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1.
Exp Brain Res ; 240(5): 1387-1398, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35257195

RESUMO

Prosthesis disuse and abandonment is an ongoing issue in upper-limb amputation. In addition to lost structural and motor function, amputation also results in decreased task-specific sensory information. One proposed remedy is augmenting somatosensory information using vibrotactile feedback to provide tactile feedback of grasping objects. While the role of frontal and parietal areas in motor tasks is well established, the neural and kinematic effects of this augmented vibrotactile feedback remain in question. In this study, we sought to understand the neurobehavioral effects of providing augmented feedback during a reach-grasp-transport task. Ten persons with sound limbs performed a motor task while wearing a prosthesis simulator with and without vibrotactile feedback. We hypothesized that providing vibrotactile feedback during prosthesis use would increase activity in frontal and parietal areas and improve grasp-related behavior. Results show that anticipation of upcoming vibrotactile feedback may be encoded in motor and parietal areas during the reach-to-grasp phase of the task. While grasp aperture is unaffected by vibrotactile feedback, the availability of vibrotactile feedback does lead to a reduction in velocity during object transport. These results help shed light on how engineered feedback is utilized by prostheses users and provide methodologies for further assessment in advanced prosthetics research.


Assuntos
Membros Artificiais , Retroalimentação Sensorial , Retroalimentação , Força da Mão , Humanos , Desenho de Prótese , Tato
2.
J Mot Behav ; 56(5): 579-591, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39041372

RESUMO

Motor behaviour using upper-extremity prostheses of different levels is greatly variable, leading to challenges interpreting ideal rehabilitation strategies. Elucidating the underlying neural control mechanisms driving variability benefits our understanding of adaptation after limb loss. In this follow-up study, non-amputated participants completed simple and complex reach-to-grasp motor tasks using a body-powered transradial or partial-hand prosthesis simulator. We hypothesised that under complex task constraints, individuals employing variable grasp postures will show greater sensorimotor beta activation compared to individuals relying on uniform grasping, and activation will occur later in variable compared to uniform graspers. In the simple task, partial-hand variable and transradial users showed increased neural activation from the early to late phase of the reach, predominantly in the hemisphere ipsilateral to device use. In the complex task, only partial-hand variable graspers showed a significant increase in neural activation of the sensorimotor cortex from the early to the late phase of the reach. These results suggest that grasp variability may be a crucial component in the mechanism of neural adaptation to prosthesis use, and may be mediated by device level and task complexity, with implications for rehabilitation after amputation.


Assuntos
Membros Artificiais , Força da Mão , Postura , Córtex Sensório-Motor , Humanos , Masculino , Feminino , Adulto , Força da Mão/fisiologia , Postura/fisiologia , Córtex Sensório-Motor/fisiologia , Adulto Jovem , Desempenho Psicomotor/fisiologia , Ritmo beta/fisiologia
3.
Neurorehabil Neural Repair ; 36(3): 208-216, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-34967259

RESUMO

BACKGROUND: Most of the current literature around amputation focuses on lower extremity amputation or engineering aspects of prosthetic devices. There is a need to more clearly understand neurobehavioral mechanisms related to upper extremity amputation and how such mechanisms might influence recovery and utilization of prostheses. OBJECTIVE: This scoping review aims to identify and summarize the current literature on adult traumatic upper limb amputation in regard to recovery and functional outcomes and how neuroplasticity might influence these findings. METHODS: We identified appropriate articles using Academic Search Complete EBSCO, OVID Medline, and Cochrane databases. The resulting articles were then exported, screened, and reviewed based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews (PRISMA-ScR) guidelines. RESULTS: Eleven (11) studies met the study criteria. Of these studies, 7 focused on sensory involvement, 3 focused on neuroplastic changes post-amputation related to functional impact, and 1 study focused on motor control and learning post-amputation. Overall, these studies revealed an incomplete understanding of the neural mechanisms involved in motor rehabilitation in the central and peripheral nervous systems, while also demonstrating the value of an individualized approach to neurorehabilitation in upper limb loss. CONCLUSIONS: There is a gap in our understanding of the role of neurorehabilitation following amputation. Overall, focused rehabilitation parameters, demographic information, and clarity around central and peripheral neural mechanisms are needed in future research to address neurobehavioral mechanisms to promote functional recovery following traumatic upper extremity amputation.


Assuntos
Amputados , Membros Artificiais , Reabilitação Neurológica , Adulto , Amputação Cirúrgica/métodos , Humanos , Extremidade Inferior , Extremidade Superior/cirurgia
4.
J Mot Behav ; 54(6): 706-718, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35485303

RESUMO

Approaches to improve outcomes after upper-extremity amputation remain poorly understood. Examining prosthesis-use at different levels of loss elucidates motor control challenges. Non-amputated participants completed simple and complex reach-to-grasp actions using a body-powered transradial or partial-hand prosthesis simulator. We hypothesised that increased task complexity and participants using a partial-hand device would show greater functional adaptation compared to participants using a transradial device. Partial-hand users demonstrated variable grasp postures and higher reach peak velocities in the complex, but not simple, task. All groups showed decreases in movement duration in the complex task, but only partial-hand users improved in the simple task. These behavioural changes suggest how device level and task may influence prosthesis-use, with relevance to amputation rehabilitation.


Assuntos
Membros Artificiais , Humanos , Mãos , Extremidade Superior , Força da Mão , Movimento
5.
PLoS Genet ; 2(4): e61, 2006 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-16683035

RESUMO

A bold new effort to disrupt every gene in the mouse genome necessitates systematic, interdisciplinary approaches to analyzing patterning defects in the mouse embryo. We present a novel, rapid, and inexpensive method for obtaining high-resolution virtual histology for phenotypic assessment of mouse embryos. Using osmium tetroxide to differentially stain tissues followed by volumetric X-ray computed tomography to image whole embryos, isometric resolutions of 27 mum or 8 mum were achieved with scan times of 2 h or 12 h, respectively, using mid-gestation E9.5-E12.5 embryos. The datasets generated by this method are immediately amenable to state-of-the-art computational methods of organ patterning analysis. This technique to assess embryo anatomy represents a significant improvement in resolution, time, and expense for the quantitative, three-dimensional analysis of developmental patterning defects attributed to genetically engineered mutations and chemically induced embryotoxicity.


Assuntos
Camundongos Transgênicos/genética , Animais , Anormalidades Congênitas/diagnóstico por imagem , Anormalidades Congênitas/embriologia , Embrião de Mamíferos/citologia , Embrião de Mamíferos/diagnóstico por imagem , Desenvolvimento Embrionário , Proteína Forkhead Box O1 , Fatores de Transcrição Forkhead/genética , Testes Genéticos/métodos , Humanos , Camundongos , Camundongos Transgênicos/embriologia , Dados de Sequência Molecular , Fator de Transcrição PAX3 , Fatores de Transcrição Box Pareados/genética , Fenótipo , Tomografia Computadorizada por Raios X , Interface Usuário-Computador
6.
J Air Waste Manag Assoc ; 56(12): 1631-41, 2006 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-17195482

RESUMO

A laboratory-scale reactor was developed to evaluate the capture of carbon dioxide (CO2) from a gas into a liquid as an approach to control greenhouse gases emitted from fixed sources. CO2 at 5-50% concentrations was passed through a gas-exchange membrane and transferred into liquid media--tap water or simulated brine. When using water, capture efficiencies exceeded 50% and could be enhanced by adding base (e.g., sodium hydroxide) or the combination of base and carbonic anhydrase, a catalyst that speeds the conversion of CO2 to carbonic acid. The transferred CO2 formed ions, such as bicarbonate or carbonate, depending on the amount of base present. Adding precipitating cations, like Ca++, produced insoluble carbonate salts. Simulated brine proved nearly as efficient as water in absorbing CO2, with less than a 6% reduction in CO2 transferred. The CO2 either dissolved into the brine or formed a mixture of gas and ions. If the chemistry was favorable, carbonate precipitate spontaneously formed. Energy expenditure of pumping brine up and down from subterranean depths was modeled. We conclude that using brine in a gas-exchange membrane system for capturing CO2 from a gas stream to liquid is technically feasible and can be accomplished at a reasonable expenditure of energy.


Assuntos
Dióxido de Carbono , Sais , Dióxido de Carbono/análise , Dióxido de Carbono/isolamento & purificação , Ácido Carbônico , Anidrases Carbônicas , Monitoramento Ambiental , Estudos de Viabilidade , Efeito Estufa , Concentração de Íons de Hidrogênio , Membranas Artificiais , Modelos Biológicos , Polipropilenos , Hidróxido de Sódio , Espectrometria de Fluorescência , Fatores de Tempo , Água
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