Clinical application of Myelopathy-hand Functional Evaluation System in evaluating the postoperative hand motor function for myelopathy patients

Abstract Introduction: Motor function is essential in our daily lives, one of the most common impairments caused by stroke is loss of functional movement. Over 70% of stroke survivors have motor or other neurological functional disabilities. However, rehabilitation of motor function suffered from a stroke can be rather difficult due to the complexity of organs and systems related to motor function, as well as the neural system that supported motor function. In particularly, previous evidence for the effectiveness of physiotherapy, a commonly prescribed intervention method for people with stroke, that recover motor function in people following a stroke is varied and limited in the chronic rehabilitation phase and therefore has never been reviewed systematically. With the progress of study in neurology and the development of novel tools for rehabilitation, results from more and more clinical trials are now available, thus here justifying conducting a systematic review. Methods and analysis: This systematic review protocol is developed in accordance with the methodology recommended by the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols, as well as the Cochrane handbook for systematic reviews of interventions. Relevant studies will be identified by searching the databases. We will perform searches for relevant studies in databases, including PubMed, Embase, CINAHL, and Web of Science, Physiotherapy Evidence Database and Cochrane Library databases. The reference lists of included articles and reviews will be searched manually. The date range parameters used in searching all databases will be restricted between January 2001 and January 2021. Randomized controlled trials (RCTs) published will be included. The language used in the articles included was restricted to English. The GRADE (Grading of Recommendations, Assessment, Development and Evaluation system from the Cochrane Handbook for Systematic Reviews of Interventions) approach will be used to systematically appraise the quality of methodology. We will assess the risk of bias of the RCTs included using the Cochrane Collaboration’s tool and provide a qualitative synthesis. After that, we will consider conducting a meta-analysis if the final data across outcomes shows sufficient homogeneity. Ethics and dissemination: No ethical approval is needed as the proposed study does not involve the collection of primary data, and the results of this review will be disseminated via peer-reviewed publications and conference presentations. Trial registration number: CRD42021267069.

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B-9. Quantitative evaluation of motor function and its clinical application

Clinical Neurophysiology ◽

10.1016/j.clinph.2018.02.016 ◽

2018 ◽

Vol 129 (5) ◽

pp. e19

Author(s):

Shinji Kakei

Keyword(s):

Clinical Application ◽

Motor Function ◽

Quantitative Evaluation

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Intraoperative hearing evaluation during tympanoplasty – surgical technique and measurement method using OssiMon LAIOM system

Polski Przegląd Otorynolaryngologiczny ◽

10.5604/01.3001.0012.6803 ◽

2018 ◽

Vol 7 (3) ◽

pp. 1-8

Author(s):

Kazimierz Niemczyk ◽

Krzysztof Morawski ◽

Rafael Delgado ◽

Maria Małkowska ◽

Robert Bartoszewicz ◽

...

Keyword(s):

Surgical Technique ◽

Evaluation System ◽

Single Point ◽

Hearing Level ◽

Functional Evaluation ◽

Steady State Response ◽

Functional Effect ◽

State Response ◽

Auditory Steady State Response ◽

Hearing System

We present a surgical technique of closed tympanoplasty for chronic otitis, together with an intraoperative functional evaluation system with the OssiMon LAIOM software. The technique can be used in one or two steps for an intraoperative evaluation of the functional effect during ear operation. Using OssiMon LAIOM, we were able to simultaneously measure the auditory steady-state response (ASSR), as well as to perform laser dopler vibrometry (LDV). For electrophysiologic measurements, OssiMon LAIOM uses the Intelligent Hearing System platform, and the Polytec single-point laser to evaluate the ossicular mobility. The measurements can be conducted using both methods at the same time or separately, applying each method independently. The OssiMon LAIOM software records the ASSR response intraoperatively and marks it automatically on the audiogram with the preoperative hearing level. The ossicular vibration level is determined based on the measured LDV response. To the best of our knowledge, OssiMon LAIOM is the first solution allowing to objectively measure the effectiveness of tympanoplasty using two methods simultaneously, i.e. ASSR and LDV. The system could be widely applied in the functional evaluation of the middle ear and in clinical practice.

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Learning from brain control: clinical application of brain–computer interfaces

e-Neuroforum ◽

10.1515/s13295-015-0015-x ◽

2015 ◽

Vol 21 (4) ◽

Cited By ~ 2

Author(s):

Niels Birbaumer ◽

Ujwal Chaudhary

Keyword(s):

Clinical Application ◽

Motor Function ◽

Brain Activity ◽

Chronic Stroke ◽

Skill Learning ◽

Brain Computer Interfaces ◽

Brain Machine Interfaces ◽

Positive Effects ◽

Computer Interfaces ◽

Brain Signals

AbstractBrain-computer interfaces (BCI) use neuroelectric and metabolic brain activity to activate peripheral devices and computers without mediation of the motor system. In order to activate the BCI patients have to learn a certain amount of brain control. Self-regulation of brain activity was found to follow the principles of skill learning and instrumental conditioning. This review focuses on the clinical application of brain-computer interfaces in paralyzed patients with locked-in syndrome and completely locked-in syndrome (CLIS). It was shown that electroencephalogram (EEG)-based brain-computer interfaces allow selection of letters and words in a computer menu with different types of EEG signals. However, in patients with CLIS without any muscular control, particularly of eye movements, classical EEG-based brain-computer interfaces were not successful. Even after implantation of electrodes in the human brain, CLIS patients were unable to communicate. We developed a theoretical model explaining this fundamental deficit in instrumental learning of brain control and voluntary communication: patients in complete paralysis extinguish goal-directed responseoriented thinking and intentions. Therefore, a reflexive classical conditioning procedure was developed and metabolic brain signals measured with near infrared spectroscopy were used in CLIS patients to answer simple questions with a “yes” or “no”-brain response. The data collected so far are promising and show that for the first time CLIS patients communicate with such a BCI system using metabolic brain signals and simple reflexive learning tasks. Finally, brain machine interfaces and rehabilitation in chronic stroke are described demonstrating in chronic stroke patients without any residual upper limb movement a surprising recovery of motor function on the motor level as well as on the brain level. After extensive combined BCI training with behaviorally oriented physiotherapy, significant improvement in motor function was shown in this previously intractable paralysis. In conclusion, clinical application of brain machine interfaces in well-defined and circumscribed neurological disorders have demonstrated surprisingly positive effects. The application of BCIs to psychiatric and clinical-psychological problems, however, at present did not result in substantial improvement of complex behavioral disorders.

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Analysis of ingestive motor function during tablet swallowing using swallowing function evaluation system SFN/3A

The Journal of Japanese Society of Stomatognathic Function ◽

10.7144/sgf.18.200 ◽

2012 ◽

Vol 18 (2) ◽

pp. 200-201

Author(s):

Keiko Kakushima ◽

Toyohiko Hayashi ◽

Yoshinobu Maeda ◽

Tetsuya Watanabe ◽

Noboru Michimi ◽

...

Keyword(s):

Motor Function ◽

Evaluation System ◽

Function Evaluation ◽

Swallowing Function

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Are tutor-students capable of writing good biochemistry exams?

Revista de Ensino de Bioquímica ◽

10.16923/reb.v2i2.139 ◽

2004 ◽

Vol 2 (2) ◽

pp. 7

Author(s):

Sé Alexandre B. ◽

Renato M. Passos ◽

Marcelo Hermes-Lima

Keyword(s):

Clinical Application ◽

Learning Process ◽

Evaluation System ◽

Previous Article ◽

Average Score ◽

Technical Quality ◽

Technical Aspects ◽

First Semester ◽

Writing Tutors

In a previous article we described the relevance of student seminars for the learning process of appliedbiochemistry for medical and nutrition students (Hermes-Lima et al., Biochem. Mol.Biol.Educ. 30:30-34,2002). First semester students of a basic biochemistry course (BioBio) are divided in 10 groupsof 5 members, and each group is assigned to a specic topic (diabetes, cholesterol, etc) under thesupervision of a tutor-student. The tutors have already coursed BioBio and are currently undertakingan advanced biochemistry course. In order to evaluate the learning of applied biochemistry for BioBiostudents a true or false exam (TFE) is performed. This exam is made of 50 questions (5 on eachtopic) elaborated by the tutors under the supervision of the teacher. The TFE corresponds to 10percent of the grade of BioBio and focus on clinical and/or applied biochemistry situations. At theend of the exam, BioBio students were asked to share their opinions about TFEs (n = 401, from2001/1 to 2003/2). When asked to give a 0-to-4 score regarding (a) the diculty level of the test,(b) the technical quality and (c) if the exam makes an appropriate evaluation of applied biochemistryknowledge, the scores were 2.9, 3.4 and 2.9, respectively. BioBio students were also asked if they ndvalid to be evaluated by a tutor-made exam and if they would like to participate in the making ofTFEs; 96 and 58 percent answered yes, respectively.In another survey, we interviewed former BioBio students from the 2nd to the 7th semesters (n=95)about TFEs (since 1999-1) regarding technical aspects, which included (1) clarity of questions, (2) levelof diculty, (3) clinical application and (4) thinking (as opposed to memorizing) abilities demanded;the 0-to-4 scores were 3.1, 2.9, 2.6, and 2.5, respectively. Other four questions were on the validityof tutors writing TFEs and their capacity to perform such a task; the average score was 3.2. Oursurveys show the students good acceptance of the seminar system (Hermes-Lima et al. 2002), of theTFEs-based evaluation system, and students interest in TFEs writing (tutors also enjoy the process).These positive aspects constitute a motivation on the learning of basic biochemistry.

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