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Author |
Dempsey-Jones, H.; Wesselink, D.B.; Friedman, J.; Makin, T.R. |


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Title |
Organized Toe Maps in Extreme Foot Users |
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Journal Article |
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Year |
2019 |
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Cell Reports |
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Cell Reports |
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28 |
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11 |
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2748-2756.e4 |
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Abstract |
Although the fine-grained features of topographic maps in the somatosensory cortex can be shaped by everyday experience, it is unknown whether behavior can support the expression of somatotopic maps where they do not typically occur. Unlike the fingers, represented in all primates, individuated toe maps have only been found in non-human primates. Using 1-mm resolution fMRI, we identify organized toe maps in two individuals born without either upper limb who use their feet to substitute missing hand function and even support their profession as foot artists. We demonstrate that the ordering and structure of the artists’ toe representation mimics typical hand representation. We further reveal “hand-like” features of activity patterns, not only in the foot area but also similarly in the missing hand area. We suggest humans may have an innate capacity for forming additional topographic maps that can be expressed with appropriate experience. |
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2211-1247 |
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doi: 10.1016/j.celrep.2019.08.027 |
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99 |
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Author |
Raveh, E.; Friedman, J.; Portnoy, S. |


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Title |
Visuomotor behaviors and performance in a dual-task paradigm with and without vibrotactile feedback when using a myoelectric controlled hand |
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Journal Article |
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Year |
2018 |
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Assistive Technology |
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Assistive Technology |
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30 |
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274-280 |
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1040-0435 |
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85 |
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Author |
Raveh, E.; Portnoy, S.; Friedman, J. |


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Title |
Myoelectric Prosthesis Users Improve Performance Time and Accuracy Using Vibrotactile Feedback When Visual Feedback Is Disturbed |
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Journal Article |
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Year |
2018 |
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Archives of Physical Medicine and Rehabilitation |
Abbreviated Journal  |
Arch Phys Med Rehabil |
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99 |
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11 |
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2263-2270 |
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Amputation; Prosthesis; Rehabilitation; Sensory feedback; Visual feedback |
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OBJECTIVE: To evaluate the effects of adding vibrotactile feedback (VTF) in myoelectric prosthesis users during performance of a functional task when visual feedback is disturbed. DESIGN: A repeated-measures design with a counter-balanced order of 3 conditions. SETTING: Laboratory setting. PARTICIPANTS: Transradial amputees using a myoelectric prosthesis with normal or corrected eyesight (N=12, median age 65+/-13y). Exclusion criteria were orthopedic or neurologic problems. INTERVENTIONS: All participants performed the modified Box and Blocks Test, grasping and manipulating 16 blocks over a partition using their myoelectric prosthesis. This was performed 3 times: in full light, in a dark room without VTF, and in a dark room with VTF. MAIN OUTCOME MEASURES: Performance time, that is, the time needed to transfer 1 block, and accuracy during performance, measured by number of empty grips, empty transitions with no block and block drops from the hand. RESULTS: Significant differences were found in all outcome measures when VTF was added, with improved performance time (4.2 vs 5.3s) and a reduced number of grasping errors (3.0 vs 6.5 empty grips, 1.5 vs 4 empty transitions, 2.0 vs 4.5 block drops). CONCLUSIONS: Adding VTF to myoelectric prosthesis users has positive effects on performance time and accuracy when visual feedback is disturbed. |
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English |
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0003-9993 |
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PMID:29935153 |
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96 |
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Portnoy, S.; Mimouni-Bloch, A.; Rosenberg, L.; Offek, H.; Berman, T.; Kochavi, M.; Orman, G.; Friedman, J. |


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Graphical Product Quality and Muscle Activity in Children With Mild Disabilities Drawing on a Horizontally or Vertically Oriented Tablet |
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2018 |
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American Journal of Occupational Therapy |
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Am J Occup Ther |
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72 |
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6 |
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1-7 |
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OBJECTIVE. We compared performance level and muscle activity patterns during shape copying and tracing in two positions, while sitting at a desk and while standing in front of a wall, between typically developing (TD) preschool children and children with mild disabilities (MD).
METHOD. Twenty-two TD children (8 boys, 14 girls; mean [M] age 5 5.2 yr, standard deviation [SD] 5 0.1) and 13 children with MD (9 boys, 4 girls; M age 5 4.9 yr, SD 5 0.5) participated in this study.
RESULTS. The children performed faster and smoother movements when copying shapes on the vertical surface, with no reduction of accuracy, than on the horizontal surface. Children with MD exerted their upper trapezius while performing the short tasks on the vertical surface compared with their muscle activity on the horizontal surface.
CONCLUSION. Incorporating short copying or drawing tasks on a vertical surface may increase the control of proximal muscles and ease graphomotor performance in children with MD. |
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0272-9490 |
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Penn State @ write.to.jason @ |
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91 |
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Kaufman-Cohen, Y.; Friedman, J.; Levanon, Y.; Jacobi, G.; Doron, N.; Portnoy, S. |


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Title |
Wrist Plane of Motion and Range During Daily Activities |
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Journal Article |
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Year |
2018 |
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American Journal of Occupational Therapy |
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Am J Occup Ther |
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72 |
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6 |
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1-10 |
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OBJECTIVE. The dart-throwing motion (DTM) is a multiplane wrist motion that is needed for many daily occupations. Mobilization along the DTM plane may be essential for rehabilitation after wrist injury, but DTM angles are reported for the dominant hand alone, so their relevance to injury in the nondominant hand cannot be surmised. The aim of this study was to quantify the DTM plane angles for both hands during different activities of daily living (ADLs).
METHOD. Forty-three healthy participants wore a twin-axis electrogoniometer during ADLs.
RESULTS. No significant differences were found between the DTM plane angles of the dominant (20°�45°) and nondominant (15°�40°) hands. These angles varied by task and across participants.
CONCLUSION. The DTM plane is a functional motion used by both hands during ADLs. Because the DTM plane angle differs among hands, tasks, and individual clients, wrist rehabilitation involving the DTM plane should not be limited to a singular DTM plane angle.OBJECTIVE. The dart-throwing motion (DTM) is a multiplane wrist motion that is needed for many daily occupations. Mobilization along the DTM plane may be essential for rehabilitation after wrist injury, but DTM angles are reported for the dominant hand alone, so their relevance to injury in the nondominant hand cannot be surmised. The aim of this study was to quantify the DTM plane angles for both hands during different activities of daily living (ADLs).
METHOD. Forty-three healthy participants wore a twin-axis electrogoniometer during ADLs.
RESULTS. No significant differences were found between the DTM plane angles of the dominant (20°�45°) and nondominant (15°�40°) hands. These angles varied by task and across participants.
CONCLUSION. The DTM plane is a functional motion used by both hands during ADLs. Because the DTM plane angle differs among hands, tasks, and individual clients, wrist rehabilitation involving the DTM plane should not be limited to a singular DTM plane angle. |
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0272-9490 |
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