COVID-19 salivary Raman fingerprint: innovative approach for the detection of current and past SARS-CoV-2 infections.

The pandemic of COVID-19 is continuously spreading, becoming a worldwide emergency. Early and fast identification of subjects with a current or past infection must be achieved to slow down the epidemiological widening. Here we report a Raman-based approach for the analysis of saliva, able to significantly discriminate the signal of patients with a current infection by COVID-19 from healthy subjects and/or subjects with a past infection. Our results demonstrated the differences in saliva biochemical composition of the three experimental groups, with modifications grouped in specific attributable spectral regions. The Raman-based classification model was able to discriminate the signal collected from COVID-19 patients with accuracy, precision, sensitivity and specificity of more than 95%. In order to translate this discrimination from the signal-level to the patient-level, we developed a Deep Learning model obtaining accuracy in the range 89-92%. These findings have implications for the creation of a potential Raman-based diagnostic tool, using saliva as minimal invasive and highly informative biofluid, demonstrating the efficacy of the classification model.

A randomized controlled trial on the effects induced by robot-assisted and usual-care rehabilitation on upper limb muscle synergies in post-stroke subjects.

Muscle synergies are hypothesized to reflect connections among motoneurons in the spinal cord activated by central commands and sensory feedback. Robotic rehabilitation of upper limb in post-stroke subjects has shown promising results in terms of improvement of arm function and motor control achieved by reassembling muscle synergies into a set more similar to that of healthy people. However, in stroke survivors the potentially neurophysiological changes induced by robot-mediated learning versus usual care have not yet been investigated. We quantified upper limb motor deficits and the changes induced by rehabilitation in 32 post-stroke subjects through the movement analysis of two virtual untrained tasks of object placing and pronation. The sample analyzed in this study is part of a larger bi-center study and included all subjects who underwent kinematic analysis and were randomized into robot and usual care groups. Post-stroke subjects who followed robotic rehabilitation showed larger improvements in axial-to-proximal muscle synergies with respect to those who underwent usual care. This was associated to a significant improvement of the proximal kinematics. Both treatments had negative effects in muscle synergies controlling the distal district. This study supports the definition of new rehabilitative treatments for improving the neurophysiological recovery after stroke.

Accuracy of pointing movements relies upon a specific tuning between anticipatory postural adjustments and prime mover activation.

AIM: Equilibrium-perturbing forces associated with a voluntary upper-limb movement can be strong enough to displace the whole-body centre of mass. In this condition, anticipatory postural adjustments (APAs), developing in muscles other than the prime mover, are essential in maintaining the whole-body balance. Here, we test the hypothesis that APAs preceding an upper-limb target-reaching movement could play a role also in controlling the movement accuracy. METHODS: Standing subjects (10) were asked to flex the right shoulder and touch with the index fingertip the centre of a target positioned in front of them. The reaching task was also performed while wearing and after doffing prismatic lenses (shifting the eye field rightward). EMGs from different upper- and lower-limb muscles and the mechanical actions to the ground were recorded. RESULTS: (i) Before wearing prisms, subjects were very accurate in hitting the target, and the pointing movements were accompanied by APAs in quadriceps (Q) and tibialis anterior (TA) of both sides, and in right hamstrings (H) and soleus (SOL). (ii) After donning prisms, rightward pointing errors occurred, associated with a significant APA increase in right Q and TA, but without changes in the recruitment of right anterior deltoid (prime mover) and biceps brachii. (iii) These pointing errors were progressively compensated in about 10 trials, indicating a sensorimotor adaptation, and APAs returned to values recorded before wearing prisms. (iv) After doffing prisms, pointing errors occurred in the opposite direction but changes in APAs did not reach significance. CONCLUSION: We propose that, besides preserving the whole-body balance, APAs are also tailored to obtain an accurate voluntary movement.