Evaluation of a Chair-Mounted Passive Trunk Orthosis: A Pilot Study on Able-Bodied Subjects

Trunk stability is important for adequate arm function due to their kinematic linkage. People with Duchenne muscular dystrophy (DMD) can benefit from trunk-assistive devices for seated daily activities, but existing devices limit trunk movement to forward bending. We developed a new trunk orthosis that has spring and pulley design. This study evaluated orthosis performance with 40 able-bodied subjects under with and without orthosis condition in 20 seated tasks for trunk rotation, forward bending, and side bending movements. Subjects adopted static posture in specific trunk orientation while their muscle activity was recorded. They also rated the subjective scales of perceived exertion and usability. A percent change in muscle activity for each task, due to orthosis use, is reported. Significant muscle activity reductions up to 31% and 65% were observed in lumbar and thoracic erector spinae muscles, respectively. Using three-way ANOVA, we found these reductions to be specific to the task direction and the choice of upper limb that is used to perform the asymmetric tasks. A total of 70% participants reported acceptable usability and ~1-point increase in exertion was found for maximum voluntary reaching with the orthosis. The outcomes of this study are promising, though tested on able-bodied subjects. Hence, orthosis mounted on wheelchairs should be further evaluated on DMD patients.

Regulation of Forward Angular Impulse in Tasks With Backward Translation

Studying how elite athletes satisfy multiple mechanical objectives when initiating well-practiced, goal-directed tasks provides insights into the control and dynamics of whole-body movements. This study investigated the coordination of multiple body segments and the reaction force (RF) generated during foot contact when regulating forward angular impulse in backward translating tasks. Six highly skilled divers performed inward somersaults (upward and backward jump with forward rotation) and inward timers (upward and backward jump without rotation) from a stationary platform. Sagittal plane kinematics and RFs were recorded simultaneously during the takeoff phase. Regulation of the forward angular impulse was achieved by redirecting the RF about the total body center of mass. Significantly more backward-directed RF was observed during the first and second peak horizontal RF of the inward somersaults than the inward timers. Modulation of the horizontal RF altered the RF direction about the center of mass and the lower-extremity segments. Backward leg and forward trunk orientation and a set of relatively large knee extensor and small hip flexor net joint moments were required for forward angular impulse generation. Understanding how the forward angular impulse is regulated in trained individuals provides insights for clinicians to consider when exploring interventions related to fall prevention.

Assessment and Distribution of Damages Caused by the Trunk-Boring Insects Coraebus undatus (Fabricius) (Coleoptera: Buprestidae) and Reticulitermes grassei Clément (Blattodea: Rhinotermitidae) in Mediterranean Restored Cork-Oak Forests

This work assesses damage caused by Coraebus undatus (Fabricius) (Coleoptera: Buprestidae) and Reticulitermes grassei Clément (Blattodea: Rhinotermitidae) in managed cork oak forests from the southern Iberian Peninsula. Lesions were diagnosed and quantified in relation to the following features: height and orientation in the trunk, diameter at breast height, solar exposure, understory presence and orography. The distribution patterns of lesions in the study area across 12 plots and in the trunk of the trees were also analyzed. The study was performed in “Sa de Hornachuelos” Natural Park (Córdoba, Spain) and the research area encompassed 12 environmentally-restored sampling plots. Data were recorded from 2007 to 2014, with yearly sampling from late June to mid-September, corresponding to the cork extraction period, since lesions caused by these insects are well distinguishable promptly after bark removal. The results reveal that C. undatus has low population levels and a non-uniform distribution pattern in the study area as well as in the trunk of the tree. It shows preference for medium height but not by any trunk orientation. R. grassei also shows low infestation levels and a preference to affect the trunk’s base. Comparatively, C. undatus showed higher infestation levels than R. grassei. The location of damage was also different, since galleries made by C. undatus predominated at intermediate trunk heights while those of R. grassei were more frequent at lower heights. Our results further showed a low co-occurrence of both species in the same tree trunks, which could be explained in terms of overlapping in the distribution areas of both species. These results provide background information that will enable natural resources managers to detect changes and trends of these species and inform future management decisions.

Contribution of Basal Ganglia to the Sense of Upright: A Double-Blind Within-Person Randomized Trial of Subthalamic Stimulation in Parkinson’s Disease with Pisa Syndrome

Background: Verticality perception is frequently altered in Parkinson’s disease (PD) with Pisa syndrome (PS). Is it the cause or the consequence of the PS? Objective: We tested the hypothesis that both scenarios coexist. Methods: We performed a double-blind within-person randomized trial (NCT02704910) in 18 individuals (median age 63.5 years) with PD evolving for a median of 17.5 years and PS for 2.5 years and treated with bilateral stimulation of the subthalamus nuclei (STN-DBS) for 6.5 years. We analyzed whether head and trunk orientations were congruent with the visual (VV) and postural (PV) vertical, and whether switching on one or both sides of the STN-DBS could modulate trunk orientation via verticality representation. Results: The tilted verticality perception could explain the PS in 6/18 (33%) patients, overall in three right-handers (17%) who showed net and congruent leftward trunk and PV tilts. Two of the 18 (11%) had an outstanding clinical picture associating leftward: predominant parkinsonian symptoms, whole-body tilt (head –11°, trunk –8°) and transmodal tilt in verticality perception (PV –10°, VV –8.9°). Trunk orientation or VV were not modulated by STN-DBS, whereas PV tilts were attenuated by unilateral or bilateral stimulations if it was applied on the opposite STN. Conclusion: In most cases of PS, verticality perception is altered by the body deformity. In some cases, PS seems secondary to a biased internal model of verticality, and DBS on the side of the most denervated STN attenuated PV tilts with a quasi-immediate effect. This is an interesting track for further clinical studies.

When gravity is not where it should be: How perceived orientation affects visual self-motion processing

Human perception is based on expectations. We expect visual upright and gravity upright, sensed through vision, vestibular and other sensory systems, to agree. Equally, we expect that visual and vestibular information about self-motion will correspond. What happens when these assumptions are violated? Tilting a person from upright so that gravity is not where it should be impacts both visually induced self-motion (vection) and the perception of upright. How might the two be connected? Using virtual reality, we varied the strength of visual orientation cues, and hence the probability of participants experiencing a visual reorientation illusion (VRI) in which visual cues to orientation dominate gravity, using an oriented corridor and a starfield while also varying head-on-trunk orientation and body posture. The effectiveness of the optic flow in simulating self-motion was assessed by how much visual motion was required to evoke the perception that the participant had reached the position of a previously presented target. VRI was assessed by questionnaire When participants reported higher levels of VRI they also required less visual motion to evoke the sense of traveling through a given distance, regardless of head or body posture, or the type of visual environment. We conclude that experiencing a VRI, in which visual-vestibular conflict is resolved and the direction of upright is reinterpreted, affects the effectiveness of optic flow at simulating motion through the environment. Therefore, any apparent effect of head or body posture or type of environment are largely indirect effects related instead, to the level of VRI experienced by the observer. We discuss potential mechanisms for this such as reinterpreting gravity information or altering the weighting of orientation cues.

Diversity of scoring, ingenuity of striking, art of flying — conceptual and systematical identification of soccer scoring techniques

The terms of soccer scoring techniques (SSTs) used in practice and research have been remaining confusing; even dramatic, we still do not know how many SSTs available for the game. This scenario hinders not only the scientific studies on some unique SSTs but also the development of novel coaching methods for learning these SSTs. The current paper aims to bridge the gap by establishing a SST terminology system. The system is built based on goal repeatability, selected anatomical & biomechanical parameters, and analyses of 579 attractive goals from international professional tournaments. The results have revealed that there are 43 SSTs existed in current soccer practice. Some SSTs can be identified by preliminary parameters (i.e. anatomical parameters, the ball vertical position at the shot and the hit-point on the ball), but most of them need additional biomechanical examination on the movement control in frontal & transverse planes, jumping control, and trunk orientation at shots in order to identify uniquely. Further, the new SST terminology has disclosed that soccer attractiveness is linked to the diversity, ingenuity and artistry of shots. The most attractive type of scoring awaited by millions of spectators is aerial shots. Lastly, the most important contribution of the new SST terminology system is to help researchers and practitioners launch target-orientated studies that would provide a practical and convincing scientific coach-method, clear definitions, and means to reevaluate and improve SSTs in practice.

ALS as Tool to Study Preferred Stem Inclination Directions

Although gravitropism forces trees to grow vertically, stems have shown to prefer specific orientations. Apart from wind deforming the tree shape, lateral light can result in prevailing inclination directions. In recent years a species dependent interaction between gravitropism and phototropism, resulting in trunks leaning down-slope, has been confirmed, but a terrestrial investigation of such factors is limited to small scale surveys. ALS offers the opportunity to investigate trees remotely. This study shall clarify whether ALS detected tree trunks can be used to identify prevailing trunk inclinations. In particular, the effect of topography, wind, soil properties and scan direction are investigated empirically using linear regression models. 299.000 significantly inclined stems were investigated. Species-specific prevailing trunk orientations could be observed. About 58% of the inclination and 19% of the orientation could be explained by the linear models, while the tree species, tree height, aspect and slope could be identified as significant factors. The models indicate that deciduous trees tend to lean down-slope, while conifers tend to lean leeward. This study has shown that ALS is suitable to investigate the trunk orientation on larger scales. It provides empirical evidence for the effect of phototropism and wind on the trunk orientation.

Orientation of the Head and Trunk During Functional Upper Limb Movement

Upper limb activities imply positioning of the head with respect to the visual target and may impact trunk posture. However, the postural constraints imposed on the neck remains unclear. We used kinematic analysis to compare head and trunk orientation during arm movements (pointing) with isolated movements of the head (heading). Ten right-handed healthy adults completed both experimental tasks. In the heading task, subjects directed their face toward eight visual targets placed over a wide frontal workspace. In the pointing task, subjects pointed to the same targets (each with their right arm). Movements were recorded using an electromagnetic spatial tracking system. Both orientation of the head and trunk in space (Euler angles) and orientation of the head relative to the trunk were extracted. The orientation of the head in space was closely related to target direction during both tasks. The trunk was relatively stable during heading but contributed to pointing, with leftward axial rotation. These findings illustrate that the neck compensates for trunk rotation during pointing, engaging in specific target-dependent 3D movement in order to preserve head orientation in space. Future studies may investigate neck kinematics of people experiencing neck pain in order to identify and correct inefficient movement patterns, particularly in athletes.