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1.
Perception ; 53(2): 143-146, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38105475

RESUMO

We report posing biases in portraits of people that do not exist. Studies of painted or photographed portraiture have often reported such biases. However, whether these truly exist or are mere sampling artifacts remains open to question. A novel approach to such a question is provided by contemporary applications generating photo-realistic virtual portraits. Such applications are exposed to large datasets of portraits of real people. A neural network then maps the variation of the original input set to a huge-dimensional generative model capturing the variation in the original data, which is then used to synthesize the virtual portraits. We reasoned that, if posing biases exist in the original input, they should also be observable in the network output, and they did. This finding provides novel support for the reality of posing biases in portraiture-and helps us better understand what generative networks actually do.


Assuntos
Viés , Humanos , Retratos como Assunto
2.
Neural Plast ; 2021: 8890541, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33833792

RESUMO

Objective: To perform a preliminary test of a new rehabilitation treatment (FIT-SAT), based on mirror mechanisms, for gracile muscles after smile surgery. Method: A pre- and postsurgery longitudinal design was adopted to study the efficacy of FIT-SAT. Four patients with bilateral facial nerve paralysis (Moebius syndrome) were included. They underwent two surgeries with free muscle transfers, one year apart from each other. The side of the face first operated on was rehabilitated with the traditional treatment, while the second side was rehabilitated with FIT-SAT. The FIT-SAT treatment includes video clips of an actor performing a unilateral or a bilateral smile to be imitated (FIT condition). In addition to this, while smiling, the participants close their hand in order to exploit the overlapped cortical motor representation of the hand and the mouth, which may facilitate the synergistic activity of the two effectors during the early phases of recruitment of the transplanted muscles (SAT). The treatment was also aimed at avoiding undesired movements such as teeth grinding. Discussion. Results support FIT-SAT as a viable alternative for smile rehabilitation after free muscle transfer. We propose that the treatment potentiates the effect of smile observation by activating the same neural structures responsible for the execution of the smile and therefore by facilitating its production. Closing of the hand induces cortical recruitment of hand motor neurons, recruiting the transplanted muscles, and reducing the risk of associating other unwanted movements such as teeth clenching to the smile movements.


Assuntos
Síndrome de Möbius/fisiopatologia , Síndrome de Möbius/reabilitação , Reabilitação Neurológica/métodos , Cuidados Pós-Operatórios/métodos , Desempenho Psicomotor/fisiologia , Sorriso/fisiologia , Adulto , Criança , Paralisia Facial/diagnóstico , Paralisia Facial/fisiopatologia , Paralisia Facial/reabilitação , Feminino , Mãos/fisiologia , Humanos , Estudos Longitudinais , Masculino , Síndrome de Möbius/diagnóstico , Boca/fisiologia , Estimulação Luminosa/métodos
3.
Exp Brain Res ; 237(4): 953-965, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30683958

RESUMO

Milner and Goodale (the visual brain in action, Oxford University Press Inc., Oxford, 1995) proposed a functional dissociation between vision-for-action and vision-for-perception (i.e., the "two-visual system hypothesis", TVSH). Supporting the TVSH, it has been claimed that visual illusions affect perception but not actions. However, at least for the Ebbinghaus illusion, numerous studies have revealed consistent illusion effects on grasping. Thus, whether illusions affect actions remains controversial. To further investigate the dissociation predicted by the TVSH, we used a visual version of the Uznadze illusion (the same stimulus will feel smaller after feeling a larger stimulus and larger after feeling a smaller stimulus). Based on kinematic recordings of finger aperture in a motor (precision grip) and a perceptual task (manual estimation), we report two main findings. First, both action and perception are strongly affected by the Uznadze illusion. Second, the illusion decreases similarly in both tasks when inducing-induced pairs had different shape and color, in comparison to the equivalent condition where these features are the same. These results are inconsistent with a perception-action dissociation as predicted by the TVSH and suggest that, at least in the present conditions, vision-for-perception and vision-for-action are similarly affected by contextual cues.


Assuntos
Ilusões/fisiologia , Atividade Motora/fisiologia , Percepção de Tamanho/fisiologia , Percepção do Tato/fisiologia , Percepção Visual/fisiologia , Adulto , Feminino , Humanos , Masculino , Ilusões Ópticas/fisiologia , Adulto Jovem
4.
Cogn Emot ; 31(3): 552-563, 2017 04.
Artigo em Inglês | MEDLINE | ID: mdl-26864052

RESUMO

This study was designed to investigate the evolution of emotional processing over the whole adult life span as a function of stimulus arousal and participants' gender. To this end, self-reported affective evaluation and attentional capture prompted by pleasant and unpleasant pictures varying in arousal were measured in a large sample of participants (n = 211) balanced by gender and equally spread across seven decades from 20 to 90 years. Results showed age differences only for affective evaluation of pleasant stimuli, with opposite patterns depending on stimulus arousal. As age increased, low-arousing pleasant cues (e.g. images of babies) were experienced as more pleasant and arousing by both males and females, whereas high-arousing stimuli (e.g. erotic images) were experienced as less pleasant only by females. In contrast, emotional pictures (both pleasant and unpleasant) were effective at capturing attention in a similar way across participants, regardless of age and gender. Taken together, these findings suggest that specific emotional cues prompt different subjective responses across different age groups, while basic mechanisms involved in attentional engagement towards both pleasant and unpleasant stimuli are preserved in healthy ageing.


Assuntos
Envelhecimento/psicologia , Nível de Alerta , Atenção , Emoções , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estimulação Luminosa , Caracteres Sexuais , Adulto Jovem
5.
Laterality ; 22(3): 279-293, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-27229630

RESUMO

Previous analyses suggest that artists prefer poses showing the left side of the subject's face when composing a portrait, but showing the right side when composing their own self-portrait. There is also some evidence that artists may prefer compositions with key features on the right of the picture. Do these findings generalize to spontaneous, pseudo-artistic productions by individuals with no formal training in painting and art history? To investigate this issue, we tested a sample of 104 British schoolchildren and teenagers (mean age = 13.8 years; 80 females). We analysed posing biases in individual photographic self-portraits ("selfies") as well as of self-portraits including also the portrait of a friend ("wefies"). Our results document a bias for showing the left cheek in selfies, a bias for placing the selfie-taker on the right in wefies, and a bias for showing two left cheeks over two right cheeks, again in wefies. These biases are reminiscent of what has been reported for selfies in adult non-artists and for portraits and self-portraits by artists in the 16th-18th centuries. Thus, these results provide new evidence in support of a biological basis for side biases in portraits and self-portraits independently of training and expertise.


Assuntos
Bochecha , Amigos , Fotografação , Retratos como Assunto/psicologia , Autoimagem , Smartphone , Adolescente , Criança , Feminino , Lateralidade Funcional , Humanos , Masculino , Pinturas , Reino Unido
6.
Neurocase ; 20(5): 510-23, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-23984952

RESUMO

We describe a right-handed patient (M.B.), who developed left hemianopsia and a severe reading impairment after right occipital-parietal hemorrhage. The pattern of his reading deficit was very similar to that of pure alexia (alexia-without-agraphia): extremely slow reading times with frequent grapheme substitutions and omissions. A test of letter reading while controlling for saccadic eye movements and hemifield of presentation ruled out hemianoptic alexia. Although there have already been reports of reading impairments in right handers following right- hemispheric lesions, ours is, to the best of our knowledge, the first where visual field loss can be definitely excluded as the main cause. Based on a standard neuropsychological assessment and on additional behavioral tests, we argue that M.B.'s difficulties are unlikely to be due to right-hemisphere dominance for language. After considering several candidate explanations, we suggest that M.B.'s symptoms may be related to an impairment in attentional processes related to reading.


Assuntos
Dislexia Adquirida/diagnóstico , Hemianopsia/etiologia , Hemorragias Intracranianas/complicações , Leitura , Campos Visuais/fisiologia , Idoso , Dislexia Adquirida/etiologia , Humanos , Masculino , Testes Neuropsicológicos
7.
Europace ; 15(7): 944-50, 2013 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-23430006

RESUMO

AIMS: Cryoballoon ablation (CBA; Arctic Front, Medtronic) has proven very effective in achieving pulmonary vein isolation. Real-time three-dimensional transoesophageal echocardiography (RT 3D TEE) is a novel technology, which permits detailed visualization of cardiac structures in a 3D perspective. The aim of the present study was to assess the feasibility, advantages, and safety of RT 3D TEE in guiding CBA in a series of patients affected by paroxysmal atrial fibrillation. METHODS AND RESULTS: Forty-five patients (34 males, mean age: 63 ± 12 years) underwent CBA guided by 3D TEE. A total of 190 veins could be documented by TEE. Real-time three-dimensional transoesophageal echocardiography successfully guided the operator to position the CB in the pulmonary vein (PV) ostium and obtain complete occlusion in all 190 (100%) veins. Transoesophageal echocardiography identified leakages in 25 (13%) veins led to successful elimination of PV-left atrium (LA) backflow by guiding correct balloon repositioning. In four (2%) veins, this imaging tool led to perform successful pull-down manoeuvres. After a mean 2.6 ± 1.4 applications, isolation could be documented in 190 (100%) PVs. Median procedural and fluoroscopy times were 145 and 24 min. During a median follow-up of 278 days, 37 (82%) patients did not experience atrial fibrillation recurrence following a 3-month blanking period. CONCLUSION: Cryoballoon ablation is safe and feasible under RT 3D TEE guidance. This imaging tool permits perfect visualization of all PV ostia and neighbouring LA structures. Most importantly, it proved very efficient in guiding the operator to achieve complete occlusion and successful isolation in all veins.


Assuntos
Fibrilação Atrial/cirurgia , Criocirurgia/métodos , Ecocardiografia Tridimensional , Ecocardiografia Transesofagiana , Veias Pulmonares/cirurgia , Ultrassonografia de Intervenção , Idoso , Fibrilação Atrial/diagnóstico por imagem , Fibrilação Atrial/fisiopatologia , Criocirurgia/efeitos adversos , Estudos de Viabilidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Veias Pulmonares/diagnóstico por imagem , Veias Pulmonares/fisiopatologia , Fatores de Tempo , Resultado do Tratamento
8.
Appetite ; 71: 307-13, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23999521

RESUMO

Recent literature suggests that individuals may consume less food when this is served on red plates. We explored this intriguing effect in three experiments. Independent groups of participants were presented with constant amounts of popcorns, chocolate chips, or moisturizing cream, on red, blue, or white plates. They were asked to sample the foods (by tasting them) or the cream (by rubbing it on the hand and forearm) as they wished and to complete mock "sensory analysis" questionnaires. Results confirmed that red plates reduce taste-related consumption and extended this effect to the touch-related consumption of moisturizing cream. Suggesting that the effect was not due to a decrease in the consciously experienced appeal of products on red plates, overall appreciation of the foods or cream did not differ according to plate color. After careful photometric measures of the materials used for each food-plate pairing, we determined that food and cream consumption was not predicted by Michelson (achromatic) contrast. Although the origin of the intriguing effect of the color red on consumption remains unclear, our results may prove useful to future potential explanations.


Assuntos
Cor , Ingestão de Alimentos/psicologia , Preferências Alimentares/psicologia , Adulto , Idoso , Feminino , Humanos , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Paladar , Adulto Jovem
9.
Q J Exp Psychol (Hove) ; : 17470218231206907, 2023 Nov 03.
Artigo em Inglês | MEDLINE | ID: mdl-37784227

RESUMO

Although it is known that the availability of visual feedback modulates grasping kinematics, it is unclear whether this extends to both the early and late stages of the movement. We tackled this issue by exposing participants to the Uznadze illusion (a medium stimulus appears larger or smaller after exposure to smaller or larger inducers). After seeing smaller or larger discs, participants grasped a medium disc with (closed-loop [CL]) or without (open-loop [OL]) visual feedback. Our main aim was to assess whether the time course of the illusion from the movement onset up to the grasp differed between OL and CL. Moreover, we compared OL and CL illusory effects on maximum grip aperture (MGA) and tested whether preparation time, movement time, and time to MGA predicted illusion magnitude. Results revealed that CL illusory effects decreased over movement time, whereas OL ones remained constant. At the time of MGA, OL, and CL effects were, however, of similar size. Although OL grasps were longer to prepare and showed earlier and larger MGAs, such differences had little impact on modulating the illusion. These results suggest that the early stage of grasping is sensitive to the Uznadze illusion both under CL and OL conditions, whereas the late phase is sensitive to it only under OL conditions. We discuss these findings within the framework of theoretical models on the functional properties of the dorsal stream for visually guided actions.

10.
Neuropsychologia ; 163: 108088, 2021 12 10.
Artigo em Inglês | MEDLINE | ID: mdl-34800489

RESUMO

Whether the visuomotor coding of size in grasping obeys Weber's law is currently debated. Following up on previous work from our laboratory, here we investigated the precision associated with the maximum in-flight index-thumb aperture (MGA) in grasping small-to-medium sized objects. We report three main findings. First, grasp preparation was longer with 5 mm objects and became increasingly faster as object size increased from 10 to 20-40 mm. Second, MGA variable errors increased as sizes increased from 5 to 10-20 mm, whereas they decreased as size reached 40 mm. Third, MGA distributions were symmetrical with 5 mm objects, but became increasingly right-skewed as size increased. These results, as well as a re-analysis of previous findings, suggest that the precision of visuomotor representations varies as a function of size, consistent with the key principle underlying Weber's law. However, a fundamental constraint on precision grips (the MGA must always exceed physical size) changes the skew of the distribution and reduces the variability of MGAs as size increases from very small to medium.


Assuntos
Força da Mão , Desempenho Psicomotor , Limiar Diferencial , Humanos , Polegar
11.
Exp Brain Res ; 203(4): 671-9, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20454958

RESUMO

Studies investigating the effect of visual illusions on saccadic eye movements have provided a wide variety of results. In this study, we test three factors that might explain this variability: the spatial predictability of the stimulus, the duration of the stimulus and the latency of the saccades. Participants made a saccade from one end of a Müller-Lyer figure to the other end. By changing the spatial predictability of the stimulus, we find that the illusion has a clear effect on saccades (16%) when the stimulus is at a highly predictable location. Even stronger effects of the illusion are found when the stimulus location becomes more unpredictable (19-23%). Conversely, manipulating the duration of the stimulus fails to reveal a clear difference in illusion effect. Finally, by computing the illusion effect for different saccadic latencies, we find a maximum illusion effect (about 30%) for very short latencies, which decreases by 7% with every 100 ms latency increase. We conclude that spatial predictability of the stimulus and saccadic latency influences the effect of the Müller-Lyer illusion on saccades.


Assuntos
Ilusões/fisiologia , Tempo de Reação/fisiologia , Movimentos Sacádicos/fisiologia , Percepção Espacial/fisiologia , Adulto , Análise de Variância , Feminino , Humanos , Masculino , Estimulação Luminosa/métodos , Valor Preditivo dos Testes , Fatores de Tempo
12.
PLoS One ; 15(9): e0238588, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32915837

RESUMO

BACKGROUND: Selfies are a novel social phenomenon that is gradually beginning to receive attention within the cognitive sciences. Several studies have documented biases that may be related to nonverbal communicative intentions. For instance, in selfies posted on the dating platform Tinder males but not females prefer camera views from below (Sedgewick, Flath & Elias, 2017). We re-examined this study to assess whether this bias is confined to dating selection contexts and to compare variability between individuals and between genders. METHODS: Three raters evaluated vertical camera position in 2000 selfies- 1000 by males and 1000 by females-posted in Instagram. RESULTS: We found that the choices of camera angle do seem to vary depending on the context under which the selfies were uploaded. On Tinder, females appear more likely to choose neutral, frontal presentations than they do on Instagram, whereas males on Tinder appear more likely to opt for camera angles from below than on Instagram. CONCLUSIONS: This result confirms that the composition of selfies is constrained by factors affecting nonverbal communicative intentions.


Assuntos
Identidade de Gênero , Comunicação não Verbal , Fotografação/instrumentação , Mídias Sociais , Feminino , Humanos , Masculino
13.
Neuropsychologia ; 141: 107406, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32092446

RESUMO

It is often claimed that merely seeing a graspable object can elicit the implicit representation of a potential grasp. But can this representation affect the explicit execution of an actual grasp, and if so, how? In an open-loop paradigm, we instructed participants to grasp small, medium, or large test disks with the appropriate grip configuration (pincer, tripod, or pentapod). Before the presentation of these tests, we presented congruent or incongruent distractors. To assess interactions between implicit (putatively elicited by the distractors) and explicit (actually executed) sensorimotor processes, we measured preview reaction times (as an index of action preparation) and grasp kinematics (as an indicator of sensorimotor representations for motor control). Results indicate that action preparation is indeed affected by the presentation of preceding distractors. However, costs in action preparation were measured only when the first, implicit process was less precise than that of the actual grasp. We suggest that an interaction occurs at the level of sensorimotor processes through a mechanism which generalizes a precision parameter. We interpret these findings in relation to processes involved in real-time motor control and within the framework of theories of motor cognition.


Assuntos
Generalização Psicológica , Força da Mão , Fenômenos Biomecânicos , Cognição , Humanos , Desempenho Psicomotor , Tempo de Reação
14.
Int J Psychophysiol ; 158: 318-330, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33164874

RESUMO

There is evidence that seeing a graspable object automatically elicits a preparatory motor process. However, it is unclear whether this implicit visuomotor process might influence the preparation of a successive grasp for a different object. We addressed the issue by implementing a combined behavioural and electrophysiological paradigm. Participants performed pantomimed grasps directed to small or large disks with either a two (pincer) or a five-finger (pentapod) grip, after the presentation of congruent (same size) or incongruent (different size) distractor disks. Preview reaction times (PRTs) and response-locked lateralized readiness potentials (R-LRPs) were recorded as online indices of motor preparation. Results revealed asymmetric effects of the distractors on PRTs and R-LRPs. For pincer grip disks, incongruent distractors were associated with longer PRTs and a delayed R-LRP peak. For pentapod grip disks, conversely, incongruent distractors were associated with shorter PRTs and a delayed R-LRP onset. Supporting an interpretation of these effects as tapping into motor preparation, we did not observe modulations of stimulus-locked LRP's (sensitive to sensory processing), or of the P300 component (related to reallocating attentional resources). These results challenge models (i.e., the "dorsal amnesia" hypothesis) which assume that visuomotor information presented before a grasp will not affect how we later perform that grasp.


Assuntos
Potenciais Evocados , Desempenho Psicomotor , Atenção , Força da Mão , Humanos , Tempo de Reação
15.
PLoS One ; 14(7): e0218663, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31314778

RESUMO

Earlier work by one of us examined a historical corpus of portraits and found that artists often paint the subject such that one eye is centred horizontally. If due to psychological mechanisms constraining artistic composition, this eye-centring bias should be detectable also in portraits by non-professionals. However, this finding has been questioned both on theoretical and empirical grounds. Here we tested eye-centring in a larger (N ~ = 4000) and more representative set of selfies spontaneously posted on Instagram from six world cities. In contrast with previous selfie results, the distribution of the most-centred eye position peaked almost exactly at the horizontal centre of the image and was statistically different from predictions based on realistic Monte-Carlo predictions. In addition, we observed a small but statistically reliable pseudoneglect effect as well as a preference for centring the left-eye. An eye-centring tendency appears to exist in self-portraits by non-artists.


Assuntos
Olho , Fotografação , Mídias Sociais , Viés , Humanos
16.
Neurosci Biobehav Rev ; 32(3): 423-37, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-17976722

RESUMO

Models of the human vision propose a division of labor between vision-for-action (identified with the V1-PPT dorsal stream) and vision-for-perception (the V1-IT ventral stream). The idea has been successful in explaining a host of neuropsychological and behavioral data, but has remained controversial in predicting that visually guided actions should be immune from visual illusions. Here we evaluate this prediction by reanalyzing 33 independent studies of rapid pointing involving the Müller-Lyer or related illusions. We find that illusion effects vary widely across studies from around zero to comparable to perceptual effects. After examining several candidate factors both between and within participants, we show that almost 80% of this variability is explained well by two general concepts. The first is that the illusion has little effect when pointing is programmed from viewing the target rather than from memory. The second that the illusion effect is weakened when participants learn to selectively attend to target locations over repeated trials. These results are largely in accord with the vision-for-action vs. vision-for-perception distinction. However, they also suggest a potential involvement of learning and attentional processes during motor preparation. Whether these are specific to visuomotor mechanisms or shared with vision-for-perception remains to be established.


Assuntos
Ilusões/fisiologia , Memória/fisiologia , Desempenho Psicomotor/fisiologia , Percepção Espacial/fisiologia , Comportamento Espacial/fisiologia , Atenção/fisiologia , Área de Dependência-Independência , Humanos , Modelos Neurológicos , Tempo de Reação/fisiologia
17.
Neuropsychologia ; 45(3): 469-75, 2007 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-16527315

RESUMO

When viewing a three-dimensional Necker cube with one eye, participants can experience illusory reversals even while they feel the cube with their hands. This surprising property of the visual-haptic Necker cube affords a unique opportunity to investigate temporal constraints on interactions between vision and touch during extended observation of a three-dimensional object. Our observers reported reversals while they viewed the cube and, at the same time, they either held it with two-finger grips, felt it with while their hands remained stationary, or actively explored it by moving one hand. Consistent with a multisensory approach to three-dimensional form perception, touch had a clear effect on both the number and the duration of illusory percepts. Additionally, when observers alternated between stationary and moving periods during exploration, transitions from stationary to moving-hand haptics played a crucial role in inhibiting illusory reversals. A temporal analysis of the probability of first reversals occurring after different types of motor transition revealed a "vetoing window" initiating approximately 2s after the transition and lasting at least another 1-2s. Implications for multisensory processes during exploration are discussed.


Assuntos
Percepção de Forma/fisiologia , Ilusões Ópticas/fisiologia , Reconhecimento Visual de Modelos/fisiologia , Percepção Espacial/fisiologia , Tato/fisiologia , Humanos , Movimento , Estimulação Luminosa , Probabilidade , Desempenho Psicomotor/fisiologia , Psicofísica , Tempo de Reação , Fatores de Tempo
18.
Front Psychol ; 8: 1460, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28928683

RESUMO

According to previous reports, selfie takers in widely different cultural contexts prefer poses showing the left cheek more than the right cheek. This posing bias may be interpreted as evidence for a right-hemispheric specialization for the expression of facial emotions. However, earlier studies analyzed selfie poses as categorized by human raters, which raises methodological issues in relation to the distinction between frontal and three-quarter poses. Here, we provide converging evidence by analyzing the (extended) selfiecity database which includes automatic assessments of head rotation and of emotional expression. We confirm a culture- and sex-independent left-cheek bias and report stronger expression of negative emotions in selfies showing the left cheek. These results are generally consistent with a psychobiological account of a left cheek bias in self-portraits but reveal possible unexpected facts concerning the relation between side bias and lateralization of emotional expression.

19.
Neurosci Biobehav Rev ; 76(Pt A): 111-122, 2017 05.
Artigo em Inglês | MEDLINE | ID: mdl-28434583

RESUMO

Studies of the last twenty years on the motor and premotor cortices of primates demonstrated that the motor system is involved in the control and initiation of movements, and in higher cognitive processes, such as action understanding, imitation, and empathy. Mirror neurons are only one example of such theoretical shift. Their properties demonstrate that motor and sensory processing are coupled in the brain. Such knowledge has been also central for designing new neurorehabilitative therapies for patients suffering from brain injuries and consequent motor deficits. Moebius Syndrome patients, for example, are incapable of moving their facial muscles, which are fundamental for affective communication. These patients face an important challenge after having undergone a corrective surgery: reanimating the transplanted muscles to achieve a voluntarily control of smiling. We propose two new complementary rehabilitative approaches on MBS patients based on observation/imitation therapy (Facial Imitation Therapy, FIT) and on hand-mouth motor synergies (Synergistic Activity Therapy, SAT). Preliminary results show that our intervention protocol is a promising approach for neurorehabilitation of patients with facial palsy.


Assuntos
Síndrome de Möbius/reabilitação , Animais , Expressão Facial , Mãos , Humanos , Neurônios-Espelho , Boca
20.
J Am Coll Cardiol ; 45(4): 573-80, 2005 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-15708706

RESUMO

OBJECTIVES: We investigated the long-term efficacy of cryo ablation for treatment of atrial flutter. BACKGROUND: To our knowledge, no study has assessed the long-term efficacy of cryo ablation by assessing both symptom and conduction recurrence. METHODS: A total of 45 consecutive patients with symptomatic atrial flutter were ablated with a 7-F, 6-mm-tip, quadripolar cryo catheter (Freezor Xtra, CryoCath Technologies Inc., Kirkland, Canada). Electrophysiologic studies (EPS) were performed with diagnostic catheters. Cryo ablation was at -75 degrees C for 4 min, beginning at the inferior rim of the coronary sinus os and creating a posterior line to the Eustachian ridge. Safety, bi-directional isthmus block at intervention, and recurrence at three, six, and nine months post procedure were assessed. RESULTS: There were no adverse events reported. All patients were free of discomfort on cryo energy delivery. The acute success rate at intervention was 87%. Follow-up data from 39 acutely successful patients showed 27 (69%) without conduction recurrence on repeat EPS at three months, and none (0%) had symptom recurrence documented by Holter monitoring, electrocardiogram, and/or patient diary records at three, six, and nine months follow-up. CONCLUSIONS: Our experience with a new 7-F, 6-mm-tip, quadripolar cryo catheter yielded a fairly high success rate at intervention, an excellent safety profile, and a good chronic success rate in terms of symptom recurrence. However, further monitoring is necessary to determine whether all asymptomatic patients continue to remain free of symptoms, given the small pool of patients demonstrated to have conduction recurrence.


Assuntos
Flutter Atrial/cirurgia , Cateterismo Cardíaco , Criocirurgia , Idoso , Flutter Atrial/fisiopatologia , Criocirurgia/métodos , Eletrocardiografia , Eletrofisiologia , Seguimentos , Humanos , Pessoa de Meia-Idade , Fatores de Tempo
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