Spine Biomechanics and Neuromuscular Control
Our lab assesses how spine neuromuscular control and stability interact with biomechanical (e.g. spine loading, fatigue), physiological (e.g. inflammatory blood markers), and psychological (e.g. kinesiophobia) factors to influence the risk of developing low back disorders during spine movement tasks (e.g. repetitive lifting). Moreover, we study spine neuromuscular control impairments and movement strategies in both induced and chronic low back pain (LBP), as well as changes in control that can occur as the result of interventions (e.g. strength or muscle activation training) and treatments (e.g. physiotherapy and surgery). Finally, as a lab we have been early adopters of dynamical systems analyses and techniques (e.g. local dynamic stability, continuous relative phase, etc) to study spine neuromuscular control and stability during dynamic movement tasks. However, since there are multiple techniques used within the biomechanics and rehabilitation fields for the quantification of spine neuromuscular control and stability, we are proactive in developing collaborative relationships to compare/contrast our techniques with other methodologies (e.g. systems identification) to ensure our work is continuously evolving, valid, and at the cutting-edge of the field.
Novel Measurement Tools and Techniques
Many techniques used in biomechanical research require expensive, immovable equipment, which reduces the utility of this equipment to most clinicians, ergonomists and coaches. Therefore, an aim of the lab is to develop novel measurement tools and techniques that are able to be implemented for clinical, ergonomic, research and sport use. In order for widespread use, the novel measurement tools and techniques need to be affordable, transportable, flexible, reliable, and easily interpretable. As a lab, we have developed an IOS and android application that combines the use of wearable sensors (inertial measurement units; IMUs) and spinal control/movement quality measures to assist in the diagnosis and treatment of low back disorders in the clinic. We are also integrating the use of video cameras and depth sensors paired with convolutional neural networks as alternatives to expensive motion capture systems for field-based movement assessments. In addition, the trunk is often represented as either a one- or two-segment rigid body; however, each intervertebral joint is capable of its own independent motion. Therefore, we are developing an intervertebral model that is able to analyze motion at each intervertebral joint for a deeper kinematic understanding of differences between low back disorders and to assist in the diagnosis of low back disorders in the clinic.
Movement screens are used to identify abnormal movement patterns that are 1) indicative of dysfunction, or 2) may increase the risk of injury or hinder performance. Abnormal patterns are traditionally detected through visual observations by a coach, clinician or ergonomist; however, there are limitations to these subjective movement screens (i.e. poor inter and intra-rater reliability, differences need to be large enough to be seen by the observer, etc.). Therefore, we are developing and refining quantitative data-driven methods to reduce issues related to reliability, and offer the potential to detect new and important features that may not be observable by the human eye. We are currently applying pattern recognition techniques to whole-body kinetic and kinematic data (e.g. principal component analysis) to detect important features that can then be used for more advanced analyses. Currently, we are developing new techniques and methods for detecting movement strategies and quality in athletes, employees (e.g. military), and patients (e.g. low back pain patients).
Movement Strategy and Quality Assessment
Advancements in computing technology have brought in silico simulations to the leading edge of human movement analysis. Musculoskeletal modelling allows researchers and clinicians to assess muscle force generation and joint loading in an effort to delineate cause-and-effect relationships. One commonly used platform is open-source software called OpenSim. We have been working to improve OpenSim models for assessing spine biomechanics and ergonomic tasks such as lifting. Recent work has been aimed at: 1) developing and validating an improved full-body lumbar spine model for the assessment of spine loading during lifting tasks, and 2) developing an improved MATLAB/OpenSim API for incorporating stability constraints within any OpenSim musculoskeletal model. Furthermore, we are working on developing subject-specific 3D models based on 2D x-ray images using machine learning and statistical shape modelling.
As data sets continue to grow in size, we have been implementing pattern recognition techniques (i.e. principal component analysis) and machine learning to identify important features of a data set and to classify these data based on different classifiers (i.e. risk of injury, movement type, skill level). We have previously used machine learning techniques such as binary logistic regressions, linear discriminant analyses, support vector machines, k-nearest neighbors, clustering and neural networks. We are using these methods to classify data within ergonomic (i.e. military), clinical (e.g. LBP assessment), and sport (e.g. screening athletes) settings to help with injury prediction, identification, and rehabilitation.