Purpose: The research was focused on determining basic mechanical properties, surface, and phase structure taking into consideration basic cytotoxicity analysis towards human cells.
Methods: Biological tests were performed on human C-12302 fibroblasts cells using 3D-printed Ti6Al4V alloy (Ti64), produced by laser-based powder bed fusion (LB-PBF) and Alumina Toughened Zirconia 20 (ATZ20), produced by lithography-based ceramic manufacturing (LCM). Surface modifications included electropolishing and hydroxyapatite or hydroxyapatite/zinc coating. Structure analysis was carried out using a variety of techniques such as X-Ray diffraction, scanning electron microscopy (SEM), transmission electron microscopy (TEM) and confocal laser scanning microscopy (CLSM), followed by mechanical properties evaluation using nanoindentation testing.
Results: Samples subjected to surface modifications showed diversity among surface and phase structure and mechanical properties. However, the cytotoxicity towards tested cells was not significantly higher than the control. Though, a trend was noted among the materials analysed, indicating that HAp/Zn coating on Ti64 and ATZ20 resulted in the best biological performance increasing cell survivability by more than 10%.
Conclusions: Hydroxyapatite coating on Ti64 and ATZ20 resulted in the best biological properties. Tested materials are suitable for in vivo toxicity testin.
Purpose: Patellofemoral pain syndrome is a common orthopedic trauma among runners. It is unclear whether patellofemoral joint stress (PFJS) is the highest (or lowest) when the knee joint flexion angle and extension moment are in combination under the condition that vastus medialis (VM) activation decreases. This study aimed to investigate the effects of changes in the PFJ contact area by decreasing the activation of the VM muscle on PFJS.
Methods: A PFJ sagittal model was used to quantify PFJ reaction force and PFJS. The PFJ model and mathematical modelling procedure were used to quantify PFJS based on previous studies. The simulation ranges were set to knee joint flexion angles of 10-45° and extension moments of 0-240 Nm. PFJS was calculated for the normal condition (NC) and decrease condition (DC) in VM activation.
Results: When the knee joint angle and knee joint moment were at the maximum, the PFJS showed the maximum value under both conditions (NC; 14.9 N/cm2, DC; 16.4 N/cm2). PFJS was found to be higher in DC than that in NC for all simulation ranges.
Conclusion: Decreased VM activation may be involved in the mechanism of patellofemoral pain syndrome. In addition, the results of this study provide evidence that clinicians can enhance VM to relieve pain in patients with patellofemoral pain syndrome.
A high in-stent restenosis rate and thrombosis have compromised clinical benefits after vascular stent placement. Exercise rehabilitation after stenting emerges as a promising and practical therapeutic strategy to improve the clinical performance of this therapy, although it remains controversial. The present study aimed to explore the impact of exercise training on hemodynamic performance after vascular stent implantation. Different 3-dimensional computational models based on the patient-specific carotids were constructed to calculate hemodynamic parameters, including flow velocity, time-averaged wall shear (TAWSS), oscillatory shear index (OSI) and relative residence time (RRT). The results demonstrated that exercise training increased TAWSS but decreased OSI and RRT in some cases after the intervention, and high-intensity exercise further suppressed the adverse blood flow. However, exercise training remarkably reduced TAWSS and elevated OSI and RRT in patients with mild stenosis at upstream of stented segment. Additionally, we discovered that the hemodynamic environment change induced by exercise training was not significant compared to the stent position in some cases. Exercise had a less beneficial impact on the disturbed blood flow after the distal common carotid artery (CCA) stenting. These findings highlighted that exercise-induced hemodynamic changes differ under different conditions. The exercise training for the intervention patients should only be performed after a comprehensive vascular function assessment.
Purpose: This study aimed to develop an energy-absorbing structure for bicycle helmets to minimize head injuries caused by collisions. The research team explored three geometric structures produced through additive methods and compares their energy absorption properties with a standard bicycle helmet made of Expanded Polystyrene (EPS) foam.
Methods: The study prepared samples of three geometric structures (a ball, a honeycomb and a conical shape) and a fragment of a bicycle helmet made of EPS foam with the same overall dimensions. Laboratory tests were conducted using a pneumatic hammer, piston compressor, anvil, triaxial accelerometer and data processing systems. Three crash tests were performed for each type of structure, and the anvil's maximum acceleration and stopping distance after the crash were analyzed.
Results: The study found that the energy absorption properties of the Polylactic Acid (PLA) material printed with the incremental method were comparable or better than those of the EPS material used in helmets. The geometric structure of the energy-absorbing material played a crucial role in its effectiveness. The most promising results were obtained for the ball samples.
Conclusions: The study concluded that further research on energy-absorbing structures made using the Fused Deposition Modeling (FDM) method could be useful in the production of bicycle helmets. The results show that the geometric structure of the energy-absorbing material is a crucial factor in its effectiveness. The findings suggest that the ballshaped structure made with PLA material printed using the incremental method could be a promising design for bicycle helmets to minimize head injuries caused by collisions.
Purpose: The aim of the study was to assess static postural stability under fatigue in subjects with chronic ankle instability - "copers" in comparison with healthy controls.
Methods: We conducted a prospective study on a group of 60 young, physically active subjects, divided into 3 groups: I - 14 subjects with unilateral ankle instability, II - 15 subjects with bilateral ankle instability, III - 31 healthy subjects, without ankle instability. The fatigue trial was based on modified Short-Term Fatigue Protocol. Static stabilography was performed with the use of HUR platform.
Results: showed an increase in the value of COP trace length after fatigue test in study population I. The level of COP trace length Z before fatigue was significantly lower than after fatigue. Subjects from study population I had higher levels of COP trace length Z in comparison with the control group. The main effect for the group also proved to be significant. Study population I had higher levels of COP trace length Z in comparison with the control group. For the measurement after fatigue, there was significant difference only between the study population I and the control group.
Conclusions: The incidence of structural ankle instability was not correlated with functional instability. Subjects with ankle instability, or "copers", had good functional levels, enabling them to perform sports activities. "Copers" had weakened proprioception in static stabilography tests. Short and intense fatigue protocol weakened the ability to maintain balance in static stabilography test with eyes closed.
Purpose: Abnormal iris mechanical properties have been considered to be an important cause of pupillary-block and angle-closure glaucoma. In this research, viscoelasticity, anisotropy and location-dependence of mechanical properties of rabbit iris were investigated using uniaxial tensile test.
Methods: Iris strips were taken along three directions: inner-circumferential direction (ICD), outer-circumferential direction (OCD) and radial direction (RD), respectively. Quasi-static tensile tests and stress-relaxation tests were applied on the iris strips. Then, the stress-stretch data was fitted with third order Ogden model; the stress-relaxation data was fitted with the third order Prony series model. Through comparing the tangent modulus and relaxation limit of the strips from different directions and locations, the viscoelasticity, anisotropy and location-dependence of mechanical properties of rabbit iris were explored.
Results: The tangent moduli of iris at the stretch of 1.05 along ICD, OCD, and RD were 3.2 ± 1.4 kPa, 4.2 ± 2.6 kPa, 1.5 ± 0.8 kPa, respectively. Iris strips in ICD and OCD were found to have almost the same stress-relaxation behavior, and both relaxed slower than iris strips in RD.
Conclusions: The mechanical properties of the iris were typically nonlinear, viscoelastic, anisotropic and location-dependent. The stress growth rate of the circumferential direction iris strip is significantly lower than that of RD and the stress-relaxation rate is significantly higher than that of the RD. That is, the iris is more prone to deformation in RD and the stress-retention ability after deformation in RD is weak, which is consistent with the fact that the iris bombe more likely happens in RD in vivo. The results of this study may also help us to establish a more accurate finite element model to simulate the flow field of humor aqueous and find the key factor of pupillary-block.

