Quality of functional movement patterns and injury examination in elite-level male professional football players.

The purpose of this study is to examine the quality of functional movement patterns among one of Hungary's first league soccer clubs, where the elite male football players (N = 20) utilize the well-established Functional Movement Screen™ (FMS) system; a comprehensive functional program designed to determine and identify the quality of movement and the greatest risk factors for non-contact injuries. Furthermore, an additional purpose of this program is to examine injuries over the course of 6 competitive months. Focusing on the mechanisms of injuries and their causes in the lower extremities during this period is one of the key objectives. Over the course of 6 months we found significant differences between ankle injuries and the FMS Hurdle Step exercise (p < 0.05), and the FMS Deep Squat exercise and knee and hip injuries (p < 0.05). The FMS pre-screening system found lower limb asymmetry present in 40% of the participants. The authors believe that the importance of preventative measures and structural sport specific pre-screening cannot be overemphasized, and that there is a growing need for further transparent research in this field in order to be more effective with regard to programs dedicated to injury prevention and the enhancement players' physical performance.

The calcar femorale in cemented stem fixation in total hip arthroplasty.

The calcar femorale is a vertical plate of bone lying deep to the lesser trochanter and is formed as a result of traction of the iliopsoas which separates the femoral cortex into two distinct layers, the calcar femorale and the medial femoral cortex. They fuse together proximally to form the medial femoral neck. A stem placed centrally will abut against the calcar femorale with little or no space for cement. Clearing of the calcar will offer space for a cement layer, which will support the stem proximally on the posterior aspect. We compared two consecutive groups of Charnley low-friction arthroplasties, with and without clearing of the calcar. In 330 patients who had an arthroplasty without clearing the calcar, there were ten revisions for aseptic loosening of the stem and six other stems were considered 'definitely loose', giving a rate of failure of 4.8%. In 111 patients in whom the calcar was cleared there was only one revision for aseptic loosening and no stems were classed as 'definitely loose', giving a rate of failure of 0.9%. Survivorship analysis has again shown the need for long-term follow-up; the differences became clear after ten years but because of the relatively small numbers, statistical analysis is not yet applicable. We now clear the calcar femorale routinely and advocate optimal access to the medullary canal and insertion of the stem in the area of the piriform fossa.

Charnley low-friction arthroplasty with an autograft of the femoral head for developmental dysplasia of the hip. The 10- to 15-year results.

Between 1983 and 1988 we carried out 45 Charnley low-friction arthroplasties with autografts from the femoral head in 41 patients for developmental dysplasia of the hip. The preoperative radiographs were assessed for the severity of DDH according to the classifications of Crowe et al, Hartofilakidis et al and Sharp. The postoperative and follow-up radiographs were analysed for coverage of the socket by the graft, for loosening and for the outcome of the fixation of the bone graft. Two patients died (two hips) at four and seven years after THR from causes unrelated to the surgery and were excluded from the final radiological analysis. The mean age of the patients at the time of operation was 46 years 3 months. The autograft of the femoral head covered a mean 26% (16 to 35) of the acetabular component. All the grafts united. Some degree of resorption of the bone graft occurred in 27 patients, and always involved the lateral part of the graft, which was beyond the margin of the socket. After a mean follow-up of 11 years there had been no revisions and 38 patients had no pain or only slight discomfort. One socket migrated and four others were fully demarcated. Our findings indicate that the Charnley LFA with an autograft of the femoral head for DDH remains successful at a follow-up of 15 years.

Fertilisation competence of bovine normally matured or aged oocytes derived from different antral follicles: morphology, protein synthesis, H1 and MBP kinase activity.

We have investigated the fertilisation competence, protein synthesis, histone H1 kinase and myelin basic protein (MBP) kinase activities in three categories of bovine oocytes (derived from three size categories of follicles: M--medium, 2.5-5.0 mm; S--small, 1.5-2.5 mm; T--tiny, 1.0-1.5 mm). In contrast to more or less normal meiotic maturation (85.6%) and fertilisation (70.8%) of M oocytes cultured for 24 h, the fertilisation of M oocytes cultured for 40 h was associated with increased rates of retarded male pronuclear development and retention of the second polar body. The S and T oocytes cultured for 24 h or 40 h were mostly arrested at defective late diakinesis-metaphase I (77.5-100%) stage. After fertilisation of S and T oocytes cultured for 24 h no polar body was extruded and formation of one, three or four female pronuclei, together with mostly normal male pronuclei, was observed. The fertilisation of S and T oocytes after 40 h culture resulted in a higher number of female and a decreased number of male pronuclei. A major change in the pattern of protein synthesis was associated with the resumption of meiosis. There were no significant differences in the profile of protein synthesis between oocyte categories in all groups either matured or fertilised. The H1 kinase activity reached comparable increased levels in oocytes of all categories matured for 24 h and decreased during the 40 h culture, most significantly in M oocytes. The MBP kinase activity was at approximately the same high level in all categories of oocytes after 24 h of culture and remained stable until 40 h. The fertilisation after 24 h of culture resulted, in M oocytes, in low levels of both H1 and MBP kinase activities; in S oocytes, only H1 kinase was completely inactivated while MBP kinase activity decreased to some extent; in T oocytes, both H1 and MBP kinase activity decreased. Fertilisation of all oocyte categories after 40 h culture resulted in complete inactivation of both these kinases to their basal levels.

The pattern visual evoked potential. A multicenter study using standardized techniques.

The peak latency of the pattern-reversal visual evoked potential is a sensitive measure of conduction delay in the optic nerve caused by demyelination. Despite its clinical utility, the pattern-reversal visual evoked potential has not previously been used in multicenter clinical trials, presumably because of difficulty in standardizing conditions between centers. To establish whether the pattern-reversal visual evoked potential could be adequately standardized for use as a measure in multicenter therapeutic trials for optic neuropathy or multiple sclerosis, stimulus and recording variables were equated at four centers and pattern-reversal visual evoked potentials were recorded from 64 normal subjects and 15 patients with resolved optic neuritis. Results showed equivalent latency and amplitude data from all centers, suggesting that stimulus and recording variables can be satisfactorily standardized for multicenter clinical trials. N70 and P100 peak latencies and N70-P100 interocular amplitude difference were sensitive measures of resolved optic neuritis.

Pattern visual evoked potentials in cases of ambiguous acuity loss.

Thirty patients were referred to our visual evoked potential laboratory with complaints of profound acuity loss in one or both eyes. However, the objective ophthalmologic findings were normal, including pupillary reaction, and anterior segment and fundus examinations. Transient visual evoked potentials to a 2.3-c/deg sinusoidal grating pattern were found to be present in 26 of these 30 patients. Visual evoked potentials may be used as a measure of afferent pathway integrity.

Corneal electrode for recording electroretinograms in rats.

The corneal contact lens electrode, because of its convenience, has replaced the cotton-wick electrode for recording electroretinograms from patients and animals such as dogs, rabbits, and cats. The cotton-wick electrode, however, remains popular for rat electroretinogram measurements because small contact lens corneal electrodes that fit rat eyes are difficult to fabricate. We prepared corneal electrodes from disposable needles for use in recording electroretinograms from rats. The electrodes were readily prepared, were inexpensive, and were used successfully in six rats.

Absence of genetic linkage between A1BG, PGD and HPX loci in rabbits.

Linkage relationships between A1BG, PGD, and HPX loci of rabbits were studied on segregation data in backcross matings. No sign of linkage between the three studied loci was found.

Effects of light adaptation on the response characteristics of human oscillatory potentials.

We have examined the response characteristics of the oscillatory potentials (OPs) of the human electroretinogram (ERG) obtained to ganzfeld flash stimuli presented against adapting fields. First, we determined the extent to which the OPs obtained to high luminance flashes change during the course of light adaptation to a cone-isolating adapting field. Regardless of the number of OP wavelets, the last OP wavelet increased in amplitude and decreased in implicit time to a greater extent than did the earlier wavelet(s). In addition, we examined the role of both flash and adapting field luminance in determining the wave form of the OPs. For each adapting field luminance that was tested, the number of OP wavelets increased as flash luminance increased, primarily resulting from the splitting of the last OP into 2 distinct wavelets. While the number of OP wavelets generally decreased as adapting field luminance increased, the amplitude of the last OP became larger. These functional distinctions between the last and the earlier wavelets are consistent with their representing the activity of different retinal generators.

Variation of some serum proteins in red deer, Cervus elaphus L.

Various electrophoretic techniques, immunoblotting and inhibitions of trypsin and chymotrypsin were used to study the variability of serum proteins in farmed red deer, Cervus elaphus L., of Czechoslovakian origin. Easily interpretable polymorphisms were observed in transferrin (variants A, B1, B2, C) and vitamin D binding protein, GC (variants D, F, I, S). Great variability was observed in the protease inhibitors PI2, PI3, PI4, PI5, and PI8 and in unidentified zones in the vicinity of albumin, but no genetical or physiological interpretation for this variability is yet available. Haemopexin, alpha 1 glycoprotein, protease inhibitors PI1, PI6 and PI7 were monomorphic.

The (+/-) reference in pattern electroretinogram recording.

In this communication, the value of using a simultaneously acquired estimate of background noise, the (+/-) reference, is demonstrated in pattern electroretinogram (PERG) recording. During the signal averaging process, the (+/-) reference inverts the polarity of every other sweep; cycle-locked (stimulus-related) activity is thus cancelled out, leaving a noise distribution similar in statistical properties to that of the signal average. Assessing the presence of a PERG response by comparing the spectrum analysis of the PERG trace with that of the (+/-) reference is discussed. The results of the normal controls and patient groups are summarized and the raw waveforms from a representative normal observer and a patient with optic nerve damage are analyzed.

Additional studies of sheep haemopexin: genetic control, frequencies and postnatal development.

This study presents evidence that sheep haemopexin phenotypes are genetically controlled by three alleles, HpxA, HpxB1 and HpxB2, of a single autosomal locus. Frequencies of two alleles, HpxA and HpxB (HpxB encompasses two isoalleles, HpxB1 and HpxB2), were studied in eight sheep breeds in Czechoslovakia. The frequency of the HpxA allele was highest (ranging from 0.81 in Merino to 1.0 in East Friesian sheep). Qualitative and quantitative changes in haemopexin during postnatal development were studied by starch gel electrophoresis and rocket immunoelectrophoresis respectively. In electrophoresis, 1- or 2-day-old lambs had two very weak zones corresponding in mobility to two slower zones of adult animals. Later, the third more anodic zone appeared and gradually increased in intensity. In 1-month-old lambs the patterns were practically identical with those of adult animals. Using rocket immunoelectrophoresis, the level of haemopexin shortly after birth was practically zero. It rose sharply till the sixth day of life; then the level continued to rise slowly till about 1 month of age. The mean haemopexin level in adult sheep was 64.5 +/- 18.26 (SD) mg/100ml serum, ranging from 30.5 to 116.5 mg/100ml.

Cortical contrast gain control in human spatial vision.

1. We evaluated human visual cortical contrast gain using visual evoked potential (VEP) measurements. The steady-state VEP was elicited by 7.5 Hz contrast modulation of a 6 cycles/deg sinusoidal grating. The stimulus may be regarded as the sum of a steady grating (C) and a counterphase grating of the same spatial frequency (delta C). The counterphase grating is modulated sinusoidally in time. 2. The VEP was measured to combinations of different modulation contrasts (delta C) and different mean levels of grating contrast (C) which produced stimuli with contrast modulation depths (delta C/C) ranging from 0.0625 to 1.0 ('on-off'). 3. The VEP signals were Fourier analysed and the amplitude and phase of the first (7.5 Hz) and second (15 Hz) harmonic frequency components were examined. The monocular VEP to a contrast-modulated grating contains significant first and second harmonic frequency components. 4. The amplitude and phase of the monocular VEP was plotted as a function of delta C for each mean level of contrast explored. The amplitudes of both the first and second harmonic frequency components grow with increasing delta C. However, the slope of each function depends on the mean contrast (C): with higher levels of C, the slope of the function is more shallow. Furthermore, at each level of C the amplitude of the first harmonic frequency saturates at a lower delta C than does the second harmonic frequency component. VEP amplitude is therefore not determined by the absolute contrast change (delta C) alone. The VEP phase of the first harmonic frequency shows less dependence on either modulation or on mean contrast; the phase of the second harmonic frequency component is strongly dependent on mean contrast (C) but not on delta C. 5. When the second harmonic amplitude component of the VEP response (R) is expressed as Ractual/Rmax, where Rmax is the response to C = delta C (i.e. 'on-off'), all second harmonic VEP functions can be well fitted with a power function. This is not the case for the function of the first harmonic amplitude data. 6. A dichoptic VEP was obtained by presenting the steady and counterphase gratings to opposite eyes. The dichoptic VEP, in distinction to the monocular VEP, contains only a second harmonic frequency component. The amplitude of the second harmonic frequency component grows with increasing delta C, similar to the function seen for the monocular VEP.(ABSTRACT TRUNCATED AT 400 WORDS)

Visual evoked potentials to multiple temporal frequencies. Use in the differential diagnosis of optic neuropathy.

The usefulness of the visual evoked potential (VEP) in differential diagnosis increases when stimulus parameters such as check size and grating orientation are varied. In this study we varied the stimulation frequency. Temporal frequency-specific abnormalities were compared in three patient categories, including retrobulbar optic neuritis (eight patients), pseudotumor cerebri (11 patients), and thyroid eye disease (seven patients). All patients had minimal clinical evidence of optic nerve damage when tested. A 2.3 cycle-per-degree sinusoidal grating of 55% contrast was phase reversed at either 1 or 4 Hz. The P1 latency of the 1-Hz data and the phase at 8 Hz, the second harmonic of the 4-Hz input frequency, were measured. In retrobulbar neuritis, latency (phase) was severely abnormal at both temporal frequencies. In thyroid eye disease, VEP phase was abnormal at 8 Hz while the P1 latency was normal at 1 Hz. The P1 latency and phase were normal in most cases of pseudotumor cerebri. The results suggest differing mechanisms for damage in compressive vs primary demyelinating neuropathies.

Steady-state visual evoked potentials to asymmetrical contrast.

The temporal frequency components in the steady-state visual evoked response (VEP) depend on the method of stimulus presentation; a first harmonic is generated to "on-off" patterns while a second harmonic occurs to both "on-off" and counterphase patterns. This study examined the VEP response in humans to patterns between these two extremes. In the main experiment, a 1 c/d sinusoidal grating was phase reversed sinusoidally at 8 Hz. The DC offset, however, was adjusted such that two different levels of peak contrast occurred during a temporal cycle. Within this context, a counterphase pattern would represent complete contrast symmetry and an "on-off" pattern would represent maximum contrast asymmetry during a temporal cycle. With this manipulation, the a) integrated luminance change; b) local luminance change; and c) total contrast remained constant. Only mean contrast varied. The amplitude of the first harmonic strongly depended on mean contrast. The amplitude and phase of the second harmonic, however, changed little across experimental conditions suggesting a dependence on one or more of the above three listed stimulus attributes which remained constant. In a supplementary experiment, this phase constancy was confirmed using other temporal frequencies.

Comparison of biochemical polymorphisms in mouflon and sheep: isoelectric differences in haemoglobins and quantitative variation of mouflon haemopexin.

1. Of ten protein systems studied in mouflon (Ovis musimon), five were polymorphic (Tf, Hpx, EsA, X-protein, Cat). Electrophoretic mobilities of mouflon proteins did not differ from those of sheep. 2. Mouflon haemoglobin B and sheep haemoglobin B differed in isoelectric focusing. 3. Haemopexin levels in mouflon were determined by rocket immunoelectrophoresis. A trimodal distribution was apparent, with no haemopexin, low and high levels of the protein. The results are indicative of genetic control of haemopexin levels, one of the alleles being inactive (Hpx0).

Visual dysfunction in Parkinson's disease. Loss in spatiotemporal contrast sensitivity.

Flicker sensitivity and spatial contrast sensitivity (CS) were examined in a total of 99 patients with Parkinson's disease (PD). All patients were undergoing treatment with dopaminergic agents. Specific losses in sensitivity observed in PD were (1) a loss in flicker sensitivity which was most pronounced around the peak of the function (8 Hz) and (2) a loss near the peak of the spatial CS curve, often with no noticeable low frequency attenuation. Several PD patients affected by the 'on-off' syndrome were tested in both 'on' and 'off' phases, and the results show that the CS function switches in parallel with motor symptoms of the disease. These data suggest that not only is the visual system affected in PD, but that dopamine may have an essential role in receptive field organization in human vision.

The visual evoked potential contrast response function in recovering optic neuritis.

VEP contrast response functions were obtained in 7 patients with recovered optic neuritis and in 6 age-matched controls. A 1.5 c/d sinusoidal grating was counterphase modulated at 4 Hz (8 reversals/sec) about a mean screen luminance of 141 cd/m2. Grating contrasts ranged from 2% to 85% and were randomly presented. In all control observers, VEP amplitude was a nonmonotonic function of contrast; an amplitude inflection occurred between contrasts of 33% to 47% followed by a sharp increase in amplitude at higher contrasts. The slope of the function relating VEP phase to contrast was variable between observers at low contrasts but consistently "flat" at high contrasts. In spite of normal acuity and contrast sensitivity, VEP amplitude was severely attenuated at high contrasts in all optic neuritis eyes but there were no contrast-dependent phase abnormalities. The results were directed toward the issues of a) suprathreshold contrast processing in optic neurtis, b) relating a nonmonotonic VEP amplitude function to the contrast-segregating properties of single cells, and c) the relationship between VEP abnormalities and visual performance.

The effect of blur and contrast on VEP latency: comparison between check and sinusoidal and grating patterns.

Pattern defocusing was used to evaluate the contribution of different spatial frequency components in checks to VEP latency. Latency shifts with increasing blur (-2.5 to +2.5 diopters) were determined for sinusoidal grating and check patterns equated in fundamental spatial frequency. With both check and grating patterns, the effect of blur was greater the higher the spatial frequency. Given an equal fundamental spatial frequency, however, the latency of checks was more effected. This latency difference between check and sine patterns was pronounced at low fundamental spatial frequencies (large pattern) and decreased with higher spatial frequencies (small pattern). Latencies were then compared for patterns which were defocused vs. simply reduced in contrast. Results show that the increase in latency with defocused large checks is due to both fundamental and higher harmonic spatial components but with small checks, to the fundamental spatial frequency alone.

Temporal frequency-dependent VEP changes in Parkinson's disease.

We recorded steady-state (4.19 and 8.41 Hz) VEPs in 17 Parkinson's Disease (PD) patients and 18 control observers using on-off temporal modulation of a 2.3 c/deg sinusoidal grating. With 4.19 Hz, 20 out of 33 PD patient eyes had abnormal VEPs. However, only 8 of 33 eyes were abnormal with 8.41 Hz. "Routine" (counterphase) transient VEPs revealed delayed VEPs for only 7 out of 24 eyes of the patients. These findings suggest an "input" temporal frequency-dependent abnormality in the foveal pathway.