MRI Assessment of Swallow Muscle Activation with the Swallow Exercise Aid and with Conventional Exercises in Healthy Volunteers: An Explorative Biomechanical Study

Dysphagia ◽  
2020 ◽  
Author(s):  
Rebecca T. Karsten ◽  
Leon C. ter Beek ◽  
Bas Jasperse ◽  
Maarten J. A. van Alphen ◽  
Johannes M. Peeters ◽  
...  
Keyword(s):  
Healthy Volunteers ◽  
Muscle Activation ◽  
Biomechanical Study

The Effectiveness of a Hinged Elbow Orthosis in Medial Collateral Ligament Injuries: An In Vitro Biomechanical Study

2019 ◽  
Vol 47 (12) ◽  
pp. 2827-2835
Author(s):  
Ranita H.K. Manocha ◽  
James A. Johnson ◽  
Graham J.W. King
Keyword(s):  
Medial Collateral Ligament ◽  
Muscle Activation ◽  
Mechanical Stability ◽  
Biomechanical Study ◽  
Return To Play ◽  
Collateral Ligament ◽  
Valgus Stress ◽  
Active Motion ◽  
Early Return

Background: Medial collateral ligament (MCL) injuries are common after elbow trauma and in overhead throwing athletes. A hinged elbow orthosis (HEO) is often used to protect the elbow from valgus stress early after injury and during early return to play. However, there is minimal evidence regarding the efficacy of these orthoses in controlling instability and their influence on long-term clinical outcomes. Purpose: (1) To quantify the effect of an HEO on elbow stability after simulated MCL injury. (2) To determine whether arm position, forearm rotation, and muscle activation influence the effectiveness of an HEO. Study Design: Controlled laboratory study. Methods: Seven cadaveric upper extremity specimens were tested in a custom simulator that enabled elbow motion via computer-controlled actuators and motors attached to relevant tendons. Specimens were examined in 2 arm positions (dependent, valgus) and 2 forearm positions (pronation, supination) during passive and simulated active elbow flexion while unbraced and then while braced with an HEO. Testing was performed in intact elbows and repeated after simulated MCL injury. An electromagnetic tracking device measured valgus angulation as an indicator of elbow stability. Results: When the arm was dependent, the HEO increased valgus angle with the forearm in pronation (+1.0°± 0.2°, P = .003) and supination (+1.5°± 0.0°, P = .006) during active motion. It had no significant effect on elbow stability during passive motion. In the valgus position, the HEO had no effect on elbow stability during passive or active motion in pronation and supination. With the arm in the valgus position with the HEO, muscle activation reduced instability during pronation (–10.3°± 2.5°, P = .006) but not supination ( P = .61). Conclusion: In this in vitro study, this HEO did not enhance mechanical stability when the arm was in the valgus and dependent positions after MCL injury. Clinical Relevance: After MCL injury, an HEO likely does not provide mechanical elbow stability during rehabilitative exercises or when the elbow is subjected to valgus stress such as occurs during throwing.

scholarly journals Assessing Spinal Movement During Four Extrication Methods: A Biomechanical Study using Healthy Volunteers

2021 ◽  
Author(s):  
Tim Nutbeam ◽  
Rob Fenwick ◽  
Barbara May ◽  
Willem Stassen ◽  
Jason Smith ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Healthy Volunteers ◽  
Motor Vehicle ◽  
Biomechanical Study ◽  
Vehicle Collisions ◽  
Spinal Movement ◽  
Measurement Units ◽  
Total Movement ◽  
Rapid Removal ◽  
Serious Injury

Abstract BackgroundMotor vehicle collisions are a common cause of death and serious injury. Many casualties will remain in their vehicle following a collision. Trapped patients have more injuries and are more likely to die than their untrapped counterparts. Current extrication methods are time consuming and have a focus on movement minimisation and mitigation. The optimal extrication strategy and the effect this extrication method has on spinal movement is unknown. The aim of this study was to evaluate the movement at the cervical and lumbar spine for four commonly utilised extrication techniques. MethodsBiomechanical data was collected using inertial Measurement Units on 6 healthy volunteers. The extrication types examined were: roof removal, b-post rip, rapid removal and self-extrication. Measurements were recorded at the cervical and lumbar spine, and in the anteroposterior (AP) and lateral (LAT) planes. Total movement (travel), maximal movement, mean, standard deviation and confidence intervals are reported for each extrication type.ResultsData from a total of 230 extrications were collected for analysis. The smallest maximal and total movement (travel) were seen when the volunteer self-extricated (AP max = 2.6mm, travel 4.9mm). The largest maximal movement and travel were seen in rapid extrication extricated (AP max = 6.21mm, travel 20.51 mm). The differences between self-extrication and all other methods were significant (p<0.001), small non-significant differences existed between roof removal, b-post rip and rapid removal.Self-extrication was significantly quicker than the other extrication methods (mean 6.4s).ConclusionsIn healthy volunteers, self-extrication is associated with the smallest spinal movement and the fastest time to complete extrication. Rapid, B-post rip and roof off extrication types are all associated with similar movements and time to extrication in prepared vehicles.

scholarly journals Muscle activation and sound during voluntary single coughs and cough peals in healthy volunteers: Insights into cough intensity

2018 ◽  
Vol 257 ◽  
pp. 42-50 ◽  
Author(s):  
Kevin McGuinness ◽  
Katie Ward ◽  
Charles C. Reilly ◽  
Julie Morris ◽  
Jaclyn A. Smith
Keyword(s):  
Healthy Volunteers ◽  
Muscle Activation

scholarly journals The role of cervical collars and verbal instructions in minimising spinal movement during self-extrication following a motor vehicle collision - a biomechanical study using healthy volunteers

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Tim Nutbeam ◽  
Rob Fenwick ◽  
Barbara May ◽  
Willem Stassen ◽  
Jason E. Smith ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Lumbar Spine ◽  
Healthy Volunteers ◽  
Motion Tracking ◽  
Motor Vehicle ◽  
Biomechanical Study ◽  
Cervical Collar ◽  
Vehicle Collision ◽  
Spinal Movement ◽  
Total Movement

Abstract Background Motor vehicle collisions account for 1.3 million deaths and 50 million serious injuries worldwide each year. However, the majority of people involved in such incidents are uninjured or have injuries which do not prevent them exiting the vehicle. Self-extrication is the process by which a casualty is instructed to leave their vehicle and completes this with minimal or no assistance. Self-extrication may offer a number of patient and system-wide benefits. The efficacy of routine cervical collar application for this group is unclear and previous studies have demonstrated inconsistent results. It is unknown whether scripted instructions given to casualties on how to exit the vehicle would offer any additional utility. The aim of this study was to evaluate the effect of cervical collars and instructions on spinal movements during self-extrication from a vehicle, using novel motion tracking technology. Methods Biomechanical data on extrications were collected using Inertial Measurement Units on 10 healthy volunteers. The different extrication types examined were: i) No instructions and no cervical collar, ii) No instructions, with cervical collar, iii) With instructions and no collar, and iv) With instructions and with collar. Measurements were recorded at the cervical and lumbar spine, and in the anteroposterior (AP) and lateral (LAT) planes. Total movement, mean, standard deviation and confidence intervals are reported for each extrication type. Results Data were recorded for 392 extrications. The smallest cervical spine movements were recorded when a collar was applied and no instructions were given: mean 6.9 mm AP and 4.4 mm LAT. This also produced the smallest movements at the lumbar spine with a mean of 122 mm AP and 72.5 mm LAT. The largest overall movements were seen in the cervical spine AP when no instructions and no collar were used (28.3 mm). For cervical spine lateral movements, no collar but with instructions produced the greatest movement (18.5 mm). For the lumbar spine, the greatest movement was recorded when instructions were given and no collar was used (153.5 mm AP, 101.1 mm LAT). Conclusions Across all participants, the most frequently occurring extrication method associated with the least movement was no instructions, with a cervical collar in situ.

scholarly journals Assessing spinal movement during four extrication methods: a biomechanical study using healthy volunteers

2022 ◽  
Vol 30 (1) ◽  
Author(s):  
Tim Nutbeam ◽  
Rob Fenwick ◽  
Barbara May ◽  
Willem Stassen ◽  
Jason E. Smith ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Healthy Volunteers ◽  
Motor Vehicle ◽  
Biomechanical Study ◽  
Vehicle Collisions ◽  
Spinal Movement ◽  
Measurement Units ◽  
Total Movement ◽  
Rapid Removal ◽  
Serious Injury

Abstract Background Motor vehicle collisions are a common cause of death and serious injury. Many casualties will remain in their vehicle following a collision. Trapped patients have more injuries and are more likely to die than their untrapped counterparts. Current extrication methods are time consuming and have a focus on movement minimisation and mitigation. The optimal extrication strategy and the effect this extrication method has on spinal movement is unknown. The aim of this study was to evaluate the movement at the cervical and lumbar spine for four commonly utilised extrication techniques. Methods Biomechanical data was collected using inertial Measurement Units on 6 healthy volunteers. The extrication types examined were: roof removal, b-post rip, rapid removal and self-extrication. Measurements were recorded at the cervical and lumbar spine, and in the anteroposterior (AP) and lateral (LAT) planes. Total movement (travel), maximal movement, mean, standard deviation and confidence intervals are reported for each extrication type. Results Data from a total of 230 extrications were collected for analysis. The smallest maximal and total movement (travel) were seen when the volunteer self-extricated (AP max = 2.6 mm, travel 4.9 mm). The largest maximal movement and travel were seen in rapid extrication extricated (AP max = 6.21 mm, travel 20.51 mm). The differences between self-extrication and all other methods were significant (p < 0.001), small non-significant differences existed between roof removal, b-post rip and rapid removal. Self-extrication was significantly quicker than the other extrication methods (mean 6.4 s). Conclusions In healthy volunteers, self-extrication is associated with the smallest spinal movement and the fastest time to complete extrication. Rapid, B-post rip and roof off extrication types are all associated with similar movements and time to extrication in prepared vehicles.

Differences in neck muscle activity according to lying positions using a smartphone

2021 ◽  
pp. 1-9
Author(s):  
Sun-Hee Ahn ◽  
Sung-Hoon Jung ◽  
Hyun-A Kim ◽  
Jun-Hee Kim ◽  
Young-Soo Weon ◽  
...  
Keyword(s):  
Healthy Volunteers ◽  
Muscle Activity ◽  
Muscle Activation ◽  
Erector Spinae ◽  
The Other ◽  
Neck Muscle ◽  
Head Turn ◽  
Upper Trapezius ◽  
The Right ◽  
Lying Down

BACKGROUND: Due to the extended use of smartphones, people spend a lot of time on these devices while lying down. OBJECTIVE: The purpose of the present study was to compare the differences in neck muscle activity of participants while they watched videos on a smartphone in four different lying positions (supine (SUP), prone on elbows (PE), side lying (SIDE), and 45∘ head turn while side lying (45-SIDE)). METHODS: Twenty-three healthy volunteers (22.4 ± 1.7 years) were enrolled in this study. We assessed the activities of their right and left sternocleidomastoid (SCM), anterior scalene, cervical erector spinae (CES), and upper trapezius (UT) muscles while they watched videos on a smartphone in four different lying positions. RESULTS: The right and left SCM and CES had significantly different muscle activities depending on the lying positions. The SCM activity had a significantly greater asymmetry in the 45-SIDE position, while the CES activity had a significantly greater asymmetry in the SIDE and 45-SIDE positions. Moreover, the UT activity had a significantly greater asymmetry in the SUP, PE, and SIDE positions. CONCLUSIONS: Neck muscle activity and asymmetry were the lowest in the SUP position relative to the other positions. Therefore, lying down in the SUP position may minimize neck muscle activation while using a smartphone.

The role of biceps loading and muscle activation on radial head stability in anterior Monteggia injuries: An in vitro biomechanical study

2020 ◽  
Author(s):  
Armin Badre ◽  
Clare E. Padmore ◽  
David T. Axford ◽  
Carolyn Berkmortel ◽  
Kenneth J. Faber ◽  
...  
Keyword(s):  
Radial Head ◽  
Muscle Activation ◽  
Biomechanical Study ◽  
Head Stability

SIMULATION OF MUSCLE ACTIVATION WITH COUPLED NONLINEAR FE MODELS

2016 ◽  
Vol 16 (06) ◽  
pp. 1650082 ◽  
Author(s):  
FAN LI ◽  
HONGGENG LI ◽  
WEI HU ◽  
SICHENG SU ◽  
BINGYU WANG
Keyword(s):  
Finite Element ◽  
Muscle Activation ◽  
System Modeling ◽  
Biomechanical Study ◽  
Neck Muscle ◽  
Computational Stability ◽  
Muscle System ◽  
Geometry Model ◽  
Muscle Models ◽  
Head Neck

Muscle activation plays an important role in head–neck dynamic response in vehicle accidents, especially in low speed impacts. The aim of the present study was to analyze the mechanical characteristics and dynamic stability of the muscle using coupled non-linear finite element model, which could be further applied for biomechanical study of head–neck system in car crash accidents. A rabbit tibialis anterior (TA) geometry model was developed. Two finite element models of TA were developed with coupled constitutive models. One coupled model was developed combining quasi-linear viscoelastic (QLV) elements and Hill type elements, and the other was developed combining hyperelastic rubber elements and Hill type elements, representing the passive behavior and active behavior, respectively. The models were validated via eccentric contractions tests under different strain rates published by Myers et al. Isometric Contraction and axial compression were also simulated via both models to evaluate the computational stability. The results showed that the coupled constitutive muscle models had a good biofidelity for the simulation of muscle activation. Both muscle models can fulfill the requirement of neck muscle system modeling for biomechanical study.

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