Biomedical Engineering and Bioengineering 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 …

Using Statistics, Computational Modelling And Artificial Intelligence Methods To Study And Strengthen The Link Between Kinematic Impacts And Mtbis, Andrew Luke Mcconnell Patterson

Electronic Thesis and Dissertation Repository

Mild traumatic brain injuries (mTBIs) are frequently occurring, yet poorly understood, injuries in sports (e.g., ice hockey) and other physical recreation activities where head impacts occur. Helmets are essential pieces of equipment used to protect participants’ heads from mTBIs. Evaluating the performance of helmets to prevent mTBIs using simulations on anatomically accurate computational head finite element models is critically important for advancing the development of safer helmets. Advancing the level of detail in, and access to, such models, and their continued validation through state-of-the-art brain imaging methods and traditional head injury assessment procedures, is also essential to improve safety. The …

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 …

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

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 …

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

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 …

The Use Of Ct To Assess Shoulder Kinematics And Measure Glenohumeral Arthrokinematics, Baraa Daher

Electronic Thesis and Dissertation Repository

Recently, studies have started employing dynamic four-dimensional computed tomography (4DCT) imaging as a biomechanical assessment tool. These studies would benefit from the valuable work that has been done in the past using three-dimensional computed tomography (3DCT). Thus, a structured review was conducted to examine the extent and range of methods employing CT imaging to measure shoulder kinematics. The findings of the review were utilized to conduct a study that employed 4DCT imaging to measure glenohumeral joint congruency and arthrokinematics during internal rotation to the back in a population of healthy individuals. The results of this work show the importance of …

In Vitro Analyses Of The Contributions Of The Hip Capsule To Joint Biomechanics, Emma Donnelly

Electronic Thesis and Dissertation Repository

Optimal management of the hip capsule during arthroscopic surgery has not been established. The impact of incisions made to the capsule during minimally invasive procedures on joint biomechanics, and whether repair provides any benefit, continue to be debated. The effectiveness of capsular repair to restore native kinematics may be insufficient. Therefore, a better understanding of joint behavior during various capsule conditions is needed. A new robotic system was used to analyze the effect of progressive capsulotomy incision and repairs on the behavior of a normal hip within range of motion (ROM) limits with respect to the intact joint. Complete repairs …

The Effect Of Joint Alignment After A Wrist Injury On Joint Mechanics And Osteoarthritis Development, Puneet Kaur Ranota

Electronic Thesis and Dissertation Repository

Wrist injuries are common and can lead to the development of post-traumatic osteoarthritis. For example, one major complication after a wrist fracture, is when the fractured bone heals in a mal-aligned position, called malunion. It has been assumed that a malunion after wrist fractures alters joint congruency and mechanics leading to the development of post-traumatic osteoarthritis and poor functional outcomes. It is unclear whether anatomical restoration is a key component for the management of wrist injuries and to limit the progression of post-traumatic osteoarthritis. However, the mechanistic pathways between joint structure (and mal-alignment) and patient outcomes, such as the development …

Computational Modeling Of The Human Brain For Mtbi Prediction And Diagnosis, Yanir Levy

Electronic Thesis and Dissertation Repository

Sports related concussions and mild traumatic brain injuries have seen an increase in frequency over the past decade. The creation of highly biofidelic computational head models is an important step in understanding the mechanisms of these mild brain injuries and preventing them. Hence, the purpose of this research is to combine state-of-the-art computational models, brain imaging modalities and traditional head injury assessment protocols to simulate and predict the brains responses during traumatic head impacts. A novel, atlas-based, parcellated axon fiber embedded head model was developed which allows for in-depth analysis of the brain’s structural connectome tracts for injury diagnosis and …

Optimization Of Indentation For The Material Characterization Of Soft Pva-Cryogels, Md. Mansur Ul Mulk

Electronic Thesis and Dissertation Repository

Over the past few years a variety of clinical procedures aiming at tissue repair and other relevant therapies have been under active investigation [12,32]. Success of procedures aimed at soft tissue repair depend on the combined response of biochemical and biomechanical properties of the organs neighbouring the tissue [53]. Using human or animal cadaveric tissue for this purpose is very challenging due to issues pertaining to biodegradability and infection or biohazard risk factors [135,205].As such, tissue mimicking materials (e.g. Polyvinyl Alcohol Cryo-gel (PVA-C)) have been investigated to satisfy the need for the said clinical applications. Advantages of using tissue-mimicking materials …

Predicting And Preventing Traumatic Brain Injury: A Novel Computational Approach, Kewei Bian

Electronic Thesis and Dissertation Repository

Traumatic brain injury (TBI) is a severe health problem for society. Meanwhile, predicting and preventing TBI remains challenging in the field. Peak rotational velocity was demonstrated to be correlated to brain strain responses, and hence could potentially serve as a good predictor for brain injury. Brain strain was influenced by impact direction, deceleration and impact loading curve shapes. Wearing helmets is an effective way to protect the brain from TBI, but there lacks a study on evaluating helmet performance based on both energy absorption and brain strain response, which this study addressed. Interestingly, helmet shell absorbed around half of the …

Improving Material Mapping In Glenohumeral Finite Element Models: A Multi-Level Evaluation, Nikolas K. Knowles

Electronic Thesis and Dissertation Repository

An improved understanding of glenohumeral bone mechanics can be elucidated using computational models derived from computed tomography data. Although computational tools, such as finite element analysis, provide a powerful quantitative technique to evaluate and answer a variety of biomechanical and clinical questions, glenohumeral finite element models (FEMs) have not kept pace with improvements in modeling techniques or model validation methods seen in other anatomic locations. The present work describes the use of multi-level computational modeling to compare, develop and validate FEMs of the glenohumeral joint.

Common density-modulus relationships within the literature were evaluated using a multi-level comparative testing methodology to …

Acromial Insufficiency Fractures In Reverse Total Shoulder Arthroplasty: A Biomechanical Study, Alicia Kerrigan

Electronic Thesis and Dissertation Repository

Reverse total shoulder arthroplasty (RTSA) is increasingly utilized in the aging population, with a growing list of surgical indications including rotator cuff tear arthropathy, proximal humerus fractures, and revision arthroplasty. Acromial insufficiency fractures following RTSA are poorly understood, difficult to diagnose, and associated with inferior clinical outcomes. There is limited knowledge in the literature regarding the etiology of post-operative acromial fractures. The purpose of this study is to evaluate the role of implant parameters on acromial strain following RTSA.

Using a cadaveric model, a custom designed modular RTSA system was implanted that allowed for evaluation of modifiable parameters including glenoid …

Experimental Determination Of Motion Parameters And Path Forces Of Robot-Driven Glenoid Reaming Procedure, Mayank Sharma

Electronic Thesis and Dissertation Repository

Glenoid reaming is one of the most challenging milestones of the total shoulder arthroplasty (TSA) procedure. For a successful TSA, adequate bone resurfacing is required to ensure a well-conformed positioning of the implant onto the native bone.

In this study, a light-weight robot was employed to assert a prescribed thrust-force and reaming depth to mimic clinical practice. Reaming of bone-analogs indicated that specimen density had a linear relationship with reamer velocity and apparent machining stiffness. Human cadaveric bone studies confirmed a linear relationship between specimen density and reamer velocity in both subchondral and cancellous regions of the glenoid. A reaming …

The Development Of A Temporomandibular Force Simulator To Study Craniofacial Strain In-Vitro, Kenneth Kc Ip

Electronic Thesis and Dissertation Repository

An in-vitro musculoskeletal loading simulator was developed to replicate the internal forces of mastication, and then employed in a comparison of clinically relevant facial fracture repairs. Muscle forces are simulated by pneumatic pistons via 3D printed mounts that are reverse-engineered from CT scan to match muscle attachment sites, which are adhered to bone in order to simulate native stress distributions. Bite force and bone strain pattern of the craniofacial structure under load were measured using a force sensor and strain gauges respectively. In a series of five fresh-frozen cadaveric heads, it was found that strain patterns of the craniofacial structure …

A Numerical Investigation Of Human Cough Jet Development And Droplet Dispersion, Ran Bi

Electronic Thesis and Dissertation Repository

As part of the Western Cold and Flu aerosol (WeCoF) studies, the present study provides Computational Fluid Dynamics (CFD) modelling of human cough flow. The cough flow is characterized in two different aspects, the flow field and the droplets. In the study of the flow field of coughing, various dynamic characteristics, including the velocity variation, streamwise penetration and power spectral density, are examined. CFD simulations using two different approaches, the unsteady Reynolds Averaged Navier-Stokes (URANS) and the large eddy simulation (LES), are performed for comparison purposes. The numerical results are validated by the experimental data obtained from the measurements by …

Examining Reverse Total Shoulder Arthroplasty Baseplate Fixation In Patients With E2-Type Glenoid Erosion, Matthew D. Mahaffy

Electronic Thesis and Dissertation Repository

Superior glenoid erosion of the shoulder joint is a result of humeral subluxation caused by rotator cuff tears, and can be addressed using implants, specifically reverse total shoulder arthroplasty. This thesis examined the regional variations of bone present in superiorly eroded glenoids, established a baseline for regular RTSA baseplate fixation in patients with this defect, and compared the effect of geometric baseplate differences on implant fixation. The superiorly eroded glenoids demonstrated similar regional bone density variations as normal glenoids, and the superior and inferior regions of the glenoid demonstrated the densest and least dense cancellous bone, respectively. These regions also …

Development Of An Active Finger Motion Simulator: With In-Vitro Assessments Of Tendon Loads And Joint Kinematics, Mohammad Haddara

Electronic Thesis and Dissertation Repository

Musculoskeletal injuries of the finger far outnumber those of other joints, and while in-vitro motion simulators are useful for studying joint biomechanics and evaluating surgical repairs, considerably less simulator development has been reported for the finger compared to other joints. Replication of active musculoskeletal movement during in-vitro testing has been shown to be more representative of in-vivo motion patterns, and closed-loop motion controllers are the current state-of-the-art for in-vitro kinematics studies. However, an in-vitro motion simulator with closed-loop tendon load control and simultaneous tendon excursion control has not yet been reported for the finger. This thesis outlines the design and …

Influence Of Scapular Notching On Contact Mechanics And Simulator Wear Of Reverse Total Shoulder Arthroplasty Implants, Michael William Griffiths

Electronic Thesis and Dissertation Repository

Scapular notching is a common complication of reverse total shoulder arthroplasty (RTSA) wherein the predominant focus of current literature has been on changes in osseous anatomy. However, the implications on RTSA performance from the damaged humeral cup is largely unknown. Therefore the present work describes the effects of the initiation and propagation of the humeral cup defect resulting from scapular notching through the use of finite element modeling and wear simulation, in order to assess changes in RTSA contact mechanics and tribological properties. A significant decrease in articular contact area and increase in maximum contact stress values was found for …

Experimental Measurements Of Far Field Cough Airflows Produced By Healthy And Influenza- Infected Human Subjects, Ahmed Faraj Alarbi Mohamed

Electronic Thesis and Dissertation Repository

The present work details an experimental study of the cough airflow fields produced by subjects infected with influenza and when they are convalescent, together with data from healthy cohorts. The PIV and HWA measurements were taken far downstream at 1 m from the source within a cough chamber, along with droplet sampling at two different locations and nasal swabs from the sick subjects. The measured data over different seasons were used to evaluate and compare the results from sick, convalescent and healthy subjects. Although a total of 8 sick participants from winter 2014 and 2017 yielded positive nasal swab analysis, …

The Effect Of Radial And Ulnar Length Change On Distal Forearm Loading, Ahaoiza D. Isa

Electronic Thesis and Dissertation Repository

The effect of distal radial and ulnar length change on forearm bone loading is not well understood during simulated dynamic wrist loading. This thesis presents two studies which investigate the effect of these length changes on distal forearm loading under simulated dynamic wrist motion. The first study investigates the effect of radial length change on axial loading at the distal radius and ulna and relationship between ulnar variance and distal forearm loading. The complex variation in axial loads in the distal radius and during length change and dynamic wrist motion were studied and discussed. There was no correlation between native …

Assessment Of The Non-Linear Stress-Strain Characteristics Of Poly (Vinyl Alcohol) Cryogel, Mojdeh Zakeri

Electronic Thesis and Dissertation Repository

Creation of tissue-mimicking constructs is of great importance in the field of biomedical engineering. Poly (vinyl Alcohol) (PVA) is a biomaterial capable of simulating a wide range of geometries and mechanical properties of biological tissues. It is nontoxic, biocompatible, and easy to produce. PVA can be physically crosslinked by repeated cycles of freezing and thawing. The final product of this process is called PVA cryogel (PVA-C). The mechanical properties of PVA-C can be accurately controlled by changing PVA molecular weight, PVA concentration, and number and duration of freeze/thaw cycles (FTC). In this study, the stress-strain behavior of PVA cryogel was …

The Role Of Scapular Morphology In Reverse Shoulder Arthroplasty, Ashish Gupta

Electronic Thesis and Dissertation Repository

Baseplate fixation in a reverse shoulder arthroplasty depends on adequate bone stock. In cases of severe glenoid bone loss and revision shoulder arthroplasty, deficiency of the glenoid vault compels the surgeon to attain screw fixation in the three columns of the scapula. The relationship of these columns demonstrated that the coracoid is closer to the lateral scapular pillar in females than in males. Significant gender dimorphism exists between the orientations of the three columns. The gender dimorphism is further evaluated by anthropometric measurements of the scapular body and the glenoid. The clinical significance lies in the ability to reconstruct the …

A Biomechanical Investigation Of Scaphoid And Lunate Kinematics During Wrist Motion, Helen L. Stoesser

Electronic Thesis and Dissertation Repository

Carpal kinematics have been previously investigated, yet there remains no consensus regarding the relative contribution of each bone to total wrist motion. A more detailed understanding of carpal kinematics is essential in the effective diagnosis and treatment of injuries of the wrist, as many injuries manifest as an alteration in intercarpal kinematics. The scapholunate (SL) ligament is one of the most commonly injured intercarpal articulations resulting in a cascade of degenerative changes included cartilage wear and altered joint kinematics. The SL ligament is considered the primary stabilizer of the SL joint but is surrounded by a complex network of secondary …

A Novel Composite Material-Based Computational Model For Left Ventricle Biomechanics Simulation, Seyyed Mohammad Hassan Haddad

Electronic Thesis and Dissertation Repository

To model cardiac mechanics effectively, various mechanical characteristics of cardiac muscle tissue including anisotropy, hyperelasticity, and tissue active contraction characteristics must be considered. Some of these features cannot be implemented using commercial finite element (FE) solvers unless additional custom-developed computer codes/subroutines are appended. Such codes/subroutines are unavailable for the research community. Accordingly, the overarching objective of this research is to develop a novel LV mechanics model which is implementable in commercial FE solvers and can be used effectively within inverse FE frameworks towards cardiac disease diagnosis and therapy. This was broken down into a number of objectives. The first objective …

Markerless Radiostereogammetry Of The Shoulder Joint In Humans: Comparisons Of Scapulohumeral Kinematics Between Individuals With Healthy And Supraspinatus-Impaired Shoulders, Ashley N. Hannon

Electronic Thesis and Dissertation Repository

The purpose of this collection of studies was to further develop the knowledge of shoulder motion in order to better understand joint function through direct measurement of 3D scapulohumeral joint kinematics using a technique of high accuracy. Markerless, bi-planar fluoroscopic radiostereometric analysis using a generic shoulder model was developed in this thesis, reducing the amount of radiation exposure to subjects. The studies compared kinematic data of the scapulohumeral joint in six degrees of freedom with a precise, in-vivo measuring technique. Data were collected on young and older healthy individuals, individuals with a torn supraspinatus and post-surgical intervention.

Although this generic …

Effect Of Hemiarthroplasty Implant Contact Geometry And Material On Early Cartilage Wear, Alana Khayat

Electronic Thesis and Dissertation Repository

Hemiarthroplasty is a minimally invasive, cost-effective alternative to total arthroplasty in joints of the upper limb. Though these procedures reduce patient morbidity while restoring joint kinematics, their longevity is limited by wear of the adjacent cartilage. This work investigates the roles of contact geometry and implant stiffness on cartilage wear with the aim of elucidating the mechanics that contribute to cartilage damage. An in vitro study examined the influence of implant geometry on cartilage wear using a pin-on-plate wear simulator. A significant decrease in volumetric wear was observed as contact area increased, which suggests that maximizing contact area should be …