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At least 271 records · Page 15Linked to original sources

Duplex Doppler sonography of celiac trunk and superior mesenteric artery: comparison with intra-arterial angiography.

DDS was compared to intra-arterial angiography for the diagnosis of significant (> 50%) stenoses of the celiac trunk and the SMA in 38 consecutive patients referred for angiographic evaluation of peripheral arterial occlusive disease. Celiac trunk occlusion was correctly identified by DDS in three of three patients. In patients with significant celiac trunk stenoses, mean peak systolic velocity was 246 (+/- 154) cm/sec and differed significantly (P < 0.05) from the peak systolic velocity (101 +/- 22 cm/sec) of 22 patients with no angiographic evidence of significant stenosis. Five false-negative DDS examinations in patients with > 50% celiac trunk stenoses were noted. Using a peak systolic velocity of > 160 cm/sec (mean value in normal vessels plus 3 standard deviations) to diagnose > 50% celiac trunk stenosis, sensitivity of DDS was 57% and specificity was 100%. However, considering celiac trunk stenoses and occlusions as a single group, the sensitivity rate of DDS in diagnosing significant stenosis and occlusion of celiac trunk was 70%.

Adult↗

Biomechanical properties of the trunk of the devil's walking stick (Aralia spinosa; Araliaceae) during the crown-building phase: implications for tree architecture.

During the crown-building phase, the mechanical architecture of the trunk of Aralia spinosa exhibits considerable ontogenetic variation. All trunks were tapered along their length, and taper was dependent on both ramet size and age; older, larger trunks were more tapered than younger, smaller trunks. Trunk specific gravity, % bark, wood, and pith exhibited considerable inter- and intra-ramet variation. Specific gravity increased with both increasing ramet size and age, and declined acropetally in the majority of ramets sampled. Wood specific gravity was generally unrelated to ramet size, age, or position along the length of the trunk. Percent wood increased while % pith decreased with increasing ramet size and age. There was no relationship between % bark and either ramet size or age. Both % bark and % wood tended to decline acropetally, while % pith increased acropetally. On average, 47% of the variation in specific gravity could be attributed to % wood, while 77% could be attributed to % pith. Percent bark accounted for only 14% of the variation in specific gravity. We suggest that the relatively pithy trunk of Aralia spinosa (average range: 4-15%) allows for rapid height growth, but imposes severe constraints on crown architecture and the maximum size attainable by this species.

Journal Article↗

[Reoperation for recurrent chondrosarcoma of the pulmonary trunk].

A 71-year-old woman who had progressive dyspnea and edema two years after resection of a pulmonary trunk chondrosarcoma was diagnosed as severe obstruction to the pulmonary trunk due to the recurrent tumor. Magnetic resonance examination following the intravenous administration of Gd-diethylenetriamine pentaacetic acid (DTPA) revealed striking contrast enhancement within the lesion of the pulmonary trunk sarcoma. At reoperation, the recurrent mass was identified within the same site of the pulmonary trunk and total resection of the tumor and replacement of the pulmonary trunk with prosthetic graft was performed utilizing a cardiopulmonary bypass. There have been very few reports on replacements of pulmonary trunks for pulmonary artery sarcomas. It is reported that the prognosis of the pulmonary trunk sarcoma is extremely poor, however, this patient has undergone thoracotomies twice within two years and continued to be symptom-free without distant metastatic lesions.

Aged↗

[The structure and mechanical properties of the human pulmonary trunk and its valves].

The histological structure and mechanical properties of the pulmonary trunk and its valves were studied in 35 complexes of the pulmonary artery of man. The valvular apparatus of the pulmonary trunk is formed by anatomical elements with different morphological structures. In it there are elements which might be considered from standpoints of biomechanics as membranous (pulmonary trunk, sinuses, cusps) and shaft (fibrous ring, commissural shafts, arcuate crests) elements, the commissural shafts representing a combination of structures forming a closed spatial inter-related construction--a natural elastic framework of the pulmonary trunk root and the sheath elements are morphologically interrelated and fixed on this framework. The mechanical properties of these shaft elements are formed not only at the expense of inclusion of other formations in their structure but also at the expense of changes in the density of distribution and spatial orientation of main carrier structures of sheath elements attached to them. So, the strength and rigidity of the fibrous ring were associated not only with the presence of collagenous fibers and chondroid tissue n it, but also with the regular arrangement of collagenous fibers coming to it from the sinus. Similarly, the strength of arcuate crests was in many respects dependent on dense arrangement of longitudinally oriented smooth muscles. The amount of smooth muscles in the pulmonary trunk was 1.3 and 2 times higher than that of collagenous and elastic structures which allows the pulmonary trunk of man to be referred to arteries of muscular or mixed type. It points to the necessity to take into account the influence of muscle tone on mechanical behavior of the pulmonary trunk under physiological exercise.

Biomechanical Phenomena↗

Constructional morphology and mode of attachment of the trunk of Corynosoma cetaceum (Acanthocephala: Polymorphidae).

Dead specimens of Corynosoma cetaceum were used to describe the trunk musculature of this species and to infer the use of the trunk as a secondary holdfast. Inferences were based on trunk muscle arrangement, changes in trunk shape, size and distribution of spines, and geometry of tegument thickness. The foretrunk of C. cetaceum is swollen and forms a spiny disk that is bent ventrally. The disk is flattened by several groups of muscles not described previously, which seem able to finely adjust the disk surface over the substratum. Disk attachment appears to be accomplished by two dorsal neck retractor muscles specialized in pulling the anchored proboscis into the foretrunk. This mechanism has been described in other acanthocephalans, becoming surprisingly efficient when used with a flattened, armed foretrunk. The ventrally spined hindtrunk requires force to move downwards in order to attach. A single ventral neck retractor muscle seems specialized in pulling the posterior trunk forward, inducing a downward force due to the muscle's precise points of insertion. This mechanism necessarily generates ventral wrinkling that needs to be eliminated for the spiny surface to be functional. The trunk ventral muscles are apparently arranged so as to concentrate the "excess" of the tegument into a single fold, optimizing the use of the remaining surface for attachment. The size and distribution of spines, as well as the geometry of tegumental thickness, conform to these observations. Morphological changes, seemingly simple, such as structural bending, may have triggered a cascade of subtle modifications and new functions during acanthocephalan evolution, reflecting how morphological integration and novelty interact.

Acanthocephala↗

Physiological and anatomical evidence for a discontinuous representation of the trunk in S-I of tree shrews.

Microelectrode mapping methods revealed that the representation of the body surface in the first somatosensory area of cortex, S-I, of the tree shrew is unique in that only the ventral trunk was found in the usual location of the trunk representation in cortex of the dorsolateral surface of the cerebral hemisphere. Instead, the dorsal trunk was found as an extension of the representation of the posterior leg in cortex on the medial wall. The separation of the representation of the trunk occurs along a line that is counter to the orientation of the dorsal root dermatomes, so that S-I of the tree shrew clearly cannot be characterized as a serial representation of dermatomes. Anatomical studies of connections support the conclusion that the representation of the trunk is split in S-I. Both the representation of the dorsal trunk on the medial wall of the cerebral hemisphere and S-I of the dorsolateral surface were found to project to S-II when horseradish peroxidase was injected into S-II.

Animals↗

Expression of chondrogenic potential of mouse trunk neural crest cells by FGF2 treatment.

There is a significant difference between the developmental patterns of cranial and trunk neural crest cells in the amniote. Thus, whereas cranial neural crest cells generate bone and cartilage, trunk neural crest cells do not contribute to skeletal derivatives. We examined whether mouse trunk neural crest cells can undergo chondrogenesis to analyze how the difference between the developmental patterns of cranial and trunk neural crest cells arises. Our present data demonstrate that mouse trunk neural crest cells have chondrogenic potential and that fibroblast growth factor (FGF) 2 is an inducing factor for their chondrogenesis in vitro. FGF2 altered the expression patterns of Hox9 genes and Id2, a cranial neural crest cell marker. These results suggest that environmental cues may play essential roles in generating the difference between developmental patterns of cranial and trunk neural crest cells.

Animals↗

The effects of head and trunk position on torsional vestibular and optokinetic eye movements in humans.

We measured torsional vestibular and optokinetic eye movements in human subjects with the head and trunk erect, with the head supine and the trunk erect, and with the head and trunk supine, in order to quantify the effects of otolithic and proprioceptive modulation. During active head movements, the torsional vestibulo-ocular reflex (VOR) had significantly higher gain with the head upright than with the head supine, indicating that dynamic otolithic inputs can supplement the semicircular canal-ocular reflex. During passive earth-vertical axis rotation, torsional VOR gain was similar with the head and trunk supine and with the head supine and the trunk erect. This finding implies that static proprioceptive information from the neck and trunk has little effect upon the torsional VOR. VOR gain with the head supine was not increased by active, self-generated head movement compared with passive, whole body rotation, indicating that the torsional VOR is not augmented by dynamic proprioceptive inputs or by an efference copy of a command for head movement. Viewing earth-fixed surroundings enhanced the torsional VOR, while fixating a chair-fixed target suppressed the VOR, especially at low frequencies. Torsional optokinetic nystagmus (OKN) evoked by a full-field stimulus had a mean slow-phase gain of 0.22 for 10 degrees/s drum rotation, but gain fell to 0.06 for 80 degrees/s stimuli. Despite this fall in gain, mean OKN slow-phase velocities increased with drum speed, reaching maxima of 2.5 degrees/s-8.0 degrees/s in our subjects. Optokinetic after nystagmus (OKAN) was typically absent.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Head and trunk movements in the frontal plane during complex dynamic equilibrium tasks in humans.

Eight normal human subjects were asked to maintain monopodal equilibrium on a narrow beam (task 1) or bipodal equilibrium on an unstable rocking platform (task 2) for 5 s. Each task was performed under four experimental conditions: (1) in light, (2) in darkness, (3) in light while subject had to hold a full cup of water, and (4) as in 3, but with additional instructions to fix the gaze on the cup. The movements of the trunk and head in the frontal plane were recorded by means of a 50-Hz TV image analyzer that computed the coordinates of small reflective markers glued on the skin of the subjects. On the beam the trunk was inclined on the side of the supporting foot (13 +/- 9 degrees), on the rocking platform the mean trunk orientation during the tests was nearly vertical (2 +/- 7 degrees). Nevertheless, in both tasks the mean head position was the same and close to vertical: 1.5 +/- 4 degrees on the rocking platform and 1.5 +/- 5 degrees on the beam. For both tasks and all experimental conditions the head remained stabilized relative to vertical, despite large translations in the frontal plane. Standard deviations of head orientation from its mean value were 2.8 +/- 2 degrees for task 1 and 2 +/- 1.5 degrees for task 2. The changes of trunk orientation were significantly higher: 6.2 +/- 4.8 degrees and 4.5 +/- 4 degrees, respectively. The differences in angular stability of head and trunk, measured through the standard deviations of angular displacements, were especially pronounced in trials with large trunk movements. It was concluded that head angular stabilization, providing the central nervous system with necessary visual and vestibular references, is essential for effective dynamic postural control in the frontal plane during complex equilibrium tasks.

Adult↗

Analysis and decomposition of accelerometric signals of trunk and thigh obtained during the sit-to-stand movement.

Piezoresistive accelerometer signals are frequently used in movement analysis. However, their use and interpretation are complicated by the fact that the signal is composed of different acceleration components. The aim of the study was to obtain insight into the components of accelerometer signals from the trunk and thigh segments during four different sit-to-stand (STS) movements (self-selected, slow, fast and fullflexion). Nine subjects performed at least six trials of each type of STS movement. Accelerometer signals from the trunk and thigh in the sagittal direction were decomposed using kinematic data obtained from an opto-electronic device. Each acceleration signal was decomposed into gravitational and inertial components, and the inertial component of the trunk was subsequently decomposed into rotational and translational components. The accelerometer signals could be reliably reconstructed: mean normalised root mean square (RMS) trunk: 6.5% (range 3-12%), mean RMS thigh: 3% (range 2-5%). The accelerometric signals were highly characteristic and repeatable. The influence of the inertial component was significant, especially on the timing of the specific event of maximum trunk flexion in the accelerometer signal. The effect of inertia was larger in the trunk signal than in the thigh signal and increased with higher speeds. The study provides insight into the acceleration signal, its components and the influence of the type of STS movement and supports its use in STS movement analysis.

Acceleration↗

Is the erect posture in microgravity based on the control of trunk orientation or center of mass position?

In the present experiments carried out in microgravity two questions were addressed. First, when the subject was instructed to adopt a vertical erect posture in microgravity with his feet fixed to the floor of the space cabin, would he control anteroposterior position with respect to the ankle joint axis of the "vertical projection" of his center of mass (CM) or trunk axis orientation with respect to the "vertical" (perpendicular to the floor of the space cabin)? Secondly, is CM anteroposterior position regulated during upper trunk movements in microgravity, in the absence of equilibrium constraint? Two subjects were tested in a long-term space flight. Video camera recordings were performed and analyzed off line. The results show that during erect vertical posture in microgravity, the trunk axis with respect to the "vertical" is inclined some 7 degrees forward. The anteroposterior position of the CM "vertical" projection is not shifted forward, as might be expected in view of the trunk inclination, but remains close to the ankle joint axis. At the end of the upper trunk forward or backward bending movement, the final position of the vertical CM projection remains close to the ankle joint axis in microgravity. These results are interpreted as indicating that CM anteroposterior position continues to be accurately controlled in microgravity; the forward inclination of the trunk axis observed in microgravity is interpreted as being due to a misevaluation of the "vertical" axis on the basis of biased information from proprioceptive inputs.

Analysis of Variance↗

Spatial and temporal control of trunk-assisted prehensile actions.

The present study utilized a trunk-assisted prehension task to examine the hypothesis that there is spatial regularity between the grasp and transport components. To test this hypothesis, we varied movement amplitude, reach speed, and object size. When examining the opening and closure phases of aperture formation, it was found that the distance to peak aperture increased systematically with hand-path trajectory length, while the distance from peak aperture to the object remained constant, which supports the notion of state-space control. Regarding the relationship among the body segments involved, temporal measures such as relative time to peak aperture, and peak velocity of the arm and trunk were altered by the changes in both object size and reach speed. It was also found that the time to peak trunk velocity was coupled with the time to peak arm velocity as well as with the time to peak aperture. Based on these results, it appears that the trunk is closely linked not only to the arm motion, but also to the aperture formation. Collectively, these findings suggest that, during trunk-assisted prehension, the arm and the trunk are coordinated by neuromotor synergies that appear to position grip aperture for a stable closure to grasp the object.

Adult↗

Axial synergies during human upper trunk bending.

Upper trunk bending movements were accompanied by opposite movements of the lower body segments. These axial kinematic synergies maintained equilibrium during the movement performance by stabilizing the center of gravity (CG), which shifted on average across all the subjects by 1 +/- 4 cm in the anteroposterior direction and thus always remained within the support area. The aim of the present investigation was to provide an insight into the central control responsible for the performance of these synergies. The kinematic analysis was performed by the method of principal components (PC) analysis applied to the covariation between ankle, knee and hip joint angles and compared with CG shifts during upper trunk bending. Subjects were asked to perform backward or forward upper trunk bending in response to a tone. They were instructed to move as fast as possible or slowly (2 s), with high or low movement amplitudes. PC analysis showed a strong correlation between hip, knee and ankle joint changes. The first principal component (PC1) representing a multijoint movement with fixed ratios between joint angular changes, accounted, on average, for 99.7% +/- 0.2% of the total angular variance in the forward trunk movements and for 98.4% +/- 1.4% in the backward movements. The instructed voluntary regulation of the amplitude and velocity of the movement was achieved by adapting the bell-shaped profile of the velocity time course without changes in interjoint angular relations. Fixed ratios between changes in joint angles, represented by PC1, ensured localization of the CG within the support area during trunk bending. The ratios given by PC1 showed highly significant dependence on subjects, suggesting the adaptability of the central control to each subject's biomechanical peculiarities. Subject's intertrial variability of PC1 ratios was small, suggesting a stereotyped automatic interjoint coordination. When changing velocity and amplitude of the movement, the ratios remained the same in about half the subjects while in others slight variations were observed. A weak second principal component (PC2) was shown only for fast movements. In forward movements PC2 reflected the early knee flexion that seems related to the disturbances caused by the passive interaction between body segments, rather than to the effect of a central command. In fast backward movements, PC2 reflected the delay in hip extension relative to the movement onset in the ankle and knee that mirrors intersubject differences in the initiation process of the axial synergy. The results suggest that PC1 reflects the centrally controlled multijoint movement, defining the time course and amplitude of the movement and fixing the ratios between changes in joint angles. They support the hypothesis that the axial kinematic synergies result from a central automatic control that stabilizes the CG shift in the anteroposterior direction while performing the upper trunk bending.

Adaptation, Physiological↗

Coordination among the body segments during reach-to-grasp action involving the trunk.

To understand the internal representations used by the nervous system to coordinate multijoint movements, we examined the coordination among the body segments during reach-to-grasp movements which involve grasping by the hand and reaching by the arm and trunk. Subjects were asked to reach and grasp an object using the arm only, the trunk only, and some combinations of both arm and trunk. Results showed that kinematic parameters related to the transport component of the arm and the trunk, such as peak velocity and time to peak velocity, varied across conditions and that the coordination pattern between the arm and trunk was different across conditions. However, parameters related to the grasp component, such as peak aperture, time to peak aperture, and closing distance, were invariant, regardless of whether the hand was delivered to the target by the arm only, the trunk only, or both. We hypothesize that a hierarchy of motor control processes exists, in which the reach and grasp components are governed by independent neuromotor synergies, which in turn are coordinated temporally and spatially by a higher-level synergy.

Analysis of Variance↗

Perturbed upper limb movements cause short-latency postural responses in trunk muscles.

Addition of a load to a moving upper limb produces a perturbation of the trunk due to transmission of mechanical forces. This experiment investigated the postural response of the trunk muscles in relation to unexpected limb loading. Subjects performed rapid, bilateral shoulder flexion in response to a stimulus. In one third of trials, an unexpected load was added bilaterally to the upper limbs in the first third of the movement. Trunk muscle electromyography, intra-abdominal pressure and upper limb and trunk motion were measured. A short-latency response of the erector spinae and transversus abdominis muscles occurred approximately 50 ms after the onset of the limb perturbation that resulted from addition of the load early in the movement and was coincident with the onset of the observed perturbation at the trunk. The results provide evidence of initiation of a complex postural response of the trunk muscles that is consistent with mediation by afferent input from a site distant to the lumbar spine, which may include afferents of the upper limb.

Abdominal Muscles↗

Trunk muscle fatigue and associated EMG changes during a dynamic iso-inertial test.

This study was designed to investigate the relationship between trunk muscle fatigue and associated changes in the electromyographic (EMG) signals during a dynamic iso-inertial test. Eleven subjects performed dynamic trunk flexion/extension movements against 40% maximum voluntary contraction (MVC) torque until exhaustion in a tri-axial trunk dynamometer. EMG parameters in the time and frequency domain were studied by analysing changes of the signal amplitudes and the spectral density (using the zero-crossing-rate and the median frequency). The kinematics of the movement were analysed according to the movement velocities and the deviations from the required movement plane. The flexion and extension velocities decreased from the beginning to the end of the test. Movement deviations from the sagittal plane into the frontal and transverse plane increased with increasing test duration, as did the EMG amplitude. The median frequency during periods with maximum muscle activity decreased, as did the zero-crossing-rate. The increase in amplitude and decrease in median frequency were more pronounced in the trunk flexors than in the trunk extensors. The parameters of median frequency, zero-crossing-rate and amplitude seem to be sensitive identifiers of muscle fatigue during well-controlled dynamic contractions. While the kinematic data did not yield any information on the mechanisms of the fatigue, changes in the EMG parameters demonstrated that the duration of the test was limited by the fatigue of the trunk flexors.

Adult↗

Training can modify back muscle response to sudden trunk loading.

Sudden, unexpected loading to the trunk has been reported in the literature as a potential cause of low-back disorders. This study's aim was to investigate the effect of "readiness training" on the response to sudden back loading among untrained healthy individuals. The study included 19 participants and 19 matched controls. All were employees at the National Institute of Occupational Health. The participants received ten 45-min training sessions during a 4-week period. The training focused on reactions to a variety of expected and unexpected sudden trunk loadings, including balance and coordination exercises. Before and after the training, all subjects were tested for reaction to sudden trunk loading (SL). This entailed applying a horizontal force of 58 N to the subject's upper back. Elapsed time--measured between SL and stopping--decreased significantly in the training group (from 337 to 311 ms) compared with the control group. The improved stopping time was associated with a changed EMG signal, characterized by an increase in the early parts of the response (up to 225 ms) and a subsequent decrease. EMG onset latency was unaffected by training. This study is apparently one of the first to demonstrate that the response to sudden trunk loading can be improved in healthy subjects without an increase in pre-activation and associated trunk stiffness. In perspective, the results indicate a possibility for a training-induced reduction of the risk of low-back injuries, e.g., in nurses exposed to sudden trunk perturbations during patient handling.

Adult↗

The effect of trunk muscle exercises in patients over 40 years of age with chronic low back pain.

Previous studies of trunk muscle strength in patients with chronic low back pain (CLBP) have mainly reported on patients aged younger than 40 years. However, no such investigation has yet been done in middle-aged patients. Trunk muscle strength and the effect of trunk muscle exercises were investigated in patients with CLBP aged more than 40 years. Trunk muscle strengths were measured in a LBP group (52 patients) and a control group (60 volunteers) and the results for the two groups were compared. The LBP group was divided into three subgroups. Group A had only age-related spondylosis and group B had disk herniation and spondylolisthesis with age-related spondylotic change. Both these groups were able to continue exercises. Group C was made up of patients who had abandoned the exercise program. Trunk muscle strength and symptoms were assessed in each group. Both flexion and extension strength were decreased in the LBP group compared with the control group, with the reduction in extension strength being most marked. In both groups A and B, muscle strength increased and clinical symptoms improved. In contrast, no change was seen in group C. In older patients with CLBP, reduction of muscle strength was more marked in the spinal extensors than in the spinal flexors. It was confirmed that trunk muscle strengthening exercises are useful for increasing muscle strength and improving symptoms in such patients.

Adult↗