Matching Items (3)
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- All Subjects: Knees
- Creators: Broman, Tannah
- Member of: Theses and Dissertations
- Resource Type: Text
Description
Ruptures in the anterior cruciate ligament are a prevalent injury, particularly in young athletes. This injury is frequently treated with surgical repair utilizing autologous tissue, cadaver allografts or synthetic grafts. However there is no definitive answer on which is the best graft option. This review aims to compare clinical results of patellar tendon autograft (PT), hamstring autograft (HT), cadaver allograft and LARS synthetic ligament in ACL reconstruction. The ASU library was systematically searched for comparison studies or meta-analyses that compared or described ACL reconstruction graft options. The results of the studies were analyzed according to re-tear rate, return to pre-injury level of activity, KT-1000 laxity scores, post-operative muscle strength, International Knee Documentation Committee Score (IKDC), Lysholm score, Lachman test and donor site morbidity. Allografts showed the highest re-tear rate and increase in laxity when compared with the PT autograft and HT autograft. PT autograft provided the most stability according to the KT-1000 results. Knee extensor muscle strength was not graft dependent, but knee flexor strength decreased significantly in HT autograft patients. All grafts showed comparable results for IKDC, Lysholm scores and Lachman tests. There was increased anterior knee pain in PT autograft patients however this did not seem to have an affect on the stability or durability of the graft. The PT autograft is the best choice for individuals undergoing ACL reconstruction on the basis of lower re-tear rates and greater joint stability.
ContributorsNormen, Eliza Armstrong (Author) / Broman, Tannah (Thesis director) / Harper, Erin (Committee member) / Barrett, The Honors College (Contributor) / School of Nutrition and Health Promotion (Contributor) / School for the Science of Health Care Delivery (Contributor)
Created2015-05
Description
The objective of this project was to complete an in-depth design study for the creation of a prophylactic knee brace. Background literature research analysis demonstrated that soft tissue injuries of the knee were the most prominent injuries related to the knee joint. The literature exhibited that the leading injury of the knee joint consisted of ACL lesions and meniscal tears. Utilizing the information obtained, it was determined that the objective of the knee brace was to emphasize prophylaxis of soft tissue injuries. As such, further analysis was performed in order to analyze injury mechanisms and knee joint biomechanics that would be relevant in injury prevention. An epidemiological review was also conducted regarding current braces that existed in the market today. These results were accounted for when formulating a novel design for the prophylactic device. The key feature of the brace is the implementation of shear-thickening fluid, a non-Newtonian fluid that is able to exhibit fluid-like properties at rest and solid-like properties when impacted by an outside force. This unique property is ideal for a knee brace for its enhanced adaptability and protective effects. A three dimensional digital prototype was designed in a SolidWorks software as the final result. Future endeavors consist of developing a physical prototype and conducting stress and strain analysis of the device in addition to testing its efficacy in human trials. After completion of testing and necessary revisions the goal will be to patent the technology and commercialize the brace into a device available on the public market.
ContributorsCarlow, Niko (Co-author) / Tran, Aaron (Co-author) / Kingsbury, Jeffrey (Thesis director) / Broman, Tannah (Committee member) / Mechanical and Aerospace Engineering Program (Contributor) / W.P. Carey School of Business (Contributor) / Barrett, The Honors College (Contributor)
Created2017-12
Description
The aim of this study was to compare the effects of an intervention involving physical practice combined with motor imagery and physical practice alone on swimming performance for fifty-yard freestyle. Forty-five male and female high school swimmers were participants on two different high school teams. One team was the treatment group, which included the participants partaking in both motor imagery and physical practice. The other team served as the age matched control group, and the swimmers participated in physical practice only. The combined practice group performed motor imagery three times per week and physical practice five times per week. The physical practice only group performed physical practice five times per week. Each group performed their respective tasks for 9-weeks. Pre-, half-point, and post-tests consisted of a timed fifty-yard freestyle. The treatment group produced significantly faster times on the percent change in swim time scores in comparison to the control group for the half-time to post-time and pre-time to post-time score (p=.000). The treatment group also produced better performances on the pre-time to half-time scores, however, the results were not statistically significant (p = .009). Findings, therefore, support the effectiveness of motor imagery in enhancing swim performance, when combined with physical practice.
ContributorsSears, Mychaela Leduc (Author) / Hoffner, Kristin (Thesis director) / Broman, Tannah (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12