Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Supination”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 703 records · Page 39Linked to original sources
PubMed1998

Traction versus supine side bending. Which technique best determines curve flexibility?

STUDY DESIGN: A prospective study performed in two institutions where patients scheduled for surgical management of scoliosis were evaluated with traction and supine side bending radiographs to determine curve flexibility. OBJECTIVE: To determine if there is a difference in the flexibility of curves as determined by side bending or traction films. METHODS: Fifty-eight patients scheduled for surgery underwent preoperative radiographic evaluation using supine side bending and traction radiographs. The surgeons were free to use the information as they saw fit in determining levels of fusion. All curves were measured using the method of Cobb. Curves were analyzed in three groups: > 60 degrees, 50-60 degrees, and < 50 degrees. A comparison then was made between the traction and side bend films to determine which method demonstrated greater flexibility. Measurement error was assumed to be +/- 5 degrees. If the measurements were within 5 degrees, then the two methods were considered to be equivalent. RESULTS: In curves > 60 degrees, greater flexibility was seen on traction films. In curves < 50 degrees, side bending showed greater flexibility. In curves between 50 degrees and 60 degrees, side bending showed greater flexibility in the thoracic spine, whereas in the lumbar spine both films showed equivalent flexibility. CONCLUSIONS: Traction shows greater curve flexibility in curves > 50 degrees, whereas in curves < 50 degrees, side bending shows greater flexibility.

Adolescent↗
PubMed1981

Computed tomography of intraarticular supination - eversion fractures of the ankle in adolescents.

Intraarticular fractures of the ankle in children known as the Tillaux and triplane fractures of the distal tibia are caused by supination-eversion. In order to determine the three-dimensional configuration of these fractures and the relation of the fracture to the growth plate and the joint, computed tomography (CT) was performed in one case with Tillaux fracture and in four cases with triplane fracture, besides conventional radiography and tomography. The Tillaux fracture showed two fragments. The triplane fracture consisted of two to four fragments representing three types of fracture, depending on type of investigation. Conventional radiographs could not differ between two and three fragment triplane fractures, whereas CT offered possibilities to register the epiphyseal and metaphyseal fractures in detail and the exact displacement of the fracture. In one case with a three fragment diagnosed by conventional tomography and CT, a four fragment fracture was revealed at operation. This patient had, in addition, a fracture through the anteromedial part of the growth plate without displacement. According to this and previous investigations, the Tillaux and triplane fractures represent at least five different anatomical pattern of intraarticular supination-eversion injuries.

Adolescent↗
PubMed1991

Impedance cardiography using band and regional electrodes in supine, sitting, and during exercise.

The electrical impedance and its first derivative (dZ/dt) were measured at 100 kHz on 10 normal males in supine, sitting, and during upright bicycle exercise in order to compare the contribution of regional electrodes to the standard band electrode signal and to evaluate the possible use of spot electrodes for stroke volume (SV) measurements. Simultaneous measurements were made from band electrodes placed around the neck and lower thorax and from spot electrodes which recorded signals from the neck, upper thorax, and lower thorax. The results showed that approximately equal parts of the dZ/dt waveform came from the neck and upper thorax with the lower thorax contribution small but providing important features of the band signal. Changing from supine to sitting showed percentage decreases of 35% and 46% for the band and neck signals, respectively, with an increase of 19% for the upper thorax signal. The percentage increases in SV with upright exercise were 34%, 52%, and 24% for the bands, neck, and upper thorax signals, respectively. Band signal is made up of different signals from various regions of the thorax. Its ability to predict correct changes in SV may result from some "lucky" coincidences. The use of regional electrodes will probably not give the same SV information but may be important in measuring regional activities of the central circulation.

Cardiography, Impedance↗
PubMed1978

24 hour profile of 18-hydroxy-11-deoxycorticosterone in normal supine man: relationship with cortisol and aldosterone.

Daily profiles of plasma 18-hydroxy-11-deoxycorticosterone (18-OH-DOC) were studied in four normal supine men on a normal sodium intake. Blood was taken every hour from 01.00 to 24.00 hours. Plasma cortisol (F) and aldosterone (A) were determined hourly for comparative studies. 18-OH-DOC fluctuated considerably during the 24 h period of investigation, the highest values being found during the early morning hours in synchrony with F. The episodic secretions of 18-OH-DOC were also significantly correlated with those of A, which in turn paralleled those of F. We conclude that ACTH, plays a definite role in the regulation of 18-OH-DOC in normal supine men on a normal sodium diet.

18-Hydroxydesoxycorticosterone↗
PubMed1990

Ventilation-perfusion relationships and atelectasis formation in the supine and lateral positions during conventional mechanical and differential ventilation.

Patients without respiratory symptoms were studied awake and during general anesthesia with mechanical ventilation prior to elective surgery. Ventilation-perfusion (VA/Q) relationships, gas exchange and atelectasis formation were studied during five different conditions: 1) supine, awake; 2) supine during anesthesia with conventional mechanical ventilation (CV); 3) in the left lateral position during CV; 4) as 3) but with 10 cm of positive end-expiratory pressure (PEEP) and 5) as 3) but using differential ventilation with selective PEEP (DV + SPEEP) to the dependent lung. Atelectatic areas and increases of shunt blood flow and blood flow to regions with low VA/Q ratios appeared after induction of anesthesia and CV. With the patients in the lateral position, further VA/Q mismatch with a fall in PaO2 and increased dead space ventilation was observed. Atelectatic lung areas were still present, although the total atelectatic area was slightly decreased. Some of the effects caused by the lateral position could be counteracted by adding PEEP. Perfusion of regions with low VA/Q ratios and venous admixture were then diminished, while PaO2 was slightly increased; shunt blood flow and dead space ventilation were essentially unchanged. During CV + PEEP, there was a decrease in cardiac output, compared to CV in the lateral position. DV + SPEEP was more effective than CV + PEEP in decreasing shunt flow and increasing PaO2 in the lateral position; in addition to this, cardiac output was not affected.

Adult↗
PubMed1996

Supine Bicycle Exercise Echocardiography: A Potent Immediately Available Tool for Detection and Localization of Myocardial Ischemia for the Initial Cardiologist.

BACKGROUND: Exercise echocardiography (EE) is being used increasingly as an investigative technique now that dynamic images can be captured digitally. Its equivalent reliability with scintigraphic methods has been demonstrated in a hospital setting. This study analyzes its impact on daily practice. MATERIALS AND METHODS: Standardized progressive stress was produced by supine bicycle ergometry. Echocardiographic images of complete cardiac cycles were obtained in standard apical and parasternal short-axis views before, during, and after maximum effort, and digitized for simultaneous analysis of synchronized images at rest and during exercise. Two hundred sixteen patients (175 men and 41 women; mean age 58 +/- 10 years) were studied. RESULTS: Image quality was suboptimal in 4 cases. In the remaining 212 cases, ischemia was detected in 91 cases, and the test was negative in 114 cases and doubtful in 7 cases. Control by selective coronary angiography, as indicated by the clinical situation, was performed in 52 cases. In this particular group, EE showed 87% sensitivity, which is significantly higher than the 59% recorded for conventional exercise testing (P < 0.0001). CONCLUSIONS: EE by bicycle ergometer in the supine position is a valid, noninvasive investigative technique that can be used in an outpatient situation (feasibility 95%) since it is readily available. Its value appears to be greatest in cases in which exercise ECG is not conclusive. A negative result enables the initial cardiologist to reassure the patient immediately, which has been demonstrated in the literature to have favorable prognostic value. (ECHOCARDIOGRAPHY, Volume 13, May 1996)

Journal Article↗
PubMed1975

Time courses of pulmonary gas exchange and heart rate changes in supine exercise.

The time courses of ventilation (VE), O2 uptake (VO2), CO2 elimination (VCO2), respiratory exchange ratio (R), end-tidal PO2 and PCO2 and heart rate (HR) were studied in seven subjects performing light dynamic leg exercise in the supine position. Individual and group mean time courses in response to step changes in work load were computed and displayed graphically. A computer-based method was also used to fit mono- or bi-exponential mathematical functions to the recorded responses. The over-all rate of HR change in response to the transition from 0-load pedalling to exercise (on-response) was faster (mean response time, MRT = 31 s) than the corresponding VO2 response (MRT = 45 s) while VE responded considerably slower (MRT = 86 s). During the reverse transition (off-response), VO2 and VE changed with the same rate as in the on-response, while the HR-change was slower than during the on-response (MRT = 50 s). During the initial 15-sec period, VO2 changed only slightly, which contrasts to previous results in the sitting position, where 50% of the final change in VO2 has been reported to occur within the first 15-sec period, and where changes in blood distribution and stroke volume are known to be more pronounced than in the supine position. Our results emphasize the importance of central circulatory changes for the time course of VO2 at the start and end of exercise.

Adult↗
PubMed1986

Estimation of regional gas and tissue volumes of the lung in supine man using computed tomography.

This study was intended to discover how well computed tomography could recover the volume and weight of lung like foams in a body like shell, and then how well it could recover the volume and weight of the lungs in supine man. Model thoraces were made with various loaves of bread submerged in water. Computed tomography scans recovered the volume of the model lungs (true volume range 250-12,500 ml) within +0.2 (SD 68) ml and their weights (true range 72-3125 g) within +30 (78) g. Scans also recovered successive injections of 50 ml of water, within +/- 5 ml. Scans in 12 healthy supine men recovered their vital capacities, total lung capacities (TLC), and predicted tissue volumes with comparable accuracy. At total lung capacity the mean tissue volume of single lungs was 431 (64) ml and at residual volume (RV) it was 427 (63) ml. Tissue volume was then used to match inspiratory and expiratory slices and calculate regional ventilation. Throughout the mid 90% of lung the RV/TLC ratio was fairly constant--mean 21% (5%). New methods of presenting such regional data graphically and automatically are also described.

Adult↗
PubMed1975

Regional pulmonary function in supine patients with mitral valve disease.

Supine tidal volume regional ventilation and perfusion images obtained in the posterior and lateral projections demonstrated several alterations in patients with mitral valve disease. Reversal of the gravitational perfusion gradient correlated with pulmonary venous and arterial hypertension; the supine studies reliably distinguished normal subjects from mitral patients. The reversed gradient was from posterior-base to anterior-apex. Focal defects were common and contributed to the reversed gradient in 50% of patients. Perfusion defects larger than those of ventilation, simulating emboli, occurred in 32%, particularly in the middle lobe and superior segment areas. Relative hypoventilation of the left lung was seen in 44% of these patients.

Adult↗
PubMed1979

Basilar pneumothorax in the supine adult.

A pneumothorax in a supine patient may outline the anterior costophrenic sulcus, resulting in an abrupt curvilinear change in density projected over the right or left upper quadrant, which is normally convex inferiorly. The upper quadrant will also appear relatively lucent. In a small pneumothorax these may be the only radiographic findings when the patient is supine. This can be easily identified on mobile-unit radiographs of limited technical quality. Either finding should lead to a prompt cross-table lateral or decubitus study to confirm the diagnosis and allow estimation of the size of the pneumothorax.

Adult↗
PubMed1989

Ileocolic intussusception: new sign on the supine cross-table lateral radiograph.

The ability to detect ileocolic intussusception on the supine cross-table lateral radiograph of the abdomen in infants was prospectively evaluated in 12 cases (including two recurrences) over a 2-year period. The intussusceptions (including one recurrence) were directly depicted on five radiographs as a homogeneous water-density mass producing a convex interface with bowel gas at the anterior part of the abdomen. In another four patients, the intussusception produced an inappropriate craniocaudal separation of gas-filled bowel loops in the upper part of the abdomen, caudal to the liver shadow. The intussusception was prospectively recognized on the supine cross-table lateral radiograph in nine of 12 cases.

Gases↗
PubMed1981

Left ventricular function and volume during supine exercise in subjects with coronary artery disease.

Left ventricular function and volume changes during supine isotonic exercise were assessed in 32 patients with coronary artery disease (CAD) and 12 normal subjects by electrocardiographically gated blood pool cardiac scintigraphy. Ejection fraction (EF) in normal subjects was 49 +/- 10% at rest, 54 +/- 10% during intermediate exercise (P less than 0.05 vs. rest), and 62 +/- 14% during maximal exercise (P less than 0.01 vs. rest). In patients with CAD the resting EF was 42 +/- 14%, 43 +/- 23% at intermediate exercise (P = nonsignificant vs. rest) and 36 +/- 11% at maximal exercise (P less than 0.01 vs. rest). Changes of average and maximal ejection rates from rest to exercise were similar to those of EF but had a lesser degree of statistical significance. End-diastolic volume index (EDVI) in patients with CAD, at intermediate exercise was equal to that at rest, but it increased during maximal exercise (P less than 0.01). In normal subjects EDVI did not change with exercise. Thus, during supine exercise the Frank-Starling mechanism is apparent in patients with CAD but not in normal subjects. Analysis of EF response to exercise is a highly sensitive technique to detect CAD provided that adequate exercise is achieved.

Adult↗
PubMed1981

Beat-by-beat stroke volume assessment by pulsed Doppler in upright and supine exercise.

A 3.0 MHz pulsed Doppler echocardiography was used to estimate instantaneous stroke volume (SV) and cardiac output (Q) in eight men during steady-state supine (S) and upright (U) exercise at 300 kpm/min. The mean transients in heart rate (HR), SV, and Q for the first 20 s of exercise in each posture were then determined. Center-line blood velocities were obtained in the ascending aorta with the transducer positioned manually in the suprasternal notch. Mean supine values for SV and Q at rest and exercise were 111 ml and 6.4 1/min and 112 ml and 9.71/min, respectively. The corresponding results for U were 76 ml and 5.61/min and 92 ml and 8.41/min, respectively. These values compare favorably with previous studies utilizing invasive procedures. The transient response of Q following the onset of exercise in U was about twice as fast as in S because of the rapid and almost immediate upsurge in SV. In S, only HR served to augment Q, as SV initially fell. The faster rise in aortic flow in U with exercise represented an additional volume (184 ml) of blood passing through the aorta compared with S in the first 20s. This must be related to the rapid mobilization of pooled venous blood from the leg veins during U.

Adult↗
PubMed1983

Noninvasive ventilatory monitoring with bellows pneumographs in supine subjects.

We compared simultaneous measurements of ventilatory movements obtained by a bellows pneumograph (BP) and a respiratory inductive plethysmograph (RIP) vs. integrated volume from a pneumotachograph in seven healthy volunteers during different respiratory patterns. The purpose of this study was to assess if a computer-aided calibration procedure could improve the accuracy of BP, a simple semiquantitative method for noninvasive ventilatory monitoring in supine subjects. Both devices were repeatedly calibrated against a pneumotachograph in the same posture with a computer-aided least-squares method. One calibration maneuver was sufficient to achieve a minimal relative difference in volume measurements between the RIP as well as the BP and the pneumotachograph of less than 1.2 +/- 4.5 (SD) %. The accuracy remained in this range during the subsequent calibrations with time (1 h) and after body movements. However, this difference increased significantly with both devices when the subjects were studied in the lateral decubitus position. The present study indicates that despite theoretical advantages of the RIP, the BP, when properly calibrated, has similar performances in supine subjects for monitoring ventilation; it is simpler and less expensive than the RIP and is devoid of electrical drift and artifacts.

Adult↗
PubMed1986

Respiratory and postural changes in intercostal muscle length in supine dogs.

In an attempt to assess the physiological function(s) of the external (E) and internal interosseous (I) intercostal muscles, we measured the changes in intercostal muscle length during spontaneous breathing, during passive inflation, and during passive rotation of the trunk. Studies were performed on 46 muscles from 16 supine anesthetized dogs, and changes in muscle length were assessed by sonomicrometry. The changes were small during spontaneous breathing, whether before or after bilateral phrenicotomy, and the pattern was variable among animals and among interspaces. The E, however, particularly in the lower interspaces, often lengthened with inspiration, and the I, in particular in the upper interspaces, often shortened with inspiration. Only occasionally did the E and I in one interspace change in length in opposing directions. This was also true during passive inflation, where both E and I usually shortened in the upper interspaces and lengthened in the lower interspaces. By contrast, during passive rotation of the trunk, the E and I systematically changed in length in opposing directions, and either muscle could successively lengthen and shorten a substantial amount depending on the side of rotation. These results suggest that 1) the E and I in supine dogs do not behave as antagonistic muscles during moderate respiratory efforts; and 2) they do behave as antagonistic muscles during rotation of the trunk. A primary function of these muscles as rotators of the trunk, unlike breathing, may explain why two layers of intercostal muscles with different fiber orientation exist between the ribs.

Animals↗
PubMed1987

Triangularis sterni muscle use in supine humans.

The electrical activity of the triangularis sterni (transversus thoracis) muscle was studied in supine humans during resting breathing and a variety of respiratory and nonrespiratory maneuvers known to bring the abdominal muscles into action. Twelve normal subjects, of whom seven were uninformed and untrained, were investigated. The electromyogram of the triangularis sterni was recorded using a concentric needle electrode, and it was compared with the electromyograms of the abdominal (external oblique and rectus abdominis) muscles. The triangularis sterni was usually silent during resting breathing. In contrast, the muscle was invariably activated during expiration from functional residual capacity, expulsive maneuvers, "belly-in" isovolume maneuvers, static head flexion and trunk rotation, and spontaneous events such as speech, coughing, and laughter. When three trained subjects expired voluntarily with considerable recruitment of the triangularis sterni and no abdominal muscle activity, rib cage volume decreased and abdominal volume increased. These results indicate that unlike in the dog, spontaneous quiet expiration in supine humans is essentially a passive process; the human triangularis sterni, however, is a primary muscle of expiration; and its neural activation is largely coupled with that of the abdominals. The triangularis sterni probably contributes to the deflation of the rib cage during active expiration.

Adult↗
PubMed1988

Mechanics of parasternals and triangularis sterni in upright vs. supine dogs.

The parasternal intercostals in supine dogs are activated and shorten during inspiration, whereas the triangularis terni is activated and shortens during expiration (J. Appl. Physiol. 61: 539-544, 1986). How the two muscles respond to posture, however, is not known. Thirteen vagotomized, phrenicotomized, spontaneously breathing animals were thus studied during multiple postural changes from supine to 80 degrees head up and 20 degrees head down. Head-up tilting elicited a gradual increase in the electrical activation of both the triangularis sterni and the parasternals. Recruitment of the triangularis sterni promoted an increase in the amount of expiratory muscle shortening, but recruitment of the parasternals was invariably associated with a considerable reduction in the amount of inspiratory muscle shortening. This reduction was abolished after sectioning of the abdominal wall. We conclude that 1) the contribution of the canine triangularis sterni to rib movement increases with the assumption of the upright posture, whereas the contribution of the parasternals decreases and 2) this decrease results primarily from the load imposed on the rib cage by gravitational forces. Thus assuming the upright posture adversely affects the rib cage inspiratory muscles as well as the diaphragm.

Abdominal Muscles↗
PubMed1991

Mechanical role of expiratory muscle recruitment during eupnea in supine anesthetized dogs.

To assess the mechanical role of the expiratory musculature during eupnea, we recorded the electromyographic (EMG) activity of the triangularis sterni, the external oblique, and the transversus abdominis in eight supine lightly anesthetized dogs and have measured the volume generated by the phasic activation of the expiratory muscles. Activation of the expiratory muscles was invariably associated with a decrease in lung volume below the relaxed position of the respiratory system, a volume equal to 41.3 +/- 8.4 ml. This volume represented roughly 20% of tidal volume generated during spontaneous breathing. The fractional expiratory contribution to the tidal volume was unrelated to the size of the animal. Traction on the forelimbs (limb extension), however, tended to enhance the phasic expiratory activation of both the triangularis sterni and the transversus abdominis in the majority of animals. Moreover, after limb extension, the fractional contribution of tidal volume attributed to the phasic activation of the expiratory muscles increased in all but one animal. During spontaneous breathing with the forelimbs extended, roughly 25% of tidal volume was found to be due directly to phasic expiratory muscle contraction. The present observations firmly establish that in supine lightly anesthetized dogs breathing at rest the expiratory component of tidal volume represents a substantial contribution.

Anesthesia↗