Three-dimensional kinematics of upper limb anatomical movements in asymptomatic adults: Dominant vs. non-dominant

The effect of dominance on upper limb (UL) kinematics has only been studied on scapular movements. Moreover, when an anatomical UL movement is performed in a specific plane, secondary movements in the remaining planes involuntarily occur. These secondary movements have not been previously evaluated. The aim of this study was to compare the kinematics of primary and secondary angles of dominant and non-dominant UL during anatomical movements in asymptomatic adults.25 asymptomatic adults performed 6 anatomical movements bilaterally: shoulder flexion-extension, abduction-adduction, horizontal abduction-adduction, internal-external rotation, elbow flexion-extension and wrist pronation-supination. Kinematics of the dominant and non-dominant UL were compared by their ranges of motion (ROM) and their angular waveforms (Coefficient of Multiple Correlations, CMC).The comparison between dominant and non-dominant UL kinematics showed different strategies of movement, most notably during elbow flexion-extension (CMC = 0.29): the dominant UL exhibited more pronation at maximal elbow flexion. Significant secondary angles were found on most of the UL anatomical movements; e.g. a secondary ROM of shoulder (humero-thoracic) external-internal rotation (69° ± 16°) was found when the subject intended to perform maximal shoulder abduction-adduction (119° ± 21°).Bias of dominance should be considered when comparing pathological limb to the controlateral one. Normative values of primary and secondary angles during anatomical movements could be used as a reference for future studies on UL of subjects with neurological or orthopedic pathologies.     

Combined recruitment of two fixation chains during cyclic movements of one arm

Voluntary adduction-abduction movements of one arm in the horizontal plane discharge a reaction torque which would rotate the trunk in the direction opposite to arm acceleration. Rotation is impeded by muscular fixation chains that exert forces counterbalancing the reaction torque. We examined how two different fixation chains cooperate in stabilising the trunk during the above movements. Standing subjects (n = 6), with shoulders ante-flexed, performed cyclic adductions-abductions of the right arm (1.5 Hz) while grasping a fixed handle with the left hand. In this set-up, reaction torque is contrasted by: (1) a leg fixation chain, exerting on the ground a torque around the vertical axis (Tz), recorded by a force platform; and (2) a left arm fixation chain, exerting on the handle a force in the medial-lateral direction (Fh), recorded by a load cell. Subjects performed 20 trials (15 cycles each). It was found that Tz and Fh underwent sinusoidal changes at the same frequency as arm movements and contributed in counteracting the reaction torque. The intensity of the handle grip, monitored by EMG activity in the left Flexor Digitorum Superficialis, was changed from trial to trial and kept constant during each trial. As grip strength increased, Fh amplitude increased linearly while amplitude of Tz linearly decreased. In conclusion, voluntarily strengthening the handle grip progressively deviates the postural actions from the legs to the left arm.     

HUMAN UNIQUENESS,THE OTHER HOMINIDS,AND “ANTHROPOCENTRISM OF THE GAPS” IN THE RELIGION AND SCIENCE DIALOGUE

Abstract. The concept of human uniqueness has long played a central role within key interpretations of the hominid fossil record and within numerous theological understandings of the imago Dei. More recently, the status of humans as evolutionarily unique has come under strong criticism owing to the discovery of certain nonhuman hominids who, as language and culture‐bearing beings, lived as contemporaries with early anatomically modern humans. Nevertheless, many scholars, including those in the field of religion and science, continue to interpret the remains of these other hominids in light of empirically ungrounded implicit assumptions about human uniqueness, which the author calls “anthropocentrism of the gaps.” This paper argues that “anthropocentrism of the gaps” is philosophically unwarranted and thus should not be assumed by scholars in religion and science when evaluating contemporary findings in paleoanthropology.     

Does transcranial direct current stimulation during writing alleviate upper limb freezing in people with Parkinson’s disease? A pilot study

Transcranial direct current stimulation (tDCS) over the primary motor cortex (M1) can boost motor performance in Parkinson’s disease (PD) when it is applied at rest. However, the potential supplementary therapeutic effect of the concurrent application of tDCS during the training of motor tasks is largely unknown. The present study examined the effects of tDCS on upper limb motor blocks during a freezing-provoking writing task (the funnel task) requiring up- and down-stroke movements at alternating amplitudes. Ten PD patients and 10 age-matched controls underwent two sessions of writing combined with 20 min of anodal or sham tDCS on the left M1 in a randomized cross-over design. The primary outcome was the number of upper limb freezing episodes during five trials of the funnel task on a touch-sensitive tablet. PD patients showed a significant reduction in freezing episodes during tDCS compared to sham. No effects of tDCS were found for the amplitude, variability and speed of the strokes outside the freezing episodes. However, patients who reported freezing episodes in daily life (N = 6) showed a beneficial effect of tDCS on stroke characteristics. These results indicate a subgroup-dependent variability in response to non-invasive brain stimulation applied during the performance of motor tasks in PD. This warrants future studies to examine tDCS as an adjuvant tool for training programs aimed to reduce motor deficits related to freezing.     

Various shrug exercises can change scapular kinematics and scapular rotator muscle activities in subjects with scapular downward rotation syndrome

Scapular dyskinesis, characterized by scapular downward rotation syndrome (SDRS) affects scapula-humeral rhythm and results in shoulder dysfunction. Previous study has led to the recommendation of standard shrug exercise to contend with SDRS and strengthen the upper trapezius (UT) muscle. However, few researchers have examined which shrug exercise is most effective. The aim of this research was to compare scapular kinematic changes and scapular rotator muscles activity across three different shrug exercises in SDRS. The amounts of scapular downward rotation were measured by a caliper and the scapular upward rotation angle was measured using two digital inclinometers. Surface electromyography was used to measure EMG amplitude from the UT, lower trapezius (LT), serratus anterior (SA), and levator scapula (LS). Seventeen subjects with SDRS were recruited for this study. The subjects performed three shrug exercises with 30° shoulder abduction (preferred shrug, frontal shrug, and stabilization shrug). The stabilization shrug showed a significantly greater scapular upward rotation angle compared with the preferred shrug (P = 0.004) and frontal shrug (P = 0.006). The UT activity was significantly greater in the frontal shrug than in the preferred shrug (P = 0.002). The UT/LS muscle activity ratio was also significantly greater in the frontal shrug than in the preferred shrug (P = 0.004). The stabilization shrug should be preferred to enhance the upward rotation angle. In addition, the frontal shrug can be used as an effective method to increase UT activity and to decrease LS activity in SDRS.