Showing papers in "Acta of Bioengineering and Biomechanics in 2015"

Gentamicin loaded PLGA nanoparticles as local drug delivery system for the osteomyelitis treatment.

Abstract: Since there are more and more cases of multiresistance among microorganisms, rational use of antibiotics (especially their systemic vs. local application) is of great importance. Here we propose polymeric nanoparticles as locally applied gentamicin delivery system useful in osteomyelitis therapy. Gentamicin sulphate (GS) was encapsulated in the poly(lactide-co-glycolide) (PLGA 85:15) nanoparticles by double emulsification (water/oil/water, W1/O/W2). The nanoparticles were characterized by dynamic light scattering, laser electrophoresis and atomic force microscopy. UV-vis spectroscopy (O-phthaldialdehyde assay, OPA) and Kirby-Bauer tests were used to evaluate drug release and antimicrobial activity, respectively. Physicochemical characterization showed that size, shape and drug solubilization of the nanoparticles mainly depended on GS content and concentration of surface stabilizer (polyvinyl alcohol, PVA). Laser electrophoresis demonstrated negative value of zeta potential of the nanoparticles attributed to PLGA carboxyl end group presence. Drug release studies showed initial burst release followed by prolonged 35-day sustained gentamicin delivery. Agar-diffusion tests performed with pathogens causing osteomyelitis (Staphylococcus aureus and Staphylococcus epidermidis, both reference strains and clinical isolates) showed antibacterial activity of GS loaded nanoparticles (GS-NPs). It can be concluded that GS-NPs are a promising form of biomaterials useful in osteomyelitis therapy.

The human balance system and gender

Abstract: The human body balance system is a complex system of organs and mechanisms, which generate postural reactions to counter the displacement from the equilibrium position of the body centre of gravity, and which control eye movement in order to maintain a stable image of the environment. Computerised Dynamic Posturography (CDP) allows for a quantitative and objective assessment of the sen- sory and motor components of the body balance control system as well as of the integration and adaptive mechanisms in the central nervous system. The aim of this study was to determine the differences, when maintaining body balance, based on the gender of young, healthy people using CDP. The study was carried out on a group of 43 healthy subjects by comparing the effectiveness of the balance system in 22 women and 21 men aged between 20 and 26 years, between 171 and 177 cm in height, and without any clinical symptoms of balance disorders. The men and women were selected such that they did not differ significantly in height and BMI. Using the Equitest posturograph manufactured by NeuroCom International Inc. the following tests were performed: Sensory Organisation Test (SOT), Motor Control Test (MCT) and the Adaptation Test (ADT). The gender of young healthy individuals without any clinical symptoms of balance disorders also does not affect the effectiveness of the sensory system and the use of this signal in maintaining body balance.

Technological capabilities of surface layers formation on implant made of Ti-6Al-4V ELI alloy

Abstract: Purpose: The aim of the presented research was to find a combination of surface modification methods of implants made of the Ti-6Al-4V ELI alloy, that lead to formation of effective barrier for metallic ions that may infiltrate into solution. Methods: To this end, the following tests were carried out: roughness measurement, the voltamperometric tests (potentiodynamic and potentiostatic), and the ion infiltration test. Results: The electropolishing process resulted in the lowering of surface roughness in comparison with mechanical treatment of the surface layer. The anodization process and steam sterilization increased corrosion resistance regardless of the mechanical treatment or electropolishing. The crevice corrosion tests revealed that independent of the modification method applied, the Ti-6Al-4V ELI alloy has excellent crevice corrosion resistance. The smallest quantity of ions infiltrated to the solution was observed for surface modification consisting in the mechanical treatment and anodization with the potential of 97 V. Conclusions: Electric parameters determined during studies were the basis for effectiveness estimation of particular surface treatment methods. The research has shown that the anodization process significantly influences the pitting corrosion resistance of the Ti-6Al-4V ELI alloy independent of the previous surface treatment methods (mechanical and electrochemical). The surface layer after such modification is a protective barrier for metallic ions infiltrated to solution and protects titanium alloy against corrosive environment influence.

Temporal and spatial parameters of gait during pregnancy

Abstract: Purpose: The objective of this study was to describe spatial and temporal parameters during gait in pregnant women, and to compare it with women in post-partum and with a control group. Methods: To investigate alteration in natural locomotion, we used an electronic walkway (GAITRite system). Fifty-eight pregnant women (four last months of pregnancy), nine post-partum women and twenty-three healthy nulligravidae women participated in this study. The women performed the motor task at three different speeds: preferred, fast and slow. Spatial and temporal parameters for pregnant and non-pregnant were compared.Results: In pregnant women, gait speed, step length and cadence were reduced. Consequently, cycle time was longer. The gait cycle was modified by an increase of stance phase and a decrease of swing phase. As a result, an increase of double support and a decrease of single support phases were observed. Step width increased by 15%.

Relationship between lower limbs kinematic variables and effectiveness of sprint during maximum velocity phase

Abstract: Purpose The aim of the study was to determine the relationships between time of running over a 15-25 m section of a 30-meter run along a straight line and changes in the angle and angular velocity observed in ankle, knee and hip joints. Therefore, the authors attempted to answer the question of whether a technique of lower limbs movement during the phase of sprint maximum velocity significantly correlates with the time of running over this section. Methods A group of 14 young people from the Lower Silesia Voivodeship Team participated in the experiment. A Fusion Smart Speed System was employed for running time measurements. The kinematic data were recorded using Noraxon MyoMotion system. Results There were observed statistically significant relationships between sprint time over a section from 15 to 25 m and left hip rotation (positive) and between this time and left and right ankle joint dorsi-plantar flexion (negative). Conclusions During the maximum velocity phase of a 30 m sprint, the effect of dorsi-plantar flexion performed in the whole range of motion was found to be beneficial. This can be attributed to the use of elastic energy released in the stride cycle. Further, hip rotation should be minimized, which makes the stride aligned more along a line of running (a straight line) instead of from side to side.

Medial longitudinal arch biomechanics evaluation during gait in subjects with flexible flatfoot.

Abstract: PURPOSE Medial longitudinal arch (MLA) strengthening has been considered an important part of successful flatfoot treatment. But, to date, the biomechanical loading behavior of the medial arch in flatfoot has not been evaluated. This study aimed to evaluate the MLA moment, MLA deformation angle, foot kinematics and ground reaction forces (GRF) in both normal foot and flatfoot groups. METHODS Each participant's foot was classified according to arch type using foot prints and radiographs. Twenty-eight non-obese adults (13 flatfeet and 15 normal feet) were involved. The biomechanics data were collected in a 3D motion analysis laboratory. The MLA biomechanics were calculated. Hindfoot and forefoot kinematics were also analyzed. RESULTS The flatfoot group had a significantly greater peak eversion MLA moment (p = 0.005) and a smaller peak MLA deformation angle (p < 0.05) during specific subphases. The peak of hindfoot plantarflexion (p < 0.05) and internal rotation (p < 0.05) and the peak of forefoot abduction ( p < 0.05) in the specific subphases were greater in the flatfoot group. The flatfoot group also had significantly smaller peak vertical GRF ( p < 0.05) during late stance and larger peak medial GRF (p < 0.05) during mid stance. CONCLUSIONS This study found a significantly greater eversion deforming force acting at the MLA structure, greater hindfoot and forefoot motion, less MLA flexibility and abnormal GRF in a flatfoot group during walking, which reflected the deficit of foot function in a flatfoot group.

Corneal hyper-viscoelastic model: derivations, experiments, and simulations

Abstract: Purpose: The aim of this study is to propose a method to construct corneal biomechanical model which is the foundation for simulation of corneal microsurgery. Methods: Corneal material has two significant characteristics: hyperelastic and viscoelastic. Firstly, Mooney–Rivlin hyperelastic model of cornea obtained based on stored-energy function can be simplified as a linear equation with two unknown parameters. Then, modified Maxwell viscoelastic model of the cornea, whose analytical form is consistent with the generalized Prony-series model, is proposed from the perspective of material mechanics. Results: Parameters of the model are determined by the uniaxial tensile tests and the stress-relaxation tests. Corneal material properties are simulated to verify the hyper-viscoelastic model and measure the effectiveness of the model in the finite element simulation. On this basis, an in vivo model of the corneal is built. And the simulation of extrusion in vivo cornea shows that the force is roughly nonlinearly increasing with displacement, and it is consistent with the results obtained by extrusion experiment of in vivo cornea. Conlusions: This paper derives a corneal hyper-viscoelastic model to describe the material properties more accurately, and explains the mathematical method for determination of the model parameters. The model is an effective biomechanical model, which can be directly used for simulation of trephine and suture in keratoplasty. Although the corneal hyper-viscoelastic model is taken as the object of study, the method has certain adaptability in biomechanical research of ophthalmology.

Biomechanical influences on head posture and the respiratory movements of the chest.

Abstract: Purpose The head represents 6% of total body weight, therefore it can significantly affect the biomechanics of human posture control, movements and activities. When set out of vertical body axis, head position interferes with the work of the other links in the kinematic chain. The aim of our study was to evaluate the effect of head posture on the breathing activities of the chest. Material and methods The research was conducted on a group of 65 patients (51 years ± 9.8 years), including 48 women and 17 men. Head posture and chest movements were assessed using a photogrammetric method. Results The results confirmed the existence of a negative correlation between head position in the sagittal plane and movements of lower ribs. Forward head posture resulted in lower amplitude of costal arch motion: for the transverse plane Spearman's R = -0.296, for the frontal plane; -0.273, -0.289. Tilting the head in the frontal plane also influenced the change in the biomechanics of breathing and contributed to a reduction of respiratory movements of the lower ribs Spearman's R = -0.260. Conclusions Changing the position of the head causes disturbances in the three-dimensional shape of the chest and its respiratory movements.

The study of physicochemical properties of stabilizing plates removed from the body after treatment of pectus excavatum.

Abstract: This paper presents the results of a physicochemical surface study and clinical observation of a new generation of plates for the treatment of pectus excavatum. Analysis of the data allowed us to investigate the effect of implant design and condition of their surface on the results of treatment of pectus excavatum. In the study, we performed an analysis of clinical data, obtained after a suitable period of treatment with the use of implants, as well as a study of physicochemical properties of stabilizing plates after their removal from the body. Surface roughness, the surface wettability and corrosion resistance were measured, and the results were compared with clinical observations. When removing the plates we found only slight inflammatory-periosteal reactions around the wire fixing transverse stabilizing plates to the ribs and locking the base plate correcting the distortion. The corrective plates did not shift or rotate during the entire treatment period, giving an optimal, oval and natural shape of the chest. The obtained values of the parameters investigated indicate that the reduction in resistance to pitting corrosion occurred in the areas where laser marking was made to identify the plate. The remaining plates, in spite of mechanical damage of the surface, were characterized by good corrosion resistance, a fact which is confirmed by the results of clinical evaluation.

The influence of breaststroke swimming on the muscle activity of young men in thermographic imaging.

Abstract: The aim of this work is to describe and assess energetic-metabolic activity of selected muscles of upper extremities and body during breaststroke swimming through infrared thermography as electromyography cannot display such muscle activity. Thermograms were taken of 25 students from the University of Defence immediately and 15 minutes after swimming 1,000 m focused on 20 regions of interest, i.e., corresponding to selected agonists and synergists in upper extremities and body. We used FLUKE TiR infrared hand camera. It was found that there is a significant increase (normalized units) 15 minutes after swimming in triceps brachii (on the right prior to swimming 0.950 and after swimming 0.994; on the left prior to swimming 0.947 and after 0.990), and in side, rear and front parts of the deltoid muscles. On the contrary, there was a significant relative decrease in temperature in pectoralis, rhombic and lower trapezius, erector spinae lumbalis and latissimus dorsi. It can be concluded that swimming 1,000 m breaststroke affected significant increase in the temperature of regions of interest, i.e., corresponding to agonists and synergists of upper extremities for the swimmer's forward motion. A relative decrease in temperature occurred rather in body muscles. The problem of biased results due to water cooling was solved by using thermograms taken only in the 15th minute after getting out of water and calculating relative temperatures with normalized units.

Biomechanical parameters in lower limbs during natural walking and Nordic walking at different speeds.

Abstract: Purpose: Nordic Walking (NW) is a sport that has a number of benefits as a rehabilitation method. It is performed with specially designed poles and has been often recommended as a physical activity that helps reduce the load to limbs. However, some studies have suggested that these findings might be erroneous. Study aim. The aim of this paper was to compare the kinematic, kinetic and dynamic parameters of lower limbs between Natural Walking (W) and Nordic Walking (NW) at both low and high walking speeds. Methods: The study used a registration system, BTS Smart software and Kistler platform. Eleven subjects walked along a 15-metre path at low (below 2 m⋅s –1 ) and high (over 2 m⋅s –1 ) walking speeds. The Davis model was employed for calculations of kinematic, kinetic and dynamic parameters of lower limbs. Results: With constant speed, the support given by Nordic Walking poles does not make the stroke longer and there is no change in pelvic rotation either. The only change observed was much bigger pelvic anteversion in the sagittal plane during fast NW. There were no changes in forces, power and muscle torques in lower limbs. Conclusions: The study found no differences in kinematic, kinetic and dynamic parameters between Natural Walking (W) and Nordic Walking (NW). Higher speeds generate greater ground reaction forces and muscle torques in lower limbs. Gait parameters depend on walking speed rather than on walking style.

A finite element model of the L4-L5-S1 human spine segment including the heterogeneity and anisotropy of the discs.

Abstract: With the aim to study disc degeneration and the risk of injury during occupational activities, a new finite element (FE) model of the L4-L5-S1 segment of the human spine was developed based on the anthropometry of a typical Colombian worker. Beginning with medical images, the programs CATIA and SOLIDWORKS were used to generate and assemble the vertebrae and create the soft structures of the segment. The software ABAQUS was used to run the analyses, which included a detailed model calibration using the experimental step-wise reduction data for the L4-L5 component, while the L5-S1 segment was calibrated in the intact condition. The range of motion curves, the intradiscal pressure and the lateral bulging under pure moments were considered for the calibration. As opposed to other FE models that include the L5-S1 disc, the model developed in this study considered the regional variations and anisotropy of the annulus as well as a realistic description of the nucleus geometry, which allowed an improved representation of experimental data during the validation process. Hence, the model can be used to analyze the stress and strain distributions in the L4-L5 and L5-S1 discs of workers performing activities such as lifting and carrying tasks.

The influence of sounds on posture control.

Abstract: PURPOSE It is still not clear which parameters of sound are the most significant for body reactions and whether the way of sound reception plays a role in body control. The purpose of this study was to determine the influence of frequency, spectrum and loudness of sounds on posture control in healthy women and men. METHODS The study subjects were 29 young adults who were submitted to a 60-second standing test in the bipedal stance on the force platform (AMTI). During the tests, 3 sinusoidal sounds with various timing and 2 musical sounds (guitar and piano) of the frequency 225 Hz, 1000 Hz and 4000 Hz were applied through headphones. The centre of pressure (COP) amplitude was registered. The sway area and COP mean velocity were computed. RESULTS It was found that high frequency sounds contributed to a significant decrease of sway area values. No significant influence of low frequency sounds on posture control was observed. The influence of the sound spectrum (timbre) on posture control is limited; only the crescendo spectrum improves the body stability in the bipedal stance and not the music spectrum as guitar and piano. The loudness of sound, although extremely high, is not the cause of postural control changing in relation to lower loudness. No effect of gender was found in terms of body stability under different sound conditions. CONCLUSION Based on the results, it can be argued that, in general, in a bipedal stance in terms of stability high sound frequency improves posture control, whereas sound spectrum and intensity show a limited impact.

Target effect on the kinematics of Taekwondo Roundhouse Kick - is the presence of a physical target a stimulus, influencing muscle-power generation?

Abstract: Taekwondo is famous for its powerful kicking techniques and the roundhouse kick is the most frequently used one. In earlier literature, the influence of a physical target (exiting or not) on kicking power generation has not been given much attention. Therefore, the aim of this study was to investigate the kinematics of roundhouse kick execution and its factors related to power generation. 6 ITF taekwondo practitioners voluntarily participated in this study. They were asked to perform kicks with and without a physical target. The first kick aimed at breaking a board while the second one was a kick into the air. A Smart-D motion capture system (BTS S.p.A., Italy) was used to quantitatively determine their kinematic characteristics during each kick. The main findings showed that kicks aiming at a breaking board were significantly slower than kicks without a physical target (maximal kick-foot velocities were 10.61 ± 0.86 m/s and 14.61 ± 0.67 m/s, respectively, p < 0.01), but the kicking time of the former was shorter (0.58 ± 0.01 s and 0.67 ± 0.01, respectively, p < 0.01). The results suggest that a physical target will negatively influence the kick-foot velocity, which is not necessarily a disadvantage for creating a high quality kick. Possible motor control mechanisms are discussed for the phenomenon. The study made it clear: trainings with and without physical targets would develop different motor control patterns. More studies are needed for identifying the effectiveness of different controls and efficiencies of their training.

Influence of three different preservative techniques on the mechanical properties of the ovine cortical bone.

Abstract: Purpose Preservative treatments are necessary for disinfection and long term storage when dealing with biological tissue. Freezing is a gold standard but infectious risk can only be eliminated by using chemical fluids that may alter the mechanical properties, depending on their composition. Therefore, we experimentally evaluated the influence of freezing and of two commonly used preservative fluids (formalin and alcohol) on the intrinsic mechanical properties of ovine cortical bone samples, compared to purely fresh samples. Methods Prismatic specimens were prepared from the sheep's metacarpal bones and were divided into four groups (fresh, fresh-frozen, formalin and alcohol). All samples underwent four-point-bending; fresh samples were tested immediately, preserved samples were tested after 14 days. Bending modulus, bending strength, yield strength and energy absorption for the elastic and plastic region were determined. Results Significant differences were found for the plastic energy absorption for formalin (-41%) and alcohol (+37%) preservation com- pared to fresh samples. Formalin preservation revealed embrittlement of the cortical bone samples and alcohol preservation revealed higher ability of plastic energy absorption. Conclusions Our results indicate that freezing has no influence on the mechanical properties of the ovine cortical bone. Preservation with chemical fluids (formalin and alcohol) showed no influence on the elastic properties but it was observed for the ability of plastic energy absorption. Therefore, these methods seem to be suitable for preservation without evident altering of the elastic mechanical properties.

Evaluation of functional methods for human movement modelling.

Abstract: PURPOSE: accurate assessment of human joint parameters is a critical issue for the quantitative movement analysis, due to a direct influence on motion patterns. In this study three different known functional methods are experimentally compared to identify knee joint kinematics for further gait and motion analysis purposes. METHODS: taking into account the human knee physiology complexity, within its roto-translation, the study is conducted on a lower limb mechanical analogue with a polycentric hinge-based kinematic model. The device mimics a joint with a mobile axis of rotation whose position is definable. Sets of reflective markers are placed on the dummy and flexion-extension movements are imposed to the shank segment. Marker positions are acquired using an optoelectronic motion capture system (Vicon 512). RESULTS: acquired markers' positions are used as input data to the three functional methods considered. These ones approximate the polycentric knee joint with a fixed single axis model. Different ranges of motion and number of markers are considered for each functional method. RESULTS are presented through the evaluation of accuracy and precision concerning both misalignment and distance errors between the estimated axis of rotation and the instantaneous polycentric one, used as reference. CONCLUSION: the study shows the feasibility of the identification of joint parameters with functional approaches applied on a polycentric mechanism, differently from those usually conceived by the reviewed algorithms. Moreover, it quantifies and compares the approximation errors using different algorithms, by varying number and position of markers, as well ranges of motion. Language: en

Strength analysis of a three-unit dental bridge framework with the Finite Element Method

Abstract: Purpose: The aim of the study was to analyse the strength of a prosthetic bridge with variable geometry in the connectors between the span and the retention elements on the pillar teeth crowns. Methods: Research was carried using the Finite Elements Method (FEM) on a model of the bridge in the anterior teeth arch in the field 21–22–23, obtained using a contact scanner and computer aided design (CAD) system, with four different cross-sectional areas of the connectors: 4.0, 5.0, 5.5, and 6.0 mm 2 . For that purpose, the impact of the properties of selected metal alloys on the deflection of the prosthesis was analysed. Results: On the basis of the analyses, it was found that when the loading force acted obliquely, the stress was 19% higher compared to the stress with a loading vertical force. In the case of connectors with the smallest cross-sectional area, the stress exceeded permissible value (with safety factor n = 2) for one of the alloys. Conclusions: Deflection of the bridges tested changed depending on the connector cross-section and the elastic modulus of the selected material. Healthy teeth have been a concern for humans since the beginning of civilization and are also associated with the problem of solving the rebuilding of damaged and rotten teeth, leading to the development of dental prosthetics. In human history, prosthetics had already appeared around 5000 BC, for which proof can be found in a tomb from the area of Saida in Lebanon, where a bridge rebuilding two missing teeth in the mandible, connected with the rest of the teeth by means of a gold wire, was found. A prosthesis made of ivory is available in the Louvre Museum. At the present time, with the improvement of the living conditions and wealth of communities, there is a growing requirement with regard to health status for the implementation of new technology materials for dental engineering [21] and a demand for better dental

Hydrodynamic body shape analysis and their impact on swimming performance.

Abstract: This study presents the hydrodynamic characteristics of different adult male swimmer's body shape using computational fluid dynamics method. This simulation strategy is carried out by CFD fluent code with solving the 3D incompressible Navier-Stokes equations using the RNG k-e turbulence closure. The water free surface is captured by the volume of fluid (VOF) method. A set of full body models, which is based on the anthropometrical characteristics of the most common male swimmers, is created by Computer Aided Industrial Design (CAID) software, Rhinoceros. The analysis of CFD results revealed that swimmer's body shape has a noticeable effect on the hydrodynamics performances. This explains why male swimmer with an inverted triangle body shape has good hydrodynamic characteristics for competitive swimming.

Multivariate analysis of 200-m front crawl swimming performance in young male swimmers.

Abstract: The aim of the present study was to evaluate the biomechanical (stroke rate, stroke length, and stroke index), anthropometrical (body height, body mass, body mass index, arm span, shoulders width, thigh, leg and upper arm lengths), and muscle architectural (muscle thickness, pennation angle, and fascicle length) parameters as predictors of 200-m front crawl swimming performance in young male swimmers. Twenty-two county level male swimmers (mean ±SD: age: 14.52 ± 0.77 years; body height: 173 ± 5 m; body mass: 60.5 ± 5.7 kg) performed a 200-m front crawl swimming test in a 25-m pool. Stepwise regression analysis revealed that biomechanical parameters (87%) characterized best 200-m front crawl swimming performance, followed by anthropometrical (82%) and muscle architectural (72%) parameters. Also, stroke length (R2 = 0.623), body height (R2 = 0.541), fascicle length of Triceps Brachii (R2 = 0.392) were the best single predictors that together explained 92% of the variability of the 200-m front crawl swimming performance in these swimmers. As a conclusion, with respect to higher performance prediction power of biomechanical parameters, technique should represent the core of the training program at these ages. In addition, these findings could be used for male young swimmers selection and talent identification.

Handgrip explosive force is correlated with mobility in the elderly women.

Abstract: The analysis of explosive force, through rate of force development (RFD) and contractile impulse (CI), from handgrip strength data seems to be useful and promising information to study the aging of musculoskeletal system and health status. We aimed to test the hypothesis that, in elderly women, the handgrip explosive force could be better associated to the functional mobility than maximum handgrip strength. Handgrip strength and the performance of Timed Up & Go Test (TUG) were measured from sixty-five community-dwelling healthy elderly women. The average slope of the moment-time curve (Δ moment/Δ time) over the time interval of 0-200 ms relative to the onset of contraction was calculated to provide the RFD and CI. The highest strength achieved during the isometric contraction was used as maximum handgrip strength. Pearson correlations were used to assess the strength of the relationship between the handgrip strength parameters (Maximum strength and explosive force from 0-200 ms) and TUG test performance from older women. The correlation analysis showed that the TUG test performance was inversely correlated to the handgrip strength parameters, with better relationship with explosive force parameters. The handgrip explosive force seems to be a promising predictor of functional mobility of elderly women, since it showed a better relationship with functional mobility than maximum handgrip strength.

Biomechanical comparison of a transiliac internal fixator and two iliosacral screws in transforaminal sacral fractures: a finite element analysis.

Abstract: Purpose: Vertically unstable sacral transforaminal fractures can be stabilized with a transiliac internal fixator (TIFI) or two iliosacral screws (IS). This study was designed to compare stiffness between TIFI and IS. Methods: Using CT images finite element model of the pelvis was developed. Denis II type fracture was simulated and fixed either with TIFI or two IS. The sacral base was loaded vertically (250–500 N), displacement magnitudes on medial and lateral fracture surface and the maximum bone stress were calculated. The intact pelvis was used as a reference. Stiffness was determined by linear regression of load and displacement, computed stiffness ratio %. The von Mises stress was expressed as % ratio, evaluation of colour mapping was made. Results: The mean stiffness ratio medially in TIFI was 75.22%, in IS 46.54% ( p = 0.00005), laterally in TIFI 57.88%, in IS 44.74% ( p = 0.03996). The von Mises stress ratio of TIFI was 139.27%, of IS 565.35% ( p < 0.00001). Conclusions: Significantly higher stiffness and lower stress were found in TIFI model. TIFI provides a lower risk of over-compression of the fracture line in comparison with IS. TIFI thus exhibits superiority for fixation of transforaminal fractures, particularly with comminutive zone.

The muscle activation patterns of lower limb during stair climbing at different backpack load.

Abstract: Stair climbing under backpack load condition is a challenging task. Understanding muscle activation patterns of lower limb during stair climbing with load furthers our understanding of the factors involved in joint pathology and the effects of treatment. At the same time, stair climbing under backpack load requires adjustments of muscle activations and increases joint moment compared to level walking, which with muscle activation patterns are altered as a result of using an assistive technology, such as a wearable exoskeleton leg for human walking power augmentation. Therefore, the aim of this study was to analyze lower limb muscles during stair climbing under different backpack load. Nine healthy volunteers ascended a four-step staircase at different backpack load (0 kg, 10 kg, 20 kg, 30 kg). Electromyographic (EMG) signals were recorded from four lower limb muscles (gastrocnemius, tibialis anterior, hamstring, rectus femoris). The results showed that muscle activation amplitudes of lower limb increase with increasing load during stair climbing, the maximum RMS of gastrocnemius are greater than tibialis anterior, hamstring and rectus femoris whether stair climbing or level walking under the same load condition. However, the maximum RMS of hamstring are smaller than gastrocnemius, tibialis anterior and rectus femoris. The study of muscle activation under different backpack load during stair climbing can be used to design biomechanism and explore intelligent control based on EMG for a wearable exoskeleton leg for human walking power augmentation.

Symmetry of proprioceptive sense in female soccer players.

Abstract: Purpose: The purpose of the study was to assess the symmetry of proprioceptive sense among female soccer players when trying to reproduce isometric knee extensions (right and left) and to analyze the impact of a given level of muscle force on proprioception. Methods: The study involved 12 soccer players aged 19.5 ± 2.65 years. Soccer players performed a control measurement of a maximum 3s (knee at the 90°) position in the joint. Subsequently, 70%, 50%, and 30% of the maximum voluntary contraction (MVC) were all calculated and then reproduced by each subject with feedback. Next, the players reproduced the predefined muscle contraction values in three sequences: A – 50%, 70%, 30%; B – 50%, 30%, 70%; C – 70%, 30%, 50% of MVC without visual control. Results: In every sequence, the participants found obtaining the value of 30% of MVC the most difficult. The value they reproduced most accurately was 70% of MVC. Both trial II and trial III demonstrated that the symmetry index SI significantly differed from values considered acceptable (SIRa). In each successive sequence the largest asymmetry occurred while reproducing the lowest values of MVC (30%) (p < 0.05). Conclusion: High level of prioprioceptive sense is important to soccer players due to the extensive overload associated with dynamics stops or changes in direction while running. Special attention should be paid to develop skills in sensing force of varying levels. It was much harder to reproduce the predefined values if there was no feedback.

Thermal properties and morphology changes in degradation process of poly(L-lactide-co-glycolide) matrices with risperidone.

Abstract: Determining thermal properties and morphology seems to be useful in the analysis of release and degradation processes form polymeric materials. Risperidone is available in the formulation of a long-acting injection based on poly(D,L-lactide-co-glycolide). Currently, alternative solutions are also offered, i.e., nano- and microparticles or implants, including copolymers of lactide and glycolide. The effect of risperidone content on the properties of poly(L-lactide-co-glycolide) matrices was determined. The study also involved an assessment of the changes during degradation. Risperidone free matrices and the matrices with risperidone were obtained by solvent casting. Thermal characteristics were tested by means of differential scanning calorimetry, and the morphology was evaluated using a scanning electron microscope. Risperidone did not change significantly semi-crystalline structure of poly(L-lactide-co-glycolide) matrices. The decrease in crystallization temperature and glass transition temperature during degradation was observed. Many pores and their deformation, the widening of pore area, cracks and slits because of degradation were observed. The analysis of thermal properties and morphology allowed us to explain degradation process. Matrices exhibited stable process of degradation, which may be advantageous for development of prolonged risperidone release systems.

High-frequency video capture and a computer program with frame-by-frame angle determination functionality as tools that support judging in artistic gymnastics.

Abstract: Purpose The main aim of this study was to verify the usefulness of selected simple methods of recording and fast biomechanical analysis performed by judges of artistic gymnastics in assessing a gymnast's movement technique. Material and methods The study participants comprised six artistic gymnastics judges, who assessed back handsprings using two methods: a real-time observation method and a frame-by-frame video analysis method. They also determined flexion angles of knee and hip joints using the computer program. Results In the case of the real-time observation method, the judges gave a total of 5.8 error points with an arithmetic mean of 0.16 points for the flexion of the knee joints. In the high-speed video analysis method, the total amounted to 8.6 error points and the mean value amounted to 0.24 error points. For the excessive flexion of hip joints, the sum of the error values was 2.2 error points and the arithmetic mean was 0.06 error points during real-time observation. The sum obtained using frame-by-frame analysis method equaled 10.8 and the mean equaled 0.30 error points. Conclusions Error values obtained through the frame-by-frame video analysis of movement technique were higher than those obtained through the real-time observation method. The judges were able to indicate the number of the frame in which the maximal joint flexion occurred with good accuracy. Using the real-time observation method as well as the high-speed video analysis performed without determining the exact angle for assessing movement technique were found to be insufficient tools for improving the quality of judging.

An analytical expression for the D.I.P.-P.I.P. flexion interdependence in human fingers.

Abstract: Empirical evidence shows that a strong correlation exists between the flexion angles of the distal and proximal interphalangeal (D.I.P., P.I.P.) joints of the human finger. Several authors measured this functional dependence, stating that the interdependence of D.I.P. and P.I.P. flexion is different for healthy individuals and patients displaying pathologies. The purpose of our study is to find an analytical expression for this correlation. Methods: Following closely the anatomical in situ relations, we developed a two-dimensional kinematical model which expresses analytically the D.I.P.–P.I.P. angle correlation. Numerical values for the model were extracted from one healthy and one pathological case data set. Results: The analytical form of the model allows for any P.I.P. angle not only to calculate the corresponding D.I.P. angle, but after first order differentiation with respect to the P.I.P. angle, it also shows the rate of change of the D.I.P. flexion. The model reproduces well the differences in the angular correlation of D.I.P. flexion of the two healthy-pathological data sets. Displaying the rate of change of D.I.P. flexion versus P.I.P. flexion provides an additional, clear-cut discriminatory tool between normal and pathological states. Conclusions: Information on differences between normal and pathological flexion of fingers is more pronounced and easier accessible from the derivatives of the D.I.P.–P.I.P. flexion behaviour than from direct angular correlation data. The analytical form of our model allows one to establish the rate of change of the D.I.P. angles, resulting in a better analysis of the situations at hand.

The morphology of the articular surfaces of biological knee joints provides essential guidance for the construction of functional knee endoprostheses.

Abstract: Purpose: In comparative examinations of kinematics of the knees of humans and pigs in flexional/extensional motion under compressive loads, the significant differential geometric essentials of articular guidance are elaborated to criticise the shaping of the articular surfaces of conventional knee-endoprostheses and to suggest constructional outlines that allow the endoprosthesis to adopt natural knee kinematics. Implantation is discussed with regard to the remaining ligamentous apparatus. Methods: Twelve fresh pig knee joints and 19 preserved human knee joints were moved into several flexional/extensional positions. In each joint, the tibia and femur were repeatably caught by metal plates. After removing all ligaments, the tibia and femur were again caught in these positions, and their points of contact were marked on both articular surfaces. Along the marker points, a thin lead wire was glued onto each surface. The positions and shapes of the four contact lines were mapped by teleradiography. Results: All contact lines were found to be plane curves. The medial and lateral planes were parallel, thus defining the joint’s sagittal plane. In the human knee, as compared to the lateral, the medial femoral contact line was always shifted anteriorly by several millimetres. The tibial contact curve was laterally convex and medially concave. In the pig knees, the lateral and medial contact lines were asymmetrically placed. Both tibial curves were convex. Conclusions: Both knees represent cam mechanisms (with one degree of freedom) that produce rolling of the articular surfaces during the stance phase. Implantation requires preservation of the anterior cruciate ligament, and ligamentous balancing is disadvantageous

Lower extremity power in female soccer athletes: a pre-season and in-season comparison.

Abstract: PURPOSE Lower extremity power is an important physical capacity of a soccer athlete. Power represents, and can be modified by, the training of strength and speed. Pre-season and in-season training differs in the relative emphasis on these two quantities. It is nevertheless desirable that the mechanical power remain the same or become higher during the in-season period. The purpose of this study was to identify changes in quantities related to "explosive strength" and to check whether, in collegiate female soccer players, pre- and inseason lower extremity power will remain unaltered. METHODS Twenty collegiate female soccer players, representing all field positions, participated. Lower extremity power was assessed by a series of drop jumps executed from four different heights (15, 30, 45, and 60 cm). Mechanical power was calculated using subject's mass, jump height, and acceleration due to gravity. This value was further normalized by body mass of each athlete to obtain the relative (or normalized) mechanical power. RESULTS The normalized lower extremity mechanical power was highest when landing from the 30 cm height for both pre- and inseason periods. However, contrary to expectations, it turned out lower during the in-season than during the pre-season test, even though no significant differences were found between the corresponding jump heights. CONCLUSIONS It is concluded that altered, perhaps inadequate, training strategies were employed during the in-season period. Besides, advantages of adding the relative mechanical power as a season readiness indicator are underlined compared with relying on the jump height alone.

The influence of sintering conditions on microstructure and mechanical properties of titanium dioxide scaffolds for the treatment of bone tissue defects.

Abstract: In this study the attempts to improve mechanical properties of highly-porous titanium dioxide scaffolds produced by polymer sponge replication method were investigated. Particularly the effect of two-step sintering at different temperatures on microstructure and mechanical properties (compression test) of the scaffolds were analysed. To this end microcomputed tomography and scanning electron microscopy were used as analytical methods. Our experiments showed that the most appropriate conditions of manufacturing were when the scaffolds were heat-treated at 1500 °C for 1 h followed by sintering at 1200 °C for 20 h. Such scaffolds exhibited the highest compressive strength which was correlated with the highest linear density and the lowest size of grains. Moreover, grain size distribution was narrower with predominating fraction of fine grains 10–20 µm in size. Smaller grains and higher linear density suggested that in this case densification process prevailed over undesirable process of grain coarsening, which finally resulted in improved mechanical properties of the scaffolds.

Acoustic emission diagnosis for human joint cartilage diseases.

Abstract: PURPOSE The topic of the presented paper concerns the diagnosis of the wear and diseases of human joint cartilage performed by the acoustic waves emission. The aim of this paper is the determining of the necessary parameters for the diagnosis about the wear and diseases of human joint cartilage. MATERIAL AND METHOD To the research methods used in this paper belong the evaluation of measurement results of the cartilage surface samples obtained by means of laser and mechanical sensor and acoustic emission wave might or voltage gained from the AE apparatus during the treatments performed for normal and pathological used and not used human knee and hip joints. RESULTS The results concern with the corollaries which are implied from reading values gained by virtue of the acoustic emission Apparatus, and from observations from cartilage surface pictures obtained from laser and mechanical sensors. The diagnose of concrete cartilage illness depends on the proper relative values of obtained strongest of generated AE wave as well as the shapes and amplitudes of acoustic waves and wave frequencies. CONCLUSIONS The main conclusions obtained in this paper are as follows: connections between synovial fluid dynamic viscosity or friction forces and intensity of acoustic emission values, the determination of the type of lesions and deformations of the human joint cartilage surface by means of the shapes architecture of the acoustic emission waves. Moreover are indicated the necessary conditions for the diagnosis of the such dieses as: pathological cartilage with arthritic or osteoporosis or rheumatology changes.