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Motor Imagery and Motor Coordination in Autism Spectrum Disorders: Similarities and Differences 自闭症谱系障碍的运动意象和运动协调:异同
Pub Date : 2018-01-01 DOI: 10.4172/2376-0281.1000310
A. Piedimonte, E. Nobile, R. Keller
Autism spectrum disorders (ASD) are composed by a variety of developmental deficits, such as problems in verbal communication and repetitive behaviours. Together with these social deficits, the recent literature has reported difficulties in motor coordination during the everyday life of children and adolescents with ASD. These motor deficits could be linked to a possible alteration of motor simulation processes in ASD but just a few studies attempted to directly compare motor imagery tasks and actual motor coordination within these disorders and specifically using the same task. In a recent study, the relationship between explicit motor imagery and motor execution has been investigated within the same experimental paradigm. The authors employed a spatial bimanual task called “circles-lines” task where participants are asked to draw with one hand (i.e., baseline), either hands (i.e., bimanual task) or try to imagine the movements with one hand while simultaneously draw with the other (i.e., imagery task). This task is a prototype of a complex bimanual skill and shows how these two processes can be studied together within the same paradigm. In particular, results of the study highlighted how motor imagery and motor coordination only partially follow the same path of development in ASD. Indeed, ASD participants showed much lower results in the motor imagery task in comparison to the performance in actual bimanual task, which was similar to the typically developed controls. In conclusion, the data show that motor imagery and actual coordination, even though interrelated processes which share similar brain areas, can be dissociated in ASD where development of spatial coordination consolidates earlier than motor imagery
自闭症谱系障碍(ASD)是由多种发育缺陷组成的,如语言交流问题和重复行为。与这些社会缺陷一起,最近的文献报道了自闭症儿童和青少年在日常生活中的运动协调困难。这些运动缺陷可能与ASD中运动模拟过程的可能改变有关,但只有少数研究试图直接比较这些疾病中的运动想象任务和实际运动协调任务,特别是使用相同的任务。在最近的一项研究中,外显运动意象和运动执行之间的关系在相同的实验范式下进行了调查。作者采用了一种叫做“圆-线”的空间双手任务,参与者被要求用一只手(即基线)或两只手(即双手任务)画画,或者尝试用一只手想象运动,同时用另一只手画画(即想象任务)。这个任务是一个复杂的双手技能的原型,并展示了这两个过程如何在同一范式中一起研究。特别是,研究结果强调了运动意象和运动协调在ASD中只是部分遵循相同的发展路径。事实上,与实际的双手任务相比,ASD参与者在运动想象任务中的表现要低得多,而实际的双手任务与典型的发展控制相似。综上所述,这些数据表明,尽管运动意象和实际协调是相互关联的过程,它们共享相似的大脑区域,但在ASD中,空间协调的发展比运动意象的发展更早得到巩固,因此它们可以分离
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引用次数: 4
Commentary on: Considering Developing a Specialized Epilepsy Employment Program? The PEP Jobs Program Paradigm 评论:考虑制定专门的癫痫患者就业计划?PEP工作计划范例
Pub Date : 2018-01-01 DOI: 10.4172/2376-0281.1000317
R. Fraser
The recently published editorial in Epilepsy and Behavior highlights the issues and concerns in developing a specialized program in neurological vocational rehabilitation. In this Commentary, diverse aspects of program development and maintenance will be synthesized from the Epilepsy and Behavior editorial and additional general considerations to be considered in specialized vocational rehabilitation program success are provided.
最近在《癫痫与行为》杂志上发表的社论强调了在发展神经职业康复专业项目中的问题和关注。在这篇评论中,项目发展和维护的各个方面将从癫痫和行为社论中综合出来,并提供了专业职业康复项目成功需要考虑的其他一般考虑因素。
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引用次数: 1
Helistroke: Neurointerventionalist Helicopter Transport for Interventional Stroke Treatment: A Short Commentary Helistroke:介入中风治疗的神经介入学家直升机运输:简短评论
Pub Date : 2018-01-01 DOI: 10.4172/2376-0281.1000321
A. Mekabaty, F. Hui
Recent randomized controlled trials have shown the efficacy of endovascular therapy in acute ischemic stroke due to large vessel occlusion. A pooled analysis of these trials has confirmed the known fact that time to intervention is a significant independent factor in good outcome in ischemic stroke. In order to reduce patient transfer time to an endovascular-capable stroke center, we analyzed the workflow in a novel case of helicopter transfer of neurointerventionalist to a stroke patient in a primary stroke center. This proof of concept case demonstrates the feasibility of such a process and offers an additional tool in advancing endovascular therapy in acute ischemic stroke.
最近的随机对照试验显示了血管内治疗因大血管闭塞引起的急性缺血性脑卒中的疗效。对这些试验的汇总分析证实了已知的事实,即干预时间是缺血性卒中预后良好的重要独立因素。为了减少患者转移到血管内功能卒中中心的时间,我们分析了一个新的病例,神经介入医生直升机转移到初级卒中中心的卒中患者的工作流程。这一概念验证案例证明了这一过程的可行性,并为推进急性缺血性卒中血管内治疗提供了额外的工具。
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引用次数: 0
Trigeminal Neuralgia Type 1: Earlier Microvascular Decompression is Associated with Improved Outcome 三叉神经痛1型:早期微血管减压与预后改善有关
Pub Date : 2018-01-01 DOI: 10.4172/2376-0281.1000307
D. Engel, J. Fournier, C. Yetimoglu, S. Haile
Background: Medication therapy is commonly accepted as the initial treatment of trigeminal neuralgia (TN). Microvascular decompression (MVD) is the surgical treatment with the highest efficacy, but is considered as last tier therapy for patients with medication refractory pain or for those with unbearable side effects. The aim of this study was to investigate the association of symptom duration on outcome. Methods: A retrospective study was conducted from 2001 through 2012. Patients were categorized according to Burchiel’s “Classification scheme for facial pains commonly encountered in neurosurgical practice”. Demographical, disease and treatment data as well as surgical data including complications and outcome were recorded and analyzed. Results: In total, 65 patients were included. Distribution of diagnoses was as follows: TN type 1 (>50% episodic pain) n=54, TN type 2 (>50% constant pain) n=4, neuropathic TN n=1, symptomatic TN due to multiple sclerosis n=3, post herpetic n=2. Onset of disease to surgery was on average 7 years (<1-21 years). Shorter time from disease onset to surgery had a statistically significant association with a pain-free outcome in only TN type 1 patients (6 vs. 13 years, p=0.01). Overall success rate in TN1 was 88.9%. Overall mortality and morbidity rate were 3%. Overall complication rate was 13.5%. Conclusion: Earlier MVD was significantly associated with better outcome. Patients should be informed about the option of MVD at an early stage of disease.
背景:药物治疗是三叉神经痛(TN)的首选治疗方法。微血管减压术(Microvascular decompression, MVD)是疗效最高的外科治疗方法,但对于药物难治性疼痛或副作用难以忍受的患者,被认为是最后一层治疗方法。本研究的目的是探讨症状持续时间与预后的关系。方法:2001 - 2012年进行回顾性研究。根据Burchiel的“神经外科实践中常见的面部疼痛分类方案”对患者进行分类。记录和分析人口统计、疾病和治疗资料以及手术资料,包括并发症和结果。结果:共纳入65例患者。诊断分布如下:TN 1型(>50%阵发性疼痛)n=54, TN 2型(>50%持续性疼痛)n=4,神经性TN n=1,多发性硬化所致症状性TN n=3,疱疹后n=2。从发病到手术平均为7年(<1 ~ 21年)。只有TN 1型患者从发病到手术时间较短与无痛预后有统计学意义的关联(6年vs 13年,p=0.01)。TN1总成功率为88.9%。总死亡率和发病率为3%。总并发症发生率为13.5%。结论:早期MVD患者预后较好。应在疾病早期告知患者MVD的选择。
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引用次数: 0
A Health Insurance System for Maintaining or Improving Activities of Daily living in Acute Wards in Japan 日本急症病房维持或改善日常生活活动的健康保险制度
Pub Date : 2018-01-01 DOI: 10.4172/2376-0281.1000324
Y. Aoyagi, E. Saitoh, Y. Kono, Etsuko Mori
Inpatients’ physical activity is commonly restricted because of treatment, leading to declines in Activities of Daily Living (ADLs) and prolonged hospital stay. In 2014, an additional health insurance system for maintaining or improving ADLs (“ADL ijikoujoto-taiseikasan” in Japanese) was newly established by the Japanese government. The fundamental policies for this system are as follows: (1) preventing functional declines of ADLs during hospitalization and facilitating early discharge and (2) enhancing multidisciplinary approaches and safety management, preventing disuse syndrome and pressure sores, and sharing information with patients and their families. To date, two studies have reported that immediate intervention by assigned physical and/or occupational therapists in acute wards under this health insurance system effectively prevents declines in ADLs and reduces hospital stay.
住院患者的身体活动通常因治疗而受到限制,导致日常生活活动(ADLs)下降和住院时间延长。2014年,日本政府新设立了维持或改善ADL的附加健康保险制度(ADL ijikoujoto-taiseikasan)。该系统的基本方针是:(1)预防ADLs住院期间功能下降,促进早期出院;(2)加强多学科治疗和安全管理,预防废用综合征和压疮,并与患者及家属共享信息。迄今为止,已有两项研究报道,在这种健康保险制度下,由指定的物理和/或职业治疗师在急症病房进行立即干预,有效地防止了adl的下降,并减少了住院时间。
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引用次数: 1
Efficacy of A-type Botulinum Toxin on Children with Equinus Foot Classified by the Plantarflexor – knee Extension Couple Index: A Retrospective Study A型肉毒毒素治疗以跖屈-膝关节伸偶指数分类的马足儿童疗效的回顾性研究
Pub Date : 2018-01-01 DOI: 10.4172/2376-0281.1000330
A. Ancillao, M. Galli, C. Condoluci
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引用次数: 0
Effectiveness of Gait Training Supported by Overhead Harness in Patients with Spinal Cord Injury (SCI) at Rehabilitation Centre in Bangladesh 孟加拉康复中心脊髓损伤(SCI)患者在顶置背带支持下步态训练的效果
Pub Date : 2018-01-01 DOI: 10.4172/2376-0281.1000332
M. A. Hossain, K. Hossain, Muzaffor Hossain, Iffat Rahaman, Farjana Taoheed, Kazi Imdadul Hoque, Md Shahoriar Ahmed
Methods: Quasi-experimental study design was chosen to fulfil aims of the study. 15 samples were selected by simple random selection process from inpatient SCI unit of Centre for the Rehabilitation of the Paralysed (CRP) from July 2017 to September, 2017. Neurological function was measured by ASIA (American Spinal Injury Association) scale, mobility capacity by using Spinal Cord Independence Measurement (SCIM) scale, gait speed was measured by using 10 m Walk Test (10MWT) and Berg Balance Scale (BBS) was used for measuring balance ability. Sociodemographic data were collected by a semi-structured questionnaire. Data was analyzed by using SPSS software version 20 which focused through descriptive statistics and paired t-test.
方法:采用准实验研究设计,以达到研究目的。采用简单随机抽样的方法,选取2017年7月至2017年9月在瘫痪者康复中心(CRP)住院脊髓损伤病房的患者样本15例。采用ASIA (American Spinal Injury Association)神经功能量表,SCIM (Spinal Cord Independence Measurement)运动能力量表,10m Walk Test (10MWT)步态速度,Berg Balance scale (BBS)平衡能力。通过半结构化问卷收集社会人口统计数据。数据分析采用SPSS软件第20版,重点采用描述性统计和配对t检验。
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引用次数: 1
Improving the Quality of Life in Persons with Dementia through a Pilot Study of a Creative Dance Movement Programme in an Asian Setting 透过在亚洲进行的创意舞蹈运动先导研究,改善痴呆症人士的生活质素
Pub Date : 2018-01-01 DOI: 10.4172/2376-0281.1000334
S. Hameed, Jinesh Shah, S. Ting, C. Gabriel, S. Tay, U. Chotphoksap, A. Liong
Methods: A prospective, cohort study was performed outpatient, on ten community-dwelling patients with mildmoderate dementia, with their care-givers. All the study participants underwent a creative dance movement programme (Everyday Waltzes) by two dance therapists, weekly for six weeks. The Alzheimer’s disease Quality of Life Inventory (ADQoL) scores of both patients and their caregivers’ impression of the patient’s quality of life in each of the 13 items, and combinations of items to obtain physical, social and psychological domains, pre and post intervention were recorded in a numerical scale. Wilcoxon’s signed rank test was used to determine the statistical significance of any change in summated score of each of the domains and overall score, post intervention in both patients and caregivers.
方法:一项前瞻性队列研究在门诊进行,对10名社区居住的轻度中度痴呆患者及其护理人员进行研究。所有的研究参与者都接受了两名舞蹈治疗师的创造性舞蹈运动项目(日常华尔兹),每周进行一次,为期六周。以数字量表记录干预前和干预后患者及其护理人员对患者生活质量的印象的阿尔茨海默病生活质量量表(ADQoL)得分,以及获得身体,社会和心理领域的项目组合。使用Wilcoxon 's sign rank检验来确定患者和护理人员在干预后每个域的总得分和总得分的任何变化的统计学意义。
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引用次数: 5
Life of Niels Stensen (1638-1686), who was the Pioneer Scientist and Great Neuroanatomist 尼尔斯·斯滕森(1638-1686)的生平,他是先驱科学家和伟大的神经解剖学家
Pub Date : 2018-01-01 DOI: 10.4172/2376-0281.1000303
I. Bahsi, S. S. Adanır, Semih Sayin
Danish scientist, Niels Stensen was a prosperous anatomist and in addition to that a pioneer in the areas of paleontology, geology, mineralogy and bishop. With his studies on subjects of anatomy, neuroscience, paleontology, mineralogy and geology Niels Stensen has major scientific contributions despite the difficult circumstances until his death at very young age.
丹麦科学家尼尔斯·斯坦森是一位成功的解剖学家,此外,他还是古生物学、地质学、矿物学和主教学领域的先驱。他在解剖学、神经科学、古生物学、矿物学和地质学等学科的研究中,尽管环境困难,但尼尔斯·斯坦森在很小的时候就去世了,他在科学上做出了重大贡献。
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引用次数: 1
A Short Commentary on "VHL Gene Mutation Analysis of a Chinese Family with Non-Syndromic Pheochromocytomas and Patients with Apparently Sporadic Pheochromocytoma" 《中国非综合征型嗜铬细胞瘤家族与明显散发性嗜铬细胞瘤患者的VHL基因突变分析》述评
Pub Date : 2018-01-01 DOI: 10.4172/2376-0281.1000305
Bin Zhang, Dehui Chang, Weiping Li, Jing Qian, Fenghai Zhou, Yang-min Wang, D. Zhou, Gou-mei Qiao
Copyright: © 2018 Zhang B, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. A Short Commentary on “VHL Gene Mutation Analysis of a Chinese Family with Non-Syndromic Pheochromocytomas and Patients with Apparently Sporadic Pheochromocytoma”
版权所有:©2018张斌等。这是一篇根据知识共享署名许可协议发布的开放获取文章,该协议允许在任何媒体上不受限制地使用、分发和复制,前提是要注明原作者和来源。《中国非综合征型嗜铬细胞瘤家族与明显散发性嗜铬细胞瘤患者的VHL基因突变分析》述评
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引用次数: 0
期刊
International journal of neurorehabilitation
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