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Relationship between changes in power spectra of electroencephalograms and arterial halothane concentration in infants.

A power spectral analysis of electroencephalograms (EEGs) was performed in 30 infants who underwent plastic surgery for cleft lip or cleft palate. The study was conducted to investigate whether there was a significant correlation between EEG changes and arterial halothane concentration in infants. The power spectral analysis of EEGs was performed by the fast Fourier transform (FFT). Arterial halothane concentration was measured with gas chromatography. The relationship between the changes in the power spectra of EEGs and the arterial halothane concentration was examined by means of a multivariate analysis. Prior to administration of halothane, two kinds of EEG patterns were discernible. In one pattern the peak of the EEG power spectra was seen in the slow wave band (slow wave group); in the other the peak of the power spectra was present in the fast wave band (fast wave group). In the occipital lead the multiple correlation coefficient and the index of determination of the slow wave group were 0.71 and 0.50, respectively, and those of the fast wave group were 0.78 and 0.61, respectively. A significant correlation was proved to be present between the normalized values of the EEG power spectra and arterial halothane concentration in the occipital lead. Therefore, the results of the present study suggest that the relationship between changes in the power spectra of EEGs in the occipital lead and arterial halothane concentration in infants can be expressed by means of multiple regression formulas.

Anesthesia, Inhalation↗

Safety aspects for public access defibrillation using automated external defibrillators near high-voltage power lines.

BACKGROUND: Automated external defibrillators (AEDs) must combine easy operability and high-quality diagnosis even under unfavorable conditions. This study determined the influence of electromagnetic interference caused by high-voltage power lines with 16.7-Hz alternating current on the quality of AEDs' rhythm analysis. METHODS: Two AEDs frequently used in Austria were tested near high-voltage power lines (15 kV or 110 kV, alternating current with 16.7 Hz). The defibrillation electrodes were attached either to a proband with true sinus rhythm or to a resuscitation dummy with generated sinus rhythm, ventricular fibrillation, ventricular tachycardia or asystole. RESULTS: Electromagnetic interference was much more prominent in a human's than in a dummy's electrocardiogram and depended on the position of the electrodes and cables in relation to the power line. Near high-voltage power lines the AEDs showed a significant operational fault. One AED interpreted the interference as a motion artifact, even when underlying rhythms were clearly detectable. The other AED interpreted 16.7-Hz oscillation as ventricular fibrillation with consequent shock advice when no underlying rhythm was detected. CONCLUSION: The tested AEDs neither filter nor recognize a technical interference of 16.7 Hz caused by 15-kV power lines above railway tracks or 110-kV overland power lines, as run by railway companies in Austria, Germany, Norway, Sweden and Switzerland. These failures in AEDs' algorithms for rhythm analysis may cause substantial harm to patients undergoing public access defibrillation. The proper function of AEDs needs to be reconsidered to guarantee patients' safety near high-voltage power lines.

Algorithms↗

Participation in power sports and antisocial involvement in preadolescent and adolescent boys.

BACKGROUND: A limited number of mostly cross-sectional studies have examined the possible effects of power sports on aggressive and antisocial involvement in children and youth. The majority of these studies have serious methodological limitations, and results are partly contradictory. Longitudinal studies with representative, reasonably large samples and adequate dependent variables are lacking. METHODS: The relationship between participation in power or fight and strength sports (boxing, wrestling, weightlifting, and oriental martial arts) and violent and antisocial behaviour was examined in a sample of 477 boys, aged 11 to 13 years at Time 1, over a two-year period. Making use of information about different participation patterns over time, the longitudinal design provided an opportunity to examine specified hypotheses about possible causal effects of power sports. RESULTS: The total pattern of results strongly suggests that participation in power sports actually leads to an increase or enhancement of antisocial involvement in the form of elevated levels of violent as well as non-violent antisocial behaviour outside sports. In addition, there were no indications of selection effects; the presence of such effects would imply that boys who started with power sports were characterised by already elevated levels of antisocial involvement. CONCLUSIONS: The results provide strong support for the 'enhancement hypothesis'. The negative effects in boys seemed to stem from both the practice of power sports itself and from repeated contact with 'macho' attitudes, norms, and ideals. The negative effects of participation in power sports represent a societal problem of considerable dimensions which has been largely neglected up to now.

Adolescent↗

Different profile of electrocortical power spectrum changes after micro-infusion into the locus coeruleus of selective agonists at various opioid receptor subtypes in rats.

1. The effects of various opioid receptor agonists given directly by means of a chronically implanted cannula into the locus coeruleus (LC) on behaviour and ECoG activity, continuously analysed, and quantified as total power spectrum (0-16 Hz) and in preselected frequency bands (0-3; 3-6; 6-9; 9-12 and 12-16 Hz), were studied in rats. 2. Dermorphin (0.05, 0.5, 1, 2 and 5 pmol) and Tyr-D-Ala-Gly-N-Me-Phe-Gly-ol (DAMGO; 1, 10, 30, 100 pmol and 1 nmol), two typical mu-receptor agonists, applied unilaterally or bilaterally directly into the LC, produced a typical dose-dependent ECoG synchronization with a significant increase in total power spectrum as well as in the lower frequency bands. Dermorphin was found to be approximately 30 times more powerful than DAMGO in producing similar quantitative ECoG changes. 3. D-Ala-D-Leu-Thr-Gly-Gly-Phe-Leu (DADLE; 1, 10, 50 and 100 pmol), a selective delta-receptor agonist, micro-infused into the LC produced dose-dependent behavioural soporific effects and ECoG increase in total power spectrum as well as in 3-6, 6-9, 9-12 Hz frequency bands. In comparison to dermorphin, the ECoG power spectrum effects of DADLE were 10 fold less potent, whereas in comparison to DAMGO it was approximately 3 times more potent. A lower dose (0.1 pmol) was ineffective in changing behaviour and ECoG power spectrum. 4. The microinfusion into the LC of U 50, 488H, a selective Kappa-opioid receptor agonist, (0.25, 1, 2.5, 5 and lOpmol) produced a typical pattern characterized by a first short-lasting (3-25 min) phase of behavioural arousal and ECoG desynchronization, followed by a longer lasting (20-130min according to the dose) phase of behavioural sleep and ECoG synchronization. A lower dose (0.1 pmol) was ineffective in changing behaviour and ECoG power spectrum. 5. Dextromethorphan and ketamine, two selective agonists at sigma-receptors given into the LC (1, 5 and 1Opmol) induce behavioural arousal, increase in locomotor activity and an intense pattern of stereotypedm movements. However, by increasing the dose of ketamine (50 and lOOpmol), marked sedation, postural changes and an increase in low frequency ECoG bands, sometimes associated with high amplitude fast frequency potentials, were observed. 6. Naloxone applied directly into the LC (1 and 2 pmol 15min before) was able to prevent the behavioural and ECoG effects induced by dermorphin, DAMGO and DADLE. Higher doses of naloxone (1Opmol into the LC) were however, required to antagonize the behavioural and ECoG soporific effects induced by the Kappa-receptor agonist U 50,488H. In contrast, naloxone (1Opmol into the LC) was unable to prevent or reduce the behavioural and ECoG effects induced by subsequent administration into the same site of dextromethorphan and ketamine. 7. In conclusion, the present experiments confirm that behavioural and ECoG effects elicited following stimulation of mu-, delta-, Kappa- and sigma-opioid receptors located in the LC are quite different. Activation of ,mu-, band Kappa-receptors induced sedative effects whereas dextromethorphan and ketamine, two sigma-receptor agonists, induced behavioural arousal and ECoG desynchronization. In addition, the present results strongly support the crucial role played by opioid mechanisms, in the locus coeruleus, in the mediation of the soporific effects of drugs acting as agonists at opioid receptors.

3,4-Dichloro-N-methyl-N-(2-(1-pyrrolidinyl)-cycloh↗

Temperature response following nontraumatic low power radiofrequency application.

A marker for the efficiency of heating would be helpful in radiofrequency ablation of tachyarrhythmias. We hypothesized that changes of the catheter tip temperature during nontraumatic, very low power radiofrequency exposure would correlate with the temperature achieved during radiofrequency ablation, and therefore, could be used as a marker for heating efficiency. In 71 ablation attempts for drug refractory supraventricular tachycardias, the catheter tip temperature response to a 1-W-5-second test pulse was measured. Subsequently at the same site, radiofrequency current was delivered with a target temperature of 70 degrees C and a power limit of 50 W. The test pulse, with a measured power level of 1.62 +/- 0.28 W, resulted in a heating efficiency of 0.78 +/- 0.60 degree C/W. During ablation, the achieved tip temperature was 52.9 +/- 7.5 degrees C, requiring a power output of 40.7 +/- 10.9 W. The heating efficiency was 0.57 +/- 0.74 degree C/W. The correlation between heating efficiency at low power and during radiofrequency ablation was linear with a correlation coefficient of 0.88. Regression analysis demonstrated that a heating efficiency above 1 degree C/W predicts a mean ablation temperature above 50 degrees C with more than 95% confidence interval. The temperature response to a very low power radiofrequency application correlates with the temperature rise achieved during radiofrequency ablation. It is suggested that delivery of low power radiofrequency current could be used to determine and monitor efficiency of heating during catheter mapping and ablation procedures.

Catheter Ablation↗

Tissue temperatures and lesion size during irrigated tip catheter radiofrequency ablation: an in vitro comparison of temperature-controlled irrigated tip ablation, power-controlled irrigated tip ablation, and standard temperature-controlled ablation.

The limited success rate of radiofrequency catheter ablation in patients with ventricular tachycardias related to structural heart disease may be increased by enlarging the lesion size. Irrigated tip catheter ablation is a new method for enlarging the size of the lesion. It was introduced in the power-controlled mode with high power and high infusion rate, and is associated with an increased risk of crater formation, which is related to high tissue temperatures. The present study explored the tissue temperatures during temperature-controlled irrigated tip ablation, comparing it with standard temperature-controlled ablation and power-controlled irrigated tip ablation. In vitro strips of porcine left ventricular myocardium were ablated. Temperature-controlled irrigated tip ablation at target temperatures 60 degrees C, 70 degrees C, and 80 degrees C with infusion of 1 mL saline/min were compared with standard temperature-controlled ablation at 70 degrees C and power-controlled irrigated tip ablation at 40 W, and infusion of 20 mL/min. Lesion size and tissue temperatures were significantly higher during all modes of irrigated tip ablation compared with standard temperature-controlled ablation (P < 0.05). Lesion volume correlated positively with tissue temperature (r = 0.87). The maximum recorded tissue temperature was always 1 mm from the ablation electrode and was 67 +/- 4 degrees C for standard ablation and 93 +/- 6 degrees C, 99 +/- 6 degrees C, and 115 +/- 13 degrees C for temperature-controlled irrigated tip ablation at 60 degrees C, 70 degrees C, and 80 degrees C, respectively, and 112 +/- 12 degrees C for power-controlled irrigated tip ablation, which for irrigated tip ablation was significantly higher than tip temperature (P < 0.0001). Crater formation only occurred at tissue temperatures > 100 degrees C. We conclude that irrigated tip catheter ablation increases lesion size and tissue temperatures compared with standard ablation in the temperature-controlled mode at the same or higher target temperatures and in the power-controlled mode. Furthermore, tissue temperature and delivered power are the best indicators of lesion volume during temperature-controlled ablation.

Animals↗

The power of tests to detect differences between periodontal treatments in published studies.

10 studies comparing periodontal treatment modalities were re-examined to see if they had adequate power to detect true differences. Attachment level (AL) and pocket depth (PD) were the 2 variables assessed. A statistical test's power refers to its probability of detecting a significant sample difference in treatment means, given a predetermined value for alpha (level of significance), delta (a clinically meaningful underlying difference), and the sample size. Studies were included that stratified their data by initial pocket depths, reported sample size, and lasted at least 6 months. Power calculations were done for 173 treatment comparisons, using delta = 0.5 mm and alpha = 0.05. For shallow pockets (1-3 mm), most studies had a strong chance of detecting true differences (median power = 83%). For moderate pockets (4-6 mm), median power dropped to 38%. However, median power dropped to 14% for deep pockets (> 6 mm), with 75% of the tests having less than a 20% chance of detecting a 0.5 mm difference. Many of the modalities reported as "not significantly different" from each other have not had a fair trial, especially for deep pockets. In order to improve a study's power, 4 factors are discussed: the number of compared treatments, the expected noise or random error, the patient sample size, and the average number of sites per patient for each pocket depth category.

Analysis of Variance↗

Mechanical power output in children aged 11 and 14 years.

Short-term power output in jumping and cycling has been measured in 56 children aged 11 and 14 years. The results showed that the peak power output in cycling (Wb) and jumping (Wp) were closely associated (r = 0.91) but in absolute terms Wb was approximately 34% greater than Wb. There were no significant differences in Wb (or Wp) between the 11-year-old boys and girls, but the 14-year-old boys recorded approximately 25% higher power output values in cycling and jumping than girls of the same age and were approximately twice as powerful as their younger male counterparts. The velocity of movement in cycling (Vb) and jumping (VT) for a given age were identical and independent of sex in the younger children. Peak power output in cycling was reached when force and velocity were equivalent to 50% of their calculated maximal values. When Wb and Wp were related to an anthropometric estimate of leg muscle (plus bone) volume the difference in absolute power output between the children disappeared. The results suggest that the difference between Wp and Wb and the increase in absolute mechanical power output with age is mainly a function of size and the force which can be exerted at the optimal frequency of movement in children.

Adolescent↗

Net joint moments and powers in the equine forelimb during the stance phase of the trot.

The objective of this study was to provide normative data describing the net joint moments and joint powers for the stance phase of the forelimb in trotting horses. Kinematic and force plate data, synchronised in time and space, were collected for the right forelimb of 6 Warmblood horses moving at a trot. The 3-D kinematic data were collapsed onto a sagittal plane, and were combined with the vertical and longitudinal ground reaction forces and with segment morphometric data to calculate net joint moments in the sagittal plane across the distal interphalangeal (coffin), metacarpophalangeal (fetlock), carpal, elbow and shoulder joints. The joint mechanical power was calculated as the product of the joint moment and the joint's angular velocity. Major peaks on the moment and power curves were identified. Each joint showed consistent and repeatable patterns in the net joint moments and joint powers. During most of stance the net joint moment was on the caudal/palmar side of all joints except the shoulder. At the coffin joint the power profile indicated an energy absorbing function that peaked at 74% stance, which coincided with the maximal longitudinal propulsive force. The fetlock joint behaved as an elastic spring; energy was absorbed in the first half of stance as the flexor tendons and SL stored elastic energy, which was released in the second half of stance as a result of elastic recoil. The carpus did not appear to play an important role in energy absorption or propulsion. Both the elbow and shoulder joints showed what appeared to be phases of elastic energy storage and release in the middle part of the stance phase, followed by a propulsive function at the shoulder in the later part of stance. The fetlock, carpus and elbow showed virtually no net generation or absorption of energy. The net energy generation at the shoulder joint was approximately equal to the energy absorption at the coffin joint. In human subjects specific gait pathologies produce characteristic alterations in the shape of the power profile as well as changes in the amount of energy absorbed and generated at the joints. In horses evaluation of net joint moments and joint powers will further our understanding of the mechanics and energetics of lameness, and may prove to be a useful diagnostic tool. An understanding of the function and dysfunction of different anatomical structures will facilitate the interpretation of clinical findings in terms of mechanical deficits.

Animals↗

Power Doppler ultrasound examination of the intracerebral and extracerebral vasculature.

Power Doppler is a new ultrasound technique based on the visualization of the Doppler power spectrum. In 22 patients with different lesions of brain-supplying vessels the results of power Doppler ultrasound were compared with those of digital subtraction angiography and conventional color Doppler ultrasound. In patients with intracranial high-degree stenoses, power Doppler was largely free of those artifacts that occur with conventional color Doppler (e.g., echoshadowing and aliasing). The vessel lumen was seen in all patients with more than 80% stenoses. Power Doppler was superior to conventional color Doppler in visualizing both middle cerebral artery stenosis and intracerebral aneurysms. Power Doppler visualization of intracranial pathology was similar to visualization by digital subtraction angiography. Power Doppler appears to be a valuable tool in the noninvasive imaging of intracranial and extracranial pathological vascular conditions.

Angiography, Digital Subtraction↗

Power production and working capacity of rabbit tibialis anterior muscles after chronic electrical stimulation at 10 Hz.

1. The muscles of the distal anterior compartment of the left hindlimb of rabbits were subjected to continuous indirect electrical stimulation at 10 Hz for periods of up to 12 weeks by means of an implantable stimulator. 2. The maximum shortening velocity (Vmax) and the velocity for maximum power production in single contractions (Vopt) were reduced to 42% and 32% of control values respectively after 12 weeks of stimulation. The rate of change of these parameters was greatest between the second and sixth week of stimulation. These changes, it is suggested, reflect the documented time course of the replacement of fast with slow isoforms of myosin. 3. The reductions in force production and speed of the stimulated muscles combined to produce a marked, progressive decline in the maximum power produced in single contractions. After 8 weeks of stimulation, the maximum power output had fallen to less than 10% of the control value. 4. The fatigue resistance of the stimulated and control muscles was tested over several hours of cyclical shortening contractions designed to elicit an initial power output of 10 W kg-1 with the muscles set to contract at Vopt. This level of work output represented about 1.6% (control) and 25% (12-week-stimulated) of the absolute maximum power output achieved during single contractions. 5. Despite the large reduction in the maximum power output of single contractions, the stimulated muscles showed less than 10% reduction in their power output during the fatigue tests over periods of up to 7 h. The control muscles showed a 70% reduction over the same period. There was no difference in the fatigue resistance under this protocol between muscles stimulated for 2 weeks and those stimulated for longer periods. Transformation of myosin isoforms, which is known to occur later than 2 weeks after the start of stimulation, is not necessary for the induction of this degree of fatigue resistance.

Animals↗

Low cell pH depresses peak power in rat skeletal muscle fibres at both 30 degrees C and 15 degrees C: implications for muscle fatigue.

Historically, an increase in intracellular H(+) (decrease in cell pH) was thought to contribute to muscle fatigue by direct inhibition of the cross-bridge leading to a reduction in velocity and force. More recently, due to the observation that the effects were less at temperatures closer to those observed in vivo, the importance of H(+) as a fatigue agent has been questioned. The purpose of this work was to re-evaluate the role of H(+) in muscle fatigue by studying the effect of low pH (6.2) on force, velocity and peak power in rat fast- and slow-twitch muscle fibres at 15 degrees C and 30 degrees C. Skinned fast type IIa and slow type I fibres were prepared from the gastrocnemius and soleus, respectively, mounted between a force transducer and position motor, and studied at 15 degrees C and 30 degrees C and pH 7.0 and 6.2, and fibre force (P(0)), unloaded shortening velocity (V(0)), force-velocity, and force-power relationships determined. Consistent with previous observations, low pH depressed the P(0) of both fast and slow fibres, less at 30 degrees C (4-12%) than at 15 degrees C (30%). However, the low pH-induced depressions in slow type I fibre V(0) and peak power were both significantly greater at 30 degrees C (25% versus 9% for V(0) and 34% versus 17% for peak power). For the fast type IIa fibre type, the inhibitory effect of low pH on V(0) was unaltered by temperature, while for peak power the inhibition was reduced at 30 degrees C (37% versus 18%). The curvature of the force-velocity relationship was temperature sensitive, and showed a higher a/P(0) ratio (less curvature) at 30 degrees C. Importantly, at 30 degrees C low pH significantly depressed the ratio of the slow type I fibre, leading to less force and velocity at peak power. These data demonstrate that the direct effect of low pH on peak power in both slow- and fast-twitch fibres at near-in vivo temperatures (30 degrees C) is greater than would be predicted based on changes in P(0), and that the fatigue-inducing effects of low pH on cross-bridge function are still substantial and important at temperatures approaching those observed in vivo.

Animals↗

Optimization of power deposition and a heating strategy for external ultrasound thermal therapy.

The purpose of this paper is to examine the thermal dose distribution, to configure the optimal absorbed power deposition, and to design an appropriate heating strategy for ultrasound thermal therapy. This work employs simulation programs, which are based on the transient bio-heat transfer equation and an ideal absorbed power deposition or an ideal temperature elevation within a cube of tissue, to study the optimal absorbed power deposition. Meanwhile, a simplified model of a scanned ultrasound transducer power deposition (a cone with convergent/divergent shape) is used to investigate the heating strategy for a large tumor with a sequence of heating pulses. The distribution of thermal dose equivalence defined by Sapareto and Dewey is used to evaluate the heating result for a set of given parameters. The parameters considered are the absorbed power density, heating duration, temperature elevation, blood perfusion, and the size of heating cube. The results demonstrate that the peak temperature is the key factor determining the thermal dose for this short-duration heating. Heat conduction has a very strong influence on the responses of temperature and thermal dose for a small heating cube and the boundary portion of a large heating cube. Hence, for obtaining the same therapeutic result, a higher power density is required for these two conditions to compensate the great temperature difference between the heating cube and the surrounding tissue. The influence of blood perfusion on the thermal dose is negligible on the boundary portion of the heating cube, while in the central portion it may become a crucial factor as a lower power density is used in this portion to save the delivered energy. When using external ultrasound heating method to treat a large tumor, the size of heating unit, the sequence of heating pulses, and the cooling-time interval between the consecutive heating pulses are the important factors to be determined to have an appropriate treatment within a reasonable overall treatment time.

Hot Temperature↗

Spectral power determinations of compressibility and density variations in model media and calf liver using ultrasound.

A model of scattering is used to relate average differential scattering cross section and power spectra of scattering medium variations. The model expresses the average differential scattering cross section as a sum of the power spectrum of medium compressibility variations, the power spectrum of density variations weighted by the square of the cosine of the scattering angle, and the cross-power spectrum of compressibility and density variations weighted by twice the cosine of the scattering angle. Known values of the average differential scattering cross section at a minimum of three different scattering angles and temporal frequencies corresponding to the same spatial frequency are used to calculate each of the three power spectra. Since noise and statistical fluctuations are present in actual measurements of average differential scattering cross section, the calculations of power spectra are obtained from an overdetermined set of equations to which a solution is found by using a singular value decomposition. Data derived from a model for scattering from a cloud of correlated particles are employed to show the influence of additive noise. Calculations are also made from measurements of scattering from three suspensions of particles that have a different average radius in each suspension but are similarly modeled by scattering from a cloud. Additionally, the calculations are applied to measurements of average differential scattering cross section of calf liver. The results show that determination of the power spectra of scattering medium variations can be made under practical conditions, and also imply that density variations contribute significantly to scattering by calf liver.

Animals↗

Caffeine, maximal power output and fatigue.

The purpose of this investigation was to determine the effects of caffeine ingestion on maximal power output and fatigue during short term, high intensity exercise. Nine adult males performed 15 s maximal exercise bouts 60 min after ingestion of caffeine (7 mg.kg-1) or placebo. Exercise bouts were carried out on a modified cycle ergometer which allowed power output to be computed for each one-half pedal stroke via microcomputer. Peak power output under caffeine conditions was not significantly different from that obtained following placebo ingestion. Similarly, time to peak power, total work, power fatigue index and power fatigue rate did not differ significantly between caffeine and placebo conditions. These results suggest that caffeine ingestion does not increase one's maximal ability to generate power. Further, caffeine does not alter the rate or magnitude of fatigue during high intensity, dynamic exercise.

Adult↗

Contribution of energy systems during a Wingate power test.

Six men performed a total of 23 modified Wingate power tests against 5.5 kp (53.9 N) resistance on a Monark 864 ergometer. Breath-by-breath VO2 was measured using a SensorMedics 4400 metabolic cart. Peak anaerobic power (highest 5 s; mean(s.e.m.)) was 819(16) W (11.1(0.6) W kg-1) and anaerobic capacity (work in 30 s; mean(s.e.m.)) was 18.2(0.2) kJ (248(11) J kg-1). Contributions of ATP-PC, glycolytic and aerobic systems each 5 s were estimated. ATP-PC power (mean(s.e.m.)) peaked at 750(14) W (10.2(0.6) W kg-1) in the first 5 s; glycolytic power (mean(s.e.m.] peaked at 497(11) W (6.8(0.7) W kg-1) between 10 and 15 s into the test; aerobic power (mean(s.e.m.)) peaked at 157(5) W (2.1(0.3) W kg-1) during the last 5 s of the test, and VO2 exceeded 90% VO2peak Over the entire 30 s, aerobic contribution was 16%, glycolytic contribution was 56%, and ATP-PC contribution was 28%. It is concluded that glycolytic power peaks within the first 15 s of high power exercise; also, aerobic metabolism responds quickly during 'anaerobic' exercise and makes a significant contribution to the work performed.

Adenosine Triphosphatases↗

Power output for wheelchair driving on a treadmill compared with arm crank ergometry.

OBJECTIVES: The limiting factors with regard to power output available for wheelchair ambulation have not been identified. The aim of the present study was to correlate power output during wheelchair driving with (i) power output and oxygen uptake during arm crank ergometry and (ii) arm muscle strength. METHODS: Eleven disabled men were examined for maximal power output (POmax) during wheelchair driving on a treadmill and during arm crank ergometry. Oxygen uptake (VO2) was recorded at submaximal and maximal arm crank ergometry in all men and during submaximal wheelchair driving on a treadmill in four men. Power output during wheelchair driving on a treadmill was measured. Static and dynamic elbow muscle strength was measured isokinetically. RESULTS: POmax was significantly lower (P < 0.001) for wheelchair driving (109 (31) W; mean (SD)) than for arm ergometry (163 (49) W). There was a significant correlation between POmax for arm crank ergometry and wheelchair driving (r = 0.73). There was no correlation between POmax and elbow strength. The mechanical efficiency was constant for the different levels on the arm crank ergometry test. The submaximal testing showed a consistently lower mechanical efficiency for wheelchair driving than for arm crank ergometry. CONCLUSIONS: It is suggested that the lower level of power output for wheelchair driving is fully explained by the lower mechanical efficiency. Any improvement in power output available for ambulation must be based on wheelchair ergonomics.

Adult↗

Aerobic and anaerobic power responses to the practice of taekwon-do.

BACKGROUND: Practising the martial art of taekwon-do (TKD) has been proposed to have beneficial effects on cardiovascular fitness as well as general physical ability. Furthermore, TKD masters and participants have promoted TKD as a total fitness programme. Research studies substantiating this, however, seem to be lacking, perhaps because TKD is recognised more as a method of self defence than a fitness programme. METHODS: Nineteen TKD practitioners with an average age of 13.8 years and 10.4 months of TKD training experience were recruited to participate. Measurements included resting heart rate, aerobic power, anaerobic power, and anaerobic capacity. RESULTS: Paired t test analysis showed no significant differences in either resting heart rate or aerobic power after training. However, significant differences were observed in anaerobic power and anaerobic capacity (p = 0.05). The increases in anaerobic power and anaerobic capacity were 28% and 61.5% respectively. CONCLUSION: The practice of TKD promotes anaerobic power and anaerobic capacity, but not aerobic power, in male adolescents.

Adolescent↗