Weight-Bearing Asymmetry in Individuals Post-Hip Fracture During the Sit to Stand Task

Background: Individuals post hip fracture decrease force on the involved limb during sit to stand tasks, creating an asymmetry in vertical ground reaction force. Joint specific differences that underlie asymmetry of the vertical ground reaction force are unknown. The purpose of this study was to compare differences in vertical ground reaction force variables and joint kinetics at the hip and knee in participants post-hip fracture, who were recently discharged from home care physical therapy to controls. Methods: Forty-four community-dwelling older adults, 29 who had a hip fracture and 15 elderly control participant’s completed the sit to stand task on an instrumented chair with 3 force plates. T-tests were used to compare clinical tests (Berg Balance Scale, activity balance confidence and gait speed, isokinetic knee strength) and vertical ground reaction force variables. Two-way analyses of variance compared vertical ground reaction force variables and kinetics at the hip and knee between hip fracture and elderly control groups. Pearson correlation coefficients were used to determine correlations between clinical and vertical ground reaction force variables. Findings: Vertical ground reaction force variables were significantly lower on the involved side for the hip fracture group compared to the uninvolved side and controls. Lower involved side hip and knee moments and power contributed to lower involved side vertical ground reaction force. Vertical ground reaction force variables and strength had moderate to high correlations with clinical measures. Interpretation: Uninvolved side knee movements and powers were the largest contributors to asymmetrical vertical ground reaction force in participants post-hip fracture. The association of vertical ground reaction force variables and clinical measures of function suggesting reducing vertical ground reaction force asymmetry may contribute to higher levels of function post-hip fracture. Functional and strength training should target the involved knee to reduce vertical ground reaction force asymmetry. Background Individuals post hip fracture decrease force on the involved limb during sit to stand tasks, creating an asymmetry in vertical ground reaction force. Joint specific differences that underlie asymmetry of the vertical ground reaction force are unknown. The purpose of this study was to compare differences in vertical ground reaction force variables and joint kinetics at the hip and knee in participants post-hip fracture, who were recently discharged from homecare physical therapy to controls. Methods Forty-four community-dwelling older adults, 29 who had a hip fracture and 15 elderly control participant’s completed the sit to stand task on an instrumented chair with 3 force plates. T-tests were used to compare clinical tests (Berg Balance Scale, activity balance confidence and gait speed, isokinetic knee strength) and vertical ground reaction force variables. Two-way analyses of variance compared vertical ground reaction force variables and kinetics at the hip and knee between hip fracture and elderly control groups. Pearson correlation coefficients were used to determine correlations between clinical and vertical ground reaction force variables. Findings Vertical ground reaction force variables were significantly lower on the involved side for the hip fracture group compared to the uninvolved side and controls. Lower involved side hip and knee moments and power contributed to lower involved side vertical ground reaction force. Vertical ground reaction force variables and strength had moderate to high correlations with clinical measures. Interpretation Uninvolved side knee moments and powers were the largest contributors to asymmetrical vertical ground reaction force in participants post-hip fracture. The association of vertical ground reaction force variables and clinical measures of function suggesting reducing vertical ground reaction force asymmetry may contribute to higher levels of function post-hip fracture. Functional and strength training should target the involved knee to reduce vertical ground reaction force asymmetry

Influence of Upper Extremity Assistance on Lower Extremity Force Application Symmetry in Individuals Post–Hip Fracture During the Sit-to-Stand Task

STUDY DESIGN: Controlled laboratory study using a cross-sectional design. OBJECTIVES: To compare lower extremity force applications during a sit-to-stand (STS) task with and without upper extremity assistance in older individuals post–hip fracture to those of age matched controls. BACKGROUND: A recent study documented the dependence on upper extremity assistance and the uninvolved lower limb during an STS task in individuals post–hip fracture. This study extends this work by examining the effect of upper extremity assistance on symmetry of lower extremity force applications. METHODS: Twenty-eight community-dwelling elderly subjects, 14 who had recovered from a hip fracture and 14 controls, participated in the study. All participants were independent ambulators. Four force plates were used to determine lower extremity force applications during an STS task with and without upper extremity assistance. The summed vertical ground reaction forces (vGRFs) of both limbs were used to determine STS phases (preparation/rising). The lower extremity force applications were assessed statistically using analysis of variance models. RESULTS: During the preparation phase, sideto-side symmetry of the rate of force development was significantly lower for the hip fracture group for both STS tasks (P\u3c.001). During the rising phase, the vGRF impulse of the involved limb was significantly lower for the hip fracture group for both STS tasks (P = .045). The vGRF impulse for the uninvolved limb was significantly increased when participants with hip fracture did not use upper extremity assistance compared to elderly controls (P = .002). This resulted in a significantly lower vGRF symmetry for the hip fracture group during both STS tasks (P\u3c.001). CONCLUSION: Participants with hip fracture who were discharged from rehabilitative care demonstrated decreased side-to-side symmetry of lower extremity loading during an STS task, irrespective of whether upper extremity assistance was provided. These findings suggest that learned motor control strategies may influence movement patterns post–hip fracture

The ALMA Frontier Fields Survey: V. ALMA Stacking of Lyman-Break Galaxies in Abell 2744, Abell 370, Abell S1063, MACSJ0416.1-2403 and MACSJ1149.5+2223

Indexación: Scopus.Context. The Hubble Frontier Fields offer an exceptionally deep window into the high-redshift universe, covering a substantially larger area than the Hubble Ultra-Deep field at low magnification and probing 1-2 mag deeper in exceptional high-magnification regions. This unique parameter space, coupled with the exceptional multi-wavelength ancillary data, can facilitate for useful insights into distant galaxy populations. Aims. We aim to leverage Atacama Large Millimetre Array (ALMA) band 6 (≈263 GHz) mosaics in the central portions of five Frontier Fields to characterize the infrared (IR) properties of 1582 ultraviolet (UV)-selected Lyman-Break Galaxies (LBGs) at redshifts of z  ∼  2-8. We investigated individual and stacked fluxes and IR excess (IRX) values of the LBG sample as functions of stellar mass (M⋆ ), redshift, UV luminosity and slope β, and lensing magnification. Methods. LBG samples were derived from color-selection and photometric redshift estimation with Hubble Space Telescope photometry. Spectral energy distributions -templates were fit to obtain luminosities, stellar masses, and star formation rates for the LBG candidates. We obtained individual IR flux and IRX estimates, as well as stacked averages, using both ALMA images and u-v visibilities. Results. Two (2) LBG candidates were individually detected above a significance of 4.1-σ, while stacked samples of the remaining LBG candidates yielded no significant detections. We investigated our detections and upper limits in the context of the IRX-M⋆ and IRX-β relations, probing at least one dex lower in stellar mass than past studies have done. Our upper limits exclude substantial portions of parameter space and they are sufficiently deep in a handful of cases to create mild tension with the typically assumed attenuation and consensus relations. We observe a clear and smooth trend between M⋆ and β, which extends to low masses and blue (low) β values, consistent with expectations from previous works.https://www.aanda.org/articles/aa/full_html/2020/01/aa36260-19/aa36260-19.htm

Planck intermediate results XXXII. The relative orientation between the magnetic field and structures traced by interstellar dust

The role of the magnetic field in the formation of the filamentary structures observed in the interstellar medium (ISM) is a debated topic. The Planck all-sky maps of linearly polarized emission from dust at 353GHz provide the required combination of imaging and statistics to study the correlation between the structures of the Galactic magnetic field and of interstellar matter, both in the diffuse ISM and in molecular clouds. The data reveal structures, or ridges, in the intensity map with counterparts in the Stokes Q and/or U maps. We focus on structures at intermediate and high Galactic latitudes with column density from $10^{20}$ to $10^{22}$ cm$^{-2}$. We measure the magnetic field orientation on the plane of the sky from the polarization data, and present an algorithm to estimate the orientation of the ridges from the dust intensity map. We use analytical models to account for projection effects. Comparing polarization angles on and off the structures, we estimate the mean ratio between the strengths of the turbulent and mean components of the magnetic field to be between 0.6 and 1.0, with a preferred value of 0.8. We find that the ridges are preferentially aligned with the magnetic field measured on the structures. This trend becomes more striking for increasing polarization fraction and decreasing column density. We interpret the increase of alignment with polarization fraction as a consequence of projections effects. The decrease of alignment for high column density is not due to a loss of correlation between the structures and the geometry of the magnetic field. In molecular complexes, we observe structures perpendicular to the magnetic field, which cannot be accounted for by projection effects. We discuss our results in the context of models and MHD simulations, which describe the formation of structures in the magnetized ISM