Methods for evaluating effects of unloader knee braces on joint health: a review

The paper aims to provide a state-of-the-art review of methods for evaluating the effectiveness and effect of unloader knee braces on the knee joint and discuss their limitations and future directions. Unloader braces are prescribed as a non-pharmacological conservative treatment option for patients with medial knee osteoarthritis to provide relief in terms of pain reduction, returning to regular physical activities, and enhancing the quality of life. Methods used to evaluate and monitor the effectiveness of these devices on patients' health are categorized into three broad categories (perception-, biochemical-, and morphology-based), depending upon the process and tools used. The main focus of these methods is on the short-term clinical outcome (pain or unloading efficiency). There is a significant technical, research, and clinical literature gap in understanding the short- and long-term consequences of these braces on the tissues in the knee joint, including the cartilage and ligaments. Future research directions may complement existing methods with advanced quantitative imaging (morphological, biochemical, and molecular) and numerical simulation are discussed as they offer potential in assessing long-term and post-bracing effects on the knee joint.

Design of a three-dimensional hand/forearm model to apply computational fluid dynamics

The purpose of this study was to develop a three-dimensional digital model of a human hand and forearm to apply Computational Fluid Dynamics to propulsion analysis in swimming. Computer tomography scans of the hand and forearm of an Olympic swimmer were applied. The data were converted, using image processing techniques, into relevant coordinate input, which could be used in Computational Fluid Dynamics software. From that analysis, it was possible to verify an almost perfect agreement between the true human segment and the digital model. This technique could be used as a means to overcome the difficulties in developing a true three-dimensional model of a specific segment of the human body. Additionally, it could be used to improve the use of Computational Fluid Dynamics generally in sports and specifically in swimming studies, decreasing the gap between the experimental and the computational data.

O objetivo do presente estudo foi desenvolver um modelo digital tridimensional de uma mão e um antebraço humano para aplicar a Dinâmica Computacional de Fluidos ao estudo da propulsão em natação. Foram aplicados procedimentos computorizados de tomografia axial na mão e antebraço de um nadador Olímpico. Através de técnicas de processamento de imagem, os dados foram convertidos em coordenadas tridimensionais, que podem ser utilizadas em programas de simulação computacional. Através dos resultados encontrados, foi possível verificar uma semelhança quase perfeita entre o segmento humano e o modelo digital. Esta técnica pode ser utilizada como uma forma de ultrapassar as dificuldades em desenvolver um modelo digital tridimensional de um segmento específico do corpo humano. Complementarmente, pode ser bastante útil na melhoria da utilização da Dinâmica Computacional de Fluidos no Desporto, de uma forma geral, e, mais especificamente, nos estudos em natação, diminuindo a diferença entre a investigação experimental e a investigação computacional.