2016-2017 Master Class - John Miller (Bassoon)

https://spiral.lynn.edu/conservatory_masterclasses/1001/thumbnail.jp

Rehabilitation of the hemiparetic gait by nociceptive withdrawal reflex-based functional electrical therapy: a randomized, single-blinded study

BACKGROUND: Gait deficits are very common after stroke and improved therapeutic interventions are needed. The objective of this study was therefore to investigate the therapeutic use of the nociceptive withdrawal reflex to support gait training in the subacute post-stroke phase. METHODS: Individuals were randomly allocated to a treatment group that received physiotherapy-based gait training supported by withdrawal reflex stimulation and a control group that received physiotherapy-based gait training alone. Electrical stimuli delivered to the arch of the foot elicited the withdrawal reflex at heel-off with the purpose of facilitating the initiation and execution of the swing phase. Gait was assessed before and immediately after finishing treatment, and one month and six months after finishing treatment. Assessments included the Functional Ambulation Category (FAC) test, the preferred and maximum gait velocities, the duration of the stance phase in the hemiparetic side, the duration of the gait cycle, and the stance time symmetry ratio. RESULTS: The treatment group showed an improved post treatment preferred walking velocity (p < 0.001) and fast walking velocity (p < 0.001) compared to the control group. Furthermore, subjects in the treatment group with severe walking impairment at inclusion time showed the best improvement as assessed by a longer duration of the stance phase in the hemiparetic side (p < 0.002) and a shorter duration of the gait cycle (p < 0.002). The stance time symmetry ratio was significantly better for the treatment than the control group after finishing training (p < 0.02). No differences between groups were detected with the FAC test after finishing training (p = 0.09). CONCLUSION: Withdrawal reflex-based functional electrical therapy was useful in the rehabilitation of the hemiparetic gait of severely impaired patients

Reduced physiological performance in a free-living coralline alga induced by salmon faeces deposition

Maerl beds are formed by the accumulation of free-living coralline algae and have considerable ecological significance due to the high diversity of associated fauna and flora. The rapid expansion of the Atlantic salmon Salmo salar aquaculture industry in Norway may have major impacts on surrounding maerl beds through the release of effluents, including fish faeces. This study is the first to test the effects of salmon faeces and inorganic sediment deposition on the photosynthesis, respiration, calcification and pigment content of the coralline alga Lithothamnion soriferum. In a 6 wk laboratory experiment, inorganic sediment and salmon faeces deposition significantly reduced the amount of light reaching the surface of coralline algae. No impact of inorganic sediment deposition was detected on L. soriferum physiology, while salmon faeces deposition increased respiration rate and reduced net primary production and calcification. The accumulation of salmon faeces stimulates proliferation of bacteria, with adverse consequences on L. soriferum physiology due to the potential release of toxic compounds. Burial by salmon faeces deposition also affects the physiology of coralline algae due to the flocculation of sticky faeces particles, which may limit nutrient and gas exchanges in the vicinity of thalli. Carbon dioxide accumulation in the vicinity of L. soriferum may lead to a decline in pH and alter the calcification process in cell walls. In natural maerl beds, the negative effect of faeces deposition may be exacerbated by longer-term exposure and the presence of other chemicals released by fish farms.publishedVersio