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Recruitment and sequencing of different degrees of freedom during pointing movements involving the trunk in healthy and hemiparetic subjects.

Previous studies have shown that in neurologically normal subjects the addition of trunk motion during a reaching task does not affect the trajectory of the arm endpoint. Typically, the trunk begins to move before the onset and continues to move after the offset of the arm endpoint displacement. This observation shows that the potential contribution of the trunk to the motion of the arm endpoint toward a target is neutralized by appropriate compensatory movements of the shoulder and elbow. We tested the hypothesis that cortical and subcortical brain lesions may disrupt the timing of trunk and arm endpoint motion in hemiparetic subjects. Eight hemiparetic and six age-matched healthy subjects were seated on a stool with the right (dominant) arm in front of them on a table. The tip of the index finger (the arm endpoint) was initially at a distance of 20 cm from the midline of the chest. Wrist, elbow, and upper body positions as well as the coordinates of the arm endpoint were recorded with a three-dimensional motion analysis system (Optotrak) by infrared light-emitting diodes placed on the tip of the finger, the styloid process of the ulna, the lateral epicondyle of the humerus, the acromion processes bilaterally, and the sternal notch. In response to a preparatory signal, subjects lifted their arm 1-2 cm above the table and in response to a "go" signal moved their endpoint as fast as possible from a near to a far target located at a distance of 35 cm and at a 45 degrees angle to the right or left of the sagittal midline of the trunk. After a pause (200-500 ms) they moved the endpoint back to the near target. Pointing movements were made without trunk motion (control trials) or with a sagittal motion of the trunk produced by means of a hip flexion or extension (test trials). In one set of test trials, subjects were required to move the trunk forward while moving the arm to the target ("in-phase movements"). In the other set, subjects were required to move the trunk backward when the arm moved to the far target ("out-of-phase movements"). Compared with healthy subjects, movements in hemiparetic subjects were segmented, slower, and characterized by a greater variability and by deflection of the trajectory from a straight line. In addition, there was a moderate increase in the errors in movement direction and extent. These deficits were similar in magnitude whether or not the trunk was involved. Although hemiparetic subjects were able to compensate the influence of the trunk motion on the movement of the arm endpoint, they accomplished this by making more segmented movements than healthy subjects. In addition, they were unable to stabilize the sequence of trunk and arm endpoint movements in a set of trials. It is concluded that recruitment and sequencing of different degrees of freedom may be impaired in this population of patients. This inability may partly be responsible for other deficits observed in hemiparetic subjects, including an increase in movement segmentation and duration. The lack of stereotypic movement sequencing may imply that these subjects had deficits in learning associated with short-term memory.

Adult↗

Intra-abdominal pressure during trunk extension motions.

OBJECTIVE: This study was designed to help interpret the biomechanical role of intra-abdominal pressure during lifting type motions of the trunk. DESIGN: An in vivo study was performed in which intra-abdominal pressure was observed as subject trunks were subjected to different dynamic trunk loading conditions common during industrial lifting. BACKGROUND: There is a little consensus as to the biomechanical role of intra-abdominal pressure during lifting. Previous studies have suggested that: it may assist in load relief when lifting, may be involved in trunk stability, and/or may be used as a measure fo spine loading. Thus, in general, our understanding of intra-abdominal pressure is rather poor. METHODS: In this study intra-abdominal pressure was monitored using a radio pill in 114 subjects over a series of four experiments. Subject's trunks were subjected to different dynamic trunk symmetric and asymmetric trunk loading conditions that are common during industrial lifting tasks. RESULTS: The results indicated that (1) intra-abdominal pressure increased to significant levels (above 10 mmHg) only when more than 54 Nm of trunk torque were supported; (2) intra-abdominal pressure increases monotonically (up to 150 mmHg) as a function of trunk velocity; and (3) under concentric conditions intra-abdominal pressure increases as a function of greater asymmetry, whereas, under eccentric conditions the response changes to a much lesser extent as asymmetry changes. CONCLUSIONS: These findings suggest that intra-abdominal pressure appears to be more a by-product of trunk muscle coactivation. Any mechanical advantage gained from intra-abdominal pressure might be in the form of a preparatory action resulting from muscle coactivation that stiffens the trunk just prior to a rapid trunk extension exertion. This function may reinforce previous hypotheses regarding the stability role of intra-abdominal pressure. RELEVANCE: Intra-abdominal pressure has been observed during lifting for several decades, yet the biomechanical role of intra-abdominal pressure is poorly understood. This study has attempted to describe how intra-abdominal pressure behaves during lifting motions as the components of lifting are changed. The findings place in doubt biomechanical significance of intra-abdominal pressure. Thus, based upon this study, clinicians need not worry about interpreting intra-abdominal pressure, since it appears to be a by-product of muscle contraction and cocontraction.

Journal Article↗

Active trunk stiffness increases with co-contraction.

Trunk dynamics, including stiffness, mass and damping were quantified during trunk extension exertions with and without voluntary recruitment of antagonistic co-contraction. The objective of this study was to empirically evaluate the influence of co-activation on trunk stiffness. Muscle activity associated with voluntary co-contraction has been shown to increase joint stiffness in the ankle and elbow. Although biomechanical models assume co-active recruitment causes increase trunk stiffness it has never been empirically demonstrated. Small trunk displacements invoked by pseudorandom force disturbances during trunk extension exertions were recorded from 17 subjects at two co-contraction conditions (minimal and maximal voluntary co-contraction recruitment). EMG data were recorded from eight trunk muscles as a baseline measure of co-activation. Increased EMG activity confirms that muscle recruitment patterns were different between the two co-contraction conditions. Trunk stiffness was determined from analyses of impulse response functions (IRFs) of trunk dynamics wherein the kinematics were represented as a second-order behavior. Trunk stiffness increased 37.8% (p < 0.004) from minimal to maximal co-activation. Results support the assumption used in published models of spine biomechanics that recruitment of trunk muscle co-contraction increases trunk stiffness thereby supporting conclusions from those models that co-contraction may contribute to spinal stability.

Back↗

Central retinal vessel trunk exit and location of glaucomatous parapapillary atrophy in glaucoma.

OBJECTIVE: To evaluate whether the position of the central retinal vessel trunk exit on the lamina cribrosa spatially correlates with the location of parapapillary atrophy in glaucoma. DESIGN: Clinic-based, observational, cross-sectional study. PATIENTS: Color stereo optic disc photographs of 95 patients with primary or secondary open-angle glaucoma and 65 healthy persons were morphometrically evaluated. The intrapapillary and parapapillary region was divided into four quadrants. We determined the position of the central retinal vessel trunk exit on the lamina cribrosa surface and measured the area of parapapillary atrophy and neuroretinal rim in the four quadrants. MAIN OUTCOME MEASURES: The area of neuroretinal rim and parapapillary atrophy and the position of the central retinal vessel trunk exit. RESULTS: Comparing measurements between opposite disc quadrants showed that beta zone of parapapillary atrophy was significantly (P < 0.05) larger and that the neuroretinal rim was significantly smaller when beta zone and neuroretinal rim were measured in the disc quadrant most distant to the central retinal vessel trunk exit, than if the beta zone and neuroretinal rim were measured in the quadrant containing the vessel trunk exit. Comparing measurements in the disc quadrants between eyes with different positions of the central retinal vessel trunk exit revealed that, in the respective disc quadrant, the beta zone was significantly larger and the neuroretinal rim was smaller in eyes with the vessel trunk exiting in the opposite disc quadrant than in eyes with the vessel trunk exit located in the respective disc quadrant where the measurements were obtained. CONCLUSIONS: Position of the central retinal vessel trunk exit on the lamina cribrosa influences the location of parapapillary atrophy in glaucoma. The longer the distance to the central retinal vessel trunk exit, the more enlarged is parapapillary atrophy and the smaller is the neuroretinal rim. This relationship agrees with the spatial relationship between glaucomatous neuroretinal rim loss and enlarged parapapillary atrophy in glaucoma. Diagnostically, it may indicate that, in eyes with an abnormal configuration of parapapillary atrophy or with an abnormal position of the central retinal vessel trunk exit, early glaucomatous rim changes should be looked for in the disc sector that is most distant to the central retinal vessel trunk exit and where parapapillary atrophy may be relatively large.

Adult↗

The influence of trunk modelling in 3D biomechanical analysis of simple and complex lifting tasks.

OBJECTIVE: The purpose of this study was to evaluate different methods of estimating the body segment parameters and different methods of partitioning the trunk in order to reduce errors in the inverse dynamic analysis of lifting tasks. DESIGN: The same data set was used to evaluate moment errors associated to five linked models differing by the way the trunk was modelled. BACKGROUND: The inverse dynamic analysis of complex lifting tasks involving significant lower limb displacements requires the use of upper body linked models. However, the estimation of the body segment parameters of trunk segments and the flexible properties of the trunk can lead to errors when using this modelling approach. METHODS: Twenty-one male subjects performed four lifting tasks. Five cameras, two force platforms and a dynamometric box provided inputs to five tridimensional (3D) dynamic linked models. Three modelling parameters of the trunk were tested in these models: (1) the use of a geometric or a proportional anthropometric model to estimate the body segment parameters of the trunk, (2) the location of the antero-posterior position of the centre of mass of the trunk segments (at a percentage of the trunk depth vs on a line between hips and shoulders), and (3) the partitioning of the trunk in two or three segments. The behavior of these linked models was assessed with three different error analyses. RESULTS: The results revealed that all three modelling parameters of the trunk can reduce moment errors, especially when applied to subjects characterized by a larger abdomen. CONCLUSIONS: The inverse dynamic analysis of lifting tasks using an upper body modelling approach should take into consideration the interindividual variability inherent to the trunk morphology and non-rigidity. RELEVANCE: The trunk geometry and flexibility shows considerable variability among individuals. The use of upper body linked models requires adequate modelling of this segment to minimize errors in 3D inverse dynamic analysis of lifting tasks.

Adult↗

Specific phase related patterns of trunk muscle activation during lateral lifting and lowering.

AIM: Lateral bending of the trunk has been demonstrated to be a risk factor in connection with injuries to the spine and its surrounding tissues. Adequate co-ordination of muscle controlling movement and stabilization of the trunk is essential to avoid injury. However, little is yet known about the responses of the lumbar trunk muscles during lateral lifting and lowering. The present investigation was therefore designed to study these responses. METHODS: In six subjects performing lateral lifting and lowering of different loads (0-40 kg) held laterally in one hand, the activities of eight trunk muscles were recorded using intramuscular electrodes. In addition, the angular motion of the trunk from side to side was measured from video recordings. Electromyographic amplitudes on both the contra- and ipsi-lateral sides (ipsi = towards the loaded hand) were analysed in relation to defined phases of trunk motion. RESULTS: Three periods of trunk muscle activation were generally observed, two from the contralateral muscles at the beginning and end of the motion and one from the ipsilateral muscles during the mid-part of the motion. The activities of the contralateral muscles increased, whereas the activities of the ipsilateral muscles decreased with increasing load. The degree of bilateral co-activation was greater in ventral than in dorsal muscles, in lowering compared with lifting, and in no-load or low-load compared with heavy load conditions. CONCLUSION: The co-ordination of trunk muscle activations during side-to-side trunk movements is dependent on trunk position and load. It is speculated that ventral muscles, particularly the oblique and transverse abdominal muscles, are relatively more involved than the other trunk muscles in trunk stabilization, especially in connection with lowering of a light hand-held load.

Abdominal Muscles↗

Trunk extension strength and muscle activity in standing and kneeling postures.

STUDY DESIGN: A split-plot experimental design was used to evaluate the influence of posture, trunk angle, and rotational velocity on peak torque output and myoelectric activity during maximal trunk extension maneuvers. OBJECTIVES: To determine whether the kneeling posture alters extension torque capabilities in isometric and isokinetic exercises as compared with standing. Also, to ascertain whether recruitment of trunk muscles is modified by such a postural change. SUMMARY OF BACKGROUND DATA: Factors such as workplace geometry may force workers to adopt awkward or unusual postures in the performance of manual tasks. An understanding of the limitations placed on strength in unconventional working postures is crucial to the proper design of jobs. METHODS: Twenty-one healthy male subjects (mean age = 36 years +/- 7 SD) performed 12 trunk extension exertions in standing and kneeling postures. Isometric tests were performed at 22.5 degrees, 45 degrees, and 67.5 degrees of trunk flexion. Isokinetic tests were done at three velocities: 30 degrees/sec, 60 degrees/sec, and 90 degrees/sec. Electromyographic data were collected from eight trunk muscles to assess muscle recruitment under each condition. A priori orthogonal contrasts were specified for analysis of both torque and electromyographic data. RESULTS: The kneeling posture was associated with a 15% decrease in peak torque output when contrasted with standing: however, no concomitant change in trunk muscle activity was evident. Trunk hyperflexion (isometric tests) and increasing rotational velocity (isokinetic tests) were associated with reduced torque in both postures. Trunk muscle activity was primarily affected by changes in trunk angle and velocity of contraction. CONCLUSIONS: A reduced extensor capability exists in the kneeling posture, despite equivalent trunk muscle activity. The similar activation patterns in both postures suggest that the strength deficit does not result from alterations in trunk muscle function. Rather, it may be the consequence of a reduced capability to rotate the pelvis in the kneeling posture, due to a disruption of the biomechanical linkage of the leg structures.

Adult↗

Intramuscular myoelectric activity and selective coactivation of trunk muscles during lateral flexion with and without load.

STUDY DESIGN: Myoelectric activity of trunk muscles was measured intramuscularly in six healthy subjects as they maintained static trunk postures at 0 degrees, 15 degrees, and 30 degrees of lateral bending, unloaded or holding a 20-kg load in one hand alongside the body. OBJECTIVE: To determine the position and load dependency of the agonistic and antagonistic myoelectric responses of deep and superficial trunk lateral flexor muscles. SUMMARY OF BACKGROUND DATA: Loading of the trunk in lateral bending is associated with incidences of low back pain. The neuromotor control of muscles surrounding the spine may be decisive for its vulnerability. Earlier documentation of the activation pattern of trunk muscles, particularly those situated deeply, is incomplete. METHODS: Trunk angle was measured between S1-C7 and the vertical with a protractor. Electromyographic activity was recorded unilaterally from eight trunk muscles using intramuscular fine-wire electrodes inserted under the guidance of ultrasound. RESULTS: The electromyographic data showed that all muscles on the side contralateral to the load, except rectus abdominis, had their highest activity while loaded in the position most laterally flexed to the loaded side. The degree of bilateral coactivation was greater for the ventral than for the dorsal muscles. CONCLUSIONS: The myoelectric responses of most lumbar trunk muscles to static lateral flexion were dependent on trunk position and loading. The abdominal muscles demonstrated more coactivation than the other trunk muscles, and thus appeared to contribute more to trunk stabilization in laterally bent and loaded trunk positions.

Abdomen↗

Types and dimensions of root trunk correlating with diagnosis of molar furcation involvements.

The objective of the present study was to investigate the possible correlation of dimension, location, prevalence, and types of root trunk with molar furcation involvement (FI). The samples used in the study include 166 maxillary molars (70 1st and 96 2nd molars) and 200 mandibular molars (103 1st and 97 2nd molars). The dimensions of the root trunks and root lengths were measured with an electric caliper and their means and standard deviations calculated. The types of root trunks were identified by the ratio of root trunk dimension to root length and classified as types A, B, and C. The results may be summarized as follows. (1) Short-root trunks were more commonly found buccally, whereas long-root trunks were more commonly found mesially, in both maxillary molars. (2) Short-root trunks were most commonly found buccally, whereas long-root trunks were more commonly found lingually in both mandibular molars. (3) Long-root trunks were more commonly found on the 2nd molars than on the 1st molars. (4) Long-root trunks were associated with short root length. (5) There is a strong correlation between vertical length and type of root trunk and FI. The findings of the study indicated that an awareness of root trunk type together with horizontal and vertical attachment levels in molar FI may be helpful in the prognosis, diagnosis, and treatment of molar FI.

Adult↗

Pain differs from non-painful attention-demanding or stressful tasks in its effect on postural control patterns of trunk muscles.

Pain changes postural activation of the trunk muscles. The cause of these changes is not known but one possibility relates to the information processing requirements and the stressful nature of pain. This study investigated this possibility by evaluating electromyographic activity (EMG) of the deep and superficial trunk muscles associated with voluntary rapid arm movement. Data were collected from control trials, trials during low back pain (LBP) elicited by injection of hypertonic saline into the back muscles, trials during a non-painful attention-demanding task, and during the same task that was also stressful. Pain did not change the reaction time (RT) of the movement, had variable effects on RT of the superficial trunk muscles, but consistently increased RT of the deepest abdominal muscle. The effect of the attention-demanding task was opposite: increased RT of the movement and the superficial trunk muscles but no effect on RT of the deep trunk muscles. Thus, activation of the deep trunk muscles occurred earlier relative to the movement. When the attention-demanding task was made stressful, the RT of the movement and superficial trunk muscles was unchanged but the RT of the deep trunk muscles was increased. Thus, the temporal relationship between deep trunk muscle activation and arm movement was restored. This means that although postural activation of the deep trunk muscles is not affected when central nervous system resources are limited, it is delayed when the individual is also under stress. However, a non-painful attention-demanding task does not replicate the effect of pain on postural control of the trunk muscles even when the task is stressful.

Abdominal Muscles↗

Deficits in adaptive upper limb control in response to trunk perturbations in Parkinson's disease.

The ability of patients with Parkinson's disease (PD) to compensate for unexpected perturbations remains relatively unexplored. To address this issue PD subjects were required to compensate at the arm for an unexpected mechanical perturbation of the trunk while performing a trunk-assisted reach. Twelve healthy and nine PD subjects (off medication) performed trunk-assisted reaching movements without vision or knowledge of results to a remembered target in the ipsilateral (T1) or contralateral (T2) workspace. On 60% of the trials trunk motion was unrestrained (free condition). On the remaining 40% of randomly selected trials trunk motion was arrested at movement onset (blocked condition). If subjects appropriately changed arm joint angles to compensate for the trunk arrest, there should be spatial and temporal invariance in the hand trajectories and in the endpoint errors across conditions. The control group successfully changed their arm configuration in a context-dependent manner which resulted in invariant hand trajectory profiles across the free and blocked conditions. More so, they initiated these changes rapidly after the trunk perturbation (group mean 70 ms). Some PD subjects were unable to maintain invariant hand paths and movement errors across conditions. Their hand velocity profiles were also more variable relative to those of the healthy subjects in the blocked-trunk trials but not in the free-trunk trials. Furthermore, the latency of compensatory changes in arm joint angles in movements toward T1 was longer in the PD group (group mean 153 ms). Finally, PD subjects' arm and trunk were desynchronized at movement onset, confirming our previous findings and consistent with PD patients' known problems in the sequential or parallel generation of different movement components. The findings that individual PD subjects were unsuccessful or delayed in producing context-dependent responses at the arm to unexpected perturbations of the trunk suggests that the basal ganglia are important nodes in the organization of adaptive behavior.

Adaptation, Physiological↗

Evaluating the correlation and prediction of trunk fat mass with five anthropometric indices in Chinese females aged 20-40 years.

BACKGROUND AND AIMS: Obesity is a worldwide problem, and excess trunk fat mass (FM(trunk)) has been associated with an increased risk of diseases. The early measurement of FM(trunk) has potential importance to evaluate trunk obesity. We sought to evaluate the correlation and predication of FM(trunk) with five anthropometric indices in Chinese females. METHODS AND RESULTS: A sample of 850 China females aged 20-40 years were recruited and divided into four age groups with a 5-year range in each group. Five anthropometric indices were measured or calculated. FM(trunk) in kg was measured using a dual-energy X-ray absorptiometry scanner. Principal component analysis (PCA) and multiple regression analysis were performed to develop prediction equations. There was an increasing trend of FM(trunk) and five anthropometric indices in successively older age groups. Four formed principal components (PCs) interpreted over 99% of the total variation of five relative anthropometric indices in all age groups. Regression analyses showed that four PCs combined explained a greater variance (R(2)=45.2-81.6%) in FM(trunk) than did each of the five indices alone (R(2)=2.4-72.2%). CONCLUSIONS: Our results suggested that there is an increasing trend of FM(trunk) and five anthropometric indices with aging; that age obviously influences the relationship of FM(trunk) and the anthropometric indices studied; and that the accuracy of predicting the FM(trunk) using five anthropometric indices combined is greater than using the five indices alone.

Absorptiometry, Photon↗

Deficits and recovery of head and trunk orientation and stabilization after unilateral vestibular loss.

The aim of the study was to analyse changes in the orientation and stabilization of the head and trunk and their recovery after complete unilateral loss of vestibular information in humans. The ability of nine Ménière's patients to orient and stabilize their heads and trunks in space was investigated during a simple dynamic task of knee-bends and compared with the performance of 10 healthy subjects. Patients' performance was recorded before unilateral vestibular neurotomy (UVN) and during the time-course of recovery (1 week, 1 month, 3 months). Experiments were performed both in eyes open (EO) and eyes closed (EC) conditions to evaluate the role of visual cues in the recovery process. Head and trunk mean angular position (orientation) and mean maximal angular rotation (stabilization) in the roll plane and the yaw plane were recorded using a video motion analysis system. The results indicate that, in the acute stage after UVN (1 week), patients exhibit marked impairments in head and trunk orientation in both visual conditions. In the EC condition, head and trunk were deviated towards the operated side in the roll plane and the yaw plane. Head and trunk stabilization in space was impaired in the roll plane and associated with increased stabilization of the head on the shoulders. Interestingly, vision caused a complete inversion of the orientation pattern, with head and trunk rotations towards the intact side in the roll plane and the yaw plane. Relative to darkness, vision also reduced head and trunk oscillations. Recovery from abnormal head orientation in the light and impaired head stability in both visual conditions was achieved within 1 month and 3 months after UVN, respectively. However, head and trunk orientation in the dark and trunk stabilization in the roll plane remained uncompensated 3 months post-lesion. These results suggest that unilateral vestibular loss leads to a postural syndrome similar to that described previously for various animal species. They confirm the necessity of vestibular inputs for properly stabilizing head and trunk during self-generated displacements in healthy subjects. They also support the notion that vestibular compensation relies on visual cues whose substitution role gradually decreases after UVN.

Adaptation, Physiological↗

Effects of exercise on hip range of motion, trunk muscle performance, and gait economy.

BACKGROUND AND PURPOSE: The purposes of this study were (1) to examine the effects of a passive hip extension stretching exercise program on hip extension range of motion (ROM), (2) to examine the effects of a trunk flexor exercise program on trunk flexor muscle performance, and (3) to examine the effects of passive hip extension stretching or trunk flexor exercises on walking and running economy. ("Gait economy" is defined as the steady-state oxygen consumption per unit of body weight required to walk or run at a specified velocity.) SUBJECTS: Twenty-five healthy, athletic, male college students (mean age = 21 years, mean weight = 75 kg, mean height = 172 cm) were randomly assigned to one of three groups: a control group (n = 7), a hip extension stretching group (n = 9), or a trunk flexor exercise group (n = 9). METHODS: Before and after 3 weeks of intervention, the following measurements were obtained: right and left hip extension ROM, trunk flexor muscle performance, and walking and running economy. A three x two-way (groups x test sessions) analysis of variance (ANOVA) for repeated measures for unequal subject numbers was performed on each of the five dependent measures, with analysis of simple main effects applied when significant interactions were found. RESULTS: The ANOVA on right and left hip extension ROM revealed a significant interaction. Analyses of simple main effects showed that 3 weeks (six sessions) of passive hip extension stretching significantly improved right hip extension ROM (pretest = -20.4 degrees, posttest = -8.3 degrees) and left hip extension ROM (pretest = -16.8 degrees, posttest = -7.0 degrees). There also was a significant interaction for trunk flexor muscle performance. The analysis of simple main effects revealed that 3 weeks of daily trunk flexor exercises significantly improved trunk flexor muscle performance (pretest = 41.5 degrees, posttest = 60.4 degrees). The 3-week intervention program of hip extension stretching or trunk flexion exercises, however, did not produce significant changes in walking or running economy. CONCLUSION AND DISCUSSION: The results suggest that (1) six treatment sessions of passive stretching were sufficient to improve hip extension ROM; (2) 3 weeks of exercises performed daily improved trunk flexor muscle performance; and (3) training of isolated tasks, such as hip flexibility or trunk strengthening activities, did not produce the desired outcome in the economy of walking or running. Possible reasons for the results are discussed.

Adult↗

Growth stress distribution in leaning trunks of Cryptomeria japonica.

The distribution of growth stresses in leaning trunks of Cryptomeria japonica (L.f.) D. Don was determined by measuring the stresses released by the kerf method with strain gauges glued at specified positions along the trunks. Effects of both tree height and peripheral positions on the surface of leaning trunks on surface growth stress were determined. The inner residual growth strains in leaning trunks were also measured. We found high compression stresses in the lower side of leaning trunks that differed greatly from the tensile stresses in normal erect trunks. However, transverse compression stress was found around the tree trunk in both normal and compression wood. In leaning trees, the distribution of internal stresses in the bent trunk portion differed from that in the erect trunk portion, being compressive on the outside and tensile on the inside. The resistant moment introduced by compression stress generated in compression wood is released by the bending of the leaning trunk. The bending stresses are then superimposed on the original internal growth stress. We demonstrated that Poisson's effect of longitudinal stresses should be considered when evaluating transverse surface growth stresses. The existence and intensity of compression wood development can be assessed by growth stress measurements. We conclude that the compressing force of compression wood functions physiologically to give an upward righting response in a leaning trunk.

Stress, Mechanical↗

Diverging intramuscular activity patterns in back and abdominal muscles during trunk rotation.

STUDY DESIGN: An intramuscular electromyographic study was performed on trunk rotations during sitting and standing. OBJECTIVE: The aim was to provide new information on activation levels for deep trunk muscles in various unresisted and resisted trunk rotations. SUMMARY AND BACKGROUND DATA: Frequent daily trunk twisting and decreased maximal strength during trunk rotation have been associated with low back pain or sciatic pain. However, the involvement of deep trunk muscles during different trunk rotations is relatively unknown. METHODS: Ten healthy subjects participated. Fine-wire electrodes were inserted, under ultrasound guidance, into psoas, quadratus lumborum, the superficial medial lumbar erector spinae (ES-s, multifidus) and its deep lateral portion (ES-d, iliocostalis), iliacus, rectus abdominis, obliquus externus, and obliquus internus. RESULTS: The highest involvement for all muscles was observed on the ipsilateral side, in maximal trunk twists with shoulder resistance, except obliquus externus, which showed a dominant contralateral side, and rectus abdominis, which was little activated in all rotations. In contrast, maximal trunk twist without shoulder resistance, i.e., freely performed, resulted generally in lower levels for all muscles involved and in a shift of side dominance for the lumbar muscles quadratus lumborum, psoas, and ES-s. CONCLUSIONS: During trunk rotations the activity patterns for various trunk muscles could drastically change, and even be the opposite, between the two body sides, within the same type of task, depending on several factors such as initial position, effort level, sitting or standing, and external shoulder resistance.

Abdomen↗

Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients.

OBJECTIVE: To evaluate trunk muscle strength in unihemispheric stroke patients and to assess how it relates to body balance and functional disability in this patient group. DESIGN: This prospective case-comparison study investigated isometric and isokinetic reciprocal trunk flexion and extension strength at angular velocities in 38 unihemispheric stroke patients and 40 healthy volunteers. The Berg balance scale was used to assess balance and stability, and the FIM instrument was used to evaluate functional disability in the patient group. Patients were evaluated as soon as they were able to stand long enough for testing. RESULTS: Peak torque values for trunk flexion and extension were lower in the stroke patients than in the controls. The differences were significant for trunk flexion and for trunk extension. In both groups, peak torque values for trunk flexors were greater than peak torque values for trunk extensors. There was a significant positive correlation between trunk muscle strength and Berg balance scale score at discharge. Trunk muscle strength was not correlated with FIM total score or FIM motor score, but the locomotion-transfers FIM subscore at discharge was positively correlated with trunk muscle torque values, except for isometric extension. CONCLUSION: The findings indicate trunk flexion and extension muscle weakness in unihemispheric stroke patients, which can interfere with balance, stability, and functional disability.

Abdominal Muscles↗

Fast voluntary trunk flexion movements in standing: primary movements and associated postural adjustments.

Movement patterns were studied during fast voluntary forward flexions of the trunk from an erect standing position. Three healthy subjects performed three series of six consecutive trunk flexions at maximum velocity and with successively increasing amplitude, covering a major part of the range of motion (range for all subjects: 13-97 degrees). Angular displacements of the trunk, hip, knee and ankle were measured together with the tilt of the pelvis and the flexion of the spine using a Selspot optoelectronic system. Trunk flexion was the result of a simultaneous forward pelvic tilt and flexion of the spine. For trunk movements up to 55 degrees, spine flexion dominated the movement, whereas for larger movements a major part of the amplitude was caused by pelvic tilt. During flexion of the trunk a simultaneous hip flexion and ankle extension was seen. At the knee there was an initial flexion and a subsequent extension. The net amplitude of the knee flexion showed a negative correlation with net trunk flexion amplitude for movements up to 50 degrees, whereas for larger amplitudes the correlation was positive. Time from onset of the trunk movement to peak knee flexion showed a weak correlation to net trunk flexion amplitude (r = 0.34) whereas the corresponding correlation was higher for pelvic tilt, spine flexion, hip flexion, ankle extension, and knee extension (r = 0.60-0.91). Each successive trial during a series of trunk movements was started from an increasing degree of knee flexion. This gradual adaptation was also present when successive trunk flexions were performed with constant movement amplitude.(ABSTRACT TRUNCATED AT 250 WORDS)

Adaptation, Physiological↗