Biomechanics Commons^™

Commentary: The Use Of Case-Based Learning And Concept Mapping To Teach Students Clinical Reasoning, Jeremy R. Hawkins, Michael Reeder, Michael Olson, Amy Bronson

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Introduction: Teaching students as inexperienced clinicians the process of evaluating athletic injuries and medical conditions is often challenging. Utilizing case-based learning and concept mapping as educational tools can facilitate growth in the clinical and diagnostic decision making process. Discussion: Experienced clinicians regularly employ case pattern recognition and hypothetico-deductive reasoning in clinical settings. Each type of reasoning is prone to anchoring and confirmation bias, devaluing relevant information, and framing effect if not utilized correctly. Classroom instructors and preceptors can use case-based learning and concept mapping to help students as inexperienced clinicians organize their thinking and more effectively apply their …

The Effects Of Deep Oscillation Therapy For Individuals With Lower-Leg Pain, Mccall E. Christian, Riley C. Koenig, Zachary K. Winkelmann, Kenneth E. Games

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Purpose: Lower extremity (LE) pain accounts for 13-20% of injuries in the active population. LE pain has been contributed to inflexibility and fascial restrictions. Deep oscillation therapy (DOT) has been proposed to improve range of motion and reduce pain following musculoskeletal injuries. Therefore, our objective was to determine the effectiveness of DOT on ankle dorsiflexion range of motion (ROM) and pain in individuals with and without lower-leg pain. Methods: We used a single blind, pre-post experimental study in a research laboratory. Thirty-two active participants completed this study. Sixteen individuals reporting lower-leg pain and sixteen non-painful individuals completed the study. Participants …

Perceptual And Contextual Sources Of Athletic Training Confidence: The Transition To Professional Entry Level Master’S Programs, Craig E. Pfeifer, Erin Moore, Brian Seiler, Caroline Thomason, Eva V. Monsma

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Introduction: The shift of athletic training education from undergraduate degrees to professional master’s degrees and the prominence of computer-based credentialing may impact the hands-on experiences beneficial for developing confidence in athletic training competency domains. Health care provider confidence is critical for clinical skill development, performance and enhancing patient care. Purpose: To examine domain specific efficacy, its sources, learning contexts (i.e., classroom, laboratory, clinical settings) and clinical characteristics by program types. Method: Descriptive, cross-sectional design where 178 Athletic Trainers (AT; age 24.25 + 3.76, n = 72 male, n = 106 female) participated in the study (Master’s Program (MP) = 38; …

How Prosthetic Ankle Stiffness & Load Carriage Affect Metabolic Energy Expenditure During Walking, Erica A. Hedrick, Philippe Malcolm, Jason M. Wilken, Kota Z. Takahashi

UNO Student Research and Creative Activity Fair

The ankle structures play a key role in body support, forward propulsion and leg swing. One important property of the human ankle is its ‘quasi-stiffness’, or resistance to angular motion. The ankle joint stiffness can play a role in aiding the lower leg as its rocks over the foot. Human biological ankle stiffness changes in response to changes in the mechanical demands of walking (e.g. added load or changes in speed), using active muscle contractions. However, the role of ankle stiffness in regulating metabolic energy across walking conditions is unknown. Therefore, the purpose of this study is to determine how …

Walking Adaptations To An Ankle Foot Orthosis In Individuals With Peripheral Artery Disease, Todd Leutzinger, Iraklis Pipinos, Jason Johanning, Mahdi Hassan, Holly Despiegelaere, Mukul Mukherjee, Sara Myers

UNO Student Research and Creative Activity Fair

Single Session Walking Adaptations to an Ankle Foot Orthosis in Patients with Claudication and Peripheral Artery Disease

Todd Leutzinger^{1, 2}, Iraklis Pipinos^{2, 3}, Jason Johanning^{2, 3}, Mukul Mukherjee¹, Sara Myers^{1, 2}

¹Department of Biomechanics, University of Nebraska at Omaha, Omaha, NE USA

²Nebraska and Western Iowa Veterans Affairs’ Medical Center, Omaha, NE USA

³Department of Surgery, University of Nebraska Medical Center, Omaha, NE USA

Email: [email protected]

Peripheral artery disease (PAD) is an atherosclerotic disease affecting the arteries of the lower extremities [1]. The primary symptom of PAD is …

The Effects Of Stiffness Of A Prosthetic Shock-Absorbing Pylon On Mechanical Work During Walking, Jenny Anne Maun

UNO Student Research and Creative Activity Fair

Name: Jenny Anne Maun

Title: The effects of stiffness of a prosthetic shock-absorbing pylon on mechanical work during walking

Degree: Masters

Faculty Advisor: Kota Z. Takahashi, PhD

Co-authors: Steven A. Gard, PhD; Matthew J. Major, PhD

A prosthetic shock-absorbing pylon (SAP) is intended to attenuate impact forces, provide comfort, and reduce residual limb pain for prosthesis users. However, the effect of an SAP and its spring stiffness on the mechanical work done by the prosthetic limb during walking remains unclear. The purpose of this study: to investigate the effects of SAP spring stiffness and walking speed on the mechanical work …

How The Foot Modulates Its Mechanics During Uphill And Downhill Walking, Jeffrey M. Patterson, Kota Z. Takahashi

UNO Student Research and Creative Activity Fair

The foot's biomechanical role in walking on sloped surfaces is currently unclear. While previous biomechanics studies have examined the hip, knee, and ankle, the foot is oversimplified as a rigid-body segment. This oversimplification overshadows its complex structure and function. In this project, we use an innovative multi-segment foot model to explore how the foot adapts its mechanics to incline and decline walking. Preliminary results have revealed that the foot is capable of adapting its mechanical work profile to both incline and decline walking. Specifically, the foot can increase its positive work output (i.e., increased energy generation) during inclined walking to …

Effect Of Dual-Task Walking On Long-Range Correlations In People With Parkinson's Disease, Shane Meltz

UNO Student Research and Creative Activity Fair

Parkinson’s Disease (PD) causes gait to be more variable and more random. Gait variability is related to disease severity, and may be a marker of fall risks. Gait in PD is attention-dependent, meaning a distraction while walking could be detrimental. The effects of dual-task walking on gait variability in PD are unclear (in particular fractal fluctuations). This study will determine if dual-task walking impacts stride-to-stride variability compared to normal walking in people with Parkinson’s Disease. We predict that dual-tasking will lead to more random stride-to-stride variability in people with PD, compared to controls. Also, within the PD group, we predict …

Effect Of Handrail Use During Stair Climbing In Oa Patients: A Pilot Study, Jenna Ackerman

UNO Student Research and Creative Activity Fair

Introduction: For the patients with osteoarthritis of the knee, stairs are commonly a difficult task and may be the first thing affect by osteoarthritis.1 This population often employs altered strategies when they approach, ascend, and descend the stairs compared to a healthy population. Within 12 years, 80% of patients develop knee osteoarthritis in the contralateral limb.2 Handrails play an important role by assisting with balance, control, and confidence, but their use needs to be assessed even further to fully understand how handrails impact the contralateral limb in osteoarthritic patients and how they may be integrated optimally into gait rehabilitation.

Purpose: …

3d Prosthetics Effects On Standing Posture In Unilateral Upper Limb Deficient Children, Keaton Young

UNO Student Research and Creative Activity Fair

3D Prosthetics Effects on Standing Posture in Unilateral Upper Limb Deficient Children

Keaton Young

Department of Biomechanics, University of Nebraska at Omaha

Introduction

Upper Limb Reduction Deficiency (ULD) is a congenital disability that affects the upper limb, which the Center for Disease Control and Prevention estimates that nearly 1,500 babies are born with ULD in the United States yearly ^1,2. Prior research has focused on functional treatment of the upper limbs but has lacked observance of the effects that prosthetics and limb loss incur to the trunk. Therefore, the purpose of this study is to examine the acute effects …

Isolating Aspects Of Gait Through The Use Of Pacing Signals: A Pilot Study, Joel Sommerfeld

UNO Student Research and Creative Activity Fair

A number of recent studies have shown that the temporal structure of pacing signals greatly influences the gait dynamics observed when coordinating with those signals. Typically, those studies have focused on autocorrelation structure (ACF). The current study builds on that work by addressing how the probability distribution (PDF) of pacing signals contributes to the process of synchronization. Results show that people use both of those sources of information when coordinating the timing of the lower limbs with an external pacing signal.

The Time Of Slip Onset During Stance Influences The Characteristics Of The Unconstrained Perturbation, Corbin Rasmussen, Nathaniel Hunt

UNO Student Research and Creative Activity Fair

Falls pose a significant health hazard, resulting in devastating injuries like broken wrists, fractured hips, and traumatic brain injuries that exceed $50 billion in U.S. medical costs. To address these risks, biomechanists have subjected individuals to simulated slips in order to study the factors that lead to falls. These studies have focused on slips that happen immediately after heel-strike and are unnaturally restricted by the methods used to cause the slip. Therefore, the effects of unconstrained slips that occur throughout stance phase are unknown. To address this knowledge gap, we examined the relationship between the timing of slip onset and …

Subthreshold Vibration Influences The Posture And Gait Of Transtibial Amputees, Charles Sloan

UNO Student Research and Creative Activity Fair

Unilateral transtibial amputees lose the afferent pathways of the limb when amputation occurs. The addition of vibration has shown to increase sensation on the applied limb. This study looks into how the addition of subthreshold vibration affects amputee gait and posture. Vibration applied to the residual limb was shown to have worked in posture, but not in gait.

Influence Of Hip Abductor Fatigue On Acl Loading During Single-Leg Landing, Namwoong Kim

UNO Student Research and Creative Activity Fair

A musculoskeletal simulation study is necessary to identify the cause-effect relationship between hip abductor weakness and ACL loading during athletic events such as landing and jumping. The purpose of this study was to identify the effect of weakness of hip abductors on lower extremity kinematics and ACL loading during single-leg landings. We hypothesized that hip abductor weakness would alter lower extremity joint kinematics. We also hypothesized that hip abductor weakness would increase ACL loading during single-leg landings. This study was a combination of a human experiment and a musculoskeletal modeling simulation. Ten healthy participants performed single-leg landing from a height …

An Altered Spatiotemporal Gait Adjustment During A Virtual Obstacle Crossing Task In Patients With Diabetic Peripheral Neuropathy, Chun-Kai Huang, Vijay Shivaswamy, Pariwat Thaisetthawatkul, Lynn Mack, Nicholas Stergiou, Ka-Chun Siu

Journal Articles

This study investigates spatiotemporal gait adjustments that occur while stepping over virtual obstacles during treadmill walking in people with/without diabetic peripheral neuropathy (DPN). Eleven adults with Type 2 diabetes mellitus, ten DPN, and 11 age-matched healthy adults (HTY) participated in this study. They stepped over forthcoming virtual obstacles during treadmill walking. Outcomes such as success rate, spatiotemporal gait characteristics during obstacle crossing, and correlations between these variables were evaluated. The results partially supported our hypotheses that when comparing with HTY and DM, people with DPN adopted a crossing strategy which decreased obstacle crossing success rate and maximal toe elevation, …

Uneven Terrain Exacerbates The Deficits Of A Passive Prosthesis In The Regulation Of Whole Body Angular Momentum In Individuals With A Unilateral Transtibial Amputation, Jenny A. Kent, Kota Z. Takahashi, Nicholas Stergiou

Journal Articles

Background

Uneven ground is a frequently encountered, yet little-studied challenge for individuals with amputation. The absence of control at the prosthetic ankle to facilitate correction for surface inconsistencies, and diminished sensory input from the extremity, add unpredictability to an already complex control problem, and leave limited means to produce appropriate corrective responses in a timely manner. Whole body angular momentum, L, and its variability across several strides may provide insight into the extent to which an individual can regulate their movement in such a context. The aim of this study was to explore L in individuals with a transtibial amputation, …

Correction: New Approaches For Assessing Squid Fin Motions: Coupling Proper Orthogonal Decomposition With Volumetric Particle Tracking Velocimetry (Doi:10.1242/Jeb.176750), Ian K. Bartol, Paul S. Krueger, Carly A. York, Joseph T. Thompson

Biological Sciences Faculty Publications

Squid, which swim using a coupled fin/jet system powered by muscular hydrostats, pose unique challenges for the study of locomotion. The high flexibility of the fins and complex flow fields generated by distinct propulsion systems require innovative techniques for locomotive assessment. For this study, we used proper orthogonal decomposition (POD) to decouple components of the fin motions and defocusing digital particle tracking velocimetry (DDPTV) to quantify the resultant 3D flow fields. Kinematic footage and DDPTV data were collected from brief squid, Lolliguncula brevis [3.1–6.5 cm dorsal mantle length (DML)], swimming freely in a water tunnel at speeds of 0.39–7.20 DML …

Gait Mechanics Differences Between Healthy Controls And Patients With Peripheral Artery Disease After Adjusting For Gait Velocity, Stride Length, And Step Width, John D. Mccamley, Eric Cutler, Kendra K. Schmid, Shane R. Wurdeman, Jason Johanning, Iraklis Pipinos, Sara A. Myers

Journal Articles

Patients with peripheral artery disease (PAD) experience significant leg dysfunction. The effects of PAD on gait include shortened steps, slower walking velocity, and altered gait kinematics and kinetics, which may confound joint torques and power measurements. Spatiotemporal parameters and joint torques and powers were calculated and compared between 20 patients with PAD and 20 healthy controls using independent t tests. Separate analysis of covariance models were used to evaluate group differences after independently adjusting for gait velocity, stride length, and step width. Compared with healthy controls, patients with PAD exhibited reduced peak extensor and flexor torques at the knee and …

Selection Procedures For The Largest Lyapunov Exponent In Gait Biomechanics, Peter C. Raffalt, Jenny A. Kent, Shane R. Wurdeman, Nicholas Stergiou

Journal Articles

The present study was aimed at investigating the effectiveness of the Wolf et al. (LyE_W) and Rosenstein et al. largest Lyapunov Exponent (LyE_R) algorithms to differentiate data sets with distinctly different temporal structures. The three-dimensional displacement of the sacrum was recorded from healthy subjects during walking and running at two speeds; one low speed close to the preferred walking speed and one high speed close to the preferred running speed. LyE_R and LyE_W were calculated using four different time series normalization procedures. The performance of the algorithms were evaluated based on their ability to return relative low values for slow …

Stride-Time Variability Is Related To Sensorimotor Cortical Activation During Forward And Backward Walking, Boman Groff, Prokopios Antonellis, Kendra K. Schmid, Brian Knarr, Nicholas Stergiou

Journal Articles

Previous research has used functional near-infrared spectroscopy (fNIRS) to show that motor areas of the cortex are activated more while walking backward compared to walking forward. It is also known that head movement creates motion artifacts in fNIRS data. The aim of this study was to investigate cortical activation during forward and backward walking, while also measuring head movement. We hypothesized that greater activation in motor areas while walking backward would be concurrent with increased head movement. Participants performed forward and backward walking on a treadmill. Participants wore motion capture markers on their head to quantify head movement and pressure …