Extent Of Movement Research Articles

Household Flood Severity and Migration Extent in Central Java: Analysis of the Indonesian Family Life Survey.

Central Java, Indonesia, is prone to river and coastal flooding due to climate changes and geological factors. Migration is one possible adaptation to flooding, but research is limited due to lack of longitudinal spatially granular datasets on migration and metrics to identify flood-affected households. The available literature indicates social and economic barriers may limit mobility from flood prone areas. The Indonesian Family Life Survey (IFLS) provides self-reported data on household experiences with natural disasters among 1501 Central Java households followed over two waves (2007 and 2014). We examined how the severity of flooding, defined by household-level impacts captured by the IFLS (death, injury, financial loss, or relocation of a household member), influenced the extent of household movement in Central Java using a generalized ordered logit/partial proportional odds model. Households severely impacted by floods had 75% lower odds of moving farther away compared to those that did not experience floods. The most severely impacted households may be staying within flood-affected areas in Central Java. Public health, nutrition, and economic surveys should include modules focused on household experiences, impacts, and adaptations to facilitate the study of how climate changes are impacting these outcomes.

Allowable Eccentricity of Pile Groups for Deep Basements

Basement excavation will cause installed piles to move laterally. It is very common for driven piles in developments with two-level basements to have large eccentricities from their intended positions at the cut-off level of the piles. However, this naturally occurring phenomenon is not well recognized in the construction industry. This is evident from the fact that the allowable pile eccentricity specified in many technical specifications for developments with basements is fixed at 75 mm, which normally is specified for pile foundations of developments with no basement construction. This paper used a case study to illustrate the extent of such pile lateral movements as a result of basement excavation. The effect of such lateral movements on the pile foundation design was discussed using the case study. Appropriate allowable pile eccentricity for driven piles for developments with deep basements are proposed.

The impact of knee arthrodesis on gait kinematics, muscle activity and patient-reported outcome

BackgroundThe aim of this retrospective study was to analyze gait kinematicsandoutcome parameters after knee arthrodesis. MethodsFifteenpatients with a mean follow-up of 5.9 (range0.8–36) years after unilateral knee arthrodesis were included. A 3D gait analysis was performed and compared to a healthy control group of14patients. Comparative electromyography was performed bilaterally at the rectus femoris, vastuslateralis/medialisand tibialis anterior muscles. The assessment further included standardized outcome scores- Lower Extremity Functional Scale (LEFS) andShort Form Health Survey (SF-36). ResultsThe 3D analysis showed a significantly shortened stance phase (p = 0.000), an extended swing phase (p = 0.000), and an increased time per step (p = 0.009) for the operated side compared with thenonoperatedside. There were statistically significant differences in the extent of movement of the hips, knees and ankles among the operated andnonoperatedsides and the control group. For the mean EMG measurement, no significant difference was found between the healthy control group and the patients with arthrodesis.The average LEFSscorewas 27.5 ± 10.6out of a maximum of 80 points,and the mean physical total scale and mean emotional total scale scores for the SF-36 were 27.9 ± 8.5and 52.9 ± 9.9, respectively. ConclusionsArthrodesis of the knee joint causes significant kinematic changes in gait pattern,and patients achieve poor results in subjective and functional outcomes(SF- 36, LEFS).Arthrodesis ensures that the extremities are preserved and can enable walking, but it must be viewed as a severe handicap for the patient.

Developing a multivariate prediction model of falls among older community-dwelling adults using measures of neuromuscular control and proprioceptive acuity: A pilot study.

To examine whether measures of neuromuscular control and proprioceptive acuity were predictive of falls in an older community-dwelling population and to develop a multivariate prediction model. Fifty-eight adults aged above 60 living independently in the community were recruited for a prospective falls study. On entry, they undertook a Sensory Organisation Test (SOT) and an Active Movement Extent Discrimination Assessment (AMEDA) and completed a short fall risk questionnaire. Participants were monitored for falls over the subsequent 12 months. Prior to analysis, falls were classified into three categories based on the difficulty of the activity being undertaken and the demands of the environment in which the fall occurred. Logistic regression was used to predict the probability of a fall. For falls occurring under the least challenging circumstances, the model fitted using the AMEDA score and two of the questions from the fall risk questionnaire, related to balance and confidence, achieved a specificity of 87% and sensitivity of 83%. Falls occurring in more challenging circumstances could not be predicted with any accuracy based on the variables recorded at inception. This study highlights the importance of considering the heterogeneous nature of falls. Poorer proprioceptive acuity appears to play a role in falls occurring where neither the environment nor the activity is challenging, but not in falls occurring in other circumstances. Falls in the least-challenging circumstances affected 15% of participants, but this group was considerably more likely to have multiple falls, increasing their vulnerability to adverse consequences.

A novel technique of handling the blade for videolaryngoscopy intubation in patients with a semi-rigid neck collar: a prospective randomized controlled trial.

Semi-rigid neck collars to protect the cervical spine can limit the extent of neck movement and mouth opening; this may further complicate orotracheal intubation. We aimed to compare intubation environments obtained with videolaryngoscopy using the technique of gliding a blade under the epiglottis and that obtained using the conventional Macintosh blade technique of blade tip placement on the vallecula. This prospective randomized study included patients aged ≥ 20 years with American Society of Anesthesiologists physical status I-III scheduled for cervical spine surgery between October 2020 and August 2021. Patients were divided into two groups according to the placement of the blade of the McGrathTM videolaryngoscope: the gliding and conventional groups. The percentage of glottic opening (POGO) score was the primary endpoint. We also recorded the time to obtain the optimal laryngoscopic view, intubation duration, and ease and satisfaction of the researcher performing intubation. Among 176 patients, the POGO scores were significantly higher in the gliding group than in the conventional group (88.9 ± 14.7 vs. 63.8 ± 27.4, P < 0.001). The time to achieve the optimal glottic view for intubation and duration of intubation were also shorter, and ease and satisfaction in performing intubation were better in the gliding group than in the conventional group. Our findings demonstrated a superior glottic view and more favorable intubation environments when the blade tip was placed under the epiglottis than using the conventional Macintosh technique in patients with immobilized cervical spine.

SARS-CoV-2 wastewater-based epidemiology in an enclosed compound: A 2.5-year survey to identify factors contributing to local community dissemination

Long-term (>2.5 years) surveillance of SARS-CoV-2 RNA concentrations in wastewater was conducted within an enclosed university compound. This study aims to demonstrate how coupling wastewater-based epidemiology (WBE) with meta-data can identify which factors contribute toward the dissemination of SARS-CoV-2 within a local community. Throughout the pandemic, the temporal dynamics of SARS-CoV-2 RNA concentrations were tracked by quantitative polymerase chain reaction and analyzed in the context of the number of positive swab cases, the extent of human movement, and intervention measures. Our findings suggest that during the early phase of the pandemic, when strict lockdown was imposed, the viral titer load in the wastewater remained below detection limits, with <4 positive swab cases reported over a 14-day period in the compound. After the lockdown was lifted and global travel gradually resumed, SARS-CoV-2 RNA was first detected in the wastewater on 12 August 2020 and increased in frequency thereafter, despite high vaccination rates and mandatory face-covering requirements in the community. Accompanied by a combination of the Omicron surge and significant global travel by community members, SARS-CoV-2 RNA was detected in most of the weekly wastewater samples collected in late December 2021 and January 2022. With the cease of mandatory face covering, SARS-CoV-2 was detected in at least two of the four weekly wastewater samples collected from May through August 2022. Retrospective Nanopore sequencing revealed the presence of the Omicron variant in the wastewater with a multitude of amino acid mutations, from which we could infer the likely geographical origins through bioinformatic analysis. This study demonstrated that long-term tracking of the temporal dynamics and sequencing of variants in wastewater would aid in identifying which factors contribute the most to SARS-CoV-2 dissemination within the local community, facilitating an appropriate public health response to control future outbreaks as we now live with endemic SARS-CoV-2.

Breeding phase and outcome determine space use in European rollers Coracias garrulus prior to migration.

The breeding period is a demanding and time-constrained phase for migratory bird species. Breeding outcome and duration can interact with the extent and duration of post-breeding movements, resulting in individual differences in space use ultimately influencing later stages of the annual cycle. We present space-use and home range estimates during the breeding season for 21 European rollers Coracias garrulus tracked between 2018 and 2022, in Italy and Croatia. Using high-resolution spatial GPS data coupled with regular nest-box monitoring, we analyzed differences in space use during the incubation/nestling period versus post-breeding period prior to migration, accounting for the breeding outcome (successful vs. failure). We found that adult movements were strongly reduced during the first phase, whereas increased in the post-breeding phase, especially for failed breeders. Successful breeders remained in the surroundings of the nest site, whereas unsuccessful ones tended to abandon the nest and visit distant areas (up to 500 km) for long periods (60.5 ± 6.2 days). Breeding outcome did not influence the departure date of autumn migration, suggesting that failed breeders used this period for exploratory movements but not for advancing the onset of migration. Such exploratory movements may be functional to prospect and inform settlement decisions in failed breeders in search of new breeding opportunities and may be particularly important in migratory species, which generally have a limited period to gather information prior to autumn migration. The study demonstrates the need to investigate seasonal movements in different populations and the potential importance of prospecting post-breeding movements for long-distance migratory species.

Natal colony influences age-specific movement patterns of the Yellow-legged gull (Larus michahellis)

BackgroundAs for other life history traits, variation occurs in movement patterns with important impacts on population demography and community interactions. Individuals can show variation in the extent of seasonal movement (or migration) or can change migratory routes among years. Internal factors, such as age or body condition, may strongly influence changes in movement patterns. Indeed, young individuals often tend to move across larger spatial scales compared to adults, but relatively few studies have investigated the proximate and ultimate factors driving such variation. This is particularly the case for seabirds in which the sub-adult period is long and difficult to follow. Here, we examine migration variation and the factors that affect it in a common Mediterranean seabird, the Yellow-legged gull (Larus michahellis).MethodsThe data include the encounter histories of 5158 birds marked as fledglings between 1999 and 2004 at 14 different colonies in southern France and resighted over 10 years. Using a multi-event mark-recapture modeling framework, we use these data to estimate the probability of movement and survival, taking into account recapture heterogeneity and age.ResultsIn accordance with previous studies, we find that young individuals have greater mobility than older individuals. However, the spatial extent of juvenile movements depends on natal colony location, with a strong difference in the proportion of sedentary individuals among colonies less than 50 km apart. Colony quality or local population dynamics may explain these differences. Indeed, young birds from colonies with strong juvenile survival probabilities (~ 0.75) appear to be more sedentary than those from colonies with low survival probabilities (~ 0.36).ConclusionsThis study shows the importance of studying individuals of different ages and from different colonies when trying to understand seabird movement strategies. Local breeding success and the availability of food resources may explain part of the among colony differences we observe and require explicit testing. We discuss our results with respect to the feedback loop that may occur between breeding success and mobility, and its potential implications for population demography and the dissemination of avian disease at different spatial scales.

Structural insights into promiscuous GPCR-G protein coupling.

G protein-coupled receptors (GPCRs) transduce extracellular signals across biological membranes by activating heterotrimeric Gαβγ proteins. There are 16 different human Gα proteins grouped into four families (GS, Gi/O, Gq/11 and G12/13), each one activating different signaling cascades. Around 50% of non-olfactory GPCRs activate more than one type of Gα proteins with different efficacy and kinetics, triggering a fingerprint-like signaling profile. In this chapter we review the GPCR-G protein promiscuity landscape and discuss recent structures of GPCRs coupled to different Gα proteins. Overall, the size and shape of the intracellular cavity (determined by the extent of outward movement of TM6) is maintained when the receptor is coupled to different Gα proteins, and is determined by the type of primary Gα coupling. The “sub-optimal” secondary Gα coupling is further supported by interactions with the intracellular loops, with ICL2 and ICL3 having a relevant role in promiscuous couplings

Model Construction and Parameters Acquisition of the Predicted Surface Movement Deformation under Thick Loose Layer Mining Area

In China, gas and oil reserves are very scarce, but coal resources are abundant in the energy architecture, which decides that coal will remain the dominant energy source for a long time in the future. The accurate prediction of the size and extent of surface movement after coal seam mining is of great significance for the safe promotion of production activities in the mine area and the safety of people’s lives and properties in the mine area. The surface movement deformation under thick loose seam conditions indicates the phenomenon of a large subsidence value and influence range. To predict the size and range of surface movement deformation under thick loose layer conditions accurately, a hyperbolic secant model is constructed based on the hyperbolic secant function. For high nonlinearity of the model parameters, the adaptive step fruit fly algorithm (ASFOA) is introduced into the process of solving the model parameters. Simulation experiments are conducted in three aspects: monitoring point antideficiency, antigross error, and parameter stability. The simulation results show that the ASFOA algorithm achieves high accuracy in finding the parameters of the hyperbolic secant model. The hyperbolic secant model was applied to the 11111 working face under the mining conditions of thick loose layer geology in the Huainan mine. The engineering application results indicate that the hyperbolic secant model performs well on the prediction of surface movement deformation under thick loose layer conditions.

Oscillatory neurofeedback networks and poststroke rehabilitative potential in severely impaired stroke patients

Motor restoration after severe stroke is often limited. However, some of the severely impaired stroke patients may still have a rehabilitative potential. Biomarkers that identify these patients are sparse.Eighteen severely impaired chronic stroke patients with a lack of volitional finger extension participated in an EEG study. During sixty-six trials of kinesthetic motor imagery, a brain-machine interface turned event-related beta-band desynchronization of the ipsilesional sensorimotor cortex into opening of the paralyzed hand by a robotic orthosis. A subgroup of eight patients participated in a subsequent four-week rehabilitation training. Changes of the movement extent were captured with sensors which objectively quantified even discrete improvements of wrist movement. Albeit with the same motor impairment level, patients could be differentiated into two groups, i.e., with and without task-related increase of bilateral cortico-cortical phase synchronization between frontal/premotor and parietal areas. This fronto-parietal integration (FPI) was associated with a significantly higher volitional beta modulation range in the ipsilesional sensorimotor cortex. Following the four-week training, patients with FPI showed significantly higher improvement in wrist movement than those without FPI. Moreover, only the former group improved significantly in the upper extremity Fugl-Meyer-Assessment score.Neurofeedback-related long-range oscillatory coherence may differentiate severely impaired stroke patients with regard to their rehabilitative potential, a finding that needs to be confirmed in larger patient cohorts.

Movement and habitat selection of a large carnivore in response to human infrastructure differs by life stage

BackgroundThe movement extent of mammals is influenced by human-modified areas, which can affect population demographics. Understanding how human infrastructure influences movement at different life stages is important for wildlife management. This is true especially for large carnivores, due to their substantial space requirements and potential for conflict with humans.MethodsWe investigated human impact on movement and habitat selection by GPS-collared male brown bears (Ursus arctos) in two life stages (residents and dispersers) in central Sweden. We identified dispersers visually based on their GPS locations and used hidden Markov models to delineate dispersal events. We used integrated step selection analysis (iSSA) to infer movement and habitat selection at a local scale (availability defined by hourly relocations), and resource selection functions (RSFs) to infer habitat selection at a landscape scale (availability defined by the study area extent).ResultsMovement of residents on a local scale was facilitated by small forestry roads as they moved faster and selected areas closer to forestry roads, and they avoided areas closer to larger public roads and buildings on both scales. Dispersers were more ambivalent in their response to human infrastructure. Dispersers increased their speed closer to small forestry roads and larger public roads, did not exhibit selection for or against any road class, and avoided areas closer to buildings only at local scale. Dispersers did not select for any features on the landscape, which is likely explained by the novelty of the landscape or their naivety towards it.ConclusionOur results show that movement in male brown bears is life stage-dependent and indicate that connectivity maps derived from movement data of dispersing animals may provide more numerous and more realistic pathways than those derived from resident animal data alone. This suggests that data from dispersing animals provide more realistic models for reconnecting populations and maintaining connectivity than if data were derived from resident animals alone.

Another Look at Fatigued Individuals with and without Chronic Ankle Instability: Posturography and Proprioception.

Fatigue can impair function of the three sensory systems (vestibular, visual, and somatosensory) that control postural balance. Yet impairment may be greater among individuals with than those without chronic ankle instability (CAI). The present study used posturography assessment to extend previous findings demonstrating reduced function of the three systems in CAI participants following fatigue. Our aim in this study was to examine the influence of anaerobic and aerobic protocols on the function of these three sensory systems in individuals with and without CAI. We assessed 60 healthy physical education students (Mage = 24.3, SD = 3.4) by a Tetrax® Posturography device for Stability-Index and Fourier-frequencies [low sway (F1) visual input, medium-low sway (F2-F4) vestibular input, medium-high sway (F5-F6) somatosensory input] and by the Active Movement Extent Discrimination Assessment (AMEDA) for active ankle somatosensory ability, before and after performing anaerobic or aerobic protocols. Among participants, 45% were identified with CAI. We found significant Time effect (pre-post), CAI effect, and CAI X Time interactions for Fourier frequencies, Stability-Index, and AMEDA scores, indicating greater pre-post deterioration for those with CAI compared to those without CAI (p < .05). CI (95%) showed that, although there was a Time effect for F1, F2-F4, and F5-F6, only F5-F6 frequencies (i.e., somatosensory input) showed the CAI effect and the Time X CAI interaction. Thus, participants with and without CAI showed reduced visual, vestibular, and somatosensory ability following fatigue. While we found greater deterioration in both passive and active somatosensory ability (F5-6 and AMEDA) among individuals with CAI compared with those with no-CAI, we recommend intervention programs for improving vestibular abilities following fatigue in both those with and without CAI.

Mechanism of voltage gating in the voltage-sensing phosphatase Ci-VSP

Conformational changes in voltage-sensing domains (VSDs) are driven by the transmembrane electric field acting on the protein charges. Yet, the overall energetics and detailed mechanism of this process are not fully understood. Here, we determined free energy and displacement charge landscapes as well as the major conformations visited during a complete functional gating cycle in the isolated VSD of the phosphatase Ci-VSP (Ci-VSD) comprising four transmembrane helices (segments S1 to S4). Molecular dynamics simulations highlight the extent of S4 movements. In addition to the crystallographically determined activated "Up" and resting "Down" states, the simulations predict two Ci-VSD conformations: a deeper resting state ("down-minus") and an extended activated ("up-plus") state. These additional conformations were experimentally probed via systematic cysteine mutagenesis with metal-ion bridges and the engineering of proton conducting mutants at hyperpolarizing voltages. The present results show that these four states are visited sequentially in a stepwise manner during voltage activation, each step translocating one arginine or the equivalent of ∼1 e0 across the membrane electric field, yielding a transfer of ∼3 e0 charges in total for the complete process.

Diagnosing Disk-Space Variation in Transformer Windings Using High-Frequency Inductance Measurement

Leakage and magnetizing inductances of transformer windings are routinely measured by power utilities during scheduled maintenance. They are often used to confirm the diagnosis of mechanical damages in windings after Swept Frequency Response Analysis shows a mismatch. Inductance measurements performed at power frequency can possibly reveal the presence of damages that have substantially progressed but cannot detect them at their nascent stages since inductances at power frequency remain almost unaltered. This paper investigates the possibility of using high-frequency inductance to this end considering a frequently encountered mechanical damage, viz., disk-space variation in a disk winding. Effect of disk-space variation is investigated in this article using FEM at first and inductances at different frequencies are considered: magnetizing and leakage inductances at 50 Hz, and inductance at a higher frequency region corresponding to winding resonances, say, 500 kHz. The inductance at high frequencies not only exhibited increased sensitivity compared to that at power frequency, but also captured the extent of damage. Simulations performed using Ansys Maxwell and experimental results on an actual 1- <inline-formula xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><tex-math notation="LaTeX">$\phi$</tex-math></inline-formula> transformer are reported. Results show that the high-frequency inductance not only offers a considerably increased sensitivity to disk-space variation in windings compared to the power frequency inductances, but also provides insight regarding the extent of movement which is not apparent from the frequency response.

Age-related proprioceptive decline is not seen in lifelong skiing and snowboarding participants: Lessons for balanced active healthy ageing

ObjectivesAnkle proprioception is important for effective human movement and thus active healthy aging. Chronic ankle instability (CAI) may be a contributing factor in proprioception decline. Proprioception and aging research indicate that there is age-related decline in proprioception, however, most research has been on activities conducted in flat, even, and unchanging environments. Thus, to support active healthy aging theory and practice across diverse real-world environments this research explores snowsports activities that are conducted in more dynamic environments and that may be participated in across the lifespan. DesignThis research used a cohort comparison approach to study whether regular snowsport participation (i.e., skiing and snowboarding) is correlated with i) age-related proprioception decline, and ii) proprioception deficits observed with CAI. Methods142 advanced and elite snowsport participants (age-range 12–70 years), were recruited over a two-year period. Participants completed a questionnaire that included: prior snowsport experience, ankle injury history and the Identification of Functional Ankle Instability scale (IdFAI). Lower limb proprioception was tested using the Active Movement Extent Discrimination Assessment (AMEDA) device. ResultsThere were no significant differences in AMEDA scores between i) age categories; ii) those with or without CAI; nor iii) between females and males. ConclusionsThese results show that regular snowsport participation such as skiing and snowboarding, that occur in dynamic and changing environments, may i) protect against age-related proprioception decline, and ii) provide a rehabilitative effect for CAI. Thus, snowsport participation may be beneficial for active healthy aging and fall prevention.

IMPACT OF FLOATING EXCHANGE RATE ON ECONOMIC INDICATORS OF BANGLADESH: A CASE STUDY

In past few years there has been a lot of controversy about the appropriateness of the exchange rate system adopted by the country. Bangladesh has been pursuing a liberal trade policy consistent with the trend of free market economy and WTO agreement. In process of liberalization of the economy, Bangladesh adopted a free-floating exchange rate system since May 31, 2003. The level and extent of movement of exchange rate have a significant impact on the macroeconomic variables of the economy. On the other hand, unsustainable economic policies and other factors also lead to a volatile exchange rate. Both the fixed and floating exchange rates have their own merits and demerits. The present article offers an analytical discourse on the prospects and implications of floating exchange rate in Bangladesh. The study is mainly exploratory in nature. In this study the authors have tried to assess the impact of new exchange rate system on the economy of an underdeveloped country like Bangladesh.

Strontium and stable oxygen isotope analysis in the Classic and Postclassic northern Maya lowlands of the Yucatan Peninsula: An analysis of social and sex-related reasons for population movement

Yucatan Peninsula’s northern Maya lowlands witnessed intense socio-political and commercial changes during Classic and Postclassic periods. Migration was part of many important changes, and isotopic analyses allow quantification of the extent of population movement and the migrants’ potential places of origin by sex, age, and other social determinants. The purpose of the present analysis is to highlight regional migration patterns using published data that move beyond site-specific interpretations. Overall, the picture that emerges is that mobility in the region was not limited to one specific sex or age group, nor was it the prerogative of any social level. A variety of reasons lay behind population movement, including trade, kinship, marital residence, and elite marriage alliances that served to reinforce power or establish new outposts. Regional analyses and comparison of large datasets will provide a better understanding of this complex and tangled process that shaped society on the Yucatan peninsula for millennia.

Ankle Inversion Proprioception Impairment in Persons with Chronic Ankle Instability Is Task-Specific.

While investigators have often compared ankle proprioception between groups with and without chronic ankle instability (CAI), findings have been inconsistent. Possibly this is because ankle proprioceptive impairment in this population is task-specific. Thus, we aimed to compare ankle inversion proprioception in individuals with and without CAI in two task conditions: (i) when standing (not challenging) and (ii) when on a step-down landing (minimally-challenging). Ankle inversion proprioception was measured in both conditions for 38 recreational sport player volunteers with CAI (n = 19) and without CAI (n = 19). We used the Active Movement Extent Discrimination Apparatus (AMEDA) for the standing condition and the Ankle Inversion Discrimination Apparatus-Landing (AIDAL) for step-down landing. From analysis of variance (ANOVA) tests, CAI and non-CAI participants performed equally well on the AMEDA when standing; but the CAI group performed significantly worse than the non-CAI group on the AIDAL step-down landing task (p = 0.03). Within the non-CAI group, the AIDAL proprioceptive scores, as area under the receiver operating characteristics curve (AUC), were significantly higher than their AMEDA AUC scores (p = 0.03), while there was no significant difference between AIDAL and AMEDA AUC scores in the CAI group. Cumberland Ankle Instability Tool CAIT scores were significantly correlated with AIDAL scores (Spearman's rho = 0.391, p = 0.015), but not with the AMEDA scores; and there was no significant correlation between the AIDAL and AMEDA scores. Thus, an ankle inversion proprioceptive deficit was evident for persons with CAI on the step-down AIDAL, and in a dose-response way, but not evident on the standing AMEDA, suggesting that ankle proprioceptive impairment is task-specific. Selected proprioceptive tests must present some minimal degree of challenge to the ankle joint in a functional task in order to differentiate CAI from non-CAI participants.

Effect of Orthognathic Surgery on Movement of the Cheilion.

The cheilion (Ch), corner of the mouth, is the soft-tissue landmark where the upper and lower lips intersect. Orthognathic surgery can modify Ch position, which can affect facial esthetics. The aims were to evaluate Ch movements resulting from Le Fort I maxillary advancement with maxillary impaction or downgrafting, and with mandibular advancement or setback, and to investigate relationships between surgical movements and Ch movements. The 45 patients had undergone bilateral sagittal split ramus osteotomy with Le Fort I advancement surgery. They were divided into 4 groups according to surgical movement direction. Preoperative and postoperative photographs were calibrated. Standardized methods were used to identify and measure preoperative and postoperative Ch positions. Significant correlations were detected between extent of maxillary downgrafting and inferior movement of the Ch in group 1 ( r =0.988, P =0.001) and group 3 ( r =0.915, P =0.001). Also, significant correlations were detected between extent of mandibular advancement and anterior movement of the Ch in group 3 ( r =0.561, P =0.046) and group 4 ( r =0.661, P =0.005). The findings indicate that, in patients who undergo bilateral sagittal split ramus osteotomy/Le Fort I surgeries, mandibular advancement moves Ch anteriorly and maxillary downgrafting moves Ch inferiorly.