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1.
Gino Kerkhoffs Leendert Blankevoort Idsart Kingma Niek van Dijk 《Knee surgery, sports traumatology, arthroscopy》2007,15(6):817-824
Questions addressed in this in-vitro study are (1) what are the actual three-dimensional kinematics of talus and calcaneus during an anterior drawer test as performed with the quasi-static anterior ankle tester (QAAT) (2) does laxity measurement with the QAAT represent the true anterior translation of talus relative to the tibia?. Simultaneous measurements were made with the QAAT and a three-dimensional kinematics analysis system in five specimens. The three-dimensional translations and rotations on three axes were analysed at 25, 50 and 100 N of applied anterior load, with increased ligament damage. For four out of five remaining specimens, anterior translation values of talus and calcaneus and values as measured with the QAAT show a significant increase with growing ligament damage and with higher loads. Skeletal motions of talus and calcaneus show great similarity in three different motion axes, with increased ligament damage and at any given load. Skeletal translations and rotations of talus and calcaneus show great similarity during an anterior drawer movement of the ankle joint. Anterior skeletal translation of the talus and calcaneus show fair correlation with the anterior displacements measurements of the QAAT. These QAAT measurements show an overestimation of the laxity value by more than 200% irrespective of the load applied. 相似文献
2.
Arno Bisschop Jaap H. van Dieën Idsart Kingma Albert J. van der Veen Timothy U. Jiya Margriet G. Mullender Cornelis P. L. Paul Marinus de Kleuver Barend J. van Royen 《European spine journal》2013,22(8):1785-1793
Purpose
Lumbar laminectomy affects spinal stability in shear loading. However, the effects of laminectomy on torsion biomechanics are unknown. The purpose of this study was to investigate the effect of laminectomy on torsion stiffness and torsion strength of lumbar spinal segments following laminectomy and whether these biomechanical parameters are affected by disc degeneration and bone mineral density (BMD).Methods
Ten human cadaveric lumbar spines were obtained (age 75.5, range 59–88). Disc degeneration (MRI) and BMD (DXA) were assessed. Disc degeneration was classified according to Pfirrmann and dichotomized in mild or severe. BMD was defined as high BMD (≥median BMD) or low BMD (<median BMD). Laminectomy was performed either on L2 (5×) or L4 (5×). Twenty motion segments (L2–L3 and L4–L5) were isolated. The effects of laminectomy, disc degeneration and BMD on torsion stiffness (TS) and torsion moments to failure (TMF) were studied.Results
Load–displacement curves showed a typical bi-phasic pattern with an early torsion stiffness (ETS), late torsion stiffness (LTS) and a TMF. Following laminectomy, ETS decreased 34.1 % (p < 0.001), LTS decreased 30.1 % (p = 0.027) and TMF decreased 17.6 % (p = 0.041). Disc degeneration (p < 0.001) and its interaction with laminectomy (p < 0.031) did significantly affect ETS. In the mildly degenerated group, ETS decreased 19.7 % from 7.6 Nm/degree (6.4–8.4) to 6.1 Nm/degree (1.5–10.3) following laminectomy. In the severely degenerated group, ETS decreased 22.3 % from 12.1 Nm/degree (4.6–21.9) to 9.4 Nm/degree (5.6–14.3) following laminectomy. In segments with low BMD, TMF was 40.7 % (p < 0.001) lower than segments with high BMD [34.9 Nm (range 23.7–51.2) versus 58.9 Nm (range 43.8–79.2)].Conclusions
Laminectomy affects both torsion stiffness and torsion load to failure. In addition, torsional strength is strongly affected by BMD whereas disc degeneration affects torsional stiffness. Assessment of disc degeneration and BMD pre-operatively improves the understanding of the biomechanical effects of a lumbar laminectomy. 相似文献3.
van de Langenberg R Kingma I Beek PJ 《Experimental brain research. Experimentelle Hirnforschung. Expérimentation cérébrale》2007,180(4):595-607
We performed two experiments to test the hypothesis that the perception of limb orientation depends on inertial eigenvectors
(e
i
) against the alternative hypothesis that it depends on the center of mass vector (CM). Whereas e
i
constrains the dynamic torques involved in angular rotation, CM constrains the static torque necessary to keep the limb aloft in the gravitational field. Hence, possible effects of e
i
and CM on kinesthetic judgments must be related to the dynamic and static torques, respectively, involved in moving and positioning
a limb. In the first experiment, blindfolded participants matched, with upper arms supported, the orientation of their forearms
while the forearms’ e
i
and CM were manipulated relative to the elbow. The manipulation of the vector CM alone induced a matching bias, as did the combined manipulation of e
i
and CM, whereas the manipulation of e
i
alone did not. In the second experiment, participants positioned their unseen and unsupported right arm at an indicated spatial
configuration while e
i
and CM of the right forearm were manipulated as in Experiment 1. As in the first experiment, forearm positioning was affected by
the independent manipulation of CM and the combined manipulation of e
i
and CM, but not by the independent variation of e
i
. Moreover, none of the manipulations affected upper arm positioning. These results refute the claim that the perception of
limb orientation (in the vertical plane) is based on e
i
and demonstrate, for the first time, the implication of a limb segment’s CM in the perception of its orientation.
This research was supported in part by The Netherlands Organization for Scientific Research (NWO) Grant 402-01-040. 相似文献
4.
5.
Guido B. van Solinge Albert J. van der Veen Jaap H. van Dieën Idsart Kingma Barend J. van Royen 《European spine journal》2010,19(12):2130-2136
Degenerative lumbar spinal stenosis is the most common reason for lumbar surgery in patients in the age of 65 years and older.
The standard surgical management is decompression of the spinal canal by laminectomy and partial facetectomy. The effect of
this procedure on the shear strength of the spine has not yet been investigated in vitro. In the present study we determined
the ultimate shear force to failure, the displacement and the shear stiffness after performing a laminectomy and a partial
facetectomy. Eight lumbar spines of domestic pigs (7 months old) were sectioned to obtain eight L2–L3 and eight L4–L5 motion
segments. All segments were loaded with a compression force of 1,600 N. In half of the 16 motion segments a laminectomy and
a 50% partial facetectomy were applied. The median ultimate shear force to failure with laminectomy and partial facetectomy
was 1,645 N (range 1,066–1,985) which was significantly smaller (p = 0.012) than the ultimate shear force to failure of the control segments (median 2,113, range 1,338–2,659). The median shear
stiffness was 197.4 N/mm (range 119.2–216.7) with laminectomy and partial facetectomy which was significantly (p = 0.036) smaller than the stiffness of the control specimens (median 216.5, 188.1–250.2). It was concluded that laminectomy
and partial facetectomy resulted in 22% reduction in ultimate shear force to failure and 9% reduction in shear stiffness.
Although relatively small, these effects may explain why patients have an increased risk of sustaining shear force related
vertebral fractures after spinal decompression surgery. 相似文献
6.
Fabian van de Bunt Kaj S. Emanuel Thomas Wijffels Peter N. Kooren Idsart Kingma Theodoor H. Smit 《The Knee》2017,24(4):718-725
Background
To properly study knee kinetics, kinematics and the effects of injury and surgical treatment in vitro, the knee should be constrained as little as possible, while imposing physiological loads. A novel dynamic biomechanical knee system (BKS) is presented here. The aim of this study was to test the feasibility and reproducibility of the system and demonstrate its features with an Anterior Cruciate Ligament (ACL) lesion model.Methods
Six goat knees were used in the current study. Flexion and extension simulating gait was imposed by a servo-motor, while normal joint load was applied by two artificial muscles. Intra-class correlation coefficients (ICCs) were assessed for inter-test measures, while paired t-tests were performed for comparison between intact knees and knees with ACL-lesion.Results
The ICC's for inter-test measures based on all six goat knees were excellent: varus/valgus: ICC = 0.93; rotation: ICC = 0.94 (all p < 0.01), and translation in frontal (x)-, side (y)- and upward (z)-direction (ICC = 0.90, 0.88 & 0.94) (all p < 0.01). A significant increase in joint center movement was found in knees after creating an ACL-lesion (p = 0.018): translation increased more than two-fold in frontal (p = 0.016), side (p = 0.004) and upward (p = 0.018) direction.Conclusions
Five degrees of motion were reproducibly assessed in the intact joint, suggesting that the goat knee may find its natural pathway when loaded in the BKS. The novel five-degrees-of-freedom knee system allows a detailed study of the effect of a diversity of defects and surgical treatments on knee biomechanics under physiological loading conditions. 相似文献7.
Arnold Huurnink Duncan P. Fransz Idsart Kingma Evert A.L.M. Verhagen Jaap H. van Dieën 《Clinical biomechanics (Bristol, Avon)》2014
Background
Diminished postural stability is a risk factor for ankle sprain occurrence and ankle sprains result in impaired postural stability. To date, ankle sprain history has not been taken into account as a determinant of postural stability, while it could possibly specify subgroups of interest.Methods
Postural stability was compared between 18 field hockey athletes who had recovered from an ankle sprain (mean (SD); 3.6 (1.5) months post-injury), and 16 uninjured controls. Force plate and kinematics parameters were calculated during single-leg standing: mean center of pressure speed, mean absolute horizontal ground reaction force, mean absolute ankle angular velocity, and mean absolute hip angular velocity. Additionally, cluster analysis was applied to the ‘injured’ participants, and the cluster with diminished postural stability was compared to the other participants with respect to ankle sprain history.Findings
MANCOVA showed no significant difference between groups in postural stability (P = 0.68). A self-reported history of an (partial) ankle ligament rupture was typically present in the cluster with diminished postural stability. Subsequently, a ‘preceding rupture’ was added as a factor in the MANCOVA, which showed a significant association between diminished postural stability and a ‘preceding rupture’ (P = 0.01), for all four individual parameters (P: 0.001–0.029; Cohen's d: 0.96–2.23).Interpretation
Diminished postural stability is not apparent in all previously injured athletes. However, our analysis suggests that an (mild) ankle sprain with a preceding severe ankle sprain is associated with impaired balance ability. Therefore, sensorimotor training may be emphasized in this particular group and caution is warranted in return to play decisions. 相似文献8.
9.
Nienke W. Willigenburg Idsart Kingma Jaap H. van Dieën 《Experimental brain research. Experimentelle Hirnforschung. Expérimentation cérébrale》2010,203(1):39-49
Precision of limb control is associated with increased joint stiffness caused by antagonistic co-activation. The aim of this study was to examine whether this strategy also applies to precision of trunk postural control. To this end, thirteen subjects performed static postural tasks, aiming at a target object with a cursor that responded to 2D trunk angles. By manipulating target dimensions, different levels of precision were imposed in the frontal and sagittal planes. Trunk angle and electromyography (EMG) of abdominal and back muscles were recorded. Repeated measures ANOVAs revealed significant effects of target dimensions on kinematic variability in both movement planes. Specifically, standard deviation (SD) of trunk angle decreased significantly when target size in the same direction decreased, regardless of the precision demands in the other direction. Thus, precision control of trunk posture was directionally specific. However, no consistent effect of precision demands was found on trunk muscle activity, when averaged over time series. Therefore, it was concluded that stiffness regulation by antagonistic co-activation was not used to meet increased precision demands in trunk postural control. Instead, results from additional analyses suggest that precision of trunk angle was controlled in a feedback mode. 相似文献
10.
Roderick M. Holewijn Idsart Kingma Marinus de Kleuver Noël L.W. Keijsers 《The spine journal》2018,18(12):2213-2219