A wearable, EEG-based massage headband for anxiety alleviation.

In this work, we would like to discuss our findings obtained from the newly proposed hardware design for anxiety detection and its mitigation where a subject's state of mind is identified from the neurological data retrieved. A feedback-based network implemented for stress alleviation mainly comprises of a pair of massage motors and RGB light-emitting diode (LED) that activate during conditions of stress detected, a custom-made Electroencephalography (EEG)-sensor and a massage motor circuit both functioning on an Arduino driven platform. The skin electrodes facilitate a hassle-free retrieval of beta waves from the frontal areas that are transmitted wirelessly by a Bluetooth console to a computer post signal amplification and filtration. Rising amplitudes of beta signals that are associated to anxiety have been successfully tackled in three out of four subjects by suppressing the high values due to the massage motor therapy introduced. The motors on sensing high amplitude values exceeding the pre-set threshold limits during the three experiment trials rotate smoothly thus helping one to relax and guaranteeing a higher work performance.

Comparison of mean frequency and median frequency in evaluating muscle fiber type selection in varying gait speed across healthy young adult individuals.

The preferential slow and fast twitches fiber involvement in varying gait speed has not been thoroughly investigated. Attempt to classify fiber type in changing speed should be closely investigated and scrutinized as the histochemical-related experiments are cumbersome and time consuming. In addressing this issue, electromyography (EMG) is utilized to extract the muscle fiber type features by altering the muscle fatigue indices, namely mean frequency (MNF) and median frequency (MDF). Recently, there are no universal indices to determine the muscle type. In this paper, the MNF and MDF are employed in discovering the muscle type variation as the speed changes. Besides drawing the potential of MNF and MDF in unveiling the muscle type, both the parameters are applied to investigate the muscles that are recruited and which muscle type are involved as the gait velocity changes. In this study, six healthy and young participants are recruited, whereby the EMG sensors are placed on twelve lower extremity muscles. The EMG signals are then processed via Matlab software to deduce MNF and MDF. The MNF and MDF are determined from every of the phase gait, namely stance and swing. From the results obtained, it reveals that the superiority of the MNF over the MDF in determining and interpreting the muscle recruitment in both gait phases as the speed increases. The MNF, moreover, is able to show an apparent difference in muscle type selection compared to MDF. Interestingly, it is discovered that as the speed increases from slow to fast, the MNF decreases, which indicates that more muscle fiber type I is recruited. Contrarily, the MNF increases as the speed intensity decreases, which indicates that the distribution of muscle type II is prominent.

Hamstrings and quadriceps muscle contributions to energy generation and dissipation at the knee joint during stance, swing and flight phases of level running.

BACKGROUND: Human movements involve the generation and dissipation of mechanical energy at the lower extremity joints. However, it is unclear how the individual knee muscles contribute to the energetics during running. OBJECTIVE: This study aimed to determine how each hamstring and quadricep muscle generates and dissipates energy during stance, swing and flight phases of running. METHODS: A three-dimensional lower extremity musculoskeletal model was used to estimate the energetics of the individual hamstrings (semimembranosus, semitendinosus, biceps femoris long and short-heads) and quadriceps (rectus femoris, vastus medialis, vastus intermedius and vastus lateralis) muscles for a male subject during level running on a treadmill at a speed of 3.96 m/s. RESULTS: Our findings demonstrated that the knee flexors generated energy during stance phase and dissipated energy during swing phase, while the knee extensors dissipated energy during the flexion mode of both stance and swing phases, and generated energy during the extension mode. During flight phase, the knee flexors generated energy during the flight phase transiting from toe-off to swing, while the knee extensors generated energy during the flight phase transiting from swing to heel-strike. CONCLUSION: Individual knee flexors and extensors in the hamstrings and quadriceps play important roles in knee joint energetics, which are necessary for proper execution and stabilization of the stance, swing and flight phases of running.

Shod landing provides enhanced energy dissipation at the knee joint relative to barefoot landing from different heights.

Athletic shoes can directly provide shock absorption at the foot due to its cushioning properties, however it remains unclear how these shoes may affect the level of energy dissipation contributed by the knee joint. This study sought to investigate biomechanical differences, in terms of knee kinematics, kinetics and energetics, between barefoot and shod landing from different heights. Twelve healthy male recreational athletes were recruited and instructed to perform double-leg landing from 0.3-m and 0.6-m heights in barefoot and shod conditions. The shoe model tested was Brooks Maximus II. Markers were placed on the subjects based on the Plug-in Gait Marker Set. Force-plates and motion-capture system were used to capture ground reaction force (GRF) and kinematics data respectively. 2×2-ANOVA (barefoot/shod condition×landing height) was performed to examine differences in knee kinematics, kinetics and energetics between barefoot and shod conditions from different landing heights. Peak GRF was not significantly different (p=0.732-0.824) between barefoot and shod conditions for both landing heights. Knee range-of-motion, flexion angular velocity, external knee flexion moment, and joint power and work were higher during shod landing (p<0.001 to p=0.007), compared to barefoot landing for both landing heights. No significant interactions (p=0.073-0.933) were found between landing height and barefoot/shod condition for the tested parameters. While the increase in landing height can elevate knee energetics independent of barefoot/shod conditions, we have also shown that the shod condition was able to augment the level of energy dissipation contributed by the knee joint, via the knee extensors, regardless of the tested landing heights.

Non-linear flexion relationships of the knee with the hip and ankle, and their relative postures during landing.

The knee joint, together with the hip and ankle, contributes to overall shock absorption through their respective flexion motions during landing. This study sought to investigate the presence of a lower extremity coordination pattern by determining mathematical relationships that associate knee flexion angles with hip flexion and ankle dorsiflexion angles during landing phase, and to determine relative postures of the hip and ankle, with reference to the knee, and examine how these relative postures change during key events of the landing phase. Eight healthy male subjects were recruited to perform double-leg landing from 0.6-m height. Motion capture system and force-plates were used to obtain kinematics and ground reaction forces (GRF) respectively. Non-linear regression analysis was employed to determine appropriate mathematical relationships of the hip flexion and ankle dorsiflexion angles with knee flexion angles during the landing phase. Relative lower extremity postures were compared between events of initial contact, peak GRF and maximum knee flexion, using ANOVA on ranks. Our results demonstrated a lower extremity coordination pattern, whereby the knee flexion angles had strong exponential (R(2) = 0.92-0.99, p < 0.001) and natural logarithmic (R(2) = 0.85-0.97, p < 0.001) relationships with hip flexion and ankle dorsiflexion angles respectively during the landing phase. Furthermore, we found that the s ubjects adopted distinctly different relative lower extremity postures (p < 0.05) during peak GRF as compared to initial contact. These relative postures were further maintained till the end of the landing phase. The occurrence of these relative postures may be a reflexive mechanism for the subjects to efficiently absorb the impact imposed by the peak GRF.

Effect of an anterior-sloped brace joint on anterior tibial translation and axial tibial rotation: a motion analysis study.

BACKGROUND: Anterior tibial translation and axial tibial rotation are major biomechanical factors involved in anterior cruciate ligament injuries. This study sought to evaluate a brace prototype designed with an anterior-sloped joint, in terms of its efficacy in attenuating anterior tibial translation and axial tibial rotation during landing, using a motion analysis approach. METHODS: Ten healthy male subjects performed single-leg landing tasks from a 0.6-m height with and without the brace prototype. Ground reaction force and kinematics data were obtained using a motion-capture system and force-plates. Anterior tibial translation and axial tibial rotation were determined based on tibial and femoral marker reference frames. Vertical and anterior-posterior ground reaction forces, hip, knee and ankle joint range-of-motions and angular velocities, anterior tibial translation and axial tibial rotation were compared between unbraced and braced conditions using Wilcoxon signed-rank test. FINDINGS: We found no significant difference in peak vertical and anterior-posterior ground reaction forces (p=0.770 and p=0.332 respectively) between unbraced and braced conditions. Knee joint range-of-motion and angular velocity were lower (p=0.037 and p=0.038 respectively) for braced condition than unbraced condition. Anterior tibial translation and axial tibial rotation were reduced (p=0.027 and p=0.006 respectively) in braced condition, compared to unbraced condition. INTERPRETATION: The anterior-sloped brace joint helps to attenuate anterior tibial translation and axial tibial rotation present in the knee joint during landing. It is necessary to test the brace prototype in a sporting population with realistic sports landing situations in order to assess its effectiveness in lowering anterior cruciate ligament injury risk.

Extent and distribution of tibial osteochondral disruption during simulated landing impact with axial tibial rotation restraint.

Post-traumatic knee osteochondral injuries are often coupled with anterior cruciate ligament (ACL) injury mechanisms during landing. However, it is not well understood whether restraining axial tibial rotation during landing would influence the extent and distribution of osteochondral disruption. Using ski landing as an example, this study subjected knee specimens to simulated landing impact without and with axial tibial rotation restraint, and investigated the extent and distribution of osteochondral disruption at the tibial plateau. Twenty-one porcine knee specimens were randomly divided into three test conditions, namely: (1) control, (2) impact only (I), and 3) impact with restraint (IR). Simulated landing impact was applied to the specimens based on a single 10 Hz haversine. Osteochondral explants were obtained from anterior, middle and posterior regions of medial and lateral tibial compartments. The extent of cartilage and trabecular disruption in these explants was examined based on histology, SEM and microCT. Only specimens in unrestrained condition incurred ACL failure upon impact. Restraining axial tibial rotation during simulated impact generally inflicted cartilage damage and deformation, and further caused trabecular disruption. Axial tibial rotation restraint did not necessarily restrict anterior tibial translation, as indicated by the presence of relative posterior femoral translation and osteochondral disruption at anterior-posterior tibial regions. While the results obtained in the current study may not be completely translatable to human models, there is likelihood that restraining axial tibial rotation during landing may help to prevent ACL failure, but will also induce osteochondral disruption in most tibial regions.

Direct contribution of axial impact compressive load to anterior tibial load during simulated ski landing impact.

Anterior tibial loading is a major factor involved in the anterior cruciate ligament (ACL) injury mechanism during ski impact landing. We sought to investigate the direct contribution of axial impact compressive load to anterior tibial load during simulated ski landing impact of intact knee joints without quadriceps activation. Twelve porcine knee specimens were procured. Four specimens were used as non-impact control while the remaining eight were mounted onto a material-testing system at 70 degrees flexion and subjected to simulated landing impact, which was successively repeated with incremental actuator displacement. Four specimens from the impacted group underwent pre-impact MRI for tibial plateau angle measurements while the other four were subjected to histology and microCT for cartilage morphology and volume assessment. The tibial plateau angles ranged from 29.4 to 38.8 degrees . There was a moderate linear relationship (Y=0.16X; R(2)=0.64; p<0.001) between peak axial impact compressive load (Y) and peak anterior tibial load (X). The anterior and posterior regions in the impacted group sustained surface cartilage fraying, superficial clefts and tidemark disruption, compared to the control group. MicroCT scans displayed visible cartilage deformation for both anterior and posterior regions in the impacted group. Due to the tibial plateau angle, increased axial impact compressive load can directly elevate anterior tibial load and hence contribute to ACL failure during simulated landing impact. Axial impact compressive load resulted in shear cartilage damage along anterior-posterior tibial plateau regions, due to its contribution to anterior tibial loading. This mechanism plays an important role in elevating ACL stress and cartilage deformation during impact landing.

Sagittal knee joint kinematics and energetics in response to different landing heights and techniques.

Single-leg and double-leg landing techniques are common athletic maneuvers typically performed from various landing heights during intensive sports activities. However, it is still unclear how the knee joint responds in terms of kinematics and energetics to the combined effects of different landing heights and techniques. We hypothesized that the knee displays greater flexion angles and angular velocities, joint power and work in response to the larger peak ground reaction force from 0.6-m height, compared to 0.3-m height. We further hypothesized that the knee exhibits elevated flexion angles and angular velocities, joint power and work during double-leg landing, relative to single-leg landing. Ground reaction force, knee joint kinematics and energetics data were obtained from 10 subjects performing single-leg and double-leg landing from 0.3-m to 0.6-m heights, using motion-capture system and force-plates. Higher peak ground reaction force (p<0.05) was observed during single-leg landing and/or at greater landing height. We found greater knee flexion angles and angular velocities (p<0.05) during double-leg landing and/or at greater landing height. Elevated knee joint power and work were noted (p<0.05) during double-leg landing and/or at greater landing height. The knee joint is able to respond more effectively in terms of kinematics and energetics to a larger landing impact from an elevated height during double-leg landing, compared to single-leg landing. This allows better shock absorption and thus minimizes the risk of sustaining lower extremity injuries.

Effect of landing height on frontal plane kinematics, kinetics and energy dissipation at lower extremity joints.

Lack of the necessary magnitude of energy dissipation by lower extremity joint muscles may be implicated in elevated impact stresses present during landing from greater heights. These increased stresses are experienced by supporting tissues like cartilage, ligaments and bones, thus aggravating injury risk. This study sought to investigate frontal plane kinematics, kinetics and energetics of lower extremity joints during landing from different heights. Eighteen male recreational athletes were instructed to perform drop-landing tasks from 0.3- to 0.6-m heights. Force plates and motion-capture system were used to capture ground reaction force and kinematics data, respectively. Joint moment was calculated using inverse dynamics. Joint power was computed as a product of joint moment and angular velocity. Work was defined as joint power integrated over time. Hip and knee joints delivered significantly greater joint power and eccentric work (p<0.05) than the ankle joint at both landing heights. Substantial increase (p<0.05) in eccentric work was noted at the hip joint in response to increasing landing height. Knee and hip joints acted as key contributors to total energy dissipation in the frontal plane with increase in peak ground reaction force (GRF). The hip joint was the top contributor to energy absorption, which indicated a hip-dominant strategy in the frontal plane in response to peak GRF during landing. Future studies should investigate joint motions that can maximize energy dissipation or reduce the need for energy dissipation in the frontal plane at the various joints, and to evaluate their effects on the attenuation of lower extremity injury risk during landing.

Repeated application of incremental landing impact loads to intact knee joints induces anterior cruciate ligament failure and tibiofemoral cartilage deformation and damage: A preliminary cadaveric investigation.

Anterior cruciate ligament (ACL) injury is a major problem worldwide and prevails during high-impact activities. It is not well-understood how the extent and distribution of cartilage damage will arise from repetitive landing impact loads that can lead to ACL failure. This study seeks to investigate the sole effect of repetitive incremental landing impact loads on the induction of ACL failure, and extent and distribution of tibiofemoral cartilage damage in cadaveric knees. Five cadaveric knees were mounted onto a material testing system at 70 degrees flexion to simulate landing posture. A motion-capture system was used to track rotational and translational motions of the tibia and femur, respectively. Each specimen was compressed at a single 10Hz haversine to simulate landing impact. The compression trial was successively repeated with increasing actuator displacement till a significant compressive force drop was observed. All specimens underwent ACL failure, which was confirmed via magnetic resonance scans and dissection. Volume analysis, thickness measurement and histological techniques were employed to assess cartilage lesion status. For each specimen, the highest peak compressive force (1.9-7.8kN) was at the final trial in which ACL failure occurred; corresponding posterior femoral displacement (7.6-18.0mm) and internal tibial rotation (0.6 degrees -4.7 degrees ) were observed. Significant compressive force drop (79.8-90.9%) was noted upon ACL failure. Considerable cartilage deformation and damage were found in exterior, posterior and interior femoral regions with substantial volume reduction in lateral compartments. Repeated application of incremental landing impact loads can induce both ACL failure and cartilage damage, which may accelerate the risk of developing osteoarthritis.

Regression relationships of landing height with ground reaction forces, knee flexion angles, angular velocities and joint powers during double-leg landing.

Ground reaction forces (GRF), knee flexion angles, angular velocities and joint powers are unknown at large landing heights, which are infeasible for laboratory testing. However, this information is important for understanding lower extremity injury mechanisms. We sought to determine regression relationships of landing height with these parameters during landing so as to facilitate estimation of these parameters at large landing heights. Five healthy male subjects performed landing tasks from heights of 0.15-1.05 m onto a force-plate. Motion capture system was used to obtain knee flexion angles during landing via passive markers placed on the lower body. An iterative regression model, involving simple linear/exponential/natural logarithmic functions, was used to fit regression equations to experimental data. Peak GRF followed an exponential regression relationship (R(2)=0.90-0.99, p<0.001; power=0.987-0.998). Peak GRF slope and impulse also had an exponential relationship (R(2)=0.90-0.96, p<0.001; power=0.980-0.997 and R(2)=0.90-0.99, p<0.001; power=0.990-1.000 respectively) with landing height. Knee flexion angle at initial contact and at peak GRF had an inverse-exponential regression relationship (R(2)=0.81-0.99, p<0.001-p=0.006; power=0.834-0.978 and R(2)=0.84-0.97, p<0.001-p=0.004; power=0.873-0.999 respectively). There was also an inverse-exponential relationship between peak knee flexion angular velocity and landing height (R(2)=0.86-0.96, p<0.001; power=0.935-0.994). Peak knee joint power demonstrated a substantial linear relationship (R(2)=0.98-1.00, p<0.001; power=0.990-1.000). The parameters analyzed in this study are highly dependent on landing height. The exponential increase in peak GRF parameters and the relatively slower increase in knee flexion angles, angular velocities and joint power may synergistically lead to an exacerbated lower extremity injury risk at large landing heights.