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Effects of Aging on Patellofemoral Joint Stress during Stair Negotiation on Challenging Surfaces. 老化对在具有挑战性的地面上爬楼梯时髌股关节应力的影响
Pub Date : 2024-09-01 Epub Date: 2024-09-02 DOI: 10.3390/biomechanics4030036
Nicholas L Hunt, Amy E Holcomb, Clare K Fitzpatrick, Tyler N Brown

This study examined the effect of age and surface on patellofemoral joint (PFJ) stress magnitude and waveform during stair ascent and descent tasks. A total of 12 young and 12 older adults had knee biomechanics quantified while they ascended and descended stairs on normal, slick, and uneven surfaces. The peak of stance (0-100%) PFJ stress and associated components were submitted to a two-way repeated measures ANOVA, while the PFJ stress waveform was submitted to statistical parametric mapping two-way ANOVA. During stair ascent, older adults exhibited greater PFJ stress waveforms, from 55 to 59% and 74 to 84% of stance (p < 0.001) as well as greater PFJ stress-time integral across stance (p = 0.003), and later peak PFJ stress, than young adults (p = 0.002). When ascending on the uneven surface, participants exhibited smaller PFJ stress from 9 to 24% of stance compared to the normal surface, but greater PFJ stress from 75 to 88% and from 63 to 68% of stance (p < 0.001) as well as greater PFJ stress-time integrals compared to normal and slick surfaces (p < 0.032). During stair descent, older adults exhibited a smaller PFJ contact area range (p = 0.034) and peak knee flexion angle (p = 0.022) than young adults. When descending on the slick surface, participants exhibited smaller PFJ stress from 5 to 18% of stance, but greater stress, from 92 to 98% of stance (both: p < 0.001), compared to the normal surface. Negotiating slick and uneven stairs may produce knee biomechanics that increase PFJ stress, and the larger, later PFJ stress exhibited by older adults may further increase their risk of PFJ pain.

本研究探讨了在上下楼梯时,年龄和路面对髌股关节(PFJ)应力大小和波形的影响。共有 12 名年轻人和 12 名老年人在正常、光滑和不平整的地面上上下楼梯时,对膝关节生物力学进行了量化。对站立时(0-100%)PFJ应力峰值及相关成分进行了双向重复测量方差分析,同时对PFJ应力波形进行了统计参数映射双向方差分析。在爬楼梯时,与年轻人相比,老年人的 PFJ 应力波形(从站立的 55% 到 59%,从 74% 到 84%)更大(p < 0.001),跨站立的 PFJ 应力时间积分(p = 0.003)更大,PFJ 应力峰值更晚(p = 0.002)。在凹凸不平的表面上升时,与正常表面相比,参与者在站姿的 9% 到 24% 之间的 PFJ 应力较小,但在站姿的 75% 到 88% 和 63% 到 68% 之间的 PFJ 应力较大(p < 0.001),与正常表面和光滑表面相比,PFJ 应力-时间积分较大(p < 0.032)。在下楼梯时,老年人的 PFJ 接触面积范围(p = 0.034)和膝关节屈曲角度峰值(p = 0.022)均小于年轻人。与正常表面相比,在光滑表面下楼时,参与者在站立的 5% 到 18% 之间表现出较小的 PFJ 应力,但在站立的 92% 到 98% 之间则表现出较大的应力(两者:p < 0.001)。在光滑和不平的楼梯上行走可能会产生增加 PFJ 应力的膝关节生物力学,而老年人表现出的较大的、较晚的 PFJ 应力可能会进一步增加他们 PFJ 疼痛的风险。
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引用次数: 0
Postural Control Behavior in a Virtual Moving Room Paradigm 虚拟移动房间模式下的姿势控制行为
Pub Date : 2023-11-02 DOI: 10.3390/biomechanics3040043
Hannah R. Freeman, Harish Chander, Sachini N. K. Kodithuwakku Arachchige, Alana J. Turner, J. Adam Jones, Zhujun Pan, Christopher Hudson, Adam C. Knight
Background: Taking inspiration from the classical 1974, “moving room experiment” by Lee and Aronson, a “virtual moving room paradigm (Vroom)” was designed using virtual reality (VR) to assess postural control behavior. Methods: Thirty healthy adults (age: 21 ± 1 years; height: 166.5 ± 7.3 cm; mass: 71.7 ± 16.2 kg) were tested for postural stability in a virtual moving room paradigm (Vroom). The Vroom consisted of randomized virtual and visual perturbations of the virtual room moving toward and away from the individual, during both unexpected and expected trials. Objective postural sway variables and subjective experiences to VR using the simulator sickness questionnaire as well as balance confidence scale were also assessed and analyzed using a two way (2 × 2 [2 moving room direction (Toward vs. Away) and 2 knowledge of moving room (unexpected vs. expected)] repeated measures analysis of variance (ANOVA), and a one-way repeated measures ANOVA and paired sample t-test, respectively at an alpha level of 0.05. Results: Significantly greater postural sway was observed when the virtual room moved toward the participant than when moving away, and when it moved unexpectedly, compared with the expected moving room. Significantly improved balance confidence with realistic immersion and without simulator sickness was also observed. Conclusions: Our findings provide evidence indicating that the virtual moving room induces postural perturbations that challenge the postural control system, especially when the moving room is unexpected and moves toward the individual. Additionally, increased balance confidence and realistic immersion in the virtual environment with no adverse effects of simulator sickness were observed, providing evidence for the beneficial effects of the Vroom. Thus, the Vroom can be an easy and cost-effective method to expose individuals to realistic, virtual, and visual perturbations that challenge the postural control system and increase balance confidence, with realistic immersion and without adverse effects.
背景:从经典的1974年Lee和Aronson的“移动房间实验”中获得灵感,利用虚拟现实(VR)设计了一个“虚拟移动房间范式(Vroom)”来评估姿势控制行为。方法:健康成人30例(年龄:21±1岁;高度:166.5±7.3 cm;体重:71.7±16.2 kg),在虚拟移动房间范式(Vroom)中测试姿势稳定性。虚拟房间由随机的虚拟和视觉干扰组成,在意外和预期的试验中,虚拟房间向个体移动或远离个体。使用模拟器疾病问卷和平衡置信度量表对虚拟现实的客观姿势摇摆变量和主观体验进行评估和分析,采用双向(2 × 2[2个移动房间方向(朝向vs.远离)和2个移动房间知识(意外vs.预期)]重复测量方差分析(ANOVA),以及单向重复测量方差分析和配对样本t检验,分别在α水平为0.05。结果:与预期的移动房间相比,当虚拟房间向参与者移动时,以及当它意外移动时,观察到的姿势摆动明显更大。还观察到,在真实沉浸和没有模拟器眩晕的情况下,平衡信心显著提高。结论:我们的研究结果提供了证据,表明虚拟移动房间会引起姿势扰动,从而挑战姿势控制系统,特别是当移动房间出乎意料并向个体移动时。此外,在没有模拟器眩晕的不利影响的情况下,观察到增加的平衡信心和真实沉浸在虚拟环境中,为Vroom的有益效果提供了证据。因此,Vroom可以是一种简单且经济有效的方法,使个体暴露于现实,虚拟和视觉扰动中,挑战姿势控制系统,增加平衡信心,具有真实的沉浸感,没有不利影响。
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引用次数: 0
Definition of a Global Coordinate System in the Foot for the Surgical Planning of Forefoot Corrections 前足矫正手术计划中足部全局坐标系的定义
Pub Date : 2023-11-02 DOI: 10.3390/biomechanics3040042
Sanne Krakers, Anil Peters, Sybrand Homan, Judith olde Heuvel, Gabriëlle Tuijthof
Forefoot osteotomies to improve the alignment are difficult procedures and can lead to a variety of complications. Preoperative planning in three dimensions might assist in the successful management of forefoot deformities. The purpose of this study was to develop a global coordinate system in the foot for the planning of forefoot corrections. Two strategies (CS1 and CS2) were developed for defining a global coordinate system that meets the criteria of being well-defined, robust, highly repeatable, clinically relevant, compatible with foot CT scans, independent of the ankle joint angle, and does not include bones in the forefoot. The absolute angle of rotation was used to quantify repeatability. The anatomical planes of the coordinate systems were visually inspected by an orthopedic surgeon to evaluate the clinical relevancy. The repeatability of CS1 ranged from 0.48° to 5.86°. The definition of CS2 was fully automated and, therefore, had a perfect repeatability (0°). Clinically relevant anatomical planes were observed with CS2. In conclusion, this study presents an automated method for defining a global coordinate system in the foot according to predefined requirements for the planning of forefoot corrections.
前足截骨术是一项困难的手术,可导致各种并发症。术前三维规划可能有助于成功处理前足畸形。本研究的目的是开发一个全局坐标系在足部的规划前足纠正。制定了两种策略(CS1和CS2)来定义一个全局坐标系统,该系统满足定义明确、稳健、高度可重复、临床相关、与足部CT扫描兼容、独立于踝关节角度、不包括前足骨骼的标准。用绝对旋转角度来量化重复性。由骨科医生目视检查坐标系的解剖平面以评估其临床相关性。CS1的重复性为0.48°~ 5.86°。CS2的定义是完全自动化的,因此具有完美的可重复性(0°)。应用CS2观察临床相关解剖平面。综上所述,本研究提出了一种根据预先定义的要求来规划前足校正的自动定义足部全局坐标系的方法。
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引用次数: 0
Patient-Specific 3D Virtual Surgical Planning Using Simulated Fluoroscopic Images to Improve Sacroiliac Joint Fusion 利用模拟透视图像改善骶髂关节融合的患者特异性3D虚拟手术计划
Pub Date : 2023-11-01 DOI: 10.3390/biomechanics3040041
Nick Kampkuiper, Jorm Nellensteijn, Edsko Hekman, Gabriëlle Tuijthof, Steven Lankheet, Maaike Koenrades, Femke Schröder
Sacroiliac (SI) joint dysfunction can lead to debilitating pain but can be treated with minimally invasive sacroiliac joint fusion (SIJF). This treatment is commonly performed using 2D fluoroscopic guidance. This makes placing the implants without damaging surrounding neural structures challenging. Virtual surgical planning (VSP) using simulated fluoroscopic images may improve intraoperative guidance. This article describes a workflow with VSP in SIJF using simulated fluoroscopic images and evaluates achieved implant placement accuracy. Ten interventions were performed on 10 patients by the same surgeon, resulting in a total of 30 implants; the median age was 39 years, and all patients were female. The overall mean implant placement accuracy was 4.9 ± 1.26 mm and 4.0 ± 1.44°. There were no malpositioning complications. VSP helped the surgeon understand the anatomy and determine the optimal position and length of the implants. The planned positions of the implants could be reproduced in surgery with what appears to be a clinically acceptable level of accuracy.
骶髂(SI)关节功能障碍可导致衰弱性疼痛,但可以通过微创骶髂关节融合(SIJF)治疗。这种治疗通常在二维透视引导下进行。这使得植入物在不损害周围神经结构的情况下放置具有挑战性。使用模拟透视图像的虚拟手术计划(VSP)可以改善术中指导。本文描述了使用模拟透视图像在SIJF中使用VSP的工作流程,并评估了实现的种植体放置准确性。同一位外科医生对10名患者进行了10次干预,共植入30枚;中位年龄39岁,均为女性。总体平均种植体放置精度为4.9±1.26 mm和4.0±1.44°。无移位并发症。VSP帮助外科医生了解解剖结构并确定植入物的最佳位置和长度。植入物的计划位置可以在手术中复制,其准确性似乎是临床可接受的水平。
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引用次数: 0
Optimization of a Cost-Constrained, Hydraulic Knee Prosthesis Using a Kinematic Analysis Model 基于运动学分析模型的成本约束液压膝关节假体优化
Pub Date : 2023-10-12 DOI: 10.3390/biomechanics3040040
Lucas Galey, Guillermo Beckmann, Ethan Ramos, Frances A. Rangel, Roger V. Gonzalez
Approximately 82% of amputees prefer microprocessor knees (MPKs) to the passive alternatives. However, the cost of these devices makes them inaccessible for many patients. The aim of this research is to develop an affordable MPK that allows for stumble reduction and flexion dampening at a fraction of the cost of similar devices. The GKnee was developed by a sophisticated mathematical model that can effectively calculate geometric configuration and simulate forces transferred through a prosthetic knee at any given point through the gait cycle. With a median error of 6%, the mathematical model was developed to the point of reasonable accuracy for determining component placement and force interactions. The model served as a valuable tool to assist in the iterative design process of the GKnee, influencing component selection for the hydraulic system and frame design. This model was then validated using a compression rig and a mock GKnee prototype. The GKnee was then evaluated for its ability to perform under expected loading conditions, using compression testing and dynamic flexion testing. This research led to the development of a sub USD 500 microprocessor prosthetic, while remaining under 2.27 kg.
大约82%的截肢者更喜欢微处理器膝盖(mpk)而不是被动的替代品。然而,这些设备的成本使许多患者无法使用。这项研究的目的是开发一种价格合理的MPK,它可以减少磕碰和弯曲,而成本只是类似设备的一小部分。GKnee是由一个复杂的数学模型开发的,该模型可以有效地计算几何构型并模拟在步态周期中任何给定点通过假膝传递的力。该数学模型的中位误差为6%,达到了确定部件位置和力相互作用的合理精度。该模型为GKnee的迭代设计过程提供了有价值的辅助工具,影响了液压系统部件的选择和车架的设计。然后使用压缩装置和模拟GKnee原型验证了该模型。然后通过压缩测试和动态屈曲测试来评估GKnee在预期载荷条件下的性能。这项研究导致了一种低于500美元的微处理器假肢的开发,同时保持在2.27千克以下。
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引用次数: 0
Evolution of Documents Related to Biomechanics Research in Gymnastics 体操生物力学研究文献的演变
Pub Date : 2023-10-11 DOI: 10.3390/biomechanics3040039
Víctor Hernández-Beltrán, Mário C. Espada, Jesús Muñoz-Jiménez, Kiko León, Cátia C. Ferreira, Jose A. Parraca, José M. Gamonales
Biomechanical analysis has been one of the most used procedures when aiming to improve performance in sports and is also very relevant and decisive in the final classification of competitive events in sports such as gymnastics. Hence, this study sought to provide an overview of the number of scientific literature publications related to biomechanics research in gymnastics. The document search was completed in March 2023 and reflected a bibliometric analysis considering the published manuscripts up to 31 December 2022. Data collection was performed on the Web of Science, following the bibliometric analysis law, using Microsoft Excel and VosViewer Software (v1.6.19) for analysis and data processing. A total of 325 documents related to the topic under study were located. The results highlight that the older manuscripts date from 1980, with a growing trend of publications from that moment until now and a very visible increase in 2015, and that Sport Science is the category associated with more published manuscripts. A total of 30 manuscripts have 30 or more citations, 746 authors and co-authors are associated with the publications, and 58 co-authorships have published one or more studies. Moreover, 47 countries or regions have been associated with the topic under study, with the USA, England, and Australia being the countries with the most published articles and citations. The study also found that the highest frequency keywords are: “gymnastics” (n = 122), “biomechanics” (n = 73), “simulation” (n = 27), and “performance” (n = 25), considering the average year of publication of the documents, “balance” (n = 11), “artistic gymnastic” (n = 14) and “training” (n = 25) are the most frequently used terms. This study reveals that the topic of biomechanics in gymnastics has shown sustained growth and deserves the attention of the scientific community, but at the same time, there is still much room for research development.
生物力学分析一直是提高运动成绩最常用的方法之一,在体操等运动项目的最终分类中也非常相关和决定性。因此,本研究试图提供与体操生物力学研究相关的科学文献出版物数量的概述。文献检索于2023年3月完成,并对截至2022年12月31日已发表的手稿进行了文献计量学分析。数据收集在Web of Science上进行,遵循文献计量分析法,使用Microsoft Excel和VosViewer软件(v1.6.19)进行分析和数据处理。共找到325份与所研究的专题有关的文件。结果强调,较旧的手稿可以追溯到1980年,从那时到现在,出版物呈增长趋势,并且在2015年有非常明显的增长,并且体育科学是与更多出版手稿相关的类别。共有30篇论文被引用30次及以上,746位作者和共同作者与出版物有关联,58位共同作者发表了一项或多项研究。此外,已有47个国家或地区与该课题相关,其中美国、英国和澳大利亚是发表文章和被引用最多的国家。研究还发现,频率最高的关键词是:“体操”(n = 122)、“生物力学”(n = 73)、“模拟”(n = 27)和“表演”(n = 25),考虑到文献的平均出版年份,“平衡”(n = 11)、“艺术体操”(n = 14)和“训练”(n = 25)是使用频率最高的术语。本研究揭示了体操生物力学的课题呈现出持续增长的趋势,值得科学界的重视,但同时,研究发展的空间仍很大。
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引用次数: 0
Assessing the Shooting Velocity According to the Shooting Technique in Elite Youth Rink Hockey Players 青少年优秀冰球运动员投篮技术对投篮速度的评价
Pub Date : 2023-10-09 DOI: 10.3390/biomechanics3040038
Jordi Arboix-Alió, Guillem Trabal, Dani Moreno-Galcerán
This study aimed to report the shooting velocities and to assess the differences in shot velocity according to the techniques used in elite youth male rink hockey players. Fifteen rink hockey players (age = 18.40 ± 1.44 year; body mass = 73.52 ± 6.02 kg; height = 1.76 ± 0.06 m; BMI = 23.61 ± 2.12; sports experience = 6.44 ± 1.76 years) participated in this cross-sectional study. Shooting velocities were assessed for four techniques: slap shot without approach run, drive shot without approach run, slap shot with approach run, and drive shot with approach run. Shooting velocity measurements were conducted using a radar Stalker ATS systemTM. The results demonstrated that drive shots consistently achieved higher velocities compared to slap shots (F(3,56) = 23.9 p < 0.01, ηp2 = 0.58). Additionally, incorporating an approach run significantly increased shooting velocities for both techniques (p < 0.01). These findings hold significant implications for coaches and players seeking to optimize shooting performance in rink hockey.
本研究旨在报告优秀青年男子冰上曲棍球运动员的投篮速度,并根据不同的技术评估投篮速度的差异。15名冰球运动员(年龄= 18.40±1.44岁;体重= 73.52±6.02 kg;高度= 1.76±0.06 m;Bmi = 23.61±2.12;运动经历= 6.44±1.76年)参加本横断面研究。对四种技术的投篮速度进行了评估:拍球不接近跑动、推球不接近跑动、拍球带接近跑动、推球带接近跑动。射击速度测量采用雷达跟踪ATS系统tm。结果表明,与拍球相比,扣球始终能获得更高的速度(F(3,56) = 23.9 p <0.01, ηp2 = 0.58)。此外,结合一种方法可以显著提高两种技术的射击速度(p <0.01)。这些发现对教练和运动员在冰球比赛中寻求最佳射门表现具有重要意义。
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引用次数: 0
How Does the Jumping Performance Differs between Acrobatic and Rhythmic Gymnasts? 杂技和艺术体操运动员的跳跃表演有何不同?
Pub Date : 2023-10-03 DOI: 10.3390/biomechanics3040037
Isaura Leite, Márcio Goethel, Filipe Conceição, Lurdes Ávila-Carvalho
An increased jumping performance is key for gymnastics competition routines. Rhythmic gymnasts (RGs) use the jump as one of the main body elements. In Acrobatic Gymnastics (ACRO), top gymnasts must coordinate their jumps with the impulse provided by base gymnast(s). It is expected that the gymnasts’ discipline and role played impact their jumping skill. This work aims to investigate how the jumping performance differs between ACRO gymnasts and RGs, focusing on the Force–Velocity (F-V) profile mechanical variables. Gymnasts were divided in three groups: ACRO tops (n = 10, 13.89 (3.62) median (interquartile interval) years old), ACRO bases (n = 18, 18.24 (4.41) years old) and RGs (n = 15, 12.00 (3.00) years old). The F-V profile during countermovement jump and its mechanical variables were evaluated using MyJump2. A training background survey and anthropometric assessments were conducted. The significance level was set at p ≤ 0.05. Group comparisons showed that ACRO bases jump higher than ACRO tops and RGs, present a higher maximal force than RGs and a more balanced F-V profile, while RGs present high force deficits. Coaches can use this data to develop interventions that optimize the training stimulus to different gymnastics disciplines considering the individual characteristics and adaptability of each gymnast.
提高跳高水平是体操比赛常规动作的关键。艺术体操运动员(RGs)使用跳跃作为主要的身体元素之一。在杂技体操(ACRO)项目中,顶尖运动员必须配合基础运动员提供的冲力。预计体操运动员的纪律和角色会影响他们的跳跃技术。这项工作旨在研究ACRO体操运动员和RGs之间的跳跃表现差异,重点关注力-速度(F-V)剖面力学变量。将体操运动员分为3组:ACRO最高组(n = 10、13.89(3.62)岁)、ACRO最低组(n = 18、18.24(4.41)岁)和rg组(n = 15、12.00(3.00)岁)。利用MyJump2对反动作跳跃过程中的F-V曲线及其力学变量进行了评估。进行了培训背景调查和人体测量评估。显著性水平设为p≤0.05。组间比较结果显示,ACRO基部跳高高于ACRO顶部和rg,最大力高于rg, F-V剖面更平衡,而rg则存在较大的力亏。教练员可以利用这些数据,根据每个体操运动员的个体特点和适应性,制定针对不同体操学科的训练刺激优化的干预措施。
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引用次数: 0
The Kinematics and Biomechanics for Non-Contiguous Anterior Cervical Discectomy and Fusion, Cervical Disc Arthroplasty, and Hybrid Cervical Surgery: A Systematic Review 非连续前路颈椎椎间盘切除术和融合术、颈椎椎间盘置换术和混合颈椎手术的运动学和生物力学:系统综述
Pub Date : 2023-10-01 DOI: 10.3390/biomechanics3040036
Albert T. Anastasio, Anthony N. Baumann, Andrew Fiorentino, Katelyn Sidloski, Kempland C. Walley, Aditya Muralidharan, Keegan T. Conry, Jacob C. Hoffmann
Cervical disc degenerative disease (CDDD) is a common spinal pathology that is often treated with anterior cervical discectomy and fusion (ACDF), cervical disc arthroplasty (CDA), and/or hybrid cervical surgery (HCS). The purpose of this first-time systematic review is to examine the biomechanical outcomes associated with three types of non-contiguous cervical surgeries—ACDF, CDA, and HCS—to provide a greater understanding of non-contiguous cervical surgical biomechanics. A systematic review was performed using PubMed, Cumulated Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, and Web of Science from database inception until June 6th, 2023. The inclusion criteria was any article that reported biomechanical or kinematic outcomes, outcomes for any of the three non-contiguous cervical surgeries, and human-derived and/or human cadaver subjects. A total of 5 biomechanical articles were included from a total of 523 articles. Non-contiguous two-level HCS experienced less drastic range-of-motion (ROM) changes throughout the cervical spine and decreased intervertebral disc pressure (IDP) compared to non-contiguous two-level ACDF. Non-contiguous two-level CDA resulted in more cervical ROM and less non-operative segment facet contact force compared to non-contiguous two level ACDF. There was less cephalad and caudal non-operative segment ROM in non-contiguous two-level ACDF compared to contiguous three-level ACDF.
颈椎间盘退行性疾病(CDDD)是一种常见的脊柱病理,通常通过颈前路椎间盘切除术和融合术(ACDF)、颈椎间盘置换术(CDA)和/或混合颈椎手术(HCS)进行治疗。本文首次系统回顾的目的是研究三种非连续颈椎手术(acdf、CDA和hcs)的生物力学结果,以更好地了解非连续颈椎手术的生物力学。使用PubMed、护理和相关健康文献累积索引(CINAHL)、MEDLINE和Web of Science从数据库建立到2023年6月6日进行系统评价。纳入标准是任何报道了生物力学或运动学结果、三次非连续颈椎手术中的任何一次结果以及人源性和/或人尸体受试者的文章。从523篇文献中共纳入5篇生物力学文献。与非连续两节段ACDF相比,非连续两节段HCS在整个颈椎的活动范围(ROM)变化较小,椎间盘压力(IDP)降低。与非连续二节段ACDF相比,非连续二节段CDA导致更多的颈椎ROM和更小的非手术节段小关节面接触力。与连续三节段ACDF相比,非连续二节段ACDF的头侧和尾侧非手术节段ROM较少。
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引用次数: 0
Joint Moment Responses to Different Modes of Augmented Visual Feedback of Joint Kinematics during Two-Legged Squat Training 两腿深蹲训练中关节运动增强视觉反馈对关节力矩的响应
Pub Date : 2023-09-07 DOI: 10.3390/biomechanics3030035
R. Nataraj, Sean Sanford, Mingxiao Liu
This study examined the effects of different modes of augmented visual feedback of joint kinematics on the emerging joint moment patterns during the two-legged squat maneuver. Training with augmented visual feedback supports improved kinematic performance of maneuvers related to sports or daily activities. Despite being representative of intrinsic motor actions, joint moments are not traditionally evaluated with kinematic feedback training. Furthermore, stabilizing joint moment patterns with physical training is beneficial to rehabilitating joint-level function (e.g., targeted strengthening and conditioning of muscles articulating that joint). Participants were presented with different modes of augmented visual feedback to track a target squat-motion trajectory. The feedback modes varied along features of complexity (i.e., number of segment trajectories shown) and body representation (i.e., trajectories shown as sinusoids versus dynamic stick-figure avatars). Our results indicated that mean values and variability (trial-to-trial standard deviations) of joint moments are significantly (p < 0.05) altered depending on the visual feedback features being applied, the specific joint (ankle, knee, hip), and the squat movement phase (early, middle, or late time window). This study should incentivize more optimal delivery of visual guidance during rehabilitative training with computerized interfaces (e.g., virtual reality).
本研究考察了不同模式的增强视觉反馈的关节运动学对新兴的关节力矩模式在两腿深蹲机动的影响。增强视觉反馈训练支持改善运动或日常活动相关动作的运动学表现。尽管关节力矩是固有运动动作的代表,但传统上并不使用运动学反馈训练来评估关节力矩。此外,通过体育训练来稳定关节力矩模式有利于恢复关节水平功能(例如,有针对性地加强和调节连接关节的肌肉)。参与者被呈现不同模式的增强视觉反馈来跟踪目标蹲动轨迹。反馈模式随复杂性(即显示的段轨迹数量)和身体表征(即显示为正弦波的轨迹与动态简笔人偶)的特征而变化。我们的研究结果表明,关节力矩的平均值和变异性(试验对试验的标准差)根据所应用的视觉反馈特征、特定关节(踝关节、膝关节、髋关节)和深蹲运动阶段(早、中、晚时间窗)显著(p < 0.05)改变。本研究应鼓励在康复训练中使用计算机界面(如虚拟现实)提供更优的视觉指导。
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引用次数: 0
期刊
Biomechanics (Basel, Switzerland)
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