An improved device to measure human response to dorsiflexion and plantar flexion perturbations

Thesis (MEng) -- Stellenbosch University, 2014. ENGLISH ABSTRACT: The Dorsiflexometer is a device designed and built for the assessment of a patient’s balance capabilities. The birth of the Dorsiflexometer is due to a serious need for physiological balance assessment equipment, capable of conducting...

Full description

Bibliographic Details
Main Author: Gildenhuys, Fourie
Other Authors: Dobson, R. T., Stellenbosch University. Faculty of Engineering. Department of Mechanical and Mechatronic Engineering.
Format: Thesis
Language:English
Published: Stellenbosch : Stellenbosch University 2014
Subjects:
Online Access:http://hdl.handle.net/10019.1/96000
Description
Summary:Thesis (MEng) -- Stellenbosch University, 2014. ENGLISH ABSTRACT: The Dorsiflexometer is a device designed and built for the assessment of a patient’s balance capabilities. The birth of the Dorsiflexometer is due to a serious need for physiological balance assessment equipment, capable of conducting dynamic tests in the clinical setting. This is accomplished by recording and analysing the patient’s response to sagittal plane perturbations. The Dorsiflexometer is operated from a computer software interface program. It uses the measurements from a single force plate to calculate four balance metrics’ characterising a patient’s ability to maintain balance. These balance metrics include the sway index, equilibrium score, postural stability index and radius parameter. A single and a double inverted pendulum model of the human body is derived to calculate a patient’s centre of mass movement in the sagittal plane with the measured force plate data and body parameters. Three experiments, involving 48 subjects, were conducted. The experimental tests proved the competency of the machine, the accuracy of both inverted pendulum models and the balance response of seafarers aboard an Antarctic research and supply vessel during rough sea conditions. The tests concluded that the inverted pendulum models can be used to calculate the body centre of mass displacement. The double inverted pendulum model results are more accurate compared with the single inverted pendulum model. During rough sea conditions, the body movement and postural response of seafarers are increased in order to keep themselves upright. The body is furthermore exposed to a fluctuating ground reaction force which may lead to the progression of osteoarthritis and musculoskeletal injuries. The Dorsiflexometer proved to be capable of conducting repeatable assessments and yielding accurate results which can be used to distinguish between balance capabilities. AFRIKKANSE OPSOMMING: Die Dorsiflexometer is ’n apparaat wat die balansvermoë van pasiënte analiseer. ...