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Development of a feedback-controlled elbow simulator: Design validation and clinical application.

机译:反馈控制肘部模拟器的开发:设计验证和临床应用。

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摘要

This work involves three topics that advance the functionality of an elbow simulator in the Orthopaedic Biomechanics Laboratory at Allegheny General Hospital. To draw clinically and scientifically meaningful conclusions from future cadaver studies conducted with the simulator, its design must be validated and the accuracy of the data collection methods demonstrated.;The simulator was designed to offer physiologically-correct adjustable moment arms throughout the elbow's range of motion. To validate this, muscle moment arms were measured in three cadaver elbow specimens. Flexion-extension moment arms were measured at three different pronation/supination angles: fully pronated, fully supinated, and neutral. Pronation-supination moment arms for four elbow muscles were measured at three different flexion-extension angles: 30°, 60°, and 90°. The numeric results compared well with those previously reported. The biceps and pronator teres flexion-extension moment arms varied with pronation-supination position, and vice versa. This represents the first use of closed-loop feedback control in an elbow simulator, one of the first reports of both flexion-extension and pronation-supination moment arms in the same specimens, and demonstrates the adjustability of the moment arms that the elbow simulator can produce.;Towards accurate motion analysis of the radial head, two areas were investigated. The first identified the phenomena of camera-switching, which occurs in motion analysis when data from one or more cameras is temporarily excluded from the computation of a marker's three-dimensional position. Tests with static markers showed that camera-switching could cause up to 3.7 mm of perceived movement. The second area of investigation set the stage for future studies with cadaver elbows. A protocol was developed to quantify both the travel of the native radial head, radial head implants, and the finite helical axis during pronation-supination movement. The tracking of implant motion employs a unique circle-fitting algorithm to determine the implant's center. A video-based motion analysis system was used to collect marker position coordinates actuated by a precision micrometer table. MATLAB code was designed and implemented to compute both the radial head position and finite helical axis from these data. Immediate future work will use these algorithms to evaluate radial head implants in comparison to the native radial head.
机译:这项工作涉及三个主题,这些主题提高了阿勒格尼总医院骨科生物力学实验室的肘部模拟器的功能。为了从使用该模拟器进行的未来尸体研究中得出具有临床和科学意义的结论,必须验证其设计并证明数据收集方法的准确性。该模拟器旨在在整个肘部运动范围内提供生理正确的可调力矩臂。 。为了验证这一点,在三个尸体肘标本中测量了肌肉力矩臂。在三个不同的旋前/旋前角度测量屈伸力矩臂:完全旋前,完全旋后和中立。在三个不同的屈伸角度:30°,60°和90°下,测量了四个肘部肌肉的旋前旋肌力矩臂。数值结果与先前报道的结果进行了比较。二头肌和前屈三臂屈伸力矩臂随旋前旋后位置而变化,反之亦然。这代表了在肘部模拟器中首次使用闭环反馈控制,这是有关同一样本中屈伸和旋前力矩臂的首次报道之一,并证明了肘部模拟器可以调节力矩臂的可调节性。为了进行accurate骨头的精确运动分析,研究了两个区域。第一个发现了相机切换现象,这种现象发生在运动分析中,当一个或多个相机的数据暂时从标记的三维位置计算中排除时。使用静态标记的测试表明,相机切换可能会引起3.7毫米的感知移动。第二个调查领域为尸体肘部的进一步研究奠定了基础。制定了协议来量化旋前旋运动中原始radial骨头,radial骨头植入物和有限螺旋轴的行程。植入物运动的跟踪采用独特的圆拟合算法来确定植入物的中心。基于视频的运动分析系统用于收集由精密千分尺表驱动的标记位置坐标。设计并实现了MATLAB代码,以根据这些数据计算径向头位置和有限螺旋轴。与将来的radial骨头相比,近期的工作将使用这些算法来评估radial骨头植入物。

著录项

  • 作者

    Kuxhaus, Laurel.;

  • 作者单位

    University of Pittsburgh.;

  • 授予单位 University of Pittsburgh.;
  • 学科 Engineering Biomedical.
  • 学位 Ph.D.
  • 年度 2008
  • 页码 422 p.
  • 总页数 422
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 生物医学工程;
  • 关键词

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