{"title":"Balance Control via Tactile Biofeedback in Children with Cerebral Palsy","authors":"Hande Argunsah, Begum Yalcin","doi":"10.37190/abb-02245-2023-03","DOIUrl":"https://doi.org/10.37190/abb-02245-2023-03","url":null,"abstract":"Purpose Children with Cerebral Palsy have limitations in utilizing neural information to perform smooth movement and maintain balance during walking. This study aimed to develop a wearable sensor that tracks balance continuously and provides haptic biofeedback to its user through real-time vibration stimulus to assist patients with balance and postural control impairments such as cerebral palsy. Methods Twelve children with cerebral palsy and 12 age-matched typically developed children used the sensor during walking at a self-selected speed. The lower extremity joint kinematics, center of mass, and spatial-temporal parameters were recorded with Xsens MVN during “with” and “without” biofeedback conditions. Results The sensor did not disturb healthy gait. Pearson Correlation Coefficient and Root Mean Square Error techniques showed that biofeedback regulated the gait parameters and trunk stability of the CP group when biofeedback was given. The extended stance percentage (without BF: 73.91% ± 10.42, with BF: 63.53% ± 2.99), step width (without BF: 0.20m ± 0.05, with BF: 0.18m ± 0.07), and step time (without BF: 1.55s ± 1.07, with BF: 0.73s ± 0.14) parameters decreased; similarly, cadence and walking speed increased. Conclusions Obtained results indicated that this wearable sensor can be integrated into the physical therapy and rehabilitation process of children with balance and postural control impairments to improve motor learning and balance control. The present findings contribute to a better understanding of the adaptation of innovative engineering applications with rehabilitation processes, which in turn could assist patients with balance impairments and facilitate their integration into society.","PeriodicalId":6897,"journal":{"name":"Acta of bioengineering and biomechanics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136301915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Piotr Kosior, Sylwia Klimas, Anna Nikodem, Justyna Wolicka, Dorota Diakowska, Adam Watras, Rafał J Wiglusz, Maciej Dobrzyński
{"title":"An in vitro examination of fluoride ions release from selected materials - resin-modified glass-ionomer cement (Vitremer) and nanohybrid composite material (Tetric EvoCeram).","authors":"Piotr Kosior, Sylwia Klimas, Anna Nikodem, Justyna Wolicka, Dorota Diakowska, Adam Watras, Rafał J Wiglusz, Maciej Dobrzyński","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this study was to examine a short-term fluoride ions release from selected materials - resin-modified glass ionomer -Vitremer (3M ESPE) and nanohybrid universal composite - Tetric EvoCeram (IvoclarVivadent). Release of fluoride ions [µg/mm2 /h] from Tetric EvoCeram and Vitremer into nine environments (artificial saliva - AS, deionized water and 0.9% NaCl) differing in composition of the solution and pH was determined. Six samples were prepared for each solution. In the short-term study, the measurements were taken after 1, 3, 24, 48, 72 and 168 hours. The cumulative values as well as levels of fluoride ions released at concrete time intervals were compared. Within 7 days (168 hours), both materials showed variable levels of fluoride ions release. The highest value of fluoride ions release from nanohybrid Tetric EvoCeram material was reported in deionized water (8) after 24 hours (1.550 ± 0.014 [µg/mm2/h]) and the lowest value was read in the artificial saliva AS pH 7.5 (5) after 1 hour (0.022 ± 0.001 [µg/mm2/h]). What's more, the highest value of F- release from Vitremer was found in deionized water (8) after 168 hours of immersion (24.021 ± 2.280 [µg/mm2/h]) and the lowest value was in the artificial saliva AS (without Ca2+) pH 4.5 (6) (0.303 ± 0.249 [µg/mm2/h]) after 168 hours. Cumulated release of F- after 7 days was notably higher from resin- modified glass ionomer material - Vitremer in all artificial saliva solutions (1-7) which imitated the environment of oral cavity. Therefore, we can assume that Vitremer has better remineralization potential and it may constitute a more effective method of tooth decay prevention.</p>","PeriodicalId":6897,"journal":{"name":"Acta of bioengineering and biomechanics","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139680490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Masumeh Babayi, Sayed Mohsen Mortazavi Najafabadi, Mohammed N Ashtiani, Dariusz Grzelczyk
{"title":"General muscle fatigue changed joint regulations in static and dynamic balance.","authors":"Masumeh Babayi, Sayed Mohsen Mortazavi Najafabadi, Mohammed N Ashtiani, Dariusz Grzelczyk","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study was aimed at investigating the joint regulations and body sway after general muscle fatigue during tasks that involve both static and dynamic balance. This cross-sectional study used motion analysis to ascertain the kinematic changes in twelve healthy young individuals before and after running-induced fatigue. Six linear and nonlinear stability metrics were calculated to assess the whole body and joint-related variations. Significant instabilities were observed in the hip and specifically in the knee mechanisms and the whole body during the static condition. Velocity path length and approximate entropy for knee ( p = 0.019, p = 0.027) and hip ( p = 0.016, p = 0.042) were significantly greater after fatigue. These parameters for the whole body center of mass were also higher after fatigue ( p = 0.013, p = 0.013). General muscle fatigue did not significantly affect the ankle during static and dynamic standing ( p > 0.05). Dynamic standing did not reveal the effects of fatigue either on local joint regulations or on the whole body except for the nonlinear metrics of the proximal joints. The knee and hip were adversely affected by fatigue while the ankle strove to compensate for the fatigue-induced instability.</p>","PeriodicalId":6897,"journal":{"name":"Acta of bioengineering and biomechanics","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139680582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tarsus and knee setting in children at the final stage of early childhood taking into account the six-month age ranges.","authors":"Ewa Puszczałowska-Lizis, Sabina Lizis, Wiolletta Mikuláková","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>The study aimed to analyze the tarsus and knee setting in 3-year-old girls and boys, taking into account the six-month age ranges.</p><p><strong>Methods: </strong>The study involved 800 children (400 girls, 400 boys) recruited from randomly selected preschools in the in the Podkarpackie voivodeship. Study group was divided into two age ranges: 1st group (children aged 3.00-3.49 years) and 2nd group (children aged 3.50-3.99 years). Baseline goniometer (Fei Fabrication, Ltd., USA) was used as primary research tool. The data were analyzed based on Mann-Whitney U-test and Student's t-test for independent samples.</p><p><strong>Results: </strong>Sex differences concern only the tibio-calcaneal angle in children in the 2nd age group (right: p < 0.001) and left p < 0.001). Statistically significant differences in both girls (right lower limb: p = 0.003; left lower limb: p = 0.002), and boys (right lower limb: p = 0.001; left lower limb: p = 0.001) were found.</p><p><strong>Conclusions: </strong>Boys were characterized by greater valgus of the tarsus of the right and left foot than girls. Knees of girls and boys in the 1st age group were characterized by greater valgus, compared to children from the 2nd age group.</p>","PeriodicalId":6897,"journal":{"name":"Acta of bioengineering and biomechanics","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139680503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gabriela Chwalik-Pilszyk, Zygmunt Dziechciowski, Magdalena Kromka-Szydek, Marek Kozień
{"title":"Experimental study of the influence of using polyurethane cushion to reduce vibration received by a wheelchair user","authors":"Gabriela Chwalik-Pilszyk, Zygmunt Dziechciowski, Magdalena Kromka-Szydek, Marek Kozień","doi":"10.37190/abb-02223-2023-03","DOIUrl":"https://doi.org/10.37190/abb-02223-2023-03","url":null,"abstract":"Purpose Experimental studies on comparing the ability of polyurethane cushions of three arbitrary selected thicknesses to minimize vibrations transmitted from the wheelchair to its user. Methods Measurements were made during passive motion on five different surfaces often found in public spaces. Two tests were carried out during the measurements. In the first test, the sensor was located directly on the surface of the wheelchair seat. In the second test, a polyurethane cushion was placed on the seat, on which the measuring sensor was then placed. Results The study showed that regardless of the surface on which the wheelchair user moves, the threshold defined in the ISO standard for frequencies in the range from 4 to 40 Hz is exceeded. However, thanks to the use of polyurethane cushions, vibration damping is visible for frequencies ranging from 10 to 40 Hz. The impact of the user’s weight on the magnitude of the perceived vibrations was also observed. Conclusions Studies show that wheelchair users are exposed to whole body vibration that can negatively affect their health. Cushions made of polyurethane seems to be a promising solution to reduce whole body vibration in the frequency range that is burdensome and harmful to human health.","PeriodicalId":6897,"journal":{"name":"Acta of bioengineering and biomechanics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136303742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael Rowley, Toshiyuki Kurihara, David Ortiz-Weissberg, Kornelia Kulig
{"title":"Contributions of flexor hallucis longus and brevis muscles to isometric toe flexor force production.","authors":"Michael Rowley, Toshiyuki Kurihara, David Ortiz-Weissberg, Kornelia Kulig","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>Morphological differences between the two primary great toe flexors - flexor hallucis longus (FHL) and flexor hallucis brevis (FHB) - likely drive differences in how these muscles contribute to functional toe flexor torque production. The aim of the study was to investigate FHL and FHB activation in two isometric toe flexion tasks - one called a \"toe-pushing\" task with the metatarsophalangeal (MTP) joints dorsiflexed and the interphalangeal (IP) joints in neutral and another called a \"toe-gripping\" task with the MTP joints in neutral and flexed IP joints.</p><p><strong>Methods: </strong>Twenty participants' FHL and FHB muscles were instrumented with intramuscular electromyography electrodes. Muscle activation was normalized to a maximum voluntary contraction and compared between the two isometric toe flexor force production tasks.</p><p><strong>Results: </strong>Overall, participants utilized these two toe flexors completely differently in the two tasks. In the toe-gripping task, the FHL was activated to a much greater extent than the FHB. In fact, 18 our of 20 participants activated FHL at more than 70% maximum voluntary contraction and half of participants activated FHB at less than 10%. In contrast, muscle activation during the toe-pushing task appeared more reliant on the FHB for most participants.</p><p><strong>Conclusions: </strong>Different contributions from the FHL and FHB to toe flexor force production in these two tasks are potentially driven by differences in muscle functional length among other factors. These findings help to inform the selection of rehabilitation and training exercises meant to preferentially target intrinsic or extrinsic foot musculature.</p>","PeriodicalId":6897,"journal":{"name":"Acta of bioengineering and biomechanics","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139680494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xianghao Zhang, Zhenmin Fan, Xiao Liu, Mingyuan Liu, Xia Ye, Xiaoyan Deng
{"title":"Hemodynamic impact of snoring on carotid artery after stent implantation: the role of oscillation.","authors":"Xianghao Zhang, Zhenmin Fan, Xiao Liu, Mingyuan Liu, Xia Ye, Xiaoyan Deng","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Snoring is common in overweight and elderly patients treated by endovascular stenting. Studies have proved a correlation between snoring and carotid stenosis, thus, snoring after carotid artery stenting (CAS) might promote or worsen clinical performance. This study tested this hypothesis by constructing a patient-specific carotid bifurcation model and numerically analyzing hemodynamic changes of the carotid artery under different snoring conditions. These conditions included small and large amplitude, low and high frequency, and different age groups. The results found that high amplitude snoring suppressed the disturbed flow at the stented segment while the downstream region of ICA became more chaotic, accounting for in-stent intimal restenosis and thrombosis. Furthermore, local blood flow patterns of elder groups with snoring symptoms were more likely to be changed due to low-speed flow, increasing the possibility of vascular remodeling and thrombosis. Besides, increased snoring frequency hardly influenced the local disturbed flow. Therefore, older adults should receive medical treatment actively after stenting for high-amplitude snoring as soon as possible to avoid potential adverse events.</p>","PeriodicalId":6897,"journal":{"name":"Acta of bioengineering and biomechanics","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139680499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Peihan Liu, Jin Wan, Wen Liu Liu, Y U Zhao, Shanshan Yan, Wen Jiang, Houguang Liu
{"title":"Numerical analysis of the effects of canal wall-up and canal wall-down mastoidectomy on the sound transmission characteristics of human ears.","authors":"Peihan Liu, Jin Wan, Wen Liu Liu, Y U Zhao, Shanshan Yan, Wen Jiang, Houguang Liu","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this work was to study the effect of canal wall-up (CWU) and canal wall-down (CWD) and mastoid obliteration in conjunction with CWD (CWD-MO) mastoidectomy on the sound transmission characteristics of the human ear.</p><p><strong>Methods: </strong>Three mastoidectomy surgical methods, CWU, CWD and CWD-MO, were simulated on the freshly dissected cadaver heads. Then, the finite element (FE) models corresponding to these surgical methods were established by micro-computed tomography (Micro-CT) and reverse engineering technology, and the accuracy of the models was verified. Finally, the FE Models were used to analyze the effects of different surgical methods on the sound transmission characteristics of the human ear.</p><p><strong>Results: </strong>For CWU, since the integrity of the outer wall of the ear canal is ensured, the sound pressure (SP) gain of the ear canal and the stapes footplate displacement (FPD) gain after this operation are close to normal values. For CWD, due to severe damage to the outer wall of the ear canal, a negative gain of the ear canal SP occurs in the high-frequency range, and the resonance frequency is significantly reduced. For CWD-MO, the frequency range of SP negative gain in the ear canal is reduced due to the addition of fillers in the ear canal to reduce the degree of damage, and the resonance frequency is increased compared to CWD.</p><p><strong>Conclusions: </strong>The impact of three types of mastoidectomy, including CWU, CWD, and CWDMO, on the sound transmission characteristics of the human ear after surgery is relatively small.</p>","PeriodicalId":6897,"journal":{"name":"Acta of bioengineering and biomechanics","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139680584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Wavelet analysis of the EMG signal to assess muscle fatigue in the lower extremities during symmetric movement on a rowing ergometer.","authors":"Natalia Daniel, Jerzy Małachowski","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this publication was to propose a method to determine changes in fatigue in selected muscle groups of the lower extremity during dynamic and cyclical motion performed on a rowing ergometer. The study aimed to use the discrete wavelet transform (DWT) to analyze electromyographic signals (EMG) recorded during diagnostic assessment of muscle and peripheral nerve electrical activity (electroneurography) using an electromyography device (EMG).</p><p><strong>Methods: </strong>The analysis involved implementing calculations such as mean frequency (MNF) and median frequency (MDF) using the reconstructed EMG signal through DWT. The study examined the efficacy of DWT analysis in assessing muscle fatigue after physical exertion.</p><p><strong>Results: </strong>The study obtained a negative regression coefficient for DWT analysis in all muscles except for the right gastrocnemius (GAS). The results suggest that DWT analysis can be an effective tool for evaluating muscle fatigue after physical exertion.</p><p><strong>Conclusions: </strong>The use of DWT in the analysis of EMG signals during rowing ergometer exercises has shown promising results in assessing muscle fatigue. However, additional investigations are necessary to confirm and expand these findings. This publication addresses the literature gap on the determination of muscle fatigue considering motion analysis on a rowing ergometer using the discrete wavelet transform. Previous studies have extensively compared and analyzed methods such as the Fourier transform (FFT), short-time Fourier transform (STFT), and wavelet transform (WT) for muscle fatigue analysis. However, no previous work has specifically examined the assessment of muscle fatigue by incorporating DWT analysis with motion analysis on a rowing ergometer.</p>","PeriodicalId":6897,"journal":{"name":"Acta of bioengineering and biomechanics","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139680588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
None Xianghao Zhang, None Zhenmin Fan, None Xiao Liu, None Mingyuan Liu, None Xia Ye, None Xiaoyan Deng
{"title":"Hemodynamic Impact of Snoring on Carotid Artery after Stent Implantation: The Role of Oscillation","authors":"None Xianghao Zhang, None Zhenmin Fan, None Xiao Liu, None Mingyuan Liu, None Xia Ye, None Xiaoyan Deng","doi":"10.37190/abb-02207-2023-02","DOIUrl":"https://doi.org/10.37190/abb-02207-2023-02","url":null,"abstract":"Purpose Snoring is common in overweight and old patients treated by endovascular stenting. Studies have proved a correlation between snoring and carotid stenosis, thus, snoring after carotid artery stenting (CAS) might promote or worsen clinical performance. Methods This study tested this hypothesis by constructing a patient-specific carotid bifurcation model and numerically analyzing hemodynamic changes of the carotid artery under different snoring conditions. These conditions included small and large amplitude, low and high frequency, and different age groups. Results The results found that high amplitude snoring suppressed the disturbed flow at the stented segment, while the downstream region of ICA became more chaotic, accounting for in-stent intimal restenosis and thrombosis. Furthermore, local blood flow patterns of elder groups with snoring symptoms were more likely to be changed due to low-speed flow, increasing the possibility of vascular remodeling and thrombosis. Besides, increased snoring frequency hardly influenced the local disturbed flow. Conclusions Therefore, older adults should receive medical treatment actively after stenting for high amplitude snoring as soon as possible to avoid potential adverse events.","PeriodicalId":6897,"journal":{"name":"Acta of bioengineering and biomechanics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136304049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}