The experimental findings herein reported are aimed at gaining a perspective on the complex neural events that follow lesions of motor cortical areas. Cortical damage, whether by trauma or stroke, interferes with flow descending signals to modular interneuronal structures spinal cord. These modules subserve normal behaviors activating groups muscles as individual units (muscle synergies). Damage areas disrupts orchestration modules, resulting in abnormal movements. To gain insights into this...

Production of voluntary movements relies critically on the functional integration several motor cortical areas, such as primary cortex, and spinal circuitries. Surprisingly, after almost 40 years research, how cortices specify descending neural signals destined for downstream interneurons motoneurons has remained elusive. In light many recent experimental demonstrations that system may coordinate muscle activations through a linear combination synergies, we hypothesize function to select...

Recent evidence has demonstrated the efficacy of Virtual Reality (VR) for stroke rehabilitation nonetheless its benefits and limitations in large population patients have not yet been studied.

Journal Article Is Clinical Research as Helpful to Clinicians It Could Be? Get access Andrea Turolla, PT, PhD, PhD Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum University Bologna, ItalyUnit Occupational Medicine, IRCCS Azienda Ospedaliero-Universitaria di Italy Address all correspondence Dr Turolla at: andrea.turolla@unibo.it https://orcid.org/0000-0002-1609-8060 Search for other works by this author on: Oxford Academic Google Scholar Andrew A Guccione, DPT, DPT...

Abstract Background Artificial intelligence (AI) chatbots are emerging educational tools for students in healthcare science. However, assessing their accuracy is essential prior to adoption settings. This study aimed assess the of predicting correct answers from three AI (ChatGPT-4, Microsoft Copilot and Google Gemini) Italian entrance standardized examination test science degrees (CINECA test). Secondarily, we assessed narrative coherence chatbots’ responses (i.e., text output) based on...

OBJECTIVE: To compare the accuracy of an artificial intelligence chatbot to clinical practice guidelines (CPGs) recommendations for providing answers complex questions on lumbosacral radicular pain. DESIGN: Cross-sectional study. METHODS: We extracted from recent CPGs diagnosing and treating Relative were developed queried OpenAI’s ChatGPT (GPT-3.5). compared by assessing (1) internal consistency measuring percentage text wording similarity when a question was posed 3 times, (2) reliability...

Telerehabilitation enables a remotely controlled programme to be used treat motor deficits in post-stroke patients. The effects of this telerehabilitation approach were compared with traditional rehabilitation methods.Randomized single-blind trial.A total 36 patients mild arm impairments due ischaemic stroke the region middle cerebral artery.The experimental treatment was virtual reality-based system delivered via Internet, which provided tasks from remote facility. control group underwent...

Objectives . To study whether the reinforced feedback in virtual environment (RFVE) is more effective than traditional rehabilitation (TR) for treatment of upper limb motor function after stroke, regardless stroke etiology (i.e., ischemic, hemorrhagic). Design Randomized controlled trial. Participants Forty-four patients affected by stroke. Intervention The were randomized into two groups: RFVE (<mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML"...

Purpose: This study compared the effects of inpatient-based rehabilitation program patients with chronic obstructive pulmonary disease (COPD) using non-immersive virtual reality (VR) training a traditional program. The aims this were to determine 1) whether featuring both VR as well exercise provides benefits over (ET) alone and 2) instead equivalent benefits. Patients Methods: recruited 106 COPD 2-week high-intensity, five times week intervention. Randomized into three groups, 34...

Virtual reality (VR), also called phantomatics, is an image of artificial created entirely in three-dimensional graphics with the use information technology. VR makes it possible to experience imaginary world as if was real, where sensory data are delivered brain through a specialized system. The purpose virtual medicine minimize direct contact and impact on human body during treatment. Taking into consideration increasing accessibility high quality electronic devices, their immense...

Abstract Background During COVID-19 pandemic, physiotherapy lecturers faced the challenge of rapidly shifting from face-to-face to online education. This retrospective case-control study aims compare students’ satisfaction and performances shown in an course a control group students who underwent same delivered previous five years. Methods Between March April 2020, class (n = 46) entry-level (University Verona - Italy), trained by experienced physiotherapist, had 24-hours lessons. Students...

Virtual reality (VR) is an innovative neurorehabilitation modality that has been variously examined in systematic reviews. We assessed VR effectiveness and safety after cerebral stroke.In this overview of reviews, we searched eleven databases (Cochrane Database Systematic Reviews, EMBASE, MEDLINE, SCOPUS, ISI Web Science, CINAHL, PsycINFO, Pedro, Otseeker, Healthevidence.org, Epistemonikos) grey literature from inception to January 17, 2023. Studies eligible for inclusion were reviews...

We conducted a pilot telerehabilitation study with post-stroke patients arm motor impairment. compared the degree of satisfaction undergoing virtual reality (VR) therapy programme at home (Tele-VR group) to experienced by those same VR in hospital setting (VR-group). The rehabilitation equipment used 3D motion tracking system create environment which patient's movement was represented. In tele-therapy, patient installed their homes, connected four ISDN lines total bandwidth 512 kbit/s....

Background. Six months after a stroke, the hemiplegic arm often remains compromised. More innovative approaches to motor rehabilitation are needed. Objective. The authors compared learning—based approach in virtual environment with more conventional upper extremity therapy pilot trial. Methods . This prospective, single-blinded, randomized controlled trial reinforced feedback (RFVE; n = 27) control intervention (n 20) of progressive for affected extremity. Both treatments were provided 4...

Background The pathophysiology of pain in Parkinson's disease (PD) is still poorly understood, although it conceivable that supraspinal mechanisms may be responsible for generation and maintenance. Methods We examined brain functional anatomical changes associated with persistent 40 PD patients, 20 without pain. also 15 pain-free healthy participants similar age, gender, cognitive state as a control group. assessed by the King's Pain Scale, Visual Analogue Scale pain, Leeds Assessment...