Here we present a novel effort-based task for laboratory rats: the weight lifting task (WLT). Studies of effort expenditure in rodents have typically involved climbing barriers within T-mazes or operant lever pressing paradigms. These task designs have been successful for neuropharmacological and neurophysiological investigations, but both tasks involve simple action patterns. High climbing barriers may also present risk of injury to animals and/or issues with tethered recording equipment. In the WLT, a rat is placed in a large rectangular arena and tasked with pulling a rope 30 cm to trigger food delivery at a nearby spout; weights can be added to the rope in 45 g increments to increase the intensity of effort. As compared to lever pressing and barrier jumping, 30 cm of rope pulling is a multi-step action sequence requiring sustained effort. The actions are carried out on the single plane of the arena floor, making it safer for the animal and more suitable for tethered equipment and video tracking. A microcontroller and associated sensors enable precise timestamping of specific behaviors to synchronize with electrophysiological recordings. The rope and reward spout are spatially segregated to allow for spatial discrimination of the effort zone and the reward zone. We validated the task across five cohorts of rats (total n = 35) and report consistent behavioral metrics. The WLT is well-suited for neuropharmacological and/or in vivo neurophysiological investigations surrounding effortful behaviors, particularly when wanting to probe different aspects of effort expenditure (intensity vs. duration).

This study aimed to investigate the physical effects of precision lifting tasks on the maximal acceptable weight of a lift (i.e., psychophysiological lifting capacity where the workers adjust the lifting weight in order to work without any fatigue or strain at the end of the work while wearing common safety shoe types). Additionally, the physical difference between the precise and non-precise lifting conditions associated with wearing safety shoes were assessed by respiration responses and shoe discomfort ratings. To achieve the objective of the study, ten healthy male workers were selected by age (between 25 to 35 years old). Their anthropometric characteristics, including knuckle height, knee height, and body mass index (BMI), were measured. A three-way repeated measures design with three independent variables was used; the variables included-the (1) lifting method (precise and non-precise), (2) lifting frequency (1 and 4 lifts per min), and (3) safety shoe type (light-duty, medium-duty, and heavy-duty). The physiological response variables and one of the subjective factors of this study were-(1) respiration responses, and (2) shoe discomfort rating, respectively. The data were analyzed using the Mauchly's test of sphericity, Shapiro-Wilk normality test, and analysis of variance (ANOVA). The results showed that the use of heavy-duty safety shoes typically increased the shoe discomfort rating under precise lifting methods. Additionally, the lifting frequency was determined to be one of the main factors affecting respiratory responses and shoe discomfort rating. This study also found that respiration responses rose on four lifts per min as compared to 1 lift per min, regardless of the lifting method type. This study indicated that the replacement of some types of ordinary safety shoes used in some workplaces with those selected appropriately might significantly reduce the rating effort required to lift objects or tools. However, the benefits should be carefully evaluated before replacing the safety shoes.

The purpose of this systematic review was to identify the effects of weight-lifting or resistance exercise on breast cancer-related lymphedema. Published articles written in English were retrieved from electronic databases, including ScienceDirect, PubMed, Scopus, and CINAHL databases. Hand-searches for unpublished papers were also completed. Content analysis was used to examine articles that met the inclusion criteria. Among 525 searched papers, 15 papers met the inclusion criteria: 13 trials evaluated weight-lifting or resistance exercise alone and two trials evaluated weight-lifting or resistance exercise plus aerobic exercise. The results of the review showed that no arm volume change was observed for either exercise modality. In addition, six included studies showed that weight-lifting or resistance exercise did not cause lymphedema or adverse events in patients at risk of breast cancer-related lymphedema. For patients with breast cancer-related lymphedema, six studies reported that change of swelling outcome measures were not significantly different between the weight-lifting or resistance exercise group and the control group. However, three included studies reported that volume of arm was significantly more reduced in the weight-lifting or resistance exercise group than those in the control group. The findings suggest that supervised resistance exercise may be safe, feasible, and beneficial in patients with breast cancer-related lymphedema or at risk for breast cancer-related lymphedema. However, the limitation of small sample size implies that further research is needed to confirm these findings.

Investigation of volitional animal models of resistance training has been instrumental in our understanding of adaptive training. However, these studies have lacked reactive force measurements, a precise performance measure, and morphological analysis at a distinct phase of training - when initial strength gains precede muscle hypertrophy. Our aim was to expose rats to one month of training (70 or 700 g load) on a custom-designed weight-lifting apparatus for analysis of reactive forces and muscle morphology prior to muscle hypertrophy. Exclusively following 700 g load training, forces increased by 21% whereas muscle masses remained unaltered. For soleus (SOL) and tibialis anterior (TA) muscles, 700 g load training increased muscle fiber number per unit area by ∼20% and decreased muscle fiber area by ∼20%. Additionally, number of muscle fibers per section increased by 18% for SOL muscles. These results establish that distinct morphological alterations accompany early strength gains in a volitional animal model of load-dependent adaptive resistance training.

Progressive supranuclear palsy (PSP) and late-stage idiopathic Parkinson's disease (IPD) are neurodegenerative movement disorders resulting in different postural instability and falling symptoms. IPD falls occur usually forward in late stage, whereas PSP falls happen in early stages, mostly backward, unprovoked, and with high morbidity. Self-triggered, weighted movements appear to provoke falls in IPD, but not in PSP. Repeated self-triggered lifting of a 0.5-1-kg weight (<2% of body weight) with the dominant hand was performed in 17 PSP, 15 IPD with falling history, and 16 controls on a posturography platform. PSP showed excessive force scaling of weight and body motion with high-frequency multiaxial body sway, whereas IPD presented a delayed-onset forward body displacement. Differences in center of mass displacement apparent at very small weights indicate that both syndromes decompensate postural control already within stability limits. PSP may be subject to specific postural system devolution. IPD are susceptible to delayed forward falling. Differential physiotherapy strategies are suggested.

Studies in breast cancer-related lymphedema (BRCL) have exclusively examined total arm volume, but not the specific tissue composition that contributes to total volume. We evaluated baseline differences in arm tissue composition [fat mass, lean mass, bone mineral content (BMC), and bone mineral density (BMD)] between the affected and unaffected arms in women with BRCL. We compared changes in arm tissue composition and self-reported lymphedema symptoms after 1 year of weight-lifting versus control.

In size-weight (SW) illusions, people learn to scale their fingertip forces for lifting small and big objects of equal weight even though they fail to learn perceptually that both objects have the same weight. The question then arises as to what the separate neural mechanisms are for determining the perceived heaviness of objects and the predicted weight of these objects during lifting. To answer this question, we used fMRI to first identify areas that code for the size, weight, and density of objects using an adaptation paradigm. We then contrasted BOLD in the SW illusion condition in which subjects falsely perceived the smaller of two equally weighted objects as heavier versus a condition in which size and weight did not differ between objects. Sensory areas in the parietal and temporal cortex adapted to the size of objects and the primary motor area (M1) contralateral to the lifting hand adapted to the weight of objects. The ventral premotor area (PMv), which did not adapt to either the size or the weight of objects, adapted instead to the density of objects, and responded more when subjects falsely perceived differences in weight between objects in the SW illusion condition. Taken together, we conclude that the real-world properties of objects, such as size and weight, are computed by sensory areas and by M1 respectively, whereas the perceived heaviness of objects, presumably based on their apparent density, is computed by PMv, a higher-order area well placed to integrate sensory information about the size of objects and the weight of objects.

When humans are about to manipulate an object, our brains use visual cues to recall an internal representation to predict its weight and scale the lifting force accordingly. Such a long-term force profile, formed through repeated experiences with similar objects, has been proposed to improve manipulative performance. Skillful object manipulation is crucial for many animals, particularly those that rely on tools for foraging. However, despite enduring interest in tool use in non-human animals, there has been very little investigation of their ability to form an expectation about an object's weight. In this study, we tested whether wild chimpanzees use long-term force profiles to anticipate the weight of a nut-cracking hammer from its size. To this end, we conducted a field experiment presenting chimpanzees with natural wooden hammers and artificially hollowed, lighter hammers of the same size and external appearance. We used calibrated videos from camera traps to extract kinematic parameters of lifting movements. We found that, when lacking previous experience, chimpanzees lifted hollowed hammers with a higher acceleration than natural hammers (overshoot effect). After using a hammer to crack open one nut, chimpanzees tuned down the lifting acceleration for the hollowed hammers, but continued lifting natural hammers with the same acceleration. Our results show that chimpanzees anticipate the weight of an object using long-term force profiles and suggest that, similarly to humans, they use internal representations of weight to plan their lifting movements.

Spontaneous (non-evoked) pain is a major clinical symptom of neuropathic syndromes, one that is understudied in basic pain research for practical reasons and because of a lack of consensus over precisely which behaviors reflect spontaneous pain in laboratory animals. It is commonly asserted that rodents experiencing pain in a hind limb exhibit hypolocomotion and decreased rearing, engage in both reflexive and organized limb directed behaviors, and avoid supporting their body weight on the affected side. Furthermore, it is assumed that the extent of these positive or negative behaviors can be used as a dependent measure of spontaneous chronic pain severity in such animals. In the present study, we tested these assumptions via blinded, systematic observation of digital video of mice with nerve injuries (chronic constriction or spared nerve injury), and automated assessment of locomotor behavior using photocell detection and dynamic weight bearing (i.e., gait) using the CatWalk system.

Background. This study compared outcomes of abdominal lifting and compression cardiopulmonary resuscitation (ALP-CPR) with standard CPR (STD-CPR). Materials and Methods. Patients with cardiac arrest seen from April to December 2014 were randomized to receive standard CPR or ALP-CPR performed with a novel abdominal lifting/compression device. The primary outcome was return of spontaneous circulation (ROSC). Results. Patients were randomized to receive ALP-CPR (n = 40) and STD-CPR (n = 43), and the groups had similar baseline characteristics. After CPR, 9 (22.5%) and 7 (16.3%) patients in the ALP-CPR and STD-CPR groups, respectively, obtained ROSC. At 60 minutes after ROSC, 7 (77.8%) and 2 (28.6%) patients, respectively, in the ALP-CPR and STD-CPR groups survived (P = 0.049). Patients in the ALP-CPR group had a significantly higher heart rate and lower mean arterial pressure (MAP) than those in the STD-CPR group (heart rate: 106.8 versus 79.0, P < 0.001; MAP: 60.0 versus 67.3 mm Hg, P = 0.003). The posttreatment PCO2 was significantly lower in ALP-CPR group than in STD-CPR group (52.33 versus 58.81, P = 0.009). PO2 was significantly increased after ALP-CPR (45.15 to 60.68, P < 0.001), but it was not changed after STD-CPR. PO2 after CPR was significantly higher in the ALP-CPR group (60.68 versus 44.47, P < 0.001). There were no differences between genders and for patients who are > 65 or ≤ 65 years of age. Conclusions. The abdominal lifting and compression cardiopulmonary resuscitation device used in this study is associated with a higher survival rate after ROSC than standard CPR.

The number of exoskeletons providing load-lifting assistance has significantly increased over the last decade. In this field, to take full advantage of active exoskeletons and provide appropriate assistance to users, it is essential to develop control systems that are able to reliably recognize and classify the users' movement when performing various lifting tasks. To this end, the movement-decoding algorithm should work robustly with different users and recognize different lifting techniques. Currently, there are no studies presenting methods to classify different lifting techniques in real time for applications with lumbar exoskeletons. We designed a real-time two-step algorithm for a portable hip exoskeleton that can detect the onset of the lifting movement and classify the technique used to accomplish the lift, using only the exoskeleton-embedded sensors. To evaluate the performance of the proposed algorithm, 15 healthy male subjects participated in two experimental sessions in which they were asked to perform lifting tasks using four different techniques (namely, squat lifting, stoop lifting, left-asymmetric lifting, and right-asymmetric lifting) while wearing an active hip exoskeleton. Five classes (the four lifting techniques plus the class "no lift") were defined for the classification model, which is based on a set of rules (first step) and a pattern recognition algorithm (second step). Leave-one-subject-out cross-validation showed a recognition accuracy of 99.34 ± 0.85%, and the onset of the lift movement was detected within the first 121 to 166 ms of movement.

It is well established that manipulations of low-level stimulus properties unrelated to mass can impact perception of heaviness, the most famous example being the size-weight illusion whereby small objects feel heavier than equally-weighted larger objects. Interestingly, manipulations of high-level cues such as material have also induced weight illusions, highlighting that cognitive expectations alone are enough to create illusory weight differences. Less is known, however, about what type of cognitive expectations can influence perception of heaviness. As labels are often used to signify the heaviness of objects, this study examined whether semantic cues could induce a novel weight illusion. Participants lifted equally-sized and equally-weighted sets of objects labelled as 'light' and 'heavy' and reported their perceived heaviness both prior to and after lifting. Fingertip forces were also measured to understand how semantic cues may influence sensorimotor prediction. The labels clearly affected pre-lift-off expectations of heaviness. By contrast, we found no effect of these labels on the perceived heaviness of objects, nor on the forces used to grip and lift them on early trials. In other words, we find no evidence that semantic cues affect perception or action enough to induce a novel weight illusion. These findings suggest that the explicit expectations created by the labels did not dominate the implicit expectations created by the equal sizes of the objects, highlighting the segregated nature of cognitive expectations and their variable influences on perception and action.

Ergonomics evaluation through measurements of biomechanical parameters in real time has a great potential in reducing non-fatal occupational injuries, such as work-related musculoskeletal disorders. Assuming a correct posture guarantees the avoidance of high stress on the back and on the lower extremities, while an incorrect posture increases spinal stress. Here, we propose a solution for the recognition of postural patterns through wearable sensors and machine-learning algorithms fed with kinematic data. Twenty-six healthy subjects equipped with eight wireless inertial measurement units (IMUs) performed manual material handling tasks, such as lifting and releasing small loads, with two postural patterns: correctly and incorrectly. Measurements of kinematic parameters, such as the range of motion of lower limb and lumbosacral joints, along with the displacement of the trunk with respect to the pelvis, were estimated from IMU measurements through a biomechanical model. Statistical differences were found for all kinematic parameters between the correct and the incorrect postures (p < 0.01). Moreover, with the weight increase of load in the lifting task, changes in hip and trunk kinematics were observed (p < 0.01). To automatically identify the two postures, a supervised machine-learning algorithm, a support vector machine, was trained, and an accuracy of 99.4% (specificity of 100%) was reached by using the measurements of all kinematic parameters as features. Meanwhile, an accuracy of 76.9% (specificity of 76.9%) was reached by using the measurements of kinematic parameters related to the trunk body segment.

During bimanual load lifting, the brain not only contends with muscle activations in the load-lifting arm, but also has to pre-emptively modulate muscle activations in the load-bearing arm with temporal precision in order to minimize upward arm deflection. Premature or late inhibition in the load-bearing arm activity would result in augmented arm deflection. Little is currently known about the timing operation of motor systems subserving coordinated, bimanual actions. In this study, we measured neuromagnetic brain activity with whole-head magnetoencephalography while 15 participants performed a bimanual load-lifting task. To investigate neural processes prior to load lifting, a beamformer was applied to 6 contiguous 200 ms time epochs spanning the entire premovement phase of the motor task. The sequence of neural activations, following a signal to lift the weight, was chronologically ordered: firstly, the primary motor cortex contralateral to the load-lifting arm was activated, then the cerebellum, and lastly, the basal ganglia, thalamus and primary-/pre- motor areas contralateral to the load-bearing arm. The current data extend our understanding of the neural underpinnings of bimanual coordination. A model is proposed to account for the central organization of volitional and anticipatory motor control in bimanual load lifting.

Lifting up objects from the floor has been identified as a risk factor for low back pain, whereby a flexed spine during lifting is often associated with producing higher loads in the lumbar spine. Even though recent biomechanical studies challenge these assumptions, conclusive evidence is still lacking. This study therefore aimed at comparing lumbar loads among different lifting styles using a comprehensive state-of-the-art motion capture-driven musculoskeletal modeling approach. Thirty healthy pain-free individuals were enrolled in this study and asked to repetitively lift a 15 kg-box by applying 1) a freestyle, 2) a squat and 3) a stoop lifting technique. Whole-body kinematics were recorded using a 16-camera optical motion capture system and used to drive a full-body musculoskeletal model including a detailed thoracolumbar spine. Continuous as well as peak compressive, anterior-posterior shear and total loads (resultant load vector of the compressive and shear load vectors) were calculated based on a static optimization approach and expressed as factor body weight (BW). In addition, lumbar lordosis angles and total lifting time were calculated. All parameters were compared among the lifting styles using a repeated measures design. For each lifting style, loads increased towards the caudal end of the lumbar spine. For all lumbar segments, stoop lifting showed significantly lower compressive and total loads (-0.3 to -1.0BW) when compared to freestyle and squat lifting. Stoop lifting produced higher shear loads (+0.1 to +0.8BW) in the segments T12/L1 to L4/L5, but lower loads in L5/S1 (-0.2 to -0.4BW). Peak compressive and total loads during squat lifting occurred approximately 30% earlier in the lifting cycle compared to stoop lifting. Stoop lifting showed larger lumbar lordosis range of motion (35.9 ± 10.1°) than freestyle (24.2 ± 7.3°) and squat (25.1 ± 8.2°) lifting. Lifting time differed significantly with freestyle being executed the fastest (4.6 ± 0.7 s), followed by squat (4.9 ± 0.7 s) and stoop (5.9 ± 1.1 s). Stoop lifting produced lower total and compressive lumbar loads than squat lifting. Shear loads were generally higher during stoop lifting, except for the L5/S1 segment, where anterior shear loads were higher during squat lifting. Lifting time was identified as another important factor, considering that slower speeds seem to result in lower loads.

Functional capacity evaluation (FCE) of an injured worker's ability to lift weight guides the determination of whether he or she is capable of handling the physical demands of a job. The purpose of this study was to examine the interrater and intrarater reliability in determining the safe maximum floor-to-waist lift for patients with low back pain during FCE testing. Twenty-one patients with low back pain were evaluated. Patients were videotaped lifting weight in progressive increments using a kinesiophysical approach. Five experienced physical therapists viewed the videotape and judged the lifts for body mechanics safety. Safety reliability was high, indicating that therapists can accurately judge safe lifting methods during FCE. As lifting loads increased, body mechanics deteriorated, indicating the patient was approaching or had reached a biomechanical end point. Clinical information is needed, in addition to visual observations, to accurately determine when maximum lift capacity is reached.

The ability of the lumbar extensor muscles to accurately control static and dynamic forces is important during daily activities such as lifting. Lumbar extensor force control is impaired in low-back pain patients and may therefore explain the variances in lifting kinematics. Thirty-three chronic low-back pain participants were instructed to lift weight using a self-selected technique. Participants also performed an isometric lumbar extension task where they increased and decreased their lumbar extensor force output to match a variable target force within 20-50% lumbar extensor maximal voluntary contraction. Lifting trunk and lower limb range of motion and angular velocity variables derived from phase plane analysis in all planes were calculated. Lumbar extensor force control was analyzed by calculating the Root-Mean-Square Error (RMSE) between the participants' force and the target force during the increasing (RMSEA), decreasing (RMSED) force portions and for the overall force error (RMSET) of the test. The relationship between lifting kinematics and RMSE variables was analyzed using multiple linear regression. Knee angular velocity in the sagittal and coronal planes were positively associated with RMSEA (R2 = 0.10, β = 0.35, p = 0.046 and R2 = 0.21, β = 0.48, p = 0.004, respectively). Impaired lumbar extensor force control is associated with increased multiplanar knee movement velocity during lifting. The study findings suggest a potential relationship between lumbar and lower limb neuromuscular function in people with chronic low-back pain.

When people judge the weight of two objects of equal mass but different size, they perceive the smaller one as being heavier. Up to date, there is no consensus about the mechanisms which give rise to this size-weight illusion. We recently suggested a model that describes heaviness perception as a weighted average of two sensory heaviness estimates with correlated noise: one estimate derived from mass, the other one derived from density. The density estimate is first derived from mass and size, but at the final perceptual level, perceived heaviness is biased by an object's density, not by its size. Here, we tested the models' prediction that weight discrimination of equal-size objects is better in lifting conditions which are prone to the size-weight illusion as compared to conditions lacking (the essentially uninformative) size information. This is predicted because in these objects density covaries with mass, and according to the model density serves as an additional sensory cue. Participants performed a two-interval forced-choice weight discrimination task. We manipulated the quality of either haptic (Experiment 1) or visual (Experiment 2) size information and measured just-noticeable differences (JNDs). Both for the haptic and the visual illusion, JNDs were lower in lifting conditions in which size information was available. Thus, when heaviness perception can be influenced by an object's density, it is more reliable. This discrimination benefit under conditions that provide the additional information that objects are of equal size is further support for the role of density and the integration of sensory estimates in the size-weight illusion.

The current study examined the role of visually perceived material properties in motor planning, where we analyzed the temporal and spatial components of motor movements during a seated reaching task. We recorded hand movements of 14 participants in three dimensions while they lifted and transported paper cups that differed in weight and glossiness. Kinematic- and spatial analysis revealed speed-accuracy trade-offs to depend on visual material properties of the objects, in which participants reached slower and grabbed closer to the center of mass for stimuli that required to be handled with greater precision. We found grasp-preparation during the first encounters with the cups was not only governed by the anticipated weight of the cups, but also by their visual material properties, namely glossiness. After a series of object lifting, the execution of reaching, the grip position, and the transportation of the cups from one location to another were preeminently guided by the object weight. We also found the planning phase in reaching to be guided by the expectation of hardness and surface gloss. The findings promote the role of general knowledge of material properties in reach-to-grasp movements, in which visual material properties are incorporated in the spatio-temporal components.

Transcranial magnetic stimulation (TMS) studies showed that corticospinal excitability (CSE) is modulated during observation of object lifting, an effect termed 'motor resonance'. Specifically, motor resonance is driven by movement features indicating object weight, such as object size or observed movement kinematics. We investigated in 16 humans (8 females) whether motor resonance is also modulated by an object's weight distribution. Participants were asked to lift an inverted T-shaped manipulandum with interchangeable center of mass after first observing an actor lift the same manipulandum. Participants and actor were instructed to minimize object roll and rely on constrained digit positioning during lifting. Constrained positioning was either collinear (i.e., fingertips on the same height) or noncollinear (i.e., fingertip on the heavy side higher than the one on the light side). The center of mass changed unpredictably before the actor's lifts and participants were explained that their weight distribution always matched the actor's one. Last, TMS was applied during both lift observation and planning of lift actions. Our results showed that CSE was similarly modulated during lift observation and planning: when participants observed or planned lifts in which the weight distribution was asymmetrically right-sided, CSE recorded from the thumb muscles was significantly increased compared to when the weight distribution was left-sided. During both lift observation and planning, this increase seemed to be primarily driven by the weight distribution and not specifically by the (observed) digit positioning or muscle contraction. In conclusion, our results indicate that complex intrinsic object properties such as weight distributions can modulate activation of the motor system during both observation and planning of lifting actions.