''This research aims to address a post-earthquake urgent strengthening measure to enhance the residual seismic capacity of earthquake-damaged reinforced concrete wall structures with coupling beams. The study consists of a series of tests on half-scale prototype coupling beams with various detailing options, including confined with reduced confinement, partially confined, and unconfined bundles, under cyclic loading conditions. The methodology employed involved subjecting the specimens to displacement-controlled reversal tests, and carefully monitoring their response using strain gauges and potentiometers. The main results obtained reveal that GFRP wrapping significantly enhances the seismic performance of earthquake-damaged coupling beams, even in cases where specimens experienced strength loss and main reinforcement rupture. The strengthened beams exhibit commendable ductility, maintaining high levels of deformation capacity, and satisfying the requirements of relevant seismic design codes. The significance of the study lies in providing valuable insights into the behavior and performance of damaged coupling beams and assessing the effectiveness of GFRP wrapping as a rapid and practical post-earthquake strengthening technique. The findings can be particularly useful for developing urgent post-earthquake strengthening strategies for high-rise buildings with structural walls. The method may be particularly useful for mitigating potential further damage in aftershocks and eventual collapse. In conclusion, this study represents a significant advancement in understanding the post-earthquake behaviors of coupling beams and provides valuable guidance for practitioners in making informed decisions regarding post-earthquake strengthening projects. The findings contribute to the overall safety and resilience of structures in earthquake-prone regions.''
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Background To gain insight into the role of plantar intrinsic foot muscles in fall-related gait parameters in older adults, it is fundamental to assess foot muscles separately. Ultrasonography is considered a promising instrument to quantify the strength capacity of individual muscles by assessing their morphology. The main goal of this study was to investigate the intra-assessor reliability and measurement error for ultrasound measures for the morphology of selected foot muscles and the plantar fascia in older adults using a tablet-based device. The secondary aim was to compare the measurement error between older and younger adults and between two different ultrasound machines. Methods Ultrasound images of selected foot muscles and the plantar fascia were collected in younger and older adults by a single operator, intensively trained in scanning the foot muscles, on two occasions, 1–8 days apart, using a tablet-based and a mainframe system. The intra-assessor reliability and standard error of measurement for the cross-sectional area and/or thickness were assessed by analysis of variance. The error variance was statistically compared across age groups and machines. Results Eighteen physically active older adults (mean age 73.8 (SD: 4.9) years) and ten younger adults (mean age 21.9 (SD: 1.8) years) participated in the study. In older adults, the standard error of measurement ranged from 2.8 to 11.9%. The ICC ranged from 0.57 to 0.97, but was excellent in most cases. The error variance for six morphology measures was statistically smaller in younger adults, but was small in older adults as well. When different error variances were observed across machines, overall, the tablet-based device showed superior repeatability. Conclusions This intra-assessor reliability study showed that a tablet-based ultrasound machine can be reliably used to assess the morphology of selected foot muscles in older adults, with the exception of plantar fascia thickness. Although the measurement errors were sometimes smaller in younger adults, they seem adequate in older adults to detect group mean hypertrophy as a response to training. A tablet-based ultrasound device seems to be a reliable alternative to a mainframe system. This advocates its use when foot muscle morphology in older adults is of interest.
MULTIFILE
Movement is an essential part of our lives. Throughout our lifetime, we acquire many different motor skills that are necessary to take care of ourselves (e.g., eating, dressing), to work (e.g., typing, using tools, care for others) and to pursue our hobbies (e.g., running, dancing, painting). However, as a consequence of aging, trauma or chronic disease, motor skills may deteriorate or become “lost”. Learning, relearning, and improving motor skills may then be essential to maintain or regain independence. There are many different ways in which the process of learning a motor skill can be shaped in practice. The conceptual basis for this thesis was the broad distinction between implicit and explicit forms of motor learning. Physiotherapists and occupational therapists are specialized to provide therapy that is tailored to facilitate the process of motor learning of patients with a wide range of pathologies. In addition to motor impairments, patients suffering from neurological disorders often also experience problems with cognition and communication. These problems may hinder the process of learning at a didactic level, and make motor learning especially challenging for those with neurological disorders. This thesis focused on the theory and application of motor learning during rehabilitation of patients with neurological disorders. The overall aim of this thesis was to provide therapists in neurological rehabilitation with knowledge and tools to support the justified and tailored use of motor learning in daily clinical practice. The thesis is divided into two parts. The aim of the first part (Chapters 2‐5) was to develop a theoretical basis to apply motor learning in clinical practice, using the implicit‐explicit distinction as a conceptual basis. Results of this first part were used to develop a framework for the application of motor learning within neurological rehabilitation (Chapter 6). Afterwards, in the second part, strategies identified in first part were tested for feasibility and potential effects in people with stroke (Chapters 7 and 8). Chapters 5-8 are non-final versions of an article published in final form in: Chapter 5: Kleynen M, Moser A, Haarsma FA, Beurskens AJ, Braun SM. Physiotherapists use a great variety of motor learning options in neurological rehabilitation, from which they choose through an iterative process: a retrospective think-aloud study. Disabil Rehabil. 2017 Aug;39(17):1729-1737. doi: 10.1080/09638288.2016.1207111. Chapter 6: Kleynen M, Beurskens A, Olijve H, Kamphuis J, Braun S. Application of motor learning in neurorehabilitation: a framework for health-care professionals. Physiother Theory Pract. 2018 Jun 19:1-20. doi: 10.1080/09593985.2018.1483987 Chapter 7: Kleynen M, Wilson MR, Jie LJ, te Lintel Hekkert F, Goodwin VA, Braun SM. Exploring the utility of analogies in motor learning after stroke: a feasibility study. Int J Rehabil Res. 2014 Sep;37(3):277-80. doi: 10.1097/MRR.0000000000000058. Chapter 8: Kleynen M, Jie LJ, Theunissen K, Rasquin SM, Masters RS, Meijer K, Beurskens AJ, Braun SM. The immediate influence of implicit motor learning strategies on spatiotemporal gait parameters in stroke patients: a randomized within-subjects design. Clin Rehabil. 2019 Apr;33(4):619-630. doi: 10.1177/0269215518816359.
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De fotonica industrie groeit snel in de Brainport regio. Multinationals zoals ASML maar ook talrijke MKB bedrijven werken aan complexe optische systemen. Zij concurreren op wereldschaal met high tech Amerikaanse en Aziatische spelers. Innovatie is daarvoor van levensbelang. R&D in de sleuteltechnologieën fotonica en geavanceerde fabricagesystemen levert hiervoor de hoognodige brandstof. Zo ook in dit project, waarbij twee high tech MKB bedrijven met Fontys 3D-metaalprinten op een nieuwe en slimme manier gaan inzetten voor fotonica. Complexe optische systemen bevatten meestal meerdere optische elementen (o.a. lenzen, spiegels, diafragma’s, lichtbronnen, sensoren) die onderling in een lichtweg gerangschikt en onderling afgesteld moeten worden. Hierbij worden z.g. optische mounts gebruikt om de positie van de individuele optische elementen vast te leggen en na afstelling te fixeren. Een dergelijke afstelmethode is vaak lastig (divergerend), tijdrovend en niet stabiel over de tijd (want gebaseerd op wrijvingsfixatie). Dit project onderzoekt als oplossing een geïntegreerd monolithisch 3D geprint montagesysteem voor optische elementen, waarbij gebruik gemaakt wordt van ruimtelijk georiënteerde 3D geprinte monolithische elementen (spelings- en hysteresevrij). Hiermee wordt de insteltijd aanzienlijk gereduceerd (doelstelling: 100% --> 30%). Tevens zal de positioneernauwkeurigheid van de hierin opgenomen optische elementen gegarandeerd zijn. Tenslotte zullen er aanzienlijk minder onderdelen in het ontwerp aanwezig zijn. Als concrete en haalbare demonstrator wordt een 3D geprinte monolithische optical mount voor de lichtweg van de “Arinna” laserinterferometer van IBSPE uit Eindhoven ontwikkeld en getest. 3D geprinte optical mounts zijn nieuw voor dit netwerk, maar Fontys en aangesloten ondernemers hebben de relevante ervaring in 3D metaalprinten en fotonica. Met de aangesloten fotonica netwerken Photon Delta, DSPE en PhotonicsNL kan de opgedane kennis snel opgeschaald worden en kunnen ook andere MKB bedrijven deze innovatieve mounts voor hun supply chains gaan onderzoeken.