Search PubMed⌕ Search

Biomedical subjects

R L Segal

Publications and source records attributed to R L Segal.

29 records · Page 2Linked to original sources

The relationship of extraneous movements to lumbar paraspinal muscle activity: implications for EMG biofeedback training applications to low back pain patients.

Within recent years clinicians and researchers have applied paraspinal EMG biofeedback procedures during static and dynamic movement retraining of chronic low back pain patients. Most of these applications make use of surface electromyography, an approach complicated by the fact that the erector spinae muscles are deeply situated. This descriptive study reveals that extraneous movements, such as neck flexion and pelvic rotation, can elicit profound activity from percutaneously placed EMG electrodes while little change is seen at the skin surface. The implications of these observations for the use of EMG feedback to remediate low back pain are discussed.

Adult↗

Surface intraoral genioglossus EMG recording technique for kinesiologic studies.

Electromyographic (EMG) recordings from intraoral genioglossus surface electrodes were compared to fine-wire recordings of the left genioglossus muscle during selected activities that involved (1) rest, (2) tongue protrusion without resistance, (3) isometric tongue protrusion, (4) jaw opening without resistance, (5) isometric jaw opening, and (6) swallowing. Right and left lateral protrusions of the tongue were evaluated also. Recordings from both surface and fine-wire configurations showed similar onset times, relative amplitude changes, and cessation times of EMG activity during unresisted tongue protrusion and isometric tongue protrusion. Swallowing EMG activity occurred somewhat earlier and was longer in duration in the surface electrode recordings than the fine-wire recordings; however, maximum amplitudes occurred at similar times. Neither type of electrode recorded significant EMG activity during jaw opening or isometric jaw opening. These findings support the validity of recording EMG activity of the genioglossus muscle by surface recording electrodes supported by an acrylic appliance. The development of such an appliance may be an important biofeedback tool to control genioglossus activity during such activities as tongue thrusting.

Adult↗

Thyroid nodules in the irradiated patient--an indication for total thyroidectomy.

Eight patients who received radiation therapy to the head, neck, or chest during infancy, childhood, or adolescence are reported. In these individuals, the presenting abnormality was a nodule of the thyroid gland, which was found to be benign at surgery. All patients were subsequently found to harbor a malignant lesion of the contralateral lobe. On the basis of this study and the discussion presented, we feel that a total thyroidectomy is the indicated therapeutic procedure in previously radiated patients presenting with a cold nodule.

Adult↗

The lateral suprasylvian corticotectal projection in cats.

The projection from the lateral suprasylvian visual areas to the superior colliculus was investigated in cats using both anterograde and retrograde tracing techniques. The retrograde transport of horseradish peroxidase (HRP) or wheat germ agglutinin-HRP (WGA-HRP) from their site of deposit in the superior colliculus indicates that all divisions of the lateral suprasylvian visual areas project to both the superficial and deep layers of the superior colliculus. However, following tracer deposits in the superior colliculus that are confined to the layers below the stratum opticum (deep layers), more neurons are labeled along the lateral bank than along the medial bank of the middle suprasylvian sulcus. Conversely, tracer deposits in the superior colliculus dorsal to and including the stratum opticum label more cells in the medial than the lateral bank. These retrograde experiments also confirm that the visual cortex along the lateral gyrus (areas 17 and 18) projects to the superficial, but apparently not to the deep layers. The visual area in the cortex surrounding the caudal two-thirds of the anterior ectosylvian sulcus projects to the deep, but not to the superficial layers. The laminar and areal patterns of anterograde axon labeling in the superior colliculus were examined after single deposits of 3H-amino acids (autoradiography), HRP, or WGA-HRP in the lateral suprasylvian cortical regions, or combined isotope and WGA-HRP deposits. Axon labeling in the superior colliculus is generally densest in the stratum opticum and extends either dorsally into the superficial layers or ventrally into the intermediate gray layer. Specifically, the anterior divisions of the lateral suprasylvian cortex project primarily to the lateral portion of the superior colliculus, with the projection from the medial bank biased toward the superficial layers and axons from the lateral bank aimed mainly at the intermediate gray layer with some axons even reaching the deepest gray layer of the superior colliculus. Both the posteromedial and posterolateral divisions of the lateral suprasylvian cortex project to more extensive portions of the mediolateral and rostrocaudal dimensions of the superior colliculus than the anterior divisions. However, the posterolateral division projects more heavily to the intermediate gray layer than the posteromedial division; from the latter, axons distribute more superficially in the superior colliculus. Finally, the cortex surrounding the posterior suprasylvian sulcus projects primarily to the medial part of the superficial layers of the superior colliculus.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Primary lymphomas of the thyroid gland.

Twelve patients with primary lymphoma of the thyroid gland were reviewed. Based on clinical observations of this group of patients and a review of the literature, a composite clinical picture can be drawn of the patient at high risk of having primary lymphoma of the thyroid gland. This condition should be considered in the differential diagnosis in patients with a history of lymphocytic thyroiditis and an enlarging neck mass, tender or nontender. The mass may be cold or cool with areas of patchy uptake shown on scintillation scanning. The patient has a greater than 50% chance of having hoarseness with or without vocal cord paralysis. We also review the pathogenesis and prognosis of primary lymphoma of the thyroid gland.

Adult↗

Case report. Mini-epidemic of thyrotoxicosis occurring in physicians.

This report describes the appearance of thyrotoxicosis over the past eight years in three male physicians working in the Division of Endocrinology at The Mount Sinai Hospital. Since no other instances of hyperthyroidism developed among the hospital medical or dental attending staff, to the authors' knowledge, during the years of 1953-1973, this incidence appears to indicate an unusual occurrence. (Information regarding other possible instances of thyrotoxicosis was obtained by questioning all of the physicians in the Division of Endocrinology at The Mount Sinai Hospital, members of the Division of Endocrinology at the other major institutions in the city and, finally, inquiry of the physicians in the Department of Medicine at The Mount Sinai Hospital.)

Adult↗