Biomechanics Commons^™

Skills Learning In Robot-Assisted Surgery Is Benefited By Task-Specific Augmented Feedback, Srikant Vallabhajosula, Srikant Vallabhajosula, Timothy N. Judkins, Mukul Mukherjee, I. H. Suh, D. Oleynikov, K.-C. Siu

Journal Articles

Background: Providing augmented visual feedback is one way to enhance robot-assisted surgery (RAS) training. However, it is unclear whether task specificity should be considered when applying augmented visual feedback. Methods: Twenty-two novice users of the da Vinci Surgical System underwent testing and training in 3 tasks: simple task, bimanual carrying (BC); intermediate task, needle passing (NP); and complex task, suture tying (ST). Pretraining (PRE), training, and posttraining (POST) trials were performed during the first session. Retention trials were performed 2 weeks later (RET). Participants were randomly assigned to 1 of 4 feedback training groups: relative phase (RP), speed, grip force, …

Lower Extremity Kinematics During Walking And Elliptical Training In Individuals With And Without Traumatic Brain Injury, Thad Buster, Judith Burnfield, Adam P. Taylor, Nikolaos Stergiou

Journal Articles

Background and Purpose: Elliptical training may be an option for practicing walking-like activity for individuals with traumatic brain injuries (TBI). Understanding similarities and differences between participants with TBI and neurologically healthy individuals during elliptical trainer use and walking may help guide clinical applications incorporating elliptical trainers.

Methods: Ten participants with TBI and a comparison group of 10 neurologically healthy participants underwent 2 familiarization sessions and 1 data collection session. Kinematic data were collected as participants walked on a treadmill or on an elliptical trainer. Gait-related measures, including coefficient of multiple correlations (a measure of similarity between ensemble joint movement profiles; …

Degeneracy And Long-Range Correlations, D. Delignières, Vivien Marmelat

Journal Articles

Degeneracy is a ubiquitous property of complex adaptive systems, which refers to the ability of structurally different components to perform the same function in some conditions and different functions in other conditions. Here, we suppose a causal link between the level of degeneracy in the system and the strength of long-range correlations in its behavior. In a numerical experiment, we manipulated degeneracy through the number of networks available in a model composed of a chain of correlated networks over which a series of random jumps are performed. Results showed that correlations in the outcome series increased with the number of …

University Of Nebraska At Omaha Biomechanics Research Building Newsletter, Fall 2013, Biomechanics Research Building

Biomechanics Annual Report

This issue features:

Updates - Featured Story: Our New Home, American Society of Biomechanics Meting, Nonlinear Workshop 2013, European Nonlinear Workshop, and Staff Updates;

Projects - VA Peripheral Arterial Disease, Motor Development, Optical Topography System, Effects of Virtual Reality, Virtual Reality, Robotic Surgery, Sports Medicine, Amputee, Proof of Concept Grant, Lateral Stepping, The Marriage of Music and Math, Chronic Obstructive Pulmonary Disease, Balance, NASA Grant, Back Pain Research, and Faculty Research International Grants.

Other Content - Other Visitors/Tours, Student Awards, Travels, and Campaign for Nebraska.

Center Of Pressure And The Projection Of The Time-Course Of Sitting Skill Acquisition, Joshua L. Haworth, Regina T. Harbourne, Srikant Vallabhajosula, Nikolaos Stergiou

Journal Articles

A normal time-course for the acquisition of sitting is essential. A delay in sitting may affect other developmental milestones, resulting in deficiencies in overall skill. Therefore, our aim was to identify variables whose measures at the very beginning of sitting would allow for the projection of the evolution of the sitting skill. Center of pressure data were collected from the postural sway of twenty-six typically developing infants while sitting on a force platform with a beginning ability to sit upright. Spatial, temporal and frequency variables of postural sway were obtained from both the medial/lateral and anterior/posterior directions of sway. Discriminant …

Multiple Sclerosis Alters The Mechanical Work Performed On The Body's Center Of Mass During Gait, Shane R. Wurdeman, Jessie M. Huisinga, Mary Filipi, Nikolaos Stergiou

Journal Articles

Patients with multiple sclerosis (MS) have less-coordinated movements of the center of mass resulting in greater mechanical work. The purpose of this study was to quantify the work performed on the body’s center of mass by patients with MS. It was hypothesized that patients with MS would perform greater negative work during initial double support and less positive work in terminal double support. Results revealed that patients with MS perform less negative work in single support and early terminal double support and less positive work in the terminal double support period. However, summed over the entire stance phase, patients with …

Gait Variablility Is Altered In Older Adults When Listening To Auditory Stimuli With Differing Temporal Structures, Jeffrey P. Kaipust, Denise Mcgrath, Mukul Mukherjee, Nikolaos Stergiou

Journal Articles

Gait variability in the context of a deterministic dynamical system may be quantified using nonlinear time series analyses that characterize the complexity of the system. Pathological gait exhibits altered gait variability. It can be either too periodic and predictable, or too random and disordered, as it is the case with aging. While gait therapies often focus on restoration of linear measures such as gait speed or stride length, we propose that the goal of gait therapy should be to restore optimal gait variability, which exhibits chaotic fluctuations and is the balance between predictability and complexity. In this context, our purpose …

Vascular Occlusion Affects Gait Variability Patterns Of Healthy Younger And Older Individuals, Sara A. Myers, Jason Johanning, Iraklis Pipinos, Kendra K. Schmid, Nikolaos Stergiou

Journal Articles

Insufficient blood flow is one possible mechanism contributing to altered gait patterns in lower extremity peripheral arterial disease (PAD). Previously, our laboratory found that induced occlusion alters gait variability patterns in healthy young individuals. However the effect of age was not explored. The purpose of this study was to account for age by investigating gait variability following induced vascular occlusion in healthy older individuals and to identify amount of change from baseline to post vascular occlusion between younger and older individuals. Thirty healthy younger individuals and 30 healthy older individuals walked on a treadmill during baseline and post vascular occlusion …

Executive Function Orchestrates Regulation Of Task-Relevant Gait Fluctuations, Leslie M. Decker, Fabien Cignetti, Nikolaos Stergiou

Journal Articles

Humans apply a minimum intervention principle to regulate treadmill walking, rapidly correcting fluctuations in the task-relevant variable (step speed: SS) while ignoring fluctuations in the task-irrelevant variables (step time: ST; step length: SL). We examined whether the regulation of fluctuations in SS and not in ST and SL depends on high-level, executive function, processes. Young adults walked on a treadmill without a cognitive requirement and while performing the cognitive task of dichotic listening. SS fluctuations became less anti-persistent when performing dichotic listening, meaning that taxing executive function impaired the ability to rapidly correct speed deviations on subsequent steps. Conversely, performing …

Gait Mechanics Are Different Between Healthy Controls And Patients With Multiple Sclerosis, Jessie M. Huisinga, Kendra K. Schmid, Mary Filipi, Nikolaos Stergiou

Journal Articles

Multiple sclerosis (MS) causes severe gait problems in relatively young individuals, yet there have been limited studies to quantitatively identify the specific gait parameters that are affected. The purpose of this study was to define any differences in biomechanical gait parameters between patients with MS and healthy controls. A total of 31 MS patients and 31 healthy controls were evaluated: joint torques and joint powers were calculated at the ankle, knee, and hip during the stance phase of gait. The self-selected walking velocity was used as a covariate in the analysis to ensure that group differences were not due to …

Temporal Structure Of Variability Reveals Similar Control Mechanisms During Lateral Stepping And Forward Walking, Shane R. Wurdeman, Nikolaos Stergiou

Journal Articles

Previous research exploring a lateral stepping gait utilized amount of variability (i.e. coefficient of variation) in the medial-lateral (ML) and anterior-posterior (AP) direction to propose that the central nervous system’s active control over gait in any direction is dependent on the direction of progression. This study sought to further explore this notion through the study of the temporal structure of variability which is reflective of the neuromuscular system’s organization of the movement over time. The largest Lyapunov exponent (LyE) of the reconstructed attractors for the foot’s movement in the AP and ML was calculated. Results revealed that despite the obvious …

Early Complexity Supports Development Of Motor Behaviors In The First Months Of Life, Stacey C. Dusing, Leroy R. Thacker, Nikolaos Stergiou, James C. Galloway

Journal Articles

Complexity in motor behavior is a hallmark of healthy systems. The purpose of this study was to investigate postural complexity during development of early motor behaviors and under two conditions. Twenty-two infants participated from 1 to 6 months of age. Linear and nonlinear measures of displacement of the center of pressure at the base of support were used to quantify magnitude and temporal structure of postural control. Behavioral coding was used to quantify the emergence of midline head control and early reaching. Results suggest that infants have complexity in postural control strategies early in development. This complexity decreases as infants …

New Perspectives In Human Movement Variability, Thurmon Lockhart, Nikolaos Stergiou

Journal Articles

Movement variability is defined as the normal variations that occur in motor performance across multiple repetitions of a task.2 Bernstein1 described movement variability quite eloquently as ‘‘repetition without repetition.’’ Traditionally, movement variability has been linked to noise and error, being considered to be random and independent. This theoretical approach blends well with traditional statistical and assessment methods of movement variability that assume randomness and independence of observations. However, numerous studies have indicated that when movement is observed over time variations are closely related with each other neither being random nor independent. Practically, traditional methods can mask the temporal structure of …

Sitting Postural Control In Infants With Typical Development, Motor Delay, Or Cerebral Palsy, Anastasia Kyvelidou, Regina T. Harbourne, Sandra L. Willett, Nikolaos Stergiou

Journal Articles

Purpose: To determine whether infants born full-term, infants born preterm with motor delays, and infants born preterm who have a diagnosis of cerebral palsy (CP) differed in postural control at the emergence of early sitting.

Methods: Thirty infants born at term who were developing typically, 6 infants born preterm who were later diagnosed with CP, and 5 infants born preterm who were delayed in motor development participated in this study. Center-of-pressure data from unsupported sitting were recorded and analyzed using measures of both amount and temporal organization of center-of-pressure variability.

Results: Infants born full-term, infants born preterm …

Transtibial Amputee Joint Motion Has Increased Attractor Divergence During Walking Compared To Non-Amputee Gait, Shane R. Wurdeman, Sara A. Myers, Nikolaos Stergiou

Journal Articles

The amputation and subsequent prosthetic rehabilitation of a lower leg affects gait. Dynamical systems theory would predict the use of a prosthetic device should alter the functional attractor dynamics to which the system self-organizes. Therefore, the purpose of this study was to compare the largest Lyapunov exponent (a nonlinear tool for assessing attractor dynamics) for amputee gait compared to healthy non-amputee individuals. Fourteen unilateral, transtibial amputees and fourteen healthy, non-amputee individuals ambulated on a treadmill at preferred, self-selected walking speed. Our results showed that the sound hip (p = 0.013), sound knee (p = 0.05), and prosthetic ankle …

Enhancing Fundamental Robot-Assisted Surgical Proficiency By Using A Portable Virtual Simulator, Jung Hung Chien, I. H. Suh, Shi-Huyn Park, Mukul Mukherjee, D. Oleynikov, Ka-Chun Siu

Journal Articles

Background. The development of a virtual reality (VR) training platform provides an affordable interface. The learning effect of VR and the capability of skill transfer from the VR environment to clinical tasks require more investigation.

Methods. Here, 14 medical students performed 2 fundamental surgical tasks—bimanual carrying (BC) and peg transfer (PT)—in actual and virtual environments. Participants in the VR group received VR training, whereas participants in the control group played a 3D game. The learning effect was examined by comparing kinematics between pretraining and posttraining in the da Vinci Surgical System. Differences between VR and playing the 3D game were …

Motor Control Of The Lower Extremity Musculature In Children With Cerebral Palsy, David J. Arpin, Wayne A. Stuberg, Nick Stergiou, Max J. Kurz

Journal Articles

The aim of this investigation was to quantify the differences in torque steadiness and variability of the muscular control in children with cerebral palsy (CP) and typically developing (TD) children. Fifteen children with CP (age = 14.2 ± 0.7 years) that had a Gross Motor Function Classification System (GMFCS) score of I-III and 15 age and gender matched TD children (age = 14.1 ± 0.7 years) participated in this investigation. The participants performed submaximal steady-state isometric contractions with the ankle, knee, and hip while surface electromyography (sEMG) was recorded. An isokinetic dynamometer was used to measure the steady-state isometric torques …

A Simple Exoskeleton That Assists Plantarflexion Can Reduce The Metabolic Cost Of Human Walking, Philippe Malcolm, Wim Derave, Samuel Galle, Dirk De Clercq

Journal Articles

Background

Even though walking can be sustained for great distances, considerable energy is required for plantarflexion around the instant of opposite leg heel contact. Different groups attempted to reduce metabolic cost with exoskeletons but none could achieve a reduction beyond the level of walking without exoskeleton, possibly because there is no consensus on the optimal actuation timing. The main research question of our study was whether it is possible to obtain a higher reduction in metabolic cost by tuning the actuation timing.

Methodology/Principal Findings

We measured metabolic cost by means of respiratory gas analysis. Test subjects walked with a simple …

Temporal Structure Of Variability Decreases In Upper Extremity Movements Post Stroke, Amit Sethi, Tara Patterson, Theresa Mcguirk, Carolynn Patten, Lorie G. Richards, Nikolaos Stergiou

Journal Articles

Methods: Sixteen participants with chronic stroke and nine age-matched controls performed three trials of functional reach-to-grasp. The amount of variability was quantified by computing the standard deviation of shoulder, elbow, wrist and index finger flexion/extension joint angles. The temporal structure of variability was determined by calculating approximate entropy in shoulder, elbow, wrist and index finger flexion/extension joint angles.

Findings: Individuals with stroke demonstrated greater standard deviations and significantly reduced approximate entropy values as compared to controls. Furthermore, motor impairments and kinematics demonstrated moderate to strong correlations with temporal structure of variability.

Interpretation: Changes in the temporal structure of variability in …

Stroke Survivors Control The Temporal Structure Of Variability During Reaching In Dynamic Environments, Mukul Mukherjee, Panagiotis Koutakis, K.-C. Siu, Pierre B. Fayad, Nikolaos Stergiou

Journal Articles

Learning to control forces is known to reduce the amount of movement variability (e.g., standard deviation; SD) while also altering the temporal structure of movement variability (e.g., approximate entropy; ApEn). Such variability control has not been explored in stroke survivors during reaching movements in dynamic environments. Whether augmented feedback affects such variability control, is also unknown. Chronic stroke survivors, assigned randomly to a control/experimental group, learned reaching movements in a dynamically changing environment while receiving either true feedback of their movement (control) or augmented visual feedback (experimental). Hand movement variability was analyzed using SD and ApEn. A significant change in …

The Appropriate Use Of Approximate Entropy And Sample Entropy With Short Data Sets, Jenna M. Yentes, Nathaniel Hunt, Kendra K. Schmid, Jeffrey P. Kaipust, Denise Mcgrath, Nikolaos Stergiou

Journal Articles

Approximate entropy (ApEn) and sample entropy (SampEn) are mathematical algorithms created to measure the repeatability or predictability within a time series. Both algorithms are extremely sensitive to their input parameters: m (length of the data segment being compared), r (similarity criterion), and N (length of data). There is no established consensus on parameter selection in short data sets, especially for biological data. Therefore, the purpose of this research was to examine the robustness of these two entropy algorithms by exploring the effect of changing parameter values on short data sets. Data with known theoretical entropy qualities as well as experimental …

Changes In The Activation And Function Of The Ankle Plantar Flexor Muscles Due To Gait Retraining In Chronic Stroke Survivors, Brian A. Knarr, Trisha M. Kesar, Darcy S. Reiman, Stuart A. Binder-Macleod

Journal Articles

Background

A common goal of persons post-stroke is to regain community ambulation. The plantar flexor muscles play an important role in propulsion generation and swing initiation as previous musculoskeletal simulations have shown. The purpose of this study was to demonstrate that simulation results quantifying changes in plantar flexor activation and function in individuals post-stroke were consistent with (1) the purpose of an intervention designed to enhance plantar flexor function and (2) expected muscle function during gait based on previous literature.

Methods

Three-dimensional, forward dynamic simulations were created to determine the changes in model activation and function of the paretic ankle …

A Perspective On Human Movement Variability With Applications In Infancy Motor Development, Nikolaos Stergiou, Yawen Yu, Anastasia Kyvelidou

Journal Articles

Movement variability is considered essential to typical motor development. However, multiple theoretical perspectives and measurement tools have limited interpretation of the importance of movement variability in biological systems. The complementary use of linear and nonlinear measures have recently allowed for the evaluation of not only the magnitude of variability but also the temporal structure of variability. As a result, the theoretical model of optimal movement variability was introduced. The model suggests that the development of healthy and highly adaptable systems relies on the achievement of an optimal state of variability. Alternatively, abnormal development may be characterized by a narrow range …

Prosthesis Preference Is Related To Stride-To-Stride Fluctuations At The Prosthetic Ankle, Shane R. Wurdeman, Sara A. Myers, Adam L. Jacobsen, Nikolaos Stergiou

Journal Articles

The purpose of this study was to determine the relationship between stride-to-stride fluctuations and prosthesis preference. Thirteen individuals with unilateral, transtibial amputation consented to participate. Individuals walked on a treadmill for 3 min with their prescribed and an alternate prosthesis. Stride-to-stride fluctuations were quantified with the largest Lyapunov exponent (LyE) of each joint flexion/extension time series. The change in the LyE was calculated for each major lower-limb joint for both conditions. Participants indicated preference between the prostheses on a continuous visual analog scale. The change in the LyE was correlated with the degree of preference between the two prostheses at …

Psychosocial And Cognitive Function In Children With Nephrotic Syndrome: Association With Disease And Treatment Variables, Panagiota Manti, George Giannakopoulos, Elena Giouroukou, Helen Georgaki-Angelaki, Constantinos J. Stefanidis, Andromahi Mitsioni, Nikolaos Stergiou, Constantinos Mihas, George P. Chrousos, Maria Alexandra Magiakou, Gerasimos Kolaitis

Journal Articles

Background
To investigate possible differences in emotional/behavioral problems and cognitive function in children with nephrotic syndrome compared to healthy controls and to examine the effect of disease-specific and steroid treatment-specific characteristics on the abovementioned variables.

Methods
Forty-one patients with nephrotic syndrome (23 boys, age range: 4.4-15.2 years) and 42 sex- and age-matched healthy control subjects (20 boys, age range: 4.1-13.4 years) were enrolled in the study. Disease (severity, age of diagnosis, duration) and steroid treatment (total duration, present methylprednisolone dose and duration of present dose) data were collected. In order to assess children’s emotional/behavioral problems, the Child Behavior Checklist was …

The Effect Of A Short Duration, High Intensity Exercise Intervention On Gait Biomechanics In Patients With Copd: Findings From A Pilot Study, Jenna M. Yentes, Daniel Blanke, Stephen I. Rennard, Nikolaos Stergiou

Journal Articles

Previous work has shown that patients with chronic obstructive pulmonary disease (COPD) demonstrate changes in their gait biomechanics as compared to controls. This pilot study was designed to explore the possibility that biomechanical alterations present in COPD patients might be amenable to treatment by exercise training of skeletal muscle. This study investigated the effect of a 6-week exercise intervention on gait biomechanics in patients with COPD under both a rest and a non-rested condition. Seven patients with COPD underwent a supervised cardio-respiratory and strength training protocol 2-3 times per week for 6-weeks for a total of 16-sessions. Spatiotemporal, kinematic and …