Biomedical Engineering and Bioengineering Commons^™

Changes In In Vivo Knee Contact Forces Through Gait Modification, Allison Kinney, Thor F. Besier, Amy Slider, Scott L. Delp, Darryl D. D'Lima, Benjamin J. Fregly

Mechanical and Aerospace Engineering Faculty Publications

Gait modification represents a non-invasive method for reducing knee joint loading in patients with knee osteoarthritis. Previous studies have shown that a variety of gait modifications are effective in reducing the external knee adduction moment. The external knee adduction moment is often used as a surrogate measure of medial compartment force. However, a recent study showed that reductions in the external knee adduction moment do not guarantee reductions in medial compartment loads. Therefore, direct measurement of changes in knee contact force is important for determining the effectiveness of gait modifications. A previous study found that medial thrust gait and walking …

Biomechanical Testing On Cadaveric Spines For Different Treatments That Affect Lumbar Stability, Sabrina Alejandra Gonzalez Blohm

USF Tampa Graduate Theses and Dissertations

Stenosis is one of the most common causes for spinal surgery. Laminectomy decompression and fusion are surgical procedures prescribed for this condition. The intention of this work was to investigate the effects of a laminectomy decompression, followed by fusion, on a lumbar functional spinal unit (FSU) through in vitro dynamic (±8Nm at 0.125Hz) and quasi-static (±7.5Nm at 0.1Hz) biomechanical tests, for flexion, extension, bending and rotation motions.

Six FSUs where disarticulated from four human cadaveric lumbar spines (63 ± 12 years) and were tested under the following sequence: (1) intact, (2) laminectomy decompression, and (3) Pedicle Screw System (PSS), using …

Evaluation Of Transfer Technologies To Preserve Shoulder Function In Sci, Karen Michelle Mann

USF Tampa Graduate Theses and Dissertations

This study investigated a series of independent unassisted and device-assisted transfers from a wheelchair to vehicle mock-up and vice versa while simultaneously capturing kinematic, kinetic and electromyographic (EMG) data of impaired volunteers. The study provides a venue for observation and evaluation of upper extremity (UE) joint stresses, muscular force and functional demands associated with transfers in persons with spinal cord injury (SCI) to ultimately prevent UE injury, minimize excessive stress, preserve functionality and limit pain. If people with SCI lose function of their UEs, due to pain and/or degeneration, they must then rely on others for everyday tasks.

Five paraplegic …

Football Helmet Fitment And Its Effect On Helmet Performance, Ron Jadischke

Wayne State University Theses

A method and system to objectively quantify helmet fitment was designed and developed. It measures the pressure between the energy-absorbing material in the helmet and the athlete's head. This system is also capable of measuring surface pressure during impact events. A volunteer-based field study was conducted to quantify how helmets were fitting athletes in a real-life setting. The helmets fit athletes in varying degrees of tightness and evenness. Most athletes (59%) had the highest pressures in the frontal area and 29% had the highest pressure in the occipital area. A large-sized helmet on the Hybrid III headform represented how most …

Contact Pressure Distribution Of Osteochondral Defects Of The Knee: Effects Of Non-Vertical Walls, Scott Ensminger

Wayne State University Theses

Purpose: To examine the relationship between well-shouldered osteochondral defects and

defects of different geometries by studying their effects on rim stress concentration and

load redistribution in the human knee.

Methods: Ten fresh-frozen cadaveric knees were mounted at 30° of flexion in a materials

testing machine. Digital electronic pressure sensors were placed in the medial and lateral

compartments of the knee. Dynamic pressure readings were recorded throughout the

loading and holding phases as each knee was loaded to 700N and held for 5 seconds.

Artificial defects were created in each knee to simulate well-shouldered defects and

beveled-defects. Loading was repeated for …

Effectiveness Of Group Kickboxing As A Means To Improve Gait And Balance In Individuals With Ms, Kurt Jackson, Kimberly Edginton Bigelow, Christina Cooper, Harold L. Merriman

Mechanical and Aerospace Engineering Faculty Publications

In recent years, there has been a particular emphasis on identifying and delivering appropriate therapeutic interventions that address the significant balance and gait impairments that affect individuals with multiple sclerosis (MS). Group interventions implemented in community settings have been especially of interest, including tai chi classes. Recently, the authors conducted a preliminary study to examine whether group kick-boxing, which requires more vigorous movements, might be a feasible intervention. Initial findings showed promise and led the authors to pursue a more rigorous follow-up study, with the objective of determining whether a 5-week group kickboxing class improved clinical measures of balance and …

Muscle Contributions To Frontal And Transverse Plane Whole-Body Angular Momentum, Richard R. Neptune, Craig P. Mcgowan, Allison Kinney

Mechanical and Aerospace Engineering Faculty Publications

The purpose of this study was to build upon previous work by analyzing how gravity and individual muscles contribute to frontal and traverse plane whole-body angular momentum. Identifying which muscles are responsible for generating angular momentum has important implications for the diagnosis and treatment of movement disorders.

A Novel Exercise Device For Users In Wheelchairs: A Study Of Abdominal Muscle Activation, Rebecca Jo Campbell

Master's Theses

This study evaluates the use of a wheelchair balance board. The balance board was created as a sensory stimulation tool for users with various disabilities. It was originally designed to create vestibular stimulation for the person after they were loaded on. This study was used as a way to test if the balance board could be used for other things such as physical therapy and exercise. Ten able-bodied individuals were used to show the functionality of the device. They were asked to perform six different abdominal exercises while the muscle activity of their rectus abdominis and external obliques was measured …

Computational Simulation Of Skull Fracture Patterns In Pediatric Subjects Using A Porcine Model, Christina Devito Wagner

Wayne State University Dissertations

In cases of suspected child abuse with skeletal trauma, it is often the role of the injury biomechanist, forensic pathologist, clinical radiologist, and forensic anthropologist to determine the mechanism of injury when the child victims cannot speak for themselves. This is a challenging task, especially for the head, as comprehensive biomechanical data on skull fracture in infants and children do not currently exist, and frequently the determination regarding cause of injury is based on anecdotal evidence from the medical literature and unsubstantiated eyewitness accounts. The current process may result in unreliable autopsy interpretation and miscarriages of justice due to a …

Finite Element Reconstruction Of Real World Aortic Injury In Near-Side Lateral Automotive Crashes With Conceptual Countermeasures, Aditya Neelakanta Belwadi

Wayne State University Dissertations

Traumatic rupture of the aorta (TRA) remains the second most common cause of death associated with motor vehicle crashes after brain injury. On an average, nearly 8,000 people die annually in the United States due to blunt injury to the aorta. It is observed that more than 80% of occupants who suffer an aortic injury die at the scene due to exsanguination into the chest. With the advent of more accurate and established human body finite element (FE) models, FE crash reconstruction methods may become a valuable tool when assessing crash scenarios and occupant injury mechanisms.

The current study is …

Longissimus Muscle Fatigue And Injury Response Due To Electrical Stimulation With Varied Work/Rest Ratios, Peter Wawrow

Wayne State University Dissertations

LONGISSIMUS MUSCLE FATIGUE AND INJURY RESPONSE DUE TO ELECTRICAL STIMULATION WITH VARIED WORK/REST RATIOS

BY

PETER WAWROW

May 2011

Advisor: John Cavanaugh, MD

Major: Biomedical Engineering

Degree: Doctor of Philosophy

The estimated yearly cost of lost-time work injuries and illnesses is $140 billion. The average cost of musculoskeletal disorders (MSDs) exceeds all other claims. These injuries persist in spite of ergonomic interventions addressing known risk factors. Work/rest ratios have not received a significant amount of attention, particularly in low back disorders, and it is hypothesized that the lack of adequate rest within a work cycle may contribute to muscle fatigue …

A Multi-Species Analysis Of Biomechanical Responses Of The Head To A Shock Wave, Richard Bolander

Wayne State University Dissertations

Shock wave induced brain injury remains a field of research that has great consequences for the rehabilitation of soldiers and civilians that are exposed to an explosion. As such, for the research to be successful in developing strategies to mitigate the effects of these injuries, appropriate research methods need to be developed. Animal models are currently employed to understand the brain's response to a shock wave exposure. Unfortunately no criteria have been established that indicates in what way the mechanical inputs that the cells in an animal's brain are subjected to are similar to a human. The purpose of this …

Development Of Software To Estimate Pressures On The Residual Limbs Of Amputees By Means Of A Pylon Mounted Transducer, Malli K. Yalamanchili

UNLV Theses, Dissertations, Professional Papers, and Capstones

The alignment of prosthesis has been recognized as one of the main factors that determine successful prosthetic outcomes for trans-tibial amputees. Alignment is defined as the relative position and orientation of the prosthetic components. Misalignment can result in changes in the position and orientation of the joints of the leg and moments experienced by them during gait, increases in energy use, and discomfort or even tissue breakdown at the socket/stump interface. Hence it is very important to align the prosthesis in correct manner. Gait analysis can be used to examine the effects of incorrect alignment of the prosthesis during gait. …

Pre-Swing Deficits In Forward Propulsion, Swing Initiation And Power Generation By Individual Muscles In Hemiparetic Walking, Carrie L. Peterson, Allison Kinney, Steven A. Kautz, Richard R. Neptune

Mechanical and Aerospace Engineering Faculty Publications

Clinical studies of hemiparetic walking have shown pre-swing abnormalities in the paretic leg suggesting that paretic muscle contributions to important biomechanical walking subtasks are different than those of non-disabled individuals. Three-dimensional forward dynamics simulations of two representative hemiparetic subjects with different levels of walking function classified by self-selected walking speed (i.e., limited community=0.4–0.8 m/s and community walkers=>0.8 m/s) and a speed-matched control were generated to quantify individual muscle contributions to forward propulsion, swing initiation and power generation during the pre-swing phase (i.e., double support phase proceeding toe-off). Simulation analyses identified decreased paretic soleus and gastrocnemius contributions to forward propulsion …

Relationships Between Muscle Contributions To Walking Subtasks And Functional Walking Status In Persons With Post-Stroke Hemiparesis, Allison Kinney, Carrie L. Peterson, Steven A. Kautz, Richard R. Neptune

Mechanical and Aerospace Engineering Faculty Publications

Walking speed is commonly used to predict stroke severity and assess functional walking status (i.e., household, limited community and community walking status) post-stroke. The underlying mechanisms that limit walking speed (and functional walking status by extension) need to be understood to improve post-stroke rehabilitation. Previous experimental studies have shown correlations between paretic plantarflexor output during the pre-swing phase and walking speed and suggest that the paretic hip flexors can compensate in some hemiparetic subjects. Modeling and simulation studies of healthy walking have shown that the ankle plantarflexors, soleus (SOL) and gastrocnemius (GAS), and uniarticular hip flexors (IL) are essential contributors …

Development And Analysis Of A Software Package To Quantify In Vivo Polyethylene Wear After Total Hip Arthroplasty, Allison Kinney, Catherine G. Ambrose

Mechanical and Aerospace Engineering Faculty Publications

Since the first total hip arthroplasty (THA) in 1938, THA evolved and developed into one of the major concentrations of orthopaedic research. The typical hip implant device used today incorporates a femoral and an acetabular component that serve to replicate the anatomical and mechanical functions of the natural hip joint. However, several problems exist that can effect the function of the implant device. Wear in the polyethylene liner of the acetabular component of the total hip replacement device is known as one of the major factors that affects the longevity of total hip replacement devices. Both manual and computer-aided techniques …

Fabrication Of Ankle-Foot Orthoses Using Selective Laser Sintering Technology, Allison Kinney, M. C. Faustini, Richard R. Neptune, R. H. Crawford, S. J. Stanhope

Mechanical and Aerospace Engineering Faculty Publications

Passive dynamic ankle-foot orthoses (AFOs) are often prescribed to improve gait performance for those with various neuromuscular disorders. Designs and materials used for AFOs range from simple polypropylene braces to advanced custom carbon fiber dynamic AFOs that passively store and release mechanical energy during gait. AFO designs vary in the shape and length of the foot component as well as the stiffness and length of the tibial component, depending on the desired functional outcomes. However, the current fabrication technology is not ideally suited for refined customization of AFO characteristics to optimize performance, or for rapid lowcost, high volume manufacturing and …

Planning To Reach For An Object Changes How The Reacher Perceives It., Peter Vishton, N J. Stephens, L A. Nelson, S E. Morra, Kaitlyn L. Brunick, Jennifer A. Stevens

Peter Vishton

Microscale Investigation Of Thermo-Fluid Transport In The Transition Fil, Region Of An Evaporating Capillary Meniscus Using A Microgravity Environment, Kenneth D. Kihm, Jeffrey S. Allen, Kevin P. Hallinan, David M. Pratt

Mechanical and Aerospace Engineering Faculty Publications

In order to enhance the fundamental understanding of thin film evaporation and thereby improve the critical design concept for two-phase heat transfer devices, microscale heat and mass transport is to be investigated for the transition film region using state-of-the-art optical diagnostic techniques. By utilizing a microgravity environment, the length scales of the transition film region can be extended sufficiently, from submicron to micron, to probe and measure the microscale transport fields which are affected by intermolecular forces. Extension of the thin film dimensions under microgravity will be achieved by using a conical evaporator made of a thin silicon substrate under …