scholarly journals The impact of shoulder abduction loading on EMG-based intention detection of hand opening and closing after stroke

Author(s):  
Yiyun Lan ◽  
Jun Yao ◽  
J. P. A. Dewald
2017 ◽  
Vol 31 (6) ◽  
pp. 521-529 ◽  
Author(s):  
Yiyun Lan ◽  
Jun Yao ◽  
Julius P. A. Dewald

Background. Up to 60% of individuals with moderate to severe chronic hemiparetic stroke experience excessive involuntary wrist/finger flexion that constrains functional hand movements including hand opening. It’s not known how stroke-induced brain injury impacts volitional hand opening and grasping forces as a result of the expression of abnormal coupling between shoulder abduction and wrist/finger flexion or the flexion synergy. Objective. The goal of this study is to understand how shoulder abduction loading affects volitional hand opening and grasping forces in individuals with moderate to severe chronic hemiparetic stroke. Methods. Thirty-six individuals (stroke, 26; control, 10) were recruited for this study. Each participant was instructed to perform maximal hand opening and grasping forces while the arm was either fully supported or lifted with a weight equal to 25% or 50% of the participant’s maximal shoulder abduction torque. Hand pentagon area, defined as the area formed by the tips of thumb and fingers, was calculated during hand opening. Forces were recorded during grasping. Results. In individuals with moderate stroke, increasing shoulder abduction loading reduced the ability to maximally open the hand. In individuals with severe stroke, who were not able to open the hand, grasping forces were generated and increased with shoulder abduction loading. Stroke individuals also showed a reduced ability to control volitional grasping forces due to the enhanced expression of flexion synergy. Conclusions. Shoulder abduction loading reduced the ability to volitionally open the hand and control grasping forces after stroke. Neural mechanisms and clinical implications of these findings are discussed.


2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S77-S77
Author(s):  
Jill M Cancio ◽  
Matthew Borgia ◽  
Leopoldo C Cancio ◽  
Linda Resnik

Abstract Introduction Burns with upper extremity (UE) amputation present a unique rehabilitation challenge. The purpose of this study of UE amputees who are active prosthesis users was to compare outcomes for those with and without burns. Methods This is part of a larger nationwide study of U.S. military members and veterans with UE amputations. In-person data were collected at 5 sites. An therapist measured passive and active range of motion (PROM, AROM); administered the Quick Disability of the Arm, Shoulder, and Hand; Community Reintegration of Injured Service Members-Computer Adaptive-Test; Trinity Amputation and Prosthetic Experience Scale; health-related quality of life (VR-12); Activities Measure for Upper Extremity Amputees; Southampton Assessment Procedure; 9-Hole Peg Test; and Jebsen-Taylor Hand Function Test (JTHF); and recorded residual and phantom pain; timing of prosthesis receipt; and current prosthesis use. The IRB approved this study. Results Data were collected on 126 individuals with UE amputation, of whom 105 had data on etiology and were included. Of these, 13 (12.4%) had burns (B) vs non-burn (NB). The majority were unilateral amputees (69% B, 90% NB). Most were transradial (TR) amputees (B 84.6%, NB 66.3%) as opposed to transhumeral (TH). A minority received their prosthetics within the first 3 months post-amputation (11.1% B, 28.8% NB) (p=0.15). Average age was 57.6 (SD 15.6) years for NB and 53.0 (20.6) years for B. Mean time since amputation was 22.5 (18.0) years for NB and 25.2 (17.3) years for B. The following non-significant differences in outcomes between B and NB were observed. Thirty-nine percent of B were employed full-time vs 18.9% of NB (p=0.15). The primary prosthesis was, for NB, a body-powered prosthesis (66.7%); for B, myoelectric (50%) or body-powered (50%). For unilateral UE amputees, there were no differences between B and NB on performance testing for dexterity and functional tasks or in self-reported disability, quality of life or prevalence or intensity of pain. B trended towards more moderate to severe PROM deficits with shoulder forward flexion (TH B 50%, TH NB 23.1% [p=0.444]; TR B 20%, TR NB 5.6% [p=0.197]) and shoulder abduction (TH B 50%, TH NB 26.9% [p=0.497]; TR B 30%, TR NB 16.4% [p=0.376]). Also, TR amputees with burns trended towards more PROM deficits with elbow flexion (B 20%, NB 6.9% [p=0.212]) and elbow extension (B 20%, NB 8.6% [p=0.272]). AROM deficits also trended greater in B. Conclusions We did not observe differences in physical function, pain levels, or quality of life between those with and without burns. Further studies with larger samples are needed, to include analysis of burn location, burn size, hospital length of stay, and rehabilitation care.


2021 ◽  
pp. 1-15
Author(s):  
S. Hasan ◽  
N. Akhtar ◽  
S. Shekhar

The paper presents a complicated case of coalescence of yield zones between two internal cracks out of four collinear straight cracks weakened an infinite isotropic plate. Two solutions are presented for the case of opening and closing of multiple cracks under general yielding conditions. Using these two solutions and the principle of superposition, we found the analytical expressions for load-bearing capacity of the plate using complex variable method. A numerical study has been carried out to investigate the behavior of yield zone length concerning remotely applied stresses at the boundary of the plate and the impact of two outer cracks on the propagation of inner cracks due to coalesced yield zones. Results obtained are reported graphically.


INOVA-TIF ◽  
2020 ◽  
Vol 2 (1) ◽  
pp. 51
Author(s):  
Muhammad Ardi

<em>Flood disasters still occur regularly and continuously in Indonesia. Flooding can occur due to the volume of water in the river beyond the river body. Many impacts caused by flooding, not only material losses, flooding can also cause loss of life. The impact of flooding can be reduced if people are better prepared to face the flood. One way is to quickly disseminate information on river water levels to the community. It is necessary to make a solution on how to design an automatic sluice using Arduino UNO R3 and how to monitor the water situation during floods. The working principle of this tool uses an ultrasonic sensor as a water level detector, Arduino as a data processor, servo motor as opening and closing the door bar automatically and the modem as an SMS notification. Because design based detection system is needed In this study there are two formulations of the problem (i) How to design flood altitude detection devices using Arduino uno r3 which can open and close automatically. (ii) How to test the flood altitude detection system using a wavecome modem. The research objective is divided into two parts (i) Creating a series of flood elevation devices using Arduino r3 so that it can open and close automatically (ii) Gets the results of flood elevation system testing with an sms gateway</em>


2016 ◽  
Vol 13 (2) ◽  
pp. 86-106
Author(s):  
Abbas Mehrabi Boshrabadi ◽  
Sepideh Bataghva Sarabi

Purpose Research has shown that the discursive patterns students use in their email interactions with their teachers are not linguistically and socio-culturally appropriate. Accordingly, the purpose of this paper is to try to explore how socio-cultural conventions influence the Iranian English as a foreign language (EFL) learners’ choices of discourse strategies in their email communications within an academic context. The study, then, investigates the impact of social distance and gender on the stylistic features of students’ email texts. Design/methodology/approach The email texts written by 180 university students majoring in Applied Linguistics were systematically analyzed based on such patterns as opening and closing moves, reduced forms, text connectives, symbolization and emoticons. Alternatively, three semi-structured interviews were conducted to gauge the participants’ motives underlying the selection of particular discourse features. Findings The findings revealed that students, despite many statements to the contrary, were aware of the socio-cultural conventions governing email writing style and could write status-appropriate email messages, which rightly reflected the etiquette of email communication within an academic context. Practical implications The findings may offer certain benefits to EFL teachers and students. Originality/value The paper highlights understanding of a specific social group in relation to their interaction with different status social groups in the context of a specific communication technology and to some extent the perceived effectiveness of such approaches by those invoking them.


Author(s):  
Davide Tosi ◽  
Alessandro Siro Campi

Background: CoronaVirus Disease 2019 (COVID-19) is the main discussed topic world-wide in 2020 and at the beginning of the Italian epidemic, scientists tried to understand the virus diffusion and the epidemic curve of positive cases with controversial findings and numbers. Objectives: In this paper, a data analytics study on the diffusion of COVID-19 in Lombardy Region and Campania Region is developed in order to identify the driver that sparked the second wave in Italy Methods: Starting from all the available official data collected about the diffusion of COVID-19, we analyzed google mobility data, school data and infection data for two big regions in Italy: Lombardy Region and Campania Region, which adopted two different approaches in opening and closing schools. To reinforce our findings, we also extended the analysis to the Emilia Romagna Region. Results: The paper aims at showing how different policies adopted in school opening / closing may have on the impact on the COVID-19 spread. Conclusions: The paper shows that a clear correlation exists between the school contagion and the subsequent temporal overall contagion in a geographical area.


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