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Biomedical subjects

S S Asfour

Publications and source records attributed to S S Asfour.

At least 19 recordsLinked to original sources

Discrete wavelet transform: a tool in smoothing kinematic data.

Motion analysis systems typically introduce noise to the displacement data recorded. Butterworth digital filters have been used to smooth the displacement data in order to obtain smoothed velocities and accelerations. However, this technique does not yield satisfactory results, especially when dealing with complex kinematic motions that occupy the low- and high-frequency bands. The use of the discrete wavelet transform, as an alternative to digital filters, is presented in this paper. The transform passes the original signal through two complementary low- and high-pass FIR filters and decomposes the signal into an approximation function and a detail function. Further decomposition of the signal results in transforming the signal into a hierarchy set of orthogonal approximation and detail functions. A reverse process is employed to perfectly reconstruct the signal (inverse transform) back from its approximation and detail functions. The discrete wavelet transform was applied to the displacement data recorded by Pezzack et al., 1977. The smoothed displacement data were twice differentiated and compared to Pezzack et al.'s acceleration data in order to choose the most appropriate filter coefficients and decomposition level on the basis of maximizing the percentage of retained energy (PRE) and minimizing the root mean square error (RMSE). Daubechies wavelet of the fourth order (Db4) at the second decomposition level showed better results than both the biorthogonal and Coiflet wavelets (PRE = 97.5%, RMSE = 4.7 rad s-2). The Db4 wavelet was then used to compress complex displacement data obtained from a noisy mathematically generated function. Results clearly indicate superiority of this new smoothing approach over traditional filters.

Algorithms↗

Fractionated premotor, motor, and ankle dorsiflexion reaction times in hemiplegia.

Ten hemiplegic subjects completed 20 rapid dorsiflexions of their afflicted and nonafflicted limbs. Electrodes were attached to the tibialis anterior and the gastrocnemius muscles and electromyograms were recorded for their premotor time, motor time, and simple reaction time during ankle dorsiflexion and plantar flexion of their lower limbs. The fractionated components of reaction time, namely, premotor time and motor time, of both legs were statistically compared. It was found that the premotor time of the subject's stroke-affected limb was significantly slower than the premotor time of the nonaffected limb (control), with no differences between their associated mean motor times. These results supported the hypothesis that a stroke has a deleterious affect upon the central, premotor time processing centers and has no disruptive influence upon the peripheral motor time. Comparing the fractionated components of reaction time (premotor time and motor time), with simple reaction time, the former provided a more sensitive and valid method to detect possible injurious side effects of a stroke upon the brain's neuromotor transmission centers and subcenters, and their peripheral, stimulus, response network.

Adult↗

A comparative study of two shovel designs.

In the present study a modified shovel design with two perpendicular shafts is presented. This modified, two-shaft shovel was compared with a regular shovel. The modified shovel was evaluated and tested in a controlled laboratory environment using surface electromyography recorded from the lumbar paraspinal muscles. The new shovel design was also tested in a field study using ratings of perceived exertion. The results indicate that there was a significant reduction in EMG values of the lumbar paraspinal muscles and a consistent reduction in perceived exertion ratings while the modified shovel was being used for removing dirt in digging trenches up to 90 cm in depth.

Journal Article↗

Stretching in the rehabilitation of low-back pain patients.

The major objective of this investigation was to study the effectiveness of the physical conditioning program used at the University of Miami Comprehensive Pain and Rehabilitation Center in restoring certain elements of the functional abilities of individuals suffering from chronic low-back pain and to evaluate the effectiveness of using a systematically applied, aggressive stretching maneuver as an add-on therapy in the treatment of chronic low-back pain patients. The effect(s) of the proposed stretching maneuver was evaluated. Twenty-eight chronic low-back pain patients were randomly assigned to one of two groups. The control group underwent a multimodal rehabilitation program, and the experimental group underwent the same rehabilitation program in addition to the systematic stretching maneuver under investigation. The results obtained showed that patients undergoing the multimodal rehabilitation program with and without the proposed systematic stretching maneuver showed a significant improvement in their functional abilities as seen from the significant increase in the static strength of the back extensors, with corresponding significant increase in back muscle myoelectric signals. Also, a significant decrease in their pain level was reported after 2 weeks of continuous treatment. The use of the systematic stretching maneuver enhanced the functional gains of chronic low-back pain patients compared to the control group.

Back Pain↗

Endurance time and physiological responses to prolonged arm lifting.

The main objective of this study was to examine the effects of prolonged arm lifting tasks on endurance time and physiological responses. Ten male college students participated in the study. The independent variables were the frequency of handling and weight of load. The dependent variables were endurance time, oxygen consumption, minute ventilation, heart rate, and ratings of perceived exertion of the shoulder, arm, back, leg and overall body. The results indicated that: (1) endurance time decreased with an increase in frequency or load; (2) oxygen consumption and heart rate limits were dependent on the interaction of frequency and load; (3) oxygen consumption and heart rate limits for arm lifting were generally lower than limits for leg lifting tasks; and (4) for arm work, average physiological responses recorded over short durations were not significantly different from those based on long durations.

Adult↗

Physiological and psychophysical responses to static, dynamic and combined arm tasks.

The main objective of the present study was to determine the effects of arm tasks possessing varying degrees of static and dynamic components upon the physiological and psychophysical strain imposed on the human body. Heart rate and blood pressure were used as indices of cardiovascular strain, while ratings of perceived exertion and endurance time are used as indices of psychophysical strain. For each weight of load studied, static tasks recorded the highest systolic blood pressure, dyastolic pressure, and ratings of perceived exertion values followed by combined, then highly dynamic, tasks. The highly dynamic task recorded the highest endurance time followed by combined then purely static tasks. This study supports the idea that blood pressure should be incorporated as one of the monitored strain factors in setting criteria for manual materials-handling tasks. In addition, the ratings of perceived exertion can be used as an effective tool in assessing the static component of the task. Based on the results obtained from the experimental conditions studied, the weight of the load has been shown to be an important parameter in the design of arm tasks comprising varying degrees of static and dynamic components. On the other hand, the frequency of handling is not an important parameter in the design of these types of tasks.

Journal Article↗

Psychophysical models for manual lifting tasks.

This paper provides two models for males and females to assess the psychophysical maximum acceptable weight of lift. The weight guidelines generated by the models are a function of lifting frequency, height of lift, sagittal or asymmetrical lifting, task duration, container size in the sagittal plane, presence or absence of container couplings, and percentage of the working population. The developed models were generated from a knowledge base available in the published literature. A computer program was written in BASIC to assist the user in determining the safe load that could be handled by a specified working population. Model validation showed that the models developed predict the maximum acceptable weight of lift with a reasonable degree of accuracy. A comparison between the National Institute for Occupational Safety and Health recommendations and those made on the basis of the models developed in this paper is also presented.

Journal Article↗

Biofeedback in back muscle strengthening.

This study was undertaken to investigate the use of electromyography (EMG) biofeedback as an add-on therapy to standard exercise in the restoration of the functional abilities of the trunk extensor muscles in patients suffering from chronic low-back pain (CLBP). A controlled experimental investigation was conducted to study the effectiveness of using the proposed treatment modality in the management of the low-back pain problem. The results obtained indicate that the proposed methodology was an effective tool to achieve a significant improvement in the strength of lumbar paraspinal muscles of chronic low-back pain patients.

Adult↗

Effects of frequency and load to lift on endurance time.

The purpose of the present study was to determine endurance time for manual lifting tasks which were performed over a wide range of loads (5, 10, 15, and 20 kg) and frequencies (4, 6, 8, and 10 times/min) for a lift from floor to table height. Endurance time was defined in this study as the maximum length of time during which an individual was capable of lifting a given load at a given frequency continuously. The upper limit of endurance time was set to 8 h. Eleven male subjects participated in this study, and the lifting technique utilized with the straight back-bent knees method. The results showed that endurance time was significantly reduced with an increase in frequency or load of lift. The lightest frequency-load combination (4 times/min; 5 kg) was maintained by most of the subjects for 8 h. Conversely, the average endurance time for the heaviest frequency-load combination (10 times/min; 20 kg) was about 27 minutes.

Adult↗

A knowledge-based system for the design of manual materials handling.

The purpose of this paper is to develop and test an expert system for the design of new and existing repetitive manual materials handling (RMMH) tasks. For new jobs, the expert system provides recommendations on the maximum acceptable weight to be handled under a variety of worker and task variables. For existing jobs, the expert system provides possible solutions to the design of RMMH tasks if the weight handled on the job is greater than the recommended one. The expert system was implemented on an IBM PCXT personal computer. Two examples on how to utilise the expert system in designing new and existing jobs are given.

Journal Article↗

Physiological stresses associated with television camera operators' tasks.

This study was undertaken to evaluate the physiological stresses experienced by news media cameramen on their jobs. The tasks performed by the cameramen were simulated, based on the results of monitoring the field performance of these camera operators for a two-week period. Four male professional camera operators volunteered to participate in this study. Heart rate and oxygen consumption were selected to measure the physiological stresses associated with the camera operator's jobs. The results clearly show that jobs performed by the news media camera operators working for small television stations include very demanding physical tasks. The camera operator's job could be classified, based on physiological costs, as heavy work. A detailed discussion of the results and their implications in the process of camera operator's job redesign is given.

Journal Article↗

Physiological guidelines for the design of manual lifting and lowering tasks: the state of the art.

The goal of many researchers and practitioners of occupational health and safety has been to design manual materials handling (MMH) tasks so as to reduce the frequency and severity of overexertion injuries usually associated with these types of tasks. Physiological limits with respect to the manual lifting and lowering aspects of MMH have been reviewed and evaluated. The information provided by different researchers has been presented in a concise manner that is easily accessed by designers and practitioners of MMH. Recommendations for future research in determining physiological limits of individuals engaged in manual lifting and lowering tasks and other aspects of MMH activities have been provided.

Energy Metabolism↗

The utility of electromyographic biofeedback in the treatment of conversion paralysis.

Conversion paralysis has a poor prognosis when there is evidence of nonresponse to previous treatment, long duration, and secondary atrophy of the "paralyzed" muscles. The authors present four such cases in which conversion paralysis was treated successfully by means of electromyographic (EMG) biofeedback. Each of the four patients also suffered from a chronic pain condition. Results from statistical analyses indicated that the four patients demonstrated significant improvement in the functional capacity of the "paralyzed" muscles as measured by isometric maximum voluntary contraction and EMG activity. The improvements occurred without explicit psychotherapy and suggest that behavioral modification techniques alone may be helpful in such cases.

Adult↗

Functional electric stimulation in the reversal of conversion disorder paralysis.

Numerous reports have documented the usefulness of functional electric stimulation (FES) in restoring and/or improving the function of organically diseased or paralyzed muscles. There are few reports related to the use of FES in the treatment of conversion disorder paralysis of the hysterical type. This paper presents a case of hysterically paralyzed muscles where the patient received daily treatment with FES for two weeks. Electric current was applied to a weak quadriceps and to paralyzed tibialis anterior muscles. This electrotherapeutic modality was effective in improving the function of the quadriceps and in reversing the paralysis of the tibialis anterior muscles. The improvement in the muscles' functional abilities was documented through the use of quantitative measures of muscle strength as well as computerized analysis of EMG signals. The results showed that the administration of FES resulted in a dramatic increase in motor units recruitment, increased muscle strength, and improved voluntary muscle control.

Adult↗

Determination of lifting abilities: a comparative study of four techniques.

The main objective of this study was to test the differences among four techniques for the determination of lifting abilities. This study introduced a new submaximal isometric strength testing technique. The proposed test was based on the concept of acceptable maximum effort (AME) which is the level of static exertion the individual is willing to perform voluntarily and comfortably without over-exertion (as opposed to the maximum ability of performance). Twelve male and five female subjects underwent the protocol of the four strength testing techniques investigated: isometric maximum voluntary contraction (MVC); maximum acceptable weight (MAW); maximum dynamic lifting (MDL); and acceptable maximum effort (AME). The results showed that MAW recorded the lowest values followed by AME, then MDL, then MVC. The correlation between AME and MAW was higher than that found between MVC and MAW. Also, it was found that AME is a reproducible measure of muscular functional abilities. On the average, the coefficient of variation was less than 15% for data for both males and females. The implications of these results in determining lifting abilities are discussed.

Adult↗

Acceptable maximum effort (AME). A psychophysical measure of strength in back pain patients.

A new quantitative method for measuring functional abilities of chronic low-back pain patients is introduced. The method is based upon a psychophysical model referred to as acceptable maximum effort (AME). AME is the highest level of voluntary effort that a person can achieve without inducing unacceptable pain. In the current study, the AME method was applied to strength measurement. By use of a static strength measurement procedure, arm, leg, shoulder, back, and composite strengths were assessed upon admission to and discharge from a 4-week, nonsurgical comprehensive pain treatment program. The reliability of the AME method for each strength measure was assessed. In addition, the method was used to evaluate pre- to post-treatment changes in strength. Results indicate the AME method to be highly reliable and useful in determining treatment outcome. Reliability coefficients for all strength measures were above .90. The results are discussed in terms of their implications for standardized functional ability measurement in the area of chronic pain.

Back Pain↗