Common disorders of the knee.
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Biomedical subjects
Publications and source records attributed to J A Nicholas.
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The contribution of the acoustic reflex (AR) contraction to the ascending-descending (A-D) gap was explored. 15 normal listeners traced ascending and descending most comfortable loudness (MCL) levels for continuous (C) and interrupted (I) tones at 250, 1000 and 4000 Hz. Reflex thresholds were obtained for each subject at the test frequencies. No evidence was found to implicate the AR as the causative agent in the A-D gap. Two important trends emerged: (1) an ordering of MCL conditions occurred which was consistent across frequencies and (2) there was a consistent difference between AR level and MCL for a given stimulus condition which was constant across frequencies. The findings suggest that a predictive relationship may exist between AR and pure-tone MCL.
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A musculoskeletal profiling study was done on 24 members of the U. S. Pan American and Olympic fencing squads. This was presented as a methodological prototype for future, more comprehensive sport profiling studies. It is proposed that sport-specific profiling data have practical application in the following areas: 1. The identification of physical deficiencies in an athlete, using his or her sport profile as a comparative standard. This would apply to general pre- and postseason screening as well as to medical complaint-related examinations. 2. Providing objective, sport-specific criteria for determining when an injured athlete has recovered to the extent that he or she is adequately prepared to return to play. Rehabilitation goals for full recovery can also be defined. 3. Increasing the efficacy and efficiency of training techniques. 4. The prospective identification of superior performance potential in athletes at early competitive levels. If sport profiles were developed for the major participant sports at several competitive levels, the profiling system as described here could have significant application to a large number of athletes in a variety of playing situations.
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A modified shoulder abduction manual muscle test was incorporated in this study to demonstrate strength changes following tactile stimulation of the skin. Resistance was applied to the distal radioulnar joint and the stimulus (scratching) was applied inferior to the clavicle on the clavicular head of the pectoralis major muscle after maximum contraction. An electromechanical device quantified the isotonic (eccentric) measurements. A standard dynamometer system (Cybex II) was used to measure isometric strength. The nondominant side was used as the "control." Two populations, a normal (random) and a strong (athletic) group, were studied. Twenty-three persons (52% women, 48% men; mean age, 27 years; mean height, 67 inches (170 cm); and mean weight, 147 lb (66.7 kg)) were in the "normal" group and 17 persons (100% men; mean age, 25 years; mean height, 74 inches (188 cm); and mean weight, 215 lb (97.5kg)) were in the "strong" group. The random population showed a 19% decrease in strength following tactile stimulation as measured by the manual muscle testing unit; the athletic population showed a 17% decrease in strength. With the isometric measurements, the random population had an 8% decrease in mean strength following the scratch but the athletic population showed no significant decrease. The capability to quantify objectively manual muscle tests is discussed in relation to the importance of the proximal musculature.
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Aerobic training is not a major component of th conditioning programs of professional football players. We used telemetric ECG monitoring to examine the cardiovascular "demands" of practice and game situations in six athletes who were selected to affect a variety of positions and aerobic capacities. Heart rates commonly considered high enough for an aerobic conditioning effect were rarely attained during a practice sessions. Maximum oxygen consumption testing confirmed that professional football players do not receive a sufficient amount of aerobic conditioning during practice. Telemetrically monitored heart rate response is much greater in a game situation than that experienced during practice. Telemetry results support injury statistics by indicating that aerobic conditioning should have a significant role in the training program of the professional football player.