Assistive technology in sport is an area of technology design that is growing. Assistive
technology is the array of new devices created to enable sports
enthusiasts who have disabilities to play. Assistive technology may be
used in disabled sports,
where an existing sport is modified to enable players with a disability
to participate; or, assistive technology may be used to invent
completely new sports with athletes with disabilities exclusively in
mind.
An increasing number of people with disabilities are
participating in sports, leading to the development of new assistive
technology. Assistive technology devices can be simple, "low-tech", or they may use
highly advanced technology, with some even using computers. Assistive
technology for sports may also be simple or advanced. Accordingly, assistive technology can be found in sports ranging from
local community recreation to elite Paralympic games. More complex
assistive technology devices have been developed over time, and as a
result, sports for people with disabilities "have changed from being a
clinical therapeutic tool to an increasingly competition-oriented
activity".
Assistive devices
Assistive
devices can enable exercise and training, on top of enabling
participation in a sport. Below are some of the assistive devices
currently available for different impairments:
Mobility impairments:
Light-weight wheelchairs for basketball, tennis, and racing
All-terrain wheelchairs with rugged frames and wheels for rolling over unpaved surfaces, like hiking trails, snow, or beach sand
Cross-country sit skis that allow skiers to sit down and push along the trail with tips that dig into the snow
Weights that users strap onto their wrists rather than having to hold them with the hands
Gym equipment that lets users stay in a wheelchair while using arm exercise machines
Mitts with Velcro straps that help users to hold onto an exercise machine if their grip isn't strong enough
Elastic band or tubes that exercise muscles through resistance instead of weight
Paramobile devices such as specialized golf carts with support for standing assist players with mobility disabilities
Bowling balls with hand grips assist bowlers with limited use of their hands
One-handed fishing rods assist fishers who have limited mobility
Visual impairments:
Softballs that beep, so that people with visual problems can locate the ball to hit and catch it
Basketballs with jingle bells inside for people who have limited or no eyesight
A golfer with a leg amputation uses an
adaptive golf cart that has a chest strap to help him maintain his
balance while standing on one leg.
Wheelchair curling
uses a specially adapted long stick to launch the "rock" down the ice.
These players are delivering rocks in the 2010 Vancouver Paralympics.
Australian Paralympic athletes using a two-seated tandem racing bicycle; the visually impaired cyclist pedals in rear, while a sighted "pilot" sits in the front.
Sports using assistive technology
Sports that use assistive technology may include the following:
Accessible Fishing & Hunting
Accessible Sailing / Boating / Kayaking
Adaptive Archery
Adaptive Bowling
Adaptive Flying
Adaptive Golf
Adaptive Horseback Riding/Equestrian
Adaptive Scuba Diving
Adaptive Shooting
Adaptive Skiing & Snowboarding
Adaptive Table Tennis
Adaptive Water Sports
Extreme Wheelchair Sports
Handcycling
Power Soccer
Quad Rugby
Sled, Floor & Power Hockey
Wheelchair Basketball
Wheelchair Curling
Wheelchair Fencing
Wheelchair Lacrosse
Wheelchair Pool and Billiards
Wheelchair Racing and Field Sports
Wheelchair Baseball
Wheelchair Softball
Wheelchair Table Tennis
Wheelchair Tennis
Wheelchair Volleyball
Wheelchair Weightlifting
Many of the sports listed above have attained international elite sport status, being included in the Paralympic Games.
Sports requiring assistive technology
Some
sports have developed with the goal of creating a challenge that
players with a disability could enjoy. These sports require assistive
technology for all players as part of the game. Some examples are: Sledge (sled) hockey; wheelchair basketball; adaptive sailing, with boats designed especially for sailors with disabilities; Nordic (cross-country) skiing with "sit-ski" buckets; and handcycling races.
Sport wheelchair design
Sport
wheelchairs are designed for the requirements of specific sports. Power
chairs can also be fitted with assistive devices that are temporary
adaptations to the demands of a sport, such as a kick plate attached to a
power chair for powerchair football (power soccer).
Light-weight frames are a necessity for wheelchairs used in
sports requiring sharp, fast turns and overall agility, such as tennis,
basketball, and racing.
Chairs with reinforced frames and impact protection are required for contact sports, such as wheelchair rugby or basketball.
Racing chairs are designed with bucket seats, angled wheels for
improved stability, and a t-frame with a third wheel in front, allowing
precision steering and improved balance. The athlete and wheelchair are
viewed together by some sport researchers as a unified performance
system. Improvements can be made to chairs by evaluating the chair and
athlete separately or in performance conditions together.
A recumbent racing handcycle with a streamlined frame and thin road racing wheels.
Wheelchair rugby players use wheelchairs with strong frames, foot protection and wheel covers, to prevent injury in this contact sport.
Wheelchair tennis requires agility. These Paralympic players use highly manoeuvrable chairs that can change direction very rapidly
Prosthetic
devices come in a variety of designs suited to different athletic
purposes. Prosthetic legs may be designed for rock climbing, running, or
jumping. The technology is designed to attain goals, such as greater gait
efficiency when running. The technology is constantly improving to meet
the demands of athletes who set ever-higher sports challenges for
themselves.
In 2008, the International Association of Athletics Federations
(IAAF) began a worldwide debate when they established Rule 144.2(e),
prohibiting the use of technical devices that offer a competitive
advantage. South African athlete Oscar Pistorius,
using energy-storing prosthetic legs, fought for the right to run
against able-bodied athletes in the 2008 Olympic and Paralympic Games,
and won the right to compete, although he did not meet the qualifying
time required for the traditional able-bodied competitions.
A Paralympic track athlete walks with a prosthetic leg designed for racing.
A prosthetic leg designed for bicycle racing. Adaptations can attach the prosthetic foot to the pedal during riding.
The Prosthetics Division at Naval Medical
Center San Diego, configures a custom-built Cheetah high-performance
carbon fiber foot designed for sprinting.
Climbing a rock wall is made more accessible with specially designed prosthetic legs.
Functional classification
Functional
classification systems are used to evaluate and categorize athletes in
elite sports. The classification determines the type and extent of
assistive technology use by the athlete.
Organizations
Organizations
and associations at the national and international level support the
development of adaptive sport and recreation, often through the use of
assistive technology for players. These organizations are "growing in
number and scope".
Disabled Sports USA
- The national organization that provides over 40 different adaptive
sports to over 60,000 people with disabilities in the US through a
network of over 100 community-based chapters.
Assistive
technology has made sports accessible to many athletes who would have
otherwise not been able to play. However, it has its downfalls. This
technology is expensive, so many people will never have access to it. It
can be subject to abuse, as some people use the technology when they
don't actually need it. There have been rulings that athletes who use
assistive technology have an advantage over "able-bodied" athletes.
In a quantum field theory, charge screening
can restrict the value of the observable "renormalized" charge of a
classical theory. If the only resulting value of the renormalized charge
is zero, the theory is said to be "trivial" or noninteracting. Thus,
surprisingly, a classical theory that appears to describe interacting
particles can, when realized as a quantum field theory, become a
"trivial" theory of noninteracting free particles. This phenomenon is
referred to as quantum triviality. Strong evidence supports the idea that a field theory involving only a scalar Higgs boson is trivial in four spacetime dimensions, but the situation for realistic models including other particles in
addition to the Higgs boson is not known in general. Nevertheless,
because the Higgs boson plays a central role in the Standard Model of particle physics, the question of triviality in Higgs models is of great importance.
This Higgs triviality is similar to the Landau pole problem in quantum electrodynamics,
where this quantum theory may be inconsistent at very high momentum
scales unless the renormalized charge is set to zero, i.e., unless the
field theory has no interactions. The Landau pole question is generally
considered to be of minor academic interest for quantum electrodynamics
because of the inaccessibly large momentum scale at which the
inconsistency appears. This is not however the case in theories that
involve the elementary scalar Higgs boson, as the momentum scale at
which a "trivial" theory exhibits inconsistencies may be accessible to
present experimental efforts such as at the Large Hadron Collider (LHC) at CERN. In these Higgs theories, the interactions of the Higgs particle with itself are posited to generate the masses of the W and Z bosons, as well as lepton masses like those of the electron and muon.
If realistic models of particle physics such as the Standard Model
suffer from triviality issues, the idea of an elementary scalar Higgs
particle may have to be modified or abandoned.
The situation becomes more complex in theories that involve other
particles however. In fact, the addition of other particles can turn a
trivial theory into a nontrivial one, at the cost of introducing
constraints. Depending on the details of the theory, the Higgs mass can
be bounded or even calculable. These quantum triviality constraints are in sharp contrast to the
picture one derives at the classical level, where the Higgs mass is a
free parameter. Quantum triviality can also lead to a calculable Higgs
mass in asymptotic safety scenarios.
Triviality and the renormalization group
Modern considerations of triviality are usually formulated in terms of the real-space renormalization group, largely developed by Kenneth Wilson and others. Investigations of triviality are usually performed in the context of lattice gauge theory.
A deeper understanding of the physical meaning and generalization of
the renormalization process, which goes beyond the dilatation group of
conventional renormalizable theories, came from condensed matter physics. Leo P. Kadanoff's paper in 1966 proposed the "block-spin" renormalization group. The blocking idea is a way to define the components of the theory at large distances as aggregates of components at shorter distances.
This approach covered the conceptual point and was given full computational substance in Wilson's extensive important contributions. The power of Wilson's
ideas was demonstrated by a constructive iterative renormalization
solution of a long-standing problem, the Kondo problem, in 1974, as well as the preceding seminal developments of his new method in the theory of second-order phase transitions and critical phenomena in 1971. He was awarded the Nobel prize for these decisive contributions in 1982.
In more technical terms, let us assume that we have a theory described by a certain function of the state variables and a certain set of coupling constants . This function may be a partition function, an action, a Hamiltonian, etc. It must contain the
whole description of the physics of the system.
Now we consider a certain blocking transformation of the state variables ,
the number of must be lower than the number of . Now let us try to rewrite the function only in terms of the . If this is achievable by a certain change in the parameters, , then the theory is said to be renormalizable. The most important information in the RG flow are its fixed points.
The possible macroscopic states of the system, at a large scale, are
given by this set of fixed points. If these fixed points correspond to a
free field theory, the theory is said to be trivial. Numerous fixed points appear in the study of lattice Higgs theories, but the nature of the quantum field theories associated with these remains an open question.
Historical background
The first evidence of possible triviality of quantum field theories was obtained by Lev Landau, Alexei Abrikosov, and Isaak Khalatnikov by finding the following relation of the observable charge gobs with the "bare" charge g0,
1
where m is the mass of the particle, and Λ is the momentum cut-off. If g0 is finite, then gobs tends to zero in the limit of infinite cut-off Λ.
In fact, the proper interpretation of Eq.1 consists in its inversion, so that g0 (related to the length scale 1/Λ) is chosen to give a correct value of gobs,
2
The growth of g0 with Λ invalidates Eqs. (1) and (2) in the region g0 ≈ 1 (since they were obtained for g0 ≪ 1) and the existence of the "Landau pole" in Eq.2 has no physical meaning.
which gives Eqs.(1),(2) if it is integrated under conditions g(μ) = gobs for μ = m and g(μ) = g0 for μ = Λ, when only the term with is retained in the right hand side.
The general behavior of relies on the appearance of the function β(g). According to the classification by Nikolay Bogolyubov and Dmitry Shirkov, there are three qualitatively different situations:
if has a zero at the finite value g*, then growth of g is saturated, i.e. for ;
if is non-alternating and behaves as with for large , then the growth of continues to infinity;
if with for large , then is divergent at finite value and the real Landau pole arises: the theory is internally inconsistent due to indeterminacy of for .
The latter case corresponds to the quantum triviality in the full theory (beyond its perturbation context), as can be seen by reductio ad absurdum. Indeed, if gobs is finite, the theory is internally inconsistent. The only way to avoid it, is to tend to infinity, which is possible only for gobs → 0.
Conclusions
As
a result, the question of whether the Standard Model of particle
physics is nontrivial remains a serious unresolved question. Theoretical
proofs of triviality of the pure scalar field theory exist, but the
situation for the full standard model is unknown. The implied
constraints on the standard model have been discussed.
Micrograph
of a nerve with a decrease in myelinated nerve fibres (pink) and an
abnormal increase in fibrous tissue (yellow), as may be seen in nerve
injuries. HPS stain.
Nerve injury is an injury to a nerve. There is no single classification system that can describe all the many variations of nerve injuries. In 1941, Herbert Seddon
introduced a classification of nerve injuries based on three main types
of nerve fiber injury and whether there is continuity of the nerve. Usually, however, nerve injuries are classified in five stages, based on the extent of damage to both the nerve and the surrounding connective tissue, since supporting glial cells may be involved.
Unlike in the central nervous system, neuroregeneration in the peripheral nervous system is possible. The processes that occur in peripheral regeneration can be divided into the following major events: Wallerian degeneration, axon regeneration/growth, and reinnervation
of nervous tissue. The events that occur in peripheral regeneration
occur with respect to the axis of the nerve injury. The proximal stump
refers to the end of the injured neuron that is still attached to the
neuron cell body;
it is the part that regenerates. The distal stump refers to the end of
the injured neuron that is still attached to the end of the axon; it is
the part of the neuron that will degenerate, but the stump remains
capable of regenerating its axons.
The study of nerve injury began during the American Civil War and greatly expanded during modern medicine with such advances as use of growth-promoting molecules.
Types
To assess the location and severity of a nerve injury, clinical assessment is commonly combined with electrodiagnostic tests. Injuries to the myelin are usually the least severe (neuropraxia), while injuries to the axons and supporting structures are more severe (axonotmesis is moderate injury, while neurotmesis is severe injury). It may be difficult to differentiate the severity by clinical findings
due to common neurological impairments, including motor and sensory
impairments distal to the lesion.
Neurapraxia
Nerve compression in neurapraxia
Neurapraxia
is the least severe form of nerve injury, with complete recovery. In
this case, the axon remains intact, but there is myelin damage causing
an interruption in conduction of the impulse down the nerve fiber. Most
commonly, this involves compression of the nerve or disruption to the
blood supply (ischemia). There is a temporary loss of function which is reversible within hours to months of the injury (the average is 6–8 weeks). Wallerian degeneration
does not occur, so recovery does not involve actual regeneration. There
is frequently greater involvement of motor than sensory function with
autonomic function being retained. In electrodiagnostic testing with
nerve conduction studies, there is a normal compound motor action
potential amplitude distal to the lesion at day 10, and this indicates a
diagnosis of mild neurapraxia instead of axonotmesis or neurotmesis.
Axonotmesis
Axonotmesis is a more severe nerve injury with disruption of the neuronalaxon, but with maintenance of the epineurium. This type of nerve damage may cause paralysis of the motor, sensory, and autonomic functions, and is mainly seen in crush injury.
If the force creating the nerve damage is removed in a timely
fashion, the axon may regenerate, leading to recovery. Electrically,
the nerve shows rapid and complete degeneration, with loss of voluntary
motor units. Regeneration of the motor end plates will occur, as long as
the endoneural tubules are intact.
Axonotmesis involves the interruption of the axon and its covering of myelin, but with preservation of the connective tissue framework of the nerve (the encapsulating tissue, the epineurium and perineurium, are preserved). Because axonal continuity is lost, Wallerian degeneration occurs. Electromyography
(EMG) performed 2 to 4 weeks later shows fibrillations and denervation
potentials in musculature distal to the injury site. Loss in both motor
and sensory spines is more complete with axonotmesis than with neurapraxia, and recovery occurs only through regenerations of the axons, a process requiring time.
Axonotmesis is usually the result of a more severe crush or contusion than neurapraxia,
but can also occur when the nerve is stretched (without damage to the
epineurium). There is usually an element of retrograde proximal
degeneration of the axon, and for regeneration to occur, this loss must
first be overcome. The regeneration fibers must cross the injury site and regeneration
through the proximal or retrograde area of degeneration may require
several weeks. Then the neuritis
tip progresses down the distal site, such as the wrist or hand.
Proximal lesion may grow distally as fast as 2 to 3 mm per day and
distal lesion as slowly as 1.5 mm per day. Regeneration occurs over
weeks to years.
Neurotmesis
Neurotmesis is the most severe lesion with no potential of full recovery. It occurs on severe contusion, stretch, or laceration.
The axon and encapsulating connective tissue lose their continuity. The
last (extreme) degree of neurotmesis is transsection, but most
neurotmetic injuries do not produce gross loss of continuity of the
nerve but rather internal disruption of nerve structures sufficient to
involve perineurium and endoneurium
as well as axons and their covering. Denervation changes recorded by
EMG are the same as those seen with axonotmetic injury. There is a
complete loss of motor, sensory and autonomic function. If the nerve has been completely divided, axonal regeneration causes a neuroma to form in the proximal stump. For neurotmesis, it is better to use a new more complete classification called the Sunderland System.
Overview of peripheral regeneration
Wallerian
degeneration is a process that occurs before nerve regeneration and can
be described as a cleaning or clearing process that essentially
prepares the distal stump for reinnervation. Schwann cells are glial cells
in the peripheral nervous system that support neurons by forming myelin
that encases nerves. During Wallerian degeneration Schwann cells and macrophages interact to remove debris, specifically myelin and the damaged axon, from the distal injury site. Calcium has a role in the degeneration of the damage axon. Bands of
Büngner are formed when uninnervated Schwann cells proliferate and the
remaining connective tissue basement membrane forms endoneurial tubes. Bands of Büngner are important for guiding the regrowing axon.
At the neuronal cell body, a process called chromatolysis occurs
in which the nucleus migrates to the periphery of the cell body and the endoplasmic reticulum breaks up and disperses. Nerve damage causes the metabolic function of the cell to change from that of producing molecules for synaptic transmission
to that of producing molecules for growth and repair. These factors
include GAP-43, tubulin and actin. Chromatolysis is reversed when the
cell is prepared for axon regeneration.
Axon regeneration is characterized by the formation of a growth cone,
which has the ability to produce a protease that digests any material
or debris that remains in its path of regeneration toward the distal
site. The growth cone responds to molecules produced by Schwann cells
such as laminin and fibronectin.
Neuron-intrinsic changes
Immediately
following injury, neurons undergo a large number of transcriptional and
proteomic changes which switch the cell from a mature, synaptically
active neuron to a synaptically silent, growth state. This process is
dependent on new transcription, as blocking the ability of cells to
transcribe new mRNA severely impairs regeneration. A number of signaling
pathways have been shown to be turned on by axon injury and help to
enable long distance regeneration including BMP, TGFβ, and MAPKs. Similarly, a growing number of transcription factors also boost the regenerative capacity of peripheral neurons including ASCL1, ATF3, CREB1, HIF1α, JUN, KLF6, KLF7, MYC, SMAD1, SMAD2, SMAD3, SOX11, SRF, STAT3, TP53, and XBP1.
Several of these can also boost the regenerative capacity of CNS
neurons, making them potential therapeutic targets for treating spinal
cord injury and stroke.
Role of Schwann cells
Guillain–Barré syndrome – nerve damage
Schwann cells are active in Wallerian degeneration. They not only
have a role in phagocytosis of myelin, but they also have a role in
recruitment of macrophages to continue the phagocytosis of myelin. The
phagocytic role of Schwann cells has been investigated by studying the
expression of molecules in Schwann cells that are typically specific to
inflammatory macrophages. Expression of one such molecule MAC-2, a
galactose-specific lectin, is observed in not only degenerating nerves
that are macrophage-rich but also degenerating nerves that are
macrophage-scarce and Schwann cell-rich. Furthermore, the effects of
MAC-2 in degenerating nerves are associated with myelin phagocytosis.
There was a positive correlation
between the amount of MAC-2 expression and the extent of myelin
phagocytosis. A deficiency in MAC-2 expression can even cause inhibition
of myelin removal from injury sites.
Schwann cells are active in demyelination of injured nerves before macrophages are even present at the site of nerve injury. Electron microscopy and immunohistochemical staining
analysis of teased nerve fibers shows that before macrophages arrive at
the injury site, myelin is fragmented and myelin debris and lipid
droplets are found in the cytoplasm of Schwann cells, indicating
phagocytic activity before macrophages arrive.
Schwann cell activity includes recruitment of macrophages to the
injury site. Monocyte chemoattractant protein (MCP-1) plays a role in
recruiting monocytes/macrophages. In tellurium-induced
demylenation with no axon degeneration, nerve crush with axon
degeneration, and nerve transection with axon degeneration an increase
in MCP-1 mRNA expression followed by an increase in macrophage
recruitment occurred. In addition varying levels of MCP-1 mRNA
expression also had an effect. Increased MCP-1 mRNA levels correlated
positively with an increase in macrophage recruitment. Furthermore, in situ hybridation determined that the cellular source of MCP-1 was Schwann cells.
Schwann cells play an important role in not only producing neurotrophic factors such as nerve growth factor (NGF) and ciliary neurotrophic factor
(CNTF), which promote growth, of both the damaged nerve and supporting
Schwann cells, but also producing neurite promoting factors, which guide
the growing axon, both of which are discussed below.
Role of macrophages
The
primary role of macrophages in peripheral regeneration is demylenation
during Wallerian degeneration. Immunohistochemical analysis showed that
in tellurium demylenated, crushed, and cut nerves, expression of
lysozyme, which is a marker for myelin phagocytosis, and of ED1, which
is a marker for macrophages, occurred in the same region. Lysozyme was
also investigated with respect to the temporal progression of myelin
phagocytosis by macrophages in nerve injury. Northern blotting
showed that peak lysozyme mRNA expression occurred at an appropriate
time with respect to temporal models of myelin phagocytosis. Macrophages
do not phagocytose all cellular debris at the nerve injury site; they
are selective and will salvage certain factors. Macrophages produce
apolipoprotein E which is involved in rescuing cholesterol in damaged
nerves. In the same investigation, temporal levels of apolipoprotein E
mRNA expression in the three models for demylenation and nerve damage
were consistent with respect to models for cholesterol salvage in nerve
injury. Macrophages play a role in salvaging cholesterol during nerve
injury.
Macrophages also play a role in inducing the proliferation of
Schwann cells that occurs during Wallerian degeneration. Supernatant has
been collected from medium in which macrophages are active in myelin
phagocytosis where lysosomal processing of the myelin occurs within the
macrophage. The supernatant contains a mitogenic factor, a mitosis
promoting factor, that is characterized heat and trypsin sensitivity,
both of which characterize it as a peptide. Treatment of Schwann cells
with the collected supernatant shows that it is a mitogenic factor and
thus plays an important role in the proliferation of Schwann cells.
Macrophages are also involved in the secretion factors that promote nerve regeneration. Macrophages secrete not only interleukin-1, a cytokine that induces expression of nerve growth factor (NGF) in Schwann cells but also an interleukin-1 receptor antagonist
(IL-1ra). Expression of IL-1ra in mice with transected sciatic nerves
via implantation of a tube releasing IL-1ra showed the regrowth of fewer
myelinated and unmyelinated axons. Macrophage secretion of
interleukin-1 is involved in stimulation of nerve regeneration.
Role of neurotrophic factors
Several signaling pathways are upregulated following a nerve injury.
Neurotrophic factors are those that promote survival and growth of
neurons. A trophic factor can be described as a factor that is
associated with providing nourishment to allow for growth. In general
they are protein ligands for tyrosine kinase
receptors; binding to the specific receptor yields autophosphorylation
and subsequent phosphorylation of tyrosine residues on proteins that
participate in further downstream signaling to activate proteins and
genes involved in growth and proliferation. Neurotrophic factors act
through retrograde transport in neurons, in which they are taken up by
the growth cone of the injured neuron and transported back to the cell
body. These neurotrophic factors have both autocrine and paracrine effects,
as they promote growth of the damaged neurons as well as the adjacent
Schwann cells.
Nerve growth factor (NGF) typically has a low level of
expression in nerves that are healthy and not growing or developing, but
in response to nerve injury NGF expression increases in Schwann cells.
This is a mechanism to increase growth and proliferation of Schwann
cells at the distal stump in order to prepare for reception of the
regenerating axon. NGF has not only a trophic role but also a tropic or
guiding role. The Schwann cells that form the bands of Bungner at the
distal injury site express NGF receptors as a guiding factor for the
regenerating axon of the injured neuron. NGF bound to the receptors on
Schwann cells provides the growing neurons that are contacted with a
trophic factor to promote further growth and regeneration.
Ciliary neurotrophic factor (CNTF) typically has a high
level of expression in Schwann cells associated with nerves that are
healthy, but in response to nerve injury CNTF expression decreases in
Schwann cells distal to the injury site and remains relatively low
unless the injured axon begins to regrow. CNTF has numerous trophic
roles in motor neurons
in the peripheral nervous system including the prevention of atrophy of
dennervated tissue and the prevention of degeneration and death of
motor neurons after nerve injury. (frostick) In sciatic motor neurons
both CNTF receptor mRNA expression and CNTF receptor is increased after
injury for a prolonged time frame compared to the short time frame in
the central nervous system suggesting a role for CNTF in nerve
regeneration.
Insulin-like growth factors (IGFs) have been shown to
increase the rate of peripheral nervous system axon regeneration. IGF-I
and IGF-II mRNA levels are significantly increased distal to the site of
crush injury in rat sciatic nerves. At the site of nerve repair, locally delivered IGF-I can significantly
increase the rate of axon regeneration within a nerve graft and help
expedite functional recovery of a paralyzed muscle.
Role of neurite-promoting factors
Neurite promoting factors include many extracellular matrix
proteins produced by Schwann cells at the distal stump including
fibronectin and laminin. Fibronectin are components of the basal lamina
and promote neurite growth and adhesion of the growth cone to the basal
lamina. In regenerating neural cells, neurite promoting factors play a
role in adhesion of the axon and include neural cell adhesion molecule (N-CAM) and N-cadherin.
Treatment
Unless
otherwise demonstrated, nerve injuries are commonly irreversible, and
therefore complete treatment is rather difficult, though still possible
and hence lifelong management of disabilities arising due to nerve injuries is necessary.
Electrical stimulation can promote nerve regeneration. The positive effect of electrical stimulation on nerve regeneration is
due to its molecular influence on the damaged neuron and Schwann cells.
Electrical stimulation can directly accelerate the expression of cyclic adenosine monophosphate (cAMP) both in neurons and Schwann cells. cAMP is a molecule that stimulates multiple signaling pathways that aid
nerve regeneration by enhancing the expression of several neurotrophic factors. Electrical stimulation also results in the influx of calcium ions, which further triggers multiple regeneration pathways.
The frequency of stimulation is an important factor in the
success of both quality and quantity of axon regeneration as well as
growth of the surrounding myelin and blood vessels that support the axon. Histological analysis and measurement of regeneration showed that low frequency stimulation had a more successful outcome than high frequency stimulation on regeneration of damaged sciatic nerves.
Other studies have used both oscillating current (AC) and non-oscillating direct current (DC)
stimulation to regenerate mammalian nerves. Mammalian neurons
preferentially orient and grow towards the cathode in DC electric
fields.
Surgery can be done in case a nerve has become cut or otherwise
divided. Recovery of a nerve after surgical repair depends mainly on the
age of patients. Younger the patients, better the prognosis, because of better healing capacity of young tissues. Young children can recover almost normal nerve function. In contrast, a patient over 60 years old with a cut nerve in the hand
would expect to recover only protective sensory function, that is, the
ability to distinguish hot/cold or sharp/dull; recovery of motor
function would be likely incomplete. Many other factors also affect nerve recovery. The use of autologous nerve grafting procedures that involve
redirection of regenerative donor nerve fibers into the graft conduit
has been successful in restoring target muscle function. Localized
delivery of soluble neurotrophic factors may help promote the rate of
axon regeneration observed within these graft conduits.
An expanding area of nerve regeneration research deals with the
development of scaffolding and bio-conduits. Scaffolding developed from bio-compatible material
would be useful in nerve regeneration if they successfully exhibit
essentially the same role as the endoneurial tubes and Schwann cells do
in guiding regrowing axons.
Prevention of nerve injuries
Methods
to help prevent nerve injuries include injection pressure monitoring.
The presence of a high opening injection pressure (> 20 PSI) is a
sensitive sign of intrafascicular/intraneural needle tip placement.
Extrafascicular needle tip placement is associated with low pressures
(< 20 PSI). Also, high pressure injection was associated with
neurologic deficits and severe axonal damage after the block. Other
methods of preventing nerve injury include electrical nerve stimulation
and ultrasonography. Electrical stimulation with a motor response at
< 0.2 mA only can occur with an intraneural/intrafasciular needle tip
location.
Solar-cell efficiency is the portion of energy in the form of sunlight that can be converted via photovoltaics into electricity by the solar cell.
The efficiency of the solar cells used in a photovoltaic system,
in combination with latitude and climate, determines the annual energy
output of the system. For example, a solar panel with 20% efficiency and
an area of 1 m2 produces 200 kWh/yr at Standard Test Conditions if exposed to the Standard Test Condition solar irradiance value of 1000 W/m2
for 2.74 hours a day. Usually solar panels are exposed to sunlight for
longer than this in a given day, but the solar irradiance is less than
1000 W/m2 for most of the day. A solar panel can produce more
when the Sun is high in Earth's sky and produces less in cloudy
conditions, or when the Sun is low in the sky. The Sun is lower in the
sky in the winter.
Two location dependent factors that affect solar PV yield are the
dispersion and intensity of solar radiation. These two variables can
vary greatly between each country. The global regions that have high radiation levels throughout the year
are the Middle East, Northern Chile, Australia, China, and Southwestern
USA.In a high-yield solar area like central Colorado, which receives annual insolation of 2000 kWh/m2/year, a panel can be expected to produce 400 kWh of energy per year. However, in Michigan, which receives only 1400 kWh/m2/year, annual energy yield drops to 280 kWh for the same panel. At more
northerly European latitudes, yields are significantly lower: 175 kWh
annual energy yield in southern England under the same conditions.
Schematic of charge collection by solar cells. Light transmits through transparent conducting electrode creating electron hole pairs,
which are collected by both the electrodes. The absorption and
collection efficiencies of a solar cell depend on the design of
transparent conductors and active layer thickness.
Several factors affect a cell's conversion efficiency, including its reflectance, thermodynamic efficiency, charge carrier separation efficiency, charge carrier collection efficiency and conduction efficiency values. Because these parameters can be difficult to measure directly, other parameters are measured instead, including quantum efficiency, open-circuit voltage (VOC) ratio, and § Fill factor. Reflectance losses are accounted for by the quantum efficiency value, as they affect external quantum efficiency. Recombination losses are accounted for by the quantum efficiency, VOC
ratio, and fill factor values. Resistive losses are predominantly
accounted for by the fill factor value, but also contribute to the
quantum efficiency and VOC ratio values.
As of 2024, the world record for solar cell efficiency is 47.6%, set in May 2022 by Fraunhofer ISE, with a III-V four-junction concentrating photovoltaic (CPV) cell. This beat the previous record of 47.1%, set in 2019 by multi-junctionconcentrator solar cells developed at National Renewable Energy Laboratory (NREL), Golden, Colorado, USA, which was set in lab conditions, under extremely concentrated light.
The record in real-world conditions is held by NREL, who developed
triple junction cells with a tested efficiency of 39.5%.
The Shockley–Queisser limit
for the efficiency of a single-junction solar cell under unconcentrated
sunlight at 273 K. This calculated curve uses actual solar spectrum
data, and therefore the curve is wiggly from IR absorption bands in the
atmosphere. This efficiency limit of ~34% can be exceeded by multijunction solar cells.
If one has a source of heat at temperature Ts and cooler heat sink at temperature Tc, the maximum theoretically possible value for the ratio of work (or electric power) obtained to heat supplied is 1-Tc/Ts, given by a Carnot heat engine. If we take 6000 K for the temperature of the sun and 300 K for ambient conditions on earth, this comes to 95%. In 1981, Alexis de Vos and Herman Pauwels showed that this is
achievable with a stack of an infinite number of cells with band gaps
ranging from infinity (the first cells encountered by the incoming
photons) to zero, with a voltage in each cell very close to the
open-circuit voltage, equal to 95% of the band gap of that cell, and
with 6000 K blackbody radiation coming from all directions. However, the 95% efficiency thereby achieved means that the electric power is 95% of the net amount of light absorbed – the stack emits
radiation as it has non-zero temperature, and this radiation must be
subtracted from the incoming radiation when calculating the amount of
heat being transferred and the efficiency. They also considered the more
relevant problem of maximizing the power output for a stack being
illuminated from all directions by 6000 K blackbody radiation. In this
case, the voltages must be lowered to less than 95% of the band gap (the
percentage is not constant over all the cells). The maximum theoretical
efficiency calculated is 86.8% for a stack of an infinite number of
cells, using the incoming concentrated sunlight radiation. When the incoming radiation comes only from an area of the sky the size of the sun, the efficiency limit drops to 68.7%.
Ultimate efficiency
Normal photovoltaic systems however have only one p–n junction
and are therefore subject to a lower efficiency limit, called the
"ultimate efficiency" by Shockley and Queisser. Photons with an energy
below the band gap of the absorber material cannot generate an electron-hole pair,
so their energy is not converted to useful output, and only generates
heat if absorbed. For photons with an energy above the band gap energy,
only a fraction of the energy above the band gap can be converted to
useful output. When a photon of greater energy is absorbed, the excess
energy above the band gap is converted to kinetic energy of the carrier
combination. The excess kinetic energy is converted to heat through phonon
interactions as the kinetic energy of the carriers slows to equilibrium
velocity. Traditional single-junction cells with an optimal band gap for the solar spectrum have a maximum theoretical efficiency of 33.16%, the Shockley–Queisser limit.
Solar cells with multiple band gap absorber materials improve
efficiency by dividing the solar spectrum into smaller bins where the
thermodynamic efficiency limit is higher for each bin.
When a photon is absorbed by a solar cell it can produce an
electron-hole pair. One of the carriers may reach the p–n junction and
contribute to the current produced by the solar cell; such a carrier is
said to be collected. Or, the carriers recombine with no net contribution to cell current.
Quantum efficiency refers to the percentage of photons that are
converted to electric current (i.e., collected carriers) when the cell
is operated under short circuit conditions. The two types of quantum
that are usually referred to when talking about solar cells are external
and internal. External quantum efficiency (EQE) relates to the
measurable properties of the solar cell. The "external" quantum
efficiency of a silicon
solar cell includes the effect of optical losses such as transmission
and reflection. Measures can be taken to reduce these losses. The
reflection losses, which can account for up to 10% of the total incident
energy, can be dramatically decreased using a technique called
texturization, a light trapping method that modifies the average light
path.
The internal quantum efficiency (IQE) gives insight into the
internal material parameters like the absorption coefficient or internal
luminescence quantum efficiency. IQE is mainly used to aid the understanding of the potential of a certain material rather than a device.
Quantum efficiency is most usefully expressed as a spectral
measurement (that is, as a function of photon wavelength or energy).
Since some wavelengths are absorbed more effectively than others,
spectral measurements of quantum efficiency can yield valuable
information about the quality of the semiconductor bulk and surfaces.
Quantum efficiency is not the same as overall energy conversion
efficiency, as it does not convey information about the fraction of
power that is converted by the solar cell.
Maximum power point
Dust
often accumulates on the glass of solar modules - highlighted in this
negative image as black dots - which reduces the amount of light
admitted to the solar cells
A solar cell may operate over a wide range of voltages (V) and currents (I). By increasing the resistive load on an irradiated cell continuously from zero (a short circuit) to a very high value (an open circuit) one can determine the maximum power
point, the point that maximizes V×I; that is, the load for which the
cell can deliver maximum electrical power at that level of irradiation.
(The output power is zero in both the short circuit and open circuit
extremes).
The maximum power point of a solar cell is affected by its
temperature. Knowing the technical data of certain solar cell, its power
output at a certain temperature can be obtained by , where is the power generated at the standard testing condition; is the actual temperature of the solar cell.
A high quality, monocrystalline silicon solar cell, at 25 °C cell temperature, may produce 0.60 V open-circuit (VOC).
The cell temperature in full sunlight, even with 25 °C air temperature,
is probably close to 45 °C, reducing the open-circuit voltage to 0.55 V
per cell. The voltage drops modestly, with this type of cell, until the
short-circuit current is approached (ISC). Maximum
power (with 45 °C cell temperature) is typically produced with 75% to
80% of the open-circuit voltage (0.43 V in this case) and 90% of the
short-circuit current. This output can be up to 70% of the VOC x ISC product. The short-circuit current (ISC) from a cell is nearly proportional to the illumination, while the open-circuit voltage (VOC)
may drop only 10% with an 80% drop in illumination. Lower-quality cells
have a more rapid drop in voltage with increasing current and could
produce only 1/2 VOC at 1/2 ISC. The usable power output could thus drop from 70% of the VOC x ISC product to 50% or even as little as 25%. Vendors who rate their solar cell "power" only as VOC x ISC, without giving load curves, can be seriously distorting their actual performance.
The maximum power point of a photovoltaic varies with incident illumination. For example, accumulation of dust on photovoltaic panels reduces the maximum power point. Recently, new research to remove dust from solar panels has been
developed by utilizing electrostatic cleaning systems. In such systems,
an applied electrostatic field at the surface of the solar panels causes
the dust particles to move in a "flip-flop" manner. Then, due to gravity and the fact that the solar panels are slightly
slanted, the dust particles get pulled downward by gravity. These systems only require a small power consumption and enhance the
performance of the solar cells, especially when installed in the desert,
where dust accumulation contributes to decreasing the solar panel's
performance. Also, for systems large enough to justify the extra
expense, a maximum power point tracker tracks the instantaneous power by continually measuring the voltage and current (and hence, power transfer), and uses this information to dynamically adjust the load so the maximum power is always transferred, regardless of the variation in lighting.
Fill factor
Another defining term in the overall behaviour of a solar cell is the fill factor (FF). This factor is a measure of quality of a solar cell. This is the available power at the maximum power point (Pm) divided by the open circuit voltage (VOC) and the short circuit current (ISC):
The fill factor can be represented graphically by the IV sweep, where it is the ratio of the different rectangular areas.
The fill factor is directly affected by the values of the cell's series, shunt resistances and diodes losses. Increasing the shunt resistance (Rsh) and decreasing the series resistance (Rs)
lead to a higher fill factor, thus resulting in greater efficiency, and
bringing the cell's output power closer to its theoretical maximum.
Typical fill factors range from 50% to 82%. The fill factor for a normal silicon PV cell is 80%.
Energy conversion efficiency is measured by dividing the electrical
output by the incident light power. Factors influencing output include
spectral distribution, spatial distribution of power, temperature, and
resistive load. IEC
standard 61215 is used to compare the performance of cells and is
designed around standard (terrestrial, temperate) temperature and
conditions (STC): irradiance of 1 kW/m2, a spectral distribution close to solar radiation through AM (airmass)
of 1.5 and a cell temperature 25 °C. The resistive load is varied
until the peak or maximum power point (MPP) is achieved. The power at
this point is recorded as Watt-peak (Wp). The same standard is used for measuring the power and efficiency of PV modules.
Air mass affects output. In space, where there is no atmosphere,
the spectrum of the Sun is relatively unfiltered. However, on Earth, air
filters the incoming light, changing the solar spectrum. The filtering
effect ranges from Air Mass
0 (AM0) in space, to approximately Air Mass 1.5 on Earth. Multiplying
the spectral differences by the quantum efficiency of the solar cell in
question yields the efficiency. Terrestrial efficiencies typically are
greater than space efficiencies. For example, a silicon solar cell in
space might have an efficiency of 14% at AM0, but 16% on Earth at AM
1.5. Note, however, that the number of incident photons in space is
considerably larger, so the solar cell might produce considerably more
power in space, despite the lower efficiency as indicated by reduced
percentage of the total incident energy captured.
Solar cell efficiencies vary from 6% for amorphous silicon-based
solar cells to 44.0% with multiple-junction production cells and 44.4%
with multiple dies assembled into a hybrid package. Solar cell energy conversion efficiencies for commercially available multicrystalline Si solar cells are around 14–19%. The highest efficiency cells have not always been the most economical –
for example a 30% efficient multijunction cell based on exotic
materials such as gallium arsenide or indium selenide produced at low
volume might well cost one hundred times as much as an 8% efficient
amorphous silicon cell in mass production, while delivering only about
four times the output.
However, there is a way to "boost" solar power. By increasing the
light intensity, typically photogenerated carriers are increased,
increasing efficiency by up to 15%. These so-called "concentrator systems"
have only begun to become cost-competitive as a result of the
development of high efficiency GaAs cells. The increase in intensity is
typically accomplished by using concentrating optics. A typical
concentrator system may use a light intensity 6–400 times the Sun, and
increase the efficiency of a one sun GaAs cell from 31% at AM 1.5 to
35%.
A common method used to express economic costs is to calculate a price per delivered kilowatt-hour
(kWh). The solar cell efficiency in combination with the available
irradiation has a major influence on the costs, but generally speaking
the overall system efficiency is important. Commercially available solar
cells (as of 2006) reached system efficiencies between 5 and 19%.
Undoped crystalline silicon devices are approaching the theoretical limiting efficiency of 29.43%. In 2017, efficiency of 26.63% was achieved in an amorphous silicon/crystalline silicon heterojunction cell that place both positive and negative contacts on the back of the cell.
The energy payback time is the recovery time required for generating
the energy spent for manufacturing a modern photovoltaic module. An 2008
estimate puts it at from 1 to 4 yearsdepending on the module type and location. With a typical lifetime of
20 to 30 years, this means that modern solar cells would be net energy
producers, i.e., they would generate more energy over their lifetime
than the energy expended in producing them. Generally, thin-film
technologies—despite having comparatively low conversion
efficiencies—achieve significantly shorter energy payback times than
conventional systems (often < 1 year).
A study published in 2013 found that energy payback time was
between 0.75 and 3.5 years with thin film cells being at the lower end
and multicrystalline silicon (multi-Si) cells having a payback time of
1.5–2.6 years. A 2015 review assessed the energy payback time and EROI of solar photovoltaics. In this meta study, which uses an insolation of 1,700 kWh/m2/year
and a system lifetime of 30 years, mean harmonized EROIs between 8.7
and 34.2 were found. Mean harmonized energy payback time varied from 1.0
to 4.1 years. Crystalline silicon devices achieve on average an energy payback period of 2 years.
Like any other technology, solar cell manufacture is dependent on
the existence of a complex global industrial manufacturing system. This
includes the fabrication systems typically accounted for in estimates
of manufacturing energy; the contingent mining, refining and global
transportation systems; and other energy intensive support systems
including finance, information, and security systems. The difficulty in
measuring such energy overhead confers some uncertainty on any estimate
of payback times.
Technical methods of improving efficiency
Choosing optimum transparent conductor
The
illuminated side of some types of solar cells, thin films, have a
transparent conducting film to allow light to enter into the active
material and to collect the generated charge carriers. Typically, films
with high transmittance and high electrical conductance such as indium
tin oxide, conducting polymers or conducting nanowire networks are used
for the purpose. There is a trade-off between high transmittance and
electrical conductance, thus optimum density of conducting nanowires or
conducting network structure should be chosen for high efficiency.
Promoting light scattering
Diagram of the characteristic E-field enhancement profiles experienced in thin photovoltaic films (thickness t_PV) patterned with front features. Two simultaneous optical mechanisms can cause light-trapping:
anti-reflection and scattering; and two main spectral regions can be
distinguished for each mechanism, at short and long wavelengths, thus
leading to the 4 types of absorption enhancement profiles illustrated
here across the absorber region. The main geometrical parameter of the
photonic structures influencing the absorption enhancement in each
profile is indicated by the black arrows.
The inclusion of light-scattering effects in solar cells is a
photonic strategy to increase the absorption for the lower-energy
sunlight photons (chiefly in near-infrared range) for which the
photovoltaic material presents reduced absorption coefficient. Such
light-trapping scheme is accomplished by the deviation of the light rays
from the incident direction, thereby increasing their path length in
the cells' absorber. Conventional approaches used to implement light diffusion are based on
textured rear/front surfaces, but many alternative optical designs have
been demonstrated with promising results based in diffraction gratings,
arrays of metal or dielectric nano/micro particles, wave-optical
micro-structuring, among others. When applied in the devices' front these structures can act as
geometric anti-reflective coatings, simultaneously reducing the
reflection of out-going light.
For instance, lining the light-receiving surface of the cell with
nano-sized metallic studs can substantially increase the cell
efficiency. Light reflects off these studs at an oblique angle to the
cell, increasing the length of the light path through the cell. This
increases the number of photons absorbed by the cell and the amount of
current generated. The main materials used for the nano-studs are silver, gold, and aluminium.
Gold and silver are not very efficient, as they absorb much of the
light in the visible spectrum, which contains most of the energy present
in sunlight, reducing the amount of light reaching the cell. Aluminium absorbs only ultraviolet radiation, and reflects both visible
and infra-red light, so energy loss is minimized. Aluminium can
increase cell efficiency up to 22% (in lab conditions).
Anti-reflective coatings and textures
Anti-reflective
coatings are engineered to reduce the sunlight reflected from the solar
cells, therefore enhancing the light transmitted into the photovoltaic
absorber. This can be accomplished by causing the destructive interference of the
reflected light waves, such as with coatings based on the front
(multi-)layer composition, and/or by geometric refractive-index matching
caused by the surface topography, with many architectures inspired by
nature. For example, the nipple-array, a hexagonal array of subwavelength
conical nanostructures, can be seen at the surface of the moth's eyes. It was reported that utilizing this sort of surface architecture
minimizes the reflection losses by 25%, converting the additional
captured photon to a 12% increase in a solar cell's energy.
The use of front micro-structures, such as those achieved with
texturizing or other photonic features, can also be used as a method to
achieve anti-reflectiveness, in which the surface of a solar cell is
altered so that the impinging light experiences a gradually increasing
effective refractive-index when travelling from air towards the
photovoltaic material. These surfaces can be created by etching or using
lithography. Concomitantly, they promote light scattering effects that
further enhance the absorption, particularly of the longer wavelength
sunlight photons. Adding a flat back surface in addition to texturizing the front surface
further helps to trap the light within the cell, thus providing a
longer optical path.
An increase in solar cell temperature of approximately 1 °C causes an
efficiency decrease of about 0.45%. To prevent this, a transparent silica crystal layer can be applied to solar panels. The silica layer acts as a thermal black body, which emits heat as infrared radiation into space, cooling the cell up to 13 °C. Radiative cooling can thus extend the life of solar cells. Full-system integration of solar energy and radiative cooling is
referred to as a combined SE–RC system, which have demonstrated higher
energy gain per unit area when compared to non-integrated systems.
Surface passivation is critical to solar cell efficiency. Many improvements have been made to the front side of mass-produced
solar cells, but the aluminium back-surface is impeding efficiency
improvements. The efficiency of many solar cells has benefitted by creating so-called
passivated emitter and rear cells (PERCs). The chemical deposition of a
rear-surface dielectric passivation layer stack that is also made of a
thin silica or aluminium oxide film topped with a silicon nitride film helps to improve efficiency in silicon solar cells. This helped increase cell efficiency for commercial Cz-Si wafer material from just over 17% to over 21% by the mid-2010s, and the cell efficiency for quasi-mono-Si to a record 19.9%.
Concepts of the rear surface passivation for silicon solar cells has also been implemented for CIGS solar cells. The rear surface passivation shows the potential to improve the efficiency. Al2O3 and SiO2 have been used as the passivation materials. Nano-sized point contacts on Al2O3 layer and line contacts on SiO2 layer provide the electrical connection of CIGS absorber to the rear electrode Molybdenum. The point contacts on the Al2O3 layer are created by e-beam lithography and the line contacts on the SiO2 layer are created using photolithography. Also, the implementation of the passivation layers does not change the morphology of the CIGS layers.
Although not constituting a direct strategy to improve efficiency, thin film
materials show a lot of promise for solar cells in terms of low costs
and adaptability to existing structures and frameworks in technology. Since the materials are so thin, they lack the optical absorption of
bulk material solar cells. Attempts to correct this have been
demonstrated, such as light-trapping schemes promoting light scattering. Also important is thin film surface recombination. Since this is the
dominant recombination process of nanoscale thin-film solar cells, it is
crucial to their efficiency. Adding a passivating thin layer of silicon
dioxide could reduce recombination.
Tandem solar cells combine two materials to increase efficiency. In 2022 a device was announced that combined multiple perovskite
with multiple layers of silicon. Perovskites demonstrate a remarkable
ability to efficiently capture and convert blue light, complementing
silicon, which is particularly adept at absorbing red and infrared
wavelengths. This unique synergy between perovskites and silicon in
solar cell technologies allows for a more comprehensive absorption of
the solar spectrum, enhancing the overall efficiency and performance of
photovoltaic devices. The cell achieved 32.5% efficiency.