Publications by authors named "Oxland T"

Article Synopsis
  • This study investigates the role of paraspinal muscle dysfunction in spinal degeneration by examining surgical patients with varying degrees of spinal imbalance.
  • Twelve patients were divided into three groups based on their sagittal balance and compensatory mechanisms, with muscle biopsies taken to assess contractile properties.
  • The findings reveal that patients with sagittal imbalance show impaired muscle force generation, and all patients demonstrate abnormal muscle structure, shedding light on the underlying issues of muscle weakness in spinal degeneration.
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Introduction: Muscles play a critical role in supporting joints during activities of daily living, owing, in part, to the phenomenon of short-range stiffness. Briefly, when an active muscle is lengthened, bound cross-bridges are stretched, yielding forces greater than what is predicted from the force length relationship. For this reason, short-range stiffness has been proposed as an attractive mechanism for providing joint stability.

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Article Synopsis
  • The study investigates the biomechanical and histopathological differences in paraspinal muscles of adult spinal deformity (ASD) patients, highlighting decreased muscle strength and altered properties.
  • Muscle biopsies from ASD patients revealed abnormal muscle fiber properties and high stiffness, which could significantly increase spinal loading, especially in flexed positions.
  • The findings suggest that the varied muscle characteristics may contribute to functional impairment in ASD, emphasizing the importance of paraspinal muscles in managing the condition.
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Paraspinal muscles are vital to the functioning of the spine. Changes in muscle physiological cross-sectional area significantly affect spinal loading, but the importance of other muscle biomechanical properties remains unclear. This study explored the changes in spinal loading due to variation in five muscle biomechanical properties: passive stiffness, slack sarcomere length (SSL), sarcomere length, specific tension, and pennation angle.

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The purpose of this study was to determine if muscle activity of the biceps followed by isometric flexion changes T measured in the biceps. It is hypothesized that an increase in T will be observed in the biceps but not in the triceps after flexion exercise. Ten healthy volunteers were imaged with a one-channel neck coil while seated in a 0.

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Purpose: Various aspects of paraspinal muscle anatomy, biology, and histology have been studied; however, information on paraspinal muscle contractile function is almost nonexistent, thus hindering functional interpretation of these muscles in healthy individuals and those with low back disorders. The aim of this study was to measure and compare the contractile function and force-sarcomere length properties of muscle fibers from the multifidus (MULT) and erector spinae (ES) as well as a commonly studied lower limb muscle (Extensor digitorum longus (EDL)) in the rat.

Methods: Single muscle fibers (n = 77 total from 6 animals) were isolated from each of the muscles and tested to determine their active contractile function; all fibers used in the analyses were type IIB.

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Background: CT is considered the best method for vertebral fracture detection clinically, but its efficacy in laboratory studies is unknown. Therefore, our objective was to determine the sensitivity, precision, and specificity of high-resolution CT imaging compared to detailed anatomic dissection in an axial compression and lateral bending cervical spine biomechanical injury model.

Methods: 35 three-vertebra human cadaver cervical spine specimens were impacted in dynamic axial compression (0.

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Article Synopsis
  • The study was a randomized trial aimed at creating an algorithm for automatically segmenting spinal muscles in MRI images of healthy individuals and patients with adult spinal deformity (ASD).
  • Researchers imaged three groups (two healthy groups and one ASD group) and used a convolutional neural network to automate the segmentation process, evaluating its accuracy against manual segmentation.
  • The results showed strong accuracy in segmentation (Dice coefficients >0.76 for ASD and >0.86 for healthy groups), paving the way for easier access to patient-specific spinal muscle information for diagnosis and treatment.
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To evaluate the biomechanical properties of the upper thoracic spine in anterior-posterior shear loading at various displacement rates. These data broaden our understanding of thoracic spine biomechanics and inform efforts to model the spine and spinal cord injuries. Seven T1-T2 thoracic functional spinal units were loaded non-destructively by a pure shear force up to 200 N, starting from a neutral posture.

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This study investigated feasibility of imaging lumbopelvic musculature and geometry in tandem using upright magnetic resonance imaging (MRI) in asymptomatic adults, and explored the effect of pelvic retroversion on lumbopelvic musculature and geometry. Six asymptomatic volunteers were imaged (0.5 T upright MRI) in 4 postures: standing, standing pelvic retroversion, standing 30° flexion, and supine.

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During axial impact compression of the cervical spine, injury outcome is highly dependent on initial posture of the spine and the orientation, frictional properties and stiffness of the impact surface. These properties influence the "end condition" the spine experiences in real-world impacts. The effect of end condition on compression and sagittal plane bending in laboratory experiments is well-documented.

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The passive elastic modulus of muscle fiber appears to be size-dependent. The objectives of this study were to determine whether this size effect was evident in the mechanical testing of muscle fiber bundles and to examine whether the muscle fiber bundle cross-section is circular. Muscle fibers and fiber bundles were extracted from lumbar spine multifidus and longissimus of three cohorts: group one (G1) and two (G2) included 13 (330 ± 14 g) and 6 (452 ± 28 g) rats, while Group 3 (G3) comprised 9 degenerative spine patients.

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Study Design: Preclinical study in rodents.

Objective: To investigate changes in biomechanical properties of paraspinal muscles following a posterior spinal surgery in an animal model.

Summary Of Background Data: Posterior spine surgery damages paraspinal musculature per histological and imaging studies.

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Article Synopsis
  • Spine models are usually created from supine imaging data, which doesn't reflect the postures related to patients' symptoms; the study aims to improve this by estimating spine curvature in various positions from limited data.
  • The study involved scanning six healthy volunteers' thoracic spines in different postures using upright MRI, and developing methods to accurately estimate spine geometry and analyze muscle function (fascicle length) across those postures.
  • Results showed that muscle lengths could increase significantly in certain positions, and corrections were applied to muscle parameters based on the angle between scan planes and muscle fibers, leading to a better understanding of subject-specific modeling.
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Traumatic spinal cord injuries (SCIs) occur due to different spinal column injury patterns, including burst fracture, dislocation, and flexion-distraction. Pre-clinical studies modeling different SCI mechanisms have shown distinct histological differences between these injuries both acutely (3 h and less) and chronically (8 weeks), but there remains a temporal gap. Different rates of injury progression at specific regions of the spinal cord may provide insight into the pathologies that are initiated by specific SCI mechanisms.

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Introduction: Passive mechanical properties of the paraspinal muscles are important to the biomechanical functioning of the spine. In most computational models, the same biomechanical properties are assumed for each paraspinal muscle group, while cross-sectional area or fatty infiltration in these muscles have been reported to differ between the vertebral levels. Two important properties for musculoskeletal modeling are the slack sarcomere length and the tangent modulus.

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Article Synopsis
  • The study investigates how the morphology of thoracic muscles (trapezius, erector spinae, transversospinalis) differs between various postures (supine, standing, flexed, sitting) using open MRI technology.
  • Results show that muscle size varies significantly depending on posture and spinal level, such as the trapezius being smaller at T9 compared to T8 and the erector spinae being larger at T5 than T4.
  • The findings suggest that muscle morphology in the thorax is influenced by body position, which could have implications for diagnosing and treating spinal issues.
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Article Synopsis
  • This study focuses on developing a new method to measure thoracic spinal muscle morphology using MRI, which is important for understanding spinal health and kyphosis severity in older adults.
  • Researchers imaged six healthy volunteers and created guidelines for identifying key muscles in the thoracic region, ensuring accuracy in measurements of muscle size and position.
  • The results showed high repeatability in muscle measurements between different raters, validating the methodology and enabling reliable comparisons in future spinal health research.
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To better understand the link between spinal cord impact and the resulting tissue damage, computational models are often used. These models typically simulate the spinal cord as a homogeneous and isotropic material. Recent research suggests that grey and white matter tissue differences and directional differences, i.

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In contrast to sagittal plane spine biomechanics, little is known about the response of the cervical spine to axial compression with lateral eccentricity of the applied force. This study evaluated the effect of lateral eccentricity on the kinetics, kinematics, canal occlusion, injuries, and flexibility of the cervical spine in translationally constrained axial impacts. Eighteen functional spinal units were subjected to flexibility tests before and after an impact.

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There is currently no established injury criterion for the spine in compression with lateral load components despite this load combination commonly contributing to spinal injuries in rollover vehicle crashes, falls and sports. This study aimed to determine an injury criterion and accompanying tolerance values for cervical spine segments in axial compression applied with varying coronal plane eccentricity. Thirty-three human cadaveric functional spinal units were subjected to axial compression at three magnitudes of lateral eccentricity of the applied force.

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Purpose: To assess the effect of upright, seated, and supine postures on lumbar muscle morphometry at multiple spinal levels and for multiple muscles.

Methods: Six asymptomatic volunteers were imaged (0.5 T upright open MRI) in 7 postures (standing, standing holding 8 kg, standing 45° flexion, seated 45° flexion, seated upright, seated 45° extension, and supine), with scans at L3/L4, L4/L5, and L5/S1.

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Early decompression of the traumatically injured and persistently compressed spinal cord is intuitively beneficial for neurological outcome. Despite considerable pre-clinical evidence of a neurological benefit to early decompression, the effect of early surgical decompression in clinical spinal cord injury (SCI) remains less clear. The discrepancy between pre-clinical and clinical results may be due to differences between the biomechanical variables used in pre-clinical animal models and the biomechanical conditions occurring in clinical injuries.

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The aim of this study was to determine the effect of the posterior ligaments and facet joints on the shear stiffness of lower cervical functional spinal units in anterior, posterior, and lateral shear. Five functional spinal units were loaded in anterior, posterior, and right lateral shear up to 100 N using a custom-designed apparatus in a materials testing machine. Specimens were tested in three conditions: intact, with the posterior ligaments severed, and with the facet joints removed.

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Background: Preclinical spinal cord injury models do not represent the wide range of biomechanical factors seen in human injuries, such as spinal level, injury mechanism, velocity of spinal cord impact, and residual compression. These factors may be responsible for differences observed between experimental and clinical study results, especially related to the controversial issue of timing of surgical decompression.

New Method: Somatosensory Evoked Potentials were used to: a) characterize residual compression depths in a dislocation model, and b) evaluate the physiological effect of whether or not the spinal cord was decompressed following the initial injury, prior to the application of residual compression.

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