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The traditional Sensory Organization Test (T-SOT) is a gold standard balance test; however, the psychometric properties of assessing sensory organization with a virtual-reality-based posturography device have not been established.
Our overall aims were to assess the criterion, concurrent, and convergent validity of a next-generation Sensory Organization Test (NG-SOT).
Thirty-four adults (17 vestibular-impaired) participated. We compared the area under the curve (AUC) for receiver operator characteristic (ROC) analysis for the T-SOT and NG-SOT composite scores. AZD9291 Between-group and between-test differences for the composite and sensory analysis scores from each SOT were assessed using Wilcoxon Rank Sum tests. Additionally, we ran Spearman correlations between the NG-SOT composite score and outcomes of interest.
The AUCs for the NG-SOT and T-SOT were 0.950 (0.883, 1) and 0.990 (0.969, 1) respectively (p = 0.168). The median composite, vision, and visual preference scores were lower on the NG-SOT compared to the T-SOT; whereas, the median somatosensory score was higher on the NG-SOT compared to the T-SOT. Associations between the composite score and patient-reported or performance-based outcomes ranged from poor to strong.
The NG-SOT is a valid measure of balance in adults. However, the results of the NG-SOT and T-SOT should not be used interchangeably.
The NG-SOT is a valid measure of balance in adults. However, the results of the NG-SOT and T-SOT should not be used interchangeably.
The cervical vestibular evoked myogenic potential (cVEMP) can be affected by the recording parameters used to quantify the response.
We investigated the effects of electrode placement and montage on the variability and symmetry of sternocleidomastoid (SCM) contraction strength and cVEMP amplitude.
We used inter-side asymmetries in electrode placement to mimic small clinical errors in twenty normal subjects. cVEMPs were recorded at three active electrode sites and referred to the distal SCM tendon (referential montages upper, conventional and lower). Additional bipolar montages were constructed offline to measure SCM contraction strength using closely-spaced electrode pairs (bipolar montages superior, lower and outer).
The conventional montage generally produced the largest cVEMP amplitudes (P < 0.001). SCM contraction strength was larger for referential montages than bipolar ones (P < 0.001). Inter-side electrode position errors produced large variations in cVEMP and SCM contraction strength asymmetries in some subjects, producing erroneous abnormal test results.
Recording locations affect cVEMP amplitude and SCM contraction strength. In most cases, small changes in electrode position had only minor effects but, in a minority of subjects, the different montages produced large changes in cVEMP and contraction amplitudes and asymmetry, potentially affecting test outcomes.
Recording locations affect cVEMP amplitude and SCM contraction strength. In most cases, small changes in electrode position had only minor effects but, in a minority of subjects, the different montages produced large changes in cVEMP and contraction amplitudes and asymmetry, potentially affecting test outcomes.
A number of theoretical accounts have been put forward to explain the ability to simultaneously track multiple visually indistinguishable objects over a period of time. Serial processing models of visual tracking focus on the maintenance of the spatial locations of every single item over time. A more recent mechanism describes multiple object tracking as the ability to maintain a higher order representation of an abstract spatial configuration built by the illusory connection of the tracked items through their transition.
The current study investigates the correspondence between these serial and parallel tracking accounts and the right hemispheric specialization for the space-based vs. left hemispheric for object-based attentional processing.
Electrophysiological brain responses were recorded in two groups of patients with right- and left hemispheric lesions while performing in a multiple object tracking task.
The results suggest a failure to distinguish single item information for the right hemispheric patients accompanied by the absence of a known electrophysiological marker associated with single item tracking. Importantly, left hemispheric patients showed a graded behavioral and electrophysiological response to probe stimuli as a function of the congruence of the probe with the relevant target stimuli.
The current data suggest that the differential contribution of serial and parallel tracking mechanisms during object tracking can partly be explained by the different functional contributions of the right and left brain hemispheres.
The current data suggest that the differential contribution of serial and parallel tracking mechanisms during object tracking can partly be explained by the different functional contributions of the right and left brain hemispheres.
Repetition of motor imagery improves the motor function of patients with stroke. However, patients who develop severe upper-limb paralysis after chronic stroke often have an impaired ability to induce motor imagery. We have developed a method to passively induce kinesthetic perception using visual stimulation (kinesthetic illusion induced by visual stimulation [KINVIS]).
This pilot study further investigated the effectiveness of KINVIS in improving the induction of kinesthetic motor imagery in patients with severe upper-limb paralysis after stroke.
Twenty participants (11 with right hemiplegia and 9 with left hemiplegia; mean time from onset [±standard deviation], 67.0±57.2 months) with severe upper-limb paralysis who could not extend their paretic fingers were included in this study. The ability to induce motor imagery was evaluated using the event-related desynchronization (ERD) recorded during motor imagery before and after the application of KINVIS for 20 min. The alpha- and beta-band ERDs around thhough KINVIS is a passive intervention, its short-term application can induce changes related to the motor output system.
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