WorldWideScience

Sample records for modified constraint-induced movement

  1. Modified constraint-induced movement therapy for clients with chronic stroke: interrupted time series (ITS) design.

    Science.gov (United States)

    Park, JuHyung; Lee, NaYun; Cho, YongHo; Yang, YeongAe

    2015-03-01

    [Purpose] The purpose of this study was to investigate the impact that modified constraint-induced movement therapy has on upper extremity function and the daily life of chronic stroke patients. [Subjects and Methods] Modified constraint-induced movement therapy was conduct for 2 stroke patients with hemiplegia. It was performed 5 days a week for 2 weeks, and the participants performed their daily living activities wearing mittens for 6 hours a day, including the 2 hours of the therapy program. The assessment was conducted 5 times in 3 weeks before and after intervention. The upper extremity function was measured using the box and block test and a dynamometer, and performance daily of living activities was assessed using the modified Barthel index. The results were analyzed using a scatterplot and linear regression. [Results] All the upper extremity functions of the participants all improved after the modified constraint-induced movement therapy. Performance of daily living activities by participant 1 showed no change, but the results of participant 2 had improved after the intervention. [Conclusion] Through the results of this research, it was identified that modified constraint-induced movement therapy is effective at improving the upper extremity functions and the performance of daily living activities of chronic stroke patients.

  2. Effectiveness of modified constraint-induced movement therapy in children with unilateral spastic cerebral palsy: a randomized controlled trial.

    NARCIS (Netherlands)

    Aarts, P.B.M.; Jongerius, P.H.; Geerdink, Y.A.; Limbeek, J. van; Geurts, A.C.H.

    2010-01-01

    BACKGROUND: In children with unilateral spastic cerebral palsy (CP), there is only limited evidence for the effectiveness of modified constraint-induced movement therapy (mCIMT). OBJECTIVE: To investigate whether 6 weeks of mCIMT followed by 2 weeks of bimanual task-specific training (mCIMT-BiT) in

  3. The Effects of Modified Constraint-Induced Movement Therapy in Acute Subcortical Cerebral Infarction

    Directory of Open Access Journals (Sweden)

    Changshen Yu

    2017-05-01

    Full Text Available Background: Constraint-induced movement therapy (CIMT promotes upper extremity recovery post stroke, however, it is difficult to implement clinically due to its high resource demand and safety of the restraint. Therefore, we propose that modified CIMT (mCIMT be used to treat individuals with acute subcortical infarction.Objective: To evaluate the therapeutic effects of mCIMT in patients with acute subcortical infarction, and investigate the possible mechanisms underlying the effect.Methods: The role of mCIMT was investigated in 26 individuals experiencing subcortical infarction in the preceding 14 days. Patients were randomly assigned to either mCIMT or standard therapy. mCIMT group was treated daily for 3 h over 10 consecutive working days, using a mitt on the unaffected arm for up to 30% of waking hours. The control group was treated with an equal dose of occupational therapy and physical therapy. During the 3-month follow-up, the motor functions of the affected limb were assessed by the Wolf Motor Function Test (WMFT and Motor Activity Log (MAL. Altered cortical excitability was assessed via transcranial magnetic stimulation (TMS.Results: Treatment significantly improved the movement in the mCIMT group compared with the control group. The mean WMF score was significantly higher in the mCIMT group compared with the control group. Further, the appearance of motor-evoked potentials (MEPs were significantly higher in the mCIMT group compared with the baseline data. A significant change in ipsilesional silent period (SP occurred in the mCIMT group compared with the control group. However, we found no difference between two groups in motor function or electrophysiological parameters after 3 months of follow-up.Conclusions: mCIMT resulted in significant functional changes in timed movement immediately following treatment in patients with acute subcortical infarction. Further, early mCIMT improved ipsilesional cortical excitability. However, no long

  4. Modified constraint-induced movement therapy versus intensive bimanual training for children with hemiplegia - a randomized controlled trial.

    Science.gov (United States)

    Deppe, Wolfgang; Thuemmler, Kerstin; Fleischer, Judith; Berger, Claudia; Meyer, Susanne; Wiedemann, Baerbel

    2013-10-01

    To clarify whether modified constraint-induced movement therapy provides greater improvement than intensive bimanual training both for motor functions and spontaneous use of the paretic arm and hand in everyday life activities. Randomized controlled, single-blind trial. Inpatient paediatric rehabilitation clinic. Forty-seven children with unilateral cerebral palsy or other non-progressive hemiplegia (aged 3.3-11.4 years) were randomly assigned to either a modified constraint-induced movement programme (kid-CIMT) or intensive bimanual training. Patients in the kid-CIMT group received 60 hours of unilateral constraint-induced and 20 hours of bimanual training over four weeks. Patients in the bimanual treatment group received 80 hours of bimanual training over four weeks. Melbourne Assessment of Unilateral Upper Limb Function and Assisting Hand Assessment. Modified constraint-induced therapy provided a significantly better outcome for isolated motor functions of the paretic arm than bimanual training (gain in Melbourne Assessment, percent score: 6.6 vs. 2.3, P= 0.033). Regarding spontaneous use both methods led to similar improvement (gain in Assisting Hand Assessment, percent score: 6.2 vs. 4.6, P= 0.579). More-disabled children showed greater improvement than less-disabled ones (correlation with Assisting Hand Assessment pretreatment score r = -0.40). Age did not affect treatment outcome. Modified constraint-induced movement therapy can improve isolated functions of the hemiplegic arm better than intensive bimanual training, but regarding spontaneous hand use in everyday life both methods lead to similar improvement. Improvements are generally greater in more impaired children. Age does not affect outcome.

  5. Constraint-induced movement therapy

    DEFF Research Database (Denmark)

    Castellini, Greta; Gianola, Silvia; Banzi, Rita;

    2014-01-01

    on randomized controlled trials (RCTs) included in a Cochrane systematic review on the effectiveness of constraint-induced movement therapy (CIMT) for stroke patients. METHODS: We extracted data on the functional independence measure (FIM) and the action research arm test (ARAT) from RCTs that compared CIMT...

  6. Effect of modified constraint induced movement therapy on weight bearing and protective extension in children with hemiplegic cerebral palsy

    Directory of Open Access Journals (Sweden)

    Masoud Gharib

    2012-01-01

    Full Text Available Background: Constraint induced movement therapy is one of the new therapeutic interventions that limits the performance of intact upper limb with increased use of the affected limb. Aim of this study was to investigate the effects of modified constraint induced movement therapy on weight bearing & protective extension in children with hemiplegic cerebral palsy.Methods: 21 hemiplegic children were selected and randomly divided into experimental and control groups. Common Practices of Occupational Therapy applied for 6 weeks in both groups equally and test group received constrain induced movement therapy for three hours every day. Weight-bearing and protective extension was measured based on quality of test skills of upper limbs (QUEST. Data analyzed using appropriated statistical methods. Results: 11 children in the experimental group (7 girls, 4 boys with mean age 47.2 ± 55.5 months and 10 children in the control group (5 girls, 5 boys with mean age 19.2 ± 10.5 months were studied. No significant difference observed before and after six weeks intervention between two groups (P>0.05. There was a significant change before and after six weeks intervention in both subscales (P<0.05.Conclusion: This study showed that modified constraint induced movement therapy may affect weight bearing, but has no effect on the protective extension.

  7. Effects of virtual reality training with modified constraint-induced movement therapy on upper extremity function in acute stage stroke: a preliminary study.

    Science.gov (United States)

    Ji, Eun-Kyu; Lee, Sang-Heon

    2016-11-01

    [Purpose] The purpose of this study was to investigate the effects of virtual reality training combined with modified constraint-induced movement therapy on upper extremity motor function recovery in acute stage stroke patients. [Subjects and Methods] Four acute stage stroke patients participated in the study. A multiple baseline single subject experimental design was utilized. Modified constraint-induced movement therapy was used according to the EXplaining PLastICITy after stroke protocol during baseline sessions. Virtual reality training with modified constraint-induced movement therapy was applied during treatment sessions. The Manual Function Test and the Box and Block Test were used to measure upper extremity function before every session. [Results] The subjects' upper extremity function improved during the intervention period. [Conclusion] Virtual reality training combined with modified constraint-induced movement is effective for upper extremity function recovery in acute stroke patients.

  8. Characterizing the protocol for early modified constraint-induced movement therapy in the EXPLICIT-stroke trial

    NARCIS (Netherlands)

    Nijland, R van; Wegen, E. van; Krogt, H. van der; Bakker, C.D.; Buma, F.; Klomp, A.; Kordelaar, J. van; Kwakkel, G.; Geurts, A.C.; Kuijk, A.A. van; Lindeman, E.; Visser-Meily, A.J.M.A.; Arendzen, H.J.; Meskers, C.G.; Helm, F.C.T. van der; Vlugt, E. de

    2013-01-01

    Constraint-induced movement therapy (CIMT) is a commonly used rehabilitation intervention to improve upper limb function after stroke. CIMT was originally developed for patients with a chronic upper limb paresis. Although there are indications that exercise interventions should start as early as pos

  9. Motor learning curve and long-term effectiveness of modified constraint-induced movement therapy in children with unilateral cerebral palsy: a randomized controlled trial

    NARCIS (Netherlands)

    Geerdink, Y.A.; Aarts, P.; Geurts, A.C.H.

    2013-01-01

    The goal of this study was to determine the progression of manual dexterity during 6 weeks (54h) (modified) constraint-induced movement therapy ((m)CIMT) followed by 2 weeks (18h) bimanual training (BiT) in children with unilateral spastic cerebral palsy (CP), to establish whether and when a maximal

  10. Motor Learning Curve and Long-Term Effectiveness of Modified Constraint-Induced Movement Therapy in Children with Unilateral Cerebral Palsy: A Randomized Controlled Trial

    Science.gov (United States)

    Geerdink, Yvonne; Aarts, Pauline; Geurts, Alexander C.

    2013-01-01

    The goal of this study was to determine the progression of manual dexterity during 6 weeks (54 h) (modified) constraint-induced movement therapy ((m)CIMT) followed by 2 weeks (18 h) bimanual training (BiT) in children with unilateral spastic cerebral palsy (CP), to establish whether and when a maximal training effect was reached and which factors…

  11. Study to assess the effectiveness of modified constraint-induced movement therapy in stroke subjects: A randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Priyanka Singh

    2013-01-01

    Full Text Available Background and Purpose: The purpose of this study was to assess the effectiveness of modified constraint induced movement therapy (m-CIMT in stroke subjects. Materials and Methods: A total of forty sub-acute stroke subjects were randomly assigned to either a m-CIMT (n = 20 or in a control group (n = 20. The m-CIMT group (14 men, 6 women; mean age = 55.2 years consisted of structured 2 h therapy sessions emphasizing affected arm use, occurring 5 times/week for 2 weeks. A mitt was used to restrain the unaffected arm for 10 h/day for 2 week. The control group (11 men, 9 women; mean age = 56.4 years consisted of conventional rehabilitation for time-matched exercise program. The outcome measures were evaluated at pre- and post-intervention by using the Wolf Motor Function Test (WMFT and Fugl-Meyer assessment (FMA of motor recovery after stroke. Results: After intervention significant effects were observed in m-CIMT group on WMFT (pre-test and post-test score was 28.04 ± 6.58, 13.59 ± 2.86; P =0.003. Similarly on FMA (pre- and post-test score was 31.15 ± 6.37, 55.7 ± 6.4; P = 0.00. Conclusion: There is a significant improvem ent in upper extremity function so it indicates that m-CIMT is effective in improving the motor function of the affected arm in stroke subjects. However, its long-term effect has not proved since there was no follow-up after intervention.

  12. Constraint-induced movement therapy after stroke.

    Science.gov (United States)

    Kwakkel, Gert; Veerbeek, Janne M; van Wegen, Erwin E H; Wolf, Steven L

    2015-02-01

    Constraint-induced movement therapy (CIMT) was developed to overcome upper limb impairments after stroke and is the most investigated intervention for the rehabilitation of patients. Original CIMT includes constraining of the non-paretic arm and task-oriented training. Modified versions also apply constraining of the non-paretic arm, but not as intensive as original CIMT. Behavioural strategies are mostly absent for both modified and original CIMT. With forced use therapy, only constraining of the non-paretic arm is applied. The original and modified types of CIMT have beneficial effects on motor function, arm-hand activities, and self-reported arm-hand functioning in daily life, immediately after treatment and at long-term follow-up, whereas there is no evidence for the efficacy of constraint alone (as used in forced use therapy). The type of CIMT, timing, or intensity of practice do not seem to affect patient outcomes. Although the underlying mechanisms that drive modified and original CIMT are still poorly understood, findings from kinematic studies suggest that improvements are mainly based on adaptations through learning to optimise the use of intact end-effectors in patients with some voluntary motor control of wrist and finger extensors after stroke.

  13. Effect of modified constraint-induced movement therapy on the activities of daily living of patients with acute stroke

    Directory of Open Access Journals (Sweden)

    Wei-ming ZHANG

    2015-04-01

    Full Text Available Objective To observe the rehabilitation effect of modified constraint-induced movement therapy (mCIMT on activities of daily living (ADL in patients with acute ischemic stroke.  Methods A total of 60 patients in acute stage of cerebral stroke with limb dysfunction admitted in Ruijin Hospital from December 2012 to May 2013, were randomly divided into routine rehabilitation treatment group (control group, N = 30 and mCIMT group (N = 30. Control group was given routine rehabilitation training, 60 min each time, twice per day, 5 d per week; mCIMT group received mCIMT treatment with the similar frequency. After 2-week training, all patients were transferred to rehabilitation center for 4-week continous training. The total treatment period was 6 weeks. All of those patients received assessment before treatment and 2 weeks, 6 weeks, 12 weeks after treatment on the ability of daily living and motor function, including the modified Barthel Index (mBI, Fugl-Meyer Assessment (FMA and Berg Balance Scale (BBS.  Results Patients in both groups got increased mBI (P = 0.004, 0.000, 0.000, FMA (upper limb: P = 0.000, for all and BBS scores (P = 0.005, 0.000, 0.000 2, 6, 12 weeks after treatment. FMA (lower limb score was increased 6 and 12 weeks after treatment (P = 0.000, for all. Compared to the control group, patients in mCIMT group got increased mBI (P = 0.000, for all, FMA (upper limb: P = 0.000, for all; lower limb: P = 0.000, for all and BBS scores (P = 0.000, for all 2, 6, 12 weeks after treatment.  Conclusions mCIMT has positive therapeutic effects on the motor function of limbs in hemiplegic patients with stroke in acute stage, which can improve the balance ability and the ability of daily life, so as to raise the quality of life of patients. The efficacy of mCIMT is superior to general routine rehabilitation treatment. DOI: 10.3969/j.issn.1672-6731.2015.04.006

  14. Six Years after a Modified Constraint Induced Movement Therapy (CIMT) Program--What Happens when the Children Have Become Young Adults?

    Science.gov (United States)

    Nordstrand, L.; Eliasson, A. C.

    2013-01-01

    The aim is to describe the development of hand function in young adults with unilateral cerebral palsy (CP), who participated in a 2-week Constraint Induced Movement Therapy (CIMT) camp 6 years earlier. Eleven participants, 16-21 years at follow-up, were assessed at three occasions during 2005 and once in 2011. At the 6-year follow-up, performance…

  15. The Pirate group intervention protocol: description and a case report of a modified constraint-induced movement therapy combined with bimanual training for young children with unilateral spastic cerebral palsy.

    NARCIS (Netherlands)

    Aarts, P.B.M.; Hartingsveldt, M. van; Anderson, P.G.; Tillaar, I. van den; Burg, J. van der; Geurts, A.C.H.

    2012-01-01

    The purpose of this article was to describe a child-friendly modified constraint-induced movement therapy protocol that is combined with goal-directed task-specific bimanual training (mCIMT-BiT). This detailed description elucidates the approach and supports various research reports. This protocol i

  16. Modified Constraint-Induced Movement Therapy combined with Bimanual Training (mCIMT-BiT) in children with unilateral spastic cerebral palsy: how are improvements in arm-hand use established?

    NARCIS (Netherlands)

    Aarts, P.B.M.; Jongerius, P.H.; Geerdink, Y.A.; Limbeek, J. van; Geurts, A.C.H.

    2011-01-01

    A recent randomized controlled trial indicated that modified Constraint-Induced Movement Therapy followed by Bimanual Training (mCIMT-BiT) is an effective intervention to improve spontaneous use of the affected upper limb in children with unilateral spastic cerebral palsy (CP). The present study aim

  17. Modified Constraint-Induced Movement Therapy Combined with Bimanual Training (mCIMT-BiT) in Children with Unilateral Spastic Cerebral Palsy: How Are Improvements in Arm-Hand Use Established?

    Science.gov (United States)

    Aarts, Pauline B.; Jongerius, Peter H.; Geerdink, Yvonne A.; van Limbeek, Jacques; Geurts, Alexander C.

    2011-01-01

    A recent randomized controlled trial indicated that modified Constraint-Induced Movement Therapy followed by Bimanual Training (mCIMT-BiT) is an effective intervention to improve spontaneous use of the affected upper limb in children with unilateral spastic cerebral palsy (CP). The present study aimed to investigate how the above-mentioned…

  18. Feasibility of a Day-Camp Model of Modified Constraint-Induced Movement Therapy with and without Botulinum Toxin A Injection for Children with Hemiplegia

    Science.gov (United States)

    Eliasson, Ann-Christin; Shaw, Karin; Ponten, Eva; Boyd, Roslyn; Krumlinde-Sundholm, Lena

    2009-01-01

    The objective of the study was to investigate the feasibility of modified constraint-induced (CI) therapy provided in a 2-week day-camp model with and without intramuscular botulinum toxin type A (BoNT-A) injections for children with congenital cerebral palsy. Sixteen children with congenital hemiplegia, Manual Ability Classification System (MACS)…

  19. Safety of primed repetitive transcranial magnetic stimulation and modified constraint-induced movement therapy in a randomized controlled trial in pediatric hemiparesis.

    Science.gov (United States)

    Gillick, Bernadette T; Krach, Linda E; Feyma, Tim; Rich, Tonya L; Moberg, Kelli; Menk, Jeremiah; Cassidy, Jessica; Kimberley, Teresa; Carey, James R

    2015-04-01

    To investigate the safety of combining a 6-Hz primed low-frequency repetitive transcranial magnetic stimulation (rTMS) intervention in the contralesional hemisphere with a modified constraint-induced movement therapy (mCIMT) program in children with congenital hemiparesis. Phase 1 randomized, double-blinded, placebo-controlled pretest/posttest trial. University academic facility and pediatric specialty hospital. Subjects (N = 19; age range, 8-17 y) with congenital hemiparesis caused by ischemic stroke or periventricular leukomalacia. No subject withdrew because of adverse events. All subjects included completed the study. Subjects were randomized to 1 of 2 groups: either real rTMS plus mCIMT (n = 10) or sham rTMS plus mCIMT (n = 9). Adverse events, physician assessment, ipsilateral hand function, stereognosis, cognitive function, subject report of symptoms assessment, and subject questionnaire. No major adverse events occurred. Minor adverse events were found in both groups. The most common events were headaches (real: 50%, sham: 89%; P = .14) and cast irritation (real: 30%, sham: 44%; P = .65). No differences between groups in secondary cognitive and unaffected hand motor measures were found. Primed rTMS can be used safely with mCIMT in congenital hemiparesis. We provide new information on the use of rTMS in combination with mCIMT in children. These findings could be useful in research and future clinical applications in advancing function in congenital hemiparesis. Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  20. Influences of hand dominance on the maintenance of benefits after home-based modified constraint-induced movement therapy in individuals with stroke

    Directory of Open Access Journals (Sweden)

    Renata C. M. Lima

    2014-10-01

    Full Text Available Objective: To investigate the influence of hand dominance on the maintenance of gains after home-based modified constraint-induced movement therapy (mCIMT. Method: Aprevious randomized controlled trial was conducted to examine the addition of trunk restraint to the mCIMT. Twenty-two chronic stroke survivors with mild to moderate motor impairments received individual home-based mCIMT with or without trunk restraints, five times per week, three hours daily over two weeks. In this study, the participants were separated into dominant group, which had their paretic upper limb as dominant before the stroke (n=8, and non-dominant group (n=14 for analyses. The ability to perform unimanual tasks was measured by the Wolf Motor Function Test (WMFT and the Motor Activity Log (MAL, whereas the capacity to perform bimanual tasks was measured using the Bilateral Activity Assessment Scale (BAAS. Results: Analysis revealed significant positive effects on the MAL amount of use and quality of the movement scales, as well as on the BAAS scores after intervention, with no differences between groups. Both groups maintained the bimanual improvements during follow-ups (BAAS-seconds 0.1, 95% CI -10.0 to 10.0, however only the dominant group maintained the unilateral improvements (MAL-amount of use: 1.5, 95% CI 0.7 to 2.3; MAL-quality: 1.3, 95% CI 0.5 to 2.1. Conclusions: Upper limb dominance did not interfere with the acquisition of upper limb skills after mCIMT. However, the participants whose paretic upper limb was dominant demonstrated better abilities to maintain the unilateral gains. The bilateral improvements were maintained, regardless of upper limb dominance.

  1. Effects of modified constraint-induced movement therapy and functional bimanual training on upper extremity function and daily activities in a patient with incomplete spinal cord injury: a case study.

    Science.gov (United States)

    Kim, Yeon-Ju; Kim, Jin-Kyung; Park, So-Yeon

    2015-12-01

    [Purpose] In this study, we examined effects of modified constraint-induced movement therapy (m-CIMT) and functional bimanual training, when applied to a patient with incomplete spinal cord injury, on upper extremity function and daily activities. [Subject and Methods] One patient, diagnosed with C4 incomplete spinal cord injury, underwent physical therapy with constraint-induced movement therapy for 3 hours and task-oriented bimanual training for 1 hour, per day. This combined 4-hour session was performed five times a week, for 3 weeks, totaling 15 sessions. Upper extremity function was measured using the Manual Function Test (MFT) and Box & Block Test (BBT). Additionally, Spinal Cord Independence Measure Version III (SCIM-III) and Short Form 36 Health Survey (SF-36) were used to assess functional outcomes. [Results] Mobility of the hand and overall function of upper extremities were enhanced following intervention. Moreover, the subject's quality of life and ability to carry out daily activities also improved. [Conclusion] Modified constraint-induced movement therapy and bimanual training was effective in enhancing upper extremity function and performance of daily routines in a patient with incomplete spinal cord injury. Further studies, recruiting multiple subjects, should focus on m-CIMT using diverse methods, performed during the course of daily activities.

  2. Effects of constraint-induced movement therapy on spasticity in patients with hemiparesis after stroke.

    Science.gov (United States)

    Kagawa, Shinji; Koyama, Tetsuo; Hosomi, Masashi; Takebayashi, Takashi; Hanada, Keisuke; Hashimoto, Fumiaki; Domen, Kazuhisa

    2013-05-01

    We sought to examine the effects of constraint-induced movement therapy on spasticity in patients with hemiparesis after stroke in 10 patients with chronic hemiparesis in their upper extremities. Patients underwent a modified version of constraint-induced movement therapy (5 hours daily for 10 weekdays over 2 consecutive weeks). Motor function was assessed by the Fugl-Meyer Assessment, Wolf Motor Function Test, and the Motor Activity Log. Spasticity was assessed by the modified Ashworth scale and electromyography (F frequency, mean F/M ratio). These assessments were obtained immediately before and after the 2-week intervention. Wilcoxon rank sum tests were performed on these data (P < .05). Constraint-induced movement therapy significantly improved hand and arm function as indicated by the Fugl-Meyer Assessment, Wolf Motor Function Test, and the Motor Activity Log scores. Constraint-induced movement therapy also reduced spasticity as assessed by the modified Ashworth scale, F frequency, and mean F/M ratio. Comparable to motor function, constraint-induced movement therapy effectively reduces spasticity as confirmed by electromyography. Copyright © 2013 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  3. Constraint-Induced Movement Therapy (CIMT): Pediatric Applications

    Science.gov (United States)

    Brady, Kathleen; Garcia, Teressa

    2009-01-01

    The purpose of this article is to describe theoretical and research bases for constraint-induced movement therapy (CIMT), to discuss key features and variations in protocols currently in use with children, and to review the results of studies of efficacy. CIMT has been found to be an effective intervention for increasing functional use of the…

  4. Effect of modified constraint-induced movement therapy on movement function for Parkinson's disease%改良强制性运动对老年帕金森病患者运动功能的影响

    Institute of Scientific and Technical Information of China (English)

    吴澄; 朱玉连; 刘强; 贾杰

    2011-01-01

    目的 探讨改良强制性运动对于老年帕金森病患者运动功能的影响,方法将39例原发性帕金森病老年患者随机分为治疗组(20例)和对照组(19例).均按常规神经内科治疗,并接受试验前、后两次康复讲座和咨询,治疗组进行8 w的改良强制性运动训练.试验前后对两组患者进行简易上肢机能榆查和Berg平衡茸表评价.结果 两组患者简易上肢机能检查评分均有改善.治疗组评分提高(20.7±15.17),对照组评分提高(6.69±9.99),差异有统计学意义(P<0.01).Berg平衡量表评分两组均有改善,治疗组评分提高(5.7±4.5)分,对照组提高(2.1±2.5)分,差异有统计学意义(P<0.05).结论 改良强制性运动对帕金森病患者上肢运动功能和下肢平衡协调能力提高有较好的疗效.%Objective To explore the effect of modified constraint-induced movement therapy on motor function for Parkinson' s disease. Methods 39 elderly patients with primary Parkinson's disease in Yahr Stage n-IH were randomly di-vided into the treatment group (n=20) and the control group (n=19) and studied by Using a single-blind, controlled clinical trial. Both two groups were treated with the same medication and two health education, meanwhile the patients in the treatment group were received modified constraint-induced movement therapy for 8 weeks. The two groups were assessed with simple test for evaluating hand function (STEF) and Berg Balance Scale (BBS). The effectiveness was compared between the two groups. Results After treatment for 8 weeks, the upper limb' s motor function, Balance and coordination were significantly improved in the treatment group as compared with the control group (P< 0.05). Conclusion The modified constraint-induced movement therapy can improve motor function of the patients with primary Parkinson's disease.

  5. Literatuurstudie van de constraint-induced movement therapy en implicaties voor de praktijk

    NARCIS (Netherlands)

    Heerkens, Yvonne; Bosmans, Juliette; Minis, Marie Antoinette van; Steultjens, Esther; Swart, Bert de

    2012-01-01

    De Constraint-Induced Movement Therapy (CIMT) is een behandelmethode in de neurorevalidatie die erop gericht is om het gHet primaire doel van deze literatuurstudie is te achterhalen of de CIMT en de modified-CIMT (mCIMT) valide en effectieve behandelmethoden zijn om de armen handfunctie van de paret

  6. Upper extremity constraint-induced movement therapy in infantile hemiplegia

    Directory of Open Access Journals (Sweden)

    Selvam Ramachandran

    2011-01-01

    Full Text Available Infantile hemiplegia is one of the clinical forms of cerebral palsy that refers to impaired motor function of one half of the body owing to contralateral brain damage due to prenatal, perinatal and postnatal causes amongst which vascular lesion is the most common causative factor. We report here the effects of constraint-induced movement therapy in a five-year-old female child with infantile hemiplegia on improvement of upper extremity motor skills.

  7. How is individualization in constraint-induced movement therapy performed?

    DEFF Research Database (Denmark)

    Hansen, Gunhild Mo; Pallesen, Hanne; Normann, Britt

    2016-01-01

    The aim of the study was to investigate relationships between the design of tasks and impairments in constraint-induced movement therapy (CIMT) and significant principles of in situ individualization in group-based performance of the intervention, focusing on quality of performance versus compens...... impairments, elements from activities in daily life and sense-making seem essential. Impairments occurred owing to high demands of dynamic stability in the shoulder, which may be a reason why participants in CIMT often use compensatory strategies....... the task with optimal movement quality in addition to experiencing meaning and success. In conclusion, the physiotherapist’s individualizations in situ appeared to be based on goal attainment through optimization of movement quality. Interlinking the design of tasks with the individual patient’s underlying...

  8. Evaluation of therapies of modified constraint-induced movement therapy, constraint-induced movement therapy and Bobath in the improvement of motor function in upper extremities in patients with apoplexy hemiparalysis%三种康复治疗对脑卒中偏瘫患者上肢运动功能的改善情况

    Institute of Scientific and Technical Information of China (English)

    王文清; 张欣; 李艳双; 姚艳华; 柴叶红; 王宏卫

    2010-01-01

    目的 比较改良强制性使用运动疗法(modified constraint-induced movement therapy,mCIMT)、强制性使用运动疗法(constraint-induced movement therapy,CIMT)和神经发育疗法(Bobath 技术)3种治疗方法 对脑卒中偏瘫患者上肢运动功能的康复疗效.方法 选取符合入选标准的脑卒中偏瘫患者57例,随机分为3组,常规组治疗以Bobath技术为主,2 h/d,每周训练5 d,连续6周;强制组和改良组采用健侧穿戴吊带和夹板限制肢体动作,CIMT组6 h/d,每周训练5 d,连续2周;mCIMT组在治疗环境中进行,1 h/d,每周3次,其他时间在日常生活中训练,不少于2 h/d,连续10周.在治疗前和治疗后的第2周、第6周、第10周后,3组患者同时采用简易Fugl-Meyer运动功能评价量表(Fugl-Meyer Motor Assessment,FMA)测定上肢的运动模式、简易上肢功能检查量表(Simple Test for Evaluating Hand Function,STEF)测定上肢的运动速度、Barthel指数(Barthel Index,BI)测定日常生活能力.结果 治疗前3组患者3项评分均无统计学意义;FMA治疗前的评分为45.2±5.1(F=1.107,P=0.382),BI评分为63.1±10.3(F=0.930,P=0.401),STEF评分为63.4±8.6(F=1.843,P=0.168).2周后,CIMT组疗效达到高峰,FMA评分为53.9±5.0(F=11.666,P=0.000),BI评分为77.4±9.6(F=4.139,P=0.021),STEF评分为78.9±4.7(F=13.893,P=0.000),优于mCIMT组和Bobath组;6周后,Bobath组疗效达到高峰,FMA评分为50.4±3.7(F=123.770,P=0.000),STEF评分为78.7±6.2(F=8.372,P=0.000),BI评分为78.7±7.9(F=4.373,P=0.017),优于mCIMT组;到10周时,mCIMT组和CIMT组FMA评分为60.1±3.4和59.7±4.1(F=64.287,P=0.000),STEF评分为89.8±4.7和88.7±5.0(F=63.641,P=0.000),优于Bobath组.10周时,mCIMT组的BI评分为91.7±3.7(F=46.774,P=0.000),优于Bobath组和CIMT组.结论 与Bobath技术相比,mCIMT和CIMT有利于改善偏瘫患者上肢的运动功能;同时,与其他两种疗法相比,mCIMT更有利于提高患者的日常生活活动能力.%Objective To compare effect of three

  9. Modified constraint-induced movement therapy or bimanual occupational therapy following injection of Botulinum toxin-A to improve bimanual performance in young children with hemiplegic cerebral palsy: a randomised controlled trial methods paper

    Directory of Open Access Journals (Sweden)

    Imms Christine

    2010-07-01

    Full Text Available Abstract Background Use of Botulinum toxin-A (BoNT-A for treatment of upper limb spasticity in children with cerebral palsy has become routine clinical practice in many paediatric treatment centres worldwide. There is now high-level evidence that upper limb BoNT-A injection, in combination with occupational therapy, improves outcomes in children with cerebral palsy at both the body function/structure and activity level domains of the International Classification of Functioning, Disability and Health. Investigation is now required to establish what amount and specific type of occupational therapy will further enhance functional outcomes and prolong the beneficial effects of BoNT-A. Methods/Design A randomised, controlled, evaluator blinded, prospective parallel-group trial. Eligible participants were children aged 18 months to 6 years, diagnosed with spastic hemiplegic cerebral palsy and who were able to demonstrate selective motor control of the affected upper limb. Both groups received upper limb injections of BoNT-A. Children were randomised to either the modified constraint-induced movement therapy group (experimental or bimanual occupational therapy group (control. Outcome assessments were undertaken at pre-injection and 1, 3 and 6 months following injection of BoNT-A. The primary outcome measure was the Assisting Hand Assessment. Secondary outcomes included: the Quality of Upper Extremity Skills Test; Pediatric Evaluation of Disability Inventory; Canadian Occupational Performance Measure; Goal Attainment Scaling; Pediatric Motor Activity Log; modified Ashworth Scale and; the modified Tardieu Scale. Discussion The aim of this paper is to describe the methodology of a randomised controlled trial comparing the effects of modified constraint-induced movement therapy (a uni-manual therapy versus bimanual occupational therapy (a bimanual therapy on improving bimanual upper limb performance of children with hemiplegic cerebral palsy following

  10. Modified constraint-induced movement therapy or bimanual occupational therapy following injection of Botulinum toxin-A to improve bimanual performance in young children with hemiplegic cerebral palsy: a randomised controlled trial methods paper

    Science.gov (United States)

    2010-01-01

    Background Use of Botulinum toxin-A (BoNT-A) for treatment of upper limb spasticity in children with cerebral palsy has become routine clinical practice in many paediatric treatment centres worldwide. There is now high-level evidence that upper limb BoNT-A injection, in combination with occupational therapy, improves outcomes in children with cerebral palsy at both the body function/structure and activity level domains of the International Classification of Functioning, Disability and Health. Investigation is now required to establish what amount and specific type of occupational therapy will further enhance functional outcomes and prolong the beneficial effects of BoNT-A. Methods/Design A randomised, controlled, evaluator blinded, prospective parallel-group trial. Eligible participants were children aged 18 months to 6 years, diagnosed with spastic hemiplegic cerebral palsy and who were able to demonstrate selective motor control of the affected upper limb. Both groups received upper limb injections of BoNT-A. Children were randomised to either the modified constraint-induced movement therapy group (experimental) or bimanual occupational therapy group (control). Outcome assessments were undertaken at pre-injection and 1, 3 and 6 months following injection of BoNT-A. The primary outcome measure was the Assisting Hand Assessment. Secondary outcomes included: the Quality of Upper Extremity Skills Test; Pediatric Evaluation of Disability Inventory; Canadian Occupational Performance Measure; Goal Attainment Scaling; Pediatric Motor Activity Log; modified Ashworth Scale and; the modified Tardieu Scale. Discussion The aim of this paper is to describe the methodology of a randomised controlled trial comparing the effects of modified constraint-induced movement therapy (a uni-manual therapy) versus bimanual occupational therapy (a bimanual therapy) on improving bimanual upper limb performance of children with hemiplegic cerebral palsy following upper limb injection of Bo

  11. Effect of modified constraint-induced movement therapy on Brunstrom staging of upper limbs in stroke patients%改良强制性运动疗法对脑卒中患者上肢Brunstrom分期的影响

    Institute of Scientific and Technical Information of China (English)

    龚泽辉; 王义亮; 郭强; 杨芳; 周小琴; 袁建容; 熊杨; 谢承宝; 龙宝珠

    2013-01-01

    目的 探讨改良强制性运动疗法对脑卒中患者上肢Brunstrom分期的影响.方法 选择脑卒中患者96例,随机分为试验组和对照组,每组48例.试验组运用改良强制性运动疗法,对照组运用常规的神经康复治疗技术;入院24 h内、8周、16周时分别评价功能情况.结果 与对照组比较,试验组患者1个月以内和6个月以上中评时,上肢手和肩臂功能达到Brunstrom V~Ⅵ期的比例明显升高,6个月以上末评时,上肢手和肩臂功能达到Brunstrom V~Ⅵ期的比例明显升高,差异有统计学意义(P<0.05).结论 改良强制性运动疗法在短期内,能促进脑卒中患者上肢功能的恢复,疗效优于神经康复治疗技术.对病程长久的脑卒中患者恢复的更快,而对病程短的脑卒中患者,在长期疗效中,体现出的效果优势不明显.%Objective To study the effect of modified constraint-induced movement therapy on Brunstrom staging of upper limbs in stroke patients. Methods Ninety-six stroke patients were randomly divided into experiemntal group and control group(48 in each group). Patients in experi mental group received modified constraint-induced movement therapy and those in control group recived routine neurological rehabilitation treatment. Function of their upper limbs was assessed within 24 h and at weeks 8 and 16 respectively after their admission. Results The function of up per limbs,shoulders and arms reached Brunstrom Ⅴ-Ⅵ within 1 month and over 6 months in ex perimental group,which was much better than that in control group(P<0. 05). Conclusion The effect of modified constraint-induced movement therapy is better than that of neurological rehabil itation treatment on function recovery of upper limbs in stroke patients,especially in those with a long course of stroke. However,its effect is not significant in those with a short course of stroke.

  12. Home-based Constraint Induced Movement Therapy Poststroke

    Directory of Open Access Journals (Sweden)

    Stephen Isbel HScD

    2014-10-01

    Full Text Available Background: This study examined the efficacy of a home-based Constraint Induced Movement Therapy (CI Therapy protocol with eight poststroke survivors. Method: Eight ABA, single case experiments were conducted in the homes of poststroke survivors. The intervention comprised restraint of the intact upper limb in a mitt for 21 days combined with a home-based and self-directed daily activity regime. Motor changes were measured using The Wolf Motor Function Test (WMFT and the Motor Activity Log (MAL. Results: Grouped results showed statistically and clinically significant differences on the WMFT (WMFT [timed items]: Mean 7.28 seconds, SEM 1.41, 95% CI 4.40 – 10.18, p = 0.000; WMFT (Functional Ability: z = -4.63, p = 0.000. Seven out of the eight participants exceeded the minimal detectable change on both subscales of the MAL. Conclusion: This study offers positive preliminary data regarding the feasibility of a home-based CI Therapy protocol. This requires further study through an appropriately powered control trial.

  13. Current Situation of Modified Constraint-induced Movement Therapy Used in Children with Hemiplegia (review)%改良强制性诱导运动疗法在偏瘫儿童康复中的应用现状

    Institute of Scientific and Technical Information of China (English)

    董婕; 吴卫红

    2014-01-01

    儿童偏瘫是儿童脑损伤后较常见的一种障碍类型。由于多种原因,偏瘫儿童患侧上肢功能改善比较困难,尤其是患手的功能。近年来提出用于儿童的改良强制性诱导运动疗法,本文就目前此方法在偏瘫儿童康复中的应用情况进行总结。%Hemiplegia is a common type of physical disability in children with brain damage. For many kinds of reasons, the outcome of rehabilitation of the affected upper limb is not good enough, especially in the affected hand. Recently, many studies engaged in the modi-fied Constraint-induced Movement Therapy (mCIMT) to explore the child-friendly way of restraint to improve hand function in hemiplegic children, and were summarized in this paper.

  14. Constraint-induced movement therapy promotes brain functional reorganization in stroke patients with hemiplegia

    Institute of Scientific and Technical Information of China (English)

    Wenqing Wang; Aihui Wang; Limin Yu; Xuesong Han; Guiyun Jiang; Changshui Weng; Hongwei Zhang; Zhiqiang Zhou

    2012-01-01

    Stroke patients with hemiplegia exhibit flexor spasms in the upper limb and extensor spasms in the lower limb, and their movement patterns vary greatly. Constraint-induced movement therapy is an upper limb rehabilitation technique used in stroke patients with hemiplegia; however, studies of lower extremity rehabilitation are scarce. In this study, stroke patients with lower limb hemiplegia underwent conventional Bobath therapy for 4 weeks as baseline treatment, followed by constraint-induced movement therapy for an additional 4 weeks. The 10-m maximum walking speed and Berg balance scale scores significantly improved following treatment, and lower extremity motor function also improved. The results of functional MRI showed that constraint-induced movement therapy alleviates the reduction in cerebral functional activation in patients, which indicates activation of functional brain regions and a significant increase in cerebral blood perfusion. These results demonstrate that constraint-induced movement therapy promotes brain functional reorganization in stroke patients with lower limb hemiplegia.

  15. Constraint-induced movement therapy promotes brain functional reorganization in stroke patients with hemiplegia.

    Science.gov (United States)

    Wang, Wenqing; Wang, Aihui; Yu, Limin; Han, Xuesong; Jiang, Guiyun; Weng, Changshui; Zhang, Hongwei; Zhou, Zhiqiang

    2012-11-15

    Stroke patients with hemiplegia exhibit flexor spasms in the upper limb and extensor spasms in the lower limb, and their movement patterns vary greatly. Constraint-induced movement therapy is an upper limb rehabilitation technique used in stroke patients with hemiplegia; however, studies of lower extremity rehabilitation are scarce. In this study, stroke patients with lower limb hemiplegia underwent conventional Bobath therapy for 4 weeks as baseline treatment, followed by constraint-induced movement therapy for an additional 4 weeks. The 10-m maximum walking speed and Berg balance scale scores significantly improved following treatment, and lower extremity motor function also improved. The results of functional MRI showed that constraint-induced movement therapy alleviates the reduction in cerebral functional activation in patients, which indicates activation of functional brain regions and a significant increase in cerebral blood perfusion. These results demonstrate that constraint-induced movement therapy promotes brain functional reorganization in stroke patients with lower limb hemiplegia.

  16. Constraint-induced movement therapy promotes brain functional reorganization in stroke patients with hemiplegia

    Science.gov (United States)

    Wang, Wenqing; Wang, Aihui; Yu, Limin; Han, Xuesong; Jiang, Guiyun; Weng, Changshui; Zhang, Hongwei; Zhou, Zhiqiang

    2012-01-01

    Stroke patients with hemiplegia exhibit flexor spasms in the upper limb and extensor spasms in the lower limb, and their movement patterns vary greatly. Constraint-induced movement therapy is an upper limb rehabilitation technique used in stroke patients with hemiplegia; however, studies of lower extremity rehabilitation are scarce. In this study, stroke patients with lower limb hemiplegia underwent conventional Bobath therapy for 4 weeks as baseline treatment, followed by constraint-induced movement therapy for an additional 4 weeks. The 10-m maximum walking speed and Berg balance scale scores significantly improved following treatment, and lower extremity motor function also improved. The results of functional MRI showed that constraint-induced movement therapy alleviates the reduction in cerebral functional activation in patients, which indicates activation of functional brain regions and a significant increase in cerebral blood perfusion. These results demonstrate that constraint-induced movement therapy promotes brain functional reorganization in stroke patients with lower limb hemiplegia. PMID:25337108

  17. COMBIT: protocol of a randomised comparison trial of COMbined modified constraint induced movement therapy and bimanual intensive training with distributed model of standard upper limb rehabilitation in children with congenital hemiplegia.

    Science.gov (United States)

    Boyd, Roslyn N; Ziviani, Jenny; Sakzewski, Leanne; Miller, Laura; Bowden, Joanne; Cunnington, Ross; Ware, Robert; Guzzetta, Andrea; Al Macdonell, Richard; Jackson, Graeme D; Abbott, David F; Rose, Stephen

    2013-06-28

    Children with congenital hemiplegia often present with limitations in using their impaired upper limb which impacts on independence in activities of daily living, societal participation and quality of life. Traditional therapy has adopted a bimanual training approach (BIM) and more recently, modified constraint induced movement therapy (mCIMT) has emerged as a promising unimanual approach. Evidence of enhanced neuroplasticity following mCIMT suggests that the sequential application of mCIMT followed by bimanual training may optimise outcomes (Hybrid CIMT). It remains unclear whether more intensely delivered group based interventions (hCIMT) are superior to distributed models of individualised therapy. This study aims to determine the optimal density of upper limb training for children with congenital hemiplegia. A total of 50 children (25 in each group) with congenital hemiplegia will be recruited to participate in this randomized comparison trial. Children will be matched in pairs at baseline and randomly allocated to receive an intensive block group hybrid model of combined mCIMT followed by intensive bimanual training delivered in a day camp model (COMBiT; total dose 45 hours direct, 10 hours of indirect therapy), or a distributed model of standard occupational therapy and physiotherapy care (SC) over 12 weeks (total 45 hours direct and indirect therapy). Outcomes will be assessed at 13 weeks after commencement, and retention of effects tested at 26 weeks. The primary outcomes will be bimanual coordination and unimanual upper-limb capacity. Secondary outcomes will be participation and quality of life. Advanced brain imaging will assess neurovascular changes in response to treatment. Analysis will follow standard principles for RCTs, using two-group comparisons on all participants on an intention-to-treat basis. Comparisons will be between treatment groups using generalized linear models. ACTRN12613000181707.

  18. The Behavior-Analytic Origins of Constraint-Induced Movement Therapy: An Example of Behavioral Neurorehabilitation

    Science.gov (United States)

    Taub, Edward

    2012-01-01

    Constraint-induced (CI) therapy is a term given to a family of efficacious neurorehabilitation treatments including to date: upper extremity CI movement therapy, lower extremity CI movement therapy, pediatric CI therapy, and CI aphasia therapy. The purpose of this article is to outline the behavior analysis origins of CI therapy and the ways in…

  19. Modified Constraint-induced Movement Therapy on Lower Extremity Dyskinesia of Stroke Patients%改良强制性运动疗法治疗脑卒中后下肢运动功能障碍

    Institute of Scientific and Technical Information of China (English)

    梁天佳; 龙耀斌; 曹锡忠

    2011-01-01

    Objective: To explore the efficacy of modified constraint-induced movement therapy (mCIMT) on motor function recovery of lower extremity of stroke patients. Methods: Ninety-six patients with stable stroke were randomly divided into the enhanced group (48 cases) and control group (48 cases). The enhanced group was given mCIMT, and the control group received routine rehabilitation treatment. The two groups were treated for 4 h every day, 5 times a week for 8 weeks. The therapeutic efficacy was evaluated with Berg balance scale (BBS), Fugl-Meyer scale for evaluating lower-extremity function (FMA-L), functional ambulation category scale (FAC) and functional independence measure (F1M) before and 8 weeks after treatment. Results; Before treatment, the difference had no statistically significant between the two groups. After treatment, the scores of BBS, FMA-L, FCA and FIM had significant difference between the two groups. The proportion of patients with independent walking in the enhanced group reached 72. 9% after treatment, and that in the control group reached 54. 2% (P<0. 05). Conclusion; mCI-MT can promote recovery of lower limb function in stroke-induced hemiplegia patients to a great extent.%研究改良强制性运动疗法对脑卒中后下肢运动功能障碍的康复效果.方法:稳定型脑卒中偏瘫患者96例,随机分为强化组和对照组各48例,均在常规治疗基础上,强化组给予改良强制性运动疗法,对照组给予常规康复治疗.治疗前后2组均采用Berg平衡量表(BBS)评价平衡能力;简式Fugl-Meyer评价法(FMA-L)评价下肢功能;Holden步行功能分级量表(FAC)评价行走能力,独立功能量表(FIM)评价ADL.结果:治疗8周后,2组FMA-L、BBS、FAC及FIM评分与治疗前比较均有明显上升(P<0.05,0.01),且强化组较对照组更显著(P<0.05).治疗后2组能独立步行的比例较治疗前明显提升,强化组更高于对照组(72.9%与54.2%,P<0.05).结论:配合改良强制性运

  20. Shortened constraint-induced movement therapy in subacute stroke - no effect of using a restraint

    DEFF Research Database (Denmark)

    Brogårdh, Christina; Vestling, Monika; Sjölund, Bengt H

    2009-01-01

    OBJECTIVE: To examine the effect of using a mitt during shortened constraint-induced movement therapy for patients in the subacute phase after stroke. SUBJECTS: Twenty-four patients with stroke (mean age 57.6 (standard deviation (SD) 8.5) years; average 7 weeks post-stroke) with mild to moderate......, no statistically significant differences between the groups were found in any measures at any point in time. CONCLUSION: In this study, no effect of using a restraint in patients with subacute stroke was found. Thus, this component in the constraint-induced therapy concept seems to be of minor importance...

  1. Constraint-induced movement therapy for the upper paretic limb in acute or sub-acute stroke : a systematic review

    NARCIS (Netherlands)

    Nijland, Rinske; Kwakkel, Gert; Bakers, Japie; van Wegen, Erwin

    2011-01-01

    Constraint-induced movement therapy is a commonly used intervention to improve upper limb function after stroke. However, the effectiveness of constraint-induced movement therapy and its optimal dosage during acute or sub-acute stroke is still under debate. To examine the literature on the effects o

  2. Constraint-induced movement therapy for the upper paretic limb in acute or sub-acute stroke : a systematic review

    NARCIS (Netherlands)

    Nijland, Rinske; Kwakkel, Gert; Bakers, Japie; van Wegen, Erwin

    2011-01-01

    Constraint-induced movement therapy is a commonly used intervention to improve upper limb function after stroke. However, the effectiveness of constraint-induced movement therapy and its optimal dosage during acute or sub-acute stroke is still under debate. To examine the literature on the effects

  3. Constraint-Induced Movement Therapy (CIMT: Current Perspectives and Future Directions

    Directory of Open Access Journals (Sweden)

    Aimee P. Reiss

    2012-01-01

    Full Text Available Constraint-induced movement therapy (CIMT has gained considerable popularity as a treatment technique for upper extremity rehabilitation among patients with mild-to-moderate stroke. While substantial evidence has emerged to support its applicability, issues remain unanswered regarding the best and most practical approach. Following the establishment of what can be called the “signature” CIMT approach characterized by intense clinic/laboratory-based practice, several distributed forms of training, collectively known as modified constraint therapy (mCIMT, have emerged. There is a need to examine the strengths and limitations of such approaches, and based upon such information, develop the components of a study that would compare the signature approach to the best elements of mCIMT, referred to here as “alternative” CIMT. Based upon a PEDro review of literature, limitations in mCIMT studies for meeting criteria were identified and discussed. A suggestion for a “first effort” at a comparative study that would both address such limitations while taking practical considerations into account is provided.

  4. Effect of constraint-induced movement therapy and mirror therapy for patients with subacute stroke.

    Science.gov (United States)

    Yoon, Jin A; Koo, Bon Il; Shin, Myung Jun; Shin, Yong Beom; Ko, Hyun-Yoon; Shin, Yong-Il

    2014-08-01

    To evaluate the effectiveness of constraint-induced movement therapy (CIMT) and combined mirror therapy for inpatient rehabilitation of the patients with subacute stroke. Twenty-six patients with subacute stroke were enrolled and randomly divided into three groups: CIMT combined with mirror therapy group, CIMT only group, and control group. Two weeks of CIMT for 6 hours a day with or without mirror therapy for 30 minutes a day were performed under supervision. All groups received conventional occupational therapy for 40 minutes a day for the same period. The CIMT only group and control group also received additional self-exercise to substitute for mirror therapy. The box and block test, 9-hole Pegboard test, grip strength, Brunnstrom stage, Wolf motor function test, Fugl-Meyer assessment, and the Korean version of Modified Barthel Index were performed prior to and two weeks after the treatment. After two weeks of treatment, the CIMT groups with and without mirror therapy showed higher improvement (pmirror therapy group showed higher improvement than CIMT only group in box and block test, 9-hole Pegboard test, and grip strength, which represent fine motor functions of the upper extremity. The short-term CIMT combined with mirror therapy group showed more improvement compared to CIMT only group and control group, in the fine motor functions of hemiplegic upper extremity for the patients with subacute stroke.

  5. Clinical observation on modified constraint-induced movement therapy(mCIMT)and constraint-induced movement therapy (CIMT) on rehabilitation of hand function and ability of daily living in patients with stroke%改良和传统强制性运动疗法对脑卒中偏瘫患者上肢运动功能疗效的临床观察

    Institute of Scientific and Technical Information of China (English)

    刘永平; 王文清; 程子辉; 高江华; 滕晓东; 瓮长水; 毕胜

    2011-01-01

    目的 观察改良强制性运动疗法和强制性运动疗法对脑卒中偏瘫患者手功能和日常生活能力的影响.方法 选取58例符合入选标准的脑卒中偏瘫患者,随机分为改良组(27例)和强制组(31例).强制组和改良组采用限制健侧肢体动作,在治疗期间要求患者穿戴吊带和夹板,每天清醒时固定时间不少于90%,强制组每日6 h,每周训练5 d,连续2周;改良组在治疗环境中进行,每日2 h,每周3次,其它时间在日常生活活动中进行训练,连续10周.治疗前、后分别采用简易上肢机能检查量表(STEF)和Barthel指数(BI)评价患者的上肢运动功能.结果 两组患者在治疗前,STEF和Barthel指数中的10项评分差异均无统计学意义(P>0.05).经过治疗后,组内评分比较,差异均有统计学意义(P0.05),BI差异有统计学意义(P<0.01).结论 改良强制性运动疗法和强制性运动疗法可以有效提高偏瘫患者上肢的灵活性和运动速度.改良强制性运动疗法在改善日常生活活动能力方面明显优于强制性运动疗法.%Objective To study the influence of modified constraint - induced movement therapy( mCIMT ) and constraint - induced movement therapy ( CIMT ) on rehahilitation of hand function and ability of daily living in patients with stroke. Methods Fifty - eight patients with stroke were randomly divided into mCIMT group ( n =27 ) and CIMT group ( n = 31 ). The movement of unimpaired extremities in patients of CIMT group and mCIMT group had been restricted by placing them in slings for 90% waking hours in a whole day for training. Patients in CIMT treatment group were exercised for 6 h/d. 5 days a week for 2 weeks in a row. and patients in mCIMT group were exercised for 2 h/d, 3 days a week, and they were also exercised in daily living at least 2 hours every day for ten consecutive weeks. All patients in these two groups were assessed by scale of STEF( Simple Test for Evaluating Hand Function )and

  6. Outcomes of a Clinic-Based Pediatric Constraint-Induced Movement Therapy Program

    Science.gov (United States)

    Reidy, Teressa Garcia; Naber, Erin; Viguers, Emily; Allison, Kristen; Brady, Kathleen; Carney, Joan; Salorio, Cynthia; Pidcock, Frank

    2012-01-01

    A single-group pre- and post-test design was used to evaluate functional outcomes of a constraint-induced movement therapy (CIMT) protocol implemented in an outpatient therapy center. The participants were 29 children with hemiplegia, ages 1.6-19.1 years old. The less-involved upper limb was placed in a cast that was worn 24 hr a day, 7 days a…

  7. 拮抗针法结合改良强制性运动疗法对脑梗死后上肢痉挛状态的影响%Effect of Modified Constraint Induced Movement Combined with Antagonistic Acupuncture Therapy on Upper Limb Spastic Hemiplegia after Cerebral Infarction

    Institute of Scientific and Technical Information of China (English)

    杨加顺; 孙茹; 王绚; 王虹; 张居婵; 高潇

    2016-01-01

    Objective:To study the effect of modified constraint induced movement combined with antagonistic acupuncture therapy on upper limb spastic hemiplegia after cerebral infarction .Methods:100 patients with cer-ebral infarction were divided randomly into two groups ,a control group (50 cases) with baclofen therapy and a treatment group ( 50 cases ) with modified constraint induced movement combined with antagonistic acupunc-ture therapy .The modified Ashworth Score and Fugl Meyer Assessment were used to evaluate the efficacy be-fore and after treatment .Results:In the treatment group the scores of Ashworth Score and FMA of upper limbs increased more significantly than those in the control group (P﹤0.01,P﹤0.05).Conclusion:Modified con-straint induced movement combined with antagonistic acupuncture therapy is better than baclofen therapy .%目的::研究拮抗针法结合改良强制性运动疗法对脑梗死患者上肢痉挛状态的影响。方法:将符合纳入标准100例脑梗死上肢痉挛状态患者随机分为拮抗针法结合改良强制性运动疗组(治疗组)和巴氯芬组(对照组),各50例。采用改良Ashworth分级评定法和Fugl Meyer 运动功能(FMA)评分法评价临床疗效。结果:治疗组治疗后Ashworth及FMA评分优于对照组(P﹤0.01,P﹤0.05)。结论:拮抗针法结合改良强制性运动疗法能显著改善脑梗死后的上肢痉挛状态,综合临床疗效优于巴氯芬。

  8. Constraint-induced movement therapy improves upper limb activity and participation in hemiplegic cerebral palsy: a systematic review

    Directory of Open Access Journals (Sweden)

    Hsiu-Ching Chiu

    2016-07-01

    Full Text Available Questions: Does constraint-induced movement therapy improve activity and participation in children with hemiplegic cerebral palsy? Does it improve activity and participation more than the same dose of upper limb therapy without restraint? Is the effect of constraint-induced movement therapy related to the duration of intervention or the age of the children? Design: Systematic review of randomised trials with meta-analysis. Participants: Children with hemiplegic cerebral palsy with any level of motor disability. Intervention: The experimental group received constraint-induced movement therapy (defined as restraint of the less affected upper limb during supervised activity practice of the more affected upper limb. The control group received no intervention, sham intervention, or the same dose of upper limb therapy. Outcome measures: Measures of upper limb activity and participation were used in the analysis. Results: Constraint-induced movement therapy was more effective than no/sham intervention in terms of upper limb activity (SMD 0.63, 95% CI 0.20 to 1.06 and participation (SMD 1.21, 95% CI 0.41 to 2.02. However, constraint-induced movement therapy was no better than the same dose of upper limb therapy without restraint either in terms of upper limb activity (SMD 0.05, 95% CI –0.21 to 0.32 or participation (SMD –0.02, 95% CI –0.34 to 0.31. The effect of constraint-induced movement therapy was not related to the duration of intervention or the age of the children. Conclusions: This review suggests that constraint-induced movement therapy is more effective than no intervention, but no more effective than the same dose of upper limb practice without restraint. Registration: PROSPERO CRD42015024665. [Chiu H-C, Ada L (2016 Constraint-induced movement therapy improves upper limb activity and participation in hemiplegic cerebral palsy: a systematic review. Journal of Physiotherapy 62: 130–137

  9. Therapeutic application of electrical stimulation and constraint induced movement therapy in perinatal brachial plexus injury: A case report.

    Science.gov (United States)

    Berggren, Jamie; Baker, Lucinda L

    2015-01-01

    Infants and children with perinatal brachial plexus injury (PBPI) have motion limitations in the shoulder, elbow, forearm and hand that are dependent on the level of injury and degree of recovery. The injury and subsequent recovery period occur during critical periods of central and spinal neural development placing infants and children at-risk for developmental disregard and disuse of the affected arm and hand. A case report outlines the therapy and surgical interventions provided in the first 2 years of life for a child with global PBPI and a positive Horner's sign. Electrical stimulation and constraint induced movement therapy provided sequentially were effective therapy interventions. Neurosurgery to repair the brachial plexus was performed at an optimal time period.(2) The Assisting Hand Assessment,(12) Modified Mallet(13) and Active Movement Scale(14) are effective outcome measures in PBPI and served as valuable guides for therapy intervention. Oxford Level of Evidence: 3b; Individual Case Control Study.

  10. Constraint-induced movement therapy for children with hemiplegia after traumatic brain injury: a quantitative study.

    Science.gov (United States)

    Cimolin, Veronica; Beretta, Elena; Piccinini, Luigi; Turconi, Anna Carla; Locatelli, Federica; Galli, Manuela; Strazzer, Sandra

    2012-01-01

    The aims of this study are to quantify the movement limitation of upper limbs in hemiplegic children with traumatic brain injury (TBI) by using a clinical-functional scale and upper limb kinematics and to evaluate the effectiveness of constraint-induced movement therapy (CIMT) on upper limbs. Pre-post study. Clinical rehabilitation research laboratory. Ten children with TBI. The participants were evaluated by clinical examinations (Gross Motor Function Measure, Besta scale, Quality of Upper Extremities Skills Test, and Manual Ability Classification System) and 3D kinematic movement analysis of the upper limb before the CIMT program (pretest: 0.7 years after the injury) and at the end of the program (posttest: 10 weeks later). After the CIMT, most of the clinical measures improved significantly. Some significant improvements were present in terms of kinematics, in particular, in the movement duration and the velocity of movement execution of both tasks; the index of curvature and the average jerk improved, respectively, during reaching and hand-to-mouth task, while the adjusting sway parameter decreased during the 2 movements. Significant improvements were found in upper limb joint excursion after the rehabilitative programme too. Our results suggest that the CIMT program can improve movement efficiency and upper limb function in children after TBI. The integration of the clinical outcomes and upper limb kinematics revealed to be crucial in detecting the effects of the CIMT programme.

  11. Bobath Concept versus constraint-induced movement therapy to improve arm functional recovery in stroke patients: a randomized controlled trial.

    Science.gov (United States)

    Huseyinsinoglu, Burcu Ersoz; Ozdincler, Arzu Razak; Krespi, Yakup

    2012-08-01

    To compare the effects of the Bobath Concept and constraint-induced movement therapy on arm functional recovery among stroke patients with a high level of function on the affected side. A single-blinded, randomized controlled trial. Outpatient physiotherapy department of a stroke unit. A total of 24 patients were randomized to constraint-induced movement therapy or Bobath Concept group. The Bobath Concept group was treated for 1 hour whereas the constraint-induced movement therapy group received training for 3 hours per day during 10 consecutive weekdays. Main measures were the Motor Activity Log-28, the Wolf Motor Function Test, the Motor Evaluation Scale for Arm in Stroke Patients and the Functional Independence Measure. The two groups were found to be homogeneous based on demographic variables and baseline measurements. Significant improvements were seen after treatment only in the 'Amount of use' and 'Quality of movement' subscales of the Motor Activity Log-28 in the constraint-induced movement therapy group over the the Bobath Concept group (P = 0.003; P = 0.01 respectively). There were no significant differences in Wolf Motor Function Test 'Functional ability' (P = 0.137) and 'Performance time' (P = 0.922), Motor Evaluation Scale for Arm in Stroke Patients (P = 0.947) and Functional Independence Measure scores (P = 0.259) between the two intervention groups. Constraint-induced movement therapy and the Bobath Concept have similar efficiencies in improving functional ability, speed and quality of movement in the paretic arm among stroke patients with a high level of function. Constraint-induced movement therapy seems to be slightly more efficient than the Bobath Concept in improving the amount and quality of affected arm use.

  12. Functional magnetic resonance imaging evaluation of brain function reorganization in cerebral stroke patients after constraint-induced movement therapy.

    Science.gov (United States)

    Zhao, Jun; Zhang, Tong; Xu, Jianmin; Wang, Mingli; Zhao, Shengjie

    2012-05-25

    In this study, stroke patients received constraint-induced movement therapy for 3 weeks. Before and after constraint-induced movement therapy, the flexibility of their upper limbs on the affected side was assessed using the Wolf motor function test, and daily use of their affected limbs was assessed using the movement activities log, and cerebral functional reorganization was assessed by functional magnetic resonance imaging. The Wolf motor function test score and the movement activities log quantity and quality scores were significantly increased, while action performance time in the Wolf motor function test was significantly decreased after constraint-induced movement therapy. By functional magnetic resonance imaging examination, only scattered activation points were visible on the affected side before therapy. In contrast, the volume of the activated area was increased after therapy. The activation volume in the sensorimotor area was significantly different before and after therapy, and the activation area increased and appeared adjusted. In addition to the activated area around the lesions being decreased, there were also some new activated areas, including the supplementary movement area, premotor area and the ipsilateral sensorimotor area. Our findings indicate that constraint-induced movement therapy significantly improves the movement ability and daily use of the affected upper limbs in stroke patients and promotes cerebral functional reorganization.

  13. Functional magnetic resonance imaging evaluation of brain function reorganization in cerebral stroke patients after constraint-induced movement therapy

    Institute of Scientific and Technical Information of China (English)

    Jun Zhao; Tong Zhang; Jianmin Xu; Mingli Wang; Shengjie Zhao

    2012-01-01

    In this study, stroke patients received constraint-induced movement therapy for 3 weeks. Before and after constraint-induced movement therapy, the flexibility of their upper limbs on the affected side was assessed using the Wolf motor function test, and daily use of their affected limbs was assessed using the movement activities log, and cerebral functional reorganization was assessed by functional magnetic resonance imaging. The Wolf motor function test score and the movement activities log quantity and quality scores were significantly increased, while action performance time in the Wolf motor function test was significantly decreased after constraint-induced movement therapy. By functional magnetic resonance imaging examination, only scattered activation points were visible on the affected side before therapy. In contrast, the volume of the activated area was increased after therapy. The activation volume in the sensorimotor area was significantly different before and after therapy, and the activation area increased and appeared adjusted. In addition to the activated area around the lesions being decreased, there were also some new activated areas, including the supplementary movement area, premotor area and the ipsilateral sensorimotor area. Our findings indicate that constraint-induced movement therapy significantly improves the movement ability and daily use of the affected upper limbs in stroke patients and promotes cerebral functional reorganization.

  14. Efficacy of constraint-induced movement therapy and bimanual training in children with hemiplegic cerebral palsy in an educational setting.

    Science.gov (United States)

    Gelkop, Nava; Burshtein, Dikla Gol; Lahav, Anat; Brezner, Amichi; Al-Oraibi, Saleh; Ferre, Claudio L; Gordon, Andrew M

    2015-02-01

    We examined the efficacy of modified constraint-induced movement therapy (CIMT) and hand-arm bimanual intensive therapy (HABIT) in a special education preschool/kindergarten in Israel. Twelve children (1.5-7 years) with congenital hemiplegic cerebral palsy were randomized to receive modified CIMT (n = 6) or HABIT (n = 6). Occupational and physical therapists administered usual and customary care for 8 weeks; children then crossed over to receive CIMT or HABIT 2 hr/day, 6 days/week for 8 weeks from their occupational therapist. The Assisting Hand Assessment and Quality of Upper Extremity Skills Test were administered 2 months prior to the intervention, immediately before, immediately after intervention, and 6 months after the first baseline assessment. Both groups demonstrated no change during baseline and comparable improvement following CIMT and HABIT (p < .001), which was maintained at 6-month follow-up. Results suggest that modified CIMT and HABIT provided in school-based settings can lead to improvements in quality of bimanual skill and movement patterns.

  15. The Effects of Constraint-Induced Movement Therapy on Activities Important to Independent School Participation of Children with Hemiparesis

    Science.gov (United States)

    Carney, Joan

    2012-01-01

    This study investigated the efficacy of constraint-induced movement therapy (CI therapy) on activities important to school participation in children with hemiparesis. Four children, ages 4-0 to 7-10 participated in an intensive CI therapy program in a clinical setting. Constraining casts were worn 24 hours daily. Therapy was delivered 6 hours…

  16. Introduction to "The Behavior-Analytic Origins of Constraint-Induced Movement Therapy: An Example of Behavioral Neurorehabilitation"

    Science.gov (United States)

    Schaal, David W.

    2012-01-01

    This article presents an introduction to "The Behavior-Analytic Origins of Constraint-Induced Movement Therapy: An Example of Behavioral Neurorehabilitation," by Edward Taub and his colleagues (Taub, 2012). Based on extensive experimentation with animal models of peripheral nerve injury, Taub and colleagues have created an approach to overcoming…

  17. The Effects of Constraint-Induced Movement Therapy on Activities Important to Independent School Participation of Children with Hemiparesis

    Science.gov (United States)

    Carney, Joan

    2012-01-01

    This study investigated the efficacy of constraint-induced movement therapy (CI therapy) on activities important to school participation in children with hemiparesis. Four children, ages 4-0 to 7-10 participated in an intensive CI therapy program in a clinical setting. Constraining casts were worn 24 hours daily. Therapy was delivered 6 hours…

  18. Constraint-Induced Movement Therapy for Children with Obstetric Brachial Plexus Palsy: Two Single-Case Series

    Science.gov (United States)

    Buesch, Francisca Eugster

    2010-01-01

    The objective of this pilot study was to investigate the feasibility of constraint-induced movement therapy (CIMT) in children with obstetric brachial plexus palsy and receive preliminary information about functional improvements. Two patients (age 12 years) with obstetric brachial plexus palsy were included for a 126-h home-based CIMT…

  19. Examining the Use of Constraint-Induced Movement Therapy in Canadian Neurological Occupational and Physical Therapy

    Science.gov (United States)

    Fleet, Alana; Che, Marion; MacKay-Lyons, Marilyn; MacKenzie, Diane; Page, Stephen; Eskes, Gail; McDonald, Alison; Boyce, Joy

    2014-01-01

    ABSTRACT Purpose: To investigate the use of constraint-induced movement therapy (CIMT) in Canadian neurological occupational and physical therapy. Method: An online survey was completed by occupational and physical therapists practising in Canadian adult neurological rehabilitation. We measured participants' practices, perceptions, and opinions in relation to their use of CIMT in clinical practice. Results: A total of 338 surveys were returned for a 13% response rate; 92% of respondents knew of CIMT, and 43% reported using it. The majority (88%) of respondents using CIMT employed a non-traditional protocol. Self-rating of level of CIMT knowledge was found to be a significant predictor of CIMT use (p≤0.001). Commonly identified barriers to use included “patients having cognitive challenges that prohibit use of this treatment” and “lack of knowledge regarding treatment.” Conclusions: Although the majority of respondents knew about CIMT, less than half reported using it. Barriers to CIMT use include lack of knowledge about the treatment and institutional resources to support its use. Identifying and addressing barriers to CIMT use—for example, by using continuing professional education to remediate knowledge gaps or developing new protocols that require fewer institutional resources—can help improve the feasibility of CIMT, and thus promote its clinical application. PMID:24719511

  20. Training Paediatric Therapists to Deliver Constraint-Induced Movement Therapy (CIMT) in Sub-Saharan Africa.

    Science.gov (United States)

    Coker-Bolt, Patty; DeLuca, Stephanie C; Ramey, Sharon L

    2015-09-01

    Hospitals and therapists in developing countries often seek to learn how to deliver new forms of evidenced-based practice (EBP), including paediatric constraint-induced movement therapy (CIMT). This study examines a partnership implemented in Ethiopia, which trained therapists in CIMT and proposes a framework for sustainable EBP training. The aim of this study is to apply a translational and implementation framework to build capacity for CIMT in Addis Ababa, Ethiopia, that included intensive in-country training and hands-on delivery with patients, followed by clinical implementation and feedback. A goal was to develop a locally feasible, culturally relevant form of CIMT. We framed our partnership model in terms of an implementation science model for therapists from multiple hospitals in Addis Ababa. Measures included workshop attendance, delivery of the curriculum and assessment of therapist's knowledge, skills and feedback postworkshop. We established a successful partnership with a lead hospital and completed training for 12 therapists from five hospitals who demonstrated increases in knowledge and skills following training. We developed a new, practically useful, culturally appropriate form of CIMT for later implementation. This partnership was limited to training of paediatric therapists in sub-Saharan Africa. Future studies will report on therapists' ability to integrate this EBP training into clinical practice as well as future training.

  1. Multiple Treatments of Pediatric Constraint-Induced Movement Therapy (pCIMT): A Clinical Cohort Study.

    Science.gov (United States)

    DeLuca, Stephanie C; Ramey, Sharon Landesman; Trucks, Mary Rebekah; Wallace, Dorian Ainsworth

    2015-01-01

    Pediatric constraint-induced movement therapy (pCIMT) is one of the most efficacious treatments for children with cerebral palsy (CP). Distinctive components of pCIMT include constraint of the less impaired upper extremity (UE), high-intensity therapy for the more impaired UE (≥ 3 hr/day, many days per week, for multiple weeks), use of shaping techniques combined with repetitive task practice, and bimanual transfer. A critical issue is whether multiple treatments of pCIMT produce additional benefit. In a clinical cohort (mean age = 31 mo) of 28 children with asymmetrical CP whose parents sought multiple pCIMT treatments, the children gained a mean of 13.2 (standard deviation [SD] = 4.2) new functional skills after Treatment 1; Treatment 2 produced a mean of 7.3 (SD = 4.7) new skills; and Treatment 3, 6.5 (SD = 4.2). These findings support the conclusion that multiple pCIMT treatments can produce clinically important functional gains for children with hemiparetic CP.

  2. A Critical Review of Constraint-Induced Movement Therapy and Forced Use in Children With Hemiplegia

    Science.gov (United States)

    Charles, Jeanne; Gordon, Andrew M.

    2005-01-01

    Hemiplegia is a physical impairment that can occur in childhood following head trauma, cerebral vascular accident or transient ischemic attack (stroke), brain tumor, or congenital or perinatal injury. One of the most disabling symptoms of hemiplegia is unilaterally impaired hand and arm function. Sensory and motor impairments in children with hemiplegia compromise movement efficiency. Such children often tend not to use the affected extremity, which may further exacerbate the impairments, resulting in a developmentally learned non-use of the involved upper extremity, termed ‘developmental disuse’. Recent studies suggest that children with hemiplegia benefit from intensive practice. Forced use and Constraint-lnduced Movement Therapy (CI therapy) are recent therapeutic interventions involving the restraint of the non-involved upper extremity and intensive practice with the involved upper extremity. These approaches were designed for adults with hemiplegia, and increasing evidence suggests that they are efficacious in this population. Recently, forced use and constraint-induced therapy have been applied to children with hemiplegia. In this review, we provide a brief description of forced use and CI therapy and their historical basis, provide a summary of studies of these interventions in children, and discuss a number of important theoretical considerations, as well as implications for postural control. We will show that whereas the studies to date suggest that both forced use and CI therapy appear to be promising for improving hand function in children with hemiplegia, the data are limited. Substantially more work must be performed before this approach can be advocated for general clinical use. PMID:16097492

  3. A Critical Review of Constraint-Induced Movement Therapy and Forced Use in Children With Hemiplegia

    Directory of Open Access Journals (Sweden)

    Jeanne Charles

    2005-01-01

    Full Text Available Hemiplegia is a physical impairment that can occur in childhood following head trauma, cerebral vascular accident or transient ischemic attack (stroke, brain tumor, or congenital or perinatal injury. One of the most disabling symptoms of hemiplegia is unilaterally impaired hand and arm function. Sensory and motor impairments in children with hemiplegia compromise movement efficiency. Such children often tend not to use the affected extremity, which may further exacerbate the impairments, resulting in a developmentally learned non-use of the involved upper extremity, termed ‘developmental disuse’. Recent studies suggest that children with hemiplegia benefit from intensive practice. Forced use and Constraint-lnduced Movement Therapy (CI therapy are recent therapeutic interventions involving the restraint of the non-involved upper extremity and intensive practice with the involved upper extremity. These approaches were designed for adults with hemiplegia, and increasing evidence suggests that they are efficacious in this population. Recently, forced use and constraint-induced therapy have been applied to children with hemiplegia. In this review, we provide a brief description of forced use and CI therapy and their historical basis, provide a summary of studies of these interventions in children, and discuss a number of important theoretical considerations, as well as implications for postural control. We will show that whereas the studies to date suggest that both forced use and CI therapy appear to be promising for improving hand function in children with hemiplegia, the data are limited. Substantially more work must be performed before this approach can be advocated for general clinical use.

  4. Effect of modified constraint-induced movement therapy on motor function and ability of daily living for Parkinson's disease%改良强制性运动疗法对帕金森病患者运动功能和日常生活能力的影响

    Institute of Scientific and Technical Information of China (English)

    方翠霓; 郭思思; 邓景贵; 宋治; 宋涛; 刘佳

    2013-01-01

    目的 探讨改良强制性运动疗法(modified constraint-induced movement therapy,mCIMT)对帕金森病患者运动功能和日常生活能力的影响.方法 从2010年8月~2013年4月期间我院收治的帕金森病患者中选取68例,随机分为研究组(34例)和对照组(34例),两组患者均给予临床常规药物治疗、康复知识讲座及常规康复治疗;研究组患者在此基础上给予改良强制性运动疗法,持续8周,每周5d,每天3h.治疗前后对两组患者进行UPDRSⅡ评分和UPDRSⅢ评分.结果 经过8周治疗后,两组患者UPDRSⅡ评分和UPDRSⅢ评分均较治疗前降低,研究组患者的以上两项评分均显著低于对照组,差异具有统计学意义(P<0.05).结论 在神经内科药物治疗及常规康复治疗基础上给予改良强制性运动能够进一步提高帕金森病患者的运动功能,改善患者的日常生活活动能力.

  5. Transcranial Direct Current Stimulation Potentiates Improvements in Functional Ability in Patients With Chronic Stroke Receiving Constraint-Induced Movement Therapy

    DEFF Research Database (Denmark)

    Figlewski, Krystian; Blicher, Jakob Udby; Mortensen, Jesper;

    2017-01-01

    BACKGROUND AND PURPOSE: Transcranial direct current stimulation may enhance effect of rehabilitation in patients with chronic stroke. The objective was to evaluate the efficacy of anodal transcranial direct current stimulation combined with constraint-induced movement therapy of the paretic upper...... limb. METHODS: A total of 44 patients with stroke were randomly allocated to receive 2 weeks of constraint-induced movement therapy with either anodal or sham transcranial direct current stimulation. The primary outcome measure, Wolf Motor Function Test, was assessed at baseline and after...... the intervention by blinded investigators. RESULTS: Both groups improved significantly on all Wolf Motor Function Test scores. Group comparison showed improvement on Wolf Motor Function Test in the anodal group compared with the sham group. CONCLUSIONS: Anodal transcranial direct current stimulation combined...

  6. Neuroplastic Sensorimotor Resting State Network Reorganization in Children With Hemiplegic Cerebral Palsy Treated With Constraint-Induced Movement Therapy.

    Science.gov (United States)

    Manning, Kathryn Y; Menon, Ravi S; Gorter, Jan Willem; Mesterman, Ronit; Campbell, Craig; Switzer, Lauren; Fehlings, Darcy

    2016-02-01

    Using resting state functional magnetic resonance imaging (MRI), we aim to understand the neurologic basis of improved function in children with hemiplegic cerebral palsy treated with constraint-induced movement therapy. Eleven children including 4 untreated comparison subjects diagnosed with hemiplegic cerebral palsy were recruited from 3 clinical centers. MRI and clinical data were gathered at baseline and 1 month for both groups, and 6 months later for the case group only. After constraint therapy, the sensorimotor resting state network became more bilateral, with balanced contributions from each hemisphere, which was sustained 6 months later. Sensorimotor resting state network reorganization after therapy was correlated with a change in the Quality of Upper Extremity Skills Test score at 1 month (r = 0.79, P = .06), and Canadian Occupational Performance Measure scores at 6 months (r = 0.82, P = .05). This clinically correlated resting state network reorganization provides further evidence of the neuroplastic mechanisms underlying constraint-induced movement therapy.

  7. PELATIHAN MIRROR NEURON SYSTEM SAMA DENGAN PELATIHAN CONSTRAINT INDUCED MOVEMENT THERAPY DALAM MENINGKATKAN KEMAMPUAN FUNGSIONAL ANGGOTA GERAK ATAS PASIEN STROKE

    Directory of Open Access Journals (Sweden)

    Abdul chalik meidian

    2014-03-01

    Full Text Available Stroke is an interruption of blood vasculature system in the brain that causes suddenly neurological dysfunction, resulted in clinically brain tissue damage in a relatively long time period, decreased physical mobility and functional ability impaired of upper limb. The purpose of this study is to know an increasing in upper limb functional ability among stroke patients after mirror neuron system exercise and constraint induced movement therapy exercise and to know the comparison of both exercise. This study uses an experimental research with pre-test and post-test control group design. Number of samples of the first group is 13 patients given mirror neuron system exercise for 30-60 minutes , while the second group 13 patients were given constraint induced movement therapy exercise for 30-60 minutes. The research was conducted in 2 month period time. Each patient is taught a variety of upper limb functional ability in accordance with the operational concept guidance and patients were asked to repeat the exercise independently at home as directed. Measuring test of upper limb functional ability is using the wolf motor function test instruments. The result is an increase the upper limb functional ability of 21.7% in the mirror neuron system exercise group and proved a significant difference (p<0.05 and an increase in the upper limb functional ability of 17.1% in the constraint induced movement therapy exercise group and proved a significant difference (p<0.05 while the difference of increasing of upper limb functional ability of the two groups showed no significant difference (p>0,05. It was concluded that the mirror neuron system exercise is similar with constraint induced movement therapy exercise in increasing the upper limb functional ability among stroke patients.

  8. Muscle Recruitment and Coordination following Constraint-Induced Movement Therapy with Electrical Stimulation on Children with Hemiplegic Cerebral Palsy: A Randomized Controlled Trial.

    Directory of Open Access Journals (Sweden)

    Kaishou Xu

    Full Text Available To investigate changes of muscle recruitment and coordination following constraint-induced movement therapy, constraint-induced movement therapy plus electrical stimulation, and traditional occupational therapy in treating hand dysfunction.In a randomized, single-blind, controlled trial, children with hemiplegic cerebral palsy were randomly assigned to receive constraint-induced movement therapy (n = 22, constraint-induced movement therapy plus electrical stimulation (n = 23, or traditional occupational therapy (n = 23. Three groups received a 2-week hospital-based intervention and a 6-month home-based exercise program following hospital-based intervention. Constraint-induced movement therapy involved intensive functional training of the involved hand during which the uninvolved hand was constrained. Electrical stimulation was applied on wrist extensors of the involved hand. Traditional occupational therapy involved functional unimanual and bimanual training. All children underwent clinical assessments and surface electromyography (EMG at baseline, 2 weeks, 3 and 6 months after treatment. Surface myoelectric signals were integrated EMG, root mean square and cocontraction ratio. Clinical measures were grip strength and upper extremity functional test.Constraint-induced movement therapy plus electrical stimulation group showed both a greater rate of improvement in integrated EMG of the involved wrist extensors and cocontraction ratio compared to the other two groups at 3 and 6 months, as well as improving in root mean square of the involved wrist extensors than traditional occupational therapy group (p<0.05. Positive correlations were found between both upper extremity functional test scores and integrated EMG of the involved wrist as well as grip strength and integrated EMG of the involved wrist extensors (p<0.05.Constraint-induced movement therapy plus electrical stimulation is likely to produce the best outcome in improving muscle recruitment

  9. A clinical study of modified constraint-induced movement therapy for upper extremity motor recovery in stroke patients%改良强制性使用运动疗法对脑卒中偏瘫患者上肢功能影响的临床研究

    Institute of Scientific and Technical Information of China (English)

    王文清; 段一娜; 徐利; 王宏卫; 谢睿智; 冯晶晶; 方鑫洋; 黄武; 刘亚梅

    2008-01-01

    目的 观察改良强制性使用运动疗法(mCIMT)对脑卒中偏瘫患者上肢运动功能的康复疗效.方法 选取27例符合入选标准的脑卒中偏瘫患者,随机分为改良强制性使用运动疗法组(改良组,14例)和常规治疗组(常规组,13例).常规组治疗以Bobath技术为主,进行上肢运动功能训练,每日2 h,每周训练5 d,连续10周.改良组采用改良强制性使用运动疗法,限制健侧肢体动作,在治疗期间要求患者穿戴吊带和夹板,每天清醒时固定时间不少于90%,训练在治疗环境中进行,每日1 h,每周3次,其它时间在日常生活活动中进行训练,时间不少于每日2 h,连续10周.治疗前、后分别采用简易上肢机能检查量表(STEF)和Wolf运动功能量表(WMFT)评价患者的上肢运动功能.结果 2组患者治疗前,STEF中的10项活动评分和WMFT评分差异均无统计学意义(P>0.05).经过治疗后,组内评分比较,差异均有统计学意义(P<0.05);组间比较,STEF中的10项活动评分除拿大球、拿大方块和拿中方块3项差异无统计学意义(P>0.05)外,其余7项差异均有统计学意义(P<0.05);WMFT评分比较,差异有统计学意义(P<0.05).结论 改良强制性使用运动疗法是改善脑卒中偏瘫患者上肢运动功能的有效治疗方法,与常规Bobath技术相比,可显著提高患者偏瘫侧上肢的灵活性和运动速度.%Objective To observe the clinical effect of a modified version of constraint-induced movement therapy(MCIMT)on motor recovery in the upper extremities of stroke patients. Methods Twenty-seven stroke patients were randomly divided into a treatment group(n=14)and a routine group(n=13).The Bobath approach and functional arm exercise were administered to the patients in the routine group(2 h/d,5 times a week)for ten weeks.The MCIMT administered to the treatment group involved restriction of the functional arm by a sling during 90%of waking time and during training(by shaping)of the

  10. 改良强制性使用运动疗法对急性期脑卒中患者上肢功能的影响%Impacts of the Modified Constraint-Induced Movement Therapy on the Upper Limb Function in Acute Cerebral Apoplexy

    Institute of Scientific and Technical Information of China (English)

    章志超; 杨万同; 廖维靖; 刘琦

    2011-01-01

    Objective To observe the rehabilitation therapy of modified constraint - induced movement therapy( CIMT )on the upper limb function in the patients of hemiplegia due to cerebral apoplexy in acute stage. Methods 25 inpatients of cerebral apoplexy in acute stage combined with upper limb function disturbance were selected fiom April 2009 to February 2010, which were randomized into modified CIMT group( 13 cases )and conventional rehabilitation group( conventional group, 12 cases ). The modified CIMT was adopted in modified CIMT group, in which, the constraint glove was used on the healthy upper limb during treatment, simultaneously, the concentrated intensive plastic training was provided. The treatment lasted 4h each day,totally 5 days each week ,for 2 weeks continuously. In conventional group, positive and negative joint movements ,neurodevelopmental therapy and functional electrical stimulation were adopted. Before and after treatment, the simple Fugl - Meyer Assessment( FMA ), Action Research Arm Test( ARAT and Modified Barthel Index( MBI )were used for the assessment in each group. Results In conventional group, the scores in FMA, ARAT and MBI after treatment were improved apparently as compared with those before treatment( P< 0.05 or P < 0.01 ). In modified CIMT group, after treatment, ARAT, FMA and MBI scores were improved significantly( P < 0.01 ). The score of every item after treatment in modified CIMT group was improved obviously as compared with conventional group( P < 0.05 ). Conclusion The modified CIMT plays the active role in the recovery of the upper limb function in the patients with cerebral apoplexy in acute stage, which can improve the affected upper limb function, daily life activity and life quality of hemiplegia patients.%目的 观察改良强制性使用运动疗法(CIMT)对急性期脑卒中偏瘫患者上肢功能的康复疗效.方法 选择自2009年4月~2010年2月住院的急性期脑卒中伴上肢功能障碍患者25例,随

  11. The effects of "Constraint-Induced Movement Therapy" on fine motor skills in children with hemiplegic cerebral palsy

    Directory of Open Access Journals (Sweden)

    Abootalebi Sh

    2010-05-01

    Full Text Available "n Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 /* 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-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: Constraint-Induced movement therapy (CIMT is a promising treatment for improving upper limb function in adults after stroke and traumatic brain injury. It involves constraint of the less affected limb and intensive practice with the more affected limb. The purpose of this study on children with hemiplegic cerebral palsy (CP was to evaluate the effects of CIMT on upper extremity and to make a comparison with conventional treatment."n"nMethods: I a randomized clinical trial twelve children (seven females, five males; aged between 48 and 72 months with mean±standard deviation of 59.91±9.15mo were randomly assigned in two groups. An intensive occupational therapy program including five hours per day for 21 consecutive days was performed for all of them, while less affected limbs were placed in sling for immobilization. Before and after intervention, upper extremity function, spasticity, and motor neuron excitation were evaluated by means of peabody developmental motor scales, modified Ashworth scale, and H reflex and H/M ratio, respectively."n"nResults: The children who received CIMT did not improved their ability to use their hemiplegic hand significantly more than the children in the control group (p>0

  12. Effects of constraint-induced therapy combined with eye patching on functional outcomes and movement kinematics in poststroke neglect.

    Science.gov (United States)

    Wu, Ching-Yi; Wang, Tien-Ni; Chen, Yu-Ting; Lin, Keh-Chung; Chen, Yi-An; Li, Hsiang-Ting; Tsai, Pei-Luen

    2013-01-01

    OBJECTIVE. We investigated the effect of constraint-induced therapy (CIT) plus eye patching (EP), CIT alone, and conventional treatment on functional performance, eye movement, and trunk-arm kinematics in stroke patients with neglect syndrome. METHOD. Twenty-four participants were recruited and randomly allocated to three intervention groups. All participants received intervention 2 hr/day, 5 days/wk, for 3 wk. Outcome measures included the Catherine Bergego Scale, eye movement, and trunk-arm kinematic analysis. RESULTS. The CIT + EP and CIT groups demonstrated larger improvements in functional performance than the control group. The CIT group showed better performance with left fixation points than the CIT+EP group and shorter reaction time than the control group. The CIT + EP group improved more in preplanned control and leftward trunk shift than the other two groups. CONCLUSION. CIT + EP and CIT were more effective interventions than conventional treatment of patients with neglect syndrome in daily functional performance.

  13. FNIRS-based evaluation of cortical plasticity in children with cerebral palsy undergoing constraint-induced movement therapy

    Science.gov (United States)

    Cao, Jianwei; Khan, Bilal; Hervey, Nathan; Tian, Fenghua; Delgado, Mauricio R.; Clegg, Nancy J.; Smith, Linsley; Roberts, Heather; Tulchin-Francis, Kirsten; Shierk, Angela; Shagman, Laura; MacFarlane, Duncan; Liu, Hanli; Alexandrakis, George

    2015-03-01

    Sensorimotor cortex plasticity induced by constraint-induced movement therapy (CIMT) in six children (10.2 ± 2.1 years old) with hemiplegic cerebral palsy (CP) was assessed by functional near-infrared spectroscopy (fNIRS). The activation laterality index and time-to-peak/duration during a finger tapping task were quantified before, immediately after, and six months after CIMT. Five age-matched healthy children (9.8 ± 1.3 years old) were also imaged at the same time points to provide comparative activation metrics for normal controls. In children with CP the activation time-to-peak/duration for all sensorimotor centers displayed significant normalization immediately after CIMT that persisted six months later. In contrast to this longer term improvement in localized activation response, the laterality index that depended on communication between sensorimotor centers improved immediately after CIMT, but relapsed six months later.

  14. 改良强制性运动疗法对老年偏瘫患者下肢步行能力和股动脉血流变化的影响%Influences of modified constraint-induced movement therapy on lower-extremity walking ability and blood flow of femoral artery among elderly patients with stroke

    Institute of Scientific and Technical Information of China (English)

    王文清; 李小彬; 卢建丽; 李艳双; 瓮长水; 毕胜

    2012-01-01

    目的 观察改良强制性运动疗法(mCIMT)对老年脑卒中偏瘫患者下肢运动功能和股动脉血流的变化. 方法 入选老年偏瘫患者67例,随机分为mCIMT组(35)例,平均年龄(73.2±5.2)岁和常规神经发育技术(NDT)对照组(32)例,平均年龄(76.4±3.8)岁.治疗前后分别采用10m最大步行速度(MWS)、Berg平衡量表(BBS)、“起立-行走”计时测试(TUGT)和简式Fugl-Meyer (FMA-L)进行下肢功能评定,同时用彩色多普勒超声观察患侧下肢股动脉的血流速度和管腔直径的变化. 结果 mCIMT治疗后除FMA-L评分与NDT组比较差异无统计学意义外[(35.24±7.62)分比(31.32±3.28)分,t=19.99,P>0.05)],其他3项评分MWS[(56.68±6.57)分比(45.61±5.34)分]、BBS[(46.84±4.05)分比(29.84±4.05)分]、TUGT[(14.55±8.25)分比(25.35±8.70)分]明显高于NDT组(t=15.09,17.38,15.25,均P=0.001).6周mCIMT治疗后管腔直径[(9.05±1.15)nun比(8.05±0.68) mm,t=6.72,P=0.001]和血流速度[(92.55±18.25)cm/s比(69.35±8.7)cm/s,t=6.83,P=0.001]明显大于NDT对照组. 结论 mCIMT能明显提高老年脑卒中偏瘫患者的下肢运动功能,提高股动脉的血流速度.%Objective To observe the influences of modified constraint-induced movement therapy (mCIMT)on lower-extremity walking ability and femoral artery blood flow among elderly patients with stroke. Methods Totally 67 patients with stroke were randomly divided into mCIMT group(n =35) aged ( 73.2 ± 5.2 ) years and neurodevelopmental treatment (NDT) group ( n =32) as control aged(76.4 ± 3.8) years.Patients in control group exercised by NDT 2 h/time,2 times/d,5 d/week for 6 weeks. Patients in mCIMT group exercised including:" up and down" exercise,100-120 times/d; movement flatbed exercise for 16-20 min/d; upstairs and downstairs exercise,balance training,standing in a single leg exercise,mandatory exercise time of lower-extremity about 4 h/d,5 d/week for 6 weeks.The patients were assessed for lower-extremities motor function

  15. A Critical Review of Constraint-Induced Movement Therapy and Forced Use in Children With Hemiplegia

    OpenAIRE

    Jeanne Charles; Gordon, Andrew M.

    2005-01-01

    Hemiplegia is a physical impairment that can occur in childhood following head trauma, cerebral vascular accident or transient ischemic attack (stroke), brain tumor, or congenital or perinatal injury. One of the most disabling symptoms of hemiplegia is unilaterally impaired hand and arm function. Sensory and motor impairments in children with hemiplegia compromise movement efficiency. Such children often tend not to use the affected extremity, which may further exacerbate the impairments, res...

  16. Constraint-Induced Movement Therapy Combined with Transcranial Direct Current Stimulation over Premotor Cortex Improves Motor Function in Severe Stroke: A Pilot Randomized Controlled Trial

    Science.gov (United States)

    Batista, Larissa M.; Nogueira, Lídia L. R. F.; de Oliveira, Eliane A.; de Carvalho, Antonio G. C.; Lima, Soriano S.; Santana, Jordânia R. M.; de Lima, Emerson C. C.; Fernández-Calvo, Bernardino

    2017-01-01

    Objective. We compared the effects of transcranial direct current stimulation at different cortical sites (premotor and motor primary cortex) combined with constraint-induced movement therapy for treatment of stroke patients. Design. Sixty patients were randomly distributed into 3 groups: Group A, anodal stimulation on premotor cortex and constraint-induced movement therapy; Group B, anodal stimulation on primary motor cortex and constraint-induced movement therapy; Group C, sham stimulation and constraint-induced movement therapy. Evaluations involved analysis of functional independence, motor recovery, spasticity, gross motor function, and muscle strength. Results. A significant improvement in primary outcome (functional independence) after treatment in the premotor group followed by primary motor group and sham group was observed. The same pattern of improvement was highlighted among all secondary outcome measures regarding the superior performance of the premotor group over primary motor and sham groups. Conclusions. Premotor cortex can contribute to motor function in patients with severe functional disabilities in early stages of stroke. This study was registered in ClinicalTrials.gov database (NCT 02628561). PMID:28250992

  17. Constraint-Induced Movement Therapy Combined with Transcranial Direct Current Stimulation over Premotor Cortex Improves Motor Function in Severe Stroke: A Pilot Randomized Controlled Trial.

    Science.gov (United States)

    Andrade, Suellen M; Batista, Larissa M; Nogueira, Lídia L R F; de Oliveira, Eliane A; de Carvalho, Antonio G C; Lima, Soriano S; Santana, Jordânia R M; de Lima, Emerson C C; Fernández-Calvo, Bernardino

    2017-01-01

    Objective. We compared the effects of transcranial direct current stimulation at different cortical sites (premotor and motor primary cortex) combined with constraint-induced movement therapy for treatment of stroke patients. Design. Sixty patients were randomly distributed into 3 groups: Group A, anodal stimulation on premotor cortex and constraint-induced movement therapy; Group B, anodal stimulation on primary motor cortex and constraint-induced movement therapy; Group C, sham stimulation and constraint-induced movement therapy. Evaluations involved analysis of functional independence, motor recovery, spasticity, gross motor function, and muscle strength. Results. A significant improvement in primary outcome (functional independence) after treatment in the premotor group followed by primary motor group and sham group was observed. The same pattern of improvement was highlighted among all secondary outcome measures regarding the superior performance of the premotor group over primary motor and sham groups. Conclusions. Premotor cortex can contribute to motor function in patients with severe functional disabilities in early stages of stroke. This study was registered in ClinicalTrials.gov database (NCT 02628561).

  18. Constraint-Induced Movement Therapy Combined with Transcranial Direct Current Stimulation over Premotor Cortex Improves Motor Function in Severe Stroke: A Pilot Randomized Controlled Trial

    Directory of Open Access Journals (Sweden)

    Suellen M. Andrade

    2017-01-01

    Full Text Available Objective. We compared the effects of transcranial direct current stimulation at different cortical sites (premotor and motor primary cortex combined with constraint-induced movement therapy for treatment of stroke patients. Design. Sixty patients were randomly distributed into 3 groups: Group A, anodal stimulation on premotor cortex and constraint-induced movement therapy; Group B, anodal stimulation on primary motor cortex and constraint-induced movement therapy; Group C, sham stimulation and constraint-induced movement therapy. Evaluations involved analysis of functional independence, motor recovery, spasticity, gross motor function, and muscle strength. Results. A significant improvement in primary outcome (functional independence after treatment in the premotor group followed by primary motor group and sham group was observed. The same pattern of improvement was highlighted among all secondary outcome measures regarding the superior performance of the premotor group over primary motor and sham groups. Conclusions. Premotor cortex can contribute to motor function in patients with severe functional disabilities in early stages of stroke. This study was registered in ClinicalTrials.gov database (NCT 02628561.

  19. Sit-to-Stand in People with Stroke: Effect of Lower Limb Constraint-Induced Movement Strategies

    Directory of Open Access Journals (Sweden)

    Charla Krystine Gray

    2014-01-01

    Full Text Available Background. Weight-bearing asymmetry and impaired balance may contribute to the increased fall risk in people with stroke when rising to stand from sitting. Objective. This study investigated the effect of constraint-induced movement (CIM strategies on weight-bearing symmetry and balance during sit-to-stand in people with stroke. Methods. A nonrandom convenience sample of fifteen people with stroke performed the sit-to-stand task using three CIM strategies including a solid or compliant (foam block strategy, with the unaffected limb placed on the block, and an asymmetrical foot position strategy, with the unaffected limb placed ahead of the affected limb. Duration of the task, affected limb weight-bearing, and centre of pressure and centre of mass displacement were measured in the frontal and sagittal plane. Results. Affected limb weight-bearing was increased and frontal plane centre of pressure and centre of mass moved toward the affected limb compared to baseline with all CIM strategies. Centre of mass displacement in the sagittal plane was greater with the compliant block and asymmetrical foot strategies. Conclusions. The CIM strategies demonstrated greater loading of the affected limb and movement of the centre of pressure and centre of mass toward the affected limb. The compliant block and asymmetrical foot conditions may challenge sagittal plane balance during sit-to-stand in people with stroke.

  20. Early constraint-induced movement therapy promotes functional recovery and neuronal plasticity in a subcortical hemorrhage model rat.

    Science.gov (United States)

    Ishida, Akimasa; Misumi, Sachiyo; Ueda, Yoshitomo; Shimizu, Yuko; Cha-Gyun, Jung; Tamakoshi, Keigo; Ishida, Kazuto; Hida, Hideki

    2015-05-01

    Constraint-induced movement therapy (CIMT) promotes functional recovery of impaired forelimbs after hemiplegic strokes, including intracerebral hemorrhage (ICH). We used a rat model of subcortical hemorrhage to compare the effects of delivering early or late CIMT after ICH. The rat model was made by injecting collagenase into the globus pallidus near the internal capsule, and then forcing rats to use the affected forelimb for 7 days starting either 1 day (early CIMT) or 17 days (late CIMT) after the lesion. Recovery of forelimb function in the skilled reaching test and the ladder stepping test was found after early-CIMT, while no significant recovery was shown after late CIMT or in the non-CIMT controls. Early CIMT was associated with greater numbers of ΔFosB-positive cells in the ipsi-lesional sensorimotor cortex layers II-III and V. Additionally, we found expression of the growth-related genes brain-derived neurotrophic factor (BDNF) and growth-related protein 43 (GAP-43), and abundant dendritic arborization of pyramidal neurons in the sensorimotor area. Similar results were not detected in the contra-lesional cortex. In contrast to early CIMT, late CIMT failed to induce any changes in plasticity. We conclude that CIMT induces molecular and morphological plasticity in the ipsi-lesional sensorimotor cortex and facilitates better functional recovery when initiated immediately after hemorrhage. Copyright © 2015 Elsevier B.V. All rights reserved.

  1. 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.

  2. 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.

  3. Effects of Game-Based Constraint-Induced Movement Therapy on Balance in Patients with Stroke: A Single-Blind Randomized Controlled Trial.

    Science.gov (United States)

    Choi, Ho-Suk; Shin, Won-Seob; Bang, Dae-Hyouk; Choi, Sung-Jin

    2017-03-01

    The aims of this work were to determine whether game-based constraint-induced movement therapy (CIMT) is effective at improving balance ability in patients with stroke, and to provide clinical knowledge of game-based training that allows application of CIMT to the lower extremities. Thirty-six patients with chronic stroke were randomly assigned to game-based CIMT (n = 12), general game-based training (n = 12), and conventional (n = 12) groups. All interventions were conducted 3 times a week for 4 weeks. The static balance control and weight-bearing symmetry were assessed, and the Functional Reach Test (FRT), modified Functional Reach Test (mFRT), and Timed Up and Go (TUG) test were performed to evaluate balance ability. All 3 groups showed significant improvement in anterior-posterior axis (AP-axis) distance, sway area, weight-bearing symmetry, FRT, mFRT, and TUG test after the intervention (P game-based CIMT group compared with the other group (P game-based training and the game-based CIMT both improved on static and dynamic balance ability, game-based CIMT had a larger effect on static balance control, weight-bearing symmetry, and side-to-side weight shift.

  4. Effectiveness of distributed form of constraint induced movement therapy to improve functional outcome in chronic hemiparesis patients

    Directory of Open Access Journals (Sweden)

    Shraddha J. Diwan

    2014-08-01

    Full Text Available Background: Upper limb hemiparesis is among the most common deficits after stroke that leads to disability. Learned nonuse develops due to over-reliance on the less affected limb for the functional activities. However for many stroke patients, participation in a traditional, more intense CIMT may be problematic, given the required practice intensity and the duration of the restraint schedule. So it is necessary to evaluate the effects of distributed form of Constraint Induced Movement Therapy (dCIMT in improving functional outcome and quality of life in patients with chronic hemiparesis. Methods: 36 hemiplegic patients following stroke were included. The experimental group was given dCIMT for 5sessions/week for 4 consecutive weeks in addition to conventional therapy while the control group received only conventional therapy. The outcome measures were motor activity log, wolf motor functional test and nine hole peg test. Results: The results of within group analysis for both the experimental group (Group-A and control group B showed highly significant improvement on all the 3 outcome measures with P <0.0001.But the difference in the improvement of group-A compared to group-B was highly significant on the MAL and NHPT (P <0.0001 whereas it was not significant for WMFT performance score but highly significant for WMFT duration (U=23. Conclusion: dCIMT is an effective measure in improving the upper extremity motor function in terms of the quality and amount of use and speed and co- ordination. Thus improves the functional level and the quality of life of the patients with chronic stroke. [Int J Res Med Sci 2014; 2(4.000: 1423-1430

  5. Cerebral palsy in adult patients: constraint-induced movement therapy is effective to reverse the nonuse of the affected upper limb

    Directory of Open Access Journals (Sweden)

    Ana Cecília P. Oliveira

    2016-01-01

    Full Text Available ABSTRACT Objective To determine if the original protocol of Constraint-Induced Movement Therapy (CIMT, is adequate to reverse the nonuse of the affected upper limb (AUL in patients with Cerebral Palsy (CP in adulthood. Method The study included 10 patients diagnosed with CP hemiparesis had attended the adult protocol CIMT, from January/August 2009/2014. Results Average age 24.6 (SD 9.44; MAL average pretreatment How Often (HO = 0.72 and How Well (HW = 0.68 and post-treatment HO = 3.77 and HW = 3.60 (p ≤ 0.001 and pretreatment WMFT average = 21.03 and post-treatment average = 18.91 (p = 0.350. Conclusion The constraint-induced movement therapy is effective to reverse the nonuse learn of the AUL in adult patients with CP.

  6. Modified constraint-induced movement therapy and modified forced-use therapy for stroke patients are both effective to promote balance and gait improvements Terapia de constrição com indução do movimento e terapia de uso forçado modificadas em pacientes pós-acidente vascular encefálico são eficientes em promover melhora do equilíbrio e da marcha

    Directory of Open Access Journals (Sweden)

    Amanda C. Fuzaro

    2012-04-01

    Full Text Available BACKGROUND: Previous studies show that chronic hemiparetic patients after stroke, presents inabilities to perform movements in paretic hemibody. This inability is induced by positive reinforcement of unsuccessful attempts, a concept called learned non-use. Forced use therapy (FUT and constraint induced movement therapy (CIMT were developed with the goal of reversing the learned non-use. These approaches have been proposed for the rehabilitation of the paretic upper limb (PUL. It is unknown what would be the possible effects of these approaches in the rehabilitation of gait and balance. OBJECTIVES: To evaluate the effect of Modified FUT (mFUT and Modified CIMT (mCIMT on the gait and balance during four weeks of treatment and 3 months follow-up. METHODS: This study included thirty-seven hemiparetic post-stroke subjects that were randomly allocated into two groups based on the treatment protocol. The non-paretic UL was immobilized for a period of 23 hours per day, five days a week. Participants were evaluated at Baseline, 1st, 2nd, 3rd and 4th weeks, and three months after randomization. For the evaluation we used: The Stroke Impact Scale (SIS, Berg Balance Scale (BBS and Fugl-Meyer Motor Assessment (FM. Gait was analyzed by the 10-meter walk test (T10 and Timed Up & Go test (TUG. RESULTS: Both groups revealed a better health status (SIS, better balance, better use of lower limb (BBS and FM and greater speed in gait (T10 and TUG, during the weeks of treatment and months of follow-up, compared to the baseline. CONCLUSION: The results show mFUT and mCIMT are effective in the rehabilitation of balance and gait.CONTEXTUALIZAÇÃO: Pacientes hemiparéticos crônicos, após acidente vascular encefálico (AVE, apresentam incapacidade para executar movimentos no hemicorpo parético. Essa incapacidade é reforçada positivamente por tentativas fracassadas de movimento, conceito chamado desuso aprendido. A terapia de uso forçado (FUT e a terapia de constri

  7. Constraint - Induced Movement Therapy: Determinants and Correlates of Duration of Adherence to Restraint use Among Stroke Survivors with Hemiparesis

    Directory of Open Access Journals (Sweden)

    Arinola Olasumbo Sanya

    2012-02-01

    Full Text Available Background: Constraint-Induced Movement Therapy (CIMT was developed to improve purposeful movement of the stroke-affected extremity by restrictingthe use of the unaffected extremity. The two main components of CIMT are the training of the more-impaired arm to perform functional tasks, and the restraint of the less-impaired arm. One challenge that the application of CIMT faces is in ensuring adherence to the use of restraint.Purpose: There is a need to determine the factors that may influence adherence, as this would allow CIMT to be delivered more effectively, and prevent situations where unrealistic expectations are placed on stroke–affected individuals.Methods: Thirty stroke survivors with hemiparesis who met the inclusion criteria were consecutively recruited from the physiotherapy out-patient clinics, using a purposive sampling technique. A structured questionnaire was used to obtain information on clinical and socio-demographic parameters. The participants were given a restraint and an adherence time log-book, to make a daily record during the period they wore the restraint. The adherence time logbook was collected at the end of every week of the 3-week study. Motor function and functional use of the upper limb were measured using Motricity Index and Motor Activity Log respectively. Data was analysed using mean and standard deviations, independent t-test and Spearman rho; p was significant at 0.05.Results: Gender (p=0.73 and side affected/handedness (p=0.79 had no significant influence on the percentage duration of adherence to restraint use (DARU. The influence of socio-economic status was seen, with the participants of middle socio-economic status adhering for longer duration (p=0.02. Age had weak and no significant correlation with percentage DARU (p=0.55. There was significantly fair correlation between motor function/functional use at any stage (p=0.55 and the corresponding percentage duration of adherence to restraint use, except

  8. Modified Constraint-Induced Therapy for Children with Hemiplegic Cerebral Palsy: A Randomized Trial

    Science.gov (United States)

    Wallen, Margaret; Ziviani, Jenny; Naylor, Olivia; Evans, Ruth; Novak, Iona; Herbert, Robert D.

    2011-01-01

    Aim: Conventional constraint-based therapies are intensive and demanding to implement, particularly for children. Modified forms of constraint-based therapies that are family-centred may be more acceptable and feasible for families of children with cerebral palsy (CP)-but require rigorous evaluation using randomized trials. The aim of this study…

  9. The effects of modified constraint-induced therapy combined with mental practice on patients with chronic stroke.

    Science.gov (United States)

    Park, Jin Hyuck

    2015-05-01

    [Purpose] The purpose of this study was to investigate the effects of the modified constraint-induced therapy (mCIT) combined with mental practice (MP) on patients with chronic stroke. [Subjects] The subjects were 26 patients with chronic stroke. [Methods] Patients were randomly assigned to the mCIMT + MP group or the MP group. All subjects were administered mCIT consisting of (1) therapy emphasizing affected arm use in functional activities 5 days/week for 6 weeks and (2) 4 hours of restraint of the less affected arm 5 days/week. The mCIT + MP subjects received 30-minute MP sessions provided directly after therapy sessions. To compare the two groups, the Action Research Arm Test (ARAT), Fugl-Meyer Assessment of Motor Recovery after stroke (FM), and Korean version of Modified Barthel Index (K-MBI) were performed. [Results] Both groups showed significant improvement in ARAT, FM, and K-MBI after the interventions. Also, there were significant difference in ARAT, FM, and K-MBI between the two groups. [Conclusion] mCIT remains a promising intervention. However, its efficacy appears to be enhanced by use of MP after mCIT clinical sessions.

  10. INCITE: A randomised trial comparing constraint induced movement therapy and bimanual training in children with congenital hemiplegia

    Directory of Open Access Journals (Sweden)

    Gilmore Rose

    2010-01-01

    Full Text Available Abstract Background Congenital hemiplegia is the most common form of cerebral palsy (CP accounting for 1 in 1300 live births. These children have limitations in capacity to use the impaired upper limb and bimanual coordination deficits which impact on daily activities and participation in home, school and community life. There are currently two diverse intensive therapy approaches. Traditional therapy has adopted a bimanual approach (BIM training and recently, constraint induced movement therapy (CIMT has emerged as a promising unimanual approach. Uncertainty remains about the efficacy of these interventions and characteristics of best responders. This study aims to compare the efficacy of CIMT to BIM training to improve outcomes across the ICF for school children with congenital hemiplegia. Methods/Design A matched pairs randomised comparison design will be used with children matched by age, gender, side of hemiplegia and level of upper limb function. Based on power calculations a sample size of 52 children (26 matched pairs will be recruited. Children will be randomised within pairs to receive either CIMT or BIM training. Both interventions will use an intensive activity based day camp model, with groups receiving the same dosage of intervention delivered in the same environment (total 60 hours over 10 days. A novel circus theme will be used to enhance motivation. Groups will be compared at baseline, then at 3, 26 and 52 weeks following intervention. Severity of congenital hemiplegia will be classified according to brain structure (MRI and white matter fibre tracking, cortical excitability using Transcranial Magnetic Stimulation (TMS, functional use of the hand in everyday tasks (Manual Ability Classification System and Gross Motor Function Classification System (GMFCS. Outcomes will address neurovascular changes (functional MRI, functional connectivity, and brain (reorganisation (TMS, body structure and function (range of motion, spasticity

  11. The perception of involved professionals towards research feasibility and usefulness: lessons from the Multi-Site Trial on Efficacy of Constraint Induced Movement Therapy in Children with Hemiplegia.

    Science.gov (United States)

    Rosa-Rizzotto, M; Visonà Dalla Pozza, Laura; Turconi, A C; Tornetta, L; Andreucci, E; Zambonin, F; Fedrizzi, E; Facchin, P

    2010-09-01

    In the last decades, the world of rehabilitation has been more and more calling for clear evidence to support intervention and numerous research programs have been developed. At stake, relatively little research on opinions and attitude of rehabilitation personnel involved in research conducted in real clinical settings has been carried out. To explore the opinion of professionals involved in a national clinical trial on research. Multicentre cross-sectional study. 19 rehabilitation centres/services (4 research institutes, 15 local rehabilitation services). All professional participating to a multi-centre clinical trial on the effects of Constraint Induced Movement Therapy on children with hemiplegic cerebral palsy. A 15-questions questionnaire inquiring feasibility, usefulness, products, costs, judgement and perceptions about clinical research in rehabilitation was administered. Among those working in one of the 19 rehabilitation centres part of the multicentric study, 76 professionals were asked to fill in the questionnaire. 68 professionals answered (89.4% of response rate). More than 75% of the sample thinks that its rehabilitation centre is suited to develop clinical research. Research results useful for the development of their daily activities (new tools for the assessment of children, to demonstrate the efficacy of a new treatment option and to learn a new way of working, and to strengthen the ties within the working team). Research is costly in terms of personal time and effort, but it can modify the rehabilitation praxis (assessment tools, the relationship with colleagues/patients). 98% of the interviewees declared the willingness to participate to other research projects. This survey highlights the importance of conducting research in local rehabilitation services, not only in terms of generation of new evidences, but also in terms of building networks, sharing experiences and knowledge, connecting with centers of excellence and providing a specific

  12. Application of single-photon emission computed tomography in modified constraint-induced movement therapy to improve limb motor function in senile cerebral infarction patients%单光子发射计算机断层显像在改良强制性运动疗法治疗老年脑梗死患者肢体运动功能的应用

    Institute of Scientific and Technical Information of China (English)

    王文清; 张欣; 李艳双; 张静; 毕胜; 瓮长水

    2011-01-01

    目的 采用单光子发射计算机断层显像(SPECT)局部脑血流(rCBF)半定量分析法,观察改良强制性运动疗法(mCIMT)对老年脑梗死偏瘫患者肢体运动功能的康复疗效.方法 12例符合入选标准的患者,男性7例,女性5例,年龄61~79(67.9±6.5)岁,病程21~77(42.7±13.6)d.进行8周的改良强制性运动疗法治疗,不限制健侧上、下肢活动,每天保持4 h的患侧上、下肢训练,其中上肢1 h,下肢3 h.在治疗前后分别进行简易手功能检查法(STEF)、10 m最大步行速度(MWS)和大脑皮质缺血灶rCBF评估.结果 治疗后STEF患侧评分为76.33±17.13(t=-6.09),STEF健侧评分为86.25 ±16.84(t=-5.86);MWS评分为6.78±3.72(t=4.88);缺血区放射性计数评分为-10.12 ± 7.25(t=5.33),明显优于治疗前,差异有统计学意义(均P<0.05).结论 使用SPECT技术观察发现,改良强制性运动疗法明显提高老年脑梗死患者肢体运动功能,证明这种变化与大脑可塑性改变相关联,推测可能与大脑皮质rCBF重新分配有关.%Objective To observe the correlation of brain functional reorganization and motor functional restoration with application of single-photon emission computed tomography (SPECT) and regional cerebral blood flow ( rCBF) in modified constraint-induced movement therapy ( mCIMT) in cerebral infarction patients with hemiplegia.Methods Twelve patients with cerebral infarction with hemiplegia (7 males and 5 females, aged 62-75 ( 67.9 ± 6.5) years) were treated with mCIMT for eight weeks.No movement restriction was applied to the limbs at the intact sides.The affected sides exercised 4 h per day with 1 h on the upper limbs and 3 h on the lower limbs.At the same time, semi-quantitative analysis method of analyzing SPECT and rCBF was used to record changes in brain.Simple test for evaluating hand function (STEF), 10 m maximum walking speed ( MWS) , rCBF changes in the cerebral cortex ischemic lesion were respectively assessed in the

  13. Resting State and Diffusion Neuroimaging Predictors of Clinical Improvements Following Constraint-Induced Movement Therapy in Children With Hemiplegic Cerebral Palsy.

    Science.gov (United States)

    Manning, Kathryn Y; Fehlings, Darcy; Mesterman, Ronit; Gorter, Jan Willem; Switzer, Lauren; Campbell, Craig; Menon, Ravi S

    2015-10-01

    The aim was to identify neuroimaging predictors of clinical improvements following constraint-induced movement therapy. Resting state functional magnetic resonance and diffusion tensor imaging data was acquired in 7 children with hemiplegic cerebral palsy. Clinical and magnetic resonance imaging (MRI) data were acquired at baseline and 1 month later following a 3-week constraint therapy regimen. A more negative baseline laterality index characterizing an atypical unilateral sensorimotor resting state network significantly correlated with an improvement in the Canadian Occupational Performance Measure score (r = -0.81, P = .03). A more unilateral network with decreased activity in the affected hemisphere was associated with greater improvements in clinical scores. Higher mean diffusivity in the posterior limb of the internal capsule of the affect tract correlated significantly with improvements in the Jebsen-Taylor score (r = -0.83, P = .02). Children with more compromised networks and tracts improved the most following constraint therapy. © The Author(s) 2015.

  14. Synergistic effect of combined transcranial direct current stimulation/constraint-induced movement therapy in children and young adults with hemiparesis: study protocol.

    Science.gov (United States)

    Gillick, Bernadette; Menk, Jeremiah; Mueller, Bryon; Meekins, Gregg; Krach, Linda E; Feyma, Timothy; Rudser, Kyle

    2015-11-12

    Perinatal stroke occurs in more than 1 in 2,500 live births and resultant congenital hemiparesis necessitates investigation into interventions which may improve long-term function and decreased burden of care beyond current therapies ( http://www.cdc.gov/ncbddd/cp/data.html ). Constraint-Induced Movement Therapy (CIMT) is recognized as an effective hemiparesis rehabilitation intervention. Transcranial direct current stimulation as an adjunct treatment to CIMT may potentiate neuroplastic responses and improve motor function. The methodology of a clinical trial in children designed as a placebo-controlled, serial -session, non-invasive brain stimulation trial incorporating CIMT is described here. The primary hypotheses are 1) that no serious adverse events will occur in children receiving non-invasive brain stimulation and 2) that children in the stimulation intervention group will show significant improvements in hand motor function compared to children in the placebo stimulation control group. A randomized, controlled, double-blinded clinical trial. Twenty children and/or young adults (ages 8-21) with congenital hemiparesis, will be enrolled. The intervention group will receive ten 2-hour sessions of transcranial direct current stimulation combined with constraint-induced movement therapy and the control group will receive sham stimulation with CIMT. The primary outcome measure is safety assessment of transcranial direct current stimulation by physician evaluation, vital sign monitoring and symptom reports. Additionally, hand function will be evaluated using the Assisting Hand Assessment, grip strength and assessment of goals using the Canadian Occupational Performance Measure. Neuroimaging will confirm diagnoses, corticospinal tract integrity and cortical activation. Motor cortical excitability will also be examined using transcranial magnetic stimulation techniques. Combining non-invasive brain stimulation and CIMT interventions has the potential to improve motor

  15. To compare the effectiveness of constraint induced movement therapy versus motor relearning programme to improve motor function of hemiplegic upper extremity after stroke

    Science.gov (United States)

    Batool, Sana; Soomro, Nabila; Amjad, Fareeha; Fauz, Rabia

    2015-01-01

    Objective: To compare the effectiveness of constraint induced movement therapy versus motor relearning programme to improve motor function of hemiplegic upper extremity after stroke. Method: A sample of 42 patients was recruited from the Physiotherapy Department of IPM&R and Neurology OPD of Civil Hospital Karachi through non probability purposive sampling technique. Twenty one patients were placed to each experimental and control groups. Experimental group was treated with Constraint Induced Movement Therapy (CIMT) and control group was treated with motor relearning programme (MRP) for three consecutive weeks. Pre and post treatment measurements were determined by upper arm section of Motor Assessment Scale (MAS) and Self Care item of Functional Independence Measure (FIM) Scale. Results: Intra group analysis showed statistically significant results (p-value<0.05) in all items of MAS in both groups. However, advanced hand activities item of MAS in MRP group showed insignificant result (p-value=0.059). Self-care items of FIM Scale also showed significant result (p-value< 0.05) in both groups except dressing upper body item (p-value=0.059) in CIMT group and grooming and dressing upper body items (p-value=0.059 & 0.063) in MRP group showed insignificant p-values. Conclusion: CIMT group showed more significant improvement in motor function and self-care performance of hemiplegic upper extremity as compared to MRP group in patients with sub-acute stroke assessed by the MAS and FIM scales. Thus CIMT is proved to be more statistically significant and clinically effective intervention in comparison to motor relearning programme among the patients aged between 35-60 years. Further studies are needed to evaluate CIMT effects in acute and chronic post stroke population. PMID:26649007

  16. A longitudinal study of functional magnetic resonance imaging in upper-limb hemiplegia after stroke treated with constraint-induced movement therapy.

    Science.gov (United States)

    Sheng, Bi; Lin, Ma

    2009-01-01

    To investigate the correlation of cerebral function reorganization and functional recovery by using functional magnetic resonance imaging (fMRI) with constraint-induced movement therapy (CIMT) for chronic upper-limb hemiparesis in one subject with stroke. The patient was treated with 2 weeks of CIMT and the unaffected upper-limb was restricted by a splint for 2 weeks. Clinical measures and functional magnetic resonance imaging (fMRI) tests were performed 1 day before the treatment, the day of after the treatment and 2 weeks after the treatment. Compared with the baseline, Upper Extremity Function Test (UEFT) of the patient's upper limb increased by 29.1% and Simple Test for Evaluating Hand Function (STEF) increased by 18.4%. Before, after and 2 weeks after the treatment, changes of activation in brain by using fMRI were found during the movement of the affected and unaffected hand. CIMT could significantly improve the upper limb movement function of stroke patients and fMRI proved that this kind of change was related with the plasticity change of the cerebrum. The motor function of the unaffected limb could not be affected when it was restricted and the change of the cerebrum excitation area was a transient change.

  17. A Concept for Extending the Applicability of Constraint-Induced Movement Therapy through Motor Cortex Activity Feedback Using a Neural Prosthesis

    Directory of Open Access Journals (Sweden)

    Tomas E. Ward

    2007-01-01

    Full Text Available This paper describes a concept for the extension of constraint-induced movement therapy (CIMT through the use of feedback of primary motor cortex activity. CIMT requires residual movement to act as a source of feedback to the patient, thus preventing its application to those with no perceptible movement. It is proposed in this paper that it is possible to provide feedback of the motor cortex effort to the patient by measurement with near infrared spectroscopy (NIRS. Significant changes in such effort may be used to drive rehabilitative robotic actuators, for example. This may provide a possible avenue for extending CIMT to patients hitherto excluded as a result of severity of condition. In support of such a paradigm, this paper details the current status of CIMT and related attempts to extend rehabilitation therapy through the application of technology. An introduction to the relevant haemodynamics is given including a description of the basic technology behind a suitable NIRS system. An illustration of the proposed therapy is described using a simple NIRS system driving a robotic arm during simple upper-limb unilateral isometric contraction exercises with healthy subjects.

  18. 强制性使用运动疗法作用于偏瘫上肢的研究进展%Research Progress in Constraint-induced Movement Therapy on Hemiplegic Upper Limb

    Institute of Scientific and Technical Information of China (English)

    易亮

    2014-01-01

    本文将总结强制性使用运动疗法作用于偏瘫上肢的研究进展,以供临床参考。%This paper summarizes the research progress in constraint-induced movement therapy on hemiplegic upper limb for clinical reference.

  19. A STUDY ON THE EFFECTIVENESS OF BOBATH APPROACH VERSUS CONSTRAINT INDUCED MOVEMENT THERAPY (CIMT TO IMPROVE THE ARM MOTOR FUNCTION AND THE HAND DEXTERITY FUNCTION IN POST STROKE PATIENTS

    Directory of Open Access Journals (Sweden)

    Bushra Rehman

    2015-04-01

    Full Text Available Objective: To compare the effects of the Bobath Therapy and Constraint-Induced Movement Therapy on arm motor function and hand dexterity function among stroke patients with a high level of function on the affected side. Materials and Methods: Study has conducted at the Outpatient physiotherapy department of a stroke unit. With a total of 30 patients were conveniently recruited and then randomized to Bobath Concept group and constraint-induced movement therapy group. Intervention included were the Bobath Concept group was treated for 1.5 hours per day during 5 consecutive weekdays for 4 weeks whereas the constraint-induced movement therapy group received training for 2 hours per day during 5 consecutive weekdays for 3 weeks. Outcome measures by the Wolf Motor Function Test, and Jebsen Taylor Hand Function Test. Results: The two groups were found to be homogeneous based on demographic variables and baseline measurements. There were no significant differences in Wolf Motor Function Test at post test (p = 0.861 and at follow up (p = 0.395. There is a significant improvement in JTHFT in both the groups with sight better improvement in group B (except writing components post test p=0.752and checkers at post test p=0.197 and follow up p=0.167 as compared to Group A. Conclusions: Bobath therapy and the Constraint-induced movement therapy have similar efficiencies in improving arm motor function in the paretic arm among stroke patients with a high level of function. Constraint-induced movement therapy seems to be slightly more efficient than the Bobath Concept in improving hand dexterity function.

  20. Evaluation of cortical plasticity in children with cerebral palsy undergoing constraint-induced movement therapy based on functional near-infrared spectroscopy

    Science.gov (United States)

    Cao, Jianwei; Khan, Bilal; Hervey, Nathan; Tian, Fenghua; Delgado, Mauricio R.; Clegg, Nancy J.; Smith, Linsley; Roberts, Heather; Tulchin-Francis, Kirsten; Shierk, Angela; Shagman, Laura; MacFarlane, Duncan; Liu, Hanli; Alexandrakis, George

    2015-04-01

    Sensorimotor cortex plasticity induced by constraint-induced movement therapy (CIMT) in six children (10.2±2.1 years old) with hemiplegic cerebral palsy was assessed by functional near-infrared spectroscopy (fNIRS). The activation laterality index and time-to-peak/duration during a finger-tapping task and the resting-state functional connectivity were quantified before, immediately after, and 6 months after CIMT. These fNIRS-based metrics were used to help explain changes in clinical scores of manual performance obtained concurrently with imaging time points. Five age-matched healthy children (9.8±1.3 years old) were also imaged to provide comparative activation metrics for normal controls. Interestingly, the activation time-to-peak/duration for all sensorimotor centers displayed significant normalization immediately after CIMT that persisted 6 months later. In contrast to this improved localized activation response, the laterality index and resting-state connectivity metrics that depended on communication between sensorimotor centers improved immediately after CIMT, but relapsed 6 months later. In addition, for the subjects measured in this work, there was either a trade-off between improving unimanual versus bimanual performance when sensorimotor activation patterns normalized after CIMT, or an improvement occurred in both unimanual and bimanual performance but at the cost of very abnormal plastic changes in sensorimotor activity.

  1. Therapeutic synergism in the treatment of post-stroke arm paresis utilizing botulinum toxin, robotic therapy, and constraint-induced movement therapy.

    Science.gov (United States)

    Takebayashi, Takashi; Amano, Satoru; Hanada, Keisuke; Umeji, Atsushi; Takahashi, Kayoko; Koyama, Tetsuo; Domen, Kazuhisa

    2014-11-01

    Botulinum toxin type A (BtxA) injection, constraint-induced movement therapy (CIMT), and robotic therapy (RT) each represent promising approaches to enhance arm motor recovery after stroke. To provide more effective treatment for a 50-year-old man with severe left spastic hemiparesis, we attempted to facilitate CIMT with adaptive approaches to extend the wrist and fingers using RT for 10 consecutive weeks after BtxA injection. This combined treatment resulted in substantial improvements in arm function and the amount of arm use in activities of daily living, and may be effective for stroke patients with severe arm paresis. However, we were unable to sufficiently prove the efficacy of combined treatment based only on a single case. To fully elucidate the efficacy of the combined approach for patients with severe hemiparesis after stroke, future studies of a larger number of patients are needed. Copyright © 2014 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

  2. Constraint-induced movement therapy promotes motor function recovery and downregulates phosphorylated extracellular regulated protein kinase expression in ischemic brain tissue of rats.

    Science.gov (United States)

    Zhang, Bei; He, Qiang; Li, Ying-Ying; Li, Ce; Bai, Yu-Long; Hu, Yong-Shan; Zhang, Feng

    2015-12-01

    Motor function impairment is a common outcome of stroke. Constraint-induced movement therapy (CIMT) involving intensive use of the impaired limb while restraining the unaffected limb is widely used to overcome the effects of 'learned non-use' and improve limb function after stroke. However, the underlying mechanism of CIMT remains unclear. In the present study, rats were randomly divided into a middle cerebral artery occlusion (model) group, a CIMT + model (CIMT) group, or a sham group. Restriction of the affected limb by plaster cast was performed in the CIMT and sham groups. Compared with the model group, CIMT significantly improved the forelimb functional performance in rats. By western blot assay, the expression of phosphorylated extracellular regulated protein kinase in the bilateral cortex and hippocampi of cerebral ischemic rats in the CIMT group was significantly lower than that in the model group, and was similar to sham group levels. These data suggest that functional recovery after CIMT may be related to decreased expression of phosphorylated extracellular regulated protein kinase in the bilateral cortex and hippocampi.

  3. Constraint-induced movement therapy as a rehabilitation intervention for upper extremity in stroke patients: systematic review and meta-analysis.

    Science.gov (United States)

    Etoom, Mohammad; Hawamdeh, Mohannad; Hawamdeh, Ziad; Alwardat, Mohammad; Giordani, Laura; Bacciu, Serenella; Scarpini, Claudia; Foti, Calogero

    2016-09-01

    Constraint-induced movement therapy (CIMT) is a neurorehabilitation technique designed to improve upper extremity motor functions after stroke. This review aimed to investigate evidence of the effect of CIMT on upper extremity in stroke patients and to identify optimal methods to apply CIMT. Four databases (MEDLINE, EMBASE, CINHAL, and PEDro) and reference lists of relevant articles and reviews were searched. Randomized clinical trials that studied the effect of CIMT on upper extremity outcomes in stroke patients compared with other rehabilitative techniques, usual care, or no intervention were included. Methodological quality was assessed using the PEDro score. The following data were extracted for each trial: patients' characteristics, sample size, eligibility criteria, protocols of CIMT and control groups, outcome measurements, and the PEDro score. A total of 38 trials were identified according to the inclusion criteria. The trials included were heterogeneous in CIMT protocols, time since stroke, and duration and frequency of treatment. The pooled meta-analysis of 36 trials found a heterogeneous significant effect of CIMT on upper extremity. There was no significant effect of CIMT at different durations of follow-up. The majority of included articles did not fulfill powered sample size and quality criteria. The effect of CIMT changed in terms of sample size and quality features of the articles included. These meta-analysis findings indicate that evidence for the superiority of CIMT in comparison with other rehabilitative interventions is weak. Information on the optimal dose of CIMT and optimal time to start CIMT is still limited.

  4. Constraint-induced movement therapy promotes motor function recovery and downregulates phosphorylated extracellular regulated protein kinase expression in ischemic brain tissue of rats

    Directory of Open Access Journals (Sweden)

    Bei Zhang

    2015-01-01

    Full Text Available Motor function impairment is a common outcome of stroke. Constraint-induced movement therapy (CIMT involving intensive use of the impaired limb while restraining the unaffected limb is widely used to overcome the effects of ′learned non-use′ and improve limb function after stroke. However, the underlying mechanism of CIMT remains unclear. In the present study, rats were randomly divided into a middle cerebral artery occlusion (model group, a CIMT + model (CIMT group, or a sham group. Restriction of the affected limb by plaster cast was performed in the CIMT and sham groups. Compared with the model group, CIMT significantly improved the forelimb functional performance in rats. By western blot assay, the expression of phosphorylated extracellular regulated protein kinase in the bilateral cortex and hippocampi of cerebral ischemic rats in the CIMT group was significantly lower than that in the model group, and was similar to sham group levels. These data suggest that functional recovery after CIMT may be related to decreased expression of phosphorylated extracellular regulated protein kinase in the bilateral cortex and hippocampi.

  5. A pilot randomized controlled trial of D-cycloserine and distributed practice as adjuvants to constraint-induced movement therapy after stroke.

    Science.gov (United States)

    Nadeau, Stephen E; Davis, Sandra E; Wu, Samuel S; Dai, Yunfeng; Richards, Lorie G

    2014-01-01

    Background. Phase III trials of rehabilitation of paresis after stroke have proven the effectiveness of intensive and extended task practice, but they have also shown that many patients do not qualify, because of severity of impairment, and that many of those who are treated are left with clinically significant deficits. Objective. To test the value of 2 potential adjuvants to normal learning processes engaged in constraint-induced movement therapy (CIMT): greater distribution of treatment over time and the coadministration of d-cycloserine, a competitive agonist at the glycine site of the N-methyl-D-aspartate glutamate receptor. Methods. A prospective randomized single-blind parallel-group trial of more versus less condensed therapy (2 vs 10 weeks) and d-cycloserine (50 mg) each treatment day versus placebo (in a 2 × 2 design), as potential adjuvants to 60 hours of CIMT. Results. Twenty-four participants entered the study, and 22 completed it and were assessed at the completion of treatment and 3 months later. Neither greater distribution of treatment nor treatment with d-cycloserine significantly augmented retention of gains achieved with CIMT. Conclusions. Greater distribution of practice and treatment with d-cycloserine do not appear to augment retention of gains achieved with CIMT. However, concentration of CIMT over 2 weeks ("massed practice") appears to confer no advantage either.

  6. Primed low-frequency repetitive transcranial magnetic stimulation and constraint-induced movement therapy in pediatric hemiparesis: a randomized controlled trial.

    Science.gov (United States)

    Gillick, Bernadette T; Krach, Linda E; Feyma, Tim; Rich, Tonya L; Moberg, Kelli; Thomas, William; Cassidy, Jessica M; Menk, Jeremiah; Carey, James R

    2014-01-01

    The aim of this study was to determine the feasibility and efficacy of five treatments of 6 Hz primed, low-frequency, repetitive transcranial magnetic stimulation (rTMS) combined with constraint-induced movement therapy (CIMT) to promote recovery of the paretic hand in children with congenital hemiparesis. Nineteen children with congenital hemiparesis aged between 8 and 17 years (10 males, nine females; mean age 10 years 10 months, SD 2 years 10 months; Manual Ability Classification Scale levels I-III) underwent five sessions of either real rTMS (n=10) or sham rTMS (n=9) alternated daily with CIMT. CIMT consisted of 13 days of continuous long-arm casting with five skin-check sessions. Each child received a total of 10 hours of one-to-one therapy. The primary outcome measure was the Assisting Hand Assessment (AHA) and the secondary outcome variables were the Canadian Occupational Performance Measure (COPM) and stereognosis. A Wilcoxon signed-rank sum test was used to analyze differences between pre- and post-test scores within the groups. Analysis of covariance was used to compute mean differences between groups adjusting for baseline. Fisher's exact test was used to compare individual change in AHA raw scores with the smallest detectable difference (SDD) of 4 points. All participants receiving treatment finished the study. Improvement in AHA differed significantly between groups (p=0.007). No significant differences in the secondary outcome measures were found. Eight out of 10 participants in the rTMS/CIMT group showed improvement greater than the SDD, but only two out of nine in the sham rTMS/CIMT group showed such improvement (p=0.023). No serious adverse events occurred. Primed, low-frequency rTMS combined with CIMT appears to be safe, feasible, and efficacious in pediatric hemiparesis. Larger clinical trials are now indicated. © 2013 Mac Keith Press.

  7. Effect of Constraint-induced Movement Therapy on Hemiplegic Cerebral Palsy in Occupational Therapy%强制性诱导运动在偏瘫型脑瘫患儿作业治疗中的应用

    Institute of Scientific and Technical Information of China (English)

    左月仙; 李爱霞; 杨花芳

    2011-01-01

    Objective To explore the effect of constraint-induced movement therapy on upper limbs of hemiplegic cerebral palsy in occupational therapy. Methods 30 children of hemiplegic cerebral palsy were divided into control group (n=15) and observation group (n=15). Both groups received conventional occupational therapy, the observation group received constraint-induced movement therapy additionally. Their upper limb function were assessed before and 6 months after treatment. Results The scores improved in both groups after treatment (P<0.05). The score were significantly higher in observation group than control group (P<0.0l). Conclusion Constraint-induced movement therapy can improve the upper limb function of hemiplegic cerebral palsy in occupational therapy.%目的 探讨强制性诱导运动疗法在偏瘫型脑瘫患儿上肢作业疗法中的疗效.方法 30例偏瘫型脑瘫患儿分为对照组(n=15)和观察组(n=15),两组均进行常规作业治疗,观察组在此基础上采用强制性诱导运动疗法,治疗前后对所有患儿上肢功能进行评定并比较.结果 两组患儿治疗后上肢功能评分较治疗前均明显提高(P<0.01),治疗组的评分高于对照组(P<0.05).结论 强制性诱导运动疗法可提高偏瘫型脑瘫患儿上肢作业治疗的康复疗效.

  8. Effect of Constraint-induced Movement Therapy on Bilateral Perisylvian Schizencephaly: A Case Report%强制性运动疗法治疗脑裂畸形伴灰质移位1例报道

    Institute of Scientific and Technical Information of China (English)

    杜晓霞; 刘华; 王强; 宋鲁平

    2011-01-01

    本文报道1例双侧脑裂畸形伴巨大灰质移位患者,临床仅表现为右侧肢体轻度瘫痪.经2周强制性运动疗法治疗后,患者右侧肢体运动功能明显改善.%A 22-year-old woman with bilateral perisylvian schizencephaly was reported. She presented only mild right hemiplegia. The motor function improved after constraint-induced movement therapy.

  9. Transboundary movements of genetically modified organisms and ...

    African Journals Online (AJOL)

    Transboundary movements of genetically modified organisms and the ... of posing untold and undiscovered threats to human beings and other living organisms. ... use of living modified organisms (LMOs) such as genetically engineered plants, animals, and microbes were at last being catered for, albeit leaving aside the ...

  10. The Effect of Motor Feedback Training Combined with Constraint-Induced Movement Therapy on Upper Extremities Function of Patients After Stroke%运动反馈训练联合改良强制运动疗法对脑卒中上肢功能的影响

    Institute of Scientific and Technical Information of China (English)

    张朝霞; 麦王向; 叶正茂; 何海英; 高红英

    2016-01-01

    目的:探讨运动反馈训练联合改良强制运动疗法对脑卒中上肢功能的影响。方法:前瞻性纳入2014年5月-2015年5月在广州市海珠区第一人民医院和广州医科大学附属第二医院接受康复治疗的脑卒中后偏瘫患者40例,随机分为改良强制性运动疗法(CIMT)组(改良CIMT组)及联合治疗组。每组20例。改良CIMT组患者采用改良强制性运动疗法治疗,联合治疗组在改良CIMT组的基础上联合运动反馈训练治疗。每次训练60 min,2次/d,5 d/周,共持续3周。对两组患者均于治疗前、治疗后分别进行WMFT评分、FMA-U评分及Barthel指数评定上肢运动功能及ADL能力。结果:治疗后两组患者WMFT评分、FMA-U评分及Barthel指数较治疗前均有明显改善,差异均有统计学意义(P<0.01)。联合治疗组与改良CIMT组比较, WMFT评分、FMA-U评分及Barthel指数均显著提高(P<0.01)。结论:运动反馈训练联合改良强制运动疗法能进一步改善脑卒中偏瘫患者上肢功能及日常生活活动能力,该联合疗法值得临床推广应用。%Objective:To investigate the effect of motor feedback training combined with constraint-induced movement therapy (CIMT) on upper extremities function of patients after stroke.Method:40 strokepatients were recruited. Cases were randomly divided into modified CIMT group (n=20) and combined therapy group (n=20) . The patients in modified CIMT group accepted modified constraint-induced movement therapy, the patients in combined therapy group accepted modified constraint-induced movement therapy and motor feedback training. The training schedule in both groups was last for 3 weeks. Upper-extremity motor ability was assessed with Wolf Motor Function Test(WMFT), Fugl-Meyer assessment of upper extremity (FMA-U) and Bathel Index (BI) of activities of daily living(ADL) before and after the therapy.Result:After therapy the WMFT, FMA-U and BI of both

  11. A study of constraint - induced movement in acute stroke with upper limb disorder%强制性运动治疗脑卒中偏瘫患者上肢功能障碍的疗效观察

    Institute of Scientific and Technical Information of China (English)

    曹民娟; 彭美娟; 杨艳红; 冯青嫦; 卢秋华

    2012-01-01

    Objective:To observe clinical effect of constraint - induced movement in acute stroke with upper limb disorder. Methods:56 patients of upper limb dysfunction in acute stroke were randomly divided into treatment group and control group ,28 cases of each group. The two groups were both given acute neurological conventional medical treatment,and accepted rehabilitation after vital signs stabled. The control group was given regular exercise therapy,while the treatment group was given constraint - induced movement therapy. Assessed rehabilitation effect of the two groups after 4 weeks. Results: The total effective rate of the treatment group (92.86%) was higher than that in control group(75.00%) ,the difference was statistically significant (P <0.05). Compared with before treatment, FMA score and barthel index of the two groups increased after treatment, the differences were statistically significant (P < 0.05) , and improvements in treatment group was better than the control group, the difference was statistically significant (P < 0. 05). Conclusion: Constraint - induced movement therapy in acute stroke eith upper limb dysfunction is significant effect ,can promote patients with upper limb motor function recovery.%目的:观察强制性运动治疗急性脑卒中偏瘫患者上肢功能障碍的临床敢果.方法:将56例急性脑卒中偏瘫上肢功能障碍患者随机分为治疗组和对照组,每组28例.两组患者急性期均接受神经内科常规药物治疗,待生命体征稳定后给予康复治疗,对照组采用常规运动疗法,包括被动活动关节、坐位平衡、站立平衡、步态训练及日常生活活动再学习训练等治疗;治疗组采用强制性运动疗法,包括限制健肢的使用,集中、重复、强化训练患肢,把训练内容转移到日常行为中.两组每天训练1h,每周5d,4周后对两组进行康复评定.结果:治疗组总有效率92.86%,高于对照组的75.00%,差异有统计学意义(P<0.05).两组

  12. Review of constraint-induced movement therapy in stroke patients with upper limb motor deficit%强制性运动治疗卒中后上肢运动功能障碍进展

    Institute of Scientific and Technical Information of China (English)

    赵军; 张通

    2004-01-01

    脑卒中是威胁人类健康的第三大杀手。卒中后生存的患者中,约有半数留有运动残疾。传统康复训练能明显改善卒中患者的下肢运动功能,但对上肢功能的恢复效果较差。传统观点认为,上肢功能恢复的最佳时间应在发病11周内,过了11周,上肢功能几乎不可能再恢复。20世纪80年代开始,美国采用强制性运动疗法(constraint-induced movement therapy,CIMT或CIT)治疗慢性脑卒中患者的上肢运动功能障碍。至今,该方法得到较大发展,并受到广泛关注。

  13. Neuroplasticity in Constraint-Induced Movement Therapy

    DEFF Research Database (Denmark)

    Blicher, Jakob; Near, Jamie; Næss-Schmidt, Erhard

    2014-01-01

    In healthy subjects, decreasing GABA facilitates motor learning[1]. Recent studies, using PET[2], TMS[3-5], and pharmacological challenges[6], have pointed indirectly to a decrease in neuronal inhibitory activity after stroke. Therefore, we hypothesize that a suppression of GABA levels post strok...

  14. Terapia de movimento induzido pela restrição na hemiplegia: um estudo de caso único Constraint-induced movement therapy in hemiplegia: a single-subject study

    Directory of Open Access Journals (Sweden)

    Daniela Virgínia Vaz

    2008-09-01

    Full Text Available A terapia de movimento induzido por restrição (TMIR tem mostrado resultados positivos em indivíduos hemiparéticos após acidente vascular cerebral; consiste na contenção do membro superior não-afetado e treinamento intensivo do membro afetado. Este estudo visou documentar longitudinalmente os efeitos da TMIR na funcionalidade do membro superior de um indivíduo com hemiparesia esquerda crônica. Neste estudo de caso único tipo ABA, as fases linha de base (A duraram duas semanas e a intervenção (B compreendeu a contenção do membro sadio com um splint e cinco sessões semanais de 3 horas de treino do membro superior afetado, durante duas semanas. As medidas de funcionalidade Action Research Arm (ARA e de qualidade de movimento e destreza Wolf Motor Function Test (WMFT foram coletadas cinco vezes por semana, e a medida de qualidade e freqüência de uso do membro superior, Motor Activity Log (MAL, uma vez por semana por seis semanas. Os dados coletados foram tratados estatisticamente. Os resultados mostram ganhos significativos na qualidade de movimento (WMFT durante a intervenção (p0,05. Quanto à destreza (WMFT e funcionalidade (ARA, foram detectadas tendências significativas de ganho durante as quatro primeiras semanas; após a intervenção, houve estabilização do desempenho (pConstraint-induced movement therapy (CIMT consists of restraining movement of the non-affected arm while providing intensive training of the affected upper extremity. Positive results have been reported after CIMT in individuals with hemiparesis due to stroke. This study is a longitudinal, ABA-design documentation of the effects of CIMT on upper extremity function of an individual with chronic left hemiparesis. Baseline phases (A lasted two weeks and intervention (B involved restrain of the non-affected arm with a splint and five three-hour weekly sessions of training of the affected arm, for two weeks. During the six study weeks upper extremity function

  15. An introduction to constraint-induced movement therapy%"强制性使用"运动疗法--脑损伤后康复治疗的一种新方法

    Institute of Scientific and Technical Information of China (English)

    燕铁斌

    2000-01-01

    @@ 过去几十年,脑损伤后运动障碍的康复治疗广泛应用神经发育疗法(neurodevelopment treatment,NDT),其典型代表为Bobath技术、Brunnstrom技术、Rood技术、Kabat-Knott-Voss技术等[1~3].这些技术的流行,促进了20世纪中后期脑损伤患者运动功能的恢复.80年代以来,从事脑损伤治疗的临床(包括康复治疗专业)人员发现,神经发育疗法在治疗环境中具有良好的效果,但在患者的生活环境中常不能较好地发挥作用[3,4];文献中报告的关于神经发育疗法的临床研究,设计不够严谨,缺乏有说服力的对照组.在严格设计的临床研究中,经过与对照组比较,未能发现神经发育疗法各技术之间及其与传统的治疗方法之间有显著性的差异[3,4].为此,专业人员一直在致力于寻找新的不同于神经发育疗法或传统疗法的更为有效的治疗方法.例如,运动再学习技术(motor relearning program,MRP)[1]、抗阻力训练(resisted exercise)[5]、功能性电刺激(functional electrical stimulation, FES)[6]、经皮神经电刺激(transcutaneous electrical nerve stimulation, TENS)[7]、强制性使用运动疗法(constraint-induced movement therapy,CIMT)[8~10]等.其中以强制性使用运动疗法发展较快.

  16. 强制运动疗法对脑卒中亚急性期上肢运动功能的影响%Constraint-induced Movement Therapy on Upper Extremities for Sub-acute Stroke

    Institute of Scientific and Technical Information of China (English)

    何龙文; 方栋; 沈光宇; 沈敏; 徐胜林; 倪隽; 蔡俊燕; 朱振杰; 顾琦; 蔡娴颖

    2011-01-01

    目的 评估强制运动疗法(CIMT)对脑卒中后亚急性期患者上肢运动功能的疗效.方法 选择上海市残疾人康复职业培训中心和南通大学附属医院康复医学科收治的脑卒中偏瘫患者63例,按入院先后时间分为治疗组(32例)和对照组(31例),均接受2周的常规康复训练.然后,对照组继续常规康复训练,治疗组接受2周的CIMT治疗.两组均在治疗后第1天、第15天和第30天用上肢动作研究量表(ARAT)评分、Fugl-Meyer量表(FMA)进行评估.结果 治疗后第30天CIMT组ARAT评分、FMA评分均显著高于该组第15天评分及常规康复组评分(P<0.001).结论 CIMT是一种改善亚急性期脑卒中患者上肢运动功能的有效治疗方法,优于常规康复训练.%Objective To assess the effects of constraint-induced movement therapy(CIMT) on sub-acute stroke patients with upper extremity motor dysfunction.Methods 63 patients with hemiplegia after stroke were divided into two groups: control group(31 cases) and CIMT group(32 casese).The two groups received the regular rehabilitation training for 14 d.Then the control group went on the the regular rehabilitation training, while the CIMT group received CIMT for 14 d.All patients were assessed by the Action Research Arm Test(ARAT) and Fugl-Meyer(FMA) on the first day, the 15th day and the 30th day after the treatment.Results ARAT score and FMA scores were higher in CIMT group than in the control group 30 d after the treatment and in CIMT group 15 days after the treatment(P<0.001).Conclusion CIMT is more effective to improve the upper limb motor function of the sub-acute stroke patients than the regular rehabilitation training.

  17. 强制性运动疗法促进脑卒中后功能恢复机制的研究进展%Advance in Mechanisms of Constraint Induced Movement Therapy on Motor Function Rehabilitation after Stroke (review)

    Institute of Scientific and Technical Information of China (English)

    刘培乐; 白玉龙

    2015-01-01

    本文主要综述强制性运动疗法(CIMT)对脑卒中后肢体运动能力恢复的起效机制。CIMT可促进侧脑室室管膜下区神经元的新生,并促进缺血半暗带区新生神经元的存活和分化;还可促进来自健侧大脑的皮质脊髓束纤维在脊髓颈段向患肢侧的交叉,进而对神经传导通路产生可塑性影响。生长抑制蛋白勿动蛋白(Nogo-A)可因CIMT训练而下调,从而减弱神经损伤后对纤维生长的抑制。除此之外,CIMT还可通过影响脑源性神经营养因子(BDNF)、Rho激酶等的表达而发挥治疗作用。尽管如此,CIMT所引起的神经系统结构重塑是否在肢体功能支配过程中真正发挥作用还有待进一步证实,分子机制的研究也多缺乏必要的相关分子抑制与促进效应的论证。%Constraint induced movement therapy (CIMT) is considered to be effective in restoring the impaired limb motor function in patients after stroke. CIMT enhanced neurogenesis in sub-ventricular zone and promoted the proliferation and long-term survival of the new-born neurons in the ischemic penumbra region. CIMT also enhanced the midline-crossing phenomenon, which means the midline crossing of the contralesional corticospinal tract originated nerve fibers to the denervated side in the cervical spinal cord. CIMT down-regulated the expression of Neurite outgrowth inhibitor-A (Nogo-A) as well as regulated other molecules to promote the growth of nerve fibers. In addi-tion, CIMT ajusted the expression of brain-derived neurotrophic factor and Rho kinsase. Nevertheless, whether the structural plasticity caused by CIMT really participated in limb function remains unknown. And many studies on molecular mechanisms lack the evidence of necessary promotion and inhibition of the related molecule.

  18. 中药熏蒸联合强制性运动疗法治疗痉挛性偏瘫的效果观察%Efficacy of traditional Chinese medicine fumigation combined with constraint-induced movement therapy treating spastic hemiplegia

    Institute of Scientific and Technical Information of China (English)

    王月; 张鹏琳

    2016-01-01

    目的 观察中药熏蒸联合强制性运动疗法(CIMT)治疗痉挛性偏瘫的效果.方法 选取2015年1-10月在宁夏医科大学总医院治疗的脑卒中痉挛性偏瘫患者66例,按随机数字表法分为熏蒸组、运动组及联合组,各22例.在常规康复治疗的基础上,熏蒸组采用中药熏蒸治疗,运动组采用CIMT治疗,联合组在中药熏蒸治疗结束后进行CIMT治疗.比较3组患者治疗前及治疗4周后肌张力(改良Ashworth分级)、临床神经功能缺损评分、下肢运动功能(简式Fugl-Meyer运动量表)评分和平衡功能(Berg平衡量表)评分.结果 治疗4周后联合组改良Ashworth分级优于、临床神经功能缺损评分低于运动组和熏蒸组[(9±4)分比(14±11)、(19±9)分],简式Fugl-Meyer运动量表评分、Berg平衡量表评分高于运动组和熏蒸组[(49±12)分比(42±12)、(35±12)分,(41±10)分比(39 ±7)、(34±10)分],差异均有统计学意义(均P<0.05).结论 中药熏蒸联合CIMT能够降低痉挛性偏瘫患者患侧肢体的肌张力,有效改善患者神经功能及运动功能.%Objective To observe the clinical efficacy of Chinese herb fumigation combined with constraint-induced movement therapy(CIMT) in the treatment of spastic hemiplegia.Methods Totally 66 cases of spastic hemiplegia from January to October 2015 in Generel Hospital of Ningxia Medical University were randomly divided into fumigation group,movement therapy group and combined therapy group,with 22 cases in each group.On the basis of routine rehabilitation therapy,the fumigation group was treated with traditional Chinese medicine fumigation;the movement therapy group was treated with CIMT;the combined therapy group was treated with CIMT after traditional Chinese medicine fumigation.After 4 weeks of treatment,muscle tension (Modified Ashworth Scale),clinical neurologic impairment score,lower limb motor function (Simplified Fugl-Meyer Motor Scale) and balance function(Berg Balance Scale) were

  19. Effects of constraint-induced movement therapy in children with hemiplegia: a single case experimental study Efeitos da terapia de restrição por movimento induzido em crianças com hemiplegia: desenho experimental de caso único

    Directory of Open Access Journals (Sweden)

    Marina B. Brandão

    2009-12-01

    Full Text Available OBJECTIVE: To investigate the profile of changes in the use of the upper extremity in three children with hemiplegia submitted to an adapted protocol of constraint-induced movement therapy (CIMT. METHODS: A single-subject design (ABA was replicated in three children aged 8 to 11 years old. Baseline phases (A1 and (A2 and the intervention phase (B lasted 2 weeks each. During the intervention period, children wore a splint on the non-affected extremity for 10 hours a day and were submitted to 3 hours of therapy a day during 10 days. Training consisted of activities with the affected upper extremity, with gradually increasing complexity and verbal feedback. Hand function was classified according to the Manual Ability Classification System (MACS. Children were assessed four times every week with the Toddler Arm Use Test (TAUT and three adapted tasks from the Jebsen-Taylor Hand Function test (JTHF, and once a week with the Pediatric Motor Activity Log (PMAL and self-care scales of the Pediatric Evaluation of Disability Inventory (PEDI. Celeration Line, Two-Standard Deviation Band and visual analysis methods were used for data analyses. RESULTS: Significant improvements in the amount and quality of upper extremity use (PMAL, TAUT quality of use for children 2 and 3, and participation for child 1, as well as decreased time to complete JTHF tasks for children 2 and 3 were observed. No changes were observed in the PEDI self-care scales. CONCLUSION: CIMT effects were associated with improvements in manual dexterity, amount and quality of use of the affected upper extremity in children with hemiplegia.OBJETIVO: Investigar mudanças longitudinais no uso da extremidade superior em três crianças com hemiplegia submetidas a um protocolo adaptado de terapia de movimento induzido por restrição (CIMT. MÉTODOS: Um desenho experimental de caso único (ABA foi replicado em três crianças entre 8 e 11 anos de idade. Fases de baseline (A1 e (A2 e fase de

  20. Functional Improvement after Photothrombotic Stroke in Rats Is Associated with Different Patterns of Dendritic Plasticity after G-CSF Treatment and G-CSF Treatment Combined with Concomitant or Sequential Constraint-Induced Movement Therapy.

    Directory of Open Access Journals (Sweden)

    Katrin Frauenknecht

    Full Text Available We have previously shown that granulocyte-colony stimulating factor (G-CSF treatment alone, or in combination with constraint movement therapy (CIMT either sequentially or concomitantly, results in significantly improved sensorimotor recovery after photothrombotic stroke in rats in comparison to untreated control animals. CIMT alone did not result in any significant differences compared to the control group (Diederich et al., Stroke, 2012;43:185-192. Using a subset of rat brains from this former experiment the present study was designed to evaluate whether dendritic plasticity would parallel improved functional outcomes. Five treatment groups were analyzed (n = 6 each (i ischemic control (saline; (ii CIMT (CIMT between post-stroke days 2 and 11; (iii G-CSF (10 μg/kg G-CSF daily between post-stroke days 2 and 11; (iv combined concurrent group (CIMT plus G-CSF and (v combined sequential group (CIMT between post-stroke days 2 and 11; 10 μg/kg G-CSF daily between post-stroke days 12 and 21, respectively. After impregnation of rat brains with a modified Golgi-Cox protocol layer V pyramidal neurons in the peri-infarct cortex as well as the corresponding contralateral cortex were analyzed. Surprisingly, animals with a similar degree of behavioral recovery exhibited quite different patterns of dendritic plasticity in both peri-lesional and contralesional areas. The cause for these patterns is not easily to explain but puts the simple assumption that increased dendritic complexity after stroke necessarily results in increased functional outcome into perspective.

  1. Functional Improvement after Photothrombotic Stroke in Rats Is Associated with Different Patterns of Dendritic Plasticity after G-CSF Treatment and G-CSF Treatment Combined with Concomitant or Sequential Constraint-Induced Movement Therapy.

    Science.gov (United States)

    Frauenknecht, Katrin; Diederich, Kai; Leukel, Petra; Bauer, Henrike; Schäbitz, Wolf-Rüdiger; Sommer, Clemens J; Minnerup, Jens

    2016-01-01

    We have previously shown that granulocyte-colony stimulating factor (G-CSF) treatment alone, or in combination with constraint movement therapy (CIMT) either sequentially or concomitantly, results in significantly improved sensorimotor recovery after photothrombotic stroke in rats in comparison to untreated control animals. CIMT alone did not result in any significant differences compared to the control group (Diederich et al., Stroke, 2012;43:185-192). Using a subset of rat brains from this former experiment the present study was designed to evaluate whether dendritic plasticity would parallel improved functional outcomes. Five treatment groups were analyzed (n = 6 each) (i) ischemic control (saline); (ii) CIMT (CIMT between post-stroke days 2 and 11); (iii) G-CSF (10 μg/kg G-CSF daily between post-stroke days 2 and 11); (iv) combined concurrent group (CIMT plus G-CSF) and (v) combined sequential group (CIMT between post-stroke days 2 and 11; 10 μg/kg G-CSF daily between post-stroke days 12 and 21, respectively). After impregnation of rat brains with a modified Golgi-Cox protocol layer V pyramidal neurons in the peri-infarct cortex as well as the corresponding contralateral cortex were analyzed. Surprisingly, animals with a similar degree of behavioral recovery exhibited quite different patterns of dendritic plasticity in both peri-lesional and contralesional areas. The cause for these patterns is not easily to explain but puts the simple assumption that increased dendritic complexity after stroke necessarily results in increased functional outcome into perspective.

  2. Effects of Constraint-induced Movement Therapy on Upper-extremity Function of Children with Hemiplegic Cerebral Palsy%强制性使用运动疗法对偏瘫型脑瘫患儿上肢功能障碍的疗效观察

    Institute of Scientific and Technical Information of China (English)

    梁薇; 徐开寿; 何璐; 严晓华; 高春华

    2014-01-01

    Objective To evaluate the effects of a modified version of constraint-induced movement therapy (CIMT) on upper-extremity function of children with hemiplegic cerebral palsy. Methods:Forty-six children with hemiplegic cerebral palsy were randomly allocated to constraint therapy group (n=23), and control group (n=23). The patients in both the groups received routine rehabilitation therapy, while the ones in the constraint therapy group was treated with CIMT additionally. All participants were measured by the modified Ashworth scale (MAS) and Carroll upper extremities functional test (UEFT) before and at the end of 4th and 8th week after the treatment. Results: There was a significant difference in MAS score between baseline and after 8 weeks' treatment in the constraint therapy group ( <0.05). When compared with the UEFT scores before treatment, the UEFT scores of both the groups were improved significantly ( <0.05). At the end of 4th and 8th week after the treatment, the UEFT scores in the constraint therapy group were significantly higher than those in the control group ( <0.05). Conclusion:CIMT can improve upper-extremity function of children with hemiplegic cerebral palsy.%目的:观察强制性使用运动疗法(CIMT)对偏瘫型脑瘫患儿上肢功能障碍的疗效。方法:46例伴有上肢功能障碍的脑瘫患儿,随机分为治疗组和对照组各23例,2组均应用常规康复治疗,治疗组还应用CIMT。在治疗前、治疗4周和8周后分别采用改良Ashworth量表(MAS)评定上肢痉挛改善情况,应用Carroll上肢功能试验(UEFT)测试与日常生活活动有关的上肢运动功能。结果:治疗组患儿MAS得分在治疗8周与治疗前比较有改善,差异有统计学意义(<0.05)。2组UEFT评分在治疗4周、8周与治疗前比较提高,差异均有统计学意义(<0.05);在治疗4、8周,治疗组UEFT评分高于对照组,差异有统计学意义(<0.05)。结论:CIMT

  3. 强制性使用运动疗法对脑卒中偏瘫患者上肢功能恢复的影响%The effects of constraint-induced movement therapy on upper extremity function in stroke patients

    Institute of Scientific and Technical Information of China (English)

    王刚; 张德清; 何建永; 徐玉华; 刘智权; 李东冬

    2008-01-01

    Objective To study the effects of constraint-induced movement therapy(CIMT)on upper extremity functional performance in sub-acute stroke patients.Methods Sixty stroke survivors were divided into a treatment group(n=30)and a control group(a=30).The treatment group received routine rehabilitation training for 4 weeks,followed by CIMT for two weeks;the control group received only routine rehabilitation training for six weeks.The Fugl-Meyer Assessment(FMA),upper extremity function test(UEFT),simple test for evaluating hand function(STEF)and modified Barthel Index(MBI)were used to assess motor function in the patients'upper extremities and their performance in the activities of daily living(ADL)before treatment,at the end of4 and 6 weeks of treatment,and 1 and 3 months after the end of the 6-week treatment. Results After six weeks of treatment,the patients in both groups were significantly improved in terms of FMA,UEFT,STEF and MBI scores compared with their results got before treatment,and the treatment group scored significantly higher on the UEFT,STEF and MBI scales compared with the control group. Conclusion CIMT can effectively improve upper extremity motor function and the ADL performance of patients with sub-acute stroke.Its effectiveness is superior to that of routine rehabilitation training.%目的 观察强制性使用运动疗法(CIMT)对亚急性期脑卒中偏瘫患者上肢功能恢复的影响.方法 将60例脑卒中偏瘫患者分为治疗组(n=30)和对照组(a=30),进行6周的康复治疗.2组患者均先进行常规康复训练,每日1次,每次45~60 min,每周训练6次.4周后治疗组改用CIMT治疗2周,对照组治疗保持不变.采用Fugl-Meyer运动量表(FMA)、上肢功能测验(UEFT)、简易上肢机能检查(STEF)和改良Barthel指数(MBI),于治疗前、治疗4周和6周后,以及治疗结束后1个月和3个月评定2组患者的上肢运动功能和日常生活活动能力,并进行比较.结果 2组治疗后不同时间段的上

  4. 强制性使用运动疗法结合运动想象疗法治疗脑卒中单侧空间忽略患者的疗效观察%The effect of constraint-induced movement therapy combined with motor imagery on unilateral spatial neglect in stroke patients

    Institute of Scientific and Technical Information of China (English)

    徐睿华; 胡翔; 刘琦; 彭金良; 谢作文

    2010-01-01

    Objective To observe the effect of constraint-induced movement therapy combined with motor imagery on unilateral spatial neglect (USN) in stroke patients. Methods Fifty stroke patients with USN were randomly divided into a treatment group ( n = 27 ) and a control group ( n = 23 ). Both groups received routine physical therapy training, including with the Bobath technique and low frequency electrotherapy, while the treatment group received constraint-induced movement therapy and motor imagery in addition. All the patients were assessed with 4 scales of the regular USN assessment ( cancellation tests, line bisection tests, clock drawing tests,copying drawing tests) and with the Barthel index (BI) before and after 8 weeks of treatment. Results After 8 weeks of treatment, both groups' average USN assessments and Barthel indices improved significantly. Furthermore, both the USN results and the Barthel index scores in the treatment group were, on average, significantly better than those in the control group. Conclusion For USN stroke patients, constraint-induced movement therapy combined with motor imagery improves the symptoms of USN and ADL ability significantly better than routine physical therapy treatment alone.%目的 观察强制性运动疗法结合运动想象疗法治疗脑卒中单侧空间忽略患者的疗效.方法 将符合本研究入选标准的50例脑卒中单侧空间忽略患者分为治疗组27例和对照组23例.2组患者均于入院后接受常规康复治疗,治疗组在常规康复治疗的基础上加用强制性运动疗法及运动想象疗法.在治疗前和治疗8周后分别采用删除试验、平分直线法、画钟试验和临摹画图这4种常规单侧忽略检测方法和Barthel指数(BI)对患者进行评定.结果 治疗8周后,对照组患者的单侧忽略检测评分和BI评分较治疗前 改善,差异有统计学意义(P<0.05),治疗组较治疗前改善更为显著(P<0.01);2组间治疗后比较差

  5. 针刺联合强制性使用运动疗法对亚急性期脑卒中患者上肢功能的康复观察%Observation on upper limb function rehabilitation of patients with cerebral stroke in subacute stage treated by acupuncture combined with constraint-induced movement therapy

    Institute of Scientific and Technical Information of China (English)

    赖登军; 刘弈

    2015-01-01

    Objective: To observe the upper limb function rehabilitation of patients with cerebral stroke in subacute stage treated by acupuncture combined with constraint-induced movement therapy. Methods:58 cases with cerebral stroke and upper limb disorder were randomly divided into a control group (29 cases) and a treatment group ( 29 cases). Patients in the control group were treated with acupuncture and conventional rehabilitation training, while patients in the treatment group were treated with acupuncture combined with constraint-induced movement therapy. The evaluation of WMFT, ARAT, BI was taken before treatment, after 2 weeks and 4 weeks of treatment. Results:Before treatment, three scores of two groups had no significant differences. After 2 weeks of treatment, three scores in the treatment group were higher than the condition before treatment;the scores of WMFT, ARAT in the control group were higher and the score of BI had no difference;compared the scores of WMFT, ARAT in the treatment group with the scores of the control group after 2 weeks of treatment, there were no differences, but the score of BI was higher;the three scores of the treatment group were higher than those after 2 weeks of treatment and the control group after 4 weeks of treatment. Conclusion: Acupuncture combined with constraint-induced movement therapy has more significant effect on upper limb function rehabilitation of patients with cerebral stroke in subacute stage.%目的:观察针刺联合强制性使用运动疗法对亚急性期脑卒中患者的上肢功能的康复情况。方法:将58例脑卒中亚急性期上肢功能障碍患者随机分为对照组(29例)和治疗组(29例),对照组以针刺联合常规康复训练治疗,治疗组以针刺联合强制性使用运动疗法治疗。治疗前、治疗后2周、治疗后4周分别对两组患者进行Wolf运动功能(WMFT)评定、上肢动作研究量表(ARAT)评定、Barthel指数(BI)评定。结果:

  6. Constraint-induced movement therapy in the treatment of the upper limb after stroke: A meta-analysis of randomized controlled trials%强制性使用运动疗法对成人脑卒中后上肢运动功能恢复影响的Meta分析

    Institute of Scientific and Technical Information of China (English)

    唐洲平; 曾文高; 廖完敏; 刘娜; 杨洁; 骆翔

    2010-01-01

    Objective To evaluate the effectiveness of constraint-induced movement therapy (CIMT),modified CIMT and forced use in the treatment of the upper limbs of adults after stroke. Methods Published ac-counts of trials of these techniques were located through electronic searches of the following databases: PubMed,EBSCO, Ovid, the Cochrane Central Register of Controlled Trails, EMbase, Science Citation Index (Expanded),HighWire Press, CBMDisc, CCTR, CNKI and VIP from the date of establishment of the databases to September 2009. The bibliographies of the articles thus retrieved were also checked. Results A total of 12 trials involving 648 patients were discovered. Meta-analysis showed that CIMT has been shown to increase movement efficiency, reduce normalized movement time, increase use of the more affected arm, improve the quality of use of the more affected arm and reduce the impact of the affected arm. C1MT showed no significant effect in improving independence in daily life compared with traditional rehabilitation. Conclusions To some extent, (modified) CIMT promotes arm rehabilita-tion after stroke effectively. However, these studies were small and their quality was poor. They had different follow-up points, assessed with different rating scales, and the course of stroke in the studies was also different. So more high-quality and large-scale randomized controlled trials are needed.%目的 采用Meta分析评价强制性使用运动疗法用于成人脑卒中后偏瘫侧上肢运动功能障碍的康复疗效.方法 电子检索PubMed、EBSCO、Ovid、The Cochrane Central Register of Controlled Trails、Embase、Science Citation Index Expanded、HighWire Press、中国生物医学文献数据库(CBMDisc)、中国知网(CNKI)、维普数据库(VIP),文献检索起止时间均为从建库到2009年9月,同时检索纳入文献的参考文献,纳入强制性使用运动疗法用于成人脑卒中后偏瘫侧上肢运动功能障碍的随机对照试验,进行质量评价

  7. Efeito das terapias associadas de imagem motora e de movimento induzido por restrição na hemiparesia crônica: estudo de caso Effects of associated therapies of motor imagery and constraint-induced movement in chronic hemiparesis: a case study

    Directory of Open Access Journals (Sweden)

    Claudia Morais Trevisan

    2010-09-01

    Full Text Available Este estudo analisa os efeitos da associação das terapias de imagem motora e de movimento induzido por restrição na reeducação funcional do membro superior (MS de um paciente com deficit sensorial e motor determinado por acidente vascular encefálico (AVE. A terapia de imagem motora (IM consistiu em: 1o, estimulo visual do espelho, em 3 sessões semanais de 30 a 60 minutos por 4 semanas; e 2o, IM com prática mental, em 3 sessões semanais de 15 minutos por 3 semanas. Por último foi aplicada a terapia de indução ao movimento por restrição do membro superior não-afetado por 14 dias, em 10 dos quais foi feita atividade funcional do membro parético por 6 horas diárias. Além da avaliação clinica da sensibilidade e medida da força de preensão palmar, antes do tratamento e após cada modalidade de terapia foi medida a amplitude de movimentos de ombro, cotovelo e punho e aplicada a escala de avaliação motora (EAM. Os escores dos quatro momentos da coleta foram comparados estatisticamente. Após o tratamento os resultados mostraram diferença significativa (pThis study assessed the efficacy of the association of motor imagery and constraint-induced movement therapies in functional rehabilitation of the upper limb in a patient with somatosensory and motor deficits following stroke. Motor imagery (MI therapy, i.e., mental simulation of body image, consisted in: 1st, mirror visual stimulus, at three 30-60-minute weekly sessions for four weeks; and 2nd, MI with mental practice, at three 15-minute sessions per week for three weeks. Lastly, constraint-induced movement therapy was applied for 14 days, in 10 of which the patient underwent 6 hours daily of paretic limb functional training. The patient was assessed at baseline and at the end of each therapy modality as to clinical examination of sensation; hand grip strength; shoulder, elbow and wrist range of motion; and the motor assessment scale (MAS was applied. Scores obtained at the

  8. A functional MRI study of the brain in stroke patients with upper-limb paralysis treated with constraint-induced movement therapy%强制性使用运动疗法治疗卒中上肢偏瘫患者的脑功能MRI研究

    Institute of Scientific and Technical Information of China (English)

    温博; 马林; 瓮长水; 郑志新; 孙彤

    2009-01-01

    tralateral parietal lobe. Conclusions CIMT can improve the patients' upper-limb function effectively. The constraint-induced movement of the affected arm during CIMT appears to induce cortical reorganization and compensation as measured by fMRL%.626,P<0.05).CIMT治疗后右手运动时左侧中央前回手部支配区激活强度明显增加,双侧纹状体、丘脑及小脑半球激活增加,右侧大脑半球顶叶可见激活.结论 CIMT可以有效改善患者上肢的运动功能障碍,患肢的强制使用诱导出了大脑皮层功能区的重组和代偿,fMRI可以检测到这种变化,提供CIMT治疗后神经元重组与代偿的证据.

  9. 脑血流灌注断层显像在脑卒中偏瘫患者下肢强制性运动疗法疗效评价中的应用价值%Application of Regional Cerebral Blood Flow Tomography in Constraint-Induced Movement Therapy Appraisal among Hemiplegic Stroke Patients

    Institute of Scientific and Technical Information of China (English)

    李俊颖; 王文清; 刘长江; 刘艳伟; 李艳双; 薛莲

    2011-01-01

    Objective To observe the change of regional cerebral blood flow ( rCBF ) before and after constraint - induced movement therapy ( CIMT ) treatment and to probe the clinical values of cerebral blood flow tomography in constraint - induced movement therapy appraisal among hemiplegic stroke patients. Methods Nine qualified hemiplegic stroke patients were enrolled and underwent CIMT therapy for a period of six weeks. The ratio of radioactivity countof the ischemia focus area ( L ) and radioactivity count of the normal side ( N ) was applied for semi - quantitative analysis of rCBF, which was compared before and six weeks after treatment. At the same time, walking ability was assessed through maximum walking speed ( MWS ) before and six weeks after treatment. Results L/N ratios were different before treatment ( 0. 54 ± 0. 25 ) [ 95 % confidence interval ( 0. 45 , 0. 68 ) ] and after treatment ( 0. 98 ±0. 52 ) [ 95% confidence interval ( 0. 87, 1. 21 ) ] with statistical significance ( P < 0. 01 ). MWS raised from ( 17. 44 ± 10. 85 ) s/10 m before treatment to ( 10. 57 ±6. 91 ) s/10 m after treatment ( P <0. 01 ). Improvement of ischemia regional cerebral blood flow was consistent with that of walking ability. Conclusion Cerebral blood flow changes displayed by regional cerebral blood flow tomography may effectively evaluate therapeutic effects of CIMT.%目的 观察下肢强制性运动疗法(CIMT)治疗前后局部脑血流(rCBF) 灌注的变化,探索脑血流灌注断层显像在CIMT对脑卒中偏瘫患者下肢疗效评价中的应用价值.方法 选取符合入选标准的脑卒中偏瘫患者共9例,对所有患者进行为期6周的CIMT治疗,治疗前后分别进行脑血流灌注断层显像,rCBF灌注半定量分析应用缺血灶放射性计数(L)与对侧相应脑组织放射性计数(N)的比值(L/N)表示,对比治疗前后缺血脑组织的rCBF灌注变化情况.同时在治疗前和治疗6周后,用10 m最大步行速度(MWS)评

  10. 强制性运动康复训练对脑梗死大鼠神经功能及巢蛋白表达的影响%Effects of rehabilitation with constraint-induced movement therapy on neural function and nestin expression in rat cerebral infarction model

    Institute of Scientific and Technical Information of China (English)

    张璇; 张卓然; 段淑荣; 蒋莱; 范志新

    2015-01-01

    Objective:To investigate the effect of rehabilitation with constraint-induced movement therapy(CIMT) at different times on neural function and observe the expression of nestin after middle cerebral artery occlusion in rat model. Methods:One hundred and sixty healthy male SD rats were randomly divided into 4 groups:normal group,sham operation group,model group and treatment group. The rats in each group were divided into 5 subgroups by 6 h,12 h,24 h,48 h and 72 h,8 rats in each group. The rats in treatment group were treated with rehabilitation with CIMT, while the rats in other groups were treated with normal feeding. The success rate of neurologic impairment scores was analyzed and the expression of nestin in cortical ischaemic lesion was observed by immuno-histochemical technique after 14 days. Results:After cerebral infarction for 6 to 72 h,the rats in normal and sham operation groups were no nerve defect performance at each time point,but the scores of nerve function defect in treatment group were lower than the scores in model group(P0. 05);the positive cell number of nestin in normal and sham operation groups was significantly less than that in model and treatment groups after cerebral infarction for 6 to 72 h(P0. 05);and the positive cell number of nestin after cerebral infarction for 24 h was higher than that at other time points in treatment group(P0.05);正常组及假手术组大鼠脑梗死后6~72 h nestin阳性细胞数均明显少于模型组及治疗组(P0.05);治疗组内梗死后24 h nestin阳性细胞数均高于其他各时间点(P<0.05)。结论:强制性运动康复训练的最佳时机为脑梗死后24 h;其机制可能与增加脑梗死灶周围神经干细胞的增殖及分化有关。

  11. 电针联合强制性运动对脑缺血大鼠神经功能及GFAP表达的影响%Effects of electro-acupuncture combined with constraint-induced movement therapy on neural function and expression of GFAP after middle cerebral artery occlusion in rats

    Institute of Scientific and Technical Information of China (English)

    樊留博; 韩文胜; 章霞; 卢战; 田瑛; 王灵芝; 马利中

    2014-01-01

    目的 探讨脑缺血后电针联合强制性运动疗法促进神经功能恢复的作用及机制.方法 用线栓法建立MCAO模型,随机平均分为模型组、强制性运动(constraint-induced movement therapy,CIMT)组、电针组和电针联合强制性运动组,每组再随机平均分为5个亚组.同时设立假手术组,分别行相应治疗,并于相应时间点进行神经功能缺损评分,并采用免疫组织化学方法观察每个时间点脑梗死灶周围胶质纤维酸性蛋白(glial fibeillary ascid protein,GFAP)的表达.结果 造模后7、14、21、28 d时电针联合强制性运动组大鼠神经功能缺损评分明显降低,与模型组、CIMT组和电针组比较差异有统计学意义(P<0.01);在28 d和35 d时,CIMT组、电针组与模型组比较差异有统计学意义(P<0.05),在缺血后7d、14 d、21d和28 d时,电针联合强制性运动组GFAP表达量明显低于CIMT组和电针组(P<0.05).结论 电针联合强制性运动可抑制脑梗死灶周围GFAP的表达,改善大鼠神经功能,可能与缺血损伤神经元的再生和修复有关.

  12. The effects of constraint-induced movement therapy on early stage upper limb function recovery in patients with subacute stroke%强制性运动疗法对脑卒中亚急性早期偏瘫患者上肢功能恢复的影响

    Institute of Scientific and Technical Information of China (English)

    黄红红; 王凌星; 张泉香; 吴凌峰; 林若庭

    2014-01-01

    Objective To investigate the effects of constraint-induced movement therapy (CIMT) on the function of hemiplegic upper extremity in the early subacute stroke patients.Methods A prospective,single-blinded,randomized controlled study was conducted.Forty-seven stroke patients with hemiplegic upper limb dysfunction were randomly divided into 2 groups:a CIMT group and a control group.The CIMT group received constraintinduced movement therapy and the control group was treated with conventional rehabilitation therapy.Both groups were treated 3 h daily,5 d a week for 2 weeks.The Wolf motor function test (WMFT) and Fugl-Meyer Assessment (FMA) were used to evaluate upper extremity motor function,and motor activity log (MAL) was used to assess upper extremity ability in activities.WMFT,FMA and MAL were measured before and after 1 day and 6 months of treatment.Results After 1 day of treatment,FMA,WMFT,MAL-AU and MAL-HW were 53.81 ± 2.59,66.68 ± 3.54,1.89 ± 0.88 and 3.26 ± 0.65,respectively,in the CIMT group,and 48.61 ± 4.48,62.10 ± 7.97,1.25 ± 0.64 and 2.65 ± 0.93,respectively,in the control group.After 6 months of treatment,FMA,WMFT,MAL-AU and MAL-HW were 57.53 ±2.01,69.57 ± 3.00,3.00 ±0.82 and 3.84 ±0.69,respectively,in the CIMT group,and 53.30 ± 2.88,66.20 ±3.59,2.20 ± 1.06 and 3.25 ±0.64,respectively,in the control group.The scores of FMA,WMFT,MAL in the CIMT group were all higher than those in the control group at 1 day and 6 months post-treatment,and the differences were statistically significant (P < 0.05).Conclusion Constraint-induced movement therapy can significantly improve the patients' hand function in the early stage of subacute stroke,which maintain up to 6 months of follow-up.%目的 探讨强制性运动疗法(CIMT)对脑卒中亚急性早期偏瘫患者上肢功能恢复的影响.方法 采用随机数字表法将入选脑卒中偏瘫患者分为治疗组及对照组.治疗组患者给予2周CIMT治疗,每日连续治疗3h,每周治疗5d

  13. Movement disorders in GLUT1 deficiency syndrome respond to the modified Atkins diet

    NARCIS (Netherlands)

    Leen, W.G.; Mewasingh, L.; Verbeek, M.M.; Kamsteeg, E.J.; Warrenburg, B.P.C. van de; Willemsen, M.A.A.P.

    2013-01-01

    BACKGROUND: Movement disorders are a prominent feature of glucose transporter-1 (GLUT1) deficiency syndrome (GLUT1DS). First-choice treatment is a ketogenic diet, but compliance is poor. We have investigated the effect of the modified Atkins diet as an alternative treatment for movement disorders in

  14. Movement disorders in GLUT1 deficiency syndrome respond to the modified Atkins diet

    NARCIS (Netherlands)

    Leen, W.G.; Mewasingh, L.; Verbeek, M.M.; Kamsteeg, E.J.; Warrenburg, B.P.C. van de; Willemsen, M.A.A.P.

    2013-01-01

    BACKGROUND: Movement disorders are a prominent feature of glucose transporter-1 (GLUT1) deficiency syndrome (GLUT1DS). First-choice treatment is a ketogenic diet, but compliance is poor. We have investigated the effect of the modified Atkins diet as an alternative treatment for movement disorders in

  15. Joining Movement Sequences: Modified Dynamic Movement Primitives for Robotics Applications Exemplified on Handwriting

    DEFF Research Database (Denmark)

    Kulvicius, Tomas; Ning, K.; Tamosiunaite, M.

    2012-01-01

    The generation of complex movement patterns, in particular, in cases where one needs to smoothly and accurately join trajectories in a dynamic way, is an important problem in robotics. This paper presents a novel joining method that is based on the modification of the original dynamic movement...... to simulated handwriting generation, which are also shown on a robot, where an adaptive algorithm is used to learn trajectories from human demonstration. These results demonstrate that the new method is a feasible alternative for joining of movement sequences, which has a high potential for all robotics...

  16. Effect of Scalp Electroacupuncture and Constraint-induced Movement Therapy on Antiapoptosis in Rats with Stroke%头电针联合强制性运动对缺血脑卒中大鼠抗细胞凋亡调控机制研究

    Institute of Scientific and Technical Information of China (English)

    张立峰; 王丽岩; 李凌雁; 曾学清; 何颖; 戴红双

    2016-01-01

    Objective:To observe the effect of scalp electroacupuncture and constraint -induced movement therapy on anti apoptosis in rats with stroke .Methods:100 rats were divided into five groups : model group ( with no intervene ) , conventional treatment group ( with conventional treatment ) , scalp electroacupuncture group ( with scalp electroacupuncture treatment ) , CIMT group ( with CIMT treatment ) and comprehensive inter-vention group ( with scalp electroacupuncture and CIMT treatment ) ,and 20 rats were selected as normal control group.7 days later we tested nerve function and Bax ,Bcl-2,Bax/Bcl-2 and Caspase-3.Results:The Longa dropped significantly in the conventional rehabilitation group , scalp electroacupuncture group , CIMT group and comprehensive intervention group compared with the model group ,but there was no significant difference in the conventional treatment group ,the scalp electroacupuncture group and CIMT group .The Bax, Caspase -3 and Bax/Bcl-2 were increased and Bcl -2 was dropped significantly between the model group and the normal con-trol group;the Bax , Caspase-3 and Bax/Bcl-2 were dropped and Bcl -2 was increased significantly in the conventional rehabilitation group ,scalp electroacupuncture group ,CIMT group compared with the model group;the Bax,Bcl -2,Bax/Bcl -2 and Caspase -3 were changed significantly in the comprehensive intervention group(P<0.05),but there was no significant difference in the conventional treatment group ,the scalp electroa-cupuncture group and CIMT group .Conclusion:Conventional rehabilitation ,scalp electroacupuncture and CIMT can improve the antiapoptosis effect significantly ,but scalp electroacupuncture with constraint -induced move-ment therapy has the most obvious effect and has the best protective effect on cerebral apoplexy .%目的:观察头电针联合强制性运动对缺血性脑卒中大鼠脑组织Bax、Bcl -2、Bax/Bcl -2及Caspase-3蛋白表达的影响。方法:将SD大鼠100只随机分

  17. 强制性使用运动疗法对恢复期脑卒中患者上肢功能的影响%The effect of constraint-induced movement therapy on upper extremity function in recovering stroke patients

    Institute of Scientific and Technical Information of China (English)

    李奎; 胡昔权; 郑金利; 周利红; 谢丽君

    2008-01-01

    目的 探讨强制性使用运动疗法(CIMT)对恢复期脑卒中患者上肢功能和日常生活活动能力的影响.方法 将符合入选条件的30例恢复期脑卒中偏瘫患者随机分为观察组和对照组,每组15例.观察组用CIMT,即用休息位夹板和吊带将健侧上肢固定,限制使用,每天在清醒时的固定时间不少于90%;每天强制性训练患者使用偏瘫侧上肢6 h(其中1 h在作业治疗室进行任务指向性塑形训练,其它5 h在家属监督下使用患手),每周6 d,持续3周.对照组用神经发育疗法(NDT),每天在作业治疗室以运动再学习方案训练为主,训练患者使用偏瘫侧上肢1 h,每周6 d,持续3周.2组患者均同时予以常规药物治疗及其它康复治疗,治疗前、后采用Wolf运动功能评价量表(WMFT)评定偏瘫侧上肢运动功能,采用Barthel指数(BI)评定ADL能力.结果 治疗前2组患者WMFT评分和BI评分比较,差异无统计学意义(P>0.05);2组治疗前、后比较,偏瘫侧上肢运动功能和ADL能力均有提高,差异具有统计学意义(P<0.001);治疗后2组患者WMFT评分比较,观察组优于对照组,差异具有统计学意义(P<0.05),而BI评分比较,差异无统计学意义(P>0.05).结论 CIMT与NDT对恢复期脑卒中患者上肢功能都有促进作用,都可提高患者ADL能力,但CIMT对促进恢复期脑卒中患者的上肢功能优于NDT.%Objective To observe the effect of constraint-induced movement therapy(CIMT)on upper extremity function and the ADL performance of recovering stroke patients. Methods Thirty recovering stroke patients were recruited and randomly and evenly divided into intervention and control groups.The patients in the intervention group were trained using constraint-induced movement therapy(CIMT),in which their unaffected upper extremities were immobilized by a resting splint and an arm sling no less than 90% of the waking time every day.They were forced to use their affected upper extremities

  18. Effect of constraint-induced movement therapy on improving the activities of daily living among stroke patients%强制性运动疗法对提高脑卒中患者日常生活能力的疗效观察

    Institute of Scientific and Technical Information of China (English)

    章晓英; 左惠榕; 孙晓东; 钱开林

    2015-01-01

    Objective To observe the effect of constraint-induced movement therapy (CIMT) on improving the activities of daily living (ADL) among stroke patients.Methods Thirty stroke patients who were hospitalized in Haining Kanghua Hospital during May 2012 to May 2014 were selected. Fifteen patients took only routine rehabilitation therapy (control group), while the other 15 patients took routine rehabilitation therapy plus CIMT (experimental group). All treatment plans were made according to patients’ conditions and willingness, for which informed consent forms were signed. The control group received routine therapy including proprioceptive neuromuscular facilitation, joint moving training, gaittraining, and therapeutic cexercises, whereas the experimental group received CIMT in addition to routine therapy (which manily including limit of usage of healthy side and strengthening of activities of affected sides, the intensive training including eating training, washing training, putting on and off upper garment training, putting on and off trousers training, using the toilet training, transferring bed and chair training and up and down toilet stool training). Both groups received treatments for 4 weeks, after which Fugl-Meyer Assessment(FMA) was implemented to assess their motor function and functional independence measurement(FIM) was used to assess patients’ ADL. For measurement data, paired t test was used for in-group comparison and independent t test was used for between-group comparison. For enumeration data, χ² test was used for comparison.Results The difference of the FMA scores of the two groups of patients had no statistical meaning before treatments (t=1.76,P>0.05). The difference of their FMA scores still had no statistical meaning after two weeks of treatments (t=2.01,P>0.05). After 3 and 4 weeks of treatments the FMA scores of the experimental group were signiifcantly higher than the control group (64±22, 75±20 and 47±30, 55±28) and the difference had

  19. Influence of Constraint -induced Movement Therapy on the Early Neurologic Function of Hemiplegic Patients After ;Acute Stroke%强制性运动疗法对急性脑卒中后偏瘫患者早期神经功能的影响研究

    Institute of Scientific and Technical Information of China (English)

    焦俊杰; 郭洪亮; 刘丽杰; 何有娣; 袁俊亮; 胡文立

    2016-01-01

    目的:探讨强制性运动疗法对急性脑卒中后偏瘫患者早期神经功能的影响。方法选取于2011年8月—2014年2月在首都医科大学北京朝阳医院、北京英智康复医院进行诊治的急性脑卒中后偏瘫患者122例,采用随机数字表法分为治疗组与对照组各61例。对照组给予常规内科治疗和护理,治疗组在对照组干预的基础上给予强制性运动疗法干预,两组均干预3个月。于干预3个月后,采用脑卒中患者临床神经功能缺损程度评分标准中的临床疗效评定标准对两组患者进行临床疗效评价;于干预前和干预3个月后,采用美国国立卫生研究院卒中量表( NIHSS)对两组患者进行神经功能缺损程度评价,采用Fugl-Meyer运动功能评定量表( FMA)下肢部分对两组患者下肢分离运动功能进行评价,采用Holden步行功能分级量表( FAC)对两组患者步行功能进行评价。结果干预后治疗组的临床疗效优于对照组,差异有统计学意义( P﹤0.05)。干预前两组神经功能缺损程度评分比较,差异无统计学意义( P﹥0.05);干预后治疗组的神经功能缺损程度评分低于对照组,差异有统计学意义( P﹤0.05);干预后两组神经功能缺损程度评分均低于干预前,差异有统计学意义( P﹤0.05)。干预前两组运动与步行功能评分比较,差异无统计学意义(P﹥0.05);干预后治疗组的运动与步行功能评分高于对照组,差异有统计学意义(P﹤0.05);干预后两组运动与步行功能评分均高于干预前,差异有统计学意义( P﹤0.05)。结论强制性运动疗法在急性脑卒中后偏瘫患者中的应用能促进患者早期神经功能的恢复,提高患者的运动与步行能力,提高总体干预效果。%Objective To investigate the influence of constraint-induced movement therapy on the early neurological function of

  20. Constraint-induced therapy versus control intervention in patients with stroke: a functional magnetic resonance imaging study.

    Science.gov (United States)

    Lin, Keh-Chung; Chung, Hsin-Ying; Wu, Ching-Yi; Liu, Ho-Ling; Hsieh, Yu-Wei; Chen, I-Hsuan; Chen, Chia-Ling; Chuang, Li-Ling; Liu, Jung-Sen; Wai, Yau-Yau

    2010-03-01

    This study compared the effects of a distributed form of constraint-induced therapy with control intervention in motor recovery and brain reorganization after stroke. A two-group randomized controlled trial with pretreatment and posttreatment measures was conducted. Thirteen patients with stroke were randomly assigned to the distributed form of constraint-induced therapy (n = 5) or the control intervention group (n = 8). Outcome measures included the Fugl-Meyer Assessment, the Motor Activity Log, and functional magnetic resonance imaging examination. The number of activation voxels and laterality index were determined from the functional magnetic resonance imaging data for the study of brain reorganization. The distributed form of constraint-induced therapy group exhibited significantly greater improvements in the Fugl-Meyer Assessment and Motor Activity Log than the control intervention group. The functional magnetic resonance imaging data showed that distributed form of constraint-induced therapy significantly increased activation in the contralesional hemisphere during movement of the affected and unaffected hand. The control intervention group showed a decrease in primary sensorimotor cortex activation of the ipsilesional hemisphere during movement of the affected hand. The preliminary findings indicate that brain adaptation may be modulated by specific rehabilitation practices, although generalization of the functional magnetic resonance imaging findings is limited by sample size. Further research is needed to identify the specific neural correlates of the behavioral gains achieved after rehabilitation therapies.

  1. Movement disorders in GLUT1 deficiency syndrome respond to the modified Atkins diet.

    Science.gov (United States)

    Leen, Wilhelmina G; Mewasingh, Leena; Verbeek, Marcel M; Kamsteeg, Erik-Jan; van de Warrenburg, Bart P; Willemsen, Michel A

    2013-09-01

    Movement disorders are a prominent feature of glucose transporter-1 (GLUT1) deficiency syndrome (GLUT1DS). First-choice treatment is a ketogenic diet, but compliance is poor. We have investigated the effect of the modified Atkins diet as an alternative treatment for movement disorders in GLUT1DS. Four patients with GLUT1DS ages 15 to 30 years who had movement disorders as the most prominent feature were prospectively evaluated after initiation of the modified Atkins diet. Movement disorders included dystonia, ataxia, myoclonus, and spasticity, either continuous or paroxysmal, triggered by action or exercise. Duration of treatment ranged from 3 months to 16 months. All patients reached mild to moderate ketosis and experienced remarkable improvement in the frequency and severity of paroxysmal movement disorders. Cognitive function also improved subjectively. The modified Atkins diet is an effective and feasible alternative to the ketogenic diet for the treatment of GLUT1DS-related paroxysmal movement disorders in adolescence and adulthood. © 2013 International Parkinson and Movement Disorder Society.

  2. Home-based constraint induced movement therapy (CIMT)on recovery of upper limb function in chil-dren with hemiplegic cerebral palsy%家庭康复运用CIMT对偏瘫型脑性瘫痪患儿上肢功能恢复的影响

    Institute of Scientific and Technical Information of China (English)

    李文立; 何小英; 徐开寿

    2014-01-01

    Object To observe the effect of home-based constraint-induced movement therapy (CI-MT) on upper limb function in children with hemiplegic cerebral palsy. Method Sixty-two patients with hemiplegic cerebral palsy were divided into CIMT group and control group. Both groups were treated with com-mon rehabilitation training,with an extra CIMT training in the former group. The effects were evaluated and compared with fugl-meyer assessment-upper extremity (FMA-UE ),motor assessment scale-upper extremity (MAS-UE),upper extremity function test (UEFT),barthel index were applied to evaluate upper limb func-tion and activity of daily living in two groups before and after treatment. Results After 1 0 weeks of treatment, the scores of FMA-UE,MAS-UE,UEFT and Barthel index of both groups were improved obviously (P<0.05 ). The treatment effect of CIMT group was significantly better than that of the control group (FMA-UE:31.44 ±1 2.26 vs. 25.52 ±1 0.71;MAS-UE:5.96 ±4.50 vs. 3.65 ±4.48;UEFT:53.35 ±5.43 vs.42.44 ±2.10;Barthel index:59.48 ±5.45 vs. 56.41 ±4.75)(P<0.05). Conclusion CIMT is helpful to improve the upper limb function of children with hemiplegic cerebral palsy.%目的:探讨家庭康复中运用强制性诱导运动疗法(CIMT)对偏瘫型脑瘫患儿上肢功能恢复的影响。方法将偏瘫型脑瘫患儿62例分为CIMT组与对照组,两组均接受普通康复训练, CIMT组在此基础上还接受CIMT治疗。采用以下量表对治疗疗效进行评定并比较两组结果,包括Fugl-Meyer运动功能评定量表(FMA)上肢部分(FMA-UE)、运动功能评估量表(MAS)上肢部分(MAS-UE)、Carroll上肢功能试验(UEFT)及日常生活活动能力(ADL)量表(Barthel指数)。结果治疗10周后,两组的 FMA-UE、MAS-UE、UEFT 评分及 Barthel 指数均较治疗前提高(P均<0.05),且CIMT组疗效优于对照组(FMA-UE:31.44±12.26 vs.25.52±10.71;MAS-UE:5.96±4.50 vs.3.65±4.48;UEFT:53.35

  3. 电针联合强制性运动对脑缺血大鼠神经功能及GAP-43表达的影响%Effects of Electroacupuncture and Constraint-Induced Movement Therapy on Neural Function and Expression of Growth-Associated Protein-43 after Middle Cerebral Artery Occlusion in Rats

    Institute of Scientific and Technical Information of China (English)

    樊留博; 章霞; 卢战; 马利中; 田瑛; 王灵芝

    2015-01-01

    目的:探讨电针联合强制性运动对局灶性脑缺血大鼠的不同时间点神经功能评分及灶周生长相关蛋白-43(growth associated protein,GAP-43)表达的影响.方法:将200只SD雄性大鼠按完全随机分组法分为假手术组、模型组、强制性运动(constraint-induced movement therapy,CIMT)组、电针组和电针联合强制性运动组各40只,每组随机分为7d、14 d、21 d、28 d和35 d5个亚组,每个亚组各8只大鼠.采用线栓法制作大脑中动脉阻塞(middle cerebral artery occlusion,MCAO)局灶性脑缺血模型,造模24 h后模型组和正常组动物自然饲养,不作特殊处理,其他组行相应治疗,分别于相应天数进行神经功能缺损评分,随后取脑采用免疫组织化学方法观察每个时间点脑梗死灶周围GAP-43的表达.结果:造模后各时间点电针联合强制性运动组大鼠神经功能缺损评分明显低于模型组、CIMT组和电针组(P<0.01);与模型组比较,CIMT组、电针组在28 d和35 d神经功能缺损评分减低(P<0.05),CIMT组在造模后35 d与电针组神经功能缺损评分比较无统计学差异(P>0.05).电针联合强制性运动组与模型组进行比较,在14、21、28 d时能够显著上调GAP-43表达(P<0.05),且强于CIMT组和电针组(P<0.05);在35 d缺血区周围GAP-43表达增加,但CIMT组和电针组比较无显著性差异(P>0.05).结论:电针联合强制性运动可促进脑梗死灶周围GAP-43的表达,改善大鼠神经功能,可能与缺血损伤神经元的再生和修复有关.

  4. 音乐结合强制性使用运动疗法治疗脑梗塞上肢运动障碍疗效观察%Efficacy Observation on Music Therapy Combined with Constraint-Induced Movement Therapy for Upper Extremity Dyskinesia after Cerebral Infarction

    Institute of Scientific and Technical Information of China (English)

    王飞; 王建华; 张丽娟; 谢立娟; 史艳

    2014-01-01

    目的:探讨音乐疗法结合强制性使用运动疗法治疗脑梗塞上肢运动功能障碍的疗效及机理。方法:将120例脑梗塞亚急性期上肢功能障碍患者随机分为观察组(50例)和对照组(50例),两组患者在入院后均接受常规康复训练及内科治疗;2周后,对照组在常规康复训练、治疗基础上给予强制性使用运动疗法治疗,观察组则给予音乐疗法结合强制性使用运动疗法,干预14天后观察两组患者上肢动作研究量表(ARAT)评分、Fugl-Meyer量表(FMA)评分、汉密尔顿焦虑量表(HAMA)评分的改善情况。结果:干预14天后,观察组ARAT评分、FMA评分均显著高于对照组(P<0.01),HAMA评分显著低于对照组(P<0.01)。结论:音乐结合强制性使用运动疗法可有效改善脑梗塞亚急性期上肢功能障碍及焦虑状态,值得临床推广应用。%Objective:To investigate the efficacy and mechanism of music therapy combined with constraint-induced movement therapy (CIMT) for upper extremity dyskinesia after cerebral infarction. Methods:120 cases of patients with upper extremity dyskinesia at sub-acute phase of cerebral in-farction were randomly divided into observation group (50 cases) and control group (50 cases), both groups were received conventional rehabilitation training and medical treatment after hospitalization;2 weeks later, on the basis of conventional rehabilitation training and medical treatment, the con-trol group treated by CIMT, while the observation group by music therapy combined with CIMT, then observed the improvement of ARAT, FMA and HAMA scores of two groups after 14 days. Results:After 14 days' intervention, the ARAT and FMA scores of observation group were both signifi-cantly higher than those of control group (P<0.01), while HAMA score was significantly lower than that of control group (P<0.01). Conclusion:Mu-sic therapy combined with CIMT can effectively improve upper

  5. Modifying the Functional Movement Screen Deep Squat Test: The Effect of Foot and Arm Positional Variations.

    Science.gov (United States)

    McMillian, Danny J; Rynders, Zach G; Trudeau, Tyler R

    2016-04-01

    The functional movement screen (FMS) was developed as an evaluation tool for assessing the fundamental movement patterns believed to be prerequisites for functional activity. However, some of the FMS component movements, such as the deep overhead squat test (DST), likely represent novel motor challenges on which poor performance might reflect inexperience with the task rather than a movement impairment. The purpose of this study was to examine the effects of positional variations on DST scores in a population of young, healthy adults. We hypothesized that self-selecting foot positioning, removal of an overhead component, or changing both aspects of the DST would result in improvement in FMS scores. Twenty healthy subjects completed 4 squatting conditions in a counterbalanced sequence to eliminate carry over effects: DST, modified squat with hands at chest level and feet in the DST position (DSTO), modified squat with arms in the DST position and self-selected foot placement (DSTF), and modified squat with hands at chest level and self-selected foot placement (DSTB). A Friedman's analysis of variance and Wilcoxon signed-ranks' post hoc analysis revealed a significant difference between all squat conditions (p = 0.036), between DSTB-DST groups (p DST groups (p = 0.004), and DSTO-DSTB groups (p = 0.046). Each modified squat condition had an average score higher than the DST. These findings suggest that the FMS DST might underestimate an individual's ability to squat during functional tasks that involve self-selected foot and arm placement.

  6. Monitoring pig movement at the slaughterhouse using optical flow and modified angular histograms

    DEFF Research Database (Denmark)

    Gronskyte, Ruta; Clemmensen, Line Katrine Harder; Hviid, Marchen Sonja

    2016-01-01

    use the OF vectors to describe points of movement on all pigs and thereby analyse the herd movement. Subsequently, the OF vectors are used to identify abnormal movements of individual pigs. The OF vectors, obtained from the pigs, point in multiple directions rather than in one movement direction....... To accommodate the multiple directions of the OF vectors, we propose to quantify OF using a summation of the vectors into bins according to their angles, which we call modified angular histograms. Sequential feature selection is used to select angle ranges, which identify pigs that are moving abnormally...... in the herd. The vector lengths from the selected angle ranges are compared to the corresponding median, 25th and 75th percentiles from a training set, which contains only normally moving pigs. We show that the method is capable of locating stationary pigs in the recordings regardless of the number of pigs...

  7. The effects of constraint-induced movement therapy on expression of tyrosine hydroxylase and glial cell derived neurotrophic factor in Parkinson's disease model rats%强制性运动训练对帕金森病大鼠酪氨酸羟化酶及胶质细胞源性神经营养因子表达的影响

    Institute of Scientific and Technical Information of China (English)

    黄月; 张善锋; 任秀花; 张杰文

    2012-01-01

    Objective To explore the effects of constraint-induced movement therapy (CIMT) on the expression of tyrosine hydroxylase (TH) and glial cell derived neurotrophic factor (GDNF) in Parkinson's disease (PD) model rats. Methods PD models were established by microinjection of 6-hydroxydopamine (6-OHDA) solution into substantia nigra of rats' right cerebral hemisphere.Forty-two model rats were divided randomly into an exercise group and a control group 1 week after microinjection.The exercise group rats were forced to use their impaired limbs by placing their nonimpaired fore-limbs in casts.The control group rats were housed in the same environment without any special treatment.Two weeks after 6-OHDA infusion and exercise training,the behavioral changes of rats were examined after intraperitoneal injection apomorphine ( APO).The content of dopamine (DA) and dihydroxyphenylacetic acid (DOPAC) was measured by high performance liquid chromatography with electrochemistry ( HPLAEC) ; the expressions of TH and GDNF in striatum were detected by immunohistochemical methods and TH,GDNF mRNA were detected by reverse transcription-polymerase chain reaction (RT-PCR). Results After 2 weeks of training,the rotating laps of the rats in exercise group within 30 min after APO induction,reduced to a significantly greater extent when compared to the control group (P < 0.05).The content of DA and it's metabolites DOPAC in striatum homogenate was significantly higher in exercise group than that in the control group ( P < 0.05 ),and the expression levels,of TH and GDNF protein/ mRNA were also significantly higher in the exercise group than those in control group ( P < 0.05 ). Conclusions CIMT can improve the behavioral performance of PD rats,probably through promoting the expressions of TH and GDNF protein/mRNA in striatum,and increasing DA and it's metabolites DOPAC level.%目的 观察强制性运动训练对帕金森病(PD)模型大鼠酪氨酸羟化酶(TH)及胶质细胞源性神

  8. Effect of shaping in constraint-induced movement therapy on motor function of upper extremity in chronic stroke patients%强制性使用运动疗法塑形技术对恢复期脑卒中上肢运动功能的康复作用

    Institute of Scientific and Technical Information of China (English)

    李贞兰; 刘福迁; 李贺

    2012-01-01

    objective: To explore the rehabilitation effect of shaping in constraint-induced movement therapy (CIMT) on motor function of upper extremity (UE) in chronic stroke patients.Method: Thirty chronic stroke patients, randomly divided into 3 groups: CIMT group(CI group), shaping group and occupational therapy group(OT group), 10 cases in each. CI group were treated with shaping(BT) + behavior technique+restraining in clinic and home; shaping group were treated with shaping+restraining in clinic; OT group were treated with OT + restraining in clinic. All groups were treated 3h/d, 5d/week 2weeks. Wolf motor function test (WMFT) was used to assess UE motor function, and motor activity log (MAL) was used to assess UE ability in activities of daily living(ADL). WMFT were measured pre-and post-treatment. MAL were measured pre-treat-ment and post-treatment 1 day, post-treatment 6 months and 12 months.Result: In all groups MAL improved post-treatment 1 day compared to pre-treatment(P 0.05) Within groups,CI group showed significant improvement of AL compared to shaping group and OT group (P 0.05). There was no improvement of WMFT in all groups pre- and post-treatment (P > 0.05). Conclusion: Efficacy of shaping is similar to that of OT on UE motor ability, but CIMT can improve motor ability of UE significantly and can keep the effect until post-treatment 12 months by shaping applied with BT together. The rehabilitation effect of BT in treatments for stroke patients should be emphasized.%目的:探讨强制性使用运动疗法塑形技术对恢复期脑卒中偏瘫上肢运动功能的影响.方法:恢复期脑卒中上肢运动功能障碍患者30例,随机分为3组:强制性使用运动疗法组(CIMT组)10例,塑形组10例,作业疗法组(OT组)10例.CIMT组采用塑形技术+行为技术+限制技术;塑形组采用塑形技术+限制技术;OT组采用作业疗法+限制技术.所有组连续康复治疗3h/d,5d/周,共2周.采用运动功能活动指数(MAL)评定患

  9. Effect of selective lumbosacral posterior rhizotomy combined with constraint-induced movement therapy on limb function and serological indexes in patients with cerebral palsy%选择性脊神经后根切断术配合强制性诱导运动训练对脑性瘫痪患儿肢体功能及血清学指标的影响

    Institute of Scientific and Technical Information of China (English)

    陈章明; 周孙章

    2015-01-01

    Objective To analyze the effect of selective lumbosacral posterior rhizotomy combined with con-straint-induced movement therapy on limb function and serological indexes in patients with cerebral palsy. Methods Sev-enty-six children with cerebral palsy in our hospital were selected as research objects, which were randomly divided in-to control group (conventional treatment) and observation group (selective lumbosacral posterior rhizotomy combined with constraint-induced movement therapy), each with 38 cases. Physical function, serum TORCH antibody levels, se-rum NSE and inflammatory factor levels were compared between the two groups. Results (1) After treatment, the pa-tients' CSI score in the observation group was significantly lower than that in the control group, and GMFM score and walking speed were significantly greater (P<0.05);(2) Patients' CMV-IgM, TOX-IgM, HSV2 IgM, RV IgM levels af-ter treatment in the observation group were significantly lower than those in the control group (P<0.05);(3) After treat-ment, patients' serum NSE, IFN-γlevels in the observation group were significantly lower than those in the control group, while IL-4 level was significantly higher (P<0.05). Conclusion Selective lumbosacral posterior rhizotomy combined with constraint-induced movement therapy could improve limb motor ability of children with cerebral palsy, reduce TORCH antibody levels, and balance secretion of cytokines.%目的:分析腰骶部选择性脊神经后根切断术配合强制性诱导运动训练对脑性瘫痪患儿肢体功能以及血清学指标的影响。方法选择在本院接受住院治疗的脑性瘫痪患儿76例作为研究对象,随机分为接受常规治疗的对照组和接受腰骶部选择性脊神经后根切断术配合强制性诱导运动训练的观察组,每组各38例。比较两组患儿的肢体功能、血清TORCH抗体水平、血清神经元特异性烯醇化酶及炎症因子水平等差异。结果(1)观察组患者接受

  10. COMBIT: protocol of a randomised comparison trial of COMbined modified constraint induced movement therapy and bimanual intensive training with distributed model of standard upper limb rehabilitation in children with congenital hemiplegia

    National Research Council Canada - National Science Library

    Boyd, Roslyn N; Ziviani, Jenny; Sakzewski, Leanne; Miller, Laura; Bowden, Joanne; Cunnington, Ross; Ware, Robert; Guzzetta, Andrea; Al Macdonell, Richard; Jackson, Graeme D; Abbott, David F; Rose, Stephen

    2013-01-01

    Children with congenital hemiplegia often present with limitations in using their impaired upper limb which impacts on independence in activities of daily living, societal participation and quality of life...

  11. Effect of therapist-based constraint-induced therapy at home on motor control, motor performance and daily function in children with cerebral palsy: a randomized controlled study.

    Science.gov (United States)

    Chen, Chia-ling; Kang, Lin-ju; Hong, Wei-Hsien; Chen, Fei-Chuan; Chen, Hsieh-Ching; Wu, Ching-yi

    2013-03-01

    To determine the effect of therapist-based constraint-induced therapy at home on motor performance, daily function and reaching control for children with cerebral palsy. A single-blinded, randomized controlled trial. Forty-seven children (23 boys; 24 girls) with unilateral cerebral palsy, aged 6-12 years, were randomized to constraint-induced therapy (n = 24) or traditional rehabilitation (n = 23). Constraint-induced therapy involved intensive functional training of the more affected arm while the less affected arm was restrained. Traditional rehabilitation involved functional unilateral and bilateral arm training. Both groups received individualized therapist-based interventions at home for 3.5-4 hours/day, two days a week for four weeks. Motor performance and daily function were measured by the Peabody Developmental Motor Scale, Second Edition and the Pediatric Motor Activity Log. Reaching control was assessed by the kinematics of reaction time, movement time, movement unit and peak velocity. There were larger effects in favour of constraint-induced therapy on motor performance, daily function, and some aspects of reaching control compared with traditional rehabilitation. Children receiving constraint-induced therapy demonstrated higher scores for Peabody Developmental Motor Scale, Second Edition - Grasping (pretest mean ± SD, 39.9 ± 3.1; posttest, 44.1 ± 2.8; P Motor Activity Log (pretest, 1.8 ± 0.3; posttest, 2.5 ± 0.3; P control of reaching in children with unilateral cerebral palsy than traditional rehabilitation.

  12. 强制性运动疗法及“白脉散”有效成分组对实验性MCAO/R模型神经血管单元细胞凋亡的影响及机制研究%Mechanisms of Constraint -induced Movement Therapy and Effective Compounds Group of Baimai Powder on the Apoptosis Cells of Neurovascular Unit on Experimental MCAO/R Model

    Institute of Scientific and Technical Information of China (English)

    方亮; 刘庆山; 王维群; 段云霞; 陈小玉; 张梓倩

    2012-01-01

    目的:研究强制性运动疗法、“白脉散”抗脑缺血有效成分纽及二者联用对大鼠脑缺血再灌注损伤的保护作用及相关机制。方法:75只雄性SD大鼠随机分为假手术组(Sham)、模型组(MCAO/R)、银杏叶提取物组(EGB)、强制性运动疗法组(CIMT)、“白脉散”有效成分组(ECG),强制性运动疗法+“白脉散”有效成分组(CIMT+ECG),每组7只。采用线栓法制作大鼠大脑中动脉闭塞再灌注模型,缺血2h再灌注24h后进行神经功能评分,然后ECG组及cIMT+ECG组以155mg/kg/d灌胃,EGB组以5.6mg/kg/d灌胃,其余组灌胃等体积的溶媒,同时CIMT组及CIMT+ECG组建立运动疗法模型,每天1次,连续7天。利用免疫组化法观察神经血管单元(NVU)细胞中Bcl-2、Caspase-3蛋白表达的情况,运用原位末端标记(TUNEL)法计数NVU凋亡细胞。结果:CIMT与“白脉散”ECG单独或联合应用可显著改善模型大鼠神经功能评分、抑制NVU细胞凋亡、增加Bcl-2蛋白的表达,降低Caspase-3蛋白的表达。结论:CIMT及“白脉散”ECG可保护MCAO/R模型大鼠神经功能,其机制可能与其抗NVU细胞凋亡,调节凋亡调控因子蛋白表达有关,且二者联用比二者单用具有更佳的保护效果。%Objective: To study the neuroprotective effects and related mechanisms of constraint -induced movement therapy( CI- MT), effective compounds group (ECG) of "Baimai Powder" and combination of the two on cerebral ischemia- reperfusion inju- ry in rats. Method: 75 adult Sprague Dawley rats were randomly divided into 6 groups: sham- operated group (Sham), middle cerebral artery occlusion/reperfusion group( MCAO/R), extract of Ginkgo Biloba group (EGB), constraint - induced movement therapy group (CIMT) ," Baimai Powder" ECG group (ECG), constraint -induced movement therapy + "Baimai Powder" ECG

  13. Younger Children with Cerebral Palsy Respond Better Than Older Ones to Therapist-Based Constraint-Induced Therapy at Home on Functional Outcomes and Motor Control.

    Science.gov (United States)

    Chen, Hsieh-ching; Kang, Lin-ju; Chen, Chia-ling; Lin, Keh-chung; Chen, Fei-chuan; Wu, Katie P H

    2016-01-01

    To examine the differences in efficacy of home-based constraint-induced therapy (CIT) on functional outcomes and motor control in two age groups of children with cerebral palsy (CP). Twenty-three children with spastic unilateral CP receiving 4-week home-based CIT by a therapist were divided into younger (6-8 years; n = 11) and older (9-12 years; n = 12) groups. The home-based CIT involved intensive functional training of the more affected upper-limb while restraining the less affected upper-limb. The outcome measures were Peabody Developmental Motor Scale-2nd edition (PDMS-2) that was being used in a modified way, Functional Independence Measure for Children (WeeFIM), and reach-to-grasp kinematic parameters, including reaction time (RT), normalized movement time (MT), normalized movement units (MUs), peak velocity (PV), and maximum grip aperture (MGA). The outcome measures were assessed at baseline, 4-weeks (post-treatment), 3- and 6-months (follow-up). The younger group showed greater changes in visual motor integration skills and RT at all post-tests after intervention than the older group. Groups had comparable changes on any other measures. Younger children with CP responded better to home-based CIT on some areas of upper-limb functions and reach-to-grasp motor control strategies than older children.

  14. Comparison of segmental spinal movement control in adolescents with and without idiopathic scoliosis using modified pressure biofeedback unit.

    Science.gov (United States)

    Luo, Hong-Ji; Lin, Shi-Xiang; Wu, Shyi-Kuen; Tsai, Mei-Wun; Lee, Shwn-Jen

    2017-01-01

    Postural rehabilitation emphasizing on motor control training of segmental spinal movements has been proposed to effectively reduce the scoliotic spinal deformities in adolescent idiopathic scoliosis (AIS). However, information regarding the impairments of segmental spinal movement control involving segmental spinal stabilizers in adolescent idiopathic scoliosis remains limited. Examination of segmental spinal movement control may provide a window for investigating the features of impaired movement control specific to spinal segments that may assist in the development of physiotherapeutic management of AIS. To compare segmental spinal movement control in adolescents with and without idiopathic scoliosis using modified pressure biofeedback unit. Segmental spinal movement control was assessed in twenty adolescents with idiopathic scoliosis (AISG) and twenty healthy adolescents (CG) using a modified pressure biofeedback unit. Participants performed segmental spinal movements that primarily involved segmental spinal stabilizing muscles with graded and sustained muscle contraction against/off a pressure cuff from baseline to target pressures and then maintained for 1 min. Pressure data during the 1-minute maintenance phase were collected for further analysis. Pressure deviation were calculated and compared between groups. The AISG had significantly greater pressure deviations for all segmental spinal movements of cervical, thoracic, and lumbar spine than the CG. Pressure biofeedback unit was feasible for assessing segmental spinal movement control in AIS. AISG exhibited poorer ability to grade and sustain muscle activities for local movements of cervical, thoracic, and lumbar spine, suggesting motor control training of segmental spinal movements involving segmental spinal stabilizing muscles on frontal, sagittal, and transverse planes were required.

  15. Automated fetal cardiac valve movement detection for modified myocardial performance index calculation.

    Science.gov (United States)

    Wang, Jingjing; Henry, Amanda; Welsh, Alec W; Redmond, Stephen J

    2014-01-01

    The Modified Myocardial Performance Index (Mod-MPI) is becoming an important index in fetal cardiac function evaluation. However, the current method for Mod-MPI calculation can be time-consuming and demonstrates poor inter-operator repeatability. This paper presents an automated method for detecting the opening and closing events of fetal cardiac valves with the aim of automating the Mod-MPI calculation. Fifty-four Doppler ultrasound images, showing blood inflow and outflow for the left ventricle, are analyzed to attempt to automatically detect the timings of a total of 905 opening and closing events for both aortic and mitral valves. Timings are found according to the morphological characteristics of waveforms as well as intensity information of images. The proposed method can detect the four valve movement events with high sensitivity (95.60-98.64%) and precision (96.85-100.00%). Results are verified by comparison with manual annotation of same images from an expert.

  16. Comparison of segmental spinal movement control in adolescents with and without idiopathic scoliosis using modified pressure biofeedback unit

    Science.gov (United States)

    Wu, Shyi-Kuen; Tsai, Mei-Wun; Lee, Shwn-Jen

    2017-01-01

    Background Postural rehabilitation emphasizing on motor control training of segmental spinal movements has been proposed to effectively reduce the scoliotic spinal deformities in adolescent idiopathic scoliosis (AIS). However, information regarding the impairments of segmental spinal movement control involving segmental spinal stabilizers in adolescent idiopathic scoliosis remains limited. Examination of segmental spinal movement control may provide a window for investigating the features of impaired movement control specific to spinal segments that may assist in the development of physiotherapeutic management of AIS. Objectives To compare segmental spinal movement control in adolescents with and without idiopathic scoliosis using modified pressure biofeedback unit. Methods Segmental spinal movement control was assessed in twenty adolescents with idiopathic scoliosis (AISG) and twenty healthy adolescents (CG) using a modified pressure biofeedback unit. Participants performed segmental spinal movements that primarily involved segmental spinal stabilizing muscles with graded and sustained muscle contraction against/off a pressure cuff from baseline to target pressures and then maintained for 1 min. Pressure data during the 1-minute maintenance phase were collected for further analysis. Pressure deviation were calculated and compared between groups. Results The AISG had significantly greater pressure deviations for all segmental spinal movements of cervical, thoracic, and lumbar spine than the CG. Conclusion Pressure biofeedback unit was feasible for assessing segmental spinal movement control in AIS. AISG exhibited poorer ability to grade and sustain muscle activities for local movements of cervical, thoracic, and lumbar spine, suggesting motor control training of segmental spinal movements involving segmental spinal stabilizing muscles on frontal, sagittal, and transverse planes were required. PMID:28753636

  17. Effects of constraint-induced movement therapy as a rehabilitation strategy for the affected upper limb of children with hemiparesis: systematic review of the literature Efeitos da terapia de movimento induzido por restrição como estratégia de reabilitação do membro superior acometido de crianças hemiparéticas: revisão sistemática da literatura

    Directory of Open Access Journals (Sweden)

    LR Nascimento

    2009-04-01

    Full Text Available BACKGROUND: Hand function impairment is the main disability among children with hemiplegic cerebral palsy. They start to perform most motor tasks exclusively with their unaffected upper limb, thereby causing a phenomenon described as learned nonuse. To minimize this phenomenon, constraint-induced movement therapy (CIMT is emerging as a rehabilitation strategy for improving the functional use of the affected upper limb. OBJECTIVE: The aim of this study was to conduct a systematic review of the literature on the effects of CIMT among children with hemiparetic cerebral palsy. METHOD: This was a systematic review of the literature using randomized clinical trials to analyze the effects of CIMT on the functional performance of the affected upper limb among children with hemiparesis. RESULTS:Five studies fulfilled the inclusion criteria, and the methodological quality ranged from 2 to 6 (4.4±1.36, according to the PEDro scale. The studies included involved a total of 99 individuals who showed that CIMT had positive effects, compared with other rehabilitation strategies or no therapy. However, there was considerable variation between the studies regarding the measurement instruments used and the outcomes evaluated. CONCLUSION: Although the studies achieved positive results, it is difficult to draw any clear-cut conclusion regarding the effectiveness of CIMT because of the small number of studies and their methodological differences.CONTEXTUALIZAÇÃO: A deficiência de função manual é a principal incapacidade em crianças com paralisia cerebral do tipo hemiplégica, as quais passam a realizar a maioria das tarefas motoras exclusivamente com o membro superior não acometido, determinando um fenômeno descrito como desuso aprendido. Para minimizar esse fenômeno, a terapia de movimento induzido por restrição (TMIR emerge como estratégia de reabilitação para melhorar o uso funcional do membro superior acometido. OBJETIVO:O propósito desse estudo

  18. A modified mobilization-with-movement to treat a lateral ankle sprain.

    Science.gov (United States)

    Mau, Heather; Baker, Russell T

    2014-08-01

    Lateral ankle sprains (LAS) are common in sports medicine and can result in a high rate of re-injury and chronic ankle instability (CAI). Recent evidence supports the use on mobilizations directed at the ankle in patients who have suffered a LAS. The Mulligan Concept of Mobilization-with-Movement (MWM) provides an intervention strategy for LASs, but requires pain-free mobilization application and little literature exists on modifications of these techniques. To present the use of a modified MWM to treat LASs when the traditional MWM technique could not be performed due to patient reported pain and to assess outcomes of the treatment. The subject of this case report is a 23 year-old female collegiate basketball player who had failed to respond to initial conservative treatments after being diagnosed with a lateral ankle sprain. The initial management and subsequent interventions are presented. After re-examination, the addition of a modification of a MWM technique produced immediate and clinically significant changes in patient symptoms. The use of the modified-MWM resulted in full resolution of symptoms and a rapid return to full athletic participation. After the initial application of the modified-MWM, the patient reported immediate pain-free ankle motion and ambulation. Following a total of 5 treatments, using only the modified MWM and taping technique, the patient was discharged with equal range of motion (ROM) bilaterally, a decreased Disablement in the Physically Active (DPA) Scale score, and an asymptomatic physical exam. Follow-up exam 6 weeks later indicated a full maintenance of these results. Recent evidence has been presented to support the use of mobilization techniques to treat patient limitations following ankle injury; however, the majority of evidence is associated with addressing the talar and dorsiflexion limitations. Currently, little evidence is available regarding the use of the MWM technique designed for LASs and the expected outcomes. This

  19. Comparison of rate of maxillary canine movement with or without modified corticotomy facilitated orthodontic treatment: A prospective clinical trial

    Directory of Open Access Journals (Sweden)

    Harshal N Suryavanshi

    2015-01-01

    Full Text Available Background and Objectives: The average orthodontic treatment time for extraction therapy is 31 months. One of the main disadvantages of orthodontic treatment is time. Alveolar corticotomies have been used in conjunction with orthodontics to reduce the treatment time by increasing the rate of tooth movement. Concerns about the possible risks of corticotomy procedure have led to the modification of this technique. Germeη et al. reported a case treated by their modified corticotomy technique and noted reduced treatment time without any adverse effects on the periodontium and the vitality of teeth with their new conservative corticotomy technique. This study was undertaken to clinically evaluate the efficacy of the aforesaid technique. Materials and Methods: A split-mouth study design was carried out to compare the rate of maxillary canine movement with and without modified corticotomy facilitated orthodontic treatment in 10 patients requiring maxillary first premolar extractions. The modified corticotomy procedure was performed on the maxillary arch unilaterally. The upper arch was immediately activated bilaterally after surgical procedure using equal orthodontic forces for retraction of the maxillary canines. The amount of tooth movement was recorded at an interval of every month till the completion of canine retraction. The rate of canine movement on experimental and control site was compared. The patients were followed for 6 months to check the occurrence of undesired effects such as root resorption, periodontal damage and loss of vitality of teeth on the experimental side. Results: Higher mean velocity was observed in canines with modified corticotomy facilitated retraction compared to conventionally retracted canines; with the difference in mean velocity between the two groups was found to be clinically significant as well as statistically significant (P < 0.001. Interpretation and Conclusion: The results suggested that modified corticotomy

  20. Musculoskeletal Simulation for Assessment of Effect of Movement-Based Structure-Modifying Treatment Strategies

    Directory of Open Access Journals (Sweden)

    Tien Tuan Dao

    2015-01-01

    Full Text Available The better understanding of the complex mechanism between neural motor control and its resulting joint kinematics and muscle forces allows a better elucidation of the mechanisms behind body growth, aging progression, and disease development. This study aimed at investigating the impact of movement-based structure-modifying treatment strategies on joint kinematics, muscle forces, and muscle synergies of the gait with instrumented implant. A patient-specific musculoskeletal model was used to quantitatively assess the deviations of joint and muscle behaviors between the normal gait and 4 gait modifications (bouncy, medial thrust, midcrouch, and mtp (i.e., gait with forefoot strike. Moreover, muscle synergy analysis was performed using EMG-based nonnegative matrix factorization. Large variation of 19 degrees and 190 N was found for knee flexion/extension and lower limb muscle forces, respectively. EMG-based muscle synergy analysis revealed that the activation levels of the vastus lateralis and tibialis anterior are dominant for the midcrouch gait. In addition, an important contribution of semimembranosus to the medial thrust and midcrouch gaits was also observed. In fact, such useful information could allow a better understanding of the joint function and muscle synergy strategies leading to deeper knowledge of joint and muscle mechanisms related to neural voluntary motor commands.

  1. Transboundary Movements of Genetically Modified Organisms and the Cartagena Protocol: Key Issues and Concerns

    Directory of Open Access Journals (Sweden)

    Odile J Lim Tung

    2014-12-01

    Full Text Available Biotechnology or the engineering of the genetic material of species can give way to avenues of possibilities for the benefit of people, fauna and flora but also has the potential of posing untold and undiscovered threats to human beings and other living organisms. One of the first attempts to legislate on international rules on biotechnology can be traced back to article 19 of the Convention on Biological Diversity (CBD in 1992. The CBD is indeed the first international legal instrument apart from the then European Community’s relevant directives to suggest that biotechnology is a matter of concern for the international community while providing a basis upon which more detailed procedures would be elaborated in the field of biosafety. While the CBD includes international rules on access to genetic resources, access to and the transfer of technology, the handling of biotechnology and the distribution of its benefits, it does not include a detailed regulation on genetically modified organisms (GMOs and their possible adverse effects on the environment, human and animal health. It was only with the coming into existence of the Cartagena Protocol on Biosafety (Cartagena Protocol to the CBD in 2000 that the safe transfer, handling and use of living modified organisms (LMOs such as genetically engineered plants, animals, and microbes were at last being catered for, albeit leaving aside the broader categories of GMOs. Due to the need for the negotiators of this protocol to make compromises, there were still key issues on the international biosafety framework pertaining mainly to the scope of the GMOs to be covered by this protocol and by the Advanced Informed Agreement procedure; identification and traceability issues; and liability and redress issues. Nine years after the entry into force of the Cartagena Protocol the transboundary movements of GMOs have clearly increased with new categories of GMOs and genetically modified products to regulate. The

  2. Constraint-induced sound therapy for sudden sensorineural hearing loss – behavioral and neurophysiological outcomes

    Science.gov (United States)

    Okamoto, Hidehiko; Fukushima, Munehisa; Teismann, Henning; Lagemann, Lothar; Kitahara, Tadashi; Inohara, Hidenori; Kakigi, Ryusuke; Pantev, Christo

    2014-01-01

    Sudden sensorineural hearing loss is characterized by acute, idiopathic hearing deterioration. We report here the development and evaluation of “constraint-induced sound therapy”, which is based on a well-established neuro-rehabilitation approach, and which is characterized by the plugging of the intact ear (“constraint”) and the simultaneous, extensive stimulation of the affected ear with music. The sudden sensorineural hearing loss patients who received the constraint-induced sound therapy in addition to the standard corticosteroid therapy showed significantly better recovery of hearing function compared to those who had only received corticosteroid treatments. Additionally, the brain activity obtained in a subgroup of patients suggested that the constraint-induced sound therapy could have prevented maladaptive auditory cortex reorganization. Constraint-induced sound therapy thus appears to be an effective, practical, and safe treatment option for sudden sensorineural hearing loss. PMID:24473277

  3. Constraint-induced sound therapy for sudden sensorineural hearing loss--behavioral and neurophysiological outcomes.

    Science.gov (United States)

    Okamoto, Hidehiko; Fukushima, Munehisa; Teismann, Henning; Lagemann, Lothar; Kitahara, Tadashi; Inohara, Hidenori; Kakigi, Ryusuke; Pantev, Christo

    2014-01-29

    Sudden sensorineural hearing loss is characterized by acute, idiopathic hearing deterioration. We report here the development and evaluation of "constraint-induced sound therapy", which is based on a well-established neuro-rehabilitation approach, and which is characterized by the plugging of the intact ear ("constraint") and the simultaneous, extensive stimulation of the affected ear with music. The sudden sensorineural hearing loss patients who received the constraint-induced sound therapy in addition to the standard corticosteroid therapy showed significantly better recovery of hearing function compared to those who had only received corticosteroid treatments. Additionally, the brain activity obtained in a subgroup of patients suggested that the constraint-induced sound therapy could have prevented maladaptive auditory cortex reorganization. Constraint-induced sound therapy thus appears to be an effective, practical, and safe treatment option for sudden sensorineural hearing loss.

  4. Constraint-induced sound therapy for sudden sensorineural hearing loss – behavioral and neurophysiological outcomes

    OpenAIRE

    Hidehiko Okamoto; Munehisa Fukushima; Henning Teismann; Lothar Lagemann; Tadashi Kitahara; Hidenori Inohara; Ryusuke Kakigi; Christo Pantev

    2014-01-01

    Sudden sensorineural hearing loss is characterized by acute, idiopathic hearing deterioration. We report here the development and evaluation of “constraint-induced sound therapy”, which is based on a well-established neuro-rehabilitation approach, and which is characterized by the plugging of the intact ear (“constraint”) and the simultaneous, extensive stimulation of the affected ear with music. The sudden sensorineural hearing loss patients who received the constraint-induced sound therapy ...

  5. Performance of various modified binders in road trials and under simulated crack movement in the laboratory

    CSIR Research Space (South Africa)

    Rust, FC

    1989-06-01

    Full Text Available crack movement from a knowledge of block sizes and structural parameters such as basin of deflection and an example of this is shown. It is also shown that these models can be used to predict the decrease in crack movement due to the overlaying of a...

  6. Constraint-induced movement therapy for children with acquired brain injury

    DEFF Research Database (Denmark)

    Pedersen, Kristina Schmidt; Pallesen, Hanne; Kristensen, Hanne Kaae

    2016-01-01

    intervention. Data generation consisted of qualitative research through participant observations and healthcare professional evaluations. A didactical approach with individualization and a solid structural framework enhanced the possibility of securing the children’s motivation for and participation...... CIMT can be adapted for the rehabilitation of children with ABI is needed. The primary purpose of the study was to generate new knowledge about the pedagogical initiatives and frameworks involved in children’s participation in and activities during CIMT. Four children with ABI participated in the 60 h...

  7. Constraint-induced movement therapy for children with acquired brain injury

    DEFF Research Database (Denmark)

    Schmidt Pedersen, Kristina; Pallesen, H.; Kristensen, H. K.

    2016-01-01

    intervention. Data generation consisted of qualitative research through participant observations and healthcare professional evaluations. A didactical approach with individualization and a solid structural framework enhanced the possibility of securing the childrens motivation for and participation...... CIMT can be adapted for the rehabilitation of children with ABI is needed. The primary purpose of the study was to generate new knowledge about the pedagogical initiatives and frameworks involved in childrens participation in and activities during CIMT. Four children with ABI participated in the 60 h...

  8. Modifying patterns of movement in people with low back pain -does it help? A systematic review

    Directory of Open Access Journals (Sweden)

    Laird Robert A

    2012-09-01

    Full Text Available Abstract Background Physiotherapy for people with low back pain frequently includes assessment and modification of lumbo-pelvic movement. Interventions commonly aim to restore normal movement and thereby reduce pain and improve activity limitation. The objective of this systematic review was to investigate: (i the effect of movement-based interventions on movement patterns (muscle activation, lumbo-pelvic kinematics or postural patterns of people with low back pain (LBP, and (ii the relationship between changes in movement patterns and subsequent changes in pain and activity limitation. Methods MEDLINE, Cochrane Central, EMBASE, AMI, CINAHL, Scopus, AMED, ISI Web of Science were searched from inception until January 2012. Randomised controlled trials or controlled clinical trials of people with LBP were eligible for inclusion. The intervention must have been designed to influence (i muscle activity patterns, (ii lumbo-pelvic kinematic patterns or (iii postural patterns, and included measurement of such deficits before and after treatment, to allow determination of the success of the intervention on the lumbo-pelvic movement. Twelve trials (25% of retrieved studies met the inclusion criteria. Two reviewers independently identified, assessed and extracted data. The PEDro scale was used to assess method quality. Intervention effects were described using standardised differences between group means and 95% confidence intervals. Results The included trials showed inconsistent, mostly small to moderate intervention effects on targeted movement patterns. There was considerable heterogeneity in trial design, intervention type and outcome measures. A relationship between changes to movement patterns and improvements in pain or activity limitation was observed in one of six studies on muscle activation patterns, one of four studies that examined the flexion relaxation response pattern and in two of three studies that assessed lumbo-pelvic kinematics or

  9. Summer movements, predation and habitat use of wolves in human modified boreal forests.

    Science.gov (United States)

    Gurarie, Eliezer; Suutarinen, Johanna; Kojola, Ilpo; Ovaskainen, Otso

    2011-04-01

    Grey wolves (Canis lupus), formerly extirpated in Finland, have recolonized a boreal forest environment that has been significantly altered by humans, becoming a patchwork of managed forests and clearcuts crisscrossed by roads, power lines, and railways. Little is known about how the wolves utilize this impacted ecosystem, especially during the pup-rearing summer months. We tracked two wolves instrumented with GPS collars transmitting at 30-min intervals during two summers in eastern Finland, visiting all locations in the field, identifying prey items and classifying movement behaviors. We analyzed preference and avoidance of habitat types, linear elements and habitat edges, and tested the generality of our results against lower resolution summer movements of 23 other collared wolves. Wolves tended to show a strong preference for transitional woodlands (mostly harvested clearcuts) and mixed forests over coniferous forests and to use forest roads and low use linear elements to facilitate movement. The high density of primary roads in one wolf's territory led to more constrained use of the home territory compared to the wolf with fewer roads, suggesting avoidance of humans; however, there did not appear to be large differences on the hunting success or the success of pup rearing for the two packs. In total, 90 kills were identified, almost entirely moose (Alces alces) and reindeer (Rangifer tarandus sspp.) calves of which a large proportion were killed in transitional woodlands. Generally, wolves displayed a high level of adaptability, successfully exploiting direct and indirect human-derived modifications to the boreal forest environment.

  10. A passive movement method for parameter estimation of a musculo-skeletal arm model incorporating a modified hill muscle model.

    Science.gov (United States)

    Yu, Tung Fai; Wilson, Adrian J

    2014-05-01

    In this paper we present an experimental method of parameterising the passive mechanical characteristics of the bicep and tricep muscles in vivo, by fitting the dynamics of a two muscle arm model incorporating anatomically meaningful and structurally identifiable modified Hill muscle models to measured elbow movements. Measurements of the passive flexion and extension of the elbow joint were obtained using 3D motion capture, from which the elbow angle trajectories were determined and used to obtain the spring constants and damping coefficients in the model through parameter estimation. Four healthy subjects were used in the experiments. Anatomical lengths and moment of inertia values of the subjects were determined by direct measurement and calculation. There was good reproducibility in the measured arm movement between trials, and similar joint angle trajectory characteristics were seen between subjects. Each subject had their own set of fitted parameter values determined and the results showed good agreement between measured and simulated data. The average fitted muscle parallel spring constant across all subjects was 143 N/m and the average fitted muscle parallel damping constant was 1.73 Ns/m. The passive movement method was proven to be successful, and can be applied to other joints in the human body, where muscles with similar actions are grouped together. Copyright © 2013 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  11. Force-Induced H2S by PDLSCs Modifies Osteoclastic Activity during Tooth Movement.

    Science.gov (United States)

    Liu, F; Wen, F; He, D; Liu, D; Yang, R; Wang, X; Yan, Y; Liu, Y; Kou, X; Zhou, Y

    2017-06-01

    Hydrogen sulfide (H2S), a gasotransmitter, has been recently linked to mesenchymal stem cell (MSC) function and bone homeostasis. Periodontal ligament stem cells (PDLSCs) are the main MSCs in PDL, which respond to mechanical force to induce physiological activities during orthodontic tooth movement (OTM). However, it is unknown whether mechanical force might induce endogenous H2S production by PDLSCs to regulate alveolar bone homeostasis. Here, we used a mouse OTM model to demonstrate that orthodontic force-induced endogenous H2S production in PDL tissue was associated with macrophage accumulation and osteoclastic activity in alveolar bone. Then, we showed that mechanical force application induced cystathionine β-synthase (CBS) expression and endogenous H2S production by PDLSCs. Moreover, blocking endogenous H2S or systemically increasing H2S levels could decrease or enhance force-induced osteoclastic activities to control tooth movement. We further revealed how force-induced H2S production by PDLSCs contributed to the secretion of monocyte chemoattractant protein-1 (MCP-1) and the expression of receptor activator of nuclear factor-κB ligand/osteoprotegerin (RANKL/OPG) system by PDLSCs. The secretion and expression of these factors controlled macrophage migration and osteoclast differentiation. This study demonstrated that PDLSCs produced H2S to respond to and transduce force signals. Force-induced gasotransmitter H2S production in PDLSCs therefore regulated osteoclastic activities in alveolar bone and controlled the OTM process through the MCP-1 secretion and RANKL/OPG system.

  12. Pharmacogenetics of antipsychotic-induced movement disorders as a resource for better understanding Parkinson's disease modifier genes

    Directory of Open Access Journals (Sweden)

    Lior eGreenbaum

    2015-02-01

    Full Text Available Antipsychotic-induced movement disorders are major side effects of antipsychotic drugs among schizophrenia patients, and include antipsychotic-induced parkinsonism (AIP and tardive dyskinesia (TD. Substantial pharmacogenetic work has been done in this field, and several susceptibility variants have been suggested. In this paper, the genetics of antipsychotic-induced movement disorders is considered in a broader context. We hypothesize that genetic variants that are risk factors for AIP and TD may provide insights into the pathophysiology of Parkinson's disease (PD. Since loss of dopaminergic stimulation (albeit pharmacological in AIP and degenerative in PD is shared by the two clinical entities, genes associated with susceptibility to AIP may be modifier genes that influence clinical expression of PD sub-phenotypes, such as age at onset, disease severity or rate of progression. This is due to their possible functional influence on compensatory mechanisms for striatal dopamine loss. Better compensatory potential might be beneficial at the early and later stages of the PD course. AIP vulnerability variants may also be related to latent impairment in the nigrostriatal pathway, affecting its functionality, and leading to subclinical dopaminergic deficits in the striatum. Susceptibility of PD patients to early development of L-dopa induced dyskinesia (LID, is an additional relevant sub-phenotype. LID may share a common genetic background with TD, with which it shares clinical features. Genetic risk variants may predispose to both phenotypes, exerting a pleiotropic effect. According to this hypothesis, elucidating the genetics of antipsychotic-induced movement disorders may advance our understanding of multiple aspects of PD and it clinical course, rendering this a potentially rewarding field of study.

  13. Pharmacogenetics of antipsychotic-induced movement disorders as a resource for better understanding Parkinson's disease modifier genes.

    Science.gov (United States)

    Greenbaum, Lior; Lerer, Bernard

    2015-01-01

    Antipsychotic-induced movement disorders are major side effects of antipsychotic drugs among schizophrenia patients, and include antipsychotic-induced parkinsonism (AIP) and tardive dyskinesia (TD). Substantial pharmacogenetic work has been done in this field, and several susceptibility variants have been suggested. In this paper, the genetics of antipsychotic-induced movement disorders is considered in a broader context. We hypothesize that genetic variants that are risk factors for AIP and TD may provide insights into the pathophysiology of motor symptoms in Parkinson's disease (PD). Since loss of dopaminergic stimulation (albeit pharmacological in AIP and degenerative in PD) is shared by the two clinical entities, genes associated with susceptibility to AIP may be modifier genes that influence clinical expression of PD motor sub-phenotypes, such as age at onset, disease severity, or rate of progression. This is due to their possible functional influence on compensatory mechanisms for striatal dopamine loss. Better compensatory potential might be beneficial at the early and later stages of the PD course. AIP vulnerability variants could also be related to latent impairment in the nigrostriatal pathway, affecting its functionality, and leading to subclinical dopaminergic deficits in the striatum. Susceptibility of PD patients to early development of l-DOPA induced dyskinesia (LID) is an additional relevant sub-phenotype. LID might share a common genetic background with TD, with which it shares clinical features. Genetic risk variants may predispose to both phenotypes, exerting a pleiotropic effect. According to this hypothesis, elucidating the genetics of antipsychotic-induced movement disorders may advance our understanding of multiple aspects of PD and it clinical course, rendering this a potentially rewarding field of study.

  14. Geographically Modified PageRank Algorithms: Identifying the Spatial Concentration of Human Movement in a Geospatial Network.

    Directory of Open Access Journals (Sweden)

    Wei-Chien-Benny Chin

    Full Text Available A network approach, which simplifies geographic settings as a form of nodes and links, emphasizes the connectivity and relationships of spatial features. Topological networks of spatial features are used to explore geographical connectivity and structures. The PageRank algorithm, a network metric, is often used to help identify important locations where people or automobiles concentrate in the geographical literature. However, geographic considerations, including proximity and location attractiveness, are ignored in most network metrics. The objective of the present study is to propose two geographically modified PageRank algorithms-Distance-Decay PageRank (DDPR and Geographical PageRank (GPR-that incorporate geographic considerations into PageRank algorithms to identify the spatial concentration of human movement in a geospatial network. Our findings indicate that in both intercity and within-city settings the proposed algorithms more effectively capture the spatial locations where people reside than traditional commonly-used network metrics. In comparing location attractiveness and distance decay, we conclude that the concentration of human movement is largely determined by the distance decay. This implies that geographic proximity remains a key factor in human mobility.

  15. Factores modificantes del movimiento dentario ortodóncico Modifiers factors of orthodontic tooth movement

    Directory of Open Access Journals (Sweden)

    P. Vargas del Valle

    2010-02-01

    Full Text Available El fenómeno de la remodelación ósea es fundamental tanto para ortodoncia como para la ortopedia dentofacial. Esta revisión clínica es sobre la relación de la actividad ósea desencadenada por las fuerzas ortodóncicas con diversos factores, como factores propios de los pacientes, moléculas producidas por tejidos enfermos, o drogas y nutrientes consumidas regularmente por los pacientes, los que pueden alcanzar los tejidos periodontales mecánicamente estresados por las fuerzas ortodóncicas a través de la circulación sanguínea, interactuando así con células blanco que producen la remodelación ósea necesaria para el movimiento dentario ortodóncico. El efecto combinado de estas fuerzas mecánicas con alguno de estos agentes pueden ser inhibitorio, aditivo o sinérgico. El objetivo de esta revisión es describir los mecanismos de acción y los efectos de algunas de lasdrogas y otros factores sobre la remodelación del tejido óseo y el movimiento dentario ortodóncico.Bone remodeling is fundamental to orthodontics and dentofacial orthopedics.This clinically oriented overview relate bone responses to orthodontic forces with many factors. Molecules produced in various diseased tissues, or drugs and nutrients consumed regularly by patients, can reach the mechanically stressed paradental tissues through the circulation, and interact with local target cells. The combined effect of mechanical forces and one or more of these agents may be inhibitory, additive or synergistic. The objective of this review is to outline the mechanisms of action and effects of some commonly used drugs and other factors on tissue remodeling and orthodontic tooth movement.

  16. Efficacy of Modified Constraint-Induced Movement Therapy for Motor Function of Upper Extremity with Brain Injury%改良地强制使用运动疗法对脑损伤患者上肢运动功能的影响

    Institute of Scientific and Technical Information of China (English)

    周霞

    2009-01-01

    目的 研究改良的强制使用运动疗法对脑损伤患者上肢运动功能恢复的影响.方法 30例病程在1~6个月的脑损伤偏瘫患者随机分为两组,15例接受常规的康复治疗;15例接受改良的强制使用运动疗法,在治疗期间,不固定患者健侧上肢,接受行为再塑的技巧训练,密集训练患侧肢体活动,完成日常生活中的动作,连续15个工作日,4h/d.治疗前、治疗后用Fugl-Meyer Assessment(FMA),Barthel指数评价患者的上肢功能.结果 两组患者治疗前后的FMA,Bathel指数评分值比常规治疗组治疗后的分值提高更明显(P<0.01),差异有统计学意义(P<0.05).结论 改良的强制使用运动疗法是改善脑损伤患者上肢功能的有效治疗方法.

  17. 传统和改良强制性运动对脑卒中偏瘫上肢功能康复影响的研究%Research in Effects of Traditional and Modified Constraint Induced Movement on Upper Limb Function Rehabilitation of Stroke Hemiplegic

    Institute of Scientific and Technical Information of China (English)

    王素珍; 黄艺; 寇洋洋; 陈庆庆; 金荣疆

    2014-01-01

    CIMT与mCIMT是目前治疗脑卒中偏瘫患者上肢功能障碍的有效疗法,mCIMT是CIMT的改良和优化。本文主要阐述CIMT与mCIMT存在的问题及相关临床研究进展,以探索效果更好的安全疗法。%CIMT and mCIMT are effective therapies for upper limb dysfunction of patients with stroke hemiplegic at present, and mCIMT is the im-provement and optimization of CIMT. This paper mainly expounds relevant problems and clinical research progress in CIMT and mCIMT to explore safe therapy with better effcets.

  18. Determinants of Change in Stroke-Specific Quality of Life After Distributed Constraint-Induced Therapy

    Science.gov (United States)

    Huang, Yan-Hua; Wu, Ching-Yi; Hsieh, Yu-Wei; Snow, Wilaiwan M.; Wang, Tien-Ni

    2013-01-01

    OBJECTIVE. We identified the predictive factors of change in quality of life (QOL) after a distributed form of constraint-induced therapy (dCIT) among stroke survivors. METHOD. Seventy-four participants were treated with dCIT. We identified eight potential determinants of change: age, gender, side of lesion, time since stroke, cognitive status, motor impairment of the upper extremity, activities of daily living (ADLs), and instrumental ADLs (IADLs). The Stroke-Specific Quality of Life Scale (SS–QOL) was used to assess QOL. RESULTS. Right-sided lesion and onset >17 mo earlier determined greater improvement in the SS–QOL Energy domain. Onset >10 mo earlier, poorer IADL performance, and age >68 yr predicted improvement in the Family Role, Mobility, and Mood domains, respectively. CONCLUSION. Side of lesion, time since stroke, IADL performance, and age were the most important determinants of QOL in patients receiving stroke motor rehabilitation. PMID:23245783

  19. An Ecological Approach of Constraint Induced Movement Therapy for 2-3-Year-Old Children: A Randomized Control Trial

    Science.gov (United States)

    Eliasson, Ann-Christin; Shaw, Karin; Berg, Elisabeth; Krumlinde-Sundholm, Lena

    2011-01-01

    The aim was to evaluate the effect of Eco-CIMT in young children with unilateral cerebral palsy in a randomized controlled crossover design. The training was implemented within the regular pediatric services, provided by the child's parents and/or preschool teacher and supervised by the child's regular therapist. Methods: Twenty-five children…

  20. An Ecological Approach of Constraint Induced Movement Therapy for 2-3-Year-Old Children: A Randomized Control Trial

    Science.gov (United States)

    Eliasson, Ann-Christin; Shaw, Karin; Berg, Elisabeth; Krumlinde-Sundholm, Lena

    2011-01-01

    The aim was to evaluate the effect of Eco-CIMT in young children with unilateral cerebral palsy in a randomized controlled crossover design. The training was implemented within the regular pediatric services, provided by the child's parents and/or preschool teacher and supervised by the child's regular therapist. Methods: Twenty-five children…

  1. Changes in kinetic, kinematic, and temporal parameters of walking in people with limited ankle dorsiflexion: pre-post application of modified mobilization with movement using talus glide taping.

    Science.gov (United States)

    Yoon, Ji-yeon; Hwang, Young-in; An, Duk-hyun; Oh, Jae-seop

    2014-06-01

    The purpose of this study was to investigate the changes in passive ankle dorsiflexion range of motion (ROM), maximum plantar force, force-time integral, and time to heel off during walking between pre- and postapplication of modified mobilization with movement (MWM) using talus glide taping in people with limited ankle dorsiflexion. Eighteen feet with limited ankle dorsiflexion in 13 people were examined. Participants performed 3 different walking tasks in the following order: walking before and immediately after applying the modified MWM using talus glide taping and walking after 5-minute walking with the modified MWM using talus glide taping. A floor-mat pressure measurement system (HR-mat) was used to measure maximum plantar force, force-time integral, and time to heel off; and passive ankle dorsiflexion ROM was measured using a standard goniometer. The significance of differences was assessed using repeated one-way analysis of variance. Passive ankle dorsiflexion ROM and time to heel off were significantly increased after 5-minute walking with the modified MWM using talus glide taping compared with walking before and immediately after applying the tape. Significantly increased maximum plantar force and force-time integral on the hindfoot and significantly decreased force-time integral on the forefoot during walking after 5-minute walking were observed with the modified MWM using talus glide taping compared with before applying the tape. No significant difference between before and immediately after applying the tape was observed in any variable. Our results suggest that walking an additional 5-minute with the modified MWM using talus glide taping increased passive ankle dorsiflexion ROM and time to heel off and improved dynamic plantar loading during walking. Copyright © 2014 National University of Health Sciences. Published by Mosby, Inc. All rights reserved.

  2. Efficacy of constraint-induced therapy on functional performance and health-related quality of life for children with cerebral palsy: a randomized controlled trial.

    Science.gov (United States)

    Hsin, Yi-jung; Chen, Fei-Chuan; Lin, Keh-chung; Kang, Lin-ju; Chen, Chia-ling; Chen, Chung-yao

    2012-08-01

    To better generalize training effects to the context of daily living, home-based constraint-induced therapy has been proposed. Therapeutic success of constraint-induced therapy is limited as to whether the improvements in functional performance can be transferred to quality of life. This randomized controlled trial aimed to investigate the efficacy of home-based constraint-induced therapy on functional performance and health-related quality of life. Twenty-two children with spastic unilateral cerebral palsy (6-8 years, 10 boys) were randomly assigned to receive constraint-induced therapy or traditional rehabilitation. Home-based constraint-induced therapy had immediate and maintaining effects on motor efficacy and functional performance and induced greater gains in health-related quality of life in the long run than in the short term. The home-based constraint-induced therapy protocol (relatively moderate intensity and shortened constraint time), which might balance the effectiveness and compliance of participants and caregivers, may be an effective alternative to conventional constraint-induced therapy.

  3. Return to Sport for Skeletally Immature Athletes After ACL Reconstruction: Preventing a Second Injury Using a Quality of Movement Assessment and Quantitative Measures to Address Modifiable Risk Factors.

    Science.gov (United States)

    Graziano, Jessica; Chiaia, Theresa; de Mille, Polly; Nawabi, Danyal H; Green, Daniel W; Cordasco, Frank A

    2017-04-01

    Reinjury rates after anterior cruciate ligament reconstruction (ACLR) are highest among young athletes, who consequently suffer from low rates of return to play. Historically, quantitative measures have been used to determine readiness to return to sport; however, they do not assess modifiable risk factors related to the quality of movement. To determine the effectiveness of a criteria-based rehabilitation progression and return-to-sport criteria on efficient return to activity and prevention of second injury in young athletes post-ACLR. Case series; Level of evidence, 4. Between December 2010 and 2013, 42 skeletally immature athletes (mean chronologic age, 12 years; range, 10-15 years) who underwent ACLR using ipsilateral hamstring tendon autograft were prospectively evaluated. All athletes progressed through a criteria-based rehabilitation progression; were assessed at specific time frames for strength, biomechanical, and neuromuscular risk factors predictive of injury; and were provided targeted interventions. The final return to sport phase consisted of quantitative testing as well as a quality of movement assessment of several functional movements with progressive difficulty and sports-specific loading. Clearance for unrestricted activity was determined by achieving satisfactory results on both qualitative and quantitative assessments with consideration for the demands of each sport. The mean time for return to unrestricted competitive activity was 12 months. All but 3 (7%) athletes returned to their primary sport. Thirty-five athletes (83%) returned to unrestricted activity. Of the 6 (14%) who sustained a second injury, 3 (50%) were injured in sports they were not cleared for. All ACL reinjuries occurred in a cutting sport. Half of reinjuries occurred within 1 year of surgery, while the remaining occurred between 1 and 2 years. Eighty-three percent of reinjuries involved highly competitive cutting athletes. In our cohort, the combination of qualitative and

  4. Potential predictors of functional outcomes after home-based constraint-induced therapy for children with cerebral palsy.

    Science.gov (United States)

    Chen, Chia-ling; Lin, Keh-chung; Kang, Lin-ju; Wu, Ching-yi; Chen, Hsieh-ching; Hsieh, Yu-wei

    2014-01-01

    OBJECTIVE. Our objective was to identify predictors for treatment outcomes after home-based constraint-induced therapy (CIT) in children with cerebral palsy (CP). METHOD. Forty-three children (aged 4-12 yr) with CP were treated with individualized CIT at home for 4 wk. Potential predictors were age, sex, affected hand, and upper-extremity motor capacity measured by the Peabody Developmental Motor Scale, 2nd edition (PDMS-2). Outcomes were the Pediatric Motor Activity Log (PMAL) Amount of Hand Use and Quality of Hand Use subscales and the Functional Independence Measure for Children (WeeFIM). RESULTS. A higher PDMS-2 Visual-Motor Integration subscale score predicted a better WeeFIM score after home-based CIT (adjusted R² = .35). Younger age predicted better performance on the PMAL Amount of Hand Use and Quality of Hand Use subscales (adjusted R² = .06-.08) after home-based CIT. CONCLUSION. The potential predictors may allow occupational therapy practitioners to target those children who will benefit most after home-based constraint-induced therapy.

  5. Movement Disorders

    Science.gov (United States)

    ... t want them to. If you have a movement disorder, you experience these kinds of impaired movement. Dyskinesia ... movement and is a common symptom of many movement disorders. Tremors are a type of dyskinesia. Nerve diseases ...

  6. Evidence-Based Systematic Review: Effects of Intensity of Treatment and Constraint-Induced Language Therapy for Individuals with Stroke-Induced Aphasia

    Science.gov (United States)

    Cherney, Leora R.; Patterson, Janet P.; Raymer, Anastasia; Frymark, Tobi; Schooling, Tracy

    2008-01-01

    Purpose: This systematic review summarizes evidence for intensity of treatment and constraint-induced language therapy (CILT) on measures of language impairment and communication activity/participation in individuals with stroke-induced aphasia. Method: A systematic search of the aphasia literature using 15 electronic databases (e.g., PubMed,…

  7. Logistic Regression Analyses for Predicting Clinically Important Differences in Motor Capacity, Motor Performance, and Functional Independence after Constraint-Induced Therapy in Children with Cerebral Palsy

    Science.gov (United States)

    Wang, Tien-ni; Wu, Ching-yi; Chen, Chia-ling; Shieh, Jeng-yi; Lu, Lu; Lin, Keh-chung

    2013-01-01

    Given the growing evidence for the effects of constraint-induced therapy (CIT) in children with cerebral palsy (CP), there is a need for investigating the characteristics of potential participants who may benefit most from this intervention. This study aimed to establish predictive models for the effects of pediatric CIT on motor and functional…

  8. Effects of Home-Based Constraint-Induced Therapy versus Dose-Matched Control Intervention on Functional Outcomes and Caregiver Well-Being in Children with Cerebral Palsy

    Science.gov (United States)

    Lin, Keh-chung; Wang, Tien-ni; Wu, Ching-yi; Chen, Chia-ling; Chang, Kai-chieh; Lin, Yu-chan; Chen, Yi-ju

    2011-01-01

    This study compared home-based constraint-induced therapy (CIT) with a dose-matched home-based control intervention for children with cerebral palsy (CP). The differences in unilateral and bilateral motor performance, daily functions, and quality of parental well-being (i.e., the stress level of their parents) were evaluated. The study included 21…

  9. TO STUDY THE EFFECT OF PLAY THERAPY AND CHILD FRIENDLY CONSTRAINT INDUCED MOMEMENT THERAPY TO IMPROVE HAND FUNCTION IN SPASTIC HEMIPLEGIC CEREBRAL PALSY CHILDREN: A COMPARATIVE STUDY

    Directory of Open Access Journals (Sweden)

    Anjuman Nahar

    2015-12-01

    Full Text Available Background: Cerebral Palsy (CP is a neurodevelopmental disorder caused by nonprogressive lesion in the developing brain. The early central nervous system (CNS damage results in chronic physical disabilities and often includes sensory impairments. In addition CP is often associated with epilepsy and abnormalities of speech, vision, and intellect; it is the selective vulnerability of the brains motor systems that defines the disorder. Child friendly CIMT involves intensive targeted practice with the involved extremity coordination above and beyond their unilateral impairments. Ply Therapy is designed for active involvement of child in performing various tasks. The aim of the study is to evaluate the effectiveness of constraint induced movement therapy and play therapy to improve hand function in spastic hemiplegic cerebral palsy children. Methods: A sample of 30 patients was divided in two groups, each group having 15 children. Convenient sampling was done on the basis of base line assessment and diagnosis of their condition. Duration of the study was 3 months and data collection started at day 0 and at the end of 90 days. Children in group A wore a bivalve plaster cast on the non-involved upper extremity from shoulder to finger tips for the entire time during the session lasting for 2 hours and the plaster cast was removed at the end of the session. B group consists of 15 subjects who received play therapy. The treatment program was conducted individually and adjusted to current needs and abilities of each of the patients. Outcomes: Box and Block test, QOM scale and AOU scale. Results: It was found that there is an improvement in the hand function on application of child friendly CIMT in the patients with spastic hemiplegic cerebral palsy which was found significant using the Mann-Whitney U test (p≤0.005. Conclusion: In this study it has been found that the use of Child friendly CIMT and PLAY THERAPY produces significant improvement in hand

  10. Sequential combination of robot-assisted therapy and constraint-induced therapy in stroke rehabilitation: a randomized controlled trial.

    Science.gov (United States)

    Hsieh, Yu-Wei; Lin, Keh-Chung; Horng, Yi-Shiung; Wu, Ching-Yi; Wu, Tai-Chieh; Ku, Fang-Ling

    2014-05-01

    Robot-assisted therapy (RT) and constraint-induced therapy (CIT) both show great promise to improve stroke rehabilitation outcomes. Although the respective treatment efficacy of RT and CIT has been validated, the additive effects of RT combined with CIT remain unknown. This study investigated the treatment effects of RT in sequential combination with a distributed form of CIT (RT + dCIT) compared with RT and conventional rehabilitation (CR). Forty-eight patients with stroke were enrolled and randomized to receive one of the three interventions for 4 weeks. Primary outcomes assessed the changes of motor impairment and motor function on the Fugl-Meyer Assessment (FMA) and Wolf Motor Function Test (WMFT). Secondary outcomes, including the Motor Activity Log (MAL) and accelerometers, examined functional performance during daily activities. The three treatment groups improved significantly on most primary and secondary outcomes over time. The combined RT + dCIT group exhibited significantly greater improvement on the FMA and functional ability subscale of the WMFT than the RT and CR groups. The improvements on the MAL and accelerometers were not significantly different among the three groups. RT in sequential combination with CIT led to additive effects on participants' motor ability and functional ability to perform motor tasks after stroke, which support that combined therapy can be an effective means to intensify outcomes. Further research investigating the potential long-term effects of combination therapy, especially on real-life performance, would be valuable.

  11. Bilateral brain reorganization with memantine and constraint-induced aphasia therapy in chronic post-stroke aphasia: An ERP study.

    Science.gov (United States)

    Barbancho, Miguel A; Berthier, Marcelo L; Navas-Sánchez, Patricia; Dávila, Guadalupe; Green-Heredia, Cristina; García-Alberca, José M; Ruiz-Cruces, Rafael; López-González, Manuel V; Dawid-Milner, Marc S; Pulvermüller, Friedemann; Lara, J Pablo

    2015-01-01

    Changes in ERP (P100 and N400) and root mean square (RMS) were obtained during a silent reading task in 28 patients with chronic post-stroke aphasia in a randomized, double-blind, placebo-controlled trial of both memantine and constraint-induced aphasia therapy (CIAT). Participants received memantine/placebo alone (weeks 0-16), followed by drug treatment combined with CIAT (weeks 16-18), and then memantine/placebo alone (weeks 18-20). ERP/RMS values (week 16) decreased more in the memantine group than in the placebo group. During CIAT application (weeks 16-18), improvements in aphasia severity and ERP/RMS values were amplified by memantine and changes remained stable thereafter (weeks 18-20). Changes in ERP/RMS occurred in left and right hemispheres and correlated with gains in language performance. No changes in ERP/RMS were found in a healthy group in two separated evaluations. Our results show that aphasia recovery induced by both memantine alone and in combination with CIAT is indexed by bilateral cortical potentials.

  12. Guest Editorial: Training model for promoting translation from research to clinical settings: University of Alabama at Birmingham training for constraint-induced movement therapy

    Directory of Open Access Journals (Sweden)

    David M. Morris, PT, PhD

    2014-08-01

    Full Text Available Acommon challenge in stroke rehabilitation research is the translation of research findings into the clinical setting. Multiple factors present obstacles to dissemination and adoption, including the complexity of the physical rehabilitation protocols and the shift in practice required by treatment philosophies that require innovative approaches.

  13. Constraint-induced Movement Therapy for Stroke (review)%强制性使用运动疗法在脑卒中患者中的应用

    Institute of Scientific and Technical Information of China (English)

    李贞兰; David Morris; Edward Taub

    2007-01-01

    强制性使用运动疗法(CIMT)是通过限制偏瘫患者的健肢活动的同时对患侧进行集中反复作业训练,诱使患肢的使用能力提高,从而提高患肢的运动功能和日常生活活动能力的一种新的康复治疗技术,被认为是能够成功地将偏瘫患者从康复治疗室学到的运动功能转移到日常生活环境中的一种有效的治疗方法.笔者结合在美国伯明翰阿拉巴马大学CIMT实验室学习CIMT的体会,详细阐述CIMT的基本要素和独到之处.

  14. [Architecture and movement].

    Science.gov (United States)

    Rivallan, Armel

    2012-01-01

    Leading an architectural project means accompanying the movement which it induces within the teams. Between questioning, uncertainty and fear, the organisational changes inherent to the new facility must be subject to constructive and ongoing exchanges. Ethics, safety and training are revised and the unit projects are sometimes modified.

  15. Compensatory eye movements in mice

    NARCIS (Netherlands)

    A.M. van Alphen (Adriaan)

    2002-01-01

    textabstractThis thesis will address the generation of compensatory eye movements in naturally mutated or genetically modified mice. The reason for generating compensatory eye movements is solely related to the requirements for good vision. In a subject moving through its environment the projection

  16. [Stereotypic movements].

    Science.gov (United States)

    Fernández-Alvarez, E

    2003-02-01

    Stereotypic movements are repetitive patterns of movement with certain peculiar features that make them especially interesting. Their physiopathology and their relationship with the neurobehavioural disorders they are frequently associated with are unknown. In this paper our aim is to offer a simple analysis of their dominant characteristics, their differentiation from other processes and a hypothesis of the properties of stereotypic movements, which could all set the foundations for research work into their physiopathology.

  17. Changes of right-hemispheric activation after constraint-induced, intensive language action therapy in chronic aphasia: fMRI evidence from auditory semantic processing

    Directory of Open Access Journals (Sweden)

    Bettina eMohr

    2014-11-01

    Full Text Available The role of the two hemispheres in the neurorehabilitation of language is still under dispute. This study explored the changes in language-evoked brain activation over a two-week treatment interval with intensive constraint induced aphasia therapy (CIAT, which is also called intensive language action therapy (ILAT. Functional magnetic resonance imaging (fMRI was used to assess brain activation in perilesional left hemispheric and in homotopic right hemispheric areas during passive listening to high and low-ambiguity sentences and non-speech control stimuli in chronic non-fluent aphasia patients. All patients demonstrated significant clinical improvements of language functions after therapy. In an event-related fMRI experiment, a significant increase of BOLD signals was manifest in right inferior frontal and temporal areas. This activation increase was stronger for highly ambiguous sentences than for unambiguous ones. These results suggest that the known language improvements brought about by intensive constraint-induced language action therapy at least in part relies on circuits within the right-hemispheric homologues of left-perisylvian language areas, which are most strongly activated in the processing of semantically complex language.

  18. Changes of right-hemispheric activation after constraint-induced, intensive language action therapy in chronic aphasia: fMRI evidence from auditory semantic processing.

    Science.gov (United States)

    Mohr, Bettina; Difrancesco, Stephanie; Harrington, Karen; Evans, Samuel; Pulvermüller, Friedemann

    2014-01-01

    The role of the two hemispheres in the neurorehabilitation of language is still under dispute. This study explored the changes in language-evoked brain activation over a 2-week treatment interval with intensive constraint induced aphasia therapy (CIAT), which is also called intensive language action therapy (ILAT). Functional magnetic resonance imaging (fMRI) was used to assess brain activation in perilesional left hemispheric and in homotopic right hemispheric areas during passive listening to high and low-ambiguity sentences and non-speech control stimuli in chronic non-fluent aphasia patients. All patients demonstrated significant clinical improvements of language functions after therapy. In an event-related fMRI experiment, a significant increase of BOLD signal was manifest in right inferior frontal and temporal areas. This activation increase was stronger for highly ambiguous sentences than for unambiguous ones. These results suggest that the known language improvements brought about by intensive constraint-induced language action therapy at least in part relies on circuits within the right-hemispheric homologs of left-perisylvian language areas, which are most strongly activated in the processing of semantically complex language.

  19. Mixed Movements

    DEFF Research Database (Denmark)

    Brabrand, Helle

    2010-01-01

    Mixed Movements is a research project engaged in performance-based architectural drawing. Architectonic implementation questions relations between the human body and a body of architecture by the different ways we handle drawing materials. A drawing may explore architectonic problems at other...... levels than those related to building, and this exploration is a special challenge and competence implicit artistic development work. The project Mixed Movements generates drawing-material, not primary as representation, but as a performance-based media, making the body being-in-the-media felt and appear...... as possible operational moves....

  20. Striking movements

    DEFF Research Database (Denmark)

    Dahl, Sofia

    2011-01-01

    Like all music performance, percussion playing requires high control over timing and sound properties. Specific to percussionists, however, is the need to adjust the movement to different instruments with varying physical properties and tactile feedback to the player. Furthermore, the well define...

  1. Chloroplast movement.

    Science.gov (United States)

    Wada, Masamitsu

    2013-09-01

    Chloroplast movement is important for plant survival under high light and for efficient photosynthesis under low light. This review introduces recent knowledge on chloroplast movement and shows how to analyze the responses and the moving mechanisms, potentially inspiring research in this field. Avoidance from the strong light is mediated by blue light receptor phototropin 2 (phot2) plausibly localized on the chloroplast envelop and accumulation at the week light-irradiated area is mediated by phot1 and phot2 localized on the plasma membrane. Chloroplasts move by chloroplast actin (cp-actin) filaments that must be polymerized by Chloroplast Unusual Positioning1 (CHUP1) at the front side of moving chloroplast. To understand the signal transduction pathways and the mechanism of chloroplast movement, that is, from light capture to motive force-generating mechanism, various methods should be employed based on the various aspects. Observation of chloroplast distribution pattern under different light condition by fixed cell sectioning is somewhat an old-fashioned technique but the most basic and important way. However, most importantly, precise chloroplast behavior during and just after the induction of chloroplast movement by partial cell irradiation using an irradiator with either low light or strong light microbeam should be recorded by time lapse photographs under infrared light and analyzed. Recently various factors involved in chloroplast movement, such as cp-actin filaments and CHUP1, could be traced in Arabidopsis transgenic lines with fluorescent protein tags under a confocal laser scanning microscope (CLSM) and/or a total internal reflection fluorescence microscope (TIRFM). These methods are listed and their advantages and disadvantages are evaluated.

  2. Gracious Movement

    Directory of Open Access Journals (Sweden)

    Lev Kreft

    2012-07-01

    Full Text Available In 1984 Christopher Cordner offered a critical view on theories of graceful movement in sport developed by Ng. G. Wulk, David Best and Joseph Kupfer. In 2001 Paul Davis criticized his view. Cordner responded, rejecting all the criticism. More than a century before, Herbert Spencer and Jean-Marie Guyau had a similar controversy over grace. Both exchanges of opinion involve three positions: that grace is the most efficient movement and therefore something quantitative and measurable; that grace is expression of the wholeness of person and the world; and that grace is something which neither science nor philosophy can explain. To clarify these conflicting issues, this article proposes to examine the history of the notion which goes back to the Latin gratia and has root in the Ancient Greek charis, and to apply the concepts of cultural anchor and thin coherence, following John R. Searle’s explanation that we produce epistemically objective accounts of ontologically subjective reality.

  3. Antinuclear movement

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Young Hee; Im, Jaeg Yeong

    1988-08-15

    This book is for antinuclear movement. So, this book introduces many articles on nuclear issues of Asia and the pacific area. The titles of articles are the crusades of Reagan by Werner Plaha, contending between super powers in Europe by Alva Reimer Myrdal, claims of resistance by Daniel Ellsberg, nuclear and the Korean Peninsula by Go, Seung Woo, Liberation but of belief of nuclear weapon by Lee, Young Hee and nuclear weapon in Korea by peter Haze.

  4. Computational movement analysis

    CERN Document Server

    Laube, Patrick

    2014-01-01

    This SpringerBrief discusses the characteristics of spatiotemporal movement data, including uncertainty and scale. It investigates three core aspects of Computational Movement Analysis: Conceptual modeling of movement and movement spaces, spatiotemporal analysis methods aiming at a better understanding of movement processes (with a focus on data mining for movement patterns), and using decentralized spatial computing methods in movement analysis. The author presents Computational Movement Analysis as an interdisciplinary umbrella for analyzing movement processes with methods from a range of fi

  5. Impaired Voluntary Movement Control and Its Rehabilitation in Cerebral Palsy.

    Science.gov (United States)

    Gordon, Andrew M

    2016-01-01

    Cerebral palsy is caused by early damage to the developing brain, as the most common pediatric neurological disorder. Hemiplegia (unilateral spastic cerebral palsy) is the most common subtype, and the resulting impairments, lateralized to one body side, especially affect the upper extremity, limiting daily function. This chapter first describes the pathophysiology and mechanisms underlying impaired upper extremity control of cerebral palsy. It will be shown that the severity of impaired hand function closely relates to the integrity of the corticospinal tract innervating the affected hand. It will also shown that the developing corticospinal tract can reorganize its connectivity depending on the timing and location of CNS injury, which also has implications for the severity of hand impairments and rehabilitation. The mechanisms underlying impaired motor function will be highlighted, including deficits in movement execution and planning and sensorimotor integration. It will be shown that despite having unimanual hand impairments, bimanual movement control deficits and mirror movements also impact function. Evidence for motor learning-based therapies including Constraint-Induced Movement Therapy and Bimanual Training, and the possible pathophysiological predictors of treatment outcome and plasticity will be described. Finally, future directions for rehabilitations will be presented.

  6. New Strategy for Stroke Rehabilitation: Constraint-induced Movement Therapy%脑卒中康复的新策略:强制性使用运动疗法

    Institute of Scientific and Technical Information of China (English)

    王文清; 晁志军; 徐振奇; 姜贵云; 谢睿智; 冯晶晶

    2007-01-01

    中风后大约有85%患者伴有上肢功能缺损,他们中的55%~75%患者在发病后3~6个月仍伴有上肢功能障碍,而且上肢功能的恢复远较下肢功能的恢复缓慢和困难,因此有关中风上肢功能恢复问题就成为神经康复领域中最富有挑战性的课题。近10年来,神经科学取得了巨大的进展。脑卒中的康复从神经生理学、神经发育学的基础上发展到大脑功能重组(Brain Functional Reorganization,BFRO)的理论和方法上来。一些建立在BFRO的方法、理念和技术迅速发展起来。

  7. Effect of constraint-induced movement therapy on hemiplegia in children%强制性诱导运动疗法在偏瘫儿童中的临床应用

    Institute of Scientific and Technical Information of China (English)

    姜艳; 王应良; 石秀娥

    2006-01-01

    目的探讨强制性诱导运动疗法对偏瘫患儿功能恢复的影响.方法 30例小儿脑瘫痉挛型偏瘫、颅脑外伤偏瘫患儿,随机分为治疗组和对照组.两组均进行有目的作业治疗.治疗组使用连手棉袖套限制健侧上肢.疗程12周.在治疗前1周及治疗后,用上田敏偏瘫上肢功能评价法分级与Brunnstrom偏瘫手功能评价法进行评测.结果治疗组患肢及手功能的恢复程度优于对照组.结论强制性诱导运动疗法对改善患侧肢体运动功能有显著疗效.

  8. Effect of Constraint-induced Movement Therapy for Motor Function of Upper Extremity after Stroke%强制性运动疗法对脑卒中后上肢运动障碍的影响

    Institute of Scientific and Technical Information of China (English)

    郭天龙; 秦大伟

    2010-01-01

    目的 研究强制性运动疗法(CIMT)对脑卒中后上肢运动功能康复的效果.方法 28例符合CIMT适应症的脑卒中患者分成两组:观察组限制健手的使用,强化训练患侧上肢(CIMT);对照组不限制健手的使用,进行传统神经发育疗法治疗.治疗前后评价两组的Fugl-Meyer上肢运动功能评分.结果 Fugl-Meyer评分显示,治疗前后相比有显著性差异(P<0.05).在提高上肢灵活性和上肢的使用方面,观察组与对照组间有显著性差异(P<0.05).结论 CIMT能加强脑卒中患者上肢运动功能和日常生活能力的改善.

  9. Movement disorders and sleep.

    Science.gov (United States)

    Driver-Dunckley, Erika D; Adler, Charles H

    2012-11-01

    This article summarizes what is currently known about sleep disturbances in several movement disorders including Parkinson disease, essential tremor, parkinsonism, dystonia, Huntington disease, myoclonus, and ataxias. There is an association between movement disorders and sleep. In some cases the prevalence of sleep disorders is much higher in patients with movement disorder, such as rapid eye movement sleep behavior disorder in Parkinson disease. In other cases, sleep difficulties worsen the involuntary movements. In many cases the medications used to treat patients with movement disorder disturb sleep or cause daytime sleepiness. The importance of discussing sleep issues in patients with movement disorders cannot be underestimated.

  10. Biomechanics of foetal movement

    Directory of Open Access Journals (Sweden)

    N.C. Nowlan

    2015-01-01

    Full Text Available Foetal movements commence at seven weeks of gestation, with the foetal movement repertoire including twitches, whole body movements, stretches, isolated limb movements, breathing movements, head and neck movements, jaw movements (including yawning, sucking and swallowing and hiccups by ten weeks of gestational age. There are two key biomechanical aspects to gross foetal movements; the first being that the foetus moves in a dynamically changing constrained physical environment in which the freedom to move becomes increasingly restricted with increasing foetal size and decreasing amniotic fluid. Therefore, the mechanical environment experienced by the foetus affects its ability to move freely. Secondly, the mechanical forces induced by foetal movements are crucial for normal skeletal development, as evidenced by a number of conditions and syndromes for which reduced or abnormal foetal movements are implicated, such as developmental dysplasia of the hip, arthrogryposis and foetal akinesia deformation sequence. This review examines both the biomechanical effects of the physical environment on foetal movements through discussion of intrauterine factors, such as space, foetal positioning and volume of amniotic fluid, and the biomechanical role of gross foetal movements in human skeletal development through investigation of the effects of abnormal movement on the bones and joints. This review also highlights computational simulations of foetal movements that attempt to determine the mechanical forces acting on the foetus as it moves. Finally, avenues for future research into foetal movement biomechanics are highlighted, which have potential impact for a diverse range of fields including foetal medicine, musculoskeletal disorders and tissue engineering.

  11. Biomechanics of foetal movement.

    Science.gov (United States)

    Nowlan, N C

    2015-01-02

    Foetal movements commence at seven weeks of gestation, with the foetal movement repertoire including twitches, whole body movements, stretches, isolated limb movements, breathing movements, head and neck movements, jaw movements (including yawning, sucking and swallowing) and hiccups by ten weeks of gestational age. There are two key biomechanical aspects to gross foetal movements; the first being that the foetus moves in a dynamically changing constrained physical environment in which the freedom to move becomes increasingly restricted with increasing foetal size and decreasing amniotic fluid. Therefore, the mechanical environment experienced by the foetus affects its ability to move freely. Secondly, the mechanical forces induced by foetal movements are crucial for normal skeletal development, as evidenced by a number of conditions and syndromes for which reduced or abnormal foetal movements are implicated, such as developmental dysplasia of the hip, arthrogryposis and foetal akinesia deformation sequence. This review examines both the biomechanical effects of the physical environment on foetal movements through discussion of intrauterine factors, such as space, foetal positioning and volume of amniotic fluid, and the biomechanical role of gross foetal movements in human skeletal development through investigation of the effects of abnormal movement on the bones and joints. This review also highlights computational simulations of foetal movements that attempt to determine the mechanical forces acting on the foetus as it moves. Finally, avenues for future research into foetal movement biomechanics are highlighted, which have potential impact for a diverse range of fields including foetal medicine, musculoskeletal disorders and tissue engineering.

  12. Movement and Space

    DEFF Research Database (Denmark)

    Riisgaard Hansen, Thomas; Eriksson, Eva; Lykke-Olesen, Andreas

    2005-01-01

    In this paper we explore the space in which movement based interaction takes place. We have in several projects explored how fixed and mobile cameras can be used in movement based interaction and will shortly describe these projects. Based on our experience with working with movement-based intera......In this paper we explore the space in which movement based interaction takes place. We have in several projects explored how fixed and mobile cameras can be used in movement based interaction and will shortly describe these projects. Based on our experience with working with movement...

  13. Modified cyanobacteria

    Science.gov (United States)

    Vermaas, Willem F J.

    2014-06-17

    Disclosed is a modified photoautotrophic bacterium comprising genes of interest that are modified in terms of their expression and/or coding region sequence, wherein modification of the genes of interest increases production of a desired product in the bacterium relative to the amount of the desired product production in a photoautotrophic bacterium that is not modified with respect to the genes of interest.

  14. Tectonic Plate Movement.

    Science.gov (United States)

    Landalf, Helen

    1998-01-01

    Presents an activity that employs movement to enable students to understand concepts related to plate tectonics. Argues that movement brings topics to life in a concrete way and helps children retain knowledge. (DDR)

  15. Stereotypic movement disorder

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/001548.htm Stereotypic movement disorder To use the sharing features on this page, please enable JavaScript. Stereotypic movement disorder is a condition in which a person makes ...

  16. Eye Movement Disorders

    Science.gov (United States)

    ... work properly. There are many kinds of eye movement disorders. Two common ones are Strabismus - a disorder in ... the eyes, sometimes called "dancing eyes" Some eye movement disorders are present at birth. Others develop over time ...

  17. Tectonic Plate Movement.

    Science.gov (United States)

    Landalf, Helen

    1998-01-01

    Presents an activity that employs movement to enable students to understand concepts related to plate tectonics. Argues that movement brings topics to life in a concrete way and helps children retain knowledge. (DDR)

  18. Fetal eye movements on magnetic resonance imaging.

    Directory of Open Access Journals (Sweden)

    Ramona Woitek

    Full Text Available OBJECTIVES: Eye movements are the physical expression of upper fetal brainstem function. Our aim was to identify and differentiate specific types of fetal eye movement patterns using dynamic MRI sequences. Their occurrence as well as the presence of conjugated eyeball motion and consistently parallel eyeball position was systematically analyzed. METHODS: Dynamic SSFP sequences were acquired in 72 singleton fetuses (17-40 GW, three age groups [17-23 GW, 24-32 GW, 33-40 GW]. Fetal eye movements were evaluated according to a modified classification originally published by Birnholz (1981: Type 0: no eye movements; Type I: single transient deviations; Type Ia: fast deviation, slower reposition; Type Ib: fast deviation, fast reposition; Type II: single prolonged eye movements; Type III: complex sequences; and Type IV: nystagmoid. RESULTS: In 95.8% of fetuses, the evaluation of eye movements was possible using MRI, with a mean acquisition time of 70 seconds. Due to head motion, 4.2% of the fetuses and 20.1% of all dynamic SSFP sequences were excluded. Eye movements were observed in 45 fetuses (65.2%. Significant differences between the age groups were found for Type I (p = 0.03, Type Ia (p = 0.031, and Type IV eye movements (p = 0.033. Consistently parallel bulbs were found in 27.3-45%. CONCLUSIONS: In human fetuses, different eye movement patterns can be identified and described by MRI in utero. In addition to the originally classified eye movement patterns, a novel subtype has been observed, which apparently characterizes an important step in fetal brainstem development. We evaluated, for the first time, eyeball position in fetuses. Ultimately, the assessment of fetal eye movements by MRI yields the potential to identify early signs of brainstem dysfunction, as encountered in brain malformations such as Chiari II or molar tooth malformations.

  19. Fetal eye movements on magnetic resonance imaging.

    Science.gov (United States)

    Woitek, Ramona; Kasprian, Gregor; Lindner, Christian; Stuhr, Fritz; Weber, Michael; Schöpf, Veronika; Brugger, Peter C; Asenbaum, Ulrika; Furtner, Julia; Bettelheim, Dieter; Seidl, Rainer; Prayer, Daniela

    2013-01-01

    Eye movements are the physical expression of upper fetal brainstem function. Our aim was to identify and differentiate specific types of fetal eye movement patterns using dynamic MRI sequences. Their occurrence as well as the presence of conjugated eyeball motion and consistently parallel eyeball position was systematically analyzed. Dynamic SSFP sequences were acquired in 72 singleton fetuses (17-40 GW, three age groups [17-23 GW, 24-32 GW, 33-40 GW]). Fetal eye movements were evaluated according to a modified classification originally published by Birnholz (1981): Type 0: no eye movements; Type I: single transient deviations; Type Ia: fast deviation, slower reposition; Type Ib: fast deviation, fast reposition; Type II: single prolonged eye movements; Type III: complex sequences; and Type IV: nystagmoid. In 95.8% of fetuses, the evaluation of eye movements was possible using MRI, with a mean acquisition time of 70 seconds. Due to head motion, 4.2% of the fetuses and 20.1% of all dynamic SSFP sequences were excluded. Eye movements were observed in 45 fetuses (65.2%). Significant differences between the age groups were found for Type I (p = 0.03), Type Ia (p = 0.031), and Type IV eye movements (p = 0.033). Consistently parallel bulbs were found in 27.3-45%. In human fetuses, different eye movement patterns can be identified and described by MRI in utero. In addition to the originally classified eye movement patterns, a novel subtype has been observed, which apparently characterizes an important step in fetal brainstem development. We evaluated, for the first time, eyeball position in fetuses. Ultimately, the assessment of fetal eye movements by MRI yields the potential to identify early signs of brainstem dysfunction, as encountered in brain malformations such as Chiari II or molar tooth malformations.

  20. Fetal Eye Movements on Magnetic Resonance Imaging

    Science.gov (United States)

    Woitek, Ramona; Kasprian, Gregor; Lindner, Christian; Stuhr, Fritz; Weber, Michael; Schöpf, Veronika; Brugger, Peter C.; Asenbaum, Ulrika; Furtner, Julia; Bettelheim, Dieter; Seidl, Rainer; Prayer, Daniela

    2013-01-01

    Objectives Eye movements are the physical expression of upper fetal brainstem function. Our aim was to identify and differentiate specific types of fetal eye movement patterns using dynamic MRI sequences. Their occurrence as well as the presence of conjugated eyeball motion and consistently parallel eyeball position was systematically analyzed. Methods Dynamic SSFP sequences were acquired in 72 singleton fetuses (17–40 GW, three age groups [17–23 GW, 24–32 GW, 33–40 GW]). Fetal eye movements were evaluated according to a modified classification originally published by Birnholz (1981): Type 0: no eye movements; Type I: single transient deviations; Type Ia: fast deviation, slower reposition; Type Ib: fast deviation, fast reposition; Type II: single prolonged eye movements; Type III: complex sequences; and Type IV: nystagmoid. Results In 95.8% of fetuses, the evaluation of eye movements was possible using MRI, with a mean acquisition time of 70 seconds. Due to head motion, 4.2% of the fetuses and 20.1% of all dynamic SSFP sequences were excluded. Eye movements were observed in 45 fetuses (65.2%). Significant differences between the age groups were found for Type I (p = 0.03), Type Ia (p = 0.031), and Type IV eye movements (p = 0.033). Consistently parallel bulbs were found in 27.3–45%. Conclusions In human fetuses, different eye movement patterns can be identified and described by MRI in utero. In addition to the originally classified eye movement patterns, a novel subtype has been observed, which apparently characterizes an important step in fetal brainstem development. We evaluated, for the first time, eyeball position in fetuses. Ultimately, the assessment of fetal eye movements by MRI yields the potential to identify early signs of brainstem dysfunction, as encountered in brain malformations such as Chiari II or molar tooth malformations. PMID:24194885

  1. 强制性诱导语言治疗对脑卒中后慢性失语症的效果观察%Effect of Constraint-induced Aphasia Therapy on Chronic Aphasia after Stroke

    Institute of Scientific and Technical Information of China (English)

    谢瑛; 刘惠林; 吴春薇; 李新宇; 郑萍; 陈宸; 李欣

    2014-01-01

    目的:探讨短期强制性诱导语言治疗对脑卒中后慢性失语症的疗效。方法30例脑卒中后慢性失语症患者接受共30 h言语康复训练,对照组(n=15)为传统言语康复训练,治疗组(n=15)为每天3 h强制性诱导语言治疗。治疗前后采用西方失语症成套测验(WAB)和交流能力问卷(CAL)进行评定。结果治疗后,治疗组WAB口语表达、命名及复述功能显著改善(P<0.001),听理解恢复不明显(P=0.066);对照组口语表达显著改善(P<0.001)。治疗后,治疗组CAL评分显著改善(P<0.001)。结论强制性诱导语言治疗可短期内明显改善脑卒中后慢性失语症患者的语言功能。%Objective To investigate the effect of short-term constraint-induced aphasia therapy on chronic aphasia after stroke. Meth-ods 30 stroke patients with chronic aphasia accepted speech therapy for a total of 30 hours. The control group (n=15) accepted routine speech training and the treatment group (n=15) accepted constraint-induced aphasia therapy 3 hours a day. They were assessed with the Western Aphasia Battery (WAB) and the Communicative Activity Log (CAL) before and after treatment. Results The treatment group im-proved significantly in oral expression, naming and repetition function of WAB after treatment (P<0.001), but not significantly in listening understanding (P=0.066);while the control group improved significantly in oral expression (P<0.001). The treatment group also significant-ly improved in CAL (P<0.001). Conclusion Constraint-induced aphasia therapy can significantly improve the speech for stroke patients with chronic aphasia in the short term.

  2. Predicate Movements in Chinese

    Science.gov (United States)

    Shou-hsin, Teng

    1975-01-01

    The movements of such higher predicates as time, locative, and complementation verbs are studied, and Tai's Predicate Placement Constraint is rejected as an incorrect account of predicate movements in Chinese. It is proposed, on the other hand, that there is only leftward movement involving predicates in Chinese. (Author)

  3. Linking Literacy and Movement

    Science.gov (United States)

    Pica, Rae

    2010-01-01

    There are many links between literacy and movement. Movement and language are both forms of communication and self-expression. Rhythm is an essential component of both language and movement. While people may think of rhythm primarily in musical terms, there is a rhythm to words and sentences as well. Individuals develop an internal rhythm when…

  4. Social movements and science

    DEFF Research Database (Denmark)

    Jamison, Andrew

    2006-01-01

    The article examines the role of social movements in the development of scientific knowledge. Interactions between social movements and science in broad, historical terms are discussed. The relations between the new social movements of the 1960s and 1970s and changes in the contemporary scientific...

  5. Lateral interception II : Predicting hand movements

    NARCIS (Netherlands)

    Michaels, CF; Jacobs, DM; Bongers, RM

    2006-01-01

    D. M. Jacobs and C. F. Michaels (2006) concluded that aspects of hand movements in lateral catching were predicted by the ratio of lateral optical velocity to expansion velocity. Their conclusions were based partly on a modified version of the required velocity model of catching (C. E. Peper, R. J.

  6. Lip Movement Exaggerations during Infant-Directed Speech

    Science.gov (United States)

    Green, Jordan R.; Nip, Ignatius S. B.; Wilson, Erin M.; Mefferd, Antje S.; Yunusova, Yana

    2010-01-01

    Purpose: Although a growing body of literature has identified the positive effects of visual speech on speech and language learning, oral movements of infant-directed speech (IDS) have rarely been studied. This investigation used 3-dimensional motion capture technology to describe how mothers modify their lip movements when talking to their…

  7. The mathematics of movement

    Science.gov (United States)

    Johnson, D.H.

    1999-01-01

    Review of: Quantitative Analysis of Movement: Measuring and Modeling Population Redistribution in Animals and Plants. Peter Turchin. 1998. Sinauer Associates, Sunderland, MA. 306 pages. $38.95 (paper).

  8. Randomness Of Amoeba Movements

    Science.gov (United States)

    Hashiguchi, S.; Khadijah, Siti; Kuwajima, T.; Ohki, M.; Tacano, M.; Sikula, J.

    2005-11-01

    Movements of amoebas were automatically traced using the difference between two successive frames of the microscopic movie. It was observed that the movements were almost random in that the directions and the magnitudes of the successive two steps are not correlated, and that the distance from the origin was proportional to the square root of the step number.

  9. Exploring pedestrian movement patterns

    NARCIS (Netherlands)

    Orellana, D.A.

    2012-01-01

    The main objective of this thesis is to develop an approach for exploring, analysing and interpreting movement patterns of pedestrians interacting with the environment. This objective is broken down in sub-objectives related to four research questions. A case study of the movement of visitors in a n

  10. Exploring pedestrian movement patterns

    NARCIS (Netherlands)

    Orellana, D.A.

    2012-01-01

    The main objective of this thesis is to develop an approach for exploring, analysing and interpreting movement patterns of pedestrians interacting with the environment. This objective is broken down in sub-objectives related to four research questions. A case study of the movement of visitors in a n

  11. [Dance/Movement Therapy.

    Science.gov (United States)

    Fenichel, Emily, Ed.

    1994-01-01

    This newsletter theme issue focuses on dance, play, and movement therapy for infants and toddlers with disabilities. Individual articles are: "Join My Dance: The Unique Movement Style of Each Infant and Toddler Can Invite Communication, Expression and Intervention" (Suzi Tortora); "Dynamic Play Therapy: An Integrated Expressive Arts Approach to…

  12. Engineering geology of underground movements

    Energy Technology Data Exchange (ETDEWEB)

    Bell, F.G.; Culshaw, M.G.; Cripps, J.C.; Lovell, M.A. (eds.) (Teeside Polytechnic, Middlesbrough (UK). Dept. of Civil Engineering)

    1988-01-01

    39 papers are presented under the following session headings: introduction; ground movements due to tunnelling; ground movements due to deep excavations; ground movements and construction operations; ground movements due to abandoned mine workings; ground movements due to longwall mining; abandoned limestone mines in the West Midlands; investigation of ground movements; ground movements due to the abstraction or injection of fluids; and induced seismicity. Each session is followed by a discussion.

  13. Patterns of movement and seed dispersal of a tropical frugivore.

    Science.gov (United States)

    Westcott, D A; Graham, D L

    2000-02-01

    Movement is a fundamental feature of vertebrate behavior and can modify processes within populations and communities. Because tropical avian frugivores disperse seeds of many plant species, the temporal and spatial patterning of their movement will influence seed distribution within a habitat. To date, little is known about movement patterns of these birds. Here we consider the movement of an understory frugivore, Mionectes oleagineus. Movements of 16 non-breeding females were monitored using continuous radio-telemetry to provide a general description of movement patterns and to examine the fractal geometry of the spatial component of movement. Most movements were of short distance and duration, with the frequency distributions of both measures strongly skewed to the left. Over the range of measurement scales considered, the fractal dimension of M. oleagineus's movement increased with increasing measurement scale up to ca.100 m, whereafter it appeared to flatten out. We combined movement data with M. oleagineus gut-passage rates for seeds of six plant species to predict seed shadows. Estimated seed shadows were leptokurtic for four of the six plant species, with median dispersal distances for all species from 42 to 56 m. Dispersal distances were of the order of reported pollen dispersal distances, suggesting that even small seed dispersers like M. oleagineus can provide significant dispersal for plant genotypes. Gut-passage rate appears to determine the shape of the seed shadow, while movement determines dispersal scale.

  14. Auxin and chloroplast movements.

    Science.gov (United States)

    Eckstein, Aleksandra; Krzeszowiec, Weronika; Waligórski, Piotr; Gabryś, Halina

    2016-03-01

    Auxin is involved in a wide spectrum of physiological processes in plants, including responses controlled by the blue light photoreceptors phototropins: phototropic bending and stomatal movement. However, the role of auxin in phototropin-mediated chloroplast movements has never been studied. To address this question we searched for potential interactions between auxin and the chloroplast movement signaling pathway using different experimental approaches and two model plants, Arabidopsis thaliana and Nicotiana tabacum. We observed that the disturbance of auxin homeostasis by shoot decapitation caused a decrease in chloroplast movement parameters, which could be rescued by exogenous auxin application. In several cases, the impairment of polar auxin transport, by chemical inhibitors or in auxin carrier mutants, had a similar negative effect on chloroplast movements. This inhibition was not correlated with changes in auxin levels. Chloroplast relocations were also affected by the antiauxin p-chlorophenoxyisobutyric acid and mutations in genes encoding some of the elements of the SCF(TIR1)-Aux/IAA auxin receptor complex. The observed changes in chloroplast movement parameters are not prominent, which points to a modulatory role of auxin in this process. Taken together, the obtained results suggest that auxin acts indirectly to regulate chloroplast movements, presumably by regulating gene expression via the SCF(TIR1)-Aux/IAA-ARF pathway. Auxin does not seem to be involved in controlling the expression of phototropins.

  15. Social movements in health.

    Science.gov (United States)

    Brown, Theodore M; Fee, Elizabeth

    2014-01-01

    Most public health practitioners know that public health has relied on biomedical advances and administrative improvements, but it is less commonly understood that social movements in health have also been sources of motivation for population health advances. This review considers the impacts of social movements focused on urban conditions and health, on the health of children, and on behavioral and substance-related determinants of health and illustrates how these movements have significantly influenced public health activities and programs. We hope this review will motivate public health workers to make common cause with social activists and to encourage social activists to ally with public health professionals.

  16. Studying Social Movements

    DEFF Research Database (Denmark)

    Uldam, Julie; McCurdy, Patrick

    2013-01-01

    The research method of participant observation has long been used by scholars interested in the motivations, dynamics, tactics and strategies of social movements from a movement perspective. Despite participant observation being a common research method, there have been very few efforts to bring...... and then draws specific links to how the method has been used in the study of activism and social movements. In doing so, this article brings together key academic debates on participant observation, which have been considered separately, such as insider/outsider and overt/covert, but not previously been brought...

  17. Genetically Modified Organisms

    Directory of Open Access Journals (Sweden)

    Claro Llaguno

    2001-06-01

    Full Text Available Recent reports have brought to public attention concerns about Bt corn and genetically modified organisms (GMO in general. The timing, it seems, is most appropriate considering two related developments early this year: the final approval of the Cartagena Protocol on Biosafety in Montreal on January 29, 2001, and the OECD Edinburgh Conference on GM food safety last February 28- March 1, 2001. The protocol makes clear that GMOs include all living modified organisms (LMO defined as "any living organism that possesses a novel combination of genetic material obtained through the use of modern biotechnology". This includes seeds, live fish, and other organisms intentionally obtained for release to the environment. It would seem that the common understanding about GMOs as referring to farm-to-table products is perforce expanded to embrace genetically modified farm animals and aquatic resources. Being a trade agreement, the Montreal accord primarily deals with the safety issues related to the transboundary movement of LMOs around the globe. The OECD conference on the other hand, called for an international body "to address all sides of the GM debate" in response to the public outcry, particularly in Western Europe, regarding the risks the new products pose to human health and the environment. Some points of contention, which remain unresolved, include issues such as whether countries should be allowed to develop their own GM food based on their needs, and whether a global moratorium on GMOs and mandatory labeling should be enforced worldwide.

  18. Movement and Coordination

    Science.gov (United States)

    ... Español Text Size Email Print Share Movement and Coordination Page Content Article Body At this age, your ... level will strengthen his body and develop his coordination. In the months ahead, your child’s running will ...

  19. The "Children's Rights" Movement.

    Science.gov (United States)

    Miller, Bruce A.

    1981-01-01

    The author argues that the "children's rights" movement is an attack on the authority of parents and teachers and that it is undermining school discipline and traditional family roles. Condensed from "American Educator," Spring 1981, pp30-33. (SJL)

  20. UAVs and Patient Movement

    Science.gov (United States)

    2016-04-01

    to mitigate hemorrhage, to optimize airway management , and to reduce the time interval between the point of injury and surgical intervention.72...depth look at the evolution of patient movement and the utilization of advanced technologies from to ultimately decrease the time to care. Future...with its employment for Class VII resupply (i.e., blood) and easily evolves toward full scale patient movement using advanced remote tele-monitoring

  1. The Circular Camera Movement

    DEFF Research Database (Denmark)

    Hansen, Lennard Højbjerg

    2014-01-01

    It has been an accepted precept in film theory that specific stylistic features do not express specific content. Nevertheless, it is possible to find many examples in the history of film in which stylistic features do express specific content: for instance, the circular camera movement is used...... such as the circular camera movement. Keywords: embodied perception, embodied style, explicit narration, interpretation, style pattern, television style...

  2. MIRROR MOVEMENT: A CASE REPORT

    Directory of Open Access Journals (Sweden)

    AA. Momen

    2008-11-01

    Full Text Available Mirror movement is an interesting but often overlooked neurological soft sign;these movements are described as simultaneous contralateral, involuntary, identical movements that accompany voluntary movements. This neurologic problem is very rarely seen in children; in familial cases there is a positive history of these movements in parents, diminishing with time. Here, we have presented the case of an 11-year old girl with mirror movements in her upper limbs which interfered with her hand writing. Her neurological examination revealed normal results. In this report, we have tried to explain some of the pathophysiologic mechanisms related to these abnormal movements.Keywords:Mirror Movements, Children, Soft neurologic sign

  3. Effect of modified constrained induced movement therapy on ...

    African Journals Online (AJOL)

    Ehab M. Abdel-Kafy

    2012-12-21

    Dec 21, 2012 ... rather common injury in newborn children. Incidence varies between ... posterior subluxation or dislocation of the humeral head, winging of the scapula, .... only be used with a cooperative, older child. This scale is not suitable ...

  4. Modified Ureterosigmoidostomy

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    Objective To introduce an operation procedure and evaluate the coutinence diversion results of the modified ureterosigmoidostomy after radical cystectomy. Methods Fourteen cases of bladder cancer or prostate carcinoma were operated on with modified Sigma pouch from Feb, 1998 to Dec, 1999. A longitudinal incision about 25 cm on the sigmoid uall was done to form a low pressure pouch. The vertex of the new pouch was fixed to sacrum. Both ends of ureters were anastomosed side to side and to form a big nipple and inserted into the top of pouch for 2 to 3 centimeters. Results It took about sixty five minutes to create a new low pressure pouch after radical cystectomy. Early complication of was found in two cases postoperatively, and cured with temporary colonostomy. Hydronephrosis and hypokalemia in one patient were cured by percutaneous anterograde ureter dilatation with balloon and oral replacement of potassium salt. All patients displayed urinary continence. No symptomatic renal infection or hypercholoraemic acidosis occurred. Conclusion Modified ureterosigmoidostomy is a safe procedure of urinary diversion and provides a big volume, low intravesical pressure pouch. The patients are free from the troublesome urine-bag, intermittert catheterization , and upper urinary tracts are protected effectively. The quality of life is satisfied.

  5. Posttraumatic functional movement disorders.

    Science.gov (United States)

    Ganos, C; Edwards, M J; Bhatia, K P

    2017-01-01

    Traumatic injury to the nervous system may account for a range of neurologic symptoms. Trauma location and severity are important determinants of the resulting symptoms. In severe head injury with structural brain abnormalities, the occurrence of trauma-induced movement disorders, most commonly hyperkinesias such as tremor and dystonia, is well recognized and its diagnosis straightforward. However, the association of minor traumatic events, which do not lead to significant persistent structural brain damage, with the onset of movement disorders is more contentious. The lack of clear clinical-neuroanatomic (or symptom lesion) correlations in these cases, the variable timing between traumatic event and symptom onset, but also the presence of unusual clinical features in a number of such patients, which overlap with signs encountered in patients with functional neurologic disorders, contribute to this controversy. The purpose of this chapter is to provide an overview of the movement disorders, most notably dystonia, that have been associated with peripheral trauma and focus on their unusual characteristics, as well as their overlap with functional neurologic disorders. We will then provide details on pathophysiologic views that relate minor peripheral injuries to the development of movement disorders and compare them to knowledge from primary organic and functional movement disorders. Finally, we will comment on the appropriate management of these disorders.

  6. Legacy of the Environmental Movement

    Science.gov (United States)

    Albrecht, Stan L.

    1976-01-01

    An effort to select an important contemporary social movement (the environmental movement) and to assess some of the important impacts it has had on the larger society. This review of the environmental movement indicates it may be following a path similiar to the life-cycle of previous movements. (Author/BT)

  7. Movement as utopia.

    Science.gov (United States)

    Couton, Philippe; López, José Julián

    2009-10-01

    Opposition to utopianism on ontological and political grounds has seemingly relegated it to a potentially dangerous form of antiquated idealism. This conclusion is based on a restrictive view of utopia as excessively ordered panoptic discursive constructions. This overlooks the fact that, from its inception, movement has been central to the utopian tradition. The power of utopianism indeed resides in its ability to instantiate the tension between movement and place that has marked social transformations in the modern era. This tension continues in contemporary discussions of movement-based social processes, particularly international migration and related identity formations, such as open borders transnationalism and cosmopolitanism. Understood as such, utopia remains an ongoing and powerful, albeit problematic instrument of social and political imagination.

  8. A movement ecology paradigm for unifying organismal movement research

    Science.gov (United States)

    Nathan, Ran; Getz, Wayne M.; Revilla, Eloy; Holyoak, Marcel; Kadmon, Ronen; Saltz, David; Smouse, Peter E.

    2008-01-01

    Movement of individual organisms is fundamental to life, quilting our planet in a rich tapestry of phenomena with diverse implications for ecosystems and humans. Movement research is both plentiful and insightful, and recent methodological advances facilitate obtaining a detailed view of individual movement. Yet, we lack a general unifying paradigm, derived from first principles, which can place movement studies within a common context and advance the development of a mature scientific discipline. This introductory article to the Movement Ecology Special Feature proposes a paradigm that integrates conceptual, theoretical, methodological, and empirical frameworks for studying movement of all organisms, from microbes to trees to elephants. We introduce a conceptual framework depicting the interplay among four basic mechanistic components of organismal movement: the internal state (why move?), motion (how to move?), and navigation (when and where to move?) capacities of the individual and the external factors affecting movement. We demonstrate how the proposed framework aids the study of various taxa and movement types; promotes the formulation of hypotheses about movement; and complements existing biomechanical, cognitive, random, and optimality paradigms of movement. The proposed framework integrates eclectic research on movement into a structured paradigm and aims at providing a basis for hypothesis generation and a vehicle facilitating the understanding of the causes, mechanisms, and spatiotemporal patterns of movement and their role in various ecological and evolutionary processes. ”Now we must consider in general the common reason for moving with any movement whatever.“ (Aristotle, De Motu Animalium, 4th century B.C.) PMID:19060196

  9. The Mastery of Movement.

    Science.gov (United States)

    Laban, Rudolf; Ullmann, Lisa

    In this third edition, some amendments and additions have been made to the original text, first published in 1950. As in past editions, the relationship between the inner motivation of movement and the outer functioning of the body is explored. Acting and dancing are shown as activities deeply concerned with man's urge to establish values and…

  10. The Hopi Traditionalist Movement.

    Science.gov (United States)

    Clemmer, Richard O.

    1994-01-01

    Traces development of Hopi Traditionalism since 1906 as a social movement within the context of Hopi culture and sociopolitical history. Discusses the role of ideology in mediating political and economic conditions of history and collective cultural consciousness. Offers conclusions about the political role of indigenous culture and culturally…

  11. Material and Affective Movements

    DEFF Research Database (Denmark)

    Rasmussen, Lisa Rosén

    2014-01-01

    . The chapter traces the former pupil’s memories of physical and affective movements within the larger context of school and discovers surprisingly diverse modes of knowing, relating, and attending to things, teachers and classmates among and between the three generations. It thus taps into the rich realms...

  12. Mungiki as Youth Movement

    DEFF Research Database (Denmark)

    Rasmussen, Jacob

    2010-01-01

    Like many other African countries, Kenya has a large and growing youth population. Some of the youths are mobilized into militant and political networks; one of these is the Mungiki movement. The article explores Mungiki’s combination of politics, religion and Kikuyu traditions. Using the examples...

  13. Music, Movement, and Poetry.

    Science.gov (United States)

    Carmichael, Karla D.

    This paper's premise is that music, movement, and poetry are unique and creative methods to be used by the counselor in working with both children and adults. Through these media, the counselor generates material for the counseling session that may not be available through more traditional "talk therapies." The choice of music as a counseling…

  14. Autoimmune movement disorders.

    Science.gov (United States)

    Mckeon, Andrew; Vincent, Angela

    2016-01-01

    Autoimmune movement disorders encapsulate a large and diverse group of neurologic disorders occurring either in isolation or accompanying more diffuse autoimmune encephalitic illnesses. The full range of movement phenomena has been described and, as they often occur in adults, many of the presentations can mimic neurodegenerative disorders, such as Huntington disease. Disorders may be ataxic, hypokinetic (parkinsonism), or hyperkinetic (myoclonus, chorea, tics, and other dyskinetic disorders). The autoantibody targets are diverse and include neuronal surface proteins such as leucine-rich, glioma-inactivated 1 (LGI1) and glycine receptors, as well as antibodies (such as intracellular antigens) that are markers of a central nervous system process mediated by CD8+ cytotoxic T cells. However, there are two conditions, stiff-person syndrome (also known as stiff-man syndrome) and progressive encephalomyelitis with rigidity and myoclonus (PERM), that are always autoimmune movement disorders. In some instances (such as Purkinje cell cytoplasmic antibody-1 (PCA-1) autoimmunity), antibodies detected in serum and cerebrospinal fluid can be indicative of a paraneoplastic cause, and may direct the cancer search. In other instances (such as 65kDa isoform of glutamic acid decarboxylase (GAD65) autoimmunity), a paraneoplastic cause is very unlikely, and early treatment with immunotherapy may promote improvement or recovery. Here we describe the different types of movement disorder and the clinical features and antibodies associated with them, and discuss treatment.

  15. Measuring Facial Movement

    Science.gov (United States)

    Ekman, Paul; Friesen, Wallace V.

    1976-01-01

    The Facial Action Code (FAC) was derived from an analysis of the anatomical basis of facial movement. The development of the method is explained, contrasting it to other methods of measuring facial behavior. An example of how facial behavior is measured is provided, and ideas about research applications are discussed. (Author)

  16. Psychogenic Movement Disorders

    Directory of Open Access Journals (Sweden)

    Chakravarty Ambar

    2004-01-01

    Full Text Available Psychogenic movement Disorders (PMD may result from somatoform disorders, factitious disorders, malingering, depression anxiety disorders and less frequently, histrionic personality disorders. First recognized by Henry Head in early twentieth century, PMD s commonly encountered and clues to their differentiation from organic disease. A generally accepted management protocol has been outlined.

  17. The Matter of Movement

    DEFF Research Database (Denmark)

    Ayres, Phil

    2015-01-01

    This contribution concerns itself with the design and realisation of architectures that operate with material dynamics. It presents this concern as a counter to the consideration of movement in architecture as something conceptualised from the position of the observer. The contribution draws upon...

  18. West African Antislavery Movements

    DEFF Research Database (Denmark)

    Hahonou, Eric Komlavi; Pelckmans, Lotte

    2011-01-01

    -slavery movements had raised awareness, this political emergence was even easier. Indeed the fight against ‘slave mentalities’ was everywhere a major challenge and a crucial step to mobilize groups of slave status under a united force. As this article argues changes in political structures and changes in political...

  19. Biological Movement and Laws of Physics.

    Science.gov (United States)

    Latash, Mark L

    2017-07-01

    Living systems may be defined as systems able to organize new, biology-specific, laws of physics and modify their parameters for specific tasks. Examples include the force-length muscle dependence mediated by the stretch reflex, and the control of movements with modification of the spatial referent coordinates for salient performance variables. Low-dimensional sets of referent coordinates at a task level are transformed to higher-dimensional sets at lower hierarchical levels in a way that ensures stability of performance. Stability of actions can be controlled independently of the actions (e.g., anticipatory synergy adjustments). Unintentional actions reflect relaxation processes leading to drifts of corresponding referent coordinates in the absence of changes in external load. Implications of this general framework for movement disorders, motor development, motor skill acquisition, and even philosophy are discussed.

  20. [Ergonomic movement in dentistry].

    Science.gov (United States)

    Bos-Huizer, J J A; Bolderman, F W

    2014-02-01

    'Ergonomic movement in dentistry' is a recently developed ergonomic programme for dental healthcare professionals which is intended to prevent work-related complaints and assist in recovering from them. The programme is recommended by disability insurers in cases of specific physical complaints, limitations or disability, as a consequence of which a dental healthcare professional is unable to carry out his or her work. In a four-day training programme, in one's own workplace, skills are taught in the areas of work organization, work attitude and movement. These skills are directly applied in the treatment ofpatients and, if necessary, further improved. In this way, one advances step by step to an ergonomic way of working. Evaluations have shown that the programme is advantageous for the attitude toward work, the workplace and the work organization as well as the reduction of disability.

  1. Studying frozen movement

    Directory of Open Access Journals (Sweden)

    Jeremy White

    2015-12-01

    Full Text Available Review of Spyros Papapetros, On the Animation of the Inorganic: Art, Architecture, and the Extension of Life: Spyros Papapetros examines ideas about simulated movement and inorganic life during and after the turn of the twentieth century. Exploring works of a selection of important art historians as well as artists and architects of the period, the author maintains that the ability to identify with material objects was repressed by modernist culture, and yet found expression stylistically through depictions of inorganic forms. That expression is shown to have continuity with older medieval and renaissance depictions. The book is organized by a narrative that evokes the modes of inquiry documented and critiqued by the content of the book, employing movement as a narrative device, a metaphor, while serving as a subject of inquiry.

  2. Automatic Chloroplast Movement Analysis.

    Science.gov (United States)

    Johansson, Henrik; Zeidler, Mathias

    2016-01-01

    In response to low or high intensities of light, the chloroplasts in the mesophyll cells of the leaf are able to increase or decrease their exposure to light by accumulating at the upper and lower sides or along the side walls of the cell respectively. This movement, regulated by the phototropin blue light photoreceptors phot1 and phot2, results in a decreased or increased transmission of light through the leaf. This way the plant is able to optimize harvesting of the incoming light or avoid damage caused by excess light. Here we describe a method that indirectly measures the movement of chloroplasts by taking advantage of the resulting change in leaf transmittance. By using a microplate reader, quantitative measurements of chloroplast accumulation or avoidance can be monitored over time, for multiple samples with relatively little hands-on time.

  3. Human Purposive Movement Theory

    Science.gov (United States)

    2012-03-01

    movement patterns; for example, horses , deer, and javelina exhibit grazing behaviors that are similar to, but not quite the same as, cattle. Individual...conveyance would be modeled. This might be as simple as a person riding a horse , mule, camel, or burro, or as complex as a multiwheeled truck, train...or tracked vehicle. The assumption presented is that each system of conveyance reflects the will of its operator/ rider , whether that system is a

  4. Confronting Islamic Jihadist Movements

    Directory of Open Access Journals (Sweden)

    M. Afzal Upal

    2015-05-01

    Full Text Available This paper argues that in order to win the long-term fight against Islamic Jihadist movements, we must confront their ideological foundations and provide the majority of Muslims with an alternative narrative that satisfies their social identity needs for a positive esteem.  By analysing social identity dynamics of Western-Muslim interactions, this paper presents some novel ideas that can lead to the creation of such a narrative.

  5. Cannabis in movement disorders.

    Science.gov (United States)

    Müller-Vahl, K R; Kolbe, H; Schneider, U; Emrich, H M

    1999-10-01

    Central cannabinoid receptors are densely located in the output nuclei of the basal ganglia (globus pallidus, substantia nigra pars reticulata), suggesting their involvement in the regulation of motor activity. Furthermore, there is evidence that endogenous cannabinoid transmission plays a role in the manipulation of other transmitter systems within the basal ganglia by increasing GABAergic transmission, inhibiting glutamate release and affecting dopaminergic uptake. Most hyperkinetic and hypokinetic movement disorders are caused by a dysfunction of basal ganglia-thalamo-cortical loops. It has been suggested that an endogenous cannabinoid tone participates in the control of movements and, therefore, the central cannabinoid system might play a role in the pathophysiology of these diseases. During the last years in humans a limited number of clinical trials demonstrated that cannabinoids might be useful in the treatment of movement disorders. Despite the lack of controlled studies there is evidence that cannabinoids are of therapeutic value in the treatment of tics in Tourette syndrome, the reduction of levodopa-induced dyskinesia in Parkinson s disease and some forms of tremor and dystonia. It can be speculated that cannabinoid antagonists might be useful in the treatment of chorea in Huntington s disease and hypokinetic parkinsonian syndromes.

  6. Monitoring underground movements

    CERN Multimedia

    Antonella Del Rosso

    2015-01-01

    On 16 September 2015 at 22:54:33 (UTC), an 8.3-magnitude earthquake struck off the coast of Chile. 11,650 km away, at CERN, a new-generation instrument – the Precision Laser Inclinometer (PLI) – recorded the extreme event. The PLI is being tested by a JINR/CERN/ATLAS team to measure the movements of underground structures and detectors.   The Precision Laser Inclinometer during assembly. The instrument has proven very accurate when taking measurements of the movements of underground structures at CERN.    The Precision Laser Inclinometer is an extremely sensitive device capable of monitoring ground angular oscillations in a frequency range of 0.001-1 Hz with a precision of 10-10 rad/Hz1/2. The instrument is currently installed in one of the old ISR transfer tunnels (TT1) built in 1970. However, its final destination could be the ATLAS cavern, where it would measure and monitor the fine movements of the underground structures, which can affect the precise posi...

  7. Rooted in Movement

    DEFF Research Database (Denmark)

    The result of the synergy between four doctoral projects and an advanced MA-level course on Bronze Age Europe, this integrated assemblage of articles represents a variety of different subjects united by a single theme: movement. Ranging from theoretical discussion of the various responses to and ...... period of European prehistory. In so doing, the text not only addresses transmission and reception, but also the conceptualization of mobility within a world which was literally Rooted in Movement.......The result of the synergy between four doctoral projects and an advanced MA-level course on Bronze Age Europe, this integrated assemblage of articles represents a variety of different subjects united by a single theme: movement. Ranging from theoretical discussion of the various responses...... to and reactions from the circulation of people, objects and ideas to the transmission of the spiral and the ‚trade’ in crafting expertise, this volume takes a fresh look at old questions. Each article within this monograph represents a different approach to mobility framed within a highly mobile and dynamic...

  8. Human preference for air movement

    DEFF Research Database (Denmark)

    Toftum, Jørn; Melikov, Arsen Krikor; Tynel, A.

    2002-01-01

    Human preference for air movement was studied at slightly cool, neutral, and slightly warm overall thermal sensations and at temperatures ranging from 18 deg.C to 28 deg.C. Air movement preference depended on both thermal sensation and temperature, but large inter-individual differences existed...... between subjects. Preference for less air movement was linearly correlated with draught discomfort, but the percentage of subjects who felt draught was lower than the percentage who preferred less air movement....

  9. Segmenting Trajectories by Movement States

    NARCIS (Netherlands)

    Buchin, M.; Kruckenberg, H.; Kölzsch, A.; Timpf, S.; Laube, P.

    2013-01-01

    Dividing movement trajectories according to different movement states of animals has become a challenge in movement ecology, as well as in algorithm development. In this study, we revisit and extend a framework for trajectory segmentation based on spatio-temporal criteria for this purpose. We adapt

  10. Robustness of movement detection techniques from motor execution

    DEFF Research Database (Denmark)

    Aliakbaryhosseinabadi, Susan; Jiang, Ning; Petrini, Laura;

    2015-01-01

    Alterations in attention are known to modify excitability of underlying cortical structures and thus the activity recorded during non-invasive electroencephalography (EEG). Brain-Computer-Interface systems for neuromodulation are based on reliable detection of intended movements from continuous EEG...

  11. Seasonal movements and home ranges of white-tailed deer in north-central South Dakota

    National Research Council Canada - National Science Library

    Grovenburg, T. W; Jenks, J. A; Klaver, R. W; Swanson, C. C; Jacques, C. N; Todey, D

    2009-01-01

    Knowledge of movement patterns of white-tailed deer (Odocoileus virginianus (Zimmermann, 1780)) inhabiting landscapes intensively modified by agricultural systems is important to the present and future understanding of deer ecology...

  12. Movement Patterns in Educational Games

    DEFF Research Database (Denmark)

    2017-01-01

    Although movement is essential in location-based games to get from one point of interest to the next, it is seldom taken into account for the game design and the selection of locations. Instead, player movement is usually analyzed after the fact, i.e. when the game is ready to play. In this paper...... we compare this post-hoc movement analysis with an approach that utilizes the methods for movement analysis to inform the game design itself. We show that both approaches have their merits and solve different tasks, but that there is a benefit of taking movement more serious in designing location...

  13. Knowledge through movement

    DEFF Research Database (Denmark)

    Jensen, Søren Kjær; Moser, T.

    2003-01-01

    In: Children and adolescents in movement - perspectives and ideas. The Danish Ministry of Culture, pages 150 - 162. 2003 Short description: the article debunks a lot of the myths surrounding body and learning, and replace them with a vision about another kind of learning. The aim is to reintroduc....... The current focus on the head and lack of attention to the body unifies society to focus on cognitive learning. This has implications for the values created by this system. Learning Lab Denmark aims to examine new ways of reintroducing the body into learning....

  14. Energy and Movement

    CERN Document Server

    90, Sol

    2011-01-01

    Updated for 2011, Energy and Movement, is one book in the Britannica Illustrated Science Library Series that covers today's most popular science topics, from digital TV to microchips to touchscreens and beyond. Perennial subjects in earth science, life science, and physical science are all explored in detail. Amazing graphics-more than 1,000 per title-combined with concise summaries help students understand complex subjects. Correlated to the science curriculum in grades 5-9, each title also contains a glossary with full definitions for vocabulary.

  15. Stereotypic movement disorders.

    Science.gov (United States)

    Singer, Harvey S

    2011-01-01

    Stereotypic movements are repetitive, rhythmic, fixed, patterned in form, amplitude, and localization, but purposeless (e.g., hand shaking, waving, body rocking, head nodding). They are commonly seen in children; both in normal children (primary stereotypy) and in individuals with additional behavioral or neurological signs and symptoms (secondary stereotypy). They should be differentiated from compulsions (OCD), tics (tic disorders), trichotillomania, skin picking disorder, or the direct physiological effect of a substance. There is increasing evidence to support a neurobiological mechanism. Response to behavioral and pharmacological therapies is variable.

  16. Tracking the Poster Movement

    DEFF Research Database (Denmark)

    Christensen, Line Hjorth

    2015-01-01

    commercial and graphic design of various kinds of which British and Foreign Posters offers a particularly rich example. The exhibition attracted commercial, artistic and curatorial forces substantiating the idea of a movement, and approached commercial art from a perspective that raised new awareness towards...... graphic material in urban and museum space alike. To clarify the curatorial approach the analysis draws on a theoretical scheme of ecological semiotics, the concept of counterability and contextualising displays, which I name poster milieux: the 1931 case demonstrates how contemporary commercial art...

  17. Modelling group dynamic animal movement

    DEFF Research Database (Denmark)

    Langrock, Roland; Hopcraft, J. Grant C.; Blackwell, Paul G.

    2014-01-01

    Group dynamic movement is a fundamental aspect of many species' movements. The need to adequately model individuals' interactions with other group members has been recognised, particularly in order to differentiate the role of social forces in individual movement from environmental factors. However......, to date, practical statistical methods which can include group dynamics in animal movement models have been lacking. We consider a flexible modelling framework that distinguishes a group-level model, describing the movement of the group's centre, and an individual-level model, such that each individual...... makes its movement decisions relative to the group centroid. The basic idea is framed within the flexible class of hidden Markov models, extending previous work on modelling animal movement by means of multi-state random walks. While in simulation experiments parameter estimators exhibit some bias...

  18. Trajectory Indexing Using Movement Constraints

    DEFF Research Database (Denmark)

    Pfoser, D.; Jensen, Christian Søndergaard

    2005-01-01

    With the proliferation of mobile computing, the ability to index efficiently the movements of mobile objects becomes important. Objects are typically seen as moving in two-dimensional (x,y) space, which means that their movements across time may be embedded in the three-dimensional (x,y,t) space....... Further, the movements are typically represented as trajectories, sequences of connected line segments. In certain cases, movement is restricted; specifically, in this paper, we aim at exploiting that movements occur in transportation networks to reduce the dimensionality of the data. Briefly, the idea...... is to reduce movements to occur in one spatial dimension. As a consequence, the movement occurs in two-dimensional (x,t) space. The advantages of considering such lower-dimensional trajectories are that the overall size of the data is reduced and that lower-dimensional data is to be indexed. Since off...

  19. Movement disorders in cerebrovascular disease.

    Science.gov (United States)

    Mehanna, Raja; Jankovic, Joseph

    2013-06-01

    Movement disorders can occur as primary (idiopathic) or genetic disease, as a manifestation of an underlying neurodegenerative disorder, or secondary to a wide range of neurological or systemic diseases. Cerebrovascular diseases represent up to 22% of secondary movement disorders, and involuntary movements develop after 1-4% of strokes. Post-stroke movement disorders can manifest in parkinsonism or a wide range of hyperkinetic movement disorders including chorea, ballism, athetosis, dystonia, tremor, myoclonus, stereotypies, and akathisia. Some of these disorders occur immediately after acute stroke, whereas others can develop later, and yet others represent delayed-onset progressive movement disorders. These movement disorders have been encountered in patients with ischaemic and haemorrhagic strokes, subarachnoid haemorrhage, cerebrovascular malformations, and dural arteriovenous fistula affecting the basal ganglia, their connections, or both.

  20. [Movement disorders is psychiatric diseases].

    Science.gov (United States)

    Hidasi, Zoltan; Salacz, Pal; Csibri, Eva

    2014-12-01

    Movement disorders are common in psychiatry. The movement disorder can either be the symptom of a psychiatric disorder, can share a common aetiological factor with it, or can be the consequence of psychopharmacological therapy. Most common features include tic, stereotypy, compulsion, akathisia, dyskinesias, tremor, hypokinesia and disturbances of posture and gait. We discuss characteristics and clinical importance of these features. Movement disorders are frequently present in mood disorders, anxiety disorders, schizophrenia, catatonia, Tourette-disorder and psychogenic movement disorder, leading to differential-diagnostic and therapeutical difficulties in everyday practice. Movement disorders due to psychopharmacotherapy can be classified as early-onset, late-onset and tardive. Frequent psychiatric comorbidity is found in primary movement disorders, such as Parkinson's disease, Wilson's disease, Huntington's disease, diffuse Lewy-body disorder. Complex neuropsychiatric approach is effective concerning overlapping clinical features and spectrums of disorders in terms of movement disorders and psychiatric diseases.

  1. Application of Electroacupuncture plus Movement Therapy in Recovering Neurologic Function of Patients with Spastic Hemiplegia%电针联合运动疗法在痉挛性偏瘫患者神经功能恢复中的应用

    Institute of Scientific and Technical Information of China (English)

    樊留博; 刘素芝; 王仲苔; 刘宝华; 田瑛; 卢战; 马利中

    2015-01-01

    ObjectiveTo observe the clinical efficacy of electroacupuncture plus constraint-induced movement therapy (CIMT) in recovering neurologic function of patients with spastic hemiplegia.MethodSixty patients with post-stroke spastic hemiplegia were randomized into an electroacupuncture group, a CIMT group, and an electroacupuncture+CIMT (integrated) group to receive corresponding intervention in addition tothe ordinary rehabilitation treatment, 20 cases in each group. Before treatment and after 4-week treatment, the modified Ashworth Scale, Clinical Neurologic Deficit Scale, Short-form Fugl-Meyer Assessment Scale (FMA), and Berg Balance Scale (BBS) were adopted for evaluation and comparison.ResultAfter 4-week treatment, the Ashworth score and neurologic deficit score were significantly reduced in the three groups (P<0.01), and the scores in CIMT group were significantly lower than that in the electroacupuncture group (P<0.05), and the scores in the integrated group were markedly lower than that in the other two groups (P<0.05); the FMA and BBS scores were significantly increased after intervention in the three groups (P<0.01), and the scores in CIMT group were higher than that in the elctroacupuncture group (P<0.05), and the scores in the integrated group were higher than that in the other two groups(P<0.05).ConclusionElectroacupuncture plus CIMT can reduce the muscular tension of the affected limb in patients with spastic hemiplegia, and improve the neurologic function, motor function, and the quality of life of the patients.%目的:观察电针联合强制性运动(constraint-induced movement therapy,CIMT)对痉挛性偏瘫患者神经功能恢复的临床疗效。方法选取脑卒中痉挛性偏瘫患者60例,随机分为电针组、强制性运动组(运动组)和电针联合强制性运动组(联合组)各20例,3组均在常规康复治疗基础上行相应治疗,分别于治疗前与治疗4星期后对3组患者改良Ashworth分级、临床神经功能缺损

  2. CONTROLS ON CAPITAL MOVEMENTS

    Directory of Open Access Journals (Sweden)

    Petris Sorina

    2012-12-01

    Full Text Available Until recently, capital mobility was encouraged across national borders, because it was considered that such capital can seek the highest rate of return. However, recent global financial developments have shown that, due to contagion, the mobility of capital flows can cause severe financial imbalances. In the context of globalization, liberalization or maintaining controls on capital flows is a current topic, more debated by economists. This topic is very important, due to the impact of liberalization decision or maintaining controls on capital flows has on the overall macroeconomic framework. The paper analyzes the relationship between capital flows’ control and the income per capita, the degree of central bank independence, democracy country, the foreign exchange regime. Also, it analyzes the effectiveness in time of capital controls, taking account of financial system development and potential risks of instability. Over time, it was observed that a period in which they have imposed restrictions on capital movements was followed by a removal of such restrictions, and vice versa. Cyclic change of capital movements regime corresponds to the cyclic evolution of the global economy. Full capital account liberalization led to the emergence of currency and financial crises, so that the idea of maintaining controls on capital is not rejected by economists. After a full liberalization of capital flows, there is a change in the mentality of an increasing number of economists, who support the maintenance of controls, in a gradual liberalization.

  3. Movement disorders in childhood.

    Science.gov (United States)

    Cardoso, Francisco

    2014-01-01

    The aim of this article is to review movement disorders in children. They are common but have etiology and phenomenology different than in adults. Tics are the most common phenomena although in most instances they are mild and have a favorable long-term prognosis. Dystonia is the second most common phenomena but when present it is usually genetic or idiopathic and causes meaningful disability. Sydenham's chorea is the most common cause of chorea in children worldwide. Systemic lupus erythematosus is a much rarer cause of chorea but it is always to be ruled out given the lack of a specific diagnostic marker for Sydenham's chorea. Tremor, usually caused by drugs or essential tremor, is regarded as rather uncommon in children. Arguably, most pediatric patients with tremor do not seek medical attention because of the lack of disability. Stereotypies are relatively uncommon but their recognition is clinically relevant since they are usually associated with severe conditions such as autism and Rett syndrome. Parkinsonism is quite rare in children and either results from encephalitis or is a side effect of medications. Wilson's disease must be ruled out in all children with movement disorders.

  4. Mirror movements in progressive hemifacial atrophy

    OpenAIRE

    2015-01-01

    Mirror movements are simultaneous, involuntary, identical movements occurring during contralateral voluntary movements. These movements are considered as soft neurologic signs seen uncommonly in clinical practice. The mirror movements are described in various neurological disorders which include parkinsonism, cranio veretebral junction anamolies, and hemiplegic cerebral palsy. These movements are intriguing and can pose significant disability. However, no such observation regarding mirror mov...

  5. Knowledge through movement

    DEFF Research Database (Denmark)

    Jensen, Søren Kjær; Moser, T.

    2003-01-01

    the bodily aspect to the educational system in a highly effective and useful way. Abstract: Children and adolescents are raised to passivity. Lack of motion in kindergartens and schools promote obesity and life style-related diseases, but another and just as dire consequence is the impact on learning......In: Children and adolescents in movement - perspectives and ideas. The Danish Ministry of Culture, pages 150 - 162. 2003 Short description: the article debunks a lot of the myths surrounding body and learning, and replace them with a vision about another kind of learning. The aim is to reintroduce....... The current focus on the head and lack of attention to the body unifies society to focus on cognitive learning. This has implications for the values created by this system. Learning Lab Denmark aims to examine new ways of reintroducing the body into learning....

  6. Credit assignment in movement-dependent reinforcement learning.

    Science.gov (United States)

    McDougle, Samuel D; Boggess, Matthew J; Crossley, Matthew J; Parvin, Darius; Ivry, Richard B; Taylor, Jordan A

    2016-06-14

    When a person fails to obtain an expected reward from an object in the environment, they face a credit assignment problem: Did the absence of reward reflect an extrinsic property of the environment or an intrinsic error in motor execution? To explore this problem, we modified a popular decision-making task used in studies of reinforcement learning, the two-armed bandit task. We compared a version in which choices were indicated by key presses, the standard response in such tasks, to a version in which the choices were indicated by reaching movements, which affords execution failures. In the key press condition, participants exhibited a strong risk aversion bias; strikingly, this bias reversed in the reaching condition. This result can be explained by a reinforcement model wherein movement errors influence decision-making, either by gating reward prediction errors or by modifying an implicit representation of motor competence. Two further experiments support the gating hypothesis. First, we used a condition in which we provided visual cues indicative of movement errors but informed the participants that trial outcomes were independent of their actual movements. The main result was replicated, indicating that the gating process is independent of participants' explicit sense of control. Second, individuals with cerebellar degeneration failed to modulate their behavior between the key press and reach conditions, providing converging evidence of an implicit influence of movement error signals on reinforcement learning. These results provide a mechanistically tractable solution to the credit assignment problem.

  7. Bewitched - The Tea Party Movement

    DEFF Research Database (Denmark)

    Ashbee, Edward

    2011-01-01

    This article considers the development of the Tea Party movement, the character of its thinking and the nature of the interests and constituencies to which it is tied. The article suggests that despite the importance of ideas and interests, and the process of interaction between them, the movement....... The political friction that this creates has contributed to the anger that has characterised the movement. While the Tea Party movement may, as such, have only an ephemeral existence, independent conservatives are likely to remain a significant and potent constituency and will, within the institutional...

  8. Physiology of psychogenic movement disorders.

    Science.gov (United States)

    Hallett, Mark

    2010-08-01

    Psychogenic movement disorders (PMDs) are common, but their physiology is largely unknown. In most situations, the movement is involuntary, but in a minority, when the disorder is malingering or factitious, the patient is lying and the movement is voluntary. Physiologically, we cannot tell the difference between voluntary and involuntary. The Bereitschaftspotential (BP) is indicative of certain brain mechanisms for generating movement, and is seen with ordinarily voluntary movements, but by itself does not indicate that a movement is voluntary. There are good clinical neurophysiological methods available to determine whether myoclonus or tremor is a PMD. For example, psychogenic myoclonus generally has a BP, and psychogenic stimulus-sensitive myoclonus has a variable latency with times similar to normal reaction times. Psychogenic tremor will have variable frequency over time, be synchronous in the two arms, and might well be entrained with voluntary rhythmic movements. These facts suggest that PMDs share voluntary mechanisms for movement production. There are no definitive tests to differentiate psychogenic dystonia from organic dystonia, although one has been recently reported. Similar physiological abnormalities are seen in both groups. The question arises as to how a movement can be produced with voluntary mechanisms, but not be considered voluntary.

  9. Movement Matters: Observing the Benefits of Movement Practice

    Science.gov (United States)

    Fuchs, Melani Alexander

    2015-01-01

    Montessori's first premise is that movement and cognition are closely entwined, and movement can enhance thinking and learning (Lillard, 2005). Children must move, and practice moving, to develop strength, balance, and the stability needed to fully participate in the rigors of daily life. It is imperative for young children's motor…

  10. Eye Movements in Gaze Interaction

    DEFF Research Database (Denmark)

    Møllenbach, Emilie; Hansen, John Paulin; Lillholm, Martin

    2013-01-01

    Gaze as a sole input modality must support complex navigation and selection tasks. Gaze interaction combines specific eye movements and graphic display objects (GDOs). This paper suggests a unifying taxonomy of gaze interaction principles. The taxonomy deals with three types of eye movements: fix...

  11. The Explanatory Range of Movement

    DEFF Research Database (Denmark)

    Thrane, Torben

    2005-01-01

    Drawing a distinction between systemic and functional explanations of movement in general, I shall argue that the Chomskyan view of movement in language is originally functional. With the advent of the Minimimalist Program, however, it has become systemic, but no argument for this change has been...

  12. Human preference for air movement

    DEFF Research Database (Denmark)

    Toftum, Jørn; Melikov, Arsen Krikor; Tynel, A.;

    2002-01-01

    Human preference for air movement was studied at slightly cool, neutral, and slightly warm overall thermal sensations and at temperatures ranging from 18 deg.C to 28 deg.C. Air movement preference depended on both thermal sensation and temperature, but large inter-individual differences existed...

  13. Theosophically Inspired Movements in Denmark

    DEFF Research Database (Denmark)

    Dybdal, René

    2016-01-01

    The theosophical movement has had a significant influence on the esoteric milieu in Denmark during the 20th Century. In this paper the inspiration on other Groups in Denmark is explored.......The theosophical movement has had a significant influence on the esoteric milieu in Denmark during the 20th Century. In this paper the inspiration on other Groups in Denmark is explored....

  14. Movement disorders in spinocerebellar ataxias

    NARCIS (Netherlands)

    Gaalen, J. van; Giunti, P.; Warrenburg, B.P.C. van de

    2011-01-01

    Autosomal dominant spinocerebellar ataxias (SCAs) can present with a large variety of noncerebellar symptoms, including movement disorders. In fact, movement disorders are frequent in many of the various SCA subtypes, and they can be the presenting, dominant, or even isolated disease feature. When c

  15. Eye Movements in Gaze Interaction

    DEFF Research Database (Denmark)

    Møllenbach, Emilie; Hansen, John Paulin; Lillholm, Martin

    2013-01-01

    Gaze as a sole input modality must support complex navigation and selection tasks. Gaze interaction combines specific eye movements and graphic display objects (GDOs). This paper suggests a unifying taxonomy of gaze interaction principles. The taxonomy deals with three types of eye movements...

  16. Active movements in plants

    Science.gov (United States)

    Markin, Vladislav S; Jovanov, Emil

    2008-01-01

    The Venus flytrap (Dionaea muscipula Ellis) captures insects with one of the most rapid movements in the plant kingdom. We investigated trap closure by mechanical and electrical stimuli using the novel charge-injection method and high-speed recording. We proposed a new hydroelastic curvature mechanism, which is based on the assumption that the lobes possess curvature elasticity and are composed of outer and inner hydraulic layers with different hydrostatic pressure. The open state of the trap contains high elastic energy accumulated due to the hydrostatic pressure difference between the hydraulic layers of the lobe. Stimuli open pores connecting the two layers, water rushes from one hydraulic layer to another, and the trap relaxes to the equilibrium configuration corresponding to the closed state. In this paper we derived equations describing this system based on elasticity Hamiltonian and found closing kinetics. The novel charge-injection stimulation method gives insight into mechanisms of the different steps of signal transduction and response in the plant kingdom. PMID:19513230

  17. Air movement - good or bad?

    DEFF Research Database (Denmark)

    Toftum, Jørn

    2004-01-01

    Air movement - good or bad? The question can only be answered by those who are exposed when they are exposed. Human perception of air movement depends on environmental factors including air velocity, air velocity fluctuations, air temperature, and personal factors such as overall thermal sensation...... and activity level. Even for the same individual, sensitivity to air movement may change from day to day as a result of e.g. different levels of fatigue. Based on existing literature, the current paper summarizes factors influencing the human perception of air movement and attempts to specify in general terms...... influences the subjective perception of air movement. With occupants feeling warmer than neutral, at temperatures above 23oC or at raised activity levels, humans generally do not feel draught at air velocities typical for indoor environments (up to around 0.4 m/s). In the higher temperature range, very high...

  18. Camera Movement in Narrative Cinema

    DEFF Research Database (Denmark)

    Nielsen, Jakob Isak

    2007-01-01

    known as ‘the poetics of cinema.’ The dissertation embraces two branches of research within this perspective: stylistics and historical poetics (stylistic history). The dissertation takes on three questions in relation to camera movement and is accordingly divided into three major sections. The first...... section unearths what characterizes the literature on camera movement. The second section of the dissertation delineates the history of camera movement itself within narrative cinema. Several organizational principles subtending the on-screen effect of camera movement are revealed in section two...... to illustrate how the functions may mesh in individual camera movements six concrete examples are analyzed. The analyses illustrate how the taxonomy presented can substantiate analysis and interpretation of film style. More generally, the dissertation - and particularly these in-depth analyses - illustrates how...

  19. Recognizing and predicting movement effects: identifying critical movement features.

    Science.gov (United States)

    Cañal-Bruland, Rouwen; Williams, A Mark

    2010-01-01

    It is not clear whether the critical features used to discriminate movements are identical to those involved in predicting the same movement's effects and consequently, whether the mechanisms underlying recognition and anticipation differ. We examined whether people rely on different kinematic information when required to recognize differences in the movement pattern in comparison to when they have to anticipate the outcome of these same movements. Naïve participants were presented with paired presentations of point-light animated tennis shots that ended at racket-ball contact. We instructed them either to judge whether the movements observed were the same or different or to predict shot direction (left vs. right). In addition, we locally manipulated the kinematics of point-light figures in an effort to identify the critical features used when making recognition and anticipation judgments. It appears that observers rely on different sources of information when required to recognize movement differences compared to when they need to anticipate the outcome of the same observed movements. Findings are discussed with reference to recent ideas focusing on the role of perceptual and motor resonance in perceptual judgments.

  20. Jellyfish movement data - Determining Movement Patterns of Jellyfish

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This project is to determine horizontal and vertical movement patterns of two jellyfish species in Hood Canal, in relation to environmental variables. It is being...

  1. Magnetoencephalographic study on facial movements

    Directory of Open Access Journals (Sweden)

    Kensaku eMiki

    2014-07-01

    Full Text Available In this review, we introduced our three studies that focused on facial movements. In the first study, we examined the temporal characteristics of neural responses elicited by viewing mouth movements, and assessed differences between the responses to mouth opening and closing movements and an averting eyes condition. Our results showed that the occipitotemporal area, the human MT/V5 homologue, was active in the perception of both mouth and eye motions. Viewing mouth and eye movements did not elicit significantly different activity in the occipitotemporal area, which indicated that perception of the movement of facial parts may be processed in the same manner, and this is different from motion in general. In the second study, we investigated whether early activity in the occipitotemporal region evoked by eye movements was influenced by a face contour and/or features such as the mouth. Our results revealed specific information processing for eye movements in the occipitotemporal region, and this activity was significantly influenced by whether movements appeared with the facial contour and/or features, in other words, whether the eyes moved, even if the movement itself was the same. In the third study, we examined the effects of inverting the facial contour (hair and chin and features (eyes, nose, and mouth on processing for static and dynamic face perception. Our results showed the following: (1 In static face perception, activity in the right fusiform area was affected more by the inversion of features while that in the left fusiform area was affected more by a disruption in the spatial relationship between the contour and features, and (2 In dynamic face perception, activity in the right occipitotemporal area was affected by the inversion of the facial contour.

  2. Continuous Auditory Feedback of Eye Movements: An Exploratory Study toward Improving Oculomotor Control

    Directory of Open Access Journals (Sweden)

    Eric O. Boyer

    2017-04-01

    Full Text Available As eye movements are mostly automatic and overtly generated to attain visual goals, individuals have a poor metacognitive knowledge of their own eye movements. We present an exploratory study on the effects of real-time continuous auditory feedback generated by eye movements. We considered both a tracking task and a production task where smooth pursuit eye movements (SPEM can be endogenously generated. In particular, we used a visual paradigm which enables to generate and control SPEM in the absence of a moving visual target. We investigated whether real-time auditory feedback of eye movement dynamics might improve learning in both tasks, through a training protocol over 8 days. The results indicate that real-time sonification of eye movements can actually modify the oculomotor behavior, and reinforce intrinsic oculomotor perception. Nevertheless, large inter-individual differences were observed preventing us from reaching a strong conclusion on sensorimotor learning improvements.

  3. Movement disorders emergencies: a review

    Directory of Open Access Journals (Sweden)

    Renato P. Munhoz

    2012-06-01

    Full Text Available Movement disorders (MD encompass acute and chronic diseases characterized by involuntary movements and/or loss of control or efficiency in voluntary movements. In this review, we covered situations in which the main manifestations are MDs that pose significant risks for acute morbidity and mortality. The authors examine literature data on the most relevant MD emergencies, including those related to Parkinson's disease, acute drug reactions (acute dystonia, neuroleptic malignant syndrome, serotonergic syndrome and malignant hyperthermia, acute exacerbation of chronic MD (status dystonicus, hemiballism and stiff-person syndrome, highlighting clinical presentation, demographics, diagnosis and management.

  4. Antiglobalization movements and their critics

    DEFF Research Database (Denmark)

    Corry, Olaf

    2012-01-01

    Antiglobalization movements are transnational social movements that challenge what they perceive as a monolithic global laissez-faire economic regime. From the 1990s, these movements have accused global political and economic networks of delivering too much power to dominant elites at the expense...... of disenfranchised poor populations and countries. The term antiglobalization is rejected by some supporters who, although espousing grassroots resistance to global liberalization and greater local control over resources and decision making, point out that they are themselves global: They draw attention to global...

  5. Movement disorders in systemic diseases.

    Science.gov (United States)

    Poewe, Werner; Djamshidian-Tehrani, Atbin

    2015-02-01

    Movement disorders, classically involving dysfunction of the basal ganglia commonly occur in neurodegenerative and structural brain disorders. At times, however, movement disorders can be the initial manifestation of a systemic disease. In this article we discuss the most common movement disorders which may present in infectious, autoimmune, paraneoplastic, metabolic and endocrine diseases. Management often has to be multidisciplinary involving primary care physicians, neurologists, allied health professionals including nurses, occupational therapists and less frequently neurosurgeons. Recognizing and treating the underlying systemic disease is important in order to improve the neurological symptoms.

  6. Legal aspects of transboundary movements of spent catalysts

    Energy Technology Data Exchange (ETDEWEB)

    Wuttke, J. [Umweltbundesamt, Dessau (Germany)

    2006-07-01

    Long years of world-wide effort to control transboundary movements of waste, espe-cially waste exports from industrial states to developing countries have led to the establishment of a comprehensive regulatory system, comprised of international, European and national laws that are often revised and modified. The Federal Republic of Germany is a Party State to the Basel Convention and the OECD as well as a Member State of the European Union. (orig.)

  7. Laban Movement Analysis in Dance Education.

    Science.gov (United States)

    Hankin, Toby

    1984-01-01

    Laban Movement Analysis is a system that helps dancers recognize and define the variety of elements that make up the movement event. This is not a method of teaching a movement style, but provides a means for creative expression. (DF)

  8. Special Education as a Social Movement.

    Science.gov (United States)

    Lilly, M. Stephen; Smith, Paula

    1980-01-01

    Social movements are defined, the extent to which special education fits common definitions of social movements is assessed, and the life cycle of social movements is examined with particular focus on implications for special education. (Author)

  9. Emergence and Development of Bulgaria's Environmental Movement.

    Science.gov (United States)

    Desai, Uday; Snavely, Keith

    1998-01-01

    Bulgaria's environmental movement played a role in ending communist rule, but environmental issues were not completely resolved. Social movements may never achieve their objectives in totality but instead enter a new cycle of the movement. (SK)

  10. Eye Movements When Viewing Advertisements

    Directory of Open Access Journals (Sweden)

    Emily eHiggins

    2014-03-01

    Full Text Available In this selective review, we examine key findings on eye movements when viewing advertisements. We begin with a brief, general introduction to the properties and neural underpinnings of saccadic eye movements. Next, we provide an overview of eye movement behavior during reading, scene perception, and visual search, since each of these activities is, at various times, involved in viewing ads. We then review the literature on eye movements when viewing print ads and warning labels (of the kind that appear on alcohol and tobacco ads, before turning to a consideration of advertisements in dynamic media (television and the Internet. Finally, we propose topics and methodological approaches that may prove to be useful in future research.

  11. Eye movements when viewing advertisements

    Science.gov (United States)

    Higgins, Emily; Leinenger, Mallorie; Rayner, Keith

    2013-01-01

    In this selective review, we examine key findings on eye movements when viewing advertisements. We begin with a brief, general introduction to the properties and neural underpinnings of saccadic eye movements. Next, we provide an overview of eye movement behavior during reading, scene perception, and visual search, since each of these activities is, at various times, involved in viewing ads. We then review the literature on eye movements when viewing print ads and warning labels (of the kind that appear on alcohol and tobacco ads), before turning to a consideration of advertisements in dynamic media (television and the Internet). Finally, we propose topics and methodological approaches that may prove to be useful in future research. PMID:24672500

  12. Social movements: A poststructuralist reading.

    Directory of Open Access Journals (Sweden)

    Antón Fernández de Rota Irimia

    2008-10-01

    Full Text Available The present article tries to rethink social movements from a poststructuralist position, going beyond Synthesis Theory. For the last twenty years the synthesis of the theories of Resource Mobilization, Political Opportunity and Cognitive Framing has been taken to be the last word in the sociology of social movements. Nevertheless, far from being any sort of advance, Synthesis Theory has merely perpetuated previous theories, without, in my opinion,managing to reconceptualize the constitution of power, or the force and embodiment of movement. The lack of theoretical attention to the definition of movement is a curious absence which needs to be redressed . My aim is approach it not from the notion of "subject" or any other type of "institution", but rather in terms of the contingencies of everyday life.   

  13. Teaching Movement Activities as Performativity

    DEFF Research Database (Denmark)

    Jensen, Jens-Ole

    2017-01-01

    subjects the teaching style should be characterized by more variation and motivate the pupils. Research has shown that there is a correlation between physical activity and intellectual capital (e.g. educational attainment and academic performance), physical capital (e.g. physical fitness and reduction...... of the risk for diseases and risk factors) and emotional capital (e.g. fun, enjoyment and self-esteem) (Bailey, Hillman, Arent, & Petitpas, 2013). The school reform prescribes that all pupils from grade 1-9 must have at least 45 minutes of movement activities in average every day.Next to the well-known PE-teaching...... the movement activities must be integrated in the academic and creative subjects as active teaching and brain breaks etc. or as organized activities during the extended school day. Movement activities has become a part of all subjects and all teachers’ professional task. Since these movement activities...

  14. Trajectory Indexing Using Movement Constraints

    DEFF Research Database (Denmark)

    Pfoser, D.; Jensen, Christian Søndergaard

    2005-01-01

    With the proliferation of mobile computing, the ability to index efficiently the movements of mobile objects becomes important. Objects are typically seen as moving in two-dimensional (x,y) space, which means that their movements across time may be embedded in the three-dimensional (x,y,t) space...... is to reduce movements to occur in one spatial dimension. As a consequence, the movement occurs in two-dimensional (x,t) space. The advantages of considering such lower-dimensional trajectories are that the overall size of the data is reduced and that lower-dimensional data is to be indexed. Since off......-the-shelf database management systems typically do not offer higher-dimensional indexing, this reduction in dimensionality allows us to use existing DBMSes to store and index trajectories. Moreover, we argue that, given the right circumstances, indexing these dimensionality-reduced trajectories can be more efficient...

  15. Alterations to movement mechanics can greatly reduce anterior cruciate ligament loading without reducing performance.

    Science.gov (United States)

    Myers, Casey A; Hawkins, David

    2010-10-19

    Anterior cruciate ligament (ACL) injuries are one of the most common and potentially debilitating sports injuries. Approximately 70% of ACL injuries occur without contact and are believed to be preventable. Jump stop movements are associated with many non-contact ACL injuries. It was hypothesized that an athlete performing a jump stop movement can reduce their peak tibial shear force (PTSF), a measure of ACL loading, without compromising performance, by modifying their knee flexion angle, shank angle, and foot contact location during landing. PTSF was calculated for fourteen female basketball players performing jump stops using their normal mechanics and mechanics modified to increase their knee flexion angle, decrease their shank angle relative to vertical and land more on their toes during landing. Every subject tested experienced drastic reductions in their PTSF (average reduction=56.4%) using modified movement mechanics. The athletes maintained or improved their jump height with the modified movement mechanics (an average increase in jump height of 2.5cm). The hypothesis was supported: modifications to jump stop movement mechanics greatly reduced PTSF and therefore ACL loading without compromising performance. The results from this study identify crucial biomechanical quantities that athletes can easily modify to reduce ACL loading and therefore should be targeted in any physical activity training programs designed to reduce non-contact ACL injuries.

  16. Mindful movement and skilled attention

    OpenAIRE

    2015-01-01

    Bodily movement has long been employed as a foundation for cultivating mental skills such as attention, self-control or mindfulness, with recent studies documenting the positive impacts of mindful movement training, such as yoga and tai chi. A parallel “mind-body connection” has also been observed in many developmental disorders. We elaborate a spectrum of mindfulness by considering ADHD, in which deficient motor control correlates with impaired (disinhibited) behavioral control contributing ...

  17. Invarient patterns in articulatory movements

    Science.gov (United States)

    Bonaventura, Patrizia

    2004-04-01

    The purpose of the reported study is to discover an effective method of characterizing movement patterns of the crucial articulator as the function of an abstract syllable magnitude and the adjacent boundary, and at the same time to investigate effects of prosodic control on utterance organization. In particular, the speed of movement when a flesh point on the tongue blade or the lower lip crosses a selected position relative to the occlusion plane is examined. The time of such crossing provides an effective measure of syllable timing and syllable duration according to previous work. In the present work, using a very limited vocabulary with only a few consonants and one vowel as the key speech materials, effects of contrastive emphasis on demisyllabic movement patterns were studied. The theoretical framework for this analysis is the C/D model of speech production in relation to the concept of an invariant part of selected articulatory movements. The results show evidence in favor of the existence of ``iceberg'' patterns, but a linear dependence of slope on the total excursion of the demisyllabic movement, instead of the approximate constancy of the threshold crossing speed as suggested in the original proposal of the iceberg, has been found. Accordingly, a revision of the original concept of iceberg, seems necessary. This refinement is consistent with the C/D model assumption on ``prominence control'' that the syllable magnitude determines the movement amplitude, accompanying directly related syllable duration change. In this assumption, the movement of a consonantal component should also be proportional to syllable magnitude. The results suggests, however, systematic outliers deviating from the linear dependence of movement speed on excursion. This deviation may be caused by the effect of the immediately following boundary, often referred to as phrase-final elongation. Thesis advisor: Osamu Fujimura Copies of this thesis written in English can be obtained from

  18. Emotional processing affects movement speed.

    Science.gov (United States)

    Hälbig, Thomas D; Borod, Joan C; Frisina, Pasquale G; Tse, Winona; Voustianiouk, Andrei; Olanow, C Warren; Gracies, Jean-Michel

    2011-09-01

    Emotions can affect various aspects of human behavior. The impact of emotions on behavior is traditionally thought to occur at central, cognitive and motor preparation stages. Using EMG to measure the effects of emotion on movement, we found that emotional stimuli differing in valence and arousal elicited highly specific effects on peripheral movement time. This result has conceptual implications for the emotion-motion link and potentially practical implications for neurorehabilitation and professional environments where fast motor reactions are critical.

  19. The movement ecology of seagrasses.

    Science.gov (United States)

    McMahon, Kathryn; van Dijk, Kor-Jent; Ruiz-Montoya, Leonardo; Kendrick, Gary A; Krauss, Siegfried L; Waycott, Michelle; Verduin, Jennifer; Lowe, Ryan; Statton, John; Brown, Eloise; Duarte, Carlos

    2014-11-22

    A movement ecology framework is applied to enhance our understanding of the causes, mechanisms and consequences of movement in seagrasses: marine, clonal, flowering plants. Four life-history stages of seagrasses can move: pollen, sexual propagules, vegetative fragments and the spread of individuals through clonal growth. Movement occurs on the water surface, in the water column, on or in the sediment, via animal vectors and through spreading clones. A capacity for long-distance dispersal and demographic connectivity over multiple timeframes is the novel feature of the movement ecology of seagrasses with significant evolutionary and ecological consequences. The space-time movement footprint of different life-history stages varies. For example, the distance moved by reproductive propagules and vegetative expansion via clonal growth is similar, but the timescales range exponentially, from hours to months or centuries to millennia, respectively. Consequently, environmental factors and key traits that interact to influence movement also operate on vastly different spatial and temporal scales. Six key future research areas have been identified.

  20. Mirror movements in progressive hemifacial atrophy

    Science.gov (United States)

    Verma, Rajesh; Dixit, Puneet Kumar; Lalla, Rakesh; Singh, Babita

    2015-01-01

    Mirror movements are simultaneous, involuntary, identical movements occurring during contralateral voluntary movements. These movements are considered as soft neurologic signs seen uncommonly in clinical practice. The mirror movements are described in various neurological disorders which include parkinsonism, cranio veretebral junction anamolies, and hemiplegic cerebral palsy. These movements are intriguing and can pose significant disability. However, no such observation regarding mirror movements in progressive hemifacial atrophy have been reported previously. We are reporting a teenage girl suffering from progressive hemifacial atrophy and epilepsy with demonstrable mirror movements in hand. PMID:26019431

  1. Mirror movements in progressive hemifacial atrophy

    Directory of Open Access Journals (Sweden)

    Rajesh Verma

    2015-01-01

    Full Text Available Mirror movements are simultaneous, involuntary, identical movements occurring during contralateral voluntary movements. These movements are considered as soft neurologic signs seen uncommonly in clinical practice. The mirror movements are described in various neurological disorders which include parkinsonism, cranio veretebral junction anamolies, and hemiplegic cerebral palsy. These movements are intriguing and can pose significant disability. However, no such observation regarding mirror movements in progressive hemifacial atrophy have been reported previously. We are reporting a teenage girl suffering from progressive hemifacial atrophy and epilepsy with demonstrable mirror movements in hand.

  2. Reprogramming movements: Extraction of motor intentions from cortical ensemble activity when movement goals change

    Directory of Open Access Journals (Sweden)

    Peter James Ifft

    2012-07-01

    Full Text Available The ability to inhibit unwanted movements and change motor plans is essential for behaviors of advanced organisms. The neural mechanisms by which the primate motor system rejects undesired actions have received much attention during the last decade, but it is not well understood how this neural function could be utilized to improve the efficiency of brain-machine interfaces (BMIs. Here we employed linear discriminant analysis (LDA and a Wiener filter to extract motor plan transitions from the activity of ensembles of sensorimotor cortex neurons. Two rhesus monkeys, chronically implanted with multielectrode arrays in primary motor (M1 and primary sensory (S1 cortices, were overtrained to produce reaching movements with a joystick towards visual targets upon their presentation. Then, the behavioral task was modified to include a distracting target that flashed for 50, 150 or 250 ms (25% of trials each followed by the true target that appeared at a different screen location. In the remaining 25% of trials, the initial target stayed on the screen and was the target to be approached. M1 and S1 neuronal activity represented both the true and distracting targets, even for the shortest duration of the distracting event. This dual representation persisted both when the monkey initiated movements towards the distracting target and then made corrections and when they moved directly towards the second, true target. The Wiener filter effectively decoded the location of the true target, whereas the LDA classifier extracted the location of both targets from ensembles of 50-250 neurons. Based on these results, we suggest developing real-time BMIs that inhibit unwanted movements represented by brain activity while enacting the desired motor outcome concomitantly.

  3. Central crosstalk for somatic tinnitus: abnormal vergence eye movements.

    Directory of Open Access Journals (Sweden)

    Qing Yang

    Full Text Available BACKGROUND: Frequent oulomotricity problems with orthoptic testing were reported in patients with tinnitus. This study examines with objective recordings vergence eye movements in patients with somatic tinnitus patients with ability to modify their subjective tinnitus percept by various movements, such as jaw, neck, eye movements or skin pressure. METHODS: Vergence eye movements were recorded with the Eyelink II video system in 15 (23-63 years control adults and 19 (36-62 years subjects with somatic tinnitus. FINDINGS: 1 Accuracy of divergence but not of convergence was lower in subjects with somatic tinnitus than in control subjects. 2 Vergence duration was longer and peak velocity was lower in subjects with somatic tinnitus than in control subjects. 3 The number of embedded saccades and the amplitude of saccades coinciding with the peak velocity of vergence were higher for tinnitus subjects. Yet, saccades did not increase peak velocity of vergence for tinnitus subjects, but they did so for controls. 4 In contrast, there was no significant difference of vergence latency between these two groups. INTERPRETATION: The results suggest dysfunction of vergence areas involving cortical-brainstem-cerebellar circuits. We hypothesize that central auditory dysfunction related to tinnitus percept could trigger mild cerebellar-brainstem dysfunction or that tinnitus and vergence dysfunction could both be manifestations of mild cortical-brainstem-cerebellar syndrome reflecting abnormal cross-modality interactions between vergence eye movements and auditory signals.

  4. Mindful movement and skilled attention

    Science.gov (United States)

    Clark, Dav; Schumann, Frank; Mostofsky, Stewart H.

    2015-01-01

    Bodily movement has long been employed as a foundation for cultivating mental skills such as attention, self-control or mindfulness, with recent studies documenting the positive impacts of mindful movement training, such as yoga and tai chi. A parallel “mind-body connection” has also been observed in many developmental disorders. We elaborate a spectrum of mindfulness by considering ADHD, in which deficient motor control correlates with impaired (disinhibited) behavioral control contributing to defining features of excessive distractibility and impulsivity. These data provide evidence for an important axis of variation for wellbeing, in which skillful cognitive control covaries with a capacity for skillful movement. We review empirical and theoretical literature on attention, cognitive control, mind wandering, mindfulness and skill learning, endorsing a model of skilled attention in which motor plans, attention, and executive goals are seen as mutually co-defining aspects of skilled behavior that are linked by reciprocal inhibitory and excitatory connections. Thus, any movement training should engage “higher-order” inhibition and selection and develop a repertoire of rehearsed procedures that coordinate goals, attention and motor plans. However, we propose that mindful movement practice may improve the functional quality of rehearsed procedures, cultivating a transferrable skill of attention. We adopt Langer’s spectrum of mindful learning that spans from “mindlessness” to engagement with the details of the present task and contrast this with the mental attitudes cultivated in standard mindfulness meditation. We particularly follow Feldenkrais’ suggestion that mindful learning of skills for organizing the body in movement might transfer to other forms of mental activity. The results of mindful movement training should be observed in multiple complementary measures, and may have tremendous potential benefit for individuals with ADHD and other

  5. Mindful movement and skilled attention.

    Science.gov (United States)

    Clark, Dav; Schumann, Frank; Mostofsky, Stewart H

    2015-01-01

    Bodily movement has long been employed as a foundation for cultivating mental skills such as attention, self-control or mindfulness, with recent studies documenting the positive impacts of mindful movement training, such as yoga and tai chi. A parallel "mind-body connection" has also been observed in many developmental disorders. We elaborate a spectrum of mindfulness by considering ADHD, in which deficient motor control correlates with impaired (disinhibited) behavioral control contributing to defining features of excessive distractibility and impulsivity. These data provide evidence for an important axis of variation for wellbeing, in which skillful cognitive control covaries with a capacity for skillful movement. We review empirical and theoretical literature on attention, cognitive control, mind wandering, mindfulness and skill learning, endorsing a model of skilled attention in which motor plans, attention, and executive goals are seen as mutually co-defining aspects of skilled behavior that are linked by reciprocal inhibitory and excitatory connections. Thus, any movement training should engage "higher-order" inhibition and selection and develop a repertoire of rehearsed procedures that coordinate goals, attention and motor plans. However, we propose that mindful movement practice may improve the functional quality of rehearsed procedures, cultivating a transferrable skill of attention. We adopt Langer's spectrum of mindful learning that spans from "mindlessness" to engagement with the details of the present task and contrast this with the mental attitudes cultivated in standard mindfulness meditation. We particularly follow Feldenkrais' suggestion that mindful learning of skills for organizing the body in movement might transfer to other forms of mental activity. The results of mindful movement training should be observed in multiple complementary measures, and may have tremendous potential benefit for individuals with ADHD and other populations.

  6. Mindful Movement and Skilled Attention

    Directory of Open Access Journals (Sweden)

    Dav eClark

    2015-06-01

    Full Text Available Bodily movement has long been employed as a foundation for cultivating mental skills such as attention, self-control or mindfulness, with recent studies documenting the positive impacts of mindful movement training, such as yoga and tai chi. A parallel mind-body connection has also been observed in many developmental disorders. We elaborate a spectrum of mindfulness by considering ADHD, in which deficient motor control correlates with impaired (disinhibited behavioral control contributing to defining features of excessive distractibility and impulsivity. These data provide evidence for an important axis of variation for wellbeing, in which skillful cognitive control covaries with a capacity for skillful movement. We review empirical and theoretical literature on attention, cognitive control, mind wandering, mindfulness and skill learning, endorsing a model of skilled attention in which motor plans, attention, and executive goals are seen as mutually co-defining aspects of skilled behavior that are linked by reciprocal inhibitory and excitatory connections. Thus, any movement training should engage higher-order inhibition and selection and develop a repertoire of rehearsed procedures that coordinate goals, attention and motor plans. However, we propose that mindful movement practice may improve the functional quality of rehearsed procedures, cultivating a transferrable skill of attention. We adopt Langer’s spectrum of mindful learning that spans from mindlessness to engagement with the details of the present task and contrast this with the mental attitudes cultivated in standard mindfulness meditation. We particularly follow Feldenkrais’ suggestion that mindful learning of skills for organizing the body in movement might transfer to other forms of mental activity. The results of mindful movement training should be observed in multiple complementary measures, and may have tremendous potential benefit for individuals with ADHD and other

  7. Mass movement in northeast Afghanistan

    Science.gov (United States)

    Shroder, John F.; Weihs, Brandon J.; Schettler, Megan Jensen

    Mass movements of nearly all types occur in Afghanistan but in the high relief, rugged Pamir and Hindu Kush mountains of northeastern Afghanistan, mass-movement threats to lives and property necessitated study to elucidate problems to development. Twenty-two different mass movements in bedrock in the Badakhshan Province of northeastern Afghanistan were studied for this paper, including large rock falls and rock slides, along with massive slope-failure complexes with many types and rates of movement. Where higher altitudes prevail in the region, ice-cemented and ice-cored rock glaciers are also common and overlie some of the other mass movements. Inasmuch as seismic energy sources in the Eastern Hindu Kush are maximal in southern Badakhshan, and relief, slope angles and precipitation all increase from west to east as well, the causes of the pervasive mass movement are plentiful enough, although direct cause and slope-failure effect are not known. Some weak sedimentary lithologies downfaulted into, or draped across crystalline rocks, also failed. Some intermixed tills also occur but are not easily differentiated, even with analysis on the ground. Using high resolution satellite imagery and digital elevation models, we assessed geomorphologic parameters to characterize spatial-organization structures related to zones of erosion, deposition and further hazard potential. Analyses indicate that many of the massive slope failures can be characterized and differentiated into various process domains and chronologic-development zones with their different impacts upon the landscape. Mass movements in Afghanistan can exhibit unique topographic signatures that can be used to better assess hazards in other mountain areas, especially where landslide-dam breakout floods threaten. Development of roads, bridges, buildings, and irrigation networks should be done with care in these regions of Afghanistan.

  8. Investigation of modified asphalt concrete

    Science.gov (United States)

    Zimich, Vita

    2016-01-01

    Currently the problem of improving the asphalt quality is very urgent. It is used primarily as topcoats exposed to the greatest relative to the other layers of the road, dynamic load - impact and shear. The number of cars on the road, the speed of their movement, as well as the traffic intensity increase day by day. We have to upgrade motor roads, which entails a huge cost. World experience shows that the issue is urgent not only in Russia, but also in many countries in Europe, USA and Asia. Thus, the subject of research is the resistance of asphalt concrete to water and its influence on the strength of the material at different temperatures, and resistance of pavement to deformation. It is appropriate to search for new modifiers for asphaltic binder and mineral additives for asphalt mix to form in complex the skeleton of the future asphalt concrete, resistant to atmospheric condensation, soil characteristics of the road construction area, as well as the growing road transport load. The important task of the work is searching special modifying additives for bitumen binder and asphalt mixture as a whole, which will improve the quality of highways, increasing the period between repairs. The methods described in the normative-technical documentation were used for the research. The conducted research allowed reducing the frequency of road maintenance for 7 years, increasing it from 17 to 25 years.

  9. Genetic modifiers of Huntington's disease.

    Science.gov (United States)

    Gusella, James F; MacDonald, Marcy E; Lee, Jong-Min

    2014-09-15

    Huntington's disease (HD) is a devastating neurodegenerative disorder that directly affects more than 1 in 10,000 persons in Western societies but, as a family disorder with a long, costly, debilitating course, it has an indirect impact on a far greater proportion of the population. Although some palliative treatments are used, no effective treatment exists for preventing clinical onset of the disorder or for delaying its inevitable progression toward premature death, approximately 15 years after diagnosis. Huntington's disease involves a movement disorder characterized by chorea, as well as a variety of psychiatric disturbances and intellectual decline, with a gradual loss of independence. A dire need exists for effective HD therapies to alleviate the suffering and costs to the individual, family, and health care system. In past decades, genetics, the study of DNA sequence variation and its consequences, provided the tools to map the HD gene to chromosome 4 and ultimately to identify its mutation as an expanded CAG trinucleotide repeat in the coding sequence of a large protein, dubbed huntingtin. Now, advances in genetic technology offer an unbiased route to the identification of genetic factors that are disease-modifying agents in human patients. Such genetic modifiers are expected to highlight processes capable of altering the course of HD and therefore to provide new, human-validated targets for traditional drug development, with the goal of developing rational treatments to delay or prevent onset of HD clinical signs.

  10. Movement sequencing in Huntington disease.

    Science.gov (United States)

    Georgiou-Karistianis, Nellie; Long, Jeffrey D; Lourens, Spencer G; Stout, Julie C; Mills, James A; Paulsen, Jane S

    2014-08-01

    To examine longitudinal changes in movement sequencing in prodromal Huntington's disease (HD) participants (795 prodromal HD; 225 controls) from the PREDICT-HD study. Prodromal HD participants were tested over seven annual visits and were stratified into three groups (low, medium, high) based on their CAG-Age Product (CAP) score, which indicates likely increasing proximity to diagnosis. A cued movement sequence task assessed the impact of advance cueing on response initiation and execution via three levels of advance information. Compared to controls, all CAP groups showed longer initiation and movement times across all conditions at baseline, demonstrating a disease gradient for the majority of outcomes. Across all conditions, the high CAP group had the highest mean for baseline testing, but also demonstrated an increase in movement time across the study. For initiation time, the high CAP group showed the highest mean baseline time across all conditions, but also faster decreasing rates of change over time. With progress to diagnosis, participants may increasingly use compensatory strategies, as evidenced by faster initiation. However, this occurred in conjunction with slowed execution times, suggesting a decline in effectively accessing control processes required to translate movement into effective execution.

  11. Bimanual-vertical hand movements.

    Science.gov (United States)

    Kwon, Jay C; Cohen, Matthew L; Williamson, John; Burtis, Brandon; Heilman, Kenneth M

    2011-07-01

    Patients often demonstrate attentional and action-intentional biases in both the transverse and coronal planes. In addition, when making forelimb movements in the transverse plane, normal participants also have spatial and magnitude asymmetries, but forelimb spatial asymmetries have not been studied in coronal space. Thus, to learn if when normal people make vertical movements they have right-left spatial and magnitude biases, seventeen healthy, blindfolded volunteers had their hands (holding pens) placed vertically in their midsagittal plane, 10 inches apart, on pieces of paper positioned above, below, and at eye-level. Participants were asked to move their hands together vertically and meet in the middle. Participants demonstrated less angular deviation in the below-eye condition than in the other spatial conditions, when moving down than up, and with their right than left hand. Movements toward eye level from upper or lower space were also more accurate than movements in the other directions. Independent of hand, lines were longer with downward than upward movements and the right hand moved more distance than the left. These attentional-intentional asymmetries may be related to gravitational force, hand-hemispheric dominance, and spatial "where" asymmetries; however, the mechanisms accounting for these asymmetries must be ascertained by future research.

  12. Local cattle movements in response to ongoing bovine tuberculosis zonation and regulations in Michigan, USA.

    Science.gov (United States)

    Grear, Daniel A; Kaneene, John B; Averill, James J; Webb, Colleen T

    2014-06-01

    Bovine tuberculosis (Mycobacterium bovis) is an ongoing management issue in the state of Michigan with eradication from livestock as the ultimate goal. Eradication has been a challenge owing to the presence of a wildlife reservoir; competing interests in managing the livestock and wildlife hosts; and many uncertainties in transmission dynamics of M. bovis. One of the cornerstones of the eradication effort has been to stop movement of infected cattle among farms by imposing strict pre-movement testing on cattle being moved within, into and out of the Modified Accredited Zone (MAZ) in northeastern Michigan. In addition to pre-movement tuberculosis testing, detailed information about the origin and destination premises of all movements within the MAZ has been recorded in Michigan. The aim of this study was to describe the farm-to-farm movements of cattle within the MAZ, report changes in the network of movements during a 6-year period when the MAZ was a constant size (2004-2009), and examine changes in cattle movement patterns when the MAZ was reduced from 11 to 5 counties in 2010. Non-slaughter cattle movement within the MAZ was characterized by predominantly local movements at a sub-county scale. Premises that shipped cattle were primarily senders or receivers, but rarely both. From 2004 to 2009, the number of cattle shipped, size of shipments, number of shipments and distance of shipments decreased; there was little change in the network patterns of interaction among individual premises; and interactions among all premises became more disconnected. After accounting for MAZ size, there were also no changes in cattle movement network patterns following the reduction of the MAZ in 2010. The movement of cattle was likely not a key risk factor in bTB spread among premises in the MAZ during the study period and the effect of zonation and movement regulations appeared to further reduce the risk of tuberculosis spread via cattle movements among farms in Michigan's MAZ.

  13. A Theatre Movement Bibliography, 1978 Edition.

    Science.gov (United States)

    Norris, Lynne

    Reference materials that deal with various aspects of theater movement are grouped in this partially annotated bibliography under the following headings: anatomy, kinesiology, and physiology; combat and martial arts; integrated approaches to movement; mime; miscellaneous acting and movement approaches; movement notations systems; movement…

  14. Parametric HMMs for Movement Recognition and Synthesis

    DEFF Research Database (Denmark)

    Herzog, Dennis; Krüger, Volker

    2009-01-01

    A common problem in human movement recognition is the recognition of movements of a particular type (semantic). E.g., grasping movements have a particular semantic (grasping) but the actual movements usually have very different appearances due to, e.g., different grasping directions. In this pape...

  15. Yarbus, Eye Movements, and Vision

    Directory of Open Access Journals (Sweden)

    Benjamin W Tatler

    2010-04-01

    Full Text Available The impact of Yarbus's research on eye movements was enormous following the translation of his book Eye Movements and Vision into English in 1967. In stark contrast, the published material in English concerning his life is scant. We provide a brief biography of Yarbus and assess his impact on contemporary approaches to research on eye movements. While early interest in his work focused on his study of stabilised retinal images, more recently this has been replaced with interest in his work on the cognitive influences on scanning patterns. We extended his experiment on the effect of instructions on viewing a picture using a portrait of Yarbus rather than a painting. The results obtained broadly supported those found by Yarbus.

  16. Sustainability of natural movement activity

    Directory of Open Access Journals (Sweden)

    Matthew Metzgar

    2012-08-01

    Full Text Available In recent years, there has been a focus on reducing energy consumption in commercial buildings as a means of increasing their sustainability. As part of this trend, various health clubs and fitness centers have been designed to lower consumption of resources such as electricity and water. However, energy consumption is just one part of sustainability, with human health and economic health also paramount. When all components of sustainability are analyzed, other forms of physical activity may possess higher levels of sustainability than traditional gym exercise. Natural movement activity consists of outdoor activity that replicates movements performed by ancient humans during the Paleolithic era. A full analysis of sustainability shows that natural movement activity consumes fewer resources and provides unique psychological and physical benefits compared with traditional indoor exercise.

  17. Movement in aesthetic form creation

    DEFF Research Database (Denmark)

    Thomsen, Bente Dahl

    2015-01-01

    This paper presents the good practice based experiences found when movement is used to strengthen form creation and to create flow in the process of artistic education. Faced with the design engineering students’ problems with creating forms with aesthetic statements, the experiences with movement...... inspired the thesis that the design engineers’ training in aesthetic form creation can be improved by integrating the movement potential into their education. The paper documents the on-going work on developing a model for embodied creation of form called ‘Somatechne model’. The study also identifies...... a lens to assess the students’ development of mind-body skills, known as ‘The Three Soma’. The Somatechne model also helps to identify the activity that gives the students the opportunity to develop their sensibility and thus aesthetic attention....

  18. Early Christian movements: Jesus movements and the renewal of ...

    African Journals Online (AJOL)

    UPuser

    and powerful families lived comfortably in the cities from the tithes, taxes, tribute, and ... number of renewal and resistance movements, most of which the Romans ... generally do not mount serious revolts, unless their backs are against the wall .... memories cannot have been without their effect on popular life in Nazareth.

  19. Proprioceptive Control of Human Movement. The Human Movement Series.

    Science.gov (United States)

    Dickinson, John

    Various research studies concerned with the feedback from proprioceptors which accompany movement and the way in which this information is relevant to the control of activity are brought together in this volume. It is intended for the use of those who have some basic knowledge of human anatomy and physiology as well as an acquaintance with…

  20. Movement Perception and Movement Production in Asperger's Syndrome

    Science.gov (United States)

    Price, Kelly J.; Shiffrar, Maggie; Kerns, Kimberly A.

    2012-01-01

    To determine whether motor difficulties documented in Asperger's Syndrome (AS) are related to compromised visual abilities, this study examined perception and movement in response to dynamic visual environments. Fourteen males with AS and 16 controls aged 7-23 completed measures of motor skills, postural response to optic flow, and visual…

  1. fuzzy control technique fuzzy control technique applied to modified ...

    African Journals Online (AJOL)

    eobe

    ABSTRACT. In this paper, fuzzy control technique is applied to the modified mathematical model for malaria control presented ... be devised for rule-based systems that deals with continuous ... necessary to use fuzzy logic as it is not easy to follow a particular .... point movement and control is realized and designed. (e.g. α1 ...

  2. Effect of Constraint Induced-Movement Therapy on upper extremities function of stroke and head-injured patients%强制性使用运动疗法在脑卒中和脑外伤上肢康复中的应用

    Institute of Scientific and Technical Information of China (English)

    毕胜; 瓮长水; 秦茵; 霍春暖; 张雅静; 朱春燕

    2003-01-01

    目的定量评价强制性使用运动疗法在脑卒中和脑外伤中的康复效果.方法 9例脑卒中和脑外伤患者使用夹板固定限制健侧手,患侧手进行每日6小时康复训练,共2周;在治疗前2周、治疗前和治疗后分别采用Carrol上肢功能评定和金子翼上肢功能评定对患者进行评价.结果治疗后和治疗前及基线相比,两种评价方法值均具有显著性差异(P<0.05).结论强制性使用运动疗法对脑卒中和脑外伤上肢功能有显著的康复效果.

  3. 强制性运动疗法对脑卒中偏瘫患者下肢康复价值的研究%Effect of constraint-induced movement therapy on walking pace and activities of daily living in capacity of stroke patients with hemiplegia

    Institute of Scientific and Technical Information of China (English)

    王文清; 王艳忠; 周启立; 李艳双; 宋有鑫; 王滌清; 瓮长水; 毕胜; 刘永平

    2011-01-01

    @@ 强制性运动疗法(CIMT)是一种新的康复治疗技术,在临床中这种治疗技术主要应用于上肢的康复,目前关于下肢运动功能方面的研究很少,在国内外仅见个案报道[1].本研究旨在观察CIMT对脑卒中偏瘫患者下肢步行速度和日常生活活动能力(ADL)的影响.

  4. 强制性运动疗法对脑卒中患者上肢灵活性疗效的临床研究%Effect of Constraint-induced Movement Therapy for Mortor Function of Upper Extremity after Stroke

    Institute of Scientific and Technical Information of China (English)

    赵巧珍

    2013-01-01

    目的 研究强制性运动疗法(CIMT)对脑卒中偏瘫患者上肢功能运动功能及灵活性的疗效.方法 选取偏瘫脑卒中患者42例,分成CIMT组和对照组,每组21例.CIMT组限制健手的使用,患肢接受2w重复、密集的塑行训练.对照组接受2w的常规康复训练.两组均在治疗前治疗后2w及治疗后1月用wolf运动功能试验及STEF进行评估.结果 CIMT组在STEF评分、WMFT功能评分,治疗后1月时间得分均优于对照组.结论 CIMT对偏瘫患者上肢功能运动不仅短期疗效优于常规康复,而且这种疗效在长期康复中更有优势.

  5. 强制性运动疗法结合肌电生物反馈治疗偏瘫患者上肢功能的疗效观察%Effect of constraint-induced movement therapy combined with electromyographic biofeedback treatment on upper extremity function in hemiplegia patients

    Institute of Scientific and Technical Information of China (English)

    王丽菊; 欧艺

    2013-01-01

    目的:研究强制性运动疗法(CIMT)结合肌电生物反馈对偏瘫患者上肢功能恢复的作用.方法:脑卒中偏瘫患者40例,随机分为对照组和观察组各20例.2组患者均接受常规药物治疗、康复训练及肌电生物反馈疗法,观察组加用CIMT治疗.治疗前后采用Wolf运动功能测试(WMFT)及改良的Barthel指数(MBI)评定.结果:治疗4周后,2组的WMFT及MBI评分均较治疗前明显提高(P<0.05),且观察组WMFT评分更高于对照组(P<0.05).结论:CIMT结合肌电生物反馈可以更有效地促进脑卒中后偏瘫患者上肢功能的改善.

  6. 早期强制性使用运动疗法对局灶性脑梗死大鼠行为学评分及神经生长因子表达的影响%Effects of Constraint-induced Movement Therapy on the Neurobehavioral Outcome and Expression of Nerve Growth Factor(NGF) in Rats with Focal Cerebral Ischemia

    Institute of Scientific and Technical Information of China (English)

    张晓钰

    2007-01-01

    目的 探讨卒中后早期强制性使用单侧肢体对局灶性脑梗死大鼠行为学评分及大脑皮层梗死周围神经生长因子(NGF)表达的影响.方法 健康雄性Sprague-DawIey大鼠,用线栓法建立大脑中动脉永久性缺血(MCAO)模型,按照Zea-Longa方法对动物的行为缺陷进行评分,选取1~3分鼠60只,将60只大鼠随机分为2组,健侧前肢固定组30只,未固定组30只,7 d时解除固定,再采用随机区组法分为14 d时处死组和21 d处死组,各组动物在7 d时和处死前行神经功能评分(longa评分);采用免疫组织化学方法观察NGF蛋白的表达,采用原位杂交方法检测NGFmRNA表达.结果 固定组与未固定组相比,早期强制性使用运动疗法可以改善患侧肢体14 d及21 d的行为学评分;在梗死周围皮质NGF蛋白和NGF mRNA的表达,固定组14 d时表达均明显高于非固定组,而在21 d时无统计学意义.结论 早期强制性使用运动疗法可以改善神经功能的恢复,从基因水平来提高NGF的表达可能为其发挥作用的机制之一.

  7. Treatment Efficacy of Acupuncture Combined with Constraint-induced Movement Therapy for Upper Extremity Motor Function Disorder in Stroke Patients%针刺结合强迫疗法治疗脑卒中后上肢运动功能障碍的疗效

    Institute of Scientific and Technical Information of China (English)

    李伟

    2015-01-01

    目的 探讨针刺结合强迫疗法治疗脑卒中后上肢运动功能障碍的疗效.方法 随机选取2013年1 1月-2014年12月期间脑卒中后上肢运动功能障碍患者100例,随机分两组.对照组采用强迫疗法,治疗组结合针刺治疗,对比疗效.结果 治疗组总有效率为86.00%,对照组为52.00%,治疗组神经功能缺损评分为(8.33±4.11)分,对照组神经功能缺损评分为(14.78±5.55)分.两组差异有统计学意义(P<0.05).结论 针刺疗法结合强迫疗法治疗脑卒中患者上肢运动障碍,有显著的临床疗效.

  8. Effect of Constraint-induced Movement Therapy Combined with Motor Imagery Therapy on the Upper Extremity Function of Hemiplegic Patients%强迫疗法联合想像疗法治疗偏瘫患者上肢功能障碍

    Institute of Scientific and Technical Information of China (English)

    朱士文; 李义召; 宋成忠; 谢遵伟; 陈荣燕; 玄飞; 张金莉

    2007-01-01

    目的 观察"强迫疗法"联合"运动想像"疗法对脑损伤偏瘫患者上肢功能障碍的疗效.方法 120例脑损伤偏瘫患者随机分为对照组、强迫疗法组、想像疗法组、联合治疗组,每组30例,分别给予相应的康复治疗,4周为1个疗程,治疗前后分别进行简易上肢功能检测(STEF)、上肢运动功能FMA评分及改良Barthel指数(MBI)评定.结果 治疗前,4组患者的STEF、上肢FMA评分及MBI评分差异无显著性意义(P>0.05),治疗4周后,强迫疗法组、想像疗法组的STEF、上肢FMA评分及MBI评分与治疗前比较差异有显著性意义(P<0.05),联合治疗组差异有非常显著性意义(P<0.01).结论 "强迫疗法""运动想像"疗法可促进脑损伤患者患侧上肢功能的恢复,联合治疗效果更佳.

  9. 针灸结合运动治疗中风后上肢功能障碍临床疗效观察%Clinical Observation on Acupuncture and Moxibustion Combined with Constraint-induced Movement Therapy on Upper Extremity Function after Stroke

    Institute of Scientific and Technical Information of China (English)

    何芬

    2015-01-01

    目的:观察针灸结合强迫运动治疗中风后上肢功能障碍的临床疗效.方法:将58例中风后上肢功能障碍患者随机分为治疗组和对照组各29例.治疗组患者采用针灸结合患侧强迫运动疗法,对照组患者仅采用患侧强迫运动疗法康复治疗.采用下肢运动功能量表(FMA)和上肢功能评估表(STEF)评价治疗后效果.结果:两组患者治疗后的FMA、STEF得分均高于治疗前(P<0.05),且治疗后治疗组组得分高于对照组(P<0.05).结论:针灸结合强迫运动疗法可改善中风后上肢功能,有助于提高患者日常生活能力及生活质量.

  10. Effects of constraint induced movement therapy(CIMT) on upper limb functional recovery improvement in patients with hemiplegic stroke%强制性使用运动疗法对脑卒中偏瘫患者上肢运动功能的影响

    Institute of Scientific and Technical Information of China (English)

    高中领

    2011-01-01

    目的:研究强制性使用运动疗法(CIMT)对脑卒中偏瘫患者上肢运动功能的影响.方法:选择60例脑卒中患者,随机平均分为强制性使用运动疗法(CIMT)治疗组和常规康复(RRT)治疗组.CIMT组采用强制性运动疗法治疗4周,RRT组采用常规康复治疗方法治疗4周.采用Fugl-Meyer运动功能评分法(FMA)和改良巴氏指数(MBI)评定患者的上肢运动功能.结果:同组间治疗前后比较,FMA和MBI均有明显改善,具有统计学意义(P<0.05);治疗后CIMT组的FMA和MBI值比RRT组显著升高(P<0.01).结论:CIMT对于脑卒中患者偏瘫上肢功能是较常规康复疗法更有效的康复治疗手段.

  11. Effects of constraint-induced movement therapy on upper limb motor functional recover-yin patients with hemiplegic stroke%强制性运动疗法对脑卒中偏瘫患者上肢运动功能的影响

    Institute of Scientific and Technical Information of China (English)

    曾育山; 符俏; 曹贤畅

    2009-01-01

    目的:研究强制性运动疗法(CIMT)对脑卒中偏瘫患者上肢运动功能及日常生活能力(ADL)的影响.方法:选择40例脑卒中患者,随机平均分为强制性运动疗法(CIMT)治疗组和常规康复(RRT)治疗组,CIMT组采用强制性运动疗法治疗4周,RRT组采用常规康复治疗方法治疗4周.所有病人采用Fugl-Meyer运动功能评分法(FMA)和改良巴氏指数(MBI)评定患者的上肢运动功能和ADL.结果:同组间治疗前后比较,FMA和MBI均有明显改善,具有统计学意义(P<0.01),治疗后CIMT组的FMA和MBI值比RRT组显著升高(P<0.01).结论:CIMT对于脑卒中患者偏瘫上肢功能是较常规康复疗法更有效的康复治疗手段.

  12. Naturalistic arm movements during obstacle avoidance in 3D and the identification of movement primitives.

    Science.gov (United States)

    Grimme, Britta; Lipinski, John; Schöner, Gregor

    2012-10-01

    By studying human movement in the laboratory, a number of regularities and invariants such as planarity and the principle of isochrony have been discovered. The theoretical idea has gained traction that movement may be generated from a limited set of movement primitives that would encode these invariants. In this study, we ask if invariants and movement primitives capture naturalistic human movement. Participants moved objects to target locations while avoiding obstacles using unconstrained arm movements in three dimensions. Two experiments manipulated the spatial layout of targets, obstacles, and the locations in the transport movement where an obstacle was encountered. We found that all movement trajectories were planar, with the inclination of the movement plane reflecting the obstacle constraint. The timing of the movement was consistent with both global isochrony (same movement time for variable path lengths) and local isochrony (same movement time for two components of the obstacle avoidance movement). The identified movement primitives of transport (movement from start to target position) and lift (movement perpendicular to transport within the movement plane) varied independently with obstacle conditions. Their scaling accounted for the observed double peak structure of movement speed. Overall, the observed naturalistic movement was astoundingly regular. Its decomposition into primitives suggests simple mechanisms for movement generation.

  13. Fetal onset of general movements

    NARCIS (Netherlands)

    Luechinger, Annemarie B.; Hadders-Algra, Mijna; Van Kan, Colette M.; de Vries, JIP

    2008-01-01

    Perinatal qualitative assessment of general movements (GMs) is a tool to evaluate the integrity of the young nervous system. The aim of this investigation was to study the emergence of GMs. Fetal onset of GMs was studied sonographically in 18 fetuses during the first trimester of uncomplicated in vi

  14. Poems from the Occupy Movement

    Directory of Open Access Journals (Sweden)

    Pam Annas

    2013-05-01

    Full Text Available From the beginning of the Occupy Movement, poetry has occupied a major supporting role.  Both the New York and Boston encampments immediately set up a library tent, and poetry readings were a regular part of the camp’s activities.

  15. Eye movements and information geometry.

    Science.gov (United States)

    Lenz, Reiner

    2016-08-01

    The human visual system uses eye movements to gather visual information. They act as visual scanning processes and can roughly be divided into two different types: small movements around fixation points and larger movements between fixation points. The processes are often modeled as random walks, and recent models based on heavy tail distributions, also known as Levý flights, have been used in these investigations. In contrast to these approaches we do not model the stochastic processes, but we will show that the step lengths of the movements between fixation points follow generalized Pareto distributions (GPDs). We will use general arguments from the theory of extreme value statistics to motivate the usage of the GPD and show empirically that the GPDs provide good fits for measured eye tracking data. In the framework of information geometry the GPDs with a common threshold form a two-dimensional Riemann manifold with the Fisher information matrix as a metric. We compute the Fisher information matrix for the GPDs and introduce a feature vector describing a GPD by its parameters and different geometrical properties of its Fisher information matrix. In our statistical analysis we use eye tracker measurements in a database with 15 observers viewing 1003 images under free-viewing conditions. We use Matlab functions with their standard parameter settings and show that a naive Bayes classifier using the eigenvalues of the Fisher information matrix provides a high classification rate identifying the 15 observers in the database.

  16. Women's Movements and Human Futures

    Science.gov (United States)

    Reardon, Betty

    1975-01-01

    Two strands of futurism share values of equality, development, and peace, and can catalyze each other into potentially transformational forces. The path is re-education: World order thinking provides an appropriate content for adult learning, and women's movements provide the energy of commitment and a worldwide network for communicating policies.…

  17. THE INTERNATIONAL WALDORF SCHOOL MOVEMENT.

    Science.gov (United States)

    VON BARAVALLE, HERMANN

    AN HISTORICAL REVIEW OF THE WALDORF SCHOOL PLAN TRACES THE MOVEMENT FROM ITS FOUNDING IN STUTTGART, GERMANY IN 1919, BY THE WALDORF ASTORIA COMPANY AND UNDER THE DIRECTION OF RUDOLF STEINER, TO ITS INTRODUCTION INTO SWITZERLAND, OTHER EUROPEAN COUNTRIES, THE AMERICAS, AUSTRALIA, NEW ZEALAND, AND SOUTH AFRICA, A TOTAL OF 175 SCHOOLS AS OF 1963. THE…

  18. POLYCAPROLACTAM MODIFIED BY POLYPHENYLQUINOXALINE

    Institute of Scientific and Technical Information of China (English)

    YANG Guisheng; LU Fengcai

    1990-01-01

    Three polycaprolactam samples modified by 0.05- 0.50% polyphenylquinoxaline (PPQ) by weight were prepared. Their structure and mechanical properties were characterized by FT-IR, SEM, density, tensile,impact,DTA and visco-elastic method. PPQ induced the formation of "crystal grains" distributed evenly over nylon spherulites in modified samples, which were observed for the first time, and strengthened modified samples. Modified nylons had higher crystallinities, higher Tg ,more nearly perfect spherulites than MC nylon itself, and showed typical reinforcing effect on mechanical properties.

  19. On Modified Bar recursion

    DEFF Research Database (Denmark)

    Oliva, Paulo Borges

    2002-01-01

    Modified bar recursion is a variant of Spector's bar recursion which can be used to give a realizability interpretation of the classical axiom of dependent choice. This realizability allows for the extraction of witnesses from proofs of forall-exists-formulas in classical analysis. In this talk I...... shall report on results regarding the relationship between modified and Spector's bar recursion. I shall also show that a seemingly weak form of modified bar recursion is as strong as "full" modified bar recursion in higher types....

  20. Eventful places in the 2011 movements

    DEFF Research Database (Denmark)

    Risager, Bjarke Skærlund

    as locale, location and sense of place, I show how the 2011 movements re-created the occupied places of Tahrir Square, Zuccotti Park and elsewhere along these three dimensions of place. This re-creation, I suggest, can be grasped as an attempt to transform a hegemonic place, a node in hegemonic structures......Inspired by the Occupy movement, the Egyptian revolutionaries and other of the 2011 social movements, this paper investigates the relationship between social movement and place. Drawing on first-hand accounts from these movements, I argue that the relationship between movement and place...... is dialectical and mutually constitutive: the physical and symbolic characteristics of place influence the formation of the movement and its actions while the latter re-creates the place. This is a corrective to a dominant approach in social movement studies to see movements as a ‘dependent variable...

  1. Dynamic movement-based location update in LEO networks

    Institute of Scientific and Technical Information of China (English)

    王亮; 张乃通; 马永奎

    2003-01-01

    Mobility management is an important aspect of the LEO systems. In terrestrial wireless network, the movement of the user triggers the location updating and determines the paging scheme, while in LEO satellite systems, the location updating and paging is mainly based on the movement of satellite. Terrestrial location management techniques must be altered to fit LEO systems. This paper introduces a modified movement-based location update and paging scheme in LEO networks. In this scheme we propose the meta-cell concept, which includes two spot-beams of one satellite. First we present the location management scheme based on the architecture with meta-cell location area. Then an analytical model is applied to formulate the cost of location updating and location paging for the and movement meta-cell based dynamic location update scheme. The comparison of performance between meta-cell architecture method and conventional signal-spot-cell architecture method is provided to demonstrate the cost-effectiveness and robust of the proposed scheme under various parameters. To reduce the impact of meta-cell architecture on location paging cost, we present forced location update strategy which used in the cases that the meta-cell includes the two spot-beams from different satellites.

  2. Dance expertise modulates visual sensitivity to complex biological movements.

    Science.gov (United States)

    Orlandi, Andrea; Zani, Alberto; Proverbio, Alice Mado

    2017-09-01

    Motor resonance processes that occur when observing an individual perform an action may be modulated by acquired visuomotor expertise. We used the event-related potential (EEG/ERP) technique to investigate the ability to automatically recognize a subtle difference between very similar novel contemporary dance movements. Twelve professional dancers and twelve non-dancers were shown 212 pairs of videos of complex whole-body movements that lasted 3s. The second of each pair was the repetition of the previous movement or a slight variation of it (deviance). The participants were engaged in a secondary attentional task. Modulation of a larger centro-parietal N400 effect and a reduction of the Late Positivity amplitude (repetition suppression effect) were identified in response to deviant stimuli only in the dancers. Source reconstruction (swLORETA) showed activations in biological motion, body and face processing related areas, and fronto-parietal and limbic systems. The current findings provide evidence that acquired dance expertise modifies the ability to visually code whole-body complex movements. Copyright © 2017 Elsevier Ltd. All rights reserved.

  3. Early Christian movements: Jesus movements and the renewal of Israel

    Directory of Open Access Journals (Sweden)

    Richard A. Horsley

    2006-10-01

    Full Text Available This article investigates the origins and development of the earliest Jesus movements within the context of persistent conflict between the Judean and Galilean peasantry and their Jerusalem and Roman rulers. It explores the prominence of popular prophetic and messianic movements and shows how the earliest movements that formed in response to Jesus’ mission exhibit similar features and patterns. Jesus is not treated as separate from social roles and political-economic relationships. Viewing Jesus against the background of village communities in which people lived, the Gospels are understood as genuine communication with other people in historical social contexts. The article argues that the net effect of these interrelated factors of theologically determined New Testament interpretation is a combination of assumptions and procedures that would be unacceptable in the regular investigation of history. Another version of the essay was published in Horsley, Richard A (ed, A people’s history of Christianity, Volume 1: Christian origins, 23-46. Minneapolis, MN: Fortress.

  4. Movement planning of video and of manual aiming movements.

    Science.gov (United States)

    Bédard, Patrick; Proteau, Luc

    2005-01-01

    We studied aiming performance of adults for video- and manual aiming tasks when they had visual information about the location of the starting base or when they had not. In video-aiming, foveating the starting base and then the target prior to movement initiation (Foveation) resulted in less aiming bias and variability than when the starting base was not visible (PNV), or visible without the participants foveating it prior to movement initiation (PSV). In manual aiming, Foveation and PSV procedures resulted in identical results but reduced aiming bias and variability in comparison to the PNV procedures. The results indicate that participants had difficulty in transforming the locations of the starting base and of the target when seen on a vertical screen into an appropriate movement trajectory. Successive foveation of the starting base and of the target facilitated this transformation, resulting in direction variability being reduced by more than half in comparison to the PNV and PSV conditions. This suggests that in video-aiming the efference copy of the saccade can be used by the CNS to approximate the hand trajectory in the workspace and/or in joint coordinates (Jouffrais and Boussaoud, 1999). Hand trajectory could be readily available in manual aiming if the target location can be recoded directly in hand-coordinates as recently suggested by Buneo et al. (2002).

  5. Eye-movements and ongoing task processing.

    Science.gov (United States)

    Burke, David T; Meleger, Alec; Schneider, Jeffrey C; Snyder, Jim; Dorvlo, Atsu S S; Al-Adawi, Samir

    2003-06-01

    This study tests the relation between eye-movements and thought processing. Subjects were given specific modality tasks (visual, gustatory, kinesthetic) and assessed on whether they responded with distinct eye-movements. Some subjects' eye-movements reflected ongoing thought processing. Instead of a universal pattern, as suggested by the neurolinguistic programming hypothesis, this study yielded subject-specific idiosyncratic eye-movements across all modalities. Included is a discussion of the neurolinguistic programming hypothesis regarding eye-movements and its implications for the eye-movement desensitization and reprocessing theory.

  6. Mass movement processes and associated risks in Zacapoaxtla, Puebla

    Directory of Open Access Journals (Sweden)

    Roberto Carlos Borja Baeza

    2012-02-01

    Full Text Available The mountainous relief of Mexico enhances naturally the occurrence of mass movement processes. However, hundreds of failures occurred in October 1999, as a result of an extreme precipitation event originated by a tropical storm. Zacapoaxtla, in addition to other municipalities, such as Teziutlan, Totomoxtla, Zapotitlán de Méndez, Tlatlauquitepec, etc. was severely affected by these phenol mena. The incidence of these movements resulted from the combination of geological and geomorphic features as well as by human activities which have modified the environment. In this paper, an instability analysis of Zacapoaxtla is presented. The analysis was carried out taking into account the interaction among the relief, moisture concentration and material properties by using the Stability Index Mapping SINMAP. Results were later on combined with a vulnerability analysis also presented in here, to finally produce a risk map of the Municipality.

  7. Movement

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — These data provide information on the relationship between California red-legged frogs and their habitat in a unique ecosystem to better conserve this threatened...

  8. Cortical control of whisker movement.

    Science.gov (United States)

    Petersen, Carl C H

    2014-01-01

    Facial muscles drive whisker movements, which are important for active tactile sensory perception in mice and rats. These whisker muscles are innervated by cholinergic motor neurons located in the lateral facial nucleus. The whisker motor neurons receive synaptic inputs from premotor neurons, which are located within the brain stem, the midbrain, and the neocortex. Complex, distributed neural circuits therefore regulate whisker movement during behavior. This review focuses specifically on cortical whisker motor control. The whisker primary motor cortex (M1) strongly innervates brain stem reticular nuclei containing whisker premotor neurons, which might form a central pattern generator for rhythmic whisker protraction. In a parallel analogous pathway, the whisker primary somatosensory cortex (S1) strongly projects to the brain stem spinal trigeminal interpolaris nucleus, which contains whisker premotor neurons innervating muscles for whisker retraction. These anatomical pathways may play important functional roles, since stimulation of M1 drives exploratory rhythmic whisking, whereas stimulation of S1 drives whisker retraction.

  9. Sensory aspects of movement disorders.

    Science.gov (United States)

    Patel, Neepa; Jankovic, Joseph; Hallett, Mark

    2014-01-01

    Movement disorders, which include disorders such as Parkinson's disease, dystonia, Tourette's syndrome, restless legs syndrome, and akathisia, have traditionally been considered to be disorders of impaired motor control resulting predominantly from dysfunction of the basal ganglia. This notion has been revised largely because of increasing recognition of associated behavioural, psychiatric, autonomic, and other non-motor symptoms. The sensory aspects of movement disorders include intrinsic sensory abnormalities and the effects of external sensory input on the underlying motor abnormality. The basal ganglia, cerebellum, thalamus, and their connections, coupled with altered sensory input, seem to play a key part in abnormal sensorimotor integration. However, more investigation into the phenomenology and physiological basis of sensory abnormalities, and about the role of the basal ganglia, cerebellum, and related structures in somatosensory processing, and its effect on motor control, is needed.

  10. National epilepsy movement in Brazil

    OpenAIRE

    P T Fernandes; Noronha, A. L. A.; Sander, J. W.; L. M. Li

    2007-01-01

    Purpose: To establish a social network of epilepsy lay organization in Brazil to provide advocacy for people with epilepsy and eventually forma powerful National Epilepsy movement. Method.-We actively searched for any associations, support groups or organizations related to epilepsy in the country by personal contacts, internet search and by telephone search. Contact was then established with any entity found. Results: The first meeting was held in Campinas in March 2003, and was attended by ...

  11. Dance movement therapy for depression

    OpenAIRE

    Meekums, B; Karkou, V; Nelson, EA

    2015-01-01

    BACKGROUND: Depression is a debilitating condition affecting more than 350 million people worldwide (WHO 2012) with a limited number of evidence-based treatments. Drug treatments may be inappropriate due to side effects and cost, and not everyone can use talking therapies.There is a need for evidence-based treatments that can be applied across cultures and with people who find it difficult to verbally articulate thoughts and feelings. Dance movement therapy (DMT) is used with people from a ra...

  12. Social Movements, Protest, and Policy

    Directory of Open Access Journals (Sweden)

    Eduardo Silva

    2015-12-01

    Full Text Available The capacity of Latin American social groups to mobilize has excited the imagination of students of the region since the birth of Latin American studies itself. Alongside the cultural turn, many social movement organizations continue to engage directly with politics. Aspirational goals notwithstanding, in order to improve conditions they devote much of their energy to influencing policy. Although scholars have begun to address the policy impact of Latin American social movements, we have limited systematized understanding of the conditions and mechanisms by which social movement protest affects policy outcomes. This essay argues that a policy process approach offers a useful first cut into more systematic analysis of social movements, protest, and their policy consequences in Latin America. Resumen: Movimientos Sociales, Protesta y Políticas de Gobierno La capacidad de movilización social que evidencia América Latina ha captado el imaginario de investigadores desde los albores de los estudios latinoamericanos. A pesar del giro cultural sobre el tema, muchos movimientos sociales siguen entablando la política de forma directa. Amén de sus metas aspiracionales, en pos de mejorar sus condiciones dedican una cantidad apreciable de sus esfuerzos a influenciar políticas de gobierno. Si bien es cierto que una cantidad no menospreciable de investigadores consideran esos impactos aún hace falta conocimiento sistematizado sobre las condiciones y los mecanismos a través de los cuales la protesta social afecta las políticas del estado. Este ensayo argumenta que enfoques centrados en los procesos de la política pública ofrecen una buena entrada al análisis más sistemático sobre los movimientos sociales, protesta, y sus consecuencias para políticas de gobierno.

  13. Chinese Movements and Social Controls

    Science.gov (United States)

    2006-06-01

    AND DATES COVERED Master’s Thesis 4. TITLE AND SUBTITLE: Chinese Movements and Social Controls 6. AUTHOR Michelle S. Mui 5. FUNDING NUMBERS...reform era and the various methods of social control used by the Chinese government to deal with them. The thesis will use historical data and...imprisonment and forced exile. The thesis will also explore the evolution of social control over the decades of social change in China . What

  14. The Effect of Clinical Pilates on Functional Movement in Recreational Runners.

    Science.gov (United States)

    Laws, Anna; Williams, Sean; Wilson, Cassie

    2017-09-01

    Biomechanical imbalances and inefficient functional movements are considered contributing factors to running-related injuries. Clinical Pilates uses a series of exercises focused on retraining normal movement patterns. This study investigated whether a 6-week course of Clinical Pilates improves functional movement and thereby, potentially, reduces the risk of running-related injuries associated with movement dysfunction. A modified functional movement screen was used to analyze the functional movement ability of forty runners. Forty participants completed a 6-week course of Clinical Pilates delivered by a Clinical Pilates instructor. The movement screen was carried out 3 times for each runner: 6 weeks pre-intervention (baseline), within one week pre-intervention (pre) and within one week post-intervention (post). Repeated-measures analysis of variance and post-hoc tests found significant increases in scores between baseline and post (mean±SD; 13.4±2.4 vs. 17.0±1.7, pPilates significantly improves functional movement in recreational runners, and this may lead to a reduction in the risk of running-related injuries. © Georg Thieme Verlag KG Stuttgart · New York.

  15. Movement Data Anonymity through Generalization

    Directory of Open Access Journals (Sweden)

    Anna Monreale

    2010-08-01

    Full Text Available Wireless networks and mobile devices, such as mobile phones and GPS receivers, sense and track the movements of people and vehicles, producing society-wide mobility databases. This is a challenging scenario for data analysis and mining. On the one hand, exciting opportunities arise out of discovering new knowledge about human mobile behavior, and thus fuel intelligent info-mobility applications. On other hand, new privacy concerns arise when mobility data are published. The risk is particularly high for GPS trajectories, which represent movement of a very high precision and spatio-temporal resolution: the de-identification of such trajectories (i.e., forgetting the ID of their associated owners is only a weak protection, as generally it is possible to re-identify a person by observing her routine movements. In this paper we propose a method for achieving true anonymity in a dataset of published trajectories, by defining a transformation of the original GPS trajectories based on spatial generalization and k-anonymity. The proposed method offers a formal data protection safeguard, quantified as a theoretical upper bound to the probability of re-identification. We conduct a thorough study on a real-life GPS trajectory dataset, and provide strong empirical evidence that the proposed anonymity techniques achieve the conflicting goals of data utility and data privacy. In practice, the achieved anonymity protection is much stronger than the theoretical worst case, while the quality of the cluster analysis on the trajectory data is preserved.

  16. Cervical spine movement during intubation

    Directory of Open Access Journals (Sweden)

    Amlan Swain

    2017-01-01

    Full Text Available There have been growing concerns following documented instances of neurological deterioration in patients with cervical spine injury as a result of intubation. A significant body of evidence has since evolved with the primary objective of ascertaining the safest way of securing the endotracheal tube in patients with suspected and proven cervical injury. The search for a mode of intubation producing the least movement at the cervical spine is an ongoing process and is limited by logistic and ethical issues. The ensuing review is an attempt to review available evidence on cervical movements during intubation and to comprehensively outline the movement at the cervical spine with a wide plethora of intubation aids. Literature search was sourced from digital libraries including PubMed, Medline and Google Scholar in addition to the standard textbooks of Anaesthesiology. The keywords used in literature search included 'cervical spine motion,' 'neurological deterioration,' 'intubation biomechanics,' 'direct laryngoscopy,' 'flexible fibreoptic intubation,' 'video laryngoscopes' and 'craniocervical motion.' The scientific information in this review is expected to assist neuroanaesthesiologists for planning airway management in patients with neurological injury as well as to direct further research into this topic which has significant clinical and patient safety implications.

  17. Orthodontic Tooth Movement: A Historic Prospective.

    Science.gov (United States)

    Will, Leslie A

    2016-01-01

    The earliest report on orthodontic tooth movement in the English literature was published in 1911. Oppenheim carried out studies on baboons to determine what histologic changes occurred during tooth movement. Reitan and many others carried out research into the nature of tooth movement. The pressure-tension model of tooth movement developed from these studies, whereby the two sides of the tooth responded to forces as if in isolation. A second theory, proposed by Stuteville in 1938, was the hydraulic theory of tooth movement. In this theory, fluid from the vasculature, lymphatic system and intercellular spaces responds to the forces of tooth movement, damping the force and limiting movement. Bien and Baumrind expanded on this theory with their own studies in the 1960s. It is clear that both the pressure-tension and fluid flow concepts have merit, but considerable work needs to be done to ascertain the details so that tooth movement can be managed and controlled.

  18. Towards a discursive analytics of movement

    DEFF Research Database (Denmark)

    Frello, Birgitta

    2008-01-01

    This paper takes as its point of departure the expanding scholarly interest in issues of mobility and movement. It argues that movement is not only a physical activity which is entangled in power and meaning but is fundamentally discursively constituted. Through discussions of theory and of three...... examples taken from Danish media, it is shown that the study of movement cannot be separated from that of discursive power. Access to and control over physical movement is unequally distributed. However, so is access to and control over assessing which activities can meaningfully be given the label...... ‘movement' in the first place. Understanding movement in this way leads us to ask how various activities are given the status of ‘movement', as well as how they are given meaning and importance, by whom and with what consequences. This involves asking how the poles between which movement takes place...

  19. The Transformation of the "Old Feminist" Movement.

    Science.gov (United States)

    Conrad, Charles

    1981-01-01

    Demonstrates how the "Old Feminist" movement, originating in broad humanitarian concerns that affirmed woman's selfhood, eventually was transformed into the essentially different "Woman Suffrage" movement. Analyzes a key episode, the 1860 divorce debate. (PD)

  20. Functional jerks, tics, and paroxysmal movement disorders

    NARCIS (Netherlands)

    Dreissen, Y. E. M.; Cath, D C; Tijssen, M A J; Hallet, Mark; Stone, Jon; Carson, Alan

    2017-01-01

    Functional jerks are among the most common functional movement disorders. The diagnosis of functional jerks is mainly based on neurologic examination revealing specific positive clinical signs. Differentiation from other jerky movements, such as tics, organic myoclonus, and primary paroxysmal

  1. Phosphine modified cobalt hydroformylation

    Energy Technology Data Exchange (ETDEWEB)

    Rensburg, H. van; Tooze, R.P.; Foster, D.F. [Sasol Technology UK, St. Andrews (United Kingdom); Janse van Rensburg, W. [Sasol Technology, Sasolburg (South Africa)

    2006-07-01

    An ongoing challenge in phosphine modified cobalt hydroformylation is the fundamental understanding of the electronic and steric properties of phosphine ligands that influence the selectivity and activity of the catalytic reaction. A series of acyclic and cyclic phosphines have been prepared and tested in phosphine modified cobalt hydroformylation of 1-octene. Molecular modelling on a series of phospholanes showed some interesting theoretical and experimental correlations. We also evaluated the use of N-heterocyclic carbenes as an alternative for phosphines in modified cobalt hydroformylation. (orig.)

  2. Modifying toxicokinetics with antidotes.

    Science.gov (United States)

    Baud, F J; Borron, S W; Bismuth, C

    1995-12-01

    Five approaches may be described through which antidotes can modify toxicokinetics: (1) Decreased bioavailability of the toxins; (2) Cellular redistribution of the toxin in the organism; (3) Promotion of elimination in an unchanged form; (4) Slowing of metabolic activation pathways; (5) Acceleration of metabolic deactivation pathways. However, the ability to modify toxicokinetics with a new treatment, while demonstrating an understanding of the mechanism of action, must never be construed to be, in and of itself, the goal of therapy. The ultimate evaluation of an antidote modifying toxicokinetics is strictly clinical.

  3. Movement Strategies in a Haptic Search Task

    NARCIS (Netherlands)

    van Polanen, V.; Bergmann Tiest, W.M.; Kappers, A.M.L.

    2011-01-01

    Movement strategies were investigated in a haptic search task where participants indicated whether a target was present among a varying number of items. Hand movements were classified according to two criteria into three movement types. Results indicated that an easy search was performed with a para

  4. Latino Movement: A Target for Harassment?

    Science.gov (United States)

    Rodriguez, Roberto

    1996-01-01

    Members of the Movimiento Estudiantil Chicano de Aztlan (MEChA), which translates to Chicano Student Movement of Aztlan, report that their movement is being targeted by school administrators across the country due to its demands for Chicano/Latino studies programs and protests against anti-immigration and anti-affirmative action movements.…

  5. Eventful places in the 2011 movements

    DEFF Research Database (Denmark)

    Risager, Bjarke Skærlund

    is dialectical and mutually constitutive: the physical and symbolic characteristics of place influence the formation of the movement and its actions while the latter re-creates the place. This is a corrective to a dominant approach in social movement studies to see movements as a ‘dependent variable...

  6. Movement and Character. Lecture, London, 1946

    Science.gov (United States)

    Montesorri, Maria

    2013-01-01

    Dr. Montessori's words from the 1946 London Lectures describe principles of intelligence and character, the work of the hand, and movement with a purpose as being integral to self-construction. The perfection of movement is spiritual, says Dr. Montessori. Repetition of practical life exercises are exercises in movement with the dignity of human…

  7. Human Movement Potential: Its Ideokinetic Facilitation.

    Science.gov (United States)

    Sweigard, Lulu E.

    This book focuses on the interdependence of postural alignment and the performance of movement. It provides an educational method (ideokinesis), which stresses the inherent capacity of the nervous system to determine the most efficient neuromuscular coordination for each movement. This method of teaching body balance and efficient movement has…

  8. Mexican-American: Movements and Leaders.

    Science.gov (United States)

    Larralde, Carlos

    Biographical studies of 20 influential Chicano leaders trace Mexican American history from 1848 to the present. The book is organized chronologically by four historical periods: (1) The Cortinista Movement, 1848-1876; (2) The Teresita Movement, 1888-1905; (3) The Magonista Movement, 1904-1919; and (4) The Chicano Activists, 1920 ;o the present.…

  9. Strategic Directions of the Movement Disorder Society

    Institute of Scientific and Technical Information of China (English)

    Mark Hallett, M.D

    2000-01-01

    @@The Movement Disorder Society (MDS) is the international not-for-profit organization representing and serving clinicians, other health professionals, researchers and policy makers interested in the area of movement disorders. The Society is represented in 68 countries by approximately 1,500 members. The Society has developed regional sections and welcomes affiliation of regional Movement Disorder groups.

  10. Eye Movement Disorders in Dyslexia. Final Report.

    Science.gov (United States)

    Festinger, Leon; And Others

    Eye movements of 18 male and seven female dyslexic children and 10 normal children were evaluated to determine if eye movement disorders may be the cause of some of the symptoms associated with dyslexia. Data on eye movements were collected while Ss moved their eyes from one fixation point to another in a nonreading situation. Errors in vertical…

  11. Coding and Interpreting Movement on the Rorschach.

    Science.gov (United States)

    Holaday, Margot

    1996-01-01

    A survey of 26 Rorschach experts and 19 students of Rorschach use was conducted to help students using the Exner Comprehensive System determine whether to code movement for nouns with definitions that include movement. Experts and students did not reach agreement, but a literature review suggests such nouns should often be coded as movement. (SLD)

  12. Transformers: Movement Experiences for Early Childhood Classrooms

    Science.gov (United States)

    Vagovic, Julia

    2008-01-01

    Transformers are simple movement experiences for the classroom that engage the mind and body, focus energy, and help children transition to the next activity. Teachers can use them throughout the day, every day. The author explains the basic movements and suggests ways to build on them. They range from deep breathing to gentle wake-up movements to…

  13. New Ways of Working and Organization: Alternative Agrifood Movements and Agrifood Researchers

    Science.gov (United States)

    Friedland, William H.

    2010-01-01

    The remarkable growth of alternative agrifood movements--organics, fair trade, localism, Slow Food, farmers' markets, community-supported agriculture, food security, food safety, food sovereignty, anti-genetically modified organisms, animal welfare, and others--and their attraction to younger academic scholars offer a unique opportunity to explore…

  14. A spatially distributed model of pesticide movement in Dutch macroporous soils

    NARCIS (Netherlands)

    Tiktak, A.; Hendriks, R.F.A.; Boesten, J.J.T.I.; Linden, van der A.M.A.

    2012-01-01

    In the Netherlands, a spatially distributed version of the pesticide fate model PEARL is routinely used to assess the leaching potential of pesticides to groundwater. Recently, the model was modified to simulate the movement of pesticides to surface water. The peak concentration is considered to be

  15. New Ways of Working and Organization: Alternative Agrifood Movements and Agrifood Researchers

    Science.gov (United States)

    Friedland, William H.

    2010-01-01

    The remarkable growth of alternative agrifood movements--organics, fair trade, localism, Slow Food, farmers' markets, community-supported agriculture, food security, food safety, food sovereignty, anti-genetically modified organisms, animal welfare, and others--and their attraction to younger academic scholars offer a unique opportunity to explore…

  16. What makes a movement a gesture?

    Science.gov (United States)

    Novack, Miriam A; Wakefield, Elizabeth M; Goldin-Meadow, Susan

    2016-01-01

    Theories of how adults interpret the actions of others have focused on the goals and intentions of actors engaged in object-directed actions. Recent research has challenged this assumption, and shown that movements are often interpreted as being for their own sake (Schachner & Carey, 2013). Here we postulate a third interpretation of movement-movement that represents action, but does not literally act on objects in the world. These movements are gestures. In this paper, we describe a framework for predicting when movements are likely to be seen as representations. In Study 1, adults described one of three scenes: (1) an actor moving objects, (2) an actor moving her hands in the presence of objects (but not touching them) or (3) an actor moving her hands in the absence of objects. Participants systematically described the movements as depicting an object-directed action when the actor moved objects, and favored describing the movements as depicting movement for its own sake when the actor produced the same movements in the absence of objects. However, participants favored describing the movements as representations when the actor produced the movements near, but not on, the objects. Study 2 explored two additional features-the form of an actor's hands and the presence of speech-like sounds-to test the effect of context on observers' classification of movement as representational. When movements are seen as representations, they have the power to influence communication, learning, and cognition in ways that movement for its own sake does not. By incorporating representational gesture into our framework for movement analysis, we take an important step towards developing a more cohesive understanding of action-interpretation.

  17. PLASTID MOVEMENT IMPAIRED1 and PLASTID MOVEMENT IMPAIRED1-RELATED1 Mediate Photorelocation Movements of Both Chloroplasts and Nuclei.

    Science.gov (United States)

    Suetsugu, Noriyuki; Higa, Takeshi; Kong, Sam-Geun; Wada, Masamitsu

    2015-10-01

    Organelle movement and positioning play important roles in fundamental cellular activities and adaptive responses to environmental stress in plants. To optimize photosynthetic light utilization, chloroplasts move toward weak blue light (the accumulation response) and escape from strong blue light (the avoidance response). Nuclei also move in response to strong blue light by utilizing the light-induced movement of attached plastids in leaf cells. Blue light receptor phototropins and several factors for chloroplast photorelocation movement have been identified through molecular genetic analysis of Arabidopsis (Arabidopsis thaliana). PLASTID MOVEMENT IMPAIRED1 (PMI1) is a plant-specific C2-domain protein that is required for efficient chloroplast photorelocation movement. There are two PLASTID MOVEMENT IMPAIRED1-RELATED (PMIR) genes, PMIR1 and PMIR2, in the Arabidopsis genome. However, the mechanism in which PMI1 regulates chloroplast and nuclear photorelocation movements and the involvement of PMIR1 and PMIR2 in these organelle movements remained unknown. Here, we analyzed chloroplast and nuclear photorelocation movements in mutant lines of PMI1, PMIR1, and PMIR2. In mesophyll cells, the pmi1 single mutant showed severe defects in both chloroplast and nuclear photorelocation movements resulting from the impaired regulation of chloroplast-actin filaments. In pavement cells, pmi1 mutant plants were partially defective in both plastid and nuclear photorelocation movements, but pmi1pmir1 and pmi1pmir1pmir2 mutant lines lacked the blue light-induced movement responses of plastids and nuclei completely. These results indicated that PMI1 is essential for chloroplast and nuclear photorelocation movements in mesophyll cells and that both PMI1 and PMIR1 are indispensable for photorelocation movements of plastids and thus, nuclei in pavement cells.

  18. POLYCAPROLACTAM MODIFIED BY POLYBENZIMIDAZOLE

    Institute of Scientific and Technical Information of China (English)

    YANG Guisheng; LU Fengcai

    1990-01-01

    Three polycaprolactam samples modified by 0.05 - 0.50% polybenzimidazole (PBI) by weight were prepared. Their structure and mechanical properties were characterized by means of FT- IR, SEM, DTA,density tensile,impact and viscoelastic method. PBI delayed the superimposed polymerization-crystallization process of the activated anionic polymerization of caprolactam. The monomer casting (MC) nylons modified by PBI had lower crystallinities,lower Tg and more nearly perfect spherulites than MCnylon itself, and showed a typical toughening effect.

  19. Biological response modifiers

    Energy Technology Data Exchange (ETDEWEB)

    Weller, R.E.

    1991-10-01

    Much of what used to be called immunotherapy is now included in the term biological response modifiers. Biological response modifiers (BRMs) are defined as those agents or approaches that modify the relationship between the tumor and host by modifying the host's biological response to tumor cells with resultant therapeutic effects.'' Most of the early work with BRMs centered around observations of spontaneous tumor regression and the association of tumor regression with concurrent bacterial infections. The BRM can modify the host response in the following ways: Increase the host's antitumor responses through augmentation and/or restoration of effector mechanisms or mediators of the host's defense or decrease the deleterious component by the host's reaction; Increase the host's defenses by the administration of natural biologics (or the synthetic derivatives thereof) as effectors or mediators of an antitumor response; Augment the host's response to modified tumor cells or vaccines, which might stimulate a greater response by the host or increase tumor-cell sensitivity to an existing response; Decrease the transformation and/or increase differentiation (maturation) of tumor cells; or Increase the ability of the host to tolerate damage by cytotoxic modalities of cancer treatment.

  20. Proteoglycans and orthodontic tooth movement.

    Science.gov (United States)

    Waddington, R J; Embery, G

    2001-12-01

    Proteoglycans represent an important and diverse family of extracellular matrix components within the connective tissues of the periodontium. This review focuses on the function and metabolism of the various proteoglycans in periodontal tissues, such as alveolar bone and periodontal ligament, and considers their potential fate in response to an orthodontic force. Such considerations provide an important background in evaluating the potential for proteoglycan metabolites, alongside other connective tissue metabolites, as biomarkers for assessing the deep-seated metabolic changes and as a diagnostic tool in monitoring orthodontic tooth movement.

  1. Stereotypic movement disorder: easily missed.

    Science.gov (United States)

    Freeman, Roger D; Soltanifar, Atefeh; Baer, Susan

    2010-08-01

    To expand the understanding of stereotypic movement disorder (SMD) and its differentiation from tics and autistic stereotypies. Forty-two children (31 males, mean age 6y 3mo, SD 2y 8mo; 11 females, mean age 6y 7mo, SD 1y 9mo) consecutively diagnosed with SMD, without-self-injurious behavior, intellectual disability, sensory impairment, or an autistic spectrum disorder (ASD), were assessed in a neuropsychiatry clinic. A list of probe questions on the nature of the stereotypy was administered to parents (and to children if developmentally ready). Questionnaires administered included the Stereotypy Severity Scale, Short Sensory Profile, Strengths and Difficulties Questionnaire, Repetitive Behavior Scale--Revised, and the Developmental Coordination Disorder Questionnaire. The stereotyped movement patterns were directly observed and in some cases further documented by video recordings made by parents. The probe questions were used again on follow-up at a mean age of 10 years 7 months (SD 4y 4mo). Mean age at onset was 17 months. Males exceeded females by 3:1. Family history of a pattern of SMD was reported in 13 and neuropsychiatric comorbidity in 30 (attention-deficit-hyperactivity disorder in 16, tics in 18, and developmental coordination disorder in 16). Obsessive-compulsive disorder occurred in only two. The Short Sensory Profile correlated with comorbidity (p<0.001), the Stereotypy Severity Scale (p=0.009), and the Repetitive Behavior Scale (p<0.001); the last correlated with the Stereotypy Severity Scale (p=0.001). Children (but not their parents) liked their movements, which were usually associated with excitement or imaginative play. Mean length of follow-up was 4 years 8 months (SD 2y 10mo). Of the 39 children followed for longer than 6 months, the behavior stopped or was gradually shaped so as to occur primarily privately in 25. Misdiagnosis was common: 26 were initially referred as tics, 10 as ASD, five as compulsions, and one as epilepsy. Co-occurring facial

  2. Eye movement monitoring of memory.

    Science.gov (United States)

    Ryan, Jennifer D; Riggs, Lily; McQuiggan, Douglas A; McQuiggan, Doug

    2010-08-15

    Explicit (often verbal) reports are typically used to investigate memory (e.g. "Tell me what you remember about the person you saw at the bank yesterday."), however such reports can often be unreliable or sensitive to response bias, and may be unobtainable in some participant populations. Furthermore, explicit reports only reveal when information has reached consciousness and cannot comment on when memories were accessed during processing, regardless of whether the information is subsequently accessed in a conscious manner. Eye movement monitoring (eye tracking) provides a tool by which memory can be probed without asking participants to comment on the contents of their memories, and access of such memories can be revealed on-line. Video-based eye trackers (either head-mounted or remote) use a system of cameras and infrared markers to examine the pupil and corneal reflection in each eye as the participant views a display monitor. For head-mounted eye trackers, infrared markers are also used to determine head position to allow for head movement and more precise localization of eye position. Here, we demonstrate the use of a head-mounted eye tracking system to investigate memory performance in neurologically-intact and neurologically-impaired adults. Eye movement monitoring procedures begin with the placement of the eye tracker on the participant, and setup of the head and eye cameras. Calibration and validation procedures are conducted to ensure accuracy of eye position recording. Real-time recordings of X,Y-coordinate positions on the display monitor are then converted and used to describe periods of time in which the eye is static (i.e. fixations) versus in motion (i.e., saccades). Fixations and saccades are time-locked with respect to the onset/offset of a visual display or another external event (e.g. button press). Experimental manipulations are constructed to examine how and when patterns of fixations and saccades are altered through different types of prior

  3. Self-reflection of movement

    DEFF Research Database (Denmark)

    Kilbourn, Kyle

    2009-01-01

    To keep a respectable distance from each other, technology and medicine have each carved people along Cartesian lines. I present two short cases that explore what it would mean to bridge these two perspectives through a simple tool while researching personal experiences of patients as they make...... sense of their health. The conclusion is that there is a need for research tools to get users to articulate their own movement practices and meanwhile hold a view towards a designerly approach to research....

  4. Brownian movement and molecular reality

    CERN Document Server

    Perrin, Jean

    2005-01-01

    How do we know that molecules really exist? An important clue came from Brownian movement, a concept developed in 1827 by botanist Robert Brown, who noticed that tiny objects like pollen grains shook and moved erratically when viewed under a microscope. Nearly 80 years later, in 1905, Albert Einstein explained this ""Brownian motion"" as the result of bombardment by molecules. Einstein offered a quantitative explanation by mathematically estimating the average distance covered by the particles over time as a result of molecular bombardment. Four years later, Jean Baptiste Perrin wrote Brownia

  5. Movement adaptations in 7-to 10-year-old typically developing children : Evidence for a transition in feedback-based motor control

    NARCIS (Netherlands)

    Van Braeckel, Koenraad; Butcher, Phillipa R.; Geuze, Reint H.; Stremmelaar, Elisabeth F.; Bouma, Anke

    2007-01-01

    We used a modified double-step pointing task to study movement adaptations in 7- to 10-year-old typically developing children. We found that the majority (63%) were able to optimally adapt fast, goal-directed visually-guided movements to a late change in target location meeting the requirements of

  6. Dance-movement therapy for movement development of a child with attention deficit and hyperactivity disorder

    OpenAIRE

    Sernec, Tamara

    2016-01-01

    Movement is a basic need of children that allows them to learn appropriate responses and control behavior. The research problem refers to the observation of the qualitative aspect of the movement of a child with attention deficit disorder and hyperactivity. The main purpose of the study was to verify the effects of the dance-movement therapy on movement repertoire and expression and also movement competence in different situations. The survey was conducted as action research. Case-study was b...

  7. Movement related slow cortical potentials in severely paralyzed chronic stroke patients

    Directory of Open Access Journals (Sweden)

    Ozge eYilmaz

    2015-01-01

    Full Text Available Movement-related slow cortical potentials (SCPs are proposed as reliable and immediate indicators of cortical reorganisation in motor learning. SCP amplitude and latency have been reported as markers for the brain’s computational effort, attention and movement planning. SCPs have been used as an EEG signature of motor control and as a main feature in Brain-Machine-Interfaces (BMIs. Some reports suggest SCPs are modified following stroke. In this study, we investigated movement-related SCPs in severe chronic stroke patients with no residual paretic hand movements preceding and during paretic (when they try to move and healthy hand movements. The aim was to identify SCP signatures related to cortex integrity and complete paralysis due to stroke in the chronic stage. 20 severely impaired (no residual finger extension chronic stoke patients, of whom 10 presented subcortical and 10 cortical and subcortical lesions, underwent EEG and EMG recordings during a cue triggered hand movement (open/close paradigm. SCP onset appeared and peaked significantly earlier during paretic hand movements than during healthy hand movements. Amplitudes were significantly larger over the midline (Cz, Fz for paretic hand movements while contralateral (C4, F4 and midline (Cz, Fz amplitudes were significantly larger than ipsilateral activity for healthy hand movements. Dividing the participants into subcortical only and mixed lesioned patient groups, no significant differences observed in SCP amplitude and latency between groups. This suggests lesions in the thalamocortical loop as the main factor in SCP changes after stroke. Furthermore, we demonstrated how, after long-term complete paralysis, post-stroke intention to move a paralyzed hand resulted in longer and larger SCPs originating in the frontal areas. These results suggest SCP are a valuable feature that should be incorporated in the design of new neurofeedback strategies for motor neurorehabilitation.

  8. Susceptibility genes in movement disorders.

    Science.gov (United States)

    Scholz, Sonja; Singleton, Andrew

    2008-05-15

    During the last years, remarkable progress in our understanding of molecular genetic mechanisms underlying movement disorders has been achieved. The successes of linkage studies, followed by positional cloning, have dominated the last decade and several genes underlying monogenic disorders have been discovered. The pathobiological understanding garnered from these mutations has laid the foundation for much of the search for genetic loci that confer risk for, rather than cause, disease. With the introduction of whole genome association studies as a novel tool to investigate genetic variation underlying common, complex diseases, a new era in neurogenomics has just begun. As the field rapidly moves forward several new challenges and critical questions in clinical care have to be addressed. In this review, we summarize recent advances in the discovery of susceptibility loci underlying major movement disorders, explain the newest methodologies and tools employed for finding and characterizing genes and discuss how insights into the molecular genetic basis of neurological disorders will impact therapeutic concepts in patient care.

  9. Proteomic Characterization of Stomatal Movement

    Institute of Scientific and Technical Information of China (English)

    Sixue Chen

    2012-01-01

    Stomata on leaf epidermis formed by pairs of guard cells control CO2 intake and water transpiration,and respond to different environmental conditions.Stress induced stomatal closure is mediated via an intricate hormone network in guard cells.Here we report absicic acid (ABA) and methyl jasmonate (MeJA) responsive proteins and redox sensitive proteins.Both ABA and MeJA cause stomatal movement and H2O2 production.Using an isobaric tags for relative and absolute quantitation approach,we have identified many ABA and/or MeJA responsive proteins in B.napus guard cells.Most of the genes encoding these proteins contain hormone responsive elements in the promoters,indicating that they are potentially regulated at the transcriptional level.The protein level changes were validated using Western blot analysis.We have also identified redox responsive proteins in the above signaling processes.The identification of the hormone responsive proteins and redox state changes has revealed interesting molecular mechanisms underlying guard cell functions in stomatal movement.The knowledge has great potential to be applied to crop engineering for enhanced yield and stress tolerance.

  10. Nonisothermal moisture movement in wood

    Institute of Scientific and Technical Information of China (English)

    LI Xianjun; ZHANG Biguang; LI Wenjun; LI Yanjun

    2006-01-01

    In order to analyze the effect of temperature gradient on moisture movement during highly intensive drying,such as microwave-vacuum drying,the profile of the temperature and moisture content in sealed wood whose opposite faces were subjected to temperature gradient for a short time was measured.The ratio of the moisture content (MC) gradient to the temperature gradient (dM/dT) was calculated and the factors influencing moisture movement under nonisothermal conditions were discussed.The results indicate that moisture moved in wood from the warm surface to the cold one even if opposite faces of the sealed wood assembly were exposed continuously to different but constant temperatures for a short period.The moisture content on the cold surface was higher than that on the warm surface.The moisture content gradient opposite to the temperature gradient was established,and the dM/dT was below 0.9%/℃.The temperature in the sample and the distance from the hot surface of the sample was strongly linearly correlated.With an increase in temperature,initial moisture content and experimental time,the dM/dT was significantly increased.

  11. Anticipatory Eye Movements in Congkak

    Directory of Open Access Journals (Sweden)

    Sheryl Chong

    2011-05-01

    Full Text Available Congkak is a traditional Malaysian board game involving two players taking turns to pick up marbles from a series of holes on the board. We used this game as a model to explore the role of anticipatory eye movements during natural actions (in this case serially picking up/putting marbles as novices learnt the game. Prior work on eye and hand movements in natural behaviour shows that much of the demand on the visual system is computed at the moment it is needed and doesn't depend on information acquired from previous fixations. Vision is driven by the task demands. However, anticipatory fixations to upcoming targets of manipulation have recently been shown to confer spatial accuracy and influence the eye-hand latency. We find that experience with the game also influences the deployment of these anticipatory “look-ahead” fixations, and that their influence on eye-hand latency varies with experience. Results suggest that as our experience in Congkak grows, so does our knowledge of the space relationships necessary for task success.

  12. Modified blank ammunition injuries.

    Science.gov (United States)

    Ogunc, Gokhan I; Ozer, M Tahir; Coskun, Kagan; Uzar, Ali Ihsan

    2009-12-15

    Blank firing weapons are designed only for discharging blank ammunition cartridges. Because they are cost-effective, are easily accessible and can be modified to live firearms plus their unclear legal situation in Turkish Law makes them very popular in Turkey. 2004 through 2008, a total of 1115 modified blank weapons were seized in Turkey. Blank firing weapons are easily modified by owners, making them suitable for discharging live firearm ammunition or modified blank ammunitions. Two common methods are used for modification of blank weapons. After the modification, these weapons can discharge the live ammunition. However, due to compositional durability problems with these types of weapons; the main trend is to use the modified blank ammunitions rather than live firearm ammunition fired from modified blank firing weapons. In this study, two types of modified blank weapons and two types of modified blank cartridges were tested on three different target models. Each of the models' shooting side was coated with 1.3+/-2 mm thickness chrome tanned cowhide as a skin simulant. The first model was only coated with skin simulant. The second model was coated with skin simulant and 100% cotton police shirt. The third model was coated with skin simulant and jean denim. After the literature evaluation four high risky anatomic locations (the neck area; the eyes; the thorax area and inguinal area) were pointed out for the steel and lead projectiles are discharged from the modified blank weapons especially in close range (0-50 cm). The target models were designed for these anatomic locations. For the target models six Transparent Ballistic Candle blocks (TCB) were prepared and divided into two test groups. The first group tests were performed with lead projectiles and second group with steel projectile. The shortest penetration depth (lead projectile: 4.358 cm; steel projectile 8.032 cm) was recorded in the skin simulant and jean denim coated block for both groups. In both groups

  13. Role of Scaphoid in the Abduction and Adduction Movements of Wrist Joint

    Directory of Open Access Journals (Sweden)

    Sadik I Shaikh

    2013-06-01

    Full Text Available Background: Being a carpal bone scaphoid has an important role in wrist movements. Wrist joint is a synovial modified ellipsoid joint where movements like flexion, extension and adduction, abduction take place around two axes (transverse and antero-posterior. These movements at the wrist joint are associated with considerable range of movements at the mid carpal joint, as same group of muscles act on both of these joints. Methodology: A study has been done amongst 120 persons at the tertiary care hospital during the period from 2006-07 to detect the important movements of scaphoid bone specially during the abduction and adduction of wrist joint (which occur in association with the intercarpal joints and also to detect whether such movements have any speciality in the population. Results: In fully abducted position, it was 45o among 53.3% subjects and the average among all the subjects was 60o. So, the degree of abduction was 30o. The extent of movement was more in adduction (ie, 1.90 cm - 1.03 cm = 0.87 cm than in abduction (ie, 1.03 cm - 0.72 cm = 0.31cm. Conclusion: It was found in this study that the scaphoid acts as a link bone between the two rows of carpal bones and prevents the buckling of midcarpal joint especially of the capitato- lunate joint interface. [Natl J Med Res 2013; 3(3.000: 253-256

  14. Rotated balance in humans due to repetitive rotational movement.

    Science.gov (United States)

    Zakynthinaki, M S; Milla, J Madera; De Durana, A López Diaz; Martínez, C A Cordente; Romo, G Rodríguez; Quintana, M Sillero; Molinuevo, J Sampedro

    2010-03-01

    We show how asymmetries in the movement patterns during the process of regaining balance after perturbation from quiet stance can be modeled by a set of coupled vector fields for the derivative with respect to time of the angles between the resultant ground reaction forces and the vertical in the anteroposterior and mediolateral directions. In our model, which is an adaption of the model of Stirling and Zakynthinaki (2004), the critical curve, defining the set of maximum angles one can lean to and still correct to regain balance, can be rotated and skewed so as to model the effects of a repetitive training of a rotational movement pattern. For the purposes of our study a rotation and a skew matrix is applied to the critical curve of the model. We present here a linear stability analysis of the modified model, as well as a fit of the model to experimental data of two characteristic "asymmetric" elite athletes and to a "symmetric" elite athlete for comparison. The new adapted model has many uses not just in sport but also in rehabilitation, as many work place injuries are caused by excessive repetition of unaligned and rotational movement patterns.

  15. Perspectives on functional and hyperkinetic movement disorders : Phenomenology & pathophysiology

    NARCIS (Netherlands)

    van der Salm, S.M.A.

    2017-01-01

    Functional movement disorders (FMD), previously known as conversion disorders or psychogenic movement disorders, are abnormal movements which cannot be attributed to other neurological disorders. FMD are frequently encountered in movement disorder outpatient clinics. Yet, most neurologists consider

  16. SUMO wrestling in cell movement

    Institute of Scientific and Technical Information of China (English)

    Miia M Rytinki; Jorma J Palvimo

    2011-01-01

    @@ Small ubiquitin-like modifier(SUMO)proteins 1,2 and 3 can be covalently conjugated to specific lysine residues on target proteins in a process dubbed SUMOylation.This conserved posttranslational modification that was reported for the first time in 1996 has emerged as an important regulatory mechanism in cell physiology,especially in nuclear signaling,transport,transcription and DNA replication/repair[1,2].

  17. Cortical potentials associated with voluntary mandibular movements.

    Science.gov (United States)

    Yoshida, K; Kaji, R; Hamano, T; Kohara, N; Kimura, J; Shibasaki, H; Iizuka, T

    2000-07-01

    Movement-related cortical potentials (MRCPs) are negative potentials over the scalp, which gradually increase prior to voluntary movements, and might be applied to elucidate the cortical efferent function of the mandibular movements. We compared the MRCPs accompanying various mandibular movements to study the motor control mechanism underlying these movements. Electroencephalograms (EEGs) were recorded from 11 electrodes placed over the scalp (F3, Fz, F4, T3, C3, Cz, C4, T4, P3, Pz, and P4), according to the International 10-20 System, and electromyograms (EMGs) were obtained from surface electrodes over the masseter muscle and the anterior belly of the digastric muscle. Ten healthy subjects were requested to make brisk and self-paced mandibular movements in 4 different directions (mouth-opening and -closing, and left and right lateral movements). We obtained MRCPs by averaging the EEG, using the visually determined EMG onset as a trigger signal. In all the movements, a slowly increasing, bilaterally widespread negativity starting 1.5 to 2.0 sec before the EMG onset (Bereitschaftspotential, or BP proper) was observed, with the maximum over the vertex region. The negative slope (NS') occurred about 300 to 700 msec before the EMG onset. The cortical maps of BP/NS' (BP and NS' combined), immediately prior to the mouth-opening and closing, showed a symmetrical distribution, whereas that for the lateral movements showed a tendency of predominance over the hemisphere ipsilateral to the direction of the movement. BP/NS' amplitudes at the onset of movement differed significantly or tended to do so between open, close, and lateral movements, suggesting that MRCP recordings may thus provide a means to explore the role of the cerebral cortex in the control of mandibular movements.

  18. Infrared-modified Universe

    CERN Document Server

    Piazza, Federico

    2012-01-01

    We consider a Hubble expansion law modified in the infra-red by distance-dependent terms, and attempt to enforce homogeneity upon it. As a warm-up, we re-derive the basic kinematics of a Friedman Robertson Walker universe without using standard general relativistic tools: we describe the expansion with a `Hubble velocity field' rather than with a four dimensional metric. Then we extend this analysis to the modified Hubble expansion and impose a transformation for velocities that makes it identical for all comoving observers, and therefore homogeneous. We derive the modified equation for light ray trajectories and other geometrical properties that are incompatible with the general relativistic description. We speculate that this extended framework could help addressing cosmological problems which are normally explained with accelerating expansions.

  19. Phantom hand and wrist movements in upper limb amputees are slow but naturally controlled movements.

    Science.gov (United States)

    De Graaf, J B; Jarrassé, N; Nicol, C; Touillet, A; Coyle, T; Maynard, L; Martinet, N; Paysant, J

    2016-01-15

    After limb amputation, patients often wake up with a vivid perception of the presence of the missing limb, called "phantom limb". Phantom limbs have mostly been studied with respect to pain sensation. But patients can experience many other phantom sensations, including voluntary movements. The goal of the present study was to quantify phantom movement kinematics and relate these to intact limb kinematics and to the time elapsed since amputation. Six upper arm and two forearm amputees with various delays since amputation (6months to 32years) performed phantom finger, hand and wrist movements at self-chosen comfortable velocities. The kinematics of the phantom movements was indirectly obtained via the intact limb that synchronously mimicked the phantom limb movements, using a Cyberglove® for measuring finger movements and an inertial measurement unit for wrist movements. Results show that the execution of phantom movements is perceived as "natural" but effortful. The types of phantom movements that can be performed are variable between the patients but they could all perform thumb flexion/extension and global hand opening/closure. Finger extension movements appeared to be 24% faster than finger flexion movements. Neither the number of types of phantom movements that can be executed nor the kinematic characteristics were related to the elapsed time since amputation, highlighting the persistence of post-amputation neural adaptation. We hypothesize that the perceived slowness of phantom movements is related to altered proprioceptive feedback that cannot be recalibrated by lack of visual feedback during phantom movement execution.

  20. Tip-modified Propellers

    DEFF Research Database (Denmark)

    Andersen, Poul

    1999-01-01

    The paper deals with tip-modified propellers and the methods which, over a period of two decades, have been applied to develop such propellers. The development is driven by the urge to increase the efficiency of propellers and can be seen as analogous to fitting end plates and winglets to aircraft...... wings. The literature on four different designs is reviewed: the end-plate propeller; the two-sided, shifted end-plate propeller; the tip-fin propeller; and the bladelet propeller. The conclusion is that it is indeed possible to design tip-modified propellers that, relative to an optimum conventional...

  1. Free Instrument for Movement Measure

    CERN Document Server

    Peña, Norberto; Corrêa, Lorena Peixoto Nogueira Rodriguez Martinez Salles; França, Lucas Gabriel Souza; Cunha, Marcelo do Vale; de Sousa, Marcos Cavalcanti; Vieira, João Paulo Bomfim Cruz; Miranda, José Garcia Vivas

    2013-01-01

    This paper presents the validation of a computational tool that serves to obtain continuous measurements of moving objects. The software uses techniques of computer vision, pattern recognition and optical flow, to enable tracking of objects in videos, generating data trajectory, velocity, acceleration and angular movement. The program was applied to track a ball around a simple pendulum. The methodology used to validate it, taking as a basis to compare the values measured by the program, as well as the theoretical values expected according to the model of a simple pendulum. The experiment is appropriate to the method because it was built within the limits of the linear harmonic oscillator and energy losses due to friction had been minimized, making it the most ideal possible. The results indicate that the tool is sensitive and accurate. Deviations of less than a millimeter to the extent of the trajectory, ensures the applicability of the software on physics, whether in research or in teaching topics.

  2. The Anti-Doping Movement.

    Science.gov (United States)

    Willick, Stuart E; Miller, Geoffrey D; Eichner, Daniel

    2016-03-01

    Historical reports of doping in sports date as far back as the ancient Greek Olympic Games. The anti-doping community considers doping in sports to be cheating and a violation of the spirit of sport. During the past century, there has been an increasing awareness of the extent of doping in sports and the health risks of doping. In response, the anti-doping movement has endeavored to educate athletes and others about the health risks of doping and promote a level playing field. Doping control is now undertaken in most countries around the world and at most elite sports competitions. As athletes have found new ways to dope, however, the anti-doping community has endeavored to strengthen its educational and deterrence efforts. It is incumbent upon sports medicine professionals to understand the health risks of doping and all doping control processes.

  3. RNA silencing movement in plants

    Institute of Scientific and Technical Information of China (English)

    Glykeria Mermigka; Frederic Verret; Kriton Kalantidis

    2016-01-01

    Multicellular organisms, like higher plants, need to coordinate their growth and development and to cope with environmental cues. To achieve this, various signal molecules are transported between neighboring cells and distant organs to control the fate of the recipient cells and organs. RNA silencing produces cell non-autonomous signal molecules that can move over short or long distances leading to the sequence specific silencing of a target gene in a well defined area of cells or throughout the entire plant, respectively. The nature of these signal molecules, the route of silencing spread, and the genes involved in their production, movement and reception are discussed in this review. Additionally, a short section on features of silencing spread in animal models is presented at the end of this review.

  4. Influence of Persons' Movements on Ventilation Effectiveness

    DEFF Research Database (Denmark)

    Brohus, Henrik; Hyldig, Mikkel; Kamper, Simon

    2008-01-01

    of different kinds of movement compared with the case of no movements. It is found that mixing ventilation is considerably more robust compared with displacement ventilation. At the same time it is found that displacement ventilation on average is more effective than mixing ventilation when movements prevail......Most often the ventilation effectiveness of a ventilated room is determined without considering the influence of persons´ movements. Even though the main reason for supplying the ventilation may be to create a healthy and productive environment for the occupants, their own influence...... on the ventilation is usually disregarded. This paper presents results from a systematic investigation of the movements´ influence on the ventilation effectiveness using human subjects combined with tracer gas measurements. Several typical "movements" are defined and carefully repeated to determine the influence...

  5. Cursive writing with smooth pursuit eye movements.

    Science.gov (United States)

    Lorenceau, Jean

    2012-08-21

    The eyes never cease to move: ballistic saccades quickly turn the gaze toward peripheral targets, whereas smooth pursuit maintains moving targets on the fovea where visual acuity is best. Despite the oculomotor system being endowed with exquisite motor abilities, any attempt to generate smooth eye movements against a static background results in saccadic eye movements. Although exceptions to this rule have been reported, volitional control over smooth eye movements is at best rudimentary. Here, I introduce a novel, temporally modulated visual display, which, although static, sustains smooth eye movements in arbitrary directions. After brief training, participants gain volitional control over smooth pursuit eye movements and can generate digits, letters, words, or drawings at will. For persons deprived of limb movement, this offers a fast, creative, and personal means of linguistic and emotional expression. Copyright © 2012 Elsevier Ltd. All rights reserved.

  6. Memory and Culture in Social Movements

    DEFF Research Database (Denmark)

    Doerr, Nicole

    2014-01-01

    on psychoanalytical, visual, and historical approaches. Movement scholars who focused on narrative, discourse, framing, and performance show how activists actively construct and mobilize collective memory. We know much less, however, about interactions between multiple layers and forms of remembering stored in images...... for reconciliation. How do social movements construct and use memory, and how does the politics of memory shape cultural meaning-making in movements? To begin answering this question, my contribution brings together a cultural sociology of social movements with an interdisciplinary analysis of memory drawing......, stories, or performances, or discursive forms. How do conflicting or contradictory memories about the past inside movement groups condition activists’ ability to speak, write, and even think about the future? While previous work conceived of memory in movements as a subcategory of narrative, discourse...

  7. Brainstem hypoplasia presenting with mirror movement

    Directory of Open Access Journals (Sweden)

    Burcu Ekmekçi

    2015-09-01

    Full Text Available 20 years old female patient, who had operated from congenital syndactyly on her left hand at five age, admitted to neurology policlinic with involuntary movement on her hands. We saw mirror movement (MM when she writing, catching with her left hand. This movement is had low amplitude in the right hand than left. Cervical MRG revealed no abnormality. Brain MRG revealed right middle, inferior cerebellary peduncle, olive and pyramid hypoplasia. Mirror movement shows homolog muscle activity which simulating contralateral movement, during a spesific task. This movement is seen usually upper extremity especially in the hand. Corticospinal tract dysfunction is often considered in the pathogenesis. MM may present as part of cervico medullary junction abnormality, cerebral palsy, cerebrovasculary disease, Parkinson disease. We wanted to discuss the patogenesis of MM in our patient with syndactyly and MRG abnormality.

  8. Human movement data for malaria control and elimination strategic planning.

    Science.gov (United States)

    Pindolia, Deepa K; Garcia, Andres J; Wesolowski, Amy; Smith, David L; Buckee, Caroline O; Noor, Abdisalan M; Snow, Robert W; Tatem, Andrew J

    2012-06-18

    Recent increases in funding for malaria control have led to the reduction in transmission in many malaria endemic countries, prompting the national control programmes of 36 malaria endemic countries to set elimination targets. Accounting for human population movement (HPM) in planning for control, elimination and post-elimination surveillance is important, as evidenced by previous elimination attempts that were undermined by the reintroduction of malaria through HPM. Strategic control and elimination planning, therefore, requires quantitative information on HPM patterns and the translation of these into parasite dispersion. HPM patterns and the risk of malaria vary substantially across spatial and temporal scales, demographic and socioeconomic sub-groups, and motivation for travel, so multiple data sets are likely required for quantification of movement. While existing studies based on mobile phone call record data combined with malaria transmission maps have begun to address within-country HPM patterns, other aspects remain poorly quantified despite their importance in accurately gauging malaria movement patterns and building control and detection strategies, such as cross-border HPM, demographic and socioeconomic stratification of HPM patterns, forms of transport, personal malaria protection and other factors that modify malaria risk. A wealth of data exist to aid filling these gaps, which, when combined with spatial data on transport infrastructure, traffic and malaria transmission, can answer relevant questions to guide strategic planning. This review aims to (i) discuss relevant types of HPM across spatial and temporal scales, (ii) document where datasets exist to quantify HPM, (iii) highlight where data gaps remain and (iv) briefly put forward methods for integrating these datasets in a Geographic Information System (GIS) framework for analysing and modelling human population and Plasmodium falciparum malaria infection movements.

  9. Mass movement processes associated with volcanic structures in Mexico City

    Directory of Open Access Journals (Sweden)

    Víctor Carlos Valerio

    2012-11-01

    Full Text Available Mexico City, one of the most populated areas of the world, has been affected by various hazards of natural origin, such as subsidence and cracking of the soil, seismicity, floods and mass movement processes (MMPs. Owing to the lack of space on the plain, in recent years urban growth has been concentrated particularly on the slopes of the surrounding mountain ranges, and this has significantly modified the dynamics of the relief as well as the hydrogeological conditions. The specific character of natural susceptibility to mass movements is strongly dependent on the geological–structural and morphological characteristics of the volcanic bodies that form the mountainous relief. This natural susceptibility, combined with the characteristics of vulnerability of the society, creates risk conditions that can generate severe consequences for the population and the economy. Hence, based on an inventory of mass movement processes comprising 95 data points, the present study aimed to achieve a zoning of the areas susceptible to these processes, as well as to characterize the mechanisms of instability in the volcanic structures that form the relief of the area in question. The results of this work clearly show the role of the lithology, the mode of emplacement and the morpho–structural characteristics of the volcanic structures, in the types of mass movement processes. In addition, it identifies the diverse activities of anthropogenic origin that favour slope instability in the zone: deforestation and burning of rubbish, felling of timber on the slopes for building infrastructure and dwellings, leakages of water, vibrations of vehicles, rotating machinery and the use of explosives in mining works, overloading the heads of the slopes, disturbance of the geohydrological regime, generation of rubbish tips, terracing of the slopes for cultivation, inadequate building regulations, and the use of counterproductive or ineffectual stabilization measures.

  10. What makes a movement a gesture? ☆

    OpenAIRE

    Novack, Miriam A.; Wakefield, Elizabeth M.; Goldin-Meadow, Susan

    2015-01-01

    Theories of how adults interpret the actions of others have focused on the goals and intentions of actors engaged in object-directed actions. Recent research has challenged this assumption, and shown that movements are often interpreted as being for their own sake (Schachner & Carey, 2013). Here we postulate a third interpretation of movement—movement that represents action, but does not literally act on objects in the world. These movements are gestures. In this paper, we describe a framewor...

  11. Movement-based Interaction in Camera Spaces

    DEFF Research Database (Denmark)

    Eriksson, Eva; Riisgaard Hansen, Thomas; Lykke-Olesen, Andreas

    2006-01-01

    In this paper we present three concepts that address movement-based interaction using camera tracking. Based on our work with several movement-based projects we present four selected applications, and use these applications to leverage our discussion, and to describe our three main concepts space......, relations, and feedback. We see these as central for describing and analysing movement-based systems using camera tracking and we show how these three concepts can be used to analyse other camera tracking applications....

  12. EMDR Effects on Pursuit Eye Movements

    OpenAIRE

    Zoi Kapoula; Qing Yang; Audrey Bonnet; Pauline Bourtoire; Jean Sandretto

    2010-01-01

    This study aimed to objectivize the quality of smooth pursuit eye movements in a standard laboratory task before and after an Eye Movement Desensitization and Reprocessing (EMDR) session run on seven healthy volunteers. EMDR was applied on autobiographic worries causing moderate distress. The EMDR session was complete in 5 out of the 7 cases; distress measured by SUDS (Subjective Units of Discomfort Scale) decreased to a near zero value. Smooth pursuit eye movements were recorded by an Eyelin...

  13. Integrity of disposable nitrile exam gloves exposed to simulated movement.

    Science.gov (United States)

    Phalen, Robert N; Wong, Weng Kee

    2011-05-01

    Every year, millions of health care, first responder, and industry workers are exposed to chemical and biological hazards. Disposable nitrile gloves are a common choice as both a chemical and physical barrier to these hazards, especially as an alternative to natural latex gloves. However, glove selection is complicated by the availability of several types or formulations of nitrile gloves, such as low-modulus, medical grade, low filler, and cleanroom products. This study evaluated the influence of simulated movement on the physical integrity (i.e., holes) of different nitrile exam glove brands and types. Thirty glove products were evaluated out-of-box and after exposure to simulated whole-glove movement for 2 hr. In lieu of the traditional 1 L water-leak test, a modified water-leak test, standardized to detect a 0.15 ± 0.05 mm hole in different regions of the glove, was developed. A specialized air inflation method simulated bidirectional stretching and whole-glove movement. A worst-case scenario with maximum stretching was evaluated. On average, movement did not have a significant effect on glove integrity (chi-square; p=0.068). The average effect was less than 1% between no movement (1.5%) and movement (2.1%) exposures. However, there was significant variability in glove integrity between different glove types (p≤0.05). Cleanroom gloves, on average, had the highest percentage of leaks, and 50% failed the water-leak test. Low-modulus and medical grade gloves had the lowest percentages of leaks, and no products failed the water-leak test. Variability in polymer formulation was suspected to account for the observed discrepancies, as well as the inability of the traditional 1 L water-leak test to detect holes in finger/thumb regions. Unexpectedly, greater than 80% of the glove defects were observed in the finger and thumb regions. It is recommended that existing water-leak tests be re-evaluated and standardized to account for product variability.

  14. Global Social Movement(s at the Crossroads: Some Observations on the Trajectory of the Anti-Corporate Globalization Movement

    Directory of Open Access Journals (Sweden)

    Frederick H. Buttel

    2015-08-01

    Full Text Available This paper examines the major structural characteristics of the anti-corporate globalization movement, its key bases and antecedents, its relationship with other global social movements (GSMs and the key challenges it faces in the post-9/11 period. We suggest that despite the potential of the anti-corporate globalization movement to usher in major social changes, the movement faces a number of major crossroads in terms of ideology, discursive approach, and overall strategy. We argue that there has been coalescence of a good many GSMs, including the international environmental movement, under the banner of the anti-corporate globalization movement. We focus primarily on the interrelations of these two GSMs, noting that over the past decade there have been trends toward both the “environmentalization” and “de-environmentalization” of the anti-corporate globalization movement. While the defection of many mainstream environmental groups fromthe “Washington consensus” and the resulting environmentalization of the trade and globalization issue were critical to the “Seattle coalition,” there has been a signi?cant decline in the movement’s embrace of environmental claims and discourses, and a corresponding increase in its use of social justice discourses. One implication of our analysis is the hypothesis that while the current vitality of the anti-corporate globalization movement can be gauged by its having adopted an increasingly coherent ideological stance in which international inequality and global corporate dominance are targeted, to be successful the movement will need to coherently ideologically integrate social justice with environmental and sustainability agendas. The amenability of the environmental GSM to such ideological integration will have important rami?cations for the future trajectory of the anti-corporate globalization movement.

  15. Modified differential equations

    OpenAIRE

    Chartier, Philippe; Hairer, Ernst; Vilmart, Gilles

    2007-01-01

    Motivated by the theory of modified differential equations (backward error analysis) an approach for the construction of high order numerical integrators that preserve geometric properties of the exact flow is developed. This summarises a talk presented in honour of Michel Crouzeix.

  16. Exclusive lower extremity mirror movements and diastematomyelia.

    Science.gov (United States)

    Tubbs, R Shane; Smyth, Matthew D; Dure, Leon S; Oakes, W Jerry

    2004-01-01

    Mirror movements usually seen in the Klippel-Feil syndrome are most commonly appreciated in the upper extremities. Lower extremity involvement is seen rarely and when observed, is found in conjunction with upper extremity mirror movements. We report what we believe to be the first case of mirror movements found exclusively in the lower extremities in a female patient presenting with tethered cord syndrome. Our hopes are that this report will help elucidate mechanisms involved with these anomalous movements, as currently there is no commonly accepted etiology.

  17. 6: Movement disorders II: the hyperkinetic disorders.

    Science.gov (United States)

    Rice, J E; Thompson, P D

    2001-04-16

    Involuntary movements or hyperkinesias are classified into syndromes of chorea, ballism, tremor, dystonia, myoclonus and tics. The hyperkinesias are caused by disturbances in the circuitry connecting the cerebral cortex, thalamus, basal ganglia and cerebellum. Drugs are a common cause of movement disorders. The aim of management is to characterise the movement disorder, identify and treat the cause or institute symptomatic treatment. The genetic basis of many movement disorders is increasingly recognised. Where there are potential implications for family members, accurate diagnosis and counselling are particularly important.

  18. The Earth surface slide movement at Soledad

    Science.gov (United States)

    Moreno, A.

    1986-11-01

    The Earth surface slide movement at Soledad is a mountain-slide type of movement. Estimations of the thickness of the layer which is moving range between 10 and 100 m. There is no proof that the movement is water induced, but it could be influenced by the water household. The slope of the slide area is H: D = 1: 2. The height difference in the moving area studied, according to this paper, is 1 km. The actual rate of movement is about 12 cm/yr.

  19. Sensorimotor organization of a sustained involuntary movement

    Directory of Open Access Journals (Sweden)

    Jack Alexander De Havas

    2015-07-01

    Full Text Available Involuntary movements share much of the motor control circuitry used for voluntary movement, yet the two can be easily distinguished. The Kohnstamm phenomenon (where a sustained, hard push produces subsequent involuntary arm raising is a useful experimental model for exploring differences between voluntary and involuntary movement. Both central and peripheral accounts have been proposed, but little is known regarding how the putative Kohnstamm generator responds to afferent input. We addressed this by obstructing the involuntary upward movement of the arm. Obstruction prevented the rising EMG pattern that characterizes the Kohnstamm. Importantly, once the obstruction was removed, the EMG signal resumed its former increase, suggesting a generator that persists despite peripheral input. When only one arm was obstructed during bilateral involuntary movements, only the EMG signal from the obstructed arm showed the effect. Upon release of the obstacle, the obstructed arm reached the same position and EMG level as the unobstructed arm. Comparison to matched voluntary movements revealed a preserved stretch response when a Kohnstamm movement first contacts an obstacle, and also an overestimation of the perceived contact force. Our findings support a hybrid central and peripheral account of the Kohnstamm phenomenon. The strange subjective experience of this involuntary movement is consistent with the view that movement awareness depends strongly on efference copies, but that the Kohnstamm generator does not produces efference copies.

  20. Degeneration of rapid eye movement sleep circuitry underlies rapid eye movement sleep behavior disorder.

    Science.gov (United States)

    McKenna, Dillon; Peever, John

    2017-05-01

    During healthy rapid eye movement sleep, skeletal muscles are actively forced into a state of motor paralysis. However, in rapid eye movement sleep behavior disorder-a relatively common neurological disorder-this natural process is lost. A lack of motor paralysis (atonia) in rapid eye movement sleep behavior disorder allows individuals to actively move, which at times can be excessive and violent. At first glance this may sound harmless, but it is not because rapid eye movement sleep behavior disorder patients frequently injure themselves or the person they sleep with. It is hypothesized that the degeneration or dysfunction of the brain stem circuits that control rapid eye movement sleep paralysis is an underlying cause of rapid eye movement sleep behavior disorder. The link between brain stem degeneration and rapid eye movement sleep behavior disorder stems from the fact that rapid eye movement sleep behavior disorder precedes, in the majority (∼80%) of cases, the development of synucleinopathies such as Parkinson's disease, dementia with Lewy bodies, and multiple system atrophy, which are known to initially cause degeneration in the caudal brain stem structures where rapid eye movement sleep circuits are located. Furthermore, basic science and clinical evidence demonstrate that lesions within the rapid eye movement sleep circuits can induce rapid eye movement sleep-specific motor deficits that are virtually identical to those observed in rapid eye movement sleep behavior disorder. This review examines the evidence that rapid eye movement sleep behavior disorder is caused by synucleinopathic neurodegeneration of the core brain stem circuits that control healthy rapid eye movement sleep and concludes that rapid eye movement sleep behavior disorder is not a separate clinical entity from synucleinopathies but, rather, it is the earliest symptom of these disorders. © 2017 International Parkinson and Movement Disorder Society. © 2017 International Parkinson and

  1. Creating a movement heuristic for voluntary action: electrophysiological correlates of movement-outcome learning.

    Science.gov (United States)

    Bednark, Jeffery G; Reynolds, John N J; Stafford, Tom; Redgrave, Peter; Franz, Elizabeth A

    2013-03-01

    Performance of voluntary behavior requires the selection of appropriate movements to attain a desired goal. We propose that the selection of voluntary movements is often contingent on the formation of a movement heuristic or set of internal rules governing movement selection. We used event-related potentials (ERPs) to identify the electrophysiological correlates of the formation of movement heuristics during movement-outcome learning. In two experiments, ERPs from non-learning control tasks were compared to a movement-learning task in which a movement heuristic was formed. We found that novelty P3 amplitude was negatively correlated with improved performance in the movement-learning task. Additionally, enhancement of novelty P3 amplitude was observed during learning even after controlling for memory, attentional and inter-stimulus interval parameters. The feedback correct-related positivity (fCRP) was only elicited by sensory effects following intentional movements. These findings extend previous studies demonstrating the role of the fCRP in performance monitoring and the role of the P3 in learning. In particular, the present study highlights an integrative role of the fCRP and the novelty P3 for the acquisition of movement heuristics. While the fCRP indicates that the goal of intentional movements has been attained, the novelty P3 engages stimulus-driven attentional mechanisms to determine the primary aspects of movement and context required to elicit the sensory effect.

  2. Molecular imaging of movement disorders

    Institute of Scientific and Technical Information of China (English)

    Karlo J Lizarraga; Alessandra Gorgulho; Wei Chen; Antonio A De Salles

    2016-01-01

    Positron emission tomography measures the activity of radioactively labeled compounds which distribute and accumulate in central nervous system regions in proportion to their metabolic rate or blood flow. Specific circuits such as the dopaminergic nigrostriatal projection can be studied with ligands that bind to the pre-synaptic dopamine transporter or post-synaptic dopamine receptors(D1 and D2). Single photon emission computerized tomography(SPECT) measures the activity of similar tracers labeled with heavy radioactive species such as technetium and iodine. In essential tremor, there is cerebellar hypermetabolism and abnormal GABAergic function in premotor cortices, dentate nuclei and ventral thalami, without significant abnormalities in dopaminergic transmission. In Huntington’s disease, there is hypometabolism in the striatum, frontal and temporal cortices. Disease progression is accompanied by reduction in striatal D1 and D2 binding that correlates with trinucleotide repeat length, disease duration and severity. In dystonia, there is hypermetabolism in the basal ganglia, supplementary motor areas and cerebellum at rest. Thalamic and cerebellar hypermetabolism is seen during dystonic movements, which can be modulated by globus pallidus deep brain stimulation(DBS). Additionally, GABA-A receptor activity is reduced in motor, premotor and somatosensory cortices. In Tourette’s syndrome, there is hypermetabolism in premotor and sensorimotor cortices, as well as hypometabolism in the striatum, thalamus and limbic regions at rest. During tics, multiple areas related to cognitive, sensory and motor functions become hypermetabolic. Also, there is abnormal serotoninergic transmission in prefrontal cortices and bilateral thalami, as well as hyperactivity in the striatal dopaminergic system which can be modulated with thalamic DBS. In Parkinson’s disease(PD), there is asymmetric progressive decline in striatal dopaminergic tracer accumulation, which follows a caudal

  3. “Degenerated” Leadership of Social Movements: Implications from the Tharu Movement in Nepal

    OpenAIRE

    2014-01-01

    Social movements and protest activities in contemporary Nepalese society have been a common phenomenon. They are becoming intermediary power to challenge the State-led political mainstream and development affairs. With a long history, Tharu movement is a part of such movement discourse in Nepal. The leadership, however, has not been dealt in detail for scholarly research. This paper analyses how the leadership of Tharu movement is becoming degenerated and elite-centric in representing the poo...

  4. The role of online visual feedback for the control of target-directed and allocentric hand movements.

    Science.gov (United States)

    Thaler, Lore; Goodale, Melvyn A

    2011-02-01

    Studies that have investigated how sensory feedback about the moving hand is used to control hand movements have relied on paradigms such as pointing or reaching that require subjects to acquire target locations. In the context of these target-directed tasks, it has been found repeatedly that the human sensory-motor system relies heavily on visual feedback to control the ongoing movement. This finding has been formalized within the framework of statistical optimality according to which different sources of sensory feedback are combined such as to minimize variance in sensory information during movement control. Importantly, however, many hand movements that people perform every day are not target-directed, but based on allocentric (object-centered) visual information. Examples of allocentric movements are gesture imitation, drawing, or copying. Here we tested if visual feedback about the moving hand is used in the same way to control target-directed and allocentric hand movements. The results show that visual feedback is used significantly more to reduce movement scatter in the target-directed as compared with the allocentric movement task. Furthermore, we found that differences in the use of visual feedback between target-directed and allocentric hand movements cannot be explained based on differences in uncertainty about the movement goal. We conclude that the role played by visual feedback for movement control is fundamentally different for target-directed and allocentric movements. The results suggest that current computational and neural models of sensorimotor control that are based entirely on data derived from target-directed paradigms have to be modified to accommodate performance in the allocentric tasks used in our experiments. As a consequence, the results cast doubt on the idea that models of sensorimotor control developed exclusively from data obtained in target-directed paradigms are also valid in the context of allocentric tasks, such as drawing

  5. [Seldinger modified technique].

    Science.gov (United States)

    Ramos Cuenca, Francisco; Linares Escudero, Joaquín; Romo García, Raquel; Cubo Amaya, Manuel; Climent Villanueva, Magdalena; Santos Sarria, Remedios

    2008-12-01

    The authors describe the procedure to insert central blood vessel catheters through peripheral blood vessel catheters using the Seldinger modified technique since critically ill patients service at the Carlos Haya Regional University Hospital in Malaga cares for a high number of patients who need to have canalized a central blood vessel catheter to maximize the treatment they receive. In many cases it is not possible to insert a DRUM type central blood vessel catheter due to an insufficient blood vessel caliber and then the nursing team at this hospital opts to carry out a procedure to canalize a central blood vessel using the Seldinger modified technique. This report was presented at the III National Social-Sanitary Nursing Congress.

  6. Modified Newton's rings: II

    CERN Document Server

    Chaitanya, T Sai; Krishna, V Sai; Anandh, B Shankar; Umesh, K S

    2010-01-01

    In an earlier work (Shankar kumar Jha, A Vyas, O S K S Sastri, Rajkumar Jain & K S Umesh, 'Determination of wavelength of laser light using Modified Newton's rings setup', Physics Education, vol. 22, no.3, 195-202(2005)) reported by our group, a version of Newton's rings experiment called Modified Newton's rings was proposed. The present work is an extension of this work. Here, a general formula for wavelength has been derived, applicable for a plane of observation at any distance. A relation between the focal length and the radius curvature is also derived for a plano-convex lens which is essentially used as a concave mirror. Tracker, a video analysis software, freely downloadable from the net, is employed to analyze the fringes captured using a CCD camera. Two beams which give rise to interference fringes in conventional Newton's rings and in the present setup are clearly distinguished.

  7. Genetically modified bacteriophages.

    Science.gov (United States)

    Sagona, Antonia P; Grigonyte, Aurelija M; MacDonald, Paul R; Jaramillo, Alfonso

    2016-04-18

    Phages or bacteriophages, viruses that infect and replicate inside bacteria, are the most abundant microorganisms on earth. The realization that antibiotic resistance poses a substantial risk to the world's health and global economy is revitalizing phage therapy as a potential solution. The increasing ease by which phage genomes can be modified, owing to the influx of new technologies, has led to an expansion of their natural capabilities, and a reduced dependence on phage isolation from environmental sources. This review will discuss the way synthetic biology has accelerated the construction of genetically modified phages and will describe the wide range of their applications. It will further provide insight into the societal and economic benefits that derive from the use of recombinant phages in various sectors, from health to biodetection, biocontrol and the food industry.

  8. Modified Faraday cup

    Science.gov (United States)

    Elmer, John W.; Teruya, Alan T.; O'Brien, Dennis W.

    1996-01-01

    A tomographic technique for measuring the current density distribution in electron beams using electron beam profile data acquired from a modified Faraday cup to create an image of the current density in high and low power beams. The modified Faraday cup includes a narrow slit and is rotated by a stepper motor and can be moved in the x, y and z directions. The beam is swept across the slit perpendicular thereto and controlled by deflection coils, and the slit rotated such that waveforms are taken every few degrees form 0.degree. to 360.degree. and the waveforms are recorded by a digitizing storage oscilloscope. Two-din-tensional and three-dimensional images of the current density distribution in the beam can be reconstructed by computer tomography from this information, providing quantitative information about the beam focus and alignment.

  9. ANALYSING SURFACE MOVEMENT DELAYS IN AN AIRPORT

    Directory of Open Access Journals (Sweden)

    Volodymyr Kharchenko

    2014-07-01

    Full Text Available Queuing effect can be in the different components of ground operations. Causes of surface – movement delays are long taxi – in and taxi – out operations during departure and arrival of aircraft. Surface movement delays in an airport are analyzed

  10. Movers and shakers : social movements in Africa

    NARCIS (Netherlands)

    Ellis, S.D.K.; Kessel, van W.M.J.

    2009-01-01

    Mobilization against apartheid in South Africa, the campaign against blood diamonds, the women's movement in Liberia where Africa's first female head of State was elected in 2005 - these are all examples of socially based movements that have had a major effect on Africa's recent history. Yet the mos

  11. A Short Review of the Paralegal Movement.

    Science.gov (United States)

    National Paralegal Inst., Washington, DC.

    The review of the paralegal movement by the National Paralegal Institute covers: (1) definition of a paralegal or legal assistant, (2) organizations active in the paralegal field, and (3) issues affecting the paralegal movement. Classifications of paralegals are related to where paralegals work, where paralegals are trained, and what paralegals…

  12. Quantitative analysis of arm movement smoothness

    Science.gov (United States)

    Szczesna, Agnieszka; Błaszczyszyn, Monika

    2017-07-01

    The paper deals with the problem of motion data quantitative smoothness analysis. We investigated values of movement unit, fluidity and jerk for healthy and paralyzed arm of patients with hemiparesis after stroke. Patients were performing drinking task. To validate the approach, movement of 24 patients were captured using optical motion capture system.

  13. Canadian Adult Education: Still a Movement

    Science.gov (United States)

    Nesbit, Tom

    2011-01-01

    Writing recently in this journal, two of Canada's veteran adult educators contemplated the "death" of the Canadian adult education movement. I disagree and argue that adult education in Canada is as vital an activity as ever and one that still fully justifies being called a movement. Specifically, Selman and Selman (2009) list five…

  14. Movers and shakers : social movements in Africa

    NARCIS (Netherlands)

    Ellis, S.D.K.; Kessel, van W.M.J.

    2009-01-01

    Mobilization against apartheid in South Africa, the campaign against blood diamonds, the women's movement in Liberia where Africa's first female head of State was elected in 2005 - these are all examples of socially based movements that have had a major effect on Africa's recent history. Yet the

  15. From child labour to working children's movements

    NARCIS (Netherlands)

    Nieuwenhuys, O.; Qvortrup, J.; Corsaro, W.A.; Honig, M.S.

    2009-01-01

    In this chapter I first argue that working children's movements are the logical outcome of a global economic order that has made attempts at regulating child labour through legal means obsolete. Second, I highlight why working children's movements do not want their work to be abolished. Finally, I

  16. Roots of the Whole-Language Movement.

    Science.gov (United States)

    Goodman, Yetta M.

    1989-01-01

    Gives a history of the whole language movement. Looks at the early use of the term "whole language." Explores influences from philosophy, psychology, linguistics, and education on development of whole language. Discusses influences from early educational movements in the U.S., England, and New Zealand. (Author/BB)

  17. Challenging Movement Experiences for Young Children.

    Science.gov (United States)

    Sanders, Stephen W.; Youngue, Bill

    1998-01-01

    Discusses elements for a developmentally appropriate movement program for young children ages 3-5 years old. Emphasizes four major areas from the National Association for Sport and Physical Education guidelines: child development, teaching strategies, content, and assessment. Includes a vignette of an appropriate movement class for 4-year-olds.…

  18. Whatever Happened to the Free School Movement?

    Science.gov (United States)

    Barr, Robert D.

    1973-01-01

    Looks at the free school movement within and outside the realm of public education. Presents an historical perspective on the radical private free school movement evidence suggesting that the development of educational options within the public school system has come from within the system. (DN)

  19. Movement disorders induced by deep brain stimulation.

    Science.gov (United States)

    Baizabal-Carvallo, José Fidel; Jankovic, Joseph

    2016-04-01

    Deep brain stimulation represents a major advance in the treatment of several types of movement disorders. However, during stimulation new movement disorders may emerge, thus limiting the positive effects of this therapy. These movement disorders may be induced by: 1) stimulation of the targeted nucleus, 2) stimulation of surrounding tracts and nuclei, and 3) as a result of dose adjustment of accompanying medications, such as reduction of dopaminergic drugs in patients with Parkinson's disease. Various dyskinesias, blepharospasm, and apraxia of eyelid opening have been described mainly with subthalamic nucleus stimulation, whereas hypokinesia and freezing of gait have been observed with stimulation of the globus pallidus internus. Other deep brain stimulation-related movement disorders include dyskinesias associated with stimulation of the globus pallidus externus and ataxic gait as a side effect of chronic bilateral stimulation of the ventral intermediate nucleus of thalamus. These movement disorders are generally reversible and usually resolved once the stimulation is reduced or turned off. This, however, typically leads to loss of benefit of the underlying movement disorder which can be re-gained by using different contacts, changing targets or stimulation parameters, and adjusting pharmacological therapy. New and innovative emerging technologies and stimulation techniques may help to prevent or overcome the various deep brain stimulation-induced movement disorders. In this review we aim to describe the clinical features, frequency, pathophysiology, and strategies for treatment of these iatrogenic movement disorders.

  20. Fundamental Movement Skills and Autism Spectrum Disorders

    Science.gov (United States)

    Staples, Kerri L.; Reid, Greg

    2010-01-01

    Delays and deficits may both contribute to atypical development of movement skills by children with ASD. Fundamental movement skills of 25 children with autism spectrum disorders (ASD) (ages 9-12 years) were compared to three typically developing groups using the "Test of Gross Motor Development" ("TGMD-2"). The group matched on chronological age…

  1. Canadian Adult Education: Still a Movement

    Science.gov (United States)

    Nesbit, Tom

    2011-01-01

    Writing recently in this journal, two of Canada's veteran adult educators contemplated the "death" of the Canadian adult education movement. I disagree and argue that adult education in Canada is as vital an activity as ever and one that still fully justifies being called a movement. Specifically, Selman and Selman (2009) list five…

  2. Canadian Adult Education: Still a Movement?

    Science.gov (United States)

    Selman, Mark

    2011-01-01

    In this journal's Fall 2009 issue, the Forum section included an article by Gordon Selman and Mark Selman arguing that although Canadian adult education had existed as a social movement in the middle part of the 20th century, it is no longer a social movement. They also speculated about the causes of this change. In the Spring 2011 issue, Tom…

  3. Movement and Music Education: An Historian's Perspective.

    Science.gov (United States)

    Lewis, Barbara

    1998-01-01

    Believes that Emile Jaques-Dalcroze is not the only person who has affected movement-based instruction. Highlights the history of movement-based instruction in elementary music education by addressing the influence of Isadora Duncan and modern dance, the efforts of Francois Delsarte and Rudolph von Laban, and the role of remedial perceptual-motor…

  4. Impact of Air Movement on Eye Symptoms

    DEFF Research Database (Denmark)

    Melikov, Arsen Krikor; Sakoi, Tomonori; Kolencíková, Sona

    2013-01-01

    The impact of direction, oscillation and temperature of isothermal room air movement on eye discomfort and tear film quality was studied. Twenty-four male subjects participated in the experiment. Horizontal air movement against the face and chest was generated by a large desk fan – LDF and a smal...

  5. Rapid eye movement sleep behavior disorder

    DEFF Research Database (Denmark)

    Schenck, C H; Montplaisir, J Y; Frauscher, B

    2013-01-01

    We aimed to provide a consensus statement by the International Rapid Eye Movement Sleep Behavior Disorder Study Group (IRBD-SG) on devising controlled active treatment studies in rapid eye movement sleep behavior disorder (RBD) and devising studies of neuroprotection against Parkinson disease (PD...

  6. Multipulse control of saccadic eye movements

    Science.gov (United States)

    Lehman, S. L.; Stark, L.

    1981-01-01

    We present three conclusions regarding the neural control of saccadic eye movements, resulting from comparisons between recorded movements and computer simulations. The controller signal to the muscles is probably a multipulse-step. This kind of signal drives the fastest model trajectories. Finally, multipulse signals explain differences between model and electrophysiological results.

  7. Eye movements predict recollective experience.

    Directory of Open Access Journals (Sweden)

    Tali Sharot

    Full Text Available Previously encountered stimuli can bring to mind a vivid memory of the episodic context in which the stimulus was first experienced ("remembered" stimuli, or can simply seem familiar ("known" stimuli. Past studies suggest that more attentional resources are required to encode stimuli that are subsequently remembered than known. However, it is unclear if the attentional resources are distributed differently during encoding and recognition of remembered and known stimuli. Here, we record eye movements while participants encode photos, and later while indicating whether the photos are remembered, known or new. Eye fixations were more clustered during both encoding and recognition of remembered photos relative to known photos. Thus, recognition of photos that bring to mind a vivid memory for the episodic context in which they were experienced is associated with less distributed overt attention during encoding and recognition. The results suggest that remembering is related to encoding of a few distinct details of a photo rather than the photo as a whole. In turn, during recognition remembering may be trigged by enhanced memory for the salient details of the photos.

  8. RNA-modifying enzymes.

    Science.gov (United States)

    Ferré-D'Amaré, Adrian R

    2003-02-01

    A bewildering number of post-transcriptional modifications are introduced into cellular RNAs by enzymes that are often conserved among archaea, bacteria and eukaryotes. The modifications range from those with well-understood functions, such as tRNA aminoacylation, to widespread but more mysterious ones, such as pseudouridylation. Recent structure determinations have included two types of RNA nucleobase modifying enzyme: pseudouridine synthases and tRNA guanine transglycosylases.

  9. Donatella della Porta, Social Movements in Times of Austerity: Bringing Capitalism Back Into Protest Analysis

    Directory of Open Access Journals (Sweden)

    Lorenzo CINI

    2015-12-01

    Full Text Available Abstract. Over the last few years, there has been a certain degree of agreement among social movement scholars on the fact that the dominant analytical frameworks of social movement theory were not fully able to explain the recent wave of protests, triggered by the economic crisis. Followingthis concern, some authors have started a debate about how to modify and refine these frameworks in order to better account for the current dynamics of mobilization. This type of reflection is precisely at the centre of the analysis of a book recently published by Polity Press (2015: pp. 249, titled Social Movements in Times of Austerity. Bringing Capitalism Back into Protest Analysis, where the author, Donatella della Porta, one of the most prominent scholars of this field, takes a clear position in such debate by singling out some of the main limitations, which have negatively affected the developments of the theorizations of social movements over the past decades. In discussing these limitations, della Porta proposes some original remedies and solutions in terms of theories and themes to be introduced and investigated in the current agenda of social movement research.Keywords. Political economy, Social movement studies, Neoliberalism, Economic crisis, Protests.JEL. F50, F60.

  10. The "sensational" power of movement in plants: A Darwinian system for studying the evolution of behavior.

    Science.gov (United States)

    Whippo, Craig W; Hangarter, Roger P

    2009-12-01

    Darwin's research on botany and plant physiology was a landmark attempt to integrate plant movements into a biological perspective of behavior. Since antiquity, people have sought to explain plant movements via mechanical or physiological forces, and yet they also constructed analogies between plant and animal behavior. During the Renaissance and Enlightenment, thinkers began to see that physiochemical explanations of plant movements could equally apply to animal behavior and even human thought. Darwin saw his research on plant movements as a strategic front against those who argued that his theory of evolution could not account for the acquisition of new behavioral traits. He believed that his research explained how the different forms of plant movement evolved as modified habits of circumnutation, and he presented evidence that plants might have a brain-like organ, which could have acquired various types of plant sensitivity during evolution. Upon publication of The Power of Movement in Plants, his ideas were overwhelmingly rejected by plant physiologists. Subsequently, plant biologists came to view the work as an important contribution to plant physiology and biology, but its intended contribution to the field of evolution and behavior has been largely overlooked.

  11. Study of Movement Speeds Down Stairs

    CERN Document Server

    Hoskins, Bryan L

    2013-01-01

    The Study of Movement Speeds Down Stairs closely examines forty-three unique case studies on movement patterns down stairwells. These studies include observations made during evacuation drills, others made during normal usage, interviews with people after fire evacuations, recommendations made from compiled studies, and detailed results from laboratory studies. The methodology used in each study for calculating density and movement speed, when known, are also presented, and this book identifies an additional seventeen variables linked to altering movement speeds. The Study of Movement Speeds Down Stairs is intended for researchers as a reference guide for evaluating pedestrian evacuation dynamics down stairwells. Practitioners working in a related field may also find this book invaluable.

  12. Slow Movements of Bio-Inspired Limbs

    Science.gov (United States)

    Babikian, Sarine; Valero-Cuevas, Francisco J.; Kanso, Eva

    2016-10-01

    Slow and accurate finger and limb movements are essential to daily activities, but the underlying mechanics is relatively unexplored. Here, we develop a mathematical framework to examine slow movements of tendon-driven limbs that are produced by modulating the tendons' stiffness parameters. Slow limb movements are driftless in the sense that movement stops when actuations stop. We demonstrate, in the context of a planar tendon-driven system representing a finger, that the control of stiffness suffices to produce stable and accurate limb postures and quasi-static (slow) transitions among them. We prove, however, that stable postures are achievable only when tendons are pretensioned, i.e., they cannot become slack. Our results further indicate that a non-smoothness in slow movements arises because the precision with which individual stiffnesses need to be altered changes substantially throughout the limb's motion.

  13. Rotation-independent representations for haptic movements

    Science.gov (United States)

    Shioiri, Satoshi; Yamazaki, Takanori; Matsumiya, Kazumichi; Kuriki, Ichiro

    2013-01-01

    The existence of a common mechanism for visual and haptic representations has been reported in object perception. In contrast, representations of movements might be more specific to modalities. Referring to the vertical axis is natural for visual representations whereas a fixed reference axis might be inappropriate for haptic movements and thus also inappropriate for its representations in the brain. The present study found that visual and haptic movement representations are processed independently. A psychophysical experiment examining mental rotation revealed the well-known effect of rotation angle for visual representations whereas no such effect was found for haptic representations. We also found no interference between processes for visual and haptic movements in an experiment where different stimuli were presented simultaneously through visual and haptic modalities. These results strongly suggest that (1) there are separate representations of visual and haptic movements, and (2) the haptic process has a rotation-independent representation. PMID:24005481

  14. Fractal measures of female caribou movements

    Directory of Open Access Journals (Sweden)

    Steven H. Ferguson

    2011-03-01

    Full Text Available Understanding caribou movement during short-term searches for specific habitats, potential mates, and refugia against predators can help resolve ecological questions on how individual caribou perceive their environment. We used measures of fractal dimension and standardized pathlength to compare the movement pathways of female caribou. Satellite telemetry locations were collected over a 2-year study, March 1994 to mid-May 1996, for a caribou population in central Saskatchewan living in the southern boreal forest. Female caribou displayed more random searching behaviour during winter and more regular dispersal movements during early winter/spring and autumn periods. Females with a calf showed no difference in movement pattern (fractal dimension relative to females without a calf but their standardized path length was shorter. We discuss the advantages of using fractal dimension as a measure of the tortuosity of movement pathways and how changes in fractal dimension over a range of scales can define domains of consistent ecological processes.

  15. Molecular basis of chloroplast photorelocation movement.

    Science.gov (United States)

    Kong, Sam-Geun; Wada, Masamitsu

    2016-03-01

    Chloroplast photorelocation movement is an essential physiological response for sessile plant survival and the optimization of photosynthetic ability. Simple but effective experiments on the physiological, cell biological and molecular genetic aspects have been widely used to investigate the signaling components of chloroplast photorelocation movement in Arabidopsis for the past few decades. Although recent knowledge on chloroplast photorelocation movement has led us to a deeper understanding of its physiological and molecular basis, the biochemical roles of the downstream factors remain largely unknown. In this review, we briefly summarize recent advances regarding chloroplast photorelocation movement and propose that a new high-resolution approach is necessary to investigate the molecular mechanism underlying actin-based chloroplast photorelocation movement.

  16. Reconstruction of eye movements during blinks

    CERN Document Server

    Baptista, M S; Kliegl, R; Engbert, R; Kurths, J

    2008-01-01

    In eye movement research in reading, the amount of data plays a crucial role for the validation of results. A methodological problem for the analysis of the eye movement in reading are blinks, when readers close their eyes. Blinking rate increases with increasing reading time, resulting in high data losses, especially for older adults or reading impaired subjects. We present a method, based on the symbolic sequence dynamics of the eye movements, that reconstructs the horizontal position of the eyes while the reader blinks. The method makes use of an observed fact that the movements of the eyes before closing or after opening contain information about the eyes movements during blinks. Test results indicate that our reconstruction method is superior to methods that use simpler interpolation approaches. In addition, analyses of the reconstructed data show no significant deviation from the usual behavior observed in readers.

  17. High-Resolution Movement EEG Classification

    Directory of Open Access Journals (Sweden)

    Jakub Štastný

    2007-01-01

    Full Text Available The aim of the contribution is to analyze possibilities of high-resolution movement classification using human EEG. For this purpose, a database of the EEG recorded during right-thumb and little-finger fast flexion movements of the experimental subjects was created. The statistical analysis of the EEG was done on the subject's basis instead of the commonly used grand averaging. Statistically significant differences between the EEG accompanying movements of both fingers were found, extending the results of other so far published works. The classifier based on hidden Markov models was able to distinguish between movement and resting states (classification score of 94–100%, but it was unable to recognize the type of the movement. This is caused by the large fraction of other (nonmovement related EEG activities in the recorded signals. A classification method based on advanced EEG signal denoising is being currently developed to overcome this problem.

  18. Design and validation of a periodic leg movement detector.

    Directory of Open Access Journals (Sweden)

    Hyatt Moore

    Full Text Available Periodic Limb Movements (PLMs are episodic, involuntary movements caused by fairly specific muscle contractions that occur during sleep and can be scored during nocturnal polysomnography (NPSG. Because leg movements (LM may be accompanied by an arousal or sleep fragmentation, a high PLM index (i.e. average number of PLMs per hour may have an effect on an individual's overall health and wellbeing. This study presents the design and validation of the Stanford PLM automatic detector (S-PLMAD, a robust, automated leg movement detector to score PLM. NPSG studies from adult participants of the Wisconsin Sleep Cohort (WSC, n = 1,073, 2000-2004 and successive Stanford Sleep Cohort (SSC patients (n = 760, 1999-2007 undergoing baseline NPSG were used in the design and validation of this study. The scoring algorithm of the S-PLMAD was initially based on the 2007 American Association of Sleep Medicine clinical scoring rules. It was first tested against other published algorithms using manually scored LM in the WSC. Rules were then modified to accommodate baseline noise and electrocardiography interference and to better exclude LM adjacent to respiratory events. The S-PLMAD incorporates adaptive noise cancelling of cardiac interference and noise-floor adjustable detection thresholds, removes LM secondary to sleep disordered breathing within 5 sec of respiratory events, and is robust to transient artifacts. Furthermore, it provides PLM indices for sleep (PLMS and wake plus periodicity index and other metrics. To validate the final S-PLMAD, experts visually scored 78 studies in normal sleepers and patients with restless legs syndrome, sleep disordered breathing, rapid eye movement sleep behavior disorder, narcolepsy-cataplexy, insomnia, and delayed sleep phase syndrome. PLM indices were highly correlated between expert, visually scored PLMS and automatic scorings (r² = 0.94 in WSC and r² = 0.94 in SSC. In conclusion, The S-PLMAD is a robust

  19. Current Migration Movements in Europe

    Directory of Open Access Journals (Sweden)

    Jelena Zlatković Winter

    2004-09-01

    Full Text Available After a brief historical review of migrations in Europe, the paper focuses on current migration trends and their consequences. At the end of the 1950s, Western Europe began to recruit labour from several Mediterranean countries – Italy, Spain, Portugal and former Yugoslavia, and later from Morocco, Algeria, Tunisia and Turkey. Some countries, such as France, Great Britain and the Netherlands, recruited also workers from their former colonies. In 1970 Germany had the highest absolute number of foreigners, followed by France, and then Switzerland and Belgium. The total number of immigrants in Western Europe was twelve million. During the 1970s mass recruitment of foreign workers was abandoned, and only the arrival of their family members was permitted, which led to family reunification in the countries of employment. Europe closed its borders, with the result that clandestine migration increased. The year 1989 was a turning point in the history of international migrations. The political changes in Central and Eastern Europe brought about mass migration to the West, which culminated in the so-called “mass movement of 1989–1990”. The arrival of ethnic Germans in Germany, migration inside and outside of the territory of the former Soviet Union, an increase in the number of asylum seekers and displaced persons, due to armed conflicts, are – according to the author – the main traits of current migration. The main part of the paper discusses the causes and effects of this mass wave, as well as trends in labour migration, which is still present. The second part of the paper, after presenting a typology of migrations, deals with the complex processes that brought about the formation of new communities and led to the phenomenon of new ethnic minorities and to corresponding migration policies in Western European countries that had to address these issues.

  20. Movement recognition technology as a method of assessing spontaneous general movements in high risk infants

    Directory of Open Access Journals (Sweden)

    Claire eMarcroft

    2015-01-01

    Full Text Available Preterm birth is associated with increased risks of neurological and motor impairments such as cerebral palsy. The risks are highest in those born at the lowest gestations. Early identification of those most at risk is challenging meaning that a critical window of opportunity to improve outcomes through therapy-based interventions may be missed. Clinically, the assessment of spontaneous general movements is an important tool which can be used for the prediction of movement impairments in high risk infants.Movement recognition aims to capture and analyze relevant limb movements through computerized approaches focusing on continuous, objective, and quantitative assessment. Different methods of recording and analyzing infant movements have recently been explored in high risk infants. These range from camera-based solutions to body-worn miniaturized movement sensors used to record continuous time-series data that represent the dynamics of limb movements. Various machine learning methods have been developed and applied to the analysis of the recorded movement data. This analysis has focused on the detection and classification of atypical spontaneous general movements. This paper aims to identify recent translational studies using movement recognition technology as a method of assessing movement in high risk infants. The application of this technology within pediatric practice represents a growing area of inter-disciplinary collaboration which may lead to a greater understanding of the development of the nervous system in infants at high risk of motor impairment.

  1. Predicting masticatory jaw movements from chin movements using multivariate linear methods.

    Science.gov (United States)

    Gerstner, Geoffrey E; Lafia, Carmen; Lin, Dennis

    2005-10-01

    Previously, we have used bivariate correlations of maximum and minimum displacement, velocity and acceleration variables to compare masticatory chin and jaw movements (J. Prosthet. Dent. 81 (1999) 179). This previous study represented a first step in exploring the hypothesis that the chin contained useful information regarding jaw kinematics. The current study extends our understanding of the relationship between masticatory chin and jaw movements by: (1) reconstructing and evaluating a more continuous trajectory of chin and jaw movements, and (2) performing multivariate correlations comparing chin and jaw movements at discrete points along the trajectory in order to gain insight into the coupling of chin and jaw movements during a chewing cycle. Results indicated that chin and jaw movement trajectories were visually similar in the lateral, vertical, and anteroposterior axes. The adjusted R(2) results in the lateral, vertical, and anteroposterior dimensions averaged 0.74, 0.78, and 0.89, respectively. Within chewing cycles, the lowest correlations between chin and jaw movements in the lateral and vertical dimensions occurred when the jaw was relatively closed, whereas the lowest correlations between chin and jaw movements in the anteroposterior dimension occurred while the jaw was opening from a closed position. The results indicated that jaw and chin movements were qualitatively similar and that at least 74% of the variation in jaw movements could be accounted for by multivariate linear models of chin movement.

  2. A framework for understanding the architecture of collective movements using pairwise analyses of animal movement data.

    Science.gov (United States)

    Polansky, Leo; Wittemyer, George

    2011-03-06

    The study of collective or group-level movement patterns can provide insight regarding the socio-ecological interface, the evolution of self-organization and mechanisms of inter-individual information exchange. The suite of drivers influencing coordinated movement trajectories occur across scales, resulting from regular annual, seasonal and circadian stimuli and irregular intra- or interspecific interactions and environmental encounters acting on individuals. Here, we promote a conceptual framework with an associated statistical machinery to quantify the type and degree of synchrony, spanning absence to complete, in pairwise movements. The application of this framework offers a foundation for detailed understanding of collective movement patterns and causes. We emphasize the use of Fourier and wavelet approaches of measuring pairwise movement properties and illustrate them with simulations that contain different types of complexity in individual movement, correlation in movement stochasticity, and transience in movement relatedness. Application of this framework to movements of free-ranging African elephants (Loxodonta africana) provides unique insight on the separate roles of sociality and ecology in the fission-fusion society of these animals, quantitatively characterizing the types of bonding that occur at different levels of social relatedness in a movement context. We conclude with a discussion about expanding this framework to the context of larger (greater than three) groups towards understanding broader population and interspecific collective movement patterns and their mechanisms.

  3. Does movement planning follow Fitts' law? Scaling anticipatory postural adjustments with movement speed and accuracy.

    Science.gov (United States)

    Bertucco, M; Cesari, P

    2010-11-24

    We wanted to determine whether movement planning followed Fitts' law by investigating the relationship between movement planning and movement performance in experienced dancers executing a typical classical ballet step in which the big toe was pointed to targets at different distances and of different widths so as to obtain several indices of difficulty (ID). Movement time, velocity and variability at the target were the variables of movement performance kinematics; movement planning was evaluated by analysis of anticipatory postural adjustments (APAs) to assess their modulation at different IDs. Movement time and peak of velocity were found to scale with the ID only when individual movement distance across target widths was entered into the analysis. APA magnitude and duration both scaled according to movement parameters but not in the same way. APA magnitude scaled with movement velocity, while APA duration was sensitive to the amplitude-to-accuracy ratio following the ID for movements performed in the shortest time interval when on-line feedback control is probably not available. Here we show that timing of muscle activation acts as an independent central command that triggers fine-tuning for speed-accuracy trade-off.

  4. A Somatic Movement Approach to Fostering Emotional Resiliency through Laban Movement Analysis

    Directory of Open Access Journals (Sweden)

    Rachelle P. Tsachor

    2017-09-01

    Full Text Available Although movement has long been recognized as expressing emotion and as an agent of change for emotional state, there was a dearth of scientific evidence specifying which aspects of movement influence specific emotions. The recent identification of clusters of Laban movement components which elicit and enhance the basic emotions of anger, fear, sadness and happiness indicates which types of movements can affect these emotions (Shafir et al., 2016, but not how best to apply this knowledge. This perspective paper lays out a conceptual groundwork for how to effectively use these new findings to support emotional resiliency through voluntary choice of one's posture and movements. We suggest that three theoretical principles from Laban Movement Analysis (LMA can guide the gradual change in movement components in one's daily movements to somatically support shift in affective state: (A Introduce new movement components in developmental order; (B Use LMA affinities-among-components to guide the expansion of expressive movement range and (C Sequence change among components based on Laban's Space Harmony theory to support the gradual integration of that new range. The methods postulated in this article have potential to foster resiliency and provide resources for self-efficacy by expanding our capacity to adapt emotionally to challenges through modulating our movement responses.

  5. Restless legs syndrome and periodic leg movements in patients with movement disorders: Specific considerations.

    Science.gov (United States)

    Högl, Birgit; Stefani, Ambra

    2017-05-01

    Restless legs syndrome is a frequent neurological disorder with potentially serious and highly distressing treatment complications. The role and potential implications of periodic leg movements during sleep range from being a genetic risk marker for restless legs syndrome to being a cardiovascular risk factor. The diagnosis of restless legs syndrome in patients with daytime movement disorders is challenging and restless legs syndrome needs to be differentiated from other sleep-related movement disorders. This article provides an update on the diagnosis of restless legs syndrome as an independent disorder and the role of periodic leg movements and reviews the association of restless legs syndrome with Parkinson's disease and other movement disorders. © 2017 International Parkinson and Movement Disorder Society. © 2017 International Parkinson and Movement Disorder Society.

  6. Separating timing, movement conditions and individual differences in the analysis of human movement

    DEFF Research Database (Denmark)

    Raket, Lars Lau; Grimme, Britta; Schöner, Gregor;

    2016-01-01

    mixed-effects models as viable alternatives to conventional analysis frameworks. The model is then combined with a novel factor-analysis model that estimates the low-dimensional subspace within which movements vary when the task demands vary. Our framework enables us to visualize different dimensions......A central task in the analysis of human movement behavior is to determine systematic patterns and differences across experimental conditions, participants and repetitions. This is possible because human movement is highly regular, being constrained by invariance principles. Movement timing...... of movement variation and to test hypotheses about the effect of obstacle placement and height on the movement path. We demonstrate that the approach can be used to uncover new properties of human movement....

  7. Movements of wintering surf scoters: Predator responses to different prey landscapes

    Science.gov (United States)

    Kirk, M.; Esler, Daniel; Iverson, S.A.; Boyd, W.S.

    2008-01-01

    The distribution of predators is widely recognized to be intimately linked to the distribution of their prey. Foraging theory suggests that predators will modify their behaviors, including movements, to optimize net energy intake when faced with variation in prey attributes or abundance. While many studies have documented changes in movement patterns of animals in response to temporal changes in food, very few have contrasted movements of a single predator species naturally occurring in dramatically different prey landscapes. We documented variation in the winter movements, foraging range size, site fidelity, and distribution patterns of a molluscivorous sea duck, the surf scoter (Melanitta perspicillata), in two areas of coastal British Columbia with very different shellfish prey features. Baynes Sound has extensive tidal flats with abundant clams, which are high-quality and temporally stable prey for scoters. Malaspina Inlet is a rocky fjord-like inlet where scoters consume mussels that are superabundant and easily accessible in some patches but are heavily depleted over the course of winter. We used radio telemetry to track surf scoter movements in both areas and found that in the clam habitats of Baynes Sound, surf scoters exhibited limited movement, small winter ranges, strong foraging site fidelity, and very consistent distribution patterns. By contrast, in mussel habitats in the Malaspina Inlet, surf scoters displayed more movement, larger ranges, little fidelity to specific foraging sites, and more variable distribution patterns. We conclude that features associated with the different prey types, particularly the higher depletion rates of mussels, strongly influenced seasonal space use patterns. These findings are consistent with foraging theory and confirm that predator behavior, specifically movements, is environmentally mediated. ?? 2008 Springer-Verlag.

  8. The Cardiopulmonary effect of passive movement

    Directory of Open Access Journals (Sweden)

    L. Loram

    2002-02-01

    Full Text Available Eleven articles were reviewed on the cardiopulmonary effects of passive movements. These included two articles on theneurological effects of passive movements. Of the eleven articles, four were considered to have level II evidence in accordance with Sackett’s rules of evidence. There was little consensus regarding the rate or duration of passive movements. There were some suggestions that upper limb movement produces a greater ventilatory response than lower limb movement. There was a statistically significant increase (p< 0.05 in minute ventilation when the movement was done at a rate of 40 repetitions per minute or more, but this change may not be clinically significant. Passive movements were not detrimental to neurosurgical patients with a normal or slightly elevated intracranial pressure, although the values of the intracranial pressure were not stated.  The studies were limited in that eight of the eleven had small sample sizes and most studies were conducted using normal subjects. Further studies with higher levels of evidence need to be  conducted to verify any results reported to date in the literature. Studies that are relevant to clinical practice also need to be conducted in populations such as sedated intensive care patients.

  9. The relationship between change and religious movements

    Directory of Open Access Journals (Sweden)

    Kirsti Suolinna

    1976-01-01

    Full Text Available Change constitutes different things for the groups, as the position of one group may improve, but that of another deteriorate. Social change is a consequence of how the different groups act, and their actions again depend on their social and economic interests. In other words, there are groups in society (social classes, professional groups, the agrarian population, industrial workers, which come more or less openly in conflict with each other when looking after their interests. Thus this way of thinking is based on a conflict model. One sees social change as a consequence of people trying to protect their social and economic interests. Viewed this way even religious organizations and movements are involved in protecting the interests of social groups. However, the interesting point in this connection is that religious movements differ from political movements and groups, as the religious movements express the social interests of a group more indirectly than the political movements. The religious movements gather people from similar living conditions, and so to speak, prepare them for political work. They defend and justify the way of living of a group, and thus give ideological material for political groupings. They may also form coalitions with political groups and parties. The author analyzes Laestadianism from this point of view. Before going into the connection between religious dynamics and social change it is necessary to present a few general features of Laestadianism as a religious movement of the peasant population.

  10. Dance recognition system using lower body movement.

    Science.gov (United States)

    Simpson, Travis T; Wiesner, Susan L; Bennett, Bradford C

    2014-02-01

    The current means of locating specific movements in film necessitate hours of viewing, making the task of conducting research into movement characteristics and patterns tedious and difficult. This is particularly problematic for the research and analysis of complex movement systems such as sports and dance. While some systems have been developed to manually annotate film, to date no automated way of identifying complex, full body movement exists. With pattern recognition technology and knowledge of joint locations, automatically describing filmed movement using computer software is possible. This study used various forms of lower body kinematic analysis to identify codified dance movements. We created an algorithm that compares an unknown move with a specified start and stop against known dance moves. Our recognition method consists of classification and template correlation using a database of model moves. This system was optimized to include nearly 90 dance and Tai Chi Chuan movements, producing accurate name identification in over 97% of trials. In addition, the program had the capability to provide a kinematic description of either matched or unmatched moves obtained from classification recognition.

  11. Human movement is both diffusive and directed.

    Directory of Open Access Journals (Sweden)

    Mark Padgham

    Full Text Available Understanding the influence of the built environment on human movement requires quantifying spatial structure in a general sense. Because of the difficulty of this task, studies of movement dynamics often ignore spatial heterogeneity and treat movement through journey lengths or distances alone. This study analyses public bicycle data from central London to reveal that, although journey distances, directions, and frequencies of occurrence are spatially variable, their relative spatial patterns remain largely constant, suggesting the influence of a fixed spatial template. A method is presented to describe this underlying space in terms of the relative orientation of movements toward, away from, and around locations of geographical or cultural significance. This produces two fields: one of convergence and one of divergence, which are able to accurately reconstruct the observed spatial variations in movement. These two fields also reveal categorical distinctions between shorter journeys merely serving diffusion away from significant locations, and longer journeys intentionally serving transport between spatially distinct centres of collective importance. Collective patterns of human movement are thus revealed to arise from a combination of both diffusive and directed movement, with aggregate statistics such as mean travel distances primarily determined by relative numbers of these two kinds of journeys.

  12. The Modified Magnetohydrodynamical Equations

    Institute of Scientific and Technical Information of China (English)

    Evangelos Chaliasos

    2003-01-01

    After finding the really self-consistent electromagnetic equations for a plasma, we proceed in a similarfashion to find how the magnetohydrodynamical equations have to be modified accordingly. Substantially this is doneby replacing the "Lorentz" force equation by the correct (in our case) force equation. Formally we have to use the vectorpotential instead of the magnetic field intensity. The appearance of the formulae presented is the one of classical vectoranalysis. We thus find a set of eight equations in eight unknowns, as previously known concerning the traditional MHDequations.

  13. Modified Lattice Landau Gauge

    CERN Document Server

    Von Smekal, L; Sternbeck, A; Williams, A G

    2007-01-01

    We propose a modified lattice Landau gauge based on stereographically projecting the link variables on the circle S^1 -> R for compact U(1) or the 3-sphere S^3 -> R^3 for SU(2) before imposing the Landau gauge condition. This can reduce the number of Gribov copies exponentially and solves the Gribov problem in compact U(1) where it is a lattice artifact. Applied to the maximal Abelian subgroup this might be just enough to avoid the perfect cancellation amongst the Gribov copies in a lattice BRST formulation for SU(N), and thus to avoid the Neuberger 0/0 problem. The continuum limit of the Landau gauge remains unchanged.

  14. Modified Slash Lindley Distribution

    Directory of Open Access Journals (Sweden)

    Jimmy Reyes

    2017-01-01

    Full Text Available In this paper we introduce a new distribution, called the modified slash Lindley distribution, which can be seen as an extension of the Lindley distribution. We show that this new distribution provides more flexibility in terms of kurtosis and skewness than the Lindley distribution. We derive moments and some basic properties for the new distribution. Moment estimators and maximum likelihood estimators are calculated using numerical procedures. We carry out a simulation study for the maximum likelihood estimators. A fit of the proposed model indicates good performance when compared with other less flexible models.

  15. Modified harmony search

    Science.gov (United States)

    Mohamed, Najihah; Lutfi Amri Ramli, Ahmad; Majid, Ahmad Abd; Piah, Abd Rahni Mt

    2017-09-01

    A metaheuristic algorithm, called Harmony Search is quite highly applied in optimizing parameters in many areas. HS is a derivative-free real parameter optimization algorithm, and draws an inspiration from the musical improvisation process of searching for a perfect state of harmony. Propose in this paper Modified Harmony Search for solving optimization problems, which employs a concept from genetic algorithm method and particle swarm optimization for generating new solution vectors that enhances the performance of HS algorithm. The performances of MHS and HS are investigated on ten benchmark optimization problems in order to make a comparison to reflect the efficiency of the MHS in terms of final accuracy, convergence speed and robustness.

  16. The Modified Magnetohydrodynamical Equations

    Institute of Scientific and Technical Information of China (English)

    EvangelosChaliasos

    2003-01-01

    After finding the really self-consistent electromagnetic equations for a plasma, we proceed in a similar fashion to find how the magnetohydrodynamical equations have to be modified accordingly. Substantially this is done by replacing the "Lorentz" force equation by the correct (in our case) force equation. Formally we have to use the vector potential instead of the magnetic field intensity. The appearance of the formulae presented is the one of classical vector analysis. We thus find a set of eight equations in eight unknowns, as previously known concerning the traditional MHD equations.

  17. Auditory coding of human movement kinematics.

    Science.gov (United States)

    Vinken, Pia M; Kröger, Daniela; Fehse, Ursula; Schmitz, Gerd; Brock, Heike; Effenberg, Alfred O

    2013-01-01

    Although visual perception is dominant on motor perception, control and learning, auditory information can enhance and modulate perceptual as well as motor processes in a multifaceted manner. During last decades new methods of auditory augmentation had been developed with movement sonification as one of the most recent approaches expanding auditory movement information also to usually mute phases of movement. Despite general evidence on the effectiveness of movement sonification in different fields of applied research there is nearly no empirical proof on how sonification of gross motor human movement should be configured to achieve information rich sound sequences. Such lack of empirical proof is given for (a) the selection of suitable movement features as well as for (b) effective kinetic-acoustical mapping patterns and for (c) the number of regarded dimensions of sonification. In this study we explore the informational content of artificial acoustical kinematics in terms of a kinematic movement sonification using an intermodal discrimination paradigm. In a repeated measure design we analysed discrimination rates of six everyday upper limb actions to evaluate the effectiveness of seven different kinds of kinematic-acoustical mappings as well as short-term learning effects. The kinematics of the upper limb actions were calculated based on inertial motion sensor data and transformed into seven different sonifications. Sound sequences were randomly presented to participants and discrimination rates as well as confidence of choice were analysed. Data indicate an instantaneous comprehensibility of the artificial movement acoustics as well as short-term learning effects. No differences between different dimensional encodings became evident thus indicating a high efficiency for intermodal pattern discrimination for the acoustically coded velocity distribution of the actions. Taken together movement information related to continuous kinematic parameters can be

  18. Long-range movement of large mechanically interlocked DNA nanostructures

    Science.gov (United States)

    List, Jonathan; Falgenhauer, Elisabeth; Kopperger, Enzo; Pardatscher, Günther; Simmel, Friedrich C.

    2016-08-01

    Interlocked molecules such as catenanes and rotaxanes, connected only via mechanical bonds have the ability to perform large-scale sliding and rotational movements, making them attractive components for the construction of artificial molecular machines and motors. We here demonstrate the realization of large, rigid rotaxane structures composed of DNA origami subunits. The structures can be easily modified to carry a molecular cargo or nanoparticles. By using multiple axle modules, rotaxane constructs are realized with axle lengths of up to 355 nm and a fuel/anti-fuel mechanism is employed to switch the rotaxanes between a mobile and a fixed state. We also create extended pseudo-rotaxanes, in which origami rings can slide along supramolecular DNA filaments over several hundreds of nanometres. The rings can be actively moved and tracked using atomic force microscopy.

  19. The phenomenological movement and research in the human sciences.

    Science.gov (United States)

    Giorgi, Amedeo

    2005-01-01

    Phenomenology, as a modern movement in philosophy, has focused discussion upon human subjectivity in new and critically important ways. Because human participants can relate intentionally to objects of the world consciousness manifests relationships to things and others that are other than cause-effect relationships. Consequently, the concepts and practices of the natural sciences are not the best model for the human sciences to follow. Husserl in his philosophy introduced a method for a more adequate approach to the achievements of consciousness and when properly modified the phenomenological method can serve as the basis for the human sciences, including nursing. The use of such a method can make the qualitative analysis of phenomena rigorous and scientific.

  20. 强制诱导性语言对亚急性期脑卒中失语症患者语言功能的疗效%Effect of Constraint-induced Language Therapy on Aphasia in Patients with Sub-acute Stroke

    Institute of Scientific and Technical Information of China (English)

    赵亚军; 陈长香; 胖红雯; 宋金萍

    2014-01-01

    Objective To observe the effect of constraint-induced language therapy (CILT) on speech and communicative activities in sub-acute stroke patients with aphasia. Methods 59 sub-acute stroke patients with aphasia were divided into control group (n=29) and obser-vation group (n=30), who accepted routine speech therapy and CILT respectively. They were assessed with China Rehabilitation Research Center Aphasia Examination (CRRCAE) and Communicative Activities In Daily Living (CADL) before, and 10 days and 3 months after in-tervention. Results The scores of comprehension, repetition, naming, reading aloud, reading comprehension, and CADL improved more in the observation group than in the control group 10 days and 3 months after intervention (P<0.05). Conclusion CILT may facilitate the recov-ery of speech and communicative activities in daily living in sub-acute stroke patients with aphasia.%目的:探讨强制诱导性语言治疗(CILT)对脑卒中后亚急性期失语症患者语言功能和日常生活交流能力的临床效果。方法脑卒中后亚急性期失语症患者59例分为对照组(n=29)和观察组(n=30),分别接受CILT和常规语言康复。于治疗前、治疗10 d和3个月后,采用汉语标准失语症检查法(CRRCAE)和日常生活交流能力评定(CADL)进行评测。结果观察组治疗后10 d和3个月后,在听理解、复述、命名、出声读、阅读理解和CADL方面均优于对照组(P<0.05)。结论 CILT可促进脑卒中后亚急性期失语症患者的语言功能和日常生活交流能力恢复。