Validation of the Tekscan system for statistic and dynamic pressure measurements of the human femorotibial joint]

In vitro dynamic pressure measurements in the healthy and pathologically altered knee joint help to improve our understanding of the loading pattern on femorotibial surfaces. The aim of the study was to evaluate a piezoresistive pressure measuring system. A human cadaveric knee was mounted in a material-testing machine (Bionix 858) using a specially designed knee-holding device. Axial loading of the knee, flexed at 20o, at 500 N, 1000N and 1500 N was then carried out. For the static investigations, the piezoresistive measuring system (Tekscan), was compared with the FUJI measuring system. In addition, dynamic measurements were also performed with the Tekscan System. With the exception of the lateral compartment at a load of 1500 N, no differences in maximum pressures were observed between the two systems. Nor were there any differences with regard to contact surfaces, either in the medial or lateral compartment (p > 0.05). However, the reproducibility of the data was significantly higher with the Tekscan System (p < 0.01). Dynamic pressure measurements obtained with the knee flexed 20 to 90o showed that the lateral contact area shifted from anterior to posterior, while the medial contact area remained virtually unchanged. The Tekscan System proved to be more reliable than the FUJI System, and permits simultaneous measurements in both compartments. The Tekscan System is suitable for dynamic measurement of the femorotibial joint, and permits measurements to be made under more physiological conditions.     

A pressure profile for elastic stockings.

Special equipment to measure the circumferential compression exerted by an elastic stocking was used to determine the "pressure-girth profiles" of several types of elastic stocking. Once the pressure-girth profile has been determined, the pressure exerted at the ankle, calf, and thigh can be predicted for any size of limb without further pressure measurements. An excellent correlation (r = 0.96) was obtained when this method was compared with another well-established one of measuring the pressures exerted by stockings. The method has several potential applications in quality control during stocking manufacture and, clinically, in determining whether a stocking exerts a graduated pressure on a particular limb.     

Computational investigation of the Laplace law in compression therapy

This study aims to use computational methods for elucidating the effect of limb shape on subgarment and subcutaneous pressures, stresses and strains. A framework was built that generates computational models from 3D arm scans using a depth sensing camera. Finite Element Analysis (FEA) was performed on the scans taken from 23 lymphoedema patients. Subgarment pressures were calculated based on local curvature for each patient and showed a large variability of pressure across each arm. Across the cohort an average maximum subgarment pressure of 5100 Pa was found as opposed to an intended garment pressure of 2500 Pa. Subcutaneous results show that stresses/strains in the adipose tissues more closely follow the subgarment pressures than in the stiffer skin tissues. Another novel finding was that a negative axial gradient in subgarment pressure (from wrist to elbow) consistently led to positive axial gradients for the Von Mises stresses in the adipose tissues; a phenomenon caused by a combination of arm shape and the stiffness ratio between skin and adipose tissues. In conclusion, this work fills a knowledge gap in compression therapy in clinical practice and can inform garment design or lead to optimal treatment strategies.     

Support for varicose veins.

A method has been devised to allow reliable comparison of different strengths and constructions of support hosiery. Five garments were evaluated for the compression they exerted on the leg and their ability to limit the distension of a model varicose vein. Stockings and tights which provide modest compression can achieve worthwhile control of vein distension.     

Value of graduated compression stockings in deep venous insufficiency.

The effect on elastic stockings on ambulatory venous pressure was investigated in 22 limbs with deep venous insufficiency. The failure of some elastic stockings to reduce the ambulatory venous pressure in some limbs is due to the lack of graduated compression, which is caused by ankle-calf disproportion--narrow ankles and wide calves. This can be recognised by using the pressure-girth profile and corrected by specially made stockings with increased tension at the ankle. A pressure-girth profile established for each stocking enabled the exact compression exerted by the stocking along the length of each limb to be determined. Elastic stockings exerting a graduated compression between ankle and calf induced a reduction in the ambulatory venous pressure in all but one limb. The greater the degree of graduated compression between ankle and calf exerted by the stocking, the greater the fall in ambulatory venous pressure. This may explain the beneficial effect of compression in limbs with venous ulceration.     

Therapeutic effects of Saireito (TJ-114), a traditional Japanese herbal medicine, on postoperative edema and inflammation after total hip arthroplasty.

Saireito (TJ-114) is a traditional Japanese herbal medicine that has been used for treating edema and inflammation in diseases such as nephritic disease. This study investigates the effect of TJ-114 on postoperative edema and inflammation after total hip arthroplasty (THA). Patients who underwent cementless THA were randomly divided into two groups: Group A consisted of 8 hips of 8 patients who were treated with TJ-114 at a dose of 9 g/day 2 days before surgery and for 2 weeks after surgery; Group B consisted of 9 hips of 9 patients who did not take TJ-114. Although no significant difference was observed between the two groups for lower extremity edema, it was found that swelling of the proximal leg in Group A was less than that in Group B. Furthermore, 3 weeks after surgery, every measuring point in the lower extremity showed that TJ-114 tended to decrease postoperative swelling compared to measurements of swelling of patients who did not take TJ-114. Serum C-reactive protein (CRP) levels of 6 out of 8 patients in Group A decreased and became negative 2 weeks after surgery; however, there were no patients in Group B whose CRP levels became negative after 2 weeks. In conclusion, TJ-114 is safe and useful for the prevention and early recovery of postoperative leg edema after THA with an association of rapid CRP reduction.     

Circadian Rhythms of Core Body Temperature and Urinary Noradrenaline Secretion under the Influence of Skin Pressure due to Foundation Garments Worn during Wakefulness

The present experiment investigated the effects of skin pressure by foundation garments (brassiere plus girdle) worn during wakefulness on the circadian rhythms of core temperature and endocrine secretion. Eight healthy females (18–23 yrs) maintaining regular sleep-wake cycles for a week prior to participation in the experiment served as participants. The experiments were performed from June to August, 1999, using a bioclimatic chamber controlled at 26.5 ± 0.2°C and 62 ± 3% RH. Ambient light intensity was controlled at 500 lx from 07:30 h to 17:30 h, 100 lx from 17:30 h to 19:30 h, 20 lx from 19:30 h to 23:30 h and there was total darkness from 23:30 h to 07:30 h. The experiment lasted for 58?h over 3 nights. The participant rose at 07:30?h in the morning of the first day and retired at 23:30 h, adhering to a set schedule for 24 h but without wearing foundation garments. From 07:30 h to 23:30 h of the second day the participant wore foundation garments but did not wear foundation garments during the sleep. Rectal and leg skin temperatures were continuously measured throughout the experiment. Urine was collected every 4 h for the analysis of catecholamines. Skin pressure applied by the foundation garments was in the range 11–17 gf/cm² at the regions of abdomen, hip, chest and back. The main results were as follows: Rectal temperature was significantly higher (p < 0.01) during wakefulness, but significantly lower (p < 0.01) during sleep with than without foundation garments. Furthermore, the amplitude of rectal temperature was larger with than without foundation garments (p < 0.033). Urinary noradrenaline was mostly lower with foundation garments throughout the day and night. The results suggest that skin pressure by foundation garments worn during wakefulness could influence the level of core body temperature and noradrenaline secretion not only during wakefulness, but also during sleep.     

Positive effect of lower body compression garments on subsequent 40-kM cycling time trial performance

This study aimed to investigate the effect of wearing graduated compression garments during recovery on subsequent 40-km time trial performance. In a randomized single-blind crossover experiment, 14 trained multisport male athletes (mean ± SD: age 33.8 ± 6.8 years, 40-km time 66:11 ± 2:10 minutes:seconds) were given a graduated full-leg-length compressive garment (76% Meryl Elastane, 24% Lycra) or a similar-looking noncompressive placebo garment (92% Polyester, 8% Spandex) to wear continuously for 24 hours after performing an initial 40-km time trial in their normal cycling attire. After the 24-hour recovery period, the compression (or placebo) garments were removed, and a second 40-km time trial was then completed to gauge the effect of each garment on subsequent performance. One week later, the groups were reversed and testing procedures repeated. The participant's hydration status, nutritional intake, and training were similar before each set of trials. Performance time in the second time trial was substantially improved with compression compared with placebo garments (1.2 ± 0.4%, mean ± 90% confidence interval). This improvement resulted in a substantially higher average power output after wearing the compression garment compared with that after wearing the placebo garment (3.3 ± 1.1%). Differences in oxygen cost and rating of perceived exertion between groups were trivial or unclear. The wearing of graduated compressive garments during recovery is likely to be worthwhile and unlikely to be harmful for well-trained endurance athletes.     

Accuracy and repeatability of a new method for measuring facet loads in the lumbar spine

We assessed the repeatability and accuracy of a relatively new, resistance-based sensor (Tekscan 6900) for measuring lumbar spine facet loads, pressures, and contact areas in cadaver specimens. Repeatability of measurements in the natural facet joint was determined for five trials of four specimens loaded in pure moment (+/- 7.5 N m) flexibility tests in axial rotation and flexion-extension. Accuracy of load measurements in four joints was assessed by applying known compressive loads of 25, 50, and 100 N to the natural facet joint in a materials testing machine and comparing the known applied load to the measured load. Measurements of load were obtained using two different calibration approaches: linear and two-point calibrations. Repeatability for force, pressure, and area (average of standard deviation as a percentage of the mean for all trials over all specimens) was 4-6% for axial rotation and 7-10% for extension. Peak resultant force in axial rotation was 30% smaller when calculated using the linear calibration method. The Tekscan sensor overestimated the applied force by 18 +/- 9% (mean+/-standard deviation), 35 +/- 7% and 50 +/- 9% for compressive loads of 100, 50, and 25 N, respectively. The two-point method overestimated the loads by 35 +/- 16%, 45 +/- 7%, and 56 +/- 10% for the same three loads. Our results show that the Tekscan sensor is repeatable. However, the sensor measurement range is not optimal for the small loads transmitted by the facets and measurement accuracy is highly dependent on calibration protocol.     

Effects of dietary linoleic acid on blood pressure and renal function in subtotally nephrectomized rats

The effect of a high linoleic acid diet on blood pressure, renal function, and urinary prostaglandin excretion was studied in rats with decreased renal mass. Subtotally nephrectomized (5/6 nephrectomy) male rats received either a 15% linoleic acid (high linoleic acid, HLA) diet containing 20% safflower oil or a 0.28% linoleic acid (low linoleic acid, LLA) diet containing 20% coconut oil. Sham-operated rats were also placed on either HLA or LLA diet. The subtotal nephrectomized rats developed similar degrees of hypertension during the first 3 weeks after subtotal nephrectomy. However, 4 weeks after subtotal nephrectomy, the rats on HLA diet had significantly lower blood pressure than the rats on LLA diet [HLA 152 +/- 3 (mean +/- SE) mm Hg versus LLA 171 +/- 3 mm Hg]. This difference persisted until termination of the experiment at 7 weeks after subtotal nephrectomy (HLA 159 +/- 7 mm Hg versus LLA 192 +/- 6 mm Hg). The GFR measured 7 weeks after subtotal nephrectomy was significantly lower in both of the subtotally nephrectomized groups. However, the HLA subtotal nephrectomized rats had significantly higher GFR than the LLA-treated rats (HLA 0.23 +/- 0.05 ml/min 100 g versus LLA 0.12 +/- 0.02 ml/min/100 g, P less than 0.05). There was no difference in the GFR or blood pressure in the sham-operated rats treated with HLA or LLA diet. PGE2 excretion was lower in the two groups of subnephrectomized rats, but there was no difference between the HLA and LLA treated rats. Urinary 6-ketoPGF1 alpha was not decreased by subtotal nephrectomy and there was no difference between the dietary groups. However, TXB2 excretion was higher in the groups with subtotal nephrectomy, but there was no difference between the two dietary groups. In conclusion, the HLA diet attenuates the rise in blood pressure after subtotal nephrectomy in the rat and preserves renal function. There was no difference in urinary excretion of PGE2, 6-keto-PFG1 alpha, or thromboxane B2 between the two dietary groups.     

Study of intraarticular pressures in the elbow joints

The purpose of this study was to describe pressure originating in the six elbow articular compartments after muscular contractions. Ten cryopreserved cadaveric arms were dissected and the insertional tendons and capsuloligamentous tissues were preserved. The specimens were placed in a custom-made device. Elbow position was established at 90° flexion with the forearm in a neutral position and the wrist extended at 0°. Tekscan sensors sere used for measuring intraarticular pressures.Without loading the elbow, the humeroradial joint received the lowest pressure, and, among the humeroulnar joints, the highest pressure was found in the anterolateral compartment. After loading the epitrochlear muscles to the maximum (5.0 kg), the pressure increased in the anteromedial joint (0.6 kg to 3.3 kg) and decreased in the posteromedial and anterolateral joints (4.2 kg to 0.3 kg and 4.2 kg to 0.9 kg, respectively). After the same loading in the epicondylar muscles, the pressure increased in the anterolateral and humeroradial joints (4.2 kg to 8.2 kg and 0.2 kg to 1.0 kg respectively), but decreased in the posterolateral joint (3.4 kg to 1.0 kg). The pressure distribution patterns among the humeroulnar compartments depend on the muscle geometries and their origins. Understanding these patterns can be useful in applying physiotherapeutic treatments for reinforcement of different muscular groups in order to decrease pressure in certain articular compartments.     

An approach to determine pressure profile generated by compression bandage using quasi-linear viscoelastic model

Understanding the stress relaxation behavior of the compression bandage could be very useful in determining the behavior of the interface pressure exerted by the bandage on a limb during the course of the compression treatment. There has been no comprehensive study in the literature to investigate the pressure profile (interface pressure with time) generated by a compression bandage when applied at different levels of strain. The present study attempts to describe the pressure profile, with the use of a quasi-linear viscoelastic model, generated by a compression bandage during compression therapy. The quasi-linear viscoelastic (QLV) theory proposed by Fung (Fung, 1972, "Stress Strain History Relations of Soft Tissues in Simple Elongation," Biomechanics: Its Foundations and Objectives, Y. C. Fung, N. Perrone, and M. Anliker, eds., Prentice-Hall, Englewood Cliffs, NJ, pp. 181-207). was used to model the nonlinear time- and history-dependent relaxation behavior of the bandage using the ramp strain approach. The regression analysis was done to find the correlation between the pressure profile and the relaxation behavior of the bandage. The parameters of the QLV model, describing the relaxation behavior of the bandage, were used to determine the pressure profile generated by the bandage at different levels of strain. The relaxation behaviors of the bandage at different levels of strain were well described by the QLV model parameters. A high correlation coefficient (nearly 0.98) shows a good correlation of the pressure profile with the stress relaxation behavior of the bandage.The prediction of the pressure profile using the QLV model parameters were in agreement with the experimental data. The pressure profile generated by a compression bandage could be predicted using the QLV model describing the nonlinear relaxation behavior of the bandage. This new application of the QLV theory helps in evaluating the bandage performance during compression therapy as scientific wound care management.     

非洛地平缓释片对轻中度原发性高血压患者的降压疗效和对脉搏波 速度的影响

目的:探讨非洛地平缓释片对轻中度原发性高血压患者的降压疗效和对脉搏波速度的影响。方法:根据纳入标准选取我院260例原发性高血压患者,按计划方案给予非洛地平缓释片口服治疗。观察患者入院后、治疗2周末、14周末降压疗效及脉搏波传导速度的改变情况,并进行对比分析。结果:本组研究中接受治疗研究者共260例,其所有受检者在治疗2、6、10、14周后血压水平均有不同程度改善,与基线比较差异明显,有统计学意义(P<0.01)。脉搏波变化分析所有受试者脉搏波速度变化分析,基线脉搏波速度为(10.9±2.4)m/s,经过治疗后2周、14周基线脉搏波速度为(10.3±2.1)m/s,差异明显具有统计学意义(P<0.01);心率变化分析表明非洛地平缓释片在降压同时对心率影响不大,安全性评价表示,接受治疗期间曾有68例发生不良事件,占总数26.2%。笔者认为与药物无关,且均为轻度,经过适当处理后均缓解,对本研究无影响。结论:非洛地平缓释片降压效果良好,可同时降低颈动脉-股动脉脉搏波传导速度,改善大动脉僵硬度。     

The effects of skin pressure by clothing on circadian rhythms of core temperature and salivary melatonin

The present experiment investigated the effects of skin pressure by foundation garments (girdle and brassiere) on the circadian rhythms of core temperature and salivary melatonin. Ten healthy females (18-23 years) maintained regular sleep-wake cycles for a week prior to participation in the experiment. The experiments were performed from June to August 1999 using a bioclimatic chamber controlled at 26.5 degrees C +/- 0.2 degrees C and 62% +/- 3% RH. Ambient light intensity was controlled at 500 lux from 07:30 to 17:30, 100 lux from 17:30 to 19:30, 20 lux from 19:30 to 23:30; there was total darkness from 23:30 to 07:30. The experiment lasted for 58h over three nights. The participants arose at 07:30 on the first full day and retired at 23:30, adhering to a set schedule for 24h, but without wearing foundation garments. For the final 24h of the second full day, the subjects wore foundation garments. Rectal and leg skin temperatures were measured continuously throughout the experiment. Saliva and urine were collected every 4h for the analysis of melatonin and catecholamines, respectively. Skin pressure applied by the foundation garments was in the range 11-17 gf/cm2 at the regions of the abdomen, hip, chest, and back. The main results were as follows: (1) Rectal temperatures were significantly higher throughout the day and night when wearing foundation garments. (2) The nocturnal level of salivary melatonin measured at 03:30 was 115.2 +/- 40.4 pg/mL (mean +/- SEM, N = 10) without and 51.3 +/- 18.4 pg/mL (mean +/- SEM, N = 10) with foundation garments. (3) Mean urinary noradrenaline excretion was significantly lower throughout the day and night when wearing foundation garments (p < .05), but mean urinary adrenaline excretion was not different. The results suggest that skin pressure by clothing could markedly suppress the nocturnal elevation of salivary melatonin, resulting in an increase of rectal temperature.     

Effect of hypophysectomy on mouse oocyte maturation in vitro.

There was no difference in frequency of maturation of oocytes obtained from mice hypophysectomized for 2 weeks compared to those from sham-operated or untreated (control) animals of the same age. By 7 weeks, and also at 12 and 17 weeks, the incidence of polar body formation in vitro was significantly reduced. The number of oocytes which remained meiotically inactive in culture was increased at 7, 12 and 17 weeks after hypophysectomy. This decrease in spontaneous oocyte maturation in vitro could be partly overcome by administering exogenous PMSG, oestradiol-17beta or PMSG + oestradiol-17beta, but not progesteron or hCG, to hypophysectomized mice.     

不同周龄自发性高血压大鼠的动态血压变化与心脏的组织学改变

目的测量不同周龄自发性高血压(SHR)的收缩压、舒张压、平均压、心率、血流量及血流速,为SHR及有关高血压方面的实验研究提供基础数据参考。方法采用CODATM无创血压仪,测量34只8～15周龄SHR的收缩压、舒张压、平均压、心率、血流量及血流速。在最后一周测量完血压值后,采用45mg/kg的戊巴比妥钠,腹腔注射麻醉动物,进行处死。采取胸主动脉、肺、肾、心脏和大脑,经10%的福尔马林溶液固定常规脱水,包埋,切片,进行HE染色。结果8～15周龄SHR的收缩压和心率值在各周之间均无统计学差异(P0.05)。舒张压的比较中,第8周与第15周之间存在显著差异(P0.05)。平均压的比较中,第8周与第15周之间存在显著差异(P0.05)。在组织学观察中,40%的心肌细胞变性。结论SHR的舒张压、收缩压及平均压随周龄的增加均有上升的趋势。而心率、血流速及血流量均有下降的趋势,但是在各周存在一定的波动。     

Pressure measurements during automatic breast compression in mammography

Breast compression during X-ray mammography results in improved image quality at a lower radiation dose to the patient, and, as a consequence, the Department of Health recommends that automatic breast compression devices are fitted to mammographic X-ray units. However, the degree of breast compression is not standardized and can vary depending on the size of the patient, the particular mammography X-ray unit and the conditions of its use. A pressure measuring system was used to determine accurately the pressure on the breast. This system takes the form of a fluid-filled neonatal cuff connected to a pressure transducer by a fluid line. The pressure measuring system was calibrated and tested, first without and then with the patients, to assess its pratical feasibility. The elements of the pressure measuring system, the techniques involved in its calibration and its use on patients in the clinical environment are described here. The system has proved to be a quick and simple method of relating the pressure on the breast to the pressure reading of the mammography X-ray unit.     

The effects of ionized and nonionized compression garments on sprint and endurance cycling

ABSTRACT: Burden, RJ and Glaister, M. The effects of ionized and nonionized compression garments on sprint and endurance cycling. J Strength Cond Res 26(10): 2837-2843, 2012-The aim of this study was to examine the effects of ionized and nonionized compression tights on sprint and endurance cycling performance. Using a randomized, blind, crossover design, 10 well-trained male athletes (age: 34.6 ± 6.8 years, height: 1.80 ± 0.05 m, body mass: 82.2 ± 10.4 kg, V[Combining Dot Above]O2max: 50.86 ± 6.81 ml·kg·min) performed 3 sprint trials (30-second sprint at 150% of the power output required to elicit V[Combining Dot Above]O2max [pV[Combining Dot Above]O2max] + 3 minutes recovery at 40% pV[Combining Dot Above]O2max + 30-second Wingate test + 3 minutes recovery at 40% pV[Combining Dot Above]O2max) and 3 endurance trials (30 minutes at 60% pV[Combining Dot Above]O2max + 5 minutes stationary recovery + 10-km time trial) wearing nonionized compression tights, ionized compression tights, or standard running tights (control). There was no significant effect of garment type on key Wingate measures of peak power (grand mean: 1,164 ± 219 W, p = 0.812), mean power (grand mean: 716 ± 68 W, p = 0.800), or fatigue (grand mean: 66.5 ± 6.9%, p = 0.106). There was an effect of garment type on blood lactate in the sprint and the endurance trials (p < 0.05), although post hoc tests only detected a significant difference between the control and the nonionized conditions in the endurance trial (mean difference: 0.55 mmol·L, 95% likely range: 0.1-1.1 mmol·L). Relative to control, oxygen uptake (p = 0.703), heart rate (p = 0.774), and time trial performance (grand mean: 14.77 ± 0.74 minutes, p = 0.790) were unaffected by either type of compression garment during endurance cycling. Despite widespread use in sport, neither ionized nor nonionized compression tights had any significant effect on sprint or endurance cycling performance.     

The effects of a commercially available warm-up program on landing mechanics in female youth soccer players

The purpose of this study was to examine lower extremity kinematics following implementation of the Sportsmetrics Warm-Up for Injury Prevention and Performance (WIPP) training program. The hypothesis was that there would be no difference in landing mechanics between 2 groups of female youth soccer players (9-11 years of age), with 1 group (Treatment) completing the 8-week-duration (2 days per week) WIPP program and the other serving as a Control group. We recruited 21 female youth soccer players. Treatment (n = 12) and Control (n = 9) groups were established. Using the Sportsmetrics Software for Analysis of Jumping Mechanics, we analyzed lower extremity movement during landing after subjects jumped off a 30.5-cm box and immediately went into a vertical jump. No significant changes in knee separation values were observed in the Treatment group after 8 weeks of WIPP training. The results indicate that 8 weeks of WIPP training did not significantly alter landing strategies.     

The dynamics of morphofunctional changes in the microcirculation of the pelvic extremity after modeling the chief stages of its replantation]

Under study was the effect of autotransplantation in its "pure form" upon the morpho-functional reconstruction and structural mechanisms of adaptation of the blood and lymphatic links of the microcirculatory bed of extremities during early postoperation period up to 10 days. The pathophysiological state of the extremity sufficiently close to its autotransplantation was obtained by means of circular transection of soft tissues of the medial third of the femur together with the nerves and deep collecting lymphatic vessels. It was found that after modeling the main stages of replantation in the fascia and periosteum of the operated extremity there developed a spasm of the arteriolar link and dilatation of the venular and lymphatic links of the microcirculatory bed. The areas of leukocytic infiltration with the phenomena of diapedesis and microhemorrhages were revealed along the course of postcapillaries and venules in the paravasal connective tissue. The amount of functioning arteriole-venular anastomoses was increased. Against the background of pronounced oedema of soft tissues of the operated extremity the venous pressure increased and the rate of the capillary bloodflow in the skin and muscles decreased. The above changes tend to be reduced by the 10th day after modelling the main stages of replantation of the extremity.