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Biomechanical Considerations for Neuromuscular Control of Knee Arthroplasty Patients and Proprioception of Healthy Participants.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Biomechanical Considerations for Neuromuscular Control of Knee Arthroplasty Patients and Proprioception of Healthy Participants./
Author:	Beeler, Derek Michael.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2021,
Description:	222 p.
Notes:	Source: Dissertations Abstracts International, Volume: 83-03, Section: B.
Contained By:	Dissertations Abstracts International83-03B.
Subject:	Biomechanics. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28493307
ISBN:	9798535531045

Biomechanical Considerations for Neuromuscular Control of Knee Arthroplasty Patients and Proprioception of Healthy Participants.
Beeler, Derek Michael.

Biomechanical Considerations for Neuromuscular Control of Knee Arthroplasty Patients and Proprioception of Healthy Participants. - Ann Arbor : ProQuest Dissertations & Theses, 2021 - 222 p.

Source: Dissertations Abstracts International, Volume: 83-03, Section: B.

Thesis (Ph.D.)--University of Hawai'i at Manoa, 2021.

This item must not be sold to any third party vendors.

Knee osteoarthritis (OA) patients often experience significant limitations in walking and stair negotiation abilities. Total knee arthroplasty (TKA) and unicompartmental knee arthroplasty (UKA) patients are frequently unable to ascend and/or descend stairs due to pain, limited pre- and post-operative range of motion, or poor limb coordination associated with diminished quadriceps performance. Three-dimensional (3D) biomechanical gait analysis has served as a measurement technique to assess these pre- and post-operative functional deficits. Through the use of 3D biomechanical analysis, various indicators of knee OA progression and development, as well as risk of revision, have been established with external knee adduction moment (KAM) and knee flexion moment (KFM), among others. Though these risk factors are adequate in predicting medial loading and willingness to load the limb, respectively, they are not sufficient in determining pre- and post-operative neuromuscular control deficiencies. Longitudinal analyses of time-derivatives for frontal and sagittal plane measures of knee joint loading, as well as aggregate measures of leg stiffness are examined in this dissertation. These areas have been less well studied in this population and may further explain neuromuscular deficits from a biomechanical perspective. To further examine how biomechanical variables may explain neuromuscular control, this dissertation also includes a cross sectional analysis of knee joint proprioception, specifically joint position sense (JPS), in several testing positions for a healthy cohort. Several analyses were conducted to examine any differences in JPS between limbs, and associations between biomechanical measures of loading and knee joint proprioception in healthy individuals. Given the lack of evidence examining these associations, these analyses were largely exploratory; however, hypothesis driven analyses were conducted. The novel findings of this dissertation inform on these associations (or lack thereof) and provide insight into longitudinal gait changes between TKA and UKA patients. The results also inform on neuromuscular considerations for knee biomechanics in these patients during stair negotiation and level walking.

ISBN: 9798535531045Subjects--Topical Terms:

548685
Biomechanics.
Subjects--Index Terms:

Biomechanics

Biomechanical Considerations for Neuromuscular Control of Knee Arthroplasty Patients and Proprioception of Healthy Participants.
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245 1 0 $a Biomechanical Considerations for Neuromuscular Control of Knee Arthroplasty Patients and Proprioception of Healthy Participants.
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300 $a 222 p.
500 $a Source: Dissertations Abstracts International, Volume: 83-03, Section: B.
500 $a Advisor: Stickley, Christopher.
502 $a Thesis (Ph.D.)--University of Hawai'i at Manoa, 2021.
506 $a This item must not be sold to any third party vendors.
520 $a Knee osteoarthritis (OA) patients often experience significant limitations in walking and stair negotiation abilities. Total knee arthroplasty (TKA) and unicompartmental knee arthroplasty (UKA) patients are frequently unable to ascend and/or descend stairs due to pain, limited pre- and post-operative range of motion, or poor limb coordination associated with diminished quadriceps performance. Three-dimensional (3D) biomechanical gait analysis has served as a measurement technique to assess these pre- and post-operative functional deficits. Through the use of 3D biomechanical analysis, various indicators of knee OA progression and development, as well as risk of revision, have been established with external knee adduction moment (KAM) and knee flexion moment (KFM), among others. Though these risk factors are adequate in predicting medial loading and willingness to load the limb, respectively, they are not sufficient in determining pre- and post-operative neuromuscular control deficiencies. Longitudinal analyses of time-derivatives for frontal and sagittal plane measures of knee joint loading, as well as aggregate measures of leg stiffness are examined in this dissertation. These areas have been less well studied in this population and may further explain neuromuscular deficits from a biomechanical perspective. To further examine how biomechanical variables may explain neuromuscular control, this dissertation also includes a cross sectional analysis of knee joint proprioception, specifically joint position sense (JPS), in several testing positions for a healthy cohort. Several analyses were conducted to examine any differences in JPS between limbs, and associations between biomechanical measures of loading and knee joint proprioception in healthy individuals. Given the lack of evidence examining these associations, these analyses were largely exploratory; however, hypothesis driven analyses were conducted. The novel findings of this dissertation inform on these associations (or lack thereof) and provide insight into longitudinal gait changes between TKA and UKA patients. The results also inform on neuromuscular considerations for knee biomechanics in these patients during stair negotiation and level walking.
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650 4 $a Biomechanics. $3 548685
650 4 $a Kinesiology. $3 517627
650 4 $a Ankle. $3 3563106
650 4 $a Osteoarthritis. $3 842035
650 4 $a Standard deviation. $3 3560390
650 4 $a Kinematics. $3 571109
650 4 $a Population. $3 518693
650 4 $a Motion capture. $3 3683615
650 4 $a Body mass index. $3 3562858
650 4 $a Demographics. $3 3540640
650 4 $a Risk factors. $3 3543864
650 4 $a Activities of daily living. $3 3564186
650 4 $a Joint replacement surgery. $3 3562551
650 4 $a Influence. $3 1973172
650 4 $a Patients. $3 1961957
650 4 $a Sample size. $3 3642155
650 4 $a Statistics. $3 517247
650 4 $a Arthritis. $3 641465
650 4 $a Human performance. $3 3562051
650 4 $a Knee. $3 1364375
650 4 $a Pain. $3 533714
650 4 $a Nervous system. $3 672432
650 4 $a Force. $3 3691468
650 4 $a Joint surgery. $3 3691469
650 4 $a Posture. $3 667530
653 $a Biomechanics
653 $a Gait
653 $a Knee arthroplasty
653 $a Osteoarthritis
653 $a Proprioception
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690 $a 0575
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710 2 $a University of Hawai'i at Manoa. $b Kinesiology and Rehabilitation Science. $3 3691467
773 0 $t Dissertations Abstracts International $g 83-03B.
790 $a 0085
791 $a Ph.D.
792 $a 2021
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28493307