Methods for the Quantification of Motor Stability for the Assessment of Fall Risk

The research field of the Thesis is the evaluation of motor variability and the analysis of motor stability for the assessment of fall risk. Since many falls occur during walking, a better understanding of motor stability could lead to the definition of a reliable fall risk index aiming at measuring and assessing the risk of fall in the elderly, in the attempt to prevent traumatic events. Several motor variability and stability measures are proposed in the literature, but still a proper methodological characterization is lacking. Moreover, the relationship between many of these measures and fall history or fall risk is still unknown, or not completely clear. The aim of this thesis is hence to: i) analyze the influence of experimental implementation parameters on variability/stability measures and understand how variations in these parameters affect the outputs; ii) assess the relationship between variability/stability measures and long- short-term fall history. Several implementation issues have been addressed. Following the need for a methodological standardization of gait variability/stability measures, highlighted in particular for orbital stability analysis through a systematic review, general indications about implementation of orbital stability analysis have been showed, together with an analysis of the number of strides and the test-retest reliability of several variability/stability numbers. Indications about the influence of directional changes on measures have been provided. The association between measures and long/short-term fall history has also been assessed. Of all the analyzed variability/stability measures, Multiscale entropy and Recurrence quantification analysis demonstrated particularly good results in terms of reliability, applicability and association with fall history. Therefore, these measures should be taken in consideration for the definition of a fall risk index.

Homogenization of nonlinear composites for multiscale analysis

A composite is a material made out of two or more constituents (phases) combined together in order to achieve desirable mechanical or thermal properties. Such innovative materials have been widely used in a large variety of engineering fields in the past decades. The design of a composite structure requires the resolution of a multiscale problem that involves a macroscale (i.e. the structural scale) and a microscale. The latter plays a crucial role in the determination of the material behavior at the macroscale, especially when dealing with constituents characterized by nonlinearities. For this reason, numerical tools are required in order to design composite structures by taking into account of their microstructure. These tools need to provide an accurate yet efficient solution in terms of time and memory requirements, due to the large number of internal variables of the problem. This issue is addressed by different methods that overcome this problem by reducing the number of internal variables. Within this framework, this thesis focuses on the development of a new homogenization technique named Mixed TFA (MxTFA) in order to solve the homogenization problem for nonlinear composites. This technique is based on a mixed-stress variational approach involving self-equilibrated stresses and plastic multiplier as independent variables on the Reference Volume Element (RVE). The MxTFA is developed for the case of elastoplasticity and viscoplasticity, and it is implemented into a multiscale analysis for nonlinear composites. Numerical results show the efficiency of the presented techniques, both at microscale and at macroscale level.