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PubMed1975

Effect of length, density, and angel between arms of Gestalt grouping.

In three experiments, subjects viewed two lines (arms) of dots in which one dot was shared by both arms, then judged with which arm the shared dot appeared to group. Length of an arm, density of the dots in the arm, and angle between arms were manipulated. Increasing the density of an arm increased grouping with that arm regardless of the angle between arms. Increasing the length of an arm however, increased grouping when arms met at 30 degree but not at 180 degree; intermediate angles produced intermediate effects. Advantage of the present method's simplification of the stimulus display are discussed.

Distance Perception↗
PubMed2003

Neural control of rhythmic human arm movement: phase dependence and task modulation of hoffmann reflexes in forearm muscles.

Although we move our arms rhythmically during walking, running, and swimming, we know little about the neural control of such movements. Our working hypothesis is that neural mechanisms controlling rhythmic movements are similar in the human lumbar and cervical spinal cord. Thus reflex modulation during rhythmic arm movement should be similar to that seen during leg movement. Our main experimental hypotheses were that the amplitude of H-reflexes in the forearm muscles would be modulated during arm movement (i.e., phase-dependent) and would be inhibited during cycling compared with static contraction (i.e., task-dependent). Furthermore, to determine the locus of any modulation, we tested the effect that active and passive movement of the ipsilateral (relative to stimulated arm) and contralateral arm had on H-reflex amplitude. Subjects performed rhythmic arm cycling on a custom-made hydraulic ergometer in which the two arms could be constrained to move together (180 degrees out of phase) or could rotate independently. Position of the stimulated limb in the movement cycle is described with respect to the clock face. H-reflexes were evoked at 12, 3, 6, and 9 o'clock positions during static contraction as well as during rhythmic arm movements. Reflex amplitudes were compared between tasks at equal M wave amplitudes and similar levels of electromyographic (EMG) activity in the target muscle. Surface EMG recordings were obtained bilaterally from flexor carpi radialis as well as from other muscles controlling the wrist, elbow, and shoulder. Compared with reflexes evoked during static contractions, movement of the stimulated limb attenuated H-reflexes by 50.8% (P < 0.005), 65.3% (P < 0.001), and 52.6% (P < 0.001) for bilateral, active ipsilateral, and passive ipsilateral movements, respectively. In contrast, movement of the contralateral limb did not significantly alter H-reflex amplitude. H-reflexes were also modulated by limb position (P < 0.005). Thus task- and phase-dependent modulation were observed in the arm as previously demonstrated in the leg. The data support the hypothesis that neural mechanisms regulating reflex pathways in the moving limb are similar in the human upper and lower limbs. However, the inhibition of H-reflex amplitude induced by contralateral leg movement is absent in the arms. This may reflect the greater extent to which the arms can be used independently.

Adult↗
PubMed2003

Neural activity in primary motor and dorsal premotor cortex in reaching tasks with the contralateral versus ipsilateral arm.

To investigate the effector dependence of task-related neural activity in dorsal premotor (PMd) and primary motor cortex (M1), directional tuning functions were compared between instructed-delay reaching tasks performed separately with either the contralateral or the ipsilateral limb. During presentation of the instructional cue, the majority (55/90, 61%) of cells in PMd were tuned with both arms, and their dynamic range showed a trend for stronger discharge with the contralateral arm. Most strikingly, however, the preferred direction of most of these latter cells (41/55, 75%) was not significantly different between arms. During movement, many PMd cells continued to be tuned with both arms (53/90, 59%), with a trend for increasing directional differences between the arms over the course of the trial. In contrast, during presentation of the instructional cue only 5/74 (7%) cells in M1 were tuned with both arms. During movement, about half of M1 cells (41/74, 55%) were tuned with both arms but the preferred directions of their tuning functions were often very different and there was a strong bias toward greater discharge rates when the contralateral arm was used. Similar trends were observed for EMG activity. In conclusion, M1 is strongly activated during movements of the contralateral arm, but activity during ipsilateral arm movements is also common and usually different from that seen with the contralateral arm. In contrast, a major component of task-related activity in PMd represents movement in a more abstract or task-dependent and effector-independent manner, especially during the instructed-delay period.

Animals↗
PubMed2003

Learned dynamics of reaching movements generalize from dominant to nondominant arm.

Accurate performance of reaching movements depends on adaptable neural circuitry that learns to predict forces and compensate for limb dynamics. In earlier experiments, we quantified generalization from training at one arm position to another position. The generalization patterns suggested that neural elements learning to predict forces coded a limb's state in an intrinsic, muscle-like coordinate system. Here, we test the sensitivity of these elements to the other arm by quantifying inter-arm generalization. We considered two possible coordinate systems: an intrinsic (joint) representation should generalize with mirror symmetry reflecting the joint's symmetry and an extrinsic representation should preserve the task's structure in extrinsic coordinates. Both coordinate systems of generalization were compared with a naïve control group. We tested transfer in right-handed subjects both from dominant to nondominant arm (D-->ND) and vice versa (ND-->D). This led to a 2 x 3 experimental design matrix: transfer direction (D-->ND/ND-->D) by coordinate system (extrinsic, intrinsic, control). Generalization occurred only from dominant to nondominant arm and only in extrinsic coordinates. To assess the dependence of generalization on callosal inter-hemispheric communication, we tested commissurotomy patient JW. JW showed generalization from dominant to nondominant arm in extrinsic coordinates. The results suggest that when the dominant right arm is used in learning dynamics, the information could be represented in the left hemisphere with neural elements tuned to both the right arm and the left arm. In contrast, learning with the nondominant arm seems to rely on the elements in the nondominant hemisphere tuned only to movements of that arm.

Adolescent↗
PubMed1992

Aerobic capacity with two leg work versus one leg plus both arms work in men with peripheral vascular disease.

The purpose of this pilot study was to examine the correlation between ergometry in men with peripheral vascular disease exercising with both legs and with one leg and both arms. Fifteen men with peripheral vascular disease performed three symptom-limited exercise tests on an ergometer that could be operated from a wheelchair with both legs or with one leg and both arms. The three exercise conditions were both legs (arms stabilized), left leg plus both arms, and right leg plus both arms. The exercise parameters compared were maximum oxygen consumption, maximum heart rate, and duration of exercise. Blood pressure was monitored at two-minute intervals and oxygen saturation and electrocardiogram were monitored continuously. The mean VO2 max +/- standard deviation for both legs, right leg plus both arms, and left leg plus both arms were 14.36 +/- 6.15, 14.86 +/- 4.09, 14.01 +/- 4.14 ml O2/kg-min, respectively. The mean duration of exercise +/- standard deviation were 12.01 +/- 5.74, 10.94 +/- 4.68, and 9.81 +/- 4.70 minutes respectively. The mean maximum heart rate +/- standard deviation were 126 +/- 24, 137 +/- 23, 136 +/- 23, respectively for the same exercise conditions. The Pearson Correlation Coefficients for VO2 for both legs versus right leg plus both arms and left leg plus both arms were .639 and .873, respectively. The Pearson Correlation Coefficients for duration of exercise for both legs versus right leg plus both arms and left leg plus both arms were .837 and .877, respectively.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1980

[Shoulder mechanism - study based on cineradiography and radiography with the arm elevated (author's transl)].

In order to better understand the shoulder mechanism and make a clinical assessment of the "zero-position", a study by means of cineradiography and radiography was performed on normal and disordered shoulders with arm elevated. The conception of the "scapular plane" has been widely accepted as the reference plane for the mechanism at the shoulder joint, but practically this plane is not easily defined. Thus, a cineradiographic study of 50 normal joints has been carried out in 7 planes between the frontal and the sagittal plane, during upward and downward movement of the arm. As a result, it was determined that the "scapular plane" should be inclined forward at an angle of 30 degrees to the frontal plane. In evaluating the anatomical relationship between the humeral head and the glenoid during upward and downward movement of the arm, 50 normal shoulders and 22 disordered shoulders composed of 12 loose shoulders and 10 rotator cuff injuries were analyzed in the "scapular plane" using devised method of measurement. Concerning the "zero-position", information was gained mostly from radiographies of 600 normal and 32 disordered shoulder joints. Especially o the disordered joints, a radiographic study of the shoulder with arm elevated was made pre- and postoperatively with the arm elevated. The results obtained are as follows, 1. In the "zero-position", the humerus must be elevated to 150 degrees in the "scapular plane", with individual variations. 2. Regularization of the glenohumeral rhythm of the normal shoulder joints was observed between the end of the "setting phase" and the "zero-position". 3. Glenohumeral mechanism of the normal and disordered shoulders was different between upward and downward movement of the arm, especially more remarkable at the disordered joints. 4. Lateral deviation of the humeral head toward the glenoid was found in the loose shoulder during upward and downward movement of the arm, especially during maximum elevation of the arm. 5. Glenoid osteotomy was determined to be the reasonable procedure for stabilizing loose shoulders, from the aspect of radiographic study with the arm elevated. 6. In rotator cuff injuries, the glenohumeral rhythm was disturbed, and in some patients instability at the glenohumeral joint was observed. From postoperative radiographic evaluation with the arm elevated, it has been observed that the anatomical situations at the glenohumeral joint have recovered to nearly norma conditions. 7. In conclusion the author emphasizes the mechanism of normal and disordered glenohumeral joints, using radiography of the shoulder with the arm elevated.

Adolescent↗
PubMed1997

Time course of changes in bilateral arm power of swimmers during recovery from injury using a swim bench.

OBJECTIVES: There has been little research on the time course of recovery from injury in athletes. This is especially the case for recovery in arm power in injured swimmers. The purpose of this study was to compare the power output of the injured and non-injured arms of swimmers during recovery from injury by use of a maximal exercise test on a computer interfaced isokinetic swim bench. METHODS: Thirteen swimmers (five men and eight women; age 18.8 (3.2) years; stature 1.76 (0.05) m; body mass 61.7 (5.9) kg; mean (SD)) gave written informed consent and were recruited to this study throughout a three year period. All subjects had experienced non-aquatic soft tissue injury to their dominant-side shoulder or upper arm in the three months before participation, but had been allowed to return to swimming training. All of the subjects had injured their dominant arm and the mean time for absence from training was 3.7 (1.1) weeks. At return to training and at four, eight, and twelve weeks thereafter, subjects performed two all-out 30 second tests on the swim bench by simulating the swimming arm action. From these tests, peak power output (PPO), mean power output (MPO), and power decay (PD) for each arm during the 30 seconds of exercise could be determined by averaging the two tests. The differences between return to training and the four, eight, and twelve week periods were analysed using repeated measures analysis of variance with Tukey b post hoc test. RESULTS: The repeated testing showed 95% confidence intervals of +/- 11.4 W for PPO, +/- 9.5 W for MPO and +/- 0.5 for PD. When the swimmers returned to training the results showed that PPO was 179 (21.9) v 111 (18.1) W (P = 0.02), MPO was 122 (9.8) v 101 (8.8) W (P = 0.01), and PD was 2.5 (0.6) v 5.2 (1.9) (P = 0.001) for non-injured and injured arms respectively (all values mean (SEM)). There were similar differences at four weeks which disappeared after eight weeks, except for that of PPO which was still evident (187.3 (21.9) v 156.8 (18.1) W; P = 0.01). At 12 weeks there were no differences between the non-injured and injured arm on any of the indices of arm power (P > 0.05). CONCLUSIONS: These results suggest that, using the swim bench power test, differences in bilateral arm power output after injury persist for at least eight weeks after return to swimming training. These findings support the need for prolonged rehabilitation after such injury. This would best include physiotherapy and a training programme within which special consideration is given to the recuperation process.

Adolescent↗
PubMed2002

Anticipatory control of center of mass and joint stability during voluntary arm movement from a standing posture: interplay between active and passive control.

Anticipatory control of upright posture is the focus of this study that combines experimental and modeling work. Individuals were asked to raise or lower their arms from two initial postures such that the final posture of the arm was at 90 degrees with respect to the body. Holding different weights in the hand varied the magnitude of perturbation to postural stability generated by the arm movement. Whole body kinematics and ground reaction forces were measured. Inverse dynamic analysis was used to determine the internal joint moments at the shoulder, hip, knee and ankle, and reaction forces at the shoulder. Center of mass (COM) of the arm, posture (rest of the body without the arms) and whole body (net COM) were also determined. Changes in joint moment at the hip, knee and ankle revealed a significant effect of the direction of movement. The polarities of the joint moment response were appropriate for joint stabilization. Net COM change showed a systematic effect of the direction of movement even though the arm COM was displaced by the same amount and in the same direction for both arm raising and lowering conditions. In order to determine the effects of the passive forces and moments on the posture COM, the body was modeled as an inverted pendulum. The model was customized for each participant; the relevant model parameters were estimated from data obtained from each trial. The ankle joint stiffness and viscosity were adjusted to ensure postural equilibrium prior to arm movement. Joint reactive forces and moments generated by the arm movements were applied at the shoulder level of this inverted pendulum; these were the only inputs and no active control was included. The posture COM profile from the model simulation was calculated. Results show that simulated posture COM profile and measured posture COM profile are identical for about 200 ms following the onset of arm movement and then they deviate. Therefore, the initial control of COM is passive in nature and the observed joint moment response is for joint stabilization and not for the control of COM.

Adaptation, Physiological↗
PubMed2004

Facilitation of soleus H-reflex amplitude evoked by cutaneous nerve stimulation at the wrist is not suppressed by rhythmic arm movement.

Neural connections between the cervical and lumbosacral spinal cord may assist in arm and leg coordination during locomotion. Currently the extent to which arm activity can modulate reflex excitability of leg muscles is not fully understood. We showed recently that rhythmic arm movement significantly suppresses soleus H-reflex amplitude probably via modification of presynaptic inhibition of the IA afferent pathway. Further, during walking reflexes evoked in leg muscles by stimulation of a cutaneous nerve at the wrist (superficial radial nerve; SR) are phase and task dependent. However, during walking both the arms and legs are rhythmically active thus it is difficult to identify the locus of such modulation. Here we examined the influence of SR nerve stimulation on transmission through the soleus H-reflex pathway in the leg during static contractions and during rhythmic arm movements. Nerve stimulation was delivered with the right shoulder in flexion or extension. H-reflexes were evoked alone (unconditioned) or with cutaneous conditioning via stimulation of the SR nerve (also delivered alone without H-reflex in separate trials). SR nerve stimulation significantly facilitated H-reflex amplitude during static contractions with the arm extended and countered the suppression of reflex amplitude induced by arm cycling. The results demonstrate that cutaneous feedback from the hand on to the soleus H-reflex pathway in the legs is not suppressed during rhythmic arm movement. This contrasts with the observation that rhythmic arm movement suppresses facilitation of soleus H-reflex when cutaneous nerves innervating the leg are stimulated. In conjunction with other data taken during walking, this suggests that the modulation of transmission through pathways from the SR nerve to the lumbosacral spinal cord is partly determined by rhythmic activity of both the arms and legs.

Adult↗
PubMed1997

Characterisation of arm microvibration recorded on an accelerometer.

Microvibration (MV) of the freely hanging and firmly supported lower arm was studied (n = 8) using two accelerometers, one located over muscle tissue (brachioradialis muscle) and one over bony tissue (processus styloideus). Measurements were made in the completely relaxed arm (REST), during arterial occlusion (CUFF) and during mild handgrip (GRIP), first with the arm relaxed and hanging beside the chair and then repeated with the arm supported in a special rest. At REST. ballistocardiac forces were identified as the driving mechanism for the regular MV pattern, whereas actions of local pulse waves (CUFF) could be excluded. During GRIP irregular MV, related to the contraction process, became superimposed on both signals. The MV at REST was sensitive to arm position. In the freely hanging state, when the arm was family coupled to the trunk, ballistocardiac body motion was present over bony tissue, producing a low damped 7-13 Hz resonant response over muscle tissue. In the supported state, the arm became isolated from body motions. Nevertheless, ballistocardiac forces reached the arm, producing smaller oscillatory responses over bone and muscle tissue. Regionally produced MV (GRIP) was not sensitive to arm position, but the spectrum content in the 7-13 Hz region was very similar to REST. From these results it would appear, that a low damped 7-13 Hz resonance process exists in relaxed muscle tissue, which physiologically becomes stimulated by cardiac and muscle forces. From the close relationship of the simultaneous MV waveforms in the supported arm, evidence for mechanical coupling between bone and muscle tissue is given.

Adult↗
PubMed1981

Comparison of the results and reproducibility of arm and leg exercise tests in men with angina pectoris.

The results and reproducibility of arm and leg exercise tests were compared in 11 men with angina pectoris induced by both forms of testing. Leg testing was performed using a bicycle ergometer; arm testing was performed using the same apparatus modified to permit arm cranking. Subjects performed 2 days of arm and 2 days of leg testing over a 2 week period. Four tests were performed on each test day. The duration of exercise, oxygen uptake, heart rate, systolic and diastolic blood pressures and the rate-pressure product were determined at the onset of angina. Within day and between product were determined at the onset of angina. Within day and between day coefficients of variation were low and similar for arm and leg tests, indicating that both forms of testing are highly reproducible. Performing four tests on a single day did little to reduce variability. Oxygen uptake increased between the first and second arm or leg test on a single day, but there was little change after the second test. Repetition of the arm and leg tests did not affect performance over the study period. It is concluded that the reproducibility of arm exercise testing in men with angina pectoris is comparable with that of leg exercise. Subjects with angina induced by arm exercise who cannot perform leg testing can be evaluated and followed up with arm exercise tests.

Angina Pectoris↗
PubMed2004

Arm work interferes with normal ventilation.

Arm work, by limiting movement of the chest wall and use of the respiratory muscles, may alter breathing pattern and gas exchange sufficiently to interfere with the ability to perform certain tasks. To determine the effects of arm work on breathing pattern during a well-controlled work task, depth of breathing, breathing frequency and end-expiratory lung volume (EELV) were measured at rest and during cycling exercise using an arm and a leg ergometer. Six subjects performed arm work at light, moderate and heavy intensities (30%, 60% and 90% of maximum arm work capacity respectively) and leg work at three intensities where ventilation was matched for that achieved during the arm work. This matching was necessary since the level of ventilation affects the breathing pattern. Subjects breathed on a mouthpiece and tubing that led to automated equipment for the measurement of respiratory variables. Ventilation during arm work was accomplished with a lower depth of breathing, a higher breathing frequency and a decreased EELV compared to leg work. Arm work places increased demands on the ventilatory system, including the muscles of respiration that are also recruited for task performance. The competition for using these muscles for breathing as opposed to a particular work task may result in a compromise in breathing capacity that ultimately may limit the ability to perform tasks requiring sustained heavy use of the arms. These increased demands on the upper body muscles must be considered when evaluating the ability of individuals to perform tasks that involve heavy arm work.

Adult↗
PubMed2004

Understanding how an arm swing enhances performance in the vertical jump.

This investigation was conducted to examine the various theories that have been proposed to explain the enhancement of jumping performance when using an arm swing compared to when no arm swing is used. Twenty adult males were asked to perform a series of maximal vertical jumps while using an arm swing and again while holding their arms by their sides. Force, motion and electromyographical data were recorded during each performance. Participants jumped higher (0.086 m) in the arm swing compared to the no-arm swing condition and was due to increased height (28%) and velocity (72%) of the center of mass at take-off. The increased height at take-off was due to the elevation of the arm segments. The increased velocity of take-off stemmed from a complex series of events which allowed the arms to build up energy early in the jump and transfer it to the rest of the body during the later stages of the jump. This energy came from the shoulder and elbow joints as well as from extra work done at the hip. This energy was used to (i) increase the kinetic and potential energy of the arms at take-off, (ii) store and release energy from the muscles and tendons around the ankle, knee and hip joint, and (iii) 'pull' on the body through an upward force acting on the trunk at the shoulder. It was concluded that none of the prevailing theories exclusively explains the enhanced performance in the arm swing jump, but rather the enhanced performance is based on several mechanisms operating together.

Adolescent↗
PubMed2005

Optimal control simulations reveal mechanisms by which arm movement improves standing long jump performance.

Optimal control simulations of the standing long jump were developed to gain insight into the mechanisms of enhanced performance due to arm motion. The activations that maximize standing long jump distance of a joint torque actuated model were determined for jumps with free and restricted arm movement. The simulated jump distance was 40 cm greater when arm movement was free (2.00 m) than when it was restricted (1.60 m). The majority of the performance improvement in the free arm jump was due to the 15% increase (3.30 vs. 2.86 m/s) in the take-off velocity of the center of gravity. Some of the performance improvement in the free arm jump was attributable to the ability of the jumper to swing the arms backwards during the flight phase to alleviate excessive forward rotation and position the body segments properly for landing. In restricted arm jumps, the excessive forward rotation was avoided by "holding back" during the propulsive phase and reducing the activation levels of the ankle, knee, and hip joint torque actuators. In addition, swinging the arm segments allowed the lower body joint torque actuators to perform 26 J more work in the free arm jump. However, the most significant contribution to developing greater take-off velocity came from the additional 80 J work done by the shoulder actuator in the jump with free arm movement.

Arm↗
PubMed2000

Resonant frequencies of arms and legs identify different walking patterns.

The present study is aimed at investigating changes in the coordination of arm and leg movements in young healthy subjects. It was hypothesized that with changes in walking velocity there is a change in frequency and phase coupling between the arms and the legs. In addition, it was hypothesized that the preferred frequencies of the different coordination patterns can be predicted on the basis of the resonant frequencies of arms and legs with a simple pendulum model. The kinematics of arms and legs during treadmill walking in seven healthy subjects were recorded with accelerometers in the sagittal plane at a wide range of different velocities (i.e., 0.3-1. 3m/s). Power spectral analyses revealed a statistically significant change in the frequency relation between arms and legs, i.e., within the velocity range 0.3-0.7m/s arm movement frequencies were dominantly synchronized with the step frequency, whereas from 0.8m/s onwards arm frequencies were locked onto stride frequency. Significant effects of walking speed on mean relative phase between leg and arm movements were found. All limb pairs showed a significantly more stable coordination pattern from 0.8 to 1.0m/s onwards. Results from the pendulum modelling demonstrated that for most subjects at low-velocity preferred movement frequencies of the arms are predicted by the resonant frequencies of individual arms (about 0.98Hz), whereas at higher velocities these are predicted on the basis of the resonant frequencies of the individual legs (about 0.85Hz). The results support the above-mentioned hypotheses, and suggest that different patterns of coordination, as shown by changes in frequency coupling and phase relations, can exist within the human walking mode.

Adult↗
PubMed1999

Forearm loop, upper arm straight, and brachial-internal jugular vein dialysis grafts: a comparison study of graft survival utilizing a combined percutaneous endovascular and surgical maintenance approach.

PURPOSE: To determine rates and duration of patency achievable in forearm loop, upper arm straight, and brachial-internal jugular (IJ) vein hemodialysis grafts utilizing a combined percutaneous endovascular and surgical maintenance approach. MATERIALS AND METHODS: A retrospective analysis of 74 hemodialysis grafts (forearm loop, n = 22; upper arm straight, n = 34; and brachial-IJ vein, n = 18) in 50 patients with end-stage renal disease was conducted. Operative notes, interventional procedural reports, and hospital records were used to construct a history for each of these grafts from the time of surgical placement until the time the graft was abandoned for an alternative method of dialysis. All procedures performed to maintain and/or restore patency during the usable lifetime of the grafts were documented. RESULTS: Survival analysis using the Kaplan-Meier method demonstrated the following probabilities of primary patency at 6, 12, and 16 months, respectively: forearm loop graft = .46, .26, and .26; upper arm straight graft = .39, .22, and .16; and brachial-IJ vein graft = .19, .06, and .06 (forearm loop vs upper arm straight grafts, P > .05; forearm loop and upper arm straight vs brachial-IJ grafts, P < .001, P < .001, respectively). The probabilities of secondary patency at 12, 24, and 48 months, respectively, were: forearm loop graft = .89, .30, and NA; upper arm straight graft = .52, .35, and .17; and brachial-IJ vein graft = .54, .42, and .21 (P < .05 for all three comparisons: forearm loop > brachial-IJ > upper arm straight). Six percutaneous and two surgical procedures were compared and no significant differences in utilization were determined among the three graft types (ANOVA, P range, .38-.88). CONCLUSION: Kaplan-Meier analysis determined the probability of primary patency for forearm loop grafts to be similar to that for upper arm straight grafts, and both were significantly greater than for brachial-IJ vein grafts. The secondary patency rates for forearm loop grafts are greater than for upper arm and brachial-IJ vein grafts, while that for the brachial-IJ vein graft is greater than the upper arm straight graft. Utilization of interventional and surgical resources required to maintain patency do not significantly differ among the three types of upper extremity hemodialysis grafts.

Arm↗
PubMed2004

Anaerobic performance of arms and legs in male and female free style wrestlers.

The aim of the present study was to compare arm and leg anaerobic peak and mean power after normalisation for body mass (W/kg) and fat-free mass (W/kg FFM) of 12 female and 10 male wrestlers, members of the Polish Olympic team. Power outputs were assessed by 30 seconds leg cycling and 30 seconds arm cranking. It was determined that males had higher peak power (11.4 W/kg and 13.2 W/kg FFM for legs, 9.6 W/kg and 11.2 W/kg FFM for arms) as well as mean power (8.7 W/kg and 9.6 W/kg FFM for legs, 6.9 W/kg and 7.9 W/kg FFM for arms) than females (peak power 8.6 W/kg and 11.3 W/kg FFM for legs, and 5.9 W/kg, 7.8 W/kg FFM for arms, mean power 6.8 W/kg, 9.0 W/kg FFM for legs and 5.9 W/kg, 7.8 W/kg FFM for arms). Post-exercise maximal blood lactate concentration after 30 seconds leg cycling and 30 seconds arm cranking was also higher in male wrestlers (11.9 and 11.8 mmol/l, respectively) than in female wrestlers (10.4 and 9.1 mmol/l, respectively). However the ratios of lactate concentration to mean power expressed in W/kg FFM for males and females in leg cycling (1.18 and 1.17, respectively) and in arm cranking (1.48 and 1.50, respectively) were similar. These findings suggest that the amount of energy derived from glycolysis is not sex-dependent. Additionally it seems that the higher ratios for arms when compared to legs reflect closer relation of arm muscle energy metabolism to carbohydrate utilisation.

Adult↗
PubMed1998

Use of a neonatal blood pressure cuff to monitor blood pressure in the adult finger--comparison with a standard adult arm cuff.

BACKGROUND: There are few suitable methods for monitoring blood pressure continuously (or intermittently) for research in adult stroke patients, who are ill but do not justify invasive intensive care monitoring. METHOD: We tested a neonatal arm blood pressure in adults by placing it on the forefinger ("finger cuff"). We compared the repeatability of the finger cuff with blood pressure measured by a standard adult arm cuff using the oscillometric technique in 168 ambulatory outpatients attending a cerebrovascular disease clinic. RESULTS: The mean difference between sequential mean blood pressure readings with the finger cuff was 0.55 mm Hg (95% confidence interval (CI) -14.36 to 15.47 mm Hg), and for the arm cuff was 3.31 mm Hg (95% CI -23.33 to 16.71 mm Hg). Measurements made with the arm cuff were shown to affect subsequent arm cuff readings made within a few minutes of the first. The mean difference between the finger cuff and arm cuff mean blood pressure readings was 0.03 mm Hg (95% CI -26.07 to 26.14 mm Hg) and agreement was better when the blood pressure was measured with the finger cuff first rather than the arm cuff. However, although there was no difference in the mean blood pressure recordings both systolic and diastolic blood pressure measurements differed systematically between arm and finger cuff. CONCLUSION: The reproducibility of sequential blood pressure measurements made with the finger cuff was better than with the arm cuff. The performance of the finger cuff compared with that of the arm cuff was sufficiently good to encourage use of the finger cuff in research involving automatic intermittent monitoring to observe sequential blood pressures over time in stroke patients. However, measurements of systolic and diastolic pressure were not the same with the two cuffs and further work on calibration of the finger cuff would be useful.

Adolescent↗