VIRTUOSITY AS A STYLE DEVELOPING FACTOR IN LATE C. SAINT-SAËNS’S OEUVRES: A CASE STUDY OF “THE LEFT-HAND ÉTUDES” OP. 135

2020 ◽  
pp. 29-35
Author(s):  
O. M. Klendii
Keyword(s):  
2019 ◽  
Vol 5 (1) ◽  
Author(s):  
A. Rodionov ◽  
S. Savolainen ◽  
E. Kirveskari ◽  
J. P. Mäkelä ◽  
A. Shulga

Abstract Introduction This case study explores the gains in hand function in an individual with a chronic spinal cord injury (SCI). The intervention was long-term paired associative simulation (PAS). We aimed to provide PAS until full recovery of hand muscle strength occurred, or until improvements ceased. Case presentation A 46-year-old man with traumatic C7 AIS B tetraplegia was administered PAS three times per week. After 24 weeks, PAS was combined with concomitant motor training of the remaining weak hand muscles. Outcome measures included the manual muscle test (MMT), motor-evoked potentials (MEPs), F-responses, hand functional tests, and the spinal cord independence measure (SCIM). Discussion After 47 weeks of PAS the subject had improved self-care and indoor mobility and was able to perform complex motor tasks (SCIM score improved from 40 to 56). His left hand regained maximum MMT score (total 75; increase of score from baseline condition 19); the effect remained stable in the 32-week follow up. In the right-hand muscles, MMT scores of 4–5 were observed in follow up (total 71; increase from baseline 48). Improved values were also observed in other outcomes. This is the first demonstration of long-term PAS restoring muscle strength corresponding to MMT scores of 4–5 in an individual with chronic SCI. The effect persisted for several months, indicating that PAS induces stable plastic changes in the corticospinal pathway.


2004 ◽  
Vol 9 (5) ◽  
pp. 4-10

Abstract This Case Study involves a 49-year-old, right-handed laborer whose impairment rating was performed by two surgeons in California following right- and left-hand endoscopic carpal tunnel release surgeries. He was evaluated by both physicians as permanent and stationary with 30% disability according to one rater and 19% by the second rater. Both raters used grip strength measurements tested using a dynamometer by the first evaluating physician and also discussed by the second evaluator. Both evaluators assessed permanent disability. The authors of this Case Study now pause to ask about problems associated with these reports and how the case should be rated; readers are encouraged to perform their own assessments before continuing with the answers and discussion that appear several pages later in this issue of The Guides Newsletter. The authors note that neither report met standards defined in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides): both histories are inadequate (eg, results of any sensory testing), as is the clinical discussion. Further, the AMA Guides indicates that it is inappropriate to rate the individual based on weakness of grip strength. In this, as in other aspects of the initial ratings, the evaluators should have followed the AMA Guides more closely, citing appropriate text and tables both for the conduct of the tests and arriving at appropriate impairment ratings. Doing so, in this instance, would result in a rating of 2% whole person permanent impairment.


2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Inês Sobreira ◽  
Cátia Sousa ◽  
Ana Raposo ◽  
M. Rita Soares ◽  
Ana Soudo ◽  
...  

Hereditary neuropathy with liability to pressure palsy (HNPP) results from the deletion of thePMP22gene in chromosome 17p11.2. Clinically, it presents with painless pressure palsies, typically in the 2nd and 3rd decades of life, being a rare entity in childhood. We present the case study of a six-year-old male child who presented with left hand drop that he kept for over four weeks. Electrophysiological studies suggested HNPP and genetic studies confirmed it. With this paper, we pretend to create awareness to this entity as a diagnosis to be considered in a child with painless monoparesis and to emphasize the importance of electrophysiological studies in the diagnosis.


2015 ◽  
Vol 101 (2) ◽  
pp. 360-368 ◽  
Author(s):  
I. Wollman ◽  
C. Fritz ◽  
J. Frelat

2020 ◽  
pp. 35-58
Author(s):  
Daphne Leong

How can a performer’s voice complement that of a theorist in the analysis of a musical work? This chapter takes the opening cadenza of Ravel’s Concerto for the Left Hand as a case study. Certain performance considerations—embodied facets, instrumental affordances, and affective implications—comprise warp and weft not only of the Concerto’s execution and interpretation, but also of its structure and meaning. The chapter explores the cadenza: visual and kinesthetic aspects, rhetorical and tonal function, form and structure, rhythmic features and performance issues. The analysis is informed by the authors’ experiences of performing the Concerto and by historical recordings of the work. Video performances and audio examples complement the written text.


1996 ◽  
Vol 2 (5) ◽  
pp. 412-418 ◽  
Author(s):  
John C. Marshall ◽  
Peter W. Halligan

AbstractWe report a case of severe visuo-spatial neglect consequent upon right-hemisphere stroke. At the time of testing, the patient had no visual field cut and no significant hemiparesis. Conventional testing on cancellation tasks with the right hand revealed reliable left neglect, but performance was significantly improved when the left hand was used. Investigations of (manual) line bisection showed normal performance with the right hand but right neglect when the left hand was used. Right neglect was also observed on a purely perceptual version of the line bisection task. We argue that the attentional vectors of the cerebral hemispheres can be modulated by (perceptual) task-demands and by (motorie) response demands. (JINS, 1996, 2, 412–418.)


2016 ◽  
Vol 30 (4) ◽  
pp. 39-54
Author(s):  
Jolanta Derbich

Abstract Introduction: Multiple sclerosis is a disease attacking the central nervous system. It develops when the myelin sheaths of nerve fibres, glial cells and immune cells are damaged [3]. The aim of this study was to present the project of adapting a bathroom to the needs and expectations of a person with MS and to show its implementation. Method: A direct interview with an MS client was conducted with COPM questionnaire (often used in occupational therapy) and medical documentation was analysed. Case study: Tadeusz (the client) was a 46-year-old man. He was diagnosed with MS when he was 43 years old. However, the first symptoms occurred two years earlier. In 2007 he underwent magnetic resonance and spine puncture examinations. The results confirmed a primary progressive type of MS. Identification of the client’s problem: the need of independence while washing, shaving and bathing. Tadeusz was not able to take a shower by himself because of the fear of losing balance and falling down in the bathroom. The weakness of the left hand muscles and the lack of support rails made it impossible to use the bathroom independently. During several meetings with the client, a plan of adapting his bathroom (fixing handrails and a wooden step) was developed and the manner of using these devices was practised. Conclusions: Two weeks after the bathroom adaptation was finished, it was assessed together with the client. It was concluded that the adaptation meets his expectations and the aim is being gradually achieved. In the reassessment process, an improvement by 3 points was noted. The “task performance” and “satisfaction” criteria were given 7 points (in the scale from 1 to 10) by the client. However, in the first assessment he evaluated these criteria by giving them 4 points each.


Author(s):  
Supriya . ◽  
Yogesh Kumar ◽  
Mayank Bhatkoti ◽  
Uttam Kumar Sharma

All skin disease under the sunshade of the Kustha, in other word it can be listed as “Ayurvedic dermatology” in Ayurveda. It is not a vis-à-vis correlation but one can cover up all dermatological manifestations under 18 subtypes of Kustha. All Kustha are Tridoshaja, hence Vicharchika can be explained in similar manner. Vicharchika have greater correlation with eczema/dermatitis in modern science. Eczema is a condition where patches of skin become inflamed, itchy, red, cracked and rough. A case of 67 year old male patient, presented with Kandu, Daha, Srava, Vedana, Vaivarnya, Vrana etc lakshanas of Vicharchika on his Vama Hasta (Left hand) with reoccurrence, since last 2 years, patient was tired of a lot of medicines, visited to Gurukul Campus, U.A.U, Haridwar for further treatment. Patient was treated with Virechana Karma and certain Shamana drugs. A remarkable improvement in the condition was observed in 1 month.


1981 ◽  
Vol 5 (3) ◽  
pp. 151-156 ◽  
Author(s):  
C. Fraser ◽  
A. W. Wing

Reaching involves both transport of the hand toward an object and opening of the hand by an appropriate amount before arrival at the object. Movements of a manually-controlled artificial left-hand are compared with movements of the hhnatural right-hand of a proficient user of an artificial hand. Although picking up of objects was slower with the artificial hand, similarities in opening and transport movements were observed in the two hands. Despite major mechanical differences in the systems subserving movement in the artificial and natural hands, the similarities extended to the separate movements of the thumb and finger. The strategy of artificial hand control employed by this subject is discussed and related to training new users of artificial hands.


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