Measurement of Shoulder Range of Motion in Patients with Adhesive Capsulitis Using a Kinect

Range of motion (ROM) measurements are essential for the evaluation for and diagnosis of adhesive capsulitis of the shoulder (AC). However, taking these measurements using a goniometer is inconvenient and sometimes unreliable. The Kinect (Microsoft, Seattle, WA, USA) is gaining attention as a new motion detecting device that is nonintrusive and easy to implement. This study aimed to apply Kinect to measure shoulder ROM in AC; we evaluated its validity by calculating the agreement of the measurements obtained using Kinect with those obtained using goniometer and assessed its utility for the diagnosis of AC. Both shoulders of 15 healthy volunteers and affected shoulders of 12 patients with AC were included in the study. The passive and active ROM of each were measured with a goniometer for flexion, abduction, and external rotation. Their active shoulder motions for each direction were again captured using Kinect and the ROM values were calculated. The agreement between the two measurements was tested with the intraclass correlation coefficient (ICC). Diagnostic performance using the Kinect ROM was evaluated with Cohen’s kappa value. The cutoff values of the limited ROM were determined in the following ways: the same as passive ROM values, reflecting the mean difference, and based on receiver operating characteristic curves. The ICC for flexion/abduction/external rotation between goniometric passive ROM and the Kinect ROM were 0.906/0.942/0.911, while those between active ROMs and the Kinect ROMs were 0.864/0.932/0.925. Cohen’s kappa values were 0.88, 0.88, and 1.0 with the cutoff values in the order above. Measurements of the shoulder ROM using Kinect show excellent agreement with those taken using a goniometer. These results indicate that the Kinect can be used to measure shoulder ROM and to diagnose AC as an alternative to goniometer.     

Intrinsic and extrinsic contributions to the passive moment at the metacarpophalangeal joint

The purpose of this investigation was to determine whether the passive range of motion at the finger joints is restricted more by intrinsic tissues (cross a single joint) or by extrinsic tissues (cross multiple joints). The passive moment at the metacarpophalangeal (MP) joint of the index finger was modeled as the sum of intrinsic and extrinsic components. The intrinsic component was modeled only as a function of MP joint angle. The extrinsic component was modeled as a function of MP joint angle and wrist angle. With the wrist fixed in seven different positions the passive moment at the MP joint of eight subjects was recorded as the finger was rotated through its range at a constant rate. The moment-angle data were fit by the model and the extrinsic and intrinsic components were calculated for a range of MP joint angles and wrist positions. With the MP joint near its extension limit, the median percent extrinsic contribution was 94% with the wrist extended 60° and 14% with the wrist flexed 60°. These percentages were 40 and 88%, respectively, with the MP joint near its flexion limit. Our findings indicate that at most wrist angles the extrinsic tissues offer greater restraint at the limits of MP joint extension and flexion than the intrinsic tissues. The intrinsic tissues predominate when the wrist is flexed or extended enough to slacken the extrinsic tissues. Additional characteristics of intrinsic and extrinsic tissues can be deduced by examining the parameter values calculated by the model.     

Comparison of measurement accuracy between two wrist goniometer systems during pronation and supination.

Pronation and supination have been shown to affect wrist goniometer measurement accuracy. The purpose of this study was to compare differences in measurement accuracy between a commonly used biaxial, single transducer wrist goniometer (System A) and a biaxial, two-transducer wrist goniometer (System B) over a wide range of pronation and supination (P/S) positions. Eight subjects moved their wrist between -40 and 40 degrees of flexion/extension (F/E) and -10 and 20 degrees of radial/ulnar (R/U) deviation in four different P/S positions: 90 degrees pronation; 45 degrees pronation; 0 degrees neutral and 45 degrees supination. System A was prone to more R/U crosstalk than System B and the amount of crosstalk was dependent on the P/S position. F/E crosstalk was present with both goniometer systems and was also shown to be dependent on P/S. When moving from pronation to supination, both systems experienced a similar extension offset error; however R/U offset errors were roughly equal in magnitude but opposite in direction. The calibration position will affect wrist angle measurements and the magnitude and direction of measurement errors. To minimize offset errors, the goniometer systems should be calibrated in the P/S posture most likely to be encountered during measurement. Differences in goniometer design and application accounted for the performance differences.     

Dynamics of wrist rotations

Understanding the dynamics of wrist rotations is important for many fields, including biomechanics, rehabilitation and motor neuroscience. This paper provides an experimentally based mathematical model of wrist rotation dynamics in Flexion-Extension (FE) and Radial-Ulnar Deviation (RUD), and characterizes the torques required to overcome the passive mechanical impedance of wrist rotations. We modeled the wrist as a universal joint with non-intersecting axes. The equations of motion of the hand rotating about the wrist joint include inertial, damping, and stiffness terms, with parameter values based on direct measurements (stiffness) or measurements combined with data available in the literature (inertia, damping). We measured the wrist kinematics of six young, healthy subjects making comfortable and fast-paced wrist rotations (±15° in FE, RUD, and combinations) and inserted these kinematic data into the model of wrist rotation dynamics. With this we quantified the torques required to overcome the impedance of wrist rotations and evaluated the relative importance of individual impedance terms as well as interactions between the degrees of freedom. We found that the wrist's passive stiffness is the major impedance the neuromuscular system must overcome to rotate the wrist. Inertia and passive damping only become important for very fast movements. Unlike elbow and shoulder reaching movements, inertial interaction torques are negligible for wrist rotations. Interaction torques due to stiffness and damping, however, are significant. Finally, we found that some model terms (inertial interaction torques, axis offset, and, for moderately sized rotations, non-linearities) can be neglected with little loss of accuracy, resulting in a simple, linear model useful for studies in biomechanics, motor neuroscience, and rehabilitation.     

Thick-filament strain and interfilament spacing in passive muscle: effect of titin-based passive tension

We studied the effect of titin-based passive tension on sarcomere structure by simultaneously measuring passive tension and low-angle x-ray diffraction patterns on passive fiber bundles from rabbit skinned psoas muscle. We used a stretch-hold-release protocol with measurement of x-ray diffraction patterns at various passive tension levels during the hold phase before and after passive stress relaxation. Measurements were performed in relaxing solution without and with dextran T-500 to compress the lattice toward physiological levels. The myofilament lattice spacing was measured in the A-band (d_1,0) and Z-disk (d_Z) regions of the sarcomere. The axial spacing of the thick-filament backbone was determined from the sixth myosin meridional reflection (M6) and the equilibrium positions of myosin heads from the fourth myosin layer line peak position and the I_1,1/I_1,0 intensity ratio. Total passive tension was measured during the x-ray experiments, and a differential extraction technique was used to determine the relations between collagen- and titin-based passive tension and sarcomere length. Within the employed range of sarcomere lengths (∼2.2–3.4 μm), titin accounted for >80% of passive tension. X-ray results indicate that titin compresses both the A-band and Z-disk lattice spacing with viscoelastic behavior when fibers are swollen after skinning, and elastic behavior when the lattice is reduced with dextran. Titin also increases the axial thick-filament spacing, M6, in an elastic manner in both the presence and absence of dextran. No changes were detected in either I_1,1/I_1,0 or the position of peaks on the fourth myosin layer line during passive stress relaxation. Passive tension and M6 measurements were converted to thick-filament compliance, yielding a value of ∼85 m/N, which is several-fold larger than the thick-filament compliance determined by others during the tetanic tension plateau of activated intact muscle. This difference can be explained by the fact that thick filaments are more compliant at low tension (passive muscle) than at high tension (tetanic tension). The implications of our findings are discussed.     

Characterization and removal of biofouling from reverse osmosis membranes (ROMs) from a desalination plant in Northern Chile,using Alteromonas sp. Ni1-LEM supernatant

Abstract

Biofouling control in reverse osmosis membranes (ROMs) is challenging due to the high cost of treatments, and reduction in the life of ROMs. This study characterizes the biofouling in the ROMs from a desalination plant and reports its effective removal using the supernatant obtained from Alteromonas sp. strain Ni1-LEM. The characterization of the bacterial community revealed that the most abundant taxa in ROMs were the genera Fulvivirga and Pseudoalteromonas, and unclassified species of the families Flavobacteriaceae and Sphingomonadaceae. This bacterial community significantly decreased upon treatment with the supernatant from Alteromonas sp. Ni1-LEM, resulting in the prevalence of the genus Pseudoalteromonas. Furthermore, this bacterial supernatant significantly inhibited cell adhesion of seven benthic microalgae isolated from ROMs as well as promoting cell detachment of the existing microbial biofilms. The study showed that the extracellular supernatant modified the conformation of extracellular polymeric substances (EPS) in the biofouling of ROMs without any biocidal effects.     

Challenges in the measurement of emissions of nitrous oxide and methane from livestock sector

Over the past two decades, the interest to decrease the emission levels of greenhouse gases (GHGs) has increased. The livestock sector has been put under continuous supervision and regulation because it is an important source of GHG emissions. In 2012, it was estimated that 3.46 Gton CO₂-eq was released from this sector, methane (CH₄) being the gas with the highest contribution (43 %), followed by nitrous oxide (21 %). In order to determine real emissions, it is necessary to use precise and reproducible measuring methods which can be complex and expensive. The challenges in these methods are focused on achieving an accurate assessment and monitoring of gas emissions, developing monitoring systems for the continuous measurement and implementation of methodologies for their validation in field in order to understand the complex nature of environmental variables affecting gas production. Different techniques for the measurement of CH₄ and nitrous oxide (N₂O) emissions are reviewed and discussed in this research. The passive flux sampling to measure emissions of these GHGs has been identified as an interesting alternative technique because it is practical, low cost and robust. This kind of sampler is highly adequate to measure emissions of N₂O and CH₄ originating from some sources of the livestock sector, but at this moment, no prototypes are commercially available and thus more research is necessary in this field.     

A robotic model to investigate human motor control

The role of the mechanical properties of the neuromuscular system in motor control has been investigated for a long time in both human and animal subjects, mainly through the application of mechanical perturbations to the limb during natural movements and the observation of its corrective responses. These methods have provided a wealth of insight into how the central nervous system controls the limb. They suffer, however, from the fact that it is almost impossible to separate the active and passive components of the measured arm stiffness and that the measurement may themselves alter the stiffness characteristic of the arm. As a complement to these analyses, the implementation of a given neuroscientific hypothesis on a real mechanical system could overcome these measurement artifact and provide a tool that is, under full control of the experimenter, able to replicate the relevant functional features of the human arm. In this article, we introduce the NEURARM platform, a robotic arm intended to test hypotheses on the human motor control system. As such, NEURARM satisfies two key requirements. First, its kinematic parameters and inertia are similar to that of the human arm. Second, NEURARM mimics the main physical features of the human actuation system, specifically, the use of tendons to transfer force, the presence of antagonistic muscle pairs, the passive elasticity of muscles in the absence of any neural feedback and the non-linear elastic behaviour. This article presents the design and characterization of the NEURARM actuation system. The resulting mechanical behaviour, which has been tested in joint and Cartesian space under static and dynamic conditions, proves that the NEURARM platform can be exploited as a robotic model of the human arm, and could thus represent a powerful tool for neuroscience investigations.     

Numerical study to evaluate the effect of a surface-based sensor on arterial tonometry

Abstract

Arterial tonometry is a widely used non-invasive blood pressure measurement method. In contrast to the cuff-based method, it is possible to obtain a continuous pressure profile with respect to systolic and diastolic pressures using this method. However, due to a requirement of arterial tonometry—that a sensor needs to be placed directly above a blood vessel—placement error is inevitable if the measurement device is only capable of measuring local regions. This study assumed that the plate sensor is flexible, thus reducing the placement error. We investigated the pressure distribution along the wrist surface rather than the local region through the contact simulation between the flexible plate sensor and the wrist. As a result, we concluded that there is a unique pressure distribution for any specific wrist, regardless of the length and position of the plate, and that it is possible to measure the blood pressure using the response at the wrist surface to the pressure inside the radial artery.     

Strength and fatigability of selected muscles in upper limb: assessing muscle imbalance relevant to tennis elbow.

PURPOSE: The aetiology of tennis elbow has remained uncertain for more than a century. To examine muscle imbalance as a possible pathophysiological factor requires a reliable method of assessment. This paper describes the development of such a method and its performance in healthy subjects. We propose a combination of surface and fine-wire EMG of shoulder and forearm muscles and wrist strength measurements as a reliable tool for assessing muscle imbalance relevant to the pathophysiology of tennis elbow. METHODS: Six healthy volunteers participated. EMG data were acquired at 50% maximal voluntary isometric contraction from five forearm muscles during grip and three shoulder muscles during external rotation and abduction, and analysed using normalized median frequency slope as a fatigue index. Wrist extension/flexion strength was measured using a purpose-built dynamometer. RESULTS: Significant negative slope of median frequency was found for all muscles, with good reproducibility, and no significant difference in slope between the different muscles of the shoulder and the wrist. (Amplitude slope showed high variability and was therefore unsuitable for this purpose.) Wrist flexion was 27+/-8% stronger than extension (mean+/-SEM, p=0.006). CONCLUSION: This is a reliable method for measuring muscle fatigue in forearm and shoulder. EMG and wrist strength studies together can be used for assessing and identifying the muscle balance in the wrist-forearm-shoulder chain.     

Method for Qualitative and Quantitative Assessment of Proprioceptive Perception of Single-joint Arm Movements

The phenomenon of reproduction of the series of passive single-joint movements in the tested arm by the contralateral arm just in the course of passive movements with no visual control was studied in 35 healthy subjects and 13 post-stroke patients in order to develop a new method for objective assessment of sense of the arm motion for the detection of proprioceptive deficit and for monitoring of the changes in proprioception during rehabilitation. We examined the reproduction of flexion–extension at the elbow and wrist joints, abduction–adduction at the wrist joint and the forearm pronation–supination in both right and left arms in healthy subjects and in the affected arm in post-stroke patients. Displacements of the angles in the tested joint and a homonymous joint of the other arm were acquired by means of video recording system, goniometers, or 9-DoF inertional-magnetometric sensors. Qualitative and quantitative indicators were evaluated to assess the similarity of the passive and active movements. It has been found that the healthy subjects are able to actively reproduce the repeated passive movements at different joints of either the left or right tested arm almost simultaneously and with quite accurate reproduction of an amplitude and shape of movement. At the same time, most of post-stroke patients reproduce movements either with qualitative errors demonstrating incorrect location or wrong estimation of direction or number of repeated test movements, or with significant reduction of accuracy (increased latency or shape distortion). We proposed a method for the assessment of movement proprioception at individual joints. The procedure is easy and convenient for both physicians and patients. It does not require special heavy equipment and can easily be performed under different conditions in a wide range of patients.     

A new principle photosynthesis capacity biosensor based on quantitative measurement of delayed fluorescence in vivo

Delayed fluorescence (DF) is an excellent marker for evaluating plant photosynthesis. Compared with common methods for measuring the photosynthesis rate based on consumption of CO₂, DF technique can quantify the plant photosynthesis capacity more accurately and faster under its physiological status with less interference from the environment. We previously reported a method for measuring photosynthesis using DF of chloroplast [Wang, C.L., Xing, D., Chen, Q., 2004. Biosens. Bioelectron. 20, 454–459]. In the study, a novel fast and portable photosynthesis capacity biosensor system was developed, which was composed of light-emitting diode lattice as excitation light source, Channel Photomultiplier DC-Module to achieve DF, single-chip microcomputer as control center, hermetic dark sample chamber, battery power supply and CO₂, humidity and temperature controller. Compared with our previous work, the system was portable and can directly measure plant photosynthesis capacity in vivo in less than 10 s. A database in the software to carry out data acquisition and processing was developed to translate maximal DF intensity to net photosynthesis rate (Pn). In addition, local-control and remote-control mode can be chosen in the system. To demonstrate the utility of the system, it was applied to evaluate maximum Pn of four different plant species samples (Queen Rape Myrtle (var. rubra), soybean (Lu Hei No. 1), maize (Jin Dan No. 39) and rice (Jing Dao No. 21)) in field. The results were compared with that using commercial photosynthesis system LI-6400 and the uncertainty was less than ±5%. The new principle of photosynthesis measurement is a challenge and breakthrough to conventional method of gas exchange and may be a potential technique of next generation photosynthesis measurement.     

Upper limb H reflexes and somatosensory evoked potentials modulated by movement.

In the human lower limb, the magnitudes of both Hoffmann (H) reflexes and primary somatosensory evoked potentials (SEPs) from scalp electrodes, are reduced by active and/or passive movement. We surmised that similar effects occur for the upper limb and specifically hypothesised that amplitudes of median nerve induced flexor carpii radialis H reflexes and cortical SEPs are reduced with passive movement about the wrist or elbow. The results showed (P<0. 05) that either movement significantly attenuated mean magnitudes of SEPs elicited from stimulation at elbow or wrist and that reflex magnitudes attenuated with wrist movement. Thus, the upper limb shows similar movement-induced modulation to the lower limb. These attenuations of fast conducting sensory paths consequent to movement per se, may be a basic level of motor control, initiated from muscle mechanoreceptor discharge. Upon this basic level, more complex modulations then may be laid as appropriate for the particular characteristics of active motor tasks.     

Measuring partial body potassium in the arm versus total body potassium.

Skeletal muscle (SM), the body's main structural support, has been implicated in metabolic, physiological, and disease processes in humans. Despite being the largest tissue in the human body, its assessment remains difficult and indirect. However, being metabolically active it contains over 50% of the total body potassium (TBK) pool. We present our preliminary results from a new system for measuring partial body K (PBK) that presently are limited to the arm yet provide a direct and specific measure of the SM. This uniquely specific quantification of the SM mass in the arm, which is shielded from the body during measurement, allows us to simplify the assumptions used in deriving the total SM, thereby possibly improving the modeling of the human body compartments. Preliminary results show that PBK measurements are consistent with those from the TBK previously obtained from the same subjects, thus offering a simpler alternative to computed tomography and magnetic resonance imaging used for the same purposes. The PBK system, which can be set up in a physician's office or bedside in a hospital, is completely passive, safe, and inexpensive; it can be used on immobilized patients, children, pregnant women, or other at-risk populations.     

生态系统可持续性的一个测度框架

生态系统可持续性是指生态系统持久地维持或支持其内在组份、组织结构和功能动态健康及其进化发展的潜在和显在能动性的总和.它是由生态整合性、自维持活力、自调节力和自组织力所构成的1个四元能力体系.生态系统持续性是由系统自身的组份、结构和功能动态来体现的.因此,对系统组份、结构和功能动态的辨识和评估是测度生态系统持续性的方法论基础.本文提出了1个由12项测度内容和30多类测度变量组成的生态系统可持续性的指标度量框架,反映了生态系统持续性的基本特点.从测度方法上看,基于指标的测度方法是生态系统持续性的基本测度方法,但它需要和整合测度方法相结合,以便提供一个完整的测度途径.     

A novel approach for oxidation analysis of therapeutic proteins

Measuring and monitoring of protein oxidation modifications is important for biopharmaceutical process development and stability assessment during long-term storage. Currently available methods for biomolecules oxidation analysis use time-consuming peptide mapping analysis. Therefore, it is desirable to develop high-throughput methods for advanced process control of protein oxidation. Here, we present a novel approach by which oxidative protein modifications are monitored by an indirect potentiometric method. The method is based on adding an electron mediator, which enhances electron transfer (ET) between all redox species and the electrode surface. Specifically, the procedure involves measuring the sharp change in the open circuit potential (OCP) for the mediator system (redox couple) as a result of its interaction with the oxidized protein species in the solution. Application of Pt and Ag/AgCl microelectrodes allowed for a high-sensitivity protein oxidation analysis. We found that the Ru(NH₃)₆^2+/3+ redox couple is suitable for measuring the total oxidation of a wide range of therapeutic proteins between 1.1 and 13.6%. Accuracy determined by comparing with the known percentage oxidation of the reference standard showed that percentage oxidation determined for each sample was within ±20% of the expected percentage oxidation determined by mass spectrometry.     

LLC-PK1 epithelia as a model for in vitro assessment of proximal tubular nephrotoxicity

Summary LLC-PK₁ cells, an established epithelial cell line derived from pig kidney, were used as a model system for assessment of nephrotoxic side effects of three cephalosporin antibiotics: cephaloridine, ceftazidime, and cefotaxime. Toxic effects of these xenobiotics were monitored on confluent monolayers by light and electron microscopy and by the release of cellular marker enzyme activities into the culture medium. In addition, LLC-PK₁ cells were grown on microporous supports, and cephalosporin-induced alteration of epithelial functional integrity was monitored by a novel electrophysiologic approach. For this purpose, an Ussing chamberlike experimental setup was used. The dose-dependent effects on transepithelial ionic permselectivity were monitored under conditions in which defined fractions of the apical culture medium NaCl contents were replaced iso-osmotically by mannitol. This method of determining the functional intactness of the epithelial barrier by measuring dilution potentials was found to be far more sensitive than monitoring cell injury by means of morphology or measurement of enzyme release. As expected from animal experimental data, a dose-dependent disruption of monolayer integrity was detected with all three methodologies applied. Cephaloridine was found the most toxic compound followed by ceftazidime, where a 3-fold, and cefotaxime, where a 10-fold dose of that of cephaloridine was needed to produce cell injury. Measurement of transepithelial dilution potentials was more sensitive as compared to the release of the apical plasma membrane marker enzyme activities alkaline phosphatase andγ-glutamyltranspeptidase, the cytosolic lactate dehydrogenase, or the mitochondrial glutamate dehydrogenase. The data were compared to the effects of the aminoglycoside antibiotic gentamicin, which at least with respect to its effects on LLC-PK₁ morphology and enzyme release, but not transepithelial electrical properties, was already investigated.     

Biomechanical Evaluation of an Exoskeleton for Rehabilitation of Individuals with Parkinson's Disease

Objective: Prior to implementing any robotic device or new rehabilitation technique into clinical practice, it is essential to examine metrics that reflect the instrument's utility and range of action. For this purpose, this study assesses, based on biomechanical data, the ergonomics and action range of a wrist exoskeleton that may be implemented into clinical practice for the rehabilitation of this joint in patients with Parkinson' disease (PD). Materials and Methods: Eleven individuals with rigidity caused by PD participated in the study. Two distinct tasks were proposed: maximum voluntary contraction and sequential wrist flexion and extension; while electromyography and kinematic data were collected in two stages, with and without the exoskeleton. For statistical analysis, Bootstrap resampling, Kolmogorov-Smirnov, and paired Wilcoxon Mann tests were used. Results and Conclusion: Using the exoskeleton resulted in a 22% increase in muscle activation of the carpal extensors and a 9% decrease in wrist extension. According to the biomechanical parameters evaluated, the exoskeleton guaranteed the amplitude considered functional for the wrist joint, indicating good mechanical adequacy for use in clinical practice.     

The effects of electromechanical wrist robot assistive system with neuromuscular electrical stimulation for stroke rehabilitation

An electromyography (EMG)-driven electromechanical robot system integrated with neuromuscular electrical stimulation (NMES) was developed for wrist training after stroke. The performance of the system in assisting wrist flexion/extension tracking was evaluated on five chronic stroke subjects, when the system provided five different schemes with or without NMES and robot assistance. The tracking performances were measured by range of motion (ROM) of the wrist and root mean squared error (RMSE). The performance is better when both NMES and robot assisted in the tracking than those with either NMES or robot only (P<0.05). The muscle co-contractions in the upper limb measured by EMG were reduced when NMES provided assistance (P<0.05). All subjects also attended a 20-session wrist training for evaluating the training effects (3-5 times/week). The results showed improvements on the voluntary motor functions in the hand, wrist and elbow functions after the training, as indicated by the clinical scores of Fugl-Meyer Assessment, Action Research Arm Test, Wolf Motor Function Test; and also showed reduced spasticity in the wrist and the elbow as measured by the Modified Ashworth Score of each subject. After the training, the co-contractions were reduced between the flexor carpi radialis and extensor carpi radialis, and between the biceps brachii and triceps brachii. Assistance from the robot helped improve the movement accuracy; and the NMES helped increase the muscle activation for the wrist joint and suppress the excessive muscular activities from the elbow joint. The NMES-robot assisted wrist training could improve the hand, wrist, and elbow functions.     

Detection of hydrogen peroxide by lactoperoxidase-mediated dityrosine formation

The aim of this work was to study the dityrosine-forming activity of lactoperoxidase (LPO) and its potential application for measuring hydrogen peroxide (H₂O₂). It was observed that LPO was able to form dityrosine at low H₂O₂ concentrations. Since dityrosine concentration could be measured in a simple fluorimetric reaction, this activity of the enzyme was utilized for the measurement of H₂O₂ production in different systems. These experiments successfully measured the activity of NADPH oxidase 4 (Nox4) by this method. It was concluded that LPO-mediated dityrosine formation offers a simple way for H₂O₂ measurement.