scholarly journals Correlation between temporal-spatial parameters and manual ability of adults with dyskinetic cerebral palsy

2014 ◽  
Vol 21 (2) ◽  
pp. 120-126
Author(s):  
Mariana Cunha Artilheiro ◽  
Danielli Souza Speciali ◽  
Bárbara Alves Lopes ◽  
João Carlos Ferrari Correa ◽  
Paulo Roberto Garcia Lucareli

The aim of this study was to verify relation between kinematic variables of temporal-spatial parameters and manual ability and between own temporal-spatial variables during the movement of bring a mug to the mouth in adults with dyskinetic cerebral palsy (DCP). Sixteen adults with DCP were evaluated by MACS (Manual Ability Classification System), and by temporal-spatial variables of tridimensional kinematics of the movement to bring a bug to the mouth by means of 9 cameras infra-red Vicon(r) MX 40 (Oxford Metrics Group, Oxford, UK). The Spearman correlation coefficient (ρ) was used to correlate variables. As a result, we found weak correlation between the classification of manual ability and the adjusting phase (ρ=0.219), the velocity variables - average velocity (ρ=-0.313), peak velocity (ρ=-0.282) and time to peak velocity (ρ=-0.250). No correlation was found between the variables going and returning phase and MACS. Moderate correlation was found between going and returning phase (ρ=0.559), between the going phase and time to peak velocity (ρ=0.518) and between the adjusting phase and peak velocity (ρ=-0.562). A strong correlation was found between the mean velocity and peak velocity (ρ=0.947) and between the adjusting phase and average velocity (ρ=-0.635). In conclusion, functional impairment may be related to longer adjusting phase and decrease of movement speed in subjects with PCD. Kinematic variables were related to each other in moderate and strong way and indicated that the phases runtime influences the movement speed.

Author(s):  
Shin-Yuan Yu ◽  
Bernard J. Martin

Coordination of human movement includes temporal and spatial aspects. Under the assumption that the implicit movement sequence of body segments may be associated with visual feedback information, the activation timing, time to peak velocity of the hand and sequencing of joint movements were investigated in this study. The results show that variations in movement time with target azimuth and distance fit a quadratic regression model. In addition, the time to peak velocity reveals a movement scaling property in the context of self-imposed movement speed. Finally, the sequencing of joint movement also varies with target azimuth and distance. These motor behavior properties and movement characteristics can be used to model human reach movement in a dynamic manner and to estimate task durations.


2018 ◽  
Vol 31 (1) ◽  
pp. 22-29 ◽  
Author(s):  
Shu-Mei Wang ◽  
Li-Chieh Kuo ◽  
Wen-Chen Ouyang ◽  
Hsiao-Man Hsu ◽  
Hui-Ing Ma

Background/Objective Patients with schizophrenia not only have psychiatric symptoms, but also have movement problems, which might also be associated with their reduced quality of life. Little is known about how to improve their movement performance for patients. Manipulating object size and distance is common in occupational therapy practice to evaluate and optimize reaching performance in patients with physical disabilities, but effects of the manipulation in patients with schizophrenia remain unclear. The purpose of this study was to examine whether object size and distance could change performance of reaching kinematics in patients with mild schizophrenia. Methods Twenty-nine patients with mild schizophrenia and 15 age- and gender-matched healthy controls were required to reach for, as quickly as possible, a small or large object that was placed at a near or far distance. We measured movement time, peak velocity, path length ratio, percentage of time to peak velocity, and movement units to infer movement speed, forcefulness, spatial efficiency (directness), control strategies, and smoothness. Results Patients’ reaching movements were slower ( p = .017) and less direct ( p = .007) than those of controls. A larger object induced faster ( p = .016), more preprogrammed ( p = .018), and more forceful ( p = .010) movements in patients. A farther object induced slower, more feedback dependent, but more forceful and more direct movements (all p < .001). Conclusion The results of kinematic deficiencies suggest the need of movement training for patients with mild schizophrenia. Occupational therapists may grade or adapt reaching activities by changing object size and distance to enhance movement performance in patients with schizophrenia.


2021 ◽  
Vol 23 (1) ◽  
Author(s):  
Marco Spartera ◽  
Guilherme Pessoa-Amorim ◽  
Antonio Stracquadanio ◽  
Adam Von Ende ◽  
Alison Fletcher ◽  
...  

Abstract Background Four-dimensional (4D) flow cardiovascular magnetic resonance (CMR) allows sophisticated quantification of left atrial (LA) blood flow, and could yield novel biomarkers of propensity for intra-cardiac thrombus formation and embolic stroke. As reproducibility is critically important to diagnostic performance, we systematically investigated technical and temporal variation of LA 4D flow in atrial fibrillation (AF) and sinus rhythm (SR). Methods Eighty-six subjects (SR, n = 64; AF, n = 22) with wide-ranging stroke risk (CHA2DS2VASc 0–6) underwent LA 4D flow assessment of peak and mean velocity, vorticity, vortex volume, and stasis. Eighty-five (99%) underwent a second acquisition within the same session, and 74 (86%) also returned at 30 (27–35) days for an interval scan. We assessed variability attributable to manual contouring (intra- and inter-observer), and subject repositioning and reacquisition of data, both within the same session (same-day scan–rescan), and over time (interval scan). Within-subject coefficients of variation (CV) and bootstrapped 95% CIs were calculated and compared. Results Same-day scan–rescan CVs were 6% for peak velocity, 5% for mean velocity, 7% for vorticity, 9% for vortex volume, and 10% for stasis, and were similar between SR and AF subjects (all p > 0.05). Interval-scan variability was similar to same-day scan–rescan variability for peak velocity, vorticity, and vortex volume (all p > 0.05), and higher for stasis and mean velocity (interval scan CVs of 14% and 8%, respectively, both p < 0.05). Longitudinal changes in heart rate and blood pressure at the interval scan in the same subjects were associated with significantly higher variability for LA stasis (p = 0.024), but not for the remaining flow parameters (all p > 0.05). SR subjects showed significantly greater interval-scan variability than AF patients for mean velocity, vortex volume, and stasis (all p < 0.05), but not peak velocity or vorticity (both p > 0.05). Conclusions LA peak velocity and vorticity are the most reproducible and temporally stable novel LA 4D flow biomarkers, and are robust to changes in heart rate, blood pressure, and differences in heart rhythm.


2007 ◽  
Vol 45 (9) ◽  
pp. 628-633 ◽  
Author(s):  
Nigel Paneth ◽  
Hong Qiu ◽  
Saroj Saigal ◽  
Sharif Bishai ◽  
James Jetton BS ◽  
...  

Author(s):  
Jan Willem Gorter ◽  
Peter L Rosenbaum ◽  
Steven E Hanna ◽  
Robert J Palisano ◽  
Doreen J Bartlett ◽  
...  

2012 ◽  
Vol 15 (sup1) ◽  
pp. 177-179 ◽  
Author(s):  
A. Sebsadji ◽  
N. Khouri ◽  
K. Djemal ◽  
D. Yepremian ◽  
F. Hareb ◽  
...  
Keyword(s):  

2020 ◽  
Vol 26 (3) ◽  
pp. 38-41
Author(s):  
N. A. Yulov

The article describes the experience of using laser puncturing methods for dysarthria in children with all forms of cerebral palsy. Statistical data of treated children with dysarthria by age, types of dysarthria and the results of course treatment with laser punctures on the s calp zones and acupuncture points of the corporeal meridians were analyzed and points of the auricle depending on the form of cerebral palsy and the type of dysarthria according to the pathogenetic criterion in 334 children for the period from 2017 to 2019. Based on the visual study of the volume of active movements of articulatory muscles, qualitative and quantitative dynamics of speech activity, a conclusion was made about the positive effectiveness in 200 (63 %) children. The greatest effectiveness was observed among children over 7 years of age – 60 % (200 children) and in pseudobulbar 79 % (197 children), cerebellar 77 % (31 children), subcortical 52 % (13 children) dysarthria. The lowest effectiveness was observed in children with severe forms of dysarthria by the degree of intelligibility to others (classification of J. Tardieu) 40 % (134 children) and in children under 7 years of age (32 %), with mixed dysarthria 45 % (9 children). The results of treatment allow us to conclude that the laser puncturing it is effective and should be systematically (1 time in 3 months if possible) included in the complex of sanatorium-resort rehabilitation for dysarthria in children with cerebral palsy, which will speed up the recovery time of articulation.


2010 ◽  
Vol 90 (11) ◽  
pp. 1660-1672 ◽  
Author(s):  
Doreen J. Bartlett ◽  
Lisa A. Chiarello ◽  
Sarah Westcott McCoy ◽  
Robert J. Palisano ◽  
Peter L. Rosenbaum ◽  
...  

This perspective article provides an example of a study planned using guidelines for comprehensive rehabilitation outcomes research, an approach that is believed to give service providers meaningful evidence to support practice. This line of investigation has been guided by the World Health Organization's International Classification of Functioning, Disability and Health. The short title of a study under way is Move & PLAY (Movement and Participation in Life Activities of Young Children). The article briefly describes the conceptual model, provides guidelines on how indicators and measures are selected, alludes to the details of selected measures, and describes processes of preparing for data collection, including obtaining ethics approval, preparing data collection booklets, training assessors and interviewers, and sampling. The aim of this investigation is to gain a better understanding of the multiple child, family, and service factors associated with changes in mobility, self-care, and play of preschool children with cerebral palsy as a result of using this research method. Comprehensive rehabilitation outcomes research holds promise in providing evidence that supports the complexities of planning rehabilitation services with clients with chronic conditions, such as children with cerebral palsy.


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