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PubMed1998

The effects of guided bone regeneration and grafting on implants placed into immediate extraction sockets. An experimental study in dogs.

Guided bone regeneration (gbr) for the treatment of insufficient bone volume around implants can be performed using membranes with or without grafting materials (i.e., autogenous, allogenous, xenogenous, or alloplastic grafts). A possible way to evaluate the quality of implant osseointegration is the torque necessary to remove implants from their bony housing. The aim of this study was to compare the torques necessary to remove dental implants from implant beds reconstructed with different bone substitutes and GBR or GBR alone in 6 adult mongrel dogs. All mandibular premolars were extracted and 3 extraction sockets on each side were enlarged using a trephine bur. A 13 mm titanium screw-type dental implant (3.75 mm diameter) was placed in each enlarged extraction socket so that only the apical 3 to 4 mm were engaged in bone. The 3 defects were then randomly treated with either 1) canine demineralized freeze-dried bone allograft (DFDBA) plus GBR using an expanded polytetrafluoroethylene membrane (DFDBA+GTAM); 2) bioabsorbable hydroxyapatite and GBR (HA+GTAM); or 3) GBR (GTAM alone). After 6 months, the torque to remove the implants was measured in 4 animals and analyzed using ANOVA. There were no statistically significant differences between the 3 groups (GTAM alone: 46.37+/-16.41 Ncm; HA+GTAM: 46.00+/-16.59 Ncm; DFDBA+ GTAM: 52.15+/-29.24 Ncm). In addition, the influence of early removal of barriers on the torque values was evaluated with the t-test. Comparing exposed versus retained membranes by treatment modality, the only statistically significant difference was found in the DFDBA+GTAM group. When the torque values of all implants with exposed and retrieved membranes were compared to all those with retained membranes a significant difference could be detected. Histologic sections were prepared from the 2 dogs not included in the removal torque testing. In the histometric analysis the GTAM alone group showed a mean mineralized bone-to-implant-contact of 27.1%, the DFDBA+GTAM group of 34.6%, and the HA+GTAM of 39.3%. The mineralized bone-to-implant-contact of the HA+GTAM group was significantly higher than that of the GTAM alone group. In addition, the mineralized bone-to-implant-contact was divided into an apical and coronal part using the apical seventh thread as the dividing landmark. In the apical region, there was no significant difference between the groups regarding mineralized bone-to-implant-contact. In the coronal part the mineralized bone-to-implant-contact of the GTAM alone group was significantly lower compared to the other 2 groups. Within the limits of this investigation, it can be concluded that the type of grafting material will not influence torque removal values, but that early membrane exposure and removal will negatively influence the torque measurements. The combination of GBR with a bone substitute increased the mineralized bone-to-implant contact.

Absorbable Implants↗
PubMed2001

Facilitation of quadriceps activation following a concentrically controlled knee flexion movement: the influence of transition rate.

STUDY DESIGN: Single group repeated measures design. OBJECTIVE: To determine if the rate of transition between knee flexion and extension influences the subsequent concentric activation of the quadriceps and knee extension torque during reciprocal movements. BACKGROUND: Preloading a muscle by stretching, a prior isometric or eccentric muscle action, or a prior movement controlled concentrically by the antagonist muscle group increases the maximal torque-generating capability of the agonist. We hypothesized that the rate of transition from the prior movement may be the critical factor that influences the degree of muscle facilitation and torque potentiation. Rapid reversal of antagonistic movements has been postulated as a potential facilitatory mechanism. METHODS: Knee extension torque and electromyographic (EMG) amplitude (dependent variables) from 2 of the vasti muscles were recorded while subjects (N = 20; 12 men, 8 women, mean age, 28.5+/-2.68 years) maximally activated their quadriceps at 3 constant angular velocities, 100 degrees/s, 200 degrees/s, and 300 degrees/s, and 2 preload conditions, SLOW and RAPID (independent variables). In the SLOW transition condition, subjects actively flexed their knee to 110 degrees from an extended position, paused in this position for 3 seconds, and then extended to 0 degrees. In the RAPID transition condition, the same movement from knee flexion to extension was performed without a pause. RESULTS: Peak torque, the root-mean-square (RMS) average, peak (peak rectified and smoothed), and initial (100 milliseconds prior to torque onset) EMG amplitudes were all significantly greater during the RAPID transition condition. Peak torque decreased with increasing movement velocity. There were no interactions between the preload conditions and angular velocity on peak torque or the EMG amplitude variables. There was also no influence of velocity on the EMG amplitude variables. CONCLUSIONS: The effect of preloading the quadriceps by prior concentric activation of the hamstrings is dependent on the rate of transition between the flexion and extension movements and is due primarily to neural facilitation.

Adult↗
PubMed1999

Analysis of forces developed during mechanical preparation of extracted teeth using Profile NiTi rotary instruments.

AIM: The aim of this study was to analyse the vertical forces and torque developed in the root canal system of extracted teeth during mechanical preparation using ProFile NiTi instruments. METHODOLOGY: Instrument wear and fracture is in great part due to the repeated application of forces and torque during the course of root-canal preparation but research into the direct relationship has been hampered by the lack of adequate measuring devices. Measurements of these forces and torque were made with a new force analyser device, the Endographe, that was equipped with a holder to record and generate graphs of the vertical forces and torque exerted during the preparations. These preparations was performed by endodontists or students either with a series of instruments of increasing size or with the crown-down pressureless technique. RESULTS: The mean values for the endodontists of the generated vertical forces and torque varied, respectively, from 4 to 6N and from 7.105 to 12.105 Nm for the step-back technique and from 2.9 to 4.2 N and from 18.105 to 20.105 Nm for the crown-down technique. This suggested that the crown-down technique generated lower stresses (lower torque and lower vertical forces), although these findings also depend on the shape of individual canals. The students initially showed wide variations in generated forces, with significantly lower vertical force the torque values. By the end of the experimental sessions their values were similar to those of the endodontists, which indicated improvement in the efficiency of manipulation. CONCLUSIONS: Further work is needed to investigate the relationship between the force and the torque data from this study and the incidence of instrument fracture with the two techniques, as the clinical implications are considerable. It must be noted, however, that the Endographe is unable to take into account the cutting efficiency of the instruments. The use of graphs provides a new approach to the analysis of mechanical preparation.

Analysis of Variance↗
PubMed1995

Torsional loads in the early postoperative period following total hip replacement.

Torques generated in one subject during the early postoperative period were measured with a telemeterized total hip component. The patient was examined during gait, stair ascent, rising from a chair, and single-limb stance. The torques were plotted against both the resultant joint contact force and the force component directed along the stem axis. During gait, the maximum torque was 35 Nm, recorded at a walking velocity of 1.7 m/sec. The peak torques during stair ascent and during rising from a seated position were found to be 23 and 15 Nm, respectively. The maximum value for torque measured in this study was 37 Nm during one attempt at single-limb stance. Comparison of plots for torque versus stem-axis component for the four activities shows that the torque increased more rapidly for chair exits than for gait up to resultant contact force values of as much as 1,000 N. For stair ascent, the same was true to values of 1,400 N. Within any given activity, the relationship between stem torque and resultant or stem-axis force showed considerable variability. These results indicate that experiments evaluating the stability of femoral components in total hip arthroplasty should incorporate a component directed along the stem axis, as well as a component normal to the plane of the prosthesis. The results also suggest that theoretical stress analysis models should consider the broad variability in the orientation of the joint force at the hip.

Aged↗
PubMed1988

Comparison of acoustic and electrical signals from erectores spinae muscles.

Comparison was made between simultaneous recordings of the electromyogram (EMG) and acoustic myogram (AMG) signals and the torque produced by the lumbar erectores spinae muscles of three healthy subjects while they performed isometric contractions. Repeatability of each signal was studied. The AMG had a relationship to the torque which was more quadratic than linear, whereas that of the EMG was more linear. The coefficient of variability of residuals about a "best-fit" line was 8.55% for torque-increasing EMG recordings and 19.2% for torque-increasing AMG recordings. At the same torque, the EMG was on average about 10% greater for increasing-torque recordings than for decreasing-torque parts of the recordings, but the magnitude of the AMG signal was about 10% less. With repeated testing on the same day, the coefficient of variability of the signal/torque relationship (torque-increasing) was 9% for EMG and 23% for AMG signals. With long-term testing over 2 weeks these coefficients were 23 and 39%, respectively. Correlation analysis showed that the two signal/torque relationships varied independently of each other.

Electromyography↗
PubMed1990

Speed-related changes in hindlimb intersegmental dynamics during the swing phase of cat locomotion.

To determine speed-related changes in hindlimb motion that might account for the mutability of bifunctional (hip extensor/knee flexor) muscle activity during the E1 phase of swing, we studied hip and knee joint kinematics and kinetics during swing over a ten-fold increase in locomotor speed (0.35 to 3.5 m/s). Three cats were filmed (100 frames/s) while locomoting on a motorized treadmill; kinematics were analyzed for the entire step cycle and kinetics for the swing phase. During swing, angular excursions at the hip and knee joints were similar for walking and trotting, but hip flexion and extension were significantly less after the transition from trot to gallop, while knee-angle range of motion increased during gallop phases E1, E2, and E3. During swing, knee-extension velocity peaked early in E1 and increased linearly with speed, while hip-flexion velocity peaked late in the flexion (F) phase and also increased linearly, but decreased precipitously at the trot-gallop transition and remained constant as speed of galloping increased. Muscle torque directions during E1, flexor at the knee and extensor at the hip, were consistent with the proposed role of bifunctional posterior thigh muscles to decelerate thigh and leg segments for paw contact. At the knee joint, muscle torque during E1 counteracted a large interactive torque due to leg angular acceleration; the magnitudes of both torques were speed related with maximal values at the fastest speed tested (3.5 m/s). At the hip joint, muscle torque during E1 also counteracted a large interactive torque due to leg angular acceleration; the magnitudes of these two torques were speed related during the walk and trot, and like hip flexion velocity, decreased at the trot-gallop transition. Our data on speed-related changes in hindlimb dynamics suggest that the E1 burst amplitude (and perhaps duration) of posterior thigh muscles will be speed related during the walk and trot. After the trot-gallop transition at about 2.5 m/s, the recruitment of these bifunctional muscles may decline due to the changes in hindlimb dynamics. Because activity of these muscles counteracts interactive torques primarily related to leg angular acceleration, we suggest that motion-related feedback decoding this action may be important for regulating recruitment during E1.

Animals↗
PubMed1994

Muscle strength and myoelectric activity in prepubertal and adult males and females.

The purpose of this investigation was to compare children and adults of both genders with respect to torque-velocity, electromyogram (EMG)-velocity and torque-EMG relationships during maximal voluntary knee extensor muscle actions. Four groups of ten subjects each were studied comprising 11-year-old girls and boys and female and male physical education students (22-35 years). Maximal voluntary eccentric (lengthening) and concentric (shortening) actions of the knee extensors were performed at the constant velocities of 45, 90 and 180 degrees.s-1. Average values for torque and EMG activity, recorded by surface electrodes from the quadriceps muscle, were taken for the mid 40 degrees of the 80 degrees range of motion. The overall shapes of the torque- and EMG-velocity relationships were similar for all four groups, showing effects of velocity under concentric (torque decrease and EMG increase) but not under eccentric conditions. Eccentric torques were always greater than velocity-matched concentric ones, whereas the eccentric EMG values were lower than the concentric ones at corresponding velocities. Torque output per unit EMG activity was clearly higher for eccentric than for concentric conditions and the difference was of similar magnitude for all groups. Thus, the torque-EMG-velocity relationships would appear to have been largely independent of gender and to be fully developed at a prepubertal age.

Adult↗
PubMed1988

The mechanical response of active human muscle during and after stretch.

Five subjects contracted forearm supinator muscles which were stretched after development of maximal isometric torque. The ratio of torque at the end of stretch over isometric torque at that position was calculated as excess torque. Excess torque increased with stretch velocity and decreased with stretch amplitude, and it was not dependent upon final muscle length. The rate of decay of torque following stretch could not be shown to depend upon stretch variables. The absence of significant changes in myoelectric activity suggested that with high initial forces, reflex activity did not account for the observed changes. Time-constants of decay (0.15 s to 1.8 s) were much greater than time-constants of rise (approx. 0.07 s) of isometric torque at the same muscle length. This indicates that interaction of series elastic and contractile elements is not the sole cause of prolonged torque following stretch. It is concluded that stretch temporarily enhances the intrinsic contractile properties of a group of human muscles in a manner similar to, but quantitatively different from that seen in isolated muscle preparations.

Analysis of Variance↗
PubMed1990

Measured and modelled static and dynamic axial trunk torsion during twisting in males and females.

Study of the mechanics of trunk twisting is of special interest given epidemiological evidence linking occupational twisting to increased incidence of low back pain. An anatomically detailed, three-dimensional model of the trunk (rib cage, pelvis, five lumbar vertebrae and 50 muscles), was used to predict maximum axial trunk torque. Predicted axial torques were compared with measured torques. Thirty-one (10 male and 21 female) subjects performed maximum effort isometric twisting exertions, at 0 degrees of twist and +/- 30 degrees of twist together with dynamic exertions, at 30 degrees s-1 and 60 degrees s-1. Females were able to generate approximately two-thirds of the torque of males (males, 97Nm; females 60Nm, isometric at 0 degrees). When the trunk was prerotated to 30 degrees, subjects were able to generate greater torque when the effort was toward the 0 degree position (approximately 105Nm by males and 68Nm by females). Experimental data indicated that velocity of rotation and amount of twist are important modulators of axial torque. Changes in muscle length were demonstrated to be minimal from model output as most muscle length changes during a twist from 0 degrees to 30 degrees, measured between the pelvis and the shoulder harness, were less than 1%, although some portions of the abdominal obliques underwent a length excursion of 5%. The small changes in the individual muscle force components that contribute to twist, i.e. the muscle unit vector about the axial twist axis and its moment arm that change as a function of twisted position, do not entirely account for the measured differences in torque, suggesting that additional mechanisms influence axial torque generation.

Adult↗
PubMedDate not supplied

External rotation of the glenohumeral joint: ligament restraints and muscle effects in the neutral and abducted positions.

External rotation of the glenohumeral joint is important in a variety of pathologic states, yet the ligamentous restraints to external rotation have not been thoroughly investigated and the muscle effects have received even less attention. The purpose of this study was to investigate the ligamentous restraints and muscle effects limiting external rotation of the glenohumeral joint in a biomechanical cadaveric model. External rotation torque was applied to the humeri of 15 shoulders mounted in the supine position in a custom fixture while varying rotator cuff and biceps loads in 15 degrees and 60 degrees of glenohumeral abduction. A randomly chosen ligament (coracohumeral ligament [CHL], combined superior and middle glenohumeral ligaments [S+M], anterior band of the inferior glenohumeral ligament [AB], entire inferior glenohumeral ligament [IGHL], or posterior capsule [PC]) was cut, and testing was repeated (n = 3 for each ligament). Torque data were collected every 3 degrees through the entire range of external rotation. Individual muscles were loaded with 22.2 N (designated as a standard state) and were compared with loads of 0, 11.1, and 44.5 N. Alterations in muscle loads were analyzed with a residual maximum likelihood-based repeated-measures model. Ligament effects were analyzed by use of analysis of variance with Tukey correction. In the neutral position, each ligament except the PC significantly affected the torque required for external rotation, with IGHL > CHL > AB > S+M. In this position, loading the subscapularis to 44.5 N significantly increased the torque required to externally rotate the shoulder whereas unloading it significantly decreased the torque required. In the 60 degrees abducted position, each ligament except the PC significantly affected the torque required for external rotation, with IGHL > AB > S+M > CHL. In this position, loading the biceps or subscapularis to 44.5 N significantly increased the torque required to externally rotate the shoulder as rotation increased whereas unloading it significantly decreased the torque required as rotation increased. This work demonstrates that the glenohumeral joint capsule behaves as a cylinder with many regions serving as restraints to external rotation. In addition, the long head of the biceps has an important role as a dynamic restraint to external rotation in the abducted shoulder. This is a new function attributed to the biceps and reinforces the role of external rotation in the generation of biceps and superior labral pathology.

Biomechanical Phenomena↗
PubMed2000

Stretch reflex adaptation in elbow flexors during repeated passive movements in unilateral brain-injured patients.

OBJECTIVE: To evaluate the effects of repeated, externally imposed, flexion-extension movements of the elbow on the resulting stretch reflex response in hemiparetic spastic brain-injured patients. These effects were compared within a recording session and across sessions for the same subject to determine the impact of movement history on the quantification of spastic hypertonia using the stretch reflex response. DESIGN: Twenty to 30 sequential, constant velocity flexion-extension movements were applied to the impaired elbow of our cohort, with a 10-second hold interposed between flexion and extension. Movements were applied regularly at 1-minute intervals. Changes in stretch reflex responses were monitored during the applied movements. PARTICIPANTS: We examined a convenience sample of seven hemiparetic brain-injured subjects between the ages of 26 and 60 yrs, with moderate-to-severe spastic hypertonia of elbow muscles (Ashworth score 2-4/4). Subjects participated in 2 to 9 sessions. MEASURES: Elbow torque, position, velocity, and electromyograms of the biceps, brachioradialis, and triceps muscles were recorded for each flexion and extension movement. Stretch reflex torque was calculated by subtracting passive torque from total elbow torque, recorded over large amplitude movements. A linear regression analysis quantified both the initial torque response of the stretch reflex and the ensuing adaptation of the stretch reflex during sequential movements. Intersession variability was characterized both for spastic hypertonia measures and for stretch reflex adaptation. RESULTS: Repeated, externally imposed, sequential flexion-extension movements of the elbow decreased the elbow flexor stretch reflex in six of seven subjects. The mean reduction in reflex torque after 30 movements was 50% of the initial torque values (p = .001, t test vs. 0% change). Intersession stretch reflex responses for each subject were found to vary greatly (SDs of reflex torque ranged from 0.1 to 4.0 Nm), and there were also significant variations in the degree of adaptation between subjects. CONCLUSIONS: Stretch reflex adaptation must be taken into consideration when spastic hypertonia is quantified using repeated joint motion, as is often the case. The magnitude of intersession variation in spastic hypertonia measures suggests that ideally, such measurements should be made across multiple sessions before conclusions are made regarding the efficacy of spastic hypertonia interventions. This study provides quantitative evidence that repeated joint movements may have a significant short-term beneficial effect on spastic hypertonia.

Adaptation, Physiological↗
PubMed1993

Fatigue during functional neuromuscular stimulation.

Discontinuous activation of muscle compartments is used to postpone the occurrence of fatigue during both normal activation and artificial stimulation. Periods of force development are interrupted by passive periods during which the muscle can recover. Since it is not known how fatigue parameters depend on intermittent stimulation, we compared fatigue generated by continuous electrical stimulation with fatigue resulting from intermittent stimulation schemes. T5-T6 paraplegics participated in the experiments. Continuous stimulation generated a torque time course that can be described by a rising and a falling exponential time constant. The falling time constant ranged from 100 to 200 sec in all four patients and did not depend on the amplitude of the stimulation pulses. The torque developed at times greater than 250 sec was asymptotically constant and proportional to the maximal torque developed by each patient. Intermittent stimulation appears to postpone fatigue markedly. The torque time course developed in each on/off cycle again was a double exponential. In intermittent stimulation schemes average torque determines the muscle's performance. Therefore, average torque versus time was calculated from the intermittent stimulation data. These relations also follow a double exponential, accurately providing confident estimates of fatigue parameters. Fatigue caused average muscle torque to decline to a constant level which, for each patient, was uncorrelated with the duty cycle of the stimulation pattern. Between patients these levels varied from 18.3 +/- 7.1 to 9.9 +/- 4.3 (% of maximal torque +/- standard error). These findings result in a model that could be of use in controllers for functional neuromuscular stimulation (FNS) that take into account non-stationarity caused by fatigue.

Electric Stimulation Therapy↗
PubMed2003

Application of a new image analysis technique to study brain asymmetry in schizophrenia.

The hypothesis that normal brain torque (i.e. rightward frontal and leftward occipital asymmetry) is anomalous in schizophrenia (Crow, 1997. Trends in Neuroscience, 20, 339-343) was tested by application of a novel image analysis technique on three-dimensional magnetic resonance images obtained in 26 adult patients with chronic schizophrenia (18 males, 8 females) and 24 controls (14 males, 10 females). Right and left cerebral hemisphere tissue was extracted via non-linear co-registration with a mask image, and maps were computed of inter-hemispheric differences in tissue volume in an array of columns of voxels orthogonal to the mid-plane (2D), and profiles of coronal slice volumes (1D). Furthermore, integration of two-dimensional column maps gave approximate lobar asymmetries, and occipital and frontal asymmetries were combined to give a volumetric measure of brain torque. Significant brain torque was revealed in male and female control and patient groups, and did not correlate with brain size. Frontal and occipital asymmetries were significantly correlated in all groups. Both frontal and occipital components of torque were significantly increased in males than females. Patients tended to have reduced torque, particularly the leftward occipital component. Furthermore, 3/26 patients (but no controls) had reversed torque (leftward frontal and rightward occipital asymmetry). Contrary to Crow's hypothesis, brain torque was not significantly reduced in patients with schizophrenia relative to controls, although reversal of torque was found in three cases. Future studies with larger sample sizes should consider sexual dimorphism and specific symptoms in relation to asymmetry.

Brain↗
PubMed1987

A linked muscular activation model for movement generation and control.

A new model for movement control is presented which incorporates characteristics of impulse-variability and mass-spring models. Movements in the model were controlled with phasic torque impulses in agonist and antagonist muscles and a tonic agonist torque. Characteristics of the phasic agonist and antagonist torque profiles were based on observed properties of movement-related EMGs and muscle isometric torques. Variability of the phasic impulses depended on impulse magnitude as in impulse-variability models. The model therefore predicted a speed-accuracy tradeoff for limb movement. The time of onset and magnitude of the antagonist torque depended on the magnitude of the preceding agonist torque as indicated in studies of movement-related EMGs. This led to the new concept of linkage between the agonist and antagonist muscle forces which was shown to be important for reducing variability of fast movements. Progressive development of linkage during practice could explain the previous findings of decreased movement variability with practice coupled with increased variability of movement-related EMGs. It was concluded that an inherently variable motor system deals with the variability associated with generation of large muscle forces by linking the forces produced by opposing muscles. In this way, variability in net joint torques and in movements can be decreased without the need for the nervous system to closely regulate the individual torques.

Journal Article↗
PubMed2002

Effects of regular training at the same time of day on diurnal fluctuations in muscular performance.

The aim of this study was to determine whether there is an effect of time of day on the adaptation to strength training at maximal effort. Fourteen participants took part in this experiment. Their peak anaerobic power (Wingate anaerobic test) and peak knee extension torque at six angular velocities (1.05, 2.10, 3.14, 4.19, 5.24 and 6.29 rad x s(-1)) were recorded in the morning (between 07:00 and 08:00 h) and in the evening (between 17:00 and 18:00 h) just before and 2 weeks after a 6 week course of regular training. Seven of them trained only in the morning and seven only in the evening. Multivariate analysis of variance revealed a significant group x pre-/post-training x time of day interaction effect for peak torque and peak anaerobic power. Before training, in both groups, peak torque and peak anaerobic power were significantly higher in the evening than in the morning. After training, there was no significant difference in peak torque and peak anaerobic power between the morning and the evening for the morning training group. In contrast, in the evening training group, peak torque and peak anaerobic power were higher in the evening than in the morning. As a result of training, both peak torque and peak anaerobic power increased from their initial values as expected. The morning training group improved their peak anaerobic power significantly in the morning and in the evening, the absolute increase being larger in the morning than in the evening. The evening training group did not improve their peak anaerobic power in the morning, whereas it improved significantly in the evening. Although peak torque was significantly improved by training in the morning and evening in both groups, the absolute increase was greater in the morning than in the evening in the morning training group, whereas the opposite was the case for the evening training group. These results suggest that training twice a week at a specific hour increases the peak torque and the peak anaerobic power specifically at this hour and demonstrates that there is a temporal specificity to strength training.

Adaptation, Physiological↗
PubMed2004

Effect of three anaesthetic techniques on isometric skeletal muscle strength.

BACKGROUND: Our aim was to quantify human involuntary isometric skeletal muscle strength during anaesthesia with propofol, sevoflurane, or spinal anaesthesia using bupivacaine. METHODS: Thirty-three healthy patients undergoing anaesthesia for elective lower limb surgery were investigated. Twenty-two patients received a general anaesthetic with either propofol (n=12) or sevoflurane (n=10); for the remaining 11 patients spinal anaesthesia with bupivacaine was used. We used a non-invasive muscle force assessment system before and during anaesthesia to determine the contractile properties of the ankle dorsiflexor muscles after peroneal nerve stimulation (single, double, triple, and quadruple stimulation). We measured peak torques; contraction times; peak rates of torque development and decay; times to peak torque development and decay; half-relaxation times; torque latencies. RESULTS: Males elicited greater peak torques than females, medians 6.3 vs 4.4 Nm, respectively (P=0.0002, Mann-Whitney rank-sum test). During sevoflurane and propofol anaesthesia, muscle strength did not differ from pre-anaesthetic values. During spinal anaesthesia, torques were diminished for single-pulse stimulation from 3.5 to 2.0 Nm (P=0.002, Wilcoxon signed rank test), and for double-pulse from 7.6 to 5.6 Nm (P=0.02). Peak rates of torque development decreased for single-pulse stimulation from 113 to 53 Nm s(-1) and for double pulse from 195 to 105 Nm s(-1). Torque latencies were increased during spinal anaesthesia. CONCLUSIONS: At clinically relevant concentrations, propofol and sevoflurane did not influence involuntary isometric skeletal muscle strength in adults, whereas spinal anaesthesia reduced strength by about 20%. Muscle strength assessment using a device such as described here provided reliable results and should be considered for use in other scientific investigations to identify potential effects of anaesthetic agents.

Adolescent↗
PubMed1991

Non-ferromagnetic retinal tacks are a tolerable risk in magnetic resonance imaging.

Should patients with cobalt alloy (ASTM F563) retinal tacks (Grieshaber cat. #611.95) in their eyes be subjected to the magnetic fields used in magnetic resonance imaging? Although the tacks are not ferromagnetic, they will experience a retarding torque when they are moved at the high angular velocities of human eye motion. Because retinal tacks are small (2.85 mm x 0.9 mm), the torque is difficult to measure. Rather, we measured the torque on a model 25.4 times larger and used a scaling law derived from Maxwell's equations to calculate the force on the tack. The scaling law states that the torque varies with the cube of the object's length. To mimic the motion, models of retinal tacks were attached to Plexiglas rods and the assemblies were swung as pendulums. The pendulums were oriented in the magnetic field of a 1.5 T imager to experience the greatest retardation. Retarding torques were estimated from the rate of decrease of the pendulum amplitude, both inside and outside the magnet. Even if the retinal tacks were as conductive as 6061T6 aluminum alloy (25 MS/m) and the velocity of the surface of the eye were 24 cm/s (angular vel. of 1130 deg/s), the retarding torque would be only 1.6 times the weight of the tack acting with a lever arm as long as the distance from its tip to its center of gravity. The maximum retarding torque on an implanted retinal tack in a 1.5 T magnet is similar to the torque produced by gravity alone acting on the tack and is a tolerable risk.(ABSTRACT TRUNCATED AT 250 WORDS)

Alloys↗
PubMed1997

Gait adaptations before and after anterior cruciate ligament reconstruction surgery.

Gait analyses of rehabilitated individuals with anterior cruciate ligament (ACL) deficiency and reconstruction have identified the final adaptations of increased hip extensor torque and hamstring electromyography (EMG) and decreased knee extensor torque and quadriceps EMG during stance. The initial adaptations to injury and surgery are, however, unknown as are the factors that influence the development of the adaptations. Identification of the initial response to injury would provide a basis for determining whether the final adaptations are learned automatically or if they are the result of a lengthy training period in which various factors may affect their development. The purpose of the study was to evaluate the initial effects of ACL injury and reconstruction surgery on joint kinematics, kinetics, and energetics, during walking. Injured limbs from nine subjects with ACL injury were tested 2 wk after injury, and 3 and 5 wk after surgery. Ten healthy subjects were tested. Kinematic and ground reaction data were collected and combined with inverse dynamics to calculate the joint torques and powers. A knee extensor torque throughout most of stance was observed in the injured limbs at all test sessions. This result was in conflict with previous observations of reduced extensor torque or a flexor torque in rehabilitated patients with ACL reconstruction and patients with ACL deficiency. This result also differed from the typical midstance extensor then flexor torque in healthy control subjects. Trend analysis showed a significant (P < 0.001) change in average position at the hip and knee, extensor angular impulse at the hip, and positive work done at the hip 3 wk after surgery followed by a partial rehabilitation at 5 wk after surgery. Power and work produced at the knee were reduced fivefold (P < 0.001) after 5 wk of rehabilitation and did not recover to pre-surgical levels. The existence of a long-lasting knee extensor torque 2 wk after injury indicated that the adaptation process to ACL deficiency is lengthy, requiring many gait cycles, and that numerous factors could be involved in learning the adaptations.

Adult↗