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Isokinetic trunk flexors and extensors performance with and without gravity correction.

We study the influence of the calculation of the trunk gravity correction, in standing position, on the isokinetic trunk flexors and extensors performance of a healthy population. Thirty men and 30 women are subjected to two tests, one with gravity correction, the other without, at angular speeds of 30 degrees/s and 120 degrees/s. In all cases the results with gravity correction show: a significant decrease of Peak Torque (PT) and Power (P) recorded on the trunk flexors and a significant increase of Peak Torque and Power recorded on the trunk extensors. Thus, the flexors/extensors ratios (50%) of both parameters are quite different from the ratios usually referred to in the literature (70%).

Adult↗

Sentinel lymph-node biopsy for melanoma of the trunk and extremities: the McGill experience.

OBJECTIVE: To determine the effectiveness of sentinel lymph-node (SLN) biopsy for melanoma of the trunk and extremities. DESIGN: Case series review. SETTING: Royal Victoria Hospital, a Canadian university hospital. PATIENTS: Thirty-six patients (18 women and 18 men) seen between October 1996 and December 1998 with melanoma 1 mm or more in thickness with clinically negative lymph-node basins. Follow-up was 396 days. INTERVENTIONS: SLN biopsy. Technetium-99m filtered sulfur colloid (0.5 mCi) was injected intradermally around the melanoma or the excision scar 10 to 15 minutes before the surgical skin preparation. The identification of the SLN(s) was done with a hand-held gamma probe. Local anesthesia was used mostly for inguinal SLN biopsy whereas general anesthesia was usually required for axillary SLN biopsy. Preoperative lymphoscintigraphy was used only for trunk melanomas. OUTCOME MEASURES: Morbidity, successful identification of the sentinel node and locoregional recurrence. RESULTS: The mean age of patients at diagnosis was 53.4 years (range from 22-76 yr). The melanomas were distributed between the lower extremities (20 patients), upper extremities (8 patients) and trunk (8 patients). The mean Breslow thickness was 2.35 mm (range from 1-8 mm). Lymphoscintigraphy accurately localized the lymph-node drainage basin for trunk melanomas. In 1 patient the SLN could not be identified because the radiocolloid failed to migrate (failure rate 2.8%). The average number of SLNs removed was 1.97. Eight patients (22%) had sentinel nodes positive for malignant disease. The postoperative complication rate was 8.5%. Seven of 8 patients with positive SLNs underwent a complete node dissection (1 patient refused). Of the completion dissections only 2 patients had positive non-SLNs. All patients with positive nodes received interferon alpha-2b as adjuvant treatment. At follow-up, 34 patients are alive with no evidence of disease, 1 patient with a positive SLN is alive with distant metastatic disease and 1 patient with a negative SLN is dead of disseminated disease. CONCLUSION: SLN biopsy is a feasible technique with an acceptable failure rate and is thus a useful tool in the surgical management of melanoma.

Adult↗

Leg and trunk length at 43 years in relation to childhood health, diet and family circumstances; evidence from the 1946 national birth cohort.

BACKGROUND: This is a study of the associations of adult leg and trunk length with early life height and weight, diet, socioeconomic circumstances, and health, and parental height, divorce and death. METHOD: The data used were collected in a longitudinal study of the health, development and ageing of a British national birth cohort (N = 2879 in this analysis) studied since birth in 1946. Multiple regression models were used to investigate the relationships. RESULTS: Adult leg and trunk length were each positively associated with parental height, birthweight, and weight at 4 years. Leg length was associated positively with breastfeeding and energy intake at 4 years. Trunk length was associated negatively with serious illness in childhood and possibly also parental divorce, but not with the dietary data. CONCLUSION: Adult leg length is particularly sensitive to environmental factors and diet in early childhood because that is the period of most rapid leg growth. Trunk growth is faster than leg growth after infancy and before puberty, and may be associated with the effects of serious illness and parental separation because of the child's growing sensitivity to stressful circumstances, as well as the result of the biological effects of illness.

Adult↗

[The intratruncal structure of the connections between the sympathetic trunk and the human brachial plexus and their individual differences].

The intratrunkal structure of 219 superficial and profound connecting branches between the sympathetic trunk and humeral plexus was studied in 18 people. Staining after Weigert--Pal was used followed by calculation of the absolute number of myelinated fibres. Individual features were revealed both in the diameter and in the intratrunkal plexus structure of connections as well as in the amount of myelinated fibres in similar connecting branches in different people. Qualitative distinctions between superficial and profound connections were noted. Intratrunkal characteristics of the reflect the general form of the structure of the sympathetic trunk. They constantly contain myelinated fibres coming not only from the thoracic part of the spinal cord but also from its jugular part. Their pathway is the more complex and diversive the more distributed are ganglionic masses of the sympathetic trunk. It goes from segments C4--C5 in the scattered form of the sympathetic trunk structure and from segments C6--C7--C8 in the concentrated form.

Brachial Plexus↗

The role of genetics and environment in lifting force and isometric trunk extensor endurance.

BACKGROUND AND PURPOSE: Our understanding of what different back performance tests are measuring is limited. The purpose of this study was to investigate the relative contributions of genetics and unique and common environmental factors for 3 tests of back muscle performance in a classic twin analysis. SUBJECTS: The subjects were a population-based sample of 122 monozygotic and 131 dizygotic male twin pairs aged 35 to 69 years (mean=49.9, SD=7.7). METHODS: Variance component analysis was applied to estimate genetic and environmental influences on isokinetic and psychophysical lifting and isometric trunk extensor endurance test performance. The Cholesky decomposition genetic factor model was used to estimate genetic and environmental correlations of these variables. Path analysis was applied to study determinants of isokinetic and psychophysical lifting and isometric trunk extensor endurance test performance. RESULTS: Genetic effects accounted for 60%, 33%, and 5% of the total variance of isokinetic and psychophysical lifting forces and isometric trunk extensor endurance, respectively, and unique environmental factors accounted for 35%, 49%, and 61% of the variance. DISCUSSION AND CONCLUSION: Genetics had a dominant role in isokinetic lifting and unique environmental factors in isometric trunk extensor endurance. The relatively high role of genetics in lifting force suggests the potential to increase and sustain changes in back muscle force in the general population may be particularly challenging.

Adult↗

3D reconstruction and analysis of the whole trunk surface for non-invasive follow-up of scoliotic deformities.

The purpose of this study was to evaluate the 3D reconstruction accuracy of a new technology that allows the acquisition of the whole trunk and to develop a software to analyse the trunk surface asymmetry. A non-invasive active vision system provides a 3D textured reconstruction of the whole trunk. The analysis system provides the clinician with quantitative indices that characterize the whole external trunk asymmetry.

Artificial Intelligence↗

A case of bathing trunk nevus studded with neurofibroma-like papules.

There is a significant association between bathing trunk nevus and neurofibromatosis. However, not all neurofibroma-like papules detected clinically in cases with bathing trunk nevus may be a neurofibromas and histopathological confirmation is essential for definition of these lesions. We report a 21 year old white male patient with a bathing trunk nevus studded with neurofibroma-like papules of melanocytic nature. Histopathological examination of both papular and flat lesions showed diffuse melanocytes with plentiful eosinophilic cytoplasm and round nuclei in the dermis. Immunohistochemistry showed strong positivity of dermal melanocytes for S-100 protein. The clinical and histopathological findings and positivity of dermal melanocytes for S-100 protein were consistent with bathing trunk melanocytic nevus.

Adult↗

Decreased trunk angular displacement during sitting down: an early feature of aging.

BACKGROUND AND PURPOSE: Trunk motion plays an important role in achieving both sit-to-stand and stand-to-sit transfers. However, these 2 body transfers depend on different postural and mechanical constraints. Although the effects of aging on sit-to-stand transfers have been widely studied, there is a lack of information concerning stand-to-sit transfers. The aim of this study was to determine how angular displacements of the trunk and shank are affected by aging during sit-to-stand and stand-to-sit transfers. SUBJECTS: Ten community-dwelling older adults (mean age=75.9 years, SD=3.2) and 9 young adults (mean age=26.8 years, SD=4.7) volunteered to participate. METHODS: Maximal angular displacements of the trunk and shank with respect to the vertical (ie, orientation angles) were measured, during standing up and sitting down, using an optoelectronic movement analyzer. RESULTS: For standing up, there was no difference between the young and older adults with regard to both maximal orientation angles. During sitting down, the maximal shank orientation angle was not affected by age, whereas the older adults had a smaller trunk motion compared with the young adults (approximately 10 degrees less). DISCUSSION AND CONCLUSION: The results showed that older adults tended to minimize the forward body displacement during sitting down. This strategy could be seen as an adaptive mechanism to decrease the risk of anterior disequilibrium. The authors suggest that this feature could be used as an early marker of aging on postural control.

Adult↗

Celiomesenteric trunk demonstrated by 3-dimensional contrast-enhanced magnetic resonance angiography.

BACKGROUND: Celiomesenteric trunk is a rare vascular anomaly, which has significant clinical implications. 3-dimensional contrast-enhanced magnetic resonance angiography (3D CE MRA) is a new imaging modality, non-invasive, fast and easy to perform. We describe a patient with a common celiomesenteric trunk demonstrated by 3D CE MRA. METHODS: A 45-year-old man was subjected to 3D CE MRA before transarterial chemoembolization (TACE) for hepatocellular carcinoma. The examination was performed on a 1.5T MR imager with a body coil. The contrast medium was gadopentetate dimeglumine. Source images from the hepatic arterial phase acquisition were reconstructed into MRA images. Intra-arterial digital subtraction angiography (DSA) during TACE was carried out 3 days after 3D CE MRA. RESULTS: On 3D CE MRA, a common trunk of the celiac and superior mesenteric artery was clearly depicted. The origin and course of the hepatic, splenic and superior mesenteric arteries were also visualized. These findings were confirmed by intra-arterial DSA. CONCLUSIONS: Celiomesenteric trunk can be well delineated by 3D CE MRA. The image is correlated precisely with that from DSA.

Angiography, Digital Subtraction↗

The clinical relevance of coeliac trunk variations.

The coeliac trunk is a surgically significant artery originating from the abdominal aorta and supplying the supracolic organs. Branches of this arterial trunk supply the primary organs of the abdomen and divert a significant volume of blood from the abdominal aorta. Past research has shown that the anatomy of the coeliac trunk is not identical for all human beings and that about 15% of the population displays significant variations from the typical branching pattern. Data derived from earlier research has been consolidated to give an account of the major variations found in the anatomy of the coeliac trunk and to put forward some theories for the cause of such variation. It is crucial to achieve full comprehension of these topics as knowledge of these variations is indispensable in operative and diagnostic procedures within the abdomen. Without understanding of the arterial architecture and knowledge of the variation characterising the patient in this critical region surgery may entail a considerable risk of an error being committed that may occasionally lead to lethal complications.

Aorta, Abdominal↗

[Immediate and remote results of stenting of left coronary artery trunk in patients with ischemic heart disease].

The aim of this investigation was assessment of efficacy of stenting in patients with ischemic heart disease with lesions of left coronary artery (LCA) trunk. In the A.N. Bakulev Scientific Center of Cardiovascular Surgery between June 1997 and March 2005 stenting of LCA trunk was carried out in 50 patients (33 with stable effort angina and 17 with acute coronary syndrome). Immediate success rate was 100% in patients with stable angina. In a group of patients with acute coronary syndrome angiographic success rate was 100%. Total lethality in this group was (3 cases) 17.7%. In remote period (6 to 60 months) 33 of 39 patients were examined and recurrence of angina was noted in 7 of them (21.1%). Control angiography was carried out in 16 patients and restenosis of LCA was revealed in 18.75% of cases. The authors believe that stenting of LCA trunk is an effective and safe method of treatment of patients with stable angina and sufficiently safe method in patients with acute coronary syndrome. Roentgenoendovascular treatment may serve as an alternative to aortocoronary bypass surgery especially in isolated lesions of LCA trunk. Application of stents with drug coating allows to cardinally improve long term results of stenting.

Acute Disease↗

Electromyographic activity of selected trunk muscles during bicycle ergometer exercise and walking.

Recently, active treatment such as exercise has been increasingly advocated for CLBP (chronic low back pain). Specially, exercise to improve fitness has been recommended for the prevention of back injuries. The bicycle ergometer or walking have often been used to improve the fitness of CLBP patients. However, little is known about the activity levels of the trunk muscles during such exercise. In this study, the electromyographic (EMG) activities of the trunk muscles during bicycle ergometer exercises and walking were compared and the load level on these muscles during such exercises was investigated. The present study provides basic information concerning fitness exercise in CLBP patients. Eleven healthy male volunteers (21.7 +/- 2.5 years old) without low back pain participated in the study. Bipolar surface electrodes were attached to the right side of the rectus abdominis, the obliquus externus abdominis and lower back extensor muscles (L3). EMG signals were continuously recorded while walking and during gradual loading exercises and normalized to maximal voluntary contractions (% MVC). One way analysis of variance (ANOVA) was performed on the % MVC from each exercise and walking for each of the three trunk muscle sites (p < 0.05). The rectus abdominis muscle showed activity of about 6% MVC during any grade of exercise and walking and no significant differences were found between these forms of exercise. The obliquus externus abdominis muscle showed about 30% MVC during any grade of exercise and walking, but no significant difference was found between them. The low back muscles showed activity of about 12% MVC while walking, whereas activity level increased as the exercise load using the bicycle ergometer increased. More significant low back muscles activity was observed while walking than during exercises of 25 w and 50 w. The results of this study indicated that exercise using the bicycle ergometer should be useful for maintaining or improving fitness in CLBP patients, because it results in less load on the trunk muscles and relatively more oxygen uptake than walking.

Abdominal Muscles↗

[A study of trunk muscle in idiopathic scoliosis].

Isometric and isokinetic parameters related to trunk muscle function in patients with idiopathic scoliosis were measured by Cybex dynamometer with a trunk stabilization system. Activities of the paraspinal muscles were also determined by electromyographic observations. In scoliotic patients some parameters, especially endurance in lateral bending to the concave side of the trunk, were predominant. In electromyographic analysis, neurogenic changes were observed in 25.9% of patients with idiopathic scoliosis. In nonprogressive scoliosis, the mean amplitude of EMG did not differ between the convex and the concave. In progressive scoliosis, however, the mean amplitude of EMG was higher on the convex side than on the concave side. Thus, the compensatory reaction on the curvature of the spine caused higher amplitude of action potential of the back muscles on the convex side than in the concave side. These data suggest that the trunk muscle imbalance is one of the most important factors in the onset and progression of idiopathic scoliosis.

Adolescent↗

Biomechanics of the human spine and trunk.

This chapter has reviewed the past 30 years of experimental biomechanical studies of the spine and trunk. In the last 10 years, computers have allowed the development of simulation techniques and models to predict spine and muscle loading in most static and quasi-static activities. Some problems remain, however, particularly with activities involving bending and twisting and those that entail maximal efforts. Current research is focused on trying to validate models for the analysis of dynamic activities involving simple planar motions. Although the body segment kinematics and external support forces in complex motions can be measured fairly easily with modern motion analysis equipment, models that correctly predict the internal trunk forces have yet to be fully developed and validated. These models will be useful in studying how, why, and where failure of the soft and bony tissues is most likely to occur in a given activity, and whether it is related to work or athletics. The challenge for the future is to develop models that adequately reflect the anatomical sophistication of the spine and trunk. Thus the stress and strain distributions in any trunk musculoskeletal component, whether the posterior wall of the annulus, a muscle slip of the semi-spinalis group, or the lumbosacral endplate, will be able to be found. These results can then be combined with models of cumulative trauma response to successfully identify potential failure sites.

Aging↗

Trunk muscle strength in athletes.

Maximal voluntary strength of the trunk muscles was measured in 57 male elite athletes (soccer players, wrestlers, tennis players, and gymnasts), 14 female elite gymnasts, and in a normal group of 87 conscripts. Mean ages in the different groups ranged from 18-22 yr. An isokinetic (constant velocity) technique was used to record maximal torque produced by trunk and hip muscles during flexion, extension, and lateral flexion over the range of motion. The constant angular velocities used were 15 deg.s-1 and 30 deg.s-1, respectively. Isometric strength was measured in a straight body position (0 deg. of flexion). The measurements were made with the subjects in a horizontal position with the pivot point at the hip and at the lumbar (L2-L3) level. All male athlete groups showed higher peak torque values than the normals. The differences were largest in hip extension and trunk flexion. The male gymnasts also showed significantly higher peak values in hip flexion as compared to all other categories. There was no difference in strength per kg body weight between female gymnasts and untrained males, except in trunk extension. The position for peak torque occurred earlier in the movements for the athletes, especially for the gymnasts in extension movements and for the tennis players in flexion movements. In isometric contractions essentially the same strength differences were present as in the slow isokinetic contractions. In lateral flexion wrestlers and tennis players showed significantly higher strength in movements toward the nondominant side. Thus, differences were present between the athletes and the normals, some of which appeared to be sport specific and related to long-term systematic training.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

A case of anomalous origin of the right coronary artery from the pulmonary trunk: imaging of abnormal flow by Doppler color flow mapping.

An asymptomatic 48-year-old woman was admitted to our hospital for evaluation of a precordial continuous murmur. The chest radiograph showed a normal cardiac silhouette. The resting electrocardiogram showed incomplete right bundle branch block. A multistage, graded treadmill exercise test did not affect the ST-T segment. A thallium-201 myocardial perfusion scan with a multistage ergometer exercise test showed no distinct perfusion defect. A two-dimensional echocardiogram disclosed a dilated left coronary artery arising from the left sinus of Valsalva, and a dilated right coronary artery crossing the aorta anteriorly to the pulmonary trunk. Real-time two-dimensional Doppler echocardiography of the same region showed an abnormal jet coming from the right coronary artery into the pulmonary trunk during diastole. A continuous wave Doppler flow study in the pulmonary trunk revealed a high-speed, disturbed flow which began in mid-systole, and continued during diastole. These findings were compatible with anomalous origin of the right coronary artery from the pulmonary trunk. An aortogram confirmed the diagnosis.

Coronary Vessel Anomalies↗

The unmyelinated fibre spectrum of the main trunk and side branches of the intestinal nerve in the chicken (Gallus gallus var. domesticus).

An electron microscopy study was undertaken to determine the numbers and diameters of unmyelinated axons in the main trunk and side branches of the intestinal nerve at the level of the small intestine. Three techniques were used to determine axon diameter. These were: length of the least chord (D), diameter determined from cross sectional area (DA) and diameter determined from perimeter (DP). A measure of the degree of circularity of the axons was also made. On average, the nerve trunk contained 4729 unmyelinated axons and these outnumbered myelinated axons by 78:1. The mean number of unmyelinated axons in the side branches was 463. Myelinated axons were not seen in the side branches. When a test for circularity was applied to the data it was found that larger axons tended to be less circular than smaller ones and, because of these differences in the degree of circularity, DA and more particularly D were subject to a variable inaccuracy. The mean values for DA were 0.70 micron for the nerve trunk and 0.57 micron for the side branch; the mean values for DP were 0.78 and 0.66 microns respectively. The peak conduction velocity at 40 degrees C of unmyelinated axons in the nerve trunk was determined from the single (C-fibre) deflection in the compound action potential. The following relationship was found, peak conduction velocity CV = DA0.59 = DP0.85.

Action Potentials↗

[Structure of the neuropile of the abdominal trunk of Oweniidae (Polychaeta, Oweniidae)].

By means of vital staining with methylene blue, structural organization of the abdominal nerve trunk has been studied in the Polychaeta--Myriochele oculata Zachs. Topographic relations of sensitive, motor and associative neurons of the neuropil are demonstrated. Overwhelming majority of the trunk nerves are unipolar, and a small part--bipolar. The sensitive and motor elements of the neuropil have not any strict zonal localization and are situated in it both dorsally and ventrally. The associative apparatus is presented by a system of short links. The abdominal trunk is a non-paired formation. During evolution of the Oweniidae, there, probably, took place a process on inclusion of the sensitive bipolar neurons into the composition of the associative apparatus of the abdominal trunk.

Animals↗