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PubMed2004

Do individual attendings' post-rotation performance ratings detect residents' clinical performance deficiencies?

PURPOSE: To determine whether attending physicians' post-rotation performance ratings and written comments detect surgery residents' clinical performance deficits. METHOD: Residents' performance records from 1997-2002 in the Department of Surgery, Southern Illinois University School of Medicine, were reviewed to determine the percentage of times end-of-rotation performance ratings and/or comments detected deficiencies leading to negative end-of-year progress decisions. RESULTS: Thirteen of 1,986 individual post-rotation ratings (0.7%) nominally noted a deficit. Post-rotation ratings of "good" or below were predictive of negative end-of-year progress decisions. Eighteen percent of residents determined to have some deficiency requiring remediation received no post-rotation performance ratings indicating that deficiency. Written comments on post-rotation evaluation forms detected deficits more accurately than did numeric ratings. Physicians detected technical skills performance deficits more frequently than applied knowledge and professional behavior deficits. More physicians' post-rotation numeric ratings contradicted performance deficits than supported them. More written comments supported deficits than contradicted them in the technical skills area. In the applied knowledge and professional behavior areas, more written comments contradicted deficits than supported them. CONCLUSIONS: A large percentage of performance deficiencies only became apparent when the attending physicians discussed performance at the annual evaluation meetings. Annual evaluation meetings may (1) make patterns of residents' behavior apparent that were not previously apparent to individual physicians, (2) provide evidence that strengthens the individual attending's preexisting convictions about residents' performance deficiencies, or (3) lead to erroneous conclusions. The authors believe deficiencies were real and that their findings can be explained by a combination of reasons one and two.

Clinical Competence↗
PubMed2002

Correction of combined angular and rotational deformities by the Ilizarov method.

Deformities of the lower extremities are often a combination of angular and rotational components. The rotational component of combined deformities may be difficult to measure using plain radiography. Based on the current study, the computed tomography rotational malalignment test was developed. Evaluation of lower extremity alignment was done on 56 patients. Rotational malalignment was diagnosed in 14 limbs of nine patients. In all patients, correction of angular and rotational deformities was done simultaneously using an Ilizarov external fixator. The frame included a standard angular distraction system and a derotation block interconnected via an additional empty ring. In all cases, successful correction of angular and rotational deformities was achieved. The pain was eliminated in all seven patients having preexisting chronic joint pain. There were no cases of deep infection or nonunion. This simple and reliable method allowed precise analysis of the deformity in the transverse plane. Preoperative frame construction incorporating the derotational module decreased the time of the operation and allowed one-stage correction of rotational and angular deformities without additional manipulations.

Adolescent↗
PubMed2004

Rotational malalignment after intramedullary nailing of femoral fractures.

OBJECTIVES: Intramedullary nailing has been accepted as the treatment of choice for femoral shaft fractures. The aim of our study was to determine the incidence and implications of rotational malalignment after intramedullary nailing using computed tomography measurements. DESIGN: Cohort study. SETTING: Patients who postoperatively visited the orthopaedic outpatient and radiology clinics. PATIENTS: Seventy-six patients, 59 men and 17 women, with a mean age of 28.4 years (15-88). INTERVENTION: Patients treated on a fracture table with an antegrade reamed AO nail (n = 46) or Grosse Kempf nail (n = 30) for a unilateral femoral shaft fracture between 1988 and 1998 were included in the study. MAIN OUTCOME MEASUREMENTS: Patients filled out a questionnaire concerning pain, daily activities, and sport. Oxford, Western Ontario and McMaster University osteoarthritis index, and Harris Hip and Knee Society scores were obtained. Physical exams and computed tomography measurements were established. RESULTS: Twenty-one patients (28%) were found to have a rotational malalignment of 15degrees or more. There was no significant difference in rotational deformity with either the AO or Grosse Kempf nail. The incidence of malrotation was independent of the fracture level. Patients with a torsional deformity had difficulties with more demanding activities like running, sports, and climbing stairs. Patients with an external rotational malalignment (n = 12) have more functional problems than patients with an internal rotational malalignment (n = 9). Clinically determined rotation differences are not accurate (+/-20degrees) compared with the established computed tomography measurements. CONCLUSIONS: Rotational malalignment after intramedullary nailing for femoral fractures is found in 28% of the patients in this study. These patients have difficulties with more demanding activities, especially when they have an external torsional deformity.

Adolescent↗
PubMed2004

Comparison of tibial rotation strength in patients' status after anterior cruciate ligament reconstruction with hamstring versus patellar tendon autografts.

OBJECTIVE: To determine if there are tibial rotational strength deficits in individuals treated with a semitendinosus/gracilis or bone-patella tendon-bone (BTB) autografts for ACL reconstruction. DESIGN: Retrospective. SETTING: Clinical practice and nonprofit research site. PATIENTS: 102 subjects--34 treated with BTB autograft, 34 treated with a hamstring autograft, and 34 matched controls--were evaluated at an average of 53.1 +/- 36.0 months postoperatively. MAIN OUTCOME MEASUREMENTS: Isokinetic examination at 60, 120, and 180 degrees/s to assess internal (IT) and external tibial (ET) rotation peak torque of the operated knee and contralateral knee. Internal and external tibial rotation peak torque values were evaluated for differences between gender and surgery type (2 x 3 ANOVA). RESULTS: Contrasts of IT torque across groups revealed that surgery type exhibited a significant main effect (P < 0.0001), but gender did not (P = 0.07), and there was no interaction of surgery and gender (P = 0.64). The hamstring group was weaker in IT rotation compared with the BTB and control groups (P < 0.05). No difference was noted in IT rotation torque between BTB and control groups at all test velocities. Contrasts of ET rotation torque across groups revealed that surgery type exhibited a significant main effect (P < 0.0001), but gender did not (P = 0.48). There was no interaction of surgery and gender (P = 0.98). The BTB group was significantly weaker compared with the hamstring group (P < 0.001) and the control group (P < 0.001) in ET at all test velocities. CONCLUSIONS: Residual strength deficits in IT and ET rotation following hamstring graft and BTB graft ACL reconstruction are apparent.

Analysis of Variance↗
PubMed2006

The high variability of tibial rotational alignment in total knee arthroplasty.

Although various techniques are advocated to establish tibial rotational alignment during total knee arthroplasty, it is unknown which is most repeatable. We evaluated the precision and accuracy of five tibial rotational alignment techniques to determine whether computer-assisted navigation systems can reduce variability of tibial component rotational alignment when compared to traditional instrumentation. Eleven orthopaedic surgeons used four computer-assisted techniques that required identification of anatomical landmarks and one that used traditional extramedullary instrumentation to establish tibial rotational alignment axes on 10 cadaver legs. Two computer-assisted techniques (axes between the most medial and lateral border of the tibial plateau, and between the posterior cruciate ligament [PCL] and the anterior tibial crest) and the traditional technique were least variable, with standard deviations of 9.9 degrees, 10.8 degrees, and 12.1 degrees, respectively. Computer-assisted techniques referencing the tibial tubercle (axes between the PCL and the medial border or medial 1/3 of the tubercle) were most variable, with standard deviations of 27.4 degrees and 28.1 degrees. The axis between the medial border of the tibial tubercle and the PCL was internally rotated compared to the other techniques. None of the techniques consistently established tibial rotational alignment, and navigation systems that establish rotational alignment by identifying anatomic landmarks were not more reliable than traditional instrumentation.

Arthroplasty, Replacement, Knee↗
PubMed2005

Cervical muscle response to head rotation in whiplash-type left lateral impacts.

STUDY DESIGN: Twenty healthy volunteers were subjected to left lateral impacts, randomly looking either left or right. OBJECTIVES: The purpose of this study is to determine the response of the cervical muscles to lateral impact whiplash-type perturbations when the head is rotated at the time of impact. SUMMARY OF BACKGROUND DATA: A previous study of left lateral impacts with head in neutral posture suggests that the burden of impact is borne primarily by the splenius capitis muscles. In order to improve automobile designs to prevent whiplash injury, we need to understand the response of the cervical muscles to whiplash-type perturbations in less-than-ideal conditions, such as when the head is rotated to the right and at the time of lateral impact. METHODS: Bilateral electromyograms of the sternocleidomastoids, trapezii, and splenii capitis were recorded. Triaxial accelerometers recorded the acceleration of the sled, torso, and head of the participant. RESULTS: For participants experiencing a left lateral impact, whether having the head rotated to the left or right at the time of impact, the muscle responses generally increased with increasing levels of acceleration (P < 0.05). The time of onset and peak electromyograph reading for most muscles progressively decreased with increasing acceleration. Overall, however, muscle responses were of low magnitude with the head rotated to the left or right. The sternocleidomastoid muscle responsible for head rotation (i.e., right sternocleidomastoid muscle when looking left) had a greater electromyograph response than its counterpart (P < 0.05). The contralateral splenius capitis and trapezius had the highest electromyograph responses. The remaining muscles showed similar levels of electromyograph responses, but even at the highest acceleration of 12.8 m/s, all generated less than 45% of their maximal voluntary contraction electromyograph reading. CONCLUSIONS: Compared to a lateral impact with the volunteer's head in the neutral position, a lateral impact with head rotation to either right or left may reduce the muscle response. Further studies are needed to determine whether or not head rotation at the time of lateral impact reduces overall injury risk.

Adult↗
PubMed2003

Strategy of antibiotic rotation: long-term effect on incidence and susceptibilities of Gram-negative bacilli responsible for ventilator-associated pneumonia.

OBJECTIVE: To evaluate the long-term effect of a program of rotating antibiotics on the incidence of ventilator-associated pneumonia and the susceptibilities of Gram-negative bacilli responsible for ventilator-associated pneumonia. DESIGN: Prospective program for the surveillance of antibiotic susceptibilities of microorganisms responsible for ventilator-associated pneumonia. SETTING: Academic, university-based, medical intensive care unit (16 beds). SUBJECTS: 2,856 mechanically ventilated patients. INTERVENTIONS: A new program of antibiotic use was introduced at the end of 1996 that involved the rotation of antibiotics in empirical and therapeutic use of the treatment of ventilator-associated pneumonia. The rotation concerned the beta-lactam and aminoglycoside classes, with a rotation interval of 1 month. The use of antibiotics was monitored monthly. No preference was given to any particular antibiotic. In a previous study, the period before the introduction of this protocol (1995-1996) was compared with the period 2 yrs after (1997-1998): The results indicated a decreased incidence of ventilator-associated pneumonia, a lower incidence of potentially resistant Gram-negative bacilli, and increased sensitivities of Gram-negative bacilli, especially Pseudomonas aeruginosa and Burkholderia cepacia. After 1998, we decided to continue a routine for this rotation. The long-term effect of this program was studied by comparing the incidence of Gram-negative bacilli responsible for ventilator-associated pneumonia and their susceptibilities obtained in a third period: 1999-2001. The long-term effect (5 yrs) of such a strategy-2-yr protocol period (1997-1998) and 3-yr routine period (1999-2001)-could be evaluated. MEASUREMENTS AND MAIN RESULTS: During the 7-yr study period, 2,856 patients were mechanically ventilated for >48 hrs. The incidence of ventilator-associated pneumonia remained significantly lower in period 3 (1999-2001): 23% (period 1, 1995-1996) vs. 15.7% (period 2, 1997-1998) vs. 16.3% (period 3, 1999-2001; p =.002). Late-onset ventilator-associated pneumonia occurred in 86.6% and 94% of cases, respectively, in periods 1 and 3 (p =.02). The decrease of the incidence of early-onset ventilator-associated pneumonia was statistically significant during the 7-yr study period: 13% vs. 9% vs. 5.9% (p =.02). Combined with a higher incidence of late-onset ventilator-associated pneumonia, the incidence of potentially resistant Gram-negative bacilli increased in period 3: 42.2% vs. 34.5% vs. 41.7% (nonsignificant), except for B. cepacia: 11.7% vs. 7.4% vs. 3.7% (p =.005). Nevertheless, the potential antibiotic-resistant Gram-negative bacilli were more sensitive to most of the beta-lactams, especially piperacillin-tazobactam and cefepime. CONCLUSIONS: Rotation of antibiotics could help to avoid ventilator-associated pneumonia. It could greatly improve the susceptibilities of the potentially antibiotic-resistant Gram-negative bacilli responsible for late-onset ventilator-associated pneumonia. This program could be applied in routine with good results 5 yrs after its introduction. Further studies, especially multiple-center trials, are necessary to confirm this result and better define the rotation type and intervals.

Aminoglycosides↗
PubMed2007

Using navigation to measure rotation kinematics during ACL reconstruction.

Rotational kinematics of the knee is not fully restored after single-bundle anterior cruciate ligament (ACL) reconstruction. Cadaveric experiments using knee testing machines have suggested anatomical reconstruction replacing the anteromedial and posterolateral bundles could restore knee kinematics more effectively than single-bundle reconstruction. However, practical tools to objectively assess knee rotational laxities clinically have not been available. We used an optically based computer-assisted navigation system to measure the tibiofemoral motion kinematics in four fresh whole cadavers. Standard clinical knee laxity tests (anterior drawer, Lachman, and pivot shift) were performed and the kinematics described in terms of tibial axial rotation and anteroposterior translation. Data were obtained for intact knees after excision of the ACL and sequential reconstruction of the anteromedial and posterolateral bundles. In the ACL-deficient knee, the mean maximum tibial rotation during the pivot shift test was 27 degrees and mean maximum translation 11 mm. Reconstruction of the anteromedial bundle reduced the rotational component to 18 degrees and translation to 7 mm. Reconstruction of the posterolateral bundle reduced rotation to 14 degrees . This pilot study suggests computer assisted navigation could provide a practical method to objectively measure the pivot shift and may be used clinically to demonstrate differences in the control of tibiofemoral rotation kinematics afforded by single and two-bundle ACL reconstructions.

Aged↗
PubMed1988

Temperature-induced reversals of rotation in phycomyces.

The steady state extension and rotation rates of the Phycomyces sporangiophore were measured as a function of temperature. Maximum growth occurred at 27 degrees C; maximum rotation at 28 degrees C. The rotation to extension ratio, a qualitative parameter of cell wall structure, is affected differently by high and low temperatures. Steady state counterclockwise rotation, as opposed to the normal clockwise rotation, was found at both high and low temperatures. The extensional and rotational responses to step changes in temperature were also measured. The conclusions are drawn that a relative decrease in the lysis rate of wall polymer is responsible for the decrease in growth rate at low temperatures, and that a relative increase in the rate of wall synthesis and cross-linking is responsible for the decrease in growth rate at high temperatures. It is suggested that reversals in rotation result from changes in the handedness of the wall's helical structure.

Journal Article↗
PubMed2004

A subgroup algorithm to identify cross-rotation peaks consistent with non-crystallographic symmetry.

Molecular replacement (MR) often plays a prominent role in determining initial phase angles for structure determination by X-ray crystallography. In this paper, an efficient quaternion-based algorithm is presented for analyzing peaks from a cross-rotation function in order to identify model orientations consistent with proper non-crystallographic symmetry (NCS) and to generate proper NCS-consistent orientations missing from the list of cross-rotation peaks. The algorithm, CRANS, analyzes the rotation differences between each pair of cross-rotation peaks to identify finite subgroups. Sets of rotation differences satisfying the subgroup axioms correspond to orientations compatible with the correct proper NCS. The CRANS algorithm was first tested using cross-rotation peaks computed from structure-factor data for three test systems and was then used to assist in the de novo structure determination of dihydrofolate reductase-thymidylate synthase (DHFR-TS) from Cryptosporidium hominis. In every case, the CRANS algorithm runs in seconds to identify orientations consistent with the observed proper NCS and to generate missing orientations not present in the cross-rotation peak list. The CRANS algorithm has application in every molecular-replacement phasing effort with proper NCS.

Algorithms↗
PubMed2001

Evaluation of a residency program's experience with a one-week emergency medicine resident rotation at a medical liability insurance company.

INTRODUCTION: The authors' residency program implemented a one-week rotation at the office of a medical liability insurance company. Residents examined 30 closed malpractice claims cases and sat in on settlement discussions. OBJECTIVE: To review the residents' evaluations of their experiences and to determine whether this was a worthwhile addition to the emergency medicine (EM) residency curriculum. METHODS: This was a five-year retrospective study that reviewed residents' annual evaluations from 1994 to 1999 regarding the medical liability rotation. A five-point scale was used to score specific categories in the rotation and an open-ended section was used to collect general comments. RESULTS: A total of 179 resident evaluations were reviewed. The quality of teaching ranked in the 80th percentile, the clinical caseload ranked in the 85th percentile, and level of responsibility ranked in the 79th percentile for all EM rotations. Specific comments included "All MDs should do this in their training"; "Quite an eye opener"; and "Good exposure to legal aspects of EM." CONCLUSIONS: Overall, EM residents found the one-week rotation to be invaluable and a good learning experience. This rotation ranked above average when compared with all of our other EM residency rotations.

Attitude of Health Personnel↗
PubMed2002

Expression of RoTat 1.2 cross-reactive variable antigen type in Trypanosoma evansi and T. equiperdum.

The variable antigen type (VAT) RoTat 1.2 has been cloned from a T. evansi strain, isolated in 1982 from a water buffalo in Indonesia. All T. evansi isolates hitherto tested express this VAT. In a study on the differential diagnosis of T. equiperdum and T. evansi in horses, we investigated serological evidence for the expression of RoTat 1.2 in 11 T. evansi and six T. equiperdum populations originating from Asia, Europe, Africa, and the Americas. Preinfection sera and sera of days 7, 14, 25, and 35 post-infection (p.i.) were analyzed for the presence of antibodies reactive with RoTat 1.2 in immune trypanolysis, ELISA/T. evansi and CATT/T. evansi. Within the duration of the experiment, all rabbits infected with T. evansi became positive in the three serological tests. Five out of six rabbits infected with T. equiperdum also became positive in the three tests. Only one T. equiperdum strain (the OVI strain from South Africa) did not induce the production of antibodies reactive with RoTat 1.2 and thus might not contain or express a VSG that shares epitopes similar to those on the RoTat 1.2 VSG. The data lead to the conclusion that T. equiperdum can express VSGs containing epitopes serologically similar to those in the T. evansi RoTat 1.2 VAT. This explains, in part, why the antibody detection tests based on Ro Tat 1.2 VSG cannot reliably distinguish between the infections caused by T. evansi and those caused by T. equiperdum. There are no data that contradict the possibility that the putative T. equiperdum strains, which express VSGs with epitopes similar to those on RoTat 1.2, are actually T. evansi.

Animals↗
PubMedDate not supplied

Physical aspects of a rotational total skin electron irradiation.

A technique for rotational total skin electron irradiation is presented in which the patient stands on a slowly rotating platform (SSD = 285 cm) in a large uniform linear accelerator electron field (Eo = 3.5 MeV). The beam is scattered by the transmission ionization chamber and by a special lead/aluminum scattering filter, and then degraded by a sheet of Lucite. A Farmer chamber is used as a patient dose monitor and a method for absolute dose calibration is presented. The field is uniform to within +/- 5% for dimensions of 180 X 40 cm2. The surface dose for rotational therapy is equal to 45% of the maximum dose in a stationary beam. The rotating beam exhibits a dose maximum on the surface, falls to 80% at 0.5 cm and has an x-ray contamination of approximately 4%. The surface dose rate is about 25 cGy/min for the rotating beam. The rotational beam percentage depth dose distributions, calculated using stationary beam information, agree well with measured data. The stationary beam exhibits a dose maximum at 4 mm in tissue, a surface dose of 93%, 80% dose at a depth of 1 cm, a practical range of 1.75 cm, and an x-ray contamination of 2.5%. The rotational total skin electron irradiation significantly reduces the patient treatment and setup time and solves the problem of beam matching, when compared to standard multiple-beam techniques.

Electrons↗
PubMed1998

Determination of rotations in three dimensions using two-dimensional portal image registration.

The relative relationships among anatomic features visualized on planar radiographic images change due to rotations of the patient out of the imaging plane. These changes can be predicted a priori from a three-dimensional radiographic model of the patient. In this study we assess the feasibility of using that information together with a planar image feature alignment tool to account for out-of-plane rotations in the evaluation of subsequent clinical patient images. A series of digitally reconstructed radiographs (DRRs) with known patient rotations was generated from a computed tomography scan of an anthropomorphic head phantom. Fixed anatomic features were extracted, as seen in the DRRs of rotated anatomy and entered into a database. Alignment of features from test radiographs with those from an entry in this database yielded an estimate of rotation out of plane (database entry that resulted in the best fit via planar transformation) along with the planar components of setup errors in the rotated plane. Tests using DRRs and films show that it is possible to select anatomic features in AP skull radiographs with position and orientation sensitive to out-of-plane rotation.

Databases as Topic↗
PubMed1993

A strategy for rotation of different bacteriophage defenses in a lactococcal single-strain starter culture system.

A new strategy for starter culture rotations was developed for a series of phage-resistant clones genetically derived from a single strain of Lactococcus lactis subsp. lactis. Phage-resistant derivatives carrying different defense systems were constructed via conjugation with various plasmids encoding abortive infection (Abi/Hsp) and/or restriction and modification (R/M) systems of different specificity. The plasmids included pTR2030 (Hsp R/M), pTN20 (Abi R/M), pTRK11 (R/M), and pTRK68 (R/M). Selected phage-resistant transconjugants or transformants were evaluated in different rotation sequences through cycles of the Heap-Lawrence starter culture activity test in milk contaminated with phage and whey from the previous cycle. When used in consecutive sequence, derivative strains carrying the R/M systems encoded by pTN20, pTRK11, and pTRK68 retarded phage development when the initial levels of phage contamination were below 10 PFU/ml but not when levels were increased to 10 PFU/ml. Use of a derivative bearing pTR2030 (Hsp R/M) at the beginning of the rotation prevented phage development, even when the initial levels of phage contamination were high (10 PFU/ml). Alternating the type and specificity of R/M and Abi defenses through the rotation prevented phage proliferation and in some cases eliminated contaminating phages. A model rotation sequence for the phage defense rotation strategy was developed and performed successfully over nine cycles of the Heap-Lawrence starter culture activity test in the presence of high-titer commercial phage composites. This phage defense rotation strategy is designed to protect a highly specialized Lactococcus strain from phage attack during continuous and extended use in the dairy industry.

Journal Article↗
PubMed1999

Correlation of medial/lateral rotation of the humerus with glenohumeral translation.

OBJECTIVES: To correlate glenohumeral translation in the anterior/posterior direction with medial and lateral rotation of the humerus. In addition, the length of the anterior and posterior component of the glenohumeral capsuloligamentous complex was varied in order to gain insight into the contribution of each component to limiting translation. All measurements were made with the humerus positioned at 90 degrees of abduction and 0 degrees of flexion/ extension. METHODS: Six fresh cadaveric shoulders were used. Each scapula was mounted in a cement pot to rest it in its correct anatomical position. Seven tests were carried out on each shoulder. A series of measurements of translation of the humerus in the anterior direction and posterior direction were taken at 20 degrees intervals of lateral rotation and then at 20 degrees intervals of medial rotation until the limit of lateral or medial rotation had clearly been reached (test 1). The capsuloligamentous complex was then incised and a beaded chain and catches were sutured across the joint to mimic the capsuloligamentous complex at different lengths (tests 2 to 7). RESULTS/CONCLUSIONS: (a) When the glenohumeral capsuloligamentous complex is intact, the humerus translates maximally in the glenoid (between 20 and 30 mm) when the humerus is between 40 degrees and 100 degrees of lateral rotation. (b) As the glenohumeral capsuloligamentous complex increases in length, so does the extent of translation. (c) In medial rotation, the length of the posterior capsule, rather than the length of the anterior capsule, has the greater effect on anterior/posterior translation. (d) In lateral rotation the length of the anterior capsule, rather than the length of the posterior capsule, has the greater effect on anterior/posterior translation. (e) The glenohumeral ligamentous complex acts more as a cuff, enclosing the joint, rather than as a sling, as is commonly thought.

Aged↗
PubMed2002

Podokinetic after-rotation following unilateral and bilateral podokinetic stimulation.

Previous studies demonstrated an aftereffect of walking on a rotating treadmill, involving inadvertent circular navigation with eyes closed [podokinetic after-rotation (PKAR)]. We compared PKAR following unilateral and bilateral podokinetic (PK) stimulation to determine whether the left and right legs could be independently adapted. Each subject performed two sessions of PK stimulation, stepping in place with one foot on either side of the axis of a rotating disk. Subjects experienced bilateral stimulation (i.e., both left and right feet stepped on the rotating disk) in one session and unilateral stimulation (i.e., the left foot stepped on the rotating disk and the right foot stepped on a stationary surface) in the other. Following stimulation, we recorded foot lift-off and touchdown times and pelvic angular velocity while subjects stepped in place on a stationary surface. PKAR velocity following unilateral stimulation was lower than that following bilateral stimulation. Following bilateral stimulation, pelvic rotation was in the counterclockwise (CCW) direction during single-limb support on both the left and right sides. Immediately following left unilateral stimulation, subjects demonstrated CCW pelvic rotation during left single-limb support but not during right single-limb support. Across the first 13 strides, the difference between left and right sides diminished; pelvic angular velocity was then CCW during single-limb support on both sides. This suggests that both the adapted left and the unadapted right limb influenced the final PKAR response with information from the two limbs being integrated over the first few strides.

Adaptation, Physiological↗
PubMed1989

Underlying mechanisms of the response specificity of expansion/contraction and rotation cells in the dorsal part of the medial superior temporal area of the macaque monkey.

1. The dorsal part of medial superior temporal area (MST) has two unique types of visually responsive cells: 1) expansion/contraction cells, which selectively respond to either an expansion or a contraction; and 2) rotation cells, which selectively respond to either a clockwise or a counterclockwise rotation. In addition to selectivity for the mode of motion, both types of cells respond preferentially to movements over a wide field rather than over a small field. With the aim of understanding the underlying mechanisms of these selectivities, we carried out experiments on immobilized monkeys anesthetized with N2O. 2. Expansion/contraction and rotation of a pattern extending over a wide field contain three stimulus factors: 1) the spatial arrangement of different directions of movement, 2) the gradient in the speed of regional movement from the center to the periphery of the stimulus, and 3) the size change of texture components of the pattern in the expansion/contraction and the acceleration of movement of texture components toward the center of the stimulus in the rotation. The contribution of each factor to the activation of the cells was evaluated by comparing the response before and after removing the factor from the stimulus. The moving stimuli that lacked one or two of the factors were produced by the use of a cinematographic animation technique. 3. Withdrawal of the first factor, the spatial arrangement of different directions of movement, reduced the response of both Expansion/contraction and Rotation cells much more severely than either of the other two factors. We concluded that the first factor is far more important for activation than the other two. 4. These results are consistent with the model that Expansion/contraction and Rotation cells receive converging inputs from many directional cells with relatively small receptive fields in different parts of the visual field. Because MST receives strong fiber projections from MT, MT cells are candidates for the input cells. According to the model, if the convergence is organized so that the preferred directions of the input cells are arranged radially, the target cell will be an Expansion/contraction cell; if the input cells are arranged circularly, a Rotation cell will result.

Animals↗