Dynamic balance assessment during gait in spinal pathologies – A literature review

AbstractThe role of the spine as a gait stabilizer is essential. Dynamic assessment, while walking, might provide complementary data to improve spinal deformity management. The aim of this paper was to review spine dynamic behavior and the various methods that have been used to assess gait dynamic balance in order to explore the consequences of spinal deformities while walking. A review was performed by obtaining publications from five electronic databases. All papers reporting pathological or non-pathological spine dynamic behavior during gait and dynamic balance assessment methods were included. Sixty articles were selected. Results varied widely according to pathologies, study conditions, and balance assessment techniques. Three methods assessing dynamic stability during gait were identified: local-orbital dynamic stability, tri-axial accelerometry, and dynamic stability margin. Data from conventional gait analysis techniques were established essentially for scoliosis and low back pain, but they do not assess specific consequences on gait dynamic balance. Three techniques investigate gait dynamic balance and have been validated in normal subjects. Further investigations need to be performed for validation in spinal pathologies as well as the value for clinical practice.Level of evidenceLevel IV

Adaptive capacity of female rabbits submitted to a change in breeding practices

[EN] The aim of this study was to test the consequences of a change in breeding practices on 219 multiparous rabbit does over 2 reproductive cycles (5th and 6th insemination). Three rabbit breeding systems were defined I: intensive, S: semi-intensive and E: extensive), which varied for the females in terms of reproductive rhythm (RR: 35, 42 and 49 d, respectively) and age at first insemination (20.6, 19.6 and 16.6 wk, respectively), and for kits in terms of age at weaning (32, 35 and 30 d, respectively) and age at slaughter (63, 70 and 70 d, respectively). Females were submitted to one of the 3 systems from the 1st to the 4th artificial insemination (AI), and to another system from the 5th to the 6th AI, before returning to the initial system at the 7th AI. Consequently, they were allocated to 4 groups: I-S-I, S-I-S, S-E-S and E-S-E. Because of poor reproductive performance in the I system and despite a high growth of kits before weaning due to a more energetic diet for does, a sudden change from an I system to an S system significantly increased productivity at 28 d, from 3.37 to 5.04 kg/AI. Conversely, in the S and E systems, the females were not very sensitive to an intensification (groups S-I-S and E-S-E) or an extensification (S-E-S) of the breeding system, leading to similar productivity at 63 d (14.4 and 14.3 kg/AI, 14.4 and 13.5 kg/AI, 16.5 and 16.2 kg/AI, respectively, for groups S-I-S, E-S-E and S-E-S). The consequences of a return to the initial system deserve to be tested over a longer period.This work was supported by the CAS DAR (Cunipalm n° 9023) and by the French rabbit Interprofessional Association (CLIPP).Theau.clément, M.; Galliot, P.; Souchet, C.; Bignon, L.; Fortun-Lamothe, L. (2016). Adaptive capacity of female rabbits submitted to a change in breeding practices. World Rabbit Science. 24(4):267-273. https://doi.org/10.4995/wrs.2016.5155SWORD267273244Blanc F., Dumont B., Brunschwig G., Bocquier F., Agabriel J. 2010. Extensive ruminant farming systems highlight animal coping processes based on robustness, flexibility and plasticity. In: Robustesse, rusticité, flexibilité, plasticité, résilience, les nouveaux critères de qualité des animaux et des systèmes d'élevage. Sauvant D., Perez J.M. (Eds). Dossier INRA Prod. Anim., 23, 65-80.Maertens, L., Perez, J.M., Villamide, M., Cervera, C., Gidenne, T., Xiccato, G., 2002. Nutritive value of raw materials for rabbits: EGRAN tables 2002. World Rabbit Sci., 10: 157-166.Theau-Clément M., Boiti C., Mercier P., Falières J. 2000. Description of the ovarian status and fertilising ability of primiparous rabbit does at different lactation stage, In Proc.: 7th World Rabbit Congress, 4-7 July 2000, Valencia, Spain, Vol A: 259-266

Motor ability in children treated for idiopathic clubfoot. A controlled pilot study

<p>Abstract</p> <p>Background</p> <p>To study motor ability at seven years of age in children treated for idiopathic clubfoot and its relation to clubfoot laterality, foot status and the amount of surgery performed.</p> <p>Methods</p> <p>Twenty children (mean age 7.5 years, SD 3.2 months) from a consecutive birth cohort from our hospital catchments area (300.000 inhabitants from southern Sweden) were assessed with the Movement Assessment Battery for Children (MABC) and the Clubfoot Assessment Protocol (CAP).</p> <p>Results</p> <p>Compared to typically developing children an increased prevalence of motor impairment was found regarding both the total score for MABC (p < 0.05) and the subtest ABC-Ball skills (p < 0.05). No relationship was found between the child's actual foot status, laterality or the extent of foot surgery with the motor ability as measured with MABC. Only the CAP item "one-leg stand" correlated significantly with the MABC (rs = -0.53, p = 0.02).</p> <p>Conclusions</p> <p>Children with idiopathic clubfoot appear to have an increased risk of motor activity limitations and it is possible that other factors, independent of the clinical status, might be involved. The ability to keep balance on one leg may be a sufficient tool for determining which children in the orthopedic setting should be more thoroughly evaluated regarding their neuromotor functioning.</p

Validity and responsiveness of the Clubfoot Assessment Protocol (CAP). A methodological study

BACKGROUND: The Clubfoot Assessment Protocol (CAP) is a multi dimensional instrument designed for longitudinal follow up of the clubfoot deformity during growth. Item reliability has shown to be sufficient. In this article the CAP's validity and responsiveness is studied using the Dimeglio classification scoring as a gold standard. METHODS: Thirty-two children with 45 congenital clubfeet were assessed prospectively and consecutively at ages of new-born, one, two, four months and two years of age. For convergent/divergent construct validity the Spearman's correlation coefficients were calculated. Discriminate validity was evaluated by studying the scores in bilateral clubfeet. The floor-ceiling effects at baseline (untreated clubfeet) and at two years of age (treated clubfeet) were evaluated. Responsiveness was evaluated by using effect sizes (ES) and by calculating if significant changes (Wilcoxons signed test) had occurred between the different measurement occasions. RESULTS: High to moderate significant correlation were found between CAP mobility I and morphology and the Dimeglio scores (r(s )= 0.77 and 0.44 respectively). Low correlation was found between CAP muscle function, mobility II and motion quality and the Dimeglio scoring system (r(s )= 0.20, 0.09 and 0.06 respectively). Of 13 children with bilateral clubfeet, 11 showed different CAP mobility I scores between right and left foot at baseline (untreated) compared with 5 with the Dimeglio score. At the other assessment occasions the CAP mobility I continued to show higher discrimination ability than the Dimeglio. No floor effects and low ceiling effects were found in the untreated clubfeet for both instruments. High ceiling effects were found in the CAP for the treated children and low for the Dimeglio. Responsiveness was good. ES from untreated to treated ranged from 0.80 to 4.35 for the CAP subgroups and was 4.68 for the Dimeglio. The first four treatment months, the CAP mobility I had generally higher ES compared with the Dimeglio. CONCLUSION: The Clubfoot Assessment Protocol shows in this study good validity and responsiveness. The CAP is more responsive when severity ranges between mild – moderate to severe, while the Dimeglio focuses more on the extremes. The ability to discriminate between different mobility status of the right and left foot in bilaterally affected children in this population was higher compared with the Dimeglio score implicating a better sensitivity for the CAP

Overexpression of Dyrk1A Is Implicated in Several Cognitive, Electrophysiological and Neuromorphological Alterations Found in a Mouse Model of Down Syndrome

Down syndrome (DS) phenotypes result from the overexpression of several dosage-sensitive genes. The DYRK1A (dual-specificity tyrosine-(Y)-phosphorylation regulated kinase 1A) gene, which has been implicated in the behavioral and neuronal alterations that are characteristic of DS, plays a role in neuronal progenitor proliferation, neuronal differentiation and long-term potentiation (LTP) mechanisms that contribute to the cognitive deficits found in DS. The purpose of this study was to evaluate the effect of Dyrk1A overexpression on the behavioral and cognitive alterations in the Ts65Dn (TS) mouse model, which is the most commonly utilized mouse model of DS, as well as on several neuromorphological and electrophysiological properties proposed to underlie these deficits. In this study, we analyzed the phenotypic differences in the progeny obtained from crosses of TS females and heterozygous Dyrk1A (+/-) male mice. Our results revealed that normalization of the Dyrk1A copy number in TS mice improved working and reference memory based on the Morris water maze and contextual conditioning based on the fear conditioning test and rescued hippocampal LTP. Concomitant with these functional improvements, normalization of the Dyrk1A expression level in TS mice restored the proliferation and differentiation of hippocampal cells in the adult dentate gyrus (DG) and the density of GABAergic and glutamatergic synapse markers in the molecular layer of the hippocampus. However, normalization of the Dyrk1A gene dosage did not affect other structural (e.g., the density of mature hippocampal granule cells, the DG volume and the subgranular zone area) or behavioral (i.e., hyperactivity/attention) alterations found in the TS mouse. These results suggest that Dyrk1A overexpression is involved in some of the cognitive, electrophysiological and neuromorphological alterations, but not in the structural alterations found in DS, and suggest that pharmacological strategies targeting this gene may improve the treatment of DS-associated learning disabilities