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Biomechanics and Biotransport

Theses/Dissertations

2022

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Full-Text Articles in Biomedical Engineering and Bioengineering

Development Of A Crosslinked Osteochondral Xenograft And A Collagen Stabilizing Intra-Articular Injection To Remediate Cartilage Focal Lesions To Prevent Osteoarthritis, Mark Lewis Mosher Dec 2022

Development Of A Crosslinked Osteochondral Xenograft And A Collagen Stabilizing Intra-Articular Injection To Remediate Cartilage Focal Lesions To Prevent Osteoarthritis, Mark Lewis Mosher

Theses and Dissertations

Osteoarthritis is one of the most common causes of disability in adults in America. It is a progressive and degenerative disease where the articular cartilage is broken down and lost from the surfaces of bones causing chronic pain and swelling in the joints, and currently has no cure. The most commonly osteoarthritis starts from a focal lesion on the cartilage surface, which will expand on the surface and downwards through the thickness of the tissue. The current gold standard for correcting cartilage focal lesions is the osteochondral autograft/allograft transplantation (OAT), which replaces the defect with a fresh osteochondral graft. The …


Tibial Compression During Activities Of Daily Living In Young And Older Adults, Elijah Miles Walker Dec 2022

Tibial Compression During Activities Of Daily Living In Young And Older Adults, Elijah Miles Walker

Boise State University Theses and Dissertations

Introduction: Stress fracture, particularly in the tibia, is a growing concern among older adults (greater than 65 years). Older adults may have inherent stress fracture risk from ageing-related changes to their musculoskeletal system. Specifically, older adults reduced ankle neuromuscular function may impair their ability to attenuate repetitive compressive forces experienced during daily locomotor tasks and increase the likelihood of suffering bone damage from decreased bone tissue elasticity. Yet, it is currently unknown if older adults exhibit greater tibial compression than their younger counterparts during locomotor tasks. Purpose: This study sought to quantify tibial compression for older and younger adults when …


In Vitro Bioreactor For Mechanical Control And Characterization Of Tissue Constructs, Samuel Coeyman Dec 2022

In Vitro Bioreactor For Mechanical Control And Characterization Of Tissue Constructs, Samuel Coeyman

All Dissertations

Heart failure (HF) currently affects over 6 million Americans, 50% of whom die within 5 years of their initial diagnosis. A major contributor to the onset of HF is cardiac fibrosis in the myocardium, which arises when fibroblasts (FBs) are activated in response to heightened mechanical stress from overload conditions like hypertension. Activated FBs remodel the extracellular matrix (ECM) and secrete ECM proteins including collagen. FB remodeling has been studied in the past by applying forces and/or deformations to three-dimensional, cell-seeded gels and tissue constructs in vitro. Unfortunately, previous stretching platforms have traditionally not enabled mechanical property assessment to be …


A Two-Layer Continuous-Capillary Oxygen Transport Model: Development And Application To Blood Flow Regulation In Resting Skeletal Muscle., Keith C. Afas Aug 2022

A Two-Layer Continuous-Capillary Oxygen Transport Model: Development And Application To Blood Flow Regulation In Resting Skeletal Muscle., Keith C. Afas

Electronic Thesis and Dissertation Repository

In skeletal muscle (SM), the microcirculation distributes blood flow to capillary networks to meet local oxygen (O2) demand. Experiments using intra-vital video microscopy (IVVM) have quantified blood flow and O2 supply in capillary networks, and using an O2 exchange chamber have measured local changes in blood flow believed due to O2-dependent regulation. However, IVVM is unable to simultaneously measure capillary O2 supply and SM O2 content, implying the need for theoretical models to understand how flow regulation and SM oxygenation interact. In this thesis, a novel blood-tissue O2 transport model using …


Restoring An Iso:5840-Compliant Pulse Duplicator Device For Hydrodynamic Performance Characterization Of Artificial Cardiac Valves, Denver Eagar Aug 2022

Restoring An Iso:5840-Compliant Pulse Duplicator Device For Hydrodynamic Performance Characterization Of Artificial Cardiac Valves, Denver Eagar

Biomedical Engineering Undergraduate Honors Theses

During the summer of 2021, I was employed as an intern at Dynatek Labs, an implantable prosthetics testing company located in southern Missouri. My primary project was to modernize an abandoned pulse duplicator device and protocol to allow the company to re-enter a market area which they left nearly 15 years prior: heart valve testing. The company halted this initiative due to changes in international testing standards in previous years. The International Standards Organization Cardiac Valves Working Group released the latest version of standards concerning artificial heart valve testing (ISO 5840) in January of 2021. Accordingly, my project required that …


Predicting Surgical Outcome In Patients With Recurrent Patellar Dislocation, Dario De Caro Aug 2022

Predicting Surgical Outcome In Patients With Recurrent Patellar Dislocation, Dario De Caro

Boise State University Theses and Dissertations

Introduction

Lateral dislocation of the patella is a common injury in active adolescents and young adults. Patients who are ultimately managed surgically have a significantly lower risk of recurrent dislocation. However, determining the optimal surgical treatment remains a challenge, with patients sometimes undergoing multiple surgeries prior to successful stabilization. The aim of this study is to computationally evaluate patients that have undergone multiple surgeries to correct for recurrent lateral patellar dislocation and predict their clinical outcome.

Methods

Our patient cohort consisted of 16 patients with patella dislocation. Patient-specific imaging were used to create three-dimensional (3D) finite element (FE) models of …


The Development And Analysis Of Methods Used To Evaluate American Football Facemasks, Alexander Bina Aug 2022

The Development And Analysis Of Methods Used To Evaluate American Football Facemasks, Alexander Bina

All Dissertations

The motivation for this Ph.D. dissertation is to provide football equipment managers, coaches, parents, athletes, and relevant industry personnel with an understanding of the implication a chosen football facemask design will have on the safety of the athlete. As athletes have increased their capacity for speed, size, and strength, so too has the head injury risk increased in American football. To align with the increase in head impact injury in American football, the protective head impact community must expand its capacity to evaluate protective equipment systems. This dissertation focuses specifically on one helmet system component: the football facemask. This dissertation …


Multi-Scale Vertebral-Kinematics Based Simulation Pipeline Of The Human Spine With Application To Spine Tissues Analysis, Mohd Jaradat Aug 2022

Multi-Scale Vertebral-Kinematics Based Simulation Pipeline Of The Human Spine With Application To Spine Tissues Analysis, Mohd Jaradat

All Dissertations

This study developed an analytical tool for understanding spine tissues’ behavior in response to vertebral kinematics and spine pathology over a range of body postures. It proposed a novel pipeline of computational models based on predicting individual vertebral kinematics from measurable body-level motions, using musculoskeletal dynamics simulations to drive the vertebrae in corresponding spine FEMs.

A reformulated elastic surface node (ESN) lumbar model was developed for use in MSD simulations. The ESN model modifies the lumbar spine within an existing MSD model by removing non-physiological kinematic constraints and including elastic IVD behavior. The model was scaled using subject-specific anthropometrics and …


Using In Vitro, In Silico, And In-Classroom Techniques To Address The Gender Data Gap In Health Care, Kelsey Watts Aug 2022

Using In Vitro, In Silico, And In-Classroom Techniques To Address The Gender Data Gap In Health Care, Kelsey Watts

All Dissertations

Cardiovascular diseases (CVDs) are the leading cause of death worldwide in males (XY) and females (XX). Prior to menopause, females have a relative protection against serious cardiac pathologies compared to age-matched males. This phenomenon is widely attributed to the ovarian hormone estrogen. Unfortunately, hormone replacement therapy to maintain estrogen levels in postmenopausal females has overall adverse effects, and it is not recommended for long-term use or as a preventative measure for eCVDs. A major driver of CVDs, specifically heart failure, is cardiac fibrosis: the continued buildup of scar tissue that reduces the heart’s ability to pump. There are currently no …


Development Of A Reverse Engineered, Parameterized, And Structurally Validated Computational Model To Identify Design Parameters That Influence American Football Faceguard Performance, William Ferriell Aug 2022

Development Of A Reverse Engineered, Parameterized, And Structurally Validated Computational Model To Identify Design Parameters That Influence American Football Faceguard Performance, William Ferriell

All Dissertations

Traumatic brain injury (TBI) continues to have the greatest incidence among athletes participating in American football. The headgear design research community has focused on developing accurate computational and experimental analysis techniques to better assess the ability of headgear technology to attenuate impacts and protect athletes from TBI. Despite efforts to innovate the headgear system, minimal progress has been made to innovate the faceguard. Although the faceguard is not the primary component of the headgear system that contributes to impact attenuation, faceguard performance metrics, such as weight, structural stiffness, and visual field occlusions, have been linked to athlete safety. To improve …


Characterization Of Thermal Gelation Properties In Bioresorbable Thermally Activated Hydrogel Polymers For Hernia Surgery Applications, Alexander Mayfield Aug 2022

Characterization Of Thermal Gelation Properties In Bioresorbable Thermally Activated Hydrogel Polymers For Hernia Surgery Applications, Alexander Mayfield

All Theses

Hydrogel adhesives are a new class of materials with excellent biocompatibility, which makes them very attractive for biomaterial applications. It has been previously shown that Tetronic T1107, a four-arm poly (propylene oxide)-poly (ethylene oxide) (PPO-PEO) block copolymer, is useful as a chemical crosslinking thermo-responsive hydrogel for bioadhesive applications. The end groups of this polymer are modified with acrylate and N-hydroxysuccinimide (NHS) functional groups. The acrylate end group gives the polymer cohesive properties with long-range chemical crosslinking using dithiothreitol (DTT), while the NHS end group gives the polymer adhesive properties through bonding with amines found in organic tissue. It was found …


Effect Of Dorsal Quadrant Or Ventral Quadrant Spinal Cord Injury On Gait Features During Locomotion., Anya Nicole Trell Aug 2022

Effect Of Dorsal Quadrant Or Ventral Quadrant Spinal Cord Injury On Gait Features During Locomotion., Anya Nicole Trell

Electronic Theses and Dissertations

In the Unites States, approximately 1.5 million people currently have a spinal cord injury and suffer permanent sensory and motor loss due to the disruption of the spinal cord. Due to the significant morbidity, it is vital to understand the functional impact of disrupting neural descending pathways that modulate spinal neurons involved in intermuscular coordination critical for gait behaviors. Tasks that are more difficult require additional input from these neural pathways; therefore, fourteen feline subjects were familiarized with level overground locomotion and stair descent gait tasks. After collection of baseline kinematic data, the subjects received either a dorsal or ventral …


Variations In Surgeon-Applied Loads During Passive Range Of Motion Following Total Knee Replacement With Relevance To Computational Modeling, Cj Bakle Ii Jun 2022

Variations In Surgeon-Applied Loads During Passive Range Of Motion Following Total Knee Replacement With Relevance To Computational Modeling, Cj Bakle Ii

All Theses

Total knee replacement (TKR) is generally considered a successful treatment for musculoskeletal disorders of the knee. However, as many as 20% of patients report some dissatisfaction in their physical function after TKR. And approximately 50% of early revisions needed to address conditions related to component alignment and soft tissue tension to stabilize the knee. During TKR, surgeons manually perform passive range of motion (ROM) assessments to gain feedback perceived as tension in ligaments and other soft tissues. Such assessments are highly subjective and rely on the surgeon's perception of soft tissue tension rather than quantitative objective means. The variability in …


The Interconnection Of The Vestibular And Oculomotor Systems Analyzed In Healthy Young Adults By Examining Postural Sway, Cassandra Martin May 2022

The Interconnection Of The Vestibular And Oculomotor Systems Analyzed In Healthy Young Adults By Examining Postural Sway, Cassandra Martin

Theses

In order to study the human brain in a non-invasive way, the vestibular and oculomotor systems have been analyzed simultaneously. To achieve this, an eye movement and balance assessment was conducted for 29 (23 male; 21.6 ± 3.8 years) healthy participants with no history of concussions, brain injuries, vertigo, migraines, brain surgeries, eye surgeries, or amblyopia. The tasks consisted of eyes open, eyes closed, horizontal saccades, vertical saccades, vergence jumps, horizontal vestibulo-ocular reflex (VOR), and vertical VOR. Each task was completed in two stances: feet shoulder width apart and feet together. Distance, velocity, sway area, center of pressure (COP) frequency, …


Aerodynamics And Turbulent Wake-Flow Characteristics Of Owls During Flapping Flight, Krishnamoorthy Krishnan May 2022

Aerodynamics And Turbulent Wake-Flow Characteristics Of Owls During Flapping Flight, Krishnamoorthy Krishnan

Electronic Theses and Dissertations

Owls exhibit unique flight capabilities in the low Reynolds number flow regime which is prone to complex viscous flow phenomena. They possess unique feather features and flexible wing structures which are postulated to help them fly nearly silently and stably at low speeds in a complex flow setting. Understanding the aerodynamics of owls could pave the way to enhance the future designs of small flying vehicles. Though it has been a focus of research over multiple decades, no conclusive agreement has been attained on the aerodynamic mechanisms associated with owl flight. Particularly, the aerodynamics of flapping owl flight is severely …


Alternative Fixation Of Venous Valves For Bioprosthetic Applications, Makenzie Kapales May 2022

Alternative Fixation Of Venous Valves For Bioprosthetic Applications, Makenzie Kapales

Biomedical Engineering Undergraduate Honors Theses

Venous valve failure allows for the retrograde, or backward, flow of blood into the lower extremities, which leads to Chronic Venous Insufficiency (CVI). CVI infringes upon quality of life through ulceration and can result in death due to Deep Vein Thrombosis (DVT), or blood clots, causing pulmonary embolism. A successful treatment of CVI restores valve function and prevents retrograde blood flow; however, current bioprosthetic venous valves exhibit low patency and high calcification. To improve upon bioprosthetic venous valves and CVI treatment, the University of Arkansas’s Cardiovascular Biomechanics Lab conducts studies with the purpose of comparing the properties and performance of …


Insole Fall Prevention Device, Nick M. Hughes, Andrew M. Slaboda May 2022

Insole Fall Prevention Device, Nick M. Hughes, Andrew M. Slaboda

Biomedical Engineering

Falls among the aging population occur every single day, with 1 in every 5 resulting in some injury and 300,000 hospitalized every year with a hip fracture [1]. The most popular and effective way to mitigate these falls is through physical therapist intervention. However, with the increased popularity in telerehab, many patients at risk for falls cannot accurately convey their gait tendencies to their physical therapists from the comfort of their home or while not in direct contact with the PT. A device like an insole, implanted with force sensors, which measures different parts of a patient’s foot, could convey …


Design Of A Four Channel Pulsatile Perfusion Bioreactor For Ex-Vivo Study Of Vascular Grafts, Thomas M. Fair May 2022

Design Of A Four Channel Pulsatile Perfusion Bioreactor For Ex-Vivo Study Of Vascular Grafts, Thomas M. Fair

All Theses

Cardiovascular diseases are the leading cause of death in the United States. Atherosclerosis in peripheral arteries is a major contributing factor. Autologous saphenous vein grafts are the most common bypass grafts for treating peripheral artery diseases. A quarter of these grafts fail within a year, and around half have failed within 10 years of the initial surgery. Graft failure is attributed to the development of intimal hyperplasia indicated by the migration and proliferation of vascular smooth muscle cells, fibroblasts, and the deposition of extracellular proteins.

Increases in flow, pressure, the pulse frequency, and the differential of pressure that model an …


Release Kinetics Of Metronidazole From 3d Printed Silicone Scaffolds., Sydney E. Herold May 2022

Release Kinetics Of Metronidazole From 3d Printed Silicone Scaffolds., Sydney E. Herold

Electronic Theses and Dissertations

Sustained local administration of active agents has been proposed to cure bacterial vaginosis in the female reproductive tract and restore the resident bacterial fauna. Bioprinting has shown promise for the development of systems for local agent delivery. In contrast to oral ingestion, agent release kinetics can be fine-tuned by bioprinting specialized scaffold designs tailored for particular treatments while enhancing dosage effectiveness via localized sustained release. It has been challenging to establish scaffold properties for sustained release as a function of fabrication parameters. Towards this goal, we evaluate 3D printed scaffold formulation and feasibility to sustain release of metronidazole, a representative …


The Application Of Digital Volume Correlation Bone Strain Measurements In The Osteoarthritic Glenohumeral Joint, Jakub R. Targosinski Apr 2022

The Application Of Digital Volume Correlation Bone Strain Measurements In The Osteoarthritic Glenohumeral Joint, Jakub R. Targosinski

Electronic Thesis and Dissertation Repository

This thesis investigates the accuracy and precision of digital volume correlation measurements derived from micro-computed tomography imagery of interfaces in the upper extremity of clinical relevance, namely, the implant-cement-bone interface of glenoid implants used in total shoulder arthroplasties and the implant-bone interface of shoulder hemiarthroplasties. The works within derive relationships between measurement accuracy and precision and parameters of practical interest such as image quality and measurement spatial resolution. It also analyzes the effects of micro-computed tomography image artifact-inducing materials on the accuracy and precision of digital volume correlation-based measurements and the spatial relationship between distance between the artifacting material and …


A Novel Ultrasound Elastography Technique For Evaluating Tumor Response To Neoadjuvant Chemotherapy In Patients With Locally Advanced Breast Cancer, Niusha Kheirkhah Apr 2022

A Novel Ultrasound Elastography Technique For Evaluating Tumor Response To Neoadjuvant Chemotherapy In Patients With Locally Advanced Breast Cancer, Niusha Kheirkhah

Electronic Thesis and Dissertation Repository

Breast cancer is the second most diagnosed cancer in women, estimated to affect 1 in 8 women during their lifetime. About 10% to 20% of new breast cancer cases are diagnosed with locally advanced breast cancer (LABC). LABC tumors are usually larger than 5 cm and/or attached to the skin or chest wall. It has been reported that when such cases are treated with surgery alone, metastasis and mortality rates are high, especially where skin involvement or attachment to the chest wall is extensive. As such, efficient treatment for this kind of breast cancer includes neoadjuvant chemotherapy (NAC) to shrink …


A Meshless Approach To Computational Pharmacokinetics, Anthony Matthew Khoury Apr 2022

A Meshless Approach To Computational Pharmacokinetics, Anthony Matthew Khoury

Doctoral Dissertations and Master's Theses

The meshless method is an incredibly powerful technique for solving a variety of problems with unparalleled accuracy and efficiency. The pharmacokinetic problem of transdermal drug delivery (TDDD) is one such topic and is of significant complexity. The locally collocated meshless method (LCMM) is developed in solution to this topic. First, the meshless method is formulated to model this transport phenomenon and is then validated against an analytical solution of a pharmacokinetic problem set, to demonstrate this accuracy and efficiency. The analytical solution provides a locus by which convergence behavior are evaluated, demonstrating the super convergence of the locally collocated meshless …


The Effects Of A Porous Internal Lattice Design On The Articular Contact Mechanics Of Radial Head Hemiarthroplasty Implants, Jessica Benitah Mar 2022

The Effects Of A Porous Internal Lattice Design On The Articular Contact Mechanics Of Radial Head Hemiarthroplasty Implants, Jessica Benitah

Electronic Thesis and Dissertation Repository

Hemiarthroplasty, where one side of a joint is replaced, is a minimally invasive procedure. It allows for the preservation of native tissue, though a significant ramification is accelerated cartilage wear when articulating with high stiffness materials that do not mimic the mechanical stiffness of the native tissue. An implant that employs a lattice design can significantly lower the stiffness of a solid structure whilst maintaining strength. This study was conducted to investigate the effect of implementing a porous internal lattice structure with a thin outer shell on the articular contact mechanics, using a radial head hemiarthroplasty. It was hypothesized that …


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 Mar 2022

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 …


Characterizing Mechanical Regulation Of Bone Metastatic Breast Cancer Cells, Boyuan Liu Mar 2022

Characterizing Mechanical Regulation Of Bone Metastatic Breast Cancer Cells, Boyuan Liu

Doctoral Dissertations

Breast cancer most frequently metastasizes to the skeleton. Bone metastatic cancer is incurable and induces wide-spread bone osteolysis, resulting in significant patient morbidity and mortality. Mechanical stimuli in the skeleton are an important microenvironmental parameter that modulates tumor formation, osteolysis, and tumor cell-bone cell signaling, but which mechanical signals are the most beneficial and the corresponding molecular mechanisms are unknown. This work focused on bone matrix deformation and interstitial fluid flow based on their well-known roles in bone remodeling and in primary breast cancer. The goal of our research was to establish a platform that could define the relationship between …


Acl Risk Data Comparison And Turnout Analysis Of Female Dancers Trained In Ballet And Female Traditional Jumping Sport Athletes, Samantha A. Campbell Mar 2022

Acl Risk Data Comparison And Turnout Analysis Of Female Dancers Trained In Ballet And Female Traditional Jumping Sport Athletes, Samantha A. Campbell

Master's Theses

INTRODUCTION: An increase in participation in females sports has created an increase of female athletes at risk for injuring their Anterior Cruciate Ligament(ACL)[12,21,29,44]. Traditional jumping sports have the highest rate of non contact ACL injuries, due to the use of movements of cutting, pivoting and landing on one foot[5,8,32,33,38]. ACL injuries can also be attributed to neuromuscular deficits such as the ‘Ligament Dominance Theory’, ‘Quadricep Dominance Theory’, ‘Trunk Dominance Theory’ and the ‘Leg Dominance Theory’[24,33]. The neuromuscular deficits are muscle strength, power or activation patterns that can cause an individual to have an increased risk of ACL injury[33]. Female traditional …


Bone And Cartilage Compression Simulator, Karoline M. Wucherer, Benjamin A. Parmentier, Thomasina E. Hinkle Mar 2022

Bone And Cartilage Compression Simulator, Karoline M. Wucherer, Benjamin A. Parmentier, Thomasina E. Hinkle

Biomedical Engineering

A device was developed that delivers mechanical loads to bone and soft tissue samples under physiological conditions to aid in the research of tissue engineering bone and cartilage. To begin the design process, a Network Diagram and Gantt Chart were produced to create a general timeline for the project to follow. This allowed us to measure our progress and determine what effects (if any) delays could have on our project.


Pickleball Paddle For Minimizing Elbow/Shoulder Joint Forces, Kaley Sapper, Nick Rodgers, Claire Steines Mar 2022

Pickleball Paddle For Minimizing Elbow/Shoulder Joint Forces, Kaley Sapper, Nick Rodgers, Claire Steines

Biomedical Engineering

The goal of this project was to design a pickleball paddle to prevent overuse injuries. This was accomplished through a design that minimizes joint forces experienced by the player during backhand strokes.


Youth Pitching Kinematics: Associations With Body Overweight Parameters, Christina K. Fong Mar 2022

Youth Pitching Kinematics: Associations With Body Overweight Parameters, Christina K. Fong

Master's Theses

The objective of this study was to investigate associations between injury-related kinematic parameters and overweight measures for youth baseball pitchers. The injury-related kinematic parameters considered were measurements 1) at foot contact: stride length, front foot position, shoulder external rotation, shoulder abduction, and elbow flexion; 2) between FC and ball release: peak knee extension; and 3) at BR: shoulder abduction. Data from three separate collection sites examined pitching mechanics of 18 10- to 11-year-old pitchers, 11 14- to 16-year-old pitchers, and 104 16- to 18-year-old pitchers Linear regression analyses were performed to determine significant correlations between kinematic parameters and body mass …


Modulation Of Brain Tissue Transport And Endothelial Glycocalyx And Tight Junctions Of The Blood-Brain Barrier By Transcranial Direct Current Stimulation, Yifan Xia Jan 2022

Modulation Of Brain Tissue Transport And Endothelial Glycocalyx And Tight Junctions Of The Blood-Brain Barrier By Transcranial Direct Current Stimulation, Yifan Xia

Dissertations and Theses

Transcranial direct current stimulation (tDCS) is a non-invasive approach to treat a broad range of brain disorders and to enhance memory and cognition in healthy individuals. In addition to directly acting on neurons by modulating the membrane potential, inducing neuronal polarization and changing cortical excitability in the brain to achieve its therapeutic effects, prior studies found that tDCS can transiently enhance the permeability (P) of the blood-brain barrier (BBB), the interface between blood circulation and brain tissue. Brain extracellular space (ECS) is a narrow microenvironment which surrounds every cell in the central nervous system (CNS). ECS occupies ~20% of brain …