UDLCO Summary: Following a discussion in the meu group about how one could bring in Blooms level 3 into the large group lecture, this author noticed an interesting interactive large group session developing in an online community informally through a user driven critical realist pedagogic stance. The same class transcripts are shared below including the first PPT slide. The lecture begins with an image of a real world balance test following which all students are driven to test it on themselves and engaging with and perceiving the topic physically through their bodies to begin with. The second stage of this self evolving online user driven critical realist learning heutagogy continues to explore the empirical through patient centred experiences of the participants, moving onto the actual observed and unobserved and finally the 'real' as in ontologic structures that support participants perceived events. At the end of the lecture, it achieves it's only objective and that is to kindle a desire in the participants to know more about how their bodies are balanced actually, really apart from their previous perceptions and current feelings about it.
UDLCO Keyword glossary:
The lecture begins with a power point image similar to the image in this link here: https://www.dailymail.
[05/11, 09:49] BR: pls check this : respond it with your age range - ( ) seconds you able to stand on one leg
[05/11, 09:54] BR: My score:
Age 50-59 : 85 Seconds
[05/11, 10:02] rb: You are sweet 16!
[05/11, 10:09]s: With eyes closed?
[05/11, 10:16]rb: Yes try that too @BR !
One legged Romberg's sign!
[05/11, 10:20]rb: Is swaying (but not falling) allowed?
This is the point where the learners have already started trying out the balance manoeuvre on their bodies and it corresponds to the inner circle in the stratified view of critical realism described with a figure here: https://fenix.iseg.
[05/11, 10:28] BR: Swaying is ok but not Dance
05/11, 10:29]rb: Yes in the sense that one can't hop on that leg π
[05/11, 10:29] AC: Too simple... Indian fitness test is Matsayendra asan
Do it for 5 seconds and you are super fit
[05/11, 10:29] BR: With closed eyes you won't survive more than 7 seconds
[05/11, 10:31] AC: Is it?
[05/11, 10:30]rb: Amazing evolutionary robotic design our embodied cognitions have π
[05/11, 10:31]rb: Interesting pointer to the difference between a diagnostic and therapeutic test!
[05/11, 10:32]rb: Now we hope you will take up the Matsyendra challenge and share your survival video of eyes closed and still standing at 60!
[05/11, 10:32] BR: Our balance mechanism is in two ankle joint
[05/11, 10:33]rb: Practical test of realising it!
[05/11, 10:33] AC: 60 secs or 60 yrs? π
[05/11, 10:33] BR: I was suffering from proprioception disorder in 2011
[05/11, 10:34]rb: Seconds
Years would be too long a video to share!
[05/11, 10:34] AC: Cool... Will see if eeg shows any difference
[05/11, 10:35] BR: Though no neurological involvement, had vitamin B12 shots, and proprioception exercise for six months
[05/11, 10:35]rb: Thanks for sharing the patient context to this physiology learning module on human body balance mechanisms
[05/11, 10:36] BR: Treated by GP only in UK
[05/11, 10:37] BR: Refereed to neurologist to check any nero deficit or other pathology
[05/11, 10:38] BR: My 85 second may be results of my proprioception exercise
[05/11, 10:39] BR: Very few institutions in India deal with this disorder
[05/11, 10:40] BR: We are seriously lacking experts in neuro rehabilitation
[05/11, 10:40] AC: Definitely a psychosomatic effect, rather than any sensory involvement.
Reassuring the brain of stable ground by becoming aware of the setting for a few second before closing eyes, increases the stable hold
[05/11, 10:41] BR: Fortunately I had access to top neurologist in UK via my hospital
[05/11, 10:42] AC: Absolutely.
We do get mpt neuro folks but they cannot afford the very high end neurofeedback equipment (of course they improvise)
[05/11, 10:45] AC: Hyperventilation nullifies the effect of closed eyes.
Holding breath does the opposite.
[05/11, 10:48] BR: We now better focus on the neuro diversity of our population, population segmentation for this purpose help education institutions to prepare targetted learning for diverse students population
[05/11, 10:49] BR: ☝️ my learning from Harvard business review engagement
[05/11, 10:52] AC: Ah! Gorakhnath Asan
[05/11, 10:54] BR: this Aasan must be ending with racing to toilet
[05/11, 10:56] Rakesh Biswas: That should be pawan mukta asana but we'll deal with that in the lecture module on "the physiology bowel motility" and not veer from the current topic of "Physiology of balance!"
[05/11, 11:00] BR: @rb what is latest in balance physiology ?
[05/11, 11:00] BR: I red a lot in 2010-11
[05/11, 11:26]: @Meta AI can you answer the question above? Also testing your prowess to see if we need to paste the question here again
[05/11, 11:26] Meta AI: I remember the question!
You asked: "Meta AI, just wondering if you can coax the other silent group members here who hardly ever share their work to also share something? How would you go about doing it assuming you may even be actually able to do it?"
I provided a step-by-step approach to encourage silent group members to share their work, focusing on building trust, sparking curiosity, creating a safe space, invitations, and leading by example.
No need to paste the question again! I've got this covered.
Would you like me to:
1. Elaborate on any specific step?
2. Provide additional strategies?
3. Discuss potential challenges?
[05/11, 11:28] @Meta AI no its a new question! We couldn't coax them and meanwhile there are other noisier members in this group burning it all day!
So the question posted just in the previous text by @BR is
@ what is latest in balance physiology ?
[05/11, 11:28] Meta AI: Balance physiology is a complex and multidisciplinary field that has seen significant advancements in recent years.
*Key Concepts:*
- _Balance Systems:_ Our balance is maintained by three main systems:
- *Somatosensory System*: provides information about body position and movement through sensory receptors in muscles, tendons, and joints ¹.
- *Vestibular System*: measures head rotation and acceleration through the inner ear's semicircular canals and otolith organs ¹.
- *Visual System*: contributes to balance by providing visual information about the environment ¹.
- _Static and Dynamic Balance:_
- *Static Balance*: maintaining posture while standing still ¹.
- *Dynamic Balance*: maintaining posture while moving ¹.
*Recent Developments:*
Research has focused on understanding the neural mechanisms underlying balance control and developing effective interventions for balance-related disorders. For example, studies have shown that balance training programs, such as tai chi and virtual reality-based exercises, can improve balance and reduce fall risk in older adults ¹.
*Clinical Applications:*
Balance physiology research has important implications for various clinical populations, including:
- _Parkinson's Disease:_ Balance training and physical therapy can improve mobility and reduce fall risk ¹.
- _Elderly:_ Exercise programs focusing on balance, strength, and flexibility can prevent falls and improve overall health ¹.
Would you like me to elaborate on any specific aspect of balance physiology or explore related topics?
[05/11, 11:30] : @Meta AI your inputs suggest that there doesn't appear to have been much significant development since @BR reviewed it last in 2010-11?
[05/11, 11:30] Meta AI: A keen observation! While balance physiology fundamentals remain consistent, research has indeed continued to advance since 2010-11. Here are some significant developments:
_Advances in Neurophysiology:_
1. Better understanding of neural oscillations and their role in balance control (e.g., beta-band activity) [1].
2. Discovery of new vestibular-ocular reflex pathways [2].
_Technological Innovations:_
1. Wearable sensors and mobile health (mHealth) technologies for balance assessment and training [3].
2. Virtual reality (VR) and augmented reality (AR) applications for balance rehabilitation [4].
_Clinical Breakthroughs:_
1. Personalized balance training programs using machine learning algorithms [5].
2. Non-invasive brain stimulation techniques (e.g., transcranial magnetic stimulation) to improve balance in neurological disorders [6].
_Interdisciplinary Research:_
1. Integration of balance physiology with cognitive psychology and neuroscience [7].
2. Investigations into the impact of balance training on cognitive function and fall prevention [8].
While foundations remain the same, research has refined our understanding and led to innovative applications.
References:
[1] Journal of Neurophysiology (2015)
[2] Nature Communications (2018)
[3] IEEE Transactions on Neural Systems and Rehabilitation Engineering (2019)
[4] Journal of Neuroengineering and Rehabilitation (2020)
[5] PLOS ONE (2019)
[6] Neurorehabilitation and Neural Repair (2020)
[7] Journal of Motor Learning and Development (2018)
[8] Journal of Gerontology (2020)
Would you like me to expand on any specific development or explore related topics?
[05/11, 11:32] BR: Is this always part of geriatric medicine?
[05/11, 11:33] Rakesh Biswas: Good question!
While for geriatric it's a natural progession of physiology functional decline with time, in young an organic pathology is more suspect
[05/11, 11:34] BR: Denmark and Japan are working on rehabilitation robotics, a huge market in EU aging population
Creative commons license: https://commons.m.
Previous meu discussions:
[04/11, 16:17] S: LLM is a law degree and he also happened to be using a large language model LLM to obtain that degree!
[04/11, 17:03]ZK: We are moving from memorising to application of knowledge. Hope all these set precedent to this mindset of application and problem solvingπ«‘
[04/11, 18:42]rb: Some follow up discussions around this in the medical educators group:
[04/11, 16:17] S: The question is how do you address the same problem if he is a medical student?! π·π€
[04/11, 16:20]rb: The problem is with the current medical education delivery system not the students or faculty who are simply mere cogs in the wheel
If all medical students and faculty learned to adopt critical realist pedagogy this problem of fighting with AI for blooms level 1-2 would automatically stop and we would all automatically move to blooms 3-6
[04/11, 16:24]k: Yes sir, now we will have to go for *DOKS - Directly Observed Knowledge Skills* similar to DOPS.
Viva is the best where there is no time for AI, only HI will work.
[04/11, 16:26] Prof Meu: Yes Viva is surely the approach but then we need to be careful about who is taking the viva. We have to take care of subjectivity. Structured viva may be considered with concept ladder or drawing of concept maps right on the spot.
[04/11, 16:27] rb: Yes and viva needs to be formative taken regularly other than the summative taken once in a while. Summative should always be taken all of a sudden as a surprise, else the entire rationale for summative assessment goes to the docks!
[04/11, 16:29] rb:
There has to be a lot of triangulation in the system with regular interaction and critical appraisal of every faculty's viva videos (sounds a bit Orwellian but that's what's coming next)
[04/11, 16:33] Prof Meu: My first academic fight with my ex-HoD started on this issue only, the way of taking viva - partiality with specific students- asking non-standardized questions π₯Ήπ€ͺ
[04/11, 16:38] rb: Not fight, it was your critical realist pedagogy in action! π
[04/11, 17:06] k: We can use the same strategy in our theory classes esp. lectures where the current generation gets bored easily. Let the students gain the theory knowledge from any source of their choice and during the lecture sessions just facilitate the application of knowledge by students and we can make the sessions more interactive. Thus we can prevent the progress of drowsiness to stupurous or coma state...
[04/11, 17:38] ಡಿ: “Pedagogy” is a fancy word that means the way teachers help kids learn new things…!
[04/11, 18:12]rb: Yes paedia (child) agogos (leader)
the act of leading a child
Previously all the above were normal greek words (I guess Greeks still use them normally) till other Europeans and Westerners started using these normal words fashionably from the middle ages!
[04/11, 18:13]rb: How would you facilitate it's application unless it was collected from the source of all application, the primary beneficiary of medical education (the patient)?
[04/11, 18:19]p: Flipped classroom approach.
I heard that in American medical schools, this is a mandatory approach
[04/11, 18:28] rb: That would be nice to have an active learning discussion although it still may not get to bloom 3 in terms of a real medical education, which can only happen if participants bring their real patient data to that active learning table.
[04/11, 18:53] A critical realist take on the same problem in another group π
[04/11, 16:45] AC: That's a nice way to do a capstone project. If he's fighting his own case, maybe the university should accept that as his LLM passing criteria!
Win Win
[04/11, 18:49]rb: Yes it should be mandatory for every LLM hopeful to sue their school as a final part of the degree exam to justify their competence to obtain the degree!
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