Thesis (M.S.)--West Virginia University, 2001. / Title from document title page. Document formatted into pages; contains vii, 65 p. : ill. (some col.). Includes abstract. Includes bibliographical references (p. 59-62).

Thesis (Ph. D.)--University of Texas at Austin, 1999. / Vita. Includes bibliographical references (leaves 424-439). Available also in a digital version from Dissertation Abstracts.

Lic.-avh. (sammanfattning) Stockholm : Karolinska institutet, 2008. / Härtill 2 uppsatser.

The high demands of manual wheelchair propulsion put users at risk of additional pain and injury that can lead to further reductions in independence and quality of life. Seat position is an adjustable parameter that has been shown to influence propulsion biomechanics. As a result, a number of studies have attempted to optimize this position. However, due to complexities in quantifying upper extremity demand, seat position guidelines are often based on studies aimed at reducing indirect quantities (e.g., cadence, handrim forces, joint ranges of motion and muscle excitation levels) rather than more direct measures of demand (e.g., muscle stress and metabolic cost). Forward dynamics simulations provide an alternative approach to systematically investigate the influence of seat position on more direct measures of upper extremity demand. The objective of this study was to generate and analyze a set of forward dynamics simulations of wheelchair propulsion across the range of attainable seat positions to identify the optimal seat position that minimizes upper extremity demand (i.e., muscle stress, metabolic cost and muscle antagonism). The optimization results showed both metabolic cost and muscle stresses were near minimal values at superior/inferior positions corresponding to top dead center elbow angles between 110 and 120 degrees while at an anterior/posterior position with a hub-shoulder angle between 10 and 2.5 degrees. These minimal values coincided with a reduction in the level of antagonistic muscle activity, primarily at the glenohumeral joint. Seat positions that deviated from these minimal values increased the level of co-contraction required to maintain a stable, smooth propulsive stroke, and consequentially increased upper extremity demand. These results can provide guidelines for positioning the seat to help reduce upper extremity overuse injuries and pain, and thus improve the overall quality of life for wheelchair users. / text

We describe a semi-automatic technique for modeling and animating complex musculoskeletal systems using a strand based muscle model. Using our interactive tools, we are able to generate the motion of tendons and muscles under the skin of a traditionally animated character. This is achieved by integrating the traditional animation pipeline with a biomechanical simulator capable of dynamic simulation with complex routing constraints on muscles and tendons. We integrate our musculoskeletal modeling and animation toolkit into a professional 3D production environment, thereby enabling artists and scientists to create complex musculoskeletal systems that were previously inaccessible to them. We demonstrate the applications of our tools to the visual effects industry with several animations of the human hand and applications to the biomechanics community with a novel model of the human shoulder.

Background: Care transitions are a common and frequently adverse aspect of health care, resulting in a high-risk period for both care quality and patient safety (Coleman, 2003; Forster et al., 2003; Picker Institute 1999; van Walraven et al., 2004; Cook et al., 2000). Patients who have complex care needs and undergo treatment from multiple care settings may be at a greater risk for poor care transitions (Coleman et al., 2004). Using quantitative performance measurement scales is one method that can assess the quality of care transitions, and identify areas for improvement. The psychometric properties of the primary performance measurement scale, the Care Transitions Measure (CTM), have not been rigorously assessed, particularly within a higher risk, medically complex population such as older adults with musculoskeletal (MSK) disorders. Furthermore, despite the negative health implications that can result from poor transitions and the commonality of care transitions among persons with complex care needs, there is a significant dearth of research on this crucial aspect of health care. Methods: This research examines the ability of the CTM to adequately assess the quality of care transitions among a complex population of older MSK rehabilitation patients and explores care transitions from the perspective of the patient and the health care provider. Information was gathered through telephone administration of the CTM to MSK patients after they transitioned from inpatient rehabilitation units to home, and through a series of qualitative key informant interviews with a range of health care professionals in care settings relevant to the care continuum of older MSK patients. Inter-rater reliability, a type of reliability that has never been tested with the CTM, and construct validity were assessed and qualitative analyses were used to examine qualitative information obtained through the CTM administration to patients and through the interviews with health care providers. Results: The CTM demonstrated excellent inter-rater reliability for the overall score (intraclass correlation coefficient = 0.77; p=0.03) despite only fair agreement between each item. Internal consistency of the CTM was high (Cronbach’s alpha = 0.94). The construct validity of the CTM was supported; however qualitative data from the patient and health care provider perspectives suggest additional items should be considered for inclusion. Qualitative information from patients also suggests the need for revisions to the wording of some items and the response options. Health care provider interviews suggest that issues surrounding transitional care are similar regardless of the care setting involved. Conclusions: Although the CTM proved to be reliable, qualitative data suggests that the addition of items should be considered to improve the content validity of the CTM, which would in turn improve its construct validity as well. Recommendations for scale improvement are made, as are recommendations for an alternative scale to assess care transition quality from a health care provider perspective. The results of this study support efforts to improve the outcomes of care transitions, care planning, and the overall quality of life for older rehabilitation patients.

Tree-planters are likely to suffer from musculoskeletal injuries during their short work season. The objective of this research is to identify the biomechanical mechanisms that contribute to these injuries with an overall goal of reducing injury frequency and severity. Pre- and post-season discomfort questionnaires were administered to workers in two tree-planting camps to identify areas of the body most prone to injury. Musculoskeletal pain and discomfort were significantly higher post season. Greatest pain and discomfort were reported in the feet, wrists and back, while the highest frequency of pain was reported in the back. Upper body and trunk postures were recorded during the tree-planting task in the field using digital video and inclinometers. Results indicated that deep trunk flexion occurred over 2600 times per day and workers spent at least half of their workday in trunk flexion greater than 45 degrees. Although results provide useful insight into injury mechanisms, postural data were two dimensional. Inertial motion sensors were used in a second field study the following season to examine differences in three-dimensional upper limb and trunk relative joint angles during commonly used tree seedling unloading methods. Results showed trunk rotation up to 50 degrees combined with deep trunk flexion during parts of the task. Trunk flexion and rotation were significantly less when the tree seedling load was distributed asymmetrically as compared to symmetrically. Joint reaction forces in the lower body and trunk during the same unloading methods was examined during a simulated planting task in a lab environment. Greatest joint reaction forces and non-neutral postures occurred when the tree was inserted into the ground. Right-loaded planting bags resulted in more substantial differences in posture and joint reaction forces than either left-loaded or even-loaded bags. Axial forces were greater in the right leg than the left throughout the task, regardless of loading condition. In conclusion, underlying biomechanical mechanisms for injury during tree-planting seem to be a combination of awkward postures (particularly the trunk), repetitive motions, and carrying of heavy loads. Different seedling unloading strategies did not result in substantial overall differences in posture or joint reaction forces. / Thesis (Ph.D, Kinesiology & Health Studies) -- Queen's University, 2010-04-14 10:02:32.385

Dissertation submitted in partial compliance with the requirements for the Master’s Degree in Technology: Chiropractic, Durban University of Technology, 2010. / Background: Professional orchestral string musicians are exposed to many physical and psychological stressors due to demands placed on them from playing their instruments. The prevalence of performance-related musculoskeletal disorders (PRMD’s) in this highly skilled group of individuals has been investigated internationally, consistently showing a high injury rate. There is however, a paucity of literature documenting the prevalence of musculoskeletal injuries in South African professional orchestral string players. It is hypothesized that South African trained orchestral string musicians may be at a greater risk for PRMD development due to the unique training and performance environments encountered in this country. Objectives: This study aimed to determine the demographic and injury profile; prevalence rate of current injury and risk factors for musculoskeletal injury in South African professional orchestral string musicians. Method: The study utilized a self administered quantitative questionnaire distributed to all string players in the three professional orchestras in South African in a semi-supervised fashion. SPSS version 15.0 (SPSS Inc., Chicago, Illinois, USA) was used to analyze the data. A p value < 0.05 was considered as statistically significant. iv v Results: There were 27 respondents, with the average participant being a Caucasian, right handed, non-smoking female, 37.11 years of age, 1.5631 meters tall, with a weight of 62.96 kilograms (BMI = 25.768) who exercised regularly (primarily in the gym). A bachelors degree in Music was the most commonly awarded qualification, obtained between the years 2000 and 2009, from a University outside of the Republic of South Africa. The prevalence of PRMD’s in the sample was 63% (n = 17), with a 95% confidence interval of 42.4% to 80.6%.In this study there was a high rate of injury (6.53 PRMD’s per player over a 12 month period), equating to 111 reported injuries in a population of 27 string players. The upper back (defined as the area between the shoulder blades) was the most commonly injured part of the body (77.8%, n = 21), followed by the upper extremity, mainly the shoulder (70.4%, n = 19). No statistically significant relationships were found in determining and confirming expected risk factors in the string players. Conclusion: Professional orchestral string musicians in South Africa suffer from a high rate of injury which is comparable to international studies of the same nature

No description available.

In this thesis we look for potential chronic inflammation biomarkers because studies have shown that farmers with musculoskeletal disorders might be affected by the environment to develop musculoskeletal disorders. Animal farmers are highly exposed to dust, aerosols, molds and other toxins in the air and environment leading to musculoskeletal disorders, respiratory disorders, airway symptoms and febrile reactions. There is reason to believe that the farmers have a constant or chronic inflammation that develops into musculoskeletal disorders. By using a proteomic approach with Two-dimensional Gel Electrophoresis and silver staining our goal was to find biomarkers by quantifying protein spots that differ significantly from farmers with musculoskeletal disorders compared to rural controls. In our study we found 8 significant proteins, two from Alpha-2-HS-glycoprotein, one from Apolipoprotein A1, three from Haptoglobin, one from Hemopexin and 1 from Antithrombin. All 5 proteins are involved in inflammation response in some way and some proteins are linked to chronic inflammation. Out of the 5 proteins Alpha-2-HS-glycoprotein, Apolipoprotein A1 and Hemopexin seem like the most likely proteins to investigate further as potential inflammation biomarkers.