Biomechanics Commons^™

Comparing Lower-Limb Muscle Activity During Gait Performed In Water Versus On Land, Christopher Long

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

The purpose of this study was to compare lower-limb muscle activation during gait, performed in water versus on land, in order to provide preliminary evidence for the benefit of aquatic treadmill walking in treating individuals with foot drop. Foot drop is a debilitating symptom of several neurological disorders characterized by the inability to dorsiflex the foot while walking. Generally, it is due to weakness in the ankle dorsiflexor muscles and/or increased tone in the plantar flexor muscles. Previous research has found that exercise interventions that demand greater than normal activation of the tibialis anterior (TA) (i.e., the primary ankle dorsiflexor) …

Biomechanically-Consistent Skin Stretch As An Intuitive Mechanism For Sensory Feedback: A Preliminary Investigation In The Lower Limb, Jenny A. Kent

Physical Therapy Faculty Publications

The proprioceptive loss accompanied by lower limb amputation can impair function and mobility. We explore a simple, mechanical skin-stretch array configured to generate superficial tissue behaviour that might occur with movement about an intact joint. Four adhesive pads attached around the circumference of the lower leg were connected via cords to a remote “foot” mounted on a ball joint attached to the underside of a fracture boot, such that “foot” reorientation would result in skin stretch. In two discrimination experiments performed with and without the connection, with no view of the mechanism, and with minimal training, unimpaired adults (i) estimated …

Three-Dimensional Motion Analysis For Occupational Therapy Upper Extremity Assessment And Rehabilitation: A Scoping Review, Stephen W. Hill, Samantha Mong, Quyen Vo

The Open Journal of Occupational Therapy

Background: Three-dimensional (3D) human motion analysis provides objective, quantitative, and reliable kinematic data that are valuable in rehabilitation. Clinicians, including occupational therapists and other specialists, can apply this technology to quantify patients’ upper extremity (UE) motion during functional tasks. A better comprehension of altered body mechanics serves to guide clinical reasoning, develop evidence-based interventions, and monitor patients’ progress through follow-up. However, the scientific literature has yet to emphasize the practicality of using 3D motion analysis as a clinical measurement tool.

Method: This scoping review appraised 20 articles that used 3D motion analysis to quantify UE movements for individuals …

Development Of A Novel Haptic Feedback System For Gait Training Applications, Mohsen Alizadeh Noghani

Electronic Theses and Dissertations

Until recently, study and correction of motor or gait functions required costly sensors and measurement setups (e.g., optical motion capture systems) which were only available in laboratories or clinical environments. However, due to (1) the growing availability and affordability of inertial measurement units (IMUs) with high accuracy, and (2) progress in wireless, high bandwidth, and energy-efficient networking technologies such as Bluetooth Low Energy (BLE), it is now possible to measure and provide feedback in real-time for biomechanical parameters outside of those specialized settings. To enable gait training without an expert who can provide verbal feedback, augmented feedback, which is divided …

Efficacy Of A Cycling Intervention With Pedal Reaction Force Augmented Feedback On Reducing Inter-Limb Asymmetries In Patients With Unilateral Total Knee Arthroplasty, Erik T. Hummer

Doctoral Dissertations

Fifteen patients with unilateral total knee arthroplasty (TKA) performed cycling at two workates (80 W and 100 W) and two walking conditions (preferred and fast speeds). Ten of these patients of TKA also participated in a short-term cycling intervention paired with visual augmented feedback of vertical pedal reaction forces for six sessions over two-three weeks. These ten patients of TKA participated in a 2^nd post-training testing session. Study One compared the knee joint biomechanics for all fifteen participants during stationary cycling to ascertain if any biomechanical asymmetries may be present. The replaced limbs displayed significantly lower peak knee extension …

Functional Gait Asymmetries Achieved Through Modeling And Understanding The Interaction Of Multiple Gait Modulations, Fatemeh Rasouli

USF Tampa Graduate Theses and Dissertations

Walking is an important determinant of human functionality. Gait disabilities affect millions of people worldwide every year. Investigating the science of walking advances recovery techniques and assistive devices for gait rehabilitation. A functional gait promotes productivity, independence, and quality of life. Human gait, like any other moving mechanism, is a dynamic system. Understanding and analyzing the dynamic aspects of gait improves the recovery methods to fundamentally affect and interact with lower limbs.

This dissertation aims to fill the gaps in mechanical simulations of gait and dynamic analysis of rehabilitation techniques. The solutions consider kinematic, kinetic, and spatiotemporal parameters of gait …

Stochastic Resonance Reduces Sway And Gait Variability In Individuals With Unilateral Transtibial Amputation: A Pilot Study, Aaron Likens, Jenny A. Kent, C. Ian Sloan, Shane R. Wurdeman, Nicholas Stergiou

Journal Articles

Sub-threshold (imperceptible) vibration, applied to parts of the body, impacts how people move and perceive our world. Could this idea help someone who has lost part of their limb? Sub-threshold vibration was applied to the thigh of the affected limb of 20 people with unilateral transtibial amputation. Vibration conditions tested included two noise structures: pink and white. Center of pressure (COP) excursion (range and root-mean-square displacements) during quiet standing, and speed and spatial stride measures (mean and standard deviations of step length and width) during walking were assessed. Pink noise vibration decreased COP displacements in standing, and white noise vibration …

Gait Complexity Is Acutely Restored In Older Adults When Walking To A Fractal-Like Visual Stimulus, Joao R. Vaz, Brian Knarr, Nicholas Stergiou

Journal Articles

Typically, gait rehabilitation uses an invariant stimulus paradigm to improve gait related deficiencies. However, this approach may not be optimal as it does not incorporate gait complexity, or in more precise words, the variable fractal-like nature found in the gait fluctuations commonly observed in healthy populations. Aging which also affects gait complexity, resulting in a loss of adaptability to the surrounding environment, could benefit from gait rehabilitation that incorporates a variable fractal-like stimulus paradigm. Therefore, the present study aimed to investigate the effect of a variable fractal-like visual stimulus on the stride-to-stride fluctuations of older adults during overground walking. Additionally, …

Athletic Trainers Provide A Positive Outlet To Athletes'' Injuries And Mental State During Summer Travel Baseball Season, Jeffrey Clydesdale, J. Brett Massie, Erika Smith-Goodwin

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Please enjoy Volume 6, Issue 1 of the JSMAHS. In this issue, you will find Professional, Graduate, and Undergraduate research abstracts, and case reports.

Thank you for viewing this 6^th Annual OATA Special Edition.

The Design And Development Of A Wrist-Hand Orthosis, Amber Gatto

USF Tampa Graduate Theses and Dissertations

Individuals with an incomplete C5-C7 spinal cord injury (SCI) lose grasping abilities but wrist function is almost universally retained. Most rehabilitation techniques apply the tenodesis effect, however, current tenodesis wrist-hand orthoses (WHOs) engage only the thumb and index finger, meaning that only 20% of activities of daily living (ADLs) can be completed.

This study tested the feasibility of a student-designed powered WHO by testing the device on healthy subjects to see if they could complete a variety of ADLs. A simulation software was then used to analyze wrist, thumb, and index finger joint angles. Additionally, an Assistive Technology Survey was …

Step Width Variability As A Discriminator Of Age-Related Gait Changes, Andreas Skiadopoulos, Emily E. Moore, Harlan Sayles, Kendra K. Schmid, Nicholas Stergiou

Journal Articles

Background

There is scientific evidence that older adults aged 65 and over walk with increased step width variability which has been associated with risk of falling. However, there are presently no threshold levels that define the optimal reference range of step width variability. Thus, the purpose of our study was to estimate the optimal reference range for identifying older adults with normative and excessive step width variability.

Methods

We searched systematically the BMC, Cochrane Library, EBSCO, Frontiers, IEEE, PubMed, Scopus, SpringerLink, Web of Science, Wiley, and PROQUEST databases until September 2018, and included the studies that measured step width variability …

Dynamic Balance Changes Within Three Weeks Of Fitting A New Prosthetic Foot Component, Jenny A. Kent, Nicholas Stergiou, Shane R. Wurdeman

Journal Articles

Balance during walking is of high importance to prosthesis users and may affect walking during baseline observation and evaluation. The aim of this study was to determine whether changes in walking balance occurred during an adaptation period following the fitting of a new prosthetic component.

Margin of stability in the medial-lateral direction (MOSML) and an anterior instability margin (AIM) were used to quantify the dynamic balance of 21 unilateral transtibial amputees during overground walking. Participants trialled two prosthetic feet presenting contrasting movement/balance constraints; a Higher Activity foot similar to that of their own prosthesis, and a Lower Activity foot. Participants …

Patellar Dislocation: A Deeper Look At Various Knee Pathologies In Young Female Athletes, Cade Coulter

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

In Volume 3, Issue 1 of the JSMAHS you will find Professional research abstracts, as well as Under Graduate student research abstracts, case reports, and critically appraised topics.

Thank you for viewing this 3^rd Annual OATA Special Edition.

Vestibular Post Concussion Therapy: Using Sports-Related Activities After Passing The Impact Test, Steven O'Hara

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

In Volume 3, Issue 1 of the JSMAHS you will find Professional research abstracts, as well as Under Graduate student research abstracts, case reports, and critically appraised topics.

Thank you for viewing this 3^rd Annual OATA Special Edition.

Vrshape: A Virtual Reality Tool For Shaping Movement Compensation, Matthew Hale Foreman

Arts & Sciences Electronic Theses and Dissertations

The majority of persons living with chronic stroke experience some form of upper extremity motor impairment that affects their functional movement, performance of meaningful activities, and participation in the flow of daily life. Stroke survivors often compensate for these impairments by adapting their movement patterns to incorporate additional degrees of freedom at new joints and body segments. One of the most common compensatory movements is the recruitment of excessive trunk flexion when reaching with the affected upper extremity. Long-term use of these compensations may lead to suboptimal motor recovery and chronic pain or injury due to overuse. Rehabilitation focuses on …

The Development Of A Prosthetic Training Software For Upper Limb Amputees, Tyler Kayne Sullins

USF Tampa Graduate Theses and Dissertations

The purpose of this study was to develop an intuitive software that aids in the field of prosthetic training and rehabilitation by creating an individualized visualization of joint angles. This software is titled “the prosthetic training software (PTS) for individualized joint angle representation”, and it enables the individualized portrayal of predicted or pre-recorded joint angles. The PTS is an intuitive program for clinicians and prosthesis users that produces an animation of a virtual avatar reflecting the user’s segment lengths and amputation for rehabilitation and training purposes.

The PTS consists of a graphical user interface (GUI) and a 3D visualization of …

Mobility Of Individuals With Multiple Sclerosis And The Influence Of Physical Therapy, Brenda L. Davies

Theses & Dissertations

One main purpose was to explore the compensatory gait strategies of individuals with multiple sclerosis (MS). To address this purpose, we quantified the mechanical work generated by the lower extremity joints during walking. The outcomes from this investi­gation suggested that individuals with MS redistribute positive mechanical work during walking to the hip in order to compensate for a reduced ability of the ankle to generate positive mechanical work. Additionally, we also explored the motor control of the ankle as a potential contributing factor to the mobility limitations of individuals with MS. The outcomes from this investigation indicated that individuals with …

Increased Minimum Toe Clearance Variability In Patients With Peripheral Arterial Disease, Troy Rand, Shane R. Wurdeman, Jason M. Johanning, Iraklis Pipinos, Sara A. Myers

Journal Articles

Individuals with peripheral arterial disease (PAD) report difficulty walking and experience 73% more falls than their healthy counterparts, but no studies have investigated functional mechanisms contributing to increased falls. Minimum toe clearance (MTC) is the minimum vertical distance between the toe of the swinging leg and the walking surface when the leg is swinging, and decreased values are associated with an increased risk for falls. This study is the first such analysis in patients with PAD. Eighteen individuals with PAD and eighteen healthy controls walked on a treadmill before and after the onset of claudication pain. Mean MTC and the …

Step Activity And Stride-To-Stride Fluctuations Are Negatively Correlated In Individuals With Transtibial Amputation, Jenny A. Kent, Nicholas Stergiou, Shane Wurdeman

Journal Articles

Background

Variability occurs naturally from stride to stride in healthy gait. It has been shown that individuals with lower limb loss have significantly increased stride-to-stride fluctuations during walking. This is considered indicative of movement disorganization and is associated with less healthy movement. Given that lower limb prosthesis users perform on average less physical activity than able bodied individuals, the purpose of this study was to determine whether increased fluctuations also correspond to a reduced level of activity in daily life.

Methods

Twenty-two transtibial amputees wore an activity monitor (Actigraph, Pensacola, FL, USA) for 3 weeks. Lower limb kinematics during treadmill …

Breast Cancer Rehabilitation: Clinical Examination And Outcomes Assessment, Nicole L. Stout, Shana Harrington, Lucinda Pfalzer, Mary Insana Fisher

Mary Insana Fisher

Breast cancer is the most commonly diagnosed cancer in women in the United States. The treatment for breast cancer occurs along a protracted time period and includes many different disease treatment modalities. These treatments carry with them a large number of adverse effects that negatively impact function in both the short term and long term. It is necessary for rehabilitation providers to interface with patients being treated for breast cancer throughout the continuum of care so that interval assessments can be conducted to identify emerging impairments and alleviate disability. To achieve this, the rehabilitation provider must have an understanding of …

Breast Cancer Rehabilitation: Clinical Examination And Outcomes Assessment, Nicole L. Stout, Shana Harrington, Lucinda Pfalzer, Mary Insana Fisher

Physical Therapy Faculty Publications

Breast cancer is the most commonly diagnosed cancer in women in the United States. The treatment for breast cancer occurs along a protracted time period and includes many different disease treatment modalities. These treatments carry with them a large number of adverse effects that negatively impact function in both the short term and long term. It is necessary for rehabilitation providers to interface with patients being treated for breast cancer throughout the continuum of care so that interval assessments can be conducted to identify emerging impairments and alleviate disability. To achieve this, the rehabilitation provider must have an understanding of …

Home Exercise Adherence In An Underserved Ecuadorian Community, Joseph M. Day, Jean Irion, Meridith Anile, Jared Henson, Ben Roussel, Christina Shepherd, Huybrechts Bindele

Physical Therapy Faculty Publications

Purpose: Physical therapy service learning projects and volunteer experiences in foreign countries are becoming more commonplace. Patients in underserved regions are not likely to receive therapy services regularly; therefore, adherence to a home exercise program (HEP) is critical. The primary purpose of this study was to observe home exercise adherence rates between the 1st and 2nd visits in an underserved population. The secondary purpose of this study was to determine specific factors that affect HEP adherence in this population.

Methods: Consecutive patients seen in Santo Domingo, Ecuador were considered for participation in this observational study. All patients were recruited from …

A Neuromechanics-Based Powered Ankle Exoskeleton To Assist Walking Post-Stroke: A Feasibility Study, Kota Z. Takahashi, Michael D. Lewek, Gregory S. Sawicki

Journal Articles

Background: In persons post-stroke, diminished ankle joint function can contribute to inadequate gait propulsion. To target paretic ankle impairments, we developed a neuromechanics-based powered ankle exoskeleton. Specifically, this exoskeleton supplies plantarflexion assistance that is proportional to the user’s paretic soleus electromyography (EMG) amplitude only during a phase of gait when the stance limb is subjected to an anteriorly directed ground reaction force (GRF). The purpose of this feasibility study was to examine the short-term effects of the powered ankle exoskeleton on the mechanics and energetics of gait.

Methods: Five subjects with stroke walked with a powered ankle exoskeleton …

Stride Length-Speed Relationship During Body Weight Supported Running, Carmen Chona

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to determine if body weight support influences the stride length-speed relationship. Additionally, the purpose was to determine if impact characteristics of running are influenced by body weight support and speed. Subjects (n=10; 6 female, 4 male) volunteered to participate in this study. All subjects were injury free and were comfortable running on a treadmill for 30 minutes. Subjects ran on a lower body positive (LBPP, Alter-G, G-Trainer) treadmill for 4 conditions of body weight (100, 40, 30 and 20% of body weight) and 4 running speeds (100, 110, 120 and 130% of the preferred …

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 …

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 …

Persons With Multiple Sclerosis Show Altered Joint Kinetics During Walking After Participating In Elliptical Exercise, Jessie M. Huisinga, Kendra K. Schmid, Mary Filipi, Nikolaos Stergiou

Journal Articles

Patients with multiple sclerosis (MS) experience abnormal gait patterns and reduced physical activity. The purpose of this study was to determine if an elliptical exercise intervention for patients with MS would change joint kinetics during gait toward healthy control values. Gait analysis was performed on patients with MS (n = 24) before and after completion of 15 sessions of supervised exercise. Joint torques and powers were calculated, while also using walking velocity as a covariate, to determine the effects of elliptical exercise on lower extremity joint kinetics during gait. Results show that elliptical exercise significantly altered joint torques at the …

Supervised Resistance Training Results In Changes In Postural Control In Patients With Multiple Sclerosis, Jessie M. Huisinga, Mary Filipi, Nikolaos Stergiou

Journal Articles

Postural disturbances are one of the first reported symptoms in patients with Multiple Sclerosis (MS). The purpose of this study was to investigate the effect of supervised resistance training on postural control in MS patients. Postural control was assessed using amount of sway variability [Root Mean Square (RMS)] and temporal structure of sway variability [Lyapunov Exponent (LyE)] from 15 MS patients. Posture was evaluated before and after completion of three months of resistance training. There were significant differences between MS patients pretraining and healthy controls for both LyE (p = .000) and RMS (p = .002), but no differences between …

Is There A Relationship Between Fatigue Questionnaires And Gait Mechanics In Persons With Multiple Sclerosis?, Jessie M. Huisinga, Mary Filipi, Kendra K. Schmid, Nikolaos Stergiou

Journal Articles

Objective: To evaluate reported fatigue levels and gait deficits in patients with multiple sclerosis (MS) to determine the relationships that may exist between fatigue in patients with MS and alterations in gait mechanics.

Design: Cross-sectional.

Setting: Biomechanics laboratory.

Participants: Subjects with MS (n=32) and age- and sex-matched controls (n=30).

Interventions: None.

Main Outcome Measures: Fatigue Severity Scale (FSS), Modified Fatigue Index Scale (MFIS), and 36-Item Short Form Health Survey (SF-36) to assess fatigue and general health. Biomechanical gait analysis was performed to measure peak joint torques and powers in the sagittal plane at the ankle, knee, and hip. Correlations …

Elliptical Exercise Improves Fatigue Ratings And Quality Of Life In Patients With Multiple Sclerosis, Jessie M. Huisinga, Mary Filipi, Nikolaos Stergiou

Journal Articles

Fatigue, reduced quality of life (QOL), and lower physical activity levels are commonly reported in patients with multiple sclerosis (MS). This study evaluated the effects of elliptical exercise on fatigue and QOL reports in patients with MS. Patients with MS (n = 26) completed the Fatigue Severity Scale (FSS), the Modified Fatigue Impact Scale (MFIS), and the Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) before and after completing 15 elliptical exercise training sessions. Changes in fatigue and QOL were assessed based on any changes in the fatigue and SF-36 questionnaires, and correlations between changes in each of the …