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Neuronal populations in primary motor cortex encode bimanual arm movements.

Previous studies have shown that activity of neuronal populations in the primary motor cortex (MI), processed by the population vector method, faithfully predicts upcoming movements. In our previous studies we found that single neurons responded differently during movements of one arm vs. combined movements of the two arms. It was, therefore, not clear whether the population vector approach could produce reliable movement predictions also for bimanual movements. This study tests this question by comparing the predictive quality of population vectors for unimanual and bimanual arm movements. We designed a bimanual motor task that requires coordinated movements of the two arms, in which each arm may move in eight directions, and recorded single unit activity in the MI of two rhesus (Macaca mulatta) monkeys during the performance of unimanual and bimanual arm movements. We analysed the activity of 212 MI cells from both hemispheres and found that, despite bimanual related activity, the directional tuning and preferred directions of most cells were preserved in unimanual and bimanual movements. We demonstrate that population vectors, constructed from the activity of MI cells, predict accurately the direction of movement both for unimanual and for bimanual movements even when the two arms move simultaneously in different directions.

Action Potentials↗

The effect of moderate resistance weight training on peak arm aerobic power.

The purpose of this study was to examine the effect of moderate resistance weight training (MRWT) on peak arm aerobic power as measured by arm cranking ergometry. Fourteen sedentary college age males, divided equally into two groups, served as subjects. The seven subjects in the MRWT group completed 12, 1-hr bouts of weight lifting over a 4 week period, exercising on Monday, Wednesday and Friday of each week. Exercise sessions included 3 sets of 10 repetitions of the following lifts: bench press, overhead dumbbell press, dumbbell arm curl, and behind the neck pull down. The remaining seven subjects served as a non-training control group, whose purpose was to account for possible learning effects on the arm ergometer test that could distort the statistical relevance of the aerobic power data. These subjects did not serve as a control for the weight training exercises, as the procedures used to determine muscular strength may produce a modest training effect. Peak arm aerobic power and muscular strength, as measured by the one-repetition maximum for each lift, were determined before and after the training program. The average increase in strength for all lifts combined for the trained group was 20.0%. They also experienced a 13.4% (p < .005) increase in peak arm aerobic power, whereas there was no significant change in this variable for the control group. It is concluded that peak arm aerobic power is enhanced by the changes in muscular strength produced by 4 wks of MRWT.

Adolescent↗

Bioenergetic characteristics of swimmers determined during an arm-ergometer test and during swimming.

The maximal oxygen uptake (VO2max) of 13 swimmers was determined by an arm-ergometer test (direct method) and estimated from a maximal multistage swimming test (indirect method) (23). A test-retest of the progressive swimming exercise showed that there were no significant differences from one test to the other and that there were significant correlations between the principal parameters: arm stroke index: 0.73, maximal aerobic swimming velocity: 0.94, VO2max: 0.95, p less than 0.01. Therefore, for swimmers of average ability, the reproducibility of this test has been proved. A significant difference (p less than 0.001) was observed between the two tests for VO2max: arm-ergometer test (VO2max arms): 2.4 +/- 0.5 l.min-1, swimming test (VO2max ST): 3.2 +/- 0.7 l.min-1, p less than 0.01. This difference appeared to be linked to the use of a greater muscle mass (arms and legs) during swimming. A significant correlation (r = 0.73, p less than 0.01) was obtained between VO2max (l.min-1) by using both the direct and indirect exercises as methods of measurement. However, the level of r did not permit the prediction of one parameter from the other. Significant correlations were obtained between VO2max and performances over 200 and 400 m free style regardless of the methodology used (VO2max arm, VO2max ST). Moreover, only VO2max (arm, ST) emerged as a variable accounting for swimming performance from a step-wise multiple regression analysis, in which biometric and bioenergetic parameters were taken into account.

Adolescent↗

Lactate and cardiopulmonary responses to simulated arm-pulling and leg-kicking in collegiate and recreational swimmers.

Investigations into the changes due to training in the metabolism of the arms or the legs in swimmers of different training status are limited. The purpose of this study was to compare the lactate and cardiopulmonary responses to simulated arm-pulling and leg-kicking in collegiate and recreational swimmers. Sixteen males (9 collegiate swimmers; SW, 7 recreational swimmers; RSW, mean+/-SD; age 22+/-3 years, body mass 81+/-9 kg, stature 1.84+/-0.06 m), gave written consent and performed continuous incremental exercise tests using either simulated front-crawl arm-pulling or leg-kicking. Lactate concentration (HLa) and oxygen consumption (VO2) were determined at 20 W intervals and at exhaustion (HLa(peak); VO2(peak)). The exercise intensity at a lactate concentration of 4 mM (EI4mM) and at exhaustion (EI(peak)) for arm-pulling and leg-kicking were also established. The arm:leg ratios for EI4mM, HLa(peak) and VO2(peak) were computed. The results showed that for arm-pulling, the SW had higher EI4mM (P=0.02), EI(peak) (P=0.006), but lower HLa(peak) (P=0.03) compared to the RSW. For leg-kicking, none of the responses differed significantly. These results suggest that it is rather the metabolism and local muscle endurance of the arms that are enhanced with competitive swimming endurance.

Adult↗

Effect of hand-arm exercise on venous blood constituents during leg exercise.

To test the hypothesis that ancillary arm and hand exercise would change the values of antecubital blood constituents during leg exercise, seven healthy men (19-27 yrs) performed static (10% of a maximal voluntary contraction) or dynamic (60 finger flexions/min) hand-arm exercise with one hand during submaximal leg exercise (50% V2 max) in the supine position. Venous blood was analyzed for serum Na+, K+, osmolality, albumin, total Ca2+, and glucose; blood hemoglobin, hematocrit, and lactic acid; and change in plasma volume. During leg exercise there were no significant differences in these blood constituents between right and left arms at rest. Only glucose and lactate were affected by additional arm exercise. Compared with resting arm values during leg exercise, glucose decreased from 4.7 to 4.5 mmol/l (delta = 4%, P less than 0.05) and lactate increased from 2.0 to 2.4 mmol/l (delta = 20%, P less than 0.05) during static arm exercise. With dynamic arm exercise, glucose decreased from a resting level of 4.8 to 4.7 mmol/l (delta = 2%, P less than 0.05). We conclude that additional static or dynamic hand-forearm exercise accompanying leg exercise could introduce significant errors in glucose (2%-4%) and lactic acid (6%-20%) concentrations measured in venous blood.

Adult↗

Comparison between arm and leg exercise in women and men.

Arm and leg work was performed on bicycle ergometers in sitting position by fourteen women and sixteen men. Heart rate, minute volume of ventilation (VE), and oxygen consumption (VO2) were measured. Arm exercise was performed until (muscular) exhaustion, leg exercise up to a heart rate of circa 170 beats/min. At comparable work loads arm exercise evoked higher VO2, VE, and heart rate than leg exercise irrespective of sex. At comparable VO2, the heart rate and VE were higher during arm work in both sexes, VE more so among the men. With the same limbs working, the mechanical efficiency was equal in both sexes. The regression coefficients of heart rate on load or VO2 was higher for the women irrespective of work type. A close correlation was obtained between working capacity at a heart rate of 170 beats/min (W170) during leg and arm exercise and between W170 of leg exercise and W150, similarly calculated during arm work. Thus W170 of leg exercise could be calculated from either a maximal or submaximal arm work.

Adult↗

Relationship between arm span and stature in Malawian adults.

OBJECTIVE: The aim of this cross-sectional study was to assess the relationship between height and arm span in adult Malawians. SUBJECTS AND METHODS: 142 males and 128 females between the ages 20 and 76 years were recruited from among the patients attending various clinics at Queen Elizabeth Central Hospital, Blantyre, Malawi. All subjects were free from physical deformities. The anthropometric measurements included standing height and arm span. RESULTS: The arm span exceeded height in all age groups of males and females. The mean difference between the height and arm span values for females was 9.9 +/- 4.9 cm (t = 16.28, p<0.001) and for males was 11.6 +/- 4.4 cm (t = 14.74, p<0.001). The gender difference between height and arm span measurements was statistically significant (t = 9.58, p<0.001 and t = 10.24, p<0.001, respectively). Correlation of arm span and height for males was 0.871 and for females was 0.815. Prediction equations were derived from regression analysis. RSD values were 8.709 and 6.914 for equations for males and females, respectively. CONCLUSIONS: Stature of Malawian adults can be estimated from arm span measurements using regression equations.

Adult↗

Variation in upper arm length and forarm length in normal British girls: photogrammetric standards.

A photographic measuring technique has been used to study the lengths of the upper arm and forearm in normal British girls. The data are presented graphically, and show: 1. Ellipses which include 97 per cent of normal subjects when upper arm length is plotted against forearm length. 2. Variation of upper arm length and forearm length according to age. 3. Variation of upper arm length in relation to forearm length, irrespective of age. 4. Variation of upper arm length and forearm length in relation to sitting height, irrespective of age. The charts collectively provide a means of defining the exact nature of abnormalities of growth in the arms or of differences between populations. They provide a new aid to the classification of disorders involving abnormal growth of the arms.

Adolescent↗

Radiographically determined widths of bone muscle and fat in the upper arm and calf from age 3-18 years.

In the Harpenden Growth Study arm and calf radiographs were taken on 280 boys and 225 girls twice a year over varying periods. Widths of bone, muscle and fat halfway down the arm and at maximum calf diameter were measured, with widths of bone cortex and medulla where possible. Mean distance and velocity curves are given for chronological age 3-18 years together with curves based on time from peak-height velocity (PHV) and time from peak muscle velocity over the pubertal period. Muscle widths have their peak velocity more nearly coincident with the sitting height peak than with PHV; in the average child the whole muscle spurt lasts two years from start to finish. Calf muscle is much more pronounced in girls in comparison with boys than is arm muscle; this is true at all ages, with sex differences at maturity amounting to 10% for calf and 20% for arm. Humerus cortex has a marked spurt in both sexes, with the peak contemporaneous with the muscle peak. Both humerus and tibia medulla widths have a spurt in boys, but none in girls, where the means do not change from age 11 onwards. The average girl actually loses fat in the arm for a year at puberty, a result which contrasts with the velocity curve derived from mass cross-sectional data. Correlations between widths of bone in arm and calf average 0.5 during the pre-adolescent years and 0.4 at maturity; those between muscle widths in arm and calf 0.4 in pre-adolescence and 0.4 again at maturity. Between-tissue correlations are very low at all ages.

Adipose Tissue↗

Arm-span, height, and age in black and white women.

This paper presents the results of an anthropometric study of 293 Black and 298 White females, ages 35-89 years, who were healthy, non-institutionalized residents of North Carolina. All subjects were measured for arm-span and height. Correlations of the two measures were obtained for each race independently. Additionally, age as a factor in arm-span and height correlation for the two races was examined. Correlation of arm-span and height for Black subjects was 0.852 and for White subjects was 0.903. Age and height correlation for White women was -0.237 and for Black women was -0.114. Age and arm-span correlation for White women was -0.167 and for Black women was -0.106. Separate equations for estimation of height based on age and arm-span were developed for women of the two races: height of White women (cm) = 29.58-(0.04 x age) + (0.81 x arm-span); height of Black women (cm) = 37.72-(0.01 x age) + (0.73 x arm-span).

Adult↗

Cyclic modulation of H-reflex depression in ipsilateral and contralateral soleus muscles during rhythmic arm swing.

The objective of the present study was to investigate the effects of rhythmic arm swing on ipsilateral and contralateral soleus motoneuron pool excitability. Ten healthy human subjects participated in this study. Soleus H-reflexes were recorded from the ipsilateral and contralateral soleus muscles while the subject swung the right arm anteroposteriorly as if during gait. The soleus H-reflex was depressed throughout the whole arm swing cycle except in the ipsilateral leg during the onset of the backward arm swing, and in the contralateral leg during the last half of the backward arm swing and the onset of the forward arm swing. The depression was cyclically modulated in accordance with the time course of the arm swing periods, and the pattern of the modulation was reciprocal between the ipsilateral and contralateral legs. This cyclical and reciprocal modulation may be related to the regulation of soleus motoneuron pool excitability during gait.

Adult↗

Factors associated with arm swelling after breast cancer surgery.

PURPOSE: As life expectancy improves for women with breast cancer, more women will be living with symptoms of lymphedema. This study reports the incidence of arm or hand swelling and associated risk factors in women with invasive breast cancer following surgery. METHODS: Data were obtained from baseline and follow-up interviews of women with invasive breast cancer (n = 145), and mammography and pathology records. The Kaplan-Meier method was used to estimate the probability of developing arm or hand swelling over time. Univariate and multivariate logistic regression analyses were conducted to identify risk factors for arm or hand swelling. RESULTS: Of women in this study, 38% self-reported arm or hand swelling. There was a significantly increased risk of arm swelling if women were under 50 years of age, had axillary node dissection, received chemotherapy, worked outside the home, and had a high household income. There was no association of body weight with swelling. A significantly decreased risk of arm swelling was found in women who were on treatment for high blood pressure. After adjustment for nodal dissection, only age had a significant independent effect. CONCLUSIONS: Our study highlights two important areas of future research that could reduce the incidence of lymphedema. There is a need to better understand the role that treatment for high blood pressure may play in protecting women from arm edema. Second, the potential effect of weight as a modifiable lymphedema risk factor needs to be studied in more detail in light of the conflicting results of different studies.

Age Factors↗

Patient characteristics and factors associated with inter-arm difference of blood pressure measurements in a general population in Ohasama, Japan.

OBJECTIVES: To assess whether there is a natural difference in blood pressure (BP) measurements between the right and left arms, and to identify what factors are associated with this difference in a general population. METHODS: The study subjects were 1090 individuals who participated in a medical check-up in Ohasama, Japan. The BP was measured simultaneously in both arms, using an automated device. The inter-arm BP difference was expressed as the relative difference [right-arm BP (R) minus left-arm BP (L): R - L] and the absolute difference (|R - L|). The relationship between inter-arm difference and various factors was analyzed using univariate analysis. The characteristics of subjects in whom the absolute systolic BP (SBP) difference was greater than 10 mmHg were analyzed using multivariate logistic analysis. RESULTS: The relative differences in SBP and diastolic BP (DBP) were -0.6 +/- 6.6 (mean +/- SD) and 1.1 +/- 4.7 mmHg, while the absolute differences were 4.9 +/- 4.4 and 3.7 +/- 3.0 mmHg. The absolute SBP difference was found to correlate significantly with age, body mass index, ankle-brachial index (ABI), and hypertension. Subjects with hypertension, hypercholesterolemia, obesity, elevated hemoglobin A1c (HbA1c) and low ABI had a significant and independent increase in the risk of an absolute SBP difference greater than 10 mmHg. CONCLUSIONS: The results suggest that there is considerable difference in the measured BP in the right and left arms and that large differences in the absolute SBP are associated with risk factors for arteriosclerosis such as hypertension, hypercholesterolemia, obesity, metabolic abnormalities and low ABI.

Adult↗

Metabolic efficiency during arm and leg exercise at the same relative intensities.

This study was conducted to compare gross efficiency (GE), net efficiency (NE), work efficiency (WE), and delta efficiency (DE) between arm crank and cycle exercise at the same relative intensities. Eight college-aged males underwent two experimental trials presented in a randomized counterbalanced order. During each trial subjects performed three intermittent 7-min exercise bouts separated by 10-min rest intervals on an arm or semirecumbent leg ergometer. The power outputs for the three bouts of arm crank or cycle exercise corresponded to 50, 60, and 70% of the mode-specific VO2peak. GE, NE, and WE were determined as the ratio of Kcal.min-1 equivalent of power output to Kcal.min-1 of total energy expended, energy expended above rest and energy expended above unloaded exercise, respectively. DE was determined as the ratio of the increment of Kcal.min-1 of power output above the previous lower intensity to the increment of kcal.min-1 of total energy expended above the previous lower intensity. GE and NE did not differ between arm crank and cycle exercises. However, WE was lower (P < 0.05) during arm crank than cycle exercise at 50, 60, and 70% VO2peak. DE was also lower (P < 0.05) during arm crank than cycle exercise at delta 50-60 and at delta 60-70% VO2peak. It is concluded metabolic efficiency as determined by work and delta efficiency indices was lower during arm crank compared with cycle exercise at the same relative intensities. These findings add to the understanding of the difference in metabolic efficiency between upper and lower body exercise.

Adult↗

Arm and leg power output in swimmers during simulated swimming.

PURPOSE: Previously, it has not been possible to compare power output of the arms and legs during simulated swimming using dry-land ergometry. The purpose of this study was to determine arm-pulling and leg-kicking power using isokinetic dry-land ergometry. METHODS: Twenty-two highly trained male swimmers of mean (+/- SD) age, 23 +/- 3.6 yr; body mass, 78 +/- 5.9 kg; and stature, 1.79 +/- 0.04 m were recruited to the study. First, subjects performed 10 s of all-out exercise at each of five resistance settings, with 1 h rest in between, to determine the best maximal pull velocity (MPVopt). Second, they performed an all-out 30-s test at MPVopt, which was repeated the following day. These repeated 30-s tests were performed separately using simulated front-crawl arm-pulling and leg-kicking, on a computer-interfaced swim bench and purpose-built leg-kicking ergometer. Peak and mean power output (PPO; MPO) were determined from regression analysis of the power vs time relationship. RESULTS: The mean (+/- SEM) PPO for arms and legs were 304 +/- 22 W versus 435 +/- 36 W. For MPO, the means were 225 +/- 31 W vs 312 +/- 26 W, respectively. These values were attained at mean MPVopt of 2.5 +/- 0.2 m x s(-l) for arms and 2.3 +/- 0.4 m x s(-1) for legs. The variation in PPO from repeated testing was 7.3% for arms and 8.3% for legs. CONCLUSIONS: These results show that the legs can sustain greater power output than the arms during simulated swimming. Also, the intra-subject variation in measurement of power output is small using these dry-land ergometers. These methods of assessment might be useful in explaining swimming performance and in monitoring changes that take place during training.

Adolescent↗

Arm motion speed and risk of neck pain. A preliminary communication.

STUDY DESIGN: A sample of 486 Helsinki City Council workers, 35 to 54 years of age, was examined twice at a 1-year interval. OBJECTIVES: To investigate the speed of repetitive arm motion for its ability to predict neck pain. SUMMARY OF BACKGROUND DATA: Psychomotor factors have been suggested to play a role in the etiology of spinal disorders. It was hypothesized that motor skills, as reflected by arm motion speed, could provide protection against neck pain. METHODS: Both the baseline and follow-up examinations consisted of a questionnaire on the history of neck pain and of a number of tests, including arm motion speed and static and dynamic strength of the upper extremities. RESULTS: Of the 124 men and women who reported not having had neck pain during the 1 year before the baseline examination, 23 (19%) reported neck pain on reexamination. The incidence of neck pain was significantly higher both in the least and most rapid quintiles of arm motion speed than in the medium quintiles. This association was not confounded by age, sex, smoking, physical activity at work or at leisure, psychological distress score, or strength measures of the upper extremities, although these factors were significant covariates of the arm motion speed at baseline. When adjusted for these factors, the odds ratios of neck pain in the most and least rapid quintiles of arm motion speed were 8.68 (95% confidence interval 1.85-40.75) and 9.57 (95% confidence interval 2.21-41.52) respectively, compared with the medium quintiles. CONCLUSIONS: These results suggest that people with either very slow or very rapid arm motion speed may have an increased risk of neck pain. The etiology of neck pain is probably different on these two occasions.

Adult↗

The effect of variation in arm position on sagittal spinal alignment.

STUDY DESIGN: A prospective radiographic analysis of sagittal alignment in patients with and without previous spinal fusion. OBJECTIVES: To evaluate the effect of variation of arm position on the segmental, regional, and global sagittal radiographic spinal alignment. In addition, to determine whether spinal fusion has any influence on the effect of variation in arm position on the sagittal spinal alignment. SUMMARY OF BACKGROUND DATA: Importance of segmental, regional, and global sagittal alignment has been widely promoted. However, no mention has been made of arm positioning during a lateral spinal radiograph and the resultant effects it may have on sagittal alignment and balance. METHODS: Prospective evaluation of 40 consecutive patients with and 40 consecutive patients without a previous spinal fusion was performed. The patients had lateral long cassette radiographs performed in a standardized fashion with the first radiograph obtained with the patient's arms raised horizontally forward at 90 degrees of flexion at the shoulder, and the second radiograph obtained with arms raised horizontally forward at 30 degrees of flexion at the shoulder. Standard segmental, regional, and global sagittal alignments were measured and statistically compared. RESULTS: In comparing group 1 (patients with spinal fusion) to group 2 (patients without spinal fusion), there was no statistically significant difference in segmental and regional sagittal alignments. However, positioning the arms at 90 degrees versus 30 degrees resulted in a negative shift of the sagittal vertical axis (SVA) in patients that was statistically significant (P = 0.038) for those with (-6 mm at 90 degrees vs +4 mm at 30 degrees ), but not (P = 0.119) for those patients without (-8 mm at 90 degrees vs -4mm at 30 degrees ) a previous spinal fusion. CONCLUSIONS: Based on the findings in this study, the authors recommend positioning the arms at 30 degrees of forward flexion from the vertical when obtaining a long cassette lateral radiograph of the entire spine.

Adolescent↗

Blood pressure measurement in obese patients: comparison between upper arm and forearm measurements.

BACKGROUND: It is well known that blood pressure measurement with a standard 12-13 cm wide cuff is erroneous for large arms. OBJECTIVE: To compare arm blood pressure measurements with an appropriate cuff and forearm blood pressure measurements (BPM) with a standard cuff, and both measurements by the Photopletismography (Finapres) method. METHODS: One hundred and twenty-nine obese patients were studied (body mass index=40+/-7 kg/m2). The patients had three arm BPM taken by an automatic oscillometric device using an appropriate cuff and three forearm BPM with a standard cuff in the sitting position after a five-minute rest. Data were analysed by the analysis of variance. The correction values were obtained by the linear regression test. RESULTS: Systolic and diastolic arm BPM with an appropriate cuff were significantly lower (p<0.05) than forearm BPM with a standard cuff. The measurements obtained by Finapres were significantly lower (p<0.05) than those found for forearm systolic and diastolic blood pressures and upper arm diastolic blood pressure. The equation to correct BPM in forearm in obese patients with arm circumference between 32-44 cm was: systolic BPM=33.2+/-0.68 x systolic forearm BPM, and diastolic BPM=25.2+0.59 x forearm diastolic BPM. CONCLUSION: This study showed that forearm blood pressure measurement overestimates the values of arm blood pressure measurement. In addition, it is possible to correct forearm BPM with an equation.

Arm↗