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At least 235 records · Page 13Linked to original sources
PubMed2002

The respiratory effects of two modes of passive exercise.

We monitored gas exchange and muscle activity during two commonly used modes of passive leg exercise as a means of assessing the degree of passivity associated with these techniques. Additionally, we measured the rapid changes in ventilation at the start and end of the passive exercise to assess changes that occur in the fast exercise drive to breathe during passive exercise. We monitored seven subjects at rest and during 5 min of passive exercise using (1) cycling movements performed on a tandem bicycle and (2) leg extension movements performed in a chair apparatus. The increase in measured parameters from rest to passive exercise were all higher while using the tandem bicycle compared to the chair apparatus: ventilation [3.09 (0.63) versus 0.35 (0.38) l x min(-1)], leg muscle electromyogram [8.3 (1.6) versus 1.6 (0.6) microV], carbon dioxide production [0.092 (0.018) versus -0.002 (0.001) l x min(-1)] and oxygen consumption [0.158 (0.046) versus -0.008 (0.007) l x min(-1)]. Passive exercise on the tandem bicycle was also associated with a significantly larger fast exercise drive to breathe at both the start and end of motion, compared to the chair apparatus [start: 5.59 (0.74) versus 3.08 (0.79) l x min(-1), end: 3.38 (0.79) versus 1.75 (0.54) l x min(-1)]. The fast exercise drive to breathe at the end of exercise was significantly smaller (60%) than at the start for both modes. We conclude that passive exercise on an upright bicycle contains a significant active component that contributes both neural and metabolic influences toward the physiological adjustments observed. Furthermore, we conclude that adaptation occurs in the fast exercise drive to breathe accompanying passive limb movement.

Adult↗
PubMed1986

Physiologic aspects of spinal cord injury and functional neuromuscular stimulation.

Functional neuromuscular stimulation (FNS) has been demonstrated to restore purposeful movement to muscles paralyzed by spinal cord injury (SCI). It is hoped that this technique will ultimately improve rehabilitation by enabling skilled activities for paraplegics (e.g., walking) and quadriplegics (e.g., feeding oneself) to be accomplished regularly with safety and reliability. It is also expected that FNS exercise programs will lead to higher levels of health and fitness for SCI individuals. However, high fatigability of electrically stimulated paralyzed muscles may severely limit FNS applications. This fatigability is related to numerous factors, including the deteriorated condition of the paralyzed muscles and cardiopulmonary system, the nonphysiologic way in which these muscles are activated with FNS, and the probability that organ system adjustments that normally accompany voluntary exercise do not occur to the same extent with this peripherally induced exercise. More research is necessary to determine the mechanisms of fatigue for FNS exercise so that methods could be devised to increase resistance to fatigue. In addition, more research is necessary to substantiate the potential health and fitness benefits that have been stated for FNS exercise training.

Blood Pressure↗
PubMed2006

Effectiveness of joint mobilisation after cast immobilisation for ankle fracture: a protocol for a randomised controlled trial [ACTRN012605000143628].

BACKGROUND: Passive joint mobilisation is a technique frequently used by physiotherapists to reduce pain, improve joint movement and facilitate a return to activities after injury, but its use after ankle fracture is currently based on limited evidence. The primary aim of this trial is to determine if adding joint mobilisation to a standard exercise programme is effective and cost-effective after cast immobilisation for ankle fracture in adults. METHODS/DESIGN: Ninety participants will be recruited from the physiotherapy departments of three teaching hospitals and randomly allocated to treatment or control groups using a concealed procedure. All participants will perform an exercise programme. Participants in the treatment group will also receive joint mobilisation twice a week for four weeks. Blinded follow-up assessments will be conducted four, 12 and 24 weeks after randomisation. The primary outcome measures will be the Lower Extremity Functional Scale and the Assessment of Quality of Life. Secondary outcomes will include measures of impairments, activity limitation and participation. Data on the use of physiotherapy services and participants' out-of-pocket costs will be collected for the cost-effective and cost-utility analyses. To test the effects of treatment, between-group differences will be examined with analysis of covariance using a regression approach. The primary conclusions will be based on the four-week follow-up data. DISCUSSION: This trial incorporates features known to minimise bias. It uses a pragmatic design to reflect clinical practice and maximise generalisability. Results from this trial will contribute to an evidence-based approach for rehabilitation after ankle fracture.

Ankle Injuries↗
PubMed2006

Recent trends in robot-assisted therapy environments to improve real-life functional performance after stroke.

Upper and lower limb robotic tools for neuro-rehabilitation are effective in reducing motor impairment but they are limited in their ability to improve real world function. There is a need to improve functional outcomes after robot-assisted therapy. Improvements in the effectiveness of these environments may be achieved by incorporating into their design and control strategies important elements key to inducing motor learning and cerebral plasticity such as mass-practice, feedback, task-engagement, and complex problem solving. This special issue presents nine articles. Novel strategies covered in this issue encourage more natural movements through the use of virtual reality and real objects and faster motor learning through the use of error feedback to guide acquisition of natural movements that are salient to real activities. In addition, several articles describe novel systems and techniques that use of custom and commercial games combined with new low-cost robot systems and a humanoid robot to embody the " supervisory presence" of the therapy as possible solutions to exercise compliance in under-supervised environments such as the home.

Editorial↗
PubMed1987

Drop jumping. I. The influence of jumping technique on the biomechanics of jumping.

In the literature, drop jumping is advocated as an effective exercise for athletes who prepare themselves for explosive activities. When executing drop jumps, different jumping techniques can be used. In this study, the influence of jumping technique on the biomechanics of jumping is investigated. Ten subjects executed drop jumps from a height of 20 cm and counter-movement jumps. For the execution of the drop jumps, two different techniques were adopted. The first technique, referred to as bounce drop jump, required the subjects to reverse the downward velocity into an upward one as soon as possible after landing. The second technique, referred to as counter-movement drop jump, required them to do this more gradually by making a larger downward movement. During jumping, the subjects were filmed, ground reaction forces were registered, and electromyograms were recorded. The results of a biomechanical analysis show that moments and power output about knee and ankle joints reach larger values during the drop jumps than during counter-movement jumps. The largest values were attained during bounce drop jumps. Based on this finding, it was hypothesized that bounce drop jump is better suited than counter-movement drop jump for athletes who seek to improve the mechanical output of knee extensors and plantar flexors. Researchers are, therefore, advised to control jumping technique when investigating training effects of executing drop jumps.

Adult↗
PubMed1994

[Treatment of dislocations of the cervical vertebrae in so-called "whiplash injuries"].

It is estimated that between 15 and 30% of car occupants will suffer neck pain after accidents, and many will remain symptomatic for a prolonged period. This has often been attributed to the effect of associated litigation as a financial deterrent to recovery. Conventional treatment uses an old orthopaedic principle of rest until the symptoms resolve and analgesia is widely accepted, although its use is unlikely to influence the ultimate outcome. Mobilization programmes have become popular, particularly with physiotherapists, but they are often based upon personal experience and are largely scientifically untested. An improvement in both the cervical range of movement and a reduction in the severity of neck pain was claimed in a study in 1986 using early mobilization. In an attempt to identify which features of physiotherapeutic practice appeared to correspond with improved outcome, I studied the outcomes of differing treatment regimens in acute whiplash patients in three randomized groups and showed that after 1 and 2 months there was a significant improvement in cervical movements and in the patients' perception of their neck pain severity, in actively mobilized patients, including those who were instructed about postural correlation and mobilization techniques. The benefit conferred on this group was still evident 2 years post injury. It therefore seems that self-reliance with exercises used when symptoms are troublesome and postural advice can play a significant role in the recovery process.

Accidents, Traffic↗
PubMed1997

Comparison of motion correction algorithms for cardiac SPECT.

UNLABELLED: Patient motion remains a significant source of unsatisfactory cardiac SPECT examinations. The extent to which image recovery can be achieved with correction algorithms is unknown. METHODS: Nine subjects who had completed motion-free redistribution 201Tlcardiac SPECT subsequently underwent simultaneous dual-isotope (201Tl/99mTc) SPECT with a 99mTc cutaneous point source, while the imaging table was subjected to predefined nonreturning y-translation movements. Cardiac reconstructions, marker reconstructions and marker-compressed dynamic images were generated from the raw data after applying the following correction methods: diverging squares, cross-correlation of the cardiac data and cross-correlation of the marker. RESULTS: Marker cross-correlation performed significantly better than all other methods with good-excellent results in all evaluations. This compared with good-excellent results in none of 27 for the raw data, in 13 of 27 for cardiac cross-correlation and in 7 of 27 for diverging squares (p < 10(-5)). The superiority of the marker-based method was confirmed on analysis of bullseye difference maps and quantitation of residual motion in the point-source data. CONCLUSION: Motion artifacts can accurately be detected and corrected using cross-correlation of an external point-source. Furthermore, this technique provides useful independent information on the degree of image recovery.

Algorithms↗
PubMed2003

[The results of primary repair and early passive rehabilitation in zone II flexor tendon injuries in children].

OBJECTIVES: We evaluated the results of zone II flexor tendon injuries treated by primary repair and early rehabilitation in children under the age of 14 years. METHODS: The study included 25 digits of 23 patients (12 boys, 11 girls; mean age 7 years; range 2 to 14 years) with appropriate follow-up. Sixteen patients underwent surgery within the first 24 hours, while the remaining patients had surgery in a mean of three days (range 2 to 14 days). Digital nerve injuries were detected in 10 digits (40%). Repair of the tendons was performed with the use of a modified Kessler technique followed by an above-elbow stabilization splint. Passive flexion-extension exercises were started on the postoperative first day according to the Duran technique. The results were evaluated according to the Glocovac and Strickland's criteria. The mean follow up period was 49 months (range 12 to 92 months). RESULTS: Functional results were excellent in 18 digits (72%), good in five digits (20%), fair in one digit (4%), and poor in one digit (4%). The mean total active movement was 78.5% (range 0% to 100%). No significant differences were observed in functional results with regard to age groups and the presence or absence of digital nerve injuries (p>0.05). No occurrences of infection were encountered. CONCLUSION: The results show that primary repair and early passive mobilization of zone II flexor tendon injuries in children yield satisfactory results.

Adolescent↗
PubMed1996

Chiropractic biophysics technique: a linear algebra approach to posture in chiropractic.

OBJECTIVE: This paper discusses linear algebra as applied to human posture in chiropractic, specifically chiropractic biophysics technique (CBP). MATHEMATICAL ANALYSIS: Rotations, reflections and translations are geometric functions studied in vector spaces in linear algebra. These mathematical functions are termed rigid body transformations and are applied to segmental spinal movement in the literature. Review of the literature indicates that these linear algebra concepts have been used to describe vertebral motion. However, these rigid body movers are presented here as applying to the global postural movements of the head, thoracic cage and pelvis. CONCLUSION: The unique inverse functions of rotations, reflections and translations provide a theoretical basis for making postural corrections in neutral static resting posture. Chiropractic biophysics technique (CBP) uses these concepts in examination procedures, manual spinal manipulation, instrument assisted spinal manipulation, postural exercises, extension traction and clinical outcome measures.

Biomechanical Phenomena↗
PubMed1990

Quantification of radiolabelled granulocyte migration in vivo.

Quantification of the tissue localisation of granulocytes is difficult, particularly in man. With the aim of facilitating such quantification, a technique is described which combines the micropore filter skin window technique with the infusion of autologous 111In-labelled granulocytes. The radioactivity in the removable micropore filters, placed on small forearm skin window abrasions, was compared with peripheral blood radioactivity following injection of 111In-labelled 'pure' granulocytes in normal subjects. Radioactivity in filters from abrasions which were made 8 h or more before injection of labelled cells followed the same time course as the cell-associated radioactivity in whole blood, but radioactivity in filters from abrasions made nearer to the time of labelled granulocyte injection increased to reach a peak 3-8 h after cell injection, at a time when cell-associated blood radioactivity had fallen to about 50% of its initial value. Exercise appeared to induce a transient decrease in radiolabelled granulocyte migration into the filters. This technique offers a means of studying the kinetics of granulocyte migration in vivo.

Cell Movement↗
PubMed2003

Effects of drafting on energy expenditure in in-line skating.

AIM: The purpose of this study was to measure the effects of drafting on energy expenditure in in-line skating, and to investigate whether the "benefit of drafting", i.e. the decrease in energy expenditure, was different between two velocities and two distances separating the two skaters. METHODS: Eight recreational in-line skaters performed six exercises of 6 min, at 2 velocities (V(1) = 5.51+/-0.45 m x sec(-1); V(2) = 7.01+/-0.67 m x sec(-1)) in 3 conditions (ND = without drafting; D(1)=0.74-0.87 m "close"; D(2) = 1.19-1.36 m "far"). Collection of expired gas was carried out using a breath-by-breath portable gas analyser K4(b2) and the distance between the skaters was measured by video analysis. RESULTS: The skaters' energy expenditure was reduced in all drafting conditions; between D(1) and ND by 9.6+/-4.4% at V(1) and by 2.7+/-3.3% at V(2); between D(2) and ND by 8.8+/-6.0% at V(1) and by 4.2+/-4.8% at V(2). This reduction was significantly (p<0.05) more important at V(1) than V(2) and no differences were observed between D(1) and D(2). CONCLUSION: In in-line skating, the technical difficulties for drafting efficiently, especially while cornering, resulted in a reduced "benefit of drafting" at high velocity than in other sports. Moreover, the need for the subject to adjust their own cycle frequency to that of the lead skater while drafting "close" would explain partly that there were no significant differences between drafting at D(1) and D(2). These results suggest that the drafting technique should be emphasized in training, especially in non-skilled skaters at high velocities and when cornering.

Adult↗
PubMed1987

Recruitment of internal oblique and transversus abdominis muscles during the eccentric phase of the curl-up exercise.

The purpose of this study was to analyze the results of a training method to increase voluntary recruitment of internal oblique and transversus abdominis muscles. Forty volunteers were assigned to either a Control or an Experimental Group. Training consisted of multisensory (auditory, tactile, visual, and kinesthetic) cuing focused on the lower abdominal muscles during the slow curl-back (eccentric) phase of curl-up exercises with the subjects' feet unsupported. We recorded integrated electromyographic (IEMG) values using surface electrodes from internal oblique and transversus abdominis muscles during pretest and posttest exercises. Using an analysis of covariance, posttest IEMG values of the Experimental Group were significantly higher (p less than .001) than the Control Group. Our results reveal that multisensory cuing with the feet unsupported during the curl-back is an effective method of increasing combined recruitment of internal oblique and transversus abdominis muscles. Motor skills developed by this technique are discussed in relation to optimal trunk function and rehabilitation.

Abdominal Muscles↗
PubMedDate not supplied

Measuring muscle tone and movement.

Abnormal or altered muscle tone in the neurologically damaged patient presents major problems for restoring motor function. Many nursing interventions, such as passive limb exercises and correct limb positioning, attempt to normalise muscle tone. The effect of abnormal tone on movement can be clearly seen, therefore it may be more appropriate to measure the 'quality' of movement. This article describes various methods of measuring muscle tone, such as video analysis, and examines the reliability of these techniques.

Humans↗
PubMed2004

Assessment of right ventricular function during exercise with quantitative Doppler tissue imaging in children late after repair of tetralogy of Fallot.

Doppler tissue imaging (DTI) has been developed to assess ventricular wall-motion velocity quantitatively for patients with various types of heart disease. This technique has a possibility of assessing right ventricular (RV) function reserve during exercise. To investigate RV function during exercise using DTI, 21 patients (9.3 +/- 3.3 years) who had undergone operation for tetralogy of Fallot at 1 to 3 years of age and 19 age-matched healthy children were studied. Echocardiography combined with DTI was performed at rest and during supine bicycle submaximal exercise. DTI of tricuspid annulus movement during systole (Sa) was obtained from a 4-chamber view. RV pressure was estimated by maximal tricuspid regurgitation (TR) velocity. The peak value of the first derivation of RV pressure (peak dP/dt) was measured from the continuous wave Doppler-derived TR profile. Adequate spectral Doppler recordings of TR were obtained in all participants. However, 9 healthy children and 2 patients with tetralogy of Fallot were excluded from the study because of an inability to determine the entire spectral TR velocity envelope during exercise. Therefore, data were analyzed in 29 participants. At rest, the mean RV pressure for patients was higher than that in control subjects (27 +/- 4 vs 18 +/- 3 mm Hg, P <.01). The mean Sa and RV peak dP/dt for patients were lower than those in control subjects (6.7 +/- 1.6 vs 8.8 +/- 1.7 cm/s and 464 +/- 77 vs 550 +/- 80 mm Hg/s, P <.01, respectively). Sa and RV peak dP/dt in the two groups increased significantly during exercise. However, the magnitude of increases in Sa and peak dP/dt was significantly less for patients than in control subjects (37 +/- 16 vs 66 +/- 19% and 42 +/- 10 vs 80 +/- 13%, P <.01, respectively). The magnitude of increase in Sa correlated with that in RV peak dP/dt (r = 0.84, P <.01). Results of DTI show high correlation with RV peak dP/dt during exercise. This technique has a potential as a useful indicator of the effect of exercise on RV systolic function. An insufficient increase in Sa suggests impaired response to exercise of RV in patients with tetralogy of Fallot.

Analysis of Variance↗