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    Wyświetlanie 1-7 z 7
    Tytuł:
    Assessment of standing balance in patients after ankle fractures
    Autorzy:
    Dudek, K.
    Drużbicki, M.
    Przysada, G.
    Śpiewak, D.
    Powiązania:
    https://bibliotekanauki.pl/articles/306346.pdf
    Data publikacji:
    2014
    Wydawca:
    Politechnika Wrocławska. Oficyna Wydawnicza Politechniki Wrocławskiej
    Tematy:
    staw skokowy
    równowaga
    biomechanika
    ankle fractures
    operative treatment
    balance
    Opis:
    Purpose: The objective of the study is to evaluate the degree of balance disorders in patients with surgical treatment of ankle fractures with the use of stabilometric examinations.Methods: The subjects in the study were 21 patients with ankle fractures treated surgically, within one year of the procedure. The control group were 20 healthy subjects. The balance was evaluated with the use of force platform in standing posture in both single and double limb stance. The analysed parameters were the transition area of the centre of feet pressure (COP), the length of the COP path and the COP velocity. The range of movement in the ankle joint and the intensification of pain were also measured.Results: In the balance evaluation in double limb stance, there were no statistically significant differences. A significant difference was found in the attempts of single limb-stance An average value of COP transition area in the study group was 261.2 mm2 in single stance (on the right operated limb) and in the control group – 93.2 mm2, so the difference was statistically significant (p=0,0096). The presence of pain, the presence or the removal of anastomosis had no significant influence on the balance of the studied subjects. Also a significant correlation between the balance of the subjects and their age was found.Conclusions: The balance in single limb stance after an instable ankle fracture within one year of the surgical procedure is significantly poorer in comparison with healthy subjects. Elderly persons have significantly poorer balance control.
    Źródło:
    Acta of Bioengineering and Biomechanics; 2014, 16, 4; 59-65
    1509-409X
    2450-6303
    Pojawia się w:
    Acta of Bioengineering and Biomechanics
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Investigation of the biomechanical behaviour of articular cartilage in hindfoot joints
    Autorzy:
    Venturanto, C.
    Pavan, P. G.
    Forestiero, A.
    Carniel, E. L.
    Natali, A. N.
    Powiązania:
    https://bibliotekanauki.pl/articles/307388.pdf
    Data publikacji:
    2014
    Wydawca:
    Politechnika Wrocławska. Oficyna Wydawnicza Politechniki Wrocławskiej
    Tematy:
    ankle joint
    articular cartilage
    constitutive model
    numerical analysis
    staw skokowy
    chrząstka stawowa
    analiza numeryczna
    Opis:
    Numerical models represent a powerful tool for investigating the biomechanical behavior of articular cartilages, in particular in the case of complex conformation of anatomical site. In the literature, there are complex non-linear-multiphase models for investigating the mechanical response of articular cartilages, but seldom implemented for the analysis of high organized structure such as the foot. In the present work, the biomechanical behavior of foot cartilage is investigated by means of a fiber-reinforced hyperelastic constitutive model. The constitutive parameters are obtained through the comparison between in vitro experimental indentation tests on cartilage and numerical analysis data interpreting the specific experimental conditions. A finite element model of the hindfoot region is developed. Particular attention is paid to model cartilage in order to respect its morphometric configuration, including also the synovial capsule. The reliability of the procedure adopted is evaluated by comparing the numerical response of tibio-talar joint model with in vivo experimental tests mimicking the foot response in stance configuration.
    Źródło:
    Acta of Bioengineering and Biomechanics; 2014, 16, 2; 57-65
    1509-409X
    2450-6303
    Pojawia się w:
    Acta of Bioengineering and Biomechanics
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Effect of different balance training programs on postural control in chronic ankle instability: a randomized controlled trial
    Autorzy:
    Youssef, N. M.
    Abdelmohsen, A. M.
    Ashour, A. A.
    Elhafez, N. M.
    Elhafez, S. M.
    Powiązania:
    https://bibliotekanauki.pl/articles/307467.pdf
    Data publikacji:
    2018
    Wydawca:
    Politechnika Wrocławska. Oficyna Wydawnicza Politechniki Wrocławskiej
    Tematy:
    trening równowagi
    przewlekła niestabilność kostki
    kontrola postawy ciała
    balance training
    postural control
    chronic ankle instability
    Opis:
    Chronic ankle instability (CAI) is a common sequence of ankle sprain. Conservative treatment of CAI is currently accepted as a primary mean of managing the condition and preventing of recurrence. Objectives: The purpose of the current study was to evaluate the effect of Weight-bearing Exercise for Better Balance (WEBB) program and unilateral balance training exercises on postural control in females with CAI. Methods: Thirty-five females with CAI participated in this study. The participants’ mean values of age, body mass, height, and body mass index were 21.76 ± 1.96 y, 64.82 ± 9.37 kg, 161.85 ± 7.24 cm, and 24.76 ± 3.76 kg/m², respectively. They were randomly assigned into three groups: experimental group A (n = 13) who received WEBB program, experimental group B (n = 12) who received unilateral balance training, and control group C (n = 10) using statistical random tables. Balance parameters were measured for all participants via Biodex Balance System (BBS) before and after four weeks of balance training. They included overall stability index (OASI), antero-posterior stability index (APSI), and medio-lateral stability index (MLSI). Results: There was a significant improvement in the post testing mean values of OASI and APSI, compared with the pre testing values in both experimental groups (A and B). There was no significant difference between the pre and post testing mean values of MLSI in the experimental group (A). Conclusions: Both WEBB program and unilateral balance training have positive effects on postural control in females with CAI.
    Źródło:
    Acta of Bioengineering and Biomechanics; 2018, 20, 2; 159-169
    1509-409X
    2450-6303
    Pojawia się w:
    Acta of Bioengineering and Biomechanics
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The upper ankle joint: Curvature morphology of the articulating surfaces and physiological function
    Autorzy:
    Nägerl, H.
    Kubein-Meesenburg, D.
    Fanghänel, J.
    Dathe, H.
    Dumont, C.
    Wachowski, M. M.
    Powiązania:
    https://bibliotekanauki.pl/articles/306564.pdf
    Data publikacji:
    2016
    Wydawca:
    Politechnika Wrocławska. Oficyna Wydawnicza Politechniki Wrocławskiej
    Tematy:
    biomechanika
    kinematyka
    człowiek
    górny staw skokowy
    biomechanics
    joint kinematics
    human
    curvature morphology
    upper ankle joint
    incongruity
    Opis:
    Purpose: The curvature morphology of the articulating surfaces determines the physiological movement pattern. We quantitatively examined the curvature morphology of the tibiotalar articulating surfaces and specified their geometric contact patterns. Methods: Geometrically equivalent cartographic nets were marked on the talar and tibial articulating surfaces of true-to-scale moldings of 20 human ankle joints (intervals of 5 mm) to relate corresponding articulating units of the surfaces. The corresponding contours of the net lines were compared, and the incongruity of articulating surfaces could thus be quantified locally. Results: All tibial sagittal net lines represented circular arcs. Along the sagittal talar net lines, the curvature radii increased medially from anterior to posterior but decreased laterally. Each net line could be approximated by three circular arcs. Examining these three parts of the talar net lines, the anterior sagittal curvature radii increased from medial to lateral, whereas the posterior radii decreased. The tibial and talar transversal net lines were congruent. The articulation surfaces showed a transversal contact line in every dorsal/plantar joint position. The degree of local congruity was solely ascertained by the incongruity of the corresponding sagittal net lines. The maximal degrees of congruity were found laterally for dorsal flexion, laterally/centrally for neutral joint position, and centrally/medially for plantar flexion. Conclusions: By the transversal line contact, the contact area is broadened over the articulating surfaces from lateral to medial. In dorsal flexion, compressive loads are mainly transferred by lateral/anterior zones and in plantar flexion by medial/posterior zones of the articulating surfaces. Reconstruction of the transversal contact line is essential.
    Źródło:
    Acta of Bioengineering and Biomechanics; 2016, 18, 3; 83-90
    1509-409X
    2450-6303
    Pojawia się w:
    Acta of Bioengineering and Biomechanics
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Modeling and stress analyses of a normal foot-ankle and a prosthetic foot-ankle complex
    Autorzy:
    Ozen, M.
    Sayman, O.
    Havitcioglu, H.
    Powiązania:
    https://bibliotekanauki.pl/articles/306591.pdf
    Data publikacji:
    2013
    Wydawca:
    Politechnika Wrocławska. Oficyna Wydawnicza Politechniki Wrocławskiej
    Tematy:
    3D modeling
    finite element analysis
    prosthetic foot-ankle complex
    modelowanie 3D
    proteza
    analiza elementów skończonych
    Opis:
    Total ankle replacement (TAR) is a relatively new concept and is becoming more popular for treatment of ankle arthritis and fractures. Because of the high costs and difficulties of experimental studies, the developments of TAR prostheses are progressing very slowly. For this reason, the medical imaging techniques such as CT, and MR have become more and more useful. The finite element method (FEM) is a widely used technique to estimate the mechanical behaviors of materials and structures in engineering applications. FEM has also been increasingly applied to biomechanical analyses of human bones, tissues and organs, thanks to the development of both the computing capabilities and the medical imaging techniques. 3-D finite element models of the human foot and ankle from reconstruction of MR and CT images have been investigated by some authors. In this study, data of geometries (used in modeling) of a normal and a prosthetic foot and ankle were obtained from a 3D reconstruction of CT images. The segmentation software, MIMICS was used to generate the 3D images of the bony structures, soft tissues and components of prosthesis of normal and prosthetic ankle-foot complex. Except the spaces between the adjacent surface of the phalanges fused, metatarsals, cuneiforms, cuboid, navicular, talus and calcaneus bones, soft tissues and components of prosthesis were independently developed to form foot and ankle complex. SOLIDWORKS program was used to form the boundary surfaces of all model components and then the solid models were obtained from these boundary surfaces. Finite element analyses software, ABAQUS was used to perform the numerical stress analyses of these models for balanced standing position. Plantar pressure and von Mises stress distributions of the normal and prosthetic ankles were compared with each other. There was a peak pressure increase at the 4th metatarsal, first metatarsal and talus bones and a decrease at the intermediate cuneiform and calcaneus bones, in prosthetic ankle-foot complex compared to normal one. The predicted plantar pressures and von Misses stress distributions for a normal foot were consistent with other FE models given in the literature. The present study is aimed to open new approaches for the development of ankle prosthesis.
    Źródło:
    Acta of Bioengineering and Biomechanics; 2013, 15, 3; 19-27
    1509-409X
    2450-6303
    Pojawia się w:
    Acta of Bioengineering and Biomechanics
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Neuromechanical control in submaximal drop jumps: The effects of volitional effort demands and drop height magnitude on soleus muscle activation
    Autorzy:
    Mrdakovic, V.
    Pazin, N.
    Vulovic, R.
    Filipovic, N.
    Ilic, D.
    Powiązania:
    https://bibliotekanauki.pl/articles/307166.pdf
    Data publikacji:
    2018
    Wydawca:
    Politechnika Wrocławska. Oficyna Wydawnicza Politechniki Wrocławskiej
    Tematy:
    elektromiografia
    sprzężenie zwrotne
    staw skokowy
    biomechanika
    electromyography
    stretch-shortening cycle
    feedback control
    pre activation
    feedforward control
    ankle biomechanics
    Opis:
    The purpose of this study was to investigate soleus muscle activation during different phases of drop jump performed at submaximal levels of volitional effort and drop height magnitude. Methods: Fifteen professional volleyball players with minimum of eight years of experience in jumping activities participated in the study. Experimental protocol involved executing submaximal drop jumps at three levels of volitional effort (i.e., 65, 80 and 95% of the maximal height of jump). All submaximal drop jumps were done from three drop heights (20, 40 and 60 cm). The soleus muscle activation was monitored during four jump phases: pre-activation phase before touchdown, early contact phase upon touchdown, early and late push-off phase. Results: The results indicate that volitional effort level did not change the muscle activation during pre activation and early contact phase, but only in early and late push-off phase ( p ≤ 0.05). Conversely, it was observed that muscle activation during all phases of drop jump was adapted to the increased intensity of the external load caused by increasing of drop height magnitude ( p ≤ 0.01). Conclusions: The findings of the present study suggested that soleus muscle activation has selective responses to internal load (i.e., volitional effort level) and external load (i.e., drop height magnitude) intensities when drop jump is executing with submaximal effort.
    Źródło:
    Acta of Bioengineering and Biomechanics; 2018, 20, 4; 101-111
    1509-409X
    2450-6303
    Pojawia się w:
    Acta of Bioengineering and Biomechanics
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Research of the spatial-temporal gait parameters and pressure characteristic in spastic diplegia children
    Autorzy:
    Pauk, J.
    Ihnatouski, M.
    Daunoraviciene, K.
    Laskhousky, U.
    Griskevicius, J.
    Powiązania:
    https://bibliotekanauki.pl/articles/306432.pdf
    Data publikacji:
    2016
    Wydawca:
    Politechnika Wrocławska. Oficyna Wydawnicza Politechniki Wrocławskiej
    Tematy:
    porażenie obustronne
    stopa
    chód
    orteza
    rozkład ciśnień
    spastic diplegia
    spatial-temporal parameters
    gait
    pressure distribution
    ankle-foot orthosis
    Opis:
    Purpose: Spastic diplegia is the most common form of cerebral palsy. It presents with symmetric involvement of the lower limbs and upper limbs. Children with spastic diplegia frequently experience problems with motor control, spasticity, and balance which lead to gait abnormalities. The aim of this study is twofold. Firstly, to determine the differences in spatial-temporal gait parameters and magnitude of plantar pressure distribution between children with spastic diplegia (CP) and typical children. Secondly, to compare and evaluate main changes of plantar pressure and spatial-temporal gait parameters instead of data between spastic diplegia children with prescribed ankle – solid foot orthosis (AFOs) and without using AFOs. Methods: The evaluation was carried out on 20 spastic diplegia children and 10 agematched children as a control group aged 6–15 years. Twenty children with spastic diplegia CP were divided into two groups: ten subjects with prescribed AFOs and ten subjects without use of assistive device. Patients used the AFOs orthosis for one year. Measurements included in-shoe plantar pressure distribution and spatial-temporal gait parameters. Results: Spatial-temporal gait parameters showed meaningful difference between study groups in velocity, stride length, step length and cadence ( p < 0.05). However no significant differences between patients with and without AFOs were found ( p > 0.05). Significant differences between typical and spastic diplegia children with AFOs were observed in the magnitude of plantar pressure under the toes, the metatarsal heads, the medial arch, and the heel ( p < 0.05). For typical subjects, the highest pressure amplitudes were found under the heel and the metatarsal heads, while the lowest pressure distribution was under the medial arch. In CP patients the lateral arch was strongly unloaded. The peak pressure under heel was shifted inside. Conclusions: Collected data and calculated scores present a state of the gait in test groups, showed the difference and could be valuable for physicians in decision making by choosing qualitative therapy. Furthermore, it allows predicting probability of further possible changes in gait of spastic diplegia patients with AFOs and without it. In conclusion, our current results showed that the use of AFOs, prescribed on a clinical basis by doctors improves gait patterns and gait stability in children with spastic cerebral palsy.
    Źródło:
    Acta of Bioengineering and Biomechanics; 2016, 18, 2; 121-129
    1509-409X
    2450-6303
    Pojawia się w:
    Acta of Bioengineering and Biomechanics
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-7 z 7

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