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Biomedical subjects

A Karsznia

Publications and source records attributed to A Karsznia.

6 recordsLinked to original sources

Physical training of children with juvenile chronic arthritis. Effects on force, endurance and EMG response to localized muscle fatigue.

We examined force, endurance and the electromyographic response to muscle fatigue in ten children with juvenile chronic arthritis (JCA) and ten age-matched healthy controls before and after physical training. Our main finding was a reduced electromyographic response to localized muscle fatigue in the patient group. After training there was a tendency towards a normalized response pattern. A possible explanation may be selective type-II muscle fiber atrophy, and recovery of these fibers after training.

Adolescent↗

Joint angle parameters in gait: reference data for normal subjects, 10-79 years of age.

In the laboratory, gait analysis is often completed with goniometry. In a previous article (Journal of Rehabilitation Research and Development, Vol. 30 No. 2), reference data for basic gait parameters were presented. The aim of this study was to provide such reference data for joint angle parameters. Two hundred and thirty-three healthy subjects (116 men and 117 women) 10-79 years of age, were entered into the study. The measurements were made in a gait laboratory with electrogoniometers with Lamoreaux type of exoskeleton. A series of reference tables for slow, normal and fast speed are presented. Means, standard deviations, coefficients of variation, 95% confidence intervals, and 95% prediction intervals were calculated. We found minor changes with age, no differences between right and left side, significant sex differences, and significant changes with increasing gait speed. The reference data are considered valid in an indoor laboratory situation. If gait analysis is used for evaluation of disabled people, a comparison must be made with data from healthy people. This study provides such normative data for joint angle parameters.

Adolescent↗

Clinical evaluation of trans-tibial prosthesis sockets: a comparison between CAD CAM and conventionally produced sockets.

This study is an evaluation, from the patient's point of view, of CAD CAM prosthesis sockets compared with conventional sockets. Twenty-two trans-tibial amputees were divided into two groups. One group was provided with a CAD CAM (CAPOD) socket, the other with a conventionally made one. After one month the groups were evaluated with regard to subjective experience, the judgement of a prosthetist and a physiotherapist, social variables and objective gait parameters. Then the groups switched over to the other type of socket, and after another month a new evaluation was performed. The study design was a single-blind study. In total 175 variables were evaluated. No difference was found between the two types of socket, except for a lower number of terry cloth stockings used in the CAD CAM socket. As the standard of conventional prosthetics in Sweden is considered to be high, the results were considered as satisfactory. The quality of the CAD CAM sockets was at least at the same level as conventionally made ones.

Aged↗

Basic gait parameters: reference data for normal subjects, 10-79 years of age.

Basic gait parameters were extracted from 233 healthy subjects--116 men and 117 women, 10 to 79 years of age. The measurements were made in a gait laboratory on a 5.5 m walkway. The results are presented in a series of reference tables for slow, normal, and fast gait. Mean, standard deviation, coefficient of variation, 95% confidence intervals, and 95% prediction intervals were calculated. Significant sex differences exist in all gait parameters. In a two-way analysis of variance (ANOVA) model, there was a statistically significant age-variability for gait speed and step length at normal and fast gait, but not for step frequency. In the step length parameter there was a significant interaction effect of age and sex at normal and fast gait. The reference data are considered valid in an indoor laboratory situation.

Adolescent↗

Work load, fatigue, and pause patterns in clinical dental hygiene.

PURPOSE: Previous studies have suggested that high frequencies of shoulder and neck complaints in dental hygienists mainly were due to longstanding, low-level static load of the neck and shoulder muscles. The purpose of the present study was to make continuous recordings of myoelectric signals from the shoulder muscles of dental hygienists in order to assess static load. METHODS: Myoelectric signals were recorded from the right trapezius muscle of 10 Swedish dental hygienists during half of a normal working day. A portable system for collection and on-line processing of myoelectric signals was used. Signal parameters were obtained, indicating muscular load, fatigue, pause frequency, and pause duration, respectively. All measurements were referred to a resting value and a reference contraction value established with the hand loaded with a 0.5 kg weight at the beginning of the recording session. RESULTS: A static load of 50 to 100% of the reference contraction (0.5 kg hand load with raised arm) was found in the trapezius muscle. The median load for the whole group was 57% of the reference level. Group data analyses of frequency EMG seldom showed significant fatigue. At individual levels, however, it was possible to identify localized muscle fatigue and relate it to a specific work task. There were many short pauses with a duration of 1 to 2 seconds, but an almost total lack of pauses of a duration longer than five seconds. CONCLUSIONS: Individual dental hygienists exhibited significant muscle fatigue that might be related to development of work related myalgias of the shoulder muscles. Future study of muscle patterns and dental hygiene tasks may lead to improved work designs and patterns for dental hygienists.

Adult↗