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Author Kaufman-Cohen, Y.; Levanon, Y.; Friedman, J.; Yaniv, Y.; Portnoy, S.
Title Home exercise in the dart-throwing motion plane after distal radius fractures: A Pilot Randomized Controlled Trial Type Journal Article
Year 2020 Publication Journal of Hand Therapy Abbreviated Journal
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Call Number (up) Serial 103
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Author Krasovsky, T.; Weiss, P.L.; Zuckerman, O.; Bar, A.; Keren-Capelovitch, T.; Friedman, J.
Title DataSpoon: Validation of an Instrumented Spoon for Assessment of Self-Feeding Type Journal Article
Year 2020 Publication Sensors (Basel, Switzerland) Abbreviated Journal Sensors (Basel)
Volume 20 Issue 7 Pages
Keywords concurrent validity; feasibility; kinematics; outcome assessment; rehabilitation
Abstract Clinically feasible assessment of self-feeding is important for adults and children with motor impairments such as stroke or cerebral palsy. However, no validated assessment tool for self-feeding kinematics exists. This work presents an initial validation of an instrumented spoon (DataSpoon) developed as an evaluation tool for self-feeding kinematics. Ten young, healthy adults (three male; age 27.2 +/- 6.6 years) used DataSpoon at three movement speeds (slow, comfortable, fast) and with three different grips: “natural”, power and rotated power grip. Movement kinematics were recorded concurrently using DataSpoon and a magnetic motion capture system (trakSTAR). Eating events were automatically identified for both systems and kinematic measures were extracted from yaw, pitch and roll (YPR) data as well as from acceleration and tangential velocity profiles. Two-way, mixed model Intraclass correlation coefficients (ICC) and 95% limits of agreement (LOA) were computed to determine agreement between the systems for each kinematic variable. Most variables demonstrated fair to excellent agreement. Agreement for measures of duration, pitch and roll exceeded 0.8 (excellent agreement) for >80% of speed and grip conditions, whereas lower agreement (ICC < 0.46) was measured for tangential velocity and acceleration. A bias of 0.01-0.07 s (95% LOA [-0.54, 0.53] to [-0.63, 0.48]) was calculated for measures of duration. DataSpoon enables automatic detection of self-feeding using simple, affordable movement sensors. Using movement kinematics, variables associated with self-feeding can be identified and aid clinical reasoning for adults and children with motor impairments.
Address Department of Physical Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
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ISSN 1424-8220 ISBN Medium
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Notes PMID:32283624; PMCID:PMC7180859 Approved no
Call Number (up) Serial 104
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Author Bezalel, G.; Nachoum Arad, G.; Plotnik, M.; Friedman, J.
Title Voluntary step execution in patients with knee osteoarthritis: Symptomatic vs. non-symptomatic legs Type Journal Article
Year 2021 Publication Gait & Posture Abbreviated Journal Gait Posture
Volume 83 Issue Pages 60-66
Keywords Accidental falls; Gait; Knee; Osteoarthritis; Voluntary step
Abstract BACKGROUND: Individuals with osteoarthritis fall at a greater rate than the general population, likely as a result of weakness, pain, movement limitations, and a decline in balance. Due to the high prevalence of osteoarthritis in the population, understanding the mechanisms leading to greater fall risk is an important issue to better understand. RESEARCH QUESTION: What is the influence of unilateral knee osteoarthritis on the characteristics of performing a voluntary step (i.e., similar to that performed to avoid a fall after a perturbation), compared to healthy age-matched controls? METHODS: Case-control study performed in a Health maintenance organization physical therapy clinic. The research group consisted of a referred sample of 21 patients with unilateral knee osteoarthritis. The control group consisted of 22 age-matched healthy individuals. All participants were over 65 years of age. Participants were excluded if they had a surgical procedure to back or lower limb within one year before testing, oncological or neurological disease or a deficit in tactile sense. Movements were performed with and without dual tasking. MEASUREMENTS: Duration of the initiation phase (cue to step initiation), preparatory phase (step initiation to foot off) and swing phase (foot off to foot contact). RESULTS: In the preparatory phase and swing phase, the osteoarthritis group moved more slowly than the control group, and these differences were larger for forward compared to backward movements. Dual-tasking slowed responses in the pre-movement initiation stage across groups. SIGNIFICANCE: The differences in basic parameters, and the slower movements in the osteoarthritis group, are consistent with known features of osteoarthritis, being a disease commonly regarded as primarily “mechanical”, and are likely to increase fall risk. These response deficits suggest we should take advantage of advanced rehabilitation techniques, including cognitive loading, to help prevent falls in older adults with osteoarthritis.
Address Dept. Physical Therapy, Stanley Steyer School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel. Electronic address: jason@tau.ac.il
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ISSN 0966-6362 ISBN Medium
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Notes PMID:33080457 Approved no
Call Number (up) Serial 107
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Author Lerner, O.; Friedman, J.; Frenkel-Toledo, S.
Title The effect of high-definition transcranial direct current stimulation intensity on motor performance in healthy adults: a randomized controlled trial Type Journal Article
Year 2021 Publication Journal of NeuroEngineering and Rehabilitation Abbreviated Journal J NeuroEngineering Rehabil
Volume 18 Issue Pages 103
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ISSN 1743-0003 ISBN Medium
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Notes Approved no
Call Number (up) Serial 109
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Author Krasovsky, T.; Keren-Capelovitch, T.; Friedman, J.; Weiss, P.L.
Title Self-feeding kinematics in an ecological setting: typically developing children and children with cerebral palsy Type Journal Article
Year 2021 Publication IEEE Transactions on Neural Systems and Rehabilitation Engineering : a Publication of the IEEE Engineering in Medicine and Biology Society Abbreviated Journal IEEE Trans Neural Syst Rehabil Eng
Volume 29 Issue Pages 1462-1469
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Abstract Assessment of self-feeding kinematics is seldom performed in an ecological setting. In preparation for development of an instrumented spoon for measurement of self-feeding in children with cerebral palsy (CP), the current work aimed to evaluate upper extremity kinematics of self-feeding in young children with typical development (TD) and a small, age-matched group of children with CP in a familiar setting, while eating with a spoon. METHODS: Sixty-five TD participants and six children diagnosed with spastic CP, aged 3-9 years, fed themselves while feeding was measured using miniature three-dimensional motion capture sensors (trakStar). Kinematic variables associated with different phases of self-feeding cycle (movement time, curvature, time to peak velocity and smoothness) were compared across age-groups in the TD sample and between TD children and those with CP. RESULTS: Significant between-age group differences were identified in movement times, time to peak velocity and curvature. Children with CP demonstrated slower, less smooth self-feeding movements, potentially related to activity limitations. CONCLUSIONS: The identified kinematic variables form a basis for implementation of self-feeding performance assessment in children of different ages, including those with CP, which can be deployed via an instrumented spoon.
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ISSN 1534-4320 ISBN Medium
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Notes PMID:34280104 Approved no
Call Number (up) Serial 110
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