Changes in landing mechanics in patients following anterior cruciate ligament reconstruction when wearing an extension constraint knee brace.

BACKGROUND: Anterior cruciate ligament (ACL) reconstruction is associated with a high incidence of second tears (graft tears and contralateral ACL tears). These secondary tears have been attributed to asymmetrical lower extremity mechanics. Knee bracing is one potential intervention that can be used during rehabilitation that has the potential to normalize lower extremity asymmetry; however, little is known about the effect of bracing on movement asymmetry in patients following ACL reconstruction. HYPOTHESIS: Wearing a knee brace would increase knee joint flexion and joint symmetry. It was also expected that the joint mechanics would become more symmetrical in the braced condition. OBJECTIVE: To examine how knee bracing affects knee joint function and symmetry over the course of rehabilitation in patients 6 months following ACL reconstruction. STUDY DESIGN: Controlled laboratory study. LEVEL OF EVIDENCE: Level 3. METHODS: Twenty-three adolescent patients rehabilitating from ACL reconstruction surgery were recruited for the study. The subjects all underwent a motion analysis assessment during a stop-jump activity with and without a functional knee brace on the surgical side that resisted extension for 6 months following the ACL reconstruction surgery. Statistical analysis utilized a 2 × 2 (limb × brace) analysis of variance with a significant alpha level of 0.05. RESULTS: Subjects had increased knee flexion on the surgical side when they were braced. The brace condition increased knee flexion velocity, decreased the initial knee flexion angle, and increased the ground reaction force and knee extension moment on both limbs. Side-to-side asymmetry was present across conditions for the vertical ground reaction force and knee extension moment. CONCLUSION: Wearing a knee brace appears to increase lower extremity compliance and promotes normalized loading on the surgical side. CLINICAL RELEVANCE: Knee extension constraint bracing in postoperative ACL patients may improve symmetry of lower extremity mechanics, which is potentially beneficial in progressing rehabilitation and reducing the incidence of second ACL tears

Using ground reaction force to predict knee kinetic asymmetry following anterior cruciate ligament reconstruction.

Asymmetries in sagittal plane knee kinetics have been identified as a risk factor for anterior cruciate ligament (ACL) re-injury. Clinical tools are needed to identify the asymmetries. This study examined the relationships between knee kinetic asymmetries and ground reaction force (GRF) asymmetries during athletic tasks in adolescent patients following ACL reconstruction (ACL-R). Kinematic and GRF data were collected during a stop-jump task and a side-cutting task for 23 patients. Asymmetry indices between the surgical and non-surgical limbs were calculated for GRF and knee kinetic variables. For the stop-jump task, knee kinetics asymmetry indices were correlated with all GRF asymmetry indices (P < 0.05), except for loading rate. Vertical GRF impulse asymmetry index predicted peak knee moment, average knee moment, and knee work (R(2)  ≥ 0.78, P < 0.01) asymmetry indices. For the side-cutting tasks, knee kinetic asymmetry indices were correlated with the peak propulsion vertical GRF and vertical GRF impulse asymmetry indices (P < 0.05). Vertical GRF impulse asymmetry index predicted peak knee moment, average knee moment, and knee work (R(2)  ≥ 0.55, P < 0.01) asymmetry indices. The vertical GRF asymmetries may be a viable surrogate for knee kinetic asymmetries and therefore may assist in optimizing rehabilitation outcomes and minimizing re-injury rates

Gastrocnemius vs. soleus strain: how to differentiate and deal with calf muscle injuries

Calf strains are common injuries seen in primary care and sports medicine clinics. Differentiating strains of the gastrocnemius or soleus is important for treatment and prognosis. Simple clinical testing can assist in diagnosis and is aided by knowledge of the anatomy and common clinical presentation

Extracellular Hsp72 concentration relates to a minimum endogenous criteria during acute exercise-heat exposure

Extracellular heat-shock protein 72 (eHsp72) concentration increases during exercise-heat stress when conditions elicit physiological strain. Differences in severity of environmental and exercise stimuli have elicited varied response to stress. The present study aimed to quantify the extent of increased eHsp72 with increased exogenous heat stress, and determine related endogenous markers of strain in an exercise-heat model. Ten males cycled for 90 min at 50% O2peak in three conditions (TEMP, 20°C/63% RH; HOT, 30.2°C/51%RH; VHOT, 40.0°C/37%RH). Plasma was analysed for eHsp72 pre, immediately post and 24-h post each trial utilising a commercially available ELISA. Increased eHsp72 concentration was observed post VHOT trial (+172.4%) (P<0.05), but not TEMP (-1.9%) or HOT (+25.7%) conditions. eHsp72 returned to baseline values within 24hrs in all conditions. Changes were observed in rectal temperature (Trec), rate of Trec increase, area under the curve for Trec of 38.5°C and 39.0°C, duration Trec ≥ 38.5°C and ≥ 39.0°C, and change in muscle temperature, between VHOT, and TEMP and HOT, but not between TEMP and HOT. Each condition also elicited significantly increasing physiological strain, described by sweat rate, heart rate, physiological strain index, rating of perceived exertion and thermal sensation. Stepwise multiple regression reported rate of Trec increase and change in Trec to be predictors of increased eHsp72 concentration. Data suggests eHsp72 concentration increases once systemic temperature and sympathetic activity exceeds a minimum endogenous criteria elicited during VHOT conditions and is likely to be modulated by large, rapid changes in core temperature

Static stretching of the hamstring muscle for injury prevention in football codes: a systematic review

Purpose: Hamstring injuries are common among football players. There is still disagreement regarding prevention. The aim of this review is to determine whether static stretching reduces hamstring injuries in football codes. Methods: A systematic literature search was conducted on the online databases PubMed, PEDro, Cochrane, Web of Science, Bisp and Clinical Trial register. Study results were presented descriptively and the quality of the studies assessed were based on Cochrane’s ‘risk of bias’ tool. Results: The review identified 35 studies, including four analysis studies. These studies show deficiencies in the quality of study designs. Conclusion: The study protocols are varied in terms of the length of intervention and follow-up. No RCT studies are available, however, RCT studies should be conducted in the near future

The auditory cortex of the bat Phyllostomus discolor: Localization and organization of basic response properties

<p>Abstract</p> <p>Background</p> <p>The mammalian auditory cortex can be subdivided into various fields characterized by neurophysiological and neuroarchitectural properties and by connections with different nuclei of the thalamus. Besides the primary auditory cortex, echolocating bats have cortical fields for the processing of temporal and spectral features of the echolocation pulses. This paper reports on location, neuroarchitecture and basic functional organization of the auditory cortex of the microchiropteran bat <it>Phyllostomus discolor </it>(family: Phyllostomidae).</p> <p>Results</p> <p>The auditory cortical area of <it>P. discolor </it>is located at parieto-temporal portions of the neocortex. It covers a rostro-caudal range of about 4800 μm and a medio-lateral distance of about 7000 μm on the flattened cortical surface.</p> <p>The auditory cortices of ten adult <it>P. discolor </it>were electrophysiologically mapped in detail. Responses of 849 units (single neurons and neuronal clusters up to three neurons) to pure tone stimulation were recorded extracellularly. Cortical units were characterized and classified depending on their response properties such as best frequency, auditory threshold, first spike latency, response duration, width and shape of the frequency response area and binaural interactions.</p> <p>Based on neurophysiological and neuroanatomical criteria, the auditory cortex of <it>P. discolor </it>could be subdivided into anterior and posterior ventral fields and anterior and posterior dorsal fields. The representation of response properties within the different auditory cortical fields was analyzed in detail. The two ventral fields were distinguished by their tonotopic organization with opposing frequency gradients. The dorsal cortical fields were not tonotopically organized but contained neurons that were responsive to high frequencies only.</p> <p>Conclusion</p> <p>The auditory cortex of <it>P. discolor </it>resembles the auditory cortex of other phyllostomid bats in size and basic functional organization. The tonotopically organized posterior ventral field might represent the primary auditory cortex and the tonotopically organized anterior ventral field seems to be similar to the anterior auditory field of other mammals. As most energy of the echolocation pulse of <it>P. discolor </it>is contained in the high-frequency range, the non-tonotopically organized high-frequency dorsal region seems to be particularly important for echolocation.</p

Malaria vector research and control in Haiti: a systematic review

BACKGROUND: Haiti has a set a target of eliminating malaria by 2020. However, information on malaria vector research in Haiti is not well known. This paper presents results from a systematic review of the literature on malaria vector research, bionomics and control in Haiti. METHODS: A systematic search of literature published in French, Spanish and English languages was conducted in 2015 using Pubmed (MEDLINE), Google Scholar, EMBASE, JSTOR WHOLIS and Web of Science databases as well other grey literature sources such as USAID, and PAHO. The following search terms were used: malaria, Haiti, Anopheles, and vector control. RESULTS: A total of 132 references were identified with 40 high quality references deemed relevant and included in this review. Six references dealt with mosquito distribution, seven with larval mosquito ecology, 16 with adult mosquito ecology, three with entomological indicators of malaria transmission, eight with insecticide resistance, one with sero-epidemiology and 16 with vector control. In the last 15 years (2000–2015), there have only been four published papers and three-scientific meeting abstracts on entomology for malaria in Haiti. Overall, the general literature on malaria vector research in Haiti is limited and dated. DISCUSSION: Entomological information generated from past studies in Haiti will contribute to the development of strategies to achieve malaria elimination on Hispaniola. However it is of paramount importance that malaria vector research in Haiti is updated to inform decision-making for vector control strategies in support of malaria elimination

On the nature and impact of self-similarity in real-time systems

In real-time systems with highly variable task execution times simplistic task models are insufficient to accurately model and to analyze the system. Variability can be tackled using distributions rather than a single value, but the proper charac- terization depends on the degree of variability. Self-similarity is one of the deep- est kinds of variability. It characterizes the fact that a workload is not only highly variable, but it is also bursty on many time-scales. This paper identifies in which situations this source of indeterminism can appear in a real-time system: the com- bination of variability in task inter-arrival times and execution times. Although self- similarity is not a claim for all systems with variable execution times, it is not unusual in some applications with real-time requirements, like video processing, networking and gaming. The paper shows how to properly model and to analyze self-similar task sets and how improper modeling can mask deadline misses. The paper derives an analyti- cal expression for the dependence of the deadline miss ratio on the degree of self- similarity and proofs its negative impact on real-time systems performance through system¿s modeling and simulation. This study about the nature and impact of self- similarity on soft real-time systems can help to reduce its effects, to choose the proper scheduling policies, and to avoid its causes at system design time.This work was developed under a grant from the European Union (FRESCOR-FP6/2005/IST/5-03402).Enrique Hernández-Orallo; Vila Carbó, JA. (2012). On the nature and impact of self-similarity in real-time systems. Real-Time Systems. 48(3):294-319. doi:10.1007/s11241-012-9146-0S294319483Abdelzaher TF, Sharma V, Lu C (2004) A utilization bound for aperiodic tasks and priority driven scheduling. IEEE Trans Comput 53(3):334–350Abeni L, Buttazzo G (1999) QoS guarantee using probabilistic deadlines. In: Proc of the Euromicro confererence on real-time systemsAbeni L, Buttazzo G (2004) Resource reservation in dynamic real-time systems. Real-Time Syst 37(2):123–167Anantharam V (1999) Scheduling strategies and long-range dependence. Queueing Syst 33(1–3):73–89Beran J (1994) Statistics for long-memory processes. Chapman and Hall, LondonBeran J, Sherman R, Taqqu M, Willinger W (1995) Long-range dependence in variable-bit-rate video traffic. IEEE Trans Commun 43(2):1566–1579Boxma O, Zwart B (2007) Tails in scheduling. SIGMETRICS Perform Eval Rev 34(4):13–20Brichet F, Roberts J, Simonian A, Veitch D (1996) Heavy traffic analysis of a storage model with long range dependent on/off sources. Queueing Syst 23(1):197–215Crovella M, Bestavros A (1997) Self-similarity in world wide web traffic: evidence and possible causes. IEEE/ACM Trans Netw 5(6):835–846Dìaz J, Garcìa D, Kim K, Lee C, Bello LL, López J, Min LS, Mirabella O (2002) Stochastic analysis of periodic real-time systems. In: Proc of the 23rd IEEE real-time systems symposium, pp 289–300Erramilli A, Narayan O, Willinger W (1996) Experimental queueing analysis with long-range dependent packet traffic. IEEE/ACM Trans Netw 4(2):209–223Erramilli A, Roughan M, Veitch D, Willinger W (2002) Self-similar traffic and network dynamics. Proc IEEE 90(5):800–819Gardner M (1999) Probabilistic analysis and scheduling of critical soft real-time systems. Phd thesis, University of Illinois, Urbana-ChampaignGarrett MW, Willinger W (1994) Analysis, modeling and generation of self-similar vbr video traffic. In: ACM SIGCOMMHarchol-Balter M (2002) Task assignment with unknown duration. J ACM 49(2):260–288Harchol-Balter M (2007) Foreword: Special issue on new perspective in scheduling. SIGMETRICS Perform Eval Rev 34(4):2–3Harchol-Balter M, Downey AB (1997) Exploiting process lifetime distributions for dynamic load balancing. ACM Trans Comput Syst 15(3):253–285Hernandez-Orallo E, Vila-Carbo J (2007) Network performance analysis based on histogram workload models. In: Proceedings of the 15th international symposium on modeling, analysis, and simulation of computer and telecommunication systems (MASCOTS), pp 331–336Hernandez-Orallo E, Vila-Carbo J (2010) Analysis of self-similar workload on real-time systems. In: IEEE real-time and embedded technology and applications symposium (RTAS). IEEE Computer Society, Washington, pp 343–352Hernández-Orallo E, Vila-Carbó J (2010) Network queue and loss analysis using histogram-based traffic models. Comput Commun 33(2):190–201Hughes CJ, Kaul P, Adve SV, Jain R, Park C, Srinivasan J (2001) Variability in the execution of multimedia applications and implications for architecture. SIGARCH Comput Archit News 29(2):254–265Leland W, Ott TJ (1986) Load-balancing heuristics and process behavior. SIGMETRICS Perform Eval Rev 14(1):54–69Leland WE, Taqqu MS, Willinger W, Wilson DV (1994) On the self-similar nature of ethernet traffic (extended version). IEEE/ACM Trans Netw 2(1):1–15Liu CL, Layland JW (1973) Scheduling algorithms for multiprogramming in a hard-real-time environment. J ACM 20(1):46–61Mandelbrot B (1965) Self-similar error clusters in communication systems and the concept of conditional stationarity. IEEE Trans Commun 13(1):71–90Mandelbrot BB (1969) Long run linearity, locally Gaussian processes, h-spectra and infinite variances. Int Econ Rev 10:82–113Norros I (1994) A storage model with self-similar input. Queueing Syst 16(3):387–396Norros I (2000) Queueing behavior under fractional Brownian traffic. In: Park K, Willinger W (eds) Self-similar network traffic and performance evaluation. Willey, New York, Chap 4Park K, Willinger W (2000) Self-similar network traffic: An overview. In: Park K, Willinger W (eds) Self-similar network traffic and performance evaluation. Willey, New York, Chap 1Paxson V, Floyd S (1995) Wide area traffic: the failure of Poisson modeling. IEEE/ACM Trans Netw 3(3):226–244Rolls DA, Michailidis G, Hernández-Campos F (2005) Queueing analysis of network traffic: methodology and visualization tools. Comput Netw 48(3):447–473Rose O (1995) Statistical properties of mpeg video traffic and their impact on traffic modeling in atm systems. In: Conference on local computer networksRoy N, Hamm N, Madhukar M, Schmidt DC, Dowdy L (2009) The impact of variability on soft real-time system scheduling. In: RTCSA ’09: Proceedings of the 2009 15th IEEE international conference on embedded and real-time computing systems and applications. IEEE Computer Society, Washington, pp 527–532Sha L, Abdelzaher T, Årzén KE, Cervin A, Baker T, Burns A, Buttazzo G, Caccamo M, Lehoczky J, Mok AK (2004) Real time scheduling theory: A historical perspective. Real-Time Syst 28(2):101–155Taqqu MS, Willinger W, Sherman R (1997) Proof of a fundamental result in self-similar traffic modeling. SIGCOMM Comput Commun Rev 27(2):5–23Tia T, Deng Z, Shankar M, Storch M, Sun J, Wu L, Liu J (1995) Probabilistic performance guarantee for real-time tasks with varying computation times. In: Proc of the real-time technology and applications symposium, pp 164–173Vila-Carbó J, Hernández-Orallo E (2008) An analysis method for variable execution time tasks based on histograms. Real-Time Syst 38(1):1–37Willinger W, Taqqu M, Erramilli A (1996) A bibliographical guide to self-similar traffic and performance modeling for modern high-speed networks. In: Stochastic networks: Theory and applications, pp 339–366Willinger W, Taqqu MS, Sherman R, Wilson DV (1997) Self-similarity through high-variability: statistical analysis of ethernet lan traffic at the source level. IEEE/ACM Trans Netw 5(1):71–8

Task-Dependent Inhomogeneous Muscle Activities within the Bi-Articular Human Rectus Femoris Muscle

The motor nerve of the bi-articular rectus femoris muscle is generally split from the femoral nerve trunk into two sub-branches just before it reaches the distal and proximal regions of the muscle. In this study, we examined whether the regional difference in muscle activities exists within the human rectus femoris muscle during maximal voluntary isometric contractions of knee extension and hip flexion. Surface electromyographic signals were recorded from the distal, middle, and proximal regions. In addition, twitch responses were evoked by stimulating the femoral nerve with supramaximal intensity. The root mean square value of electromyographic amplitude during each voluntary task was normalized to the maximal compound muscle action potential amplitude (M-wave) for each region. The electromyographic amplitudes were significantly smaller during hip flexion than during knee extension task for all regions. There was no significant difference in the normalized electromyographic amplitude during knee extension among regions within the rectus femoris muscle, whereas those were significantly smaller in the distal than in the middle and proximal regions during hip flexion task. These results indicate that the bi-articular rectus femoris muscle is differentially controlled along the longitudinal direction and that in particular the distal region of the muscle cannot be fully activated during hip flexion