes included: agility and speed (P=0.731, balance (P=0, strength (P=0.002, and bilateral coordination (P=0. Conclusion: Spark Motor Program can improve gross motor skills in intellectually disabled educable students.

  10. 75 FR 73998 - Federal Motor Vehicle Safety Standards; New Pneumatic Tires for Motor Vehicles With a Gross...

    Science.gov (United States)

    2010-11-30

    ... Vehicle Safety Standards; New Pneumatic Tires for Motor Vehicles With a Gross Vehicle Weight Rating (GVWR... Federal motor vehicle safety standard (FMVSS) that applies to new pneumatic tires for use on vehicles with... (NPRM) proposing to upgrade FMVSS No. 119 (49 CFR 571.119), which applies to new pneumatic tires...

  11. The Effects of Modified Games on the Development of Gross Motor Skill in Preschoolers

    Science.gov (United States)

    Lestari, Indah; Ratnaningsih, Tri

    2016-01-01

    Gross motor skills on children must be optimized much earlier since it plays important role not only on their interaction process but also in supporting other multiple developments. One of the means in developing child's motor skill is by providing innovative games i.e. modified games including game format, game timing, and game sequence. The…

  12. Association of therapeutic occasion, gross motor function grading and developmental level with gross motor functional recovery in children with cerebral palsy

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    BACKGROUND: The abnormal posture and motor pattern have not stabilized in children with cerebral palsy at early period, thus timely treatment can establish normal postural reflex and motor pattern, and prevent complications of muscle contracture, ankylosis, skeletal deformity, etc. The clinical factors affecting the rehabilitative efficacy of gross motor function in children with cerebral palsy should be observed.OBJECTIVE: To observe the effects of therapeutic occasion, grading of gross motor function and developmental level on the rehabilitative efficacy in children with cerebral palsy.DESIGN: A case-controlled analysis.SETTING: Qilu Children's Hospital of Shandong University.PARTICIPANTS: Totally 138 children with cerebral palsy, who were hospitalized for 12 months in the Rehabilitation Center of Qilu Children's Hospital, Shandong University, were selected from April 2004 to September 2006, and all the children were diagnosed to be accorded with the standard set by the national seminar on cerebral palsy in 2004. There were 97 males and 41 females, including 55 cases of 0 - 2 years old,47 cases of 2 - 4 years and 36 cases of 4 - 6 years. Informed contents were obtained from relatives of all the children.METHODS: ① Comprehensive rehabilitation treatment: Vojta method was to induce the children to turn over the body and crawl by stimulating reflective turn over and crawling on belly. Bobath method including trainings of head control, turning over body, keeping sitting position, keeping balance, crawling, keeping standing position, and walking, etc.; The children were massaged by using the maneuvers of push, press, rub,pull, wave, etc. according to the sites and types of palsy. Acupuncture was performed mainly at bilateral motor areas, the needle was retained for 1 hour per time, 6 days continuously every week, and followed by a 1-day interval. ② Prognosis assessment: The gross motor functional grading of the children with cerebral palsy at admission was

  13. Tracking of Gross Motor Coordination from Childhood into Adolescence

    Science.gov (United States)

    Lima, Rodrigo Antunes; Bugge, Anna; Pfeiffer, Karin Allor; Andersen, Lars Bo

    2017-01-01

    Purpose: The purpose of this study was to analyze tracking and stability of motor coordination in children from age 6 years to ages 9 and 13 years. Method: Data were from the Copenhagen School Child Intervention Study. Motor coordination (MC) was measured using the körperkoordinationstest für Kinder (KTK) test. The crude performance score on every…

  14. The gross motor function measure is a valid and sensitive outcome measure for spinal muscular atrophy.

    Science.gov (United States)

    Nelson, Leslie; Owens, Hollis; Hynan, Linda S; Iannaccone, Susan T

    2006-06-01

    Spinal muscular atrophy is a genetic disease of the anterior horn cell with high morbidity rate in childhood. Certain drugs may be of benefit and are in or under consideration for Phase II trials. Outcome measures that are age appropriate and representative of disease activity remain under study. Several have not yet been validated for spinal muscular atrophy. The Gross Motor Function Measure is a measure of motor function. We showed previously that the Gross Motor Function Measure is a reliable outcome measure to assess motor function in children with spinal muscular atrophy. By collating our data from 40 spinal muscular atrophy patients, ages 5 through 17 years, we now show the validity of the Gross Motor Function Measure when compared to Quantitative Muscle Testing and ambulatory status in children with spinal muscular atrophy. The median for Gross Motor Function Measure total scores for walkers was 237 (range: 197-261) and for non-walkers, 64 (range: 4-177; PGross Motor Function Measure is valid and sensitive as an outcome measure for clinical trials in pediatric spinal muscular atrophy.

  15. Associations between gross motor and communicative development in at-risk infants.

    Science.gov (United States)

    LeBarton, Eve Sauer; Iverson, Jana M

    2016-08-01

    Infants' advances in locomotion relate to advances in communicative development. However, little is known about these relations in infants at risk for delays in these domains and whether they may extend to earlier achievements in gross motor development in infancy. We examined whether advances in sitting and prone locomotion are related to communicative development in infants who have an older sibling with autism spectrum disorder (ASD) and are at risk for motor and communication delays (heightened-risk; HR). We conducted a longitudinal study with 37 HR infants who did not receive an ASD diagnosis at 36 months. Infants were observed monthly between the ages of 5 and 14 months. We assessed gross motor development using the Alberta Infant Motor Scales (AIMS) and recorded ages of onset of verbal and nonverbal communicative behaviors. Results indicated increased presence of early gross motor delay from 5 to 10 months. In addition, there were positive relations between sitting and gesture and babble onset and between prone development and gesture onset. Thus, links between gross motor development and communication extend to at-risk development and provide a starting point for future research on potential cascading consequences of motor advances on communication development.

  16. The Natural History of Gross Motor Development in Children with Cerebral Palsy Aged 1 to 15 Years

    Science.gov (United States)

    Beckung, E.; Carlsson, G.; Carlsdotter, S.; Uvebrant, P.

    2007-01-01

    The aim of this study was to explore motor development in children with cerebral palsy (CP) using developmental curves for CP, subtypes, and the five severity levels of the Gross Motor Function Classification System (GMFCS). The Gross Motor Function Measure (GMFM) and the GMFCS were applied to 317 children (145 females, 172 males) with CP, aged…

  17. EFFECT OF SENSORY INTEGRATION THERAPY ON GROSS MOTOR FUNCTION IN CHILDREN WITH CEREBRAL PALSY

    Directory of Open Access Journals (Sweden)

    A.R. Shamsoddini

    2009-04-01

    Full Text Available ObjectiveThe primary problem in children with cerebral palsy (CP, frequently referred for occupational therapy, is gross motor dysfunction. The current study was designed to investigate the effects of sensory integration therapy (SIT on gross motor skills in CP patients.Materials & MethodsTwenty-four children with diplegic spastic CP were randomly divided into two groups: First group (n=14,6 girls, 8 boys, age range 2 to 6 years, mean age 3.9 years; the second or control group (n=10, 5 girls, 5 boys, age range 2 to 6 years, mean age 3.4 years. SIT training was given to the first group and only the home program was given for the second group. All children were evaluated with gross motor function measurement (GMFM 88 for rolling, sitting, crawling, standing and walking position before and after intervention. Treatment duration for both groups was 1 hour, 5 days per week for a period of 12 weeks.ResultsGross motor function in children of the case group improved significantly better that in the control group, after intervention in sitting (P=0.02, crawling (P=0.001 and standing (P=0.03 positions; however no significant difference was seen in rolling (P=0.65 and walking (P=0.69 ability assessment.ConclusionThis study showed the beneficial effects of the SIT training program for children with CP; the SIT intervention had a significantly positive effect on gross motor function in the children with diplegic spastic CP. Moreover the results of the present study showed that sensory integration and vestibular stimulation were effective in children with cerebral palsy.Keywords:Cerebral palsy, Children, Gross motor, Occupational therapy, Sensory integration

  18. Improving gross motor function and postural control with hippotherapy in children with Down syndrome: case reports.

    Science.gov (United States)

    Champagne, Danielle; Dugas, Claude

    2010-11-01

    The purpose of this case report is to describe the impact of an 11-week hippotherapy program on the gross motor functions of two children (respectively 28 and 37 months old) diagnosed with Down syndrome. Hippotherapy is a strategy that uses the horse's motion to stimulate and enhance muscle contraction and postural control. The children were assessed by the Gross Motor Function Measure (GMFM) and accelerometry. The results indicate that both children improved on many dimensions of the GMFM. Power spectral analysis of the acceleration signals showed improvement in postural control of either the head or trunk, because the children adopted two different adaptative strategies to perturbation induced by the moving horse.

  19. Effects of gross motor function and manual function levels on performance-based ADL motor skills of children with spastic cerebral palsy.

    Science.gov (United States)

    Park, Myoung-Ok

    2017-02-01

    [Purpose] The purpose of this study was to determine effects of Gross Motor Function Classification System and Manual Ability Classification System levels on performance-based motor skills of children with spastic cerebral palsy. [Subjects and Methods] Twenty-three children with cerebral palsy were included. The Assessment of Motor and Process Skills was used to evaluate performance-based motor skills in daily life. Gross motor function was assessed using Gross Motor Function Classification Systems, and manual function was measured using the Manual Ability Classification System. [Results] Motor skills in daily activities were significantly different on Gross Motor Function Classification System level and Manual Ability Classification System level. According to the results of multiple regression analysis, children categorized as Gross Motor Function Classification System level III scored lower in terms of performance based motor skills than Gross Motor Function Classification System level I children. Also, when analyzed with respect to Manual Ability Classification System level, level II was lower than level I, and level III was lower than level II in terms of performance based motor skills. [Conclusion] The results of this study indicate that performance-based motor skills differ among children categorized based on Gross Motor Function Classification System and Manual Ability Classification System levels of cerebral palsy.

  20. Impact of a Community-Based Programme for Motor Development on Gross Motor Skills and Cognitive Function in Preschool Children from Disadvantaged Settings

    Science.gov (United States)

    Draper, Catherine E.; Achmat, Masturah; Forbes, Jared; Lambert, Estelle V.

    2012-01-01

    The aims of the studies were to assess the impact of the Little Champs programme for motor development on (1) the gross motor skills, and (2) cognitive function of children in the programme. In study 1, 118 children from one Early Childhood Development Centre (ECDC) were tested using the Test of Gross Motor Development-2, and in study 2, 83…

  1. Gross motor ability predicts response to upper extremity rehabilitation in chronic stroke.

    Science.gov (United States)

    George, Sarah Hulbert; Rafiei, Mohammad Hossein; Borstad, Alexandra; Adeli, Hojjat; Gauthier, Lynne V

    2017-08-30

    The majority of rehabilitation research focuses on the comparative effectiveness of different interventions in groups of patients, while much less is currently known regarding individual factors that predict response to rehabilitation. In a recent article, the authors presented a prognostic model to identify the sensorimotor characteristics predictive of the extent of motor recovery after Constraint-Induced Movement (CI) therapy amongst individuals with chronic mild-to-moderate motor deficit using the enhanced probabilistic neural network (EPNN). This follow-up paper examines which participant characteristics are robust predictors of rehabilitation response irrespective of the training modality. To accomplish this, EPNN was first applied to predict treatment response amongst individuals who received a virtual-reality gaming intervention (utilizing the same enrollment criteria as the prior study). The combinations of predictors that yield high predictive validity for both therapies, using their respective datasets, were then identified. High predictive classification accuracy was achieved for both the gaming (94.7%) and combined datasets (94.5%). Though CI therapy employed primarily fine-motor training tasks and the gaming intervention emphasized gross-motor practice, larger improvements in gross motor function were observed within both datasets. Poorer gross motor ability at pre-treatment predicted better rehabilitation response in both the gaming and combined datasets. The conclusion of this research is that for individuals with chronic mild-to-moderate upper extremity hemiparesis, residual deficits in gross motor function are highly responsive to motor restorative interventions, irrespective of the modality of training. Copyright © 2017 Elsevier B.V. All rights reserved.

  2. Gross motor function in children with spastic cerebral palsy and cerebral visual impairment: A comparison between outcomes of the original and the Cerebral Visual Impairment adapted Gross Motor Function Measure-88 (GMFM-88-CVI)

    NARCIS (Netherlands)

    Salavati, M.; Rameckers, E.A.A.; Waninge, A.; Krijnen, W.P.; Steenbergen, B.; Schans, C.P. van der

    2017-01-01

    Purpose: To investigate whether the adapted version of the Gross Motor Function Measure-88 (GMFM-88) for children with Cerebral Palsy (CP) and Cerebral Visual Impairment (CVI) results in higher scores. This is most likely to be a reflection of their gross motor function, however it may be the result

  3. Gross motor function in children with spastic Cerebral Palsy and Cerebral Visual Impairment : A comparison between outcomes of the original and the Cerebral Visual Impairment adapted Gross Motor Function Measure-88 (GMFM-88-CVI)

    NARCIS (Netherlands)

    Salavati, M.; Rameckers, E. A. A.; Waninge, A.; Krijnen, W. P.; Steenbergen, B.; van der Schans, C. P.

    2017-01-01

    Purpose: To investigate whether the adapted version of the Gross Motor Function Measure 88 (GMFM-88) for children with Cerebral Palsy (CP) and Cerebral Visual Impairment (CVI) results in higher scores. This is most likely to be a reflection of their gross motor function, however it may be the result

  4. Gross motor function in children with spastic cerebral palsy and cerebral visual impairment: A comparison between outcomes of the original and the Cerebral Visual Impairment adapted Gross Motor Function Measure-88 (GMFM-88-CVI)

    NARCIS (Netherlands)

    Salavati, M.; Rameckers, E.A.A.; Waninge, A.; Krijnen, W.P.; Steenbergen, B.; Schans, C.P. van der

    2017-01-01

    Purpose: To investigate whether the adapted version of the Gross Motor Function Measure-88 (GMFM-88) for children with Cerebral Palsy (CP) and Cerebral Visual Impairment (CVI) results in higher scores. This is most likely to be a reflection of their gross motor function, however it may be the result

  5. Development of the Gross Motor Function Classification System for Cerebral Palsy

    Science.gov (United States)

    Rosenbaum, Peter L.; Palisano, Robert J.; Bartlett, Doreen J.; Galuppi, Barbara E.; Russell, Dianne J.

    2008-01-01

    The Gross Motor Function Classification System (GMFCS) for cerebral palsy has been widely used internationally for clinical, research, and administrative purposes. This paper recounts the ideas and work behind the creation of the GMFCS, reports on the lessons learned, and identifies some philosophical challenges inherent in trying to develop an…

  6. Gross motor skills and sports participation of children with visual impairments

    NARCIS (Netherlands)

    Houwen, S; Visscher, C.; Hartman, E.; Lemmink, K.A.P.M.

    2007-01-01

    Gross motor skill performance of children with visual impairments and its association with the degree of visual impairment and sports participation was examined. Twenty children with visual impairments (M age = 9.2 years, SD =1.5) and 100 sighted children (M age = 9.1 years, SD = 1.5) from mainstrea

  7. Gross Motor Performance and Physical Fitness in Children with Psychiatric Disorders

    Science.gov (United States)

    Emck, Claudia; Bosscher, Ruud J.; van Wieringen, Piet C. W.; Doreleijers, Theo; Beek, Peter J.

    2011-01-01

    Aim: Gross motor performance appears to be impaired in children with psychiatric disorders but little is known about which skill domains are affected in each disorder, nor about possible accompanying deficits in physical fitness. The present study has sought to provide information about these issues in children with emotional, behavioural, and…

  8. Self-Pacing a Gross Motor Skills Course: Crawler Tractor Operator, MOS 62E20.

    Science.gov (United States)

    Brennan, Mark F.; Taylor, John E.

    As part of the Army's emphasis on performance-oriented instruction in training centers, a study was conducted to determine the feasibility of using self-paced instruction in a gross motor skills course. The Crawler Tractor Operator Course, a seven-week heavy equipment course conducted at Fort Leonard Wood, Missouri was selected for the study…

  9. A longitudinal study on gross motor development in children with learning disorders

    NARCIS (Netherlands)

    Westendorp, Marieke; Hartman, Esther; Houwen, Suzanne; Huijgen, Barbara C. H.; Smith, Joanne; Visscher, Chris

    This longitudinal study examined the development of gross motor skills, and sex-differences therein, in 7; to 11-years-old children with learning disorders (LD) and compared the results with typically developing children to determine the performance level of children with LD. In children with LD (n

  10. Gross motor skills and sports participation of children with visual impairments

    NARCIS (Netherlands)

    Houwen, S; Visscher, C.; Hartman, E.; Lemmink, K.A.P.M.

    Gross motor skill performance of children with visual impairments and its association with the degree of visual impairment and sports participation was examined. Twenty children with visual impairments (M age = 9.2 years, SD =1.5) and 100 sighted children (M age = 9.1 years, SD = 1.5) from

  11. A longitudinal study on gross motor development in children with learning disorders

    NARCIS (Netherlands)

    Westendorp, Marieke; Hartman, Esther; Houwen, Suzanne; Huijgen, Barbara C. H.; Smith, Joanne; Visscher, Chris

    2014-01-01

    This longitudinal study examined the development of gross motor skills, and sex-differences therein, in 7; to 11-years-old children with learning disorders (LD) and compared the results with typically developing children to determine the performance level of children with LD. In children with LD (n

  12. Gross Motor Performance and Physical Fitness in Children with Psychiatric Disorders

    Science.gov (United States)

    Emck, Claudia; Bosscher, Ruud J.; van Wieringen, Piet C. W.; Doreleijers, Theo; Beek, Peter J.

    2011-01-01

    Aim: Gross motor performance appears to be impaired in children with psychiatric disorders but little is known about which skill domains are affected in each disorder, nor about possible accompanying deficits in physical fitness. The present study has sought to provide information about these issues in children with emotional, behavioural, and…

  13. Relation between hand function and gross motor function in full term infants aged 4 to 8 months

    Science.gov (United States)

    Nogueira, Solange F.; Figueiredo, Elyonara M.; Gonçalves, Rejane V.; Mancini, Marisa C.

    2015-01-01

    Background: In children, reaching emerges around four months of age, which is followed by rapid changes in hand function and concomitant changes in gross motor function, including the acquisition of independent sitting. Although there is a close functional relationship between these domains, to date they have been investigated separately. Objective: To investigate the longitudinal profile of changes and the relationship between the development of hand function (i.e. reaching for and manipulating an object) and gross motor function in 13 normally developing children born at term who were evaluated every 15 days from 4 to 8 months of age. Method: The number of reaches and the period (i.e. time) of manipulation to an object were extracted from video synchronized with the Qualisys(r) movement analysis system. Gross motor function was measured using the Alberta Infant Motor Scale. ANOVA for repeated measures was used to test the effect of age on the number of reaches, the time of manipulation and gross motor function. Hierarchical regression models were used to test the associations of reaching and manipulation with gross motor function. Results: Results revealed a significant increase in the number of reaches (p<0.001), the time of manipulation (p<0.001) and gross motor function (p<0.001) over time, as well as associations between reaching and gross motor function (R2=0.84; p<0.001) and manipulation and gross motor function (R2=0.13; p=0.02) from 4 to 6 months of age. Associations from 6 to 8 months of age were not significant. Conclusion: The relationship between hand function and gross motor function was not constant, and the age span from 4 to 6 months was a critical period of interdependency of hand function and gross motor function development. PMID:25714437

  14. Effects of Motor Skill Intervention on Gross Motor Development, Creative Thinking and Academic Performance in Preschool Children

    Directory of Open Access Journals (Sweden)

    Judith Jiménez Díaz

    2010-08-01

    Full Text Available The purpose of this study was to investigate how students (mean= 6.08±0.5 years benefit from a physical education program in motor performance, creative thinking and academic achievement. Students (n = 39 were randomly assigned to comparison group (6 boys and 7 girls who received the regular preschool program (which includes 1 session of 30 minutes per week; intervention group 1 (6 boys and 7 girls who received the regular preschool program plus 1 session of 30 minutes per week of the intervention program; or intervention group 2 (6 boys and 7 girls, who received the regular preschool program plus 1 session of 60 minutes per week of the intervention program; during 8 weeks. All participants performed the Test of Gross Motor Development (TGMD-2 and the Torrance Test of Creative Thinking (TTCT before and after the study. The academic achievement score was given by the school. The ANOVA (Group x Gender x Time pre and post analysis revealed a significant triple interaction in the object control. Significant double interactions in the locomotor subscale and in the gross motor quotient were also found. After the post-hoc analysis, the results suggest that the physical education program benefits the gross motor performance and did not have an effect on the creative thinking or on the academic achievement.

  15. Gross motor skill performance in a sample of overweight and non-overweight preschool children.

    Science.gov (United States)

    Morano, Milena; Colella, Dario; Caroli, Margherita

    2011-10-01

    The aim of the study was to examine the gross motor skill performance of overweight and non-overweight preschool children from South of Italy, and to investigate possible differences by gender. Participants were 38 boys and 42 girls (4.5 ± 0.5 yr) categorized as overweight (n = 38) and non-overweight (n = 42), according to the IOTF body mass index (BMI) cut-off points. The Test of Gross Motor Development was used to assess seven locomotor skills (run, gallop, hop, leap, horizontal jump, skip and slide) and five object-control skills (two-hand strike, stationary bounce, catch, kick and overhand throw). The raw, standard and percentile scores and the Gross Motor Development Quotient (GMDQ) were calculated for each participant. ANOVA 2 (gender) x 2 (group) was conducted on the subtest standard scores and the GMDQ. No differences in performance were found between boys and girls on the subscale standard scores and the GMDQ. Significant main effects (p overweight children reporting lower movement competence than their counterparts. Pearson's correlations revealed relationships (p Overweight participants showed poorer performance on locomotor and object-control tasks than their non-overweight peers. Interventions to promote physical activity in overweight children should be directed towards achieving a healthy weight and motor skill improvement.

  16. Physical fitness of primary school children in the reflection of different levels of gross motor coordination

    Directory of Open Access Journals (Sweden)

    Ingrid Ružbarská

    2016-12-01

    Full Text Available Background: Lower level of motor competences may result in unsuccessful engaging of children in physical activities as early as pre-school age and also prepubescent ages. This may subsequently lead to a spiral of forming negative attitudes towards an active lifestyle and may be accompanied by a negative trend in weight status and physical fitness outcomes. Objective: The aim of the study was to identify and analyze differences in physical fitness and somatic parameters of primary school-aged children according to level of their gross motor coordination. Methods:  A sample of 436 children aged 7 to 10 years, of which were 222 girls and 214 boys, performed physical fitness tests - Eurofit test battery. The level of motor coordination was assessed using the test battery Körperkoordination-Test-für-Kinder (KTK. The anthropometric data (body mass, body height, sum of five skinfolds were measured. The one-way ANOVA was used to assess differences in physical fitness test items and anthropometry parameters between children with normal motor quotient (MQ ≥ 86 and decreased levels of gross motor coordination (MQ ≤ 85. Results: Research findings indicate a strongly negative trend in physical development of children with motor deficits (MQ ≤ 85. The results of ANOVA revealed significantly less favourable level of most of the assessed physical fitness parameters in children with decreased level of motor coordination. Conclusions: The findings suggest that physical fitness outcomes of primary school-aged children are associated with a lower level of motor coordination. Motor coordination probably plays an important role in preventing, or moderating the so-called negative trajectory leading to childhood overweight or obesity.

  17. Reference Curves for the Gross Motor Function Measure: Percentiles for Clinical Description and Tracking Over Time Among Children With Cerebral Palsy

    OpenAIRE

    Hanna, Steven E.; Bartlett, Doreen J; Rivard, Lisa M; Russell, Dianne J

    2008-01-01

    Background and Purpose: Physical therapists frequently use the 66-item Gross Motor Function Measure (GMFM-66) with the Gross Motor Function Classification System (GMFCS) to examine gross motor function in children with cerebral palsy (CP). Until now, reference percentiles for this measure were not available. The aim of this study was to improve the clinical utility of this gross motor measure by developing cross-sectional reference percentiles for the GMFM-66 within levels of the GMFCS.

  18. Hip displacement in relation to age and gross motor function in children with cerebral palsy

    OpenAIRE

    Larnert, Per; Risto, Olof; Hägglund, Gunnar; Wagner, Philippe

    2014-01-01

    Purpose Hip dislocation in cerebral palsy (CP) is a serious complication. By radiographic screening and prophylactic surgery of children at risk most dislocations can be prevented. CPUP, the Swedish CP registry and follow-up program, includes annual radiographic examinations of children at Gross Motor Function Classification System (GMFCS) levels III–V. Data from CPUP were analysed to assess the risk of hip displacement in relation to GMFCS levels and age. Methods All children at GMFCS levels...

  19. The clinimetric properties of performance-based gross motor tests used for children with developmental coordination disorder: a systematic review.

    Science.gov (United States)

    Slater, Leanne M; Hillier, Susan L; Civetta, Lauren R

    2010-01-01

    Performance-based measures of gross motor skills are required for children with developmental coordination disorder to quantify motor ability and objectify change. Information related to psychometrics, clinical utility, feasibility, and client appropriateness and acceptability is needed so that clinicians and researchers are assured that they have chosen the most appropriate and robust tool. This review identified performance-based measures of gross motor skills for this population, and the research evidence for their clinimetric properties through a systematic literature search. Seven measures met the inclusion criteria and were appraised for their clinimetric properties. The Movement Assessment Battery for Children and the Test for Gross Motor Development (second version) scored highest on appraisal. The 2 highest scoring measures are recommended in the first instance for clinicians wishing to evaluate gross motor performance in children with developmental coordination disorder. However, both measures require further testing to increase confidence in their validity for this population.

  20. Gross and fine motor function in fibromyalgia and chronic fatigue syndrome

    Science.gov (United States)

    Rasouli, Omid; Fors, Egil A; Borchgrevink, Petter Chr; Öhberg, Fredrik; Stensdotter, Ann-Katrin

    2017-01-01

    Purpose This paper aimed to investigate motor proficiency in fine and gross motor function, with a focus on reaction time (RT) and movement skill, in patients with fibromyalgia (FM) and chronic fatigue syndrome (CFS) compared to healthy controls (HC). Methods A total of 60 individuals (20 CFS, 20 FM, and 20 HC), age 19–49 years, participated in this study. Gross motor function in the lower extremity was assessed using a RT task during gait initiation in response to an auditory trigger. Fine motor function in the upper extremity was measured during a precision task (the Purdue Pegboard test) where the number of pins inserted within 30 s was counted. Results No significant differences were found between FM and CFS in any parameters. FM and CFS groups had significantly longer RT than HC in the gait initiation (p=0.001, and p=0.004 respectively). In the Purdue Pegboard test, 20% in the FM group, 15% in the CFS groups, and 0% of HC group, scored below the threshold of the accepted performance. However, there were no significant differences between FM, CFS, and HC in this task (p=0.12). Conclusion Compared to controls, both CFS and FM groups displayed significantly longer RT in the gait initiation task. Generally, FM patients showed the worst results in both tests, although no group differences were found in fine motor control, according to the Purdue Pegboard test. PMID:28223840

  1. The relationship between gross motor function and manual ability in cerebral palsy.

    Science.gov (United States)

    Oskoui, Maryam; Majnemer, Annette; Dagenais, Lynn; Shevell, Michael I

    2013-12-01

    A retrospective cohort study was conducted to describe the relationship between gross motor function and manual ability in children with cerebral palsy and explore differences between cerebral palsy subtypes and associated comorbidities. Children with cerebral palsy born between 1999 and 2008 were included from the Registre de la Paralyse Cérébrale de Québec identifying 332 children. The overall agreement between Gross Motor Function Classification System and Manual Ability Classification Scale Levels was moderate (kappa 0.457, standard error 0.034) with a strong positive correlation (Spearman rho of 0.820, standard error 0.023). This agreement was moderate among children with spastic quadriparesis and dysketic cerebral palsy, fair in children with spastic diplegia, and poor in children with spastic hemiplegia. Children with cognitive impairment showed a higher correlation than those without cognitive impairment. The correlation between gross motor function and manual ability in children with CP varies based on neurologic subtype and cognitive level.

  2. Effects of an aquatic program on gross motor function of children with spastic cerebral palsy

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    NIKOLAOS CHRYSAGIS; ANGELIKI DOUKA; MICHAIL NIKOPOULOS; FOTEINI APOSTOLOPOULOU; DIMITRA KOUTSOUKI

    2009-01-01

    Full Text Available The purpose of the present study was to examine the effects of a 10-week aquatic program on the gross motor function, on the range of motion and on spasticity of childrenwith cerebral palsy (CP. Six students served as subjects for the experimental group and another 6 were assigned to the control group. The aquatic program was taking place twice a week and consisted of a warm up, the main training session and a cool down phase. Measuring instruments were the Gross Motor Function Measure (GMFM (dimensions D and E, a goniometer and the modified Ashworth Scale. Pre-test and Post-test were executed before and after the intervention program. Significant interaction effect was found with respect to: the active shoulder flexion (p=.052, the active shoulder abduction (p=.052, the passive hip abduction (p=.001 and the passive knee extension (p=.045. Interaction effect was found for spasticity of the hip adductors (p=.002 and knee flexors (p=.049. Results of the present study indicated that an aquatic program might have a positive effect in gross motor function as well as in range of motion and spasticity in students with spastic cerebral palsy.

  3. Comparison the Impact of Spark Motor Program and Basketball Techniques on Improving Gross Motor Skills in Educable Intellectually Disabled Boys

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    Hashem Faal Moghanlo

    2014-09-01

    Full Text Available Background & objectives : Different types of practises are known for improving motor skills in intellectually disabled boys. The purpose of this study was to compar e the impact of spark motor program and basketball on improving of gross motor skills in this people.   Methods: In this semi-experimental study , from 98 educable intellectually disabled students who studied in special school in Urmia, 30 children ( age range of 9 to 13 years and IQ mean 64.4 were selected objectively and divided in three groups (2 experimental and 1 control based on pre - test. BOTMP was used as a measurement of motor ability. Selected motor program (Spark motor program including strengthening training, games, sports and basketball techniques was performed for 24 sessions. T-tests (dependent and co-variance were used to comparison of results.   Results: In Spark group after 24 sessions, there were significant effects on balance (p= 0.000, bilateral coordination (p=0.000 and strength (p=0.001. There was no significant effect in agility and speed (p= 0.343 in basketball techniques group after 24 sessions, there were significant effects in agility and speed (p= 0.001, balance (p= 0.000, bilateral coordination (p= 0.013 and strength (p= 0.007.   Conclusion: Based on the results of this study, it can be claimed that the Spark program and basketball techniques improve gross motor skills in educable intellectually disabled students. We also found a significant difference between the Spark program and basketball techniques efficacy on the improved skills. Furthermore, the efficacy of Spark program was significantly higher than basketball techniques (p<0.05.

  4. Effects of Neurodevelopmental Therapy on Gross Motor Function in Children with Cerebral Palsy

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    Sina LABAF

    2015-06-01

    Full Text Available Normal 0 false false false EN-US X-NONE AR-SA How to Cite This Article: labaf S, Shamsoddini A, Hollisaz MT, Sobhani V, Shakibaee A . Effects of Neurodevelopmental Therapy on Gross Motor Function in Children with Cerebral Palsy. Iran J Child Neurol. Spring 2015;9(1:37-42.AbstractObjectiveNeurodevelopmental treatments are an advanced therapeutic approach practiced by experienced occupational therapists for the rehabilitation of children with cerebral palsy. The primary challenge in children with cerebral palsy is gross motor dysfunction. We studied the effects of neurodevelopmental therapy on gross motor function in children with cerebral palsy.Materials & MethodsIn a quasi-experimental design, 28 children with cerebral palsy were randomly divided into two groups. Neurodevelopmental therapy was given to a first group (n=15 with a mean age of 4.9 years; and a second group with a mean age 4.4 years (n=13 who were the control group. All children were evaluated with the Gross Motor Function Measure. Treatments were scheduled for three - one-hour sessions per week for 3 months.ResultsWe obtained statistically significant differences in the values between the baseline and post treatment in two groups. The groups were significantly different in laying and rolling (P=0.000, sitting (0.002, crawling and kneeling (0.004, and standing abilities (P=0.005. However, there were no significantdifferences in walking, running, and jumping abilities between the two groups (0.090.ConclusionWe concluded that the neurodevelopmental treatment improved gross motor function in children with cerebral palsy in four dimensions (laying and rolling, sitting, crawling and kneeling, and standing. However, walking, running, and jumping did not improve significantly. /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso

  5. Influence of the environment on performance of gross motor function in children with cerebral palsy.

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    Fatudimu, Margaret Bukola

    2012-01-01

    Assessment and physiotherapy intervention for children with cerebral palsy (CP) are conventionally carried out in the hospital or clinic setting. However, the daily lives of these children include a variety of environmental settings in addition to the clinical setting. The objective of this study was therefore to explore the possible influence of the environment on motor function in children with CP. Purposively selected children with CP (n=107), ages 1 and 6 years with mean age of 2.1 years (SD 1.10 yrs), were involved in this study. The motor function of each child was assessed in the hospital and at their homes within a one-week interval, using the gross motor function measure (GMFM); this was done at the baseline and on a monthly basis for eight consecutive months. The paired t-test rank was computed to compare the overall GMFM score and each of the sub-domain scores measured in the clinic and at home. GMFM scores measured at home were significantly higher than those measured in the clinic and this pattern was also obtained for the sub-domains throughout the study period, suggesting that children performed gross motor functions better at their homes than in the clinic.

  6. Improvement of gross motor and cognitive abilities by an exercise training program: three case reports

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    Alesi M

    2014-03-01

    Full Text Available Marianna Alesi,1 Giuseppe Battaglia,2 Michele Roccella,1 Davide Testa,1 Antonio Palma,2 Annamaria Pepi1 1Department of Psychology, 2Department of Law, Social and Sport Science, University of Palermo, Palermo, Italy Background: This work examined the efficacy of an integrated exercise training program (coach and family in three children with Down syndrome to improve their motor and cognitive abilities, in particular reaction time and working memory. Methods: The integrated exercise training program was used in three children with Down syndrome, comprising two boys (M1, with a chronological age of 10.3 years and a mental age of 4.7 years; M2, with a chronological age of 14.6 years and a mental age of less than 4 years and one girl (F1, chronological age 14.0 years and a mental age of less than 4 years. Results: Improvements in gross motor ability scores were seen after the training period. Greater improvements in task reaction time were noted for both evaluation parameters, ie, time and omissions. Conclusion: There is a close interrelationship between motor and cognitive domains in individuals with atypical development. There is a need to plan intervention programs based on the simultaneous involvement of child and parents and aimed at promoting an active lifestyle in individuals with Down syndrome. Keywords: disability, Down syndrome, gross motor abilities, cognitive abilities, physical activity

  7. Gross Motor Coincidence Timing by Children with Learning Difficulties and Children Matched on Mean Chronological and Mental Age.

    Science.gov (United States)

    Jacklin, Susan M.

    1987-01-01

    This study examines the learning of a gross motor coincidence timing task by children with learning difficulties, compared with that by children of average intelligence of an equivalent chronological age and mental age. Results are discussed. (Author/MT)

  8. Gross Motor Function Classification System used in adults with cerebral palsy: agreement of self-reported versus professional rating.

    Science.gov (United States)

    Jahnsen, Reidun; Aamodt, Geir; Rosenbaum, Peter

    2006-09-01

    The present study investigated the reliability of self-reported rating of Gross Motor Function Classification System (GMFCS) levels compared with professional rating, and changes in gross motor function over time, in adults with cerebral palsy. Twenty-nine females and 33 males aged between 18 years 5 months and 62 years 11 months (mean age 34y 7mo [SD 10y 6mo]) participated in the study. Participants rated their current gross motor function using the GMFCS and reported their judgement of their gross motor function at age 10 to 12 years. The project leader, a physical therapist, also classified participants' current GMFCS levels and conducted a chart review on all accessible medical records of participants' gross motor function when they were 10 to 12 years old, rating the GMFCS level accordingly. Intraclass correlation coefficients (ICC) between self-reported and professional ratings showed excellent agreement (ICC=0.93-0.95, 95% confidence interval [CI] 0.89-0.97). More than half the participants experienced a stable gross motor function from the age of 10 to 12 years to the present. Those at GMFCS Levels II and III at the age of 10 to 12 years (according to the professional rating) had significant change for the worse in gross motor function over time, with odds ratios of 9.30 (95% CI 1.2-73.0, p=0.03) and 7.00 (95% CI 1.1-43.0, p=0.04) respectively. Interview data on circumstances regarding changes in gross motor function since childhood are also reported. Changes in GMFCS level were mostly associated with physical or social environmental factors.

  9. Correlation between the Gait Deviation Index and gross motor function (GMFCS level) in children with cerebral palsy

    OpenAIRE

    Malt, Merete A.; Aarli, Ånen; Bogen, Bård; Fevang, Jonas M

    2016-01-01

    Aim The Gait Deviation Index (GDI) is a score derived from three-dimensional gait analysis (3DGA). The GDI provides a numerical value that expresses overall gait pathology (ranging from 0 to 100, where 100 indicates the absence of gait pathology). The aim of this study was to investigate the association between the GDI and different levels of gross motor function [defined as the Gross Motor Function Classification System (GMFCS)] and to explore if age, height, weight, gender and cerebral pals...

  10. Gross Motor Function Classification System Expanded & Revised (GMFCS E & R): reliability between therapists and parents in Brazil

    OpenAIRE

    Daniela B. R. Silva; Luzia I. Pfeifer; Carolina A. R. Funayama

    2013-01-01

    BACKGROUND: Several studies have demonstrated the importance of using the Gross Motor Function Classification System (GMFCS) to classify gross motor function in children with cerebral palsy, but the reliability of the expanded and revised version has not been examined in Brazil (GMFCS E & R). OBJECTIVE:: To determine the intra- and inter-rater reliability of the Portuguese-Brazil version of the GMFCS E & R applied by therapists and compare to classification provided by parents of children...

  11. Determinants of gross motor skill performance in children with visual impairments.

    Science.gov (United States)

    Haibach, Pamela S; Wagner, Matthias O; Lieberman, Lauren J

    2014-10-01

    Children with visual impairments (CWVI) generally perform poorer in gross motor skills when compared with their sighted peers. This study examined the influence of age, sex, and severity of visual impairment upon locomotor and object control skills in CWVI. Participants included 100 CWVI from across the United States who completed the Test of Gross Motor Development II (TGMD-II). The TGMD-II consists of 12 gross motor skills including 6 object control skills (catching, kicking, striking, dribbling, throwing, and rolling) and 6 locomotor skills (running, sliding, galloping, leaping, jumping, and hopping). The full range of visual impairments according to United States Association for Blind Athletes (USABA; B3=20/200-20/599, legally blind; B2=20/600 and up, travel vision; B1=totally blind) were assessed. The B1 group performed significantly worse than the B2 (0.000 ≤ p ≤ 0.049) or B3 groups (0.000 ≤ p ≤ 0.005); however, there were no significant differences between B2 and B3 except for the run (p=0.006), catch (p=0.000), and throw (p=0.012). Age and sex did not play an important role in most of the skills, with the exception of boys outperforming girls striking (p=0.009), dribbling (p=0.013), and throwing (p=0.000), and older children outperforming younger children in dribbling (p=0.002). The significant impact of the severity of visual impairment is likely due to decreased experiences and opportunities for children with more severe visual impairments. In addition, it is likely that these reduced experiences explain the lack of age-related differences in the CWVI. The large disparities in performance between children who are blind and their partially sighted peers give direction for instruction and future research. In addition, there is a critical need for intentional and specific instruction on motor skills at a younger age to enable CWVI to develop their gross motor skills.

  12. Associations between gross motor coordination and academic achievement in elementary school children.

    Science.gov (United States)

    Lopes, Luís; Santos, Rute; Pereira, Beatriz; Lopes, Vítor P

    2013-02-01

    We aimed to evaluate the relationship between gross motor coordination (MC) and academic achievement (AA) in a sample of Portuguese children aged 9-12 years. The study took place during the 2009/2010 school year and involved 596 urban children (281 girls) from the north of Portugal. AA was assessed using the Portuguese Language and Mathematics National Exams. Gross MC was evaluated with the Körperkoordination Test für Kinder. Cardiorespiratory fitness was predicted by a maximal multistage 20-m shuttle-run test of the Fitnessgram Test Battery. Body weight and height were measured following standard procedures. Socio-economic status was based on annual family income. Logistic Regression was used to analyze the association of gross MC with AA. 51.6% of the sample exhibited MC disorders or MC insufficiency and none of the participants showed very good MC. In both genders, children with insufficient MC or MC disorders exhibited a higher probability of having low AA, compared with those with normal or good MC (pbody mass index and socio-economic status.

  13. Associations between Manual Abilities, Gross Motor Function, Epilepsy, and Mental Capacity in Children with Cerebral Palsy

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    Ewa GAJEWSKA*

    2014-04-01

    Full Text Available How to Cite This Article: Gajewska E, Sobieska M, Samborski W. Associations between Manual Abilities, Gross Motor Function, Epilepsy, and Mental Capacity in Children with Cerebral Palsy. Iran J Child Neurol. 2014 Spring 8(2:45-52.ObjectiveThis study aimed to evaluate gross motor function and hand function in children with cerebral palsy to explore their association with epilepsy and mental capacity. Material & MethodsThe research investigating the association between gross and fine motor function and the presence of epilepsy and/or mental impairment was conducted on a group of 83 children (45 girls, 38 boys. Among them, 41 were diagnosedwith quadriplegia, 14 hemiplegia, 18 diplegia, 7 mixed form, and 3 athetosis.A neurologist assessed each child in terms of possible epilepsy and confirmed diagnosis in 35 children. A psychologist assessed the mental level (according toWechsler and found 13 children within intellectual norm, 3 children with mild mental impairment, 18 with moderate, 27 with severe, and 22 with profound.Children were then classified based on Gross Motor Function Classification System and Manual Ability Classification Scale.ResultsThe gross motor function and manual performance were analysed in relation to mental impairment and the presence of epilepsy. Epilepsy was found to disturb conscious motor functions, but also higher degree of mental impairment wasobserved in children with epilepsy.ConclusionThe occurrence of epilepsy in children with cerebral palsy is associated with worse manual function. The occurrence of epilepsy is associated with limitations in conscious motor functions. There is an association between epilepsy in children with cerebral palsy and the degree of mental impairment.The occurrence of epilepsy, mainly in children with hemiplegia and diplegia is associated with worse mental capacities.ReferencesRichards CL, Malouin F. Cerebral palsy: definition, assessment and rehabilitation. Handb Clin Neurol

  14. Sleep-related offline improvements in gross motor task performance occur under free recall requirements

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    Andreas eMalangre

    2016-03-01

    Full Text Available Nocturnal sleep effects on memory consolidation following gross motor sequence learning were examined using a complex arm movement task. This task required participants to produce non-regular spatial patterns in the horizontal plane by successively fitting a small peg into different target-holes on an electronic pegboard. The respective reaching movements typically differed in amplitude and direction. Targets were visualized prior to each transport movement on a computer screen. With this task we tested 18 subjects (22.6 +/- 1.9 years; 8 female using a between-subjects design. Participants initially learned a 10-element arm movement sequence either in the morning or in the evening. Performance was retested under free recall requirements 15 minutes post training, as well as 12 hrs and 24 hrs later. Thus each group was provided with one sleep-filled and one wake retention interval. Dependent variables were error rate (number of erroneous sequences and average sequence execution time (correct sequences only. Performance improved during acquisition. Error rate remained stable across retention. Sequence execution time (inverse to execution speed significantly decreased again during the sleep-filled retention intervals, but remained stable during the respective wake intervals. These results corroborate recent findings on sleep-related enhancement consolidation in ecological valid, complex gross motor tasks. At the same time they suggest this effect to be truly memory-based and independent from repeated access to extrinsic sequence information during retests.

  15. Relationships between Gross Motor Abilities and Problematic Behaviors of Handicapped Children in Different Age Groups.

    Science.gov (United States)

    Uesugi, Masayuki; Araki, Tomoko; Fujii, Shun; Itotani, Keisuke; Otani, Yoshitaka; Seiichi, Takemasa

    2014-12-01

    [Purpose] In this study, we examined problematic behaviors of independent-walking and non-independent-walking handicapped children in the infant, school child and adolescent development phases, using the Japanese version of the Aberrant Behavior Checklist (ABC-J) to determine if such behaviors relate to their gross motor abilities. [Subjects and Methods] The subjects were 86 handicapped children who were receiving physical therapy. The subjects were classified into three groups by age. Using the Gross Motor Function Classification System (GMFCS), each group was further divided into an independent-walking group and non-independent-walking group. Thirteen physical therapists and 8 occupational therapists, who were treating the subject children, rated the subjects using the ABC-J. [Results] Significant differences were observed between the independent-walking and the non-independent-walking groups in the stereotypy and lethargy scores of infants. [Conclusion] For schoolchildren and adolescents, no significant differences were observed between the independent-walking and the non-independent-walking groups in their problematic behavior scores.

  16. The Effect of Resistance Training on Performance of Gross Motor Skills and Balance in Children with Spastic Cerebral Palsy

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    Ebrahim Zarrinkalam

    2016-03-01

    Full Text Available Objective: Cerebral palsy is the most common chronic motor disability in children and can have negative effect on motor functions. The purpose of this study was to investigate the effect of eight weeks resistance training on gross motor ability, balance and walking speed in a group of such children. Methods: 21 cerebral palsy boys with spastic diplegia, aged between 12 and 16 years (mean, 13.66 years, participated in this study. A pre-test, involving walking, sitting, standing and walking up stairs. They were randomly divided into an experimental and control groups. Then, the experimental group participated in 8 weeks of resistance training.  The data was attained from a 10 meter walk test, Berg Balance Test, gross motor ability Section E, D and GMFCS tests.  Kolmogorov-Smirnov test, sample t-test were used for analyzing the data. Results: The results showed a significant improvement in the performance of experimental group in gross motor abilities section  E and D, balance and walking speed after 8 weeks of resistance training (P <0.05(. However, significant differences were not observed in the control group before and after the study (P <0.05.  Conclusion: The results showed that resistance training improves gross motor ability, balance and gait in children with cerebral palsy hence, it is recommended that resistance exercise be used as a therapeutic modality for children with cerebral palsy.

  17. The relationship between spasticity in young children (18 months of age with cerebral palsy and their gross motor function development

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    Verschuren Olaf

    2009-09-01

    Full Text Available Abstract Background It is thought that spasticity has an influence on the development of functional motor abilities among children with cerebral palsy (CP. The extent to which spasticity is associated with the change in motor abilities in young children with CP has not been established. The objective of this study is to evaluate the relationship of initial spasticity in young children with CP and their gross motor function development over one year. Methods Fifty children with CP aged 18 months, GMFCS-levels I-V participated in a longitudinal observational study. Change in gross motor functioning (GMFM-66 was measured over one year. The level of spasticity measured at the first assessment was determined with the Modified Tardieu Scale in three muscle groups of the lower extremity (adductor muscles, the hamstrings and the m. gastrocnemius. The Spasticity Total Score per child was calculated with a maximum score of 12 points. Results Spearman's Rho Correlation (-0.28 revealed a statistically significant relationship (p Conclusion Our findings indicate that when measured over one year, spasticity is marginally related to gross motor function development in infants with CP. The initial level of spasticity is only one of the many child, environmental and family factors that determines gross motor development of a young child with CP.

  18. Relationship between time use in physical activity and gross motor performance of preschool children.

    Science.gov (United States)

    Lin, Ling-Yi; Cherng, Rong-Ju; Chen, Yung-Jung

    2017-02-01

    Participation in physical activity is an important health concern for children in most Western communities, but little is known about Asian children's participation. The purpose of this study was to extend the current knowledge on how much time preschool children in Taiwan spend on physical activity, to examine its relationship with gross motor performance and to provide information on the establishment of physical activity guidelines for preschool children in Taiwan. Two hundred and sixty-four children between 36 and 71 months old were recruited from a university medical centre and from preschools in Taiwan. The primary outcomes were measured using the Movement Assessment Battery for Children-Second Edition and the modified Preschool-aged Children's Physical Activity Questionnaire. 89.8% of our participants did not meet the recommendations from the National Association for Sport and Physical Education for time spent in physical activities. Participants spent an average of 155 minutes/week in low intensity physical activity. Children with motor difficulties tended to spend less time on physical activity than did typically developing children. The mother's level of education and whether the child was overweight or obese correlated with how much time the children spent on physical activity. We conclude that paediatric occupational therapists should explain to parents the relationship between physical activity and motor development and advocate for developmentally positive physical activities for preschool children. Physical activity guidelines for Taiwanese preschoolers should be established immediately. © 2016 Occupational Therapy Australia.

  19. Myofascial Structural Integration Therapy on Gross Motor Function and Gait of Young Children with Spastic Cerebral Palsy: A Randomized Controlled Trial.

    Science.gov (United States)

    Loi, Elizabeth C; Buysse, Christina A; Price, Karen S; Jaramillo, Theresa M; Pico, Elaine L; Hansen, Alexis B; Feldman, Heidi M

    2015-01-01

    Though the cause of motor abnormalities in cerebral palsy is injury to the brain, structural changes in muscle and fascia may add to stiffness and reduced function. This study examined whether myofascial structural integration therapy, a complementary treatment that manipulates muscle and fascia, would improve gross motor function and gait in children Gross Motor Function Measure-66 assessed at 3-month intervals. Gait (n = 8) was assessed using the GAITRite(®) electronic walkway. Parents completed a survey at study conclusion. Comparing Treatment (n = 15) and Waitlist-Control groups (n = 9), we found a significant main effect of time but no effect of group or time × group interaction. The pooled sample (n = 27) showed a main effect of time, but no significantly greater change after treatment than between other assessments. Foot length on the affected side increased significantly after treatment, likely indicating improvement in the children's ability to approach a heel strike. Parent surveys indicated satisfaction and improvements in the children's quality of movement. MSI did not increase the rate of motor skill development, but was associated with improvement in gait quality.

  20. Myofascial structural integration therapy on gross motor function and gait of young children with spastic cerebral palsy: a randomized controlled trial

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    Elizabeth C Loi

    2015-09-01

    Full Text Available Though the cause of motor abnormalities in cerebral palsy is injury to the brain, structural changes in muscle and fascia may add to stiffness and reduced function. This study examined whether Myofascial Structural Integration therapy (MSI, a complementary treatment that manipulates muscle and fascia, would improve gross motor function and gait in children < 4 years with cerebral palsy. Participants (N=29 were enrolled in a randomized controlled trial (RCT: NCT01815814, https://goo.gl/TGxvwd or Open Label Extension. The main outcome was the Gross Motor Function Measure-66 assessed at 3-month intervals. Gait (n=8 was assessed using the GAITRite® electronic walkway. Parents completed a survey at study conclusion.Comparing Treatment (n=15 and Waitlist-Control Groups (n=9, we found a significant main effect of time but no effect of group or timeXgroup interaction. The pooled sample (n=27 showed a main effect of time, but no significantly greater change after treatment than between other assessments. Foot length on the affected side increased significantly after treatment, likely indicating improvement in the children’s ability to approach a heel strike. Parent surveys indicated satisfaction and improvements in the children's quality of movement. MSI did not increase the rate of motor skill development, but was associated with improvement in gait quality.

  1. Correlation between the gross motor performance measurement and pediatric balance scale with respect to movement disorder in children with cerebral palsy

    Science.gov (United States)

    Kwon, Hae-Yeon; Ahn, So-Yoon

    2016-01-01

    [Purpose] To determine whether the Gross Motor Performance Measurement is useful in predicting the future score of the Pediatric Balance Scale, this study examined the correlation between the 2 measurement tools with respect to movement disorder in children with cerebral palsy. [Subjects and Methods] A total of 38 study subjects with cerebral palsy were divided into 3 groups (spastic, dyskinetic, and ataxic) by means of systematic proportional stratified sampling in accordance with the characteristics of their movement disorders. [Results] The spastic Pediatric Balance Scale had an intermediate level of positive correlation with dissociated movement (r=0.411), alignment (r=0.518), and weight shift (r=0.461). The dyskinetic Pediatric Balance Scale had a strong positive correlation with dissociated movement (r=0.905), coordination (r=0.882), alignment (r=0.930), and stability (r=0.924). The ataxic Pediatric Balance Scale had an intermediate level of positive correlation with the overall Gross Motor Performance Measurement (r=0.636), and a strong positive correlation with dissociated movement (r=0.866), coordination (r=0.871) and stability (r=0.984). [Conclusion] Gross Motor Performance Measurement is important in evaluating the quality of movement, and can be considered an excellent supplementary tool in predicting functional balance. PMID:27630414

  2. Correlation between the gross motor performance measurement and pediatric balance scale with respect to movement disorder in children with cerebral palsy.

    Science.gov (United States)

    Kwon, Hae-Yeon; Ahn, So-Yoon

    2016-08-01

    [Purpose] To determine whether the Gross Motor Performance Measurement is useful in predicting the future score of the Pediatric Balance Scale, this study examined the correlation between the 2 measurement tools with respect to movement disorder in children with cerebral palsy. [Subjects and Methods] A total of 38 study subjects with cerebral palsy were divided into 3 groups (spastic, dyskinetic, and ataxic) by means of systematic proportional stratified sampling in accordance with the characteristics of their movement disorders. [Results] The spastic Pediatric Balance Scale had an intermediate level of positive correlation with dissociated movement (r=0.411), alignment (r=0.518), and weight shift (r=0.461). The dyskinetic Pediatric Balance Scale had a strong positive correlation with dissociated movement (r=0.905), coordination (r=0.882), alignment (r=0.930), and stability (r=0.924). The ataxic Pediatric Balance Scale had an intermediate level of positive correlation with the overall Gross Motor Performance Measurement (r=0.636), and a strong positive correlation with dissociated movement (r=0.866), coordination (r=0.871) and stability (r=0.984). [Conclusion] Gross Motor Performance Measurement is important in evaluating the quality of movement, and can be considered an excellent supplementary tool in predicting functional balance.

  3. THE INFLUENCE OF THE EXERCISES OF GROSS AND FINE MOTOR SKILLS ON VISUO-MOTOR COORDINATION OF THE CEREBRAL PALSY CHILDREN

    Directory of Open Access Journals (Sweden)

    Almira Mujkić

    2013-09-01

    Full Text Available Visuomotor coordination is reffered to eye coordination and to various parts of the body in different activities and games. The aim of the research was to establish the influence of the exercises of gross and fine motor skills on visuomotor coordination of the cerebral palsy children. The sample was the case study where a male person of 3 and a half years old was an examinee. Measuring instrument used was the Test of visuomotor coordination of the gross motor skills of the dominant hand. Data were analyzed by t-test.

  4. Effect of Upper Limb Deformities on Gross Motor and Upper Limb Functions in Children with Spastic Cerebral Palsy

    Science.gov (United States)

    Park, Eun Sook; Sim, Eun Geol; Rha, Dong-wook

    2011-01-01

    The aims of this study were to investigate the nature and extent of upper limb deformities via the use of various classifications, and to analyze the relationship between upper limb deformities and gross motor or upper limb functionality levels. Upper extremity data were collected from 234 children with spastic cerebral palsy (CP) who were…

  5. Stability and Decline in Gross Motor Function among Children and Youth with Cerebral Palsy Aged 2 to 21 Years

    Science.gov (United States)

    Hanna, Steven E.; Rosenbaum, Peter L.; Bartlett, Doreen J.; Palisano, Robert J.; Walter, Stephen D.; Avery, Lisa; Russell, Dianne J.

    2009-01-01

    This paper reports the construction of gross motor development curves for children and youth with cerebral palsy (CP) in order to assess whether function is lost during adolescence. We followed children previously enrolled in a prospective longitudinal cohort study for an additional 4 years, as they entered adolescence and young adulthood. The…

  6. Early neuromotor development of high risk infants - Gross motor function in preterm and full-term born infants

    NARCIS (Netherlands)

    van Haastert, I.C.

    2011-01-01

    This thesis is the result of 20 years follow-up of preterm and full-term born ‘graduates’ of the neonatal intensive care unit of the Wilhelmina Children’s Hospital, Utrecht. The aim was to answer questions that arose during admission and follow-up assessments. Typical gross motor development of pret

  7. Knee Muscle Strength at Varying Angular Velocities and Associations with Gross Motor Function in Ambulatory Children with Cerebral Palsy

    Science.gov (United States)

    Hong, Wei-Hsien; Chen, Hseih-Ching; Shen, I-Hsuan; Chen, Chung-Yao; Chen, Chia-Ling; Chung, Chia-Ying

    2012-01-01

    The aim of this study was to evaluate the relationships of muscle strength at different angular velocities and gross motor functions in ambulatory children with cerebral palsy (CP). This study included 33 ambulatory children with spastic CP aged 6-15 years and 15 children with normal development. Children with CP were categorized into level I (n =…

  8. Effects of static bicycle training on gross motor function, muscle strength and spasticity of adolescents with spastic cerebral palsy

    Directory of Open Access Journals (Sweden)

    CHRISTOS TSIGKANOS

    2013-01-01

    Full Text Available The purpose of the present study was to examine the effects of an 8- week lower limb strengthening program on gross motor function, muscle strength and spasticity levels of both the quadriceps and hip adductors of adolescents 14 to 19 years of age with spastic cerebral palsy using a specific static bicycle (Thera-Vital exerciser. Eight students were assigned to the experimental group and another 8 to the control group. The strengthening program took place 3 times a week (6 sets of 10 to 15 full cycling circles. The Gross Motor Function Measure (GMFM (dimensions D and E, an isometric hand-held dynamometer and Asworth scale were the measurement instruments used in the study. A multivariance analysis of variance (MANOVA was applied for identifying the statistical importance of the results of the intervention protocol. A statistically significant improvement in both gross motor function (p = 0.016 and muscle strength (p = 0.039 was found without a statistically significant alteration of the muscle tone of the quadriceps and hip adductors of the participants (p = 0.13 and p = 0.33. The results of the present study indicate that static bicycle is a safe and effective means of exercise since it improves the gross motor function of adolescents with cerebral palsy without increasing the muscle tone of the lower limb.

  9. Effects of age and timing of augmented feedback on learning muscle relaxation while performing a gross motor task

    NARCIS (Netherlands)

    van Dijk, H; Hermens, Hermanus J.

    Objective: To examine the combined effect of age and timing of augmented feedback on learning muscle relaxation. Performing a gross motor task, subjects had to lower their trapezius muscle activity using the electromyographic signal as visual myofeedback. Design: Healthy subjects (16 young adults:

  10. Intensification of the Learning Process: Gross Motor Performance Scale. A Series of Reports Designed for Classroom Use.

    Science.gov (United States)

    Bucks County Public Schools, Doylestown, PA.

    The Gross Motor Performance Screening Test was designed to aid the classroom teacher in obtaining specific information about the child's physical abilities. The test includes items which have been found to measure the various factors of physical fitness. It also includes items to measure skills important to the child and adult. Included also are…

  11. Knee Muscle Strength at Varying Angular Velocities and Associations with Gross Motor Function in Ambulatory Children with Cerebral Palsy

    Science.gov (United States)

    Hong, Wei-Hsien; Chen, Hseih-Ching; Shen, I-Hsuan; Chen, Chung-Yao; Chen, Chia-Ling; Chung, Chia-Ying

    2012-01-01

    The aim of this study was to evaluate the relationships of muscle strength at different angular velocities and gross motor functions in ambulatory children with cerebral palsy (CP). This study included 33 ambulatory children with spastic CP aged 6-15 years and 15 children with normal development. Children with CP were categorized into level I (n =…

  12. Interobserver Agreement of the Gross Motor Function Classification System in an Ambulant Population of Children with Cerebral Palsy

    Science.gov (United States)

    McDowell, Brona C.; Kerr, Claire; Parkes, Jackie

    2007-01-01

    Gross Motor Function Classification System (GMFCS) level was reported by three independent assessors in a population of children with cerebral palsy (CP) aged between 4 and 18 years (n=184; 112 males, 72 females; mean age 10y 10mo [SD 3y 7mo]). A software algorithm also provided a computed GMFCS level from a regional CP registry. Participants had…

  13. Potential Predictors of Changes in Gross Motor Function during Various Tasks for Children with Cerebral Palsy: A Follow-Up Study

    Science.gov (United States)

    Chen, Chia-ling; Chen, Chung-yao; Chen, Hsieh-ching; Liu, Wen-yu; Shen, I-hsuan; Lin, Keh-chung

    2013-01-01

    Very few studies have investigated predictors of change in various gross motor outcomes in ambulatory children with cerebral palsy (CP). The aim of this study was to identify potential predictors for change in gross motor outcomes measured during various tasks in children with CP. A group of 45 children (age, 6-15 years) with CP and 7 potential…

  14. Does a physiotherapy programme of gross motor training influence motor function and activities of daily living in children presenting with developmental coordination disorder?

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    Sonill S. Maharaj

    2016-02-01

    Full Text Available Background: Children with developmental coordination disorder (DCD lack motor coordination and have difficulty performing motor skills and activities of daily living. Research shows these children do not outgrow their motor difficulties and without intervention do not improve. Physiotherapy is relevant for these children, but due to limited clinical protocols for DCD the aim of this study was to determine the effect of a gross motor training programme for 6–12-year-old children with DCD.Methods: This randomised pre-test, post-test study recruited 64 children with scores of 15th percentile or below using the Movement Assessment Battery for Children (M-ABC. The children were divided equally into an intervention group receiving 8 weeks of gross motor training for core stability, strengthening exercises, balance and coordination with task-specific activities for 30 min per week, while the control group continued with general therapy and activities of daily living. The M-ABC and Developmental Coordination Disorder Questionnaire (DCDQ were used to assess each child before and after 8 weeks.Results: Sixty children completed the study, with 43 males and 17 females (mean age 10.02 years, SD = 2.10. There were no adverse reactions to the programme and M-ABC scores for the intervention programme improved by 6.46%, ball skills (3.54% and balance (4.80% compared with the control (0.17% and (0.15%, respectively. There were significant (p < 0.05 improvements in DCDQ scores, but teachers allocated lower scores than parents.Conclusion: This study supports 8 weeks of gross motor training which can be a beneficial intervention for physiotherapists to improve gross motor function for DCD.Keywords: Developmental, co-ordination, skills, motor

  15. The effect of aquatic intervention on the gross motor function and aquatic skills in children with cerebral palsy.

    Science.gov (United States)

    Dimitrijević, Lidija; Aleksandrović, Marko; Madić, Dejan; Okičić, Tomislav; Radovanović, Dragan; Daly, Daniel

    2012-05-01

    The objective of this study was to investigate the effect of an aquatic intervention on the gross motor function and aquatic skills of children with cerebral palsy (CP). Twenty-nine children with CP, aged 5 to 14, were recruited. Fourteen children completed an aquatic intervention (EG), and 13 children served as controls (CG). Two participants dropped out due to events (illness) unrelated to the intervention. The aquatic intervention lasted 6 weeks (2 sessions per week at 55 minutes per session) with a follow-up period of 3 weeks. The outcome measures were the Gross Motor Function Measure (GMFM) for motor function and the Water Orientation Test Alyn 2 (WOTA 2) for aquatic skills assessment. A significant improvement was observed in the secondary assessment of GMFM and WOTA 2. In contrast to the aquatic skills improvement, the GMFM change was not maintained at follow-up. Our results indicate that children with CP can improve gross motor function on dry land and aquatic skills with a 6-week water intervention. The intervention period was too short for sustainable improvement in dry-land motor skills after intervention (follow-up), but time was sufficient to achieve sustainable improvements in aquatic skills.

  16. Content validity and reliability of test of gross motor development in Chilean children

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    Marcelo Cano-Cappellacci

    2015-01-01

    Full Text Available ABSTRACT OBJECTIVE To validate a Spanish version of the Test of Gross Motor Development (TGMD-2 for the Chilean population. METHODS Descriptive, transversal, non-experimental validity and reliability study. Four translators, three experts and 92 Chilean children, from five to 10 years, students from a primary school in Santiago, Chile, have participated. The Committee of Experts has carried out translation, back-translation and revision processes to determine the translinguistic equivalence and content validity of the test, using the content validity index in 2013. In addition, a pilot implementation was achieved to determine test reliability in Spanish, by using the intraclass correlation coefficient and Bland-Altman method. We evaluated whether the results presented significant differences by replacing the bat with a racket, using T-test. RESULTS We obtained a content validity index higher than 0.80 for language clarity and relevance of the TGMD-2 for children. There were significant differences in the object control subtest when comparing the results with bat and racket. The intraclass correlation coefficient for reliability inter-rater, intra-rater and test-retest reliability was greater than 0.80 in all cases. CONCLUSIONS The TGMD-2 has appropriate content validity to be applied in the Chilean population. The reliability of this test is within the appropriate parameters and its use could be recommended in this population after the establishment of normative data, setting a further precedent for the validation in other Latin American countries.

  17. Test of gross motor development-2 for Filipino children with intellectual disability: validity and reliability.

    Science.gov (United States)

    Capio, Catherine M; Eguia, Kathlynne F; Simons, Johan

    2016-01-01

    This study aimed to examine aspects of validity and reliability of the Test of Gross Motor Development-2 (TGMD-2) in Filipino children with intellectual disability. Content and construct validity were verified, as well as inter-rater and intra-rater reliability. Two paediatric physiotherapists tested 81 children with intellectual disability (mean age = 9.29 ± 2.71 years) on locomotor and object control skills. Analysis of covariance, confirmatory factor analysis and analysis of variance were used to test validity, while Cronbach's alpha, intra-class correlation coefficients (ICC) and Bland-Altman plots were used to examine reliability. Age was a significant predictor of locomotor and object control scores (P = 0.004). The data fit the hypothesised two-factor model with fit indices as follows: χ(2) = 33.525, DF = 34, P = 0.491, χ(2)/DF = 0.986. As hypothesised, gender was a significant predictor for object control skills (P = 0.038). Participants' mean scores were significantly below mastery (locomotor, P children with intellectual disability.

  18. The relationship between motor function, cognition, independence and quality of life in myelomeningocele patients.

    Science.gov (United States)

    Luz, Carolina Lundberg; Moura, Maria Clara Drummond Soares de; Becker, Karine Kyomi; Teixeira, Rosani Aparecida Antunes; Voos, Mariana Callil; Hasue, Renata Hydee

    2017-08-01

    Motor function, cognition, functional independence and quality of life have been described in myelomeningocele patients, but no study has investigated their relationships. We aimed to investigate the relationships between motor function, cognition, functional independence, quality of life, age, and lesion level in myelomeningocele patients, and investigate the influence of hydrocephalus on these variables. We assessed 47 patients with the Gross Motor Function Measure (motor function), Raven's Colored Progressive Matrices (cognition), Pediatric Evaluation of Disability Inventory (functional independence) and the Autoquestionnaire Qualité de vie Enfant Imagé (quality of life). Spearman's correlation tests determined relationships between the variables. The Friedman ANOVAs determined the influence of hydrocephalus. Motor function was strongly related to mobility and lesion level, and moderately related to cognition, self-care and social function. Cognition and quality of life were moderately related to functional independence. Age correlated moderately with functional independence and quality of life. Hydrocephalus resulted in poorer motor/cognitive outcomes and lower functional independence.

  19. Gross motor function in children with spastic Cerebral Palsy and Cerebral Visual Impairment: A comparison between outcomes of the original and the Cerebral Visual Impairment adapted Gross Motor Function Measure-88 (GMFM-88-CVI).

    Science.gov (United States)

    Salavati, M; Rameckers, E A A; Waninge, A; Krijnen, W P; Steenbergen, B; van der Schans, C P

    2017-01-01

    To investigate whether the adapted version of the Gross Motor Function Measure-88 (GMFM-88) for children with Cerebral Palsy (CP) and Cerebral Visual Impairment (CVI) results in higher scores. This is most likely to be a reflection of their gross motor function, however it may be the result of a better comprehension of the instruction of the adapted version. The scores of the original and adapted GMFM-88 were compared in the same group of children (n=21 boys and n=16 girls), mean (SD) age 113 (30) months with CP and CVI, within a time span of two weeks. A paediatric physical therapist familiar with the child assessed both tests in random order. The GMFCS level, mental development and age at testing were also collected. The Wilcoxon signed-rank test was used to compare two different measurements (the original and adapted GMFM-88) on a single sample, (the same child with CP and CVI; pvisual problems. On the basis of these findings, we recommend using the adapted GMFM-88 to measure gross motor functioning in children with CP and CVI. Copyright © 2016 Elsevier Ltd. All rights reserved.

  20. Relation between hand function and gross motor function in full term infants aged 4 to 8 months

    OpenAIRE

    Nogueira, Solange F.; Figueiredo,Elyonara M.; Rejane V. Gonçalves; Marisa C. Mancini

    2015-01-01

    Background: In children, reaching emerges around four months of age, which is followed by rapid changes in hand function and concomitant changes in gross motor function, including the acquisition of independent sitting. Although there is a close functional relationship between these domains, to date they have been investigated separately. Objective: To investigate the longitudinal profile of changes and the relationship between the development of hand function (i.e. reaching for and manipulat...

  1. Differences of Respiratory Function According to Level of the Gross Motor Function Classification System in Children with Cerebral Palsy

    OpenAIRE

    Kwon, Yong Hyun; Lee, Hye Young

    2014-01-01

    [Purpose] The current study was designed to investigate the difference in lung capacity and muscle strengthening related to respiration depending on the level of the Gross Motor Function Classification System (GMFCS) in children with cerebral palsy (CP) through tests of respiratory function and respiratory pressure. [Subjects and Methods] A total of 49 children with CP who were classified as below level III of the GMFCS were recruited for this study. They were divided into three groups (i.e.,...

  2. Effects of recombinant growth hormone replacement and physical rehabilitation in recovery of gross motor function in children with cerebral palsy.

    Science.gov (United States)

    Reimunde, Pedro; Rodicio, Cristina; López, Natalia; Alonso, Alba; Devesa, Pablo; Devesa, Jesús

    2010-11-30

    Cerebral palsy is an important health issue that has a strong socioeconomic impact. There is no cure for cerebral palsy, and therapeutic approaches only report small benefits for affected people. In this study we assessed the effects of growth hormone treatment (0.3 μg/kg/day) combined with physical rehabilitation in the recovery of gross motor function in children with growth hormone deficiency and cerebral palsy (four males and six females, mean age 5.63 ± 2.32 years) as compared with that observed in a similar population of cerebral palsy children (five males, five females, mean age 5.9 ± 2.18 years) without growth hormone deficiency treated only with physical rehabilitation for two months. The Gross Motor Function Measure (GMFM-88) and Modified Ashworth Scale were performed before commencing the treatment and after completion thereof. In children with cerebral palsy and growth hormone deficiency, Dimension A (P gross motor function in children with growth hormone deficiency and cerebral palsy.

  3. Effect of task-oriented training and high-variability practice on gross motor performance and activities of daily living in children with spastic diplegia

    National Research Council Canada - National Science Library

    Kwon, Hae-Yeon; Ahn, So-Yoon

    2016-01-01

    [Purpose] This study investigates how a task-oriented training and high-variability practice program can affect the gross motor performance and activities of daily living for children with spastic diplegia...

  4. The impact of sensory integration therapy on gross motor function in children after prenatal exposure to alcohol

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    Jacek Wilczyński

    2015-03-01

    Full Text Available Introduction : In Poland there are 900 cases of full-blown foetal alcohol syndrome (FAS in neonates per year, and in 9000 children there are some symptoms of it. Aim of the research : To analyse the impact of sensory integration (SI therapy on gross motor skills function in children after prenatal exposure to alcohol. Material and methods: The study was conducted on a group of 20 children aged 4–5 years with information from an interview about prenatal exposure to alcohol. The diagnosis of sensory integration disorder consisted of two 60-minute diagnostics meetings. Twelve trials with clinical observations were performed by Ayres: finger to nose, cocontraction, prone extension posture, flexed position supine, asymmetrical tonic neck reflex (ATOS, symmetrical tonic neck reflex (STOS, muscle tension, Schilder test, dynamic balance, static balance, gravitational insecurity, and trunk stabilisation. The therapeutic program included: normalisation of the vestibular and proprioceptive system, normalisation of the touch system, strengthening muscle tension, development of motion planning, development of oculomotor performance, development of motor coordination, hand therapy, integration of ATOS, STOS, development of locomotion and balance functions, and improving efficiency of gross and small motor skills. Results and conclusions : High efficiency of SI therapy has been shown in children after prenatal exposure to alcohol on the example of gross motor skills. Positive effects of SI therapy have been shown for tests: finger to nose, in the erect position on the stomach, the flexural position on the back, ATOS, STOS, Schilder test, dynamic balance, static balance, and the uncertainty of gravity and trunk stabilisation. Only cocontraction and muscle tension tests showed no efficacy of SI therapy. The a-Cronbach position analysis showed high reliability of the performed tests both before and after the therapy. It is advisable to continue the study on a

  5. Gross Motor Function Classification System Expanded & Revised (GMFCS E & R: reliability between therapists and parents in Brazil

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    Daniela B. R. Silva

    2013-10-01

    Full Text Available BACKGROUND: Several studies have demonstrated the importance of using the Gross Motor Function Classification System (GMFCS to classify gross motor function in children with cerebral palsy, but the reliability of the expanded and revised version has not been examined in Brazil (GMFCS E & R. OBJECTIVE:: To determine the intra- and inter-rater reliability of the Portuguese-Brazil version of the GMFCS E & R applied by therapists and compare to classification provided by parents of children with cerebral palsy. METHOD: Data were obtained from 90 children with cerebral palsy, aged 4 to 18 years old, attending the neurology or rehabilitation service of a Brazilian hospital. Therapists classified the children's motor function using the GMFCS E & R and parents used the Brazilian Portuguese version of the GMFCS Family Report Questionnaire. Intra- and inter-rater reliability was obtained through percentage agreement and Cohen's unweighted Kappa statistics (k. The Chi-square test was used to identify significant differences in the classification of parents and therapists. RESULTS: Almost perfect agreement was reached between the therapists [K=0.90 (95% confidence interval 0.83-0.97] and intra-raters (therapists with K=1.00 [95% confidence interval (1.00-1.00], p<0.001. Agreement between therapists and parents was substantial (k=0.716, confidence interval 0.596-0.836, though parents classify gross motor impairment more severely than therapists (p=0.04. CONCLUSIONS: The Portuguese version of the GMFCS E & R is reliable for use by parents and therapists. Parents tend to classify their children's limitations more severely, because they know their performance in different environments.

  6. Sleep quality influences subsequent motor skill acquisition.

    Science.gov (United States)

    Appleman, Erica R; Albouy, Genevieve; Doyon, Julien; Cronin-Golomb, Alice; King, Bradley R

    2016-06-01

    While the influence of sleep on motor memory consolidation has been extensively investigated, its relation to initial skill acquisition is less well understood. The purpose of the present study was to investigate the influence of sleep quality and quantity on subsequent motor skill acquisition in young adults without sleep disorders. Fifty-five healthy adults (mean age = 23.8 years; 34 women) wore actigraph wristbands for 4 nights, which provided data on sleep patterns before the experiment, and then returned to the laboratory to engage in a motor sequence learning task (explicit 5-item finger sequence tapping task). Indicators of sleep quality and quantity were then regressed on a measure of motor skill acquisition (Gains Within Training, GWT). Wake After Sleep Onset (WASO; i.e., the total amount of time the participants spent awake after falling asleep) was significantly and negatively related to GWT. This effect was not because of general arousal level, which was measured immediately before the motor task. Conversely, there was no relationship between GWT and sleep duration or self-reported sleep quality. These results indicate that sleep quality, as assessed by WASO and objectively measured with actigraphy before the motor task, significantly impacts motor skill acquisition in young healthy adults without sleep disorders. (PsycINFO Database Record

  7. Development and Pilot Testing of the Challenge Module: A Proposed Adjunct to the Gross Motor Function Measure for High-Functioning Children with Cerebral Palsy

    Science.gov (United States)

    Wilson, Ashlea; Kavanaugh, Abi; Moher, Rosemarie; McInroy, Megan; Gupta, Neena; Salbach, Nancy M.; Wright, F. Virginia

    2011-01-01

    The aim was to develop a Challenge Module (CM) as a proposed adjunct to the Gross Motor Function Measure for children with cerebral palsy who have high-level motor function. Items were generated in a physiotherapist (PT) focus group. Item reduction was based on PTs' ratings of item importance and safety via online surveys. The proposed CM items…

  8. Effect of strength training of ankle plantarflexors on selective voluntary motor control, gait parameters, and gross motor function of children with cerebral palsy.

    Science.gov (United States)

    Jung, Jee Woon; Her, Jin Gang; Ko, Jooyeon

    2013-10-01

    [Purpose] The purpose of this study was to investigate the effect of ankle plantarflexor strength training on selective voluntary motor control, gait parameters, and gross motor function of children with cerebral palsy (CP), focusing on changes in the strength and muscle activity of the ankle plantarflexors. [Methods] Six children aged between 4 and 10 years with CP participated in a 6 week strengthening program. The subjects were evaluated before and after the intervention in terms of ankle plantarflexor strength, muscle activity, gait velocity, cadence, step length, and D (standing) and E (walking, running, and jumping) dimensions of the Gross Motor Function Measure (GMFM). The data were analyzed using the non-parametric Wilcoxon signed-rank test. [Results] The strength of the plantarflexors increased in the majority of subjects. Significant and clinically meaningful post-intervention improvements in subject's gait velocity, cadence, and step length were found. [Conclusion] The controlled ankle plantarflexor strengthening program may lead to improvements in strength and spatiotemporal gait parameters of children with CP.

  9. Infants with Down Syndrome: Percentage and Age for Acquisition of Gross Motor Skills

    Science.gov (United States)

    Pereira, Karina; Basso, Renata Pedrolongo; Lindquist, Ana Raquel Rodrigues; da Silva, Louise Gracelli Pereira; Tudella, Eloisa

    2013-01-01

    The literature is bereft of information about the age at which infants with Down syndrome (DS) acquire motor skills and the percentage of infants that do so by the age of 12 months. Therefore, it is necessary to identify the difference in age, in relation to typical infants, at which motor skills were acquired and the percentage of infants with DS…

  10. Development of the Correspondence between Real and Imagined Fine and Gross Motor Actions

    Science.gov (United States)

    Sachet, Alison B.; Frey, Scott H.; Jacobs, Stéphane; Taylor, Marjorie

    2016-01-01

    The development of the correspondence between real and imagined motor actions was investigated in 2 experiments. Experiment 1 evaluated whether children imagine body position judgments of fine motor actions in the same way as they perform them. Thirty-two 8-year-old children completed a task in which an object was presented in different…

  11. COMPARISON BETWEEN THE EFFECT OF NEURODEVELOPMENTAL TREATMENT AND SENSORY INTEGRATION THERAPY ON GROSS MOTOR FUNCTION IN CHILDREN WITH CEREBRAL PALSY

    Directory of Open Access Journals (Sweden)

    Alireza SHAMSODDINI

    2010-06-01

    Full Text Available ObjectiveThis study was planned to compare the effects of neurodevelopmental treatment and sensory integration therapy on gross motor function in children with cerebral palsyMaterials & MethodsTwenty two children with spastic CP were randomly divided into two groups. Sensory integrative therapy was given to the first group (n=11, and neurodevelopmental treatment was given to the second group (n=11. All children were evaluated with GMFM-88. Treatment was scheduled for three - one hour sessions per week for 3 months.ResultsTwenty two children with spastic CP (11 diplegia and 11 quadriplegia participated in this study. When two groups were compared, a significant difference was found in lying and rolling (P=0.003, sitting (0.009, crawling and kneeling (0.02 and standing ability (P=0.04. But there was no significant difference in walking, running, and jumping abilities between the two groups (0.417. Paired t-tests revealed a significant difference between pre and post test results, with increases in scores of lying and rolling, sitting, crawling and kneeling, standing in sensory integration therapy (SIT and neurodevelopmental treatment (NDT approaches.Conclusion Neurodevelopmental treatment and sensory integration therapy improved gross motor function in children with cerebral palsy in four dimensions (lying and rolling, sitting, crawling and kneeling, standing. However, walking, running and jumping did not significantly improve.

  12. Avaliação do desempenho motor global e em habilidades motoras axiais e apendiculares de lactentes frequentadores de creche Assessment of global motor performance and gross and fine motor skills of infants attending day care centers

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    Carolina T Souza

    2010-08-01

    Full Text Available OBJETIVO: Analisar o desempenho motor global em habilidades motoras axiais e apendiculares de lactentes que frequentavam, em tempo integral, duas Escolas Municipais de Educação Infantil. MÉTODOS: Estudo longitudinal do qual participaram 30 lactentes avaliados aos 12 e 17 meses de vida com a escala motora das Bayley Scales of Infant and Toddler Development-III, que possibilita a análise do desempenho motor global, apendicular e axial e a discrepância entre eles. Utilizaram-se o teste de Wilcoxon e o Coeficiente de Correlação de Spearman. RESULTADOS: A maioria dos participantes apresentou desempenho motor global dentro dos limites de normalidade, porém abaixo da média de referência aos 12 e 17 meses, com 30% classificados como suspeitos de atraso em pelo menos uma das avaliações. O desempenho motor axial foi inferior ao apendicular aos 12 e aos 17 meses, com grande discrepância entre eles especialmente na 2ª avaliação. Observou-se marcada variabilidade individual nas habilidades motoras apendiculares, com fraca correlação linear no desempenho entre a 1ª e a 2ª avaliações nesse domínio. Nas habilidades axiais e no desempenho motor global, encontrou-se menor variabilidade individual, com correlações moderadas e positivas entre a 1ª e a 2ª avaliações. Identificaram-se quatro lactentes com suspeita de atraso no desenvolvimento motor em ambas as avaliações. CONCLUSÕES: O estudo aponta necessidade de maior atenção ao desenvolvimento motor durante os primeiros 17 meses de crianças que frequentam creches, com especial vigilância à motricidade axial (considerando que ela é parte integrante do desenvolvimento global da criança e às crianças com desempenho suspeito de atraso em duas avaliações consecutivas.OBJECTIVE: To analyze the global motor performance and the gross and fine motor skills of infants attending two public child care centers full-time. METHODS: This was a longitudinal study that included 30 infants

  13. Association between gross motor function (GMFCS and manual ability (MACS in children with cerebral palsy. A population-based study of 359 children

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    Arner Marianne

    2007-06-01

    Full Text Available Abstract Background The Gross Motor Function Classification System (GMFCS has become an important tool to describe motor function in children with Cerebral Palsy (CP. The Manual Ability Classification System (MACS was developed recently as a corresponding classification of manual ability. The aim of this study was to describe the association between gross motor function and manual ability in a total population of children with cerebral palsy. Methods 365 children, born 1992 to 2001, who were registered in a population-based health care programme (CPUP for children with CP living in the south of Sweden were included in the study. GMFCS was evaluated by the child's physiotherapist and MACS by the occupational therapist. CP diagnosis and subtype were determined by the neuropaediatrician at or after the age of four. Results GMFCS levels were available in all 365 children, MACS levels in 359 (98%. There was a poor overall correlation between gross motor function and manual ability. However, different associations between gross motor function and manual ability were found in the different diagnostic subtypes. Children with spastic hemiplegia generally had a lower level of manual ability than gross motor function (p Conclusion Gross motor function and manual ability are often discrepant in children with CP, and the patterns seem to vary across the different subgroups based on the predominant neurological findings. To give a complete clinical picture when evaluating these children, both aspects have to be described. The GMFCS and the MACS seem to work well in this context and seem very useful in population-based studies, in health care registers for children with CP, and in clinical practice.

  14. Evaluating dissection in the gross anatomy course: Correlation between quality of laboratory dissection and students outcomes.

    Science.gov (United States)

    Nwachukwu, Chika; Lachman, Nirusha; Pawlina, Wojciech

    2015-01-01

    Anatomy learned by active exploration through dissection has many proven benefits including improvement of anatomic knowledge. Decreased laboratory time may affect the quality of dissection and ultimately lower student performance in anatomy translating to lower knowledge acquisition. The aim of this study was to determine whether the quality of students' dissection in teams correlates with their performance in the gross anatomy course. Quality of dissections for each team enrolled in a gross anatomy course at Mayo Medical School was evaluated biweekly using a five-point rubric based on course learning objectives. Assessment of anatomic knowledge was based on sequential laboratory practice practical examination scores, achievements on daily audience response system (ARS) quizzes, and final practical, written, and National Board of Medical Examiners(®) (NBME(®) ) Gross Anatomy and Embryology Subject Examinations. Twelve teams comprising 48 students were included in the study. There was a positive correlation between dissection quality and practice practical examination score (R = 0.83) and a negative correlation between dissection quality and ARS quizzes (R = -0.985). Dissection teams with a passing score on their dissection evaluations (>70%) performed better on their final examinations. Based on an end of course survey, students agreed that dissection evaluations should continue to be a part of the course. This study showed that better quality of dissection was associated with higher scores on practice practical examinations, final practical, written, and NBME examinations. The study demonstrated a positive correlation between dissection evaluations, accompanied by formative feedback during the course, and higher scores on final course assessments.

  15. Structural Equation Modeling of Motor Impairment, Gross Motor Function, and the Functional Outcome in Children with Cerebral Palsy

    Science.gov (United States)

    Park, Eun-Young; Kim, Won-Ho

    2013-01-01

    Physical therapy intervention for children with cerebral palsy (CP) is focused on reducing neurological impairments, improving strength, and preventing the development of secondary impairments in order to improve functional outcomes. However, relationship between motor impairments and functional outcome has not been proved definitely. This study…

  16. Reliability and validity of the test of gross motor development-II in Korean preschool children: applying AHP.

    Science.gov (United States)

    Kim, Chung-Il; Han, Dong-Wook; Park, Il-Hyeok

    2014-04-01

    The Test of Gross Motor Development-II (TGMD-II) is a frequently used assessment tool for measuring motor ability. The purpose of this study is to investigate the reliability and validity of TGMD-II's weighting scores (by comparing pre-weighted TGMD-II scores with post ones) as well as examine applicability of the TGMD-II on Korean preschool children. A total of 121 Korean children (three kindergartens) participated in this study. There were 65 preschoolers who were 5-years-old (37 boys and 28 girls) and 56 preschoolers who were 6-years-old (34 boys and 22 girls). For internal consistency, reliability, and construct validity, only one researcher evaluated all of the children using the TGMD-II in the following areas: running; galloping; sliding; hopping; leaping; horizontal jumping; overhand throwing; underhand rolling; striking a stationary ball; stationary dribbling; kicking; and catching. For concurrent validity, the evaluator measured physical fitness (strength, flexibility, power, agility, endurance, and balance). The key findings were as follows: first, the reliability coefficient and the validity coefficient between pre-weighted and post-weighted TGMD-II scores were quite similar. Second, the research showed adequate reliability and validity of the TGMD-II for Korean preschool children. The TGMD-II is a proper instrument to test Korean children's motor development. Yet, applying relative weighting on the TGMD-II should be a point of consideration.

  17. Effects of Individual and School-Level Characteristics on a Child’s Gross Motor Coordination Development

    Directory of Open Access Journals (Sweden)

    Raquel Chaves

    2015-07-01

    Full Text Available The aim of this study was to identify child and school-level characteristics that explained inter-individual differences in gross motor coordination (GMC. Participants (n = 390, recruited from 18 Portuguese primary schools, were aged 6 to 10 years of age. Birth weight, body fat (BF, physical activity (PA, physical fitness (PF and GMC were assessed. School size, setting, infrastructure and physical education classes were considered as school context markers. A multilevel modeling approach was used to identify hierarchical effects (child and school levels. It was found that children-level variables (sex, PF, and BF significantly explained 63% of the 90% variance fraction at the individual level; boys outperformed girls (p < 0.05, individuals with higher BF were less coordinated (p < 0.05, and those with higher PF were more coordinated (p < 0.05. School-variables (e.g. school size and playing surface explained 84% of the 10% variation fraction. These findings confirm the roles of sex, PFS and BF. Interestingly they also suggest that the school environment plays a minor but significant role in GMC development. However, it is important to stress that the school context and conditions can also play an important role in a child’s motor development, providing adequate and enriching motor opportunities.

  18. Effects of Individual and School-Level Characteristics on a Child’s Gross Motor Coordination Development

    Science.gov (United States)

    Chaves, Raquel; Baxter-Jones, Adam; Gomes, Thayse; Souza, Michele; Pereira, Sara; Maia, José

    2015-01-01

    The aim of this study was to identify child and school-level characteristics that explained inter-individual differences in gross motor coordination (GMC). Participants (n = 390), recruited from 18 Portuguese primary schools, were aged 6 to 10 years of age. Birth weight, body fat (BF), physical activity (PA), physical fitness (PF) and GMC were assessed. School size, setting, infrastructure and physical education classes were considered as school context markers. A multilevel modeling approach was used to identify hierarchical effects (child and school levels). It was found that children-level variables (sex, PF, and BF) significantly explained 63% of the 90% variance fraction at the individual level; boys outperformed girls (p < 0.05), individuals with higher BF were less coordinated (p < 0.05), and those with higher PF were more coordinated (p < 0.05). School-variables (e.g. school size and playing surface) explained 84% of the 10% variation fraction. These findings confirm the roles of sex, PFS and BF. Interestingly they also suggest that the school environment plays a minor but significant role in GMC development. However, it is important to stress that the school context and conditions can also play an important role in a child’s motor development, providing adequate and enriching motor opportunities. PMID:26264007

  19. Maternal medical conditions during pregnancy and gross motor development up to age 24 months in the Upstate KIDS study.

    Science.gov (United States)

    Ghassabian, Akhgar; Sundaram, Rajeshwari; Wylie, Amanda; Bell, Erin; Bello, Scott C; Yeung, Edwina

    2016-07-01

    We examined whether children of mothers with a medical condition diagnosed before or during pregnancy took longer to achieve gross motor milestones up to age 24 months. We obtained information on medical conditions using self-reports, birth certificates, and hospital records in 4909 mothers participating in Upstate KIDS, a population-based birth cohort. Mothers reported on their children's motor milestone achievement at 4, 8, 12, 18, and 24 months of age. After adjustment for covariates (including pre-pregnancy body mass index), children of mothers with gestational diabetes took longer to achieve sitting without support (hazard ratio [HR]=0.84, 95% confidence interval [CI] 0.75-0.93), walking with assistance (HR=0.88, 95% CI 0.77-0.98), and walking alone (HR=0.88, 95% CI 0.77-0.99) than children of females with no gestational diabetes. Similar findings emerged for maternal diabetes. Gestational hypertension was associated with a longer time to achieve walking with assistance. These associations did not change after adjustment for gestational age or birthweight. Severe hypertensive disorders of pregnancy were related to a longer time to achieve milestones, but not after adjustment for perinatal factors. Children exposed to maternal diabetes, gestational or pre-gestational, may take longer to achieve motor milestones than non-exposed children, independent of maternal obesity. © 2015 Mac Keith Press.

  20. Stability of Caregiver-Reported Manual Ability and Gross Motor Function Classifications of Cerebral Palsy

    Science.gov (United States)

    Imms, Christine; Carlin, John; Eliasson, Ann-Christin

    2010-01-01

    Aim: To examine the stability of caregiver-reported classifications of function of children with cerebral palsy (CP) measured 12 months apart. Method: Participants were 86 children (50 males, 36 females) with CP of all motor types and severities who were recruited into a population-based longitudinal study. Children were aged 11 years 8 months (SD…

  1. Hippocampal EEG and behaviour in dog. I. Hippocampal EEG correlates of gross motor behaviour

    NARCIS (Netherlands)

    Arnolds, D.E.A.T.; Lopes da Silva, F.H.; Aitink, J.W.; Kamp, A.

    It was shown that rewarding spectral shifts (i.e. increase in amplitude or peak frequency of the hippocampal EEG) causes a solitary dog to show increased motor behaviour. Rewarded spectral shifts concurred with a variety of behavioural transitions. It was found that statistically significant

  2. Risk Factors for Gross Motor Dysfunction in Infants with Congenital Heart Disease

    Science.gov (United States)

    Long, Suzanne H.; Eldridge, Bev J.; Galea, Mary P.; Harris, Susan R.

    2011-01-01

    Infants with congenital heart disease (CHD) that is severe enough to require early surgery are at risk for cognitive and motor delays, as well as musculoskeletal impairments, and are best managed by an interdisciplinary team during their hospital stay and after discharge. The purpose of this article is to review some of the risk factors associated…

  3. Risk Factors for Gross Motor Dysfunction in Infants with Congenital Heart Disease

    Science.gov (United States)

    Long, Suzanne H.; Eldridge, Bev J.; Galea, Mary P.; Harris, Susan R.

    2011-01-01

    Infants with congenital heart disease (CHD) that is severe enough to require early surgery are at risk for cognitive and motor delays, as well as musculoskeletal impairments, and are best managed by an interdisciplinary team during their hospital stay and after discharge. The purpose of this article is to review some of the risk factors associated…

  4. Prenatal Second-Hand Smoke Exposure Measured with Urine Cotinine May Reduce Gross Motor Development at 18 Months of Age.

    Science.gov (United States)

    Evlampidou, Iro; Bagkeris, Manolis; Vardavas, Constantine; Koutra, Katerina; Patelarou, Evridiki; Koutis, Antonis; Chatzi, Leda; Kogevinas, Manolis

    2015-08-01

    To evaluate the association of second-hand smoke exposure of pregnant mothers using urine cotinine with the neurodevelopment of their children at 18 months of age in the mother-child cohort in Crete (Rhea Study). Selected participants were Greek mothers with singleton pregnancies, had never smoked, and had available urine cotinine measurements in pregnancy, and their children for whom a neurodevelopmental assessment was completed. We performed face-to-face interviews twice during pregnancy and postnatally, and assessed children's neurodevelopment at 18 months of age using the Bayley Scales of Infant and Toddler Development, Third Edition. We used linear regression and generalized additive models. Of 599 mothers, 175 (29%) met the inclusion criteria. Maternal urine cotinine levels were low (mean: 10.3 ng/mL, SD: 11.7 ng/mL). Reported passive smoking from different sources was strongly associated with urine cotinine levels. A negative association was observed between cotinine levels in pregnancy and child's gross motor function (beta = -3.22 per 10 ng/mL, 95% CI -5.09 to -1.34) after adjusting for factors potentially associated with neurodevelopment; results were similar in both sexes. A negative association was also observed for cognitive and receptive communication scales but the effect was small and not statistically significant. Maternal exposure during pregnancy to second-hand smoke measured through urine cotinine was associated with a decrease in gross motor function among 18-month-old children, even at low levels of exposure. Copyright © 2015 Elsevier Inc. All rights reserved.

  5. Reliability of the Brazilian Portuguese version of the Gross Motor Function Measure in children with cerebral palsy

    Science.gov (United States)

    Almeida, Kênnea M.; Albuquerque, Karolina A.; Ferreira, Marina L.; Aguiar, Stéphany K. B.; Mancini, Marisa C.

    2016-01-01

    OBJECTIVE: To test the intra- and interrater reliability of the Brazilian Portuguese version of the 66-item Gross Motor Function Measure (GMFM-66). METHOD: The sample included 48 children with cerebral palsy (CP), ranging from 2-17 years old, classified at levels I to IV of the Gross Motor Function Classification System (GMFCS) and four child rehabilitation examiners. A main examiner evaluated all children using the GMFM-66 and video-recorded the assessments. The other examiners watched the video recordings and scored them independently for the assessment of interrater reliability. For the intrarater reliability evaluation, the main examiner watched the video recordings one month after the evaluation and re-scored each child. We calculated reliability by using intraclass correlation coefficients (ICC) with their respective 95% confidence intervals. RESULTS: Excellent test reliability was documented. The intrarater reliability of the total sample was ICC=0.99 (95% CI 0.98-0.99), and the interrater reliability was ICC=0.97 (95% CI 0.95-0.98). The reliability across GMFCS levels ranged from ICC=0.92 (95% CI 0.72-0.98) to ICC=0.99 (95% CI 0.99-0.99); the lowest value was the interrater reliability for the GMFCS IV group. Reliability in the five GMFM dimensions varied from ICC=0.95 (95% CI 0.93-0.97) to ICC=0.99 (95% CI 0.99-0.99). CONCLUSION: The Brazilian Portuguese version of the GMFM-66 showed excellent intra- and interrater reliability when used in Brazilian children with CP levels GMFCS I to IV. PMID:26786081

  6. Reliability of the Brazilian Portuguese version of the Gross Motor Function Measure in children with cerebral palsy

    Directory of Open Access Journals (Sweden)

    Kênnea M. Almeida

    2016-02-01

    Full Text Available OBJECTIVE: To test the intra- and interrater reliability of the Brazilian Portuguese version of the 66-item Gross Motor Function Measure (GMFM-66. METHOD: The sample included 48 children with cerebral palsy (CP, ranging from 2-17 years old, classified at levels I to IV of the Gross Motor Function Classification System (GMFCS and four child rehabilitation examiners. A main examiner evaluated all children using the GMFM-66 and video-recorded the assessments. The other examiners watched the video recordings and scored them independently for the assessment of interrater reliability. For the intrarater reliability evaluation, the main examiner watched the video recordings one month after the evaluation and re-scored each child. We calculated reliability by using intraclass correlation coefficients (ICC with their respective 95% confidence intervals. RESULTS: Excellent test reliability was documented. The intrarater reliability of the total sample was ICC=0.99 (95% CI 0.98-0.99, and the interrater reliability was ICC=0.97 (95% CI 0.95-0.98. The reliability across GMFCS levels ranged from ICC=0.92 (95% CI 0.72-0.98 to ICC=0.99 (95% CI 0.99-0.99; the lowest value was the interrater reliability for the GMFCS IV group. Reliability in the five GMFM dimensions varied from ICC=0.95 (95% CI 0.93-0.97 to ICC=0.99 (95% CI 0.99-0.99. CONCLUSION: The Brazilian Portuguese version of the GMFM-66 showed excellent intra- and interrater reliability when used in Brazilian children with CP levels GMFCS I to IV.

  7. Early onset of forced impaired forelimb use causes recovery of forelimb skilled motor function but no effect on gross sensory-motor function after capsular hemorrhage in rats.

    Science.gov (United States)

    Ishida, Akimasa; Tamakoshi, Keigo; Hamakawa, Michiru; Shimada, Haruka; Nakashima, Hiroki; Masuda, Tadashi; Hida, Hideki; Ishida, Kazuto

    2011-11-20

    Intensive use of the impaired forelimb promotes behavioral recovery and induces plastic changes of the central nervous system after stroke. However, the optimal onset of intensive use treatment after stroke is controversial. In this study, we investigated whether early forced impaired limb use (FLU) initiated 24h after intracerebral hemorrhage (ICH) of the internal capsule affected behavioral recovery and histological damage. Rats were subjected to ICH via low-dose collagenase infusion or sham stroke. One day after surgery, the ipsilateral forelimbs of half of the ICH and sham rats were casted for a week to induce the use of their contralateral forelimbs. Behavioral assessments were performed on days 10-12 and 26-28 after the surgery and followed by histological assessments. Improvements in skilled reaching and coordinated stepping function were found in the FLU-treated group in comparison with the untreated group after ICH. Additionally, FLU-treated ICH animals showed more normal and precise reaching and stepping movements as compared with ICH control animals. In contrast, FLU did not have a significant impact on gross sensory-motor functions such as the motor deficit score, contact placing response and spontaneous usage of the impaired paw. The volume of tissue lost and the number of spared corticospinal neurons in lesioned motor cortex were not affected by early FLU after ICH. These findings demonstrate the efficacy of early focused use of an impaired limb after internal capsule hemorrhage.

  8. Associations between fine and gross motor skills, aerobic fitness, cognition and academic performance in 7-8 years old Danish children

    DEFF Research Database (Denmark)

    Lind, Rune Rasmussen; Beck, Mikkel Malling; Geertsen, Svend Sparre

    Purpose: The current literature is concentrated around the positive effects of aerobic fitness (AF) on performance in cognitive tests (CP) and academic performance (AP) (reviewed in Hillman 2008). However, motor skills (MS) are often overlooked in this equation, and studies evaluating both AF......, phonological working-memory capacity (PWM), spatial working-memory capacity (SWM), math performance (MP) and fine- and gross-motor skill (FMS & GMS) assessed. Results: Significant associations were found between FMS and MP (P

  9. Differences of respiratory function according to level of the gross motor function classification system in children with cerebral palsy.

    Science.gov (United States)

    Kwon, Yong Hyun; Lee, Hye Young

    2014-03-01

    [Purpose] The current study was designed to investigate the difference in lung capacity and muscle strengthening related to respiration depending on the level of the Gross Motor Function Classification System (GMFCS) in children with cerebral palsy (CP) through tests of respiratory function and respiratory pressure. [Subjects and Methods] A total of 49 children with CP who were classified as below level III of the GMFCS were recruited for this study. They were divided into three groups (i.e., GMFCS level I, GMFCS level II, and GMFCS level III). All children took the pulmonary function test (PFT) and underwent respiratory pressure testing for assessment of respiratory function in terms of lung capacity and respiratory muscle strength. [Results] The GMFCS level III group showed significantly lower scores for all tests of the PFT (i.e., forced vital capacity (FVC), forced expiratory volume at one second (FEV1), and slow vital capacity (SVC)) and testing for respiratory pressures (maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP)) compared with the other two groups. The results of post hoc analysis indicated that the GMFCS level III group differed significantly from the other two groups in terms of FVC, FEV1, MIP, and MEP. In addition, a significant difference in SVC was observed between GMFCS level II and III. [Conclusion] Children with CP who had relatively low motor function showed poor pulmonary capacity and respiratory muscle weakness. Therefore, clinical manifestations regarding lung capacity and respiratory muscle will be required in children with CP who demonstrate poor physical activity.

  10. Comparing children with and without dyslexia on the Movement Assessment Battery for Children and the Test of Gross Motor Development.

    Science.gov (United States)

    Getchell, Nancy; Pabreja, Priya; Neeld, Kevin; Carrio, Victor

    2007-08-01

    Dyslexia is the most commonly occurring learning disability in the United States, characterized by difficulties with word recognition, spelling, and decoding. A growing body of literature suggests that deficits in motor skill performance exist in the dyslexic population. This study compared the performance of children with and without dyslexia on different subtests of the Test of Gross Motor Development and Movement Assessment Battery for Children and assessed whether there were developmental changes in the scores of the dyslexic group. Participants included 26 dyslexic children (19 boys and 7 girls; 9.5 yr. old, SD = 1.7) and 23 age- and sex-matched typically developing (17 boys and 6 girls; 9.9 yr. old, SD = 1.3) children as a control group. Mann-Whitney U tests indicated that the dyslexic group performed significantly lower than the control group only on the Total Balance subtest of the Movement Assessment Battery for Children. Additionally, the young dyslexic group performed significantly better on the Total Balance subtest, compared to the older dyslexic group. These results suggest that cerebellar dysfunction may account for differences in performance.

  11. Reliability of a Shuttle Run Test for Children with Cerebral Palsy Who Are Classified at Gross Motor Function Classification System Level III

    Science.gov (United States)

    Verschuren, Olaf; Bosma, Liesbeth; Takken, Tim

    2011-01-01

    For children and adolescents with cerebral palsy (CP) classified as Gross Motor Function Classification System (GMFCS) level III there is no running-based field test available to assess their cardiorespiratory fitness. The current study investigated whether a shuttle run test can be reliably (test-retest) performed in a group of children with…

  12. Inter-Relationships of Functional Status in Cerebral Palsy: Analyzing Gross Motor Function, Manual Ability, and Communication Function Classification Systems in Children

    Science.gov (United States)

    Hidecker, Mary Jo Cooley; Ho, Nhan Thi; Dodge, Nancy; Hurvitz, Edward A.; Slaughter, Jaime; Workinger, Marilyn Seif; Kent, Ray D.; Rosenbaum, Peter; Lenski, Madeleine; Messaros, Bridget M.; Vanderbeek, Suzette B.; Deroos, Steven; Paneth, Nigel

    2012-01-01

    Aim: To investigate the relationships among the Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS), and Communication Function Classification System (CFCS) in children with cerebral palsy (CP). Method: Using questionnaires describing each scale, mothers reported GMFCS, MACS, and CFCS levels in 222…

  13. Gross motor function, functional skills and caregiver assistance in children with spastic cerebral palsy (CP) with and without cerebral visual impairment (CVI)

    NARCIS (Netherlands)

    Salavati, M.; Rameckers, E.A.A.; Steenbergen, B.; Schans, C.P. van der

    2014-01-01

    Aim: To determine whether the level of gross motor function and functional skills in children with cerebral palsy (CP) and cerebral visual impairment (CVI) as well as caregiver assistance are lower in comparison with the corresponding group of children experiencing CP without CVI. Method: Data aggre

  14. Differences in Gross Motor Achievements among Children of Four to Five Years of Age in Private and Public Institutions in Prishtine, Kosovo

    Science.gov (United States)

    Shala, Merita; Bahtiri, Abedin

    2011-01-01

    This study was undertaken in order to examine differences in gross motor achievements among children of four to five years of age as the result of the development of physical education programmes offered by private and public institutions in Kosovo. Research was focused on 118 children, out of which 61 (27 girls, 34 boys) were from the public…

  15. The Effect of Picture Task Cards on Performance of the Test of Gross Motor Development by Preschool-Aged Children: A Preliminary Study

    Science.gov (United States)

    Breslin, Casey M.; Robinson, Leah E.; Rudisill, Mary E.

    2013-01-01

    Performance on the Test of Gross Motor Development (Second Edition; TGMD-2) by children with autism spectrum disorders improves when picture task cards were implemented into the assessment protocol [Breslin, C.M., & Rudisill, M.E. (2011). "The effect of visual supports on performance of the TGMD-2 for children with autism spectrum…

  16. Effects of concentric and eccentric control exercise on gross motor function and balance ability of paretic leg in children with spastic hemiplegia.

    Science.gov (United States)

    Park, Su-Ik; Kim, Mi-Sun; Choi, Jong-Duk

    2016-07-01

    [Purpose] This study examines the effect of concentric and eccentric control training of the paretic leg on balance and gross motor function in children with spastic hemiplegia. [Subjects and Methods] Thirty children with spastic hemiplegia were randomly divided into experimental and control groups. In the experimental group, 20 min of neurodevelopmental therapy and 20 min of concentric and eccentric control exercise were applied to the paretic leg. In the control group, 40 min of neurodevelopmental therapy was applied. The Pediatric Balance Scale test and standing and gait items of the Gross Motor Function Measure were evaluated before and after intervention. [Results] In the experimental group, Gross Motor Function Measure and Pediatric Balance Scale scores statistically significantly increased after the intervention. The control group showed no statistically significant difference in either score after the intervention. [Conclusion] Concentric and eccentric control exercise therapy in children with spastic hemiplegia can be effective in improving gross motor function and balance ability, and can be used to solve functional problems in a paretic leg.

  17. The Use of Music to Increase Task-Oriented Behaviors in Preschool Children with Autism Spectrum Disorders in a Gross Motor Setting

    Science.gov (United States)

    Dieringer, Shannon M.

    2012-01-01

    The purpose of this study is to determine the effect of music and music + instruction on task-oriented behaviors in preschool children with ASD within individual gross motor movement settings. Five preschool children (four boys; one girl) diagnosed with ASD attending a Midwestern private preschool for children with ASD served as participants. The…

  18. The Effect of Picture Task Cards on Performance of the Test of Gross Motor Development by Preschool-Aged Children: A Preliminary Study

    Science.gov (United States)

    Breslin, Casey M.; Robinson, Leah E.; Rudisill, Mary E.

    2013-01-01

    Performance on the Test of Gross Motor Development (Second Edition; TGMD-2) by children with autism spectrum disorders improves when picture task cards were implemented into the assessment protocol [Breslin, C.M., & Rudisill, M.E. (2011). "The effect of visual supports on performance of the TGMD-2 for children with autism spectrum disorder."…

  19. Gross motor function, functional skills and caregiver assistance in children with spastic cerebral palsy (CP) with and without cerebral visual impairment (CVI)

    NARCIS (Netherlands)

    Salavati, M.; Rameckers, E.A.A.; Steenbergen, B.; Schans, C.P. van der

    2014-01-01

    Aim: To determine whether the level of gross motor function and functional skills in children with cerebral palsy (CP) and cerebral visual impairment (CVI) as well as caregiver assistance are lower in comparison with the corresponding group of children experiencing CP without CVI. Method: Data

  20. Can a six-week exercise intervention improve gross motor function for non-ambulant children with cerebral palsy? A pilot randomized controlled trial.

    Science.gov (United States)

    Bryant, Elizabeth; Pountney, Terry; Williams, Heather; Edelman, Natalie

    2013-02-01

    To determine the effect of a six-week exercise intervention on gross motor function for non-ambulant children with cerebral palsy. A parallel arm randomized controlled trial. Four special schools. Thirty-five children aged 8-17 with bilateral cerebral palsy; Gross Motor Function Classification System levels IV-V. Participants were randomly allocated to a static bike group, a treadmill group or control group. Participants in the bike and treadmill groups received exercise training sessions, three times weekly for six weeks. The control group received their usual care. Blinded assessments were performed at baseline and six weeks and followed up at 12 and 18 weeks. Gross Motor Function Measures GMFM-66, GMFM-88D and GMFM-88E. At six weeks significant differences were found in GMFM-88D scores between the bike group and the control group, and the treadmill group and the control group (P exercise groups. The improvements observed declined during the follow-up period. This study provides preliminary evidence that exercising on a bike or treadmill may provide short-term improvements in gross motor function for non-ambulant children with cerebral palsy. This needs to be tested in a large-scale randomized trial.

  1. A Multivariate Model of Determinants of Change in Gross-Motor Abilities and Engagement in Self-Care and Play of Young Children with Cerebral Palsy

    Science.gov (United States)

    Chiarello, Lisa A.; Palisano, Robert J.; Bartlett, Doreen J.; McCoy, Sarah Westcott

    2011-01-01

    A multivariate model of determinants of change in gross-motor ability and engagement in self-care and play provides physical and occupational therapists a framework for decisions on interventions and supports for young children with cerebral palsy and their families. Aspects of the child, family ecology, and rehabilitation and community services…

  2. A Multivariate Model of Determinants of Change in Gross-Motor Abilities and Engagement in Self-Care and Play of Young Children with Cerebral Palsy

    Science.gov (United States)

    Chiarello, Lisa A.; Palisano, Robert J.; Bartlett, Doreen J.; McCoy, Sarah Westcott

    2011-01-01

    A multivariate model of determinants of change in gross-motor ability and engagement in self-care and play provides physical and occupational therapists a framework for decisions on interventions and supports for young children with cerebral palsy and their families. Aspects of the child, family ecology, and rehabilitation and community services…

  3. The effect of training in an interactive dynamic stander on ankle dorsiflexion and gross motor function in children with cerebral palsy

    DEFF Research Database (Denmark)

    Curtis, Derek John; Bencke, Jesper; Mygind, Bente

    2014-01-01

    OBJECTIVE: To study the effect of active stretching of ankle plantarflexors using an interactive dynamic stander in children with cerebral palsy (CP). METHODS: Six children in Gross Motor Function Classification System classes I-III, aged 4-10 years, trained intensive active dorsiflexion...

  4. Fine and Gross Motor Task Performance When Using Computer-Based Video Models by Students with Autism and Moderate Intellectual Disability

    Science.gov (United States)

    Mechling, Linda C.; Swindle, Catherine O.

    2013-01-01

    This investigation examined the effects of video modeling on the fine and gross motor task performance by three students with a diagnosis of moderate intellectual disability (Group 1) and by three students with a diagnosis of autism spectrum disorder (Group 2). Using a multiple probe design across three sets of tasks, the study examined the…

  5. Reliability of the modified Gross Motor Function Measure-88 (GMFM-88) for children with both Spastic Cerebral Palsy and Cerebral Visual Impairment : A preliminary study

    NARCIS (Netherlands)

    Salavati, M.; Krijnen, W. P.; Rameckers, E. A. A.; Looijestijn, P. L.; Maathuis, C. G. B.; van der Schans, C. P.; Steenbergen, B.

    2015-01-01

    Purpose: The aims of this study were to adapt the Gross Motor Function Measure-88 (GMFM-88) for children with Cerebral Palsy (CP) and Cerebral Visual Impairment (CVI) and to determine the test-retest and interobserver reliability of the adapted version. Method: Sixteen paediatric physical therapists

  6. Exploring the Relationship between Participation in a Structured Sports Program and Development of Gross Motor Skills in Children Ages 3 to 6 Years

    Science.gov (United States)

    Jahagirdar, Ishanee; Venditti, Laura Anne; Duncan, Andrea; Reed, Nick; Fleming, Sean

    2017-01-01

    This study looked at the relationship between participation in a structured sports program and gross-motor-skills development in children aged 3 to 6 years. Twenty-seven children participated in the study, with 16 children receiving an eight-week sports program intervention. Children were assessed at pre- and postintervention using a modified…

  7. Association between gross motor function and postural control in sitting in children with Cerebral Palsy: a correlational study in Spain.

    Science.gov (United States)

    Montero Mendoza, Sergio; Gómez-Conesa, Antonia; Hidalgo Montesinos, María Dolores

    2015-09-16

    Cerebral palsy (CP) is one of the causes of physical disability in children. Sitting abilities can be described using the Level of Sitting Scale (LSS) and the Gross Motor Function Classification System (GMFCS). There is growing interest in the sitting posture of children with CP owing to a stable sitting position allows for the development of eye-hand coordination, functions of the upper extremities and functional skills. Besides, in recent years researchers have tried to develop a new terminology to classify the CP as performed by the Surveillance of Cerebral Palsy in Europe (SCPE), in order to improve the monitoring of the frequency of the PC, providing a framework for research and service planning. The aim of this study was to analyse the relationship between GMFCS and LSS. The second purpose was to describe how the SCPE relates to sitting abilities with the GMFCS and LSS. The study involved 139 children with CP (range 3-18 years) from 24 educational centres. Age, gender, CP classification according to SCPE, GMFCS and LSS levels were recorded by an experienced physiotherapist. A significant inverse relationship between GMFCS and LSS score levels was found (rs = -0.86, p = 0.00). 45.3% of the children capable of leaning in any direction and of re-erecting the trunk (level VIII on the LSS) could walk without limitation (level I on the GMFCS). There were differences in the distribution of the GMFCS (χ(2)(4):50.78) and LSS (χ(2)(7): 37.15) levels and CP according to the distribution of the spasticity (p correlation between both scales and a relation between sitting ability and the capacity to walk with or without technical devices. GMFCS and the LSS are useful tools for describing the functional abilities and limitations of children with CP, specially sitting and mobility. Classification based on the distribution of spasticity and the gross motor function provides clinical information on the prognosis and development of children with CP.

  8. The relationship between motor function, cognition, independence and quality of life in myelomeningocele patients

    Directory of Open Access Journals (Sweden)

    Carolina Lundberg Luz

    Full Text Available ABSTRACT Motor function, cognition, functional independence and quality of life have been described in myelomeningocele patients, but no study has investigated their relationships. We aimed to investigate the relationships between motor function, cognition, functional independence, quality of life, age, and lesion level in myelomeningocele patients, and investigate the influence of hydrocephalus on these variables. We assessed 47 patients with the Gross Motor Function Measure (motor function, Raven’s Colored Progressive Matrices (cognition, Pediatric Evaluation of Disability Inventory (functional independence and the Autoquestionnaire Qualité de vie Enfant Imagé (quality of life. Spearman’s correlation tests determined relationships between the variables. The Friedman ANOVAs determined the influence of hydrocephalus. Motor function was strongly related to mobility and lesion level, and moderately related to cognition, self-care and social function. Cognition and quality of life were moderately related to functional independence. Age correlated moderately with functional independence and quality of life. Hydrocephalus resulted in poorer motor/cognitive outcomes and lower functional independence.

  9. Longitudinal cohort protocol study of oropharyngeal dysphagia: relationships to gross motor attainment, growth and nutritional status in preschool children with cerebral palsy

    Science.gov (United States)

    Benfer, Katherine A; Weir, Kelly A; Bell, Kristie L; Ware, Robert S; Davies, Peter S W; Boyd, Roslyn N

    2012-01-01

    Introduction The prevalence of oropharyngeal dysphagia (OPD) in children with cerebral palsy (CP) is estimated to be between 19% and 99%. OPD can impact on children's growth, nutrition and overall health. Despite the growing recognition of the extent and significance of health issues relating to OPD in children with CP, lack of knowledge of its profile in this subpopulation remains. This study aims to investigate the relationship between OPD, attainment of gross motor skills, growth and nutritional status in young children with CP at and between two crucial age points, 18–24 and 36 months, corrected age. Methods and analysis This prospective longitudinal population-based study aims to recruit a total of 200 children with CP born in Queensland, Australia between 1 September 2006 and 31 December 2009 (60 per birth-year). Outcomes include clinically assessed OPD (Schedule for Oral Motor Assessment, Dysphagia Disorders Survey, Pre-Speech Assessment Scale, signs suggestive of pharyngeal phase impairment, Thomas-Stonell and Greenberg Saliva Severity Scale), parent-reported OPD on a feeding questionnaire, gross motor skills (Gross Motor Function Measure, Gross Motor Function Classification System and motor type), growth and nutritional status (linear growth and body composition) and dietary intake (3 day food record). The strength of relationship between outcome and exposure variables will be analysed using regression modelling with ORs and relative risk ratios. Ethics and dissemination This protocol describes a study that provides the first large population-based study of OPD in a representative sample of preschool children with CP, using direct clinical assessment. Ethics has been obtained through the University of Queensland Medical Research Ethics Committee, the Children's Health Services District Ethics Committee, and at other regional and organisational ethics committees. Results are planned to be disseminated in six papers submitted to peer reviewed journals

  10. Effects of bone marrow mesenchymal stromal cells on gross motor function measure scores of children with cerebral palsy: a preliminary clinical study.

    Science.gov (United States)

    Wang, Xiaodong; Cheng, Hongbin; Hua, Rongrong; Yang, Jing; Dai, Guanghui; Zhang, Zan; Wang, Renzhi; Qin, Chuan; An, Yihua

    2013-12-01

    Pre-clinical evidence indicates that autologous bone marrow-derived mesenchymal stromal cell (BM-MSC) transplantation improves motor function in patients with central nervous system disorders. After providing informed consent, 52 patients with cerebral palsy (CP) who met the study criteria received BM-MSC transplantation. Gross motor function was assessed using the Gross Motor Function Measure (GMFM)-88 and GMFM-66 scales at baseline (before transplantation) and at 1 month, 6 months and 18 months post-transplantation. The participants completed the trial without visible side effects. The GMFM-66 percentile (motor growth curves) was used as the control index of motor function to exclude the interference of improvement with age. The score domains A, B, C and D and the total GMFM-88 and GMFM-66 scores in participants increased at 1 month, 6 months and 18 months post-transplantation compared with the baseline value (P cell transplantation. Autologous BM-MSC transplantation appears to be a feasible, safe and effective therapy for patients with CP. The treatment improved the development of children with CP with regard to motor function. Copyright © 2013 International Society for Cellular Therapy. Published by Elsevier Inc. All rights reserved.

  11. Effects of concentric and eccentric control exercise on gross motor function and balance ability of paretic leg in children with spastic hemiplegia

    OpenAIRE

    Park, Su-Ik; Kim, Mi-sun; Choi, Jong-Duk

    2016-01-01

    [Purpose] This study examines the effect of concentric and eccentric control training of the paretic leg on balance and gross motor function in children with spastic hemiplegia. [Subjects and Methods] Thirty children with spastic hemiplegia were randomly divided into experimental and control groups. In the experimental group, 20 min of neurodevelopmental therapy and 20 min of concentric and eccentric control exercise were applied to the paretic leg. In the control group, 40 min of neurodevelo...

  12. Longitudinal cohort protocol study of oropharyngeal dysphagia: relationships to gross motor attainment, growth and nutritional status in preschool children with cerebral palsy

    OpenAIRE

    Benfer, Katherine A; Weir, Kelly A; Bell, Kristie L.; Ware, Robert S; Davies, Peter S. W.; Boyd, Roslyn N.

    2012-01-01

    Introduction The prevalence of oropharyngeal dysphagia (OPD) in children with cerebral palsy (CP) is estimated to be between 19% and 99%. OPD can impact on children's growth, nutrition and overall health. Despite the growing recognition of the extent and significance of health issues relating to OPD in children with CP, lack of knowledge of its profile in this subpopulation remains. This study aims to investigate the relationship between OPD, attainment of gross motor skills, growth and nutri...

  13. Leveling the Playing Field: Assessment of Gross Motor Skills in Low Socioeconomic Children to their Higher Socioeconomic Counterparts

    Directory of Open Access Journals (Sweden)

    Megan M. Adkins

    2017-07-01

    Full Text Available Background: Fundamental movements (FM of children influence the willingness to engage in physical activity (PA. Thus, proper FM skills are the foundation for a lifespan of PA. Objective: This study examined what factors may affect children’s PA in relation to FM pattern capabilities. Methods: The study examined the influence of SES when three low-income schools were provided additional PA opportunities on days PE was not taught. FM patterns in relation to object control (OC and locomotor skill (LC development were evaluated on K (n = 871, 1st (n = 893, and 2nd graders (n = 829 using the Test of Gross Motor Development-2 (TGMD-2 instrument (Ulrich, 2000. Schools were dichotomized and categorized as being low SES (n = 2008 and high SES (n = 578 status. Results: A significant relationship was revealed with LC (r = 0.264; p = 0.001, OC (r = 0.171; p = 0.001, and total TGMD-2 (r = 0.264; p = 0.001. Low and high SES schools significantly improved overall TGMD-2 scores. High SES schools children were significantly higher in LC [F, (2, 1272 = 29.31, p = 0.001], OC [F, (2, 1272 = 23.14, p = 0.001], and total TGMD-2 [F, (1, 1272 = 38.11, p = 0.001]. Conclusion: Low SES schools need to concentrate on PA-based activities to engage students in FM patterns, to help narrow the gap in FM capabilities. In addition, the increase in PA opportunities for lower SES schools could positively impact brain function, cardiovascular fitness, and overall well-being.

  14. Combined treatment using acupuncture and music therapy on children with cerebral palsy Gross motor function measure comparison In 60 cases

    Institute of Scientific and Technical Information of China (English)

    Lixiong Wu; Haibo Yu; Yongfeng Liu

    2008-01-01

    BACKGROUND: The use of acupuncture has received recognition to effectively treat cerebral palsy. Moreover, music therapy can be used to modify treatment of cerebral palsy. OBJECTIVE: To study the effects of combined treatment using acupuncture and music therapy on gross motor function measure (GMFM) of children with cerebral palsy, compared with acupuncture treatment alone. DESIGN, TIME AND SETTING: Randomized, controlled, clinical study. The experiment was conducted in Shenzhen Hospital of Traditional Chinese Medicine between January 2007 and September 2007. PARTICIPANTS: All children with cerebral palsy in the trial were from the outpatient department of Shenzhen Hospital of Traditional Chinese Medicine. The children were randomly divided into two groups: 30 children in Group B received acupuncture and music therapy, while 30 children in Group A received only acupuncture therapy. METHODS: Subjects in Groups A and B received acupuncture based on syndrome differentiation. The main acupoints were necessary for all participants. At first, flash needling was applied to the acupoints. For the remaining acupoints, the technique of transverse needling was applied to the head acupoints, and perpendicular needling was used for the other points. The inserted needles were twirled and then maintained for 30 minutes. The needle was twirled for one second every other 10 minutes, without reinforcing-reducing techniques. The therapy was performed every other day. The trial consisted of three periods each, and lasted for 84 days. Subjects in Group B received music therapy. They listened to music that they preferred while acupuncture was being performed. Following acupuncture, they were allowed to perform musical activities, such as percussion, singing, and dancing. The music therapy was scheduled for one hour, including listening to music for 30 minutes and music activities for 30 minutes. MAIN OUTCOME MEASURES: The comprehensive functional evaluation scale of cerebral palsy and

  15. Radiological outcome of reconstructive hip surgery in children with gross motor function classification system IV and V cerebral palsy.

    Science.gov (United States)

    Zhang, Shiran; Wilson, Nichola C; Mackey, Anna H; Stott, Ngaire Susan

    2014-09-01

    Hip subluxation is common in children with cerebral palsy (CP). The aim of this study was to describe the radiological outcome of reconstructive hip surgery in children with CP, gross motor function classification system (GMFCS) level IV and V, and determine whether the GMFCS level plays a predictive role in outcome. This was a retrospective cohort study conducted at a tertiary-level pediatric hospital with a CP hip surveillance program. Of 110 children with GMFCS IV and V CP registered for hip surveillance, 45 underwent reconstructive hip surgery between 1997 and 2009, defined as varus derotational proximal femoral osteotomy with or without additional pelvic osteotomy. Eleven children were excluded because of lack of 12-month follow-up (n=10) or missing clinical records (n=1). Thus, 21 GMFCS IV children (median age 6 years at surgery) and 13 GMFCS V children (median age 5 years at surgery), who underwent 58 index surgeries, were included in the study. Clinical records and radiology were reviewed. The two surgical groups were femoral osteotomy (varus derotational femoral osteotomy with an AO blade plate or femoral locking plate fixation), or femoral ostetotomy with additional pelvic osteotomy. Reimer's migration percentage (MP) was calculated from anteroposterior pelvis radiographs to determine the outcome for each hip independently. Failure was defined as MP of greater than 60% or further operation on the hip. Reconstructive surgeries were performed for 58 hips with a median preoperative MP of 55%. There were 15 failures at a median of 62 months, including nine failures in 35 GMFCS IV hips and six failures in 23 GMFCS V hips. Overall, GMFCS V hips tended to fail earlier, (hazard ratio 2.3) with a median time to failure of 78 and 39 months for GMFCS IV and V hips, respectively. Combined femoral and pelvic osteotomies had the lowest failure rates in both groups of patients. The GMFCS classification may have some predictive value for outcomes following reconstructive

  16. Association timed "up and go" test with respect to gross motor function classification system level in children diagnosed as cerebral palsy

    OpenAIRE

    Sanjivani N Dhote; Suvarna S Ganvir

    2013-01-01

    Background: Timed "up and go" (TUG) test is a quick test, used in clinical practice as an outcome measure to assess functional ambulatory mobility or dynamic balance in adults. However, little information is available of TUG test used in cerebral palsy (CP). Hence, the purpose of our study was to find score of TUG with respect to gross motor function classification system (GMFCS) in CP children. Aims: To find the mean score of TUG test with respect to GMFCS level in children diagnosed as CP. ...

  17. Quality electric motor repair: A guidebook for electric utilities

    Energy Technology Data Exchange (ETDEWEB)

    Schueler, V.; Douglass, J.

    1995-08-01

    This guidebook provides utilities with a resource for better understanding and developing their roles in relation to electric motor repair shops and the industrial and commercial utility customers that use them. The guidebook includes information and tools that utilities can use to raise the quality of electric motor repair practices in their service territories.

  18. Mediating effects of the ICF domain of function and the gross motor function measure on the ICF domains of activity, and participation in children with cerebral palsy.

    Science.gov (United States)

    Lee, Byoung-Hee; Kim, Yu-Mi; Jeong, Goo-Churl

    2015-10-01

    [Purpose] This study aimed to evaluate the mediating effect of gross motor function, measured using the Gross Motor Function Measure (GMFM) and of general function, measured using the International Classification of Functioning, Disability and Health-Child and Youth Check List (ICF-CY), on the ICF domains of activity and participation in children with cerebral palsy (CP). [Subjects] Ninety-five children with CP, from Seoul, Korea, participated in the study. [Methods] The GMFM was administered in its entirety to patients without orthoses or mobility aids. The ICF-CY was used to evaluate the degree of disability and health of subjects. [Results] GMFM score and ICF-CY function were negatively correlated to ICF-CY activity and participation. ICF-CY partially mediated the effects of the GMFM on activity and participation. [Conclusion] When establishing a treatment plan for a child with CP, limitations in activity and participation, as described by the ICF-CY, should be considered in addition to the child's physical abilities and development. In addition, the treatment plan should focus on increasing the child's activity and participation level, as well as his/her physical level.

  19. Correlation Between Lower And Higher Order Sensory Functions And Fine And Gross Motor Function In Dominant And Non-Dominant Hand Of Patients With Choronic Stroke

    Directory of Open Access Journals (Sweden)

    Mandehgary Najafabadi Mahbubeh

    2017-02-01

    Full Text Available Introduction: To investigate the correlation between lower and higher order sensory functions and manual dexterity as well as Identify factors affecting upper extremity motor function(UEMF in subjects with chronic stroke. Methods: In this correlational study, seventy chronic stroke subjects (48 male and 22 female by mean age of 56.94 (±12.92 years and mean time after stroke of 3.01 (±2.64 years were selected by simple nonprobability method. Lower order sensory function (i.e., light touch threshold, higher order sensory functions (i.e., tactile acuity, weight and texture discrimination, haptic performance and wrist proprioception were measured by Weinstein enhanced sensory test, two point discrimination, wrist position sense test, hand active sensation test and haptic object test, respectively. The gross and fine manual dexterity were measured by Wolf Motor Function Test (WMFT, Box and Block Test(BBT and Purdue Pegboard (PPB test. The step by step regression model was used to investigate the sensory determinants of motor function. Results: A weak to high significant correlation (r =0.25 to 0.80 was found between sensory predictors and motor outcomes. The regression models explained 19.8%, 30.3% and 52.3% of variancein motor function measures of the PPB, BBT and WMFT, respectively. The tactile threshold (p<0.001 was the most relevant predictor in all stepwise models for all motor outcomes in dominant or non-dominant hand , followed by tactile acuity, haptic performance and wrist proprioception (p< 0.05. The weight and texture discrimination was not included in any outcome models.  Conclusion: The results of present study showed that tactile threshold as lowr order sensory function is the most relevant predictor for UEMF in stroke. The results reinforce that rehabilitation interventions focused on tactile threshold may be best able to impact UEMF in stroke subjects.

  20. A Field-Based Testing Protocol for Assessing Gross Motor Skills in Preschool Children: The Children's Activity and Movement in Preschool Study Motor Skills Protocol

    Science.gov (United States)

    Williams, Harriet G.; Pfeiffer, Karin A.; Dowda, Marsha; Jeter, Chevy; Jones, Shaverra; Pate, Russell R.

    2009-01-01

    The purpose of this study was to develop a valid and reliable tool for use in assessing motor skills in preschool children in field-based settings. The development of the Children's Activity and Movement in Preschool Study Motor Skills Protocol included evidence of its reliability and validity for use in field-based environments as part of large…

  1. The Comparison of School-Age Children's Performance on Two Motor Assessments: The Test of Gross Motor Development and the Movement Assessment Battery for Children

    Science.gov (United States)

    Logan, Samuel W.; Robinson, Leah E.; Rudisill, Mary E.; Wadsworth, Danielle D.; Morera, Maria

    2014-01-01

    Background: Competence in the motor domain is associated with positive, health-related outcomes. Physical education teachers often administer assessments into their programs to measure motor competence for a variety of reasons. Recently, researchers have questioned the relatedness of performance on different assessments. Purpose: The purpose of…

  2. Design of a Quality Control Program for the Measurement of Gross Alpha and Gross Beta Activities (LMPR-CIEMAT); Diseno del Control de Calidad de las Medidas de Actividad Alfa-Beta Total (LMPR-CIEMAT)

    Energy Technology Data Exchange (ETDEWEB)

    Alvarez, A.; Yague, L.; Gasco, C.; Navarro, N.; Higueras, E.; Noguerales, C.

    2010-10-21

    In accordance with international standards, general requirements for testing laboratories have to include a quality system for planning, implementing, and assessing the work performed by the organization and for carrying out required quality assurance and quality control. The purpose of internal laboratory quality control is to monitor performance, identify problems, and initiate corrective actions. This report describes the internal quality control to monitor the gross alpha and beta activities determination. Identification of specific performance indicators, the principles that govern their use and statistical means of evaluation are explained. Finally, calculation of alpha and beta specific activities, uncertainties and detection limits are performed. (Author) 10 refs.

  3. LOADED AND UNLOADED SIT-TO-STAND STRENGTHENING EXERCISES EFFECT TO GROSS MOTOR FUNCTION MEASURE IN SPASTIC DIPLEGIA CEREBRAL PALSY PATIENTS

    Directory of Open Access Journals (Sweden)

    Imran Safei

    2016-03-01

    Full Text Available Objective: To examine sit-to-stand and loaded sit-to-stand exercises effect in standing, walking, and running dimensions of gross motor function measure (GMFM in spastic diplegia cerebral palsy (SDCP patients. Methods: This study was conducted in the period of May to October 2014 and included 24 children with SDCP as the subjects. The methods used in the study were interventional study with randomized controlled trial, and investigation of CP before and after the exercise intervention. The subjects were divided into two groups, sit-to-stand exercise group and loaded sit-to-stand exercise group. Results: The results showed that the increase of standing, walking, and running dimension scores of GMFM in the loaded group were higher (standing dimension score 12.00 vs 11.08 and walking and running dimensions 13.58 vs 13.42 compared to the unloaded group. Conclusions: Both sit-to-stand and loaded sit-to-stand exercise groups do not show significant differences in improving motor skills in standing, walking, and running dimensions of GMFM. Children with SDCP may receive the exercise to improve their motor skills in mobility aspects, such as standing, walking, and running.

  4. Therapeutic Effects of Horseback Riding Therapy on Gross Motor Function in Children with Cerebral Palsy: A Systematic Review

    Science.gov (United States)

    Whalen, Cara N.; Case-Smith, Jane

    2012-01-01

    Purpose: This systematic review examined the efficacy of hippotherapy or therapeutic horseback riding (THR) on motor outcomes in children with cerebral palsy (CP). Methods: Databases were searched for clinical trials of hippotherapy or THR for children with CP. Results: Nine articles were included in this review. Although the current level of…

  5. Influence of aquatic physical therapy on gross motor skills in children under 5 years of age with cerebral palsy: Systematic review.

    Directory of Open Access Journals (Sweden)

    Julio Latorre-García

    2017-05-01

    Full Text Available Introduction: The aquatic environment has been used and is used to perform physiotherapy treatments in different pathologies including cerebral palsy. No method has been proven more effective than the others. Aim: The objective of this article is to carry out a systematic review of the scientific literature on how physical exercise in water affects the gross motor skills and neurodevelopment of children with cerebral palsy. Methods: A systematic search was carried out using the PRISMA model. The search for articles in this review was done in the databases through Scopus and PubMed, as well as in the Web of Science (WOS platform and in official websites of international organizations, such as the World Health Organization (WHO. The review was carried out between the months of June and December of the year 2016. Results: Of the 8 studies that met the inclusion criteria, only two used randomized control trial design and the results were mixed. Most of the studies used quasi-experimental designs and reported improvements in gross motor skills, for group analyzes, after the aquatic programs were maintained from two to three sessions a week and lasted from 6 to 16 weeks. Participants were evaluated and classified according to the different development scales, and were less than 5 years old. Conclusions: Although the different studies have not demonstrated a greater efficacy of aquatic physiotherapy compared to other treatment concepts, neither has been less, so that the exercise in water increases the therapeutic possibilities to which the chronic nature of the Pathology must access the patient throughout his life. Aquatic exercise is feasible and adverse effects are minimal; but the dosage parameters are not clear. However, in order to promote the prescription by physicians of this type of therapy, it is necessary to carry out research studies that demonstrate in a quantitative way the efficacy of the method, with longer and longer samples.

  6. NMR Express-analyser for quality monitoring of motor fuel

    Science.gov (United States)

    Protasov, E. A.; Protasov, D. E.

    2016-09-01

    A method for the rapid analysis of motor fuel quality was developed by artificial increase of the octane number through dissolving ferrocene in a low-octane gasoline (C10H10Fe). Measurements of the spin-lattice relaxation time of nuclear magnetic resonance is used for determination of ferrocene presence in standardized and real fuel from gas stations. The results of measurements of the relaxation characteristics among certain grades of motor fuel with dissolving ferrocene therein are presented.

  7. The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency.

    Science.gov (United States)

    Smith, Maxwell L; Wilkerson, Trent; Grzybicki, Dana M; Raab, Stephen S

    2012-09-01

    Few reports have documented the effectiveness of Lean quality improvement in changing anatomic pathology patient safety. We used Lean methods of education; hoshin kanri goal setting and culture change; kaizen events; observation of work activities, hand-offs, and pathways; A3-problem solving, metric development, and measurement; and frontline work redesign in the accessioning and gross examination areas of an anatomic pathology laboratory. We compared the pre- and post-Lean implementation proportion of near-miss events and changes made in specific work processes. In the implementation phase, we documented 29 individual A3-root cause analyses. The pre- and postimplementation proportions of process- and operator-dependent near-miss events were 5.5 and 1.8 (P < .002) and 0.6 and 0.6, respectively. We conclude that through culture change and implementation of specific work process changes, Lean implementation may improve pathology patient safety.

  8. Impact of clinical types and involved sites on the recovery of gross motor function after interventions in children with cerebral palsy

    Institute of Scientific and Technical Information of China (English)

    Hongying Li; Huafeng Yu; Yan Huang; Lin Sang; Haixia Ha

    2006-01-01

    BACKGROUND:The recovery of gross motor function is the basis for the improvement of other abilities.It is helpful for judging the rehabilitative effect and prognosis of children with cerebral palsy to analyze the effect of different clinical types on the gross motor ability. OBJECTIVE:To investigate the influence of different clinical types and different involved sites of limbs of cerebral palsy on the effect of rehabilitative interventions on gross motor function.DESIGN:A controlled observation before and after treatment.SETTING:Rehabilitation Center of Qilu Children's Hospital,Shandong University.PARTICIPANTS:Totally 138 children with cerebral palsy having complete data,who were hospitalized for 12 months in the Rehabilitation Center of Qilu Children's Hospital,Shandong University,were selected from April 2004 to September 2006,including 97 males and 41 females;55 cases were younger than 2 years old.47 cases younger than 4 years and 36 cases younger than 6 years;76 cases of spasm type,30 cases of involuntary movement and 32 cases of mixed type(mixture of spasm and involuntary movement);64 cases of diplegia.46 cases of tetraplegia and 28 cases of hemiplegia.All the children and their relatives were informed and agreed to cooperate with the experiments.METHODS:All the 138 children with cerebral palsy were given comprehensive rehabilitative treatment:The assessment of comprehensive ability was conducted to all the children with cerebral palsy by the rehabilitative group before rehabilitation treatment,the rehabilitative objective was established according to the results of the assessment,then feasible rehabilitative training plan was made up.The comprehensive rehabilitative treatment was conducted as planned afterwards:①Physical therapy:The Bobath method was used.and motor development was promoted by proprioceptive hand technique.②Traditional Chinese medicine therapy:Massage:The children were massaged by using the maneuvers of push

  9. Association timed "up and go" test with respect to gross motor function classification system level in children diagnosed as cerebral palsy

    Directory of Open Access Journals (Sweden)

    Sanjivani N Dhote

    2013-01-01

    Full Text Available Background: Timed "up and go" (TUG test is a quick test, used in clinical practice as an outcome measure to assess functional ambulatory mobility or dynamic balance in adults. However, little information is available of TUG test used in cerebral palsy (CP. Hence, the purpose of our study was to find score of TUG with respect to gross motor function classification system (GMFCS in CP children. Aims: To find the mean score of TUG test with respect to GMFCS level in children diagnosed as CP. Materials and Methods: It was a cross-sectional observational study conducted in neuro rehabilitation unit and included 30 CP children of 4-12 years, those within GMFCS level I, II, III, and IQ ≥50. The sampling technique used was purposive sampling excluding children with cognitive deficit. Subjects performed on TUG on three occasions: Initial assessment (time 1; 30 min after initial assessment (time 2; 1 week after initial assessment (time 3. Three trials were conducted for each of the three occasions. A mean score of three trials was documented as final score. The mean of scores of TUG test of all the subjects within the particular GMFCS levels was calculated. Results: Significant variation was seen in the TUG score for three levels of GMFCS. Conclusions: Significant variation was seen as GMFCS levels get increases time duration of TUG also increases.

  10. Age-dependent effects of chronic intermittent ethanol treatment: Gross motor behavior and body weight in aged, adult and adolescent rats.

    Science.gov (United States)

    Matthews, Douglas B; Mittleman, Guy

    2017-09-14

    The proportion of people in the population who are elderly is rapidly increasing. In addition, dangerous alcohol consumption in this demographic is rising. Approximately 33% of all people with an alcohol use disorder are diagnosed with late onset alcoholism. However, few suitable animal models for late onset alcoholism exist, making it difficult to investigate the impact of alcoholism later in life. The current study investigated if chronic intermittent ethanol exposure via intraperitoneal injections every other day for 20days in aged, adult and adolescent male rats differentially alters body weight and impairs gross motor behavior as measured by the aerial righting reflex. The body weight of aged and adult rats were significantly decreased by chronic intermittent ethanol exposure while the body weight of adolescent rats was not impacted. In addition, the aerial righting reflex of aged rats was significantly more impaired by alcohol exposure than the aerial righting reflex of adult or adolescent animals. Chronic intermittent ethanol exposure did not produce tolerance in the aerial righting reflex for any of the three age groups. The differential age sensitivity in the aerial righting reflex was not due to differential blood ethanol concentrations. The current work demonstrates the risk factors of chronic alcohol use in the elderly and highlights the need for additional study in this vulnerable demographic. Copyright © 2017. Published by Elsevier B.V.

  11. Functional classifications for cerebral palsy: correlations between the gross motor function classification system (GMFCS), the manual ability classification system (MACS) and the communication function classification system (CFCS).

    Science.gov (United States)

    Compagnone, Eliana; Maniglio, Jlenia; Camposeo, Serena; Vespino, Teresa; Losito, Luciana; De Rinaldis, Marta; Gennaro, Leonarda; Trabacca, Antonio

    2014-11-01

    This study aimed to investigate a possible correlation between the gross motor function classification system-expanded and revised (GMFCS-E&R), the manual abilities classification system (MACS) and the communication function classification system (CFCS) functional levels in children with cerebral palsy (CP) by CP subtype. It was also geared to verify whether there is a correlation between these classification systems and intellectual functioning (IF) and parental socio-economic status (SES). A total of 87 children (47 males and 40 females, age range 4-18 years, mean age 8.9±4.2) were included in the study. A strong correlation was found between the three classifications: Level V of the GMFCS-E&R corresponds to Level V of the MACS (rs=0.67, p=0.001); the same relationship was found for the CFCS and the MACS (rs=0.73, pfunctional disability profile were strong or moderate (GMFCS and IQ: rs=0.66, p=0.001; MACS and IQ: rs=0.58, p=0.001; CFCS and MACS: rs=0.65, p=0.001). The Kruskal-Wallis test was used to determine if there were differences between the GMFCS-E&R, the CFCS and the MACS by CP type. CP types showed different scores for the IQ level (Chi-square=8.59, df=2, p=0.014), the GMFCS-E&R (Chi-square=36.46, df=2, pfunctional classifications (GMFCS-E&R, CFCS and MACS) complement each other to provide a better description of the functional profile of CP. The systematic evaluation of the IQ can provide useful information about a possible future outcome for every functional level. The SES does not appear to affect functional profiles.

  12. Correlation Analysis of Gross Motor Function Classification and Core Strength of Children with Cerebral Palsy%脑瘫患儿粗大运动功能分级与核心肌力的相关性分析

    Institute of Scientific and Technical Information of China (English)

    王刚; 李莉; 支世保

    2015-01-01

    目的:探讨痉挛型四肢瘫患儿核心肌力状况及其与粗大运动功能的关系.方法:选取痉挛型四肢瘫患儿70例,采用徒手肌力检查法(manual muscle test,MMT)对其核心肌群进行肌力评估,采用粗大运动功能分级系统(Gross Motor Function Classification System,GMFCS)对其粗大运动功能进行评估,并探讨两者相关性.结果:MMT测试结果显示,受试70例痉挛型四肢瘫患儿的核心肌群肌力均减低;GMFCS测试显示,I级10例,II级28例,III级18例,IV级2例,V级12例;Pearson相关分析结果显示,受试患儿GMFCS与核心肌群肌力均呈显著负相关(P<0.01).结论:痉挛型四肢瘫患儿核心肌力减低,核心肌力与粗大运动功能分级相关.%Objective:To investigate the relationship between core strength and gross motor function of children with spastic quadriplegia. Methods:70 cases of children with spastic quadriplegia were selected, whose myodynamia of core muscles was evaluated with manual muscle test (MMT), and gross motor function was evaluated with gross motor function classification system (GMFCS), as well as the correlation between them. Results:MMT showed that core muscle strength of 70 children with spastic quadriplegia decreased;according to GMFCS there were 10 cases of grade I, 28 cases of grade II, 18 cases of grade III, 2 cases of grade IV and 12 cases of grade V;Pearson correlation analysis showed that there was significantly negative correlation between GMFCS and core muscle strength (P<0.01). Conclusion:core muscle strength of children with spastic quadriplegia de-creases, core muscle strength and gross motor function classification are relative.

  13. Classification of cerebral palsy: association between gender, age, motor type, topography and Gross Motor Function Classificação da paralisia cerebral: associação entre gênero, idade, tipo motor, topografia e Função Motora Grossa

    Directory of Open Access Journals (Sweden)

    Luzia Iara Pfeifer

    2009-12-01

    Full Text Available The goal of this study was to assess the relation between gender, age, motor type, topography and gross motor function, based on the Gross Motor Function System of children with cerebral palsy. Trunk control, postural changes and gait of one hundred children between 5 months and 12 years old, were evaluated. There were no significant differences between gender and age groups (p=0.887 or between gender and motor type (p=0.731. In relation to body topography most children (88% were spastic quadriplegic. Most hemiplegics children were rated in motor level I, children with diplegia were rated in motor level III, and quadriplegic children were rated in motor level V. Functional classification is necessary to understand the differences in cerebral palsy and to have the best therapeutic planning since it is a complex disease which depends on several factors.Este estudo teve como objetivo avaliar a relação entre gênero, idade, tipo motor, topografia e Função Motora Grossa, baseado no Sistema de Função Motora Grossa em crianças com paralisia cerebral. Participaram desta pesquisa 100 crianças com idade entre 5 meses a 12 anos que foram observadas em relação ao controle de tronco, trocas posturais e marcha. Não houve diferenças significativas entre gêneros e grupos etários (p=0,887 e entre gênero e tipo motor (p=0,731. Em relação à topografia corporal, houve predomínio de crianças com quadriplegia, sendo que a maioria (88% era do tipo espástico. Quanto ao nível motor, as crianças hemiplégicas pertenciam em sua maioria ao nível I, as diplégicas ao nível III e as quadriplégicas ao nível V. Sendo a paralisia cerebral uma condição complexa que depende de diversos fatores, beneficia-se de classificações funcionais para compreensão da diversidade e melhor planejamento terapêutico.

  14. 脑瘫患儿智力与粗大运动发育的关系分析%Correlation analysis between intelligence and gross motor development of children with cerebral palsy

    Institute of Scientific and Technical Information of China (English)

    杨敏; 周光辉; 董宏珅

    2015-01-01

    Objective To analyze correlation between intelligence and gross motor development of children with cere-bral palsy. Methods 56 children with cerebral palsy were treated in our hospital from January 2011 to January 2013. After intelligence assessment,the children of 50 to 60 score were selected as group A (n=30),and the children of 90 to 100 score were classified into group B (n=26).The conventional rehabilitation therapy was provided in two groups.Motor function of children were evaluated by gross motor function measure-88 (GMFM-88) after half a year. Results After treatment,GMFM-88 score of d zone and e zone in two groups was higher than that before treatment respectively,im-provement amplitude in group B was even greater,with statistical difference(P<0.05). Conclusion The motor function in children with cerebral palsy has correlation with their intelligence.On the basis of receiving same rehabilitation,children with a higher intelligence have a higher improvement in gross motor function.%目的:分析脑瘫患儿智力与粗大运动发育的关系。方法本院2011年1月~2013年1月共收治56例脑瘫患儿,经过智商评估,将评分为50~60分者划分为A组(30例),将评分为90~100分划分为B组(26例)。两组患儿都接受常规康复治疗,半年后经粗大运动功能量表88项(GMFM-88)评估患儿的运动功能。结果治疗后,两组患儿d、e区的GMFM-88评分均较治疗前提高,B组的提高幅度更大,差异均有统计学意义(P<0.05)。结论脑瘫患儿的运动功能与其智力有关,在接受同等康复治疗的基础上,智力较高患儿的粗大运动功能改善程度更高。

  15. Longitudinal changes in health-related quality of life in preschool children with cerebral palsy of different levels of motor severity.

    Science.gov (United States)

    Lai, Chih-Jou; Chen, Chung-Yao; Chen, Chia-Ling; Chan, Pei-Ying Sarah; Shen, I-Hsuan; Wu, Ching-Yi

    2017-02-01

    When setting goals for cerebral palsy (CP) interventions, health-related quality of life (HRQoL) is an important outcome. To compare longitudinal changes in HRQoL in children with CP of different levels of motor severity. Seventy-three children with CP were collected and classified into three groups based on Gross Motor Function Classification System (GMFCS) levels. HRQoL was assessed by parent's proxy of the TNO-AZL Preschool Quality of Life (TAPQOL) at baseline and 6 months later. Children with GMFCS level V had a lower total TAPQOL score and scores in all domains than those with level I-IV (pearly identify children at risk of a poor HRQoL and plan timely treatment strategies to enhance the HRQoL of children with CP. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

  16. German translation of the caregiver priorities and child health index of life with disabilities questionnaire: test-retest reliability and correlation with gross motor function in children with cerebral palsy.

    Science.gov (United States)

    Jung, Nikolai H; Brix, Olga; Bernius, Peter; Schroeder, A Sebastian; Kluger, Gerhard J; Beyerlein, Andreas; Weir, Shannon; von Kries, Rudiger; Narayanan, Unni G; Mall, Volker; Berweck, Steffen

    2014-10-01

    We aimed to translate the Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD) questionnaire into German and to evaluate its reliability and validity by studying the association between CPCHILD scores and gross motor function as measured by the gross motor function classification system (GMFCS) in children with cerebral palsy (CP). The original CPCHILD questionnaire and manual were translated and back translated. It was administered to primary caregivers of persons with CP (GMFCS levels III-V) and was completed a second time 2 weeks after the first to measure test-retest reliability (n = 17). Primary caregivers of 68 children with CP; GMFCS level III (n = 14), level IV (n = 28), and level V (n = 26) completed the questionnaire. Mean total CPCHILD scores across GMFCS levels were 67.1 ± 14.9 for GMFCS level III, 56.6 ± 11.8 for level IV, and 44.3 ± 12.9 for level V. Good correlation (r =  - 0.56) was observed between GMFCS and total scores test-retest reliability showed intraclass correlation coefficients between 0.4 and 0.9. The German CPCHILD yielded similar test-retest reliability and score distributions across the GMFCS level as the original version. The best correlations were observed for domains that are close to the functional deficits.

  17. Avaliação da motricidade ampla e fina na Síndrome de Williams: relato de caso Findings of the gross and fine motor in the Syndrome William Case: case Report

    Directory of Open Access Journals (Sweden)

    Marcela Melo Almeida

    2010-12-01

    Full Text Available O presente estudo teve como objetivo analisar os achados da motricidade ampla e fina de uma criança de 8 anos de idade portador da Síndrome de Williams. Foram coletados dados biológicos da criança e da mãe durante a gestação e história pré, peri e pós-natal da criança e suas condições clínicas. O desenvolvimento motor amplo e fino foi avaliado pelo Inventário Portage Operacionalizado. Os resultados demonstraram que a criança revelou maior dificuldade na motricidade fina em relação à ampla, apresentando dificuldades na escrita, em manipular objetos que necessite fazer movimento de pronação e supinação e dificuldade no movimento de pinça.This study aimed to analyze the findings of motor and fine of an 8 years old holder of Williams Syndrome. Data were collected biological child and mother during pregnancy and history of pre, peri and postnatal child and their clinical conditions. The development and fine motor function was assessed by Portage Guide. The results showed that children showed greater difficulty with fine motor skills in relation to gross skills, having difficulty in writing, to manipulate objects that need to make movement of pronation and supination and difficulty in of the pincer movement.

  18. 76 FR 45741 - Approval and Promulgation of Air Quality Implementation Plans; Pennsylvania; Diesel-Powered Motor...

    Science.gov (United States)

    2011-08-01

    ... Commonwealth of Pennsylvania for the purpose of incorporating the Commonwealth's Diesel-Powered Motor Vehicle... AGENCY 40 CFR Part 52 Approval and Promulgation of Air Quality Implementation Plans; Pennsylvania; Diesel-Powered Motor Vehicle Idling Act AGENCY: Environmental Protection Agency (EPA). ACTION: Proposed...

  19. Change in basic motor abilities, quality of movement and everyday activities following intensive, goal-directed, activity-focused physiotherapy in a group setting for children with cerebral palsy

    Directory of Open Access Journals (Sweden)

    Kaale Helga K

    2010-04-01

    Full Text Available Abstract Background The effects of intensive training for children with cerebral palsy (CP remain uncertain. The aim of the study was to investigate the impact on motor function, quality of movements and everyday activities of three hours of goal-directed activity-focused physiotherapy in a group setting, five days a week for a period of three weeks. Methods A repeated measures design was applied with three baseline and two follow up assessments; immediately and three weeks after intervention. Twenty-two children with hemiplegia (n = 7, diplegia (n = 11, quadriplegia (n = 2 and ataxia (n = 2 participated, age ranging 3-9 y. All levels of Gross Motor Function Classification System (GMFCS and Manual Ability Classification System (MACS were represented. Parents and professionals participated in goal setting and training. ANOVA was used to analyse change over repeated measures. Results A main effect of time was shown in the primary outcome measure; Gross Motor Function Measure-66 (GMFM-66, mean change being 4.5 (p Conclusions Basic motor abilities and self-care improved in young children with CP after goal-directed activity-focused physiotherapy with involvement of their local environment, and their need for caregiver assistance in self-care and mobility decreased. The individualized training within a group context during a limited period of time was feasible and well-tolerated. The coherence between acquisition of basic motor abilities and quality of movement should be further examined.

  20. Desempenho motor grosso e sua associação com fatores neonatais, familiares e de exposição à creche em crianças até três anos de idade Gross motor performance and its association with neonatal and familial factors and day care exposure among children up to three years old

    Directory of Open Access Journals (Sweden)

    DCC Santos

    2009-04-01

    Full Text Available OBJETIVO: Analisar o desempenho motor grosso e sua associação com fatores neonatais, familiares e de exposição à creche em crianças com até três anos de idade, frequentadoras de creches públicas. MÉTODOS: Estudo transversal no qual foram avaliadas 145 crianças (58 com idade entre 6-11 meses, 54 entre 12-23 meses e 33 entre 24-38 meses frequentadoras de seis creches públicas de Piracicaba (SP. O teste Peabody Developmental Motor Scale-2 foi utilizado para avaliação do desempenho motor grosso global e subtestes motores que compõem a escala (Reflexos, Habilidades Estacionárias, Habilidades de Locomoção e Manipulação de Objetos. Foram coletados dados neonatais, familiares e de exposição à creche e pesquisada a associação desses ao desempenho motor suspeito de atraso. RESULTADOS:A prevalência de suspeita de atraso no desempenho motor grosso foi de 17%, com desvantagens em crianças menores de 24 meses e em Habilidades de Locomoção; encontrada associação de risco de desempenho motor grosso suspeito de atraso e renda familiar, e suspeita de atraso em Habilidades de Locomoção e escolaridade paterna. Crianças cujas famílias tinham renda mensal até R$700,00 estavam 2,81 vezes mais expostas a apresentar desempenho motor grosso suspeito de atraso. Crianças cujos pais tinham até oito anos de escolaridade apresentaram risco 4,63 vezes maior de atraso em Habilidades de Locomoção. Não foi encontrada associação de risco com as demais variáveis. CONCLUSÃO:Os resultados apontam maior atenção ao desenvolvimento motor durante os primeiros 24 meses de crianças que frequentam creches, especialmente as inseridas em famílias com menor renda mensal e cujos pais têm menos escolaridade.OBJECTIVE: To analyze gross motor performance and its association with neonatal and familial factors and day care exposure among children up to three years of age attending public day care centers. METHODS:This was a cross-sectional study that

  1. NM Gross Receipts Baseline

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This layer represents boundaries for New Mexico's gross receipts tax districts as identified on the "Gross Receipts Tax Rate Schedule" published by the Taxation and...

  2. Gross National Happiness

    DEFF Research Database (Denmark)

    Giri, Krishna Prasad; Kjær-Rasmussen, Lone Krogh

    This paper investigates practices related to the ideology of infusing Gross National Happiness (GNH) into school curriculum, the effectiveness of the meditation and mind training and the implication of GNH for school environment. It also explores how GNH ambience has been managed and practiced...... of Gross National Happiness and Educating for Gross National happiness....

  3. DEVELOPMENT OF MOTOR QUALITIES ADOLESCENTS IN IMPROVING COMPLEX

    Directory of Open Access Journals (Sweden)

    Abdullahat Rashidovich Mamaev

    2015-02-01

    Full Text Available The purpose of the study the actualization of the problem of improvement of children and adolescents in the wellness center, which consists in urgent need of modernization sports and recreation activities with adolescents 13-14 years in terms of stay in the health complex. The paper presents the survey of adolescents Romodanovskaya secondary school number 3 of the Republic of Mordovia. Identified motor abilities using tests of physical fitness. Application of the results will increase the efficiency of the process of physical education, positive impact on the formation of personality traits of adolescents and strengthen the health effect of physical exercise.

  4. 77 FR 51706 - Gross Combination Weight Rating (GCWR); Definition

    Science.gov (United States)

    2012-08-27

    ... Federal Motor Carrier Safety Administration 49 CFR Parts 383 and 390 RIN 2126-AB53 Gross Combination Weight Rating (GCWR); Definition AGENCY: Federal Motor Carrier Safety Administration (FMCSA), DOT. ACTION: Direct final rule; request for comments. SUMMARY: The Federal Motor Carrier Safety Administration...

  5. [Quality of neuronal signal registered in the monkey motor cortex with chronically implanted multiple microwires].

    Science.gov (United States)

    Bondar', I V; Vasil'eva, L N; Badakva, A M; Miller, N V; Zobova, L N; Roshchin, V Iu

    2014-01-01

    Disconnection of central and peripheral parts of motor system leads to severe forms of disability. However, current research of brain-computer interfaces will solve the problem of rehabilitation of patients with motor disorders in future. Chronic recordings of single-unit activity in specialized areas of cerebral cortex could provide appropriate control signal for effectors with multiple degrees of freedom. In present article we evaluated the quality of chronic single-unit recordings in the primary motor cortex of awake behaving monkeys obtained with bundles of multiple microwires. Action potentials of proper quality were recorded from single units during three months. In some cases up to 7 single units could be extracted on a channel. Recording quality stabilized after 40 days since electrodes were implanted. Ultimately, functionality of multiple electrodes bundle makes it highly usable and reliable instrument for obtaining of control neurophysiologic signal from populations of neurons for brain-computer interfaces.

  6. The impact of non-motor symptoms on health-related quality of life of patients with Parkinson's disease

    NARCIS (Netherlands)

    Martinez-Martin, P.; Rodriguez-Blazquez, C.; Kurtis, M.M.; Chaudhuri, K.R.; Bloem, B.R.; Esselink, R.A.

    2011-01-01

    BACKGROUND: Non-motor symptoms are detrimental to health-related quality of life (HRQoL) of Parkinson's disease patients. In this study, the Non-Motor Symptoms Scale (NMSS) was used to assess the impact of the non-motor symptoms on HRQoL of Parkinson's disease patients. METHODS: In a multicenter, in

  7. Effects of Sensory Integration Training on children with delayed Gross Motor%发育落后儿童经感觉统合训练后的粗大运动能力变化的临床分析

    Institute of Scientific and Technical Information of China (English)

    朱晓芸; 李惠; 苏怡; 侯方华; 翟淳; 朱默

    2011-01-01

    目的:分析发育落后儿童经感觉统合训练后的粗大运动能力变化.方法:选择接受感觉统合训练的粗大运动发育落后儿童25例,训练期间接受过2次PDMS-GM评估,评估间隔6个月.用Peabody粗大运动发育评估(Peabody Development Measure Scale Gross Motor,PDMS-GM)的固定、移动和操作能区的原始得分进行分析.结果:PDMS-GM的固定能力分值和移动能力分值在两次评估结果间有显著性差异(P<0.001);而操作能力分值没有显著性差异(P>0.05).结论:经过6个月的感觉统合训练,粗大运动发育落后儿童固定和移动能力水平明显改善.

  8. Non-motor symptoms and quality of life in patients with Parkinson's disease in Northeastern Mexico.

    Science.gov (United States)

    Estrada-Bellmann, Ingrid; Camara-Lemarroy, Carlos R; Calderon-Hernandez, Hector J; Rocha-Anaya, Jonathan J; Villareal-Velazquez, Hector J

    2016-06-01

    Parkinson's disease (PD) is a multisystem disorder, and besides the classical motor symptoms it is now known that patients also suffer from a variety of non-motor symptoms that adversely affect quality of life (QOL). Since data on Hispanic populations on this issue are scarce, our aim was to study the association of non-motor symptoms and QOL in patients with PD. This study is a cross-sectional observational study involving patients with PD using the following instruments: Quality of Life Questionnaire (PDQ-8), Unified Parkinson's Disease Rating Scale part III (UPDRS part III), and Non-Motor Symptom Scale (NMSS). We included 52 patients, with a median age of 64 years. Sleep/fatigue and mood/cognitive domains were the most common non-motor symptoms. Only sleep/fatigue, mood/cognition and gastrointestinal domains were associated with worse PDQ-8 scores. After adjusting for confounding variables, NMSS scores were significantly associated with a high PDQ-8 score. Higher NMSS scores were associated with and predicted higher PDQ-8 scores. The focus of management in PD should shift to a comprehensive strategy that incorporates care of non-motor symptoms and improves QOL.

  9. Influencing effect of non-motor symptom clusters on quality of life in Parkinson's disease.

    Science.gov (United States)

    Kim, Sung Reul; So, Hui Young; Choi, Eunju; Kang, Jeong Hee; Kim, Hye Young; Chung, Sun Ju

    2014-12-15

    The heterogeneity of non-motor symptoms (NMSs) in patients with Parkinson's disease (PD) has been well established. We investigated the effects of NMS as a cluster on the quality of life (QoL) of patients with PD. We recruited 180 patients with PD and used a descriptive cross-sectional study design. To determine interrelationships between non-motor symptoms, a principal component analysis with varimax rotation was performed based on the Non-Motor Symptoms Scale (NMSS). Among 180 PD patients, 172 patients (96.6%) had experienced at least 2 domains of concurrent non-motor symptoms. There were two types of non-motor symptom clusters (NMSCs). The first non-motor symptom cluster (NMSC1) consisted of mood, sleep/fatigue, attention/memory, urinary symptoms, and miscellaneous symptoms, while the second non-motor symptom cluster (NMSC2) consisted of perceptual problems, gastrointestinal issues, and cardiovascular symptoms. The elderly PD patients were more often categorized as experiencing NMSC2 than NMSC1. Our subgroup cluster analysis showed that PD patients with higher scoring NMS had significantly poorer QoL in both NMSC1 and NMSC2 subgroups, with subgroup-specific patterns. NMSCs also emerged differently depending on sex and the severity of PD. In conclusion, PD patients with NMS may have a specific cluster pattern of NMSC. Some NMSCs may have a negative impact on QoL. Understanding the clinical implications of NMSC in PD patients may provide better therapeutic interventions.

  10. Quality of Life, Motor Ability, and Weight Status Among School-aged Children of Tehran

    Directory of Open Access Journals (Sweden)

    M Asghari Jafarabadi

    2012-05-01

    Full Text Available Background: This study aimed to investigate the relationship between health Related quality of life (HRQOL, motor ability and weight status in children.Methods:Two hundred forty children ages 9-11 yr who were selected via multi stage cluster sampling design from primary schools in the Shahre Qods at Tehran,Iran in 2007. HRQOL was assessed by the pediatric quality of life inventory (PedsQL.Motor abilities were determined by a Basic Motor Ability Test (BMAT.Body mass index was calculated to determine weight status.Results: Psychosocial,physical,and total health related qualities of life (all P< 0.05 were significantly lowered for obese when compared to normal weight participants. In contrast, the mean scores for each HRQOL domain in motor ability category were not significant. No significant interaction was apparent when examining HRQOL scores, BMAT variables and weight status.Conclusion:Regardless of motor ability levels,reducing body weight among children is a potential avenue for promoting improved HRQOL.Over weight boys reported significantly worse school performance than over weight girls, suggesting the importance in considering such dimensions in programs aimed at further understanding obesity in children.

  11. Study on the effect of intelligence on the gross motor function of children with cerebral palsy%脑瘫患儿智力改善对粗大运动功能影响研究

    Institute of Scientific and Technical Information of China (English)

    王立苹; 王丹; 孙奇峰; 李雪梅; 杨本利; 李晓捷

    2015-01-01

    Objective:To describe the effect of intelligence on the gross motor function of children with cerebral palsy.Methods:50 ca-ses of 4-6 years old, GMFCS II level, mild mental retardation children with spastic diplegia cerebral palsy , according to the random number table method were randomly divided into treatment group (n=25) and control group (n=25).The two groups were treated with conventional rehabilitation method of rehabilitation treatment, the treatment group with brain function biofeedback treatment.After 3 months, the intelligence quotient and GMFM88 were assessed again.The motor and intelligence ability were contrasted of treatment and control group.The differences were observed between treatment and control group.Results:The score of China Binet Intelligence Scales increased in treatment group.The score of dimension D and E increased after treatment in both treatment and control group.The improve-ment in treatment group was larger than control group.Conclusion:The improvement of intelligence can promote the ability of the gross motor.%目的:判断脑瘫患儿智力改善对粗大运动功能的影响. 方法:4 ~6 岁轻度智力落后、GMFCS II级痉挛型双瘫脑瘫患儿50例,按随机数表法随机分为治疗组(n=25)和对照组(n=25). 2组均采用常规康复方法进行康复治疗,治疗组加脑功能生物反馈治疗,治疗前和治疗3个月后分别评定中国比内智力量表、粗大运动功能,观测2组患儿智力水平、粗大运动功能量表( GMFM-88)之 D 区 、E 区分值及粗大运动功能评定分值改善程度以比较观察疗效. 结果: 治疗组智力水平较治疗前有改善( P<0 .05 ). 治疗后2组GMFM-88之D区和E区评分较治疗前有改善( P<0 .05 ) ,治疗组上述指标均比对照组显著提高(P<0.05). 治疗组粗大运动功能评定分值改善程度明显优于对照组. 结论:脑瘫患儿智力改善会促进粗大运动功能发育.

  12. Developing an Industry-Education Community: The United Auto Workers/General Motors Quality Educator Program

    Science.gov (United States)

    Jacobson, Stephen; Walline, James

    2010-01-01

    In this paper we review the evolution of the Quality Educator Program (QEP), a program sponsored by the United Auto Workers (UAW)/General Motors (GM) that employs school teachers, administrators, and college and university faculty each summer in GM assembly plants. The QEP provides educators and those in industry the unique opportunity to interact…

  13. An Improved Power Quality BIBRED Converter-Based VSI-Fed BLDC Motor Drive

    Science.gov (United States)

    Singh, Bhim; Bist, Vashist

    2014-01-01

    This paper presents an IHQRR (integrated high-quality rectifier regulator) BIBRED (boost integrated buck rectifier energy storage DC-DC) converter-based VSI (voltage source inverter)-fed BLDC (brushless DC) motor drive. The speed control of BLDC motor is achieved by controlling the DC link voltage of the VSI using a single voltage sensor. This allows VSI to operate in fundamental frequency switching mode for electronic commutation of BLDC motor which reduces the switching losses due to high-frequency switching used in conventional approach of PWM (pulse width modulation)-based VSI-fed BLDC motor drive. A BIBRED converter is operated in a dual-DCM (discontinuous conduction mode) thus using a voltage follower approach for PFC (power factor correction) and DC link voltage control. The performance of the proposed drive is evaluated for improved power quality over a wide range of speed control and supply voltage variation for demonstrating the behavior of proposed drive. The power quality indices thus obtained are within the recommended limits by international PQ (power quality) standards such as IEC 61000-3-2.

  14. Power-Quality Improvement in PFC Bridgeless SEPIC-Fed BLDC Motor Drive

    Science.gov (United States)

    Singh, Bhim; Bist, Vashist

    2013-06-01

    This article presents a design of a power factor correction (PFC)-based brushless DC (BLDC) motor drive. The speed control of BLDC motor is achieved by controlling the DC link voltage of the voltage source inverter (VSI) feeding BLDC motor using a single voltage sensor. A front-end bridgeless single-ended primary inductance converter (SEPIC) is used for DC link voltage control and PFC operation. A bridgeless SEPIC is designed to operate in discontinuous inductor current mode (DICM) thus utilizing a simple control scheme of voltage follower. An electronic commutation of BLDC motor is used for VSI to operate in a low-frequency operation for reduced switching losses in the VSI. Moreover, a bridgeless topology offers less conduction losses due to absence of diode bridge rectifier for further increasing the efficiency. The proposed BLDC motor drive is designed to operate over a wide range of speed control with an improved power-quality at the AC mains under the recommended international power-quality standards such as IEC 61000-3-2.

  15. Loovkirjutamist õpetab Philip Gross

    Index Scriptorium Estoniae

    2011-01-01

    T.S. Elioti luulepreemia laureaat Philip Gross on Tallinna Ülikooli talvekooli rahvusvahelise kursuse "Poetry: A Conversation between Words and Silence" läbiviija. Oma seminarides keskendub ta lisaks loovkirjutamisele ka loova lugemise vajadusele

  16. Gross Sales Tax Collections

    Data.gov (United States)

    City of Jackson, Mississippi — This data is captured directly from the MS Department of Revenue and specific to the City of Jackson. It is compiled from Gross Sales Tax reported by taxpayers each...

  17. Preoperative motor deficit in lumbar disc herniation and its influence on quality of life

    Directory of Open Access Journals (Sweden)

    Asdrubal Falavigna

    2014-12-01

    Full Text Available Objective: Evaluate the impact of motor deficit (MD on pain, disability, depression and quality of life measures of patients with LDH prior to a specific treatment. Methods: A total of 254 consecutively enrolled patients with LDH associated to neurological impairment and sciatica who have not responded to conservative treatment were evaluated. After reviewing the exclusion criteria, 168 were included. Validated instruments were used in the preoperative period to evaluate: pain, disability, quality of life, anxiety and depression. Results: Normal motor strength was observed in 57 (33.9% patients and MD was observed in 111 (66.1% cases. No statistically significant differences were observed between patients with and without MD regarding gender, age, level of herniation, lateralization and workers' compensation. Regarding quality of life, no difference was detected in the eight domains of SF36 and between the PCS and MCS groups. The only difference observed was a higher disability rate in the MD group, with the mean ODI difference being 7.84 (CI 95%: 1.82â€"13.87; p=0.011. Motor weakness was observed in 35.1% (n=39/111 of patients who had abnormal results at the motor evaluation, being related to severity (X²: 46.058; p<0.0001. Conclusion: In patients with LDH without prior specific treatment, the presence of MD did not modify the pain, disability, depression measures and self-reported quality of life. The MD has no discriminative power for measures of quality of life in patients with LDH.

  18. Effect of Grade of Gross Motor Function Classification System on Outcome of Selective Posterior Rhizotomy for Children with Ce- rebral Palsy%不同粗大运动功能分级脑性瘫痪患儿选择性脊神经后根切断术疗效分析

    Institute of Scientific and Technical Information of China (English)

    张国勋; 李星; 成莲英; 舒鹏飞; 陶莹

    2014-01-01

    Objective To observe the outcome of selective posterior rhizotomy (SPR) for cerebral palsy children with different gross mo-tor function before operation. Methods 132 cases accepted SPR were grouped with their grades of Gross Motor Function Classification Sys-tem (GMFCS), and their outcomes were compared. Results The muscle tension, gross motor function and activities of daily living improved in all the groups after SPR (P<0.01). The muscle tone decreased the most in grade I (P<0.01). The gross motor ability improved the most in grade II(P<0.001). The activities of daily living improved the most in grades I and IV (P<0.05). Conclusion The outcome of SPR for chil-dren with cerebral palsy is various with the gross motor function before operation.%目的:比较不同粗大运动功能分级脑瘫患儿选择性脊神经后根切断术(SPR)的效果。方法对132例实行SPR手术治疗的患儿按粗大运动功能分级系统(GMFCS)分级,比较各组间疗效。结果不同GMFCS分级脑瘫患儿SPR术后肌张力、粗大运动功能及日常生活活动能力均有明显改善(P<0.01);GMFCSⅠ级者肌张力下降更为明显(P<0.01);GMFCSⅡ级者粗大运动功能改善更为显著(P<0.001);GMFCSⅠ级与GMFCSⅣ级者日常生活活动能力较其余各组改善更为明显(P<0.05),两组之间无显著差异性(P=0.067)。结论 SPR手术对于不同GMFCS分级脑瘫患儿的疗效存在差异。

  19. Effect of motor learning on gross motor function and banlanced function in children with spastic cerebral palsy%运动学习训练对痉挛型脑瘫患儿运动功能和平衡功能的影响

    Institute of Scientific and Technical Information of China (English)

    谷艳霞; 袁俊英

    2016-01-01

    Objective:To explore the impact of motor learning( ML) and neurodevelopment therapy( NDT) on spastic diplegia chil-dren with cerebral palsy about GMFM D、E regions,and Berg balance scale.Methods:The prospective randomized control trial was used , we stratified randomly 60 children diagnosed spastic diplegia cerebral palsy on the basis of GMFCS( gross motor function classification sys-tem) and ages into two groups,one group received ML,another received NDT.they all trained 12 weeks, the gross motor function measure D、E regions ,and Berg balance scale were seperatedly observed.Results:There were significant differeces in two groups about the pre-and post-treatment valuse of GMFM D、E regions and Berg balance scale (p>0.05).The values of post-training within two groups had significant differeces in GMFM E region and Berg balance scale(p0.05).Conclusion:The ol-der children with spastic diplegia in ML group had more effect than ones in NDT group in gross motor and banlance function .%目的:探讨运动学习训练及神经发育训练方法在脑性瘫痪儿童粗大运动功能及平衡功能的影响。方法:采用前瞻性随机对照研究,依据年龄和粗大运动功能分级分层,纳入60名痉挛型脑瘫患儿,层内随机分为运动学习组和神经发育组,分别经过12周训练,观察2种方法对粗大运动功能量表D区、E区分数以及Berg平衡量表测评的影响。结果:运动学习组和神经发育组均可以提高脑瘫患儿运动功能及平衡功能(训练前后,均有p<0.05);2组比较,训练后D区分数比较,t=1.858,p=0.068,尚不能说明2组有统计学差异;训练后E区分数比较,t=2.038,p=0.046,2组差异有统计学意义。训练后Berg评分比较,t=2.503,p=0.015,2组差异具有统计学意义。结论:对年龄较大的痉挛型脑性瘫痪儿童来说,运动学习组在粗大运动功能改善和平衡功能提高方面优于神经发育组。

  20. A study of the characteristics of and correlation between proprioception ability and gross motor development level of children aged 3 to 6%3~6岁幼儿本体感觉能力和粗大动作发展水平的特征及相关性研究

    Institute of Scientific and Technical Information of China (English)

    吴升扣; 姜桂萍; 龚睿; 李林; 刘威彤

    2016-01-01

    采用X-SENS三维关节位置觉测量系统测试幼儿的膝关节本体感觉能力,采用粗大动作发展测试(TGMD-2)对受试者进行移动性动作和操作性动作测试,评估幼儿粗大动作发展水平.比较不同年龄幼儿本体感觉能力、粗大动作发展水平特点,并探讨二者的相关性.结果发现:(1)幼儿本体感觉能力存在显著的年龄差异,随着年龄的增加,幼儿本体感觉能力不断提高,3~6岁是本体感觉能力迅速发展的时期;(2)3~6岁是幼儿动作发展的关键时期,粗大动作发展水平存在显著的年龄差异.随着年龄增加,幼儿粗大动作发展水平不断提高,但尚未出现显著的性别差异;(3)幼儿的本体感觉能力与粗大动作发展水平之间有非常显著的正相关关系,幼儿的本体感觉越好,其粗大动作发展水平越高,而与幼儿身体质量指数之间没有显著的相关关系.人类动作的学习与发展离不开本体感觉,人们应该为幼儿提供更多的运动机会,让其在运动中体会丰富的本体感觉,学习多样的运动模式,获取全面的动作参数,从而帮助他们建立和完善动作基模.%The authors measured children's knee joint proprioception ability by using X-SENS 3D joint position sense measurement system, and the testees' moving actions and operating actions by using gross motor development test (TGMD-2), evaluated children's gross motor development level, compared the characteristics of proprioception ability and gross motor development level of children of different ages, probed into their correlation, and revealed the following findings: 1) children's proprioception ability is significantly age different, enhanced as their age increases, and constantly improved; ages 3 to 6 is a period when proprioception ability develops rapidly; 2) ages 3 to 6 is a critical period for children movement development, in which gross motor development level is significantly age different; as their age

  1. Relation of Subjective Quality of Life to Motor Symptom Profile in Parkinson's Disease

    OpenAIRE

    Appleman, Erica R.; Karina Stavitsky; Alice Cronin-Golomb

    2011-01-01

    Parkinson's disease (PD) presents with extensive heterogeneity in symptomatology, inviting examination of disease subtypes. One significant categorization is by whether patients present at onset with tremor as the dominant symptom (TD) or with nontremor symptoms (NTD). We examined differences in quality of life between TD and NTD patients using the Parkinson's Disease Questionnaire-39 (PDQ-39), correlating performance with aspects of motor function as indexed by the Unified Parkinson's Diseas...

  2. Dysphagia in Cerebral Palsy and the Relationship between Levels of Gross Motor Function Classification System%脑瘫患儿吞咽障碍及其与粗大运动功能分级的关系

    Institute of Scientific and Technical Information of China (English)

    姜艳平; 侯梅; 窦坦凤; 李文妍; 杨会娟

    2010-01-01

    目的 探讨脑瘫患儿吞咽障碍的特点及其与粗大运动功能分级的关系.方法 对2009年6月~2010年6月在本院脑瘫康复中心门诊及住院治疗的脑瘫患儿进行吞咽障碍调查、口运动评估和粗大运动功能评估,分析不同粗大运动功能分级的脑瘫患儿的吞咽问题.结果 105例脑瘫患儿中,58例(56.2%)存在吞咽障碍,其中21.9%为轻度吞咽困难,34.3%为中重度吞咽困难.不同粗大运动功能分级 (Gross Motor Function Classification System, GMFCS)的吞咽障碍调查(Dysphagia Disorders Survey, DDS)及口运动评分不同(P<0.001).DDS和口运动评分与GMFCS水平的相关系数分别为0.767和-0.504(P<0.01).不同GMFCS分级的吞咽障碍和口运动障碍不同(P<0.001),DSS分级、口运动障碍和GMFCS分级呈正相关关系(r=0.55, r=0.27).结论 脑瘫患儿吞咽障碍主要发生在口腔期,GMFCS水平越高,吞咽障碍和口运动障碍的比例越高,程度越重,GMFCS水平Ⅳ~Ⅴ级者吞咽障碍和口运动障碍更突出.

  3. Impacts of dance on non-motor symptoms, participation, and quality of life in Parkinson disease and healthy older adults.

    Science.gov (United States)

    McNeely, M E; Duncan, R P; Earhart, G M

    2015-12-01

    Evidence indicates exercise is beneficial for motor and non-motor function in older adults and people with chronic diseases including Parkinson disease (PD). Dance may be a relevant form of exercise in PD and older adults due to social factors and accessibility. People with PD experience motor and non-motor symptoms, but treatments, interventions, and assessments often focus more on motor symptoms. Similar non-motor symptoms also occur in older adults. While it is well-known that dance may improve motor outcomes, it is less clear how dance affects non-motor symptoms. This review aims to describe the effects of dance interventions on non-motor symptoms in older adults and PD, highlights limitations of the literature, and identifies opportunities for future research. Overall, intervention parameters, study designs, and outcome measures differ widely, limiting comparisons across studies. Results are mixed in both populations, but evidence supports the potential for dance to improve mood, cognition, and quality of life in PD and healthy older adults. Participation and non-motor symptoms like sleep disturbances, pain, and fatigue have not been measured in older adults. Additional well-designed studies comparing dance and exercise interventions are needed to clarify the effects of dance on non-motor function and establish recommendations for these populations.

  4. Different configurations of laser vibrometry for quality control of electric motors with external rotor

    Science.gov (United States)

    Chiariotti, P.; Ciarmatori, R.; Castellini, P.; Bastari, A.; Paone, N.

    2012-06-01

    When designing a test bench for vibration based diagnostics of machines with external rotating parts, such as electric motors having a rotating external rotor, one may choose among single point vibrometry, rotational vibrometry or in-plane vibrometry. The paper discusses these different options, taking the assumption that the minimum number of measuring instruments is preferred when instrumenting a quality control system and provides an insight into advantages and limitations of each instrument. In particular the following issues are discussed: a) possible installation lay-outs; b) alignment problems (and possible advantages for diagnostics), c) typical signals and diagnostic features which can be observed. The research presented refers to electric motors for home appliances, but potentially has wider application fields to other rotating machines.

  5. Postural control, motor skills, and health-related quality of life in children with hearing impairment: a systematic review.

    Science.gov (United States)

    Rajendran, Venkadesan; Roy, Finita Glory; Jeevanantham, Deepa

    2012-04-01

    Children with hearing impairment have balance and motor deficits primarily due to concomitant damage to the vestibular structures. Psycho-intellectual and social developmental disorders, as well as elimination of social activities and participation may diminish health-related quality of life in these children. Despite the documentation, assessment of balance, motor deficits, and health-related quality of life of these children are not included in the educational program, unless obvious neurological or orthopedic disorders are diagnosed. The objective of this review was to systematically analyze the available information in the literatures regarding the postural control, motor skills, and health-related quality of life in children with hearing impairment. Searches of data sources PubMed, MEDLINE, CINHAL, EMBASE, SCOPUS, ISI of web science, Cochrane Library, and AMED database were performed from the earliest to 7 February 2011. Study eligibility criteria included non-interventional studies that addressed postural control, motor skills, and health-related quality of life in children with hearing impairment. For each eligible article, data were extracted using custom-designed forms by a single investigator. Collected data included study demographics, study design, study population, sample size, outcome measures, and results. A total of 11,872 articles were retrieved, and 17 articles were found to be eligible for inclusion. Of the 17 articles included, five articles analyzed health-related quality of life alone, two articles analyzed balance alone, two articles analyzed motor performance alone, two articles analyzed vestibular dysfunction alone, two articles included both vestibular dysfunction and balance, two articles included both motor performance and balance, and two articles investigated vestibular, balance as well as motor impairments. Heterogeneity of the studies prevented us from performing methodological quality assessment and meta-analysis. The results of

  6. Impact of Senior Dance on emotional and motor parameters and quality of life of the elderly

    Directory of Open Access Journals (Sweden)

    José Alípio Garcia Gouvêa

    2017-01-01

    Full Text Available To verify the effects of Senior Dance on cognitive and motor parameters and quality of life of elderly people. Methods: pre-experimental study with pre and post-test for a group with a convenience sample composed of 20 elderly of both genders. Participants were evaluated through the agility test, the balance scale and inventories of depression and anxiety, and a questionnaire on quality of life. Elderly people participated in a physical activity program featured as Senior Dance for a period of three months. Results: the intervention resulted in improved scores in most of the variables, with significant results only for anxiety classified as temporary emotional state. Conclusion: Senior Dance was effective as physical exercise to improve the quality of life, as well as the physical and mental health of the elderly.

  7. An Improved Power Quality Based Sheppard-Taylor Converter Fed BLDC Motor Drive

    Science.gov (United States)

    Singh, Bhim; Bist, Vashist

    2015-12-01

    This paper deals with the design and analysis of a power factor correction based Sheppard-Taylor converter fed brushless dc motor (BLDCM) drive. The speed of the BLDCM is controlled by adjusting the dc link voltage of the voltage source inverter (VSI) feeding BLDCM. Moreover, a low frequency switching of the VSI is used for electronically commutating the BLDCM for reduced switching losses. The Sheppard-Taylor converter is designed to operate in continuous conduction mode to achieve an improved power quality at the ac mains for a wide range of speed control and supply voltage variation. The BLDCM drive is designed and its performance is simulated in a MATLAB/Simulink environment to achieve the power quality indices within the limits of the international power quality standard IEC-61000-3-2.

  8. Correlation between the Quality of Attention and Cognitive Competence with Motor Action in Stroke Patients

    Directory of Open Access Journals (Sweden)

    S. Arsic

    2015-01-01

    Full Text Available It is considered that cognitive function and attention could affect walking, motion control, and proper conduct during the walk. To determine whether there is a difference in the quality of attention and cognitive ability in stroke patients and patients without neurological damage of similar age and education and to determine whether the connection of attention and cognition affects motor skills, the sample consisted of 50 stroke patients tested with hemiparesis, involved in the process of rehabilitation, and 50 persons, randomly chosen, without neurological damage. The survey used the following tests: Trail Making (TMT A B test for assessing the flexibility of attention; Mini-Mental State Examination (MMSE for cognitive status; Functional Ambulation Category (FAC test to assess the functional status and parameters of walk: speed, frequency, and length of stride; STEP test for assessing the precision of movement and balance. With stroke patients, relationship between age and performance on the MMSE test was marginally significant. The ratio of performance to TMT A B test and years does not indicate statistical significance, while statistical significance between the MMSE test performance and education exists. In stroke patients, performance on MMSE test is correlated with the frequency and length of stride walk. The quality of cognitive function and attention is associated with motor skills but differs in stroke patients and people without neurological damage of similar age. The significance of this correlation can supplement research in neurorehabilitation, improve the quality of medical rehabilitation, and contribute to efficient recovery of these patients.

  9. Relação entre índice de massa corporal e habilidade motora grossa em crianças de quatro a seis anos Relationship between body mass index and gross motor skill in four to six year-old children

    Directory of Open Access Journals (Sweden)

    Fabrizio Zandonadi Catenassi

    2007-08-01

    Full Text Available Este estudo teve por objetivo verificar a relação entre o desempenho em tarefas de habilidade motora grossa com o índice de massa corporal (IMC em meninos e meninas de quatro a seis anos de idade. Para tanto, foram analisadas 27 crianças, sendo 16 meninos e 11 meninas, com idade média de 5,64 ± 0,67 anos. As crianças foram submetidas ao Test of Gross Motor Development - Second Edition (TGMD-2, proposto por Ulrich (2000 e ao Körperkoordinations-test für Kinder (KTK, proposto por Kiphard e Schilling (1974. A pontuação obtida nos dois testes foi reduzida a uma escala comum a ambos. Foi verificada a correlação entre essa escala e o IMC das crianças por meio do teste de correlação de Spearman, com P This study had to aim to verify the relationship between performance in gross motor skill tasks and body mass index (BMI in four to six year-old boys and girls. 27 children were analyzed, 16 boys and 11 girls, mean age of 5.64 ± 0.67 years. The children were submitted to the Test of Gross Motor Development-Second Edition (TGMD-2, proposed by Ulrich (2000 and to the Körperkoordinations-test für Kinder (KTK, proposed by Kiphard and Schilling (1974. The punctuation obtained in the two tests was reduced to a scale common to both. The correlation between this scale and the BMI of the children was verified through the Spearman correlation test, with P < 0.05. No significant interaction was observed among variables when boys and girls were analyzed or when the analysis was conducted with gender distinction. Moreover, no interaction between the BMI and tasks which required higher demand of physical capacities was observed, which should be verified in further studies. It was possible to conclude from our results, that the performance of four to six year-old children in tasks which involved gross motor skill did not relate with BMI.

  10. A DSP based Three Phase Power Quality Analyzer for Motor Drives

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Woo Yong; Jung, Young Gook; Lim, Young Cheol [Chonnam National University, Kwangju (Korea)

    2001-02-01

    This paper presents a digital instrument for a DSP based power quality analysis in three phase power system there current waveform is non-sinusoidal. It is based on stand alone type TMS320C31 DSP (digital signal processor) board and on a special high-speed data acquisition system. Power quality of low power motor drives are analyzed and processed by using a simple average power algorithm, and results of power analysis are displayed by LCD in the proposed system. This paper also goes on to discuss the performance of an instrument prototype, both in terms of accuracy and speed of measurement under the transient and steady state condition. (author). 5 refs., 6 figs., 3 tabs.

  11. Activities of daffy living performance in children with cerebral palsy with different gross motor function%不同粗大运动功能脑性瘫痪患儿的日常生活活动能力分析

    Institute of Scientific and Technical Information of China (English)

    史惟; 杨红; 黄华玉; 陈冬冬

    2009-01-01

    Objective To analyze the activities of daily living (ADL) performance in children with cerebral palsy (CP) with different gross motor function and the correlation between gross motor function and ADL perform-ance. Methods A total of 118 children (81 boys and 37 girls; mean age: 47.7 months, SD: 20.1 months, age range: 18-90 months) with CP were recruited from three different rehabilitation centers in Shanghai. Types of CP included hemiplegia (n = 27), spastic diplegia (n = 53), spastic quadriplegia(n = 29), athetoid (n = 4), dystonic (n = 4), ataxic (n = 1). Gross motor function classification system (GMFCS) and Gross motor function measure (GMFM) were adopted to assess and classify the gross motor function. Pediatric evaluation of disability inventory (PEDI) was adopted to assess ADL performance. Differences of PEDI scores were compared among different levels of GMFCS; and the correlation between GMFCS levels, GMFM scores and PEDI scores were analyzed. Resnlts PEDI scores showed significant differences among CP children with different levels of GMFCS. The PEDI score usually de-creased with the increase of the GMFCS level, and mobility ability was the lowest. Significant correlations were found between PEDI scaled scores and GMFCS (rs = 0.85~0. 50, P < 0.001). Various levels of correlations (r = 0. 85~ 0.54, P<0.001) were found between GMFM scores and PEDI scaled scores. Higher correlations were found between GMFCS levels, GMFM scores and mobility ability. Conclusion ADL performance was significantly different among CP children with different gross motor function. The higher the gross motor function, the better the performance of ADL. Mobility would be improved by promoting gross motor function in CP children. The training of self-care and so-cial communication ability should be emphasized.%目的 分析不同程度粗大运动功能脑瘫患儿的日常生活活动能力表现,明确脑瘫患儿粗大运动功能与日常生活活

  12. Gross decontamination experiment report

    Energy Technology Data Exchange (ETDEWEB)

    Mason, R.; Kinney, K.; Dettorre, J.; Gilbert, V.

    1983-07-01

    A Gross Decontamination Experiment was conducted on various levels and surfaces of the TMI - Unit 2 reactor building in March 1982. The polar crane, D-rings, missile shields, refueling canals, refueling bridges, equipment, and elevations 305' and 347'-6'' were flushed with low pressure water. Additionally, floor surfaces on elevation 305' and floor surfaces and major pieces of equipment on elevation 347'-6'' were sprayed with high pressure water. Selective surfaces were decontaminated with a mechanical scrubber and chemicals. Strippable coating was tested and evaluated on equipment and floor surfaces. The effectiveness, efficiency, and safety of several decontamination techniques were established for the large, complex decontamination effort. Various decontamination equipment was evaluated and its effectiveness was documented. Decontamination training and procedures were documented and evaluated, as were the support system and organization for the experiment.

  13. Similar effects of two modified constraint-induced therapy protocols on motor impairment, motor function and quality of life in patients with chronic stroke

    Directory of Open Access Journals (Sweden)

    Wilma Costa Souza

    2015-03-01

    Full Text Available Modified constraint-induced movement therapy (CIMT protocols show motor function and real-world arm use improvement. Meanwhile it usually requires constant supervision by physiotherapists and is therefore more expensive than customary care. This study compared the preliminary efficacy of two modified CIMT protocols. A two-group randomized controlled trial with pre and post treatment measures and six months follow-up was conducted. Nineteen patients with chronic stroke received 10 treatment sessions distributed three to four times a week over 22 days. CIMT3h_direct group received 3 hours of CIMT supervised by a therapist (n=10 while CIMT1.5h_direct group had 1.5 hours of supervised CIMT+1.5 hours home exercises supervised by a caregiver (n=9. Outcome measures were the Fugl-Meyer Assessment, the Motor Activity Log, and the Stroke Specific Quality of Life Scale. The modified CIMT protocols were feasible and well tolerated. Improvements in motor function, real-world arm use and quality of life did not differ significantly between treated groups receiving either 3 or 1.5 hours mCIMT supervised by a therapist.

  14. Similar Effects of Two Modified Constraint-Induced Therapy Protocols on Motor Impairment, Motor Function and Quality of Life in Patients with Chronic Stroke.

    Science.gov (United States)

    Souza, Wilma Costa; Conforto, Adriana B; Orsini, Marco; Stern, Annette; André, Charles

    2015-03-23

    Modified constraint-induced movement therapy (CIMT) protocols show motor function and real-world arm use improvement. Meanwhile it usually requires constant supervision by physiotherapists and is therefore more expensive than customary care. This study compared the preliminary efficacy of two modified CIMT protocols. A two-group randomized controlled trial with pre and post treatment measures and six months follow-up was conducted. Nineteen patients with chronic stroke received 10 treatment sessions distributed three to four times a week over 22 days. CIMT3h_direct group received 3 hours of CIMT supervised by a therapist (n=10) while CIMT1.5h_direct group had 1.5 hours of supervised CIMT+1.5 hours home exercises supervised by a caregiver (n=9). Outcome measures were the Fugl-Meyer Assessment, the Motor Activity Log, and the Stroke Specific Quality of Life Scale. The modified CIMT protocols were feasible and well tolerated. Improvements in motor function, real-world arm use and quality of life did not differ significantly between treated groups receiving either 3 or 1.5 hours mCIMT supervised by a therapist.

  15. 78 FR 26575 - Gross Combination Weight Rating; Definition

    Science.gov (United States)

    2013-05-07

    ... Weight Rating; Definition AGENCY: Federal Motor Carrier Safety Administration (FMCSA), DOT. ACTION... definition of ``gross combination weight rating'' (or GCWR) to clarify that a GCWR is the greater of: the....regulations.gov . Fax: 1-202-493-2251. Mail: Docket Management Facility (M-30), U.S. Department of...

  16. An Empirical Study on Promoting Gross Motor Skill of Preschoolers Aged 5 to 6 Through Functional Training%功能性训练促进5-6岁幼儿粗大动作发展的实证研究

    Institute of Scientific and Technical Information of China (English)

    周喆啸; 孟欢欢; 赵焕彬; 白锐; 雷园园

    2016-01-01

    Objective:To discuss the influence of functional training on gross motor ability development of preschoolers aged 5 - 6. Methods:143 Preschoolers aged 5 - 6 who are chosen from government - funded kindergartens in Shijiazhuang,Capital of Hebei Province were divided into the experimental group (70 children)and control group (73 children). The experimental group received a functional training intervention program for 12 weeks, while the control group maintained the routine kindergarten by with the United States Test of Gross Motor Devel-opment - 2 physical activities. Before and after the intervention,preschoolers'gross motor ability was tested TG-MD - 2. Results:(1)the control group's total score of gross motor was 74. 65,among which the locomotor score was 39. 82 and the object - controlscore 34. 83. Compared with their pre - experiment scores in the three abili-ties,which were 74. 61,38. 86 and 35. 75 respectively,there was no significant increase (P > 0. 05). (2) The experimental group's total score of gross motor was 85. 74,among which the locomotor score was 44. 60, and the object - control score 41. 14. As compared with their pre - experiment scores in the three abilities, which was 74. 22,39. 62 and 34. 60 respectively,there was a significant increase (P < 0. 01). (3)The exper-imental group's post - experimentscores in gross motor,Locomotor and object - control were significantly higher than that of the control the group (P < 0. 01). Conclusion:The functional training designed specially for pre-schoolers can significantly increase the gross motor ability for children aged 5 to 6.%目的:探讨功能性训练对5-6岁幼儿粗大动作能力发展的影响。方法:随机抽取石家庄某公立幼儿园5-6岁幼儿143名为研究对象,将其分为实验组与对照组,实验组70人,对照组73人。实验组进行12周的功能性训练干预,对照组保持幼儿园原有体育活动内容,干预前后,通过美国大肌肉动作技能

  17. 76 FR 45705 - Approval and Promulgation of Air Quality Implementation Plans; Pennsylvania; Diesel-Powered Motor...

    Science.gov (United States)

    2011-08-01

    ... Plan (SIP). The revision consists of the Commonwealth's Diesel-Powered Motor Vehicle Idling Act (hereafter referred to as the Diesel-Powered Motor Vehicle Idling Act or as Act 124 of 2008, or simply Act... incorporate its Diesel-Powered Motor Vehicle Idling Act. Act 124, as this statute became known, was...

  18. Pediatric aquatic therapy on motor function and enjoyment in children diagnosed with cerebral palsy of various motor severities.

    Science.gov (United States)

    Lai, Chih-Jou; Liu, Wen-Yu; Yang, Tsui-Fen; Chen, Chia-Ling; Wu, Ching-Yi; Chan, Rai-Chi

    2015-02-01

    This study investigates the effects of pediatric aquatic therapy on motor function, enjoyment, activities of daily living, and health-related quality of life for children with spastic cerebral palsy of various motor severities. Children with spastic cerebral palsy were assigned to a pediatric aquatic therapy group (n = 11; mean age = 85.0 ± 33.1 months; male : female = 4 : 7) or a control group (n = 13; mean age = 87.6 ± 34.0 months; male : female = 9 : 4). The statistic results indicate that the pediatric aquatic therapy group had greater average 66-item Gross Motor Function Measure following intervention than the control group (η(2) = 0.308, P = .007), even for children with Gross Motor Function Classification System level IV (5.0 vs 1.3). The pediatric aquatic therapy group had higher Physical Activity Enjoyment Scale scores than the control group at post-treatment (P = .015). These findings demonstrate that pediatric aquatic therapy can be an effective and alternative therapy for children with cerebral palsy even with poor Gross Motor Function Classification System level.

  19. The effects of conductive education on gross motor function and Gesell development test results in children with cerebral palsy%引导式教育对脑瘫儿童粗大运动功能和Gesell发育测试结果的影响

    Institute of Scientific and Technical Information of China (English)

    袁俊英; 朱登纳; 孙二亮; 谢晓明; 李萍; 魏春娜

    2014-01-01

    目的 探讨引导式教育对脑性瘫痪患儿粗大运动功能和Gesell发育是否有促进作用.方法 将138例脑瘫患儿按性别和粗大运动功能分级系统(GMFCS)分层随机分为引导式教育组和对照组,分别经过4个月的引导式教育加一般综合训练和单纯一般综合训练治疗,观察2种训练方法对两组患儿粗大运动功能和Gesell发育测试结果的影响.结果 粗大运动方面,粗大运动功能测试量表(GMFM)评估结果比较运用协方差分析(F =4.479,P<0.05),引导式教育组优于对照组;但两组在治疗前后比较,差异均有统计学意义,两组均可促进粗大运动功能的发育.Gesell发育测试结果比较(F=37.80,P<0.01),引导式教育组优于对照组;引导式教育组治疗前后比较(t=24.93,P<0.01),差异有统计学意义;对照组治疗前后比较(t=13.34,P>0.05),尚不能认为两组对照有统计学差异.结论 引导式教育可以促进脑瘫患儿粗大运动功能的提高及整体的发育.%Objective To observe the effects of conductive education on gross motor function and Gesell development test results in children with cerebral palsy.Methods One hundred and thirty-eight children with cerebral palsy were stratified randomly according to the gross motor function classification system (GMFCS) and sexes into two groups:the conductive education group received conductive education combined with general comprehensive rehabilitation,the control group received general comprehensive rehabilitation only.After 4 months of training,the results of both groups in terms of gross motor function and Gesell development test results were compared.Results The GMFCS evaluation results of the 2 groups were compared through covariance analysis (F =4.479,P =0.036 <0.05),the result of conductive education group was better than that of control group; in both groups the result after training was superior to that before training.For Gesell development test results

  20. Randomized controlled trial of yoga for chronic poststroke hemiparesis: motor function, mental health, and quality of life outcomes.

    Science.gov (United States)

    Immink, Maarten A; Hillier, Susan; Petkov, John

    2014-01-01

    To assess the efficacy of yoga for motor function, mental health, and quality of life outcomes in persons with chronic poststroke hemiparesis. Twenty-two individuals participated in a randomized controlled trial involving assessment of task-orientated function, balance, mobility, depression, anxiety, and quality of life domains before and after either a 10-week yoga intervention (n = 11) or no treatment (n = 11). The yoga intervention did not result in any significant improvements in objective motor function measures, however there was a significant improvement in quality of life associated with perceived motor function (P = .0001) and improvements in perceived recovery approached significance (P = .072). Memory-related quality of life scores significantly improved after yoga intervention (P = .022), and those participating in the intervention exhibited clinically relevant decreases in state and trait anxiety. Preliminary results offer promise for yoga as an intervention to address mental health and quality of life in persons with stroke-related activity limitations. There is a need to more rigorously evaluate these yoga benefits with a larger randomized controlled trial, which, based on this preliminary trial, is feasible.

  1. Effects of magnetic resonance imaging and developmental scale to predict gross motor outcomes in infants at high risk for cerebral palsy%磁共振成像及发育量表对脑瘫高危儿粗大运动发育的预测研究

    Institute of Scientific and Technical Information of China (English)

    赵晓科; 高修成; 肖农; 张跃; 吕静

    2011-01-01

    Objective: To explore and compare the predictive value of magnetic resonance imaging(MRI) and developmental scales for gross motor outcomes in infants at high risk for cerebral palsy.Method: Seventy-three high-risk preterm infants were examined with MRI to evaluate white matter abnormality (WMA) qualitatively at 3 months' corrected age, and had psychomotor development index(PDI) and mental development index(MDI) measures to assess global motor performance and intelligence level at the same time. The time of performing sitting balance and standing balance were followed up, and the associations between early assessments of WMA,PDI,MDI and measurements of sitting balance time as well as standing balance time were analyzed. Sensitivity and specificity were calculated for WMA, PDI, MDI to predict sitting balance time and standing balance time.Result: Significant associations between WMA, PDI, MDI and sitting balance time, standing balance time were noted, precedence ordering of correlation coefficient were WMA, PDI, MDI from higher to lower level, and the combination of WMA, PDI and MDI led to greater correlation with sitting balance time and standing balance time. WMA demonstrated the greatest specificity and sensitivity in predicting sitting and standing development delay than PDI and MDI.Conclusion: The severity of WMA and level of early global motor performance and intelligence correlated with performed time of gross motor significantly. The combination of predictor assessments (MRI and developmental scales) could improve predictive validity for gross motor outcomes in infants at high risk for cerebral palsy.%目的:分析并比较磁共振成像及发育量表对脑瘫高危儿粗大运动发育的预测作用.方法:73例有早产背景的脑瘫高危儿,在纠正胎龄3月时行头颅MRI检查,定性评价脑白质异常(WMA)程度,并同期应用婴幼儿发育量表中的精神运动发育指数(PDI)分值评定整体运动情况,智力发育指数(MDI)分值

  2. Gross job flows and firms

    OpenAIRE

    Scott Schuh; Robert K. Triest

    1999-01-01

    This paper extends the work of Dunne, Roberts, and Samuelson [3] and Davis, Haltiwanger, and Schuh [2] on gross job flows among manufacturing plants. Gross job creation, destruction, and reallocation have been shown to be important in understanding the birth, growth, and death of plants, and the relation of plant life cycles to the business cycle. However, little is known about job flows between firms or how job flows among plants occur within firms (corporate restructuring). We use informati...

  3. Assessment of the Effect of Interactive Scalp Acupuncture on Gross Motor Function in Treating Infantile Spastic Cerebral Palsy%互动式头针治疗痉挛型小儿脑瘫粗大运动功能疗效评价

    Institute of Scientific and Technical Information of China (English)

    吴绪波; 张海蒙; 孙克兴

    2011-01-01

    目的 观察互动式头针治疗痉挛型小儿脑瘫的疗效.方法 将34例痉挛型小儿脑瘫患者按照年龄、瘫患部位和粗大运动功能分级系统(GMFCS)进行配对,治疗组采用互动式头针治疗,对照组采用头针加运动疗法治疗,治疗3个月后用粗大运动功能评定量表(GMFM-88)进行疗效比较.结果 对治疗组和对照组治疗后GMFM总百分比进行组间比较,治疗组疗效优于对照组(P<0.05);治疗组在反映走、跑、跳能力的能区(E区)百分比分值高于对照组(P<0.01).结论 头针与运动疗法结合可以改善痉挛型小儿脑瘫患者的运动功能,互动式头针在改善患者行走能力方面较常规头针加运动疗法有更好的疗效.%Objective To investigate the therapeutic effect of interactive scalp acupuncture on infantile spastic cerebral palsy.Methods Thirty-four children with spastic cerebral palsy were paired according to age, the affected part and the gross motor function classification system (GMFCS).The treatment group received interactive scalp acupuncture and the control group, scalp acupuncture plus kinesitherapy.After 3 months of treatment, the therapeutic effects were compared using the Gross Motor Function Measure (GMFM-88).Results A post-treatment comparison of the GMFM total percent scores between treatment and control groups showed that the therapeutic effect was better in the treatment group than in the control group (P<0.05).The percent score of GMFM domain E (walking, running and jumping) was higher in the treatment group than in the control group (P<0.01).Conclusion A combination of scalp acupuncture and kinesitherapy can improve motor function in children with spastic cerebral palsy.Interactive scalp acupuncture is better than scalp acupuncture plus kinesitherapy in improving the walking ability of the sick children.

  4. Effects of Aquatic Exercise Training on Pain, Symptoms, Motor Performance, and Quality Of Life of Older Males with Knee Osteoarthritis

    Directory of Open Access Journals (Sweden)

    Soleyman Ansari

    2014-07-01

    Full Text Available Clinical experiences indicate that aquatic exercises may have advantages for osteoarthritis patients. The purpose of this study was to examine the effects of aquatic exercise training on the knee pain and its symptoms as well as on the motor performance associated with daily living activities (ADL, sport-recreational activities, and the quality of life in men over 50. 30 men over 50 years old who suffered from knee osteoarthritis were selected voluntarily and were randomly assigned to aquatic exercise therapy and control groups. The means and standard deviations of age, height and weight of participants in each group were 54.26 ± 3.08 and 57.6 ± 5.76 yr; 169 ± 4.99 and 168.13 ± 4.76 cm; and 76.33 ± 8.11 and 71.53 ± 8.09 kg, respectively. Aquatic exercise training was carried out 3 times per week for 6 weeks. Knee pain, symptoms, motor function in daily activities and sport- recreation and quality of life were measured before and after exercise training. Results showed that the knee pain, symptoms, motor function in daily and sports – recreational activities and quality of life after the exercise protocol significantly improved in the aquatic exercise group (P 0.05. The results showed that aquatic exercises, as a safe and effective exercise method, could be incorporated to improve the pain, motor functions and quality of life in over-50-year-old males with knee osteoarthritis.

  5. Effects of Aquatic Exercise Training on Pain, Symptoms, Motor Performance, and Quality Of Life of Older Males with Knee Osteoarthritis

    OpenAIRE

    Soleyman Ansari; Alireza Elmieh; Zahra Hojjati

    2014-01-01

    Clinical experiences indicate that aquatic exercises may have advantages for osteoarthritis patients. The purpose of this study was to examine the effects of aquatic exercise training on the knee pain and its symptoms as well as on the motor performance associated with daily living activities (ADL), sport-recreational activities, and the quality of life in men over 50. 30 men over 50 years old who suffered from knee osteoarthritis were selected voluntarily and were randomly assigned to aquati...

  6. Can physiotherapy after stroke based on the Bobath concept result in improved quality of movement compared to the motor relearning programme.

    Science.gov (United States)

    Langhammer, Birgitta; Stanghelle, Johan K

    2011-06-01

    The primary aim of the present study was to investigate, based on data from our study in 2000, whether the Bobath approach enhanced quality of movement better than the Motor Relearning Programme (MRP) during rehabilitation of stroke patients. A randomized controlled stratified trial of acute stroke patients. The patients were treated according to Motor Relearning Programme and Bobath approach and assessed with Motor Assessment Scale, Sødring Motor Evaluation Scale, Nottingham Health Profile and the Barthel Index. A triangulation of the test scores was made in reference to the Movement Quality Model and biomechanical, physiological, psycho-socio-cultural, and existential themes. The items arm (p = 0.02-0.04) sitting (p = 0.04) and hand (p = 0.01-0.03) were significantly better in the Motor Relearning Programme group than in the Bobath group, in both Sødring Motor Evaluation Scale and Motor Assessment Scale. Leg function, balance, transfer, walking and stair climbing did not differ between the groups. The Movement Quality Model and the movement qualities biomechanical, physiological and psycho-socio-cultural showed higher scoring in the Motor Relearning Programme group, indicating better quality of movement in all items. Regression models established the relationship with significant models of motor performance and self reported physical mobility (adjusted R(2) 0.30-0.68, p < 0.0001), energy (adjusted R(2) 0.13-0.14, p = 0.03-0.04, emotion (adjusted R(2) 0.30-0.38, p < 0.0001) and social interaction (arm function, adjusted R(2) 0.25, p = 0.0001). These analyses confirm that task oriented exercises of the Motor Relearning Programme type are preferable regarding quality of movement in the acute rehabilitation of patients with stroke. Copyright © 2010 John Wiley & Sons, Ltd.

  7. Batch-processed melt-textured YBCO with improved quality for motor and bearing applications

    Science.gov (United States)

    Gawalek, W.; Habisreuther, T.; Zeisberger, M.; Litzkendorf, D.; Surzhenko, O.; Kracunovska, S.; Prikhna, T. A.; Oswald, B.; Kovalev, L. K.; Canders, W.

    2004-10-01

    Results on an established batch process preparing melt-textured YBCO of high quality and in large quantities are reported. We used a standard composition Y1.5Ba2Cu3O7-x+1 wt % CeO2 without further doping to fabricate single domain YBCO monoliths in different sizes and shapes (cylindrical, quadratic) as well as rectangular multi-seeded YBCO monoliths. Up to 2-3 kg of melt-textured YBCO blocks were grown, reproducible in one box furnace run. Top seeding by a self-made SmBCO was improved and rationalized. Optimization of an oxygen annealing treatment led to macro-crack free YBCO monoliths. Each YBCO monolith was characterized by integral levitation force and field mapping. In a single domain, a quadratic monolith with a edge length of 38 mm, a maximum induction of 1.44 T at 77 K and a distance of 0.5 mm was frozen. The reproducibility of the batch process is guaranteed. Mean maximum induction from 1.1 to 1.2 T at 77 K per batch was reached. A trapped magnetic field of 2.5 T was achieved between two single domain monoliths in a gap of 1.5 mm at 77 K. Depending on the application, function elements with different sizes, designs and more or less complex geometry are constructed in several working steps by cutting, machining, bonding and passivation. Selected function elements were checked with field mapping at 77 K. The results of our function elements in HTSC reluctance motors with an output power of up to 200 kW using single domain material are shown. We report on a fly wheel system DYNASTORE and a system to levitate people.

  8. 26 CFR 41.4482(b)-1 - Definition of taxable gross weight.

    Science.gov (United States)

    2010-04-01

    ... oilfield machinery, etc.) mounted on the vehicle for use on construction jobs, in oilfield operations, etc...) MISCELLANEOUS EXCISE TAXES EXCISE TAX ON USE OF CERTAIN HIGHWAY MOTOR VEHICLES Tax on Use of Certain Highway Motor Vehicles § 41.4482(b)-1 Definition of taxable gross weight. (a) Actual unloaded weight—(1)...

  9. On a question of Gross

    Science.gov (United States)

    Banerjee, Abhijit

    2007-03-01

    Using the notion of weighted sharing of sets we prove two uniqueness theorems which improve the results proved by Fang and Qiu [H. Qiu, M. Fang, A unicity theorem for meromorphic functions, Bull. Malaysian Math. Sci. Soc. 25 (2002) 31-38], Lahiri and Banerjee [I. Lahiri, A. Banerjee, Uniqueness of meromorphic functions with deficient poles, Kyungpook Math. J. 44 (2004) 575-584] and Yi and Lin [H.X. Yi, W.C. Lin, Uniqueness theorems concerning a question of Gross, Proc. Japan Acad. Ser. A 80 (2004) 136-140] and thus provide an answer to the question of Gross [F. Gross, Factorization of meromorphic functions and some open problems, in: Proc. Conf. Univ. Kentucky, Lexington, KY, 1976, in: Lecture Notes in Math., vol. 599, Springer, Berlin, 1977, pp. 51-69], under a weaker hypothesis.

  10. A Shear-Mode Ultrasonic Motor Using Potassium Sodium Niobate-Based Ceramics with High Mechanical Quality Factor

    Science.gov (United States)

    Li, Enzhu; Kakemoto, Hirofumi; Hoshina, Takuya; Tsurumi, Takaaki

    2008-09-01

    (K,Na)NbO3-LiNbO3-CuO lead-free piezoelectric ceramics that show a high mechanical quality factor Qm were synthesized and used as a drive element of an ultrasonic motor. The Qm of the (K,Na)NbO3 ceramic could be enhanced by chemical modification using Li and Cu as well as microstructure control to obtain ceramics with fine grains. The grain size dependence of the Qm was consistent with a model based on the formation of internal bias field to stabilize the domain structure. A shear mode was used to drive the ultrasonic motor because the piezoelectric d31 and d33 constants of the ceramics were not sufficient for the motor applications. A shear-mode motor driven with four piezoelectric ceramic plates was developed using the lead-free ceramics with a high Qm of 1400, a high d15 of 207 pC/N, and a high k15 of 0.72. The highest revolution speed of 486 rpm was achieved at 34.5 kHz with the input voltage of approximately 180 Vp-p (peak to peak).

  11. TRANSPORT AND OPERATIONAL STATE OF REPUBLIC MOTOR ROAD NETWORK AND MAIN DIRECTIONS OF THEIR QUALITY IMPROVEMENT

    Directory of Open Access Journals (Sweden)

    I. I. Leonovich

    2008-01-01

    Full Text Available The paper considers problems pertaining to evaluation of pavement smoothness and pavement strength on motor roads of the Republic of Belarus. An analysis of dynamics concerning development of smoothness regression processes is given in the paper. The paper describes the existing methods for evaluation of strength within the framework of modern investigations. Principles of designing non-rigid motor roads are comprehensively studied in the paper. The paper proposes a dependence between pavement strength and pavement smoothness. 

  12. Assessment of gross motor function development in children with cerebral palsy by nonlinear mixed effect model%非线性混合效应模型评估脑瘫患儿粗大运动功能发育进程

    Institute of Scientific and Technical Information of China (English)

    史惟; 丁俊杰; 杨红; 廖元贵; 朱默; 侯方华; 王艺

    2012-01-01

    Objective To describe the patterns of gross motor development of children with cerebral palsy ( CP ) in each level of the Gross Motor Function Classification System ( GMFCS ) using nonlinear mixed effect model, as a basis for planning clinical management. Methods Patients with CP were enrolled from 7 rehabilitation centers in Shanghai form August 2000 to December 2007. Severity of CP was based solely on GMFCS level and motor function was assessed with Gross Motor Function Measure-66 ( GMFM-66 ). The stable limit model was used to make the gross motor development curve for children in each of the 5 GMFCS levels. The stable limit model has two parameters, corresponding to limit of motor function and the rate which can transforms to age-90. Age-90 means the age at which children are expected to achieve 90% of their predicted limit in GMFM-66. In addition, the results of our study were compared with those of Canada study. Results A total of 228 children ( 152 males, 76 females ) with CP were enrolled in the study. Types of CP in these children were spastic quadriplegia ( n = 63 ), spastic diplegia ( n = 87 ), spastic hemiplegia ( n = 48 ), athetotic ( n = 11 ), dystonia ( n = 4 ) and ataxic ( n = 11 ). Based on a total of 986 GMFM assessments ( 4. 32 assessments per child ), distinct motor development curves were constructed. The limit of GMFM-66 in GMFCS Ⅰ - Ⅴ level was 81.2, 62. 4, 52. 9, 40. 8 and 24. 4 scores, the corresponding age-90 was 3.8, 2. 7, 2. 1, 2. 0 and 1. 5 years respectively. GMFM-66 limit in GMFCS level I and II of our study was lower than that in Canada study, however GMFM-66 limit in GMFCS level Ⅲ — Ⅴ was closer to that in Canada study. Moreover, the corresponding age-90 in each 5 levels of GMFCS in our study was lower than that in Canada study. Conclusions The gross motor development more quickly reached its limit in GMFCS level Ⅰ and Ⅱ , however the limit of GMFM-66 was lower than that in Canada study. More attention should be paid

  13. Impact of the peripheral neurotomy method combined with rehabilitation exercise on gross motor function and balance function of children with cerebral palsy%周围神经缩窄术结合康复训练对痉挛型脑性瘫痪患儿运动功能的影响

    Institute of Scientific and Technical Information of China (English)

    袁俊英; 董辉; 曾宪旭; 孙二亮; 王军

    2014-01-01

    目的 探讨周围神经缩窄术结合康复训练对痉挛型脑性瘫痪(脑瘫)患儿粗大运动功能和平衡功能的影响.方法 选取2011年5月至2013年10月30例住院的年龄>3岁且意识清楚需行周围神经缩窄术并结合康复训练的痉挛型脑瘫患儿为研究组;采用配对设计的方法选择同期住院30例年龄相近、性别相同,粗大运动功能分级(GMFCS)相同,功能相近行单纯综合康复训练的脑瘫患儿作为对照组.分别在训练开始后2周、4周、6周、8周、10周时记录2组患儿的改良Ashworth评分、粗大运动功能量表D、E区评分、医师等级评价量表评分结果,采用重复测量分差分析方法比较2组患儿改良Ashworth肌张力、粗大运动功能、平衡功能以及步态改善情况.结果 肌张力降低效果方面,研究组与对照组比较差异有统计学意义(F=8.177,P=0.006);在步态改善方面,研究组优于对照组(F=24.284,P=0.000);粗大运动功能量表D、E区评价中,研究组与对照组相比差异均无统计学意义(D:F=0.072,P=0.790;E:F =0.000,P=0.985);在平衡功能Berg量表评分方面,研究组与对照组相比差异亦无统计学意义(F=0.150,P=0.700).结论 周围神经缩窄术结合康复训练与单纯综合康复训练均可以提高痉挛型脑瘫患儿粗大运动功能和平衡功能,但在降低肌张力与改善步态方面周围神经缩窄术组明显好于单纯康复训练.%Objective To study the impact of the peripheral neurotomy method combined with rehabilitation exercise on gross motor function and balance function of children with cerebral palsy.Methods Matched pair design was used in the study.Thirty children with spastic cerebral palsy hospitalized from May 2011 to Nov.2013 suffering from peripheral neurotomy were assigned as study group,who were conscious and treated by peripheral neurotomy com bined with rehabilitation exercise.In the meanwhile,30 children inpatients at the same time were employed

  14. 脑瘫粗大运动功能分级系统修订扩展版(中文版)的信度和效度研究%Reliability and Validity of Expanded and Revised Gross Motor Function Classification System(Chinese Version)

    Institute of Scientific and Technical Information of China (English)

    李初阳; 史惟; 周美琴; 朱默; 冉小华; 杨红; 梁琪

    2011-01-01

    目的 确定中文版脑瘫粗大运动功能分级系统修订扩展版(GMFCS E&R)的信度和效度.方法 来自广州和上海两家特殊教育学校的101名6~18岁学生参加此项研究.通过分析不同评价者间(康复医师、物理治疗师、文化教师、家长)的评价结果确定GMFCS E&R的评价者间信度;以粗大运动功能测试(GMFM)为效标确定GMFCS E&R的平行效度.结果 GMFCS E&R具有良好的评价者间信度(ICC=0.79~0.91); GMFCS E&R与GMFM各项分值之间Spearman相关系数为-0.46~-0.86.结论 中文版GMFCS E&R具有良好的信度和效度,适用于国内对脑瘫患儿进行功能分级.%Objective To identify the reliability and validity of Chinese version of expanded and revised Gross Motor Function Classification System (GMFCS E&R). Methods 101 children with cerebral palsy aged 6~18 from 2 special schools in Shanghai and Guangzhou participated in this study. The interrater reliability was identified by analyzing the assessment results among different raters, including rehabilitation doctors, physical therapists, teachers and parents. Gross Motor Function Measure (GMFM) was used as the criterion to identify the parallel validity. Results GMFCS E&R had good interrater reliability (ICC=0.79~0.91) as well as the parallel validity (Spearman rank correlation coefficient is -0.46~-0.86). Conclusion Chinese version of GMFCS E&R has good reliability and validity. It is suitable for children with cerebral palsy as the tool of function classification in China.

  15. Quality of Life and Health-Related Quality of Life of Adolescents with Cerebral Palsy

    Science.gov (United States)

    Rosenbaum, Peter L.; Livingston, Michael H.; Palisano, Robert J.; Galuppi, Barbara E.; Russell, Dianne J.

    2007-01-01

    This study assessed quality of life (QOL) and health-related quality of life (HRQOL) of 203 adolescents with cerebral palsy (111 males, 92 females; mean age 16y [SD 1y 9mo]). Participants were classified using the Gross Motor Function Classification System (GMFCS), as Level I (n=60), Level II (n=33), Level III (n=28), Level IV (n=50), or Level V…

  16. Motor skills of toddlers with autism spectrum disorders.

    Science.gov (United States)

    Lloyd, Meghann; MacDonald, Megan; Lord, Catherine

    2013-03-01

    With increased interest in the early diagnosis and treatment of children with autism spectrum disorders (ASD), more attention has been called to the motor skills of very young children with ASD. This study describes the gross and fine motor skills of a cross-sectional group of 162 children with ASD between the ages of 12 and 36 months, as well as a subset of 58 children followed longitudinally. Gross motor and fine motor age equivalent scores were obtained for all children. A 'motor difference' variable was calculated for each child's gross and fine motor skills by taking the absolute difference of the children's age equivalent motor score and their respective chronological age. In Study 1 (the cross-sectional analysis), ANCOVA (co-varied for nonverbal problem solving) revealed significant group differences in the gross motor and fine motor age difference variables. Post-hoc analysis revealed that gross motor and fine motor differences became significantly greater with each 6-month period of chronological age. In Study 2, 58 children were measured twice, an average of 12 months apart. Results indicate that the gross motor and fine motor difference scores significantly increased between the first and second measurements. The importance of addressing motor development in early intervention treatments is discussed.

  17. Influence of non-motor symptoms on the Parkinson's disease features and on quality of patients' life

    Directory of Open Access Journals (Sweden)

    Goncharova Z.A.

    2016-09-01

    Full Text Available The main clinical symptoms of PD are well understood, but it is necessary to continue studying the changes of symptoms as it progresses. The aims of the research were: to study the structure of non-motor symptoms (NMS at the early and last stages of PD, to determine the frequency and clinical significance of the NMS at different stages of PD, comparing the severity of NMS in PD with the severity of the same symptoms in the natural aging, to study the quality of life (QOL of patients with the impact assessment of the NMS and the assessment of motor symptoms on this criterion. The material and methods. The study included 79 patients with PDand 25 patients without neurodegenerative disorders (control group. The degree of movement disorders severity was assessed using UPDRS scale. Cognitive function was assessed using the Montreal Cognitive Rating Scale (MoCA. To identify and assess the severity of NMS questionnaire used NMSS. Assessment of quality of life of patients was carried out by PDQ-39 questionnaire. Results. There was a significant difference between the intensity of the NMS in PD patients and the control group. Intensity of NMSs significantly correlated with disease stage, disease duration, with the points on the UPDRS scale. Conclusion. NMS significantly affect the quality of life, their severity and structure varies considerably from early to late stage PD, and they are the result of a neurodegenerative process, inherent in PD, and not the natural aging process.

  18. Adaptação transcultural para o Brasil do Sistema de Classificação da Função Motora Grossa (GMFCS Cross-cultural adaptation of the Gross Motor Function Classification System into Brazilian-Portuguese (GMFCS

    Directory of Open Access Journals (Sweden)

    Erika Hiratuka

    2010-12-01

    Full Text Available CONTEXTUALIZAÇÃO: Em função da complexidade das manifestações clínicas da paralisia cerebral (PC e das dificuldades na sua classificação baseada apenas nos tipos motores e topografia de distribuição corporal, estudiosos canadenses propuseram o Gross Motor Function Classification System (GMFCS. Apesar de esse sistema de classificação estar sendo bastante utilizado no Brasil, ele ainda não havia sido adapatado transculturalmente para tal. OBJETIVOS: Realizar a adaptação transcultural para o Brasil do Sistema de Classificação da Função Motora Grossa (GMFCS para a PC e verificar a confiabilidade entre observadores do instrumento adaptado com crianças brasileiras. MÉTODOS: Este estudo consistiu em duas etapas, sendo a primeira relacionada com o processo de adaptação transcultural, e a segunda referente à testagem do instrumento. A adaptação transcultural do instrumento foi feita por meio da tradução, retrotradução, análise semântica, análise de conteúdo, retrotradução da versão final e aprovação dos autores do instrumento. A testagem do instrumento ocorreu junto a 40 crianças com PC, as quais foram avaliadas por dois examinadores para verificar a confiabilidade entre observadores. RESULTADOS: Os resultados demonstram que as etapas de tradução e retrotradução não apresentaram dificuldades, e a equivalência semântica e a conceitual foram obtidas. A confiabilidade entre examinadores demonstrou que as avaliações quase não diferiam e que havia excelente correlação e consistência interna do constructo, com coeficiente de correlação intraclasse (ICC de 0,945 (com intervalo de 0,861 a 0,979 e a de Cronbach de 0,972. CONCLUSÕES: A versão final do GMFCS mostrou bom potencial de aplicabilidade por graduandos e profissionais da área de neuropediatria.BACKGROUND: Due to the complexity of clinical symptoms of cerebral palsy and the difficulties in classifying it based upon the motor types and the

  19. Motor Development Programming in Trisomic-21 Babies

    Science.gov (United States)

    Sanz, Teresa; Menendez, Javier; Rosique, Teresa

    2011-01-01

    The present study contributes to the understanding of gross motor development in babies with Down's syndrome. Also, it facilitates the comprehension of the efficiency of the early motor stimulation as well as of beginning it as early as possible. We worked with two groups of babies with Down's syndrome, beginning the early motor training in each…

  20. Motor Development Programming in Trisomic-21 Babies

    Science.gov (United States)

    Sanz, Teresa; Menendez, Javier; Rosique, Teresa

    2011-01-01

    The present study contributes to the understanding of gross motor development in babies with Down's syndrome. Also, it facilitates the comprehension of the efficiency of the early motor stimulation as well as of beginning it as early as possible. We worked with two groups of babies with Down's syndrome, beginning the early motor training in each…

  1. Motor Development: Manual of Alternative Procedures.

    Science.gov (United States)

    McCormack, James E.

    The manual of alternative procedures for teaching handicapped children focuses on programming, planning, and implementing training in the gross motor (posture, limb control, locomotion) and fine motor (facial, digital) skills. The manual consists of the following sections: specific teaching tactics commonly used in motor training stiuations…

  2. Motor development in visually impaired children

    National Research Council Canada - National Science Library

    Hallemans, Ann

    2016-01-01

    ..., a visual impairment affects their overall development, including their motor development and skill acquisition. Different studies report a delay in gross motor milestones such as head control, sitting, standing, crawling, and walking during the first year of life. Vision appears to be key to normal postural and motor development in infants. W...

  3. Effect of Motorized Scooters on Quality of Life and Cardiovascular Risk

    Science.gov (United States)

    2010-01-01

    Richard A. Krasuski, MDb Physical inactivity increases cardiovascular risk. The possible adverse effects of regular motorized scooter use, recently...in the context of 30% f patients having increased the dosage of their baseline ipid medications, 10% of patients beginning statin therapy, % starting...of the adverse effects related o inactivity. 1. Belardinelli R, Georgiou D, Cianci G, Purcaro A. Randomized, con- trolled trial of long-term moderate

  4. NM Gross Receipts July - December 2012

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This layer represents boundaries for New Mexico's gross receipts tax districts as identified on the "Gross Receipts Tax Rate Schedule" published by the Taxation and...

  5. NM Gross Receipts January - June 2014

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This layer represents boundaries for New Mexico's gross receipts tax districts as identified on the "Gross Receipts Tax Rate Schedule" published by the Taxation and...

  6. NM Gross Receipts January - June 2012

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This layer represents boundaries for New Mexico's gross receipts tax districts as identified on the "Gross Receipts Tax Rate Schedule" published by the Taxation and...

  7. NM Gross Receipts January - June 2013

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This layer represents boundaries for New Mexico's gross receipts tax districts as identified on the "Gross Receipts Tax Rate Schedule" published by the Taxation and...

  8. NM Gross Receipts January - June 2011

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This layer represents boundaries for New Mexico's gross receipts tax districts as identified on the "Gross Receipts Tax Rate Schedule" published by the Taxation and...

  9. NM Gross Receipts July - December 2013

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This layer represents boundaries for New Mexico's gross receipts tax districts as identified on the "Gross Receipts Tax Rate Schedule" published by the Taxation and...

  10. Gross anatomy of network security

    Science.gov (United States)

    Siu, Thomas J.

    2002-01-01

    Information security involves many branches of effort, including information assurance, host level security, physical security, and network security. Computer network security methods and implementations are given a top-down description to permit a medically focused audience to anchor this information to their daily practice. The depth of detail of network functionality and security measures, like that of the study of human anatomy, can be highly involved. Presented at the level of major gross anatomical systems, this paper will focus on network backbone implementation and perimeter defenses, then diagnostic tools, and finally the user practices (the human element). Physical security measures, though significant, have been defined as beyond the scope of this presentation.

  11. 46 CFR 169.675 - Generators and motors.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Generators and motors. 169.675 Section 169.675 Shipping... Less Than 100 Gross Tons § 169.675 Generators and motors. (a) Each generator and motor must be fitted... applicable. (10) Type of winding (for direct-current motors). (b) Each vessel of more than 65 feet in...

  12. Development of fine motor skills in preterm infants

    NARCIS (Netherlands)

    Bos, Arend F.; Van Braeckel, Koenraad N. J. A.; Hitzert, Marrit M.; Tanis, Jozien C.; Roze, Elise

    2013-01-01

    Fine motor skills are related to functioning in daily life and at school. We reviewed the status of knowledge, in preterm children, on the development of fine motor skills, the relation with gross motor skills, and risk factors for impaired fine motor skills. We searched the past 15 years in PubMed,

  13. Gross Pollutant Traps: Wet Load Assessment at Sungai Kerayong, Malaysia

    Science.gov (United States)

    Mohd Shah, M. R.; Zahari, N. M.; Said, N. F. Md; Sidek, L. M.; Basri, H.; Noor, M. S. F. Md; Husni, M. M. Mohammad; Jajarmizadeh, Milad; Roseli, ZA; Mohd. Dom, N.

    2016-03-01

    The purpose of this project is to carry out assessment on the effectiveness and performance of Gross Pollutant Traps (GPTs) stormwater quality control in the urban areas. The study aims to provide a management and planning tool for effective management of the gross pollutants in the urban areas specifically in River of Life (ROL) project. ROL project is a Malaysian Government initiative under the Economic Transformation Program. One of the program in the greater Klang Valley is to transform Klang River into a vibrant and livable waterfront by the year 2020. The main river in ROL catchment is Sungai Klang (upper catchment), with main tributaries Sungai Gombak, Sungai Batu, Sungai Jinjang, Sungai Keroh, Sungai Bunus, Sungai Ampang and Sungai Kerayong. This paper objective is to study the gross pollutant wet load at Sungai Kerayong 1 and Sungai Kerayong 2 which is located at the downstream location of the ROL project. The result shows that Sungai Kerayong 2 produced higher gross pollutant wet load (8025.33 kg/ha/yr) than Sungai Kerayong 1 (4695.12 kg/ha/yr). This could be due to high contributions amounts of gross pollutant traps from residential area, the degree of develop area, and also the location of the river itself related to climate and rainfall.

  14. Responsiveness of the Test of Basic Motor Skills of Children with Down Syndrome

    Science.gov (United States)

    van den Heuvel, Marieke E.; de Jong, Inge; Lauteslager, Peter E. M.; Volman, M. J. M.

    2009-01-01

    The aim of this study was to examine the responsiveness of the Test of Basic Motor Skills for Children with Down Syndrome (BMS). Forty-one children with Down Syndrome, 3 to 36 months of age, participated in the study. Gross motor skills were assessed three times using the BMS and the Gross Motor Function Measure (GMFM) before and after a baseline…

  15. Investigation of children's deciduous teeth erupt,fontanel closure and language,gross motor development in Zhengzhou%河南省郑州市儿童出牙、前囟闭合时间和语言、大运动发育情况调查

    Institute of Scientific and Technical Information of China (English)

    刘慧娟

    2015-01-01

    目的:了解郑州市儿童的乳牙萌出、前囟闭合及语言、大动作发育的长期变化情况。方法采取随机抽样的方法,抽取郑州市3家医院儿保门诊的所有儿童系统管理资料,回顾性分析自2001-2010年10年间出生健康儿童的0~3岁体检资料,进入该研究的男女儿童共4230例,其中男2141例,女2089例。调查自出生至3岁期间的出生情况、动态体格发育及乳牙萌出、语言及大运动发育、前囟闭合情况。结果(1)10年来郑州市儿童体质量、身长呈持续和显著地增长。(2)男女童之间乳牙萌出时间及前囟闭合时间差异有统计学意义。(3)随着年代的推移,婴儿大运动发育及囟门闭合时间略有提前。结论郑州市儿童的体质量、身高的增长呈现生长发育的长期趋势,儿童神经心理发育状况正常,并呈现略为提前的趋势。%Objective To understand the children′s development status of deciduous teeth erupt,fontanel closure,expressive language and gross motor in Zhengzhou.Methods According to random cluster sampling,the children health care clinic in three hospitals in Zhengzhou were investigated,all the data was gathered from the chil-dren health care management information system.4 230 healthy children aged 0-3 years old birth from 2000 to 2010 were investigated(2 141 boys and 2 089 girls),We collected the following information about birth situation,the dynamic physical growth,deciduous tooth occurrence,language and motor development.Results (1 )The children's weight,height has been persistent and significantly improved during the past 10 years in Zhengzhou.(2)There was a significant difference between the sexes in deciduous teeth erupt and the fontanel closure time.(3 )With the time, infant motor development and fontanelle closed slightly ahead of time.Conclusion The children's weight,height growth shows a long-term trend in Zhengzhou,with normal condition in

  16. Motor performance, exercise tolerance, and health-related quality of life in children on dialysis

    NARCIS (Netherlands)

    Eijsermans, RM; Creemers, DG; Helders, PJ; Schroder, CH

    2004-01-01

    In contrast to the adult population, little is known regarding health-related quality of life and exercise tolerance in children with end-stage renal disease (ESRD) undergoing chronic intermittent hemodialysis. We designed a pilot study to investigate whether research into this area is indicated. Th

  17. Evaluation of gross radioactivity in foodstuffs

    Energy Technology Data Exchange (ETDEWEB)

    Zorer, Oezlem Selcuk; Oeter, Cigdem [Yuzuncu Yil Univ., Van (Turkey). Dept. of Chemistry

    2015-05-15

    The paper presents the results of radiological investigations of food products sampled in the summer and fall of 2011 and 2012 in different parts of Van, Turkey. Gross radioactivity measurements in food products were evaluated. Food items were divided into eight groups: (1) water, (2) fish, (3) cheese products, (4) fruits, (5) vegetables, (6) herbs, (7) walnut and (8) rock salt. The levels of the gross alpha and gross beta radioactivity in all food samples varied widely ranging from 0.070 to 10.885 Bq/g and from 0.132 to 48.285 Bq/g on dry mass basis, respectively. In one sample, gross alpha and gross beta activity concentrations were found to be relatively high according to the other samples and in all samples, the gross alpha radioactivity was measured lower than the gross beta radioactivity. The gross α and gross β activities were measured by using α/β counter of the multi-detector low background system (PIC MPC-9604).

  18. Intraduodenal levodopa-carbidopa intestinal gel infusion improves both motor performance and quality of life in advanced Parkinson's disease.

    Science.gov (United States)

    Chang, Florence C F; Kwan, Vu; van der Poorten, David; Mahant, Neil; Wolfe, Nigel; Ha, Ainhi D; Griffith, Jane M; Tsui, David; Kim, Samuel D; Fung, Victor S C

    2016-03-01

    We report the efficacy and adverse effect profile of intraduodenal levodopa-carbidopa intestinal gel (LCIG) infusion from patients treated in a single Australian movement disorder centre. We conducted an open-label, 12 month prospective study of treatment with LCIG in patients with advanced Parkinson's disease in a single tertiary referral hospital unit specialising in movement disorders. Patients with levodopa-responsive, advanced Parkinson's disease with motor fluctuations despite optimal pharmacological treatment were enrolled and underwent a 16 hour daily infusion of LCIG for 12 months. Fifteen participants completed the trial. The mean (± standard deviation) improvement in Unified Parkinson's Disease Rating Scale part III was 37 ± 11%, mean daily "off" period reduced from 6.3 ± 2 to 1.9 ± 2 hours, total daily "on" time increased from 10.2 ± 3 to 13.7 ± 2 hours, "on" period without dyskinesia increased from 4.5 ± 3 to 7.5 ± 5 hours, and 39-item Parkinson's Disease Questionnaire Summary Index score improved by 32.5 ± 35%. The most common adverse event was reversible peripheral neuropathy secondary to vitamin B12 ± B6 deficiency (40%), local tube problems (40%), and impulse control disorder (ICD) (27%). No patient had stoma bleeding or peritonitis. All patients with ICD had a past psychiatric diagnosis of depression with or without anxiety and a higher daily levodopa intake at 6 and 12 months of LCIG infusion. Intraduodenal LCIG improves motor performance, quality of life and daily "on" period. Prior to and during duodenal LCIG infusion, clinicians should monitor for peripheral neuropathy and vitamin B12 and B6 deficiency, as supplementation can reverse peripheral neuropathy. This trial is registered at Clinicaltrials.gov as CT00335153.

  19. Estimulación en el hogar y desarrollo motor en niños mexicanos de 36 meses Stimulation at home and motor development among 36 month-old Mexican children

    Directory of Open Access Journals (Sweden)

    Erika Osorio

    2010-02-01

    Full Text Available OBJETIVO: Identificar la relación entre la estimulación en el hogar y el desarrollo motor en niños de 36 meses de edad. MATERIAL Y MÉTODOS: Se evaluó el desarrollo motor grueso y fino de 169 infantes (50.9% varones mediante la Escala de Desarrollo Motor de Peabody y se determinó la calidad de estimulación en el hogar en una evaluación previa con la Escala HOME a los 30 meses de edad. RESULTADOS: La estimulación total en el hogar se asoció significativamente con un mejor desempeño en las áreas motora gruesa y fina. Aspectos particulares de esta estimulación se relacionaron con una mejor motricidad gruesa y fina. CONCLUSIÓN: Equilibrio y locomoción en la motricidad gruesa y agarre e integración visomotora en la motricidad fina son los componentes motores asociados a aspectos particulares de la estimulación como la interacción madre-hijo, el reforzamiento de acciones positivas en forma verbal y la presencia de límites claros.OBJECTIVE: To identify the relationship between stimulation at home and motor development among 36 month-old children. MATERIALS AND METHODS: The development of gross and fine motor skills of 169 infants (50.9% boys and 49.1% girls was assessed at the age of 36 months with the Peabody Developmental Motor Scale. The quality of home stimulation was determined during a prior evaluation (at 30 months by means of the HOME Scale. RESULTS: Total stimulation at home was significantly associated with better performance in the gross and fine motor areas. Particular aspects of this home stimulation were related to better gross and fine motor functions. CONCLUSION: Static balance and locomotion (gross motor skills and grasping and visual-motor integration (fine motor skills are associated with particular aspects of home stimulation, such as parent-child interaction, verbal reinforcement of the child's positive actions and providing the child with clear boundaries.

  20. Study on reliability and validity of the Chinese version of the gross motor function classification system for cerebral palsy%中文版脑瘫患儿粗大运动功能分级系统的信度和效度研究

    Institute of Scientific and Technical Information of China (English)

    史惟; 王素娟; 杨红; 朱默; 王艺

    2006-01-01

    目的确定中文版脑瘫患儿粗大运动功能分级系统(Gross Motor Function Classification System,GMFCS)的信度和效度.方法共有来自上海3家康复机构91例0~12岁脑瘫患儿参加了此项研究,其中35例测定GMFCS的重测信度;66例测定GMFCS的评价者间信度;分别以88例脑瘫患儿的粗大运动功能评估量表(GMFM)和54例脑瘫患儿的Peabody粗大运动发育量表(PDMS-GM)的各项测试结果为效标确定GMFCS的平行效度;对88例同时接受GMFCS和GMFM评价的患儿的测试结果进行结构效度检测,以GMFCS为应变量,GMFM 5个功能区的百分比为自变量进行多元逐步回归分析,判断粗大运动中5个分区功能对GMFCS的影响程度.结果GMFCS具有良好的重测信度(等级间相关系数为0.99),同时具有良好的评估者间信度(等级间相关系数为0.95~0.98);GMFCS与GMFM和PDMS-GM各项分值之间有良好的平行效度,Spearman r为-0.57~-0.84;粗大运动功能中的坐位能力和行走能力是影响GMFCS的主要因素,校正决定系数为0.709(P<0.001).结论中文版GMFCS具有良好的信度和效度,适用于国内对脑瘫患儿进行功能分级.

  1. Measures of Gross National Happiness

    Directory of Open Access Journals (Sweden)

    Ruut Veenhoven

    2010-02-01

    Full Text Available Happiness is rising on the political agenda and this calls for measures of how well nations perform in creating great happiness for a great number, analogous to measures of success in creating wealth, such as GDP. Happiness is defined as subjective enjoyment of one’s life as-a-whole and this can be measured using self-reports. Question on happiness are currently used in large scale surveys of the general population in nations. As a result we have now comparable data on happiness in 144 contemporary nations and time-series of 25 years and longer on 11 developed nations. These data can be aggregated in different ways: If the aim is simply greater happiness for a greater number of citizens, Average happiness (AH is an appropriate measure. If the focus is on enduring happiness, it is better to combine average happiness with longevity in an index of Happy Life Years (HLY. If the aim is to reduce disparity among citizens a relevant indicator is the Inequality of Happiness (IH in the nations as measured with the standard deviation. Average and dispersion can also be combined in an index of Inequality-Adjusted Happiness (IAH. Comparison across nations shows sizable differences on all these measures of gross national happiness and these differences correspond with societal characteristics that can be influenced by policy makers, such as freedom and justice. Comparison over time shows major improvement during the last decade.

  2. A Randomized Controlled Trial of the Impact of Therapeutic Horse Riding on the Quality of Life, Health, and Function of Children with Cerebral Palsy

    Science.gov (United States)

    Davis, E.; Davies, B.; Wolfe, R.; Raadsveld, R.; Heine, B.; Thomason, P.; Dobson, Fiona; Graham, H. K.

    2009-01-01

    This randomized controlled trial examined whether therapeutic horse riding has a clinically significant impact on the physical function, health and quality of life (QoL) of children with cerebral palsy (CP). Ninety-nine children aged 4 to 12 years with no prior horse riding experience and various levels of impairment (Gross Motor Function…

  3. Olhares distintos sobre a noção de estabilidade e mudança no desempenho da coordenação motora grossa Ángulos diferentes sobre el concepto de estabilidad y cambio en el rendimiento de la coordinación motora gruesa Distinct views on the notion of stability and change in the performance of gross motor coordination

    Directory of Open Access Journals (Sweden)

    Luciano Basso

    2012-09-01

    discuten en términos de diferentes trayectorias de desarrollo de la CMG.Studies about gross motor coordination in children (GMC focus on the description of normative values derived from age and sex, and few analyzed the dynamics of change of each child within its group. The goal of the present study is estimate the stability of intra-individual change over inter-individual differences over eighteen months. One hundred and twenty students with seven years old in the city of Muzambinho - MG participated in the study. Data was collected four times, with a six-month interval between each assessment. GMC was evaluated through KTK test battery. Mean values for all tests increased over time, with differences between sex for equilibrium test. The correlation values between initial performance and improvements over eighteen months indicated high heterogeneity. Results of stability estimates were weak for tests. These results were discussed about different trajectories in the development of motor coordination.

  4. The Mechanics of Gross Moist Stability

    Directory of Open Access Journals (Sweden)

    Zeljka Fuchs

    2009-08-01

    Full Text Available The gross moist stability relates the net lateral outflow of moist entropy or moist static energy from an atmospheric convective region to some measure of the strength of the convection in that region. If the gross moist stability can be predicted as a function of the local environmental conditions, then it becomes the key element in understanding how convection is controlled by the large-scale flow. This paper provides a guide to the various ways in which the gross moist stability is defined and the subtleties of its calculation from observations and models. Various theories for the determination of the gross moist stability are presented and its roles in current conceptual models for the tropical atmospheric circulation are analyzed. The possible effect of negative gross moist stability on the development and dynamics of tropical disturbances is currently of great interest.

  5. A retrospective quality assessment of pre-hospital emergency medical documentation in motor vehicle accidents in south-eastern Norway

    Directory of Open Access Journals (Sweden)

    Staff Trine

    2011-03-01

    Full Text Available Abstract Background Few studies have evaluated pre-hospital documentation quality. We retrospectively assessed emergency medical service (EMS documentation of key logistic, physiologic, and mechanistic variables in motor vehicle accidents (MVAs. Methods Records from police, Emergency Medical Communication Centers (EMCC, ground and air ambulances were retrospectively collected for 189 MVAs involving 392 patients. Documentation of Glasgow Coma Scale (GCS, respiratory rate (RR, and systolic blood pressure (SBP was classified as exact values, RTS categories, clinical descriptions enabling post-hoc inference of RTS categories, or missing. The distribution of values of exact versus inferred RTS categories were compared (Chi-square test for trend. Results 25% of ground and 11% of air ambulance records were unretrieveable. Patient name, birth date, and transport destination was documented in >96% of ambulance records and 81% of EMCC reports. Only 54% of patient encounter times were transmitted to the EMCC, but 77% were documented in ground and 96% in air ambulance records. Ground ambulance records documented exact values of GCS in 48% and SBP in 53% of cases, exact RR in 10%, and RR RTS categories in 54%. Clinical descriptions made post-hoc inference of RTS categories possible in another 49% of cases for GCS, 26% for RR, and 20% for SBP. Air ambulance records documented exact values of GCS in 89% and SBP in 84% of cases, exact RR in 7% and RR RTS categories in 80%. Overall, for lower RTS categories of GCS, RR and SBP the proportion of actual documented values to inferred values increased (All: p Conclusion EMS documentation of logistic and mechanistic variables was adequate. Patient physiology was frequently documented only as descriptive text. Our finding indicates a need for improved procedures, training, and tools for EMS documentation. Documentation is in itself a quality criterion for appropriate care and is crucial to trauma research.

  6. A retrospective quality assessment of pre-hospital emergency medical documentation in motor vehicle accidents in south-eastern Norway.

    Science.gov (United States)

    Staff, Trine; Søvik, Signe

    2011-03-31

    Few studies have evaluated pre-hospital documentation quality. We retrospectively assessed emergency medical service (EMS) documentation of key logistic, physiologic, and mechanistic variables in motor vehicle accidents (MVAs). Records from police, Emergency Medical Communication Centers (EMCC), ground and air ambulances were retrospectively collected for 189 MVAs involving 392 patients. Documentation of Glasgow Coma Scale (GCS), respiratory rate (RR), and systolic blood pressure (SBP) was classified as exact values, RTS categories, clinical descriptions enabling post-hoc inference of RTS categories, or missing. The distribution of values of exact versus inferred RTS categories were compared (Chi-square test for trend). 25% of ground and 11% of air ambulance records were unretrieveable. Patient name, birth date, and transport destination was documented in >96% of ambulance records and 81% of EMCC reports. Only 54% of patient encounter times were transmitted to the EMCC, but 77% were documented in ground and 96% in air ambulance records. Ground ambulance records documented exact values of GCS in 48% and SBP in 53% of cases, exact RR in 10%, and RR RTS categories in 54%. Clinical descriptions made post-hoc inference of RTS categories possible in another 49% of cases for GCS, 26% for RR, and 20% for SBP. Air ambulance records documented exact values of GCS in 89% and SBP in 84% of cases, exact RR in 7% and RR RTS categories in 80%. Overall, for lower RTS categories of GCS, RR and SBP the proportion of actual documented values to inferred values increased (All: pground and 92% of cases by air ambulance. EMS documentation of logistic and mechanistic variables was adequate. Patient physiology was frequently documented only as descriptive text. Our finding indicates a need for improved procedures, training, and tools for EMS documentation. Documentation is in itself a quality criterion for appropriate care and is crucial to trauma research. © 2011 Staff and S

  7. The Effect of Additional Tactile Stimulation in a Perceptual-Motor Treatment Program for School Children

    Science.gov (United States)

    McKibbin, Elsie H.

    1973-01-01

    The purpose of this study is to explore the value of a perceptual-motor program using predominantly gross motor activities for children with developmental apraxia and deficits in tactile perception. (Author)

  8. The Effect of Additional Tactile Stimulation in a Perceptual-Motor Treatment Program for School Children

    Science.gov (United States)

    McKibbin, Elsie H.

    1973-01-01

    The purpose of this study is to explore the value of a perceptual-motor program using predominantly gross motor activities for children with developmental apraxia and deficits in tactile perception. (Author)

  9. Motor, psychiatric and fatigue features associated with nutritional status and its effects on quality of life in Parkinson's disease patients.

    Directory of Open Access Journals (Sweden)

    Seyed-Mohammad Fereshtehnejad

    Full Text Available OBJECTIVES: Parkinson's disease (PD patients are more likely to develop impaired nutritional status because of the symptoms, medications and complications of the disease. However, little is known about the determinants and consequences of malnutrition in PD. This study aimed to investigate the association of motor, psychiatric and fatigue features with nutritional status as well as the effects of malnutrition on different aspects of quality of life (QoL in PD patients. METHODS: One hundred and fifty patients with idiopathic PD (IPD were recruited in this study. A demographic checklist, the Unified Parkinson's Disease Rating Scale (UPDRS, the Hospital Anxiety and Depression Scale (HADS and the Fatigue Severity Scale (FSS were completed through face-to-face interviews and clinical examinations. The health-related QoL (HRQoL was also evaluated by means of the Parkinson's Disease Questionnaire (PDQ-39. For evaluation of nutritional status, the Mini Nutritional Assessment (MNA questionnaire was applied together with anthropometric measurements. RESULTS: Thirty seven (25.3% patients were at risk of malnutrition and another 3 (2.1% were malnourished. The total score of the UPDRS scale (r =  -0.613, P<0.001 and PD duration (r =  -0.284, P = 0.002 had a significant inverse correlation with the total MNA score. The median score of the Hoehn and Yahr stage was significantly higher in PD patients with abnormal nutritional status [2.5 vs. 2.0; P<0.001]. More severe anxiety [8.8 vs. 5.9; P = 0.002], depression [9.0 vs. 3.6; P<0.001] and fatigue [5.4 vs. 4.2; P<0.001] were observed in PD patients with abnormal nutritional status. Except for stigma, all other domains of the PDQ-39 were significantly correlated with the total score of the MNA. CONCLUSION: Our study demonstrates that disease duration, severity of motor and psychiatric symptoms (depression, anxiety and fatigue are associated with nutritional status in PD. Different aspects of the HRQoL were

  10. 46 CFR 169.666 - Generators and motors.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Generators and motors. 169.666 Section 169.666 Shipping... of Less Than 100 Gross Tons § 169.666 Generators and motors. (a) Each vessel of more than 65 feet in...) Each generator and motor must be in a location that is accessible, adequately ventilated, and as dry...

  11. Limb distribution, motor impairment, and functional classification of cerebral palsy

    NARCIS (Netherlands)

    J.A. Gorter; P.L. Rosenbaum

    2004-01-01

    This study explored the relationships between the Gross Motor Function Classification System (GMFCS), limb distribution, and type of motor impairment. Data used were collected in the Ontario Motor Growth study, a longitudinal cohort study with a population-based sample of children with cerebral pals

  12. The future of gross anatomy teaching.

    Science.gov (United States)

    Malamed, S; Seiden, D

    1995-01-01

    A survey of U.S. departments of anatomy, physiology, and biochemistry shows that 39% of the respondent anatomy departments reported declines in the numbers of graduate students taking the human gross anatomy course. Similarly, 42% of the departments reported decreases in the numbers of graduate students teaching human gross anatomy. These decreases were greater in anatomy than in physiology and in biochemistry. The percentages of departments reporting increases in students taking or teaching their courses was 6% for human gross anatomy and 0% to 19% for physiology and biochemistry courses. To reverse this trend the establishment of specific programs for the training of gross anatomy teachers is advocated. These new teachers will be available as the need for them is increasingly recognized in the future.

  13. FUZZY ECCENTRICITY AND GROSS ERROR IDENTIFICATION

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    The dominant and recessive effect made by exceptional interferer is analyzed in measurement system based on responsive character, and the gross error model of fuzzy clustering based on fuzzy relation and fuzzy equipollence relation is built. The concept and calculate formula of fuzzy eccentricity are defined to deduce the evaluation rule and function of gross error, on the base of them, a fuzzy clustering method of separating and discriminating the gross error is found. Utilized in the dynamic circular division measurement system, the method can identify and eliminate gross error in measured data, and reduce measured data dispersity. Experimental results indicate that the use of the method and model enables repetitive precision of the system to improve 80% higher than the foregoing system, to reach 3.5 s, and angle measurement error is less than 7 s.

  14. Acute lymphoblastic leukemia presenting with gross hematuria

    OpenAIRE

    Kalbani, Naifain Al; Weitzman, Sheila; Abdelhaleem, Mohamed; Carcao, Manuel; Abla, Oussama

    2007-01-01

    A case of a six-year-old boy presenting with gross hematuria is reported. Investigations revealed the etiology of the hematuria to be thrombocytopenia in the setting of newly diagnosed acute lymphoblastic leukemia. The diagnosis of leukemia was confirmed by bone marrow examination. The patient’s hematuria completely resolved with platelet transfusions. Although thrombocytopenia is a very common presenting feature of acute lymphoblastic leukemia, gross hematuria is exceedingly rare. Thus, thro...

  15. 脑瘫共患病及其与脑瘫类型和粗大运动功能分级的关系%Comorbidities in patients with cerebral palsy and their relationship with neurologic subtypes and Gross Motor Function Classification System levels

    Institute of Scientific and Technical Information of China (English)

    侯梅; 孙殿荣; 单若冰; 王珂; 于荣; 赵建慧; 姜艳平

    2010-01-01

    subtype and the gross motor function levels. Clinicians should have a full recognition of these comorbidities, and we should have a cooperation between the different subjects to have an overall evaluation and rehabilitation and to improve the prognosis.

  16. 生长激素/胰岛素样生长因子-1轴与脑瘫儿童认知、大运动功能的关系%Relationship of GH/IGF-1 axis with gross motor and cognitive development in cerebral palsy toddlers

    Institute of Scientific and Technical Information of China (English)

    吴至凤; 赵聪敏; 廖伟; 张雨平; 王丽雁; 何菲; 冯雪菲; 李胤颖; 余秀梅

    2016-01-01

    目的 评估GH/IGF-1轴与幼龄脑瘫儿童粗大运动功能与认知发育的关系.方法 纳入2012年1月至2014年12月新桥医院儿科住院的1~4岁脑瘫儿童71例作为脑瘫组,按体格发育落后与否划分为脑瘫伴发育迟滞组(cerebral palsy with retardation,CP-R)50例及脑瘫发育正常组(cerebral palsy with normal growth,CP-N)21例;按粗大运动功能分类系统(gross motor function classification system, GMFCS)划分为Ⅰ~Ⅱ级组20例(CP-GMFCS Ⅰ~Ⅱ),Ⅲ~V级组51例(CP-GMFCSⅢ~V);按Bayley评分划分智力发育指数(mental development index,MDI)≥70组15例(CP-MDI≥70),MDI< 70组56例(CP-MDI< 70).健康对照组为同期体检的健康儿童15例.观察上述儿童的血浆GH基础值及激发值、胰岛素样生长因子-1(insulin-like growth factor Ⅰ,IGF-1)、类胰岛素生长因子结合蛋白3(insulin-like growth factor-binding protein 3,IGFBP-3)水平作对照研究.结果 ①CP-R组较CP-N组GH峰值显著降低,上述2组均较健康对照组GH峰值和IGF-1值显著降低(P<0.05).②CP-GMFCS Ⅰ~Ⅱ组和CP-GMFCSⅢ~V组较健康对照组GH峰值和IGF-1值显著降低,CP-GMFCSⅢ~V组较CP-GMFCS Ⅰ~Ⅱ组GH峰值和IGF-1值显著降低(P<0.05).③CP-MDI< 70组和CP-MDI≥70组较健康对照组GH峰值显著降低(P<0.05);CP-MDI< 70组较CP-MDI≥70组和健康对照组IGF-1值显著降低(P<0.05).结论 脑瘫伴体格发育迟缓、重度粗大运动功能障碍及明显MDI指数落后的儿童存在GH/IGF-1轴受损,提示GH、IGF-1低下可能是脑瘫儿童运动伴认知水平低下的原因之一.

  17. Effect of botulinum toxin A combined with plaster cast on gross motor function of spasmodic double paralysis%A 型肉毒毒素联合石膏固定对痉挛型双瘫患儿粗大运动功能影响的疗效观察

    Institute of Scientific and Technical Information of China (English)

    蔡慧强; 彭桂兰; 胡恕香; 蔡淑英

    2016-01-01

    目的:观察 A 型肉毒毒素联合石膏固定对痉挛型双瘫患儿粗大运动功能的影响。方法2013年1月至2014年10月厦门市妇幼保健院儿童神经康复科收治住院的痉挛型双瘫患儿40例,随机分为观察组和对照组各20例。对照组单纯采用 A 型肉毒毒素注射后进行康复训练;观察组采用 A 型肉毒毒素注射联合石膏固定3周,拆除石膏后进行康复训练,分别于治疗前及治疗后1、3、6个月采用粗大运动功能量表(GMFM-88)D 区和 E 区进行评估。结果观察组治疗后1、3、6个月 GMFM-88 D 区、E 区与治疗前比较差异有统计学意义(P <0.01)。对照组治疗后3、6个月 GMFM-88 D 区、E 区与治疗前比较差异有统计学意义(P <0.01)。观察组治疗后1、3、6个月 GMFM-88 D 区、E 区与对照组比较差异有统计学意义(P <0.01)。结论A 型肉毒毒素注射联合石膏固定治疗痉挛型双瘫患儿尖足畸形,可降低肌张力,改善运动功能,有效提高粗大运动功能,比单纯采用 A 型肉毒毒素治疗疗效更好。%Objective To explore the effect of botulinum toxin A combined with plaster cast on the gross motor function of spasmodic double paralysis.Methods A total of 40 children with spasmodic double paralysis hospitalized in Xiamen Maternal and Child Healthcare Hospital from Jan.2013 to Oct.2014 were included in the study,and they were randomly divided into two groups:observation group(20 cases)and control group(20 cases).Control group was treated only with botulinum toxin A injection followed by reha-bilitation training.Observation group was given with botulinum toxin A combined with 3 weeks of plaster cast,and then rehabilitation training was carried out after removing the plaster.GMFM-88 was used to make evaluation of zone D and zone E before treatment and 1,3 and 6 months after treatment.Results Zone D and E was different 1,3 and 6 months after treatment by GMFM-88 in the observation group

  18. Relationship between the non-motor items of the MDS-UPDRS and Quality of Life in patients with Parkinson's disease.

    Science.gov (United States)

    Skorvanek, Matej; Rosenberger, Jaroslav; Minar, Michal; Grofik, Milan; Han, Vladimir; Groothoff, Johan W; Valkovic, Peter; Gdovinova, Zuzana; van Dijk, Jitse P

    2015-01-01

    The Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) is a newly developed comprehensive tool to assess Parkinson's disease (PD), which covers a wider range of non-motor PD manifestations than the original UPDRS scale. The aim of this study was to assess the relationship between the MDS-UPDRS and Quality of Life (QoL) and to analyze the relationship between individual MDS-UPDRS non-motor items and QoL. A total of 291 PD patients were examined in a multicenter Slovak study. Patients were assessed by the MDS-UPDRS, HY scale and PDQ39. Data were analyzed using the multiple regression analyses. The mean participant age was 68.0 ± 9.0 years, 53.5% were men, mean disease duration was 8.3 ± 5.3 years and mean HY was 2.7 ± 1.0. In a multiple regression analysis model the PDQ39 summary index was related to MDS-UPDRS parts II, I and IV respectively, but not to part III. Individual MDS-UPDRS non-motor items related to the PDQ39 summary index in the summary group and in the non-fluctuating patients subgroup were pain, fatigue and features of dopamine dysregulation syndrome (DDS). In the fluctuating PD patient subgroup, PDQ39 was related to pain and Depressed mood items. Other MDS-UPDRS non-motor items e.g. Anxious mood, Apathy, Cognitive impairment, Hallucinations and psychosis, Sleep problems, Daytime sleepiness and Urinary problems were related to some PDQ39 domains. The overall burden of NMS in PD is more important in terms of QoL than motor symptoms. Individual MDS-UPDRS non-motor items related to worse QoL are especially pain and other sensations, fatigue and features of DDS.

  19. Signs of abnormal motor performance in preschool children

    Directory of Open Access Journals (Sweden)

    Martina Šlachtová

    2013-12-01

    Full Text Available BACKGROUND: The determination of the level of motor development should be a common part of examinations performed by paediatricians, physiotherapists and also teachers. The importance has been increasing because of the prevalence of developmental coordination disorder. OBJECTIVE: The aim of the study was to find the differences in performance of the selected motor tasks of gross motor function in preschoolers on both quantitative and qualitative parameters. METHODS: In the study 261 children were included, boys and girls aged 4–6 years (the average age 5.4 years attending regular kindergartens. We used motor tasks of standing on one leg and hopping. Significant differences in quantitative parameters were assessed by two-way ANOVA in Statistica (version 9 software. Relative frequency of characters in qualitative parameters was assessed by the test of the difference between two proportions. RESULTS: Significant differences between the age groups appeared in the quantitative parameters comparing 4 and 5 year old children and 4 and 6 year old children. Regardless of gender there were no differences between 5 year and 6 year old children. Overall, the girls mastered the tasks of the test better than the boys in the quantitative parameters of evaluation. From the evaluation of the quality of motor performance the most frequently reached performance in the tasks of the test has been described (relative frequency of characters. Significantly different motor performance from most children of the sample was observed particularly in the associated movements of limbs or trunk and face, showing for a reduced ability of selective relaxation at higher demands of the movement task. CONCLUSIONS: The different motor performance in observed parameters, showing for a reduced ability of selective relaxation, could be regarded as signs of abnormal motor performance in that age category.

  20. Complex Motor Learning in Four-Year-Olds

    Science.gov (United States)

    Leithwood, K. A.; Fowler, W.

    1971-01-01

    The effects of 4 months of gymnostic training upon complex and simple gross motor abilities and general cognitive and psychosocial functioning in 4-year-olds were compared with the effects of music training and no treatment. (WY)

  1. Correlation between diffusion tensor imaging parameters and classification of gross motor function in infants of periventricular leucomalacia with cerebral palsy%脑室周围白质软化症合并脑瘫患儿的扩散张量成像参量与粗大运动功能评分的相关性研究

    Institute of Scientific and Technical Information of China (English)

    蒋昊翔; 孙亲利; 李贤军; 张育苗; 李彦彦; 宋旸; 刘黎明; 张增俊; 杨健

    2014-01-01

    0.514,P值均<0.05).结论 DTI联合TBSS可用于精确评估PVL患儿脑白质损伤范围,运动功能障碍与部分投射纤维(皮质脊髓束、内囊和丘脑后辐射)、连合纤维(胼胝体压部)及联络纤维(上纵束)损伤相关.%Objective To assess white matter (WM) injury regions in infants of periventricular leukomalacia (PVL) with cerebral palsy (CP) by using diffusion tensor imaging (DTI) analyzed with tract-based spatial statistics (TBSS),and to observe the correlation between DTI parameters and clinical motor function.Methods Twenty-two patients with PVL and CP and 22 normal infants matched in terms of age and gender underwent conventional magnetic resonance imaging (MRI) and DTI.The gross motor function classification system (GMFCS) was applied to evaluate motor function in patients with PVL.The distribution of GMFCS levels was as follows:level Ⅰ,5; level Ⅱ,5; level Ⅲ,3; level Ⅳ,7; and level V,2.Two-sample t-test was performed to compare the difference in the values of fractional anisotropy (FA),axial diffusivity (AD),and radial diffusivity (RD) in WM regions between patients group and controls group.Spearman relativity analysis was performed to assess correlation between DTI parameters in different WM fiber bundles and GMFCS in patients.Results In comparison to the control group,the WM FA values in the patient group decreased.There were significant differences between two groups in bilateral corticospinal tract (CST) (patients group:left 0.34 ±0.09,right 0.34±0.06; controls group:left 0.38 ± 0.04,right 0.37 ± 0.04); bilateral posterior limb internal capsule (PLIC)(patients group:left 0.53 ±.097,right 0.56±0.09;controls group:left 0.62 ± 0.04,right 0.63 ± 0.04); bilateral anterior limb internal capsule (ALIC) (patients group:left 0.31±0.05,right 0.32±0.05; controls group:left 0.36±0.04,right0.38±0.04); bilateral posterior thalamic radiation (PTR)(patients group:left 0.32±0.07,right 0.33±0.07; controls group:left 0.40

  2. Using Achievement Goal Theory in Motor Skill Instruction: A Systematic Review.

    Science.gov (United States)

    Palmer, Kara K; Chinn, Katherine M; Robinson, Leah E

    2017-08-04

    Over the past two decades, achievement goal theory (AGT) has been used as a theoretical framework to design and implement motor skill programming in young children. The purpose of this systematic review was to examine the effects of AGT in motor skill interventions and programming in children aged 0-12 years. This systematic literature search was conducted using three databases: Google Scholar, PubMed, and EBSCOhost. Studies were included if they met the following four inclusion criteria: (1) had an intervention with a gross motor outcome, (2) used an intervention grounded in AGT, (3) included young children (aged 0-12 years), and (4) were written in English. Studies were rated according to methodological reporting quality. All literature searches and reporting were consistent with the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) protocol. A total of 12 studies met all inclusion criteria and were included in the sample. All studies reported that AGT motor skill interventions were effective for improving motor skills in young children. Studies varied in regard to intervention groups, duration, dosage, and the personnel responsible for implementing the intervention. None of the included studies met the requirements to be considered as having high methodological quality. Based on these findings, AGT is an effective theoretical approach for designing and implementing motor skill interventions for young children.

  3. Individual Differences in Language Development: Relationship with Motor Skill at 21 Months

    Science.gov (United States)

    Alcock, Katherine J.; Krawczyk, Kirsty

    2010-01-01

    Language development has long been associated with motor development, particularly manual gesture. We examined a variety of motor abilities--manual gesture including symbolic, meaningless and sequential memory, oral motor control, gross and fine motor control--in 129 children aged 21 months. Language abilities were assessed and cognitive and…

  4. Long term follow-up on quality of life and its relationship to motor and cognitive functions in Parkinson's disease after deep brain stimulation.

    Science.gov (United States)

    Yamamoto, Tatsuya; Uchiyama, Tomoyuki; Higuchi, Yoshinori; Asahina, Masato; Hirano, Shigeki; Yamanaka, Yoshitaka; Weibing, Liu; Kuwabara, Satoshi

    2017-08-15

    We aimed to examine temporal changes in health-related quality of life (HRQOL) and its relationship with motor and cognitive functions in patients with Parkinson's disease (PD) after subthalamic nucleus deep brain stimulation (STN-DBS). In total, 31 patients with PD were enrolled in this study (mean age: 66.7±0.9years; mean disease duration: 11.6±3.7years). Participants completed the Unified Parkinson's Disease Rating Scale and the Parkinson's Disease Questionnaire-39. Cognitive function was assessed using the Mini Mental State Examination, the Frontal Assessment Battery, and the Montreal Cognitive Assessment. Postoperative evaluation was performed at three months, one year, three years, and five years after surgery; temporal changes in the correlation between HRQOL and motor and cognitive functions were evaluated at all follow-up periods. All patients completed postoperative clinical evaluations after three months, after one year. Of the 31 participants, twelve completed postoperative clinical evaluations after three years and seven after five years. Motor functions showed significant improvement over the five-year follow-up period. The mobility subdomain of the HRQOL worsened whereas the total score did not change significantly over years. Cognitive functions were not significantly impaired during follow-up periods. HRQOL was basically not significantly correlated with motor and cognitive functions during the follow-up period. The mobility subdomain of the HRQOL worsened after surgery, and the improvement in motor functions was basically not correlated with HRQOL after STN-DBS in patients with PD. Cognitive functions were not significantly impaired during follow-up periods. Copyright © 2017. Published by Elsevier B.V.

  5. BOREAS HYD-8 Gross Precipitation Data

    Science.gov (United States)

    Fernandes, Richard; Hall, Forrest G. (Editor); Knapp, David E. (Editor); Smith, David E. (Technical Monitor)

    2000-01-01

    The Boreal Ecosystem-Atmosphere Study (BOREAS) Hydrology (HYD)-08 team made measurements of surface hydrological processes at the Southern Study Area-Old Black Spruce (SSA-OBS) Tower Flux site to support its research into point hydrological processes and the spatial variation of these processes. Data collected may be useful in characterizing canopy interception, drip, throughfall, moss interception, drainage, evaporation, and capacity during the growing season at daily temporal resolution. This particular data set contains the gross precipitation measurements for July to August 1996. Gross precipitation is the precipitation that falls that is not intercepted by tree canopies. These data are stored in ASCII text files. The HYD-08 gross precipitation data are available from the Earth Observing System Data and Information System (EOSDIS) Oak Ridge National Laboratory (ORNL) Distributed Active Archive Center (DAAC). The data files are available on a CD-ROM (see document number 20010000884).

  6. Organization of Physical Activities as a Precondition of Quality Development of Motor Abilities of Pre-School and School Children

    Directory of Open Access Journals (Sweden)

    Marković Živorad

    2015-08-01

    Full Text Available In their work authors consider the significance of the organization of physical activities for the development of abilities of pre-school and school children. Led by theoretical basis that physical development of children represents the basis of their whole development, and that “fine motor skills” are determined by the development of its large motorics, the authors point to the significance of the content and structure of physical education programme in preschool institutions and younger age school classes. It is evident that the effects of cultivating of children development during preschool period can be seen in younger primary school classes. The goal of this research was to determine if and how much the different organization of preparatory part of physical education lesson for younger school children, determines the differences in the development of their motor abilities. By the use of experimental method, the effects of prolonged preparatory part of a lesson in younger school classes. This part was realized through complex of exercises which were supposed to have influence on transformation of motor abilities in relation to the structure with standard duration of certain parts of a lesson. It is determined that certain increase in body movement of students during physical activity can significantly contribute to better development of motor abilities. These abilities determine correct physical development and strengthening of health, which determines general aim of physical education.

  7. 7 CFR 1424.7 - Gross payable units.

    Science.gov (United States)

    2010-01-01

    ...) Biodiesel producers will be eligible for payments on gross payable units for all biodiesel production from... rates. Unless otherwise determined by CCC, gross payable units for biodiesel production from eligible... biodiesel production gross payable units. (3) Adding the APP and BPP to determine biodiesel gross...

  8. Multiregional estimation of gross internal migration flows.

    Science.gov (United States)

    Foot, D K; Milne, W J

    1989-01-01

    "A multiregional model of gross internal migration flows is presented in this article. The interdependence of economic factors across all regions is recognized by imposing a non-stochastic adding-up constraint that requires total inmigration to equal total outmigration in each time period. An iterated system estimation technique is used to obtain asymptotically consistent and efficient parameter estimates. The model is estimated for gross migration flows among the Canadian provinces over the period 1962-86 and then is used to examine the likelihood of a wash-out effect in net migration models. The results indicate that previous approaches that use net migration equations may not always be empirically justified."

  9. The Gross conjecture over rational function fields

    Institute of Scientific and Technical Information of China (English)

    OUYANG; Yi

    2005-01-01

    We study the Gross conjecture for the cyclotomic function field extension k(∧f)/k where k = Fq(t) is the rational function field and f is a monic polynomial in Fq[t].We prove the conjecture in the Fermat curve case(i.e., when f = t(t - 1)) by a direct calculation. We also prove the case when f is irreducible, which is analogous to the Weil reciprocity law. In the general case, we manage to show the weak version of the Gross conjecture here.

  10. Evaluation of free i-applications for tertiary level gross anatomy education

    Directory of Open Access Journals (Sweden)

    Matthew F. Pollard

    2012-04-01

    Full Text Available BackgroundThe use of electronic resources in education, including i-applications used on portable handheld devices, is increasing. Apple® handheld devices are popular, with free applications the most prevalent download form. Many gross anatomy i-applications are available, however no information on the quality of free anatomy products is available. Rating such products could therefore guide product recommendations.AimTo evaluate the quality and range of free iPod® applications that are applicable for tertiary level gross anatomy education.MethodsA search of the iTunes® Application Store with keywords anatomy, free, medical, functional, clinical, gross, and human was performed, with inclusion based on free applications containing human gross anatomy usable for tertiary education purposes. Application specification was noted; each was trialled independently and rated for usability, specification, academic level, and quality (image and programme.ResultsSixty-three applications were identified and eleven met inclusion criteria. Two provided gross anatomy of the entire body, nine examined specific regions or systems. Five were judged introductory in academic level, five intermediate, and one advanced. One application was rated low quality, and four excellent. None were considered difficult to use (six easy, five medium. Application size ranged between 1.2MB and 229MB (mean 27MB.ConclusionsThere are few free i-applications for learning gross anatomy and most concentrate on individual body systems, with the academic level and usability of all products well rated. Results suggest some free I-applications could be suitable adjuncts for gross anatomy education at both an undergraduate and graduate level.

  11. Organization of Physical Activities as a Precondition of Quality Development of Motor Abilities of Pre-School and School Children

    Science.gov (United States)

    Markovic, Živorad; Kopas-Vukašinovic, Emina

    2015-01-01

    In their work authors consider the significance of the organization of physical activities for the development of abilities of pre-school and school children. Led by theoretical basis that physical development of children represents the basis of their whole development, and that "fine motor skills" are determined by the development of…

  12. Organization of Physical Activities as a Precondition of Quality Development of Motor Abilities of Pre-School and School Children

    Science.gov (United States)

    Markovic, Živorad; Kopas-Vukašinovic, Emina

    2015-01-01

    In their work authors consider the significance of the organization of physical activities for the development of abilities of pre-school and school children. Led by theoretical basis that physical development of children represents the basis of their whole development, and that "fine motor skills" are determined by the development of…

  13. Gross Revenue risk in Swiss dairy farming

    NARCIS (Netherlands)

    Benni, El N.; Finger, R.

    2013-01-01

    This study investigated how agricultural policy reforms, including market liberalization and market deregulation, have influenced gross revenue risk of Swiss dairy producers using farm-level panel data between 1990 and 2009. Based on detrended data, variance decomposition was applied to assess how o

  14. Gross Revenue risk in Swiss dairy farming

    NARCIS (Netherlands)

    Benni, El N.; Finger, R.

    2013-01-01

    This study investigated how agricultural policy reforms, including market liberalization and market deregulation, have influenced gross revenue risk of Swiss dairy producers using farm-level panel data between 1990 and 2009. Based on detrended data, variance decomposition was applied to assess how

  15. An evaluation of the total quality management implementation strategy for the advanced solid rocket motor project at NASA's Marshall Space Flight Center. M.S. Thesis - Tennessee Univ.

    Science.gov (United States)

    Schramm, Harry F.; Sullivan, Kenneth W.

    1991-01-01

    An evaluation of the NASA's Marshall Space Flight Center (MSFC) strategy to implement Total Quality Management (TQM) in the Advanced Solid Rocket Motor (ASRM) Project is presented. The evaluation of the implementation strategy reflected the Civil Service personnel perspective at the project level. The external and internal environments at MSFC were analyzed for their effects on the ASRM TQM strategy. Organizational forms, cultures, management systems, problem solving techniques, and training were assessed for their influence on the implementation strategy. The influence of ASRM's effort was assessed relative to its impact on mature projects as well as future projects at MSFC.

  16. Relations among motor, social, and cognitive skills in pre-kindergarten children with developmental disabilities.

    Science.gov (United States)

    Kim, Helyn; Carlson, Abby G; Curby, Timothy W; Winsler, Adam

    2016-01-01

    Despite the comorbidity between motor difficulties and certain disabilities, limited research has examined links between early motor, cognitive, and social skills in preschool-aged children with developmental disabilities. The present study examined the relative contributions of gross motor and fine motor skills to the prediction of improvements in children's cognitive and social skills among 2,027 pre-kindergarten children with developmental disabilities, including specific learning disorder, speech/language impairment, intellectual disability, and autism spectrum disorder. Results indicated that for pre-kindergarten children with developmental disabilities, fine motor skills, but not gross motor skills, were predictive of improvements in cognitive and social skills, even after controlling for demographic information and initial skill levels. Moreover, depending on the type of developmental disability, the pattern of prediction of gross motor and fine motor skills to improvements in children's cognitive and social skills differed. Implications are discussed.

  17. A checklist for assessing the methodological quality of studies using transcranial magnetic stimulation to study the motor system: an international consensus study.

    Science.gov (United States)

    Chipchase, Lucy; Schabrun, Siobhan; Cohen, Leonardo; Hodges, Paul; Ridding, Michael; Rothwell, John; Taylor, Janet; Ziemann, Ulf

    2012-09-01

    In the last decade transcranial magnetic stimulation (TMS) has been the subject of more than 20,000 original research articles. Despite this popularity, TMS responses are known to be highly variable and this variability can impact on interpretation of research findings. There are no guidelines regarding the factors that should be reported and/or controlled in TMS studies. This study aimed to develop a checklist to be recommended to evaluate the methodology and reporting of studies that use single or paired pulse TMS to study the motor system. A two round international web-based Delphi study was conducted. Panellists rated the importance of a number of subject, methodological and analytical factors to be reported and/or controlled in studies that use single or paired pulse TMS to study the motor system. Twenty-seven items for single pulse studies and 30 items for paired pulse studies were included in the final checklist. Eight items related to subjects (e.g. age, gender), 21 to methodology (e.g. coil type, stimulus intensity) and two to analysis (e.g. size of the unconditioned motor evoked potential). The checklist is recommended for inclusion when submitting manuscripts for publication to ensure transparency of reporting and could also be used to critically appraise previously published work. It is envisaged that factors could be added and deleted from the checklist on the basis of future research. Use of the TMS methodological checklist should improve the quality of data collection and reporting in TMS studies of the motor system.

  18. Health-Related Quality of Life and Healthcare Utilisation in Patients with Parkinson's Disease: Impact of Motor Fluctuations and Dyskinesias

    OpenAIRE

    Richard C. Dodel; Karin Berger; Oertel, Wolfgang H

    2001-01-01

    Idiopathic Parkinson's disease (PD) is a common chronic progressive neurodegenerative disorder associated with the progressive loss of dopaminergic neurons in the substantia nigra. The natural course of the disease may lead to severe disability despite a variety of pharmacological and surgical treatment options. Levodopa is still the most effective symptomatic treatment for PD; however, long term use can cause a number of adverse effects including motor complications, nausea and vomiting, pos...

  19. [Effect of Comprehensive Protocol of Integrative Medicine on Motor Function, Activity of Daily Living and Quality of Life in Hemiplegia Patients after Stroke].

    Science.gov (United States)

    Chen, Hong-xia; Yang, Zhi-jing; Pan, Rui-huan; Guo, You-hua; Zhan, Le-chang; He, Ming-feng; Li, Mei; Wang, Zhi-fei; Zhan, Jie; Zhou, Ming-chao

    2016-04-01

    To explore the effects of integrative medicine (IM) rehabilitation protocolon motor function, activity of daily living, and quality of life (QOL) in hemiplegia patients after stroke. Totally 120 patients with post-stroke hemiplegia were allocated to four groups using sealed envalope drawing, i.e., the rehabilitation group, the Chinese medical treatment group, the acupuncture group, and the comprehensive rehabilitation group, 30 cases in each group. Based on routine rehabilitative training, patients in the Chinese medical treatment group, the acupuncture group, and the compre-hensive rehabilitation group received standardized treatment based on syndrome typing, Shi's Consciousness-Restoring Resuscitation acupuncture, Chinese herbs + acupuncture comprehensive rehabilitatino protocol, respectively. The treatmet cycle consisted of 4 weeks with 24-week follow-ups. Fugl-Meyer motor assessment (FMA), Modified Barthel Index (MBI), and Stroke-Specific Quality of Life Scale(SS-QQL), and safety assessment were taken as main effect indices before treatment, at week 4 of treatment, at week 12 and 24 of follow-ups, respectively. There was no statistical difference in FMA score, MBI score, SS-QOL score among the four groups before treatment (P > 0.05). These scores were significantly improved in the four groups at week 4 of treatment, week 12 and 24 of follow-ups, respectively (P rehabilitation group at each corresponding time point, as compared with other treatment groups (P hemiplegia patients after stroke, and further improve their QOL. Its effect was better than other single treatment.

  20. Activity level of gross α and gross β in airborne aerosol samples around the Qinshan NPP

    Institute of Scientific and Technical Information of China (English)

    CHEN Bin; YE Jida; CHEN Qianyuan; WU Xiaofei; SONG Weili; WANG Hongfeng

    2007-01-01

    The monitoring results of gross α and gross β activity from 2001 to 2005 for environmental airborne aerosol samples around the Qinshan NPP base are presented in this paper. A total of 170 aerosol samples were collected from monitoring sites of Caichenmen village, Qinlian village, Xiajiawan village and Yangliucun village around the Qinshan NPP base. The measured specific activity of gross α and gross β are in the range of 0.02 ~ 0.38 mBq/m3 and 0.10 ~ 1.81 mBq/m3, respectively, with an average of 0.11 mBq/m3 and 0.45mBq/m3, respectively. They are lower than the average of 0.15 mBq/m3 and 0.52mBq/m3, of reference site at Hangzhou City. It is indicated that the specific activity of gross α and gross β for environmental aerosol samples around the Qinshan NPP base had not been increased in normal operating conditions of the NPP.

  1. Noncommutative complex Grosse-Wulkenhaar model

    CERN Document Server

    Hounkonnou, Mahouton Norbert

    2012-01-01

    This paper stands for an application of the noncommutative (NC) Noether theorem, given in our previous work [AIP Proc 956 (2007) 55-60], for the NC complex Grosse-Wulkenhaar model. It provides with an extension of a recent work [Physics Letters B 653 (2007) 343-345]. The local conservation of energy-momentum tensors (EMTs) is recovered using improvement procedures based on Moyal algebraic techniques. Broken dilatation symmetry is discussed. NC gauge currents are also explicitly computed.

  2. The Dutch motor skills assessment as tool for talent development in table tennis: a reproducibility and validity study.

    Science.gov (United States)

    Faber, Irene R; Nijhuis-Van Der Sanden, Maria W G; Elferink-Gemser, Marije T; Oosterveld, Frits G J

    2015-01-01

    A motor skills assessment could be helpful in talent development by estimating essential perceptuo-motor skills of young players, which are considered requisite to develop excellent technical and tactical qualities. The Netherlands Table Tennis Association uses a motor skills assessment in their talent development programme consisting of eight items measuring perceptuo-motor skills specific to table tennis under varying conditions. This study aimed to investigate this assessment regarding its reproducibility, internal consistency, underlying dimensions and concurrent validity in 113 young table tennis players (6-10 years). Intraclass correlation coefficients of six test items met the criteria of 0.7 with coefficients of variation between 3% and 8%. Cronbach's alpha valued 0.853 for internal consistency. The principal components analysis distinguished two conceptually meaningful factors: "ball control" and "gross motor function." Concurrent validity analyses demonstrated moderate associations between the motor skills assessment's results and national ranking; boys r = -0.53 (P < 0.001) and girls r = -0.45 (P = 0.015). In conclusion, this evaluation demonstrated six test items with acceptable reproducibility, good internal consistency and good prospects for validity. Two test items need revision to upgrade reproducibility. Since the motor skills assessment seems to be a reproducible, objective part of a talent development programme, more longitudinal studies are required to investigate its predictive validity.

  3. Motor Skills of Toddlers with Autism Spectrum Disorders

    Science.gov (United States)

    Lloyd, Meghann; MacDonald, Megan; Lord, Catherine

    2013-01-01

    With increased interest in the early diagnosis and treatment of children with autism spectrum disorders (ASD), more attention has been called to the motor skills of very young children with ASD. This study describes the gross and fine motor skills of a cross-sectional group of 162 children with ASD between the ages of 12 and 36 months, as well as…

  4. 78 FR 2236 - Federal Motor Vehicle Safety Standards; New Pneumatic Tires for Motor Vehicles With a GVWR of...

    Science.gov (United States)

    2013-01-10

    ... Standards; New Pneumatic Tires for Motor Vehicles With a GVWR of More Than 4,536 Kilograms (10,000 Pounds... Standard (FMVSS) No. 119, New pneumatic tires for motor vehicles with a gross vehicle weight rating (GVWR... first issued in 1973 until it was inadvertently omitted in 2003. The breaking energy requirement...

  5. Motor skills in kindergarten: Internal structure, cognitive correlates and relationships to background variables.

    Science.gov (United States)

    Oberer, Nicole; Gashaj, Venera; Roebers, Claudia M

    2017-04-01

    The present study aimed to contribute to the discussion about the relation between motor coordination and executive functions in preschool children. Specifically, the relation between gross and fine motor skills and executive functions as well as the relation to possible background variables (SES, physical activity) were investigated. Based on the data of N=156 kindergarten children the internal structure of motor skills was investigated and confirmed the theoretically assumed subdivision of gross and fine motor skills. Both, gross and fine motor skills correlated significantly with executive functions, whereas the background variables seemed to have no significant impact on the executive functions and motor skills. Higher order control processes are discussed as an explanation of the relation between executive functions and motor skills. Copyright © 2017 Elsevier B.V. All rights reserved.

  6. 7 CFR 1410.44 - Average adjusted gross income.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Average adjusted gross income. 1410.44 Section 1410... Average adjusted gross income. (a) Benefits under this part will not be available to persons or legal entities whose average adjusted gross income exceeds $1,000,000 or as further specified in part...

  7. 7 CFR 701.17 - Average adjusted gross income limitation.

    Science.gov (United States)

    2010-01-01

    ... 9003), each applicant must meet the provisions of the Adjusted Gross Income Limitations at 7 CFR part... 7 Agriculture 7 2010-01-01 2010-01-01 false Average adjusted gross income limitation. 701.17... RELATED PROGRAMS PREVIOUSLY ADMINISTERED UNDER THIS PART § 701.17 Average adjusted gross income...

  8. Comparison of the quality of life in cerebral palsy children with physical therapy more and less than 10 months

    Directory of Open Access Journals (Sweden)

    Dewi Anggreany

    2015-10-01

    Full Text Available Background Cerebral palsy (CP is the most common cause of severe physical disability in childhood. These limitations may cause lower level experience or quality of life (QoL. Physical therapy (PT plays a central role in managing CP. Objective To compare QoL in CP children with PT more and less than 10 months and to compare gross motoric level before and after PT. Methods A cross sectional study was performed from June 2012 to March 2013 in Medan. Eligible population were four to twelve year old CP children who received PT. Subjects were divided into 2 group, group I was CP children with PT more than 10 months, group II was CP children with PT less than 10 months. Parents were asked to fill CP QOL questionnaires. To evaluate motor impairment level we used gross motor function classification system (GMFCS that classified the motoric impairment into 5 levels. Data was analyzed by using independent T-test and MannWhitney U test with 95% confidence interval. Results There were 60 CP children divided into 2 groups of 30 children. The mean duration of PT in group I was 35.7 (SD 19.37 months and group II was 4.2 (SD 3.13 months. Gross motoric level in both group increased from GMFCS IV to GMFCS II in group I (P=0.0001 and from GMFCS IV to GMFCS III (P=0.002 in group II. The mean total CP QoL scores in group I and II were 79.63 (SD 5.73 and 47.71 (SD 6.85, respectively (P=0.0001. Conclusions Cerebral palsy children who received more than 10 months PT have higher QoL than children with less than 10 months PT. There was significant gross motor improvement after PT in both groups.

  9. Comparison of the quality of life in cerebral palsy children with physical therapy more and less than 10 months

    Directory of Open Access Journals (Sweden)

    Dewi Angreany

    2015-09-01

    Full Text Available Background Cerebral palsy (CP is the most common cause of severe physical disability in childhood. These limitations may cause lower level experience or quality of life (QoL. Physical therapy (PT plays a central role in managing CP. Objective To compare QoL in CP children with PT more and less than 10 months and to compare gross motoric level before and after PT. Methods A cross sectional study was performed from June 2012 to March 2013 in Medan. Eligible population were four to twelve year old CP children who received PT. Subjects were divided into 2 group, group I was CP children with PT more than 10 months, group II was CP children with PT less than 10 months. Parents were asked to fill CP QOL questionnaires. To evaluate motor impairment level we used gross motor function classification system (GMFCS that classified the motoric impairment into 5 levels. Data was analyzed by using independent T-test and Mann-Whitney U test with 95% confidence interval. Results There were 60 CP children divided into 2 groups of 30 children. The mean duration of PT in group I was 35.7 (SD 19.37 months and group II was 4.2 (SD 3.13 months. Gross motoric level in both group increased from GMFCS IV to GMFCS II in group I (P=0.0001 and from GMFCS IV to GMFCS III (P=0.002 in group II. The mean total CP QoL scores in group I and II were 79.63 (SD 5.73 and 47.71 (SD 6.85, respectively (P=0.0001. Conclusions Cerebral palsy children who received more than 10 months PT have higher QoL than children with less than 10 months PT. There was significant gross motor improvement after PT in both groups.

  10. Non-Motor symptoms in Portuguese Parkinson’s Disease patients: correlation and impact on Quality of Life and Activities of Daily Living

    Science.gov (United States)

    Bugalho, Paulo; Lampreia, Tânia; Miguel, Rita; Mendonça, Marcelo D.; Caetano, André; Barbosa, Raquel

    2016-01-01

    The prevalence of non-motor symptoms (NMS) in Parkinson’s Disease (PD) has varied between studies. Their interrelation isn’t totally understood. Also, the relative importance of each symptom, regarding its impact on activities of daily living (ADL) and health related quality of life (HRQL), remains debatable. We assessed all PD patients attending a Portuguese tertiary movement disorders center during one year (n = 134), with ADL, HRQL and other clinical scales approved for identifying the most relevant NMS in PD. All patients had at least one NMS. Sleep/fatigue, affect/cognition, attention/memory were the most frequent complaints, and their prevalence, above 80%, was higher than in most studies. There were significantly correlations between: sleepiness, psychosis and cognition; gastrointestinal, cardiovascular symptoms and pain; depression and apathy; anxiety and insomnia; olfaction, weight and hyperhidrosis. Depression/apathy exerted the strongest influence on HRQL and non-tremor motor dysfunction on ADL. Compared to studies in other countries, we found a higher prevalence of NMS, which could be specific of this population. The interrelation between NMS could be related to degeneration of different brain structures. NMS exert a stronger influence than MS in HRQL, which should be taken in account regarding treatment options. PMID:27573215

  11. The informative value of motor, mental, and moral qualities in the personality structure of preschool children aged 4 years

    Directory of Open Access Journals (Sweden)

    Pangelova N.E.

    2013-06-01

    Full Text Available The study was to determine the presence or usefulness of the main components of the relationship of physical and psycho-physiological state in the personality structure of children of preschool age. The experiment involved 107 children aged 4 years (54 male, 53 female. Factor analysis of the structure of the motor system, the intellectual and moral sphere of children. Found that it is determined six orthogonal factors. The results give reason to believe that the development of the physical, intellectual and moral sphere of children of this age is complex. The interpretation of these data in the pedagogical aspect suggests that pre-school children are becoming a person under the influence of biological and psychological factors. Their activation is possible in the process of physical education.

  12. Baryons in Massive Gross-Neveu Models

    CERN Document Server

    Thies, M; Thies, Michael; Urlichs, Konrad

    2005-01-01

    Baryons in the large N limit of (1+1)-dimensional Gross-Neveu models with either discrete or continuous chiral symmetry have long been known. We generalize their construction to the case where the symmetry is explicitly broken by a bare mass term in the Lagrangian. In the discrete symmetry case, the exact solution is found for arbitrary bare fermion mass, using the Hartree-Fock approach. In the continuous symmetry case, a derivative expansion allows us to rederive a formerly proposed Skyrme-type model and to compute systematically corrections to the leading order description based on an effective sine-Gordon theory.

  13. Dance for PD: a preliminary investigation of effects on motor function and quality of life among persons with Parkinson's disease (PD).

    Science.gov (United States)

    Westheimer, Olie; McRae, Cynthia; Henchcliffe, Claire; Fesharaki, Arman; Glazman, Sofya; Ene, Heather; Bodis-Wollner, Ivan

    2015-09-01

    In 2001, Dance for Parkinson's disease (DfPD(®)) classes for persons with Parkinson's disease and care partners were developed by Brooklyn Parkinson Group and Mark Morris Dance Group. A previous assessment suggested that individuals experience positive benefits from DfPD(®). The current preliminary uncontrolled study investigated the effects of a dance intervention on several motor and quality of life aspects of PD following 16 sessions (8 weeks; 20 h) taught by professional dancers/teachers. A mixed methods design was used to determine the effects of the class. Assessment instruments administered at baseline and post-intervention included the Hoehn and Yahr, UPDRS (part III), Berg Balance Scale, Beck Depression Inventory, and PDQ-39 and individual interviews after the last class. Hoehn and Yahr scores ranged from 1 to 4. UPDRS III total scores and sub scores of gait and tremor improved following the intervention (P dance with PD.

  14. Motor Skill Development in Italian Pre-School Children Induced by Structured Activities in a Specific Playground.

    Directory of Open Access Journals (Sweden)

    Patrizia Tortella

    Full Text Available This study examined the effects and specificity of structured and unstructured activities played at the playground Primo Sport 0246 in Northern Italy on motor skill competence in five years old children. The playground was specifically designed to promote gross motor skills in preschool children; in this study 71 children from local kindergartens came to the park once a week for ten consecutive weeks and were exposed to 30 minutes of free play and 30 minutes of structured activities. Before and after the ten visits, each child completed nine tests to assess levels of motor skills, three for fine-motor skills and six for gross-motor skills. As control, motor skills were also assessed on 39 children from different kindergartens who did not come to the park. The results show that the experimental group who practiced gross-motor activities in the playground for 1 hour a week for 10 weeks improved significantly in 4 out of the 6 gross motor tasks and in none of the fine motor tasks. The data indicate that limited transfer occurred between tasks referring to different domains of motor competences while suggesting cross feeding for improvement of gross-motor skills between different exercises when domains related to physical fitness and strength of specific muscle groups are involved. These results are relevant to the issue of condition(s appropriate for maintaining and developing motor skills in this age group as well as for the planning, organization and implementation of play and physical activities in kindergartens.

  15. Motor Skill Development in Italian Pre-School Children Induced by Structured Activities in a Specific Playground.

    Science.gov (United States)

    Tortella, Patrizia; Haga, Monika; Loras, Håvard; Sigmundsson, Hermundur; Fumagalli, Guido

    2016-01-01

    This study examined the effects and specificity of structured and unstructured activities played at the playground Primo Sport 0246 in Northern Italy on motor skill competence in five years old children. The playground was specifically designed to promote gross motor skills in preschool children; in this study 71 children from local kindergartens came to the park once a week for ten consecutive weeks and were exposed to 30 minutes of free play and 30 minutes of structured activities. Before and after the ten visits, each child completed nine tests to assess levels of motor skills, three for fine-motor skills and six for gross-motor skills. As control, motor skills were also assessed on 39 children from different kindergartens who did not come to the park. The results show that the experimental group who practiced gross-motor activities in the playground for 1 hour a week for 10 weeks improved significantly in 4 out of the 6 gross motor tasks and in none of the fine motor tasks. The data indicate that limited transfer occurred between tasks referring to different domains of motor competences while suggesting cross feeding for improvement of gross-motor skills between different exercises when domains related to physical fitness and strength of specific muscle groups are involved. These results are relevant to the issue of condition(s) appropriate for maintaining and developing motor skills in this age group as well as for the planning, organization and implementation of play and physical activities in kindergartens.

  16. Speech and oral motor profile after childhood hemispherectomy.

    Science.gov (United States)

    Liégeois, Frédérique; Morgan, Angela T; Stewart, Lorna H; Helen Cross, J; Vogel, Adam P; Vargha-Khadem, Faraneh

    2010-08-01

    Hemispherectomy (disconnection or removal of an entire cerebral hemisphere) is a rare surgical procedure used for the relief of drug-resistant epilepsy in children. After hemispherectomy, contralateral hemiplegia persists whereas gross expressive and receptive language functions can be remarkably spared. Motor speech deficits have rarely been examined systematically, thus limiting the accuracy of postoperative prognosis. We describe the speech profiles of hemispherectomized participants characterizing their intelligibility, articulation, phonological speech errors, dysarthric features, and execution and sequencing of orofacial speech and non-speech movements. Thirteen participants who had undergone hemispherectomy (six left, seven right; nine with congenital, four with acquired hemiplegia; operated between four months and 13 years) were investigated. Results showed that all participants were intelligible but showed a mild dysarthric profile characterized by neuromuscular asymmetry and reduced quality and coordination of movements, features that are characteristic of adult-onset unilateral upper motor neuron dysarthria, flaccid-ataxic variant. In addition, one left and four right hemispherectomy cases presented with impaired production of speech and non-speech sequences. No participant showed evidence of verbal or oral dyspraxia. It is concluded that mild dysarthria is persistent after left or right hemispherectomy, irrespective of age at onset of hemiplegia. These results indicate incomplete functional re-organization for the control of fine speech motor movements throughout childhood, and provide no evidence of hemispheric differences. 2010 Elsevier Inc. All rights reserved.

  17. Maternal pre-pregnancy obesity and achievement of infant motor developmental milestones in the Upstate KIDS Study

    OpenAIRE

    Wylie, Amanda; Sundaram, Rajeshwari; Kus, Christopher; Ghassabian, Akhgar; Yeung, Edwina H.

    2015-01-01

    Objective Maternal pre-pregnancy obesity is associated with several poor infant health outcomes; however studies that investigated motor development have been inconsistent. Thus, we examined maternal pre-pregnancy weight status and infants’ gross motor development. Design and Methods Participants consisted of 4,901 mother-infant pairs from the Upstate KIDS study, a longitudinal cohort in New York. Mothers indicated dates when infants achieved each of six gross motor milestones when infants we...

  18. On Improving the Quality of Gas Tungsten Arc Welded 18Ni 250 Maraging Steel Rocket Motor Casings

    Science.gov (United States)

    Gupta, Renu N.; Raja, V. S.; Mukherjee, M. K.; Narayana Murty, S. V. S.

    2017-10-01

    In view of their excellent combination of strength and toughness, maraging steels (18Ni 250 grade) are widely used for the fabrication of large sized solid rocket motor casings. Gas tungsten arc welding is commonly employed to fabricate these thin walled metallic casings, as the technique is not only simple but also provides the desired mechanical properties. However, sometimes, radiographic examination of welds reveals typical unacceptable indications requiring weld repair. As a consequence, there is a significant drop in weld efficiency and productivity. In this work, the nature and the cause of the occurrence of these defects have been investigated and an attempt is made to overcome the problem. It has been found that weld has a tendency to form typical Ca and Al oxide inclusions leading to the observed defects. The use of calcium fluoride flux has been found to produce a defect free weld with visible effect on weld bead finish. The flux promotes the separation of inclusions, refines the grain size and leads to significant improvement in mechanical properties of the weldment.

  19. Motor-enriched learning activities can improve mathematical performance in preadolescent children

    DEFF Research Database (Denmark)

    Beck, Mikkel Malling; Lind, Rune Rasmussen; Geertsen, Svend Sparre;

    2016-01-01

    -enriched mathematical teaching in Danish preadolescent children (n = 165, age = 7.5 ± 0.02 years). Three groups were included: a control group (CON), which received non-motor enriched conventional mathematical teaching, a fine motor math group (FMM) and a gross motor math group (GMM), which received mathematical...... teaching enriched with fine and gross motor activity, respectively. The children were tested before (T0), immediately after (T1) and 8 weeks after the intervention (T2). A standardized mathematical test (50 tasks) was used to evaluate mathematical performance. Furthermore, it was investigated whether motor......Objective: An emerging field of research indicates that physical activity can benefit cognitive functions and academic achievements in children. However, less is known about how academic achievements can benefit from specific types of motor activities (e.g., fine and gross) integrated into learning...

  20. Motor Neurons

    DEFF Research Database (Denmark)

    Hounsgaard, Jorn

    2017-01-01

    Motor neurons translate synaptic input from widely distributed premotor networks into patterns of action potentials that orchestrate motor unit force and motor behavior. Intercalated between the CNS and muscles, motor neurons add to and adjust the final motor command. The identity and functional...... properties of this facility in the path from synaptic sites to the motor axon is reviewed with emphasis on voltage sensitive ion channels and regulatory metabotropic transmitter pathways. The catalog of the intrinsic response properties, their underlying mechanisms, and regulation obtained from motoneurons...... in in vitro preparations is far from complete. Nevertheless, a foundation has been provided for pursuing functional significance of intrinsic response properties in motoneurons in vivo during motor behavior at levels from molecules to systems....

  1. [Gross anatomy dissection and the legal control].

    Science.gov (United States)

    Yamashina, Shohei; Shibata, Yosaburo

    2010-12-01

    In Japan, dissection of human body is generally prohibited by the Penal Code, i.e. the criminal law. However, the Postmortem Examination and Corpse Preservation Act allows for the dissection of the body in very limited situations, that include gross anatomy dissection and pathological and forensic autopsy in medical and dental schools. Growing numbers of co-medical schools have been founded more recently in Japan, and not a small number of co-medical schools try to adopt human body dissection in the course of anatomy education. The present short communication reminds us of the ways of thinking of the Postmortem Examination and Corpse Preservation Act and the Act on Body Donation for Medical and Dental Education in order that anatomy education in medical as well as co-medical schools takes place under the regulation by these two laws.

  2. Motor, Psychiatric and Fatigue Features Associated with Nutritional Status and Its Effects on Quality of Life in Parkinson’s Disease Patients

    Science.gov (United States)

    Fereshtehnejad, Seyed-Mohammad; Ghazi, Ladan; Shafieesabet, Mahdiyeh; Shahidi, Gholam Ali; Delbari, Ahmad; Lökk, Johan

    2014-01-01

    Objectives Parkinson’s disease (PD) patients are more likely to develop impaired nutritional status because of the symptoms, medications and complications of the disease. However, little is known about the determinants and consequences of malnutrition in PD. This study aimed to investigate the association of motor, psychiatric and fatigue features with nutritional status as well as the effects of malnutrition on different aspects of quality of life (QoL) in PD patients. Methods One hundred and fifty patients with idiopathic PD (IPD) were recruited in this study. A demographic checklist, the Unified Parkinson’s Disease Rating Scale (UPDRS), the Hospital Anxiety and Depression Scale (HADS) and the Fatigue Severity Scale (FSS) were completed through face-to-face interviews and clinical examinations. The health-related QoL (HRQoL) was also evaluated by means of the Parkinson’s Disease Questionnaire (PDQ-39). For evaluation of nutritional status, the Mini Nutritional Assessment (MNA) questionnaire was applied together with anthropometric measurements. Results Thirty seven (25.3%) patients were at risk of malnutrition and another 3 (2.1%) were malnourished. The total score of the UPDRS scale (r = −0.613, Pnutritional status [2.5 vs. 2.0; Pnutritional status. Except for stigma, all other domains of the PDQ-39 were significantly correlated with the total score of the MNA. Conclusion Our study demonstrates that disease duration, severity of motor and psychiatric symptoms (depression, anxiety) and fatigue are associated with nutritional status in PD. Different aspects of the HRQoL were affected by patients’ nutritional status especially the emotional well-being and mobility domains. PMID:24608130

  3. Quality Control of Motor Unit Number Index (MUNIX Measurements in 6 Muscles in a Single-Subject "Round-Robin" Setup.

    Directory of Open Access Journals (Sweden)

    Christoph Neuwirth

    Full Text Available Motor Unit Number Index (MUNIX is a neurophysiological measure that provides an index of the number of lower motor neurons in a muscle. Its performance across centres in healthy subjects and patients with Amyotrophic Lateral Sclerosis (ALS has been established, but inter-rater variability between multiple raters in one single subject has not been investigated.To assess reliability in a set of 6 muscles in a single subject among 12 examiners (6 experienced with MUNIX, 6 less experienced and to determine variables associated with variability of measurements.Twelve raters applied MUNIX in six different muscles (abductor pollicis brevis (APB, abductor digiti minimi (ADM, biceps brachii (BB, tibialis anterior (TA, extensor dig. brevis (EDB, abductor hallucis (AH twice in one single volunteer on consecutive days. All raters visited at least one training course prior to measurements. Intra- and inter-rater variability as determined by the coefficient of variation (COV between different raters and their levels of experience with MUNIX were compared.Mean intra-rater COV of MUNIX was 14.0% (±6.4 ranging from 5.8 (APB to 30.3% (EDB. Mean inter-rater COV was 18.1 (±5.4 ranging from 8.0 (BB to 31.7 (AH. No significant differences of variability between experienced and less experienced raters were detected.We provide evidence that quality control for neurophysiological methods can be performed with similar standards as in laboratory medicine. Intra- and inter-rater variability of MUNIX is muscle-dependent and mainly below 20%. Experienced neurophysiologists can easily adopt MUNIX and adequate teaching ensures reliable utilization of this method.

  4. Quality Control of Motor Unit Number Index (MUNIX) Measurements in 6 Muscles in a Single-Subject “Round-Robin” Setup

    Science.gov (United States)

    Neuwirth, Christoph; Burkhardt, Christian; Alix, James; Castro, José; de Carvalho, Mamede; Gawel, Malgorzata; Goedee, Stephan; Grosskreutz, Julian; Lenglet, Timothée; Moglia, Cristina; Omer, Taha; Schrooten, Maarten; Weber, Markus

    2016-01-01

    Background Motor Unit Number Index (MUNIX) is a neurophysiological measure that provides an index of the number of lower motor neurons in a muscle. Its performance across centres in healthy subjects and patients with Amyotrophic Lateral Sclerosis (ALS) has been established, but inter-rater variability between multiple raters in one single subject has not been investigated. Objective To assess reliability in a set of 6 muscles in a single subject among 12 examiners (6 experienced with MUNIX, 6 less experienced) and to determine variables associated with variability of measurements. Methods Twelve raters applied MUNIX in six different muscles (abductor pollicis brevis (APB), abductor digiti minimi (ADM), biceps brachii (BB), tibialis anterior (TA), extensor dig. brevis (EDB), abductor hallucis (AH)) twice in one single volunteer on consecutive days. All raters visited at least one training course prior to measurements. Intra- and inter-rater variability as determined by the coefficient of variation (COV) between different raters and their levels of experience with MUNIX were compared. Results Mean intra-rater COV of MUNIX was 14.0% (±6.4) ranging from 5.8 (APB) to 30.3% (EDB). Mean inter-rater COV was 18.1 (±5.4) ranging from 8.0 (BB) to 31.7 (AH). No significant differences of variability between experienced and less experienced raters were detected. Conclusion We provide evidence that quality control for neurophysiological methods can be performed with similar standards as in laboratory medicine. Intra- and inter-rater variability of MUNIX is muscle-dependent and mainly below 20%. Experienced neurophysiologists can easily adopt MUNIX and adequate teaching ensures reliable utilization of this method. PMID:27135747

  5. 家庭运动环境对学龄前儿童运动协调能力的影响%Effect of family motor environment on motor coordination ability of preschool children

    Institute of Scientific and Technical Information of China (English)

    金华; 朱舒扬; 王菲; 马亚萍; 古桂雄

    2016-01-01

    Objective To explore the effect of family indoor and outdoor motor environment on motor coordination ability of preschool children,direct the parents to create family environment suitable for children's motor development and improve the quality of child rearing.Methods From June to December in 2012,3 125 children were randomly selected from 10 kindergartens in Suzhou area,Movement Assessment Battery for Children was used to test children's motor coordination ability,and their parents were asked to fill out a questionnaire named Family Environment Scale on Motor Development for Preschool Urban Children to evaluate family motor environment.Results All the 2 976 children finally finished all the tests and questionnaires.The scores of outdoor motor environment,indoor motor environment,gross motor toys,and fine motor toys of children with low motor coordination ability were statistically significantly lower than those of children with normal motor coordination ability (P<0.05).Multivariate regression analysis showed that outdoor motor environment and gross motor toys were significantly correlated with motor coordination ability of children after excluding other factors (P<0.05).Outdoor motor environment was significantly correlated with manual dexterity,aiming and grasping,and static and dynamic balance subscales (P<0.01);gross motor toys was significantly correlated with manual dexterity and aiming and grasping subscales (P<0.01).Conclusion Family motor environment,especially outdoor motor environment and gross motor toys,has significant impact on motor development of children,the parents should pay attention to creating good outdoor motor environment and gross motor toys to promote motor development of children.%目的 探讨家庭室内外运动环境对学龄前儿童运动协调能力的影响,以指导家长创造有利于儿童运动发育的家庭环境,提高育儿质量.方法 2012年6-12月,随机抽取苏州地区10所幼儿园3 125名儿童,采用

  6. Robust Principal Component Test in Gross Error Detection and Identification

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Principle component analysis (PCA) based chi-square test is more sensitive to subtle gross errors and has greater power to correctly detect gross errors than classical chi-square test. However, classical principal component test (PCT) is non-robust and can be very sensitive to one or more outliers. In this paper, a Huber function liked robust weight factor was added in the collective chi-square test to eliminate the influence of gross errors on the PCT. Meanwhile, robust chi-square test was applied to modified simultaneous estimation of gross error (MSEGE) strategy to detect and identify multiple gross errors. Simulation results show that the proposed robust test can reduce the possibility of type Ⅱ errors effectively. Adding robust chi-square test into MSEGE does not obviously improve the power of multiple gross error identification, the proposed approach considers the influence of outliers on hypothesis statistic test and is more reasonable.

  7. Etiology-specific differences in motor function after hemispherectomy.

    Science.gov (United States)

    van der Kolk, Nicolien M; Boshuisen, Kim; van Empelen, Ron; Koudijs, Suzanne M; Staudt, Martin; van Rijen, Peter C; van Nieuwenhuizen, Onno; Braun, Kees P J

    2013-02-01

    Prediction of functional motor outcome after hemispherectomy is difficult due to the heterogeneity of motor outcomes observed. We hypothesize that this might be related to differences in plasticity during the onset of the underlying epileptogenic disorder or lesion and try to identify predictors of motor outcome after hemispherectomy. Thirty-five children with different etiologies (developmental, stable acquired or progressive) underwent functional hemispherectomy and motor function assessment before hemispherectomy and 24 months after hemispherectomy. Preoperatively, children with developmental etiologies performed better in terms of distal arm strength and hand function, but not on gross motor function tests. Postoperatively, the three etiology groups performed equally poor in muscle strength and hand function, but gross motor function improved in those with acquired and progressive etiologies. Loss of voluntary hand function and distal arm strength after surgery was associated with etiology, intact insular cortex and intact structural integrity of the ipsilesional corticospinal tract on presurgical MRI scans. In conclusion, postoperative motor function can be predicted more precisely based on etiology and on preoperative MRI. Children with developmental etiology more often lose distal arm strength and hand function and show less improvement in gross motor function, compared to those with acquired pathology.

  8. Analytical Studies on the Quality and Environmental Impact of Commercial Motor Gasoline Available in Multan Region of Pakistan

    Directory of Open Access Journals (Sweden)

    Ghulam Yasin

    2008-12-01

    Full Text Available Physico-chemical characteristics such as specific gravity, reid vapour pressure, copper corrosion, distillation (I.B.P., F.B.P., Total recovery & residue and hydrocarbon contents (saturates, aromatics and polars of gasoline of different oil marketing companies collected from retail outlets in district Multan have been analysed using standard ASTM procedures. Results have been compared with the Pakistani, Indian and European specifications to assess the quality of Pakistani gasoline (petrol. The environmental impact of gasoline has also been assessed.

  9. Effect of temperate climate tree species on gross ammonification, gross nitrification and N2O formation

    Science.gov (United States)

    Brüggemann, N.; Rosenkranz, P.; Papen, H.; Butterbach-Bahl, K.

    2003-04-01

    Microbial nitrogen turnover processes in the soil, like ammonification, nitrification and denitrification, play an important role in the formation of nitrous oxide (N2O): (i) ammonification, because it releases nitrogen from organic material in the form of ammonium (NH4+), which in turn can serve as substrate for nitrification; (ii) nitrification itself (i.e. the turnover of NH4+ to nitrate, NO3-), during which nitric oxide (NO) and N2O can be released as by-products at varying ratios; (iii) denitrification, in which NO3- serves as electron acceptor and is converted to molecular nitrogen (N2) via NO and N2O as intermediates, that can also be partially lost to the atmosphere. Temperate forest soils are a substantial source of atmospheric N2O contributing up to 10% to the total atmospheric N2O budget. However, this figure is afflicted with a huge uncertainty due to a number of factors governing the soil N2O formation, consumption, release and uptake, which are not fully understood at present. To one of these factors belongs the influence of the tree species on nitrogen turnover processes in the soil and the formation of N trace gases related with them. The aim of the present work was to analyse this tree species effect for the temperate climate region. For this purpose the effect of five different temperate tree species, having the same age and growing on the same soil in direct vicinity to each other, on gross ammonification and gross nitrification as well as on N2O formation was investigated. The trees (common beech, Fagus sylvatica; pedunculate oak, Quercus robur; Norway spruce, Picea abies; Japanese larch, Larix leptolepis; mountain pine, Pinus mugo) were part of a species trial in Western Jutland, Denmark, established in 1965 on a former sandy heathland. Samples from the soil under these five tree species were taken in spring and in summer 2002, respectively, differentiating between organic layer and mineral soil. The gross rates of ammonification as well of

  10. Motor syndromes.

    Science.gov (United States)

    Corea, Francesco; Micheli, Sara

    2012-01-01

    Motor disturbances alone or associated with other focal deficits are the most common symptoms suggesting a neurovascular event. An appropriate clinical assessment of these signs and symptoms may help physicians to better diagnose and to both better treat and predict outcome. In this paper the main clinical features of motor deficit are described together with other motor-related events such as ataxia and movement disturbances.

  11. Opposable spines facilitate fine and gross object manipulation in fire ants

    Science.gov (United States)

    Cassill, Deby; Greco, Anthony; Silwal, Rajesh; Wang, Xuefeng

    2007-04-01

    Ants inhabit diverse terrestrial biomes from the Sahara Desert to the Arctic tundra. One factor contributing to the ants’ successful colonization of diverse geographical regions is their ability to manipulate objects when excavating nests, capturing, transporting and rendering prey or grooming, feeding and transporting helpless brood. This paper is the first to report the form and function of opposable spines on the foretarsi of queens and workers used during fine motor and gross motor object manipulation in the fire ant, Solenopsis invicta. In conjunction with their mandibles, queens and workers used their foretarsi to grasp and rotate eggs, push or pull thread-like objects out of their way or push excavated soil pellets behind them for disposal by other workers. Opposable spines were found on the foretarsi of workers from seven of eight other ant species suggesting that they might be a common feature in the Formicidae.

  12. TERATOGENIC EFFECTS OF SILVER NANOPARTICLES: GROSS ANOMALIES

    Directory of Open Access Journals (Sweden)

    Jyoti Prakash

    2015-07-01

    Full Text Available BACK GROUND: Prenatal exposure of AgNPs can induces devastative and detrimental effect in the organogenesis period of the developing embryos and foetuses. Organogenesis period is highly condemnatory and persuadable. Any injury to embryo during this period leads to dysmorphogenesis or even death AIM: The present study means to evaluate the gross anomalies on developing f o etus subsequent to silver nanoparticle ingestion during the gestational period. MATERIAL & METHOD: Random selections of pregnant Swiss albino mice were selected. AgNPs, of 20 - 100 nm size ra nge, were administered to pregnant mice by repeated oral gavages at concentra tions of 0.5, 1, 5, 10, 15 & 20 mg/kg/day during 4 - 17 gestational day. All dams were subjected to exteriorization on GD 18. The fetuses were evaluated for body malformation effects . RESULTS: Repeated oral gavages treatment with AgNPs at a concentration of 0.5mg/kg/day caused resorption (4.61% and intra uterine growth retardation (7.69% with no gross morphology alteration. 1 mg/kg/day caused resorption (9.23% and intra uterine growth retardation (10.76% with a rare case of haemorrhagic conception (1.53%, 5mg/kg/day caused limb malformation (7.01% resorption (17.54% and intra uterine growth retardation (17.54%, closed type Neural tube deformity (5.26%, 10mg/kg/day caused 20 % of limb malformation including Amelia, foot and tail vein hemorrhages and simple tail vein haemorrhage (3.50% each, resorption (22.80%, intra uterine growth retardation (29.82%, 15mg/kg/day caused severe hemorrhage within the entire body (22.80%, lim b anomaly including syndactyly and oligodactyly (8.77%, resorption (42.10%, intra uterine growth retardation (45.61%, 20mg/kg/day caused Omphalocele (3.27%, Bidiscoidal placental anomaly (9.83%, resorption (29.50% and intra uterine growth retardation (62.29%. CONCLUSION: The results show that a repeated oral dose of AgNPs during pregnancy caused fetal body dysmorphogenesis which is dose

  13. Adequate sizing and motor exploitation: Motor energy management

    Directory of Open Access Journals (Sweden)

    Kostić Miloje M.

    2011-01-01

    Full Text Available Motor energy management includes adequate sizing, control and improvement of electric energy quality, i.e. voltage quality (reducing voltage unbalance and harmonics distortion, and the proper maintenance. The specific motor price per kW is approximately constant for motors rated from 5 kW to 20 kW. By adequate sizing, or by proper replacement of the old motor with the new one, with rated output power reduced by 20% to 50% the smaller motor will be also cheaper by 20% to 50%. When the 22 kW motor is replaced with the new 15 kW that costs 64% of the price of a new 22 kW motor, the efficiency is increased by 3.6% (Example in paper. On the basis of our investigation results, it is confirmed that there are significant possibilities for energy savings by setting voltage values within the ±5% voltage band (Un±5%, since more than 80% induction motors are under loaded (£70%, especially small and medium rated power (1-30 kW motors.

  14. Neurodevelopmental Outcome of ECMO Survivors at Five Years of Age: The Potential for Academic and Motor Difficulties.

    Science.gov (United States)

    Langenbacher, Deborah; Nield, Toni; Poulsen, Marie Kanne

    2001-01-01

    This study examined the cognitive and motor functioning of 52 survivors of neonatal extracorporeal membrane oxygenation (ECMO) at age 5. Ten percent were diagnosed with mental retardation, while an additional 12 percent presented other disabilities. A common pattern of specific vulnerabilities in cognitive, gross motor, fine motor, and motor…

  15. The Relationship between Motor Abilities and Early Social Development in a Preschool Cohort of Children with Cerebral Palsy

    Science.gov (United States)

    Whittingham, Koa; Fahey, Michael; Rawicki, Barry; Boyd, Roslyn

    2010-01-01

    Aim: To investigate the relationship between motor ability and early social development in a cohort of preschool children with cerebral palsy (CP). Design: Population-based cohort study. Methods: Participants were 122 children with CP assessed at 18, 24 and 30 months, corrected age (ca). Motor ability was measured by the Gross Motor Function…

  16. Gross revenue risk in Swiss dairy farming.

    Science.gov (United States)

    El Benni, N; Finger, R

    2013-02-01

    This study investigated how agricultural policy reforms, including market liberalization and market deregulation, have influenced gross revenue risk of Swiss dairy producers using farm-level panel data between 1990 and 2009. Based on detrended data, variance decomposition was applied to assess how output prices and yields contributed to revenue risk over 3 different periods: the whole period (1990-2009), the first decade (1990-1999), and the second decade (1999-2009). In addition, the effect of expected changes in animal-based support for roughage-consuming cattle and price volatility on revenue risk was evaluated using a simulation model. Prices were the main contributor to revenue risk, even if the importance of yield risk increased over time. Swiss dairy producers can profit from natural hedge but market deregulation and market liberalization have reduced the natural hedge at the farm level. An increase in price volatility would substantially increase revenue risk and would, together with the abandonment of direct payments, reduce the comparative advantage of dairy production for risk-averse decision makers. Depending on other available risk management strategies, price risk management instruments might be a valuable solution for Swiss dairy producers in the future.

  17. Guidelines for Standard Photography in Gross and Clinical Anatomy

    Science.gov (United States)

    Barut, Cagatay; Ertilav, Hakan

    2011-01-01

    Photography has a widespread usage in medicine and anatomy. In this review, authors focused on the usage of photography in gross and clinical anatomy. Photography in gross and clinical anatomy is not only essential for accurate documentation of morphological findings but also important in sharing knowledge and experience. Photographs of cadavers…

  18. 26 CFR 1.61-4 - Gross income of farmers.

    Science.gov (United States)

    2010-04-01

    ... Gross income of farmers. (a) Farmers using the cash method of accounting. A farmer using the cash receipts and disbursements method of accounting shall include in his gross income for the taxable year— (1) The amount of cash and the value of merchandise or other property received during the taxable...

  19. Guidelines for Standard Photography in Gross and Clinical Anatomy

    Science.gov (United States)

    Barut, Cagatay; Ertilav, Hakan

    2011-01-01

    Photography has a widespread usage in medicine and anatomy. In this review, authors focused on the usage of photography in gross and clinical anatomy. Photography in gross and clinical anatomy is not only essential for accurate documentation of morphological findings but also important in sharing knowledge and experience. Photographs of cadavers…

  20. The Gross Anatomy Course: An Analysis of Its Importance

    Science.gov (United States)

    Bockers, Anja; Jerg-Bretzke, Lucia; Lamp, Christoph; Brinkmann, Anke; Traue, Harald C.; Bockers, Tobias M.

    2010-01-01

    The gross anatomy dissection course is a cost-intensive piece of undergraduate medical education that students and professionals alike describe as very important within the overall medical curriculum. We sought to understand more explicitly students' valuation of gross anatomy as an "important" course and so developed a quantitative…

  1. Inter-rater reliability of the Sødring Motor Evaluation of Stroke patients (SMES).

    Science.gov (United States)

    Halsaa, K E; Sødring, K M; Bjelland, E; Finsrud, K; Bautz-Holter, E

    1999-12-01

    The Sødring Motor Evaluation of Stroke patients is an instrument for physiotherapists to evaluate motor function and activities in stroke patients. The rating reflects quality as well as quantity of the patient's unassisted performance within three domains: leg, arm and gross function. The inter-rater reliability of the method was studied in a sample of 30 patients admitted to a stroke rehabilitation unit. Three therapists were involved in the study; two therapists assessed the same patient on two consecutive days in a balanced design. Cohen's weighted kappa and McNemar's test of symmetry were used as measures of item reliability, and the intraclass correlation coefficient was used to express the reliability of the sumscores. For 24 out of 32 items the weighted kappa statistic was excellent (0.75-0.98), while 7 items had a kappa statistic within the range 0.53-0.74 (fair to good). The reliability of one item was poor (0.13). The intraclass correlation coefficient for the three sumscores was 0.97, 0.91 and 0.97. We conclude that the Sødring Motor Evaluation of Stroke patients is a reliable measure of motor function in stroke patients undergoing rehabilitation.

  2. Development of common principles for the evaluation of quality characteristics of motor activity in the fitness and sports aerobics aesthetic orientation

    Directory of Open Access Journals (Sweden)

    Galyna Artemyeva

    2015-12-01

    Full Text Available Purpose: to develop and validate methods for quantifying qualitative indicators special physical preparedness of sportsmen in fitness-aerobics and sports aesthetic orientation. Materials and Methods: an analytical synthesis of these scientific and methodical literature, the use of the theory of similarity and dimensionality, biomechanical analysis of motor activity, processing of video. Results: based on the use of similarity theory presents the methods of quantitative evaluation of qualitative characteristics of motor activity in special physical training, which allow an assessment of motor talent of the athlete and to provide objective guidance to training in particular sport. Conclusions: the presented methods quantify the qualitative indicators of the special motor preparation allow us to estimate a measure of motor gifted individual and his susceptibility to training in particular sport

  3. Motor homopolar

    OpenAIRE

    Agustín Martín Muñoz

    2007-01-01

    Mostramos la construcción de un modelo de motor homopolar, uno de los más antiguos tipos de motores eléctricos. Se caracterizan porque el campo magnético del imán mantiene siempre la misma polaridad (de ahí su nombre, del griego homos, igual), de modo que, cuando una corriente eléctrica atraviesa el campo magnético, aparece una fuerza que hace girar los elementos no fijados mecánicamente. En el sencillísimo motor homopolar colgado (Schlichting y Ucke 2004), el imán puede girar ...

  4. Qigong massage for motor skills in young children with cerebral palsy and Down syndrome.

    Science.gov (United States)

    Silva, Louisa M T; Schalock, Mark; Garberg, Jodi; Smith, Cynthia Lammers

    2012-01-01

    In this article, we present a small randomized controlled study evaluating the effect of a dual parent- and trainer-delivered qigong massage methodology on motor skills and sensory responses in 28 children under age 4 with developmental delay and motor tone abnormalities. Fourteen children had high motor tone as a result of cerebral palsy (CP), and 14 children had low motor tone as a result of Down syndrome. Multivariate analysis and post hoc analysis of variance showed large effect-size improvements in Peabody Gross Motor Scale (PGMS) Object Manipulation scores (p qigong massage as a promising avenue for research to improve motor skills in young children with CP and Down syndrome.

  5. Change in basic motor abilities, quality of movement and everyday activities following intensive, goal-directed, activity-focused physiotherapy in a group setting for children with cerebral palsy

    OpenAIRE

    Kaale Helga K; Moe-Nilssen Rolf; Sorsdahl Anne; Rieber Jannike; Strand Liv

    2010-01-01

    Abstract Background The effects of intensive training for children with cerebral palsy (CP) remain uncertain. The aim of the study was to investigate the impact on motor function, quality of movements and everyday activities of three hours of goal-directed activity-focused physiotherapy in a group setting, five days a week for a period of three weeks. Methods A repeated measures design was applied with three baseline and two follow up assessments; immediately and three weeks after interventio...

  6. Comparison of gross anatomy test scores using traditional specimens vs. QuickTime Virtual Reality animated specimens

    Science.gov (United States)

    Maza, Paul Sadiri

    In recent years, technological advances such as computers have been employed in teaching gross anatomy at all levels of education, even in professional schools such as medical and veterinary medical colleges. Benefits of computer based instructional tools for gross anatomy include the convenience of not having to physically view or dissect a cadaver. Anatomy educators debate over the advantages versus the disadvantages of computer based resources for gross anatomy instruction. Many studies, case reports, and editorials argue for the increased use of computer based anatomy educational tools, while others discuss the necessity of dissection for various reasons important in learning anatomy, such as a three-dimensional physical view of the specimen, physical handling of tissues, interactions with fellow students during dissection, and differences between specific specimens. While many articles deal with gross anatomy education using computers, there seems to be a lack of studies investigating the use of computer based resources as an assessment tool for gross anatomy, specifically using the Apple application QuickTime Virtual Reality (QTVR). This study investigated the use of QTVR movie modules to assess if using computer based QTVR movie module assessments were equal in quality to actual physical specimen examinations. A gross anatomy course in the College of Veterinary Medicine at Cornell University was used as a source of anatomy students and gross anatomy examinations. Two groups were compared, one group taking gross anatomy examinations in a traditional manner, by viewing actual physical specimens and answering questions based on those specimens. The other group took the same examinations using the same specimens, but the specimens were viewed as simulated three-dimensional objects in a QTVR movie module. Sample group means for the assessments were compared. A survey was also administered asking students' perceptions of quality and user-friendliness of the QTVR

  7. Ultrasonic Motors

    Science.gov (United States)

    2003-06-01

    and T. Higuchi, "Cylindrical Micro Ultrasonic Motor Utilizing Bulk Lead Zirconate Titanate (PZT)," Japanese Journal of Applied Physics Part 1-Regular Papers Short Notes & Review Papers, vol. 38, pp. 3347-3350, 1999.

  8. Estimating the gross moist stability in shallow and deep convection

    Science.gov (United States)

    Chen, C. A.; Jong, B. T.; Chou, C.

    2015-12-01

    Gross moist stability has been used to study the link between tropical deep convection and large scale circulation in a moist static energy (MSE) budget. Here we aim to calculate the gross moist stability from more realistic profiles of vertical velocity and extend it beyond deep convection, adding shallow convection. Based on a principal component analysis, we were able to decompose the vertical velocity into two leading modes, which are dominated by deep and shallow convection, respectively. According to the deep and shallow modes, we calculate the gross moist stability for these two modes and discuss the roles of deep and shallow convection in the MSE budget. The gross moist stability of deep convection tends to be positive in the tropics, while that of shallow convection is negative over most areas of the tropics. This implies that deep convection exports MSE to stabilize the atmosphere and shallow convection imports MSE to enhance deep convection and destabilize the atmosphere. Based on the spatial distribution, moisture tends to reduce the gross moist stability of deep convection, while dry static energy has little impact. Deeper deep convection tends to have greater gross moist stability. For shallow convection, on the other hand, the gross moist stability is affected not only by low-level moisture but also mid-level moisture. Both moister low-level and drier mid-level moisture reduce the gross moist stability of shallow convection. Greater low-level dry static energy, which is associated with warmer sea surface temperature, also tends to reduce gross moist stability.

  9. Relationship between motor abilities and severity of autism spectrum disorder

    OpenAIRE

    Cvijetić Marija; Gagić Sanja

    2017-01-01

    According to the findings in literature, motor skills of children with autism spectrum disorders generally differ from age expectations and are increasingly being associated with speech and language and social development, and adaptive behavior. The aim of the research was to determine the relationship between the development level of fine and gross motor skills and autism severity of children with autism spectrum disorder. The sample included 30 children with autism spectrum disorder and ass...

  10. Children with low motor ability have lower visual-motor integration ability but unaffected perceptual skills.

    Science.gov (United States)

    Bonifacci, Paola

    2004-09-01

    The purpose of this study was to examine perceptual, visual-motor abilities and intellectual skills in children with low, average and above average motor abilities. The participants were 144 children (aged 6-10 years) attending elementary school. Three groups of children were identified on the basis of their performance at the TGMD (Test of Gross Motor Development; [Ulrich, D.A. (1985). TGMD, Test of Gross Motor Development. Austin, Texas: PRO-ED. Edizione Italiana a cura di D. Ianes, TEST TGM. Test di valutazione delle abilita grosso-motorie. 1994, Trento: Edizioni Centro Studi Erickson]). Each child received an intelligence test (K-BIT; [Kaufman, A.S., & Kaufman, N.L. (1990). K-BIT. Kaufman Brief Intelligence Test. Circle Pines, MN: American Guidance Service]) and was evaluated for perceptual and visual-motor integration abilities (DTVP; [Hammill, D.D., Pearson, N.A., & Voress, J.K. (1993). Developmental Test of Visual Perception (2nd ed.). Austin, Texas: PRO-ED. Edizione Italiana a cura di D. Ianes, TEST TPV. Test di percezione visiva e integrazione visuo-motoria. Trento: Edizioni Centro Studi Erickson]). Results highlight a significant difference in visual-motor integration between children with high and low gross-motor abilities, in the absence of significant differences in perceptual skills or intellectual ability. The findings are discussed with reference to the concept of atypical brain development [Gilger, J.W., & Kaplan, B.J. (2001). Atypical brain development: A conceptual framework for understanding developmental learning disabilities. Developmental Neuropsychology, 20, 465].

  11. The association between motor vehicle injuries and health-related quality of life: a longitudinal study of a population-based sample in the United States.

    Science.gov (United States)

    Alghnam, Suliman; Palta, Mari; L Remington, Patrick; Mullahy, John; S Durkin, Maureen

    2014-02-01

    As many as 3 million US residents are injured in traffic-related incidents every year leaving many victims with disabling conditions. To date, limited numbers of studies have examined the effects of traffic-related injuries on self-reported health. This study aims to examine the association between health-related quality of life (HRQOL) and traffic-related injuries longitudinally in a nationally representative sample of US adult population. This is a longitudinal study of adult participants (age ≥18) from seven panels (2000-2007) of the Medical Expenditure Panel Survey. The dependent variables included the physical and mental components of the SF-12, a measure of self-reported health. The outcome was assessed twice during the follow-up period: round 2 (~4-5 months into the study) and round 4 (~18 months into the study) for 62,298 individuals. Two methods estimate the association between traffic-related injuries and HRQOL: a within person change using paired tests and a between person change using multivariable regression adjusting for age, sex, income and educational level. Nine hundred and ninety-three participants reported traffic-related injuries during the follow-up period. Compared to their pre-crash HRQOL, these participants lost 2.7 of the physical component score while their mental component did not change. Adjusted results showed significant deficits in the physical component (-2.84, p value = injuries were significantly associated with the physical component of HRQOL. These findings highlight the individual and societal burden associated with motor vehicle crash-related disability in the United States.

  12. Major motor-functional determinants associated with poor self-reported health-related quality of life in myasthenia gravis patients.

    Science.gov (United States)

    Cioncoloni, David; Casali, Stefania; Ginanneschi, Federica; Carone, Marisa; Veronica, Boni; Rossi, Alessandro; Giannini, Fabio

    2016-05-01

    Myasthenia gravis (MG) is an autoimmune neuromuscular disorder in which disabling muscle weakness may affect health-related quality of life (HRQoL). The aim of this study was to investigate which common motor-functional deficits and corresponding severity are most determinant of poor HRQoL in these patients. In 41 patients, the dichotomized first item of the Italian Myasthenia Gravis Questionnaire (IMGQ), categorizing patients who report "good" and "poor" HRQoL, was chosen as dependent-outcome variable. All items composing the myasthenia gravis-specific scale (MG-ADL), i.e. talking, chewing, swallowing, breathing, impairment of ability to brush teeth or comb hair, impairment of ability to rise from chair, double vision, and eyelid droop were acquired as independent variables and dichotomized. Stepwise backward LR multivariable logistic regression analysis was performed. In addition, the main characteristics of patients were compared. MG-ADL items "chewing" ≥1, i.e. "fatigue chewing solid food", and "breathing" ≥2, i.e. "shortness of breath at rest" proved to be significant determinants. Higher dose of corticosteroid therapy was significantly (p = 0.027; r s  = -0.35), correlated with poor HRQoL. At diagnosis, a decremental response to repetitive nerve stimulation (RNS) from the abductor pollicis brevis was significantly more frequent in patients with poor HRQoL. In conclusion, impaired "chewing" and "breathing" functions indicate the need for careful planning of rehabilitation, re-education and patient management. Moreover, decremental response to RNS at diagnosis may identify patients at risk for poor HRQoL.

  13. Systematic review of the relationship between habitual physical activity and motor capacity in children with cerebral palsy.

    Science.gov (United States)

    Keawutan, Piyapa; Bell, Kristie; Davies, Peter S W; Boyd, Roslyn N

    2014-06-01

    Habitual physical activity (HPA) has many benefits for general health. Motor capacity in children with cerebral palsy (CP) can impact on their HPA. This study aimed to systematically review the available literature on the relationship between HPA and motor capacity in children with CP aged 3-12 years for all gross motor functional abilities (GMFCS I-V) compared to typically developing children. Five electronic databases (Pubmed, Cochrane, Embase, Cinahl and Web of Science from 1989 to November, 2013) were searched using keywords "children with cerebral palsy", "physical activity", "motor capacity" and "motor function" including their synonyms and MesH terms. Studies were included if they (i) were conducted in children with CP aged between 3 and 12 years, (ii) assessed HPA or time spent sedentary, (iii) assessed motor capacity in order to evaluate the relationship between HPA and motor capacity. All articles retrieved were reviewed by two independent reviewers and discussed until they reached consensus. Study quality of reporting was evaluated using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) criteria. Search results identified 864 articles but after review of the title and abstract only 21 articles warranted closer consideration. Ten articles met the strict inclusion criteria as nine articles did not assess HPA and two were conference abstracts. Study quality assessment (STROBE) found nine articles were good quality (≥ 60%) and one was poor quality (55.9%). Participants were mean age 8.4 (SD=2.1) years (range 2-17 years) and included children at all GMFCS levels (3 studies), while seven studies only recruited GMFCS level I-III. HPA measurements were either subjective (Activity Scale for Kids, Dutch Questionnaire of Participation in physical activity and assessment of participation in physical education at school and regular physical activity in leisure time) or objective (StepWatch(®) and ActiGraph(®)7164). Nine studies

  14. Relationship between Motor Skill and Body Mass Index in 5- to 10-Year-Old Children

    Science.gov (United States)

    D'Hondt, Eva; Deforche, Benedicte; De Bourdeaudhuij, Ilse; Lenoir, Matthieu

    2009-01-01

    The purpose of this study was to investigate gross and fine motor skill in overweight and obese children compared with normal-weight peers. According to international cut-off points for Body Mass Index (BMI) from Cole et al. (2000), all 117 participants (5-10 year) were classified as being normal-weight, overweight, or obese. Level of motor skill…

  15. Fine Motor Skills and Executive Function Both Contribute to Kindergarten Achievement

    Science.gov (United States)

    Cameron, Claire E.; Brock, Laura L.; Murrah, William M.; Bell, Lindsay H.; Worzalla, Samantha L.; Grissmer, David; Morrison, Frederick J.

    2012-01-01

    This study examined the contribution of executive function (EF) and multiple aspects of fine motor skills to achievement on 6 standardized assessments in a sample of middle-socioeconomic status kindergarteners. Three- and 4-year-olds' (n = 213) fine and gross motor skills were assessed in a home visit before kindergarten, EF was measured at fall…

  16. Spatial Concept Learning in Preschool Children: Motoric Experiences and Verbal Repetition as Adjuncts to Passive Listening.

    Science.gov (United States)

    And Others; Worthington, R. Kirby

    1980-01-01

    Thirty-two preschool children were matched by age, sex, and pretest scores on spatial concept knowledge. Four groups were (1) instruction (see and hear) only, (2) verbal repetition, (3) fine motor treatment (hand manipulation), and (4) gross motor treatment (body movement). There was no difference in performance between groups given instruction…

  17. Development and face validity of a cerebral visual impairment motor questionnaire for children with cerebral palsy

    NARCIS (Netherlands)

    Salavati, M.; Waninge, A.; Rameckers, E. A. A.; van der Steen, J.; Krijnen, W. P.; van der Schans, C. P.; Steenbergen, B.

    2017-01-01

    Aim The objectives of this study were (i) to develop two cerebral visual impairment motor questionnaires (CVI-MQ's) for children with cerebral palsy (CP): one for children with Gross Motor Function Classification System (GMFCS) levels I, II and III and one for children with GMFCS levels IV and V; (i

  18. Production of high quality brain-derived neurotrophic factor (BDNF) and tropomyosin receptor kinase B (TrkB) RNA from isolated populations of rat spinal cord motor neurons obtained by Laser Capture Microdissection (LCM).

    Science.gov (United States)

    Mehta, Prachi; Premkumar, Brian; Morris, Renée

    2016-08-03

    The mammalian central nervous system (CNS) is composed of multiple cellular elements, making it challenging to segregate one particular cell type to study their gene expression profile. For instance, as motor neurons represent only 5-10% of the total cell population of the spinal cord, meaningful transcriptional analysis on these neurons is almost impossible to achieve from homogenized spinal cord tissue. A major challenge faced by scientists is to obtain good quality RNA from small amounts of starting material. In this paper, we used Laser Capture Microdissection (LCM) techniques to identify and isolate spinal cord motor neurons. The present analysis revealed that perfusion with paraformaldehyde (PFA) does not alter RNA quality. RNA integrity numbers (RINs) of tissue samples from rubrospinal tract (RST)-transected, intact spinal cord or from whole spinal cord homogenate were all above 8, which indicates intact, high-quality RNA. Levels of mRNA for brain-derived neurotrophic factor (BDNF) or for its tropomyosin receptor kinase B (TrkB) were not affected by rubrospinal tract (RST) transection, a surgical procedure that deprive motor neurons from one of their main supraspinal input. The isolation of pure populations of neurons with LCM techniques allows for robust transcriptional characterization that cannot be achieved with spinal cord homogenates. Such preparations of pure population of motor neurons will provide valuable tools to advance our understanding of the molecular mechanisms underlying spinal cord injury and neuromuscular diseases. In the near future, LCM techniques might be instrumental to the success of gene therapy for these debilitating conditions.

  19. Sectoral contributions to Nigerian gross domestic product using a ...

    African Journals Online (AJOL)

    Global Journal of Pure and Applied Sciences ... This study analyzed sectoral contributions to Gross Domestic Product by Agriculture, Industry and services ... KEYWORDS: Granger causality, Unit root, VAR model and sectoral contribution ...

  20. 浅析高压电动机振动值与电能质量之间的联系%Analysis of the relationship between high voltage motor vibration and electric power quality

    Institute of Scientific and Technical Information of China (English)

    冀杰

    2011-01-01

    In order to locate the reason of abnormal motor vibration when the motor is runing, the electric power quality analysis was investigated.After an academic explanation and analysis of actual testing data, the primary conclusion that abnormal motor vibration was caused by the unbalanced incoming current was established.Lastly through simple calculation and comparison, the experimental results show that the unbalanced electric source voltage is one of the direct factor leading the abnormal motor vibration.%为探讨高压电动机在运行时出现的电机本体振动值偏高问题的原因,将电能质量技术应用到电动机振动分析中.通过理论简析和实测数据建立了电流不平衡性与电机振动值之间的关系,提出电动机进线电流不平衡是迫使其振动值偏大的重要原因.实测数据分析结果表明,外电源进线电压不平衡是引起电机振动值偏大的直接原因之一.

  1. Motor Improvement Using Motion Sensing Game Devices for Cerebral Palsy Rehabilitation.

    Science.gov (United States)

    Camara Machado, Fabiana Rita; Antunes, Priscilla Pereira; Souza, Jandara De Moura; Santos, Antônio Cardoso Dos; Levandowski, Daniela Centenaro; Oliveira, Alcyr Alves De

    2016-09-03

    The authors aimed to investigate the effects of an intervention based on interactive game set with the movement sensor Kinect on children with cerebral palsy (CP). Twenty-eight participants were recruited. Their age was between 3 and 12 years old, and rated as level I, II, or III on the Gross Motor Function Classification System. They played two games from the Xbox 360 Kinect system and were evaluated using the Gross Motor Function Measure (GMFM) after a period of 8 weeks. The intervention led to significant motor function improvement as increase of the global scores on the GMFM (p games may represent useful tools for children with CP.

  2. Speech and Oral Motor Profile after Childhood Hemispherectomy

    Science.gov (United States)

    Liegeois, Frederique; Morgan, Angela T.; Stewart, Lorna H.; Cross, J. Helen; Vogel, Adam P.; Vargha-Khadem, Faraneh

    2010-01-01

    Hemispherectomy (disconnection or removal of an entire cerebral hemisphere) is a rare surgical procedure used for the relief of drug-resistant epilepsy in children. After hemispherectomy, contralateral hemiplegia persists whereas gross expressive and receptive language functions can be remarkably spared. Motor speech deficits have rarely been…

  3. Perceptual-Motor Attributes of Mentally Retarded Youth.

    Science.gov (United States)

    Cratty, Bryant J.

    To evaluate six perceptual-motor attributes of trainable and educable mentally retarded children, a battery of tests was constructed which included body perception, gross agility, balance, locomotor ability, throwing, and tracking; 83 retarded subjects provided reliability data, and their scores, with those of 120 additional subjects, provided…

  4. Speech and Oral Motor Profile after Childhood Hemispherectomy

    Science.gov (United States)

    Liegeois, Frederique; Morgan, Angela T.; Stewart, Lorna H.; Cross, J. Helen; Vogel, Adam P.; Vargha-Khadem, Faraneh

    2010-01-01

    Hemispherectomy (disconnection or removal of an entire cerebral hemisphere) is a rare surgical procedure used for the relief of drug-resistant epilepsy in children. After hemispherectomy, contralateral hemiplegia persists whereas gross expressive and receptive language functions can be remarkably spared. Motor speech deficits have rarely been…

  5. Premedical anatomy experience and student performance in medical gross anatomy.

    Science.gov (United States)

    Kondrashov, Peter; McDaniel, Dalton J; Jordan, Rebecca M

    2017-04-01

    Gross anatomy is considered one of the most important basic science courses in medical education, yet few medical schools require its completion prior to matriculation. The effect of taking anatomy courses before entering medical school on performance in medical gross anatomy has been previously studied with inconsistent results. The effect of premedical anatomy coursework on performance in medical gross anatomy, overall medical school grade point average (GPA), and Comprehensive Osteopathic Medical Licensing Examination Level 1 (COMLEX 1) score was evaluated in 456 first-year osteopathic medical students along with a survey on its perceived benefits on success in medical gross anatomy course. No significant differences were found in gross anatomy grade, GPA, or COMLEX 1 score between students with premedical anatomy coursework and those without. However, significant differences and higher scores were observed in students who had taken three or more undergraduate anatomy courses including at least one with cadaveric laboratory. There was significantly lower perceived benefit for academic success in the medical gross anatomy course (P<.001) from those students who had taken premedical anatomy courses (5.9 of 10) compared with those who had not (8.2 of 10). Results suggest that requiring any anatomy course as a prerequisite for medical school would not have significant effect on student performance in the medical gross anatomy course. However, requiring more specific anatomy coursework including taking three or more undergraduate anatomy courses, one with cadaveric laboratory component, may result in higher medical gross anatomy grades, medical school GPA, and COMLEX 1 scores. Clin. Anat. 30:303-311, 2017. © 2017 Wiley Periodicals, Inc.

  6. Motor Planning.

    Science.gov (United States)

    Wong, Aaron L; Haith, Adrian M; Krakauer, John W

    2015-08-01

    Motor planning colloquially refers to any process related to the preparation of a movement that occurs during the reaction time prior to movement onset. However, this broad definition encompasses processes that are not strictly motor-related, such as decision-making about the identity of task-relevant stimuli in the environment. Furthermore, the assumption that all motor-planning processes require processing time, and can therefore be studied behaviorally by measuring changes in the reaction time, needs to be reexamined. In this review, we take a critical look at the processes leading from perception to action and suggest a definition of motor planning that encompasses only those processes necessary for a movement to be executed-that is, processes that are strictly movement related. These processes resolve the ambiguity inherent in an abstract goal by defining a specific movement to achieve it. We propose that the majority of processes that meet this definition can be completed nearly instantaneously, which means that motor planning itself in fact consumes only a small fraction of the reaction time. © The Author(s) 2014.

  7. Australian Cerebral Palsy Child Study: protocol of a prospective population based study of motor and brain development of preschool aged children with cerebral palsy.

    Science.gov (United States)

    Boyd, Roslyn N; Jordan, Rachel; Pareezer, Laura; Moodie, Anne; Finn, Christine; Luther, Belinda; Arnfield, Evyn; Pym, Aaron; Craven, Alex; Beall, Paula; Weir, Kelly; Kentish, Megan; Wynter, Meredith; Ware, Robert; Fahey, Michael; Rawicki, Barry; McKinlay, Lynne; Guzzetta, Andrea

    2013-06-11

    Cerebral palsy (CP) results from a static brain lesion during pregnancy or early life and remains the most common cause of physical disability in children (1 in 500). While the brain lesion is static, the physical manifestations and medical issues may progress resulting in altered motor patterns. To date, there are no prospective longitudinal studies of CP that follow a birth cohort to track early gross and fine motor development and use Magnetic Resonance Imaging (MRI) to determine the anatomical pattern and likely timing of the brain lesion. Existing studies do not consider treatment costs and outcomes. This study aims to determine the pathway(s) to motor outcome from diagnosis at 18 months corrected age (c.a.) to outcome at 5 years in relation to the nature of the brain lesion (using structural MRI). This prospective cohort study aims to recruit a total of 240 children diagnosed with CP born in Victoria (birth years 2004 and 2005) and Queensland (birth years 2006-2009). Children can enter the study at any time between 18 months to 5 years of age and will be assessed at 18, 24, 30, 36, 48 and 60 months c.a. Outcomes include gross motor function (GMFM-66 & GMFM-88), Gross Motor Function Classification System (GMFCS); musculoskeletal development (hip displacement, spasticity, muscle contracture), upper limb function (Manual Ability Classification System), communication difficulties using Communication and Symbolic Behaviour Scales-Developmental Profile (CSBS-DP), participation using the Paediatric Evaluation of Disability Inventory (PEDI), parent reported quality of life and classification of medical and allied health resource use and determination of the aetiology of CP using clinical evaluation combined with MRI. The relationship between the pathways to motor outcome and the nature of the brain lesion will be analysed using multiple methods including non-linear modelling, multilevel mixed-effects models and generalised estimating equations. This protocol

  8. THE MOTOR

    DEFF Research Database (Denmark)

    Gammelgaard Nielsen, Anders

    2011-01-01

    MOTOR is the first assignment that students at Unit 1a of the School of Architecture are introduced to. The purpose of the assignment is to shake up the students and their preconceptions of what architec- ture is. This is done by introducing them to a working method that al- lows them to develop...

  9. THE MOTOR

    DEFF Research Database (Denmark)

    Gammelgaard Nielsen, Anders

    2011-01-01

    MOTOR is the first assignment that students at Unit 1a of the School of Architecture are introduced to. The purpose of the assignment is to shake up the students and their preconceptions of what architec- ture is. This is done by introducing them to a working method that al- lows them to develop...

  10. A&I - Data Quality - State Safety Data Quality Map

    Data.gov (United States)

    Department of Transportation — Data Quality identifies FMCSA resources for evaluating, monitoring, and improving the quality of data submitted by States to the Motor Carrier Management Information...

  11. Increased Intensity of Physical Therapy for a Child with Gross Motor Developmental Delay: A Case Report

    Science.gov (United States)

    Schreiber, Joe

    2004-01-01

    Background and Purpose: The intensity of physical therapy provided for children in early intervention (EI) programs may be influenced by a number of factors. In an individualized program, however, some children and families may benefit from an increased frequency of services. The purpose of this case report was to systematically document and…

  12. Effects of early regular physical therapy treatment on gross motor function of children with cerebral palsy

    National Research Council Canada - National Science Library

    Murvanidze Eliso

    2017-01-01

    .... The objective of our research was measuring effectiveness of physical therapy treatment in cases of cerebral palsy, and defining the influence of correct and targeted physical therapy treatment...

  13. Introduction of the gross motor function classification system in Venezuela - a model for knowledge dissemination

    OpenAIRE

    Löwing, Kristina; Arredondo, Ynes C.; Tedroff, Marika; Tedroff, Kristina

    2015-01-01

    Background A current worldwide common goal is to optimize the health and well-being of children with cerebral palsy (CP). In order to reach that goal, for this heterogeneous group, a common language and classification systems are required to predict development and offer evidence based interventions. In most countries in Africa, South America, Asia and Eastern Europe the classification systems for CP are unfamiliar and rarely used. Education and implementation are required. The specific aims ...

  14. Neurostimulation for Parkinson's disease with early motor complications

    NARCIS (Netherlands)

    Schuepbach, W.M.; Rau, J.; Knudsen, K.; Volkmann, J.; Krack, P.; Timmermann, L.; Halbig, T.D.; Hesekamp, H.; Navarro, S.M.; Meier, N.; Falk, D.; Mehdorn, M.; Paschen, S.; Maarouf, M.; Barbe, M.T.; Fink, G.R.; Kupsch, A.; Gruber, D.; Schneider, G.H.; Seigneuret, E.; Kistner, A.; Chaynes, P.; Ory-Magne, F.; Brefel Courbon, C.; Vesper, J.; Schnitzler, A.; Wojtecki, L.; Houeto, J.L.; Bataille, B.; Maltete, D.; Damier, P.; Raoul, S.; Sixel-Doering, F.; Hellwig, D.; Gharabaghi, A.; Kruger, R.; Pinsker, M.O.; Amtage, F.; Regis, J.M.; Witjas, T.; Thobois, S.; Mertens, P.; Kloss, M.; Hartmann, A.; Oertel, W.H.; Post, B.; Speelman, H.; Agid, Y.; Schade-Brittinger, C.; Deuschl, G.

    2013-01-01

    BACKGROUND: Subthalamic stimulation reduces motor disability and improves quality of life in patients with advanced Parkinson's disease who have severe levodopa-induced motor complications. We hypothesized that neurostimulation would be beneficial at an earlier stage of Parkinson's disease. METHODS:

  15. Gross efficiency during rowing is not affected by stroke rate.

    Science.gov (United States)

    Hofmijster, Mathijs J; Van Soest, Arthur J; De Koning, Jos J

    2009-05-01

    It has been suggested that the optimal stroke rate in rowing is partly determined by the stroke-rate dependence of internal power losses. This should be reflected in a stroke-rate dependency of gross efficiency (e(gross)). The purpose of this study was to investigate if e(gross) is affected by stroke rate. A second aim was to determine whether internal power losses can be estimated by the negative power output during the stroke cycle (P(negative)). Seventeen well-trained female rowers participated in this study. They rowed three trials on a modified rowing ergometer on slides at a submaximal intensity, with a respiratory exchange ratio of 1 or close to 1. Stroke rates were 28, 34, and 40 strokes per minute. The trials were fully randomized. Power transfer to the flywheel was kept constant whereas e(gross) was determined during each trial. No significant differences in e(gross) were found between conditions. This finding suggests that in rowing internal power losses are not influenced by stroke rate. Furthermore, although P(negative) increased at increasing stroke rate (P measure to estimate internal power losses. This study shows that within the range of stroke rates applied in competitive rowing, internal power losses are unrelated to rowing cycle frequency.

  16. Relationship between the non-motor items of the MDS-UPDRS and Quality of Life in patients with Parkinson's disease

    NARCIS (Netherlands)

    Skorvanek, Matej; Rosenberger, Jaroslav; Minar, Michal; Grofik, Milan; Han, Vladimir; Groothoff, Johan W.; Valkovic, Peter; Gdovinova, Zuzana; van Dijk, Jitse P.

    2015-01-01

    The Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) is a newly developed comprehensive tool to assess Parkinson's disease (PD), which covers a wider range of non-motor PD manifestations than the original UPDRS scale. The aim of this study was to assess the relationship

  17. Effect of motor imagery therapy on quality of life in patients with cervical cancer%运动想象疗法对宫颈癌患者生活质量的影响

    Institute of Scientific and Technical Information of China (English)

    钟瑞媚; 曾雪婷; 李凯

    2014-01-01

    目的:探讨运动想象疗法对宫颈癌患者生活质量的影响。方法:选取50例宫颈癌患者采用随机数字表法分为研究组和对照组各25例,对照组实施常规护理,研究组在对照组的基础上开展运动想象疗法。两组在干预前和干预后第4周末均接受生活质量核心问卷(QLQ-C30)调查。结果:干预后,研究组生活质量评分均高于对照组(P﹤0.05)。结论:运动想象疗法是一项科学、合理、有效的护理方案,它不仅能改善患者的负性情感,还能提高患者的生活质量,值得临床推广。%Objective:To investigate the effect of motor imagery therapy on quality of life in patients with cervical cancer. Methods:50 cervical cancer patients were randomly divided into the study group and the control group(25 cases in each group). The routine nursing care was implemented in the control group and the extra motor imagery therapy was provided for the patients in the study group. The pa-tients in both groups received the assessment of life quality by using QLQ-C30 before the intervention and at the end of the fourth week after the intervention. Results:The scores of quality of life of the patients were higher in the study group than the control group after motor imagery therapy(P﹤0. 05). Conclusion:The motor imagery therapy is one of scientific,reasonable and effective nursing methods;it can not only relieve the negative emotions,but also improve the quality of life of the patients.

  18. Gross municipal product: the design procedure and application

    Directory of Open Access Journals (Sweden)

    Dmitry Vasilevich Kolechkov

    2012-12-01

    Full Text Available The article is devoted to the actual problem to find the adequate methods to assess the economic performance of municipalities conditioned by their growing independence and role in the development of regional economy. Nowadays many researchers are working on the practical application and testing of various approaches to assessing theterritory economicresults based on thecalculation of gross municipal product (GМP. However, the development of methodological reasonable calculation tools is still at an early stage. In this article presents a simplified method of calculating the gross municipal product, an analysis of the dynamics and territorialindustrial structure GМP, implemented in terms of grouping areas GМP methods hierarchical cluster analysis of the economic characteristics of the obtained clustersbased on systematic occurring in the economic literature, methodological developments in the calculation of gross municipal product, determination of strengths and weaknesses of different methodological approaches

  19. Anatomy of the Gross Intestine of the Capybara (Hydrochoerus Hydrochaeris

    Directory of Open Access Journals (Sweden)

    Noelia Vazquez

    2012-01-01

    Full Text Available Problem statement: The anatomy of the gross intestine and its mesentery of the capybara (Hydrochoerus hydrochaeris have not been described completely. Approach: In the present study, eight adult capybaras were studied using gross dissection. Results: The cecum was the largest part of the intestine and was divided into base, body and apex. The cecocolic fold joined the cecum to the full extent of the proximal loop of ascending colon. The ascending colon was divided into two ansae, one proximal and one distal or spiral. The distal ansa had a spiral arrangement and was placed cranially to the right, covered ventrally by the apex of the cecum. This ansa had a centripetal gyrus to the left, a central flexure and a centrifugal gyrus turning to the right that was continuous with the transverse colon in the right colic flexure. Conclusion: The gross intestine of the capybara was different to other previously studied rodents.

  20. Potato production in Europe - a gross margin analysis

    DEFF Research Database (Denmark)

    Pedersen, Søren Marcus; Bizik, Jan; Costa, Luisa Dalla;

    The purpose of this paper is to examine different cropping practices, cost structures and gross margins for producing conventional table potatoes in 6 different regions within the European Union: Czech Republic, Denmark, Italy, Poland, Portugal and Slovakia. Findings from this study show that pot......The purpose of this paper is to examine different cropping practices, cost structures and gross margins for producing conventional table potatoes in 6 different regions within the European Union: Czech Republic, Denmark, Italy, Poland, Portugal and Slovakia. Findings from this study show...... that potato cropping practices varies signifi-cantly between these countries with major differences in yields and costs. Italy and Denmark are the two regions with highest gross margins due to high yields and reve-nues. Poland is by far the largest potato producing country among the 6 countries ex...

  1. 脑性瘫痪儿童运动功能与生存质量之间的相关性分析%Correlation between motor function and quality of life in children with cerebral palsy

    Institute of Scientific and Technical Information of China (English)

    史惟; 王素娟

    2016-01-01

    目的:分析4-12岁脑瘫儿童运动功能与生存质量之间的相关性.方法:以2014年4-6月期间在复旦大学附属儿科医院康复中心、上海市徐汇区华泾社区卫生服务中心儿童康复科、上海市闵行区江川社区卫生服务中心儿童康复科、上海市宝山区金惠康复医院和上海市浦东特殊教育学校接受康复干预的4-12岁的脑瘫儿童和家庭为研究对象,共90例脑瘫儿童和家长纳入研究,其中脑瘫儿童包括男性54例,女性36例,平均年龄(7.40±2.44)岁;4-7岁59例,8-12岁31例,采用中文版脑瘫儿童生存质量问卷(cerebral palsy quality of life, CPQOL)评价生存质量,采用中文版脑瘫粗大运动功能分级系统(gross motor function classification system, GMFCS)进行粗大运动功能分级.采用中文版脑瘫患儿手功能的分级系统(manual ability classification system,MACS)进行手功能分级,通过分析GMFCS、MACS与CPQOL各项分值之间的相关性明确脑瘫儿童运动功能与生存质量之间的关系.结果:GMFCS分级与7个CPQOL分区中的5个分区有着较弱的相关性,其中与社会福祉和受容度、功能、参与能力与躯体健康、情绪健康与自尊4个分区为负相关(r=-0.29-0.38,P<0.05),表明GMFCS分级越高上述4个分区的分值就越低,也就是相关的生存质量就越低,此外GMFCS分级还与疼痛和残障的影响分区呈现较弱的正相关(r=0.28,P< 0.05),表明GMFCS分级越高,脑瘫儿童受到疼痛和残障的影响就越明显.与GMFCS相比,MACS只有与CPQOL的社会福祉和受容度、功能两个分区呈现更弱的相关性(r=-0.27,P<0.01;r=-0.23,P<0.05).与较小年龄脑瘫儿童(4-7岁)相比年龄较大脑瘫儿童(8-12岁)的GMFCS分级与CPQOLr分区的相关性更为明显.结论:粗大运动功能在一定程度上影响着脑瘫儿童的生存质量,与粗大运动功能相比手功能对生存质量的影响较小,较大年龄组脑瘫儿童的粗大运动功

  2. A survey of gross alpha and gross beta activity in soil samples in Kinta District, Perak, Malaysia.

    Science.gov (United States)

    Lee, Siak Kuan; Wagiran, Husin; Ramli, Ahmad Termizi

    2014-12-01

    The objective of this study was to determine the gross alpha and gross beta activity concentrations from the different soil types found in the Kinta District, Perak, Malaysia. A total of 128 soil samples were collected and their dose rates were measured 1 m above the ground. Gross alpha and gross beta activity measurements were carried out using gas flow proportional counter, Tennelec Series 5 LB5500 Automatic Low Background Counting System. The alpha activity concentration ranged from 15 to 9634 Bq kg(-1) with a mean value of 1558±121 Bq kg(-1). The beta activity concentration ranged from 142 to 6173 Bq kg(-1) with a mean value of 1112±32 Bq kg(-1). High alpha and beta activity concentrations are from the same soil type. The results of the analysis show a strong correlation between the gross alpha activity concentration and dose rate (R = 0.92). The data obtained can be used as a database for each soil type.

  3. Ludwik Gross, Sarah Stewart, and the 1950s discoveries of Gross murine leukemia virus and polyoma virus.

    Science.gov (United States)

    Morgan, Gregory J

    2014-12-01

    The Polish-American scientist Ludwik Gross made two important discoveries in the early 1950s. He showed that two viruses - murine leukemia virus and parotid tumor virus - could cause cancer when they were injected into susceptible animals. At first, Gross's discoveries were greeted with skepticism: it seemed implausible that viruses could cause a disease as complex as cancer. Inspired by Gross's initial experiments, similar results were obtained by Sarah Stewart and Bernice Eddy who later renamed the parotid tumor virus SE polyoma virus after finding it could cause many different types of tumors in mice, hamsters, and rats. Eventually the "SE" was dropped and virologists adopted the name "polyoma virus." After Gross's work was published, additional viruses capable of causing solid tumors or blood-borne tumors in mice were described by Arnold Graffi, Charlotte Friend, John Moloney and others. By 1961, sufficient data had been accumulated for Gross to confidently publish an extensive monograph--Oncogenic Viruses--the first history of tumor virology, which became a standard reference work and marked the emergence of tumor virology as a distinct, legitimate field of study. Copyright © 2014 Elsevier Ltd. All rights reserved.

  4. Effects of a High Protein Food Supplement on Physical Activity, Motor Performance and Health Related Quality of Life of HIV Infected Botswana Children on Anti-Retroviral Therapy (ART

    Directory of Open Access Journals (Sweden)

    Leapetswe Malete

    2017-05-01

    Full Text Available Objective: Despite existing evidence about the benefits of nutrition, physical activity (PA and sport to the overall health and wellbeing of children, knowledge gaps remain on this relationship in children living with chronic conditions like HIV/AIDS. Such knowledge should inform context specific programs that could enhance the quality of life of children. The purpose of this study was to examine the effects of integrating a nutrition intervention (culturally tailored food supplement into antiretroviral therapy (ART on psychosocial outcomes and physical activity among HIV-positive children in Botswana. Method: 201 HIV-positive children (6–15 years; M = 9.44, SD = 2.40 were recruited and randomly assigned (stratified by age and gender to two groups. The intervention group (n = 97 received a high protein (bean-sorghum plus micronutrients food supplement, while the control group (n = 104 received a sorghum plus micronutrients supplement. Participants were followed over 12 months. Anthropometric measures, PA, motor performance, and health related quality of life (HRQL were collected at baseline, 6 and 12 months. Results: Mixed repeated-measures ANOVA revealed a significant time effect of the food supplement on target variables except body fat percentage, speed, and school functioning. Time×treatment interaction was found for physical functioning, psyioning achosocial functnd total quality of life score. Scores on physical functioning and total of quality life in the intervention group significantly increased from baseline to 6 months compared with the control group (p = 0.015. Conclusion: A combination of ART and nutritional intervention had a positive effect on physical functioning and total quality of life of HIV-positive children in this study. There were also improvements to physical activity and motor performance tests over time. More research is needed on long term effects of nutrition and PA interventions on HRQL in children living with

  5. Numerical simulation for the Gross-Pitaevskii equation based on the lattice Boltzmann method

    Science.gov (United States)

    Wang, Huimin

    2017-09-01

    A lattice Boltzmann model for the Gross-Pitaevskii equation is proposed in this paper. Some numerical tests for one- and two-dimensional Gross-Pitaevskii equation have been conducted. The waves of the Gross-Pitaevskii equation are simulated. Numerical results show that the lattice Boltzmann method is an effective method for the wave of the Gross-Pitaevskii equation.

  6. 29 CFR 779.259 - What is included in annual gross volume.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false What is included in annual gross volume. 779.259 Section... Coverage Annual Gross Volume of Sales Made Or Business Done § 779.259 What is included in annual gross volume. (a) The annual gross volume of sales made or business done of an enterprise consists of its...

  7. 29 CFR 794.122 - Ascertainment of “annual” gross sales volume.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Ascertainment of âannualâ gross sales volume. 794.122... Annual Gross Volume of Sales § 794.122 Ascertainment of “annual” gross sales volume. The annual gross volume of sales of an enterprise engaged in the wholesale or bulk distribution of petroleum...

  8. Happy Life Years: a measure of Gross National Happiness

    OpenAIRE

    Veenhoven, Ruut

    2004-01-01

    textabstractHappiness is defined as the degree to which a person enjoys his or her life-as-a-whole. Accordingly ‘Gross National Happiness’ is defined as the degree to which citizens in a country enjoy the life they live. Individual happiness can be measured by self-report on a single standard question. Hence Gross National Happiness can be measured by the average response to such questions in general populations surveys. Survey data on average self-report of happiness can be combined with est...

  9. The Impact of Investments and Gross Value Added upon Earnings

    Directory of Open Access Journals (Sweden)

    Larisa APARASCHIVEI

    2011-02-01

    Full Text Available In this paper we tried to capture the impact of investments and gross value added, but also the impact of the employment on the average wage. The analysis refers to the period 1998- 2008 and we are using data on the activities of the Romanian economy. The results of this study confirm the negative influence of the employment, being consistent with the theory. Also, the impact of investments and that of gross value added came out to be positive and significant.

  10. Revised Phase Diagram of the Gross-Neveu Model

    CERN Document Server

    Thies, M; Thies, Michael; Urlichs, Konrad

    2003-01-01

    We confirm earlier hints that the conventional phase diagram of the discrete chiral Gross-Neveu model in the large N limit is deficient at non-zero chemical potential. We present the corrected phase diagram constructed in mean field theory. It has three different phases, including a kink-antikink crystal phase. All transitions are second order. The driving mechanism for the new structure of baryonic matter in the Gross-Neveu model is an Overhauser type instability with gap formation at the Fermi surface.

  11. 核电厂安全级电机质量鉴定中的热老化试验%Thermal Aging Test for Safety Class Motor Quality Identification in Nuclear Power Plant

    Institute of Scientific and Technical Information of China (English)

    黄慧洁; 徐学敏; 吴燕茹

    2014-01-01

    热老化试验是核电厂安全级电气设备鉴定中的主要项目之一,用于确保核电站在设计年限内安全运行。电机是核电站大量应用的设备,由于绝缘系统复杂,其热老化试验的设计和实施极具代表性。以6.6 kV电机40年寿命验证项目为例,介绍了核电厂安全级电机质量鉴定程序中的热老化试验方法,阐述了三点法确定活化能的试验及数据处理过程,与热重分析法进行对比,分析了整机热老化试验条件的确定方法及结果判断条件。%Thermal aging test is one of the key items for safety class electrical equipment quality identification in nuclear power plant, aiming to ensure safety running of nuclear power plant during its design life. Motors are widely used in nuclear power plant. Since insulation system is complicated, the design and implementation of thermal aging test for motors are representative. Taking 6.6 kV motor as an example, the method of three temperature thermal aging test for safety class motor in nuclear power plant was introduced. The test procedure and data processing to decide activation energy using three point method were discussed. And compared with thermogravimetric analysis, the decision of test temperature and aging time, the test criteria of end-product thermal aging were also analyzed.

  12. Movement sonification: Effects on motor learning beyond rhythmic adjustments

    Directory of Open Access Journals (Sweden)

    Alfred Oliver Effenberg

    2016-05-01

    Full Text Available Motor learning is based on motor perception and emergent perceptual-motor representations. A lot of behavioral research is related to single perceptual modalities, but during last two decades the contribution of multimodal perception on motor behavior was discovered more and more. A growing number of studies indicate an enhanced impact of multimodal stimuli on motor perception, motor control and motor learning in terms of better precision and higher reliability of the related actions. Behavioral research is supported by neurophysiological data, revealing that multisensory integration supports motor control and learning. But the overwhelming part of both research lines is dedicated to basic research. Besides research in the domains of music, dance and motor rehabilitation there is nearly no evidence about enhanced effectiveness of multisensory information on learning of gross motor skills. To reduce this gap movement sonification is used here in applied research on motor learning in sports.Based on the current knowledge on the multimodal organization of the perceptual system we generate additional real-time movement information being suitable for integration with perceptual feedback streams of visual and proprioceptive modality. With ongoing training synchronously processed auditory information should be initially integrated into the emerging internal models, enhancing the efficacy of motor learning. This is achieved by a direct mapping of kinematic and dynamic motion parameters to electronic sounds, resulting in continuous auditory and convergent audiovisual or audio-proprioceptive stimulus arrays. In sharp contrast to other approaches using acoustic information as error feedback in motor learning settings we try to generate additional movement information suitable for acceleration and enhancement of adequate sensorimotor representations and processible below the level of consciousness. In the experimental setting participants were asked to

  13. Actions to promote energy efficient electric motors. Motors study group

    Energy Technology Data Exchange (ETDEWEB)

    Almeida, A.T. de [Coimbra Univ. (PT). Inst. of Systems and Robotics (ISR)

    1996-10-01

    Motor electricity consumption is influenced by many factors including: motor efficiency, motor speed controls, power supply quality, harmonics, systems oversizing, distribution network, mechanical transmission system, maintenance practices, load management and cycling, and the efficiency of the end-use device (e.g. fan, pump, etc.). Due to their importance, an overview of these factors is presented in this report. This study also describes the electricity use in the industrial and tertiary sectors and the electricity consumption associated with the different types of electric motors systems in the Member States of the European Union, as well as estimated future evolution until 2010. The studies for individual countries were carried out by the different partners of the motors study group at a previous stage. The study has found that there is a lack of accurate information about the motor electricity consumption, installed motor capacity and the motor market in almost all the European Union countries and only some general statistical sources are available. There is little field data, which is mainly available in Denmark, France, Italy and the Netherlands. Due to this lack of primary information, some common assumptions were made, based on the experience of the members of the study group. This lack of end-use characterisation data shows the need for improvement from the point of view of current knowledge. It is therefore recommended that further research is undertaken to arrive at more accurate figures. These could be the basis for a better understanding for motor use in practice and - as a consequence - for a more precise appraisal of potentials and barriers to energy efficiency. (orig.)

  14. The effect of vibration therapy on spasticity and motor function in children with cerebral palsy: a randomized controlled trial.

    Science.gov (United States)

    Katusic, Ana; Alimovic, Sonja; Mejaski-Bosnjak, Vlatka

    2013-01-01

    As the motor system relies heavily on deep sensory stimulation, recent studies have investigated the effect of vibration stimuli. Although research suggests a positive influence of vibration on motor performance in individuals with neurological disorders, there are very limited numbers of studies in children with cerebral palsy (CP). The objective of the present study was to evaluate the effects of sound wave vibration therapy on spasticity and motor function in children with CP. In this 3-month trial, 89 children with spastic CP were randomized to either continue their physiotherapy treatment (PT) or to receive vibration therapy twice a week in addition to their PT program. The randomization was stratified according to the Gross Motor Function Classification System (GMFCS) level to ensure similar functional ability. Children were assessed at baseline and after the 12-week intervention period. The outcomes measured were spasticity level as assessed by Modified Modified Ashworth Scale (MMAS) and gross motor function as assessed by Gross Motor Function Measurement (GMFM-88). Subgroup analysis was performed for the GMFCS. Significant differences between groups were detected for changes in spasticity level and gross motor function after the three months intervention. In conclusion, vibration therapy may decrease spasticity and improve motor performance in children with CP. The results of the present trial serve as valuable input for evidence-based treatments in paediatric neurorehabilitation.

  15. Monitoring of gross alpha, gross beta and actinides activities in exhaust air released from the waste isolation pilot plant

    Energy Technology Data Exchange (ETDEWEB)

    Thakur, P., E-mail: pthakur@cemrc.org [Carlsbad Environmental Monitoring and Research Center, 1400 University Drive, Carlsbad, New Mexico 88220 (United States); Mulholland, G.P. [Carlsbad Environmental Monitoring and Research Center, 1400 University Drive, Carlsbad, New Mexico 88220 (United States)

    2011-09-15

    The simultaneous measurements of gross alpha and beta activities is one of the simplest radioanalytical technique used as a method for screening samples of both high and low activities of alpha and beta emitting radionuclides in environmental and bioassay samples. Such measurements are of great interest from both a radiological, waste disposal viewpoint, and to establish a trend of radioactivity based on long term monitoring. At the WIPP (Waste Isolation Pilot Plant) site, unfiltered exhaust air from the underground repository is the most important effluent. As part of its monitoring program, the particulates from WIPP exhaust air are collected everyday at a location typically called the Fixed Air Sampler (FAS) site or Station A, this site is located at the release point for aerosol effluents from the underground to the environment. The measurements of gross alpha and beta activity on air filter samples were performed using an ultra low level counter, PIC-MPC 9604-{alpha}/{beta}, from Protean Instrument Corporation. The high sensitivity of the gross alpha and beta instrument enables detection of low value activity from the air filters. In 2009, the values of gross alpha and beta activity concentrations ranged from Simultaneous measurements of gross alpha and gross beta activities in the particulates from WIPP exhaust air were performed. > Ultra low level counter, PIC-MPC 9604-{alpha}/{beta} counter was used for the measurements. > Values of gross alpha activity concentrations ranged from Values of gross beta activity concentrations ranged from

  16. Desempenho motor de lactentes frequentadores de berçários em creches públicas Motor performance of infants attending the nurseries of public day care centers

    Directory of Open Access Journals (Sweden)

    Letícia Baltieri

    2010-09-01

    Full Text Available OBJETIVO: Analisar o desempenho motor axial, apendicular e global e sua correlação com as características neonatais, familiares e de tempo de exposição à creche em crianças com idade entre 12-24 meses, frequentadoras de creches públicas. MÉTODOS: Estudo transversal com 40 lactentes (idade média 14,3±2,4 meses frequentadores de creches públicas. Os participantes foram avaliados quanto ao desempenho motor com a Bayley Scales of Infant and Toddler Development-III, a qual possibilita análise do desempenho motor e comparação dos domínios motores axial e apendicular. Foram coletados dados neonatais, familiares e de exposição à creche e pesquisou-se a correlação destes fatores ao desempenho motor. Foi utilizado o teste t pareado para comparar médias e a correlação de Pearson. RESULTADOS: O desempenho motor do grupo esteve, em média, abaixo da referência, com 22,5% das crianças classificadas como suspeitas de atraso nos desempenhos axial e global, contrastando com nenhuma no domínio apendicular. A comparação axial e apendicular apontou diferença significativa, com desempenho axial aquém do apendicular, além de 35% do grupo ter apresentado discrepância significativa entre esses domínios. Não foi encontrada correlação linear entre os domínios motores avaliados e as variáveis neonatais, familiares e de exposição à creche. CONCLUSÕES: O desempenho motor global do grupo esteve abaixo da média de referência, com desempenho motor axial inferior ao apendicular e importante discrepância entre esses. Recomenda-se atenção às habilidades motoras axiais e às oportunidades de exploração que o ambiente em creches pode propiciar, especialmente no decorrer dos dois primeiros anos de vida.OBJECTIVE: To analyze gross, fine and global motor performance and its correlation with neonatal and familial variables and day care exposure among children between 12-24 months of age attending public day care centers. METHODS: This

  17. 26 CFR 1.555-2 - Additions to gross income.

    Science.gov (United States)

    2010-04-01

    ... Corporation sells 90percent of its stock in the Y Corporation and thus is a minority shareholder in the Y... on which the required United States group exists, and (2) Such foreign corporation is a shareholder... the gross income of its shareholders, whether United States shareholders or other foreign...

  18. Comments on the research article by Gross et al. (2012)

    DEFF Research Database (Denmark)

    Guntur, Srinivas; Sørensen, Niels N.

    2014-01-01

    The purpose of this Letter to the Editor is to present a discussion on the physics of rotational augmentation based on existing work. One of the latest works by Gross et al. (2012) is highlighted here, and its conclusions are discussed. Based on the existing understanding of rotational augmentati...

  19. 40 CFR 403.15 - Net/Gross calculation.

    Science.gov (United States)

    2010-07-01

    ... STANDARDS GENERAL PRE-TREAT-MENT REGULATIONS FOR EXIST-ING AND NEW SOURCES OF POLLUTION § 403.15 Net/Gross... pollutants in the Industrial User's intake water in accordance with this section. Any Industrial User wishing... of the Industrial User, the applicable Standard will be calculated on a “net” basis (i.e., adjusted...

  20. Gross and Microscopic Lesions in Corals from Micronesia.

    Science.gov (United States)

    Work, T M; Aeby, G S; Hughen, K A

    2016-01-01

    The authors documented gross and microscopic morphology of lesions in corals on 7 islands spanning western, southern, and eastern Micronesia, sampling 76 colonies comprising 30 species of corals among 18 genera, with Acropora, Porites, and Montipora dominating. Tissue loss comprised the majority of gross lesions sampled (41%), followed by discoloration (30%) and growth anomaly (29%). Of 31 cases of tissue loss, most lesions were subacute (48%), followed by acute and chronic (26% each). Of 23 samples with discoloration, most were dark discoloration (40%), with bleaching and other discoloration each constituting 30%. Of 22 growth anomalies, umbonate growth anomalies composed half, with exophytic, nodular, and rugose growth anomalies composing the remainder. On histopathology, for 9 cases of dark discoloration, fungal infections predominated (77%); for 7 bleached corals, depletion of zooxanthellae from the gastrodermis made up a majority of microscopic diagnoses (57%); and for growth anomalies other than umbonate, hyperplasia of the basal body wall was the most common microscopic finding (63%). For the remainder of the gross lesions, no single microscopic finding constituted >50% of the total. Host response varied with the agent present on histology. Fragmentation of tissues was most often associated with algae (60%), whereas necrosis dominated (53%) for fungi. Two newly documented potentially symbiotic tissue-associated metazoans were seen in Porites and Montipora. Findings of multiple potential etiologies for a given gross lesion highlight the importance of incorporating histopathology in coral disease surveys. This study also expands the range of corals infected with cell-associated microbial aggregates.

  1. Gross and microscopic lesions in corals from Micronesia

    Science.gov (United States)

    Work, Thierry M.; Aeby, Greta S.; Hughen, Konrad A.

    2015-01-01

    The authors documented gross and microscopic morphology of lesions in corals on 7 islands spanning western, southern, and eastern Micronesia, sampling 76 colonies comprising 30 species of corals among 18 genera, with Acropora, Porites, and Montipora dominating. Tissue loss comprised the majority of gross lesions sampled (41%), followed by discoloration (30%) and growth anomaly (29%). Of 31 cases of tissue loss, most lesions were subacute (48%), followed by acute and chronic (26% each). Of 23 samples with discoloration, most were dark discoloration (40%), with bleaching and other discoloration each constituting 30%. Of 22 growth anomalies, umbonate growth anomalies composed half, with exophytic, nodular, and rugose growth anomalies composing the remainder. On histopathology, for 9 cases of dark discoloration, fungal infections predominated (77%); for 7 bleached corals, depletion of zooxanthellae from the gastrodermis made up a majority of microscopic diagnoses (57%); and for growth anomalies other than umbonate, hyperplasia of the basal body wall was the most common microscopic finding (63%). For the remainder of the gross lesions, no single microscopic finding constituted >50% of the total. Host response varied with the agent present on histology. Fragmentation of tissues was most often associated with algae (60%), whereas necrosis dominated (53%) for fungi. Two newly documented potentially symbiotic tissue-associated metazoans were seen in Porites and Montipora. Findings of multiple potential etiologies for a given gross lesion highlight the importance of incorporating histopathology in coral disease surveys. This study also expands the range of corals infected with cell-associated microbial aggregates.

  2. Happy Life Years: a measure of Gross National Happiness

    NARCIS (Netherlands)

    R. Veenhoven (Ruut)

    2004-01-01

    textabstractHappiness is defined as the degree to which a person enjoys his or her life-as-a-whole. Accordingly ‘Gross National Happiness’ is defined as the degree to which citizens in a country enjoy the life they live. Individual happiness can be measured by self-report on a single standard

  3. Strategic improvements for gross anatomy web-based teaching.

    Science.gov (United States)

    Marker, David R; Juluru, Krishna; Long, Chris; Magid, Donna

    2012-01-01

    Current generations of graduate students have been immersed in technology from their early school years and have high expectations regarding digital resources. To better meet the expectations of Gross Anatomy students at our institution, electronic radiology teaching files for first-year coursework were organized into a web site. The web site was custom designed to provide material that directly correlated to the Gross Anatomy dissection and lectures. Quick links provided sets of images grouped by anatomic location. Additionally, Lab and Study Companions provided specific material for the students to review prior to and after lectures and gross dissections. Student opinions of this education resource were compared to student opinions of the prior year's digital teaching files. The new content was ranked as more user friendly (3.1 points versus 2.3 points) and more useful for learning anatomy (3.3 points versus 2.6 points). Many students reported that using the web portal was critical in helping them to better understand relationships of anatomical structures. These findings suggest that a well-organized web portal can provide a user-friendly, valuable educational resource for medical students who are studying Gross Anatomy.

  4. Construction of 2-dimensional Grosse-Wulkenhaar Model

    CERN Document Server

    Wang, Zhituo

    2011-01-01

    In this paper we construct the noncommutative Grosse-Wulkenhaar model on 2-dimensional Moyal plane with the method of loop vertex expansion. We treat renormalization with this new tool, adapt Nelson's argument and prove Borel summability of the perturbation series. This is the first non-commutative quantum field theory model to be built in a non-perturbative sense.

  5. Monopol suretab kohaliku loomakasvataja / Oleg Gross ; interv . Illar Mõttus

    Index Scriptorium Estoniae

    Gross, Oleg, 1952-

    2005-01-01

    Väike-Maarja jäätmetehase monopoolse seisundi vastu sõna võtnud OG Elektra omanik Oleg Gross on kindel, et jäätmetehasega suretatakse kohalikud väiksemad lihatootjad välja. Kommenteerivad talupidaja Jüri Järvet ja Rakvere Lihakombinaadi direktor Olle Horm

  6. ɛ-expansion in the Gross-Neveu

    Science.gov (United States)

    Raju, Avinash

    2016-10-01

    We use the recently developed CFT techniques of Rychkov and Tan to compute anomalous dimensions in the O( N ) Gross-Neveu model in d = 2 + ɛ dimensions. To do this, we extend the "cowpie contraction" algorithm of arXiv:1506.06616 to theories with fermions. Our results match perfectly with Feynman diagram computations.

  7. Barn music at St Donat's castle / Philip Gross

    Index Scriptorium Estoniae

    Gross, Philip, 1952-

    2011-01-01

    Muusikafestivalist "Vale of Glamorgan", mis oli 2010. a. pühendatud Arvo Pärdile. Eesti kammermuusikaansambli Resonabilis kavas oli ka festivali tellimusel valminud uelsi helilooja Gareth Peredur Churchilli "Vocable", mille teksti kirjutas Philip Gross. Festivalikontsertide muljeid leiab Grossi luuletsüklis "Barn music" (avaldatud samas ajakirjanumbris, lk. 42-43)

  8. Samuel D. Gross: the nestor of American surgery.

    Science.gov (United States)

    Toledo-Pereyra, Luis H

    2006-01-01

    Samuel David Gross (1805-1884) represented the most notable surgeon of his generation and was honored with the title of "The Nestor of American Surgeon" by surgeon biographer Isaac Minis Hays. Of Pennsylvania Dutch stock, he was born on the family farm near Easton, Pennsylvania. He attended Wilkebarré Academy and Lawrenceville High School, noted private institutions of the day. He apprenticed under Doctor Joseph K. Swift of Easton and later with Professor George McClellan while in Philadelphia. In 1828, he graduated from Jefferson Medical College and remained for a short time in Philadelphia. Professor Gross focused his professional pursuits in the cities of Easton (1830-1833), Cincinnati (1833-1840), Louisville (1840-1856), and Philadelphia (1856-1882). He retired from Jefferson Medical College two years before his death in 1884. Samuel D. Gross' contributions to surgery were numerous and diverse. He was recognized as a prolific author of classic texts of pathology, surgery, and history, an educator, a leader, a surgical researcher, and a pioneer surgeon practitioner. His influence in national affairs was immense, and his recognition as a respected surgeon was unmatched. He remains the most distinguished surgeon of his times. History values him as a hard working, honest, highly competent, and committed individual. His capacity for work and his dedication to a single cause were unrivaled. Doctor Gross integrated the best that surgery could give to future generations of surgical professionals.

  9. Attitudes of Healthcare Students on Gross Anatomy Laboratory Sessions

    Science.gov (United States)

    Kawashiro, Yukiko; Anahara, Reiko; Kohno, Toshihiko; Mori, Chisato; Matsuno, Yoshiharu

    2009-01-01

    At Chiba University, gross anatomy laboratory sessions ("laboratories") are required for physical therapy students. Though most physical therapy schools require their students to participate in laboratories so that they will better understand the structure of the human body, few data exist on the value of these laboratories specifically…

  10. Uniqueness of Meromorphic Functions and Question of Gross

    Institute of Scientific and Technical Information of China (English)

    仪洪勋

    1994-01-01

    In this paper, we deal with the problem of uniqueness of meromorphic functions. It is shown that there exist two finite sets Sj (j=1, 2) such that any two nonconstant meromorphic functions f and g satisfying Ef(Sj)=Eg(Sj) for j = 1,2 must be identical, which answers a question posed by Gross.

  11. Barn music at St Donat's castle / Philip Gross

    Index Scriptorium Estoniae

    Gross, Philip, 1952-

    2011-01-01

    Muusikafestivalist "Vale of Glamorgan", mis oli 2010. a. pühendatud Arvo Pärdile. Eesti kammermuusikaansambli Resonabilis kavas oli ka festivali tellimusel valminud uelsi helilooja Gareth Peredur Churchilli "Vocable", mille teksti kirjutas Philip Gross. Festivalikontsertide muljeid leiab Grossi luuletsüklis "Barn music" (avaldatud samas ajakirjanumbris, lk. 42-43)

  12. 75 FR 15610 - Exclusions From Gross Income of Foreign Corporations

    Science.gov (United States)

    2010-03-30

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE TREASURY Internal Revenue Service 26 CFR Part 1 Exclusions From Gross Income of Foreign Corporations CFR Correction In Title 26 of the Code of Federal Regulations, Part 1 (Sec. Sec. 1.851 to 1.907), revised as...

  13. Outcomes of a Rotational Dissection System in Gross Anatomy

    Science.gov (United States)

    Marshak, David W.; Oakes, Joanne; Hsieh, Pei-Hsuan; Chuang, Alice Z.; Cleary, Leonard J.

    2015-01-01

    At the University of Texas Houston Medical School, a rotational dissection system was introduced to improve coordination between the Gross Anatomy and the Introduction to Clinical Medicine (ICM) courses. Six students were assigned to each cadaver and divided into two teams. For each laboratory, one team was assigned to dissect and the other to…

  14. Strategic Improvements for Gross Anatomy Web-Based Teaching

    Directory of Open Access Journals (Sweden)

    David R. Marker

    2012-01-01

    Full Text Available Current generations of graduate students have been immersed in technology from their early school years and have high expectations regarding digital resources. To better meet the expectations of Gross Anatomy students at our institution, electronic radiology teaching files for first-year coursework were organized into a web site. The web site was custom designed to provide material that directly correlated to the Gross Anatomy dissection and lectures. Quick links provided sets of images grouped by anatomic location. Additionally, Lab and Study Companions provided specific material for the students to review prior to and after lectures and gross dissections. Student opinions of this education resource were compared to student opinions of the prior year’s digital teaching files. The new content was ranked as more user friendly (3.1 points versus 2.3 points and more useful for learning anatomy (3.3 points versus 2.6 points. Many students reported that using the web portal was critical in helping them to better understand relationships of anatomical structures. These findings suggest that a well-organized web portal can provide a user-friendly, valuable educational resource for medical students who are studying Gross Anatomy.

  15. Motor skills and exercise capacity are associated with objective measures of cognitive functions and academic performance in preadolescent children

    DEFF Research Database (Denmark)

    Geertsen, Svend Sparre; Thomas, Richard; Larsen, Malte Nejst;

    2016-01-01

    these measures and the relationship with standard tests of academic performance in mathematics and reading comprehension. RESULTS: Both fine and gross motor skills were associated with better performance in all five tested cognitive domains (all P... comprehension. CONCLUSIONS: The data demonstrate that fine and gross motor skills are positively correlated with several aspects of cognitive functions and with academic performance in both mathematics and reading comprehension. Moreover, exercise capacity was associated with academic performance...... and performance in some cognitive domains. Future interventions should investigate associations between changes in motor skills, exercise capacity, cognitive functions, and academic performance to elucidate the causality of these associations....

  16. Methods and Data Used to Investigate Polonium-210 as a Source of Excess Gross-Alpha Radioactivity in Ground Water, Churchill County, Nevada

    Science.gov (United States)

    Seiler, Ralph L.

    2007-01-01

    Ground water is the major source of drinking water in the Carson River Basin, California and Nevada. Previous studies have shown that uranium and gross-alpha radioactivities in ground water can be greater than U.S. Environmental Protection Agency Maximum Contaminant Levels, particularly in the Carson Desert, Churchill County, Nevada. Studies also have shown that the primary source of the gross-alpha radioactivity and alpha-emitting radionuclides in ground water is the dissolution of uranium-rich granitic rocks and basin-fill sediments that have their origins in the Sierra Nevada. However, ground water sampled from some wells in the Carson Desert had gross-alpha radioactivities greater than could be accounted for by the decay of dissolved uranium. The occurrence of polonium-210 (Po-210) was hypothesized to explain the higher than expected gross-alpha radioactivities. This report documents and describes the study design, field and analytical methods, and data used to determine whether Po-210 is the source of excess gross-alpha radioactivity in ground water underlying the Carson Desert in and around Fallon, Nevada. Specifically, this report presents: 1) gross alpha and uranium radioactivities for 100 wells sampled from June to September 2001; and 2) pH, dissolved oxygen, specific conductance, and Po-210 radioactivity for 25 wells sampled in April and June 2007. Results of quality-control samples for the 2007 dataset are also presented.

  17. Caracterization of the motor profile of students with autistic disorder

    Directory of Open Access Journals (Sweden)

    Paola Matiko Okuda

    2010-12-01

    Full Text Available Thematic focus: The motor abnormalities may be part of so-called comorbidities that can coexist with autistic disorder. Objective: To characterize the motor profile of students with autistic disorder. Method: the study included six children with autistic disorder in elementary school, male, aged 5 years and 5 months and 10 years and 9 months. After signing the consent form by parents or guardians, the students were submitted to the Motor Development Scale for assessment of fine motor, gross motor performance, balance, body scheme, spatial organization, temporal organization and laterality. Results: The results revealed a significant difference between the motor age and chronological age. According to the classification of the Scale of Motor Development, students in this study showed motor development lower than expected for age. Conclusion: The students with autistic disorder in this study presented a profile of Developmental Coordination Disorder in comorbidity, showing that participants of this research presented difficulties in activities that required skills such as handwriting. Thus, motor and psychomotor needs of these students were focused on educational and clinical environment to reduce the impact of behavioral and social manifestations.

  18. Non-motor features of Parkinson disease.

    Science.gov (United States)

    Schapira, Anthony H V; Chaudhuri, K Ray; Jenner, Peter

    2017-07-01

    Many of the motor symptoms of Parkinson disease (PD) can be preceded, sometimes for several years, by non-motor symptoms that include hyposmia, sleep disorders, depression and constipation. These non-motor features appear across the spectrum of patients with PD, including individuals with genetic causes of PD. The neuroanatomical and neuropharmacological bases of non-motor abnormalities in PD remain largely undefined. Here, we discuss recent advances that have helped to establish the presence, severity and effect on the quality of life of non-motor symptoms in PD, and the neuroanatomical and neuropharmacological mechanisms involved. We also discuss the potential for the non-motor features to define a prodrome that may enable the early diagnosis of PD.

  19. Effect on Gait Speed, Balance, Motor Symptom Rating, and Quality of Life in Those with Stage I Parkinson's Disease Utilizing LSVT BIG®

    Science.gov (United States)

    Anheluk, Mattie

    2017-01-01

    Individuals with Parkinson's Disease (PD) are often not referred to Physical Therapy (PT) until there are issues with mobility in later Hoehn and Yahr Stages. There have been no studies outlining the benefits of PT intervention in Stage I only. For persons with PD, deficits in motor function increase over time due to destruction of dopamine-producing cells. LSVT BIG, an exercise program for PD, has been shown to be effective in improving mobility. The purpose of this study was to assess participants functional improvement at a level of minimal clinically important difference (MCID) in one of four outcome measures: Gait Speed, Berg Balance Assessment, Functional Gait Assessment, and Unified Parkinson's Disease Rating Scale Motor Section. Case Description. Nine participants with Stage I PD received LSVT BIG 4x/week for 4 weeks followed by bimonthly participation in a community class. Outcome measurement occurred at baseline, after LSVT BIG, and three months after LSVT BIG. Outcomes. Eight of nine participants (88.9%) achieved MCID in at least one of the four measures at both after and 3 months after LSVT BIG training indicating improvement based on our criteria. Participants in Stage I of PD in this study completed LSVT BIG and demonstrated improved function.

  20. Sensory processing and motor skill performance in elementary school children with autism spectrum disorder.

    Science.gov (United States)

    Liu, Ting

    2013-02-01

    Research to examine both sensory processing and motor skill performance in children with autism spectrum disorder (ASD) is limited. This study assessed whether children with ASD would show sensory and motor delays compared to typically developing children and examined the relationship between sensory processing and motor performance. 32 children diagnosed with ASD were assessed using the Short Sensory Profile (SSP) and the Movement ABC-2 (MABC-2). The SSP measures children's sensory processing in daily life and the MABC-2 measures children's fine and gross motor skill performance. Overall, the samples' scores on the SSP indicated atypical sensory processing and scores on the MABC-2 showed poorer fine and gross motor performance as compared to age-matched norms. Furthermore, the samples' scores for sensory processing were positively correlated with their motor performance. The results suggest that fine and gross motor difficulties of children with ASD may be related to their delayed sensory processing to visual, auditory, tactile, and movement stimuli, and that this hypothesis needs to be tested in future research.

  1. Vast Portfolio Selection with Gross-exposure Constraints*

    Science.gov (United States)

    Fan, Jianqing; Zhang, Jingjin; Yu, Ke

    2012-01-01

    We introduce the large portfolio selection using gross-exposure constraints. We show that with gross-exposure constraint the empirically selected optimal portfolios based on estimated covariance matrices have similar performance to the theoretical optimal ones and there is no error accumulation effect from estimation of vast covariance matrices. This gives theoretical justification to the empirical results in Jagannathan and Ma (2003). We also show that the no-short-sale portfolio can be improved by allowing some short positions. The applications to portfolio selection, tracking, and improvements are also addressed. The utility of our new approach is illustrated by simulation and empirical studies on the 100 Fama-French industrial portfolios and the 600 stocks randomly selected from Russell 3000. PMID:23293404

  2. Vast Portfolio Selection with Gross-exposure Constraints().

    Science.gov (United States)

    Fan, Jianqing; Zhang, Jingjin; Yu, Ke

    2012-01-01

    We introduce the large portfolio selection using gross-exposure constraints. We show that with gross-exposure constraint the empirically selected optimal portfolios based on estimated covariance matrices have similar performance to the theoretical optimal ones and there is no error accumulation effect from estimation of vast covariance matrices. This gives theoretical justification to the empirical results in Jagannathan and Ma (2003). We also show that the no-short-sale portfolio can be improved by allowing some short positions. The applications to portfolio selection, tracking, and improvements are also addressed. The utility of our new approach is illustrated by simulation and empirical studies on the 100 Fama-French industrial portfolios and the 600 stocks randomly selected from Russell 3000.

  3. Gross-Pitaevski map as a chaotic dynamical system

    Science.gov (United States)

    Guarneri, Italo

    2017-03-01

    The Gross-Pitaevski map is a discrete time, split-operator version of the Gross-Pitaevski dynamics in the circle, for which exponential instability has been recently reported. Here it is studied as a classical dynamical system in its own right. A systematic analysis of Lyapunov exponents exposes strongly chaotic behavior. Exponential growth of energy is then shown to be a direct consequence of rotational invariance and for stationary solutions the full spectrum of Lyapunov exponents is analytically computed. The present analysis includes the "resonant" case, when the free rotation period is commensurate to 2 π , and the map has countably many constants of the motion. Except for lowest-order resonances, this case exhibits an integrable-chaotic transition.

  4. The San Andreas fault experiment. [gross tectonic plates relative velocity

    Science.gov (United States)

    Smith, D. E.; Vonbun, F. O.

    1973-01-01

    A plan was developed during 1971 to determine gross tectonic plate motions along the San Andreas Fault System in California. Knowledge of the gross motion along the total fault system is an essential component in the construction of realistic deformation models of fault regions. Such mathematical models will be used in the future for studies which will eventually lead to prediction of major earthquakes. The main purpose of the experiment described is the determination of the relative velocity of the North American and the Pacific Plates. This motion being so extremely small, cannot be measured directly but can be deduced from distance measurements between points on opposite sites of the plate boundary taken over a number of years.

  5. GLOBALIZATION AND GROSS DOMESTIC PRODUCT CONSTRUCTION IN ASEAN

    Directory of Open Access Journals (Sweden)

    Muhammad Sri Wahyudi Suliswanto

    2011-09-01

    Full Text Available There is no more doubt about the importance of economic growth, which can be calculated fromGross Domestic Product (GDP. This research analyzes the role of globalization on GDP inASEAN-5 by estimating panel data. It uses a fixed effect approach to accommodate various characteristicsin the countries. To accommodate such variation, it assumes that the intercepts variesacross these countries, while the slopes remain similar. Based on the estimation result, it suggeststhat net export and foreign direct investment represent the globalization process. Both have positiveand significant influences on GDP in the corresponding countries.Keywords: Globalization, international trade, foreign direct investment, gross domestic productJEL classification numbers: E01, F51, F43

  6. PREDICTION OF GROSS FEED EFFICIENCY IN ITALIAN HOLSTEIN FRIESIAN BULLS

    Directory of Open Access Journals (Sweden)

    Raffaella Finocchiaro

    2015-09-01

    Full Text Available The aim of this study was to predict gross feed efficiency of Italian Holstein Friesian bulls selected for production, functional and type traits. A total of 12,238 bulls, from the April 2015 genetic evaluation, were used. Predicted daily gross feed efficiency (pFE was obtained as ratio between milk yield (MY and predicted dry matter intake (pDMI. Phenotypic trend for MY, predicted body weight (pBW and pFE were calculated by the bull birth year. The results suggest that pFE can be successfully selected to increase profitability of dairy cattle using the current milk recording system. Direct measurements on DMI should be considered to confirm results of pFE obtained in the present study.

  7. Comparison of motor and cognitive performance of children attending public and private day care centers

    Directory of Open Access Journals (Sweden)

    Mariana M. Santos

    2013-12-01

    Full Text Available BACKGROUND: Given that environmental factors, such as the school environment, can influence child development, more attention should be paid to the development of children attending day care centers. OBJECTIVE: Todetermine whether there are differences in the gross motor, fine motor, or cognitive performances of children between 1 and3 years-old of similar socioeconomic status attending public and private day care centers full time. METHOD: Participants were divided into 2 groups, 1 of children attending public day care centers (69 children and another of children attending private day care centers (47 children. All children were healthy and regularly attended day care full time for over 4 months. To assess cognitive, gross and fine motor performance, the Bayley Scales of Infant and Toddler Development III was used. The Mann-Whitney test was used for comparative analyses between groups of children between 13 and 24 months, 25 and 41 months, and 13 and 41 months. RESULTS: Children in public day care centers exhibited lower scores on the cognitive development scale beginning at 13 months old. The fine and gross motor performance scores were lower in children over the age of 25 months attending public centers. Maternal education was not related to the performance of children in either group. CONCLUSION: The scores of cognitive performance as well as fine and gross motor performance of children of similar socioeconomic status who attend public day care centers are lower than children attending private daycare centers.

  8. Gross efficiency and energy expenditure in kayak ergometer exercise.

    Science.gov (United States)

    Gomes, B B; Mourão, L; Massart, A; Figueiredo, P; Vilas-Boas, J P; Santos, A M C; Fernandes, R J

    2012-08-01

    We purposed to study energy expenditure, power output and gross efficiency during kayak ergometer exercise in 12 elite sprint kayakers. 6 males (age 24.2±4.8 years, height 180.4±4.8 cm, body mass 79.7±8.5 kg) and 6 females (age 24.3±4.5 years, height 164.5±3.9 cm, body mass 65.4±3.5 kg), performed an incremental intermittent protocol on kayak ergometer with VO2 and blood lactate concentration assessment, a non-linear increase between power output and energy expenditure being observed. Paddling power output, energy expenditure and gross efficiency corresponding to VO2max averaged 199.92±50.41 W, 75.27±6.30 ml.kg - 1.min - 1, and 10.10±1.08%. Male kayakers presented higher VO2max, power output and gross efficiency at the VO2max, and lower heart rate and maximal lactate concentration than females, but no differences were found between genders regarding energy expenditure at VO2max. Aerobic and anaerobic components of energy expenditure evidenced a significant contribution of anaerobic energy sources in sprint kayak performance. Results also suggested the dependence of the gross efficiency on the changes in the amount of the aerobic and anaerobic contributions, at heavy and severe intensities. The inter-individual variance of the relationship between energy expenditure and the corresponding paddling power output revealed a relevant tracking for females (FDγ=0.73±0.06), conversely to the male group (FDγ=0.27±0.08), supporting that some male kayakers are more skilled in some paddling intensities than others.

  9. Constructive Renormalization of 2-dimensional Grosse-Wulkenhaar Model

    CERN Document Server

    Wang, Zhituo

    2012-01-01

    In this talk we briefly report the recent work on the construction of the 2-dimensional Grosse-Wulkenhaar model with the method of loop vertex expansion. We treat renormalization with this new tool, adapt Nelson's argument and prove Borel summability of the perturbation series. This is the first non-commutative quantum field theory model to be built in a non-perturbative sense.

  10. Motor control for a brushless DC motor

    Science.gov (United States)

    Peterson, William J. (Inventor); Faulkner, Dennis T. (Inventor)

    1985-01-01

    This invention relates to a motor control system for a brushless DC motor having an inverter responsively coupled to the motor control system and in power transmitting relationship to the motor. The motor control system includes a motor rotor speed detecting unit that provides a pulsed waveform signal proportional to rotor speed. This pulsed waveform signal is delivered to the inverter to thereby cause an inverter fundamental current waveform output to the motor to be switched at a rate proportional to said rotor speed. In addition, the fundamental current waveform is also pulse width modulated at a rate proportional to the rotor speed. A fundamental current waveform phase advance circuit is controllingly coupled to the inverter. The phase advance circuit is coupled to receive the pulsed waveform signal from the motor rotor speed detecting unit and phase advance the pulsed waveform signal as a predetermined function of motor speed to thereby cause the fundamental current waveform to be advanced and thereby compensate for fundamental current waveform lag due to motor winding reactance which allows the motor to operate at higher speeds than the motor is rated while providing optimal torque and therefore increased efficiency.

  11. Influence of motor skills training on children's development evaluated in the Motor skills in PreSchool (MiPS) study-DK

    DEFF Research Database (Denmark)

    Hestbaek, Lise; Andersen, Sarah Thurøe; Skovgaard, Thomas

    2017-01-01

    , a cohort will be established including all children attending preschools in the municipality with extensive baseline data collection: gross and fine motor skills; movement patterns; musculoskeletal complaints; physical activity; anthropometry; general wellbeing; cognitive abilities; language status......, ISRCTN23701994 . Registered on 13 October 2016....

  12. Effects of 6 weeks motor-enrichment-intervention to improve math performance in preadolescent children

    DEFF Research Database (Denmark)

    Wienecke, Jacob; Beck, Mikkel Malling; Lind, Rune Rasmussen

    al., 2015). We conducted a six-week cluster-randomized intervention study of motor-enriched mathematics for Danish schoolchildren (n= 148, age= 7.5 ± 0.02). We investigated whether low intensity motor activity congruently integrated during solving of math problems could enhance math performance....... Three groups were included: 1) Control group with normal math teaching, CON (used pencil, paper but refrained from additional motor activity). 2) Fine-motor-enriched-group, FM (motor-manipulating LEGO bricks integrated in the lessons). 3) Gross-motor-enriched-group, GM (full-body movements integrated...... in the lessons). In FM and GM, all math classes (six lessons pr. week) had motor activity integrated in the math lessons and the teachers of all groups followed a detailed description for the conduction of the lessons. This aimed at ensuring homogeneity between groups concerning the taught themes. The children...

  13. Landscape History of Grosses Moos, NW Swiss Alpine Foreland.

    Science.gov (United States)

    Joanna Heer, Aleksandra; Adamiec, Grzegorz; Veit, Heinz; May, Jan-Hendrik; Novenko, Elena; Hajdas, Irka

    2017-04-01

    The western Swiss Plateau with Lake Neuchâtel is part of the alpine foreland and among the key areas for the reconstruction of environmental changes since the last postglacial. This study was carried out in a landscape located NE of the lake and called Grosses Moos (The Large Fen) - currently designated the Swiss largest, continuous farming area, after the fen was drained in course of landscape engineering projects performed in Switzerland at the end of the 19th century. The study contributes new results from nine excavations of littoral ridges identified in Grosses Moos, and integrates sedimentology, paleo-environmental analysis and three independent chronological methods. Radiocarbon dating, pollen analysis and optically stimulated luminescence (OSL) were applied to the sediments. While pollen and radiocarbon follow the standard procedures, the evaluation of the luminescence age estimates demanded adjustment according to the physical and microdosimetric properties of the alpine quartz, and consideration of the peculiarities of the changing littoral environments of Grosses Moos. The Grosses Moos landscape developed on the temporary surface of the post-Last Glacial sedimentary infill of the over-deepened glacial Aare valley. In this study the landscape history has been fitted into the existing supraregional time scales of NGRIP, the Swiss bio-zones system and the human history based on archaeological and historic records and covers a time span of up to 15'000 yr b2k. The wide-ranging suite of geomorphic features and sedimentary sequences, including littoral lake sediments, beach ridges, dunes, palaeo-channels, peat and colluvial deposits, enable the extensive reconstruction of spatially and temporally variable natural shaping processes. In addition, our results indicate remobilization of soil, colluvium, and sediment due to human settlement activities since the Neolithic - with an important increase in sediment load and spatial variability since the Bronze Age

  14. Timing of motor milestones achievement and development of overweight in childhood

    DEFF Research Database (Denmark)

    Morgen, Camilla Schmidt; Andersen, Anne-Marie Nybo; Due, P;

    2014-01-01

    on motor milestones and childhood overweight is limited and results are inconsistent. WHAT THIS STUDY ADDS: Weight status in early life and timing of achievement of gross motor milestones (the ability to sit and walk) are largely independent of each other. Timing of achievement of motor milestones in early...... life does not predict overweight or increased BMI later in childhood. BACKGROUND: Overweight may hinder achievement of gross motor milestones and delayed achievement of milestones may increase the risk of later overweight for reasons involving physical activity and the building of lean body mass....... OBJECTIVE: To investigate whether increased birth weight and body mass index (BMI) at 5 months is associated with the achievement of the ability to sit up and walk and whether delayed achievement of these milestones is associated with overweight at age 7 years. METHODS: We used data from the Danish National...

  15. High-performance HVDC transmission over long distances; Hochleistungsuebertragung ueber grosse Entfernungen mit hochgespanntem Gleichstrom

    Energy Technology Data Exchange (ETDEWEB)

    Radtke, U. [PreussenElektra AG, Hannover (Germany)

    1998-12-31

    High-voltage DC transmission is a world-wide established technology for low-cost transmission of large amounts of electricity over long distances. Thanks to HVDC transmission, large amounts of electricity can now for the first time also be transmitted over long distances via ocean cable, something that cannot be done with AC power cables. HVDC transmission is independent of grid frequencies and can link grids of different frequency and different quality of frequency. Interconnected grids coupled via DC circuits can exploit additional technical and economic advantages such as mutual supply of power reserves, balancing of peak load, and modulation of active and reactive power. (orig.) [Deutsch] Die Hochspannungs-Gleichstromuebertragung (HGUe) ist eine weltweit etablierte Technik zur kostenguenstigen Uebertragung grosser elektrischer Leistungen ueber grosse Entfernungen. Sie schafft erstmals die Moeglichkeit, auch mittels Seekabel grosse Leistungen ueber Entfernungen zu uebertragen, die mit der Drehstromtechnik nicht moeglich sind. HGUeist unabhaengig von den Netzfrequenzen und kann Netze unterschiedlicher Frequenz und Frequenzguete miteinander verbinden. Ueber Gleichstromkreise gekuppelte Verbundnetze koennen zusaetzliche technische und wirtschaftliche Vorteile wie gegenseitige Bereitstellung von Kraftwerksreserven, Spitzenlastausgleich sowie Wirk- und Blindleistungsmodulation nutzt. (orig.)

  16. Comparing the Effects of Drug Therapy, Perceptual Motor Training, and Both Combined on the Motor Skills of School-Aged Attention Deficit Hyperactivity Disorder Children.

    Science.gov (United States)

    Taft Yazd, Susan Nasiri; Ayatizadeh, Farahnaz; Dehghan, Faezeh; Machado, Sergio; Wegner, Mirko

    2015-01-01

    The purpose of this research was to compare the effects of drug therapy, perceptual motor training and a combination of drug therapy and perceptual motor training on gross and fine motor skills of 6 to 12 year-old Iranian attention deficit hyperactivity disorder children. Thirty-six attention deficit hyperactivity disorder children currently under treatment in three Iranian psychological-neurological clinics participated in this research study. Participants were sampled from the accessible population and randomly assigned to three experimental groups (n = 12 each). The Conners Parent Rating Scale was used to classify the children and the Bruininks-Oseretsky Test of Motor Proficiency was administered before and after a three month treatment/ training session. Participants in the first experimental group received drug therapy (including methylphenidate). In the second group participants took part in 18 sessions of perceptual-motor skill training for six consecutive weeks, and in the third group children received both interventions. The results indicated that interventions using perceptual-motor training alone or in combination with a drug therapy significantly improved both gross and fine motor skills over a period of six weeks. Participants in the drug-only group showed no improvement in motor performance.

  17. High efficiency motors; Motores de alta eficiencia

    Energy Technology Data Exchange (ETDEWEB)

    Uranga Favela, Ivan Jaime [Energia Controlada de Mexico, S. A. de C. V., Mexico, D. F. (Mexico)

    1992-12-31

    This paper is a technical-financial study of the high efficiency and super-premium motors. As it is widely known, more than 60% of the electrical energy generated in the country is used for the operation of motors, in industry as well as in commerce. Therefore the importance that the motors have in the efficient energy use. [Espanol] El presente trabajo es un estudio tecnico-financiero de los motores de alta eficiencia y los motores super premium. Como es ampliamente conocido, mas del 60% de la energia electrica generada en el pais, es utilizada para accionar motores, dentro de la industria y el comercio. De alli la importancia que los motores tienen en el uso eficiente de la energia.

  18. Communication Deficits and the Motor System: Exploring Patterns of Associations in Autism Spectrum Disorder (ASD).

    Science.gov (United States)

    Mody, M; Shui, A M; Nowinski, L A; Golas, S B; Ferrone, C; O'Rourke, J A; McDougle, C J

    2017-01-01

    Many children with autism spectrum disorder (ASD) have notable difficulties in motor, speech and language domains. The connection between motor skills (oral-motor, manual-motor) and speech and language deficits reported in other developmental disorders raises important questions about a potential relationship between motor skills and speech-language deficits in ASD. To this end, we examined data from children with ASD (n = 1781), 2-17 years of age, enrolled in the Autism Speaks-Autism Treatment Network (AS-ATN) registry who completed a multidisciplinary evaluation that included diagnostic, physical, cognitive and behavioral assessments as part of a routine standard of care protocol. After adjusting for age, non-verbal IQ, Attention Deficit Hyperactivity Disorder (ADHD) medication use, and muscle tone, separate multiple linear regression analyses revealed significant positive associations of fine motor skills (FM) with both expressive language (EL) and receptive language (RL) skills in an impaired FM subgroup; in contrast, the impaired gross motor (GM) subgroup showed no association with EL but a significant negative association with RL. Similar analyses between motor skills and interpersonal relationships across the sample found both GM skills and FM skills to be associated with social interactions. These results suggest potential differences in the contributions of fine versus gross motor skills to autistic profiles and may provide another lens with which to view communication differences across the autism spectrum for use in treatment interventions.

  19. Oral motor deficits in speech-impaired children with autism.

    Science.gov (United States)

    Belmonte, Matthew K; Saxena-Chandhok, Tanushree; Cherian, Ruth; Muneer, Reema; George, Lisa; Karanth, Prathibha

    2013-01-01

    Absence of communicative speech in autism has been presumed to reflect a fundamental deficit in the use of language, but at least in a subpopulation may instead stem from motor and oral motor issues. Clinical reports of disparity between receptive vs. expressive speech/language abilities reinforce this hypothesis. Our early-intervention clinic develops skills prerequisite to learning and communication, including sitting, attending, and pointing or reference, in children below 6 years of age. In a cohort of 31 children, gross and fine motor skills and activities of daily living as well as receptive and expressive speech were assessed at intake and after 6 and 10 months of intervention. Oral motor skills were evaluated separately within the first 5 months of the child's enrolment in the intervention programme and again at 10 months of intervention. Assessment used a clinician-rated structured report, normed against samples of 360 (for motor and speech skills) and 90 (for oral motor skills) typically developing children matched for age, cultural environment and socio-economic status. In the full sample, oral and other motor skills correlated with receptive and expressive language both in terms of pre-intervention measures and in terms of learning rates during the intervention. A motor-impaired group comprising a third of the sample was discriminated by an uneven profile of skills with oral motor and expressive language deficits out of proportion to the receptive language deficit. This group learnt language more slowly, and ended intervention lagging in oral motor skills. In individuals incapable of the degree of motor sequencing and timing necessary for speech movements, receptive language may outstrip expressive speech. Our data suggest that autistic motor difficulties could range from more basic skills such as pointing to more refined skills such as articulation, and need to be assessed and addressed across this entire range in each individual.

  20. Oral Motor Deficits in Speech-Impaired Children with Autism

    Directory of Open Access Journals (Sweden)

    Matthew K Belmonte

    2013-07-01

    Full Text Available Absence of communicative speech in autism has been presumed to reflect a fundamental deficit in the use of language, but at least in a subpopulation may instead stem from motor and oral motor issues. Clinical reports of disparity between receptive versus expressive speech / language abilities reinforce this hypothesis. Our early-intervention clinic develops skills prerequisite to learning and communication, including sitting, attending, and pointing or reference, in children below 6 years of age. In a cohort of 31 children, gross and fine motor skills and activities of daily living as well as receptive and expressive speech were assessed at intake and after 6 and 10 months of intervention. Oral motor skills were evaluated separately within the first 5 months of the child's enrolment in the intervention programme and again at 10 months of intervention. Assessment used a clinician-rated structured report, normed against samples of 360 (for motor and speech skills and 90 (for oral motor skills typically developing children matched for age, cultural environment and socio-economic status. In the full sample, oral and other motor skills correlated with receptive and expressive language both in terms of pre-intervention measures and in terms of learning rates during the intervention. A motor-impaired group comprising a third of the sample was discriminated by an uneven profile of skills with oral motor and expressive language deficits out of proportion to the receptive language deficit. This group learnt language more slowly, and ended intervention lagging in oral motor skills. In individuals incapable of the degree of motor sequencing and timing necessary for speech movements, receptive language may outstrip expressive speech. Our data suggest that autistic motor difficulties could range from more basic skills such as pointing to more refined skills such as articulation, and need to be assessed and addressed across this entire range in each individual.

  1. Motor-Enriched Learning Activities Can Improve Mathematical Performance in Preadolescent Children

    Science.gov (United States)

    Beck, Mikkel M.; Lind, Rune R.; Geertsen, Svend S.; Ritz, Christian; Lundbye-Jensen, Jesper; Wienecke, Jacob

    2016-01-01

    Objective: An emerging field of research indicates that physical activity can benefit cognitive functions and academic achievements in children. However, less is known about how academic achievements can benefit from specific types of motor activities (e.g., fine and gross) integrated into learning activities. Thus, the aim of this study was to investigate whether fine or gross motor activity integrated into math lessons (i.e., motor-enrichment) could improve children's mathematical performance. Methods: A 6-week within school cluster-randomized intervention study investigated the effects of motor-enriched mathematical teaching in Danish preadolescent children (n = 165, age = 7.5 ± 0.02 years). Three groups were included: a control group (CON), which received non-motor enriched conventional mathematical teaching, a fine motor math group (FMM) and a gross motor math group (GMM), which received mathematical teaching enriched with fine and gross motor activity, respectively. The children were tested before (T0), immediately after (T1) and 8 weeks after the intervention (T2). A standardized mathematical test (50 tasks) was used to evaluate mathematical performance. Furthermore, it was investigated whether motor-enriched math was accompanied by different effects in low and normal math performers. Additionally, the study investigated the potential contribution of cognitive functions and motor skills on mathematical performance. Results: All groups improved their mathematical performance from T0 to T1. However, from T0 to T1, the improvement was significantly greater in GMM compared to FMM (1.87 ± 0.71 correct answers) (p = 0.02). At T2 no significant differences in mathematical performance were observed. A subgroup analysis revealed that normal math-performers benefitted from GMM compared to both CON 1.78 ± 0.73 correct answers (p = 0.04) and FMM 2.14 ± 0.72 correct answers (p = 0.008). These effects were not observed in low math-performers. The effects were partly

  2. 26 CFR 1.927(b)-1T - Temporary regulations; Definition of gross receipts.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 10 2010-04-01 2010-04-01 false Temporary regulations; Definition of gross...(b)-1T Temporary regulations; Definition of gross receipts. (a) General rule. Under section 927(b.... The FSC's gross receipts for purposes of computing its profit under the administrative pricing...

  3. 46 CFR 130.110 - Internal communications on OSVs of less than 100 gross tons.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Internal communications on OSVs of less than 100 gross... Internal communications on OSVs of less than 100 gross tons. Each vessel of less than 100 gross tons... have a fixed means of communication between the pilothouse and the place where the auxiliary means...

  4. 26 CFR 1.872-1 - Gross income of nonresident alien individuals.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 9 2010-04-01 2010-04-01 false Gross income of nonresident alien individuals. 1...) INCOME TAX (CONTINUED) INCOME TAXES Nonresident Aliens and Foreign Corporations § 1.872-1 Gross income of nonresident alien individuals. (a) In general—(1) Inclusions. The gross income of a nonresident...

  5. 26 CFR 20.2031-1 - Definition of gross estate; valuation of property.

    Science.gov (United States)

    2010-04-01

    ..., except that if the executor elects the alternate valuation method under section 2032, it is the fair... 26 Internal Revenue 14 2010-04-01 2010-04-01 false Definition of gross estate; valuation of... § 20.2031-1 Definition of gross estate; valuation of property. (a) Definition of gross estate. Except...

  6. 26 CFR 1.924(a)-1T - Temporary regulations; definition of foreign trading gross receipts.

    Science.gov (United States)

    2010-04-01

    ... trading gross receipts. 1.924(a)-1T Section 1.924(a)-1T Internal Revenue INTERNAL REVENUE SERVICE... United States § 1.924(a)-1T Temporary regulations; definition of foreign trading gross receipts. (a) In general. The term “foreign trading gross receipts” means any of the five amounts described in...

  7. [Motor coordination function of attention deficit hyperactivity disorder (review)].

    Science.gov (United States)

    Feng, Lei; Cheng, Jia; Wang, Yu-feng

    2007-06-18

    Attention deficit hyperactivity disorder (ADHD) and developmental coordination disorder (DCD) are both childhood disorders identified in the DSM-IV. Studies investigating ADHD have found that around half of ADHD cases also have motor problems severe enough to be diagnosed as DCD. Further, children initially diagnosed as DCD have also been found to meet moderate to severe diagnosis for ADHD. Both disorders have been linked to a lot of psychosocial problems. Furthermore, when ADHD and DCD are co-morbid, the outcome tends to be more severe than when either disorder occurs alone. In the past decade, many studies identified shown that ADHD children experienced difficulties with both fine motor movements and gross motor movements. Notably, most of these foregoing studies found balance functions of ADHD were impaired. In order to maintain balance under a verity of environmental conditions, sensory information from somatosensory, visual, and vestibular origins must be integrated by the central nervous system. But there are rich evidences suggesting that children with ADHD can not organize the motor information effectively. The maintenance and control of posture and balance, whether in static or dynamic conditions, are essential requirements for daily activity. The balance function has been closely associated not only with both gross motor movements, such as sitting, standing, walking and fine motor movements, but also with human behaviors. There are increasing evidences suggesting that balance deficit correlates with symptoms of ADHD. Therefore, motor coordination difficulties co-occurring with ADHD should be given emphasis in clinical practice; the training of balance may be one of the possible methods to improve the motor coordination function in ADHD children.

  8. Comparison of motor and cognitive performance of children attending public and private day care centers

    OpenAIRE

    Santos,Mariana M.; Carolina Corsi; Marques, Luisa A. P.; Nelci A. C. F. Rocha

    2013-01-01

    BACKGROUND: Given that environmental factors, such as the school environment, can influence child development, more attention should be paid to the development of children attending day care centers. OBJECTIVE: Todetermine whether there are differences in the gross motor, fine motor, or cognitive performances of children between 1 and3 years-old of similar socioeconomic status attending public and private day care centers full time. METHOD: Participants were divided into 2 groups, 1 of...

  9. Relation Between Quality of Life of Mothers of Children With Cerebral Palsy and the Children's Motor Functioning, After Ten Months of Rehabilitation Relación entre la calidad de vida de madres de niños con parálisis cerebral y la función motora de los niños, después de diez meses de rehabilitación Relação entre a qualidade de vida de mães de crianças com paralisia cerebral e a função motora dos filhos, após dez meses de reabilitação

    Directory of Open Access Journals (Sweden)

    Cejane Oliveira Martins Prudente

    2010-04-01

    Full Text Available This study aims to analyze the quality of life of mothers of children with cerebral palsy, correlated with the evolution of their children's gross motor function after ten months of rehabilitation. An observational, longitudinal study was carried out in Goiânia, Goiás, Brazil, involving 100 mothers and children with cerebral palsy. The children's motor function was evaluated using the Gross Motor Function Measure (GMFM and the mothers' quality of life using the Medical Outcomes Study 36-item Short Form Health Survey (SF-36. After ten months of rehabilitation, the children's gross motor function had significantly improved (pEl objetivo de este estudio fue analizar la calidad de vida de las madres de niños con parálisis cerebral, correlacionándola con la evolución de la función motora gruesa de los niños, después de diez meses de rehabilitación. Se trata de un estudio de observación, longitudinal, realizado en la ciudad de Goiania, estado de Goiás, en Brasil, con 100 madres y sus hijos con parálisis cerebral. La función motora de los niños fue evaluada por la Medición de la Función Motora Gruesa (GMFM y la calidad de vida de las madres por el Medical Outcomes Study 36-item Short Form Health Survey (SF-36. Después de diez meses de rehabilitación, los niños obtuvieron una mejoría significativa (pO objetivo deste estudo foi analisar a qualidade de vida de mães de crianças com paralisia cerebral, correlacionando-a com a evolução da função motora grossa das crianças, após dez meses de reabilitação. Trata-se de estudo observacional, longitudinal, realizado em Goiânia, Goiás, Brasil, com 100 mães e seus filhos com paralisia cerebral. A função motora das crianças foi avaliada pela Medição da Função Motora Grossa (GMFM e a qualidade de vida das mães pelo Medical Outcomes Study 36-item Short Form Health Survey (SF-36. Após dez meses de reabilitação, as crianças obtiveram melhora significativa (p<0,001 na fun

  10. D-amphetamine improves cognitive deficits and physical therapy promotes fine motor rehabilitation in a rat embolic stroke model

    DEFF Research Database (Denmark)

    Rasmussen, Rune Skovgaard; Overgaard, K; Hildebrandt-Eriksen, E S

    2006-01-01

    regarding gross motor performance. CONCLUSIONS: After embolization, physical therapy improved fine motor performance and D-amph accelerated rehabilitation of cognitive performance as observed in the rats of the THERAPY and D-AMPH groups. As a result of the administration of a high dose of D-amph, the rats......BACKGROUND AND PURPOSE: The purpose of this study was to examine the effects of D-amphetamine (D-amph) and physical therapy separately or combined on fine motor performance, gross motor performance and cognition after middle cerebral artery thromboembolization in rats. METHODS: Seventy-four rats...... were trained in appropriate cognitive and motor behaviours. Thirteen animals were sham-operated and fifty-nine animals were embolized in the right carotid territory. Animals were randomly assigned to five groups: 1) SHAM (non-embolized, saline), 2) CONTROL (embolized, saline), 3) D-AMPH (embolized, D...

  11. Motor Priming in Neurorehabilitation

    OpenAIRE

    Stoykov, Mary Ellen; Madhavan, Sangeetha

    2015-01-01

    Priming is a type of implicit learning wherein a stimulus prompts a change in behavior. Priming has been long studied in the field of psychology. More recently, rehabilitation researchers have studied motor priming as a possible way to facilitate motor learning. For example, priming of the motor cortex is associated with changes in neuroplasticity that are associated with improvements in motor performance. Of the numerous motor priming paradigms under investigation, only a few ...

  12. Motor Priming in Neurorehabilitation

    OpenAIRE

    Stoykov, Mary Ellen; Madhavan, Sangeetha

    2015-01-01

    Priming is a type of implicit learning wherein a stimulus prompts a change in behavior. Priming has been long studied in the field of psychology. More recently, rehabilitation researchers have studied motor priming as a possible way to facilitate motor learning. For example, priming of the motor cortex is associated with changes in neuroplasticity that are associated with improvements in motor performance. Of the numerous motor priming paradigms under investigation, only a few ...

  13. Motor neuropathies and lower motor neuron syndromes.

    Science.gov (United States)

    Verschueren, A

    2017-05-01

    Motor or motor-predominant neuropathies may arise from disease processes affecting the motor axon and/or its surrounding myelin. Lower motor neuron syndrome (LMNS) arises from a disease process affecting the spinal motor neuron itself. The term LMNS is more generally used, rather than motor neuronopathy, although both entities are clinically similar. Common features are muscle weakness (distal or proximal) with atrophy and hyporeflexia, but no sensory involvement. They can be acquired or hereditary. Immune-mediated neuropathies (multifocal motor neuropathy, motor-predominant chronic inflammatory demyelinating polyneuropathy) are important to identify, as effective treatments are available. Other acquired neuropathies, such as infectious, paraneoplastic and radiation-induced neuropathies are also well known. Focal LMNS is an amyotrophic lateral sclerosis (ALS)-mimicking syndrome especially affecting young adults. The main hereditary LMNSs in adulthood are Kennedy's disease, late-onset spinal muscular atrophy and distal hereditary motor neuropathies. Motor neuropathies and LMNS are all clinical entities that should be better known, despite being rare diseases. They can sometimes be difficult to differentially diagnose from other diseases, particularly from the more frequent ALS in its pure LMN form. Nevertheless, correct identification of these syndromes is important because their treatment and prognoses are definitely different. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  14. The response of gross nitrogen mineralization to labile carbon inputs

    Science.gov (United States)

    Bengtson, Per

    2014-05-01

    Input of labile carbon sources to forest soils commonly result in priming, i.e. an increase in the microbial decomposition of soil organic matter. Efforts aimed at quantifying the extent of priming have, to date, largely focused on soil organic matter decomposition manifested as soil respiration. Less is known about how gross nitrogen mineralization responds to input of labile carbon. It is often assumed that increased priming results in decreased soil carbon stocks. However, microbial mineralization of organic nitrogen into plant available forms is a major factor limiting primary production in forests. If increased decomposition of soil organic matter in response to labile carbon is accompanied by a concurrent increased nitrogen mineralization, this could result in elevated primary production and higher rates of plant derived organic matter input to soils. Therefore, in order to fully understand the effect of priming on net ecosystem exchange and soil carbon stocks, it is vital to consider if increased decomposition of soil organic matter caused by priming also results in increased nitrogen mineralization. Here I present the results from a series of experiments aimed at determining if, and to which extent, gross nitrogen mineralization is stimulated by input of labile carbon. The results suggest that it is by no means uncommon to find an increase in gross N mineralization rates in response to labile carbon inputs. The magnitude of the increase seems dependent on the nitrogen status of the soil, as well as the concentration and rate of labile carbon inputs. However, continuous input of labile carbon sources that also contains nitrogen, e.g. amino acids, seems to inhibit rather than increase the mineralization of organic nitrogen. These findings suggest that there is a potential for a positive feedback between priming and primary production that needs to be considered in order to fully understand the influence of priming on net ecosystem exchange and soil carbon

  15. The Schroedinger functional for Gross-Neveu models

    Energy Technology Data Exchange (ETDEWEB)

    Leder, B.

    2007-04-18

    Gross-Neveu type models with a finite number of fermion flavours are studied on a two-dimensional Euclidean space-time lattice. The models are asymptotically free and are invariant under a chiral symmetry. These similarities to QCD make them perfect benchmark systems for fermion actions used in large scale lattice QCD computations. The Schroedinger functional for the Gross-Neveu models is defined for both, Wilson and Ginsparg-Wilson fermions, and shown to be renormalisable in 1-loop lattice perturbation theory. In two dimensions four fermion interactions of the Gross-Neveu models have dimensionless coupling constants. The symmetry properties of the four fermion interaction terms and the relations among them are discussed. For Wilson fermions chiral symmetry is explicitly broken and additional terms must be included in the action. Chiral symmetry is restored up to cut-off effects by tuning the bare mass and one of the couplings. The critical mass and the symmetry restoring coupling are computed to second order in lattice perturbation theory. This result is used in the 1-loop computation of the renormalised couplings and the associated beta-functions. The renormalised couplings are defined in terms of suitable boundary-to-boundary correlation functions. In the computation the known first order coefficients of the beta-functions are reproduced. One of the couplings is found to have a vanishing betafunction. The calculation is repeated for the recently proposed Schroedinger functional with exact chiral symmetry, i.e. Ginsparg-Wilson fermions. The renormalisation pattern is found to be the same as in the Wilson case. Using the regularisation dependent finite part of the renormalised couplings, the ratio of the Lambda-parameters is computed. (orig.)

  16. Verbal priming and taste sensitivity make moral transgressions gross.

    Science.gov (United States)

    Herz, Rachel S

    2014-02-01

    The aims of the present study were to assess whether: (a) visceral and moral disgust share a common oral origin (taste); (b) moral transgressions that are also viscerally involving are evaluated accordingly as a function of individual differences in taste sensitivity; (c) verbal priming interacts with taste sensitivity to alter how disgust is experienced in moral transgressions; and (d) whether gender moderates these effects. Standard tests of disgust sensitivity, a questionnaire developed for this research assessing different types of moral transgressions (nonvisceral, implied-visceral, visceral) with the terms "angry" and "grossed-out," and a taste sensitivity test of 6-n-propylthiouracil (PROP) were administered to 102 participants. Results confirmed past findings that the more sensitive to PROP a participant was the more disgusted they were by visceral, but not moral, disgust elicitors. Importantly, the findings newly revealed that taste sensitivity had no bearing on evaluations of moral transgressions, regardless of their visceral nature, when "angry" was the emotion primed. However, when "grossed-out" was primed for evaluating moral violations, the more intense PROP tasted to a participant the more "grossed-out" they were by all transgressions. Women were generally more disgust sensitive and morally condemning than men, but disgust test, transgression type, and priming scale modulated these effects. The present findings support the proposition that moral and visceral disgust do not share a common oral origin, but show that linguistic priming can transform a moral transgression into a viscerally repulsive event and that susceptibility to this priming varies as a function of an individual's sensitivity to the origins of visceral disgust-bitter taste.

  17. Complex saddles in the Gross-Witten-Wadia matrix model

    CERN Document Server

    Álvarez, Gabriel; Medina, Elena

    2016-01-01

    We give an exhaustive characterization of the complex saddle point configurations of the Gross-Witten-Wadia matrix model in the large-N limit. In particular, we characterize the cases in which the saddles accumulate in one, two, or three arcs, in terms of the values of the coupling constant and of the fraction of the total unit density that is supported in one of the arcs, and derive an explicit condition for gap closing associated to nonvacuum saddles. By applying the idea of large-N instanton we also give direct analytic derivations of the weak-coupling and strong-coupling instanton actions.

  18. Pathology Gross Photography: The Beginning of Digital Pathology.

    Science.gov (United States)

    Rampy, B Alan; Glassy, Eric F

    2015-06-01

    The underutilized practice of photographing anatomic pathology specimens from surgical pathology and autopsies is an invaluable benefit to patients, clinicians, pathologists, and students. Photographic documentation of clinical specimens is essential for the effective practice of pathology. When considering what specimens to photograph, all grossly evident pathology, absent yet expected pathologic features, and gross-only specimens should be thoroughly documented. Specimen preparation prior to photography includes proper lighting and background, wiping surfaces of blood, removing material such as tubes or bandages, orienting the specimen in a logical fashion, framing the specimen to fill the screen, positioning of probes, and using the right-sized scale.

  19. Four loop renormalization of the Gross-Neveu model

    CERN Document Server

    Gracey, J A; Schroder, Y

    2016-01-01

    We renormalize the SU(N) Gross-Neveu model in the modified minimal subtraction (MSbar) scheme at four loops and determine the beta-function at this order. The theory ceases to be multiplicatively renormalizable when dimensionally regularized due to the generation of evanescent 4-fermi operators. The first of these appears at three loops and we correctly take their effect into account in deriving the renormalization group functions. We use the results to provide estimates of critical exponents relevant to phase transitions in graphene.

  20. Gross shell structure at high spin in heavy nuclei

    CERN Document Server

    Deleplanque, M A; Pashkevich, V V; Chu, S Y; Unzhakova, A

    2004-01-01

    Experimental nuclear moments of inertia at high spins along the yrast line have been determined systematically and found to differ from the rigid-body values. The difference is attributed to shell effects and these have been calculated microscopically. The data and quantal calculations are interpreted by means of the semiclassical Periodic Orbit Theory. From this new perspective, features in the moments of inertia as a function of neutron number and spin, as well as their relation to the shell energies can be understood. Gross shell effects persist up to the highest angular momenta observed.

  1. Labor Absorption and Its Impact on Gross Regional Domestic Product

    OpenAIRE

    Made Ika Prastyadewi; Agus Suman; Devanto Shasta Pratomo

    2013-01-01

    The objective of this study is to examine the determinants of labor absorption in the trade, hotel and restaurant sector and its impact on Gross Regional Domestic Product/GRDP at Bali Province. This study is important due to the fact that the GRDP in this sector is the highest compared to other sector but the labor absorption is lower than the agriculture sector. This study used panel data comprising 9 regencies/cities at Bali Province in the period 2003-2009 including fixed effect model and ...

  2. Characterizing the development of sectoral gross domestic product composition.

    Science.gov (United States)

    Lutz, Raphael; Spies, Michael; Reusser, Dominik E; Kropp, Jürgen P; Rybski, Diego

    2013-07-01

    We consider the sectoral composition of a country's gross domestic product (GDP), i.e., the partitioning into agrarian, industrial, and service sectors. Exploring a simple system of differential equations, we characterize the transfer of GDP shares between the sectors in the course of economic development. The model fits for the majority of countries providing four country-specific parameters. Relating the agrarian with the industrial sector, a data collapse over all countries and all years supports the applicability of our approach. Depending on the parameter ranges, country development exhibits different transfer properties. Most countries follow three of eight characteristic paths. The types are not random but show distinct geographic and development patterns.

  3. Gross shell structure at high spin in heavy nuclei

    Energy Technology Data Exchange (ETDEWEB)

    Deleplanque, Marie-Agnes; Frauendorf, Stefan; Pashkevich, Vitaly V.; Chu, S.Y.; Unzhakova, Anja

    2003-10-07

    Experimental nuclear moments of inertia at high spins along the yrast line have been determined systematically and found to differ from the rigid-body values. The difference is attributed to shell effect and these have been calculated microscopically. The data and quantal calculations are interpreted by means of the semiclassical Periodic Orbit Theory. From this new perspective, features in the moments of inertia as a function of neutron number and spin, as well as their relation to the shell energies can be understood. Gross shell effects persist up to the highest angular momenta observed.

  4. The natural radioactivity in water by gross alpha and beta measurements

    Energy Technology Data Exchange (ETDEWEB)

    Bonotto, D.M. [Departamento de Petrologia e Metalogenia, Universidade Estadual Paulista (UNESP), Av. 24-A No. 1515, C.P. 178, CEP 13506-900, Rio Claro, SP (Brazil)], E-mail: danielbonotto@yahoo.com.br; Bueno, T.O.; Tessari, B.W.; Silva, A. [Departamento de Petrologia e Metalogenia, Universidade Estadual Paulista (UNESP), Av. 24-A No. 1515, C.P. 178, CEP 13506-900, Rio Claro, SP (Brazil)

    2009-01-15

    An alternative method for evaluating gross alpha and beta radioactivity in water was developed by performing alpha counting using a surface barrier detector and gamma- ray spectrometry using a NaI(Tl) scintillation detector. Several experiments were realized under controlled conditions in the laboratory with the aim of establishing adequate calibration of the systems utilized for performing activity concentration measurements in water samples of variable salinity. Groundwater samples collected at several spas in Sao Paulo and Minas Gerais States in Brazil were submitted to the developed technique in order to assure its applicability in waters characterized by different Total Dissolved Solids content. The values obtained were compatible with the previous knowledge of the radioactivity of the studied water sources, thus indicating the reliability and usefulness of the method for generating information on investigations focusing environmental aspects and/or the evaluation of the drinking water quality in terms of radiological aspects.

  5. Do active video games benefit the motor skill development of non-typically developing children and adolescents: A systematic review.

    Science.gov (United States)

    Page, Zoey E; Barrington, Stephanie; Edwards, Jacqueline; Barnett, Lisa M

    2017-05-18

    The use of interactive video gaming, known as 'exergames' or 'active video games (AVG)' may provide an opportunity for motor skill development. Youth with non-typical patterns of development may have deficits in gross motor skill capacities and are therefore an intervention target. The aim was to determine the effectiveness of AVG use on motor skill development in non-typically developing children and adolescents. Review article. The PRISMA protocol was used to conduct a systematic review of EBSCOhost, Embase, Gale Cengage, Informit, Ovid, ProQuest, PubMed, Scopus and Web of Science databases. A total of 19 articles met inclusion criteria (non-typically developing participants such as those with a learning or developmental delay aged 3-18, use of an AVG console, assessed one or more gross motor skills). Studies were excluded if gross motor skill outcomes encompassed fine motor skills or reflected mobility related to daily living. Interventions included children and adolescents with eight different conditions. The Nintendo Wii was the most utilised gaming platform (14/19 studies). Studies examined a combination of skills, with most examining balance (15/19), five studies examining ball skills, and other gross motor skills such as coordination (3 studies), running (3 studies) and jumping (3 studies). There was strong evidence that AVG's improved balance. AVG's also appeared to benefit participants with Cerebral Palsy. AVG's could be a valuable tool to improve gross motor skills of non-typically developing children. There is scope for further exploration, particularly of ball, coordination and locomotor skills and varying platforms to draw more conclusive evaluations. Copyright © 2017 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

  6. Discriminating Talent Identified Junior Australian Footballers Using a Fundamental Gross Athletic Movement Assessment

    Directory of Open Access Journals (Sweden)

    Carl T. Woods, Harry G. Banyard, Ian McKeown, Job Fransen, Sam Robertson

    2016-09-01

    Full Text Available Talent identification (TID is a pertinent component of the sports sciences, affording practitioners the opportunity to target developmental interventions to a select few; optimising financial investments. However, TID is multi-componential, requiring the recognition of immediate and prospective performance. The measurement of athletic movement skill may afford practitioners insight into the latter component given its augmented relationship with functional sport specific qualities. It is currently unknown whether athletic movement skill is a discriminant quality in junior Australian football (AF. This study aimed to discriminate talent identified junior AF players from their non-talent identified counterparts using a fundamental gross athletic movement assessment. From a total of 50 under 18 (U18 AF players; two groups were classified a priori based on selection level; talent identified (n = 25; state academy representatives and non-talent identified (n = 25; state-based competition representatives. Players performed a fundamental gross athletic movement assessment based on the Athletic Ability Assessment (AAA, consisting of an overhead squat, double lunge (left and right legs, single leg Romanian deadlift (left and right legs, and a push up (six movement criterions. Movements were scored across three assessment points using a three-point scale (resulting in a possible score of nine for each movement. A multivariate analysis of variance revealed significant between group effects on four of the six movement criterions (d = 0.56 – 0.87; p = 0.01 – 0.02. Binary logistic regression models and a receiver operating characteristic curve inspection revealed that the overhead squat score provided the greatest group discrimination (β(SE = -0.89(0.44; p < 0.05, with a score of 4.5 classifying 64% and 88% of the talent identified and non-talent identified groups, respectively. Results support the integration of this assessment into contemporary talent

  7. Motor Control of the Lower Extremity Musculature in Children with Cerebral Palsy

    Science.gov (United States)

    Arpin, David J.; Stuberg, Wayne; Stergiou, Nicholas; Kurz, Max J.

    2013-01-01

    The aim of this investigation was to quantify the differences in torque steadiness and variability of the muscular control in children with cerebral palsy (CP) and typically developing (TD) children. Fifteen children with CP (age = 14.2 [plus or minus] 0.7 years) that had a Gross Motor Function Classification System (GMFCS) score of I-III and 15…

  8. Exploring the Application of Information and Communication Technology in the U.S. Motor Carrier Industry

    Science.gov (United States)

    Haynes, Edward T.

    2010-01-01

    The problem addressed in this qualitative case study focused on the limited amount of scholarly research addressing the use of information and communication technology in U.S. motor carrier operations. The trucking industry is part of the service sector which contributes approximately 67.8 percent to the gross domestic product of the United…

  9. Exploring the Application of Information and Communication Technology in the U.S. Motor Carrier Industry

    Science.gov (United States)

    Haynes, Edward T.

    2010-01-01

    The problem addressed in this qualitative case study focused on the limited amount of scholarly research addressing the use of information and communication technology in U.S. motor carrier operations. The trucking industry is part of the service sector which contributes approximately 67.8 percent to the gross domestic product of the United…

  10. Motor proficiency of 6-to 9-year-old children with speech and language problems

    NARCIS (Netherlands)

    Visscher, Chris; Houwen, Suzanne; Moolenaar, Ben; Lyons, Jim; Scherder, Erik J. A.; Hartman, Esther

    2010-01-01

    Aim This study compared the gross motor skills of school-age children (mean age 7y 8mo, range 6-9y) with developmental speech and language disorders (DSLDs; n=105; 76 males, 29 females) and typically developing children (n=105; 76 males, 29 females). The relationship between the performance

  11. Differential Analysis of Selected Prompts and Neurological Variables in Motor Assessment of Moderately Mentally Retarded Children.

    Science.gov (United States)

    Ilmer, Steven; Drews, Judith

    1980-01-01

    The relative effectiveness of multisensory-, physical-, modeling-, and verbal-prompting assessment strategies upon the gross motor performance of 40 moderately retarded children (ages 5 to 15 years) was investigated, taking into account the impact of the Ss' levels of reflexive maturation and orthopedic functioning. (Author/DLS)

  12. [Tinetti motor ability test: sensitivity to change in gait assessment during geriatric hospitalization--aspects of its clinical relevance and quality assurance].

    Science.gov (United States)

    Thiesemann, R; von Renteln-Kruse, W; Meins, W; Tuschick, B; Vogel, J; Meier-Baumgartner, H P

    1997-01-01

    Assessment instruments are recommended in addition to the clinical examination of gait disorders in elderly patients. We examined the sensitivity of gait assessment in a geriatric hospital by using a modified Tinetti's motility score in order to study aspects of clinical relevance and quality assurance. Forty patients were assessed on admission and discharge. The results were rated for information profit in comparison to clinical admission report. Three geriatricians rated the results for clinical relevance. Three quarters of the patients' mobility changed significantly on the course. There were no significant differences in patients with dementia. Assessment by using Tinetti's motility score gained 41% new information and 49% partly new information. This information was rated as considerably relevant to the clinical course in 56% to 80% of the patients. A structured motility score is useful for the purpose of internal quality assurance in a geriatric hospital.

  13. Relationship between motor abilities and severity of autism spectrum disorder

    Directory of Open Access Journals (Sweden)

    Cvijetić Marija

    2017-01-01

    Full Text Available According to the findings in literature, motor skills of children with autism spectrum disorders generally differ from age expectations and are increasingly being associated with speech and language and social development, and adaptive behavior. The aim of the research was to determine the relationship between the development level of fine and gross motor skills and autism severity of children with autism spectrum disorder. The sample included 30 children with autism spectrum disorder and associated intellectual disability, seven to 19 years of age (M=11.97; SD=3.70. The assessment was conducted using the Peabody Motor Development Scale, the Vineland Adaptive Behavior Scale, and the criteria for describing the level of severity of autism spectrum disorder (APA, 2013. The results have shown that participants' motor skills significantly correlate with social communication (Peabody fine motor skills r=-0.452; p=0.012; Vineland fine motor skills r=-0.511; p=0.004; Vineland total r=-0.391; p=0.032 and restricted, repetitive behaviors (Peabody fine motor skills r=-0.383; p=0.037; Vineland fine motor skills r=-0.433; p=0.017; Vineland total r=-0.371; p=0.044. Lower level of autistic symptomatology is associated with higher motor achievements. It is necessary to pay more attention to the assessment and treatment of motor skills in children with autism spectrum disorder, given the established delay in the development of these skills, and bearing in mind their relationship with the severity of the symptoms of autism spectrum disorder. Timely identification of motor disorders would allow the use of early treatment and potentially lead to better results, compared to later inclusion in intervention programs.

  14. The implications of particle energy and acidic media on gross alpha and gross beta determination using liquid scintillation

    Energy Technology Data Exchange (ETDEWEB)

    Zapata-Garcia, D. [Laboratori de Radiologia Ambiental (LRA), Departament de Quimica Analitica, Universitat de Barcelona, Marti i Franques, 1-11 Planta 3, E-08028 Barcelona (Spain); Llaurado, M., E-mail: montse.llaurado@ub.edu [Laboratori de Radiologia Ambiental (LRA), Departament de Quimica Analitica, Universitat de Barcelona, Marti i Franques, 1-11 Planta 3, E-08028 Barcelona (Spain); Rauret, G. [Laboratori de Radiologia Ambiental (LRA), Departament de Quimica Analitica, Universitat de Barcelona, Marti i Franques, 1-11 Planta 3, E-08028 Barcelona (Spain)

    2012-04-15

    The interaction of humans with radioactivity present in the environment from natural and artificial sources necessitates an evaluation of its risk on human health. Gross alpha and gross beta activities can provide a rapid evaluation of the radioactive content of a sample and can be simultaneously determined by using liquid scintillation counters. However, calibration of the liquid scintillation counter is required and is affected by many factors, such as particle energy and the acidity of the media. This study investigates what effect the particle energy used for calibration has on misclassification and how to account for this misclassification in routine measurements. The variability in measurement produced by the final pH, as well as any acids used in sample treatment, was also studied. These results showed that the most commonly used acid for these types of analyses, HNO{sub 3}, produced a high amount of misclassifications at very low pH. The results improved when HCl was used to adjust the sample to low pH. - Highlights: Black-Right-Pointing-Pointer We study the effect of alpha and beta energies on PSA optimisation. Black-Right-Pointing-Pointer The optimum PSA shifts to higher values as the alpha energy increases. Beta energies do not affect it. Black-Right-Pointing-Pointer We study the effect of pH on the simultaneous determination of gross alpha/beta activities. Black-Right-Pointing-Pointer HNO{sub 3} produces a high amount of misclassification at very low pH. Black-Right-Pointing-Pointer The results improve when HCl is used to adjust the sample to low pH.

  15. Electric motor handbook

    CERN Document Server

    Chalmers, B J

    2013-01-01

    Electric Motor Handbook aims to give practical knowledge in a wide range of capacities such as plant design, equipment specification, commissioning, operation and maintenance. The book covers topics such as the modeling of steady-state motor performance; polyphase induction, synchronous, and a.c. commutator motors; ambient conditions, enclosures, cooling and loss dissipation; and electrical supply systems and motor drives. Also covered are topics such as variable-speed drives and motor control; materials and motor components; insulation types, systems, and techniques; and the installation, sit

  16. Coativação, espasticidade, desempenho motor e funcional na paralisia cerebral Coactivation, spasticity, motor and functional performance in cerebral palsy

    Directory of Open Access Journals (Sweden)

    Maíra Seabra de Assumpção

    2011-12-01

    Full Text Available O objetivo deste estudo foi verificar a associação entre a coativação muscular durante a marcha, a espasticidade, as habilidades funcionais e a função motora ampla em crianças com paralisia cerebral (PC e comparar estes parâmetros com os de crianças com desenvolvimento típico (DT. Participaram do estudo 16 crianças com DT e 23 com PC. Os instrumentos clínicos utilizados foram: a Escala Modificada de Ashworth para espasticidade, o Pediatric Evaluation of Disability Inventory para habilidades funcionais, o Gross Motor Function Measure para função motora ampla. A ativação dos músculos reto femoral e semitendíneo foi analisada durante o ciclo de marcha por meio do cálculo do Índice de Coativação (IC. As medidas de habilidades funcionais e motricidade ampla apresentaram associação entre si, sendo bons indicadores de alterações motoras. O IC não parece ser um bom parâmetro para indicar ções na função motora em crianças com PC de severidade mínima.The purpose of this study was to identify whether or not there is an association between muscle coactivation during gait, spasticity, functional abilities and gross motor behavior in children with cerebral palsy (CP and to compare these parameters to those of children with typical development (TD. Sixteen children with TD and 23 children with CP participated of this study. The clinical instruments included: the Modified Ashworth Scale for spasticity, the Pediatric Evaluation of Disability Inventory for functional abilities and the Gross Motor Function Measure for gross motor behaviors. Using coactivation index (CI, activation of the rectus femoris and semitendinosus muscles was analyzed during the participants’gait cycles. Measures of functional abilities were related to parameters of gross motor behaviors and, therefore, providing appropriate indicators of motor changes. Contrary, the CI does not seem to be an appropriate parameter for identifying changes in gross motor

  17. Methylphenidate improves motor functions in children diagnosed with Hyperkinetic Disorder

    Science.gov (United States)

    Stray, Liv Larsen; Stray, Torstein; Iversen, Synnøve; Ruud, Anne; Ellertsen, Bjørn

    2009-01-01

    Background A previous study showed that a high percentage of children diagnosed with Hyperkinetic Disorder (HKD) displayed a consistent pattern of motor function problems. The purpose of this study was to investigate the effect of methylphenidate (MPH) on such motor performance in children with HKD Methods 25 drug-naïve boys, aged 8–12 yr with a HKD-F90.0 diagnosis, were randomly assigned into two groups within a double blind cross-over design, and tested with a motor assessment instrument, during MPH and placebo conditions. Results The percentage of MFNU scores in the sample indicating 'severe motor problems' ranged from 44–84%, typically over 60%. Highly significant improvements in motor performance were observed with MPH compared to baseline ratings on all the 17 subtests of the MFNU 1–2 hr after administration of MPH. There were no significant placebo effects. The motor improvement was consistent with improvement of clinical symptoms. Conclusion The study confirmed our prior clinical observations showing that children with ADHD typically demonstrate marked improvements of motor functions after a single dose of 10 mg MPH. The most pronounced positive MPH response was seen in subtests measuring either neuromotor inhibition, or heightened muscular tone in the gross movement muscles involved in maintaining the alignment and balance of the body. Introduction of MPH generally led to improved balance and a generally more coordinated and controlled body movement. PMID:19439096

  18. Methylphenidate improves motor functions in children diagnosed with Hyperkinetic Disorder

    Directory of Open Access Journals (Sweden)

    Iversen Synnøve

    2009-05-01

    Full Text Available Abstract Background A previous study showed that a high percentage of children diagnosed with Hyperkinetic Disorder (HKD displayed a consistent pattern of motor function problems. The purpose of this study was to investigate the effect of methylphenidate (MPH on such motor performance in children with HKD Methods 25 drug-naïve boys, aged 8–12 yr with a HKD-F90.0 diagnosis, were randomly assigned into two groups within a double blind cross-over design, and tested with a motor assessment instrument, during MPH and placebo conditions. Results The percentage of MFNU scores in the sample indicating 'severe motor problems' ranged from 44–84%, typically over 60%. Highly significant improvements in motor performance were observed with MPH compared to baseline ratings on all the 17 subtests of the MFNU 1–2 hr after administration of MPH. There were no significant placebo effects. The motor improvement was consistent with improvement of clinical symptoms. Conclusion The study confirmed our prior clinical observations showing that children with ADHD typically demonstrate marked improvements of motor functions after a single dose of 10 mg MPH. The most pronounced positive MPH response was seen in subtests measuring either neuromotor inhibition, or heightened muscular tone in the gross movement muscles involved in maintaining the alignment and balance of the body. Introduction of MPH generally led to improved balance and a generally more coordinated and controlled body movement.

  19. Comparison of motor competence levels on two assessments across childhood.

    Science.gov (United States)

    Ré, Alessandro H N; Logan, Samuel W; Cattuzzo, Maria T; Henrique, Rafael S; Tudela, Mariana C; Stodden, David F

    2017-01-05

    This study compared performances and motor delay classifications for the Test of Gross Motor Development-2nd edition (TGMD-2) and the Körperkoordinationstest Für Kinder (KTK) in a sample of 424 healthy children (47% girls) between 5 and 10 years of age. Low-to-moderate correlations (r range = 0.34-0.52) were found between assessments across age. In general, both boys and girls demonstrated higher raw scores across age groups. However, percentile scores indicated younger children outperformed older children, denoting a normative percentile-based decrease in motor competence (MC) in the older age groups. In total, the TGMD-2 and KTK classified 39.4% and 18.4% children, respectively, as demonstrating very low MC (percentile ≤5). In conclusion, the TGMD-2 classified significantly more children with motor delays than the KTK and the differences between children's motor skill classification levels by these assessments became greater as the age groups increased. Therefore, the TGMD-2 may demonstrate more susceptibility to sociocultural influences and be more influenced by cumulative motor experiences throughout childhood. Low-to-moderate correlations between assessments also suggest the TGMD-2 and KTK may measure different aspects of MC. As such, it may be important to use multiple assessments to comprehensively assess motor competence.

  20. The Influence of Motor Skills on Measurement Accuracy

    Science.gov (United States)

    Brychta, Petr; Sadílek, Marek; Brychta, Josef

    2016-10-01

    This innovative study trying to do interdisciplinary interface at first view different ways fields: kinantropology and mechanical engineering. A motor skill is described as an action which involves the movement of muscles in a body. Gross motor skills permit functions as a running, jumping, walking, punching, lifting and throwing a ball, maintaining a body balance, coordinating etc. Fine motor skills captures smaller neuromuscular actions, such as holding an object between the thumb and a finger. In mechanical inspection, the accuracy of measurement is most important aspect. The accuracy of measurement to some extent is also dependent upon the sense of sight or sense of touch associated with fine motor skills. It is therefore clear that the level of motor skills will affect the precision and accuracy of measurement in metrology. Aim of this study is literature review to find out fine motor skills level of individuals and determine the potential effect of different fine motor skill performance on precision and accuracy of mechanical engineering measuring.