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PubMed1992

Temporal patterns of trunk muscle activity throughout a dynamic, asymmetric lifting motion.

This study examined the effects of trunk speed and exertion level on temporal aspects of trunk muscle activity patterns during dynamic, asymmetric lifting. Electromyographic (EMG) data from eight trunk muscles were collected along with trunk torque output, position, and velocity data during several repetitions of four speed/loading combination conditions. During analysis, each muscle's EMG record was reduced to three key events: a start, a peak, and an end point. For each subject, temporally ordered event lists were constructed for each test condition. Networks of events that consistently occurred regardless of loading or speed levels were constructed for each subject. Two event pairs occurred consistently for all subjects under all conditions, whereas some pairs occurred in association with specific speed or resistance levels. Temporal information related to muscle activity could be used in biomechanical models in order to predict changes in spinal loading during the course of workplace tasks.

Adult↗

PubMed2005

The visual perception coordinate system uses axes defined by the earth, trunk, and vision.

Eight young adults adjusted a line located on one side of a computer display parallel to internally specified Earth-fixed vertical (display in frontal plane), to the horizontal trunk-fixed anterior-posterior axis (display in horizontal plane), and to an oblique line (display in horizontal and vertical planes). All tasks were completed in a dark room with the head and trunk in both a standard erect posture and varied postures. Errors were lowest when setting the line to internally specified vertical in the frontal plane and to an oblique line in the horizontal plane when head and trunk orientations were varied. Constant errors for setting one line parallel to a second line were in opposite directions when the second line was located on the left versus right side of the display, but did not differ in direction when setting the line parallel to internally specified axes. Also, the oblique effect was preserved when the head and trunk were tilted to various orientations, suggesting that it results from integration of an internally specified gravitational reference with visual input. We conclude that the visual perceptual coordinate system uses internally specified vertical and, when available, a visually specified horizontal reference axis to define object orientation.

Adult↗

PubMed2005

Replacing a Swiss ball for an exercise bench causes variable changes in trunk muscle activity during upper limb strength exercises.

BACKGROUND: The addition of Swiss balls to conventional exercise programs has recently been adopted. Swiss balls are an unstable surface which may result in an increased need for force output from trunk muscles to provide adequate spinal stability or balance. The aim of the study was to determine whether the addition of a Swiss ball to upper body strength exercises results in consistent increases in trunk muscle activation levels. METHODS: The myoelectric activity of four trunk muscles was quantified during the performance of upper body resistance exercises while seated on both a stable (exercise bench) and labile (swiss ball) surface. Participants performed the supine chest press, shoulder press, lateral raise, biceps curl and overhead triceps extension. A repeated measures ANOVA with post-hoc Tukey test was used to determine the influence of seated surface type on muscle activity for each muscle. RESULTS & DISCUSSION: There was no statistically significant (p < .05) difference in muscle activity between surface conditions. However, there was large degree of variability across subjects suggesting that some individuals respond differently to surface stability. These findings suggest that the incorporation of swiss balls instead of an exercise bench into upper body strength training regimes may not be justified based only on the belief that an increase spinal stabilizing musculature activity is inherent. Biomechanically justified ground based exercises have been researched and should form the basis for spinal stability training as preventative and therapeutic exercise training regimes. CONCLUSION: Selected trunk muscle activity during certain upper limb strength training exercises is not consistently influenced by the replacement of an exercise bench with a swiss ball.

Journal Article↗

PubMed1991

Migrating neural crest cells in the trunk of the avian embryo are multipotent.

Trunk neural crest cells migrate extensively and give rise to diverse cell types, including cells of the sensory and autonomic nervous systems. Previously, we demonstrated that many premigratory trunk neural crest cells give rise to descendants with distinct phenotypes in multiple neural crest derivatives. The results are consistent with the idea that neural crest cells are multipotent prior to their emigration from the neural tube and become restricted in phenotype after leaving the neural tube either during their migration or at their sites of localization. Here, we test the developmental potential of migrating trunk neural crest cells by microinjecting a vital dye, lysinated rhodamine dextran (LRD), into individual cells as they migrate through the somite. By two days after injection, the LRD-labelled clones contained from 2 to 67 cells, which were distributed unilaterally in all embryos. Most clones were confined to a single segment, though a few contributed to sympathetic ganglia over two segments. A majority of the clones gave rise to cells in multiple neural crest derivatives. Individual migrating neural crest cells gave rise to both sensory and sympathetic neurons (neurofilament-positive), as well as cells with the morphological characteristics of Schwann cells, and other non-neuronal cells (both neurofilament-negative). Even those clones contributing to only one neural crest derivative often contained both neurofilament-positive and neurofilament-negative cells. Our data demonstrate that migrating trunk neural crest cells can be multipotent, giving rise to cells in multiple neural crest derivatives, and contributing to both neuronal and non-neuronal elements within a given derivative.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

PubMed1994

Homeotic complex and teashirt genes co-operate to establish trunk segmental identities in Drosophila.

Homeotic genes determine the identities of metameres in Drosophila. We have examined functional aspects of the homeotic gene teashirt by ectopically expressing its product under the control of a heat-shock promoter during embryogenesis. Our results confirm that the gene is critical for segmental identity of the larva. Under mild heat-shock conditions, the Teashirt protein induces an almost complete transformation of the labial to prothoracic segmental identity, when expressed before 8 hours of development. Positive autoregulation of the endogenous teashirt gene and the presence of Sex combs reduced protein in the labium explain this homeosis. Patterns in the maxillary and a more anterior head segment are partly replaced with trunk ones. Additional Teashirt protein has no effect on the identity of the trunk segments where the gene is normally expressed; teashirt function is overridden by some homeotic complex acting in the posterior trunk. Strong heat-shock regimes provoke novel defects: ectopic sense organs differentiate in posterior abdominal segments and trunk pattern elements differentiate in the ninth abdominal segment. Teashirt acts in a partially redundant way with certain homeotic complex proteins but co-operates with them for the establishment of specific segment types. We suggest that Teashirt and HOM-C proteins regulate common sets of downstream target genes.

Animals↗

PubMed2006

The energetic costs of trunk and distal-limb loading during walking and running in guinea fowl Numida meleagris: I. Organismal metabolism and biomechanics.

We examined the energetic cost of loading the trunk or distal portion of the leg in walking and running guinea fowl (Numida meleagris). These different loading regimes were designed to separately influence the energy use by muscles used during the stance and swing phases of the stride. Metabolic rate, estimated from oxygen consumption, was measured while birds locomoted on a motorized treadmill at speeds from 0.5 to 2.0 m s-1, either unloaded, or with a mass equivalent to 23% of their body mass carried on their backs, or with masses equal to approximately 2.5% of their body mass attached to each tarsometatarsal segment. In separate experiments, we also measured the duration of stance and swing in unloaded, trunk-loaded, or limb-loaded birds. In the unloaded and limb-loaded birds, we also calculated the mechanical energy of the tarsometatarsal segment throughout the stride. Trunk and limb loads caused similar increases in metabolic rate. During trunk loading, the net metabolic rate (gross metabolic rate-resting metabolic rate) increased by 17% above the unloaded value across all speeds. This percentage increase is less than has been found in most studies of humans and other mammals. The economical load carriage of guinea fowl is consistent with predictions based on the relative cost of the stance and swing phases of the stride in this species. However, the available comparative data and considerations of the factors that determine the cost of carrying extra mass lead us to the conclusion that the cost of load carrying is unlikely to be a reliable indicator of the distribution of energy use in stance and swing. Both loading regimes caused small changes in the swing and/or stance durations, but these changes were less than 10%. Loading the tarsometatarsal segment increased its segmental energy by 4.1 times and the segmental mechanical power averaged over the stride by 3.8 times. The increases in metabolism associated with limb loading appear to be linked to the increases in mechanical power. The delta efficiency (change in mechanical power divided by the change in metabolic power) of producing this power increased from 11% in walking to approximately 25% in running. Although tarsometatarsal loading was designed to increase the mechanical energy during swing phase, 40% of the increase in segmental energy occurred during late stance. Thus, the increased energy demand of distal limb loading in guinea fowl is predicted to cause increases in energy use by both stance- and swing-phase muscles.

Animals↗

PubMedDate not supplied

Aortic arch and descending thoracic aortic aneurysms: experience with stent grafting for second-stage "elephant trunk" repair.

Reconstruction of aortic arch and descending thoracic aortic aneurysms (TAAs) is technically challenging and associated with significant morbidity and mortality. We report our experience with extensive TAAs using a two-stage "elephant trunk" repair, with the second stage completed using an endovascular stent graft (ESG). Over 6 years, 111 patients underwent ESG treatment of TAAs at Mount Sinai Medical Center. Twelve of these patients were referred for ESG placement for the second stage of elephant trunk reconstruction because comorbidities placed them at high risk of open surgical repair. Our database was analyzed for technical and clinical success and perioperative complications. The mean follow-up was 11.8 months (range 1-64 months). Twelve patients (five women and seven men) with a mean age of 69 +/- 10 years underwent repair of their distal aortic arch and descending TAAs. These aneurysms included nine atherosclerotic aneurysms, one pseudoaneurysm, and two penetrating atherosclerotic ulcers. Three patients were symptomatic. Stent graft repair was technically successful in 91.7% or 11 of 12 patients. Excessive aortic arch tortuosity resulted in failure to deploy a stent graft in one patient. An antegrade approach through the open elephant trunk was used in two patients with severe iliac occlusive disease. Endoleaks (type 2) were identified in two patients with no aneurysm expansion; however, a 14 mm expansion over 1 year occurred in a patient with no identifiable endoleak. One early mortality occurred in a patient with a ruptured 6 cm infrarenal AAA after successful exclusion of the 8 cm TAA. Second-stage elephant trunk reconstruction of an extensive TAA using an ESG is effective in the short term. Its long-term durability remains to be determined.

Aneurysm, False↗

PubMed1998

Trunk muscle use during pulling tasks: effects of a lifting belt and footing conditions.

Pulling tasks require the torso to act as a rigid link in order to facilitate the force transmission between the ground and the hands. In this study, we tested the hypothesis that a lifting belt increases the rigidity of the torso, thereby increasing pulling strength or reducing trunk muscle forces, or both, as pulling tasks are performed. Twelve volunteers performed maximal and submaximal isometric pulling exertions; the latter were performed on nonslippery and slippery surfaces. Electromyographic data from 8 trunk muscles, trunk kinematic data, and ground reaction forces were sampled during each exertion. Results indicated that the lifting belt had no effect during maximal exertions on the maximal pull forces generated or the muscle recruitment levels, irrespective of the pulling posture. The lifting belt did not affect the EMG data obtained during the submaximal (40% of maximum) exertions, even when participants pulled on a slippery surface. However, the slippery surface increased the coactivation within the trunk musculature, perhaps stiffening the torso in the event of a slip. The absence of a statistical interaction effect between the lifting belt and the footing condition (slipperiness) indicates that the belt did not alter the coactivation pattern and hence was not relied upon by the participants as a protective mechanism. The data presented here will assist those who must make decisions regarding lifting-belt use and those who train individuals in manual materials handling techniques.

Adult↗

PubMed2006

Activity and residues of imidacloprid applied to soil and tree trunks to control hemlock woolly adelgid (Hemiptera: Adelgidae) in forests.

We studied imidacloprid application methods and timing to control the hemlock woolly adelgid, Adelges tsugae Annand (Hemiptera: Adelgidae), in forests. The methods compared were 1) soil injection near the trunk; 2) soil injection dispersed throughout the area under the canopy; 3) soil drench near the base of the trunk; and trunk injection with the 4) Arborjet, 5) Wedgle, and 6) Mauget systems. The applications were made in the fall and the following spring. Adelgid populations on the hemlocks (Tsuga spp.) were assessed in the fall of two successive years after the treatments. Relative to the untreated control trees, all the soil applications resulted in population reductions, but none of the trunk injections resulted in reductions. Fall and spring treatment efficacy did not differ. Reductions by the soil treatments were between 50 and 100% (avg 80%) by the first fall and 83-100% (avg 98.5%) by the second fall. Analysis of imidacloprid residues using enzyme-linked immunosorbent assay found residues in sap, needles, and twigs 1 mo to 3-yr after application. A laboratory dose-response bioassay using excised, adelgid-infested hemlock branches with cut ends immersed in serial dilutions of imidacloprid determined the LC50 value to be 300 ppb, based on an exposure of 20 d. A high degree of suppression of the adelgid on forest trees was associated with residues in hemlock tissue > 120 ppb 2 yr after soil treatment. Although precise relationships between residues and efficacy are elusive, it is clear that soil application of imidacloprid resulted in chronic residues of imidacloprid in tissues and suppression of adelgid populations for > 2 yr.

Animals↗

PubMed2003

Angiographic manifestations and operative findings with 70 cases of hemifacial spasm: relation of common trunk anomalies.

The relations between angiographic manifestations and operative findings of hemifacial spasm were studied in 70 cases between 1988 and 2001. Vertebral angiography was performed, and Towne, straight AP, and lateral projections were routinely examined. The dominant anterior inferior cerebellar artery (AICA) directly compressed the facial nerve root exit zone in 26 cases, the dominant posterior inferior cerebellar artery (PICA) in 20, the AICA in 13, the PICA in 2, and the vertebral artery (VA) in 9. Compression by multiple vessels was observed in 11 cases. Anatomical variations of the affected AICA and PICA were classified into 3 groups according to their origins and distributions of blood supply: normal distribution of AICA and PICA in 18%, common trunk anomaly with dominant AICA (basilar artery origin) in 48% and common trunk anomaly with dominant PICA (vertebral artery origin) in 34%. Analyses of the angiograms revealed significantly increased numbers of common trunk anomalies compared with cases with normal angiograms. In 18 of the 20 cases of unilateral common trunk anomalies, facial nerves were compressed by the dominant artery. Preoperative vertebral angiograms may clarify the offending vessels and their sites in most hemifacial spasm cases, thus increasing the safety of surgical interventions.

Adult↗

PubMed1997

Dynamic trunk strength of Canadian football players, soccer players, and middle to long distance runners.

Muscle strength data for sports which have varying demands on the trunk musculature are needed. The purpose of this study was to measure the trunk strength of three different sports groups of male varsity athletes and a recreationally active but nontrained group. Forty-six athletes (soccer: N = 16, Canadian football: N = 15, and middle and long distance runners: N = 15) and 15 recreationally active subjects were studied. Three consecutive concentric and eccentric contractions through a range of 60 degrees at an angular velocity of 30 degrees per second (0.5236 rad/sec) were performed to measure the strength of the trunk flexors and extensors. Results showed peak concentric and eccentric flexor torque for football and soccer players to be significantly greater than the other two groups (p < or = 0.05). Peak concentric and eccentric extensor torque was significantly greater for football players than runners (p < or = 0.05). Soccer players' eccentric flexor peak torque relative to body mass was significantly greater than runners and the recreationally active subjects (p < or = 0.05). This study compares trunk flexor and extensor data for specific sports populations.

Adolescent↗

PubMed2003

Management of patellofemoral pain targeting hip, pelvis, and trunk muscle function: 2 case reports.

STUDY DESIGN: Case report. OBJECTIVE: To describe an alternative treatment approach for patellofemoral pain. BACKGROUND: Weakness of the hip, pelvis, and trunk musculature has been hypothesized to influence lower-limb alignment and contribute to patellofemoral pain. Two patients who had a chief complaint of patellofemoral pain and demonstrated lack of control of the hip in the frontal and transverse planes during functional movements were treated with an exercise program targeting the hip, pelvis, and trunk musculature. METHODS AND MEASURES: The patients presented in these 2 case reports did not exhibit obvious patellar malalignment or tracking problems; however, on qualitative assessment, both demonstrated excessive hip adduction, internal rotation, and knee valgus during gait and while performing a step-down maneuver. In addition, both patients exhibited weakness of the hip abductors, extensors, and external rotators, as demonstrated by hand-held dynamometry testing. Treatment in both cases occurred over a 14-week period and focused on recruitment and endurance training of the hip, pelvis, and trunk musculature. Functional status, pain, muscle force production, as well as subjective and objective assessment of lower-extremity kinematics during gait and a step-down maneuver were assessed preintervention and postintervention. RESULTS: Both patients experienced a significant reduction in patellofemoral pain, improved lower-extremity kinematics during dynamic testing, and were able to return to their original levels of function. Gluteus medius force production improved by 50% in patient A and 90% in patient B, while gluteus maximus force production improved 55% in patient A and 110% in patient B. Objective kinematic improvements in the step-down task also were demonstrated in patient A. CONCLUSION: Assessment and treatment of the hip, pelvis, and trunk musculature should be considered in the rehabilitation of patients who present with patellofemoral pain and demonstrate abnormal lower-extremity kinematics.

Adult↗

PubMed2001

Endovascular treatment of basilar artery trunk aneurysms with Guglielmi detachable coils: clinical experience with 41 aneurysms in 39 patients.

OBJECT: The authors present a retrospective analysis of their clinical experience in the endovascular treatment of basilar artery (BA) trunk aneurysms with Guglielmi detachable coils (GDCs). METHODS: Between April 1990 and June 1999,41 BA trunk aneurysms were treated in 39 patients by inserting GDCs. Twenty-seven patients presented with subarachnoid hemorrhage, six had intracranial mass effect, and in six patients the aneurysms were found incidentally. Eighteen lesions were BA trunk aneurysms, 13 were BA-superior cerebellar artery aneurysms, four were BA-anterior inferior cerebellar artery aneurysms, and six were vertebrobasilar junction aneurysms. Thirty-five patients (89.7%) had excellent or good clinical outcomes; procedural morbidity and mortality rates were 2.6% each. Thirty-six aneurysms were selectively occluded while preserving the parent artery, and in five cases the parent artery was occluded along with the aneurysm. Immediate angiographic studies revealed complete or nearly complete occlusion in 35 aneurysms (85.4%). Follow-up angiograms were obtained in 29 patients with 31 aneurysms: the mean follow-up period was 17 months. No recanalization was observed in the eight completely occluded aneurysms. In 19 lesions with small neck remnants, seven (36.8%) had further thrombosis, three (15.8%) remained anatomically unchanged, and nine (47.3%) had recanalization caused by coil compaction. In one patient (2.6%) the aneurysm rebled 8 years after the initial embolization. CONCLUSIONS: In this clinical series the authors show that the GDC placement procedure is valuable in the therapeutic management of BA trunk aneurysms. The endovascular catheterization of these lesions tends to be relatively simple, in contrast with more complex neurosurgical approaches. Endosaccular obliteration of these aneurysms also decreases the possibility of unwanted occlusion of perforating arteries to the brainstem.

Adult↗

PubMed2001

The effect of electrical stimulation on the trunk control in young children with spastic diplegic cerebral palsy.

This study was designed to determine the effectiveness of electrical stimulation over the trunk in improving sitting balance in young children with spastic diplegic cerebral palsy who displayed poor trunk control. The subjects ranged in age from 8 to 16 months and were randomly assigned to two groups. Both group had physical therapy for 6 weeks. Electrical stimulation (ES) group had additional electrical stimulation over the abdomen and posterior back muscles. Radiographic studies were carried out on the whole spine while they were sitting before and after treatment. Kyphotic angle, Cobb's angle and lumbo-sacral angle were measured. Additionally, sitting score-Gross Motor Function Measure (GMFM) was also evaluated. There was no difference of these values at initial evaluation between the two groups. Following 6 weeks of intensive therapy, the changes of kyphotic angle and sitting score-GMFM were significantly higher in ES group statistically when compared with those of the control group. The Cobb's angle following treatment was improved in ES group, but not statistically compared with that of control group. This study suggests that electrical stimulation over the trunk become a beneficial therapeutic technique in improving the sitting posture and trunk control in young children with spastic diplegic cerebral palsy.

Cerebral Palsy↗

PubMed1996

Correlation of trunk muscle strength with age in children 5 to 18 years old.

OBJECTIVE: To determine the correlation of trunk muscle strength with age in children and the effect of gender on changes in trunk muscle strength. MATERIAL AND METHODS: Strength of the back extensors and back flexors was evaluated in 137 healthy boys and 109 healthy girls who were 5 to 18 years old. Anthropometric determinations of height and weight were done in all study subjects. Maximal back muscle strength was measured with an isometric dynamometer (BID-2000). Standardized positioning techniques were used to allow comparison with the follow-up evaluations. RESULTS: Regression analysis revealed significant increases in trunk strength with increasing age; the strength of the boys began diverging from that of the girls at age 9 to 10 years. Back extensor strength also increased with increasing height and weight, and expected differences were noted between boys and girls. Strength levels ranged from 80 to 774 newtons (18 to 174 lb). Mean back extensor strength in 2-year age intervals ranged from 153 newtons (34.4 lb) in girls 5 to 7 years old to 504 newtons (113.3 lb) in boys 16 to 18 years of age. (Each newton is equal to 0.2248 lb.) CONCLUSION: Results of this study demonstrated that age, height, and weight are all important predictors of trunk strength in children, and the effects of these factors are modulated by gender.

Adolescent↗

PubMed1991

Back disorders and nonneutral trunk postures of automobile assembly workers.

A case-referent study was conducted in an automobile assembly plant to evaluate the health effect of trunk postures, such as bending and twisting, that deviate from anatomically neutral. Cases of back disorders were all those of workers who reported back pain to the medical department in a ten-month period and met the severity criteria of an interview. The referents were randomly selected workers free of back pain according to medical department records, an interview, and an examination. For each of the final 95 cases and 124 referents, the job was analyzed for postural and lifting requirements with a video recording and software analysis system by analysts blinded to the case/referent status. Back disorders were associated with mild trunk flexion [odds ratio (OR) 4.9, 95% confidence interval (95% CI) 1.4-17.4], severe trunk flexion (OR 5.7, 95% CI 1.6-20.4), and trunk twist or lateral bend (OR 5.9, 95% CI 1.6-21.4). The risk increased with exposure to multiple postures and increasing duration of exposure.

Adult↗

PubMed2000

Diagonal trunk muscle exercises in peripartum pelvic pain: a randomized clinical trial.

BACKGROUND AND PURPOSE: Exercises for low back and pelvic pain are supposed to increase muscle force to reduce symptoms, but they could exacerbate symptoms by loading of the spinal and pelvic structures. The purpose of this study was to investigate the value of graded exercises of the diagonal trunk muscle systems. SUBJECTS: The subjects were 44 women with persistent pelvic pain after pregnancy (mean age=31.7 years, SD=3.2, range=23.6-37.5; mean period postpartum=4.1 months, SD=2.2, range=1.7-5.6). METHODS: Subjects were randomly assigned to 1 of 3 groups: (1) a group that performed exercises to increase the force of the diagonal trunk muscle systems, (2) a group that received training of the longitudinal trunk muscle systems, and (3) a group that was instructed to refrain from exercises. Pain, fatigue, perceived general health, and mobility of the pelvic joints as measured with radiographs were the outcome measures. RESULTS: After 8 weeks, no differences were found among the 3 groups. CONCLUSION AND DISCUSSION: In treating patients with persistent pelvic pain, training of the diagonal trunk muscle systems, without individual coaching, has no additional value above instructions and use of a pelvic belt without exercises. Whether the treatment is ineffective or whether exacerbation of symptoms due to loading of the spinal and pelvic structures obscures any potential benefit of increased muscle force cannot be determined from the study design.

Abdominal Muscles↗

PubMed2001

Traumatic pseudoaneurysm of the thyrocervical trunk.

A case of a pseudoaneurysm of the thyrocervical trunk after a pocketknife stab wound to zone I of the neck is reported. The patient was evaluated and treated in an emergency department with irrigation of the wound, bandage, and oral antibiotics. A large pseudoaneurysm slowly developed over the next 2 months. When the patient arrived at our hospital, he was immediately admitted and arteriograms were obtained. Arteriograms revealed an active leak of blood into a pseudoaneurysm from the thyrocervical trunk. Surgical treatment consisted of proximal and distal ligation of the thyrocervical trunk. This is the first case of a pseudoaneurysm developing only from the thyrocervical trunk due to a stab wound to zone I of the neck. This case and its complication serve to illustrate and emphasize the rationale for routinely imaging the great vessels after all penetrating trauma to zone I of the neck.

Adult↗