Engineering Commons^™

The Development And Testing Of A Gyroscope-Based Neck Strengthening Rehabilitation Device, Nicole D. Devos

Electronic Thesis and Dissertation Repository

Neck pain can be debilitating, and is experienced by the majority of people at some point over the course of their life. Resistance training has been shown to have significant improvement in pain or disability for patients. There are few options available for telerehabilitation, and the use of gyroscope stabilizers is proposed for this use. A biomechanics model of a head--neck--gyroscope system was created. In order to also model the dynamics of such a system, this work proposes a blended method using the Denavit--Hartenberg (DH) convention, popular in the field of robotics, with the Lagrangian mechanics approach to analyze an …

Free-Hand Photoacoustic Imaging Of Breast Cancer Tissue, Elina Rascevska

Electronic Thesis and Dissertation Repository

Approximately 19% of breast cancer patients undergoing breast conserving surgery (BCS) must return for a re-excision surgery due to positive margin reported by pathology. This problem is mainly associated with lack of intraoperative cancer margin assessment tools. Our previous work demonstrated that lipid-weighted photoacoustic imaging (PAI) can be used intraoperatively to successfully differentiate between cancerous and healthy tissue with high sensitivity. However, the technology was cumbersome and significantly prolonged the procedure time. The goal of this work was to develop a compact hand-held probe, working on lipid-weighted PAI principles, that can provide feedback during BSC without significantly altering the surgical …

Evaluating Eeg–Emg Fusion-Based Classification As A Method For Improving Control Of Wearable Robotic Devices For Upper-Limb Rehabilitation, Jacob G. Tryon

Electronic Thesis and Dissertation Repository

Musculoskeletal disorders are the biggest cause of disability worldwide, and wearable mechatronic rehabilitation devices have been proposed for treatment. However, before widespread adoption, improvements in user control and system adaptability are required. User intention should be detected intuitively, and user-induced changes in system dynamics should be unobtrusively identified and corrected. Developments often focus on model-dependent nonlinear control theory, which is challenging to implement for wearable devices.

One alternative is to incorporate bioelectrical signal-based machine learning into the system, allowing for simpler controller designs to be augmented by supplemental brain (electroencephalography/EEG) and muscle (electromyography/EMG) information. To extract user intention better, sensor …

Novel Magnetic Resonance Imaging-Compatible Mechatronic Needle Guidance System For Prostate Focal Laser Ablation Therapy, Eric R. Knull

Electronic Thesis and Dissertation Repository

Advances in prostate cancer (PCa) screening techniques have led to diagnosis of many cases of low-grade and highly localized disease. Conventional whole-gland therapies often result in overtreatment in such cases and debate still surrounds the optimal method of oncologic control. MRI-guided prostate focal laser ablation (FLA) is a minimally invasive treatment option, which has demonstrated potential to destroy localized lesions while sparing healthy prostatic tissue, thereby reducing treatment-related side effects. Many challenges still exist in the development of FLA, including patient selection; tumour localization, visualization, and characterization; needle guidance; and evaluation of treatment efficacy. The objective of this thesis work …

Development And Validation Of Mechatronic Systems For Image-Guided Needle Interventions And Point-Of-Care Breast Cancer Screening With Ultrasound (2d And 3d) And Positron Emission Mammography, Claire Ks Park

Electronic Thesis and Dissertation Repository

The successful intervention of breast cancer relies on effective early detection and definitive diagnosis. While conventional screening mammography has substantially reduced breast cancer-related mortalities, substantial challenges persist in women with dense breasts. Additionally, complex interrelated risk factors and healthcare disparities contribute to breast cancer-related inequities, which restrict accessibility, impose cost constraints, and reduce inclusivity to high-quality healthcare. These limitations predominantly stem from the inadequate sensitivity and clinical utility of currently available approaches in increased-risk populations, including those with dense breasts, underserved and vulnerable populations.

This PhD dissertation aims to describe the development and validation of alternative, cost-effective, robust, and high-resolution …

Mechanical Evaluation Of Gyroid Structures To Combat Orthopaedic Implant Infections, Sydney Hitchon

Electronic Thesis and Dissertation Repository

Treatment of infected orthopaedic implants often require two separate surgeries to clear the infection and install a replacement implant. Current antimicrobial drug delivery methods are inefficient, and each additional surgery increases the physiologic burden on patients, with an increased risk of infection, decreased range of motion and longer recovery times. Porous orthopaedic implants, with adequate strength for permanent implantation and the ability to house and elude more efficient antibiotic delivery systems, could result in a single surgery to treat orthopaedic infections. Therefore, finite element models of porous gyroid structures at different porosities were developed and compared with experimental results. Discrepancies …

Modelling And Evaluation Of Piezoelectric Actuators For Wearable Neck Rehabilitation Devices, Shaemus D. Tracey

Electronic Thesis and Dissertation Repository

Neck pain is the most common neck musculoskeletal disorder, and the fourth leading cause of healthy years lost due to disability in the world. Due to the need of hands-on physical therapy and Canada’s aging population, access to treatment will become highly constrained. Wearable devices that allow at-home rehabilitation address this future limitation. However, few have emerged from the laboratory setting because they are limited by the use of conventional actuators. An overlooked type of actuation technology is that of piezoelectric actuators, more specifically, travelling wave ultrasonic motors (TWUM).

In this work, a clear procedure that outlines how the required …

The Development Of A Motion Sensing Device For Use In A Home Setting, Jaspreet K. Kalsi

Electronic Thesis and Dissertation Repository

Parkinson's disease (PD) is the second most prevalent neurodegenerative disease, with over 10 million individuals diagnosed with PD world-wide. The most common symptom characterized by PD is tremor. Tremor is an involuntary oscillatory motion that most prominently occurs in upper limb, specifically in the hand and wrist that has a measurable frequency and amplitude. This thesis aims to evaluate the usability and functionality of a tremor sensing device designed to collect quantitative data on individuals with PD. The designed device uses 23 commercially-available inertial measuring units (IMUs) located between 21 joints: distal interphalangeal (DIP) joints, proximal interphalangeal (PIP) joints, Interphalangeal …

Motion And Crosslinked Polyethylene Wear In Reverse Total Shoulder Arthroplasty, Christopher Millward

Electronic Thesis and Dissertation Repository

The reverse total shoulder arthroplasty (RTSA) has quickly grown to become the most commonly used shoulder arthroplasty design; however, reports have shown evidence of RTSA failures related to polyethylene wear and damage. Therefore, the present work investigated the wear of crosslinked polyethylene (XLPE) in environments similar to that of an in vivo RTSA. Additionally, a computational model was developed based on a previous study of the shoulder motions obtained from a selection of typical patients with RTSA. This model quantified the amount of glenohumeral motion that an RTSA may be subjected to in vivo and provided an approximate value for …

Early Biological Response Of Articular Cartilage To Hemiarthroplasty Wear, Debora Rossetti

Electronic Thesis and Dissertation Repository

Hemiarthroplasties typically result in accelerated wear of the preserved side of the joint, resulting in suboptimal clinical outcomes and limited longevity. This in vitro study investigated the effects of hemiarthroplasty implant curvature on the early biological response of articular cartilage measured by proteoglycan release, histology, and surface morphology. Cartilage from boar radiocarpal joints were worn by metal pins of varying radii of curvature (RoC) using a pin-on-plate wear simulator. Histology and proteoglycan assays showed no significant differences between RoC treatment groups, and proteoglycan assays showed increased proteoglycan release 72 hours after wear testing in worn cartilage specimens compared to control …

The Bio-Mechanical Development And Kinematic Evaluation Of Zone I And Zone Ii Injuries And Their Corresponding Surgical Repair Techniques Using An In-Vitro Active Finger Motion Simulator: A Cadaveric Study, Mohammad Haddara

Electronic Thesis and Dissertation Repository

Research development involving large scale joint mechanics and biomechanical adaptations is growing. However, interest in smaller scale joints, such as the fingers, is limited. Thus, the present work describes the enhancement and clinical application of a previously designed in-vitro active finger motion simulator in measuring and assessing intrinsic joint kinematics and tissue biomechanics including load transfer and strains induced tissues within the finger. Accuracy of electromagnetic tracking (EM) systems were evaluated compared to the standard optical tracking systems and used to develop motion derived finger joint coordinate systems. Moreover, minute strain gauges were utilized to measure strains induced by the …

Biomechanical Analysis Of Ligament Modelling Techniques And Femoral Component Malrotation Following Tka, Liam A. Montgomery

Electronic Thesis and Dissertation Repository

Previous studies have demonstrated that satisfaction and revision rates following total knee arthroplasty (TKA) are lower than those of comparable surgeries such as total hip replacements. A leading cause for these revisions is joint instability which may be due to improper ligament balancing or poorly aligned surgical implants. One of the methods used to investigate biomechanical forces and kinematics is computational modelling of the post-operative TKA knee.

A unique knee model was used to investigate the biomechanical and kinematic effects of ligament model complexity, as well as the effects of simulating ligament wrapping versus ignoring ligament wrapping. We then used …

Biomaterial For Cervical Intervertebral Disc Prosthesis, Helium Mak

Electronic Thesis and Dissertation Repository

Recent long-term follow-up studies have shown that the cervical disc arthroplasty treatment have potentials in developing surrounding heterotopic ossification (HO). While its cause requires further investigation, this thesis has hypothesized that it may be the result of the continual remodeling of the injured vertebrae caused by the prostheses with smaller footprints introducing abnormal stresses. The research objective of this thesis is to develop a new prosthesis material that can be molded into any form conforming to the size and shape of the end-plates of the affected patient vertebrae. For prototype development, a composite material consisting of 10wt% polyvinyl alcohol cryogel …

Development Of A Wireless Telemetry Load And Displacement Sensor For Orthopaedic Applications, William Anderson

Electronic Thesis and Dissertation Repository

Due to sensor size and supporting circuitry, in vivo load and deformation measurements are currently restricted to applications within larger orthopaedic implants. The objective of this thesis is to repurpose a commercially available low-power, miniature, wireless, telemetric, tire-pressure sensor (FXTH87) to measure load and deformation for future use in biomechanical applications. The capacitive transducer membrane of the FXTH87 was modified, and a relationship was reported between applied compressive deformation and sensor signal value. The sensor package was embedded within a deformable enclosure to illustrate potential applications of the sensor for monitoring load. Finite element analysis was an effective tool to …

Snapshot Three-Dimensional Surface Imaging With Multispectral Fringe Projection Profilometry, Parsa Omidi

Electronic Thesis and Dissertation Repository

Fringe Projection Profilometry (FPP) is a popular method for non-contact optical surface measurements, including motion tracking. The technique derives 3D surface maps from phase maps estimated from the distortions of fringe patterns projected onto the surface of an object. Estimation of phase maps is commonly performed with spatial phase retrieval algorithms that use a series of complex data processing stages. Researchers must have advanced data analysis skills to process FPP data due to a lack of availability of simple research-oriented software tools. Chapter 2 describes a comprehensive FPP software tool called PhaseWare^TM that allows novice to experienced users to …

Development Of A Wearable Haptic Feedback Device For Upper Limb Prosthetics Through Sensory Substitution, Marco B.S. Gallone

Electronic Thesis and Dissertation Repository

Haptics can enable a direct communication pipeline between the artificial limb and the brain; adding haptic sensory feedback for prosthesis wearers is believed to improve operation without drawing too much of the user's attention. Through neuroplasticity, the brain can become more cognizant of the information delivered through the skin and may eventually interpret it as inherently as other natural senses. In this thesis, a wearable haptic feedback device (WHFD) is developed to communicate prosthesis sensory information. A 14-week, 6-stage, between subjects study was created to investigate the learning trajectory as participants were stimulated with haptic patterns conveying joint proprioception. 37 …

In-Clinic Functional Measurement And Analysis Of Knee Osteoarthritis Patients Undergoing Total Knee Replacement, Riley A. Bloomfield

Electronic Thesis and Dissertation Repository

Prevalence of osteoarthritis is increasing as individuals are remaining active later in life. Since the knee is one of the most commonly affected joints and is involved in almost all daily activities, functional impairment has a substantial impact on overall health. Despite this increase, there currently exists no disease modifying drugs or treatments. Mild cases are managed with physiotherapeutic exercises and common anti-inflammatories but surgical intervention is required for more severe disease progression.

Total knee replacement as a treatment for osteoarthritis is a highly successful surgery that is effective at restoring knee function and reducing pain but still requires further …

Motion Intention Estimation Using Semg-Acc Sensor Fusion, Jose Alejandro Lopez

Electronic Thesis and Dissertation Repository

Musculoskeletal injuries can severely impact the ability to produce and control body motion. In order to regain function, rehabilitation is often required. Wearable smart devices are currently under development to provide therapy and assistance for people with impaired arm function. Electromyography (EMG) signals are used as an input to pattern recognition systems to determine intended movements.

However, there is a gap between the accuracy of pattern recognition systems in constrained laboratory settings, and usability when used for detecting dynamic unconstrained movements. Motion factors such as limb position, interaction force, and velocity, are known to have a negative impact on the …

Feasibility Of Twisted Coiled Polymer Actuators For Use In Upper Limb Wearable Rehabilitation Devices, Brandon P.R. Edmonds

Electronic Thesis and Dissertation Repository

Throughout your lifetime, it is nearly impossible to avoid at least one musculoskeletal condition that requires rehabilitation, and for a world containing billions of people, the costs associated with these conditions have become a huge economic burden. Nevertheless, the scientific community has become increasingly aware of the growing potential for wearable mechatronic systems to assist with upper-limb musculoskeletal rehabilitation; however, one limiting factor to their clinical acceptance lies in the development of actuation solutions. Conventional actuators are rigid and cylindrical in nature, requiring additional features to provide the proper forces, torques, and motion direction, required for human interaction. Another type …

Lanthanide Nanoparticles As Contrast Agents For In Vivo Dual Energy Microcomputed Tomography Of The Mouse Vasculature, Charmainne Cruje

Electronic Thesis and Dissertation Repository

Dual energy (DE) computed tomography (CT) has the capability to influence medicine and pre-clinical research by providing quantitative information that can detect nascent lesions, identify perfusion restoration or inhomogeneities within tissues, and recognize the presence of calcium deposits. A wide variety of instrumentation techniques and scan protocols have been developed for DE CT, with a common goal of acquiring a pair of images that reports the attenuation of a given volume to two different x-ray distributions. While DE image acquisition has benefitted from technical advancements in CT, the contrast agents that are used are still predominantly composed of iodinated small …

Development Of An Active Infection Monitoring Knee Spacer For Two-Stage Revision, Michael K. Lavdas

Electronic Thesis and Dissertation Repository

Infections requiring surgical revision occur in ~3% of total knee arthroplasty (TKA) procedures. The standard treatment for TKA infection in North America is referred to as the two-stage revision process. Unfortunately, the success rate of the two-stage revision is low, at roughly 85%. There are indications that the two-stage revision may fail to clear the infection due to unsatisfactory diagnostic tools. This thesis depicts the development and evaluation of a novel telemetric sensing package designed for integration into the two-stage revision process. Studies within evaluate its performance through sensor validation, thermal insulation testing, radio frequency penetration evaluation, a cadaveric loading …

The Of Application Of 3d-Printing To Lumbar Spine Surgery, Andrew J. Kanawati

Electronic Thesis and Dissertation Repository

Rapid prototyping refers to the manufacturing process in which a three-dimensional (3D) digital model can be transformed into a physical model by layering material in the shape of successive cross sections atop of previously layers. Rapid prototyping has been increasing in popularity in the field of medicine and surgery due to the ability to personalize various aspects of patient care. The thesis will explore the use of rapid prototyping in lumbar spine surgery, aim to quantify the accuracy of medical imaging when relating to imaged structures and their corresponding models produced by rapid prototyping, and determine if complex patient-specific guides …

A Wearable Mechatronic Device For Hand Tremor Monitoring And Suppression: Development And Evaluation, Yue Zhou

Electronic Thesis and Dissertation Repository

Tremor, one of the most disabling symptoms of Parkinson's disease (PD), significantly affects the quality of life of the individuals who suffer from it. These people live with difficulties with fine motor tasks, such as eating and writing, and suffer from social embarrassment. Traditional medicines are often ineffective, and surgery is highly invasive and risky. The emergence of wearable technology facilitates an externally worn mechatronic tremor suppression device as a potential alternative approach for tremor management. However, no device has been developed for the suppression of finger tremor that has been validated on a human.

It has been reported in …

Investigation Of Visual Perceptions In Parkinson's Disease And The Development Of Disease Monitoring Software, Matthew Bernardinis

Electronic Thesis and Dissertation Repository

Non-motor Parkinson’s Disease (PD) symptoms are substantial factors of PD arising throughout disease stages, yet their diagnosis and monitoring remain a challenge. Sensory abnormalities in PD occur across sensory systems and disease stages, contributing to disease-related impairments. However, the extent of symptoms is unknown, with inadequate monitoring and treatment options furthering disease management difficulties. The current work studies movement-independent visual perceptions of time, displacement and velocity in PD patients across disease stages using levodopa, deep brain stimulation (DBS), or no PD therapy. Perceptual tasks were conducted using a computer-generated graphical device designed with a focus on simplicity and flexibility. Perception …

Quantifying The Outcomes Of A Virtual Reality (Vr)-Based Gamified Neck Rehabilitation, Shahan Salim

Electronic Thesis and Dissertation Repository

Neck pain is a major global public health concern and adds a significant financial burden to both the healthcare system as well as people suffering from it. Additionally, it presents measurement and evaluation challenges for clinicians as well as adherence challenges and treatment barriers for the patients. We have developed a virtual reality (VR)-based video game that can be used to capture outcomes that may aid in the assessment and treatment of neck pain. We investigated: (i) performance metrics of overall accuracy, accuracy based on movement difficulty, duration, and total envelope of movement; (ii) stability across sessions; (iii) accuracy across …

Remote Navigation And Contact-Force Control Of Radiofrequency Ablation Catheters, Daniel Gelman

Electronic Thesis and Dissertation Repository

Atrial fibrillation (AF), the most common and clinically significant heart rhythm disorder, is characterized by rapid and irregular electrical activity in the upper chambers resulting in abnormal contractions. Radiofrequency (RF) cardiac catheter ablation is a minimally invasive curative treatment that aims to electrically correct signal pathways inside the atria to restore normal sinus rhythm. Successful catheter ablation requires the complete and permanent elimination of arrhythmogenic signals by delivering transmural RF ablation lesions contiguously near and around key cardiac structures. These procedures are complex and technically challenging and, even when performed by the most skilled physician, nearly half of patients undergo …

Evaluation Of Individual Finger Forces During Activities Of Daily Living In Healthy Individuals And Those With Hand Arthritis, Michael Riddle

Electronic Thesis and Dissertation Repository

Hand-Osteoarthritis (H-OA) leads to pain, loss of grip strength, and decreased hand function. Current treatment for H-OA involves joint protection programs (JPP) which seek to reduce joint loading during activity. The use of wearable technology to measure hand forces during activity has the potential to determine the effectiveness of JPP. The objective of this thesis was to develop and validate a method of directly measuring finger forces during the performance of activities of daily living, and then use that system to measure the envelope of hand forces during activity in healthy individuals and in patients with H-OA. A commercially-available capacitive …

Development Of A Force-Based Ream Vector Measurement System For Glenoid Reaming Simulation, David Axford

Electronic Thesis and Dissertation Repository

Glenoid reaming is a technically challenging step during total shoulder arthroplasty surgery that may be improved through frequent practice and exposure to simulation training. At our institution, a vibration haptic glenoid reaming simulator is being developed that simulates the vibrations felt during glenoid reaming. This thesis presents the development of a force-based reamer vector measurement system that allows the simulator to measure the user’s net applied force and reamer angle of approach. This capability allows for the simulation of eccentric reaming maneuvers commonly used to adjust the glenoid orientation. The system error was characterized and evaluated using a robot to …

Tissue Equivalent Gellan Gum Gel Materials For Clinical Mri And Radiation Dosimetry, Pawel Brzozowski

Electronic Thesis and Dissertation Repository

Hydrogels contain high amount of water allowing their use as surrogates to human tissues with specific properties that can be tuned by additives. Gellan gum is a gel-forming material of interest and is a replacement for other common gelling agent with limited use as a tissue phantom. Therefore, this thesis examines the application of gellan gum gels as a novel magnetic resonance imaging (MRI) phantom with a design of experiments model to obtain tunable properties. The analysis was extended to include mechanical and electrical properties with a separate design of experiment. Gels doped with synthesized superparamagnetic iron oxide nanoparticles (SPIONs) …

Tibiotalar Arthrodesis: Development Of A Novel Jig And Alignment Guide, Adam Mathew Ropchan

Electronic Thesis and Dissertation Repository

Tibiotalar arthrodesis is a surgical procedure, used for the treatment of end-stage ankle arthrosis and instability. There are dozens of described procedures in the literature, all with varying rates of success. Two of the most common reasons for reoperation in tibiotalar arthrodesis are nonunion and infection; few studies have established any associations between patient/surgical factors and reoperation for nonunion and infection.

The first part of this thesis focuses on determining the rate of reoperation to the ipsilateral lower limb and if any patient/surgical factors are associated with reoperation for nonunion and infection. The second part of this thesis turns attention …