1
|
Vismara L, Bergna A, Tarantino AG, Dal Farra F, Buffone F, Vendramin D, Cimolin V, Cerfoglio S, Pradotto LG, Mauro A. Reliability and Validity of the Variability Model Testing Procedure for Somatic Dysfunction Assessment: A Comparison with Gait Analysis Parameters in Healthy Subjects. Healthcare (Basel) 2024; 12:175. [PMID: 38255064 PMCID: PMC10815658 DOI: 10.3390/healthcare12020175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Revised: 12/28/2023] [Accepted: 01/08/2024] [Indexed: 01/24/2024] Open
Abstract
Somatic dysfunction (SD) is an altered body function involving the musculoskeletal system. However, its clinical signs-tissue texture abnormalities, positional asymmetry, restricted range of motion, and tissue tenderness-did not achieve satisfactory results for reliability. A recent theoretical model proposed a revision assessing the movement variability around the joint rest position. The asymmetry and restriction of motion may characterize functional assessment in osteopathic clinical practice, demonstrating the reliability required. Hence, this study investigated the reliability of the new variability model (VM) with gait analysis (GA). Three blind examiners tested 27 young healthy subjects for asymmetry of motion around rest position and the SD grade on six body regions. The results were compared to the VICON procedure for 3D-GA. The inter-rater agreement for the detection of reduced movement variability ranged from 0.78 to 0.54, whereas for SD, grade ranged from 0.64 to 0.47. VM had a sensitivity and specificity of 0.62 and 0.53, respectively, in SD detection compared to step length normality. Global severity grade of SD demonstrated moderate to good correlation with spatial-temporal parameters. The VM showed palpatory reliability and validity with spatial-temporal parameters in GA. Those findings contribute to the innovation for SD examination with implications for the clinical practice.
Collapse
Affiliation(s)
- Luca Vismara
- Division of Neurology and Neurorehabilitation—IRCCS Istituto Auxologico Italiano, Strada Luigi Cadorna 90, 28824 Piancavallo-Verbania, Italy; (L.V.); (V.C.); (S.C.); (L.G.P.); (A.M.)
| | - Andrea Bergna
- Department of Research, SOMA Istituto Osteopatia Milano—Institute Osteopathy Milan, 20126 Milan, Italy; (A.B.); (A.G.T.); (F.D.F.)
| | - Andrea Gianmaria Tarantino
- Department of Research, SOMA Istituto Osteopatia Milano—Institute Osteopathy Milan, 20126 Milan, Italy; (A.B.); (A.G.T.); (F.D.F.)
- Division of Paediatric, Manima Non-Profit Organization Social Assistance and Healthcare, 20125 Milan, Italy;
| | - Fulvio Dal Farra
- Department of Research, SOMA Istituto Osteopatia Milano—Institute Osteopathy Milan, 20126 Milan, Italy; (A.B.); (A.G.T.); (F.D.F.)
- Department of Information Engineering, University of Brescia, 25123 Brescia, Italy
| | - Francesca Buffone
- Department of Research, SOMA Istituto Osteopatia Milano—Institute Osteopathy Milan, 20126 Milan, Italy; (A.B.); (A.G.T.); (F.D.F.)
- Division of Paediatric, Manima Non-Profit Organization Social Assistance and Healthcare, 20125 Milan, Italy;
- Principles and Practice of Clinical Research (PPCR), Harvard T.H. Chan School of Public Health–ECPE, Boston, MA 02115, USA
| | - Davide Vendramin
- Division of Paediatric, Manima Non-Profit Organization Social Assistance and Healthcare, 20125 Milan, Italy;
| | - Veronica Cimolin
- Division of Neurology and Neurorehabilitation—IRCCS Istituto Auxologico Italiano, Strada Luigi Cadorna 90, 28824 Piancavallo-Verbania, Italy; (L.V.); (V.C.); (S.C.); (L.G.P.); (A.M.)
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133 Milan, Italy
| | - Serena Cerfoglio
- Division of Neurology and Neurorehabilitation—IRCCS Istituto Auxologico Italiano, Strada Luigi Cadorna 90, 28824 Piancavallo-Verbania, Italy; (L.V.); (V.C.); (S.C.); (L.G.P.); (A.M.)
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133 Milan, Italy
| | - Luca Guglielmo Pradotto
- Division of Neurology and Neurorehabilitation—IRCCS Istituto Auxologico Italiano, Strada Luigi Cadorna 90, 28824 Piancavallo-Verbania, Italy; (L.V.); (V.C.); (S.C.); (L.G.P.); (A.M.)
- Department of Neurosciences “Rita Levi Montalcini”, University of Turin, 10126 Turin, Italy
| | - Alessandro Mauro
- Division of Neurology and Neurorehabilitation—IRCCS Istituto Auxologico Italiano, Strada Luigi Cadorna 90, 28824 Piancavallo-Verbania, Italy; (L.V.); (V.C.); (S.C.); (L.G.P.); (A.M.)
- Department of Neurosciences “Rita Levi Montalcini”, University of Turin, 10126 Turin, Italy
| |
Collapse
|
2
|
Kong G, Cataldo A, Nitu M, Dupin L, Gomi H, Haggard P. Interhemispheric communication during haptic self-perception. Proc Biol Sci 2022; 289:20221977. [PMID: 36475437 PMCID: PMC9727658 DOI: 10.1098/rspb.2022.1977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
During the haptic exploration of a planar surface, slight resistances against the hand's movement are illusorily perceived as asperities (bumps) in the surface. If the surface being touched is one's own skin, an actual bump would also produce increased tactile pressure from the moving finger onto the skin. We investigated how kinaesthetic and tactile signals combine to produce haptic perceptions during self-touch. Participants performed two successive movements with the right hand. A haptic force-control robot applied resistances to both movements, and participants judged which movement was felt to contain the larger bump. An additional robot delivered simultaneous but task-irrelevant tactile stroking to the left forearm. These strokes contained either increased or decreased tactile pressure synchronized with the resistance-induced illusory bump encountered by the right hand. We found that the size of bumps perceived by the right hand was enhanced by an increase in left tactile pressure, but also by a decrease. Tactile event detection was thus transferred interhemispherically, but the sign of the tactile information was not respected. Randomizing (rather than blocking) the presentation order of left tactile stimuli abolished these interhemispheric enhancement effects. Thus, interhemispheric transfer during bimanual self-touch requires a stable model of temporally synchronized events, but does not require geometric consistency between hemispheric information, nor between tactile and kinaesthetic representations of a single common object.
Collapse
Affiliation(s)
- Gaiqing Kong
- Institute of Cognitive Neuroscience, University College London, Alexandra House, 17–19 Queen Square, London WCIN 3AZ, UK,Neuroscience Research Centre of Lyon, INSERM U1028—CNRS UMR5292, Inserm Building, 16 avenue du doyen Lépine, 69500 Bron, France
| | - Antonio Cataldo
- Institute of Cognitive Neuroscience, University College London, Alexandra House, 17–19 Queen Square, London WCIN 3AZ, UK,Institute of Philosophy, University of London, Senate House, Malet Street, London WC1E 7HU, UK
| | - Miruna Nitu
- Institute of Cognitive Neuroscience, University College London, Alexandra House, 17–19 Queen Square, London WCIN 3AZ, UK
| | - Lucile Dupin
- Institut de Psychiatrie et Neurosciences de Paris, Inserm U 1266—Université de Paris—Hôpital Sainte-Anne, Paris, France
| | - Hiroaki Gomi
- NTT Communication Science Laboratories, Nippon Telegraph and Telephone Corporation, Atsugi, Japan
| | - Patrick Haggard
- Institute of Cognitive Neuroscience, University College London, Alexandra House, 17–19 Queen Square, London WCIN 3AZ, UK,Chaire Blaise Pascal de la Région Ile de France, Laboratoire de Neurosciences Cognitives et Computationnelles, Département d'Etudes Cognitives, Ecole Normale Supérieure, PSL University, Paris, France
| |
Collapse
|