Kinesiology Commons^™

A Novel And Safe Approach To Simulate Cutting Movements Using Ground Reaction Forces, Amelia Lanier, Brian Knarr, Nicholas Stergiou, Thomas S. Buchanan

Journal Articles

Control of shear ground reaction forces (sGRF) is important in performing running and cutting tasks as poor sGRF control has implications for those with knee injuries, such as anterior cruciate ligament (ACL) ruptures. The goal of this study was to develop a novel and safe task to evaluate control or accurate modulation of shear ground reaction forces related to those generated during cutting. Our approach utilized a force control task using real-time visual feedback of a subject’s force production and evaluated control capabilities through accuracy and divergence measurements. Ten healthy recreational athletes completed the force control task while force control …

Exoskeleton Assistance Symmetry Matters: Unilateral Assistance Reduces Metabolic Cost, But Relatively Less Than Bilateral Assistance, Philippe Malcolm, Samuel Galle, Pieter Van Den Berghe, Dirk De Clercq

Journal Articles

Background: Many gait impairments are characterized by asymmetry and result in reduced mobility. Exoskeletons could be useful for restoring gait symmetry by assisting only one leg. However, we still have limited understanding of the effects of unilateral exoskeleton assistance. Our aim was to compare the effects of unilateral and bilateral assistance using a within-subject study design.

Methods: Eleven participants walked in different exoskeleton conditions. In the Unilateral conditions, only one leg was assisted. In Bilateral Matched Total Work, half of the assistance from the Unilateral conditions was applied to both legs such that the bilateral sum was equal …

Functional Performance Deficits In Adolescent Athletes With A History Of Lateral Ankle Sprain(S), Jupil Ko, Adam B. Rosen, Cathleen N. Brown

Health and Kinesiology Faculty Publications

Objective

To determine if adolescent athletes with a history of lateral ankle sprain(s) (LAS) displayed deficits on functional performance tests (FPTs) and if deficits on FPT were related to the number of previous LAS.

Design

Cross-sectional study.

Setting

Biomechanics Laboratory.

Participants

The injured group (n = 24) had a history of ≥1 moderate-severe LAS. The uninjured group (n = 34) had no history of LAS.

Main outcome measure(s)

The average reach distance of three trials in each direction of the star excursion balance test (SEBT) was normalized to leg length (%). The average of two trials of single-leg-hop test (SLHT) …

Entraining Chaotic Dynamics: A Novel Movement Sonification Paradigm Could Promote Generalization, Dobromir Dotov, Tom Froese

Journal Articles

Tasks encountered in daily living may have instabilities and more dimensions than are sampled by the senses such as when carrying a cup of coffee and only the surface motion and overall momentum are sensed, not the fluid dynamics. Anticipating non-periodic dynamics is difficult but not impossible because mutual coordination allows for chaotic processes to synchronize to each other and become periodic. A chaotic oscillator with random period and amplitude affords being stabilized onto a periodic trajectory by a weak input if the driver incorporates information about the oscillator. We studied synchronization with predictable and unpredictable stimuli where the unpredictable …

Mutual Synchronization And Control Between Artificial Chaotic System And Human, Dobromir Dotov, Tom Froese

Journal Articles

Dexterous assistive devices constitute one of the frontiers for hybrid human-machine systems. Manipulating unstable systems requires task-specific anticipatory dynamics. Learning this dynamics is more difficult when tasks, such as carrying liquid or riding a horse, produce unpredictable, irregular patterns of feedback and have hidden dimensions not projected as sensory feedback. We addressed the issue of coordination with complex systems producing irregular behaviour, with the assumption that mutual coordination allows for non-periodic processes to synchronize and in doing so to become regular. Chaos control gives formal expression to this: chaos can be stabilized onto periodic trajectories provided that the structure of …

Socioeconomic Status And Cigarette Expenditure Among Us Households: Results From 2010 To 2015 Consumer Expenditure Survey, Mohammed Siahpush, Paraskevi A. Farazi, Shannon I. Maloney, Danae Dinkel, Minh N. Nguyen, Gopal K. Singh

Health and Kinesiology Faculty Publications

Objectives To examine (1) the association between household socioeconomic status (SES) and whether a household spends money on cigarettes and (2) socioeconomic variations in proportion of total household expenditure spent on cigarettes among smoking households.

Methods We pooled data from six consecutive years, 2010–2015, of the Consumer Expenditure Interview Survey. The interviews involved a structured questionnaire about household income, demographics and expenditures including expenditure on cigarettes. Households that reported cigarette expenditure in the previous 3 months were distinguished as smoking households. SES indicators were household poverty status, education and occupation of the head of household. Logistic regression was used to …

Comparison Of Wearable Trackers’ Ability To Estimate Sleep, Jung-Min Lee, Wonwoo Byun, Alyssa Keill, Danae Dinkel, Yaewon Seo

Health and Kinesiology Faculty Publications

Tracking physical activity and sleep patterns using wearable trackers has become a current trend. However, little information exists about the comparability of wearable trackers measuring sleep. This study examined the comparability of wearable trackers for estimating sleep measurement with a sleep diary (SD) for three full nights. A convenience sample of 78 adults were recruited in this research with a mean age of 27.6... 11.0 years. Comparisons between wearable trackers and sleep outcomes were analyzed using the mean absolute percentage errors, Pearson correlations, Bland–Altman Plots, and equivalent testing. Trackers that showed the greatest equivalence with the SD for total sleep …

Individualization Of Music-Based Rhythmic Auditory Cueing In Parkinson's Disease, Simone Dalla Bella, Dobromir Dotov, Benoît Brady, Valérie Cochen De Cock

Journal Articles

Gait dysfunctions in Parkinson's disease can be partly relieved by rhythmic auditory cueing. This consists in asking patients to walk with a rhythmic auditory stimulus such as a metronome or music. The effect on gait is visible immediately in terms of increased speed and stride length. Moreover, training programs based on rhythmic cueing can have long-term benefits. The effect of rhythmic cueing, however, varies from one patient to the other. Patients’ response to the stimulation may depend on rhythmic abilities, often deteriorating with the disease. Relatively spared abilities to track the beat favor a positive response to rhythmic cueing. On …

Individualization Of Music-Based Rhythmic Auditory Cueing In Parkinson's Disease, Simone Dalla Bella, Dobromir Dotov, Benoit G. Bardy, Valérie Cochen De Cock

Journal Articles

Gait dysfunctions in Parkinson's disease can be partly relieved by rhythmic auditory cueing. This consists in asking patients to walk with a rhythmic auditory stimulus such as a metronome or music. The effect on gait is visible immediately in terms of increased speed and stride length. Moreover, training programs based on rhythmic cueing can have long-term benefits. The effect of rhythmic cueing, however, varies from one patient to the other. Patients’ response to the stimulation may depend on rhythmic abilities, often deteriorating with the disease. Relatively spared abilities to track the beat favor a positive response to rhythmic cueing. On …

The Effect Of Telehealth Interventions On Quality Of Life Of Cancer Patients: A Systematic Review And Meta-Analysis, Jamie L. Larson, Adam B. Rosen, Fernando A. Wilson

Health and Kinesiology Faculty Publications

Introduction:In 2016, ∼1.7 million new cases of cancer were diagnosed. Cancer patients can have physical, functional, and psychosocial issues when dealing with cancer treatment. Telehealth has been effectively introduced to help deliver treatment to patients suffering from chronic disease; however, there is little consensus on its effectiveness in administering sociobehavioral cancer treatments. Thus, this study determines the benefits of telehealth-based interventions providing emotional and symptom support in improving quality of life (QOL) among cancer patients.

Methods:Two researchers conducted comprehensive searches on PubMed, SCOPUS, Medline, PsycINFO, ERIC, Psychology and Behavioral Collection, and Medline Complete. Key search terms included telehealth …

Gait Stability Has Phase-Dependent Dual-Task Costs In Parkinson’S Disease, Peter C. Fino, Martina Mancini, Carolin Curtze, John G. Nutt, Fay B. Horak

Journal Articles

Dual-task (DT) paradigms have been used in gait research to assess the automaticity of locomotion, particularly in people with Parkinson’s disease (PD). In people with PD, reliance on cortical control during walking leads to greater interference between cognitive and locomotor tasks. Yet, recent studies have suggested that even healthy gait requires cognitive control, and that these cognitive contributions occur at specific phases of the gait cycle. Here, we examined whether changes in gait stability, elicited by simultaneous cognitive DTs, were specific to certain phases of the gait cycle in people with PD. Phase-dependent local dynamic stability (LDS) was calculated for …

Combined Resistance And Aerobic Exercise Training Reduces Insulin Resistance And Central Adiposity In Adolescent Girls Who Are Obese: Randomized Clinical Trial, Leena P. Bharath, William W. Choi, Jae-Min Cho, Alexus A. Skobodzinski, Alexei Wong, Ty E. Sweeney, Song-Young Park

Health and Kinesiology Faculty Publications

Introduction

Exercise training is recommended for improving health and protecting against the development of metabolic and cardiovascular pathologies. Combined resistance and aerobic exercise training (CRAE) has been shown to provide unique benefits in older adults with cardiovascular diseases.

Purpose

We sought to determine the beneficial effects of CRAE in adolescent girls who are obese and hyperinsulinemic.

Methods

Forty adolescent girls who are obese (age 14.7 ± 1 years; BMI 30 ± 2) were randomly assigned to a “no exercise” (CON n = 20) or combined exercise group (EX n = 20). The EX group performed resistance and aerobic exercise for …

Biomechanical Gait Variable Estimation Using Wearable Sensors After Unilateral Total Knee Arthroplasty, Ik-Hyun Youn, Jong-Hoon Youn, Joseph A. Zeni, Brian A. Knarr

Journal Articles

Total knee arthroplasty is a common surgical treatment for end-stage osteoarthritis of the knee. The majority of existing studies that have explored the relationship between recovery and gait biomechanics have been conducted in laboratory settings. However, seamless gait parameter monitoring in real-world conditions may provide a better understanding of recovery post-surgery. The purpose of this study was to estimate kinematic and kinetic gait variables using two ankle-worn wearable sensors in individuals after unilateral total knee arthroplasty. Eighteen subjects at least six months post-unilateral total knee arthroplasty participated in this study. Four biomechanical gait variables were measured using an instrumented split-belt …

Gait Asymmetry In People With Parkinson’S Disease Is Linked To Reduced Integrity Of Callosal Sensorimotor Regions, Brett W. Fling, Carolin Curtze, Fay B. Horak

Journal Articles

Background: Individuals with Parkinson’s disease (PD) often manifest significant temporal and spatial asymmetries of the lower extremities during gait, which significantly contribute to mobility impairments. While the neural mechanisms underlying mobility asymmetries within this population remain poorly understood, recent evidence points to altered microstructural integrity of white matter fiber tracts within the corpus callosum as potentially playing a substantial role.

Objectives: The purpose of this study was to quantify spatial and temporal gait asymmetries as well as transcallosal microstructural integrity of white matter fiber tracts connecting the primary and secondary sensorimotor cortices in people with PD and age-matched control participants. …

Altered Skeletal Muscle Mitochondrial Phenotype In Copd: Disease Vs. Disuse, Jayson R. Gifford, Joel D. Trinity, Oh-Sung Kwon, Gwenael Layec, Ryan S. Garten, Song-Young Park, Ashley D. Nelson, Russell S. Richardson

Health and Kinesiology Faculty Publications

Patients with chronic obstructive pulmonary disease (COPD) exhibit an altered skeletal muscle mitochondrial phenotype, which often includes reduced mitochondrial density, altered respiratory function, and elevated oxidative stress. As this phenotype may be explained by the sedentary lifestyle that commonly accompanies this disease, the aim of this study was to determine whether such alterations are still evident when patients with COPD are compared to control subjects matched for objectively measured physical activity (PA; accelerometry). Indexes of mitochondrial density [citrate synthase (CS) activity], respiratory function (respirometry in permeabilized fibers), and muscle oxidative stress [4-hydroxynonenal (4-HNE) content] were assessed in muscle fibers biopsied …

Rhythmic Abilities And Musical Training In Parkinson’S Disease: Do They Help?, Valérie Cochen De Cock, Dobromir Dotov, Petra Ihalainen, V. Bégel, Florence Galtier, Cindy Lebrun, Marie Christine Picot, Valérie Driss, N. Landragin, Christian Geny, Benoit G. Bardy, Simone Dalla Bella

Journal Articles

Rhythmic auditory cues can immediately improve gait in Parkinson’s disease. However, this effect varies considerably across patients. The factors associated with this individual variability are not known to date. Patients’ rhythmic abilities and musicality (e.g., perceptual and singing abilities, emotional response to music, and musical training) may foster a positive response to rhythmic cues. To examine this hypothesis, we measured gait at baseline and with rhythmic cues in 39 non-demented patients with Parkinson’s disease and 39 matched healthy controls. Cognition, rhythmic abilities and general musicality were assessed. A response to cueing was qualified as positive when the stimulation led to …

Relationship Between The Mullen Scales Of Early Learning And Posture Control Measures, Lauren Allegra Wehrle

UNO Student Research and Creative Activity Fair

Key Words: postural sway, Autism Spectrum Disorder, Mullen Scales of Early Learning, development

Effect Of The Usage Of Handrails On Gait Dynamics In People With Parkinson's Disease, Daniel Jaravata, Danish Bhatti, Vivien Marmelat

UNO Student Research and Creative Activity Fair

The purpose of this project is to determine if increasing body stability during handrails-use walking on a treadmill will increase the complexity of gait variability in patients with Parkinsons disease (PD). In young healthy participants, stride time-series of walking presents a pattern of complex variability, but this complexity critically decreases in patients with PD. Complexity is defined as an optimal state between too much regularity and too much irregularity, allowing the locomotor system to maintain robust performances while being able to adapt to perturbations. A possible explanation is that the decrease in complexity results from increased control mechanisms to avoid …

A Novel Task To Decrease Step Width Variability In Older Adults, Andreas Skiadopoulos, Katherine Allen, Nikolaos Stergiou

UNO Student Research and Creative Activity Fair

Walking is the most common fall-related activity among older adults. Also, older adults experience greater step width variability when walking. Importantly, increased step width variability during walking has been found to be a strong predictor of fall risk and incidence. Therefore, an intervention for reducing increased step width variability may consequently reduce fall risk for older adults. In the present study, we proposed that lateral stepping training program improve walking in older adults by reducing the increased step width variability to normal values. Therefore, the purpose of the present study is to determine the effect of a six-week lateral stepping …

The Relationship Between Linear And Nonlinear Analysis On Activity Data, Katlyn J. Nimtz

UNO Student Research and Creative Activity Fair

Activity monitoring in older adults is a great way to predict disability without interfering in their daily life. We can analyze that data using linear and nonlinear analysis. While linear analysis measures the variation of activity during a specific period of time (i.e., mean, standard deviation), nonlinear analysis focuses on the evolution of activity over a period of time. Therefore, the purpose of this study was to observe the relationship between linear and nonlinear analysis of activity data obtained by activity monitoring in older adults. Eight participants wore an activity monitor around their waist for seven days. Linear analysis was …

The Effects Of Vibrations On The Light Touch Perception Threshold Of Transtibial Amputees, Aaron Robinson

UNO Student Research and Creative Activity Fair

Sensations from the residual limb and the prosthetic socket interface may be important for mobility/balance following an amputation. One potential way to improve sensation in the residual limb-socket interface is the use of sub-threshold vibrations. We hypothesized that the application of a subthreshold pink noise vibration will improve an amputee’s ability to perceive a light touch stimulus in the residual limb surrounding the area of the amputation. 20 unilateral transtibial amputees (ages 59.7±15 yrs) and seventeen healthy control subjects (ages 54.1±16 yrs) participated. For transtibial amputees light touch sensation threshold (LTST), baseline was tested first and then across 3 conditions …

Circadian Rhythms And Stride-To-Stride Fluctuations: Is There A Connection ?, Joao R. Vaz

UNO Student Research and Creative Activity Fair

Several physiological systems exhibit rhythmic changes over the course of 24h. A disruption in the CR is thought to represent a risk to the human’s health (e.g., cardiac risk, diabetes). Aging and neurological diseases are known to be characterized by an increased likelihood of circadian disruption. Recently, balance and gait have been shown to exhibit diurnal variations, suggesting a possible influence of CR. Gait is also characterized by a certain level of stride-to-stride fluctuations. In addition, a breakdown in the temporal structure of these fluctuations has recently been associated with aging and neurological diseases. Therefore, it is likely that a …

Standing Posture Is Reliable Across Days And Weeks In Healthy, Young Adults, Jordan Wickstrom

UNO Student Research and Creative Activity Fair

This paper tests how reliable (consistent) posture is across consecutive days and weeks.

Examining The Minute To Minute Predictability Of Walking Distance Across Multiple Terrains, Tyler Hamer

UNO Student Research and Creative Activity Fair

EXAMINING THE MINUTE TO MINUTE PREDICTABILITY OF WALKING DISTANCE ACROSS MULTIPLE TERRAINS

Tyler Hamer, Abderrahman Ouattas, Katlyn Nimtz, & Brian A. Knarr

Department of Biomechanics, University of Nebraska at Omaha, Omaha, NE 68182

With findings that the 6MWT is more efficient than the original 12-minute walk test (12MWT), perhaps it can be evident that even the 6MWT can be shortened to examine its effects in a shorter duration that can be more beneficial to the participant. The objective of this study is to examine the outcomes of each minute throughout the 6MWT trials and to see if functional measures can …

Bi-Articular Knee-Ankle-Foot Exoskeleton Produces Higher Metabolic Cost Reduction Than Weight-Matched Mono-Articular Exoskeleton, Philippe Malcolm, Samuel Galle, Dirk De Clercq

Journal Articles

The bi-articular m. gastrocnemius and the mono-articular m. soleus have different and complementary functions during walking. Several groups are starting to use these biological functions as inspiration to design prostheses with bi-articular actuation components to replace the function of the m. gastrocnemius. Simulation studies indicate that a bi-articular configuration and spring that mimic the m. gastrocnemius could be beneficial for orthoses or exoskeletons. Our aim was to test the effect of a bi-articular and spring configuration that mimics the m. gastrocnemius and compare this to a no- spring and mono-articular configuration. We tested nine participants during walking with knee-ankle-foot exoskeletons …

Infant Sitting Postural Control Appears Robust Across Changes In Surface Context, Elena Kokkoni, Joshua Haworth, Regina T. Harbourne, Nicholas Stergiou, Anastasia Kyvelidou

Journal Articles

Aim of the study: Independent sitting requires the control of the involved body segments over the base of support using information obtained from the three sensory systems (visual, vestibular, and somatosensory). The contribution of somatosensory information in infant sitting has not been explored. To address this gap, we altered the context of the sitting support surface and examined the infants’ immediate postural responses.

Materials and methods: Ten 7-month-old typically developing infants sat on compliant and firm surfaces in one session. Spatial, frequency, and temporal measures of postural control were obtained using center of pressure data.

Results Our results suggest that …

University Of Nebraska At Omaha Department Of Biomechanics Annual Report Spring 2018, Department Of Biomechanics, University Of Nebraska At Omaha

Biomechanics Annual Report

This report contains:

A letter from the Director: Dr. Nick Stergiou

Articles about Updates from the Center for research in Human Movement Variability

Articles about Updates from the Department of Biomechanics

Article about Other Exciting Events

Articles about Beyond our Boarders

Article about Outreach

and Highlights

A Wellness Approach To Investigating Student Veterans’ Career Goals, Thomas C. Seguin, Abby L. Bjornsen-Ramig, Ashley J. Blount, Danae M. Dinkel

Health and Kinesiology Faculty Publications

A qualitative methodology was utilized to assess the wellness factors student Veterans (N = 10) perceived as influential to their decision to separate from the military and choice of intended career path. Participants included prior enlisted student Veterans pursuing undergraduate degrees at a mid-sized Midwestern university. Interview transcripts were coded according to the Indivisible Self Model of Wellness (IS-Wel; Myers & Sweeney, 2004) and analyzed phenomenologically. Participants referenced Control and Self-Worth as motivators for separation from military service; Work and Thinking were the main themes regarding choice of future profession. Additional themes emerged in reference to how Veterans’ priorities changed …

Prosthetic Energy Return During Walking Increases After 3 Weeks Of Adaptation To A New Device, Samuel F. Ray, Shane R. Wurdeman, Kota Z. Takahashi

Journal Articles

Background: There are many studies that have investigated biomechanical differences among prosthetic feet, but not changes due to adaptation over time. There is a need for objective measures to quantify the process of adaptation for individuals with a transtibial amputation. Mechanical power and work profiles are a primary focus for modern energystorage- and-return type prostheses, which strive to increase energy return from the prosthesis. The amount of energy a prosthesis stores and returns (i.e., negative and positive work) during stance is directly influenced by the user’s loading strategy, which may be sensitive to alterations during the course of an adaptation …

Coactivation Index Of Children With Congenital Upper Limb Reduction Deficiencies Before And After Using A Wristdriven 3d Printed Partial Hand Prosthesis, Jorge Zuniga, Dimitrios Kastavelis, Jean Peck, Rakesh Srivastava, James E. Pierce, Drew R. Dudley, David A. Salazar, Keaton J. Young, Brian A. Knarr

Journal Articles

Background: Co-contraction is the simultaneous activation of agonist and antagonist muscles that produces forces around a joint. It is unknown if the use of a wrist-driven 3D printed transitional prostheses has any influence on the neuromuscular motor control strategies of the affected hand of children with unilateral upper-limb reduction deficiencies. Thus, the purpose of the current investigation was to examine the coactivation index (CI) of children with congenital upper-limb reduction deficiencies before and after 6 months of using a wrist-driven 3D printed partial hand prosthesis.

Methods: Electromyographic activity of wrist flexors and extensors (flexor carpi ulnaris and extensor …