Static Maneuvers Research Articles

“Open Your Mouth and Stick out Your Tongue:” Revisiting Static and Dynamic Maneuvers in Head and Neck CT

The head and neck region has a complex anatomy, making assessing lesion extension challenging. Current CT technology has not been able to overcome these challenges. Both static and dynamic maneuvers have been developed to better evaluate some areas where mucosal apposition prevents appropriate lesion characterization. Static maneuvers do not require modification of the breathing pattern and can be performed during quiet breathing acquisition. Dynamic maneuvers require an extra acquisition, with increased radiation exposure; thus, patients and scanning areas should be carefully selected. The purpose of this article is to describe these maneuvers, how to perform them, and their clinical application.Learning Objective: To describe useful dynamic and static maneuvers in head and neck diagnostic imaging and recognize the structures that may be better assessed by performing them

Structural Analysis and Optimization of Wings Subjected to Dynamic Loads

Dynamic loads arising from the Title 14 Code of Federal Regulations (14 CFR; “Aeronautics and Space,” Federal Aviation Administration, U.S. Dept. of Transportation, Subchapter C Aircraft, Part 25 Airworthiness Standards: Transport Category Airplanes, https://ecfr.federalregister.gov/current/title-14/chapter-I/subchapter-C/part-25 [retrieved 23 August 2021]) are critical drivers of aircraft design. The aircraft structural design process is an iterative one involving computationally expensive simulations. Existing methods simplify the dynamic loads to equivalent static ones and design the structure using shell-based analysis. Other literature approaches use beam models for structural sizing but make assumptions on the geometry, material distribution, or both. In this work, the use of the Variational Asymptotic Method is explored to 1) systematically reduce the three-dimensional (3-D) wingbox to a one-dimensional (1-D) model, 2) solve the 1-D model using a nonlinear beam theory, and 3) recover the stress field on the wingbox. An adjoint-driven gradient-based structural optimization framework is developed to size the structure for dynamic loads subjected to strength-based failure considerations. The proposed structural analysis method is applied to the wingbox structural analysis and sizing of a novel hybrid-electric propulsion aircraft: NASA’s Parallel Electric-Gas Architecture with Synergistic Utilization Scheme (PEGASUS) concept. Results in the paper show that the sizing of aircraft wings for 14 CFR specified maneuvers 2.5 and static maneuvers using the proposed approach produces a 6% difference in weight compared to a shell-based method but with a speedup of 7.8 times, and it is efficient at sizing the wingbox structure for dynamic loads generated by gust maneuvers.

Development of a Characterization Method of Tire-Handling Dynamics Based on an Optical Measuring System

ABSTRACT Tire force and moment (F&M) characteristics are important for the analysis and design of vehicle-handling dynamics and ride comfort. Compared with a general tire F&M measuring method, it provides a detailed insight into the generation of tire F&M characteristics by measuring the tire carcass deformation during static and side-slip maneuvers. A tire observation system with two GOM optical measuring facilities was developed to characterize the tire carcass deformation of the standing and rolling tire. Structural parameters of tire carcass flexibility have been identified based on a polynomial physical tire model with the help of measured bending curves of the tire carcass. A good correlation between the measured and estimated tire force and moment has proven the validity of the developed characterization method.

3D Kinematic Analysis of the Ollie Maneuver on the Skateboard

This study aims to analyze the tridimensional kinematics of the ollie maneuver on the skateboard and to compare static and dynamic maneuver performance, i.e., without and with a previous row, respectively. Six male participants were analyzed. Thirty-four reflective markers were placed on the skateboarder’s body and four reflective markers on the board. The tridimensional analysis was captured by eleven cameras (100 Hz) (Vicon® system). The analysis of the ollie skateboard maneuver was performed in two different ways: a) without (static maneuver) and b) with (dynamic maneuver) a previous row. The joint angles (ankle, knee and hip), during maximal height center of mass of participants and the skateboard, were compared using the Student’s T-test. The correlation between the center of mass of the participant and the skateboard was calculated using the Pearson Correlation. No significant differences were observed in the maximum height of the joint angles and centers of mass of the participants and the skateboard. The maximal height of the participant’s and the skateboard’s center of mass did not present a significant correlation. The results showed that there is no difference between performing the ollie skateboard maneuver with (static) or without (dynamic) a previous row. However, training to increase the height and improve the performance of the maneuver in general is essential for the skateboarder to achieve a higher score and a greater likelihood of success in sports competitions.

Concurrent Validity of the Static and Dynamic Measures of Inspiratory Muscle Strength: Comparison between Maximal Inspiratory Pressure and S-Index.

ObjectiveTo verify the concurrent validity between the inspiratory muscle strength (IMS) values obtained in static (maximal inspiratory pressure [MIP]) and dynamic (S-Index) assessments.MethodsHealthy individuals were submitted to two periods of evaluation: i) MIP, static maneuver to obtain IMS, determined by the Mueller’s maneuver from residual volume (RV) until total lung capacity (TLC); ii) and S-Index, inspiration against open airway starting from RV until TLC. Both measures were performed by the same evaluator and the subjects received the same instructions. Isolated maneuvers with differences < 10% were considered as reproducible measures.ResultsData from 45 subjects (21 males) were analyzed and that showed statistical difference between MIP and S-Index values (133.5 ± 33.3 and 125.6 ± 32.2 in cmH2O, respectively), with P=0.014. Linear regression showed r2=0.54 and S-Index prediction formula = 39.8+(0.75×MIP). Pearson’s correlation demonstrated a strong and significant association between the measures with r=0.74. The measurements showed good concordance evidenced by the Bland-Altman test.ConclusionS-Index and MIP do not present similar values since they are evaluations of different events of the muscular contraction. However, they have a strong correlation and good agreement, which indicate that both are able to evaluate the IMS of healthy individuals.

Inspiratory High Frequency Airway Oscillation Attenuates Resistive Loaded Dyspnea and Modulates Respiratory Function in Young Healthy Individuals

Direct chest-wall percussion can reduce breathlessness in Chronic Obstructive Pulmonary Disease and respiratory function may be improved, in health and disease, by respiratory muscle training (RMT). We tested whether high-frequency airway oscillation (HFAO), a novel form of airflow oscillation generation can modulate induced dyspnoea and respiratory strength and/or patterns following 5 weeks of HFAO training (n = 20) compared to a SHAM-RMT (conventional flow-resistive RMT) device (n = 15) in healthy volunteers (13 males; aged 20–36 yrs). HFAO causes oscillations with peak-to-peak amplitude of 1 cm H2O, whereas the SHAM-RMT device was identical but created no pressure oscillation. Respiratory function, dyspnoea and ventilation during 3 minutes of spontaneous resting ventilation, 1 minute of maximal voluntary hyperventilation and 1 minute breathing against a moderate inspiratory resistance, were compared PRE and POST 5-weeks of training (2×30 breaths at 70% peak flow, 5 days a week). Training significantly reduced NRS dyspnoea scores during resistive loaded ventilation, both in the HFAO (p = 0.003) and SHAM-RMT (p = 0.005) groups. Maximum inspiratory static pressure (cm H2O) was significantly increased by HFAO training (vs. PRE; p<0.001). Maximum inspiratory dynamic pressure was increased by training in both the HFAO (vs. PRE; p<0.001) and SHAM-RMT (vs. PRE; p = 0.021) groups. Peak inspiratory flow rate (L.s−1) achieved during the maximum inspiratory dynamic pressure manoeuvre increased significantly POST (vs. PRE; p = 0.001) in the HFAO group only. HFAO reduced inspiratory resistive loading–induced dyspnoea and augments static and dynamic maximal respiratory manoeuvre performance in excess of flow-resistive IMT (SHAM-RMT) in healthy individuals without the respiratory discomfort associated with RMT.

Designing a ship course controller by applying the adaptive backstepping method

The article discusses the problem of designing a proper and efficient adaptive course-keeping control system for a seagoing ship based on the adaptive backstepping method. The proposed controller in the design stage takes into account the dynamic properties of the steering gear and the full nonlinear static maneuvering characteristic. The adjustable parameters of the achieved nonlinear control structure were tuned up by using the genetic algorithm in order to optimize the system performance. A realistic full-scale simulation model of the B-481 type vessel including wave and wind effects was applied to simulate the control algorithm by using time domain analysis.

Nonlinear backstepping ship course controller

A ship, as an object of course control, is characterized by a nonlinear function describing the static maneuvering characteristics. The backstepping method is one of the methods that can be used during the designing process of a nonlinear course controller for ships. The method has been used for the purpose of designing two configurations of nonlinear controllers, which were then used to control the ship course. One of the configurations took dynamic characteristic of a steering gear into account during the designing stage. The parameters of the obtained nonlinear control structures have been tuned to optimise the operation of the control system. The optimisation process has been performed by means of genetic algorithms. The quality of operation of the designed control algorithms has been checked in simulation tests performed on the mathematical model of a tanker. The results of simulation experiments have been compared with the performance of the system containing a conventional proportional-derivative (PD) controller.

PH: an overlooked criterion for success in high-frequency oscillatory ventilation in acute respiratory distress syndrome?

High-frequency oscillatory ventilation (HFOV) is used for patients with refractory hypoxia and or severe oxygenation failure in our ICU. There is a unit policy regarding the timing of initiation of HFOV, and all patients were initiated with a single static recruitment manoeuvre and then managed according to local guidelines. The aim of this study was to understand which ventilatory parameters best predicted successful outcome following HFOV.

Weight-Bearing Passive Dorsiflexion of the Hallux in Standing Is Not Related to Hallux Dorsiflexion During Walking

Case control study. To explore the validity of the assumptions underpinning the Hubscher maneuver of hallux dorsiflexion in relaxed standing, by comparing the relationship between static and dynamic first metatarsophalangeal (MTP) joint motions in groups differentiated by normal and abnormal clinical test findings. Limitation of motion at the first MTP joint during gait may be due to either structural or functional factors. Functional hallux limitus (FHL) has been proposed as a term to describe the situation in which the first MTP joint shows no limitation when non-weight bearing, but shows limited dorsiflexion during gait. One clinical test of first MTP joint limitation during standing (the Hubscher maneuver or Jack's test) has become widely used in physical therapy, orthopedic, and podiatric assessments, supposedly to assess for the presence of hallux limitations during gait. The utility of the test is based on an assumption that restriction during the static maneuver is predictive of functional limitation at this joint during gait. Despite a lack of evidence for the validity of such an assumption, the outcome of the static test is often used to infer risk of overuse injury or as an outcome for functional therapy. This paper examines the validity of the assumptions supporting this widely used static test. First-MTP-joint motion was assessed using an electromagnetic motion tracking system in cases (n = 15) demonstrating clinically limited passive hallux dorsiflexion in relaxed standing, and in 15 controls matched for age and gender and demonstrating a clinically normal Hubscher maneuver. Maximum hallux dorsiflexion was measured with the subject non-weight bearing (seated), during relaxed standing, and during normal walking. Hallux dorsiflexion was similar in cases and controls when motions were measured non-weight bearing (cases mean +/- SD, 55.0 degrees +/- 11.0 degrees; controls mean + SD, 55.0 degrees +/- 10.7 degrees), confirming the absence of structural joint change. In relaxed standing, maximum dorsiflexion was 50% less in cases (mean +/- SD, 19.0 degrees +/- 8.9 degrees) than in the controls (mean +/- SD, 39.4 degrees +/- 6.1 degrees; P < .001), supporting the initial test outcome and confirming the visual test observation of static functional limitation in the case group. During gait, however, cases (mean +/- SD, 36.4 degrees +/- 9.1 degrees), and controls (mean +/- SD, 36.9 degrees +/- 7.9 degrees) demonstrated comparable maximum dorsiflexion (P = .902). There was no significant relationship between static and dynamic first MTP joint motions (r = 0.186, P = .325). The clinical test of limited passive hallux dorsiflexion in stance is a valid test only of hallux dorsiflexion available during relaxed standing. There is no association between maximum dorsiflexion observed during a static weight-bearing examination and that occurring at the same joint during walking.

Computational-fluid-dynamics-based aeroelastic analysis and structural design optimization—a researcher’s perspective

The paper discusses current approaches for the use of computational fluid dynamics in aeroelastic analyses and structural design optimization applications. Current methods for computational fluid dynamics-based static maneuver load analysis and flutter analysis are reviewed, including related issues such as fluid-structure interface, and moving mesh. Present state-of-the-art examples from the literature are presented along with research studies by the author. The paper highlights the challenges of computational fluid dynamics-based aeroelastic methods and their incorporation into aircraft structural design.

Airflow synchronous with oscillatory acceleration reflects involuntary respiratory muscle activity

To explore mechanisms causing involuntary airflow synchronous with oscillatory axial whole body acceleration (oscillatory axial acceleration, OAA) such as that during locomotion, we monitored airflow, acceleration, and electromyograms (EMGs) of the rib cage and abdominal muscles in standing subjects undergoing OAA at 3, 6, and 9 Hz at accelerations of 0.1-0.95 g. Subjects relaxed or performed static respiratory maneuvers at constant lung volume with glottis open. Oscillatory airflows (0.01-3.01 s(-1)) synchronous with OAA were not consistent with expectations for a passive respiratory system, and were larger during active respiratory efforts than during relaxation. Peak inspiratory airflow usually preceded peak upward acceleration by 90-180 degrees. In 80% of runs with respiratory muscles voluntarily activated or relaxed, EMGs showed activity synchronous with OAA. Changes in periodic muscle activity coincided with changes in oscillatory airflow. We conclude that periodic muscle activity, probably a reflex response to body wall deformation during OAA, strongly influences the involuntary airflow synchronous with OAA.

Effects of muscle group recruitment on sniff transdiaphragmatic pressure and its components.

Measuring maximal sniff pressures is an easy way of assessing inspiratory muscle strength. During a static manoeuvre, the pattern of inspiratory muscle recruitment during a sniff can vary from one individual to another. We therefore assessed how voluntarily changing muscle recruitment would affect sniff oesophageal, gastric and transdiaphragmatic pressures (Pes,sn, Pga,sn and Pdi,sn, respectively). Ten normal subjects (age 27-38 years) performed natural sniff manoeuvres ("nat"), and preferentially diaphragmatic ("dia") or extradiaphragmatic ("extradia") sniff manoeuvres, after having learnt to dissociate between the inspiratory muscle groups. Abdominal displacements were monitored using a belt-mounted strain gauge. Natural patterns of muscle recruitment varied among subjects. On average, Pes,sn,nat was [median (range)] 81 (21-105) cmH2O. All of the subjects were able to modify inspiratory muscle recruitment voluntarily. Pes,sn was not significantly affected by the type of manoeuvre performed, as opposed to Pdi,sn, which, as expected, increased with both the diaphragmatic and extradiaphragmatic manoeuvres [Pdi,sn,dia 132 (99-157) cmH2O, Pdi,sn,extradia 96 (50-146) cmH2O, P<0.05]. Whatever the manoeuvre, there was no correlation between Pes and Pdi, but Pga and Pdi were correlated during both the diaphragmatic (r = 0.82, P < 0.05) and the extradiaphragmatic manoeuvre (r = 0.70, P < 0.05). Pes,sn may have limitations as an index of diaphragm function, but by showing its independence from inspiratory muscle recruitment, this study contributes to its validation as a robust index of global inspiratory muscle strength that is particularly well suited for follow-up studies. This should extend to Pes,sn substitutes measured at the airway opening.

Static versus dynamic respiratory mechanics for setting the ventilator

The lower inflection point (LIP) of the inspiratory limb of a static pressure-volume (PV) loop is assumed to indicate the pressure at which most lung units are recruited. The LIP is determined by a static manoeuvre with a PV-history that is different from the PV-history of the actual ventilation. In nine surfactant-deficient piglets, information to allow setting PEEP and VT was obtained, both from the PV-curve and also during ongoing ventilation from the dynamic compliance relationship. According to LIP, PEEP was set at 20 (95% confidence interval 17-22) cm H2O. Volume-dependent dynamic compliance suggested a PEEP reduction (to 15 (13-18) cm H2O). Pulmonary gas exchange remained satisfactory and this change resulted in reduced mechanical stress on the respiratory system, indirectly indicated by volume-dependent compliance being consistently great during the entire inspiration.

Grip Force Control Capabilities of Older Adults, Revisited

This cross-sectional study examined the effects of age on the dynamic coordination and control of grip force with external force applied with a simulated hand tool. Grip force coordination capabilities were hypothesized to decline with age in light of previous studies examining simple lift and static hold maneuvers with a precision grip. Subjects performed a force-matching task in which dynamic forces were applied with the simulated tool. Subjects were given visual feedback regarding the applied force magnitude but not the grip force magnitude. Grip force control efficiency was measured by the ratio of grip to applied force and the degree of parallel modulation in grip force with respect to applied force. The measures of grip force control efficiency revealed no statistically significant differences (p &gt; 0.05) between the younger (&lt;64 years) and older (65+ years) subject groups. Older adults, when prudently screened for visual and motor impairments, performed equivalently to younger adults in terms of grip force coordination efficiency.

Proportionality between chest wall resistance and elastance

Fredberg and Stamenovic (J. Appl. Physiol. 67: 2408-2419, 1989) demonstrated a relatively robust phenomenological relationship between resistance (R) and elastance (E) of lung tissue during external forcing. The relationship can be expressed as omega R = eta E, where omega = 2 pi times forcing frequency and eta is hysteresivity; they found eta to be remarkably invariant under a wide range of circumstances. From data gathered in previous experiments, we have tested the adequacy and utility of this phenomenological description for the chest wall (eta w) and its major compartments, the rib cage (eta rc), diaphragm-abdomen (eta d-a), and belly wall (eta bw+). For forcing frequencies and tidal volumes within the normal range of breathing, we found that eta w remained in a relatively narrow range (0.27-0.37) and that neither eta w nor the compartmental eta's changed much with frequency or tidal volume. Compared with eta w, eta rc tended to be slightly low, whereas eta d-a tended to be slightly higher than eta w. However, at higher frequencies (greater than 1 Hz) all eta's increased appreciably with frequency. During various static nonrespiratory maneuvers involving use of respiratory muscles, eta w increased up to twofold. We conclude that in the normal ranges of breathing frequency and tidal volume 1) elastic and dissipative processes within the chest wall appear to be coupled, 2) eta's of the various component parts of the chest wall are well matched, 3) respiratory muscle contraction increases the ratio of cyclic dissipative losses to energy storage, and 4) R of the relaxed chest wall can be estimated from E.(ABSTRACT TRUNCATED AT 250 WORDS)

Respiratory sensation in chronic obstructive pulmonary disease.

Previous work has demonstrated that the perception of added resistive loads is blunted in patients with chronic obstructive pulmonary disease (COPD). It is not clear, however, whether this is due to reduced levels of respiratory muscle force during loaded breathing or to a specific abnormality in respiratory sensation. In the present study, the psychophysical technique of magnitude scaling was used to evaluate the sensation of external resistive and elastic ventilatory loads as well as the perception of inspired volume and inspiratory muscle force in 14 patients with COPD and in 12 normal subjects of similar age. The exponents of the power function relationships between load magnitude and sensation intensity for both resistive and elastic loads were significantly reduced in the patients with COPD compared with those in the normal subjects. While breathing against any given ventilatory load, the peak inspiratory mouth pressure and inspiratory duration were comparable in the 2 groups. Thus, the exponents of the power function relationships between peak inspiratory mouth pressure and sensation intensity were significantly lower in the patients with COPD (0.92 +/- SE 0.17 and 0.96 +/- SE 0.17 for resistive and elastic loads, respectively) compared with those obtained in the normal subjects (1.47 +/- SE 0.12 for resistive loads and 1.52 +/- SE 0.17 for elastic loads) (p less than 0.05). In contrast, the perception of inspired volume and of respiratory muscle force during static inspiratory maneuvers as determined by magnitude estimation and production were no different in either group.(ABSTRACT TRUNCATED AT 250 WORDS)

Respiratory changes in parasternal intercostal length.

In an attempt to understand the role of the parasternal intercostals in respiration, we measured the changes in length of these muscles during a variety of static and dynamic respiratory maneuvers. Studies were performed on 39 intercostal spaces from 10 anesthetized dogs, and changes in parasternal intercostal length were assessed with pairs of piezoelectric crystals (sonomicrometry). During static maneuvers (passive inflation-deflation, isovolume maneuvers, changes in body position), the parasternal intercostals shortened whenever the rib cage inflated, and they lengthened whenever the rib cage contracted. The changes in parasternal intercostal length, however, were much smaller than the changes in diaphragmatic length, averaging 9.2% of the resting length during inflation from residual volume to total lung capacity and 1.3% during tilting from supine to upright. During quiet breathing the parasternal intercostals always shortened during inspiration and lengthened during expiration. In the intact animals the inspiratory parasternal shortening was close to that seen for the same increase in lung volume during passive inflation and averaged 3.5%. After bilateral phrenicotomy, however, the parasternal intercostal shortening during inspiration markedly increased, whereas tidal volume diminished. These results indicate that 1) the parasternal intercostals in the dog are real agonists (as opposed to fixators) and actively contribute to expand the rib cage and the lung during quiet inspiration, 2) the relationship between lung volume and parasternal length is not unique but depends on the relative contribution of the various inspiratory muscles to tidal volume, and 3) the physiological range of operating length of the parasternal intercostals is considerably smaller than that of the diaphragm.(ABSTRACT TRUNCATED AT 250 WORDS)

The sensation of respiratory muscle force.

The sensation of respiratory muscle force was examined in 8 normal subjects using the direct scaling method of magnitude production. At the end of a normal expiration, at functional residual capacity (FRC), subjects generated an inspiratory effort against a closed airway to produce a force that correspond to specific numerical values for sensation magnitude. Thereafter, at lung volumes of 2 L above FRC and 1 L below FRC, subjects attempted to reproduce the same force as that previously generated at FRC. Diaphragm electromyographic activity, recorded with an esophageal electrode, was used as a measure of central respiratory motor output. The difference between the mouth pressure during relaxation against a closed shutter and the peak airway pressure during the static inspiratory maneuver (Pmus) was employed as an index of muscle tension. The exponent for the magnitude production of force during maneuvers at FRC, i.e., the slope of the line relating log airway pressure and log sensation magnitude was 1.60 +/- SE 0.15. The exponent for force scaling was 1.47 +/- SE 0.17 after correcting for differences in inspiratory duration during maneuvers of different force. During inspiratory maneuvers at FRC plus 2 L, diaphragm EMG was 441 +/- SE 70%, but Pmus was 111 +/- SE 11% of the respective values during subjectively equal efforts at FRC. During inspiratory maneuvers at FRC minus 1 L, diaphragm EMG was 54 +/- SE 5%, but Pmus was 94 +/- SE 4% of the respective values during efforts at FRC perceived to be of equal force. These results suggest that the sensation of respiratory muscle force depends primarily on signals related to the tension generated by the contracting muscles rather than on the sensation of innervation associated with the central nervous system motor command.

A simple method for assessing the validity of the esophageal balloon technique.

The validity of the conventional esophageal balloon technique as a measure of pleural pressure was tested in 10 subjects in sitting, supine, and lateral positions by occluding the airways at end-expiration and measuring the ratio of changes in esophageal (delta Pes) and mouth pressure (delta Pm) during the ensuing spontaneous occluded inspiratory efforts. Similar measurements were also made during static Mueller maneuvers. In both tests, delta Pes/delta Pm values were close to unity in sitting and lateral positions, whereas in the supine position, substantial deviations from unity were found in some instances. However, by repositioning the balloon to different levels in the esophagus, even in these instances a locus could be found where the delta Pes/delta Pm ratio was close to unity. No appreciable phase difference between delta Pes and delta Pm was found. We conclude that by positioning the balloon according to the "occlusion test" procedure, valid measurements of pleural pressure can be obtained in all the tested body positions.