Biomechanics Commons^™

Qualitative Analysis Of Cancer Care Experiences Among Rural Cancer Survivors And Caregivers, Kendra L. Ratnapradipa, Jordan Ranta, Krishtee Napit, Lady Beverly Luma, Tamara Robinson, Danae Dinkel, Laura Schabloske, Shinobu Watanabe-Galloway

Journal Articles

Purpose

Rural (vs urban) patients experience poorer cancer outcomes and are less likely to be engaged in cancer prevention, such as screening. As part of a community needs assessment, we explored rural cancer survivors’ and caregivers’ experiences, perceptions, and attitudes toward cancer care services.

Methods

We conducted 3 focus groups (N = 20) in Spring 2021 in rural Nebraska.

Findings

Three patterns of cancer diagnosis were regular care/screening without noticeable symptoms, treatment for symptoms not initially identified as cancer related, and symptom self-identification. Most participants, regardless of how diagnosis was made, had positive experiences with timely referral for testing (imaging …

Metabolically Efficient Walking Assistance Using Optimized Timed Forces At The Waist, Prokopios Antonellis, Arash Mohammadzadeh Gonabadi, Sara Myers, Iraklis Pipinos, Philippe Malcolm

Journal Articles

The metabolic rate of walking can be reduced by applying a constant forward force at the center of mass. It has been shown that the metabolically optimal constant force magnitude minimizes propulsion ground reaction force at the expense of increased braking. This led to the hypothesis that selectively assisting propulsion could lead to greater benefits. We used a robotic waist tether to evaluate the effects of forward forces with different timings and magnitudes. Here, we show that it is possible to reduce the metabolic rate of healthy participants by 48% with a greater efficiency ratio of metabolic cost reduction per …

Muscle Forces And Power Are Significantly Reduced During Walking In Patients With Peripheral Artery Disease, Hafizur Rahman, Cody Anderson, Iraklis Pipinos, Jason Johanning, George P. Casale, Jianghu Dong, Holly Despiegelaere, Mahdi Hassan, Sara A. Myers

Journal Articles

Patients with peripheral artery disease (PAD) have significantly reduced lower extremity muscle strength compared with healthy individuals as measured during isolated, single plane joint motion by isometric and isokinetic strength dynamometers. Alterations to the force contribution of muscles during walking caused by PAD are not well understood. Therefore, this study used simulations with PAD biomechanics data to understand lower extremity muscle functions in patients with PAD during walking and to compare that with healthy older individuals. A total of 12 patients with PAD and 10 age-matched healthy older controls walked across a 10-meter pathway with reflective markers on their …

How Capuchin Monkeys Use Their Semi-Prehensile Tails, Madhur Mangalam, Callum F. Ross, Patricia Izar, Elisabetta Visalberghi, Dorothy M. Fragaszy

Journal Articles

Among primates, prehensile/semi-prehensile tails have evolved independently in the families Atelidae and Cebidae of the infraorder Platyrrhini (Neotropical monkeys). They facilitate maintaining stability during locomotion on thin, flexible branches and while reaching for food on challenging substrates. How a prehensile/semi-prehensile tail is coordinated with the hind limbs to facilitate controlled, flexible adoption of postures remains unknown. In an experimental set-up in the wild, we induced capuchin monkeys to adopt a tail-assisted, head-down tripodal posture to reach for food, documenting from slow-motion video recordings (120 fps) both qualitative changes in the monkeys’ positional behaviour – the relative orientation of their limbs …

A Kinematic And Emg Dataset Of Online Adjustment Of Reach-To-Grasp Movements To Visual Perturbations, Mariusz P. Furmanek, Madhur Mangalam, Matthew Yarossi, Kyle Lockwood, Eugene Tunik

Journal Articles

Control of reach-to-grasp movements for deft and robust interactions with objects requires rapid sensorimotor updating that enables online adjustments to changing external goals (e.g., perturbations or instability of objects we interact with). Rarely do we appreciate the remarkable coordination in reach-to-grasp, until control becomes impaired by neurological injuries such as stroke, neurodegenerative diseases, or even aging. Modeling online control of human reach-to-grasp movements is a challenging problem but fundamental to several domains, including behavioral and computational neuroscience, neurorehabilitation, neural prostheses, and robotics. Currently, there are no publicly available datasets that include online adjustment of reach-to-grasp movements to object perturbations. This …

Classifying Idiopathic Rapid Eye Movement Sleep Behavior Disorder, Controls, And Mild Parkinson's Disease Using Gait Parameters, Valérie Cochen De Cock, Dobromir Dotov, Sandy Lacombe, Marie Christine Picot, Florence Galtier, Valérie Driss, Castelnovo Giovanni, Christian Geny, Beatriz Abril, Loic Damm, Stefan Janaqi

Journal Articles

Background

Subtle gait changes associated with idiopathic rapid eye movement sleep behavior disorder (iRBD) could allow early detection of subjects with future synucleinopathies.

Objective

The aim of this study was to create a multiclass model, using statistical learning from probability distribution of gait parameters, to distinguish between patients with iRBD, healthy control subjects (HCs), and patients with Parkinson's disease (PD).

Methods

Gait parameters were collected in 21 participants with iRBD, 21 with PD, and 21 HCs, matched for age, sex, and education level. Lasso sparse linear regression explored gait features able to classify the three groups.

Results

The final model …

A Robust Technique For Optimal Fitting Of Roll-Over Shapes Of Human Locomotor Systems, Ganesh M. Bapat, Sara A. Myers

Journal Articles

The roll-over shape (ROS) effectively characterizes the lower limb's ability to roll forward during the single-limb support phase of human walking. ROS is modelled as an optimally fitted circular arc to the center of pressure (CoP) data transformed in the shank/leg-based local coordinate system. The commonly used method for optimal fitting of ROS is complex to implement and eliminates inherent individual variability in the ROS parameters during walking. We propose and validate a novel computerized method for optimal fitting of roll-over shapes of the lower limb during walking. Gait data of a healthy individual from Winter's book was used …

Early Impact Of The Covid-19 Pandemic On Promotion Of Infant Activity, Strength And Communication: A Qualitative Exploration, Kailey Snyder, Priyanka Chaudhary, Angela Pereira, Kimberly Masuda, Jessica Niski, Danae Dinkel

Journal Articles

Introduction

Fostering physical activity, muscle strengthening and communication skills in diverse environments are vital to ensuring healthy infant development; however, promotion of these skills may be impacted by the COVID-19 pandemic. Therefore, the purpose of this study was to explore healthcare workers, parents and childcare providers' perceptions of the pandemic's influence on how they engage with infants to promote physical activity, muscle strength and communication.

Methods

37 subjects (12 = parents; 12 = childcare providers, 13 = healthcare workers) participated in a semi-structured interview. Data were analyzed via an inductive content analysis.

Results

The majority of caregivers identified concerns related …

Claudicating Patients With Peripheral Artery Disease Have Meaningful Improvement In Walking Speed After Supervised Exercise Therapy, Hafizur Rahman, Iraklis Pipinos, Jason M. Johanning, George P. Casale, Mark A. Williams, Jonathan R. Thompson, Yohanis O'Neill-Casto, Sara A. Myers

Journal Articles

Objective

Supervised exercise therapy (SET) is a first-line treatment for patients with peripheral artery disease (PAD). The efficacy of SET is most commonly expressed by significant statistical improvement of parameters that do not clarify how each individual patient will benefit from SET. This study examined the minimal clinically important difference (MCID) in walking speed in claudicating patients with PAD after SET.

Methods

A total of 63 patients with PAD-related claudication (Fontaine stage II PAD) participated in a 6-month SET program. Self-selected walking speed was measured before and after SET. Distribution and anchor-based approaches were used to estimate the MCID for …

Virtual Reality As A Context For Adaptation, Matthew Yarossi, Madhur Mangalam, Stephanie Naufel, Eugene Tunik

Journal Articles

The COVID-19 pandemic has accelerated interest in virtual reality (VR) for education, entertainment, telerehabilitation, and skills training. As the frequency and duration of VR engagement increases—the number of people in the United States using VR at least once per month is forecasted to exceed 95 million—it is critical to understand how VR engagement influences brain and behavior. Here, we evaluate neurophysiological effects of sensory conflicts induced by VR engagement and posit an intriguing hypothesis: the brain processes VR as a unique “context” leading to the formation and maintenance of independent sensorimotor representations. We discuss known VR-induced sensorimotor adaptations to illustrate …

Physical Activity, Physical Well-Being, And Psychological Well-Being: Associations With Life Satisfaction During The Covid-19 Pandemic Among Early Childhood Educators, Ken Randall, Timothy G. Ford, Kyong-Ah Kwon, Susan Sisson, Matthew Bice, Danae Dinkel, Jessica Tsotsoros

Journal Articles

Seeking personal well-being and life satisfaction during a global pandemic can be daunting, such is the case for early care and education teachers who were considered non-health care essential workers during the COVID-19 pandemic. The potential changes in their physical activity, along with their overall physical and psychological well-being, may have ultimately influenced their life satisfaction. These changes included the potential for increased sedentary behaviors. Despite the high health risks associated with these factors during the pandemic, the role of physical activity in early care and education teachers’ well-being and life satisfaction remains largely unknown. The purpose of this study …

Cross-Frequency Coupling Explains The Preference For Simple Ratios In Rhythmic Behaviour And The Relative Stability Across Non-Synchronous Patterns, Dobromir Dotov, Laurel Trainor

Journal Articles

Rhythms are important for understanding coordinated behaviours in ecological systems. The repetitive nature of rhythms affords prediction, planning of movements and coordination of processes within and between individuals. A major challenge is to understand complex forms of coordination when they differ from complete synchronization. By expressing phase as ratio of a cycle, we adapted levels of the Farey tree as a metric of complexity mapped to the range between in-phase and anti-phase synchronization. In a bimanual tapping task, this revealed an increase of variability with ratio complexity, a range of hidden and unstable yet measurable modes, and a rank-frequency scaling …

Effects Of Sensory Feedback And Collider Size On Reach-To-Grasp Coordination In Haptic-Free Virtual Reality, Mariusz P. Furmanek, Madhur Mangalam, Kyle Lockwood

Journal Articles

Technological advancements and increased access have prompted the adoption of head- mounted display based virtual reality (VR) for neuroscientific research, manual skill training, and neurological rehabilitation. Applications that focus on manual interaction within the virtual environment (VE), especially haptic-free VR, critically depend on virtual hand-object collision detection. Knowledge about how multisensory integration related to hand-object collisions affects perception-action dynamics and reach-to-grasp coordination is needed to enhance the immersiveness of interactive VR. Here, we explored whether and to what extent sensory substitution for haptic feedback of hand-object collision (visual, audio, or audiovisual) and collider size (size of spherical pointers representing the …

A Qualitative Comparison Of Parent And Childcare Provider Perceptions Of Communication And Family Engagement In Children's Healthy Eating And Physical Activity, Danae Dinkel, Maggie Rasmussen, John Rech, Kailey Snyder, Dipti A. Dev

Journal Articles

Background

Parents and childcare providers play a substantial role in the development of health behaviours among the children they care for. In order to ensure the optimal growth and development of children, communication and family engagement in childcare is critical. Previous studies examining parent or provider perceptions about healthy eating or physical activity have explored these concepts individually and/or have only included only parents or providers. Therefore, the purpose of this study was to compare childcare provider and parent perceptions of communication regarding healthy eating and physical activity as well as use of best practice strategies on family engagement for …

How Tufted Capuchin Monkeys (Sapajus Spp.) And Humans (Homo Sapiens) Handle A Jointed Tool., Dorothy M. Fragaszy, Joshua D. Lukemire, Jose Eduardo Reynoso-Cruz, Stephanie Villarreal Jordan, Spencer Sheheane, Amanda Heaton, Monica Quinones, Madhur Mangalam

Journal Articles

The embodied theory of tooling predicts that when using a grasped object as a tool, individuals accommodate their actions to manage the altered degrees of freedom in the body-plus-object system. We tested predictions from this theory by studying how 3 tufted capuchin monkeys (Sapajus spp.) and 6 humans (Homo sapiens) used a hoe to retrieve a token. The hoe’s handle was rigid, had 2 segments with 1 planar joint, or had 3 segments with 2 (orthogonal) planar joints. When jointed, rotating the handle could render it rigid. The monkeys used more actions to retrieve the token when the handle had …

Examining Supports And Barriers To Breastfeeding Through A Socio-Ecological Lens: A Qualitative Study, Kailey Snyder, Emily Hulse, Holly Dingman, Angie Cantrell, Corrine Hanson, Danae Dinkel

Journal Articles

Background

Early breastfeeding cessation is a societal concern given its importance to the health of mother and child. More effective interventions are needed to increase breastfeeding duration. Prior to developing such interventions more research is needed to examine breastfeeding supports and barriers from the perspective of breastfeeding stakeholders. One such framework that can be utilized is the Socio-Ecological Model which stems from Urie Broffenbrenner’s early theoretical frameworks (1973–1979). The purpose of this study was to examine supports and barriers to breastfeeding across environmental systems.

Methods

A total of 49 representatives participated in a telephone interview in Nebraska, USA in 2019. …

The Use Of Family Engagement Principles By Childcare Providers From Various Childcare Settings: A Qualitative Study, John Rech, Kailey Snyder, Maggie Rasmussen, Dipti A. Dev, Danae Dinkel

Journal Articles

Family engagement in childcare is important to ensure the optimal growth, development, and safety of children. Previous research has explored family engagement practices, but limited research is available on the application of theory to explain the uptake of family engagement principles. The purpose of this study was to explore the use and perceptions of the National Association of the Education for Young Children’s six principles of effective family engagement among childcare providers from various childcare settings following the Innovation-Decision Process of the Diffusion of Innovation Theory. A semi-structured interview with a card-sorting task was used to explore providers’ knowledge, adoption, …

A Qualitative Exploration Of The Feasibility Of Incorporating Depression Apps Into Integrated Primary Care Clinics, Danae Dinkel, Jennifer Harsh Caspari, Louis Fok, Maxine Notice, David J. Johnson, Shinobu Watanabe-Galloway, Margaret R. Emerson

Journal Articles

Background: The use of mobile applications or “apps” is beginning to be identified as a potential cost-effective tool for treating depression. While the use of mobile apps for health management appears promising, little is known on how to incorporate these tools into integrated primary care settings – especially from the viewpoints of patients and the clinic personnel. Purpose: The purpose of this study was to explore patient- and clinic-level perceptions of the use of depression self-management apps within an integrated primary care setting. Methods: Patients (n=17), healthcare providers, and staff (n=15) completed focus groups or semi-structured interviews in-person or via …

Beatwalk: Personalized Music-Based Gait Rehabilitation In Parkinson’S Disease, Valérie Cochen De Cock, Dobromir Dotov, Loic Damm, Sandy Lacombe, Petra Ihalainen, Marie Christine Picot, Florence Galtier, Cindy Lebrun, Aurélie Giordano, Valérie Driss, Christian Geny, Ainara Garzo, Erik Hernandez, Edith Van Dyck, Marc Leman, Rudi Villing, Benoit G. Bardy, Simone Dalla Bella

Journal Articles

Taking regular walks when living with Parkinson’s disease (PD) has beneficial effects on movement and quality of life. Yet, patients usually show reduced physical activity compared to healthy older adults. Using auditory stimulation such as music can facilitate walking but patients vary significantly in their response. An individualized approach adapting musical tempo to patients’ gait cadence, and capitalizing on these individual differences, is likely to provide a rewarding experience, increasing motivation for walk-in PD. We aim to evaluate the observance, safety, tolerance, usability, and enjoyment of a new smartphone application. It was coupled with wearable sensors (BeatWalk) and delivered individualized …

Gait Variability Is Affected More By Peripheral Artery Disease Than By Vascular Occlusion, Hafizur Rahman, Iraklis Pipinos, Jason M. Johanning, Sara A. Myers

Journal Articles

Background

Patients with peripheral artery disease with intermittent claudication (PAD-IC) have altered gait variability from the first step they take, well before the onset of claudication pain. The mechanisms underlying these gait alterations are poorly understood.

Aims

To determine the effect of reduced blood flow on gait variability by comparing healthy older controls and patients with PAD-IC. We also determined the diagnostic value of gait variability parameters to identify the presence of PAD.

Methods

A cross-sectional cohort design was used. Thirty healthy older controls and thirty patients with PAD-IC walked on a treadmill at their self-selected speed in pain free …

Examining Physical Activity In Users Of Campus Recreation During Campus Closure Due To Covid-19. Journal Of Kinesiology And Wellness, Katie Burcal, Michaela Schenkelberg, Jeanne Surface, Danae Dinkel

Journal Articles

Burcal K., et. al. Campus recreation facilities are a critical resource to encourage physical activity at universities. COVID-19 closures in 2020 led to the shutdown of many campuses, which included campus recreation facilities. Little is known about how the closures impacted the physical activity levels of students, faculty, and staff who relied on campus recreation for physical activity opportunities. Therefore, the purpose of this study was to determine if individuals who were users of campus recreation prior to campus closure continued to be physically active when campus closed. The survey was completed by 282 previous users (students, faculty, and staff) …

Considerations For Implementation Of An Ankle-Foot Orthosis To Improve Mobility In Peripheral Artery Disease, Ayisha Bashir, Danae Dinkel, Ganesh M. Bapat, Holly Despiegelaere, Mahdi Hassan, Jason M. Johanning, Iraklis I. Pipinos, Sara A. Myers

Journal Articles

Objective

To explore the perceptions of wearing an ankle-foot orthosis (AFO) in patients with peripheral artery disease (PAD) who did and did not adopt the AFO intervention. This follows a clinical trial of the effectiveness of an AFO in improving walking distances for patients with PAD-related claudication.

Design

A randomized crossover trial of standard of care and an AFO for 3 months. Semistructured interviews were conducted 1.5 months into the AFO intervention to understand acceptability, demand, implementation, and practicality. Data were analyzed using a summative content analysis approach.

Setting

Vascular surgery clinic and biomechanics research laboratory.

Participants

Patients (N=15; …

Examining Differences In Achievement Of Physical Activity Best Practices Between Urban And Rural Child Care Facilities By Age, Danae Dinkel, John Rech, Yage Guo, Matthew R. Bice, Emily Hulse, Donnia Behrends, Christina Burger, Dipti Dev

Journal Articles

Go Nutrition and Physical activity Self Assessment in Child Care (NAP SACC) is an evidence based intervention developed to positively impact childhood obesity in early childhood education (ECE) facilities. One focus of Go NAP SACC is the development of physical activity best practices. However, little research has examined differences in achievement of best practices based on age of child and geographic location. The purpose of this study was to examine differences in the achievement of physical activity best practices between urban and rural childcare facilities by age-specific recommendations (infants, toddlers, and preschoolers) and in the overall physical activity environment. Urban …

A Cross-Sectional Examination Of Physical Activity, Sedentary Time, And Sleep Between Adults With And Without Children In The Home Using The National Health And Nutrition Examination Survey, Danae Dinkel, Kelsey Lu, Jemima John, Kailey Snyder, Lisette T. Joacobson

Journal Articles

Background: Physical activity (PA), sedentary behavior, and sleep are interconnected, promoting optimal health. Few studies have examined these factors holistically. Therefore, the purpose of this study was to capture the 24-hour activity cycles of the US population by examining PA, sedentary behavior, and sleep based on the presence of a child within the home, as well as gender and weight. Methods: Cross-sectional health-related variables from the National Health and Nutrition Examination Survey were used for analysis. The primary variables were the total and type of PA (recreation, work, and active transportation), sedentary behavior, and sleep. Chi-square and regression …

Mental Health Mobile App Use: Considerations For Serving Underserved Patients In Integrated Primary Care Settings, Margaret R. Emerson, Jennifer Harsh Caspari, Maxine Notice, Shinobu Watanabe-Galloway, Danae Dinkel, Josiane Kabayundo

Journal Articles

Depression, the most commonly experienced mental illness, affects more than 264 million people and is one of the leading causes of disability worldwide [1]. Depression, or major depressive disorder, is characterized by depressed mood and often accompanies other symptoms such as lack of interest, fatigue, feelings of worthlessness, impaired thinking, psychomotor agitation or slowing, thoughts of being better off dead and/or of suicide [2]. According to the 2018 National Survey of Drug Use and Health (NSDUH), 17.7 million or 7.7% of U.S. adults met the criteria for having a major depressive episode in the past year [ …

Perspectives Of Infant Active Play: A Qualitative Comparison Of Working Versus Stay-At-Home Parents, Kailey Snyder, John Rech, Kimberly Masuda, Danae Dinkel

Journal Articles

Background: Parents play a key role in infant’s development through their interactions and the type of environment they provide to promote active play. The amount of time parents are able to spend with their infant is dependent on their working status, yet few studies have explored parent perception of their infant’s active play by working status. The purpose of this study was to explore parent perception of active play and compare responses between working and stay-at-home parents. Methods: Twenty-nine parents participated in this qualitative study by completing a one-time, in-person semistructured interview based on the Theory of Planned Behavior. Themes …

Inferior Auditory Time Perception In Children With Motor Difficulties, Andrew Chang, Yao-Chuen Li, Jennifer F. Chan, Dobromir Dotov, John Cairney, Laurel Trainor

Journal Articles

Accurate time perception is crucial for hearing (speech, music) and action (walking, catching). Motor brain regions are recruited during auditory time perception. Therefore, the hypothesis was tested that children (age 6–7) at risk for developmental coordination disorder (rDCD), a neurodevelopmental disorder involving motor difficulties, would show nonmotor auditory time perception deficits. Psychophysical tasks confirmed that children with rDCD have poorer duration and rhythm perception than typically developing children (N = 47, d = 0.95–1.01). Electroencephalography showed delayed mismatch negativity or P3a event-related potential latency in response to duration or rhythm deviants, reflecting inefficient brain processing (N = 54, …

Collective Music Listening: Movement Energy Is Enhanced By Groove And Visual Social Cues, Dobromir Dotov, Dan Bosnyak, Laurel Trainor

Journal Articles

The regularity of musical beat makes it a powerful stimulus promoting movement synchrony among people. Synchrony can increase interpersonal trust, affiliation, and cooperation. Musical pieces can be classified according to the quality of groove; the higher the groove, the more it induces the desire to move. We investigated questions related to collective music-listening among 33 participants in an experiment conducted in a naturalistic yet acoustically controlled setting of a research concert hall with motion tracking. First, does higher groove music induce (1) movement with more energy and (2) higher interpersonal movement coordination? Second, does visual social information manipulated by …

Measuring Freezing Of Gait During Daily-Life: An Open-Source, Wearable Sensors Approach, Martina Mancini, Vrutangkumar V. Shah, Samuel Stuart, Carolin Curtze, Fay B. Horak, Delaram Safarpour, John G. Nutt

Journal Articles

Background

Although a growing number of studies focus on the measurement and detection of freezing of gait (FoG) in laboratory settings, only a few studies have attempted to measure FoG during daily life with body-worn sensors. Here, we presented a novel algorithm to detect FoG in a group of people with Parkinson’s disease (PD) in the laboratory (Study I) and extended the algorithm in a second cohort of people with PD at home during daily life (Study II).

Methods

In Study I, we described of our novel FoG detection algorithm based on five inertial sensors attached to the feet, shins …

Student Perceptions Of A Service-Learning Course In A Rural Setting, Danae Dinkel, Shane Warehime, Julia Zurek, Olivia Welch, Kelsi Leininger, Kaitlyn Mcneil, John Rech, Kyle Ryan

Journal Articles

The primary purpose of this study was to explore students’ perceptions of a servicelearning course at a small, rural, state college. Throughout the semester-long course, the students learned about how to improve afterschool programs and childhood obesity in rural areas similar to the community that encompassed them. The class format consisted of both online discussions over articles, along with in-person meetings. Students then had the option to participate in a paid service opportunity to apply their knowledge in an after-school program; however, no students took part in this component of the class. Reasons the students could not participate in the …