scholarly journals Gait Analysis of Patients Subjected to the Atrophic Mandible Augmentation with Iliac Bone Graft

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Erol Cansiz ◽  
Derya Karabulut ◽  
Suzan Cansel Dogru ◽  
Nazif Ekin Akalan ◽  
Yener Temelli ◽  
...  
Keyword(s):  
Gluteus Maximus ◽  
Gluteus Medius ◽  
Complete Recovery ◽  
Muscle Forces ◽  
Early Recovery ◽  
Gait Patterns ◽  
Gait Characteristics ◽  
Gait Parameters ◽  
Iliac Bone Graft ◽  
Do So

In this study, we aimed to quantitatively monitor and describe the gait functions of patients, who underwent iliac crest bone grafting in atrophic jaw augmentation operation, by taking into account the alterations of gait parameters and muscle forces in the early recovery course. To do so, temporospatial and kinematic gait parameters of ten patients during pre- and postoperative periods were recorded, and forces of the gluteus medius, gluteus maximus, and iliacus muscles were calculated. Three postoperative periods were specified as one week (post-op1), two weeks (post-op2), and three weeks (post-op3) after the surgery. Restoring process of the gait patterns was comparatively evaluated by analyzing the gait parameters and muscle forces for pre- and postoperative periods. Temporospatial and kinematic parameters of post-op3 were closer to those obtained in pre-op than those in post-op1 and post-op2 (p<0.05). Muscle forces calculated in post-op3 showed the best agreement with those in pre-op among the postoperative periods in terms of both magnitude and correlation (p<0.05). In conclusion, the patients began to regain their preoperative gait characteristics from the second week after surgery, but complete recovery in gait was observed three weeks after the surgery.

scholarly journals Effect of Dropping Height on the Forces of Lower Extremity Joints and Muscles during Landing: A Musculoskeletal Modeling

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Wenxin Niu ◽  
Lejun Wang ◽  
Chenghua Jiang ◽  
Ming Zhang
Keyword(s):  
Computational Simulation ◽  
Reaction Force ◽  
Gluteus Maximus ◽  
Lower Extremities ◽  
Rectus Femoris ◽  
Gluteus Medius ◽  
Biceps Femoris ◽  
Lower Limbs ◽  
Muscle Forces ◽  
Element Analysis

The objective of this study was to investigate the effect of dropping height on the forces of joints and muscles in lower extremities during landing. A total of 10 adult subjects were required to landing from three different heights (32 cm, 52 cm, and 72 cm), and the ground reaction force and kinematics of lower extremities were measured. Then, the experimental data were input into the AnyBody Modeling System, in which software the musculoskeletal system of each subject was modeled. The reverse dynamic analysis was done to calculate the joint and muscle forces for each landing trial, and the effect of dropping-landing on the results was evaluated. The computational simulation showed that, with increasing of dropping height, the vertical forces of all the hip, knee, and ankle joints, and the forces of rectus femoris, gluteus maximus, gluteus medius, vastii, biceps femoris and adductor magnus were all significantly increased. The increased dropping height also resulted in earlier activation of the iliopsoas, rectus femoris, gluteus medius, gluteus minimus, and soleus, but latter activation of the tibialis anterior. The quantitative joint and muscle forces can be used as loading conditions in finite element analysis to calculate stress and strain and energy absorption processes in various tissues of the lower limbs.

scholarly journals Monitoring of Gait Parameters in Post-Stroke Individuals: A Feasibility Study Using RGB-D Sensors

Sensors ◽  
2021 ◽  
Vol 21 (17) ◽  
pp. 5945
Author(s):  
Claudia Ferraris ◽  
Veronica Cimolin ◽  
Luca Vismara ◽  
Valerio Votta ◽  
Gianluca Amprimo ◽  
...  
Keyword(s):  
Gait Analysis ◽  
Gold Standard ◽  
Real Life ◽  
Complete Recovery ◽  
Gait Patterns ◽  
Motor Disability ◽  
Post Stroke ◽  
Gait Parameters ◽  
Severe Motor ◽  
Spatiotemporal Parameters

Stroke is one of the most significant causes of permanent functional impairment and severe motor disability. Hemiplegia or hemiparesis are common consequences of the acute event, which negatively impacts daily life and requires continuous rehabilitation treatments to favor partial or complete recovery and, consequently, to regain autonomy, independence, and safety in daily activities. Gait impairments are frequent in stroke survivors. The accurate assessment of gait anomalies is therefore crucial and a major focus of neurorehabilitation programs to prevent falls or injuries. This study aims to estimate, using a single RGB-D sensor, gait patterns and parameters on a short walkway. This solution may be suitable for monitoring the improvement or worsening of gait disorders, including in domestic and unsupervised scenarios. For this purpose, some of the most relevant spatiotemporal parameters, estimated by the proposed solution on a cohort of post-stroke individuals, were compared with those estimated by a gold standard system for a simultaneous instrumented 3D gait analysis. Preliminary results indicate good agreement, accuracy, and correlation between the gait parameters estimated by the two systems. This suggests that the proposed solution may be employed as an intermediate tool for gait analysis in environments where gold standard systems are impractical, such as home and ecological settings in real-life contexts.

scholarly journals Constant Resistance During Proportional Speed Provoked Higher Lower Limb Proximal Musculature Recruitment than Distal Musculature in Young Healthy Adults

2021 ◽  
pp. 92-102
Author(s):  
Martin G. Rosario ◽  
Kelly Keitel ◽  
Josey Meyer
Keyword(s):  
Muscle Activation ◽  
Gluteus Maximus ◽  
Gluteus Medius ◽  
Training Methods ◽  
Muscle Loss ◽  
Performance Training ◽  
Gait Parameters ◽  
Study Results ◽  
Constant Resistance ◽  
Muscle Groups

The lack of exercise in society today often leads to severe muscle loss and poor physical performance. Training methods targeting specific weakened muscle groups can help prevent or counteract muscle loss. This study aimed to analyze how the lower extremity muscles are activated when pushing a sled with constant resistance at two different speeds. Twenty-six participants with an average age of 23.77 years consented to having electromyography surface electrodes placed along the gluteus maximus (GMax), gluteus medius (GMed), tibialis anterior (TA), and gastrocnemius (GA) of their dominant leg. Muscle activation levels were then measured while the participant walked and ran with and without sled resistance. The study results showed that muscle activation was comparable during all trials and was not influenced by speed or constant resistance. However, the muscle activation for GMax and GMed was significantly higher than the activation levels exhibited by GA and TA. While pushing a sled has been shown to impact all studied musculature similarly, adding resistance to the movement can affect gait parameters such as stride length and cadence. Our findings support the use of sled training in patients with hip pathologies who are seeking to strengthen their GMax and GMed.

scholarly journals Gait Patterns and Mood in Everyday Life: A Comparison Between Depressed Patients and Non-depressed Controls

2021 ◽  
Author(s):  
Dirk Adolph ◽  
Wolfgang Tschacher ◽  
Helen Niemeyer ◽  
Johannes Michalak
Keyword(s):  
Everyday Life ◽  
Walking Speed ◽  
Laboratory Findings ◽  
Gait Patterns ◽  
Gait Characteristics ◽  
Clinical Diagnoses ◽  
Current Mood ◽  
General Movement ◽  
And Gender ◽  
Vertical Up

Abstract Background Previous laboratory findings suggest deviant gait characteristics in depressed individuals (i.e., reduced walking speed and vertical up-and-down movements, larger lateral swaying movements, slumped posture). However, since most studies to date assessed gait in the laboratory, it is largely an open question whether this association also holds in more naturalistic, everyday life settings. Thus, within the current study we (1) aimed at replicating these results in an everyday life and (2) investigated whether gait characteristics could predict change in current mood. Methods We recruited a sample of patients (n = 35) suffering from major depressive disorder and a sample of age and gender matched non-depressed controls (n = 36). During a 2-day assessment we continuously recorded gait patterns, general movement intensity and repetitively assessed the participant’s current mood. Results We replicated previous laboratory results and found that patients as compared to non-depressed controls showed reduced walking speed and reduced vertical up-and-down movements, as well as a slumped posture during everyday life episodes of walking. Moreover, independent of clinical diagnoses, higher walking speed, and more vertical up-and-down movements significantly predicted more subsequent positive mood, while changes in mood did not predict subsequent changes in gait patterns. Conclusion In sum, our results support expectations that embodiment (i.e., the relationship between bodily expression of emotion and emotion processing itself) in depression is also observable in naturalistic settings, and that depression is bodily manifested in the way people walk. The data further suggest that motor displays affect mood in everyday life.

Effect of side-sling plank exercise on trunk and hip muscle activation in subjects with gluteus medius weakness

2021 ◽  
pp. 1-9
Author(s):  
Seung-Min Baik ◽  
Heon-Seock Cynn ◽  
Chung-Hwi Yi ◽  
Ji-Hyun Lee ◽  
Jung-Hoon Choi ◽  
...  
Keyword(s):  
Muscle Activation ◽  
Gluteus Maximus ◽  
Gluteus Medius ◽  
Erector Spinae ◽  
Lumbar Multifidus ◽  
Hip Muscle ◽  
Hip Abduction ◽  
Medial Rotation ◽  
Hip Muscles ◽  
Tensor Fasciae Latae

BACKGROUND: The effectiveness of side-sling plank (SSP) exercises on trunk and hip muscle activation in subjects with gluteus medius (Gmed) weakness is unclear. OBJECTIVE: To quantify muscle activation of the rectus abdominis (RA), external oblique (EO), erector spinae (ES), lumbar multifidus (LM), Gmed, gluteus maximus (Gmax), and tensor fasciae latae (TFL) during SSP with three different hip rotations compared to side-lying hip abduction (SHA) exercise in subjects with Gmed weakness. METHODS: Twenty-two subjects with Gmed weakness were recruited. SHA and three types of SSP exercises were performed: SSP with neutral hip (SSP-N), hip lateral rotation (SSP-L), and hip medial rotation (SSP-M). Surface electromyography was used to measure the activation of the trunk and hip muscles. RESULTS: The trunk and hip muscles activations were generally significantly higher level during three SSP than SHA. SSP-M showed significantly lower EO activation while significantly higher ES and LM activation than SSP-L. Gmed activation was significantly higher during SSP-M than during SSP-L. TFL activation was significantly lower during SSP-M than during SSP-N and SSP-L. CONCLUSIONS: SSP could be prescribed for patients who have reduced Gmed strength after injuries. Especially, SSP-M could be applied for patients who have Gmed weakness with dominant TFL.

Muscle Function and Coordination of Stair Ascent

2017 ◽  
Vol 140 (1) ◽  
Author(s):  
Nicole G. Harper ◽  
Jason M. Wilken ◽  
Richard R. Neptune
Keyword(s):  
Three Dimensional ◽  
Gluteus Maximus ◽  
Gluteus Medius ◽  
Patient Specific ◽  
Functional Roles ◽  
Stair Ascent ◽  
Lower Limb Muscles ◽  
Ankle Joints ◽  
Community Environments ◽  
Antagonistic Muscles

Stair ascent is an activity of daily living and necessary for maintaining independence in community environments. One challenge to improving an individual's ability to ascend stairs is a limited understanding of how lower-limb muscles work in synergy to perform stair ascent. Through dynamic coupling, muscles can perform multiple functions and require contributions from other muscles to perform a task successfully. The purpose of this study was to identify the functional roles of individual muscles during stair ascent and the mechanisms by which muscles work together to perform specific subtasks. A three-dimensional (3D) muscle-actuated simulation of stair ascent was generated to identify individual muscle contributions to the biomechanical subtasks of vertical propulsion, anteroposterior (AP) braking and propulsion, mediolateral control and leg swing. The vasti and plantarflexors were the primary contributors to vertical propulsion during the first and second halves of stance, respectively, while gluteus maximus and hamstrings were the primary contributors to forward propulsion during the first and second halves of stance, respectively. The anterior and posterior components of gluteus medius were the primary contributors to medial control, while vasti and hamstrings were the primary contributors to lateral control during the first and second halves of stance, respectively. To control leg swing, antagonistic muscles spanning the hip, knee, and ankle joints distributed power from the leg to the remaining body segments. These results compliment previous studies analyzing stair ascent and provide further rationale for developing targeted rehabilitation strategies to address patient-specific deficits in stair ascent.

Dynamic and Reactive Walking for Humanoid Robots Based on Foot Placement Control

2016 ◽  
Vol 13 (02) ◽  
pp. 1550041 ◽  
Author(s):  
Juan Alejandro Castano ◽  
Zhibin Li ◽  
Chengxu Zhou ◽  
Nikos Tsagarakis ◽  
Darwin Caldwell
Keyword(s):  
Center Of Mass ◽  
Humanoid Robots ◽  
Gait Pattern ◽  
Gait Patterns ◽  
Foot Placement ◽  
Inverted Pendulum Model ◽  
Gait Parameters ◽  
Pendulum Model ◽  
Single Mass ◽  
Walking Velocity

This paper presents a novel online walking control that replans the gait pattern based on our proposed foot placement control using the actual center of mass (COM) state feedback. The analytic solution of foot placement is formulated based on the linear inverted pendulum model (LIPM) to recover the walking velocity and to reject external disturbances. The foot placement control predicts where and when to place the foothold in order to modulate the gait given the desired gait parameters. The zero moment point (ZMP) references and foot trajectories are replanned online according to the updated foothold prediction. Hence, only desired gait parameters are required instead of predefined or fixed gait patterns. Given the new ZMP references, the extended prediction self-adaptive control (EPSAC) approach to model predictive control (MPC) is used to minimize the ZMP response errors considering the acceleration constraints. Furthermore, to ensure smooth gait transitions, the conditions for the gait initiation and termination are also presented. The effectiveness of the presented gait control is validated by extensive disturbance rejection studies ranging from single mass simulation to a full body humanoid robot COMAN in a physics based simulator. The versatility is demonstrated by the control of reactive gaits as well as reactive stepping from standing posture. We present the data of the applied disturbances, the prediction of sagittal/lateral foot placements, the replanning of the foot/ZMP trajectories, and the COM responses.

scholarly journals Gait Parameter Adjustments for Walking on a Treadmill at Preferred, Slower, and Faster Speeds in Older Adults with Down Syndrome

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Beth A. Smith ◽  
Masayoshi Kubo ◽  
Beverly D. Ulrich
Keyword(s):  
Older Adults ◽  
Down Syndrome ◽  
Stride Frequency ◽  
Gait Patterns ◽  
Gait Stability ◽  
Foot Placement ◽  
Gait Parameters ◽  
Younger Age ◽  
All Speeds ◽  
Walking Speeds

The combined effects of ligamentous laxity, hypotonia, and decrements associated with aging lead to stability-enhancing foot placement adaptations during routine overground walking at a younger age in adults with Down syndrome (DS) compared to their peers with typical development (TD). Our purpose here was to examine real-time adaptations in older adults with DS by testing their responses to walking on a treadmill at their preferred speed and at speeds slower and faster than preferred. We found that older adults with DS were able to adapt their gait to slower and faster than preferred treadmill speeds; however, they maintained their stability-enhancing foot placements at all speeds compared to their peers with TD. All adults adapted their gait patterns similarly in response to faster and slower than preferred treadmill-walking speeds. They increased stride frequency and stride length, maintained step width, and decreased percent stance as treadmill speed increased. Older adults with DS, however, adjusted their stride frequencies significantly less than their peers with TD. Our results show that older adults with DS have the capacity to adapt their gait parameters in response to different walking speeds while also supporting the need for intervention to increase gait stability.

Hip and Trunk Muscle Activity During the Star Excursion Balance Test in Healthy Adults

2019 ◽  
Vol 28 (7) ◽  
pp. 682-691 ◽  
Author(s):  
Kunal Bhanot ◽  
Navpreet Kaur ◽  
Lori Thein Brody ◽  
Jennifer Bridges ◽  
David C. Berry ◽  
...  
Keyword(s):  
Dynamic Balance ◽  
Gluteus Maximus ◽  
Gluteus Medius ◽  
Healthy Adults ◽  
Rectus Abdominis ◽  
Erector Spinae ◽  
Trunk Muscles ◽  
Electromyographic Activity ◽  
Balance Test ◽  
External Oblique

Context:Dynamic balance is a measure of core stability. Deficits in the dynamic balance have been related to injuries in the athletic populations. The Star Excursion Balance Test (SEBT) is suggested to measure and improve dynamic balance when used as a rehabilitative tool.Objective:To determine the electromyographic activity of the hip and the trunk muscles during the SEBT.Design:Descriptive.Setting:University campus.Participants:Twenty-two healthy adults (11 males and 11 females; 23.3 [3.8] y, 170.3 [7.6] cm, 67.8 [10.3] kg, and 15.1% [5.0%] body fat).Intervention:Surface electromyographic data were collected on 22 healthy adults of the erector spinae, external oblique, and rectus abdominis bilaterally, and gluteus medius and gluteus maximus muscle of the stance leg. A 2-way repeated measures analysis of variance was used to determine the interaction between the percentage maximal voluntary isometric contraction (%MVIC) and the reach directions. The %MVIC for each muscle was compared across the 8 reach directions using the Sidak post hoc test withαat .05.Main Outcome Measures:%MVIC.Results:Significant differences were observed for all the 8 muscles. Highest electromyographic activity was found for the tested muscles in the following reach directions—ipsilateral external oblique (44.5% [38.4%]): anterolateral; contralateral external oblique (52.3% [40.8%]): medial; ipsilateral rectus abdominis (8% [6.6%]): anterior; contralateral rectus abdominis (8% [5.3%]): anteromedial; ipsilateral erector spinae (46.4% [20.2%]): posterolateral; contralateral erector spinae (33.5% [11.3%]): posteromedial; gluteus maximus (27.4% [11.7%]): posterior; and gluteus medius (54.6% [26.1%]): medial direction.Conclusions:Trunk and hip muscle activation was direction dependent during the SEBT. This information can be used during rehabilitation of the hip and the trunk muscles.

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