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At least 145 records · Page 8Linked to original sources

The margin for error when releasing the high bar for dismounts.

In Men's Artistic Gymnastics the current trend in elite high bar dismounts is to perform two somersaults in an extended body shape with a number of twists. Two techniques have been identified in the backward giant circles leading up to release for these dismounts (J. Biomech. 32 (1999) 811). At the Sydney 2000 Olympic Games 95% of gymnasts used the "scooped" backward giant circle technique rather than the "traditional" technique. It was speculated that the advantage gained from the scooped technique was an increased margin for error when releasing the high bar. A four segment planar simulation model of the gymnast and high bar was used to determine the margin for error when releasing the bar in performances at the Sydney 2000 Olympic Games. The eight high bar finalists and the three gymnasts who used the traditional backward giant circle technique were chosen for analysis. Model parameters were optimised to obtain a close match between simulated and actual performances in terms of rotation angle (1.2 degrees ), bar displacements (0.014 m) and release velocities (2%). Each matching simulation was used to determine the time window around the actual point of release for which the model had appropriate release parameters to complete the dismount successfully. The scooped backward giant circle technique resulted in a greater margin for error (release window 88-157 ms) when releasing the bar compared to the traditional technique (release window 73-84 ms).

Acceleration↗

Effects of positioning uncertainty and breathing on dose delivery and radiation pneumonitis prediction in breast cancer.

The quality of the radiation therapy delivered in the treatment of breast cancer is susceptible to setup errors and organ motion uncertainties. For 60 breast cancer patients (24 resected with negative node involvement, 13 resected with positive node involvement and 23 ablated) who were treated with three different irradiation techniques. these uncertainties are simulated. The delivered dose distributions in the lung were recalculated taking positioning uncertainty and breathing effects into account. In this way the real dose distributions delivered to the patients are more closely determined. The positioning uncertainties in the anteroposterior (AP) and the craniocaudal (CC) directions are approximated by Gaussian distributions based on the fact that setup errors are random. Breathing is assumed to have a linear behavior because of the chest wall movement during expiration and inspiration. The combined frequency distribution of the positioning and breathing distributions is obtained by convolution. By integrating the convolved distribution over a number of intervals, the positions and the weights of the fields that simulate the original 'effective fields' are calculated. Opposed tangential fields are simulated by a set of 5 pairs of fields in the AP direction and 3 such sets in the CC direction. Opposed AP + PA fields are simulated by a set of 3 pairs of fields in the AP direction and 3 such sets in the CC direction. Single frontal fields are simulated by a set of 5 fields. In radiotherapy for breast cancer, the lung is often partly within the irradiated volume even though it is a sensitive organ at risk. The influence of the deviation in the dose delivered by the original and the adjusted treatment plans on the clinical outcome is estimated by using the relative seriality model and the biologically effective uniform dose concept. Radiation pneumonitis is used as the clinical endpoint for lung complications. The adjusted treatment plans show larger lung complication probabilities than the original plans. This means that the true expected complications are often underestimated in clinical practice. The lung density variation during breathing is calculated from the maximal change in average density during tidal breathing. The change in density in the lung due to breathing is shown to have almost no influence on the dose distribution in the lung. The proposed treatment-plan adjustments taking positioning uncertainty and breathing effects into account indicate significant deviations in the dose delivery and the predicted lung complications.

Breast Neoplasms↗

Mothers' internal working models with infants with gastroesophageal reflux.

Gastroesophageal reflux (GER) places infants both at biological risk and developmental risk. Care of an infant with GER requires an integration of the physiologic and developmental needs of the infant. The author explores the physiologic bases for GER, current treatment modalities impacting caregiver problem solving, and the potential impact of GER on infants' development of self-regulatory processes. The concept of internal working models is presented as a framework for nurses to use to individualize anticipatory guidance for parents of infants with GER.

Age Factors↗

Modeling kinematics and dynamics of human arm movements.

A central problem in motor control relates to the coordination of the arm's many degrees of freedom. This problem concerns the many arm postures (kinematics) that correspond to the same hand position in space and the movement trajectories between begin and end position (dynamics) that result in the same arm postures. The aim of this study was to compare the predictions for arm kinematics by various models on human motor control with experimental data and to study the relation between kinematics and dynamics. Goal-directed arm movements were measured in 3-D space toward far and near targets. The results demonstrate that arm postures for a particular target depend on previous arm postures, contradicting Donders's law. The minimum-work and minimum-torque-change models, on the other hand, predict a much larger effect of initial posture than observed. These data suggest that both kinematics and dynamics affect postures and that their relative contribution might depend on instruction and task complexity.

Adult↗

Synchronization and coordination of sequences in two neural ensembles.

There are many types of neural networks involved in the sequential motor behavior of animals. For high species, the control and coordination of the network dynamics is a function of the higher levels of the central nervous system, in particular the cerebellum. However, in many cases, especially for invertebrates, such coordination is the result of direct synaptic connections between small circuits. We show here that even the chaotic sequential activity of small model networks can be coordinated by electrotonic synapses connecting one or several pairs of neurons that belong to two different networks. As an example, we analyzed the coordination and synchronization of the sequential activity of two statocyst model networks of the marine mollusk Clione. The statocysts are gravity sensory organs that play a key role in postural control of the animal and the generation of a complex hunting motor program. Each statocyst network was modeled by a small ensemble of neurons with Lotka-Volterra type dynamics and nonsymmetric inhibitory interactions. We studied how two such networks were synchronized by electrical coupling in the presence of an external signal which lead to winnerless competition among the neurons. We found that as a function of the number and the strength of connections between the two networks, it is possible to coordinate and synchronize the sequences that each network generates with its own chaotic dynamics. In spite of the chaoticity, the coordination of the signals is established through an activation sequence lock for those neurons that are active at a particular instant of time.

Action Potentials↗

Simultaneous control of hand displacements and rotations in orientation-matching experiments.

In reach-to-grasp movements, the interaction between the hand changes in position and those in orientation is poorly understood. A theoretical approach previously proposed (Torres EB and Zipser D. J Neurophysiol 88: 1-13, 2002) assumes that motion strategies are resolved in space independently from the temporal dynamics of the motion and predicts the coarticulation of the hand transport and rotation along the path. The model implies that this simultaneous control is independent of variations in speed and initial posture and required matching orientation. This paper presents experimental data from human subjects that confirm the model's predictions in the context of realistic, unconstrained, orientation-matching motions. Speed independence is quantified in the similarity of the postural and endpoint position-orientation paths obtained under three different speeds. Significant differences in hand and joint kinematics are shown in response to changes in initial posture and target orientation. The robustness of coarticulation under all three experimental conditions supports the idea of an intermediate stage that resolves the geometry of the motion independent of its temporal dynamics.

Arm↗

Galvanic vestibular stimulation for analysis of postural adaptation and stability.

Human postural dynamics was investigated in 12 normal subjects by means of a force platform recording body sway, induced by bipolar transmastoid galvanic stimulation of the vestibular nerve and labyrinth. The model adopted was that of an inverted segmented pendulum, the dynamics of postural control being assumed to be reflected in the stabilizing forces actuated by the feet as a result of complex muscular activity subject to state feedback of body sway and position. Time-series analysis demonstrates that a transfer function from stimulus to sway-force response with specific parameters can be identified. In addition, adaptation to the vestibular stimulus is demonstrated to exist, and we describe this phenomenon using quantification in terms of a postural adaptation time constant in the range of 40-50 s. The results suggest means to evaluate adaptive behavior and postural control in the erect human being which may be useful in the rehabilitation of individuals striving to regain upright stance.

Adaptation, Physiological↗

Head movements during locomotion in a gibbon and Japanese macaques.

Kinematic analysis of head and body movements during locomotion in Macaca fuscata and Hylobates lar revealed that coordinated head rotation and translation that have been reported to play an important role in stabilizing gaze during locomotion for humans are also observed in non-human primates. The fact that well-coordinated head movements were observed in two species, and during both bipedal and quadrupedal walking, suggests that the head orientation during locomotion is well regulated in the manner of top-down control over the species and modes of locomotion. The result validates the monkey model and enables us to explore the underlying mechanisms for gaze, head, and postural control during locomotion.

Animals↗

Postural stability in the elderly: empirical confirmation of a theoretical model.

The study investigated whether physiological factors related to specific body systems can explain postural control as measured by the scalar distance at a given time between the center of pressure (COP) and the center of mass (COM), the COP-COM variable. The data from 46 healthy subjects and 29 subjects with disabilities due to stroke or diabetic peripheral neuropathy were analyzed. The biomechanical variable COP-COM was determined using two force platforms and an optoelectric system. Three systems were considered as possible predictors of the COP-COM amplitude: sensory (somatosensory and vision), musculoskeletal and central processor. A confirmatory analysis was done using structural equation modeling. Strength explained 23.74% of the COP-COM amplitude in the antero-posterior (A/P) with eyes open (EO) condition, and in the medio-lateral (M/L) direction strength explained 40.73 and 28.75% in the EO and eyes closed (EC) respectively. In the A/P direction with EC, 51.75% of the COP-COM amplitude variance was explained mainly by the somatosensory system. This study highlight the role of peripheral somatosensory input and muscle strength in the maintenance of postural stability during quiet stance in the elderly. The indirect action of the different systems on the COP-COM amplitude supports the systems theory.

Aged↗

Trunk posture and spinal stability.

OBJECTIVE: The influence of trunk posture on musculoskeletal stability of the spine was investigated. DESIGN: A biomechanical model was developed to evaluate the influence of posture on spinal stability. Model performance was assessed by comparing predicted muscle recruitment patterns with measured EMG activity from the trunk muscles during static lifting exertions. METHOD: An inverted double-pendulum model of the spine controlled by 12 muscle equivalents of the trunk was implemented to determine spinal load and stability. Model input included trunk posture and lifted mass, output included muscle recruitment patterns necessary to achieve stability of the spine and spinal load. EMG activity recorded from the trunk muscles of 10 subjects were recorded during static exertions in various trunk flexion and asymmetric postures to compare with model output. Stable spinal load was examined as a function of trunk flexion and asymmetry during the lifting exertions. RESULTS: Antagonistic co-contraction was necessary to achieve spinal stability, particularly in upright postures. Stable spinal load was increased in asymmetric postures as a result of antagonistic muscle recruitment, suggesting greater neuromuscular control is necessary to maintain stability in asymmetric lifting postures. As trunk flexion angle increased, stability improved but spinal load was greater. CONCLUSIONS: Results illustrate that muscle recruitment patterns are more accurately explained by stability than by equilibrium alone. Spinal stability is influenced by posture. Specifically, control of spinal stability is reduced in asymmetric postures associated with low-back disorder risk. RELEVANCE: Traditional assessment of low-back disorder risk have focussed on spinal loading. Results illustrate that postural risk factors for low-back pain may be partially attributable to stability considerations.

Adult↗

Optimal movement variability: a new theoretical perspective for neurologic physical therapy.

Variability is a natural and important feature of human movement. Using existing theoretical frameworks as a foundation, we propose a new model to explain movement variability as it relates to motor learning and health. We contend that mature motor skills and healthy states are associated with an optimal amount of movement variability. This variability also has form and is characterized by a chaotic structure. Less than optimal movement variability characterizes biological systems that are overly rigid and unchanging, whereas greater than optimal variability characterizes systems that are noisy and unstable. Both situations characterize systems that are less adaptable to perturbations, such as those associated with abnormal motor development or unhealthy states. From our perspective, the goal of neurologic physical therapy should be to foster the development of this optimal amount of movement variability by incorporating a rich repertoire of movement strategies. The development of such a repertoire can be enhanced by incorporating a multitude of experiences within the therapeutic milieu. Promoting complex variation in human movement allows either motor development or the recovery of function after injury not to be hard coded, but determined instead by the active engagement of the individual within their environment. Measurement tools derived from nonlinear dynamics that characterize the complexity of movement variability provide useful means of testing these propositions. To illustrate, we present 2 clinical case studies, one pediatric and one adult, where we applied our theoretical framework to measuring change in postural control.

Adolescent↗

The effect of eye/head deviation and visual conflict on visually evoked postural responses.

Three interrelated experiments on visually evoked postural responses (VEPR) are presented to investigate the effect of lack of coplanarity between retinal and body coordinates (Experiment I) and the effect of directionally conflicting information in the visual stimulus. Experiment I showed that the direction of VEPR is modified by eye-in-orbit and head-on-trunk position signals, presumably of proprioceptive origin. Experiments II and III showed that VEPR can be critically suppressed by the presence of conflict within the visual stimulus (Experiment II: a linear, tangential component of visual motion acting in the opposite direction to the main angular component of a roll-motion display; Experiment III: a non congruent "improbable" visual motion parallax linear motion stimulus). A conceptual model of the postural system is presented, incorporating a gain control unit for the visuo-postural loop with inputs from the ocular/cervical proprioceptive system and from intra- and inter-sensory conflict detectors (comparators).

Adult↗

Musculoskeletal implications of preterm infant positioning in the NICU.

Alignment and shaping of the musculoskeletal system occur during each body position that infants experience while in neonatal intensive care. Neonatal nurses and physical therapists can play a major role in designing, modeling, and teaching positioning strategies that promote skeletal integrity, postural control, and sensorimotor organization. Musculoskeletal maturation processes and adverse musculoskeletal consequences are reviewed with an emphasis on clinical implications for neonatal care, discharge teaching, and follow-up. Recommendations are offered for neonatal positioning procedures to prevent extremity malalignment, skull deformities, and gross motor delay.

Child Development↗

Power-law scaling for macroscopic entropy and microscopic complexity: evidence from human movement and posture.

We investigated the relationship between macroscopic entropy and microscopic complexity of the dynamics of body rocking and sitting still across adults with stereotyped movement disorder and mental retardation (profound and severe) against controls matched for age, height, and weight. This analysis was performed through the examination of center of pressure (COP) motion on the mediolateral (side-to-side) and anteroposterior (fore-aft) dimensions and the entropy of the relative phase between the two dimensions of motion. Intentional body rocking and stereotypical body rocking possessed similar slopes for their respective frequency spectra, but differences were revealed during maintenance of sitting postures. The dynamics of sitting in the control group produced lower spectral slopes and higher complexity (approximate entropy). In the controls, the higher complexity found on each dimension of motion was related to a weaker coupling between dimensions. Information entropy of the relative phase between the two dimensions of COP motion and irregularity (complexity) of their respective motions fitted a power-law function, revealing a relationship between macroscopic entropy and microscopic complexity across both groups and behaviors. This power-law relation affords the postulation that the organization of movement and posture dynamics occurs as a fractal process.

Adult↗

A new dynamic model of the cortico-basal ganglia loop.

An important issue in the neural control of posture and movement is how motor-related areas of the cerebral cortex modulate the activity of the output nuclei of the basal ganglia. In this chapter, the functional significance of the 'hyperdirect' cortico-subthalamo-pallidal pathway is emphasized, and further a new dynamic model of basal ganglia function is presented. When a voluntary movement is about to be initiated by cortical mechanisms, a corollary signal is conveyed through the 'hyperdirect' pathway to first inhibit large areas of the thalamus and cerebral cortex that are related to both the selected motor program and other competing programs. Next, another corollary signal is sent through the 'direct' cortico-striato-pallidal pathway to disinhibit this second pathway's targets, and ensure activation of only the selected motor program. Finally, a third corollary signal is sent through the 'indirect' cortico-striato-external pallido-subthalamo-internal pallidal pathway to strongly inhibit this third pathway's targets. This sequential information processing ensures that only the selected motor program is initiated, executed and terminated at the appropriate times, whereas other competing programs are canceled.

Animals↗

Postural dynamics of walking in humans.

The dynamics of postural control in human biped locomotion were studied using (1) a model, and (2) experimentally applied impulsive force disturbances. The model was planar, and contained five rigid segments, articulating at frictionless pin joints. The model was used to identify joint torque combinations which would successfully correct for an impulsive force disturbance applied at different points in the walking cycle. The simulation results suggested that (1) early responses (within 80 ms) can be effective in compensating for impulsive disturbances, (2) the same strategies which successfully counteract similar disturbances during quiet standing are also effective in certain phases of the walking cycle, (3) modifications in the response strategies are needed to accommodate differences in the dynamics over the stride cycle, and (4) the swing leg is ineffective in compensating for disturbances in the short term. These model predictions were tested experimentally. Subject responses to an impulsive force disturbance applied during walking were studied. The electromyographic results generally support the model predictions.

Computer Simulation↗

Capturing the frame of reference of shoulder muscle forces.

We have adjusted and validated models of the lines of action of six human shoulder muscles. Compared to other models of the shoulder mechanism (e.g., 9, 11, 17, 24) ours is greatly simplified in that the scapula and its many muscles are largely neglected, and the action of each of six broad muscles is summarized by a single line segment. The close correspondence between measured and predicted moment direction over a wide range of postures suggests that this latter simplification was reasonable. We found that assignment of two via points (one fixed to the origin and one fixed to the insertion) was adequate to represent the measured actions, and our sensitivity analysis highlights the importance of via point placement. Because our model predicts the action of each muscle over a very large range of arm postures, it should be useful for future investigations of the control of muscle forces.

Adult↗