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Strength Imbalances And Shoulder Pain In Manual Wheelchair Users Stratified By Age Of Spinal Cord Injury/Disorder (Sci/D) Onset, Ashlyn M. Jones 2025 Virginia Commonwealth University

Strength Imbalances And Shoulder Pain In Manual Wheelchair Users Stratified By Age Of Spinal Cord Injury/Disorder (Sci/D) Onset, Ashlyn M. Jones

Theses and Dissertations

Introduction The majority of manual wheelchair users (MWUs) with spinal cord injury or disorder (SCI/D) develop shoulder pain. In adults with SCI/D, there is evidence that upper limb strength imbalances are associated with shoulder pain. However, strength imbalances may indicate protective compensatory strategies, and other factors may be important contributors to pain. Currently, personalized prevention and management of pain is limited, little is known about joint strength imbalances and pain in children who use manual wheelchairs, and the effect of the age of SCI/D onset is poorly understood. The purpose of this study was to assess the effect of age …


Intervertebral Lateral Bending Moment Differences In The Lumbar Spine Of Baseball Pitchers Across Throwing Velocities, Justin Humenay 2025 Virginia Commonwealth University

Intervertebral Lateral Bending Moment Differences In The Lumbar Spine Of Baseball Pitchers Across Throwing Velocities, Justin Humenay

Theses and Dissertations

Introduction Baseball pitching imposes substantial mechanical demands on the lumbar spine, a crucial link in the kinetic chain responsible for transferring energy from the lower body to the upper extremity. While increased pitch velocity is associated with greater trunk forces the specific intervertebral loading patterns during high-velocity pitching remain unclear. This study investigates differences in lateral bending moments across lumbar spinal segments between collegiate pitchers throwing at high versus low velocities.

Methods Twenty right-handed collegiate pitchers were divided into two groups: high-velocity (n = 10, 90.3 ± 1.6 mph) and low-velocity (n = 10, 81.6 ± 1.1 mph). Motion capture …


Your Foot Is Not A Brick: Using A Multi-Segment Foot Model To Explore The Actions Of The Ankle-Foot Complex During Uneven Terrain Gait., Tayler Jon Hoekstra 2025 University of South Dakota

Your Foot Is Not A Brick: Using A Multi-Segment Foot Model To Explore The Actions Of The Ankle-Foot Complex During Uneven Terrain Gait., Tayler Jon Hoekstra

Dissertations and Theses

The field of biomechanics has seen continued development of models to be used and circumstances to be considered. An increasing number of more complex models for the foot known as multi-segment foot models (MSFMs) have created opportunities to better understand the compensatory motion of this vital portion of human anatomy. This research seeks to utilize one such MSFM model to increase understanding in how human ambulation changes in uneven terrain environments. Unique inner-foot joints defined by the Rizzoli foot model (RFM) were measured for and compared for subjects traversing both even and uneven terrain to quantify joints that experienced significant …


Microwell Fabrication For Impedance And Ac Measurements Of Isolated Ventricular Cardiomyocytes, Fallon Wenck 2024 Southern Methodist University

Microwell Fabrication For Impedance And Ac Measurements Of Isolated Ventricular Cardiomyocytes, Fallon Wenck

Multidisciplinary Studies Theses and Dissertations

Electrophysiological behavior of human hearts have been extensively studied for hundreds of years. Even with elucidation of not just biological function, but also time and frequency-dependent current flow, the sheer intricacy of in vivo cardiac tissue function remains somewhat enigmatic. All while heart disease has been the leading cause of death in the United States for over a century, with its rates of occurrence still increasing annually [1]. Thus, new research techniques and tools to quantify cardiac function are still being pursued at smaller and smaller scales to decrease research/innovation time, cost, and diagnostic ambiguity. In fact, it remains incredibly …


Measuring Gait Of Total Knee Arthroplasty Patients Pre-Op And Post-Op Using A Smartphone, Celeste A. Thai 2024 California Polytechnic State University, San Luis Obispo

Measuring Gait Of Total Knee Arthroplasty Patients Pre-Op And Post-Op Using A Smartphone, Celeste A. Thai

Master's Theses

Motion capture technology is a tool often used in orthopedic applications, including measuring gait dysfunctions. However, gait analysis research focused on total knee arthroplasty (TKA) patients is limited, especially using motion capture systems. This may be due to a multitude of factors, such as inaccessibility to gait labs to the general public, difficulty of travel post-surgery, and overall costs of care and maintenance of motion lab equipment. New emerging novel methods use wearable devices such as smartphones and inertial measurement devices (IMUs) to perform gait assessment and are becoming favorable due to their increasingly ubiquitous nature. One such method using …


The Effect Of Pressure Gradients On Perceived Discomfort, Zachary Bush 2024 Clemson University

The Effect Of Pressure Gradients On Perceived Discomfort, Zachary Bush

All Theses

Introduction:

A pressure gradient is where high and low pressure meet. It is responsible for displacement and irritation of the skin commonly caused by tight bandages, bracelets, or socks. The irritation is at the edge where the skin is displaced by the high and low pressure. An analysis of the effect pressure gradients have on discomfort would have significant medical relevance for any device, fixture, or clothing pressed against the skin at high pressure. This primarily includes prosthetic and orthotic devices.

The bottom surface of the heel provides a naturally circular, uniform pressure profile. This makes it the optimal testing …


Biomechanical Effects Of Worn-Out Shoe Outsoles And Insoles On The Human Foot, Yuka M. Iwashita, James A. Engebretson, Shreeshan Jena 2024 California Polytechnic State University, San Luis Obispo

Biomechanical Effects Of Worn-Out Shoe Outsoles And Insoles On The Human Foot, Yuka M. Iwashita, James A. Engebretson, Shreeshan Jena

College of Engineering Summer Undergraduate Research Program

The combination of outsole, midsole and insole layers of new shoes provide proper cushioning to the foot during the daily activities of life. Subsequently, the wear-based degeneration or damage to one or more of these sole layers can reduce the cushioning effect to the plantar surface of the foot. This reduction of cushioning effect can impact the distribution of stress concentration regions along the foot plantar surfaces and lead to foot pathologies. The present proposed research intends to study these effects of shoe-wear on the plantar surface of the human foot, using FEA (ABAQUS) and experimental methods. Commonly, the worn-out …


Wearable Sensor-Based Gait And Balance In Elementary And Middle Schools, Sofie Zalatimo, Catherine Semaan 2024 California Polytechnic State University, San Luis Obispo

Wearable Sensor-Based Gait And Balance In Elementary And Middle Schools, Sofie Zalatimo, Catherine Semaan

College of Engineering Summer Undergraduate Research Program

No abstract provided.


Effect Of Tibial Malrotation On Anterior And Posterior Cruciate Ligaments In Bicruciate-Retaining Total Knee Arthroplasty, Muhammad Saakeereen Sa’audi, Abdul Halim Abdullah, Solehuddin Shuib, Muhammad Azim Mat Raffei, Mohd Fairudz Mohd Miswan, Mohd Afzan Mohd Anuar 2024 School of Mechanical Engineering, College of Engineering, Universiti Teknologi MARA, Shah Alam 40450, Malaysia

Effect Of Tibial Malrotation On Anterior And Posterior Cruciate Ligaments In Bicruciate-Retaining Total Knee Arthroplasty, Muhammad Saakeereen Sa’Audi, Abdul Halim Abdullah, Solehuddin Shuib, Muhammad Azim Mat Raffei, Mohd Fairudz Mohd Miswan, Mohd Afzan Mohd Anuar

Makara Journal of Technology

Osteoarthritis (OA) is a musculoskeletal disorder specified as a joint disease that affects mostly human joints worldwide. Total knee arthroplasty (TKA) is performed to restore the affected joint and relieve the symptoms. However, tibial malrotation, which is one of the most common errors in TKA, results in poor function of the implant and pain after the procedure. People with OA often experience limited mobility and cannot accomplish daily tasks. Finite element analysis (FEA) has been widely applied to interpret the biomechanical and kinematic force along the joint and investigate the cruciate ligament’s mechanical behavior. Unfortunately, one of the problems in …


Contribution Of Collagen Type I To The Mechanical Properties Of Myocardial Tissues At The Micron Level, Adam Baker 2024 Clemson University

Contribution Of Collagen Type I To The Mechanical Properties Of Myocardial Tissues At The Micron Level, Adam Baker

All Dissertations

Collagen is a critical component of the organization and one of the key factors contributing to the mechanical stability of the myocardium. Where cardiomyocytes actuate to contract the heart and deliver blood to the lungs and the entire body, the local collagen network must be able to support the mechanical needs of the heart by enhancing rigidity, reducing the mechanical responsibility of cells, and increasing compliance to add loading capacity during diastole. At an organ-wide level, this has been measured and modeled in many ways. At the tissue level, the mechanical properties have been evaluated using techniques such as bi-axial …


Development Of A High-Throughput Screening Platform To Profile Gene Delivery And Transcriptional Control In Macrophages, Alexis Ivy 2024 University of Arkansas, Fayetteville

Development Of A High-Throughput Screening Platform To Profile Gene Delivery And Transcriptional Control In Macrophages, Alexis Ivy

Graduate Theses and Dissertations

Macrophages are an important cell type in the body responsible for orchestrating the inflammatory response and return to homeostasis. Macrophages are often implicated in a multitude of disease pathologies including delayed wound healing, excessive fibrosis, autoimmune disease, and immunosuppression within the tumor microenvironment. Although macrophages have been targeted for therapeutic applications, success in utilizing them has remained elusive due to their relative ease of phenotype switching between inflammatory and anti-inflammatory. The challenge that remains is developing clinically relevant delivery vehicles that can target macrophages without causing a phenotypic switch counter-productive to the desired response. This is especially important when targeting …


Patient-Specific Musculoskeletal Modeling Of Total Shoulder Arthroplasty, Brendan M. Curran 2024 University of Denver

Patient-Specific Musculoskeletal Modeling Of Total Shoulder Arthroplasty, Brendan M. Curran

Electronic Theses and Dissertations

Total shoulder arthroplasty (TSA) is often considered a surgery of last resort for patients with debilitating pathologies of the glenohumeral joint such as osteoarthritis, humeral head fracture, and advancing rotator cuff tears. TSA replaces the articulation between the humeral head and the glenoid fossa, with the goals of relieving pain and restoring function. Two types of total shoulder implants are available: Anatomic Total Shoulder Arthroplasty (aTSA) and Reverse Total Shoulder Arthroplasty (rTSA). TSA survivorship is lower than that of the survivorship seen in total knee and hip replacements [1]. Shoulder muscle moment arms and lines of action have been measured …


A Pilot Study Comparing Muscle Activation And Kinematic Parameters Between Professional And Non-Professional Tennis Players, Anton S. Petrenko 2024 Grand Valley State University

A Pilot Study Comparing Muscle Activation And Kinematic Parameters Between Professional And Non-Professional Tennis Players, Anton S. Petrenko

Masters Theses

Tennis, a widely played sport across various age and skill groups, prompts continual skill improvement among competitive players seeking a competitive edge. This study explores two approaches for enhancing playing style: motion capture (MoCap) and surface electromyographic (sEMG) signals. The study addresses a gap in simultaneous examination of MoCap and entire dominant leg muscle activation, particularly concerning the influence of skill level and gender on various tennis strokes. To fill this void, the research records and analyzes MoCap and dominant leg sEMG data during serves and strokes on both court sides. The hypothesis posits differences in muscle activation and body …


Engineering An Injectable Hydrogel With Self-Assembling 3d Vasculature, Kendyl Cohn 2024 California Polytechnic State University, San Luis Obispo

Engineering An Injectable Hydrogel With Self-Assembling 3d Vasculature, Kendyl Cohn

Master's Theses

This research developed methods for culturing self-assembling capillaries in an injectable gel as a potential method for vascularizing tissue-on-a-chip models to mimic physiological drug delivery. Additionally, a mathematical model was developed as a tool for understanding nutrient delivery and comparison of potential delivery systems. Organs-on-a-chip provide novel platforms for studying biology and physiology in 3D, allow exploration of tissue engineering on a manageable scale, and serve as models for drug screening and drug-delivery testing.

Methods were first developed for co-culture of endothelial cells and fibroblasts (3T3s or HDFs) in 2D, evaluating culture time, seeding density and ratio of HUVECs and …


Foot And Ankle Exoskeleton, Janet M. Velasquez Cabral, Kathryn C. Hamilton, Grant R. Lautze 2024 California Polytechnic State University, San Luis Obispo

Foot And Ankle Exoskeleton, Janet M. Velasquez Cabral, Kathryn C. Hamilton, Grant R. Lautze

Biomedical Engineering

This paper presents a non-motorized foot and ankle exoskeleton to assist persons who have no lower limb or abdominal function. Exoskeletons are defined as “an artificial external supporting structure” [1], they are wearable devices that can be used to assist the capabilities of the human body. Although the exoskeleton must be used with crutches, plantarflexion and dorsiflexion will be implemented within the ankle joint to alleviate strain on the foot and ankle, strategically designed in a way that supports the user so their walking performance is as ideal as possible. Additionally, safety straps will be integrated into the foot portion …


Advances In Bone And Orthopedics 2024 Edition, Jean-Philippe Berteau, Laurent Pujo-Menjouet 2024 CUNY College of Staten Island

Advances In Bone And Orthopedics 2024 Edition, Jean-Philippe Berteau, Laurent Pujo-Menjouet

Publications and Research

We are delighted to present the latest edition of ”Advances in Bone and Orthopedics,” a comprehensive compilation of pioneering research and innovative developments in the field. This volume brings together a selection of peer-reviewed abstracts from BONITOS 2024, the Fourth Season of the Bone and Orthopedics Interdisciplinary Symposium, held on May 31st, 2024, at the College of Staten Island in New York. This symposium, a hallmark event in the calendar of professionals dedicated to bone health and orthopedic excellence. The contributions within this volume reflect the breadth and depth of research presented at BONITOS 2024. These abstracts represent cutting-edge studies …


Real-Time Measurements From Wearable Sensors To Enhance Stability On Uneven Terrain, Sophie Copelin 2024 University of Arkansas, Fayetteville

Real-Time Measurements From Wearable Sensors To Enhance Stability On Uneven Terrain, Sophie Copelin

Biomedical Engineering Undergraduate Honors Theses

The presented thesis is a study of sensation associated with inversion/eversion movement about the anterior/posterior axis. The long-term goal is to create a system that provides feedback to a prosthesis user, so their chances of falling is decreased. This feedback system would use wearable sensors to detect certain angles, so that sensory feedback could be provided. The study aimed to determine if Xsens Movella DOT sensors could be used in a system like this, so the accuracy of the Xsens Movella DOT sensors was assessed and the difference in angles that could be determined by them when compared to that …


The Effect Of Central Screw And Post Vault Containment On Reverse Total Shoulder Arthroplasty (Rsta) Baseplate Stability, Mickaela J. Gunnison 2024 Clemson University

The Effect Of Central Screw And Post Vault Containment On Reverse Total Shoulder Arthroplasty (Rsta) Baseplate Stability, Mickaela J. Gunnison

All Theses

Reverse total shoulder arthroplasty (RTSA) is a procedure that aims to fix irreversible rotator cuff damage and degenerative glenohumeral joint diseases that hinder arm abduction. One major complication of RTSA is glenoid baseplate failure resulting from increased movement at the bone-baseplate interface. This study examined 36, 12 PCF composite Sawbones® scapulae. The specimens were split equally into 6 study groups, each having different implant configurations with varying baseplate lateralization and central screws or posts. Each specimen was subjected to cyclic shear loading and failure testing on an Instron to determine implant micromotion and load values.

After testing, ANOVA tests were …


Evaluation And Development Of Tourniquet Test Methods, Catherine Pitts 2024 Clemson University

Evaluation And Development Of Tourniquet Test Methods, Catherine Pitts

All Theses

Since the beginning of the 21st century the general perspective on tourniquets has changed to a more positive outlook on their life saving abilities. The US has seen a greater number of mass casualty events, and conflicts across the globe have led to an increased use of tourniquets. The increased demand has also led to faulty counterfeit tourniquets and improvised tourniquets that don not properly occlude blood flow or cause significant nerve damage to the injured limb.

ASTM started designing a tourniquet testing standard with experts in the tourniquet community to cut down on the dangers of tourniquet use. …


Hand Movement Analysis For Surgical Suturing Skill Assessment, Amir Mehdi Shayan 2024 Clemson University

Hand Movement Analysis For Surgical Suturing Skill Assessment, Amir Mehdi Shayan

All Theses

To enhance patient safety, surgical education is increasingly incorporating simulation for formative skills assessment and training. However, many standardized assessment tools rely on human raters for performance assessment, which is resource-intensive and subjective. Simulators that provide automated and objective metrics from sensor data can address this limitation. This thesis presents an instrumented bench suturing simulator, patterned after the Clock Face (CF) radial suturing model from the Fundamentals of Vascular Surgery (FVS), for automated and objective assessment of open suturing skills by particularly focusing on biomechanical analysis of hand movements. For this research, 97 participants (35 attending surgeons and fellows, 32 …


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