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1.
Am J Ophthalmol ; 2024 Aug 30.
Artículo en Inglés | MEDLINE | ID: mdl-39218382

RESUMEN

PURPOSE: To investigate the relationship between intraocular pressure (IOP) changes and corneal biomechanical properties, determine the quantitative relationship between IOP changes and corneal biomechanical properties in patients with glaucoma and observe the differences among different types of glaucoma when the effects of high-level IOP were excluded. DESIGN: Prospective clinical cohort study. METHODS: Setting: Institutional. PATIENTS: Treatment-naive patients with primary open-angle glaucoma or ocular hypertension (OHT) were included. OBSERVATION PROCEDURES: IOP was measured using a Goldmann applanation tonometer. Corneal biomechanics were evaluated using a corneal indentation device and corneal visualization Scheimpflug technology. Medication therapy was used for IOP reduction. Repeated measurements were taken at the baseline visit and each week thereafter within a month. Paired t tests were used to compare IOP and corneal biomechanical metrics before and after IOP-lowering therapy. One-way analysis of variance was employed to investigate potential differences across groups, with a Bonferroni post hoc correction administered for multiple intergroup comparisons. MAIN OUTCOME MEASURES: Corneal biomechanical parameters following IOP changes. RESULTS: Eighty-one participants (mean age, 41.63 ± 17.33 years) were included in this study. The cohort comprised 20 patients with normal-tension glaucoma (NTG), 47 with high-tension glaucoma (HTG), and 14 with OHT. The baseline corneal stiffness (88.58±18.30 N/m) and corneal modulus (0.71±0.16 MPa) were greater than the post-IOP reduction values (67.15±9.24 N/m and 0.54±0.08 MPa, respectively; P<0.001). The relationships between changes in IOP and changes in corneal biomechanical parameters were Δ corneal stiffness=2.06*ΔIOP+6.47 (P<0.001) and Δ corneal modulus=0.017*ΔIOP+0.051 (P<0.001). After IOP reduction, the mean corneal stiffness at the 4th week in the NTG group was significantly lower (60.97±6.36 N/m) than that in the HTG (67.25±9.01 N/m) and OHT (75.62±6.52 N/m, P < 0.001) groups. Additionally, the stiffness of HTG patients was lower than that of OHT patients (P = 0.003). CONCLUSIONS: Changes in IOP have an impact on corneal biomechanical parameters. Decreases in corneal stiffness and modulus were observed after IOP reduction. When the effect of high-level IOP was excluded, corneal biomechanics varied according to the type of glaucoma. The HTG corneas were softer than the OHT corneas, and the NTG corneas were even softer.

2.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi ; 41(4): 790-797, 2024 Aug 25.
Artículo en Chino | MEDLINE | ID: mdl-39218606

RESUMEN

To address the conflict between the "fitness" and "feasibility" of body-fitted stents, this paper investigates the impact of various smoothing design strategies on the mechanical behaviour and apposition performance of stent. Based on the three-dimensional projection method, the projection region was fitted with the least squares method (fitting orders 1-6 corresponded to models 1-6, respectively) to achieve the effect of smoothing the body-fitted stent. The simulation included the crimping and expansion process of six groups of stents in stenotic vessels with different degrees of plaque calcification. Various metrics were analyzed, including bending stiffness, stent ruggedness, area residual stenosis rate, contact area fraction, and contact volume fraction. The study findings showed that the bending stiffness, stent ruggedness, area residual stenosis rate, contact area fraction and contact volume fraction increased with the fitting order's increase. Model 1 had the smallest contact area fraction and contact volume fraction, 77.63% and 83.49% respectively, in the incompletely calcified plaque environment. In the completely calcified plaque environment, these values were 72.86% and 82.21%, respectively. Additionally, it had the worst "fitness". Models 5 and 6 had similar values for stent ruggedness, with 32.15% and 32.38%, respectively, which indicated the worst "feasibility" for fabrication and implantation. Models 2, 3, and 4 had similar area residual stenosis rates in both plaque environments. In conclusion, it is more reasonable to obtain the body-fitted stent by using 2nd to 4th order fitting with the least squares method to the projected region. Among them, the body-fitted stent obtained by the 2nd order fitting performs better in the completely calcified environment.


Asunto(s)
Stents , Humanos , Diseño de Prótesis , Simulación por Computador , Placa Aterosclerótica
3.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi ; 41(4): 758-765, 2024 Aug 25.
Artículo en Chino | MEDLINE | ID: mdl-39218602

RESUMEN

The use of a filling block can improve the initial stability of the fixation plate in the open wedge high tibial osteotomy (OWHTO), and promote bone healing. However, the biomechanical effects of filling block structures and materials on OWHTO remain unclear. OWHTO anatomical filling block model was designed and built. The finite element analysis method was adopted to study the influence of six filling block structure designs and four different materials on the stress of the fixed plate, tibia, screw, and filling block, and the micro-displacement at the wedge gap of the OWHTO fixation system. After the filling block was introduced in the OWHTO, the maximum von Mises stress of the fixation plate was reduced by more than 30%, the maximum von Mises stress of the tibia decreased by more than 15%, and the lateral hinge decreased by 81%. When the filling block was designed to be filled in the posterior position of the wedge gap, the maximum von Mises stress of the fixation system was 97.8 MPa, which was smaller than other filling methods. The minimum micro-displacement of osteotomy space was -2.9 µm, which was larger than that of other filling methods. Compared with titanium alloy and tantalum metal materials, porous hydroxyapatite material could obtain larger micro-displacement in the osteotomy cavity, which is conducive to stimulating bone healing. The results demonstrate that OWHTO with a filling block can better balance the stress distribution of the fixation system, and a better fixation effect can be obtained by using a filling block filled in the posterior position. Porous HA used as the material of the filling block can obtain a better bone healing effect.


Asunto(s)
Placas Óseas , Análisis de Elementos Finitos , Osteotomía , Impresión Tridimensional , Tibia , Osteotomía/métodos , Tibia/cirugía , Humanos , Fenómenos Biomecánicos , Estrés Mecánico , Tornillos Óseos
4.
Acta Bioeng Biomech ; 26(1): 77-88, 2024 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-39219073

RESUMEN

Purpose: The aim of this work was to investigate and compare back and lower extremity joint moments and muscle excitation during stoop and squat postures by incorporating gender-based differences and analyzing lifting phases. Methods: 18 healthy adults (9 males and 9 females; age: 24.44 ± 4.96 years, body mass: 66.00 ± 12.10 kg, height: 170.11 ± 9.20 cm, lean body mass: 48.46 ± 7.66 kg) lifted an object 30% of their lean body mass using squat and stoop postures. Marker-based motion capture, force plate, and surface electromyography were synchronously used to acquire joint moments and muscle excitation. A 3-way mixed model analysis was performed to determine the effect of gender, posture, and phase on internal joint moments and muscle excitation of the lower back and extremities. Results: Significant differences were observed in the interaction of lifting posture and phase on lower extremity moments and excitation of rectus femoris and medial gastrocnemius. Individual effects of posture were significant for peak internal joint moments of the lower extremities only. Anterior lower extremity muscles showed significantly increased excitation during squat, whereas medial gastrocnemius was higher in stoop. Joint moments and muscle excitations were all higher during the lifting than the bending phase. Gender differences were found only in the peak lumbosacral sagittal plane moment and rectus femoris muscle excitation. Conclusions: The study identified significant variations in the joint moments and muscle excitation in lifting, influenced by gender, posture, and phase, highlighting its complex nature. Overall interactions were lacking, however individual effects were evident, necessitating larger future studies.


Asunto(s)
Elevación , Extremidad Inferior , Músculo Esquelético , Postura , Humanos , Femenino , Masculino , Postura/fisiología , Extremidad Inferior/fisiología , Estudios Transversales , Adulto Joven , Adulto , Músculo Esquelético/fisiología , Caracteres Sexuales , Dorso/fisiología , Electromiografía , Fenómenos Biomecánicos
5.
Am J Sports Med ; : 3635465241271968, 2024 Sep 02.
Artículo en Inglés | MEDLINE | ID: mdl-39222084

RESUMEN

BACKGROUND: Individual maximum joint and segment angular velocities have shown positive associations with throwing arm kinetics and ball velocity in baseball pitchers. PURPOSE: To observe how cumulative maximum joint and segment angular velocities, irrespective of sequence, affect ball velocity and throwing arm kinetics in high school pitchers. STUDY DESIGN: Descriptive laboratory study. METHODS: High school (n = 55) pitchers threw 8 to 12 fastball pitches while being evaluated with 3-dimensional motion capture (480 Hz). Maximum joint and segment angular velocities (lead knee extension, pelvis rotation, trunk rotation, shoulder internal rotation, and forearm pronation) were calculated for each pitcher. Pitchers were classified as overall fast, overall slow, or high velocity for each joint or segment velocity subcategory, or as population, with any pitcher eligible to be included in multiple subcategories. Kinematic and kinetic parameters were compared among the various subgroups using t tests with post hoc regressions and multivariable regression models created to predict throwing arm kinetics and ball velocity, respectively. RESULTS: The lead knee extension and pelvis rotation velocity subgroups achieved significantly higher normalized elbow varus torque (P = .016) and elbow flexion torque (P = .018) compared with population, with equivalent ball velocity (P = .118). For every 1-SD increase in maximum pelvis rotation velocity (87 deg/s), the normalized elbow distractive force increased by 4.7% body weight (BW) (B = 0.054; ß = 0.290; P = .013). The overall fast group was older (mean ± standard deviation, 16.9 ± 1.4 vs 15.4 ± 0.9 years; P = .007), had 8.9-mph faster ball velocity (32.7 ± 3.1 vs 28.7 ± 2.3 m/s; P = .002), and had significantly higher shoulder internal rotation torque (63.1 ± 17.4 vs 43.6 ± 12.0 Nm; P = .005), elbow varus torque (61.8 ± 16.4 vs 41.6 ± 11.4 Nm; P = .002), and elbow flexion torque (46.4 ± 12.0 vs 29.5 ± 6.8 Nm; P < .001) compared with the overall slow group. A multiregression model for ball velocity based on maximum joint and segment angular velocities and anthropometrics predicted 53.0% of variance. CONCLUSION: High school pitchers with higher maximum joint and segment velocities, irrespective of sequence, demonstrated older age and faster ball velocity at the cost of increased throwing shoulder and elbow kinetics. CLINICAL RELEVANCE: Pitchers and coaching staff should consider this trade-off between faster ball velocity and increasing throwing arm kinetics, an established risk factor for elbow injury.

6.
Artículo en Inglés | MEDLINE | ID: mdl-39219714

RESUMEN

Surgical reattachment of tendon to bone is a clinical challenge, with unacceptably high retear rates in the early period after repair. A primary reason for these repeated tears is that the multiscale toughening mechanisms found at the healthy tendon enthesis are not regenerated during tendon-to-bone healing. The need for technologies to improve these outcomes is pressing, and the tissue engineering community has responded with many advances that hold promise for eventually regenerating the multiscale tissue interface that transfers loads between the two dissimilar materials, tendon, and bone. This review provides an assessment of the state of these approaches, with the aim of identifying a critical agenda for future progress.

7.
PeerJ ; 12: e18000, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39221274

RESUMEN

Background: In volleyball, the jump serve is a crucial and commonly used serving technique. Nonetheless, the angular momentum developed during the jump serve remains unexplored. The objectives of the current study were to determine the angular momentum manifesting during the airborne phase of the jump serve and to analyse the correlations between the angular momentum variables and arm swing speed. Methods: Three-dimensional coordinate data were obtained during the jump serves of 17 professional male volleyball players. Correlation and linear regression analyses were used to identify the angular momentum variables linked to the arm swing speed at ball impact (BI). Results: The arm swing speed at BI exhibited significant correlations with the peak angular momentum of the attack arm (r = 0.551, p = 0.024), non-attack arm (r = 0.608, p = 0.011), non-attack leg (r = -0.516, p = 0.034), forearm (r = 0.527, p = 0.032), and hand (r = 0.824, p < 0.001). A stepwise regression model (R2 = 0.35, p = 0.043) predicted arm swing speed based on the peak angular momentum of the non-attack leg, forearm, and hand. Conclusions: The study results suggest that during the arm-acceleration phase, (1) increasing angular momentum with the non-attack leg helps maintain aerial body balance, thereby enhancing arm swing execution, and (2) controlling the magnitude and timing of the force exerted by the elbow and wrist is crucial for effectively transmitting angular momentum, contributing to an increase in arm swing speed.


Asunto(s)
Brazo , Voleibol , Humanos , Voleibol/fisiología , Masculino , Fenómenos Biomecánicos/fisiología , Brazo/fisiología , Adulto Joven , Movimiento/fisiología , Adulto , Rendimiento Atlético/fisiología
8.
PeerJ ; 12: e17896, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39221284

RESUMEN

Ground reaction force (GRF) data is often collected for the biomechanical analysis of running, due to the performance and injury risk insights that GRF analysis can provide. Traditional methods typically limit GRF collection to controlled lab environments, recent studies have looked to combine the ease of use of wearable sensors with the statistical power of machine learning to estimate continuous GRF data outside of these restrictions. Before such systems can be deployed with confidence outside of the lab they must be shown to be a valid and accurate tool for a wide range of users. The aim of this study was to evaluate how accurately a consumer-priced sensor system could estimate GRFs whilst a heterogeneous group of runners completed a treadmill protocol with three different personalised running speeds and three gradients. Fifty runners (25 female, 25 male) wearing pressure insoles made up of 16 resistive sensors and an inertial measurement unit ran at various speeds and gradients on an instrumented treadmill. A long short term memory (LSTM) neural network was trained to estimate both vertical ( G R F v ) and anteroposterior ( G R F a p ) force traces using leave one subject out validation. The average relative root mean squared error (rRMSE) was 3.2% and 3.1%, respectively. The mean ( G R F v ) rRMSE across the evaluated participants ranged from 0.8% to 8.8% and from 1.3% to 17.3% in the ( G R F a p ) estimation. The findings from this study suggest that current consumer-priced sensors could be used to accurately estimate two-dimensional GRFs for a wide range of runners at a variety of running intensities. The estimated kinetics could be used to provide runners with individualised feedback as well as form the basis of data collection for running injury risk factor studies on a much larger scale than is currently possible with lab based methods.


Asunto(s)
Aprendizaje Profundo , Carrera , Dispositivos Electrónicos Vestibles , Humanos , Carrera/fisiología , Masculino , Femenino , Adulto , Fenómenos Biomecánicos/fisiología , Prueba de Esfuerzo/instrumentación , Prueba de Esfuerzo/métodos , Adulto Joven
9.
Rev. Flum. Odontol. (Online) ; 3(65): 157-165, set-dez.2024.
Artículo en Portugués | LILACS-Express | LILACS | ID: biblio-1567957

RESUMEN

A escolha da plataforma protética em implantodontia é fundamental para garantir o sucesso a longo prazo dos procedimentos. Todos os tipos de conexão protética apresentam vantagens e desvantagens, cabendo ao cirurgião-dentista optar pelo o que melhor se adepta ao seu caso. Uma revisão de literatura foi realizada, abrangendo estudos relevantes que compararam essas duas plataformas protéticas em termos de biomecânica e estética. Foram analisadas revisões de literatura e estudos in vitro, sob as palavras-chave "cone morse", "biomechanics", "abuptment". As pesquisas foram feitas nas bases de dados Scielo e PubMed, e os artigos escolhidos deveriam abordar a estabilidade das conexões, a preservação óssea e a estética peri-implantar. Os resultados da revisão demonstram que a plataforma Cone Morse oferece uma interface mais estável, reduz o afrouxamento de parafusos e minimiza a infiltração bacteriana. Com isso, o Cone Morse contribui para a preservação das estruturas ósseas e gengivais ao redor do implante, tornando-se uma escolha valiosa, especialmente em procedimentos de reabilitação estética.


A choice of the prosthetic platform in implant dentistry is fundamental to ensure long-term success of procedures. All types of prosthetic connections have their advantages and disadvantages, and it's up to the dentist to choose what best suits their case. A literature review was conducted, encompassing relevant studies comparing these two prosthetic platforms in terms of biomechanics and aesthetics. Literature reviews and in vitro studies were analyzed using keywords such as "Cone Morse," "biomechanics," and "abutment." The research was conducted on Scielo and PubMed databases, and the selected articles should address connection stability, bone preservation, and peri-implant aesthetics. The review results demonstrate that the Cone Morse platform offers a more stable interface, reduces screw loosening, and minimizes bacterial infiltration. As a result, Cone Morse contributes to the preservation of bone and gingival structures around the implant, making it a valuable choice, especially in aesthetic rehabilitation procedures.

10.
J Sports Sci ; : 1-7, 2024 Aug 29.
Artículo en Inglés | MEDLINE | ID: mdl-39207092

RESUMEN

The Nike Vaporfly 4% (VP4) shoe is popular due to its unique design and reported performance benefits. However, the underlying mechanisms responsible for the improvements remain unclear. One proposed mechanism is the teeter-totter effect. This study aimed to 1) experimentally test the teeter-totter theory by estimating the teeter-totter moment (MTT) in the VP4 compared to a flat shoe (CONTROL) and 2) quantify the change in the anterior-posterior position of the centre of pressure (Δxa-p) in the VP4 compared to the CONTROL. Plantar pressures and high-speed video were recorded from 15 runners in two shoe conditions. The VP4 generated a larger propulsion moment, MP, (∫MPdt = 90.46 ± 38.87 Nms; p < 0.001, d = 1.95), suggesting the presence of an MTT in the VP4 (∫MTTdt = 57.16 ± 24.35 Nms) when compared to the CONTROL (∫MPdt = 33.30 ± 14.52 Nms). Δxa-p was greater in the VP4 (Δxa-p = 9.48 ± 6.08 mm; p < 0.001, d = 2.07) compared to the CONTROL (Δxa-p = 0.54 ± 0.67 mm). This study provides a methodological proof-of-concept for the teeter-totter theory. The findings highlight the possibility of a teeter-totter effect resulting in greater heel propulsion while running in an AFT shoe construction, assuming a constant muscle moment and pivot point.

11.
J Sport Rehabil ; : 1-9, 2024 Aug 28.
Artículo en Inglés | MEDLINE | ID: mdl-39209282

RESUMEN

CONTEXT: The Y-Balance Test Lower Quarter (YBT-LQ) is a widely utilized tool for evaluating dynamic postural control, requiring a combination of mobility and strength. This study aimed to investigate the combined relationship between isometric thigh muscle strength and joint kinematics on YBT-LQ performance. DESIGN: Cross-sectional laboratory study. METHODS: Isometric quadriceps and hamstrings strength were measured before the YBT-LQ in 39 healthy participants (27 females and 12 males). The test was performed under 3-dimensional markerless motion capture, where joint kinematics were extracted from the maximum reach position from each direction. Three multivariable linear regression models were then used to determine the strongest combination of predictors for YBT-LQ performance. RESULTS: Greater hamstrings strength and increased knee flexion, ankle dorsiflexion, and trunk ipsilateral-flexion joint angles explained 56.8% (P < .001) of the variance in anterior reach. Hip flexion, knee flexion, and ankle dorsiflexion angles were the strongest predictors for posteromedial reach distance, explaining 73.0% of the variance (P < .001). Last, 43.3% (P < .001) of the variance in posterolateral reach distance was predicted by hamstring strength and knee-flexion angle. CONCLUSIONS: These results emphasize the importance of hamstring strength in YBT-LQ performance across different reach directions. Additionally, the kinematics illustrate a potential movement strategy for maximizing reach distance on the YBT-LQ in healthy individuals. Clinicians can utilize this information to guide interventions aimed at improving dynamic postural control, particularly by focusing on increasing hamstring strength and testing for impairments in specific movement patterns.

12.
Sensors (Basel) ; 24(16)2024 Aug 13.
Artículo en Inglés | MEDLINE | ID: mdl-39204937

RESUMEN

Inclusive design does not stop at removing physical obstacles such as staircases. It also involves identifying architectural features that impose sensory burdens, such as repetitive visual patterns that are known to potentially cause dizziness or visual discomfort. In order to assess their influence on human gait and its stability, three repetitive patterns-random dots, repetitive stripes, and repetitive waves (Lisbon pattern)-were displayed in a coloured and greyscale variant in a virtual reality (VR) environment. The movements of eight participants were recorded using a motion capture system and electromyography (EMG). During all test conditions, a significant increase in the muscular activity of leg flexor muscles was identified just before touchdown. Further, an increase in the activity of laterally stabilising muscles during the swing phase was observed for all of the test conditions. The lateral and vertical centre of mass (CoM) deviation was statistically evaluated using a linear mixed model (LMM). The patterns did cause a significant increase in the CoM excursion in the vertical direction but not in the lateral direction. These findings are indicative of an inhibited and more cautious gait style and a change in control strategy. Furthermore, we quantified the induced discomfort by using both algorithmic estimates and self-reports. The Fourier-based methods favoured the greyscaled random dots over repetitive stripes. The colour metric favoured the striped pattern over the random dots. The participants reported that the wavey Lisbon pattern was the most disruptive. For architectural and structural design, this study indicates (1) that highly repetitive patterns should be used with care in consideration of their impact on the human visuomotor system and its behavioural effects and (2) that coloured patterns should be used with greater caution than greyscale patterns.


Asunto(s)
Electromiografía , Marcha , Realidad Virtual , Caminata , Humanos , Caminata/fisiología , Masculino , Marcha/fisiología , Femenino , Adulto , Músculo Esquelético/fisiología , Adulto Joven , Fenómenos Biomecánicos/fisiología , Algoritmos
13.
Sensors (Basel) ; 24(16)2024 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-39204970

RESUMEN

(1) Background: The Modified Ashworth Scale (MAS) is commonly used clinically to evaluate spasticity, but its qualitative nature introduces subjectivity. We propose a novel metric scale to quantitatively measure spasticity using mechanomyography (MMG) to mitigate these subjective effects. (2) Methods: The flexor and extensor muscles of knee and elbow joints were assessed with the Modified Ashworth Scale (MAS) during the acquisition of mechanomyography (MMG) data. The median absolute amplitude of the MMG signals was utilized as a key descriptor. An algorithm was developed to normalize the MMG signals to a universal gravitational (G) acceleration scale, aligning them with the limits and range of MAS. (3) Results: We evaluated 34 lower and upper limbs from 22 volunteers (average age 39.91 ± 13.77 years) of both genders. Polynomial regression provided the best fit (R2 = 0.987), with negligible differences (mean of 0.001 G) between the MAS and MMG. We established three numerical sets for the median, minimum, and maximum MMG(G) values corresponding to each MAS range, ensuring consistent alignment of the Modified Ashworth levels with our proposed scale. (4) Conclusions: Muscle spasticity can now be quantitatively and semi-automatically evaluated using our algorithm and instrumentation, enhancing the objectivity and reliability of spasticity assessments.


Asunto(s)
Algoritmos , Espasticidad Muscular , Miografía , Humanos , Espasticidad Muscular/fisiopatología , Espasticidad Muscular/diagnóstico , Masculino , Femenino , Adulto , Proyectos Piloto , Persona de Mediana Edad , Miografía/métodos , Músculo Esquelético/fisiopatología , Músculo Esquelético/fisiología , Articulación de la Rodilla/fisiopatología , Articulación del Codo/fisiopatología
14.
Sensors (Basel) ; 24(16)2024 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-39204990

RESUMEN

The increased risk of cardiovascular disease in people with spinal cord injuries motivates work to identify exercise options that improve health outcomes without causing risk of musculoskeletal injury. Handcycling is an exercise mode that may be beneficial for wheelchair users, but further work is needed to establish appropriate guidelines and requires assessment of the external loads. The goal of this research was to predict the six-degree-of-freedom external loads during handcycling from data similar to those which can be measured from inertial measurement units (segment accelerations and velocities) using machine learning. Five neural network models and two ensemble models were compared against a statistical model. A temporal convolutional network (TCN) yielded the best predictions. Predictions of forces and moments in-plane with the crank were the most accurate (r = 0.95-0.97). The TCN model could predict external loads during activities of different intensities, making it viable for different exercise protocols. The ability to predict the loads associated with forward propulsion using wearable-type data enables the development of informed exercise guidelines.


Asunto(s)
Aprendizaje Automático , Humanos , Fenómenos Biomecánicos/fisiología , Redes Neurales de la Computación , Masculino , Traumatismos de la Médula Espinal/fisiopatología , Adulto , Silla de Ruedas , Dispositivos Electrónicos Vestibles , Ciclismo/fisiología , Femenino
15.
Asian Spine J ; 18(4): 493-499, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-39113480

RESUMEN

STUDY DESIGN: A prospective experimental study. PURPOSE: This biomechanical in vitro study aimed to examine the extent to which the use of a rod persuader (RP) leads to additional mechanical stress on the screw-rod system and determine its influence on the bony anchoring of primary pedicle screws. OVERVIEW OF LITERATURE: Degenerative spine diseases and deformities are the most common indications for the stabilization and fusion of spinal segments. The pedicle screw-rod system is considered the gold standard for dorsal stabilization, and an RP is also increasingly being considered to fit the spondylodesis material. METHODS: Ten lumbar spines from body donors were examined. Bisegmental dorsal spinal lumbar interbody fusion of the L3-L5 segments was performed using a pedicle screw-rod system (ROCCIA Multi-LIF Cage; Silony Medical, Germany). In group 1, the titanium rod was inserted without tension, whereas in group 2, the rod was attached to the pedicle screws at the L4 and L5 levels, creating a 5-mm gap. To attach the rod, the RP was used to press the rod into the pedicle screw. The rod was left in place for 30 minutes and then removed. RESULTS: The rod reduction technique significantly increased the mechanical load on the overall construct measured by strain gauges (p<0.05) and resulted in outright implant failure with pedicle screw pullout in 88.9%. CONCLUSIONS: In cases where the spondylodesis material is not fully attached within the pedicle screw, an RP can be used with extreme caution, particularly in osteoporotic bones, to avoid pedicle screw avulsion and screw anchor failure.

16.
Animal ; 18(9): 101269, 2024 Jul 22.
Artículo en Inglés | MEDLINE | ID: mdl-39216156

RESUMEN

Lameness is a common issue on dairy farms, with serious implications for economy and animal welfare. Affected animals may be overlooked until their condition becomes severe. Thus, improved lameness detection methods are needed. In this study, we describe kinematic changes in dairy cows with induced, mild to moderate hindlimb lameness in detail using a "whole-body approach". Thereby, we aimed to identify explicable features to discriminate between lame and non-lame animals for use in future automated surveillance systems. For this purpose, we induced a mild to moderate and fully reversible hindlimb lameness in 16 dairy cows. We obtained 41 straight-line walk measurements (containing > 3 000 stride cycles) using 11 inertial measurement units attached to predefined locations on the cows' upper body and limbs. One baseline and ≥ 1 induction measurement(s) were obtained from each cow. Thirty-one spatial and temporal parameters related to limb movement and inter-limb coordination, upper body vertical displacement symmetry and range of motion (ROMz), as well as pelvic pitch and roll, were calculated on a stride-by-stride basis. For upper body locations, vertical within-stride movement asymmetry was investigated both by calculating within-stride differences between local extrema, and by a signal decomposition approach. For each parameter, the baseline condition was compared with induction condition in linear mixed-effect models, while accounting for stride duration. Significant difference between baseline and induction condition was seen for 23 out of 31 kinematic parameters. Lameness induction was associated with decreased maximum protraction (-5.8%) and retraction (-3.7%) angles of the distal portion of the induced/non-induced limb respectively. Diagonal and lateral dissociation of foot placement (ratio of stride duration) involving the non-induced limb decreased by 8.8 and 4.4%, while diagonal dissociation involving the induced limb increased by 7.7%. Increased within-stride vertical displacement asymmetry of the poll, neck, withers, thoracolumbar junction (back) and tubera sacrale (TS) were seen. This was most notable for the back and poll, where a 40 and 24% increase of the first harmonic amplitude (asymmetric component) and 27 and 14% decrease of the second harmonic amplitude (symmetric component) of vertical displacement were seen. ROMz increased in all these landmarks except for TS. Changes in pelvic roll main components, but not in the range of motion of either pitch or roll angle per stride, were seen. Thus, we identified several kinematic features which may be used in future surveillance systems. Further studies are needed to determine their usefulness in realistic conditions, and to implement methods on farms.

17.
J Biomech ; 173: 112252, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-39116677

RESUMEN

The human foot is a complex structure comprising 26 bones, whose coordinated movements facilitate proper deformation of the foot, ensuring stable and efficient locomotion. Despite their critical role, the kinematics of foot bones during movement remain largely unexplored, primarily due to the absence of non-invasive methods for measuring foot bone kinematics. This study addresses this gap by proposing a neural network model for estimating foot bone movements using surface markers. To establish a mapping between the positions and orientations of the foot bones and 41 skin markers attached on the human foot, computed tomography scans of the foot with the markers were obtained with eleven healthy adults and thirteen cadaver specimens in different foot postures. The neural network architecture comprises four layers, with input and output layers containing the 41 marker positions and the positions and orientations of the nine foot bones, respectively. The mean errors between estimated and true foot bone position and orientation were 0.5 mm and 0.6 degrees, respectively, indicating that the neural network can provide 3D kinematics of the foot bones with sufficient accuracy in a non-invasive manner, thereby contributing to a better understanding of foot function and the pathogenetic mechanisms underlying foot disorders.


Asunto(s)
Aprendizaje Profundo , Huesos del Pie , Humanos , Fenómenos Biomecánicos , Adulto , Masculino , Femenino , Huesos del Pie/fisiología , Huesos del Pie/diagnóstico por imagen , Redes Neurales de la Computación , Imagenología Tridimensional/métodos , Tomografía Computarizada por Rayos X , Pie/fisiología , Persona de Mediana Edad , Anciano
18.
J Exp Biol ; 2024 Aug 19.
Artículo en Inglés | MEDLINE | ID: mdl-39155677

RESUMEN

A select group of hemipterans within the suborder Auchenorrhyncha are the only animals that feed exclusively on xylem sap - a nutritionally poor liquid that exists under negative pressure within a plant's xylem vessels. To consume it, xylem-feeding bugs have evolved enlarged cibarial pumps capable of generating enormous negative pressures. A previous study examining the allometry of this feeding model suggested that small xylem feeders pay relatively higher energetic costs while feeding, favouring the evolution of larger-bodied species. However, this interspecific analysis only considered adult xylem-feeding insects and neglected the considerable intraspecific change in size that occurs across the insect's development. Here, we examine the changes in cibarial pump morphology and function that occur during the development of Philaenus spumarius, the common meadow spittlebug. We show that the cibarial pump scales largely as expected from isometry and that the maximum negative pressure is mass-independent, indicating that size has no effect on the xylem-feeding capacity of juvenile spittlebugs. We conclude that a 1st instar nymph with a body mass 2% of the adult can still feed at the >1 MPa tension present in a plant's xylem vessels without a substantial energetic disadvantage.

19.
Philos Trans R Soc Lond B Biol Sci ; 379(1911): 20230485, 2024 Oct 07.
Artículo en Inglés | MEDLINE | ID: mdl-39155720

RESUMEN

Each individual's movements are sculpted by constant interactions between sensorimotor and sociocultural factors. A theoretical framework grounded in motor control mechanisms articulating how sociocultural and biological signals converge to shape movement is currently missing. Here, we propose a framework for the emerging field of ethnokinesiology aiming to provide a conceptual space and vocabulary to help bring together researchers at this intersection. We offer a first-level schema for generating and testing hypotheses about cultural differences in movement to bridge gaps between the rich observations of cross-cultural movement variations and neurophysiological and biomechanical accounts of movement. We explicitly dissociate two interacting feedback loops that determine culturally relevant movement: one governing sensorimotor tasks regulated by neural signals internal to the body, the other governing ecological tasks generated through actions in the environment producing ecological consequences. A key idea is the emergence of individual-specific and culturally influenced motor concepts in the nervous system, low-dimensional functional mappings between sensorimotor and ecological task spaces. Motor accents arise from perceived differences in motor concept topologies across cultural contexts. We apply the framework to three examples: speech, gait and grasp. Finally, we discuss how ethnokinesiological studies may inform personalized motor skill training and rehabilitation, and challenges moving forward.This article is part of the theme issue 'Minds in movement: embodied cognition in the age of artificial intelligence'.


Asunto(s)
Movimiento , Humanos , Fenómenos Biomecánicos , Marcha , Habla/fisiología , Fuerza de la Mano/fisiología
20.
Anat Rec (Hoboken) ; 2024 Aug 19.
Artículo en Inglés | MEDLINE | ID: mdl-39155777

RESUMEN

Many fish use a set of pharyngeal jaws in their throat to aid in prey capture and processing, particularly of large or complex prey. In this study-combining dissection, CT scanning, histology, and performance testing-we demonstrate a novel use of pharyngeal teeth in the ocean sunfish (Mola mola), a species for which pharyngeal jaw anatomy had not been described. We show that sunfish possesses only dorsal pharyngeal jaws where, in contrast to their beaklike oral teeth, teeth are recurved spikes, arranged in three loosely connected rows. Fang-like pharyngeal teeth were tightly socketed in the skeletal tissue, with shorter, incompletely-formed teeth erupting between, suggesting tooth replacement. Trichrome staining revealed teeth anchored into their sockets via a combination of collagen bundles originating from the jaw connective tissue and mineralized trabeculae extending from the teeth bases. In resting position, teeth are nearly covered by soft tissue; however, manipulation of a straplike muscle, running transversely on the dorsal jaw face, everted teeth like a cat's claws. Adult sunfish suction feed almost exclusively on gelatinous prey (e.g., jellyfish) and have been observed to jet water during feeding and other activities; flume experiments simulating jetting behavior demonstrated adult teeth caught simulated gelatinous prey with 70%-100% success, with the teeth immobile in their sockets, even at 50x the jetting force, demonstrating high safety factor. We propose that sunfish pharyngeal teeth function as an efficient retention cage for mechanically challenging prey, a curious evolutionary convergence with the throat spikes of divergent taxa that employ spitting and jetting.

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