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Biomedical subjects

Keith Bagnall

Publications and source records attributed to Keith Bagnall.

5 recordsLinked to original sources

Repetitive pointing to remembered proprioceptive targets improves 3D hand positioning accuracy.

Repetitive pointing movements to remembered proprioceptive targets were investigated to determine whether dynamic proprioception could be used to modify the initial sensorimotor conditions associated with an active definition of the target position. Twelve blindfolded subjects used proprioception to reproduce a self-selected target position as accurately as possible. Ten repetitions for each limb were completed using overhead and scapular plane pointing tasks. A 3D optical tracking system determined hand trajectory start and endpoint positions for each repetition. These positions quantified three-dimensional pointing errors relative to the target position and the initial and preceding movement repetitions, as well as changes in movement direction and extent. Target position and cumulative start position errors were significantly greater than the corresponding preceding movement (inter-repetition) errors, and increased as the trial progressed. In contrast, hand trajectory start and endpoint inter-repetition errors decreased significantly with repeated task performance, as did movement extent, although it was consistently underestimated for each repetition. Pointing direction remained constant, except for the angle of elevation for scapular plane pointing, which consistently decreased throughout the trial. The results suggest that the initial conditions prescribed by actively defining a proprioceptive target were subsequently modified by dynamic proprioception, such that movement reproduction capability improved with repeated task performance.

Biomechanical Phenomena↗

Imparting bone mineral affinity to osteogenic proteins through heparin-bisphosphonate conjugates.

Although numerous growth factors can promote the regeneration of bone upon parenteral administration, all exhibit undesirable side-effects that prevent their clinical utility. These side-effects arise due to the growth factors' inherent lack of bone affinity. The goal of this study was to develop a means to enhance the bone mineral affinity of osteogenic growth factors so as to minimize their extra-skeletal distribution. Heparin, a glycosaminoglycan that exhibits a high affinity to numerous growth factors, was modified with bisphosphonates to enhance its affinity to bone mineral (i.e. hydroxyapatite, HA). To this end, conjugation of 1-amino-1,1-diphosphonate methane (aminoBP) onto periodate-oxidized heparin using 4-(maleimidomethyl)cyclohexane-1-carboxyl-hydrazide was attempted. Using this chemistry, the number of aminoBPs conjugated onto heparin was modulated by varying the reacting reagent concentrations (to a maximum of 7 aminoBPs per heparin). Increasing the number of aminoBPs resulted in a more than twofold increase in heparin's affinity for HA in vitro. Subsequently, the ability of aminoBP-heparin conjugates to enhance the mineral affinity of basic fibroblast growth factor (bFGF) and bone morphogenetic protein-2 (BMP-2) was explored. The results revealed that the complexation between the conjugates and growth factors had occurred and that the conjugates increased the bone mineral affinity of bFGF and BMP-2 in an aminoBP-dependent manner. In conclusion, the conjugation of aminoBP onto heparin is a feasible approach to enhance the affinity of heparin-binding, osteogenic growth factors to HA.

Bone Morphogenetic Protein 2↗

Dynamic upper limb proprioception in multidirectional shoulder instability.

The ability of subjects with multidirectional shoulder instability to use proprioception to complete a series of upper limb repositioning tasks was investigated. Twelve subjects with multidirectional instability and 12 control subjects were blindfolded and instructed to use proprioception to reproduce a self-selected target position as accurately as possible. Subjects completed 10 repetitions for each limb using three distinct upper limb movements: overhead reaching, scapular plane pointing, and humeral external rotation with abduction. A three-dimensional video motion analysis system tracked limb position and determined spatial hand position error. Subjects with multidirectional shoulder instability showed significantly greater hand position error than control subjects. No hand position error differences were found between the symptomatic and the asymptomatic limbs of subjects in the instability group. Inter-repetition error for subjects in both groups improved significantly during the first three movement cycles. These results suggest that after movement initiation, dynamic proprioception was a factor in improving hand position accuracy in both groups, but to a lesser degree in subjects with multidirectional instability. Consequently, subjects with multidirectional instability may have a reduced capacity to use proprioception to refine and control the motor output of the upper limb.

Adult↗

The effects of exposure to intense, 24 h light on the development of scoliosis in young chickens.

The aetiology of adolescent 5 coliosis remains unknown and hindering research is the absence of an appropriate animal model. It is now well-established that pinealectomy in young chickens results in the development of scoliosis that has many of the characteristics seen in patients with adolescent idiopathic scoliosis but the mechanism underlying this phenomenon remains elusive. The principle product of the pineal gland is melatonin and so many studies have focused on studying the effects of reduced levels of this hormone. The results have been mixed and the role of melatonin remains unclear. As melatonin production is inhibited by light, it was hypothesised that providing the chickens with an environment consisting of intense, continuous light would reduce serum melatonin levels and avoid any of the potential artifacts involved with the pinealectomy surgery. Consequently, pinealectomised and normal chickens were exposed to very intense light for complete 24 h in each day. At the end of 22 days in this environment serum melatonin levels had been reduced to very low levels in all chickens. Most importantly, 15% of the normal chickens had developed scoliosis and the number of pinealectomised chickens that developed scoliosis increased from 50% to 80%. The results showed that a method for reducing serum melatonin without pinealectomy has been established and which can be used in further experiments. Furthermore, the results also showed that reduced levels of serum melatonin has significant effects on the development of scoliosis. The indication is that there is a threshold level of serum melatonin below which scoliosis may develop probably in conjunction with some other factor which has yet to be identified.

Adolescent↗

Assessment of the validity of observing three-dimensional images of the spine using polarising, synchronised techniques.

Three-dimensional imaging is an emerging technique in radiology. It might be used to help view the spine and assist in improving evaluation of scoliosis. These images are currently computer generated and although very effective are actually optical iflusions. Questions remain as to the reliability and validity of these images which are important considerations when treatment regimens are being developed and surgery contemplated. Using a constructed three-diemnsional image of a box, this study assessed the inter- and intra-reliability of viewing a specific point on this box and also the inter-reliability of identifying the coordinates of this same point. There was good reliability for viewing a single point in the X and Z axes which formed the plane of the computer but there was a 10X decrease in reliability along the Y-axis (depth). This pattern was repeated when considering the relationship between observers to identify the actual coordinates of the same point.

Artifacts↗