scholarly journals Posturography with head movements in the assessment of balance in chronic unilateral vestibular lesions

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Magdalena Janc ◽  
Mariola Sliwinska-Kowalska ◽  
Piotr Politanski ◽  
Marek Kaminski ◽  
Magdalena Jozefowicz-Korczynska ◽  
...  

AbstractThe aim of our study was to validate the method of head-shake static posturography (HS-posturography) in healthy individuals and to establish the value of this novel method in the diagnostics of patients with unilateral vestibular lesion (UV). The study included 202 participants divided into two groups, one consisting of 133 patients with canal paresis CP > 19% and one of 69 healthy subjects. Participant was tested according to the standard protocol of static posturography (SP), and with head movements of 0.3 Hz (HS 40), 0.6 Hz (HS 70) in random order controlled by a metronome. HS-posturography revealed a similar repeatability and internal consistency as the standard posturography. In patients with UV, 4th condition revealed higher sensitivity (74%) and specificity (71%) in HS 40 than in the standard posturography (67%, 65% respectively) and HS 70 (54%, 70% respectively). Static posturography and HS- posturography revealed a high reliability of the testing method. The head movements added to static posturography improve the sensitivity and specificity of the method in group with vestibular impairment. The most important test for that purpose seems to be the one on unstable surface with the eyes closed, with low frequency of head movements.

2021 ◽  
Author(s):  
Caroline Gil de Godoy ◽  
Érika Christina Gouveia e Silva ◽  
Danielle Brancolini de Oliveira ◽  
Elizabeth Mendes da Silva ◽  
Amislaine Cristina Gambeta ◽  
...  

Background: Covid-19 associated with hospitalization results in damage to structures and body functions. Objective: Analyze the postural control of patients with functional loss after hospitalization by COVID-19. Design and setting: Prospective cohort study that evaluated patients after 1 month of discharge from Clinical Hospital - FMUSP, São Paulo, Brazil. Methodology: Functionality before and after hospitalization (Barthel Index), balance (Brief BalanceEvaluation Systems Test- BriefBESTest) and postural control (Static Posturography - Horus®Platform) were evaluated and divided into two groups: functional impairment (FI) and without functional impairment (WFI). Independent T test and Mann- Whitney were applicated for groups comparison (p=0.05). Result: 67 patients were evaluated. FI had 30 patients (44.7%) with a mean age of 62.8 (±10.7), 19 (63.3%) female and 11 (36.6%) male. WFI had 37 patients (55.2%) around average age of 57.7 (±11.6), 13 (35.1 %) female and 24 (64,8 %) male. There was a difference between groups in BriefBESTest (p=0.005) and the measurements of: trust ellipse (EC)-mm² and EC/Stability limit (LM) -% in Open eyes stable surface (OASE) (p=0.042 ; p=0.017), Open eyes unstable surface (OASI) (p=0.018; p=0.004) and Eyes closed unstable surface (OFSI) (p=0.004; p=0.002); Midlateral velocity (ML) in OASI (p=0.008); Functional residual balance in OASI (p=0.018) and OFSI (p=0.002); ML displacement and the anteroposterior of the maximum LM to the left (p=0.048; p=0.028). Conclusion: There is a difference between the FI and WFI groups regarding balance and postural control. It is suggested to include evaluations and targeted interventions for balance improvement and postural control after hospitalization by COVID-19.


2016 ◽  
Vol 52 (1) ◽  
pp. 75-83 ◽  
Author(s):  
Błaszczyk W. Janusz ◽  
Monika Beck ◽  
Justyna Szczepańska ◽  
Dorota Sadowska ◽  
Bogdan Bacik ◽  
...  

Abstract Despite the obvious advantages and popularity of static posturography, universal standards for posturographic tests have not been developed thus far. Most of the center-of-foot pressure (COP) indices are strongly dependent on an individual experimental design, and are susceptible to distortions, which makes results of their analysis incomparable. In this research, we present a novel approach to the analysis of the COP trajectory based on the directional features of postural sway. Our novel output measures: the sway directional indices (DI) and sway vector (SV) were applied to assess the postural stability in the group of young able-bodied subjects. Towards this aim, the COP trajectories were recorded in 100 students standing still for 60 s, with eyes open (EO) and then, with eyes closed (EC). Each record was subdivided then into 20, 30 and 60 s samples. Interclass correlation coefficients were calculated from the samples. The controlled variables (visual conditions) uniquely affected the output measures, but only in case of proper signal pretreatment (low-pass filtering). In filtering below 6 Hz, the DI and SV provided a unique set of descriptors for postural control. Both sway measures were highly independent of the trial length and the sampling frequency, and were unaffected by the sampling noise. Directional indices of COP filtered at 6 Hz showed high to very high reliability, with ICC range of 0.7-0.9. Results of a single 60 s trial are sufficient to reach acceptable reliability for both DI and SV. In conclusion, the directional sway measures may be recommended as the primary standard in static posturography.


2021 ◽  
Author(s):  
Rachel Ege ◽  
A. John van Opstal ◽  
Marc Mathijs van Wanrooij

The ventriloquism aftereffect (VAE) describes the persistent shift of perceived sound location after having been adapted to a ventriloquism condition, in which the sound was repeatedly paired with a displaced visual stimulus. In the latter case, participants consistently mislocalize the sound in the direction of the visual stimulus (ventriloquism effect, VE). Previous studies provide conflicting reports regarding the strength of the VAE, ranging from 0 to nearly 100%. Moreover, there is controversy about its generalization to different sounds than the one inducing the VE, ranging from no transfer at all, to full transfer across different sound spectra. Here, we imposed the VE for three different sounds: a low-frequency and a high-frequency narrow-band noise, and a broadband Gaussian white noise (GWN). In the adaptation phase, listeners generated fast goal-directed head movements to localize the sound, presented across a 70 deg range in the horizontal plane, while ignoring a visual distracter that was consistently displaced 10 deg to the right of the sound. In the post-adaptation phase, participants localized narrow-band sounds with center frequencies from 0.5 to 8 kHz, as well as GWN, without the visual distracter. Our results show that the VAE amounted to approximately 40% of the VE and generalized well across the entire frequency domain. We also found that the strength of the VAE correlated with the pre-adaptation sound-localization performance. We compare our results with previous reports and discuss different hypotheses regarding optimal audio-visual cue integration.


1979 ◽  
Author(s):  
W. Nieuwenhuizen ◽  
I. A. M. van Ruijven-Vermeer ◽  
F. Haverkate ◽  
G. Timan

A novel method will be described for the preparation and purification of fibrin(ogen) degradation products in high yields. The high yields are due to two factors. on the one hand an improved preparation method in which the size heterogeneity of the degradation products D is strongly reduced by plasmin digestion at well-controlled calcium concentrations. At calcium concentrations of 2mM exclusively D fragments, M.W.= 93-000 (Dcate) were formed; in the presence of 1OmM EGTA only fragments M.W.= 80.000 (D EGTA) were formed as described. on the other hand a new purification method, which includes Sephadex G-200 filtration to purify the D:E complexes and separation of the D and E fragments by a 16 hrs. preparative isoelectric focussing. The latter step gives a complete separation of D (fragments) (pH = 6.5) and E fragments (at pH = 4.5) without any overlap, thus allowing a nearly 100% recovery in this step. The overall recoveries are around 75% of the theoretical values. These recoveries are superior to those of existing procedures. Moreover the conditions of this purification procedure are very mild and probably do not affect the native configuration of the products. Amino-terminal amino acids of human Dcate, D EGTA and D-dimer are identical i.e. val, asx and ser. in the ratgly, asx and ser were found. E 1% for rat Dcate=17-8 for rat D EGTA=16.2 and for rat D- dimer=l8.3. for the corresponding human fragments, these values were all 20.0 ± 0.2.


2012 ◽  
Vol 58 (2) ◽  
pp. 177-192 ◽  
Author(s):  
Marek Parfieniuk ◽  
Alexander Petrovsky

Near-Perfect Reconstruction Oversampled Nonuniform Cosine-Modulated Filter Banks Based on Frequency Warping and Subband MergingA novel method for designing near-perfect reconstruction oversampled nonuniform cosine-modulated filter banks is proposed, which combines frequency warping and subband merging, and thus offers more flexibility than known techniques. On the one hand, desirable frequency partitionings can be better approximated. On the other hand, at the price of only a small loss in partitioning accuracy, both warping strength and number of channels before merging can be adjusted so as to minimize the computational complexity of a system. In particular, the coefficient of the function behind warping can be constrained to be a negative integer power of two, so that multiplications related to allpass filtering can be replaced with more efficient binary shifts. The main idea is accompanied by some contributions to the theory of warped filter banks. Namely, group delay equalization is thoroughly investigated, and it is shown how to avoid significant aliasing by channel oversampling. Our research revolves around filter banks for perceptual processing of sound, which are required to approximate the psychoacoustic scales well and need not guarantee perfect reconstruction.


Author(s):  
J Ph Guillet ◽  
E Pilon ◽  
Y Shimizu ◽  
M S Zidi

Abstract This article is the first of a series of three presenting an alternative method of computing the one-loop scalar integrals. This novel method enjoys a couple of interesting features as compared with the method closely following ’t Hooft and Veltman adopted previously. It directly proceeds in terms of the quantities driving algebraic reduction methods. It applies to the three-point functions and, in a similar way, to the four-point functions. It also extends to complex masses without much complication. Lastly, it extends to kinematics more general than that of the physical, e.g., collider processes relevant at one loop. This last feature may be useful when considering the application of this method beyond one loop using generalized one-loop integrals as building blocks.


2020 ◽  
pp. bmjnph-2020-000134
Author(s):  
Emily A Johnston ◽  
Kristina S Petersen ◽  
Jeannette M Beasley ◽  
Tobias Krussig ◽  
Diane C Mitchell ◽  
...  

IntroductionAdherence to cardioprotective dietary patterns can reduce risk for developing cardiometabolic disease. Rates of diet assessment and counselling by physicians are low. Use of a diet screener that rapidly identifies individuals at higher risk due to suboptimal dietary choices could increase diet assessment and brief counselling in clinical care.MethodsWe evaluated the relative validity and reliability of a 9-item diet risk score (DRS) based on the Healthy Eating Index (HEI)-2015, a comprehensive measure of diet quality calculated from a 160-item, validated food frequency questionnaire (FFQ). We hypothesised that DRS (0 (low risk) to 27 (high risk)) would inversely correlate with HEI-2015 score. Adults aged 35 to 75 years were recruited from a national research volunteer registry (ResearchMatch.org) and completed the DRS and FFQ in random order on one occasion. To measure reliability, participants repeated the DRS within 3 months.ResultsIn total, 126 adults (87% female) completed the study. Mean HEI-2015 score was 63.3 (95% CI: 61.1 to 65.4); mean DRS was 11.8 (95% CI: 10.8 to 12.8). DRS and HEI-2015 scores were inversely correlated (r=−0.6, p<0.001; R2=0.36). The DRS ranked 37% (n=47) of subjects in the same quintile, 41% (n=52) within ±1 quintile of the HEI-2015 (weighted κ: 0.28). The DRS had high reliability (n=102, ICC: 0.83). DRS mean completion time was 2 min.ConclusionsThe DRS is a brief diet assessment tool, validated against a FFQ, that can reliably identify patients with reported suboptimal intake. Future studies should evaluate the effectiveness of DRS-guided diet assessment in clinical care.Trial registration detailsClinicalTrials.gov (NCT03805373).


2021 ◽  
Vol 11 (3) ◽  
pp. 1243
Author(s):  
Hongseok Jeong ◽  
Jeung-Hoon Lee ◽  
Yong-Hyun Kim ◽  
Hanshin Seol

The dominant underwater noise source of a ship is known to be propeller cavitation. Recently, attempts have been made to quantify the source strength using on-board pressure sensors near the propeller, as this has advantages over conventional noise measurement. In this study, a beamforming method was used to estimate the source strength of a cavitating propeller. The method was validated against a model-scale measurement in a cavitation tunnel, which showed good agreement between the measured and estimated source levels. The method was also applied to a full-scale measurement, in which the source level was measured using an external hydrophone array. The estimated source level using the hull pressure sensors showed good agreement with the measured one above 400 Hz, which shows potential for noise monitoring using on-board sensors. A parametric study was carried out to check the practicality of the method. From the results, it was shown that a sufficient recording time is required to obtain a consistent level at high frequencies. Changing the frequency resolution had little effect on the result, as long as enough data were provided for the one-third octave band conversion. The number of sensors affected the mid- to low-frequency data.


ChemInform ◽  
2005 ◽  
Vol 36 (41) ◽  
Author(s):  
Peyman Salehi ◽  
Minoo Dabiri ◽  
Mohammad Ali Zolfigol ◽  
Mostafa Baghbanzadeh
Keyword(s):  
One Pot ◽  

2012 ◽  
Vol 140 (8) ◽  
pp. 2628-2646 ◽  
Author(s):  
Shu-Chih Yang ◽  
Eugenia Kalnay ◽  
Brian Hunt

Abstract An ensemble Kalman filter (EnKF) is optimal only for linear models because it assumes Gaussian distributions. A new type of outer loop, different from the one used in 3D and 4D variational data assimilation (Var), is proposed for EnKF to improve its ability to handle nonlinear dynamics, especially for long assimilation windows. The idea of the “running in place” (RIP) algorithm is to increase the observation influence by reusing observations when there is strong nonlinear error growth, and thus improve the ensemble mean and perturbations within the local ensemble transform Kalman filter (LETKF) framework. The “quasi-outer-loop” (QOL) algorithm, proposed here as a simplified version of RIP, aims to improve the ensemble mean so that ensemble perturbations are centered at a more accurate state. The performances of LETKF–RIP and LETKF–QOL in the presence of nonlinearities are tested with the three-variable Lorenz model. Results show that RIP and QOL allow LETKF to use longer assimilation windows with significant improvement of the analysis accuracy during periods of high nonlinear growth. For low-frequency observations (every 25 time steps, leading to long assimilation windows), and using the optimal inflation, the standard LETKF RMS error is 0.68, whereas for QOL and RIP the RMS errors are 0.47 and 0.35, respectively. This can be compared to the best 4D-Var analysis error of 0.53, obtained by using both the optimal long assimilation windows (75 time steps) and quasi-static variational analysis.


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