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Biomedical subjects

R D Selbie

Publications and source records attributed to R D Selbie.

7 recordsLinked to original sources

The variability of force platform data in normal and cerebral palsy gait.

OBJECTIVE: To determine the natural variability and symmetry of force platform parameters in normal and cerebral palsy gait. DESIGN: Force platform data has been analysed using coefficient of variation, analysis of variances and symmetry index. BACKGROUND: It is important to establish the natural variability of force platform data so that changes in gait due to natural variability and those due to intervention can be determined. METHODS: Force platform data and walking speed were recorded in 15 normal volunteers and 11 children with cerebral palsy on 3 consecutive days. Five recordings were made of each leg on each day. RESULTS: The force platform parameters in both groups showed greater asymmetry in the horizontal plane. In the cerebral palsy group significant asymmetry was found in all 3 directions. The variation of the vertical ground reaction force peaks (Fz1 and Fz3) and of the anterior-posterior negative peak (Fy3) for both groups was low. Fz3 was the most reproducible force parameter. The other force parameters showed high variability and are not considered reliable measures of gait. The temporal parameters and the walking speed were reproducible measures. CONCLUSIONS: Only selected ground reaction force parameters showed acceptable stability and reproducibility. Therefore caution has to be taken in the selection of these parameters, when assessing the effects of any intervention on cerebral palsy gait.

Adult↗

Respiratory function parameters in infants using inductive plethysmography.

A signal processing technique has been developed to determine respiratory function parameters by processing displacement data obtained from the abdomen and the rib cage of infants using respiratory inductive plethysmography. The technique transforms time-variant signals into the frequency domain, where they are filtered to reduce unwanted signal components. The phase relationship between the abdominal displacement and the rib cage displacement is determined from the phases of the filtered signals. Flow-volume loops, which are currently of great interest in respiratory medicine, are obtained from waveforms representing respiratory tidal flow and respiratory tidal volume. The index of respiratory timing is determined from a waveform representing respiratory tidal flow. The technique has been verified by statistical comparison with data simultaneously obtained using pneumotachography in a clinical study involving 49 infants.

Artifacts↗

Oesophageal carcinoma demonstrated by whole-body nuclear magnetic resonance imaging.

The quality of the images produced by nuclear magnetic resonance (NMR) imaging has steadily improved over the past five years. Images of the head, thorax, and abdomen have clearly shown the normal anatomy. A clinical trial of NMR imaging has therefore been started in Aberdeen to assess its diagnostic accuracy and compare it with conventional radiography and other imaging technique. The first patient examined by whole-body NMR imaging had carcinoma of the oesophagus diagnosed on barium meal examination. A technetium-99m-sulphur colloid liver scan also showed hepatic metastases. NMR imaging showed a large tumour in the lower third of the oesophagus, and areas of increased proton spin-lattice relaxation time (T1) on a section through the liver corresponded with the metastases shown on the radionuclide scan. Increased areas of T1 were present in some vertebrae, and a technetium-99m bone scan confirmed the presence of bone metastases. The NMR images in this patient compared well with the images from other techniques. The continuing clinical trial may show that NMR is an accurate diagnostic aid which will complement existing techniques for diagnosing intrathoracic and intra-abdominal conditions.

Adenocarcinoma↗