RESUMO
This is the second of a three-part series detailing significant developments in the delivery of dentistry in the UK between 1920 and 2020, covering the period that saw the introduction of the NHS general dental services to a major change in remunerating its dental practitioners and the immediate aftermath.
Assuntos
Odontólogos , Papel Profissional , Humanos , Odontologia , Reino UnidoRESUMO
This is the third and final part of a series detailing significant developments in the delivery of dentistry in the UK between 1920 and 2020 covering the period that saw increased scrutiny of the general dental services following the significant overspend that accompanied contract reform to the impact of the onset of the COVID-19 pandemic.
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COVID-19 , Humanos , COVID-19/epidemiologia , Pandemias , Odontologia , Reino Unido/epidemiologiaRESUMO
BACKGROUND: The visual accuracy of physiotherapists to detect changes in dynamic joint angles is currently unknown. OBJECTIVE: To investigate (i) the smallest detectable change in movement that physiotherapists could visually observe, and (ii) whether visual accuracy was associated with the functional activity observed or characteristics of the physiotherapist. METHODS: Thirty-four physiotherapists viewed and rated videos of squat, hand-over-head, forward bend functional activities and an artificial test condition (a reference movement followed by subsequent movements showing random differences in peak angle from 0° to 15°, so 18 sets of paired videos per functional activity). They rated each range of movement (same/more/less) relative to the reference movement, while their visual tracking was continuously monitored. Accuracy was calculated (multilevel regression) using two thresholds - two correct out of three viewings (2/3) and three correct out of three viewings (3/3). RESULTS: More than 80% of physiotherapists were able to detect 9° difference using the 2/3 threshold and 12° using the 3/3 threshold. There was no association (p > 0.05) between visual accuracy and experience, sex, or movement type, except when viewing shoulder abduction compared with knee flexion using the 3/3 threshold. The only association between accuracy and visual tracking characteristics was for assessing lumbar flexion, where use of more visual fixation areas and a shorter fixation time per area were more accurate. CONCLUSION: Physiotherapists were consistently accurate at detecting changes of ≥12° in single-plane, low-speed functional activities. Visual accuracy was not explained by experience or sex, and rarely associated with functional activity type or visual fixation.
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Fisioterapeutas , Estudos Transversais , Humanos , Articulação do Joelho , Movimento , Amplitude de Movimento ArticularRESUMO
BACKGROUND: Developmental coordination disorder (DCD) is a motor learning disability that affects coordination resulting in an inability to perform movement skills at an age appropriate level. One area suspected to contribute to the movement difficulties experienced are deficits in visuomotor control. AIMS: This study investigated visual tracking behaviour during catching in children with DCD. METHODS AND PROCEDURES: Twenty-four boys completed the study: 11 with DCD (9.43 years ±0.73) and 13 controls (9.16 years ± 0.68). Participants performed 10 central catching trials, with the best five used to evaluate tracking behaviour and motor responses. OUTCOMES AND RESULTS: Prior to ball release, the DCD group exhibited more fixations (pâ¯=â¯0.043) of lesser duration (pâ¯=â¯0.045). During flight, the DCD group took longer to initiate smooth pursuit (pâ¯=â¯0.003) however, once initiated, both groups were effectively able to maintain smooth pursuit. Despite initial delays, these had no impact on movement initiation time (pâ¯=â¯0.173), however, movement time was significantly slower in the DCD group (pâ¯=â¯0.031). CONCLUSIONS AND IMPLICATIONS: The results of this study demonstrate that catching performance in children with DCD likely reflect a combination of errors in attending to visual information and movement organisation.
Assuntos
Medições dos Movimentos Oculares , Transtornos das Habilidades Motoras , Desempenho Psicomotor , Criança , Movimentos Oculares , Feminino , Humanos , Masculino , Destreza Motora , Transtornos das Habilidades Motoras/diagnóstico , Transtornos das Habilidades Motoras/fisiopatologia , MovimentoRESUMO
The authors aimed to identify differences in (a) visual search and (b) reaction time when athletes sidestepped to intercept 2D versus 3D videoed opponents. They hypothesized that participants would (a) fixate on different parts of the opponent's body and (b) react quicker when responding to the 3D versus 2D opponent due to the added depth cues. A customized integrated stereoscopic system projected the video stimuli and synchronously recorded the gaze and motor behaviors of 10 men when they responded to two- (2D) and three-dimensional (3D) opponents. The number and duration of gaze fixations were coded according to locations on the opponent's body (head, shoulders, arms, trunk, pelvis, legs) or otherwise (other). Mediolateral pelvic movement was used to infer reaction time. Participants spent 16% less time fixating on the trunk and 23% more time outside the 3D opponent's body compared with the 2D stimulus. No reaction time differences were found. Although participants fixated less on the 3D opponent's body and, by inference, invested less perceptual processing toward interpreting the opponent's movements compared with the 2D condition, they performed the interception task equally fast in both conditions. Three-dimensional depth cues may provide more meaningful information per fixation for successful task performance.