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David G. Lloyd

Publications and source records attributed to David G. Lloyd.

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Additively manufactured polyethylene terephthalate scaffolds for Scapholunate Interosseous Ligament Reconstruction

The regeneration of the ruptured scapholunate interosseous ligament (SLIL) represents a clinical challenge. Here, we propose the use of a Bone-Ligament-Bone (BLB) 3D-printed polyethylene terephthalate (PET) scaffold for achieving mechanical stabilisation of the scaphoid and lunate following SLIL rupture. The BLB scaffold featured two bone compartments bridged by aligned fibres (ligament compartment) mimicking the architecture of the native tissue. The scaffold presented tensile stiffness in the range of 260+/-38 N/mm and ultimate load of 113+/-13 N, which would support physiological loading. A finite element analysis, using inverse finite element analysis for material property identification, showed an adequate fit between simulation and experimental data. The scaffold was then biofunctionalized using two different methods: injected with a Gelatin Methacryloyl solution containing human mesenchymal stem cell spheroids or seeded with tendon-derived stem cells and placed in a bioreactor to undergo cyclic deformation. The first approach demonstrated high cell viability, as cells migrated out of the spheroid and colonised the interstitial space of the scaffold. These cells adopted an elongated morphology suggesting the internal architecture of the scaffold exerted topographical guidance. The second method demonstrated the high resilience of the scaffold to cyclic deformation and the secretion of a fibroblastic related protein was enhanced by the mechanical stimulation. This process promoted the expression of relevant proteins, such as Tenomodulin, indicating mechanical stimulation may enhance cell differentiation and be useful prior to surgical implantation. In conclusion, the PET scaffold presented several promising characteristics for the immediate mechanical stabilisation of disassociated scaphoid and lunate and, in the longer-term, the regeneration of the ruptured SLIL.

physics.med-ph

Multidimensional ground reaction forces and moments from wearable sensor accelerations via deep learning

Monitoring athlete internal workload exposure, including prevention of catastrophic non-contact knee injuries, relies on the existence of a custom early-warning detection system. This system must be able to estimate accurate, reliable, and valid musculoskeletal joint loads, for sporting maneuvers in near real-time and during match play. However, current methods are constrained to laboratory instrumentation, are labor and cost intensive, and require highly trained specialist knowledge, thereby limiting their ecological validity and wider deployment. An informative next step towards this goal would be a new method to obtain ground kinetics in the field. Here we show that kinematic data obtained from wearable sensor accelerometers, in lieu of embedded force platforms, can leverage recent supervised learning techniques to predict near real-time multidimensional ground reaction forces and moments (GRF/M). Competing convolutional neural network (CNN) deep learning models were trained using laboratory-derived stance phase GRF/M data and simulated sensor accelerations for running and sidestepping maneuvers derived from nearly half a million legacy motion trials. Then, predictions were made from each model driven by five sensor accelerations recorded during independent inter-laboratory data capture sessions. The proposed deep learning workbench achieved correlations to ground truth, by maximum discrete GRF component, of vertical Fz 0.97, anterior Fy 0.96 (both running), and lateral Fx 0.87 (sidestepping), with the strongest mean recorded across GRF components 0.89, and for GRM 0.65 (both sidestepping). These best-case correlations indicate the plausibility of the approach although the range of results was disappointing. The goal to accurately estimate near real-time on-field GRF/M will be improved by the lessons learned in this study [truncated].

cs.CV

On-field player workload exposure and knee injury risk monitoring via deep learning

In sports analytics, an understanding of accurate on-field 3D knee joint moments (KJM) could provide an early warning system for athlete workload exposure and knee injury risk. Traditionally, this analysis has relied on captive laboratory force plates and associated downstream biomechanical modeling, and many researchers have approached the problem of portability by extrapolating models built on linear statistics. An alternative approach would be to capitalize on recent advances in deep learning. In this study, using the pre-trained CaffeNet convolutional neural network (CNN) model, multivariate regression of marker-based motion capture to 3D KJM for three sports-related movement types were compared. The strongest overall mean correlation to source modeling of 0.8895 was achieved over the initial 33 % of stance phase for sidestepping. The accuracy of these mean predictions of the three critical KJM associated with anterior cruciate ligament (ACL) injury demonstrate the feasibility of on-field knee injury assessment using deep learning in lieu of laboratory embedded force plates. This multidisciplinary research approach significantly advances machine representation of real-world physical models with practical application for both community and professional level athletes.

cs.CV