[Movement analysis of upper extremity hemiparesis in patients with cerebrovascular disease: a pilot study]

INTRODUCTION

As a result of neurophysiological injury, stroke patients have mobility limitations, mainly on the side of the body contralateral to the lesioned hemisphere. The purpose of this study is to quantify motor compensation strategies in stroke patients during the activity of drinking water from a glass.

MATERIAL AND METHODS

Four male patient with cerebrovascular disease and four right-handed, healthy male control subjects. The motion analysis was conducted using the Vicon Motion System(®) and surface electromyography equipment ZeroWire Aurion(®). We analysed elbow, shoulder and trunk joint movements and performed a qualitative analysis of the sequence of muscle activation.

RESULTS

Trunk, shoulder and elbow movements measured in the stroke patient along the sagittal plane decreased during the drinking from a glass activity, while the movements in the shoulder in the coronal plane and trunk increased. As for the sequence of muscle activation, anterior, middle and posterior deltoid all contracted in the patient group during the task, while the upper trapezius activation remained throughout the activity.

CONCLUSIONS

Quantitative analysis of movement provides quantitative information on compensation strategies used by stroke patients, and is therefore, clinically relevant.

Modular control of mediolateral postural sway

Is voluntary motor control of mediolateral rhythmic sway ruled by modular organization? Answering this question has potential implications in diagnosis and rehabilitation of neurologically impairments. Superficial EMG and computerized dynamic posturography has been used in this study to investigate modular control of six healthy subjects. Postural movements have been performed at three different frequencies to also test the influence of speed on the composition of synergies and activations. Results showed that two synergies account for more than 75% of EMG variance and are shared by all subjects across all frequency conditions. These evidences, together with a functional interpretation of computed muscle synergies, support the existence of consistent modular control across healthy subjects during mediolateral voluntary movements.

Effect of ankle-foot orthosis on postural control after stroke: a systematic review

INTRODUCTION

Stroke is currently the main cause of permanent disability in adults. The impairments are a combination of sensory, motor, cognitive and emotional changes that result in restrictions on the ability to perform basic activities of daily living (BADL). Postural control is affected and causes problems with static and dynamic balance, thus increasing the risk of falls and secondary injuries. The purpose of this review was to compile the literature to date, and assess the impact of ankle-foot orthosis (AFO) on postural control and gait in individuals who have suffered a stroke.

DEVELOPMENT

The review included randomised and controlled trials that examined the effects of AFO in stroke patients between 18 and 80 years old, with acute or chronic evolution. No search limits on the date of the studies were included, and the search lasted until April 2011. The following databases were used: Pubmed, Trip Database, Cochrane library, Embase, ISI Web Knowledge, CINHAL and PEDro. Intervention succeeded in improving some gait parameters, such as speed and cadence. However it is not clear if there was improvement in the symmetry, postural sway or balance.

CONCLUSIONS

Because of the limitations of this systematic review, due to the clinical diversity of the studies and the methodological limitations, 0these results should be considered with caution.

Differences in tissue fatty acid composition between reared and wild sharpsnout sea bream, Diplodus puntazzo (Cetti, 1777)

The fatty acid composition and lipid content of white muscle, liver and mesenteric fat, in reared v. wild sharpsnout sea bream (Diplodus puntazzo) were compared. The mesenteric fat index fat weight/body weight) and the lipid contents of both white muscle and liver proved consistently higher in farmed v. wild sharpsnout sea bream (79.0 (SE 13.1) v. 38.7 (SE 5.1) g/kg, 188.4 (SE 30.0) v. 58.2 (SE 3.9) g/kg and 27.2 (SE 3.7) v. 17.3 (SE 1.9) g/kg, respectively). The higher values of linoleic, eicosapentaenoic, docosahexaenoic and n-3 series acids in reared fish muscle make reared sharpsnout more favourable for human consumption. In reared fish mesenteric fat, polyunsaturated fatty acids reached higher levels (32.54 (SE 0.71) g/100 g total fatty acids than those found in wild fish (26.08 (SE 1.38) g/100 g total fatty acids or even present in the diet (28.34 g/100 g total fatty acids). Compared with cultured fish, wild sharpsnout displayed a higher content of n-3 fatty acids in liver fat (31.67 (SE 1.13) g/100 g total fatty acids), but lower in mesenteric fat (20.35 (SE 1.41) g/100 g total fatty acids). Atherogenic index values were similar for wild and reared fish in all tissues, while the index of thrombogenicity of muscle and mesenteric fat (0.353 (SE 0.012) and 0.402 (SE 0.021) respectively) was significantly increased in wild fish probably due to the omnivorous habits of the species and/or to seasonal food variations. Depending on the time of the year or the season, reared fish could be more suitable for human consumption than wild fish.