Biomechanics Commons^™

Sitting Postural Control In Infants With Typical Development, Motor Delay, Or Cerebral Palsy, Anastasia Kyvelidou, Regina T. Harbourne, Sandra L. Willett, Nikolaos Stergiou

Journal Articles

Purpose: To determine whether infants born full-term, infants born preterm with motor delays, and infants born preterm who have a diagnosis of cerebral palsy (CP) differed in postural control at the emergence of early sitting.

Methods: Thirty infants born at term who were developing typically, 6 infants born preterm who were later diagnosed with CP, and 5 infants born preterm who were delayed in motor development participated in this study. Center-of-pressure data from unsupported sitting were recorded and analyzed using measures of both amount and temporal organization of center-of-pressure variability.

Results: Infants born full-term, infants born preterm …

Transtibial Amputee Joint Motion Has Increased Attractor Divergence During Walking Compared To Non-Amputee Gait, Shane R. Wurdeman, Sara A. Myers, Nikolaos Stergiou

Journal Articles

The amputation and subsequent prosthetic rehabilitation of a lower leg affects gait. Dynamical systems theory would predict the use of a prosthetic device should alter the functional attractor dynamics to which the system self-organizes. Therefore, the purpose of this study was to compare the largest Lyapunov exponent (a nonlinear tool for assessing attractor dynamics) for amputee gait compared to healthy non-amputee individuals. Fourteen unilateral, transtibial amputees and fourteen healthy, non-amputee individuals ambulated on a treadmill at preferred, self-selected walking speed. Our results showed that the sound hip (p = 0.013), sound knee (p = 0.05), and prosthetic ankle …

Enhancing Fundamental Robot-Assisted Surgical Proficiency By Using A Portable Virtual Simulator, Jung Hung Chien, I. H. Suh, Shi-Huyn Park, Mukul Mukherjee, D. Oleynikov, Ka-Chun Siu

Journal Articles

Background. The development of a virtual reality (VR) training platform provides an affordable interface. The learning effect of VR and the capability of skill transfer from the VR environment to clinical tasks require more investigation.

Methods. Here, 14 medical students performed 2 fundamental surgical tasks—bimanual carrying (BC) and peg transfer (PT)—in actual and virtual environments. Participants in the VR group received VR training, whereas participants in the control group played a 3D game. The learning effect was examined by comparing kinematics between pretraining and posttraining in the da Vinci Surgical System. Differences between VR and playing the 3D game were …

Motor Control Of The Lower Extremity Musculature In Children With Cerebral Palsy, David J. Arpin, Wayne A. Stuberg, Nick Stergiou, Max J. Kurz

Journal Articles

The aim of this investigation was to quantify the differences in torque steadiness and variability of the muscular control in children with cerebral palsy (CP) and typically developing (TD) children. Fifteen children with CP (age = 14.2 ± 0.7 years) that had a Gross Motor Function Classification System (GMFCS) score of I-III and 15 age and gender matched TD children (age = 14.1 ± 0.7 years) participated in this investigation. The participants performed submaximal steady-state isometric contractions with the ankle, knee, and hip while surface electromyography (sEMG) was recorded. An isokinetic dynamometer was used to measure the steady-state isometric torques …

New Perspectives In Human Movement Variability, Thurmon Lockhart, Nikolaos Stergiou

Journal Articles

Movement variability is defined as the normal variations that occur in motor performance across multiple repetitions of a task.2 Bernstein1 described movement variability quite eloquently as ‘‘repetition without repetition.’’ Traditionally, movement variability has been linked to noise and error, being considered to be random and independent. This theoretical approach blends well with traditional statistical and assessment methods of movement variability that assume randomness and independence of observations. However, numerous studies have indicated that when movement is observed over time variations are closely related with each other neither being random nor independent. Practically, traditional methods can mask the temporal structure of …

A Simple Exoskeleton That Assists Plantarflexion Can Reduce The Metabolic Cost Of Human Walking, Philippe Malcolm, Wim Derave, Samuel Galle, Dirk De Clercq

Journal Articles

Background

Even though walking can be sustained for great distances, considerable energy is required for plantarflexion around the instant of opposite leg heel contact. Different groups attempted to reduce metabolic cost with exoskeletons but none could achieve a reduction beyond the level of walking without exoskeleton, possibly because there is no consensus on the optimal actuation timing. The main research question of our study was whether it is possible to obtain a higher reduction in metabolic cost by tuning the actuation timing.

Methodology/Principal Findings

We measured metabolic cost by means of respiratory gas analysis. Test subjects walked with a simple …

Stroke Survivors Control The Temporal Structure Of Variability During Reaching In Dynamic Environments, Mukul Mukherjee, Panagiotis Koutakis, K.-C. Siu, Pierre B. Fayad, Nikolaos Stergiou

Journal Articles

Learning to control forces is known to reduce the amount of movement variability (e.g., standard deviation; SD) while also altering the temporal structure of movement variability (e.g., approximate entropy; ApEn). Such variability control has not been explored in stroke survivors during reaching movements in dynamic environments. Whether augmented feedback affects such variability control, is also unknown. Chronic stroke survivors, assigned randomly to a control/experimental group, learned reaching movements in a dynamically changing environment while receiving either true feedback of their movement (control) or augmented visual feedback (experimental). Hand movement variability was analyzed using SD and ApEn. A significant change in …

The Appropriate Use Of Approximate Entropy And Sample Entropy With Short Data Sets, Jenna M. Yentes, Nathaniel Hunt, Kendra K. Schmid, Jeffrey P. Kaipust, Denise Mcgrath, Nikolaos Stergiou

Journal Articles

Approximate entropy (ApEn) and sample entropy (SampEn) are mathematical algorithms created to measure the repeatability or predictability within a time series. Both algorithms are extremely sensitive to their input parameters: m (length of the data segment being compared), r (similarity criterion), and N (length of data). There is no established consensus on parameter selection in short data sets, especially for biological data. Therefore, the purpose of this research was to examine the robustness of these two entropy algorithms by exploring the effect of changing parameter values on short data sets. Data with known theoretical entropy qualities as well as experimental …

Temporal Structure Of Variability Decreases In Upper Extremity Movements Post Stroke, Amit Sethi, Tara Patterson, Theresa Mcguirk, Carolynn Patten, Lorie G. Richards, Nikolaos Stergiou

Journal Articles

Methods: Sixteen participants with chronic stroke and nine age-matched controls performed three trials of functional reach-to-grasp. The amount of variability was quantified by computing the standard deviation of shoulder, elbow, wrist and index finger flexion/extension joint angles. The temporal structure of variability was determined by calculating approximate entropy in shoulder, elbow, wrist and index finger flexion/extension joint angles.

Findings: Individuals with stroke demonstrated greater standard deviations and significantly reduced approximate entropy values as compared to controls. Furthermore, motor impairments and kinematics demonstrated moderate to strong correlations with temporal structure of variability.

Interpretation: Changes in the temporal structure of variability in …

Changes In The Activation And Function Of The Ankle Plantar Flexor Muscles Due To Gait Retraining In Chronic Stroke Survivors, Brian A. Knarr, Trisha M. Kesar, Darcy S. Reiman, Stuart A. Binder-Macleod

Journal Articles

Background

A common goal of persons post-stroke is to regain community ambulation. The plantar flexor muscles play an important role in propulsion generation and swing initiation as previous musculoskeletal simulations have shown. The purpose of this study was to demonstrate that simulation results quantifying changes in plantar flexor activation and function in individuals post-stroke were consistent with (1) the purpose of an intervention designed to enhance plantar flexor function and (2) expected muscle function during gait based on previous literature.

Methods

Three-dimensional, forward dynamic simulations were created to determine the changes in model activation and function of the paretic ankle …

Psychosocial And Cognitive Function In Children With Nephrotic Syndrome: Association With Disease And Treatment Variables, Panagiota Manti, George Giannakopoulos, Elena Giouroukou, Helen Georgaki-Angelaki, Constantinos J. Stefanidis, Andromahi Mitsioni, Nikolaos Stergiou, Constantinos Mihas, George P. Chrousos, Maria Alexandra Magiakou, Gerasimos Kolaitis

Journal Articles

Background
To investigate possible differences in emotional/behavioral problems and cognitive function in children with nephrotic syndrome compared to healthy controls and to examine the effect of disease-specific and steroid treatment-specific characteristics on the abovementioned variables.

Methods
Forty-one patients with nephrotic syndrome (23 boys, age range: 4.4-15.2 years) and 42 sex- and age-matched healthy control subjects (20 boys, age range: 4.1-13.4 years) were enrolled in the study. Disease (severity, age of diagnosis, duration) and steroid treatment (total duration, present methylprednisolone dose and duration of present dose) data were collected. In order to assess children’s emotional/behavioral problems, the Child Behavior Checklist was …

The Effect Of A Short Duration, High Intensity Exercise Intervention On Gait Biomechanics In Patients With Copd: Findings From A Pilot Study, Jenna M. Yentes, Daniel Blanke, Stephen I. Rennard, Nikolaos Stergiou

Journal Articles

Previous work has shown that patients with chronic obstructive pulmonary disease (COPD) demonstrate changes in their gait biomechanics as compared to controls. This pilot study was designed to explore the possibility that biomechanical alterations present in COPD patients might be amenable to treatment by exercise training of skeletal muscle. This study investigated the effect of a 6-week exercise intervention on gait biomechanics in patients with COPD under both a rest and a non-rested condition. Seven patients with COPD underwent a supervised cardio-respiratory and strength training protocol 2-3 times per week for 6-weeks for a total of 16-sessions. Spatiotemporal, kinematic and …

A Perspective On Human Movement Variability With Applications In Infancy Motor Development, Nikolaos Stergiou, Yawen Yu, Anastasia Kyvelidou

Journal Articles

Movement variability is considered essential to typical motor development. However, multiple theoretical perspectives and measurement tools have limited interpretation of the importance of movement variability in biological systems. The complementary use of linear and nonlinear measures have recently allowed for the evaluation of not only the magnitude of variability but also the temporal structure of variability. As a result, the theoretical model of optimal movement variability was introduced. The model suggests that the development of healthy and highly adaptable systems relies on the achievement of an optimal state of variability. Alternatively, abnormal development may be characterized by a narrow range …

Prosthesis Preference Is Related To Stride-To-Stride Fluctuations At The Prosthetic Ankle, Shane R. Wurdeman, Sara A. Myers, Adam L. Jacobsen, Nikolaos Stergiou

Journal Articles

The purpose of this study was to determine the relationship between stride-to-stride fluctuations and prosthesis preference. Thirteen individuals with unilateral, transtibial amputation consented to participate. Individuals walked on a treadmill for 3 min with their prescribed and an alternate prosthesis. Stride-to-stride fluctuations were quantified with the largest Lyapunov exponent (LyE) of each joint flexion/extension time series. The change in the LyE was calculated for each major lower-limb joint for both conditions. Participants indicated preference between the prostheses on a continuous visual analog scale. The change in the LyE was correlated with the degree of preference between the two prostheses at …

Understanding Affordances: History And Contemporary Development Of Gibson’S Central Concept, Dobromir Dotov, Lin Nie, Matthieu M. De Wit

Journal Articles

Gibson developed the affordance concept to complement his theory of direct perception that stands in sharp contrast with the prevalent inferential theories of perception. A comparison of the two approaches shows that the distinction between them also has an ontological aspect. We trace the history and newer formalizations of the notion of affordance and discuss some competing opinions on its scope. Next, empirical work on the affordance concept is reviewed in brief and the relevance of dynamical systems theory to affordance research is demonstrated. Finally, the striking but often neglected convergence of the ideas of Gibson and those of certain …

External Work Is Deficient In Both Limbs Of Patients With Unilateral Pad, Shane R. Wurdeman, Sara A. Myers, Jason Johanning, Iraklis Pipinos, Nikolaos Stergiou

Journal Articles

External work was utilized to measure differences between the unaffected and the affected limb in patients with unilateral peripheral arterial disease compared to healthy controls. Patients with unilateral peripheral arterial disease have shown deficits in peak joint powers during walking in the unaffected and affected legs. However, no research has detailed the amount of work that is being performed by each leg compared to healthy controls even though such an analysis would provide valuable information on the energy output from the affected and the unaffected legs. Two hypotheses were tested: a) the unaffected and affected leg would perform less work …

Sensitivity Of The Wolf’S And Rosenstein’S Algorithms To Evaluate Local Dynamic Stability From Small Gait Data Sets: Response To Commentaries By Bruijn Et Al., Fabien Cignetti, Leslie M. Decker, Nikolaos Stergiou

Journal Articles

Assessing gait stability using the Largest Lyapunov Exponent (λ₁) has become popular, especially because it may be a key measure in evaluating gait abnormalities in patient populations. However, clinical settings usually involve having small gait data sets and accurate determination of λ₁ estimates from such sets is difficult. In an effort to address this issue, Cignetti et al.2 recently identified that λ₁ estimates using the algorithm of Wolf et al.9 (W-algorithm) were more sensitive than those using the algorithm of Rosenstein et al.7 (R-algorithm) in order to capture age-related …

Peripheral Arterial Disease Affects The Frequency Response Of Ground Reaction Forces During Walking, Denise Mcgrath, Timothy N. Judkins, Iraklis Pipinos, Jason Johanning

Journal Articles

Background—Walking is problematic for patients with Peripheral Arterial Disease. The purpose of this study was to investigate the frequency domain of the ground reaction forces during walking to further elucidate the ambulatory impairment of these patients.

Methods—Nineteen bilateral peripheral arterial disease patients and nineteen controls were included in this study. Subjects were matched for age and gait speed. Participants walked over a force plate sampling at 600Hz. PAD patients were tested before (pain-free condition) after the onset of claudication symptoms (pain). We calculated median frequency, frequency bandwidth, and frequency containing 99.5% of the signal for the vertical and …

Peripheral Arterial Disease Affects The Frequency Response Of Ground Reaction Forces During Walking, Denise Mcgrath, Timothy N. Judkins, Iraklis Pipinos, Jason M. Johanning, Sara A. Myers

Journal Articles

Background

Walking is problematic for patients with peripheral arterial disease. The purpose of this study was to investigate the frequency domain of the ground reaction forces during walking to further elucidate the ambulatory impairment of these patients.

Methods

Nineteen bilateral peripheral arterial disease patients and nineteen controls were included in this study. Subjects were matched for age and gait speed. Participants walked over a force plate sampling at 600 Hz. PAD patients were tested before (pain-free condition) after the onset of claudication symptoms (pain). We calculated median frequency, frequency bandwidth, and frequency containing 99.5% of the signal for the vertical …

Hamstring-Dominant Strategy Of The Bone–Patellar Tendon–Bone Graft Anterior Cruciate Ligament–Reconstructed Leg Versus Quadriceps-Dominant Strategy Of The Contralateral Intact Leg During High-Intensity Exercise In Male Athletes, Kostas Patras, Franceska Zampeli, Stavros Ristanis, Elias Tsepis, Giorgos Ziogas, Nikolaos Stergiou, Anastasios D. Georgoulis

Journal Articles

Purpose

The purpose of this study was to investigate the effect of anterior cruciate ligament (ACL) reconstruction on the quadriceps-dominant strategy as a parameter associated with the neuromuscular control of the knee joint.

Methods

In this study 14 competitive soccer players who had undergone ACL reconstruction with bone–patellar tendon–bone autograft and 14 healthy competitive soccer players performed two 10-minute treadmill runs, 1 at moderate intensity and 1 at high intensity. Electromyographic recordings were acquired by use of a telemetric system at the third, fifth, seventh, and tenth minute of the runs from the vastus lateralis and the biceps femoris bilaterally. …

Taking Balance Measurement Out Of The Laboratory And Into The Home: Discriminatory Capability Of Novel Centre Of Pressure Measurement In Fallers And Non-Fallers, Denise Mcgrath, Emer P. Doheny, Lorcan Walsh, David Mckeown, Clodagh Cunningham, Lisa Crosby, Rose Anne Kenny, Nikolaos Stergiou, Brian Caulfield, Barry R. Greene

Journal Articles

We investigated three methods for estimating centre of pressure excursions, as measured using a portable pressure sensor matrix, in order to deploy similar technology into the homes of older adults for longitudinal monitoring of postural control and falls risk. We explored the utility of these three methods as markers of falls risk in a cohort of 120 community dwelling older adults with and without a history of falls (65 fallers, 55 non-fallers). A number of standard quantitative balance parameters were derived using each centre of pressure estimation method. Rank sum tests were used to test for significant differences between fallers …

Postural Control Strategy During Standing Is Altered In Patients With Multiple Sclerosis, Jessie M. Huisinga, Jenna M. Yentes, Mary Filipi, Nikolaos Stergiou

Journal Articles

Disturbances in balance are one of the first reported symptoms of Multiple Sclerosis (MS), yet limited research has been performed to classify the postural control deficits in this population. This study investigated the variability present in the sway patterns during quiet standing in patients with MS (PwMS) and healthy controls. Subjects were assessed (eyes open, closed) standing on a force platform. Variability of the sway patterns was quantified using a measure of amount of variability (root mean square; RMS) and two measures of temporal structure of variability (Lyapunov Exponent – LyE; Approximate Entropy – ApEn). RMS results revealed significantly higher …

Path Integration: Effect Of Curved Path Complexity And Sensory System On Blindfolded Walking, Panagiotis Koutakis, Mukul Mukherjee, Srikant Vallabhajosula, David J. Blanke, Nikolaos Stergiou

Journal Articles

Path integration refers to the ability to integrate continuous information of the direction and distance traveled by the system relative to the origin. Previous studies have investigated path integration through blindfolded walking along simple paths such as straight line and triangles. However, limited knowledge exists regarding the role of path complexity in path integration. Moreover, little is known about how information from different sensory input systems (like vision and proprioception) contributes to accurate path integration. The purpose of the current study was to investigate how sensory information and curved path complexity affect path integration. Forty blindfolded participants had to accurately …

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 ( …

Use Of Motor Abundance In Young And Older Adults During Dual-Task Treadmill Walking, Leslie M. Decker, Fabien Cignetti, Jane F. Potter, Stephanie A. Studenski, Nikolaos Stergiou

Journal Articles

Motor abundance allows individuals to perform any task reliably while being variable in movement's particulars. The study investigated age-related differences in this feature when young adults (YA) and older adults (OA) performed challenging tasks, namely treadmill walking alone and while performing a cognitive task. A goal function for treadmill walking was first defined, i.e., maintain constant speed at each step, which led to a goal equivalent manifold (GEM) containing all combinations of step time and step length that equally satisfied the function. Given the GEM, amounts of goal-equivalent and non-goal-equivalent variability were afterwards determined and used to define an index …

Persons With Multiple Sclerosis Show Altered Joint Kinetics During Walking After Participating In Elliptical Exercise, Jessie M. Huisinga, Kendra K. Schmid, Mary Filipi, Nikolaos Stergiou

Journal Articles

Patients with multiple sclerosis (MS) experience abnormal gait patterns and reduced physical activity. The purpose of this study was to determine if an elliptical exercise intervention for patients with MS would change joint kinetics during gait toward healthy control values. Gait analysis was performed on patients with MS (n = 24) before and after completion of 15 sessions of supervised exercise. Joint torques and powers were calculated, while also using walking velocity as a covariate, to determine the effects of elliptical exercise on lower extremity joint kinetics during gait. Results show that elliptical exercise significantly altered joint torques at the …

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 ( …

Relative Roughness: An Index For Testing The Suitability Of The Monofractal Model, Vivien Marmelat, Kjerstin Torre, Didier Delignières

Journal Articles

Fractal analyses have become very popular and have been applied on a wide variety of empirical time series. The application of these methods supposes that the monofractal framework can offer a suitable model for the analyzed series. However, this model takes into account a quite specific kind of fluctuations, and we consider that fractal analyses have been often applied to series that were completely outside of its relevance. The problem is that fractal methods can be applied to all types of series, and they always give a result, that one can then erroneously interpret in the context of the monofractal …

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 …

Sensitivity Of The Wolf’S And Rostein’S Algorithms To Evaluate Local Dynamic Stability From Small Gait Data Sets, Fabien Cignetti, Leslie M. Decker, Nikolaos Stergiou

Journal Articles

The Wolf’s (W-algorithm) and Rosenstein’s (R-algorithm) algorithms have been used to quantify local dynamic stability (largest Lyapunov exponent, λ ₁) in gait, with prevalence of the latter one that is considered more suitable for small data sets. However, such a claim has never been investigated. To address it, the λ ₁ of the Lorenz attractor was estimated using small data sets and varied delays and embedding dimensions. Overall, the λ ₁ estimates from the R-algorithm got closer to the theoretical exponent than those from the W-algorithm. The W-algorithm also overestimated λ _{1 …}