Is Dynamic Spino-Pelvic Alignment During Gait Associated with Quality of Life in Patients with Degenerative Lumbar Spinal Canal Stenosis?

This study aims to investigate the relationship between dynamic alignment of the spine and pelvis during gait and quality of life (QOL) in lumbar spinal canal stenosis (LSS) patients. We evaluated QOL using the Oswestry Disability Index (ODI), trunk and hip muscle strength as physical function, static spinal alignment, and dynamic spinal/pelvic alignment during gait. The relationship between the ODI score and physical function or static and dynamic alignment were examined. A total of 30 preoperative patients with LSS were participated in this study. ODI score significantly correlated with trunk extension strength (r = -0.559, p = 0.002), hip extension strength (r = -0.473, p = 0.011), maximum flexion angle of spine during gait (r = -0.551, p = 0.002) and maximum anterior tilt angle of pelvis (r = 0.528, p = 0.004). Multiple regression analysis showed that trunk extension strength (standardized β; - 0.35), maximum spinal flexion angle (standardized β; - 0.51) and hip extension strength (standardized β; - 0.40) significantly affected the ODI score, with adjusted coefficient of determination of 0.62. The results of this study showed that the LSS patients with weak hip or trunk extensor muscles, a greater angle of pelvic tilt or a less spinal flexion during gait had a lower QOL.

Dynamic Alignment and Plasmoid Formation in Relativistic Magnetohydrodynamic Turbulence

We present high-resolution 2D and 3D simulations of magnetized decaying turbulence in relativistic, resistive magnetohydrodynamics. The simulations show dynamic formation of large-scale intermittent long-lived current sheets being disrupted into plasmoid chains by the tearing instability. These current sheets are locations of enhanced magnetic-field dissipation and heating of the plasma. We find magnetic energy spectra ∝k −3/2, together with strongly pronounced dynamic alignment of Elsässer fields and of velocity and magnetic fields, for strong guide-field turbulence, whereas we retrieve spectra ∝k −5/3 for the case of a weak guide-field.

Dynamic Knee Joint Line Orientation Is Not Predictive of Tibio-Femoral Load Distribution During Walking

Some approaches in total knee arthroplasty aim for an oblique joint line to achieve an even medio-lateral load distribution across the condyles during the stance phase of gait. While there is much focus on the angulation of the joint line in static frontal radiographs, precise knowledge of the associated dynamic joint line orientation and the internal joint loading is limited. The aim of this study was to analyze how static alignment in frontal radiographs relates to dynamic alignment and load distribution, based on direct measurements of the internal joint loading and kinematics. A unique and novel combination of telemetrically measured in vivo knee joint loading and simultaneous internal joint kinematics derived from mobile fluoroscopy (“CAMS-Knee dataset”) was employed to access the dynamic alignment and internal joint loading in 6 TKA patients during level walking. Static alignment was measured in standard frontal postoperative radiographs while external adduction moments were computed based on ground reaction forces. Both static and dynamic parameters were analyzed to identify correlations using linear and non-linear regression. At peak loading during gait, the joint line was tilted laterally by 4°–7° compared to the static joint line in most patients. This dynamic joint line tilt did not show a strong correlation with the medial force (R2: 0.17) or with the mediolateral force distribution (pseudo R2: 0.19). However, the external adduction moment showed a strong correlation with the medial force (R2: 0.85) and with the mediolateral force distribution (pseudo R2: 0.78). Alignment measured in static radiographs has only limited predictive power for dynamic kinematics and loading, and even the dynamic orientation of the joint line is not an important factor for the medio-lateral knee load distribution. Preventive and rehabilitative measures should focus on the external knee adduction moment based on the vertical and horizontal components of the ground reaction forces.

Effects of Ship Propulsion Shafting Alignment on Whirling Vibration and Bearing Temperature Response

Ship’s propulsion shafting is one of the main sources of ship vibration and noise. The shafting, whirling vibrations, and alignment are important factors that affect the comfort, stability, and reliability during a ship’s navigation. However, the mechanism of the interacting of the both factors is not fully revealed. In this paper, the effect of shafting alignment on whirling vibration and the bearing temperature response is studied by experiment. The test scheme is designed reasonably according to the theoretical analysis. The results show that the horizontal component of the shafting whirling vibration can be effectively reduced by adjusting the shafting alignment state while the vertical component is not. The shafting axis balancing position (SABP) slightly moves upward in high speed, which should be considered in the dynamic alignment design of the shafting, especially for the high-speed shafting. Little ABSB (the angle between the shafting centre line and the No. 1 bearing centre line) is beneficial to the stable operation of shafting, while appropriately increasing the ABSB and bearing load is beneficial to reducing the shafting whirling vibration. By balancing the relationship between bearing load and ABSB, the performance of whirling vibration and bearing temperature response can be optimized.

Dynamic alignment changes during level walking in patients with dropped head syndrome: analyses using a three-dimensional motion analysis system

In patients with dropped head syndrome (DHS), cervical malalignment is one of the risk factors for impaired horizontal gaze and restrictions to ambulation. The characteristics of gait in patients with DHS have not been clarified biomechanically from the viewpoint of dynamic alignment and lower limb kinematics. This study aimed to clarify kinematic and kinetic differences during level walking in patients with DHS compared to the healthy elderly. Twelve patients with DHS and healthy elderly individuals performed level walking at a self-selected speed. Spatiotemporal, kinematic, and kinetic data were recorded using a three-dimensional motion analysis system. Statistical analysis was performed to compare these data between the two groups, respectively. Compared with the healthy elderly, stride length and peak hip-joint extension angle in patients with DHS were significantly shorter and smaller. The thorax was also significantly tilted backwards. Peak ankle-joint plantar-flexion moment was significantly smaller despite larger dorsiflexion angle compared with the healthy elderly. The walking of DHS patients demonstrated kinematic and kinetic characteristics of the lower limb joints and alignment of the thorax and pelvis corresponding to their short stride and walking speed.