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- Elmqvist, Lars-Gunnar, 1944-
(författare)
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Chronic anterior cruciate ligament tear : knee function and knee extensor muscle size, morphology and function before and after surgical reconstruction
- 1988
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Knee function was evaluated by knee score, activity level, clinical findings and performance tests, muscle size by computerized tomography (CT), morphology by light (LM) and electron microscopy (EM), muscle function by electromyography (EMG) and isokinetic performance in 29 patients with chronic anterior cruciate ligament (ACL) tear. Preoperatively CT disclosed a significant mean atrophy of the quadriceps and nonsignificant changes of the other muscle areas of the injured leg. Morphology of m vastus lateralis of the injured leg was normal in more than half of the biopsies preoperatively, the rest showed signs of nonoptimal activation. Significant decreases in all isokinetic parameters were noticed together with significantly decreased EMG of the quadriceps muscle of the injured leg.Âfter surgical reconstruction the knees were immobilized in a cast for 6 weeks at either 30° or 70° of knee flexion. After cast removal CT showed significant decreases of all areas which also remained after training. The 30° group showed larger fibres (intracellular oedema) and more frequent morphological abnormalities than the 70° group. Fourteen weeks postoperatively the patients were allocated to either a combination of isometric and progressive resistance training or isokinetic training for 6 weeks. CT showed slightly larger areas at 20 weeks postoperatively than at 6 weeks. Morphological abnormalities were still prominent at 20 weeks postoperatively. Maximum isokinetic knee extensor mechanical output and endurance were markedly decreased at 14 weeks postoperatively but both improved progressively during the one year rehabilitation, mostly during the intensive 6 week training period but irrespective of training programme used. Fatiguability/endurance level improved over the preoperative level. Muscular work/integrated EMG was stable while EMG/t increased indicating neuromuscular relearning.The clinical result at 28 months foliowup was excellent or good in 93% of the patients and clinical stability improved in 66%. Independent upon primary knee immobilization angle or training programmes no differences could be demonstrated with respect to stability, range of motion, function or isokinetic mechanical output. Isokinetic performance was still significantly lower in the injured compared to the noninjured leg and not significantly different from the preoperative values. Morphology, only 6 cases, showed abnormalities similar to preoperative findings.In conclusion, the reason for the decreased maximum and total knee extensor performance in these patients with ACL tears is suggested to be nonoptimal activation of normal functioning muscle fibres depending on changes in knee joint receptor afferent inflow. No differences concerning the markedly improved postoperative clinical result could be seen between the different treatment modalities used. A nonoptimal muscular activation might explain the still decreased isokinetic performance present at followup.
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| 2. |
- Levi, Richard, et al.
(författare)
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Akut diagnostik
- 1988
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Bok (övrigt vetenskapligt/konstnärligt)
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| 4. |
- Edman, Anne-Christine, 1946-
(författare)
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Myofibrillens finstruktur i tvärstrimmig skelettmuskulatur
- 1988
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The detailed structure of the myofibrillar material in fibres from different muscles has been studied. Specimens have been obtained from human muscles and from different muscles frequently examined in experimental studies. Both light- and electron microscopical techniques have been used. Of central importance has been the method, which makes it possible to prepare ultrathin sections of frozen tissue, i.e. cryo-ult- ramicrotomy. A number of techniques for image analysis have been applied in order to obtain objektive data from the micrographs.In Paper I the present knowledge about muscle fibre structure, cryo-- sectioning and image analysis is summarized and relevant methodological problems are discussed. Paper II describes the detailed structure of the C-zone of the A-band and shows, above all, that structures occur with different repeats along the long axis of the myofibril. Paper III describes the subcellular organization of different fibres in a homogeneous (based on enzyme histochemical mATPase) population, and shows that different structural characteristies can vary independently of each other. Paper IV describes the structural diversity of the myofibrillar M-band, and paper V the diversity of the myofilament fine structure in different fibres. The results show that there is a most sophisticated, and previosly unrealized, structural specialization both within the myofibrils and between myofibrils from different fibres and muscles, even if the fibres are of the same fibre type. The findings suggest that generally used models, showing the structural organization within myofibrils and myofilaments, are oversimplifications. The fibre population is more heterogeneously built up than the common systems for fibre type classification makes one to belive.
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| 5. |
- Norqvist-Sjöberg, Astrid, 1953-
(författare)
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Amine oxidases in dental pulp : a study with special regard to a semicarbazide-sensitive amine oxidase with catalytic potency towards serotonin
- 1988
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The amine oxidizing capacity of piglet dental pulp tissue has been investigated. At least six separate enzyme activities could be distinguished:- a soluble semicarbazide-sensitive (SSAO) activity towards benzylamine, most likely to be derived from the content of blood plasma within the pulp tissue;- a soluble pulp tissue SSAO activity with most properties in common with the plasma enzyme, however with great efficiency not only regarding benzylamine but also tryptamine;- a tissue bound SSAO activity with activity towards benzylamine, tryptamine, tyramine and ß-phenylethylamine;- a tissue bound semicarbazide-sensitive activity towards serotonin (SSA0-5HT) (a combination of properties never reported before);- a mitochondrially bound and clorgyline-sensitive monoamine oxidase-A (MAO-A) activity with activity towards serotonin;- a mitochondrially bound and deprenyl-sensitive MAO-B activity with activity towards e.g. benzylamine, tryptamine, tyramine and ß-phenylethylamine.The relative importance of the various activities for the metabolism of some monoamines has been investigated.Although the SSAO enzymes had lower K values with most substrates than the MAO, the bulk of ïhe compounds was likely to be metabolized by MAO-B because of higher V values. K values and values with serotonin, howSver,were rather similar for rfle MAO and the SSAO membrane-bound enzyme(s).The thermal sensitivity of membrane-bound SSAO activities was found to be considerably lower than that for MAO-B.The SSAO-5HT activity was found to be localized to the plasma membrane with a greater activity towards the perifery of the pulp tissue than towards the centre.No great difference in the various amine oxidase activities was found when pulp tissues of varying degrees of maturity were compared.The occurrence of membrane-bound SSAO and MAO activities was investigated and compared between pig, ox and human dental pulp. All activities were found to be present in about the same order of magnitude in all three species with the exception of a higher MAO-A activity in the ox pulp and the absence of this enzyme activity in the human dental pulp.
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| 6. |
- Norvenius, Gunnar, et al.
(författare)
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'The cot in cot deaths'.
- 1988
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Ingår i: European journal of pediatrics. - 0340-6199. ; 148:2, s. 170-1
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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