The role of biomechanics in orthopedic and neurological rehabilitation

• Autorzy: Kulig K. , Burnfield J. M.
• Języki publikacji: EN

Abstrakty

EN

Movement is fundamental to human well-being, function and participation in work and leisure activities. As a result, regaining optimal movement abilities and independence frequently become central foci of rehabilitation programs developed for individuals recovering from serious orthopedic and neurologic injuries. Further, preventing additional injury to the locomotor system becomes essential for effective long-term management of chronic medical conditions such as tendon dysfunction and diabetes. The primary aim of this perspective is to illustrate the role of biomechanics in orthopedics, musculoskeletal and neurological rehabilitation. Specifically, this paper discusses selected examples, ranging from the tissue to whole body biomechanics level, that highlight how scientific evidence from the theoretical and applied sciences have merged to address common and sometimes unique clinical problems.

Słowa kluczowe

EN

neurological rehabilitation; biomechanics; orthopaedics

PL

biomechanika; ortopedia; rehabilitacja

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2008
• Tom: Vol. 10, nr 2
• Strony: 3--14
• Opis fizyczny: Bibliogr. 65 poz., rys., wykr.

Twórcy

autor

Kulig K.

autor

Burnfield J. M.

• University of Southern California, Musculoskeletal Biomechanics Research Laboratory, 1540 East Alcazar Street, CHP-155 Los Angeles,

Bibliografia

• [1] MARTIN R.B., A genealogy of biomechanics, [in:] 23rd Annual Conference of the American Society of Biomechanics, 1999, University of Pittsburgh.
• [2] NEPTUNE R.R., BURNFIELD J.M., MULROY S.J., The neuromuscular demands of toe walking: a forward dynamics simulation analysis, J. Biomech., 2007, 40(6), 1293–1300.
• [3] SASAKI K. et al., Muscle contributions to body support and propulsion in toe walking, Gait and Posture, 2008, 27, 440–446.
• [4] NOVACHECK T.F., The biomechanics of running, Gait and Posture, 1998, 7, 77–95.
• [5] FLANAGAN S.P., SALEM G.J., Bilateral differences in the net joint torques during the squat exercise, J. Strength Cond. Res., 2007, 21(4), 1220–1226.
• [6] KULIG K. et al., The effect of level of spinal cord injury on shoulder joint kinetics during manual wheelchair propulsion, Clin. Biomech. (Bristol, Avon), 2001, 16(9), 744–751.
• [7] HADRA B.E., The classic: Wiring of the vertebrae as a means of immobilization in fracture and Potts’ disease, Berthold E. Hadra. Med Times and Register, May 23, 1891, Vol. 22, Clin. Orthop. Relat. Res., 1975(112), 4–8.
• [8] DEYO R.A., NACHEMSON A., MIRZA S.K., Spinal-fusion surgery – the case for restraint, N. Engl. J. Med., 2004, 350(7), 722–726.
• [9] PEEK R.D.,WILTSE L.L., History of spinal fusion, [in:] Spinal Fusion: Science and Technique, J.M. Cotler and H.B. Cotler (editors), 1990, Springer-Verlag, New York, 3–8.
• [10] FUKUNAGA T. et al., Specific tension of human plantar flexorsand dorsiflexors, J. Appl. Physiol., 1996, 80(1), 158–165.
• [11] van GILS C.C., STEED R.H., PAGE J.C., Torsion of the human Achilles tendon, J. Foot Ankle Surg., 1996, 35(1), 41–48.
• [12] ALEXANDER R.M., BENNET-CLARK H.C., Storage of elastic strain energy in muscle and other tissues, Nature, 1977, 265(5590), 114–117.
• [13] KOMI P.V., FUKASHIRO S., JARVINEN M., Biomechanical loading of Achilles tendon during normal locomotion, Clin. Sports Med., 1992, 11(3), 521–531.
• [14] PERRY J., Gait Analysis, Normal and Pathological Function, 1992, Thorofare, NJ: Charles B. Slack.
• [15] REBER L., PERRY J., PINK M., Muscular control of the ankle in running, Am. J. Sports Med., 1993, 21(6), 805–810, discussion 810.
• [16] SMART G.W., TAUNTON J.E., CLEMENT D.B., Achilles tendondisorders in runners – a review, Med. Sci. Sports Exerc., 1980, 12(4), 231–243.
• [17] MESSIER S.P., PITTALA K.A., Etiologic factors associated with selected running injuries, Med. Sci. Sports Exerc., 1988, 20(5), 501–505.
• [18] ARNDT A. et al., Asymmetrical loading of the human triceps surae: I. Mediolateral force differences in the Achilles tendon, Foot Ankle Int., 1999, 20(7), 444–449.
• [19] ALFREDSON H. et al., Achilles tendinosis and calf muscle strength. The effect of short-term immobilization after surgical treatment, Am. J. Sports Med., 1998, 26(2), 166–171.
• [20] MAFI N., LORENTZON R., ALFREDSON H., Superior shortterm results with eccentric calf muscle training compared to concentric training in a randomized prospective multicenter study on patients with chronic Achilles tendinosis, Knee Surg. Sports Traumatol. Arthrosc., 2001, 9(1), 42–47.
• [21] BIRCH H.L., Tendon matrix composition and turnover in relation to functional requirements, Int. J. Exp. Pathol., 2007, 88(4), 241–248.
• [22] BRIEN M.O., The anatomy of the Achilles tendon, Foot and Ankle Clinics of North America, 2005, 10, 225–238.
• [23] FINLAY K., FRIEDMAN L., Ultrasonography of the lower extremity, Orthop. Clin. North Am., 2006, 37(3), 245–275, v.
• [24] BASHFORD G.R. et al., Tendinopathy discrimination by use of spatial frequency parameters in ultrasound B-mode images, IEEE Trans. Med. Imaging, 2008, 27(5), 608–615.
• [25] WANG J.H., Mechanobiology of tendon, J. Biomech., 2006, 39(9), 1563–1582.
• [26] ARYA S., KULIG K., Tendinopathy alters mechanical and material properties of the Achilles tendon, Journal of Orthopaedic Research (intended), 2008 (in preparation).
• [27] ARYA S., KULIG K., Relationship between Achilles tendon stiffness and lower limb inter-segmental stiffness in an individual with Achilles tendinosis, [in:] Southern California Conference on Biomechanics, 2005.
• [28] WINTER D.A., Overall principle of lower limb support during stance phase of gait, J. Biomech., 1980, 13(11), 923–927.
• [29] HOF A.L., On the interpretation of the support moment, Gait Posture, 2000, 12(3), 196–199.
• [30] ARYA S. et al., Tendon pathology is related to altered lower extremity inter-segmental kinetics during single-legged hopping in humans, [in:] Intra-Institutional Research Day, 2008, University of Southern California.
• [31] DAVENPORT T.E. et al., The EdUReP model for nonsurgical management of tendinopathy, Phys. Ther., 2005, 85(10), 1093–1103.
• [32] BONTRAGER E.L., Section Two: Instrumented gait analysis systems, [in:] Gait Analysis in the Science of Rehabilitation, J.A. DeLisa (editor), 1998, Department of Veterans Affairs, Washington, D.C., 11–32.
• [33] PERRY J., The contribution of dynamic electromyography to gait analysis, [in:] Gait Analysis in the Science of Rehabilitation, J.A. DeLisa (editor), 1998, Department of Veterans Affairs, Washington, D.C., 33–48.
• [34] De LUCA C., The use of surface electromyography in biomechanics, Journal of Applied Biomechanics, 1997, 13, 135–163.
• [35] PERRY J., EASTERDAY C.S., ANTONELLI D.J., Surface versus intramuscular electrodes for electromyography of superficial and deep muscles, Physical Therapy, 1981, 61, 7–15.
• [36] van VUGT J., van DIJK J., A convenient method to reduce crosstalk in surface EMG. Cobb award-winning article, Clinical Neurophysiology, 2001, 112(4), 583–592.
• [37] De LUCA C., MERLETTI R., Surface myoelectric signal crosstalk among muscles of the leg, Electroencephalography and clinical neurophysiology, 1988, 69, 568–575.
• [38] KOH T.J., GRABINER M.D., Cross talk in surface electromyograms of human hamstring muscles, Journal of Orthopaedic Research, 1992, 10(5), 701–709.
• [39] KOH T.J., GRABINER M.D., Evaluation of methods to minimize cross talk in surface electromyography, Journal of Biomechanics, 1993, 26, Suppl. 1, 151–157.
• [40] CAMPANINI I. et al., Effect of electrode location on EMG signal envelope in leg muscles during gait, Journal of Electromyography and Kinesiology, 2007, 17(4), 515–526.
• [41] National Institute of Neurological Disorders and Stroke, Multiple Sclerosis: Hope Through Research NINDS, Publication date: September 1996. NIH Publication No. 96-75. 1996, cited; available from: http://www.ninds.nih.gov/disorders/ multiple_sclerosis/ detail_multiple_sclerosis.htm.
• [42] RICHARDS C. et al., Task-specific physical therapy for optimization of gait recovery in acute stroke patients, Archives of Physical Medicine and Rehabilitation, 1993, 74, 612–620.
• [43] CARR J., SHEPHERD R., Neurological Rehabilitation, 1998, Oxford, UK, Butterworth & Heinemann.
• [44] Da CUNHA I. et al., A comparison of regular rehabilitation with supported treadmill ambulation training for acute stroke subjects, Journal of Rehabilitation Research & Development, 2001, 38, 245–255.
• [45] HESSE S. et al., Restoration of gait in nonambulatory hemiparetic patients by treadmill training with partial bodyweight support, Archives of Physical Medicine and Rehabilitation, 1994, 75, 1087–1093.
• [46] VISINTIN M. et al., A new approach to retrain gait in stroke patients through body weight support and treadmill stimulation, Stroke, 1998, 29(June), 1122–1128.
• [47] MIYAI I. et al., Treadmill training with body weight support: its effect on Parkinson’s disease, Archives of Physical Medicine& Rehabilitation, 2000, 81(7), 849–852.
• [48] LAUFER Y. et al., The effect of treadmill training on the ambulation of stroke survivors in the early stages of rehabilitation: a randomized study, Journal of Rehabilitation Research and Development, 2001, 38(1), 69–78.
• [49] RIENER R. et al., Patient-cooperative strategies for robotaided treadmill training: first experimental results, IEEE Transactions on Neural Systems & Rehabilitation Engineering, 2005, 13(3), 380–394.
• [50] HESSE S. et al., Upper and lower extremity robotic devices for rehabilitation and for studying motor control, Current Opinion in Neurology, 2003, 16(6), 705–710.
• [51] COLOMBO G., WIRZ M., DIETZ V., Driven gait orthosis for improvement of locomotor training in paraplegic patients, Spinal Cord, 2001, 39(5), 252–255.
• [52] WINCHESTER P. et al., Changes in supraspinal activation patterns following robotic locomotor therapy in motorincomplete spinal cord injury, (see comment), Neurorehabilitation & Neural Repair, 2005, 19(4), 313–324.
• [53] COLOMBO G. et al., Treadmill training of paraplegic patients using a robotic orthosis, Journal of Rehabilitation Research & Development, 2000, 37(6), 693–700.
• [54] FREY M. et al., A novel mechanotronic body weight support system, IEEE Transactions on Neural Systems & Rehabilitation Engineering, 2006, 14(3), 311–321.
• [55] BUSTER T., GINOZA L., BURNFIELD J., Comparison of lower extremity sagittal plane kinematics during overground gait, treadmill walking and elliptical training, Proceedings CD, American Society of Biomechanics, 30th Annual Meeting, 2006.
• [56] KADABA M.P. et al., Repeatability of kinematic, kinetic and electromyographic data in normal adult gait, Journal of Orthopaedic Research, 1989, 7, 849–860.
• [57] BURNFIELD J., BUSTER T., PROVORSE A., TAKAHASHI S., Muscular demands during elliptical training compared to overground walking, CD of Abstracts, World Physical Therapy, 2007, World Confederation for Physical Therapy, 2007.
• [58] Centers for Disease Control and Prevention U.S. Department of Health and Human Services, Diabetes – Disabling, deadly and on the rise, 2005.
• [59] PARTANEN J. et al., Natural history of peripheral neuropathy in patients with non-insulin-dependent diabetes mellitus, New England Journal of Medicine, 1995, 333, 89–94.
• [60] PIRART J., Diabetes mellitus and its degenertaive complications: A prospective study of 4,400 patients observed between 1947 and 1973, Diabetes Care, 1978, 1, 168–252.
• [61] HARATI Y., Diabetic peripheral neuropathies, Annals of Internal Medicine, 1987, 107, 546–559.
• [62] WATKINS P.J., THOMAS P.K., Diabetes mellitus and the nervous system, Journal of Neurology, Neurosurgery and Psychiatry, 1998, 65, 620–632.
• [63] MUELLER M.J. et al., Use of computed tomography and plantar pressure measurement for management of neuropathic ulcers in patients with diabetes, Physical Therapy, 1999, 79, 296–307.
• [64] American College of Sports Medicine, Exercise and type 2 diabetes mellitus, Medicine and Science in Sports and Exercise, 2000, 32(7), 1345–1360.
• [65] BURNFIELD J., JORDE A., AUGUSTIN T., AUGUSTIN T., BASHFORD G., Variations in plantar pressure variables across five cardiovascular exercises, Medicine and Science in Sports and Exercise, 2007, 39(11), 2012–2020.