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Biomedical subjects

D W Repperger

Publications and source records attributed to D W Repperger.

16 recordsLinked to original sources
PubMed1997

The acceleration-velocity relationship: identification of normal and spastic upper extremity movement.

This study defines and evaluates a non-invasive technique that will identify a spasm as an uncommanded movement (U) from a normally commanded movement (C). Upper arm function during a tracking task is recognized as non-linear and characterized by a phase plane with acceleration (second derivative of stick position) plotted on the ordinate and velocity (first derivative of stick position) plotted on the abscissa. An acceleration time constant (tau A) is defined as (VA/AM) where AM is the maximal acceleration and VA is the velocity at AM. A deceleration time constant (tau D) is also defined as (VD/DM), where DM is the maximal deceleration and VD is the velocity at DM. Ten spastic subjects (S) were categorized into three groups of mildly spastic (M), intermediately spastic (I), and highly spastic (H) which were compared to five normal subjects (N). The results indicate that for C and U, both VA and AM are significantly lower for S at all three levels as compared to N. tau A is significantly higher for M and I as compared to N. Both VD and tau D are significantly higher for S at all three levels when compared to N. DM is significantly lower for S at all three levels of S when compared to N. Finally, AM and tau A significantly differentiate C vs U for M. VA and tau D significantly differentiate for I. VA, AM as well as DM, tau D significantly differentiate for H. The physical significance of these results is discussed with respect to the time course and magnitude of net muscle moment (M), and the reversal of the agonist-antagonist relationship during the acceleration and deceleration phases. Finally, a spasm identification algorithm is proposed.

Acceleration↗
PubMed1997

Microprocessor based spatial TENS (transcutaneous electric nerve stimulator) designed with waveform optimality for clinical evaluation in a pain study.

A microprocessor based TENS device is developed which utilizes a spatial procedure in the administration of electrical fields to actively interfere with pain signals reaching the brain. This unusual design also has the advantage of requiring the frequency characteristics of the electrical waveform produced to be optimally tuned to the mechanical impedance properties of the skin/tissue. Hence a much more efficient procedure for the transfer of electrical energy from the TENS device to the human tissue is provided. Data are presented involving patients from the Dayton VA Medical Center in Ohio, USA being tested with this new microprocessor system compared to the treatment obtained via a traditional stimulator.

Adult↗
PubMed1997

Design of a haptic stick interface as a pilot's assistant in a high turbulence task environment.

A study involving 8 Air Force pilots was conducted to examine the efficacy of a force-reflecting joystick to improve performance during a simulated landing task in wind turbulence. By adding certain force characteristics to a joystick, it was of interest to see if performance may change, different control effort may be utilized, and workload measures may be altered based on the joystick utilized. The main results show that certain performance measures significantly improved by having the force reflection condition on. The implications of this study are that in certain types of precision tracking tasks, subjected to external disturbances, the addition of the force characteristics to the joystick can significantly improve performance, result in less effort for control, and lower subjective workload.

Accidents, Aviation↗
PubMed1995

Performance study involving a force-reflecting joystick for spastic individuals performing two types of tracking tasks.

10 upper-extremity spastic subjects and 10 normal subjects were studied with a force-reflecting joystick in the performance of a continuous time-tracking task as well as an acquisition task termed, "Fitts' Law." Certain force-reflection paradigms, in a spatial sense, allowed the spastic subjects to obtain performance proficiency near levels of the normal subjects as measured by a capacity metric.

Hand Strength↗
PubMed1991

Objective antihistamine side effects are mitigated by evening dosing of hydroxyzine.

First-generation antihistamines have potency, pharmacokinetic, and cost advantages compared with nonsedating second-generation antihistamines. Bedtime dosing of hydroxyzine was investigated as a dosing strategy to minimize reaction time degradation and adverse subjective symptoms previously documented for hydroxyzine in divided doses. Hydroxyzine, 50 mg qhs, was compared with terfenadine, 60 mg bid, in this double-blind, placebo-controlled crossover study of 15 healthy, asymptomatic adults. Computer-based eye-hand reaction time tests of simple reaction time (SRT) and choice reaction time (CRT) were not statistically different among the three drugs. Drowsiness, dry mouth, and irritability were significant for hydroxyzine (P = .0001, .001 and .02, respectively) compared with terfenadine or placebo, but less than seen in a previous study of hydroxyzine, 25 mg bid. Symptom scores with terfenadine were comparable to placebo. Histamine skin test wheal and flare were both significantly and comparably suppressed by hydroxyzine and terfenadine (P = .0001). While wheal suppression by hydroxyzine was universal, four of the 15 subjects showed little or no suppression with terfenadine (P = .03). Although bedtime dosing of hydroxyzine did not eliminate subjective symptoms, it maintained skin H1-receptor antagonism the following morning and alleviated the prolongation of reaction times previously reported with hydroxyzine in divided doses. The significant adverse subjective symptoms and psychomotor performance degradations caused by first-generation antihistamines can be mitigated by creative dosing schedules.

Administration, Oral↗
PubMed1991

Mass discrimination under Gz acceleration.

The purpose of this study was to assess how the perception of mass discrimination is affected by elevated Gz acceleration. Previous experiments studied mass discrimination under weightless conditions. Ten subjects were tested with the Dynamic Environment Simulator (DES) at Wright-Patterson Air Force Base. Masses of 105, 110, 115, 120, and 125 g were compared to a 100-g standard for delta Ms of 5, 10, 15, 20, and 25 g. The subject had to choose which mass felt heavier. This was done at 1, 2, and 4 Gz. Significant differences were found between each of the G levels, and the subjects made more errors at higher Gz. Significant differences were also found between each of the delta Ms, except between delta Ms of 20 and 25 g. Using regression lines, the difference limen was calculated at the 75% correct response level for each Gz. The Weber fraction was found by dividing the difference limen by the 100-g standard. Weber fraction of 0.085, 0.116, and 0.145 were found at 1, 2, and 4 Gz, respectively. Impairment to discrimination was shown by calculating the ratio of the Weber fraction of the elevated Gz to 1 Gz. This demonstrated an impairment to mass discrimination at 1.36 at 2 Gz and 1.71 at 4 Gz. Impairment of mass discrimination under elevated G indicates that loss of adaptation is more important than weight or mass constancy or any other factors which would increase gravitational sensory cues. This study attempted to show adaptation by comparing runs done on different days. To show aftereffect, intervals of 1 G were compared to each other. The study did not find any adaptation or aftereffect. When compared to previous studies done in weightlessness, microgravity was found to be more detrimental to mass discrimination than macrogravity, at least up to 4 Gz.

Acceleration↗
PubMed1989

Prolongation of simple and choice reaction times in a double-blind comparison of twice-daily hydroxyzine versus terfenadine.

Newer, nonsedating antihistamines provide a therapeutic alternative for the patient with allergy whose work is impaired by the side effects of traditional H1 antihistamines. To assess the differential effect of these antihistamines on reaction times and subjective symptoms, we compared terfenadine, 60 mg twice daily, to hydroxyzine, 25 mg twice daily, in a double-blind, placebo-controlled, crossover study of 16 healthy, asymptomatic adults. Simple reaction time and choice reaction time were measured with a computer-based, eye-hand, reaction-time testing apparatus. Reaction times and symptom scores were assessed 90 minutes after the fourth and tenth doses of each drug. Hydroxyzine, but not terfenadine, significantly prolonged both simple and choice reaction time (p less than or equal to 0.0001). However, decision time, the time to process one bit of spatial information, was not prolonged by either antihistamine. Therefore, hydroxyzine prolonged the interpretation and response to stimuli of the central nervous system without increasing single-bit processing time. Although terfenadine was not different from placebo for any symptom assessed, hydroxyzine produced significant drowsiness (p = 0.001), dry mouth (p = 0.022), and irritability (p = 0.021). During the 5 days of hydroxyzine administration, neither objective nor subjective symptoms demonstrated the development of tolerance. No correlation was found between subjective symptoms and prolongation of reaction times by hydroxyzine, suggesting that side effect symptoms of traditional antihistamines are unreliable predictors of objective performance. Terfenadine provides a promising therapeutic alternative to traditional antihistamines for individuals performing critical tasks.

Adult↗
PubMed1988

Quantification of reaction time and time perception during Space Shuttle operations.

A microprocessor-based test battery containing simple reaction time, choice reaction time, and time perception tasks was flown aboard a 1985 Space Shuttle flight. Data were obtained from four crewmembers. Individual subject means indicate a correlation between change in reaction time during the flight and the presence of space motion sickness symptoms. The time perception task results indicate that the shortest duration task time (2 s) is progressively overestimated as the mission proceeds and is statistically significant (p less than 0.01) when comparing preflight and postflight baselines. The tasks that required longer periods of time to estimate (8, 12, and 16 s) are less affected.

Analysis of Variance↗
PubMed1986

Effect of directional response variables on eye-hand reaction times and decision time.

To determine if direction of response affects reaction time, we measured the time for hand response to a visual stimulus, using a sensitive, microprocessor-based testing device to determine simple reaction time (RT), choice RT, and decision time. Mean simple RT was 207 +/- 3.7 msec. (mean +/- SEM); mean choice RT was 268 +/- 4.2 msec; and mean decision time was 61 msec. No differences were noted for leftward versus rightward movements, or midline versus lateral movements. Choice RT increased by 1.49 msec./yr. of age. Simple RT increased significantly with age for the nondominant hand, but not for the dominant hand. Right-handed subjects were more rapid with the dominant hand for choice RT. We conclude that dominance of hand tested and test initiation mechanism have major effects, but direction of movement in the lateral plane has little effect on reaction time.

Adult↗
PubMed1985

An application of optimization methods to evaluate conditioning intervals.

A decision rule is obtained to determine when exercise is beneficial. The term beneficial used in this context refers to the extension of lifetime based on studies of cardiovascular conditioning. Models are used to characterize changes in heart rate with intense exercise. In addition, it is necessary to consider a model involving a heartbeat bank to help determine the conditioning interval. Optimization procedures are used to develop the decision rule, to examine the assumptions in the problem, and to point out when a unique solution exists. This procedure is applied to empirical data for one individual (inter-subject study) and a unique conditioning interval is obtained.

Animals↗
PubMed1982

Human tracking performance changes during combined +Gz and +/- Gy stress.

An experiment has been conducted on the centrifuge to examine roll-axis tracking performance in both static and stress environments. The stress environments were +5 Gz from 95 s and combined +5 Gz/+/- 1 or +/- 2 Gy for 95 s. Compared to the static condition, performance decrements of 19% were measured at +5 Gz, 45% at combined +5 Gz/+/- 1 Gy, and 70% at combined +5 Gz/+/-2 Gy. Heart rate increases were noted during the stress environments but no significant heart rate differences were noted between the +5 Gz and the combined +5 Gz/+/-2 Gy conditions. The conventional lap belt and shoulder harness restraint system, while not optimum, was adequate for these G environments.

Acceleration↗
PubMedDate not supplied

Design of a computerized device to measure simple reaction time/decision time.

The construction and validation of a computerized device to test simple reaction time and decision-making time is discussed. The device is required to demonstrate repeatability (consistency of response times from human subjects) across replications of the same experimental condition. A second requirement of the device is that it must separately and independently measure simple reaction time and the time it takes to process one bit of information. The concepts behind the construction of the box are discussed, as well as the design of its internal circuits to achieve these specifications.

Adult↗