Kinesiology Commons^™

Patients With Peripheral Arterial Disease Exhibit Reduced Joint Powers Compared To Velocity-Matched Controls, Shane R. Wurdeman, Panagiotis Koutakis, Sara A. Myers, Jason Johanning, Iraklis Pipinos, Nikolaos Stergiou

Journal Articles

Previous studies have shown major deficits in gait for individuals with peripheral arterial disease before and after the onset of pain. However, these studies did not have subjects ambulate at similar velocities and potential exists that the differences in joint powers may have been due to differences in walking velocity. The purpose of this study was to examine the joint moments and powers of peripheral arterial disease limbs for subjects walking at similar self-selected walking velocities as healthy controls prior to onset of any symptoms. Results revealed peripheral arterial disease patients have reduced peak hip power absorption in midstance ( …

Patients With Peripheral Arterial Disease Exhibit Reduced Joint Powers Compared To Velocity-Matched Controls, Shane Wurdeman, Panagiotis Koutakis, Sara Myers, Jason Johanning, Iraklis Pipinos, Nicholas Stergiou

Journal Articles

Previous studies have shown major deficits in gait for individuals with peripheral arterial disease before and after the onset of pain. However, these studies did not have subjects ambulate at similar velocities and potential exists that the differences in joint powers may have been due to differences in walking velocity. The purpose of this study was to examine the joint moments and powers of peripheral arterial disease limbs for subjects walking at similar self-selected walking velocities as healthy controls prior to onset of any symptoms. Results revealed peripheral arterial disease patients have reduced peak hip power absorption in midstance ( …

Pharmacological Treatment Of Intermittent Claudication Does Not Have A Significant Effect On Gait Impairments During Claudication Pain, Jenna M. Yentes, Jessie M. Huisinga, Sara A. Myers, Iraklis Pipinos, Jason Johanning, Nikolaos Stergiou

Journal Articles

Peripheral arterial disease (PAD) is a manifestation of atherosclerosis resulting in intermittent claudication (IC) or leg pain during physical activity. Two drugs (cilostazol and pentoxifylline) are approved for treatment of IC. Our previous work has reported no significant differences in gait biomechanics before and after drug interventions when PAD patients walked without pain. However, it is possible that the drugs are more efficacious during gait with pain. Our aim was to use advanced biomechanical analysis to evaluate the effectiveness of these drugs while walking with pain. Initial and absolute claudication distances, joint kinematics, torques, powers, and gait velocity during the …

Evaluation Of Transfer Technologies To Preserve Shoulder Function In Sci, Karen Michelle Mann

USF Tampa Graduate Theses and Dissertations

This study investigated a series of independent unassisted and device-assisted transfers from a wheelchair to vehicle mock-up and vice versa while simultaneously capturing kinematic, kinetic and electromyographic (EMG) data of impaired volunteers. The study provides a venue for observation and evaluation of upper extremity (UE) joint stresses, muscular force and functional demands associated with transfers in persons with spinal cord injury (SCI) to ultimately prevent UE injury, minimize excessive stress, preserve functionality and limit pain. If people with SCI lose function of their UEs, due to pain and/or degeneration, they must then rely on others for everyday tasks.

Five paraplegic …

Feather Biomechanics Of Penguins And Other Seabirds, Katherine Elizabeth Johnson

Theses Digitization Project

Although many aspects of penguin biology have been studied, the feathers have received less attention except with regard to thermoregulation. The biomechanics of penguin feathers are the focus of this thesis. By studying penguins in comparison to other wing-propelled aquatic fliers, it may be possible to understand how penguin feathers evolved. Fourteen species were sampled, including aerial flyers, aerial flyers that are also wing propelled divers, as well as flightless wing propelled divers.

An Unstable Shoe With A Rocker Bottom Redistributes External Work, Shane R. Wurdeman, Jenna M. Yentes, Neil B. Huben, Nikolaos Stergiou

Journal Articles

The purpose of this study was to examine the external work performed by individuals wearing a rocker bottom shoe compared to a standard shoe. It was hypothesized that individuals wearing a rocker bottom shoe would have changes in the amount of work over the course of contact with the ground. External work on the body’s centre of mass (BCOM) was calculated for individuals in both conditions. Comparisons for external work were done for positive and negative work for the entire stance phase as well as the initial double support, single support and terminal double support periods. The results revealed that …

New Insights Into Anterior Cruciate Ligament Deficiency And Reconstruction Through The Assessment Of Knee Kinematic Variability In Terms Of Nonlinear Dynamics, Leslie M. Decker, Constantina O. Moraiti, Nikolaos Stergiou, Anastasios D. Georgoulis

Journal Articles

Purpose

Injuries to the anterior cruciate ligament (ACL) occur frequently, particularly in young adult athletes, and represent the majority of the lesions of knee ligaments. Recent investigations suggest that the assessment of kinematic variability using measures of nonlinear dynamics can provide with important insights with respect to physiological and pathological states. The purpose of the present article was to critically review and synthesize the literature addressing ACL deficiency and reconstruction from a nonlinear dynamics standpoint.

Methods

A literature search was carried out in the main medical databases for studies published between 1990 and 2010.

Results

Seven studies investigated knee kinematic …

Knee Braces Can Decrease Tibial Rotation During Pivoting That Occurs In High Demanding Activities, Dimitrios Giotis, Vasilios Tsiaras, Stavros Ristanis, Franceska Zampeli, Grigoris Mitsionis, Nikolaos Stergiou, Anastasios D. Georgoulis

Journal Articles

Purpose

The purpose of this study was to investigate whether knee braces could effectively decrease tibial rotation during high demanding activities.

Methods

Using an in vivo three-dimensional kinematic analysis, 21 physically active, healthy, male subjects were evaluated. Each subject performed two tasks that were used extensively in the literature because they combine increased rotational and translational loads on the knee, (1) descending from a stair and subsequent pivoting and (2) landing from a platform and subsequent pivoting under three conditions: (A) wearing a prophylactic brace (braced), (B) wearing a patellofemoral brace (sleeved), and (C) unbraced condition.

Results

In the first …

Strength And Hypertrophy Responses To Constant And Decreasing Rest Intervals In Trained Men Using Creatine Supplementation, Tacito P. Souza-Junior, Jeffrey M. Willardson, Richard Bloomer, Richard D. Leite, Steven J. Fleck, Paulo R. Oliveira, Robert Simao

Jeffrey Willardson

The purpose of the current study was to compare strength and hypertrophy responses to resistance training programs that instituted constant rest intervals (CI) and decreasing rest intervals (DI) between sets over the course of eight weeks by trained men who supplemented with creatine monohydrate (CR).

Strength And Hypertrophy Responses To Constant And Decreasing Rest Intervals In Trained Men Using Creatine Supplementation, Tacito P. Souza-Junior, Jeffrey M. Willardson, Richard Bloomer, Richard D. Leite, Steven J. Fleck, Paulo R. Oliveira, Robert Simao

Faculty Research and Creative Activity

The purpose of the current study was to compare strength and hypertrophy responses to resistance training programs that instituted constant rest intervals (CI) and decreasing rest intervals (DI) between sets over the course of eight weeks by trained men who supplemented with creatine monohydrate (CR).

Effects Of Lateral Ligament Sectioning On The Stability Of The Ankle And Subtalar Joint, Stacie I. Ringleb, Ajaya Dhakal, Claude D. Anderson, Sebastian Bawab, Rajesh Paranjape

Mechanical & Aerospace Engineering Faculty Publications

Patients with subtalar joint instability are often diagnosed with ankle instability. Only after a prolonged period of time in which a patient does not improve after treatment for ankle instability is subtalar joint instability considered. To develop a clinically relevant method to diagnose subtalar joint instability, the kinematics of the simulated unstable subtalar joint were examined. A 6 degree-of-freedom positioning and loading device was developed. Plantarflexion/dorsiflexion, inversion/eversion, and internal/external rotation were applied individually or as coupled motions along with an anterior/posterior drawer. Kinematic data were collected from sensors attached to the calcaneus, talus, and tibia by keeping all the ligaments …

Femoral Loading Mechanics In Virginia Opossums (Didelphis Virginiana): Torsion And Mediolateral Bending In Mammalian Parasagittal Locomotion, William Gosnell

All Theses

Studies of limb bone loading in terrestrial mammals have typically found anteroposterior bending to be the primary loading regime, with torsion contributing minimally. However, previous studies have focused on large, cursorial eutherian species in which the limbs are held essentially upright. Recent in vivo strain data from the Virginia opossum Didelphis virginiana, a marsupial that uses a crouched rather than upright limb posture, have indicated that its femur experiences moderate torsion during locomotion as well as strong mediolateral bending. The elevated femoral torsion and strong mediolateral bending observed in opossums (compared to other mammals) might result from external forces such …

The Effect Of Pharmacological Treatment On Gait Biomechanics In Peripheral Arterial Disease Patients, Jessie M. Huisinga, Iraklis Pipinos, Jason Johanning, Nikolaos Stergiou

Journal Articles

Background: Pharmacological treatment has been advocated as a first line therapy for Peripheral Arterial Disease (PAD) patients suffering from intermittent claudication. Previous studies document the ability of pharmacological treatment to increase walking distances. However, the effect of pharmacological treatment on gait biomechanics in PAD patients has not been objectively evaluated as is common with other gait abnormalities. Methods: Sixteen patients were prescribed an FDA approved drug (Pentoxifylline or Cilostazol) for the treatment of symptomatic PAD. Patients underwent baseline gait testing prior to medication use which consisted of acquisition of ground reaction forces and kinematics while walking in a pain free …

Joint Torques And Powers Are Reduced During Ambulation For Both Limbs In Patients With Unilateral Claudication, Panagiotis Koutakis, Iraklis Pipinos, Sara A. Myers, Nikolaos Stergiou, Thomas G. Lynch, Jason Johanning

Journal Articles

Objectives: Symptomatic peripheral arterial disease (PAD) results in significant gait impairment. In an attempt to fully delineate and quantify these gait alterations, we analyzed joint kinematics, torques (rotational forces), and powers (rotational forces times angular velocity) in patients with PAD with unilateral claudication for both the affected and nonaffected legs.

Methods: Twelve patients with unilateral PAD (age, 61.69 ± 10.53 years, ankle-brachial index [ABI]: affected limb 0.59 ± 0.25; nonaffected limb 0.93 ± 0.12) and 10 healthy controls (age, 67.23 ± 12.67 years, ABI >1.0 all subjects) walked over a force platform to acquire gait kinetics, while joint kinematics were …

Factors Affecting Functional Reach Scores In Youth With Typical Development, Kathleen G. Volkman, Nikolaos Stergiou, Wayne A. Stuberg, Regina T. Harbourne, Daniel Blanke, Julie Stoner

Journal Articles

Purpose: Functional Reach Test scores were examined for the effects of traditional and alternate methods and subject characteristics.

Methods: Eighty subjects aged 7 to 16 years were tested. Effects of measurement method (from finger-to-finger or from toe-to-finger) and style of reach (1 or 2 arms) were investigated. Five subject variables were analyzed for interactions among the methods and groups defined by subject characteristics.

Results: Measurement method and style of reach showed a significant interaction. Interaction of method with subject characteristics was significant for age, height, and base of support only. Height groups by quartile were significantly different and scores increased …

Peripheral Arterial Disease Affects Kinematics During Walking, Ronaldo Celis, Iraklis Pipinos, Melissa Scott-Pandorf, Sara A. Myers, Nikolaos Stergiou, Jason Johanning

Journal Articles

Objective: Claudication is the most common manifestation of peripheral arterial disease (PAD) producing significant ambulatory compromise. The purpose of this study was to use advanced biomechanical analysis to characterize the kinematic ambulatory pattern of claudicating patients. We hypothesized that compared with control subjects, claudicating patients have altered kinematic gait patterns that can be fully characterized utilizing advanced biomechanical analysis.

Methods: The study examined fourteen PAD patients (age: 58 ± 3.4 years; weight: 80.99 ± 15.64 kg) with clinically diagnosed femoro-popliteal occlusive disease (Ankle Brachial Index (ABI): 0.56 ± 0.03, range 0.45 to 0.65) and five healthy controls (age: 53 ± …

Medicine Meets Virtual Reality 16, James D. Westwood, B. Brown-Clerk, K.-C. Siu, D. Kastavelis, I. Lee, D. Oleynikov, Nikolaos Stergiou

Faculty Books and Monographs

Chapter, Validating Advanced Robot-Assisted Laparoscopic Training Task in Virtual Reality, co-authored by Nicholas Stergiou, UNO faculty member.

We humans are tribal, grouping ourselves by a multitude of criteria: physical, intellectual, political, emotional, etc. The Internet and its auxiliary technologies have enabled a novel dimension in tribal behavior during our recent past. This growing connectivity begs the question: will individuals and their communities come together to solve some very urgent global problems? At MMVR, we explore ways to harness information technology to solve healthcare problems – and in the industrialized nations we are making progress. In the developing world however, things …

Peripheral Arterial Disease Affects Ground Reaction Forces During Walking, Melissa Scott-Pandorf, Nikolaos Stergiou, Jason Johanning, Leon Robinson, Thomas G. Lynch, Iraklis Pipinos

Journal Articles

Objective: Claudication is the most common manifestation of peripheral arterial disease (PAD), producing significant ambulatory compromise. The gait of claudicating patients has been evaluated using primarily temporal and spatial parameters. With the present study, we used advanced biomechanical measures to further delineate the ambulatory impairment of claudicating patients. We hypothesized that the claudicating legs of PAD patients have an altered kinetic gait pattern compared with normal legs from control subjects.

Methods: Ambulation kinetics (ground reaction forces) were evaluated in claudicating patients and compared with age-matched healthy controls. Forces were analyzed in the vertical, anterior–posterior, and medial–lateral directions. Time from heel …

Do Horizontal Propulsive Forces Influence The Nonlinear Structure Of Locomotion?, Max J. Kurz, Nikolaos Stergiou

Journal Articles

Background: Several investigations have suggested that changes in the nonlinear gait dynamics are related to the neural control of locomotion. However, no investigations have provided insight on how neural control of the locomotive pattern may be directly reflected in changes in the nonlinear gait dynamics. Our simulations with a passive dynamic walking model predicted that toe-off impulses that assist the forward motion of the center of mass influence the nonlinear gait dynamics. Here we tested this prediction in humans as they walked on the treadmill while the forward progression of the center of mass was assisted by a custom built …

Medicine Meets Virtual Reality 15, James D. Westwood, Matthew J. Fieldler, Shing-Jye Chen, Timothy N. Judkins, D. Oleynikov, Nikolaos Stergiou

Faculty Books and Monographs

Chapter, Virtual Reality for Robotic Laparoscopic Surgical Training, co-authored by Nicholas Stergiou, UNO faculty member.

Our culture is obsessed with design. Sometimes designers can fuse utility and fantasy to make the mundane appear fresh—a cosmetic repackaging of the same old thing. Because of this, medicine—grounded in the unforgiving realities of the scientific method and peer review, and of flesh, blood, and pain—can sometimes confuse “design” with mere “prettifying.” Design solves real problems, however. This collection of papers underwrites the importance of design for the MMVR community, within three different environments: in vivo, in vitro and in silico. in vivo: we …

The Locomotor Kinematics Of Asian And African Elephants: Changes With Speed And Size, John R. Hutchinson, Delf Schwerda, Daniel J. Famini, Robert H.I. Dale, Martin S. Fischer, Rodger Kram

Scholarship and Professional Work - LAS

For centuries, elephant locomotion has been a contentious and confusing challenge for locomotion scientists to understand, not only because of technical difficulties but also because elephant locomotion is in some ways atypical of more familiar quadrupedal gaits. We analyzed the locomotor kinematics of over 2400 strides from 14 African and 48 Asian elephant individuals (body mass 116-4632 kg) freely moving over ground at a 17-fold range of speeds, from slow walking at 0.40 m s^-1 to the fastest reliably recorded speed for elephants, 6.8 m s^-1. These data reveal that African and Asian elephants have some subtle …

Sight-Reading Versus Repertoire Performance On The Piano: A Case Study Using High-Speed Motion Analysis, Brenda Wristen, Sharon Evans, Nikolaos Stergiou

Journal Articles

The purpose of the study was to examine whether differences exist in the motions employed by pianists when they are sight-reading versus performing repertoire and determine whether these differences could be quantified using high speed motion capture technology. A secondary question of interest was whether or not an improvement in the efficiency of motion could be observed between two sight-reading trials of the same musical excerpt. This case study employed a six digital infrared camera system (Motion Analysis, Inc.) to capture the motion of pianists playing two trials of a repertoire piece and two trials of a sight-reading excerpt. Angular …

Using Three Dimensional Motion Capture Technology To Describe And Assess Piano Technique: A Case Study, Brenda Wristen, Nikolaos Stergiou, Sharon Evans

Journal Articles

The purpose of the study was to examine any differences that exist in the quality of motions employed by pianists when they are sight-reading versus performing repertoire. A secondary question of interest was whether or not an improvement in the efficiency of motion could be observed between two sight-reading trials of the same musical excerpt. While data analysis for the full study is ongoing, the following results from a case study are illustrative.

Medicine Meets Virtual Reality 14, James D. Westwood, Timothy N. Judkins, D. Oleynikov, Nikolaos Stergiou

Faculty Books and Monographs

Chapter, Real-Time Augmented Feedback Benefits Robotic Laparoscopic Training, co-authored by Nicholas Steriou, UNO faculty member.

Machine intelligence will eclipse human intelligence within the next few decades - extrapolating from Moore’s Law - and our world will enjoy limitless computational power and ubiquitous data networks. Today’s iPod® devices portend an era when biology and information technology will fuse to create a human experience radically different from our own. Already, our healthcare system now appears on the verge of crisis; accelerating change is part of the problem. Each technological upgrade demands an investment of education and money, and a costly infrastructure more …

Walking And Running In The Red-Legged Running Frog, Kassina Maculata, Anna N. Ahn, E Furrow, Andrew A. Biewener

All HMC Faculty Publications and Research

Although most frog species are specialized for jumping or swimming, Kassina maculata (red-legged running frog) primarily uses a third type of locomotion during which the hindlimbs alternate. In the present study, we examined Kassina's distinct locomotory mode to determine whether these frogs walk or run and how their gait may change with speed. We used multiple methods to distinguish between terrestrial gaits: the existence or absence of an aerial phase, duty factor, relative footfall patterns and the mechanics of the animal's center of mass (COM). To measure kinematic and kinetic variables, we recorded digital video as the animals moved …

A Motor And A Brake: Two Leg Extensor Muscles Acting At The Same Joint Manage Energy Differently In A Running Insect, Anna N. Ahn, Robert J. Full

All HMC Faculty Publications and Research

The individual muscles of a multiple muscle group at a given joint are often assumed to function synergistically to share the load during locomotion. We examined two leg extensors of a running cockroach to test the hypothesis that leg muscles within an anatomical muscle group necessarily manage (i.e. produce, store, transmit or absorb) energy similarly during running. Using electromyographic and video motion-analysis techniques, we determined that muscles 177c and 179 are both active during the first half of the stance period during muscle shortening. Using the in vivo strain and stimulation patterns determined during running, we measured muscle power output. …

Energy Absorption During Running By Leg Muscles In A Cockroach, Robert J. Full, Darrell R. Stokes, Anna N. Ahn, Robert K. Josephson

All HMC Faculty Publications and Research

Biologists have traditionally focused on a muscle's ability to generate power. By determining muscle length, strain and activation pattern in the cockroach Blaberus discoidalis, we discovered leg extensor muscles that operate as active dampers that only absorb energy during running. Data from running animals were compared with measurements of force and power production of isolated muscles studied over a range of stimulus conditions and muscle length changes. We studied the trochanter-femoral extensor muscles 137 and 179, homologous leg muscles of the mesothoracic and metathoracic legs, respectively. Because each of these muscles is innervated by a single excitatory motor axon, …

Interactive Effects Between Group And Single-Subject Response Patterns, Janet S. Dufek, Barry T. Bates, Nikolaos Stergiou, C. Roger James

Journal Articles

A two-part study was undertaken to investigate the effects of movement experiences on lower extremity function during impact activities. Group and single-subject performances were evaluated for a total of 12 male volunteers during landing (Study I) and running (Study II) activities. Standard biomechanical techniques were used to obtain kinematic (200 Hz) and kinetic (1000 Hz) data during soft, normal and stiff-knee landings (Study I) and for under, normal, and over-stride running (Study II). Performance trials were tested for normality, condition differences were documented and multiple regression models were computed to predict the first (F1) and second (F2) maximum vertical forces …

Is There A Difference In Cortical Representation Between Dominant And Non-Dominant Arm Muscles Of Elite Badminton Players?, Dylan J. Edwards

Theses : Honours

Training for sport involves the development of skill and coordination. The physiological changes associated with skill acquisition are complex and at present poorly understood. One of the areas in the central nervous system thought to be involved with skill acquisition is the cerebral motor cortex where localised areas are responsible for controlling specific muscle groups. Learning or improving a motor skill may require reorganisation of the cortical areas controlling relevant muscles to accommodate the new skill. To test this idea we studied a group of elite badminton players that were highly skilled in their dominant playing arm. Transcranial magnetic stimulation …

Optimization Of The Seating Position In A Human-Powered Vehicle, Y. Lei, Mohamed Trabia, D. Too

Mechanical Engineering Faculty Research

Until recently, most of the human-powered vehicles (HPV) were designed focusing solely on its aerodynamics characteristic. In many of these HPV designs, the rider seating position was arbitrarily chosen without consideration of its effect on the rider's comfort and cycling effectiveness. Also, there is no guarantee that the seating position is related to maximum power output. Too (1991) used an experimental approach to determine that the rider will produce the maximum anaerobic power when the seat tube angle of a bicycle is at 75° whereas Hull and Gonzalez (1990) used an engineering approach to optimize the cycling biomechanics. However several …