1,583 research outputs found

    Action for Rehabilitation from Neurological Injury (ARNI): A pragmatic study of functional training for stroke survivors

    Get PDF
    This article has been made available through the Brunel Open Access Publishing Fund. Copyright @ 2013 Cherry Kilbride et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.This study evaluated the effectiveness of a twelve-week community-based functional training on measures of impairment, activity and participation in a group of stroke survivors. Isometric strength of the knee musculature, Centre-Of-Pressure (COP) based measures of balance, Berg Balance Scale (BBS), 10 m walk test, and the Subjective Index of Physical and Social Out come (SIPSO), were recorded at baseline, post-intervention, and after twelve weeks (follow-up). Exercise instructors delivered training once a week in a group format at a community centre. Significant improvement was noted in the BBS (p < 0.002), and 10 m walk speed (p = 0.03) post intervention which remained unchanged at follow-up. Total SIPSO score improved significantly post-intervention (p = 0.044). No other significant differences and no adverse effects were observed. It is possible that functional training provided more opportunity for the improvement of dynamic aspects of balance control that could be captured by the BBS but not with the traditional measures of balance using COP data. Results also suggest positive effects on the level of participation, and lack of association between measures of impairment and activity. Community based functional training could be effective and used to extend access to rehabilitation services beyond the acute and sub-acute stages after stroke.London Borough of Hillingdo

    Instantons in the Double-Tensor Multiplet

    Get PDF
    The double-tensor multiplet naturally appears in type IIB superstring compactifications on Calabi-Yau threefolds, and is dual to the universal hypermultiplet. We revisit the calculation of instanton corrections to the low-energy effective action, in the supergravity approximation. We derive a Bogomolny'i bound for the double-tensor multiplet and find new instanton solutions saturating the bound. They are characterized by the topological charges and the asymptotic values of the scalar fields in the double-tensor multiplet.Comment: 17 pages, LaTeX2e with amsmath.sty; v2: minor change

    Mechanical and material properties of the plantarflexor muscles and Achilles tendon in children with spastic cerebral palsy and typically developing children

    Get PDF
    © 2016 The Authors. Background: Children with spastic cerebral palsy (CP) experience secondary musculoskeletal adaptations, affecting the mechanical and material properties of muscles and tendons. CP-related changes in the spastic muscle are well documented whilst less is known about the tendon. From a clinical perspective, it is important to understand alterations in tendon properties in order to tailor interventions or interpret clinical tests more appropriately. The main purpose of this study was to compare the mechanical and material properties of the Achilles tendon in children with cerebral palsy to those of typically developing children. Methods: Using a combination of ultrasonography and motion analysis, we determined tendon mechanical properties in ten children with spastic cerebral palsy and ten aged-matched typically developing children. Specifically, we quantified muscle and tendon stiffness, tendon slack length, tendon strain, cross-sectional area, Young׳s Modulus and the strain rate dependence of tendon stiffness. Findings: Children with CP had a greater muscle to tendon stiffness ratio compared to typically developing children. Despite a smaller tendon cross-sectional area and greater tendon slack length, no group differences were observed in tendon stiffness or Young׳s Modulus. The slope describing the stiffness strain-rate response was steeper in children with cerebral palsy. Interpretation: These results provide us with a more differentiated understanding of the muscle and tendon mechanical properties, which would be relevant for future research and paediatric clinicians

    Herbivory reduces plant interactions with above- and belowground antagonists and mutualists.

    Get PDF
    Herbivores affect plants through direct effects, such as tissue damage, and through indirect effects that alter species interactions. Interactions may be positive or negative, so indirect effects have the potential to enhance or lessen the net impacts of herbivores. Despite the ubiquity of these interactions, the indirect pathways are considerably less understood than the direct effects of herbivores, and multiple indirect pathways are rarely studied simultaneously. We placed herbivore effects in a comprehensive community context by studying how herbivory influences plant interactions with antagonists and mutualists both aboveground and belowground. We manipulated early-season aboveground herbivore damage to Cucumis sativus (cucumber, Cucurbitaceae) and measured interactions with subsequent aboveground herbivores, root-feeding herbivores, pollinators, and arbuscular mycorrhizal fungi (AMF). We quantified plant growth and reproduction and used an enhanced pollination treatment to determine if plants were pollen limited. Increased herbivory reduced interactions with both antagonists and mutualists. Plants with high levels of early herbivory were significantly less likely to suffer leaf damage later in the summer and tended to be less attacked by root herbivores. Herbivory also reduced pollinator visitation, likely due to fewer and smaller flowers, and reduced AMF colonization. The net effect of herbivory on plant growth and reproduction was strongly negative, but lower fruit and seed production were not due to reduced pollinator visits, because reproduction was not pollen limited. Although herbivores influenced interactions between plants and other organisms, these effects appear to be weaker than the direct negative effects of early-season tissue loss. © 2012 by the Ecological Society of America

    Towards Understanding First-Party Cookie Tracking in the Field

    Get PDF
    Third-party tracking is a common and broadly used technique on the Web. Different defense mechanisms have emerged to counter these practices (e. g. browser vendors that ban all third-party cookies). However, these countermeasures only target third-party trackers and ignore the first party because the narrative is that such monitoring is mostly used to improve the utilized service (e.g. analytical services). In this paper, we present a large-scale measurement study that analyzes tracking performed by the first party but utilized by a third party to circumvent standard tracking preventing techniques. We visit the top 15,000 websites to analyze first-party cookies used to track users and a technique called “DNS CNAME cloaking”, which can be used by a third party to place first-party cookies. Using this data, we show that 76% of sites effectively utilize such tracking techniques. In a long-running analysis, we show that the usage of such cookies increased by more than 50% over 2021
    • …
    corecore