Biomechanics of Orthopaedic Rehabilitation

A special issue of Bioengineering (ISSN 2306-5354). This special issue belongs to the section "Biomechanics and Sports Medicine".

Deadline for manuscript submissions: 31 December 2024 | Viewed by 1113

Special Issue Editor


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Guest Editor
Department of Kinesiology, Recreation, & Sport Studies, University of Tennessee, Knoxville, TN, USA
Interests: total knee replacement; knee osteoarthritis; gait biomechanics; cycling biomechanics; intervention; footwear; performance and injury mechanisms on synthetic surface

Special Issue Information

Dear Colleagues,

Osteoarthritis (OA) is one of the most common orthopaedic diseases affecting lower extremity joints, especially the knee and hip. There is currently no cure for OA. Pharmaceutical and non- pharmaceutical therapies are often recommended for patients with earlier stages of OA. While joint arthroplasty including partial and total knee arthroplasty (TKA) and total hip arthroplasty (THA) arthroplasty is a popular choice for end-stage OA, post-surgery rehabilitation remains a challenge to the patients and clinicians.  

This Special Issue of “Biomechanics of Orthopaedic Rehabilitation” focuses on advances in biomechanics of rehabilitations related to joint arthroplasty and OA. The topics of this Special Issue are broadly defined and some suggested (but not limited) topics are listed below.

  • Gait rehabilitation;
  • Cycling-related applications in rehabilitation;
  • Muscle activation inhibition and kinesiophobia;
  • Edema and pain;
  • Muscle strengthening and conditioning;
  • Surgical techniques;
  • Implant designs.

Dr. Songning Zhang
Guest Editor

Manuscript Submission Information

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Keywords

  • orthopedic
  • rehabilitation
  • joint arthroplasty
  • biomechanics
  • osteoarthritis
  • rehabilitation
  • pain
  • muscle
  • gait
  • cycling
  • muscle activation inhibition

Published Papers (1 paper)

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Research

10 pages, 480 KiB  
Article
Investigation of Biomechanical Differences in Level Walking between Patients with Bilateral and Unilateral Total Knee Replacements
by Derek Yocum, Alejandro Ovispo-Martinez, Kevin A. Valenzuela, Chen Wen, Harold Cates and Songning Zhang
Bioengineering 2024, 11(8), 763; https://doi.org/10.3390/bioengineering11080763 - 28 Jul 2024
Viewed by 355
Abstract
Due to the high risk of a bilateral total knee arthroplasty (TKR) following unilateral TKR, this study was performed to investigate bilateral TKR patients. Specifically, we examined biomechanical differences between the first replaced and second replaced limbs of bilateral patients. Furthermore, we examined [...] Read more.
Due to the high risk of a bilateral total knee arthroplasty (TKR) following unilateral TKR, this study was performed to investigate bilateral TKR patients. Specifically, we examined biomechanical differences between the first replaced and second replaced limbs of bilateral patients. Furthermore, we examined bilateral TKR effects on hip, knee, and ankle biomechanics, compared to the replaced and non-replaced limbs of unilateral patients. Eleven bilateral patients (70.09 ± 5.41 years, 1.71 ± 0.08 m, 91.78 ± 13.00 kg) and fifteen unilateral TKR patients (65.67 ± 6.18 years, 1.73 ± 0.10 m, 87.72 ± 15.70 kg) were analyzed while performing level walking. A repeated measures one-way ANOVA was performed to analyze between-limb differences within the bilateral TKR group. A 2 × 2 (limb × group) ANOVA was used to determine differences between bilateral and unilateral patients. Our results showed that the second replaced limb exhibited a lower peak initial-stance knee extension moment than the first replaced limb. No other kinematic or kinetic differences were found. Bilateral patients exhibited lower initial-stance knee extension moments, knee abduction moments, and dorsiflexion moments, compared to unilateral patients. Bilateral patients also exhibited lower push-off peak hip flexion moments and vertical GRF. The differences between the first and second replaced limbs of bilateral patients may indicate different adaptation strategies used following a second TKR. The significant group differences indicate that adaptations are different between these groups, and it is not recommended to use patients with unilateral and bilateral TKR together in gait analyses. Full article
(This article belongs to the Special Issue Biomechanics of Orthopaedic Rehabilitation)
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