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Tonic inhibition of dorsal pontine neurons during the postural atonia produced by an anticholinesterase in the decerebrate cat.

1. Experiments performed in precollicular decerebrate cats indicate that neurons located in the caudal part of the locus coeruleus and locus subcoeruleus as well as in the surrounding reticular formation were greatly depressed during the cataplectic episodes induced by i.v. injection of 0.1 mg/kg of eserine sulphate. 2. These units actually showed a slow regular firing rate when the rigidity was present. Moreover their firing rate greatly decreased during the episodes of postural atonia produced by the anticholinesterase. In some instances a complete abolition of firing occurred during these episodes. The depression of unit discharge anticipated the onset of postural atonia and lasted throughout the episodes. 3. Some of the neurons described above responded with steady changes in their discharge rate to natural stimulation of macular labyrinthine receptors during postural rigidity. However, the response of these neurons to lateral tilts was suppressed during the episodes of postural atonia induced by the anticholinesterase, This and other arguments suggested that these units were tonically inhibited during the induced cataplectic episodes. 4. The time course of the rate deceleration shown by these neurons during transition from postural rigidity to muscular atonia represents a mirror image of the rate acceleration which affects most of the pontine reticular neurons located in the gigantocellular tegmental field (FTG) during the induced cataplectic episodes. These reciprocal rate relations suggest that a functional interaction exists between the two cell groups. In particular it is postulated that the pontine FTG neurons are self-excitatory and excitatory to the locus coeruleus neurons, while the last neurons may be self-inhibitory and inhibitory to FTG neurons. These findings can be related to previous observations showing that neurons located in the region of locus coeruleus undergo a rate deceleration during desynchronized sleep which mimics the time course of firing to the pontine reticular neurons. 5. In conclusion it appears that the decerebrate rigidity is present in so far as the cholinergic reticular neurons, which trigger the bulbospinal inhibitory system, are tonically inhibited by neurons located in the monoaminergic structures of the dorsolateral pontine tegmentum. On the other hand the suppression of the decerebrate rigidity ,which occurs during the cholinergically induced cataplectic episodes results from activation of the cholinergic reticular neurons, which escape tonic inhibition from monoaminergic structures.

Animals↗

Effect of cigarette smoking on postural muscle tremor.

In a study of the effect of smoking on postural reflexes--specifically postural muscle tremor--in man, amplitude of postural muscle tremor, when tested in 30 subjects, was increased to a significant degree immediately following the smoking of one cigarette. Tremor amplitude continued to be significantly increased one-half hour after smoking ceased. There was no significant change in the frequency of tremor. Measurement was made using a piezo crystal accelerometer attached to the third fingers of both hands. Effects were recorded with a Sanborn Twin Viso Recorder. The findings, that smoking does affect postural reflexes, have implications for the formulation of nursing therapies, particularly in areas such as rehabilitation nursing, where the use of postural reflexes is the primary mode of intervention.

Adult↗

[Comparison of the reliability of two 3D acquisition systems used for the study of anthropometric and postural parameters].

The goal of this study is to compare the between trials and between session reliability of the postural geometry (PG) and anthropometrical evaluations, obtained by the FreePoint (FP) system and the Motion Analysis System (MA). The potential of automatization of the anthropometric evaluation is also evaluate through the comparison of height measurements obtained by the two 3D systems and traditional anthropometrical tools. The PG of 15 adult control subjects (x: 25 years, SD: 6) evaluated on two occasions (1 week interval) and a mannequin on one occasion were evaluated with both systems. Each evaluation involved the identification of 52 anatomical landmarks followed by the acquisition of 5 trials with each system. The 3 dimensional position of the anatomical landmarks serves to define a postural model including the shoulder girdle, spinous processes (T1 to S1), thorax, pelvis, lower extremities and base of support. Postural parameters were calculated, including rotations, tilts, versions, kyphosis, lordosis, right and left Cobb, anteroposterior shifts, (AP), mediolateral shifts (ML) and vertical heights. The between trials and between session results demonstrate a strong correspondence of the 15 anthropometric heights and the 20 postural parameters between the three systems, permitting the proposal of a broadened clinical utilisation of the FreePoint system. However, the validity of these measures is influenced by the reliability of the anthropometric landmarking, natural oscillation of the body and the intra-specific variation of the posture of each subject.

Adult↗

[Occlusion and posture: is there evidence of correlation?].

The observation that the masticatory system and the postural body regulating system are anatomically and functionally related, has led to postulate several hypotheses of correlation between occlusal and postural disturbances. In the last decade, these arguments have gained a great social impact, also because they have been broadly spread by the mass-media. As a consequence, there has been a growing number of patients seeking concomitant occlusal and postural treatments. The aim of this study was to review critically the current evidence of correlation between the two systems; this in order to address clinical issues for the management of patients. Methodology of the studies reviewed has been evaluated according to the criteria suggested by Storey and Rugh 20 rif. Although there are some evidences of correlation between occlusion and posture, this appears limited to the cranio-cervical tract of the column and tends to disappear when descending in cranio-caudal direction. On the basis of this review of the literature, it's not advisable to treat postural imbalance by means of occlusal treatment or vice versa, particularly if the therapeutic modalities are irreversible.

Clinical Trials as Topic↗

Postural and anticonvulsant effects of inhibition of the rat subthalamic nucleus.

The subthalamic nucleus (STN) plays a crucial role as a regulator of basal ganglia outflow by providing excitatory glutamatergic input into the two output nuclei of the basal ganglia, substantia nigra pars reticulata (SNpr), and entopeduncular nucleus. This study examined the effects of suppressing activity in the STN of the awake, behaving rat. Specifically, we evaluated the effects of unilateral and bilateral focal inhibition of STN on posture, locomotion, and susceptibility to limbic motor seizures. Unilateral microinjection of a GABA(A) receptor agonist (muscimol, 200 pmol) into STN produced a site-dependent contralaterally directed postural asymmetry without locomotor activation. This effect differed from responses produced by the same dose of muscimol placed into SNpr, which included locomotor activation in addition to contralaterally directed postural asymmetry. Locomotor activation and postural asymmetry were obtained also after blockade of glutamate transmission in SNpr by the unilateral application of kynurenate (100 nmol). Our observation that STN inhibition did not induce the locomotor activation characteristic of SNpr inhibition suggests that there are glutamatergic inputs to SNpr, other than those from STN, that are responsible for controlling locomotion. Bilateral, but not unilateral, injection of muscimol (200 pmol) into STN protected against limbic motor seizures evoked either by intravenous bicuculline or by focal application of bicuculline into anterior piriform cortex (area tempestas). These results demonstrate that focal inhibition of STN reproduces the postural asymmetry and anticonvulsant actions that are obtained with the inhibition of SNpr. This provides behavioral support for the concept that STN contributes a crucial tonic excitatory (glutamatergic) drive to the rat SNpr.

Animals↗

Ergonomic intervention: its effect on working posture and musculoskeletal symptoms in female biomedical scientists.

This study investigates the effect of ergonomic intervention on working posture and musculoskeletal symptoms in female biomedical scientists. The Nordic musculoskeletal questionnaire (NMQ), body discomfort chart (BDC) and rapid upper-limb assessment (RULA) are the tools for assessment. The study was conducted in three phases: pre-intervention, intervention and post-intervention. Pre-intervention, 79% of subjects reported a three-month prevalence of symptoms, and these were reported more frequently by those working in haematology/transfusion. Analysis by RULA showed that the majority (59%) of postures had a grand score of four. A further 24% had scores of five or six. The highest frequency of poor postures was seen in haematology/transfusion. Intervention comprised physical workplace changes, a seminar, and advice on risk factors. In the post-intervention phase, baseline measurements were repeated. Reporting of three-month prevalence of symptoms had decreased to 54%, and reports of body discomfort also had decreased. The majority (64%) had a RULA grand score of three. No observed postures had scores of five or six. In conclusion, ergonomic intervention resulted in an improvement in working postures, and a decrease in the prevalence of musculoskeletal symptoms and body discomfort. Analysis of findings indicate that RULA scores generally corresponded with reporting of symptoms (NMQ) and discomfort (BDC).

Adult↗

Vertical vibration of seated subjects: effects of posture, vibration level, and frequency.

The transmissibility of 12 seated subjects to sinusoidal vertical vibration was measured at 12 frequencies in the range of 7 to 75 Hz. Transmissibility, the ratio of seat vibration to vertical head vibration measured on a bite-bar, was determined at each of six levels of vibration (0.2 to 4.0 m/s2 r.m.s.) in two body postures. The postures were defined by the body positions that maximised and minimised the sensation of vibration at the subjects' heads. Measurements of the fore-and-aft (ax), lateral (ay), and pitch motions of the head were measured on three subgroups. Posture was found to have a very large effect on the vibration of the head with an approximate 6:1 difference in the mean vertical head vibration of the subjects between the two postures in the range 35 to 50 Hz. In both postures the mean transmissibility of the subjects decreased as frequency increased from 7 to 75 Hz and there were statistically significant reductions in transmissibility with increasing levels of vibration. Some results from individuals are presented to illustrate the large differences between subjects. The reactions of the subjects to the vibration are outlined and some implications of the results are discussed.

Adult↗

[The effect of 120 day anti-orthostatic hypokinesia on the status of the posture regulation systems].

The system of posture regulation was evaluated during 120-d head-down bedrest (-6 degrees). Functioning of the system was evaluated by the characteristics of corrective posture responses to pushes in the chest breaking the body equilibrium. Analyzed were parameters of amplitude and time of corrective responses, and strength and range of stimulus intensity. Results of the investigation showed that HD bedrest materially disturbs vertical stability and impairs effectiveness of the posture corrective mechanisms. Based on the data of this investigation and findings of previous efforts we can confidently distinguish two phases in development of disturbances in vertical stability during long-term HD bedrest associated with different leading mechanisms. On the first phase (15-30-d into the experiment), the principle posture problems are reduced tone of the anti-gravity musculature. On the second phase, particularly beginning on day 60, muscular atrophy processes become leading factors of postural disturbances. Apparently, these mechanisms, along with changed vestibular input, considerably impact vertical stability, especially after extended space mission.

Bed Rest↗

Task and postural factors are related to back pain in helicopter pilots.

BACKGROUND: A previous survey by Shear et al. revealed a high prevalence of back pain in Royal Navy helicopter aircrew, compared with controls. It was recommended that a second survey be undertaken, taking account of flying tasks and cockpit ergonomics. This was the purpose of the present investigation. METHOD: A questionnaire containing items on back pain and posture was circulated to all 246 acting pilots, with returns of 75%. The questionnaire sought information on pain in both the flying pilot and co-pilot/instructor roles. RESULTS: The 12-mo prevalence of back pain was 80%. Task-related back pain was greatest in instrument flying (72%) and least in the co-pilot and instructor roles (24%). Self-ratings of posture indicated that forward flexed trunk postures predominated in the flying roles and were most extreme in instrument flying. In non-flying roles, symmetrical, reclining postures were more often reported. No demographic or psychosocial variables were significantly related to back pain prevalence or disability. CONCLUSIONS: Much of the back pain experienced by helicopter pilots appears to be due to the posture needed to operate the cyclic and collective controls. In instrument flying, it is suggested that the visual demands of scanning the displays may exacerbate the pain by causing the pilot to lean further forward.

Aerospace Medicine↗

An ergonomic system for assessing postural stress in workplaces.

A new method has been developed to enable the ergonomic assessment of stress associated with posture at the workplace. It enables evaluations of the load resulting from working postures at workplaces where standing and walking postures dominate. The method also offers the possibility of estimating the preexisting load already at the stage of workplace designing. This may prove useful in evaluating both the global load and giving the designer an idea about the effect of individual design decisions on changes of the postural load. The method has been used to compare the postural stress at several workplaces in the textile industry and it seems to perform satisfactorily.

Biomechanical Phenomena↗

Back muscle EMG of helicopter pilots in flight: effects of fatigue, vibration, and posture.

INTRODUCTION: The high prevalence of low back pain in helicopter pilots has been attributed to back muscle fatigue due to a pilot's required posture and/or aircraft vibration. This study investigated the effect of posture and vibration on the surface electromyogram (EMG) of right and left erector spinae (ES) muscles of pilots and evaluated ES fatigue during flight. METHODS: There were 12 male pilots who were monitored during helicopter flights lasting an average of 2 h. Prior to the flight, a maximal voluntary contraction (MVC) of ES was performed and the EMG was recorded. Vibration was measured at the pilot's seat through a triaxial accelerometer. The effect of posture on EMG was tested by comparing four characteristics of left and right EMG expressed as % MVC. Effect of Z vibration on EMG was investigated by coherence function and through correlation between coherently averaged EMG and Z for the frequencies of the main rotor of the helicopter (1R) and its first harmonic (2R). Fatigue was investigated through median frequencies (MF) of the EMG power spectra. RESULTS: No effect of posture on EMG was found for any parameter (p > 0.05). Data from one pilot suggested an effect of 1R on EMG, but statistical tests revealed this not to be significant (p > 0.05) for any pilot. No fatigue was evidenced by linear regression of MF. CONCLUSION: While the scientific literature contains the hypothesis that low back pain in helicopter pilots is mainly due to muscle fatigue caused by posture and/or vibration, the present study did not lend support to this hypothesis.

Acceleration↗

Beneficial effects of postural intervention on prehensile action for an individual with ataxia resulting from brainstem stroke.

PRIMARY OBJECTIVE: This paper examined the effectiveness of postural training on upper extremity performance in an ataxic individual. The ataxia resulted from a brain stem stroke. RESEARCH DESIGN: Before-after, single-subject experimental design. EXPERIMENTAL INTERVENTION: Four-week course of postural training, comprised of three one-hour sessions/week. MAIN OUTCOMES AND RESULTS: The patient demonstrated an increase in function of the ataxic limb, as evidenced by appreciable increases in the Fugl-Meyer score and modest increases in the Postural Assessment Scale for Stroke Patients (PASS) score. CONCLUSIONS: Improvement in postural control influences upper extremity function affecting the speed and accuracy of the movement. We demonstrate the effectiveness of using postural training as an intervention towards reducing the effects of ataxia, a movement coordination impairment for which relatively few therapeutic techniques have been specifically developed or evaluated.

Aged↗

[Primary prevention program of the Hungarian Spine Society--Part II. A prospective controlled study of exercises for the improvement of posture].

INTRODUCTION: The primary prevention program of the Hungarian Spine Society is set around 12 test exercises that assess performance of postural muscles and then develops their strength and flexibility. By this the scheme aims to make the biomechanically correct use of the spinal column spontaneous. SUBJECTS AND METHODS: The application of the scheme in the frame of physical education in a primary school was investigated in a prospective controlled study in the school-year of 2001/2002. Participating children were aged 6 to 14. The intervention group (n=200) regularly did the posture correction exercises with their teacher's direction in physical education classes, while the control group (n=213) did not. The 12 test exercises of the posture correction scheme of the Hungarian Spine Society were tested by an independent physiotherapist at the beginning and at the end of the school-year in both groups. Results were analyzed by paired and unpaired t-tests and by a chi-square test. RESULTS: At the end of the school-year the strength and flexibility of the postural muscles of the intervention group improved significantly compared both to their own performance (p<0.01) at the beginning of the school-year and to the control group. Test results of the control group were significantly (p<0.05) worse at the end of the school-year than their own results at beginning of the school-year, and were more significantly (p<0.01) worse than the test results of intervention group. CONCLUSION: The results of the controlled study confirm that regular use of the preventive exercises in physical education improves the strength and flexibility of postural muscles. In order to analyze the results concerning specific muscle groups or age groups a detailed study with age- and gender-matched controls will be necessary.

Adolescent↗

The change of working posture in Manggur decreases cardiovascular load and musculoskeletal complaints among Balinese gamelan craftsmen.

Manggur, which means to plane down or sharpen, is a manual process in producing copper blades of Balinese gamelan orchestra. The craftsmen of Manggur work 6 to 8 hours a day, sitting on the floor with folded legs and hunched back. Because the craftsmen often complain about musculoskeletal problems after having completed a full day work, an ergonomic intervention was made by changing their usual working posture (the first working posture) into working on tables while sitting on chairs for one hour and alternately standing for half an hour (the second working posture). Treatment by subject design was applied to 22 randomly chosen craftsmen. Resting heart rate and working heart rate were measured by using a stopwatch, and the number of musculoskeletal complaints were recorded with Nordic Body Map Questionnaire. As a result, the second working posture caused significant reductions in working heart rate, work pulse (the difference between working heart rate and resting heart rate) and the number of musculoskeletal complaints. These results suggest that the change of working posture in manggur decreases cardiovascular load and musculoskeletal strain among Balinese gamelan craftsmen.

Adolescent↗

Postural sway during single and repeated cold exposures.

INTRODUCTION: Tissue cooling changes sensory and neuromuscular functions that are also involved in postural control. The purpose of the study was to determine how acute and repeated exposures to cold affect whole body postural control. METHODS: Postural sway was measured from 10 subjects during standing with eyes open (EO) and closed (EC) using an inclinometer-based method. Sway was assessed at at 10 degrees C on 10 consecutive days and at 25 degrees C on days 1, 5, and 10. Sway path length, area, velocity, side-to-side and forward-backward movement were assessed. At the same time, rectal and skin temperatures, muscle tonus/ shivering, thermal sensations, and comfort were recorded. RESULTS: Acute exposure to 10 degrees C caused thermal discomfort, significantly lowered (26.1-26.5 degrees C) mean skin temperatures, slightly lowered rectal temperature (36.7 degrees C) and increased (140-260%) muscle tone, increased sway path length (67-87%, p < 0.05), velocity (63-71%, p < 0.05), total sway area (42-67%, p < 0.05), and forward-backward movement (35-57%, p < 0.05) compared with 25 degrees C. Side-to-side movements were not altered in the cold. Postural sway increased with EC, and further when exposed to cold, but the effect of cold was smaller compared with EO. Repeated exposures over the 10-d period decreased sway 10-40% both at 25 degrees C and at 10 degrees C (p < 0.05-0.01), suggesting motor learning. The difference in sway between 25 degrees C and 10 micro C remained the same throughout the 10-d period, suggesting that the observed cold habituation responses do not affect sway. CONCLUSIONS: The results demonstrate that postural control is impaired in cold, which may affect physical performance in cold environmental conditions.

Adult↗

Chaotic analysis of electromyography signal at low back and lower limb muscles during forward bending posture.

The present study aims to perform further investigation on muscular activity during forward bending posture by applying a nonlinear dynamic (chaotic) analysis method. The objective is to determine the characteristics of the low back and lower limb muscle electromyography (EMG) signal under chaotic analysis while maintaining a certain posture. Twelve subjects were asked to maintain postures of six stages in bending angles from 0 to 180 degrees, and the EMG signals of erector spinae (ES) at L1 and L5 levels, hamstrings, and gastrocnemius were recorded. Two important concepts to characterize deterministic chaos, Correlation Dimension (D2) and Lyapunov Exponents (lambda, LE), were applied to observe the chaotic characteristic of the EMG signals, and the results were also compared to the FFT based total power value. The EMG signals in all observed muscles during bending posture showed results of positive LE and high D2 at 5.5 to 7.5, which led us to classify EMG as a high dimension chaotic signal. The result obtained showed that the correlation dimension could be used as a reliable method to compare the EMG signal in various postures (or muscle contraction conditions). However, Lyapunov exponents did not show a significant difference of comparison result thus leading to the conclusion that LE could not be a reliable measure for high dimension chaotic system, such as an EMG signal. It was also shown that in both light and deep bending, the EMG signal of the low back muscles was of the same complexity level due to the D2 result. It was evident that somehow the low back muscle remained loaded in all bending stages which was contrary to the hypothesis that the low back muscle was less active during the deep bending, as was the case in most of the previous studies. The reason of such phenomenon was elucidated with use of the theory of muscular functional differentiation, including corticalization and spinalization.

Adult↗

Redistribution of blood flow and lung volume between lungs in lateral decubitus postures during unilateral atelectasis and PEEP.

The effect of left lung atelectasis on the regional distribution of blood flow (Q), ventilation (V(A)) and gas exchange on the right lung ventilated with 100% O2 was studied in anesthetized dogs in the lateral decubitus posture. Q and V(A) were measured in 1.7 ml lung volume pieces using injected and aerosolized fluorescent microspheres, respectively. Hypoxic pulmonary vasoconstriction (HPV) in the atelectatic lung shifted flow to the ventilated lung. The increased flow in the ventilated lung ensured adequate gas exchange, compensating for the hypoxemia due to shunt contributed by the atelectatic lung. Left lung atelectasis caused a compensatory increase in the ventilated lung FRC that was smaller in the right (RLD) than left (LLD) lateral posture, the effect of lung compression by the atelectatic lung and mediastinal contents in the RLD posture. The O2 deficit measured by (A-a)DO2 increased with left lung atelectasis and was exacerbated in the LLD posture by 10 cm H2O PEEP, a result of increased shunt caused by a shift in Q from the ventilated to the atelectatic lung. The PEEP-induced O2 deficit was eliminated with inversion to the RLD posture.

Adaptation, Physiological↗

[Application of the OWAS method in the study of work postures among quarry manual workers].

BACKGROUND: Previous ergonomic and epidemiologic studies revealed high postural risk (exceeding the N.I.O.S.H. recommended limits) and relevant damage (significant excess of acute and chronic lumbosacral spinal disease) among the labourers in porphyry quarries in the Province of Trento (Italy). METHODS: An analysis of work postures was made with the OWAS (Ovako Working postures Analysing System) method. RESULTS: A high prevalence of work postures that have a harmful effect on the musculoskeletal system was found. Working methods need to be changed as soon as possible. CONCLUSIONS: The use of the OWAS method permits a detailed analysis of working conditions in order to identify and re-design the activities causing ergonomically problematic postures.

Data Interpretation, Statistical↗