Matching Items (4)
Description
Lower-limb prosthesis users have commonly-recognized deficits in gait and posture control. However, existing methods in balance and mobility analysis fail to provide sufficient sensitivity to detect changes in prosthesis users' postural control and mobility in response to clinical intervention or experimental manipulations and often fail to detect differences between prosthesis users and non-amputee control subjects. This lack of sensitivity limits the ability of clinicians to make informed clinical decisions and presents challenges with insurance reimbursement for comprehensive clinical care and advanced prosthetic devices. These issues have directly impacted clinical care by restricting device options, increasing financial burden on clinics, and limiting support for research and development. This work aims to establish experimental methods and outcome measures that are more sensitive than traditional methods to balance and mobility changes in prosthesis users. Methods and analysis techniques were developed to probe aspects of balance and mobility control that may be specifically impacted by use of a prosthesis and present challenges similar to those experienced in daily life that could improve the detection of balance and mobility changes. Using the framework of cognitive resource allocation and dual-tasking, this work identified unique characteristics of prosthesis users’ postural control and developed sensitive measures of gait variability. The results also provide broader insight into dual-task analysis and the motor-cognitive response to demanding conditions. Specifically, this work identified altered motor behavior in prosthesis users and high cognitive demand of using a prosthesis. The residual standard deviation method was developed and demonstrated to be more effective than traditional gait variability measures at detecting the impact of dual-tasking. Additionally, spectral analysis of the center of pressure while standing identified altered somatosensory control in prosthesis users. These findings provide a new understanding of prosthetic use and new, highly sensitive techniques to assess balance and mobility in prosthesis users.
ContributorsHoward, Charla Lindley (Author) / Abbas, James (Thesis advisor) / Buneo, Christopher (Committee member) / Lynskey, Jim (Committee member) / Santello, Marco (Committee member) / Artemiadis, Panagiotis (Committee member) / Arizona State University (Publisher)
Created2017
Description
This paper emphasizes how vital prosthetic devices are as tools for both congenital and acquired amputees in order to maximize this population's level of societal productivity, but several issues exist with the current technological focus of development by the prosthetic industry that creates unnecessary hurdles that amputees must surpass in order to truly benefit from these tools. The first major issue is that these devices are not readily available to all amputees. The astronomical cost of most prosthetic devices is a variable that restricts low income amputee populations from obtaining these vital tools regardless of their level of need, thus highlighting the fact that amputees who are not financially stable are not supported in a fashion that is conducive to their success. Also, cost greatly affects children who suffer from a missing appendage due to the fact that they are in constant need of prosthetic replacement because of physical growth and development. Another issue with the current focus of the prosthetic industry is that it focuses on acquired amputees because this population is much larger in comparison to congenital amputees and thus more lucrative. Congenital amputees' particular needs are often entirely ignored in terms of prosthetic innovation. Finally, low daily utilization is a major issue amongst the amputee population. Several variables exist with the use of prosthetic devices that cause many amputees to decide against the utilization of these tools, like difficulty of use and lack of comfort. This paper will provide solutions to cost, discrimination, issues in development, and daily utilization by emphasizing on how lowering the cost through alternative designs and materials, transitioning the focus of technological development onto the entire amputee population rather than targeting the most lucrative group, and advancing the design in a fashion to which promotes daily utilization will provide the largest level of societal support, so that the amputee population as a whole can maximize their level of productivity in a manner that will allow this group to conquer the hardships that are introduced into their lives due to a missing appendage.
ContributorsO'Connor, Casey Charles (Author) / Popova, Laura (Thesis director) / Graff, Sarah (Committee member) / Department of Psychology (Contributor) / School of Social Work (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
The El Niño Southern Oscillation (ENSO) consists of a linkage between changes in sea-surface temperatures and atmospheric pressure across the Tropical Pacific. ENSO encompasses three phases: neutral events, warm/El Niño events in which sea-surface temperatures are warmer-than-normal and the pressure gradient decreases across the Equatorial Pacific, and cold/La Niña events in which Tropical Pacific sea-surface temperatures are cooler-than-normal and the pressure gradient increases. Previous studies have determined a connection between variations in ENSO phase and weather patterns across the globe, focusing particularly on surface temperature and precipitation patterns in the United States. However, little research exists that attempts to link changes in ENSO phase with severe weather in Arizona. Therefore, in this study, I analyzed how variations in ENSO phase affect the frequency, intensity, and spatial distribution of four types of severe weather from 1959 to 2016 in Arizona, including a) tornado events, b) severe thunderstorm wind events, c) hail events, and d) heavy rain and flash flood events. I collected data on the Oceanic Niño Index (ONI), a measure of ENSO, as well as storm reports for each severe weather phenomenon dating back to 1959. Then, I analyzed the frequency of each Arizona severe weather event type within each of the twelve annual months and over the entire study period. I also analyzed mean intensity values (Fujita/Enhanced Fujita Scale rating, path width, and path length for tornadoes; hail diameter in millimeters for hail; and wind gust speed for severe thunderstorm wind events) for each severe weather phenomenon, excluding the heavy rain and flash flood events. Finally, I used the Mean Center and Directional Distribution tools in ArcGIS to determine variations in the spatial distribution and mean centers between each ENSO phase for each severe weather event type. I found that ENSO phase, particularly La Niña, does impact the frequency and intensity of tornadoes, hail, thunderstorm wind, and heavy rain/flash flood events in Arizona. However, it appears that ENSO does not affect the spatial distribution of these Arizona severe weather phenomena. These findings attempt to fill in the gap in the literature and could help meteorologists better forecast changes in Arizona severe weather, in turn allowing Arizonans to better prepare for and mitigate the effects of severe weather across the state.
ContributorsGreenwood, Trey Austin (Author) / Cerveny, Randall (Thesis director) / Balling, Robert (Committee member) / School of Geographical Sciences and Urban Planning (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
The main objective of this thesis/creative project was to tackle the idea and condition of Phantom Pain Syndrome (PPS). Simply put, PPS is the feeling of pain in a limb that is no longer there due to an amputation of some sort. These phantom pains/sensations can include twisting, burning, pulling, and stabbing. This condition, while explored, seems to not have many research and therapies to holistically help the amputees effectively that may be struggling with it. Because of this lack of research and uniqueness of the condition, this thesis proposed a research assessment (a new questionnaire) with the goal to re-evaluate current PPS treatments and take deeper looks into the implications of PPS. It is the intent of this new questionnaire to spur further research on three aspects of PPS: physical, mental, and social. The main objective for the new questionnaire that this thesis proposed is to initiate a re-evaluation of current PPS treatments so that more holistic treatments and therapies can be instituted to help amputees that may be struggling with phantom pains/sensations. This re-evaluation and new treatments would ultimately help amputees with PPS regain their bearings in their life, not let the phantom pains control how they act/feel, and walk proudly again in society. This thesis and the proposed new questionnaire were donned the name Project Sahelanthropus because they both aim at helping amputees, regardless of which types of lost limbs, to stand proudly again in society (just as Sahelanthropus tchadensis is believed to be the earliest known hominid to proudly walk bi-pedal or upright compared to other hominids). This thesis is the culmination of five different works: a literature review analyzing current PPS treatments, a literature review analyzing credible questionnaires, a created informed consent form, the proposed new questionnaire, and finally the research proposal itself.
ContributorsDiaz, Brandon Ryan (Author) / Savaglio, Lauren (Thesis director) / Collins, Michael (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05