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At least 1,099 records · Page 61Linked to original sources
PubMed2006

The effect of a task-oriented intervention on arm function in people with stroke: a randomized controlled trial.

OBJECTIVE: To evaluate the efficacy of a task-oriented intervention in enhancing arm function in people with stroke. DESIGN: Two-centre, observer-blinded, stratified, block-randomized controlled trial. SETTING: General community. PATIENTS: Ninety-one individuals within one year of a first or recurrent stroke consented to participate between May 2000 and February 2003. INTERVENTIONS: The experimental intervention involved practice of functional, unilateral and bilateral tasks that were designed to improve gross and fine manual dexterity whereas the control intervention was composed of walking tasks. Members in both groups participated in three sessions a week for six weeks. MAIN OUTCOME MEASURE(S): The primary test of arm function was the Box and Block Test. Secondary tests included the Nine-Hole Peg Test, maximal grip strength, the Test d'Evaluation des Membres supérieurs des Personnes Agées (TEMPA) and the Stroke Rehabilitation Assessment of Movement. RESULTS: Results are for the more affected arm. Baseline performance on the Box and Block Test was an average of 26 blocks (standard deviation (SD) = 16) in the experimental group (n = 47) and 26 blocks (SD = 18) in the control group (n = 44). These values represent approximately 40% of age-predicted values. Values for the postintervention evaluation were an average of 28 (SD = 17) and 28 (SD = 19) blocks for the experimental and control group respectively. No meaningful change on other measures of arm function was observed. CONCLUSIONS: A task-oriented intervention did not improve voluntary movement or manual dexterity of the affected arm in people with chronic stroke.

Activities of Daily Living↗
PubMed2002

Performance status of male and female advanced cancer patients is independently predicted by mid-upper arm circumference measurement.

In the advanced cancer patient, performance status has considerable prognostic power. Karnofsky performance status, together with variables reported to influence its score, was measured in advanced gastrointestinal cancer patients (n = 148). For male and female patients, age, body mass index, weight loss, triceps skinfold thickness, mid-upper arm circumference, albumin, C-reactive protein, and tumor type and stage were regressed against Karnofsky performance status. On multiple regression analysis, only mid-upper arm circumference and log10 C-reactive protein in men (r2 = 0.462, P < 0.0001) and only mid-upper arm circumference and weight loss in women (r2 = 0.485, P < 0.01) were independent predictors of Karnofsky performance status. There was a significant partial correlation, with gender as a covariable, between log10 C-reactive protein and albumin (r = -0.530, P < 0.0001) and mid-upper arm circumference (r = -0.269, P = 0.035) and weight loss (r = 0.286, P = 0.024). The results of the present study indicate that mid-upper arm circumference is a major factor that influences performance status in male and female patients with advanced gastrointestinal cancer.

Aged↗
PubMed1995

A measurement system for the recognition of arm gestures using accelerometers.

This paper describes a strategy to measure arm movements using accelerometers for the computer recognition of arm gestures. Gesture recognition is being investigated as an alternative method of computer input for people with severe speech and motor impairment; the emphasis is on the needs of people with athetoid cerebral palsy who have difficulties with existing computer input devices. An initial model-based approach to estimate the kinematic motion of the arm from acceleration measurements is given, followed by the chosen measurement scheme. The current system considers the forearm as a rigid body and uses two data streams derived from four linear accelerometers. By treating these signals as outputs from postulated mechanical models, the data are reduced to two series of step inputs that are appropriate for pattern classification and recognition. Although this does not in any way model the arm, the concepts used are based on the type of driving signals expected in the control of arm gestures. Initial experimental results show that the information content of gestures is preserved by this data parameterization.

Arm↗
PubMed2006

Is there a difference in vascular reactivity of the arms and legs?

The arterial vessels within the arms and legs are exposed to different hydrostatic pressures and blood-flow demands during the course of daily life. There is compelling indirect evidence that arterial reactivity differs in the arms and legs of humans; greater blood-flow responses to physiological vasodilator stimuli are generally reported in the arms of healthy younger subjects, whereas greater sympathetically mediated vasoconstrictor responsiveness is generally observed in the legs. Limb blood-flow responses to local arterial infusions of vasoactive agents reveal a similar pattern of heterogeneity in human arms versus legs. The advantages and assumptions of these pharmacological approaches for evaluating limb arterial reactivity are discussed, and methodological issues pertaining to the normalization and interpretation of vascular responses in the human arm and leg are critically examined. The article concludes with recent data from our laboratory indicating that limb-specific variation in arterial function may be age-, sex-, and physical activity dependent.

Aging↗
PubMed1989

Arm exercise testing with myocardial scintigraphy in asymptomatic patients with peripheral vascular disease.

Arm exercise with myocardial scintigraphy and oxygen consumption determinations was performed by 33 men with peripheral vascular disease, 40 to 74 years of age (group 2). None had evidence of coronary disease. Nineteen age-matched male control subjects (group 1) were also tested to determine the normal endurance and oxygen consumption during arm exercise in their age group and to compare the results with those obtained during a standard treadmill performance. The maximal heart rate, systolic blood pressure, pressure rate product, and oxygen consumption were all significantly lower for arm than for leg exercise. However, there was good correlation between all these parameters for both types of exertion. The maximal heart rate, work load and oxygen consumption were greater for group 1 subjects than in patients with peripheral vascular disease despite similar activity status. None of the group 1 subjects had abnormal arm exercise ECGs, while six members of group 2 had ST segment changes. Thallium-201 scintigraphy performed in the latter group demonstrated perfusion defects in 25 patients. After nine to 29 months of follow-up, three patients who had abnormal tests developed angina and one of them required coronary bypass surgery. Arm exercise with myocardial scintigraphy may be an effective method of detecting occult ischemia in patients with peripheral vascular disease. Those with good exercise tolerance and no electrocardiographic changes or 201T1 defects are probably at lower risk for the development of cardiac complications, while those who develop abnormalities at low exercise levels may be candidates for invasive studies.

Adult↗
PubMedDate not supplied

One-year treatment with recombinant human growth hormone of children with meningomyelocele and growth hormone deficiency: a comparison of supine length and arm span.

Growth retardation and precocious puberty are frequently found in children with meningomyelocele (MMC). Lower limb contractions, spasticity and kyphoscoliosis may lead to disproportionate short stature. Most of these patients have structural brain defects or hydrocephalus which can cause growth hormone deficiency. In this study, 19 children aged between 3.5 and 12.8 years with MMC and growth hormone (GH) deficiency were treated with recombinant human GH for a period of 12 months. Supine length, arm span and growth velocity were compared before, and after 6 and 12 months of treatment with rhGH (daily dose 2.0 IU/m2 BSA s.c.). Mean supine length standard deviation score (SDS) increased by +0.8 SDS after 6 months and +1.2 SDS after 12 months of therapy. Mean arm span standard deviation score increased by +0.9 SDS and +1.3 SDS. Growth velocity increased in supine length from 3.3 cm/yr (-2.1 SDS) to 8.4 cm/yr (+2.4 SDS) and in arm span from 4.8 cm/yr (-1.3 SDS) to 8.6 cm/yr (+3.1 SDS) in the first 6 months and was 8.1 cm/yr (+2.4 SDS) and 8.3 cm/yr (+2.6 SDS) after 12 months of therapy. Linear correlation between SDS growth velocity supine length and SDS growth velocity arm span during one year of treatment was excellent (r = 0.65, p < 0.0025). We surmise that body proportions do not deteriorate when growth velocity is stimulated in MMC patients. Both supine length and arm span measurements are necessary to document growth in children with spinal dysraphism.

Age Determination by Skeleton↗
PubMed1989

[The strain on the rider's arms in straight-ahead motorcycle operation].

The causes of vibration hazards to motorcycle mail deliverers have been considered to be due to the vibrations from the motorcycle, strain on the rider's hands and arms, cold conditions, and duration of the operation and others, and the rider's muscle tone in handling the motorcycle rises as the stability of the motorcycle decreases. In this report, the steering angle and banking of the motorcycle, vibration on the handgrips and EMG on the rider's arms and shoulders were measured during motorcycle operation with weights placed on the front and rear carriers. The relationship between the stability of the motorcycle, vibration on the handgrips and strain on the rider's arms and shoulders measured by EMG are also discussed. The following results were obtained. 1. When weights were placed on the front and rear carriers, the motorcycle became unstable especially at low vehicle speed, and handling became difficult. 2. The acceleration levels of the vibrations on the left handgrip exceeded the 4-8 exposure guideline of ISO when the vehicle speed was 50 km/h with weights. 3. When the weights were placed on the front or rear carrier, the vibration levels on the left grip were generally larger than those without weights. 4. The differences in vibration acceleration levels or vibration levels by weights could not be determined. 5. The EMGs of the musculus extensor digitorum (arms) and musculus trapezius (shoulders) increases with increase of vehicle speed. 6. There were no obvious differences in the EMG on the rider's arm and shoulders under straight-ahead operation by weight loading combinations.(ABSTRACT TRUNCATED AT 250 WORDS)

Action Potentials↗
PubMed2006

Neck/shoulder, low back, and arm pain in relation to computer use, physical activity, stress, and depression among Dutch adolescents.

OBJECTIVE: To examine among adolescents (1) the prevalence of neck/shoulder, low back, and arm pain within different sociodemographic groups and (2) the association of neck/shoulder, low back, and arm pain with computer use, physical activity, depression, and stress. METHODS: A school-based questionnaire survey in 2002 and 2003 of neck/shoulder, low back, and arm pain, computer use, physical activity, depression, and stress. The survey was given to 3485 adolescents aged 12 to 16 years who attended secondary schools in Amsterdam, Netherlands. RESULTS: The overall prevalence of neck/shoulder, low back, and arm pain was 11.5%, 7.5%, and 3.9%, respectively. The prevalence of neck/shoulder pain was higher among girls and adolescents not living with both parents. The prevalence of low back pain also was higher among girls. Depressive symptoms were associated with neck/shoulder pain, low back pain, and arm pain. The stress experienced was associated with neck/shoulder pain and with low back pain. CONCLUSIONS: This study strengthens the findings that musculoskeletal pain is common among adolescents and is associated with depression and stress but not with computer use and physical activity.

Adolescent↗
PubMedDate not supplied

Principle and design of a mobile arm support for people with muscular weakness.

This article describes the development of a mobile arm support for people with muscular diseases. The arm support is spring-balanced, with special attention on reduction of operating effort (high balancing quality and low friction), functionality (large range of motion), and aesthetics (inconspicuous design). The spring settings can be adjusted for wearing heavier clothing or picking up an object, a function that can also be used for moving up or down. The device levels itself automatically to compensate for uneven floors, a function that can be overruled to assist forward/backward motion of the arm. Thus, the balancer can compensate for the weight of the arm and be adjusted to generate force to a limited (safe) extent. The principle and design of the mechanism are presented and preliminary field trial results are given. Two users report on 6 months of continuous use of the arm support in their home and social environments.

Arm↗
PubMed1999

Shift in arm-pointing movements during gravity changes produced by aircraft parabolic flight.

It has been shown that target-pointing arm movements without visual feedback shift downward in space microgravity and upward in centrifuge hypergravity. Under gravity changes in aircraft parabolic flight, however, arm movements have been reported shifting upward in hypergravity as well, but a downward shift under microgravity is contradicted. In order to explain this discrepancy, we reexamined the pointing movements using an experimental design which was different from prior ones. Arm-pointing movements were measured by goniometry around the shoulder joint of subjects with and without eyes closed or with a weight in the hand, during hyper- and microgravity in parabolic flight. Subjects were fastened securely to the seat with the neck fixed and the elbow maintained in an extended position, and the eyes were kept closed for a period of time before each episode of parabolic flight. Under these new conditions, the arm consistently shifted downward during microgravity and mostly upward during hypergravity, as expected. We concluded that arm-pointing deviation induced by parabolic flight could be also be valid for studying the mechanism underlying disorientation under varying gravity conditions.

Adult↗
PubMed1999

Superior labral anteroposterior lesions: MR arthrography with arm traction.

OBJECTIVE: The purpose of this study was to investigate the efficacy of arm traction combined with MR arthrography in the evaluation of superior labral anteroposterior (SLAP) lesions. MATERIALS AND METHODS: Cadaveric shoulders were studied with a 1.5-T MR imaging unit with the arm externally rotated. Fifteen milliliters of a gadolinium-containing contrast agent were injected into the glenohumeral joint. Twenty-four sets of images of cadaveric joints were evaluated independently by two observers. These sets consisted of MR arthrographic images obtained with traction (applied to the wrist using 1- to 3-kg weights) and without traction in five shoulders in which SLAP lesions had been excluded arthroscopically or by cadaveric sectioning; and MR arthrographic images obtained with and without traction in seven shoulders in which various types of SLAP lesions had been created arthroscopically and later confirmed by cadaveric sectioning. RESULTS: Analysis of the data indicated that MR arthrography in combination with arm traction and external rotation improved diagnostic accuracy with regard to identification and categorization of SLAP lesions when compared with studies made without traction. CONCLUSION: The combination of MR arthrography and arm traction with the shoulder in external rotation provides a more effective approach for detection of SLAP lesions than does similar MR arthrography performed without arm traction.

Aged↗
PubMed1994

Subjective and myographic responses in arm and leg cycle exercising.

A study was performed to explore possible psychological benefits of additional arm work during cycle exercising. For this, the subjective and physiological responses of 12 healthy young males were studied during arm and leg exercise on a cycle ergometer with movable arm levers (at 2 distances of the handgrips from the body) and during leg exercise with the grips fixed. After warming up, the subjects kept for 20 min. a constant work load leading to heart rates of about 150 to 160 beats.min.-1. Neither the EMG data nor the ratings of discomfort showed a substantial relief by arm work, but the subjects had different preferences for arm and leg exercise and just leg work, accompanied by differences in discomfort and physiological responses.

Adult↗
PubMed2002

Discriminating overhead points of contact after arm raising.

Arm-raising movements at the shoulder made to overhead locations were investigated in a weight-hearing stance with forward vision available. When discrimination of different points of contact was measured after arm elevations to the unseen overhead targets, no dominant arm advantage was found, but contacts made after the shortest (90 degrees) arm-elevation movements were better discriminated than those from arm-at-side (180 degrees), plus windup (540 degrees).

Adolescent↗
PubMed2006

Arm pain and daytime sleepiness among nursing home employees.

We investigated the relationship between musculoskeletal disorders and sleep problems among 98 employees (79 women) at three nursing homes. Self-reported data were collected regarding pain in the neck, shoulders, arms, legs, and low back, sleep disturbances, daytime sleepiness (Epworth Sleepiness Scale), and the level of workload on the hands, legs, and low back by type of care. Pain in the arms was significantly associated with less difficulty initiating sleep, fewer symptoms of insomnia, and a higher level of daytime sleepiness. After adjusting for age and gender, only the association between arm pain and daytime sleepiness remained significant (Odds Ratio 6.70, 95% Confidence Interval 1.40-31.97). Participants with both arm pain and daytime sleepiness showed significantly greater levels of workload in some kinds of care in a systemic manner than counterparts without either complaint. These findings suggest that arm pain is associated with elevated sleep propensity/fatigue in nursing home work.

Adult↗
PubMedDate not supplied

A power-assisted arm balancer.

The design described in this paper arose from the need of a polio victim to be able to feed himself. The patient was confined to a wheelchair. His right arm was completely paralysed, but he had limited ability to move his left arm. The arm balancer described allows the patient to swing his left arm freely in a horizontal plane, and also enables him to move his arm vertically, with power assistance under his own control.

Arm↗
PubMed1980

The mobile arm support.

The Mobile Arm Support, conceived and researched by Dr. Radulovic, is intended for the use of patients whose arm is afflicted. The support consists of a supporting harness, an articulated splint on which the arm is fixed and a pneumatic system of elevation that counterbalances the weight of the arm. Its originality lies in the use of a splint as a simple lever, supported by a spherical articulation, located as close as possible to the centre of the scapulohumeral joint and linking shoulder and arm movements. A clinical study involving 18 patients has shown that the support reduces pain, increases ranges of movement of the shoulder and elbow, and increases functional possibilities.

Arm↗
PubMed1986

Aerobic capacity during two-arm and one-leg ergometric exercise.

Previous studies have shown that maximal oxygen uptake (VO2 max) measured during two-arm cranking and one-leg cycling is about 70-78 per cent of VO2 max measured during two-leg cycling. The present study investigated the maximal physiological responses of eight healthy untrained males during two-arm, one-leg, and two-leg ergometric exercise. Two-arm cranking and one-leg cycling were found to be 55 and 66 per cent of two-leg VO2 max, respectively. The % VO2 max at which the anaerobic threshold occurred during the two-arm and one-leg exercise conditions were 57 and 68 per cent, respectively. These findings suggest that when the active muscle mass is limited, a progressive exercise test using one leg may elicit a higher VO2 max than with two arms.

Adult↗
PubMed1989

[Standardization by arm span of lung function tests in the elderly].

Kypho(scolio)sis in the elderly is known to cause body height reduction, and this may result in inaccurate estimation in the calculation of various predicted values based on body height in lung function test. A total of 91 patients without any known cardiopulmonary diseases were studied for the relationship between body height, arm span and predicted values of lung function tests. In addition, the kyphotic angle was evaluated for the quantitative assessment of the kyphosis. Our results showed that kyphoscoliosis in the elderly resulted in under- or overstimulation of an average of 1.2-3.9% when the arm span was used instead of the body height to obtain the predicted value of vital capacity. Furthermore, there was no significant correlation among the following parameters: the severity of kyphosis, body height or arm span and age. The arm span showed a good correlation with the body height. From these observations, it was concluded that instead of the body height the arm span could be used for calculating the predicted value on lung function tests as a more convenient methods in bed-ridden patients.

Aged↗