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30 second outpatient lower limb muscle testing. Abnormalities in gross movements that utilise multiple muscles should prompt a detailed Neurological or orthopaedic examination

Neurophilia

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14,957 görüntüleme • 2 yıl önce •via X (Twitter)

Sağlık & İyilik Bilim & Teknoloji Eğitim

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Neurophilia profil fotoğrafı

Neurophilia2 yıl önce

Any suggestions, modifications pr recommendations are welcome

Naveen Sankar S profil fotoğrafı

Naveen Sankar S1 yıl önce

Fibromyalgia pain may begin in the spinal cord! 🧠 New research suggests spinal disinhibition as a key mechanism. Early intervention could bring better relief for patients. Check out the latest findings at

Ashwin Rajenesh MD profil fotoğrafı

Ashwin Rajenesh MD2 yıl önce

Very useful for OP screening. One suggestion if I may - the tandem walk may be performed after demonstrating ability to toe-walk/heel-walk; as the integrity of small muscles of the foot are an pre-requisite to being able to perform the tandem walk.

Neurophilia profil fotoğrafı

Neurophilia2 yıl önce

I agree

Richa Tiwari profil fotoğrafı

Richa Tiwari2 yıl önce

Small addition of jumping on low objects and hopping on one leg to detect subtle weakness can be used if above normal. I commonly use these in children beyond 4 year age

Subhan | سُبحان profil fotoğrafı

Subhan | سُبحان2 yıl önce

Cerebellar lesion??

Neurophilia profil fotoğrafı

Neurophilia2 yıl önce

Tandem walking will be abnormal

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The Dublin Arm was invented in 1921 and was a significant advancement in artificial limb technology. It operated using a Bowden cable mechanism, where cables connected to the user's residual limb enabled hand or hook movements. By contracting specific muscles, users could control the cables, allowing them to grasp objects and perform various tasks with improved dexterity. This pioneering prosthetic limb set the stage for future advancements in the field.

The Dublin Arm was invented in 1921 and was a significant advancement in artificial limb technology. It operated using a Bowden cable mechanism, where cables connected to the user's residual limb enabled hand or hook movements. By contracting specific muscles, users could control the cables, allowing them to grasp objects and perform various tasks with improved dexterity. This pioneering prosthetic limb set the stage for future advancements in the field.

Historic Vids

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🚨Dynamic Camera Tutorial🚨 Struggling to get dynamic camera movements in your AI videos? We cracked the code! 🚀 Here's how we craft dynamic videos with stunning results using a Master Prompt Template for ChatGPT (or any other LLM) that incorporates dynamic camera movements! Creative process + examples 👇 Sound On 🔉

🚨Dynamic Camera Tutorial🚨 Struggling to get dynamic camera movements in your AI videos? We cracked the code! 🚀 Here's how we craft dynamic videos with stunning results using a Master Prompt Template for ChatGPT (or any other LLM) that incorporates dynamic camera movements! Creative process + examples 👇 Sound On 🔉

Nim

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You become injured. ⠀ ⠀ You’re placed in a cast, or sling. ⠀ ⠀ You are told to not train upper body, and just build the lower half, or vice versa. ⠀ ⠀ You don’t even bother training your non-injured, non-dominant (in most baseball, upper extremity related cases) side, because why would you need to? ⠀ ⠀ Here’s why you should absolutely train your non-injured side, even if your injured side is immobilized. ⠀ ⠀ Cross education (CE) occurs after unilateral training where performance of the untrained, contralateral (in this case injured) limb is enhanced.⠀ ⠀ Increased neural drive originating from the “untrained” motor cortex contributes to the cross education effect.⠀ ⠀ A few studies have shown that CE can preserve or spare strength and decrease atrophy on the untrained, injured limb. ⠀ ⠀ In most baseball related cases, injuries of the upper extremity most often tend to be on the dominant side. Chances are there is already some sort of imbalance in strength and or hypertrophy between sides. It is also likely that when rehabbing from that injury, we tend to attend less and be less detailed with the non-injured, non-dominant side. So the chances of there being an imbalance post-injury are likely. It’s the reason why players get hurt, rehab, come back, and in some cases end up injuring the contralateral side shortly thereafter. (Of course we see that more with lower extremity injuries.) ⠀ ⠀ In a study conducted by Justin W. Andrushko and co. They took 16 participants who were immobilized with a cast, and assigned them to a 4-week resistance training forearm program on the non-injured limb. Here’s what they found ⬇️ “The nondominant forearm of 16 participants was immobilized with a cast, and participants were randomly assigned to a resistance training (eccentric wrist flexion, 3 times/week) or control group for 4 weeks. Pre- and post testing involved wrist flexors and extensors eccentric, concentric and isometric maximal voluntary contractions (via dynamometer), muscle thickness (via ultrasound), and forearm muscle cross-sectional area (MCSA; via peripheral quantitative computed tomography). Only the training group showed strength preservation across all contractions in the wrist flexors of the immobilized limb (training: −2.4% vs. control: −21.6%; P = 0.04), and increased wrist flexors strength of the nonimmobilized limb (training: 30.8% vs. control: −7.4%; P = 0.04). Immobilized arm MCSA was preserved for the training group only (training: 1.3% vs. control: −2.3%; P = 0.01). Muscle thickness differed between groups for the immobilized (training: 2.8% vs. control: −3.2%; P = 0.01) and nonimmobilized wrist flexors (training: 7.1% vs. control: −3.7%; P = 0.02). Strength preservation was nonspecific to contraction type (P = 0.69, η2p = 0.03) yet specific to the trained flexors muscle. These findings suggest that eccentric training of the nonimmobilized limb can preserve size of the immobilized contralateral homologous muscle and strength across multiple contraction types.”

You become injured. ⠀ ⠀ You’re placed in a cast, or sling. ⠀ ⠀ You are told to not train upper body, and just build the lower half, or vice versa. ⠀ ⠀ You don’t even bother training your non-injured, non-dominant (in most baseball, upper extremity related cases) side, because why would you need to? ⠀ ⠀ Here’s why you should absolutely train your non-injured side, even if your injured side is immobilized. ⠀ ⠀ Cross education (CE) occurs after unilateral training where performance of the untrained, contralateral (in this case injured) limb is enhanced.⠀ ⠀ Increased neural drive originating from the “untrained” motor cortex contributes to the cross education effect.⠀ ⠀ A few studies have shown that CE can preserve or spare strength and decrease atrophy on the untrained, injured limb. ⠀ ⠀ In most baseball related cases, injuries of the upper extremity most often tend to be on the dominant side. Chances are there is already some sort of imbalance in strength and or hypertrophy between sides. It is also likely that when rehabbing from that injury, we tend to attend less and be less detailed with the non-injured, non-dominant side. So the chances of there being an imbalance post-injury are likely. It’s the reason why players get hurt, rehab, come back, and in some cases end up injuring the contralateral side shortly thereafter. (Of course we see that more with lower extremity injuries.) ⠀ ⠀ In a study conducted by Justin W. Andrushko and co. They took 16 participants who were immobilized with a cast, and assigned them to a 4-week resistance training forearm program on the non-injured limb. Here’s what they found ⬇️ “The nondominant forearm of 16 participants was immobilized with a cast, and participants were randomly assigned to a resistance training (eccentric wrist flexion, 3 times/week) or control group for 4 weeks. Pre- and post testing involved wrist flexors and extensors eccentric, concentric and isometric maximal voluntary contractions (via dynamometer), muscle thickness (via ultrasound), and forearm muscle cross-sectional area (MCSA; via peripheral quantitative computed tomography). Only the training group showed strength preservation across all contractions in the wrist flexors of the immobilized limb (training: −2.4% vs. control: −21.6%; P = 0.04), and increased wrist flexors strength of the nonimmobilized limb (training: 30.8% vs. control: −7.4%; P = 0.04). Immobilized arm MCSA was preserved for the training group only (training: 1.3% vs. control: −2.3%; P = 0.01). Muscle thickness differed between groups for the immobilized (training: 2.8% vs. control: −3.2%; P = 0.01) and nonimmobilized wrist flexors (training: 7.1% vs. control: −3.7%; P = 0.02). Strength preservation was nonspecific to contraction type (P = 0.69, η2p = 0.03) yet specific to the trained flexors muscle. These findings suggest that eccentric training of the nonimmobilized limb can preserve size of the immobilized contralateral homologous muscle and strength across multiple contraction types.”

Ryan Aguirre, CSCS

79,627 görüntüleme • 3 yıl önce

Do you know how to perform the “whack-a-mole” or WAM sign on your neurological examination? Just like the arcade or fair game; reemergence of involuntary movement in different body part after suppression of movement by examiner. Original name Japan: mole buster or mole smash. Key points: - It is specific but not very sensitive for functional movement disorders. - Diagnosis of a functional movement disorder ideally supported by demonstrating positive signs during neurological examination. - Development and evaluation of new positive signs is an important to improving diagnostic certainty. - WAM sign was a highly specific (78%) and moderately sensitive (52%) test for the diagnosis of FMD. Tested across a variety of functional hyperkinetic movements. - Since stress or being under pressure may worsen abnormal movements during suppression of another body part and this makes it tough to be completely sensitive or specific. - Marked difference in the inter-observer agreement values for the WAM sign between FMD and organic movement disorder patients (0.77 vs. 0.28). - Greater than a third of persons tested, intra-person variability of the WAM sign. Translation: the test result depended on which part of the body was suppressed. - History lesson: Whac-A-Mole arcade game created in 1975 by the amusements manufacturer TOGO in Japan. - Original name Mogura Taiji モグラ退治, Mole Buster or Mogura Tataki モグラたたき, Mole Smash. - Criticized for teaching children to be cruel towards animals. - Used in rehabilitation to teaching auditory processing and attention. My take is that you should never diagnose a functional movement disorder based on one examination maneuver or one visit in the clinic or hospital setting.

Do you know how to perform the “whack-a-mole” or WAM sign on your neurological examination? Just like the arcade or fair game; reemergence of involuntary movement in different body part after suppression of movement by examiner. Original name Japan: mole buster or mole smash. Key points: - It is specific but not very sensitive for functional movement disorders. - Diagnosis of a functional movement disorder ideally supported by demonstrating positive signs during neurological examination. - Development and evaluation of new positive signs is an important to improving diagnostic certainty. - WAM sign was a highly specific (78%) and moderately sensitive (52%) test for the diagnosis of FMD. Tested across a variety of functional hyperkinetic movements. - Since stress or being under pressure may worsen abnormal movements during suppression of another body part and this makes it tough to be completely sensitive or specific. - Marked difference in the inter-observer agreement values for the WAM sign between FMD and organic movement disorder patients (0.77 vs. 0.28). - Greater than a third of persons tested, intra-person variability of the WAM sign. Translation: the test result depended on which part of the body was suppressed. - History lesson: Whac-A-Mole arcade game created in 1975 by the amusements manufacturer TOGO in Japan. - Original name Mogura Taiji モグラ退治, Mole Buster or Mogura Tataki モグラたたき, Mole Smash. - Criticized for teaching children to be cruel towards animals. - Used in rehabilitation to teaching auditory processing and attention. My take is that you should never diagnose a functional movement disorder based on one examination maneuver or one visit in the clinic or hospital setting.

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How to extend videos using Seedance 2.0 in 3 easy steps 🦄 1. Generate video 1 (e.g. 15 seconds). 2. Use video 1 as a reference when generating video 2. 3. In the prompt for video two, start with "Continue this video". Both videos should have reference images of your characters. Here's a 30 second clip made with two 15 second generations. Workflow in comments below.

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