Thoracic Kinematics Research Articles

Biofidelity Assessment of the WIAMan Thorax by a Comparative Study With Hybrid III, THOR, and PMHS in Frontal Sled Testing.

The Warrior Injury Assessment Manikin (WIAMan) anthropomorphic test device (ATD) has been originally developed to predict and prevent injuries for occupants in military vehicles, in an underbody blast environment. However, its crash performance and biofidelity of the thoracic region have not been explored. The aim of this study was to determine and evaluate the WIAMan thoracic responses in a typical frontal sled test. The 40 kph frontal sled tests were conducted to quantify the WIAMan thoracic kinematics, chest deflection, and belt loads. Comparative biofidelities of the WIAMan thorax and other surrogates, including postmortem human surrogates (PMHSs), Hybrid III, and test device for human occupant restraint (THOR) ATDs, were assessed under comparable testing conditions. The similarities and differences between WIAMan and the other surrogates were compared and analyzed, including the motion of bilateral shoulders and T1, time histories of chest deflections, and belt loads. The CORrelation and Analysis (CORA) ratings were used to evaluate the correlations of thoracic responses between the ATDs and PMHS. Compared to the PMHS and THOR, the WIAMan experienced a similar level of left shoulder forward excursions. Larger chest deflection was exhibited in WIAMan throughout the whole duration of belt compression. Differences were found in belt loads between subject types. Overall, WIAMan had slightly lower CORA scores but showed comparable overall performance. The overall thoracic responses of WIAMan under the frontal sled test were more compliant than HIII, but still reasonable compared with PMHS and THOR. Comprehensive systematic studies on comparative biofidelity of WIAMan and other surrogates under different impact conditions are expected in future research.

Influence of Carrying Unstable Load on Thoracic Kinematics While Walking on a Curved Path

This study investigated the effect of carrying unstable load on thoracic kinematics while walking on a curved path. Three-dimensional spinal kinematics were defined as the rotations between thoracic and the Virtual laboratory coordinate system (Tho/Virtual lab) which consisted of lateral bending (LB), flexion/extension (FE) and axial rotation (AR) in the frontal plane, sagittal plane and transverse plane, respectively. Eight healthy young adults (4 males and 4 females) performed loads carrying and walking on one meter radius curved path. Spinal kinematics was determined at the left leg heel strike and just before the right toe off during the curved path walking. As a result, a significant main effect of load intensity was found only on FE of (Tho/Virtual lab) at both left leg heel strike and right leg toe off. The study concluded that an increase in the load intensity of unstable load from 10% of body weight likely to generate more thorax extension.

Effect of elastic scapular taping on shoulder and spine kinematics in adolescents with idiopathic scoliosis.

The aim of this study was to investigate the short-term effects of scapular repositioning using an elastic taping technique on the three-dimensional (3-D) shoulder and thoracic kinematics during various activities of daily living (ADLs) in adolescents with idiopathic scoliosis (IS). Shoulder and spine kinematics during five ADL movement tasks were assessed in 24 adolescents with IS (3 males and 21 females; mean age: 15.8 years; age range: 14-17 years) before and 15 min after elastic scapular taping. All the participants had a moderate curve magnitude (Cobb angle: 20°-45°), with a primary thoracic curve. A 3-D electromagnetic tracking system (Ascension Technology Corporation, Shelburne, VT, USA) was used to record 3-D shoulder and thoracic kinematics. ADL movement tasks included touching the mouth/drinking, touching the back, touching the contralateral shoulder, reaching upward, and bilateral 4-kg weight lifting. Two separate strips of elastic tape were applied using the same correction technique for each shoulder and scapular region to control scapular alterations in the resting position. Elastic scapular taping significantly improved scapular external rotation and scapular upward rotation. Similarly, humeral horizontal adduction, external rotation, thoracic flexion, and lateral bending significantly increased in the taped condition depending on the specific task (p<0.05). Elastic scapular taping can change scapular orientations on the convex and concave sides, thereby affecting upper extremity and trunk kinematics. Thus, the dynamic stability of the scapula increases to produce larger movements during functional activities. Level IV, Therapeutic study.

Will Prone Trunk Extension Affect Scapular and Thoracic Kinematics and Muscle Activities During Scapular Posterior Tilting Exercise in Subjects With Round Shoulder and Flexed Posture?

Will Prone Trunk Extension Affect Scapular and Thoracic Kinematics and Muscle Activities During Scapular Posterior Tilting Exercise in Subjects With Round Shoulder and Flexed Posture?

Effect of tree width on kinematics of the thirteenth thoracic vertebra, thoracolumbar dimensions, saddle pressures and limb kinematics

Effect of tree width on kinematics of the thirteenth thoracic vertebra, thoracolumbar dimensions, saddle pressures and limb kinematics

Three-dimensional kinematics of the thorax during over-ground running

BackgroundGiven the size and mass of the thoracic segment, understanding its neuromotor control demand during over ground running at different speeds is important in the rehabilitation and research setting. This study describes key kinematics characteristics as proxy measures for thoracic neuromotor control. We hypothesized that thoracic kinematics would differ significantly when running at different running speeds and that speed related thoracic kinematic changes would not differ between gender. MethodsThree-dimensional thoracic kinematics of 19 healthy runners were recorded using an optical 3D motion capture system. We compared peak kinematic angles and range of motion of the thorax in each anatomical plane, in three running speeds during the stance phase. The Wilcoxon Signed Rank Test was used to analyse thoracic kinematics differences across different speeds. ResultsThere was increased group peak kinematic angles and total range of motion during slower and faster than self-selected pace compared to self-selected pace in all three planes. There were gender differences in the changes in kinematic measures at different running speeds. ConclusionOur findings suggest that the differences in thoracic kinematics as a result of non-self-selected running speed may be due either to the increased neuromotor demands inherent to that running speed or due to the individual's adjustment to running at an unfamiliar speed. Further investigation is required to determine whether protocols that require participants to run at speeds other than self-selected pace confound the results. We therefore recommend normative data set protocols that avoid potential confounding by employing only self-selected pace. Our findings further suggest kinematic changes due to speed differed across gender, most notably in the transverse plane. Thus, we propose that gender specific normative data sets may be required.

Thoracic Spine Manipulation in Individuals With Subacromial Impingement Syndrome Does Not Immediately Alter Thoracic Spine Kinematics, Thoracic Excursion, or Scapular Kinematics: A Randomized Controlled Trial.

Randomized controlled trial. To determine if thoracic spinal manipulative therapy (SMT) alters thoracic kinematics, thoracic excursion, and scapular kinematics compared to a sham SMT in individuals with subacromial impingement syndrome, and also to compare changes in patient-reported outcomes between treatment groups. Prior studies indicate that thoracic SMT can improve pain and disability in individuals with subacromial impingment syndrome. However, the mechanisms underlying these benefits are not well understood. Participants with shoulder impingement symptoms (n = 52) were randomly assigned to receive a single session of thoracic SMT or sham SMT. Thoracic and scapular kinematics during active arm elevation and overall thoracic excursion were measured before and after the intervention. Patient-reported outcomes measured were pain (numeric pain-rating scale), function (Penn Shoulder Score), and global rating of change. Following the intervention, there were no significant differences in changes between groups for thoracic kinematics or excursion, scapular kinematics, and patient-reported outcomes (P>.05). Both groups showed an increase in scapular internal rotation during arm raising (mean, 0.9°; 95% confidence interval [CI]: 0.3°, 1.6°; P = .003) and lowering (0.8°; 95% CI: 0.0°, 1.5°; P = .041), as well as improved pain reported on the numeric pain-rating scale (1.2 points; 95% CI: 0.3, 1.8; P<.001) and function on the Penn Shoulder Score (9.1 points; 95% CI: 6.5, 11.7; P<.001). Thoracic spine extension and excursion did not change significantly following thoracic SMT. There were small but likely not clinically meaningful changes in scapular internal rotation in both groups. Patient-reported pain and function improved in both groups; however, there were no significant differences in the changes between the SMT and the sham SMT groups. Overall, patient-reported outcomes improved in both groups without meaningful changes to thoracic or scapular motion. Therapy, level 1b-.

Scapulo–thoracic kinematics in children: accuracy and reliability

Scapulo–thoracic kinematics in children: accuracy and reliability

Altered preparatory pelvic control during the sit-to-stance-to-sit movement in people with non-specific low back pain

People with non-specific low back pain (LBP) show hampered performance of dynamic tasks such as sit-to-stance-to-sit movement. However, the underlying mechanisms remain obscure. Therefore, the aim of this study was to assess if proprioceptive impairments influence the performance of the sit-to-stance-to-sit movement.First, the proprioceptive steering of 20 healthy subjects and 106 persons with mild LBP was identified during standing using muscle vibration. Second, five sit-to-stance-to-sit repetitions on a stable support and on foam were performed as fast as possible. Total duration, phase duration, center of pressure (COP) displacement, pelvic and thoracic kinematics were analyzed.People with LBP used less lumbar proprioceptive afference for postural control compared to healthy people (P<0.0001) and needed more time to perform the five repetitions in both postural conditions (P<0.05). These time differences were determined in the stance and sit phases (transition phases), but not in the focal movement phases. Moreover, later onsets of anterior pelvic rotation initiation were recorded to start both movement sequences (P<0.05) and to move from sit-to-stance on foam (P<0.05).Decreased use of lumbar proprioceptive afference in people with LBP seemed to have a negative influence on the sit-to-stance-to-sit performance and more specifically on the transition phases which demand more control (i.e. sit and stance). Furthermore, slower onsets to initiate the pelvis rotation to move from sit-to-stance illustrate a decrease in pelvic preparatory movement in the LBP group.

The Reliability of Lower Extremity and Thoracic Kinematics at Various Running Speeds

Whilst various studies have examined lower extremity joint kinematics during running, there is limited investigation on joint kinematics at steady-state running and at intensities close to exhaustion. Subsequently, the purpose of this study was to determine whether the reliability of kinematics in the lower extremity and thorax is affected by varying the running speeds during a running economy test. 14 trained and moderately trained runners undertook 2 running economy tests with each test incorporating 3 intensity stages: 70-, 90- and 110% of the second ventilatory threshold, respectively. The participants ran for 10 min during each of the first 2 stages and to exhaustion during the last stage. Kinematics of the ankle, knee, hip, pelvis and thorax were recorded using a 3-dimensional motion analysis system. Intra-class correlation coefficient (ICC), limits of agreement (LOA) and coefficient of variation (CV) were used to calculate reliability. The ICC, LOA and CV of the lower extremity and thoracic kinematic variables ranged from 0.33-0.97, 1.03-1.39 and 2.0-18.6, respectively. Whilst the reliability did vary between the kinematic variables, the majority of results showed minimal within-subject variation and moderate to high reliability. In conclusion, examining thoracic and lower extremity kinematics is useful in determining whether running kinematics is altered with varying running intensities.

Intra-task variability of trunk coordination during a rate-controlled bipedal dance jump

In this study, we investigated trunk coordination during rate-controlled bipedal vertical dance jumps. The aims of the study were to investigate the pattern of coordination and the magnitude of coordination variability within jump phases and relative to phase-defining events during the jump. Lumbar and thoracic kinematics were collected from seven dancers during a series of jumps at 95 beats per minute. The vector coding technique was used to quantify the pattern and variability of trunk coordination. Coordination was predominantly anti-phase during propulsion and landing. Mean coordination variability peaked just before the landing phase and at the transition from landing to propulsion phases, and was lowest during the propulsion phase just before toe-off. The results indicate that peaks in variability could be explained by task and phase-specific biomechanical demands.

The Ligamental Scar in the Costovertebral Articulation of the Tyrannosaurid Dinosaurs

The costovertebral articulation is integral to constrain the thoracic kinematics and to infer the breathing mechanism in the respect with costal aspiration. However, the structure of the costovertebral articulation in non-avian theropods has not been studied in great detail before. This study highlights the Tyrannosauridae, which is represented by numerous complete specimens. Costovertebral articulations of ten tyrannosaurid specimens, including two nearly in-situ articulated fossils, were investigated and compared with those in extant Archosauria. For extant archosaurs, dissections were conducted to rationalize the soft tissue anatomy in tyrannosaurids. This study shows that the rib articulates ventrally or posteroventrally with the distal end of the corresponding vertebral transverse process in the tyrannosaurid ribcage. A ligament (ligamentum costotransversarium) can be reconstructed to connect the rib tuberculum to the transverse process in each articulation. The scar for lig. costotransversarium is r...

Two methods of calculating thorax kinematics in children with myelomeningocele

Objective. The purpose of this study was to determine the importance of model and cardan angle sequence for calculating thorax kinematics. Background. Patients with myelomeningocele often show a significant lateral bending and large trunk rotation over the gait cycle. The temporal pattern and magnitudes of these rotations are important for clinical decision-making. Two common thorax models and two orders of rotation in calculating the thoracic kinematics are compared. Methods. Thoracic kinematics in eight myelomeningocele patients were studied retrospectively. Four markers were placed on the trunk in addition to the lower limb markers. Each child walked at a self-selected speed over the walkway in bare feet. The spatial position and orientation of each segment were computed from the marker position at 2% of the gait cycle. Cardan angles for two thorax models were calculated using two different orders of rotation with respect to both the laboratory and the pelvic reference systems. Results. The results showed that differences between models in the coronal and transverse planes were greater than in the sagittal plane. The changes in the modelling technique yielded the greatest differences when comparing between models. Conclusions. Clinical significant differences were found between changes in different thorax models and between the sequences of rotation for subjects with pathological thoracic motion. This clearly indicates that existing thorax models based on indirect marker placement may give misleading kinematic measurements. Different rotation sequences also lead to different results and an analysis of these suggests that the conventional sequence ( flexion, lateral bending, axial rotation), is preferable for the thorax. Relevance Accurate measurement of thoracic motion will enhance our understanding of both the pathological and compensatory mechanism in the gait pattern of children with myelomeningocele. Furthermore, the current investigation on thorax kinematics will lead to calculation of the motion of the center of mass and future methodology to calculate thoracic kinetics.

Spinal muscular atrophy: kinematic breathing analysis.

Twelve children with spinal muscular atrophy (SMA) type 2 and 13 children without physical disability underwent kinematic analysis of thoracoabdominal volume changes when breathing spontaneously and when breathing deeply. A very accurate optical method of kinematic analysis was used. Volumes were partitioned into upper thoracic, lower thoracic, and abdominal compartments. Abdominal volume increases accounted for 96% of the normal tidal volumes and 87% of the deep breathing volumes for the patients, but only 74 and 41% of the volumes, respectively, for the controls. For the patients the upper thoracic contribution to breathing volumes was --1.7% for normal tidal volumes and 0.3% for deep breathing volumes. Patients with less upper thoracic kinematic reserve were also found to be more likely to have chronic nocturnal hypoventilation. We conclude that kinematic analysis can be helpful in determining differences in regional lung mobility and risk for nocturnal ventilatory dysfunction for children with SMA. Therapeutic interventions need to be addressed to maintain thoracic kinematic reserve and lung compliance and, thereby, to facilitate more normal lung growth and the ability to cough.