Commentary on “Test of Infant Motor Performance for Infants in Brazil: Unidimensional Model, Item Difficulty, and Motor Function”

Abstract Background Quantification of motor performance has a promising role in personalized medicine by diagnosing and monitoring, e.g. neurodegenerative diseases or health problems related to aging. New motion assessment technologies can evolve into patient-centered eHealth applications on a global scale to support personalized healthcare as well as treatment of disease. However, uncertainty remains on the limits of generalizability of such data, which is relevant specifically for preventive or predictive applications, using normative datasets to screen for incipient disease manifestations or indicators of individual risks. Objective This study explored differences between healthy German and Japanese adults in the performance of a short set of six motor tests. Methods Six motor tasks related to gait and balance were recorded with a validated 3D camera system. Twenty-five healthy adults from Chiba, Japan, participated in this study and were matched for age, sex, and BMI to a sample of 25 healthy adults from Berlin, Germany. Recordings used the same technical setup and standard instructions and were supervised by the same experienced operator. Differences in motor performance were analyzed using multiple linear regressions models, adjusted for differences in body stature. Results From 23 presented parameters, five showed group-related differences after adjustment for height and weight (R2 between .19 and .46, p<.05). Japanese adults transitioned faster between sitting and standing and used a smaller range of hand motion. In stepping-in-place, cadence was similar in both groups, but Japanese adults showed higher knee movement amplitudes. Body height was identified as relevant confounder (standardized beta >.5) for performance of short comfortable and maximum speed walks. For results of posturography, regression models did not reveal effects of group or body stature. Conclusions Our results support the existence of a population-specific bias in motor function patterns in young healthy adults. This needs to be considered when motor function is assessed and used for clinical decisions, especially for personalized predictive and preventive medical purposes. The bias affected only the performance of specific items and parameters and is not fully explained by population-specific ethnic differences in body stature. It may be partially explained as cultural bias related to motor habits. Observed effects were small but are expected to be larger in a non-controlled cross-cultural application of motion assessment technologies with relevance for related algorithms that are being developed and used for data processing. In sum, the interpretation of individual data should be related to appropriate population-specific or even better personalized normative values to yield its full potential and avoid misinterpretation.

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The Relationship between Aquatic Independence and Gross Motor Function in Children with Neuro-Motor Impairments

Adapted Physical Activity Quarterly ◽

10.1123/apaq.23.4.339 ◽

2006 ◽

Vol 23 (4) ◽

pp. 339-355 ◽

Cited By ~ 4

Author(s):

Miriam Getz ◽

Yeshayahu Hutzler ◽

Adri Vermeer

Keyword(s):

Motor Function ◽

Motor Performance ◽

Motor Impairments ◽

Gross Motor ◽

Gross Motor Function ◽

Gross Motor Function Measure ◽

Scale Scores ◽

The Relationship ◽

Pearson Correlations ◽

Function Measure

The purpose of this study was to investigate the relationship between motor performance in the aquatic setting as measured by the Aquatic Independence Measure (AIM) to motor performance on land as measured by the Gross Motor Function Measure (GMFM) and the Pediatric Evaluation of Disability Inventory (PEDI). Fourty- nine children with neuro-motor impairments ages 3 to 7 participated in the study. Pearson correlations were applied to determine the relationships between the AIM and the GMFM, PEDI, and Gross Motor Function Classification System (GMFCS). Significant correlations were found between the total AIM and GMFM scores (r = 69, p < .01) and PEDI self-care sub-scale (r = .79, p < .01) as well as the PEDI mobility sub-scale scores (r = .35, p < .05). The water adjustment sub-scale as measured by the AIM showed the strongest relationship to motor performance on land as measured by the GMFM and PEDI in our sample of 49 children.

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PHYSICAL THERAPY INTERVENTION FOR PATIENT WITH EAST SYNDROME- A CASE STUDY.

10.36106/ijsr/4814216 ◽

2021 ◽

pp. 74-77

Author(s):

Kinjal Bagthariya(M.P.T)

Keyword(s):

Physical Therapy ◽

Motor Function ◽

Motor Performance ◽

Treatment Approach ◽

Sensorineural Deafness ◽

Gross Motor ◽

East Syndrome ◽

Therapy Intervention ◽

Physical Therapy Intervention

EAST syndrome is autosomal recessive disorder due to mutations in gene KCNJ10, a gene encoding a potassium channel expressed in the brain, eye, ear and kidney. It is characterized by four cardinal features; Epilepsy, Ataxia, Sensorineural deafness, and renal salt-wasting Tubulopathy, thus the acronym EAST syndrome. It was rst described as a distinct clinical entity in 2009 by Bockenhauer and scholl, who named this condition EAST syndrome and SeSAME syndrome for Seizures, Sensorineural deafness, Ataxia, Mental retardation and Electrolyte imbalance respectively. Neurodevelopmental delay is evident in most patients with EAST syndrome that were old enough to be assessed; Thus, physiotherapy intervention also plays a vital role in EAST syndrome along with medical management. From physiotherapy perspective; symptomatic management to Improve overall health, wellbeing and motor control becomes ultimate goal in the patient with EAST syndrome. As there is no specic physical therapy treatment approach and no specic tool to evaluate function for children with EAST syndrome; for clinically presented delay development and ataxia, Neurodevelopment therapy (NDT) was utilized as treatment approach and Gross motor function measure (GMFM) & Gross motor performance measure (GMPM) were utilized for assessment in this case study to track progress on follow ups. Result showed marked improvement in GMFM and GMPM scores at follow ups and concluded that Physical therapy intervention improves the gross motor function as well as gross motor performance in patient with EAST syndrome.

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Cerebellum

10.1093/med/9780197512166.003.0018 ◽

2021 ◽

pp. 147-157

Author(s):

Anhar Hassan

Keyword(s):

Motor Function ◽

Motor Performance ◽

Posterior Lobe ◽

Functional Zones ◽

And Behavior ◽

Primary Fissure

The cerebellum is crucial for planning, executing, terminating, and learning movements. The cerebellum compares actual with intended motor performance and optimizes the timing of motor function. Thus, it is important in the adaptation of movement and posture. In addition, the cerebellum contributes to cognition and behavior. The primary fissure divides the cerebellum anatomically into anterior and posterior lobes. The posterior lobe is divided from the flocculonodular lobe by the posterolateral fissure. The cerebellum may also be divided into functional zones, including the vermis (midline), paravermal region, and hemispheres (most lateral).

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The concept of “normal” movement and its consequences for therapy

Behavioral and Brain Sciences ◽

10.1017/s0140525x00041601 ◽

1996 ◽

Vol 19 (1) ◽

pp. 79-79

Author(s):

Jürgen Konczak ◽

Johannes Dichgans

Keyword(s):

Motor Function ◽

Motor Performance ◽

Adaptive Changes ◽

Normal Movement ◽

Improve Motor Function

AbstractThe guideline for therapy should be the improvement of the individual's functionality, not the acquisition of the ill-defined “goldstandard” of normal movement. However, Latash & Anson's suggestion that only primary causes of dysfunction should be treated is problematic for two reasons: First, the distinction between genuine and adaptive changes in motor performance is not always possible, and second, adaptive changes do not necessarily improve motor function, but may actually be detrimental to the system's performance.

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Relation of exercise capacity to comprehensive physical functions in individuals with ischemic stroke

Neurorehabilitation ◽

10.3233/nre-201630 ◽

2021 ◽

pp. 1-9

Author(s):

So-Young Ahn ◽

Nam-Gi Lee ◽

Tae-Heon Lee

Keyword(s):

Ischemic Stroke ◽

Exercise Capacity ◽

Motor Function ◽

Significant Relationship ◽

Motor Performance ◽

Physical Parameters ◽

Walk Test ◽

Stroke Patients ◽

Physical Functions ◽

Control Balance

BACKGROUND: Impaired motor control, balance, muscle strength, and respiratory function may affect the exercise capacity related to motor performance and activities in individuals with stroke. OBJECTIVE: To identify a physical parameter that the exercise capacity has the most significant relationship among physical parameters related to motor function, trunk control, balance, and motor performance and activities in individuals with ischemic stroke. METHODS: In total, 241 ischemic stroke patients were recruited in this retrospective study. The clinical measurements included the 6-minute walk test (6 MWT), Montreal cognitive assessment (MoCA), Fugl-Meyer assessment-lower extremity motor function (FMA-LE), trunk impairment scale (TIS), Berg balance scale (BBS), timed up and go test (TUG), 10-meter walk test (10 MWT), functional ambulation category (FAC), and functional independence measure (FIM). RESULTS: The 6 MWT was significantly correlated with the FMA-LE, BBS, TUG, 10 MWT, FAC, and FIM, indicating negative or positive moderate correlations. Additionally, the FMA-LE, TIS, BBS, TUG, 10 MWT, FAC, and FIM, excluding the 6 MWT, showed moderate to strong correlations with all of the other outcome measures, whereas the MoCA showed significant correlations only with the BBS and FIM. CONCLUSIONS: In this study, the exercise capacity has the most significant relationship with the TUG parameter in stroke patients. Additionally, we suggest that significant relationships between 6 MWT and other comprehensive physical functions measurements are closely related to walking ability in individuals with stroke.

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Clinical characteristics of children with congenital Zika syndrome: a case series

Arquivos de Neuro-Psiquiatria ◽

10.1590/0004-282x20200020 ◽

2020 ◽

Vol 78 (7) ◽

pp. 403-411

Author(s):

Thais MASSETTI ◽

Dafne HERRERO ◽

Julliana ALENCAR ◽

Talita SILVA ◽

Cristina MORIYAMA ◽

...

Keyword(s):

Birth Weight ◽

Motor Function ◽

Gestational Age ◽

Head Circumference ◽

Motor Performance ◽

Clinical Characteristics ◽

Gross Motor ◽

Congenital Zika Syndrome ◽

Motor Outcomes

ABSTRACT Background: The congenital Zika syndrome involves structural brain changes, including ventriculomegaly, thin cerebral cortices, abnormal gyral pattern, cortical malformations, hypoplasia of the corpus callosum, myelination delay, subcortical diffuse calcifications, brainstem hypoplasia, and microcephaly in newborns. Objective: This study aimed to describe the clinical characteristics of children with congenital Zika syndrome; to compare the outcomes of infants infected in the first (1T, n=20) and second trimesters of pregnancy (2T, n=11); to investigate correlations between birth weight, birth and follow-up head circumference, birth gestational age, and gross motor scores. Methods: Participants were evaluated with Alberta Infant Motor Scale (AIMS) and part A of the Gross Motor Function Measure (GMFM-A). ANOVA compared head circumference, birth gestational age, birth weight, and gross motor performance of 1T and 2T. Results: The correlations were investigated by Pearson correlation coefficients. ANOVA showed differences in birth and follow-up head circumferences. Head circumference was smaller in 1T, compared to 2T. Motor performance was classified as below the fifth percentile in AIMS in all children and 1T showed lower scores in prone, sitting, and total AIMS score, compared to 2T. Children ranged from 8 to 78% on GMFM-A and there was a poorer motor performance of 1T. Nineteen children showed hypertonia, six showed normal tone and six showed hypotonia. Birth head circumference was correlated with AIMS prone postural control. Follow-up head circumference was correlated to prone, supine and total AIMS scores. Smaller head circumference at birth and follow-up denoted poorer postural control. Discussion: Children with congenital Zika syndrome showed microcephaly at birth and follow-up. Smaller head circumferences and poorer motor outcomes were observed in 1T. Infants showed poor visual and motor outcomes. Moderate positive correlations between birth and follow-up head circumference and gross motor function were found.

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Efeitos da prática do suporte de peso corporal em crianças com paralisia cerebral: uma série de casos

Revista Pesquisa em Fisioterapia ◽

10.17267/2238-2704rpf.v8i3.1982 ◽

2018 ◽

Vol 8 (3) ◽

pp. 397-403 ◽

Cited By ~ 1

Author(s):

Geison Sebastião Reitz ◽

Milena Julia Chirolli ◽

Letícia Carolina Gantzel ◽

Beatriz Schmidt Lunardelli ◽

Suzana Matheus Pereira ◽

...

Keyword(s):

Cerebral Palsy ◽

Motor Function ◽

Motor Performance ◽

Gross Motor ◽

Gross Motor Function ◽

Gross Motor Function Measure ◽

Children With Cerebral Palsy ◽

Function Measure

INTRODUÇÃO: A paralisia cerebral (PC) é a causa mais comum de incapacidade motora na infância. Essa lesão cerebral pode resultar em comprometimentos neuromotores variados que, geralmente, estão associados à gravidade da sequela e a idade da criança. OBJETIVO: Avaliar a influência do Suporte de Peso Corporal (SPC) sobre a função motora e flexibilidade de crianças com paralisia cerebral. MÉTODO: Participaram do estudo sete crianças que não apresentavam o padrão de marcha, GMFCS nível IV e V, onde foi realizada a identificação do desempenho da função motora grossa por meio da Gross Motor Function Measure (GMFM), da flexibilidade por meio do teste Flexiteste,e do número de passos e distância percorrida antes e após um ano de tratamento com SPC em esteira ergométrica. Tendo assistência de dois terapeutas que auxiliavam em pontos chaves de joelho e tornozelo simulando o padrão de marcha da criança. As sessões foram realizadas uma vez por semana, durante 30 minutos. RESULTADO: O GMFM apresentou aumento das pontuações obtidas antes e após o tratamento, onde os itens deitar e rolar teve aumento de 14,09%, sentar teve aumento de 10,43%, engatinhar e ajoelhar teve, aumento de 7,27%, e por fim, o item em pé teve aumento de 8,10%. A variável flexibilidade apresentou diferença antes e após o tratamento, obtendo como flexibilidade inicial pequena e final médio negativa, com aumento de 7,85 pontos. Já o número de passos teve aumento de 175 passos e a distância percorrida de 132 metros CONCLUSÃO: The proposed SPC therapy in children with cerebral palsy proved to be efficient and could enhance motor performance, flexibility, number of steps and distance traveled.

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