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Management of arm arterial injuries.

Management, morbidity, and mortality of arterial injuries of the arm are dependent upon site of injury, promptness and accuracy of diagnosis, and involvement of contiguous structures. To determine results and establish principles of management, a retrospective analysis was undertaken of 109 arm arterial injuries from the thoracic inlet to the wrist in 102 patients. Iatrogenic injuries were excluded. Arterial injuries were classified into those affecting the upper arm (subclavian, axillary, and brachial) and those affecting the lower arm (radial, ulnar, and interosseous). This proved to be a useful classification because of differences in management and results at these two levels. Thirty-six or one third of injuries involved the upper arm (13 subclavian, seven axillary, and 16 brachial) and 73 involved the lower arm (30 radial, 29 ulnar, 12 radioulnar, and two interosseous). Of the 19 individuals in hypovolemic shock when first examined, 12 (63%) had sustained upper arm injuries. Fifty-four percent of all patients had nerve involvement when initially examined, the majority (76%) sustaining lower arm injuries. Vein grafts were required during 19 repairs whereas resection and end-to-end repair were successful on 62 occasions. No synthetic grafts were used. Ligation alone was performed 18 times, only among those with lower arm injuries. Two patients died, both of hypoxic brain damage. Twenty-eight percent of patients suffered late disability despite an adequate vascular repair. Overall, 7% of patients with upper arm injuries and 21% of those with lower arm injuries were disabled when last seen. Upper arm arterial injuries are more of a threat to life than are lower arm injuries, but lower arm arterial injuries are more disabling, mainly because of associated nerve involvement.

Adolescent↗

Radial arm maze performance in rats following gestational and lactational exposure to 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD).

Recently, we reported that in utero and lactational exposure to 2,3, 7,8-tetrachlorodibenzo-p-dioxin (TCDD) resulted in a task-specific reduction of errors on the radial arm maze (RAM), without similar improvements on other spatial learning tasks including the Morris water maze. The effect was more pronounced in males than in females. This study further investigated the effects of in utero and lactational exposure to TCDD on RAM performance by testing male and female TCDD-exposed rats on either an eight-arm RAM with all arms baited or a 12-arm RAM with 8 of the 12 arms baited. If the rats have improved spatial learning or memory on the RAM, then they should be improved on both RAM tasks; whereas, if they are using adjacent arm selection or some other response strategy to solve the task, they should not show enhanced performance on the 12-arm RAM where not all the arms are rewarded. Time-mated Sprague-Dawley dams were gavaged with corn oil vehicle or one of two doses of TCDD in vehicle (0.1 or 0.2 microg/kg body weight) on gestational days 10 to 16. Litters were culled to eight on day 2 and weaned on day 21. Beginning on day 80, one male and female from each litter was tested on the eight-arm RAM with all arms baited. As in our previous studies, the 0.1-microg/kg TCDD-exposed male rats showed a significant decrease in the number of errors. However, the 0.2-microg/kg males did not differ from the controls. Neither group of TCDD-exposed females differed from the controls. None of the TCDD-exposed rats differed from the controls in adjacent arm selection behavior. An additional male and female from each litter were tested on the 12-arm RAM with only 8 of the 12 arms baited. In this task, neither TCDD group differed from the controls. These results suggest that the reduction of errors on the eight-arm RAM may be due to increased response patterning or use of intramaze cues rather than to improved spatial learning or memory. Also, the reduction in errors was only present at the lower dose of TCDD suggesting that the improvement in performance is only present at very low, nonovertly toxic doses of TCDD.

Animals↗

Effective electrostatic interactions in solutions of polyelectrolyte stars with rigid rodlike arms.

In solutions of star-branched polyelectrolytes, electrostatic interactions between charged arms on neighboring stars can compete with intrastar interactions and rotational entropy to induce anisotropy in the orientational distribution of arms. We explore the influence of arm orientational anisotropy on effective star-star interactions for model stars comprising rigid rodlike arms with evenly spaced charged monomers interacting via an effective screened-Coulomb (Yukawa) potential. Monte Carlo simulation and density-functional theory are used to compute the arm orientational distributions and effective pair potentials between weakly charged stars. For comparison, a torque balance analysis is performed to obtain the configuration and energy of the ground state, in which the torque vanishes on each arm of the two-star system. The degree of anisotropy is found to increase with the strength of electrostatic interactions and proximity of the stars. As two stars begin to overlap, the forward arms are pushed back by interstar arm-arm repulsion, but partially interdigitate due to rotational entropy. At center-center separations approaching complete overlap, the arms relax to an isotropic distribution. For nonoverlapping stars, anisotropy-induced changes in the intra- and interstar arm-arm interactions largely cancel and the effective pair interactions are then well approximated by a simple Yukawa potential, as predicted by linear-response theory for a continuum model of isotropic stars [A. R. Denton, Phys. Rev. E 67, 11804 (2003)]. For overlapping stars, the effective pair interactions in the simple rigid-arm-Yukawa model agree closely with simulations of a molecular model that includes flexible arms and explicit counterions [A. Jusufi et al., Phys. Rev. Lett. 88, 018301 (2002); J. Chem. Phys. 116, 11011 (2002)].

Journal Article↗

Kinematic strategies for upper arm-forearm coordination in three dimensions.

This study addressed the question of how the three-dimensional (3-D) control strategy for the upper arm depends on what the forearm is doing. Subjects were instructed to point a laser-attached in line with the upper arm-toward various visual targets, such that two-dimensional (2-D) pointing directions of the upper arm were held constant across different tasks. For each such task, subjects maintained one of several static upper arm-forearm configurations, i. e., each with a set elbow angle and forearm orientation. Upper arm, forearm, and eye orientations were measured with the use of 3-D search coils. The results confirmed that Donders' law (a behavioral restriction of 3-D orientation vectors to a 2-D "surface") does not hold across all pointing tasks, i.e., for a given pointing target, upper arm torsion varied widely. However, for any one static elbow configuration, torsional variance was considerably reduced and was independent of previous arm position, resulting in a thin, Donders-like surface of orientation vectors. More importantly, the shape of this surface (which describes upper arm torsion as a function of its 2-D pointing direction) depended on both elbow angle and forearm orientation. For pointing with the arm fully extended or with the elbow flexed in the horizontal plane, a Listing's-law-like strategy was observed, minimizing shoulder rotations to and from center at the cost of position-dependent tilts in the forearm. In contrast, when the arm was bent in the vertical plane, the surface of best fit showed a Fick-like twist that increased continuously as a function of static elbow flexion, thereby reducing position-dependent tilts of the forearm with respect to gravity. In each case, the torsional variance from these surfaces remained constant, suggesting that Donders' law was obeyed equally well for each task condition. Further experiments established that these kinematic rules were independent of gaze direction and eye orientation, suggesting that Donders' law of the arm does not coordinate with Listing's law for the eye. These results revive the idea that Donders' law is an important governing principle for the control of arm movements but also suggest that its various forms may only be limited manifestations of a more general set of context-dependent kinematic rules. We propose that these rules are implemented by neural velocity commands arising as a function of initial arm orientation and desired pointing direction, calculated such that the torsional orientation of the upper arm is implicitly coordinated with desired forearm posture.

Biomechanical Phenomena↗

Inter- and intra-limb coordination in arm tremor.

Inter- and intra-limb coordination in arm tremor was examined in adult subjects under vision and no vision conditions using accelerometery techniques. The accelerometer data were analyzed using standard time and frequency domain analyses and the regularity of the acceleration time series was determined using an approximate entropy (Ap En) measure. The data analysis was structured to examine the hypothesis that there is a functional compensatory relation between the motion (tremor) of the limb segments in the arm coordination postural pointing task. The results showed that the level of acceleration increased in a proximal to distal direction within a single arm and was symmetrical across homologous arm segments. The frequency analysis showed the established power spectral profiles for each limb segment in postural tremor tasks, but the finger motion included (beyond the normal 8-12 Hz and 20 Hz tremor) a third slower peak at around 2-3 Hz, due possibly to the reactive forces of the other arm links. There was no effect of vision on the level or frequency patterns of accleration in the limb segments. The coordination analysis showed that there was no linkage between the arms in either the time or frequency domain in the execution of this postural task. This result would tend to suggest that the neuronal commands underlying normal tremor are not derived from a common central oscillator within the central nervous system but are organized in a parallel fashion. The strength of the coupling of intra-limb coordination varied according to the particular adjacent limb links. There were significant correlations in the time domain and coherence in the frequency domain in the acceleration signals between upper arm and forearm, and between hand and finger. The phase lag of the arm units within each of these respective segment pairs was close to in phase or 0 deg. Significant coherence in the frequency domain was also evident between upper arm and hand motion, with the phase lag between these segments being close to 180 deg out of phase. The Ap En analysis of the acceleration signals revealed that there was more regularity to the upper arm and hand accelerometer signals than the forearm and finger signals. The findings show that the intra-limb coordination of the arm links in a two-limb postural pointing task is effected by a compensatory synergy organized about the action of the wrist and shoulder joints. This compensatory synergy reduces the coordination of the 4 within-limb degrees of freedom (arm links) to, in effect, a single degree of freedom arm control task that is not coupled in organization to the motion of the other limb or the torso. It is proposed that this coordination solution reduces the degrees of freedom independently regulated for realization of the task goal but preserves independent body segment control in critical degrees of freedom for potential adaptation to postural perturbations.

Adaptation, Physiological↗

Simulating mechanical consequences of voluntary movement upon whole-body equilibrium: the arm-raising paradigm revisited.

Voluntary arm-raising movement performed during the upright human stance position imposes a perturbation to an already unstable bipedal posture characterised by a high body centre of mass (CoM). Inertial forces due to arm acceleration and displacement of the CoM of the arm which alters the CoM position of the whole body represent the two sources of disequilibrium. A current model of postural control explains equilibrium maintenance through the action of anticipatory postural adjustments (APAs) that would offset any destabilising effect of the voluntary movement. The purpose of this paper was to quantify, using computer simulation, the postural perturbation due to arm raising movement. The model incorporated four links, with shoulder, hip, knee and ankle joints constrained by linear viscoelastic elements. The input of the model was a torque applied at the shoulder joint. The simulation described mechanical consequences of the arm-raising movement for different initial conditions. The variables tested were arm inertia, the presence or not of gravity field, the initial standing position and arm movement direction. Simulations showed that the mechanical effect of arm-raising movement was mainly local, that is to say at the level of trunk and lower limbs and produced a slight forward displacement of the CoM (1.5 mm). Backward arm-raising movement had the same effect on the CoM displacement as the forward arm-raising movement. When the mass of the arm was increased, trunk rotation increased producing a CoM displacement in the opposite direction when compared to arm movement performed without load. Postural disturbance was minimised for an initial standing posture with the CoM vertical projection corresponding to the ankle joint axis of rotation. When the model was reduced to two degrees of freedom (ankle and shoulder joints only) the postural perturbation due to arm-raising movement increased compared to the four-joints model. On the basis of these results the classical assumption that APAs stabilise the CoM is challenged.

Arm↗

Disruption of bilateral temporal coordination during arm swinging in patients with hemiparesis.

Persistent motor deficits in the paretic arm present a major barrier to the recovery of the ability to perform bimanual tasks even in individuals who have recovered well after a stroke. Impaired performance may be related to deficits in bimanual temporal coordination due to stroke-related damage of specific brain motor structures as well as changed biomechanics of the paretic arm. To determine the extent of the deficit in bilateral temporal coordination after the stroke, we investigated how bilateral reciprocal coordination was regained after external perturbations of the arm in individuals with hemiparesis due to stroke. We used a bilateral task that would be minimally affected by the unilateral arm motor deficit. Nine non-disabled control subjects and 12 individuals with chronic hemiparesis performed reciprocal (anti-phase) arm swinging in the standing position for 15 s per trial. In each trial, movement of one arm was unexpectedly and transiently (approximately 150-350 ms) arrested at the level of the wrist once in the forward and once in the backward phase of swinging. Perturbation was applied to the left and right arms in control subjects and to the paretic and non-paretic arms of individuals with hemiparesis. Kinematic data from endpoint markers on both hands and electromyographic activity of anterior and posterior deltoid muscles from both arms were recorded. The oscillatory period, the phase differences between arms and the mean EMG activity before, during and after perturbation were analyzed. In both groups the perturbation altered the period of the perturbed cycle in both the arrested and non-arrested arms and resulted in a change from anti-phase to in-phase coordination, following which anti-phase coordination was regained. Recovery of anti-phase swinging took significantly longer in patients with hemiparesis compared to control subjects. Stable pre-perturbed (anti-phase) reciprocal coordination was regained within one cycle following perturbation for the control subjects and within two cycles following perturbation for the patients with hemiparesis. Analysis of EMG activation levels showed that, compared to control subjects, there was significantly less activation of the shoulder muscles in response to perturbation in the patient group and the pattern of muscle activation in the paretic arm was opposite to that in the non-paretic and control arms. The finding that patients had a reduced capacity for maintaining and restoring the required reciprocal coordination when perturbation occurred suggests that stroke-related brain damage in our patients led to instability of bilateral temporal coordination for this rhythmical task.

Adult↗

Influence of light additional arm cranking exercise on the kinetics of VO2 in severe cycling exercise.

This study examined the influence of light additional arm cranking exercise on the VO2 slow component observed during severe cycling exercise. During incremental tests, eleven triathletes exercised to exhaustion cycling with leg, cranking with arm and combined arm and leg cranking and cycling (arm work-rates being set at the third of leg work rates) to determine arm, leg and combined arm and leg lactate threshold and VO2max. After these incremental tests subjects performed in random order severe exercises until exhaustion at work-rates corresponding to the lactate threshold + 50% of the difference to the work rate associated with VO2max and the lactate threshold, i.e., delta50: 1) with legs only (leg delta50) 2) leg delta50 plus a very light arm cranking exercise at 25 % of the arm lactate threshold (Ldelta50 + A25). VO2 slow component was the increase of VO2 (in ml x min(-1)) between the third and the sixth minute of exercise (deltaVO2 63 min). Results showed 1) Nine of the eleven triathletes had a VO2 slow component in arm delta50; 2) a light cycle arm exercise (25% of lactate threshold) added to a severe leg cycle exercise did not decrease time to exhaustion in severe exercise (493 +/- 154s vs 418 +/- 84, P=0.4); 3) For the five subjects who had a VO2 slow component in leg cycling, the addition of a light arm exercise (25% of arm LT) decreased the VO2 slow component significantly (from 457 +/- 173 ml x min(-1) for leg delta50 to 111 +/- 150 ml x min(-1) for Ldelta50 + A25, Z = -2.0, P = 0.04). In conclusion, light additional arm cranking decreases the VO2 slow component in severe cycling. Further studies are needed to confirm the hypothesis that extra work due to an increasing handgrip on the handlebars may contribute to the VO2 slow component in cycling.

Adult↗

Inter-arm differences in blood pressure: when are they clinically significant?

OBJECTIVE: To determine whether there is significant disparity in blood pressure between the two arms. DESIGN: Prospective, observational study. SETTING: One general hospital in Birmingham, England. PARTICIPANTS: Four hundred participants [age 56.3 +/- 19.7 years (mean +/- SD), 50% male] were recruited from staff and patients. Simultaneous bilateral blood pressure measurements were obtained using Omron HEM-705CP automated oscillatory devices; with two measurements taken in each arm. MAIN OUTCOME MEASURES: Mean inter-arm blood pressure differences and frequency of clinically important disparities. RESULTS: Mean +/- SD inter-arm differences in systolic and diastolic blood pressure were 1.81 +/- 8.6 mmHg and -0.23 +/- 8.3 mmHg, respectively. The analogous figures for mean +/- SD absolute differences were 6.32 +/- 6.12 mmHg and 5.06 +/- 6.57 mmHg, respectively. Significant differences were present between the mean right and left arm systolic blood pressure [t(399) = 4.20, P < 0.0001], and the mean absolute difference for both systolic [t(399) = 20.65; P < 0.0001] and diastolic [t(399) = 15.39; P < 0.0001] blood pressure. The variation in mean inter-arm blood pressure was unrelated to age, sex, ethnicity, arm circumference, handedness, being hypertensive, diabetic, or previous history of cardiovascular disease. Clinically significant inter-arm differences in systolic blood pressure of > 10 and > 20 mmHg were found in 20 and 3.5%, respectively; diastolic differences of > 10 and > 20 mmHg were present in 11 and 3.5%, respectively. Age was the only significant predictor of clinically significant variations in inter-arm blood pressures and mean absolute blood pressure differences. CONCLUSIONS: Significant differences in mean inter-arm systolic blood pressure, and mean absolute inter-arm systolic and diastolic blood pressure are present. This emphasizes the importance of measuring blood pressure in both arms initially to prevent this misdiagnosis of hypertension, due to normal differences in blood pressure between the arms.

Adult↗

Neural coupling between the arms and legs during rhythmic locomotor-like cycling movement.

Neuronal coupling between the arms and legs allowing coordinated rhythmic movement during locomotion is poorly understood. We used the modulation of cutaneous reflexes to probe this neuronal coupling between the arms and legs using a cycling paradigm. Participants performed rhythmic cycling with arms, legs, or arms and legs together. We hypothesized that any contributions from the arms would be functionally linked to locomotion and would thus be phase-dependent. Reflexes were evoked by electrical stimulation of the superficial peroneal nerve at the ankle, and electromyography (EMG) was recorded from muscles in the arms and legs. The main finding was that the relative contribution from the arms and legs was linked to the functional state of the legs. For example, in tibialis anterior, the largest contribution from arm movement [57% variance accounted for (VAF), P < 0.05] was during the leg power phase, whereas the largest from leg movement (71% VAF, P < 0.05) was during leg cycling recovery. Thus the contribution from the arms was functionally gated throughout the locomotor cycle in a manner that appears to support the action of the legs. Additionally, the effect of arm cycling on reflexes in leg muscles when the legs were not moving was relatively minor; full expression of the effect of rhythmic arm movement was only observed when both the arms and legs were moving. Our findings provide experimental support for the interaction of rhythmic arm and leg movement during human locomotion.

Adult↗

Motor adaptation to Coriolis force perturbations of reaching movements: endpoint but not trajectory adaptation transfers to the nonexposed arm.

1. Reaching movements made in a rotating room generate Coriolis forces that are directly proportional to the cross product of the room's angular velocity and the arm's linear velocity. Such Coriolis forces are inertial forces not involving mechanical contact with the arm. 2. We measured the trajectories of arm movements made in darkness to a visual target that was extinguished at the onset of each reach. Prerotation subjects pointed with both the right and left arms in alternating sets of eight movements. During rotation at 10 rpm, the subjects reached only with the right arm. Postrotation, the subjects pointed with the left and right arms, starting with the left, in alternating sets of eight movements. 3. The initial perrotary reaching movements of the right arm were highly deviated both in movement path and endpoint relative to the prerotation reaches of the right arm. With additional movements, subjects rapidly regained straight movement paths and accurate endpoints despite the absence of visual or tactile feedback about reaching accuracy. The initial postrotation reaches of the left arm followed straight paths to the wrong endpoint. The initial postrotation reaches of the right arm had paths with mirror image curvature to the initial perrotation reaches of the right arm but went to the correct endpoint. 4. These observations are inconsistent with current equilibrium point models of movement control. Such theories predict accurate reaches under our experimental conditions. Our observations further show independent implementation of movement and posture, as evidenced by transfer of endpoint adaptation to the nonexposed arm without transfer of path adaptation. Endpoint control may occur at a relatively central stage that represents general constraints such as gravitoinertial force background or egocentric direction relative to both arms, and control of path may occur at a more peripheral stage that represents moments of inertia and muscle dynamics unique to each limb. 5. Endpoint and path adaptation occur despite the absence both of mechanical contact cues about the perturbing force and visual or tactile cues about movement accuracy. These findings point to the importance of muscle spindle signals, monitoring of motor commands, and possibly joint and tendon receptors in a detailed trajectory monitoring process. Muscle spindle primary and secondary afferent signals may differentially influence adaptation of movement shape and endpoint, respectively.

Adaptation, Physiological↗

Reaching movements with similar hand paths but different arm orientations. I. Activity of individual cells in motor cortex.

This study shows that the discharge of many motor cortical cells is strongly influenced by attributes of movement related to the geometry and mechanics of the arm and not only by spatial attributes of the hand trajectory. The activity of 619 directionally tuned cells was recorded from the motor cortex of two monkeys during reaching movements with the use of similar hand paths but two different arm orientations, in the natural parasagittal plane and abducted into the horizontal plane. Nearly all cells (588 of 619, 95%) showed statistically significant changes in activity between the two arm orientations [analysis of variance (ANOVA). P < 0.01]. A majority of cells showed a significant change in their overall level of activity (ANOVA, main effect of task, P < 0.01) between arm orientations before, during, and after movement. Many cells (433 of 619, 70%) also showed a significant change in the relation of their discharge with movement direction (ANOVA, task x direction interaction term, P < 0.01) during movement, including changes in the dynamic range of discharge with movement and changes in the directional preference of cells that were directionally tuned in both arm orientations. Similar effects were seen for the discharge of cells while the monkey maintained constant arm postures over the different peripheral targets with the use of different arm orientations. Repeated data files from the same cell with the use of the same arm orientation showed only small changes in the level of discharge or in directional tuning, suggesting that changes in cell discharge between arm orientations cannot be explained by random temporal variations in cell activity. The distribution of movement-related preferred directions of the whole sample differed between arm orientations, and also differed strongly between cells receiving passive input predominantly from the shoulder or elbow. The electromyographic activity of most prime mover muscles at the shoulder and elbow was also strongly affected by arm orientation, resulting in changes in overall level of activity and/or directional tuning that often resembled those of the proximal arm-related motor cortical cells. A mathematical model that represented movements in terms of movement direction centered on the hand could not account for any of the arm-orientation-related response changes seen in this task, whereas models in intrinsic parameter spaces of joint kinematics and joint torques predicted many of the effects.

Analysis of Variance↗

Structural and geometrical constraints on the outer dynein arm in situ.

This study considers the relationship between two structural forms of the 22S dynein arm of Tetrahymena thermophila: the bouquet and the compact arm. The compact arm differs from the bouquet and from other proposed forms (e.g., the "toadstool") in that the globular domains are situated transversely across the interdoublet gap with one globular subunit, the head, proximal to the adjacent doublet microtubule. The other models place all three globular domains proximal to the neighboring doublet microtubule. When sliding of an isolated axoneme is induced, at least 57% of total attached arms on exposed doublets are in the compact form within dimensions of 24 x 24 x 12 nm, and only about 2% of the arms are bouquets. Toadstools are incompatible with the images seen. Bouquets are not found in regions of the doublet protected by a neighboring doublet. When axonemes with exposed doublets are treated with 0.5 M KCl for 30 min, the compact arms and the dynein heavy (H)-chains disappear, while isolated bouquets and dynein H-chains appear in the medium, suggesting that the compact arms give rise to the bouquets as they are solubilized. The bouquet is the predominant form of isolated 22S dynein molecules, which are found in two apparently enantiomorphic forms, within dimensions 45 x 39 x 13 nm; bouquets attached to doublets have dimensions similar to those of isolated bouquets. Computer modeling indicates that in an intact standard-diameter axoneme, these dimensions are incompatible with the interdoublet volume available for an arm; the bouquet therefore represents an unfolded compact arm. A plausible sequence of changes can be modeled to illustrate the conversion of an attached compact arm to an attached and then free bouquet. The toadstool is probably an artifact that arises after unfolding. Consistent with the conformational difference, H-chains of attached compact arms differ from those of isolated bouquets in their susceptibility to limited proteolysis. These results suggest that the compact arm, rather than the unfolded bouquet or the toadstool, is the functional form of the outer arm in the intact axoneme.

Animals↗

Effects of ethanol on enforced spatial variability in the 8-arm radial maze.

Previous work has indicated that ethanol is a potent stereotypy-inducing agent. At least this is the case for spontaneously emitted instrumental behavior. The present experiments were undertaken to determine if spatial variability could be generated by drugged rats when it was enforced by reward contingencies. With a reward nonreplacement rule in force, four arms of an 8-arm radial maze were baited on every trial. Rats injected with 0, 0.75, 1.5, or 2.0 g/kg ethanol were required to run to the same set of arms from trial-to-trial and session-to-session. Efficient performance depended upon their running to the correct set of arms as well as meeting a "win-shift" demand which proscribed returning to previously visited arms during a given trial. Although all groups were eventually able to run to the correct set of arms, alcohol, especially at higher doses, promoted repetition. The inability to refrain from reentering arms prevented many alcohol-injected animals from obtaining the four rewards in the allotted time. In Phase 2 of Experiment 1, the baited arms were rotated 45 degrees. Now the formerly empty arms contained pellets and rewards were withdrawn from the previously correct arms. Adjustment to this shift was rapid for 0 and 0.75 g/kg groups, but an increasingly severe perseveration was observed across the higher ethanol groups. Experiment 2 reproduced the results of Experiment 1 under different circumstances. While trained as before to run to a specific set of four arms in Phase 1, Phase 2 presented the rats with rewards in all eight arms of the maze. With higher doses of alcohol an increasing persistence in running to the original four arms was observed. Saline-injected animals, on the other hand, rapidly doubled the number of pellets taken. Taken together, and in view of earlier findings, the results suggest that alcohol interacts with previous training as well as recent choices with the result that spatial dispersion is restricted in spite of explicitly opposing reward contingencies.

Animals↗

Swimming constraints and arm coordination.

Following Newell's concept of constraint (1986), we sought to identify the constraints (organismic, environmental and task) on front crawl performance, focusing on arm coordination adaptations over increasing race paces. Forty-two swimmers (15 elite men, 15 mid-level men and 12 elite women) performed seven self-paced swim trials (race paces: as if competitively swimming 1500m, 800m, 400m, 200m, 100m, 50m, and maximal velocity, respectively) using the front crawl stroke. The paces were race simulations over 25m to avoid fatigue effects. Swim velocity, stroke rate, stroke length, and various arm stroke phases were calculated from video analysis. Arm coordination was quantified in terms of an index of coordination (IdC) based on the lag time between the propulsive phases of each arm. This measure quantified three possible coordination modes in the front crawl: opposition (continuity between the two arm propulsions), catch-up (a time gap between the two arm propulsions) and superposition (an overlap of the two arm propulsions). With increasing race paces, swim velocity, stroke rate, and stroke length, the three groups showed a similar transition in arm coordination mode at the critical 200m pace, which separated the long- and mid-pace pattern from the sprint pace pattern. The 200m pace was also characterized by a stroke rate close to 40strokemin(-1). The finding that all three groups showed a similar adaptation of arm coordination suggested that race paces, swim velocity, stroke rate and stroke length reflect task constraints that can be manipulated as control parameters, with race paces (R(2)=.28) and stroke rate (R(2)=.36) being the best predictors of IdC changes. On the other hand, only the elite men reached a velocity greater than 1.8ms(-1) and a stroke rate of 50strokemin(-1). They did so using superposition of the propulsion phases of the two arms, which occurred because of the great forward resistance created when these swimmers achieved high velocity, i.e., an environmental constraint. Conversely, the elite women and mid-level men had shorter stroke lengths and maintained a time gap between the propulsions of the two arms throughout the increase in paces, with gender and expertise explaining 9% and 8.3% of the IdC changes, respectively. These results indicate that arm coordination cannot be interpreted solely from the IdC value but should be considered from the perspective of task, environmental, and organismic constraints. These constraints can serve as control parameters in experiments aimed at gaining insight into changes in arm coordination during the front crawl. In this context, catch-up coordination, which is often considered as a mistake, was seen to be an adaptation to a relative constraint.

Analysis of Variance↗

Radiation exposure in hand surgery: mini versus standard C-arm.

PURPOSE: The use of intraoperative fluoroscopy in hand surgery is common. Two types of fluoroscopic units are available: the mini C-arm and the standard C-arm. There is little literature on the radiation exposure from the mini C-arm, therefore, the primary goal of this study was to quantify and compare the amount of radiation exposure to members of the surgical team (surgeon, first assistant, nurse, anesthesiologist) using both standard and mini C-arms in a simulated wrist surgery setup. Mini C-arm positioning was also examined to determine the safest configuration to minimize radiation exposure to surgeons. METHODS: Radiation dosimeters were used to test 2 commercially available fluoroscopy units in a simulated wrist surgery setup with a cadaveric upper extremity. Several different configurations of the C-arms were tested to determine radiation exposure rates to surgeons and the operating room staff. RESULTS: The mean in-beam radiation exposures with the use of the mini and standard C-arms were 3,720 mR/h and 6,540 mR/h, respectively. The mini C-arm had universally less radiation exposure than the standard C-arm in the clinical configurations tested. The safest configuration of mini C-arm use to minimize radiation exposure was with the surgeon standing on the image intensifier side of the unit as compared with the source side. Mini C-arm radiation exposure to the hands, groin, chest, and thyroid of the operating surgeons were well below the National Council of Radiation Protection and Measurement's annual dose limits. CONCLUSIONS: In the clinical configurations tested in this study the mini C-arm had lower radiation exposures than the standard C-arm. To reduce radiation exposure maximally surgeons should stand behind the lead-encased image intensifier and should use techniques to reduce exposure.

Cadaver↗

Alterations in gait resulting from deliberate changes of arm-swing amplitude and phase.

OBJECTIVE: The purpose of the study was to reach a better understanding of the influence of arm movement in human gait. DESIGN: The experiment involved the adoption of different arm-swing patterns by normal subjects who walked in a gait laboratory. BACKGROUND: The reciprocal swinging of the arms in walking plays an important role in gait, but the details require further research. More insight into the role of the arm-swing in gait could be obtained by adopting different arm-swing patterns while walking at different speeds. METHOD: Thirteen normal subjects were therefore requested to walk adopting different arm-swing patterns which included, one or both arms strapped to the body, full reciprocal excursion of both arms, pace walking and swinging the arms in parallel. From measurements made at different speeds of walking, regressions were calculated which made it possible to compare basal gait characteristics of the different arm patterns. RESULTS: Maximum velocity decreased in all cases. In the test conditions where the arms were strapped, the subjects increased velocity by increasing stride frequency more than stride length. In the other conditions the reverse was the case. CONCLUSION: The experiments show that the gait pattern is very much influenced by changes in arm-swing but the effects are related to the pattern of arm-swing and the speed of walking.

Journal Article↗

How do octopuses use their arms?

A taxonomy of the movement patterns of the 8 flexible arms of octopuses is constructed. Components consist of movements of the arm itself, the ventral suckers and their stalks, as well as the relative position of arms and the skin web between them. Within 1 arm, combinations of components result in a variety of behaviors. At the level of all arms, 1 group of behaviors is described as postures, on the basis of the spread of all arms and the web to make a 2-dimensional surface whose position differs in the 3rd dimension. Another group of arm behaviors is actions, more or less coordinated and involving several to all arms. Arm control appears to be based on radial symmetry, relative equipotentiality of all arms, relative independence of each arm, and separability of components within the arm. The types and coordination of arm behaviors are discussed with relationship to biomechanical limits, muscle structures, and neuronal programming.

Animals↗