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Biomedical subjects

T Hansson

Publications and source records attributed to T Hansson.

At least 55 records · Page 3Linked to original sources

A mathematical model of the impact response of the seated subject.

A model of the lumbar spine, pelvis and buttocks is developed, based on linear horizontal and vertical systems along with a rotational subsystem. The model can mimic qualitatively different experimental observations of transmission of vibrations from the seat to L3 in the sitting posture. It is concluded that while the model lacks detailed sophistication, it adds to our qualitative understanding of the biomechanics of seated vibrations by pointing to those subsystems responsible for the observed transfer functions.

Acceleration↗

Intervertebral disc response to cyclic loading--an animal model.

The viscoelastic response of a lumbar motion segment loaded in cyclic compression was studied in an in vivo porcine model (N = 7). Using surgical techniques, a miniaturized servohydraulic exciter was attached to the L2-L3 motion segment via pedicle fixation. A dynamic loading scheme was implemented, which consisted of one hour of sinusoidal vibration at 5 Hz, 50 N peak load, followed by one hour of restitution at zero load and one hour of sinusoidal vibration at 5 Hz, 100 N peak load. The force and displacement responses of the motion segment were sampled at 25 Hz. The experimental data were used for evaluating the parameters of two viscoelastic models: a standard linear solid model (three-parameter) and a linear Burger's fluid model (four-parameter). In this study, the creep behaviour under sinusoidal vibration at 5 Hz closely resembled the creep behaviour under static loading observed in previous studies. Expanding the three-parameter solid model into a four-parameter fluid model made it possible to separate out a progressive linear displacement term. This deformation was not fully recovered during restitution and is therefore an indication of a specific effect caused by the cyclic loading. High variability was observed in the parameters determined from the 50 N experimental data, particularly for the elastic modulus E1. However, at the 100 N load level, significant differences between the models were found. Both models accurately predicted the creep response under the first 800 s of 100 N loading, as displayed by mean absolute errors for the calculated deformation data from the experimental data of 1.26 and 0.97 percent for the solid and fluid models respectively. The linear Burger's fluid model, however, yielded superior predictions particularly for the initial elastic response.

Animals↗

Functional evaluation of regenerated and misrouted axons to glabrous and hairy skin of the rat hind foot after sciatic neurotomy and suture.

The function of misrouted regenerated polymodal nociceptor C-fibers and low-threshold mechanoreceptive axons in the lateral plantar nerve (LPN) and in the foot branch of the superficial peroneal nerve (fSPN) was evaluated 3 months after unilateral sciatic neurotomy and suture. Two weeks before evaluation the tibial fascicle (or the peroneal fascicle) above the neurotomy was cut and tied off. In this way only functional regeneration of misrouted axons was tested in the LPN (or the fSPN). In regenerated animals the glabrous skin area had no functional fSPN-related low-threshold mechanoreceptive axons. However, the hairy fSPN skin area showed function of misrouted LPN-related low-threshold mechanoreceptive axons. In both the glabrous skin domain innervated by the LPN and the hairy skin area supplied by the fSPN, functional regeneration of misrouted polymodal nociceptor C-fibers was found. We conclude that functional regeneration of misrouted axons related to polymodal nociceptive units and low-threshold mechanoreceptive units is more efficient in hairy skin of the rat foot whereas only misrouted polymodal nociceptor C-fibers recover function in glabrous skin.

Animals↗

Resonant frequency of a pin-accelerometer system mounted in bone.

Invasive measurements of spinal motion using intraosseous metal pins have become common. For this reason, the resonant frequency of intraosseous pins attached with accelerometers was determined using two different methods. It was concluded that plucking the pin is a reliable method for determining the resonant frequency and, in order to accurately measure bone movement at frequencies up to 32 Hz, the pin diameter should be 2.0 mm or more. With a mass of the accelerometer assembly equal to 27 g, the total pin length should not exceed 80 mm with a bone-accelerometer distance of 25 mm and a pin diameter of 2.4 mm.

Acoustics↗

Estimation of binding free energies for HIV proteinase inhibitors by molecular dynamics simulations.

Absolute binding free energies for three inhibitors of HIV-1 proteinase were estimated from molecular dynamics simulations by a recently reported linear approximation procedure. The results were in fairly good agreement with experimental binding data. Two of the inhibitors were very similar and, for comparison, their relative free energies of binding were also calculated by free energy perturbation methods, giving virtually the same result. Effects of cut-off radii and charge states of the protein model were examined. The effects of pH on binding of one of the inhibitors were predicted.

Computer Simulation↗

In vivo measurement of spinal column viscoelasticity--an animal model.

The goal of this study was to measure the in vivo viscoelastic response of spinal motion segments loaded in compression using a porcine model. Nine pigs were used in the study. The animals were anaesthetized and, using surgical techniques, four intrapedicular screws were inserted into the vertebrae of the L2-L3 motion segment. A miniaturized servohydraulic exciter capable of compressing the motion segment was mounted on to the screws. In six animals, a loading scheme consisting of 50 N and 100 N of compression, each applied for 10 min, was used. Each loading period was followed by 10 min restitution with zero load. The loading scheme was repeated four times. Three animals were examined for stiffening effects by consecutively repeating eight times 50 N loading for 5 min followed by 5 min restitution with zero load. This loading scheme was repeated using a 100 N load level. The creep-recovery behavior of the motion segment was recorded continuously. Using non-linear regression techniques, the experimental data were used for evaluating the parameters of a three-parameter standard linear solid model. Correlation coefficients of the order of 0.85 or higher were obtained for the three independent parameters of the model. A survey of the data shows that the viscous deformation rate was a function of the load level. Also, repeated loading at 100 N seemed to induce long-lasting changes in the viscoelastic properties of the porcine lumbar motion segment.

Animals↗

Does hyperextension have an unloading effect on the intervertebral disc?

A stadiometer (a device to measure the overall height of a subject) was used to determine the effect of hyperextension in rehydration of the intervertebral disc. Hyperextension for 20 minutes in a prone posture was compared with the prone posture alone for 20 minutes. The stadiometer measurement was made after the subject was exposed to 10 kg of loading applied to the shoulders for five minutes and after each of the recovery postures. It was found that hyperextension gave a significantly increased height recovery compared with the prone posture.

Adult↗

Effect of strain rate and bone mineral on the structural properties of the human anterior longitudinal ligament.

The effect of strain rate and bone mineral content on the biomechanical properties of the human lumbar anterior longitudinal ligament-bone complex was studied. Tensile structural properties were determined for 54 such preparations subjected to distraction rates ranging from 0.1-230 mm/sec. The ultimate load as well as the stiffness of the bone-ligament complex increased more than 50% over this strain rate range. A high correlation between bone mineral and structural properties of the ligament-bone complex was also noted. These findings suggest that, in development and construction of spine models for prediction of injury risks, one should consider the effect of different loading rates as well as the inherent properties (i.e., bone mineral content) of the biological material.

Adult↗

The effect of seat back inclination on spine height changes.

The effect of backrest inclination on spinal height changes was tested during static sitting and seated whole-body vibrations. The vibration input was sinusoidal with a frequency of 5 Hz and an acceleration of 0.1 g rms. The backrest inclinations tested were 110 degrees and 120 degrees . The 110 degrees backrest caused less shrinkage than did the 120 degrees during static sitting, whereas the opposite was true when vibration was present, although the differences between the backrests were not statistically significant. Only when the results were compared with results from exposure to unsupported sitting were the differences statistically significant for both static sitting and seated vibrations when the 110 degrees backrest was used and for vibration with the 120 degrees backrest. Thus we conclude that an inclined backrest reduces the effects of vibration. More importantly, emphasis should be placed upon seats and seat materials that can attenuate vibration.

Journal Article↗

Bone mineral content and fixation strength of femoral neck fractures. A cadaver study.

We measured the bone mineral content (BMC) of 21 human femoral autopsy specimens using Radiographic Attenuation Technique (RAT). The specimens were then tested for stiffness in a material-testing machine. Osteosynthesis was performed after medial femoral neck osteotomy, using 1 of 3 different pinning methods: 2 hook pins (LIH), 2 cannulated screws (Uppsala), and 3 cannulated screws (CHP). The specimens were allocated to each method by grouping them in triplets with similar BMC. Cyclic loading at 500-1000 N and 1 Hz was performed during 50 minutes. The amount of axial compression during loading was measured. Finally, loading to failure was done and post-fixation stiffness and ultimate compression strength recorded. With one exception, all cases failed where the BMC was less than 0.4 g/cm2. No differences between the methods of osteosynthesis were found. The fixation strength was mostly dependent on the strength of the bone, i.e., the degree of osteoporosis.

Aged↗

[Spinal stenosis and instability of the lumbar spine. Current aspects of pathophysiology and pain mechanisms].

The pathophysiology of spinal stenosis and segmental instability is discussed. The critical magnitude of the cross-sectional area of the cauda equina in the lower part of the vertebral canal is related to the dynamic loading of the spine, nerve impulse conduction and nerve root nutrition. Present knowledge of segmental instability is discussed, and an account is given of findings obtained during dynamic measurements with an intervertebral motion device (IMD), which indicate pathological motion patterns to differ from one pair of vertebrae to another.

Adult↗

Bone mineral content of the third lumbar vertebra during 18 months of prednisolone treatment for giant cell arteritis.

Altogether forty-four patients with giant cell arteritis (GCA) were randomly allocated to either daily morning or alternate-day administration of prednisolone. The BMC of the third lumbar vertebra was determined using dual photon absorptiometry. At least ten measurements were performed in each patient during a period of 18 months. During the course of treatment there was no significant change of the mean BMC in either group compared to the pre-treatment value. The changes of BMC were independent of such potentially explanatory variables as cumulative dose of prednisolone, initial BMC, sex and body weight. Corticosteroid treatment in patients with GCA, in the doses used by us, does not appear to cause excessive bone loss.

Aged↗

The ultimate flexural strength of the lumbar spine and vertebral bone mineral content.

Flexion-distraction injuries (lap seat-belt injuries resulting from car accidents) were simulated by exposing 16 lumbar functional spinal units (FSUs) to a combined quasistatic load of bending and shearing in the sagittal plane. The load response of the FSU was measured by means of a force and moment transducer. Displacements and angulations were measured and calculated by means of dial gauges and photographs taken after each loading step. The mean angulation between the vertebrae just before total rupture was 20 degrees. The ultimate values of bending moment, shear force, and bending stiffness were correlated with the bone mineral content (BMC), and so were the horizontal and vertical displacements determined around the yield point on the load-displacement curve.

Accidents, Traffic↗

Primary prevention of back symptoms and absence from work. A prospective randomized study among hospital employees.

The personnel at a geriatric hospital were randomized into two groups. One group was allowed to exercise during working hours to improve back muscle strength, endurance, and coordination. The other group did not participate in the exercise program and received no further advice or information. After 13 months, the training group had increased back muscle strength. One subject had been absent from work 28 days in the training group whereas 12 subjects had been absent 155 days from work because of low back pain in the control group (P < 0.004). The back pain complaints and intensity of back pain in the training group also decreased in a statistically significant way. Every hour spent by the physiotherapist on the training group reduced the work absence among the participants by 1.3 days, resulting in a cost/benefit ratio greater than 10.

Absenteeism↗