measurement-dynamic-scapular-kinematics-using-an-acromion-marker

Measurement of Dynamic Scapular Kinematics Using an Acromion Marker Cluster to Minimize Skin Movement Artifact

The measurement of dynamic scapular kinematics is complex due to the sliding nature of the scapula beneath the skin surface. The aim of the study was to ...

University of Southampton

To investigate whether behavioural, motor and physiological responses of individuals with Huntington's disease (HD) to a controlled multisensory environment (MSE) are effective as a therapeutic (sustained effects) or leisure (immediate effects) activity.

Effects of multisensory stimulation in people with Huntington's disease: a randomized controlled pilot study.

Brain-computer interface (BCI) technology relies on the ability of individuals to voluntarily and reliably produce changes in their electroencephalographic (EEG) activity. The present paper reviews research on cognitive tasks and other methods of generating and controlling specific changes in EEG activity that can be used to drive BCI systems. To date, motor imagery has been the most commonly used task. This paper explores the possibility that other cognitive tasks, including those used in imaging studies, may prove to be more effective. Other factors which influence performance are also considered in relation to selection of tasks, as well as training of subjects.

Learning to control brain activity: a review of the production and control of EEG components for driving brain-computer interface (BCI) systems.

This cross-sectional and partial longitudinal study aimed to characterize changes in rectus abdominis (RA) and provide reference ranges for the first year postpartum. Ultrasound scanning was used at four stages postnatally to measure cross-sectional area (CSA), thickness, width (indirectly using a shape value) and inter-recti distance (IRD). One hundred and fifteen postnatal women (though some postnatal subjects appeared in more than one postnatal group thus giving a total of 183 data points) and 69 age-matched nulliparous female controls were recruited. Postnatal subjects were studied at Day 1 (PN1; n=63) and at 2 (PN2; n=55), 6 (PN3; n=39) and 12 (PN4; n=26) months postpartum. Longitudinal data were analysed for CSA, thickness, shape (indirect width measurement) (df=67) and IRD (df=62). The mean CSA of the PN1 group was significantly larger (P<0.001) than in controls and decreased (P<0.0021) by 12 months. In all postnatal groups, RA was significantly thinner (P<0.0001, PN1-PN3; P<0.0478, PN4), wider (P<0.0001, PN1-PN3; P=0.0326, PN4) and the IRD was significantly larger (P<0.0001, PN1-PN4) than in controls. Over 2 months postpartum, RA became thicker (P=0.0003) and the width and IRD decreased (P<0.0001 and P=0.0002, respectively) but did not return to control values by 12 months. These results have implications for strength of RA postpartum and anterior abdominal wall stiffness, which together with other muscle characteristics could inform development of effective postnatal exercise programmes.

Postpartum characteristics of rectus abdominis on ultrasound imaging.

The use of ultrasound imaging (USI) by physiotherapists to assess muscle behavior in clinical settings is increasing. However, there is relatively little evidence of whether the clinical environment is conducive to valid and reliable measurements. Accurate USI measurements depend on maintaining a relatively stationary transducer position, because motion may distort the image and lead to erroneous conclusions. This would seem particularly important during dynamic studies typical of a physiotherapy assessment. What is not known is how much transducer motion can occur before error is introduced. The aim of this study is to shed some light on this question. Eight healthy volunteers (19 to 52 y) participated. USI images were taken of the lateral abdominal wall (LAW) and bladder base (midline suprapubic) at various manually induced transducer orientations (approximately -10 to 10 degrees about 3 axes of rotation), which were quantified by a digital optical motion capture system. Measurements of transversus abdominis (TrA) thickness and bladder base position (cranial /caudal and anterior/posterior) were calculated. Repeated measures analysis of variance was performed to determine if the measurements obtained at the induced transducer orientations were statistically different (p<0.05) from an image corresponding to a reference or starting transducer orientation. Motion analysis data corresponding to measurements that did not differ from reference image measurements were summarized to provide a range of acceptable transducer motion (relative to the pelvis) for clockwise (CW)/counter-clockwise (CCW) rotation, cranial/caudal tilting, medial/lateral tilting and inward/outward displacement. There were no significant changes in TrA thickness measurements if CW/CCW transducer motion was <9 degrees and cranial/caudal or medial/lateral transducer tilting was <5 degrees . Further, there were no significant changes in measurements of bladder base position if CW/CCW transducer motion was <10 degrees , cranial/caudal or medial/lateral transducer tilting was <10 degrees and 8 degrees , respectively and inward/outward motion was <8 mm. These findings provide guidance on acceptable amounts of transducer motion relative to the pelvis when generating measurements of TrA thickness and bladder base position. Future sonographic studies and clinical assessment investigating these parameters could take these findings into account to improve imaging technique reliability.

Induced transducer orientation during ultrasound imaging: effects on abdominal muscle thickness and bladder position.

Clinical use of ultrasound imaging by physiotherapists is increasing; however, the clinical setting may be problematic due to variability inherent in the environment. As transducer motion interferes with accurate measurement, this study aimed to measure handheld transducer motion, relative to the pelvis, during a clinical simulation involving typical maneuvers employed in a physiotherapy assessment of the lumbopelvic region. Transducer motion about three axes and through one plane was measured (Vicon, Oxford, UK) on 12 participants during three clinical maneuvers at four abdominal imaging sites. Data were grouped and means used to determine discrepancies in transducer and pelvic motion for each imaging site/maneuver combination. None of the conditions produced large transducer motions relative to the pelvis and all findings were within previously established guidelines for acceptable amounts of transducer motion. These findings suggest that an ultrasound transducer can be held relatively stationary in a clinical setting, for the maneuvers tested.

Ultrasound imaging transducer motion during clinical maneuvers: respiration, active straight leg raise test and abdominal drawing in.

The purpose of this study was to establish reference values for abdominal and lumbar multifidus muscles at rest and while contracted in a sample of active healthy adults.

Abdominal and lumbar multifidus muscle size and symmetry at rest and during contracted States. Normative reference ranges.

Association between changes in electromyographic signal amplitude and abdominal muscle thickness in individuals with and without lumbopelvic pain.

The aim of this study was to assess the potential of employing a classification tool to objectively classify participants with clinically assessed movement faults (MFs) of the scapula. Six participants with a history of shoulder pain with MFs of the scapula and 12 healthy participants with no movement faults (NMFs) performed a flexion movement control test of the scapula, while scapular kinematic data were collected. Principal component scores and discrete kinematic variables were used as input into a classifier. Five out of the six participants with a history of pain were successfully classified as having scapular MFs with an accuracy of 72%. Variables related to the upward rotation of the scapula had the most influence on the classification. The results of the study demonstrate the potential of adopting a multivariate approach in objective classification of participants with altered scapular kinematics in pathological groups.

Article	Year
Effects of multisensory stimulation in people with Huntington's disease: a randomized controlled pilot study. Clinical rehabilitation\| PubMed ID: 12617377	2003
Learning to control brain activity: a review of the production and control of EEG components for driving brain-computer interface (BCI) systems. Brain and cognition\| PubMed ID: 12727187	2003
Postpartum characteristics of rectus abdominis on ultrasound imaging. Manual therapy\| PubMed ID: 17208034	2008
Induced transducer orientation during ultrasound imaging: effects on abdominal muscle thickness and bladder position. Ultrasound in medicine & biology\| PubMed ID: 19699027	2009
Ultrasound imaging transducer motion during clinical maneuvers: respiration, active straight leg raise test and abdominal drawing in. Ultrasound in medicine & biology\| PubMed ID: 20598434	2010
Abdominal and lumbar multifidus muscle size and symmetry at rest and during contracted States. Normative reference ranges. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine\| PubMed ID: 22733859	2012
Association between changes in electromyographic signal amplitude and abdominal muscle thickness in individuals with and without lumbopelvic pain. The Journal of orthopaedic and sports physical therapy\| PubMed ID: 23633621	2013
Objective classification of scapular kinematics in participants with movement faults of the scapula on clinical assessment. Computer methods in biomechanics and biomedical engineering\| PubMed ID: 24156508	2015

Maria J. Stokes

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