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S76. Effectiveness of Kinesio tape on wrist extensor muscles in children with obstetric brachial plexus injuries
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Abstracts / Clinical Neurophysiology 129 (2018) e142–e212
S75. Polysomnographic parameters and their computed tomography brain morphology correlates in depression—Madhu Nayak *, Amil Hayat Khan, Mridul Sharma (India) ⇑
Presenting author.
Introduction: Sleep in depression is characterized by a reduction of slow wave sleep (SWS) and shortening of the interval between sleep onset and the occurrence of the first REM period (i.e. REM latency). In this study, the authors sought to study and compare the polysomnographic patterns in patients with major depressive disorder and their first degree relatives and also to establish any correlation between sleep parameters and brain ventricular system measurements in patients with depression. Methods: In this study, patients (N = 15) with ICD-10 clinical diagnosis of unipolar depression (N = 7) or recurrent depressive disorder (N = 8) along with their first degree male relatives (N = 15) and normal controls (N = 15) were enrolled. All the participants underwent two nights of polysomnography. The polysomnographic data was collected and analyzed using the Sandman Elite Polysomnography System. Computed Tomography was used for neuroimaging of brain. Results: Significant difference was observed between the three groups in terms of total sleep period, sleep onset latency, stage 1 latency, REM duration, REM percentage of total sleep time and REM latency. Ventricular brain ratio (VBR) was found to be significantly more in the patient group (7.26 ± 1.55) and Bicaudate ratio (BCR) showed significantly more in patients group (0.140 ± 0.047). Bifrontal ratio was also observed to be significantly more in the patient group. Conclusion: This study failed to find any correlation between polysomnographic parameters and ventricular dysmorphology. doi:10.1016/j.clinph.2018.04.435
S76. Effectiveness of Kinesio tape on wrist extensor muscles in children with obstetric brachial plexus injuries—Hiba A. Awooda 1,*, Rufida Kamal-Eldeen 1, Gehan Abd El-Maksoud 2 (1 Sudan, 2 Egypt) ⇑
Presenting author.
Introduction: Obstetric brachial plexus injury (OBPI) is partial or total paralysis of the upper limb due to trauma of brachial plexus during delivery, wrist flexion is a common deformity that develops in children with Erb’s Palsy. Kinesio tape (KT) is thin and elastic tape that can be extended up to 120–140% of its original length, this elasticity result in less constraints. KT allows a partial to full range of motion for the applied muscles and joints with different pulling forces to skin, it can be used for both muscle relaxation and to facilitate muscle contraction depending on its. The purpose of the study was to assess the effect of Kinesio tape in stimulation of the extensor muscle wrist contraction in children with Erb’s palsy. Methods: This is a hospital-based controlled study conducted in Al-taher marzouq clinic at Khartoum, Sudan in 2015. Thirty children with Erb’s palsy were involved, their age ranged from one month to three years. They were divided into two matched groups (control and study) 15 children each. They evaluated by Active movement scale and Gilbert-Raimondi classification before and after fifteen successive sessions of the treatment program. Control group received selected physical therapy program included the following: Neuromuscular stimulation, for wrist extension for 20 min. Facilitation of muscle contraction for all weak muscle of upper limb.
Exceoreceptor such as brushing, brief ice scratch. Proproceptor such as taping, approximation, quick stretch (Strengthen Exercise). Very gentle stretch for subscapularis, prontator and wrist flexor. Graduated active exercise (active assist, active free, active resist). Facilitate of basic hand skill (reaching, grasping, released, bilateral hand use). Weight bearing exercise from prone on hand, side sitting and quadruped positions. While and study group received Kinesio tape in addition to the program given to control group. Results: The results of this study revealed statistically significant improvement in both group while the favor improvement in wrist extensor muscles in children with Erb’s palsy in study group (Active movement scale p = 0.006) (Gilbert Raimondi classification p = 0.02). Conclusion: Using the Kinesio tape in addition to selected physical therapy program is beneficial therapeutic technique to improve active wrist extension and functional activities in children with Erb’s palsy. doi:10.1016/j.clinph.2018.04.436
S77. Non-invasive closed-circuit brain stimulation for gait rehabilitation of patients with Parkinsonian syndrome—Mitsuya Horiba *, Yoshino Ueki, Tatsuya Mima, Yasuyuki Takamatsu, Kento Sahashi, Shogo Itamoto, Yoko Shimizu, Masao Matsuhashi, Jun Mizutani, Noriyuki Matsukawa, Ikuo Wada (Japan) ⇑
Presenting author.
Introduction: Gait disturbance of Parkinsonian syndrome is characterized by dysrhythmic gait cycle including freezing, small steps and slowness. These symptoms are often not sufficiently responsive to dopaminergic therapy. Recently, we developed new rehabilitation system using non-invasive closed–circuit brain stimulation targeting on dysrhythmic gait dysfunction. Methods: The objective of this study is to investigate whether the oscillatory closed-circuit brain stimulation mimicking the appropriate gait cycle can modulate the gait speed and cycle in patients with parkinsonian syndrome. Six patients with Parkinsonian syndrome participated in this study. Three were diagnosed as Parkinson’s disease, two as corticobasal syndrome and one as vascular parkinsonism. Before gait rehabilitation, we decided optimal brain stimulation frequency to each subject as 1/averaged gait cycle when they were best on condition. All participants performed gait rehabilitation for total ten days which contained 4 sessions (4 min. walk and 3 min. rest) per each day. During gait rehabilitation, slow oscillatory DC stimulation (current intensity 0–2 mA) was applied over ipsilateral cerebellum as symptom dominant side, which was triggered by their flat foot switch attached to the ipsilateral heels. Closed-circuit system enabled the implementation of the oscillatory brain stimulation with a fixed pre-set phase lag with respect to the intrinsic gait cycle. Ten m gait speed, cadence, laterality of gait cycle and frozen of gait questionnaire (FOGQ) were evaluated before and after gait rehabilitation. Results: Gait speed and cadence were significantly increased after gait rehabilitation (speed: 98 ± 39 cm/s before and 116 ± 38 cm/s after, cadence: 114 ± 18 steps/min before and 124 ± 20 steps/min after). Laterality of gait cycle and FOGQ were significantly decreased after the rehabilitation (laterality: 0.07 ± 0.05 before and 0.0021 ± 0.004 after, FOGQ: 10 ± 7 before and 7 ± 5 after). Conclusion: Closed-circuit brain stimulation during walking is useful method to parkinsonian gait disturbance possibly by normalizing dysrhythmic and lateralized gait control system in patients with
Abstracts / Clinical Neurophysiology 129 (2018) e142–e212
S75. Polysomnographic parameters and their computed tomography brain morphology correlates in depression—Madhu Nayak *, Amil Hayat Khan, Mridul Sharma (India) ⇑
Presenting author.
Introduction: Sleep in depression is characterized by a reduction of slow wave sleep (SWS) and shortening of the interval between sleep onset and the occurrence of the first REM period (i.e. REM latency). In this study, the authors sought to study and compare the polysomnographic patterns in patients with major depressive disorder and their first degree relatives and also to establish any correlation between sleep parameters and brain ventricular system measurements in patients with depression. Methods: In this study, patients (N = 15) with ICD-10 clinical diagnosis of unipolar depression (N = 7) or recurrent depressive disorder (N = 8) along with their first degree male relatives (N = 15) and normal controls (N = 15) were enrolled. All the participants underwent two nights of polysomnography. The polysomnographic data was collected and analyzed using the Sandman Elite Polysomnography System. Computed Tomography was used for neuroimaging of brain. Results: Significant difference was observed between the three groups in terms of total sleep period, sleep onset latency, stage 1 latency, REM duration, REM percentage of total sleep time and REM latency. Ventricular brain ratio (VBR) was found to be significantly more in the patient group (7.26 ± 1.55) and Bicaudate ratio (BCR) showed significantly more in patients group (0.140 ± 0.047). Bifrontal ratio was also observed to be significantly more in the patient group. Conclusion: This study failed to find any correlation between polysomnographic parameters and ventricular dysmorphology. doi:10.1016/j.clinph.2018.04.435
S76. Effectiveness of Kinesio tape on wrist extensor muscles in children with obstetric brachial plexus injuries—Hiba A. Awooda 1,*, Rufida Kamal-Eldeen 1, Gehan Abd El-Maksoud 2 (1 Sudan, 2 Egypt) ⇑
Presenting author.
Introduction: Obstetric brachial plexus injury (OBPI) is partial or total paralysis of the upper limb due to trauma of brachial plexus during delivery, wrist flexion is a common deformity that develops in children with Erb’s Palsy. Kinesio tape (KT) is thin and elastic tape that can be extended up to 120–140% of its original length, this elasticity result in less constraints. KT allows a partial to full range of motion for the applied muscles and joints with different pulling forces to skin, it can be used for both muscle relaxation and to facilitate muscle contraction depending on its. The purpose of the study was to assess the effect of Kinesio tape in stimulation of the extensor muscle wrist contraction in children with Erb’s palsy. Methods: This is a hospital-based controlled study conducted in Al-taher marzouq clinic at Khartoum, Sudan in 2015. Thirty children with Erb’s palsy were involved, their age ranged from one month to three years. They were divided into two matched groups (control and study) 15 children each. They evaluated by Active movement scale and Gilbert-Raimondi classification before and after fifteen successive sessions of the treatment program. Control group received selected physical therapy program included the following: Neuromuscular stimulation, for wrist extension for 20 min. Facilitation of muscle contraction for all weak muscle of upper limb.
Exceoreceptor such as brushing, brief ice scratch. Proproceptor such as taping, approximation, quick stretch (Strengthen Exercise). Very gentle stretch for subscapularis, prontator and wrist flexor. Graduated active exercise (active assist, active free, active resist). Facilitate of basic hand skill (reaching, grasping, released, bilateral hand use). Weight bearing exercise from prone on hand, side sitting and quadruped positions. While and study group received Kinesio tape in addition to the program given to control group. Results: The results of this study revealed statistically significant improvement in both group while the favor improvement in wrist extensor muscles in children with Erb’s palsy in study group (Active movement scale p = 0.006) (Gilbert Raimondi classification p = 0.02). Conclusion: Using the Kinesio tape in addition to selected physical therapy program is beneficial therapeutic technique to improve active wrist extension and functional activities in children with Erb’s palsy. doi:10.1016/j.clinph.2018.04.436
S77. Non-invasive closed-circuit brain stimulation for gait rehabilitation of patients with Parkinsonian syndrome—Mitsuya Horiba *, Yoshino Ueki, Tatsuya Mima, Yasuyuki Takamatsu, Kento Sahashi, Shogo Itamoto, Yoko Shimizu, Masao Matsuhashi, Jun Mizutani, Noriyuki Matsukawa, Ikuo Wada (Japan) ⇑
Presenting author.
Introduction: Gait disturbance of Parkinsonian syndrome is characterized by dysrhythmic gait cycle including freezing, small steps and slowness. These symptoms are often not sufficiently responsive to dopaminergic therapy. Recently, we developed new rehabilitation system using non-invasive closed–circuit brain stimulation targeting on dysrhythmic gait dysfunction. Methods: The objective of this study is to investigate whether the oscillatory closed-circuit brain stimulation mimicking the appropriate gait cycle can modulate the gait speed and cycle in patients with parkinsonian syndrome. Six patients with Parkinsonian syndrome participated in this study. Three were diagnosed as Parkinson’s disease, two as corticobasal syndrome and one as vascular parkinsonism. Before gait rehabilitation, we decided optimal brain stimulation frequency to each subject as 1/averaged gait cycle when they were best on condition. All participants performed gait rehabilitation for total ten days which contained 4 sessions (4 min. walk and 3 min. rest) per each day. During gait rehabilitation, slow oscillatory DC stimulation (current intensity 0–2 mA) was applied over ipsilateral cerebellum as symptom dominant side, which was triggered by their flat foot switch attached to the ipsilateral heels. Closed-circuit system enabled the implementation of the oscillatory brain stimulation with a fixed pre-set phase lag with respect to the intrinsic gait cycle. Ten m gait speed, cadence, laterality of gait cycle and frozen of gait questionnaire (FOGQ) were evaluated before and after gait rehabilitation. Results: Gait speed and cadence were significantly increased after gait rehabilitation (speed: 98 ± 39 cm/s before and 116 ± 38 cm/s after, cadence: 114 ± 18 steps/min before and 124 ± 20 steps/min after). Laterality of gait cycle and FOGQ were significantly decreased after the rehabilitation (laterality: 0.07 ± 0.05 before and 0.0021 ± 0.004 after, FOGQ: 10 ± 7 before and 7 ± 5 after). Conclusion: Closed-circuit brain stimulation during walking is useful method to parkinsonian gait disturbance possibly by normalizing dysrhythmic and lateralized gait control system in patients with