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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Contribution clinique et biomécanique au diagnostic d’hyperlaxité de l’épaule / Clinical and biomechanical contribution for shoulder hyperlaxity diagnosis

Ropars, Mickaël 07 April 2014 (has links)
Le but de cette thèse a été de redéfinir le diagnostic d’hyperlaxité de l’épaule. Ce travail s’appui sur plusieurs études cliniques, chirurgicales et d’analyse du mouvement. Pour mener ce travail, nous avons tout d’abord défini l’hyperlaxité telle qu’elle est actuellement décrite dans la littérature, ainsi que ses liens avec l’instabilité de l’épaule et son traitement. Ce premier chapitre décrit également les moyens techniques d’analyse du mouvement qui seront utilisés dans cette thèse. Ensuite, plusieurs études ont été proposées. L’étude 2 est une étude chirurgicale, qui a cherché à corréler la laxité capsulaire étudiée en per opératoire et l’hyperlaxité clinique. L’étude 3 a ensuite rechercher les moyens de rendre plus reproductible la mesure de la rotation externe dans le cadre de l’hyperlaxité. Les études 4 et 5 sont des études utilisant l’analyse du mouvement. La première a cherché à fiabiliser la mesure clinique des amplitudes articulaires de l’épaule en tentant d’analyser les facteurs d’erreur de mesure. La deuxième étude a ensuite eut pour but de définir le volume articulaire global du complexe articulaire de l’épaule et de préciser la relation de ce volume avec les différents degrés de liberté de l’épaule. Une dernière étude (Etude 6) a enfin permis de corréler le volume articulaire de l’épaule et les signes cliniques d’hyperlaxité. Enfin, le chapitre « conclusions générales et perspectives » rassemble les éléments de conclusion de ces différents travaux et a pour ambition de redéfinir le diagnostic d’hyperlaxité de l’épaule. Ce chapitre ouvre plusieurs perspectives. La première est de proposer des modifications de l’examen clinique de l’épaule et notamment pour le diagnostic d’hyperlaxité. La seconde est d’utiliser la description volumétrique de l’épaule dans d’autres situations physiologiques ou pathologiques. Enfin, nous rapportons les résultats préliminaires d’une étude anatomique visant à identifier la place respective de chaque articulation dans cette définition volumétrique des amplitudes articulaires de l’épaule. / The aim of this study was to give a new definition to shoulder hyperlaxity. This work was conduced with clinical, surgical andmotion capture experimentations. We first gave a definition of hyperlaxity, as described actually in the literature, and its link with shoulder instability and treatment. Chapter 1 described also motion capture technics used along this work. Then, several studies were proposed. Study n°2 was a surgical one, and tempted to correlate peroperative capsular laxity and hyperlaxity. Therafter, study n°3 looked for an optimized way to examine external rotation of the shoulder. Studies N° 4 and 5 used motion capture analysis to assess clinical shoulder examination patterns and global reachable shoulder space volume. This volume was finally correlated to shoulder sign of hyperlaxity in study n°6. The last chapter, « general conclusions and perspectives » gather together conclusions of each study and redefine hyperlaxity. Finally, we report our prospect, giving first results of an anatomical study exploring the volumetric definition of shoulder range of motion described previously
2

Development of Novel Wearable Sensor System Capable of Measuring and Distinguishing Between Compression and Shear Forces for Biomedical Applications

Dimitrija Dusko Pecoski (8797031) 21 June 2022 (has links)
<p>There are no commercially available wearable shoe in-sole sensors that are capable of measuring and distinguishing between shear and compression forces. Companies have already developed shoe sensors that simply measure pressure and make general inferences on the collected data with elaborate software [2, 3, 4, 5]. Researchers have also attempted making sensors that are capable of measuring shear forces, but they are not well suited for biomedical applications [61, 62, 63, 64]. This work focuses on the development of a novel wearable sensor system that is capable of identifying and measuring shear and compression forces through the use of capacitive sensing. Custom hardware and software tools such as materials test systems and capacitive measurement systems were developed during this work. Numerous sensor prototypes were developed, characterized, and optimized during the scope of this project. Upon analysis of the data, the best capacitive measurement system developed in this work utilized the CAV444 IC chip, whereas the use of the Arduino-derived measurement system required data filtering using median and Butterworth zero phase low pass filters. The highest dielectric constant reported from optimization experiments yielded 9.7034 (+/- 0.0801 STD) through the use of 60.2% by weight calcium copper titanate and ReoFlex-60 silicone. The experiments suggest certain sensors developed in this work feasibly measure and distinguish between shear and compressional forces. Applications for such technology focus on improving quality of life in areas such as managing diabetic ulcer formation, preventing injuries, optimizing performance for athletes and military personnel, and augmenting the scope of motion capture in biomechanical studies.</p>

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