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Biomedical subjects

M Jäger

Publications and source records attributed to M Jäger.

At least 109 records · Page 6Linked to original sources

Relation between pedalling- and breathing rhythm.

The relationship between pedalling- and breathing rhythm was studied in 34 medical students (non-cyclists") and 10 racing cyclists on an electromagnetic bicycle-ergometer, the effective work load of which (50 W, 100 W, 150 W, 200 W) was independent of the pedalling rate. The criteria used were integer p/b ratios (pedalling rate being a multiple of breathing frequency) and phase coupling (the breathing phases starting preferentially at a certain angle of the pedalling cycle). Unconsciously occurring coordination of pedalling and breathing rhythm was found in the majority of the test persons; 70%-100% of the racing cyclists, 50%-63% of the regularly breathing and 25%-33% of the decreased with increasing work load. Phase coupling was even more frequent than integer p/b ratios and was not affected by increasing work load. The majority of racing cyclists (unlike the non-cyclists) coupled the inspiration-onset with the onset of either the left or the right leg movement. Expiratory phase coupling, however, was analogous in all groups; expiration began preferentially at mid-contraction of either leg. The results are discussed in terms of relative (nervous) coordination. It is concluded that the tendency to coordination between pedalling- and breathing rhythm increases with pedalling training and with regularity of breathing.

Adult↗

[Biomechanics, technique and results of fibular ligamentous grafting at the ankle joint (author's transl)].

The grafting operations according to Watson-Jones and Evans in old fibular capsular ligament lesions of the ankle joint have the effect of tenodesis as far as the talo-calcaneo-navicular joint ist concerned, since especially the natural course of the ligamentum calcaneofibulare, which requires substitution, is not considered. The authors conducted a search for the most favourable course when replacing the ligamenta talofibulare anterius and calcaneofibulare, using a thread model on ankle joint preparations. It is only the direct replacement of these ligaments which is most likely to ensure free mobility of ankle joint and the talo-calcaneonavicular joint with optimal joint stabilization. Courses proceeding differently will lead either to tenodesis or to slackening of the ligamentous replacement without producing a stabilizing effect. From the author's own patient, two groups with anatomically compatible ligamentous replacement with lyodura (n = 12) or with a modified graft of the short peroneal muscle (n = 8) were compared with each other. In accordance with the experimental results, the main difference between the two processes was the restriction in supination of the talo-calcaneo-navicular joint. The authors conclude from their results that duraplasty, which follows the anatomical course of the ligaments to be replaced, is indicated particularly in such patients who require free supination of the foot because they are active in certain types of sport where this is essential.

Ankle Injuries↗

[Intra-articular or extra-articular substitution of cruciate ligament--a critical study (author's transl)].

Intra- and extra-articular methods of cruciate ligament substitution are available for treating old anteromedial knee-joint instability. Twelve patients with intra-articular cruciate ligament substitution (median third of the patellar ligaments as free transplant) and 24 patients with extra-articular cruicate ligament substitution (operation according to Nciholas) were examined with particular reference to improved stability as follow-up examinations, the results being subjected to comparative evaluation. Intra-artricular cruciate ligament substitution reduces or eliminates the pre-operative instability of the joint which is due to insufficiency of the cruciate liagment, whereas the extra-articular cruciate ligament substitution produces a significantly more frequent reduction of elimination of the instability of the valgus position and of the anteromedial instability. The combination of both methods to remove anteromedial instability of the knee joint may seem a very useful solution of the problem, but it should be limited to a restricted group of patients because it involves also contain disadvantages which make it unsuitable for indiscriminate application.

Aftercare↗