Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Lifting”

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 847 records · Page 47Linked to original sources

[Usefulness of newly developed subcutaneous one point lifting method in gynecological laparoscopic operation].

We first introduced the abdominal wall lifting method in gynecological laparoscopic operations in 1994. Now we have developed a new one-point lifting technique (Tokyo Medical College method) that enables gynecological laparoscopic operations to be performed more safely, easily and economically. 1. The TMC method provides a sufficiently spacious operative field in the same way as artificial pneumoperitoneum and can overcome the negative influence of obesity on the operative field. 2. Because the abdominal wall is lifted up by means of a single stainless steel wire passed under the skin in this method, the limitations of previous methods are completely overcome. Furthermore setting up for this method is very easy and can be completed in a short time. 3. Because the aperture for the Surgigrip made in the abdominal wall is short and has a large internal diameter, we can manipulate operative instruments freely. Especially suturing and ligation can be carried out simply and accurately. 4. We were able to continue irrigation and suction without deterioration of the operative field and to easily remove resected tissue from the abdominal cavity. 5. The frequency of intracorporeal suture and ligation in this method increased significantly compared with the pneumoperitoneum method in cases of ovarian diseases. As a result, most operative procedures in ovarian diseases became cystectomies, preserving the healthy part of the ovary. This also reduced operative cost by avoiding expensive autosuture equipment. 6. There were no complications such as subcutaneous bleeding with this method. There was no significant difference between this method and pneumoperitoneum in terms of postoperative pain. The TMC method is a new laparoscopic operative technique that allows procedures to be performed under conditions close to laparotomy procedures and solves most of the problems of the pneumoperitoneum method.

Abdominal Muscles↗

The biplanar endoscopically assisted forehead lift.

Our experience with endoscopic forehead lifting and the biplanar forehead lift has been very rewarding, and although the postoperative results are early, the persistent elevation of the brows is encouraging, given that we do not temporarily suspend the forehead to the scalp with external bolsters or to the calvarium with internal anchors to bone, as has been described. The diminution of glabellar wrinkles also is marked. Clearly, the innovation of endoscopy to plastic surgical practice has enhanced our understanding of the goals in forehead lifting; and given our experience and that of others, it is hoped that many more patients will benefit form this continually evolving technique.

Endoscopy↗

Physiological analysis of repetitive lifting.

It was hypothesized that physical factors associated with the act of lifting, and also known to adversely affect cardiovascular functions (e.g., increased intrathoracic and intraabdominal pressures), would disturb the linear relationships normally noted among measures of cardiopulmonary variation during exercise. Data collected during repetitive lifting, performed on a unique ergometer (described in the paper), did not support the hypothesis. It was concluded that relationships among energy expenditure rate, pulmonary ventilation, heart rate, and workload were essentially linear through the range of lifting workloads from 1 to 50 W for 18 male Caucasians ranging in age from 21 to 55 years.

Adult↗

Laparoscopic Hill's vagotomy by the abdominal wall lifting method.

We performed laparoscopic Hill's vagotomy by the abdominal wall lifting method in nine patients with intractable duodenal ulcer. Our original I-type lifting bar is a curved stainless-steel rod 5 mm in diameter. One I-type lifting bar is inserted intraperitoneally into each of the right and left hypochondrial regions. An incision is made in the lesser omentum near the gastroesophageal junction, and the right esophageal wall and right crus of the diaphragm are dissected and exposed. The posterior trunk of the vagus nerve is identified and divided. Then the neurovascular bundle is dissected and divided repeatedly along the lesser curvature of the stomach from the first branch of the crow's foot to the gastroesophageal junction. The mean operating time was 163 min, with little blood loss. The reduction rate of basal acid output and maximal acid output was, respectively, 73.7 +/- 0.1 and 63.7 +/- 0.1%. Four weeks after surgery, gastroduodenoscopy revealed ulcer healing to a scar.

Adult↗

The sinus lift graft: basic technique and variations.

Following an early controversy concerning its efficacy, the sinus lift and graft technique is now considered to be a state-of-the-art surgery. In 1975, Tatum introduced the technique that increased maxillary bone height by placing graft material under the maxillary sinus and Schneiderian membrane; by the early 1990s, a modification of Tatum's original technique had become a standard procedure. This article describes and illustrates three variations of the basic sinus lift surgery and graft operation--the hinge osteotomy, the elevated osteotomy, and the complete osteotomy. Additional considerations affecting the surgical outcome are also discussed as is the management of possible complications. The learning objective of this article is to obtain up-to-date information regarding the basic technique and variations of the sinus lift procedure to the general practitioner as well as the specialist.

Alveolar Ridge Augmentation↗

Muscle fiber necrosis and regeneration induced by prolonged weight-lifting exercise in the cat.

For periods ranging from 26 to 87 weeks, the morphological characteristics of the flexor carpi radialis (FCR) muscle were examined in four cats trained to perform weight-lifting exercise. Four untrained, sex and weight-matched cats served as controls. The right FCR from each cat was surgically isolated, attached to a tension transducer, and set at its optimal length. The forelimb was perfused with 2% glutaraldehyde in 0.1 M cacodylate buffer. Small bundles of fibers were teased from their origin and insertion tendons and embedded in Epon. Spaced serial sections were used to examine the morphological features of the fibers for trained and control animals. Ultrastructural examination revealed muscle fiber degenerative changes, such as pyknotic nuclei, disruption of the sarcolemma, vacuolation, and disorganization of myofilaments. Such changes were observed at a higher frequency in trained muscle than in control muscle. Spaced serial sections of fiber bundles showed that the degree of degeneration varied along the length of the fiber. Fiber area measurements showed that trained muscle had both larger and smaller fibers than control samples. The very small fibers observed in the trained muscle were considered to be regenerating or "new" fibers since they had not undergone degenerative changes. "Satellite-like" cells were observed in trained muscle. Such cells resembled satellite cells but also contained developing myofilaments. Since evidence of degeneration-regeneration was observed in control samples, but at a lower frequency, it was postulated that weight-lifting exercise accelerates muscle fiber turnover in the cat FCR.

Animals↗

Morphological observations supporting muscle fiber hyperplasia following weight-lifting exercise in cats.

Although exercise-induced muscle fiber hyperplasia has been demonstrated through direct fiber counts following nitric-acid digestion of muscle, morphological studies to determine the mechanism of hyperplasia have not been performed previously. In this study, light and electron microscopy were used to evaluate evidence of muscle fiber splitting or de novo formation of new muscle fibers. Since both fiber hypertrophy and hyperplasia may result in alterations in the muscle nuclear populations, myonuclear number and satellite cell frequency were assessed quantitatively to determine their role in regulating muscle fiber size. Ten adult cats performed weight-lifting exercise, and the right (exercised) and left (control) forelimbs were fixed by vascular perfusion. Spaced serial sections were used to evaluate muscle fiber morphology along the length of fibers, and muscle fiber areas were measured. Myonuclei and satellite cells were counted using electron microscopy. Morphological evidence supporting muscle fiber hyperplasia was observed in exercised muscles. These observations included the presence of small fibers which may signify de novo fiber formation. Myonuclear counts indicate that myonuclear density is not a primary regulator of fiber size. Satellite cell frequency was unchanged following exercise. Autoradiographic studies revealed satellite cell activation by uptake of tritiated thymidine in exercised muscles. Satellite cell activation appears to result from increased activity in exercised muscles. These findings confirm previous studies demonstrating muscle fiber hyperplasia following weight-lifting exercise, and suggest that de novo fiber formation is the major mechanism contributing to muscle fiber hyperplasia in this model.

Animals↗

Effects of weight lifting on bone mineral density in premenopausal women.

A group of 68 premenopausal women participated in a controlled 12 month exercise program. Two groups were matched according to age, body size (body mass index), and typical activity level. Data collection included bone mineral density (BMD) of the lumbar spine with dual-photon absorptiometry and of the os calcis with single-photon absorptiometry, lean body mass, urinary calcium/creatinine, and urinary gamma-carboxyglutamic acid (Gla). Subjects were given a daily 500 mg supplement of elemental calcium. There was no significant difference between groups in terms of diet, in urinary calcium/creatinine or Gla, or in lean body mass. The weight lifting group had a nonsignificant increase in mean lumbar BMD of 0.81% and the control group exhibited a nonsignificant decrease of 0.5%. However, a paired t-test revealed a significant change in the means in either group or as matched pairs. The relatively small change seen as a result of this modified Nautilus exercise program may prevent moderate weight lifting from being a practical answer for osteoporosis, even in a highly motivated population.

Adult↗

Size illusion influences how we lift but not how we grasp an object.

Reaching out for an object is often described as consisting of two components that are based on different visual information. Information on the object's position and orientation guides the hand to the object, while information on the object's shape and size determines how the fingers move relative to the thumb to grasp it. We propose an alternative description, which consists of determining suitable positions on the object-on the basis of its shape, surface texture, and so on- and then moving one's thumb and fingers to these positions. This could lead to the same performance without requiring distinct visual information on the object's orientation or size. If so, an illusory change in size need not influence the distance between thumb and fingers when reaching out for an object. However, as the object's size is used to estimate its weight, the illusory change in size should influence the force that is exerted to lift the object. To find out whether this is so, eight subjects were asked to pick up brass disks from a fixed position straight in front of them. The illusory change in size was brought about by presenting five converging lines in two different configurations under the disks. As predicted, the illusion influenced the force used to lift the disks, but not the distance between the subjects' thumbs and fingers when reaching for the disks.

Hand Strength↗

Changes in muscle oxygenation during weight-lifting exercise.

The quantitative analysis of haemoglobin oxygenation of contracting human muscle during weight-lifting exercise was studied noninvasively and directly using near-infrared spectroscopy. This method was developed as a three-wavelength method which confirmed the volume changes in oxygenated haemoglobin (oxy-Hb), deoxygenated haemoglobin (deoxy-Hb) and blood volume (total-Hb; Oxy-Hb+deoxy-Hb). Nine healthy adult men with various levels of training experience took part in the study. Ten repetition maximum (10 RM) one-arm curl exercise was performed by all the subjects. Results showed that at the beginning of the 10-RM exercise, rapid increases of deoxy-Hb and decreases of oxy-Hb were observed. In addition, total-Hb gradually increased during exercise. These results corresponded to the condition of arm blood flow experimentally restricted using a tourniquet in contact with the shoulder joint, and they showed the restriction of venous blood flow and an anoxic state occurring in the dynamically contracted muscle. In three sets of lifting exercise with short rest periods, these tendencies were accelerated in each set, while total-Hb volume did not return to the resting state after the third set for more than 90 s. These results would suggest that a training regimen emphasizing a moderately high load and a high number of repetitions, and a serial set with short rest periods such as usually performed by body builders, caused a relatively long-term anoxic state in the muscle.

Adult↗

Development of anticipatory postural adjustments in a bimanual load-lifting task in children.

Anticipatory postural adjustments (APA) are needed to perform a movement without perturbing posture. We investigated the development of APA in 3- to 4-year-old children during a bimanual load-lifting task. The task required maintaining a stable elbow position despite imposed or voluntary unloading of the forearm. Although children can compensate the consequences of unloading by using APA, their performance did not reach an adults' level. In addition, children showed high intra-individual variability in the voluntary situation, revealed by the coexistence of both adult-like and immature patterns in kinematic and electromyographic data. In conclusion, the present study reports that APA, associated with a bimanual load-lifting task, are still being set up in 3- to 4-year-old-children. The intra-individual variability should decrease with age and be associated with a progressive mastering of the timing parameters characterizing APA.

Biomechanical Phenomena↗

Laparoscopic colorectal surgery using low-pressure pneumoperitoneum combined with abdominal wall lift by placement of anchoring sutures around the camera port.

BACKGROUND: This study aimed to evaluate the feasibility of low-pressure pneumoperitoneum in laparoscopic colorectal surgery. METHODS: The authors designed low-pressure (8 mmHg) laparoscopy combined with abdominal wall lift simply by placement of anchoring sutures around the camera port. RESULTS: The operative indications were 176 colon cancers, 297 rectal cancers, and 45 benign diseases. The average blood loss was 92 ml (range, 20-1200 ml), and the mean operating time was 204 min (range, 23-525 min). Conversion to an open procedure was required in eight cases (1.5%). Two patients experienced intraoperative complications. The mean number of removed lymph nodes was 28.9 in the colon cancer cases and 23.1 in the rectal cancer cases. The mean length of resected specimen was 27.3 cm (range, 8.5-136 cm). Postoperatively, cardiopulmonary complications developed in five patients (0.9%). CONCLUSIONS: Abdominal wall lifting by anchoring sutures around the camera port in addition to low-pressure pneumoperitoneum is a simple, safe, and effective method for laparoscopic colorectal procedure.

Abdominal Wall↗

Weight-lifting by normal and deafferented monkeys: evidence for compensatory changes in ongoing movements.

When trained in a weight-lifting paradigm, both normal and deafferented monkeys achieved high reinforcement densities at all test weights employed. Recordings of acceleration on the first lift of an unknown weight reveal that at some delay after the start of movement deafferented monkeys can alter the subsequent trajectory by a sudden change in applied torque. Comparison with normal animals indicates that short latency feedback pathways in normal animals contribute to the smoothness of movements made in the face of unknown external loads.

Afferent Pathways↗

Different methods to estimate total power and its components during lifting.

A more fundamental understanding about the act of manual lifting can be provided by the assessment of the total production of power and the power generated in joints. The present study is concerned with the validity of the estimations of these parameters. Four subjects lifted an 18.8 kg load while they were filmed and ground reaction forces were measured. The total generated power was calculated in three ways: (1) by summation of joint powers, (2) on the basis of the rate of change of the summed energy contents of human body segments, and (3) on the basis of the rate of change of the body energy estimated from ground reaction forces. The results were compared. Furthermore, at a segmental level the power supplied to or absorbed from a segment was compared to the rate of change of its energy content. The resulting instantaneous power curves from the three different methods showed a high level of agreement, which supports their validity. However, some minor discrepancies were observed. The major cause of the observed difference between the rate of change of the summed segmental energy contents and the summed joint powers was found at a segmental level. It was observed that segmental link lengths (i.e. distances between proximal and distal markers) changed during movement, which yielded discrepancies between the power flow to or from a segment and the rate of change of its energy content.

Adult↗

Posture prediction for static sagittal-plane lifting.

Three separate models are presented to predict the postures of humans performing static sagittal lifting tasks. The models use a common inverse-kinematics characterization to represent mathematically feasible postures, but explore different criteria functions for selecting a final posture. The first criterion assumes that subjects minimize the overall effort associated with a posture. The second criterion expresses effort locally as opposed to globally, and minimizes this value. The third criterion maximizes body stability. The postures predicted by these three models were compared to the postures assumed by 16 subjects performing 4 static sagittal lifting tasks. The results showed that all of the prediction errors were significantly greater than zero, but that the first objective function (minimum total torque) was more accurate than the other two criteria. The models were in general less accurate for postures that had lower hand positions than for those with higher hand positions.

Adult↗

Potential of lumbodorsal fascia forces to generate back extension moments during squat lifts.

The lumbodorsal fascia (LDF) has been implicated in numerous biomechanical interpretations of low back mechanics as a tissue that provides support to the lumbar spine during demanding load bearing. One hypothesis is that oblique abdominal muscle forces contribute to trunk extensor moment by transforming lateral abdominal tension into longitudinal tension via the LDF. However, a review of the anatomical literature supports the hypothesis that extensor forces in the LDF result from tension within the latissimus dorsi muscle. The purpose of our work was to evaluate the potential of the LDF to generate trunk extensor moment using two mathematical models: one that activated the LDF with the abdominals and another that activated the LDF with the latissimus dorsi. Efforts were made to represent the anatomy as accurately as possible. The results from three subjects performing six squat lifts each, suggested that the potential of the LDF to contribute significant extensor moment has been overestimated. In fact, the issue of whether the LDF is activated by the abdominals or the latissimus dorsi is irrelevant because neither strategy appeared able to generate sizable extensor moments in the type of lift studied.

Adult↗

Evaluation of an intervention comprising a no lifting policy in Australian hospitals.

The No Lifting Policy has been adopted in Australia to prevent back pain and injuries among nurses. The present study focuses on the intervention of the "No Lift System" (NLS). The purpose of this cross-sectional study was to evaluate the use of transfer equipment, number of injuries, pain/symptoms and absence from work among nurses after the intervention of the NLS (n=201), and compare to nurses at two control hospitals (n=256). A comprehensive questionnaire was used for data collection. The results show that at the hospital where the NLS had been introduced, the nurses used the purchased transfer equipment regularly. They had significantly fewer back injuries, less pain/symptoms and less absence from work due to musculoskeletal pain/symptoms compared with nurses at the control hospitals. The study showed strong evidence for supporting the implementation of the NLS. The positive results shown in the present study can probably be explained by the agreement between the management, the union and the nurses concerning the implementation of the NLS, as well as its comprehensive approach and participatory design.

Adult↗

Learning curve analysis of a patient lift-assist device.

One of the challenges facing ergonomists in the implementation of an ergonomic solution is addressing the concerns related to their impact on productivity. The focus of the current study was to (1) apply standard learning curve analysis to the learning that takes place as an individual works with a patient handling device and (2) compare the effects of two different training protocols on measures of learning. Eighteen subjects completed 11 replications of a patient transfer task after participating in either an "interactive" training protocol or "see-one-do-one" training protocol. The results show that the learning rate for this task was 83% with no difference as a function of training protocol. The results do indicate that the effect of Training Method was significant (p<0.05) for time to complete the first patient lift task (370s for the interactive training vs. 475s for see-one-do-one training). The results of the analysis of the survey data supported the objective results in that the only measure that was responsive to training type (p<0.05) was related to comfort level in performing the patient lift task for the first time. The results emphasize the importance in considering learning when introducing an intervention in the workplace, and showed that in this instance, training type had an immediate impact on productivity, but that this effect diminished over time.

Adult↗