flexion

Flexion
  • 文章类型: Journal Article
    在关键幼虫阶段,分析了在欧洲不同商业孵化场中养殖的sea幼虫的转录组。本文提供的补充数据支持相关研究文章“洞察与不同孵化场的金头seabream幼虫变态相关的核心分子变化”中报告的发现。样本是从希腊的金头seabream(Sparusaurata)孵化场(地点Gr)收集的,意大利(网站它),和法国(网站Fr)。从不同重量的幼虫中提取RNA,主要在屈曲阶段(23和25dph)和中期变态阶段(43、50、52、56和60dph)。使用IlluminaHiSeqxten对RNA-seq文库进行测序。将配对末端测序的原始读段以登录号PRJNA956882保藏在NCBI-SRA数据库中。通过比较不同发育阶段幼虫的转录组图谱,获得了基因的差异表达和功能。所提供的数据可用于改善关键幼虫阶段的海洋养殖鱼类幼虫的产量。
    The transcriptome of the seabream larvae farmed in different European commercial hatcheries was analysed during critical larval stages. The complementary data herein presented support the findings reported in the associated research article \"Insights into core molecular changes associated with metamorphosis in gilthead seabream larvae across diverse hatcheries\". Samples were collected from gilthead seabream (Sparus aurata) hatcheries in Greece (site Gr), Italy (site It), and France (site Fr). RNA was extracted from larvae with different weights, mainly at the flexion (23 and 25 dph) and mid-metamorphosis stages (43, 50, 52, 56, and 60 dph). RNA-seq libraries were sequenced using Illumina HiSeq xten. The paired-end sequenced raw reads were deposited in the NCBI-SRA database with the accession number PRJNA956882. Differential expression and function of genes were obtained by comparing transcriptome profiles of larvae at different developmental stages. The presented data can be used to improve marine-farmed fish larvae production during critical larval stages.
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  • 文章类型: Journal Article
    在前屈时,脊柱运动因年龄和性别差异而不同。先前的研究表明,腰椎/骨盆屈曲范围(RoF)和腰骨盆比(L/P)与年龄/性别有关。这些参数的变化如何影响正常人群的腰椎负荷需要进一步评估。我们旨在估算动态屈曲-返回循环期间的腰椎载荷,以及由于腰椎/骨盆RoF和L/P的变化而导致的峰值载荷(压缩)和相应躯干倾斜度的差异。基于体内L/P(0.11-3.44),屈曲的时间阶段(早期,中间,稍后),腰椎(45-55°)和髋部(60-79°)RoF;对三个年龄组(20-35、36-50和50岁以上)重建了6秒的完整屈曲-返回周期。)两性。用第50百分位数模型进行了6次逆动态分析,并计算了峰值载荷和相应的树干倾角的差异。L4-L5的峰值负荷在年轻男性比女性高179N,但在中年和老年男性中,228N和210N较低,分别,与女性相比。在所有年龄段中,女性的躯干倾斜度(6°-20°)均高于男性。在男性中发现L4-L5峰值负荷和相应的躯干倾角的年龄相关差异高达415N和19°,在女性中发现152N和13°。随着年龄的增长,峰值负荷在男性中降低,但在女性中发现非单调,而从青年到中年/老年组,男女在峰值负荷时的躯干倾斜度均降低。总之,由于年龄/性别差异,腰椎负荷和相应的躯干倾斜度显着变化。这些数据可以帮助区分腰椎的正常或病理状况。
    During forward flexion, spine motion varies due to age and sex differences. Previous studies showed that lumbar/pelvis range of flexion (RoF) and lumbo-pelvic ratio (L/P) are age/sex dependent. How variation of these parameters affects lumbar loading in a normal population requires further assessment. We aimed to estimate lumbar loads during dynamic flexion-return cycle and the differences in peak loads (compression) and corresponding trunk inclinations due to variation in lumbar/pelvis RoF and L/P. Based on in vivo L/P (0.11-3.44), temporal phases of flexion (early, middle, and later), the lumbar (45-55°) and hip (60-79°) RoF; full flexion-return cycles of six seconds were reconstructed for three age groups (20-35, 36-50 and 50+ yrs.) in both sexes. Six inverse dynamic analyses were performed with a 50th percentile model, and differences in peak loads and corresponding trunk inclinations were calculated. Peak loads at L4-L5 were 179 N higher in younger males versus females, but 228 N and 210 N lower in middle-aged and older males, respectively, compared to females. Females exhibited higher trunk inclinations (6°-20°) than males across all age groups. Age related differences in L4-L5 peak loads and corresponding trunk inclinations were found up to 415 N and 19° in males and 152 N and 13° in females. With aging, peak loads were reduced in males but were found non-monotonic in females, whereas trunk inclinations at peak loads were reduced in both sexes from young to middle/old age groups. In conclusion, lumbar loading and corresponding trunk inclinations varied notably due to age/sex differences. Such data may help distinguishing normal or pathological condition of the lumbar spine.
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  • 文章类型: Journal Article
    背景:腰椎的生理运动是肌肉骨骼保健专业人员感兴趣的话题,因为异常运动被认为与腰椎不适有关。许多研究人员已经描述了腰椎的运动范围,但是只有少数人提到了屈伸过程中每个节段的特定运动模式,主要包括矢状旋转中的节段起始序列。然而,仍然缺乏对生理运动的适当定义。对于下颈椎,描述了年轻健康个体在屈伸运动中分段贡献的一致模式,从而定义了颈椎的生理运动。
    目的:本研究旨在通过确定健康男性参与者在最大屈伸期间每个椎骨矢状旋转的节段贡献序列来定义腰椎生理运动模式。
    方法:对11名健康男性参与者进行了两次摄影记录,18-25岁,没有脊柱问题的历史,与2周的间隔(时间点T1和T2)。使用图像识别软件通过绘制每个个体片段的片段旋转与片段L1至S1的累积旋转的关系来识别每个个体的片段贡献序列中的特定模式。通过测试T1与T2确定个体间变异性。第二位研究人员通过重新评估30个椎间序列来测试组内相关系数。
    结果:在研究屈曲期间的摄影记录图时,未发现一致的模式。在扩展过程中发现了一个更一致的模式,尤其是在最后阶段。它包括L3L4中的旋转峰值,然后是L2L3中的峰值,最后,在L1L2。该模式存在于所有记录的71%(15/21)中;64%(7/11)的参与者在两个时间点具有一致的模式。腰椎的节段贡献顺序不如颈椎一致,可能是由于刻面方向的差异造成的,椎间盘,骨盆的过度突出,和肌肉招募。
    结论:在64%(7/11)的录音中,在无症状的年轻男性参与者中,在上腰椎伸展的最后阶段发现了一致的运动模式.腰椎生理运动是一个广义的概念,受多种因素影响,这还不能在一个坚定的定义中捕捉到。
    背景:ClinicalTrials.govNCT037227;https://clinicaltrials.gov/ct2/show/NCT037227。
    RR2-10.2196/14741。
    BACKGROUND: Physiological motion of the lumbar spine is a topic of interest for musculoskeletal health care professionals since abnormal motion is believed to be related to lumbar complaints. Many researchers have described ranges of motion for the lumbar spine, but only few have mentioned specific motion patterns of each individual segment during flexion and extension, mostly comprising the sequence of segmental initiation in sagittal rotation. However, an adequate definition of physiological motion is still lacking. For the lower cervical spine, a consistent pattern of segmental contributions in a flexion-extension movement in young healthy individuals was described, resulting in a definition of physiological motion of the cervical spine.
    OBJECTIVE: This study aimed to define the lumbar spines\' physiological motion pattern by determining the sequence of segmental contribution in sagittal rotation of each vertebra during maximum flexion and extension in healthy male participants.
    METHODS: Cinematographic recordings were performed twice in 11 healthy male participants, aged 18-25 years, without a history of spine problems, with a 2-week interval (time point T1 and T2). Image recognition software was used to identify specific patterns in the sequence of segmental contributions per individual by plotting segmental rotation of each individual segment against the cumulative rotation of segments L1 to S1. Intraindividual variability was determined by testing T1 against T2. Intraclass correlation coefficients were tested by reevaluation of 30 intervertebral sequences by a second researcher.
    RESULTS: No consistent pattern was found when studying the graphs of the cinematographic recordings during flexion. A much more consistent pattern was found during extension, especially in the last phase. It consisted of a peak in rotation in L3L4, followed by a peak in L2L3, and finally, in L1L2. This pattern was present in 71% (15/21) of all recordings; 64% (7/11) of the participants had a consistent pattern at both time points. Sequence of segmental contribution was less consistent in the lumbar spine than the cervical spine, possibly caused by differences in facet orientation, intervertebral discs, overprojection of the pelvis, and muscle recruitment.
    CONCLUSIONS: In 64% (7/11) of the recordings, a consistent motion pattern was found in the upper lumbar spine during the last phase of extension in asymptomatic young male participants. Physiological motion of the lumbar spine is a broad concept, influenced by multiple factors, which cannot be captured in a firm definition yet.
    BACKGROUND: ClinicalTrials.gov NCT03737227; https://clinicaltrials.gov/ct2/show/NCT03737227.
    UNASSIGNED: RR2-10.2196/14741.
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  • 文章类型: Journal Article
    这篇综述文章探讨了参加各种体育活动的运动员的脊髓损伤。它还强调了在每项运动中导致脊髓损伤的各种损伤机制。电子数据库,如PubMed,科克伦图书馆,WebofScience,Embase,MEDLINEOvid,搜索了2000年至2022年有关运动和放射学研究中脊柱损伤的文章,讨论了运动员的各种损伤模式。根据纳入标准对研究进行了研究,以及参与者人数等相关数据,体育活动,脊柱损伤,并检索结果。15篇符合纳入标准的文章被纳入研究。颈椎损伤在参加足球等接触运动的运动员中很常见。同样,运动员在碰撞运动如足球,橄榄球,和曲棍球很可能会因为牵引和压迫伤害而遭受毒刺。从事足球等活动的球员,棒球,游泳,很可能患有脊椎滑脱症.与棒球等运动中的运动员相比,足球运动员更容易出现多种病变,因为这项运动涉及训练练习,例如慢跑和跑步而不踢任何球。在游泳者中,峡部裂在蛙泳和蝶泳中很常见,因为它们涉及腰椎的反复屈曲和过度伸展。CT对于诊断峡部裂至关重要,因为它可以更准确地显示病变。冰球与颈椎损伤的显著发生率有关,主要是由于玩家不断被检查/从后面推。脊柱受伤在几种运动中的精英运动员中很常见。在美国,大约10%的脊柱损伤是由体育活动引起的。在诊断脊柱损伤时,成像模式,如MRI,CT,或普通射线照片是必不可少的。从放射科医生的角度来看,这些测试有助于决定特定运动员需要哪种治疗或如何最佳地管理损伤。从特定的脊柱损伤中恢复通常取决于损伤的类型和运动员在返回比赛之前经历的康复过程。
    This review article explores spinal injuries in athletes participating in various sporting activities. It also highlights the various mechanisms of injuries that contribute to spinal injuries in each sport. Electronic databases such as PubMed, Cochrane Library, Web of Science, Embase, MEDLINE Ovid, and Google Scholar were searched for articles from 2000 to 2022 on spine injuries in sports and radiological studies discussing the various injury patterns among athletes. Studies were scoured in accordance with the inclusion criteria, and relevant data such as the number of participants, sporting activities, spine injuries, and outcomes were retrieved. Fifteen articles that met the inclusion criteria were included in the study. Cervical spine injuries are common in athletes who participate in contact sports such as football. Similarly, athletes in collision sports such as football, rugby, and hockey are likely to suffer stingers due to traction and compression injuries. Players engaged in such as soccer, baseball, and swimming, are likely to suffer from spondylolysis. Soccer players are more prone to multiple lesions compared to athletes in sports such as baseball because the sport involves training exercises such as jogging and running without kicking any ball. In swimmers, spondylolysis is common in breaststroke and butterfly styles since they involve repeated flexion and hyperextension of the lumbar spine. CT is essential for diagnosing spondylolysis as it demonstrates the lesions more accurately. Ice hockey is associated with a significant incidence of cervical spine injuries, mostly due to players being constantly checked/pushed from behind. Spine injuries are common in elite athletes across several sports. About 10% of spinal injuries in the United States result from sports activities. In diagnosing spine injuries, imaging modalities such as MRI, CT, or plain radiographs are essential. From a radiologist\'s perspective, these tests help immensely in deciding which treatment is required for a particular athlete or how the injury can be optimally managed. Achieving recovery from a specific spine injury usually depends on the kind of injury and the rehabilitation process the athletes undergo before returning to play.
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  • 文章类型: Journal Article
    目的:本研究的目的是确定髂股动脉轴的屈曲点位置及其角度。
    方法:对37例动态数字减影血管造影进行分析,并纳入本研究。测量了不同的长度,基于特定的解剖标志:髂外动脉的起源,腹股沟韧带和股动脉分叉。在髋部的伸展和屈曲期间测量这些长度,以便确定动脉的屈曲点。
    结果:在扩展中,测量了髂外动脉的一些生理角度。在髋关节屈曲时,从扭结点到髂总动脉分叉的距离分别为右侧82±21mm(范围48-116)和左侧95±20mm(范围59-132)。从扭结点到腹股沟韧带的距离分别为右侧38±40mm(范围12-138)和左侧26±23mm(范围8-136)。从扭结点到股动脉分叉的距离分别为右侧45±29mm(范围15-107)和左侧27±12mm(范围10-66)。在屈曲期间,髂股轴屈曲点的角度为114±18°(范围81-136°)。
    结论:屈曲点位于颅骨腹股沟韧带和髂外动脉的下方。
    OBJECTIVE: The aim of the study was to determine the flexion point\'s location of the ilio-femoral arterial axis and its angulation.
    METHODS: Thirty-seven dynamic digital subtraction angiographies were analyzed and were included in the current study. Different lengths were measured, based on specific anatomical landmarks: the origin of the external iliac artery, the inguinal ligament and the bifurcation of the femoral artery. These lengths were measured in extension and during flexion of the hip in order to determine the flexion point of the artery.
    RESULTS: In extension, some physiological angulations of the external iliac artery were measured. During flexion of the hip joint, the distance from the kink point to the bifurcation of the common iliac artery was respectively 82 ± 21 mm (range 48-116) on the right side and 95 ± 20 mm (range 59-132) on the left side. The distance from the kink point to the inguinal ligament was respectively 38 ± 40 mm (range 12-138) on the right side and 26 ± 23 mm (range 8-136) on the left side. The distance from the kink point to the bifurcation of the femoral artery was respectively 45 ± 29 mm (range 15-107) on the right side and 27 ± 12 mm (range 10-66) on the left side. During flexion, the angulation of the flexion point of the ilio-femoral axis was 114 ± 18° (range 81-136°).
    CONCLUSIONS: The flexion point was located cranially to the inguinal ligament and below the departure of the external iliac artery.
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  • 文章类型: Journal Article
    腰肌包括手部的4个固有肌肉,并且涉及掌指关节(MCPJ)的屈曲和近端指间和远端指间关节的伸展。本研究的目的是探讨该指标的腰椎肌的解剖学力学,中间,戒指,和小手指。
    我们评估了25具尸体手臂,并测量了MCPJ与指尖之间的距离,MCPJ和腰肌之间的距离,以及MCPJ和最近端腰椎肌起源之间的距离。通过这些测量,我们计算了所需的力,插入比(近端长度,中间,和远端指骨除以MCPJ到插入距离),和肌肉长度。
    我们发现所有手指之间的力明显不同,除了食指和无名指的比较(P=.34)。此外,我们发现大多数手指之间的肌肉长度明显不同,除了食指和中指之间的比较(P=0.24),食指和无名指(P=.20)。插入率无显著差异。
    我们的研究表明,所有手指的腰肌运动功能的解剖学力学相似。这可能进一步意味着所有手指的运动都同样精确,从而导致彼此协调,因此,足够的手功能。
    IV.
    UNASSIGNED: The lumbrical muscles comprise 4 intrinsic muscles of the hand and are involved in flexion of the metacarpophalangeal joint (MCPJ) and extension of the proximal interphalangeal and distal interphalangeal joints. The purpose of this study was to investigate the anatomical mechanics of the lumbrical muscles of the index, middle, ring, and small fingers.
    UNASSIGNED: We evaluated 25 cadaver arms and measured the distance between the MCPJ and fingertip, the distance between the MCPJ and lumbrical muscle insertion, and the distance between the MCPJ and the most proximal lumbrical muscle origin. With these measurements we calculated the needed force, insertion ratio (length of the proximal, middle, and distal phalanx divided by the MCPJ to insertion distance), and lumbrical muscle length.
    UNASSIGNED: We found that the force was significantly different between all fingers, except for the comparison of the index and ring finger (P = .34). In addition, we found that muscle length was significantly different between most the fingers, except for the comparison between the index and middle fingers (P = .24), and index and ring fingers (P = .20). There was no significant difference in insertion ratio.
    UNASSIGNED: Our study suggests that the anatomical mechanics for the motor function of the lumbrical muscles are similar in all fingers. This could further imply that movements are equally precise in all fingers resulting in coordination with one another and, therefore, adequate hand function.
    UNASSIGNED: IV.
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  • 文章类型: Journal Article
    体外生物力学研究,研究了整个规范性人胸椎(TS)和腰椎(LS)与肋骨的耦合运动。
    要量化TS的特定区域耦合运动模式和幅度,胸腰椎交界处(TLJ),同时LS。
    研究脊柱耦合运动对于理解复杂脊柱畸形的发展以及为验证计算模型提供数据非常重要。然而,体外报道的耦合运动模式是有争议的,并且没有关于整个人类TS和LS的区域特定耦合运动的定量数据。
    纯,将8Nm的无约束弯矩应用于七个新鲜冷冻的人类尸体TS和LS标本(平均年龄:70.3±11.3岁),并带有肋骨笼,以引起屈伸(FE),横向弯曲(LB),和轴向旋转(AR)。在每个主要运动期间,捕获特定区域的旋转运动范围(ROM)数据。
    无统计学意义,在主要FE期间观察到一致的耦合运动模式。在主LB期间,在TS中存在显著的同侧AR(p<0.05),在TLJ和LS中存在对侧耦合AR的一般模式。TS也有扩展和LS弯曲的趋势。在主要AR期间,TS中的同侧和TLJ和LS中的对侧是显着耦合的LB。在LS中也观察到显著的耦合屈曲。耦合的LB和ARROM在TS和LS之间或彼此之间没有显着差异。
    研究结果支持在LB和AR期间TS和LS一致的耦合运动模式的证据。这些新数据可作为计算模型验证和未来研究脊柱畸形和植入物的体外研究的参考。
    UNASSIGNED: In vitro biomechanical study investigating the coupled motions of the whole normative human thoracic spine (TS) and lumbar spine (LS) with rib cage.
    UNASSIGNED: To quantify the region-specific coupled motion patterns and magnitudes of the TS, thoracolumbar junction (TLJ), and LS simultaneously.
    UNASSIGNED: Studying spinal coupled motions is important in understanding the development of complex spinal deformities and providing data for validating computational models. However, coupled motion patterns reported in vitro are controversial, and no quantitative data on region-specific coupled motions of the whole human TS and LS are available.
    UNASSIGNED: Pure, unconstrained bending moments of 8 Nm were applied to seven fresh-frozen human cadaveric TS and LS specimens (mean age: 70.3 ± 11.3 years) with rib cages to elicit flexion-extension (FE), lateral bending (LB), and axial rotation (AR). During each primary motion, region-specific rotational range of motion (ROM) data were captured.
    UNASSIGNED: No statistically significant, consistent coupled motion patterns were observed during primary FE. During primary LB, there was significant (p < 0.05) ipsilateral AR in the TS and a general pattern of contralateral coupled AR in the TLJ and LS. There was also a tendency for the TS to extend and the LS to flex. During primary AR, significant coupled LB was ipsilateral in the TS and contralateral in both the TLJ and LS. Significant coupled flexion in the LS was also observed. Coupled LB and AR ROMs were not significantly different between the TS and LS or from one another.
    UNASSIGNED: The findings support evidence of consistent coupled motion patterns of the TS and LS during LB and AR. These novel data may serve as reference for computational model validations and future in vitro studies investigating spinal deformities and implants.
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  • 文章类型: Journal Article
    本研究旨在表征启动阶段肱二头肌远端肌腱力与旋后和屈曲旋转之间的关系,并比较解剖与非解剖修复的功能效率。
    解剖七对配对的新鲜冷冻尸体臂,以暴露肱骨和肘部,同时保留肱二头肌,肘关节囊,和远侧尺尺趾软组织复合体。对于每一对,用手术刀切断肱二头肌远端肌腱,然后用放置在桡骨近端二头肌结节前部(解剖)或后部(非解剖)的骨隧道进行修复.在定制的加载框架上进行了90°肘部屈曲的旋起测试和无约束屈曲测试。肱二头肌张力以每步200克递增地施加,而半径旋转是用三维运动分析系统跟踪的。产生一定程度的旋后或屈曲所需的肌腱力作为肌腱力-径向旋转图的回归斜率得出。进行了双尾配对t检验,以比较解剖修复和非解剖修复尸体之间的差异。
    与解剖组相比,非解剖组肘关节屈曲开始前10°旋后需要更大的肌腱力(1.04±0.44N/度vs0.68±0.17N/度,P=.02)。平均非解剖与解剖的比率为149%±38%。两组之间产生屈曲程度所需的平均肌腱力没有差异。
    我们的结果表明,解剖修复比非解剖修复更有效,但仅当肘部处于90°弯曲时。当肘关节不受约束时,非解剖旋压效率提高,技术之间差异不显著。
    本研究为比较肱二头肌远端肌腱的解剖修复和非解剖修复提供了大量证据,并为该主题的未来生物力学和临床研究奠定了基础。假设肘关节不受约束时没有差异,有人可能会争辩说,外科医生的舒适度和偏好可以指导在解决肱二头肌远端肌腱撕裂时使用哪种技术。需要更多的研究来明确这两种技术之间是否存在临床差异。
    UNASSIGNED: This study aimed to characterize the relationship between the distal biceps tendon force and the supination and flexion rotations during the initiation phase and to compare the functional efficiency of anatomic versus nonanatomic repairs.
    UNASSIGNED: Seven matched pairs of fresh-frozen cadaver arms were dissected to expose the humerus and elbow while preserving the biceps brachii, elbow joint capsule, and distal radioulnar soft tissue complex. For each pair, the distal biceps tendon was severed with a scalpel and then repaired with bone tunnels placed at either the anterior (anatomic) or the posterior (nonanatomic) aspect of the bicipital tuberosity on the proximal radius. A supination test with 90° of elbow flexion and an unconstrained flexion test were conducted on a customized loading frame. The biceps tension was applied incrementally at 200 g per step, whereas the radius rotation was tracked with a 3-dimensional motion analysis system. The tendon force needed to produce a degree of supination or flexion was derived as the regression slope of the tendon force-radial rotation plots. A two-tailed paired t test was performed to compare the difference between the anatomic repair and the nonanatomic repair cadavers.
    UNASSIGNED: Significantly greater tendon force was required to initiate the first 10° of supination with the elbow in flexion for the nonanatomic group compared with the anatomic group (1.04 ± 0.44 N/degree vs 0.68 ± 0.17 N/degree, P = .02). The average nonanatomic to anatomic ratio was 149% ± 38%. No difference existed between the two groups in the mean tendon force needed to produce the degree of flexion.
    UNASSIGNED: Our results show that anatomic repair is more efficient in producing supination than nonanatomic repair, but only when the elbow is in 90° of flexion. When the elbow joint is not constrained, the nonanatomic supination efficiency improved, and the difference between the techniques was not significant.
    UNASSIGNED: The present study added to the body of evidence in comparing anatomic versus nonanatomic repair of the distal biceps tendon and serves as a foundation for future biomechanical and clinical studies in this topic. Given no difference when the elbow joint was not constrained, one could argue that surgeon comfort and preference could guide which technique to use when addressing the distal biceps tendon tears. More studies will be needed to clearly define whether there will be a clinical difference between the two techniques.
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  • 文章类型: Journal Article
    这项研究的目的是评估轴向压缩的影响,采用随动加载机制,腰椎在屈伸弯曲中的反应。其他目标包括测量动力学(刚度)和运动学(变形分布)响应,评估不同样本的反应如何变化,并开发可用于评估人体模型(HBM)和拟人化测试设备(ATD)的响应走廊。
    在0、900和1800N叠加轴向压缩的亚损伤屈曲和伸展弯曲下,对死后人类代理人的七个中型成年男性腰椎(T12-S1)进行了测试。使用6自由度机器人测试系统在负载控制中进行测试,该系统将纯弯曲和伸展力矩施加到样品上。并且轴向压缩是通过由力控制的线性致动器提供动力的从动负载机构沿着脊柱的曲率方向。捕获了载荷-变形响应数据,并将其用于表征腰椎在屈曲/伸展中的动力学响应,以及它如何随着轴向压缩而变化。使用3D运动捕获捕获各个椎体运动学,并使用数据来说明脊柱每个椎间关节的弯曲变形分布。以及分布如何随着轴向压缩而变化。这些响应数据用于开发椭圆形路径长度参数化响应走廊,以进行替代生物保真度评估。
    发现腰椎在伸展方面通常比在屈曲方面更硬,但这种差异随着轴向压缩的增加而减小。腰椎表现出非线性动力学(力矩与角度)弯曲响应随着轴向压缩的增加而变得更加线性和更硬。在没有轴向载荷的情况下屈曲,大部分弯曲变形发生在L5-S1接头处,而在延伸中,变形更均匀地分布在不同的椎间水平,但变形部位位于L2-L3腰椎中近端。
    腰椎轴向压缩的叠加会影响腰椎在屈曲和伸展中的动力学和运动学响应。本研究中详述的响应数据和方法可以更好地评估ATD和HBM生物保真度。
    The goal of this study was to evaluate the effect of axial compression, employed with a follower-load mechanism, on the response of the lumbar spine in flexion and extension bending. Additional goals include measurement of both the kinetic (stiffness) and kinematic (deformation distribution) responses, evaluating how the responses vary across specimens, and to develop response corridors that can be used to evaluate human body models (HBMs) and anthropomorphic test devices (ATDs).
    Seven mid-sized male adult lumbar spines (T12-S1) from postmortem human surrogates were tested in subinjurious flexion and extension bending with 0, 900, and 1800 N of superimposed axial compression. Tests were performed in load-control with a 6-DOF robotic test system that applied pure flexion and extension moments to the specimens, and axial compression was directed along the spine\'s curvature via a follower load mechanism powered by force-controlled linear actuators. Load-deformation response data were captured and used to characterize the kinetic response of the lumbar spine in flexion/extension, and how it varies with axial compression. Individual vertebral kinematics were captured using 3D motion capture and the data was used to illustrate the distribution of bending deformation across each intervertebral joint of the spine, as well has how that distribution changes with axial compression. These response data were used to develop elliptical path-length parameterized response corridors for surrogate biofidelity evaluation.
    The lumbar spine was found to be generally stiffer in extension than in flexion, but this difference decreased with increasing axial compression. The lumbar spine exhibited a nonlinear kinetic (moment vs. angle) response in flexion that became more linear and stiffer with the addition of axial compression. In flexion without axial load, the majority of the bending deformation occurred at the L5-S1 joint, whereas in extension, deformation was more evenly distributed across the different intervertebral levels, but the locus of deformation was located in the mid-proximal lumbar at L2-L3.
    The superposition of axial compression in the lumbar spine affects the kinetic and kinematic response of the lumbar spine in flexion and extension. The response data and approach detailed in this study permit better assessment of ATD and HBM biofidelity.
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    文章类型: Journal Article
    目的:进行全膝关节置换术(TKA)的老年人由于疼痛和僵硬而导致膝关节活动范围有限。最近提出了一种滚轮按摩器(RM)来减轻疼痛并增加关节运动范围(ROM)。因此,本研究旨在探讨RM干预对老年人TKA术后第2周疼痛和膝关节ROM的急性影响。
    方法:受试者为23例(76.3±5.4岁)患者,因膝关节OA接受TKA治疗。在RM干预之前和之后立即使用视觉模拟量表测量ROM测量过程中的疼痛程度。RM干预是在大腿外侧进行的,中央,和使用RM的三组60秒的中间部分。
    结果:RM干预可以显着增加膝关节屈曲ROM(p<0.01,d=0.41,Δ变化:4.1±3.2°),并减轻膝关节ROM测量过程中的疼痛(p<0.01,d=-0.53,Δ变化:-11.9±21.0)。
    结论:三组60sRM干预在术后第二周显著增加了老年人TKA的膝关节屈膝ROM和疼痛。这些结果表明,RM干预是治疗TKA术后僵硬和疼痛的有效工具。
    Older adults with total knee arthroplasty (TKA) have a limited range of knee joint motion due to pain and stiffness. A roller massager (RM) has recently been suggested to decrease pain and increase joint range of motion (ROM). Therefore, this study aimed to investigate the acute effect of RM intervention on pain and knee joint ROM in older adults with TKA in the second postoperative week.
    The participants were 23 patients (76.3±5.4 years) who had undergone TKA for knee OA. The degree of pain during the ROM measurements was measured using the visual analog scale before and immediately after the RM intervention. The RM intervention was performed on the thigh\'s lateral, central, and medial parts for three sets of 60 s using an RM.
    RM intervention could significantly increase knee flexion ROM (p<0.01, d=0.41, Δchange: 4.1±3.2°) and decrease pain during the knee ROM measurements (p<0.01, d=-0.53, Δchange: -11.9±21.0).
    The three sets of 60-s RM intervention significantly increased knee flexion ROM and reduced pain in older adults with TKA in the second postoperative week. These results show that RM intervention is an effective tool for treating stiffness and pain after TKA.
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