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Biomedical subjects

K M Kleinman

Publications and source records attributed to K M Kleinman.

At least 19 recordsLinked to original sources
PubMed1980

Incentives to enhance the effects of electromyographic feedback training in stroke patients.

The use of monetary incentives to enhance the effects of electromyographic (EMG) feedback training was studied in five stabilized stroke patients with hemiplegia. The study was divided into Baseline, EMG Feedback Training, Feedback Training Plus Incentives, and Follow-up treatment conditions. Integrated EMG activity was recorded simultaneously from the anterior tibialis and medial gastrocnemius muscles during relaxation and dorsiflexion of the affected foot. Patients were instructed to try to increase anterior tibialis EMG activity while decreasing EMG activity in the medial gastrocnemius. Range of motion was measured both prior to and immediately following the Baseline and Feedback Training conditions. Results suggested that (a) EMG feedback training produced greater EMG control and range of motion than did unassisted practice, and (b) the addition of monetary incentives may enhance the effects of feedback training, possibly through its effect on patient motivation.

Adult↗
PubMed1976

The relationship between independent neuropsychological and neurological detection and localization of cerebral impairment.

Seventy-eight patients referred to the Neurology Service of St. Louis Veterans Administration Hospital were independently diagnosed by a neurologist and a psychologist. The latter utilized the Halstead Neuropsychological Test Battery, a series of tests known to be a sensitive indicator of the presence and localization of cerebral impairment. The following diagnostic categories were used: no brain damage, localized left hemisphere impairment, localized right hemisphere impairment, diffuse, diffuse with greater left hemisphere impairment, and diffuse with greater right impairment. Diagnostic agreement was present in all but five cases. Statistical analyses of data from the Halstead Battery supported the clinical analyses in terms of indicating both the presence and, to a lesser degree, the location of organic impairment. Advantages of describing the consequences of organic impairment in objectively measured, quantifiable behavioral terms were discussed and an illustrative case history was presented. It was concluded that psychological test data are a clinically useful supplement to neurological diagnostic information.

Adult↗
PubMed1976

A comparison of interhemispheric transmission times as measured by verbal and manual reaction time.

Interhemispheric transmission times (IHTTs) were calculated for 33 right-handed subjects. Verbal and manual response times (RTs) were recorded to visual stimuli exposed in either the left or right visual fields (LF, RF) for 50 msec. Each subject received 15 stimuli (dots) in the LF (1.5 degrees to the left of fixation), 15 stimuli in the RF, and 15 blank trials in both the verbal and manual response condition. IHTTs were calculated for each subject by subtracting the mean RF RT (I.E., uncrossed path) from the means LF RT (i.e., crossed path). Results indicated a nonsignificant IHTT obtained under the manual response condition of 5 msec and a highly significant IHTT obtained under the verbal response condition of 20 msec. While no significant correlation was found between IHTTs obtained under both response conditions, high correlations were found between component RT measures (i.e., manual RF RT, manual LF RT, verbal RF RT, and verbal LF RT). Thus, IHTT is independent of simple RT.

Brain↗