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Biomedical subjects

W D Bandy

Publications and source records attributed to W D Bandy.

5 recordsLinked to original sources

False aneurysm--a complication following an inversion ankle sprain: a case report.

Sprains of the lateral ligamentous structures of the ankle joint as a result of inversion are common and frequently result in pain. In most cases, the pain is related to soft-tissue injury and the associated hemorrhage and swelling. This case report describes the complication of posttraumatic false aneurysm of the peroneal artery following an inversion ankle sprain in a 22-year-old athlete, a complication which should be added to the differential diagnosis as a rare, but important possibility. Emphasis of the case report is placed on the rehabilitation of the patient following medical intervention.

Adult

Relationship of isokinetic peak torque with work and power for ankle plantar flexion and dorsiflexion.

Past research has analyzed the relationship of peak torque with work and power on the muscles surrounding the knee with correlation coefficients being reported, ranging from .67 to .99. No studies to date have examined this relationship for muscles surrounding the ankle joint. The purpose of this study was to analyze the relationship of peak torque with work and power for the plantar flexor and dorsiflexor muscles of the ankle. Isokinetic data were collected from 15 healthy subjects (six males, nine females; mean age = 26.6 years) on an isokinetic dynamometer across two trials at speeds of 30 and 120 degrees/sec. The results of Pearson product moment correlations between peak torque to work and peak torque to power indicated correlation coefficients ranging from .81 to .97 for all speeds of testing and angular velocities. These findings suggest that peak torque is representative of work and power.

Adult

The effect of time on static stretch on the flexibility of the hamstring muscles.

BACKGROUND AND PURPOSE: To date, there are no reports comparing duration of static stretch in humans on joint range of motion (ROM) and hamstring muscle flexibility. The purpose of this study was to examine the length of time the hamstring muscles should be placed in a sustained stretched position to maximally increase ROM. SUBJECTS: Fifty-seven subjects (40 men, 17 women), ranging in age from 21 to 37 years and with limited hamstring muscle flexibility (ie, 30 degrees loss of knee extension measured with femur held at 90 degrees of hip flexion), were randomly assigned to one of four groups. Three groups stretched 5 days per week for 15, 30, and 60 seconds, respectively. The fourth group, which served as a control group, did not stretch. METHODS: Before and after 6 weeks of stretching, flexibility of the hamstring muscles was determined by measuring knee extension ROM with the femur maintained in 90 degrees of hip flexion. Data were analyzed with a 4 x 2 analysis of variance (group x test) for repeated measures on one variable. RESULTS: The data analysis revealed a significant group x test interaction, indicating that the change in flexibility was dependent on the duration of stretching. Further post hoc analysis revealed that 30 and 60 seconds of stretching were more effective at increasing flexibility of the hamstring muscles (as determined by increased ROM of knee extension) than stretching for 15 seconds or no stretching. In addition, no significant difference existed between stretching for 30 seconds and for 1 minute, indicating that 30 seconds of stretching the hamstring muscles was as effective as the longer duration of 1 minute. CONCLUSION AND DISCUSSION: The results of this study suggest that a duration of 30 seconds is an effective time of stretching for enhancing the flexibility of the hamstring muscles. Given the information that no increase in flexibility of the hamstring muscles occurred by increasing the duration of stretching from 30 to 60 seconds, the use of the longer duration of stretching for an acute effect must be questioned.

Adult

Changes in torque and electromyographic activity of the quadriceps femoris muscles following isometric training.

BACKGROUND AND PURPOSE: The purpose of this study was to examine the effect of isometric training of the quadriceps femoris muscles, at different joint angles, on torque production and electromyographic (EMG) activity. SUBJECTS: One hundred seven women were randomly assigned to one of four groups. Three groups trained with isometric contractions three times per week at a knee flexion angle of 30, 60, or 90 degrees. The fourth group, which served as a control, did not exercise. METHODS: Isometric torque was measured using a dynamometer, and EMG activity was measured using a multichannel EMG system. Measurements were obtained during maximal isometric contraction of the quadriceps femoris muscles at 15-degree increments from 15 to 105 degrees of knee flexion. Measurements were taken before and after 8 weeks of training. RESULTS: Following isometric exercise, increased torque and EMG activity occurred not only at the angle at which subjects exercised, but also at angles in the range of motion at which exercise did occur. Further analyses indicated that exercising in the lengthened position for the quadriceps femoris muscles (90 degrees of knee flexion) produced increased torque across all angles measured and appeared to be the more effective position for transferring strength and EMG activity to adjacent angles following isometric training as compared with the shorter positions of the muscle (30 degrees and 60 degrees of knee flexion). CONCLUSION AND DISCUSSION: These findings suggest that an efficient method for increasing isometric knee extension torque and EMG activity throughout the entire range of motion is to exercise with the quadriceps femoris muscles in the lengthened position.

Adult

Intramachine and intermachine reliability for selected dynamic muscle performance tests.

The Cybex 6000 isokinetic dynamometer is a new isokinetic device for which no published reports of reliability have been presented in the literature. In addition, the manufacturer not only claims that the new Cybex 6000 is reliable but that torque data obtained from the Cybex 6000 are consistent with data obtained from past Cybex systems, such as the Cybex II. The purpose of this study was to investigate the intramachine reliability of the Cybex 6000 to itself and the intermachine reliability of the Cybex 6000 and the Cybex II. Data on peak torque, work, and power were collected using the Cybex 6000, and data on peak torque were obtained using the Cybex II for knee flexion and extension in 20 volunteers (10 males, 10 females). Subjects were tested three times, twice on the Cybex 6000 and once on the Cybex II, approximately 1 week apart across a 3-week period of time at angular velocities of 60, 180, and 300 degrees/sec. Data were analyzed using intraclass correlations. Results indicated that the majority of test-retest correlation coefficients for all parameters for intramachine reliability of the Cybex 6000 were above .90. Comparing peak torque obtained with the Cybex 6000 to that obtained with the Cybex II (intermachine reliability), correlation coefficients ranged from .72 to .89. In conclusion, information obtained on the Cybex 6000 appears to be quite reliable in a test-retest situation using the same equipment and moderately reliable when compared to the Cybex II. Clinical implications for these results are discussed.

Adult