Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “ARM”

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 793 records · Page 44Linked to original sources
PubMed2001

Energy consumption during level walking with arm and knee immobilized.

OBJECTIVE: To determine whether there is an increase in energy use for able-bodied subjects with their arm and/or knee immobilized, while walking on a level surface at comfortable walking speed (CWS). DESIGN: Prospective, quantitative, with randomly sequenced experimental trials. SETTING: Rehabilitation center. PARTICIPANTS: Ten healthy subjects, none of whom had gait abnormality. INTERVENTION: Subjects walked on a treadmill at CWS under 4 conditions: (1) without an arm or knee immobilized (N); (2) with an arm immobilized (AI); (3) with a knee immobilized (KI); and (4) with both arm and ipsilateral knee immobilized (KAI). MAIN OUTCOME MEASURES: Breath-by-breath oxygen cost; differences in energy consumption in trials during which constraints were used were compared with energy consumed under the N condition and the percentage of change was calculated. RESULTS: Mean oxygen cost increased by 22.7% with a knee immobilized compared with N values (mean difference,.044 mL x kg(-1) x m(-1), p <.0001), and increased by 24.7% with a knee and arm immobilized (mean difference,.048 mL x kg(-1) x m(-1), p <.0001). However, no significant differences existed in oxygen cost with AI compared with N, or with KAI compared with KI. The differences in CWS between the stages followed a similar pattern. CONCLUSIONS: Arm immobilization does not increase energy expenditure during level walking at CWS, and does not further increase energy expenditure when the ipsilateral knee also is immobilized.

Adult↗
PubMed2000

The free revascularized lateral upper arm flap in maxillofacial reconstruction following ablative tumour surgery.

The lateral arm flap is well established in microvascular reconstructive surgery for covering small and moderate-sized defects both of the extremities and in the head and neck region. In the last 3 years 25 patients underwent a lateral upper arm flap for primary repair of tumour related defects of the tongue (n = 10), floor of the mouth (n = 7), mandible (n = 4), inner cheek (n = 2), oropharynx (n = 1) and lower lip (n = 1). Defects extended from the anterior floor of the mouth to the oral tongue in three cases and in four cases the defect reached the pharyngeal tongue. Two flaps had neurovascular anastomoses between the posterior cutaneous nerve of the arm and the lingual nerve. In all patients the donor defect was closed primarily. Twenty four lateral upper arm flaps healed uneventfully although six patients developed severe alcoholic delirium. One flap was lost on the fourth postoperative day due to venous insufficiency. There were no significant complications at the donor site. At the time of this report 16 patients were taking a normal diet while nine patients were taking pureed food. Among the advantages of this flap are anatomically reliable vascular supply, its good aesthetic quality, and position of the donor site. Furthermore the posterior radial collateral artery is a nonessential vessel of the arm. The flap is also potentially sensate. Among the disadvantages are smaller vessels for microvascular anastomoses. In conclusion, we believe that for repair of moderate-sized defects of the maxillofacial area the lateral upper arm flap can be recommended as the first choice.

Aged↗
PubMed2004

Evaluation of arm-leg coordination in flat breaststroke.

This study proposes a new method to evaluate arm-leg coordination in flat breaststroke. Five arm and leg stroke phases were defined with a velocity-video system. Five time gaps quantified the time between arm and leg actions during three paces of a race (200 m, 100 m and 50 m) in 16 top level swimmers. Based on these time gaps, effective glide, effective propulsion, effective leg insweep and effective recovery were used to identify the different stroke phases of the body. A faster pace corresponded to increased stroke rate, decreased stroke length, increased propulsive phases, shorter glide phases, and a shorter T1 time gap, which measured the effective body glide. The top level swimmers showed short time gaps (T2, T3, T4, measuring the timing of arm-leg recoveries), which reflected the continuity in arm and leg actions. The measurement of these time gaps thus provides a pertinent evaluation of swimmers' skill in adapting their arm-leg coordination to biomechanical constraints.

Adolescent↗
PubMed1994

Absorption of vibration energy in the human hand and arm.

A possible basis for the risk assessment for hand-transmitted vibration may be to determine the amount of energy absorbed in the human hand and arm. In the present study, the mechanical energy absorption in the hand-arm system was measured within the frequency range of 4 to 1000 Hz. The study was carried out on ten healthy subjects during exposure to sinusoidal vibration. The influence of various experimental conditions, such as vibration direction (Xh, Yh, Zh), grip force (25-75 N), vibration level (8-45 mm/srms), and hand-arm posture were studied. The outcome shows that the energy absorption in the human hand and arm depended mainly on the frequency and direction of the vibration stimulus. Higher vibration levels, as well as firmer handgrips, resulted in higher absorption of energy. Varying hand-arm postures had only a small influence on the amount of absorbed energy, while the constitution of the hand and arm affected the energy absorption to a larger extent.

Arm↗
PubMed1996

Upper-arm elevation during office work.

The present aim was to measure and quantify upper-arm elevation and to find how changed work organization and work tasks influence arm movement during a working day. Sixteen female office workers participated in the study. Their main work was statistical data entry. Upper-arm elevation was measured on two occasions separated by 18 months, i.e., before and after a change of work organization. The measurements were performed during the whole of one ordinary working day. The differences between the two measurements were mostly non-significant. Arm elevation remained essentially below 30 degrees during the main time of the working day, and the subjects worked with limited arm movements. Despite new alternative office tasks, they did not achieve a change in their habitual arm postures, or in their neck-and-shoulder disorders.

Adult↗
PubMed2002

Arm movement control: differences between children with and without attention deficit hyperactivity disorder.

The purpose of this study was to examine performance differences in arm movement control (programmingvs. "on-line" control) between children with and without attention deficit hyperactivity disorder (ADHD). Twenty children (10 with ADHD and 10 without ADHD) from the ages of 8 to 13 years participated in the study. On the surface of a digitizer, each participant completed three types of aiming arm movements (10 trials for each) and 10 baseline trials (without accuracy requirement). Multivariate analyses of variance with repeated measures were used to analyze the variables of reaction time, movement time, normalized jerk, intersegment-interval (ISI), and movement timing. Children with ADHD appeared to use "on-line " monitoring during the arm movement and did not perform the entire movement sequence as afunctional unit. They executed the arm movements more slowly, had greater variability in movement timing, and demonstrated longer ISIs than their counterparts. Children with ADHD had multiple peaks in the velocity profiles. Children withoutADHD, however, appeared to program their entire arm movements and execute the sequence as a unit. Their velocity profiles were symmetrical with a single peak, and the movement segments were temporally coordinated. Thesefindings suggested that cognitive functions are important resources for controlling rapid aiming arm movements. Children with ADHD might rely more on visual feedback during the movements, which resulted in slower and more variant movement outcomes than children who did not have ADHD.

Adult↗
PubMed2000

Liposuction gives complete reduction of chronic large arm lymphedema after breast cancer.

About one-third of all women treated for breast cancer develop arm lymphedema. In addition to the worry of the cancer itself, the swollen and heavy arm is both a physical and a psychosocial handicap for the patients. Previous surgical and conservative treatments have not always given satisfactory and permanent results, conceivably because lymphedema causes hypertrophy of the subcutaneous adipose tissue. From this point of view, liposuction (LS) combined with Controlled Compression Therapy (CCT) is an interesting approach, as the hypertrophied adipose tissue is effectively removed and the outcome sustained by wearing a compression garment. Pre- and postoperative arm edema volumes were measured using the water displacement technique. Skin blood flow was recorded using Laser Doppler imaging. Lymph transport in the arm was assessed by indirect lymphoscintigraphy. LS + CCT reduced the arm edema volume completely, compared with a 50% decrease following CCT alone. The use of a compression garment after liposuction is necessary in order to maintain the normalized arm volume. LS + CCT did not affect the already impaired lymph transport; it merely increased skin microcirculation. A reduced incidence of cellulitis was noted.

Adipose Tissue↗
PubMed1982

Arm muscle indicators and creatinine excretion in children.

The ability of anthropometric measurements, including arm muscle area calculated from arm circumference and triceps skinfold thickness, to estimate creatinine excretion as an index of muscle mass was tested in 14 fully active children, 2 to 6 yr of age in a residential care facility. The children were placed on a meat and fish-free diet for 36 to 48 h before the determination of mean creatinine excretion during three 24-h urinary collections. Results indicated highly significant correlations between mean creatinine excretion and height (r = 0.71), weight (r = 0.69), and arm circumference (r = 0.63). However, arm muscle area had the highest correlation with creatinine excretion (r = 0.86) of any anthropometric variable used. Step-wise multiple-regression analysis indicated that including height or weight with arm muscle area did not significantly improve the estimation of creatinine excretion, but that weight for height added significantly to improve the estimation of creatinine excretion, but that arm muscle area can provide a useful index of body muscle as reflected in urinary creatinine excretion in young children.

Arm↗
PubMed1997

Body composition assessed on the basis of arm circumference and triceps skinfold thickness: a new index validated in children by magnetic resonance imaging.

Fat and muscle areas can be calculated from equations on the basis of upper arm circumference (C) and triceps skinfold thickness (TS). These equations assume a circular limb and muscle compartment and a symmetrically distributed fat rim: total upper arm area (TUA) = C2/(4 pi), upper arm muscle area (UMA) = [C - (TS x pi)2]/(4 pi), and upper arm fat area (UFA) = TUA - UMA. This traditional method underestimates the degree of adiposity. We propose that the unrolled fat rim is a rectangle whose length = C and width = TS/2. The following new indexes are based on this assumption: upper arm fat area estimate (UFE) = C x (TS/2), and upper arm muscle area estimate (UME) = TUA - UFE. To validate these equations, areas were measured with magnetic resonance imaging (MRI) in 28 children aged 9-15 y (17 control subjects and 11 obese subjects). Correlations between MRI and UFA and MRI and UFE were similar (r = 0.96 for both correlations in the control group and r = 0.84 and 0.82, respectively, in the obese group), but the areas assessed by MRI (13.8 cm2) were closer to UFE (12.4 cm2) than to UFA (11.2 cm2) in the control group as well as in the obese group (MRI = 48.7 cm2, UFE = 46.6 cm2, and UFA = 38.5 cm2). The limits of agreement between MRI and anthropometry were 5.7 +/- 5.8 cm2 for UFA and 0.6 +/- 5.0 cm2 for UFE, showing that UFA is not acceptable in most cases, whereas UFE measurements are close to MRI measurements. In conclusion, UFE and UME are simple and accurate indexes to assess body composition. French reference values are available from 1 mo to 17 y of age.

Adipose Tissue↗
PubMed1996

Arm-leg pressure gradients on late follow-up after coarctation repair. Possible causes and implications.

Seventeen years after coarctation repair, 36 patients were studied by magnetic resonance imaging and exercise testing to measure residual anatomical stenosis and hormonal response to exercise, and to evaluate their effect on arm-leg gradients and on exercise hypertension. The systolic arm pressure, leg pressure and arm-leg gradient were measured at rest and during exercise. Active renin and catecholamines were measured in the plasma at rest and after peak exercise. On magnetic resonance imaging 18 patients had residual stenosis of less than 30% (group I) and 18 had residual stenosis of equal to or more than 30% (group II). At peak exercise, the arm pressure was 235 (133-296) mmHg in group I and 241 (157-286) mmHg in group II (ns), the leg pressure was 138 (111-173) mmHg in group I and 114 (75-154) mmHg in group II (P = 0.002). The adrenalin increase from rest to exercise was 32.7 +/- 9.1 pg.ml-1 in the patients with exercise hypertension and 3.1 +/- 4.7 pg.ml-1 in the patients who remained normotensive during exercise (P = 0.02). In conclusion, residual anatomical stenosis leads to a pressure drop in the legs, which influences the arm-leg gradient. Arm hypertension is not related to anatomical narrowing but to interaction of enhanced sympathetic nerve activity and structural and functional abnormality of the precoarctation vessels.

Adolescent↗
PubMed1999

Ulnar nerve pressure: influence of arm position and relationship to somatosensory evoked potentials.

BACKGROUND: Although the ulnar nerve is the most frequent site of perioperative neuropathy, the mechanism remains undefined. The ulnar nerve appears particularly susceptible to external pressure as it courses through the superficial condylar groove at the elbow, rendering it vulnerable to direct compression and ischemia However, there is disagreement among major anesthesia textbooks regarding optimal positioning of the arm during anesthesia. METHODS: To determine which arm position (supination, neutral orientation, or pronation) minimizes external pressure applied to the ulnar nerve, we studied 50 awake, normal volunteers using a computerized pressure sensing mat. An additional group of 15 subjects was tested on an operating table with their arm in 30 degrees, 60 degrees, and 90 degrees of abduction, as well as in supination, neutral orientation, and pronation. To determine the onset of clinical paresthesia compared to the onset and severity of somatosensory evoked potential (SSEP) electrophysiologic changes, we studied a separate group of 16 male volunteers while applying intentional pressure directly to the ulnar nerve. Data are presented as mean (median; range). RESULTS: Supination minimizes direct pressure over the ulnar nerve at the elbow (2 mmHg [0; 0-23]; n = 50), compared with both neutral forearm orientation (69 mmHg [22; 0-220]; P < 0.0001), as well as pronation (95 mmHg [61; 0-220]; P < 0.0001). Neutral forearm orientation also results in significantly less pressure over the ulnar nerve compared to pronation (P < or = 0.04). The estimated contact area of the ulnar nerve with the weight-bearing surface was significantly (P < 0.0001) smaller in the supine position (2.2 cm2 [0.5; 0-9]; n = 50) compared with both neutral orientation (5.5 cm2 [5.0; 0-13]) and pronation (5.8 cm2 [6; 0-12]). With the forearm in neutral orientation, ulnar nerve pressure decreased significantly (P < or = 0.01; n = 15) as the arm was abducted at the shoulder from 0 degrees to 90 degrees. In the 16 male subjects tested, notable alterations in ulnar nerve SSEP signals (decrease > or = 20% in N9-N9' amplitude) were detected in 15 of 16 awake males during application of intentional pressure to the ulnar nerve. However, eight of these subjects did not perceive a paresthesia, even as SSEP waveform amplitudes were decreasing 23-72%. Two of these eight subjects manifested severe decreases in SSEP amplitude (> or = 60%). CONCLUSIONS: Extrapolating these results to the clinical setting, the supinated arm position is likely to minimize pressure over the ulnar nerve. With the forearm in neutral orientation, pressure over the ulnar nerve decreases as the arm is abducted between 30 degrees and 90 degrees. In addition, up to one half of male patients may fail to perceive or experience clinical symptoms of ulnar nerve compression sufficient to elicit SSEP changes.

Adult↗
PubMed1992

The composite lateral arm free flap: vascular relationship to triceps tendon and muscle.

We studied the vascular relationship of the lateral arm flap to triceps tendon and muscle in 16 dissected cadaver arms. We designed composite lateral arm free flaps containing fasciocutaneous components, triceps muscle, and/or triceps tendon. Vascular communication between the lateral arm fascia and triceps tendon was negligible. In contrast, a mean of 3.6 vessels passed through triceps muscle from the posterior radial collateral artery to the harvested triceps tendon; in each dissection at least 1 vessel entered the proximal 5 cm and 1 vessel entered the distal 5 cm of harvested tendon. Methylene blue injections confirmed that perfusion of the triceps tendon was through triceps muscle and not through lateral arm fascia. We used the composite lateral arm free flap in 6 patients, 3 with triceps muscle and 3 with triceps tendon. Baltimore Therapeutic Evaluation testing in those patients where triceps tendon was harvested showed no deficit in elbow extension. Complete coverage of composite defects was achieved with a single surgical procedure in all patients.

Adolescent↗
PubMed1985

The arm as an alternative site for vascular access for dialysis in patients with recurrent access failure.

Patients with chronic renal failure requiring dialysis and in whom multiple attempts at vascular access have previously failed represent a challenge to vascular surgeons. In these difficult patients the arm offers an excellent site for either an autogenous fistula or a prosthetic shunt because of the relatively unharmed portion of the upper cephalic vein or the protected location of the brachial vein in most individuals. (The anatomic region of the arm by definition is the area between the shoulder and the elbow.) Over the last two years we have studied 15 patients with a mean of 2.5 previously failed shunts or fistulas who subsequently had vascular access procedures in the arm, with the brachial artery as the inflow and the cephalic vein or brachial vein as the outflow. The first choice was the cephalic vein transposition to the brachial artery because it involved only one anastomosis and is autogenous vein. The alternative was a prosthetic graft of polytetrafluoroethylene (PTEE) between the brachial artery and the cephalic vein or brachial vein in the arm. The patency rate of these arm access procedures has been 75%. None of these patients had had congestive heart failure, distal ischemia, or excessive hematoma formation. The arm represents an excellent source for fistula or shunt construction in those difficult patients in whom previous vascular access sites have already failed.

Arm↗
PubMed2002

Comparison of arterial elasticity measured in left and right arms using the HDI/Pulsewave CR-2000 Research System.

BACKGROUND: Arterial elasticity is implicated as a risk factor for or a marker of cardiovascular disease. Current advances in non-invasive devices have now made it possible to measure arterial elasticity in an ambulatory setting. OBJECTIVE: The aim of this study was to determine whether there is a difference in blood pressure and arterial elasticity measured in the right and the left arms. METHODS: Simultaneous measurements were performed with two HDI/Pulsewave CR-2000 Research CardioVascular Profiling Systems. The manufacturer recommends placing the blood pressure cuff on the left upper arm and the sensor on the skin overlying the right radial artery. We followed the manufacturer's recommendations and also placed both the cuff and the sensor on the same arm. Simultaneous measurements were made on both arms with both machines. The average of three measurements was used for each combination. Systolic and diastolic blood pressure, and large-artery and small-artery elasticity indices, were determined for each subject and used in the analysis. RESULTS: The subjects were 11 males and 9 females between 22 and 46 (33.5 +/- 7.4 years) years of age. There was no significant difference in the average difference for each test combination. CONCLUSION: Thus, when using the HDI/Pulsewave CR-2000 Research CardioVascular Profiling System, the blood pressure cuff and the sensor can be placed on either the same arm or opposite arms.

Adult↗
PubMed1999

Guidance-based quantification of arm impairment following brain injury: a pilot study.

This paper reports the design and preliminary testing of a device for evaluating arm impairment after brain injury. The assisted rehabilitation and measurement (ARM) Guide is capable of mechanically guiding reaching and retrieval movements across the workspace and of measuring constraint forces and range of motion during guidance. We tested the device on four hemiplegic brain-injured individuals and four unimpaired control subjects. During guided movement, the brain-injured subjects generated distinct spatial patterns of constraint force with their impaired arms that were consistent with the standard flexion and extension "synergies" described in the clinical literature. In addition, the impaired arms exhibited well-defined workspace deficits as measured by the ARM Guide. These results suggest that constraint force and range of motion measurements during mechanically guided movement may prove useful for precise monitoring of arm impairment and of the effects of treatment techniques targeted at abnormal synergies and workspace deficits.

Adult↗
PubMed2006

Automating arm movement training following severe stroke: functional exercises with quantitative feedback in a gravity-reduced environment.

An important goal in rehabilitation engineering is to develop technology that allows individuals with severe motor impairment to practice arm movement without continuous supervision from a rehabilitation therapist. This paper describes the development of such a system, called Therapy WREX or ("T-WREX"). The system consists of an orthosis that assists in arm movement across a large workspace, a grip sensor that detects hand grip pressure, and software that simulates functional activities. The arm orthosis is an instrumented, adult-sized version of the Wilmington Robotic Exoskeleton (WREX), which is a five degrees-of-freedom mechanism that passively counterbalances the weight of the arm using elastic bands. After providing a detailed design description of T-WREX, this paper describes two pilot studies of the system's capabilities. The first study demonstrated that individuals with chronic stroke whose arm function is compromised in a normal gravity environment can perform reaching and drawing movements while using T-WREX. The second study demonstrated that exercising the affected arm of five people with chronic stroke with T-WREX over an eight week period improved unassisted movement ability (mean change in Fugl-Meyer score was 5 points +/- 2 SD; mean change in range of motion of reaching was 10%, p < 0.001). These results demonstrate the feasibility of automating upper-extremity rehabilitation therapy for people with severe stroke using passive gravity assistance, a grip sensor, and simple virtual reality software.

Adult↗
PubMedDate not supplied

Development of anthropomorphic multi-D.O.F. master-slave arm for mutual telexistence.

We developed a robotic arm for a master-slave system to support "mutual telexistence," which realizes remote dexterous manipulation tasks and close physical communication with other people using gestures. In this paper, we describe the specifications of the experimental setup of the master-slave arm to demonstrate the feasibility of the mutual telexistence concept. We developed the master arm of a telexistence robot for interpersonal communication. The last degree of the 7-degree-of-freedom slave arm is resolved by placing a small orientation sensor on the operators arm. This master arm is made light and impedance control is applied in order to grant the operator as much freedom of movement as possible. For this development stage, we compared three control methods and confirmed that the impedance control method is the most appropriate to this system.

Arm↗
PubMed1988

The effect of changes in arm temperature on neuromuscular monitoring in the presence of atracurium blockade.

This study was designed to investigate the relationship between arm temperature and the degree of blockade as monitored by peripheral nerve stimulation by a comparison of both arms of each patient; one exposed to the environment and the other wrapped to maintain its temperature. The decrease in the temperatures of the exposed arms were significantly more than the wrapped arms. A discrepancy was noted proportional to the temperature difference between the two arms, when the train-of-four counts were compared. A recommendation is made to maintain the temperature of the monitored arm above 32 degrees C.

Adult↗