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Predictive control of body mass trajectory in a two-step sequence.

During a step, the body enters a state of falling as a foot is lifted from the ground. This has important implications for the control of body trajectory when stepping in different directions. A model has been proposed in which the central nervous system controls body trajectory by a predictive, ballistic "throw" of the body occurring just before the stepping foot leaves the ground. Here we investigate this model and ask how far into the future the body trajectory is predetermined by this initial ballistic throw. We measured body centre-of-mass (CoM) and foot trajectories during two-step sequences involving stepping onto illuminated targets, one for each foot. The targets were varied spatially such that leading foot placement could be dissociated from final CoM position. The results showed that the body throw was altered when stepping in different directions. However, the throw varied only with leading foot placement and not with final CoM position. Thus, provided the leading foot was placed identically, the same throw was used for steps in which body trajectories would later diverge. Furthermore, these trajectories did not diverge while the stepping foot was in the air but occurred after it touched down. The results are consistent with the ballistic stepping model. However, they suggest that the throw is limited in its predictive capacity, being concerned only with where the stepping foot is to be placed rather than final CoM position. This constitutes a one-step-at-a-time strategy that allows the body to be safely "caught" between steps.

Biomechanical Phenomena↗

Changes in early 'automatic' postural responses associated with the prior-planning and execution of a compensatory step.

There is growing interest in the perturbation-evoked stepping response as an important element in the movement repertoire to maintain upright stance. It is possible that there is an important relationship between the well-documented, early 'automatic' postural responses and subsequent stepping responses. In this study, we characterize changes in early 'automatic' postural responses associated with the prior-planning and execution of a compensatory (i.e. stabilizing) stepping response. Seven subjects were tested on a 'moveable' platform which could translate in the anterior-posterior direction. The subjects' responses were analyzed for two different tasks: (1) 'constrained' (keep feet in place), and (2) perturbation-cued 'reaction time' stepping (step when the platform moves). Only responses to forward platform translations were analyzed in this study. Responses for each of these tasks were evoked using two different perturbation magnitudes. The higher magnitude was sufficiently large to evoke stepping responses in a large proportion of the 'constrained' trials despite instructions not to step. We compared the magnitude of the early evoked postural reactions between trials when subjects had pre-planned a stepping response against trials characterized by either (1) no stepping or (2) unplanned stepping responses. The results revealed that the early 'automatic' responses in tibialis anterior were always present in all subjects and all tasks. However, the evoked 'automatic' responses were approximately 36% smaller (over the first 50 ms) when followed by a pre-planned stepping response ('reaction-time' task). This task-related difference was similar for both perturbation magnitudes i.e. it occurred regardless of whether the 'constrained' tasks involved feet-in-place responses (small perturbations) or stepping responses (large perturbations).(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Sensitization to hyperthermia induced in a normal tissue by step-down heating.

The effect of step-down heating was investigated in the skin of the CDF1 mouse foot. Step-down heating was induced with a 44.7 degrees C/10 min pretreatment followed by a test treatment at a lower temperature for variable time. Step-up heating, that is, a test treatment followed by a 44.7 degrees C/10 min treatment, and single heating were used as controls. The normal tissue reaction was scored at five levels of damage (from slight redness and oedema to loss of a toe or greater reaction), and the heating time to induce each level in 50% of the animals, RD50, was used as the endpoint. The effect of step-down heating was quantified by the step-down ratio, calculated as the ratio of test heating times to obtain the endpoint. A significant reduction of the RD50 was seen at all score levels when the 44.7 degrees C/10 min was given in a step-down heating schedule, and the effect increased with decreasing test treatment temperature. In contrast, the heat sensitivity was only marginally influenced by step-up heating. An analysis of the time-temperature relationship demonstrated a log-linear relationship between temperature and RD50 for single heating in the range 42.2-44.7 degrees C and for step-down heating in the range 41.7-44.7 degrees C. The curve for step-down heating showed a lesser slope indicating a decrease of the activation energy. The kinetics of the SDH effect were investigated by inserting an interval between a primary 44.7 degrees C/10 min treatment and a test treatment performed at 42.2 degrees C. The effect of step-down heating was maximal with no interval between the priming treatment and the test treatment. As the interval was increased to 1.5 hr the step-down sensitization disappeared, and with even longer intervals thermotolerance developed. From a clinical point of view, the present data indicate that step-down heating may increase the extent of both reversible and irreversible heat damage in the normal tissue.

Acclimatization↗

Relationship between step length asymmetry and walking performance in subjects with chronic hemiparesis.

OBJECTIVE: To understand the relationship between step length asymmetry and hemiparetic walking performance. DESIGN: Descriptive. SETTING: Gait analysis laboratory. PARTICIPANTS: Convenience sample of 49 subjects with chronic hemiparesis. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Subjects walked at their self-selected walking speed over both an instrumented mat and forceplates to collect spatiotemporal parameters and ground reaction forces, respectively. Step length asymmetry was quantified by using a step length ratio (SLR) defined as paretic step length divided by nonparetic step length. Paretic leg propulsion, self-selected walking speed, hemiparetic severity (assessed by Brunnstrom stages of motor recovery), and some spatiotemporal walking parameters quantified the hemiparetic walking performance. Paretic leg propulsion was quantified by the paretic propulsion (P(P)) ratio, calculated as the percentage contribution of paretic leg to the total propulsive impulse. RESULTS: Significant negative correlation (r=-.78) was revealed between SLR and P(P), indicating that subjects generating less propulsive force with the paretic leg walked asymmetrically with longer paretic steps than nonparetic steps. SLR and self-selected walking speed revealed a weaker correlation (r=-.35), whereas hemiparetic severity correlated strongly with SLR (rho=-.53). CONCLUSIONS: Step length asymmetry is related to propulsive force generation during hemiparetic walking. Subjects generating least paretic propulsion walk with relatively longer paretic steps. This suggests that one of the mechanisms for the longer paretic step may be the relatively greater compensatory nonparetic leg propulsion. Further, those with more severe hemiparesis (those dependent on abnormal flexor and extensor synergies) walk with the longest paretic steps relative to nonparetic. Finally, our results indicated that asymmetrical step lengths may not necessarily limit the self-selected walking speed, likely due to other compensatory mechanisms.

Acceleration↗

Muscle synergies involved in preparation to a step made under the self-paced and reaction time instructions.

OBJECTIVE: To investigate multi-muscle synergies during preparation to making a step and their changes with speed of stepping and method of step initiation, self-paced vs. reaction-time. METHODS: Standing healthy persons performed stepping tasks under 3 instructions, 'comfortably, self-paced', 'very quick, self-paced', and 'as fast as possible to a visual signal'. Electromyographic (EMG) signals of 10 postural muscles were recorded and analyzed. The participants also performed standard tasks associated with releasing a load. These trials were used to identify muscle groupings (M-modes) associated with shifts of the center of pressure (COP) and relations between small changes in the M-modes and COP shifts. The framework of the uncontrolled manifold hypothesis was used to partition the EMG variance across stepping trials into two components that kept constant and changed the COP coordinates in the anterior-posterior (AP) and medio-lateral (ML) directions. RESULTS: Muscle synergies stabilizing COP trajectories in both AP and ML directions were observed in both the stepping and supporting legs. The synergies tended to weaken and disappear close to the moment of take-off. They showed only minor differences across the 3 tasks. In contrast, mechanical and EMG characteristics of postural adjustments to stepping were significantly larger and showed higher rates of change during quick steps and steps under the reaction-time instruction. CONCLUSIONS: COP shifts associated with preparation to making a step are stabilized by multi-muscle synergies. These synergies are robust across stepping speed and methods of step initiation, self-paced and reaction-time. SIGNIFICANCE: Studies of multi-muscle postural synergies are important for understanding postural disorders in neurological patients and changes in postural strategies with age.

Adult↗

Diminished stepping responses lead to a fall following a novel slip induced during a sit-to-stand.

While neuromotor responses associated with successfully restoring balance have been widely characterized, little is known of how responses employed to regain balance fail. We identified biomechanical factors that characterized the unsuccessful recovery responses to a novel perturbation. An unexpected forward slip was induced, using a low-friction platform, just after seat-off of a sit-to-stand in 41 young subjects. Kinematic variables describing the recovery responses were compared between fallers and those who recovered; "falls" into the fall-arrest system were identified based on center of mass (COM) descent. Twelve "single-step" falls, four "multi-step" falls, and 11 recoveries resulted. Single-step fallers exhibited a more posterior COM at slip onset, support (nonstepping) limb collapse resulting in hip vertical descent, and a shortened protective step backward. A factor analysis indicated that six common factors explained 88% of the variance in 22 kinematic variables describing the slip and recovery response. Single-step falls were associated with two factors, one related to initial or imposed instability and one to the reactive response. The former factor indicated that step length and COM position at step touchdown were related to COM position at slip onset. Support limb collapse comprised the latter factor. Multi-step fallers, by appearance, exhibited a shortened initial backward step that was ineffective at enabling balance recovery. As a whole, the results indicated that unsuccessful recovery was associated with a diminished stepping response. Fallers may have inadequately scaled an appropriate reflexive stepping response or might, inappropriately, have reflexively attempted to recover without stepping.

Accidental Falls↗

The effects of blurring vision on medio-lateral balance during stepping up or down to a new level in the elderly.

Visual impairment is an important risk factor for falls, but relatively little is known about how it affects stair negotiation. The present study determined how medio-lateral (ML) dynamics of stepping and single limb support stability when stepping up or down to a new level were affected by blurring the vision of healthy elderly subjects. Twelve elderly subjects (72.3 +/- 4.2 years) were analysed performing single steps up and single steps down to a new level (7.2, 14.4 and 21.6 cm). Stepping dynamics were assessed by determining the ML ground reaction force (GRF) impulse, lateral position of the centre of mass (CM) relative to the supporting foot (average horizontal ML distance between CM and CP during single support) and movement time. Stability was determined as the rms fluctuation in ML position of the centre of pressure (CP) during single support. Differences between optimal and blurred visual conditions were analysed using a random effects model. Duration of double and single support, and the ML GRF impulse were significantly greater when vision was blurred, while the average CM-CP ML distance and ML stability was reduced. ML stability decreased with increasing step height and was further decreased when stepping down than when stepping up. These findings indicate that ML balance during stepping up and down was significantly affected by blurring vision. In particular, single limb support stability was considerably reduced, especially so during stepping down. The findings highlight the importance of accurate visual feedback in the precise control of stepping dynamics when stepping up or down to a new level, and suggest that correcting common visual problems, such as uncorrected refractive errors and cataract may be an important intervention strategy in improving how the elderly negotiate stairs.

Aged↗

Compensatory stepping in response to waist pulls in balance-impaired and unimpaired women.

An effective stepping response is often critical in avoiding a fall. Our objective was to study the effects of age and balance impairment on anterior and posterior compensatory stepping strategies in response to waist pull perturbations of 1-5% body weight (BW). Based on maximal unipedal stance time (UST), we tested 15 balance-impaired old (BI, UST < 10s, mean age = 76 years), 12 healthy old (O, UST>30s, mean age = 71 years), and 13 healthy young women (Y, UST >30s, mean age=23 years). Randomized anterior and posterior pulls of 1-5% body weight (BW) were applied to the waist while kinematic and kinetic recovery responses were recorded. Results show that O and BI required 0.5 more steps than Y to recover balance for posterior pulls of 4-5% BW (P < 0.01). For anterior pulls of 4-5% BW, only BI had a greater probability of step initiation (P<or=0.05 or <0.02) and mean number of steps required to recover balance (P < 0.03). The Y used 93% greater torso extension and 24% greater torso flexion in responding to anterior and posterior pulls, respectively. In the posterior, but not anterior direction, O employed smaller (P < 0.007), but more laterally-directed (P < 0.03) steps than the Y. The BI were less able to attenuate their momentum during the step landing in both directions. We conclude that the additional steps required by the BI in both directions occurred because their initial step failed to properly arrest their momentum. Controlling torso inclination before step liftoff and linear momentum after step landing are critical components of successful compensatory stepping.

Accidental Falls↗

Comparison of several one-step home urinary luteinizing hormone detection test kits to OvuQuick.

OBJECTIVE: To compare clinical accuracy and ease of use for several of the new rapid one-step home urinary LH detection kits compared with the preexisting OvuQuick brand LH detection kit (designated as the standard). DESIGN: Prospective cohort study. SETTING: University-based infertility clinic. PATIENT(S): All women undergoing intrauterine inseminations at the clinic, regardless of infertility diagnosis, were offered enrollment during a 28-month study period. INTERVENTION(S): Each participant was supplied three one-step test kits (OvuQuick One-Step, ClearPlan Easy, and SureStep) in addition to a multistep OvuQuick test kit and instructed to run the tests in parallel on the same urine sample and to record the results. Urine testing was performed every 12 hours, beginning 3 days before the anticipated onset of an LH surge, and continued with the one-step kits every 12 hours for 48 hours after the surge was first detected by OvuQuick. Subjects also completed questionnaires evaluating the use of each test kit. MAIN OUTCOME MEASURE(S): Correlation of LH surge detection by one-step kits in comparison to surge detection by OvuQuick. Satisfaction and ease of use questionnaires. RESULT(S): Sixty-three volunteers returned useable data, from which 81 evaluable cycles were analyzed. The majority of patients found the newer one-step kits to be easier to use and less time consuming than OvuQuick. The three one-step kits detected the LH surge within +/- one testing period (+/-12 hours) of detection by OvuQuick 68%-84% of the time. OvuQuick One-Step, with modified instructions allowing for an equal color intensity in the test and reference areas, had the highest correlation with OvuQuick (84%). However, with a study power (alpha = 0.05, beta = 0.10) sufficient to detect a 10% difference between Ovuquick and each one-step kit, all one-step kits were statistically equivalent to each other. There was no cycle in which a one-step kit detected a positive LH surge but OvuQuick did not. CONCLUSION(S): One-step urinary LH kits are easier for patients to use than a multistep home urinary LH kit and have reasonable correlation with the multistep kit when used clinically for timing artificial inseminations.

Adult↗

Generation of functional and mature dendritic cells from cord blood and bone marrow CD34+ cells by two-step culture combined with calcium ionophore treatment.

The object of this study is to explore a culture method to generate a large number of functional and mature dendritic cells (DC) from human CD34+ hematopoietic progenitor cells. In the present study, we used a two-step method combined with calcium ionophore to induce DC from cord blood (CB) or normal human bone marrow (BM) CD34+ progenitor cells. The two-step method consists of 10 days of first step culture for the expansion and proliferation of CD34+ hematopoietic progenitor cells in the presence of SCF, IL-3, IL-6, G-CSF, and 7--11 days of second step culture for the induction of DC in the presence of GM-CSF, IL-4 and TNF-alpha. By the two-step culture, total nucleated cells were increased 208+/-66 (+/-SD, n=13), or 94+/-29 (n=5)-fold in the culture of CB or BM cells, respectively, compared with the number of CD34+ cells at the time of starting culture. Out of the total nucleated cells, 23 +/-10.4% of cells in CB cell culture and 25 +/-5% of cells in the BM cell culture acquired DC characteristic phenotypes, which were marked expressions of CD1a, HLA-DR, co-stimulatory molecules such as CD80, CD40, and adhesion molecule such as CD58. In allogeneic mixed leukocyte reaction (MLR), two-step cultured cells showed potent allo-stimulatory capacity. With this two-step culture, the absolute number of CD1a+ cells that co-expressed HLA-DR, CD80, CD40 and CD58 was enhanced approximately 3 times in CB cell culture and 1.9 times in BM cell culture, compared with the commonly used one-step culture method for the generation of DC from CD34+ cells using SCF, GM-CSF and TNF-alpha. However, on these DC generated in the two-step culture, the expressions of co-stimulatory molecule CD86 and mature DC marker CD83 were not sufficient. By the treatment of two-step cultured cells with calcium ionophore agent (A23187), the expression of co-stimulatory molecules such as CD86 and CD80 (especially CD86) was up-regulated. Besides, the expression of mature DC marker CD83 was remarkably induced by treatment with A23187 for a short duration (24 h). Consistent with the up-regulation of surface molecules CD86, CD80 and CD83, the two-step cultured cells treated with A23187 also showed a stronger allo-stimulatory capacity compared with the cells without A23187 treatment. In conclusion, the present study demonstrated that the two-step culture method effectively improved the yield of CD1a+ DC generated from CD34+ cells, and the phenotypes and functions of these CD1a+ DC could be enhanced efficiently by treatment with a calcium ionophore agent.

Antigens, CD34↗

The control of lateral stability during rapid stepping reactions evoked by antero-posterior perturbation: does anticipatory control play a role?

Volitional step initiation invariably includes a medio-lateral anticipatory postural adjustment (ML APA), which causes the center of mass (COM) to be propelled toward the stance-limb side prior to the lifting of the swing foot. The present study examined whether this type of anticipatory control plays a functional role in maintaining lateral stability during the rapid compensatory stepping reactions that are evoked when whole-body stability is challenged by unpredictable perturbation. Forward and backward stepping reactions were evaluated in five healthy young adults (ages 22-28) under three task conditions: (1) unconstrained compensatory stepping evoked by platform translation (no specific instructions), (2) constrained compensatory stepping cued by platform translation (prior instruction to step rapidly), and (3) rapid voluntary stepping to a light cue. ML APAs occurred during 70% of perturbation reactions but were too small and brief to have a substantive influence on the lateral movement of the COM occurring during leg lift or swing phase. In contrast, during the light-cued stepping, the ML APA propelled the COM toward the stance-limb side prior to the lifting of the swing limb, and effectively reduced the tendency of the COM to fall toward the swing-limb side during the execution of the step. It is proposed that the presence of an ML APA during compensatory stepping may represent an attempt to preplan a stereotypical stepping response, but that the ability to fully express the anticipatory phase is disrupted by the need to react rapidly to the unpredictable antero-posterior instability imposed by the perturbation. The results suggest that anticipatory control is not the primary mechanism by which the central nervous system deals with the lateral instability arising during rapid compensatory stepping reactions evoked by large, unpredictable antero-posterior perturbation.

Adult↗

Influence of refining steps on trace allergenic protein content in sunflower oil.

BACKGROUND: Although allergy to sunflower seed and oil is a relatively rare occurrence, several cases of sunflower seed allergy have been observed, and we have already described one case of anaphylaxis after eating sunflower oil and margarine. OBJECTIVE: The aim of our study was to determine and characterize the allergens from sunflower oil at the different steps of the refining process: crude pressed oil (step A), acidification and neutralization (step B), pregumming by centrifugation (step C), washing (step D), bleaching (step E), gumming by filtration (step F), and deodorization (step G). METHODS: A sample of oil from each step of the process (steps A to G) was heat extracted with PBS. The protein concentration of each extract was evaluated by using the micro-Bradford assay. Samples were run on SDS-PAGE. The immunoblot was performed with the serum of a patient sensitized to sunflower seed and oil. RESULTS: The extracts obtained after each step reveal a decrease in total protein concentration from 13.6 microg/mL to 0. 22 microg/mL. The result of SDS-PAGE shows 5 bands, from 67 kd to 145 kd, with the most abundant being the 67-kd protein. The amount of this protein decreases after each step of the process. It is, however, still present in trace amounts in the refined oil. The 67-kd protein, which is mainly present in the crude oil and slightly in the refined oil, has been shown to be allergenic. CONCLUSION: Because of the presence of allergenic proteins, refined sunflower oil may pose a threat to people highly sensitized to sunflower seeds.

2S Albumins, Plant↗

The utility of the Digi-walker step counter to assess daily physical activity patterns.

PURPOSE: The Digi-Walker step counter is a promising and cost-effective tool to measure physical activity under free-living conditions. Two specific studies were conducted to evaluate the number of steps required to meet current physical activity guidelines. METHODS: Thirty-one adults (17 men, 14 women) served as participants. In study 1, we determined the number of steps to complete a mile under two different conditions and three paces. In study 2, we conducted a field trial to examine the relationship between daily step counts and other indices of physical activity. Participants in this study wore a Digi-Walker for 2 consecutive weeks and completed the 7-d physical activity recall (PAR) after each week. RESULTS: In study 1, there were no differences in step counts by site, but steps were inversely related to pace, with values ranging from 1330 to 1996. Individual step counts at a specific pace were negatively correlated with height, weight, leg length, and stride length and were positively correlated with body fatness. In study 2, participants had average daily step counts of 11,603 when structured vigorous activity was included and 8265 when only light and moderate activity were measured. Modest correlations were found between step counts and estimated energy expenditure. Similar correlations were observed when step counts were related to minutes of activity per day and minutes of sitting per day. CONCLUSIONS: Pedometers provide a useful indicator of daily step counts but variability in activity patterns make it difficult to establish step count guidelines that correspond with other public health guidelines.

Activities of Daily Living↗

Interplay of impurities and solution flow as determinants of step pattern dynamics.

The first theory of step pattern evolution, the kinematic wave theory, employed the assumption of impurity effects on step kinetics. On the other hand, recent results have been considered within a framework linking step patterns to the mutual orientation of the solution flow and step motion directions in arbitrarily pure solutions. We explore the consequences of combining impurity and solution flow effects on the dynamics of the surface morphology of the (101) face of potassium dihydrogen phosphate (KDP) crystals. We employ phase-shifting interferometry for real time in situ monitoring of these dynamics. We find that, at solution supersaturations sigma</=0.035, step bunches form on all three vicinals of the (101) face regardless of the mutual orientation of the step motion and solution flow directions. Testing the mechanism of impurity-step pattern interactions, we show that bunching is caused by impurity molecules that adsorb on the surface and slow down and destabilize step trains without inducing growth cessation, i.e., the mechanism is inherently different from the one established for the (100) KDP face. We show that at sigma>0.040 impurities do not affect step bunching, and it is controlled by the direction of the solution flow, i.e., two distinct regimes of step bunching exist. The transition between the two regimes is governed by the exposure times of the terraces between steps tau : shorter tau's at higher growth rates lead to lower surface concentration of impurities and suppress the impurity effects on step kinetics and bunching.

Journal Article↗

The pattern of breathing following step changes of alveolar partial pressures of carbon dioxide and oxygen in man.

1. The pattern of breathing during the approach to the steady state following step changes of end-tidal P(CO2) and P(O2) has been determined in normal conscious human subjects. Three types of step were studied: (a) steps of P(A, CO2) against a constant background of hyperoxia (P(A, O2) approximately 200), an almost pure intracranial chemoreceptor stimulus, (b) steps of P(A, O2) between approximately 50 and 80 torr against a background of constant mild hypercapnia, an arterial chemoreceptor stimulus, and (c) steps of P(A, CO2) against a background of constant hypoxia (P(A, O2) approximately 50), a mixed stimulus. Steps were small and the responses barely detectable by the subjects.2. Steps of CO(2) in hyperoxia produced the slowest approach to the steady state. A single exponential fitted the ventilation response up to about 4 min (mean half time 83 sec for the ;up' and 69 sec for the ;down' transients). During the transient the pattern of change of tidal volume (V(T)) and expiratory time (T(E)) was the same as in the steady state. Inspiratory time (T(I)), however, in the early part of the transient, changed in the opposite direction to T(E), returning to its steady value only after 1(1/2)-3 min. This effect occurred in both ;up' and ;down' transients and resulted in a smaller change of respiratory frequency than would have been predicted from the steady-state response.3. Hypoxic steps produced the fastest approach to the steady state with mean half-times for ventilation of 10.9 sec for the ;up' transients and 6.6 sec for the ;down'. T(I) followed the same pattern during the transient as in the steady state, whereas T(E), following the step out of hypoxia, lengthened to far beyond its final steady value within five breaths of the step, only returning to its steady-state value 3-4 min after the step. This resulted in an exaggerated change of frequency during the early part of the transient.4. Steps of CO(2) in hypoxia, a mixed peripheral and central chemoreceptor stimulus, showed a ventilation response which was best fitted by two exponentials, the half-times of which were consistent with those obtained for the separate responses. The patterning was also consistent with a mixed response, more so for T(I) than for T(E).5. The steady-state pattern derived from the pre-switch means was consistent with the pattern previously described.6. Possible mechanisms are discussed. It is suggested that these results could explain the different patterns seen in the past by those using re-breathing and steady-state techniques.7. The validity of using one or two breath oxygen or nitrogen tests (or other similar tests) as a quantitative measure of the hypoxic response in man is questioned.

Adult↗

Evaluation of a 1 step TRAb assay for the detection of high-affinity components to hTSHR: evidences indicating superiority of the assay in the lower TRAb range.

The aim of this study was to develop an assay to selectively detect high-affinity components among TRAb. Using an rhTSHR-coated tube system, a 1 step TRAb assay method was developed that included 1) co-incubation with (125)I-bTSH, 2) a 50 microl serum sample, 3) an increased incubation volume (450 microl), and 4) a 1 hour incubation time. Sixty-one TRAb positive Graves' sera were studied. When the regular TRAb assay (Reg) results were quantitatively compared to the 1 step assay (1 step) results, certain dispersions and overestimations using the latter were seen. Further, some 1 step positive results were observed in the low Reg range. Overestimations were considered mostly due to the differences between TRAb standard and patients' serum TRAb in the binding competition against co-incubated (125)I-bTSH, which was shown from a modified assay mimicking the 1 step conditions. Therefore, the 1 step results were decided to be expressed by % inhibition against (125)I-bTSH. As for data dispersions, TRAb absorptions during the regular 1st incubation were studied. Individually, the absorption rates varied from 11 to 69%, and higher absorptions were observed in lower Reg range, especially in those negative by the 1 step. Observed 1 step positive results in the low Reg range were of interest, and 1 step/Reg ratios were calculated. The ratios with 1 step negative samples were significantly lower than those of 1 step positive samples. In conclusion, the 1 step assay was proved to detect a particular and biologically active TRAb, especially in those with low TRAb. The clinical significance of the 1 step results should be of future interest.

Antibody Affinity↗

Spinal cord-transected mice learn to step in response to quipazine treatment and robotic training.

In the present study, concurrent treatment with robotic step training and a serotonin agonist, quipazine, generated significant recovery of locomotor function in complete spinal cord-transected mice (T7-T9) that otherwise could not step. The extent of recovery achieved when these treatments were combined exceeded that obtained when either treatment was applied independently. We quantitatively analyzed the stepping characteristics of spinal mice after alternatively administering no training, manual training, robotic training, quipazine treatment, or a combination of robotic training with quipazine treatment, to examine the mechanisms by which training and quipazine treatment promote functional recovery. Using fast Fourier transform and principal components analysis, significant improvements in the step rhythm, step shape consistency, and number of weight-bearing steps were observed in robotically trained compared with manually trained or nontrained mice. In contrast, manual training had no effect on stepping performance, yielding no improvement compared with nontrained mice. Daily bolus quipazine treatment acutely improved the step shape consistency and number of steps executed by both robotically trained and nontrained mice, but these improvements did not persist after quipazine was withdrawn. At the dosage used (0.5 mg/kg body weight), quipazine appeared to facilitate, rather than directly generate, stepping, by enabling the spinal cord neural circuitry to process specific patterns of sensory information associated with weight-bearing stepping. Via this mechanism, quipazine treatment enhanced kinematically appropriate robotic training. When administered intermittently during an extended period of robotic training, quipazine revealed training-induced stepping improvements that were masked in the absence of the pharmacological treatment.

Animals↗

Test-retest reliability of the lateral step-up test in young adult healthy subjects.

The lateral step-up test is often utilized by clinicians to assess lower extremity performance capabilities. Reliability of the lateral step-up test, however, is not available. Therefore, the purpose of this study was to determine the test-retest reliability of a 15-sec and a 50-repetition lateral step-up test on a .15-m (6-inch) and .2-m (8-inch) step. For each of the 15-sec lateral step-up tests, subjects were asked to perform as many repetitions as possible during the 15-sec time frame, while for each of the 50-repetition lateral step-up tests, subjects were asked to perform 50 repetitions as quickly as possible. Eighteen healthy subjects were studied. Data were analyzed through a repeated measures analysis of variance, intraclass correlation coefficients (ICC) (2, 1), and standard errors of measurement. The ICC values were .90 and .94 for the .15-m and .2-m 15-sec lateral step-up tests and .91 and .96 for the .15-m and .2-m 50-repetition lateral step-up tests, respectively, revealing test-retest reliability to be high for each of the tests. Significant differences, however, were noted between the testing days for each of the 50-repetition lateral step-up tests, indicating that the measures may not be stable. No significant differences were seen between testing days for either of the 15-sec lateral step-up tests. While the results support the use of each of the 15-sec lateral step-up tests as reliable, stable measures of lower extremity performance, caution should be used when interpreting the results of either of the 50-repetition lateral step-up tests if used as demonstrated in this study.

Adult↗