Whether afferent feedback contributes to the generation of cortico-muscular coherence (CMCoh) remains an open question. In the present study, a multivariate autoregressive (MVAR) model and partial directed coherence (PDC) were applied to investigate the causal influences between the central rhythm and electromyographic (EMG) signals in the process of CMCoh. The system modeling included activities from the contralateral and ipsilateral primary sensorimotor cortex (M1/S1), supplementary motor area (SMA) and the time series from extensor carpi radialis (ECR) muscles. The results showed that afferent sensory feedback could also play an important role for the generation of CMCoh. Meanwhile, significant coherence between the EMG signals and the activities in the SMA was found in two subjects out of five. Connectivity analysis revealed a significant descending information flow which possibly reflected direct recruitment on the motoneurons from the SMA to facilitate motor control.
Context: Underconditioned patellar stabilizing muscles could be a predisposing factor for patellar instability.Objective: To examine the effect of 2 modes of weight training on the size of the vastus medialis obliquus (VMO), the resting position and passive mobility of the patella, and the strength of the knee extensor muscles.Design: Prospective intervention, repeated measures in 3 groups.Setting: Orthopaedic and sports sciences research laboratory.Patients or Other Participants: 48 healthy adults free from back and lower extremity injuries.Intervention(s): Participants were randomly assigned to muscle hypertrophy training, muscle strength training, or the control group. Those in the training groups pursued training 3 times per week for 8 weeks.Main Outcome Measure(s): Magnetic resonance imaging and ultrasound cross-sectional area of the VMO, patellar tilt angle on magnetic resonance imaging, instrumented passive patellar mobility, and isometric knee extension torque of the dominant leg.Results: Participants in both training groups had comparable gains in VMO size, passive patellar stability, and knee extension force, all of which were greater than for the control group (P , .05).Conclusions: Both short-term muscle hypertrophy and strength training programs can reinforce the patellar stabilizers in previously untrained volunteers.
The latency estimation of cortico-muscular coherence (CMCoh) could provide valuable information, especially for the pathological study. However, the conduction time from the central cortical rhythm to peripheral oscillations has not been explored for stroke patients. In this study one recently proposed method, maximizing coherence, was applied into the coherence analysis to estimate the latency by which the extensor carpi radialis electromyographic signals lagged behind the electroencephalographic time series with seven subcortical stroke subjects. Significantly prolonged conduction time was found in affected sides compared with the unaffected sides. The interhemispheric spatial displacement was also calculated using electrodes projection optimization and spherical surface laplacian. The results showed that the CMCoh could help investigate the cerebral reorganization after stroke.
We describe an 84-year-old man with an unusual clinical presentation of palatal tremor in association with ciprofloxacin treatment. The patient had rhythmical movements not only of the soft palate but also of the face and trunk. Complete resolution of the symptoms occurred 2 days after discontinuation of ciprofloxacin and administration of sodium valproate. This is the first reported case of palatal tremor secondary to the use of ciprofloxacin.
The non-primary motor-related areas were revealed to play a critical role in determining motor outcomes after left sub-cortical stroke, which was demonstrated in the stroke patients. In particular, SMA might be the key neural substrate associated with motor recovery.
78 patients (66 male and 12 female) suffering from uncomplicated gonorrhoea were randomly selected to receive a single oral dose of either 400 mg or 600 mg ofloxacin. Of the 59 patients completely followed up penicillinase-producing Neisseria gonorrhoeae strains were cultured in 15 (25.4%) and the overall cure rate was 100%. Both groups showed excellent clinical effectiveness in over 80% and adverse reactions were uncommon and transient. We conclude that a single oral dose of ofloxacin in the studied dosage regimens was highly effective and safe in the treatment of uncomplicated gonorrhoea.
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