Effects of multi-obstacle contexts on obstacle negotiation strategies in healthy older adults under dual-task conditions.

Background: Performance of obstacle crossing is an attentionally demanding task due to the need for motor planning and gait regulation, particularly among older adults. Despite extensive studies on age-associated changes in obstacle negotiation strategies, relatively little is known about adaptive mechanisms in the elderly regarding multiple obstacle crossings with different execution demands.

Research Question: For better understanding of avoidance strategies employed by the elderly, the current study investigated adaptive mechanisms related to planning and implementation of more complex multi-obstacle contexts.

Compensatory postural responses to backward loss of balance in patients with cerebellar disease.

Background: Impaired control of balance and coordinated reactions are a primary deficit of cerebellar dysfunction. As compared to other neurological patients with balance impairments, there has been little research assessing the characteristics of compensatory responses associated with falls in patients with cerebellar disease (CD).

Research Question: The aim of this study was to examine the effects of cerebellar disease on compensatory balance control in response to postural perturbation.

Percutaneous Vertebroplasty versus Conservative Treatment Using a Transdermal Fentanyl Patch for Osteoporotic Vertebral Compression Fractures.

Objective: Although surgical intervention, such as percutaneous vertebroplasty (PVP), is the standard treatment for osteoporotic vertebral compression fractures (OVCFs), its effectiveness and safety are unclear. Therefore, this study compared the safety and efficacy of conservative treatment with that of PVP for acute OVCFs.

Methods: Patients with single-level OVCFs who were treated conservatively with a transdermal fentanyl patch (TFP) or with PVP between March 2013 and December 2017 and followed-up for more than 1 year were retrospectively evaluated.

Effects of dance-based movement therapy on balance, gait, and psychological functions in severe cerebellar ataxia: A case study.

: Individuals in the later stages of cerebellar ataxia usually experience serious balance and immobility problems. Currently, there is a lack of adequate rehabilitative programs for individuals with severe cerebellar ataxia that can help improve ataxia-related motor impairment. The purpose of the present study was to explore the potential physiotherapeutic benefits of partnered dance on balance, motor functions, and psychological well-being in an individual demonstrating severe cerebellar ataxia symptoms.

Practicality of using the figure-of-eight bandage to prevent fatal wound dehiscence after spinal tumor surgery for upper thoracic metastasis.

Object: Serious postoperative wound problems can frequently develop after surgery with perioperative RT for upper thoracic metastatic lesions. The figure-of-eight bandage can restrict excessive shoulder motion, which could prevent wound dehiscence. The purpose of this study was to describe the efficacy of using the figure-of-eight bandage to prevent postoperative wound dehiscence.

The effect of a task-specific locomotor training strategy on gait stability in patients with cerebellar disease: a feasibility study.

Purpose: There is a lack of evidence-based recommendations for the physiotherapeutic intervention specifically for locomotor training in patients with cerebellar ataxia. The purpose of this study is to determine the feasibility and effect of a more specific rehabilitation strategy that aims to improve gait quality in patients with cerebellar ataxia.

Methods: Nineteen patients with degenerative cerebellar ataxia were recruited to participate in the study.

Effects of task constraints on obstacle avoidance strategies in patients with cerebellar disease.

The present study examined the effects of cerebellar disease on the organization and execution of obstacle avoidance tasks. To this end, we characterized how variations in the execution demands of the subsequent obstacles in multiple obstacle crossing tasks influenced the stepping performance of the initial obstacle in patients with cerebellar degeneration (CD) by manipulating the height (6 cm and 16 cm) and distance (1 m and 2 m) of the second obstacle. Nine patients with bilateral cerebellar atrophy and nine age-matched normal controls were instructed to walk along an 8 m long pathway and step over two obstacles without contacting them.

A biomechanical assessment of the sliding motion of curling delivery in elite and subelite curlers.

The present study examined the technical characteristics of sliding performance from push-off until stone release in curling delivery. Five elite performance level curlers (> 7 years experience) and five subelite level curlers (< 3 years experience) were analyzed during the action of delivery of a curling stone. The joint angles, angular velocities, and moments of the body center of mass (COM) were determined based on three-dimensional kinematic data.

Volumetric analysis of cerebellum in short-track speed skating players.

The cerebellum is associated with balance control and coordination, which might be important for gliding on smooth ice at high speeds. A number of case studies have shown that cerebellar damage induces impaired balance and coordination. As a positive model, therefore, we investigated whether plastic changes in the volumes of cerebellar subregions occur in short-track speed skating players who must have extraordinary abilities of balance and coordination, using three-dimensional magnetic resonance imaging volumetry.

Coordinative and limb-specific control of bimanual movements in patients with Parkinson's disease and cerebellar degeneration.

The present study examined the effects of basal ganglia and cerebellar pathology on bimanual coordination using patients with Parkinson's disease (PD) and cerebellar dysfunction (CD). Twenty patients with idiopathic PD (10 untreated early and 10 advanced PD), 10 patients with cerebellar degeneration, and 11 normal subjects were instructed to perform in-phase and anti-phase bimanual coordination movements. The results indicated that while the quality of coordinated bimanual movements in untreated early PD and CD patients was not significantly different from that of normal controls, advanced PD patients exhibited reduced synchronized coordination during the faster anti-phase mode.

Integration deficiencies associated with continuous limb movement sequences in Parkinson's disease.

The present study examined the extent to which Parkinson's disease (PD) influences integration of continuous limb movement sequences. Eight patients with idiopathic PD and 8 age-matched normal subjects were instructed to perform repetitive sequential aiming movements to specified targets under three-accuracy constraints: 1) low accuracy (W = 7 cm) - minimal accuracy constraint, 2) high accuracy (W = 0.64 cm) - maximum accuracy constraint, and 3) mixed accuracy constraint - one target of high accuracy and another target of low accuracy.

Force development during target-directed isometric force production in Parkinson's disease.

Performing various daily activities requires precise application and control of forces, which has been well addressed in neurologically healthy individuals. Recent experiments have demonstrated that in young, normal subjects generating rapid force pulses over various force amplitudes was accomplished by linearly increasing the rate of force development while keeping time to peak force approximately constant (i.e.

Target width scaling in a repetitive aiming task: switching between cyclical and discrete units of action.

An aiming task was used to identify the processes whereby the motor system adapted a repetitive aiming action to systematic changes in ID (ID = log(2 )(2A/W), Fitts in J Exp Psychol 47:381-391, 1954) within a single trial. Task ID was scaled in a trial by moving the outside edge of two stationary targets to produce nine different target IDs in a trail. The ID within a trial was scaled in one of two directions: (1) an increasing ID condition, starting with an ID = 3.

Age-related effects in sequential motor learning.

Background And Purpose: When learning multi-element movement sequences, participants organize individual elements into subsequences. Imposing this type of structure on the elements leads to the efficient production of sequences because the processing of all but the first elements in a subsequence can be completed prior to their execution. The primary purpose of this study was to determine whether older adults organize lengthy movement sequences with the same efficiency as young adults.

Effect of combined variation of force amplitude and rate of force development on the modulation characteristics of muscle activation during rapid isometric aiming force production.

Studies of rapid target-directed limb movements have suggested that various control schemes can be defined by the modulation pattern of the muscle activity. The present study was aimed to address the question regarding the extent to which a simultaneous control of force amplitude, and rate of force development influences the modulation characteristics of muscle activation associated with producing rapid isometric aiming forces at the elbow joint. The subjects were instructed to produce rapid isometric force pulses to three different force amplitudes (15, 35, and 55% of their maximal voluntary contractions) under systematically varied force-rate conditions ranging from a fast and accurate force-rate to the fastest force-rate possible.

Sequence learning: response structure and effector transfer.

Two experiments are reported that investigate the response structure and effector transfer of repeated movement sequences. Participants moved a lever to targets sequentially presented on the computer monitor. In Experiment 1 the learning of 10- and 16-element sequences (identical movement pattern) was contrasted.

Systematic scaling of target width: dynamics, planning, and feedback.

The target width of a single target in a two-target reciprocal aiming task was scaled from small (ID = 5.85) to large (ID = 2.85) and large-to-small within individual trials with movement amplitude fixed.

The independence of response structure and element production in timing sequences.

In three experiments, participants were asked to produce a prescribed temporal sequence of key presses. The number of elements in a key press sequence, the movement time of the elements, and uniformity of the timing elements comprising the sequence were manipulated. If the processing of the sequence structure was independent of the processing of elements comprising the sequence, increasing the number of the elements in the sequence should affect the production of the sequence but not the proficiency with which the individual elements are, produced.

Part-whole practice of movement sequences.

A 16-element movement sequence was taught under part-whole and whole-practice conditions. Participants (N = 18) produced a right-arm lever movement to sequentially presented target locations. The authors constructed part-whole practice by providing practice on only the 1st 8 elements on the 1st day of practice (100 repetitions of the 8-element sequence) and on all 16 elements on the 2nd day of practice (100 repetitions of the 16-element sequence).

Effector independence.

Although effector independence is predicted in a number of theoretical perspectives, it has received only moderate empirical support. The authors conducted 3 experiments to determine the extent to which simple motor sequences are effector independent. A measurement scheme that partitioned response errors into independent error measures attributable to the relative structure of the response and the force-time scaling of that structure was used in the analysis of the present experiments.