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1.
J Biomech Eng ; 145(1)2023 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-35864785

RESUMO

Contemporary finite element (FE) neck models are developed in a neutral posture; however, evaluation of injury risk for out-of-position impacts requires neck model repositioning to non-neutral postures, with much of the motion occurring in the upper cervical spine (UCS). Current neck models demonstrate a limitation in predicting the intervertebral motions within the UCS within the range of motion, while recent studies have highlighted the importance of including the tissue strains resulting from repositioning FE neck models to predict injury risk. In the current study, the ligamentous cervical spine from a contemporary neck model (GHBMC M50 v4.5) was evaluated in flexion, extension, and axial rotation by applying moments from 0 to 1.5 N·m in 0.5 N·m increments, as reported in experimental studies and corresponding to the physiologic loading of the UCS. Enhancements to the UCS model were identified, including the C0-C1 joint-space and alar ligament orientation. Following geometric enhancements, an analysis was undertaken to determine the UCS ligament laxities, using a sensitivity study followed by an optimization study. The ligament laxities were optimized to UCS-level experimental data from the literature. The mean percent difference between UCS model response and experimental data improved from 55% to 23% with enhancements. The enhanced UCS model was integrated with a ligamentous cervical spine (LS) model and assessed with independent experimental data. The mean percent difference between the LS model and the experimental data improved from 46% to 35% with the integration of the enhanced UCS model.


Assuntos
Vértebras Cervicais , Instabilidade Articular , Fenômenos Biomecânicos , Vértebras Cervicais/lesões , Análise de Elementos Finitos , Humanos , Ligamentos Articulares , Amplitude de Movimento Articular/fisiologia
2.
J Musculoskelet Neuronal Interact ; 22(3): 369-374, 2022 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-36046993

RESUMO

OBJECTIVES: Previous studies showed that vibration foam rolling (VFR) on damaged muscles improves muscle soreness and range of motion (ROM). VFR intervention can also increase the ROM and pain pressure threshold (PPT) in the non-rolling side, known as a cross-education effect. However, this is not clear for the non-rolling side. Therefore, this study aimed to investigate the cross-education effects of VFR intervention on ROM, muscle soreness, and PPT in eccentrically damaged muscles. METHODS: Participants were sedentary healthy male volunteers (n=14, 21.4±0.7 y) who performed eccentric exercise of the knee extensors with the dominant leg and received 90-s VFR intervention of the quadriceps at the nondamaged side 48 h after the eccentric exercise. The dependent variables were measured before the exercise (baseline), before (preintervention), and after VFR intervention (postintervention) 48 h after the eccentric exercise. The Bonferroni post hoc test was used to determine the differences between baseline, preintervention, and postintervention. RESULTS: Results showed that the VFR intervention on the nondamaged side 48 h after the eccentric exercise improved significantly (p<0.05) the knee flexion ROM, muscle soreness at palpation, and PPT compared to baseline. CONCLUSION: VFR intervention on the nondamaged side can recover ROM and muscle soreness in eccentrically damaged muscles.


Assuntos
Mialgia , Vibração , Humanos , Joelho/fisiologia , Masculino , Músculo Esquelético/fisiologia , Mialgia/terapia , Músculo Quadríceps/fisiologia , Amplitude de Movimento Articular/fisiologia , Vibração/uso terapêutico
3.
JBJS Case Connect ; 12(2)2022 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-36099468

RESUMO

CASE: A 70-year-old male patient presented with anterior deltoid weakness from Parsonage-Turner neuropathy status post failed nerve transfer and a failed total shoulder arthroplasty with pseudoparalysis. The patient underwent revision to a reverse total shoulder arthroplasty with concomitant pectoralis major transfer to substitute for the anterior deltoid. An excellent functional result was attained as early as 6 weeks after surgery. CONCLUSION: Pectoralis major transfer can be an effective treatment option for isolated anterior deltoid insufficiency, even in the setting of a reverse total shoulder arthroplasty.


Assuntos
Artroplastia do Ombro , Artroplastia de Substituição , Articulação do Ombro , Idoso , Humanos , Masculino , Músculos Peitorais/cirurgia , Amplitude de Movimento Articular/fisiologia , Articulação do Ombro/cirurgia
4.
Handchir Mikrochir Plast Chir ; 54(5): 418-426, 2022 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-36070777

RESUMO

PURPOSE: Distal interphalangeal joint (DIPJ) arthrodesis is a well-proven therapy for osteoarthritis in the DIPJ. Since the upper limb is effectively a linked chain which is moved by interlinked, joint-overlapping muscle-tendon units, impacts on movement and force patterns are expected to occur in response to arthrodesis. In this context, a real-time quantitative analysis has not been performed to date. MATERIAL AND METHODS: Finger motion and force development during grasping were dynamically measured and quantitatively analyzed in 19 healthy volunteers with a simulated DIPJ arthrodesis using a TUB (Technische Universität Berlin) sensor glove during fist closure and evaluating two types of force grips compared with the physiological grip. RESULTS: Typical motion patterns were found. During physiological fist closure, the average flexion angle was 71.5° in the metacarpophalangeal joint (MPJ), 76.8° in the proximal interphalangeal joint (PIPJ) and 37.3° in the distal interphalangeal joint (DIPJ). With DIPJ arthrodesis, the flexion angle decreased to 49.6° in the PIPJ, whereas it increased slightly to 77.3° in the MPJ. During force grip I, the average physiological flexion angles were 18.3° in the MPJ, 39.6° in the PIPJ and 42.6° in the DIPJ. With simulated DIPJ arthrodesis, the flexion angle in the MPJ increased to 28.4°, whereas it decreased to 25.2° in the PIPJ. Force grip II yielded physiological flexion angles of 30.9° in the MPJ, 36.6° in the PIPJ and 29.0° in the DIPJ. In response to simulated DIPJ arthrodesis, the angle in the MPJ increased to 34.4° while it decreased to 23.3° in the PIPJ. The forces measured with force grips were almost equally distributed under physiological conditions. In response to simulated DIPJ arthrodesis, the average decrease in the measured force of a finger was no more than 1.4%. CONCLUSION: This study was the first to introduce a quantitative analysis of grasping with simulated DIPJ arthrodesis. Based on this analysis, the study demonstrates the dynamic interaction of the finger joints as well as force patterns on the individual finger rays of the hand in real-time.


Assuntos
Articulações dos Dedos , Punho , Artrodese , Articulações dos Dedos/cirurgia , Dedos , Humanos , Articulação Metacarpofalângica , Amplitude de Movimento Articular/fisiologia
5.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi ; 39(4): 651-659, 2022 Aug 25.
Artigo em Chinês | MEDLINE | ID: mdl-36008328

RESUMO

Posterior-stabilized total knee prostheses have been widely used in orthopedic clinical treatment of knee osteoarthritis, but the patients and surgeons are still troubled by the complications, for example severe wear and fracture of the post, as well as prosthetic loosening. Understanding the in vivo biomechanics of knee prostheses will aid in the decrease of postoperative prosthetic revision and patient dissatisfaction. Therefore, six different designs of posterior-stabilized total knee prostheses were used to establish the musculoskeletal multibody dynamics models of total knee arthroplasty respectively, and the biomechanical differences of six posterior-stabilized total knee prostheses were investigated under three simulated physiological activities: walking, right turn and squatting. The results showed that the post contact forces of PFC Sigma and Scorpio NGR prostheses were larger during walking, turning right, and squatting, which may increase the risk of the fracture and wear as well as the early loosening. The post design of Gemini SL prosthesis was more conductive to the knee internal-external rotation and avoided the edge contact and wear. The lower conformity design in sagittal plane and the later post-cam engagement resulted in the larger anterior-posterior translation. This study provides a theoretical support for guiding surgeon selection, improving posterior-stabilized prosthetic design and reducing the prosthetic failure.


Assuntos
Artroplastia do Joelho , Prótese do Joelho , Artroplastia do Joelho/efeitos adversos , Artroplastia do Joelho/métodos , Fenômenos Biomecânicos , Humanos , Articulação do Joelho/cirurgia , Desenho de Prótese , Amplitude de Movimento Articular/fisiologia , Tíbia/cirurgia
6.
Medicine (Baltimore) ; 101(31): e29696, 2022 Aug 05.
Artigo em Inglês | MEDLINE | ID: mdl-35945777

RESUMO

It is unclear which factors contribute to the developing pressure pain hypersensitivity of the upper trapezius, a type of neurophysiological hyperexcitability. The present study investigated the relationship between physical and psychological factors and pressure pain hypersensitivity of the upper trapezius for each sex. In total, 154 individuals with neck/shoulder myofascial pain participated, among 372 food service workers. Participants completed a questionnaire (Beck Depression Inventory, and Borg Rating of Perceived Exertion scale) and were photographed to measure posture. Pressure pain sensitivity, 2 range of motions (cervical lateral bending and rotation), and 4 muscle strengths (serratus anterior, lower trapezius [LT], biceps, and glenohumeral external rotator) were measured by a pressure algometer, iPhone application, and handheld dynamometer, respectively. For each sex, forward multivariate logistic regression was used to test our a priori hypothesis among selected variables that a combination of psychosocial and physical factors contributed to the risk for pressure pain hypersensitivity. In multivariate analyses, LT strength (odds ratio = 0.94, 95% confidence interval = 0.91-0.97, P = .001) was the only significant influencing factor for pressure pain hypersensitivity in men. Dominant painful ipsilateral cervical rotation range of motion (odds ratio = 0.96, 95% confidence interval = 0.92-0.99, P = .037) was the only influencing factor for pressure pain hypersensitivity in women. LT strength and dominant painful ipsilateral cervical rotation range of motion could serve as guidelines for preventing and managing pressure pain hypersensitivity of the upper trapezius in food service workers with nonspecific neck/shoulder myofascial pain.


Assuntos
Serviços de Alimentação , Síndromes da Dor Miofascial , Músculos Superficiais do Dorso , Estudos Transversais , Feminino , Humanos , Masculino , Síndromes da Dor Miofascial/terapia , Cervicalgia , Amplitude de Movimento Articular/fisiologia , Ombro
7.
Biomed Res Int ; 2022: 7081238, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35996543

RESUMO

Objectives: To compare the biomechanical stability of two-level PLIF constructs with unilateral and bilateral pedicle screw fixations. Methods: Six cadaveric lumbar segments were evaluated to assess biomechanical stability in response to pure moment loads applied in flexion-extension (FE), lateral bending (LB), and axial rotation (AR). Each specimen was tested in six sequential configurations: (1) intact baseline; (2) facetectomy; (3) unilateral pedicle screws (UPS); (4) bilateral pedicle screws (BPS); (5) unilateral pedicle screws and cage (UPSC); and (6) bilateral pedicle screws and cage (BPSC). Results: Significant reductions in motion were observed when comparing all instrumented conditions to the intact and facetectomy stages of testing. No significant differences in motion between UPS, BPS, UPSC, or BPSC were observed in response to FE range of motion (ROM) or neutral zone (NZ). ROM was significantly higher in the UPS stage compared to BPS in response to LB and AT loading. ROM was significantly higher in UPSC compared to BPSC in response to LB loading only. Similarly, NZ was significantly higher in UPSC compared to BPSC in response to only LB loading. In response to AT loading, ROM was significantly higher during UPS than BPS or BPSC; however, no significant differences were noted between UPSC and BPSC with respect to AT ROM or NZ. Conclusion: BPS fixation is biomechanically superior to UPS fixation in multilevel PLIF constructs. This was most pronounced during both LB loading. Interbody support did contribute significantly to immediate stability.


Assuntos
Parafusos Pediculares , Fusão Vertebral , Fenômenos Biomecânicos , Cadáver , Humanos , Vértebras Lombares/fisiologia , Vértebras Lombares/cirurgia , Amplitude de Movimento Articular/fisiologia , Rotação , Fusão Vertebral/métodos
8.
PLoS One ; 17(8): e0273471, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36006997

RESUMO

OBJECTIVE: The purpose of this randomized controlled trial was to study effects of breathing reeducation in the treatment of patients with non specific chronic neck pain. METHODS: A total of sixty eight eligible patients with chronic neck pain were randomly allocated to breathing reeducation (BR) group (n = 34) and routine physical therapy (RPT) group (n = 34). Clinical outcomes were neck pain measured through visual analogue score, cervical active range of motion through CROM device, strength of neck muscles through hand held dynamometer and endurance of neck muscles measured through craniocervical flexion test. The neck disability was measured through neck disability index (NDI) and pulmonary outcomes such as forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and FEV1/FVC ratio were measured through Spirolab 4. The outcomes were assessed at baseline and at 4 and at 8 weeks from baseline. RESULTS: There were significant improvements in the BR group compared with the RPT group (P = 0.002) for cervical flexion, extension (P = 0.029), endurance (P = 0.042), strength of neck flexors (P <0.001), neck extensors (P = 0.034). Likewise there was a significant change in NDI (P = 0.011), FEV1 (P = 0.045), FVC (P <0.001), and FEV1/FVC ratio (P <0.001) in the BR group compared with the RPT group. The cervical side flexion and rotation showed no significant difference in breathing reeducation group with p > 0.05. CONCLUSION: Breathing reeducation combined with routine physical therapy is an effective treatment in patients with non specific chronic neck pain. TRIAL REGISTRATION: IRCT 20200226046623N1, https://www.irct.ir/trial/46240.


Assuntos
Dor Crônica , Cervicalgia , Dor Crônica/terapia , Método Duplo-Cego , Humanos , Músculos do Pescoço/fisiologia , Cervicalgia/reabilitação , Amplitude de Movimento Articular/fisiologia
9.
J Orthop Surg Res ; 17(1): 399, 2022 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-36045372

RESUMO

BACKGROUND: Open reduction and plate fixation are the preferred treatment options for most distal humerus fractures in adults. However, it is often challenging for orthopedic surgeons because of the complex anatomy and the difficulty in achieving stable fixation. This multicenter study aimed to analyze the complication types and rates of patients with distal humerus fractures treated with open reduction and plate fixation, and compare the results with those found in the literature. In addition, we describe the clinical outcomes. METHODS: This retrospective multicenter study was conducted between September 2001 and March 2021 and included data from four hospitals. In total, 349 elbows underwent surgical treatment at these hospitals during the study period. Patients > 17 years of age who were treated by plate fixation were included, and patients who were treated by other fixation methods were excluded. A total of 170 patients were included in the study. The following types of complications were investigated: (1) nerve related; (2) fixation and instrument related; (3) osteosynthesis related; (4) infection; and (5) others. RESULTS: The following complications were found: (1) 26 (15.3%) cases of postoperative ulnar nerve symptoms; 4 (2.4%) of postoperative radial nerve symptoms; (2) one (0.6%) case of screw joint penetration and screw loosening; and eight (4.7%) cases of hardware removal due to instrument skin irritation; (3) seven (4.1%) cases of nonunion; (4) two (1.2%) and four (2.2%) cases of superficial and deep infection, respectively, and seven (3.9%) cases of wound complication; and (5) 37 (21.8%) cases of heterotrophic ossification, 79 (46.5%) cases of elbow stiffness (did not achieve functional range of motion [ROM]), and 41 (24.1%) cases of osteoarthritis over Broberg and Morrey Grade I. Paradoxically, the postoperative ulnar nerve symptoms were more frequent in the prophylactic ulnar nerve anterior transposition group. However, this difference was not statistically significant (p = 0.086). The mean ROM was 123.5° flexion to 9.5° extension. The average Disabilities of the Arm, Shoulder and Hand (DASH) score was 14.5 ± 15.6. CONCLUSIONS: Open reduction and plate fixation for distal humeral fractures is a reasonable treatment option with acceptable complication rates and favorable clinical outcomes. Surgeons must be vigilant about ulnar nerve complications. Level of Evidence Therapeutic Level III.


Assuntos
Articulação do Cotovelo , Fraturas do Úmero , Adulto , Placas Ósseas/efeitos adversos , Articulação do Cotovelo/cirurgia , Fixação Interna de Fraturas/métodos , Humanos , Fraturas do Úmero/cirurgia , Úmero , Redução Aberta/efeitos adversos , Amplitude de Movimento Articular/fisiologia , Estudos Retrospectivos , Resultado do Tratamento
10.
J Biomech Eng ; 144(12)2022 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-35972808

RESUMO

Identification of muscle-tendon force generation properties and muscle activities from physiological measurements, e.g., motion data and raw surface electromyography (sEMG), offers opportunities to construct a subject-specific musculoskeletal (MSK) digital twin system for health condition assessment and motion prediction. While machine learning approaches with capabilities in extracting complex features and patterns from a large amount of data have been applied to motion prediction given sEMG signals, the learned data-driven mapping is black-box and may not satisfy the underlying physics and has reduced generality. In this work, we propose a feature-encoded physics-informed parameter identification neural network (FEPI-PINN) for simultaneous prediction of motion and parameter identification of human MSK systems. In this approach, features of high-dimensional noisy sEMG signals are projected onto a low-dimensional noise-filtered embedding space for the enhancement of forwarding dynamics prediction. This FEPI-PINN model can be trained to relate sEMG signals to joint motion and simultaneously identify key MSK parameters. The numerical examples demonstrate that the proposed framework can effectively identify subject-specific muscle parameters and the trained physics-informed forward-dynamics surrogate yields accurate motion predictions of elbow flexion-extension motion that are in good agreement with the measured joint motion data.


Assuntos
Músculo Esquelético , Redes Neurais de Computação , Algoritmos , Eletromiografia , Humanos , Músculo Esquelético/fisiologia , Física , Amplitude de Movimento Articular/fisiologia
11.
Biomed Res Int ; 2022: 5639893, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35941979

RESUMO

Dynamic balance is particularly important for the maintenance, transformation, and restabilization of various postures of the human body. Combined with the characteristics of unbalanced sports events, although there is no physical contact in sports events, it has intense antagonism due to the constant change of body movement. Athletes need to have the ability of fast movement and continuous high-intensity multibeat confrontation. They need to adjust their body posture any time according to the situation, constantly move their body from one side to the other side in fast movement, and constantly change between being imbalanced and being stable to keep the center of gravity stable and adjust their body posture. Combining with the characteristics of unbalanced sports, this paper is aimed at the problem that young athletes have poor dynamic balance ability and cannot maintain the stability of their body's center of gravity in the process of fast multidirectional movement and braking. The supporting leg needs ankle dorsiflexion, knee flexion, and hip flexion during SEBT testing. Therefore, the lower limb needs sufficient range of motion, strength, proprioception, and neuromuscular control ability to achieve the optimal test results. A randomized controlled experiment was used to test whether there were significant differences in the test indicators between the experimental group and the control group before and after the experiment by using a paired test. The test indicators between the experimental group and the control group before and after the intervention were tested by independent sample test to explore the influence of core balance training on the dynamic balance ability of teenagers in unbalanced sports. Through analysis, it is proved that strengthening balance exercise can significantly improve the functional movements and physical fitness of adolescents, which is of great significance to the development of basic flexibility and stability of joints and the strengthening of weak chain muscles.


Assuntos
Esportes , Adolescente , Atletas , Humanos , Extremidade Inferior/fisiologia , Equilíbrio Postural/fisiologia , Postura/fisiologia , Amplitude de Movimento Articular/fisiologia , Esportes/fisiologia
13.
Proc Inst Mech Eng H ; 236(9): 1365-1374, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35912824

RESUMO

Muscle fatigue, as a serious social problem, affects the performance of daily living activities, especially for workers. Decrease of movement control ability caused by muscle fatigue is one of the risk and intrinsic factors for occupational accidents, such as slips, trips, falls, etc. In order to reduce the accident rate and optimize the existing prevention measures, it is necessary to investigate the effect of fatigue on kinematics, kinetics, and muscle activities of human body. In this paper, 26 healthy participants were recruited. The kinematics and kinetics analysis of lower limb joints, and surface electromyograms (sEMG) time-domain and frequency-domain analysis of lower limb periarticular muscles were utilized to investigate the effects of muscle fatigue. The results showed that the fatigue reduced the range-of-motion (RoM) of the lower limb joints. Smaller plantarflexion, knee flexion and hip flexion angles, and greater dorsiflexion angles were observed after fatigue. For the joint moment, the fatigue did not alter the joint moments except for the smaller knee flexion moment. For the joint power, the fatigue decreased the generation power of ankle, knee and hip joint and the absorption power of ankle and knee joints, whereas increased the absorption power of hip joint. Besides, the fatigue increased the normalized integrated sEMG (iEMG) and root-mean-square (RMS) of sEMG, and shifted the median frequency (MF) and mean power frequency (MPF) of sEMG toward lower frequencies. The results from the present study concluded that the muscle fatigue changed the kinematics, kinetics and muscle activities of lower limbs during gait, and then could increase the risk rate of occupational accidents.


Assuntos
Marcha , Extremidade Inferior , Articulação do Tornozelo/fisiologia , Fenômenos Biomecânicos , Marcha/fisiologia , Humanos , Cinética , Articulação do Joelho/fisiologia , Músculos , Amplitude de Movimento Articular/fisiologia
14.
J Shoulder Elbow Surg ; 31(10): 2147-2156, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35803550

RESUMO

BACKGROUND: Physiotherapy improves the movement range after the onset of post-traumatic elbow stiffness and reduces the pain, which is a factor limiting elbow range of motion. However, no results have been reported for motor-cognitive intervention programs in post-traumatic elbow stiffness management. The objective was to investigate the efficacy of graded motor imagery (GMI) in post-traumatic elbow stiffness. METHODS: Fifty patients with post-traumatic elbow stiffness (18 female; mean age, 41.9 ± 10.9 years) were divided into 2 groups. The GMI group (n = 25) received a program consisting of left-right discrimination, motor imagery, and mirror therapy (twice a week for 6 weeks); the structured exercise (SE) group (n = 25) received a program consisting of range-of-motion, stretching, and strengthening exercises (twice a week for 6 weeks). Both groups received a 6-week home exercise program. The primary outcome was the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. The secondary outcomes were the active range of motion (AROM), visual analog scale (VAS), Tampa Scale for Kinesiophobia (TSK), muscle strength of elbow flexors and extensors, grip strength, left-right discrimination, and Global Rating of Change. Patients were assessed at baseline, at the end of treatment (12 sessions), and a 6-week follow-up. RESULTS: The results indicated that both GMI and SE interventions significantly improved outcomes (P < .05). After a 6-week intervention, the DASH score was significantly improved with a medium effect size in the GMI group compared with the SE group, and improvement continued at the 6-week follow-up (F1,45 = 3.10, P = .01). The results with a medium to large effect size were also significant for elbow flexion AROM (P = .02), elbow extension AROM (P = .03), VAS-activity (P = .001), TSK (P = .01), and muscle strength of elbow flexors and elbow extensors (P = .03) in favor of the GMI group. CONCLUSION: The GMI is an effective motor-cognitive intervention program that might be applied to the rehabilitation of post-traumatic elbow stiffness to improve function, elbow AROM, pain, fear of movement-related pain, and muscle strength.


Assuntos
Articulação do Cotovelo , Artropatias , Adulto , Cotovelo , Feminino , Humanos , Pessoa de Meia-Idade , Dor , Amplitude de Movimento Articular/fisiologia , Resultado do Tratamento
15.
Ann Biomed Eng ; 50(10): 1243-1254, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35904702

RESUMO

The study of the spine range of motion under given external load has been the object of many studies in literature, finalised to a better understanding of the spine biomechanics, its physiology, eventual pathologic conditions and possible rehabilitation strategies. However, the huge amount of experimental work performed so far cannot be straightforwardly analysed due to significant differences among loading set-ups. This work performs a meta-analysis of various boundary conditions in literature, focusing on the flexion/extension behaviour of the lumbar spine. The comparison among range of motions is performed virtually through a validated multibody model. Results clearly illustrated the effect of various boundary conditions which can be met in literature, so justifying differences of biomechanical behaviours reported by authors implementing different set-up: for example, a higher value of the follower load can indeed result in a stiffer behaviour; the application of force producing spurious moments results in an apparently more deformable behaviour, however the respective effects change at various segments along the spine due to its natural curvature. These outcomes are reported not only in qualitative, but also in quantitative terms. The numerical approach here followed to perform the meta-analysis is original and it proved to be effective thanks to the bypass of the natural variability among specimens which might completely or partially hinder the effect of some boundary conditions. In addition, it can provide very complete information since the behaviour of each functional spinal unit can be recorded. On the whole, the work provided an extensive review of lumbar spine loading in flexion/extension.


Assuntos
Vértebras Lombares , Região Lombossacral , Fenômenos Biomecânicos/fisiologia , Vértebras Lombares/fisiologia , Movimento (Física) , Amplitude de Movimento Articular/fisiologia
16.
Sci Rep ; 12(1): 11304, 2022 07 04.
Artigo em Inglês | MEDLINE | ID: mdl-35787648

RESUMO

Although neck pain is known to be a complex and multifactorial condition characterised by the interplay between physical and psychological domains, a comprehensive investigation examining the interactions across multiple features is still lacking. In this study, we aimed to unravel the structure of associations between physical measures of neuromuscular function and fear of movement in people with a history of neck pain. One hundred participants (mean age 33.3 ± 9.4) were assessed for this cross-sectional study, and the neuromuscular and kinematic features investigated were the range of motion, velocity of neck movement, smoothness of neck movement, neck proprioception (measured as the joint reposition error), and neck flexion and extension strength. The Tampa Scale for Kinesiophobia was used to assess fear of movement. A network analysis was conducted to estimate the associations across features, as well as the role of each feature in the network. The estimated network revealed that fear of movement and neuromuscular/kinematic features were conditionally dependent. Higher fear of movement was associated with a lower range of motion, velocity, smoothness of neck movement, neck muscle strength, and proprioception (partial correlations between - 0.05 and - 0.12). Strong interactions were also found between kinematics features, with partial correlations of 0.39 and 0.58 between the range of motion and velocity, and between velocity and smoothness, respectively. The velocity of neck movement was the most important feature in the network since it showed the highest strength value. Using a novel approach to analysis, this study revealed that fear of movement can be associated with a spectrum of neuromuscular/kinematic adaptations in people with a history of neck pain.


Assuntos
Cervicalgia , Exame Físico , Adulto , Estudos Transversais , Medo/psicologia , Humanos , Amplitude de Movimento Articular/fisiologia , Adulto Jovem
17.
Res Vet Sci ; 151: 80-89, 2022 Dec 10.
Artigo em Inglês | MEDLINE | ID: mdl-35870372

RESUMO

Continuous Passive Motion (CPM) devices have been used to assist physicians conducting human rehabilitation; however, similar machines specific for canine rehabilitation have not been found in the reviewed literature. This research performed a physical analysis of the hind limb of dogs to design a device for implementing automated CPM exercises. The device proved to comply with the guidelines to perform CPM exercises, allowing a proper setting of parameters to generate rehabilitation routines customized for different rehabilitation requirements. Also, an electromyography acquisition module was incorporated into the system, with surface electrodes to visualize and provide feedback to the user for muscle activation. Limitations were encountered with a range of motion of 80° and an error of approximately 2% for angular position accuracy.


Assuntos
Terapia por Exercício , Terapia Passiva Contínua de Movimento , Animais , Cães , Eletromiografia/veterinária , Terapia por Exercício/veterinária , Humanos , Terapia Passiva Contínua de Movimento/veterinária , Amplitude de Movimento Articular/fisiologia
18.
PLoS One ; 17(7): e0266954, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35905050

RESUMO

BACKGROUND: Few studies have analyzed the different biomechanical properties of the lumbar with various morphological parameters, which play an important role in injury and degeneration. This study aims to preliminarily investigate biomechanical characteristics of the spine with different sagittal alignment morphotypes by using finite element (FE) simulation and in-vitro testing. METHODS: According to the lumbar-pelvic radiographic parameters of the Chinese population, the parametric FE models (L1-S1-pelvis) of Roussouly's type (1-4) were validated and developed based on the in-vitro biomechanical testing. A pure moment of 7.5 Nm was applied in the three anatomical planes to simulate the physiological activities of flexion, extension, left-right lateral bending and left-right axial rotation. RESULTS: The sagittal configuration of four Roussouly's type models had a strong effect on the biomechanical responses in flexion and extension. The apex of the lumbar lordosis is a critical position where the segment has the lowest range of motion among all the models. In flexion-extension, type 3 and 4 models with a good lordosis shape had a more uniform rotation distribution at each motor function segment, however, type 1 and 2 models with a straighter spine had a larger proportion of rotation at the L5-S1 level. In addition, type 1 and 2 models had higher intradiscal pressures (IDPs) at the L4-5 segment in flexion, while type 4 model had larger matrix and fiber stresses at the L5-S1 segment in extension. CONCLUSION: The well-marched lordotic type 3 lumbar had greater stability, however, a straighter spine (type 1 and 2) had poor balance and load-bearing capacity. The hypolordotic type 4 model showed larger annulus fiber stress. Therefore, the sagittal alignment of Roussouly's type models had different kinetic and biomechanical responses under various loading conditions, leading to different clinical manifestations of the lumbar disease.


Assuntos
Lordose , Fusão Vertebral , Fenômenos Biomecânicos/fisiologia , Análise de Elementos Finitos , Humanos , Vértebras Lombares/diagnóstico por imagem , Vértebras Lombares/fisiologia , Pelve/diagnóstico por imagem , Pelve/fisiologia , Amplitude de Movimento Articular/fisiologia , Suporte de Carga/fisiologia
19.
Orthop Surg ; 14(8): 1853-1863, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35818350

RESUMO

OBJECTIVE: To compare the biomechanical properties of percutaneous cement discoplasty (PCD) in the spinal column between different implant-endplate friction. METHODS: A validated L3-Scarumfinite element (FE) model was modified for simulation. In the PCD model, the L4/5 level was modified based on model 1 (M1) and model 2 (M2). In M1, the interaction between bone cement and endplate was defined as face-to-face contact with a friction coefficient of 0.3; in M2, the contact was defined as a Tie constraint. 7.5 N m moments of four physiological motions and axial load of 15, 100 and 400 N preload were imposed at the top of L3. The range of motion (ROM) and interface stress analysis of endplates, annulus fibrosus and bone cement of the operated level were calculated for comparisons among the three models. RESULTS: The ROM of M1 and M2 increased when compared with the intact model during flexion (FL) (17.5% vs 10.0%), extension (EX) (8.8% vs -8.8%), left bending (LB) (19.0% vs -17.2%) and left axial rotation (LR) (34.6% vs -3.8%). The stress of annulus fibrosus in M1 and M2 decreased in FL (-48.4% vs -57.5%), EX (-25.7% vs -14.7%), LB (-47.5% vs -52.4%), LR (-61.4% vs -68.7%) and axis loading of 100 N (-41.5% vs -15.3%), and 400 N (-27.9% vs -27.3%). The stress of upper endplate of M1 and M2 increased in FL (24.6% vs 24.7%), LB (82.2% vs 89.5%), LR (119% vs 62.4%) and axis loading of 100 N (64.6% vs 45.5%), and 400 N (58.2% vs 24.3%), but was similar in EX (2.9% vs 0.3%). The stress of lower endplate of M1 and M2 increased in FL (170.9% vs 175.0%), EX (180.8% vs 207.7%), LB (302.6% vs 274.7%), LR (332.4% vs 132.8%) and axis loading of 100 N (350.7% vs 168.6%), and 400 N (165.2% vs 106.7%). CONCLUSION: Percutaneous cement discoplasty procedure could make effect on the mobility or stiffness. The fusion of bone cement and endplate might have more biomechanical advantages, including of the decreasing rate of implant subsidence and dislocation, and the increase spine stability.


Assuntos
Fusão Vertebral , Fenômenos Biomecânicos/fisiologia , Cimentos Ósseos , Análise de Elementos Finitos , Humanos , Vértebras Lombares/fisiologia , Vértebras Lombares/cirurgia , Amplitude de Movimento Articular/fisiologia , Fusão Vertebral/métodos
20.
Can J Aging ; 41(3): 297-303, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35859360

RESUMO

Upper body and neck range of motion (ROM) are important for safe walking and driving. The purpose of this study was to determine whether stretching would improve neck, trunk, and shoulder ROM. Forty-eight community-dwelling women (75 ± 3 years of age) were randomly allocated to intervention (upper body stretching, n = 15) and control conditions (lower body power training, n = 33). All participants exercised in supervised 45-minute sessions twice weekly for 12 weeks. Testing of upper body ROM included a cervical ROM, device-based measurement and field tests of the neck, trunk, and shoulder ranges. Shoulder ROM was the only movement that improved in the intervention group beyond levels seen in control participants (33% increase, p < 0.01). Neck and trunk ROM did not change in response to a specific stretching program. Older adults with ROM limitations may need to explore other exercise options or focus on compensatory strategies for safe community mobility.


Assuntos
Ombro , Caminhada , Idoso , Feminino , Humanos , Amplitude de Movimento Articular/fisiologia , Ombro/fisiologia
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