Biomechanics Commons^™

Lower Body Gait Variability As A Distinguishing Feature In Humans, Tyler M. Wiles, Seung Kyeom Kim, Nick Stergiou, Aaron D. Likens

UNO Student Research and Creative Activity Fair

Most humans have a fingerprint that is unique and persists throughout life. The same may be true for gait. Each person is unique physiologically and biomechanically, and has experienced a unique progression of life including injuries, habits, hobbies, or lifestyles that all contribute to navigating the world. Those individualized experiences, whether intended or not, are potentially on display in gait. We hypothesized that there are gait characteristics intrinsic and unique to everyone, so that everyone has a unique “gaitprint”, similar to humans possessing unique fingerprints. To test our hypothesis, we recruited thirty healthy young adults between the ages 19-35 as …

Functional Outcomes Of Noninvasive Sensory Feedback In Upper Limb Prostheses: A Meta-Analysis, Libby Caldwell

UNO Student Research and Creative Activity Fair

Noninvasive sensory feedback applies vibration or pressure to the residual limb and is thought to improve the functionality of upper limb prostheses. However, the efficacy of this approach has not been sufficiently investigated, particularly regarding actual amputee efficacy. The purpose of this study was to evaluate the functional benefits of noninvasive sensory feedback in upper limb prostheses through a meta-analysis. Electronic databases (MEDLINE, Web of Science, and PubMed) were searched up to October 2022 using the following search terms: (prosthesis OR prosthetic) AND (hand OR arm OR forearm OR transradial OR “upper limb” OR “upper extremity) AND (tactile OR haptic …

Walking With A Load On Wheels: Potential Effects Of Bidirectional Springs On Walking Economy, Hiva Razavi, Philippe Malcolm

UNO Student Research and Creative Activity Fair

Walking with a Load on Wheels: Potential Effects of Bidirectional Springs on Walking Economy

Have you ever noticed how your arms alternatively flex and extend when pushing a heavy shopping cart? Accelerating and decelerating heavy masses, such as a shopping cart, can require much effort. During walking, we alternatively accelerate and decelerate our Center of Mass (COM) in every gait cycle, which can require even more effort if we accelerate and decelerate a load while walking. Theoretically, this effort can be reduced by timing the acceleration and deceleration of the load's mass opposite to the individual's COM. Previous studies have …

Inter-Joint Variability And Age-Related Changes In Human Walking, Mehrnoush Haghighatnejad, Tyler Wiles, Seung Kyeom Kim, Aaron Likens, Nicholas Stergiou

UNO Student Research and Creative Activity Fair

Inter-Joint Variability and Age-Related Changes in Human Walking

Mehrnoush Haghighatnejad¹*, Tyler M. Wiles¹, Seung Kyeom Kim¹, Nick Stergiou^1,2, Aaron D. Likens¹

¹Department of Biomechanics, University of Nebraska at Omaha

²Department of Physical Education and Sport Science, Aristotle University, Thessaloniki, Greece

*Corresponding author’s email: mhaghighatnejad@unomaha.edu

Presentation Preference: Poster

Humans routinely perform a variety of activities such as walking, running, driving, and typing, all of which require coordination among different body joints. For instance, walking and running involve rhythmic movements of the arms and legs. The involvement of the upper …

Negative Impact Of Aging On Gait Autocorrelation: A Mixed-Effects Analysis Of Stride Interval Dynamics, Theodore Deligiannis, Tyler M. Wiles, Seung Kyeom Kim, Nikolaos Stergiou, Aaron Likens

UNO Student Research and Creative Activity Fair

NEGATIVE IMPACT OF AGING ON GAIT AUTOCORRELATION: A MIXED-EFFECTS ANALYSIS OF STRIDE INTERVAL DYNAMICS

Theodore A. Deligiannis^1*, Tyler M. Wiles¹, Seung Kyeom Kim¹, Nick Stergiou^1,2, Aaron D. Likens¹

¹Department of Biomechanics, University of Nebraska at Omaha

*Corresponding author’s email: tdeligiannis@unomaha.edu

Presentation preference: Podium

Traditional gait metrics, like speed, cadence, coordination, as well as non-linear measures, appear related to Timed Up and Go (TUG). Timed Up and Go is a clinical measurement related to physical, socioeconomic, and psychological parameters, as well as overall health. TUG can be used as a health …

Accelerometry-Based Analysis Of Postural Sway In Parkinson's Disease Patients With Levodopa-Induced Dyskinesia, Chandler Brock

UNO Student Research and Creative Activity Fair

Parkinson’s disease (PD) is a progressive neurodegenerative disorder, with patient numbers projected to double to 12 million in the next 20 years. Levodopa-induced dyskinesia (LID) is a major problem associated with the long-term use of levodopa for symptomatic treatment of PD. These involuntary movements can become disabling and may interfere with quality of life. Our prior research showed that PD w/ LID were less stable while standing (i.e., increased postural sway) and had a higher incidence of falls. The aim of this study is to determine if postural sway properties are altered by LID via decomposing the sway signal. We …

Walking Easier By Attaching A Spring-Mass To The Body: A Preliminary Simulation, Hiva Razavi, Philippe Malcolm

UNO Student Research and Creative Activity Fair

When carrying or pushing a load, more force is needed to accelerate and decelerate the additional mass, increasing Ground Reaction Force (GRF). However, this can be reduced by synchronizing the object's movement with the individual's Center of Mass (COM) using antiphase acceleration and deceleration. Past studies have shown this can decrease muscle work and metabolic costs. This study aimed to determine optimal spring parameters to minimize horizontal GRF (GRFh) when pushing a cart by connecting the human to the cart with a spring and damper system.

Three walking conditions were simulated in MATLAB: 1) Normal walking; 2) Walking with a …

Attenuated Skeletal Muscle Metabolism Explains Blunted Reactive Hyperemia After Prolonged Sitting, Cody Anderson, Elizabeth Pekas, Michael Allen, Song-Young Park

UNO Student Research and Creative Activity Fair

Introduction: Although reduced post-occlusive reactive hyperemia (PORH) after prolonged sitting (PS) has been reported as impaired microvascular function, no specific mechanism(s) have been elucidated. One potential mechanism, independent of microvascular function, is that an altered muscle metabolic rate (MMR) may change the magnitude of PORH by modifying the oxygen deficit achieved during cuff-induced arterial occlusions. We speculated that if MMR changes during PS, this may invalidate current inferences about microvascular function during PS. Objective: Therefore, the objective of this study was to examine if peripheral leg MMR changes during PS and to ascertain whether the change in the oxygen deficit …

The Effect Of Exoskeleton Footwear On Joint Angular Motion During Walking In Patients With Peripheral Artery Disease, Zahra Salamifar, Farahnaz Fallahtafti, Iraklis I. Pipinos, Jason M. Johanning, Sara Myers

UNO Student Research and Creative Activity Fair

Gait, Lower Extremity, Peripheral Artery Disease, Joint Angle, Exoskeleton Footwear, Exoskeleton, Assistive Device, Walking.

The Effects Of Demographics And Risk Factors On The Morphological Characteristics Of Human Femoropopliteal Arteries, Sayed Ahmadreza Razian, Majid Jadidi, Alexey Kamenskiy

UNO Student Research and Creative Activity Fair

Background: Disease of the lower extremity arteries (Peripheral Arterial Disease, PAD) is associated with high morbidity and mortality. During disease development, the arteries adapt by changing their diameter, wall thickness, and residual deformations, but the effects of demographics and risk factors on this process are not clear.

Methods: Superficial femoral arteries from 736 subjects (505 male, 231 female, 12 to 99 years old, average age 51±17.8 years) and the associated demographic and risk factor variables were used to construct machine learning (ML) regression models that predicted morphological characteristics (diameter, wall thickness, and longitudinal opening angle resulting from the …

The Optimal Relationship Between Actuator Stiffness And Actuation Timing For A Passive Ankle Exoskeleton: An Opensim Simulation, Cody Anderson, Hafizur Rahman, Sara Myers

UNO Student Research and Creative Activity Fair

Introduction

The passive ankle exoskeleton developed by Collins et al. (2015) reduced the metabolic cost of walking with an actuation-timing of ~16% of stance [1]; however, other actuation timings have not been extensively investigated. Therefore, the purpose of this study was to determine the optimal relationship between actuator-stiffness and actuation-timing for a passive ankle exoskeleton by using musculoskeletal modeling.

Methods

Kinematics and ground reaction forces were recorded while a healthy-young male walked on overground force-plates, and these data were exported to a musculoskeletal modeling software (OpenSim) for simulation. A passive ankle exoskeleton model was designed and integrated with a default …

Design And Development Of Software With A Graphical User Interface To Display And Convert Multiple Microscopic Histology Images, Sayed Ahmadreza Razian, Majid Jadidi, Alexey Kamenskiy

UNO Student Research and Creative Activity Fair

Histological images are widely used to assess the microscopic anatomy of biological tissues. Recent advancements in image analysis allow the identification of structural features on histological sections that can help advance medical device development, brain and cancer research, drug discovery, vascular mechanobiology, and many other fields. Histological slide scanners create images in SVS and TIFF formats that were designed to archive image blocks and high-resolution textual information. Because these formats were primarily intended for storage, they are often not compatible with conventional image analysis software and require conversion before they can be used in research. We have developed a user-friendly …

Ankle Foot Orthoses Improves Ground Reaction Forces In Patients With Peripheral Artery Disease, Zahra Salamifar, Farah Fallahtafti, Iraklis Pipinos, Jason Johanning, Hafizur Rahman, Mahdi Hassan, Sara Myers

UNO Student Research and Creative Activity Fair

Peripheral artery disease (PAD) is caused by atherosclerotic blockage of the arteries in the legs. Globally, over 236 million people suffer from PAD. Intermittent claudication is the most common PAD symptom that includes muscle pain, cramping, and/or aching induced by physical activities and relieved with rest. PAD impacts gait patterns: specifically, rapid ankle plantar flexion after heel contact, which decreases optimal energy transfer. An ankle-foot orthosis (AFO) is an assistive device that improves gait in patients with neurological conditions. AFOs could help patients with PAD to improve walking kinetics. The purpose of this study was to determine the impact of …

Efficacy Of The Opensim Simulator As A Tool To Detect Changes In Gait: A Peripheral Artery Disease Model, Cody Anderson, Hafiz Rahman, Irakis Pipinos, Jason Johanning, Sara Myers

UNO Student Research and Creative Activity Fair

INTRODUCTION

Peripheral Artery Disease (PAD) is characterized by atherosclerotic plaques in the leg arteries. A common treatment for PAD is supervised exercise training [1]. However, gait is not fully restored following supervised exercise training (SET). Musculoskeletal simulation may provide insight into how muscle activation changes following SET contributed to persistent gait alterations.

METHODS

Kinematic and kinetic data from overground walking of patients with PAD (n=12), before and after a 6-month exercise intervention, was used as input for musculoskeletal modeling (OpenSim). The subjects in our sample were subdivided based on the location of ischemic muscle pain, as reported on the San …

Development Of A Modular Activity-Specific Upper Limb Prosthesis, Rahul Raj

UNO Student Research and Creative Activity Fair

The use of activity-specific upper-limb prosthesis helps children with upper-limb loss to engage in functional and recreational activities, such as music and sports. The purpose of this study was to develop a modular activity-specific prosthesis and develop a remote-fitting procedure. We evaluated patient satisfaction after using the device for 8 weeks and evaluated anthropometric and range of motion (ROM) measurements of the residual limb after use of the prosthesis. We enrolled 7 children with unilateral trans-radial amputations between 7 and 12 years of age. The modular activity- specific prosthesis was specifically designed for playing musical instruments and sports. A survey …

A Systematic Review: Long Range Correlations In Running Gait, Mr. Taylor Wilson

UNO Student Research and Creative Activity Fair

Long range correlations (LRCs) are apparent in human walking and running gait and are indicative of a healthy system. A systematic review (SR) was completed to determine the typical LRC patterns in running. 20 articles were included in the SR. LRCs in running gait tend to be similar to the LRCs in walking gait, with fatigue contributing to a negative effect on the LRCs.

This SR could have implications on training guidelines for coaches and physical therapy methods to increase the LRCs in running gait for healthier functioning. More research is needed to determine how LRCs depend on running surface …

How Stair Negotiation Affects Knee Joint Contact Forces In Individuals Post-Total Knee Arthroplasty, Todd Leutzinger

UNO Student Research and Creative Activity Fair

This study investigates how walking up and down stairs affects knee joint contact forces in individuals post-total knee arthroplasty compared to overground level walking and healthy controls.

Developing And Testing Of Low-Cost 3d Printed Prostheses To Restore And Improve Function Of Children With Congenital Or Traumatic Amputations, Rahul Raj, Christopher Copeland, Claudia Cortes Reyes, Kaitlin Fraser, David Salazar

UNO Student Research and Creative Activity Fair

The purpose of this investigation was to provide technical considerations and clinical evidence of the possible benefits and obstacles in the use of upper-limb 3D printed prostheses in paediatric populations. This information is crucial for clinicians interested in exploring the use of 3D printed prostheses for their patients. In the present study, children with congenital digit reductions (n=5); absent digits (one traumatic and four congenital) (n=5) and with upper-limb reductions (n=9). The perceived functionality of upper-limbs before the use of the prosthesis and after 4 months of use. In addition, gross dexterity, anthropometric measurements, active range of motion, and strength …

Determining The Optimal Tension For An Ankle-Foot Assistive Device, Cody Anderson

UNO Student Research and Creative Activity Fair

Introduction

Peripheral artery disease (PAD) is caused by atherosclerosis, a buildup of cholesterol and fatty acid deposits, which blocks blood flow to the arms, legs, and feet. Ankle assistive devices have recently been implemented in various clinical population to improve walking ability. Our group has developed an ankle assistive device to improve walking ability in patients with PAD. This study tested our newly developed assistive device with several tension assistance levels and their effect on metabolic cost.

Methodology

Ten healthy subjects were recruited for this study. A spring was attached to the posterior side of the device parallel to the …

The Effect Of Sensory Input On The Temporal Structure Of Center Of Pressure In Stroke Survivors, Samantha Chong

UNO Student Research and Creative Activity Fair

Stroke is the leading cause of disability that affects 17 million people worldwide. Patients post-stroke suffer from maintaining balance because the brain may not be able to receive or process visual, vestibular and proprioceptive sensory information: all of which contribute towards maintaining stability. Information provided by vision is important for spatial orientation, as it develops an environmental perspective. Proprioception is detected through the stretching of tendons and surrounding tissue and is able to help the brain determine spatial location. The vestibular system provides a sense of balance detecting rotations and linear accelerations through the vestibulo-ocular reflex. The vestibular system is …

The Effects Of Stiffness Of A Prosthetic Shock-Absorbing Pylon On Mechanical Work During Walking, Jenny Anne Maun

UNO Student Research and Creative Activity Fair

Name: Jenny Anne Maun

Title: The effects of stiffness of a prosthetic shock-absorbing pylon on mechanical work during walking

Degree: Masters

Faculty Advisor: Kota Z. Takahashi, PhD

Co-authors: Steven A. Gard, PhD; Matthew J. Major, PhD

A prosthetic shock-absorbing pylon (SAP) is intended to attenuate impact forces, provide comfort, and reduce residual limb pain for prosthesis users. However, the effect of an SAP and its spring stiffness on the mechanical work done by the prosthetic limb during walking remains unclear. The purpose of this study: to investigate the effects of SAP spring stiffness and walking speed on the mechanical work …

Walking Adaptations To An Ankle Foot Orthosis In Individuals With Peripheral Artery Disease, Todd Leutzinger, Iraklis Pipinos, Jason Johanning, Mahdi Hassan, Holly Despiegelaere, Mukul Mukherjee, Sara Myers

UNO Student Research and Creative Activity Fair

Single Session Walking Adaptations to an Ankle Foot Orthosis in Patients with Claudication and Peripheral Artery Disease

Todd Leutzinger^{1, 2}, Iraklis Pipinos^{2, 3}, Jason Johanning^{2, 3}, Mukul Mukherjee¹, Sara Myers^{1, 2}

¹Department of Biomechanics, University of Nebraska at Omaha, Omaha, NE USA

²Nebraska and Western Iowa Veterans Affairs’ Medical Center, Omaha, NE USA

³Department of Surgery, University of Nebraska Medical Center, Omaha, NE USA

Email: tleutzinger@unomaha.edu

Peripheral artery disease (PAD) is an atherosclerotic disease affecting the arteries of the lower extremities [1]. The primary symptom of PAD is …

How Prosthetic Ankle Stiffness & Load Carriage Affect Metabolic Energy Expenditure During Walking, Erica A. Hedrick, Philippe Malcolm, Jason M. Wilken, Kota Z. Takahashi

UNO Student Research and Creative Activity Fair

The ankle structures play a key role in body support, forward propulsion and leg swing. One important property of the human ankle is its ‘quasi-stiffness’, or resistance to angular motion. The ankle joint stiffness can play a role in aiding the lower leg as its rocks over the foot. Human biological ankle stiffness changes in response to changes in the mechanical demands of walking (e.g. added load or changes in speed), using active muscle contractions. However, the role of ankle stiffness in regulating metabolic energy across walking conditions is unknown. Therefore, the purpose of this study is to determine how …

Effect Of Dual-Task Walking On Long-Range Correlations In People With Parkinson's Disease, Shane Meltz

UNO Student Research and Creative Activity Fair

Parkinson’s Disease (PD) causes gait to be more variable and more random. Gait variability is related to disease severity, and may be a marker of fall risks. Gait in PD is attention-dependent, meaning a distraction while walking could be detrimental. The effects of dual-task walking on gait variability in PD are unclear (in particular fractal fluctuations). This study will determine if dual-task walking impacts stride-to-stride variability compared to normal walking in people with Parkinson’s Disease. We predict that dual-tasking will lead to more random stride-to-stride variability in people with PD, compared to controls. Also, within the PD group, we predict …

How The Foot Modulates Its Mechanics During Uphill And Downhill Walking, Jeffrey M. Patterson, Kota Z. Takahashi

UNO Student Research and Creative Activity Fair

The foot's biomechanical role in walking on sloped surfaces is currently unclear. While previous biomechanics studies have examined the hip, knee, and ankle, the foot is oversimplified as a rigid-body segment. This oversimplification overshadows its complex structure and function. In this project, we use an innovative multi-segment foot model to explore how the foot adapts its mechanics to incline and decline walking. Preliminary results have revealed that the foot is capable of adapting its mechanical work profile to both incline and decline walking. Specifically, the foot can increase its positive work output (i.e., increased energy generation) during inclined walking to …

Effect Of Handrail Use During Stair Climbing In Oa Patients: A Pilot Study, Jenna Ackerman

UNO Student Research and Creative Activity Fair

Introduction: For the patients with osteoarthritis of the knee, stairs are commonly a difficult task and may be the first thing affect by osteoarthritis.1 This population often employs altered strategies when they approach, ascend, and descend the stairs compared to a healthy population. Within 12 years, 80% of patients develop knee osteoarthritis in the contralateral limb.2 Handrails play an important role by assisting with balance, control, and confidence, but their use needs to be assessed even further to fully understand how handrails impact the contralateral limb in osteoarthritic patients and how they may be integrated optimally into gait rehabilitation.

Purpose: …

3d Prosthetics Effects On Standing Posture In Unilateral Upper Limb Deficient Children, Keaton Young

UNO Student Research and Creative Activity Fair

3D Prosthetics Effects on Standing Posture in Unilateral Upper Limb Deficient Children

Keaton Young

Department of Biomechanics, University of Nebraska at Omaha

Introduction

Upper Limb Reduction Deficiency (ULD) is a congenital disability that affects the upper limb, which the Center for Disease Control and Prevention estimates that nearly 1,500 babies are born with ULD in the United States yearly ^1,2. Prior research has focused on functional treatment of the upper limbs but has lacked observance of the effects that prosthetics and limb loss incur to the trunk. Therefore, the purpose of this study is to examine the acute effects …

Influence Of Hip Abductor Fatigue On Acl Loading During Single-Leg Landing, Namwoong Kim

UNO Student Research and Creative Activity Fair

A musculoskeletal simulation study is necessary to identify the cause-effect relationship between hip abductor weakness and ACL loading during athletic events such as landing and jumping. The purpose of this study was to identify the effect of weakness of hip abductors on lower extremity kinematics and ACL loading during single-leg landings. We hypothesized that hip abductor weakness would alter lower extremity joint kinematics. We also hypothesized that hip abductor weakness would increase ACL loading during single-leg landings. This study was a combination of a human experiment and a musculoskeletal modeling simulation. Ten healthy participants performed single-leg landing from a height …

Subthreshold Vibration Influences The Posture And Gait Of Transtibial Amputees, Charles Sloan

UNO Student Research and Creative Activity Fair

Unilateral transtibial amputees lose the afferent pathways of the limb when amputation occurs. The addition of vibration has shown to increase sensation on the applied limb. This study looks into how the addition of subthreshold vibration affects amputee gait and posture. Vibration applied to the residual limb was shown to have worked in posture, but not in gait.

Isolating Aspects Of Gait Through The Use Of Pacing Signals: A Pilot Study, Joel Sommerfeld

UNO Student Research and Creative Activity Fair

A number of recent studies have shown that the temporal structure of pacing signals greatly influences the gait dynamics observed when coordinating with those signals. Typically, those studies have focused on autocorrelation structure (ACF). The current study builds on that work by addressing how the probability distribution (PDF) of pacing signals contributes to the process of synchronization. Results show that people use both of those sources of information when coordinating the timing of the lower limbs with an external pacing signal.