Biomechanical gait parameters change with increasing virtual height in a child with spastic cerebral palsy: A case report.

Virtual height exposure coupled with motion capture is feasible to elicit changes in spatiotemporal, kinematic, and kinetic gait parameters in a child with cerebral palsy and should be considered when investigating gait in real-world-scenarios.

Validation of collaborative cyberspace virtual reality oculometry enhanced with near real-time spatial audio.

Currently, most medical image data, such as optical coherence tomography (OCT) images, are displayed in two dimensions on a computer screen. Advances in computer information technology have contributed to the growing storage of these data in electronic form. However, the data are usually processed only locally on site. To overcome such hurdles, a cyberspace virtual reality (csVR) application was validated, in which interactive OCT data were presented simultaneously to geographically distant sites (Lucerne, London, and Barcelona) where three graders independently measured the ocular csVR OCT diameters. A total of 109 objects were measured, each three times, resulting in a total of 327 csVR measurements. A minor mean absolute difference of 5.3 µm was found among the 3 measurements of an object (standard deviation 4.2 µm, coefficient of variation 0.3% with respect to the mean object size). Despite the 5 h of online work, csVR was well tolerated and safe. Digital high-resolution OCT data can be remotely and collaboratively processed in csVR. With csVR, measurements and actions enhanced with spatial audio communication can be made consistently in near real time, even if the users are situated geographically far apart. The proposed visuo-auditory framework has the potential to further boost the convenience of digital medicine toward csVR precision and collaborative medicine.

Kinematics and muscle activity of the lower limb during single-leg stance on the two sides of the Togu Jumper.

Purpose: Togu Jumper is a both sides utilized balance training device, which consists of an inflated rubber hemisphere attached to a rigid platform. It has been shown to be effective in improving postural control but there are no recommendations for the usage of the sides. Our aim was to examine leg muscle activity and kinematics in response to a single-leg stance on the two sides of the Togu Jumper and the floor. Methods: In 14 female subjects, linear acceleration of leg segments, segmental angular sway, and myoelectric activity of 8 leg muscles were recorded in the three stance conditions. Results: Except gluteus medius and gastrocnemius medialis, all muscles were more active when balancing on either Togu Jumper side compared to the floor (p < 0.001), but there was no difference between the two sides in any muscles. Linear acceleration was the greatest in the frontal plane on the flat Togu side in the case of the foot (p < 0.001). Pelvis acceleration was unaffected by the balance conditions. Segmental angular sway was the greatest in the frontal plane, on the bladder side in the foot segment (p < 0.001). No difference was found among the three conditions (all p > 0.05) in the case of the shank, thigh, and pelvis. Conclusion: The use of the two Togu Jumper sides produced different balance strategies in the foot segment and induced no difference in equilibrium procedures at the level of the pelvis.

The Effect of Crank Resistance on Arm Configuration and Muscle Activation Variances in Arm Cycling Movements.

Arm cycling on an ergometer is common in sports training and rehabilitation protocols. The hand movement is constrained along a circular path, and the user is working against a resistance, maintaining a cadence. Even if the desired hand trajectory is given, there is the flexibility to choose patterns of joint coordination and muscle activation, given the kinematic redundancy of the upper limb. With changing external load, motor noise and changing joint stiffness may affect the pose of the arm even though the endpoint trajectory is unchanged. The objective of this study was to examine how the crank resistance influences the variances of joint configuration and muscle activation. Fifteen healthy participants performed arm cranking on an arm-cycle ergometer both unimanually and bimanually with a cadence of 60 rpm against three crank resistances. Joint configuration was represented in a 3-dimensional joint space defined by inter-segmental joint angles, while muscle activation in a 4-dimensional "muscle activation space" defined by EMGs of 4 arm muscles. Joint configuration variance in the course of arm cranking was not affected by crank resistance, whereas muscle activation variance was proportional to the square of muscle activation. The shape of the variance time profiles for both joint configuration and muscle activation was not affected by crank resistance. Contrary to the prevailing assumption that an increased motor noise would affect the variance of auxiliary movements, the influence of noise doesn't appear at the joint configuration level even when the system is redundant. Our results suggest the separation of kinematic- and force-control, via mechanisms that are compensating for dynamic nonlinearities. Arm cranking may be suitable when the aim is to perform training under different load conditions, preserving stable and secure control of joint movements and muscle activations.

No Effects of Acute Exposure to Wi-Fi Electromagnetic Fields on Spontaneous EEG Activity and Psychomotor Vigilance in Healthy Human Volunteers.

Mobile equipment use of wireless fidelity (Wi-Fi) signal modulation has increased exponentially in the past few decades. However, there is inconclusive scientific evidence concerning the potential risks associated with the energy deposition in the brain from Wi-Fi and whether Wi-Fi electromagnetism interacts with cognitive function. In this study we investigated possible neurocognitive effects caused by Wi-Fi exposure. First, we constructed a Wi-Fi exposure system from commercial parts. Dosimetry was first assessed by free space radiofrequency field measurements. The experimental exposure system was then modeled based on real geometry and physical characteristics. Specific absorption rate (SAR) calculations were performed using a whole-body, realistic human voxel model with values corresponding to conventional everyday Wi-Fi exposure (peak SAR10g level was 99.22 mW/kg with 1 W output power and 100% duty cycle). Then, in two provocation experiments involving healthy human volunteers we tested for two hypotheses: 1. Whether a 60 min long 2.4 GHz Wi-Fi exposure affects the spectral power of spontaneous awake electroencephalographic (sEEG) activity (N = 25); and 2. Whether similar Wi-Fi exposure modulates the sustained attention measured by reaction time in a computerized psychomotor vigilance test (PVT) (N = 19). EEG data were recorded at midline electrode sites while volunteers watched a silent documentary. In the PVT task, button press reaction time was recorded. No measurable effects of acute Wi-Fi exposure were found on spectral power of sEEG or reaction time in the psychomotor vigilance test. These results indicate that a single, 60 min Wi-Fi exposure does not alter human oscillatory brain function or objective measures of sustained attention.

Effects of concurrent caffeine and mobile phone exposure on local target probability processing in the human brain.

Millions of people use mobile phones (MP) while drinking coffee or other caffeine containing beverages. Little is known about the potential combined effects of MP irradiation and caffeine on cognitive functions. Here we investigated whether caffeine intake and concurrent exposure to Universal Mobile Telecommunications System (UMTS) MP-like irradiation may interactively influence neuro-cognitive function in an active visual oddball paradigm. In a full factorial experimental design, 25 participants performed a simple visual target detection task while reaction time (RT) and electroencephalogram (EEG) was recorded. Target trials were divided into Low and High probability sets based on target-to-target distance. We analyzed single trial RT and alpha-band power (amplitude) in the pre-target interval. We found that RT was shorter in High vs. Low local probability trials, and caffeine further shortened RT in High probability trials relative to the baseline condition suggesting that caffeine improves the efficiency of implicit short-term memory. Caffeine also decreased pre-target alpha amplitude resulting in higher arousal level. Furthermore, pre-target gamma power positively correlated with RT, which may have facilitated target detection. However, in the present pharmacologically validated study UMTS exposure either alone or in combination with caffeine did not alter RT or pre-stimulus oscillatory brain activity.

Characterization and Evaluation of a Commercial WLAN System for Human Provocation Studies.

This work evaluates the complex exposure characteristics of Wireless Local Area Network (WLAN) technology and describes the design of a WLAN exposure system built using commercially available modular parts for the study of possible biological health effects due to WLAN exposure in a controlled environment. The system consisted of an access point and a client unit (CU) with router board cards types R52 and R52n with 18 dBm and 25 dBm peak power, respectively. Free space radiofrequency field (RF) measurements were performed with a field meter at a distance of 40 cm from the CU in order to evaluate the RF exposure at several signal configurations of the exposure system. Finally, the specific absorption rate (SAR) generated by the CU was estimated computationally in the head of two human models. Results suggest that exposure to RF fields of WLAN systems strongly depends on the sets of the router configuration: the stability of the exposure was more constant and reliable when both antennas were active and vertically positioned, with best signal quality obtained with the R52n router board at channel 9, in UDP mode. The maximum levels of peak SAR were far away from the limits of international guidelines with peak levels found over the skin.

Lack of interaction between concurrent caffeine and mobile phone exposure on visual target detection: an ERP study.

BACKGROUND: Caffeine affects information processing by acting predominantly on cortical activation, arousal and attention. Millions consume caffeine and simultaneously use their mobile phone (MP) during everyday activities. However, it is not known whether and how MP-emitted electromagnetic fields (EMFs) can modulate known psychoactive effects of caffeine. Here we investigated behavioral and neural correlates of caffeine and simultaneous MP exposure in a third generation (3G) Universal Mobile Telecommunication System (UMTS) signal modulation scheme. METHODS: We recorded electroencephalography (EEG) and event related potentials (ERP) in an oddball paradigm to frequent standard (p=0.8) and rare target (p=0.2) stimuli in a placebo controlled, double blind, within-subject protocol in four experimental sessions: 1) no caffeine and no MP, 2) caffeine only, 3) MP only, and 4) caffeine and MP. The subjects' task was to discriminate between standard and target stimuli and respond to the latter by pressing a button while reaction time (RT) and EEG were recorded. To provide a complete analysis of any possible caffeine and/or MP treatment effects that may have occurred, we analyzed the P300 ERP wave using four different ERP measures: 1) peak latency, 2) peak amplitude, 3) 50% fractional area latency (FAL) and 4) area under the curve (AUC). RESULTS: Caffeine significantly shortened RT and decreased AUC of the P300 component compared to the control or the UMTS MP alone conditions. However, no effects were observed on RT or P300 in the UMTS MP exposure sessions, neither alone nor in combination with caffeine. CONCLUSION: Overall, the present results did not demonstrate any interactive or synergistic effects of caffeine and UMTS MP like EMF exposure on basic neural or cognitive measures. However, we found that caffeine consistently enhanced behavioral and ERP measures of visual target detection, showing that present results were obtained using a pharmacologically validated, consistent and replicable methodology.

No effects of a single 3G UMTS mobile phone exposure on spontaneous EEG activity, ERP correlates, and automatic deviance detection.

Potential effects of a 30 min exposure to third generation (3G) Universal Mobile Telecommunications System (UMTS) mobile phone-like electromagnetic fields (EMFs) were investigated on human brain electrical activity in two experiments. In the first experiment, spontaneous electroencephalography (sEEG) was analyzed (n = 17); in the second experiment, auditory event-related potentials (ERPs) and automatic deviance detection processes reflected by mismatch negativity (MMN) were investigated in a passive oddball paradigm (n = 26). Both sEEG and ERP experiments followed a double-blind protocol where subjects were exposed to either genuine or sham irradiation in two separate sessions. In both experiments, electroencephalograms (EEG) were recorded at midline electrode sites before and after exposure while subjects were watching a silent documentary. Spectral power of sEEG data was analyzed in the delta, theta, alpha, and beta frequency bands. In the ERP experiment, subjects were presented with a random series of standard (90%) and frequency-deviant (10%) tones in a passive binaural oddball paradigm. The amplitude and latency of the P50, N100, P200, MMN, and P3a components were analyzed. We found no measurable effects of a 30 min 3G mobile phone irradiation on the EEG spectral power in any frequency band studied. Also, we found no significant effects of EMF irradiation on the amplitude and latency of any of the ERP components. In summary, the present results do not support the notion that a 30 min unilateral 3G EMF exposure interferes with human sEEG activity, auditory evoked potentials or automatic deviance detection indexed by MMN.