Håvard Lorås

The effects of cycling cadence on the phases of joint power, crank power, force and force effectiveness

We examined the influence of cadence in cycling technique by quantifying phase relationships for a number of important variables at the crank and lower extremity joints. Any difference in the effect of cadence on force, effectiveness, and power phases would indicate an essential change in coordination pattern. Cycle kinetics was recorded for 10 male competitive cyclists at five cadences (60-100 rpm) at submaximal load (260 W). Joint powers were calculated using inverse dynamics methods. All data were expressed as a function of crank position. The phase of the crank mechanical profiles (total force, crank and joint power, and effectiveness) was calculated using four methods: crank angle of maximum (MA) and minimum (MI), fitting a sine wave (SI) and by cross-correlation (XC). These methods, apart from the MA method, showed the same relative phase. The variables, however, showed different phases being expressed as time lag: force effectiveness: 0.131 (+/-0.034)s; total force: 0.149 (+/-0.021)s; power: 0.098 (+/-0.027)s. The phases in joint powers hip 0.071 (+/-0.008), knee 0.082 (+/-0.009), and hip 0.077 (+/-0.012) were only well described by XC, and were somewhat lower than the crank power phase. These differences indicate the potential effect of inertia of the lower limb in phase shifts from joints to crank. Furthermore, the differences between the various crank variables indicate a change of technique with cadence.

Heart rate variability in fibromyalgia patients and healthy controls during non-REM and REM sleep: a case–control study

Objectives: To investigate heart rate variability (HRV) in fibromyalgia (FM) patients and healthy controls (HCs) during different sleep stages, and to examine the association of HRV with pain and sleep quality. Method: Polysomnography was recorded from 23 female FM patients and 22 age- and sex-matched HCs. HRV was recorded from bedtime until awakening including the standard deviation of normal-to-normal intervals (SDNN), the root mean square successive difference (RMSSD), and the low (LF; 0.04–0.15 Hz) and high (HF; 0.15–0.4 Hz) frequency power. Subjective scores of neck/shoulder pain and sleep quality were obtained at bedtime and awakening. Results: Both patients and HCs showed high incidence of arousals per hour (FM: 16 ± 9.7; HCs: 17 ± 11). RMSSD was lower in patients than HCs during non-rapid eye movement (non-REM) stage 2 (N2) sleep (mean ± SD; 30 ± 12 ms vs. 42 ± 13 ms, p < 0.002) and during REM sleep (23 ± 11 ms vs. 37 ± 16 ms, p < 0.003). HRV did not differ between groups during N3 sleep (p > 0.19 for all comparisons). In patients, SDNN, RMSSD, and HF power showed modest positive correlations with sleep quality (HF power during N3 sleep showed the highest correlation; Spearman’s ρ = 0.54) and modest negative correlations with neck/shoulder pain (RMSSD during N3 sleep showed the highest correlation with pain at bedtime; Spearman’s ρ = –0.51). Conclusions: RMSSD, indicative of parasympathetic predominance, is attenuated in FM patients compared to HCs during N2 sleep and REM sleep. This difference was not present for the HF component. HRV during sleep in FM patients is moderately and positively associated with sleep quality and moderately and negatively associated with neck/shoulder pain.

Individual Differences in Motor Timing and Its Relation to Cognitive and Fine Motor Skills

The present study investigated the relationship between individual differences in timing movements at the level of milliseconds and performance on selected cognitive and fine motor skills. For this purpose, young adult participants (N = 100) performed a repetitive movement task paced by an auditory metronome at different rates. Psychometric measures included the digit-span and symbol search subtasks from the Wechsler battery as well as the Raven SPM. Fine motor skills were assessed with the Purdue Pegboard test. Motor timing performance was significantly related (mean r = .3) to cognitive measures, and explained both unique and shared variance with information-processing speed of Ravens scores. No significant relations were found between motor timing measures and fine motor skills. These results show that individual differences in cognitive and motor timing performance is to some extent dependent upon shared processing not associated with individual differences in manual dexterity.

Postural control in quiet standing in patients with psychotic disorders

There is evidence that patients with psychotic conditions display greater center of pressure (CoP) displacement during quite standing than healthy subjects, but the underlying impairments in the control mechanisms are uncertain. The aim of this study was to identify the nature of possible impairments in the control of posture by modulation of visual and kinesthetic information during quiet standing. Center of pressure (CoP) data and whole-body kinematics of the center of mass (CoM) were recorded during quite standing on a firm surface with eyes open and with eyes closed, and standing with eyes open on a yielding surface. During all three conditions, patients displayed greater migration of CoM and CoP-CoM, a measure related to ankle joint torque, whereas CoP-frequency (MPF) was similar in patients and healthy subjects. Our results suggested that greater postural sway in patients may depend on disproportionally large ankle joint torque without corresponding increase in frequency. Furthermore, interactions between groups and conditions suggested that the patients made less use of visual information for postural control than the healthy subjects.

Perceived factors in return to work after acquired brain injury: A qualitative meta-synthesis.

Abstract Objectives: A substantial proportion of survivors after brain injuries originating from trauma, tumour, or stroke may experience reduced ability to work due to a number of challenges. The purpose of this review is to summarize and highlight factors that have been perceived and reported as important in order to return to work after an acquired brain injury. Material and methods: A qualitative ethnographic meta-synthesis is used to interpret and develop concepts from studies retrieved from systematic searches in the electronic databases PubMed, PsycINFO, and ISI Web of Science. Results: A total of 16 studies were included in the meta-synthesis. Four key concepts were identified as important for return to work after an acquired brain injury: empowerment, self-awareness, motivation, and facilitation. Conclusion: The results of the meta-synthesis indicate that personal development is experienced as essential in order to return to work after an acquired brain injury, involving identification of each individual’s strengths and weaknesses. These personal factors intersect with an emphasis of the employer providing a certain degree of facilitation in the workplace. All of these aspects will affect one’s motivation to return to work and can therefore be crucial to succeed.

Evidence for a general stiffening motor control pattern in neck pain: a cross sectional study

BackgroundNeck pain is associated with several alterations in neck motion and motor control. Previous studies have investigated single constructs of neck motor control, while few have applied a comprehensive set of tests to investigate cervical motor control. This comparative cross- sectional study aimed to investigate different motor control constructs in neck pain patients and healthy controls.MethodsA total of 166 subjects participated in the study, 91 healthy controls (HC) and 75 neck pain patients (NP) with long-lasting moderate to severe neck pain. Neck flexibility, proprioception, head steadiness, trajectory movement control, and postural sway were assessed using a 3D motion tracking system (Liberty). The different constructs of neck motion and motor control were based on tests used in previous studies.ResultsNeck flexibility was lower in NP compared to HC, indicated by reduced cervical ROM and conjunct motion. Movement velocity was slower in NP compared to HC. Tests of head steadiness showed a stiffer movement pattern in NP compared to HC, indicated by lower head angular velocity. NP patients departed less from a predictable trajectory movement pattern (figure of eight) compared to healthy controls, but there was no difference for unpredictable movement patterns (the Fly test). No differences were found for postural sway in standing with eyes open and eyes closed. However, NP patients had significantly larger postural sway when standing on a balance pad. Proprioception did not differ between the groups. Largest effect sizes (ES) were found for neck flexibility (ES range: 0.2- 0.8) and head steadiness (ES range: 1.3- 2.0). Neck flexibility was the only construct that showed a significant association with current neck pain, while peak velocity was the only variable that showed a significant association with kinesiophobia.ConclusionsNP patients showed an overall stiffer and more rigid neck motor control pattern compared to HC, indicated by lower neck flexibility, slower movement velocity, increased head steadiness and more rigid trajectory head motion patterns. Only neck flexibility showed a significant association with clinical features in NP patients.

Postural Control In Quiet Standing With A Concurrent Cognitive Task In Psychotic Conditions

ABSTRACT Differences in postural control and performance between psychotic patients and healthy subjects were investigated using a dual task paradigm. Center of pressure (CoP) data and whole-body kinematics of the center of mass (CoM) were recorded during quiet standing with and without a backward counting task. Dual task response was similar in both groups: the magnitude of CoM-migration did not change, while CoP-CoM magnitude, a measure related to ankle joint torque, and CoP-frequency both increased. The magnitudes of migration for CoM and CoP-CoM were greater in patients during both conditions, while CoP-frequency was similar to control subjects. Our results suggest that exaggerated ankle joint torque relative to CoP-frequency caused greater postural sway in patients during both conditions.

Interrelations between Three Fine Motor Skills in Young Adults

Motor skills are typically considered to be highly specific, although some researchers have attempted to identify evidence for general motor aptitude. The present study tested these contentions by assessing the extent of relationship between fine motor tasks, using correlations between selected performance measures for three fine motor skills. University students ages 18 to 35 years (N = 305; 147 men, 158 women) completed three fine motor tasks with both right and left hands (placing pegs, posting coins, and placing bricks). Performance was assessed by time to complete each individual task. The intercorrelations between the three tasks were generally low and at a level that can be expected by chance (r ≤ .3), indicating that performance was quite specific to the individual skills rather than attributable to a general ability. As a further test for evidence for a general motor ability, the dimensionality of the data set was analyzed using a principal component analysis on the correlation matrix. A three-factor solution explaining ~ 80% of the total variance in performance on the fine motor tasks was identified, where each factor could be associated with each fine motor task. These findings provide further support for the high specificity in fine motor skills and against the existence of a general aptitude for motor ability.

Exploring individual differences in children's mathematical skills: A correlational and dimensional approach

Individual differences in mathematical skills are typically explained by an innate capability to solve mathematical tasks. At the behavioural level, this implies a consistent level of mathematical achievement that can be captured by strong relationships between tasks, as well as by a single statistical dimension that underlies performance on all mathematical tasks. To investigate this general assumption, the present study explored interrelations and dimensions of mathematical skills. For this purpose, 68 ten-year-old children from two schools were tested using nine mathematics tasks from the Basic Knowledge in Mathematics Test. Relatively low-to-moderate correlations between the mathematics tasks indicated most tasks shared less than 25% of their variance. There were four principal components, accounting for 70% of the variance in mathematical skill across tasks and participants. The high specificity in mathematical skills was discussed in relation to the principle of task specificity of learning.

Medical Exercise Therapy for Treating Musculoskeletal Pain: A Narrative Review of Results from Randomized Controlled Trials with a Theoretical Perspective

BACKGROUND AND PURPOSE The purpose of this narrative review is to present an overview and theoretical rationale of medical exercise therapy (MET) as a physiotherapeutic rehabilitation treatment for musculoskeletal pain conditions. Results from randomized controlled trials (RCTs) conducted on MET are also presented. METHODS Computerized searches for any RCTs were conducted on the MET concept in the databases PubMed, Medline, Embase and ISI Web of science up to 2013. RESULTS Overall findings from five included MET RCTs are long-term (≥1 year) reductions in pain and improved physical and functional capabilities. These results are interpreted in the context of the biopsychosocial model, advancing the view of a dynamic interaction among physiologic, psychological and social factors that influence pain modulation. DISCUSSION MET is a biopsychosocial treatment that reduces pain and improves activities of daily living in patients with a musculoskeletal pain condition. Pain modulation is a key feature of MET, and an important area for further research is to elucidate the specific mechanisms behind the treatment effects.