The objective of this study was to identify protein markers for trait of Thai native and commercial broiler chicken muscles. The proteome of chicken muscle with highand low-shear force values was analyzed by two-dimensional gel electrophoresis and MALDI-TOF/MS technique. A total of 169 and 158 protein spots were observed in Thai native and commercial broiler chicken muscles, respectively. Of these proteins, five protein spots were upand down-regulated with low shear force values of chicken meat. Selected three protein spots were identified and showed homology with pyruvate kinase 2 muscle (PKM2), phosphoglycerate mutase 1 (PGAM1) and triosephosphate isomerase 1 (TPI1) of chicken. The PKM2 and TPI1 were correlated with shear force values of chicken meats. Whereas, the PGAM1, B46 and B107 trended toward an association with shear force values. The results indicate that these enzymes of the glycolytic pathway play a major role in the energy metabolism process of muscle and meat characteristics. These findings promote the importance of the muscle metabolic enzymes and could be used as functional candidate genes for meat quality traits in chicken.

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Fothergill and Carnett signs are used to distinguish intrabdominal from abdominal wall diseases. These bedside techniques may be useful in distinguishing intrabdominal from an abdominal wall cause of disease. Timely and accurate diagnosis of rectus sheath hematoma in at risk patients in the appropriate clinical setting is important because of the associated morbidity and mortality associated with this condition. Diagnosis requires an accurate and thorough history and bedside physical examination and performance of these maneuvers as originally described.

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[Purpose] The thoracolumbar supraspinous intersegmental

test (ITT) in the segment above was performed to compare spinal alignment and autonomic activity in the presence or absence of pain. [Participants and Methods] Thirty young males were grouped into Th1–4 (Cardiopulmonary visceral nerves), Th5–9 (Large visceral nerve), and Th10–12 (Small visceral nerve) by ITT for the presence of pain. Measurements of the spinal alignment and autonomic function were performed. [Results] Those with ITT pain had a significantly lower range of motion in the sagittal plane at Th12, Th12–L1, and L2–3 and in the frontal plane at Th1–2, Th4–5, Th6–7, and L3–4 than those in the no pain group. On autonomic function tests, the pain group had significantly lower Total Power, LF (Low Frequency), and CVRR (Coefficient of variation of R-R interval). [Conclusion] In ITT, patients with pain at Th5–9 have a mixture of reduced sagittal tilt angle and autonomic hypofunction of the adjacent upper and lower thoracic to lumbar vertebrae.

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[Purpose] The purpose of this study was to identify which manual therapy technique was effective against muscle and stiffness of myofascial pain syndrome and then, based on the result, to determine the cause of myofascial pain syndrome. [Subjects] The subjects were 23 men and 67 women who had an average age of 65.5 ± 19.0 years. All subjects had normal results in imaging and neurological examinations but complained of chronic pain along with muscle and stiffness. [Methods] Using a muscle hardness meter, the muscle hardness of the tender, stiff muscles was measured before, immediately after, and 1 week after manual therapy. The subjects were divided into two groups according to the therapy given myotherapy/massage, to provide direct stimulus to the muscle, or joint facilitation/joint mobilization, to improve functional joint disorders. Statistical analysis was conducted using repeated measures ANOVA, and multiple comparisons were performed. [Results] A significant difference in muscle hardness was seen between pre-treatment and post-treatment. A significant difference in muscle hardness was seen between before and 1 week after manual therapy, but not between post-treatment and 1 week after. A significant difference was seen between the direct stimulus to muscle technique and the functional joint disorder technique. Post-treatment muscle hardness decreased more with direct muscle stimulus than with the functional joint disorder technique, and muscle stiffness was decreased even 1 week after treatment. [Conclusion] Manual therapy for muscle and stiffness of myofascial pain syndrome was effective at reducing muscle stiffness. Moreover, techniques that provide direct stimulus to the muscle are better at reducing voluntary muscle stiffness than techniques that improve functional joint disorders.

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In this study, we adopted a model of classification in order to determine the factors affecting the and tenderization characteristics of beef longissimus, using cluster analysis on the basis of Warner-Bratzler shear force and myofibril fragmentation index, at 1, 7, and 14 d. The rate of tenderization was effectively differentiated by pH, R-values, μ-calpain activity, and calpastatin activity. Differences among classes were generally detected at 3 and 9 h postmortem for metabolic rate, and at 9 and 24 h for the activities of μ-calpain and calpastatin. Early postmortem metabolic rate and calpain system activities were verified as important factors with regard to longissimus tenderization.

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A 25-year-old woman and a 31-year-old man presented with chronic lower back pain and unexplained lower abdominal pain. Both patients had groin at the medial border of the anterior superior iliac spine. The results of radiographical and physical examinations suggested sacroiliac joint dysfunction. Sacroiliac joint injection relieved their symptoms, including groin . In our experience, groin is highly specific for sacroiliac joint dysfunction. We speculate that spasm of the iliac muscle can cause groin pain and . Groin pain and a history of unexplained abdominal pain, with lower back pain, are symptoms that suggest sacroiliac joint dysfunction. Additionally, compression of the iliac muscle is a simple and useful maneuver; therefore, it can be used as a screening test for sacroiliac joint dysfunction, alongside other provocation tests.

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牛肉の硬さを生肉の状態で測定する回転式センサーの開発を行った,本センサーは刃型プランジャーを装着した回転部と,針状の固定用プランジャーを装着した固定部からなり,結合組織の切断に伴って刃型プランジャーが受ける破断応力に基づく測定により,生肉の硬さを評価した,測定条件は回転角度180°,回転速度0.80秒/°とし,2cmタイプ刃型プランジャーを2本装着したものを,肉線維にほぼ平行に回転させたときに得られる最高トルク値をその肉の硬さとした.本センサーで測定した筋肉は国産ホルスタイン種去勢牛(8頭)から採取した腸腰筋,胸最長筋,半膜様筋,半腱様筋,腓腹筋および上腕筋で,各筋肉の硬さはそれぞれ13.42,14.90,21.90,19.70,29.70および33.50kgwと筋肉間で差異が認められた.また,本センサーをオーストラリア産アンガス種去勢牛(33頭)から採取した胸最長筋と半膜様筋に適用したところ,半膜様筋では,本センサーによる測定値と加熱後の官能検査値およびテンシプレッサーによる測定値との相関係数はそれぞれ0.64(P<0.01)および0.68(P<0,01)であった.また,胸最長筋も半膜様筋と同様の傾向を示した.以上のことから,本センサーを用いた結合組織の切断による測定は,生肉の硬さの測定に有用であることが明らかとなった.

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The early diagnosis and treatment of Takayasu arteritis (TA) is crucial to prevent the devastating complications of vascular insufficiency. This report describes a patient with a persistent fever in whom carotid artery led to a diagnosis of TA. This case suggests that carotid artery is a useful physical finding that warrants 2-deoxy-2-[Fluorine-18] fluoro-D-glucose positron emission tomography/computed tomography to confirm a diagnosis of early TA.

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小児において慢性腹痛はごく一般的な症状である.慢性腹痛のうち10〜30%は腹壁の痛みであるとされているが,比較的認知度が低くしばしば見落とされている.慢性腹壁痛は非常に限局した痛みと体表の圧痛を特徴とし,その原因としてはabdominal cutaneous nerve entrapment syndrome(ACNES)が最も一般的であると考えられている.Carnett's test(腹壁筋の緊張により局所の圧痛が増強する)が診断に有用である.今回我々は,総排泄腔奇形術後遠隔期に発症したACNESの1例を経験した.結果として局所麻酔薬とステロイドの局所注射により疼痛は消失し,長期間再発を認めていない.しかしながら疾患概念の欠如のため診断に苦慮し多くの時間と医療コストを要した.慢性腹痛の診療においては,常に腹壁痛を念頭に置いておく必要があると考えられた.

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[Purpose] The purpose of this study is to examine the influence of the vibration form-roller exercise on the pain in the hip joint and the joint performances. [Subjects and Methods] 30 adult patients were randomly sampled and divided into form-roller group (15) and the vibration form-roller group (15). The two groups were exposed to an exercise regimen of 3 sessions per week, over 4 weeks. Each session was composed of warming-up (5M), main exercises (20M), and five minutes of cool-down (5M). [Results] The result of this study, in the intra-group comparison of the Performance, the PRE group increase in the flexion, extension, and abduction of the hip joint, the VPRE group increase in flexion, extension, external rotation and internal rotation. In the comparison between groups, the VPRE group increase in the flexion and internal rotation. Through the intra-group comparison the pressure pain, the PRE group and the VPRE group decreases in the all muscles. In the comparison between the groups, there was increase in the iliotibial tract of the VPRE group. [Conclusion] The result of this study the effect of the form-roller & vibration form-roller exercises. Therefore, various exercise methods would have to be developed in order to overcome the limitations in the existing form-roller exercises.

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[Purpose] To investigate the characteristics and distributions of the myofascial trigger point (TrP) and pressure pain threshold (PPT) of the active TrP in individuals with chronic tension-type headache (CTTH). [Participants and Methods] Fifty-three CTTH patients and 53 age and gender-matched individuals without CTTH (CON) were recruited. The TrPs and

points were first identified by manual palpation, and the PPTs of the active TrPs were determined by using a manual algometer. [Results] The active TrP, latent TrP and point totals per person in the head, neck, shoulder and upper back in CTTH were 4.3 ± 2.1, 0.6 ± 1.0 and 1.9 ± 1.8, respectively, while those in CON were 0, 0.7 ± 1.5 and 1.9 ± 1.8, respectively. The PPT levels of the active TrPs were 0.7 ± 0.2 to 1.2 ± 0.6 kg/cm² in the muscles of the head, neck, shoulder and upper back. A larger number of active TrPs and lower PPT levels of the active TrPs were found in the head, neck and shoulder regions than in the upper back region. [Conclusion] Lower PPTs of the active TrPs in the head, neck and shoulder regions could influence the individuals with CTTH.

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This study aimed to characterize and optimize the tenderization condition of duck breast meat by adenosine 5′-monophosphate (AMP), with the aid of response surface methodology (RSM). The results showed that the optimal conditions for the tenderization of duck breast meat were at the NaCl concentration of 3.99 g/100 g, AMP concentration of 13.83 mmol/L, temperature of 15.32°C, and marinating time of 8 h. Compared with control duck breast meat, AMP combined with NaCl treatment demonstrated significant effects on improvement of meat and decrease of cooking loss. Such effects might be ascribed to the combination of a series of biochemical reactions, e.g. increase of muscle pH, dissociation of actomyosin and inhibition of meat shrinkage. Therefore, the mixture of AMP and NaCl could be regarded as an effective tenderization agent for duck breast meat.

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[Purpose] To evaluate the incidence of pain originating from the sacrotuberous ligament after sacroiliac joint treatment, and to determine effective physical therapeutic options for sacrotuberous ligament pain. [Participants and Methods] Among 303 patients with sacroiliac joint dysfunction, 57 patients (20 males, 37 females) with persistent lower-buttock pain after sacroiliac joint injections were included in the study. The incidence of sacrotuberous ligament pain and the physical findings from the first evaluation were investigated by physical therapists. [Results] Diagnostic sacrotuberous ligament injections identified lower-buttock pain originating from the sacrotuberous ligament in 57.9% of the patients (33 out of 57 patients) after treatment of sacroiliac joint dysfunction. Of these, 11 patients experienced relief after sacrotuberous ligament injection alone; the others required physical therapy. Sacrotuberous ligament relaxation alone was effective in eight patients; biceps femoris relaxation was required in eight patients; and gluteus maximus contraction exercise was required in six patients. [Conclusion] After sacroiliac joint treatment, the incidence of residual sacrotuberous ligament pain in the persisting lower-buttock pain was 57.9%. In addition to sacrotuberous ligament relaxation, biceps femoris relaxation was effective in patients who showed both higher differences in the straight leg raising test and biceps femoris

, while gluteus maximus contraction exercises were effective in patients with gluteus maximus weakness.

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One hundred and four cases of traumatic cranio-cervical syndrome were treated in the Orthopedic Department of Tosei National Hospital in the period from January, 1967 through September, 1968.
These 104 cases were analyzed in a view point of pressure of the cervical muscles, especially of sternocleidomastoid and scalenus anticus muscle, which showed significance for severity and prognosis of the traumatic cranio-cervical syndrome.
Two cases reported here, presented typical scalenus anticus syndrome and cured dramatically by scalenotomy.
1) Pressure on the scalenus anticus muscle was more frequent on the left than the right side (22:10).
2) Most onset of pressure of the sternocleidomastoid was on the same day of trauma.
On the other hand, of the scalenus anticus started mainly on the fourth day of trauma.
These traumatoonset of time relations suggest the of the sternocleidomastoid is most likely due to its primary injury and the of the scalenus anticus isdue to secondary muscle spasm caused by nerve root irritation.
3) Most of the cases with tender sternocleidomastoid did not show early recovery. About a half of cases without of the muscle showed early recovery but on the other hand some of these, also, showed much prolonged course. Most of the cases with tender scalenus anticus showed prolonged course and the cases without showed early recovery.
As a conclusion, it is emphasized that a great attention should be paid to injury of cervical muscles when traumatic cranio-cervical syndrome is dealt with.

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A 31-year-old nulligravid woman who underwent laparoscopically assisted myomectomy 5 months before becoming pregnant suffered uterine rupture at 35 weeks gestation. A 50 g intramusclar myomatous node had been removed laparoscopically. Early signs of rupture included sudden onset of severe abdominal and frequent uterine contractions despite reassuring FHR tracing. Variable deceleration was observed as late as 7.5 hours after onset. Emergency cesarean section was performed due to increasing severity of , revealing complete uterine rupture at the fundus site without extrusion of the fetus or placenta. A male neonate (2,860 g) was delivered without asphyxia and an Apgar score of 8. Total volume of hemorrahge was approximately 50 ml. The ruptured uterine wall was repaired by suturing in 2 layers. The present case indicates that sudden onset of abdominal in pregnant women with a history of laproscopic myomectomy may suggest uterine rupture even in the presence of reassuring FHR. This is a rare case, as non-reassuring FHR patterns generally appear in the late stages of uterine rupture.

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[Purpose] This study aimed to conduct experiments to examine the effects of wrist eccentric control exercise or shoulder stabilization exercises after a basic direct treatment of the elbow in the treatment of tennis elbow patients in terms of pain and grip strength. [Subjects and Methods] The subjects were divided into two groups: one group conducted wrist eccentric control exercise and was comprised of 5 male and 4 female subjects, and the other group received shoulder stabilization exercise and was comprised of 5 male and 4 female subjects. [Results] In the intragroup comparison, both groups showed a significant decrease in pain level and a significant increase in the measurement of the

thresholds of the upper trapezius muscle, lateral epicondyle, and grip strength. In the intergroup comparison, the shoulder stabilization exercise group showed a significantly greater increase in the measurement of the thresholds of the upper trapezius muscle and grip strength, and the differences were not significant in the pain level and threshold of the lateral epicondyle. [Conclusion] Wrist eccentric control exercise and shoulder stabilization exercises can be useful as intervention methods for relief from pain due to lateral epicondylitis and for the improvement of functions impaired by tennis elbow.

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The objective of this study is to test the hypothesis that the removal of plasma factors by cryofiltration (CF) will effect changes in cellular immune function and to study the correlation of clinical reponse with cellular immunomodulation by CF in rheumatoid arthritis (RA). Nine RA patients participating in the double-blinded controlled trial of CF underwent either true CF (4) or sham pheresis (5). In addition to clinical assessments, patients mononuclear cell proliferation to mitogens (MP) cultured with normal's or patient's plasma, and normal MP cultured with patient's plasma were studied. The correlation between clinical parameters and MP was evaluated. True CF patients were improved in clinical signs showing active synovitis such as pain, and swelling of joints compared to sham treatment patients. In 2 of 4 true CF who showed good clinical responses, MP also increased pre to post changes significantly (p<0.05) (average 6336 to 15960 cpm) compared to sham pts (average 6837 to 6552 cpm). In 5 sham patients, both clinical response and MP were not modified by sham pheresis. These data suggested that the positive correlation between clinical improvement and cellular immune response was shown. Assessment of cellular immune parameter may provide a good index for patients selection and therapeutic efficacy in evaluation of treatment modalities.

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[Purpose] There are no recent studies investigating the incidence of jumper's knee and knee contusions in volleyball players. A lack of understanding of knee contusions suffered by players (liberos) receiving the ball has lead doctors to diagnose jumper's knee. There have been no studies distinguishing between jumper's knee and knee contusions, which present similar symptoms. The purpose of this study was to investigate and correlate the two conditions of jumper's knee and knee contusions. [Subjects and Methods] Thirty-one female volleyball players were assessed for their maximum jumping power, body weight, whether they performed broad (slide) spikes, and whether they often hit their knees and so on. [Results] Jumper's knee was found in either or both knees of 12 (57%) of 21 spikers. For knee contusions, symptoms were found in 5 of the 10 liberos and setters, who were confirmed to actually hit their knees by observing videotapes of their practice. [Conclusion] Symptoms resembling jumper's knee were discovered in 4 of 6 liberos. It was difficult to distinguish between jumper's knee and knee contusions in terms of their symptoms, except through observation of the players' actual performance. It is important to discriminate between the two conditions clinically for treatment (including physical therapy) and prevention.

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Purpose: We previously reported correlations between the pressure pain threshold (PPT) at the styloid process, which represents individual pain sensitivity, and PPTs of the masticatory muscles in healthy subjects, and proposed the 95% confidence interval (95%CI) of the PPT at the styloid process as a reference range. In this study, we evaluated its usefulness as a reference range.
Methods: Serial changes in the PPT relative to the 95%CI were studied in 7 healthy subjects. Next, the determination of abnormal sites in the PPT relative to the 95%CI was studied in 7 patients with temporomandibular disorders (TMD).
Results: In the healthy subjects, the PPT remained within the 95%CI at all sites. Since the PPT deviated from the 95%CI at some sites in TMD patients, abnormal sites could be determined.
Conclusion: The 95%CI of the PPT at the styloid process is useful as a means for the evaluation of muscle symptoms of TMD patients.

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