OtoRhinoLaryngology by Sfakianakis G.Alexandros Sfakianakis G.Alexandros,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,tel : 00302841026182,00306932607174
Πέμπτη 21 Ιουλίου 2016
Psychometric Functions of Dual-Task Paradigms for Measuring Listening Effort.
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Phonological Priming in Children with Hearing Loss: Effect of Speech Mode, Fidelity, and Lexical Status.
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Hearing and Vestibular Function After Preoperative Intratympanic Gentamicin Therapy for Vestibular Schwanomma as Part of Vestibular Prehab.
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Tinnitus and Sleep Difficulties After Cochlear Implantation.
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Development of the Word Auditory Recognition and Recall Measure: A Working Memory Test for Use in Rehabilitative Audiology.
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Multisite Randomized Controlled Trial to Compare Two Methods of Tinnitus Intervention to Two Control Conditions.
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Assessment of Spectral and Temporal Resolution in Cochlear Implant Users Using Psychoacoustic Discrimination and Speech Cue Categorization.
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Pediatric Hearing Aid Management: Parent-Reported Needs for Learning Support.
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Effects of Self-Generated Noise on Estimates of Detection Threshold in Quiet for School-Age Children and Adults.
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Psychometric Functions of Dual-Task Paradigms for Measuring Listening Effort.
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Phonological Priming in Children with Hearing Loss: Effect of Speech Mode, Fidelity, and Lexical Status.
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Hearing and Vestibular Function After Preoperative Intratympanic Gentamicin Therapy for Vestibular Schwanomma as Part of Vestibular Prehab.
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Tinnitus and Sleep Difficulties After Cochlear Implantation.
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Development of the Word Auditory Recognition and Recall Measure: A Working Memory Test for Use in Rehabilitative Audiology.
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Multisite Randomized Controlled Trial to Compare Two Methods of Tinnitus Intervention to Two Control Conditions.
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Assessment of Spectral and Temporal Resolution in Cochlear Implant Users Using Psychoacoustic Discrimination and Speech Cue Categorization.
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Pediatric Hearing Aid Management: Parent-Reported Needs for Learning Support.
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Effects of Self-Generated Noise on Estimates of Detection Threshold in Quiet for School-Age Children and Adults.
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Psychometric Functions of Dual-Task Paradigms for Measuring Listening Effort.
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Phonological Priming in Children with Hearing Loss: Effect of Speech Mode, Fidelity, and Lexical Status.
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Hearing and Vestibular Function After Preoperative Intratympanic Gentamicin Therapy for Vestibular Schwanomma as Part of Vestibular Prehab.
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Tinnitus and Sleep Difficulties After Cochlear Implantation.
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Development of the Word Auditory Recognition and Recall Measure: A Working Memory Test for Use in Rehabilitative Audiology.
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Multisite Randomized Controlled Trial to Compare Two Methods of Tinnitus Intervention to Two Control Conditions.
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Assessment of Spectral and Temporal Resolution in Cochlear Implant Users Using Psychoacoustic Discrimination and Speech Cue Categorization.
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Pediatric Hearing Aid Management: Parent-Reported Needs for Learning Support.
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Effects of Self-Generated Noise on Estimates of Detection Threshold in Quiet for School-Age Children and Adults.
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Pediatric Hearing Aid Management: Parent-Reported Needs for Learning Support.
Related Articles |
Pediatric Hearing Aid Management: Parent-Reported Needs for Learning Support.
Ear Hear. 2016 Jul 19;
Authors: Muñoz K, Rusk SE, Nelson L, Preston E, White KR, Barrett TS, Twohig MP
Abstract
OBJECTIVES: The aim of this study was to investigate parent learning and support needs related to hearing aid management for young children, and factors that influence parent-reported hours of hearing aid use.
DESIGN: A cross-sectional survey design was used to collect survey data in seven states. The child's primary caregiver completed a demographic form, a questionnaire to explore parent learning and support needs as well as their challenges with hearing aid use, and the patient health questionnaire to identify symptoms of depression. Three hundred and eighteen parents completed the questionnaires.
RESULTS: Responses were analyzed for 318 parents of children (M = 23.15 months; SD = 10.43; range: 3 to 51) who had been wearing hearing aids (M = 15.52; SD = 10.11; range: <1 to 50 months). Even though the majority of parents reported receiving the educational support queried, approximately one-third wanted more information on a variety of topics such as loaner hearing aids, what their child can/cannot hear, financial assistance, how to meet other parents, how to do basic hearing aid maintenance, and how to keep the hearing aids on their child. The most frequently reported challenges that interfered with hearing aid use (rated often or always) were child activities, child not wanting to wear the hearing aids, and fear of losing or damaging the hearing aids. Forty-two percent of parents reported that, on good days, their child used hearing aids all waking hours. Multiple regression was used to compare the effect on parent-reported typical hours of hearing aid use based on good days for the variables of (1) presence of depressive symptoms for the parent, (2) child age, (3) family income, (4) primary caregiver education level, (5) presence of additional disabilities for the child, (6) degree of hearing loss, and (7) length of time since the child was fitted with hearing aids. There were statistically significantly fewer hours of reported hearing aid use when parents reported mild to severe symptoms of depression, lower income, less education level, and when children had mild hearing loss or additional disabilities.
CONCLUSION: Although parents reported overall that their needs for hearing aid education and support had generally been met, there were important suggestions for how audiologists and other service providers could better meet parent needs. Hearing aid use for young children was variable and influenced by a variety of factors. Understanding parent experiences and challenges can help audiologists more effectively focus support. Audiologists are more likely to meet the needs of families if they take care to provide access to thorough and comprehensive education and ongoing support that is tailored to address the unique needs of individual families.
PMID: 27438872 [PubMed - as supplied by publisher]
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Contents List
Source:Gait & Posture, Volume 48
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Knee loading patterns of the non-paretic and paretic legs during post-stroke gait.
Source:Gait & Posture
Author(s): Stephanie Marrocco, Lucas Crosby, Ian C Jones, Rebecca F Moyer, Trevor B Birmingham, Kara K Patterson
BackgroundPost-stoke gait disorders could cause secondary musculoskeletal complications associated with excessive repetitive loading. The study objectives were to 1) determine the feasibility of measuring common proxies for dynamic medial knee joint loading during gait post-stroke with external knee adduction (KAM) and flexion moments (KFM) and 2) characterize knee loading and typical load-reducing compensations post-stroke.MethodsParticipants with stroke (n=9) and healthy individuals (n=17) underwent 3D gait analysis. The stroke and healthy groups were compared with unpaired t-tests on peak KAM and peak KFM and on typical medial knee joint load-reducing compensations; toe out and trunk lean. The relationship between KAM and load-reducing compensations in the stroke group were investigated with Spearman correlations.ResultsMean (SD) values for KAM and KFM in the healthy group[KAM=2.20 (0.88)%BW*ht; KFM=0.64 (0.60)%BW*ht] were not significantly different from the values for the paretic [KAM=2.64 (0.98)%BW*ht; KFM=1.26 (1.13) %BW*ht] or non-paretic leg of the stroke group[KAM=2.23(0.62)%BW*ht; KFM=1.10 (1.20)%BW*ht]. Post hoc one sample t-tests revealed greater loading in stroke participants on the paretic (n=3), non-paretic (n=1) and both legs (n=2) compared to the healthy group. The angle of trunk lean and the angle of toe out were not related to KAM in the stroke group.DiscussionMeasurement of limb loading during gait post-stroke is feasible and revealed excessive loading in individuals with mild to moderate stroke compared to healthy adults. Further investigation of potential joint degeneration and pain due to repetitive excessive loading associated with post-stroke gait is warranted.
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Kinematic and electromyographic analysis in patients with patellofemoral pain syndrome during single leg triple hop test
Source:Gait & Posture
Author(s): Marcelo Martins Kalytczak, Paulo Roberto Garcia Lucareli, Amir Curcio dos Reis, André Serra Bley, Daniela Aparecida Biasotto-Gonzalez, João Carlos Ferrari Correa, Fabiano Politti
Possible delays in pre-activation or deficiencies in the activity of the dynamic muscle stabilizers of the knee and hip joints are the most common causes of the patellofemoral pain syndrome (PFPS). The aim of the study was to compare kinematic variables and electromyographic activity of the vastus lateralis, biceps femoris, gluteus maximus and gluteus medius muscles between patients with PFPS and health subjects during the single leg triple hop test (SLTHT). This study included 14 female with PFPS (PFPS group) and 14 female healthy with no history of knee pain (Healthy group). Kinematic and EMG data ware collected through participants performed a single session of the SLTHT. The PFPS group exhibited a significant increase (p<0.05) in the EMG activity of the biceps femoris and vastus lateralis muscles, when compared with the healthy group in pre-activity and during the stance phase. This same result was also found for the vastus lateralis muscle (p<0.05) when analyzing the EMG activity during the eccentric phase of the stance phase. In kinematic analysis, no significant differences were found between the groups. These results indicate that biceps femoris and vastus lateralis muscles mainly during the pre-activation phase and stance phases of the SLTHT are more active in PFPS group among healthy group.
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Striatal functional connectivity changes following specific balance training in elderly people: MRI results of a randomized controlled pilot study
Source:Gait & Posture
Author(s): Stefano Magon, Lars Donath, Laura Gaetano, Alain Thoeni, Ernst-Wilhelm Radue, Oliver Faude, Till Sprenger
BackgroundPractice-induced effects of specific balance training on brain structure and activity in elderly people are largely unknown.AimIn the present study, we investigated morphological and functional brain changes following slacking training (balancing over nylon ribbons) in a group of elderly people.MethodsTwenty-eight healthy volunteers were recruited and randomly assigned to the intervention (mean age: 62.3±5.4years) or control group (mean age: 61.8±5.3years). The intervention group completed six-weeks of slackline training. Brain morphological changes were investigated using voxel-based morphometry and functional connectivity changes were computed via independent component analysis and seed-based analyses. All analyses were applied to the whole sample and to a subgroup of participants who improved in slackline performance.ResultsThe repeated measures analysis of variance showed a significant interaction effect between groups and sessions. Specifically, the Tukey post-hoc analysis revealed a significantly improved slackline standing performance after training for the left leg stance time (pre: 4.5±3.6s vs. 26.0±30.0s, p<0.038) as well as for tandem stance time (pre: 1.4±0.6s vs. post: 4.5±4.0s, p=0.003) in the intervention group. No significant changes in balance performance were observed in the control group. The MRI analysis did not reveal morphological or functional connectivity differences before or after the training between the intervention and control groups (whole sample). However, subsequent analysis in subjects with improved slackline performance showed a decrease of connectivity between the striatum and other brain areas during the training period.ConclusionThese preliminary results suggest that improved balance performance with slackline training goes along with an increased efficiency of the striatal network.
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Editorial Board
Source:Gait & Posture, Volume 48
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Contents List
Source:Gait & Posture, Volume 48
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Knee loading patterns of the non-paretic and paretic legs during post-stroke gait.
Source:Gait & Posture
Author(s): Stephanie Marrocco, Lucas Crosby, Ian C Jones, Rebecca F Moyer, Trevor B Birmingham, Kara K Patterson
BackgroundPost-stoke gait disorders could cause secondary musculoskeletal complications associated with excessive repetitive loading. The study objectives were to 1) determine the feasibility of measuring common proxies for dynamic medial knee joint loading during gait post-stroke with external knee adduction (KAM) and flexion moments (KFM) and 2) characterize knee loading and typical load-reducing compensations post-stroke.MethodsParticipants with stroke (n=9) and healthy individuals (n=17) underwent 3D gait analysis. The stroke and healthy groups were compared with unpaired t-tests on peak KAM and peak KFM and on typical medial knee joint load-reducing compensations; toe out and trunk lean. The relationship between KAM and load-reducing compensations in the stroke group were investigated with Spearman correlations.ResultsMean (SD) values for KAM and KFM in the healthy group[KAM=2.20 (0.88)%BW*ht; KFM=0.64 (0.60)%BW*ht] were not significantly different from the values for the paretic [KAM=2.64 (0.98)%BW*ht; KFM=1.26 (1.13) %BW*ht] or non-paretic leg of the stroke group[KAM=2.23(0.62)%BW*ht; KFM=1.10 (1.20)%BW*ht]. Post hoc one sample t-tests revealed greater loading in stroke participants on the paretic (n=3), non-paretic (n=1) and both legs (n=2) compared to the healthy group. The angle of trunk lean and the angle of toe out were not related to KAM in the stroke group.DiscussionMeasurement of limb loading during gait post-stroke is feasible and revealed excessive loading in individuals with mild to moderate stroke compared to healthy adults. Further investigation of potential joint degeneration and pain due to repetitive excessive loading associated with post-stroke gait is warranted.
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Kinematic and electromyographic analysis in patients with patellofemoral pain syndrome during single leg triple hop test
Source:Gait & Posture
Author(s): Marcelo Martins Kalytczak, Paulo Roberto Garcia Lucareli, Amir Curcio dos Reis, André Serra Bley, Daniela Aparecida Biasotto-Gonzalez, João Carlos Ferrari Correa, Fabiano Politti
Possible delays in pre-activation or deficiencies in the activity of the dynamic muscle stabilizers of the knee and hip joints are the most common causes of the patellofemoral pain syndrome (PFPS). The aim of the study was to compare kinematic variables and electromyographic activity of the vastus lateralis, biceps femoris, gluteus maximus and gluteus medius muscles between patients with PFPS and health subjects during the single leg triple hop test (SLTHT). This study included 14 female with PFPS (PFPS group) and 14 female healthy with no history of knee pain (Healthy group). Kinematic and EMG data ware collected through participants performed a single session of the SLTHT. The PFPS group exhibited a significant increase (p<0.05) in the EMG activity of the biceps femoris and vastus lateralis muscles, when compared with the healthy group in pre-activity and during the stance phase. This same result was also found for the vastus lateralis muscle (p<0.05) when analyzing the EMG activity during the eccentric phase of the stance phase. In kinematic analysis, no significant differences were found between the groups. These results indicate that biceps femoris and vastus lateralis muscles mainly during the pre-activation phase and stance phases of the SLTHT are more active in PFPS group among healthy group.
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Striatal functional connectivity changes following specific balance training in elderly people: MRI results of a randomized controlled pilot study
Source:Gait & Posture
Author(s): Stefano Magon, Lars Donath, Laura Gaetano, Alain Thoeni, Ernst-Wilhelm Radue, Oliver Faude, Till Sprenger
BackgroundPractice-induced effects of specific balance training on brain structure and activity in elderly people are largely unknown.AimIn the present study, we investigated morphological and functional brain changes following slacking training (balancing over nylon ribbons) in a group of elderly people.MethodsTwenty-eight healthy volunteers were recruited and randomly assigned to the intervention (mean age: 62.3±5.4years) or control group (mean age: 61.8±5.3years). The intervention group completed six-weeks of slackline training. Brain morphological changes were investigated using voxel-based morphometry and functional connectivity changes were computed via independent component analysis and seed-based analyses. All analyses were applied to the whole sample and to a subgroup of participants who improved in slackline performance.ResultsThe repeated measures analysis of variance showed a significant interaction effect between groups and sessions. Specifically, the Tukey post-hoc analysis revealed a significantly improved slackline standing performance after training for the left leg stance time (pre: 4.5±3.6s vs. 26.0±30.0s, p<0.038) as well as for tandem stance time (pre: 1.4±0.6s vs. post: 4.5±4.0s, p=0.003) in the intervention group. No significant changes in balance performance were observed in the control group. The MRI analysis did not reveal morphological or functional connectivity differences before or after the training between the intervention and control groups (whole sample). However, subsequent analysis in subjects with improved slackline performance showed a decrease of connectivity between the striatum and other brain areas during the training period.ConclusionThese preliminary results suggest that improved balance performance with slackline training goes along with an increased efficiency of the striatal network.
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Contents List
Source:Gait & Posture, Volume 48
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Editorial Board
Source:Gait & Posture, Volume 48
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Knee loading patterns of the non-paretic and paretic legs during post-stroke gait.
Source:Gait & Posture
Author(s): Stephanie Marrocco, Lucas Crosby, Ian C Jones, Rebecca F Moyer, Trevor B Birmingham, Kara K Patterson
BackgroundPost-stoke gait disorders could cause secondary musculoskeletal complications associated with excessive repetitive loading. The study objectives were to 1) determine the feasibility of measuring common proxies for dynamic medial knee joint loading during gait post-stroke with external knee adduction (KAM) and flexion moments (KFM) and 2) characterize knee loading and typical load-reducing compensations post-stroke.MethodsParticipants with stroke (n=9) and healthy individuals (n=17) underwent 3D gait analysis. The stroke and healthy groups were compared with unpaired t-tests on peak KAM and peak KFM and on typical medial knee joint load-reducing compensations; toe out and trunk lean. The relationship between KAM and load-reducing compensations in the stroke group were investigated with Spearman correlations.ResultsMean (SD) values for KAM and KFM in the healthy group[KAM=2.20 (0.88)%BW*ht; KFM=0.64 (0.60)%BW*ht] were not significantly different from the values for the paretic [KAM=2.64 (0.98)%BW*ht; KFM=1.26 (1.13) %BW*ht] or non-paretic leg of the stroke group[KAM=2.23(0.62)%BW*ht; KFM=1.10 (1.20)%BW*ht]. Post hoc one sample t-tests revealed greater loading in stroke participants on the paretic (n=3), non-paretic (n=1) and both legs (n=2) compared to the healthy group. The angle of trunk lean and the angle of toe out were not related to KAM in the stroke group.DiscussionMeasurement of limb loading during gait post-stroke is feasible and revealed excessive loading in individuals with mild to moderate stroke compared to healthy adults. Further investigation of potential joint degeneration and pain due to repetitive excessive loading associated with post-stroke gait is warranted.
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Kinematic and electromyographic analysis in patients with patellofemoral pain syndrome during single leg triple hop test
Source:Gait & Posture
Author(s): Marcelo Martins Kalytczak, Paulo Roberto Garcia Lucareli, Amir Curcio dos Reis, André Serra Bley, Daniela Aparecida Biasotto-Gonzalez, João Carlos Ferrari Correa, Fabiano Politti
Possible delays in pre-activation or deficiencies in the activity of the dynamic muscle stabilizers of the knee and hip joints are the most common causes of the patellofemoral pain syndrome (PFPS). The aim of the study was to compare kinematic variables and electromyographic activity of the vastus lateralis, biceps femoris, gluteus maximus and gluteus medius muscles between patients with PFPS and health subjects during the single leg triple hop test (SLTHT). This study included 14 female with PFPS (PFPS group) and 14 female healthy with no history of knee pain (Healthy group). Kinematic and EMG data ware collected through participants performed a single session of the SLTHT. The PFPS group exhibited a significant increase (p<0.05) in the EMG activity of the biceps femoris and vastus lateralis muscles, when compared with the healthy group in pre-activity and during the stance phase. This same result was also found for the vastus lateralis muscle (p<0.05) when analyzing the EMG activity during the eccentric phase of the stance phase. In kinematic analysis, no significant differences were found between the groups. These results indicate that biceps femoris and vastus lateralis muscles mainly during the pre-activation phase and stance phases of the SLTHT are more active in PFPS group among healthy group.
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Striatal functional connectivity changes following specific balance training in elderly people: MRI results of a randomized controlled pilot study
Source:Gait & Posture
Author(s): Stefano Magon, Lars Donath, Laura Gaetano, Alain Thoeni, Ernst-Wilhelm Radue, Oliver Faude, Till Sprenger
BackgroundPractice-induced effects of specific balance training on brain structure and activity in elderly people are largely unknown.AimIn the present study, we investigated morphological and functional brain changes following slacking training (balancing over nylon ribbons) in a group of elderly people.MethodsTwenty-eight healthy volunteers were recruited and randomly assigned to the intervention (mean age: 62.3±5.4years) or control group (mean age: 61.8±5.3years). The intervention group completed six-weeks of slackline training. Brain morphological changes were investigated using voxel-based morphometry and functional connectivity changes were computed via independent component analysis and seed-based analyses. All analyses were applied to the whole sample and to a subgroup of participants who improved in slackline performance.ResultsThe repeated measures analysis of variance showed a significant interaction effect between groups and sessions. Specifically, the Tukey post-hoc analysis revealed a significantly improved slackline standing performance after training for the left leg stance time (pre: 4.5±3.6s vs. 26.0±30.0s, p<0.038) as well as for tandem stance time (pre: 1.4±0.6s vs. post: 4.5±4.0s, p=0.003) in the intervention group. No significant changes in balance performance were observed in the control group. The MRI analysis did not reveal morphological or functional connectivity differences before or after the training between the intervention and control groups (whole sample). However, subsequent analysis in subjects with improved slackline performance showed a decrease of connectivity between the striatum and other brain areas during the training period.ConclusionThese preliminary results suggest that improved balance performance with slackline training goes along with an increased efficiency of the striatal network.
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Editorial Board
Source:Gait & Posture, Volume 48
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