Association between ultrasound assessment of glenohumeral subluxation and shoulder pain, muscle strength, active range of movement and upper limb function in people with stroke

Background: Glenohumeral subluxation (GHS) is a commonly reported post-stroke complication which has a negative effect on rehabilitation. Objective: To explore the association between GHS and other clinical outcomes in people with post-stroke hemiplegia. Methods: Patients with post-stroke hemiplegia (n=105, 71±11 years, median time since stroke 5.6 weeks), who gave informed consent, were recruited. GHS was assessed by the ultrasound method. Assessment of shoulder pain (visual analogue scale), active range of movement (AROM), muscle strength (Medical Research Council Scale), muscle tone (Modified Ashworth Scale) and the upper limb section of the Motor Assessment Scale (MAS) was undertaken. Results: GHS was present in 65 (62%) patients. There was a moderate negative correlation between GHS and muscle strength (r=-0.54,

Reconstruction of Protein Form with X-ray Solution Scattering and a Genetic Algorithm

We have reconstructed, from experimental $2 nm resolution X-ray solution scattering pro®les, the corresponding shapes and sizes of myoglobin, troponin C, spermadhesin PSP-I/PSP-II, chymotrypsinogen A, superoxide dismutase, ovalbumin, tubulin, nitrite reductase, catalase, the structural change of troponin C upon dissociation of the two high af®nity Ca 2 , and the solution model structure of a tandem pair of ®bronectin type III cytoplasmic domains of integrin a6b4 before determination of its crystal structure. To this purpose we have designed a new genetic algorithm which gradually explores a discrete search space and evolves convergent models made of several hundred beads (down to 0.3 nm radius) best ®tting the scattering pro®le upon Debye calculation, without geometrical constraints or penalty for loose beads. This is a procedure of effective numerical transformation of the one-dimensional scattering pro®les into three-dimensional model structures. The number of beads in models is correlated with the protein molecular mass (with one exception). The shape and approximate dimensions of each protein have been retrieved by a set of ten solution models, essentially superimposable with the available crystal structures

Untangling the imprints of climate, geography and land use/cover on bird diversity in the South American Gran Chaco

To evaluate the structure of bird communities throughout the South American Gran Chaco determining the effects of climate, geography and land use/land cover in bird beta diversity, as well as to understand the beta diversity processes underlying land use changes across broad spatial ranges. Location: South American Gran Chaco. Taxon: Birds. Methods: We constructed a site-by-species matrix with occurrence probabilities of 293 bird species across 2,669 spatial units tiling completely the study area. Based on this matrix, we calculated pairwise dissimilarities scores and performed a hierarchical cluster analysis for describing the spatial configuration of dissimilarities. The clustering result was spatially represented through an original venation map with boundaries between sites widened in the function of their distance in the dendrogram. We used the Generalized Dissimilarity Modelling approach to model beta diversity, using geographic distance, climatic and land use/land cover information as predictors. We mapped beta diversity patterns using colour theory and the HSV colour model. We identified two main clusters of sites across the Gran Chaco, which represent environmentally different sites and harbour very distinct assemblages of species. These main groups are separated by two natural delimiters: The Bermejo-Pilcomayo interfluvium and the Lower Paraná floodplain. Overall, we observed that the percentage of cropland and climatic variables were important shapers of bird beta diversity. Main conclusions: We provide the first area-wide assessment of land use/land cover effects on bird beta diversity for the Gran Chaco. The distribution of croplands has a marked influence on bird beta diversity at regional scale highlighting the role of anthropic changes in reshaping bird beta diversity within the ecoregion. Taking into account the global increasing conversion of forests into croplands, a growing footprint of land use changes over geographical patterns of bird diversity in forest biomes can be anticipated.Fil: Nazaro, María Gabriela. Universidad Nacional de Tucumán. Instituto de Ecología Regional. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Instituto de Ecología Regional; ArgentinaFil: Dos Santos, Daniel Andrés. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Instituto de Biodiversidad Neotropical. Universidad Nacional de Tucumán. Facultad de Ciencias Naturales e Instituto Miguel Lillo. Instituto de Biodiversidad Neotropical. Instituto de Biodiversidad Neotropical; ArgentinaFil: Torres, Ricardo Marcelo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Diversidad y Ecología Animal. Universidad Nacional de Córdoba. Facultad de Ciencias Exactas Físicas y Naturales. Instituto de Diversidad y Ecología Animal; ArgentinaFil: Baumann, Matthias. Humboldt-universitat Zu Berlin. Geography Department.; AlemaniaFil: Blendinger, Pedro Gerardo. Universidad Nacional de Tucumán. Instituto de Ecología Regional. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Instituto de Ecología Regional; Argentin

Transmission in Heteronymous Spinal Pathways Is Modified after Stroke and Related to Motor Incoordination

Changes in reflex spinal pathways after stroke have been shown to affect motor activity in agonist and antagonist muscles acting at the same joint. However, only a few studies have evaluated the heteronymous reflex pathways modulating motoneuronal activity at different joints. This study investigates whether there are changes in the spinal facilitatory and inhibitory pathways linking knee to ankle extensors and if such changes may be related to motor deficits after stroke. The early facilitation and later inhibition of soleus H reflex evoked by the stimulation of femoral nerve at 2 times the motor threshold of the quadriceps were assessed in 15 healthy participants and on the paretic and the non-paretic sides of 15 stroke participants. The relationships between this reflex modulation and the levels of motor recovery, coordination and spasticity were then studied. Results show a significant (Mann-Whitney U; P<0.05) increase in both the peak amplitude (mean±SEM: 80±22% enhancement of the control H reflex) and duration (4.2±0.5 ms) of the facilitation on the paretic side of the stroke individuals compared to their non-paretic side (36±6% and 2.9±0.4 ms) and to the values of the control subjects (33±4% and 2.8±0.4 ms, respectively). Moreover, the later strong inhibition observed in all control subjects was decreased in the stroke subjects. Both the peak amplitude and the duration of the increased facilitation were inversely correlated (Spearman r = −0.65; P = 0.009 and r = −0.67; P = 0.007, respectively) with the level of coordination (LEMOCOT) of the paretic leg. Duration of this facilitation was also correlated (r = −0.58, P = 0.024) with the level of motor recovery (CMSA). These results confirm changes in transmission in heteronymous spinal pathways that are related to motor deficits after stroke