• Title/Summary/Keyword: Muscle properties

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Surgical Anatomy of Temporalis Muscle Transfer with Fascia Lata Augmentation for the Reanimation of the Paralyzed Face: A Cadaveric Study

  • Yi Zhang;Johannes Steinbacher;Wolfgang J. Weninger;Ulrike M. Heber;Lukas Reissig;Erdem Yildiz;Chieh-Han J. Tzou
    • Archives of Plastic Surgery
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    • v.50 no.1
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    • pp.42-48
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    • 2023
  • Background The temporalis muscle flap transfer with fascia lata augmentation (FLA) is a promising method for smile reconstruction after facial palsy. International literature lacks a detailed anatomical analysis of the temporalis muscle (TPM) combined with fascia lata (FL) augmentation. This study aims to describe the muscle's properties and calculate the length of FL needed to perform the temporalis muscle flap transfer with FLA. Methods Twenty nonembalmed male (m) and female (f) hemifacial cadavers were dissected to investigate the temporalis muscle's anatomy. Results The calculated minimum length of FL needed is 7.03cm (f) and 5.99cm (m). The length of the harvested tendon is 3.16cm/± 1.32cm (f) and 3.18/± 0.73cm (m). The length of the anterior part of the temporalis muscle (aTPM) is 4.16/± 0.80cm (f) and 5.30/± 0.85cm (m). The length of the posterior part (pTPM) is 5.24/± 1.51cm (f) and 6.62/± 1.03cm (m). The length from the most anterior to the most posterior point (aTPMpTPM) is 8.60/± 0.98cm (f) and 10.18/± 0.79cm (m). The length from the most cranial point to the distal tendon (cTPMdT) is 7.90/± 0.43cm (f) and 9.79/± 1.11cm (m). Conclusions This study gives basic information about the temporalis muscle and its anatomy to support existing and future surgical procedures in their performance. The recommended minimum length of FL to perform a temporalis muscle transfer with FLA is 7.03cm for female and 5.99cm for male, and minimum width of 3 cm. We recommend harvesting some extra centimeters to allow adjusting afterward.

ELECTRICAL STIMULATION FOR THE RESTORATION OF GAIT FUNCTION IN HEMIPLEGIC PATIENTS (일측 마비환자의 전기자극에 의한 보행기능의 회복)

  • Jeong, D.H.;Park, B.R.;Kim, S.S.;Lee, C.H.;Hong, S.H.
    • Proceedings of the KOSOMBE Conference
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    • v.1992 no.05
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    • pp.203-208
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    • 1992
  • In order to restore the gait function by functional electrical stimulation(FES) in hemiplegic patients, an electrical stimulator and foot sensor were developed on the basis of optimal parameters which resulted from animal experiments. Physical properties of the soleus muscle were quite different from those of themedial gastrocnemius muscle, that is, the former had a characteristic or slow muscle and the letter had a characteristic of fast muscle in rats. Optimal parameters for electrical stimulation were 0.2ms of pulse width and 20Hz of frequency in the soleus muscle and 0.3ms, 40Hz in the medial gastrocnemius muscle. Amplitude modulated electrical stimulator with -15V of maximal output was made and automatic on-off time if the stimulator was 5 seconds. The foot sensor composed of 3 sensors in 3 pressure points of the foot was made in order to control the gai t function by closed loop feedback system. The gait function was improved by using the stimulator and foot sensor in peroneal palsy. These results suggest that the electrical stimulator with closed loop feedback system may restore the gait function in hemiplegic patients.

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Muscular Adaptations and Novel Magnetic Resonance Characterizations of Spinal Cord Injury

  • Lim, Woo-Taek
    • Physical Therapy Korea
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    • v.22 no.2
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    • pp.70-80
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    • 2015
  • The spinal cord is highly complex, consisting of a specialized neural network that comprised both neuronal and non-neuronal cells. Any kind of injury and/or insult to the spinal cord leads to a series of damaging events resulting in motor and/or sensory deficits below the level of injury. As a result, muscle paralysis (or paresis) leading to muscle atrophy or shrinking of the muscle along with changes in muscle fiber type, and contractile properties have been observed. Traditionally, histology had been used as a gold standard to characterize spinal cord injury (SCI)-induced adaptation in spinal cord and skeletal muscle. However, histology measurements is invasive and cannot be used for longitudinal analysis. Therefore, the use of conventional magnetic resonance imaging (MRI) is promoted to be used as an alternative non-invasive method, which allows the repeated measurements over time and secures the safety against radiation by using radiofrequency pulse. Currently, many of pathological changes and adaptations occurring after SCI can be measured by MRI methods, specifically 3-dimensional MRI with the advanced diffusion tensor imaging technique. Both techniques have shown to be sensitive in measuring morphological and structural changes in skeletal muscle and the spinal cord.

Movement Dysfunction in Spastic Hemiparesis: A Problem of Spasticity or Muscular Weakness? (강직성 편마비 환자에서의 운동장애는 강직 때문인가? 근육약화 때문인가?)

  • Kim, Jong-Man;Ahn, Duck-Hyun
    • Physical Therapy Korea
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    • v.9 no.3
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    • pp.125-135
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    • 2002
  • In most of the medical literature that discusses the common problem of movement in patients with cerebral lesions. This critical problem is ascribed to a mechanism involving uninhibited neural activity. The goals of neurological physical therapy are focus on reduce of muscle hypertonicity, facilitates muscle activities, and improve of performance in living environment. A variety of studies suggest that spasticity is a distinct problem and separate from the muscle weakness. It has become increasingly recognized that the major functional deficits following brain damage are largely due to negative features such as muscle weakness and loss of performance rather than spasticity. Adequate recruitment of prime mover, not release was able to carry out the movement tasks well. The strengthening exercise of spastic limbs on changes in muscle properties and performance skill, the repeated motor practice has been identified as crucial for motor recovery. This article support the concept that strengthening is an appropriate intervention to improve the quality of physical function in patients with central nervous system lesions. Further studies and therapeutic approaches should be efforts at improving motor neuron recruitment in agonist rather than reducing activity in antagonists while retraining muscle strengthening.

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Prediction for Quality Traits of Porcine Longissimus Dorsi Muscle Using Histochemical Parameters

  • Ryu, Youn-Chul;Choi, Young-Min;Kim, Byoung-Chul
    • Food Science and Biotechnology
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    • v.14 no.5
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    • pp.628-633
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    • 2005
  • Muscle fiber characteristics were evaluated for predictability of meat quality traits using 231 crossbred pigs. Muscle $pH_{45min}$, R-value, and $pH_{24hr}$ were selected to estimate regression equation model of drip loss and lightness, although variances of coefficient estimates could only account for small part of drip loss (about 16.3 to 25.3%) and lightness (about 16.9 to 31.7%). Muscle $pH_{24hr}$ was represented to drip loss and lightness, which explained corresponding 25.3 and 31.7% of estimation in drip loss and lightness, respectively. Area percentage of type IIb fiber significantly contributed to prediction of metabolic rate and meat quality. However, equations predicting meat quality traits based on area percentage of type IIb fiber alone are less useful than ones based on early postmortem parameters. These results suggest estimated model using both metabolic properties of muscle and postmortem metabolic rate could be used for prediction of pork quality traits.

Muscle force potentiation during constant electrical stimulation - Dependence on pulse-amplitude and pulse-duration of electrical stimulation (일정 전기자극하의 근력 상승 - 전기 자극 파형의 펄스 진폭과 펄스폭에 대한 의존성)

  • Kim, Ji-Won;Kang, Min-Young;Kong, Se-Jin;Eom, Gwang-Moon
    • Proceedings of the KIEE Conference
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    • 2006.07d
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    • pp.2155-2156
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    • 2006
  • The purpose of this work is to investigate the fundamental properties of the gradual muscle force potentiation for the prediction of muscle force and body movement from the stimulation input with musculo-skeletal model. We investigated the dependence of force potentiation on both the pulse-amplitude and the pulse-duration. The experimental result showed that the force increment ratio during electrical stimulation decreased with pulse-amplitude. The force increment ratio decreased with short pulse-duration and was maintained to be constant with pulse-duration longer than $500{\mu}s$. A new model of the muscle potentiation based on these results is desired in the future.

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Identification of Flexion Withdrawal Reflex Using Linear Model in Spinal Cord Injury

  • Kim Yong-Chul;Youm Youn-Gil
    • Journal of Mechanical Science and Technology
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    • v.20 no.8
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    • pp.1183-1194
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    • 2006
  • The aim of this study was to identify the characteristics of the flexion withdrawal reflex modulated by the hip angle and hip movement in spinal cord injury (SCI). The influence of the hip position and passive movement were tested in 6 subjects with chronic SCI. Each subject placed in a supine position and lower leg was fixed with the knee at 5 -45 degree flexion and the ankle at 25-40 degree plantar flexion. A train of 10 stimulus pulses were applied at 200 Hz to the skin of the medial arch to trigger flexion reflexes. From results of the regression analysis, static properties of normalized muscle activation of flexor muscles have the linear relationship with respect to hip angle (P< 0.05). In order to verify the neural contribution of flexion reflex, we compared the static and dynamic gains of estimated muscle activations with measured EMG of ankle flexor muscle. Form this study, we postulate that the torque and muscle response of flexion withdrawal reflex have linear relationship with hip angle and angular velocity.

A Modelling of Normal and Abnormal EMG Silent Period Generation of Masseter Muscle (교근에서의 정상 및 비정상 근전도 휴지기 발생 모델링)

  • Kim Tae-Hoon;Jeon Chang-Ik;Lee Sang-Hoon
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.52 no.2
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    • pp.112-119
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    • 2003
  • This paper proposes a model of SP(silent period) generation in masseter muscle by means of computer simulation. The model is based on the anatomical and physiological properties of trigeminal nervous system. In determining the SP generation pathway, evoked SPs of masseter muscle after mechanical stimulation to the chin are divided into normal and abnormal group. Normal SP is produced by the activation of mechanoreceptors in periodontal ligament. The activation of nociceptors contributes to the latter part of normal SP, abnormal extended SP is produced. As a result, the EMG signal generated by a proposed SP generation model is similar to both real EMG signal including normal SP and abnormal extended SP with TMJ patients. The result of this study have shown differences of SP generation mechanism between subjects both with and without TMJ dysfunction.

Effect of Packaging Method on Physico-Chemical Properties of Chilled Plaice Muscle (포장 방법이 냉장 광어육의 물리$\cdot$화학적 변화에 미치는 영향)

  • Shin Wan-Chul;Song Jae-Chul;Choe Suck-Young
    • The Korean Journal of Food And Nutrition
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    • v.18 no.3
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    • pp.168-174
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    • 2005
  • Various changes of physico-chemical characteristics of chilled plaice muscle during storage at $4^{\circ}C$ in vacuum and aerobic packaging methods were examined. As a storaging period become longer, Hunter L, a, b value changes slightely. However, no differences were observed between vacuum and aerobic packaging method. The hardness of plaice muscle after death was $2,232\;dyne/cm^2$. The hardness of vacuum packaged plaice muscle storaged for 4 days was similar to that of aerobic packaged plaice muscle storaged fur 14 days. MFI(Myofibrillar Fragmentation Index) of aerobic and vacuum packaged plaice muscle showed maximum value at storage for 4days and 7 days, respectively. Mg-ATPase activities of mypofibril were increased gradually both of all during storage days. But that of MF from aerobic packaging plaice muscle was higher than that of vacuum packaging plaice muscle.