Oxidative Stress Experienced during Early Development Influences the Offspring Phenotype.

AbstractOxidative stress (OS) experienced early in life can affect an individual's phenotype. However, its consequences for the next generation remain largely unexplored. We manipulated the OS level endured by zebra finches (Taeniopygia guttata) during their development by transitorily inhibiting the synthesis of the key antioxidant glutathione ("early-high-OS"). The offspring of these birds and control parents were cross fostered at hatching to enlarge or reduce its brood size. Independent of parents' early-life OS levels, the chicks raised in enlarged broods showed lower erythrocyte glutathione levels, revealing glutathione sensitivity to environmental conditions. Control biological mothers produced females, not males, that attained a higher body mass when raised in a benign environment (i.e., the reduced brood). In contrast, biological mothers exposed to early-life OS produced heavier males, not females, when allocated in reduced broods. Early-life OS also affected the parental rearing capacity because 12-day-old nestlings raised by a foster pair with both early-high-OS members grew shorter legs (tarsus) than chicks from other groups. The results indicate that environmental conditions during development can affect early glutathione levels, which may in turn influence the next generation through both pre- and postnatal parental effects. The results also demonstrate that early-life OS can constrain the offspring phenotype.

Local knee heating increases spinal and supraspinal excitability and enhances plantar flexion and dorsiflexion torque production of the ankle in older adults.

PURPOSE: Aging is associated with progressive loss of active muscle mass and consequent decreases in resting metabolic rate and body temperature, and slowing of nerve conduction velocities and muscle contractility. These effectors compromise the ability of the elderly to maintain an upright posture during sudden balance perturbation, increase the risk of falls, and lead to self-imposed reduction in physical activity. Short-term superficial acute heating can modulate the neural drive transmission to exercising muscles without any marked change in deep-muscle temperature. METHODS: To determine whether the short-term (5 min) application of local passive knee-surface heating (next-to-skin temperature, ~ 44 °C) in healthy older subjects of both sexes (64-74 years; eight men/eight women) enhances reflex excitability, we compared the voluntarily and electrically induced ankle muscle torque production and contractile properties with those of healthy younger subjects of both sexes (21-35 years, 10 men/10 women). RESULTS: The application of local heating (vs. control) increased the maximal Hoffman reflex (Hmax), the maximal volitional wave (Vsup) amplitude, and the Hmax/Mmax amplitude ratio, and decreased Vsup latency only in older adults. In the older adults (vs. younger adults), the application of local heating (vs. control trial) was accompanied by a significant increase in maximal voluntary peak torque, rate of torque development, and isokinetic peak torque of plantar flexion/dorsiflexion muscle contraction. CONCLUSION: The spinal and supraspinal reflex excitability of older adults increased during local knee-heating application. The improved motor drive transmission observed in older adults was accompanied by increased voluntarily induced torque production of the ankle muscles during isometric/isokinetic contractions.

Exercise-stimulated arterial transit time in calf muscles measured by dynamic contrast-enhanced magnetic resonance imaging.

The primary goal of this study was to evaluate arterial transit time (ATT) in exercise-stimulated calf muscles as a promising indicator of muscle function. Following plantar flexion, ATT was measured by dynamic contrast-enhanced (DCE) MRI in young and elderly healthy subjects and patients with peripheral artery disease (PAD). In the young healthy subjects, gastrocnemius ATT decreased significantly (P < 0.01) from 4.3 ± 1.5 to 2.4 ± 0.4 sec when exercise load increased from 4 lbs to 16 lbs. For the same load of 4 lbs, gastrocnemius ATT was lower in the elderly healthy subjects (3.2 ± 1.1 sec; P = 0.08) and in the PAD patients (2.4 ± 1.2 sec; P = 0.02) than in the young healthy subjects. While the sensitivity of the exercise-stimulated ATT is diagnostically useful, it poses a challenge for arterial spin labeling (ASL), a noncontrast MRI method for measuring muscle perfusion. As a secondary goal of this study, we assessed the impact of ATT on ASL-measured perfusion with ASL data of multiple post labeling delays (PLDs) acquired from a healthy subject. Perfusion varied substantially with PLD in the activated gastrocnemius, which can be attributed to the ATT variability as verified by a simulation. In conclusion, muscle ATT is sensitive to exercise intensity, and it potentially reflects the functional impact of aging and PAD on calf muscles. For precise measurement of exercise-stimulated muscle perfusion, it is recommended that ATT be considered when quantifying muscle ASL data.

Ankle muscle activity modulation during single-leg stance differs between children, young adults and seniors.

PURPOSE: Incomplete maturation and aging-induced declines of the neuromuscular system affect postural control both in children and older adults and lead to high fall rates. Age-specific comparisons of the modulation of ankle muscle activation and behavioral center of pressure (COP) indices during upright stance have been rarely conducted. The objective of the present study was to quantify aging effects on a neuromuscular level. Thus, surface electromyography (SEMG) modulation and co-activity of ankle muscles during single-leg standing was compared in healthy children, young adults and seniors. METHODS: Postural steadiness (velocity and mean sway frequency of COP), relative muscle activation (SEMG modulation) and co-activation of two ankle muscles (tibialis anterior, TA; soleus, SO) were examined during single-leg stance in 19 children [age, 9.7 (SD 0.5) years], 30 adults [23.3 (1.5) years] and 29 seniors [62.7 (6.1) years]. RESULTS: Velocity of COP in medio-lateral and anterior-posterior directions, mean sway frequency in anterior-posterior direction, relative muscle activation (TA and SO) and co-activation revealed large age effects (P < 0.003, η p2 > 0.14). Post-hoc comparisons indicated higher COP velocities, anterior-posterior frequencies, relative SO activation and co-activation in children and seniors when compared with adults. Relative TA activation was higher in children and adults compared with seniors (P < 0.001). CONCLUSIONS: Increased postural sway in children and seniors seems to be counteracted with higher TA/SO co-activity and SO modulation. However, TA modulation is higher in children and adults, whereas seniors' TA modulation capacity is diminished. An aging-induced decline of TA motor units might account for deteriorations of TA modulation in seniors.

Do Skin Perforator Flaps Accommodate Foot Growth in Children after Reconstruction?

Backgrounds Whether or not the flap accommodates growth is unpredictable and remains to be determined. We hypothesized that perforator flaps may accommodate growth after reconstruction in children and evaluated change of the flap after foot and ankle reconstruction. Methods A retrospective review of 28 children from 2003 to 2015 was performed with children under 14 years of age who had foot and ankle soft tissue defects. The following evaluations were made: (1) comparing flap to foot growth, (2) comparing flap/foot dimension using the photo-anthropometric technique defined as proportionality index (PI), and (3) comparing PI ratio of flap to foot area at intervals (ΔPI). All values were measured and statistically evaluated by Pearson's correlation analysis and paired t-test. Subsequent complications and functional results were also evaluated. Result Foot and flap after growth had positive correlation in Pearson's correlation analysis, showing the flap expands as the foot grows. The mean intraoperative and postoperative PI was 0.3 and 0.2475, respectively, with statistical significance (ΔPI; p < 0.01). However, no patient had growth disturbance or functional impairment. There was no correlation between ΔPI and motor power grade or between ΔPI and range of motion (p > 0.01). Conclusion The skin perforator flap significantly expands during growth after reconstruction. Although the expansion of the flap to foot may not be a one-to-one ratio, it expands enough not to impair the growth or functional outcome of the foot. Skin perforator flap showed growth as children grow and can be considered as a reliable and feasible option in pediatric reconstructive surgery.

Adaptation of multijoint coordination during standing balance in healthy young and healthy old individuals.

Standing balance requires multijoint coordination between the ankles and hips. We investigated how humans adapt their multijoint coordination to adjust to various conditions and whether the adaptation differed between healthy young participants and healthy elderly. Balance was disturbed by push/pull rods, applying two continuous and independent force disturbances at the level of the hip and between the shoulder blades. In addition, external force fields were applied, represented by an external stiffness at the hip, either stabilizing or destabilizing the participants' balance. Multivariate closed-loop system-identification techniques were used to describe the neuromuscular control mechanisms by quantifying the corrective joint torques as a response to body sway, represented by frequency response functions (FRFs). Model fits on the FRFs resulted in an estimation of time delays, intrinsic stiffness, reflexive stiffness, and reflexive damping of both the ankle and hip joint. The elderly generated similar corrective joint torques but had reduced body sway compared with the young participants, corresponding to the increased FRF magnitude with age. When a stabilizing or destabilizing external force field was applied at the hip, both young and elderly participants adapted their multijoint coordination by lowering or respectively increasing their neuromuscular control actions around the ankles, expressed in a change of FRF magnitude. However, the elderly adapted less compared with the young participants. Model fits on the FRFs showed that elderly had higher intrinsic and reflexive stiffness of the ankle, together with higher time delays of the hip. Furthermore, the elderly adapted their reflexive stiffness around the ankle joint less compared with young participants. These results imply that elderly were stiffer and were less able to adapt to external force fields.

Neuromuscular control of goal-directed ankle movements differs for healthy children and adults.

PURPOSE: The purpose was to compare neuromuscular control of rapid ankle goal-directed movements in healthy preadolescent children and young adults. METHODS: Ten young adults (20.0 ± 0.9 years) and ten children (9.5 ± 0.7 years) attempted to accurately match the peak displacement of the foot to a spatiotemporal target with an ankle dorsiflexion movement. The targeted displacement was 9° of ankle dorsiflexion, and the targeted time was 180 ms. Surface electromyograms (EMGs) were recorded from the tibialis anterior (TA; agonist) and soleus (SOL; antagonist) muscles. Ankle movement control was quantified with endpoint accuracy and variability. The activation of the involved muscles was quantified with an EMG burst analysis. RESULTS: Children exhibited decreased endpoint accuracy and control compared with young adults, as indicated by greater endpoint errors (47.6 ± 15.2 vs. 25.8 ± 9.0%) and position variability (29.5 ± 5.7 vs. 15.2 ± 6.1 %). In addition, children exhibited differences in muscle activation, as evidenced by greater TA (53.2 ± 19.1 vs. 33.0 ± 19.0%) and SOL (19.9 ± 12.0 vs. 9.6 ± 5.4%) amplitudes of EMG burst, shorter TA duration (251.3 ± 43.6 vs. 296.1 ± 27.6%), and greater variability in the activation of these muscles. The endpoint error (R (2) = 0.7) and position variability (R (2) = 0.67) were predicted from the TA burst amplitude variability and TA burst duration. CONCLUSION: The differences in muscle activation and deficient control of rapid goal-directed ankle movements exhibited by children are likely due to their incomplete development of higher centers.

Factors associated with foot and ankle strength in healthy preschool-age children and age-matched cases of Charcot-Marie-Tooth disease type 1A.

Charcot-Marie-Tooth disease affects foot and ankle strength from the earliest stages of the disease; however, little is known about factors influencing normal strength development or the pathogenesis of foot weakness and deformity in Charcot-Marie-Tooth disease. The authors investigated factors associated with foot and ankle strength in healthy preschool-age children and compared to age-matched cases of Charcot-Marie-Tooth disease type 1A. In healthy children, ankle dorsiflexion range of motion was one of the strongest independent correlates of foot and ankle strength. Compared with healthy children, those with Charcot-Marie-Tooth disease type 1A had significantly less dorsiflexion strength and range as well as imbalance in inversion-to-eversion and plantarflexion-to-dorsiflexion strength ratios. Given the association between ankle dorsiflexion strength and range in the healthy children, and the abnormality of these parameters in Charcot-Marie-Tooth disease, investigation of the cause-effect relationship is warranted to identify more targeted therapy and further understand the pathogenesis of foot deformity in Charcot-Marie-Tooth disease.

Intraobserver reliability of static measures in the normally developing infant foot and clubfoot.

Static measures data for infants are used in clinical practice and studies without published reliabilities. Intraobserver reliabilities for static measures were assessed in normally developing feet and clubfeet. Coefficient of repeatability was used for reliability. Variability in reliability was found. Ankle dorsiflexion, calf circumference and foot length were considered to be reliable in both groups. Foot width was considered unreliable and reliability for ankle plantarflexion knee flexed or extended does not seem to justify its use clinically. These results suggest that ankle dorsiflexion, calf circumference and foot length are reliable measures in infants and can be used for study conclusions and clinical decisions.

Common injuries of the foot and ankle in the child and adolescent athlete.

A myriad problems in the foot and ankle are specific to child and adolescent athletes. The anatomy of young athletes with respect to the presence of a growth plate makes their injury patterns different from those seen in adults. The main general injury patterns seen in the feet and ankles of children are related to growth and development or occur from overuse syndromes or acute trauma. In this article we outline in an anatomically oriented manner most of the common problems in this population.

Quantitative genetics of ontogeny of sexual dimorphism in red junglefowl (Gallus gallus).

We studied phenotypic patterns and underlying quantitative genetics of development of sexual size dimorphism in red junglefowl (Gallus gallus). Using a multigenerational pedigree and the 'animal model' technique, we found significant heritability for many of the size and growth-related traits we examined, as well as significant genetic correlations among them. Despite sexual size dimorphism throughout posthatching ontogeny, the genetic correlation between males and females for all size measurements and growth parameters remained high. Significant positive phenotypic and genetic correlations between the fastest rate of growth and mass at week 26 (near asymptote) indicate that faster growth when young promotes larger adult size. However, age at which peak growth is reached does not appear to be phenotypically or genetically correlated with adult size. Positive genetic correlations within traits among ages were common, demonstrating that the genetic variance important to growth is relatively consistent among ages. However, male mass and tarsus length showed no genetic correlation between week 0 values and those from later ages. The body size traits of mass and tarsus length were genetically correlated with each other in females, but this pattern was not significant in males. Thus, despite striking sexual dimorphism in size and growth trajectories, size dimorphic traits in junglefowl show, with some exceptions, genetic integration between the sexes, among ages, and between traits.

Experimental removal of the male parent negatively affects growth and immunocompetence in nestling great tits.

Given the available empirical evidence on the benefits and costs associated with immune defence, a role for the immune system in the trade-off between current and future reproduction has been predicted. This hypothesis was studied in a free-living population of great tits (Parus major) by examining the effects of male removal on the immunocompetence, body condition, and recapture probability in the widowed females and their nestlings. Furthermore, we investigated whether growth and its relation to immunocompetence were affected in the nestlings. For a short-lived species such as the great tit, one could predict that widowed females will compensate for the lack of any male assistance in feeding of their chicks and that they consequently might jeopardize their own health. However, we did not find any negative effects of male removal on body mass or condition, nor on humoral immunocompetence against sheep red blood cells in the widowed females by the end of the feeding period. In contrast, we observed significantly reduced body mass and size as well as a reduced T-lymphocyte cell-mediated immune response (expressed as the thickness of the swelling to a subcutaneous injection with phytohemagglutinin) in the experimental nestlings compared to the control nestlings. In addition, the experimental nestlings showed a tendency for a reduced chance to be found breeding the following year. Furthermore, our results showed that in the experimental nestlings, which suffered from unfavourable growth conditions, tarsus length was inversely related to cell-mediated immunocompetence, whereas in control nestlings this relationship was significantly positive. The relationship between cell-mediated immunity and body condition was found to be significantly positive in the experimental nestlings while in control nestlings there was no relationship between both variables. The latter finding suggests different priorities of investment in body condition between different growth conditions.

The effect of aging on dynamic position sense at the ankle.

The present study addressed whether dynamic position sense at the ankle--or sense of position and velocity during movement--shows a similar decline as a result of aging as previously described for static position sense and movement detection threshold. Additionally, the involvement of muscle spindle afferents in the possible age-related decline was studied. To assess dynamic position sense, blindfolded subjects had to open the hand briskly when the right ankle was rotating passively through a prescribed target angle. To assess the involvement of muscle spindles, the effect of tibialis anterior vibration was studied. The results showed that aging lead to a significant increase in deviation from the target angle at hand opening as well as in variability of performance. Vibration resulted in larger undershoot errors in the elderly compared to the young adults, suggesting that the age-related decline in performance on the dynamic position sense task is not (solely) due to muscle spindle function changes. Alternatively, this degeneration might be due to altered input from other sources of proprioceptive input, such as skin receptors. The elderly subjects did show a beneficial effect of practice with the task, which may provide solid fundaments for rehabilitation.

Normal limits of knee angle in white children--genu varum and genu valgum.

Knee angle and intermalleolar (IM) or intercondylar (IC) distance were measured in 196 white children aged 6 months to 11 years to establish normal limits of tibiofemoral angle. Children were maximally bowlegged at age 6 months and progressed toward approximately neutral knee angles (0 degree) by age 18 months. Greatest mean knock knee of 8 degrees was observed at age 4 years, followed by a gradual decrease to a mean of < 6 degrees at 11 years. Normal children aged 2-11 years had knock knee up to 12 degrees and intermalleolar distance up to 8 cm; the existence of bowlegs after age 2 years was abnormal.

Prenatal and postnatal growth and development of the foot and ankle.

The intent of this article is to present a detailed overview of the normal prenatal and postnatal development and growth of the lower limb with special emphasis on the ankle-foot complex. The effects of physiologic load and its components of duration, timing, and direction are discussed. The results of abnormal amount, timing, duration, or direction of load on the prenatal and postnatal human are discussed with examples of foot deformity provided for clarification. Principles of therapeutic force application for the reversal of deformity are formulated.