The Influence of Active and Passive Motion Experience on Infants' Visual Prediction Ability.

In the present study we examined whether infants' visual prediction abilities were related to different types of motion experiences. We tested 30 6-month-old infants on a visual-spatial prediction task in which they had to visually anticipate the locational reappearance of temporarily occluded moving objects. We assigned infants to one of three experience groups: active locomotion training, passive motion experience, and a no-training control group. We tested the infants' visual prediction abilities before and after these trainings. We found improved infant predictions at a post-training test only for passively trained infants (p = .015, d = -1.033; Bonferroni corrected). Thus, we conclude that infants' visual-spatial predictions of temporally occluded moving objects was facilitated by mere movement experience, even if passive. Visual information gathered during even passive movement seemed sufficient for visual prediction.

Locomotion training contributes to 6-month-old infants' mental rotation ability.

This study investigated whether a locomotion training contributes to mental rotation performance in infants. Thirty 6-month-old pre-locomotor infants were randomly assigned to either a locomotion training or a control group which received no training. The general status of motor and cognitive development measured with the Bayley Scales did not differ between the 2 groups. Mental rotation was compared before and after the trainings using a mental rotation task in which infants were habituated to a rotating object and then tested with the same habituation object presented in a previously unseen angle and the corresponding mirror object. Results revealed that only infants in the locomotion training group showed a significant change in their looking durations at the test objects (habituation vs. mirror) in the mental rotation task. This suggests that self-produced locomotion experience can affect infants' mental rotation.

Physical Therapy Interventions in a Patient with Nontraumatic Incomplete Spinal Cord Injury Secondary to Metastatic Lung Cancer: A Case Report.

BACKGROUND AND INTRODUCTION: Individuals with dual cancer and spinal cord injury diagnoses present unique challenges to rehabilitation teams. This case report describes the modification of a physical therapy plan of care for an individual with incomplete spinal cord injury (iSCI) resulting from metastatic lung cancer who underwent adjunctive cancer treatment. CASE DESCRIPTION: A 61-year-woman with small cell lung cancer and T5 iSCI presenting to inpatient rehabilitation (IPR) to address function limitations from iSCI following metastatic epidural tumor resection. INTERVENTION: Interventions focused on task-specific training of mobility skills with modifications made to address cancer-related fatigue, promote energy conservation, and prioritize functional skills for home discharge given anticipated disease progression. OUTCOMES: IPR length of stay was 31 days. Functional Independence Measure (FIM) total score increased from 52/133 at admissions to 106/133 at discharge. Spinal Cord Independence Measure - III (SCIM-III) total score increased from 31/100 to 55/100. Functional Assessment of Chronic Illness Therapy-Fatigue Subscale score increased from 21/52 to 41/52 reflecting reduced fatigue level compared to admission. These gains facilitated discharge home with family support. CONCLUSION: Physical therapy plan of care required consideration of dual diagnosis, cancer-related fatigue, and patient-centered goals. Participation in IPR positively affected quality of life and ability to return home with family.

How 9-month-old crawling infants profit from visual-manual rotations in a mental rotation task.

Studies show that visual-manual object exploration influences spatial cognition, and specifically mental rotation performance in infancy. The current work with 9-month-old infants investigated which specific exploration procedures (related to crawling experience) support mental rotation performance. In two studies, we examined the effects of two different exploration procedures, manual rotation (Study 1) and haptic scanning (Study 2), on subsequent mental rotation performance. To this end, we constrained infants' exploration possibilities to only one of the respective procedures, and then tested mental rotation performance using a live experimental set-up based on the task used by Moore and Johnson (2008). Results show that, after manual rotation experience with a target object, crawling infants were able to distinguish between exploration objects and their mirror objects, while non-crawling infants were not (Study 1). Infants who were given prior experience with objects through haptic scans (Study 2) did not discriminate between objects, regardless of their crawling experience. Results indicated that a combination of manual rotations and crawling experience are valuable for building up the internal spatial representation of an object.

Comparing Balance Performance on Force Platform Measures in Individuals with Parkinson's Disease and Healthy Adults.

INTRODUCTION: Postural instability is a known contributing factor to balance dysfunction and increased fall risk in those with Parkinson's disease (PD). Computerized posturography employing a force platform system provides objective, quantitative assessments of postural control impairments. This study examines balance performance as measured by force platform (FP) tests in persons with PD compared to age-matched healthy adults. Secondarily, we examine if these FP measures provide diagnostic and clinically meaningful information about the underlying balance impairments in the PD population. METHODS: Participants-42 individuals with PD (Hoehn and Yahr stage = 2.33 ± 0.77) and 55 age-matched healthy adults-were assessed on three standardized balance measures on a computerized force platform system. Between groups, comparisons of FP performance were analyzed using independent t-test. Within the group, comparisons for the PD cohort were analyzed using ANOVA for comparing disease stage and Mann-Whitney U test for PD subtypes. RESULTS: The PD cohort demonstrated significantly greater postural instability on the sensory organization test (SOT) measures (P=0.013, CI-95% = 1.286 to 10.37) and slower movement velocity on the limits of stability (LOS) test (P=0.001, CI-95% = 0.597 to 1.595) than the healthy cohort, suggesting that these tests were sensitive to detect sensory integration and voluntary postural control deficits in the PD cohort. Within the PD group, the SOT differentiated between H&Y stages 1-3. The motor control test (MCT) detected changes in reactive postural control mainly in later disease stages. All three FP tests distinguished between PD subtypes, with the Posture Gait Instability subtype demonstrating poorer balance performance than Tremor Dominant subtype. CONCLUSION: These findings suggest FP measures provide clinically meaningful, diagnostic information in the examination of balance impairments in individuals with PD. FP measures may inform clinicians regarding intrinsic balance deficits and guide them in designing targeted balance interventions to reduce fall risk in persons with PD.