o enjoy walking when
very general
381 Matching Annotations
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scalar.usc.edu scalar.usc.edu
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er, 1983):
I am sure there are more recent studies !
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magnetic resonance imaging,
would have been nice to have an actual MRI
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Appearance of nerve fibre tangles and amyloid compared to healthy nervous tissue. Retriev
is it relevant in this section ?
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Behaviour
?
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Praxis
which is ?
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gure 2. Sa
bigger !
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As Alzheimer's Disease is extremely prevalent in society, this topic is important since it explores a motor impairment that affects a significant number of people.
?
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hem.
how many time a week? for how many weeks? what do you expect as benefits?
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P.
again, the flow and organization could be improved. You should present what you propose and then back it up with a rationale !
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). Beca
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rmation by up-weighting accurate and useful information and down-weighting superfluous informatio
link to balance control ?
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scalar.usc.edu scalar.usc.edu
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owledge of performance feedback is given to the patient wh
is this something real or that you propose??
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constant repetition may slow down the degeneration of this motor patte
how?
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Berg Balance Scale test evaluates balance in sitting, standing, turning and reaching forward (Fig. 9) (
like my comments in the previous round of comments, this is assessment, not intervention. Ok to mention, but not to expand.
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M. M
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Individuals with PSP have greater prevalence of falling due to the pathology’s effect on various structures in the dentatothalamic tract (DTT) and the direct basal ganglia pathway (DBGP), which are important for the control of dynamic balance while walking over objects (Zwergal et al., 2011).
this is the only thing you say about the ''relevance'' or importance of your motor impairment in PSP. I don't get the global picture of your motor impairment in PSP.
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s
flow and organization could be improve here. I would have like you to present first your motor impairment, then explain how mechanisms are different than in healthy.
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es.
I think the information you presented in this seciton and in the 2 previous sections could have been synthesized and put in one section bout dynamic balance control. Now, it is very heavy.
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example o
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RI) imaging. F
repetition
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times per week.
for how long ??
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t will target the response selection and motor programming portions of the motor control model.
how ? with which benefits ?
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gth and coordination training will effectively improve a patient’s ability to perform intended actions due to physiological adaptations as well as improved motor programming and implementation due to practic
reference for that ?
is coordination altered in apraxia ? The rationale of using strenght training for ideomotor apraxia is not clear to me
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r 35 sessions, each la
over 1 week, 2 weeks, 2 months ???
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g.
this paragraph is not clear at all, just like your rationale
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ents.
the real thing that is novel here is the app, right ?
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k.
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seen as learning
or chance?
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ong term compon
but previous sentence was about short term?
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The suggested treatments for kinesiologists as well as other fields will be built based on the rationale of the majority of current research which been done on treatment in the short term or for short term benefits (
this sentence is not clear !
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ssions of
rationale for this training ??
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rn et al. 2012).
what is the rationale for this intervention ?
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Video 2 - Reel-Example: Ideomotor Apraxia- a video example of the motor impairments as
this is not related to any intervention .... should be in the previous section ! As proposed in the previous round of comments, you could have included a video of someone doing the training
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be done for intransitive movemen
expand on this.
what are intransitive movements ?
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iagnosis of limb
this section is about interventions, not diagnosis
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ncreased val
of what ?
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axonal injuries
what does that mean ?
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MRI.
not defined
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CT
not defined
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y Blue ArrowScalar URLhttp://scalar.usc.edu/works/traumatic-brain-injury-with-brain-apraxia/figure-3---ct-scan-of-brain (version 2)Source URLhttps://flightbridgeed.com/images/Subdural.png (image/PNG)dcterms:titleFigure 3 - CT Scan of Brain. Bleeding Indicated by Blue ArrowView asRDF-XML, RDF-JSON, or HTML This page has paths: 1 2019-10-14T08:53:13-07:00 Leo Kelley e0c97cc329a8114c5a3b504a194a6ca89a2fab6f Traumatic Brain Injury with Limb Apraxia Eric Huang 13 image_header 2019-11-28T13:23:48-08:00 Eric Huang 02ac474a9e8eef28cd7450e46febf783089785a1 Contents of this path: 1 2019-10-14T08:36:02-07:00 Overview of the Topic 18 image_header 2019-11-27T14:47:13-08:00 1 2019-10-14T08:36:20-07:00 Pathology 23 plain 2019-11-27T16:46:09-08:00 1 2019-10-14T08:38:07-07:00 Symptoms 19 plain 2019-11-27T14:36:33-08:00 1 2019-10-14T08:46:01-07:00 Diagnosis 14 plain 2019-11-27T13:38:45-08:00 1 2019-10-14T08:46:19-07:00 Prognosis 13 plain 2019-11-28T13:51:08-08:00 1 2019-10-14T08:46:53-07:00 Motor Impairments: Upper Limb Ideomotor Apraxia 24 plain 2019-11-27T16:50:53-08:00 1 2019-10-14T08:47:37-07:00 Current Treatments/Therapeutic Interventions 22 plain 2019-11-28T09:51:04-08:00 1 2019-10-14T08:47:54-07:00 Suggested Treatments: Rationale 20 plain 2019-11-28T10:04:09-08:00 1 2019-11-27T13:31:13-08:00 Suggested Treatments: Gesture Training 4 plain 2019-11-27T14:49:39-08:00 1 2019-11-27T13:33:30-08:00 Suggested Treatments: Muscle Strength and Coordination 6 plain 2019-11-27T17:18:33-08:00 1 2019-11-27T17:17:39-08:00 Suggested Treatments: Apraxia App 10 plain 2019-11-28T12:20:06-08:00 1 2019-11-28T09:54:35-08:00 Conclusions 4 plain 2019-11-28T12:35:14-08:00 1 2019-10-15T14:20:23-07:00 References 22 plain 2019-11-27T15:24:05-08:00 This page references: 1 media/Glasgow Scale_thumb.JPG 2019-10-31T09:58:37-07:00 Table 1- A table of criteria and severity for the Glasgow Coma Scale. 3 media/Glasgow Scale.JPG plain 2019-11-27T12:30:03-08:00 1 2019-11-27T12:35:57-08:00 Figure 3 - CT Scan of Brain. Bleeding Indicated by Blue Arrow 2 plain 2019-11-27T14:32:05-08:00 «Continue to “Prognosis”
what about the red arrow ?
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linic, 2019).
very little diversity in your references
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s of TBI
necessary?
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lhard, 2007)
very little diversity in your references
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These events can lead to immediate cell death or programmed cell death
so that's what is causing symptoms of TBI ??
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M
what is the link with the previous paragraph ???
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a.
this paragraph would need improvement in the flow !
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rain (Figure 1). Primary
repetitive
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motor issues unrelated to neurons
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acioretty Mar 8, 2011Source: YouTube
too small
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ons:
how long is your intervention? 1 week? 3 weeks? 2 months? Or are these done continuously ?
Do expect to see improvement of symptoms or stabilization of them?
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ifficulty is lower
what about the intensity of the jumps of the persons around the patients?
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jumping a
little jumps, big jumps ?
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enhance their APR
what does that mean to enhance APR?
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D
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potential exercise therapy
so, is it used in clinical practice?
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2].
how do the symptoms progress overtime ? New symptoms appears with time ?
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HD is divided into 4 stages: pre-manifest, early, middle and late. Pre-manifest is the time before the appearanc
a figure for that would have been nice
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5. Genetic
layout could be improved
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ysfunction and death in these areas, leading to brain tissue loss over time [1,3]
what is the link between that and the symptoms ?
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riter’s Cramp
I believe this is the first time you use writer's cramp !
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08). In fact, patients were able to write a paragraph independently afte
so need 6 months of braille reading to be able to write independently? So why only 8weeks to your interveention?
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e
I find this section to be not well placed in the order of sections. should probably be in your first proposed internvetion section.
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is intervention aims to increase writing velocity while decreasing the number of inversions per second, helping FHD patients write effectively.
so after the 8 week, you expect this? Do you expect will go back to normal levels?
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D.E.
be consistent in your way to cite
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As
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1962).
this is from 1962 ... is it still done ???
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emoved pa
which parts ?
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Early-onset dystonia affects neck, vocal cord and cranial muscles.
regardless of the type of dystonia ?
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fMRI scan,
it is fMRI .. so what is the task ??
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larger in amplitude
during rest? specific movement/action?
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EMG
which means ?
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f FHD
I think this was not previously defined.
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ocal, segmental and general dystonia (Page et al., 2007).
versus other types presented in previous section?
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especially during fine motor tasks.
so the hand area changes depending on the task ?
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ource URLh
you don't have your reference
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igure
not big enough
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ure 18: Ba
so, you are going to ask your patient to throw a beach ball? I thought it was weighted balls ?
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el.
how often would you recommend your patient to do cyber golf? how to you increase the difficulty? do you expect them improving their balance or maintaining it ?
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motor control in older
what about balance control ?
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gure 13. (M
is this figure relevant ?
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is
you did not talk of the actual prognosis ... what at the ## in regards of falls and death for example.
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ogical Risk Factors
Is this image really necessary ?
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FOG episodes.
I don't see the link between these and the ''cause'' or mechanisms behind FOG.
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uestionnaire
which questionnaires ??
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weeks
after 4 weeks, they don't have FOG anymore?
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ments for better balance.
you did not talk about balance in regards of FOG
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014; W
what about GPi DBS?
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ducing freezing
still FOG episodes occurring?
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early stages o
is it effective for everyone?
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016).
I think the concept of FOG triggers is not complete.
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n figure 4 (Le
figure 4 or 3 ?
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gate
gate ??? it is GAIT
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Free
A video of FOG would have been great
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RBD is sleep behavior disorder in which people act out their dreams, EDS is excessive daytime sleepiness, MCI is mild cognitive impairment, and dysphagia is difficulty in swallowing.
is this really needed? should be in symptoms and defined in the figure caption.
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(stage 0 = no symptoms; stage 1 = unilateral symptoms; stage 2 = bilateral symptoms without balance impairment; stage 3 = impairment in balance, but patient is physically independent; stage 4 = is severe disability in walking and standing with physical independence; stage 5 = wheelchair-bound or bed-ridden)
a figure for this would have been better
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eurodegenerative disease a
I believe it is the first time you say that it is a neurodegenerative disease...
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r way to diagnose PD. PD
to diagnose or confirm a diagnosis ?
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y (CT) scans, magnetic resonance imaging (MRI) and positron emission tomography (PET) scans and
would have been nice to have visuals for this. actual scans to show the difference of PD and healthy
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son’s hand or fingers.
what about the face? legs?
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resulting in typical PD sympto
why ?
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ore, a different intervention would need to be administered to target fine finger movements in participants who lack dexterity.
so why did you chose dexterity as your impairment?
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ng neurodegene
not clear for me how what you propose will improve hand dexterity (this is what you proposed as your motor impairment, 2 sections ago, no?)
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).
organization and flow could be improved here. Hard to follow.
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ired with FES
oh so these previously mentioned exercises are the one combined with FES ? not clear.
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begin the exercise paired with FES.
it was not clear that FES is combine with exercise. which type of exercises ? what is the outcome of this type of training ? completely regain function?
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can th
would have been nice to have some visual support here. a video for example. or figures.
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e C7-T1 spinal cord
this is the first time you say you are going to focus on C7-T1
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Overall,
how will you increase difficulty with time ? what type of practice, how many times a week, duration of session, etc. pros and cons of your suggested intervention?
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2013).
Is that the conclusion to your booklet ?
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gy is the use of biofeedback and virtual real
so you would do that with your elliptical training ?
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aerobic exercises are shown in detail
so you are going to do these in your training ?
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ia.
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ntensity and difficulty should be adjusted individually, highlighting the importance of individualization
Is this necessary ? we want to see if and how it is effective for scissored gait
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medicinal and surgical interventions
are these positive effects of what you previously mentioned? does it helps with scissored gait? If so, how does it help? Are the other possible interventions (ex. kin) are still needed? If so, to address what ?
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s.
the flow and organization of this section is strange ... you have very small ''paragraph'' and very big ones....
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ts.
very repetitive with previous sections.
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.
layout could have been better
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- Nov 2019
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ly on improvement concerning FoG symptoms
that is not clear to me.
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to monitor the gait improvement of PD
what are they looking at ?
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aseline assessments of flexibility, mobility and muscular strength is carried out by the kinesiologist before starting the first exergame session.
that is not the order presented in your figure.
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4 daily
how long?
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in the beginning stage (swinging of th
not sure to understand? do you mean at occurs at gait initiation ?
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igure
are cues a treatment/intervention? more compensatory?
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nts. (Okuma, 2
so? is it used?
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on
don't forget that this section should be about treatment/interventions for FOG.
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resulting in jerky rhythm or spasms in the walking pat
that is the definition of FOG?
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(PD)
really? have you read the previous sections?
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CT, MRI and PET
you did not define these
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he patient’s medical history is also important
why ???
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Figure 3
it is not a figure, it is a video.
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ents’ Grip force (N), pressure (N), writing frequency (Hz) and velocity (NI
why these? how are they influenced by FHD?
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)
I don't understand this section.Are you sure it is at the right place? What is the goal of this section. Are you proposing evaluating motor output during your intervention? Or is it something already done in clinical practice? Really not clear.
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ctively.
so when do you do it? what do you do to your intervention based on the results of this evaluation?
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individual training sessions
what do you mean individual sessions?
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Each finger will be trained individually to enhance sensory discrimination between the digits (Prudente et al., 2018). As progress is observed, multiple fingers may be trained simultaneously.
how do you do that concretely with your uno game?
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he Fahn scale
what is this scale?
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ild to moderateF
why?
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group meetings
group meetings ? for what ?
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RT, l
has not been defined.
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he Uno game has been chosen as cards are linked to various actions, aiming to make FHD patients
improve organization and flow... you explain why you chose uno game, but you never told us what is you intervention.
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Reading Braille in a card during a game of Uno is more fun and motivating than just reading from a book, while also requiring a conscious cognitive effort from participants to keep playing as they will need to read the cards correctly to win.
so is that what you propose?
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Combining immobilization with Braille reading sensory training maximizes the poten
is that what you are proposing? or what is already done? not clear. This section is called '' rationale for the proposed intervention'' but I still don't know what is the intervention. Work on your organization and flow.
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ensory training
I don't see the link between this sentence and the previous one.
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en in figure 6,
what is figure 6 ? and in the figure of this section, I cannot see what you mention in this sentence. I only see an intact model ..
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nia, there is inaccurate stimulus identification due to e
it would be nice to know this before, when you present your impairment. would also be nice to have a visual representation of what is altered in the model.
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reating
so it is possible to treat and to not have FHD anymore? not clear.
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reorganization since FH
what happens with this type of training when patients finally know the braille alphabet? they FHD disappears? there is a plateau effect?
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selection and programming
so they have problem with these?
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nt
you have three sections on treatment, therapy and interventions ! Improve your organization. I thought the first section was the only one.
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proaches pairing electrical brachial plexus nerve stimulation and delayed transcranial stimulation use feedback from t
this sentence is not clear to me. And are you sure that transcranial stimulation (i suppose you mean transcranial magnetic stimulaiton?) is used in clinics for FHD?
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brachial plexus nerves
why this nerve? and these muscles? Are those the one mainly affected?
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objective assessment.
what is this assessment?
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Dysport or Myobloc
what are these? other types of injections ?
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Systemic effect
what do you mean?
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stemic effects and side effects
such as ?
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ing nerve impulse propagation
why is this necessary in dystonia/FHD?
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proven to b
proven but no reference?
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a in 80%
there is a number but no reference ?
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16
what about the 84% remaining ? never progresses but never gets better either?
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hat in focal hand dysto
either write always out long or always use abbreviation.
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he most prominent theory
you don't have a reference for this theory ?
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D.E.
be careful with how you cite
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eparate stations for variations of ball throwing, as well as a number of strength training exercises to improve muscle hypertrophy and stability in older adults
how is this better than what is already done? and are sure this is not already done ? in PT for example? or at the gym by kins?
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with strength training in a circuit th
how?
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y (Aruin, Kanekar, Lee & Ganesan, 2014)
where is you ''.'' ?
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e exercises a
strength training has already been described in current interventions. Balance training has not ... but don't you think it is already done in clinical settings ?
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fall rick
???
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del.
would you do something to increase the difficulty with time? How would you assess if your intervention works?
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olf training
real golf? or cyber-golf?
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APR
why using abbreviation here when it has been written out long in the previous sections? Please read each others sections!
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le, one would need to adjust to different levels of slope of the ground, distances and more.
how these are useful for your purpose of improving balance?
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cticing in a familiar setting (at home)
is it realistic?
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rtant aspects in play
why and how?
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nt.
only tai chi? what about yoga? could they be regrouped under the same type of exercises?
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ypnosedatives, benzodiazepines, antidepressants, neuroleptics and antipsycho
are they common in older adults ?
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Further research is required in this area,
so, what are the recommendations for physician in this regards ?
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uscle strength, muscle mass, dynamic balance and reduced risk of falls in elderly (Persch et al., 2009
what is the mechanism for muscle strength training to help with balance and falls?
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s.
what about ''diagnosis'' ? or assessment tools? you could also include info about how balance deficits evolves into falls, kind of a prognosis or evolution part. All of these are crucial informations for kinesiologists. Now, it seems like a lot of info is missing to have a clear picture of your topic.
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of a complex interaction of risk factors (World Health Organization, 2008). The World Health Organization, 2008, organized these risk factors into four categories, including, biological, behavioural, environmental and socioeconomic. 1) Biological risk factors relate to the individual characteristics of the human body including gender, race, chronic illness, and decline of physical, cognitive and affective capacities. 2) Behavioural risk factors relate to human actions, emotions and choices. 3) Environmental risk factors relate to the individual’s interaction with their surrounding environment, at home and otherwise. And lastly, 4) Socioeconomic risk factors for elderly falling include low income, low education, inadequate housing, lack of social interaction, limited access to health and social care
you could improve here the way you present this info. This is a booklet, needs to be visually appealing !
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eniors’ Falls in Canada
this is not necessary. Only Figure 1, Figure 2, etc.
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different mechanisms,
what are these mechanisms?
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ico-cortical and cortico-spinal connectivity (Madden et al., 2004
why and how ?
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white matter integrit
what is this? what does it do?
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esults in gait disturbance related to gait control, and regulation of gait speed and variability also caused by reduced processing speed and increased reaction time, leading to higher incidences of falling during gait (
reformulate
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exercising
exercising?or producing/performing?
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he anterior areas of the brain (S
responsible for? keep in mind that what you write needs to be easily understandable by kinesiologists.
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hese motor impairments affect the executive system in the closed loop model as shown in Figure 2: Executive System in the Closed Loop Model.
why ?
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cortex
plural
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rebral matter volume i
not clear .... grey matter? white matter?
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criteria.
I am a little lost here. Are you saying that the training is the berg balance test? Or they are using it to track improvement?
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urther research is required to better understand PSP.
strange last sentence.
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iew as
you need to include the source/reference of all your visuals.
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benefits. This page has paths: 1 2019-10-12T11:53:17-07:00 Samuel Lamanuzzi, Roger Wei, Dakota Unrau, Christopher Cacciatore 67a6e573d798a97c384495c4de4fac7c1b74c0b4 Motor Impairment Samuel Lamanuzzi, Roger Wei, Dakota Unrau, Christopher Cacciatore 15 C7 - C8 Motor Impairement plain 2019-11-07T17:02:57-08:00 Samuel Lamanuzzi, Roger Wei, Dakota Unrau, Christopher Cacciatore 67a6e573d798a97c384495c4de4fac7c1b74c0b4 Contents of this path: 1 media/50-Beautiful-and-Minimalist-Presentation-Backgrounds-08.jpg 2019-10-12T11:53:55-07:00 Current Therapeutic Interventions 9 plain 2019-11-07T17:54:57-08:00
so not specifically for SCI?
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eation of new neural pathways
where?
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pecifically, difficulty with prehension and fine hand movements as according to Snoek, Hermens, Maxwell and Biering-Sorensen (2004), 77% of tetraplegics expected a significant increase in quality of life with improved hand function.
I don't understand this sentence.
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s
Again, improve your organization. You are talking about causes. Could be in a previous pathophysiology section. You are more talking about the cause than the symptoms themselves.
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