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https://www.readbyqxmd.com/read/28504931/robust-real-time-musculoskeletal-modeling-driven-by-electromyograms
#1
Guillaume Durandau, Dario Farina, Massimo Sartori
OBJECTIVE: Current clinical biomechanics involves lengthy data acquisition and time-consuming offline analyses and current biomechanical models cannot be used for real-time control in man-machine interfaces. We developed a method that enables online analysis of neuromusculoskeletal function in vivo in the intact human. METHODS: We used electromyography (EMG)-driven musculoskeletal modeling to simulate all transformations from muscle excitation onset (EMGs) to mechanical moment production around multiple lower-limb degrees of freedom (DOFs)...
May 12, 2017: IEEE Transactions on Bio-medical Engineering
https://www.readbyqxmd.com/read/28494621/chinese-cross-cultural-adaptation-and-validation-of-the-foot-function-index-as-tool-to-measure-patients-with-foot-and-ankle-functional-limitations
#2
Manuel González-Sánchez, Maria Ruiz-Muñoz, Guang Zhi Li, Antonio I Cuesta-Vargas
PURPOSE: To perform a cross-cultural adaptation and validation of the Foot Function Index (FFI) questionnaire to develop the Chinese version. MATERIALS AND METHODS: Three hundred and six patients with foot and ankle neuromusculoskeletal diseases participated in this observational study. Construct validity, internal consistency and criterion validity were calculated for the FFI Chinese version after the translation and transcultural adaptation process. RESULTS: Internal consistency ranged from 0...
May 11, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28462674/validity-and-reliability-of-smartphone-applications-for-clinical-assessment-of-the-neuromusculoskeletal-system
#3
Aliaa Rehan Youssef, Mohammed Gumaa
Clinicians increasingly use smartphone medical applications. There is no evidence to support the validity and reliability of applications used to assess the neuromusculoskeletal system. The aim of this study is to systematically review the quality of studies as well as the validity and reliability of using a smartphone as a clinical assessment tool for the neuromusculoskeletal system. Areas covered: PubMed, CINAHL and Embase were searched. A manual search was also conducted. Additionally, forward snowballing of relevant articles was performed in Scopus and Web of Science...
May 2, 2017: Expert Review of Medical Devices
https://www.readbyqxmd.com/read/28436878/biofeedback-for-gait-retraining-based-on-real-time-estimation-of-tibiofemoral-joint-contact-forces
#4
Claudio Pizzolato, Monica Reggiani, David J Saxby, Elena Ceseracciu, Luca Modenese, David G Lloyd
Biofeedback assisted rehabilitation and intervention technologies have the potential to modify clinically relevant biomechanics. Gait retraining has been used to reduce the knee adduction moment, a surrogate of medial tibiofemoral joint loading often used in knee osteoarthritis research. In this study we present an electromyogram-driven neuromusculoskeletal model of the lower-limb to estimate, in real-time, the tibiofemoral joint loads. The model included 34 musculotendon units spanning the hip, knee, and ankle joints...
April 18, 2017: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/28387489/-orthopaedic-manual-therapy-definition-characteristics-and-update-on-the-situation-in-belgium
#5
REVIEW
C Demoulin, Y Depas, M Vanderthommen, Y Henrotin, S Wolfs, B Cagnie, B Hidalgo
Although orthopaedic manual therapy (OMT) has existed for decades, and although a recent Belgian Royal Decree, published in 2014, recognized it as a particular professional qualification in physiotherapy for the treatment of neuromusculoskeletal dysfunctions, OMT remains little known by patients, but also by healthcare professionals. Yet, this professional qualification, based on clinical reasoning, using highly specific treatments, guided by the best available scientific and clinical evidence and the specific biopsychosocial characteristics of each patient, is the subject of a growing number of scientific studies pointing out its effectiveness...
March 2017: Revue Médicale de Liège
https://www.readbyqxmd.com/read/28269628/development-of-an-open-source-cosimulation-method-of-the-knee
#6
Anne Schmitz, Davide Piovesan
Rigid body dynamics and soft tissue loads are solved simultaneously in a cosimulation framework to couple musculoskeletal dynamics and tissue mechanics. The goal of this work was to implement a validated, open-source cosimulation framework of the knee to determine how this coupling affects computed cartilage loads. The kinematic knee joint of a generic whole body model in the open-source software OpenSim was replaced by a previously developed discrete element knee model that consisted of a six degree of freedom (dof) tibiofemoral joint and one dof patellofemoral joint...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227886/development-of-an-open-source-cosimulation-method-of-the-knee
#7
Anne Schmitz, Davide Piovesan, Anne Schmitz, Davide Piovesan, Anne Schmitz, Davide Piovesan
Rigid body dynamics and soft tissue loads are solved simultaneously in a cosimulation framework to couple musculoskeletal dynamics and tissue mechanics. The goal of this work was to implement a validated, open-source cosimulation framework of the knee to determine how this coupling affects computed cartilage loads. The kinematic knee joint of a generic whole body model in the open-source software OpenSim was replaced by a previously developed discrete element knee model that consisted of a six degree of freedom (dof) tibiofemoral joint and one dof patellofemoral joint...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28188077/development-of-a-preliminary-evidence-based-neuromusculoskeletal-exercise-guideline-to-reduce-injury-risk-in-the-lower-limb
#8
REVIEW
Michael E Lehr, Devin Kime, Cayce Onks, Matthew Silvis, Megan Streisel
Athletic participation growth has resulted in increased exposures and neuromusculoskeletal (NMSK) non-contact injuries. Based on current evidence, the primary objective of this literature review is to create a preliminary evidence-based NMSK exercise guideline, addressing these intrinsic modifiable risk factors. Systematic searches were conducted September 2014 prior to data extraction utilizing CINAHL Plus (1995 to September 2014), MEDLINE (1995 to September 2014), and Academic Search Premier (1995 to September 2014)...
May 2017: Physical Therapy in Sport
https://www.readbyqxmd.com/read/28154440/case-report-using-a-remote-presence-robot-to-improve-access-to-physical-therapy-for-people-with-chronic-back-disorders-in-an-underserved-community
#9
Stacey Lovo Grona, Brenna Bath, Luis Bustamante, Ivar Mendez
Purpose: The purpose of this case study was to evaluate the delivery of an inter-professional (IP) spinal triage management approach to chronic back disorders using remote presence robotic technology as an innovative form of telerehabilitation in a northern Saskatchewan community. Methods: The IP team, consisting of a local nurse practitioner (NP) and a physical therapist in an urban centre, completed a comprehensive neuromusculoskeletal assessment of, and one follow-up visit with, a post-surgical spinal patient...
2017: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/28100420/osteoarthritis-year-in-review-2016-mechanics
#10
REVIEW
D J Saxby, D G Lloyd
Inappropriate biomechanics, namely wear-and-tear, has been long believed to be a main cause of osteoarthritis (OA). However, this view is now being re-evaluated, especially when examined alongside mechanobiology and new biomechanical studies. These are multiscale experimental and computational studies focussing on cell- and tissue-level mechanobiology through to organ- and whole-body-level biomechanics, which focuses on the biomechanical and biochemical environment of the joint tissues. This review examined papers from April 2015 to April 2016, with a focus on multiscale experimental and computational biomechanical studies of OA...
February 2017: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/28079030/neuromusculoskeletal-model-self-calibration-for-on-line-sequential-bayesian-moment-estimation
#11
Diana R Bueno, L Montano
OBJECTIVE: Neuromusculoskeletal models involve many subject-specific physiological parameters that need to be adjusted to adequately represent muscle properties. Traditionally, neuromusculoskeletal models have been calibrated with a forward-inverse dynamic optimization which is time-consuming and unfeasible for rehabilitation therapy. Non self-calibration algorithms have been applied to these models. To the best of our knowledge, the algorithm proposed in this work is the first on-line calibration algorithm for muscle models that allows a generic model to be adjusted to different subjects in a few steps...
April 2017: Journal of Neural Engineering
https://www.readbyqxmd.com/read/28002649/toward-modeling-locomotion-using-electromyography-informed-3d-models-application-to-cerebral-palsy
#12
REVIEW
M Sartori, J W Fernandez, L Modenese, C P Carty, L A Barber, K Oberhofer, J Zhang, G G Handsfield, N S Stott, T F Besier, D Farina, D G Lloyd
This position paper proposes a modeling pipeline to develop clinically relevant neuromusculoskeletal models to understand and treat complex neurological disorders. Although applicable to a variety of neurological conditions, we provide direct pipeline applicative examples in the context of cerebral palsy (CP). This paper highlights technologies in: (1) patient-specific segmental rigid body models developed from magnetic resonance imaging for use in inverse kinematics and inverse dynamics pipelines; (2) efficient population-based approaches to derive skeletal models and muscle origins/insertions that are useful for population statistics and consistent creation of continuum models; (3) continuum muscle descriptions to account for complex muscle architecture including spatially varying material properties with muscle wrapping; (4) muscle and tendon properties specific to CP; and (5) neural-based electromyography-informed methods for muscle force prediction...
December 21, 2016: Wiley Interdisciplinary Reviews. Systems Biology and Medicine
https://www.readbyqxmd.com/read/27942137/study-on-the-quality-of-life-of-children-with-cerebral-palsy
#13
Seung Kyu Park, Dae Jung Yang, Jae Won Heo, Je Ho Kim, Sam Heon Park, Yo Han Uhm
[Purpose] This study aims to analyze the factors that affect the quality of life of children with cerebral palsy. [Subjects and Methods] The study subjects were 138 children, aged 7-12, who suffer from cerebral palsy. Factors affecting subjects' quality of life were evaluated using the ICF-CY; quality of life was evaluated using the KIDSCREEN 52 - Health-Related Quality of Life questionnaire. Multiple regression analysis was conducted. [Results] The factors related to physical functions that affect subjects' quality of life were mental function, sensory function and pain, genitourinary and reproductive function, as well as neuromusculoskeletal and movement-related functions...
November 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27916853/a-pilot-study-of-individual-muscle-force-prediction-during-elbow-flexion-and-extension-in-the-neurorehabilitation-field
#14
Jiateng Hou, Yingfei Sun, Lixin Sun, Bingyu Pan, Zhipei Huang, Jiankang Wu, Zhiqiang Zhang
This paper proposes a neuromusculoskeletal (NMS) model to predict individual muscle force during elbow flexion and extension. Four male subjects were asked to do voluntary elbow flexion and extension. An inertial sensor and surface electromyography (sEMG) sensors were attached to subject's forearm. Joint angle calculated by fusion of acceleration and angular rate using an extended Kalman filter (EKF) and muscle activations obtained from the sEMG signals were taken as the inputs of the proposed NMS model to determine individual muscle force...
November 29, 2016: Sensors
https://www.readbyqxmd.com/read/27912995/rehabilitation-strategies-and-outcomes-of-the-sarcoma-patient
#15
REVIEW
Sean Robinson Smith
Sarcomas are a relatively rare cancer that, depending on the location, can cause significant neuromusculoskeletal dysfunction and require rehabilitation interventions to reduce pain, restore function, and improve quality of life. This review focuses on sarcoma subtypes that frequently cause these complications: bony and soft tissue sarcomas leading to limb salvage or amputation, desmoid tumors, and malignant peripheral nerve sheath tumors. Rehabilitation approaches and outcomes are discussed, as well as considerations for childhood sarcoma survivors transitioning to adulthood...
February 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/27903263/estimating-the-accuracy-of-muscle-response-testing-two-randomised-order-blinded-studies
#16
RANDOMIZED CONTROLLED TRIAL
Anne M Jensen, Richard J Stevens, Amanda J Burls
BACKGROUND: Manual muscle testing (MMT) is a non-invasive assessment tool used by a variety of health care providers to evaluate neuromusculoskeletal integrity, and muscular strength in particular. In one form of MMT called muscle response testing (MRT), muscles are said to be tested, not to evaluate muscular strength, but neural control. One established, but insufficiently validated, application of MRT is to assess a patient's response to semantic stimuli (e.g. spoken lies) during a therapy session...
November 30, 2016: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/27872005/the-role-of-pelvic-floor-muscles-in-male-sexual-dysfunction-and-pelvic-pain
#17
REVIEW
Deborah Cohen, Joshua Gonzalez, Irwin Goldstein
INTRODUCTION: Sexual function is essential to good health and well-being in men. The relationship between male sexual function, pelvic floor function, and pelvic pain is complex and only beginning to be appreciated. AIM: The objectives of the current review are to examine these complex relationships, and to demonstrate how pelvic floor physical therapy can potentially improve the treatment of various male sexual dysfunctions, including erectile dysfunction and dysfunction of ejaculation and orgasm...
January 2016: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/27814854/low-level-light-therapy-and-tattoos-a-case-report
#18
Teresa Ingenito
BACKGROUND AND PURPOSE: Physical therapists (PTs) frequently provide neuromusculoskeletal treatment for patients who incidentally may have one or more tattoos. Low level light therapy (LLLT) is one of the modalities commonly used by physical therapists to decrease pain and facilitate healing. CASE DESCRIPTION: This case report describes a 22 year old man who was given LLLT to address his complaints of musculoskeletal pain. OUTCOMES: Blistering of the skin was documented over the LLLT application site, a black tattoo...
October 2016: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/27790612/muscle-synergies-facilitate-computational-prediction-of-subject-specific-walking-motions
#19
Andrew J Meyer, Ilan Eskinazi, Jennifer N Jackson, Anil V Rao, Carolynn Patten, Benjamin J Fregly
Researchers have explored a variety of neurorehabilitation approaches to restore normal walking function following a stroke. However, there is currently no objective means for prescribing and implementing treatments that are likely to maximize recovery of walking function for any particular patient. As a first step toward optimizing neurorehabilitation effectiveness, this study develops and evaluates a patient-specific synergy-controlled neuromusculoskeletal simulation framework that can predict walking motions for an individual post-stroke...
2016: Frontiers in Bioengineering and Biotechnology
https://www.readbyqxmd.com/read/27748577/rehabilitation-needs-approached-by-health-professionals-at-a-rheumatism-hospital
#20
Anne Marit Mengshoel, Åse Skarbø
OBJECTIVE: The aim of the present study was to examine the characteristics of patients referred to occupational therapists (OTs), physiotherapists (PTs) and social workers (SWs) at a rehabilitation unit in a hospital specializing in rheumatology, and the rehabilitation needs that clinicians and patients agreed should be addressed in the encounters with the particular health professional groups. METHODS: Consecutive hospitalized patients at a rheumatism hospital were recruited by the health professionals...
October 17, 2016: Musculoskeletal Care
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