THE KNEE AND HIP JOINT ANGLE WHEN ILIOTIBIAL BAND SLIDE OVER THE LATERAL FEMORAL EPICONDYLE

According to a previous study, the knee flexion angle, is approximately 30°when the iliotibial band (ITB) slides over the lateral femoral epicondyle. However, the corresponding hip joint flexion angle has not yet been determined. The purpose of this study was to examine whether hip joint flexion angle affects the location of the ITB. The study included 16 uninjured male subjects. The subjects had their knee flexion angle measured when the ITB slides over the lateral femoral epicondyle at five different hip joint angles: 10° of extension and 0°, 20°, 40°, 60° of flexion. As the hip joint flexion angle increased, the knee flexion angle also increased. It should be considered that the position of the ITB affects the knee joint angle, as well as the hip joint angle. The findings of this study may help improve the treatment and prevention of ITB friction syndrome

Laterality of the Activation of the Vastus Lateralis Muscle in Females with Parkinson\u27s Disease during the Medication State Compared with Healthy Controls

This study quantified the laterality of motor unit activation properties in females with Parkinson’s disease during force production (low to high-intensity contraction) using high-density surface electromyography. Sixteen females with Parkinson’s disease (age = ± 7.6 years, disease duration = 4.9 ± 5.1 years) and 14 healthy female subjects (age = 68.6 ± 3.6 years) performed submaximal ramp-up contractions during isometric knee extension. High-density surface electromyography signals were recorded from both vastus lateralis muscles. The level of heterogeneity was calculated in the spatial distribution patterns of the high-density surface electromyography signals to determine the modified entropy, coefficient of variation of the root mean square and correlation coefficient to evaluate motor unit activation properties. Pearson’s correlation coefficients were calculated to examine the relationships between disease severity and the root mean square and electromyography variables. The root mean square value and heterogeneity were significantly higher and lower on the more-affected side in females with Parkinson’s disease than on the contralateral side in females with Parkinson’s disease or either side in control subjects (p \u3c 0.05). Females with Parkinson’s disease that exhibited temporal changes of spatial motor unit activation properties showed significant laterality when compared to healthy control subjects in both the low and high-intensity contractions. Moderate-to-strong correlations were observed between disease severity and root mean square and electromyography variables in females with Parkinson’s disease (r\u3e 0.6, p \u3c 0.001). The laterality of motor unit activation properties was compared between the subjects with Parkinson’s disease and the control subjects. The findings suggest that females with Parkinson’s disease have asymmetrical motor unit activation properties, independent of the magnitude of force production

Up-regulation of Na+,K+-ATPase α3-isoform and down-regulation of the α1-isoform in human colorectal cancer

AbstractWe investigated expression levels of Na+,K+-ATPase α-isoforms and their ATPase activities in human colorectal cancer tissue and the accompanying normal mucosa. A decrease in expression of the α1-isoform protein was observed in all sampled cancer tissues compared with the normal mucosae. The level of ouabain (5 μM)-sensitive Na+,K+-ATPase activity in carcinomas was 81±5% that of in the normal mucosae. The mRNA expression of α2- and α4-isoforms was decreased in almost all the carcinoma samples. Interestingly, the expression level of the α3-isoform protein in the cancer tissue was higher than that of the normal mucosa. These results indicate that a decrease in the α1-isoform expression and an increase in the α3-isoform expression may be associated with colorectal cancer

Improvement of orthoptic students’ self-evaluation through repeated practice with rubric-based assessments

The discipline of orthoptics covers a wide range of ophthalmological examinations and generates supports for visually disabled persons; consequently, orthoptic educators are continually trying to improve practical training. One problem is students’ inadequate abilities to self-evaluate and consistency among teacher evaluations. In the United States of America, rubric assessments have been used widely, from elementary through higher educational levels, since the late 1970’s. Because a rubric contains the explicit and descriptive criteria for scoring, assessments with rubric can help students and instructors consistently assess student performance. In a previous study, rubric assessments for off-campus clinical orthoptic internships were found useful in standardizing evaluations among multiple instructors. However, there have been no empirical studies on the long-term effects of orthoptic training with rubrics. While writing accurate reports on the practice is important for acquisition of clinical skills through practical course, students cannot obtain report-writing skills without accurate self-evaluation of their own reports. In this study, to investigate the long-term effects of rubric-based training, we repeated practice-assessment-feedback cycles for nine weeks using rubrics, and analyzed the observed disparities between self- and teacher-generated scores over time. All study procedures were performed in-house. We found that, over time, the disparities between the students’ and teachers’ scores decreased significantly, suggesting that students’ self-evaluation accuracy improved through repeated use of rubric. The improvement was category-dependent and larger in students with lower performance. These results indicate the advantages of repeating rubric-based formative assessments in orthoptic practices

Acute Effects of Selective Strength Exercise on the Peroneus Longus and Brevis

The peroneus muscles are muscles that mainly act in ankle eversion and can be divided into PL and PB, which have different but important roles in foot and ankle functions. Therefore, PL and PB dysfunction can lead to foot and ankle issues, making. selective strength exercise necessary. This study aimed to identify the effect of two different exercise techniques on PL and PB morphologies. Two interventions were performed on separate days: the PL intervention, in which a Thera-Band® was placed on the ball of the foot and pushed out from the contact point, and the PB intervention, in which the Thera-Band® was pulled from the base of the fifth metatarsal. Cross-sectional area (CSA) and thickness of the peroneus muscles at 25% (showing the PL morphology) and 75% (showing the PB morphology) proximal to the line connecting the fibular head and lateral malleolus, as well as ankle strength was measured before and immediately after the interventions and at 10, 20, and 30 min later. A repeated-measures two-way analysis of variance was conducted to identify differences in the effects of the interventions on the PL and PB. Main and interaction effects on CSA, thickness, and ankle strength, with a significant increase in CSA and thickness in the proximal 25% in the PL intervention and the distal 75% in the PB intervention immediately after implementation, were observed (p < 0.05). The transient increase in muscle volume due to edema immediately after exercise indicates the acute effect of exercise. The CSA and thickness of the proximal 25% in the PL intervention and the distal 75% in the PB intervention increased immediately after the intervention, indicating that these interventions can be used to selectively exercise the PL and PB

The Effect of a Portable Electrical Muscle Stimulation on Brain-Derived Neurotrophic Factor in Elderly People: Three Case Studies

金沢大学理工研究域フロンティア工学系Brain-derived neurotrophic factor (BDNF), which plays an important role in cognitive and nerve function, is released from skeletal muscle cells into the blood by muscle contractions and/or electrical muscle stimulation (EMS). However, the influence of EMS administered by a portable device on BDNF is unclear. The purpose of this case report was to quantify the influence of EMS administered by a portable device on BDNF and physical function. Three elderly people (age, 69.7 ± 1.5 years) were included in the present study. The participants used a portable EMS device to stimulate the bilateral quadriceps muscles for 8 weeks (23 min for 5 days/week). To determine the effects of EMS, the following parameters were assessed at baseline, 8 weeks, and 12 weeks (follow-up): knee extensor strength, muscle mass of the lower limb, Berg balance score, and blood BDNF level. All outcomes improved after the EMS intervention, but the improvements did not persist for 12 weeks. These findings suggest that portable EMS is potentially useful for improving the blood BDNF level and physical function

Physical therapy for a patient with neuromyelitis optica during the acute phase: A case report

金沢大学理工研究域フロンティア工学系The aim of this report was to examine the safety of physical therapy for hemiplegia in a patient with neuromyelitis optica in the acute phase. A 32-year-old female with neuromyelitis optica diagnosed by magnetic resonance imaging had a T2-weighted hyperintense lesion in the central cord from C2 to T2 and was positive for serum anti-aquaporin-4 antibodies. Upon admission to the hospital, her Expanded Disability Status Scale, Medical Research Council scale for muscle strength score, and sensory score (according to the American Spinal Injury Association sensory assessment) were 9.0, 37, and 158, respectively. The patient commenced physical therapy on day 4. A locomotion exercise using an orthosis was started as soon as possible. Her left-side limb muscle strength improved to approximately grade 4 by a manual muscle test with improvements in the Expanded Disability Status Scale score (from 9.0 to 6.0), Medical Research Council scale for muscle strength score (from 37 to 54), sensory score (from 152 to 203), and all functional independence measure dominants compared with the respective values on admission. This report shows that a carefully supervised physical therapy program did not cause deterioration of the patient’s symptoms

Laterality of the activation patterns of the vastus lateralis muscle in females with Parkinson\u27s disease during the medication state compared with healthy controls.

金沢大学理工研究域フロンティア工学系The aim of this study was to quantify the laterality of motor unit (MU) activation properties in people with Parkinson’s disease (PD) during force production (low- to high-intensity contraction) using high-density surface electromyography (HD-SEMG). Sixteen females with PD (age = 69.9 ± 7.6 years, disease duration = 4.9 ± 5.1 years) and 14 healthy female subjects (age = 68.6 ± 3.6 years) were enrolled in the study and performed submaximal ramp-up contractions during isometric knee extension. HD-SEMG signals were recorded from both vastus lateralis muscles. We calculated the level of heterogeneity in the spatial distribution patterns of the HD-SEMG signals and determined the modified entropy, coefficient of variation of the root mean square (RMS), and correlation coefficient to evaluate MU activation properties. Pearson’s correlation coefficients were calculated to examine the relationships between disease severity and the RMS and EMG variables. The RMS value and heterogeneity were significantly higher and lower on the more-affected side in people with PD than on the other side in people with PD or either side in control subjects (p 0.6, p < 0.001). We compared the laterality of MU activation properties between the people with PD and the control subjects. These findings suggest that people with PD have asymmetrical MU activation properties, regardless of the magnitude of force production