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System Design of a Knee Motion Sensor to Prevent ACL Injuries Taban Yazdani Anthony Petro Anas Alharbi Salima Sekandari Ost1st http://guardianlv.com/ http://www.nytimes.com/ http://www.themichelicenter.com/ Sponsor: Dr. Lance Sherry Play harder. Play longer. You kneed it. ACL tear Knee motion sensor Situational awareness for athlete during game time Uninjured athlete 1/13 NCAA female athletes sustain ACL injuries

Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

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Page 1: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

System Design of a Knee Motion Sensor to Prevent

ACL InjuriesTaban Yazdani Anthony Petro Anas Alharbi

Salima Sekandari

Ost1st

http://guardianlv.com/

http://www.nytimes.com/

http://www.themichelicenter.com/

Sponsor:Dr. Lance Sherry

Play harder.Play longer.You kneed it.

ACL tearKnee motion

sensor Situational awareness for athlete during game time

Uninjured athlete

1/13 NCAA female athletes sustain ACL injuries

Page 2: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

Agenda: SE V-Model

2

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Team Contribution

3

Burns, M., Tesnow, A., Attyah, A., & Miller, S. (2016, April 29).

2016 - BASS 2017- KMS

Arduino Uno Arduino-ESP8266

1 Accelerometer 3-axis accelerometer

1 Flex sensor 2 Flex sensors

2 Pressure Pads

Excessive Testing

Page 4: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

1. Context Analysis

4

Page 5: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

Enterprise: NCAAThe National Collegiate Athletic Association is a non-profit association which regulates

(NCAA, 2010)

400,000 student-athletes

23 sports

1000 member institutions

Every year more than 55,000 NCAA student-athletes across 15 high-risk sports sustain an

ACL injury (NCAA, 2009). 5

For 2011-12, the NCAA generated $871.6

million in revenue.Hootman, Jennifer M, Randall Dick, and Julie Agel (2007)

Page 6: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

What is the ACL?

Anterior - Situated before or at the front

Cruciate - Shaped like a cross or an X

Ligament - A band of fibrous tissue which connects and stabilizes

bones

6

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Why are ACL Injuries Important?

1. Occur frequentlya. 100,000-200,000 occur every year in the United States (Rosemont, 2004)

2. Women athletes are more susceptible

a. NCAA female athletes are 2 to 8 times more likely to suffer from an ACL injury

than male athletes (Barber SD, 2006)

3. ACL injuries DO NOT heal on their own

4. Expensive surgery treatmenta. ACL surgery can cost anywhere between $800-$50,000 (Owen, 2013)

5. Long recovery time a. A full recovery can take 6-9 months

7

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2. Stakeholders Analysis

8

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Stakeholder Diagram

9

+

-

-

- -

-

-

+

Page 10: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

Gap Analysis

1 out of every 13 female NCAA

athletes sustains an ACL injury

Force on ACL: No method to actively

measure ACL strain Strain Awareness:

Athletes are unaware of what they are doing wrong in game settings NCAA Data for ACL Injury Rates 2010

10

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3. Problem Statement

11

Page 12: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

Problem Statement

Despite the large number of studies being done on identifying ACL injuries and its failure mechanisms

1 out of every 13 female NCAA athletes sustains an ACL injury. There is no system in place quantifying the strain on the ACL in

order to prevent ACL injuries from happening to athletes.

12

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Need Statement

There is a need for a system that provides situational awareness for athletes in a game environment by:

Estimating the strain applied to the ACL in game situations

Alerting the athlete when a motion they have performed causes a strain that exceeds 2100+-50N

13

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Knee Joint Anatomy

1. Bones

- Femur

- Tibia

- Febula

- Patella

14

Five major components construct the

knee:

2. Muscles:- Hamstring

- Quadriceps

- Gastronomio

3. Cartilage

4.Tendons:- Patellar

- Quadriceps

5. Ligament:- MCL- LCL- PCL- ACL(Anterior

Cruciate Ligament)http://www.gettyimages.com

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Motions That Cause ACL Injuries

Non-Contact Injuries (70%)

1. Rapid change of direction while running

2. Sudden stop

3. Slowing down while running

4. Landing from a jump incorrectly

Contact Injuries (30%)

5. Direct contact or collision, such as a football tackle

15

http://corewalking.com/

ACL tears at 2100 +- 50 N (Quatman 2010)ACL Tear

Tibia

Femur

Gap puts strain

on ACL

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Equations of the Motion of the Knee:

1) Knee Frames 2) Angles

Xsh

Ysh

Xe

YeXe = x-axis of the earth

Ye = y-axis of the earth

Xsh = x-axis of the shank

Ysh = y-axis of the shank

sh= Shank Angle

16

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3) Forces on the ACL

Ff = Foot Force

Fs= Shank Force

Fg

= Ground Reaction Force

Fq

= Quadriceps Force

Fh= Hamstring Force

Fc= Gastrocnemius Force

TSF = Tibial Shear Force

17Fg

Fc

Ff

Fs

Fq

Fh

FBones

TSF

YeYsh

Transmitted Forces

Muscle Forces

External Force

Myres (2010)

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Myers (2010) 18

4) Newton’s Second Law :

Tibial Shear Force : Tear At 2100 +- 50 N (Quatman 2010)

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Muscle Forces in TSF Equation

19

Myers (2010)

FGastr

o

FQua

d

FHa

m

flex

Sh

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Sensitivity Analysis on TSF Minimize Maximize

Maximizing Muscle Forces:

Quadriceps

Hamstring

20

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Sensitivity Analysis

21

Maximize hamstring muscle force:

→ Shank Angle should be close to 90 degrees

Maximize quadriceps muscle force:

→ Flex angle should be small (closer to 0 degrees)

Maximize

Minimize

Maximize

Maximize

h

h

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4. Concept of Operations

22

Page 23: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

The solution is to create and implement a knee motion sensor that shall provide real-time situational awareness for the athlete in a game by:

Using inputs retrieved from sensors and converting it into usable data The data will then be used with tibial shear force equations to determine the

amount of strain being placed on the ACL Once the risk of the strain being placed is determined, the system can then

alert the user of an elevated risk The athlete can then use this situational awareness for a post-game

analysis to see what movements they are doing that are dangerous to their ACL

Concept of Operations (CONOPS)

23

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5. Requirements

24

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Mission RequirementsNumber Requirement

M.1 The system shall alert the user when the estimated TSF is approaching 2100 - 50 N.

M.2 The system shall calculate the strain on the knee with an accuracy of no less than 85%.

M.3 The system shall calculate the knee flex angle with an accuracy of no less than 85%.

M.4 The system shall calculate the ankle flex angle with an accuracy of no less than 85%.

M.5 The system shall calculate pressure with an accuracy of no less than 85%.

M.6 The system shall calculate the acceleration within 3 m/s^2 of error.

M. 7 The system shall not hinder the athlete’s performance.

M.7.1 The system shall not be larger than 10 by 10 cm in size.

M.7.2 The system shall weigh no greater than 6 ounces.

25

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Functional Requirements Number Requirement

F.1 The system shall calculate the tibial shear force.

F.2 The system shall measure the shank angle.

F.3 The system shall measure the flexion angle.

F.4 The system shall measure the acceleration of the foot in the x, y and z directions.

F.5 The system shall measure the acceleration of the shank in the x, y and z directions.

F.6 The system shall measure the ground reaction force in the x, y and z directions.

F.7 The system shall acquire data from the sensors.

F.8 The system shall detect a TSF greater than the warning threshold.

F.9 The system shall alert the user when the TSF is greater than the warning 2100 - 50N.

26

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Design Requirements

27

Number Requirement

D.1 The system shall include a haptic, visual, and audible device to alert the user when the TSF is greater than the

warning threshold.

D.2 The system shall weigh no more than 6 ounces.

D.3 The system shall be water resistant.

D.4 The system shall not be bigger than 10 by 10 cm in size.

D.5 The battery life shall last no less than 2 hours

D.6 The sensor shall not move and stay attached to the knee sleeve

D.7 The sensor shall be enclosed in a shock resistant cover.

Page 28: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

6. Design

28

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29

Functional Description Diagram

Page 30: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

Estimating TSF with Sensors

30

Term in TSF Sensor

1.Shank Acceleration Accelerometer

2.Shank Angle Flex Sensor

3.Flex Angle Flex Sensor

4.Foot Force Pressure Pad

5.Ground Reaction Force

Pressure Pad + Accelerometer

Page 31: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

Circuit Diagram

31

Page 32: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

7. Building

32

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Arduino Code

33

Accelerometer communication

Multiplexer pin selection

Wifi parameters

Page 34: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

Arduino Code (Cntd)

34

Matlab connection starts data collection

Stores accelerometerinputs

Conversions using equations

TSF equation

Page 35: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

Matlab Code

35

Collects data from arduino

Plots data

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Matlab Interface

36

Page 37: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

Matlab Graphical Interface

37

Page 38: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

3D Cad Modeling for Enclosure

38

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Prototyping Breadboard and Custom Bracketry

39

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KMS Device

40

Open Cover

Accelerometer

Pressure pads

Flex sensors

KMS

Page 41: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

8. Unit Test

41

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Sensor Calibration

42

Resistor(Ω) Minimum(40 lb)

Maximum(260lb)

Range

330 1024 1024 Out of Range

1k 848 287 561

2k 901 252 649

5k 110 46 64

10k 56 44 12

resistor(Ω) Minimum(160 degrees)

Maximum(97 degrees)

Range

<=100k 1024 1024 Out of Range

120k 580 1019 439

137.5k 470 920 450

147k 430 905 475

200k 404 697 293

>=220k 1024 1024 Out of Range

resistor(Ω) Minimum(180 degrees)

Maximum(25 degrees)

Range

<=100k 1024 1024 Out of Range

110k 653 960 307

120k 513 950 437

135k 667 990 323

145k 510 810 300

>=150k 1024 1024 Out of Range

Pressure Pads : Ankle Flex Sensor: Knee Flex Sensor:

Page 43: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

System Test

43

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System Test Plan

44

Test Item

Description Test Case Requirement Objective Materials

1.0 Pressure Sensor

1.1 Pressure Sensor Calibration1.2 Bent Leg Test 1.3 Straight Leg Test1.4 Placing Weights Test

M5. The system shall calculate

pressure with an accuracy of no

less than 85%.

Validate the pressure sensor

data to find accuracy of sensor.

Two pressure sensor, one

digital Scale, block, Arduino

board,BreadBoard, four jumper

wires.

2.0 Flex Sensor (Knee and Ankle)

2.1 Ankle Sensor Calibration 2.2 Knee Sensor Calibration 2.3 Electronic Goniometer vs Flex Sensor Test

M3.The system shall calculate the

knee flex angle with an accuracy of no

less than 85%.

-----------------------------------------

M4.The system shall calculate the

knee flex angle with an accuracy of no

less than 85%.

Test the accuracy of the angle measurements of the flex sensors attached to the Arduino Device.

Protractor and Electronic Goniometer, Arduino Device

3.0 Accelerometer 3.1 Accelerometer Calibration

3.2 Bent Leg Test

3.3 Straight Leg Test

3.4 Dropping Block Test

M6.The system shall calculate the

acceleration within 3 m/s^2 of

error.

Test the accuracy of the

acceleration measurements of

the Arduino Device

Accelerometer , Arduino

Device, block, Smartphone

(Androsensor App)

4.0 Combination of Sensors

4.1 Calibration of all Sensors4.2 Walk test4.3 RunTest4.4 Jump Test

M2.The system shall calculate the strain on the knee with an accuracy of no less than 85%.

Test the accuracy of the Knee Motion Sensor with all the items together

Knee Motion sensor with all the components

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Pressure Sensor Test

45

Objective: Test the accuracy of the pressure pads and compare values with calculated pressures using formula:

Procedure :

1. Apply no pressure to verify that pressure pad is zeroized

2. Place weight on top of pressure pad

3. Record arduino reading

4. Remove weight and repeat steps 5 more trials

Test Item Description

Mission

Requirements

M5. The system shall calculate pressure with an accuracy of no less than

85%.

Page 46: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

Data Analysis on Pressure Pads

46

(Pa)

Page 47: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

Pressure PadResults:

47

Weight (lb) Arduino Pressure

Calculated Pressure(Pa)

Actual Pressure (Pa)

Percent Error

70 747.92 203894.67 273113.39 25.34%

90 427.81 400155.93 351145.20 13.96%

120 375.99 467641.91 468193.88 0.12%

160 314.51 580093.09 624258.51 7.07%

180 299.48 615412.77 702290.40 12.37%

220 272.79 688793.59 858355.03 19.75%

260 252.26 757028.75 1014419.66 25.37%

Average Error: 14%

Test Item Description

Mission

Requirements

M5. The system shall calculate pressure with an accuracy of no less than

85%.

Test Result The system calculated pressure with an accuracy of 86% on average.

PASS

Page 48: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

Flex Sensor TestObjective: Test how accurate the flex sensor measures angles by comparing it with

goniometer

Procedure:

1. Align flex sensor with goniometer

2. Move goniometer to 25°

3. Record arduino reading of flex sensor at 25°

4. Repeat from 30° to 180° in 5° increments

48

Test Item Description

Mission

Requirements

M3. The system shall calculate the ankle flex angle with an accuracy of no less than 85%.

M4. The system shall calculate the knee flex angle with an accuracy of no less than 85%.

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Test Results on Ankle Sensor

49

Actual (Degree) Calculated Error Percent Error

120.00 118.72 -1.28 0.05

130.00 121.97 -8.03 0.06

140.00 135.86 -4.14 0.07

150.00 152.17 2.17 0.03

160.00 193.03 33.03 0.21

170.00 162.51 -7.49 0.05

180.00 181.34 1.34 0.03

Average Error: 5%

Test Item Description

Mission

Requirements

M3. The system shall calculate the ankle flex angle with an accuracy of no less than

85%.

Test Result The system calculated pressure with an accuracy of 95% on average.

PASS

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Test Results on Knee Sensor

50

Actual(Degree) Calculated Error Percent Error

120.00 114.45 -5.55 0.08

130.00 128.79 -1.21 0.01

140.00 140.30 0.30 0.03

150.00 162.28 12.28 0.08

160.00 138.76 -21.24 0.13

170.00 162.51 -2.92 0.02

180.00 172.45 -7.55 0.04

Average Error: 8%

Test Item Description

Mission

Requirements

M4.The system shall calculate pressure with an accuracy of no less than

85%.

Test Result The system calculated pressure with an accuracy of 92% on average.

PASS

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Accelerometer TestObjective: Test the accuracy of the acceleration measurements of the Arduino Device and

compare it with AndroSensor accelerations.

Procedure:

1. Attach phone and accelerometer block.2. Drop block from a 30 cm height .3. Record data from both the AndroSensor app and arduino device.4. Repeat steps 1-3 for 24 more trials.

51

Test Item Description

Mission Requirements M6. The system shall calculate the acceleration within 3 m/s^2 of error.

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Accelerometer Data Comparison

Block Drop Graph from Mobile App

Updating speed: 5 ms

Block Drop Graph from Accelerometer

Updating speed: 5 ms

52Landing BounceFree Fall

Page 53: Motion Sensor to Prevent System Design of a Knee ACL Injuries...Sensor 1.1 Pressure Sensor Calibration 1.2 Bent Leg Test 1.3 Straight Leg Test 1.4 Placing Weights Test M5. The system

Accelerometer Test Results

53

X Acceleration(m/s^2)

Y Acceleration(m/s^2)

Z Acceleration (m/s^2)

Calculated Acceleration 0 0 9.8066

Arduino Acceleration Average -0.0282 1.2330 9.6907

Standard Deviation 0.3708 0.1321 0.2192

Error 0.0282 1.233 -0.11

Number of trials 5 5 5

Gravitational constantacceleration

Measured acceleration

Inconsistencies due to wobble

Test Item Description

Mission

Requirements

M6. The system shall calculate the acceleration within 3 m/s^2 in error.

Test Result The system calculated acceleration within 0.625 m/s^2 in error.

PASS

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Estimated Tibial Shear Force

54

Walking Running Jumping

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Field Test

55

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User Survey

56

Who?

GMU students, faculty, and athletes.

Goals?

To determine how comfortable and usable the KMS device is.

Use user comments to improve device.

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Market Test

57

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Potential Market Opportunity

58

Potential customer Benefit Market Size (individuals)

US Athletes: NCAA student athletes Prevent ACL injury, post game analysis

480,000

Youth athletes (age 5-18)

Prevent ACL injury, post game analysis

35,000,000

Recreational athletes US

Prevent ACL injury, post game analysis

15,000,000

Professional athletes

Prevent ACL injury, post game analysis

18,000

Previously knee Injured Individuals:

knee joint (meniscus). Ligament tears

Prevent further knee injury 2,295

PCL injury Prevent further knee injury 25,000

ACL injury Prevent further knee injury 200,000

Total: 50 M

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Component Cost

59

Component Price

2 x Pressure Pads $16.00

2 x Flex Sensors $15.99

Multiplexor $6.95

Accelerometer $7.00

Arduino Buzzer $0.80

Arduino Haptic Disc $1.95

LED $0.10

Arduino board $70.00

Resistors $5.99-$7.99

Wires $8.00

3-D Printed Cover $20.00

Over Knee Sock $12.48

Total $180 +/- $20

The Device Cost Breakdown:

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Total Cost

60

Cost Price

4 employees * cost of insurance/year

$4000

Marketing $10,000

Website Host $2,500

Research and Development

$30,000

Brouchures $5,000

Rent + Utilities $54,000 ($30/square feet* 1800 square feet)

Labor (4 * $20/h * 2080 h) $167,000

Device cost(200 units*$180/year)

$36,000

Total $300,000+/- $20,000

Recurring Cost: Start-Up Cost:

Cost Price

Fixed Cost (legal cost, website host)

$10,000

Total Variable Cost (Total Quantity of Output * Variable Cost Per Unit of Output)

$570,000

Overhead (Rent, Utilities, Health Insurance, Marketing for one year)

$60,000

Total Cost $650,000 +/- $20,000

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Cost and BenefitOptimistic Case:

KMS will be able to capture 16,000 people

almost 10% of the market share

Penetration rate of 15%

Market price of $1000

Break even in first year with 250 units sold

61

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Cost and Benefit

Pessimistic Case:

KMS will be able to capture 6,000 people

almost 3% of the market share

Penetration rate of 5%

Unit price of $1000

Break even in 2 years with 300 units sold

62

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ROI & NPV

63

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Future Work Miniaturize Electronics

Conductive Thread

Incorporating Muscle Forces

Extensive Testing

Perform the field test Testing KMS device on GMU athletes

Distributing surveys

64

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Sources Quatman, C. E., Quatman-Yates, C. C., & Hewett, T. E. (2010). A ‘Plane’Explanation of Anterior Cruciate Ligament Injury Mechanisms. Sports Medicine, 40(9), 729-746. Chapman MW. Chapmans Orthopaedic Surgery. 3rd Edition, Volume 3, 2001; 2348-2388.

Mall, N. A., Chalmers, P. N., Moric, M., Tanaka, M. J., Cole, B. J., Bach, B. R., & Paletta, G. A. (2014). Incidence and trends of anterior cruciate ligament reconstruction in the United States. The American journal of sports

medicine, 42(10), 2363-2370.

Barber-Westin SD, Noyes FR, Galloway M. Jump-land characteristics and muscle-strength development in young athletes: a gender comparison of 1140 athletes 9 to 17 years of age. Am J Sprts Med. 2006;34(3):375-384.

http://www.momsteam.com/health-safety/muscles-joints-bones/knee/acl-injuries-in-female-athletes#ixzz4Nq0ISVPO

Gordon MD, Steiner ME.. Anterior cruciate ligament injuries. In: Orthopaedic Knowledge Update Sports Medicine III, Garrick JG. (Ed), American Academy of Orthopaedic Surgeons, Rosemont 2004. p.169.

American Academy of Orthopaedic Surgeons, July 2007, Anterior Cruciate Ligament Injury: Surgical Considerations, http://orthoinfo.aaos.org/topic.cfm?topic=A00297#A00297_R4_anchor (July 11, 2008)

Hewett, T. E., Ford, K. R., Hoogenboom, B. J., & Myer, G. D. (2010). UNDERSTANDING AND PREVENTING ACL INJURIES: CURRENT BIOMECHANICAL AND EPIDEMIOLOGIC CONSIDERATIONS - UPDATE 2010. North

American Journal of Sports Physical Therapy : NAJSPT, 5(4), 234–251.

C. Myers and D. Hawkins, "Alterations to movement mechanics can greatly reduce anterior cruciate ligament loading without reducing performance", Journal of Biomechanics, vol.43, no. 14, pp. 2657-2664, 2010.

Myers, C. A., & Hawkins, D. (2010). Alterations to movement mechanics can greatly reduce anterior cruciate ligament loading without reducing performance. Journal of biomechanics, 43(14), 2657-2664.

Singhal MC, Gardiner JR, Johnson DL Arthroscopy. 2007 May; 23(5):469-75

Spindler KP, Kuhn JE, Freedman KB, Matthews CE, Dittus RS, Harrell FE Jr, Am J Sports Med. 2004 Dec; 32(8):1986-95.

DeNoon, Daniel, ed. "Torn ACL May Heal without Surgery." WebMD Health News. N.p., 21 July 2010. Web. 13 Sept. 2016.

http://www.webmd.com/pain-management/knee-pain/news/20100721/torn-acl-may-heal-without-surgery

Luks, Howard J. "Partial Anterior Cruciate Ligament – ACL – Tears." Howardluksmd. N.p., 06 Jan. 2012. Web. 13 Sept. 2016.

http://www.howardluksmd.com/knee-common-injuries/acl-knee/partial-anterior-cruciate-ligament-acl-tears/

http://www.ncaa.org/health-and-safety/sport-science-institute/insurance-coverage-student-athletes

http://eorthopod.com/patellar-tendon-graft-reconstruction-of-the-acl/

M. Norcross, S. Johnson, V. Bovbjerg, M. Koester and M. Hoffman, "Factors influencing high school coaches’ adoption of injury prevention programs", Journal of Science and Medicine in Sport, vol. 19, no. 4, pp. 299-304,

2016.

http://www.contentfac.com/how-much-does-social-media-marketing-cost/

http://www.fairfaxcountyeda.org/doing-business-here/commercial-real-estate/office-market

http://files.eric.ed.gov/fulltext/EJ1072598.pdf

https://www.hss.edu/newsroom_young-acl-surgery-patients-need-second-surgery.asp

65

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Appendix A: Non-Contact Failure Mechanisms

66Tibia

Femur

Gap puts strain on ACL

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Stakeholder Relationship Diagram

67

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Pressure Sensor: 260lb

68

trials Arduino Pressure Average

(Pa)

Calculated Pressure

(Pa)

Error Percent Error

trial 1760228.79 1014419.66 0.25 25.06

trial 2764373.14 1014419.66 0.25 24.65

trial 3737585.46 1014419.66 0.27 27.29

trial 4757021.38 1014419.66 0.25 25.37

trial 5766588.85 1014419.66 0.24 24.43

Min 365660.99

Max 436820.65

Median 365660.99

Avg 401316.33

Std Deviation 25169.95

Signal-to-Noise

ratio 15.94

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Pressure Sensor: 220lb

69

trials Arduino Pressure Average

(Pa)

Calculated Pressure

(Pa)

Error Percent Error

trial 1688544.88 858355.03 19.78

trial 2674334.37 858355.03 0.21 21.44

trial 3690180.14 858355.03 0.20 19.59

trial 4686233.74 858355.03 0.20 20.05

trial 5705323.95 858355.03 0.18 17.83

Min 674334.37

Max 705323.95

Median 690180.14

Avg 688923.42

Std Deviation 11076.72

Signal-to-Noise

ratio

62.19

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Pressure Sensor: 180lb

70

trials Arduino Pressure Average

(Pa)

Calculated Pressure

(Pa)

Error(%) Percent Error

trial 1594786.01 702290.40 0.15 15.31

trial 2615098.11 702290.40 0.12 12.42

trial 3615098.11 702290.40 0.12 12.42

trial 4631609.50 702290.40 0.10 10.06

trial 5621561.05 702290.40 0.11 11.50

Min 594786.01

Max 631609.50

Median 615098.11

Avg 615630.56

Std Deviation 13468.11

Signal-to-Noise

ratio

45.71

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Pressure Sensor: 160lb

71

trials Arduino Pressure Average

(Pa)

Calculated Pressure

(Pa)

Error(%) Percent Error

trial 1561842.22 624258.52 0.10 10.00

trial 2573287.94 624258.52 0.08 8.16

trial 3590411.15 624258.52 0.05 5.42

trial 4595680.60 624258.52 0.05 4.58

trial 5580397.05 624258.52 0.07 7.03

Min 561842.22

Max 595680.60

Median 590411.15

Avg 580323.79

Std Deviation 13496.88

Signal-to-Noise

ratio

43.00

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Pressure Sensor: 140lb

72

trials Arduino Pressure Average

(Pa)

Calculated Pressure

(Pa)

Error(%) Percent Error

trial 1550107.56 546225.77 0.01 0.71

trial 2533463.64 546225.77 0.02 2.34

trial 3542084.00 546225.77 0.01 0.76

trial 4533175.35 546225.77 0.02 2.39

trial 5561861.44 546225.77 0.03 2.86

Min 533175.35

Max 561861.44

Median 542084.00

Avg 544138.40

Std Deviation 12125.35

Signal-to-Noise

ratio

44.88

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Pressure Sensor: 120lb

73

trials Arduino Pressure Average

(Pa)

Calculated Pressure

(Pa)

Error(%) Percent Error

trial 1467498.30 468193.89 0.00 0.15

trial 2445172.27 468193.89 0.05 4.92

trial 3504354.92 468193.89 0.08 7.72

trial 4491596.71 468193.89 0.05 5.00

trial 5436207.80 468193.89 0.07 6.83

Min 436207.80

Max 504354.92

Median 504354.92

Avg 468966.00

Std Deviation 29180.13

Signal-to-Noise

ratio

16.07

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Pressure Sensor: 100lb

74

trials Arduino Pressure Average

(Pa)

Calculated Pressure

(Pa)

Error(%) Percent Error

trial 1400002.08 390161.14 0.03 2.52

trial 2435639.67 390161.14 0.12 11.66

trial 3453792.07 390161.14 0.16 16.31

trial 4453850.84 390161.14 0.16 16.32

trial 5413509.74 390161.14 0.06 5.98

Min 365660.99

Max 436820.65

Median 365660.99

Avg 401316.33

Std Deviation 25169.95

Signal-to-Noise

ratio

15.94

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Pressure Sensor: 90lb

75

trials Arduino Pressure Average

(Pa)

Calculated Pressure

(Pa)

Error(%) Percent Error

trial 1402112.71 351145.20 0.15 14.51

trial 2401831.39 351145.20 0.14 14.43

trial 3365660.99 351145.20 0.04 4.13

trial 4436820.65 351145.20 0.24 24.40

trial 5400155.94 351145.20 0.14 13.96

Min 365660.99

Max 436820.65

Median 365660.99

Avg 401316.33

Std Deviation 25169.95

Signal-to-Noise

ratio

15.94

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Bent Leg Jumps

76Time(ms)

Pre

ssur

e(P

a)

Time(ms)

Pre

ssur

e(P

a)

Time(ms)

Time(ms)

Pre

ssur

e(P

a)P

ress

ure(

Pa)

a

b

: Jump

: Landing

a

b

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Straight Leg Jumps

77

Time(ms)

Pre

ssur

e(P

a)

Time(ms)

Pre

ssur

e(P

a)

Time(ms)

Time(ms)

Pre

ssur

e(P

a)P

ress

ure(

Pa)

Time(ms)

a

b

: Jump

: Landing

a

b

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Arduino Code (Cntd)

78

Multiplexer pin selection

Buffered data sent to Matlab

Sets threshold and triggers alerts

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Knee and AnkleSensor: 110°

79

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Knee and AnkleSensor: 150°

80

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Knee and AnkleSensor: 180°

81

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Optimistic Scenario

82

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Pessimistic units

83

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Optimistic units

84

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Pessimistic Scenario

85

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Benefit to Athlete

86

Expected Cost to Athlete (sustaining ACL injury)

1/13 * $60,000 (cost for ACL surgery) = $5000

Manufacturing Cost + Labor

$180 + $1800 = $2000

Profit (+30%) $2000 + $600 = $2600

Savings (Expected Cost to Athlete - Cost of Device)

$5000 - $2600 = $2,400

Price of Device