The purpose of this systematic review and meta-analysis is to evaluate the long-term efficacy of Extracorporeal Shock Wave Therapy (ESWT) on reducing lower limb post-stroke spasticity in adults. A systematic electronic search of PubMed/ MEDLINE, Physiotherapy Evidence Database (PEDro), Scopus, Ovid MEDLINE(R), and search engine of Google Scholar was performed. Publications that ranged from January 2010 to August 2020, published in English, French, Spanish, Portuguese, and Italian language and available as full texts were eligible for inclusion and they were searched without any restrictions of country. The study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and followed the recommendations of the Cochrane Handbook for Systematic Reviews of Interventions. Two authors screened the references, extracted data, and assessed the risk of bias. The primary outcome was spasticity grade mainly assessed by the Modified Ashworth Scale (MAS). Secondary outcomes were passive range of motion (PROM), pain intensity, electrophysiological parameters, gait assessment, and adverse events. A total of seven recent randomized controlled trials (RCTs) were included in the systematic review and meta-analysis, and a beneficial effect on spasticity was found. The high level of evidence presented in this paper showed that ESWT ameliorates spasticity considering the parameters: MAS: standardized mean difference (SMD) = 0.53; 95% confidence interval (95% CI): (0.07–0.99); Modified Tardieu Scale (MTS): SMD = 0.56; 95% CI: (0.01–1.12); Visual Analogue Scale (VAS): SMD = 0.35; 95% CI: (−0.21–0.91); PROM: SMD = 0.69; 95% CI: (0.20–1.19). ESWT presented long-term efficacy on lower limb post-stroke spasticity, reduced pain intensity, and increased range of motion. The effect of this novel and non-invasive therapy was significant and the intervention did not present adverse events, proving a satisfactory safety profile.

Stroke remains one of the leading causes of disability in adults, and lower limb spasticity, affected stance, and balance impact everyday life and activities of such patients. Robotic therapy and assessment are becoming important tools to clinical evaluation for post-stroke rehabilitation. The aim of this study was to determine in a more objective manner the effects of visual feedback balance training through a balance trainer system and radial extracorporeal shock wave therapy (rESWT), along with conventional physiotherapy, on lower limb post-stroke spasticity, trunk control, and static and dynamic balance through clinical and stabilometric assessment. The study was designed as a randomized controlled trial. The experimental group underwent conventional physiotherapy, visual feedback balance training, and rESWT. The control group underwent conventional physiotherapy, visual feedback training and sham rESWT. The statistical analysis was performed using GraphPad Software and MATLAB. Primary clinical outcome measures were The Modified Ashworth Scale (MAS), passive range of motion (PROM), Visual Analogue Scale (VAS), and Clonus score. Secondary outcome measures were trunk performance, sensorimotor, and lower limb function. Stabilometric outcome measures were trunk control, static balance, and dynamic balance. Visual feedback training using the Prokin system and rESWT intervention, along with conventional physiotherapy, yielded statistically significant improvement both on clinical and stabilometric outcome measures, enhancing static and dynamic balance, trunk performance, sensorimotor outcome, and limb function and considerably diminishing lower limb spasticity, pain intensity, and clonus score in the experimental group.

This letter presents a novel inverse scattering method for estimating the radar cross section of a target placed in the Fresnel region of the radar antennas. By considering a constant current distribution on the transmitting antenna and a uniform illumination of the target and furthermore of the receiving antenna, the electromagnetic field is averaged over the apertures of the antennas. The hypothesis of a constant current distribution stands for ultra-wide band antennas, and a quasi-uniform illumination can be assumed for ranges within the Fresnel region and for the particular case where antenna and target sizes are in the same order as the distance to the target. A calibration procedure for the measurement setup is also proposed. A validation of the method through simulations and measurements in an anechoic chamber and in a real, multipath propagation environment is provided by using two different types of antenna systems.

In this paper, we propose a fast method for measuring the radar cross section of a complex target at non-normal incidences and Fresnel region antenna-to-target distances. The proposed method relies both on the physical optics approach and on averaging the field distribution over the transmitting and receiving antenna apertures. The ratio between the analytical expression of the radar cross section at far-field and Fresnel region results in a field-zone extrapolation factor. The RCS resulting from the scattering parameters measured at Fresnel region distances is then corrected with that field-zone extrapolation factor. The method is suitable to be used in a perturbed, multipath environment by applying the distance averaging technique, coupling subtraction or time gating. Our technique requires a very simple measuring configuration consisting of two horn antennas and a vector network analyzer. The experimental validation of the proposed technique demonstrates reasonable agreement with simulated radar cross section at non-normal incidence.

The single-antenna technique proposed in this paper was developed for measuring the radar cross-section at near-field distances in a real environment, from reflection coefficient measurements on the antenna. The near-field radar cross-section is corrected with an analytical factor calculated as a ratio between the radar cross-section computed at far-field and near-field. The analytical correction factor takes into account the effects of the diffraction at the edges of the target at incidence angles higher than 20°. An improved, distance averaging technique is proposed to reduce the multipath propagation effects. A time-gating procedure is additionally used in order to better isolate the reflection from the target and to remove the real environment contributions. The method was successfully tested on a rectangular metallic plate as a target over a wide frequency band, at normal and oblique incidence angles; however, it might also work for arbitrarily shaped targets, because they can actually be divided into small rectangular patches.

SoundThimble is an interactive sound installation based on the relationship between human motion and virtual objects in 3D space. A Vicon infrared motion capture system and custom software are used to track, interpret, and sonify the movement and gestures of a performer relative to a virtual object. We define three possible interaction dynamics, centered around object search, manipulation, and arrangement. We explore the resulting possibilities for layered sonification dynamics and extended perception and expression in internal tests as well as a public demonstration. Experimental evaluation reveals an average object search time of around 60 s, as well as thresholding ranges for effective gesture spotting. The underlying software platform is open source and portable to similar hardware systems, leaving room for extension and variation.