Engineering Commons^™

Biomechanical Tolerance Of Whole Lumbar Spines In Straightened Posture Subjected To Axial Acceleration, Brian D. Stemper, Sajal Chirvi, Ninh Doan, Jamie L. Baisden, Dennis J. Maiman, William H. Curry, Narayan Yoganandan, Frank A. Pintar, Glenn Paskoff, Barry S. Shender

Biomedical Engineering Faculty Research and Publications

Quantification of biomechanical tolerance is necessary for injury prediction and protection of vehicular occupants. This study experimentally quantified lumbar spine axial tolerance during accelerative environments simulating a variety of military and civilian scenarios. Intact human lumbar spines (T12‐L5) were dynamically loaded using a custom‐built drop tower. Twenty‐three specimens were tested at sub‐failure and failure levels consisting of peak axial forces between 2.6 and 7.9 kN and corresponding peak accelerations between 7 and 57 g. Military aircraft ejection and helicopter crashes fall within these high axial acceleration ranges. Testing was stopped following injury detection. Both peak force and acceleration were significant …

Optimizing Filter-Probe Diffusion Weighting In The Rat Spinal Cord For Human Translation, Matthew D. Budde, Nathan P. Skinner, L. Tugan Muftuler, Brian D. Schmit, Shekar N. Kurpad

Biomedical Engineering Faculty Research and Publications

No abstract provided.

The Temporal Expression Of Adipokines During Spinal Fusion, Sohrab Virk, Alicia L. Bertone, Hayam Hamaz Hussein, Jeffrey M. Toth, Mari Kaido, Safdar Khan

Biomedical Engineering Faculty Research and Publications

Background Context

Adipokines are secreted by white adipose tissue and have been associated with fracture healing. Our goal was to report the temporal expression of adipokines during spinal fusion in an established rabbit model.

Purpose

Our goal was to report the temporal expression of adipokines during spinal fusion in an established rabbit model.

Study Design

The study design included a laboratory animal model.

Methods

New Zealand white rabbits were assigned to either sham surgery (n=2), unilateral posterior spinal fusion (n=14), or bilateral posterior spinal fusion (n=14). Rabbits were euthanized 1–6 and 10 weeks out from surgery. Fusion was evaluated by …

Macroscopic Anisotropic Bone Material Properties In Children With Severe Osteogenesis Imperfecta, Carolyne Albert, John Jameson, Sergey Tarima, Peter Smith, Gerald Harris

Biomedical Engineering Faculty Research and Publications

Children with severe osteogenesis imperfecta(OI) typically experience numerous fractures and progressive skeletal deformities over their lifetime. Recent studies proposed finite element models to assess fracture risk and guide clinicians in determining appropriate intervention in children with OI, but lack of appropriate material property inputs remains a challenge. This study aimed to characterize macroscopic anisotropic cortical bone material properties and investigate relationships with bone density measures in children with severe OI. Specimens were obtained from tibial or femoral shafts of nine children with severe OI and five controls. The specimens were cut into beams, characterized in bending, and imaged by synchrotron …

Robotic Resistance Treadmill Training Improves Locomotor Function In Children With Cerebral Palsy: A Randomized Controlled Pilot Study, Ming Wu, Janis Kim, Deborah J. Gaebler-Spira, Brian D. Schmit, Pooja Arora

Biomedical Engineering Faculty Research and Publications

Objective

To determine whether applying controlled resistance forces to the legs during the swing phase of gait may improve the efficacy of treadmill training as compared with applying controlled assistance forces in children with cerebral palsy (CP).

Design

Randomized controlled study.

Setting

Research unit of a rehabilitation hospital.

Participants

Children with spastic CP (N=23; mean age, 10.6y; range, 6–14y; Gross Motor Function Classification System levels, I–IV).

Interventions

Participants were randomly assigned to receive controlled assistance (n=11) or resistance (n=12) loads applied to the legs at the ankle. Participants underwent robotic treadmill training 3 times a week for 6 weeks (18 …

Sagittal Subtalar And Talocrural Joint Assessment During Ambulation With Controlled Ankle Movement (Cam) Boots, Ben Mchenry, Emily L. Exten, Janelle A. Cross, Karen M. Kruger, Brian Law, Jessica M. Fritz, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Background: The purpose of the current study was to determine sagittal plane talocrural and subtalar kinematic differences between barefoot and controlled ankle movement (CAM) boot walking. This study used fluoroscopic images to determine talar motion relative to tibia and calcaneal motion relative to talus.

Methods: Fourteen male subjects (mean age 24.1 ± 3.5 years) screened for normal gait were tested. A fluoroscopy unit was used to collect images at 200 Hz during stance. Sagittal motion of the talocrural and subtalar joints were analyzed barefoot and within short and tall CAM boots.

Results: Barefoot talocrural mean maximum plantar and dorsiflexion were …

Elucidating The Mechanical, Structural, Functional, And Molecular Mechanisms Involved In Irreversible Vascular Changes In Aortic Coarctation, Brandon Wegter

Master's Theses (2009 -)

Coarctation of the aorta (CoA) is a constriction of the thoracic aorta and is one of the most common congenital cardiovascular defects. Treatment by surgical correction has saved the lives of thousands of children, but many still have a reduced lifespan due to hypertension. Previous results using our novel rabbit model showed that the current treatment guideline of a 20 mmHg blood pressure gradient (BPG) induces irreversible vascular changes, which persisted despite correction. Preliminary data of the downregulation of natriuretic peptide receptor C (NPR-C) in proximal aortic tissue of human patients with CoA serves as the possible underlying mechanism for …

Protection By Inhaled Hydrogen Therapy In A Rat Model Of Acute Lung Injury Can Be Tracked In Vivo Using Molecular Imaging, Said H. Audi, Elizabeth R. Jacobs, Xiao Zhang, Amadou K.S. Camara, Ming Zhao, Meetha M. Medhora, Benjamin Michael Rizzo, Anne V. Clough

Biomedical Engineering Faculty Research and Publications

Inhaled hydrogen gas (H₂) provides protection in rat models of human acute lung injury (ALI). We previously reported that biomarker imaging can detect oxidative stress and endothelial cell death in vivo in a rat model of ALI. Our objective was to evaluate the ability of ^99mTc-hexamethylpropyleneamineoxime (HMPAO) and ^99mTc-duramycin to track the effectiveness of H₂ therapy in vivo in the hyperoxia rat model of ALI. Rats were exposed to room air (normoxia), 98% O₂ + 2% N₂ (hyperoxia) or 98% O₂ + 2% H₂ (hyperoxia+H₂) for up to 60 …

Treating A 20 Mm Hg Gradient Alleviates Myocardial Hypertrophy In Experimental Aortic Coarctation, David C. Wendell, Ingeborg Friehs, Margaret M. Samyn, Leanne Harmann, John F. Ladisa

Biomedical Engineering Faculty Research and Publications

Background

Children with coarctation of the aorta (CoA) can have a hyperdynamic and remodeled left ventricle (LV) from increased afterload. Literature from an experimental model suggests the putative 20 mm Hg blood pressure gradient (BPG) treatment guideline frequently implemented in CoA studies may permit irreversible vascular changes. LV remodeling from pressure overload has been studied, but data are limited following correction and using a clinically representative BPG.

Materials and methods

Rabbits underwent CoA at 10 weeks to induce a 20 mm Hg BPG using permanent or dissolvable suture thereby replicating untreated and corrected CoA, respectively. Cardiac function was evaluated at …

Muscle Coordination Contributes To Function After Stroke; Proprioception Contributes To Control Of Posture, Movement, Maria Bengtson

Dissertations (1934 -)

More than half of stroke survivors experience persistent upper extremity motor impairments that can negatively impact quality of life and independence. Effective use of the upper extremity requires coordination of agonist/antagonist muscle pairs, as well as coordination of multiple control actions for stabilizing and moving the arm. In this dissertation, I present three studies in which I recorded isometric torque production, single joint movement and stabilization, and clinical measures of function and impairments after stroke to evaluate the extent to which changes in coordination of agonist/antagonist muscles and of sequential control actions contribute to deficits after stroke. In Aim 1, …

Motion Artifact Evaluation Of Coronary Ct Angiography Images, Hongfeng Ma

Dissertations (1934 -)

The objective of this dissertation was to develop and validate an automated algorithm to quantify motion artifact level on coronary CT angiography (CCTA) images. Unlike existing motion artifact reduction techniques that evaluate the relative level of motion artifacts within one exam, this dissertation aims to quantify the absolute level of motion artifacts across exams from varying patients. The ability to quantify absolute motion artifact level enables several potential applications, for example, assessing and comparing two motion artifact reduction techniques. This dissertation includes three specific aims. Aim 1 investigated the absolute motion artifact quantification effectiveness of six motion artifact metrics using …

Collapsible Silicone Tubes: An In Vitro Model For Tracheal Traction, Kevin D. Garman

Master's Theses (2009 -)

Obstructive sleep apnea (OSA) is characterized by recurrent episodes of airway collapse and airflow limitation during sleep. Fragmented sleep and reductions in blood oxygen saturation lead to several comorbidities, including hypertension, cardiovascular disease, and cerebrovascular disease. Longitudinal forces (tracheal traction) acting on the soft tissues surrounding the upper airway have been proposed to play a significant role in stabilizing the airway and preventing collapse. However, the relative contribution of longitudinal forces as compared to other factors that affect airway stability (airway geometry, tissue properties, muscle activity) remains unclear. This in-vitro study aimed to investigate to what extent longitudinal forces can …

Effects Of Random Oscillations On Balance Control In Healthy Young Adults, Jacob Van Dehy

Master's Theses (2009 -)

In human walking, balance control is managed through proactive changes in spatio-temporal parameters of stepping [1]. It has been suggested that continuous disruptions to healthy young adult balance cause greater changes to overall variability of these parameters than a shift in the mean stepping parameters [2]. This suggests that walking may be occurring in a more reactive manner, modulating to maintain balance without increasing the mean significantly. Work using continuous oscillations to treadmill walking suggest there is an interplay between the predictability of a signal used to disrupt subject balance and the degree to which compensation occurs [3]. To determine …

A Spectral Ct Method To Directly Estimate Basis Material Maps From Experimental Photon-Counting Data, Tal Gilat Schmidt, Rina Foygel Barber, Emil Y. Sidky

Biomedical Engineering Faculty Research and Publications

The proposed spectral CT method solves the constrained one-step spectral CT reconstruction (cOSSCIR) optimization problem to estimate basis material maps while modeling the nonlinear X-ray detection process and enforcing convex constraints on the basis map images. In order to apply the optimization-based reconstruction approach to experimental data, the presented method empirically estimates the effective energy-window spectra using a calibration procedure. The amplitudes of the estimated spectra were further optimized as part of the reconstruction process to reduce ring artifacts. A validation approach was developed to select constraint parameters. The proposed spectral CT method was evaluated through simulations and experiments with …

A Long-Term Follow-Up Of Young Adults With Idiopathic Clubfoot: Does Foot Morphology Relate To Pain?, Adam Graf, Ken N. Kuo, Nikhil T. Kurapati, Joseph J. Krzak, Sahar Hassani, Angela Caudill, Ann Flanagan, Gerald F. Harris, Peter A. Smith

Biomedical Engineering Faculty Research and Publications

Background:

Individuals with clubfoot, treated in infancy with either the Ponseti method or comprehensive clubfoot release, often encounter pain as adults. Multiple studies have characterized residual deformity after Ponseti or surgical correction using physical exam, radiographs and pedobarography; however, the relationship between residual foot deformity and pain is not well defined. The purpose of the current study was 2-fold: (1) to evaluate the relationship between foot morphology and pain for young adults treated as infants for idiopathic clubfoot and (2) to describe and compare pedobarographic measures and outcome measures of pain and morphology among surgically treated, Ponseti treated, and typically …

Open Source Software For Automatic Detection Of Cone Photoreceptors In Adaptive Optics Ophthalmoscopy Using Convolutional Neural Networks, David Cunefare, Leyuan Fang, Robert F. Cooper, Alfredo Dubra, Joseph Carroll, Sina Farsiu

Biomedical Engineering Faculty Research and Publications

Imaging with an adaptive optics scanning light ophthalmoscope (AOSLO) enables direct visualization of the cone photoreceptor mosaic in the living human retina. Quantitative analysis of AOSLO images typically requires manual grading, which is time consuming, and subjective; thus, automated algorithms are highly desirable. Previously developed automated methods are often reliant on ad hoc rules that may not be transferable between different imaging modalities or retinal locations. In this work, we present a convolutional neural network (CNN) based method for cone detection that learns features of interest directly from training data. This cone-identifying algorithm was trained and validated on separate data …

Inter-Joint Coordination Deficits Revealed In The Decomposition Of Endpoint Jerk During Goal-Directed Arm Movement After Stroke, Jozsef Laczko, Robert A. Scheidt, Lucia Simo, Davide Piovesan

Biomedical Engineering Faculty Research and Publications

It is well documented that neurological deficits after stroke can disrupt motor control processes that affect the smoothness of reaching movements. The smoothness of hand trajectories during multi-joint reaching depends on shoulder and elbow joint angular velocities and their successive derivatives as well as on the instantaneous arm configuration and its rate of change. Right-handed survivors of unilateral hemiparetic stroke and neurologically-intact control participants held the handle of a two-joint robot and made horizontal planar reaching movements. We decomposed endpoint jerk into components related to shoulder and elbow joint angular velocity, acceleration, and jerk. We observed an abnormal decomposition pattern …

Markerless Kinematics Of Pediatric Manual Wheelchair Mobility, Jacob Robert Rammer

Dissertations (1934 -)

Pediatric manual wheelchair users face substantial risk of orthopaedic injury to the upper extremities, particularly the shoulders, during transition to wheelchair use and during growth and development. Propulsion strategy can influence mobility efficiency, activity participation, and quality of life. The current forefront of wheelchair biomechanics research includes translating findings from adult to pediatric populations, improving the quality and efficiency of care under constrained clinical funding, and understanding injury mechanisms and risk factors. Typically, clinicians evaluate wheelchair mobility using marker-based motion capture and instrumentation systems that are precise and accurate but also time-consuming, inconvenient, and expensive for repeated assessments. There is …

Evaluating Wall Shear Stress Indices To Uncover Stimuli For Restenosis And Malapposition In Stented Coronary Arteries, Ali A. Aleiou

Master's Theses (2009 -)

The cause of coronary artery neointimal thickening leading to restenosis in ~10% of drug-eluting stents is unknown. Although research suggests adverse values of traditional wall shear stress (WSS) indices may contribute, studies to date have not accounted for stent geometry, which dictates local WSS patterns influencing drug concentration. Recently proposed WSS indices such as WSS variability and WSS exposure time (WSSET) may shed further light on restenosis or, the opposite effect, resorption. The objective of this investigation was to locally evaluate traditional and recently proposed post-stenting metrics and their respective impact on restenosis or resorption. This study used de-identified data …

Quantitative Optical Measurement Of Mitochondrial Superoxide Dynamics In Pulmonary Artery Endothelial Cells, Zahra Ghanian, Girija G. Konduri, Said H. Audi, Amadou K.S. Camara, Mahsa Ranji

Biomedical Engineering Faculty Research and Publications

No abstract provided.

The Arm Movement Detection (Amd) Test: A Fast Robotic Test Of Proprioceptive Acuity In The Arm, Leigh A. Mrotek, Maria Bengtson, Tina M. Stoeckmann, Lior Botzer, Claude Ghez, John Mcguire, Robert A. Scheidt

Biomedical Engineering Faculty Research and Publications

Background

We examined the validity and reliability of a short robotic test of upper limb proprioception, the Arm Movement Detection (AMD) test, which yields a ratio-scaled, objective outcome measure to be used for evaluating the impact of sensory deficits on impairments of motor control, motor adaptation and functional recovery in stroke survivors.

Methods

Subjects grasped the handle of a horizontal planar robot, with their arm and the robot hidden from view. The robot applied graded force perturbations, which produced small displacements of the handle. The AMD test required subjects to respond verbally to queries regarding whether or not they detected …

Identity And Function Of A Cardiac Mitochondrial Small Conductance Ca2+-Activated K+ Channel Splice Variant, Meiying Yang, Amadou K. S. Camara, Mohammed Aldakkak, Wai-Meng Kwok, David F. Stowe

Biomedical Engineering Faculty Research and Publications

We provide evidence for location and function of a small conductance, Ca²⁺-activated K⁺ (SK_Ca) channel isoform 3 (SK3) in mitochondria (m) of guinea pig, rat and human ventricular myocytes. SK_Ca agonists protected isolated hearts and mitochondria against ischemia/reperfusion (IR) injury; SK_Ca antagonists worsened IR injury. Intravenous infusion of a SK_Ca channel agonist/antagonist, respectively, in intact rats was effective in reducing/enhancing regional infarct size induced by coronary artery occlusion. Localization of SK3 in mitochondria was evidenced by Western blot of inner mitochondrial membrane, immunocytochemical staining of cardiomyocytes, and immunogold labeling of isolated mitochondria. …

Erratum To: Supplemental Vibrotactile Feedback Control Of Stabilization And Reaching Actions Of The Arm Using Limb State And Position Error Encodings, Alexis Krueger, Psiche Giannoni, Valay Shah, Maura Casadio, Robert A. Scheidt

Biomedical Engineering Faculty Research and Publications

The original article contained omissions mistakenly carried forward by the Production department handling this journal; these omissions related to missing ‘λ’ symbols throughout the article body, thus inaccurately representing the meaning of the associated text.

The article has now been updated to include these symbols in the appropriate sections of text to accurately reflect the conveyed implications.

Supplemental Vibrotactile Feedback Control Of Stabilization And Reaching Actions Of The Arm Using Limb State And Position Error Encodings, Alexis Krueger, Psiche Giannoni, Valay Shah, Maura Casadio, Robert A. Scheidt

Biomedical Engineering Faculty Research and Publications

Deficits of kinesthesia (limb position and movement sensation) commonly limit sensorimotor function and its recovery after neuromotor injury. Sensory substitution technologies providing synthetic kinesthetic feedback might re-establish or enhance closed-loop control of goal-directed behaviors in people with impaired kinesthesia.

Biplane Fluoroscopy For Hindfoot Motion Analysis During Gait: A Model-Based Evaluation, Janelle A. Cross, Ben Mchenry, Robert C. Molthen, Emily Exten, Taly Gilat-Schmidt, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

The purpose of this study was to quantify the accuracy and precision of a biplane fluoroscopy system for model-based tracking of in vivo hindfoot motion during over-ground gait. Gait was simulated by manually manipulating a cadaver foot specimen through a biplane fluoroscopy system attached to a walkway. Three 1.6-mm diameter steel beads were implanted into the specimen to provide marker-based tracking measurements for comparison to model-based tracking. A CT scan was acquired to define a gold standard of implanted bead positions and to create 3D models for model-based tracking. Static and dynamic trials manipulating the specimen through the capture volume …

Segmental Kinematic Analysis Of Planovalgus Feet During Walking In Children With Cerebral Palsy, Karen M. Kruger, Katherine A. Konop, Joseph Krzak, Adam Graf, Haluk Altiok, Peter A. Smith, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Pes planovalgus (flatfoot) is a common deformity among children with cerebral palsy. The Milwaukee Foot Model (MFM), a multi-segmental kinematic foot model, which uses radiography to align the underlying bony anatomy with reflective surface markers, was used to evaluate 20 pediatric participants (30 feet) with planovalgus secondary to cerebral palsy prior to surgery. Three-dimensional kinematics of the tibia, hindfoot, forefoot, and hallux segments are reported and compared to an age-matched control set of typically-developing children. Most results were consistent with known characteristics of the deformity and showed decreased plantar flexion of the forefoot relative to hindfoot, increased forefoot abduction, and …

Assessment Of Kinematics And Electromyography Following Arthroscopic Single-Tendon Rotator Cuff Repair, Jessica M. Fritz, Ryan R. Inawat, Brooke A. Slavens, John R. Mcguire, Dean W. Ziegler, Sergey S. Tarima, Steven I. Grindel, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Background

The increasing demand for rotator cuff (RC) repair patients to return to work as soon as they are physically able has led to exploration of when this is feasible. Current guidelines from our orthopedic surgery clinic recommend a return to work at 9 weeks postoperation. To more fully define capacity to return to work, the current study was conducted using a unique series of quantitative tools. To date, no study has combined 3-dimensional (3D) motion analysis with electromyography (EMG) assessment during activities of daily living (ADLs), including desk tasks, and commonly prescribed rehabilitation exercise.

Objective

To apply a quantitative, …

Developing An Imaging Biomarker To Detect Aberrant Brain Connectivity In Individual Patients, Esther Cox

Master's Theses (2009 -)

Resting state functional MRI (rsfMRI) has been proven to be a valuable tool in clinical applications such as pre-surgical mapping, but there is not yet a functional and usable algorithm that can be used by physicians in a clinical setting to evaluate an individual patient for diseases and aberrant brain connectivity. If a physician wants to evaluate a patient in this way, the rsfMRI data must be looked at “by hand,” i.e. the physician must manually evaluate the data and identify the functional ICN’s and whether they are normal or aberrant. An algorithm that would automate this process and supplement …

Rapid In Vivo Detection Of Rat Spinal Cord Injury With Double-Diffusion-Encoded Magnetic Resonance Spectroscopy, Nathan P. Skinner, Shekar N. Kurpad, Brian D. Schmit, L. Tugan Muftuler, Matthew D. Budde

Biomedical Engineering Faculty Research and Publications

Purpose

Diffusion-weighted imaging is a common experimental tool for evaluating spinal cord injury (SCI), yet it suffers from complications that decrease its clinical effectiveness. The most commonly used technique, diffusion tensor imaging (DTI), is often confounded by effects of edema accompanying acute SCI, limiting its sensitivity to the important functional status marker of axonal integrity. The purpose of this study is to introduce a novel diffusion-acquisition method with the goal of overcoming these limitations.

Methods

A double diffusion encoding (DDE) pulse sequence was implemented with a diffusion-weighted filter orthogonal to the spinal cord for suppressing nonneural signals prior to diffusion …

Evaluation Of Whole-Brain Resting-State Functional Connectivity In Spinal Cord Injury - A Large-Scale Network Analysis Using Network Based Statistic, Mayank Kaushal, Akinwunmi Oni-Orisan, Gang Chen, Wenjun Li, Jack Leschke, B. Douglas Ward, Benjamin Kalinosky, Matthew D. Budde, Brian D. Schmit, Shi-Jiang Li, Viashnavi Muqeet, Shekar N. Kurpad

Biomedical Engineering Faculty Research and Publications

Large-scale network analysis characterizes the brain as a complex network of nodes and edges to evaluate functional connectivity patterns. The utility of graph-based techniques has been demonstrated in an increasing number of restingstate functional MRI (rs-fMRI) studies in the normal and diseased brain. However, to our knowledge, graph theory has not been used to study the reorganization pattern of resting-state brain networks in patients with traumatic complete spinal cord injury (SCI). In the present analysis, we applied a graph-theoretical approach to explore changes to global brain network architecture as a result of SCI. Fifteen subjects with chronic (> 2 years) …