ABSTRACT
This study uses experimental data acquired from adolescents with idiopathic scoliosis to assess their postural control during quiet standing before and after posterior spinal fusion. Statistically significant differences were seen when comparing the pre- and post-surgical measures of balance calculated from data for three different test conditions.
Subject(s)
Postural Balance/physiology , Scoliosis/surgery , Spinal Fusion , Adolescent , Female , Humans , Male , Outcome Assessment, Health CareABSTRACT
This study examines the postural stability of children with idiopathic scoliosis, using experimental data and a model of sway that includes mediolateral (ML) and anterioposterial (AP) components. The experimental data includes center of pressure (COP) measurements calculated from data acquired using two Advanced Medical Technology, Inc. (AMTI) force plates. Sway metrics are computed and compared with the model simulation, which successfully reproduced the clinical data from 16 children with scoliosis and 20 typically-developing children. This study is part of the first phase of a multi-year study designed to systematically assess whether fusing the spine to L4 in children with scoliosis has a significant impact on physical function and quality of life.
Subject(s)
Models, Biological , Postural Balance/physiology , Scoliosis/physiopathology , Adolescent , Biomechanical Phenomena , Biomedical Engineering , Case-Control Studies , Child , Female , Humans , Lumbar Vertebrae/surgery , Male , Scoliosis/surgery , Spinal FusionABSTRACT
This study presents initial results from a bi-planar model used to investigate the neurological factors affecting balance deficits in children with diplegic cerebral palsy (CP). The model uses an inverted pendulum to describe sway in both the anteroposterior (AP) and mediolateral (ML) planes. The study presents Center of Pressure (COP) data from 17 children diagnosed with spastic diplegic CP using two standard AMTI force plates. Sway metrics in the time and frequency domains in the AP and ML planes were calculated and compared to simulations produced by the model. The proposed bi-planar model successfully reproduced sway signals acquired from experimental (clinical) data.
Subject(s)
Cerebral Palsy/physiopathology , Muscle Spasticity/physiopathology , Postural Balance/physiology , Posture , Adolescent , Child , Equipment Design , Female , Humans , Male , Models, Statistical , Psychomotor Performance , Reproducibility of ResultsABSTRACT
We present a preliminary study of combined anterior posterior (AP) and medial lateral (ML) sway assuming a classic inverted pendulum with included subtalar movement. Based on a feedback control posture model in the sagittal plane as presented by Maurer and Peterka, we have investigated parameters needed to model ML sway components. Center of pressure (COP) data was collected from a population of 8 normal adults (age 18 to 30 years) using a dual AMTI force plate system. Fourteen different sway metrics were calculated. The collected data was successfully compared to numerous simulations of the model where model parameters were varied and the goal was to reproduce both AP and ML components.
Subject(s)
Biomechanical Phenomena/methods , Postural Balance , Posture , Adolescent , Adult , Ankle , Biomechanical Phenomena/instrumentation , Feedback , Humans , Models, Biological , Movement , Pressure , Signal Processing, Computer-Assisted , Torque , Vision, Ocular , Visual PerceptionABSTRACT
The temperature dependence of acoustic plate mode (APM) devices used as probes for dilute electrolytes is described. Specifically, the probe responses that consist of the frequency change and device loss were studied for dilute aqueous solutions of alkali metal ions. It is shown that by integrating the temperature dependence of the APM probe responses with pattern recognition techniques, valuable information about the solutions can be obtained that include identification and quantification. A preliminary investigation of the feasibility of identifying binary mixtures of the alkali metal ion solutions using only the temperature responses showed good results.