| Records |
| Author |
Davidowitz, I.; Parmet, Y.; Frenkel-Toledo, S.; Banina, M.C.; Soroker, N.; Solomon, J.M.; Liebermann, D.G.; Levin, M.F.; Berman, S. |
| Title |
Relationship Between Spasticity and Upper-Limb Movement Disorders in Individuals With Subacute Stroke Using Stochastic Spatiotemporal Modeling |
Type |
Journal Article |
| Year |
2019 |
Publication  |
Neurorehabilitation and Neural Repair |
Abbreviated Journal |
Neurorehabil Neural Repair |
| Volume |
33 |
Issue |
2 |
Pages |
141-152 |
| Keywords |
Gaussian mixture model; Kullback-Liebler divergence; spasticity; stroke; upper-limb kinematics |
| Abstract |
BACKGROUND: Spasticity is common in patients with stroke, yet current quantification methods are insufficient for determining the relationship between spasticity and voluntary movement deficits. This is partly a result of the effects of spasticity on spatiotemporal characteristics of movement and the variability of voluntary movement. These can be captured by Gaussian mixture models (GMMs). OBJECTIVES: To determine the influence of spasticity on upper-limb voluntary motion, as assessed by the bidirectional Kullback-Liebler divergence (BKLD) between motion GMMs. METHODS: A total of 16 individuals with subacute stroke and 13 healthy aged-equivalent controls reached to grasp 4 targets (near-center, contralateral, far-center, and ipsilateral). Two-dimensional GMMs (angle and time) were estimated for elbow extension motion. BKLD was computed for each individual and target, within the control group and between the control and stroke groups. Movement time, final elbow angle, average elbow velocity, and velocity smoothness were computed. RESULTS: Between-group BKLDs were much larger than within control-group BKLDs. Between-group BKLDs for the near-center target were lower than those for the far-center and contralateral targets, but similar to that for the ipsilateral target. For those with stroke, the final angle was lower for the near-center target, and the average velocity was higher. Velocity smoothness was lower for the near-center than for the ipsilateral target. Elbow flexor and extensor passive muscle resistance (Modified Ashworth Scale) strongly explained BKLD values. CONCLUSIONS: Results support the view that individuals with poststroke spasticity have a velocity-dependent reduction in active elbow joint range and that BKLD can be used as an objective measure of the effects of spasticity on reaching kinematics. |
| Address |
1 Ben-Gurion University of the Negev, Beer-Sheva, Israel |
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English |
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| ISSN |
1545-9683 |
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| Notes |
PMID:30744528 |
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no |
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93 |
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Frenkel-Toledoa, S.; Bentin, S.; Perry, A.; Liebermann, D. G.; Soroker, N. |
| Title |
Mirror-neuron system recruitment by action observation: Effects of focal brain damage on mu suppression |
Type |
Journal Article |
| Year |
2014 |
Publication |
NeuroImage |
Abbreviated Journal |
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| Volume |
87 |
Issue |
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Pages |
127-137 |
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| Abstract |
Mu suppression is the attenuation of EEG power in the alpha frequency range (8-12 Hz), recorded over the sensorimotor cortex during execution and observation of motor actions. Based on this dual characteristic it is thought to signalize activation of a human analogue of the mirror neuron system (MNS) found in macaque monkeys, though much uncertainty remains concerning its specificity and full significance. To further explore the hypothesized relationship between mu suppression and MNS activation, we investigated how it is affected by damage to cortical regions, including areas where the MNS is thought to reside. EEG was recorded in 33 first-event stroke patients during observation of video-clips showing reaching and grasping hand movements. We examined the modulation of EEG oscillations at central and occipital sites, and analyzed separately the lower (8-10 Hz) and higher (10-12 Hz) segments of the alpha/mu range. Suppression was determined relative to observation of a non-biological movement. Normalized lesion data were used to investigate how damage to regions of the fronto-parietal cortex affects the pattern of suppression. The magnitude of mu suppression during action observation was significantly reduced in the affected hemisphere compared to the unaffected hemisphere. Differences between the hemispheres were significant at central (sensorimotor) sites but not at occipital (visual) sites. Total hemispheric volume loss did not correlate with mu suppression. Suppression in the lower mu range in the unaffected hemisphere (C3) correlated with lesion extent within the right inferior parietal cortex. Our lesion study supports the role of mu suppression as a marker of MNS activation, as suggested by findings gathered in previous studies in normal subjects. |
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71 |
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Falk, B.; Eliakim, A.; Dotan, R.; Liebermann, D.G.; Regev, R.; Bar-Or, O. |
| Title |
Birth weight and physical ability in 5- to 8-yr-old healthy children born prematurely |
Type |
Journal Article |
| Year |
1997 |
Publication |
Medicine and Science in Sports and Exercise |
Abbreviated Journal |
Med Sci Sports Exerc |
| Volume |
29 |
Issue |
9 |
Pages |
1124-1130 |
| Keywords |
*Birth Weight; Child; Child Development/physiology; Child, Preschool; Female; Follow-Up Studies; Humans; Infant, Newborn; *Infant, Premature; Male; *Motor Skills; *Physical Fitness |
| Abstract |
Recent advances in perinatal care have resulted in increased survival rates of extremely small and immature newborns. This has resulted in some neurodevelopmental impairment. The purpose of this study was to quantitatively evaluate and compare neuromuscular performance in children born prematurely at various levels of subnormal birth weight (BW). Subjects were 5- to 8-yr-old children born prematurely at different levels of subnormal BW (535-1760 g, N = 22, PM), and age-matched controls born at full term (> 2500 g, N = 15, CON). None of the subjects had any clinically defined neuromuscular disabilities. Body mass (BM) of PM was lower than that of CON (18.3 +/- 2.7 vs 21.7 +/- 3.8 kg) with no difference in height or sum of 4 skinfolds. Peak mechanical power output determined with a 15-s modified Wingate Anaerobic Test and corrected for BM was lower (P = 0.07) in PM than in CON (5.11 +/- 1.07 vs 5.94 +/- 1.00 W.kg-1). This was especially noticeable in children born at extremely low BW (ELBW, < 1000 g, 4.49 +/- 1.04 W.kg-1, P < 0.01). Peak power, determined in a force-plate vertical jump, corrected for BM was lower in PM vs CON (25.5 +/- 5.4 vs 30.8 +/- 5.2 W.kg-1, respectively P = 0.01), especially in the ELBW group (20.0 +/- 5.5 W.kg-1). Similarly, the elapsed time between peak velocity and actual jump take-off was longer in PM than in CON (41.2 +/- 9.4 vs 35.8 +/- 5.8 ms, respectively, P = 0.04). No differences were observed in peak force. The results suggest that performance deficiencies of prematurely-born children may be a result of inferior inter-muscular coordination. The precise neuromotor factors responsible for this should be identified by future research. |
| Address |
Ribstein Center for Research and Sport Medicine Sciences, Wingate Institute, Netanya, Israel. bfalk@ccsg.tau.ac.il |
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English |
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0195-9131 |
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PMID:9309621 |
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no |
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64 |
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Liebermann, D.G.; Katz, L.; Hughes, M.D.; Bartlett, R.M.; McClements, J.; Franks, I.M. |
| Title |
Advances in the application of information technology to sport performance |
Type |
Journal Article |
| Year |
2002 |
Publication |
Journal of Sports Sciences |
Abbreviated Journal |
J Sports Sci |
| Volume |
20 |
Issue |
10 |
Pages |
755-769 |
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*Biofeedback, Psychology; *Computer Simulation; Humans; Models, Biological; Physical Education and Training/*methods; Psychomotor Performance/physiology; Sports Medicine/methods; *Task Performance and Analysis; Videotape Recording |
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This paper overviews the diverse information technologies that are used to provide athletes with relevant feedback. Examples taken from various sports are used to illustrate selected applications of technology-based feedback. Several feedback systems are discussed, including vision, audition and proprioception. Each technology described here is based on the assumption that feedback would eventually enhance skill acquisition and sport performance and, as such, its usefulness to athletes and coaches in training is critically evaluated. |
| Address |
Department of Physical Therapy, Sackler Faculty of Medicine, University of Tel Aviv, Israel |
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English |
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0264-0414 |
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| Notes |
PMID:12363293 |
Approved |
no |
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40 |
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| Author |
Issurin, V.B.; Liebermann, D.G.; Tenenbaum, G. |
| Title |
Effect of vibratory stimulation training on maximal force and flexibility |
Type |
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| Year |
1994 |
Publication |
Journal of Sports Sciences |
Abbreviated Journal |
J Sports Sci |
| Volume |
12 |
Issue |
6 |
Pages |
561-566 |
| Keywords |
Adult; Humans; Male; Muscle Contraction/physiology; Muscle, Skeletal/*physiology; *Physical Education and Training; Vibration/*therapeutic use |
| Abstract |
In this study, we investigated a new method of training for maximal strength and flexibility, which included exertion with superimposed vibration (vibratory stimulation, VS) on target muscles. Twenty-eight male athletes were divided into three groups, and trained three times a week for 3 weeks in one of the following conditions: (A) conventional exercises for strength of the arms and VS stretching exercises for the legs; (B) VS strength exercises for the arms and conventional stretching exercises for the legs; (C) irrelevant training (control group). The vibration was applied at 44 Hz while its amplitude was 3 mm. The effect of training was evaluated by means of isotonic maximal force, heel-to-heel length in the two-leg split across, and flex-and-reach test for body flexion. The VS strength training yielded an average increase in isotonic maximal strength of 49.8%, compared with an average gain of 16% with conventional training, while no gain was observed for the control group. The VS flexibility training resulted in an average gain in the legs split of 14.5 cm compared with 4.1 cm for the conventional training and 2 cm for the control groups, respectively. The ANOVA revealed significant pre-post training effects and an interaction between pre-post training and 'treatment' effects (P < 0.001) for the isotonic maximal force and both flexibility tests. It was concluded that superimposed vibrations applied for short periods allow for increased gains in maximal strength and flexibility. |
| Address |
Ribstein Centre for Research and Sport Medicine Sciences, Wingate Institute, Wingate Post, Israel |
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English |
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0264-0414 |
ISBN |
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| Notes |
PMID:7853452 |
Approved |
no |
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Serial |
56 |
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