Exercise Combined with Electrotherapy Enhances Motor Function in an Adolescent with Spinal Muscular Atrophy Type III

Background. Electrotherapy is widely used in physical therapy to increase muscle mass, improve motor function, and assist physical activity in several neurologic conditions. However, concerning Spinal Muscular Atrophy (SMA), limited evidence exists on the role of electrotherapy as an adjunct for improving muscle strength and function. Case Report. An adolescent (13 y.o.) with SMA type III underwent an 18-week strengthening program divided into two stages. During Phase I (weeks: 1-8), a home-based program for quadriceps strengthening through neuromuscular electrical stimulation (NMES) was provided. In Phase II (weeks: 9-18), at-home NMES was combined with functional electrical stimulation (FES) assisting volitional cycling for a broader, systemic conditioning. The treatment improved patient's structural and functional motor outcomes (quadriceps circumference and strength, Tinetti scale, and Hammersmith scale) as well as independence in stair climbing. Clinical Rehabilitation Impact. The purpose of this report is to raise awareness of the potential role of electrotherapy to help improving motor performance in SMA patients and, secondly, to foster further research aimed at assessing the actual contribution this intervention may have as an add-on therapy to existing care

Hand Passive Mobilization Performed with Robotic Assistance: Acute Effects on Upper Limb Perfusion and Spasticity in Stroke Survivors

This single arm pre-post study aimed at evaluating the acute effects induced by a single session of robot-assisted passive hand mobilization on local perfusion and upper limb (UL) function in poststroke hemiparetic participants. Twenty-three patients with subacute or chronic stroke received 20 min passive mobilization of the paretic hand with robotic assistance. Near-infrared spectroscopy (NIRS) was used to detect changes in forearm tissue perfusion. Muscle tone of the paretic UL was assessed by the Modified Ashworth Scale (MAS). Symptoms concerning UL heaviness, joint stiffness, and pain were evaluated as secondary outcomes by self-reporting. Significant (p=0.014) improvements were found in forearm perfusion when all fingers were mobilized simultaneously. After the intervention, MAS scores decreased globally, being the changes statistically significant for the wrist (from 1.6±1.0 to 1.1±1.0; p=0.001) and fingers (from 1.2±1.1 to 0.7±0.9; p=0.004). Subjects reported decreased UL heaviness and stiffness after treatment, especially for the hand, as well as diminished pain when present. This study supports novel evidence that hand robotic assistance promotes local UL circulation changes, may help in the management of spasticity, and acutely alleviates reported symptoms of heaviness, stiffness, and pain in subjects with poststroke hemiparesis. This opens new scenarios for the implications in everyday clinical practice. Clinical Trial Registration Number is NCT03243123

8s, a numerical simulator of the challenging optical calibration of the E-ELT adaptive mirror M4

8s stands for Optical Test TOwer Simulator (with 8 read as in italian 'otto'): it is a simulation tool for the optical calibration of the E-ELT deformable mirror M4 on its test facility. It has been developed to identify possible criticalities in the procedure, evaluate the solutions and estimate the sensitivity to environmental noise. The simulation system is composed by the finite elements model of the tower, the analytic influence functions of the actuators, the ray tracing propagation of the laser beam through the optical surfaces. The tool delivers simulated phasemaps of M4, associated with the current system status: actuator commands, optics alignment and position, beam vignetting, bench temperature and vibrations. It is possible to simulate a single step of the optical test of M4 by changing the system parameters according to a calibration procedure and collect the associated phasemap for performance evaluation. In this paper we will describe the simulation package and outline the proposed calibration procedure of M4

AGP (Astrometric Gravitation Probe) optical design report

This paper describes the current opto-mechanical design of AGP, a mission designed for astrometric verification of General Relativity (GR) and competing gravitation theories by means of precise determination of light deflection on field stars, and of orbital parameters of selected Solar System objects. The optical concept includes a planar rear-view mirror for simultaneous imaging on the CCD mosaic detector of fields of view also from the direction opposite to the Sun, affected by negligible deflection, for the sake of real time calibration. The precision of astrometric measurements on individual stars will be of order of 1 mas, over two fields separated by few degrees around the Sun and observed simultaneously. We describe the optical design characteristics, with particular reference to manufacturing and tolerancing aspects, evidencing the preservation of very good imaging performance over the range of expected operating conditions

Last results of technological developments for ultra-lightweight, large aperture, deployable mirror for space telescopes

The aim of this work is to describe the latest results of new technological concepts for Large Aperture Telescopes Technology (LATT) using thin deployable lightweight active mirrors. This technology is developed under the European Space Agency (ESA) Technology Research Program and can be exploited in all the applications based on the use of primary mirrors of space telescopes with large aperture, segmented lightweight telescopes with wide Field of View (FOV) and low f/#, and LIDAR telescopes. The reference mission application is a potential future ESA mission, related to a space borne DIAL (Differential Absorption Lidar) instrument operating around 935.5 nm with the goal to measure water vapor profiles in atmosphere. An Optical BreadBoard (OBB) for LATT has been designed for investigating and testing two critical aspects of the technology: 1) control accuracy in the mirror surface shaping. 2) mirror survivability to launch. The aim is to evaluate the effective performances of the long stroke smart-actuators used for the mirror control and to demonstrate the effectiveness and the reliability of the electrostatic locking (EL) system to restraint the thin shell on the mirror backup structure during launch. The paper presents a comprehensive vision of the breadboard focusing on how the requirements have driven the design of the whole system and of the various subsystems. The manufacturing process of the thin shell is also presented

The LATT way towards large active primaries for space telescopes

The Large Aperture Telescope Technology (LATT) goes beyond the current paradigm of future space telescopes, based on a deformable mirror in the pupil relay. Through the LATT project we demonstrated the concept of a low-weight active primary mirror, whose working principle and control strategy benefit from two decades of advances in adaptive optics for ground-based telescopes. We developed a forty centimeter spherical mirror prototype, with an areal density lower than 17 kg/m2, controlled through contactless voice coil actuators with co-located capacitive position sensors. The prototype was subjected to thermo-vacuum, vibration and optical tests, to push its technical readiness toward level 5. In this paper we present the background and the outcomes of the LATT activities under ESA contract (TRP programme), exploring the concept of a lightweight active primary mirror for space telescopes. Active primaries will open the way to very large segmented apertures, actively shaped, which can be lightweight, deployable and accurately phased once in flight

Laboratory demonstration of a primary active mirror for space with the LATT: large aperture telescope technology

The LATT project is an ESA contract under TRP programme to demonstrate the scalability of the technology from ground-based adaptive mirrors to space active primary mirrors. A prototype spherical mirror based on a 40 cm diameter 1 mm thin glass shell with 19 contactless, voice-coil actuators and co-located position sensors have been manufactured and integrated into a final unit with an areal density lower than 20 kg/m2. Laboratory tests demonstrated the controllability with very low power budget and the survival of the fragile glass shell exposed to launch accelerations, thanks to an electrostatic locking mechanism; such achievements pushes the technology readiness level toward 5. With this prototype, the LATT project explored the feasibility of using an active and lightweight primary for space telescopes. The concept is attractive for large segmented telescopes, with surface active control to shape and co-phase them once in flight. In this paper we will describe the findings of the technological advances and the results of the environmental and optical tests

Astrophysically Triggered Searches for Gravitational Waves: Status and Prospects

In gravitational-wave detection, special emphasis is put onto searches that focus on cosmic events detected by other types of astrophysical observatories. The astrophysical triggers, e.g. from gamma-ray and X-ray satellites, optical telescopes and neutrino observatories, provide a trigger time for analyzing gravitational wave data coincident with the event. In certain cases the expected frequency range, source energetics, directional and progenitor information is also available. Beyond allowing the recognition of gravitational waveforms with amplitudes closer to the noise floor of the detector, these triggered searches should also lead to rich science results even before the onset of Advanced LIGO. In this paper we provide a broad review of LIGO's astrophysically triggered searches and the sources they target

Sensitivity to Gravitational Waves from Compact Binary Coalescences Achieved during LIGO's Fifth and Virgo's First Science Run

We summarize the sensitivity achieved by the LIGO and Virgo gravitational wave detectors for compact binary coalescence (CBC) searches during LIGO's fifth science run and Virgo's first science run. We present noise spectral density curves for each of the four detectors that operated during these science runs which are representative of the typical performance achieved by the detectors for CBC searches. These spectra are intended for release to the public as a summary of detector performance for CBC searches during these science runs.Comment: 12 pages, 5 figure