Biomedical Engineering and Bioengineering Commons^™

Digital Twins Of The Living Knee: From Measurements To Model, Thor Erik Andreassen

Electronic Theses and Dissertations

Modern medicine has dramatically improved the lives of many. In orthopaedics, robotic surgery has given clinicians superior accuracy when performing interventions over conventional methods. Nevertheless, while these and many other methods are available to ensure treatments are performed successfully, far fewer methods exist to predict the proper treatment option for a given person. Clinicians are forced to categorize individuals, choosing the best treatment on “average.” However, many individuals differ significantly from the “average” person, for which many of these treatments are designed. Going forward, a method of testing, evaluating, and predicting different treatment options' short- and long-term effects on an …

Validation Of Meta Motion Imu Sensors Through Measurement Of Knee Angles During Gait, Kerri Caruso

Biomedical Engineering Theses & Dissertations

The implementation of inertial measurement units (IMU) in the biomechanical field has become increasingly popular due to their robustness, simplicity, accuracy, and the ability to move research out of a lab and into the real world. In this study, the MetaMotion IMU sensors are assessed for validity against a dynamometer and the Vicon motion capture system. Both systems have proven their measuring accuracies in the biomechanics world and are used as the truth source for this validation study. In the first part of this study, the sensors are assessed for various common sensor errors. Individual sensor components of the IMU, …

Difference In Bioimpedance Across The Knee In Un-Injured Young Adults, Patrick J. Atkinson, Theresa Atkinson, Allison Seeley, Seerut Dhillon

Mechanical Engineering Publications

Background

Knee injuries induce swelling and resolution of swelling may be a useful factor in identifying states of healing and time to return to sports activities. Recent work has suggested that bioimpedance can provide an objective measure of swelling following total knee arthroplasty (TKA) and therefore may also provide guidance for clinical decision-making following knee injury. This study measures knee bioimpedance in young, active people to help define baseline variability and factors that influence limb to limb differences.

Methods

Bioimpedance was measured via sensors placed at the foot/ankle and thigh, in positions similar to those suggested for monitoring post-TKA swelling. …

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 …

Biomechanical Investigation Of Complete And Partial Medial Collateral Ligament Injuries, Callahan Doughty

Electronic Thesis and Dissertation Repository

The medial collateral ligament (MCL) is composed of two major components: the deep MCL (dMCL) and superficial MCL (sMCL). Recent indications have raised questions as to the validity of previous descriptions of the MCL’s role in knee stability. Despite the relative likelihood of partial injuries to the sMCL, as opposed to complete tears, the impact of these injuries remains largely misunderstood. This thesis set out to (1) interpret the roles of the sMCL and dMCL; and (2) investigate the effect of partial sMCL injuries on knee stability.

A joint motion simulator was used to determine the role of the dMCL …

Managing Vibration Training Safety By Using Knee Flexion Angle And Rating Perceived Exertion, Long-Ren Chuang, Wen-Wen Yang, Po-Ling Chang, Vincent Chiun-Fan Chen, Chiang Liu, Tzyy-Yuang Shiang

Engineering Science Faculty Publications

Whole-body vibration (WBV) is commonly applied in exercise and rehabilitation and its safety issues have been a major concern. Vibration measured using accelerometers can be used to further analyze the vibration transmissibility. Optimal bending angles and rating of perceived exertion (RPE) evaluations have not been sufficiently explored to mitigate the adverse effect. Therefore, the aims of this study were to investigate the effect of various knee flexion angles on the transmissibility to the head and knee, the RPE during WBV exposure, and the link between the transmissibility to the head and the RPE. Sixteen participants randomly performed static squats with …

Accurate Measurement Of Healthy Joint Kinematics To Inform Diagnosis And Treatment, Vasiliki Kefala

Electronic Theses and Dissertations

The description of human motion has a primary importance in different scientific areas such as medicine, sports, physical therapy. Kinematics specifically studies pure motion without reference to the causes of motion such as forces. Understanding the kinematics of human movement is of critical importance in medicine and biology. Motion measure­ment can be used in order to to evaluate functional performance of limbs under normal and abnormal conditions. Kinematic knowledge is also important for diagnosis and surgi­cal treatment of joint disease and the design of implants to rehabilitate function. Accurate joint kinematics is essential to protect articular functionality. An alteration may …

Walking Kinematics In Young Children With Limb Loss Using Early Versus Traditional Prosthetic Knee Prescription Protocols, Mark Daniel Geil, Zahra Safaeepour, Brian Giavedoni, Colleen Coulter

Faculty and Research Publications

The traditional treatment protocol for young children with congenital or acquired amputations at or proximal to the knee prescribes a prosthesis without a working knee joint, based in part on the assumption that a child learning to walk cannot properly utilize a passively flexing prosthetic knee component. An alternative to this Traditional Knee (TK) protocol is an “Early Knee” (EK) protocol, which prescribes an articulating prosthetic knee in the child’s first prosthesis, during development of crawling and transitioning into and out of upright positions. To date, no study has compared samples of children with limb loss at or proximal to …

Hip And Knee Biomechanics For Transtibial Amputees In Gait, Cycling, And Elliptical Training, Greg Orekhov

Master's Theses

Transtibial amputees are at increased risk of contralateral hip and knee joint osteoarthritis, likely due to abnormal biomechanics. Biomechanical challenges exist for transtibial amputees in gait and cycling; particularly, asymmetry in ground/pedal reaction forces and joint kinetics is well documented and state-of-the-art passive and powered prostheses do not fully restore natural biomechanics. Elliptical training has not been studied as a potential exercise for rehabilitation, nor have any studies been published that compare joint kinematics and kinetics and ground/pedal reaction forces for the same group of transtibial amputees in gait, cycling, and elliptical training. The hypothesis was that hip and knee …

Inverse Dynamic Analysis Of Acl Reconstructed Knee Joint Biomechanics During Gait And Cycling Using Opensim, Megan V. Pottinger

Master's Theses

ACL (anterior cruciate ligament) injuries of the knee joint alter biomechanics and may cause abnormal loading conditions that place patients at a higher risk of developing osteoarthritis (OA). There are multiple types of ACL reconstruction (ACLR), but all types aim to restore anterior tibial translation and internal tibial rotation following surgery. Analyzing knee joint contact loads provide insight into the loading conditions following ACLR that may contribute to the long-term development of OA. Ten ACLR subjects, who underwent the same reconstruction, performed gait and cycling experiments while kinematic and kinetic data were collected. Inverse dynamic analyses were performed on processed …

Effects Of Stride Length On Lower Limb Stiffness When Running With Body Borne Load, Nick Lobb

Boise State University Theses and Dissertations

Introduction: During military activities, soldiers are often required to run at a fixed cadence with body borne load, but these loads purportedly increase leg stiffness, leading to increased risk of musculoskeletal injury. Yet, to date, it is unknown how altering stride length when running with body borne load affects lower limb stiffness for males and females. Purpose: To quantify leg stiffness, and lower limb joint (hip, knee and ankle) stiffness for males and females using different stride lengths to run with body borne loads of 20 kg, 25 kg, 30 kg, and 35 kg. Methods: Twenty-seven (17 males and 10 …

Specimen-Specific Natural, Pathological, And Implanted Knee Mechanics Using Finite Element Modeling, Azhar Akber Ali

Electronic Theses and Dissertations

There is an increasing incidence of knee pain and injury among the population, and increasing demand for higher knee function in total knee replacement designs. As a result, clinicians and implant manufacturers are interested in improving patient outcomes, and evaluation of knee mechanics is essential for better diagnosis and repair of knee pathologies. Common knee pathologies include osteoarthritis (degradation of the articulating surfaces), patellofemoral pain, and cruciate ligament injury and/or rupture. The complex behavior of knee motion presents unique challenges in the diagnosis of knee pathology and restoration of healthy knee function. Quantifying knee mechanics is essential for developing successful …

Knee Joint Internal Forces During Squat Jump Exercise, Ricardo Moreno

Theses and Dissertations

The purpose of this research is to investigate muscular ligament and joint contact forces produced during squat jump exercise. An inverse dynamics, two dimensional, leg model is used to describe the motion in the sagittal plane. The lower extremity model includes two bones, tibia and femur, tibio-femoral ligaments, and muscles such as quadriceps, hamstrings, and gastrocnemius. The ligaments are anatomically modeled as nonlinear strings, but the femoral condyle is modeled as a circle and the tibial plateau as a straight line. Experimental squat jump exercises are conducted to obtain the ground reaction forces, the angular accelerations, and centroid linear acceleration …

Next Generation In-Vivo Forward Solution Physiological Model Of The Human Lower Limb To Predict Implanted Knee Mechanics, Bradley Allen Meccia

Doctoral Dissertations

Current total knee arthroplasty (TKA) evaluation methods are both time consuming and expensive. They require fabrication of the TKA and then utilize a wear or cadaveric simulator which does not necessarily replicate in-vivo conditions. Other analysis methods involve following the long-term success of TKA in subjects for five or more years. Mathematical modeling of TKA provide an efficient method at a greatly reduced cost for evaluating TKA. Obviously, the accuracy of a mathematical model is extremely important to the validity of the results.

Mathematical modeling of the knee faces many difficulties. The number of muscles actuating the knee is much …

Multiscale Musculoskeletal Modeling Of The Lower Limb To Perform Personalized Simulations Of Movement, Alessandro Navacchia

Electronic Theses and Dissertations

Computational modeling has been used for many decades to inform design and decision-making in several fields of engineering, such as aerospace, automotive, petroleum, and others. However, it still struggles to have a similar impact in fields of medicine, such as orthopaedics. Three of the challenges that have limited the use of computational modeling in the clinical practice and in product development are model validation, personalization, and realism. Validation is a challenge because several internal parameters of the human body, such as muscle forces, are not safely measurable in vivo and, consequently, a thorough comparison between model outputs …

Knee Internal Forces In Moderate Squat Exercise, Dumitru I. Caruntu, Jose Mario Salinas

Mechanical Engineering Faculty Publications and Presentations

This paper deals with internal forces of human knee during moderate squat exercise. The moderate squat exercise consists of a descending phase from standing to the lowest position (largest flexion angle) in which no significant contact between thigh and calf occurs, and an ascending phase back to standing position. This research predicts the internal forces such as muscle forces, contact forces, and ligamentous forces. The ligamentous structures in this research consist of Anterior Cruciate Ligament (ACL), Posterior Cruciate Ligament (PCL), Lateral Collateral Ligament (LCL), and Medial Collateral Ligament (MCL). The ligaments are modeled as nonlinear elastic strips (they do not …

Impaired Regulation Post-Stroke Of Motor Unit Firing Behavior During Volitional Relaxation Of Knee Extensor Torque Assessed Using High Density Surface Emg Decomposition, Spencer A. Murphy, Reivian Berrios, P. Andrew Nelson, Francesco Negro, Dario Farina, Brian D. Schmit, Allison Hyngstrom

Physical Therapy Faculty Research and Publications

The purpose of this study was to use high density surface EMG recordings to quantify stroke-related abnormalities in motor unit firing behavior during repeated sub-maximal knee extensor contractions. A high density surface EMG system (sEMG) was used to record and extract single motor unit firing behavior in the vastus lateralis muscle of 6 individuals with chronic stroke and 8 controls during repeated sub-maximal isometric knee extension contractions. Paretic motor unit firing rates were increased with subsequent contractions (6.19±0.35 pps vs 7.89±0.66 pps, P

Design Of Tkr Tibial Insert For Bowlegged Gait, Michael R. Gardner, Nathan A. Hanbury, Joel D. Hutchison, Dana C. Madsen, Joel D. Slabach, Kyle M. Bradley, Timothy L. Norman, J. D. Blaha

The Research and Scholarship Symposium (2013-2019)

One of the causes associated with total knee replacement (TKR) surgery is abnormal gait. In these gait cases, however, the TKR does not solve the ultimate issue because abnormal gait still occurs, and similar excessive forces still occur on the knee. It is likely that the TKR will experience accelerated wear, and the individual may have to undergo a second TKR sometime in the future. For our purposes, bowleggedness is either the external rotation of the hip or excessive varus of the knee. It was hypothesized that the inability to internally rotate the hip increases adduction moment and medial compartment …

Assessment Of Normal Knee Kinematics Using High-Speed Stereo-Radiography System, Vasiliki Kefala

Electronic Theses and Dissertations

The measurement of dynamic joint kinematics in vivo is important in order to understand the effects of joint injuries and diseases as well as for evaluating the treatment effectiveness. Quantification of knee motion is essential for assessment of joint function for diagnosis of pathology, such as tracking and progression of osteoarthritis and evaluation of outcome following conservative or surgical treatment. Total knee arthroplasty (TKA) is an invasive treatment for arthritic pain and functional disability and it is used for deformed joint replacement with implants in order to restore joint alignment. It is important to describe knee kinematics in healthy individuals …

Analysis, Segmentation And Prediction Of Knee Cartilage Using Statistical Shape Models, Joseph Michael Johnson

Doctoral Dissertations

Osteoarthritis (OA) of the knee is one of the leading causes of chronic disability (along with the hip). Due to rising healthcare costs associated with OA, it is important to fully understand the disease and how it progresses in the knee. One symptom of knee OA is the degeneration of cartilage in the articulating knee. The cartilage pad plays a major role in painting the biomechanical picture of the knee. This work attempts to quantify the cartilage thickness of healthy male and female knees using statistical shape models (SSMs) for a deep knee bend activity. Additionally, novel cartilage segmentation from …

Finite Element Models Of The Knee & Hip Joints: Using Opensim To Predict Muscle Forces, Kevin S. Jones, Spencer D. Wangerin, Jeffrey D. Pyle, Stephen M. Klisch, Scott J. Hazelwood

STAR Program Research Presentations

Quantitative data of stresses and strains in the cartilage of the knee and hip joints are required to design prostheses and can be used to give accurate advice to patients with cartilage damage as to which activities should be avoided. Instrumented hip implants can only give the overall resultant force in the joint, not the stresses and strains throughout the cartilage. Finite Element (FE) models of the Knee and Hip are being constructed in order to obtain the stresses and strains in articular (of the joint) cartilage. Muscle forces and joint contact forces are required as inputs to these FE …

Computational Representation Of The Patellofemoral Joint, Abraham Wright

Electronic Theses and Dissertations

Many people suffer from knee pain due to abnormal function of the patellofemoral joint and are not able to enjoy normal activities of daily living. Surgical treatments are available and new methods are being developed by the medical industry. However, computational tools to efficiently evaluate the effects of the intervention on patellofemoral function are lacking.

Therefore, a validated and efficient computational model of the patellofemoral joint was developed. The subject specific finite element model was validated against the patellar kinematics recorded during cadaveric patellofemoral laxity experiments of the natural knee. The development involved a sequential process in which the soft-tissue …

A Novel Imaging System For Automatic Real-Time 3d Patient-Specific Knee Model Reconstruction Using Ultrasound Rf Data, Rimon Adel Messiha Tadross

Doctoral Dissertations

This dissertation introduces a novel imaging method and system for automatic real-time 3D patient-specific knee model reconstruction using ultrasound RF data. The developed method uses ultrasound to transcutaneously digitize a point cloud representing the bone’s surface. This point cloud is then used to reconstruct 3D bone model using deformable models method.

In this work, three systems were developed for 3D knee bone model reconstruction using ultrasound RF data. The first system uses tracked single-element ultrasound transducer, and was experimented on 12 knee phantoms. An average reconstruction accuracy of 0.98 mm was obtained. The second system was developed using an ultrasound …

Finite Element Analysis Of The Effect Of Low-Speed Rear End Collisions On The Medial Meniscus, Daniel J. Tichon

Master's Theses

Low-speed, rear end vehicle collisions can inflict soft tissue damage to the passenger’s knees, especially the medial meniscus, which has been previously unexplained in published literature. It is difficult to determine if factors such as age or other injury was the primary cause of the injury or if the accident acutely caused the meniscal tear. Rear end collisions may produce a combination of compressive loading and torque about the knee that will injure the medial meniscus during the initial impact and the rebound phase. The purpose of this study is to determine if it is possible for rear end low-speed …

High Power, Low Frequency Ultrasound: Meniscal Tissue Interaction And Ablation Characteristics, Brendan O'Daly, Edmund Morris, Graham Gavin, Conor Keane, John O Byrne, Garrett Mcguinness

Articles

Abstract—This study evaluates high power low frequency ultrasound transmitted via a flat vibrating probe tip as an alternative technology for meniscal debridement in the bovine knee. An experimental force controlled testing rig was constructed using a 20 kHz ultrasonic probe suspended vertically from a load cell. Effect of variation in amplitude of distal tip displacement (242–494 mm peak-peak) settings and force (2.5–4.5 N) on tissue removal rate (TRR) and penetration rate (PR) for 52 bovine meniscus samples was analyzed. Temperature elevation in residual meniscus was measured by embedded thermocouples and histologic analysis. As amplitude or force increases, there is a …

Biomedical Technology: Supporting Movement, Petros Katsioloudis

STEMPS Faculty Publications

According to the National Institute on Disability and Rehabilitation Research, an estimated 8.5 million children 21 years and younger have a disability (Jans & Stoddard, 1999). After about a decade, with the development of new and sophisticated materials (aluminum alloys, titanium alloys, and carbon fibers) and the integration of electronics, it was then possible to significantly improve the performance of prostheses, built with the so-called endo skeletal (or skeletal-modular) method (Mora, Beratni & Pedrotti, 2006).

The Extraction Of Type Ii Collagen And The Electrospinning Of Nano-Fibrous Scaffolds, Danielle Careen Knapp

Theses and Dissertations

Articular cartilage lining joints, such as in the knee, functions to reduce friction and absorb shock. Collagen type II is the largest constituent in the extracellular matrix of articular cartilage and its restoration is of the highest interest to tissue engineers. Cartilage has little ability to naturally regenerate due to the absence of vascularity and the inability of the chondrocytes to proliferate at a high rate. It would be ideal to create a mimicking extracellular matrix/scaffold from type II collagen that could possibly be used to replace damaged articular cartilage that has the same function and morphology. Three different groups …