scholarly journals Validation of a portable marker-based motion analysis system

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Shaobai Wang ◽  
Xiaolong Zeng ◽  
Liang Huangfu ◽  
Zhenyan Xie ◽  
Limin Ma ◽  
...  
Keyword(s):  
Degrees Of Freedom ◽  
External Rotation ◽  
Pearson Correlation ◽  
Knee Kinematics ◽  
Level Walking ◽  
Flexion Extension ◽  
Two Systems ◽  
Posterior Translation ◽  
Analysis System ◽  
Biplanar Fluoroscopy

Abstract Background The Opti_Knee system, a marker-based motion capture system, tracks and analyzes the 6 degrees of freedom (6DOF) motion of the knee joint. However, the validation of the accuracy of this gait system had not been previously reported. The objective of this study was to validate and the system. Two healthy subjects were recruited for the study. Methods The 6DOF kinematics of the knee during flexion–extension and level walking cycles of the knee were recorded by Opti_Knee and compared to those from a biplanar fluoroscopy system. The root mean square error (RMSE) of knee kinematics in flexion–extension cycles were compared between the two systems to validate the accuracy at which they detect basic knee motions. The RMSE of kinematics at key events of gait cycles (level walking) were compared to validate the accuracy at which the systems detect functional knee motion. Pearson correlation tests were conducted to assess similarities in knee kinematic trends between the two systems. Results In flexion–extension cycles, the average translational accuracy (RMSE) was between 2.7 and 3.7 mm and the average rotational accuracy was between 1.7 and 3.8°. The Pearson correlation of coefficients for flexion–extension cycles was between 0.858 and 0.994 for translation and 0.995-0.999 for angles. In gait cycles, the RMSEs of angular knee kinematics were 2.3° for adduction/abduction, 3.2° for internal/external rotation, and 1.4° for flexion/extension. The RMSEs of translational kinematics were 4.2 mm for anterior/posterior translation, 3.3 mm for distal/proximal translation, and 3.2 mm for medial/lateral translation. The Pearson correlation of coefficients values was between 0.964 and 0.999 for angular kinematics and 0.883 and 0.938 for translational kinematics. Conclusion The Opti_Knee gait system exhibited acceptable accuracy and strong correlation strength compared to biplanar fluoroscopy. The Opti _Knee may serve as a promising portable clinical system for dynamic functional assessments of the knee.

scholarly journals Displacement of Sequential Syndesmotic Ankle Injuries Assessed by a 3D Weightbearing CT

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0012
Author(s):  
Arne Burssens ◽  
Nicola Krähenbühl ◽  
Hannes Vermue ◽  
Nathan Davidson ◽  
Maxwell Weinberg ◽  
...  
Keyword(s):  
External Rotation ◽  
Imaging Techniques ◽  
Pearson Correlation ◽  
Ankle Injuries ◽  
Deltoid Ligament ◽  
3D Analysis ◽  
Anatomical Landmarks ◽  
Posterior Translation ◽  
2D Imaging ◽  
Weightbearing Ct

Category: Ankle Introduction/Purpose: Syndesmotic ankle injuries are challenging to diagnose, since current 2D imaging techniques try to quantify a 3D displacement. Therefore, our aim was two-fold: to determine displacement of sequential syndesmotic ankle injuries under various amounts of load using a 3D weightbearing CT (WBCT) and to assess the relation with current 2D imaging. Methods: Seven paired male cadaver specimens were included (tibia plateau to toe-tip) and mounted into a custom-built frame. WBCT scans were obtained after different patterns of load (0 kg or 85 kg) were combined with torque (0 Nm or 10 Nm external rotation). These conditions were repeated after each ligament condition: intact ligaments, sequential sectioning of the anterior inferior tibiofibular ligament (AITFL), deltoid ligament (DL), and interosseous membrane (IOM). CT images were segmented to obtain 3D models. These allowed quantification of displacement based on the position of computed anatomical landmarks in reference to the intact position of the fibula. A correlation analysis was performed between the 2D and 3D measurements. Results: The effect of torque caused significant displacements in all directions (P<0.05), except for shortening of the fibula (P>0.05). Weight caused a significant lateral (mean=-1.4 mm, SD=1.5) and posterior translation (mean=-0.6 mm, SD=1.8). The highest displacement consisted of external rotation (mean=-9.4°, SD=6.5) and posterior translation (mean=6.1 mm, SD=2.3) after IOL sectioning combined with torque (Fig. 1). Pearson correlation coefficients were moderate (range 0.31-0.51, P<0.05). Conclusion: Torque demonstrated superiority over weight in detecting syndesmotic ankle instability after 3D analysis. The clinical relevance of these findings can improve diagnosis by incorporating rotatory platforms during imaging and treatment strategies by providing appropriate stabilization against rotation.

The Biomechanical Effect of Posterior Cruciate Ligament Reconstruction on Knee Joint Function

2003 ◽  
Vol 31 (4) ◽  
pp. 530-536 ◽  
Author(s):  
Thomas J. Gill ◽  
Louis E. DeFrate ◽  
Conrad Wang ◽  
Christopher T. Carey ◽  
Shay Zayontz ◽  
...  
Keyword(s):  
Posterior Cruciate Ligament ◽  
Ligament Reconstruction ◽  
External Rotation ◽  
Cruciate Ligament ◽  
Knee Kinematics ◽  
Posterior Cruciate Ligament Reconstruction ◽  
Cruciate Ligament Reconstruction ◽  
Posterior Translation ◽  
Muscle Loading ◽  
Tibial Translation

Background The effectiveness of posterior cruciate ligament reconstruction in restoring normal kinematics under physiologic loading is unknown. Hypothesis Posterior cruciate ligament reconstruction does not restore normal knee kinematics under muscle loading. Study Design In vitro biomechanical study. Methods Kinematics of knees with an intact, resected, and reconstructed posterior cruciate ligament were measured by a robotic testing system under simulated muscle loads. Anteroposterior tibial translation and internal-external tibial rotation were measured at 0°, 30°, 60°, 90°, and 120° of flexion under posterior drawer loading, quadriceps muscle loading, and combined quadriceps and hamstring muscle loading. Results Reconstruction reduced the additional posterior tibial translation caused by ligament deficiency at all flexion angles tested under posterior drawer loading. Ligament deficiency increased external rotation and posterior translation at angles higher than 60° of flexion when simulated muscle loading was applied. Posterior cruciate ligament reconstruction reduced the posterior translation and external rotation observed in posterior cruciate ligament-deficient knees at higher flexion angles, but differences were not significant. Conclusion Under physiologic loading conditions, posterior cruciate ligament reconstruction does not restore six degree of freedom knee kinematics. Clinical Relevance Abnormal knee kinematics may lead to development of long-term knee arthrosis.

scholarly journals Relationships between Hip Flexibility and Pitching Biomechanics in Adolescent Baseball Pitchers

2021 ◽  
Author(s):  
Maxwell L. Albiero ◽  
Wesley Kokott ◽  
Cody Dziuk ◽  
Janelle A. Cross
Keyword(s):  
External Rotation ◽  
Pearson Correlation ◽  
Three Dimensional ◽  
Correlation Coefficients ◽  
Kinematic Chain ◽  
Abduction Angle ◽  
Cross Sectional ◽  
Flexion Extension ◽  
Hip Abduction ◽  
Baseball Pitchers

Abstract Context: Inadequate hip active range of motion (AROM) may stifle the energy flow through the kinematic chain and decrease pitching performance while increasing the risk for pitcher injury. Objective: To examine the relationship of hip AROM and pitching biomechanics during a fastball pitch in adolescent baseball pitchers. Design: Cross-Sectional study. Setting: Biomechanics laboratory. Participants: A voluntary sample of 21 adolescent baseball pitchers (16.1 ± 0.8 yrs.; 183.9 ± 5.2 cm; 77.9 ± 8.3 kg). Main Outcome Measure (s): Bilateral hip internal rotation (IR), external rotation (ER), flexion, extension, and abduction AROM were measured. Three-dimensional biomechanics were assessed as participants threw from an indoor pitching mound to a strike zone net at regulation distance. Pearson correlation coefficients were used to determine correlations between hip AROM and biomechanical metrics. Results: Statistically significant negative correlations were found at foot contact between back hip ER AROM and back hip abduction angle (p=0.030, r=−0.474), back hip ER AROM and torso rotation angle (p=0.032, r=−0.468),and back hip abduction AROM and lead hip abduction angle (p=0.037, r=−0.458). Back hip extension AROM was positively correlated with increased stride length (p=0.043, r=0.446). Lead hip abduction AROM was also positively correlated with normalized elbow varus torque (p=0.034, r=0.464). Conclusions: There were several relationships between hip AROM and biomechanical variables during the pitching motion. The findings support the influence hip AROM can have on pitching biomechanics. Overall, greater movement at the hips allows for the kinematic chain to work at its maximal efficiency, increasing pitch velocity potential.

scholarly journals Patient-specific resurfacing implant knee surgery in subjects with early osteoarthritis results in medial pivot and lateral femoral rollback during flexion: a retrospective pilot study

2021 ◽  
Author(s):  
Philippe Moewis ◽  
René Kaiser ◽  
Adam Trepczynski ◽  
Christoph von Tycowicz ◽  
Leonie Krahl ◽  
...  
Keyword(s):  
Knee Arthroplasty ◽  
External Rotation ◽  
Knee Kinematics ◽  
Axial Rotation ◽  
Patient Specific ◽  
Post Surgery ◽  
Flexion Extension ◽  
Medial Pivot ◽  
Femoral Rollback

Abstract Purpose Metallic resurfacing implants have been developed for the treatment of early, small, condylar and trochlear osteoarthritis (OA) lesions. They represent an option for patients who do not fulfill the criteria for unicompartmental knee arthroplasty (UKA) or total knee arthroplasty (TKA) or are too old for biological treatment. Although clinical evidence has been collected for different resurfacing types, the in vivo post-operative knee kinematics remain unknown. The present study aims to analyze the knee kinematics in subjects with patient-specific episealer implants. This study hypothesized that patient-specific resurfacing implants would lead to knee kinematics close to healthy knees, resulting in medial pivot and a high degree of femoral rollback during flexion. Methods Retrospective study design. Fluoroscopic analysis during unloaded flexion–extension and loaded lunge was conducted at > 12 months post-surgery in ten episealer knees, and compared to ten healthy knees. Pre- and post-operative clinical data of the episealer knees were collected using a visual analog scale (VAS), the EQ 5d Health, and the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaires. Results A consistent medial pivot was observed in both episealer and healthy knees. Non-significant differences were found in the unloaded (p = 0.15) and loaded (p = 0.51) activities. Although lateral rollback was observed in both groups, it was significantly higher for the episealer knees in both the unloaded (p = 0.02) and loaded (p = 0.01) activities. Coupled axial rotation was significantly higher in the unloaded (p = 0.001) but not in the loaded (p = 0.06) activity in the episealer knees. Improved scores were observed at 1-year post-surgery in the episealer subjects for the VAS (p = 0.001), KOOS (p = 0.001) and EQ Health (p = 0.004). Conclusion At 12 month follow-up, a clear physiological knee kinematics pattern of medial pivot, lateral femoral rollback and coupled axial external femoral rotation during flexion was observed in patients treated with an episealer resurfacing procedure. However, higher femoral rollback and axial external rotation in comparison to healthy knees was observed, suggesting possible post-operative muscle weakness and consequent insufficient stabilization at high flexion.

scholarly journals Knee Joint Kinematics and Kinetics During a Lateral False-Step Maneuver

2009 ◽  
Vol 44 (5) ◽  
pp. 503-510 ◽  
Author(s):  
Grace M. Golden ◽  
Michael J. Pavol ◽  
Mark A. Hoffman
Keyword(s):  
Internal Rotation ◽  
External Rotation ◽  
Cruciate Ligament ◽  
Body Height ◽  
Knee Kinematics ◽  
Single Step ◽  
Peak Knee ◽  
Flexion Extension ◽  
Internal Rotation Angle ◽  
Kinematics And Kinetics

Abstract Context: Cutting maneuvers have been implicated as a mechanism of noncontact anterior cruciate ligament (ACL) injuries in collegiate female basketball players. Objective: To investigate knee kinematics and kinetics during running when the width of a single step, relative to the path of travel, was manipulated, a lateral false-step maneuver. Design: Crossover design. Setting: University biomechanics laboratory. Patients or Other Participants: Thirteen female collegiate basketball athletes (age  =  19.7 ± 1.1 years, height  =  172.3 ± 8.3 cm, mass  =  71.8 ± 8.7 kg). Intervention(s): Three conditions: normal straight-ahead running, lateral false step of width 20% of body height, and lateral false step of width 35% of body height. Main Outcome Measure(s): Peak angles and internal moments for knee flexion, extension, abduction, adduction, internal rotation, and external rotation. Results: Differences were noted among conditions in peak knee angles (flexion [P &lt; .01], extension [P  =  .02], abduction [P &lt; .01], and internal rotation [P &lt; .01]) and peak internal knee moments (abduction [P &lt; .01], adduction [P &lt; .01], and internal rotation [P  =  .03]). The lateral false step of width 35% of body height was associated with larger peak flexion, abduction, and internal rotation angles and larger peak abduction, adduction, and internal rotation moments than normal running. Peak flexion and internal rotation angles were also larger for the lateral false step of width 20% of body height than for normal running, whereas peak extension angle was smaller. Peak internal rotation angle increased progressively with increasing step width. Conclusions: Performing a lateral false-step maneuver resulted in changes in knee kinematics and kinetics compared with normal running. The differences observed for lateral false steps were consistent with proposed mechanisms of ACL loading, suggesting that lateral false steps represent a hitherto neglected mechanism of noncontact ACL injury.

Normal Six-Degree-of-Freedom Motions of Knee Joint During Level Walking

1996 ◽  
Vol 118 (2) ◽  
pp. 258-261 ◽  
Author(s):  
Xue Mei Li ◽  
Bo Liu ◽  
Bo Deng ◽  
Shi Ming Zhang
Keyword(s):  
Degree Of Freedom ◽  
Joint Measurement ◽  
Knee Motion ◽  
In Vivo Test ◽  
In Vivo Measurement ◽  
Level Walking ◽  
Flexion Extension ◽  
Posterior Translation ◽  
Six Degree Of Freedom

The purpose of this study was to find an effective way for in vivo measurement of joint motion and give the normal knee motion according to this method. The joint model proposed by Grood and Suntay (1983) was chosen; the origin of the tibia was modified for the convenience of in vivo test. A computerized 6 degree-of-freedom electrogoniometer (EGM) was used in the measurement. Repeated tests on one subject were performed to establish the reliability of the method. Knee motions obtained from 42 males during level walking were expressed as flexion-extension, abduction-adduction, external-internal rotation, lateral-medial translation, anterior-posterior translation, and superior-inferior translation. The results showed that, with the proper choice of the origin of the tibia, the EGM could depend much less on external landmarks and be more effective for the joint measurement.

Long-term results for Kinemax and Kinematic knee bearings on a six-station knee wear simulator

2000 ◽  
Vol 214 (5) ◽  
pp. 437-447 ◽  
Author(s):  
H E Ash ◽  
I C Burgess ◽  
A Unsworth
Keyword(s):  
External Rotation ◽  
Wear Test ◽  
Long Term Results ◽  
Wear Rates ◽  
Flexion Extension ◽  
Average Wear ◽  
Posterior Translation ◽  
Wear Simulator

A long-term wear test was performed on Kinemax and Kinematic (Howmedica Inc.) knee bearings on the Durham six-station knee wear simulator. The bearings were subjected to flexion/extension of 65–0°, anterior-posterior translation of between 4.5 and 8.5 mm and a maximum axial load of 3 kN. Passive abduction/adduction and internal/external rotation were also permitted, however, two of the stations had a linkage system which produced ± 5° active internal/external rotation. The bearings were tested at 37 °C in a 30 per cent bovine serum solution and the test was run to 5.6 × 106 cycles. The bearings from stations 2 and 3, and stations 4 and 5 were swapped during the test to investigate the effects of interstation variability. The average wear rate and standard error was 3.00 ± 0.98 mg/106 cycles (range 1.33-4.72 mg/106 cycles) for the Kinemax bearings and 3.78 ± 1.04 mg/106 cycles (range 1.87-4.89 mg/106 cycles) for the Kinematic bearings. There were no significant differences in wear rates between the different bearing designs, the addition of active internal/external rotation or a change of stations. However, the wear tracks were different for the two types of bearings and with active internal/external rotation. The wear rates and factors were generally lower than previously published in vitro wear results; however, this may have been due to a difference in the axial loads and lubricants used. The appearance of the wear tracks with active internal/external rotation was comparable with those seen on explanted knee bearings.

scholarly journals Effect of Loading on In Vivo Tibiofemoral and Patellofemoral Kinematics of Healthy and ACL-Reconstructed Knees

2017 ◽  
Vol 45 (14) ◽  
pp. 3272-3279 ◽  
Author(s):  
Jarred M. Kaiser ◽  
Michael F. Vignos ◽  
Richard Kijowski ◽  
Geoffrey Baer ◽  
Darryl G. Thelen
Keyword(s):  
Degrees Of Freedom ◽  
Knee Kinematics ◽  
Cartilage Degeneration ◽  
Quantitative Mri ◽  
Tibial Rotation ◽  
Flexion Extension ◽  
Inertial Loading ◽  
Bilateral Differences ◽  
Tibial Translation ◽  
Patellofemoral Kinematics

Background: Although knees that have undergone anterior cruciate ligament reconstruction (ACLR) often exhibit normal laxity on clinical examination, abnormal kinematic patterns have been observed when the joint is dynamically loaded during whole body activity. This study investigated whether abnormal knee kinematics arise with loading under isolated dynamic movements. Hypothesis: Tibiofemoral and patellofemoral kinematics of ACLR knees will be similar to those of the contralateral uninjured control knee during passive flexion-extension, with bilateral differences emerging when an inertial load is applied. Study Design: Controlled laboratory study. Methods: The bilateral knees of 18 subjects who had undergone unilateral ACLR within the past 4 years were imaged by use of magnetic resonance imaging (MRI). Their knees were cyclically (0.5 Hz) flexed passively. Subjects then actively flexed and extended their knees against an inertial load that induced stretch-shortening quadriceps contractions, as seen during the load acceptance phase of gait. A dynamic, volumetric, MRI sequence was used to track tibiofemoral and patellofemoral kinematics through 6 degrees of freedom. A repeated-measures analysis of variance was used to compare secondary tibiofemoral and patellofemoral kinematics between ACLR and healthy contralateral knees during the passive and active extension phases of the cyclic motion. Results: Relative to the passive motion, inertial loading induced significant shifts in anterior and superior tibial translation, internal tibial rotation, and all patellofemoral degrees of freedom. As hypothesized, tibiofemoral and patellofemoral kinematics were bilaterally symmetric during the passive condition. However, inertial loading induced bilateral differences, with the ACLR knees exhibiting a significant shift toward external tibial rotation. A trend toward greater medial and anterior tibial translation was seen in the ACLR knees. Conclusion: This study demonstrates that abnormal knee kinematic patterns in ACLR knees emerge during a simple, active knee flexion-extension task that can be performed in an MRI scanner. Clinical Relevance: It is hypothesized that abnormal knee kinematics may alter cartilage loading patterns and thereby contribute to increased risk for osteoarthritis. Recent advances in quantitative MRI can be used to detect early cartilage degeneration in ACLR knees. This study demonstrates the feasibility of identifying abnormal ACLR kinematics by use of dynamic MRI, supporting the combined use of dynamic and quantitative MRI to investigate the proposed link between knee motion, cartilage contact, and early biomarkers of cartilage degeneration.

Zirconia Knee Wear and Raman Spectroscopy Studies Compares 3.5-Mrad and 7-Mrad UHMWPE Inserts

2006 ◽  
Vol 309-311 ◽  
pp. 1285-1288
Author(s):  
R. Tsukamoto ◽  
Giuseppe Pezzotti ◽  
M. Ogino ◽  
H. Shoji ◽  
T. Asano ◽  
...  
Keyword(s):  
Raman Spectroscopy ◽  
External Rotation ◽  
Calf Serum ◽  
Wear Behaviour ◽  
Cycle Duration ◽  
Wear Rates ◽  
Flexion Extension ◽  
Posterior Translation ◽  
Spectroscopy Studies

We studied the long-term wear behaviour of alumina-doped zirconia femoral condyles against ultra-high molecular weight polyethylene (UHMWPE) tibial inserts. The simulator kinematics included 20 degrees of flexion/extension, ± 5 degrees of internal/external rotation, and 6 mm of anterior/posterior translation. All knee components were subjected to 10 million cycles of normal walking (2.6 KN max, freq. 1.8 Hz). Lubricant was 50% alpha-calf serum (20 mg/ml protein) with EDTA. The tibial inserts were from one lot of ram-extruded UHMWPE and sterilized with 3.5-Mrad or 7-Mrad radiation dose. Soak controls were stored unloaded in deionised water for 60 days prior to testing. Implants were studied with high-resolution confocal Raman spectroscopy after 10-Mc duration. The wear of control knees (CoCr/3.5-Mrad) averaged 4.5mm3/Mc while the wear with the ZrO2/7-Mrad combination was unmeasurably low even after 10 million cycle duration. Raman Spectroscopy at 10-Mc duration showed only the presence of the desired tetragonal phase. Thus, the ZrO2/7-Mrad bearing combination should prove excellent for active patients who may otherwise risk high wear rates over many years of use.

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