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Acceptance testing prone stereotactic breast biopsy units.

When the Mammography Quality Standards Act becomes law in October, 1994, stereotactic breast biopsy units may require yearly physicist calibration. Upright stereotactic units can be easily tested using conventional mammography procedures and a gelatin phantom containing simulated calcifications, but prone units are difficult to assess because of the under-table tube configuration. The two current manufacturers of these units have made different design decisions which affect each unit's calibration. There are a number of important distinctions between screening and prone biopsy units. For the two currently available prone units, a pronounced heel effect makes ion chamber position critical. Focal spot measurements are particularly difficult on one unit because there is no light field. The fixed grid on the other unit must be tested with a flood film. Physicists who inspect these units before their clinical use should be aware of variations needed by this equipment for specific acceptance tests.

Biophysical Phenomena↗

Agreement between a frequency-weighted filter for continuous biomechanical measurements of repetitive wrist flexion against a load and published psychophysical data.

A previous pilot study demonstrated that a force and frequency-weighted filter network could be developed for processing continuous biomechanical measures of repetitive wrist motions and exertions. The current study achieves the objective by modelling subjective discomfort for repetitive wrist flexion using controlled posture, pace and force. A three-level fractional factorial experiment was conducted involving repetitive wrist flexion (2 s/motion, 6 s/motion, 10 s/motion) from a neutral posture to a given angle (10 degrees, 28 degrees, 45 degrees) against a controlled resistance (5 N, 25 N, 50 N) using a Box Behnken design. Ten subjects participated. Discomfort was reported on a 10 cm visual analogue scale. Results of response surface regression analysis revealed that main effects of force, wrist flexion angle, and repetition were all significant (p < 0.05) and that no second-order effects were observed. Linear regression analysis on these factors established a discomfort model on which the filter characteristics were based. The pure error test model revealed no significant lack of fit (p > 0.05). The continuous model was compared and agreed with discrete psychophysical data from other published studies. The model was used for generating parameters for a force and frequency-weighted digital filter that weighs continuous wrist postural signals with corresponding force in proportion to the equal discomfort function as a function of frequency of repetition. These filters will enable integration of large quantities of biomechanical data in field studies.

Adult↗

A behavior-based inverse kinematics algorithm to predict arm prehension postures for computer-aided ergonomic evaluation.

In this paper, the computational problem of inverse kinematics of arm prehension movements was investigated. How motions of each joint involved in arm movements can be used to control the end-effector (hand) position and orientation was first examined. It is shown that the inverse kinematics problem due to the kinematic redundancy in joint space is ill-posed only at the control of hand orientation but not at the control of hand position. Based upon this analysis, a previously proposed inverse kinematics algorithm (Wang et Verriest, 1998a) to predict arm reach postures was extended to a seven-DOF arm model to predict arm prehension postures using a separate control of hand position and orientation. The algorithm can be either in rule-based form or by optimization through appropriate choice of weight coefficients. Compared to the algebraic inverse kinematics algorithm, the proposed algorithm can handle the non-linearity of joint limits in a straightforward way. In addition, no matrix inverse calculation is needed, thus avoiding the stability and convergence problems often occurring near a singularity of the Jacobian. Since an end-effector motion-oriented method is used to describe joint movements, observed behaviors of arm movements can be easily implemented in the algorithm. The proposed algorithm provides a general frame for arm postural control and can be used as an efficient postural manipulation tool for computer-aided ergonomic evaluation.

Adult↗

A mathematical model of the stability control of human thorax and pelvis movements during walking.

A mathematical model is developed to study the human thorax and pelvis movements in the frontal plane during normal walking. The model comprises of two-link base-excited inverted pendulums with one-degree of rotational freedom for each link. Since the linear motion of the pelvis has a significant effect on the upper body stability, this effect is included in the model by having a base point moving in the frontal plane in a general way. Furthermore, because the postural stability is the primary requirement of normal human walking, the control law is developed based on Lyapunov's stability theory, which guarantees the stability of the pendulum system around the up-right position. To evaluate the model, the simulation results, including the angular displacement of each link and the torque applied on each link, are compared with those from gait measurements. It is shown that the simulation results match those from gait measurements closely. These results suggest that the proposed model can provide a useful framework for analysis of postural control mechanisms.

Algorithms↗

Review of range of arytenoid cartilage motion.

Vocal fold abduction/adduction posturing is key to phonation control. As biomechanical models of the larynx increase in complexity, there is a need to verify them with laboratory data. To help experimental cross-validation of models, ranges of vocal process displacement were reviewed and combined. Although general inter-study agreement was found, there was substantial variation. Using a model of vocal fold posturing, insights were uncovered that could not otherwise be made; best-practice guidelines and research avenues for future studies of vocal posturing were also outlined.

Journal Article↗

Anticipatory control of center of mass and joint stability during voluntary arm movement from a standing posture: interplay between active and passive control.

Anticipatory control of upright posture is the focus of this study that combines experimental and modeling work. Individuals were asked to raise or lower their arms from two initial postures such that the final posture of the arm was at 90 degrees with respect to the body. Holding different weights in the hand varied the magnitude of perturbation to postural stability generated by the arm movement. Whole body kinematics and ground reaction forces were measured. Inverse dynamic analysis was used to determine the internal joint moments at the shoulder, hip, knee and ankle, and reaction forces at the shoulder. Center of mass (COM) of the arm, posture (rest of the body without the arms) and whole body (net COM) were also determined. Changes in joint moment at the hip, knee and ankle revealed a significant effect of the direction of movement. The polarities of the joint moment response were appropriate for joint stabilization. Net COM change showed a systematic effect of the direction of movement even though the arm COM was displaced by the same amount and in the same direction for both arm raising and lowering conditions. In order to determine the effects of the passive forces and moments on the posture COM, the body was modeled as an inverted pendulum. The model was customized for each participant; the relevant model parameters were estimated from data obtained from each trial. The ankle joint stiffness and viscosity were adjusted to ensure postural equilibrium prior to arm movement. Joint reactive forces and moments generated by the arm movements were applied at the shoulder level of this inverted pendulum; these were the only inputs and no active control was included. The posture COM profile from the model simulation was calculated. Results show that simulated posture COM profile and measured posture COM profile are identical for about 200 ms following the onset of arm movement and then they deviate. Therefore, the initial control of COM is passive in nature and the observed joint moment response is for joint stabilization and not for the control of COM.

Adaptation, Physiological↗

Task effects on three-dimensional dynamic postures during seated reaching movements: an investigative scheme and illustration.

In this paper we describe a new scheme for empirically investigating the effects of task factors on three-dimensional (3D) dynamic postures during seated reaching movements. The scheme relies on an underlying model that integrates two statistical procedures: (a) a regression description of the relationship between the time-varying hand location and postural angles to characterize the movement data and (b) a series of analyses of variance to test the hypothesized task effects using representative instantaneous postures. The use of this scheme is illustrated by an experiment that examines two generic task factors: hand motion direction and motion completion time. Results suggest that hand motion direction is a significant task factor in determining instantaneous postures, whereas a distinctive difference in the time to complete a motion does not appear to have a significant effect. We discuss the concept of an instantaneous posture and its utility in dynamic studies of movements, some insights into human reaching movement control strategy, and implications for the development of a 3D dynamic posture prediction model.

Adult↗

Postural control in single-limb stance.

Postural control in single-limb stance has previously been shown to be impaired among soccer players with functional instability (FI) of the ankle joint. The aim of the present study was to further study the role of the ankle in postural control. A dynamic method was used involving optoelectronic movement recordings of body segments and force-plate recordings of the reaction ground force. Surface electromyography was recorded for the peroneus longus muscle. Thirty physically active men were selected. Fifteen of them had FI of the ankle chosen for recording. The results show that different patterns exist for maintaining equilibrium in single-limb stance. The ankle has a central role for postural corrections. The position of center of pressure is highly correlated to the position of the ankle and peroneal muscle activity. When the body was in disequilibrium, corrections were made at the hip. It is proposed that a change from an inverted pendulum model to a multisegmental chain model takes place when adjustments at the ankle joint no longer suffice to maintain postural control. The men with FI showed impaired postural control associated with increased upper segmental corrections.

Adolescent↗

The second order autoregressive model in the evaluation of postural stability.

The properties of a new postural stability criterion based on the analysis of the difference between centre of pressure and centre of gravity are discussed. This difference may be regarded as the control variable representing active work of ankle muscles allowing to maintain equilibrium and can be effectively modelled as the second order autoregressive process. The model includes two parameters, which allow us to compute stability margin and respective peak frequency considered here as stability biomarkers characterising the human posture control system. The approach, originally designed for quiet stance, lets us effectively assess the stability changes during performance of postural tasks at different levels of difficulty. The latter feature may indicate that the method can find clinical application in the assessment of postural disorders as a supplementary tool reinforcing traditional measures of postural sway. This is particularly convincing in view of the fact that the correlations between old and new measures are low, what implies that the stability biomarkers contain different information concerning the stability of posture as compared with other indices.

Adult↗

Brain regions and genes affecting postural control.

Postural control is integrated in all facets of motor commands. The role of cortico-subcortical pathways underlying postural control, including cerebellum and its afferents (climbing, mossy, and noradrenergic fibers), basal ganglia, motor thalamus, and parieto-frontal neocortex has been identified in animal models, notably through the brain lesion technique in rats and in mice with spontaneous and induced mutations. These studies are complemented by analyses of the factors underlying postural deficiencies in patients with cerebellar atrophy. With the gene deletion technique in mice, specific genes expressed in cerebellum encoding glutamate receptors (Grid2 and Grm1) and other molecules (Prkcc, Cntn6, Klf9, Syt4, and En2) have also been shown to affect postural control. In addition, transgenic mouse models of the synucleinopathies and of Huntington's disease cause deficiencies of motor coordination resembling those of patients with basal ganglia damage.

Afferent Pathways↗

Threshold control of arm posture and movement adaptation to load.

We addressed the fundamental questions of which variables underlie the control of arm movement and how they are stored in motor memory, reproduced and modified in the process of adaptation to changing load conditions. Such variables are defined differently in two major theories of motor control (internal models and threshold control). To resolve the controversy, these theories were tested (experiment 1) based on their ability to explain why active movement away from a stable posture is not opposed by stabilizing mechanisms (the posture-movement problem). The internal model theory suggests that the system counteracts the opposing forces by increasing the muscle activity in proportion to the distance from the initial posture (position-dependent EMG control). In contrast, threshold control fully excludes these opposing forces by shifting muscle activation thresholds and thus resetting the stabilizing mechanisms to a new posture. Subjects were sitting, holding the vertical handle of a double-joint manipulandum with their right hand and were facing a computer screen on which the handle and target to be reached were displayed. In response to an auditory signal, subjects quickly moved the handle from an initial position to one of two (frontal and sagittal) targets. No load was applied during the movement but in separate trials, a brief perturbation was applied to the handle by torque motors controlling the manipulandum. Perturbations were applied prior to or 3 s after movement offset, in the latter case in one of eight directions. The EMG activity of the majority of the seven recorded muscles was at zero level before movement onset and returned to zero level after movement offset. Those muscles that remained active before or after the movement could be made silent whereas previously silent muscles could be activated after a small passive displacement (several millimeters) elicited by perturbations in appropriate directions. Results showed that the activation thresholds of motoneurons of arm muscles were reset from the initial to a final position and that EMG activity was not position-dependent. These results were inconsistent with the internal model theory but confirmed the threshold control theory. Then the ability of threshold control theory to explain rapid movement adaptation to a position-dependent load was investigated (experiment 2 and 3). Subjects produced fast movement to the frontal target with and without a position-dependent load applied to the handle. Trials were organized in blocks alternating between the load and no-load condition (20 blocks in total, with randomly chosen number of five to ten trials in each). Subjects were instructed "do not correct" in experiment 2 and "correct" movement errors during the trial in experiment 3. Five threshold arm configurations underlying the movement production and adaptation were identified. When instructed "do not correct", movement precision was fully restored on average after two trials. No significant improvement was observed as the experiment progressed despite the fact that the same load condition was repeated after one block of trials. Thus, in each block, the adaptation was made anew, implying that subjects relied on short-term memory and could not recall the threshold arm configurations they specified to accurately reach the same target in the same load condition in previous blocks. When instructed to "correct" within each trial, precision was restored faster, on average after one trial. Major aspects of the production and adaptation of arm movement (including the kinematics, movement errors, instruction-dependent behavior, and absence of position-related EMG activity) are explained in terms of threshold control.

Adaptation, Physiological↗

Effects of explicit sway-minimization on postural--suprapostural dual-task performance.

Participants performed a visual search task under immersive visualization conditions while standing in open or closed stance. In the combined instruction condition, participants were asked to minimize their sway while they performed the search task, and in the search-only condition, they were advised that sway was not of interest, and they were asked to focus their efforts on performing the search task. Regardless of instructions, participants swayed more and made more errors as search load increased. Participants also succeeded in reducing their sway when asked to do so. While search in closed stance tended to be faster than in open stance under search-only instructions, this pattern reversed significantly under combined instructions. We suggest that neither the facilitatory control hypothesis nor any resource-competition model of postural--suprapostural dual-tasking can fully account for the observed interplay of task-facilitation and task-interference effects. We offer adaptive resource-sharing as an alternative to these theories.

Adolescent↗

Cerebral pressure-flow relations in hypertensive elderly humans: transfer gain in different frequency domains.

The dynamics of the cerebral vascular response to blood pressure changes in hypertensive humans is poorly understood. Because cerebral blood flow is dependent on adequate perfusion pressure, it is important to understand the effect of hypertension on the transfer of pressure to flow in the cerebrovascular system of elderly people. Therefore, we examined the effect of spontaneous and induced blood pressure changes on beat-to-beat and within-beat cerebral blood flow in three groups of elderly people: normotensive, controlled hypertensive, and uncontrolled hypertensive subjects. Cerebral blood flow velocity (transcranial Doppler), blood pressure (Finapres), heart rate, and end-tidal CO(2) were measured during the transition from a sit to stand position. Transfer function gains relating blood pressure to cerebral blood flow velocity were assessed during steady-state sitting and standing. Cerebral blood flow regulation was preserved in all three groups by using changes in cerebrovascular resistance, transfer function gains, and the autoregulatory index as indexes of cerebral autoregulation. Hypertensive subjects demonstrated better attenuation of cerebral blood flow fluctuations in response to blood pressure changes both within the beat (i.e., lower gain at the cardiac frequency) and in the low-frequency range (autoregulatory, 0.03-0.07 Hz). Despite a better pressure autoregulatory response, hypertensive subjects demonstrated reduced reactivity to CO(2). Thus otherwise healthy hypertensive elderly subjects, whether controlled or uncontrolled with antihypertensive medication, retain the ability to maintain cerebral blood flow in the face of acute changes in perfusion pressure. Pressure regulation of cerebral blood flow is unrelated to cerebrovascular reactivity to CO(2).

Aged↗

A model of neuro-musculo-skeletal system for human locomotion under position constraint condition.

The human locomotion was studied on the basis of the interaction of the musculo-skeletal system, the neural system and the environment. A mathematical model of human locomotion under position constraint condition was established. Besides the neural rhythm generator, the posture controller and the sensory system, the environment feedback controller and the stability controller were taken into account in the model. The environment feedback controller was proposed for two purposes, obstacle avoidance and target position control of the swing foot. The stability controller was proposed to imitate the self-balancing ability of a human body and improve the stability of the model. In the stability controller, the ankle torque was used to control the velocity of the body gravity center. A prediction control algorithm was applied to calculate the torque magnitude of the stability controller. As an example, human stairs climbing movement was simulated and the results were given. The simulation result proved that the mathematical modeling of the task was successful.

Adaptation, Physiological↗

A model for reaching control.

In this paper we propose that reaches are made to target postures which are selected by evaluating stored postures. Target postures are chosen by taking a weighted average of the stored postures, where the weights assigned to the stored postures depend on their effectiveness for the task. Movements from starting postures to target postures are achieved by reducing the distance, in joint space, between the two. The form of the movement depends on drive (assumed to decrease as less distance remains) and inertia. The model predicts the Power Law of learning, compensation for immobility of joints, changes in limb contributions depending on movement speed, asymmetric bell-shaped velocity profiles, velocity-amplitude relations, Fitts' Law, and position-dependent variations in hand-path curvature. Planned extensions of the model may broaden its application-for example, to handwriting.

Humans↗

Striatal influences on paravermal cerebellar activity.

Units were recorded extracellularly in paravermal cortex (lobule VI) of the cerebellum of chloralose anesthetized cats. Electrical stimulation of the striatum evoked excitation followed by inhibition in these neurons. In addition, the somatosensory properties of these cells were also affected by the striatum. A conditioning-test paradigm (C-T) was used in which conditioning stimulation was applied to the striatum. Test responses were evoked in cerebellar neurons by facial stimulation. As a function of the C-T interval, striatal stimulation could either enhance or suppress the test facial responses. In another procedure, a moveable electrode was used to map the thresholds for affecting the cerebellum from different points in the striatum. The lowest mean threshold was in the putamen followed respectively by the internal capsule and caudate nucleus. Control experiments suggested that striatal effects on the cerebellum were due neither to extra-striatal current spread nor antidromic activation of corticostriatal fibers. These data were discussed with regard to models of striatal motor functioning that indicate a role in postural control and sensory gating.

Action Potentials↗