The Feedforward And Feedback Controls On Gait In Adults With Diabetes, Chun-Kai Huang

Theses & Dissertations

There are nearly 26 million people with diabetes mellitus (DM) in the US, and half of chronic DMs develop somatosensory deficits due to diabetic polyneuropathy or diabetic peripheral neuropathy (DPN). The absence or impaired somatosensory feedback (e.g. touch sensation or joint proprioception) resulted from the damage of large nerve fiber, and motor deficits such as attenuated muscle strength and abnormal plantar pressure of lower extremity have been identified in DPN, and these sensorimotor impairments lead to an increased number of falls. To reduce the risk of falling, a well-coordinated and adapted limb movement driven by the feedforward (anticipatory) and feedback …

Upper Extremity Kinematic And Kinetic Comparison Of Anterior Versus Posterior Walkers During Functional Activities In Children With Cerebral Palsy, Chris Burckardt

Theses and Dissertations

Introduction: Investigating the differences in upper extremity (UE) joint biomechanics between anterior and posterior walkers has been explored in limited contexts, even though research has shown that prolonged use of walking aids can lead to UE joint weakening or musculoskeletal injuries. Recent studies have investigated some of these differences in children with spastic diplegic cerebral palsy (CP) during gait; however, no research has been conducted that compare these UE joint biomechanical differences during functional activities or activities of daily living (ADLs). The aim of this study is to use motion analysis to compare kinematic and kinetic differences between anterior and …

Changes In Sprint Kinetics Or Kinematics Following Static Or Dynamic Stretching, Kristyne Bartel

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to determine the effects of static or dynamic stretching on hip kinematics and kinetics during intermittent sprinting. To achieve this aim, intermittent sprint athletes were asked to complete either a static or dynamic stretch, followed by a repeated-sprint protocol. Hip joint kinematics and performance measures were evaluated during the sprint, including changes that occurred in these variables over the course of the sprint protocol. In addition, hip flexion torque was measured with an isokinetic dynamometer. Ten male (age = 25±2.3 years, 175±3.2 cm, 76.2±2.7 kg) and female (age = 20±1 years, 166±1.3 cm, 60±1.1 …

Comparison Of Muscle Latencies For Diabetic Neuropathy Patients Versus Healthy Controls During A Perturbed Balance Task, Kyle Mefferd

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to compare muscle latencies for patients diagnosed with diabetic neuropathy versus healthy controls during a perturbed balance task, with a secondary purpose to distinguish postural control strategies the groups used based on the muscle latencies. Five participants diagnosed with diabetic neuropathy (DN; 4 male, 99.7 ± 7.95 kg, 176 ± 9.58 cm, 46.6 ± 16.55 years) and 5 healthy control (HC; 4 male, 100.36 ± 12.61 kg, 173.76 ± 9.66 cm, 47 ± 13.42 years) participants were recruited. Participants granted institutionally approved written consent before participating. Delsys Trigino Wireless EMG sensors were placed on …

Reliability Of A Multisegment Foot Model In Shod Running, Austin Coupe

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to determine kinematic and marker placement reliability of the Leardini multisegment foot model (LMFM) for tracking foot kinematics during barefoot and shod running without alteration of footwear. Eleven participants, five males (25.6±5 yrs, 73±15.8 kg, 1.75±0.05m) and six females (22.5±2.9 yrs, 66.6±7.2 kg, 1.71±0.05 m) granted institutionally approved written consent to participate. Three-dimensional motion capture (10 Vicon T40-S cameras) was used to capture kinematic data at 200Hz. Kinetic data was captured with an in-ground force platform (Kistler Instruments AG, Switzerland Model 9281B 60x40cm, 2000Hz). Participants were instructed to run at 3.5m/s ±5%. Velocity was …

The Relationship Between Axonal Injury, Biomarker Expression And Mechanical Response In A Rodent Head Impact Acceleration Model, Yan Li

Wayne State University Dissertations

In the United States 1.4 million people sustain traumatic brain injury (TBI) each year, resulting in 235,000 hospitalizations and 50,000 fatalities annually. Traumatic axonal injury (TAI) is a serious outcome of TBI that accounts for 40-50% of hospitalizations due to head injury and one third of the mortality due to TBI, and it is difficult to diagnose and evaluate. The purpose of this dissertation is to determine mechanical injury predictors for TAI and identify potential biomarkers to evaluate TAI.

In this dissertation, a modified Marmarou impact acceleration injury model was developed to allow the monitoring of velocity of the impactor …

An Investigation Of The Relationship Between Axonal Injury, Biomarker Expression And Mechanical Response In A Rodent Head Impact Acceleration Model, Yan Li

Wayne State University Dissertations

In the United States 1.4 million people sustain traumatic brain injury (TBI) each year, resulting in 235,000 hospitalizations and 50,000 fatalities annually. Traumatic axonal injury (TAI) is a serious outcome of TBI that accounts for 40-50% of hospitalizations due to head injury and one third of the mortality due to TBI, and it is difficult to diagnose and evaluate. The purpose of this dissertation is to determine mechanical injury predictors for TAI and identify potential biomarkers to evaluate TAI.

In this dissertation, a modified Marmarou impact acceleration injury model was developed to allow the monitoring of velocity of the impactor …

Effects Of Controlled Whole-Body Vibration Training On Reducing Risk Of Falls Among Young Adults With Obesity, Jose Jesus Munoz

Open Access Theses & Dissertations

Introduction: Among people with obesity, several factors increase the risk of falls: an abnormal body mass distribution, muscle weakness, and postural instability. Although standard exercise-based training could change these factors, a significant portion of people with obesity may be unable or unwilling to comply with long duration and high intensity training programs. Therefore, alternative training methods are highly demanded. Growing evidence supports that controlled whole-body vibration (CWBV) training can reduce risk of falls among older adults. No study has yet investigated the potential effect of CWBV training on reducing risk of falls among obese populations. The purpose of this study …

Influence Of Planning Resources On Gait Control In Parkinson’S Disease, Frederico P. Faria

Theses and Dissertations (Comprehensive)

Movement disturbances in individuals with Parkinson’s disease (PD) have been associated with difficulties to plan complex actions. Performance of simple and complex actions overloads resources for individuals with Parkinson’s disease (PD). However, it is unclear if central resources required to plan gait adjustments while walking exacerbate gait disturbances of patients with PD. More specifically, it is unclear how gait impairments, sensory processing, and the dopaminergic system influence the load on processing resources (e.g. cognitive load) during the planning of step modifications. In order to investigate the relative influence of these factors on cognitive load and its impact on gait control, …

The Effect Of Training Older Adults In Tai Chi And Compensatory Stepping On Balance Control, Hannah L. Moore Miss

Theses and Dissertations (Comprehensive)

Abstract

Introduction: In Canadian society, there is a growing prevalence of older adults and one of the main problems facing this generation today is the risk of falling. Tai Chi (TC) is a martial art that has demonstrated improvements in balance control. It uses a series of fluid movements that engage head, neck and trunk rotation while simultaneously reducing base of support. In addition, it has been demonstrated that training older adults by administering unpredictable perturbations to challenge balance better equips them to react successfully in response to balance perturbations. This study aims to determine the potential balance specific benefits …

Gait Intervention For Improvements In Human Top Speed Running, Michelle Buechner

Graduate Student Theses, Dissertations, & Professional Papers

Between individuals faster sprinting speeds are achieved by applying greater stance average forces against the running surface. Recent evidence further indicates that elite level performers also strike the ground with leg kinematics that differ from those of non-elites and that these leg movements act to enhance the force transients occurring in the milliseconds following foot-ground impact. I investigated whether sprint performance could be enhanced through a short term gait intervention, consisting of 3 laboratory training sessions wherein subjects (n = 6) completed 5 high-speed runs on an instrumented force treadmill at 90% of their measured top sprint. The subjects received …