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Results for “Musculoskeletal Development”

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At least 919 records · Page 51Linked to original sources
PubMed2000

Cases from the Aerospace Medicine Resident's Teaching File: unsuspected pulmonary barotrauma.

A USAF pararescue specialist developed chest pain during scuba diving duty. Initial evaluations considered decompression sickness and musculoskeletal etiologies. Pulmonary barotrauma was not contemplated because of the relatively mild presentation. Later, a very significant pneumothorax was discovered and successfully treated without sequelae. Decompression sickness is briefly discussed followed by a more in-depth examination of the presentation, diagnosis, treatment, and aeromedical aspects of spontaneous and "deserved" pneumothoraces.

Adult↗
PubMedDate not supplied

[Ligament pathology of the ankle joint].

Recent advances in ultrasound technology and the development of high-resolution ultrasound transducers have enabled detailed depiction of superficial musculoskeletal structures. The advantages of ultrasound include wide availability and dynamic evaluation. The main disadvantage is the uneasiness of performing ultrasonography, especially for foot and ankle. In addition, diagnostic accuracy requires time, knowledge, and meticulous attention to technical parameters. Ultrasound can be used to evaluate joints, ligaments, tendons, plantar fascias, fore-foot diseases and to look for foreign bodies. Power Doppler can be used to evaluate blood flow. The standardisation of the procedure and the production of normal reference images seem to guarantee a global increase in quality of the sonographic examinations. The diagnostic and therapeutic impact is very important regarding the low cost of this technique, especially in ankle sprain.

Ankle Injuries↗
PubMedDate not supplied

[Water and electrolyte content of the organs and tissues of male rats following a flight on the Kosmos 1667 biosatellite].

After the 7-day space flight onboard the biosatellite Cosmos-1667 the water, Na, K, Ca and Mg content of the liver, kidney, heart, skin and bone of male rats was measured. No significant changes in the weight or water content of the above organs were seen. The exception was a decrease of water contained in the heart and an increase of water contained in the caudal appendage of the epididymis. After flight the mineral composition of the liver was identical to that after control studies. The K content of the heart of the flight rats was lower and that of Na, Ca and Mg was identical to the parameter in the controls. The K content of the skin and bone increased and the Na content of the skin also grew. In the kidney the Ca content did not change whereas the content of K, Na and Mg decreased significantly. In the testis Na decreased and K increased after flight. Thus, changes in fluid-electrolyte homeostasis at the organ and tissue level can develop within 7 days of space flight. They occur not only in the musculoskeletal system but may also evolve in the nonweight-bearing organs.

Adaptation, Physiological↗
PubMed1988

Vibrations in orthopedics.

Measurements of various mechanical properties of skeletal material using vibration techniques have been reported. The purposes of such investigations include the monitoring of pathogenic disorders such as osteoporosis, the rate and extent of fracture healing, and the status of internal fixations. Early investigations pioneered the application of conventional vibration measurement equipment to biological systems. The more recent advent of the microcomputer has made available to research groups more sophisticated techniques for data acquisition and analysis. The economical advantages of such equipment has led to the development of portable research instrumentation which lends itself to use in a clinical environment. This review article reports on the developments and progression of the various vibrational techniques and theories as applied to musculoskeletal systems.

Biomechanical Phenomena↗
PubMedDate not supplied

Occlusal therapy in the management of chronic orofacial pain.

Review of the literature indicates that most routine orofacial dysfunctions are characterized by deep pain. Various disorders of the masticatory systems, particularly musculoskeletal conditions, are thought to be triggered by occlusal disharmonies. The pain component develops following a pattern of bruxism, muscle hyperactivity, fatigue and spasm. Treatment for most disorders has been to modify the occlusion, although the rational for doing so appears questionable.CRITICAL ISSUES IN THE FIELD OF OCCLUSION RELATED TO OROFACIAL PAIN ARE REVIEWED: occlusal disharmonies, coincidence of retruded-intercuspal contact positions, non-working side interferences, maximum intercuspation of teeth, occlusal adjustment, and occlusal appliances.The studies reviewed fail to support the clinical objective of obtaining equal contact at retruded and intercuspal positions and that the lateral pterygoid muscles stabilize the temporomandibular joint. The relationship between non-working side interferences and pain dysfunction is also not readily supported by controlled studies. Occlusal adjustment appears to be unsatisfactory as a modality for management of pain: not all patients improved following treatment, some relapse occurs even with the most stable contacts, and other treatments such as intra-articular injections of corticosteroids reduced symptoms more readily. Occlusal splints seem to reduce most clinical signs and symptoms on both a short-term and long-term basis. Placement of mandibular orthopedic repositioning appliances results in reduction of pain in some patients, but usually this treatment is followed by extensive rehabilitation.Six major areas are suggested for clinical studies that attempt to relate occlusion to management of orofacial pain. These include: establishment of an ideal jaw position, sequencing of symptoms in the pain history, relationship of pain to other symptoms, development of physiological methods to assess how occlusal modification affects pain perception and pain tolerance, and determination of which treatment modalities produce the most effective relief of pain.

Chronic Disease↗
PubMed1977

Atlanto-axial subluxation in systemic lupus erythematosus: a case report.

The clinical course and management of a 37-year-old woman with systemic lupus erythematosus (SLE) who developed atlanto-axial subluxation as an acute transient phenomenon are presented. The musculoskeletal manifestations of SLE and their pathogenesis are discussed in relation to this manifestation.

Adult↗
PubMed2003

Magnetic resonance: new approaches to imaging of the musculoskeletal system.

Recent technical advances in magnetic resonance imaging are reviewed. Purpose designed musculoskeletal magnetic resonance (MR) systems are now available. A great deal of pulse sequence development has been carried out with ultrashort TE (UTE) imaging, blood oxygenation level detection (BOLD) studies, diffusion weighted and other sequences. Image processing and measurement techniques have improved. In hyaline articular cartilage the deep layer can now be identified. Contrast agents are now being used to study the reduction in proteoglycans in cartilage. Enhancement is seen in tendons, ligaments and menisci and can be used to study perfusion. Signal is detected from cortical bone and periosteum and this can be used to monitor perfusion in serial studies. Muscle metabolism can also be studied. Contrast transport into intervertebral discs can be observed as well as effects attributable to iron deposition.

Humans↗
PubMed2001

Musculoskeletal manifestations in polymyalgia rheumatica and temporal arteritis.

OBJECTIVE: To evaluate the incidence and characteristics of musculoskeletal manifestations in polymyalgia rheumatica (PMR) and temporal arteritis (TA). METHODS: The records of 163 cases of PMR or TA diagnosed over a 15 year period in one area of Spain were reviewed for the presence and type of musculoskeletal manifestations. RESULTS: Of 163 patients, 90 had isolated PMR and 73 had TA. Eighteen of the 90 patients (20%) with isolated PMR developed distal peripheral arthritis either at diagnosis or during the course of the disease. When it occurred, synovitis was mild, monoarticular or pauci-articular, asymmetrical, transient, and not destructive. Other distal manifestations observed in these patients were carpal tunnel syndrome and distal extremity swelling with pitting oedema. In all cases these manifestations occurred in conjunction with active PMR. As expected, PMR was the most frequent musculoskeletal manifestation in patients with TA, occurring in 56% of cases. On the contrary, only 11% of patients with TA developed peripheral arthritis. An important finding was that peripheral arthritis in these patients appears to be linked only temporally to the presence of simultaneous PMR and is not observed in its absence. Distal extremity swelling or defined polyarthritis were not observed. CONCLUSION: The spectrum of distal musculoskeletal manifestations of PMR in our series is similar to that reported in other populations. By contrast, distal musculoskeletal symptoms are uncommon in TA. The almost complete absence of distal musculoskeletal manifestations in patients with pure TA suggests different mechanisms of disease in PMR and TA, supporting the view of two separate conditions or one common disease in which host susceptibility influences the clinical expression.

Aged↗
PubMed2007

The inadequate effect of automobile seating on foot posture and callus development.

Driver posture is an important factor to be considered in the ergonomics design process of automobiles. Most decisions during automobile design and manufacture are informed by studying the intricate biomechanical components of human musculoskeletal systems to ensure maximum comfort, safety and well-being during driving. A case study is presented that confirms inappropriate foot position as a causative factor for the development of abnormal lateral/plantar heel callosities when driving a 4 x 4-style vehicle. The driver's foot position was influenced by the seat geometry of the vehicle. Cessation of driving the 4 x 4-style vehicle and driving of an alternative automobile while on holiday for a period of 4 weeks resolved the condition. On return to the 4 x 4-style vehicle, however, the abnormal callus patterns redeveloped while using the same footwear and no change in any other parameters. It is therefore suggested that seat and consequent foot position is an important ergonomic factor that should be addressed in the future design of automobile seating.

Adult↗
PubMed1993

A biomechanical analysis of muscle strength as a limiting factor in standing posture.

We developed a method for studying muscular coordination and strength in multijoint movements and have applied it to standing posture. The method is based on a musculoskeletal model of the human lower extremity in the sagittal plane and a technique to visualize, geometrically, how constraints internal and external to the body affect movement. We developed an algorithm to calculate the set of all feasible accelerations (i.e., the 'feasible acceleration set', or FAS) that muscles can induce. For the ankle, knee, and hip joints in the sagittal plane, this set is a polyhedron in three dimensions. Using the volume of the FAS as an indicator of overall mobility, we found that strengthening muscles on the posterior side (as opposed to the anterior) of the body would cause greater increases in mobility. Employing the experimental observations of others, we also found that acceleration constraints greatly reduce the range of feasible accelerations. We then defined a set of four basic acceleration vectors which, when used in various combinations, can produce the repertoire of postural movements. We used linear programming to find the maximum magnitudes of these vectors, and the sensitivity of these magnitudes to muscle strength, thereby delineating those muscles which, if strengthened, would cause the greatest increase in the body's ability to generate the basic acceleration vectors. For our particular model, those muscle groups were found to be hamstrings, tibialis anterior, rectus femoris, and gastrocnemius. These muscle groups would be of great importance in cases involving severely reduced muscle strength. This methodology may therefore be useful for purposes such as design of functional electrical stimulation controllers or exercises for persons at risk for falling.

Acceleration↗
PubMed1998

Muscle injury in repetitive motion disorders.

Documentation of causality between repetitive motions and musculoskeletal disorders calls for detailed understanding of the exposure variables and the corresponding physiologic responses in the biologic tissues. Quantification of the kinetics in some jobs characterized by repetitive motions is summarized with the physiologic responses in the muscles. Muscle activity pattern was studied in different shoulder muscles or muscle parts, and in elbow and wrist flexor muscles. Activity pattern was dependent on the kinetics of the work requirements. This holds true for the compound electromyographic signal and for single motor units. Low threshold motor units have been identified that are recruited continuously, the so called Cinderella fibers. The physiologic consequences of prolonged muscle fiber activity are reviewed, revealing mechanisms for the development of necrotic changes in the muscle, which support the likelihood of work relatedness for musculoskeletal disorders.

Cumulative Trauma Disorders↗
PubMed1995

Neural network control of functional neuromuscular stimulation systems: computer simulation studies.

A neural network control system has been designed for the control of cyclic movements in Functional Neuromuscular Stimulation (FNS) systems. The design directly addresses three major problems in FNS control systems: customization of control system parameters for a particular individual, adaptation during operation to account for changes in the musculoskeletal system, and attaining resistance to mechanical disturbances. The control system was implemented by a two-stage neural network that utilizes a combination of adaptive feedforward and feedback control techniques. A new learning algorithm was developed to provide rapid customization and adaptation. The control system was evaluated in a series of studies on a computer simulated musculoskeletal model. The model of electrically stimulated muscle used in the study included nonlinear recruitment, linear dynamics, and multiplicative nonlinear torque-angle and torque-velocity scaling factors. The skeletal model consisted of a one-segment planar system with passive constraints on joint movement. Results of the evaluation have demonstrated that the control system can provide automated customization of the feedforward controller parameters for a given musculoskeletal system. It can account for changes in the musculoskeletal system by adapting the feedforward controller parameters on-line and it can resist the effects of mechanical disturbances. These results suggest that this design may be suitable for the control of FNS systems and other dynamic systems.

Adaptation, Physiological↗
PubMed2004

Computer users' risk factors for developing shoulder, elbow and back symptoms.

OBJECTIVES: This prospective study concentrated on determining factors of computer work that predict musculoskeletal symptoms in the shoulder, elbow, and low-back regions. METHODS: A questionnaire on ergonomics, work pauses, work techniques, and psychosocial and work factors was delivered to 5033 office workers at baseline in early 1999 (response rate 69%) and to 3361 respondents at the time of the follow-up in late 2000 (response rate 77%). An increased frequency or intensity of symptoms was the outcome variable, including only nonsymptomatic respondents from the baseline questionnaire (symptom frequency below 8 days within the last 12 months or intensity score below 4 within the last 3 months). RESULTS: In the follow-up, 10%, 18%, and 23% had symptoms more often in the elbow, shoulder, and low back, respectively, and 14%, 20%, and 22% had more intense symptoms. Women were more likely to be afflicted than men in all regions. In the full-fit multivariate logistic regression analysis, little influence on the timing of a rest pause and being disturbed by glare or reflection were significant predictors of shoulder symptoms, screen below eye height was a significant predictor for elbow symptoms, and previous symptoms was a significant predictor for symptoms in all regions. Computer worktime and psychosocial dimensions were not significant predictors. CONCLUSIONS: Influence on work pauses, reduction of glare or reflection, and screen height are important factors in the design of future computer workstations. Since previous symptoms was a significant predictor of recurrent symptoms in all three regions under study, it can be concluded that musculoskeletal symptoms are persistent.

Adult↗
PubMed1998

A workplace stretching program. Physiologic and perception measurements before and after participation.

The purpose of this study was to implement a primary prevention program in the workplace targeted to prevent muscle strains. Physiologic and perception measurements were taken before and after participation in a stretching program developed to improve flexibility through conditioning. A one group pre-test post-test design was used with 60 employees enrolled in a 36 session stretching program in the workplace. Flexibility was measured by a flexibility profile including the sit and reach test, bilateral body rotation measurements, and shoulder rotation measurements. A statistically significant increase was found in all flexibility measurements at the conclusion of the study for the participants as a total group. Perception, as measured by the Fox Physical Self Perception Profile, was statistically significant in relation to participants' perceptions of their body attractiveness, physical conditioning, and overall self worth at the program's conclusion. In addition, participants who completed the program had zero occurrences of musculoskeletal injuries during the 2 month period. The results of this study suggest that continued development and implementation of stretching programs in the workplace may benefit employees by increasing flexibility and potentially preventing injuries due to muscle strains. Stretching programs in the workplace also may improve components of employees' perceptions of their physical bodies.

Adult↗