Biomechanics and Biotransport Commons^™

Transcatheter Mitral Valve Replacement: Structural And Hemodynamic Analysis, Saba Ravaghi

Electronic Theses and Dissertations

Transcatheter mitral valve replacement (TMVR) is being developed to become a substitute therapy for surgery in prohibitive or high surgical risk patients to treat severe mitral regurgitation. A limited number of TMVR systems are under clinical evaluation. However, transcatheter mitral valve (TMV) long-term durability and hemodynamic performance is not known. TMV durability and hemodynamics must match with that of surgical bioprostheses for potential commercialization of TMVR. Experimental and computational approaches were used to find the leaflets’ three-dimensional anisotropic mechanical properties in a transcatheter Edwards SAPIEN 3 valve and a surgical Carpentier-Edwards PERIMOUNT Magna mitral valve and finite element (FE) simulations …

Energy Expenditure And Stability During Self-Paced Walking On Different Slopes, Alanna Raffaelli

Electronic Theses and Dissertations

Metabolic power and cost of transport (COT) are common quantifiers for effort when performing tasks including walking and running. Most studies focus on using a range of normal walking speeds over level ground or varied slopes. However, these studies use fixed-speed conditions. Fatigue, stability, metabolic expenditure, heart rate, and many other factors contribute to normal walking speed varying over time. This study aimed to show that allowing a subject to walk with a self-paced speed should correlate to a minimum COT at a given slope. This study also aimed to determine if a preferred slope exists based on minimizing metabolic …

Classifying And Predicting Walking Speed From Electroencephalography Data, Allen Rahrooh

Electronic Theses and Dissertations

Electroencephalography (EEG) non-invasively records electrocortical activity and can be used to understand how the brain functions to control movements and walking. Studies have shown that electrocortical dynamics are coupled with the gait cycle and change when walking at different speeds. Thus, EEG signals likely contain information regarding walking speed that could potentially be used to predict walking speed using just EEG signals recorded during walking. The purpose of this study was to determine whether walking speed could be predicted from EEG recorded as subjects walked on a treadmill with a range of speeds (0.5 m/s, 0.75 m/s, 1.0 m/s, 1.25 …

Conceptualization And Fabrication Of A Bioinspired Mobile Robot Actuated By Shape Memory Alloy Springs, Lietsel Richardson

Electronic Theses and Dissertations

This work is an experimental study and fabrication of design concepts to validate the feasibility of smart materials and their applications in bio-inspired robotics. Shape-Memory Alloy (SMA) springs are selected as the smart material actuators of interest to achieve locomotion in the proposed mobile robot. Based on a previous design of the robot, this work focuses on both implementing a new locomotion concept and reducing size and weight of the previous design, both using SMA based actuators. Objectives are met in consideration of the conceptual mechanics of circular robot locomotion. The first prototype is a variation of the original design. …

Fluctuations In Walking Speeds And Spatiotemporal Gait Parameters When Walking On A Self-Paced Treadmill At Level, Incline, And Decline Slopes, Cesar Castano

Electronic Theses and Dissertations

On a daily basis, humans walk over a variety of terrains. Studies have shown that spatiotemporal gait parameters, such as stride length, stride frequency, stride variability, etc., change when humans walk down a decline and up an incline compared to level ground. However, these studies have been limited to using fixed speed treadmills or analyzing a small number of strides when conducted over ground. Thus, there is a need to investigate the fluctuations in spatiotemporal gait parameters of humans walking at their self-selected speed, which requires recording hundreds of strides. Here we hypothesized that subjects will walk with a slower …

The Relative Contribution Of Fixation Features, Activity, And Tibiofemoral Conformity On Initial Stability Of Cementless Tibial Trays, James Sullivan Deacy

Electronic Theses and Dissertations

Initial stability of cementless total knee replacements (TKR) is critical to implant success as excessive motion between the bone and implant prevents bony ingrowth that is critical to the long-term survivability of cementless implants. Prior studies have shown that excessive micromotion causes fibrous tissue growth instead of beneficial bony growth. There are many factors that influence initial stability including the design of the tibial tray and the tibiofemoral articulations. Understanding the impacts of these design features on micromotion between the bone and implants is crucial to improving the performance of cementless TKR. Prior studies only tested for the effect of …

Investigating The Likelihood Of Pediatric Femur Fracture Due To Falls Through Finite Element Analysis., Keyonna Mckinsey

Electronic Theses and Dissertations

Bone fracture is the second most common injury of child abuse. Studies have generally reported that femur fractures are more likely due to abuse than accidental causes in cases where the child is non-ambulatory. They have also found that household falls are commonly offered as the cause of injury in cases of abuse. In this study, a finite element (FE) pediatric femur model will be developed and used to evaluate likelihood of fracture in common household fall scenarios (bed falls and feet first falls). This will provide greater biomechanical evidence as to the likelihood of femur fracture due to common …

Cementless Tibial Base Micromotion During Activities Of Daily Living, Hayden Wilson

Electronic Theses and Dissertations

Initial stability of cementless total knee replacement (TKR) components is directly related to long-term fixation and success, as excess motion hinders bony ingrowth. To assess implant stability, there is a need for more physiologically accurate loading conditions, incorporating forces and displacements in all 6 degrees-of-freedom found in the knee joint, as well as understanding the impact of femoral flexion on conformity of tibiofemoral articulation. Understanding how different activities of daily living generate tibial micromotion yields insight into surgical technique considerations, and rehabilitation strategies post-operatively. ASTM F3141-15, which specifies knee flexion, Internal-External moment, Medial-Lateral, Anterior-Posterior and Superior-Inferior forces during gait and …

Predictive Modeling Of Hip Dislocation: Assessment Of Surgical And Patient Factors To Reduce The Occurrence Of Hip Instability And Adverse Clinical Outcomes, Daniel N. Huff

Electronic Theses and Dissertations

Instability and dislocation remain leading indications for revision of primary Total Hip Arthroplasty (THA). Many studies have addressed the links between implant design and propensity for dislocation, however a comprehensive review of the ability of modern THA constructs to protect against joint instability is needed.

Accordingly, the objective of this study is to provide objective data about THA risks to be considered in the treatment algorithm to protect against adverse joint loading conditions and joint instability. Adverse loading conditions were assessed in a population of activities of daily living using data from telemetric hip implant representation in an FE simulation …

Computational Modeling Of Transcatheter Aortic Valves, Mostafa Abbasi

Electronic Theses and Dissertations

Transcatheter aortic valve replacement (TAVR) is an established therapy alternative to surgical valve replacement in high-risk and intermediate-risk patients with severe aortic stenosis. Currently, although TAVR is an alternative and less-invasive treatment for high-risk and intermediate-risk patients, surgical aortic valves replacement (SAVR) was still considered as the gold standard for low-risk patients. TAVR could potentially be applied to lower-risk younger patients if the indications can be safely expanded to the patients and transcatheter aortic valve (TAV) long-term durability can match with that of surgical bioprostheses. In contrast to surgical aortic valves (SAVs), there have been limited clinical data on the …

Biomechanical Testing Of An Exercise For Strengthening The Proximal Femur., Alyssa Osbourne

Electronic Theses and Dissertations

Based on the principles of cutting edge bone remodeling research, a unique therapeutic exercise device was designed specifically to improve bone quality at the most critical location of the proximal femur prone to fracture: the superior-lateral femoral neck where the fracture first initiates during a fall. The exercise/device is intended to work by inducing enough strain in the bone to stimulate the body’s natural bone remodeling mechanisms to increase bone density in the proximal femur and consequently prevent a fracture from arising if a fall to the side does occur.

In order to test the proposed exercise, experiments simulating the …

Mechanical Effects Of Surgical Adhesives On Ascending Thoracic Aortic Aneurysm Replacement, Dong Qiu

Electronic Theses and Dissertations

Ascending thoracic aortic aneurysm (aTAA) is a potentially lethal disease which grows gradually over time and may lead to aortic dissection and rupture. Currently, aTAA surgical repair using Dacron graft is a well-established treatment. In addition, surgical adhesives are frequently used in the surgeries to seal the anastomotic site. This study aims to investigate mechanical effects of four commonly used surgical adhesives, namely BioGlue, CoSeal, Crosseal, and Tisseel, on the suture site using in-vitro digital image correlation (DIC) method and finite element (FE) simulations in an ovine model. In this study, first, mechanical properties of ovine ascending aorta were obtained …

Specimen-Specific Natural, Pathological, And Implanted Knee Mechanics Using Finite Element Modeling, Azhar Akber Ali

Electronic Theses and Dissertations

There is an increasing incidence of knee pain and injury among the population, and increasing demand for higher knee function in total knee replacement designs. As a result, clinicians and implant manufacturers are interested in improving patient outcomes, and evaluation of knee mechanics is essential for better diagnosis and repair of knee pathologies. Common knee pathologies include osteoarthritis (degradation of the articulating surfaces), patellofemoral pain, and cruciate ligament injury and/or rupture. The complex behavior of knee motion presents unique challenges in the diagnosis of knee pathology and restoration of healthy knee function. Quantifying knee mechanics is essential for developing successful …

Statistical Shape And Intensity Modeling Of The Shoulder, Irene Sintini

Electronic Theses and Dissertations

Anatomical variability in the shoulder is inherently present and can influence healthy and pathologic biomechanics and ultimately clinical decision-making. Characterizing variation in bony morphology and material properties in the population can support treatment and specifically the design, via shape and sizing, of shoulder implants. Total Shoulder Arthroplasty (TSA) is the treatment of choice for glenohumeral osteoarthritis as well as bone fracture. Complications and poor outcomes in TSA are generally influenced by the inability of the implant to replicate the natural joint biomechanics and by the bone quality around the fixation features. For this reason, knowledge of bony morphology and mechanical …

Anatomy, Implant Selection And Placement Influence Spine Mechanics Associated With Total Disc Replacement, Justin F.M. Hollenbeck

Electronic Theses and Dissertations

Through aging and injury, the intervertebral disc of the lumbar spine can undergo degeneration, leading to collapse of the vertebrae and low back pain, a symptom that affects half the adult population in any given year. In an effort to reduce low back pain, total disc replacement treatment removes the degenerated disc, restores natural height and lordosis of the segment, and preserves motion at the joint. Patient anatomy, implant selection, and implant placement play significant roles in a patient's outcomes after total disc replacement surgery. Thus, the objective of the work presented in this thesis was to develop a suite …

Computational Biomechanical Modeling Of The Human Knee During Kneeling, Tariq R. Abo-Alhol

Electronic Theses and Dissertations

Total knee replacement benefits patients who suffer from severe knee pain or joint stiffness and other joint related illnesses that limit everyday activities. There has been an increase in the number of procedures performed each year and a need to evaluate the performance of these implants during specialized activities such as kneeling. Most computational studies lack insight into inter-patient variability and the results do not apply to large population. This study developed: (1) three-dimensional explicit finite element (FE) models to investigate natural and implanted knee joint kinematics and bone strain and (2) a platform to enable population-based evaluation by combining …