Page 92 - Journal of Special Operations Medicine - Summer 2014
P. 92

Figure 3  Means (solid lines) and standard deviations (dashed   movement of the hands and arms. Previous studies ex-
          lines) of the amount of frequencies during fast-roping with a   amined the effects of mechanical  vibrations on hands
          slightly molded (black) and a deeply molded rope (gray).   and arms. 11,13,14,20–22  It was shown that exposure to vi-
                                                             brations manipulates sensation and sensibility of the
                                                             muscle–nerve system. In particular, vibrations to muscles
                                                             and tendons of the wrist result in inaccurate movements
                                                             of hands and arms. The reasons for that phenomenon
                                                             are so-called segmental kinesthetic illusions. These illu-
                                                             sions provoke misinformation about the real joint angle
                                                             position and therefore cause errors in the precision of
                                                             movement. 13,20–22  Kinesthetic illusions are found not
                                                             only during exposure to vibration but also seconds to
                                                             minutes after vibration.

                                                             Wierzbicka  et  al.   analyzed oscillations  of  the  center
                                                                            23
                                                             of force application after an exposure to vibration (80
                                                             Hz) of 30 seconds to the Achilles tendon and tibialis
                                                             anterior muscle. The results of the study showed that
          Notes: *Statistically significant (p < .05) difference between the ropes.   kinesthetic illusions were found 19 to 180 minutes after
          ***statistically significant (p < .001) difference between the ropes.
                                                             exposure to vibration. The most distinctive oscillations
                                                             of the center of force application occurred immediately
            geometry, and shape of the rope, the purpose of this   after completion of vibration.
          work was to determine the frequency spectrum that oc-
          curred with a slightly molded compared with a deeply   In the study by Rogers et al.,  vibrations of either the
                                                                                       15
          molded rope. To the best of our knowledge, no other   biceps brachii  muscle  or  the  triceps  brachii  muscle for
          studies have previously investigated mechanical vibra-  60 seconds (100 Hz) provoked disturbances in forearm
          tions during fast-roping maneuvers with different ropes.   matching task performances. The alignment errors occur
          However, it was found that the construction (especially   immediately following the 60-second period of muscle
          geometry) of a rope plays a substantial role in releasing   vibration and last for up to 4 minutes. Cordo et al.  re-
                                                                                                         13
          vibrations. Because fast-roping is a rappelling technique   ported that 40-Hz vibrations applied to the tendon of the
          without a hook-up to the rope, the hands provide the   biceps brachii muscle 5 seconds before movement onset
          main contact to the rope and regulate the velocity of the   and then stopped at movement onset caused target over-
          maneuver by opening and closing fingers. Therefore, one   shooting. The authors concluded that muscle spindle af-
          can assume that the vibrations caused by the ropes are   ferents, which are activated by tendon vibration, are an
          transferred mainly to the Soldier’s hands and arms. The   important source of the dynamic position and velocity
          results of the study showed that frequencies between    information that the central nervous system uses to co-
          5 and 10 Hz occurred when Soldiers used a slightly   ordinate the movement sequence tasks. Further, vibration
          molded rope. By changing the rope into a deeply molded   influences the production of finely graded forces.
          one, frequencies between 18 and 60 Hz were measured.
          The frequencies between the ropes differed significantly   A study by Bock et al.  showed that force responses
                                                                                  14
          (p < .001) between 20 and 50 Hz (Figure 3).        of the hand were 22% smaller with than without wrist
                                                             vibrations of 18 to 80 Hz. The authors concluded that
          Negative effects of vibration on humans are well docu-  afferent feedback plays a substantial role in the produc-
          mented but are most often observed in the workplace   tion of finely graded forces. In consideration, because
          through exposure to large vibration loads or chronic   precise movements of the arms and hands during aim-
          exposure to vibration. 16–19  In this environment, expo-  ing and shooting are of high relevance to maintain per-
          sure to vibration has been shown to damage several   sonal and tactical safety after fast-roping maneuvers,
          biologic structures (e.g., peripheral nerves, blood ves-  the choice of equipment of the Special Forces should be
          sels, joints, and perceptual function). Animal studies   considered with caution.
          also reported changes in endocrine and cardiovascular
          function, respiratory responses, central nervous system   It should be mentioned that in this study the ropes were
          patterns, and metabolic processes.  Exposure to vibra-  fixed with a dummy of a helicopter cockpit at a height
                                        1
          tion  affects  several  physiological  systems  (e.g.,  neuro-  of 12 m. The duration of the maneuver lasted 3 to 5 sec-
          endocrine, cardiovascular, musculoskeletal, and sensory   onds. During operation, the ropes have a length up to 28
          systems), but there is limited reliable information on the   m, which increases the duration of the maneuver to 7 to
          aftereffects of mechanical vibrations on the precision of   12 seconds. Further, the flying helicopter might transfer



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