UR Medicine Motion Laboratories

There are more than 3 million concussion cases per year in the US. #Concussions are caused by sport activities, rapid acceleration-deceleration of the head, and falling, and temporary effect brain functioning such as memory, balance, and dizziness.  In our Fall Prevention and Balance Lab, we use the Computerized Dynamic Posturography machine to assess balance disorders in patients with concussion. Through this technology, the Sensory Organization Test aims to objectively observe postural stability and assesses a person’s ability to properly use visual, vestibular and somatosensory inputs to maintain balance. This data enables clinicians to gain a better understanding of patients' concussion-related disabilities.  #URochesterReserach #MotionAnalysis #Biomechanics #Concussionrecovery Orthopedic Research Society - International Section of Fracture Repair American Physical Therapy Association (APTA) University of Rochester School of Medicine and Dentistry University of Rochester BME (Biomedical Engineering) American Academy of Orthopaedic Surgeons (AAOS)

A meniscus tear is one of the most common knee injuries, affecting approximately 1 million people in the U.S. and may occur as a result of twisting the knee while the foot is planted on the ground, particularly when making a sudden turn or change of direction. The Y-Balance test (#YBT) is commonly used to evaluate the risk of non-contact injuries. The test evaluates the patient’s strength, stability and balance in various directions.  Our Injury Prevention & Tactical Athlete Lab uses Electromyography (EMG) to evaluate neuromuscular activity of the lower extremities throughout the Y-Balance test. An imbalance in the strength of the vastus medialis and rectus femoris increases the risk for meniscus injury. Through #EMG analysis, Sports Medicine providers can offer personalized and customized care for the treatment of meniscus tears. #Electromyography #MotionCapture #URochesterResearch University of Rochester BME (Biomedical Engineering) University of Rochester Medical Center University of Rochester School of Medicine and Dentistry American Academy of Orthopaedic Surgeons (AAOS) Orthopaedic Research Society American Physical Therapy Association (APTA)

Wearable technology is beneficial for long-term monitoring of activity levels in patient with disability. Our wearable lab utilizes spine-specific wearable devices to capture and analyze the precise biomechanical characteristics of the trunk along with the motion patterns of patients with spinal disorders. Through sophisticated signal processing techniques, we ensure the reliability and accuracy of the data. This involves synchronizing multiple data streams, correcting orientations, and filtering noise, which are critical in preparing the data for further activity identification. These steps allow us to precisely monitor and evaluate human motion dynamics at patients’ home. #MotionAnalysis #Innovation #URochesterResearch #BiomedicalEngineering #BME #MovementAnalysis University of Rochester School of Medicine and Dentistry University of Rochester BME (Biomedical Engineering) University of Rochester University of Rochester Medical Center American Academy of Orthopaedic Surgeons (AAOS) American Physical Therapy Association (APTA) Orthopaedic Research Society Goergen Institute for Data Science (GIDS)

Lumbar radiculopathy is a common cause of disability and is characterized by weakness, numbness, and loss of reflexes in the lower back and down the legs, resulting from the compression of nerve roots in the lumbosacral region of the spine.  We use the Electromyography (#EMG) to assess the neuromuscular activation of muscles affected by lumbar radiculopathy. These patients were found to have higher levels of neuromuscular activity and inefficiency in their lower extremity and core muscles during a Romberg’s test in comparison to healthy  controls.  #URochesterResearch #healthcare #backpain University of Rochester University of Rochester BME (Biomedical Engineering) University of Rochester School of Medicine and Dentistry American Academy of Orthopaedic Surgeons (AAOS)  Varun Puvanesarajah Robert Molinari Paul Rubery  Ram Haddas, PhD, MBA International Society for the Study of the Lumbar Spine  

Concussions, often referred to as a mild traumatic brain injury (#mTBI), are the most common kind of #braininjury and are the result of the brain moving rapidly back and forth due to an external force, which can damage brain cells and cause chemical changes within the brain. This damage may result in electrophysical abnormalities that are visible using electroencephalography (#EEG). In our Fall Prevention and Balance Lab, a wireless EEG system is used to allow for the detection and identification of the abnormal signals that may be present as a result of a mTBI. As a result, superior patient-centered care and a better understanding of disability can be provided to those who have experienced a concussion. #urochesterresearch #Concussion #ConcussionRecovery #ComputerizedDynamicPosturography #VR #FallPrevention University of Rochester School of Medicine and Dentistry University of Rochester BME (Biomedical Engineering) University of Rochester American Academy of Orthopaedic Surgeons (AAOS) Orthopaedic Research Society

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In North America, approximately 2 million people suffer from rotator cuff tears every year, which may result in full or partial tears of shoulder tendons, resulting in weakened shoulders, affecting everyday activities such as dressing and cooking. The URMC Shoulder Team (Ilya Voloshin, Gregg Nicandri, Sandeep Mannava, MD, PhD, Robert Bronstein, Michael Maloney) refer patients to our Lab to measure the 3D kinematics of every day tasks, like brushing your hair. Using metrics like shoulder flexion and abduction active range of motion during these activities, we provide the clinicians with valuable insights for patient’s recovery progress. #URochesterResearch #ShoulderInjury #ShoulderPain #MotionCapture #MotionAnalysis University of Rochester School of Medicine and Dentistry University of Rochester BME (Biomedical Engineering) University of Rochester American Academy of Orthopaedic Surgeons (AAOS) Orthopaedic Research Society

Back pain is among the leading causes of disability in the world. Failed back syndrome is when a patient has localized back and leg pain that can be dull or sharp following one or more surgical interventions. FSBB affects quality of life as decreased mobility makes it hard for patients to sit comfortably without swaying. A possible treatment for FBSS is spinal cord stimulation, in which an implanted device stimulates the nerves with low levels of electricity to reduce pain and increase functionality. Within our lab we can assess FBSS patient's brain waves utilizing EEG and their motion pattern using motion capture systems during a sitting balance test. The purpose of this assessment is to provide physicians, therapists, and patients with a better understanding of the patient's disability and functional capacity throughout the rehabilitation process. #URochesterResearch #FBSS #FailedBackSyndrome #BackPain #EEG #SitBalance #Balance #Sway University of Rochester School of Medicine and Dentistry University of Rochester BME (Biomedical Engineering) University of Rochester

For each patient referred to our lab for a disability diagnosis, we collect up to 100,000 clinical data points. Our team is revolutionizing data management with our advanced database architecture, designed to seamlessly integrate of motion analysis lab, such as motion capture, force plates, EEG, and EMG, along with clinical information such as demographic, radiographic, and PROMIS data. Our database enables efficient data retrieval and comprehensive analysis, enhancing our ability to generate detailed reports and drive impactful research. By creating a unified platform, we're empowering our team to unlock deeper insights into patient outcomes and refine our approaches to treatment and care. #URochesterResearch #DataScience #DatabaseArchitecture #HealthTech #DataEngineering #MotionAnalysis #MongoDB, #PostgreSQL University of Rochester BME (Biomedical Engineering) University of Rochester School of Medicine and Dentistry University of Rochester University of Rochester Medical Center American Academy of Orthopaedic Surgeons (AAOS) American Physical Therapy Association (APTA) Goergen Institute for Data Science (GIDS) Orthopaedic Research Society

About 20% of all athletes’ injuries are lower-limb stress fractures and defined as very small and fine breaks in the bone caused by continuous overuse. Athletes in sports such as running, basketball or gymnastics are at a higher risk of developing stress fractures due to the repetitive, high impact nature of the exercise, and the continuous impacts on hard or uneven surfaces. More specifically, excessive ground reaction forces and high vertical loading rates may relate to higher chances of developing #stressfractures. Poor motion biomechanics are also linked with higher risk of developing injuries. In the Injury Prevention & Tactical Athlete Lab, we are using force plates to quantify ground reaction forces and force loading rates, which can help our Physical Therapists of the Fitness Science Program optimize the landing #biomechanics of each athlete and potentially decrease their risk to develop injuries such as stress fractures. #URochesterResearch #MotionAnalysis #BiomedicalEngineering #BME #SportsMedicine #PatientCare #InjuryPrevention #SportsPerformance University of Rochester School of Medicine and Dentistry University of Rochester BME (Biomedical Engineering) University of Rochester Medical Center Sandeep Mannava, MD, PhD Raymond Kenney Kostantinos V. Conner Lorenzo, MS, ATC, CSCS, USAW, FMS, SFMA National Basketball Association (NBA) USA Gymnastics USA Track & Field American Physical Therapy Association (APTA)