During osteoarthritis (OA), the lubricity of synovial fluid (SF) decreases. Therefore, we synthesized a novel, 2MDa polymer biolubricant (“2M TEG”) designed to augment the lubricating properties of SF in OA. This study’s aims were 1) to compare the abilities of 2M TEG and bovine synovial fluid (BSF) to reduce the coefficient of friction (COF) for previously “worn” cartilage specimens during a long-duration, torsional, wear test, and 2) using the same regimen, examine the “reversibility” of 2M TEG’s lubricity relative to BSF. For both aims, each wear test consisted of subjecting mated, bovine osteochondral plug pairs to 10,080 rotations. To accomplish Aim 1, plug pairs were subjected to three sequential wear regimens (Wear 1-3). Wear 1&2 were used to progressively “wear” the cartilage, and Wear 3 was used to test the efficacy of either BSF (n=4) or 2M TEG (n=4) on “worn” cartilage. For Aim 2, three pairs were subjected to four sequential wear regimens, where the lubricants were BSF, BSF, 2M TEG, and BSF, respectively. The relative percent reduction in COF between Wear 3 and Wear 2 in Aim 1 was greatest for 2M TEG, followed by BSF. For Aim 2, the mean percent reduction in COF for Wear 3 relative to Wear 2 was almost exactly the same as the mean increase in COF for Wear 4 relative to Wear 3. By reducing the COF for worn cartilage in OA joints, synthetic biolubricants such as 2M TEG could help minimize further cartilage wear and ameliorate the progression of OA.
The inherent reduction in mechanical loading associated with microgravity has been shown to result in dramatic decreases in the bone mineral density (BMD) and mechanical strength of skeletal tissue. Importantly, there is a concomitant increase in fracture risk during long-duration spaceflight missions. Thus, the objective of this study was to investigate the effects of microgravity loading on long-bone fracture healing in a previously-developed Haversian bone model of simulated microgravity over a 4-week period. For in vivo mechanical evaluation, strains of an implanted orthopaedic fixation plate were quantified for known hindlimb ground reaction forces with a six degree-of-freedom load cell (AMTI, Watertown, MA). In vivo strain measurements demonstrated significantly higher orthopaedic plate strains in the Microgravity Group as compared to the Control Group following the 28-day healing period due to inhibited healing in the microgravity environment. DEXA BMD in the treated metatarsus of the Microgravity Group decreased 17.6% at the time of the ostectomy surgery and decreased an additional 5.4% during the 28-day healing period. Four-point bending stiffness of the Microgravity Group was 4.4 times lower than that of the Control Group (p<0.01), while µCT and histomorphometry demonstrated reduced periosteal callus area, mineralizing surface, mineral apposition rate (p<0.001), bone formation rate, and periosteal/endosteal osteoblast numbers as well as increased periosteal osteoclast number. These data provide strong evidence that the mechanical loading environment dramatically affects the fracture healing cascade and resultant mineralized tissue strength, and that the microgravity loading environment has negative effects on fracture healing in Haversian systems.
This study investigated the association of serum C-propeptide (sCPII), urinary CTX-II (uCTX-II), and uCTX-II:sCPII with peak vertical ground reaction force (PVGRF) and quadriceps strength during jump-landing in patients with ACL reconstruction (ACLR). METHODS: twenty two patients with ACLR (Male=14, age=19.6 ± 4 yr) were tested 20 weeks after the surgery. Blood and urine samples were collected. sCPII and uCTX-II, biomarkers of articular degradation and synthesis respectively, were analyze using commercial ELISAs. Subjects performed 3 trials of a forward drop land and a drop vertical jump. Subjects started on a 20 cm step and landed on a force platform (AMTI). PVGRF was analyzed on the surgical side. Quadriceps strength (PKET) was assessed with an isokinetic dynamometer (60°/s). PVGRF and PKET were normalized to body weight (BW). Pearson’s correlation, with and without adjustment for age, was used to analyze associations among variables. RESULTS: Mean (± SD) log concentrations were 2.88 ± 0.19 and 3.32 ± 0.49 ng/mmol for sCPII and uCTX-II respectively; and for uCTXII:CPII was 1.16 ± 0.18. PVGRF was 3.2 BW ± 0.3 and 1.4 BW ± 0.3 for the forward drop land and drop vertical jump tasks, respectively; PKET was 0.92 BW ± 0.2. There were no significant correlations among variables (p≥0.2), except for a trend towards a positive correlation between PKET and uCTXII:sCPII (r = 406, p = .076). CONCLUSSIONS: Biomarkers of type II collagen metabolism were not associated with jump-landing forces. However, higher quadriceps strength may be associated with a shift in articular cartilage metabolism towards degradation.
Eccentric training may affect the longitudinal adaptation of the muscle. Usually the muscle fiber lengthening during eccentric training is measured by the joint kinematics. Due to tendon compliance, this method offers insufficient information about the muscle fiber behavior. The present study investigated the muscle fiber behavior of the Vastus Lateralis muscle (VL) during eccentric knee contractions in humans by measuring the changes of fascicle length in vivo with ultrasonography, at force levels of 65% and 95% of the maximum voluntary isometric contraction force (MVC). Seven young adults were tested by a Biodex. They performed eccentric knee contractions with one leg at 65% and 95% of their MVC (knee angle 25°-100°, angular velocity 90°/s). Potential joint axis deviations were recorded using a Vicon camera system. Exerted knee moments were captured synchronously with the Vicon system at 1000Hz. Fascicle length of the VL muscle visualized by a 10cm Ultrasound prob. The means and standard deviations of fascicle elongation at 65% and 95% of the MVC were 42.71±8.54mm and 39.11±10.64mm respectively, with no statistically significant difference between both conditions. All subjects showed a plateau or slide decrease in fascicle length at the beginning of the movement. This slight decrease in fascicle length, which occurs despite a lengthening of the VL muscle-tendon unite, can be explained by the tendon compliance. The similar fascicle elongation between the two conditions (65% vs. 95% MVC) reveals that the amplitude of the force level during eccentric knee extension contractions does not affect the lengthening of the fascicle.
A high incidence of lower extremity injuries has been reported in runners, with half of the injuries occurring at the knee joint. Sagittal plane trunk posture was shown to influence hip and knee kinetics during landing. This suggests trunk posture may be a risk factor of running injuries. The purpose of this study was aimed to examine the influence of sagittal plane trunk posture on hip and knee kinetics during running. Forty runners were recruited. Three-dimensional kinematics (250Hz, Qualisys) and ground reaction force data (1500Hz, AMTI) were collected while subjects ran with a self-selected trunk posture (speed: 3.4m/s). Mean trunk flexion angle and peak hip and knee extensor moments during the stance phase were calculated. Subjects were dichotomized into High-Flex and Low-Flex groups based on trunk flexion angles. On average, the two groups demonstrate 7.4°difference in trunk flexion. Independent t-tests showed that the Low-Flex group demonstrated significantly higher knee extensor moments and lower hip extensor moments compared to the High-Flex group. Pearson correlations showed that trunk flexion angle was positively correlated with peak hip extensor moment (r=0.44) and inversely correlated with peak knee extensor moment (r=-0.51). The results suggested a small difference in trunk flexion angle has significant influences on hip and knee kinetics. Individuals who run with a more upright trunk posture may be predisposed to a higher risk of patellar tendinopathy and patellofemoral pain. Incorporating a forward lean trunk may be utilized as an intervention strategy to reduce knee loading and risk of knee injuries in runners.
When an active muscle is stretched, the resulting post-eccentric steady-state force is known to be greater than the isometric force at the corresponding muscle length. The aim of our research was to clarify if residual force enhancement (RFE) is relevant for voluntary human muscle action in everyday like scenarios. Therefore 13 healthy subjects participated in our study and had to perform bilateral leg extensions using a motor-driven leg press dynamometer, measuring external reaction forces (Fext) as well as activity of 9 lower extremity muscles. In addition, ankle (Ma) and knee (Mk) joint torque were calculated using inverse dynamics. Subjects performed isometric and isometric-eccentric-isometric contractions (20° stretch, ω=60°/s) at 30% of maximum voluntary activation. Visual feedback of VL muscle activation was given to control submaximal muscle action. We did not find differences in VL activation level between contraction conditions and time points. Mean VL activity ranged between 29.1 ± 2.2% and 29.8±2.5% MVA. We found significantly enhanced Fext (p < 0.002) as well as joint torques in knee (p < 0.002) and ankle joint (p < 0.033) for all instances in time. In summary RFE seems to be relevant in everyday like human motion.
A comprehensive characterization of small-scale fluid-sediment interactions will improve understanding of large-scale ocean engineering phenomena, resulting in more accurate wave forecasting and improved ocean circulation models. The critical shear stress is typically used to determine the initiation of sediment motion in coastal applications. However, this shear stress criterion was primarily developed for steady flows and has been inconclusive in some wave environments where sediment motion may be induced by horizontal pressure gradients. Evidence suggests that the incipient motion formulation should account for the combined effects of the horizontal pressure gradients and bed shear stresses. Other researchers have made one-dimensional and two-dimensional measurements of near-bed velocities. However, previously available technologies could not resolve the three-dimensional velocities at the bed or directly measure sediment motion.
Accurate investigation of the hydrodynamic forces that initiate coastal sediment transport requires high resolution measurements at the fluid-sediment interface. We have made previously unavailable high spatial and temporal resolution laboratory measurements at the sediment bed with state-of-the-art instruments. Additionally, we have performed one of the first direct measurements of sediment motion in response to waves with newly-developed electronic grains. The MEMs sensors are 2.5 x 1.5 x 1.4 cm and measure three-dimensional accelerations, store the data onboard, and transmit them wirelessly after retrieval. The Smart Sediment Grains (SSGs) were developed by embedding MEMs sensors in gravel-sized Delrin plastic spheres. These spheres allow uninhibited movement in any direction, similar to a smooth sand grain. The SSGs are the first freely moving electronic grains that measure sediment dynamics which previous technologies could not, giving insight into the underlying wave forces driving sediment transport. The SSGs enhance our ability to measure the motion, transport, and settling of sediments in the nearshore by capturing translation and rotation of the sediment. This will improve our predictive capabilities of sediment transport phenomena such as beach erosion and seabed evolution in response to wave forces; as well as improve parameterizations of the bottom friction for ocean circulation and wave energy dissipation models.
The SSGs have been successfully deployed in small and field-scale wave flumes to measure the response of coarse gravel sediments to wave forcing. High resolution profiling Acoustic Doppler Velocimeters and a Particle Image Velocimetry system, comprising a laser and four high speed cameras, measured the three-dimensional fluid velocities at the bed. These measurements provide resolution high enough to fully examine the small-scale fluid forces exerted on each individual sediment grain. The SSGs accurately captured the sediment response to the waves at the onset of sediment transport. Additionally, broader incipient motion experiments were conducted with a variety of sediment grain diameters and densities for comparison. The results suggest evidence of pressure gradient influenced incipient motion; in contrast with the more commonly used threshold for sediment motion based on the bed shear stress. Calculated values of the Sleath parameter, used to quantify the effects of the pressure gradients, were comparable with field observations of pressure
gradient induced sediment transport. The data also suggest that vortex shedding could be a factor in triggering sediment transport.
We have directly measured incipient motion in waves by resolving the near-bed fluid velocities and collecting direct measurements of sediment motion with state-of-the-art instruments. The data are being used to validate theoretical and numerical models of the wave bottom boundary layer and bottom friction estimates. These results will be synthesized to propose a comprehensive incipient motion criterion comprising the effects of the shear stress and the pressure gradients, also taking into account a variety of flow and sediment characteristics.
The current configuration of the SSGs helps to identify the characteristics of incipient motion and determine orientation. These mobile nodes make a significant step towards resolving the Lagrangian dynamics of individual coarse gravel-sized particles within the mobile bed layer in the nearshore. On a larger scale, they will reduce the effects of beach erosion by improving beach nourishment design. With technological advancements, these SSGs can be minimized and made field-deployable with enclosures configured to other applications to provide transformative measurements in geotechnical engineering, hydrology, oceanography and human health monitoring.
Background: Numerous studies have described 3D kinematics, 3D kinetics and electromyography (EMG) of the lower limb during quasi-static or dynamic squatting activities. However there is only little information on the comparison of these two squatting conditions. Only one study compared these activities in terms of 3D kinematics, but no information was available on 3D kinetics and EMG. The purpose of this study was to compare simultaneous recordings of 3D kinematics, 3D kinetics and EMG of the lower limb during quasi-static and fast dynamic squats. Methods: Ten subjects were recruited. 3D knee kinematics was recorded with a motion capture system, 3D kinetics was recorded with a force plate, and EMG of 8 muscles was recorded with surface electrodes. Each subject performed a quasi-static squat and several fast dynamic squats from 0° to 70° of knee flexion. Findings: Mean differences between quasi-static and dynamic squats were 1.6° for rotations, 1.8 mm for translations, 38 N ground reaction forces (2.1 % of subjects’ body weight), 6 Nm for torques, 13.0 mm for center of pressure, and 7 µV for EMG (6.3% of the maximum dynamic electromyographic activities ). Some significant differences (P < 0.05) were found in anterior-posterior translation, vertical forces and EMG. Interpretation: All differences found between quasi-static and fast dynamic squats can be considered small. 69.5% of the compared data were equivalent. In conclusion, this study show for the first time that quasi-static and dynamic squatting activities are comparable in terms of 3D kinematics, 3D kinetics and EMG.
In the past we have shown that exposure to increasing amplitudes of Galvanic vestibular stimulation (GVS) induces a corresponding increasing deficit in postural control, cognition and autonomic function. Previous studies have suggested that suprathreshold GVS induces a similar pattern of postural instability as the one observed on bilateral vestibular loss. The aim of the present study was to determine whether different current intensities would affect somatosensory, visual, and vestibular sensory system similarly to patient affected by vestibular deficits. We assessed postural control in unilateral (right and left) and bilateral vestibular loss patients, an aged matched healthy control group, and during pseudorandom binaural bipolar GVS in healthy subjects at one of three current amplitudes (1 mA, 3.5 mA, 5 mA). Balance was assessed with sensory organization test (SOT) that quantifies the effectiveness of vestibular, visual and somatosensory input to postural control. Results showed that GVS significantly affects vestibular control of posture compared to baseline at all current amplitudes, whereas somatosensory and visual performance was unaffected. Vestibular patients showed a significant decrease in vestibular and visual response compared to control. Suprathreshold GVS 5 mA showed a similar large effect size to unilateral and bilateral vestibular loss patients relative to their aged matched control. NASA NCC 9-58 and NNX09AL14G
Our previous study showed that exposure to Galvanic Vestibular Stimulation (GVS) induces temporary postural deficits similar to the ones experienced by astronauts after microgravity exposure. Preliminary evidence suggests that repeated exposures to GVS might induce adaptation of sway response. We studied whether repeated exposure to pseudorandom GVS over a 3 month period facilitates the adaptation response. Twenty healthy subjects were randomly assigned into 2 groups: suprathreshold (5mA) GVS, and subthreshold (1mA). The test battery included: Romberg, sensory organization test (posturography), dynamic visual acuity, and torsional eye movement. Each test was performed with no GVS, and then with 10 min of GVS per session for 12 consecutive weeks. Sensorimotor adaptation was also measured during two follow up sessions at weeks 18 and 36. Results showed that subthreshold GVS did not affect vestibular scores. Suprathreshold GVS significantly decreased vestibular scores during the first few weeks, with postural performance returning to baseline around the 6th week of exposure. This improvement was maintained during the follow up sessions. Our results suggest that 60 min of subthreshold GVS are sufficient to elicit adaptation to the stimulus. No significant changes were shown in low-level vestibulo-ocular reflexes during torsional eye movement, or vestibulo-spinal reflexes during Romberg; confirming that adaptation only occurs at the level of the CNS. NASA NCC 9-58; NNX09AL14G