The relationship between skin ultrasound images and muscle damage using skin blotting in wheelchair basketball athletes

Spinal Cord ◽  
2020 ◽  
Vol 58 (9) ◽  
pp. 1022-1029
Author(s):  
Nao Tamai ◽  
Takeo Minematsu ◽  
Tomonori Maeda ◽  
Koichi Yabunaka ◽  
Hiromi Sanada
2011 ◽  
pp. 20-24
Author(s):  
Thi My Dung Ha ◽  
Ngoc Thanh Cao ◽  
Thi Song Huong Tran

Objective: To characterize ultrasound images of placenta and amniotic fluid in cases of singleton pregnancies beyond term predictions, and also explore the relationship between placenta, amniotic fluid and labor transfer status, postpartum child status. Image properties of prenatal placenta and amniotic fluid are immediately examined with ultrasound in 267 cases of postterm pregnancy beyond prediction at Obstetric Department, Hue Central Hospital. Results: In postterm pregnancy, placenta thickness decreases gradually according to gestational age. Oligohydramnios is 30.3%. There is a correlation between amniotic fluid index and birth method with r = 0.41. Sensitivity is 89.15%. Specificity is 48.55%. There is also a correlation between amniotic fluid echogenicity and method of birth: r = 0.478. Sensitivity is 97.67%. Specificity is 42.75%. Amniotic fluid index and baby Clifford's syndrome are also relevant, with r=0.466. Sensitivity is 83.78%. Specificity is 78.26%. Conclusions: Ultrasound scanning of amniotic fluid properties should be noted in the case of postterm pregnancy.


2014 ◽  
Vol 120 (5) ◽  
pp. 1246-1253 ◽  
Author(s):  
Jeff C. Gadsden ◽  
Jason J. Choi ◽  
Emily Lin ◽  
Allegra Robinson

Abstract Background: Needle trauma may cause neuropathy after nerve blockade. Even without injection, nerve injury can result from forceful needle–nerve contact (NNC). High opening injection pressures (OIPs) have been associated with intrafascicular needle tip placement and nerve damage; however, the relationship between OIP and NNC is unclear. The authors conducted a prospective, observational study to define this relationship. Methods: Sixteen patients scheduled for shoulder surgery under interscalene block were enrolled if they had clear ultrasound images of the brachial plexus roots. A 22-gauge stimulating needle was inserted within 1 mm of the root, and 1-ml D5W injected at 10 ml/min by using an automated pump. OIP was monitored using an in-line pressure manometer and injections aborted if 15 psi or greater. The needle was advanced to displace the nerve slightly (NNC), and the procedure repeated. Occurrence of evoked motor response and paresthesia were recorded. Results: Fifteen patients had at least one clearly visible root. OIP at 1 mm distance from the nerve was less than 15 psi (mean peak pressure 8.2 ± 2.4 psi) and the 1-ml injection could be completed in all but two cases (3%). In contrast, OIP during NNC was 15 psi or greater (mean peak pressure 20.9 ± 3.7 psi) in 35 of 36 injections. Aborting the injection when OIP reached 15 psi prevented commencement of injection in all cases of NNC except one. Conclusion: High OIP (≥15 psi) consistently detected NNC, suggesting that injection pressure monitoring may be useful in preventing injection against nerve roots during interscalene block.


2018 ◽  
Vol 6 ◽  
Author(s):  
Jong Dae Kim ◽  
Suk Joon Oh ◽  
Sun Gyu Kim ◽  
Song Vogue Ahn ◽  
Yu Jin Jang ◽  
...  

Abstract Background This study aimed to investigate the difference between ultrasonographic findings of normal skin and those of re-epithelialized skin after partial-thickness burns and to evaluate the relationship between these findings and clinical outcomes. Methods This study retrospectively analysed the ultrasound images of re-epithelialized skin after partial-thickness burns and contralateral normal skin from January 2016 to December 2016. A total of 155 lesions from 148 patients were analysed with ultrasound images, and healing time was documented. The scar status of each lesion was evaluated through medical records and photographs. We analysed the difference in ultrasonographic findings between normal skin and re-epithelialized skin after partial-thickness burns and statistically analysed the relationship between healing time, scar status and ultrasonographic findings. Results The re-epithelialized skin after partial-thickness burns was significantly thicker than the contralateral normal skin, and the echogenicity was significantly lower. The ultrasound images of the re-epithelialized skin after partial-thickness burns showed the characteristic findings of low-echogenic bands (LEB), and the proportion of LEB thickness is strongly correlated with healing time. In the multivariate analysis of scar status, only the proportion of LEB thickness was statistically significant. Conclusion In this study, we found that there were ultrasonographic differences between re-epithelialized skin after partial-thickness burns and normal skin and that an LEB of varying thickness was formed after re-epithelialization. The thickness of the LEB in re-epithelialized skin after partial-thickness burns increased with healing time and was related to scar status.


2016 ◽  
Vol 11 (4) ◽  
pp. 515-521 ◽  
Author(s):  
Chelsea L. Oxendale ◽  
Craig Twist ◽  
Matthew Daniels ◽  
Jamie Highton

Purpose:While exercise-induced muscle damage (EIMD) after rugby league match play has been well documented, the specific match actions that contribute to EIMD are unclear. Accordingly, the purpose of this study was to investigate the positional demands of elite rugby league matches and examine their relationship with subsequent EIMD.Methods:Twenty-eight performances (from 17 participants) were captured using 10-Hz global positioning systems over 4 competitive matches. Upper- and lower-body neuromuscular fatigue, creatine kinase (CK), and perceived muscle soreness were assessed 24 h before and at 12, 36, and 60 h after matches.Results:High-intensity running was moderately higher in backs (6.6 ± 2.6 m/min) than in forwards (5.1 ± 1.6 m/min), whereas total collisions were moderately lower (31.1 ± 13.1 vs 54.1 ± 37.0). Duration (r = .90, CI: .77–.96) and total (r = .86, CI: .70–.95) and high-intensity distance covered (r = .76, CI: .51–.91) were associated (P < .05) with increased CK concentration postmatch. Total collisions and repeated high-intensity efforts were associated (P < .05) with large decrements in upper-body neuromuscular performance (r = –.48, CI: –.74 to .02; r = –.49, CI: –.77 to .05, respectively), muscle soreness (r = –.68, CI: –.87 to –.10, r = –.66, CI: –.89 to .21, respectively), and CK concentration (r = .67, CI: .42–.85; r = .73, CI: .51–.87, respectively). All EIMD markers returned to baseline within 60 h.Conclusion:Match duration, high-intensity running, and collisions were associated with variations in EIMD markers, suggesting that recovery is dependent on individual match demands.


2019 ◽  
Vol 14 (7) ◽  
pp. 880-886 ◽  
Author(s):  
Aitor Iturricastillo ◽  
Cristina Granados ◽  
Raúl Reina ◽  
José Manuel Sarabia ◽  
Ander Romarate ◽  
...  

Purpose: To analyze the relationship between mean propulsive velocity (MPV) of the bar and relative load (percentage of the 1-repetition maximum [%1RM]) in the bench-press (BP) exercise and to determine the relationship of power variables (ie, mean concentric power [MP], mean propulsive power [MPP], and peak power [PP]) in change-of-direction ability, linear sprint, and repeated-sprint ability. Methods: A total of 9 Spanish First Division wheelchair basketball players participated in the study. All participants performed an isoinertial BP test in free execution mode, a 505 change-of-direction ability test, linear sprint test (20 m), and repeated-sprint ability test. Results: A nearly perfect and inverse relationship was observed for the BP exercise between the %1RM and MPV (r = −.97, R2 = .945, P < .001). The maximum loads for MP, MPP, and PP were obtained between 48.1% and 59.4% of the 1RM. However, no significant correlations were observed between strength and wheelchair performance. Conclusions: Wheelchair basketball players with different functional impairments showed a nearly perfect and inverse relationship for the BP exercise between the %1RM and MPV; thus the MPV could be used to estimate the %1RM. This finding has important practical applications for velocity-based resistance training in that coaches would be able to prescribe and monitor training load. Conversely, the absence of association between BP performance and field tests might be due to other factors such as the wheelchair–user interface, trunk-muscle activity, or propulsion technique, apart from strength variables.


2009 ◽  
Vol 296 (1) ◽  
pp. H57-H64 ◽  
Author(s):  
Dick H. J. Thijssen ◽  
Lauren M. Bullens ◽  
Marieke M. van Bemmel ◽  
Ellen A. Dawson ◽  
Nicola Hopkins ◽  
...  

Flow-mediated dilatation (FMD) has become a commonly applied approach for the assessment of vascular function and health in humans. Recent studies emphasize the importance of normalizing the magnitude of FMD to its apparent eliciting stimulus, the postdeflation arterial shear. However, the relationship between shear stress and the magnitude of FMD may differ between groups. The aim of this study was to examine the relationship between the brachial FMD and four different indexes of postdeflation shear rate (SR) in healthy children ( n = 51, 10 ± 1 yr) and young ( n = 57, 27 ± 6 yr) and older ( n = 27, 58 ± 4 yr) adults. SR was calculated from deflation ( time 0) until 9 s (peak), 30 s (0–30), 60 s (0–60), or until the time-to-peak diameter in each individual (0-ttp). Edge detection and wall tracking of high resolution B-mode arterial ultrasound images were used to calculate the conduit artery diameter. In young adults, the brachial artery FMD demonstrated a significant correlation with the area under the SR curve (SRAUC) 0–30 s ( r2 = 0.12, P = 0.009), 0–60 s ( r2 = 0.14, P = 0.005), and 0-ttp ( r2 = 0.14, P = 0.005) but not for the peak SRAUC 0–9 s ( r2 = 0.04, P = 0.12). In children and older adults, the magnitude of the brachial artery FMD did not correlate with any of the four SRAUC stimuli. These findings suggest that in young subjects, postdeflation SRAUC correlates moderately with the magnitude of the FMD response. However, the relationship between FMD and postdeflation shear appears to be age dependent, with less evidence for an association in younger and older subjects. Therefore, we support presenting SRAUC stimuli but not normalizing FMD responses for the SRAUC when using this technique.


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