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Interaction of eye-, head-, and trunk-bound information in spatial perception and control.

This article reviews the author's investigations on the perception and control of spatial relations if the carriers of the relevant sense organs are mobile and controlled independently of each other. In the dragonfly, head rotation is controlled by the head's inertia, as well as by cervicocollic, optokinetic, and dorsal light reflexes and, in turn, controls trunk rotation by means of neck reflexes on the wings. In humans, invariance of head-referenced visual direction under eye-to-head rotation is attained by feedforward of an efference copy. In the pigeon, invariance of responses to trunk tilt under head-to-trunk rotation is, in flight, achieved by feedforward of head-to-trunk information yielded by neck receptors. But in standing or walking, this is accomplished by means of gravity sense organs in the trunk. Such organs are also shown to exist in the human trunk by means of experiments on a sled centrifuge. From tests with paraplegic and neuromectomized subjects, it is concluded that truncal graviception 1) is not influenced by mechanoreceptors in the legs, the skin, and between the vertebrae, but 2) is affected by at least two afferent inputs, one originating in the kidneys, another in the tissues that support the large blood vessels against the gravitational load. These conclusions are corroborated by experiments with bilaterally nephrectomized subjects and by means of positive air pressure to the legs, respectively. Recent results under application of positive and negative air pressure to the entire lower body indicate that yet another source of somatic graviception may exist, for example, one that exploits the hydrostatics of blood pressure or the inertia of the mass of the abdominal viscera.

Animals↗

A new variant of aberrant left brachiocephalic trunk in mam: case report and literature review.

Importance is placed on aberrant arteries in the radiological and surgical literature. A normal left brachiocephalic trunk is characteristic for the right aortic arch. However, an aberrant left brachiocephalic trunk arising as the last branch of the aortic arch on the left side has not yet been described in the literature. Described here is a new variant of the retro-oesophageal aberrant left brachiocephalic trunk, occasionally observed in a patient during diagnostic investigation or surgical treatment for steno-obstructive involvement of the carotid district. The triple anomaly of the left aortic arch consisted of: 1. the presence of a hypoplastic left brachiocephalic trunk behind the oesophagus, 2. the absence of a brachiocephalic trunk on the right side and 3. separate origins of the arteries on the right side, with the right common artery preceding the right subclavian artery. In front of the trachea an 8-mm prosthetic PTFE was implanted from the proximal segment of the right subclavian artery to the junction of the left common carotid and left subclavian arteries. The author demonstrates the inadequacy of auxiliary investigations to detect aberrant arteries, which may only be identified precisely intra-operatively.

Angiocardiography↗

The variability and morphometry of the brachiocephalic trunk in human foetuses.

In prenatal and pediatric cardiovascular surgery knowledge of the various arrangements of the aortic arch and its branches as well as the normative data are essential. The variability and morphometric features of the brachiocephalic trunk in 131 human foetuses (65 male, 66 female) ranging from 15 to 34 weeks of gestation were studied by means of anatomical, digital and statistical methods. In all the foetuses examined the left aortic arches were found to have three different arrangements. In 74.05% of cases the usual pattern of the aortic arch with its three main branches were observed. A common origin of the brachiocephalic trunk and left common carotid artery occurred in 20.61% of individuals. In 5.34% of cases the left vertebral artery was an additional vessel and arose from the aortic arch between the left common carotid and subclavian arteries. No significant gender differences were found with respect to the brachiocephalic trunk (p > or = 0.05). The developmental increase in length (r1 = 0.78) and diameter (r2 = 0.83) correlated with a linear function but the increase in volume in relation to age corresponded to a quadratic function (r3 = 0.73). Our results show the largest increases in the brachiocephalic trunk according to the following parameters: the length - between the 4(th) and 5(th), and 7(th) and 8(th) months, diameter - between the 8(th) and 9(th) months and volume - between the 4(th) and 5(th), and 7(th) and 9(th) months of gestation (p < or = 0.01). The present study constructs a normal range for the morphometric features of the foetal brachiocephalic trunk.

Anthropometry↗

Celiacomesenteric trunk.

The celiac trunk is the widest ventral branch of the abdominal aorta. The unusual embryological development of the ventral splanchnic arteries can lead to considerable variations. During the dissection of a 54-year-old male cadaver as a rare variation, a celiacomesenteric trunk was observed. The rare occurrence of this variation is stated to be 1%-2.7%. As in the other case, the celiac trunk and the superior mesenteric arteries arose from a common trunk at the level of L1. This case of celiacomesenteric trunk is described in detail, which can be of value in the operative procedures of the upper abdomen.

Celiac Artery↗

Intra-operative tracking of the trunk during surgical correction of scoliosis: a feasibility study.

OBJECTIVE: The purpose of this study was to evaluate the feasibility of a technique for intra-operative tracking of the trunk during scoliosis surgery. MATERIALS AND METHODS: Eleven magnetic sensors placed on specific anatomical landmarks are used to compute 11 geometric indices of the trunk. This technique was assessed on a cohort of 40 subjects (19 normal, 21 scoliotic) using an experimental set-up simulating the position of patients during scoliosis surgery. RESULTS: The indices varied less than 2 mm and 1 degrees when breathing (except for chest AP diameter), and less than 1 mm and 1 degrees after transient displacement from the initial positioning of the subjects. No significant changes were observed for most of the indices between two acquisition sessions. Comparison between normal and scoliotic subjects demonstrated that the trunk geometry is more influenced by the positioning of each subject on the operating table than by the magnitude of the spinal deformity. CONCLUSION: The proposed technique will allow intra-operative tracking of the trunk and enable the surgeon to optimize the correction of both spinal and trunk deformities. The technique can also be used to evaluate the adequacy of patient positioning on the operating table, and to obtain a complete follow-up of patients in pre-, intra-, and post-surgical conditions.

Adolescent↗

Short trunk stature, brachydactyly, and platyspondyly in three sibs: a new form of brachyolmia or a new skeletal dysplasia?

We present a 27-year-old girl with short trunk stature, generalized rectangular platyspondyly and strike precocious calcification of costal cartilage. She had also brachydactyly, small nails, strabismus and delay of menarche. Her 16-year-old sister had also short trunk stature with severe kyphoscoliosis, hearing loss, brachydactyly, platyspondyly and mild precocious calcification of costal cartilages. Their 12-year-old brother had short trunk stature, kyphoscoliosis, brachydactyly, and platyspondyly but did not show precocious calcification of costal cartilage. The patients shared the following features: short trunk stature, brachydactyly, severe rectangular platyspondyly, broad and short femoral necks and hypoplasia of the ileum. In addition, the older sister had strike precocious calcification of costal cartilage while her sister and brother had severe kyphoscoliosis. Although short trunk stature and severe rectangular platyspondyly without significant epiphyseal or metaphyseal changes were in favor of Hobaek type brachyolmia, this diagnosis was not considered, both because, there were no specific radiological findings of this syndrome, such as elongated vertebral bodies extending beyond the pedicles laterally and all of the patients had brachydactyly which was not present in Hobaek type brachyolmia. The parents were healthy and first cousins signifying autosomal recessive inheritance. We considered that the patients could be affected by a new distinct autosomal recessive type brachyolmia or a new skeletal dysplasia.

Adolescent↗

Fetal trunk and head volume in chromosomally abnormal fetuses at 11+0 to 13+6 weeks of gestation.

OBJECTIVE: To examine the pattern of growth in chromosomally abnormal fetuses at 11+0 to 13+6 weeks of gestation and compare the trunk and head volume to crown-rump length (CRL) in defining the growth deficit in such fetuses. METHODS: The fetal trunk and head volume was measured using three-dimensional (3D) ultrasound in 140 chromosomally abnormal fetuses at 11+0 to 13+6 (median 12) weeks of gestation, and the values were compared to 500 chromosomally normal fetuses. In each chromosomally abnormal fetus, the observed fetal trunk and head volume was subtracted from the expected mean (delta value) of the chromosomally normal fetuses of the same gestational age, and this difference was expressed as a percentage of the appropriate normal mean. The Mann-Whitney U-test was used to determine the significance of differences between the chromosomally normal and abnormal groups. RESULTS: In trisomy 21 (n=72) and Turner syndrome (n=14) fetuses, compared to chromosomally normal fetuses, the CRL for gestation was similar (P=0.335 and P=0.317, respectively), but the fetal trunk and head volume was about 10-15% lower (P<0.001 and P=0.004, respectively). In trisomy 18 (n=29), trisomy 13 (n=14) and triploidy (n=11), the deficit in volume was about 45% (P<0.001), whereas the deficit in CRL was less than 15% (P<0.001). CONCLUSIONS: In the quantification of the degree of early growth impairment in chromosomally abnormal fetuses, measurement of the fetal trunk and head volume using 3D ultrasound may be better than measurement of CRL.

Case-Control Studies↗

Assembly of trunk and limb blood vessels involves extensive migration and vasculogenesis of somite-derived angioblasts.

Vascular development requires the assembly of precursor cells into blood vessels, but how embryonic vessels are assembled is not well understood. To determine how vascular cells migrate and assemble into vessels of the trunk and limb, marked somite-derived angioblasts were followed in developing embryos. Injection of avian somites with the cell-tracker DiI showed that somite-derived angioblasts in unperturbed embryos migrated extensively and contributed to trunk and limb vessels. Mouse-avian chimeras with mouse presomitic mesoderm grafts had graft-derived endothelial cells in blood vessels at significant distances from the graft, indicating that mouse angioblasts migrated extensively in avian hosts. Mouse graft-derived endothelial cells were consistently found in trunk vessels, such as the perineural vascular plexus, the cardinal vein, and presumptive intersomitic vessels, as well as in vessels of the limb and kidney rudiment. This reproducible pattern of graft colonization suggests that avian vascular patterning cues for trunk and limb vessels are recognized by mammalian somitic angioblasts. Mouse-quail chimeras stained with both the quail vascular marker QH1 and the mouse vascular marker PECAM-1 had finely chimeric vessels, with graft-derived mouse cells interdigitated with quail vascular cells in most vascular beds colonized by graft cells. Thus, diverse trunk and limb blood vessels have endothelial cells that developed from migratory somitic angioblasts, and assembly of these vessels is likely to have a large vasculogenic component.

Animals↗

Do denervated peripheral nerve trunks become ischemic? The impact of chronic denervation on vasa nervorum.

The long-term relationship between the peripheral nerve trunk and its vascular supply, the vasa nervorum, has not been considered in the context of denervation and regeneration. While the microvessels of peripheral nerve are not thought to influence Wallerian degeneration itself, in this work we explored how vasa nervorum respond to denervation of the nerve trunk. Our hypotheses were that the presence of axons had a significant impact on the vasa nervorum and that the absence of reinnervation might eventually lead to an unfavorable ischemic regenerative microenvironment. We studied rat sciatic nerve trunks for up to 6 months following transection and either prevented regeneration or allowed it to proceed. Vasa nervorum were studied in several ways: (i) measurements of local endoneurial blood flow using microelectrode hydrogen clearance polarography; (ii) measurements of erythrocyte flux (flow) in the extrinsic nerve plexus using laser Doppler flowmetry; (iii) India ink perfusion of microvessels in unfixed nerve; (iv) mRNA expression of vascular endothelial growth factor (VEGF) using reverse transcription polymerase chain reaction. Early after injury, there were rises in endoneurial and extrinsic flow, microvessel numbers, and VEGF mRNA expression. Angiogenesis was apparently confined to the epineurial and perineurial compartments. Later, however, there were substantial declines in flow observed in long-term (6-month) denervated sciatic nerve trunks associated with declines in the caliber of new microvessels. Reinnervated sciatic nerves had restored endoneurial blood flow. The findings confirm important relationships between axon presence and local blood flow. Angiogenesis is a feature of the injured peripheral nerve, but long term denervated nerve trunks have declines of flow despite retaining new microvessels.

Animals↗

Reorientation of visually evoked postural responses by different eye-in-orbit and head-on-trunk angular positions.

We examined the question of whether the position of the eyes in the head and of the head on the trunk influence the direction of visually elicited postural reactions. Normal subjects stood on a force platform viewing a large disc, rotating in the roll plane, always maintained orthogonal to the line of sight. The disc was presented at 0 degree, 30 degrees and 90 degrees to the right or left with respect to the mid-frontal plane of the subject's body and was viewed with various combinations of horizontal eye-in-orbit and head-on-trunk deviations. It was found that the main direction of body sway was always reoriented to be parallel to the disc (e.g. viewing the disc at 30 degrees oriented sway responses at a mean angle of 33 degrees). The largest sway responses were obtained when the disc was parallel to the sagittal plane of the body and was viewed with an ipsilateral eye-neck deviation totalling 90 degrees (head-on-trunk 60 degrees+eye-in-orbit 30 degrees). When eye and head deviations cancelled each other (i.e. eye-in-orbit +30 degrees combined with head-on-trunk -30 degrees), directional effects on sway also cancelled each other out. This result demonstrates that signals of eye-in-orbit and head-on-trunk position have the capability to redirect visuo-motor commands to the appropriate postural muscles. This allows vision to regulate postural balance whatever the position of the eyes in space. We speculate that this function is mediated by eye and neck proprioceptive signals (or alternatively by efference copy) with access to gain control mechanisms in the visuo-postural system.

Adult↗

The influence of sudden perturbations on trunk muscle activity and intra-abdominal pressure while standing.

Unexpected ventral and dorsal perturbations and expected, self-induced ventral perturbations were delivered to the trunk by suddenly loading a vest strapped to the torso. Six male subjects were measured for intra-abdominal pressure (IAP) and intra-muscular electromyography of the transversus abdominis (TrA), obliquus internus abdominis (OI), obliquus externus abdominis (OE) and rectus abdominis (RA) muscles. Erector spinae (ES) activity was recorded using surface electromyography. Displacements of the trunk and head were registered using a video-based system. Unexpected ventral loading produced activity in TrA, OI, OE and RA, and an IAP increase well in advance of activity from ES. Expected ventral loading produced pre-activation of all muscles and an increased IAP prior to the perturbation. The TrA was always the first muscle active in both the unexpected and self-loading conditions. Of the two ventral loading conditions, forward displacement of the trunk was significantly reduced during the self-loading. Unexpected dorsal loading produced coincident activation of TrA, OI, OE, RA and ES. These results indicate a response of the trunk muscles to sudden expected and unexpected ventral loadings other than the anticipated immediate extensor torque production through ES activation. It is suggested that the increase in IAP is a mechanism designed to improve the stability of the trunk through a stiffening of the whole segment.

Abdominal Muscles↗

The human thyrocervical trunk: configuration and variability reinvestigated.

Reinvestigation of the configuration of the human thyrocervical trunk revealed, that in the presently investigated specimens the dorsal scapular artery is a direct branch of the subclavian artery in approximately 75% of the cases, whereas in the remaining 25% it is derived from the thyrocervical trunk, either directly or via the transverse cervical artery (Nomina anatomica 1977). The internal thoracic artery participates in the thyrocervical trunk in more than 10% of the observed cases. Thus, both dorsal scapular and internal thoracic artery have to be considered as facultative branches of the thyrocervical trunk. According to our results, the subclavian artery must be considered as the most common site of origin of the dorsal scapular artery. This vessel may be replaced by another artery in about one fourth of the cases. A survey of studies on the origin of the dorsal scapular artery clearly demonstrates that it is not warranted to give an overall numerical proportion for the main modes of branching. As yet no satisfactory explanation for the high degree of variability of these subclavian branches has been given. Especially the widely held notion of differences related to race, which is based on Adachi's (1928) work, has turned out to be invalid. Interpretation of variability may rather be based, as a general concept, on the late acquisition of a thyrocervical trunk in phylogeny as well as in ontogeny.

Arteries↗

Inertial properties of the human trunk of males determined from magnetic resonance imaging.

The purpose of this study was to evaluate the segmental parameters of the human trunk of males in vivo using magnetic resonance imaging (MRI). In addition, the efficacy of volumetric estimation and existing prediction formulas to produce segmental properties similar to those produced by MRI was evaluated. As opposed to finding one representative normal value for these parameters, a range of normal values was defined. For instance, the average trunk mass was 42.2% +/- 3.5% (x +/- SD) of body mass, but values ranged from 35.8% to 48.0%. To account for segment parameters more accurately, specific anthropometric measures need to be considered in addition to overall measures of body height and mass. These specific measures included segment length, circumference, width, and depth. Studies reporting general percentages based on height and/or mass were found to be inadequate predictors of segmental parameters of the trunk compared with MRI estimates. Volume-based estimates, which assume a uniform density distribution within a segment, were found to correspond closely to MRI values except for the thorax. However, the use of density values reflective of the living in vivo state would likely alleviate this disparity, thus indicating that the volumetric technique may be effective for deriving segmental parameters for large segments of the trunk. Future research should adopt noninvasive techniques such as MRI and/or volumetric estimation to enhance the predictability of segmental parameters of the body for specific population groups characterized by gender, developmental age, body type, and fitness level. Further efforts should be made to establish standardized boundary definitions for trunk segments to avoid unnecessary confusion, from which substantial errors may be introduced into biomechanical linked-segment analyses of human movement.

Abdomen↗

Nonoperative treatment for a ruptured pseudoaneurysm of the celiac trunk: report of a case.

We report the case of a 67-year-old man in whom hemorrhage from a ruptured celiac trunk pseudoaneurysm, which occurred as a consequence of leakage at the site of gastroduodenostomy, was successfully controlled by transcatheter arterial embolization (TAE) with stainless steel coils and N-butyl cyanoacrylate (NBCA). The occurrence of a pseudoaneurysm of the celiac trunk associated with anastomotic leakage is etiologically rare. We compiled reports from the literature on TAE for ruptured aneurysms of the celiac trunk, and compared its therapeutic value with that of surgical treatment. Operative death occurred in 4 of a series of 43 patients with aneurysms of the celiac trunk that were surgically treated (9.3%). In 5 patients with ruptured aneurysms, the operative mortality rate was 40% (2/5). Conversely, while the unsuccessful rate of TAE therapy was 17% (1/6), the mortality rate was nil. The patient whose case is presented here was affected by methicillin-resistant staphylococcus aureus (MRSA) at the site of leakage and in the lung. Under septic conditions such as hemorrhage secondary to pancreatitis, the mortality rate of surgical therapy was 23%-29%, whereas the success rate of TAE therapy was 79% and the mortality rate was 4%. Based on these findings, it is suggested that TAE therapy is a viable alternative to surgery for patients even with ruptured pseudoaneurysms of the celiac trunk.

Aged↗

Effects of predictive mechanisms on head stability during forward trunk perturbation.

While much is known about reflex and mechanical contributions to the control of head stability, little is known about predictive control. The goal of this experiment was to determine the contribution of predictive mechanisms to head stability in space, in the pitch plane, during forward trunk perturbations. Eleven standing healthy subjects had their trunk pulled forward by a load-pulley apparatus. The perturbation was either self-triggered or imposed (triggered by the experimenter). Subjects were exposed to two loads: 2% and 4% of their body weight. The contributions of torques acting on the head-neck system were inferred from head and trunk kinematics, neck muscle EMG, and the torques acting on the head, which were computed using inverse dynamics. The results showed that both the head and trunk moved less during the self-triggered than imposed condition during both loads for most of the participants. There was no evidence of predictive neck countertorque or increased neck muscle co-contraction during the self-triggered condition. These findings suggest that most of the subjects improved head stability in the self-triggered condition by reducing trunk motion and the associated interactive torque that perturbed the head.

Adaptation, Physiological↗

Trunk recruitment during spoon use in tetraparetic cerebral palsy.

In the present study we investigated the extent to which individuals suffering from spastic tetraparesis as a consequence of cerebral palsy tune their trunk involvement to accuracy demands in a spoon-handling task. Twenty-two participants (ten adolescents with spastic tetraparesis and 12 control participants) had to transport a spoon filled with water or sugar to a small or a large bowl that was placed within reach. Even though trunk displacement was larger in the tetraparetic participants than it was in the control participants, the effects of the imposed accuracy constraints were remarkably similar. Participants in both groups increased trunk displacement with increasing precision requirements. Furthermore, in both groups the largest trunk involvement was found in the initial and final part of the substance-transporting phase, when wrist velocity was lowest. We propose several explanations for these findings and conclude that the large trunk involvement in individuals with tetraparetic cerebral palsy should, in any case, not be regarded as a primary symptom of the disorder, but rather as an adaptive reaction to increased task demands.

Adolescent↗

The coordination of rotations of the eyes, head and trunk in saccadic turns produced in natural situations.

In real life situations large gaze saccades may involve rotations of the trunk, as well as the eyes and head. When this happens the rotation of the head-in-space is similar whether or not the trunk is also rotating. However, the rotation of the head on the trunk (i.e. the neck movement) is very different in the two circumstances. For similar head-in-space rotations to occur, the neck and trunk movements cannot simply add independently: they must be coordinated. It is argued that this is achieved via a feedback loop in which the semi-circular canals monitor the rotation of the head-in-space, and the neck is driven by an error signal representing the difference between the intended head-in-space trajectory and the actual trajectory. This mechanism, which is essentially the same as the vestibulo-collic reflex, nulls out disturbances to the head-in-space trajectory, whether these are caused by active or passive trunk rotation.

Abdomen↗

Cervical muscle response to trunk flexion in whiplash-type lateral impacts.

The purpose of this study was to determine the response of the cervical muscles to increasing low-velocity, whiplash-type lateral impacts when the occupant is seated out of the recommended driving position (neutral posture). Twenty healthy volunteers were subjected to left lateral impacts of 4.1, 7.7, 10.5, and 13.7 m/s(2) acceleration, with their trunk flexed by 45 degrees and laterally flexed to the right and left also by 45 degrees at the time of impact. Bilateral electromyograms of the sternocleidomastoids, trapezii, and splenii capitis were recorded. Under these conditions of trunk-flexed postures, in a left lateral impact, muscle responses were of generally low magnitude with the trunk flexed to either the left or right. Even at the highest acceleration of 13.7 m/s(2), all muscles generated less than 37% of their known maximal voluntary contraction electromyogram. Also, in these left lateral impacts, the right splenius capitis showed a greater EMG response than the left splenius capitis regardless of whether the subject was flexed to the right or left at the time of impact. The right splenius capitis (the one contralateral to the left lateral impact direction) was more active than its counterpart. Compared to what is known for EMG responses with an occupant in the neutral posture, the right sternocleidomastoid (usually the most active muscle in a left lateral collision) was significantly less-active with trunk flexion than with neutral posture conditions (P<0.01). In the absence of bodily impact, the flexed trunk posture does not produce a biomechanical response that would increase the likelihood of cervical muscle injury in low velocity lateral impacts, and may lessen the risk of injury for some muscles.

Acceleration↗