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Pediatric and Human Movement Research Shawn Russell Motion Analysis and Motor Performance Lab Department of Orthopaedic Surgery University of Virginia Charlottesville, VA Ortho Research Retreat May 9, 2015

Pediatric and Human Movement Research - UVA · Pediatric and Human Movement Research Shawn Russell Motion Analysis and Motor Performance Lab Department of Orthopaedic Surgery University

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Page 1: Pediatric and Human Movement Research - UVA · Pediatric and Human Movement Research Shawn Russell Motion Analysis and Motor Performance Lab Department of Orthopaedic Surgery University

Pediatric and Human Movement Research

Shawn Russell

Motion Analysis and Motor Performance Lab Department of Orthopaedic Surgery

University of Virginia

Charlottesville, VA Ortho Research Retreat May 9, 2015

Page 2: Pediatric and Human Movement Research - UVA · Pediatric and Human Movement Research Shawn Russell Motion Analysis and Motor Performance Lab Department of Orthopaedic Surgery University

Pediatrics

•  Scoliosis surgery

•  Harms Study Group –  Multi-Center –  Develop database > 3000 patients –  8 year prospective study to evaluate

•  A/P to P & staged vs not •  Quality of life •  Operative vs Non-operative outcomes •  Risk of post operative infection •  Evaluate natural history prior to surgical intervention

–  Effect of diagnoses on treatment •  Scheuermann’s Kyphosis •  Cerebral Palsy Scoliosis •  Marfan’s Syndrome •  Congenital Scoliosis

Page 3: Pediatric and Human Movement Research - UVA · Pediatric and Human Movement Research Shawn Russell Motion Analysis and Motor Performance Lab Department of Orthopaedic Surgery University

Pediatrics Goals

•  Create Spinal Deformity Center at UVA

•  Develop new in house database –  Prospective study to evaluate:

•  Early onset scoliosis •  Congenital scoliosis •  Effects on lung function

–  Employ EOS imaging (low dose 3D x-ray) –  Dynamics MRI

Page 4: Pediatric and Human Movement Research - UVA · Pediatric and Human Movement Research Shawn Russell Motion Analysis and Motor Performance Lab Department of Orthopaedic Surgery University

Movement Analysis

•  How do interventions effect human movement –  Clinical

•  Pre post surgery •  Efficacy of interventions

-50

-40

-30

-20

-10

0

10

20

30

0 20 40 60 80 100

Ankle Dorsiflex, Deg

-1

-0.5

0

0.5

1

1.5

2

0 20 40 60 80 100

Ankle Plantarflex Moment, N-mm/kg

-3.5

-2.5

-1.5

-0.5

0.5

1.5

2.5

3.5

0 20 40 60 80 100

Ankle Power, W

Page 5: Pediatric and Human Movement Research - UVA · Pediatric and Human Movement Research Shawn Russell Motion Analysis and Motor Performance Lab Department of Orthopaedic Surgery University

Movement Analysis

•  How do interventions effect human movement –  Basic Science

•  Why do we move the way we do •  What is better? •  Use models to answer questions

Page 6: Pediatric and Human Movement Research - UVA · Pediatric and Human Movement Research Shawn Russell Motion Analysis and Motor Performance Lab Department of Orthopaedic Surgery University

•  Inertial Measurement Units, IMU

•  Collect motion data out of lab

•  Developed hyper precise calibration techniques

•  Stride length within 2-3%

•  Activity recognition Walking, running, stairs, incline

Take Research Out of Lab Setting

Page 7: Pediatric and Human Movement Research - UVA · Pediatric and Human Movement Research Shawn Russell Motion Analysis and Motor Performance Lab Department of Orthopaedic Surgery University

Where Next?

•  How do interventions effect human movement

–  Improve fidelity of models •  Clinically

•  Basic Science

–  Develop better predictive routines

–  Increase the ability to collect high quality motion data out of the lab environment

Page 8: Pediatric and Human Movement Research - UVA · Pediatric and Human Movement Research Shawn Russell Motion Analysis and Motor Performance Lab Department of Orthopaedic Surgery University

Thank You