Scoliosis Surgery Significantly Impacts Motor Abilities in Higher-functioning Individuals with Spinal Muscular Atrophy1

2020 ◽  
Vol 7 (2) ◽  
pp. 183-192
Author(s):  
Sally Dunaway Young ◽  
Jacqueline Montes ◽  
Rachel Salazar ◽  
Allan M. Glanzman ◽  
Amy Pasternak ◽  
...  
2007 ◽  
Author(s):  
Milena Morano ◽  
Laura Bortoli ◽  
Italo Sannicandro ◽  
Dario Colella

2012 ◽  
Vol 3 (2) ◽  
pp. 85-86
Author(s):  
Prof.Vucic Danijel ◽  
◽  
Dr.sc. Cular Drazen ◽  
Prof. Milic Mirjana
Keyword(s):  

2020 ◽  
Vol 32 (3) ◽  
pp. 423-431 ◽  
Author(s):  
Hiroki Ushirozako ◽  
Go Yoshida ◽  
Tomohiko Hasegawa ◽  
Yu Yamato ◽  
Tatsuya Yasuda ◽  
...  

OBJECTIVETranscranial motor evoked potential (TcMEP) monitoring may be valuable for predicting postoperative neurological complications with a high sensitivity and specificity, but one of the most frequent problems is the high false-positive rate. The purpose of this study was to clarify the differences in the risk factors for false-positive TcMEP alerts seen when performing surgery in patients with pediatric scoliosis and adult spinal deformity and to identify a method to reduce the false-positive rate.METHODSThe authors retrospectively analyzed 393 patients (282 adult and 111 pediatric patients) who underwent TcMEP monitoring while under total intravenous anesthesia during spinal deformity surgery. They defined their cutoff (alert) point as a final TcMEP amplitude of ≤ 30% of the baseline amplitude. Patients with false-positive alerts were classified into one of two groups: a group with pediatric scoliosis and a group with adult spinal deformity.RESULTSThere were 14 cases of false-positive alerts (13%) during pediatric scoliosis surgery and 62 cases of false-positive alerts (22%) during adult spinal deformity surgery. Compared to the true-negative cases during adult spinal deformity surgery, the false-positive cases had a significantly longer duration of surgery and greater estimated blood loss (both p < 0.001). Compared to the true-negative cases during pediatric scoliosis surgery, the false-positive cases had received a significantly higher total fentanyl dose and a higher mean propofol dose (0.75 ± 0.32 mg vs 0.51 ± 0.18 mg [p = 0.014] and 5.6 ± 0.8 mg/kg/hr vs 5.0 ± 0.7 mg/kg/hr [p = 0.009], respectively). A multivariate logistic regression analysis revealed that the duration of surgery (1-hour difference: OR 1.701; 95% CI 1.364–2.120; p < 0.001) was independently associated with false-positive alerts during adult spinal deformity surgery. A multivariate logistic regression analysis revealed that the mean propofol dose (1-mg/kg/hr difference: OR 3.117; 95% CI 1.196–8.123; p = 0.020), the total fentanyl dose (0.05-mg difference; OR 1.270; 95% CI 1.078–1.497; p = 0.004), and the duration of surgery (1-hour difference: OR 2.685; 95% CI 1.131–6.377; p = 0.025) were independently associated with false-positive alerts during pediatric scoliosis surgery.CONCLUSIONSLonger duration of surgery and greater blood loss are more likely to result in false-positive alerts during adult spinal deformity surgery. In particular, anesthetic doses were associated with false-positive TcMEP alerts during pediatric scoliosis surgery. The authors believe that false-positive alerts during pediatric scoliosis surgery, in particular, are caused by “anesthetic fade.”


2020 ◽  
Vol 8 (1) ◽  
pp. 128-134
Author(s):  
Viktoriya Lerner ◽  
Galina Deryabina ◽  
Aleksey Filatkin ◽  
Yana Platonova

The aim. The karate competition requires the athlete to have a comprehensive manifestation of motor abilities. At the same time, the motor-related area is closely connected with function of the auditory analyzer. Consequently, auditory deprivation affects all types of motor abilities, but, first of all, it affects coordination abilities, since they are implemented on a defective basis of the sensory systems involved in controlling movements. Technical means (punches and kicks, blocks) and tactical means (instant assessment of the situation and making the right decisions) of traditional karate effectively affect the correction of various manifestations of motor coordination. Moreover, the above mentioned karate means affect motor coordination through motor experience in the form of complicating previously mastered movements and mastering new movements with increased coordination difficulties. Methods and organization of the study. We used the following set of complementary theoretical methods to meet the challenge of theoretical substantiation of the research: analysis of psychological, pedagogical and methodical literature, scientific articles on adaptive physical culture, abstracting, generalization and concretization. Results. The research revealed the most common deviations in the manifestation of various components of coordination abilities of children with auditory deprivation. We specified sensitive periods of development of this type of motor qualities in children with hearing impairments. We identified basic karate techniques and actions, which favorably influence the course of development of coordination abilities. Conclusion. Correction and development of the coordination abilities of children with hearing impairments represent the primary task of adaptive physical education. The most favorable age is primary school age. Techniques and actions of traditional karate have a high potential of effective impact on all types of coordination abilities of children.


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