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    Objective measurement of inferior-directed stiffness in glenohumeral joint using a specially designed robotic device in healthy shoulders; within- and between-session reliability

    , Article Journal of Biomechanics ; Volume 127 , 2021 ; 00219290 (ISSN) Azarsa, M. H ; Mirbagheri, A. R ; Hosseini, R ; Shadmehr, A ; Karimi, N ; Sharif University of Technology
    Elsevier Ltd  2021
    Abstract
    Clinical assessment of capsuloligamentous structures of the glenohumeral joint has been qualitative and subjective in nature, as demonstrated by limited intra- and inter-rater reliability. Robotic devices were utilized to develop a clinically objective measurement technique for glenohumeral joint stiffness. The purpose of this study was to quantify the amount of inferior-direction stiffness of the glenohumeral joint using a safe clinical device in the asymptomatic individuals, and to determine between trial and between session reliability of the robotic device. Twenty healthy subjects were recruited via convenience sampling. Inferior-directed translation and applying force were measured... 

    The biomechanical response of the lower cervical spine post laminectomy: geometrically-parametric patient-specific finite element analyses

    , Article Journal of Medical and Biological Engineering ; Volume 41, Issue 1 , 2021 , Pages 59-70 ; 16090985 (ISSN) Nikkhoo, M ; Cheng, C. H ; Wang, J. L ; Niu, C. C ; Parnianpour, M ; Khalaf, K ; Sharif University of Technology
    Springer Science and Business Media Deutschland GmbH  2021
    Abstract
    Purpose: This study aimed to investigate the biomechanical impact of laminectomy on cervical intersegmental motion and load sharing using a parametric patient-specific finite element (FE) model towards providing clinicians with a viable quantitative tool for informed decision-making and improved surgical planning. Methods: Ten subject-specific nonlinear osteo-ligamentous cervical spine (C3–C7) FE models were developed using X-ray image-based algorithms. The models were used to evaluate the effect of laminectomy on lower cervical spine biomechanics for two-level (C3–C4) and three-level (C3–C5) laminectomy procedures. Results: The average cervical spine ranges of motion (ROM) for the pre-op...