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PubMed1983

On the mechanism by which methylxanthines enhance apomorphine-induced rotation behaviour in the rat.

Methylxanthines, such as caffeine and theophylline, potentiate the rotation behaviour induced by dopamine receptor agonists in rats with unilateral lesions of the nigro-striatal pathway. In the present study we have examined the possibility that interaction with central adenosine mechanisms could influence rotation behaviour. Under in vitro conditions adenosine and N6-phenylisopropyl-adenosine (PIA) stimulate cyclic AMP accumulation. This effect was enhanced by the phosphodiesterase inhibitor rolipram, but blocked by alkylxanthines such as caffeine, theophylline and, particularly, 8-phenyl-theophylline. Rotation behaviour induced by apomorphine (0.05 mg/kg), was inhibited by PIA and rolipram and by a low dose of the adenosine deaminase inhibitor EHNA (2 mg/kg). By contrast, theophylline and 8-phenyl-theophylline caused a potentiation. The former drug stimulated rotation behaviour per se, while the latter did not. 8-Phenyl-theophylline entered the brain poorly and its concentration in brain it was less than 1/10 of theophylline. It is concluded that theophylline does not potentiate rotation behaviour secondarily to inhibition of phosphodiesterase. Antagonism of endogenous adenosine may partly explain the effect of methylxanthines. Possibly, some as yet unknown mechanism may also contribute to the effects of xanthine-derivatives on rotation behaviour.

Adenosine↗
PubMed1990

Pavlovian conditioning of distinct components of Hermissenda's responses to rotation.

In two experiments with the nudibranch mollusk Hermissenda, distinct characteristics of conditioned and unconditioned responses to high-speed orbital rotation were examined. In Experiment 1, two principle unconditioned responses to rotation were identified, namely, reduced rate of locomotion and contraction of the foot. The magnitude of the foot contraction increased throughout a 20-s period of rotation, whereas locomotion was reduced immediately after the onset of the rotation and was maintained at this constant low rate throughout the stimulus presentation. These divergent response patterns suggest that the two responses emerge independently. In Experiment 2, a classical conditioning procedure was employed in which a light (CS) was paired with the rotation (US) employed in Experiment 1. In a subsequent test, it was found that the light had acquired the capability to evoke both foot contraction and decreased locomotion. Although the magnitude of these conditioned responses was reduced relative to the corresponding unconditioned response, the patterns of responding were virtually identical; that is, foot contraction developed gradually whereas locomotion decreased immediately. In contrast, animals that received unpaired presentations of the light and rotation, light alone, or no prior exposure to those stimuli exhibited foot extension in response to the light. These results illustrate a transfer of some of the response-evoking properties of the US to the CS as a result of conditioning, as well as the emergence of two independent conditioned responses. Moreover, these results suggest modulation of at least two distinct motor pathways as a function of learning.

Animals↗
PubMed1990

Video-oculographic measurement of 3-dimensional eye rotations.

An effective and relatively calibration-free method for the measurement of 3-dimensional eye rotations is described. The experimental method consists of recording with a video camera the positions of distinct globe markers provided by a tight-fitting, soft contact lens before and after an eye rotation. The mathematical analysis represents the eye rotation by a rotation vector (rotation axis and angle) and three, spherical Euler angles. The method is linear over the entire range of natural eye rotation, the resolution limited only by the video set-up used. Due to its easy applicability, the system is well suited for various eye movement measurements in clinical or research environments.

Eye Movements↗
PubMed1987

Movements of cats on a rotating cylinder: role of the substantia nigra pars reticulata and the deeper layers of the superior colliculus.

Recently it has been shown that the substantia nigra pars reticulata (SNR) is required for adjusting the body position. In this study the role of the SNR in the execution of movements was investigated. Therefore, the effects of bilateral SNR injections of picrotoxin (500 ng/0.5 microliter) and muscimol (200 ng/1 microliter) were investigated on movements of cats which were trained to cross a rotating cylinder. SNR injection of picrotoxin suppressed the movements that were executed by cats injected with distilled water (0.5 microliter), i.e. 'normal movements'. While crossing the rotating cylinder, picrotoxin-injected cats mainly executed movements that almost never occurred in distilled water treated cats. Picrotoxin-injected cats executed 'special movements', i.e. forward locomotion in which the hindlimbs were affected, and 'counter-movements'. While executing the latter movements no forward locomotion occurred at all; the cats solely executed lateral fore- and hindlimb movements opposite to the direction in which the cylinder rotated. SNR application of muscimol enhanced the execution of 'normal movements'. Since the SNR sends information to the deeper layers of the superior colliculus (dl-SC) via GABAergic fibers, it was also investigated whether pharmacological stimulation (muscimol) and inhibition (picrotoxin) of the GABAergic dl-SC activity affected these movements on the rotating cylinder: no changes were observed after injecting otherwise effective doses of muscimol (75 ng/1 microliter) and picrotoxin (100 ng/0.5 microliter). In order to compare the function of the SNR and dl-SC in programming a different type of movements, the effects of GABAergic agents in the dl-SC (picrotoxin 100 ng/0.5 microliter and muscimol 75 ng/1 microliter) and the SNR (picrotoxin 500 ng/0.5 microliter and muscimol 200 ng/1 microliter) were investigated on the feline ability to execute goal-directed movements in an experimental set-up that prevented the occurrence of targeting movements which were continuously guided by external, i.e. auditory, visual, tactile and olfactory stimuli. For that purpose cats were trained to step out of a startbox on a rotating cylinder, i.e. the target. Dl-SC injection of muscimol or SNR application of picrotoxin prevented the cats from stepping out of the startbox on the rotating cylinder. In contrast, cats injected with muscimol into the SNR or picrotoxin into the dl-SC stepped out of the startbox, although dl-SC application of picrotoxin elicited forelimb misplacements: frequently the cats placed their forelimbs alongside of, but not on the cylinder when trying to leave the startbox.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗
PubMed1995

Long-term effects of human-to-rat mesencephalic xenografts on rotational behavior, striatal dopamine receptor binding, and mRNA levels.

Fetal ventral mesencephalic grafts have been used as a tool to counteract the symptoms of Parkinson's disease. In this study human fetal ventral mesencephalic xenografts were implanted into the lateral ventricle of unilaterally dopamine-depleted immunosuppressed rats. Rotational behavior elicited by low doses of apomorphine, host striatal dopamine receptor binding, and mRNA levels were investigated. Rotational behavior was reduced beginning 2 months after grafting. After 4 months only a small number of rotations, lasting approximately 30 min, were recorded. Seven months after transplantation, the rotational behavior was completely eleminated. Dopamine D2 receptor binding revealed significantly increased levels in sham-operated 6-hydroxydopamine- (6-OHDA) lesioned control striata. These increased levels decreased, and although still significantly higher at 4 months, normalized at the survival time of 7 months postgrafting. Regional differences were still obvious at 7 months in the dorsolateral quadrant of dorsal striatum. Dopamine D2 receptor mRNA revealed significantly increased levels in the lateral aspects of 6-OHDA-lesioned control striata, reversing by 4 months postgrafting. The D1 receptor binding revealed a moderately reduced signal in striata of lesioned animals. After grafting, this reduction became significantly lower than that seen in the control side, with a continous decrease over time. The same pattern was detected using in situ hybridization for dopamine D1 receptor mRNA, that is, moderate decreases after dopamine depletion and a significant decrease in the dorsomedial part of dorsal striatum 7 months postgrafting. Dopamine D3 receptor binding was increased after dopamine depletion, but reversed already by 4 months postgrafting. Taken together, human ventral mesencephalic xenografts are able to completely reverse apomorphine-induced rotational behavior, provided the grafts are left in vivo for a sufficient time. The increased striatal D2 receptors are reversed after grafting, but the human xenograft further suppressed the D1 receptor subtype both at binding and at mRNA levels. There was no strict correlation in the time courses of dopamine receptor changes and reduction of rotational behavior.

Animals↗
PubMed2006

A novel registration method for interval change detection between two chest X-ray images with different rotation angles.

RATIONALE AND OBJECTIVES: Registration is an important process to detect interval changes between two chest x-ray images. However, the conventional registration methods suffer from misregistration because of the difference in rotation angles of human body around an axis parallel to the x-ray films, such as anteroposterior inclination. Such difference causes permutation of the shadows between the two images, which makes registration difficult. This article proposes a novel registration method in cases where two chest x-ray images have different rotation angles. MATERIALS AND METHODS: Twelve x-ray images taken from a chest phantom and four chest photofluorograms of two patients were used to evaluate the performance. First, the proposed algorithm estimates the rotation angles of the body from the pair of two x-ray images based on the function describing the relationship between a point in the current image and that in the previous image, which is derived from a three-dimensional rotational model of the body. Then it aligns two images according to the function. RESULTS: From the results of estimating rotation angles, it was found that proposed method can estimate the angles with an error of less than 1 degrees. Then two physicians evaluated the subtraction images and confirmed that this approach makes it possible to detect the interval changes accurately even if there are permutations of shadows in the x-ray image. CONCLUSIONS: The proposed method is superior to the conventional one when two chest x-ray images have different rotation angles.

Algorithms↗
PubMed2006

A biomechanical and radiographic analysis of standard and intracortical suture anchors for arthroscopic rotator cuff repair.

PURPOSE: To compare the fixation strength and radiographic motion of an anchor designed for intracortical (IC) fixation (FT Anchor, Arthrex, Naples, FL) with that of standard anchors used for rotator cuff repair. TYPE OF STUDY: In vitro human cadaveric biomechanical study. METHODS: Four types of metallic suture anchors (8 per group) were randomly inserted into human cadaveric humeri using an IC anchor and 3 types of standard anchors. Anchors were inserted 45 degrees to the humeral head surface and 90 degrees to the rotator cuff line of action. Anchors were tested under physiologic loads for 500 cycles followed by a failure test. The number of cycles, failure mode, and failure load were recorded. Fluoroscopy was used to measure rotation and displacement of the anchor within the humeral head during testing. Data were analyzed using a 1-way analysis of variance with a correction for multiple comparisons. RESULTS: There were no significant differences in anchor displacement or rotation measured by fluoroscopy after cyclic loading. Total construct displacement across anchors ranged from 4.9 to 7.8 mm, well beyond the 3-mm failure criterion reported in the literature. The IC anchor had a statistically significant greater failure load than the other devices. There was no significant difference in failure load between the other 3 anchors. The anchor had the greatest number of cycles to 3 mm of failure. This was not significantly different than the TwinFix anchor (Smith & Nephew, Andover, MA), but both values were significantly greater than both the Super Revo (Linvatec, Largo, FL) and Fastin RC (DePuy Mitek, Raynham, MA) anchors. CONCLUSIONS: Anchor motion accounted for about one third of total displacement of the suture/anchor construct. IC fixation anchors performed well compared with standard anchors in human cadaveric bone. CLINICAL RELEVANCE: Fluoroscopic imaging showed both rotation and displacement of the anchor within the humeral head which may contribute to early gap formation after rotator cuff repairs.

Aged↗
PubMed2005

Maintenance of upright standing posture during trunk rotation elicited by rapid and asymmetrical movements of the arms.

Nine healthy subjects standing upright, initiated small, medium and large (S, M and L conditions, respectively) forward movements of their right (Rt) arm together with backward movements of their left (Lt) arm. They also performed medium-size movements while holding a 3 kg dumbbell in each hand (D condition). Movements started with the arm hanging alongside the body and ended when the shoulder reached a desired orientation. The arm and trunk movements were videotaped and recorded by accelerometers taped to the wrists, shoulders, and hips bilaterally. The torque around the vertical axis was measured using a force-plate on which the subjects stood. EMGs were recorded with surface electrodes bilaterally from the shoulder, trunk, and thigh muscles. Trajectories of the center of foot pressure were measured in additional experiments. In association with arm movements, there was a small counterclockwise (ccw: the Rt shoulder forward and the Lt backward) rotation of the trunk, followed by large alternate rotations of the trunk, first clockwise (cw) and subsequently ccw. The intervals from the hand acceleration to the shoulder and hip accelerations were, respectively, 0+/-15 ms (mean and S.D. for all subjects) and -17+/-15 ms. The force-plate showed initial cw and later ccw torques 63+/-41 ms after hand acceleration. The EMGs of the Rt hamstrings (Ham) and Lt rectus femoris (RFem) were followed by those of the Lt Ham and Rt RFem which, respectively preceded the alternate trunk rotations. The integrated EMGs and torques increased with increasing amplitude of arm movement and load. The integrated torques increased in the order of S, M, L, and D conditions. The integrated EMGs of the thigh muscles correlated with the integrated torques (medians: r=0.880, 0.696, 0.785, and 0.688, respectively, in the Rt Ham, Lt Ham, Rt RFem, and Lt RFem). The trajectories of the center of foot pressure showed variations, initially toward the Rt side and then the Lt side which, respectively coincided with the initial and later phases of the trunk rotations and the muscle activation. The trunk muscles were generally coactivated between the Rt and Lt muscles, and the integrated EMGs increased with increasing the integrated torques. Our results showed that alternate rotations of the upper trunk, produced by rapid arm movements, were transmitted to the hip in part due to cocontraction of trunk muscles, and each pair of hip joint muscles contributed to the maintenance of the standing posture by stabilizing the hip joints against alternating trunk rotations.

Adaptation, Physiological↗
PubMed2004

Anterior glenohumeral force/translation behavior with and without rotator cuff contraction during clinical stability testing.

OBJECTIVE: Measure stiffness of the glenohumeral joint during clinical laxity testing with and without muscular contraction of the Internal rotators. DESIGN: Cross-sectional study of normal shoulders. BACKGROUND: Clinical examination for shoulder instability is based on subjective impression, and is only performed passively. Our study presents a method for quantitative clinical examination of the shoulder under both passive and active muscle contraction conditions. We hypothesized that in a normal shoulder, contraction of the internal rotators will increase the stiffness of the glenohumeral joint, effectively constraining the head of the humerus against anterior directed forces. METHODS: Ten subjects were instrumented with electromagnetic sensors to record glenohumeral linear displacements. A mini-force transducer recorded forces applied to subjects during anterior drawer testing (forced anterior glenohumeral displacement), which was performed passively, and during isometric contraction of internal rotators. RESULTS: Only mild contraction of the internal rotators is needed to significantly increase the stiffness to anterior directed forces. Greater muscular activation does not result in further increased stiffness. CONCLUSION: Objective measurement of glenohumeral stiffness during passive and active muscular contraction may be useful for evaluating the capacity of rotator cuff muscles to stabilize the shoulder. The concept of more strength is better, for rotator cuff strengthen programs is questioned.

Adult↗
PubMed2004

The effects of ankle bracing on motion of the knee and the hip joint during trunk rotation tasks.

BACKGROUND: The use of prophylactic ankle braces is common during athletic activities since the ankle is one of the most commonly injured joints. Past studies have focused on the effects of ankle braces on ankle movement restriction, preventing injuries, proprioception, balance and athletic performance. However, the influence of ankle restriction on other joints has not been studied. The constraint of ankle movement may lead to an increased loading on the knee joint, which could be a potential risk of knee injuries during athletic activities. The primary goal of the current study was to determine quantitatively the effect of an ankle brace on the knee axial rotation during two different trunk turning tasks. METHODS: Ten healthy subjects performed trunk turning movements while standing on one leg: turning sideways to catch a ball and turning sideways to touch a target with the shoulder. The tasks were performed with and without an ankle brace worn on the supporting leg. The trunk axial rotation in reference to the floor and three dimensional joint angular motions of the ankle, knee and hip were determined. FINDINGS: The use of an ankle brace resulted in reduced trunk axial rotation during the ball catching tasks, and increased knee axial rotation during the target touching tasks. INTERPRETATION: The results of this study showed that the effect of the ankle brace on the knee axial rotation depended on the context of the tasks performed. Under situations that required forceful trunk turning movement while standing on a single leg, the ankle braces may cause an increase in the knee axial rotation indicating higher risk of knee injury.

Abdomen↗
PubMed2005

Intrinsic and imposed hamstring length influence posterior pelvic rotation during hip flexion.

BACKGROUND: The contribution of posterior tilt of the pelvis (pelvic rotation) to hip flexion has been described for individuals who are standing, supine, and suspended. The effects of intrinsic and imposed hamstring length on the motion have not been investigated in a controlled manner. This study investigated the influence of intrinsic and imposed hamstring length on pelvic rotation during bilateral active hip flexion. METHODS: Intrinsic hamstring length was characterized by the maximal active straight leg raise angle. Hamstring length was imposed by immobilizing the knees in 0 degrees, 45 degrees, and 90 degrees of flexion. Pelvic and thigh segments were marked with reflective spheres. Subjects' saggital plane motion was captured using computerized motion analysis during bilateral hip flexion while both knees were immobilized in three positions. Multifactorial analysis of variance was employed to show the effect of intrinsic and imposed hamstring length on pelvic rotation. FINDINGS: Pelvic rotation occurred throughout the hip flexion range of motion. Pelvic rotation was influenced significantly by hip flexion angle, knee position, the interaction between hip flexion angle and knee position, and the interaction between hip flexion angle, knee position, and active straight leg raise angle. INTERPRETATION: Both intrinsic and imposed hamstring length influence pelvic rotation during bilateral hip flexion. These influences should be considered by clinicians who have individuals engage in hip flexion maneuvers.

Adult↗
PubMed2006

Variability in isometric force and moment generating capacity of glenohumeral external rotator muscles.

BACKGROUND: Muscles which cause glenohumeral external rotation possess varying ability for generating force and moment due to differences in muscle architecture, moment arm, and the interaction of these two factors. This study's purpose was to determine a complete dataset of muscle-tendon parameters for predicting the moment generating capacity and force-length dependence for external rotation of infraspinatus, supraspinatus and teres minor muscles. METHODS: Muscle fascicle length, sarcomere length, pennation angle, and muscle volume were measured for sub-regions of infraspinatus and supraspinatus, and teres minor from 10 glenohumeral specimens. Tendon excursion was measured for glenohumeral rotation. From these parameter measurements, optimal fascicle length, physiological cross-sectional area, muscle force-length dependence, and maximum isometric moment generating capacity were calculated. FINDINGS: Substantial differences were found for optimal muscle length, physiologic cross-sectional area, and tendon length for the 10 specimens of this study. Muscle sub-region had a significant effect on the force-length relationship for infraspinatus (P<0.001), but was not significant for supraspinatus (P=0.49). For infraspinatus and supraspinatus, maximum isometric rotation moment capacity was greater at 10 degrees versus 60 degrees abduction (P<0.001). Maximum isometric rotation moment capacity for the teres minor was greater at 10 degrees versus 60 degrees abduction (P<0.01). Sub-regions demonstrated significant differences in isometric moment capacity (P<0.001). INTERPRETATION: Functional capabilities of these muscles depend on muscle architecture and moment arm as well as their combined effects. The results allow for development of stochastic and deterministic models of glenohumeral external rotation strength which can be used for prediction of muscle forces and joint moments.

Anatomy, Cross-Sectional↗
PubMed2005

Cerebral processes in mental transformations of body parts: recognition prior to rotation.

There is growing evidence that the visual processing of human body stimuli is particular and distinct from that of other objects. This is due to implicit knowledge of anatomical and biomechanical constraints of the human body. The question arises whether body stimuli in which biomechanical constraints are violated are processed in the same way as realistic bodies. This study investigated the neural mechanisms of anatomically plausible and implausible body stimuli. Event-related potentials (ERP) were recorded in healthy participants during mental rotation of body parts. Subjects were shown pictures of body parts or whole bodies in which one element (finger, arm) could be anatomically accurate or inaccurate (e.g., left forearm attached to right upper arm). Furthermore, the body parts were rotated in 7 different orientations, from 0 degrees to 180 degrees in 30 degrees increments, resulting in some possible and some impossible positions of the body parts. Analysis of the 123-channel ERPs was carried out by determining the successive segments of stable map topographies and comparing them between conditions. A particular segment appeared in the case of anatomically impossible postures at 190-230 ms followed by a segment reflecting mental rotation at 310-380 ms. Anatomically implausible positions are thus detected at a very early stage, before mental rotation occurs. Source estimations derived from the topographic data indicated that left occipital, bilateral frontal and two medial areas were activated in the case of impossible postures, whereas left parietal regions were strongly activated during mental rotation. This result contrasts with mental rotation of objects, which is considered to be a right parietal process.

Adult↗
PubMed2006

Movement patterns of the upper extremity and trunk associated with impaired forearm rotation in patients with hemiplegic cerebral palsy compared to healthy controls.

The aim of this study was to objectively assess the relationship between impaired forearm rotation and movement patterns of the upper arm and trunk in patients with hemiplegic cerebral palsy. For this purpose, 'extrinsic forearm rotation' was introduced as a parameter to quantify the cumulative result of all movements that supplement forearm rotation. The results of three-dimensional video analysis of the upper extremity and trunk in different reaching tasks in eight male and two female patients (mean age, 16 years and 2 months) were compared to those of 10 case-matched controls. The active forearm rotation impairment in the patient group as compared to the controls was combined with a significantly higher value for 'extrinsic forearm rotation'. In this way, we objectively measured compensatory movement patterns associated with impaired forearm rotation and, consequently, we advocate assessment of the overall movement strategy rather than just the forearm deformity in patients with hemiplegic cerebral palsy.

Abdomen↗
PubMed2006

Internal rotation gait in spastic diplegia--critical considerations for the femoral derotation osteotomy.

The purpose of this study was to assess under- and overcorrection following femoral derotation osteotomy (FDO) in spastic diplegic children with functionally compromising internally rotated gait, especially with respect to asymmetry. A total of 30 children with spastic diplegia and internally rotated gait underwent multilevel surgery including FDO and were assessed pre- and 1 year postoperatively by clinical examination and instrumented gait analysis. The amount of derotation was determined intra-operatively based on the neutral midpoint between passive internal and external hip rotation and was controlled with K-wires. Sixteen patients showed an asymmetry in mean hip rotation in stance of more than 10 degrees preoperatively. Accordingly, all legs were classified as the more or the less involved side. Improvement parameters were established for the evaluation of over- and undercorrection. For the clinical midpoint, no significant difference in change and improvement was found between the sides. The mean hip rotation in stance improved significantly in the more involved side with few incidences of mal-correction (13%). The less involved side, however, got worse due to a high occurrence of over- and undercorrections (59%). Hence the clinical midpoint as indication criterion does not give sufficient information about the functional alignment of the distal femur during gait, especially in legs with mild involvement. The study underlines the importance of gait analysis for indication in addition to the clinical midpoint. Taking into account the precision of gait analysis data and derotation amount, we suggest FDO to be carried out if the mean internal hip rotation in stance exceeds 15 degrees .

Adult↗
PubMed2004

Measurements of intrafraction motion and interfraction and intrafraction rotation of prostate by three-dimensional analysis of daily portal imaging with radiopaque markers.

PURPOSE: To measure the interfraction and intrafraction motion of the prostate during the course of external beam radiotherapy using a video electronic portal imaging device and three-dimensional analysis. METHODS AND MATERIALS: Eighteen patients underwent implantation with two or three gold markers in the prostate before five-angle/11-field conformal radiotherapy. Using CT data as the positional reference, multiple daily sets of portal images, and a three-dimensional reconstruction algorithm, intrafraction translations, as well as interfraction and intrafraction rotations, were analyzed along the three principal axes (left-right [LR], superoinferior [SI], and AP). The overall mean values and standard deviations (SDs), along with random and systematic SDs, were computed for these translations and rotations. RESULTS: For 282 intrafraction translational displacements, the random SD was 0.8 mm (systematic SD, 0.2) in the LR, 1.0 mm (systematic SD, 0.4) in the SI, and 1.4 mm (systematic SD, 0.7) in the AP axes. The analysis of 348 interfraction rotations revealed random SDs of 6.1 degrees (systematic SD, 5.6 degrees ) around the LR axis, 2.8 degrees (systematic SD, 2.4 degrees ) around the SI axis, and 2.0 degrees (systematic SD, 2.2 degrees ) around the AP axis. The intrafraction rotational motion observed during 44 fractions had a random SD of 1.8 degrees (systematic SD, 1.0 degrees ) around the LR, 1.1 degrees (systematic SD, 0.8 degrees ) around the SI, and 0.6 degrees (systematic SD, 0.3 degrees ) around the AP axis. CONCLUSION: The interfraction rotations observed were more important than those reported in previous studies. Intrafraction motion was generally smaller in magnitude than interfraction motion. However, the intrafraction rotations and translations of the prostate should be taken into account when designing planning target volume margins because their magnitudes are not negligible.

Humans↗
PubMed2006

A new non-orthogonal decomposition method to determine effective torques for three-dimensional joint rotation.

This paper describes a new non-orthogonal decomposition method to determine effective torques for three-dimensional (3D) joint rotation. A rotation about a joint coordinate axis (e.g. shoulder internal/external rotation) cannot be explained only by the torque about the joint coordinate axis because the joint coordinate axes usually deviate from the principal axes of inertia of the entire kinematic chain distal to the joint. Instead of decomposing torques into three orthogonal joint coordinate axes, our new method decomposes torques into three "non-orthogonal effective axes" that are determined in such a way that a torque about each effective axis produces a joint rotation only about one of the joint coordinate axes. To demonstrate the validity of this new method, a simple internal/external rotation of the upper arm with the elbow flexed at 90 degrees was analyzed by both orthogonal and non-orthogonal decomposition methods. The results showed that only the non-orthogonal decomposition method could explain the cause-effect mechanism whereby three angular accelerations at the shoulder joint are produced by the gravity torque, resultant joint torque, and interaction torque. The proposed method would be helpful for biomechanics and motor control researchers to investigate the manner in which the central nervous system coordinates the gravity torque, resultant joint torque, and interaction torque to control 3D joint rotations.

Arm↗
PubMed2005

Influence of distal radioulnar joint subluxation on restricted forearm rotation after distal radius fracture.

PURPOSE: To analyze the influence of subluxation of the distal radioulnar joint (DRUJ) on restricted forearm rotation after distal radius fracture. METHODS: Twenty-two cases of healed unilateral distal radial fracture with restricted forearm rotation were included in the study. The subluxation of the DRUJ was evaluated using helical computed tomography scan at neutral, maximum pronation, and maximum supination and presented as the percent displacement of the ulnar head in both the injured and uninjured sides. The radiographic parameters of palmar tilt, radial inclination, dorsal shift, radial shift, and ulnar variance were measured on plain x-ray films and the rotational deformity of the distal radius was evaluated from the computed tomography scan. The differences of each radiographic parameter from the uninjured side were calculated. The relationships between the restricted forearm rotation and the percent displacement of the ulnar head and each of the radiographic parameters were analyzed statistically. RESULTS: When forearm pronation was restricted the ulnar head was located palmarly at neutral, maximum supination, and maximum pronation with severe dorsal tilt of the distal radius. When supination was restricted the ulnar head was located dorsally at maximum supination with severe ulnar-positive variance. CONCLUSIONS: The subluxation of the DRUJ was related to restricted forearm rotation. The radiographic parameters of palmar tilt and ulnar variance showed an adverse influence on the position of the ulnar head at the DRUJ, which might lead to restricted forearm rotation after distal radial fracture.

Adult↗