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PubMedDate not supplied

The effect of infraspinatus disruption on glenohumeral torque and superior migration of the humeral head: a biomechanical study.

Rotator cuff ruptures that extend into the infraspinatus tendon may cause dysfunction and superior migration of the humerus. The purpose of this study was to determine whether a threshold size of infraspinatus defect exists beyond which abduction torque generation decreases and superior migration of the humeral head increases. Glenohumeral abduction torque and superior humeral head translations were measured in hanging arms in neutral rotation in cadaver shoulders (n = 10). Loads were applied to the rotator cuff tendons and the middle deltoid. After sequential detachment of the infraspinatus, abduction torque progressively decreased. At three-fifths detachment, abduction torque was significantly lower than after supraspinatus release alone (52% vs 61%, P <.05). Superior translation after complete supraspinatus and infraspinatus detachment increased significantly (P <.05), but no intermediate threshold was detected. Therefore, the entire infraspinatus contributes to abduction torque generation and stabilizes the humeral head against superior subluxation. Even with a tear extending into the superior infraspinatus, the infraspinatus contributes abduction force generation across the glenohumeral joint.

Aged↗
PubMed2001

Torque and EMG in isometric graded flexion-rotation and extension-rotation.

The main objective of the study was to measure the magnitude and pattern of electromyographic (EMG) activity of the trunk muscles in combined motions of flexion-rotation and extension-rotation. Another objective of the study was to determine the torque-EMG Root Mean Square (RMS) relationship in these activities for predictive purposes. Nineteen normal young adult subjects who met the inclusion criteria were fitted with 12 pairs of surface electrodes on their external and internal oblique, rectus abdominis, latissimus dorsi, and erector spinae muscles at T10 and L3 levels bilaterally. Using a Posture Stabilizing Platform (PSP) they were fixed in 40 degrees flexed and 40 degrees right rotated trunk postures. From this posture subjects attempted an isometric extension-rotation and flexion-rotation in the plane defined by the asymmetrical postural axis in the plane of rotation of the assumed posture. Contractions of 25, 50 and 75% of the previously measured maximal voluntary contraction (MVC) were attempted using a Static Dynamic Strength Tester (SDST) and force monitor attached by a steel cable to a rigid thoracic harness worn by the subjects. The data were acquired at 1 kHz. Descriptive statistics were calculated and ANOVA, correlation and regression analyses were carried out. With linear increase in flexion-rotation and extension-rotation torque, the magnitude of total EMG output increased exponentially. In flexion-rotation the EMG magnitude of all muscles increased with increasing grades of contraction (% of MVC). However, in proportional terms, the magnitude of erector spinae EMG declined. In extension-rotation there was a reversal of roles between the ventral and dorsal muscles compared to the flexion-rotation. For the two genders, all muscles and grades of contractions were significantly different from each other (p<0.01). There was a significant but modest correlation between EMG and torque (r = 0.25 to 0.54; p<0.01). The regressions were significant (p<0.01) and explained up to 74% of the variance in torque. The flexion-rotation and extension-rotation torques can be predicted with only a moderate accuracy.

Abdominal Muscles↗
PubMed2003

Evaluation of extensibility, passive torque and stretch reflex responses in triceps surae muscles following serial casting to correct spastic equinovarus deformity.

PRIMARY OBJECTIVE: Spastic equinovarus deformity of the ankle in adults with acquired brain injury can severely limit the achievement of rehabilitation goals. This study examined changes in triceps surae muscle extensibility, passive resistive torque and soleus stretch reflex responses in 10 adult brain injured subjects undergoing serial casting to correct ankle equinovarus deformity. METHOD: Goniometric measurement of maximal passive dorsiflexion was used to evaluate extensibility of the triceps surae muscles. Computer controlled ankle dynamometry and surface electromyography were used to identify passive resistive torque and soleus stretch reflex onset angle in response to stretches at two velocities. RESULTS: The mean casting period was 5 weeks. Casting was discontinued in one subject due to failure to achieve measurable gain in ankle range over three consecutive cast changes. Median improvements in maximal ankle dorsiflexion, with the knee flexed or extended, of 30 degrees and 15 degrees, respectively, were achieved in the remaining nine subjects (p < 0.0001). The median passive ankle range in response to a displacing torque of 10 Nm increased 4.3 degrees over the intervention period (p < 0.0001). Consistent soleus reflex activity in response to passive stretches at 25 degrees x s(-1) was elicited in only four subjects. A trend for the stretch reflex onset to move further into the available range was demonstrated in these subjects. CONCLUSION: In the present study, serial casting contributed to significant change in triceps surae extensibility and passive resistive torque, corresponding with improved maximal passive ankle dorsiflexion range and an increase in the angle achieved with a displacing torque of 10 N.m. Increased stretch reflex threshold was observed in some subjects. The use of pre-determined outcome criteria and careful measurement of responses to this intervention were important to prevent premature discontinuation of casting when gains were slower than expected.

Adolescent↗
PubMed2006

Knee extensor and flexor torque development with concentric and eccentric isokinetic training.

This study assessed muscular torque and rate of torque development following concentric (CON) or eccentric (ECC) isokinetic training. Thirty-eight women were randomly assigned to either CON or ECC training groups. Training consisted of knee extension and flexion of the nondominant leg three times per week for 20 weeks (SD = 1). Eccentric training increased ECC knee extension and flexion peak torque more than CON training. The ECC group improved acceleration time and time to peak torque with ECC movements versus the CON group. Slow-velocity ECC isokinetic training yielded greater ECC and similar CON torque development gains versus CON training over the course of 20 weeks in young women.

Adolescent↗
PubMed2005

Time-of-day effect on the torque and neuromuscular properties of dominant and non-dominant quadriceps femoris.

The study was conducted first, to determine the possibility of a dichotomy between circadian rhythm of maximal torque production of the knee extensors of the dominant and non-dominant legs, and second, to determine whether the possible dichotomy could be linked to a change in the downward drive of the central nervous system and/or to phenomena prevailing at the muscular level. The dominant leg was defined as the one with which subjects spontaneously kick a football. Tests were performed at 06:00, 10:00, 14:00, 18:00, and 22:00 h. To distinguish the neural and muscular mechanisms that influence muscle strength, the electromyographic and mechanical muscle responses associated with electrically evoked and/or voluntary contractions of the human quadriceps and semi-tendinosus muscles for each leg were recorded and compared. The main finding was an absence of interaction between time-of-day and dominance effects on the torque associated with maximal voluntary contraction (MVC) of both quadriceps. A significant time-of-day effect on MVC torque of the knee extensors was observed for the dominant and non-dominant legs when the data were collapsed, with highest values occurring at 18:00 h (p < 0.01). From cosinor analysis, a circadian rhythm was documented (p < 0.001) with the peak (acrophase) estimated at 18:18 +/- 00:12 h and amplitude (one-half the peak-to-trough variation) of 3.3 +/- 1.1%. Independent of the leg tested, peripheral mechanisms demonstrated a significant time-of-day effect (p < 0.05) on the peak-torque of the single and doublet stimulations, with maximal levels attained at 18:00 h. The central activation of the quadriceps muscle of each leg remained unchanged during the day. The present results confirmed previous observations that muscle torque changes in a predictable manner during the 24 h period, and that the changes are linked to modifications prevailing at the muscular, rather than the neural, level. The similar rhythmicity observed in this study between the dominant and non-dominant legs provides evidence that it is not essential to test both legs when simple motor tasks are investigated as a function of the time of day.

Adult↗
PubMed2005

Age-related differences in peak joint torques during the support phase of single-step recovery from a forward fall.

BACKGROUND: Previous studies have reported that older adults have a reduced ability to recover balance with a single step after a forward-induced fall. To better understand the reasons for this reduced ability, this study investigated any age-related differences in peak joint torques during the support phase of a single-step balance recovery from a forward fall. METHODS: Ten young (19-23 years old) and 10 older (65-83 years old) men were released from forward-leaning positions and attempted to recover their balance with a single step. Lean was increased until they failed to recover their balance with a single step. Peak extensor torques were calculated for the support phase of balance recovery and were compared across age groups. RESULTS: A consistent pattern of joint torques emerged during the support phase of balance recovery, suggesting a similar strategy across young and older participants. Despite this similarity, older participants exhibited smaller peak knee extensor torques during the support phase of single-step balance recoveries, and trends toward larger peak extensor torques at the hip and ankle. CONCLUSIONS: The age-related differences found are believed to be the combined result of an age-related reduction in muscle strength and an age-related neuromuscular adaptation to mitigate the effects of muscle strength loss on physical performance capabilities.

Accidental Falls↗
PubMed2002

Muscle torques in total knee arthroplasty with subvastus and parapatellar approaches.

The current study was designed to compare muscle torques when using the subvastus and parapatellar approaches for unilateral total knee arthroplasty. Twelve female patients had unilateral total knee arthroplasty with the subvastus approach from January 1997 to June 1998. The historic control group consisted of 16 female patients who had unilateral total knee arthroplasty with the parapatellar approach from July 1994 to January 1997. Six and 12 months after surgery, a Cybex dynamometer was used to measure isometric and isokinetic muscle strength. Two parameters were used to compare the two approaches, the first parameter was the difference in peak torque between the surgically treated knee and the baseline value for the healthy knee, and the second parameter was the hamstring to quadriceps peak-torque ratio, again using the value for the healthy knee as baseline. The subvastus approach resulted in an initial higher peak torque in the quadriceps 6 months after surgery, but this difference became insignificant 12 months postoperative. Using the subvastus approach, the hamstring to quadriceps peak-torque ratio reached the normal range (0.50-0.80) sooner than was the case using the parapatellar approach. There is a phenomenon of cross adaptation of the untreated knee to the surgically treated knee, and knees operated on by the subvastus approach showed functional recovery at an earlier date than those operated on by the parapatellar approach.

Adult↗
PubMed2001

Cyclic fatigue of nickel-titanium rotary instruments after clinical use with low- and high-torque endodontic motors.

This study investigated the cyclic fatigue resistance of used nickel-titanium rotary instruments, clinically operated by a traditional high-torque motor and a new low-torque electric motor. Fifty instruments (ProFile, Maillefer, Baillagues, Switzerland) for each of the following sizes were used: .06-25, .06-20, and .04-25. They were divided into three groups: A = 10 new instruments (control), B = 20 used instruments operated by a high-torque motor, and C = 20 used instruments operated by a low-torque motor. Each instrument was used in 10 clinical cases (at least six molars). Cyclic fatigue testing of new and used instruments was performed with a device that allowed the instruments to rotate freely inside a stainless-steel artificial canal at 350 rpm. Data were recorded and statistically analyzed. Mean (and SD) numbers of rotation-to-breakage cycles for .06-25, .06-20, and .04-25 instruments were, respectively: group A 463 (85), 535 (101), and 613 (105); group B 229 (64), 343 (92), and 233 (84); and group C 352 (77), 454 (89), and 466 (86). Results showed that group A instruments exhibited significantly higher values of rotation-to-breakage cycles (two-sample t test, p < 0.01), when compared with groups B and C, respectively. Statistically higher resistance to cyclic fatigue was noted for group C in all sizes compared with group B (two-sample t test, p < 0.01), showing that the use of endodontic motor with lower torque values reduced cyclic fatigue of nickel-titanium rotary instruments.

Dental High-Speed Technique↗
PubMed2003

Cleaning efficiency of nickel-titanium GT and .04 rotary files when used in a torque-controlled rotary handpiece.

This study determined if the cleaning efficiency of nickel-titanium rotary files in an endodontic electric handpiece using a no-torque control setting was superior to that obtained when using the torque-control feature. Fifty extracted human anterior teeth with straight canals were divided into two groups of 20 and two control groups of 5. Canals were instrumented with GT and .04 ProFile nickel-titanium files until a size 35 advanced to working length. Samples were sectioned and the apical 6 mm of the canal was photographed (x20) and projected onto a 3- x 4-foot grid with squares measuring 0.5 inches each. Total debris was the percentage of the number of squares containing debris versus the total number of squares. The teeth in the torque-controlled group showed an average of 24.99% debris versus 15.55% for the teeth in the no-torque group. The difference was not statistically significant; therefore, no difference can be said to exist between the two torque settings in terms of cleaning efficiency.

Dental Alloys↗
PubMed2002

Resistance training alters torque-velocity relation of elbow flexors in elderly men.

PURPOSE: The aim of the study was to compare in vivo dynamic muscle characteristics (torque-velocity relation and maximal contraction velocity) of sedentary young subjects with elderly men before and after training. METHODS: Elbow flexion maximal isometric (Tmax) and dynamic torque at velocities between 100 degrees.s-1 and 600 degrees.s-1 were measured, from which maximal contraction velocity was estimated (eVmax). These parameters were obtained from 18 young sedentary subjects (Y) and from 23 healthy sedentary elderly (mean age 63 yr) men (E) before (PRE), after 13 wk (MID), and 26 wk (POST) of moderate intensity resistance training (30RM) of the elbow flexor muscles. RESULTS: Y and E before training had similar Tmax, but mean dynamic torque over all velocities was 49.1% higher in Y compared with E. After 13 wk of training TmaxE increased by 8.2% and mean dynamic torque increased by 61.2%, with a velocity dependent gain. For eVmaxE an increase of 21.8% was observed. The second 13-wk training period did not induce further increases. CONCLUSION: The results of the present study demonstrate that, after moderate intensity resistance training of healthy elderly men, maximal contraction velocity of elbow flexors (eVmax), estimated from the torque-velocity curve, increased to values observed for sedentary young men.

Adult↗
PubMed1999

Wavelet analysis of electromyography for back muscle fatigue detection during isokinetic constant-torque exertions.

STUDY DESIGN: An investigation of the effects of human trunk extensor muscle fatigue on the temporal change in frequency content of the electromyogram as quantified using the Fourier and wavelet transforms during the performance of repetitive dynamic trunk extension. OBJECTIVE: To evaluate whether alterations in the Fourier and wavelet transform measures were consistent with a shift of the signal power to lower frequencies, and to determine which measures were more highly correlated with the decline in maximal trunk extension torque. SUMMARY OF BACKGROUND DATA: Objective assessment of trunk muscle fatigue is likely to play a more important role in the rehabilitation and prevention of low back injuries, given the association between lack of trunk muscle endurance and acquisition of low back pain. Validation of new methods designed to quantify the level of fatigue using the surface electromyogram is necessary before these techniques can be used in industrial rehabilitation settings. The wavelet transform is a recent development in the signal processing of electromyograms that shows promise as a method for assessment of fatigue. METHODS: Trunk muscle electromyograms obtained from study participants performing repetitive isokinetic trunk extension endurance tests were analyzed using the wavelet and the traditional Fourier methods. Trunk extension torque was controlled at 35% and 70% of the participants' maximal voluntary contraction while they exerted at 5 and 10 repetitions per minute. The decline in maximal trunk extension torque was measured once per minute. Linear regression quantified the rate of change in Fourier and wavelet measures caused by fatigue, whereas Pearson's correlation coefficient determined their association with the decline in maximum torque. RESULTS: Changes in the characteristics of the electromyogram were consistent with a shift to lower frequencies: The signal power at higher frequencies was reduced, whereas the power at lower frequencies was elevated. The amount of change was dependent on the task conditions (exertion level and repetition rate). The wavelet-based measures demonstrated as strong an association with the decline in maximal torque output as the Fourier-based measures. CONCLUSIONS: This study demonstrates that assessment of trunk muscle fatigue during isokinetic movementis possible using both Fourier and wavelet measurements. However, the methods were not as likely to change significantly during lower rates of exertion. These methods, when implemented in a controlled setting, may be used to document the rehabilitation process and guide preventive exercise training.

Adult↗
PubMed2002

Fatigue-related changes in torque output and electromyographic parameters of trunk muscles during isometric axial rotation exertion: an investigation in patients with back pain and in healthy subjects.

STUDY DESIGN: A cross-sectional case-control study. OBJECTIVES: To examine the effect of fatigue on torque output as well as electromyographic frequency and amplitude values of trunk muscles during isometric axial rotation exertion in back pain patients and to compare the results with a matched control group. SUMMARY OF BACKGROUND DATA: Back pain patients exhibited different activation strategies in trunk muscles during the axial rotation exertions. Fatigue changes of abdominal and back muscles during axial rotation exertion have not been examined in patients with back pain. METHODS: Twelve back pain patients and 12 matched controls performed isometric fatiguing axial rotation to both sides at 80% maximum voluntary contraction in a standing position. During the fatiguing exertion, electromyographic changes of rectus abdominis, external oblique, internal oblique, latissimus dorsi, iliocostalis lumborum, and multifidus were recorded bilaterally. The primary torque in the transverse plane and the coupling torques in sagittal and coronal planes were also measured. RESULTS: No difference in the endurance capacity was found between back pain and control groups. At the initial period of the exertion, back pain patients demonstrated a statistical trend (P = 0.058) of greater sagittal coupling torque as well as lower activity of rectus abdominis and multifidus and higher activity in external oblique. During the fatigue process similar changes of coupling torque were demonstrated in both sagittal and coronal planes, but a smaller fatigue rate for right external oblique, increase in median frequency for latissimus dorsi, and lesser increase in activity for back muscles were found in the back pain group compared with the control group. CONCLUSIONS: Alterations in electromyographic activation and fatigue rates of abdominal and back muscles demonstrated during the fatigue process provide insights into the muscle dysfunctions in back pain and may help clinicians to devise more rational treatment strategies.

Abdomen↗
PubMed2006

Knee extensor and flexor torque characteristics before and after unilateral total knee arthroplasty.

OBJECTIVE: The purpose of this study was to document torque characteristics and strength recovery of the knee extensors and flexors before and up to 1 yr after unilateral total knee arthroplasty. Our goal was to also document the responsiveness of isokinetic testing over repeated measures. DESIGN: Thirteen individuals voluntarily participated in this study. Torque production of the knee extensors and flexors was assessed isokinetically at 1.047 and 3.142 radians/sec. RESULTS: Regardless of time, the knee extensors and flexors on the involved side generated a range of 76 and 82% of the average peak torque produced by the uninvolved side at both 1.047 and 3.142 radians/sec, respectively. At 30 days after surgery, there was a "dip" in both knee extensor and flexor torque production. Responsiveness indices for the knee extensors and flexors ranged from 0.95 to 2.12 at 1.047 radians/sec. At 3.142 radians/sec, the responsiveness indices for the knee extensors and flexors ranged from 0.65 to 2.87. CONCLUSION: One year after surgery, there continues to be knee extensor and flexor strength asymmetry between limbs. Moreover, within the first month after surgery, the knee extensors and flexors are at the weakest point compared with before, 60 days, and 1 yr after surgery. Isokinetic testing is a useful tool to document torque production before and in the early time after unilateral total knee arthroplasty.

Aged↗
PubMed2005

Effect of liquid and paste-type lubricants on torque values during simulated rotary root canal instrumentation.

AIM: To evaluate the effects of lubrication on torque generated during rotary preparation of simulated root canals in dentine using ProFile and ProTaper Nickel-Titanium instruments. METHODOLOGY: Thirty-two 3 mm thick dentine discs were used for this study. Four pilot holes were drilled perpendicularly through each disc. These simulated root canals were filled with water, aqueous 15% ethylenediamine tetraacetic acid (EDTA) or a paste-type lubricant (Glyde). Empty canals served as controls. Peak torque values and apically directed forces of rotary instruments were measured using a specially designed testing platform. Full torsional loads over time were calculated by integration of continuous torque records. Data were compared using analyses of variance with the alpha-type error set at 0.05. RESULTS: Maximum torque values using ProFile instruments were significantly (P < 0.005) reduced by the EDTA solution, whilst no reduction was observed using Glyde. With ProTaper instruments, no lubricant effects on maximum torque values were observed (P = 0.372). Full torsional loads over time were significantly reduced for both ProFile and ProTaper preparation (P < 0.005) by the use of lubrication. The two fluids performed significantly better than paste-based Glyde. All lubricants reduced force when applied to ProTaper by mean reductions ranging from 12 to 54%, whilst Glyde lead to increased force when applied to ProFile. CONCLUSIONS: Under the conditions of this laboratory study, lubrication appeared to be advantageous. Aqueous solutions generally performed better than the paste-type product under investigation, which showed untoward effects when used in conjunction with a rotary instrument with a U-shaped cross-section (ProFile).

Analysis of Variance↗
PubMed2006

Assessment of correlation between computerized tomography values of the bone, and maximum torque and resonance frequency values at dental implant placement.

The aim of this study was to determine the bone density in the designated implant sites using computerized tomography (CT), the fastening torque values of dental implants, and the implant stability values using resonance frequency analysis. Further aim was to evaluate a possible correlation between bone density, fastening torque and implant stability. Eighty-five patients were treated with 158 Brånemark System implants. CT machine was used for preoperative evaluation of the jawbone for each patient, and bone densities were recorded in Hounsfield units (HU). The fastening torque values of all implants were recorded with the OsseoCare equipment. Implant stability measurements were performed with the Osstell machine. The average bone density and fastening torque values were 751.4 +/- 256 HU and 39.7 +/- 7 Ncm for 158 implants. The average primary implant stability was 73.2 +/- 6 ISQ for seventy implants. Strong correlations were observed between the bone density, fastening torque and implant stability values of Brånemark System TiUnite MKIII implants at implant placement (P < 0.001). These results strengthen the hypothesis that it may be possible to predict and quantify initial implant stability and bone quality from pre-surgical CT diagnosis.

Adult↗
PubMed2002

An evaluation of the minimum-jerk and minimum torque-change principles at the path, trajectory, and movement-cost levels.

In the present study we evaluated the minimum jerk and the minimum torque-change model at the path, trajectory, and movement-cost levels. To date, most evaluations of these models have mainly been restricted to path comparisons. Assessments of the time courses of realized jerk and torque changes are surprisingly lacking. Moreover, the extent to which the presumed optimized parameters change as a function of the duration and other temporal features of aiming movements has never been investigated, most probably because the models presuppose movement time. In order to fill this gap, we analyzed a subset of the data of an earlier experiment in which 12 participants performed leftward and rightward planar pointing movements. Hand displacements and joint excursions were recorded with a 3D motion-tracking system and subsequently evaluated by means of model-based analyses. The results show that despite a good agreement between observed paths and predicted paths, especially by the minimum torque-change model, the time courses of jerk and torque changes of observed and modeled movements differed considerably. These differences could mainly be attributed to asymmetrical properties of the time functions of slow movements. Variations of movement costs as a function of movement time and skewness of tangential velocity profiles show that, especially at high movement speed, costs increase exponentially with departures of symmetry. It is concluded that trajectory-formation models have limited explanatory power in situations that require demanding information processing during the homing-in phase of goal-directed movements. However, for slow movements, deviations from the optimal timing profiles require little extra costs in terms of jerk or torque change.

Adult↗
PubMed2005

Effect of temperature on spike-triggered average torque and electrophysiological properties of low-threshold motor units.

The aim of the study was to jointly analyze temperature-induced changes in low-threshold single motor unit twitch torque and action potential properties. Joint torque, multichannel surface, and intramuscular electromyographic signals were recorded from the tibialis anterior muscle of 12 subjects who were instructed to identify the activity of a target motor unit using intramuscular electromyographic signals as feedback. The target motor unit was activated at the minimum stable discharge rate in seven 3-min-long contractions. The first three contractions (C1-C3) were performed at 33 degrees C skin temperature. After 5 min, the subject performed three contractions at 33 degrees C (T1), 39 degrees C (T2), and 45 degrees C (T3), followed by a contraction at 33 degrees C (C4) skin temperature. Twitch torque and multichannel surface action potential of the target motor unit were obtained by spike-triggered averaging. Discharge rate (mean +/- SE, 7.1 +/- 0.5 pulses/s), interpulse interval variability (35.8 +/- 9.2%), and recruitment threshold (4.5 +/- 0.4% of the maximal voluntary torque) were not different among the seven contractions. None of the investigated variables were different among C1-C3, T1, and C4. Conduction velocity and peak twitch torque increased with temperature (P < 0.05; T1: 3.53 +/- 0.21 m/s and 0.82 +/- 0.23 mN x m, T2: 3.93 +/- 0.24 m/s and 1.17 +/- 0.36 mN x m, T3: 4.35 +/- 0.25 m/s and 1.46 +/- 0.40 mN x m, respectively). Twitch time to peak and surface action potential peak-to-peak amplitude were smaller in T3 (61.8 +/- 2.0 ms and 27.4 +/- 5.1 microV, respectively) than in T1 (71.9 +/- 4.1 ms and 35.0 +/- 6.5 microV, respectively) (P < 0.05). The relative increase in conduction velocity between T1 and T3 was positively correlated (P < 0.05) with the increase in twitch peak amplitude (r2 = 0.48), with the decrease in twitch time to peak (r2 = 0.43), and with the decrease in action potential amplitude (r2 = 0.50). In conclusion, temperature-induced modifications in fiber membrane conduction properties may have a direct effect on contractile motor unit properties.

Action Potentials↗
PubMedDate not supplied

A torque-controlled device to measure passive abduction of the thumb carpometacarpal joint.

The primary aim of this study was to design and then test the intrarater reliability of a torque-controlled method of measuring passive abduction of the thumb carpometacarpal (CMC) joint. A secondary aim was to quantify passive CMC abduction in patients with and without contracture. Initially, clinicians used subjective feel (without range of motion measurements) to identify 52 people with loss of passive thumb CMC abduction. All subjects had a neurological condition. Passive thumb CMC abduction was measured in both hands of these 52 people and the hands of another 20 healthy able-bodied individuals (total of 72 people and 144 hands). Passive thumb CMC abduction was measured using a newly designed torque-controlled device and the previously recommended caliper method. Repeat measurements were taken with both devices, two to three days later, by blinded assessors on a subgroup of 12 patients (24 hands). Median (interquartile range) CMC angle of thumbs deemed by clinicians to have contracture was 45 degrees (41-52 degrees) and that of subjects without contractures was 56 degrees (53-60 degrees). The intraclass correlation coefficient for the repeat measures attained with the torque-controlled device was 0.78 (95% confidence interval, 0.56-0.90). The torque-controlled device provides a way of standardizing torque when measuring passive thumb CMC abduction. The clear difference between passive CMC abduction of subjects with and without contracture confirms the ability of clinicians to use feel and subjective assessment to identify patients with contracture.

Carpal Joints↗