Jonas Stensgaard Stoltze, J. Rasmussen, Michael Skipper Andersen
{"title":"On the biomechanical relationship between applied hip, knee and ankle joint moments and the internal knee compressive forces","authors":"Jonas Stensgaard Stoltze, J. Rasmussen, Michael Skipper Andersen","doi":"10.1080/23335432.2018.1499442","DOIUrl":"https://doi.org/10.1080/23335432.2018.1499442","url":null,"abstract":"ABSTRACT Mechanical devices are common treating methods for knee osteoarthritis. It has the purpose of reducing the internal joint forces and unloading the damaged structure. The reduction is often achieved by alterations in the frontal plan, shifting the contact force from one compartment to the other, leaving the total compressive force unchanged. The aim of this study was to investigate how internal knee joint forces depend on applied external moments during gait. Musculoskeletal models of the gait of 10 healthy subjects were developed in the AnyBody Modelling System and used to simulate applied joint moments about different axes (load cases), each with the magnitude to compensate the net moment about the respective axis by a specified percentage. For each load case, the total, medial and lateral knee compressive force were computed and compared with a baseline case with no external moments applied. Among the investigated moments, hip flexion-extension, knee flexion-extension and ankle plantarflexion-dorsiflexion moment compensations have the most positive impact on the total knee joint compressive force, and combining the 3, each with a 40% compensation of the muscle moments, reduced the first peak by 23.6%, the second by 30.6% and the impulse by 28.6% with respect to no applied moments.","PeriodicalId":52124,"journal":{"name":"International Biomechanics","volume":"5 1","pages":"63 - 74"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23335432.2018.1499442","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46218248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment of lumbopelvic–hip complex instability and segmental sequencing amongst softball athletes","authors":"G. Gilmer, J. Washington, G. Oliver","doi":"10.1080/23335432.2018.1481456","DOIUrl":"https://doi.org/10.1080/23335432.2018.1481456","url":null,"abstract":"ABSTRACT The purpose of this study was to examine the effects of lumbopelvic–hip complex (LPHC) instability on segmental sequencing and the maximum velocities during the overhead throw. Fifty softball athletes (164.0 ± 104.0 cm, 65.6 ± 11.3 kg, 16.3 ± 3.8 years) classified as either college, high school or youth performed three 60 ft overhead throws then executed bilateral single leg squats (SLS). Kinematics were recorded using an electromagnetic tracking system. Participants were classified as ‘unstable’ if they displayed knee valgus greater than 15° at 45° knee flexion in the descending phase of the SLS. One-way ANOVAs and Bonferonni post-hoc tests revealed no significant differences between stability groups in segmental sequencing and maximum velocities amongst the college, high school and youth participation level. When all athletes were grouped together regardless of age, there were still no significant differences observed between groups. These findings imply that segmental sequencing and maximum velocities are not a function of LPHC stability amongst this specific group of athletes. Additionally, the SLS may not accurately quantify LPHC stability in regards to throwing. The authors recommend that future studies repeat these methods amongst different athletic populations and continue to evaluate different clinical tests for LPHC stability.","PeriodicalId":52124,"journal":{"name":"International Biomechanics","volume":"5 1","pages":"36 - 45"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23335432.2018.1481456","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45986342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How sensitive are predicted muscle and knee contact forces to normalization factors and polynomial order in the muscle recruitment criterion formulation?","authors":"M. Andersen","doi":"10.1080/23335432.2018.1514278","DOIUrl":"https://doi.org/10.1080/23335432.2018.1514278","url":null,"abstract":"ABSTRACT Musculoskeletal modeling is an important tool to estimate knee loads. In these models, anatomical muscles are frequently sub-divided to account for wide origin/insertion areas. The specific sub-division has been shown to affect some muscle recruitment criteria and it has been suggested that normalization factors should be incorporated into models. The primary aim of this study was to investigate the effect of different muscle normalization factors in the muscle recruitment criterion and polynomial order on the estimated muscle and total, medial and lateral knee contact forces during gait. These were evaluated on three different musculoskeletal models with increasing levels of patient-specificity and knee joint model complexity for one subject from the Grand Challenge data set and evaluated against measured forces. The results showed that the introduction of the muscle normalization factors affected the estimated forces and that this effect was most pronounced when a polynomial of order two was applied. Additionally, mainly the second contact force peak was affected. Secondary investigations revealed that the predicted forces can vary substantially as a function of the knee flexor and extensor muscle strength with over one body weight difference in predicted total compressive force between 100% and 40% of the strength. Additionally, the predicted second peak during gait was found to be sensitive to the position of the pelvic skin marker positions in the model. These results imply that caution should be taken when a normalization factor is introduced to account for sub-divided muscles especially for second-order recruitment criteria.","PeriodicalId":52124,"journal":{"name":"International Biomechanics","volume":"5 1","pages":"88 - 103"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23335432.2018.1514278","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46578206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hassanain Ali Lafta, R. Guppy, G. Whatling, C. Holt
{"title":"Impact of rear wheel axle position on upper limb kinematics and electromyography during manual wheelchair use","authors":"Hassanain Ali Lafta, R. Guppy, G. Whatling, C. Holt","doi":"10.1080/23335432.2018.1457983","DOIUrl":"https://doi.org/10.1080/23335432.2018.1457983","url":null,"abstract":"Abstract Manual wheelchair propulsion is an important form of mobility for people with lower limb disabilities. Changes in the wheelchair configuration can affect, range of motion (ROM) of the upper limb joints, muscle actions and system stability. The purpose of this study is to investigate the impact of adjusting wheelchair configurations on upper body joints kinematics and muscle recruitment for able-bodied non experienced manual wheelchair users through applying a marker-based 3D motion analysis technique. Ten healthy male subjects were characterised for three wheelchair configurations, set by adjusting the horizontal axle position of both rear wheels by (3 cm) and (6 cm) posteriorly from the original position set by the manufacturer. Selected 3D kinematic and surface electromyography (sEMG) parameters of the upper body joints and shoulder muscles were measured in the Cardiff University Motion Analysis Laboratory. During the propulsion trials, trunk flexion/extension, lateral bending and axial rotation were evaluated within the average range of (7.50°±1.4°), (5.91°±1.23°) and (7.01°±3.91°), respectively. Dominant shoulder abduction/adduction, flexion/extension and internal/external rotation were evaluated within the average range of (24.63°±6.38°), (17.31°±4.27°) and (40.02°±12.35°), respectively. Dominant elbow pronation/supination and flexion/extension were evaluated within the range of (15.49°±7.70°) and (34.37°±8.38°), respectively. Dominant wrist radial/ulnar deviation and flexion/ extension were evaluated within the average range of (29.82°±8.97°) and (53.59°±9.65°), respectively. With normalising the muscle EMG to the percentage of MVC activity, posterior deltoid had the highest average EMG muscle activity (11.43 ± 5.33) during the propulsion trials and at the three wheel adjustments relative to the other dominant shoulder muscles. Other average muscles activities were evaluated as (6.99 ± 2.37) for upper trapezius, (6.89 ± 2.51) for triceps brachii, (5.39 ± 2.95) for anterior deltoid, (3.26 ± 1.00) for biceps brachii and (3.14 ± 1.26) for pectoralis major as the lowest average activity. The findings of this study indicate that changing rear wheel axle position posteriorly is correlated with increasing the kinematic ROMs of the trunk and dominant upper limb and the sEMG activities of the muscles predominantly involved with the recovery phase of propulsion which could be linked with higher risks of musculoskeletal disorders. This knowledge may help professionals when designing and prescribing wheelchairs that are more proper to users’ functional characteristics, accordingly profiting them improved quality of life.","PeriodicalId":52124,"journal":{"name":"International Biomechanics","volume":"5 1","pages":"17 - 29"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23335432.2018.1457983","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45029206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pelvic belts and pregnancy-related pelvic girdle pain: influence on temporal and spatial gait parameters","authors":"Jeanne Bertuit, Clara Leyh, V. Feipel","doi":"10.1080/23335432.2018.1544853","DOIUrl":"https://doi.org/10.1080/23335432.2018.1544853","url":null,"abstract":"ABSTRACT The aims of this study were to analyze temporal and spatial parameters of gait during pregnancy in women with and without PGP, to evaluate the effect of pelvic belts on temporal and spatial gait parameters, and to compare two types of belts. A total of 46 pregnant women with PGP, 58 healthy pregnant women and 23 non-pregnant women were recruited. Temporal and spatial parameters were analysed by an walkway. Two pelvic belts for pregnant women were used. An analysis of variance for repeated measures were used. In pregnant women with PGP, compared to healthy pregnant women, gait cycle and stance phase times were lower and single support time was higher. Compared to the non-pregnant women, gait velocity and step length were lower. Stance phase and double support times were higher. During pregnancy, wearing a pelvic belt modified gait velocity, single support phase, step length, step width, stance phase and toe in/out in pregnant women with PGP. Gait adaptations in pregnant women with PGP showed nearly the same changes found in women without PGP. The belts had an effect on gait in pregnant women with PGP, probably through a biomechanical and proprioceptive mechanism.","PeriodicalId":52124,"journal":{"name":"International Biomechanics","volume":"5 1","pages":"104 - 112"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23335432.2018.1544853","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47723070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francis Mulloy, D. Mullineaux, P. Graham-Smith, G. Irwin
{"title":"An applied paradigm for simple analysis of the lower limb kinematic chain in explosive movements: an example using the fencing foil attacking lunge","authors":"Francis Mulloy, D. Mullineaux, P. Graham-Smith, G. Irwin","doi":"10.1080/23335432.2018.1454342","DOIUrl":"https://doi.org/10.1080/23335432.2018.1454342","url":null,"abstract":"Abstract A simple method to quantify the kinematic chain in a propulsive task would facilitate assessment of athlete effectiveness. The study’s aim was to assess if the kinematic chain distinguishes between skill levels. Fencers were separated into two groups based on attacking lunge ability (7 skilled; 8 novices). Rear leg 3D joint angular extension velocity magnitudes and timings, sword kinematics and rear leg kinetics were obtained in the propulsion phase of the attacking lunge. Skilled fencers obtained greater sword velocity (3.24 ± 0.24 m∙s−1 vs. 2.69 ± 0.29 m∙s−1; p = 0.02). The skilled group had a greater sequential kinematic chain of the hip, knee and ankle, demonstrated by significantly greater ankle angular velocity (9.1 ± 2.1 rad·s−1 skilled; 5.4 ± 2.9 rad·s−1 novice). Ankle plantarflexion velocity showed a strong positive correlation with horizontal peak force (r = 0.81; p < 0.01). The skilled group demonstrated greater horizontal impulse (1.85 ± 0.29 N·s·kg−1 skilled; 1.45 ± 0.32 N·s·kg−1 novice), suggesting greater effectiveness in applying the kinematic chain towards horizontal propulsion. Analysis of the kinematic chain, which was able to distinguish between skill levels in a propulsive task, is an effective and simple paradigm to assess whole limb contributions to propulsive movements.","PeriodicalId":52124,"journal":{"name":"International Biomechanics","volume":"5 1","pages":"9 - 16"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23335432.2018.1454342","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46733742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Kinematic differences between hitting off a tee versus front toss in collegiate softball players","authors":"J. Washington, G. Oliver","doi":"10.1080/23335432.2018.1472038","DOIUrl":"https://doi.org/10.1080/23335432.2018.1472038","url":null,"abstract":"Abstract The purpose of this study was to compare kinematics of two hitting conditions: stationary tee and front toss from a practice pitcher. Twenty-two NCAA Division I Collegiate softball players (20.3 ± 1.5 years; 166.6 ± 6.3 cm; 68.0 ± 7.5 kg) participated. Participants executed five maximum effort swings from a stationary tee and five swings from a front toss practice pitcher. Data for each kinematic variable were averaged for the five maximal effort swings of each condition and analyzed using a within-subject repeated measures ANOVA. The front toss condition revealed significantly greater lead knee flexion at foot contact and greater trunk rotation towards the back side at ball contact. The tee condition revealed greater trunk lateral flexion to the back side at foot contact, greater trunk rotation towards the lead side at follow through, and greater pelvis rotation towards the lead side at follow through. This study most significantly indicates that swing mechanics are different between specific training methods; therefore, athletes should implement techniques most applicable to a competition setting such as the front toss.","PeriodicalId":52124,"journal":{"name":"International Biomechanics","volume":"5 1","pages":"30 - 35"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23335432.2018.1472038","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46829841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reactive balance to unanticipated trip-like perturbations: a treadmill-based study examining effect of aging and stroke on fall risk","authors":"Mansi P. Joshi, Prakruti Patel, T. Bhatt","doi":"10.1080/23335432.2018.1512375","DOIUrl":"https://doi.org/10.1080/23335432.2018.1512375","url":null,"abstract":"ABSTRACT The purpose of this study was to examine the mechanism of fall risk in community-dwelling ambulatory hemiplegic stroke survivors when exposed to a sudden, trip-like support surface perturbation in standing. Participants (n = 14 / group) included stroke survivors, Age-similar older controls (AC), and Young controls (YC) experienced trip-like perturbation on a motorized treadmill. The primary outcomes were COM state control (measured as COM position (XCOM/BOS) and velocity (VCOM/BOS) relative to the base of support (BOS)) and the vertical limb support recorded as the extent of hip descent. All participants demonstrated forward loss of balance (FLOB) followed by an equal first compensatory step length. At step touchdown, stroke survivors demonstrated lower COM state stability and increased trunk flexion than the YC group. Stroke survivors also demonstrated greater hip descent than YC and AC groups, as they first stepped with their non-paretic limb. For the second compensatory step, the stroke survivors stepped with their paretic limb. However, unlike the AC group, they were unable to control VCOM/BOS despite a longer compensatory step. In conclusion, poor control of COM state, impaired trunk control and inability of the paretic limb to provide vertical limb support may explain the higher fall-risk in stroke survivors.","PeriodicalId":52124,"journal":{"name":"International Biomechanics","volume":"5 1","pages":"75 - 87"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23335432.2018.1512375","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42529502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Theodorakos, Jan Rueterbories, M. Lund, E. Eils, M. Andersen, M. de Zee, U. Kersting
{"title":"Effects of a semi-rigid ankle brace on ankle joint loading during landing on inclined surfaces","authors":"I. Theodorakos, Jan Rueterbories, M. Lund, E. Eils, M. Andersen, M. de Zee, U. Kersting","doi":"10.1080/23335432.2018.1481767","DOIUrl":"https://doi.org/10.1080/23335432.2018.1481767","url":null,"abstract":"ABSTRACT Ankle bracing is commonly used to prevent ankle sprain occurrences. The present study investigated the effects of a semi-rigid ankle brace on the ankle joint complex during landing on inclined surfaces. Seventeen recreational athletes performed a single leg landing task onto three different surface alignments (everted, neutral, inverted), with and without the brace. Ground reaction forces (GRF), kinematics, and brace pressure were recorded. Six two-way repeated measures MANOVA tested for differences in GRF, talocrural and subtalar kinematics and kinetics. Participants landed with a significantly less plantar flexed (P < 0.001) and more everted (P = 0.001) foot during the braced condition. Although no differences were observed for the joint moments, an increased subtalar compression force (P = 0.009) was observed with the brace. Landing on the inverted surface resulted in significantly higher peak magnitudes of the vertical and the mediolateral GRF and the talocrural inversion moment compared to landing on the neutral surface. Ankle bracing altered ankle kinematics by restricting the ROM of the ankle joint complex. This study confirmed that landing on inverted surfaces may increase the risk for lateral ankle ligaments injuries. The significantly higher subtalar compression force during the brace condition might contribute to overuse injuries.","PeriodicalId":52124,"journal":{"name":"International Biomechanics","volume":"5 1","pages":"46 - 56"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23335432.2018.1481767","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48832241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Di Marco, E. Scalona, Alessandra Pacilli, P. Cappa, C. Mazzà, S. Rossi
{"title":"How to choose and interpret similarity indices to quantify the variability in gait joint kinematics","authors":"R. Di Marco, E. Scalona, Alessandra Pacilli, P. Cappa, C. Mazzà, S. Rossi","doi":"10.1080/23335432.2018.1426496","DOIUrl":"https://doi.org/10.1080/23335432.2018.1426496","url":null,"abstract":"Abstract Repeatability and reproducibility indices are often used in gait analysis to validate models and assess patients in their follow-up. When comparing joint kinematics, their interpretation can be ambiguous due to a lack of understanding of the exact sources of their variations. This paper studied four indices (Root Mean Square Deviation, Mean Absolute Variability, Coefficient of Multiple Correlation, and Linear Fit Method) in relation to five confusing-factors: joints’ range of motion, sample-by-sample amplitude variability, offset, time shift and curve shape. A first simulation was conducted to test the mathematics behind each index. A second simulation tested the influence of the curve shape on the indices using a Fourier’s decomposition. The Coefficient of Multiple Correlation and the Linear Fit method Coefficients were independent from the range of motion. Different Coefficients of Multiple Correlation were found among different joints, leading to misinterpretation of the results. The Linear Fit Method coefficients should not be adopted when time shift increases. Root Mean Square Deviation and Mean Absolute Variability were sensitive to all the confusing-factors. The Linear Fit Method coefficients seemed to be the most suitable to assess gait data variability, complemented with Root Mean Square Deviation or Mean Absolute Variability as measurements of data dispersion.","PeriodicalId":52124,"journal":{"name":"International Biomechanics","volume":"5 1","pages":"1 - 8"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23335432.2018.1426496","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43656905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}