Biomechanics Commons^™

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

Journal Articles

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

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

Journal Articles

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

Variability Of Gait Is Dependent On Direction Of Progression: Implications For Active Control, Shane R. Wurdeman, Neil B. Huben

Journal Articles

Typical healthy walking displays greater variability in the mediolateral direction compared to the anteroposterior direction. This greater variability is thought to represent increased uncertainty in movement. As a result, it has been postulated that the mediolateral direction of gait requires more active control by the central nervous system while the anteroposterior direction is controlled through passive actions. However, this theory has only been tested on gait where progression occurs in the anteroposterior direction. Therefore, the purpose of this study was to investigate how the amount of variability is affected if progression occurs in the mediolateral direction using a lateral stepping …

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

Journal Articles

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

Gait Variability Of Patients With Intermittent Claudication Is Similar Before And After The Onset Of Claudication Pain, Sara A. Myers, Iraklis Pipinos, Jason Johanning, Nikolaos Stergiou

Journal Articles

Background

Recent research demonstrated that intermittent claudication patients have increased gait variability prior to the onset of claudication. However, it is unknown if these patients experience additional gait adaptations after the onset of claudication. Thus, we sought to determine how gait variability is affected by claudication in an effort to contribute to improved clinical management.

Methods

Twenty-six intermittent claudication patients and 20 controls walked on a treadmill at self-selected speed; intermittent claudication patients were tested before (pain free) and after (pain) the onset of claudication. Variability of the ankle, knee, and hip joint angles was assessed using the largest Lyapunov …

Walk-Run Transition Speed And The Relevance Of Loading, Muscular Fatigue, And Human Kinematics: A Comparison Of Human Gait Patterns, Callie Elizabeth Gunderson

Boise State University Theses and Dissertations

INTRODUCTION: The walk-to-run transition (WRT) typically occurs at a preferred transition speed (PTS) of 1.9-2.1ms^-1. Previous research has focused on potential triggers for this transition such as leg length, muscular fatigue, loading rates (LR), and vertical ground reaction forces (VGRFs). Rather than focus on mechanisms responsible for the transition, the purpose of the current study was to determine if basic anthropometrics or gait characteristics are predictive of the WRT. METHODS: Thirty participants were recruited for the current study (n = 13 male, 17 female; n = 11 normal weight, n = 10 overweight, n = …

Comparative Forelimb Muscle Function In Turtles: Tests Of Environmental Variation And Neuromotor Conservation, Angela Rivera

All Dissertations

Novel locomotor functions in animals may evolve through changes in morphology, muscle activity, or a combination of both. The idea that new functions or behaviors can arise solely through changes in structure, without concurrent changes in the patterns of muscle activity that control movement of those structures, has been formalized as the `neuromotor conservation hypothesis'. In vertebrate locomotor systems, evidence for neuromotor conservation is found across transitions in terrestrial species and into fliers, but transitions in aquatic species have received little comparable study to determine if changes in morphology and muscle function were coordinated through the evolution of new locomotor …

Multiple Sclerosis Affects The Frequency Content In The Vertical Ground Reaction Forces During Walking, Shane R. Wurdeman, Jessie M. Huisinga, Mary Filipi, Nikolaos Stergiou

Journal Articles

Background: Multiple sclerosis is a progressive neurological disease that results in a high incident of gait disturbance. Exploring the frequency content of the ground reaction forces generated during walking may provide additional insights to gait in patients with multiple sclerosis that could lead to specific tools for differential diagnosis. The purpose of this study was to investigate differences in the frequency content of these forces in an effort to contribute to improved clinical management of this disease.

Methods: Eighteen patients and eighteen healthy controls walked across a 10 meter long walkway. The anterior–posterior and vertical ground reaction forces generated …

Walking Abnormalities Are Associated With Copd: An Investigation Of The Nhanes Iii Dataset, Jenna M. Yentes, Harlan Sayles, Jane Meza, David M. Mannino, Stephen I. Rennard, Nikolaos Stergiou

Journal Articles

Research on the peripheral effects of COPD has focused on physiological and structural changes. However, different from muscular weakness or decreased physical activity, mechanical abnormalities of the muscular system, e.g. walking, have yet to be investigated. Our purpose was to utilize the National Health and Nutritional Examination Survey (NHANES) dataset to determine whether walking abnormalities are associated with COPD severity. To determine if walking abnormalities were independently associated with COPD severity, our analysis aimed to investigate the association of physical activity levels with COPD severity and with walking abnormalities. The NHANES III dataset that contains data for 31,000 persons that …

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

All Theses

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

Treatment With Pharmacological Agents In Peripheral Arterial Disease Patients Does Not Result In Biomechanical Gait Changes, Jessie M. Huisinga, Iraklis Pipinos, Nikolaos Stergiou, Jason Johanning

Journal Articles

Pharmacological treatment has been used to alleviate the claudication symptoms and improve walking performance in peripheral arterial disease (PAD) patients. However, the effects of claudication treatments on gait mechanics have not been objectively indentified with biomechanical techniques. For this study, 20 PAD patients were assigned to take either pentoxifylline (n = 11) or cilostazol (n = 9), the two FDA-approved pharmacological therapies used to treat intermittent claudication symptoms. All patients completed a gait evaluation protocol that involved the acquisition of kinematic and kinetic gait data before use of the medication and after 12 weeks of treatment. Results showed that treatment …

The Effect Of Virtual Reality On Gait Variability, Dimitrios Kastavelis, Mukul Mukherjee, Leslie M. Decker, Nikolaos Stergiou

Journal Articles

Optic Flow (OF) plays an important role in human locomotion and manipulation of OF characteristics can cause changes in locomotion patterns. The purpose of the study was to investigate the effect of the velocity of optic flow on the amount and structure of gait variability. Each subject underwent four conditions of treadmill walking at their self-selected pace. In three conditions the subjects walked in an endless virtual corridor, while a fourth control condition was also included. The three virtual conditions differed in the speed of the optic flow displayed as follows – same speed (OFn), faster (OFf), and slower (OFs) …

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

Journal Articles

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

Hydrodynamic Fin Function Of Brief Squid, Lolliguncula Brevis, William J. Stewart, Ian K. Bartol, Paul S. Krueger

Biological Sciences Faculty Publications

Although the pulsed jet is often considered the foundation of a squid's locomotive system, the lateral fins also probably play an important role in swimming, potentially providing thrust, lift and dynamic stability as needed. Fin morphology and movement vary greatly among squid species, but the locomotive role of the fins is not well understood. To begin to elucidate the locomotive role of the fins in squids, fin hydrodynamics were studied in the brief squid Lolliguncula brevis, a species that exhibits a wide range of fin movements depending on swimming speed. Individual squid were trained to swim in both the …

Variability Of Lower Extremity Joint Kinematics During Backward Walking In A Virtual Environment, Dimitrios Kastavelis, Mukul Mukherjee, Leslie M. Decker, Nikolaos Stergiou

Journal Articles

Backward walking (BW) shows significant differences with forward walking (FW) and these differences are potentially useful in rehabilitation. However the lack of visual cues makes BW risky. The purpose of this study was to investigate the effect of visual cues provided by a virtual environment on FW and BW on gait variability. Each subject underwent four conditions of treadmill walking at self-selected pace. The subjects walked backwards in three conditions and forwards in the fourth condition. A virtual corridor was displayed to the subjects in the FW condition (forward optic flow) and two of the backward conditions (forward and backward …

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

Journal Articles

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

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

Nonlinear Analysis Of Ambulatory Activity Patterns In Community-Dwelling Older Adults, James T. Cavanaugh, Naomi Kochi, Nikolaos Stergiou

Journal Articles

Background The natural ambulatory activity patterns of older adults are not well understood. User-worn monitors illuminate patterns of ambulatory activity and generate data suitable for analysis using measures derived from nonlinear dynamics.

MethodsAmbulatory activity data were collected continuously from 157 community-dwelling older adults for 2 weeks. Participants were separated post hoc into groups based on the mean number of steps per day: highly active (steps ≥ 10,000), moderately active (5,000 ≤ steps < 10,000 steps), and inactive (steps

Results All groups displayed patterns of fluctuating step count values containing complex temporal structure. DFA, ER, and ApEn parameter values increased monotonically and significantly with increasing activity …

The Effects Of Shoe Traction And Obstacle Height On Lower Extremity Coordination Dynamics During Walking, Leslie M. Decker, Jeremy J. Houser, John M. Noble, Gregory M. Karst, Nikolaos Stergiou

Journal Articles

This study aims to investigate the effects of shoe traction and obstacle height on lower extremity relative phase dynamics (analysis of intralimb coordination) during walking to better understand the mechanisms employed to avoid slippage following obstacle clearance. Ten participants walked at a self-selected pace during eight conditions: four obstacle heights (0%, 10%, 20%, and 40% of limb length) while wearing two pairs of shoes (low and high traction). A coordination analysis was used and phasing relationships between lower extremity segments were examined. The results demonstrated that significant behavioral changes were elicited under varied obstacle heights and frictional conditions. Both decreasing …

Pulsed Jet Dynamics Of Squid Hatchlings At Intermediate Reynolds Numbers, Ian K. Bartol, Paul S. Krueger, William J. Stewart, Joseph T. Thompson

Biological Sciences Faculty Publications

Squid paralarvae (hatchlings) rely predominantly on a pulsed jet for locomotion, distinguishing them from the majority of aquatic locomotors at low/intermediate Reynolds numbers (Re), which employ oscillatory/undulatory modes of propulsion. Although squid paralarvae may delineate the lower size limit of biological jet propulsion, surprisingly little is known about the hydrodynamics and propulsive efficiency of paralarval jetting within the intermediate Re realm. To better understand paralarval jet dynamics, we used digital particle image velocimetry (DPIV) and high-speed video to measure bulk vortex properties ( e. g. circulation, impulse, kinetic energy) and other jet features [ e. g. average and …

Evidence Of Self-Correcting Spiral Flows In Swimming Boxfishes, I. K. Bartol, M. S. Gordon, P. Webb, D. Weihs, M. Gharib

Biological Sciences Faculty Publications

The marine boxfishes have rigid keeled exteriors (carapaces) unlike most fishes, yet exhibit high stability, high maneuverability and relatively low drag given their large cross-sectional area. These characteristics lend themselves well to bioinspired design. Based on previous stereolithographic boxfish model experiments, it was determined that vortical flows develop around the carapace keels, producing self-correcting forces that facilitate swimming in smooth trajectories. To determine if similar self-correcting flows occur in live, actively swimming boxfishes, two species of boxfishes (Ostracion meleagris and Lactophrys triqueter) were induced to swim against currents in a water tunnel, while flows around the fishes were quantified …

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

Journal Articles

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

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

Scholarship and Professional Work - LAS

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

An Improved Surrogate Method For Detecting The Presence Of Chaos In Gait, David J. Miller, Nikolaos Stergiou, Max J. Kurz

Journal Articles

It has been suggested that the intercycle variability present in the time series of biomechanical gait data is of chaotic nature. However, the proper methodology for the correct determination of whether intercycle fluctuations in the data are deterministic chaos or random noise has not been identified. Our goal was to evaluate the pseudoperiodic surrogation (PPS) [Small et al., 2001. Surrogate test for pseudoperiodic time series data. Physical Review Letters 87(18), 188,101–188,104], and the surrogation algorithms of Theiler et al. [1992. Testing for nonlinearity in time series: the method of surrogate data. Physica D 58(1–4), 77–94] and of Theiler and Rapp …

An Artificial Neural Network That Utilizes Hip Joint Actuations To Control Bifurcations And Chaos In A Passive Dynamic Bipedal Walking Model, Max J. Kurz, Nikolaos Stergiou

Journal Articles

Chaos is a central feature of human locomotion and has been suggested to be a window to the control mechanisms of locomotion. In this investigation, we explored how the principles of chaos can be used to control locomotion with a passive dynamic bipedal walking model that has a chaotic gait pattern. Our control scheme was based on the scientific evidence that slight perturbations to the unstable manifolds of points in a chaotic system will promote the transition to new stable behaviors embedded in the rich chaotic attractor. Here we demonstrate that hip joint actuations during the swing phase can provide …

The Effect Of Anterior Cruciate Ligament Recontruction On Lower Extremity Relative Phase Dynamics During Walking And Running, Max J. Kurz, Nikolaos Stergiou, Ugo H. Buzzi, Anastasios D. Georgoulis

Journal Articles

The purpose of this investigation was to use relative phase dynamics to evaluate gait in individuals with a reconstructed anterior cruciate ligament (ACL) during walking and running. Relative phase dynamics can describe the coordination strategies between the interacting segments at the lower extremity. Ten subjects who had undergone ACL reconstruction using the central third of their patellar tendon and ten healthy controls walked and ran on a treadmill at a self-selected pace. Relative phase dynamics were calculated for the foot–shank and shank–thigh coordinative relation- ships. Statistical differences between the groups were noted for the foot– shank relationship (p<0.05) during both walking and running and for the shank–thigh relationship (p<0.05) during walking. Our results indicate that current ACL reconstructive techniques may result in altered relative phase dynamics. These changes in relative phase dynamics could be related to a loss of sensory information about joint position and velocity that is typically provided by the intact ACL. Additionally, relative phase adaptations could be a learned response from the early stages of postsurgical rehabilitation. Relative phase dynamics provide quantitative information about the dynamic status of the ACL-reconstructed knee that cannot be gained from the conventional time-series evaluation of gait analysis data. Relative phase dynamics measures should supplement the conventional gait analysis measures that are used today for the clinical evaluation of the functional dynamic stability of the reconstructed knee. The examination of relative phase dynamics could be clinically important for the quantification of new ACL surgical interventions and of patient performance at various stages of rehabilitation. Further research should incorporate relative phase dynamics to understand the influence of ACL reconstruction on coordination and functional patient outcomes.

Baseline Measures Are Altered In Biomechanical Studies, Nikolaos Stergiou, Melissa Scott

Journal Articles

The purpose of this investigation was to examine if baseline measures are altered between conditions in biomechanical studies and to determine the need for baseline measurements in biomechanics. Ten runners were asked to run at varying speeds and obstacle heights. Baseline measures were acquired between all conditions. Right lower extremity kinematic and kinetic data were collected for all baseline trials and evaluated by both a group and a single subject analysis. The group analysis revealed significant differences between baselines only for the obstacle perturbation. The single subject analysis indicated that baseline measures are altered in a greater degree for kinematics …

A Template For The Exploration Of Chaotic Locomotive Patterns, Max J. Kurz, Nikolaos Stergiou, Jack Heidel, E. Terry Foster

Journal Articles

Inverted pendulum and spring-mass models have been successfully used to explore the dynamics of the lower extremity for animal and human locomotion. These models have been classified as templates that describe the biomechanics of locomotion. A template is a simple model with all the joint complexities, muscles and neurons of the locomotor system removed. Such templates relate well to the observed locomotive patterns and provide reference points for the development of more elaborate dynamical systems. In this investigation, we explored if a passive dynamic double pendulum walking model, that walks down a slightly sloped surface (γγ was increased, …

The Effect Of The Walking Speed On The Stability Of The Anterior Cruciate Ligament Deficient Knee, Nikolaos Stergiou, Constantina O. Moraiti, Giannis Giakas, Stavros Ristanis, Anastasios D. Georgoulis

Journal Articles

Background. The reasons behind the development of future pathology in individuals with anterior cruciate ligament deficiency are unknown. This is due to the lack of appropriate methods to assess functional dynamic knee stability. In this study, we investigated the effect of walking speed on the functional dynamic stability of the anterior cruciate ligament deficient knee. We defined functional dynamic stability as local stability or the sensitivity of the knee to small perturbations. The natural stride-to-stride variations that exist during locomotion reflect exactly the presence of these perturbations. We hypothesized that speed will affect local stability in the deficient knee, …

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

All HMC Faculty Publications and Research

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

The Aging Human Neuromuscular System Expresses Less Certainty For Selecting Joint Kinematics During Gait, Max J. Kurz, Nikolaos Stergiou

Journal Articles

This investigation quantitatively characterized the certainty of the aging neuromuscular system in selecting a joint range of motion during gait based on the statistical concept of entropy. Elderly and young control groups walked on a treadmill at a self-selected pace. Joint angles were calculated for the ankle, knee and hip. We hypothesized that the aging group would exhibit less certainty in selecting a joint range of motion during gait. Our results supported this hypothesis, and indicated that aged individuals demonstrated statistically less certainty for the knee (16.8%) and hip (24.6%). We suggest that neurophysiological changes associated with aging may result …