Impact of movement training on upper limb motor strategies in persons with shoulder impingement syndrome

<p>Abstract</p> <p>Background</p> <p>Movement deficits, such as changes in the magnitude of scapulohumeral and scapulathoracic muscle activations or perturbations in the kinematics of the glenohumeral, sternoclavicular and scapulothoracic joints, have been observed in people with shoulder impingement syndrome. Movement training has been suggested as a mean to contribute to the improvement of the motor performance in persons with musculoskeletal impairments. However, the impact of movement training on the movement deficits of persons with shoulder impingement syndrome is still unknown. The aim of this study was to evaluate the short-term effects of supervised movement training with feedback on the motor strategies of persons with shoulder impingement syndrome.</p> <p>Methods</p> <p>Thirty-three subjects with shoulder impingement were recruited. They were involved in two visits, one day apart. During the first visit, supervised movement training with feedback was performed. The upper limb motor strategies were evaluated before, during, immediately after and 24 hours after movement training. They were characterized during reaching movements in the frontal plane by EMG activity of seven shoulder muscles and total excursion and final position of the wrist, elbow, shoulder, clavicle and trunk. Movement training consisted of reaching movements performed under the supervision of a physiotherapist who gave feedback aimed at restoring shoulder movements. One-way repeated measures ANOVAs were run to analyze the effect of movement training.</p> <p>Results</p> <p>During, immediately after and 24 hours after movement training with feedback, the EMG activity was significantly decreased compared to the baseline level. For the kinematics, total joint excursion of the trunk and final joint position of the trunk, shoulder and clavicle were significantly improved during and immediately after training compared to baseline. Twenty-four hours after supervised movement training, the kinematics of trunk, shoulder and clavicle were back to the baseline level.</p> <p>Conclusion</p> <p>Movement training with feedback brought changes in motor strategies and improved temporarily some aspects of the kinematics. However, one training session was not enough to bring permanent improvement in the kinematic patterns. These results demonstrate the potential of movement training in the rehabilitation of movement deficits associated with shoulder impingement syndrome.</p

Watch and Learn: Seeing Is Better than Doing when Acquiring Consecutive Motor Tasks

During motor adaptation learning, consecutive physical practice of two different tasks compromises the retention of the first. However, there is evidence that observational practice, while still effectively aiding acquisition, will not lead to interference and hence prove to be a better practice method. Observers and Actors practised in a clockwise (Task A) followed by a counterclockwise (Task B) visually rotated environment, and retention was immediately assessed. An Observe-all and Act-all group were compared to two groups who both physically practised Task A, but then only observed (ObsB) or did not see or practice Task B (NoB). The two observer groups and the NoB control group better retained Task A than Actors, although importantly only the observer groups learnt Task B. RT data and explicit awareness of the rotation suggested that the observers had acquired their respective tasks in a more strategic manner than Actor and Control groups. We conclude that observational practice benefits learning of multiple tasks more than physical practice due to the lack of updating of implicit, internal models for aiming in the former

Global Anesthesia Workforce Crisis: A Preliminary Survey Revealing Shortages Contributing to Undesirable Outcomes and Unsafe Practices

BACKGROUND. The burden of disease, disability, and mortality that could be averted by surgery is growing. However, few low and middle income countries (LMICs) have the infrastructure or capacity to provide surgical services to meet this growing need. Equally, few of these countries have been assessed for key infrastructural capacity including surgical and anesthesia providers, equipment, and supplies. These assessments are critical to revealing magnitude of the evolving surgical and anesthesia workforce crisis, related morbidity and mortality, and necessary steps to mitigate the impact of the crisis. METHODS. A pilot Internet-based survey was conducted to estimate per-capita anesthesia providers in LMICs. Information was obtained from e-mail respondents at national health care addresses, and from individuals working in-country on anesthesia-related projects. RESULTS. Workers from 6 of 98 countries responded to direct e-mail inquiries, and an additional five responses came from individuals who were working or had worked in-country at the time of the survey. The data collected revealed that the per-capita anesthesia provider ratio in the countries surveyed was often 100 times lower than in developed countries. CONCLUSIONS. This pilot study revealed that the number of anesthesia providers available per capita of population is markedly reduced in low and lower middle income countries compared to developed countries. As anesthesia providers are an integral part of the delivery of safe and effective surgical care, it is essential that more data is collected to fully understand the deficiencies in workforce and capacity in low and middle income countries

Selective reduction of layers at low temperature in artificial superlattice thin films

Reduction and oxidation in transition-metal oxides are keys to develop technologies related to energy and the environment. Here we report the selective topochemical reduction observed when artificial superlattices with transition-metal oxides are treated at a temperature below 300 °C with CaH2. [CaFeO2]m/[SrTiO3]n infinite-layer/perovskite artificial superlattice thin films were obtained by low-temperature reduction of [CaFeO2.5]m/[SrTiO3]n brownmillerite/perovskite artificial superlattice thin films. By the reduction only the CaFeO2.5 layers in the artificial superlattices were reduced to the CaFeO2 infinite layers whereas the SrTiO3 layers were unchanged. The observed low-temperature reduction behaviors strongly suggest that the oxygen ion diffusion in the artificial superlattices is confined within the two-dimensional brownmillerite layers. The reduced artificial superlattice could be reoxidized, and thus, the selective reduction and oxidation of the constituent layers in the perovskite-structure framework occur reversibly

Key Aspects of Health Policy Development to Improve Surgical Services in Uganda

Recently, surgical services have been gaining greater attention as an integral part of public health in low-income countries due to the significant volume and burden of surgical conditions, growing evidence of the cost-effectiveness of surgical intervention, and global disparities in surgical care. Nonetheless, there has been limited discussion of the key aspects of health policy related to surgical services in low-income countries. Uganda, like other low-income sub-Saharan African countries, bears a heavy burden of surgical conditions with low surgical output in health facilities and significant unmet need for surgical care. To address this lack of adequate surgical services in Uganda, a diverse group of local stakeholders met in Kampala, Uganda, in May 2008 to develop a roadmap of key policy actions that would improve surgical services at the national level. The group identified a list of health policy priorities to improve surgical services in Uganda. The priorities were classified into three areas: (1) human resources, (2) health systems, and (3) research and advocacy. This article is a critical discussion of these health policy priorities with references to recent literature. This was the first such multidisciplinary meeting in Uganda with a focus on surgical services and its output may have relevance to health policy development in other low-income countries planning to improve delivery of surgical services

Interpreting and reporting ⁴⁰Ar/³⁹Ar geochronologic data

The ⁴⁰Ar/³⁹Ar dating method is among the most versatile of geochronometers, having the potential to date a broad variety of K-bearing materials spanning from the time of Earth’s formation into the historical realm. Measurements using modern noble-gas mass spectrometers are now producing ⁴⁰Ar/³⁹Ar dates with analytical uncertainties of ∼0.1%, thereby providing precise time constraints for a wide range of geologic and extraterrestrial processes. Analyses of increasingly smaller subsamples have revealed age dispersion in many materials, including some minerals used as neutron fluence monitors. Accordingly, interpretive strategies are evolving to address observed dispersion in dates from a single sample. Moreover, inferring a geologically meaningful “age” from a measured “date” or set of dates is dependent on the geological problem being addressed and the salient assumptions associated with each set of data. We highlight requirements for collateral information that will better constrain the interpretation of ⁴⁰Ar/³⁹Ar data sets, including those associated with single-crystal fusion analyses, incremental heating experiments, and in situ analyses of microsampled domains. To ensure the utility and viability of published results, we emphasize previous recommendations for reporting ⁴⁰Ar/³⁹Ar data and the related essential metadata, with the amendment that data conform to evolving standards of being findable, accessible, interoperable, and reusable (FAIR) by both humans and computers. Our examples provide guidance for the presentation and interpretation of ⁴⁰Ar/³⁹Ar dates to maximize their interdisciplinary usage, reproducibility, and longevity

Course and prognosis of recovery for chronic non-specific low back pain: design, therapy program and baseline data of a prospective cohort study

Background: There has been increasing focus on factors predicting the development of chronic musculoskeletal disorders. For patients already experiencing chronic non-specific low back pain it is also relevant to investigate which prognostic factors predict recovery. We present the design of a cohort study that aims to determine the course and prognostic factors for recovery in patients with chronic non-specific low back pain. Methods/Design. All participating patients were recruited (Jan 2003-Dec 2008) from the same rehabilitation centre and were evaluated by means of (postal) questionnaires and physical examinations at baseline, during the 2-month therapy program, and at 5 and 12 months after start of therapy. The therapy protocol at the rehabilitation centre used a bio-psychosocial approach to stimulate patients to adopt adequate (movement) behaviour aimed at physical and functional recovery. The program is part of regular care and consists of 16 sessions of 3 hours each, over an 8-week period (in total 48 hours), followed by a 3-month self-management program. The primary outcomes are low back pain intensity, disability, quality of life, patient's global perceived effect of recovery, and participation in work. Baseline characteristics include information on socio-demographics, low back pain, employment status, and additional clinical items status such as fatigue, duration of activities, and fear of kinesiophobia. Prognostic variables are determined for recovery at short-term (5 months) and long-term (12 months) follow-up after start of therapy. Discussion. In a routine clinical setting it is important to provide patients suffering from chronic non-specific low back pain with adequate information about the prognosis of their complaint

Geographic genetic structure of Iberian columbines (gen. Aquilegia)

Southern European columbines (genus Aquilegia)are involved in active processes of diversification, and the Iberian Peninsula offers a privileged observatory to witness the process. Studies on Iberian columbines have provided significant advances on species diversification,but we still lack a complete perspective of the genetic diversification in the Iberian scenario. This work explores how genetic diversity of the genus Aquilegia is geographically structured across the Iberian Peninsula. We used Bayesian clustering methods, principal coordinates analyses, and NJ phenograms to assess the genetic relationships among 285 individuals from 62 locations and detect the main lineages. Genetic diversity of Iberian columbines consists of five geographically structured lineages, corresponding to different Iberian taxa. Differentiation among lineages shows particularly complex admixture patterns at Northeast and highly homogeneous toward Northwest and Southeast. This geographic genetic structure suggests the existence of incomplete lineage sorting and interspecific hybridization as could be expected in recent processes of diversification under the influence of quaternary postglacial migrations. This scenario is consistent with what is proposed by the most recent studies on European and Iberian columbines, which point to geographic isolation and divergent selection by habitat specialization as the main diversification drivers of the Iberian Aquilegia complex

Similar dispersal patterns between two closely related birds with contrasting migration strategies

Studying dispersal is crucial to understand metapopulation and sink-source dynamics and invasion processes. The capability to disperse is especially important for species living in fragmented habitats like wetlands. We investigated the distribution of natal and breeding dispersal distances and philopatry in Spanish populations of two closely related reedbed-nesting birds, the Moustached Warbler Acrocephalus melanopogon and the Eurasian Reed Warbler Acrocephalus scirpaceus. These warblers are morphologically very similar, but differ in migration strategy and, in our study area, in population size. Our aims were to find the best model for dispersal distances and to assess the occurrence of intra- or interspecific differences in dispersal patterns. We used ringing data from the Spanish marking scheme and selected recaptures to avoid including migrating individuals. In both species, most individuals were philopatric but dispersing birds were able to cross large distances (up to more than 100 km), suggesting the capability to compensate for habitat fragmentation. We found the heavy-tailed Cauchy distribution to be the best conceptual description for our data, in all cases but natal dispersal of Moustached Warblers. Among Eurasian Reed Warblers, natal philopatry was lower than breeding philopatry. We found no significant interspecific differences. This does not confirm the hypothesis of higher dispersal ability in long distance migrants (like Eurasian Reed Warblers) than in resident/short distance migrant bird species (like Moustached Warblers). The similarity in dispersal patterns among the two warblers may be explained by their close phylogenetic relatedness, similar constraints imposed on both species by a patchy habitat or similar evolutionary pressures.We are grateful to the many ringers who collected the data during years of fieldwork in Spain. Francesco Ceresa is supported by an "Atraent talent'' grant from the University of Valencia.Ceresa, F.; Belda, E.; Monrós González, JS. (2016). Similar dispersal patterns between two closely related birds with contrasting migration strategies. Population Ecology. 58(3):421-427. doi:10.1007/s10144-016-0547-0S421427583Banco de datos de anillamiento del remite ICONA – Ministerio de Medio Ambiente (2015) Datos de anillamiento y recuperaciones en España. Ministerio de Agricultura, Alimentación y Medio Ambiente, SEO/BirdLife, ICO, EBD-CSIC y GOB. Madrid (in Spanish)Begon M, Townsend CR, Harper JL (2006) Ecology: from individual to ecosystems, 4th edn. Blackwell Publishing, OxfordBlomqvist D, Fessl B, Hoi H, Kleindorfer S (2005) High frequency of extra-pair fertilisation in the moustached warbler, a songbird with a variable breeding system. Behaviour 142:1133–1148Bohonak AJ (1999) Dispersal, gene flow, and population structure. Q Rev Biol 74:21–45Burnham KP, Anderson DR (2002) Model selection and multi-model inference: a practical information-theoretic approach. Springer Verlag, New YorkCantos FJ, Tellería JL (1994) Stopover site fidelity of four migrant warblers in the Iberian Peninsula. J Avian Biol 25:131–134Carrascal LM, Palomino D (2008) Las aves comunes reproductoras en España. Población en 2004–2006. SEO/BirdLife, Madrid (in Spanish with English abstract)Carrascal LM, Weykam S, Palomino D, Lobo JM, Díaz L (2005) Atlas Virtual de las Aves Terrestres de España. http://www.vertebradosibericos.org/atlasaves.html . Accessed 16 Feb 2016Castany J (2003) El carricerín real (Acrocephalus melanopogon) en el P. N. del Prat de Cabanes-Torreblanca. Doctoral thesis. University of Valencia, Valencia (in Spanish)Castany J, López G (2006) El carricerín real en España. I Censo Nacional (2005). SEO/BirdLife, Madrid (in Spanish with English abstract)Ceresa F, Belda EJ, Kvist L, Rguibi-Idrissi H, Monrós JS (2015) Does fragmentation of wetlands affect gene flow in sympatric Acrocephalus warblers with different migration strategies? J Avian Biol 46:577–588Cooper NW, Murphy MT, Redmond LJ, Dolan AC (2009) Density-dependent age at first reproduction in the eastern kingbird. Oikos 118:413–419Delignette-Muller ML, Dutang C (2015) fitdistrplus: An R Package for fitting distributions. J Stat Softw 64:1–34. http://www.jstatsoft.org/v64/i04/ . Accessed 2 Sep 2015Frankham R, Ballou JD, Briscoe DA (2010) Introduction to conservation genetics, 2nd edn. Cambridge University Press, CambridgeHengeveld R (1994) Small step invasion research. Trends Ecol Evol 9:339–342Hodges MF Jr, Krementz DG (1996) Neotropical migratory breeding bird communities in riparian forests of different widths along the Altamaha River, Georgia. Wilson Bulletin 108:496–506Ibrahim KM, Nichols RA, Hewitt GM (1996) Spatial patterns of genetic variation generated by different forms of dispersal during range expansion. Heredity 77:282–291Kennerley P, Pearson D (2010) Reed and bush warblers. Christopher Helm Publishers Ltd., LondonKoenig WD, Van Vuren D, Hooge PN (1996) Detectability, philopatry, and the distribution of dispersal distances in vertebrates. Trends Ecol Evol 11:514–517Kralj J, Procházka P, Fainová D, Patzenhauerová H, Tutiš V (2010) Intraspecific variation in the wing shape and genetic differentiation of reed warblers Acrocephalus scirpaceus in Croatia. Acta Ornithologica 45:51–58Lambrechts MM, Blondel J, Caizergues A, Dias PC, Pradol R, Thomas DW (1999) Will estimates of lifetime recruitment of breeding offspring on small-scale study plots help us to quantify processes underlying adaptation? Oikos 86:147–151Machtans CS, Villard MA, Hannon SJ (1996) Use of riparian buffer strips as movement corridors by forest birds. Conserv Biol 10:1366–1379Nathan R, Perry G, Cronin JT, Strand AE, Cain ML (2003) Methods for estimating long-distance dispersal. Oikos 103:261–273Newton I (1992) Experiments on the limitation of bird numbers by territorial behaviour. Biol Rev 67:129–173Norberg UM (1990) Vertebrate flight, mechanics, physiology, morphology, ecology and evolution. Springer Verlag, BerlinParacuellos M, Tellería JL (2004) Factors affecting the distribution of a waterbird community: the role of habitat configuration and bird abundance. Waterbirds 27:446–453Paradis E, Baillie SR, Sutherland WJ, Gregory RD (1998) Patterns of natal and breeding dispersal in birds. J Anim Ecol 67:518–536Paradis E, Baillie SR, Sutherland WJ (2002) Modeling large-scale dispersal distances. Ecol Model 151:279–292Peirò IG (2003) Intraspecific variation in the wing shape of the long-distance migrant Reed Warbler Acrocephalus scirpaceus: effects of age and distance of migration. Ardeola 50:31–37Plissner JH, Gowaty PA (1996) Patterns of natal dispersal, turnover, and dispersal costs in eastern bluebirds. Anim Behav 51:1307–1322Procházka P, Stokke BG, Jensen H, Fainová D, Bellinvia E, Fossøy F, Vikan JR, Bryja J, Soler M (2011) Low genetic differentiation among reed warbler Acrocephalus scirpaceus populations across Europe. J Avian Biol 42:103–113R Core Team (2014) R: A language and environment for statistical computing. R foundation for statistical computing, ViennaRobinson WD (1999) Long-term changes in the avifauna of Barro Colorado Island, Panama, a tropical forest isolate. Conserv Biol 13:85–97SEO/BirdLife (2016a) Acrocephalus melanopogon. Anillamientos por década. http://www.anillamientoseo.org/ . Accessed 19 Feb 2016 (in Spanish)SEO/BirdLife (2016b) Acrocephalus scirpaceus. Anillamientos por década. http://www.anillamientoseo.org/ . Accessed 19 Feb 2016 (in Spanish)Shigesada N, Kawasaki K, Takeda Y (1995) Modeling stratified diffusion in biological invasions. Am Nat 146:229–251Silva JP, Phillips L, Jones W, Eldridge J, O’Hara E (2007) Life and Europe’s wetlands, restoring a vital ecosystem. Office for Official Publications of the European Communities, LuxembourgSutherland GD, Harestad AS, Price K, Lertzman KP (2000) Scaling of natal dispersal distances in terrestrial birds and mammals. Conservation ecology 4:16. http://www.consecol.org/vol4/iss1/art16 . Accessed 23 Oct 2015Vadász C, Német Á, Karcza Z, Loránt M, Biró C, Csörgő T (2008) Study on breeding site fidelity of Acrocephalus Warblers in Central Hungary. Acta Zool Acad Sci H 54(Suppl. 1):167–175Van Houtan KS, Pimm SL, Halley JM, Bierregaard RO Jr, Lovejoy TE (2007) Dispersal of Amazonian birds in continuous and fragmented forest. Ecol Lett 10:219–229Van Houtan KS, Bass OL Jr, Lockwood J, Pimm SL (2010) Importance of estimating dispersal for endangered bird management. Conservation Letters 3:260–266Van Vessem J, Hecker N, Tucker GM (1997) Inland wetlands. In: Tucker GM, Evans MI (eds) Habitats for birds in Europe: A conservation strategy for the wider environment. BirdLife Conservation Series 6. BirdLife International, Cambridge, pp 125–158Waser PM, Creel SR, Lucas JR (1994) Death and disappearance: estimating mortality risk associated with philopatry and dispersal. Behav Ecol 5:135–141Willis EO (1974) Populations and local extinctions of birds on Barro Colorado Island, Panama. Ecol Monogr 44:153–169Winkler DW, Wrege PH, Allen PE, Kast TL, Senesac P, Wasson MF, Llambías PE, Ferretti V, Sullivan PJ (2004) Breeding dispersal and philopatry in the tree swallow. Condor 106:768–776Winkler DW, Wrege PH, Allen PE, Kast TL, Senesac P, Wasson MF, Sullivan PJ (2005) The natal dispersal of tree swallows in a continuous mainland environment. J Anim Ecol 74:1080–109