Neurovascular problems in the forearm, wrist, and hand

This article attempted to summarize the most common neurovascular injuries of the upper extremity, particularly the forearm, wrist, and hand. Although these injuries are rarely encountered in athletes, their pathology and treatment must be understood by the treating physician. Failure to recognize these injuries in a timely manner can lead to delay in diagnosis and weeks or months of lost participation by the athlete. The sports medicine physician must be aware of the potential risk for injury to the neurovascular structures, particularly in the athlete exposed to repetitive use or impact of the upper extremity. Timely recognition, diagnosis, and treatment will avoid the potential risk for permanent injury.     

Activity of spinal interneurons and their effects on forearm muscles during voluntary wrist movements in the monkey

We studied the activity of 577 neurons in the C6-T1 spinal cord of three awake macaque monkeys while they generated visually guided, isometric flexion/extension torques about the wrist. Spike-triggered averaging of electromyographic activity (EMG) identified the units' correlational linkages with 相似文献   

Synaptic linkages between red nucleus cells and limb muscles during a multi-joint motor task

The magnocellular red nucleus (RNm) becomes highly active when a monkey reaches to grasp an object. However, the only spike-triggered averaging studies of the RNm to date have been restricted to a simple wrist tracking paradigm and electromyographic (EMG) measurements of muscles of the forearm. We have now measured EMG signals from a large number of muscles throughout the shoulder, arm, forearm, and hand during a variety of tasks, including unconstrained reaching and grasping movements. Relations between these EMG signals and single-unit activity were assessed by on-line spike-triggered averaging and revealed significant post-spike effects among muscles of the shoulder and proximal arm, as well as intrinsic hand muscles. Although there remained a strong bias toward the extensor muscles of the forearm, as has been shown earlier, these results reinforce the importance of the RNm in the control of coordinated, whole-limb reaching movements.     

GABAB receptor activation causes a depression of low- and high-voltage-activated Ca2+ currents, postinhibitory rebound, and postspike afterhyperpolarization in lamprey neurons

1. Activation of gamma-aminobutyric acid-B (GABAB) receptors during N-methyl-D-aspartate (NMDA)-induced fictive locomotor activity in the lamprey spinal cord reduces the burst frequency and changes the intersegmental coordination. Presynaptic inhibition of both the excitatory and inhibitory synaptic transmission from spinal premotor interneurons occurs through GABAB receptor activation. To further analyze the cellular mechanisms underlying the GABABergic modulation of the locomotor network, the present study investigates somatodendritic effects of GABAB receptor activation on interneurons and motoneurons in the lamprey spinal cord in vitro using single-electrode current- and voltage-clamp techniques. 2. High- (HVA) and low- (LVA) voltage-activated calcium currents were studied with single-electrode voltage clamp when Na+ and K+ currents were blocked--using tetrodotoxin, tetraethylammonium (TEA), and CsCl electrodes--after substituting Ca2+ with Ba2+. Cobalt-sensitive inward barium currents, activated at -50 mV, became larger when the holding potential was set to a more hyperpolarized level, thus suggesting the existence of an LVA calcium current. The presence of cobalt-sensitive inward barium currents activated at -30 and -10 mV suggests the existence of an HVA calcium current. GABAB receptor activation (baclofen) reduced the peak amplitude of both the LVA and HVA Ca2+ component. 3. The late phase of the afterhyperpolarization (AHP), which follows the action potential, was reduced in amplitude by cobalt, thus lending further support to the notion that the Ca2+ influx, and the subsequent activation of Ca(2+)-dependent K+ channels (KCa2+), constitutes the major part of the AHP generation. Application of the GABAB agonist baclofen also reduced the peak amplitude of the AHP in interneurons and motoneurons, and this reduction was counteracted by the GABAB antagonist 2(OH)saclofen. Baclofen reduced the duration of action potentials broadened by TEA, thus suggesting that the Ca2+ inflow was reduced. Intracellular injection of the GTP analogue GTP gamma S also reduced the duration of the action potential and the peak amplitude of the AHP in TEA, thus supporting the notion that a GTP-binding protein (G-protein)-mediated GABAB receptor activation reduced the calcium inflow, leading to less activation of KCa channels and, consequently, to a smaller peak amplitude of the AHP. 4. Baclofen suppressed the subthreshold depolarization induced by a depolarizing current pulse injection without affecting either the spike threshold or the resting membrane conductance.(ABSTRACT TRUNCATED AT 400 WORDS)     

Electromyographic response of the labial muscles during normal liquid swallows using a spoon, a straw, and a cup

PURPOSE: To determine if ethnic and gender differences in smoking (lifetime prevalence and 30-day prevalence) exist among a cohort of Asian, black, Hispanic, and white inner-city adolescents during the 3-year middle school period. METHODS: Students in 22 urban schools completed self-report questionnaires and provided carbon monoxide breath samples at three annual assessments. Chi-square analyses were conducted to test for associations between ethnic group (Asian, black, Hispanic, and white) and smoking and to test for gender differences in smoking within each ethnic group. Additional analyses examined differences in smoking between two Hispanic subgroups (Puerto Rican and Dominican). RESULTS: Ethnicity was associated with lifetime smoking prevalence at all three assessment points but was only associated with 30-day smoking prevalence at the 2-year follow-up. However, there were no differences in smoking between Puerto Rican and Dominican youth. Black girls reported higher lifetime smoking prevalence than black boys at all three assessments. At the 2-year follow-up, Asian boys reported higher lifetime smoking prevalence than Asian girls; Hispanic girls reported higher 30-day prevalence than Hispanic boys. CONCLUSIONS: White and Hispanic adolescents were at higher risk for smoking relative to Asian and black adolescents. With the exception of white youth, gender differences were found within each ethnic group.     

The effects of nicotine on spatial and non-spatial expectancies in a covert orienting task

The present study examined how nicotine influences shifts of visuo spatial attention in casual smokers at each of three delays after smoking one cigarette: immediately, 1 h and 24 h. Informative peripheral cues were used to exogenously orient attention to the location where an increase or decrease in the size of a peripheral object was most likely to occur. One size change was more likely to occur than the other and the task was choice (expansion/contraction) reaction time. The performance decrement obtained when the target appeared at an uncued location was smallest in sessions run immediately after smoking (when nicotine levels were highest), suggesting that nicotine may increase the ease with which attention can be disengaged from a cued location. This finding confirms previous research which suggests a specific role for the basal forebrain cholinergic system in visual orienting. In contrast, nicotine was not found to affect non-spatial expectancies based on stimulus-response (expansion/contraction) probability. These findings, together with recent converging evidence, strongly support the proposition that different attentional operations are mediated by different neural subsystems.     

The effects of handedness, family history and sex on the performance of a dichotic listening task

The action of some drugs on the eye may lead to the occurrence of unforeseen ocular and extraocular reactions. Vincaleukoblastin (Velbe) provokes serious corneal lesions with a healing time of two weeks and a half. The local application of Neo-Synephrine eye drops (10%) and Mydrial-Atropine ointment may lead in the case of a pharmacogenetic disposition to disagreeable systemic effects. In one case of preparation for a cataract operation by akinesis and retrobulbar injection, Novocain was changed by mistake with Pilocarpinum hydrochloricum by the error of a pharmaceutical firm. This led to severe complications, which could by successfully treated with Chlorpromazine (Largactil). The knowledge of these clinical observations may be of greater usefulness in the preventation of untoward drug reactions.     

Estradiol enhances learning and memory in a spatial memory task and effects levels of monoaminergic neurotransmitters

Calretinin (CaR) is a calcium-binding protein that is distributed extensively in the central nervous system. It is localized in the cell bodies and neurites of specific neuronal populations and serves, therefore, as a reliable anatomical marker. Some components of the pretectocerebellar projection, which connects specific pretectal nuclei to caudal cerebellar folia, are concerned with the cerebellar control of visual reflexes. We investigated the distribution of pretectocerebellar-projecting neurons in relation to cells that show CaR immunoreactivity. Cells that project to the cerebellar cortex in the diencephalic primary visual nuclei and in other grisea, like the nucleus spiriformis medialis and the nucleus dorsofrontalis, colocalized with those that appeared to be immunolabeled intensely with anti-CaR antiserum. To explore the hypothesis of a common developmental origin of these pretectal cerebellopetal neurons, we also investigated the development of CaR-immunopositive cells in the chick pretectum and the arrival of their fibers in the cerebellum, from 10 days of incubation (stage 36) to posthatching stages. Finally, we analyzed the source of CaR+ climbing fibers and found a subpopulation of CaR+ cells in the inferior olivary nucleus. On the whole, these results suggest that there is a common developmental origin of pretectal cerebellopetal neurons, some of which share the property of CaR expression. The functional significance of this correlation needs to be investigated.     

Conjunction errors, recollection-based rejections, and forgetting in a continuous recognition task.

Six experiments investigated conjunction memory errors (e.g., falsely remembering blackbird after studying parent words blackmail and jailbird) in a continuous recognition procedure with a parent-conjunction lag manipulation. In 4 experiments (1A, 1B, 2A, and 2B) "recollect" judgments, which indexed recall of parent words, showed that participants can use recollection to prevent conjunction errors. "Recollect" judgments, as well as overt recall of parent words (in Experiments 2A and 2B), dropped sharply from a lag of 0 to 1 word, then stabilized from a lag of 1 to 20 words. Thus, the "recollect" responses and overt recall demonstrate a step function of forgetting over short intervals. These data generalized to cued recall in Experiments 3A and 3B with the first morpheme (e.g., black) as the cue, though recall conjunction errors occurred infrequently relative to recognition conjunction errors. Overall, the results support the idea that automatic and controlled processes contribute to memory performance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Systematic variations in callosal morphology: The effects of age, gender, hand preference, and anatomic asymmetry.

The size of the human corpus callosum may be related to individual variability in cerebral lateralization. Nonright-handers and women have been reported to show a thicker corpus callosum, reduced functional asymmetry, and reduced anatomic asymmetries, but such reports are inconsistent. The effects of age, volumetric anatomic asymmetries, gender, and handedness on callosal morphology were examined among 38 men (aged 68–89 yrs) and 59 women (aged 56–90 yrs). Women had proportionately larger anterior callosal areas than men, but there was greater age-related decline in callosal area in men. Factors predicting callosal size differed in men and women. In men, increasing posterior callosal size was predicted by greater right-handedness and the presence of a larger posterior left hemisphere volume. In women, increasing callosal size was predicted by increasing nonright-handedness; midcallosal thickness was predicted by the presence of a larger posterior left hemisphere volume. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Head Orientation position during birth and in infant neonatal period, and hand preference at nineteen weeks

This study of lateral preferences of normal full-term infants found, as predicted, that infants who were delivered from a left occiput anterior or transverse birth position (head turned to the right) exhibited a neonatal right supine head orientation and a right-hand preference in visually guided reaching tasks at 19 weeks. Contrary to prediction, infants delivered from a right occiput anterior or transverse birth position (head turned to the left) did not exhibit a left-sided preference in either neonatal head position or hand preference. Results are discussed in relation to other research which found a right shift in neonates' head orientations and in the distribution of hand preference in the human population. The findings suggest further investigation into the relationship between prenatal and postnatal postural asymmetries and the continuing development of laterality.     

Behavior in groups as a function of self-interaction, and task orientation.

To further the theoretical expectation that orientation would be associated with leadership and related group behavior, the Bass Orientation Inventory was correlated with rated performance in sensitivity training groups of 32 male supervisors and 25 female secretaries, in groups of 48 candidates for supervisory positions undergoing 3 days of assessment, and in reformed groups homogeneous in orientation. Task oriented Ss, particularly among men, were judged most favorably and interaction oriented Ss least favorably both by peers and outside assessors. However, homogeneous groupings for sensitivity training were most satisfying to interaction oriented Ss, whose leaders were most highly interaction oriented. Task oriented group leaders were highly task oriented, but leaders of self-oriented groups were relatively low in self-orientation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Age and individual differences in prospective memory during a "Virtual Week": The roles of working memory, vigilance, task regularity, and cue focality.

Young (ages 18–22 years) and older (ages 61–87 years) adults (N = 106) played the Virtual Week board game, which involves simulating common prospective memory (PM) tasks of everyday life (e.g., taking medication), and performed working memory (WM) and vigilance tasks. The Virtual Week game includes regular (repeated) and irregular (nonrepeated) PM tasks with cues that are either more or less focal to other ongoing activities. Age differences in PM were reduced for repeated tasks, and performance improved over the course of the week, suggesting retrieval was more spontaneous or habitual. Correlations with WM within each age group were reduced for PM tasks that had more regular or focal cues. WM (but not vigilance) ability was a strong predictor of irregular PM tasks with less focal cues. Taken together, these results support the hypothesis that habitual and focally cued PM tasks are less demanding of attentional resources (specifically, WM), whereas tasks that are more demanding of controlled attentional processes produce larger age differences, which may be attributable to individual differences in WM. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The role of participation and control in the effects of computer monitoring on fairness perceptions, task satisfaction, and performance.

Procedural justice and social facilitation theories were used to investigate effects of 2 kinds of process control on fairness perceptions, task satisfaction and performance of complex, computer-monitored tasks. A laboratory study manipulated participation (high or low voice) and monitoring approach (monitoring, control over monitoring, or no monitoring). High-voice participants perceived higher justice. Monitored participants reported higher satisfaction with high voice and lower satisfaction with low voice. Task performance was poorer for monitored participants unless they had control over monitoring. Among those with control, performance was not impaired for higher baseline performers. The 2 kinds of process control had different effects on the outcome variables. Results suggest the value of considering variations in the kinds of control provided and the justice principles that may apply in predicting effects of monitoring procedures. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An interactive activation approach to object processing: effects of structural similarity, name frequency, and task in normality and pathology

We present a computational model of the processes involved in retrieving stored semantic and name information from objects, using a simple interactive activation and competition architecture. We simulate evidence showing a cross-over in normal reaction times to make semantic classification and identification responses to objects from categories with either structurally similar or structurally dissimilar exemplars, and that identification times to objects from these two different classes correlate differentially with measures of the structural similarity of objects within the category and the frequency of the object's name. Structural similarity exerts a negative effect on object decision as well as naming, though this effect is larger on naming. Also, on naming, structural similarity interacts with the effects of name frequency, captured in the model by varying the weight on connections from semantic to name units; frequency effects are larger with structurally dissimilar items. In addition, (1) the range of potential errors for objects from these two classes, when responses are elicited before activation reached a stable state, differ--a wider range of errors occur to objects from categories with structurally similar exemplars; and (2) simulated lesions to different locations within the model produce selective impairments to identification but not to semantic classification responses to objects from categories with structurally similar exemplars. We discuss the results in relation to data on visual object processing in both normality and pathology.     

Effects of physical exertion on task performance in modern manufacturing: a taxonomy, a review, and a model

Modern manufacturing systems have the characteristic of demanding human cognitive task performance in an environment where sudden physical demands are also possible. There is little research addressing the effects of physical work on cognitive task performance and it is not well organized for application to manufacturing systems design. This paper uses an initial three-dimensional taxonomy to review the literature. Some clear findings emerge, but many studies produced contradictory results. While part of the contradiction was due to experimental technique, some was also due to the lack of a detailed structure to guide future research. Such a model is thus proposed, using the concept of limited resources for both the cognitive and physical aspects of tasks. In addition, specific predictions of research needs for modern manufacturing systems arise.     

Kinetic assessment of the effects of task difficulty, microencephaly, and a response manipulandum alteration on the rate of fixed-ratio discrimination acquisition.

Fixed-ratio discrimination (FRD) training session-accuracy curves were constructed using first-order, nonlinear regression and probit analyses to determine maximal (asymptotic) accuracy and the number of sessions required to reach half-maximal accuracy. Increased FRD difficulty (reductions in the differences between the 2 fixed-ratio values to be discriminated) and a training parameter change each increased the number of sessions required to reach half-maximal accuracy and decreased maximal FRD accuracy (i.e., session-accuracy curves were shifted down and to the right) regardless of analysis procedure. These findings indicate that the above manipulations induced mixed competitive-noncompetitive inhibition of the rate of FRD learning. Microencephalic rats were more sensitive to increases in FRD difficulty, whereas control rats were more sensitive to the training parameter change. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Shift of laterality and compared analysis of paw performances in cats during practice of a visuomotor task.

Paw preference and performance were analyzed during early and late practice in 12 adult cats that reached toward a moving target. A strong preference for left-paw use was observed early in training. It was still present after practice despite a shift toward right-paw use. Comparing paw performance showed that the left paw was more accurate and quicker to trigger the movement during early practice, whereas after practice, it was the preferred paw (whether right or left) that triggered faster movement. The strong original left-paw bias could reflect the specialization of the right hemisphere in processing spatial information. Its weakening with practice could reflect the ability of the nonspecialized hemisphere to learn how to deal with the task. (PsycINFO Database Record (c) 2010 APA, all rights reserved)