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1.
J Orthop Surg Res ; 19(1): 293, 2024 May 12.
Artículo en Inglés | MEDLINE | ID: mdl-38735944

RESUMEN

OBJECTIVE: To investigate the effects of bracing on apical vertebral derotation and explore the factors that influence in-brace derotation effects in adolescent idiopathic scoliosis (AIS) patients. For patients with AIS, vertebral rotation causes cosmetic appearance abnormalities and acts as an indicator for curve progression. However, there have been few studies investigating the precise derotation effects of bracing for apical vertebra. The application of EOS imaging system enables quantitative evaluation of vertebral rotation in the axial plane in a standing position. METHODS: There were 82 eligible patients enrolled in current study, who underwent EOS imaging evaluation before and immediately after bracing. The clinical demographic data (age, gender, Risser sign and menstrual status) were recorded. The correlation analyses between derotation effects and key parameters (age, pre-brace Cobb angle, thoracic kyphosis, lumbar lordosis, vertebral rotation, pelvis axial rotation and apical vertebral level) were performed. The in-brace derotation effects stratified by gender, Risser sign, apical vertebral level, menarche status, coronal balance and sagittal balance were also analyzed. RESULTS: The rotation of apical vertebra was decreased from 8.8 ± 6.0 degrees before bracing to 3.8 ± 3.3 degrees immediately after bracing (p < 0.001), and the derotation rate was 49.2 ± 38.3%. The derotation degrees in brace was significantly correlated with major curve Cobb angle (r = 0.240, p = 0.030), minor curve Cobb angle (r = 0.256, p = 0.020) and total curve Cobb angle (r = 0.266, p = 0.016). Both the pre-brace apical vertebral rotation and apical vertebral level were significantly correlated with derotation effects in brace (p < 0.001). Patients with thoracic major curve showed worse derotation effects than those with lumbar major curve (p < 0.001). In addition, patients with coronal balance showed better in-brace derotation effects than those with coronal decompensation (p = 0.005). CONCLUSIONS: A satisfactory apical vertebral derotation rate (approximately 50%) could be obtained immediately after bracing in AIS patients. Pre-brace Cobb angle of curve, pre-brace apical vertebral rotation, apical vertebral level and coronal balance exhibited close associations with in-brace derotation effects of apical vertebra.


Asunto(s)
Tirantes , Escoliosis , Humanos , Escoliosis/diagnóstico por imagen , Escoliosis/terapia , Femenino , Adolescente , Masculino , Niño , Rotación , Vértebras Torácicas/diagnóstico por imagen , Vértebras Lumbares/diagnóstico por imagen
2.
J Biomech ; 168: 112129, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38703515

RESUMEN

The thumb carpometacarpal (CMC) joint facilitates multidirectional motion of the thumb and affords prehensile power and precision. Traditional methods of quantifying thumb CMC kinematics have been largely limited to range-of-motion (ROM) measurements in 4 orthogonal primary directions (flexion, extension, abduction, adduction) due to difficulties in capturing multidirectional thumb motion. However, important functional motions (e.g., opposition) consist of combinations of these primary directions, as well as coupled rotations (internal and external rotation) and translations. Our goal was to present a method of quantifying the multidirectional in vitro biomechanics of the thumb CMC joint in 6 degrees-of-freedom. A robotic musculoskeletal simulation system was used to manipulate CMC joints of 10 healthy specimens according to specimen-specific joint coordinate systems calculated from computed tomography bone models. To determine ROM and stiffness (K), the first metacarpal (MC1) was rotated with respect to the trapezium (TPM) to a terminal torque of 1 Nm in the four primary directions and in 20 combinations of these primary directions. ROM and K were also determined in internal and external rotation. We found multidirectional ROM was greatest and K least in directions oblique to the primary directions. We also found external rotation coupling with adduction-flexion and abduction-extension and internal rotation coupling with abduction-flexion and adduction-extension. Additionally, the translation of the proximal MC1 was predominantly radial during adduction and predominantly ulnar during abduction. The findings of this study aid in understanding thumb CMC joint mechanics and contextualize pathological changes for future treatment improvement.


Asunto(s)
Articulaciones Carpometacarpianas , Rango del Movimiento Articular , Pulgar , Humanos , Articulaciones Carpometacarpianas/fisiología , Pulgar/fisiología , Rango del Movimiento Articular/fisiología , Fenómenos Biomecánicos , Masculino , Femenino , Rotación , Modelos Biológicos , Anciano , Persona de Mediana Edad
3.
Sci Rep ; 14(1): 10322, 2024 05 06.
Artículo en Inglés | MEDLINE | ID: mdl-38710745

RESUMEN

Blade cut-out is a common complication when using proximal femoral nail anti-rotation (PFNA) for the treatment of intertrochanteric fractures. Although cement augmentation has been introduced to overcome the cut-out effect, the micromechanics of this approach remain to be clarified. While previous studies have developed finite element (FE) models based on lab-prepared or cadaveric samples to study the cement-trabeculae interface, their demanding nature and inherent disadvantages limit their application. The aim of this study was to develop a novel 'one-step forming' method for creating a cement-trabeculae interface FE model to investigate its micromechanics in relation to PFNA with cement augmentation. A human femoral head was scanned using micro-computed tomography, and four volume of interest (VOI) trabeculae were segmented. The VOI trabeculae were enclosed within a box to represent the encapsulated region of bone cement using ANSYS software. Tetrahedral meshing was performed with Hypermesh software based on Boolean operation. Finally, four cement-trabeculae interface FE models comprising four interdigitated depths and five FE models comprising different volume fraction were established after element removal. The effects of friction contact, frictionless contact, and bond contact properties between the bone and cement were identified. The maximum micromotion and stress in the interdigitated and loading bones were quantified and compared between the pre- and post-augmentation situations. The differences in micromotion and stress with the three contact methods were minimal. Micromotion and stress decreased as the interdigitation depth increased. Stress in the proximal interdigitated bone showed a correlation with the bone volume fraction (R2 = 0.70); both micromotion (R2 = 0.61) and stress (R2 = 0.93) at the most proximal loading region exhibited a similar correlation tendency. When comparing the post- and pre-augmentation situations, micromotion reduction in the interdigitated bone was more effective than stress reduction, particularly near the cement border. The cementation resulted in a significant reduction in micromotion within the loading bone, while the decrease in stress was minimal. Noticeable gradients of displacement and stress reduction can be observed in models with lower bone volume fraction (BV/TV). In summary, cement augmentation is more effective at reducing micromotion rather than stress. Furthermore, the reinforcing impact of bone cement is particularly prominent in cases with a low BV/TV. The utilization of bone cement may contribute to the stabilization of trabecular bone and PFNA primarily by constraining micromotion and partially shielding stress.


Asunto(s)
Cementos para Huesos , Clavos Ortopédicos , Análisis de Elementos Finitos , Fracturas de Cadera , Humanos , Fracturas de Cadera/cirugía , Microtomografía por Rayos X , Fenómenos Biomecánicos , Cabeza Femoral , Rotación
4.
J Orthop Surg Res ; 19(1): 282, 2024 May 06.
Artículo en Inglés | MEDLINE | ID: mdl-38711065

RESUMEN

BACKGROUND: The aim of this study was to compare the effects of four different immobilization methods [single sugar tong splint (SSTS), double sugar tong splint (DSTS), short arm cast (SAC), and long arm cast (LAC)] commonly used for restricting forearm rotation in the upper extremity. METHODS: Forty healthy volunteers were included in the study. Dominant extremities were used for measurements. Basal pronation and supination of the forearm were measured with a custom-made goniometer, and the total rotation arc was calculated without any immobilization. Next, the measurements were repeated with the SAC, LAC, SSTS and DSTS. Each measurement was compared to the baseline value, and the percentage of rotation restriction was calculated. RESULTS: The most superior restriction rates were observed for the LAC (p = 0.00). No statistically significant difference was detected between the SSTS and DSTS in terms of the restriction of supination, pronation or the rotation arc (p values, 1.00, 0.18, and 0.50, respectively). Statistically significant differences were not detected between the SAC and the SSTS in any of the three parameters (p values, 0.25; 1.00; 1.00, respectively). When the SAC and DSTS were compared, while there was no significant difference between the two methods in pronation (p = 0.50), a statistically significant difference was detected in supination (p = 0.01) and in the total rotation arc (p = 0.03). CONCLUSION: The LAC provides superior results in restricting forearm rotation. The SAC and SSTS had similar effects on forearm rotation. The DSTS, which contains, in addition to the SSTS, a sugar tong portion above the elbow, does not provide additional rotational stability.


Asunto(s)
Antebrazo , Inmovilización , Férulas (Fijadores) , Humanos , Masculino , Femenino , Adulto , Rotación , Antebrazo/fisiología , Adulto Joven , Inmovilización/métodos , Supinación/fisiología , Pronación/fisiología , Moldes Quirúrgicos , Voluntarios Sanos , Rango del Movimiento Articular/fisiología
5.
Multisens Res ; 37(2): 163-184, 2024 Apr 24.
Artículo en Inglés | MEDLINE | ID: mdl-38714313

RESUMEN

The current investigation examined whether visual motion without continuous visual displacement could effectively induce self-motion perception (vection). Four-stroke apparent motions (4SAM) were employed in the experiments as visual inducers. The 4SAM pattern contained luminance-defined motion energy equivalent to the real motion pattern, and the participants perceived unidirectional motion according to the motion energy but without displacements (the visual elements flickered on the spot). The experiments revealed that the 4SAM stimulus could effectively induce vection in the horizontal, expanding, or rotational directions, although its strength was significantly weaker than that induced by the real-motion stimulus. This result suggests that visual displacement is not essential, and the luminance-defined motion energy and/or the resulting perceived motion of the visual inducer would be sufficient for inducing visual self-motion perception. Conversely, when the 4SAM and real-motion patterns were presented simultaneously, self-motion perception was mainly determined in accordance with real motion, suggesting that the real-motion stimulus is a predominant determinant of vection. These research outcomes may be worthy of considering the perceptual and neurological mechanisms underlying self-motion perception.


Asunto(s)
Percepción de Movimiento , Estimulación Luminosa , Humanos , Percepción de Movimiento/fisiología , Masculino , Femenino , Adulto , Adulto Joven , Rotación , Percepción Visual/fisiología
6.
Int J Med Robot ; 20(3): e2635, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38733580

RESUMEN

BACKGROUND: Rotational alignment in total knee arthroplasty (TKA) is a crucial technical point that needs attention. We conducted a retrospective study to investigate whether a new robot-assisted TKA (RA-TKA) could improve the accuracy of rotational alignment and whether rotational alignment affects postoperative pain and functional evaluation of the knee. METHODS: A total of 136 consecutive patients who underwent TKA were included in this study. Half of the patients underwent RA-TKA and the other half underwent conventional TKA (CON-TKA) by the same group of surgeons. Collect the relevant parameters. RESULTS: The postoperative femoral rotation angle (FRA) was -0.72 ± 2.59° in the robot-assisted group and 1.13 ± 2.73° in the conventional group, and were statistically significantly different (p < 0.001). CONCLUSION: This study provides preliminary evidence that the RA-TKA provides more precise control of FRA than CON-TKA, and verifies that tibial rotation angle and combined rotation angle affect postoperative knee pain and functional evaluation.


Asunto(s)
Artroplastia de Reemplazo de Rodilla , Fémur , Procedimientos Quirúrgicos Robotizados , Humanos , Artroplastia de Reemplazo de Rodilla/métodos , Procedimientos Quirúrgicos Robotizados/métodos , Estudios Retrospectivos , Femenino , Masculino , Anciano , Persona de Mediana Edad , Rotación , Fémur/cirugía , Articulación de la Rodilla/cirugía , Articulación de la Rodilla/fisiopatología , Rango del Movimiento Articular , Dolor Postoperatorio/prevención & control , Dolor Postoperatorio/etiología , Resultado del Tratamiento
7.
Exp Brain Res ; 242(6): 1469-1479, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38695940

RESUMEN

Ocular torsion and vertical divergence reflect the brain's sensorimotor integration of motion through the vestibulo-ocular reflex (VOR) and the optokinetic reflex (OKR) to roll rotations. Torsion and vergence however express different response patterns depending on several motion variables, but research on their temporal dynamics remains limited. This study investigated the onset times of ocular torsion (OT) and vertical vergence (VV) during visual, vestibular, and visuovestibular motion, as well as their relative decay rates following prolonged optokinetic stimulations. Temporal characteristics were retrieved from three separate investigations where the level of visual clutter and acceleration were controlled. Video eye-tracking was used to retrieve the eye-movement parameters from a total of 41 healthy participants across all trials. Ocular torsion consistently initiated earlier than vertical vergence, particularly evident under intensified visual information density, and higher clutter levels were associated with more balanced decay rates. Additionally, stimulation modality and accelerations affected the onsets of both eye movements, with visuovestibular motion triggering earlier responses compared to vestibular motion, and increased accelerations leading to earlier onsets for both movements. The present study showed that joint visuovestibular responses produced more rapid onsets, indicating a synergetic sensorimotor process. It also showed that visual content acted as a fusional force during the decay period, and imposed greater influence over the torsional onset compared to vergence. Acceleration, by contrast, did not affect the temporal relationship between the two eye movements. Altogether, these findings provide insights into the sensorimotor integration of the vestibulo-ocular and optokinetic reflex arcs.


Asunto(s)
Reflejo Vestibuloocular , Humanos , Adulto , Masculino , Femenino , Reflejo Vestibuloocular/fisiología , Adulto Joven , Rotación , Movimientos Oculares/fisiología , Vestíbulo del Laberinto/fisiología , Percepción de Movimiento/fisiología , Convergencia Ocular/fisiología
8.
Dental Press J Orthod ; 29(2): e2423237, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38775600

RESUMEN

OBJECTIVE: This retrospective study aimed to assess the predictability of Invisalign® aligners regarding rotational, mesio-distal and buccal-lingual tip movements. METHODS: Two materials were included in the analysis - EX30, used until 2013; and SmartTrack, in current use. The study comprised 56 adult patients treated with Invisalign Comprehensive. Data sample were assessed on three sets of digital models; model 1 - initial, model 2 - predicted, and model 3 - achieved. Sixty reference points were marked in each dental arch, and two reference planes assisted the superimposition. The degree of rotation, mesio-distal and buccal-lingual tip was obtained via trigonometric calculations, through a previously published validated method. The accuracy of outcomes was compared according to the types of tooth movement and teeth groups,and the influence of predetermined variables on movement accuracy was also investigated. RESULTS: Rotation and mesio-distal tip did not present any significant difference when comparing EX30 and SmartTrack groups. Only buccal-lingual tip presented a significant difference, incisor and canine groups treated with EX30 aligners presented an increase in accuracy (p= 0.007 and p = 0.007, respectively). For each additional degree planned for rotation movements, there was an increase of 0.35° in the discrepancy, and an increase of 0.40° and 0.41° for mesio-distal and buccal-lingual tip, respectively. EX30 and SmartTrack discrepancies were compared by multilevel linear regression. CONCLUSION: EX30 aligners reached higher accuracy for buccal-lingual tip in anterior teeth. However, for rotation and mesio-distal tip, SmartTrack and EX30 are similarly accurate. The total amount of planned movement has a significant impact on accuracy rates, with a decrease in accuracy for every additional degree.


Asunto(s)
Técnicas de Movimiento Dental , Humanos , Técnicas de Movimiento Dental/instrumentación , Estudios Retrospectivos , Adulto , Rotación , Femenino , Masculino , Diseño de Aparato Ortodóncico , Incisivo , Modelos Dentales , Aparatos Ortodóncicos Removibles , Arco Dental
9.
Nature ; 629(8013): 769-772, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38778233

RESUMEN

The magnetic dynamo cycle of the Sun features a distinct pattern: a propagating region of sunspot emergence appears around 30° latitude and vanishes near the equator every 11 years (ref. 1). Moreover, longitudinal flows called torsional oscillations closely shadow sunspot migration, undoubtedly sharing a common cause2. Contrary to theories suggesting deep origins of these phenomena, helioseismology pinpoints low-latitude torsional oscillations to the outer 5-10% of the Sun, the near-surface shear layer3,4. Within this zone, inwardly increasing differential rotation coupled with a poloidal magnetic field strongly implicates the magneto-rotational instability5,6, prominent in accretion-disk theory and observed in laboratory experiments7. Together, these two facts prompt the general question: whether the solar dynamo is possibly a near-surface instability. Here we report strong affirmative evidence in stark contrast to traditional models8 focusing on the deeper tachocline. Simple analytic estimates show that the near-surface magneto-rotational instability better explains the spatiotemporal scales of the torsional oscillations and inferred subsurface magnetic field amplitudes9. State-of-the-art numerical simulations corroborate these estimates and reproduce hemispherical magnetic current helicity laws10. The dynamo resulting from a well-understood near-surface phenomenon improves prospects for accurate predictions of full magnetic cycles and space weather, affecting the electromagnetic infrastructure of Earth.


Asunto(s)
Campos Magnéticos , Rotación , Modelos Teóricos , Sistema Solar , Medio Ambiente Extraterrestre/química
10.
Int J Mol Sci ; 25(9)2024 Apr 25.
Artículo en Inglés | MEDLINE | ID: mdl-38731902

RESUMEN

Investigation of chiroptical polymers in the solution phase is paramount for designing supramolecular architectures for photonic or biomedical devices. This work is devoted to the case study of poly(propylene oxide) (PPO) optical activity in several solvents: benzonitrile, carbon disulfide, chloroform, ethyl acetate, and p-dioxane. To attain information on the interactions in these systems, rheological testing was undertaken, showing distinct variations of the rheological parameters as a function of the solvent type. These aspects are also reflected in the refractive index dispersive behavior, from which linear and non-linear optical properties are extracted. To determine the circular birefringence and specific rotation of the PPO solutions, the alternative method of the channeled spectra was employed. The spectral data were correlated with the molecular modeling of the PPO structural unit in the selected solvents. Density functional theory (DFT) computational data indicated that the torsional potential energy-related to the O1-C2-C3-O4 dihedral angle from the polymer repeating unit-was hindered in solvation environments characterized by high polarity and the ability to interact via hydrogen bonding. This was in agreement with the optical characterization of the samples, which indicated a lower circular birefringence and specific rotation for the solutions of PPO in ethyl acetate and p-dioxane. Also, the shape of optical rotatory dispersion curves was slightly modified for PPO in these solvents compared with the other ones.


Asunto(s)
Solventes , Solventes/química , Glicoles de Propileno/química , Polipropilenos/química , Polímeros/química , Modelos Moleculares , Rotación , Enlace de Hidrógeno , Reología
11.
Sensors (Basel) ; 24(9)2024 May 02.
Artículo en Inglés | MEDLINE | ID: mdl-38733018

RESUMEN

Traditionally, angle measurements have been performed using a goniometer, but the complex motion of shoulder movement has made these measurements intricate. The angle of rotation of the shoulder is particularly difficult to measure from an upright position because of the complicated base and moving axes. In this study, we attempted to estimate the shoulder joint internal/external rotation angle using the combination of pose estimation artificial intelligence (AI) and a machine learning model. Videos of the right shoulder of 10 healthy volunteers (10 males, mean age 37.7 years, mean height 168.3 cm, mean weight 72.7 kg, mean BMI 25.6) were recorded and processed into 10,608 images. Parameters were created using the coordinates measured from the posture estimation AI, and these were used to train the machine learning model. The measured values from the smartphone's angle device were used as the true values to create a machine learning model. When measuring the parameters at each angle, we compared the performance of the machine learning model using both linear regression and Light GBM. When the pose estimation AI was trained using linear regression, a correlation coefficient of 0.971 was achieved, with a mean absolute error (MAE) of 5.778. When trained with Light GBM, the correlation coefficient was 0.999 and the MAE was 0.945. This method enables the estimation of internal and external rotation angles from a direct-facing position. This approach is considered to be valuable for analyzing motor movements during sports and rehabilitation.


Asunto(s)
Inteligencia Artificial , Aprendizaje Automático , Rango del Movimiento Articular , Articulación del Hombro , Humanos , Masculino , Adulto , Articulación del Hombro/fisiología , Rango del Movimiento Articular/fisiología , Femenino , Rotación , Postura/fisiología , Computadoras de Mano
12.
Artículo en Inglés | MEDLINE | ID: mdl-38758684

RESUMEN

BACKGROUND: The present study aimed to analyze and compare the efficacy of the anterolateral and posterolateral approaches for surgical treatment of supination-external rotation type IV ankle fractures. METHODS: This retrospective study enrolled 60 patients (60 feet) with supination-external rotation type IV ankle fractures, including 30 patients (30 feet) treated by means of the anterolateral approach and 30 patients (30 feet) treated by means of the posterolateral approach. Postoperative clinical efficacy was compared between the groups based on operation time, intraoperative blood loss, postoperative complications, fracture healing time, visual analog scale scores, Short Form-36 Health Survey scores, and American Orthopedic Foot and Ankle Society scores. Comparisons between the two groups were performed using independent-samples t tests and analyses of variance. Intragroup differences were compared using paired t tests, and the χ2 test was used to compare categorical variables. RESULTS: All 60 included patients completed follow-up ranging from 12 to 18 months (mean duration, 14.8 ± 3.5 months). Although baseline characteristics were similar in the two groups, there were significant differences in operation time (86.73 ± 17.44 min versus 111.23 ± 10.05 min; P < .001) and intraoperative blood loss (112.60 ± 25.05 mL versus 149.47 ± 44.30 mL; P < .001). Although fracture healing time (10.90 ± 0.66 weeks versus 11.27 ± 0.94 weeks; P = .087) was shorter in the anterolateral group than in the posterolateral group, the difference was not significant. Postoperative complications occurred in one and three patients in the anterolateral and posterolateral approach groups, respectively. Visual analog scale scores were significantly lower in the anterolateral group than in the posterolateral group (1.43 ± 0.50 versus 1.83 ± 0.75; P = .019), although there was no significant difference in Short Form-36 Health Survey scores between the groups (73.63 ± 4.07 versus 72.70 ± 4.04; P = .377). However, American Orthopedic Foot and Ankle Society scores were higher in the anterolateral group than in the posterolateral group (80.43 ± 4.32 versus 75.43 ± 11.32; P = .030). CONCLUSIONS: Both the anterolateral and posterolateral approaches can achieve good results in the treatment of supination-external rotation type IV ankle fractures. Compared with the posterolateral approach, the anterolateral approach is advantageous for the treatment of supination-external rotation type IV ankle fractures given its safety and ability to reduce trauma, clear field of view revealed, and allow for exploration and repair of the inferior tibiofibular anterior syndesmosis within the same incision.


Asunto(s)
Fracturas de Tobillo , Fijación Interna de Fracturas , Supinación , Humanos , Masculino , Femenino , Estudios Retrospectivos , Fijación Interna de Fracturas/métodos , Fracturas de Tobillo/cirugía , Persona de Mediana Edad , Adulto , Reducción Abierta/métodos , Resultado del Tratamiento , Curación de Fractura/fisiología , Tempo Operativo , Rango del Movimiento Articular , Rotación
13.
Sci Rep ; 14(1): 11348, 2024 05 18.
Artículo en Inglés | MEDLINE | ID: mdl-38762583

RESUMEN

Clear aligners are employed daily for the treatment of several malocclusions. Previous clinical studies indicated low accuracy for the correction of tooth rotations. The aim of this study was to evaluate the predictability of tooth rotations with clear aligners. The sample comprised 390 teeth (190 mandibular; 200 maxillary), measured from the virtual models of 45 participants (21 men, 24 women; mean age: 29.2 ± 6.6 years old). For each patient, pre-treatment (T0) digital dental models (STL files), virtual plan (T1) and post-treatment digital dental models (T2) of both the mandibular and maxillary arches were imported onto Geomagic Control X, a 3D metrology software which allows angular measurements. Rotations were calculated by defining reproducible vectors for all teeth in each STL file and superimposing both T0 with T1 to determine the prescribed rotation, and T0 with T2 to determine the achieved rotation. Prescribed and achieved rotations were compared to assess movement's accuracy. The Wilcoxon signed-rank test and paired t-test were used to assess differences between the prescribed and achieved movements (P < 0.05). The overall predictability of rotational movement was 78.6% for the mandibular arch and 75.0% for the maxillary arch. Second molar accuracy was the lowest in both arches. Clear aligners were not able to achieve 100% of the planned movements.


Asunto(s)
Maloclusión , Humanos , Femenino , Masculino , Adulto , Maloclusión/terapia , Técnicas de Movimiento Dental/instrumentación , Técnicas de Movimiento Dental/métodos , Maxilar , Rotación , Mandíbula , Adulto Joven , Modelos Dentales
14.
J Bodyw Mov Ther ; 38: 47-53, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38763595

RESUMEN

INTRODUCTION: Low back pain (LBP) is an economic and physically disabling burden on individuals and society. With 70% of cases classed as non-specific, there is a need for further research into the causes and consequences associated. The involvement of postural balance in musculoskeletal conditions is gaining increasing interest in research and health practice. However, there is a lack of literature surrounding LBP and posture in distal segments of the body. OBJECTIVE: The current study investigated scapula positioning in those with non-specific LBP. METHODS: Scapula angle of rotation, scapula protraction, and scapula elevation were assessed in nine participants with chronic non-specific LBP and compared with that of nine asymptomatic controls (aged 18-60 years). The degree of pelvic tilt was assessed across both groups as a secondary outcome measure. RESULTS: No difference was identified between the two sample groups for scapula angle of rotation (p = 0.707), protraction (p = 0.755), or elevation (p = 0.691). Anterior pelvic tilt was greater in those with LBP (p = 0.046), supporting previous literature. CONCLUSION: The findings for the scapula position are novel, given that research in this field is limited. It is concluded that there is no change in scapula positioning in those with non-specific LBP, but there is an increased anterior pelvic tilt.


Asunto(s)
Dolor de la Región Lumbar , Escápula , Humanos , Dolor de la Región Lumbar/fisiopatología , Escápula/fisiopatología , Escápula/fisiología , Adulto , Masculino , Femenino , Persona de Mediana Edad , Adulto Joven , Adolescente , Postura/fisiología , Rotación , Equilibrio Postural/fisiología , Fenómenos Biomecánicos
15.
J Bodyw Mov Ther ; 38: 520-524, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38763602

RESUMEN

BACKGROUND: Asymmetries and poor Y balance test (YBT) performance are associated with an increased risk of injuries in athletes. The aim of this study was to investigate the association between YBT performance with biomechanical variables in runners. METHODS: The runners underwent the YBT, followed by the assessment of center of pressure, plank position, muscle strength (MS) of hip flexors, extensors, abductors, and external rotators, knee extensors, ankle dorsiflexion range of motion (ROM), Q angle, forefoot alignment, and passive hip internal rotation. Associations between variables were examined using multiple linear regression models with the Bayesian Information Criterion. RESULTS: 122 cases were analyzed. The R2 values were 0.38; 0.05; 0.06; and 0.15 for the anterior, posteromedial, posterolateral and composite directions models, respectively. The anterior reach in the YBT was associated with ankle dorsiflexion ROM [Sß 95%IC: 0.43 (0.32-0.55)], passive hip internal rotation [Sß 95%IC: 0.35 (0.24-0.47)], MS of the hip extensors [Sß 95%IC: 0.19 (0.07-0.31)] and forefoot alignment [Sß 95%IC: 0.14 (-0.25-0.02)]. The posteromedial and posterolateral reach were associated with MS of the hip flexors [Sß 95%IC: 0.23 (0.09-0.37) and 0.24 (0.11-0.38)], respectively. The composite score was associated with MS of the hip flexors [Sß 95%IC: 0.31 (0.18-0.45)], ankle dorsiflexion ROM [Sß 95%IC: 0.24 (0.10-0.37)] and Q angle [Sß 95%IC: 0.18 (0.04-0.31)]. CONCLUSION: YBT performance in different directions demonstrated specific associations with key biomechanical factors.


Asunto(s)
Fuerza Muscular , Equilibrio Postural , Rango del Movimiento Articular , Carrera , Humanos , Fenómenos Biomecánicos/fisiología , Carrera/fisiología , Masculino , Rango del Movimiento Articular/fisiología , Adulto , Femenino , Equilibrio Postural/fisiología , Fuerza Muscular/fisiología , Articulación del Tobillo/fisiología , Adulto Joven , Articulación de la Cadera/fisiología , Músculo Esquelético/fisiología , Estudios Transversales , Persona de Mediana Edad , Rotación
16.
Psychol Sci ; 35(5): 504-516, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38564652

RESUMEN

Motion silencing is a striking and unexplained visual illusion wherein changes that are otherwise salient become difficult to perceive when the changing elements also move. We develop a new method for quantifying illusion strength (Experiments 1a and 1b), and we demonstrate a privileged role for rotational motion on illusion strength compared with highly controlled stimuli that lack rotation (Experiments 2a to 3b). These contrasts make it difficult to explain the illusion in terms of lower-level detection limits. Instead, we explain the illusion as a failure to attribute changes to locations. Rotation exacerbates the illusion because its perception relies upon structured object representations. This aggravates the difficulty of attributing changes by demanding that locations are referenced relative to both an object-internal frame and an external frame. Two final experiments (4a and 4b) add support to this account by employing a synchronously rotating external frame of reference that diminishes otherwise strong motion silencing. All participants were Johns Hopkins University undergraduates.


Asunto(s)
Percepción de Movimiento , Humanos , Percepción de Movimiento/fisiología , Adulto , Femenino , Masculino , Adulto Joven , Ilusiones Ópticas/fisiología , Rotación
17.
J Sport Rehabil ; 33(4): 282-288, 2024 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-38593993

RESUMEN

CONTEXT: Piriformis syndrome is often associated with muscle spasms and shortening of the piriformis muscle (PM). Physical therapy, including static stretching of the PM, is one of the treatments for this syndrome. However, the effective stretching position of the PM is unclear in vivo. This study aimed to determine the effective stretching positions of the PM using ultrasonic shear wave elastography. DESIGN: Observational study. METHODS: Twenty-one healthy young men (22.7 [2.4] y) participated in this study. The shear elastic modulus of the PM was measured at 12 stretching positions using shear wave elastography. Three of the 12 positions were tested with maximum internal rotation at 0°, 20°, or 40° hip adduction in 90° hip flexion. Nine of the 12 positions were tested with maximum external rotation at positions combined with 3 hip-flexion angles (70°, 90°, and 110°) and 3 hip-adduction angles (0°, 20°, and 40°). RESULTS: The shear elastic modulus of the PM was significantly higher in the order of 40°, 20°, and 0° of adduction and higher in external rotation than in internal rotation. The shear elastic modulus of the PM was significantly greater in combined 110° hip flexion and 40° adduction with maximum external rotation than in all other positions. CONCLUSION: This study revealed that the position in which the PM was most stretched was maximum external rotation with 110° hip flexion and 40° hip adduction.


Asunto(s)
Diagnóstico por Imagen de Elasticidad , Ejercicios de Estiramiento Muscular , Músculo Esquelético , Humanos , Masculino , Adulto Joven , Ejercicios de Estiramiento Muscular/fisiología , Músculo Esquelético/fisiología , Músculo Esquelético/diagnóstico por imagen , Rango del Movimiento Articular/fisiología , Módulo de Elasticidad/fisiología , Adulto , Rotación , Articulación de la Cadera/fisiología , Articulación de la Cadera/diagnóstico por imagen , Síndrome del Músculo Piriforme/fisiopatología , Síndrome del Músculo Piriforme/terapia , Síndrome del Músculo Piriforme/diagnóstico por imagen
18.
Sci Data ; 11(1): 433, 2024 Apr 27.
Artículo en Inglés | MEDLINE | ID: mdl-38678019

RESUMEN

Wearable sensors have recently been extensively used in sports science, physical rehabilitation, and industry providing feedback on physical fatigue. Information obtained from wearable sensors can be analyzed by predictive analytics methods, such as machine learning algorithms, to determine fatigue during shoulder joint movements, which have complex biomechanics. The presented dataset aims to provide data collected via wearable sensors during a fatigue protocol involving dynamic shoulder internal rotation (IR) and external rotation (ER) movements. Thirty-four healthy subjects performed shoulder IR and ER movements with different percentages of maximal voluntary isometric contraction (MVIC) force until they reached the maximal exertion. The dataset includes demographic information, anthropometric measurements, MVIC force measurements, and digital data captured via surface electromyography, inertial measurement unit, and photoplethysmography, as well as self-reported assessments using the Borg rating scale of perceived exertion and the Karolinska sleepiness scale. This comprehensive dataset provides valuable insights into physical fatigue assessment, allowing the development of fatigue detection/prediction algorithms and the study of human biomechanical characteristics during shoulder movements within a fatigue protocol.


Asunto(s)
Fatiga Muscular , Hombro , Adulto , Femenino , Humanos , Masculino , Adulto Joven , Fenómenos Biomecánicos , Electromiografía , Contracción Isométrica , Movimiento , Rotación , Hombro/fisiología , Dispositivos Electrónicos Vestibles
19.
Exp Brain Res ; 242(6): 1455-1467, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38676725

RESUMEN

We explored how body movements influence illusory body motion intensity and their association with motion sickness. Twelve individuals who were seated in the back of a passenger car, performed a visual task and were subjected to continuous rotations followed by driving in a straight line. The body movements during and immediately after rotation were categorized as follows: (A) upright posture; (B) leaning the body in the yaw direction towards the rotation center, returning the yaw angle to zero upon transitioning to straight line travel, and tilting in the roll condition and gradually returning to upright; and (C) tilting in roll conditions towards the centripetal direction during rotation and becoming upright upon transitioning to straight line travel. In experiment-1, after spanning half a lap, participants reported the intensity of the illusory motion experienced during straight line travel immediately after rotation. In experiment-2, after travelling up to eight laps, the participants reported the symptom level of motion sickness experienced during two straight sections per lap using the MIsery SCale (MISC). Experiment-1 revealed that condition (C) had significantly larger illusions than Conditions (A) and (B). Experiment-2 revealed that motion sickness progressed significantly more in Condition (C) than in Condition (A). A significant positive correlation was found between the observed MISC and the illusion strength. Our findings suggest that body movements during and immediately after continuous rotation have a significant impact on the illusion strength. Additionally, illusory motion could serve as an indicator of impending motion sickness.


Asunto(s)
Ilusiones , Percepción de Movimiento , Mareo por Movimiento , Humanos , Mareo por Movimiento/fisiopatología , Masculino , Femenino , Rotación , Adulto , Ilusiones/fisiología , Adulto Joven , Percepción de Movimiento/fisiología , Movimiento/fisiología , Conducción de Automóvil , Postura/fisiología
20.
Conscious Cogn ; 121: 103694, 2024 05.
Artículo en Inglés | MEDLINE | ID: mdl-38657474

RESUMEN

Mental rotation tasks are frequently used as standard measures of mental imagery. However, aphantasia research has brought such use into question. Here, we assessed a large group of individuals who lack visual imagery (aphantasia) on two mental rotation tasks: a three-dimensional block-shape, and a human manikin rotation task. In both tasks, those with aphantasia had slower, but more accurate responses than controls. Both groups demonstrated classic linear increases in response time and error-rate as functions of angular disparity. In the three-dimensional block-shape rotation task, a within-group speed-accuracy trade-off was found in controls, whereas faster individuals in the aphantasia group were also more accurate. Control participants generally favoured using object-based mental rotation strategies, whereas those with aphantasia favoured analytic strategies. These results suggest that visual imagery is not crucial for successful performance in classical mental rotation tasks, as alternative strategies can be effectively utilised in the absence of holistic mental representations.


Asunto(s)
Imaginación , Humanos , Imaginación/fisiología , Masculino , Adulto , Femenino , Desempeño Psicomotor/fisiología , Adulto Joven , Percepción Espacial/fisiología , Rotación , Persona de Mediana Edad , Reconocimiento Visual de Modelos/fisiología , Tiempo de Reacción/fisiología
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