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Differences in Muscle Demand and Joint Contact Forces Between Running and Skipping. 跑步和跳绳之间肌肉需求和关节接触力的差异。
IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2022-10-20 Print Date: 2022-12-01 DOI: 10.1123/jab.2022-0011
Sarah A Roelker, Paul DeVita, John D Willson, Richard R Neptune

Skipping has been proposed as a viable cross-training exercise to running due to its lower knee contact forces and higher whole-body energy expenditure. However, how individual muscle forces, energy expenditure, and joint loading are affected by differences in running and skipping mechanics remains unclear. The purpose of this study was to compare individual muscle forces, energy expenditure, and lower extremity joint contact forces between running and skipping using musculoskeletal modeling and simulations of young adults (n = 5) performing running and skipping at 2.5 m·s-1 on an instrumented treadmill. In agreement with previous work, running had greater knee and patella contact forces than skipping which was accompanied by greater knee extensor energetic demand. Conversely, skipping had greater ankle contact forces and required greater energetic demand from the uniarticular ankle plantarflexors. There were no differences in hip contact forces between gaits. These findings further support skipping as a viable alternative to running if the primary goal is to reduce joint loading at the commonly injured patellofemoral joint. However, for those with ankle injuries, skipping may not be a viable alternative due to the increased ankle loads. These findings may help clinicians prescribe activities most appropriate for a patient's individual training or rehabilitation goals.

跳绳被认为是一种可行的交叉训练,因为它的膝盖接触力较低,全身能量消耗较高。然而,个体肌肉力量、能量消耗和关节负荷如何受到跑步和跳跃力学差异的影响仍不清楚。本研究的目的是通过肌肉骨骼模型和模拟在器械跑步机上以2.5 m·s-1的速度跑步和跳绳的年轻人(n = 5),比较跑步和跳绳之间的个体肌肉力量、能量消耗和下肢关节接触力。与之前的研究一致,跑步比跳绳有更大的膝关节和髌骨接触力,这伴随着更大的膝关节伸肌能量需求。相反,跳绳有更大的踝关节接触力,需要更多的单关节踝关节跖屈肌的能量需求。不同步态之间的髋部接触力没有差异。如果主要目标是减少常见损伤的髌股关节处的关节负荷,这些发现进一步支持跳绳作为跑步的可行替代方案。然而,对于那些脚踝受伤的人来说,跳绳可能不是一个可行的选择,因为脚踝的负荷增加了。这些发现可以帮助临床医生开出最适合患者个人训练或康复目标的活动。
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引用次数: 1
Mechanisms of Achilles Tendon Rupture in National Basketball Association Players. nba球员跟腱断裂的机制。
IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2022-10-20 Print Date: 2022-12-01 DOI: 10.1123/jab.2022-0088
Adam J Petway, Matthew J Jordan, Scott Epsley, Philip Anloague

A systematic search was performed of online databases for any Achilles tendon (AT) injuries occurring within the National Basketball Association (NBA). Video was obtained of injuries occurring during competition and downloaded for analysis in Dartfish. NBA athletes (n = 27) were identified with AT rupture over a 30-year period (1991-2021). Of the 27 NBA athletes found to have AT ruptures (mean age: 29.3 [3.3] y; average time in the NBA: 8.5 [3.8] y), 15 in-game videos were obtained for analysis. Noncontact rupture was presumed to have occurred in 12/13 cases. Eight of the 13 athletes had possession of the ball during time of injury. The ankle joint of the injured limb for all 13 athletes was in a dorsiflexed position during the time of injury (47.9° [6.5°]). All 13 athletes performed a false-step mechanism at time of injury where they initiated the movement by taking a rearward step posterior to their center of mass with the injured limb before translating forward. NBA basketball players that suffered AT ruptures appeared to present with a distinct sequence of events, including initiating a false step with ankle dorsiflexion of the injured limb at the time of injury.

对在线数据库进行了系统的搜索,以查找在美国国家篮球协会(NBA)中发生的任何跟腱(AT)损伤。获得了比赛中受伤的视频,并下载到达特菲什进行分析。在30年(1991-2021)期间,NBA运动员(n = 27)被确认为AT破裂。在27名被发现有AT破裂的NBA运动员中(平均年龄:29.3[3.3]岁;在NBA的平均时间:8.5 [3.8]y),获得15个比赛视频进行分析。12/13例推定发生非接触破裂。13名运动员中有8名在受伤期间控球。13名运动员受伤时踝关节均处于背屈位(47.9°[6.5°])。所有13名运动员在受伤时都执行了一个假步机制,他们在向前翻译之前,用受伤的肢体在重心后向后迈出一步。遭受AT骨折的NBA篮球运动员似乎呈现出明显的事件序列,包括在受伤时踝关节背屈开始错误的步。
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引用次数: 0
Methods of Estimating Foot Power and Work in Standing Vertical Jump. 立定直跳中足部力量及功的估算方法。
IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2022-10-01 DOI: 10.1123/jab.2021-0254
Kundan Joshi, Blake M Ashby

Experimental motion capture studies have commonly considered the foot as a single rigid body even though the foot contains 26 bones and 30 joints. Various methods have been applied to study rigid body deviations of the foot. This study compared 3 methods: distal foot power (DFP), foot power imbalance (FPI), and a 2-segment foot model to study foot power and work in the takeoff phase of standing vertical jumps. Six physically active participants each performed 6 standing vertical jumps from a starting position spanning 2 adjacent force platforms to allow ground reaction forces acting on the foot to be divided at the metatarsophalangeal (MTP) joints. Shortly after movement initiation, DFP showed a power absorption phase followed by a power generation phase. FPI followed a similar pattern with smaller power absorption and a larger power generation compared to DFP. MTP joints primarily generated power in the 2-segment model. The net foot work was -4.0 (1.0) J using DFP, 1.8 (1.1) J using FPI, and 5.1 (0.5) J with MTP. The results suggest that MTP joints are only 1 source of foot power and that differences between DFP and FPI should be further explored in jumping and other movements.

实验动作捕捉研究通常认为脚是一个单一的刚体,即使脚有26块骨头和30个关节。研究足部刚体偏差的方法多种多样。本研究比较了远端足力(DFP)、足力不平衡(FPI)和2段足模型3种方法,研究了立定垂直跳起跳阶段的足力和功。6名身体活跃的参与者每人从起始位置跨越两个相邻的力平台进行6次站立垂直跳跃,以使作用在足跖指关节(MTP)上的地面反作用力被分散。运动开始后不久,DFP表现为能量吸收阶段,随后是能量产生阶段。与DFP相比,FPI具有更小的功率吸收和更大的功率产生的相似模式。MTP关节主要在2节段模型中产生动力。使用DFP时净足功为-4.0 (1.0)J,使用FPI时为1.8 (1.1)J,使用MTP时为5.1 (0.5)J。结果表明,MTP关节只是足部力量的一个来源,DFP和FPI在跳跃和其他动作中的差异有待进一步研究。
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引用次数: 0
The Influence of Cell Phone Usage on Dynamic Stability of the Body During Walking. 行走时使用手机对身体动态稳定性的影响。
IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2022-09-29 Print Date: 2022-12-01 DOI: 10.1123/jab.2021-0374
Hamed Shahidian, Rezaul Begg, David C Ackland

Dual-task walking and cell phone usage, which is associated with high cognitive load and reduced situational awareness, can increase risk of a collision, a fall event, or death. The objective of this study was to quantify the effect of dual-task cell phone talking, texting, and reading while walking on spatiotemporal gait parameters; minimum foot clearance; and dynamic stability of the lower limb joints, trunk, and head. Nineteen healthy male participants walked on an instrumented treadmill at their self-selected speed as well as walking while simultaneously (1) reading on a cell phone, (2) texting, and (3) talking on a cell phone. Gait analyses were performed using an optical motion analysis system, and dynamic stability was calculated using the Maximum Lyapunov Exponent. Dual-task cell phone usage had a significant destabilizing influence on the lower limb joints during walking. Cell phone talking while walking significantly increased step width and length and decreased minimum foot clearance height (P < .05). The findings suggest that dual-task walking and cell phone conversation may present a greater risk of a fall event than texting or reading. This may be due to the requirements for more rapid information processing and cognitive demand at the expense of motor control of joint stability.

双任务行走和使用手机与高认知负荷和情境感知能力下降有关,可能增加碰撞、摔倒或死亡的风险。本研究的目的是量化走路时使用手机通话、发短信和阅读的双重任务对时空步态参数的影响;最小足部间隙;以及下肢关节、躯干和头部的动态稳定性。19名健康的男性参与者在一个装有仪器的跑步机上以自己选择的速度行走,同时(1)在手机上阅读,(2)发短信,(3)用手机打电话。使用光学运动分析系统进行步态分析,并使用最大李雅普诺夫指数计算动态稳定性。双任务手机使用对行走时下肢关节有显著的不稳定影响。走路时讲手机显著增加了步宽和步长,降低了最小足距高度(P < 0.05)。研究结果表明,一边走路一边打电话比一边发短信或看书更容易摔倒。这可能是由于需要更快速的信息处理和认知需求,而牺牲了关节稳定性的运动控制。
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引用次数: 1
Nonlinear Analyses Distinguish Load Carriage Dynamics in Walking and Standing: A Systematic Review. 行走与站立载荷动力学的非线性分析:系统综述。
IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2022-09-27 Print Date: 2022-12-01 DOI: 10.1123/jab.2022-0062
Kolby J Brink, Kari L McKenzie, Aaron D Likens

Load carriage experiments are typically performed from a linear perspective that assumes that movement variability is equivalent to error or noise in the neuromuscular system. A complimentary, nonlinear perspective that treats variability as the object of study has generated important results in movement science outside load carriage settings. To date, no systematic review has yet been conducted to understand how load carriage dynamics change from a nonlinear perspective. The goal of this systematic review is to fill that need. Relevant literature was extracted and reviewed for general trends involving nonlinear perspectives on load carriage. Nonlinear analyses that were used in the reviewed studies included sample, multiscale, and approximate entropy; the Lyapunov exponent; fractal analysis; and relative phase. In general, nonlinear tools successfully distinguish between unloaded and loaded conditions in standing and walking, although not in a consistent manner. The Lyapunov exponent and entropy were the most used nonlinear methods. Two noteworthy findings are that entropy in quiet standing studies tends to decrease, whereas the Lyapunov exponent in walking studies tends to increase, both due to added load. Thus, nonlinear analyses reveal altered load carriage dynamics, demonstrating promise in applying a nonlinear perspective to load carriage while also underscoring the need for more research.

负重实验通常从线性角度进行,假设运动变异性相当于神经肌肉系统中的误差或噪声。将可变性作为研究对象的一种互补的、非线性的观点,在载重装置之外的运动科学中产生了重要的结果。到目前为止,还没有进行系统的审查,以了解如何从非线性的角度来看,载重动力学的变化。本系统综述的目标就是满足这一需求。提取了相关文献,并对涉及非线性载荷视角的一般趋势进行了回顾。在回顾的研究中使用的非线性分析包括样本、多尺度和近似熵;李雅普诺夫指数;分形分析;相对相。一般来说,非线性工具在站立和行走中成功地区分了卸载和加载条件,尽管不是以一致的方式。李雅普诺夫指数和熵是最常用的非线性方法。两个值得注意的发现是,安静站立研究中的熵趋于减少,而步行研究中的李雅普诺夫指数趋于增加,两者都是由于增加的负荷。因此,非线性分析揭示了载荷承载动力学的变化,展示了将非线性观点应用于载荷承载的希望,同时也强调了更多研究的必要性。
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引用次数: 2
The Effects of Cadence Manipulation on Joint Kinetic Patterns and Stride-to-Stride Kinetic Variability in Female Runners. 节奏操纵对女性跑步者关节运动模式和跨步-跨步运动变异性的影响。
IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2022-09-20 Print Date: 2022-12-01 DOI: 10.1123/jab.2022-0077
Cheyanne Massie, Kelsey Redman, Samantha Casper, Danielle Wissink, Renee Dade, Anna Lowery, Kim Ross, Kanikkai Steni Balan Sackiriyas, Thomas Gus Almonroeder

Altering running cadence is commonly done to reduce the risk of running-related injury/reinjury. This study examined how altering running cadence affects joint kinetic patterns and stride-to-stride kinetic variability in uninjured female runners. Twenty-four uninjured female recreational runners ran on an instrumented treadmill with their typical running cadence and with a running cadence that was 7.5% higher and 7.5% lower than typical. Ground reaction force and kinematic data were recorded during each condition, and principal component analysis was used to capture the primary sources of variability from the sagittal plane hip, knee, and ankle moment time series. Runners exhibited a reduction in the magnitude of their knee extension moments when they increased their cadence and an increase in their knee extension moments when they lowered their cadence compared with when they ran with their typical cadence. They also exhibited greater stride-to-stride variability in the magnitude of their hip flexion moments and knee extension moments when they deviated from their typical running cadence (ie, running with either a higher or lower cadence). These differences suggest that runners could alter their cadence throughout a run in an attempt to limit overly repetitive localized tissue stresses.

改变跑步节奏通常是为了减少与跑步相关的伤害/再伤害的风险。这项研究考察了改变跑步节奏如何影响未受伤女性跑步者的关节运动模式和跨步运动变异性。24名未受伤的女性休闲跑步者在装有仪器的跑步机上以她们的典型跑步节奏进行跑步,跑步节奏分别比典型跑步节奏高7.5%和低7.5%。记录每种情况下的地面反作用力和运动学数据,并使用主成分分析来捕获髋、膝关节和踝关节矢状面力矩时间序列中可变性的主要来源。当跑步者提高节奏时,他们的膝盖伸展时刻的大小会减少,而当他们降低节奏时,他们的膝盖伸展时刻会增加,与他们以典型的节奏跑步时相比。当他们偏离典型的跑步节奏(即以较高或较低的节奏跑步)时,他们的髋关节屈曲时刻和膝关节伸展时刻的幅度也表现出更大的跨步变异性。这些差异表明跑步者可以在跑步过程中改变他们的节奏,试图限制过度重复的局部组织压力。
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引用次数: 0
Patellofemoral Joint Loading in Forward Lunge With Step Length and Height Variations. 在步长和步高变化的前弓步中髌股关节负荷。
IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2022-06-13 DOI: 10.1123/jab.2021-0313
R. Escamilla, N. Zheng, T. MacLeod, R. Imamura, Shangcheng Wang, K. Wilk, Kyle Yamashiro, G. Fleisig
The objective was to assess how patellofemoral loads (joint force and stress) change while lunging with step length and step height variations. Sixteen participants performed a forward lunge using short and long steps at ground level and up to a 10-cm platform. Electromyography, ground reaction force, and 3D motion were captured, and patellofemoral loads were calculated as a function of knee angle. Repeated-measures 2-way analysis of variance (P < .05) was employed. Patellofemoral loads in the lead knee were greater with long step at the beginning of landing (10°-30° knee angle) and the end of pushoff (10°-40°) and greater with short step during the deep knee flexion portion of the lunge (50°-100°). Patellofemoral loads were greater at ground level than 10-cm platform during lunge descent (50°-100°) and lunge ascent (40°-70°). Patellofemoral loads generally increased as knee flexion increased and decreased as knee flexion decreased. To gradually increase patellofemoral loads, perform forward lunge in the following sequence: (1) minimal knee flexion (0°-30°), (2) moderate knee flexion (0°-60°), (3) long step and deep knee flexion (0°-100°) up to a 10-cm platform, and (4) long step and deep knee flexion (0°-100°) at ground level.
目的是评估在跨步长度和跨步高度变化时,髌股负荷(关节力和应力)如何变化。16名参与者在地面和10厘米的平台上用长短步进行了向前弓步。捕捉肌电图、地面反作用力和三维运动,并计算髌股负荷作为膝关节角度的函数。采用重复测量双向方差分析(P<0.05)。在着地开始(10°-30°膝角)和蹬出结束(10°-40°)时,主膝的髌股负荷随着长步伐而增大,在弓步的膝深屈曲部分(50°-100°),随着短步伐而增大。在弓步下降(50°-100°)和弓步上升(40°-70°)期间,地面上的髌股负荷大于10cm平台。髌股负荷通常随着膝关节屈曲的增加而增加,随着膝关节弯曲的减少而减少。为了逐渐增加髌股关节负荷,按以下顺序向前弓步:(1)最小膝关节屈曲(0°-30°),(2)中等膝关节屈曲,(3)10 cm平台上的长步和深膝屈曲(0℃-100°),以及(4)地面长步和膝关节深屈曲(0℉-100°)。
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引用次数: 1
Erratum. Shoulder Kinesio Taping Does Not Change Biomechanical Deficits Associated With Scapular Dyskinesis. 勘误表。肩胛骨运动功能不良不能改变肩胛骨运动障碍相关的生物力学缺陷。
IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2022-06-01 DOI: 10.1123/jab.2022-0081

TO OUR READERS: An error appeared in the following article: Yeşilyaprak SS, Yüksel E, Kalaycı MG, Karabay N, Michener LA. Shoulder kinesio taping does not change biomechanical deficits associated with scapular dyskinesis. J Appl Biomech. 2022;38(2):95–102. https://doi.org/10.1123/jab.2021-0259. Funding information for this study was not included in the Acknowledgments. The online version of this article has been corrected. The authors apologize for the error.

致我们的读者:以下文章中出现错误:ye ilyaprak SS, y ksel E, kalaycimg, Karabay N, Michener LA。肩胛骨运动功能不良不能改变与肩胛骨运动障碍相关的生物力学缺陷。中国生物医学工程学报,2016;38(2):95-102。https://doi.org/10.1123/jab.2021 - 0259。本研究的资助信息未包括在致谢中。本文的在线版本已被更正。作者为这个错误道歉。
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引用次数: 0
Effect of Age on Thoracic, Lumbar, and Pelvis Coordination During Trunk Flexion and Extension. 躯干弯曲和伸展过程中年龄对胸、腰和骨盆协调的影响。
IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2022-05-23 DOI: 10.1123/jab.2021-0281
R. Kakar, S. Higgins, J. Tome, Natalie Knight, Zachary Finer, Zachary Doig, Yumeng Li
The purpose of this study was to investigate normative and age-related differences in trunk and pelvis kinematics and intersegmental coordination during sagittal plane flexion-extension. Trunk and pelvis kinematics were recorded while 76 participants performed a maximal range of motion task in the sagittal plane. Cross-correlation was calculated to determine the phase lag between adjacent segment motion, and coupling angles were calculated using vector coding and classified into one of 4 coordination patterns: in-phase, antiphase, superior, and inferior phase. A 2-way mixed-model multivariate analysis of variance was used to compare lumbar spine and pelvis angular kinematics, phase lags, and cross-correlation coefficients between groups. Young participants exhibited greater trunk range of motion compared with middle-aged participants. The lumbar spine and pelvis were predominantly rotating with minimum phase lag during flexion and extension movement for both age groups, and differences in coordination between the groups were seen during hyperextension and return to upright position. In conclusion, middle-aged adults displayed lower range of motion but maintained similar movement patterns to young adults, which could be attributed to protective mechanisms. Healthy lumbar and pelvis movement patterns are important to understand and need to be quantified as a baseline, which can be used to develop rehabilitation protocols for individuals with spinal ailments.
本研究的目的是研究矢状面屈伸过程中躯干和骨盆运动学以及节段间协调的规范性和年龄相关性差异。当76名参与者在矢状面上进行最大运动范围的任务时,记录了躯干和骨盆的运动学。计算互相关以确定相邻分段运动之间的相位滞后,并使用矢量编码计算耦合角,并将其分类为4种协调模式之一:同相、反相、上相位和下相位。使用双向混合模型多变量方差分析来比较各组之间的腰椎和骨盆角度运动学、相位滞后和互相关系数。与中年参与者相比,年轻参与者的躯干活动范围更大。在两个年龄组的屈曲和伸展运动中,腰椎和骨盆主要以最小的相位滞后旋转,在过度伸展和恢复直立姿势时,两组之间的协调性存在差异。总之,中年人表现出较低的运动范围,但保持着与年轻人相似的运动模式,这可归因于保护机制。健康的腰椎和骨盆运动模式很重要,需要将其量化为基线,用于制定脊柱疾病患者的康复方案。
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引用次数: 0
Medial and Lateral Tibiofemoral Compressive Forces in Patients Following Unilateral Total Knee Arthroplasty During Stationary Cycling. 固定循环期间单侧全膝关节置换术后患者的胫股内侧和外侧压缩力。
IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2022-05-19 DOI: 10.1123/jab.2020-0324
Erik T. Hummer, Tanner A. Thorsen, Joshua T. Weinhandl, J. Reinbolt, H. Cates, Songning Zhang
Patients following unilateral total knee arthroplasty (TKA) display interlimb differences in knee joint kinetics during gait and more recently, stationary cycling. The purpose of this study was to use musculoskeletal modeling to estimate total, medial, and lateral tibiofemoral compressive forces for patients following TKA during stationary cycling. Fifteen patients of unilateral TKA, from the same surgeon, participated in cycling at 2 workrates (80 and 100 W). A knee model (OpenSim 3.2) was used to estimate total, medial, and lateral tibiofemoral compressive forces for replaced and nonreplaced limbs. A 2 × 2 (limb × workrate) and a 2 × 2 × 2 (compartment × limb × workrate) analysis of variance were run on the selected variables. Peak medial tibiofemoral compressive force was 23.5% lower for replaced compared to nonreplaced limbs (P = .004, G = 0.80). Peak medial tibiofemoral compressive force was 48.0% greater than peak lateral tibiofemoral compressive force in nonreplaced limbs (MD = 344.5 N, P < .001, G = 1.6) with no difference in replaced limbs (P = .274). Following TKA, patients have greater medial compartment loading on their nonreplaced compared to their replaced limbs and ipsilateral lateral compartment loading. This disproportionate loading may be cause for concern regarding exacerbating contralateral knee osteoarthritis.
单侧全膝关节置换术(TKA)后的患者在步态和最近的固定自行车运动中,膝关节动力学表现出四肢间差异。本研究的目的是使用肌肉骨骼模型来估计TKA患者在静止循环中的总、内侧和外侧胫股压缩力。来自同一外科医生的15名单侧TKA患者以2种工作率(80和100W)参与了自行车运动。膝关节模型(OpenSim 3.2)用于估计更换和未更换肢体的胫股总压力、内侧压力和外侧压力。对所选变量进行2×2(肢×工作率)和2×2。与未置换肢体相比,置换肢体的胫股内侧峰值压缩力低23.5%(P=0.004,G=0.80)。未置换肢体的胫骨股内侧峰值压力比胫骨股外侧峰值压缩力高48.0%(MD=344.5N,P<.001,G=1.6),置换肢体无差异(P=.274)。TKA后,与被替换的肢体和同侧外侧隔室负荷相比,患者在未被替换的四肢上具有更大的内侧隔室负荷。这种不成比例的负荷可能会加剧对侧膝关节骨性关节炎。
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引用次数: 1
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Journal of Applied Biomechanics
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