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PubMed1995

[Tension type headache with special reference to muscle abnormality].

Muscle contraction headache (tension-type headache; MCH) usually begins when a patient is looking down or bending their neck. In the case of MCH patients, EMG activity of the posterior neck muscles at a sitting posture is significantly higher than the controls when the orbito-meatal line is horizontal or bending downward. Comparing with the controls, blood flow of the posterior neck muscle decreases sharply when the head is bent downward. Decrease of the muscle blood flow continues if the muscle is passively contracted. However, in the case of active contraction, blood flow recovers reflexly in 30 seconds. This explains why postural muscle contraction is important. When a patient is ordered to bend her neck down at the orbitomeatal line 30 degrees from horizontal, patient complains of a dull feeling at her posterior neck muscles in 30 seconds. In two minutes dull headache appears at the occipital area, soon becoming more intense and spreading to the forehead and temporal area. Once she looks up, muscle contraction of the neck disappears though she still feels headache. After the local anesthesia is applied to the occipital tender point, her headache disappears completely. From this experiment, MCH is a referred pain from occipital tender point which is the insertion point of occipital neck muscles. Patients with poor stability of cervical bone, and relatively heavy head weight compared with their neck are susceptible to MCH. Psychological stress decreases blood flow of the muscle and aggravates ischemic muscle contraction. Other risk factors include hypotension, anemia, and weak muscle power.

Female↗

PubMed2006

Stabilizing effect of precontracted neck musculature in whiplash.

STUDY DESIGN: This study investigated the effect of neck muscle precontraction in aware occupants in whiplash. Head angulation relative to T1 and facet joint capsular ligament distractions were compared between aware and unaware occupants. OBJECTIVE: To quantify changes in facet joint capsular ligament distractions between aware occupants with precontracted neck muscles and unaware occupants with reflex muscle contraction. SUMMARY OF BACKGROUND DATA: Clinical studies have reported that patients aware of the impending impact had decreased symptom intensity and faster recovery after whiplash. To date, no study has investigated the effects of precontracted neck musculature on localized spinal soft tissue distortions in whiplash. METHODS: Aware occupants with precontracted neck muscles and unaware occupants with reflex muscle contraction in whiplash were simulated using a validated computational model. Muscle contraction attained maximum levels before impact in the aware occupant and implemented reflex delay, electromechanical delay, and finite muscle rise time in the unaware occupant. RESULTS: Precontraction of neck muscles in aware occupants resulted in 63% decreased maximum head angles, elimination of cervical S-curvature, and up to 75% decrease in maximum facet joint capsular ligament distractions. CONCLUSIONS: Occupants aware of an impending whiplash impact with precontracted neck muscles can markedly reduce overall head-neck and spinal motions. It is our theory that this would reduce whiplash injury likelihood.

Accidents, Traffic↗

PubMed1995

Responses to vertical vestibular stimulation of neurons in the nucleus reticularis gigantocellularis in rabbits.

1. Because the nucleus reticularis gigantocellularis (NRGc) receives a substantial descending projection from the caudal vestibular nuclei, we used extracellular single-unit recording combined with natural vestibular stimulation to examine the possible peripheral origins of the vestibularly modulated activity of caudal NRGc neurons located within 500 microns of the midline. Chloralose-urethan anesthetized rabbits were stimulated with an exponential "step" and/or static head-tilt stimulus, as well as sinusoidal rotation about the longitudinal or interaural axes providing various combinations of roll or pitch, respectively. Recording sites were reconstructed from electrolytic lesions confirmed histologically. 2. More than 85% of the 151 neurons, in the medial aspect of the caudal NRGc, responded to vertical vestibular stimulation. Ninety-six percent of these responded to rotation onto the contralateral side (beta responses). Only a few also responded to horizontal stimulation. Seventy-eight percent of the neurons that responded to vestibular stimulation responded during static roll-tilt. One-half of these neurons also responded transiently to the change in head position during exponential "step" stimulation, suggesting input mediated by otolith and semicircular canal receptors or tonic-phasic otolith neurons. 3. Seventy-five percent of the responsive neurons had a "null plane." The planes of stimulation resulting in maximal responses, for cells that responded to static stimulation, were distributed throughout 150 degrees in both roll and pitch quadrants. Five of these cells responded only transiently during exponential "step" stimulation and responded maximally when stimulated in the plane of one of the vertical semicircular canals. 4. The phase of the response of the 25% of medial NRGc neurons that lacked "null planes" gradually shifted approximately 180 degrees during sinusoidal vestibular stimulation as the plane of stimulation was shifted about the vertical axis. These neurons likely received convergent input with differing spatial and temporal properties. 5. The activity of neurons in the medial aspect of the caudal NRGc of rabbits was modulated by both otolithic macular and vertical semicircular canal receptor stimulation. This vestibular information may be important for controlling the intensity of the muscle activity in muscles such as neck muscles where the load on the muscle is affected by the position of the head with respect to gravity. Some of these neurons may also shift muscle function from an agonist to an antagonist as the direction of head tilt changes.

Animals↗

PubMed1985

Spatial and temporal response properties of the vestibulocollic reflex in decerebrate cats.

Vestibulocollic reflex responses of several neck muscles in decerebrate cats were studied during angular rotations of the whole body in a large number of vertical and horizontal rotation planes, at frequencies from 0.07 to 1.6 Hz. Vestibulocollic responses were compared to eye muscle and forelimb muscle vestibular responses. Electromyographic activity was recorded by fine wires inserted in biventer cervicis, complexus, longus capitis, obliquus capitis inferior, occipitoscapularis, rectus capitis major, splenius, lateral rectus, and triceps brachii. At frequencies of approximately 0.5 Hz and above, neck muscle electromyographic response gains were sinusoidal functions of stimulus orientation within a set of vertical or horizontal planes, and a muscle's response phase remained constant across rotation planes, or reversed by 180 degrees. Response patterns at high frequencies were consistent with vestibulocollic reflex activation by semicircular canals through brain circuitry that modifies canal dynamics. At frequencies of approximately 0.5 Hz and above, the stimulus orientation in which a given neck muscle's response was maximal remained nearly constant across frequencies. Thus, we used responses to rotations at high frequencies to calculate axes of maximal response of each muscle in three-dimensional space. Lateral rectus, obliquus, and to a lesser extent, splenius and longus capitus were activated predominantly by horizontal rotations. Biventer was activated predominantly by pitch, triceps predominantly by roll, and complexus, occipitoscapularis, and rectus major significantly excited by rotations in all three coordinate planes. In some cases, at frequencies less than 0.5 Hz, neck muscle response phase varied depending on the vertical plane in which the cat was rotated, and the optimal response plane was poorly defined and varied with frequency. These responses indicated that, at some frequencies, neck muscle activity can result from summation of inputs with differing spatial orientation and dynamics (spatial-temporal convergence). Differences between responses to vertical and horizontal rotations suggested that low-frequency spatial-temporal convergence behavior of the vestibulocollic reflex during vertical rotations was due to convergent semicircular canal and otolith receptor inputs.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

PubMed2004

High-risk head and neck movements at high G and interventions to reduce associated neck injury.

BACKGROUND: Neck injuries are a significant concern for aviators of high performance aircraft. A recent comprehensive technical report on cervical spinal injury associated with exposure to sustained acceleration, from NATO's Research and Technology Organization, recommended delineating the neck muscles used by aviators in this flying environment and developing improved neck muscle strengthening programs in an attempt to reduce such injuries. METHODS: A review of current literature was conducted in the fields of biomechanics, ergonomics, orthopedics, neurology, neurosurgery, rehabilitative medicine, and aerospace medicine. An objective description is provided of the muscles involved in specific head and neck movements, and those movements that are associated with a greater risk of injury during high-G sorties. The intensity and duration of force exposures common to high performance aircraft sorties, the effects of seat-back angle on these exposures, and the types and mechanisms of neck injury reported in this environment are also described. RESULTS: Primary, secondary, and tertiary preventive interventions are introduced with the goal of providing unit-level flight surgeons an approach to reducing neck injury and promoting prompt, safe return to flying of aviators with identified neck injury. A central component of these interventions is a "specific" and "intensive" neck muscle training regimen, as described in the medical literature. CONCLUSION: Increased axial compressive force and unique biomechanics combine to make neck injury likely in high performance aviators. The application of some proposed intervention strategies may reduce the occurrence of these injuries.

Acceleration↗

PubMed1987

Recurrent inhibitory connexions among neck motoneurones in the cat.

1. Intracellular recordings were made from motoneurones innervating neck muscles in the cat. Dorsal roots were cut and muscle nerves electrically stimulated to activate alpha motor axons. 2. Recurrent inhibitory post-synaptic potentials (i.p.s.p.s) evoked by antidromic volleys in homonymous or heteronymous nerves were found in the majority of motoneurones studied, including those to dorsal neck muscles (biventer cervicis, splenius and complexus) as well as to occipitoscapularis and levator scapulae ventralis. 3. Central latencies of the recurrent i.p.s.p.s indicate disynaptic transmission. Amplitudes ranged from 100 microV (criterion level) to 2.2 mV. Average amplitudes were less than 0.6 mV. 4. The recurrent i.p.s.p.s were distributed to non-synergistic as well as to synergistic motoneurones. Analysis of relative strength of recurrent inhibition indicates influence of proximity of motoneurone pools, functional relatedness of muscles, as well as other factors. Variation in intrinsic motoneuronal properties probably underlies positive correlations (independent of variation in resting potential) between recurrent i.p.s.p.s evoked from different sources in motoneurones of a single pool. 5. Recordings (mainly extracellular) were also made from interneurones (Renshaw cells), located in the C3 and C4 segments of the spinal cord, that were excited by antidromic volleys in muscle nerves. The response varied from a single action potential to a burst of up to nineteen action potentials. Central latencies to the first response indicate monosynaptic transmission. Many Renshaw cells were excited by antidromic volleys in several muscle nerves, though this was restricted to nerves of the same segmental level as the Renshaw cell. All the muscle nerves studied were effective in activating Renshaw cells. 6. The results indicate that in many ways the recurrent i.p.s.p.s and the responses of Renshaw cells recorded in the neck segments resemble those in the hind-limb segments. Thus, the basic organization of recurrent inhibition in the neck segments resembles that occurring elsewhere in the spinal cord. A difference is the tendency for recurrent i.p.s.p.s in neck motoneurones to be relatively small in amplitude and Renshaw cell responses to be less strong than those recorded in the hind-limb segments. It is suggested that this is related to the segmentation of neck muscles and their motoneurone pools. 7. It is concluded that recurrent inhibition is a prominent feature of spinal organization governing neck muscles. It can therefore be expected to participate in control of head movements.

Action Potentials↗

PubMed2006

Optimal vibration stimulation to the neck extensor muscles using hydraulic vibrators to shorten saccadic reaction time.

Optimal vibration stimulation to the neck extensor muscles using hydraulic vibrators to shorten the saccadic reaction time was examined. Subjects were 14 healthy young adults. Visual targets (LEDs) were located 10 degrees left and right of a central point. The targets were alternately lit for random durations of 2-4 seconds in a resting neck condition and various vibration conditions, and saccadic reaction times were measured. Vibration amplitude was 0.5 mm in every condition. The upper trapezius muscles were vibrated at 40, 60, 80, and 100 Hz in a sub-maximum stretch condition in which the muscles were stretched at 70% of maximum stretch. In addition, the muscles were vibrated at 60 Hz with the muscles maximally stretched, with 70% vertical pressure without stretching, and with vibration applied to the skin in the same area as the muscle vibration. At 60, 80, and 100 Hz at 70% maximum stretch, saccadic reaction time shortened significantly compared with the resting neck condition. However, no significant difference in the reaction time was observed among the frequencies. The saccadic reaction times in the maximum stretch condition, muscle pressure condition, and skin contact condition did not differ significantly from that in the resting neck condition. Vibration stimulation to the trapezius with 60-100 Hz frequencies at 0.5 mm amplitude in the sub-maximum stretch condition was effective for shortening saccadic reaction time. The main mechanism appears to be Ia information originating from the muscle spindle.

Adult↗

PubMed1987

Reticulo-spinal neurons participating in the control of synergic eye and head movements during orienting in the cat. I. Behavioral properties.

The activity of 24 reticulo-spinal neurons (RSN) identified by antidromic stimulation at the C1-C2 level has been recorded intra-axonally in the pons of alert head-fixed cats during spontaneous gaze shifts and orienting towards novel targets. Relationship of neuronal discharge to saccadic eye movements, positions of fixation and EMG of dorsal neck muscles were analysed. The present report describes behavioral properties of a group of 14 RSN showing similar types of correlations with motor parameters during eye-head synergies. These "eye-neck" RSN (EN-RSN) generate bursts in synchrony with phasic components of ipsilateral neck EMG and leading ipsiversive saccades by a variable lead time. Bursts are followed by a prolonged discharge whose frequency decays even when eccentric eye position is maintained constant and accompanied by sustained neck muscle activity. The firing rate of EN-RSNs depends on eye position: they are silent with saccades in their ON-direction when the eyes are deviated towards the contralateral half of the oculomotor range and the ipsilateral neck muscles are relaxed. When the eyes cross the vertical meridian, the frequency of phasic and tonic components related to eye-head synergies increase proportionally to ipsilateral eye position. Ten of the 14 EN-RSNs, located in the pontine reticular formation, received monosynaptic input from the contralateral superior colliculus. Two were labeled by intra-axonal injection of HRP which revealed extensive branching in the abducens, facial, medial and lateral vestibular, prepositus and intercalatus nuclei and in the caudal pontine and bulbar reticular formation. It is concluded that the caudal pontine tegmentum, including the region just anterior to the abducens nucleus, contains RSNs whose signals seem appropriate to control phasic neck muscle activity and which also project to structures related to ocular and facial movements. Comparisons with the perisaccadic activity of tectal neurons projecting in the predorsal bundle reveals a profound transformation of the descending signal at the level of EN-RSNs which represent first order relay neurons of the tecto-reticulo-spinal pathway.

Action Potentials↗

PubMed2002

Thyroid ultrasound versus antithyroid peroxidase antibody determination: a cohort study of four hundred fifty-one subjects.

Autoimmune thyroiditis is mirrored by a hypoechoic ultrasound pattern. We determined diagnostic precision of thyroid sonography compared to that of anti-thyroid peroxidase antibody (TPOAb) concentration. Ambulatory patients with unknown thyroid status (n = 451; 407 female, ages 44 +/- 16 years; 45 male, ages 50 +/- 14 years) excluding those with suspected hyperthyroidism or on drugs known to cause hypothyroidism were recruited consecutively. Subjects were recruited from a specialized thyroid outpatient unit with higher frequencies of thyroid disorders than in the general population. Before determination of thyroid function and TPOAb concentration thyroid volume (normal values: women < 12 mL, men < 14 mL) and echogenicity (grade 1 = normal: similar to submandibular gland, hyperechoic to neck muscles; grade 2: hypoechoic to submandibular gland, hyperechoic to neck muscles, grade 3: iso-/hypoechoic to neck muscles) were determined. Positive predictive value of grade 3 pattern for detection of autoimmune thyroiditis was 94% (with overt hypothyroidism) and 96% (with any degree of hypothyroidism), that of grade 2 or 3 85% and 87%, respectively. Negative predictive value of grade 1 pattern for detection of euthyroid TPOAb negative subjects was 91%. Goiter was present in 31% and 21% of TPOAb postive and negative subjects, respectively, while 11% and 15% had an atrophic thyroid gland (p = not significant [n.s.]). Given a high intraobserver and interobserver agreement abnormal thyroid ultrasound patterns were highly indicative of autoimmune thyroiditis and allowed the detection of thyroid dysfunction with 96% probability.

Adolescent↗

PubMedDate not supplied

Effects of vestibular loss on head stabilization in response to head and body perturbations.

Control of head position during postural responses is important to facilitate both the interpretation of vestibular signals and the stabilization of gaze. In these experiments, we compared head stabilization for two different postural tasks: 1) in response to perturbations at the head, and 2) in response to perturbations induced at the support surface, which perturb both body and head position. To determine whether normal vestibular function is necessary for head stabilization in these two tasks, responses to forward and backward mechanical perturbations of the head and body were compared for 13 normal subjects and 4 patients with profound bilateral vestibular loss (two with vestibular loss in adulthood and two in infancy). Normal subjects showed little neck muscle activity for body perturbations, but large, early activations in both neck extensors and flexors for head perturbations. In contrast, vestibular patients showed excessive neck muscle activation for body perturbations and reduced or absent neck muscle activity for head perturbations. Patients with vestibular loss in adulthood also showed increased head acceleration in response to both head and body perturbations, but patients with vestibular loss in infancy showed more normal head accelerations. For body perturbations, the differences in head acceleration between patients and normals were greater for later head acceleration peaks, indicating poor head control during the execution of the postural response. Trunk angle changes were also higher in the patients for forward body perturbations, indicating that poorer control of trunk position could have contributed to their poorer head stabilization. These results indicate that the vestibular system plays an important role in head and trunk stabilization for both head and body perturbations. However, the more normal head accelerations of the patients with infant vestibular loss also indicate that other mechanisms, possibly involving neck reflexes, can at least partially substitute for the vestibular system to provide head and trunk stabilization.

Adolescent↗

PubMed1995

Pericranial muscle hardness in tension-type headache. A non-invasive measurement method and its clinical application.

Using a new method to measure the hardness of pericranial muscles, the role of muscle factors in tension-type headache was evaluated. In 223 normal healthy subjects, the hardness of trapezius muscles was 82 +/- 15 kPa/cm (mean +/- SD). The muscle hardness in women, 92 +/- 17 kPa/cm, was significantly greater than that in men, 74 +/- 14 kPa/cm (P < 0.01). Trapezius muscles were significantly harder than paraspinal posterior neck muscles measured at the level of the fifth cervical vertebra (71 +/- 13 kPa/cm; n = 26) but a significant correlation in muscle hardness did exist between these two muscle groups (r = 0.89, P < 0.001). Muscle hardness did not show a significant correlation with advancing age, blood pressure or subjective feeling of stiffness in the shoulder. A significant correlation was noted between the muscle hardness measured by the present method and the stiffness scores evaluated by manual palpation. In patients with tension-type headache (n = 60), the hardness of trapezius muscles, 114 +/- 24 kPa/cm (mean +/- SD), was significantly greater than that in normal subjects (P < 0.01). Twenty-six patients (43% of the total) showed significantly high values which exceeded the mean +/- 2 SD (113 kPa/cm) of the normal value, while the remaining patients (57%) constituted a high normal group. The hardness of posterior neck muscles measured in 27 patients (99 +/- 21 kPa/cm) was also significantly greater than that in normal subjects (P < 0.01). There was no significant difference in muscle hardness between episodic tension-type headache and chronic tension-type headache.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

PubMed2005

Novel method for recording vestibular evoked myogenic potential: minimally invasive recording on neck extensor muscles.

OBJECTIVES: Vestibular evoked myogenic potential (VEMP) has been used to test vestibulocollic reflex. However, VEMP is not stable on elderly patients because of their weak muscular strength. In this study, we tried to record VEMP on median neck extensor muscles with weak muscular contraction STUDY DESIGN: We recorded VEMP from normal subjects and patients by novel and conventional methods. METHOD: Thirty-one normal subjects and 56 patients with vertigo or hearing loss were tested in a seated or prone position without muscular tension. The different electrodes were placed on the median surface at the palpable bottom of the occipital bone. RESULTS: Our response showed a clear negative peak at 13 ms on normal subjects, with reversed polarity compared with VEMP on the sternocleidomastoid muscle. This potential is defined as VEMP caused by the proper latencies, dependency of the strength on sound stimulation, and independence of hearing ability. In the cases of acoustic neurinoma, onset latencies were prolonged or nonexistent. The responses on neck extensor muscles could not be recorded on some elderly patients. CONCLUSION: This new method of recording VEMP is less invasive and suitable for elderly patients.

Adolescent↗

PubMed1978

Prediction of head/neck dynamic response of selected military subjects to -Gx acceleration.

Eighteen young male subjects with NAMRL sled test experience to 15 G in --Gx acceleration were measured for physical characteristics of the head and neck and general body anthropometry. Measurements taken include head/neck range of motion, neck muscle stretch reflex time, neck muscle isometric strength capabilities, and seated and standard anthropometry. Data from these tests were tabulated and five subjects whose physical characteristics were most similar were selected for use in simulations. Experimental data from NAMRL sled tests were obtained for the five subjects in 6- and 15-G test runs. Measurements data from the five subjects were used to establish a data set for the MVMA-2D Crash Victim Simulator and acceleration profiles for 6- and 15-G sled runs were used as input to the model. Simulation results for head angular acceleration, head angular velocity, head angular position, head resultant acceleration, and T1 resultant acceleration were compared with the averaged experimental curves for the five subjects. In general, excellent agreement between simulation and experimental results was obtained although some consistent differences were noted. Effects of varying levels of muscle activation were investigated. Variations in muscle tension level were found to have significant effects on simulation results at both 6 and 15, G, especially on head angular position. The effects were noticeably greater at lower acceleration's, however. The model was also used to investigate some of the biomechanical mechanisms behind observed response characteristics.

Acceleration↗

PubMed1995

Oculomotor control in calliphorid flies: organization of descending neurons to neck motor neurons responding to visual stimuli.

In insects, head movements are mediated by neck muscles supplied by nerves originating in the brain and prothoracic ganglion. Extracellular recordings of the nerves demonstrate units that respond to visual stimulation of the compound eyes and to mechanosensory stimulation of the halteres. The number of neck muscles required for optokinetic eye movements in flies is not known, although in other taxa, eye movements can involve as few as three pairs of muscles. This study investigates which neck motor neurons are likely to be involved in head movements by examining the relationships between neck muscle motor neurons and the terminals visiting them from approximately 50 pairs of descending neurons. Many of these descending neurons have dendrites in neuropils that are associated with modalities other than vision, and recording show that visual stimuli activate only a few neck motor neurons, such as the sclerite depressor neurons, which respond to local or wide-field, directionally specific motion, as do a subset of descending neurons coupled to them. The results suggest that, like in the vertebrate eye or the retinas of jumping spiders, optokinetic head movements of flies require only a few muscles. In addition to the importance of visual inputs, a major supply to neck muscle centers by nonvisual descending neurons suggests a role for tactile, gustatory, and olfactory signals in controlling head position.

Animals↗

PubMed1997

Do "whiplash injuries" occur in low-speed rear impacts?

A study was conducted to find out whether in a rear-impact motor vehicle accident, velocity changes in the impact vehicle of between 10 and 15 km/h can cause so-called "whiplash injuries". An assessment of the actual injury mechanism of such whiplash injuries and comparison of vehicle rear-end collisions with amusement park bumper car collisions was also carried out. The study was based on experimental biochemical, kinematic, and clinical analysis with volunteers. In Europe between DM 10 and 20 billion each year is paid out by insurance companies alone for whiplash injuries, although various studies show that the biodynamic stresses arising in the case of slight to moderate vehicle damage may not be high enough to cause such injuries. Most of these experimental studies with cadavers, dummies, and some with volunteers were performed with velocity changes below 10 km/h. About 65% of the insurance claims, however, take place in cases with velocity changes of up to 15 km/h. Fourteen made volunteers (aged 28-47 years; average 33.2 years) and five female volunteers (aged 26-37 years; average 32.8 years) participated in 17 vehicle rear-end collisions and 3 bumper car collisions. All cars were fitted with normal European bumper systems. Before, 1 day after and 4-5 weeks after each vehicle crash test and in two of the three bumper car crash tests a clinical examination, a computerized motion analysis, and an MRI examination with Gd-DTPA of the cervical spine of the test persons were performed. During each crash test, in which the test persons were completely screened-off visually and acoustically, the muscle tension of various neck muscles was recorded by surface electromyography (EMG). The kinematic responses of the test persons and the forces occurring were measured by accelerometers. The kinematic analyses were performed with movement markers and a screening frequency of 700 Hz. To record the acceleration effects of the target vehicle and the bullet vehicle, vehicle accident data recorders were installed in both. The contact phase of the vehicle structures and the kinematics of the test persons were also recorded using high-speed cameras. The results showed that the range of velocity change (vehicle collisions) was 8.7-14.2 km/h (average 11.4 km/h) and the range of mean acceleration of the target vehicle was 2.1-3.6 g (average 2.7 g). The range of velocity change (bumper car collisions) was 8.3- 10.6 km/h (average 9.9 km/h) and the range of mean acceleration of the target bumper car was 1.8-2.6 g (average 2.2 g). No injury signs were found at the physical examinations, computerized motion analyses, or at the MRI examinations. Only one of the male volunteers suffered a reduction of rotation of the cervical spine to the left of 10 degrees for 10 weeks. The kinematic analysis very clearly showed that the whiplash mechanism consists of translation/extension (high energy) of the cervical spine with consecutive flexion (low energy) of the cervical spine: hyperextension of the cervical spine during the vehicle crashes was not observed. All the tests showed that the EMG signal of the neck muscles starts before the head movement takes place. The stresses recorded in the vehicle collisions were in the same range as those recorded in the bumper car crashes. From the extent of the damage to the vehicles after a collision it is possible to determine the level of the velocity change. The study concluded that, the "limit of harmlessness" for stresses arising from rear-end impacts with regard to the velocity changes lies between 10 and 15 km/h. For everyday practice, photographs of the damage to cars involved in a rear-end impact are essential to determine this velocity change. The stress occurring in vehicle rear-end collisions can be compared to the stress in bumper car collisions.

Accidents, Traffic↗

PubMed1989

Post natal development of the neck system in the chicken (Gallus domesticus).

The lengths of several neck muscles and tendons and the length, width, and height of the cervical vertebrae and some additional distances were measured in the chicken in six post-hatching ontogenetic stages and adults. Each vertebra is characterized by a unique combination of growth rates. All increase most in length. Cranial and caudal width as well as height decreases relative to length during ontogeny. When the long dorsal neck muscles are assumed to provide the support for the weight of the head and half of the weight of the neck, the neck system evidently develops according to McMahon's elastic similarity theory. The assumption is justified also because the weights of head and neck together appeared to scale as predicted by elastic similarity. Short neck muscles show negative and tendons positive allometric growth, and long neck muscles grow isometrically relative to neck length. This growth pattern of the muscles and tendons is a direct consequence of the geometric relations of the different growth rates of the vertebrae.

Animals↗

PubMed2002

Androgen receptors in the embryonic zebra finch hindbrain suggest a function for maternal androgens in perihatching survival.

Bird embryos are exposed to maternal androgens deposited in the egg, but the role of these hormones in embryonic development and hatchling survival is unclear. To identify possible target organs, we used in situ hybridization to study the distribution of androgen receptor (AR) RNA in the developing zebra finch brain. The first brain expression domain of AR mRNA is in the hindbrain. From embryonic day 7 (E7) onward, when the hypoglossal motor nucleus (nXII) has just formed, there was AR mRNA expression in both its lingual (nXIIl) and its tracheosyringeal (nXIIts) parts, and this was the major site of hindbrain expression at all embryonic stages and in both sexes. From E8 onward, we also found AR mRNA in the supraspinal motor nucleus (nSSp), which innervates neck muscles. Furthermore, the syrinx, the target of the nXIIts, contained AR mRNA by E10, localized principally in the perichondria. Muscle was first evident in the syringeal region at E9, but no AR was detected in syringeal muscles until after hatching. The expression pattern of AR in the zebra finch embryo suggests that maternal androgens act via AR in the brainstem and syrinx to influence hatching as well as acoustic and visual components of food-begging behavior. Maternal androgens seem unlikely to function in the development of sexual dimorphisms in the zebra finch nXIIts and syrinx, insofar as these are not evident until between 10 and 20 days posthatching.

Animals↗

PubMed1992

Fine-needle aspiration cytology in fibromatoses.

Fine-needle aspiration (FNA) cytology was performed in seven cases of fibromatosis of variable types with tumorous clinical presentation. These included: four cases of musculoaponeurotic fibromatosis, two in posterior neck muscles, one in anterior neck muscles and one in intercostal muscles; one case of fibromatosis of the breast; and two cases of fibromatosis colli in neonates. In all cases the specimens contained connective tissue with many fibroblast-like cells, lacking features which could indicate a malignant lesion. The findings in these cases indicate that, although by FNA cytology in fibromatoses a specific diagnosis for each pathologic entity may not be easily reached, in the proper clinical setting the cytologic findings can be of sufficient relevance to offset the need for an open tissue biopsy, where there are valid reasons against a surgical intervention.

Aged↗