Objective Methods of Muscle Tone Diagnosis and Their Application-A Critical Review.

"Muscle tone" is a clinically important and widely used term and palpation is a crucial skill for its diagnosis. However, the term is defined rather vaguely, and palpation is not measurable objectively. Therefore, several methods have been developed to measure muscle tone objectively, in terms of biomechanical properties of the muscle. This article aims to summarize these approaches. Through database searches, we identified those studies related to objective muscle tone measurement in vivo, in situ. Based on them, we described existing methods and devices and compared their reliability. Furthermore, we presented an extensive list of the use of these methods in different fields of research. Although it is believed by some authors that palpation cannot be replaced by a mechanical device, several methods have already proved their utility in muscle biomechanical property diagnosis. There appear to be two issues preventing wider usage of these objective methods in clinical practice. Firstly, a high variability of their reliability, and secondly, a lack of valid mathematical models that would provide the observed mechanical characteristics with a clear physical significance and allow the results to be compared with each other.

Selected biomechanical aspects of the asymmetrical loading of the human postural system when riding the C1 speed canoe and their influence on the development of muscular imbalances.

OBJECTIVES: The main aim of this study was to analyse selected biomechanical aspects of the asymmetrical loading of the human postural system when riding the C1 speed canoe and their influence on the development of muscular imbalances. METHODS: 3D kinematic analysis of a simulated forward stroke of the canoeist in a pool with a counter-current (N = 9) and analysis of MRI data with selected individuals (N = 5), videoanalysis of actual paddling top athletes (N = 12), the kinesiological analysis of movement. RESULTS: Can be stated that when riding a C1 speed canoe the postural system is exposed to two types of asymmetric loading. In the first place, there is lateral asymmetry, which stems from the very nature of the one-sided paddling on this type of vessel. The canoeist has to compensate for the consequent instability by shifting the body's centre of gravity higher above the kneeling lower limb. This effect is achieved by the so-called pelvic lateralisation from the paddling side and by this side's skewing to the kneeling lower limb. Another asymmetry is connected to the forward-backward body movement and its time-dependent deviation from the neutral posture. A significant disproportion between generally fixation movements of the lower part of the body and phasic movements of the upper part of the body has been confirmed. These asymmetrical positions result in a significant unilateral overloading of the quadratus lumborum on the side of the supporting lower limb (side without the paddle), as well as an overloading of the spine straighteners in the lumbar area, in particular on the part of a supporting lower limb, and bilateral yet asymmetric overloading of m. iliopsoas, which in addition takes place in different isometries. The analysis of MRI data indicates that, during longitudinal training, lateral disproportion in the volume and intensity of postural system loading is the cause of different cross sections of the iliopsoas muscle and quadratus lumborum muscle on the side of the kneeling and supporting lower limbs. With both muscles, larger cross sections with a statistical significance level α = 0.05 and thus also strength on the side of the supporting lower limb can be expected. CONCLUSION: When canoeing on the C1, a significant unilateral overloading occurs with m. quadratus lumborum on the part of the supporting lower limb (side without paddle). Furthermore, spine straighteners in the lumbar area are overloaded, in particular in the part of the supporting lower limb. Last but not least however, the bilateral asymmetric overloading of m. iliopsoas occurs.

Effect of Robot-Assisted Gait Training on Selective Voluntary Motor Control in Ambulatory Children with Cerebral Palsy.

This pilot study investigated the efficacy of a four week robot-assisted gait training in twelve children with spastic diparesis. Short-term results and a 3-month follow-up showed statistically significantly increased selective motor control, walking farther distances, gross motor score, and decreased joint contractures.

Effect of Robot-Assisted Gait Training on Selective Voluntary Motor Control in Ambulatory Children with Cerebral Palsy.

This pilot study investigated the efficacy of a four week robot-assisted gait training in twelve childrenwith spastic diparesis. Short-term results and a 3-month follow-up showed statistically significantly increased selective motor control, walking farther distances, gross motor score, and decreased joint contractures.

Ergonomic suitability of kitchen furniture regarding height accessibility.

It is possible to significantly ease kitchen chores with properly sized and appropriately arranged cupboards. In designing kitchen furniture and the optimal depth and the height of storage capacities, accessibility should be taken into consideration. It is known that the optimal storage zone is between 800 and 1100 mm and that there is reduced visibility and accessibility at the level between 1400 and 1700 mm, which is even more prominent for the elderly. This suggests that wall cabinets are not recommended for the elderly. The aim of this study was to determine to what extent kitchens manufactured by Slovenian furniture manufacturers are suitable for users of different age groups with regard to the accessibility of goods stored in the cupboards. Furthermore, based on the measurement analysis, recommendations are provided for designing kitchen furniture that would meet the needs of the elderly. The study, carried out using a computer simulation model, analyzed the products of three Slovenian kitchen manufacturers. The cross section of accessibility in the wall cabinets was determined for different age groups of men and women. The results show that the efficacy of the volume in wall cabinets higher than 600 mm, in comparison to places where objects are easily reachable, is 30% lower for women, thus indicating the inefficiency of storage space in wall cabinets. In terms of accessibility, existing kitchens are not optimal for the elderly, and a model with a deeper worktop and wall cabinets lowered onto the worktop is proposed. Accessibility in such wall cabinets is increased by up to 70% if the body is moved forward by 30°.

Using different methods to assess the discomfort during car driving.

This study investigated the discomfort caused by car driving. Discomfort estimates were achieved by self-administered questionnaire, measured by different testing methods, and through the goniometry of principal angles. Data from a total of 200 non-professional drivers who fulfilled the questionnaire was analysed. 118 subjects were analysed by goniometry and 30 drivers were assessed using the OWAS (Ovaco orking Posture Analysis), RULA (Rapid Upper Limb Assessment), and CORLETT tests. The aim of this paper was to assess the appearance of the discomfort and to find some correlations between drivers' postures. Results suggest that different levels of discomfort are perceived in different body regions when driving cars. Differences appear mostly between the genders concerning the discomfort. With the questionnaire and the different estimation techniques, it is possible to identify 'at risk' drivers and ensure urgent attention when necessary. It can be concluded that the questionnare and the CORLETT test are good in predicting location of discomfort. TheB org CRI10scale is good indicator of the level of the discomfort, while OWAS and RULA can appraise the body posture to predict discomfort appearance. According to the goniometry data, the drivers posture could be one of the contributing factors in appearing of discomfort.