The Biomechanical Consequences of Arthroscopic Hip Capsulotomy and Repair in Positions at Risk for Dislocation

Background: The effect of interportal (IP) capsulotomy, short T-capsulotomy, and long T-capsulotomy, and their repairs, on resistance to anterior and posterior “at risk for dislocation” positions has not been quantified. Hypotheses: Our primary hypothesis was that an IP capsulotomy would have a minimal effect on hip resistive torque compared with both short and long T-capsulotomies in the at-risk dislocation positions. Our secondary hypothesis was that capsule repair would significantly increase hip resistive torque for all capsulotomies. Study Design Controlled laboratory study. Methods: We mounted 10 cadaveric hips on a biaxial test frame in an anterior dislocation high-risk position (20° of hip extension and external rotation) and posterior dislocation high-risk position (90° of hip flexion and internal rotation). An axial force of 100 N was applied to the intact hip while the femur was internally or externally rotated at 15° per second to a torque of 5 N·m. The rotatory position at 5 N·m was recorded and set as a target for each subsequent condition. Hips were then sequentially tested with IP, short T-, and long T-capsulotomies and with corresponding repairs randomized within each condition. Peak resistive torques were compared using generalized estimating equation modeling and post hoc Bonferroni-adjusted tests. Results: For the anterior position, the IP and long T-capsulotomies demonstrated significantly lower resistive torques compared with intact. For the posterior position, both the short and long T-capsulotomies resulted in significantly lower resistive torques compared with intact. Repairs for all 3 capsulotomy types were not significantly different from the intact condition at anterior and posterior positions. Conclusion: An IP incision resulted in a decrease in capsular resistive torque in the anterior but not the posterior at-risk dislocation position, in which direction only T-capsulotomies led to a significant decrease. All capsulotomy repair conditions resulted in hip resistive torques that were similar to the intact hip in both dislocation positions. Clinical Relevance Our results suggest that it is biomechanically advantageous to repair IP, short T-, and long T-capsulotomies, particularly for at-risk anterior dislocation positions.

Effects of Intermittent and Continuous Static Stretching on Range of Motion and Musculotendinous Viscoelastic Properties Based on a Duration-Matched Protocol

The different effects of intermittent and continuous stretching on the mechanical properties of the musculotendinous complex have been unclear. This study aimed to compare the effects of intermittent and continuous stretching for the same duration on the range of motion (ROM), passive resistive torque (PRT), and musculotendinous stiffness (MTS) of ankle plantar flexors. Eighteen healthy young men participated in the study. Intermittent (four sets × 30 s) and continuous stretching (one set × 120 s) were performed in random orders on two separate days. Both stretching protocols were conducted using a dynamometer with a constant torque applied. ROM and PRT were determined using a dynamometer, and MTS was calculated using the torque–angle relationship measured before and after stretching. Two-way repeated measures analysis of variance was performed for all parameters. Both intermittent and continuous stretching significantly increased ROM and decreased PRT and MTS (p < 0.05). Intermittent stretching led to greater changes in ROM and PRT than continuous stretching. However, the reduction in MTS did not differ between the two conditions. These results suggest that intermittent stretching is more effective in increasing ROM and changing the mechanical properties of the musculotendinous complex.

The Aerodynamics of a Diabolo

Diabolo is a popular game in which the object can be spun at up to speeds of 5000 rpm. This high spin velocity gives the diabolo the necessary angular momentum to remain stable. The shape of the diabolo generates an interesting air flow pattern. The viscous air applies a resistive torque on the fast spinning diabolo. Through computational fluid dynamics (CFD) simulations it's shown that the resistive torque has an interesting dependence on the angular speed of the diabolo. Further, the geometric shape of the diabolo affects the dependence of torque on angular speed.

The Aerodynamics of a Diabolo

Diabolo is a popular game in which the object can be spun at up to speeds of 5000 rpm. This high spin velocity gives the diabolo the necessary angular momentum to remain stable. The shape of the diabolo generates an interesting air flow pattern. The viscous air applies a resistive torque on the fast spinning diabolo. Through computational fluid dynamics (CFD) simulations it's shown that the resistive torque has an interesting dependence on the angular speed of the diabolo. Further, the geometric shape of the diabolo affects the dependence of torque on angular speed.

Predictive Simulations of Gait with Exoskeletons that Alter Energetics

Robotic exoskeletons, designed to augment human locomotion, have the potential to restore function in those with mobility impairments and enhance it in able-bodied individuals. However, optimally controlling these devices, to work in concert with complex and diverse human users, is a challenge. Accurate model simulations of the interaction between exoskeletons and walking humans may expedite the design process and improve control. Here, we use predictive gait simulations to investigate the effect of an exoskeleton that alters the energetic consequences of walking. To validate our approach, we re-created an past experimental paradigm where robotic exoskeletons were used to shift people’s energetically optimal step frequency to frequencies higher and lower than normally preferred. To match the experimental controller, we modelled a knee-worn exoskeleton that applied resistive torques that were either proportional or inversely proportional to step frequency—decreasing or increasing the energy optimal step frequency, respectively. We were able to replicate the experiment, finding higher and lower optimal step frequencies than in natural walking under each respective condition. Our simulated resistive torques and objective landscapes resembled the measured experimental resistive torque and energy landscapes. Individual muscle energetics revealed distinct coordination strategies consistent with each exoskeleton controller condition. Predicted step frequency and energetic outcomes were best achieved by increasing the number of virtual participants (varying whole-body anthropometrics), rather than number of muscle parameter sets (varying muscle anthropometrics). In future, our approach can be used to design controllers in advance of human testing, to help identify reasonable solution spaces or tailor design to individual users.

A Study on Wear and Friction of Passenger Vehicles Control Arm Ball Joints

The following paper describes research on vehicle suspension elements: the ball joints. The worn surface roughness of selected ball pins and their bearings was compared in terms of vehicle mileage, utilization period, and car model. Ball pin roughness was measured using a scanning tunneling microscope (STM), whereas for the bearing surface, a profilometer was used. The aim of this study was to determine the resistive torque in an unloaded ball joint. Using the finite element method, models of the unloaded ball joint were analyzed in two scenarios: with and without interference between the worn ball and its bearing. Calculated values of resistive torques in the ball joint were compared, and recommendations were given relative to the mileage and the time after which it was necessary to perform verification or replacement of the ball joints.

Design Framework and Clinical Evaluation of a Passive Hydraulic Patient Simulator for Biceps Spasticity Assessment Training

This article presents the framework for developing a passive (unpowered) mechanical training simulator for replication of biceps spasticity to complement current clinical assessment training. The passive training simulator was developed to mimic three main behavioral features of spasticity, i.e., abnormal muscle tone, catch-release behavior, and range of motion (ROM) reduction. The simulator can replicate varied levels of spasticity (Modified Ashworth Scale (MAS) levels 0–4) using a combination of three adjustable mechanical design features, i.e., resistance level, catch angle, and ROM selectors. Bench-top evaluation examined the performance of individual mechanical design features, as well as their combined performance. Spastic muscle resistance profiles generated by the simulator qualitatively agreed with the clinical descriptions of spasticity in the MAS. Mean peak simulated resistive torque fell within the clinical measures from actual spasticity patients for MAS 1–4, but was lower for MAS 0 (0.9, 3.5, 4.2, 6.9, 9.8 Nm for MAS 0–4, respectively). Seven clinicians were invited to validate the simulator performance. They were asked to identify the simulated MAS level during a blinded assessment and to score the realism of each simulation feature using a five-point scale, where 3 was “about right,” during a disclosed assessment. The mean percent agreement of clinicians’ judgments was 76 ± 12%. The mean realism score throughout MAS 0–4 were 2.82 ± 0.15. Preliminary results suggested good potential for this simulator in helping future healthcare practitioners learn and practice the basics of spasticity assessment.

Peripheral Nerve Responses to Muscle Stretching: A Systematic Review

Stretching is commonly used to increase range of motion and flexibility. Therefore, investigations are usually oriented towards the muscle-tendon unit. Limited evidence exists regarding potential effects of stretching on peripheral nerves which lie within muscles. The objective of this investigation will be to elucidate the responses of peripheral nerves to stretching. A literature search was performed using the following databases: Scopus, NLM Pubmed and ScienceDirect. Studies regarding the effects of stretching protocols on responses of peripheral nerves were retrieved for investigation. The NHLBI tool was used for quality assessment. Outcomes included nerve stiffness, nerve displacement, pain pressure thresholds and resistive torque. A total of 10 studies were considered eligible and were included in this investigation. The quality assessment of the studies revealed an overall “fair to good” methodological quality across the included studies. All studies except for one involved healthy participants. High heterogeneity of stretching protocols was retrieved. As a consequence of stretching, nerve stiffness (-15.6%) and pain pressure thresholds (-1.9kg) decreased. Nerve displacements on each movement plane for all the considered nerves and nerve deformation were also frequently observed. Peripheral nerve responses to muscle stretching include decreased nerve stiffness and decreased pain pressure thresholds. Nerve displacement also frequently occurs. It is still unclear if reduced nerve displacement may lead to clinical outcomes. There is a lack of longitudinal studies regarding peripheral nerve adaptations to stretching.

A comparison of foam rolling and vibration foam rolling on the quadriceps muscle function and mechanical properties

Purpose The purpose of the study was to investigate the effects of using a vibration foam roll (VFR) or a non-vibration foam roll (NVFR) on maximum voluntary isometric contraction peak torque (MVIC), range of motion (ROM), passive resistive torque (PRT), and shear modulus. Methods Twenty-one male volunteers visited the laboratory on two separate days and were randomly assigned to either a VFR group or a NVFR group. Both interventions were performed for 3 × 1 min each. Before and after each intervention, passive resistive torque and maximum voluntary isometric contraction peak torque of the leg extensors were assessed with a dynamometer. Hip extension ROM was assessed using a modified Thomas test with 3D-motion caption. Muscle shear modulus of the vastus lateralis (VL), vastus medialis (VM), and rectus femoris (RF) was assessed with shear wave elastography (SWE). Results In both groups (VFR, NVFR) we observed an increase in MVIC peak torque (+ 14.2 Nm, + 8.6 Nm) and a decrease in shear modulus of the RF (− 7.2 kPa, − 4.7 kPa). However, an increase in hip extension ROM (3.3°) was only observed in the VFR group. There was no change in PRT and shear modulus of the VL and VM, in both the VFR group and the NVFR group. Our findings demonstrate a muscle-specific acute decrease in passive RF stiffness after VFR and NVFR, with an effect on joint flexibility found only after VFR. Conclusion The findings of this study suggest that VFR might be a more efficient approach to maximize performance in sports with flexibility demands.

تأثير الحرارة العالية على العارضات الخرسانية المسلحة المحسنة

This research examined the effect of high temperatures on reinforced concrete beams made from the groundworks of Hassia region in Syria. Concrete received additions of silica ash and plasticizers. Concrete cubic samples were then prepared with dimensions (15*15*15 cm), and samples for beams with simple support on both sides, with fixed dimensions for all samples of (b*h* L = 18*25*150 cm, respectively), and with a covering thickness of 3 cm. These samples were heated at the age of 28 days to different temperatures in all aspects using an electric oven, which was specially manufactured for this research. Samples were then cooled according to two cooling methods. The first is rapid cooling with water, and the second is a slow cooling with air. Then, necessary laboratory experiments were performed on these samples to measure the percentage of change in resistance, and the change of the torque resistance value in the samples of beams. The samples of beams were modeled and studied according to the finite element method, using the ABAQUS program. The results were read and compared with the experimental results. The results showed a decrease in the value of the resistive torque for the samples of beams with an increase in the heating temperature. The value of this decrease reached about 70% of the value of the resistive torque at the normal temperature. A difference in the value of this decrease is observed at the same temperature in accord with the used method of cooling. In air-cooled samples, it is greater than in water-cooled samples up to 750 °C. The decrease after this temperature in water-cooled samples becomes greater, noting the explosion of some samples heated up to 850 °C when cooled with water. Finally, the results and recommendations are indicated.