15 research outputs found

    Myofascial structural integration therapy on gross motor function and gait of young children with spastic cerebral palsy: a randomized controlled trial

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    Though the cause of motor abnormalities in cerebral palsy is injury to the brain, structural changes in muscle and fascia may add to stiffness and reduced function. This study examined whether Myofascial Structural Integration therapy (MSI), a complementary treatment that manipulates muscle and fascia, would improve gross motor function and gait in children < 4 years with cerebral palsy. Participants (N=29) were enrolled in a randomized controlled trial (RCT: NCT01815814, https://goo.gl/TGxvwd) or Open Label Extension. The main outcome was the Gross Motor Function Measure-66 assessed at 3-month intervals. Gait (n=8) was assessed using the GAITRite® electronic walkway. Parents completed a survey at study conclusion.Comparing Treatment (n=15) and Waitlist-Control Groups (n=9), we found a significant main effect of time but no effect of group or timeXgroup interaction. The pooled sample (n=27) showed a main effect of time, but no significantly greater change after treatment than between other assessments. Foot length on the affected side increased significantly after treatment, likely indicating improvement in the children’s ability to approach a heel strike. Parent surveys indicated satisfaction and improvements in the children's quality of movement. MSI did not increase the rate of motor skill development, but was associated with improvement in gait quality

    Border-Lines Volume XIV

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    Border-Lines is an interdisciplinary and intersectional academic journal dedicated to the dissemination of research on Chicana/o-Latina/o cultural, political and social issues. Border-Lines is a refereed journal that seeks to publish scholarly articles drawn from a variety of disciplines such as anthropology, education, geography, human health, literary and cultural studies, political science, social work and sociology. Articles, poetry, prose and testimonials are accepted in English and Spanish in APA style formatting

    The scalable precision medicine open knowledge engine (SPOKE): a massive knowledge graph of biomedical information.

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    MOTIVATION: Knowledge graphs (KGs) are being adopted in industry, commerce and academia. Biomedical KG presents a challenge due to the complexity, size and heterogeneity of the underlying information. RESULTS: In this work, we present the Scalable Precision Medicine Open Knowledge Engine (SPOKE), a biomedical KG connecting millions of concepts via semantically meaningful relationships. SPOKE contains 27 million nodes of 21 different types and 53 million edges of 55 types downloaded from 41 databases. The graph is built on the framework of 11 ontologies that maintain its structure, enable mappings and facilitate navigation. SPOKE is built weekly by python scripts which download each resource, check for integrity and completeness, and then create a \u27parent table\u27 of nodes and edges. Graph queries are translated by a REST API and users can submit searches directly via an API or a graphical user interface. Conclusions/Significance: SPOKE enables the integration of seemingly disparate information to support precision medicine efforts. AVAILABILITY AND IMPLEMENTATION: The SPOKE neighborhood explorer is available at https://spoke.rbvi.ucsf.edu. SUPPLEMENTARY INFORMATION: Supplementary data are available at Bioinformatics online
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