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Effect of foot strike patterns and cutting angles on knee kinematics and kinetics during side-cutting maneuvers 在侧切动作中,足部击打方式和切割角度对膝关节运动学和动力学的影响
4区 医学 Q4 BIOPHYSICS Pub Date : 2023-01-01 DOI: 10.37190/abb-02192-2023-02
None Wenxing Zhou, None Yujie Qi, None Mengjun Liu, None Chengpang Hsiao, None Lin Wang
Purpose Cutting maneuvers are important actions in multidirectional sports but associated with noncontact anterior cruciate ligament (ACL) injuries. This study aimed to investigate the effect of different foot strike patterns and cutting angles on knee kinematics and kinetics. Methods Twenty healthy male team sports athletes performed cuts with maximum speed at three angles (45°, 90°, and 135°) with different foot strike patterns (rearfoot strike [RFS] and forefoot strike [FFS]). A three-dimensional motion capture system combined with a force plate was used to collect makers trajectory and ground reaction force (GRF). Vertical GRF, and knee joint angles and moments were compared among these cutting tasks. Results Regardless of foot strike patterns, increased knee flexion angle, knee valgus moment, and knee internal rotation moment were observed during cutting to sharper angles (p < 0.001). At 90° and 135°, the FFS condition remained in a varus position and showed lower knee flexion moment than the RFS condition (p ≤ 0.004). However, no significant differences in knee kinematic and kinetic variables were found between foot strike patterns during cutting to 45°. Conclusions These findings suggest that sharper cutting angles potentially increase the risk of ACL injury. Compared with the RFS pattern, the FFS pattern induces a slight knee varus angle and a lower knee flexion moment at sharper angles, which might further reduce the load placed on the knee.
目的切割动作是多向运动中重要的动作,但与非接触性前交叉韧带损伤有关。本研究旨在探讨不同的足部打击方式和切割角度对膝关节运动学和动力学的影响。方法20名健康男子团体队运动员分别以45°、90°和135°3个角度,采用不同的脚部打击方式(后脚打击和前脚部打击),以最大速度进行切割术。采用结合力板的三维动作捕捉系统采集创客轨迹和地面反作用力(GRF)。比较了各切割任务的垂直GRF、膝关节角度和力矩。结果无论脚的击打方式如何,在切割到更锋利的角度时,观察到膝关节屈曲角、膝关节外翻力矩和膝关节内旋力矩增加(p <0.001)。在90°和135°时,FFS状态保持内翻位,膝关节屈曲力矩低于RFS状态(p≤0.004)。然而,在切割至45°时,没有发现膝关节运动学和动力学变量在足击模式之间的显著差异。结论:更大的切割角度可能会增加前交叉韧带损伤的风险。与RFS模式相比,FFS模式引起轻微的膝关节内翻角和更小的膝关节屈曲力矩,这可能进一步减少膝关节上的负荷。
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引用次数: 0
Characterization of biomaterials with reference to biocompatibility dedicated for patient-specific finger implants. 根据生物相容性对生物材料进行表征,专用于患者特异性手指植入物。
IF 1 4区 医学 Q4 BIOPHYSICS Pub Date : 2023-01-01
Adam Byrski, Magdalena Kopernik, Łukasz Major, Katarzyna Kasperkiewicz, Marcin Dyner, Juergen M Lackner, David B Lumenta, Roman Major

Purpose: The research was focused on determining basic mechanical properties, surface, and phase structure taking into consideration basic cytotoxicity analysis towards human cells.

Methods: Biological tests were performed on human C-12302 fibroblasts cells using 3D-printed Ti6Al4V alloy (Ti64), produced by laser-based powder bed fusion (LB-PBF) and Alumina Toughened Zirconia 20 (ATZ20), produced by lithography-based ceramic manufacturing (LCM). Surface modifications included electropolishing and hydroxyapatite or hydroxyapatite/zinc coating. Structure analysis was carried out using a variety of techniques such as X-Ray diffraction, scanning electron microscopy (SEM), transmission electron microscopy (TEM) and confocal laser scanning microscopy (CLSM), followed by mechanical properties evaluation using nanoindentation testing.

Results: Samples subjected to surface modifications showed diversity among surface and phase structure and mechanical properties. However, the cytotoxicity towards tested cells was not significantly higher than the control. Though, a trend was noted among the materials analysed, indicating that HAp/Zn coating on Ti64 and ATZ20 resulted in the best biological performance increasing cell survivability by more than 10%.

Conclusions: Hydroxyapatite coating on Ti64 and ATZ20 resulted in the best biological properties. Tested materials are suitable for in vivo toxicity testin.

目的:研究重点是确定基本机械性能、表面和相结构,同时考虑对人体细胞的基本细胞毒性分析:使用激光粉末床熔融技术(LB-PBF)生产的三维打印 Ti6Al4V 合金(Ti64)和光刻陶瓷制造技术(LCM)生产的氧化铝增韧氧化锆 20(ATZ20),对人 C-12302 成纤维细胞进行生物测试。表面修饰包括电抛光和羟基磷灰石或羟基磷灰石/锌涂层。使用 X 射线衍射、扫描电子显微镜(SEM)、透射电子显微镜(TEM)和激光共聚焦扫描显微镜(CLSM)等多种技术进行了结构分析,然后使用纳米压痕测试进行了机械性能评估:结果:经过表面改性的样品在表面结构、相结构和机械性能方面表现出多样性。然而,测试细胞的细胞毒性并没有明显高于对照组。尽管如此,在所分析的材料中还是发现了一种趋势,表明在 Ti64 和 ATZ20 上进行 HAp/Zn 涂层可获得最佳生物性能,细胞存活率提高了 10%以上:Ti64 和 ATZ20 上的羟基磷灰石涂层具有最佳的生物特性。测试材料适合用于体内毒性测试。
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引用次数: 0
Effect of change in patellofemoral joint contact area by the decrease in vastus medialis muscle activation on joint stress. 髌股关节接触面积的变化对关节应力的影响(内侧阔肌活动减少)。
IF 1 4区 医学 Q4 BIOPHYSICS Pub Date : 2023-01-01
Takabayashi Tomoya, Edama Mutsuaki, Inai Takuma, Kubo Masayoshi

Purpose: Patellofemoral pain syndrome is a common orthopedic trauma among runners. It is unclear whether patellofemoral joint stress (PFJS) is the highest (or lowest) when the knee joint flexion angle and extension moment are in combination under the condition that vastus medialis (VM) activation decreases. This study aimed to investigate the effects of changes in the PFJ contact area by decreasing the activation of the VM muscle on PFJS.

Methods: A PFJ sagittal model was used to quantify PFJ reaction force and PFJS. The PFJ model and mathematical modelling procedure were used to quantify PFJS based on previous studies. The simulation ranges were set to knee joint flexion angles of 10-45° and extension moments of 0-240 Nm. PFJS was calculated for the normal condition (NC) and decrease condition (DC) in VM activation.

Results: When the knee joint angle and knee joint moment were at the maximum, the PFJS showed the maximum value under both conditions (NC; 14.9 N/cm2, DC; 16.4 N/cm2). PFJS was found to be higher in DC than that in NC for all simulation ranges.

Conclusion: Decreased VM activation may be involved in the mechanism of patellofemoral pain syndrome. In addition, the results of this study provide evidence that clinicians can enhance VM to relieve pain in patients with patellofemoral pain syndrome.

目的:髌骨股骨疼痛综合征是跑步者中常见的骨科创伤。目前尚不清楚在内侧肌(VM)激活减少的情况下,膝关节屈曲角和伸展力矩结合时髌股关节应力(PFJS)是否最大(或最小)。本研究旨在探讨通过减少 VM 肌肉的激活来改变 PFJ 接触面积对 PFJS 的影响:方法:使用 PFJ 矢状模型量化 PFJ 反作用力和 PFJS。根据先前的研究,PFJ 模型和数学建模程序用于量化 PFJS。模拟范围设定为膝关节屈曲角 10-45° 和伸展力矩 0-240 Nm。在 VM 激活的正常状态(NC)和减弱状态(DC)下计算 PFJS:当膝关节角度和膝关节力矩达到最大值时,PFJS 在两种条件下都显示出最大值(NC;14.9 牛/平方厘米,DC;16.4 牛/平方厘米)。在所有模拟范围内,DC 中的 PFJS 都高于 NC 中的 PFJS:结论:髌骨股骨痛综合征的发病机制可能与虚拟运动激活减少有关。此外,本研究结果还提供了证据,证明临床医生可以通过增强 VM 来缓解髌骨股骨疼痛综合征患者的疼痛。
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引用次数: 0
Effect of exercise rehabilitation on hemodynamic performance after carotid artery stenting: a numerical study. 运动康复对颈动脉支架术后血液动力学表现的影响:一项数值研究。
IF 1 4区 医学 Q4 BIOPHYSICS Pub Date : 2023-01-01
Jiashuai Liu, Zhenmin Fan, Xiao Liu, Xiao Xu, Mingyuan Liu, Xia Ye, Xiaoyan Deng

A high in-stent restenosis rate and thrombosis have compromised clinical benefits after vascular stent placement. Exercise rehabilitation after stenting emerges as a promising and practical therapeutic strategy to improve the clinical performance of this therapy, although it remains controversial. The present study aimed to explore the impact of exercise training on hemodynamic performance after vascular stent implantation. Different 3-dimensional computational models based on the patient-specific carotids were constructed to calculate hemodynamic parameters, including flow velocity, time-averaged wall shear (TAWSS), oscillatory shear index (OSI) and relative residence time (RRT). The results demonstrated that exercise training increased TAWSS but decreased OSI and RRT in some cases after the intervention, and high-intensity exercise further suppressed the adverse blood flow. However, exercise training remarkably reduced TAWSS and elevated OSI and RRT in patients with mild stenosis at upstream of stented segment. Additionally, we discovered that the hemodynamic environment change induced by exercise training was not significant compared to the stent position in some cases. Exercise had a less beneficial impact on the disturbed blood flow after the distal common carotid artery (CCA) stenting. These findings highlighted that exercise-induced hemodynamic changes differ under different conditions. The exercise training for the intervention patients should only be performed after a comprehensive vascular function assessment.

高支架内再狭窄率和血栓形成损害了血管支架置入术后的临床疗效。支架植入术后的运动康复是一种很有前景且切实可行的治疗策略,可改善该疗法的临床表现,但目前仍存在争议。本研究旨在探讨运动训练对血管支架植入术后血流动力学表现的影响。研究人员根据患者特异性颈动脉构建了不同的三维计算模型,以计算血流动力学参数,包括流速、时间平均壁剪切力(TAWSS)、振荡剪切力指数(OSI)和相对滞留时间(RRT)。结果表明,干预后运动训练增加了TAWSS,但在某些情况下降低了OSI和RRT,高强度运动进一步抑制了不利的血流。然而,在支架段上游轻度狭窄的患者中,运动训练明显降低了 TAWSS,升高了 OSI 和 RRT。此外,我们还发现,在某些病例中,运动训练引起的血流动力学环境变化与支架位置相比并不显著。在颈总动脉(CCA)远端支架植入术后,运动对紊乱血流的影响较小。这些发现突出表明,在不同条件下,运动引起的血流动力学变化有所不同。介入治疗患者的运动训练应在全面评估血管功能后进行。
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引用次数: 0
Experimental research of energy absorbing structures within helmet samples made with the additive manufacturing method - preliminary study. 用增材制造法制造的头盔样品内部吸能结构的实验研究--初步研究。
IF 1 4区 医学 Q4 BIOPHYSICS Pub Date : 2023-01-01
Wojciech Toboła, Mateusz Papis, Dominik Jastrzębski, Rafał Perz

Purpose: This study aimed to develop an energy-absorbing structure for bicycle helmets to minimize head injuries caused by collisions. The research team explored three geometric structures produced through additive methods and compares their energy absorption properties with a standard bicycle helmet made of Expanded Polystyrene (EPS) foam.

Methods: The study prepared samples of three geometric structures (a ball, a honeycomb and a conical shape) and a fragment of a bicycle helmet made of EPS foam with the same overall dimensions. Laboratory tests were conducted using a pneumatic hammer, piston compressor, anvil, triaxial accelerometer and data processing systems. Three crash tests were performed for each type of structure, and the anvil's maximum acceleration and stopping distance after the crash were analyzed.

Results: The study found that the energy absorption properties of the Polylactic Acid (PLA) material printed with the incremental method were comparable or better than those of the EPS material used in helmets. The geometric structure of the energy-absorbing material played a crucial role in its effectiveness. The most promising results were obtained for the ball samples.

Conclusions: The study concluded that further research on energy-absorbing structures made using the Fused Deposition Modeling (FDM) method could be useful in the production of bicycle helmets. The results show that the geometric structure of the energy-absorbing material is a crucial factor in its effectiveness. The findings suggest that the ballshaped structure made with PLA material printed using the incremental method could be a promising design for bicycle helmets to minimize head injuries caused by collisions.

目的:本研究旨在为自行车头盔开发一种吸能结构,以尽量减少碰撞对头部造成的伤害。研究小组探索了通过添加法生产的三种几何结构,并将它们的吸能特性与由发泡聚苯乙烯(EPS)泡沫制成的标准自行车头盔进行了比较:研究制备了三种几何结构(球形、蜂窝状和圆锥形)的样品和一个由 EPS 泡沫塑料制成的整体尺寸相同的自行车头盔碎片。使用气锤、活塞压缩机、铁砧、三轴加速度计和数据处理系统进行了实验室测试。每种结构都进行了三次碰撞试验,并分析了碰撞后铁砧的最大加速度和停止距离:研究发现,用增量法打印的聚乳酸(PLA)材料的能量吸收性能与头盔中使用的发泡聚苯乙烯(EPS)材料相当,甚至更好。吸能材料的几何结构对其效果起着至关重要的作用。球形样品的结果最有希望:研究得出的结论是,进一步研究使用熔融沉积建模(FDM)方法制造的吸能结构,将有助于自行车头盔的生产。研究结果表明,吸能材料的几何结构是影响其有效性的关键因素。研究结果表明,使用增量法打印的聚乳酸材料制成的球形结构可能是一种很有前途的自行车头盔设计,可最大限度地减少碰撞对头部造成的伤害。
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引用次数: 0
The impact of fatigue on static balance in people with chronic ankle instability. 疲劳对慢性踝关节不稳患者静态平衡的影响。
IF 1 4区 医学 Q4 BIOPHYSICS Pub Date : 2023-01-01
Małgorzata Kowalczyk, Aleksandra Truszczyńska-Baszak

Purpose: The aim of the study was to assess static postural stability under fatigue in subjects with chronic ankle instability - "copers" in comparison with healthy controls.

Methods: We conducted a prospective study on a group of 60 young, physically active subjects, divided into 3 groups: I - 14 subjects with unilateral ankle instability, II - 15 subjects with bilateral ankle instability, III - 31 healthy subjects, without ankle instability. The fatigue trial was based on modified Short-Term Fatigue Protocol. Static stabilography was performed with the use of HUR platform.

Results: showed an increase in the value of COP trace length after fatigue test in study population I. The level of COP trace length Z before fatigue was significantly lower than after fatigue. Subjects from study population I had higher levels of COP trace length Z in comparison with the control group. The main effect for the group also proved to be significant. Study population I had higher levels of COP trace length Z in comparison with the control group. For the measurement after fatigue, there was significant difference only between the study population I and the control group.

Conclusions: The incidence of structural ankle instability was not correlated with functional instability. Subjects with ankle instability, or "copers", had good functional levels, enabling them to perform sports activities. "Copers" had weakened proprioception in static stabilography tests. Short and intense fatigue protocol weakened the ability to maintain balance in static stabilography test with eyes closed.

目的:本研究旨在评估慢性踝关节不稳定患者--"应对者 "与健康对照组在疲劳状态下的静态姿势稳定性:我们对 60 名体力活动量大的年轻受试者进行了前瞻性研究,分为 3 组:I 组:14 名患有单侧踝关节不稳的受试者;II 组:15 名患有双侧踝关节不稳的受试者;III 组:31 名无踝关节不稳的健康受试者。疲劳试验以修改后的短期疲劳协议为基础。结果显示:研究人群 I 的 COP 迹线长度值在疲劳试验后有所增加。与对照组相比,研究对象 I 的 COP 痕迹长度 Z 水平更高。研究组的主效应也被证明是显著的。与对照组相比,研究人群 I 的 COP 曲线长度 Z 水平更高。在疲劳后的测量中,只有研究组 I 和对照组之间存在显著差异:结论:踝关节结构性不稳定的发生率与功能性不稳定无关。踝关节不稳定的受试者或 "应对者 "具有良好的功能水平,能够进行体育活动。在静态稳定测试中,"应对者 "的本体感觉较弱。短时间和高强度的疲劳训练削弱了闭眼静态稳定测试中保持平衡的能力。
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引用次数: 0
The viscoelasticity, anisotropy and location-dependence of mechanical properties of rabbit iris investigated using uniaxial tensile tests. 利用单轴拉伸试验研究兔虹膜的粘弹性、各向异性和机械性能的位置依赖性。
IF 1 4区 医学 Q4 BIOPHYSICS Pub Date : 2023-01-01
Tan Li, Xiao Qin, Zhicheng Liu, Haixia Zhang, Lin Li

Purpose: Abnormal iris mechanical properties have been considered to be an important cause of pupillary-block and angle-closure glaucoma. In this research, viscoelasticity, anisotropy and location-dependence of mechanical properties of rabbit iris were investigated using uniaxial tensile test.

Methods: Iris strips were taken along three directions: inner-circumferential direction (ICD), outer-circumferential direction (OCD) and radial direction (RD), respectively. Quasi-static tensile tests and stress-relaxation tests were applied on the iris strips. Then, the stress-stretch data was fitted with third order Ogden model; the stress-relaxation data was fitted with the third order Prony series model. Through comparing the tangent modulus and relaxation limit of the strips from different directions and locations, the viscoelasticity, anisotropy and location-dependence of mechanical properties of rabbit iris were explored.

Results: The tangent moduli of iris at the stretch of 1.05 along ICD, OCD, and RD were 3.2 ± 1.4 kPa, 4.2 ± 2.6 kPa, 1.5 ± 0.8 kPa, respectively. Iris strips in ICD and OCD were found to have almost the same stress-relaxation behavior, and both relaxed slower than iris strips in RD.

Conclusions: The mechanical properties of the iris were typically nonlinear, viscoelastic, anisotropic and location-dependent. The stress growth rate of the circumferential direction iris strip is significantly lower than that of RD and the stress-relaxation rate is significantly higher than that of the RD. That is, the iris is more prone to deformation in RD and the stress-retention ability after deformation in RD is weak, which is consistent with the fact that the iris bombe more likely happens in RD in vivo. The results of this study may also help us to establish a more accurate finite element model to simulate the flow field of humor aqueous and find the key factor of pupillary-block.

目的:虹膜机械性能异常被认为是瞳孔阻滞和闭角型青光眼的重要原因。本研究采用单轴拉伸试验研究了兔虹膜的粘弹性、各向异性和机械性能的位置依赖性:方法:分别沿三个方向(内圆周方向(ICD)、外圆周方向(OCD)和径向方向(RD))取虹膜条。对虹膜条进行准静态拉伸试验和应力松弛试验。然后,用三阶奥格登模型拟合应力拉伸数据;用三阶普罗尼序列模型拟合应力松弛数据。通过比较不同方向和位置虹膜条的切线模量和松弛极限,探讨了兔虹膜的粘弹性、各向异性和力学性能的位置依赖性:沿 ICD、OCD 和 RD 拉伸 1.05 时虹膜的切线模量分别为 3.2 ± 1.4 kPa、4.2 ± 2.6 kPa 和 1.5 ± 0.8 kPa。结果发现,ICD 和 OCD 的虹膜条带具有几乎相同的应力松弛行为,且松弛速度均慢于 RD 的虹膜条带:结论:虹膜的机械特性具有典型的非线性、粘弹性、各向异性和位置依赖性。圆周方向虹膜带的应力增长率明显低于 RD,应力松弛率明显高于 RD。也就是说,RD中的虹膜更容易变形,而RD变形后的应力保持能力较弱,这与体内RD更容易发生虹膜爆裂的事实一致。本研究的结果还有助于我们建立更精确的有限元模型来模拟房水流场,并找到瞳孔阻滞的关键因素。
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引用次数: 0
Dynamic-passive correction of hallux valgus and associated static foot deformities 拇外翻及相关静足畸形的动态被动矫正
4区 医学 Q4 BIOPHYSICS Pub Date : 2023-01-01 DOI: 10.37190/abb-02200-2023-02
Jacek M. Dygut, Joanna Strąk, Jerzy Detyna, Monika W. Piwowar
Purpose The paper presents, the effects of hallux valgus correction and coexisting static deformities of the foot (transversely-plano and plano-valgus foot) obtained with a new dynamic-passive method of treatment. Methods The study involved 50 patients; 26 with full big toe correction after the passive correction grip (group I) and 24 with big toe correction requiring additional passive abduction (group II). The patients regularly performed exercises using the designed device according to the planned schedule. The progress of the correction was assessed by a medical examination and additional tests. Results Results: The cross-sectional area [cm2] of the abductor hallucis muscle in three-time points among I and II groups of patients with the Hallux Valgus was measured based on MRI images. The STIR examination showed among other the abductor hallucis muscle edema after exercises with the DPc device were carried out. It evidences that exercises with the new device activate the muscle. Alignment of the big toes of both feet in groups I and II were obtained with a statistically significant result (p<0.05). The percentage progression of correction for HV and I/II IM was calculated. Conclusions Based on the new correction approach the alignment of the big toe phalanges and the remaining toes was obtained. The passive setup of the tendons with their distal inserts at the level of the big toe phalanges to the correct path of their course with the withdrawal of articular subluxations was obtained. Simultaneously, the big toe's passive correction was dynamically consolidated through a specially selected set of exercises.
目的介绍一种新的动态-被动治疗方法对拇外翻矫正和同时存在的足部静态畸形(横跖足和平外翻足)的效果。方法对50例患者进行研究;26例患者在被动矫正握把后进行完全大脚趾矫正(I组),24例患者进行大脚趾矫正,需要额外的被动外展(II组)。患者根据计划的时间表使用设计的器械定期进行锻炼。矫正工作的进展是通过医疗检查和其他测试来评估的。结果:根据MRI图像测量ⅰ组和ⅱ组拇外翻患者三个时间点的幻觉外展肌横截面积[cm2]。使用DPc装置运动后,STIR检查显示外展幻觉肌水肿。它证明用这种新设备锻炼可以激活肌肉。I组和II组双足大脚趾对中,差异有统计学意义(p < 0.05)。计算HV和I/II IM的矫正百分率进展。结论采用新术式后,大趾指骨与残趾的排列一致。在关节半脱位的情况下,肌腱的远端插入物在大脚趾指骨的水平上被动地建立到正确的路径。同时,通过一套特别选择的练习,大脚趾的被动矫正得到动态巩固
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引用次数: 0
The impact of fatigue on static balance in people with chronic ankle instability 慢性踝关节不稳患者疲劳对静态平衡的影响
4区 医学 Q4 BIOPHYSICS Pub Date : 2023-01-01 DOI: 10.37190/abb-02214-2023-02
Małgorzata Kowalczyk, Aleksandra Truszczyńska-Baszak
Purpose The aim of the study was to assess static postural stability under fatigue in subjects with chronic ankle instability – “coopers” in comparison to healthy controls. Methods We conducted a prospective study on a group of 60 young, physically active subjects, who we divided into 3 groups: I- 14 subjects with unilateral ankle instability, II - 15 subjects with bilateral ankle instability, 31 healthy subjects, without ankle instability. The fatigue trial was based on modified Short-Term Fatigue Protocol. Static stabilography was performed with the use of HUR platform. Results Results showed an increase in the value of COP trace length after fatigue test in study population I. The level of COP trace length Z before fatigue was significantly lower than after fatigue. Subjects from study population I had higher levels of COP trace length Z in comparison with the control group. The main effect for the group also proved to be significant. Study population I had higher levels of COP trace length Z in comparison with the control group. For the measurement after fatigue there was significant difference only between the study population I and the control group. Conclusions 1. The incidence of structural ankle instability was not correlated with functional instability. Subjects with ankle instability, or “copers”, had good functional levels, enabling them to perform sports activities. 2. “Copers” had weakened proprioception in static stabilography tests.
目的:本研究的目的是评估慢性踝关节不稳定(“coopers”)患者在疲劳状态下的静态姿势稳定性,并与健康对照进行比较。方法对60名年轻、体力活动的受试者进行前瞻性研究,将其分为3组:I- 14例单侧踝关节不稳,II - 15例双侧踝关节不稳,31例健康、无踝关节不稳。疲劳试验基于改进的短期疲劳方案。采用HUR平台进行静稳定。结果研究人群ⅰ疲劳后COP微量长度值升高,疲劳前COP微量长度Z水平显著低于疲劳后。研究人群1的受试者与对照组相比,COP痕量长度Z水平较高。对该群体的主要影响也被证明是显著的。研究人群1与对照组相比,COP痕量长度Z水平较高。疲劳后的测量仅在研究人群1和对照组之间有显著差异。结论1。结构性踝关节不稳定的发生率与功能性不稳定无关。踝关节不稳定的受试者,或“copers”,具有良好的功能水平,使他们能够进行体育活动。2. “Copers”在静态稳定性试验中削弱了本体感觉。
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引用次数: 0
Relationship of lumbar-hip kinematics during trunk flexion and sex, body mass index, and self-reported energy expenditure: a cross-sectional analysis 躯干屈曲时腰髋运动学与性别、体重指数和自我报告的能量消耗的关系:一项横断面分析
4区 医学 Q4 BIOPHYSICS Pub Date : 2023-01-01 DOI: 10.37190/abb-02211-2023-03
Magdalena Zawadka, Jakub Smołka, Maria Skublewska-Paszkowska, Edyta Lukasik, Grzegorz Zieliński, Piotr Gawda
Purpose Physical activity (PA) is a well-known, simple and effective preventive and therapeutic intervention for low back pain (LBP). In spite of the growing interest in active lifestyles and its benefits, more needs to be known about the relationship between energy expenditure, body mass and lumbar-pelvic kinematics during the forward bending movement in a group of young asymptomatic people who met PA guidelines. Young people can be identified as a future risk group of civilisation diseases and lumbar-hip kinematics can be considered as a predictor of LBP occurrence. The aim of this study was to identify the association of sex, self-reported energy expenditure, body mass index, and lumbar-hip kinematics in young people. Methods Sixty-four students at pre-employment stage participated in the study. They declared moderate-to-high PA and activity-induced energy expenditure (AEE) was self-reported. Kinematic data of the lumbar spine, pelvis, and hip were collected during forward bending using a 3D motion capture system. Results Sex was found to be associated with pelvis (β=-0.38 p=0.002) and lumbar mobility (β=0.49, p<0.001) during forward bending and BMI was related only to lumbar mobility (β=-0.41, p=0.001). Recreation AEE significantly predicted hip flexion mobility (β =0.38, p=0.002). Conclusions This study showed that among a sample of physically active young people, BMI, self-reported AEE, and sex can partially predict lumbar-hip kinematics during trunk flexion. Recreational PA can be regarded as improving hip mobility and thus making forward bending more effective and less prone to injury.
摘要体力活动(Physical activity, PA)是一种众所周知的、简单有效的预防和治疗腰痛的方法。尽管人们对积极的生活方式及其益处越来越感兴趣,但在一组符合PA指南的年轻无症状人群中,关于前屈运动期间能量消耗、体重和腰骨盆运动学之间的关系,我们还需要了解更多。年轻人可以被认为是未来文明疾病的危险群体,腰髋关节运动学可以被认为是腰痛发生的预测因子。本研究的目的是确定年轻人的性别、自我报告的能量消耗、体重指数和腰髋运动学之间的关系。方法对64名就业前大学生进行调查。他们宣称有中高PA,活动诱导的能量消耗(AEE)是自我报告的。使用3D运动捕捉系统收集腰椎、骨盆和髋关节在前屈时的运动学数据。结果性别与前屈时骨盆(β=-0.38 p=0.002)和腰椎活动度(β=0.49, p=0.001)相关,BMI仅与腰椎活动度相关(β=-0.41, p=0.001)。娱乐AEE显著预测髋关节屈曲活动度(β =0.38, p=0.002)。结论:本研究表明,在体力活动的年轻人样本中,BMI、自我报告的AEE和性别可以部分预测躯干屈曲时的腰髋运动学。娱乐性PA可以被认为是改善髋关节的活动能力,从而使前屈更有效,更不容易受伤。
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Acta of bioengineering and biomechanics
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