Clinical Biomechanics最新文献

{"title":"Investigating postural control as a predictor of low back and pelvic girdle pain during and after pregnancy","authors":"Jennifer J. Bagwell ,&nbsp;Nicholas Reynolds ,&nbsp;Dimitrios Katsavelis ,&nbsp;Anastasia Kyvelidou","doi":"10.1016/j.clinbiomech.2024.106370","DOIUrl":"10.1016/j.clinbiomech.2024.106370","url":null,"abstract":"<div><h3>Background</h3><div>Falls are common during pregnancy, posing risks to maternal and fetal health. Pregnant individuals also commonly experience low back and/or pelvic girdle pain. Other populations with pain, such as older adults with back pain demonstrate increased fall risk. This study assessed the relationship between standing balance control characteristics during single leg stance and low back/pelvic girdle pain scores during and after pregnancy with eyes open and closed. We hypothesized that standing balance control characteristics of smaller sway and sway velocity would be related to greater low back/pelvic girdle pain during the third trimester.</div></div><div><h3>Methods</h3><div>During the second trimester, third trimester, and postpartum nineteen individuals performed single leg stance on a force platform with eyes open and closed and completed the Quebec Back Pain Disability Scale. Stepwise multiple linear regressions were used to investigate the variance of Quebec Back Pain Disability Scale scores that could be explained by postural control variables for each time point and condition.</div></div><div><h3>Findings</h3><div>During the third trimester, decreased total sway and anterior/posterior sway range with eyes closed were significantly associated with higher low back/pelvic girdle pain disability scores (<em>P</em> = 0.005, R² = 0.480). No significant relationships were found during the second trimester or postpartum nor for eyes open conditions.</div></div><div><h3>Interpretation</h3><div>This study suggests a potential association between low back/pelvic girdle pain and postural control during pregnancy. Pregnant individuals with lumbopelvic pain may demonstrate postural stability deficits, particularly without visual input. Balance assessments and interventions should be considered during routine care for pregnant individuals, especially for those with pain.</div></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing risk factors for falls solely by posturgaphic measurements may overlook other causes","authors":"Josef Finsterer","doi":"10.1016/j.clinbiomech.2024.106368","DOIUrl":"10.1016/j.clinbiomech.2024.106368","url":null,"abstract":"","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to the letter to the editor: “Fall assessment in healthy older adults: Approach using rambling-trembling decomposition method”","authors":"Momoko Yamagata ,&nbsp;Masashi Taniguchi ,&nbsp;Noriaki Ichihashi","doi":"10.1016/j.clinbiomech.2024.106369","DOIUrl":"10.1016/j.clinbiomech.2024.106369","url":null,"abstract":"","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Magnetic resonance imaging verification of anterior capsular impingement in the hip joint: A three-dimensional analysis","authors":"Subaru Hyakutake ,&nbsp;Hiroshige Tateuchi ,&nbsp;Masahide Yagi ,&nbsp;Hikari Itsuda ,&nbsp;Zimin Wang ,&nbsp;Ryusuke Nakai ,&nbsp;Noriaki Ichihashi","doi":"10.1016/j.clinbiomech.2024.106367","DOIUrl":"10.1016/j.clinbiomech.2024.106367","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to clarify whether the anterior hip capsular ligament is impinged between the acetabulum and femur during hip flexion or adduction and to determine the difference in the distance between the femur and capsular ligament in healthy adults and those with hip pain.</div></div><div><h3>Methods</h3><div>Magnetic resonance imaging of the hip joint was conducted at the following hip positions: 0° of flexion, 60° of flexion, maximal flexion, and maximal flexion with adduction. A three-dimensional model of the capsular ligament and femur was constructed. The minimal distance between the femur and capsular ligament, termed the capsule-femur distance, was computed. Because a capsule-femur distance of 0 mm indicates contact between the femur and the capsular ligament, that is, capsular impingement, the distance in each position was compared for each group using a one-sample <em>t</em>-test. The capsule-femur distance in the various groups and for different positions was compared using a split-plot analysis of variance.</div></div><div><h3>Findings</h3><div>Fifteen healthy individuals and sixteen individuals experiencing hip pain were enrolled. The capsule-femur distance was significantly greater than 0 mm in all positions in both groups, and none of the groups had a capsule-femur distance of 0 mm. The capsule-femur distance was significantly longer in the other positions than in the 0° flexion position, and significantly longer in the hip pain group than in the healthy group.</div></div><div><h3>Interpretation</h3><div>Capsular impingement did not occur in either group, even during hip flexion or adduction. Furthermore, the capsule-femur distance was longer in the hip flexion and hip pain groups.</div></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gait compensations, pain, and functional performance during the six minute walk test in individuals with unilateral hip osteoarthritis","authors":"Hope Davis-Wilson ,&nbsp;Rashelle Hoffman ,&nbsp;Victor Cheuy ,&nbsp;Jesse Christensen ,&nbsp;Jeri E. Forster ,&nbsp;Dana L. Judd ,&nbsp;Jennifer Stevens-Lapsley ,&nbsp;Cory L. Christiansen","doi":"10.1016/j.clinbiomech.2024.106366","DOIUrl":"10.1016/j.clinbiomech.2024.106366","url":null,"abstract":"<div><h3>Background</h3><div>Individuals with unilateral hip osteoarthritis walk with kinematic and spatiotemporal compensations compared to healthy individuals. Our purpose was to determine associations between gait, pain, and functional performance during the six-minute walk test.</div></div><div><h3>Methods</h3><div>Trunk and hip kinematics and spatiotemporal gait outcomes were recorded from individuals with unilateral hip osteoarthritis using inertial sensors (Xsens Technologies). Pain was collected prior to and at the end of the six-minute walk test. Paired <em>t</em>-tests were conducted to evaluate gait between limbs and between the first and final minutes of walking. Correlations were conducted between gait, pain, and six-minute walk test performance.</div></div><div><h3>Findings</h3><div>Nineteen participants (8 females, age: 63 ± 5 yrs., BMI: 29.0 ± 4.5 kg/m²) completed the study. Between-limb differences in hip flexion, hip extension, and trunk forward flexion peak angles were observed during the six-minute walk test (<em>P</em> &lt; .05). Participants demonstrated an increase in trunk forward flexion of the osteoarthritis side (<em>t</em> = −2.34, <em>P</em> = .031) and a bilateral decrease in stride length (osteoarthritis limb: <em>t</em> = 2.98, <em>P</em> = .008, non- osteoarthritis limb: <em>t</em> = 3.17, <em>P</em> = .006) from the first to the final minute of walking. Greater pain was associated with greater osteoarthritis limb hip extension (first minute: <em>r</em> = −0.506, <em>P</em> = .027, final minute: <em>r</em> = −0.53, <em>P</em> = .020) and greater hip abduction (<em>r</em> = 0.46, <em>P</em> = .046) during the final minute of walking.</div></div><div><h3>Interpretations</h3><div>Gait compensations increase throughout the six-minute walk test, and pain associates with hip kinematics during the six-minute walk test. Wearable technology may allow for more accurate clinical movement assessments.</div></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142536107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transhumeral prosthesis use and disuse affects whole-body angular momentum","authors":"Julia A. Dunn ,&nbsp;Nicholas G. Gomez ,&nbsp;Bob Wong ,&nbsp;Sarina K. Sinclair ,&nbsp;K. Bo Foreman ,&nbsp;Kent N. Bachus ,&nbsp;Heath B. Henninger","doi":"10.1016/j.clinbiomech.2024.106365","DOIUrl":"10.1016/j.clinbiomech.2024.106365","url":null,"abstract":"<div><h3>Background</h3><div>Individuals with transhumeral limb loss have an increased risk of falling, potentially resulting from altered upper-body kinematics during gait. The purpose of this study was to investigate whole-body angular momentum as a measure of movement control, to gain an understanding of how these upper-body kinematics contribute to dynamic balance.</div></div><div><h3>Methods</h3><div>Eight participants with transhumeral limb loss and eight able-bodied control participants completed three gait trials at self-selected speeds. The participants with transhumeral limb loss performed trials with and without their prosthesis. Coefficient of cancellation and whole-body angular momentum about all anatomical axes of rotation were calculated. Means and variance were compared across the conditions over the gait cycle via statistical parametric mapping, and ranges were compared using a one-way ANOVA.</div></div><div><h3>Findings</h3><div>Coefficient of cancellation was decreased between the upper/lower extremities in the transverse plane and between the upper extremities/trunk in the sagittal plane for both transhumeral walking conditions compared to the control group. Whole-body angular momentum was statistically different in the sagittal plane and decreased in the transverse plane when walking with the prosthesis compared to the control group. Walking without the prosthesis resulted in increased variability of whole-body angular momentum.</div></div><div><h3>Interpretation</h3><div>Individuals with transhumeral limb loss had dysregulated whole-body angular momentum compared to the control group. This dysregulation was related to decreased segment-to-segment cancellation from the upper extremities and increased variance throughout the gait cycle. Based on these findings, individuals should be encouraged to wear their transhumeral prosthesis while walking as it may reduce fall risk and fatigue.</div></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of movements involved in raising lower garments during toileting in patients with stroke and hemiplegia: An analysis focused on manipulation on the paretic side","authors":"Yuki Kuroda ,&nbsp;Naoyuki Motojima ,&nbsp;Sumiko Yamamoto","doi":"10.1016/j.clinbiomech.2024.106364","DOIUrl":"10.1016/j.clinbiomech.2024.106364","url":null,"abstract":"<div><h3>Background</h3><div>Movements to raise lower garments in patients with stroke and hemiplegia consist of downward reach, non-paretic-side manipulation, and paretic-side manipulation. In this study, we focused on paretic-side manipulation, which is particularly difficult, and investigated the factors that make it challenging.</div></div><div><h3>Methods</h3><div>Forty-eight patients with stroke and hemiplegia (23 and 25 patients in independent and dependent groups, respectively) participated in this study. First, we investigated the difficulty of each manipulation using a visual analog scale to confirm the usefulness of focusing on paretic-side manipulation. Characteristics of the paretic side manipulation were compared between the dependent and independent groups using a three-dimensional motion analysis system.</div></div><div><h3>Findings</h3><div>The dependent group showed greater difficulty in manipulation on the paretic side compared to manipulation on the non-paretic side. The dependent group had a lower paretic limb loading ratio (<em>p</em> &lt; 0.01), greater pelvic rotation angle (p &lt; 0.01), and longer paretic side manipulation time (p &lt; 0.01) than those in the independent group.</div></div><div><h3>Interpretation</h3><div>The factors that contributed to greater difficulty in manipulating the paretic side were a lower limb loading rate and larger pelvic rotation angle toward the paretic side. These factors make it difficult to reach the lower garment and result in inefficient manipulation of the paretic side.</div></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is suture-based cerclage biomechanically superior to traditional metallic cerclage for fixation of periprosthetic femoral fractures: A matched pair cadaveric study","authors":"Shuyang Han ,&nbsp;Robert Frangie ,&nbsp;Nicholas D. Lanfermeijer,&nbsp;Jonathan E. Gold,&nbsp;Sabir K. Ismaily,&nbsp;Andrew Yoo,&nbsp;Camryn A. Pletka,&nbsp;David Rodriguez-Quintana","doi":"10.1016/j.clinbiomech.2024.106362","DOIUrl":"10.1016/j.clinbiomech.2024.106362","url":null,"abstract":"<div><h3>Background</h3><div>While traditional metallic cerclage remains the primary method in clinical application, non-metallic cerclage systems have recently gained popularity due to low risks of soft tissue irritation and bone intrusion. The objective of this study was to assess the performance of a novel non-metallic suture-based cerclage in comparison to traditional metallic cerclage cables for fixation of periprosthetic femoral fractures.</div></div><div><h3>Methods</h3><div>An extended trochanteric osteotomy was performed on eight pairs of cadaveric femora, followed by reduction using either metallic cerclages (Group I) or the suture-based cerclage (Group II). A modular tapered fluted stem was then implanted in each specimen. The fragment translation during canal preparation and stem implantation was quantified using laser-scanning. Subsequently, each specimen underwent 500 cycles of multiaxial loading, with fragment translation and stem subsidence measured using a motion capture system.</div></div><div><h3>Findings</h3><div>Following stem implantation, specimens in Group II exhibited a significantly greater lateral fragment translation (466 μm vs 754 μm, <em>p</em> = 0.017). However, there were no significant differences in anterior and distal translation between groups (<em>p</em> &gt; 0.05). During multiaxial loading, the average stem subsidence in Group I was 0.36 mm (range, 0.04–1.42 mm), compared to 0.41 mm (range, 0.03–1.29) in Group II (<em>p</em> &gt; 0.05). No significant difference was found in fragment translations between the two groups (p &gt; 0.05).</div></div><div><h3>Interpretation</h3><div>The suture-based cerclage system exhibited comparable biomechanical performance in fixation stability to conventional metallic cerclage cables. Yet, it was associated with a larger residual lateral gap between the fragments following stem implantation. Ultimately, the choice of fixation method should account for multiple factors, including patient characteristics, surgeon preference, and bone quality.</div></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anterior and coracoid base tunnel location combined with single -or double clavicular tunnel techniques using double-button fixation for coracoclavicular ligament reconstruction both restore horizontal stability. A biomechanical cadaver study","authors":"Maketo Molepo ,&nbsp;Natalie Keough ,&nbsp;Abrie Oberholster ,&nbsp;Erik Hohmann","doi":"10.1016/j.clinbiomech.2024.106363","DOIUrl":"10.1016/j.clinbiomech.2024.106363","url":null,"abstract":"<div><h3>Background</h3><div>The placement of clavicle tunnels in coracoclavicular ligament reconstruction is well established, but the optimal position of the coracoid tunnel remains unclear. This study aimed to investigate how the coracoid tunnel's position affects horizontal stability during coracoclavicular ligament reconstruction using a double-button technique.</div></div><div><h3>Methods</h3><div>Fifteen fresh frozen shoulder cadaver specimens were tested under various conditions: intact coracoclavicular ligaments, disrupted ligaments, and reconstructions with a single coracoid and clavicle tunnel or double clavicle tunnels. The coracoid tunnel was positioned at the coracoid base 1/9, and 1/5 anterior to the base. Specimens underwent displacement-controlled loading, with 2D motion analysis conducted on captured digital images using TEMA motion analysis.</div></div><div><h3>Findings</h3><div>Mean displacement for intact coracoclavicular ligaments was 1.61 ± 0.92 mm, and 3.69 ± 1.09 mm for disrupted ligaments. For reconstructed conditions, displacements were as follows: Single-Tunnel Base (1.87 ± 0.64 mm), Single-Tunnel 1/9 (2.54 ± 1.13 mm), Single-Tunnel 1/5 (2.62 ± 1.17 mm), Double-Tunnel Base (1.25 ± 0.73 mm), Double-Tunnel 1/9 (2.03 ± 1.22 mm), and Double-Tunnel 1/5 (1.88 ± 1.20 mm). Differences among intact, reconstructed, and disrupted states were statistically significant (<em>p</em> = 0.01–0.0001), with all reconstruction techniques restoring horizontal displacement near the intact state.</div></div><div><h3>Interpretation</h3><div>At point zero both single coracoid tunnel and single- and double-clavicle tunnel restored horizontal displacement to its intact state. Coracoid tunnel placement anterior to the base of the coracoid did not influence horizontal displacement but single coracoid at the coracoid base and single clavicle tunnel resulted in the most anatomic reconstruction. Single coracoid tunnel at the base and double-clavicle resulted in the most stable reconstruction.</div></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The type of gait disturbance in COVID-19 survivors depends on its etiology","authors":"Josef Finsterer","doi":"10.1016/j.clinbiomech.2024.106334","DOIUrl":"10.1016/j.clinbiomech.2024.106334","url":null,"abstract":"","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}