Objective. To evaluate the effect of a short preoperative exercise intervention on the functional status, pain, and muscle strength of patients before and after total joint arthroplasty. Methods. A total of 108 men and women scheduled for total hip arthroplasty (THA) or total knee arthroplasty (TKA) were randomized to a 6-week exercise or education (control) intervention immediately prior to surgery. We assessed outcomes through questionnaires and performance measures. Analyses examined differences between groups over the preoperative and immediate postoperative periods and at 8 and 26 weeks postsurgery. Results. Among THA patients, the exercise intervention was associated with improvements in preoperative Western Ontario and McMaster Universities Osteoarthritis Index function score (improvement of 2.2 in exercisers versus decline of 3.9 in controls; P ؍ 0.02) and Short Form 36 physical function score (decline of 0.4 in exercisers versus decline of 14.3 in controls; P ؍ 0.003). No significant differences were seen in TKA patients. Exercise participation increased muscle strength preoperatively (18% in THA patients and 20% in TKA patients), whereas the control patients had essentially no change in strength (P > 0.05 for exercise versus education in both THA and TKA groups). Exercise participation prior to total joint arthroplasty substantially reduced the risk of discharge to a rehabilitation facility in THA and TKA patients (adjusted odds ratio 0.27, 95% confidence interval 0.074 -0.998). The intervention had no effects on outcomes 8 and 26 weeks postoperatively. Conclusion. A 6-week presurgical exercise program can safely improve preoperative functional status and muscle strength levels in persons undergoing THA. Additionally, exercise participation prior to total joint arthroplasty dramatically reduces the odds of inpatient rehabilitation.
This study investigated the possibility that enhanced memory for rejected distractor locations underlies the superior visual search skills exhibited by individuals with autism spectrum disorder (ASD). We compared the performance of 21 children with ASD and 21 age‐ and IQ‐matched typically developing (TD) children in a standard static search task and a dynamic search task, in which targets and distractors randomly changed locations every 500 ms, precluding the use of memory in search. Children with ASD exhibited overall faster reaction time (RT) relative to TD children, and showed no disruption in search efficiency in the dynamic condition, discounting the possibility that memory for rejected distractors augments their visual search abilities. Analyses of RT x set size functions showed no group differences in slopes but lower intercepts for the ASD group in both static and dynamic search, suggesting that the ASD advantage derived from non‐search processes, such as an enhanced ability to discriminate between targets and distractors at the locus of attention. Eye‐movement analyses revealed that the ASD and TD groups were similar in the number and spatial distribution of fixations across the search array, but that fixation duration was significantly shorter among children with ASD. Lower intercepts in static search were related to increased symptom severity in children with ASD. In summary, ASD search superiority did not derive from differences in the manner in which individuals with ASD deployed their attention while searching, but from anomalously enhanced perception of stimulus features, which was in turn positively associated with autism symptom severity.
Although autism spectrum disorders (ASD) prevalence is higher in males than females, few studies address sex differences in developmental functioning or clinical manifestations. Participants in this study of sex differences in developmental profiles and clinical symptoms were 22 girls and 68 boys with ASD (mean age = 28 months). All children achieved strongest performance in visual reception and fine motor followed by gross motor and language functioning. Sex differences emerged in developmental profiles. Controlling for language, girls achieved higher visual reception scores than boys; boys attained higher language and motor scores and higher social-competence ratings than girls, particularly when controlling for visual reception. Longitudinal, representative studies are needed to elucidate the developmental and etiological significance of the observed sex differences.
The perceptually uniform color space CIELAB (Commission Internationale de l'Eclairage) is useful for image analysis, particularly in applications involving color acceptability decision making; however, the transformation of an entire red-green-blue (RGB) color image is very time consuming. Various techniques are investigated for approximating the nonlinear function, and their performance in terms of speed and accuracy is assessed. This article arises from a project that aims to use video cameras to monitor the color of manufactured products.
PurposeThe purpose of this paper is to study the innovative design of prosthetic hands now in production from a Scottish spin‐off company.Design/methodology/approachThe novel features are described, followed by the details of the mechanical construction and the available grip patterns. The benefits of the modular design are explained, and the function and construction of a skin‐like covering are explored. The clinical network supporting the prosthesis is briefly outlined.FindingsThe design allows patients to achieve many functional and natural‐looking hand configurations from simple “open” and “close” signals. Miniature motors and gearboxes allow independent movement of each digit, and an integral microprocessor translates electric signals from the forearm to control the movements of the hand. Stall detection ensures that no finger exerts excessive force or wastes power. Artificial skin can be very realistic, with imitation fingernails, hairs and pores. The lifelike prosthesis helps the patient emotionally, socially and at work.Originality/valueThe paper shows how advances in motors, gearboxes, batteries and electronics have enabled a breakthrough in prosthetic design.
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