Balance and gait adaptations in patients with early knee osteoarthritis

AbstractGait adaptations in people with severe knee osteoarthritis (OA) have been well documented, with increased knee adduction moments (KAM) the most commonly reported parameter. Neuromuscular adaptations have also been reported, including reduced postural control. However these adaptations may be the result of morphological changes in the joint, rather than the cause. This study aimed to determine if people with early OA have altered gait parameters and neuromuscular adaptations. Gait and postural tasks were performed by 18 people with early medial knee OA and 18 age and gender-matched control subjects. Parameters measured were kinematics and kinetics during gait and postural tasks, and centre of pressure and electromyographic activity during postural tasks. OA subjects showed no differences in the gait parameters measured, however they demonstrated postural deficits during one-leg standing on both their affected and unaffected sides and altered hip adduction moments compared with controls. Increased activity of the gluteus medius of both sides (p<0.05), and quadriceps and hamstrings of the affected side (p<0.05) during one-leg standing compared with controls were also noted. This study has demonstrated that gait adaptations commonly associated with OA do not occur in the early stages, while neuromuscular adaptations are evident. These results may be relevant for early interventions to delay or prevent osteoarthritis in its early stages

Action anticipation through attribution of false belief by 2 year olds

Two-year-olds engage in many behaviors that ostensibly require the attribution of mental states to other individuals. Yet the overwhelming consensus has been that children of this age are unable to attribute false beliefs. In the current study, we used an eyetracker to record infants' looking behavior while they watched actions on a computer monitor. Our data demonstrate that 25-month-old infants correctly anticipate an actor's actions when these actions can be predicted only by attributing a false belief to the actor

Mindblind eyes: an absence of spontaneous theory of mind in Asperger syndrome

Adults with Asperger syndrome can understand mental states such as desires and beliefs (mentalizing) when explicitly prompted to do so, despite having impairments in social communication. We directly tested the hypothesis that such individuals nevertheless fail to mentalize spontaneously. To this end, we used an eye-tracking task that has revealed the spontaneous ability to mentalize in typically developing infants. We showed that, like infants, neurotypical adults’ (n = 17 participants) eye movements anticipated an actor’s behavior on the basis of her false belief. This was not the case for individuals with Asperger syndrome (n = 19). Thus, these individuals do not attribute mental states spontaneously, but they may be able to do so in explicit tasks through compensatory learning

Altercentric bias in preverbal infants memory

Human infants would seem to face a daunting challenge in selecting what they should attend, encode and remember. We investigated whether early in life, infants might use others’ attention as an exploitable source of information filtering, by prioritizing the encoding of events that are co-witnessed with someone else over events witnessed alone. In a series of studies (n=255), we show that infants who can otherwise remember an object’s location, misremembered the object where another agent had seen it, even if infants themselves had subsequently seen the object move somewhere else. With further exploratory analyses, we also found that infants’ attention to the agent rather than the object seems to drive their memory for the object’s location. This series points to an initial encoding bias that likely facilitates information selection but which can, under some circumstances, lead to predictable memory errors

Understanding the self in relation to others: Infants spontaneously map another's face to their own at 16–26 months

The current study probed whether infants understand themselves in relation to others. Infants aged 16-26 months (n = 102) saw their parent wearing a sticker on their forehead or cheek, depending on experimental condition, placed unwitnessed by the child. Infants then received a sticker themselves, and their spontaneous behavior was coded. Regardless of age, from 16 months, all infants who placed the sticker on their cheek or forehead, placed it on the location on their own face matching their parent's placement. This shows that infants as young as 16 months of age have an internal map of their face in relation to others that they can use to guide their behavior. Whether infants placed the sticker on the matching location was related to other measures associated with self-concept development (the use of their own name and mirror self-recognition), indicating that it may reflect a social aspect of children's developing self-concept, namely their understanding of themselves in relation and comparison to others. About half of the infants placed the sticker on themselves, while others put it elsewhere in the surrounding, indicating an additional motivational component to bring about on themselves the state, which they observed on their parent. Together, infants' placement of the sticker in our task suggests an ability to compare, and motivation to align, self and others

Praziquantel: its use in control of schistosomiasis in sub-Saharan Africa and current research needs

Treatment with praziquantel (PZQ) has become virtually the sole basis of schistosomiasis control in sub-Saharan Africa and elsewhere, and the drug is reviewed here in the context of the increasing rate that it is being used for this purpose. Attention is drawn to our relative lack of knowledge about the mechanisms of action of PZQ at the molecular level, the need for more work to be done on schistosome isolates that have been collected recently from endemic areas rather than those maintained in laboratory conditions for long periods, and our reliance for experimental work mainly on Schistosoma mansoni, little work having been done on S. haematobium. There is no evidence that resistance to PZQ has been induced in African schistosomes as a result of its large-scale use on that continent to date, but there is also no assurance that PZQ and/or schistosomes are in any way unique and that resistant organisms will not be selected as a result of widespread drug usage. The failure of PZQ to produce complete cures in populations given a routine treatment should therefore solicit considerable concern. With few alternatives to PZQ currently available and/or on the horizon, methods to monitor drug-susceptibility in African schistosomes need to be devised and used to help ensure that this drug remains effective for as long a time as possibl

Predictive action tracking without motor experience in 8-month-old infants

A popular idea in cognitive neuroscience is that to predict others’ actions, observers need to map those actions onto their own motor repertoire. If this is true, infants with a relatively limited motor repertoire should be unable to predict actions with which they have no previous motor experience. We investigated this idea by presenting pre-walking infants with videos of upright and inverted stepping actions that were briefly occluded from view, followed by either a correct (time-coherent) or an incorrect (time- incoherent) continuation of the action (Experiment 1). Pre-walking infants looked significantly longer to the still frame after the incorrect compared to the correct continuations of the upright, but not the inverted stepping actions. This demonstrates that motor experience is not necessary for predictive track- ing of action kinematics. In a follow-up study (Experiment 2), we investigated sensorimotor cortex acti- vation as a neural indication of predictive action tracking in another group of pre-walking infants. Infants showed significantly more sensorimotor cortex activation during the occlusion of the upright stepping actions that the infants in Experiment 1 could predictively track, than during the occlusion of the inverted stepping actions that the infants in Experiment 1 could not predictively track. Taken together, these find- ings are inconsistent with the idea that motor experience is necessary for the predictive tracking of action kinematics, and suggest that infants may be able to use their extensive experience with observing others’ actions to generate real-time action predictions

Praziquantel: its use in control of schistosomiasis in sub-Saharan Africa and current research needs

Treatment with praziquantel (PZQ) has become virtually the sole basis of schistosomiasis control in sub-Saharan Africa and elsewhere, and the drug is reviewed here in the context of the increasing rate that it is being used for this purpose. Attention is drawn to our relative lack of knowledge about the mechanisms of action of PZQ at the molecular level, the need for more work to be done on schistosome isolates that have been collected recently from endemic areas rather than those maintained in laboratory conditions for long periods, and our reliance for experimental work mainly on Schistosoma mansoni, little work having been done on S. haematobium. There is no evidence that resistance to PZQ has been induced in African schistosomes as a result of its large-scale use on that continent to date, but there is also no assurance that PZQ and/or schistosomes are in any way unique and that resistant organisms will not be selected as a result of widespread drug usage. The failure of PZQ to produce complete cures in populations given a routine treatment should therefore solicit considerable concern. With few alternatives to PZQ currently available and/or on the horizon, methods to monitor drug-susceptibility in African schistosomes need to be devised and used to help ensure that this drug remains effective for as long a time as possibl