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An MR-Compatible Device for Imaging the Lower Extremity During Movement and Under Load Team Leader: Eric Bader Communicator: Arinne Lyman BSAC: Christopher Westphal BWIG: Sarajane Stevens Client: Professor Darryl Thelen Advisor: Professor William Murphy Overview Problem Statement Motivation Background – Muscle Anatomy/Injury – Gait Cycle Design Constraints Previous Prototype Preliminary Testing Redesign – Manufacturing – Improvements – Materials and Costs Future Work References http://www.neuroradiologie.ch/ images/photos/machine.jpg Problem Statement Most current muscle imaging techniques are static. New dynamic imaging techniques can provide direct measurements of biomechanical function. However, measuring dynamic motion requires the use of a nonmagnetic device for loading or guiding the limb through a desired, repeatable movement. Our initial intended application is to use Cine-PC (Phase Contrast) imaging to measure in-vivo musculotendon motion of the hamstrings muscles during a stretch-shortening cycle. Cine-PC requires multiple cycles of motion, necessitating that the device guide the limb through a repeatable motion at relatively low loads. Motivation Measure velocity of muscle fibers around scar tissue Prevent re-injury Tailor rehabilitation programs Client stock image Muscle Anatomy/Injury 3 separate muscles Pulled hamstring -Eccentric contraction Scar tissue formation Affects muscle performance Re-injury is common http://www.harkema.u cla.edu/hamstring.jpg Gait Cycle Interested in swing phase Eccentric contraction of hamstring at late swing phase Muscle must change leg direction Adapted from http://206.211.148.195/gettingfunctional/handouts/handout1.pdf Design Constraints Provide repeatable, harmonic motion Same start/end points – bore size Compatible with trigger device Generate physiological load on hamstring Simulate swing phase of running Support thigh – limit movement Non-metallic, non-ferrous materials Previous Prototype Previous Prototype Achieved desired inertial loads Bulky Slack in chain Difficulty adjusting inertia disks Poor material Preliminary Testing Validated inertial loading system Muscle active at end of lengthening Re-design Close Up Manufacturing Mill Lathe Band and Table Saws Improvements More compact Flexion of hip Closed loop design Accommodates both legs Changing disks is simpler Reduces lateral motion Increase gear ratio Materials and Costs Description 10 tooth #35 plastic roller chain sprocket 36 tooth #35 plastic roller chain sprocket #35 plastic roller chain 1.000 I.D. ball bearing 0.625 I.D. ball bearing - Spring 0.625 I.D. ball bearing - Fall 0.375 I.D. ball bearing 5/16" - 18 x 1" nylon hex bolt 5/16" - 18 x 1.5" nylon hex bolt #10-24 x 1" nylon FH machine screw Delrin blocks HDPE sheet Solid surface material Qty Price 2 1 10 1 2 2 1 1 1 20 - $1.64 $4.05 $18.59 $3.60 $9.85 $3.56 $0.40 $0.45 $0.35 - Line Total $3.28 $4.05 $18.59 $7.20 $19.70 $3.56 $0.40 $0.45 $7.00 - Grand Total $64.23 Future Work Design cycle triggering device Validation in motion capture lab Test in MRI – dynamic imaging Submit technote to journal References 1. 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Precise 3D skeletal kinematics using fast phase contrast magnetic resonance imaging. Journal of Magnetic Resonance Imaging. 2003; 17: 206-213. 17. Sheehan FT, Drace JE. Quantitative MR measures if three-dimensional patellar kinematics as a research and diagnostic tool. Medicine and Science in Sports and Exercise. 1999; 31(10): 1339-??. 18. Sheehan F, Zejac FE, Drace J. Imaging musculoskeletal function using dynamic MRI. Rehabilitation R&D Center Progress Report. 1996. 19. Thelen DG, Chumanov ES, Sherry MA, Heiderscheit BC. Neuromusculoskeletal models provice insights intot he mechanisms and rehabilitation of hamstring strains. Exercise and Sports Science Reviews. 2006; 34(3): 135-141. 20. Vedi V, Williams A, Tennant SJ, Spouse E, Hunt DM, Gedroyc WMW. Meniscal movement: an in vivo study using dynamic MRI. British Editorial Society of Bone and Joint Surgery. 1999; 81-B(1):37-41. Questions?