Abstract:Injuries and disorders affecting the knee joint are very common in athletes and older individuals. Passive and active vibration methods, such as acoustic emissions and modal analysis, are extensively used in both industry and the medical field to diagnose structural faults and disorders. To maximize the diagnostic potential of such vibration methods for knee injuries and disorders, a better understanding of the vibroacoustic characteristics of the knee must be developed. In this study, the linearity and vibrat… Show more
“…Therefore, a representative analytical model should incorporate those effects to achieve a comparable analytical and experimental analysis. Moreover, it is worth mentioning that a previous study [53] on the vibration characterization of the human knee joint demonstrated a similar trend in the tibiofemoral vibration transmission of the human knee to the cadaver models, which is promising and partially mitigates concerns around potential translation from cadaver to human use.…”
Section: Comparison Of Model and Experimentsmentioning
confidence: 61%
“…The shaker tip was pressed against the skin with an initial force level of 5 N to ensure that the shaker and sample stay in consistent contact throughout the tests. The compression force was selected based on an initial investigation of the comfortable threshold for the live subjects as reported in literature [53], and the maximum amplitude of the dynamic force exerted by the shaker during measurements. Two miniature, high sensitivity, and low mass accelerometers (Type 3225F, Dytran Instruments Inc., Chatsworth, CA) were placed on the medial and lateral aspects of the joint superior to the knee center.…”
Musculoskeletal disorders and injuries are one of the most prevalent medical conditions across age groups. Due to a high load-bearing function, the knee is particularly susceptible to injuries such as meniscus tears. Imaging techniques are commonly used to assess meniscus injuries, though this approach suffers from limitations including high cost, need for skilled personnel, and confinement to laboratory or clinical settings. Vibration-based structural monitoring methods in the form of acoustic emission analysis and vibration stimulation have the potential to address the limits associated with current diagnostic technologies. In this study, an active vibration measurement technique is employed to investigate the presence and severity of meniscus tear in cadaver limbs. In a highly controlled ex vivo experimental design, a series of cadaver knees (n=6) were evaluated under an external vibration, and the frequency response of the joint was analyzed to differentiate the intact and affected samples. Four stages of knee integrity were considered: baseline, sham surgery, meniscus tear, and meniscectomy. Analyzing the frequency response of injured legs showed significant changes compared to the baseline and sham stages at selected frequency bandwidths. Furthermore, a qualitative analytical model of the knee was developed based on the Euler-Bernoulli beam theory representing the meniscus tear as a change in the local stiffness of the system. Similar trends in frequency response modulation were observed in the experimental results and analytical model. These findings serve as a foundation for further development of wearable devices for detection and grading of meniscus tear and for improving our understanding of the physiological effects of injuries on the vibration characteristics of the knee. Such systems can also aid in quantifying rehabilitation progress following reconstructive surgery and / or during physical therapy.
“…Therefore, a representative analytical model should incorporate those effects to achieve a comparable analytical and experimental analysis. Moreover, it is worth mentioning that a previous study [53] on the vibration characterization of the human knee joint demonstrated a similar trend in the tibiofemoral vibration transmission of the human knee to the cadaver models, which is promising and partially mitigates concerns around potential translation from cadaver to human use.…”
Section: Comparison Of Model and Experimentsmentioning
confidence: 61%
“…The shaker tip was pressed against the skin with an initial force level of 5 N to ensure that the shaker and sample stay in consistent contact throughout the tests. The compression force was selected based on an initial investigation of the comfortable threshold for the live subjects as reported in literature [53], and the maximum amplitude of the dynamic force exerted by the shaker during measurements. Two miniature, high sensitivity, and low mass accelerometers (Type 3225F, Dytran Instruments Inc., Chatsworth, CA) were placed on the medial and lateral aspects of the joint superior to the knee center.…”
Musculoskeletal disorders and injuries are one of the most prevalent medical conditions across age groups. Due to a high load-bearing function, the knee is particularly susceptible to injuries such as meniscus tears. Imaging techniques are commonly used to assess meniscus injuries, though this approach suffers from limitations including high cost, need for skilled personnel, and confinement to laboratory or clinical settings. Vibration-based structural monitoring methods in the form of acoustic emission analysis and vibration stimulation have the potential to address the limits associated with current diagnostic technologies. In this study, an active vibration measurement technique is employed to investigate the presence and severity of meniscus tear in cadaver limbs. In a highly controlled ex vivo experimental design, a series of cadaver knees (n=6) were evaluated under an external vibration, and the frequency response of the joint was analyzed to differentiate the intact and affected samples. Four stages of knee integrity were considered: baseline, sham surgery, meniscus tear, and meniscectomy. Analyzing the frequency response of injured legs showed significant changes compared to the baseline and sham stages at selected frequency bandwidths. Furthermore, a qualitative analytical model of the knee was developed based on the Euler-Bernoulli beam theory representing the meniscus tear as a change in the local stiffness of the system. Similar trends in frequency response modulation were observed in the experimental results and analytical model. These findings serve as a foundation for further development of wearable devices for detection and grading of meniscus tear and for improving our understanding of the physiological effects of injuries on the vibration characteristics of the knee. Such systems can also aid in quantifying rehabilitation progress following reconstructive surgery and / or during physical therapy.
“…Thus, future studies could improve this model to more accurately represent the knee joint components and their biomechanical behavior. Furthermore, measurements of linearity and vibration transmissibility have been provided by Safaei et al [29] and could therefore provide useful data for such models.…”
Section: Discussionmentioning
confidence: 99%
“…As explained in the introduction, most previous studies have used either a microphone [10][11][12] or an accelerometer [2,7,[13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] to measure VAG signals. The choice of an accelerometer depends on parameters such as its frequency response and its sensitivity.…”
When a joint undergoes a range of motion, its constituents rub against each other, causing friction and thus vibrations. The vibration arthrography (VAG) technique consists of detecting, recording, and processing those vibrations to diagnose disorders. This non-invasive method could be an alternative to the currently used arthroscopy or X-rays. It has been revealed to be as accurate as these methods in terms of detecting pathologies such as osteoarthritis (OA). Moreover, vibrational analysis has highlighted some physiological signals associated with the displacement of knee joint components. Thus, vibroarthrography provides further understanding of the internal mechanisms of the knee joint. This paper aims to examine the research progress on the use of this vibration arthrography technique in diagnosing knee disorders.
“…Based on our previous clinical experience and on a thorough literature study—the vibroarthrography (VAG) can be successfully applied for evaluation of arthrokinematic motion quality [ 25 , 28 , 37 ], as the vibroacoustic emission level closely corresponds to the chondral deterioration degree [ 28 ]. In addition, the osteoarthritis (OA) affected knees produce vibroacoustic emissions with a greater frequency, higher peaks, and longer duration compared to the healthy ones [ 28 , 33 , 40 , 41 , 42 ]. In addition, the VAG signals can be helpful in the PFJ particular disorders differentiation, due to their specific disorder-related pattern character [ 25 , 28 , 33 , 37 ].…”
Changes in articular surfaces can be associated with the aging process and as such may lead to quantitative and qualitative impairment of joint motion. This study is aiming to evaluate the age-related quality of the knee joint arthrokinematic motion using nonlinear parameters of the vibroarthrographic (VAG) signal. To analyse the age-related quality of the patellofemoral joint (PFJ), motion vibroarthrography was used. The data that were subject to analysis represent 220 participants divided into five age groups. The VAG signals were acquired during flexion/extension knee motion and described with the following nonlinear parameters: recurrence rate (RR) and multi-scale entropy (MSE). RR and MSE decrease almost in a linear way with age (main effects of group p<0.001; means (SD): RR=0.101(0.057)−0.020(0.017); and MSE=20.9(8.56)−13.6(6.24)). The RR post-hoc analysis showed that there were statistically significant differences (p<0.01) in all comparisons with the exception of the 5th–6th life decade. For MSE, statistically significant differences (p<0.01) occurred for: 3rd–7th, 4th–7th, 5th–7th and 6th life decades. Our results imply that degenerative age-related changes are associated with lower repeatability, greater heterogeneity in state space dynamics, and greater regularity in the time domain of VAG signal. In comparison with linear VAG measures, our results provide additional information about the nature of changes of the vibration dynamics of PFJ motion with age.
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