scholarly journals Physical Therapy Adjuvants to Promote Optimization of Walking Recovery after Stroke

2011 ◽  
Vol 2011 ◽  
pp. 1-10 ◽  
Author(s):  
Mark G. Bowden ◽  
Aaron E. Embry ◽  
Chris M. Gregory

Stroke commonly results in substantial and persistent deficits in locomotor function. The majority of scientific inquiries have focused on singular intervention approaches, with recent attention given to task specific therapies. We propose that measurement should indicate the most critical limiting factor(s) to be addressed and that a combination of adjuvant treatments individualized to target accompanying impairment(s) will result in the greatest improvements in locomotor function. We explore training to improve walking performance by addressing a combination of: (1) walking specific motor control; (2) dynamic balance; (3) cardiorespiratory fitness and (4) muscle strength and put forward a theoretical framework to maximize the functional benefits of these strategies as physical adjuvants. The extent to which any of these impairments contribute to locomotor dysfunction is dependent on the individual and will undoubtedly change throughout the rehabilitation intervention. Thus, the ability to identify and measure the relative contributions of these elements will allow for identification of a primary intervention as well as prescription of additional adjuvant approaches. Importantly, we highlight the need for future studies as appropriate dosing of each of these elements is contingent on improving the capacity to measure each element and to titrate the contribution of each to optimal walking performance.

Author(s):  
Dr. Minti Kumari ◽  
Dr. Madhuri Kumari ◽  
Dr Anurag Rai ◽  
Dr. Navin Kumar

It is evident that hyperdontia is more common in the permanent dentition than in the primary. There is a considerable difference between males and females in the prevalence of these teeth in permanent dentition; hyperdontia is twice as common in males as in females. However, this approximation varies in terms of location, other associating syndromes that may be present, and the ethnicity of the individual. In terms of ethnicity, it can be seen that hyperdontia is in fact less common in Caucasian than in Asian populations. There is evidence to show that an individual is more likely to have hyperdontia if other members of their family also have the condition. Hence the present study was planned for evaluation of occurrence of hyperdontia in non-syndromic  population from Bihar Region. The present study was planned in Public Health Dentistry, Patna Dental College and Hospital, Patna, Bihar. Total 195 patients referred to Department of Dentistry were evaluated in the present study. Panoramic radiographs and clinical records of patients above the age of 18 years and without any syndromic features were selected for the study.  All the radiographs were examined for the presence of supernumerary teeth, their location, morphology, and number. Morphologically, teeth were classified as conical, tuberculate, supplemental, and odontoma. Early diagnosis of dental anomalies can prevent some esthetic, orthodontic, and periodontal problems, and knowledge of the prevalence and distribution of the anomalies may help clinicians to the detection of these anomalies at early stages. Our study evaluated the prevalence of selected dental anomalies; future studies should investigate the prevalence of dental anomalies of all types. Keywords: Hyperdontia, non-syndromic, panoramic radiograph, supernumerary teeth, etc.


1972 ◽  
Vol 34 (1) ◽  
pp. 227-230 ◽  
Author(s):  
Dolores Geddes

This study factor analyzed the scores of 80 first and second grade level public school children on the 28 test items of the Perceptual-motor Attributes of Mentally Retarded Children and Youth battery and the Purdue Perceptual-motor Survey. 10 factors were extracted and 9 were named: Visual Tracking, Visual Discrimination and Copying of Forms, Visual Discrimination and Copying of Rhythmic Patterns, Verbal Body Image, Dynamic Balance, Spatial Body Perception, Postural Maintenance, Visual Discrimination and Copying of Motor Patterns, and Gross Agility. The study indicated that the individual test items are very specific in nature, i.e., they measure very specific perceptual-motor acts.


Assessment ◽  
2021 ◽  
pp. 107319112110392
Author(s):  
Lars Klintwall ◽  
Martin Bellander ◽  
Matti Cervin

Personalized case conceptualization is often regarded as a prerequisite for treatment success in psychotherapy for patients with comorbidity. This article presents Perceived Causal Networks, a novel method in which patients rate perceived causal relations among behavioral and emotional problems. First, 231 respondents screening positive for depression completed an online Perceived Causal Networks questionnaire. Median completion time (including repeat items to assess immediate test–retest reliability) was 22.7 minutes, and centrality measures showed excellent immediate test–retest reliability. Networks were highly idiosyncratic, but worrying and ruminating were the most central items for a third of respondents. Second, 50 psychotherapists rated the clinical utility of Perceived Causal Networks visualizations. Ninety-six percent rated the networks as clinically useful, and the information in the individual visualizations was judged to contain 47% of the information typically collected during a psychotherapy assessment phase. Future studies should individualize networks further and evaluate the validity of perceived causal relations.


2018 ◽  
Vol 2018 ◽  
pp. 1-16 ◽  
Author(s):  
Bryant A. Seamon ◽  
Richard R. Neptune ◽  
Steven A. Kautz

Factorization methods quantitatively group electromyographic signals from several muscles during dynamic tasks into multiple modules where each module consists of muscles that are coactive during the movement. Module-based analyses may provide an analytical framework for testing theories of poststroke motor control recovery based on one’s ability to move independently from mass flexion-extension muscle group coactivation. Such a framework may be useful for understanding the causality between underlying neural impairments, biomechanical function, and walking performance in individuals poststroke. Our aim is to synthesize current evidence regarding the relationships between modules, gait mechanics, and rehabilitation in individuals poststroke. We synthesized eleven studies that performed module-based analyses during walking tasks for individuals poststroke. Modules were primarily identified by nonnegative matrix factorization, and fewer modules correlated with poor walking performance on biomechanical and clinical measures. Fewer modules indicated reduced ability to control individual muscle timing during paretic leg stance. There was evidence that rehabilitation can lead to the use of more and/or better-timed modules. While future work will need to establish the ability of modules to identify impairment mechanisms, they appear to offer a promising analytical approach for evaluating motor control.


Author(s):  
A. A. Kutsenkov ◽  

In general, modernization in India follows the general laws of the formation transition: Individualism builds up pressure on collectivism in all areas of society, while the process of individualization of the individual intensifies. However, the dualism of structure-forming ties in Indian society leaves its mark on said process. Neither individualism, nor collectivism can prevail. There is a dynamic balance: Individualization of the individual occurs within the framework of collectivism, but for how long can this go on? Everything depends on the resource of collectivism, which is far from exhausted. In the study the author captures the reader’s attention on three points. First: the radicalism of modernizing transformations must correlate with the degree of society’s readiness (otherwise, even the most “progressive” reforms can be rejected by society). Second: of multiple modernization options, democratic is the most important for the destinies of the country and people, nationwide (it provides the least painful path of development, it is accompanied by the expansion of human rights and freedoms, and it helps to improve the lives of ordinary people. And the third: the importance of the personality type for the historical development of society requires a steady increase in the status of a person. Therefore, human rights movements, which are considered marginal in some countries, should be recognized as the most important system-forming factor in social progress. The legal base and the real scope of human rights, the tasks of human rights movements are becoming important indicators of the maturity of the country’s civil society in the depth of modernization.


Author(s):  
Ali Ekber Ün

The purpose of this review article is to collaborate on future studies about hippotherapy to horse and riding trainers, health professionals, veterinarians, individuals in need and individuals with disabilities and their relatives and to shed light on academic studies. It has been stated in studies that hippotherapy is beneficial for patients in the world. Therefore, as a result of new private hippotherapy centers in public institutions and in Turkey, studies on hippotherapy have been started. The studies carried out in hippotherapy are increasing and widespread and continuing to contribute to the treatment of the individuals in need and individuals with disabilities with hippotherapy sessions with expert teams. However, in the studies, the sessions of the hippotherapy team with two common creatures have great duties on the equestrian coaches in order to meet the needs of the horse and the individual in need or individual with disability. For this reason, since hippotherapy is a multidisciplinary team work consisting of specialist professionals, it has been researched to contribute to the horse and rider coaches on the field and to the expert team attending the sessions, to the new experts and the families of the individuals in need and disabled individuals. In the current review, the information about the history of hippotherapy and development, information about hippotherapy institutions in Turkey, individuals in need and individuals with disabilities, benefits of hippotherapy, characteristics of the hippotherapy horse, training of the hippotherapy horse are emphasized, and especially emphasis is placed on the use of work in the field of horse and equestrian coaching.


2021 ◽  
Vol 16 (2) ◽  
pp. 68-74
Author(s):  
Vittorio Boscia ◽  
◽  
Valeria Stefanelli ◽  
Marco Trinchera ◽  
◽  
...  

Our study highlights a literature map on Fintech and the risks associated with this technological innovation in the financial sector. Considering all the studies published from 2014 to 2021 in "Scopus", we resort to econometric techniques to create our map. Our results show the recent attention of academics and researchers, mainly belonging to the technological and IT areas, towards Fintech. In particular, the studies focus on the issue of emerging technologies applied to investment and credit processes linked to the assessment of customer insolvency risk. For this reason, the existing analyzes adopt a mainly technical approach with very limited attention to strategic, organizational and managerial aspects typical of financial intermediation. Future studies could investigate the issue of Fintech behavior and relations with incumbent banks, as well as the risks that the applications of emerging digital technologies have on the sound and prudent management of these operators. In addition, further analysis can capture the risks of Fintech for clients, taking into account financial education. These are important aspects for the growth of Fintechs themselves, for the sustainability of the incumbent banks, with which they increasingly collaborate, and obviously for the banking supervisory authorities, attentive to the stability, efficiency and competitiveness of the financial sector as a whole.


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