VTechWorks Repository :: Browsing by Author "Queen, Robin M."

Browsing by Author "Queen, Robin M."

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Assessing Limb Symmetry using the Clinically Accessible loadsol®
Renner, Kristen Elizaberth (Virginia Tech, 2019-04-23)
Decreased gait symmetry has been correlated with an increased fall risk, abnormal joint loading and decreased functional outcomes. Therefore, symmetry is focused on in the rehabilitation of many patient populations. Currently, load based symmetry is collected using expensive and immobile devices that are not clinically accessible, but there is a clinical need for an objective measure of loading symmetry during daily tasks like walking. Therefore, the purpose of this dissertation was to 1) assess the validity and reliability of the loadsol® to capture ground reaction force data, 2) use the loadsol® to determine the differences in symmetry between adults with a TKA and their healthy peers and 3) explore the potential of a commercially available biofeedback system to acutely improve gait symmetry in adults. The results of this work indicate that the loadsol® is a valid and reliable method of collecting loading measures during walking in both young and older adults. TKA patients who are 12-24 months post-TKA have lower symmetry in the weight acceptance peak force, propulsive peak force and impulse when compared to their healthy peers. Finally, a case study with four asymmetric adults demonstrated that a 10-minute biofeedback intervention with the loadsol® resulted in an acute improvement in symmetry. Future work is needed to determine the potential of this intervention to improve symmetry in patient populations and to determine whether the acute response is retained following the completion of the intervention.
Assessing Symmetry in Landing Mechanics During Single-Leg and Bilateral Tasks in Healthy Recreational Athletes
McConnell, Evan Paul (Virginia Tech, 2017-07-14)
INTRODUCTION: ACL-reconstructed (ACL-R) patients exhibit side-to-side asymmetries in movement and loading patterns after surgery, some of which are predictive of a secondary ACL injury. These asymmetries have not been fully assessed in healthy athletes. PURPOSE: To quantify side-to-side symmetry in secondary injury predictors in healthy athletes and compare these metrics to those measured in previous cohorts of ACL-R patients, as well as to assess differences in these metrics between two landing tasks and between sexes. METHODS: 60 healthy recreational athletes performed seven trials of a stop-jump task and seven trials of a single-leg hop for distance on each limb. The kinematics and kinetics of the first landing of the stop-jump and the landing of the single-leg hop were analyzed with a 10-camera motion analysis system (240Hz) and 2 embedded force plates (1920Hz). Limb symmetry indices (LSIs) were calculated for each variable and compared between subject groups, tasks, and sexes with Wilcoxon Signed Rank tests (p<0.05). RESULTS: Control subjects exhibited asymmetry in hop distance (p=0.006). ACL-R subjects displayed greater asymmetry in knee flexion variables, peak forces, and peak knee extension moments during the bilateral landing (p<0.001) and in hop distance (p<0.001). Control subjects showed greater asymmetry in knee flexion variables during the single-leg hop (p<0.001). Males and females showed similar symmetry in both tasks. CONCLUSIONS: Symmetry cannot be assumed in control subjects in all metrics. Asymmetries are more prevalent in ACL-R athletes than in healthy controls. Future work will continue to examine the usefulness of each metric in assessing ACL-R rehabilitation.
Backpack Energy Harvester with Human Walking Model
Yuan, Yue (Virginia Tech, 2017-06-05)
The objective of this thesis is to design, analyze, and fabricate an innovative backpack energy harvester for human walking. To model human walking with backpack energy harvester, a simple dual-mass model has been developed and studied first. Dual-mass model for three types of distinct harvesters were investigated, pure damping, traditional rack pinion energy harvester and our MMR based energy harvester. A comparison in the output power and human comfort between the three types of harvesters is discussed. However, the dual-mass model could not effectively represent human walking in real situation with sinusoidal input, like M shaped Ground Reaction Force (GRF), vertical Center of Mass (COM) motion, etc. Thus, a bipedal walking model has been proposed to simulate human walking with backpack harvester. Experiments were conducted to compare power output and efficiency of MMR based backpack energy harvester with traditional rack pinion backpack energy harvester, and verify conclusions from the bipedal walking model that the proposed backpack energy harvester using mechanical motion rectifier (MMR) mechanism has larger power output than traditional backpack energy harvester at different walking speed. In human treadmill test, subjects were asked to wear the backpack frame which embedded with harvesters walking on a treadmill. Two walking speed, 3mph and 3.5mph, and four resistor values has been tested. The test results showed that the MMR based backpack energy harvester generated more power regardless of resistor values and walking speed. Up to 4.84W average power and instant power of 12.8W could be obtained while the subject walking on the treadmill at 3.5mph speed with MMR based backpack energy harvester.
Biomarkers in Sports and Exercise: Tracking Health, Performance, and Recovery in Athletes
Lee, Elaine C.; Fragala, Maren S.; Kavouras, Stavros A.; Queen, Robin M.; Pryor, John Luke; Casa, Douglas J. (Wolters Kluwer Health, Inc., 2017)
Biomarker discovery and validation is a critical aim of the medical and scientific community. Research into exercise and diet-related biomarkers aims to improve health, performance, and recovery in military personnel, athletes, and lay persons. Exercise physiology research has identified individual biomarkers for assessing health, performance, and recovery during exercise training. However, there are few recommendations for biomarker panels for tracking changes in individuals participating in physical activity and exercise training programs. Our approach was to review the current literature and recommend a collection of validated biomarkers in key categories of health, performance, and recovery that could be used for this purpose. We determined that a comprehensive performance set of biomarkers should include key markers of (a) nutrition and metabolic health, (b) hydration status, (c) muscle status, (d) endurance performance, (e) injury status and risk, and (f) inflammation. Our review will help coaches, clinical sport professionals, researchers, and athletes better understand how to comprehensively monitor physiologic changes, as they design training cycles that elicit maximal improvements in performance while minimizing overtraining and injury risk.
Biomechanical Assessment and Metabolic Evaluation of Passive Lift-Assistive Exoskeletons During Repetitive Lifting Tasks
Alemi, Mohammad Mehdi (Virginia Tech, 2019-09-16)
Work-related musculoskeletal disorders (WMSDs) due to overexertion and consequently the low back pain (LBP) are one of the most prevalent sources of nonfatal occupational injuries and illnesses in all over the world. In the past several years, the industrial exoskeletons especially the passive ones have been proposed as alternative intervention and assistive devices, which are capable of reducing the risk of WMSDs and LBP. However, more research is warranted to validate the applicability of these exoskeletons. In addition, because the majority of previous studies have been limited to specific lifting tasks using only one type of lift assistive exoskeleton, more research is needed to examine the effect of alteration of different lift-assistive exoskeletons on reducing the activity of back muscles and metabolic reduction. The main objective of this dissertation is to render an overview of three studies that attempt to improve the literature by providing comprehensive biomechanical evaluations and metabolic assessments of three passive lift-assistive exoskeletons (VT-Lowe's Exoskeleton (developed in ARLab at VT), Laevo and SuitX). This dissertation has been composed of three related studies. The first study aimed to investigate and examine the capability of a novel lift assistive exoskeleton, VT-Lowe's exoskeleton, in reducing the peak and mean activity of back and leg muscles. Findings revealed that the exoskeleton significantly decreased the peak and mean activity of back muscles (IL(iliocostalis lumborum) and LT(longissimus thoracis)) by 31.5% and 29.3% respectively for symmetric lifts, and by 28.2% and 29.5% respectively for asymmetric lifts. Furthermore, the peak and mean EMG of leg muscles were significantly reduced by 19.1% and 14.1% during symmetric lifts, and 17.4% and 14.6% during asymmetric lifts. Interestingly, the VT-Lowe's exoskeleton showed higher reduction in activity of back and leg muscles compared to other passive lift-assistive exoskeletons available in the literatures. In the second study, the metabolic cost reduction associated with the use of VT-Lowe's exoskeleton during freestyle lifting was theoretically modelled, validated and corresponding metabolic savings were reported. The metabolic cost and the oxygen consumption results supported the hypothesis that the VT-Lowe's exoskeleton could significantly reduce the metabolic demands (~7.9% on average) and oxygen uptake (~8.7% on average) during freestyle lifting. Additionally, we presented a prediction model for the metabolic cost of exoskeleton during repetitive freestyle lifting tasks. The prediction models were very accurate as the absolute prediction errors were small for both 0% (< 1.4%) and 20% (< 0.7%) of body weight. In the third study, the biomechanical evaluation, energy expenditure and subjective assessments of two passive back-support exoskeletons (Laevo and SuitX) were examined in the context of repetitive lifting tasks. The experimental lifting tasks in this study were simulated in a laboratory environment for two different levels of lifting symmetry (symmetric vs. asymmetric) and lifting posture (standing vs. kneeling). Results of this study demonstrated that using both exoskeletons during dynamic lifting tasks could significantly lower the peak activity of trunk extensor muscles by ~10-28%. In addition, using both exoskeletons could save the energy expenditure by ~4-13% in all conditions tested by partially offsetting the weight of the torso. Such reductions were, though, task-dependent and differed between the two tested exoskeletons. Overall, the results of all three studies in this dissertation showed the capability of passive lift-assistive exoskeletons in reducing the activity of back and leg muscles and providing metabolic savings during repetitive lifting tasks.
Biomechanical Assessment of Varied Lifting Tasks With and Without Passive Back Support Exoskeletons
Simon, Athulya Anna (Virginia Tech, 2021-11-09)
Low back pain is the number one cause of disability in the world. It is a well established problem in industry often caused by excessive repetition, awkward postures, and heavy lifting. Back support exoskeletons have increasingly been studied as a solution to this problem. In addition to evaluating exoskeletons, giving some focus to the various lifting styles themselves can also provide some insight into ameliorating this problem. Research evaluating warehouse workplace postures has found that workers switch between a variety of tasks and many different lifting styles, beyond the standard squat and stoop postures, on a daily basis. This dissertation is primarily a compilation of three papers. The first focuses on the VTLowe's exoskeleton and the kinematic differences found during Stoop, Squat, and Freestyle lifting. These lift styles were evaluated while the study participants lifted boxes weighing 0% or 20% of their body weight both With and Without the exoskeleton. Evaluating the kinematic results showed that wearing the exoskeleton resulted in a 1.5 degree increase in ankle dorsiflexion, a 2.6 degree decrease in knee flexion, and a 2.3 degree decrease in SHK angle. Subjects' shoulder, elbow, and wrist heights were slightly higher while wearing the exoskeleton, and they lifted slightly more slowly while wearing the exoskeleton. Subjects moved more quickly while bending down as compared to standing up, and with the 0% bodyweight box as compared to the 20% bodyweight box. The values for Freestyle lifts generally fell in between Squat and Stoop lift styles or were not significantly different from Squat. EMG data (analyzed in a different study) from the leg muscles had relationships with torso torque while the back and stomach muscles showed no significant relationships. Exoskeleton efficacy research has a strong focus on Stoop, Squat, and Freestyle lifting. However, asymmetric styles such as One Legged lifting and Kneeling were found to be frequently used lifting styles in a warehouse setting. The second paper in this dissertation focuses on variations of asymmetric lifts while lifting light objects including Split Legged, Heel Up, One Legged, Kneeling, Asymmetric Squat, Bent Over (a freestyle task) and Bend Walk (picking up bean bags from the ground while walking forward and maintaining a bent over posture). These lift styles can be found not only in industry, but in any individual's daily life such as when it comes to picking up a dropped pen or sorting toys in a bin on the floor. Evaluating Split Legged, Heel Up, and One Legged found that many of the significant differences in muscle activity are dependent on the lifting stance (whether the front foot is on the same side or opposite side as the hand used to pick up objects). Combining the results that same side lifts have greater muscle imbalance in the iliocostalis and overall back muscle activity is greater in Split Legged than in Heel Up or One Legged suggests that One Legged or Heel Up in an Opposite side stance are the best options in regards to minimizing back muscle activity. Although there is a trade-off with the biceps femoris for these lift styles, back injuries are far more prevalent and supporting the back takes priority over minimizing muscle activity in the legs. The analysis for Asymmetric Squat, Bend Walk, Bent Over, and Kneeling was divided into three portions: bending down, picking bags, and rising up. Relevant differences between the lift styles for these portions were seen in the biceps femoris, longissimus, and rectus abdominis, with Bend Walk generally being the most taxing activity. Overall, there were minimal differences while rising up from any of these postures with most changes seen in the biceps femoris. Rising Up also generally had a higher peak muscle activity compared to bending down or picking bags. The final paper in this dissertation evaluates the effect of a different back exoskeleton with the variety of lift styles studied in the second paper. It is important to see how exoskeleton use aids or harms many of the lift styles commonly used by industry workers. Lift side was once again a factor in the Split Legged, Heel Up, and One Legged tasks. Participants benefited more from the exoskeleton in same side lifts as opposed to opposite side. For Asymmetric Squat, Bend Walk, Bent Over, and Kneeling greater benefits were seen in the back and leg muscles while rising up as opposed to bending down. Focusing on the peak of the lift (taken at the peak of bending down for the more static postures) found that the exoskeleton had more significant differences for Split Legged, Heel Up, and One Legged compared to Asymmetric Squat, Bend Walk, Bent Over, and Kneeling. One highly important aspect in evaluating exoskeletons is determining the subject population that would most benefit from its use. Focusing on body mass, the longissimus saw decreased benefits as the body mass increased, with subjects under 75 kg benefiting the most from the exoskeleton, while the iliocostalis and biceps femoris typically saw the opposite effect when results were significant (i.e., heavier subjects benefited the most).
Design and Evaluation of a Flexible Exoskeleton for Lifting
Beauchamp, Sarah Emily (Virginia Tech, 2018-06-19)
A flexible and passive exoskeleton is presented in this paper. The exoskeleton uses carbon fiber beams to provide an energetic return to its wearer and relieve their lower back muscles. The design of the exoskeleton and potential elastic mechanisms are described, and the results of biomechanical testing are given. The exoskeleton decreased the erector spinae muscle activity by 21-39.7%.
Design of an Ankle Exoskeleton Employing Dual Action Plantarflexion Assistance and Gait Progression Detection
Bisquera, Chance Luc (Virginia Tech, 2022-01-19)
Since the 1960s, research into the medical applications of wearable robots has been fueled by a growing need for assistive technologies that can help individuals impacted by musculoskeletal disorders such as sarcopenia independently manage common activities of daily living while maintaining their natural physical capacities. While contemporary research has demonstrated promising developments, the usefulness of exoskeletons in everyday settings remains limited due to design factors that include the limited practicality of existing battery technologies, the need for actuators exhibiting a high output torque-to-weight ratio, a need for modular designs that are minimally disruptive to wearers, and the need for control systems that can actively work in sync with a user. To explore potential solutions to some of these limiting factors, a novel ankle exoskeleton prototype supporting ankle plantarflexion during gait was developed under a design approach that seeks to optimize actuator performance. The actuation system featured in this prototype consists of a custom dual-action linear actuator that can provide mechanical assistance to both ankles via a single BLDC motor and an underlying Bowden cable system. The metric ball screw and BLDC motor implemented in the linear actuator were selectively chosen to minimize the motor torque and current required to assist wearers impacted by a degree of muscle weakness under an assistance-as-needed design paradigm. The prototype additionally features an array of force sensing resistors for tracking gait progression and exploring potential user-based control strategies for synchronizing the exoskeleton actuator with a wearer's gait. Performance analysis for this prototype was conducted with the goal of quantifying the exoskeleton's force output, actuator settling time, and the control system's ability to track gait and identify key events in the gait cycle. The preliminary findings of this experimental analysis support the viability of the actuator's dual-action concept and gait progression tracking system as a starting ground for future developments that build on a similar design optimization approach.
Development and Validation of Clinically Feasible Methods to Assess Landing Mechanics in Patients Following Anterior Cruciate Ligament Reconstruction
Peebles, Alexander Thomas (Virginia Tech, 2020-06-09)
Patients returning to sport after anterior cruciate ligament (ACL) reconstruction surgery currently have a high risk for sustaining a second ACL injury and having early signs of knee osteoarthritis. Assessing lower extremity kinetics and kinematics during landing can provide information about a patient's risk for sustaining a second ACL injury and having further joint trauma. However, currently accepted methods to assess kinetics and kinematics are not feasible to use in most non-research settings as they are expensive, time consuming, and take up a lot of space. The goal of this project was to identify methods to assess landing mechanics which are reliable and feasible to use in non-research settings. First, we found that the loadsol®, a wireless force sensing shoe insole, is valid relative to embedded force plates and repeatable between days for assessing kinetics and kinetic symmetry during bilateral and unilateral landing tasks. Second, we developed a new method to collect continuous kinematic data using a low-cost videocamera, disposable markers, and an automated point tracking program. This method was validated against a 3D motion capture system for measuring a fixed angle and for measuring sagittal plane running kinematics. Third, we found that the new video analysis method is valid relative to 3D motion capture and is repeatable between days for assessing frontal and sagittal plane knee kinematics during landing. Finally, we used the loadsol® and automated 2D video analysis to assess landing mechanics in both patients following ACL reconstruction and healthy uninjured control participants in a non-research setting. We found that, relative to controls, patients following ACL reconstruction had reduced kinetic symmetry during bilateral landing, where they offloaded their surgical limb and relied more heavily on their non-surgical limb. Additionally, patients following ACL reconstruction had reduced knee flexion range of motion symmetry during unilateral landing, where they had reduced knee flexion when landing on their surgical limb. Collectively, these projects developed methods to quantitatively assess landing mechanics that are feasible to use in non-research settings, documented the validity and between-day repeatability of these methods, and demonstrated that they could be used to identify kinetic and kinematic deficits in patients following ACL reconstruction. This project is an important step toward being able to assess landing mechanics in patients recovering from an ACL reconstruction.
Differences in Balance and Limb Loading Symmetry in Postpartum and Nulliparous Women During Childcare Related Activities
Libera, Theresa L. (Virginia Tech, 2024-10-02)
Every year, over 3.5 million women give birth in the United States, with about 67.9% delivering vaginally. Over 80% of postpartum (PP) women experience chronic pain in the pelvis, lower back, hip, and legs at 24 weeks after birth, and 20% continue to experience these issues 3 years later. PP women often face pelvic instability and weakness, which disturb balance and lead to asymmetric loading in the pelvis and legs. This imbalance makes daily tasks, such as lifting and carrying a car seat during childcare, more difficult, and increases the risk of chronic pain and injury. This study aimed to explore how different groups – PP and nulliparous (NP) women – and different ways of holding a car seat while standing – no holding, symmetrical holding with two hands in front, and asymmetrical holding with one arm by the side – affect balance and limb loading symmetry. Results showed that postpartum women struggled more with balance as the task became more challenging, with asymmetrical holding showing large differences between groups. PP women also exhibited greater asymmetric limb loading compared to NP women with asymmetrical holding creating the greatest level of asymmetric limb loading. The study also aimed to explore how the two groups – PP and NP – and the different ways of lifting a car seat – symmetrically and asymmetrically – affect balance and limb loading. Both groups had more asymmetric limb loading and worse balance with asymmetrical lifting, though NP women showed larger movements during asymmetrical lifting, likely reflecting the movement of the body during the condition. These results highlight the importance to further research balance and limb loading in PP compared to NP women. Understanding whether pelvic instability and weakness may contribute to differences in balance and limb loading is crucial as it may help explain how and why postpartum women face higher risk of injury and chronic pain. Ultimately, such work may find ways to improve postpartum health during daily activities.
Differences in Load Symmetry of the Lower Extremities in Postpartum Women During Daily Tasks and Childcare Loading Conditions
Henry, Alison Lohr (Virginia Tech, 2024-06-27)
In 2021, over three and a half million women entered the postpartum period in the United States [1]. Despite their prevalence, postpartum health is a largely overlooked area. After delivery, 25% of women within this population experience lumbopelvic or pelvic pain during the typical postpartum period [3], up to 8 weeks post-delivery, and research has found these women may continue to experience pain years after delivery [4]. Persistent pelvic region pain in postpartum women may result in lower limb load asymmetry. Additionally, external loading from carrying a child may alter the degree of asymmetric loading that exists in the lower limbs. Therefore, the first purpose of this study was to investigate the effect of daily tasks on lower extremity load symmetry using metrics that have successfully identified load asymmetry in other populations. Load symmetry was found to differ between task, with the largest asymmetry occurring between limbs during the sit-to-stand task for the peak impact force (PIF = 9.08% symmetry) and during the stair descent task for the average loading rate (ALR = 15.43% symmetry). The increase in asymmetry during these tasks may be attributed to increased muscle activation and force production. The second purpose of this study was to investigate the effect of an external child load on lower extremity load asymmetry during a 14-meter level walking task. A significant increase was found between the no load and both child load conditions for PIF and ALR (p <0.001 for both metrics). No statistically significant differences in symmetry were found between carrying the child centrally in a carrier and carrying on one side of the body without a carrier. The lack of difference in asymmetry during child carrying conditions may indicate mothers naturally compensate for the external child load as both ALR and PIF values increased during these conditions, but asymmetry was not impacted. Our results indicate the need to continue to examine different carrying conditions in postpartum women to better understand risk factors for pain or injury and provide evidence-based recommendations for postpartum activity progression.
Differences in Movement and Loading Variability Between ACLR and Healthy Athletes During Bilateral and Unilateral Landings
Mesisca, Jenna Kellie (Virginia Tech, 2023-05-31)
The continual increase in anterior cruciate ligament (ACL) injuries in sports makes it the most common ligament injury and leads the athlete down a difficult road with reconstruction surgery (ACLR) and months of rehabilitation. Specifically, females are at a greater risk of both primary and secondary ACL injuries compared to males. The purpose of this research was to understand the differences in movement and loading variability between ACLR and healthy athletes during unilateral and bilateral landings while utilizing limb symmetry to understand between group differences. It was hypothesized that females with an ACLR would have greater variability compared to males with an ACLR and healthy female athletes. 40 ACLR and 67 healthy athletes were asked to complete seven stop jumps and 25 ACLR and 30 healthy athletes completed seven single hop trials to assess intra-subject variability. The stop jump task utilized embedded force plates and motion capture technology while the single hop task used loadsol® in-shoe force sensors. The measures studied with the stop jump included posterior and vertical ground reaction force (GRF), knee/hip abduction/adduction angles, and loading rate. The single hop measures included peak force, loading rate, and impulse. To assess variability and limb symmetry, coefficient of variation (CV) and the limb symmetry index (LSI) were calculated for each of outcome measure. A linear mixed effects model was completed in JMP (SAS Institute Inc., Cary, NC) with p<0.05 to see the effects of group, sex, and limb. During the stop jump task, the ACLR athletes showed higher variability for both posterior GRF (p<0.001), posterior GRF LSI (p<0.001), and loading rate (p=0.027) compared to controls. Females with an ACLR had higher variability in vertical GRF (p<0.001) and vertical GRF symmetry (p=0.029) compared to HC females. Additionally, females with an ACLR had higher variability in the vertical GRF (p=0.033) when compared to males with an ACLR. Knee abduction angle (p=0.024) showed males with an ACLR to have higher variability compared to females with an ACLR. For the single hop task, there was a significant difference between sex for loading rate (p<0.001), loading rate LSI (p=0.004), impulse (p=0.006), and impulse LSI (p=0.001) with males producing a higher mean CV compared to females in all measures regardless of group. Overall, these results support the hypothesis that group and sex differences exist and that females with an ACLR will have higher variability and asymmetrical movements than male ACLR patients and healthy females during bilateral landings, which could lead to increased injury risk. In unilateral landings, the results suggest that females are landing with less variability compared to males. With increased variability on the surgical limb of an athlete with an ACLR, it is likely that the athlete will have a more successful return to sport as they can react and adapt to changes in landing during sports. Future work should report reinjury rates to investigate the potential role of movement variability in injury risk and potentially determine variability thresholds for injury risk. The evaluation of bilateral and unilateral landings revealed the need to include both landing tasks in return to sport testing as well as a limb symmetry metric to understand an athlete's functional readiness to react to changing conditions during sports related movement.
Dynamic Gap-Crossing Movements in Jumping and Flying Snakes
Graham, Michelle Rebecca (Virginia Tech, 2022-05-23)
Gap crossing is a regular locomotor activity for arboreal animals. The distance between branches likely plays a role in determining whether an animal is capable of crossing a given gap, and what locomotor behavior it uses to do so. Yet, despite the importance of gap distance as a physical parameter influencing gap crossing behavior, the precise relationships between gap distance and movement kinematics have been explored in only a very small number of species. One particularly interesting group of arboreal inhabitants are the flying snakes (Chrysopelea). This species is able to use a dynamic "J-loop" movement to launch its glides, but it is not known whether it is also capable of using such jumps to cross smaller gaps between tree branches. This dissertation addresses this knowledge gap, and investigates the influence of gap distance on crossing behavior and kinematics in three closely-related species of snake: Chrysopelea paradisi, a species of flying snake, and two species from the sister genus, Dendrelaphis, neither of which can glide. Chapter 2 is a literature review of the biomechanics of gap crossing, specifically focusing on the role played by gap distance, and establishes the context for the rest of the work. Chapter 3 presents a detailed study of how increasing gap size influences the behavior and kinematics of gap crossing in C. paradisi, showing that this species uses increasingly dynamic movements to cross gaps of increasing size. Chapter 4 explores the same relationships between gap size and kinematics in D. punctulatus and D. calligastra, revealing remarkable similarities between the three species, suggesting the possibility that dynamic gap crossing may have evolved prior to gliding in this clade. Finally, chapter 5 addresses the role played by gap distance in limiting the non-dynamic, cantilever movements used by these species to cross small gaps, comparing observed stopping distances to those predicted by various torque-related limitations.
The Effect of Biofeedback on Eccentric Knee Joint Power, Limb Stiffness, and Limb Stiffness Symmetry in ACLR Patients During Bilateral Landing
Vasquez, Bryana Nicole (Virginia Tech, 2023-06-27)
Anterior cruciate ligament (ACL) injuries are common orthopaedic injuries among athletes who participate in sports that involve cutting and changing directions. Many of these adolescent athletes intend to return to sports (RTS), and therefore undergo ACL reconstruction (ACLR). These athletes exhibit unfavorable landing biomechanics from muscle atrophy and asymmetrical neuromuscular control post-ACLR, putting them at a higher risk of re-injury. Thus, rehabilitation following ACLR is important to improve kinetic and kinematic outcomes and reduce re-injury risk. Biofeedback during rehabilitation is thought to be one way to potentially restore neuromuscular control deficits of athletes recovering from ACLR. Therefore, understanding the effectiveness of a biofeedback intervention on factors associated with re-injury among post-ACLR patients is essential in successful RTS. The purpose of this study is to analyze the effect of a 6-week biofeedback intervention on eccentric knee joint power (ECCKP), limb stiffness, and limb stiffness symmetry (using normalized symmetry index, NSI), in addition to secondary lower extremity outcomes that are associated with these metrics, during landing among patients following ACLR. This study used data collected from an ACL-Biofeedback Trial (ClinicalTrials.gov: AR069865) where participants were randomized into a biofeedback (BF) or control group (C). The BF group received visual and tactile feedback during a series of controlled squats while the C group participated in several online and in-person educational sessions. Participants completed 10 stop-jump tasks before (pre), after (post), and 6 weeks after (ret) the intervention. Kinetic, kinematic, and ground reaction forces (GRF) were collected from embedded force plates and 3D motion capture. Partaking in a biofeedback intervention did not improve ECCKP, limb stiffness, or limb stiffness NSI compared to controls. A group-by-time interaction was found for hip excursion (p=0.035), and a main effect of time was found for ECCKP, with this variable increasing by 18.5% from pre to ret (p=0.001). In addition, when considering surgical versus non-surgical limbs, this cohort exhibited interlimb asymmetries in stiffness, peak resultant GRF (rGRF), and time to reach peak rGRF (p<0.009). Further, a group-by-limb interaction (p=0.005) and a 7.1% reduction in peak rGRF were found from post to ret (p=0.02). Participants in this study also exhibited limb stiffness asymmetry greater than 10%, which supports existing literature that observed interlimb asymmetries in athletes following ACLR around the typical RTS time (9-12 months post-ACLR). The results from this analysis demonstrated that the current biofeedback intervention was inadequate in improving ECCKP, limb stiffness, and limb stiffness NSI, but additional biofeedback studies with larger sample sizes that investigate task dependencies are needed to better understand the effectiveness of biofeedback interventions.
The effect of performance demands on lower extremity biomechanics during landing and cutting tasks
Dai, Boyi; Garrett, William E.; Gross, Michael T.; Padua, Darin A.; Queen, Robin M.; Yu, Bing (Elsevier, 2019-05-01)
Background: Anterior cruciate ligament (ACL) injuries commonly occur during the early phase of landing and cutting tasks that involve sudden decelerations. The purpose of this study was to investigate the effects of jump height and jump speed on lower extremity biomechanics during a stop-jump task and the effect of cutting speed on lower extremity biomechanics during a side-cutting task. Methods: Thirty-six recreational athletes performed a stop-jump task under 3 conditions: jumping fast, jumping for maximum height, and jumping for 60% of maximum height. Participants also performed a side-cutting task under 2 conditions: cutting at maximum speed and cutting at 60% of maximum speed. Three-dimensional kinematic and kinetic data were collected. Results: The jumping fast condition resulted in increased peak posterior ground reaction force (PPGRF), knee extension moment at PPGRF, and knee joint stiffness and decreased knee flexion angle compared with the jumping for maximum height condition. The jumping for 60% of maximum height condition resulted in decreased knee flexion angle compared with the jumping for maximum height condition. Participants demonstrated greater PPGRF, knee extension moment at PPGRF, knee valgus angle and varus moment at PPGRF, knee joint stiffness, and knee flexion angle during the cutting at maximum speed condition compared with the cutting at 60% maximum speed condition. Conclusion: Performing jump landing at an increased jump speed resulted in lower extremity movement patterns that have been previously associated with an increase in ACL loading. Cutting speed also affected lower extremity biomechanics. Jump speed and cutting speed need to be considered when designing ACL injury risk screening and injury prevention programs.
Effects of Hip Osteoarthritis on Lower Extremity Joint Contact Forces
Lyons, Percie Jewell (Virginia Tech, 2021-09-09)
People with osteoarthritis (OA) suffer from joint degeneration and pain as well as difficulty performing daily activities. Joint contact forces (JCF) are important for understanding individual joint loading, however, these contact force cannot be directly measured without instrumented implants. Musculoskeletal modeling is a tool for estimating JCF without the need for surgery. The results from these models can be very different due to different approaches used in the development of a model that was used for simulation. Therefore, the first purpose of this study was to develop and validate a musculoskeletal model in which lower extremity JCF were calculated at the hip, knee, and ankle in 10 participants with hip OA (H-OA) and 10 healthy control participants using OpenSim 4.0 [simtk.org, 23]. The generic gait2392 model was scaled to participant demographics, then the inverse kinematics (IK) solution and kinetic data were input into the Residual Reduction Algorithm (RRA) to reduce modeling errors. Kinematic solutions from RRA were used in the Computed Muscle Control (CMC) tool to compute muscle forces, then JCF were estimated using the Joint Reaction Analysis tool. Validation included JCF comparisons to published data of similar participant samples during level walking, and movement simulation quality was assessed with residual forces and moments applied at the pelvis, joint reserve actuators, and kinematic tracking errors. The computed JCFs were similar to the overall trends of published JCF results from similar participant samples, however the values of the computed JCFs were anywhere from 0.5 times body weight (BW) to 3BW larger than those in published studies. Simulation quality assessment resulted in low residual forces and moments, and low tracking errors. Most of the reserve actuators were small as well, besides pelvis rotation and hip rotation. The computed JCF were then used in the second portion of this study to determine the effect of group and side on JCF during both the weight acceptance and push-off phases of level walking. It was determined that there was a significant difference in the knee and ankle JCF during the weight acceptance portion of stance phase and at all joints during the push-off phase when comparing the H-OA and control groups on the affected limb. A significant interaction between group and limb was found for the peak hip JCF timing (% stance) during the push-off portion of the stance phase (p=0.009). These results demonstrate that H-OA participants experience an earlier peak hip JCF during propulsion on their affected limb. Based on previous research in OA that has examined spatiotemporal measures, this finding suggests that H-OA participants may use step or stride length changes as a strategy to decrease or limit pain and loading on the affected limb. Knowledge of potential JCF differences in H-OA participants, such as timing of the peaks in either portion of the stance phase, could provide useful insight to clinicians and therapists to make decisions on how to proceed with treatment or rehabilitation programs.
Energy Harvesting from the Human Body for Wearable and Mobile Devices
Liu, Mingyi (Virginia Tech, 2020-07-08)
Wearable and mobile devices are an important part of our daily life. Most of those devices are powered by batteries. The limited life span of batteries constitutes a limitation, especially in a multiple-day expedition, where electrical power can not access conveniently. At the same time, there is a huge amount of energy stored in the human body. While walking, there is a large amount of power dissipated in the human body as negative muscle work and the energy loss by impact. By sourcing locally and using locally, human body energy harvesting is a promising solution. This dissertation focuses on harvesting energy from the human body to power wearable and mobile devices while poses a minimum burden on the human body. Three topics related to the human body energy harvesting are explored, i.e, energy harvesting backpack, negative muscle work harvester, and energy harvesting tile/paver. The energy harvesting backpack was invented in 2006. Extensive work was done to improve the performance of backpack energy harvester. The backpack is modeled as a spring-mass-damper system. Mechanical Motion Rectifier was added to the spring-mass-damper system to increase the frequency bandwidth. A spring is added to the spring-mass-damper system, between the harvester and the backpack mass, and a inerter-based 2DOF (degree-of-freedom) backpack is created. The inerter-based 2DOF backpack improves the power output, frequency bandwidth, and power stroke ratio performance. MMR was added to the inerter-based 2DOF backpack to reduce the peak stroke. Compared with the conventional spring-mass-damper backpack, the MMR and inerter-based 2DOF backpack can harvest more power with large bandwidth at a small sacrifice of stroke. The electric damping was also tuned to increase the power output and bandwidth for the energy harvesting backpack. The negative work harvester mounts on the human ankle and harvests energy in the terminal stance phase in human walking, when the calf muscle is doing negative muscle work. This harvester is an analogy to regenerative brake in vehicles. The energy harvesting paver/tile harvests energy when the heel contacts with ground and energy are dissipated by impact.
An Exploration of Attunement in Counselor Education
Snead, Katherine F. (Virginia Tech, 2018-05-02)
Experiences of attunement, a deeply felt and embodied state of consciousness that results from tuning in to oneself, others, events, energies, and the environment, are the basis for realization of innate human capacities for connection and growth (Kossak, 2015). In an educational context, the process of 'tuning in' fosters the development of relationally based and embodied knowledge (Blades and Bester, 2013; Lutzker, 2014). Though rarely referenced and never studied comprehensively in counselor education, attunement contributes to the development of relational qualities and creativity necessary to provide effective counseling services (Duffey, Haberstroh, and Trepal, 2009; Kossak, 2015). Based on a synthesis of knowledge from diverse fields, this study was an exploration of attunement in counselor education involving several forms of measurement and the expressive arts as vehicles through which to foster attuned states. The researcher explored attunement as it occurred among master's level counselors-in-training engaging in improvisational group drumming, an intervention that has been shown to promote attunement (e.g., Kossak, 2008a). Perceptual, behavioral, and physiological measures were used to identify an occurrence of attunement. Audio and video data were used to contextualize the overall drumming experience and the process of 'tuning in' that led to attuned states. Findings from this study increase understanding of the phenomenon of attunement in the context of improvisational group drumming. Results shed light on how relational qualities and creativity develop and may promote more relational-responsive pedagogical practices in counselor education. Ultimately, results may contribute to the development of counselors with greater capacities for relating to diverse clients, responding to the complexities of their work, and creating meaningful change within their communities and society at large.
Exploration of Movement Variability and Limb Loading Asymmetry During Simulated Daily Functional Tasks
Streamer, Jill Evans (Virginia Tech, 2022-06-14)
The human body is a complicated dynamic system that is difficult to model because of the numerous interactions that occur between limbs during various tasks. There are documented movement differences when assessing movement in various populations, for example, joint angle and loading symmetry differences when comparing a clinical and healthy population. Symmetry deficits can impact quality of life and in some cases have been associated with an increase in injury risk. Therefore, it is essential to understand movement and loading symmetry in healthy individuals to facilitate the identification of rehabilitation targets. The purpose of this research was to assess the impact that task type and sex have on movement variability and load symmetry in healthy younger adults. The tasks included in this study represent activities of daily living such as level walking, stair ascent, stair descent and standing up from a chair. A wireless, single-sensor in-shoe force sensor allowed for data collection in a non-laboratory setting so that peak impact force and average loading rate could be evaluated across the different daily tasks. To assess movement variability, the coefficients of variation (CV) were determined for each task. The peak impact force (PIF) did not show a significant interaction between sex and task (p=0.627) or between sexes (p=0.685). The PIF did show significant between-task differences (p < 0.001), where the highest mean CV was observed in the sit-to-stand task and the lowest CV was observed during level walking. The variation between movements could be a result of the differential motor skill required to perform the task. The average loading rate (ALR) did not show a significant interaction between sex and task (p=0.069) or between sexes (p=0.624). The average loading rate showed significant between-task differences (p < 0.001), where the highest mean CV was observed in the sit-to-stand task and the lowest CV was observed during level walking. Based on these results, differences in movement type needs to be considered when evaluating average loading rate. To assess the impact of task type on load symmetry, the absolute symmetry index was calculated for the peak impact force and the average loading rate. For both parameters, only between task differences were identified (p < 0.001) and further analysis showed that sit-to-stand was significantly different from the other three movement tasks. The acceptable threshold for a healthy level of asymmetry has been defined in a clinical population to be less than 10%. Based on a chi square analysis, the 10% threshold accurately represents 95% of the population when used to measure peak impact force in level walking, stair ascent and stair descent. However, when assessing peak impact force symmetry during sit-to-stand or assessing average loading rate symmetry between tasks, the 10% threshold does not consistently represent 95% of the population. These results indicate that a threshold for a healthy symmetry may need to be redefined for bilateral movements and that the symmetry threshold may need to be specific to the outcome measure of interest.
Exploring the Effect of Ankle Braces on Foot Posture
Dickerson, Laura Carroll (Virginia Tech, 2020-04-28)
Foot posture is an important characteristic that can affect kinematics, plantar loading, and injury risk. Arch height is one common aspect of foot posture, and it is estimated that about 60% of the population has normal arches while 40% of the population is either pes planus or pes cavus. It is important to be able to accurately and reliably assess foot posture characteristics in order to propose interventions that could prevent injuries due to abnormal foot alignment. However, despite multiple classification metrics, many of the devices that are commonly used for foot posture measurements are not economically feasible for smaller clinics or research labs. Therefore, the first purpose of this study was to develop an affordable device to measure different foot posture characteristics. The Foot Posture Measurement System was developed and can measure total foot length, truncated foot length, foot width, dorsum height, and navicular height. This system was shown to have good to excellent validity (ICC = 0.908-0.994) and repeatability (ICC = 0.867-0.996) when compared to a 3D scanner. This device was then used in the second portion of this study, which evaluated the effects of ankle braces on plantar loading patterns in individuals with different foot postures. Contact area, peak force, force-time integral, and center of pressure were evaluated during a walk, run, and cut while the participant was unbraced, wearing a lace-up stabilizer brace, and wearing a semi-rigid brace. It was demonstrated that arch height did affect the maximum plantar forces during all tasks (p=0.001-0.047), as hypothesized based on previous studies. Additionally, this study found that ankle braces affected contact area (p=0.001-0.0014), maximum force (p<0.001 – p=0.043), and force-time integral (p<0.001 – p=0.015) during the walk, run, and cut. This is a novel finding and points to the potential for an impact of ankle braces on plantar loading during athletic activities, independent of foot type.

Browsing by Author "Queen, Robin M."

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