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1.
bioRxiv ; 2024 Apr 29.
Article in English | MEDLINE | ID: mdl-38746426

ABSTRACT

In eukaryotes, the essential process of cellular respiration takes place in the cristae of mitochondria. The protein Mic60 is known to stabilize crista junctions; however, how the C-terminal Mitofilin domain of Mic60 mediates cristae-supported respiration remains elusive. Here, we used ancestral sequence reconstruction to generate Mitofilin ancestors up to and including the last opisthokont common ancestor (LOCA). We found that yeast-lineage derived Mitofilin ancestors as far back as the LOCA rescue respiration. By comparing Mitofilin ancestors with different respiratory phenotypes, we identify four residues that explain the difference between respiration functional yeast- and non-functional animal-derived common Mitofilin ancestors. Our results imply that Mitofilin-supported respiration in yeast stems from a conserved mechanism, and provide a foundation for investigating the divergence of candidate crista junction interactions present during the emergence of eukaryotes.

2.
Health Technol Assess ; : 1-12, 2024 Apr 01.
Article in English | MEDLINE | ID: mdl-38676412

ABSTRACT

Background: Functional loss, the inability to perform necessary or desired tasks, is a common consequence of life-limiting illnesses and associated symptoms (pain, fatigue, breathlessness, etc.) and causes suffering for patients and families. Rehabilitation, a set of interventions designed to address functional loss, is recognised as essential within palliative care, as it can improve quality of life and reduce care costs. However, not everyone has equal access to rehabilitation. Despite limited life expectancy or uncertain ability to benefit from interventions, palliative rehabilitation services are often absent. This is partly due to a lack of high-quality research around optimal models of rehabilitation. Research in this area is methodologically challenging and requires multidisciplinary and cross-speciality collaboration. Aim and objectives: We aimed to establish and grow a United Kingdom research partnership across diverse areas, commencing with partners from Edinburgh, East Anglia, Lancashire, Leeds, London and Nottingham, around the topic area of functional loss and rehabilitation in palliative and end-of-life care. The objectives were to (1) develop a multidisciplinary, cross-speciality research partnership, (2) generate high-priority unanswered research questions with stakeholders, (3) co-design and submit high-quality competitive research proposals, including (4) sharing topic and methodological expertise, and (5) to build capacity and capability to deliver nationally generalisable studies. Activities: The partnership was established with professionals from across England and Scotland with complementary areas of expertise including complex palliative and geriatric research, physiotherapy, nursing, palliative medicine and psychology. Research questions were generated through a modified version of the Child Health and Nutrition Research Initiative, which allowed for the collation and refinement of research questions relating to functional loss and rehabilitation towards the end of life. Partnership members were supported through a series of workshops to transform research ideas into proposals for submission to stage one calls by the National Institute for Health and Care Research. The partnership not only supported students, clinicians and public members with training opportunities but also supported clinicians in securing protected time from clinical duties to allow them to focus on developing local research initiatives. Reflections: Through our partnership we established a network that offered researchers, clinicians, students and public members the chance to develop novel skills and explore opportunities for personal and professional development around the topic area of functional loss and rehabilitation in palliative and end-of-life care. The partnership was crucial to foster collaboration and facilitate exchange of ideas, knowledge and experiences to build joint research study proposals. Funding: This article presents independent research funded by the National Institute for Health and Care Research (NIHR) programme as award number NIHR135171. A plain language summary of this article is available on the NIHR Journals Library website https://doi.org/10.3310/PTHC7598.


'Functional loss' describes a person becoming unable to do the everyday activities they would like or need to do. Life-limiting illnesses and their symptoms can often lead to functional loss: a common source of suffering for patients and their families. Rehabilitation aims to support a person to carry out everyday activities that have been affected by illness. This should be an important part of providing good palliative care. However, in practice, not everyone has equal access to rehabilitation and there is a lack of high-quality research in this area. The Palliative Care Rehabilitation Partnership was created to begin to address these challenges. This partnership completed activities in five key areas: Establishing the partnership ­ Brought together experts from different fields, like palliative care, care for older people and research, to improve rehabilitation for people with life-limiting illnesses. Generating research questions ­ Collected and ranked research questions about functional loss and rehabilitation from various stakeholders, including patients, to identify key research areas. Developing research proposals ­ Helped, through workshops, turn these research questions into detailed proposals for funding. This involved refining ideas, discussing how best to conduct the studies and getting feedback. Building capacity and capability ­ Provided training opportunities for its members, including clinicians, researchers and patients, to improve their research and rehabilitation skills. It also offered mentorship to people with dual roles as clinicians and researchers. Service mapping ­ Improved our understanding of services for functional loss and rehabilitation across different healthcare settings. The Palliative Care Rehabilitation Partnership has made gains in addressing the complex issues of functional loss and rehabilitation in people with life-limiting illnesses. The partnership has supported the development of at least three new research proposals that will be used to apply for future funding.

3.
Behav Res Methods ; 2024 Mar 19.
Article in English | MEDLINE | ID: mdl-38504079

ABSTRACT

The present study presents picture-naming norms for a large set of 800 high-quality photographs of 200 natural objects and artefacts spanning a range of categories, with four unique images per object. Participants were asked to provide a single, most appropriate name for each image seen. We report recognition latencies for each image, and several normed variables for the provided names: agreement, H-statistic (i.e. level of naming uncertainty), Zipf word frequency and word length. Rather than simply focusing on a single name per image (i.e. the modal or most common name), analysis of recognition latencies showed that it is important to consider the diversity of labels that participants may ascribe to each pictured object. The norms therefore provide a list of candidate labels per image with weighted measures of word length and frequency per image that incorporate all provided names, as well as modal measures based on the most common name only.

4.
ACS Synth Biol ; 13(2): 485-497, 2024 Feb 16.
Article in English | MEDLINE | ID: mdl-38235654

ABSTRACT

The plasmids from the Université d'Ottawa (pUdOs) are 28 small plasmids each comprising one of four origins of replication and one of seven selection markers, which together afford flexible use in Escherichia coli and several related gram-negative bacteria. The promoterless multicloning site is insulated from upstream spurious promoters by strong transcription terminators and contains type IIP or IIS restriction sites for conventional or Golden Gate cloning. pUdOs can be converted into efficient expression vectors through the insertion of a promoter at the user's discretion. For example, we demonstrate the utility of pUdOs as the backbone for an improved version of a Type III Secretion System reporter in Shigella. In addition, we derive a series of pUdO-based mammalian expression vectors, affording distinct levels of expression and transfection efficiency comparable to commonly used mammalian expression plasmids. Thus, pUdOs could advantageously replace traditional plasmids in a wide variety of cell types and applications.


Subject(s)
Genetic Vectors , Gram-Negative Bacteria , Genetic Vectors/genetics , Plasmids/genetics , Promoter Regions, Genetic/genetics , Base Sequence , Gram-Negative Bacteria/genetics , Cloning, Molecular
5.
Physiother Can ; 75(2): 105-117, 2023 May.
Article in English | MEDLINE | ID: mdl-37736384

ABSTRACT

Purpose: To evaluate the dissemination and implementation impacts of a rehabilitation intervention. Methods: Systematic evaluation of data sources including academic publishing metrics, publications, and surveys was used to describe the dissemination and implementation impact of the graded repetitive arm supplementary program (GRASP). Three categories in the Payback Framework were evaluated: knowledge production and dissemination, benefits to future research and research use, and real-world uptake and implementation. Results: In the Knowledge production and dissemination category, seven publications, authored by the GRASP research team, were associated with the GRASP, and there were approximately 17,000 download counts of GRASP manuals from the website from 120 countries. In the Benefits to future research and research use category, 15 studies and 8 registered clinical trials, authored by researchers outside of the GRASP team, have used GRASP as an intervention. In the real-world uptake and implementation category, GRASP has informed recommendations in 2 clinical guidelines and 20 review papers, and had high implementation uptake (e.g., 35% [53/154] of UK therapists surveyed had used GRASP; 95% [649/681] who downloaded GRASP had used it). More than 75% of those who had used GRASP identified that GRASP provides more intensity in upper extremity rehabilitation, is evidence-based and easy to implement, and the equipment and manual are easy to obtain. Conclusion: The Payback Framework is useful to evaluate the dissemination and implementation impacts of a rehabilitation intervention. GRASP has been implemented extensively in clinical practice and community in a relatively short time since it has been developed.

6.
Cognition ; 241: 105606, 2023 Dec.
Article in English | MEDLINE | ID: mdl-37722237

ABSTRACT

The basic-level advantage is one of the best-known effects in human categorisation. Traditional accounts argue that basic-level categories present a maximally informative or entry level into a taxonomic organisation of concepts in semantic memory. However, these explanations are not fully compatible with most recent views on the structure of the conceptual system such as linguistic-simulation accounts, which emphasise the dual role of sensorimotor (i.e., perception-action experience of the world) and linguistic distributional information (i.e., statistical distribution of words in language) in conceptual processing. In four preregistered word→picture categorisation studies, we examined whether novel measures of sensorimotor and linguistic distance contribute to the basic level-advantage in categorical decision-making. Results showed that overlap in sensorimotor experience between category concept and member concept (e.g., animal→dog) predicted RT and accuracy at least as well as a traditional division into discrete subordinate, basic, and superordinate taxonomic levels. Furthermore, linguistic distributional information contributed to capturing effects of graded category structure where typicality ratings did not. Finally, when image label production frequency was taken into account (i.e., how often people actually produced specific labels for images), linguistic distributional information predicted RT and accuracy above and beyond sensorimotor information. These findings add to our understanding of how sensorimotor-linguistic theories of the conceptual system can explain categorisation behaviour.

7.
J Exp Psychol Learn Mem Cogn ; 49(10): 1572-1587, 2023 Oct.
Article in English | MEDLINE | ID: mdl-37439726

ABSTRACT

Semantic richness theory predicts that words with richer, more distinctive semantic representations should facilitate performance in a word recognition memory task. We investigated the contribution of multiple aspects of sensorimotor experience-those relating to the body, communication, food, and objects-to word recognition memory, by analyzing megastudy data in a series of hierarchical linear regressions. We found that different forms of sensorimotor experience produced different effects on memory. While stronger grounding in object- and food-related experience facilitated word memory performance as expected for semantic richness, experience relating to communication did not. Critically, sensorimotor experience relating to the body impaired rather than facilitated recognition memory by inflating false alarms, which was not consistent with the idea that semantically richer representations are more memorable. Additionally, we found that pure imageability (i.e., consciously generating mental imagery, distinct from sensorimotor experience) contributes to semantic richness effects on word memory but with much smaller effect sizes than previously reported, once sensorimotor grounding was taken into account. These results suggest that word recognition memory is often but not consistently facilitated by rich semantic representations and that it is essential to separately consider distinct forms of sensorimotor experience rather than assuming more information is always better. The findings have implications for the use of semantic variables in memory research. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Subject(s)
Recognition, Psychology , Semantics , Humans , Memory , Cognition , Communication
8.
BMC Health Serv Res ; 23(1): 671, 2023 Jun 21.
Article in English | MEDLINE | ID: mdl-37344774

ABSTRACT

BACKGROUND: There is a need to evaluate if and how telerehabilitation approaches might co-exist within healthcare in the long-term. Our aim was to implement and evaluate a multidisciplinary group-based telerehabilitation approach for people engaging in neurological rehabilitation. METHODS: NeuroRehabilitation OnLine (NROL) was adapted and implemented within an existing healthcare system as a programme of repeating six-week blocks. A robust evaluation was undertaken simultaneously using a convergent parallel design underpinned by implementation frameworks. This included service data, and patient and staff interviews. Implementation success was conceptualised using the outcomes of appropriateness, acceptability and sustainability. RESULTS: Eight NROL blocks delivered 265 sessions with 1347 patient contacts, and NROL continues as part of standard practice. The approach was appropriate for varied demographics and had positive patient opinions and outcomes for many. Staff perceived NROL provided a compatible means to increase therapy and help meet targets, despite needing to mitigate some challenges when fitting the approach within the existing system. NROL was considered acceptable due to good attendance (68%), low drop-out (12%), and a good safety record (one non-injury fall). It was accepted as a new way of working across rehabilitation disciplines as an 'extra layer of therapy'. NROL had perceived advantages in terms of patient and staff resource (e.g. saving time, energy and travel). NROL provided staffing efficiencies (ratio 0.6) compared to one-to-one delivery. Technology difficulties and reluctance were surmountable with dedicated technology assistance. Leadership commitment was considered key to enable the efforts needed for implementation and sustained use. CONCLUSION: Pragmatic implementation of group-based telerehabilitation was possible as an adjunct to neurological rehabilitation within an existing healthcare system. The compelling advantages reported of having NROL as part of rehabilitation supports the continued use of this telerehabilitation approach. This project provides an exemplar of how evaluation can be run concurrently with implementation, applying a data driven rather than anecdotal approach to implementation.


Subject(s)
COVID-19 , Telerehabilitation , Humans , Telerehabilitation/methods , Pandemics , COVID-19/epidemiology , Delivery of Health Care , Health Facilities
9.
Cancer Med ; 12(11): 12272-12284, 2023 06.
Article in English | MEDLINE | ID: mdl-37062071

ABSTRACT

PURPOSE: The role of locoregional therapy compared to systemic chemotherapy (SYS) for unresectable intrahepatic cholangiocarcinoma (IHC) remains controversial. The importance of hepatic disease control, either as initial or salvage therapy, is also unclear. We compared overall survival (OS) in patients treated with resection, hepatic arterial infusion pump (HAIP) chemotherapy, or SYS as it relates to hepatic recurrence or progression. We also evaluated recurrence after resection to determine the efficacy of locoregional salvage therapy. PATIENTS AND METHODS: In this single-institution retrospective analysis, patients with biopsy-proven IHC treated with either curative-intent resection, HAIP (with or without SYS), or SYS alone were analyzed. Propensity score matching (PSM) was used to compare patients with liver-limited, advanced disease treated with HAIP versus SYS. The impact of locoregional salvage therapies in patients with liver-limited recurrence was analyzed in the resection cohort. RESULTS: From 2000 to 2017, 714 patients with IHC were treated, 219 (30.7%) with resectable disease, 316 (44.3%) with locally advanced disease, and 179 (25.1%) with metastatic disease. Resected patients were less likely to recur or progress in the liver (hazard ratio [HR] 0.41, 95% CI 0.34-0.45) versus those that received HAIP or SYS (HR 0.58, 95% CI 0.50-0.65 vs. HR 0.63, 95% CI 0.57-0.69, respectively). In resected patients, 161 (64.4%) recurred, with 65 liver-only recurrences. Thirty of these patients received subsequent locoregional therapy. On multivariable analysis, locoregional therapy was associated with improved OS after isolated liver recurrence (HR 0.46, 95% CI 0.29-0.75; p = 0.002). In patients with locally advanced unresectable or multifocal liver disease (with or without distant organ metastases), PSM demonstrated improved hepatic progression-free survival in patients treated with HAIP versus SYS (HR 0.65; 95% CI 0.46-0.91; p = 0.01), which correlated with improved OS (HR 0.59, 95% CI 0.43-0.80; p < 0.001). CONCLUSION: In patients with liver-limited IHC, hepatic disease control is associated with improved OS, emphasizing the potential importance of liver-directed therapy.


Subject(s)
Bile Duct Neoplasms , Cholangiocarcinoma , Liver Neoplasms , Humans , Retrospective Studies , Hepatectomy , Cholangiocarcinoma/pathology , Bile Ducts, Intrahepatic/pathology , Liver Neoplasms/drug therapy , Bile Duct Neoplasms/pathology , Neoplasm Recurrence, Local/surgery
11.
Curr Biol ; 33(6): 1099-1111.e6, 2023 03 27.
Article in English | MEDLINE | ID: mdl-36921606

ABSTRACT

Mitochondrial cristae expand the surface area of respiratory membranes and ultimately allow for the evolutionary scaling of respiration with cell volume across eukaryotes. The discovery of Mic60 homologs among alphaproteobacteria, the closest extant relatives of mitochondria, suggested that cristae might have evolved from bacterial intracytoplasmic membranes (ICMs). Here, we investigated the predicted structure and function of alphaproteobacterial Mic60, and a protein encoded by an adjacent gene Orf52, in two distantly related purple alphaproteobacteria, Rhodobacter sphaeroides and Rhodopseudomonas palustris. In addition, we assessed the potential physical interactors of Mic60 and Orf52 in R. sphaeroides. We show that the three α helices of mitochondrial Mic60's mitofilin domain, as well as its adjacent membrane-binding amphipathic helix, are present in alphaproteobacterial Mic60. The disruption of Mic60 and Orf52 caused photoheterotrophic growth defects, which are most severe under low light conditions, and both their disruption and overexpression led to enlarged ICMs in both studied alphaproteobacteria. We also found that alphaproteobacterial Mic60 physically interacts with BamA, the homolog of Sam50, one of the main physical interactors of eukaryotic Mic60. This interaction, responsible for making contact sites at mitochondrial envelopes, has been conserved in modern alphaproteobacteria despite more than a billion years of evolutionary divergence. Our results suggest a role for Mic60 in photosynthetic ICM development and contact site formation at alphaproteobacterial envelopes. Overall, we provide support for the hypothesis that mitochondrial cristae evolved from alphaproteobacterial ICMs and have therefore improved our understanding of the nature of the mitochondrial ancestor.


Subject(s)
Alphaproteobacteria , Mitochondrial Proteins , Mitochondrial Proteins/metabolism , Alphaproteobacteria/genetics , Alphaproteobacteria/metabolism , Mitochondrial Membranes/metabolism , Mitochondria/metabolism , Biological Evolution
12.
Br J Soc Psychol ; 62(3): 1177-1214, 2023 Jul.
Article in English | MEDLINE | ID: mdl-36794795

ABSTRACT

Research from the social sciences suggests an association between higher temperatures and increases in antisocial behaviours, including aggressive, violent, or sabotaging behaviours, and represents a heat-facilitates-aggression perspective. More recently, studies have shown that higher temperature experiences may also be linked to increases in prosocial behaviours, such as altruistic, sharing, or cooperative behaviours, representing a warmth-primes-prosociality view. However, across both literatures, there have been inconsistent findings and failures to replicate key theoretical predictions, leaving the status of temperature-behaviour links unclear. Here we review the literature and conduct meta-analyses of available empirical studies that have either prosocial (e.g., monetary reward, gift giving, helping behaviour) or antisocial (self-rewarding, retaliation, sabotaging behaviour) behavioural outcome variables, with temperature as an independent variable. In an omnibus multivariate analysis (total N = 4577) with 80 effect sizes, we found that there was no reliable effect of temperature on the behavioural outcome measured. Further, we find little support for either the warmth-primes-prosociality view or the heat-facilitates-aggression view. There were no reliable effects if we consider separately the type of behavioural outcome (prosocial or antisocial), different types of temperature experience (haptic or ambient), or potential interactions with the experimental social context (positive, neutral, or negative). We discuss how these findings affect the status of existing theoretical perspectives and provide specific suggestions advancing research in this area.


Subject(s)
Antisocial Personality Disorder , Social Behavior , Humans , Temperature , Aggression , Cognition
13.
Philos Trans R Soc Lond B Biol Sci ; 378(1870): 20210366, 2023 02 13.
Article in English | MEDLINE | ID: mdl-36571121

ABSTRACT

Semantic categories, and the concepts belonging to them, have commonly been defined by their relative concreteness, that is, their reliance on perception. However, sensorimotor grounding must be regarded as going beyond the basic five senses and incorporate a multi-dimensional variety of perceptual and action experience. We present a series of exploratory analyses examining the sensorimotor grounding of participant-produced member concepts for 117 categories, spanning concrete (e.g. animal and furniture) and highly abstract (e.g. unit of time and science) categories. We found that both concrete and abstract categories are strongly grounded in multi-dimensional sensorimotor experience. Both domains were dominated by vision and, to a lesser extent, head movements, but concrete categories were more grounded in touch and hand-arm action, while abstract categories were more grounded in hearing and interoception. Importantly, this pattern of grounding was not uniform, and subdomains of concrete (e.g. ingestibles, animates, natural categories and artefacts) and abstract (e.g. internal, social and non-social) categories were grounded in different profiles of sensorimotor experience. Overall, these findings suggest that the distinction between abstract and concrete categories is not as clearcut as ontological assumptions might suggest, and that the strength and diversity of sensorimotor grounding in abstract categories must not be underestimated. This article is part of the theme issue 'Concepts in interaction: social engagement and inner experiences'.


Subject(s)
Concept Formation , Humans , Concept Formation/physiology , Hand , Hearing , Interoception , Semantics , Feedback, Sensory
14.
Int J Lang Commun Disord ; 58(3): 959-967, 2023 05.
Article in English | MEDLINE | ID: mdl-36354267

ABSTRACT

BACKGROUND: Existing evidence suggests that clinician and organization engagement in research can improve healthcare processes of care and outcomes. However, current evidence has considered the relationship across all healthcare professions collectively. With the increase in allied health clinical academic and research activity, it is imperative for healthcare organizations, leaders and managers to understand engagement in research within these specific clinical fields. This systematic review aims to identify the effect of engagement in research by allied health professionals (AHPs) and organizations on healthcare performance. METHODS: This systematic review has a two-stage search strategy. The first stage will be to screen a previous systematic review examining the effectiveness of engagement in research in health and social care to identify relevant papers published pre-2012. The search strategy used in the previous review will then be rerun, but with a specific focus on allied health. This multi-database search will identify publications from 2012 to date. Only studies that assessed the effectiveness of allied health engagement in research will be included. All stages of the review will be conducted by two reviewers independently, plus documented discussions with the wider research team when discrepancies occur. This systematic review protocol follows the EQUATOR reporting guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Protocols (PRISMA-P). DISCUSSION: The findings of this review will make a significant contribution to the evidence base around the effect of allied health engagement in research on healthcare performance. It will provide insights for clinicians and managers looking to understand the consequences of developing AHP research capability and capacity. The findings of this review will also aim to make recommendations for future evaluation approaches for engagement in research interventions. TRIAL REGISTRATION: This systematic review protocol has been registered with PROSPERO, registration number CRD42021253461. WHAT THIS PAPER ADDS: What is already known on the subject This study will provide valuable evidence for professionals and policymakers seeking to understand engagement in research in the allied health disciplines. Where supported by the data, there may be recommendations for future research regarding specific variables to be considered when planning and evaluating engagement in research in allied health practice. What this paper adds to existing knowledge A previous systematic review identified a positive association between clinician and organization engagement in research and improved processes of care and health outcomes. The reviews' findings have been used as a justification for clinicians and organizations to increase research capacity. That review evaluated literature published before 2012 and the studies that were identified predominantly reported on engagement in research by medics and nurses. An updated review is now required to include research published since 2012. This review will specifically focus on the effect of engagement in research within allied health disciplines. What are the potential or actual clinical implications of this work? Research activity among AHPs is gaining momentum. Given this growth in AHP research activity and the rise in dedicated clinical academic roles, a contemporary review to identify the specific effect of AHP engagement in research on healthcare performance is prudent. The findings will inform clinicians, clinical managers and leaders of the potential impact of research activities by AHP clinicians and organizations. This will support the planning and development of initiatives focused on research capacity, capability and culture within allied health.


Subject(s)
Allied Health Personnel , Delivery of Health Care , Humans , Systematic Reviews as Topic , Meta-Analysis as Topic , Review Literature as Topic
15.
Int J Stroke ; 18(1): 117-122, 2023 01.
Article in English | MEDLINE | ID: mdl-36129364

ABSTRACT

RATIONALE: Clinical practice guidelines support structured, progressive protocols for improving walking after stroke. Yet, practice is slow to change, evidenced by the little amount of walking activity in stroke rehabilitation units. Our recent study (n = 75) found that a structured, progressive protocol integrated with typical daily physical therapy improved walking and quality-of-life measures over usual care. Research therapists progressed the intensity of exercise by using heart rate and step counters worn by the participants with stroke during therapy. To have the greatest impact, our next step is to undertake an implementation trial to change practice across stroke units where we enable the entire unit to use the protocol as part of standard of care. AIMS: What is the effect of introducing structured, progressive exercise (termed the Walk 'n Watch protocol) to the standard of care on the primary outcome of walking in adult participants with stroke over the hospital inpatient rehabilitation period? Secondary outcomes will be evaluated and include quality of life. METHODS AND SAMPLE SIZE ESTIMATES: This national, multisite clinical trial will randomize 12 sites using a stepped-wedge design where each site will be randomized to deliver Usual Care initially for 4, 8, 12, or 16 months (three sites for each duration). Then, each site will switch to the Walk 'n Watch phase for the remaining duration of a total 20-month enrolment period. Each participant will be exposed to either Usual Care or Walk 'n Watch. The trial will enroll a total of 195 participants with stroke to achieve a power of 80% with a Type I error rate of 5%, allowing for 20% dropout. Participants will be medically stable adults post-stroke and able to take five steps with a maximum physical assistance from one therapist. The Walk 'n Watch protocol focuses on completing a minimum of 30 min of weight-bearing, walking-related activities (at the physical therapists' discretion) that progressively increase in intensity informed by activity trackers measuring heart rate and step number. STUDY OUTCOME(S): The primary outcome will be the change in walking endurance, measured by the 6-Minute Walk Test, from baseline (T1) to 4 weeks (T2). This change will be compared across Usual Care and Walk 'n Watch phases using a linear mixed-effects model. Additional physical, cognitive, and quality of life outcomes will be measured at T1, T2, and 12 months post-stroke (T3) by a blinded assessor. DISCUSSION: The implementation of stepped-wedge cluster-randomized trial enables the protocol to be tested under real-world conditions, involving all clinicians on the unit. It will result in all sites and all clinicians on the unit to gain expertise in protocol delivery. Hence, a deliberate outcome of the trial is facilitating changes in best practice to improve outcomes for participants with stroke in the trial and for the many participants with stroke admitted after the trial ends.


Subject(s)
Stroke Rehabilitation , Stroke , Adult , Humans , Quality of Life , Walking/physiology , Stroke Rehabilitation/methods , Physical Therapy Modalities , Exercise Therapy/methods , Treatment Outcome , Randomized Controlled Trials as Topic
16.
Behav Res Methods ; 55(3): 1292-1313, 2023 04.
Article in English | MEDLINE | ID: mdl-35650380

ABSTRACT

We present a database of category production (aka semantic fluency) norms collected in the UK for 117 categories (67 concrete and 50 abstract). Participants verbally named as many category members as possible within 60 seconds, resulting in a large variety of over 2000 generated member concepts. The norms feature common measures of category production (production frequency, mean ordinal rank, first-rank frequency), as well as response times for all first-named category members, and typicality ratings collected from a separate participant sample. We provide two versions of the dataset: a referential version that groups together responses that relate to the same referent (e.g., hippo, hippopotamus) and a full version that retains all original responses to enable future lexical analysis. Correlational analyses with previous norms from the USA and UK demonstrate both consistencies and differences in English-language norms over time and between geographical regions. Further exploration of the norms reveals a number of structural and psycholinguistic differences between abstract and concrete categories. The data and analyses will be of use in the fields of cognitive psychology, neuropsychology, psycholinguistics, and cognitive modelling, and to any researchers interested in semantic category structure. All data, including original participant recordings, are available at https://osf.io/jgcu6/ .


Subject(s)
Language , Semantics , Humans , Psycholinguistics , Databases, Factual , Reaction Time
17.
Behav Res Methods ; 55(7): 3416-3432, 2023 10.
Article in English | MEDLINE | ID: mdl-36131199

ABSTRACT

Experimental design and computational modelling across the cognitive sciences often rely on measures of semantic similarity between concepts. Traditional measures of semantic similarity are typically derived from distance in taxonomic databases (e.g. WordNet), databases of participant-produced semantic features, or corpus-derived linguistic distributional similarity (e.g. CBOW), all of which are theoretically problematic in their lack of grounding in sensorimotor experience. We present a new measure of sensorimotor distance between concepts, based on multidimensional comparisons of their experiential strength across 11 perceptual and action-effector dimensions in the Lancaster Sensorimotor Norms. We demonstrate that, in modelling human similarity judgements, sensorimotor distance has comparable explanatory power to other measures of semantic similarity, explains variance in human judgements which is missed by other measures, and does so with the advantages of remaining both grounded and computationally efficient. Moreover, sensorimotor distance is equally effective for both concrete and abstract concepts. We further introduce a web-based tool ( https://lancaster.ac.uk/psychology/smdistance ) for easily calculating and visualising sensorimotor distance between words, featuring coverage of nearly 800 million word pairs. Supplementary materials are available at https://osf.io/d42q6/ .


Subject(s)
Linguistics , Semantics , Humans , Concept Formation , Cognitive Science , Data Management
19.
J Bodyw Mov Ther ; 29: 161-166, 2022 01.
Article in English | MEDLINE | ID: mdl-35248266

ABSTRACT

INTRODUCTION: The use of motor imagery (MI) has been shown to offer significant improvements in movement performance in sports, and is now receiving a lot of attention as a relatively new therapeutic approach which can be applied in rehabilitation. However, the effects of MI on the quality of movement is still unclear. This study explored the immediate effect of MI on reaching tasks in healthy subjects. METHODS: 17 healthy individuals (33 ± 8.2 years) participated in the study. Surface electromyography (sEMG) and inertial measurement units (IMU) were used to identify muscle activity and angular velocity in both upper limbs. Participants performed a reach task using their dominant and non-dominant arms at their most comfortable speed, they were then asked to imagine themselves performing the same reaching task, and finally they were asked to repeat the reaching task. RESULTS: Significant decreases were seen in the muscle activity between pre and post MI for Biceps Brachii, Anterior Deltoid and Triceps Brachii. In addition, a significant increase was seen in extension angular velocity post MI. DISCUSSION: The results indicate that the use of MI just after physical practice appears to have an immediate effect on the muscle activity and kinematics during a reaching task, which may suggest an improved quality of movement. CONCLUSION: This proof of concept study shows the potential for MI to improve the quality of performing reaching task and offers a possible therapeutic option for Stroke survivors and other neuromuscular disorders.


Subject(s)
Arm , Movement , Electromyography , Healthy Volunteers , Humans , Movement/physiology , Upper Extremity
20.
Musculoskelet Sci Pract ; 59: 102531, 2022 06.
Article in English | MEDLINE | ID: mdl-35228112

ABSTRACT

BACKGROUND: Recovery following an upper arm break can be prolonged and cause loss of independence. Appropriate information provision to empower and enable active participation in rehabilitation is vital to achieve the best clinical outcomes. OBJECTIVES: To identify and analyse, through the lens of health literacy, publicly available information leaflets produced for patients following upper arm breaks in the United Kingdom National Health Service (NHS) to understand their fitness for purpose. METHOD: An electronic search of online search engines was undertaken using search terms to identify information leaflets for upper arm breaks. Relevant leaflets were retrieved and a thematic analysis was undertaken from a health literacy perspective. To complement this, each information leaflet was also formally assessed for readability. RESULTS: Thirty-five information leaflets were analysed. Two main themes were generated: 'Empowerment' and 'Language Use', with subthemes of promoting recovery, readability and risk of misinterpretation. The information presented in these leaflets was often complicated and sometimes contradictory. Less than half (46%) of the information leaflets were presented at a level that would be understood by the general population. CONCLUSIONS: Current information leaflets made available for patients following upper arm breaks are not fit for purpose and are written in a way that the general population would not readily understand. There is an urgent need to understand the information needs of patients and present such information in an accessible way to optimise clinical outcomes following upper arm breaks.


Subject(s)
Health Literacy , State Medicine , Arm , Comprehension , Humans , Upper Extremity
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