Support vector machine for classification of walking conditions of persons after stroke with dropped foot

Walking with dropped foot represents a major gait disorder, which is observed in hemiparetic persons after stroke. This study explores the use of support vector machine (SVMs) to classify different walking conditions for hemiparetic subjects. Seven participants with dropped foot (category 4 of functional ambulatory category) walked in five different conditions: level ground, stair ascent, stair descent, upslope, and downslope. The kinematic data were measured by two portable sensor units, each comprising an accelerometer and gyroscope attached to the lower limb on the shank and foot segments. The overall classification accuracy of stair ascent, stair descent, and other walking conditions was 92.9% using input features from the sensor attached to the shank. It was further improved to 97.5% by adding two more inputs from the sensor attached to the foot. Stair ascent was also classified by the inputs from the foot sensor unit with 96% accuracy. The performance of an SVM was shown to be superior to that of other machine learning methods using artificial neural networks (ANN) and radial basis function neural networks (RBF). The results suggested that the SVM classification method could be applied as a tool for pathological gait analysis, pattern recognition, control signals in functional electrical stimulation (FES) and rehabilitation robot, as well as activity monitoring during rehabilitation of daily activities.     

How to read The Red Book and why

The Red Book can be, and is, read in a variety of ways and used for different purposes. Here I propose to view it from the perspectives of three contexts: the personal and biographical one, a literary one and a cultural and religious one. Each of these viewpoints exposes different, but (in each case) important, features and meanings. Composing Liber Novus clearly had great significance for Jung's own personal individuation process. In studying this work, the reader must keep in mind that Jung had a great many predecessors in view and looking over his shoulder as he composed it. The text reveals that he was in dialogue with a vast number of cultural figures from the near and the far past. It is also a foundational text for Jung's later works in psychology. And it addresses large cultural and historical issues, looking back at traditions from the standpoint of modernity and forward toward what is to come collectively in the near and distant future. His creation was a work for himself, but also for the culture and for the ages. I try to understand what the title Liber Novus means and suggest that it represents an intention of attaining to a rank beyond being a 'new book' for only one man, Carl Gustav Jung, to being a work relevant to humanity as a totality.     

Age of initiation with different substances and relationships with resources and vulnerabilities: A cross-national study

Abstract

Although the topic of forgiveness has been studied extensively among adults, little is known about the factors that are associated with children’s forgiveness. The current research addressed the question whether a child’s social status in the classroom is related to the tendency to forgive offending peers. We particularly focused on two types of status: preference and popularity. We ran one study with two samples among 9–13 year-old children (n = 577) who completed a sociometric instrument and a self-reported forgiveness measure. We found some initial support that preference, but not popularity, is positively associated with forgiveness, even after accounting for transgression-specific characteristics, such as friendship bond with the offender and perceived offense severity. We discuss the theoretical implications among these findings for both understanding children’s forgiveness, and the differential role of preference and popularity as social status indicators.     

Motor Programming as a Function of Constraints on Movement Initiation

Three experiments are reported that test the hypothesis that under certain conditions programming time is a function of the directional accuracy demand of a response, directional accuracy being quantified by the minimal angle subtended at the point of movement initiation by the circular targets within the response. Subjects in three simple reaction time experiments were required to tap a single target or a series of circular targets as rapidly as possible with a hand-held stylus. Experiments 1 and 3 showed that the subtended angle (SA) of a response can have a more powerful effect on programming time, as indexed by reaction time and premotor time, than the number of movement parts in the response. The results of Experiment 2 revealed that the locus of the directional accuracy effect was SA and not target size or movement distance. In all three experiments, response SA was a better predictor of programming time than was number of movement parts, target size, movement distance, movement time, and average movement velocity. The findings support the notion that constraints placed upon movement initiation by the directional accuracy demand of the task can play an important role in determining the length of the programming process.     

Intra-individual variability in gait and in cognitive performance are not related in the elderly

As humans age, the amount of intra-individual variability (IIV) present in both their gait and their cognitive performance tends to increase. Both gait and cognitive IIV are associated with attentional control and with cerebrovascular disease, suggesting that the IIV in gait and cognitive function should be strongly correlated in the elderly. In this study temporal gait variability was determined from a 60-second period of walking. Cognitive variability was determined from two decision-time tasks assessing inhibition. Despite the presence of substantial amounts of gait and cognitive IIV in 71 elderly individuals, there were no significant correlations between measures of cognitive and gait IIV, suggesting that different factors drive IIV in the motor and cognitive performance of older individuals. These results are not consistent with the common cause theory of aging, which predicts that cognitive and sensorimotor performance should show related declines due to age-related disruption of a common neurological substrate.     

The relationship between allometry and preferred transition speed in human locomotion

The purpose of this study was to explore the relationships between preferred transition speed (PTS) and anthropometric characteristics, body composition and different human body proportions in males. In a sample of 59 male students, we collected anthropometric and body composition data and determined individual PTS using increment protocol. The relationships between PTS and other variables were determined using Pearson correlation, stepwise linear and hierarchical regression. Body ratios were formed as quotient of two variables whereby at least one significantly correlated to PTS. Circular and transversal (except bitrochanteric diameter) body dimensions did not correlate with PTS. Moderate correlations were found between longitudinal leg dimensions (foot, leg and thigh length) and PTS, while the highest correlation was found for lower leg length (r = .488, p < .01). Two parameters related to body composition showed weak correlation with PTS: body fat mass (r = −.250, p < .05) and amount of lean leg mass scaled to body weight (r = .309, p < .05). Segmental body proportions correlated more significantly with PTS, where thigh/lower leg length ratio showed the highest correlation (r = .521, p < .01). Prediction model with individual variables (lower leg and foot length) have explained just 31% of PTS variability, while model with body proportions showed almost 20% better prediction (R² = .504). These results suggests that longitudinal leg dimensions have moderate influence on PTS and that segmental body proportions significantly more explain PTS than single anthropometric variables.     

Gender differences in intimate‐conflict initiation and escalation tendencies

According to gender motivation theory, men are driven by a desire to enhance their status; whereas, women are motivated by a desire to reduce risk, and the behavioral expressions of those motivations are context‐dependent. In order to test this theory in the context of intimate relationships, this study compared men's and women's escalatory tendencies in the initial development of intimate conflict. These tendencies were conceptualized in terms of four attributes: two attributes that represent response intention (decision and style) and two others that represent motivations for that intention (putting one's partner in his or her place and avoiding conflict). These attributes were measured in the context of five hypothetical situations. Each of those scenarios involved potential escalation of intimate conflict, following an intimate partner's aggressive verbal demand. The study involved a convenience sample of 403 male and female participants. The findings show that, in the initial steps of intimate‐conflict development, women tend toward escalation more than men. The findings also show that the escalatory tendency, as conceptualized and measured using the examined scenarios, corresponds to actual behavior exhibited in the resolution of common issues in the couples' lives. These findings reinforce gender motivation theory.

     

Dynamic balance assessment during gait in children with Down and Prader-Willi syndromes using inertial sensors

Down (DS) and Prader-Willi (PWS) syndromes are chromosomal disorders both characterized by obesity, ligament laxity, and hypotonia, the latter associated with gait instability. Although these shared features may justify a common rehabilitation approach, evidence exists that adults with DS and PWS adopt different postural and walking strategies. The development of an instrumented protocol able to describe these strategies and quantify patients’ gait stability in the current clinical routine would be of great benefit for health professionals, allowing them to design personalized rehabilitation programs. This is particularly true for children with DS and PWS, where motor development is dramatically constrained by severe hypotonia and muscle weakness. The aim of this study was, thus, to propose an instrumented protocol, integrated with the clinical routine and based on the use of wearable inertial sensors, to assess gait stability in DS and PWS children.Fifteen children with DS, 11 children with PWS, and 12 typically developing children (CG) were involved in the study. Participants performed a 10-meter walking test while wearing four inertial sensors located at pelvis, sternum, and both distal tibiae levels. Spatiotemporal parameters (walking speed, stride frequency, and stride length) and a set of indices related to gait symmetry and upper-body stability (Root Mean Square, Attenuation Coefficient and Improved Harmonic Ratio) were estimated from pelvis and sternum accelerations. The Gross Motor Functional Measures (GMFM-88) and Intelligence Quotient (IQ Wechsler) were also assessed for each patient. A correlation analysis among the GMFM-88 and IQ scales and the estimated parameters was then performed.Children with DS and PWS exhibit reduced gait symmetry and higher accelerations at pelvis level than CG. While these accelerations are attenuated by about 40% at sternum level in CG and DS, PWS children display significant smaller attenuations, thus reporting reduced gait stability, most likely due to their typical “Trendelenburg gait”. Significant correlations were found between the estimated parameters and the GMFM-88 scale when considering the whole PWS and DS group and the PWS group alone.These results promote the adoption of wearable technology in clinical routines to monitor gait patterns in children with DS and PWS: the proposed protocol allows to markedly characterize patient-specific motor limitations even when clinical assessment scores provide similar results in terms of pathology severity. This protocol could be adopted to support health professionals in designing personalized treatments that, in turn, could help improving patients’ quality of life in terms of both physical and social perspectives.     

Gait symmetric adaptation: Comparing effects of implicit visual distortion versus split-belt treadmill on aftereffects of adapted step length symmetry

Understanding gait adaptation is essential for rehabilitation, and visual feedback can be used during gait rehabilitation to develop effective gait training. We have previously shown that subjects can adapt spatial aspects of walking to an implicitly imposed distortion of visual feedback of step length. To further investigate the storage benefit of an implicit process engaged in visual feedback distortion, we compared the robustness of aftereffects acquired by visual feedback distortion, versus split-belt treadmill walking. For the visual distortion trial, we implicitly distorted the visual representation of subjects’ gait symmetry, whereas for the split-belt trial, the speed ratio of the two belts was gradually adjusted without visual feedback. After adaptation, the visual feedback or the split-belt perturbation was removed while subjects continued walking, and aftereffects of preserved asymmetric pattern were assessed. We found that subjects trained with visual distortion trial retained aftereffects longest. In response to the larger speed ratio of split-belt walking, the subjects showed an increase in the size of aftereffects compared to the smaller speed ratio, but it steeply decreased over time in all the speed ratios tested. In contrast, the visual distortion group showed much slower decreasing rate of aftereffects, which was evidence of longer storage of an adapted gait pattern. Visual distortion adaptation may involve the interaction and integration of the change in motor strategy and implicit process in sensorimotor adaptation. Although it should be clarified more clearly through further studies, the findings of this study suggest that gait control employs distinct adaptive processes during the visual distortion and split-belt walking and also the level of reliance of an implicit process may be greater in the visual distortion adaptation than the split-belt walking adaptation.