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PubMed1999

Muscle responses to simulated torque reactions of hand-held power tools.

The aim of this work was to investigate physiological responses to torque reaction forces produced by hand-held power tools used to tighten threaded fasteners. Such tools are used repetitively by workers in many industries and are often associated with upper limb musculoskeletal complaints. The tools considered for stimulation in this study had straight handles and required from 100 to 400 ms to tighten fasteners to a peak torque of 1.0 to 2.5 Nm and from 50 to 150 ms for the torque to decay to zero. A tool stimulator was constructed to apply a programmed torque profile to a handle similar to that of a straight in-line power screwdriver. Wrist flexor and extensor surface EMGs and handle position were recorded as subjects held handles subjected to controlled torque loads that tended to flex the wrist. It was found that: (1) very high EMG values occurred even though torques were of short duration (50 to 600 ms) and the peak torques were low (7-28% of maximum strength); (2) high EMGs in anticipation of torque are directly related to torque build-up rate and peak torque; (3) high peak flexor and extensor EMGs during and following torque onset are related to torque build-up rate and peak torque; (4) minimum time of peak EMGs of 72-87 ms following the onset of torques with 50 ms build-up suggests the contribution of an extensor muscle stretch reflex component; delayed peak for longer build-ups suggests a central control of muscle force in response to torque; (5) angular excursions of handles increase with decreasing torque build-up time and increasing torque magnitude causes increasing eccentric work; (6) the results show that the slow torque build-up times (450 ms) correspond to minimum peak EMGs; and (7) accumulated EMGs increase with increasing torque and torque build-up times. Further studies are needed to evaluate fatigue and musculoskeletal injuries associated with prolonged periods of tool use.

Adult↗
PubMed1995

[Biomechanical testing of the new torque-segmented arch (TSA)].

New torque-segmented arch wires are presented which consist of a superelastic anterior component with 30 degrees or 45 degrees torque and which are connected to 2 steel lateral components by means of a crimped connector. When using such torque-segmented arch wires, the crimped connector rests mesially to the canine bracket and the lateral components exhibit a torque of 0 degree. The use of the torque-segmented arch wires requires the practitioner to adjust the anterior tooth segment, to bend in first order bends in the steel lateral portion as well as to bend in a sweep to avoid an anterior tooth extrusion, and, if desired, to bend in third order bends to influence premolars and molars. In some cases the simultaneous application of palatal arches can become necessary, because each torque transfer results in a transversal enlargement in the molar area. Compared to conventional steel wires with dimensions of 0.016 x 0.022 in which an anterior tooth torque is bent, the torque segmented arch wires exhibit considerably fewer side effects, but there is a larger distally rotating moment for the molars. 1. When applying torque-segmented arch wires, the extrusive force transferred to the anterior teeth is considerably smaller. 2. The protrusive force acting on the anterior teeth is also considerably smaller, which results in a reduced demand being placed on the anchorage of the molars. 3. The torque transfer to the incisors rests in a quite moderate range, even in the case of a 50 degrees torque. For this reason, the practitioner can expect diminished or no resorptions at all compared to the aforementioned steel wires. 4. The Martensite plateau of the torque-segmented arch wires exhibit constant moments in large areas so that such arch wires can be used in almost every anterior tooth position. 5. The segmented wires presented here can be applied not only in the case of the standard edgewise technique but also in each case of the straight-wire technique. 6. These new arch wires require no readjustment of torque values. 7. To control the transferred torque values it is recommended that the already transferred torque values be monitored during each check-up with the help of the described torque key. 8. When the torque values of the brackets are known, the torque key renders frequent patient X-rays superfluous. 9. When the desired torque values are attained, treatment can proceed using conventional arch wires.

Biomechanical Phenomena↗
PubMed2002

Contraction history affects the in vivo quadriceps torque-velocity relationship in humans.

We hypothesized that the history of contraction would affect the in vivo quadriceps torque-velocity relationship. We examined the quadriceps torque-velocity relationship of the human knee extensors at the descending and ascending limb of the torque-position relationship by initiating the knee extension at a knee angle position of 1.39 rad (80 degrees ) or 0.87 rad (50 degrees ) over a 0.52 rad (30 degrees ) range of motion under conditions of constant or linearly increasing velocity. Maximal voluntary isometric knee extension torque (M(0)) was measured at 1.87 rad, 0.87 rad, and 0.35 rad, and concentric torque was measured. The subjects carried out ten maximal knee extensions at ten distinct velocities, each velocity ranging between 0.52 rad x s(-1) to 5.24 rad x s(-1) in steps of 0.52 rad x s(-1). Peak concentric torque was measured and mean torque calculated from the respective torque-time curves. Peak or mean torque, computed from the individual torque-time curves, and velocity data were fitted to the Hill equation under the four experimental conditions and the curve parameters computed. The M(0) was similar at 0.87 rad and 1.39 rad, but it was significantly lower at 0.35 rad. In the low-velocity domain of the torque-velocity curve where a plateau normally occurs, peak torque was always lower than M(0). Peak and mean torque were significantly greater under linearly increasing velocity conditions and the 1.39 rad starting knee position. Mean torque but not peak torque data could be well fitted to the Hill equation and the two computations resulted in significantly different Hill curve parameters including the concavity ratio, peak power, and maximal angular velocity. We concluded that the history of contraction significantly modifies the in vivo torque-velocity relationship of the human quadriceps muscle. Muscle mechanics and not neural factors may have accounted for the inconsistencies in the human torque-velocity relationships reported previously.

Adult↗
PubMedDate not supplied

Accuracy of electronic implant torque controllers following time in clinical service.

Tightening of the screws in implant-supported restorations has been reported to be problematic, in that if the applied torque is too low, screw loosening occurs. If the torque is too high, then screw fracture can take place. Thus, accuracy of the torque driver is of the utmost importance. This study evaluated 4 new electronic torque drivers (controls) and 10 test electronic torque drivers, which had been in clinical service for a minimum of 5 years. Torque values of the test drivers were measured and were compared with the control values using a 1-way analysis of variance. Torque delivery accuracy was measured using a technique that simulated the clinical situation. In vivo, the torque driver turns the screw until the selected tightening torque is reached. In this laboratory experiment, an implant, along with an attached abutment and abutment gold screw, was held firmly in a Tohnichi torque gauge. Calibration accuracy for the Tohnichi is +/- 3% of the scale value. During torque measurement, the gold screw turned a minimum of 180 degrees before contact was made between the screw and abutment. Three torque values (10, 20, and 32 N-cm) were evaluated, at both high- and low-speed settings. The recorded torque measurements indicated that the 10 test electronic torque drivers maintained a torque delivery accuracy equivalent to the 4 new (unused) units. Judging from the torque output values obtained from the 10 test units, the clinical use of the electronic torque driver suggests that accuracy did not change significantly over the 5-year period of clinical service.

Analysis of Variance↗
PubMed2003

Muscle mass, isokinetic torque, and functional capacity in women with osteoarthritis of the knee.

OBJECTIVES: To investigate the relations between cross-sectional area and concentric and eccentric torques in the quadriceps and hamstring muscles and to determine how functional capacity relates to pain, muscle mass, and concentric and eccentric knee torques in women who have bilateral osteoarthritis (OA) of the knee. DESIGN: Randomized, descriptive study. SETTING: A university exercise physiology laboratory in Turkey. PARTICIPANTS: Eighteen women with bilateral knee OA (grades 2 or 3) graded radiographically. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Selected functional tests included the 15-m walk, rising from a chair, descending stairs, and stair climbing. Pain during the functional tests was subjectively measured on an 11-point scale (range, 0-10). Concentric and eccentric torques of the quadriceps and hamstring muscles were measured by isokinetic dynamometry with angular velocities of 60 degrees, 120 degrees, and 180 degrees /s; cross-sectional areas of the quadriceps and hamstring muscles were measured by computed tomography. RESULTS: Eccentric torque was significantly (P range, <.05 to.001) greater than concentric torque for the quadriceps (range, 16%-100%) and hamstring (range, 50%-158%) muscles at all angular velocities. Torque-velocity curves for concentric and eccentric contractions were almost identical to those found in healthy young and elderly people. According to r(2) values, cross-sectional area of the quadriceps and hamstring muscles explained 24% to 61% (r(2) range,.24-.61) and 38% to 51% (r(2) range,.38-.51) of the variations in concentric and eccentric peak torques, respectively. Very small to moderate correlations (.01-.75) were observed among torque at any velocity and the variables of functional capacity and pain. For stair-climbing times, the best predictor variable was the eccentric hamstring to concentric quadriceps torque ratio. For stair descending, it was the concentric hamstring to eccentric quadriceps torque ratios. These torque ratios explained 81% (r(2)=.81) and 61% (r(2)=.61) of the variations, respectively. CONCLUSIONS: The findings in a patient group with bilateral OA of the knee showed that (1) eccentric torque is greater than concentric torque in knee muscles; (2) the correlation coefficients (r) between concentric and eccentric torques at different velocities (r range,.63-.86), but not between reciprocal torque ratios (r range,.02-.69), are good; (3) cross-sectional area cannot be considered as a single predictor of peak torque for either quadriceps or hamstring muscles; and (4) the variation in descending stairs and stair-climbing capacities can be explained by the reciprocal torque ratios of knee muscles.

Activities of Daily Living↗
PubMed2002

Upper-limb surface electro-myography at maximum supination and pronation torques: the effect of elbow and forearm angle.

Forearm pronation and supination, and increased muscular activity in the wrist extensors have been both linked separately to work-related injuries of the upper limb, especially humeral epicondylitis. However, there is a lack of information on forearm torque strength at ranges of elbow and forearm angles typical of industrial tasks. There is a need for strength data on forearm torques at different upper limb angles to be investigated. Such a study should also include the measurement of muscular activity for the prime torque muscles and also other muscles at possible risk of injury due to high exertion levels during tasks requiring forearm torques.Twenty-four male subjects participated in the study that involved maximum forearm torque exertions for the right arm, in the pronation and supination directions, and at four elbow and three forearm rotation angles. Surface EMG (SEMG) was used to evaluate the muscular activity of the pronator teres (PT), pronator quadratus (PQ), biceps brachi (BB), brachioradialis (BR), mid deltoid (DT) and the extensor carpi radialis brevis (ECRB) during maximum torque exertions. Repeated measures ANOVA indicated that both direction and forearm angle had a significant effect on the maximum torques (p<0.05) while elbow angle and the interactions were highly significant (p<0.001). The results revealed that supination torques were stronger overall with a mean maximum value of 16.2 Nm recorded for the forearm 75% prone. Mean maximum pronation torque was recorded as 13.1 Nm for a neutral forearm with the elbow flexed at 45 degrees. The data also indicated that forearm angle had a greater effect on supination torque than pronation torque. Supination torques were stronger for the mid-range of elbow flexion, but pronation torques increased with increasing elbow extension. The strength profiles for the maximum torque exertions were reflected in the EMG changes in the prime supinators and pronators. In addition, the EMG data expressed as the percentage of Maximum Voluntary Electrical activity (MVE), revealed high muscular activity in the ECRB for both supination (26-43% MVE) and pronation torques (17-55% MVE). The results suggest that the ECRB acts as a stabiliser to the forearm flexors for gripping during pronation torques depending on forearm angle, but acts as a prime mover in wrist extension for supination torques with little effect of elbow and forearm angle. This indicates a direct link between forearm rotations against resistance and high muscular activity in the wrist extensors, thereby increasing stress on the forearm musculo-skeletal system, especially the lateral epicondyle.

Adult↗
PubMed1986

Importance of correcting isokinetic peak torque for the effect of gravity when calculating knee flexor to extensor muscle ratios.

The purpose of our investigation was to compare, for the hamstring and quadriceps femoris muscles, peak torque values uncorrected for gravity with the peak torque values corrected for gravity and to determine the effect of making this correction on the hamstring to quadriceps femoris muscle peak torque ratio at slow and fast isokinetic speeds. We measured peak torques isokinetically at 60 degrees/sec (slow) and 240 degrees/sec (fast) in 25 female university soccer players. The gravity effect torque (GET) is the torque resulting from the effect of gravity on the combined weight of the leg and dynamometer arm at the precise angle of extension and flexion peak torque. The GET was added to the measured quadriceps femoris muscle peak torque and subtracted from the hamstring muscle peak torque to yield gravity corrected values. Failure to consider GET greatly underestimated quadriceps femoris muscle torque and overestimated hamstring muscle torque and the ratio between these torques at both speeds. Whereas the uncorrected hamstring to quadriceps femoris muscle peak torque ratio increased as speeds went from 60 degrees/sec to 240 degrees/sec, the gravity corrected ratio significantly decreased. Clinicians must remember the importance of making the gravity correction in patients with reduced torque output where the gravitational torque is a greater percentage of the measured torque to ascertain correctly the relative strength of antagonists inversely affected by gravity.

Adolescent↗
PubMed2002

The effect of axial tibial torque on the function of the anterior cruciate ligament: a biomechanical study of a simulated pivot shift test.

PURPOSE: Various techniques are used to produce the pivot shift phenomenon after anterior cruciate ligament (ACL) injury. In particular, the amount of applied axial tibial torque varies among examiners. Thus, the objective of this study was to determine the effect of the magnitude and direction of axial tibial torque in combination with valgus torque on the resulting knee kinematics during such a simulated pivot shift test. TYPE OF STUDY: This was a biomechanical study that used cadaveric knees with the intact knee of the same specimen serving as a control. METHODS: On 19 human cadaveric knees (age, 26 to 69 years), a constant 10-Nm valgus torque was applied at 15 degrees of knee flexion. Then, internal and external tibial torque was applied incrementally from 0 to 10 Nm and the resulting kinematics of the ACL-intact and ACL-deficient knee, as well as the in situ force in the ACL, were measured using a robotic/universal force-moment sensor testing system. RESULTS: In response to isolated valgus torque, the coupled anterior tibial translation for the ACL-intact and ACL-deficient knee was 1.6 +/- 2.4 mm and 8.5 +/- 4.7 mm, respectively; therefore the difference between the ACL-intact and ACL-deficient knee was 6.9 +/- 3.4 mm. With an external tibial torque greater than 5 Nm, the tibia translated up to 4 mm posteriorly for both the ACL-intact and ACL-deficient knee. Whereas, internal tibial torque greater than 1.6 Nm caused a rapid increase in coupled anterior tibial translation up to 10.2 mm in the ACL-deficient knee, while causing only a gradual increase for the ACL-intact knee. With excessive internal torque of 10 Nm, the difference in coupled anterior tibial translation was only 4.4 +/- 2.2 mm, suggesting a decrease in the sensitivity of the test. Correspondingly, the in situ force in the ACL under 10 Nm valgus tibial torque was 43 +/- 17 N, and increased up to 87 +/- 32 N as a 10-Nm internal torque was added. By applying a 3.3-Nm external tibial torque in addition to the 10-Nm valgus torque, the in situ force decreased to 21 +/- 14 N. CONCLUSIONS: This study showed that a minimal amount of internal torque in combination with valgus torque may be a suitable way to elicit a pivot shift from an ACL-deficient knee.

Adult↗
PubMed1990

Eccentric and concentric torque-velocity relationships during arm flexion and extension. Influence of strength level.

Forty men were tested with a computerized dynamometer for concentric and eccentric torques during arm flexion and extension at 0.52, 1.57, and 2.09 rad.s-1. Based on the summed concentric and eccentric torque scores, subjects were placed into a high strength (HS) or low strength (LS) group. The eccentric and concentric segments of the torque-velocity curves (TVCs) were generated using peak torque and constant-angle torque (CAT) at 1.57 and 2.36 rad. Angle of peak torque was also recorded. Compared to LS, HS had significantly greater estimated lean body mass (+10.2 kg) and approximately 25% greater average torque output. Reliability of the peak torque scores on 2 days in 20 subjects was r greater than or equal to 0.85. The difference between observed torques and the mathematically computed criterion torque scores averaged 1% for three validation loads that ranged from 11.4 to 90.4 kg. Statistical analysis revealed that torque output in LS plateaued at low concentric velocities and was also flattened with increasing eccentric velocities. Conversely, torque output for HS increased with decreasing concentric velocities and increased with increasing eccentric velocities. The method of plotting the TVCs for peak or CAT did not influence the pattern of TVC. Eccentric flexion peak torque occurred at a significantly shorter muscle length (1.88 rad) than concentric torque (2.12 rad). This difference was also present for extension; it was 1.88 rad for eccentric and 2.03 rad for concentric torque.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1993

Muscle synergies and isometric torque production: influence of supination and pronation level on elbow flexion.

1. Twenty normal subjects performed a series of isometric elbow flexion (F) maximum voluntary contractions (MVC) while simultaneously maintaining one of seven targeted torque levels in the supination/pronation (S/P) degree of freedom (df). Experimental measures were torque in both df s and surface electromyograms (EMG) from brachioradialis (BRAD), triceps brachii (TB), biceps brachii (BB) short head (BBSH), and a medial and lateral site on biceps brachii long head (MED BB and LAT BB). Task effects were tested for significance using analysis of covariance models for the torque and EMG variables. Polynomial multiple regression models were developed for significant effects. The synergism among muscles was examined by statistically testing the EMG data for differing responses to the S/P torque changes across the five electrode sites. 2. The magnitude of the S/P target torque had a statistically significant effect on flexion MVC (F MVC) torque. Changes in S/P torque markedly influenced the F MVC torque magnitude, with as much as a 25% F torque decrement relative to an F MVC with an S/P torque target of 0. This suggests that the second df task affects some aspect of joint function that causes the CNS to reduce F torque capacity. 3. The S/P torque had a significant effect on EMG amplitude at all electrode sites other than TB. The EMG amplitude at the BB sites responded strongly to both F and S/P torque changes. The F+S tasks tended to facilitate BB EMG, whereas the F+P tasks tended to diminish it. The BRAD EMG, although primarily related to F torque amplitude, also was influenced by the S/P torque changes. The trends for BRAD EMG were opposite those for the BB in that BRAD EMG tended to be enhanced by the F+P tasks and reduced by the F+S tasks. 4. The synergistic pattern of stimulation (i.e., the relationship among the 5 EMG amplitude measures) was also significantly influenced by the S/P df task. Significant differences in the EMG behavior between BBSH and LAT BB were detected; however, no statistically significant differences were found between LAT BB and MED BB. The EMG behaviors at the BRAD and TB electrode sites were significantly different from those at the BB sites. 5. These inversely related responses from the BB and BRAD stress the importance of understanding the relationship between muscular activity and the function of muscles in more than one df. This finding further suggests that the synergistic relationships between muscles are dynamically related to task in all applicable dfs. It is suggested that this dynamic synergism is a natural consequence of the redundant musculoskeletal system.(ABSTRACT TRUNCATED AT 400 WORDS)

Adult↗
PubMed2004

Increased insertion torque delays pin-bone interface loosening in external fixation with tapered bone screws.

OBJECTIVE: To test the null hypothesis that osseomechanical integration is not related to the maximum insertion torque of tapered external fixation pins. DESIGN: Prospective in vivo study in a functionally loading ovine model. In 12 animals, tapered commercial external fixation pins were inserted at predefined locations with measured insertion torques and extraction torque measured at 10 weeks postoperatively. SETTING: Unrestricted stall activity under veterinary supervision. INTERVENTIONS: Under general anesthesia and aseptic conditions, mid-diaphyseal tibial osteotomies were created and a 3-mm gap width stabilized with a custom-made, high-precision, single-sided external fixator, in compliance with United Kingdom government regulations [Animals (Scientific Procedures) Act 1986]. MAIN OUTCOME MEASUREMENTS: Primary pin site stability and interface load were assessed by measuring maximum insertion torque (Nm). At a 10-week postoperative end point, osseomechanical stability was assessed by measuring the extraction torque and a pin performance index determined from the insertion/extraction torque ratio. RESULTS: A positive correlation was found between extraction torque and insertion torque (R2 = 0.322, P < 10(-6)). All pins with an insertion torque equal to or greater than 7 Nm had a measurable extraction torque, as did 98% of the pins with an insertion torque above 5 Nm. Extraction torque decreased both as a function of pin site position by the postoperative end point. High insertion torques were found to enhance end point stability in both diaphyseal and metaphyseal bone. CONCLUSION: The data from this study indicate that tapered external fixation pins should be inserted with a high torque to enhance the long-term integrity of the pin-bone interface.

Animals↗
PubMed2004

Accuracy of the DTC torque control motor for nickel-titanium rotary instruments.

AIM: To determine the torque output and examine the accuracy of five identical DTC torque control (DTC) motors. METHODOLOGY: Torque settings on the DTC motors for the.04 ISO ProFile nickel-titanium (NiTi) rotary instruments were evaluated at 350 r.p.m. A modification of the ANSI/ADA Specification No. 28 setup for the evaluation of torsional properties of endodontic instruments was used. A handpiece was attached to the motor and gripped with a vice. An.07 Orifice Shaper, size 50, was inserted in the handpiece. The instrument tip was clamped in a chuck connected to a torque sensor. The motor was then activated to rotate the instrument in a clockwise direction until reversal of the rotation occurred. The actual torque generated at the reversal of the rotation was recorded. Ten tests were carried out at each torque setting. A new Orifice Shaper was used for each test. The means of the actual torque values generated by the motors at the different torque settings were compared with the torque values claimed by the manufacturer and analysed using analysis of variance and the Student's t-test (alpha = 0.05). RESULTS: The actual torque values were significantly higher than the torque preset on the motors (P < 0.0001) and did not differ significantly among the motors (P > 0.05). CONCLUSIONS: The actual torque deviated from the preset torque and was higher than the reported torque at fracture of several NiTi rotary instruments. The usefulness of these motors is questionable.

Dental Alloys↗
PubMedDate not supplied

Accuracy of the implant torque wrench following time in clinical service.

Thirty-five implant torque wrenches were tested for torque delivery accuracy. Seven of these drivers had a 10-Ncm value, 12 had a 20-Ncm value, 10 had a 30-Ncm value, and six had a 35-Ncm value. All of the wrenches had been in clinical service for a minimum of 1 month or a maximum of 3 years and were assumed by the clinicians to be fully effective in delivering the required torque values. Torque delivery accuracy was determined using a Tohnichi torque wrench calibrated to +/- 1% of the scale value. All torque wrenches had been subjected to steam sterilization following clinical use. Data collected on all wrenches included (1) age since purchase, (2) number of sterilization cycles to which each wrench had been subjected during the use period, and (3) 10 sequential torque readings using the Tohnichi wrench as the torque reading device. The results of this study showed that there was no significant correlation of delivered torque with (1) age or (2) number of sterilization cycles. Furthermore, in each torque category there were torques both above and below the control values. For the 10-Ncm torque wrenches, the largest value was 455.0% greater than the control, the largest values were 41.6% greater for 20-Ncm wrenches, 17.0% greater for the 30-Ncm torque wrenches, and 58.6% greater for the 35-Ncm wrenches. Corrosion of the spring in the handle of the torque wrench was found to be the reason for the 455.0% value.

Calibration↗
PubMed2004

Effects of velocity on maximal torque production in poststroke hemiparesis.

Impaired torque production is a major physical impairment following stroke, and has been studied extensively in isometric conditions. However, functional use of a limb requires torque production during movement, and the effects of velocity on maximal torque production may be abnormally enhanced in the paretic limb. The purpose of this study was to quantify the effects of movement velocity on maximal torque production during isokinetic, concentric flexion and extension of the elbow in poststroke subjects. Three speeds were tested (30, 75, 120 deg/s) over a 100-deg range of motion. To control for strength variations between subjects and limbs, isokinetic torques were normalized by peak isometric torque. As flexion velocity increased, paretic limb torque decreased at a greater rate than in the unaffected limb. During extension, paretic limb torque was much lower than torque in the unaffected limb at all speeds. In both flexion and extension, the disparity between limbs in the constant-velocity torque-angle curves became more pronounced as velocity increased. Torque decreased 44% +/- 7% in flexion and 63% +/- 9% in extension as velocity increased from 30 to 120 deg/s, whereas the corresponding decreases in the unaffected limb were only 9% +/- 5% in flexion and 16% +/- 4% in extension. No electromyographic (EMG) abnormalities were observed during flexion. During extension, EMG data provided evidence for abnormally increased antagonist coactivation in brachioradialis and markedly reduced activation in triceps as potential contributors to the decreased extension torques. The finding that movement velocity produces large deficits in maximal torque might explain why functional use of the paretic limb is often impaired even though isometric strength appears adequate.

Aged↗
PubMed2005

The influence of static axial torque in combined loading on intervertebral joint failure mechanics using a porcine model.

BACKGROUND: The spine is routinely subjected to repetitive combined loading, including axial torque. Repetitive flexion-extension motions with low magnitude compressive forces have been shown to be an effective mechanism for causing disc herniations. The addition of axial torque to the efficacy of failure mechanisms, such as disc herniation, need to be quantified. The purpose of this study was to determine the role of static axial torque on the failure mechanics of the intervertebral joint under repetitive combined loading. METHODS: Repetitive flexion-extension motions combined with 1472 N of compression were applied to two groups of nine porcine motion segments. Five Nm of axial torque was applied to one group. Load-displacement behaviour was quantified, and planar radiography was used to document tracking of the nucleus pulposus and to identify fractures. FINDINGS: The occurrence of facet fractures was found to be higher (P=0.028) in the axial torque group (7/9), compared to the no axial torque group (2/9). More hysteresis energy was lost up to 3000 cycles of loading in the axial torque group (P<0.014). The flexion-extension cycle stiffness was not different between the two groups until 4000 cycles of loading, after which the axial torque group stiffness increased (P=0.016). The percentage of specimens that herniated after 3000 cycles of loading was significantly larger (P=0.049) for the axial torque group (71%) compared to the no axial torque group (29%). INTERPRETATION: Small magnitudes of static axial torque alter the failure mechanics of the intervertebral disc and vertebrae in combined loading situations. Axial torque appears to accelerate the susceptibility for injury to the intervertebral joint complex. This suggests tasks involving axial torque with other types of loading, apart from axial twist motion, should be monitored to assess exposure and injury risk.

Animals↗
PubMedDate not supplied

Pedicle screw fixation strength: pullout versus insertional torque.

BACKGROUND CONTEXT: Researchers studying early pedicle screw designs have suggested that pullout strength and insertional torque are correlated. For surgeons using pedicle screws, insertional torque is widely believed to be a good predictor of pullout strength and initial stability of the screw and construct. How appropriate is this assumption when applied to new screw and thread designs? PURPOSE: This study investigated the correlation between insertional torque and pullout strength of three different pedicle screw designs, with different insertional torque characteristics. We hypothesized that a significant increase in insertional torque would indicate a commensurate increase in pullout strength. STUDY DESIGN: Biomechanical analysis of instrumented vertebral specimens. METHODS: Calf lumbar vertebra were prepared and instrumented with one of three pedicle screws. Pilot hole preparation was standardized and coaxial orientation was confirmed by direct inspection. Screws did not penetrate the pedicle cortex or abut or penetrate the anterior vertebral cortex. Any specimen with pedicle wall breach was discarded. The pedicles were instrumented with one of three screws: 1) 7.5 x 40 mm conical, asymmetric progressive thread (Xia; Stryker Spine, Allendale, NJ), 2) 7.5 x 40 mm conical with traditional V-shaped thread (Osteonics, Stryker Spine, Allendale, NJ)) or 3) 6.5 x 40 mm cylindrical with V thread (Osteonics, cylindrical). Paired testing allowed individual screws to be directly compared with a contralateral "control." Insertional torque and peak torque values were recorded for each rotation up to full insertion. Pullout testing was conducted at a rate of 1 mm/minute. Load-displacement data were recorded at 20 Hz. Stiffness was considered the slope of the most linear part of the curve before the yield point. RESULTS: Peak loads for 7.5 conical Xia screws measured 1,783+/-589.1 N compared with 1,943.0+/-625.8 N for 7.5 conical Osteonics screws and 1,641.0+/-356.7 N for 6.5 cylindrical Osteonics screws. The peak insertional torque values were 6.7+/-1.9 Nm (158% greater than control), 4.5+/-1.1 Nm (73% greater than control) and 2.6+/-0.7 Nm, respectively. Insertional torques for Xia screws were significantly greater than conical (p=.001) and cylindrical Osteonics screws (p<.0001), and insertional torques for Osteonics conical screws were significantly greater than those of cylindrical screws (p<.0001). Although pullout loads for the conical Osteonics screws were consistently higher than either the Xia or Osteonics cylindrical screws, the differences were not significant (p>.05). There was no significant correlation between pullout strength and insertional torque (p>.05). CONCLUSIONS: This unexpected result is best explained by the progressively narrowing flutes of the Xia screw, which compact the trabeculae into a smaller volume as the screw nears full insertion. The trapezoidal threads also increase contact with the cortical surface area and compress trabeculae toward the cortex, thus creating greater friction and higher torque values. This increase in torque did not translate into a commensurate increase in pullout strength, where trabeculae fail in shear.

Animals↗
PubMed2004

Torque capacity of metal and polycarbonate brackets with and without a metal slot.

The aim of the present study was to investigate slot deformation and the equivalent torque capacity of polycarbonate brackets with and without a metal slot in comparison with those of a metal bracket. For this purpose, the expansion characteristics and, in a further investigation, the labial crown torque of an upper central incisor, were measured in a simulated intra-oral clinical situation, using the orthodontic measuring and simulation system (OMSS). Three types of bracket with a 0.018 inch slot were tested: polycarbonate Brillant without a metal slot, Elegance with a metal slot and the metal bracket, Mini-Mono. For testing purposes the brackets were torqued with 0.016 x 0.022 inch (0.41 x 0.56 mm) and 0.018 x 0.022 inch (0.46 x 0.56 mm) ideal stainless steel archwires. In the activating experiments, significantly higher torque losses and lower torquing moments were registered with both rectangular archwires with the polycarbonate brackets than with the metal bracket. In the simulation tests, significantly higher torquing moments were registered with the metal bracket than with the polycarbonate brackets. The values for the Elegance bracket were between those of the Mini-Mono and Brillant brackets. The OMSS model approximates the clinical situation, with the torque loss being notably higher than in the in vitro activating experiments. This is due to the adjacent teeth giving the archwire additional play. In addition, the torquing process may twist the archwire, resulting in subsidiary forces. On the basis of the present results, all three brackets can be recommended for torquing. However, in view of the high torque losses, the torques programmed in the straightwire technique must be seen as questionable. Data should be provided by the manufacturer on the bending to be expected in polycarbonate brackets, which has to be offset by additional torque, or the bracket torque should be omitted from the technical specifications.

Dental Alloys↗
PubMed2006

Normalized lengthening peak torque is associated with temporal twitch characteristics in elderly women but not young women.

AIM: To determine if greater normalized torque during maximal effort lengthening actions in elderly women compared with young women is related to age-associated adjustments in neural activation and/or contractile function. METHODS: The right knee extensors of 14 young women (21-30 years) and 12 elderly women (65-78 years) were assessed for isometric, shortening and lengthening peak torque, electromyography (EMG) activity, and isometric twitch contractile properties. Knee extensor contractile tissue volume was determined using magnetic resonance imaging. RESULTS: Normalized torque was determined as peak torque per unit of knee extensor contractile tissue volume. Normalized torque during the isometric and shortening actions was similar between age groups (P > 0.05); however, lengthening normalized torque was significantly higher for the elderly women (P < 0.05). In the young women, a significant relationship existed between normalized torque and EMG for all muscle actions (P < 0.05), while no association was found between normalized torque and temporal twitch characteristics for any muscle action (P > 0.05). In the elderly women, a significant relationship existed between normalized torque and EMG for the isometric and shortening muscle actions (P < 0.05), but not for lengthening normalized torque and EMG (P > 0.05). Furthermore, no association existed between isometric and shortening normalized torque, and temporal twitch characteristics in the elderly women (P > 0.05); however, a significant relationship existed between lengthening normalized torque, and the rate of relaxation and contraction duration (P < 0.05). CONCLUSIONS: The greater capacity to develop lengthening peak torque relative to contractile tissue volume in the elderly women appeared to be associated with age-related adjustments in the temporal twitch characteristics rather than neural activation.

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