332 Matching Annotations
  1. Nov 2019
    1. his is evident for standing on two feet and one foot

      do you mean that balance improves from 2 to 14 years because you can be bipedal and eventually learn to balance on 1 foot? Not clear in your sentence what you are trying to get at.

    2. which is defined as the ability to maintain an upright posture and to keep the centre of gravity within the limits of support

      is this different from maintaining a weight bearing posture?

    1. Children with DCD are clumsy, and without intervention, they will not improve. Many studies were conducted, in which the children’s disabilities were tested at a younger age compared to a few years later, wherein their disability had progressed or remained the same (Losse et al., 2008).

      I think you can improve this sentence.

    2. In terms of Criteria A for diagnosis

      Perhaps you should frame it to tell us about most important and then co-existing? It could shorten this paragraph and really just provide us with what we need to know?

    1. impulsivity

      Perhaps explaining the 6 domains shown in the figure and provide examples as needed would be easier to follow? You can link text to specific items in your figure. It's confusing because you do not use all your figure.

    2. hange from day to day or from one scenario to another

      Not sure I understand what you mean here. This figure is quite complex and it is not obvious to me how I can see what you wrote here in the figure.

    1. ement (Banhart et al., 2003). It is said to be a neurodevelopmental disorder that affects both fine and gross motor

      Good but could you make these 2 sentences flow together better?

      And the following sentence.

    1. This will allow to regain motion through retrained neural pathways (Hatem et al., 2016).

      Again, not so sure what we are supposed to understand from this. It's very short and not well put in context.

    1. Varona et al. (2014

      What is the sample size here? What were the inclusion/exclusion criteria? Did they exclude more sever strokes? How representative of the global stroke population is this?

    1. of CT scans.

      You could tell us where the stroke is and what type it is (embolism? on B and I don't see it on A). I wonder to what extent you need an image or a long description such as this one.

    1. urrent research is looking into the use of transcranial magnetic stimulation (TMS) transcranial direct current stimulation (tDCS) or deep brain stimulation (DBS).

      current research does not mean current treatment. Here you are expected to present the current treatments for dystonia.

    2. As FHD may arise from maladaptive brain plasticity and result in a disproportionately large cortical representation of the dystonic limb’s small hand muscles

      This has not been mentioned when presenting the pathology.

    1. are many types of dystonia, such as general dystonia, focal hand dystonia, cervical dystonia, etc. (Quartarone et al., 2018)

      Should expand on this a bit and then focus on focal hand dystonia.

      Missing a period after the citation.

    1. training into 5 major exercises: orientation, memory, attention and executive function training. Executive function training is especially very important as it is considered to be independently correlated with reduced instances of falls (Lipardo et al., 2018). It governs all cognitive skills including inhibition, planning, organization and memory (What Is Executive Functioning?, n.d.) and it is damaged in most elderly population with Alzheimer’s disease (Lipardo et al., 2018). “Perceptual-motor integration problem” is prevalent among those with Alzheimer’s disease and can contribute to an increased rate of falls as one fails to orient oneself within the environment (Lipardo et al., 2018). Orientation training included determining the time, finding locations and giving names and memory training consisted of card-m

      Remember that it has to relate to your motor impairment.

      You have to lay the table for this in the previous sections.

    2. n a study performed by Okubo et.al, reactive balance training was used in order to reduce falls that occurred due to participant perturbation, it was found that training reduced these falls by 60%

      Do older adults present with reactive balance problems?

    1. gray and white matter

      I am an CNS champion but you need to present a broader view of the deficits that present with aging and those that might lead to a loss of balance that would then result in a fall.

    1. Other general prevention techniques include using assistive devices, wearing practical shoes, getting rid of obstacles at home, brightening up the living space (Mayo Clinic Staff, 2019). These prevention methods can immensely help in preventing geriatric falls by making the environment less hazardous (non-slippery floor, well-lit rooms) and compensating the motor deficits with aids (handrails, grab bars in shower) (Mayo Clinic Staff, 2019). 

      You could present the factors that lead to falls and relate to the balance component associated with it. Then you pick one and focus on that.

    1. by Duy Phung Contents of this path: 1 2019-10-13T13:03:40-07:00 Duy Phung 91cc288d0b4f43edc0b6189ffef294e51c5e7e2a Introduction 19 Peripheral neuropathy is  commonly defined as damage to the nerves located outside of the central nervous system image_header 2019-10-15T09:44:56-07:00 Duy Phung 91cc288d0b4f43edc0b6189ffef294e51c5e7e2a

      et al?

    1. Many different tests are used to help diagnose this condition, however, due to its broad nature it can be difficult to fully assess (Hatton, 2015): 

      Do you really need a citation for this?

    2. acute UVL were previously listed

      It was not clear that we were reading about acute UVL!

      What is the difference between acute and chronic? What is considered acute and what is considered chronic?

    1. Pollock, Durward, Rowe & Paul, 2000)S

      The idea is not to summarize studies but to synthesize information. You are expected to consult multiple sources and explain concepts, citing studies.

    2. Loss of balance was previously mentioned as a symptom of UVL. Having good balance is an integral part of life, and its loss can result in motor impairment, which in turn affects quality of life.

      Not a very informative paragraph.

    1. Sense of Disequilibrium, Imbalance and Dizziness (Herdman, 2014) 

      you do not define these symptoms. What is the difference between disequilibrium and imbalance?

      Other than an orphan figure on dizziness, there is no description of it.

      Is there a difference between vertigo and dizziness or are they the same?

    1. Some antibiotics are specifically taken up by vestibular hair cells, thus resulting in a loss of vestibular function over time

      Ototoxycity???

      This section is hard to follow. What is unilateral vestibular lesion? You describe causes but have not explained what it is.

    1. So will you only focus on static balance and multisensory reweighting? This is the problem with HD? They rely more on somatosensory information and have a hard time using visual and vestibular?

      I see no information provided on that in your paper.

      Mini-Best test is an outcome measure that can provide information on the aspects of balance that are lacking or problematic. It's not a way to train participants.

    1. progresses

      If this is the gait training that you are including in the table in the previous section, you need to add more details. How are you going to ask them to walk? How will you set the metronome? Slower or faster? which is harder for walking? Will you vary the rhythm? What are you trying to improve with respect to their impairment/pathology? Will you create a dependence with your metronome? Will they need to walk with their phones set at a given beat?

    2. passively helps them match their gait pattern with the rhythm

      passive guidance is probably not the way to go. What are participants recruiting during passive guidance? What is the goal here? Safety? What do you want them to improve? Is passive guidance really going to help anything in that regard?

    1. Duration

      I am missing the rationale for all of this!

      Need the detail for Gait exercises and Balance training. Provide a strong rationale fo rwhy you do resistance exercises and why you target those specific muscles? Why stretching? Need to provide a rationale for everything.

  2. Oct 2019
    1. improvement can remain consistent

      do you mean if improvements are maintained? Consistent and maintained does not mean the same thing, right? Consistent would relate more to variability than to maintained improvements.

    1. s best described in Wheaton, 2007 as a basic motor coordination deficit focused around issues in precision limb movements not explained by more elementary motor deficits.  It was noted that how limb-kinetic differs from ideomotor is primarily due to the lack of voluntary

      Can you explain concepts in your own words? As is, you seem to just plug citations from authors to explain these impairments in your paper. It makes it very difficult to read. You want to explain in your own words and add references when needed (not the other way around as you are doing throughout your bookelt).