Biomechanics Commons^™

The Effects Of A Foot-Toe Orthosis On Dynamic Balance And Hallux Valgus Angle, Adam Richard Kelly

Theses and Dissertations

Context: Decreased balance has been identified as a risk factor for lower extremity injury in several populations. Previous literature has investigated the effects of using orthotics, textured insoles and textured surfaces on balance. However, no research exists on the effects of a foot-toe orthosis on dynamic balance. Objective: To determine the effects of a foot-toe orthosis on dynamic balance and hallux valgus angle. Design: A randomized controlled trial. Setting: Athletic Training research laboratory. Participants: Sixty-three healthy and recreationally active collegiate students. (age: 21.59±1.49yrs, height 172.48±8.99cm, mass 73.86kg±15.64kg) Interventions: Participants were randomly allocated to one of three groups that received either …

Amputation Effects On The Underlying Complexity Within Transtibial Amputee Ankle Motion, Shane R. Wurdeman, Sara A. Myers, Nikolaos Stergiou

Journal Articles

The presence of chaos in walking is considered to provide a stable, yet adaptable means for locomotion. This study examined whether lower limb amputation and subsequent prosthetic rehabilitation resulted in a loss of complexity in amputee gait. Twenty-eight individuals with transtibial amputation participated in a 6 week, randomized cross-over design study in which they underwent a 3 week adaptation period to two separate prostheses. One prosthesis was deemed “more appropriate” and the other “less appropriate” based on matching/mismatching activity levels of the person and the prosthesis. Subjects performed a treadmill walking trial at self-selected walking speed at multiple points of …

Persistent Fluctuations In Stride Intervals Under Fractal Auditory Stimulation, Vivien Marmelat, Kjerstin Torre, Peter J. Beek, Andreas Daffertshofer

Journal Articles

Stride sequences of healthy gait are characterized by persistent long-range correlations, which become anti-persistent in the presence of an isochronous metronome. The latter phenomenon is of particular interest because auditory cueing is generally considered to reduce stride variability and may hence be beneficial for stabilizing gait. Complex systems tend to match their correlation structure when synchronizing. In gait training, can one capitalize on this tendency by using a fractal metronome rather than an isochronous one? We examined whether auditory cues with fractal variations in inter-beat intervals yield similar fractal inter-stride interval variability as isochronous auditory cueing in two complementary experiments. …

The Importance Of Managing Psychosocial Health: A Case Study, Mary Insana Fisher, Harold L. Merriman

Physical Therapy Faculty Publications

Managing the physical aspects of lymphedema requires an individual to be committed to daily treatment of this chronic condition. Performing manual lymph drainage, using compression bandaging or compression garments, exercising, and caring for the skin all take time and a high level of dedication. This commitment to self-care can be emotionally and psychologically exhausting.

When coupled with other emotional stressors in a patient’s life, successful treatment of lymphedema is challenging. We present a case demonstrating how the physical and psychological aspects of care interplay, and, when well-managed, can positively affect the outcome.

Breast Cancer Edge Task Force Outcomes - Clinical Measures Of Strength And Muscular Endurance: A Systematic Review, Mary Insana Fisher, Claire Davies, Christine Beuthin, Genevieve Colon, Brittany Zoll, Lucinda Pfalzer

Physical Therapy Faculty Publications

Background: Muscular strength deficits are a common morbidity following treatment for breast cancer. Accurate assessment of strength and muscular endurance following breast cancer treatments is essential in identifying deficits and planning rehabilitation strategies.

Purpose: The purpose of this systematic review was to identify strength and muscular endurance outcome measures for use with women treated for breast cancer that possess strong psychometric properties and are clinically useful.

Methods: Multiple electronic databases were searched between February and June 2013. Included studies of tools used to assess strength and muscular endurance met the following criteria: reported psychometric properties, clinically feasible methods, adults (preferably …

Test Items In The Complete And Short Forms Of The Bot-2 That Contribute Substantially To Motor Performance Assessments In Typically Developing Children 6-10 Years Of Age, Kadi Carmosino, Ashley Grzeszczak, Kaylie Mcmurray, Ali Olivo, Bo Slutz, Brittany Zoll, Betsy Donahoe-Fillmore, C. Jayne Brahler

Physical Therapy Faculty Publications

Objectives: Determine the magnitude of association between individual subtest items of the Bruininks-Oseretsky Test of Motor Proficiency, second edition (BOT-2), and the respective total subtest scores and to review items on the BOT-2 Short Form.

Background: The Bruininks-Oseretsky Test of Motor Proficiency, second edition (BOT-2), is a test used to measure gross motor proficiency in both typically developing children and children with developmental disabilities between the ages of four and twenty-one. The BOT-2 Short Form consists of fourteen test items proportionally selected from the subtests of the Complete Form. It can be used as a screening tool and takes less …

Evaluation Of Static And Dynamic Postural Control In Athletes With Concussions During Recovery, Nicholas Murray

Open Access Theses & Dissertations

Approximately seventy-six percent of individuals with a sport-related concussion present with reduced balance. Current Return-to-Play (RTP) protocols rely heavily on measures of static balance that are not environmentally relevant. However, due to the variable nature of symptom presentation, research has not clearly defined a requisite time for balance recovery following a sport-related concussion. The use of novel procedures such as monitoring postural control during an environmentally relevant dynamic balance tasks could refine the timeline for recovery of postural control and aid in mitigating the potential severe consequences of Second Impact Syndrome. Therefore, the purpose of this study was to investigate …

Biomechanics Of Slips In Alternative Footwear, Harish Chander

Electronic Theses and Dissertations

Injuries in the workplace pose a significant burden to the health of human beings as well as financial or economic losses to occupational organizations. Slips, trips and an induced loss of balance have been identified as the major causative factor for workplace injuries involving falls (Courtney et al, 2001; Redfern et al, 2001). The bureau of labor statistics reported 15% of a total of 4,693 workplace fatalities and a total of 299,090 cases of non-fatal workplace injuries that were due to slips, trips and falls (BLS, 2011). The purpose of the study was to analyze the biomechanics of human locomotion …

Mechanomyographic Parameter Extraction Methods: An Appraisal For Clinical Applications, Morufu Olusola Ibitoye, Nur Azah Hamzaid, Jorge M. Zuniga, Nazirah Hasnan, Ahmad Khairi Abdul Wahab

Journal Articles

The research conducted in the last three decades has collectively demonstrated that the skeletal muscle performance can be alternatively assessed by mechanomyographic signal (MMG) parameters. Indices of muscle performance, not limited to force, power, work, endurance and the related physiological processes underlying muscle activities during contraction have been evaluated in the light of the signal features. As a non-stationary signal that reflects several distinctive patterns of muscle actions, the illustrations obtained from the literature support the reliability of MMG in the analysis of muscles under voluntary and stimulus evoked contractions. An appraisal of the standard practice including the measurement theories …

Training Strategies And Movement Assessments In Athletes And Non-Athletes, Matthew David Lewis

Theses and Dissertations--Kinesiology and Health Promotion

This dissertation is composed of three manuscripts based on two studies related to training and assessment methods used to evaluate change and overall quality in measures of performance, postural control, and functional movement. Study one evaluated the effect of sand training on athletic performance and postural control. Study two investigated the effect of scoring strata of the deep squat (DS) component of the Functional Movement Screen (FMS) on the weight-bearing lunge test (WBLT), Star Excursion Balance Test (SEBT), and Lateral Flexion Test (LFT) in 101 male and female college students.

Study one results included significant overall improvements of the five …

Shoulder Impingement In Water Polo Players, Kelly A. Davis

Scripps Senior Theses

Water polo is a highly dynamic and physically demanding sport that has heretofore not inspired nearly as much research as other overhead sports such as baseball or swimming. As in almost all overhead sports, water polo puts its players at high risks for shoulder injuries since the motions required to perform the sport at an optimum level push the limits of normal shoulder function.

Human shoulders are inherently unstable as a tradeoff to their flexibility. Because of this instability, many structures are required to work concurrently to keep the shoulder in place. These structures include muscles, ligaments and cartilages. It …

Examining The Role Of Attention In Steering Using A Dual Task Paradigm, Venkata Naga Pradeep Ambati

Open Access Theses & Dissertations

Changing the direction of locomotion, often referred to as "steering", is an integral component of human locomotion. Steering requires maintaining dynamic balance while translating and rotating the body in the new travel direction. Given the level of sensation thought to be involved in sub serving goal directed modifications in steering, it is highly likely that steering control may require attention. Since attention resources decline with increasing age, we may see the influence of age on steering performance when attention resources are limited. Therefore, this study sought to investigate the role of attention in steering using a dual task paradigm in …

Modulation Of Vestibular Evoked Reflexes In Postural Muscles During Self-Motion Experiences In Virtual Environments, Fabricio Saucedo

Open Access Theses & Dissertations

BACKGROUND & AIM: Maintaining posture requires the input from three primary sensory systems. These systems include somatosensory, visual, and vestibular components. Of these three systems, the visual and vestibular systems work closest to maintain balance and posture due to visual-vestibular interactions that take place during static and dynamic activities. They are mainly responsible for identifying stimuli and using sensory information to orient the body in space. Thus, understanding how visual and vestibular components integrate may be critical to understand how visual and vestibular sensory information is weighted to control balance. The purpose of this investigation was to determine if visual …

Pedestrian Head Protection During Car To Pedestrian Accidents: In The Event Of Primary Impact With Vehicle And Secondary Impact With Ground, Vishal Gupta

Wayne State University Dissertations

Current regulations for assessing pedestrian safety use a simplified test setup that ignores many real-world factors. In particular, the level of protection is assessed using a free-motion headform impacting the vehicle's hood at a fixed angle. As such, this test setup does not capture the effect due to the vehicle front-end profile, nor does it comprehend injury due to a possible secondary impact of the pedestrian's head with ground. This thesis aims to numerically simulate vehicle to pedestrian crashes to develop knowledge that may suggest ways to improve safety above and beyond the regulatory tests. Inputs to the simulations include …

Changes In Predicted Muscle Coordination With Subject-Specific Muscle Parameters For Individuals After Stroke, Brian A. Knarr, Darcy S. Reiman, Stuart A. Binder-Macleod, Jill S. Higginson

Journal Articles

Muscle weakness is commonly seen in individuals after stroke, characterized by lower forces during a maximal volitional contraction. Accurate quantification of muscle weakness is paramount when evaluating individual performance and response to after stroke rehabilitation. The objective of this study was to examine the effect of subject-specific muscle force and activation deficits on predicted muscle coordination when using musculoskeletal models for individuals after stroke. Maximum force generating ability and central activation ratio of the paretic plantar flexors, dorsiflexors, and quadriceps muscle groups were obtained using burst superimposition for four individuals after stroke with a range of walking speeds. Two models …

The Relationship Between Dorsiflexion Range Of Motion And Knee Kinematics In A Land-And-Jump Task, Nate Brookreson

EWU Masters Thesis Collection

The study examined the relationship between weight-bearing and non weight-bearing dorsiflexion range of motion and frontal knee kinematics at initial ground contact and maximal knee flexion in a land-and-jump task. Thirteen male participants (age = 23 + 2.35 y, height = 181.4 + 5.68 cm, mass = 84.5 + 17.2 kg) proficient in landing and jumping techniques and free from lower limb injury participated in the study. Measurement of ankle range of motion was conducted utilizing non weight-bearing and weight-bearing positions prior to participating in the land-and jump task. During the jump, a 10-camera Vicon 3D Motion Analysis System captured …

Gait Initiation Mechanics In Concussed Varsity Athletes, Adam Harper

Theses and Dissertations (Comprehensive)

Concussions are a common and potentially serious injury that affects athletes across multiple sports. More than ever concussions are now at the forefront of sport-related research.

Current research indicates that in a cohort of Canadian junior hockey players examined during the 2009-2010 season showed a rate of concussion at 36.5% of all athletic injuries (Echlin et al., 2010). This rate of concussion injury indicates that proper evaluations and examination tools are key to successful management of concussions. The objective of this study was to determine whether a functional task such as gait initiation is able to quantify stability difference following …