Engineering Commons^™

Using Dynamic In Vivo Kinematics For Subject-Specific Calibration Of Knee Ligament Parameters, Stephen Nelson

Boise State University Theses and Dissertations

In vivo clinical studies are the optimal way to investigate the biomechanical outcomes of new prosthetic devices. This particular style of testing can be difficult and, in certain cases, unethical to perform. The testing of unproven devices, surgical techniques, and materials put patients at risk from unanticipated outcomes in how these devices respond to the in vivo environment and patient-specific loading conditions. Biomechanical computational models were developed to provide validation to new devices prior to clinical testing. Computational models for use in optimizing knee prosthetics frequently include ligament representations, but these representations have inherent uncertainty due to wide intersubject variation …

Broadening The Capability Of Kinetics Analysis In Biomechanics, Nicholas Nelson

Electronic Theses and Dissertations

Two studies are discussed in this manuscript each preceded by a literature review of the topic. The first review and study explore agility movements and the effect that alternative upper designs in shoes might have on ground reaction force measures of performance. The second review and study evaluate methods of predicting ground reaction forces without the use of a force platform. A method of using effective forces and ways of improving its accuracy are evaluated in depth.

In Vitro Biomechanical Analyses Of The Pcl And Medial Ligaments Of The Human Knee, Alireza Moslemian

Electronic Thesis and Dissertation Repository

Previous studies have shown that surgical treatments of PCL injuries are not successful in all cases and there is room for improvement. The effectiveness of an isolated PCL reconstruction, in the setting of what actually is a multi-ligament injury, may be inadequate, and therefore the biomechanical contribution of other ligaments in a PCL-deficient knee need to be better understood.

A new apparatus was used to analyze the effect of medial ligaments transection on the kinematics of the PCL-deficient knee during simulated clinical tests and activities of daily living. We observed that the anterior translation of the medial side of the …

Side-To-Side Comparison Of Total Shoulder Arthroplasty And Intact Function In Individuals, Sarah Rose Walden

Electronic Theses and Dissertations

Total Shoulder Arthroplasty (TSA) is a surgery which replaces the shoulder joint, or the interface between the humerus and the scapula glenoid. To test TSA success, most prior research compares patients with TSA to healthy controls. However, the shoulder anthropometry, motion, and musculature of individuals varies widely across the population making it important to assess TSA performance in individuals. The overall goal of this study is to determine if patients with one of two TSA implant designs on one side achieve the same range of motion as their intact side, and if so to find if they compensate using increased …

Statistical Modeling To Investigate Anatomy And Function Of The Knee, Lowell Matthew Smoger

Electronic Theses and Dissertations

The natural knee is a hinge joint with significant functional requirements during activities of daily living; as a result, acute and chronic injuries can occur. Pathologies are influenced by joint anatomy and may include patellar maltracking, cartilage degeneration (e.g. osteoarthritis), or acute injuries such as meniscal or ligamentous tears. Population variability makes broadly applicable conclusions about etiology of these conditions from small-scale investigations challenging. The work presented in this dissertation is a demonstration of statistical modeling approaches to evaluate population variability in anatomy of the knee and function of its tibiofemoral (TF) and patellofemoral (PF) joints. Three-dimensional (3D) computational models …

Investigation Of In-Vivo Hindfoot And Orthotic Interactions Using Bi-Planar X-Ray Fluoroscopy, Kristen M. Bushey

Electronic Thesis and Dissertation Repository

A markerless RSA method was used to determine the effect of orthotics on the normal, pes planus and pes cavus populations. Computed tomography (CT) was used to create bone models that were imported into the virtual environment. Joint coordinate systems were developed to measure kinematic changes in the hindfoot during weight-bearing gait and quiet standing. The objectives of this thesis were to (1) implement a fluoroscopy-based markerless RSA system on the foot, (2) determine the effect of various orthotics at midstance of fully weight-bearing dynamic gait, and (3) determine the effect of orthotics as measured using three different techniques. Every …

Dynamics, Electromyography And Vibroarthrography As Non-Invasive Diagnostic Tools: Investigation Of The Patellofemoral Joint, Filip Leszko

Doctoral Dissertations

The knee joint plays an essential role in the human musculoskeletal system. It has evolved to withstand extreme loading conditions, while providing almost frictionless joint movement. However, its performance may be disrupted by disease, anatomical deformities, soft tissue imbalance or injury. Knee disorders are often puzzling, and accurate diagnosis may be challenging. Current evaluation approach is usually limited to a detailed interview with the patient, careful physical examination and radiographic imaging. The X-ray screening may reveal bone degeneration, but does not carry sufficient information of the soft tissue conditions. More advanced imaging tools such as MRI or CT are available, …

Development Of A Rigid Body Forward Solution Physiological Model Of The Lower Leg To Predict Non Implanted And Implanted Knee Kinematics And Kinetics, John Kyle Patrick Mueller

Doctoral Dissertations

This dissertation describes the development and results of a physiological rigid body forward solution mathematical model that can be used to predict normal knee and total knee arthroplasty (TKA) kinematics and kinetics. The simulated activities include active extension and weight-bearing deep knee bend. The model includes both the patellofemoral and tibiofemoral joints. Geometry of the normal or implanted knee is represented by multivariate polynomials and modeled by constraining the velocity of lateral and medial tibiofemoral and patellofemoral contact points in a direction normal to the geometry surface.

Center of mass, ligament and muscle attachment points and normal knee geometry were …