Surface Electromyography Based Core Muscle Fatigue Analysis During Repetitive Plank Using Multivariate Dimensionality Reduction Methods in Boys Aged 12-14

The aims of the study were: 1. To analyse the discriminative power of neuromuscular components for classifying the pre and post muscle fatigued states. 2. To examine whether the modification of neural recruitment strategies become more/less heterogeneous due to fatigue. 3. To research the effect of Erector Spinae (ES) muscle activity collectively with Rectus Abdominis (RA) and External Oblique (EO) muscle activity to identify the reduced spine stability during fatiguing Plank. Material and methods. Twelve boys (age – 12-14 years, height 148.75 ± 10 cm, body mass 38.9 ± 7.9 kg) participated in the study. Multivariate Discriminant Analysis (DA) and Principal Component Analysis (PCA) were applied to identify the changes in the pattern of the electromyographic signals during muscle fatigue. In DA the Wilks’ lambda, p-value, canonical correlation, classification percentage and structure matrix were used. To evaluate the component validity the standard limit for Kaiser-Meyer-Olkin (KMO) was set at ≥0.529 and the p-value of Bartlett’s test was ≤0.001. The eigenvalues ≥1 were used to determine the number of Principal Components (PCs). The satisfactory percentage of non-redundant residuals were set at ≤50% with standard value >0.05. The absolute value of average communality (x̄ h2) and component loadings were set at ≥0.6, ≥0.4 respectively. Results. Standardized canonical discriminant analysis showed that pre and post fatigued conditions were significantly different (p = 0.000, Wilks’ lambda = 0.297, χ2 = 24.914, df=3). The structure matrix showed that the parameter that correlated highly with the discriminant function was ES ARV (0.514). The results showed that the classification accuracy was 95.8% between fatigued conditions. In PCA the KMO values were reduced [0.547Pre fatigue vs. 0.264Post fatigue]; the value of Bartlett’s sphericity test was in pre χ2 = 90.72 (p = 0.000) and post fatigue χ2 = 85.32 (p = 0.000); The Promax criterion with Kaiser Normalization was applied because the component rotation was non-orthogonal [Component Correlation Matrix (rCCM) = 0.520 Pre fatigue >0.3Absolute<0.357Post fatigue]. In pre fatigue two PCs (cumulative s2 – 80.159%) and post fatigue three PCs (cumulative s2 – 83.845%) had eigenvalues ≥1. The x̄ h2 increased [0.802 Pre fatigue vs. 0.838 Post fatigue] and the percentage of nonredundant residuals reduced [50% Pre fatigue vs. 44% Post fatigue] from pre to post fatigue. Conclusions. The variability and heterogeneity increase in the myoelectric signals due to fatigue. The co-activity of antagonist ES muscle is significantly sensitive to identify the deteriorating spine stability during the fatiguing Plank. Highly correlated motor unit recruitment strategies between ES and RA, providing supportive evidence to the concept of shared agonist-antagonist motoneuron pool or “Common Drive” phenomenon during fatigue.

Posterior Focal Curettage and Spine Stability Reconstruction by Temporary Pedicle Screw Fixation in Children With Collapsed Vertebrae due to Eosinophilic Granuloma

Study Design: Retrospective case series. Objectives: To evaluate the efficacy of growth-preserving posterior spinal column reconstruction surgery in children with collapsed vertebral eosinophilic granuloma (EG). Methods: We retrospectively reviewed 15 confirmed cases of vertebral EG who met the inclusion and exclusion criteria from March 2015 to March 2018 in our hospital. The recovery of diseased vertebrae was assessed. Results: The cases were composed of 11 males and 4 females with a mean age of 74.3 ± 38.8 months. Nine cases presented with thoracic vertebral destruction, 6 cases with lumbar vertebral destruction. Under Garg’s classification, 10, 3 and 2 cases were classified as Grade IIA, IB and IIB lesions, respectively. All patients had mild to moderate night-aggravated back pain and recovered at 1-week after surgery. Three patients had Frankel D neurologic symptoms and recovered at 1-week, 1-week and 4-weeks after surgery, respectively. Follow-up time after surgery ranged from 1.9 years to 4.5 years, with a mean of 2.9 years. The median vertebral height at 12 months after surgery was significantly higher than the preoperative height. Furthermore, the vertebral heights of all diseased vertebrae displayed significant recovery trends at 3, 6 and 12 months after surgical treatment. The percentages of vertebral height recovery to references at 12 months after surgery ranged from 34.7% to 92.5%, with an average of 71.2%. Conclusions: In children with collapsed vertebral EGs, active surgical treatment is necessary to retain the ability to restore height and to reconstruct the spine stability.

Interneuron activity-structural plasticity association is driven by context-dependent sensory experience

Neuronal dendritic spine dynamics provide a plasticity mechanism for altering brain circuit connectivity to integrate new information for learning and memory. Previous in vivo studies in the olfactory bulb (OB) showed that regional increases in activity caused localized spine stability, at a population level, yet how activity affects spine dynamics at an individual neuron level remains unknown. In this study, we tracked in vivo the correlation between an individual neuron’s activity and its dendritic spine dynamics of OB granule cell (GC) interneurons. Odor experience caused a consistent correlation between individual GC activity and spine stability. Dissecting the components of the OB circuit showed that increased principal cell (MC) activity was sufficient to drive this correlation, whereas cell-autonomously driven GC activity had no effect. A mathematical model was able to replicate the GC activity-spine stability correlation and showed MC output having improved odor discriminability while retaining odor memory. These results reveal that GC spine plasticity provides a sufficient network mechanism to decorrelate odors and maintain a memory trace.

Preliminary Establishment of a Spinal Stability Scoring System for Multiple Myeloma

Background: Multiple myeloma is an incurable malignant plasma cell disorder that represents the most common primary malignant bone tumor. It commonly involves bone metastasis in multiple vertebral bodies, which SINS scoring system may not be fully applicable to MM patients. We designed a stability evaluation system to evaluate the spinal stability of patients with MM spinal involvement in order to guide clinical treatment.Methods: By using Delphi method, information was collected and extracted through a series of questionnaires and improved via feedback and we preliminary establishment of a spinal stability scoring system for multiple myeloma.Results: Fifteen clinicians completed a second round of questionnaires and compared their answers with those of the first round of questionnaires to identify significant comments or changes that required group discussions. As a result, no further feedback was used to improve the scoring system. After integrating the information from the expert consultation questionnaire, we established the initial scoring system for MM spine stability and used the scoring system to assess a series of representative clinical cases. The scoring system consisted of the following six components. The MM spinal stability scoring system was created by calculating the scores of the six separate components: Location, Pain, Number of segments, Physiological curvature, Comorbidities and Neurological function. The minimum value was ‘0’, and the maximum value was ‘24’. A score of ‘0-10’ indicated ‘spine stability’, a score of ‘11-17’ indicated ‘potential instability’, and a score of ‘18-24’ indicated ‘spine instability’. Patients with a score of ‘11-24’ need an intervention such as surgery.Conclusions: The initial establishment of the MM spine stability scoring system provides a vital theoretical basis for the evaluation of spine stability in individuals with MM. Trial registration: The conducted study contains a retrospective analysis of medical records of our hospital database. Beijing Chao-yang Hospital Human Research Ethics Committee classifies this as a retrospective audit. The ethics approval and consent was given for the conducted retrospective data analysis.

Preliminary establishment of a spinal stability scoring system for multiple myeloma

Background: Multiple myeloma is an incurable malignant plasma cell disorder that represents the most common primary malignant bone tumor. It commonly involves bone metastasis in multiple vertebral bodies, which SINS scoring system may not be fully applicable to MM patients. We designed a stability evaluation system to evaluate the spinal stability of patients with MM spinal involvement in order to guide clinical treatment. Methods: By using Delphi method, information was collected and extracted through a series of questionnaires and improved via feedback and we preliminary establishment of a spinal stability scoring system for multiple myeloma. Results: Fifteen clinicians completed a second round of questionnaires and compared their answers with those of the first round of questionnaires to identify significant comments or changes that required group discussions. As a result, no further feedback was used to improve the scoring system. After integrating the information from the expert consultation questionnaire, we established the initial scoring system for MM spine stability and used the scoring system to assess a series of representative clinical cases. The scoring system consisted of the following six components.The MM spinal stability scoring system was created by calculating the scores of the six separate components: Location, Pain, Number of segments, Physiological curvature, Comorbidities and Neurological function. The minimum value was ‘0’, and the maximum value was ‘24’. A score of ‘0-10’ indicated ‘spine stability’, a score of ‘11-17’ indicated ‘potential instability’, and a score of ‘18-24’ indicated ‘spine instability’. Patients with a score of ‘11-24’ need an intervention such as surgery. Conclusions: The initial establishment of the MM spine stability scoring system provides a vital theoretical basis for the evaluation of spine stability in individuals with MM. Trial registration: The conducted study contains a retrospective analysis of medical records of our hospital database. Beijing Chao-yang Hospital Human Research Ethics Committee classifies this as a retrospective audit. The ethics approval and consent was given for the conducted retrospective data analysis.

Preliminary Establishment of a Spinal Stability Scoring System for Multiple Myeloma

Background: Multiple myeloma (MM) is an incurable malignant plasma cell disorder that represents the most common primary malignant bone tumor. It commonly involves bone metastasis in multiple vertebral bodies, which SINS scoring system may not be fully applicable to MM patients. We designed a stability evaluation system to evaluate the spinal stability of patients with MM spinal involvement in order to guide clinical treatment. Methods: By using Delphi method, information was collected and extracted through a series of questionnaires and improved via feedback and we preliminary establishment of a spinal stability scoring system for multiple myeloma. Results: Fifteen clinicians completed a second round of questionnaires and compared their answers with those of the first round of questionnaires to identify significant comments or changes that required group discussions. As a result, no further feedback was used to improve the scoring system. After integrating the information from the expert consultation questionnaire, we established the initial scoring system for MM spine stability and used the scoring system to assess a series of representative clinical cases. The scoring system consisted of the following six components.The MM spinal stability scoring system was created by calculating the scores of the six separate components: Location, Pain, Number of segments, Physiological curvature, Comorbidities and Neurological function. The minimum value was ‘0’, and the maximum value was ‘24’. A score of ‘0-10’ indicated ‘spine stability’, a score of ‘11-17’ indicated ‘potential instability’, and a score of ‘18-24’ indicated ‘spine instability’. Patients with a score of ‘11-24’ need an intervention such as surgery. Conclusions: The initial establishment of the MM spine stability scoring system provides a vital theoretical basis for the evaluation of spine stability in individuals with MM. Trial registration: As this was a retrospective study, it did not require ethical approval; all patients had signed informed consent when they received treatment, and all treatment options were voluntary.