Effectiveness of Treadmill Training on Walking Ability in Adults with Cerebral Palsy: A Systematic Review and Meta-Analysis

Background: Patients with cerebral palsy (CP) may necessitate long-term treatment and monitoring of their condition, not only during the period of development but also during adulthood. Objectives: This systematic review aimed to analyze evidence from randomized controlled trials (RCTs) that have investigated the effect of treadmill training on walking ability in adults with cerebral palsy. Methods: RCTs were identified and selected systematically, with appropriate keywords applied in four scientific databases (Medline, Scopus, the Cochrane Library, and the Physiotherapy Evidence Database) and one bibliographic search engine (Google Scholar) from January 1980 to September 2021. Two assessors extracted and analyzed data from relevant RCTs published in English and then independently rated those studies for risk of bias with the Risk of Bias (RoB 2) tool. Results: Out of the 96 studies that were initially identified, 93 were excluded, as these either did not meet the inclusion criteria or were duplicates. Three clinical trials were finally included, characterized by some concerns and a high risk of bias (RoB 2). Meta-analysis was only performed for the maximum distance in the ‘6-minute walk for distance test’, due to differences in the remaining outcomes utilized between studies. Overall, there was evidence of some concerns and high risk of bias that treadmill training did not significantly improve the walking ability in adult patients with CP relative to the control conditions. Conclusion: More high-quality RCTs are required, examining the effectiveness of treadmill training on different aspects of walking ability such as gait speed, endurance, and energy expenditure

A silviculture-oriented spatio-temporal model for germination in Pinus pinea L. in the Spanish Northern Plateau based on a direct seeding experiment

Natural regeneration in Pinus pinea stands commonly fails throughout the Spanish Northern Plateau under current intensive regeneration treatments. As a result, extensive direct seeding is commonly conducted to guarantee regeneration occurrence. In a period of rationalization of the resources devoted to forest management, this kind of techniques may become unaffordable. Given that the climatic and stand factors driving germination remain unknown, tools are required to understand the process and temper the use of direct seeding. In this study, the spatio-temporal pattern of germination of P. pinea was modelled with those purposes. The resulting findings will allow us to (1) determine the main ecological variables involved in germination in the species and (2) infer adequate silvicultural alternatives. The modelling approach focuses on covariates which are readily available to forest managers. A two-step nonlinear mixed model was fitted to predict germination occurrence and abundance in P. pinea under varying climatic, environmental and stand conditions, based on a germination data set covering a 5-year period. The results obtained reveal that the process is primarily driven by climate variables. Favourable conditions for germination commonly occur in fall although the optimum window is often narrow and may not occur at all in some years. At spatial level, it would appear that germination is facilitated by high stand densities, suggesting that current felling intensity should be reduced. In accordance with other studies on P. pinea dispersal, it seems that denser stands during the regeneration period will reduce the present dependence on direct seeding

Seed stratification and germination strategy in the Mediterranean pines Pinus Brutia and P. Halepensis

The ecophysiology of germination in Pinus brutia and P halepensis was studied in seeds collected from different areas of Greece. In regard to the temperature range of germination, both P halepensis and the southern provenance (Lasithi, Crete) of the East Mediterranean pine, P brutia, follow a typical Mediterranean pattern. In the latter species, dramatic differences in the degree of dormancy were noted among the three provenances investigated; in all seed lots however, 20°C was clearly the optimal temperature for germination. Stratification resulted in a considerable promotion of P brutia seed germination. Nevertheless, the inductive effect of stratification was shown to differ among the three provenances used, escalating from a simple increase of germination rate (in the southern seed lot from Lasithi, Crete) through a broadening of the temperature range of germination (in the intermediate lot from Thasos Island) to, finally, a dramatic release from a particularly deep dormancy (in the northern lot from Soufli). These deeply dormant seeds of the latter provenance displayed an absolute stratification requirement; prolonged illumination or seed coat scarification could not substitute for the promotive effect of prechilling. A considerable interaction between far-red light and stratification was revealed in the dormant seeds of P brutia (Soufli provenance); far-red pulses during stratification could either cancel or diminish the germination promotion induced by low temperatures. The differences observed in the germination behaviour among the various P brutia provenances may be attributed to a variable ecophysiological strategy in regard to the temporal pattern of seedling emergence and establishment. According to the variants of this strategy, seed germination is timed to occur during either spring (in regions with relatively cold and moist climates), or autumn and early winter (in southern, mild and dry areas) or both (in intermediate conditions). © 1995, Cambridge University Press. All rights reserved

Evaluating the approach run of class F11 visually impaired athletes in triple and long jumps

The present study examined stride pattern characteristics of Class F11 visually impaired long jumpers and triple jumpers. Athletes demonstrated initial ascending footfall variability followed by descending variability, on the second (long jumpers) and third (triple jumpers) stride prior to take-off, at a mean distance of 6.26 m (long jumpers) and 7.36 m (triple jumpers) from the take-off board. Toeboard- distance variability reached a maximum value of 0.36 m and 0.38 m for the long and triple jump, respectively. Last stride toe-board-distance variability was 0.29 m (long jump) and 0.25 m (triple jump). Class F11 visually impaired athletes exhibit regulation of goal-directed gait analogous to that of non-visually impaired athletes. © Perceptual and Motor Skills 2012

Seed stratification and germination strategy in the Mediterranean pines Pinus Brutia and P. Halepensis

The ecophysiology of germination in Pinus brutia and P halepensis was studied in seeds collected from different areas of Greece. In regard to the temperature range of germination, both P halepensis and the southern provenance (Lasithi, Crete) of the East Mediterranean pine, P brutia, follow a typical Mediterranean pattern. In the latter species, dramatic differences in the degree of dormancy were noted among the three provenances investigated; in all seed lots however, 20°C was clearly the optimal temperature for germination. Stratification resulted in a considerable promotion of P brutia seed germination. Nevertheless, the inductive effect of stratification was shown to differ among the three provenances used, escalating from a simple increase of germination rate (in the southern seed lot from Lasithi, Crete) through a broadening of the temperature range of germination (in the intermediate lot from Thasos Island) to, finally, a dramatic release from a particularly deep dormancy (in the northern lot from Soufli). These deeply dormant seeds of the latter provenance displayed an absolute stratification requirement; prolonged illumination or seed coat scarification could not substitute for the promotive effect of prechilling. A considerable interaction between far-red light and stratification was revealed in the dormant seeds of P brutia (Soufli provenance); far-red pulses during stratification could either cancel or diminish the germination promotion induced by low temperatures. The differences observed in the germination behaviour among the various P brutia provenances may be attributed to a variable ecophysiological strategy in regard to the temporal pattern of seedling emergence and establishment. According to the variants of this strategy, seed germination is timed to occur during either spring (in regions with relatively cold and moist climates), or autumn and early winter (in southern, mild and dry areas) or both (in intermediate conditions). © 1995, Cambridge University Press. All rights reserved

Depth perception of elementary school students with qualitatively evidenced locomotor impairments

The purpose of the study was to examine differences in depth perception of students classified according to their gross locomotor skills. The seven qualitative gross locomotor tasks of Ulrich's Test of Gross and Motor Development were used to classify 162 students as either motor impaired (n 1 = 27) or nonimpaired (n2 = 135). The Howard Dollman Apparatus was used to measure depth perception. Analysis showed that the motor-impaired group scored significantly lower than the nonimpaired group on depth perception. Discriminant function analysis indicated that only the running task separated the students by depth perception scores. Subsequent multiple regression analysis confirmed that the running task, along with sliding and galloping, were significant predictors of the students' perception of the third dimension. Physical educators working with students with gross locomotor impairments or low perception of the third dimension need to adjust their teaching and offer opportunities for successful involvement in physical education classes and sports