Our next president presentation. Then they want to complete their first session is we used to hold yourself to such pleasure to be here and stiff this ground presuming that this is what is going to do and so we will resume working and you come here and say thank you for coming today like Dr Who sat my name is Lisa and we're going to present in our study that ten percent that's yours and stiffness properties in the form of a clinical trial and it's laboratory under the advice of Dr Sears now as you can see we're going to discuss the background of that aggression about ready to do this or specific and or test apparatus design an experiment. We're going to talk about some of our results in discussion and some funding and. Background of your study where they have been used to treat many different the disorders for a pretty long period of time actually interface with the structures and structures of the is not very well understood. There have been some studies that look at the declaration properties of the the new focus and it also has been utilized to look at the imaging has now been formed extensively in other areas that are speaking specific to you know the stiffness of the players during very very. Independently of the behavior of scientists you do the mission and displacement of the under new moves to be used. It will be in these conditions are steamy to maintain privacy. The first was that we expected that the plane or soft tissues would be stepped there in week very very due to the increased tension tension of the plane in the year that the greater defamation it's so easy to choose very thin and weak in order to test the reconstruction device to apply new forces to the plan or services of that video to the stiffness in defamation a significant amount of time was spent developing a complete set up to test these have these included the apparatus into stance one for weight bearing and one for nominally vary the force allocation apparatus is in the image to the right. Uses stepper motor to drive when you're actually to have a good sound attached to it. Control that stuff and that was mounted to the plate that have been for it through the transducer into the third and as I mentioned previously we also had to make two separate frames which this apparatus could be mounted one week during and one from the very in and set up as you can see union. We used to reject frame the side that enabled us to raise and lower the apparatus on the subjects that size of me to ensure that we made in the same position throughout all the testing and students people which is subject to leave room for the testing as instructed and the device was set to the correct paper deficit for the weight bearing condition. We built an elevated platform that allows. The rat is to be known to be the subject of the subtext that all the tribes of the records in the X. and Y. directions been the subject approximately of the ultrasound transducers to the truth. Jews are to be driven through the ple into the During testing so determine to the index of each of the vigils in order to characterize the feat that we are studying resentment at fifty percent of the length from the trees and projecting from my section of the heels of the space between the second and third rays was drawn the intersection of these two lines is the location at which we perform all over to have secured sets of weeping her new year and its position to ensure that is made the skin deserving and the Kurds and tediously is activated at a speed of zero point zero six three five centimeters per second. The computer started to sound transducer returned to the same starting position at the beginning of the trial and the video recording history and total force of hearing in the weight room decisions reached and then everything is sound tediously staff previous studies were used to determine the acceptable maximum force is applied to return to the starting position and the process was completed a little ten times for each of the three test conditions which were very stance and we bring in single total of thirty trials for each side. Through the results in this race. We're able to test for subjects in our pilot study projects we have for I review this lectures that the poster index three subjects ability to read and the question X. can range from negative to positive with negative and values indicating a pro need to start from zero to five. So you can see here the subjects want three and four values that fell in the normal range. Well subject to kind of that and we've also provided to represent the normal subjects alongside the related subjects for comparison A familiar with the orientation and imaging this animation of the location as you can see an ultrasound image is just a vertical slice of the myth that not only described previously it's important to note that we are now looking at these images from your view that we did test the right. But the subject. This is the image from the previous lie it's a right angle from the post you hear the left and right is left the planter's which is where you find the force and it goes from there point out some of the structures of interests there is the former is the key for us is this your heart rate plan is this mall or muscle and this circle is the lateral plantar artery. Now as far as the source. It's just for some a Y. axis displacement is in the X. axis and the slope of the line is still that hires. Is a greater step and you get the Beijing burgers there is usually a non-linear region initially when there's little or so use and it shifts to a more linear system. This is just a representative video of the normally very scene here that has the force by the press against the planes are you can see any good holes and that will eventually force the. Let's watch that. All right so I mentioned before we had three subjects that fell in the normal range for the past year and they all have very similar curves so this is representative of ones that on again this is of course displays the graph Y. axis force accesses displacement and these values to the meet stiffness of the ten trials we did they are ours are the standard deviations of those ten trials. The blue line is the only bearing condition. The red line is the weight bearing in Dublin and green is the way bearing in single condition. It's easy to see that the not a very interesting has a much lower stiffness and you have the weight bearing in this. Additionally you can see that single eye wavering results in a much stiffer and it's only very patient. You also notice that they don't weigh bearing that he has much smaller standard deviations than even the wavering conditions. This is because weight bearing is only a while as that extended innermost circle simply adjusting the Cubans the right. So there's naturally more close to a shoe in the tissue since. Thank you very much. This is a pilot study and we have not completed statistical analysis but we are fairly confident that the state is just a models and once that Jackson had printed the plaster objects the graph is the same graph is on the previous slide but you can see that it's a single and double in week very markedly different. They're actually quite similar. And I don't exactly sure why this is but maybe a different postures their highest stiffness in any week or so one of the long term objectives of the studies to improve our understanding of how quarter of those you put tissue characteristics. Because we are subject to the per needed co-pastor and one of the common or the ticket or ventures that is separate but is to realize we are just less. I needed position to do a little case study with this subject with the need of partial labor with the meal and March elevated and that we felt OK to the customer all that she which is actually really the material used to cross that test and we needed a very rigid material to stand still transducer So that's why we went to the nontraditional material for this that or those and then look at the subject. Stands on their lives and up to ten child bearing and they described. This time graph actually shows our results are like a little case study in fourth place and graph this before and it compares our control which was very good double and read. So you can test addition in purple which is the cause of the old record those you can see this is notably decreased in the planner so to use this data we demonstrated that at least with this subject. We're at those it's stiffness the planners of tissues are not and this is a material and so result of probably be less drastic with more traditional materials and also results will be very with other subjects. So now we're going to switch gears a little bit and more since we chose to take measurements and they're still here to read which is then purple is a green and superficial fashion that is in blue. We took these measurements and zero percent twenty five fifty seventy five and one hundred percent of the fourth supply and to time constraints we're only able to complete these measurements for one subject in three trials of each condition and the interest of time today. We will be presenting your results and to keep away. I think it will be. Reply to reliably measuring the structures on the older self video. This is just collimator a day that I don't attempt to cuboid And again the grammar shown on the ultrasound image at the left on this graph a Y. axis is the change in that and the X. axis is the force applied and as before. I'm not wavering it's blue the only way bearings red and single and we vary is green. You can see a very had much greater change in that which translates into more compression of the tissues that way but this is because they're not laboring had much lower stiffness and so they're able to compress more. However we do have a very large standard deviation. But we can still easily distinguish between the normally very and to a very conditions. However these results are only for one subject. It's just for the reading data to summarize our results. The stiffness the planner and the tissues varies notably between I'm wavering and weight bearing with the weight bearing condition having stiffer tissues this confirm this is that weight bearing would have to produce use then a very integrated a similar stiffness between single and stance. While normal exhibited notable differences between the two weight bearing conditions. Our results show for it but are those its current decreased openness in the plan or mid-foot tissues in the subject to the permeated But given these results. What are those appear to have the capacity to alter the stiffness properties of herself to use the results of the study suggests that the characteristic properties of tissues can be measured and some tissues appear to be influencing that or of the Z's used in this also appears to be very promising. So it would be valuable to pursue these that evaluate this misbehavior. So how could all this be relevant. Properties of these properties that are based in fact that the first techniques and ultimately for this work of every three years. Thank you very much. What are your very very very serious for this because this is just pilot work but you've got a very beautiful. Well you know we didn't actually look at that but that's definitely something we should we actually didn't take any video for that testing that that's something you were five or so people right. Structures in the OK so we could take in that we weren't actually determine a separate misses for each one of those this reduces our limited. I'm going to know the answer you mean I actually don't know yet but what we do know is that he was so different. Lou. In some instances when something is wonky we may want to know after each step down. I'm sure we can we can have it here and. So this is probably going to play short of time for people at least that's very clear right now that they want to do next year. Yeah. Actually you can see that this is this will be for years to characterise the uber healthy stuff you think of it but obviously the Saudis are going to free these properties in their entirety. And yes we are very interested. Obviously you know as well so we are subject to your bluster is probably your only appropriated that we there is we believe this is going to transition into actually placing sheet components to emulate those. So we still be able to measure the stiffness even the words around with it how that will play which is still less jobs or dead.