Carlos Barbosa Rodrigues

Abstract
During the COVID-19 pandemic, significant challenges arose in the on-site monitoring of patients’ clinical signs due to healthcare system overload, lack of resources, and the need for social distancing. These obstacles hindered readiness in identifying and responding promptly to cases, highlighting the importance of investments in healthcare infrastructure and technologies for effective monitoring in emergency situations. This study explores the use of a wearable, wireless, and scalable system for remote monitoring of physiotherapy sessions with an emphasis on applying human activity recognition. It employs a variety of sensors and equipment for the classification of physiotherapeutic exercises from a distance. The sensors and equipment provide data to a web platform that allows, for example, determining posture and classifying the activity performed by the patient through measuring the angulation between body limbs. This platform includes the design of wearable accessories, 3D-printed, portable, and wireless hardware construction. The web part consists of a remote server, a microservices environment including the provision of a web portal (https://bionet.ufpe.br) for user interaction, as well as data storage and processing, providing the information. Currently, a testing protocol is under development to be executed by volunteer physiotherapy specialists and their respective patients, with approval from the ethics committee (CAAE 71106023.0.0000.5208). © 2025 Elsevier B.V., All rights reserved.

Abstract
This study presents and applies time delay analysis of maximum cross-correlation between quadriceps and gastrocnemius sEMG neuromuscular control with lower limb joint angular coordination of the hip, the knee and the ankle joint angles, angular velocities and accelerations to assess long countermovement (CM) and stretch-shortening cycle (SSC) at countermovement jump (CMJ), short CM and SSC on drop jump (DJ), and no CM on squat jump (SJ), with different and shared features at each CM complementing functional anatomy analysis. © 2025 Elsevier B.V., All rights reserved.

Abstract
This study presents variability assessment of real time measurements from in-vivo internal joint loads with instrumented implant during post-operative (PO) recovery process from total hip arthroplasty on daily living gait activities. A total of 112 trials walking supported by crutches in both hands, contralateral and ipsilateral sides, walking on treadmill at constant velocities, accelerating, decelerating and free walking, were assessed from 9 different patients ranging 0.3 to 76-month PO. Variability was assessed based on standard deviation of the vertical joint load normalized to each subject body weight with this metric adequacy to monitor PO recover.

Abstract
This study presents lower limb joint load comparison from subject specific musculoskeletal model simulation (MSK-MS) and direct measurements from instrumented implants on post-operative (PO) patients. A case study was considered for MSK-MS gait analysis of a 40-year-old healthy male with 70 kg and 1.86 m height. Reflective adhesive markers were applied on skin surface of selected anatomical points at right and left lower limbs. Orthostatic and dynamic acquisition on normal gait (NG), stiff-knee gait (SKG) and slow running (SR) was performed from ground reaction forces with two force plates at 2 kHz and trajectories of skin markers with eight-camera system at 100 Hz. Subject specific MSK-MS was performed using AnyGait and morphed Twente Lower Extremity Model (TLEM), matching the size and joint morphology of the stick-figure model. Over-determinate kinematic analysiswas performed, and motion equations solved with hard and soft constraints. Representative MSK-MS gait cycles were selected at NG, SKG and SR lower limb joint vertical force components at the hip, the knee, and the ankle normalized to body weight (JFz/BW). Internal joint direct measurements of four PO patients', 61-83 years, average weight 808 N and 1.71 m height, with telemetric Hip I (4-channel), Hip II (8-channel) and knee (9-channel) instrumented implants were selected from Orthoload database with comparable gait to NG, SKG and SR. Statistical measurements presented similar mean JFz/BW at right/left hip, knee, ankle MSK-MS and asymmetric peak values with dominant NG, SKG and SR different variances (p < 0.05). Direct JFz/BW measures contrasted NG with similar hip and knee mean and variance from SKG and SR with different mean and variance. Peak JFz/BW direct measurements presented higher hip and knee values on SR and NG than SKG, with higher values at the knee than the hip on NG and SKG, and the opposite on SR. Direct JFz/BW measurements presented at the hip and the knee lower values than their corresponding MSK-MS on NG, SKG and SR.

Abstract
This study presents non-invasive subject specific analysis using innovative tools from dynamic systems theory and image processing for sagittal plane anatomical marker tracking and digital filtering for detection of normalized phase differences of lower limb joint angular displacement and angular velocity coordination during long and short countermovement (CM) and muscle stretch-shortening cycle. Applied metrics captured at low-dimensional level (one variable - the phase) differences of CM neuromuscular control of lower limb joint coordination with greater dissimilarity between long and short CM, whereas no CM condition shares higher phase coordination at the hip, knee, ankle.