Sharif Digital Repository

Background: The aim of this study was to assess the performance of an original powered foot clearance creator (PFCC) mechanism worn in conjunction with an isocentric reciprocal gait orthosis (IRGO) and evaluate its effect on trunk compensatory movements and spatiotemporal parameters in nine healthy subjects. Method: A PFCC motorized mechanism was designed that incorporated twin sole plates, the movements of which enabled increased toe to floor clearance during swing phase. A prototype was constructed in combination with an IRGO, and hence was re-named as an IRGO-PFCC orthosis. The effects of IRGO-PFCC usage on the spatiotemporal parameters and trunk compensatory movements during walking were... 

Physical problems caused by fractures, aging, stroke, and accidents can reduce foot power; these, in the long term, can dwindle the muscles of the waist, thighs, and legs. These conditions provide the basis for the invalidism of the harmed people. In this study, a saddle-walker was designed and evaluated to help people suffering from spinal cord injury and patients with lower limb weakness. This S-AD works based on body weight support against the previously report designs. This saddle-walker consisted of a non-powered four-wheel walker helping to walk and a powered mechanism for the sit-to-stand (STS) transfer. A set of experiments were done on the STS in the use of the standard walker and... 

The dopaminergic system, a spinal cord (SC) motor circuit regulator, is administrated by sexual hormones and evolutionary conserved in all vertebrates. Accordingly, we hypothesized that the dopamine receptor (DAR) expression pattern may be dissimilar in female and male zebrafish SC auto repair. We implemented an uncomplicated method to induce spinal cord injury (SCI) on fully reproductive adult zebrafish, in both genders. SCI was induced using a 28-gauge needle at 9th-10th vertebra without skin incision. Thereupon, lesioned SC was harvested for DAR gene expression analysis; zebrafish were tracked routinely for any improvement in swim distance, speed, and their roaming... 

Spinal cord is a long, thin, tubular bundle of nervous tissue located in the vertebral column. Since the spinal cord is one of the most crucial pathways for information connecting of the central nervous system, it has to stay safe under any blunt impact loading, i.e., accident, punch, gunshot, burst, etc. Therefore, it is important to investigate the possible injuries that may occur in the vertebral column, especially the spinal cord, as a result of blunt loading. However, due to various experimental limitations, numerical modelling, specifically finite element (FE) models, has been beneficial in predicting the injury to the spinal cord. This study, thus, aimed at predicting the stresses and... 

The majority of the people with incomplete spinal cord injury lose their walking ability, due to the weakness of their muscle motors in providing torque. As a result, developing assistive devices to improve their conditionis of great importance. In this study, a combined application of the saddle-assistive device (S-AD) and mechanical medial linkage or thosis was evaluated to improve the walking ability in patients with spinal cord injury in the gait laboratory. This mobile assistive device is called the saddle-assistive device equipped with medial linkage or thosis (S-ADEM). In this device, a mechanical orthosis was used in a wheeled walker as previously done in the literature. Initially,... 

The high prevalence of shoulder pain in using walkers in patients who have spinal cord injury (SCI). Also, the limited options available to economically measure grip forces in walkers, which drove the need to create one. This article describes a method to obtain upper-extremities’ forces and moments in a person with SCI by designing an appropriate instrumented walker. First, since the commercial multidirectional loadcells are too expensive, custom loadcells are fabricated. Ultimately, a complete gait analysis by means of VICON motion analysis and using inverse dynamic method has been held to measure upper-extremities’ efforts. The results for a person with SCI using a two-wheel walker in low... 

The high prevalence of shoulder pain in using walkers in patients who have spinal cord injury (SCI). Also, the limited options available to economically measure grip forces in walkers, which drove the need to create one. This article describes a method to obtain upper-extremities’ forces and moments in a person with SCI by designing an appropriate instrumented walker. First, since the commercial multidirectional loadcells are too expensive, custom loadcells are fabricated. Ultimately, a complete gait analysis by means of VICON motion analysis and using inverse dynamic method has been held to measure upper-extremities’ efforts. The results for a person with SCI using a two-wheel walker in low... 

Background: The aim of this study was to assess the performance of an original powered foot clearance creator (PFCC) mechanism worn in conjunction with an isocentric reciprocal gait orthosis (IRGO) and evaluate its effect on trunk compensatory movements and spatiotemporal parameters in nine healthy subjects. Method: A PFCC motorized mechanism was designed that incorporated twin sole plates, the movements of which enabled increased toe to floor clearance during swing phase. A prototype was constructed in combination with an IRGO, and hence was re-named as an IRGO-PFCC orthosis. The effects of IRGO-PFCC usage on the spatiotemporal parameters and trunk compensatory movements during walking were... 

This paper describes a nursing robot system currently under development at the Center of Excellence in Design, Robotics and Automation. Our goal was to design and fabricate of a robot specifically for paraplegic patients and the design procedure led to a plan which can be employed in any hospital environment. Through the design procedure, the team members conducted a survey on the robot client's needs and disabilities which provided a unique view on mechanical design features, in addition to, performing dynamical analysis on the designed mechanisms. Dynamical Simulation of mechanisms helped us to find the best design and solutions as well as optimization of parts has resulted in a matchless... 

Herniation in the lumbar area is one of the most common diseases which results in lower back pain (LBP) causing discomfort and inconvenience in the patients' daily lives. A computer aided diagnosis (CAD) system can be of immense benefit as it generates diagnostic results within a short time while increasing precision of diagnosis and eliminating human errors. We have proposed a new method for automatic diagnosis of lumbar disc herniation based on clinical MRI data. We use T2-W sagittal and myelograph images. The presented method has been applied on 30 clinical cases, each containing 7 discs (210 lumbar discs) for the herniation diagnosis. We employ Otsu thresholding method to extract the... 

A large number of treatment approaches have been used for spinal cord injury improvement, a medically incurable disorder, and subsequently stem cell transplantation appears to be a promising strategy. The main objective of this study is to ascertain whether combinational therapy of human neural stem cells (hNSCs) together with lithium chloride improves cell survival, proliferation, and differentiation in a rat spinal contusion model, or not. Contusive spinal cord injury was implemented on Wistar male rats. Experimental groups comprised of: control, hNSCs transplanted, lithium chloride (Li), and hNSCs and lithium chloride (hNSCs + Li). In every experimental group, locomotor activity score and... 

This paper will focus on the design and development of a new gait training robotic device (LOKOIRAN) for patients with balance and locomotion disorders. The process of rehabilitation in this system is based on partial weight bearing system and programmable foot-plate training. The system consisted of several subsystems following: Driving and transmission system, back supporting system, leg exoskeleton, body weight support system and control system. A virtual reality environment was also designed and integrated to the system in order to motivate patients during rehabilitation protocol. The experimental tests on healthy subjects were performed to evaluate the performances of mechanical and... 

Lumbar disc diseases are the commonest complaint of Lower Back Pain (LBP). In this paper, a new method for automatic diagnosis of lumbar disc herniation is proposed which is based on clinical Magnetic Resonance Images (MRI) data. We use T2-W sagittal and myelograph images. Our method uses Otsu thresholding method to extract the spinal cord from MR images of Lumbar disc. In the next step, a third-order polynomial is aligned on the extracted spinal cords, and in the end of preprocessing step all the T2-W sagittal images are prepared for extracting disc boundary and labeling. After labeling and extracting a ROI for each disc, intensity and shape features are used for classification. The... 

In this study, a system of dexamethasone sodium phosphate (DEXP)-loaded chitosan nanoparticles embedded in poly-ε-caprolacton (PCL) and gelatin electrospun nanofiber scaffold was introduced with potential therapeutic application for treatment of the nervous system. Besides anti-inflammatory properties, DEXP act through its glucocorticoid receptors, which are involved in the inhibition of astrocyte proliferation and microglial activation. Bovine serum albumin (BSA) was used to improve the encapsulation efficiency of DEXP within chitosan nanoparticles and to overcome its initial burst release. BSA incorporation within the chitosan nanoparticles increased the encapsulation efficiency of DEXP...