Vibration and induction of endothelial injury.
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Biomedical subjects
Publications and source records attributed to A M Kaigle.
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A novel non-radiographic technique for objectively quantifying quasi-static or dynamic intervertebral motion of a spinal motion segment in vivo in human subjects is presented here. The intervertebral motion device (IMD) is an instrumented linkage transducer system which can continuously measure over time two-dimensional sagittal plane rigid-body motion. Three custom-built omega-shaped displacement transducers are utilized. The IMD is rigidly fixed to the spinous processes of the lumbar motion segment by means of two intraosseous pins. Knowing the mechanoelectrical behavior and geometric configuration of the IMD, the relative spatial motion between the vertebral bodies can be resolved into sagittal rotation, axial translation, and anterior-posterior shear translation. Static calibrations of the IMD in the ranges of +/- 4 degrees rotation and +/- 4 mm translation determined the absolute maximum errors to be 0.2 degree and 0.07 mm for rotation and translation measurements, respectively, with corresponding variances of 0.1 degrees and 0.03 mm. For use in the vibration environment, negligible motion artifact content was detected in the IMD output signals when excited at discrete frequencies of 5.0 and 8.0 Hz. The first natural frequency of the IMD, specific for this design, was measured at 16.25 Hz. This technique may be used to study in vivo the spinal kinematics in healthy lumbar motion segments and in patients suspected of having segmental instability, and can perhaps be of clinical diagnostic significance.
Vibration exposure is widely recognized as a risk factor for low back pain. An experimental protocol was designed to quantify the intervertebral motion response in human subjects to sinusoidal vertical vibration at 5 and 8 Hz, and at a variety of acceleration levels. Intervertebral motion in the mid-sagittal plane was measured using a transducer linkage system attached to pins placed directly into the spinous processes of adjacent vertebrae. The postures of the subjects were carefully controlled. The effects of forward flexion, arm support, gravitational load, and sitting on a cushion were evaluated. The rigid body motion of the superior vertebra with respect to the inferior vertebra was expressed in terms of relative sagittal plane rotation, axial translation, and anterior-posterior shear translation. It was found that the lumbar motion segments exhibited coupled periodic behaviour in response to sinusoidal vertical vibration, with up to 1 mm peak-to-peak displacement in the axial direction. The greatest intervertebral motion occurred when the subject was exposed to 5 Hz vibration as compared to 8 Hz. For a constant frequency of 5 Hz excitation, the peak-to-peak amplitudes of the computed motions tended to increase as the acceleration level increased. In the flexed posture, with no arm support, the active trunk musculature helped reduce the intervertebral motion. Additional gravitational load on the shoulders caused increased relative axial displacement. A polyethylene foam cushion placed on the seat reduced vibration transmission at 5 Hz excitation and consequently decreased the intervertebral motion.