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Biomedical subjects

R L Lieber

Publications and source records attributed to R L Lieber.

At least 109 records · Page 6Linked to original sources

Volume changes occurring in postoperative below-knee residual limbs.

Comparative maturation rates of 36 below-knee postoperative, healed amputation residual limbs were observed. Measured were the limb volumes and circumferences. Three methods of residual limb stabilization were employed: 1) elastic wrap; 2) plaster cast and pylon; and, 3) plastic laminate socket and pylon. The limbs receiving the plastic laminate showed the most rapid stabilization, while the elastic wrap did not stabilize. Considerable variance existed in relations between variables. Correlation between limb circumference and volume was poor. However, in general, the rates of change, i.e., the relations between volume and time, and circumference and time, were statistically significant (p less than .05).

Amputation Stumps↗

Local compression patterns beneath pneumatic tourniquets applied to arms and thighs of human cadavera.

Distributions of tissue fluid pressure were examined beneath a standard pneumatic tourniquet in six upper extremities and six lower extremities of fresh human cadavera, disarticulated at the shoulder and hip, respectively. A standard 8-cm-wide tourniquet cuff was applied at mid-humerus or mid-femur position. Tissue fluid pressures were measured by 100-cm-long slit catheters inserted parallel to the bone at four tissue depths: subcutaneous, subfascial, mid-muscle, and adjacent to bone. All arms and thighs were studied at the following cuff pressures: 100, 150, 200, 250, 300, 400, and 500 mm Hg. Tissue fluid pressure was always maximal in subcutaneous tissue at mid-cuff. Transmission of cuff pressures to deeper tissues was significantly less (p less than 0.01) in the thighs with a girth of 40-52 cm than in the arms with a girth of 22-33 cm. At the four tissue depths studied, tissue fluid pressures fell steeply in a longitudinal direction near the cuff edge to levels near zero at points 1-2 cm outside each cuff edge. Our results suggest that wider cuffs are required on thighs than on arms to provide a bloodless field during limb surgery and to minimize underlying tissue injury associated with high cuff pressures. Our recommendation for wider tourniquet cuffs than those presently used during orthopaedic surgery is contrary to recent prevailing knowledge.

Arm↗

Regional variation in shear strength of the bone-polymethylmethacrylate interface.

Many investigators consider the polymethylmethacrylate-bone interface the weakest link in the bone-cement-implant system. Push-out tests, frequently used for in vitro evaluation of the bone-cement interface, produced inconsistent results of shear strength. Therefore, a more reliable model for testing the shear failure of the interface was developed. Better understanding of intrinsic variations in bone quality and geometry of endosteal bone at the interface may yield important insight into the patterns of clinical failure of cemented total joint prostheses.

Biomechanical Phenomena↗

Synovial fluid nutrient delivery in the diathrial joint: an analysis of rabbit knee ligaments.

The role of synovial fluid in providing nutrition to rabbit knee ligaments and menisci was evaluated by intraarticular injection of a labeled collagen precursor, tritiated proline. Incorporation of this substrate as tritiated hydroxyproline was measured in collateral and cruciate ligaments and menisci. The injectate volume (0.35 ml) did not appreciably change the overall joint pressure as measured by a wick catheter; therefore, no alteration of synovial membrane diffusion characteristics resulted. The concentration of the injected proline (0.52 mg%) was well below that normally present in serum (2.65 mg%). Therefore, incorporation of this substrate was not driven by a concentration gradient and represented normal uptake of synovial fluid and physiological incorporation of label as measured by the presence of tritiated hydroxyproline. Autoradiography was performed on all ligaments and menisci, and demonstrated concentration of the isotope and its metabolite (tritiated proline and tritiated hydroxyproline, respectively) in and around fibroblasts. This study indicates that rabbit knee ligaments and menisci can derive nutrition from a synovial fluid source.

Animals↗

Long-term effects of spinal cord transection on fast and slow rat skeletal muscle. I. Contractile properties.

Contractile properties of rat soleus and extensor digitorum longus muscles were studied 1 year after complete thoracic spinal cord transection (spinal cord level T9). Force-generating capacity and contraction speed were unchanged in the extensor digitorum longus 1 year after transection. However, the rate of contraction and relaxation increased in the soleus as reflected by a decrease in time-to-peak tension and increase in fusion frequency. Additionally, the soleus muscle cross-sectional area decreased significantly (50%) while generating the same absolute tension. Thus, a large increase in soleus specific tension (force per unit area) was observed. These data, in conjunction with the increase in contractile speeds, suggest soleus slow-to-fast fiber type conversion secondary to cordotomy. Discriminant analysis of the contractile properties yields fusion frequency as the best discriminator between muscle groups. Thus, following cordotomy, predominantly slow muscles are affected to a greater extent than fast muscles.

Analysis of Variance↗

Long-term effects of spinal cord transection on fast and slow rat skeletal muscle. II. Morphometric properties.

Morphometric properties of rat soleus and extensor digitorum longus muscles were studied 1 year following complete thoracic spinal cord transection (spinal cord level T9). Both muscles demonstrated almost complete type 1 to type 2 muscle fiber type conversion after 1 year. Muscle fiber atrophy was observed in both muscles. Type 2 fiber atrophy occurred to about the same extent in both muscles. Atrophy was most severe for the soleus type 1 fibers (50% decrease in size). Calculations based on the fiber type and size changes observed indicate that the percentage of the muscle cross-sectional area occupied by each fiber type was almost the same for both muscles 1 year after transection. Discriminant analysis of the data indicated that the percentage of type 2 fibers present in the muscle was the best discriminator between the various groups. These morphometric data provided a basis for understanding the contractile results presented in the previous study as well as insights into the mechanism of transformation in skeletal muscle. Furthermore, inherent differences between type 1 and type 2 fibers were demonstrated between predominantly slow and predominantly fast muscles. Thus, after almost one-half a lifetime of transection, rat muscles are almost completely transformed to fast muscle, and, regardless of initial conditions, have nearly identical properties.

Adenosine Triphosphatases↗

Real-time acquisition and data analysis of skeletal muscle contraction in a multi-user environment.

A data acquisition system is described which acquires data from contracting skeletal muscle. The system is designed to run in a multi-user environment while acquiring contractile data in real-time. Time dedicated solely to laboratory experiments is thus eliminated. A menu-driver is included to allow users to enter experimental commands with or without command arguments. Error monitoring functions prevent operator errors from causing data loss. Data storage in both ASCII and binary formats maximizes file flexibility, readability and accessibility. Finally, an on-line tutorial and help facility is provided for user training. The system developed is applicable to any experimental environment involving data acquisition, storage and analysis.

Animals↗

Long-term measurement of muscle function in the dog hindlimb using a new apparatus.

The objective of this study was to develop an apparatus for reliable, reproducible, and minimally invasive measurements of long-term, myoneural function. Twenty conditioned dogs were anesthetized and placed supine with one hindlimb secured in a boot apparatus. The hindpaw was attached to a force transducer that was connected to a recorder for continuous monitoring of torque. Muscles within the anterolateral compartment were stimulated by percutaneous electrodes over the peroneal nerve near the fibular head. This elicited isometric dorsiflexion of the hindpaw. Twitch and tetanic torques correlated positively with dog weight whereas other skeletal-muscle function parameters (time to peak tension, one-half relaxation time, and endurance) were independent of dog weight. Muscle function results were consistent with an overall compartmental composition of 30% Type I and 70% Type II fibers. Repetitive testing of twitch and tetanic torques in the dog legs yielded coefficients of variance of 3-4% (intraday) and 7% (interday). Thus, about one-half of the interday variability may be accounted for by diet, exercise, and other physiological conditions that change daily. The apparatus was also used to detect myoneural degeneration following tourniquet ischemia. The results indicate that this procedure for evaluating muscle function yields reliable and quantitative results noninvasively, and thus allows long-term testing of muscle function in normal and diseased hindlimbs of dogs.

Animals↗

Sarcomere length determination using laser diffraction. Effect of beam and fiber diameter.

An experimental and theoretical analysis is presented involving the effect of variation in fiber and beam diameter upon the determination of average sarcomere length in isolated single muscle fibers using laser light diffraction. The muscle diffraction phenomenon is simplified by first considering diffraction order position and intensity to be the result of grating and Bragg diffraction. It is the product of the intensity profiles, which results from these types of diffraction, that produces the diffracted order. These simplifying assumptions are then extended to the case of the real muscle. Based on these considerations and the theory that we recently presented, conditions are set forth under which grating information (i.e., sarcomere length) can be maximally expressed to yield accurate average sarcomere length values.

Animals↗

Ankle and knee position as a factor modifying intracompartmental pressure in the human leg.

The objective of this study was to examine the effect of position of the knee and ankle on intracompartmental pressures in the leg. Slit catheters were introduced bilaterally into all four muscle compartments of the lower extremities of six healthy volunteers. Intracompartmental pressures were monitored with the catheters while the ankle joint was passively held in full dorsiflexion, full plantar flexion, or neutral with the knee flexed 90 or 10 degrees or fully extended. Statistical analysis revealed that intracompartmental pressure increased significantly in all four compartments when the ankle was passively dorsiflexed. Pressure in the superficial posterior and lateral compartments was dependent on knee position and in the deep posterior and anterior compartments it was independent of knee position. In addition, pressure in the deep posterior compartment decreased significantly when the ankle was placed in full plantar flexion, and that finding was independent of knee position. Anterior compartment pressure was not significantly elevated by full passive plantar flexion of the ankle.

Adult↗

Optical depolarization changes on the diffraction pattern in the transition of skinned muscle fibers from relaxed to rigor state.

Light diffraction spectra from single or small bundles of skinned striated muscle fibers show large changes in polarization properties when muscles are placed into rigor. The technique of combining optical diffraction and ellipsometry measurements has previously been shown by Yeh and Pinsky to be a sensitive probe of periodic anisotropic regions of the fiber. In the present work, using this method, the observed spectrum shows marked decrease in the measured phase angle, delta, as the fiber approaches the rigor state. The degree of phase angle change is a function of sarcomere length: Maximum overlap of approximately 2.3 microns gives the most change in delta a delta delta R-R approximately 35 degrees decrease for a bundle of three fibers. At a sarcomere length of 2.9 microns this delta delta R-R value is only 10 degrees. At a nonoverlapping length of approximately 3.8 microns, delta does not vary at all upon the removal of ATP. The rigor state was confirmed by stiffness measurements made after small-amplitude (0.75%), quick length changes. Upon re-relaxation, the stiffness of the skinned fiber decreased to the value of the resting state (4 mM ATP) and the phase angle delta returned to its original value. A model based on either anisotropic subunit-2 (S-2) movements or other cross-bridge-related structural anisotropy (form birefringence) changes during the relaxed-rigor transition is suggested.

Adenosine Triphosphate↗

Intersarcomere dynamics of single muscle fibers during fixed-end tetani.

The contraction dynamics of end and center regions of single fibers have been measured during fixed-end tetani. Experimental control and data acquisition are provided by a digital system that can acquire diffraction data as fast as every 260 microseconds for 300-700 ms. Tension records are simultaneously displayed on a storage oscilloscope. Resting sarcomere length variation between the end and center regions was analogous to that of Gordon et al. (1966). During the rapid rise in force (less than 45 ms), the end regions contract almost twice as fast as the center regions. During the slow rise in force, the velocity of contraction of the end regions was 3.8 times the velocity of stretch of the center regions. In addition, factors that affected the rate and extent of the slow rise in tension also affected the rate and extent of end shortening. In 58% of the cases studied, the amount of shortening observed in the end region was enough to explain the extent of the slow rise in tension. These data support the explanation of creep first proposed by A. V. Hill (1953) and used by Gordon et al. (1966) to justify their use of the back-extrapolation technique in measuring the isometric force-generating capability of a single fiber. These data also indicate that the laser diffraction technique may provide an effective, noninvasive method for studying sarcomere dynamics during creep and related phenomena.

Animals↗

Light diffraction studies of active muscles fibres as a function of sarcomere length.

This investigation has established the following points. (1) Activation of single intact frog muscle fibres or mechanically skinned fibres results in a decrease in the intensity of the first-order line at all sarcomere lengths at which filament overlap is present. (2) At long sarcomere lengths (greater than 3.6 micrometers) the intensity decrease upon stimulation of intact fibres diminishes until above 3.9 micrometers no decrease is seen. In the skinned preparation, no intensity change is seen at sacromere lengths above 3.6 micrometers. (3) The intensity decrease seen in the intact fibres in the 3.6-3.9 micrometers sarcomere length region may be due to contraction of sarcomeres near the tendons, which have a shorter sarcomere length than those illuminated by the laser beam, and thus may not be stretched beyond filament overlap. (4) No intensity decrease is observed upon activation at very long (greater than 4.5 micrometers) sarcomere lengths. (5) Mechanically skinned fibres show a graded intensity response to free calcium. (6) Scans of first-order line width show no broadening upon activation, indicating that sarcomere length dispersion in the illuminated region of the fibre does not increase.

Animals↗

Intensity of light diffraction from striated muscle as a function of incident angle.

In a recently developed theory of light diffraction by single striated muscle fibers, we considered only the case of normal beam incidence. The present investigation represents both an experimental and theoretical extension of the previous work to arbitrary incident angle. Angle scan profiles over a 50 degrees range of incident angle (+25 degrees to -25 degrees) were obtained at different sarcomere lengths. Left and right first-order scan peak separations were found to be a function of sarcomere length (separation angle = 2 theta B), and good agreement was found between theory and experiment. Our theoretical analysis further showed that a myofibrillar population with a single common skew angle can yield an angle scan profile containing many peaks. Thus, it is not necessary to associate each peak with a different skew population. Finally, we have found that symmetry angle, theta s, also varies with sarcomere length, but not in a regular manner. Its value at a given sarcomere length is a function of a particular region of a given fiber and represents the average skew angle of all the myofibril populations illuminated. The intensity of a diffraction order line is considered to be principally the resultant of two interference phenomena. The first is a volume-grating phenomenon which results from the periodic A-I band structure of the fiber (with some contribution from Z bands and H zones). The second is Bragg reflection from skew planes, if the correct relation between incident angle and skew angle is met. This may result in intensity asymmetry between the left and right first order lines.

Animals↗