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M Kankaanpää

Publications and source records attributed to M Kankaanpää.

14 recordsLinked to original sources

Spectral spin diffusion and magnetic dipolar energy in the NMR of 13CH3 compounds.

Spin diffusion between 13CH3 groups in solids is studied both theoretically and experimentally. It is shown to be dominated by mutual spin flip-flops of protons belonging to neighbouring methyl groups. Also nonmethyl protons may contribute significantly if present in the sample. The spin-rotational ground state of 13CH3 consists of 16 sublevels. When their populations are used to describe spin diffusion, eight population combinations are shown to be important, two of them corresponding to the 13C-proton and proton-proton intra-methyl magnetic dipolar energies, Dc and Dp, respectively. Spin-diffusion transitions modulate these combinations so that a further reduction to two sets of four combinations is possible, with no coupling between the sets. Coupled differential equations are derived to describe the time dependence of the combinations in each set. They are solved numerically and compared with experimental results on a single crystal of aspirin with 13C-labelled methyl groups at the carbon resonance. The 13C NMR induction signal was observed as a function of time after the preparation either at the carbon resonance (a two-pulse sequence) or at the proton resonance (proton saturation). Usually carbon spectra were computed first and then three of the mentioned population combinations were obtained from the individual spectral components. Some results on the time dependence of Dc were also obtained directly from the amplitude of the out-of-phase induction signal. Theoretical predictions are found to describe semiquantitatively the overall time dependence of these three combinations and especially their variation with different initial conditions, which are discussed in detail. Also the partial transfer of the magnetic dipolar energy between Dc and Dp is nicely explained. Reasons for discrepancies are discussed.

Algorithms↗

Spin-lattice relaxation of 13CH3 groups in 13C-enriched aspirin after proton saturation.

We studied the spin-lattice relaxation of the 13C magnetisation, M(C), in 13C-enriched single crystal of aspirin (only methyl carbons enriched to 99%) at the carbon resonance frequency of 54.5 MHz. After the carbon saturation the recovery appears exponential except below 30K, where it is biexponential due to the presence of the level crossing omega(t)=omega(C)+omega(H) (the symbols refer, respectively, to the tunnel frequency and the carbon and proton resonance frequencies in angular units). After the saturation of the proton magnetisation, M(H), the description of the M(C) recovery needs three exponentials. The evaluation of the time constants is easiest from the data in this case, since M(C) varies with time in an initial growth-subsequent decrease (or an initial decrease-subsequent growth depending on temperature) manner, instead of the monotonous growth after the carbon saturation. Experimental data agree semiquantitatively with the predictions of our recent model. According to the model the relaxation of M(C) is coupled to M(H) and the tunnel energy TE at temperatures below the minimum of the 13C relaxation time. Sufficiently above this minimum M(C) is coupled to M(H) and the rotational polarization (but not to TE) in agreement with experiment. Also the effect of torsional oscillations of a methyl group on the magnitude of various 13C-related transition rates was considered in detail. In aspirin the rates are reduced roughly by 10% and the reduction should become larger in samples with a larger tunnel splitting. The reduction also changes somewhat the angular dependence of these rates.

Aspirin↗

Disc herniation-related back pain impairs feed-forward control of paraspinal muscles.

STUDY DESIGN: A comparative study of lumbar paraspinal muscle reflexes during sudden upper limb loading in healthy control subjects and patients with sciatica. OBJECTIVES: To assess reflex activation of paraspinal muscles during sudden upper limb loading. SUMMARY OF BACKGROUND DATA: Sudden upper limb loading and upper limb voluntary movements cause reflex activation of trunk muscles. A short latency response of approximately 50 msec of lumbar muscles has been observed before, but the reflexes have not been studied in patients with sciatica. METHODS: The paraspinal muscle responses for upper limb loading during unexpected and expected conditions were measured by surface EMG from 20 patients selected for an operation as a result of disc herniation-related chronic low back pain and 15 back-healthy controls. Pain, disability, and depression scores were recorded. RESULTS: Short latency response of paraspinal muscles for unexpected upper limb loading was similar in healthy controls and patients with sciatica in supported standing. During normal standing anticipation shortened the lumbar reflex latency in healthy controls but not among the patients. CONCLUSIONS: The results provide evidence for impaired feed-forward control of lumbar muscles in patients with sciatica.

Adult↗

Back and abdominal muscle function during stabilization exercises.

OBJECTIVES: To assess the paraspinal and abdominal muscle activities during different therapeutic exercises and to study how load increment produced by varying limb movements and trunk positions could affect these muscle activities. DESIGN: A cross-sectional study comparing muscle activities between men and women. SETTING: Rehabilitation clinic in university hospital. PARTICIPANTS: Twenty-four healthy volunteers (14 women, 10 men) aged 21 to 39 years. INTERVENTIONS: Subjects performed 16 different therapeutic exercises commonly used to treat low back pain. MAIN OUTCOME MEASURES: Surface electromyography was recorded from the paraspinal (T9, L5) and abdominal (rectus abdominis, obliquus externus) muscles during these exercises. Average electromyographic amplitudes obtained during the exercises were normalized to the amplitude in maximal voluntary contraction (% MVC) to produce interindividually comparable muscle activity assessments. RESULTS: Mean average normalized electromyographic amplitudes (% MVC) of the exercises were below 50% MVC. At L5 level, the multifidus muscle activities were significantly higher (p <.05) in women than in men, whereas no significant difference was found at T9 level. Similarly, rectus abdominis and obliquus externus activities were significantly higher (p <.001, p <.05) in women than in men. Load increment in hands or unbalanced trunk and limb movements produced higher paraspinal and abdominal muscle activities (p <.05). CONCLUSIONS: Simple therapeutic exercises are effective in activating both abdominal and paraspinal muscles. By changing limb and trunk positions or unbalancing trunk movements, it is possible to increase trunk muscle activities. Women were better able to activate their stabilizing trunk muscles than men; but it is also possible that men, having a much higher degree of strength on maximal contraction, only need to activate a smaller amount of that maximum to perform a similar activity.

Abdominal Muscles↗

Back and hip extensor activities during trunk flexion/extension: effects of low back pain and rehabilitation.

OBJECTIVE: To compare lumbar paraspinal, gluteus maximus, and biceps femoris muscle function during sagittal trunk flexion and extension in patients with chronic low back pain and healthy control subjects, and to assess the influence of rehabilitation in the back pain patients. DESIGN: A cross-sectional study comparing chronic low back pain patients and healthy controls, and a prospective follow-up in back pain patients during rehabilitation. SETTING: Physical medicine and rehabilitation clinic. SUBJECTS: Nineteen women with chronic low back pain, and 19 women without pain (controls). INTERVENTION: Five-week active outpatient rehabilitation (1 hour three times a week) guided by a physiotherapist, followed by 5-week self-motivated exercise at home. OUTCOME MEASURES: Subjects performed sagittal trunk flexion and extension while surface electromyogram was bilaterally recorded of paraspinal (L1-L2 level), gluteus maximus, and biceps femoris muscles. The muscle activity was assessed from the average electromyogram and the relative muscle activation onsets and their duration were calculated. RESULTS: During early flexion, lumbar paraspinal and biceps femoris were activated simultaneously before gluteus maximus. At the end of flexion and during extension all investigated muscles were activated and relaxed in order. Lumbar paraspinal and biceps femoris muscles were activated in a similar order in low back pain patients and healthy controls during flexion and extension. However, the duration of gluteus maximus activity was shorter in the back pain patients than in controls during the trunk flexion (p<.05), and it ended earlier during extension. Active rehabilitation did not change the muscle activities of lumbar paraspinal and biceps femoris in the back pain patients, but in the measurements after rehabilitation the onset of gluteus maximus activity occurred later in flexion and earlier in extension. CONCLUSIONS: The activity of the gluteus maximus muscle during the flexion-extension cycle was reduced in patients with chronic low back pain. The gluteal muscles should be taken into consideration in the rehabilitation of these patients.

Adult↗

The effect of lumbar fatigue on the ability to sense a change in lumbar position. A controlled study.

STUDY DESIGN: A cross-sectional study in patients with recurrent/chronic low back trouble and healthy control subjects. OBJECTIVE: To evaluate the effect of paraspinal muscle fatigue on the ability to sense a change in lumbar position. SUMMARY OF BACKGROUND DATA: Protection against spinal injury requires proper anticipation of events, appropriate sensation of body position, and reasonable muscular responses. Lumbar fatigue is known to delay lumbar muscle responses to sudden loads. It is not known whether the delay is because of failure in the sensation of position, output of the response, or both. METHODS: Altogether, 106 subjects (57 patients with low back trouble [27 men and 30 women] and 49 healthy control subjects [28 men and 21 women]) participated in the study. Their ability to sense a change in lumbar position while seated on a special trunk rotation unit was assessed. A motor rotated the seat with an angular velocity of 1 degree per second. The task in the test involved reacting to the perception of lumbar movement (rotation) by releasing a button with a finger movement. The test was performed twice, before and immediately after a fatiguing procedure. During the endurance task, the participants performed upper trunk repetitive extensions against a resistance, with a movement amplitude adjusted between 25 degrees flexion and 5 degrees extension, until exhaustion. RESULTS: Patients with chronic low back trouble had significantly poorer ability than control subjects on the average to sense a change in lumbar position (P = 0.007), which was noticed before and after the fatiguing procedure. Lumbar fatigue induced significant impairment in the sensation of position change (P < 0.000001). CONCLUSIONS: Lumbar fatigue impairs the ability to sense a change in lumbar position. This feature was found in patients and control subjects, but patients with low back trouble had poorer ability to sense a change in lumbar position than control subjects even when they were not fatigued. There seems to be a period after a fatiguing task during which the available information on lumbar position and its changes is inaccurate.

Adult↗

The efficacy of active rehabilitation in chronic low back pain. Effect on pain intensity, self-experienced disability, and lumbar fatigability.

STUDY DESIGN: A randomized study comparing the results of active rehabilitation and passive control treatment in patients with chronic low back pain with follow-up at 6 months and 1 year. OBJECTIVES: To study the efficacy of active rehabilitation on pain, self-experienced disability, and lumbar fatigability. SUMMARY OF BACKGROUND DATA: Exercises in an outpatient setting are widely used for the treatment of chronic low back pain. The efficacy of the active rehabilitation approach has been documented in randomized control studies, but these studies have seldom been focused on lumbar fatigability, which is now recognized as a frequent problem among patients with chronic low back pain. METHODS: Fifty-nine middle-aged patients (37 men and 22 women) with nonspecific chronic low back pain were randomly assigned to 12 weeks' active rehabilitation or to a passive control treatment (massage, thermal therapy). Pain and disability index, low back pain intensity (visual analog scale, 100 mm), and the objectively assessed lumbar muscle fatigability (spectral electromyogram, mean power frequency slope [MPFSLOPE]) in a new 90-second submaximal isoinertial back endurance test were recorded before and after the interventions and at 6-month and 1-year follow-up visits. RESULTS: Results of repeated measures multivariate analysis of variance indicated that back pain intensity (visual analog scale) and functional disability (pain and disability index score) decreased, and lumbar endurance (MPFSLOPE) improved significantly more (P < 0.05) in the active rehabilitation group than in the passive control treatment group, when measured at a 1-year follow-up examination. The group difference in visual analog scale and pain and disability index changes became even more significant at the end of 1 year. The change in lumbar endurance was significantly greater in the active rehabilitation group than in the passive control treatment group at the 6-month follow-up, but not at the 1-year follow-up. CONCLUSIONS: The active progressive treatment program was more successful in reducing pain and self-experienced disability and also in improving lumbar endurance than was the passive control treatment. However, the group difference in lumbar endurance tended to diminish at the 1-year follow-up.

Adult↗

Back and hip extensor muscle function during therapeutic exercises.

BACKGROUND: Therapeutic exercises are widely used in the treatment of low back problems. Clinical knowledge about targeting the load in these exercises, however, is insufficient. This study assessed the L2 and L5 level paraspinal and gluteus maximus muscle activities in different therapeutic exercises. Intramuscular and surface electromyography (EMG) measurements were obtained to study whether surface EMG measurements can be used in the assessment of multifidus muscle function. METHODS: Eleven healthy subjects (5 men, 6 women) 21 to 38 years of age volunteered for the study. The subjects performed 18 different therapeutic exercises. During the exercises paraspinal EMG was recorded using fine wire and surface electrodes. The normalized peak and average muscle EMG activities (percentage of amplitude in maximal voluntary contraction [MVC]) during each task were determined. RESULTS: The correlations between the average intramuscular and surface activities of the normalized EMG (% of MVC) at the L2 and L5 levels were .928 and .950, respectively. The peak and average EMG amplitudes of the exercises were below 50% and 25% of MVC, respectively. At the L5 level, the multifidus peak and average EMG amplitudes (% MVC) were higher in women than in men, whereas no significant difference was found at the L2 level. In women, the normalized multifidus EMG amplitude was higher at the L5 level than at the L2 level, whereas no significant difference was found in men. In both sexes, the normalized EMG amplitude was higher in the multifidus than in the longissimus muscle. CONCLUSION: Surface EMG measurements may be used in the assessment of multifidus muscle function. Simple therapeutic exercises are effective in activating the lumbar paraspinal muscles.

Adult↗

Back and hip extensor fatigability in chronic low back pain patients and controls.

OBJECTIVE: To compare the lumbar paraspinal and gluteus maximus muscle fatigability between chronic low back pain patients and healthy controls by using electromyographic (EMG) spectral analysis during a maximal isometric endurance task. DESIGN: A cross-sectional comparative study between chronic low back pain patients and healthy control subjects. SETTING: Physical medicine and rehabilitation clinic in Finland. SUBJECTS: Twenty women with nonspecific chronic low back pain (longer than 3 months) and 15 healthy controls. INTERVENTION: Subjects performed maximal voluntary isometric back extensions (MVC) at 30 degrees forward flexion in a specially designed measurement unit. A 50% MVC load was used in isometric endurance test. OUTCOME MEASURES: Low back pain intensity was assessed by using the visual analogue scale and functional disability by the Oswestry disability index. Time to endurance was measured. Bipolar surface EMG recordings were made over the lumbar paraspinal muscles (L3-L4, L5-S1) and over the gluteus maximus muscles. Average EMG (aEMG%), and initial spectral median frequency (MFinit) and change over time (MFslope) were computed. RESULTS: Pain intensity and functional disability were higher and MVC and time to endurance were lower in the chronic low back pain group (p < .05). Similar muscle activity levels (aEMG%) and MFinit indicated similar muscle loading in both groups at the beginning of the endurance test. EMG spectral decreases (MFslope) indicated that lumbar paraspinal muscle fatigability was similar in both groups. In the chronic low back pain group, the gluteus maximus fatigued faster than in the control group (greater MFslope, p < .05). However, the shorter endurance time indicated greater fatigability in the chronic low back pain group in general (p < .05). CONCLUSIONS: The chronic low back pain patients were weaker and fatigued faster than the healthy controls. The EMG fatigue analysis results suggest that the gluteus maximus muscles are more fatigable in chronic low back pain patients than in healthy control subjects during a sustained back extension endurance test.

Adult↗

Age, sex, and body mass index as determinants of back and hip extensor fatigue in the isometric Sørensen back endurance test.

OBJECTIVE: To study the ability of a widely used isometric back endurance test to measure lumbar back erector muscle fatigue and to assess the influence of age, sex, and body mass index (BMI) on back and hip extensor muscle fatigability (EMG spectral indices). DESIGN: Cross-sectional study of men and women without back problems. SETTING: Occupational health center and rehabilitation clinic in Finland. SUBJECTS: Experiment 1 consisted of 233 consecutive occupational health center customers (133 women, 100 men) without back problems. Experiment 2 consisted of 20 healthy women. INTERVENTION: Subjects performed the isometric Sørensen back endurance test up to 240sec in experiment 1 and to the limit of endurance in experiment 2. OUTCOME MEASURES: Raw surface EMG was recorded bilaterally over the belly of lumbar erector spinae muscles at L1-L2 and L4-L5 levels in experiment 1, and bilaterally over the medial paraspinal muscles at L1-L2, L3-L4, and L5-S1 levels and over the major hip extensor muscles (gluteus maximus and biceps femoris) in experiment 2. In both experiments, time to endurance was recorded (in experiment 1 up to 240sec). The EMG spectral median frequency (MF) decrease over time was used for the assessment of back and hip extensor fatigability. RESULTS: In experiment 1, the rate of change in paraspinal MF was greater in men than in women, indicating greater paraspinal fatigability in men. Multiple regression analysis indicated that the rate of MF decrease (fatigue) during the test was dependent on age and BMI in both sexes and that the effects of age and BMI were more pronounced in women than in men. Correlation analysis revealed that the rate of paraspinal muscle MF decrease was associated with endurance time and BMI in women and with endurance time and age in men. In experiment 2, the paraspinal muscles, as well as the hip extensor muscles, biceps femoris, and gluteus maximus, showed clear decreases in MF during the isometric endurance test in women. MF decrease was highly related to endurance time and BMI in women. CONCLUSIONS: Lumbar paraspinal muscle fatigability during the Sørensen test is influenced by subject characteristics. Further, the hip extensor muscles also significantly fatigue, indicating load sharing between back and hip extensor muscles during the test. According to these results, the validity of this widely used back endurance test in specifically measuring lumbar paraspinal muscle endurance is questionable, as is the direct comparison of test results between women and men.

Aging↗

Proton double quantum coherence and cross-relaxation in (NH4)2SnBr6.

A proton double quantum coherence signal can be observed exclusively from the T species NH4 groups (with the total spin I = 1) in ammonium compounds at low temperatures by the three-pulse sequence 90x degrees - tpr - 90x degrees - tev - 90x degrees - ta, where tpr and ta are of the magnitude of the inverse line width and tev very short. The usefulness of this pulse sequence, preceded by the additional pulse sequence 90x degrees - t1 -90(-x) degrees - t2 for creating an unbalance between the A and T species magnetizations, was demonstrated by applying it to cross-relaxation studies in (NH4)2SnBr6.

Magnetic Resonance Spectroscopy↗

A submaximal back extension endurance test utilising subjective perception of low back fatigue.

The present study was designed to evaluate the diagnostic value of a new submaximal back extension endurance test in the classification between patients with non-specific chronic/recurrent low back trouble (LBT) and controls. The back pain questionnaires included pain duration, intensity, regularity and the Pain & Disability Index. The subjects performed dynamic back extensions on a specially designed measurement and training unit at a fixed repetition rate with a load that was based on the subject's estimated upper body mass. The degree of perceived fatigue (unmodified Borg scale, 6-20) was inquired in 15 second intervals throughout the protocol and the slope (change/minute) was calculated. The Borg scale slope increased faster and the score at the end of the test was higher in the LBT group than in the control group during the test. Receiver operating characteristics analysis revealed significant diagnostic value for the Borg scale slope (0.74) and for the Borg scale at the end of the test (0.70). We conclude that LBT patients experience fatigue faster than controls during a repetitive submaximal back extension task. The test may offer a low-risk, low-cost evaluation method for assessing the severity of LBT when combined with other relevant clinical data.

Adult↗

Lumbar paraspinal muscle fatigability in repetitive isoinertial loading: EMG spectral indices, Borg scale and endurance time.

The purpose of this study was to develop a submaximal repetitive isoinertial back muscle endurance test by defining the relationships between the power spectral indices of paraspinal muscle electromyographic (EMG) activities, endurance time and a subjective estimate of fatigue (Borg scale). Bilateral surface EMG recordings were obtained over the lumbar paraspinal muscles in ten individuals who were currently free from back pain. All subjects performed repetitive upper trunk extensions (25 degrees flexion and 5 degrees extension, 30 repetitions per min), while movement below the third lumbar vertebral body was mechanically restricted. The load level depended upon upper body mass, sex, and age. The tests continued for as long as the subjects were able to maintain the required repetition rate (endurance time). Median (MF) and mean power frequency (MPF) slopes were calculated by performing a fast Fourier transformation after confirmation of EMG stationarity by recurrence quantification analysis. MF and MPF correlations with endurance time/Borg scale were measured for the first 60 s (0.60-0.88/0.42-0.86), the first 90 s (0.62-0.89/0.52-0.90), the first 120 s (0.50-0.76/0.41-0.73), and the entire repetitive run (0.63-0.88/0.54-0.90). To test for the reproducibility of the spectral indices EMGs were recorded for 2 min during repetitive loading from the same subjects on two consecutive days. Corresponding spectral slopes of MF and MPF were correlated at 60 s (0.36-0.93), 90 s (0.58-0.92), and 120 s (0.70-0.94) at the L3-L4 and L5-S1 levels, indicating good reproducibility of results from alternate recording sessions at the L5-S1 level. It is concluded that paraspinal muscle spectral indices (MF and MPF) measured before the onset of total muscle fatigue are good predictors of endurance time and are closely related to the subjective perception of fatigue.

Adult↗

Ammonium tunnel levels and spin-rotational wavefunctions in (NH4)2S2O8.

Proton spin-lattice relaxation in a single crystal of (NH4)2S2O8 was studied as a function of resonance frequency at various constant temperatures between 4.2 and 30 K. Two T1 minima were found, one at 8.6 MHz and the other at 4.3 MHz. They are related to the splitting between the lowest T level and the A level, equal to 8.6 MHz nearly independently of temperature below 25 K. Together with the large tunnel splitting of 269 MHz, determined earlier by Clough et al. (Chem. Phys. 152, 343 (1991)) our results define the spin-rotational wavefunction of the lowest T level very accurately, although those of the two higher T levels remain largely undetermined.

Ammonium Sulfate↗