Biomedical Engineering and Bioengineering Commons^™

Biomechanical Joint Demands And Functional Outcomes During Manual Wheelchair Use In Pediatric Patients With Spinal Cord Injury, Christine M. Aurit

Theses and Dissertations

The biomechanical demands of the upper extremities (UEs) during pediatric manual wheelchair (MWC) use have not been fully explored. Children who use MWCs for mobility engage in a range of functional activities that may place large biomechanical demands on the UEs leading to a high risk on overuse injuries. This study aims to analyze the kinematics and kinetics of pediatric manual wheelchair use during propulsion, starting, stopping and weight relief tasks. Fourteen pediatric patients with spinal cord injury were recruited and data were collected using a 14-camera Vicon MX motion analysis system (Oxford Metric Group, Oxford, UK) and a SmartWheel …

Role Of Sensation In Altered Phalanx Grip Force In Persons With Stroke, Leah R. Enders

Theses and Dissertations

Many individuals experience hand impairment after stroke leading to decreased ability to perform daily living activities. Previous research studies have investigated how stroke survivors' pinch grip control differs from healthy individuals, even though many individuals can only grasp with power grip after stroke. Furthermore, many stroke survivors experience tactile sensory deficit in their paretic limb in addition to motor deficit. It is currently unknown how stroke induced tactile sensory deficit affects power grip force directional control, which is important in terms of preventing object slippage and power grip normal force generation. Additionally it is unknown if power grip could be …

The Effect Of Fixation Plate Length On Spinal Instability Following Anterior Cervical Plate Fixation For The Repair Of In Vitro Flexion-Distraction Injuries, Abdulaziz J. Al-Kuwari

Electronic Thesis and Dissertation Repository

Abstract:

The Effect of Fixation Plate Length on Spinal Instability Following Anterior Cervical Plate Fixation for the Repair of in Vitro Flexion-Distraction Injuries

Introduction: Anterior cervical decompression and fusion with a plate (ACDFP) is a commonly performed treatment following a traumatic injury to the subaxial cervical spine. The purpose of the presented work was to determine the biomechanical effect of plate length on cervical spine kinematic stability following ACDFP stabilization for a simulated traumatic injury.

Methods: Eleven fresh-frozen cadaveric C5-C6 and C6-C7 motion segments were examined in this study. To assess kinematics, flexibility testing was performed on each specimen …

Upper Extremity Biomechanics Of Children With Spinal Cord Injury During Wheelchair Mobility, Alyssa J. Schnorenberg, Brooke A. Slavens, Adam Graf, Joseph J. Krzak, Lawrence C. Vogel, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

While much work is being done evaluating the upper extremity joint dynamics of adult manual wheelchair propulsion, limited work has examined the pediatric population of manual wheelchair users. Our group used a custom pediatric biomechanical model to characterize the upper extremity joint dynamics of 12 children and adolescents with spinal cord injury (SCI) during wheelchair propulsion. Results show that loading appears to agree with that of adult manual wheelchair users, with the highest loading primarily seen at the glenohumeral joint. This is concerning due to the increased time of wheelchair use in the pediatric population and the impact of this …

Design Of The High-Speed Stereo Radiography System, John C. Ivester Iv

Electronic Theses and Dissertations

Orthopaedic pathologies often involve disruption of the mechanical environment of a joint at/below the mm scale. The ability to measure biomechanical kinematics at the sub-mm scale is essential for obtaining valuable insight into pathologies, but small motions of the joints are difficult to quantify. Estimates of skeletal kinematics are commonly made from optical motion capture systems and markers placed on the skin. The error caused by external marker movement is largely avoided with x-ray motion capture. Dynamic radiography uses a series of x-ray images recorded at high-speed and captures in-vivo joint motion. Uncovering the mechanical foundation of orthopaedic pathologies requires …

Biomechanical Evaluation Of Fracture Fixation Constructs Using A Variable-Angle Locked Periprosthetic Femur Plate System, Martin F. Hoffmann, Travis A. Burgers, James J. Mason, Bart O. Williams, Debra L. Sietsema

Mechanical Engineering Faculty Publications

Background
In the United States there are more than 230,000 total hip replacements annually, and periprosthetic femoral fractures occur in 0.1–4.5% of those patients. The majority of these fractures occur at the tip of the stem (Vancouver type B1). The purpose of this study was to compare the biomechanically stability and strength of three fixation constructs and identify the most desirable construct.
Methods
Fifteen medium adult synthetic femurs were implanted with a hip prosthesis and were osteotomized in an oblique plane at the level of the implant tip to simulate a Vancouver type B1 periprosthetic fracture. Fractures were fixed with …

Implementation Of Analytical Fatigue Models Into Opensim To Predict The Effects Of Fatigue On Anterior Cruciate Ligament Loading, Michael A. Samann

Mechanical & Aerospace Engineering Theses & Dissertations

The anterior cruciate ligament (ACL) provides stability to the knee joint while performing activities such as a side step cut. Neuromuscular fatigue, a reduction in muscle force producing capabilities, alters lower extremity mechanics while performing a side step cut and may increase the risk of ACL injury, particularly in females. Musculoskeletal modeling allows for the measurement of muscle forces, which are difficult to measure in-vivo. Therefore, musculoskeletal modeling, may improve our understanding of the effects of neuromuscular fatigue on muscle force production and loading of the ACL. Therefore, the purpose of this study was to develop a musculoskeletal model which …

Dynamic Simulations And Data Mining Of Single-Leg Jump Landing: Implications For Anterior Cruciate Ligament Injury Prevention, Kristin Denise Morgan

Doctoral Dissertations

It is estimated that 400,000 anterior cruciate ligament (ACL) injuries occur in the United States each year with the cost of ACL reconstruction surgery and rehabilitation exceeding $1 billion annually. The majority of ACL injuries are non-contact injuries occurring during cutting and jump landing movements. Because the majority of the injuries are non-contact injuries there is the potential to develop programs to reduce the risk of injury. Given our understanding of the joint kinematics and kinetics that place an individual at high risk for ACL, researchers have developed neuromuscular training programs that focus on improving muscle function in order to …

Development Of An In-Vitro Passive And Active Motion Simulator For The Investigation Of Shoulder Function And Kinematics, Joshua W. Giles

Electronic Thesis and Dissertation Repository

Injuries and degenerative diseases of the shoulder are common and may relate to the joint’s complex biomechanics, which rely primarily on soft tissues to achieve stability. Despite the prevalence of these disorders, there is little information about their effects on the biomechanics of the shoulder, and a lack of evidence with which to guide clinical practice. Insight into these disorders and their treatments can be gained through in-vitro biomechanical experiments where the achieved physiologic accuracy and repeatability directly influence their efficacy and impact.

This work’s rationale was that developing a simulator with greater physiologic accuracy and testing capabilities would improve …

Vicon Motion System, Arezoo Eshraghi

AREZOO ESHRAGHI

No abstract provided.

Cv, Arezoo Eshraghi

AREZOO ESHRAGHI

No abstract provided.

Biomechanical Model For Evaluation Of Pediatric Upper Extremity Joint Dynamics During Wheelchair Mobility, Alyssa J. Schnorenberg, Brooke A. Slavens, Mei Wang, Lawrence Vogel, Peter Smith, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Pediatric manual wheelchair users (MWU) require high joint demands on their upper extremity (UE) during wheelchair mobility, leading them to be at risk of developing pain and pathology. Studies have examined UE biomechanics during wheelchair mobility in the adult population; however, current methods for evaluating UE joint dynamics of pediatric MWU are limited. An inverse dynamics model is proposed to characterize three-dimensional UE joint kinematics and kinetics during pediatric wheelchair mobility using a SmartWheel instrumented handrim system. The bilateral model comprises thorax, clavicle, scapula, upper arm, forearm, and hand segments and includes the sternoclavicular, acromioclavicular, glenohumeral, elbow and wrist joints. …

Potential Optimal Gait Performance Of Mauch S-N-S Prosthetic Knee Configurations As Predicted By Dynamic Modeling, Chih-Hao Chien

ETD Archive

Patients with prosthetic legs routinely suffer from abnormal gait patterns which can cause health issues and eventually lower the quality of their lives. Despite the half-century advance in the technology of prosthetic knees, from the purely mechanical to microprocessor controlled systems, patient testing suggests that very little progress has been made in the quality of the kinetics and kinematics of amputee gait. Moreover, the cost of microprocessor controlled prosthetic knees may be 10 times more than the purely mechanical knees. While prosthetic knees have become more complex and expensive, it is not proven that the prosthetic knee is a central …

Analysis And Modeling Of The Roles Of Actin-Myosin Interactions In Bladder Smooth Muscle Biomechanics, Seyed Omid Komariza

Theses and Dissertations

Muscle mechanical behavior potentially plays an important role in some of the most common bladder disorders. These include overactive bladder, which can involve involuntary contractions during bladder filling, and impaired contractility or underactive bladder, which may involve weak or incomplete contractions during voiding. Actin-myosin cross-bridges in detrusor smooth muscle (DSM) are responsible for contracting and emptying the bladder. The total tension produced by muscle is the sum of its preload and active tensions. Studies suggest that actin-myosin cross-links are involved in adjustable preload stiffness (APS), which is characterized by a preload tension curve that can be shifted along the length …

Biomechanical Analysis Of Concealed Pack Load Influences On Terrorist Gait Signatures Derived From Gröbner Basis Theory, Sean S. Kohles, Anum Barki, Kimberly D. Kendricks, Ronald F. Tuttle

Biology Faculty Publications and Presentations

This project examines kinematic gait parameters as forensic predictors of the influence associated with individuals carrying concealed weighted packs up to 20% of their body weight. An initial inverse dynamics approach combined with computational algebra provided lower limb joint angles during the stance phase of gait as measured from 12 human subjects during normal walking. The following paper describes the additional biomechanical analysis of the joint angle data to produce kinetic and kinematic parameters further characterizing human motion. Results include the rotational velocities and accelerations of the hip, knee, and ankle as well as inertial moments and kinetic energies produced …

Design And Validation Of A Computational Model For Study Of Scapholunate Joint Kinematics, Edward J. Tremols

Theses and Dissertations

As computational power has increased, computational modeling has become a very promising tool to model the biomechanics of complex joint systems. Musculoskeletal computational models have become more complex when compared to original iterations which utilized a number of simplifications. This thesis utilized a three-dimensional computational model of the wrist joint structure to investigate scapholunate kinematics. The model accurately represented the bony anatomy of the wrist and hand and represented soft tissue structures such as ligaments, tendons, and other surrounding tissues. Creation of the model was done using commercially available computer-aided design and medical image processing software, and utilized the rigid …

A Modular Low-Clearance Wrist Orthosis For Improving Wrist Motion In Children With Cerebral Palsy, Devon Holley, Michelle Johnson, Gerald F. Harris, Scott A. Beardsley

Biomedical Engineering Faculty Research and Publications

Children with Cerebral Palsy (CP) often exhibit impairments in the coordination of the grip and lift phases of arm movements that directly impact their ability to perform activities of daily living (ADLs). The application of assistive robotic therapy to children with spastic hemiplegic CP has shown that augmented movement training can lead to improved functional outcomes and improved arm kinematics. Assistive robotic therapy of the wrist has been shown to help improve motor skills in stroke patients, but the devices employed are often large and obtrusive, focusing on a repeated motion rather than a task-based itinerary. Here, we propose a …

Novel Computational Approaches Characterizing Knee Physiotherapy, Wangdo Kim, Antonio P. Veloso, Duarte Araújo, Sean S. Kohles

Biology Faculty Publications and Presentations

A knee joint’s longevity depends on the proper integration of structural components in an axial alignment. If just one of the components is abnormally off-axis, the biomechanical system fails, resulting in arthritis. The complexity of various failures in the knee joint has led orthopedic surgeons to select total knee replacement as a primary treatment. In many cases, this means sacrificing much of an otherwise normal joint. Here, we review novel computational approaches to describe knee physiotherapy by introducing a new dimension of foot loading to the knee axis alignment producing an improved functional status of the patient. New physiotherapeutic applications …