UF Health Shands Rehab Hospital

The purpose of this study was to determine if lower-limb dominance is a potential etiologic factor in noncontact anterior cruciate ligament (ACL) tears. A multicenter retrospective case analysis was performed. In each of the participating centers, patients were questioned to confirm a noncontact ACL injury and to determine lower-limb dominance. Three hundred and two subjects (149 males and 153 females) who presented with unilateral noncontact ACL tears participated in the study. The relationships between limb dominance, side of injury, and gender were analyzed. There was no significant correlation between the side of injury and the dominant limb for kicking (p = 0.30). There was no significant gender effect of the relationship between side of injury and dominant limb (p = 0.36). When assessing gender types and side of ACL tears, females showed a strong trend toward tearing the left ACL more frequently than the right (p = 0.06). No such trend existed for males. The results of this study indicate that there is no significant relationship between lower-limb dominance and the likelihood of sustaining a noncontact ACL tear. However, the strong trend toward females tearing their left ACLs more often than their right ACLs warrants further investigation to determine what neuromuscular asymmetries may exist between the right and left lower limbs.

We describe a patient with inordinate impairment in oral picture naming (as opposed to oral naming to definitions and viewed gestures). His naming errors were primarily semantically related or perseverative responses. He also had greater difficulty gesturing in response to viewed pictures than gesturing to verbal commands, and produced many semantic and perseverative gesture errors. He performed relatively well in some visual tasks (e.g. matching, object decision, and drawing), but was impaired on others (e.g. copying pictures). He had intact abilities for basic semantic processing of pictures (category sorting, cross-modal matching), but he demonstrated impairment in picture comprehension tasks requiring more detailed semantic information (matching associated pictures). We propose that this patient's impairment may be classified as optic aphasia and optic apraxia, and not visual associative agnosia in which we expect greater recognition Impairment. Current cognitive models that attempt to explain optic aphasia would have difficulty accounting entirely for this patient's impairments. We suggest that the information gained from right hemisphere visual processing is unable fully to activate and specify phonological and gestural output representations in the left hemisphere, either directly or by way of right hemisphere semantic processing.

Abstract Results of preliminary psychometric evaluations of the Acute Aphasia Screening Protocol are presented. This protocol demonstrates good concurrent validity with the Western Aphasia Battery and good content and construct validity when compared to existing aphasia batteries. Test-retest reliability is high, indicating temporal stability of the procedure. Preliminary interjudge reliability is high within and across patients. These results indicate that the AASP may be a useful clinical tool for aphasia assessment when used for its specified purposes. The need for additional psychometric evaluation is described.