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Hypertrophic cardiomyopathy with ataxic gait: a cardiac clue to a neurologic diagnosis.

Hypertrophic cardiomyopathy (HCM) is an autosomal dominant cardiac myocyte disease characterised by left ventricular hypertrophy that develops in the absence of causative haemodynamic factors. In addition to mutations in sarcomeric genes, which are the most significant cause of HCM in adults and children, paediatric HCM also exhibits a high prevalence of non-sarcomeric causes. These include inherited metabolic disorders, malformation syndromes, neuromuscular diseases and mitochondrial diseases collectively accounting for about 35% of cases. In this case report, we describe a case of non-sarcom

Интеграция умных историй для оценки походов в экзоскелетную реабилитацию.

Роботизированный экзоскелет позволяет людям с ограниченной мобильностью или без нее заниматься умеренными упражнениями, способствуя тем самым физической пригодности и общему благополучию. Однако сами по себе экзоскелетоны не дают исчерпывающего представления о мониторинге и анализе походов с течением времени. В этом исследовании предлагается интегрировать умные изолы в качестве эффективного с точки зрения затрат и неинвазивного инструмента для оценки походов при реабилитации с помощью экзоскелета. Десять участников, включая три невредимых предмета, которые использовались только в качестве спра

Совпадение в аннотации оригинала
A robotic exoskeleton enables individuals with limited or no mobility to engage in moderate exercises, thereby promoting physical fitness and overall well-being. However, exoskeletons alone do not provide comprehensive insights into gait pattern monitoring and analysis over time. This study proposes the integration of smart insoles as a cost-effective and no…

Real-Time Freezing of Gait Prediction and Detection in Parkinson's Disease.

Freezing of gait (FOG) is a walking disturbance that can lead to postural instability, falling, and decreased mobility in people with Parkinson's disease. This research used machine learning to predict and detect FOG episodes from plantar-pressure data and compared the performance of decision tree ensemble classifiers when trained on three different datasets. Dataset 1 (n = 11) was collected in a previous study. Dataset 2 (n = 10) included six new participants and four participants from Dataset 1 who were re-tested (approximately 2 years later), and Dataset 3 (n = 21) combined Datasets 1 and 2…

Development of Surface EMG for Gait Analysis and Rehabilitation of Hemiparetic Patients.

BACKGROUND: The quantification of electromyographic activity using surface electrodes is invaluable for understanding gait disorders in patients with central nervous system lesions. We propose to evaluate a commercially available low-cost system compared to a reference system in participants with stroke-related movement disorders in functional situations. METHODS: Three hemiparetic participants performed three functional tasks: two treadmill walks at different speeds and a sit-to-stand test. The vastus lateralis and gastrocnemius medialis muscles were equipped with two EMG sensors. The compar…

Gait Parameters Change can be an Early Marker of Cognitive Impairment.

BACKGROUND AND OBJECTIVE: Gait impairment leads to increased dependence, morbidity, institutionalization, and mortality in older people. We intended to assess gait parameters with the continuum of cognitive impairment and observe variation with the severity of cognitive impairment. MATERIALS AND METHODS: This cross-sectional, observational study was conducted at the memory clinic of a tertiary care center. One hundred and twelve subjects were recruited, and cognition was assessed by the Clinical Dementia Rating scale. Usual gait was assessed by a 6-m walk test, and the dynamic gait was assess…

Young Female With Hypereosinophilia, Rash, and Gait Disturbance: A Case Report.

Eosinophilia is known to be associated with a multitude of co-morbidities. However, unexplained eosinophilia poses a diagnostic challenge, and the methods used to investigate unexplained eosinophilia vary from region to region. In this case report, we describe a unique case of a young female presenting with marked eosinophilia to a tertiary hospital in the northeastern United States. Our patient presented with a few weeks of lower extremity rash, gait instability, and new onset marked eosinophilia. We further report the investigations undertaken during the hospitalization to highlight the broa…

Gait Adaptation to Asymmetric Hip Stiffness Applied by a Robotic Exoskeleton.

Wearable exoskeletons show significant potential for improving gait impairments, such as interlimb asymmetry. However, a more profound understanding of whether exoskeletons are capable of eliciting neural adaptation is needed. This study aimed to characterize how individuals adapt to bilateral asymmetric joint stiffness applied by a hip exoskeleton, similar to split-belt treadmill training. Thirteen unimpaired individuals performed a walking trial on the treadmill while wearing the exoskeleton. The right side of the exoskeleton acted as a positive stiffness torsional spring, pulling the thigh …

Posture, balance and gait in axial spondyloarthritis: a case-control study.

Axial spondyloarthritis (axSpA) is a chronic inflammatory disease that primarily involves the axial skeleton but may also present with peripheral joint involvement and extra-articular involvement. The present study aims to quantitatively analyze posture, balance, and gait parameters in patients with axSpA and and assess associated factors. This cross-sectional case-control study included 51 axSpA patients (30 males, 21 females; mean age 40.94 ± 10.48 years) and 51 age- and sex-matched healthy controls. In patients with axSpA, the Ankylosing Spondylitis Disease Activity Score CRP, the Bath Anky…

Interhemispheric inhibition and gait adaptation associations in people with multiple sclerosis.

BACKGROUND: Multiple sclerosis is a neurodegenerative disease that damages the myelin sheath within the central nervous system. Axonal demyelination, particularly in the corpus callosum, impacts communication between the brain's hemispheres in persons with multiple sclerosis (PwMS). Changes in interhemispheric communication may impair gait coordination which is modulated by communication across the corpus callosum to excite and inhibit specific muscle groups. To further evaluate the functional role of interhemispheric communication in gait and mobility, this study assessed the ipsilateral sile…

A Comparison of Walking Behavior during the Instrumented TUG and Habitual Gait.

The timed up and go test (TUG) is a common clinical functional balance test often used to complement findings on sensorimotor changes due to aging or sensory/motor dysfunction. The instrumented TUG can be used to obtain objective postural and gait measures that are more sensitive to mobility changes. We investigated whether gait and body coordination during TUG is representative of walking. We examined the walking phase of the TUG and compared gait metrics (stride duration and length, walking speed, and step frequency) and head/trunk accelerations to normal walking. The latter is a key aspect …

Kinematic characteristics of gait with different myopia: a cross-sectional study.

BACKGROUND: Myopia, a condition affecting approximately one-quarter of the world' s population, has been projected to double in prevalence b … 22 male college students participated in this study. The center of gravity (COG), the percentage of gait cycle (PGC) and the joint angle(JT) were collected as indications of postural control during walking. A quantitative analysis was conducted using a One-Way Repeated Measures ANOVA to examine the variations among the three groups. RESULTS: During my …

Gait is not Affected by Hemispherotomy-Case Report from Two Children.

In children with therapy refractory epilepsy, the functional disconnection of one hemisphere (hemispherotomy) may be considered as a treatment option. The visual field defects and hand function effects associated with the procedure have been extensively studied. However, the effect of the hemispherotomy on gait pattern has thus far only been analyzed qualitatively, and there is limited quantitative data. At the Children's Hospital, we regularly perform standardized quantitative gait analysis studies and care for children with complex epilepsies. During the standard routine of care for two chil…

Impact of Race, gait speed and arch height on plantar loading.

Diabetes is a leading cause for death in the United States, with African Americans (AA) being twice as likely to die from diabetes than White Americans (WA). AA are twice as likely to experience diabetes-related foot amputation due to foot ulcers, which are most often caused by high plantar pressure. While it is known that arch height, sex, family history of diabetes, Body Mass Index (BMI), age, and gait speed can impact plantar loading, there is a need to test the hypothesis that race in combination with the previously mentioned variables are significant predictors of plantar loading. To answ…

Exercise and gait/movement analyses in treatment and diagnosis of Parkinson's Disease.

Cardinal motor symptoms in Parkinson's disease (PD) include bradykinesia, rest tremor and/or rigidity. This symptomatology can additionally encompass abnormal gait, balance and postural patterns at advanced stages of the disease. Besides pharmacological and surgical therapies, physical exercise represents an important strategy for the management of these advanced impairments. Traditionally, diagnosis and classification of such abnormalities have relied on partially subjective evaluations performed by neurologists during short and temporally scattered hospital appointments. Emerging sports medi…

Freezing of Gait in Parkinson's Disease: Implications for Dual-Task Walking.

BACKGROUND: The simultaneous completion of multiple tasks (dual-tasking, DT) often leads to poorer task performance (DT cost, DTC). People with Parkinson's disease (PwPD) exhibit difficulty with DT, and DTC may be particularly pronounced in PwPD with freezing of gait (FOG). OBJECTIVE: This study assessed the relationship between FOG status and DTC during gait. METHODS: Gait parameters were collected using inertial sensors in 106 PwPD (off-medication), including definite-freezers (dFOG; n = 25), possible-freezers (pFOG; n = 16), and non-freezers (nFOG; n = 65) during single (ST)-and DT walkin…

The Impact of Operative Correction of Equinus in Cerebral Palsy on Gait Patterns.

BACKGROUND: This study aimed to evaluate gait outcomes and strength following the surgical correction of equinus in cerebral palsy (CP) based on different surgical procedures. We included the Baumann and Strayer procedures, as well as the Achilles tendon lengthening (ATL). METHODS: A retrospective analysis was performed in patients with infantile, bilateral CP who received instrumental 3D gait analysis before and after surgical correction (18.66 months postoperatively). Patients were divided into 3 groups: Strayer surgery, Baumann surgery, and ATL. Gait performance and muscle strengths were c…

Gait adaptation to asymmetric hip stiffness applied by a robotic exoskeleton.

Wearable exoskeletons show significant potential for improving gait impairments, such as interlimb asymmetry. However, a more profound understanding of whether exoskeletons are capable of eliciting neural adaptation is needed. This study aimed to characterize how individuals adapt to bilateral asymmetric joint stiffness applied by a hip exoskeleton, similar to split-belt treadmill training. Thirteen unimpaired individuals performed a walking trial on the treadmill while wearing the exoskeleton. The right side of the exoskeleton acted as a positive stiffness torsional spring, pulling the thigh …

Posture, gait and self-disorders: An empirical study in individuals with schizophrenia.

AIM: In schizophrenia, subjectively perceived disruptions of the sense of the Self (also referred to as "self-disorders") seem to be intimately associated with a perturbation of the implicit awareness of one's own body. Indeed, an early impairment of the motor system, including posture and gait, is now considered a marker of schizophrenia neurodevelopmental substrate and appears more pronounced in early-onset schizophrenia. Therefore, the present study was aimed at: (1) investigating a possible relationship between self-disorders, symptom dimensions and postural and gait profile in schizophren…

Impact of digital dermatitis on locomotion and gait traits of beef cattle.

Digital dermatitis (DD) is an infectious skin disease and a major cause of lameness that significantly impacts cattle productivity and welfare. However, DD does not always result in lameness and lameness scoring systems are not specific to hoof pathologies. Digital dermatitis detection protocols could be improved by including gait traits most related to DD. The aims of this study were to 1) determine the association between DD M-stage ("M" for Mortellaro), locomotion, and gait traits: arched back (AB), asymmetric gait (AG), head bobbing (HB), tracking up (TU), and reluctance to bear weight (WB…

Correlation Between Gait and Life Expectancy in Patients with Spinal Metastases.

BACKGROUND: Metastatic epidural spinal cord compression (MESCC) may lead to walking disability. The effect of regaining gait ability on the life expectancy of cancer patients is still unknown. To explore this issue, we evaluated the effect of gait ability recovery in nonambulatory patients after treatment for a metastatic spinal tumor. METHODS: In total, 105 patients who underwent surgery for MESCC between January 2006 and December 2016 and survived longer than 3 months were enrolled. All the patients were nonambulatory because of the MESCC and had undergone posterior decompression and fixati…