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DEFINITIONS:
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Aphasia:
(also called
dysphasia) defect in the
expression and comprehension of language caused by damage to the temporal and
the frontal lobes of the brain. Aphasia can be caused by a head injury, a tumour, a stroke, or an infection. Symptoms vary with the location and extent of
the brain tissues involved.
Damage to the frontal lobe may result in Broca aphasia. Individuals with this
form of aphasia are able to comprehend speech but have great difficulty
expressing their thoughts. People with Broca aphasia speak in short phrases that
include only nouns and verbs (telegraphic speech). Individuals with Wernicke
aphasia, which may result from damage to the temporal lobe, speak in long,
garbled sentences (word salad) and have poor speech comprehension. Global
aphasia may result from extensive brain damage. Individuals with global aphasia
exhibit symptoms of both Broca and Wernicke aphasia.
Speech therapy may be useful to treat aphasia. In some instances, improvement
may be due to assumption of some language functions by other areas of the brain;
recovery is usually incomplete, however. (From Encyclopaedia Britannica Deluxe Edition 2004)
Apraxia
the inability to carry out useful or skilled acts while motor power and mental
capacity remain intact. Apraxia is usually caused by damage to specific areas of
the cerebrum. Kinetic, or motor, apraxia affects the upper extremities so that
the individual cannot carry out fine motor acts, such as turning a key in a
lock, even though there is no muscle weakness.
Ideational apraxia is characterized by the inability to formulate a plan of
action. A plan is never fully organized, and the part that is organized cannot
be remembered long enough to be performed. Portions of an act may be completed
in an improper sequence. The individual may strike a match, for example, to
light a campfire but then will hold the match until it burns his fingers. This
type of apraxia is usually caused by a lesion of the cerebral cortex.
Ideokinetic apraxia is caused by an interruption of impulses in the association
tracts of the nervous system, so that there is no coordination between ideation
and motor activity. An affected individual will complain, for example, that he
cannot use his hand, but then he will slap a mosquito with it. People with
ideokinetic apraxia are unable to perform certain acts (e.g., whistling or
making a fist) upon command but are able to do so automatically. Ideokinetic
apraxia is usually caused by a lesion in the supramarginal gyrus of the cerebral
cortex.
Constructional apraxia, typically caused by a lesion in the right cerebral
hemisphere, is the inability to construct elements in the correct fashion to
form a meaningful whole—e.g., being unable to build a structure with blocks or
to copy a design. (From Encyclopaedia Britannica Deluxe Edition 2004)
Athetosis: Slow, purposeless, and involuntary
movements of the hands, feet, face, tongue, and neck (as well as other muscle
groups). The fingers are separately flexed and extended in an entirely irregular
way. The hands as a whole are also moved, and the arms, toes, and feet may be
affected. The condition is usually caused by malfunctioning of the basal ganglia
of the cerebrum. The movements may or may not continue during sleep. They cannot
be arrested for more than a moment by willpower and are aggravated by voluntary
movements. (From Encyclopaedia Britannica Deluxe Edition 2004)
Nerve signals are the electrical currents we
use to control our muscles. Nerve signals cause contractions within the muscle and
those contractions create electromyographic (EMG) signals which can be measured in
microvolts (μV). The sensors which are placed on the skin to detect these signals are called EMG
sensors.
When the spinal cord, or any other part of the neuromuscular system is impaired
by accident or condition (such as multiple sclerosis, ALS or cerebral palsy) or
by events and influences such as surgery and anaesthesia, those
electrical currents are impaired - but frequently are not completely shut down.
Even in paralyzed areas (such as an arm or leg), usable EMG signals can often be detected
within specific muscles.
In these cases, NeuroSwitch aims to utilize these signals to enable the person
to control Assistive Technology and designated computer programs.
In
the diagram, nerve-induced signals captured from the skin on the forearm by the
three white EMG sensors are collected and filtered by the black box, a TAI
NeuroEDUCATOR EMG monitor, and fed into the computer, where NeuroSwitch further
filters and analyses the signals, and turns them into commands to control
programs and attached electronic and robotic devices.
The key to the success of the NeuroSwitch system
is in its patented algorithms which enable the
system to respond in real-time to any change in a person's neuromuscular state.
As you will know, people with disabilities experience frequent and often
substantial neuromuscular fatigue, change in response, and neuromuscular states
including
Spasticity and
athetosis
Spasticity - a state of increased muscular tone
in which abnormal stretch reflexes intensify muscle resistance to passive
movements. (Definition from the
National Institutes of Neurological Disorders and Stroke).
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