Biomedical Engineering and Bioengineering Commons^™

Foot And Ankle Motion Analysis Using Dynamic Radiographic (Fluoroscopic) Imaging, Benjamin Mchenry, Jason T. Long, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

No abstract provided.

Estimation Of Organ And Effective Dose Due To Compton Backscatter Security Scans, Michael Hoppe, Taly Gilat Schmidt

Biomedical Engineering Faculty Research and Publications

Purpose: To estimate organ and effective radiation doses due to backscatter security scanners using Monte Carlo simulations and a voxelized phantom set. Methods: Voxelized phantoms of male and female adults and children were used with the GEANT4 toolkit to simulate a backscatter security scan. The backscatter system was modeled based on specifications available in the literature. The simulations modeled a 50 kVp spectrum with 1.0 mm-aluminum-equivalent filtration and a previously measured exposure of approximately 4.6 μR at 30 cm from the source. Photons and secondary interactions were tracked from the source until they reached zero kinetic energy or exited from …

Dataglove Measurement Of Joint Angles In Sign Language Handshapes, Petra Eccarius, Rebecca Bour, Robert A. Scheidt

Biomedical Engineering Faculty Research and Publications

In sign language research, we understand little about articulatory factors involved in shaping phonemic boundaries or the amount (and articulatory nature) of acceptable phonetic variation between handshapes. To date, there exists no comprehensive analysis of handshape based on the quantitative measurement of joint angles during sign production. The purpose of our work is to develop a methodology for collecting and visualizing quantitative handshape data in an attempt to better understand how handshapes are produced at a phonetic level. In this pursuit, we seek to quantify the flexion and abduction angles of the finger joints using a commercial data glove (CyberGlove; …

Remembering Forward: Neural Correlates Of Memory And Prediction In Human Motor Adaptation, Robert A. Scheidt, Janice Zimbelman, Nicole M.G. Salowitz, Aaron J. Suminski, Kristine M. Mosier, James Houk, Lucia Simo

Biomedical Engineering Faculty Research and Publications

We used functional MR imaging (FMRI), a robotic manipulandum and systems identification techniques to examine neural correlates of predictive compensation for spring-like loads during goal-directed wrist movements in neurologically-intact humans. Although load changed unpredictably from one trial to the next, subjects nevertheless used sensorimotor memories from recent movements to predict and compensate upcoming loads. Prediction enabled subjects to adapt performance so that the task was accomplished with minimum effort. Population analyses of functional images revealed a distributed, bilateral network of cortical and subcortical activity supporting predictive load compensation during visual target capture. Cortical regions – including prefrontal, parietal and hippocampal …

Assessing Spinal Motion At Different Fusion Levels In Adolescents With Idiopathic Scoliosis, Sahar Hassani, Adam Graf, Joseph Krzak, K. Hammerberg, P. Sturm, P. Gupta, M. Riordan, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

No abstract provided.

A Database For Estimating Organ Dose For Chest And Head Ct Scans For Arbitrary Spectra And Angular Tube Current Modulation, Franco Rupcich, Andreu Badal, Iacovos Kyprianou, Taly Gilat Schmidt

Biomedical Engineering Faculty Research and Publications

Purpose: The purpose of this study was to develop a database for estimating organ dose in a voxelized patient model for coronary angiography and brain perfusion CT acquisitions with any spectra and angular tube current modulation setting. The database enables organ dose estimation for existing and novel acquisition techniques without requiring Monte Carlo simulations. Methods: The study simulated transport of monoenergetic photons between 5 and 150 keV for 1000 projections over 360◦ through anthropomorphic voxelized female chest and head (0◦ and 30◦ tilt) phantoms and standard head and body CTDI dosimetry cylinders. The simulations resulted in tables of normalized dose …

Exploring Functional Networks Of The Brain Relating To Upper Extremity Motor Skill Using Graph Theory, Dominic Nathan, Stephen J. Guastello, Robert W. Prost, Dean C. Jeutter

Biomedical Engineering Faculty Research and Publications

No abstract provided.

Segmental Kinematic Assessment Of Pediatric Pes Planovalgus With Radiographic Skeletal Indexing, Katherine A. Konop, Jason T. Long, Joseph Krzak, Adam Graf, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

No abstract provided.

Long-Term Follow Up Of Van Nes Rotationplasty For Proximal Focal Femoral Deficiency, Haluk Altiok, Jeffrey D. Ackman, Ann Flanagan, Mary Peer, Adam Graf, Joseph Krzak, Sahar Hassani, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Proximal focal femoral deficiency (PFFD) is a congenital anomaly that presents challenges for orthopaedic and prosthetic management. The Van Nes rotationplasty is one treatment in which the extremity is surgically rotated to utilize the ankle and foot as a functional knee joint in a prosthesis. The purpose of this study is to determine the long-term functional and quality of life (QOL) outcomes for individuals who have undergone rotationplasty surgery for congenital PFFD compared to age and gender matched controls.

Including Aortic Valve Morphology In Computational Fluid Dynamics Simulations: Initial Findings And Application To Aortic Coarctation, David C. Wendell, Margaret M. Samyn, Joseph Richard Cava, Laura M. Ellwein, Mary M. Krolikowski, Kimberly L. Gandy, Andrew N. Pelech, Shawn C. Shadden, John F. Ladisa

Biomedical Engineering Faculty Research and Publications

Computational fluid dynamics (CFD) simulations quantifying thoracic aortic flow patterns have not included disturbances from the aortic valve (AoV). 80% of patients with aortic coarctation (CoA) have a bicuspid aortic valve (BAV) which may cause adverse flow patterns contributing to morbidity. Our objectives were to develop a method to account for the AoV in CFD simulations, and quantify its impact on local hemodynamics. The method developed facilitates segmentation of the AoV, spatiotemporal interpolation of segments, and anatomic positioning of segments at the CFD model inlet. The AoV was included in CFD model examples of a normal (tricuspid AoV) and a …

Long-Term Follow Up Of Van Nes Rotationplasty For Congenital Proximal Focal Femoral Deficiency [Proceedings], Haluk Altiok, Jeffrey D. Ackman, Ann Flanagan, Mary Peer, Adam Graf, Joseph Krzak, Sahar Hassani, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

INTRODUCTION: Proximal focal femoral deficiency (PFFD) is a congenital anomaly that presents challenges for orthopaedic and prosthetic management. The Van Nes rotationplasty is one treatment in which the extremity is surgically rotated to utilize the ankle and foot as a functional knee joint in a prosthesis. The purpose of this study is to determine the long-term functional and quality of life (QOL) outcomes for individuals who have undergone rotationplasty surgery for congenital PFFD compared to age and gender matched controls.

METHODS: This prospective study had 12 prosthetic participants (PFFD Group: 8 M, 4F, age range 16-57 years) average 31.6±13.5 years …

Multisegmental Foot And Ankle Motion Analysis After Hallux Valgus Surgery, Karl Canseco, Jason T. Long, Thomas Smedberg, Sergey Tarima, Richard Marks, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Background: Gait changes in patients with hallux valgus, including altered kinematic and temporal-spatial parameters, have been documented in the literature. Although operative treatment can yield favorable clinical and radiographic results, restoration of normal gait in this population remains unclear. Segmental kinematic changes within the foot and ankle during ambulation after operative correction of hallux valgus have not been reported. The aim of this study was to analyze changes in multisegmental foot and ankle kinematics in patients who underwent operative correction of hallux valgus. Methods: A 15-camera Vicon Motion Analysis System was used to evaluate 24 feet in 19 patients with …

Quantifying The Tibiofemoral Joint Space Using X-Ray Tomosynthesis, Benjamin Kalinosky, John M. Sabol, Kelly Piacsek, Beth Heckel, Taly Gilat Schmidt

Biomedical Engineering Faculty Research and Publications

Purpose: Digital x-ray tomosynthesis (DTS) has the potential to provide 3D information about the knee joint in a load-bearing posture, which may improve diagnosis and monitoring of knee osteoarthritis compared with projection radiography, the current standard of care. Manually quantifying and visualizing the joint space width (JSW) from 3D tomosynthesis datasets may be challenging. This work developed a semiautomated algorithm for quantifying the 3D tibiofemoral JSW from reconstructed DTS images. The algorithm was validated through anthropomorphic phantom experiments and applied to three clinical datasets. Methods: A user-selected volume of interest within the reconstructed DTS volume was enhanced with 1D multiscale …

Mechanical Characterization Of Fourth Generation Composite Humerus, Prateek Grover, Carolyne Albert, Mei Wang, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Mechanical data on upper extremity surrogate bones, supporting use as biomechanical tools, is limited. The objective of this study was to characterize the structural behaviour of the fourth-generation composite humerus under simulated physiologic bending, specifically, stiffness, rigidity, and mid-diaphysial surface strains. Three humeri were tested in four-point bending, in anatomically defined anteroposterior (AP) and mediolateral (ML) planes. Stiffness and rigidity were derived using load–displacement data. Principal strains were determined at the anterior, posterior, medial, and lateral surfaces in the humeral mid-diaphysial transverse plane of one specimen using stacked rosettes. Linear structural behaviour was observed within the test range. Average stiffness …

Different Motion Cues Are Used To Estimate Time-To-Arrival For Frontoparallel And Loming Trajectories, Finnegan J. Calabro, Scott A. Beardsley, Lucia M. Vaina

Biomedical Engineering Faculty Research and Publications

Estimation of time-to-arrival for moving objects is critical to obstacle interception and avoidance, as well as to timing actions such as reaching and grasping moving objects. The source of motion information that conveys arrival time varies with the trajectory of the object raising the question of whether multiple context-dependent mechanisms are involved in this computation. To address this question we conducted a series of psychophysical studies to measure observers’ performance on time-to-arrival estimation when object trajectory was specified by angular motion (“gap closure” trajectories in the frontoparallel plane), looming (colliding trajectories, TTC) or both (passage courses, TTP). We measured performance …

Effect Of Sensory Feedback From The Proximal Upper Limb On Voluntary Isometric Finger Flexion And Extension In Hemiparetic Stroke Subjects, Gilles Hoffmann, Brian D. Schmit, Jennifer H. Kahn, Derek G. Kamper

Biomedical Engineering Faculty Research and Publications

This study investigated the potential influence of proximal sensory feedback on voluntary distal motor activity in the paretic upper limb of hemiparetic stroke survivors and the potential effect of voluntary distal motor activity on proximal muscle activity. Ten stroke subjects and 10 neurologically intact control subjects performed maximum voluntary isometric flexion and extension, respectively, at the metacarpophalangeal (MCP) joints of the fingers in two static arm postures and under three conditions of electrical stimulation of the arm. The tasks were quantified in terms of maximum MCP torque [MCP flexion (MCP_flex) or MCP extension (MCP_ext)] and activity …

Sensing With The Motor Cortex, Nicholas G. Hatsopoulos, Aaron J. Suminski

Biomedical Engineering Faculty Research and Publications

The primary motor cortex is a critical node in the network of brain regions responsible for voluntary motor behavior. It has been less appreciated, however, that the motor cortex exhibits sensory responses in a variety of modalities including vision and somatosensation. We review current work that emphasizes the heterogeneity in sensorimotor responses in the motor cortex and focus on its implications for cortical control of movement as well as for brain-machine interface development.

Patterns Of Hypermetria And Terminal Cocontraction During Point-To-Point Movements Demonstrate Independent Action Of Trajectory And Postural Controllers, Robert A. Scheidt, Claude Ghez, Supriya Asnani

Biomedical Engineering Faculty Research and Publications

We examined elbow muscle activities and movement kinematics to determine how subjects combine elementary control actions in performing movements with one and two trajectory segments. In reaching, subjects made a rapid elbow flexion to a visual target before stabilizing the limb with either a low or a higher level of elbow flexor/extensor coactivity (CoA), which was cued by target diameter. Cursor diameter provided real-time biofeedback of actual muscle CoA. In reversing, the limb was to reverse direction within the target and return to the origin with minimal CoA. We previously reported that subjects overshoot the goal when attempting a reversal …

A Model For The Evaluation Of Lower Extremity Kinematics With Integrated Multisegmental Foot Motion, Jason T. Long, Mei Wang, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Background/Purpose

Current models for assessing lower extremity motion during gait benefit from ease of use in the clinical environment. However, underlying assumptions regarding joint location and distal segment motion limit their effectiveness and accuracy. The aim of this study was to develop a model for lower extremity motion analysis, which integrates functional methods for estimating hip joint center (HJC) location and a multisegmental approach to modeling motion of the foot and ankle. The new model is capable of tracking the motion of six segments (pelvis, bilateral thigh, tibia, hindfoot, forefoot, and hallux) during stance and swing.

Methods

Ten healthy young …

Analysis Of Push-Off Power During Locomotion In Children With Type 1 Osteogenesis Imperfecta, Joseph Krzak, Adam Graf, Ann Flanagan, Angela Caudill, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Background/Purpose

Children with type 1 osteogenesis imperfecta (OI) present with abnormal gait characteristics, including reduced power generation during pushoff. However, the exact biomechanical factors associated with reduced power generation are not clearly understood. The purpose of this study was to investigate the biomechanical factors associated with a reduction in ankle power generation in children with type 1 OI.

Methods

Twenty-four participants with type 1 OI (12.5 ± 3.6 years of age) and 24 typically developing children (12.4 ± 3.7 years of age) were evaluated. Three-dimensional gait analysis, isometric plantar flexion strength using dynamometry, and pedobarography were collected on each participant. …

Current Research And Clinical Applications In Human Motion Analysis, Ken N. Kuo, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

No abstract provided.

A Compressed Sensing Algorithm For Sparse-View Pinhole Single Photon Emission Computed Tomography, Paul Arthur Wolf, Emil Y. Sidky, Taly Gilat Schmidt

Biomedical Engineering Faculty Research and Publications

Single Photon Emission Computed Tomography (SPECT) systems are being developed with multiple cameras and without gantry rotation to provide rapid dynamic acquisitions. However, the resulting data is angularly undersampled, due to the limited number of views. We propose a novel reconstruction algorithm for sparse-view SPECT based on Compressed Sensing (CS) theory. The algorithm models Poisson noise by modifying the Iterative Hard Thresholding algorithm to minimize the Kullback-Leibler (KL) distance by gradient descent. Because the underlying objects of SPECT images are expected to be smooth, a discrete wavelet transform (DWT) using an orthogonal spline wavelet kernel is used as the sparsifying …

Motion Analysis Of The Upper Extremities During Lofstrand Crutch-Assisted Gait In Children With Orthopaedic Disabilities, Brooke A. Slavens, Neha Bhagchandani, Mei Wang, Peter A. Smith, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Background

This paper presents a review of current state-of-the-art dynamic systems for quantifying the kinematics and kinetics of the joints of the upper extremities during Lofstrand crutch-assisted gait. The reviewed systems focus on the rehabilitation of children and adults with myelomeningocele (MM), cerebral palsy (CP), spinal cord injury (SCI), and osteogenesis imperfecta (OI). Forearm crutch systems have evolved from models with single- to multi-sensor hardware systems that can incorporate an increasing number of segments that are in compliance with the standards of the International Society of Biomechanics (ISB).

Methods

The initial system developed by our group was a single, six-axis, …

Implications Of Arm Restraint On Lower Extremity Kinetics During Gait, Jason T. Long, John B. Groner, Dan C. Eastwood, Timothy R. Dillingham, Prateek Grover, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Background

Literature indicates the importance of the upper extremities in providing stability and propulsion for the body during ambulation. However, the kinetic implications of upper extremity restraint during gait are not as well documented.

Aim

The objective of this study was to examine the effect of arm restraint (unilateral and bilateral) on lower extremity joint kinetics during walking.

Methods

Twenty-three healthy young participants were instrumented for three dimensional motion analysis, and tested in four randomly ordered upper extremity restraint conditions (unrestrained, bilateral restraint, right side restraint, and left side restraint). Temporal spatial parameters and gait/phase-specific lower extremity kinetics and kinematics …

Postoperative Foot And Ankle Kinematics In Rheumatoid Arthritis, Karl Canseco, Carolyne Albert, Jason T. Long, Michael Khazzam, Richard Marks, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Introduction

Rheumatoid arthritis (RA) is a systemic autoimmune disease that can cause weakening and destruction of various joints of the foot and may result in pain and deformity. This clinical presentation can cause eventual loss of function, shoe-wear difficulties, and altered gait patterns.

Purpose

The goal of this prospective study was to quantify changes in temporal-spatial parameters and multisegmental foot and ankle kinematics in a group of patients with RA of the forefoot following surgery.

Methods

Three-dimensional (3-D) motion analysis was conducted preoperatively and postoperatively using a 15-camera Vicon Motion Analysis System (Vicon Motion Systems, Inc.; Lake Forest, CA) on …

Upper Extremity Joint Dynamics During Walker Assisted Gait: A Quantitative Approach Towards Rehabilitative Intervention, Katherine A. Konop, Kelly M.B. Strifling, Joseph Krzak, Adam Graf, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Background

Many children with spastic diplegic cerebral palsy (CP) use anterior or posterior walkers to aid ambulation. Prolonged use may lead to upper extremity (UE) pathology later in life, including arthritis and joint contractures.

Purpose

This study analyzes the dynamics (kinematics and kinetics) of the shoulder (glenohumeral), elbow, and wrist joints during anterior and posterior walker use. It also examines the dynamic effects of adjusting handle height and grip rotation.

Methods

Ten children with CP underwent motion analysis with upper and lower extremity marker sets and six-degree-of-freedom instrumented walker handles, while using both anterior and posterior walkers. One child underwent …

Region-Of-Interest Material Decomposition From Truncated Energy-Resolved Ct, Taly Gilat Schmidt

Biomedical Engineering Faculty Research and Publications

Purpose: Energy-resolved CT using photon-counting detectors has the potential to provide improved material decomposition compared to dual-kVp approaches. However, available photon-counting detectors are susceptible to pulse-pileup artifacts, especially at the periphery of the field of view (FOV) where the object attenuation is low compared to the center of the FOV. Pulse pileup may be avoided by imaging a region-of-interest (ROI) where the dynamic range is expected to be limited. This work investigated performing material decomposition and reconstructing ROI basis images from truncated energy-resolved data.

Methods: A method is proposed to reconstructimages of basis functions primarily contained within the ROI, such …

Ranolazine Reduces Ca2+ Overload And Oxidative Stress And Improves Mitochondrial Integrity To Protect Against Ischemia Reperfusion Injury In Isolated Hearts, Mohammed Aldakkak, Amadou K.S. Camara, James S. Heisner, Meiying Yang, David F. Stowe

Biomedical Engineering Faculty Research and Publications

Ranolazine is a clinically approved drug for treating cardiac ventricular dysrhythmias and angina. Its mechanism(s) of protection is not clearly understood but evidence points to blocking the late Na⁺ current that arises during ischemia, blocking mitochondrial complex I activity, or modulating mitochondrial metabolism. Here we tested the effect of ranolazine treatment before ischemia at the mitochondrial level in intact isolated hearts and in mitochondria isolated from hearts at different times of reperfusion. Left ventricular (LV) pressure (LVP), coronary flow (CF), and O₂ metabolism were measured in guinea pig isolated hearts perfused with Krebs-Ringer’s solution; mitochondrial (m) O_{2 …}

Bilateral Assessment Of Functional Tasks For Robot-Assisted Therapy Applications, Michelle J. Johnson, Sarah Wang, Ping Bai, Elaine Strachota, Guennady Tchekanov, Jeff Melbye, John Mcguire

Biomedical Engineering Faculty Research and Publications

This article presents a novel evaluation system along with methods to evaluate bilateral coordination of arm function on activities of daily living tasks before and after robot-assisted therapy. An affordable bilateral assessment system (BiAS) consisting of two mini-passive measuring units modeled as three degree of freedom robots is described. The process for evaluating functional tasks using the BiAS is presented and we demonstrate its ability to measure wrist kinematic trajectories. Three metrics, phase difference, movement overlap, and task completion time, are used to evaluate the BiAS system on a bilateral symmetric (bi-drink) and a bilateral asymmetric (bi-pour) functional task. Wrist …

Effects Of Wrist Tendon Vibration On Arm Tracking In People Poststroke, Megan O. Conrad, Robert A. Scheidt, Brian D. Schmit

Biomedical Engineering Faculty Research and Publications

The goal of this study was to evaluate the influence of wrist tendon vibration on a multijoint elbow/shoulder tracking task. We hypothesized that tendon vibration applied at the wrist musculature would improve upper arm tracking performance in chronic stroke survivors through increased, Ia-afferent feedback to the central nervous system (CNS). To test this hypothesis, 10 chronic stroke and 5 neurologically intact subjects grasped the handle of a planar robot as they tracked a target through a horizontal figure-8 pattern. A total of 36 trials were completed by each subject. During the middle trials, 70-Hz tendon vibration was applied at the …