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Biomedical subjects

P Rochcongar

Publications and source records attributed to P Rochcongar.

33 records · Page 2Linked to original sources

[Role of MRI in the study of the Achilles tendon and patellar tendon].

The possibilities of MRI and radiography with mammogram to diagnose mechanical tendinitis have been prospectively evaluated in thirty sportsmen. Sixteen had Achilles tendon lesion, fourteen had patellar ligament lesion. Each patient included in the study was programmed for radiography with mammogram and MRI of the pathologic tendon and the controlateral tendon. These examinations were separately interpreted by two reviewers who had no knowledge of pain location. The number of tendinitis diagnosis based on X-ray and MRI was approximatively the same. But the microtearings were more often diagnosed on MRI data than on X-ray data (10/1). Eight patients underwent an operation. The surgery findings always confirmed the MRI diagnoses. MRI seems to be the examination of choice to evaluate the tendon injuries and particularly microtearings before surgery.

Achilles Tendon↗

Water phases in rat striated muscles as determined by T2 proton NMR relaxation times.

The spin echo decay curve of NMR protons in in-vitro rat muscle is two or three exponential as Hazlewood demonstrated in 1974. This author hypothesized that the longer T2 component is extracellular water and that the medium T2 is intracellular water. Our purpose was to test the histological significance of these two T2. Variations of water contents in two types of rat muscles were induced by electrical stimulation and osmotic diuresis and their incidence on the decomposition of the proton spin echo signal analysed. Decomposition of signal in resting muscles revealed two phases with T2 values similar to the Hazlewood's: a short phase, S, with T2 of 40 ms (20 MHz, 276 degrees K) representing 90-97% of the total signal and a long one, L, with T2 of 100-120 ms representing 3-10% of the signal. Increasing vascular volume appeared to increase the percentage of phase (L) in the total signal. Osmotic diuresis decreased the volume of the phase (S) and increased the volume of the phase (L). The use of Gd-DTPA allowed to differentiate the vascular compartment: Gd DTPA decreased in a great extent the T2 values of phase (L) and in low extent the T2 values of phases (S). From these results, it appears that phase (L) could correspond to vascular volume and that phase (S) would be interstitial and intracellular water. Elements of comparison with classical methods for determination of water compartmentation in tissues are given.

Animals↗

Extent of lactic anaerobic metabolism in handballers.

The authors investigated lactic anaerobic metabolism in handball players during practice games. Seven players aged 18-21, belonging to second division league clubs, took part in the study. In the laboratory, VO2 max and the onset of blood lactate accumulation (OBLA) were determined with progressive maximal ergocycle tests. On the field, video recordings, cardiotelemetry, and rectal temperature measurements made during the first half of the game were used to quantify exertion. An intravenous catheter worn permanently was used to draw blood for lactate measurements at the 5th, 10th, 15th, 20th, and 30th min of play and after a 10-min rest period. The results confirmed earlier observations showing the need for an excellent maximal aerobic power and capacity in handballers. However, the maximal lactate levels observed (4-9 mmol X l-1) were above those that could be expected from samples drawn only at the end of play. These findings indicate that players must be trained to tolerate high lactate levels to preserve their maximal efficiency throughout the game. Finally, lactate production increased with player exertion and with increasing OBLA.

Adolescent↗

[Modalities of the hyperventilation of exercise in maximal triangular effort on the ergometry bicycle in 11-to-13-year-old boys].

Tidal volume, respiratory frequency, ventilatory equivalent, mean inspiratory flow Vt/Ti, and respiratory timing Ti/Ttot were measured at each level of an incremental exercise in a group of 8 untrained boys. Breathing pattern of the child is characterized by a fast frequency and a small tidal volume. Ventilation at maximal exercise reaches 50% of adults mean value. For the same ventilation, Vt/Ti (when expressed in ml X mn-1 X kg-1) is higher in the child. That suggests a higher central inspiratory activity.

Adolescent↗

[Comparative study of four effort tests on nine-year-old children. The value of systolic tension time (author's transl)].

Simple effort tests were carried out on 9-year-old children to measure the systolic tension time (STT) and to judge the accuracy and limitations of such a test by comparing it with other measures more commonly employed in France for the same age group: Pachon-Martinet, Ruffier-Dickson, and maximal oxygen uptake (VO2max), the latter (estimated indirectly) serving as the standard of reference. Subjects stepped onto and off a stool 40 cm high, 24 times per minute; immediately thereafter the heart rate per minute and the arterial systolic pressure (mm Hg) were measured, and the product (the systolic tension time) was obtained. At the age of 9 years, 95% of children have an STT of between 13 000 and 25 000. This test, besides the ease with which it can be performed in daily experimentation, has the advantage of giving results that are at once more precise and more significant than the two standard tests of Pachon-Martinet and Ruffier-Dickson because the quality of the experiment is more satisfactory, because autonomic factors have less impact, and because its discriminative value is higher since only the STT provides a satisfactory correlation with VO2max. The test also fulfills the various requisites of an effort test: it can help to trace a poor cardiovascular response to effort and, because of its selective nature, it can also provide a convenient means of supervision of young athletes. In practice, the test should be complemented by a study of the first 3 min of recovery, as this was the only part of the test showing a difference between boys and girls, whether trained or not.

Child↗

[Study of the valuations of serum muscular enzymes and myoglobin after maximal exercise test and during the next 24 hours (author's transl)].

Twenty-eight male subjects underwent a maximal exercise test on an ergometric bicycle, 13 untrained and 15 trained subjects. At rest and after this maximal exercise, indicated by the increase of the serum lactate and pyruvate acids, venous blood samples were taken to study the release of muscular enzymes (SGOT, SGPT, LDH, alpha HBDH, CPK, CPK MB) and myoglobin in the next 24 h (3 min, 30 min, 8 h and 24 h after the end of this test). The statistic analysis of the results shows significant increases in comparison with the values at rest, according to the enzymes and the groups of subjects, especially for CPK, SGOT, SGPT for which the results are homogeneous with a peak at the 3rd min and the 8th h in the three groups and for HBD and LDH in the groups of trained subjects. However these values remain most often within the normal limits. These results are compared with those of previous works on the same subjects.

Adult↗

[Modification of the Hoffmann reflex in function of athletic training (author's transl)].

The present study measures the values of the Hoffmann reflex and principally the relationship between the maximum reflex response and the maximum direct motor response (H max/M max) and their evolution. The subjects were athletes, performing aerobic and anaerobic type activities, divided into six groups (swimmers; soccer players; tennis players; sprinters; middle and long distance runners; and nonspecific athletes). The results show the average values of the H max/M max (53%) to be not different from those of nonathletes. When separated into aerobic and anaerobic groups, significant differences were found: the values are significantly inferior for subjects participating in anaerobic sports (37%) whereas we found an increase (from 55-75%) in the relationship for swimmers performing aerobic activities after 3 years of regular training. The results suggest, in accordance with previous authors, the possibility of a correlation between the modifications of the H max/M max and the type of activities (aerobic or anaerobic).

Female↗