Cutaneous Receptors Contribute to Kinesthesia at the Index Finger, Elbow, and Knee

2005 ◽  
Vol 94 (3) ◽  
pp. 1699-1706 ◽  
Author(s):  
D. F. Collins ◽  
K. M. Refshauge ◽  
G. Todd ◽  
S. C. Gandevia
Keyword(s):  
Muscle Spindle ◽  
Knee Flexion ◽  
Index Finger ◽  
Elbow Flexion ◽  
Contralateral Side ◽  
The Body ◽  
Triceps Brachii ◽  
Joint Flexion ◽  
Skin Stretch ◽  
Distal Tendon

The neural mechanisms underlying the sense of joint position and movement remain controversial. While cutaneous receptors are known to contribute to kinesthesia for the fingers, the present experiments test the hypothesis that they contribute at other major joints. Illusory movements were evoked at the interphalangeal (IP) joints of the index finger, the elbow, and the knee by stimulation of populations of cutaneous and muscle spindle receptors, both separately and together. Subjects matched perceived movements with voluntary movements of homologous joints on the contralateral side. Cutaneous receptors were activated by stretch of the skin (using 2 intensities of stretch) and vibration activated muscle spindle receptors. Stimuli were designed to activate receptors that discharge during joint flexion. For the index finger, vibration was applied over the extensor tendons on the dorsum of the hand, to evoke illusory metacarpophalangeal (MCP) joint flexion, and skin stretch was delivered around the IP joints. The strong skin stretch evoked the illusion of flexion of the proximal IP joint in 6/8 subjects (12 ± 5°, mean ± SE). For the group, strong skin stretch delivered during vibration increased the perceived flexion of the proximal IP joint by eight times with a concomitant decrease in perceived flexion of the MCP joint compared with vibration alone ( P < 0.05). For the elbow, vibration was applied over the distal tendon of triceps brachii and skin stretch over the dorsal forearm. When delivered alone, strong skin stretch evoked illusory elbow flexion in 5/10 subjects (9 ± 4°). Simultaneous strong skin stretch and vibration increased the illusory elbow flexion for the group by 1.5 times compared with vibration ( P < 0.05). For the knee, vibration was applied over the patellar tendon and skin stretch over the thigh. Skin stretch alone evoked illusory knee flexion in 3/10 subjects (8 ± 4°) and when delivered during vibration, perceived knee flexion increased for the group by 1.4 times compared with vibration ( P < 0.05). Hence inputs from cutaneous receptors, muscle receptors, and combined inputs from both receptors likely subserve kinesthesia at joints throughout the body.

scholarly journals A Rare Case of Triceps Brachii Injury after Electrocution

2017 ◽  
Vol 10 (01) ◽  
pp. 046-048
Author(s):  
Debora Lana ◽  
Luigi Tarallo ◽  
Fabio Catani
Keyword(s):  
Elbow Flexion ◽  
Tendon Injury ◽  
Triceps Brachii ◽  
Musculotendinous Junction ◽  
Steroid Injections ◽  
Direct Trauma ◽  
Triceps Brachii Muscle ◽  
Uncommon Case ◽  
Type Of Injury ◽  
Distal Tendon

AbstractInjuries of the triceps brachii muscle are a rare entity and mostly concern its distal tendon. These represent the least common of all muscle and tendons injuries. The most common reported causes are repeated strong physical efforts, a fall on an outstretched forearm when a sudden deceleration is put on contract triceps, or a direct trauma. High-dosed and prolonged corticosteroid therapies, repeated local steroid injections, chronic renal failure, diabetes, rheumatoid arthritis, hyperparathyroidism, and osteogenesis imperfecta are reported as systemic causes. Even rarer are lesions of muscle fibers and avulsions or rupture at its musculotendinous junction, and these can be caused by direct trauma or by forced elbow flexion during triceps contraction. To the best of our knowledge, there is no article in the literature describing this type of injury that occurred after electrocution. In this article, we report an uncommon case of intramuscular tear associated with insertional distal tendon injury occurred in a man survived to high-voltage electric discharge.

scholarly journals Vibration-Sensing Electronic Yarns for the Monitoring of Hand Transmitted Vibrations

Sensors ◽  
2021 ◽  
Vol 21 (8) ◽  
pp. 2780
Author(s):  
Zahra Rahemtulla ◽  
Theodore Hughes-Riley ◽  
Tilak Dias
Keyword(s):  
Monitoring System ◽  
Index Finger ◽  
Textile Yarn ◽  
The Body ◽  
Severe Injuries ◽  
The Core ◽  
Vibration Sensing ◽  
Yarn Structure ◽  
Fabric Sample ◽  
Power Tools

Overexposure to hand transmitted vibrations (HTVs) from prolonged use of vibrating power tools can result in severe injuries. By monitoring the exposure of a worker to HTVs, overexposure, and injury, can be mitigated. An ideal HTV-monitoring system would measure vibration were it enters the body, which for many power tools will be the palm and fingers, however this is difficult to achieve using conventional transducers as they will affect the comfort of the user and subsequently alter the way that the tool is held. By embedding a transducer within the core of a textile yarn, that can be used to produce a glove, vibration can be monitored close to where it enters the body without compromising the comfort of the user. This work presents a vibration-sensing electronic yarn that was created by embedding a commercially available accelerometer within the structure of a yarn. These yarns were subsequently used to produce a vibration-sensing glove. The purpose of this study is to characterize the response of the embedded accelerometer over a range of relevant frequencies and vibration amplitudes at each stage of the electronic yarn’s manufacture to understand how the yarn structure influences the sensors response. The vibration-sensing electronic yarn was subsequently incorporated into a fabric sample and characterized. Finally, four vibration-sensing electronic yarns were used to produce a vibration-sensing glove that is capable of monitoring vibration at the palm and index finger.

Cross-sectional area and mean echogenicity of shoulder and elbow tendons in adult German Shepherd dogs

2013 ◽  
Vol 26 (05) ◽  
pp. 366-371 ◽  
Author(s):  
G. Loprete ◽  
V. Musella ◽  
D. Britti ◽  
J. M. Vilar ◽  
G. Spinella
Keyword(s):  
Cross Sectional Area ◽  
Sectional Area ◽  
Triceps Brachii ◽  
German Shepherd ◽  
Cross Sectional ◽  
Extensor Muscles ◽  
Flexor Carpi Ulnaris ◽  
Triceps Brachii Muscle ◽  
The Cross ◽  
Distal Tendon

SummaryThe aim of this study was to describe the cross-sectional area and mean echogenicity of the main tendons of the shoulder and elbow joints in adult German Shepherd dogs and to determine the effects of sex, weight, and age on these parameters. No previous publications in the veterinary literature have reported information regarding quantitative ultrasonographic tendon measurements in dogs.Thirty German Shepherd dogs were examined: 13 males and 17 females. The cross-sectional area was significantly higher in males than in females (p <0.05) for the distal tendon of the triceps brachii muscle and the tendons of the flexor carpi ulnaris and common digital extensor muscles. The influence of sex on mean echogenicity was not significant. According to age, mean echogenicity was higher in older dogs, while the cross-sectional areas were similar in the two groups. Cross-sectional area and mean echogenicity of the tendons showed a direct increase with an increase in body weight. The data gained from this study can help support the clinician to discriminate between normal and pathological conditions.

Caudofemoral musculature and the evolution of theropod locomotion

Paleobiology ◽  
1990 ◽  
Vol 16 (2) ◽  
pp. 170-186 ◽  
Author(s):  
Stephen M. Gatesy
Keyword(s):  
Knee Flexion ◽  
Hind Limb ◽  
The Body ◽  
Avian Evolution ◽  
Theropod Dinosaurs ◽  
Data Support ◽  
Caudal Vertebrae ◽  
Longus Muscle

Living crocodilians and limbed lepidosaurs have a large caudofemoralis longus muscle passing from tail to femur. Anatomical and electromyographic data support the conclusion that the caudofemoralis is the principal femoral retractor and thus serves as the primary propulsive muscle of the hind limb. Osteological evidence of both origin and insertion indicates that a substantial caudofemoralis longus was present in archosaurs primitively and was retained in the clades Dinosauria and Theropoda. Derived theropods (e.g., ornithomimids, deinonychosaurs, Archaeopteryx and birds) exhibit features that indicate a reduction in caudofemoral musculature, including fewer caudal vertebrae, diminished caudal transverse processes, distal specialization of the tail, and loss of the fourth trochanter. This trend culminates in ornithurine birds, which have greatly reduced tails and either have a minute caudofemoralis longus or lack the muscle entirely.As derived theropod dinosaurs, birds represent the best living model for reconstructing extinct nonavian theropods. Bipedal, digitigrade locomotion on fully erect limbs is an avian feature inherited from theropod ancestors. However, the primitive saurian mechanisms of balancing the body (with a large tail) and retracting the limb (with the caudofemoralis longus) were abandoned in the course of avian evolution. This strongly suggests that details of the orientation (subhorizontal femur) and movement (primarily knee flexion) of the hind limb in extant birds are more properly viewed as derived, uniquely avian conditions, rather than as retentions of an ancestral dinosaurian pattern. Although many characters often associated with extant birds appeared much earlier in theropod evolution, reconstructing the locomotion of all theropods as completely birdlike ignores a wealth of differences that characterize birds.

scholarly journals Differential muscle function between muscle synergists: long and lateral heads of the triceps in jumping and landing goats (Capra hircus)

2008 ◽  
Vol 105 (4) ◽  
pp. 1262-1273 ◽  
Author(s):  
Andrew M. Carroll ◽  
David V. Lee ◽  
Andrew A. Biewener
Keyword(s):  
Muscle Function ◽  
High Speed ◽  
Muscle Activation ◽  
Reaction Force ◽  
Elbow Flexion ◽  
Capra Hircus ◽  
Triceps Brachii ◽  
Joint Work ◽  
Long Head ◽  
Lateral Head

We investigate how the biarticular long head and monoarticular lateral head of the triceps brachii function in goats ( Capra hircus) during jumping and landing. Elbow moment and work were measured from high-speed video and ground reaction force (GRF) recordings. Muscle activation and strain were measured via electromyography and sonomicrometry, and muscle stress was estimated from elbow moment and by partitioning stress based on its relative strain rate. Elbow joint and muscle function were compared among three types of limb usage: jump take-off (lead limb), the step prior to jump take-off (lag limb), and landing. We predicted that the strain and work patterns in the monoarticular lateral head would follow the kinematics and work of the elbow more closely than would those of the biarticular long head. In general this prediction was supported. For instance, the lateral head stretched (5 ± 2%; mean ± SE) in the lead and lag limbs to absorb work during elbow flexion and joint work absorption, while the long head shortened (−7 ± 1%) to produce work. During elbow extension, both muscles shortened by similar amounts (−10 ± 2% long; −13 ± 4% lateral) in the lead limb to produce work. Both triceps heads functioned similarly in landing, stretching (13 ± 3% in the long head and 19 ± 5% in the lateral) to absorb energy. In general, the long head functioned to produce power at the shoulder and elbow, while the lateral head functioned to resist elbow flexion and absorb work, demonstrating that functional diversification can arise between mono- and biarticular muscle agonists operating at the same joint.

scholarly journals A case report of a severe neonatal systemic vasculitis on the first day of life

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Stephanie Wong ◽  
Erkan Demirkaya ◽  
Roberta Berard
Keyword(s):  
Lupus Erythematosus ◽  
Reactive Arthritis ◽  
Index Finger ◽  
Systemic Vasculitis ◽  
Clinical Signs ◽  
The Body ◽  
Oral Steroid ◽  
Left Index Finger ◽  
High Dose ◽  
New Onset

Abstract Background Neonatal systemic vasculitis syndromes have been reported in infants born to mothers with systemic lupus erythematosus, Sjögren’s syndrome, Behҫet’s disease, cutaneous polyarteritis nodosa and anti-neutrophil cytoplasmic antibody-associated vasculitides. Here we report a novel association of a case of new-onset maternal seronegative inflammatory arthritis associated with a transient systemic vasculitis in a neonate. Case presentation In the first 24 h of life, a preterm Caucasian baby boy was noted to have blue discoloration to all four extremities. Despite antibiotics, fresh frozen plasma and anticoagulation, the discoloration remained, particularly in the left index finger. This was associated with fever and a maximum C-reactive protein (CRP) of 148 mg/L. Intravenous immunoglobulin (IVIG) was given with short-term improvement. Initial echocardiogram showed enlarged coronary arteries with normalization on repeat 1 week later. Clinical signs and symptoms responded to high dose oral steroid administration. MRI angiography (MRA) of the body and heart showed tortuosity of arteries in the upper and lower extremities with gadolinium uptake, suggestive of vasculitis. Autoantibody profile negative. Genetic panel for hereditary autoinflammatory diseases was negative as was whole exome sequencing performed on the trio. The baby was weaned off steroids by 5 months of age. A small distal autoamputation of the left index finger occurred. He was born to a 28-year-old woman who developed new onset severe symmetrical polyarthritis at 8 weeks gestation. This was presumed a reactive arthritis secondary to a dental infection. Infectious work up and autoantibodies were negative. She was treated with high dose prednisone for the remainder of her pregnancy. The mother was weaned off prednisone, treated with hydroxychloroquine for 8 months post-partum and remains in remission. A repeat MRA done at 1 year old showed mild residual tortuosities of the arteries in the forearms. The remainder of the medium and large vessels were within normal limits with no gadolinium enhancement to suggest active disease. The child is now 4 years old with normal growth and development. Conclusion This is a unique case of new-onset seronegative presumed reactive arthritis in a mother with the rare development of a successfully treated medium vessel vasculitis in an infant.

Cadaveric evaluation of canine arthroscopic bicipital tenotomy

2002 ◽  
Vol 15 (04) ◽  
pp. 215-222 ◽  
Author(s):  
K. S. Schulz ◽  
K. Ingel ◽  
I. G. Holsworth
Keyword(s):  
Elbow Flexion ◽  
Tendon Sheath ◽  
Anatomical Location ◽  
Anatomical Dissection ◽  
Tendon Length ◽  
Camera Port ◽  
Shoulder Joints ◽  
Biceps Tenotomy ◽  
Thoracic Limb ◽  
Distal Tendon

SummaryThe purposes of this study were to determine the optimal portal location, limb position and instrumentation for arthroscopic assisted biceps tenotomy as an alternative to open tendon transection and humeral tenodesis and to evaluate anatomical location and support of the tendon following transection.Eight canine cadaver shoulder joints underwent arthroscopic visualization of bicipital tendon length via cranio-lateral and caudo-lateral camera portals in a variety of thoracic limb positions to determine maximal tendon length visualization by anatomical marking. Comparison of tenotomy time and ease was compared between radio frequency microscalpel, blade and arthroscopic shaver. Gross anatomical dissection was performed post-tenotomy to record tendon lengths, locations and supporting structures.The cranio-lateral camera port in conjunction with combined moderate shoulder and elbow flexion optimized tendon visualization, accessible length, and instrumentation ease. Visualized tendon length varied from 39-76% of total tendon length. Tenotomy times were lowest via blade and were unable to be performed with the shaver. After tenotomy the distal tendon segment remained loosely tethered within the in- tertubercular groove at the level of the intertubercular ligament by tendon sheath and capsular attachments.Biceps tenotomy is readily performed with standard arthroscopic equipment. Appropriate limb positioning and modification of previously described portals allows maximal access. Immediately posttenotomy the distal tendon is loosely maintained within the bicipital groove by tendon sheath and capsular attachments.

Effects of human stature and muscle strength on the standing strategies: A computational biomechanical study

2020 ◽  
Vol 234 (7) ◽  
pp. 674-685
Author(s):  
Mohammed N Ashtiani ◽  
Mahmood-Reza Azghani ◽  
Mohamad Parnianpour ◽  
Kinda Khalaf
Keyword(s):  
Muscle Strength ◽  
Knee Flexion ◽  
Inverse Dynamics ◽  
Biomechanical Model ◽  
Biomechanical Study ◽  
The Body ◽  
Whole Body ◽  
Tall Stature ◽  
Personal Factors ◽  
Hamstring Muscles

It has been hypothesized that the muscular efforts exerted during standing may be altered by changes in personal factors, such as the body stature and muscular strength. The goal of this work was to assess the contribution of leg muscles using a biomechanical model in different physical conditions and various initial postures. An optimized inverse dynamics model was employed to find the maximum muscular effort in 23,040 postures. The simulation results showed that mid-range knee flexion could help the healthy and strong individuals maintain balance, but those with weaker muscle strength required more knee flexion. Individuals of weak muscular constitution as well as those with tall stature are at the highest risk of imbalance/falling. The number of imbalanced postures due to deficits in the calf and hamstring muscles was reduced by 7.5 times by strengthening the whole body musculature. The calf and the hamstring muscles play a key role in balance regardless of stature.

Mind-Muscle Connection: Verbal Instructions Alter Electromyographic Activity for Elbow Flexors and Extensors During Co-Contraction Training

2020 ◽  
pp. 003151252094908
Author(s):  
Rafael A. Fujita ◽  
Marina M. Villalba ◽  
Nilson R. S. Silva ◽  
Matheus M. Pacheco ◽  
Matheus M. Gomes
Keyword(s):  
Strength Training ◽  
Elbow Joint ◽  
Biceps Brachii ◽  
Elbow Flexion ◽  
Emg Activity ◽  
Elbow Extension ◽  
Verbal Instruction ◽  
Triceps Brachii ◽  
Verbal Instructions ◽  
Lateral Head

Co-contraction training has demonstrated similar electromyographic (EMG) activity levels compared to conventional strength training. Since verbal instructions can increase EMG activity on target muscles during conventional exercises, the same should occur during co-contraction. In this study we analyzed whether different verbal instructions would alter the EMG activity of target muscles - biceps brachii (BB) and triceps brachii lateral head (TB) - during co-contraction training for the elbow joint. Seventeen males with experience in strength training performed a co-contraction set in two verbal instruction conditions to emphasize either elbow flexion or elbow extension. Surface electrodes were fixed over biceps brachii and triceps brachii lateral head muscles. We measured EMG mean amplitude and analyzed data with 2-way ANOVA. We found a significant interaction between muscle and verbal instruction ( p = 0.002). Post hoc tests indicated that verbal instructions ( p = 0.001) influenced the BB EMG activity (elbow flexion: M = 68.74, SD = 17.96%; elbow extension: M = 53.47, SD = 16.13%); and also showed difference ( p = 0.006) in the EMG activity between BB and TB with verbal instruction emphasizing the elbow extension (BB: M = 53.47, SD = 16.13%; TB: M = 69.18, SD = 21.79%). There was a difference in the EMG ratio of BB/TB ( p = 0.001) when focusing on elbow flexion ( M = 1.09, SD = 0.30) versus elbow extension ( M = 0.81, SD = 0.25). As verbal instruction modified the magnitude of muscle recruitment during co-contractions for elbow joint muscles, there is a clear mind-muscle connection of importance to this method of training. Also, of importance to trainers, verbal instructions seemed to affect individuals differentially.

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