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Footwear Properties and Football Injuries

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FootwareExcessive rotational traction that occurs at the interface between the shoe and the playing surface, as well as shoe properties such as rotational stiffness, may have the potential to influence the high incidence of lower extremity injuries in athletes.

By Feng Wei, PhD, and Eric G. Meyer, PhD

American football is one of the most popular sports in the United States. In 2010 more than 1.1 million male high school athletes from more than 14,000 high schools and more than 66,000 male collegiate athletes played football. Participation in high school football has been continuously increasing, with more than 100,000 additional participants (a 12.2% increase) between 1997 and 2007. Football is also a leading cause of sports-related injuries. Out of all high school sports, football has the highest overall injury rate, almost twice that of basketball. Reports estimate that more than 300,000 high school athletes sustain football-related injuries annually…read more. Dr. Meyer

Computer Science Project with the EBL Vicon System

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Watch Here

Jeremy Quinlin’s description of the work:
The demo reel consists of animations rendered in Autodesk MotionBuilder 2011/2012.

We recorded my motions using the motion capture program, Vicon Nexus. I was set up in a motion capture suit, complete with reflective spheres that only reflected light straight out. We recorded my motion using multiple cameras in a circle, with me in the middle. Each camera had LEDs around the lenses, which they would detect when reflected off the spheres. By combining what markers each camera sees, the program was able to extrapolate three dimensional data in real time. I was then able to sift though the raw data and fill in some of the marker gaps that the program missed.

I then took a pre-made model created by a member in our team and constructed a skeletal structure for the model in Autodesk 3ds Max. I used a skin modifier and selected the envelopes (the bones). Utilizing different weights, I bound the model to the skeletal structure, doing my best to make sure the stretching of the model looked right. This was easily the longest part of the process as it took awhile to determine the right amount of weight a bone component has over a particular polygon. The time it took was then increased when I was given a higher polygon count model. After i was finished with the bone structure and skin modifier, I then exported it to Autodesk MotionBuilder.

I then mapped an actor onto the bone structure, and then took the data from Nexus and mapped it to that actor. The actor was then driven by the motion capture data, which was mapped to the bone structure, which was rigged up to the model. The result was a model mimicking my own movements. I loaded up each individual animation and rendered them separately and combined them afterwards once I was happy with the results. Dr. Eric Meyer

Dr. Meyer Publishes a Chapter in Book

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The Knee: Current Concepts in Kinematics, Injury Types, and Treatment Options

Editors: Randy Mascarenhas (University of Manitoba, Canada)

Book Description: 
Knee injuries are common occurrences that affect the young active population and can lead to subsequent long term joint degeneration. This book provides an overview of current research examining knee injury mechanisms, prevention, and treatment options. Detailed discussions are included related to current treatment options for ACL injury, PCL injury, meniscal tears, patellofemoral instability, and combined knee pathology. Additionally, current advances in tissue engineering in ACL reconstruction and results following transphyseal ACL reconstruction in adolescents are examined. Furthermore, biomechanical studies and computerized modeling techniques are highlighted as methods for determining the mechanisms and sequelae of knee injuries, thus aiding in the development of injury prevention programs. (Imprint: Nova Biomedical)

Chapter 1. Biomechanical Response of the Knee in Sports Injury Scenarios
(Eric G. Meyer and Roger C. Haut)

International Research Council on the Biomechanics of Impact Conference

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Dr. Meyer recently presented his research at the International Research Council on the Biomechanics of Impact Conference in Dublin, Ireland.

Abstract: High ankle sprains represent a severe injury in sports. External foot rotation is suspected in these cases, but the mechanism of injury remains unclear. The objective of the current study was to integrate in vitro and in vivo experiments along with computational models based on rigid bone surfaces and deformable ligaments of the ankle to investigate the external foot rotation injury mechanism with different shoe constraints and ankle positioning. Injuries and the highest strains occurred in the anterior deltoid ligament (ADL) when the foot was held in neutral with athletic tape. Similarly, ADL strains were highest when a football shoe design with a high rotational stiffness was used to constrain the foot. For a flexible shoe, the anterior tibiofibular ligament (ATiFL) strain was increased and ATiFL injury occurred due to increased talar eversion. In human subjects performing a similar movement, the highest strains also occurred in the ATiFL and ADL. The models showed that ATiFL strain was positively correlated with ankle eversion, but eversion decreased strain in the ADL. Finally, the consequence of eversion on ATiFL strain was confirmed in the first cadaver study that consistently generated high ankle sprains in the laboratory.

Read more!

Eversion during external rotation of the human cadaver foot produces high ankle sprains

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Dr. Meyer’s paper published in September’s issue of the Journal of Orthopaedic Research

Abstract:
While high ankle sprains are often clinically ascribed to excessive external foot rotation, no experimental study documents isolated anterior tibiofibular ligament (ATiFL) injury under this loading. We hypothesized that external rotation of a highly everted foot would generate ATiFL injury, in contrast to deltoid ligament injury from external rotation of a neutral foot. Twelve (six pairs) male cadaveric lower extremity limbs underwent external foot rotation until gross failure. All limbs were positioned in 20° of dorsiflexion and restrained with elastic athletic tape. Right limbs were in neutral while left limbs were everted 20°. Talus motion relative to the tibia was measured using motion capture. Rotation at failure for everted limbs (46.8 ± 6.1°) was significantly greater than for neutral limbs (37.7 ± 5.4°). Everted limbs showed ATiFL injury only, while neutral limbs mostly demonstrated deltoid ligament failure. This is the first biomechanical study to produce isolated ATiFL injury under external foot rotation. Eversion of the axially loaded foot predisposes the ATiFL to injury, forming a basis for high ankle sprain. The study helps clarify a mechanism of high ankle sprain and may heighten clinical awareness of isolated ATiFL injury in cases of foot eversion prior to external rotation. It may also provide guidance to investigate the effect of prophylactic measures for this injury. © 2012 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 30:1423–1429, 2012

Click here to view paper

Senior Project Involves Running Bones Over with a Train

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Dr. Meyer with William Addis, a senior in biomedical engineering , performed femur fracture testing on April 18. They did 12 experiments at Henry Ford Museum with Matt Goodwin the Roundhouse Supervisor. He drove a diesel train over several bones from two directions (medial and lateral) with the bones anterior side up or posterior side up. The Sawbones that we used are a special composite material that is designed to have similar material and structural properties and failure characteristics with human bone. The preliminary results showed that the fracture pattern  was similar for most of the bones and matched with the typical “bending” fracture pattern. A “butterfly” wedge section of bone was seen in many cases and was aligned with the direction of impact from the train wheel. This information will be utilized by forensic biomechanics experts in autopsy or injury court cases that involve train-pedestrian accidents. Brian Weaver is the Director of Biomechanics for Armstrong Forensic Engineers in Milford, MI. He is the technical advisor for William Addis’s senior project and also donated the materials for this project.

Rotational Stiffness of Football Shoes Influences Talus Motion during External Rotation of the Foot

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Published in the Journal of Biomechanical Engineering

Authors: Wei F., Dr. Meyer E. G., Braman J. E., Powell J. W., & Haut R. C.

Shoe-surfaceinterface characteristics have been implicated in the high incidence ofankle injuries suffered by athletes. Yet, the differences in rotationalstiffness among shoes may also influence injury risk. It washypothesized that shoes with different rotational stiffness will generate differentpatterns of ankle ligament strain. Four football shoe designs weretested and compared in terms of rotational stiffness. Twelve (sixpairs) male cadaveric lower extremity limbs were externally rotated 30deg using two selected football shoe designs, i.e., a flexibleshoe and a rigid shoe. Motion capture was performed totrack the movement of the talus with a reflective markerarray screwed into the bone. A computational ankle model wasutilized to input talus motions for the estimation of ankleligament strains. At 30 deg of rotation, the rigid shoegenerated higher ankle joint torque at 46.2 ± 9.3 Nm than theflexible shoe at 35.4 ± 5.7 Nm. While talus rotation was greaterin the rigid shoe (15.9 ± 1.6 deg versus 12.1 ± 1.0 deg), theflexible shoe generated more talus eversion (5.6 ± 1.5 deg versus 1.2±0.8 deg). While these talus motions resulted in the samelevel of anterior deltoid ligament strain (approxiamtely 5%) between shoes,there was a significant increase of anterior tibiofibular ligament strain(4.5± 0.4% versus 2.3 ± 0.3%) for the flexible versus more rigidshoe design. The flexible shoe may provide less restraint tothe subtalar and transverse tarsal joints, resulting in more eversionbut less axial rotation of the talus during foot/shoe rotation.The increase of strain in the anterior tibiofibular ligament mayhave been largely due to the increased level of taluseversion documented for the flexible shoe. There may be adirect correlation of ankle joint torque with axial talus rotation,and an inverse relationship between torque and talus eversion. Thestudy may provide some insight into relationships between shoe designand ankle ligament strain patterns. In future studies, these datamay be useful in characterizing shoe design parameters and balancingpotential ankle injury risks with player performance.

J. Biomech. Eng.  — April 2012 —  Volume 134,  Issue 4, 041002 (7 pages)
http://dx.doi.org/10.1115/1.4005695

Good Sports

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Students support a professor’s research to find ways to reduce injuries.

Lawrence Tech senior Samantha Hutson works with Assistant Professor Eric Meyer on her directed study in the biomechanics of the knee.

Sports-related injuries – typically to the knee and ankle – represent an estimated 10 to 19 percent of all injuries treated in emergency rooms. For some athletes, such injuries can signal the end of a season or, in severe cases, even a career.

For half a century crash test dummies and computer simulations have been used to save lives and prevent injuries in automobile accidents. Using a newly developed three-dimensional computer model of the ankle, researchers at Lawrence Tech are applying the same methods to understand and prevent sports injuries.

“This type of simulation is very appealing for modeling experiments because it is relatively easy to make modifications to the anatomy and geometry to investigate many different questions about how certain motions/forces produce ligament sprains in sports situations,” explained lead researcher Eric Meyer, assistant professor of biomedical engineering.

“By applying these results through working with equipment manufacturers and sports governing bodies, we hope to turn the tide for serious knee and ankle injuries in athletes, so that everyone can increase their enjoyment of sports.”

The researchers are studying anterior cruciate ligament (ACL) tears in the knee and high ankle sprains – two of the most severe sports injuries at those joints. ACLs are one of the most popular topics for research, but the injury mechanism remains beset by many unknowns and therefore prevention strategies have had only limited success so far, Dr. Meyer noted.

“High ankle sprains have had only limited attention, but there are high-profile cases, such as Rob Gronkowski of the New England Patriots in the AFC Championship game in January, that follow our hypothesis for why this injury happened,” he said. “A major factor that could be addressed through engineering is designing the shoes or artificial surface to a certain injury threshold.”

Two senior biomedical engineering students are working on directed-study projects related to this research. Brian Figueiredo began the development of a computational model of the whole human lower extremity last summer, by isolating the bones of the leg and foot from CT images and reconstructing them into a 3D CAD model.

Student Samantha Hutson is adding realistic ligaments to the knee joint so that the researchers can use this model to simulate dynamic experiments that investigate various ligament sprain injury mechanisms in cadaver knees.

“Having a model that will function realistically like the knee joint is important because it gives us all more knowledge on the different movements of the ligaments during an injury. That knowledge allows us to find solutions to prevent injury or lessen the damage in the injury,” said Hutson, who is finishing up dual majors in biomedical and electrical engineering.

Hutson said she would like to work in tissue engineering and help in the search for ways ameliorate knee injuries and reduce the need for knee replacements. Her directed study with Meyer should be a step toward that career goal.

Meyer will be presenting at a sportsinjury conference in Dublin in September about different ways that his research team has used a similar ankle model to simulate many sports situations. The team has built six subject-specific ankle models using this approach and has submitted a paper to the software developer Materalise for its MIMICS Innovation Awards.

Hydrostatic Pressure Acts to Stabilise a Chondrogenic Phenotype in Porcine Joint Tissue Derived Stem Cells by Dr. Meyer

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Dr. Meyer has published his new research on the topic of Cartilage Tissue Engineering.

European Cells and Materials 2012   Volume No 23 – pages 121-134

T Vinardell, RA Rolfe, CT Buckley, EG Meyer, M Ahearne, P Murphy, DJ Kelly

Key Words: Hydrostatic pressure, cartilage, synovial membrane, infrapatellar fat pad, transforming growth factor (TGF)-β3, stem cells, chondrocytes

Abstract: Hydrostatic pressure (HP) is a key component of the in vivo joint environment and has been shown to enhance chondrogenesis of stem cells. The objective of this study was to investigate the interaction between HP and TGF-β3 on both the initiation and maintenance of a chondrogenic phenotype for joint tissue derived stem cells. Pellets generated from porcine chondrocytes (CCs), synovial membrane derived stem cells (SDSCs) and infrapatellar fat pad derived stem cells (FPSCs) were subjected to 10 MPa of cyclic HP (4 h/day) and different concentrations of TGF-β3 (0, 1 and 10 ng/mL) for 14 days. CCs and stem cells were observed to respond differentially to both HP and TGF-β3 stimulation. HP in the absence of TGF-β3 did not induce robust chondrogenic differentiation of stem cells. At low concentrations of TGF-β3 (1 ng/mL), HP acted to enhance chondrogenesis of both SDSCs and FPSCs, as evident by a 3-fold increase in Sox9 expression and a significant increase in glycosaminoglycan accumulation. In contrast, HP had no effect on cartilage-specific matrix synthesis at higher concentrations of TGF-β3 (10 ng/mL). Critically, HP appears to play a key role in the maintenance of a chondrogenic phenotype, as evident by a down-regulation of the hypertrophic markers type X collagen and Indian hedgehog in SDSCs irrespective of the cytokine concentration. In the context of stem cell based therapies for cartilage repair, this study demonstrates the importance of considering how joint specific environmental factors interact to regulate not only the initiation of chondrogenesis, but also the development of a stable hyaline-like repair tissue…read more

Dr. Meyer Visits his High School Alma Mater

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On Friday February 17 Dr. Meyer returned to his high school alma mater to present to almost 40 junior and senior students at CSMTech (a four-year, non-traditional Academy within Clarkston Schools which celebrates learning science, mathematics and technology) in Mr. Olsen, Mrs. Philips, and Mrs Hughes classes. The topic of the presentation was “Sports Injury Prevention: Metro Detroit can take pride in its contributions to automotive safety over the past 50 years, but as our ability to prevent fatal injuries grows, we must refocus our efforts on severe and costly injuries that affect a growing proportion of our population: athletes.” which is offered through the  College of Engineering’s “Ask the Engineer” program. As part of this program, Lawrence Tech engineering professors will visit high school classrooms and discuss real world issues relevant to STEM educational topics. Dr. Meyer also completed a live demonstration of an Anterior Cruciate Ligament (ACL) reconstruction procedure and discussed the relevance of Biomedical Engineering in Orthopedic Surgery.

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