Pub Date : 2018-08-30eCollection Date: 2018-01-01DOI: 10.1155/2018/7879895
Gahangir Hossain, Mark H Myers, Robert Kozma
Research in last few years on neurophysiology focused on several areas across the cortex during cognitive processing to determine the dominant direction of electrical activity. However, information about the frequency and direction of episodic synchronization related to higher cognitive functions remain unclear. Our aim was to determine whether neural oscillations carry perceptual information as spatial patterns across the cortex, which could be found in the scalp EEG of human subjects while being engaged in visual sensory stimulation. Magnitude squared coherence of neural activity during task states that "finger movement with Eyes Open (EO) or Eyes Wandering (EW)" among all electrode combinations has the smallest standard deviation and variations. Additionally, the highest coherence among the electrode pairs occurred between alpha (8-12 Hz) and beta (12-16 Hz) ranges. Our results indicate that alpha rhythms seem to be regulated during activities when an individual is focused on a given task. Beta activity, which has also been implicated in cognitive processing to neural oscillations, is seen in our work as a manner to integrate external stimuli to higher cognitive activation. We have found spatial network organization which served to classify the EEG epochs in time with respect to the stimuli class. Our findings suggest that cortical neural signaling utilizes alpha-beta phase coupling during cognitive processing states, where beta activity has been implicated in shifting cognitive states. Significance. Our approach has found frontoparietal attentional mechanisms in shifting brain states which could provide new insights into understanding the global cerebral dynamics of intentional activity and reflect how the brain allocates resources during tasking and cognitive processing states.
{"title":"Spatial Directionality Found in Frontal-Parietal Attentional Networks.","authors":"Gahangir Hossain, Mark H Myers, Robert Kozma","doi":"10.1155/2018/7879895","DOIUrl":"https://doi.org/10.1155/2018/7879895","url":null,"abstract":"<p><p>Research in last few years on neurophysiology focused on several areas across the cortex during cognitive processing to determine the dominant direction of electrical activity. However, information about the frequency and direction of episodic synchronization related to higher cognitive functions remain unclear. Our aim was to determine whether neural oscillations carry perceptual information as spatial patterns across the cortex, which could be found in the scalp EEG of human subjects while being engaged in visual sensory stimulation. Magnitude squared coherence of neural activity during task states that \"finger movement with Eyes Open (EO) or Eyes Wandering (EW)\" among all electrode combinations has the smallest standard deviation and variations. Additionally, the highest coherence among the electrode pairs occurred between alpha (8-12 Hz) and beta (12-16 Hz) ranges. Our results indicate that alpha rhythms seem to be regulated during activities when an individual is focused on a given task. Beta activity, which has also been implicated in cognitive processing to neural oscillations, is seen in our work as a manner to integrate external stimuli to higher cognitive activation. We have found spatial network organization which served to classify the EEG epochs in time with respect to the stimuli class. Our findings suggest that cortical neural signaling utilizes alpha-beta phase coupling during cognitive processing states, where beta activity has been implicated in shifting cognitive states. <i>Significance.</i> Our approach has found frontoparietal attentional mechanisms in shifting brain states which could provide new insights into understanding the global cerebral dynamics of intentional activity and reflect how the brain allocates resources during tasking and cognitive processing states.</p>","PeriodicalId":91144,"journal":{"name":"Neuroscience journal","volume":"2018 ","pages":"7879895"},"PeriodicalIF":0.0,"publicationDate":"2018-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/7879895","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36503649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-22eCollection Date: 2018-01-01DOI: 10.1155/2018/4852359
Soichiro Nakahara, Megumi Adachi, Hiroyuki Ito, Mitsuyuki Matsumoto, Katsunori Tajinda, Theo G M van Erp
Accumulating evidence points to the association of epilepsy, particularly, temporal lobe epilepsy (TLE), with psychiatric disorders, such as schizophrenia. Among these illnesses, the hippocampus is considered the regional focal point of the brain, playing an important role in cognition, psychosis, and seizure activity and potentially suggesting common etiologies and pathophysiology of TLE and schizophrenia. In the present review, we overview abnormal network connectivity between the dentate gyrus (DG) and the Cornus Ammonis area 3 (CA3) subregions of the hippocampus relative to the induction of epilepsy and schizophrenia. In light of our recent finding on the misguidance of hippocampal mossy fiber projection in the rodent model of schizophrenia, we discuss whether ectopic mossy fiber projection is a commonality in order to evoke TLE as well as symptoms related to schizophrenia.
{"title":"Hippocampal Pathophysiology: Commonality Shared by Temporal Lobe Epilepsy and Psychiatric Disorders.","authors":"Soichiro Nakahara, Megumi Adachi, Hiroyuki Ito, Mitsuyuki Matsumoto, Katsunori Tajinda, Theo G M van Erp","doi":"10.1155/2018/4852359","DOIUrl":"https://doi.org/10.1155/2018/4852359","url":null,"abstract":"<p><p>Accumulating evidence points to the association of epilepsy, particularly, temporal lobe epilepsy (TLE), with psychiatric disorders, such as schizophrenia. Among these illnesses, the hippocampus is considered the regional focal point of the brain, playing an important role in cognition, psychosis, and seizure activity and potentially suggesting common etiologies and pathophysiology of TLE and schizophrenia. In the present review, we overview abnormal network connectivity between the dentate gyrus (DG) and the Cornus Ammonis area 3 (CA3) subregions of the hippocampus relative to the induction of epilepsy and schizophrenia. In light of our recent finding on the misguidance of hippocampal mossy fiber projection in the rodent model of schizophrenia, we discuss whether ectopic mossy fiber projection is a commonality in order to evoke TLE as well as symptoms related to schizophrenia.</p>","PeriodicalId":91144,"journal":{"name":"Neuroscience journal","volume":"2018 ","pages":"4852359"},"PeriodicalIF":0.0,"publicationDate":"2018-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/4852359","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35970111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01Epub Date: 2017-02-26DOI: 10.1155/2017/6328569
Rocco Cavaleri, Siobhan M Schabrun, Lucy S Chipchase
The delivery of five stimuli to each cranial site is recommended during transcranial magnetic stimulation (TMS) mapping. However, this time-consuming practice restricts the use of TMS mapping beyond the research environment. While reducing the number of stimuli administered to each cranial site may improve efficiency and decrease physiological demand, doing so may also compromise the procedure's validity. Therefore, the aim of this study was to determine the minimum number of stimuli per cranial site required to obtain valid outcomes during TMS mapping. Map volume and centre of gravity (CoG) recordings obtained using five stimuli per cranial site were retrospectively compared to those obtained using one, two, three, and four stimuli per cranial site. For CoG longitude, one stimulus per cranial site produced valid recordings (ICC = 0.91, 95% CI 0.82 to 0.95). However, this outcome is rarely explored in isolation. As two stimuli per cranial site were required to obtain valid CoG latitude (ICC = 0.99, 95% CI 0.99 to 0.99) and map volume (ICC = 0.99, 95% CI 0.99 to 0.99) recordings, it is recommended that a minimum of two stimuli be delivered to each cranial site during TMS mapping in order to obtain valid outcomes.
在经颅磁刺激(TMS)测绘过程中,建议对每个颅部位进行5次刺激。然而,这种耗时的做法限制了TMS图谱在研究环境之外的使用。虽然减少对每个颅骨部位的刺激次数可以提高效率并减少生理需求,但这样做也可能损害手术的有效性。因此,本研究的目的是确定在TMS制图过程中获得有效结果所需的每个颅骨部位的最小刺激数。回顾性比较每个颅位使用5个刺激获得的地图体积和重心(CoG)记录与每个颅位使用1、2、3和4个刺激获得的记录。对于CoG经度,每个颅位一个刺激产生有效记录(ICC = 0.91, 95% CI 0.82至0.95)。然而,很少孤立地探讨这一结果。由于每个颅位需要两个刺激才能获得有效的CoG纬度(ICC = 0.99, 95% CI 0.99至0.99)和地图体积(ICC = 0.99, 95% CI 0.99至0.99)记录,因此建议在TMS测绘期间,每个颅位至少需要两个刺激,以获得有效的结果。
{"title":"Determining the Optimal Number of Stimuli per Cranial Site during Transcranial Magnetic Stimulation Mapping.","authors":"Rocco Cavaleri, Siobhan M Schabrun, Lucy S Chipchase","doi":"10.1155/2017/6328569","DOIUrl":"https://doi.org/10.1155/2017/6328569","url":null,"abstract":"<p><p>The delivery of five stimuli to each cranial site is recommended during transcranial magnetic stimulation (TMS) mapping. However, this time-consuming practice restricts the use of TMS mapping beyond the research environment. While reducing the number of stimuli administered to each cranial site may improve efficiency and decrease physiological demand, doing so may also compromise the procedure's validity. Therefore, the aim of this study was to determine the minimum number of stimuli per cranial site required to obtain valid outcomes during TMS mapping. Map volume and centre of gravity (CoG) recordings obtained using five stimuli per cranial site were retrospectively compared to those obtained using one, two, three, and four stimuli per cranial site. For CoG longitude, one stimulus per cranial site produced valid recordings (ICC = 0.91, 95% CI 0.82 to 0.95). However, this outcome is rarely explored in isolation. As two stimuli per cranial site were required to obtain valid CoG latitude (ICC = 0.99, 95% CI 0.99 to 0.99) and map volume (ICC = 0.99, 95% CI 0.99 to 0.99) recordings, it is recommended that a minimum of two stimuli be delivered to each cranial site during TMS mapping in order to obtain valid outcomes.</p>","PeriodicalId":91144,"journal":{"name":"Neuroscience journal","volume":"2017 ","pages":"6328569"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/6328569","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34845634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01Epub Date: 2017-03-02DOI: 10.1155/2017/6017958
Ashutosh Pandey, Pradeep Sahota, Premkumar Nattanmai, Christopher R Newey
Objective. Research continues to highlight variability in hospital policy and documentation of brain death. The aim of our study was to characterize how strictly new guidelines of American Academy of Neurology (AAN) for death by neurological criteria were practiced in our hospital prior to appointment of neurointensivists. Method. This is a retrospective study of adults diagnosed as brain dead from 2011 to 2015. Descriptive statistics compared five categories: preclinical testing, neurological examination, apnea tests, ancillary test, and documentation of time of death. Strict adherence to AAN guidelines for brain death determination was determined. Result. 76 patients were included in this study. Preclinical prerequisites were fulfilled in 53.9% and complete neurological examinations were documented in 76.3%. Apnea test was completed in 39.5%. Ancillary test was completed in 29.8%. Accurate documentation of time of death occurred in 59.2%. Overall, strict adherence to current AAN guidelines for death by neurological criteria was correctly documented in 38.2%. Conclusion. Our study shows wide variability in diagnosing brain death. These findings led us to update our death by neurological criteria policy and increase awareness of brain death determination with the goal of improving our documentation following current AAN guidelines.
{"title":"Variability in Diagnosing Brain Death at an Academic Medical Center.","authors":"Ashutosh Pandey, Pradeep Sahota, Premkumar Nattanmai, Christopher R Newey","doi":"10.1155/2017/6017958","DOIUrl":"https://doi.org/10.1155/2017/6017958","url":null,"abstract":"<p><p><i>Objective</i>. Research continues to highlight variability in hospital policy and documentation of brain death. The aim of our study was to characterize how strictly new guidelines of American Academy of Neurology (AAN) for death by neurological criteria were practiced in our hospital prior to appointment of neurointensivists. <i>Method</i>. This is a retrospective study of adults diagnosed as brain dead from 2011 to 2015. Descriptive statistics compared five categories: preclinical testing, neurological examination, apnea tests, ancillary test, and documentation of time of death. Strict adherence to AAN guidelines for brain death determination was determined. <i>Result</i>. 76 patients were included in this study. Preclinical prerequisites were fulfilled in 53.9% and complete neurological examinations were documented in 76.3%. Apnea test was completed in 39.5%. Ancillary test was completed in 29.8%. Accurate documentation of time of death occurred in 59.2%. Overall, strict adherence to current AAN guidelines for death by neurological criteria was correctly documented in 38.2%. <i>Conclusion</i>. Our study shows wide variability in diagnosing brain death. These findings led us to update our death by neurological criteria policy and increase awareness of brain death determination with the goal of improving our documentation following current AAN guidelines.</p>","PeriodicalId":91144,"journal":{"name":"Neuroscience journal","volume":"2017 ","pages":"6017958"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/6017958","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34864257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01Epub Date: 2017-11-08DOI: 10.1155/2017/5629563
Ave Minajeva, Marju Kase, Mikk Saretok, Aidi Adamson-Raieste, Sandra Kase, Kristi Niinepuu, Markus Vardja, Toomas Asser, Jana Jaal
Glioblastoma (GB) is the most angiogenic tumor. Nevertheless, antiangiogenic therapy has not shown significant clinical efficacy. The aim of this study was to assess blood vessel characteristics on survival of GB patients. Surgically excised GB tissues were histologically examined for overall proportion of glomeruloid microvascular proliferation (MP) and the total number of blood vessels. Also, immunohistochemical vascular staining intensities of CD133 and ICAM-1 were determined. Vessel parameters were correlated with patients' overall survival. The survival time depended on the number of blood vessels (p = 0.03) but not on the proportion of MP. Median survival times for patients with low (p = 0.02). For success in antiangiogenic therapy, better understanding about tumor vasculature biology is needed.
{"title":"Impact of Blood Vessel Quantity and Vascular Expression of CD133 and ICAM-1 on Survival of Glioblastoma Patients.","authors":"Ave Minajeva, Marju Kase, Mikk Saretok, Aidi Adamson-Raieste, Sandra Kase, Kristi Niinepuu, Markus Vardja, Toomas Asser, Jana Jaal","doi":"10.1155/2017/5629563","DOIUrl":"https://doi.org/10.1155/2017/5629563","url":null,"abstract":"<p><p>Glioblastoma (GB) is the most angiogenic tumor. Nevertheless, antiangiogenic therapy has not shown significant clinical efficacy. The aim of this study was to assess blood vessel characteristics on survival of GB patients. Surgically excised GB tissues were histologically examined for overall proportion of glomeruloid microvascular proliferation (MP) and the total number of blood vessels. Also, immunohistochemical vascular staining intensities of CD133 and ICAM-1 were determined. Vessel parameters were correlated with patients' overall survival. The survival time depended on the number of blood vessels (<i>p</i> = 0.03) but not on the proportion of MP. Median survival times for patients with low (<median) and high (≥median) number of blood vessels were 9.0 months (95% CI: 7.5-10.5) and 12.0 months (95% CI: 9.3-14.7). Also, median survival times for patients with low (<median) and high (≥median) vascular expression level of CD133 were 9.0 months (95% CI: 8.0-10.1) and 12.0 months (95% CI: 10.3-13.7). In contrast, the staining intensity of vascular ICAM-1 did not affect survival. In multivariate analysis, the number of blood vessels emerged as an independent predictor for longer overall survival (HR: 2.4, 95% CI: 1.2-5.0, <i>p</i> = 0.02). For success in antiangiogenic therapy, better understanding about tumor vasculature biology is needed.</p>","PeriodicalId":91144,"journal":{"name":"Neuroscience journal","volume":"2017 ","pages":"5629563"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/5629563","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35664641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
[This corrects the article DOI: 10.1155/2016/5317242.].
[这更正了文章DOI: 10.1155/2016/5317242.]。
{"title":"Corrigendum to \"Young-Adult Male Rats' Vulnerability to Chronic Mild Stress Is Reflected by Anxious-Like instead of Depressive-Like Behaviors\".","authors":"José Jaime Herrera-Pérez, Venus Benítez-Coronel, Graciela Jiménez-Rubio, Olivia Tania Hernández-Hernández, Lucía Martínez-Mota","doi":"10.1155/2017/8952079","DOIUrl":"https://doi.org/10.1155/2017/8952079","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1155/2016/5317242.].</p>","PeriodicalId":91144,"journal":{"name":"Neuroscience journal","volume":"2017 ","pages":"8952079"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/8952079","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34977841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Studies have demonstrated the utility of closed-loop neuromodulation in treating focal onset seizures. There is an utmost need of neurostimulation therapy for generalized tonic-clonic seizures. The study goals are to map the thalamocortical network dynamics during the generalized convulsive seizures and identify targets for reliable seizure detection.
Methods: Local field potentials were recorded from bilateral cortex, hippocampi, and centromedian thalami in Sprague-Dawley rats. Pentylenetetrazol was used to induce multiple convulsive seizures. The performances of two automated seizure detection methods (line length and P-operators) as a function of different cortical and subcortical structures were estimated. Multiple linear correlations-Granger's Causality was used to determine the effective connectivity.
Results: Of the 29 generalized tonic-clonic seizures analyzed, line length detected 100% of seizures in all the channels while the P-operator detected only 35% of seizures. The detection latencies were shortest in the thalamus in comparison to the cortex. There was a decrease in amplitude correlation within the thalamocortical network during the seizure, and flow of information was decreased from thalamus to hippocampal-parietal nodes.
Significance: The preclinical study confirms thalamus as a superior target for automated detection of generalized seizures and modulation of synchrony to increase coupling may be a strategy to abate seizures.
{"title":"Seizure Detection and Network Dynamics of Generalized Convulsive Seizures: Towards Rational Designing of Closed-Loop Neuromodulation.","authors":"Puneet Dheer, Ganne Chaitanya, Diana Pizarro, Rosana Esteller, Kaushik Majumdar, Sandipan Pati","doi":"10.1155/2017/9606213","DOIUrl":"https://doi.org/10.1155/2017/9606213","url":null,"abstract":"<p><strong>Objective: </strong>Studies have demonstrated the utility of closed-loop neuromodulation in treating focal onset seizures. There is an utmost need of neurostimulation therapy for generalized tonic-clonic seizures. The study goals are to map the thalamocortical network dynamics during the generalized convulsive seizures and identify targets for reliable seizure detection.</p><p><strong>Methods: </strong>Local field potentials were recorded from bilateral cortex, hippocampi, and centromedian thalami in Sprague-Dawley rats. Pentylenetetrazol was used to induce multiple convulsive seizures. The performances of two automated seizure detection methods (line length and P-operators) as a function of different cortical and subcortical structures were estimated. Multiple linear correlations-Granger's Causality was used to determine the effective connectivity.</p><p><strong>Results: </strong>Of the 29 generalized tonic-clonic seizures analyzed, line length detected 100% of seizures in all the channels while the P-operator detected only 35% of seizures. The detection latencies were shortest in the thalamus in comparison to the cortex. There was a decrease in amplitude correlation within the thalamocortical network during the seizure, and flow of information was decreased from thalamus to hippocampal-parietal nodes.</p><p><strong>Significance: </strong>The preclinical study confirms thalamus as a superior target for automated detection of generalized seizures and modulation of synchrony to increase coupling may be a strategy to abate seizures.</p>","PeriodicalId":91144,"journal":{"name":"Neuroscience journal","volume":"2017 ","pages":"9606213"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/9606213","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35781755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vennila Krishnan, I-Hung Khoo, P. Marayong, K. Demars, J. Cormack
Asymmetrical gait and a reduction in weight bearing on the affected side are a common finding in chronic stroke survivors. The purpose of this pilot study was to determine the effectiveness of a shoe insole device that we developed, called Walk-Even, in correcting asymmetric gait in chronic stroke survivors. Six individuals with chronic (>6 months) stroke underwent 8 weeks of intervention with 2 sessions/week, each consisting of 20 minutes of gait training and 20 minutes of lower-extremity strength training. The 2 control participants underwent conventional gait training, while 4 participants underwent gait training using the Walk-Even. Following intervention, all the participants improved on most of the gait measures: peak pressure of the foot, time of transfer of weight from heel-to-forefoot, center of pressure (COP) trajectory, COP velocity, asymmetry ratio of stance, mean-force-heel, mean-force-metatarsals, Timed “Up and Go,” and Activities-specific Balance Scale. The improvement was more pronounced in the 4 participants that underwent training with Walk-Even compared to the control participants. This pilot study suggests that a combination of strength and gait training with real-time feedback may reduce temporal asymmetry and enhance weight-bearing on the affected side in chronic stroke survivors. A large randomized controlled study is needed to confirm its efficacy.
{"title":"Gait Training in Chronic Stroke Using Walk-Even Feedback Device: A Pilot Study","authors":"Vennila Krishnan, I-Hung Khoo, P. Marayong, K. Demars, J. Cormack","doi":"10.1155/2016/6808319","DOIUrl":"https://doi.org/10.1155/2016/6808319","url":null,"abstract":"Asymmetrical gait and a reduction in weight bearing on the affected side are a common finding in chronic stroke survivors. The purpose of this pilot study was to determine the effectiveness of a shoe insole device that we developed, called Walk-Even, in correcting asymmetric gait in chronic stroke survivors. Six individuals with chronic (>6 months) stroke underwent 8 weeks of intervention with 2 sessions/week, each consisting of 20 minutes of gait training and 20 minutes of lower-extremity strength training. The 2 control participants underwent conventional gait training, while 4 participants underwent gait training using the Walk-Even. Following intervention, all the participants improved on most of the gait measures: peak pressure of the foot, time of transfer of weight from heel-to-forefoot, center of pressure (COP) trajectory, COP velocity, asymmetry ratio of stance, mean-force-heel, mean-force-metatarsals, Timed “Up and Go,” and Activities-specific Balance Scale. The improvement was more pronounced in the 4 participants that underwent training with Walk-Even compared to the control participants. This pilot study suggests that a combination of strength and gait training with real-time feedback may reduce temporal asymmetry and enhance weight-bearing on the affected side in chronic stroke survivors. A large randomized controlled study is needed to confirm its efficacy.","PeriodicalId":91144,"journal":{"name":"Neuroscience journal","volume":"2016 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/6808319","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64490524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nathalie Ribeiro Artigas, G. D. Eltz, Alexandre Severo do Pinho, V. Torman, A. Hilbig, C. Rieder
Background. Changes in proprioception may contribute to postural instability in individuals with neurological disorders. Objectives. Evaluate proprioception in the lower limbs of patients with Parkinson's disease (PD) and the association between proprioception and cognitive ability, motor symptoms, postural instability, and disease severity. Methods. This is a cross-sectional, controlled study that evaluated proprioception in PD patients and healthy age- and sex-matched individuals. Kinetic postural proprioception of the knee was evaluated using an isokinetic dynamometer (Biodex® Multi-Joint System 4 Pro). Participants were evaluated using the Montreal Cognitive Assessment (MoCA), the Hoehn and Yahr rating scale and postural instability (pull test and stabilometric analysis), and motor function (UPDRS-III) tests. Results. A total of 40 individuals were enrolled in the study: 20 PD patients and 20 healthy controls (CG). The PD patients had higher angular errors on the proprioceptive ratings than the CG participants (p = 0.002). Oscillations of the center of pressure (p = 0.002) were higher in individuals with PD than in the controls. Proprioceptive errors in the PD patients were associated with the presence of tremors as the dominant symptom and more impaired motor performance. Conclusion. These findings show that individuals with PD have proprioceptive deficits, which are related to decreased cognitive ability and impaired motor symptoms.
背景。本体感觉的改变可能导致神经系统疾病患者的体位不稳定。目标。评估帕金森病(PD)患者下肢本体感觉,以及本体感觉与认知能力、运动症状、姿势不稳定和疾病严重程度之间的关系。方法。这是一项横断面对照研究,评估PD患者和健康的年龄和性别匹配的个体的本体感觉。采用等速测力仪(Biodex®Multi-Joint System 4 Pro)评估膝关节的动态体位本体感觉。参与者使用蒙特利尔认知评估(MoCA)、Hoehn和Yahr评定量表、姿势不稳定性(拉力测试和稳定性分析)和运动功能(UPDRS-III)测试进行评估。结果。共有40人参加了这项研究:20名PD患者和20名健康对照(CG)。PD组本体感觉评分的角度误差高于CG组(p = 0.002)。PD患者的压力中心振荡(p = 0.002)高于对照组。PD患者本体感觉错误与震颤为主要症状和更多的运动功能受损有关。结论。这些发现表明,PD患者存在本体感觉缺陷,这与认知能力下降和运动症状受损有关。
{"title":"Evaluation of Knee Proprioception and Factors Related to Parkinson's Disease","authors":"Nathalie Ribeiro Artigas, G. D. Eltz, Alexandre Severo do Pinho, V. Torman, A. Hilbig, C. Rieder","doi":"10.1155/2016/6746010","DOIUrl":"https://doi.org/10.1155/2016/6746010","url":null,"abstract":"Background. Changes in proprioception may contribute to postural instability in individuals with neurological disorders. Objectives. Evaluate proprioception in the lower limbs of patients with Parkinson's disease (PD) and the association between proprioception and cognitive ability, motor symptoms, postural instability, and disease severity. Methods. This is a cross-sectional, controlled study that evaluated proprioception in PD patients and healthy age- and sex-matched individuals. Kinetic postural proprioception of the knee was evaluated using an isokinetic dynamometer (Biodex® Multi-Joint System 4 Pro). Participants were evaluated using the Montreal Cognitive Assessment (MoCA), the Hoehn and Yahr rating scale and postural instability (pull test and stabilometric analysis), and motor function (UPDRS-III) tests. Results. A total of 40 individuals were enrolled in the study: 20 PD patients and 20 healthy controls (CG). The PD patients had higher angular errors on the proprioceptive ratings than the CG participants (p = 0.002). Oscillations of the center of pressure (p = 0.002) were higher in individuals with PD than in the controls. Proprioceptive errors in the PD patients were associated with the presence of tremors as the dominant symptom and more impaired motor performance. Conclusion. These findings show that individuals with PD have proprioceptive deficits, which are related to decreased cognitive ability and impaired motor symptoms.","PeriodicalId":91144,"journal":{"name":"Neuroscience journal","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/6746010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64488426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background and Aim. First-line treatment strategy for managing cervical disc herniation is conservative measures. In some cases, surgery is indicated either due to signs/symptoms of severe/progressive neurological deficits, or because of persistence of radicular pain despite 12 weeks of conservative treatment. Success for treatment of cervical disc herniation using ACDF has been successfully reported in the literature. We aim to determine the outcome of ACDF in treatment of cervical disc herniation among Iranians. Methods and Materials/Patients. In a retrospective cohort study, we evaluated 68 patients who had undergone ACDF for cervical disc herniation from March 2006 to March 2011. Outcome tools were as follows: (1) study-designed questionnaire that addressed residual and/or new complaints and subjective satisfaction with the operation; (2) recent (one week prior to the interview) postoperative VAS for neck and upper extremity radicular pain; (3) Japanese Orthopaedic Association Myelopathy Evaluation Questionnaire (JOACMEQ) (standard Persian version); and (4) follow-up cervical Magnetic Resonance Imaging (MRI) and lateral X-ray. Results. With mean follow-up time of 52.93 (months) ± 31.89 SD (range: 13–131 months), we had success rates with regard to ΔVAS for neck and radicular pain of 88.2% and 89.7%, respectively. Except QOL functional score of JOAMEQ, 100% success rate for the other 4 functional scores of JOAMEQ was achieved. Conclusion. ACDF is a successful surgical technique for the management of cervical disc herniation among Iranian population.
{"title":"An Outcome Study of Anterior Cervical Discectomy and Fusion among Iranian Population","authors":"A. Haghnegahdar, M. Sedighi","doi":"10.1155/2016/4654109","DOIUrl":"https://doi.org/10.1155/2016/4654109","url":null,"abstract":"Background and Aim. First-line treatment strategy for managing cervical disc herniation is conservative measures. In some cases, surgery is indicated either due to signs/symptoms of severe/progressive neurological deficits, or because of persistence of radicular pain despite 12 weeks of conservative treatment. Success for treatment of cervical disc herniation using ACDF has been successfully reported in the literature. We aim to determine the outcome of ACDF in treatment of cervical disc herniation among Iranians. Methods and Materials/Patients. In a retrospective cohort study, we evaluated 68 patients who had undergone ACDF for cervical disc herniation from March 2006 to March 2011. Outcome tools were as follows: (1) study-designed questionnaire that addressed residual and/or new complaints and subjective satisfaction with the operation; (2) recent (one week prior to the interview) postoperative VAS for neck and upper extremity radicular pain; (3) Japanese Orthopaedic Association Myelopathy Evaluation Questionnaire (JOACMEQ) (standard Persian version); and (4) follow-up cervical Magnetic Resonance Imaging (MRI) and lateral X-ray. Results. With mean follow-up time of 52.93 (months) ± 31.89 SD (range: 13–131 months), we had success rates with regard to ΔVAS for neck and radicular pain of 88.2% and 89.7%, respectively. Except QOL functional score of JOAMEQ, 100% success rate for the other 4 functional scores of JOAMEQ was achieved. Conclusion. ACDF is a successful surgical technique for the management of cervical disc herniation among Iranian population.","PeriodicalId":91144,"journal":{"name":"Neuroscience journal","volume":"2016 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/4654109","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64390847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}