Orthopaedic and Rehabilitation Engineering II

A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Applied Biosciences and Bioengineering".

Deadline for manuscript submissions: closed (15 March 2021) | Viewed by 25954

Special Issue Editors


E-Mail Website
Guest Editor
Department of Biomedical Engineering, Technion−Israel Institute of Technology, Haifa 3200003, Israel
Interests: orthopedic and rehabilitation biomechanics; muscle/bone interactions; joint mechanics; functional electrical stimulation of muscles
Special Issues, Collections and Topics in MDPI journals
Movement Control and Neuroplasticity Research Group, Department of Movement Sciences, KU Leuven, Leuven, Belgium
Interests: motor control; movement neuroscience; aging; peripheral nerve stimulation and electromyography (EMG); transcranial magnetic stimulation (TMS); neuroimaging and MR spectroscopy
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Rehabilitation Engineering and Orthopedic Engineering are diverse fields and include, among others, multiscale studies on the mechanical function of the musculoskeletal system under normal and pathological conditions. Pathologies may follow illness or injury which can be caused, among others, by poor environmental conditions, workplace risk factors, and extent of engagement in physical activities (either extreme, e.g., professional athletes, or lack of activities).

Research studies may combine in vivo measurements with novel biomechanical modelling. Of special interest is the implementation of the results obtained in the field of rehabilitation for improved diagnostics, monitoring of functional progress, and indications for therapy. Additional aspects are related to Biomechatronics, which deal with intelligent electromechanical systems to support affected motor functions of the human body.

Contributions may, though not exclusively, include the following topics:

  1. Motion biomechanics and human postural stability throughout normal development and aging and in various pathological conditions;
  2. Injury biomechanics due to workplace conditions, or athletic extreme activity;
  3. Restoration or augmentation of function in handicapped muscles by means of functional electrical stimulation (FES);
  4. Musculoskeletal interactions in able-bodied and disabled human individuals; effects of fatigue (central or peripheral) on the ability of the musculoskeletal system to protect the bones and joints from impact loading; EMG signals;
  5. Neuromuscular redundancies and mechanical indeterminacies in the human body and their implications in the fields of rehabilitation and orthopedic medicine;
  6. Optimization of load distribution in artificial joints and orthopedic implants.
Prof. Dr. Joseph Mizrahi
Dr. Oron Levin
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Applied Sciences is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • biomechatronics
  • human motion and posture
  • mechanical indeterminacies
  • multiscale musculoskeletal biomechanics
  • neuromuscular redundancies
  • rehabilitation engineering
  • injury biomechanics

Published Papers (7 papers)

Order results
Result details
Select all
Export citation of selected articles as:

Editorial

Jump to: Research, Review

2 pages, 172 KiB  
Editorial
Special Issue Orthopedic and Rehabilitation Engineering II
by Joseph Mizrahi
Appl. Sci. 2022, 12(19), 9457; https://doi.org/10.3390/app12199457 - 21 Sep 2022
Viewed by 648
Abstract
This is the second of two issues on orthopedic and rehabilitation engineering [...] Full article
(This article belongs to the Special Issue Orthopaedic and Rehabilitation Engineering II)

Research

Jump to: Editorial, Review

10 pages, 1808 KiB  
Article
Changes in Muscle Hardness from Resting to Mid-Range Lengthened Positions Detected by Shear Wave Elastography (SWE) with a Novel Protocol of Ultrasound Probe Placement
by Long-Jun Ren, Connie Lok-Kan Cheng, Christina Zong-Hao Ma and Yong-Ping Zheng
Appl. Sci. 2021, 11(1), 452; https://doi.org/10.3390/app11010452 - 05 Jan 2021
Cited by 6 | Viewed by 2678
Abstract
Muscle hardness and its relationship with different muscle lengths/positions are important for understanding its underlying physiological status, and yet remained unclear. This study aimed to detect the local muscle hardness at different muscle lengths and identify the influence of muscle position on muscle [...] Read more.
Muscle hardness and its relationship with different muscle lengths/positions are important for understanding its underlying physiological status, and yet remained unclear. This study aimed to detect the local muscle hardness at different muscle lengths and identify the influence of muscle position on muscle hardness in healthy adults. A total of 26 healthy adults participated in this study. Shear wave elastography (SWE) was used to measure the muscle hardness of the Rectus Femoris (RF), Tibialis Anterior (TA) and Gastrocnemius Medialis (GM). Each muscle was tested at both resting (RST) and mid-range lengthened (MRL) positions. A novel ultrasound probe placing method was introduced, applied, and evaluated in this study. Moderate to excellent intra-/inter-rater reliability (Intraclass Correlation Coefficient, ICC ≥ 0.70) was found for muscle hardness measurements. The muscle hardness significantly increased from the RST to MRL position for all three muscles (p < 0.001). This study found that the muscle hardness increased at its mid-range lengthened position from the resting position. The mid-range lengthened muscle position of TA and GM could also be sensitive enough to reflect the age-related changes in local muscle hardness. This study also highlights the importance of placing the assessed extremities in an appropriate and consistent position when assessing muscle qualities by ultrasonics in clinical practice. Full article
(This article belongs to the Special Issue Orthopaedic and Rehabilitation Engineering II)
Show Figures

Figure 1

19 pages, 7302 KiB  
Article
Identification of Surgical Plan for Syndesmotic Fixation Procedure Based on Finite Element Method
by Tae Sik Goh, Beop-Yong Lim, Jung Sub Lee and Chi-Seung Lee
Appl. Sci. 2020, 10(12), 4349; https://doi.org/10.3390/app10124349 - 24 Jun 2020
Cited by 10 | Viewed by 2703
Abstract
Syndesmosis injuries account for approximately 20% of ankle fractures that require surgery. Although multiple surgical options are available, all of them are based on metal screws. Serious complications that arise when applying metal screws include screw loosening or breakage. To prevent such complications, [...] Read more.
Syndesmosis injuries account for approximately 20% of ankle fractures that require surgery. Although multiple surgical options are available, all of them are based on metal screws. Serious complications that arise when applying metal screws include screw loosening or breakage. To prevent such complications, we applied a simulation method using a finite element (FE) analysis. We created a 3D FE model of an ankle joint and conducted an FE analysis focusing on syndesmosis in terms of the level, material, and diameter of the syndesmotic screw and the number of penetrated cortical bones. The magnitude and direction of the force applied to the tibia in the midstance state were considered for simulating the model. The maximum von-Mises stress and syndesmosis widening were analyzed in terms of different biomechanical parameters. We identified the characteristics of the most biomechanically stable syndesmotic screw and its fixation point on the basis of the two parameters. We demonstrated that the ideal syndesmotic screw fixation should be fixed at a level 20 to 25 mm above the ankle using a 4.5 mm titanium screw. Full article
(This article belongs to the Special Issue Orthopaedic and Rehabilitation Engineering II)
Show Figures

Figure 1

17 pages, 18227 KiB  
Article
Biomechanical Study of Proximal Femur for Designing Stems for Total Hip Replacement
by William Solórzano, Carlos Ojeda and Andres Diaz Lantada
Appl. Sci. 2020, 10(12), 4208; https://doi.org/10.3390/app10124208 - 19 Jun 2020
Cited by 8 | Viewed by 10331
Abstract
Innovative hip implants should be designed in accordance with biomechanical models of the proximal femur and take into account both body weight and muscle action in order to improve usability and biomimetic performance. This article proposes a finite element analysis of the proximal [...] Read more.
Innovative hip implants should be designed in accordance with biomechanical models of the proximal femur and take into account both body weight and muscle action in order to improve usability and biomimetic performance. This article proposes a finite element analysis of the proximal femur using both cortical and trabecular regions and employing transverse isotropic properties with standardized loads taken from active and young patients. Maximum principal stresses are plotted to show the mechanical behavior of the femur and grouped to evaluate stress shielding. Tsai–Wu and the maximum principal stress fields are useful for finding the areas more prone to failure and analyzing the influence of the stems on femoral mechanics. Other parameters, such as the stem material, absence of neck and osteotomy level, are explained. This paper is expected to provide a guide for designers and surgeons of femoral stems for assessing qualitatively and quantitatively the risks of stress shielding. Full article
(This article belongs to the Special Issue Orthopaedic and Rehabilitation Engineering II)
Show Figures

Figure 1

12 pages, 1364 KiB  
Article
Lower Limb Inter-Joint Coordination of Unilateral Transfemoral Amputees: Implications for Adaptation Control
by Zhi Xu, Duo Wai-Chi Wong, Fei Yan, Tony Lin-Wei Chen, Ming Zhang, Wen-Tao Jiang and Yu-Bo Fan
Appl. Sci. 2020, 10(12), 4072; https://doi.org/10.3390/app10124072 - 12 Jun 2020
Cited by 12 | Viewed by 2912
Abstract
The gait of transfemoral amputees can be made smoother by adjusting the inter-joint coordination of both lower limbs. In this study, we compared the inter-joint coordination of the amputated and non-amputated limbs of unilateral amputees to able-bodied controls. Eight amputees and eight able-bodied [...] Read more.
The gait of transfemoral amputees can be made smoother by adjusting the inter-joint coordination of both lower limbs. In this study, we compared the inter-joint coordination of the amputated and non-amputated limbs of unilateral amputees to able-bodied controls. Eight amputees and eight able-bodied control participants were recruited. Walking speed, stance–swing time ratio, joint angle, joint angular velocity, and inter-joint coordination parameters—including continuous relative phase (CRP) and decomposition index (DI)—of the lower-limb joint pairs in stance and swing phases were investigated. Similarity of the CRP between groups was evaluated using cross-correlation measures and root-mean-square, and the variability of the CRP was examined by deviation phase (DP). There were significant differences between the amputated limbs and controls in CRP of hip–knee and knee–ankle in stance and swing, DP of knee–ankle and hip–ankle in stance, and DI of hip–knee in swing. For the non-amputated limbs, there were significant differences in CRP and DP of knee–ankle, and DI of hip–knee in swing compared to controls. The amputees utilized unique inter-joint coordination patterns for both limbs—particularly the hip joint—to compensate for the support-capability impairment due to limb salvage and ensure foot placement accuracy. Full article
(This article belongs to the Special Issue Orthopaedic and Rehabilitation Engineering II)
Show Figures

Figure 1

Review

Jump to: Editorial, Research

11 pages, 4096 KiB  
Review
Recent Advances in Myoelectric Control for Finger Prostheses for Multiple Finger Loss
by Viritpon Srimaneepong, Artak Heboyan, Azeem Ul Yaqin Syed, Hai Anh Trinh, Pokpong Amornvit and Dinesh Rokaya
Appl. Sci. 2021, 11(10), 4464; https://doi.org/10.3390/app11104464 - 14 May 2021
Cited by 6 | Viewed by 3783
Abstract
The loss of one or multiple fingers can lead to psychological problems as well as functional impairment. Various options exist for replacement and restoration after hand or finger loss. Prosthetic hand or finger prostheses improve esthetic outcomes and the quality of life for [...] Read more.
The loss of one or multiple fingers can lead to psychological problems as well as functional impairment. Various options exist for replacement and restoration after hand or finger loss. Prosthetic hand or finger prostheses improve esthetic outcomes and the quality of life for patients. Myoelectrically controlled hand prostheses have been used to attempt to produce different movements. The available articles (original research articles and review articles) on myoelectrically controlled finger/hand prostheses from January 1922 to February 2021 in English were reviewed using MEDLINE/PubMed, Web of Science, and ScienceDirect resources. The articles were searched using the keywords “finger/hand loss”, “finger prosthesis”, “myoelectric control”, and “prostheses” and relevant articles were selected. Myoelectric or electromyography (EMG) signals are read by myoelectrodes and the signals are amplified, from which the muscle’s naturally generated electricity can be measured. The control of the myoelectric (prosthetic) hands or fingers is important for artificial hand or finger movement; however, the precise control of prosthetic hands or fingers remains a problem. Rehabilitation after multiple finger loss is challenging. Implants in finger prostheses after multiple finger loss offer better finger prosthesis retention. This article presents an overview of myoelectric control regarding finger prosthesis for patients with finger implants following multiple finger loss. Full article
(This article belongs to the Special Issue Orthopaedic and Rehabilitation Engineering II)
Show Figures

Figure 1

18 pages, 357 KiB  
Review
Identifying and Evaluating Vocation-Related Neuro-Musculoskeletal Deficiencies in Professional Musicians: A Review
by Joseph Mizrahi
Appl. Sci. 2021, 11(5), 2035; https://doi.org/10.3390/app11052035 - 25 Feb 2021
Cited by 1 | Viewed by 1955
Abstract
A combination of factors exposes musicians to neuro-musculoskeletal disorders, which lead to pain and damage. These involve overuse due to long playing hours, containing repetitive movements under stressful conditions, usually performed in an unnatural posture. Although the evoked disorders are usually non-traumatic, they [...] Read more.
A combination of factors exposes musicians to neuro-musculoskeletal disorders, which lead to pain and damage. These involve overuse due to long playing hours, containing repetitive movements under stressful conditions, usually performed in an unnatural posture. Although the evoked disorders are usually non-traumatic, they may often lead to prolonged or even permanent damage. For instance, in upper string players, these include bursitis and tendinopathies of the shoulder muscles, tendonitis of the rotator cuff, injury at the tendon sheaths, medial or lateral epicondylitis (also known as tennis elbow), myofascial pain, and wrist tendonitis (also known as carpal tunnel syndrome, or De Quervein’s syndrome). In cases of intensive performance, a traumatic injury may result, requiring drastic means of intervention such as surgery. It should be pointed out that the upper body and upper extremities are the most commonly affected sites of playing musicians. This review provides a description of the playing-related motor disorders in performing musicians, and of the methodologies used to identify and evaluate these disorders, particularly for violinists and other upper string players. Full article
(This article belongs to the Special Issue Orthopaedic and Rehabilitation Engineering II)
Back to TopTop