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An Automated Approach to Instrumenting the Up-on-the-Toes Test(s) 一种自动化的脚趾上举测试方法
Pub Date : 2023-06-26 DOI: 10.3390/biomechanics3030024
Sarah Aruje Zahid, Y. Çelik, A. Godfrey, J. Buckley
Normal ankle function provides a key contribution to everyday activities, particularly step/stair ascent and descent, where many falls occur. The rising to up-on-the-toes (UTT) 30 second test (UTT-30) is used in the clinical assessment of ankle muscle strength/function and endurance and is typically assessed by an observer counting the UTT movement completed. The aims of this study are: (i) to determine whether inertial measurement units (IMUs) provide valid assessment of the UTT-30 by comparing IMU-derived metrics with those from a force-platform (FP), and (ii) to describe how IMUs can be used to provide valid assessment of the movement dynamics/stability when performing a single UTT movement that is held for 5 s (UTT-stand). Twenty adults (26.2 ± 7.7 years) performed a UTT-30 and a UTT-stand on a force-platform with IMUs attached to each foot and the lumbar spine. We evaluate the agreement/association between IMU measures and measures determined from the FP. For UTT-30, IMU analysis of peaks in plantarflexion velocity and in FP’s centre of pressure (CoP) velocity was used to identify each repeated UTT movement and provided an objective means to discount any UTT movements that were not completed ‘fully’. UTT movements that were deemed to have not been completed ‘fully’ were those that yielded peak plantarflexion and CoP velocity values during the period of rising to up-on-the-toes that were below 1 SD of each participant’s mean peak rising velocity across their repeated UTT. The number of UTT movements detected by the IMU approach (23.5) agreed with the number determined by the FP (23.6), and each approach determined the same number of ‘fully’ completed movements (IMU, 19.9; FP, 19.7). For UTT-stand, IMU-derived movement dynamics/postural stability were moderately-to-strongly correlated with measures derived from the FP. Our findings highlight that the use of IMUs can provide valid assessment of UTT test(s).
正常的踝关节功能为日常活动提供了关键的帮助,特别是在经常跌倒的台阶/楼梯上下。脚尖向上(UTT) 30秒测试(UTT-30)用于踝关节肌肉力量/功能和耐力的临床评估,通常由观察者计算完成的UTT运动来评估。本研究的目的是:(i)通过比较惯性测量单元(imu)导出的指标与力平台(FP)的指标,确定惯性测量单元(imu)是否能提供对UTT-30的有效评估,以及(ii)描述如何使用imu在进行单次UTT运动(UTT-stand)时提供对运动动力学/稳定性的有效评估。20名成人(26.2±7.7岁)在作用力平台上进行了UTT-30和UTT-stand,每只脚和腰椎均附有imu。我们评估了IMU指标与FP指标之间的一致性/相关性。对于UTT-30,使用IMU分析跖屈曲速度峰值和FP压力中心(CoP)速度峰值来识别每个重复的UTT运动,并提供客观手段来忽略任何未“完全”完成的UTT运动。被认为没有“完全”完成的UTT运动是那些在上升到踮起期间产生的峰值跖屈和CoP速度值低于每个参与者在重复UTT中平均峰值上升速度的1个标准差的运动。IMU方法检测到的UTT运动次数(23.5次)与FP确定的次数(23.6次)一致,并且每种方法确定的“完全”完成的运动次数相同(IMU, 19.9;《外交政策》,19.7)。对于UTT-stand, imu衍生的运动动力学/姿势稳定性与FP衍生的测量中度至强烈相关。我们的研究结果强调,使用imu可以提供有效的UTT测试评估。
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引用次数: 0
Optimum Handle Location for the Hand-Assisted Sit-to-Stand Transition: A Tool 手辅助坐姿到站立过渡的最佳手柄位置:一个工具
Pub Date : 2023-06-14 DOI: 10.3390/biomechanics3020023
A. Bagheri, K. Alexander
Background: The aging process contributes to the decline in physical capacity that leads to loss of independence in performing life activities. Immobility and instability are the most significant predictors and indicators of physical disability and dependence. As a result, a variety of assistive devices exist to address immobility and instability in older adults, including walkers, canes, crutches, wheelchairs and handrails. Sit-to-stand (STS) transitions are the most common transitions in daily mobility activities. The ability to perform STS transitions successfully is therefore one of the most important activities to focus attention on. As a result of physical deterioration, older adults will sooner or later be faced with their physical limitations, and in particular, will not be able to provide enough torque at critical body joints to make the STS transition. Aim: This paper suggests employing two-arm assistance using two handles located symmetrically in the body’s sagittal plane. During the aging process, people are faced with varying levels of muscle deterioration and body constraints and consequently require different levels of assistance to complete the transition successfully. This paper aims to develop a tool to find the optimum handle location for people based on their body constraints to reduce knee torque (identified as the critical joint in the STS transition). These findings are also used to measure the effects of assistive device handle position on the biomechanics of the two-arm assisted STS transition. Methods: For this purpose, a theoretical tool was developed by integrating human body kinetics with a multi-objective genetic algorithm to find the optimum hand force required at the seat-off point for a set of potential handle locations. The tool was set to achieve the minimum knee torque within the defined body constraints and assumptions. In line with the physics of the STS transition, the “seat-off point”, when subjects lose their seat support, was chosen as the most challenging point of the task. This was coupled with the “nose over toes” posture recommended to older adults by occupational therapists. Results and Discussion: The schematic of the developed tool shows that the best handle locations requiring the minimum torques at the body joints are positioned in handle zone 2, where the handles are placed vertically above the knee and below the hip joints and horizontally located ahead of the hip and behind the knee joints. Within this handle zone, both components of the hand forces (vertical downward and horizontal backward) provide assisting torque to all the body joints and consequently reduce the torques required at body joints.
背景:衰老过程会导致身体能力的下降,从而导致在进行生活活动时丧失独立性。不活动和不稳定是身体残疾和依赖最重要的预测因素和指标。因此,存在各种辅助装置来解决老年人的行动不便和不稳定问题,包括助行器、手杖、拐杖、轮椅和扶手。坐立转换(STS)是日常活动中最常见的转换。因此,成功进行STS转换的能力是需要重点关注的最重要的活动之一。由于身体状况的恶化,老年人迟早会面临身体上的限制,特别是在关键的身体关节处无法提供足够的扭矩来进行STS过渡。目的:本文建议采用双臂辅助,使用两个手柄对称地位于身体的矢状面。在衰老过程中,人们会面临不同程度的肌肉退化和身体约束,因此需要不同程度的帮助才能成功完成过渡。本文旨在开发一种工具,根据人们的身体约束来找到最佳的手柄位置,以减少膝关节扭矩(被认为是STS过渡中的关键关节)。这些发现也被用于测量辅助装置手柄位置对双臂辅助STS过渡生物力学的影响。方法:为此,通过将人体动力学与多目标遗传算法相结合,开发了一种理论工具,以找到一组潜在手柄位置的座位点所需的最佳人手。该工具被设置为在定义的身体约束和假设条件下实现最小膝关节扭矩。根据STS转换的物理原理,当受试者失去座位支撑时的“脱座点”被选为任务中最具挑战性的点。这与职业治疗师向老年人推荐的“鼻子高于脚趾”的姿势相结合。结果和讨论:所开发工具的示意图显示,在身体关节需要最小扭矩的最佳手柄位置位于手柄区域2,手柄垂直放置在膝关节上方和髋关节下方,水平放置在髋关节前方和膝关节后方。在这个手柄区域内,两种作用力的组成部分(垂直向下和水平向后)为所有身体关节提供辅助扭矩,从而减少身体关节所需的扭矩。
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引用次数: 0
A Biomechanical Comparison between Squatbar® and Olympic Barbell Squatbar®与奥林匹克杠铃的生物力学比较
Pub Date : 2023-06-06 DOI: 10.3390/biomechanics3020022
Hallvard Nygaard Falch, E. Kristiansen, R. van den Tillaar
When performing the traditional barbell back squat, athletes may experience discomfort in the shoulders or be limited by shoulder mobility. The Squatbar® is a barbell designed to be ergonomic to the shoulders but has never, in the scientific literature, been compared to the traditional Olympic barbell. Thus, the current study investigated kinematics, kinetics, and myoelectric activity (EMG) between the Squatbar® barbell and the Olympic barbell when performing a one-repetition maximum (1-RM) back squat. Twelve strength-trained men (body mass: 83.5 ± 7.8 kg, age: 27.3 ± 3.8 years, height: 180.3 ± 6.7 cm) performed a 1-RM squat with both the Olympic and Squatbar® barbells. The paired samples t-test revealed significantly more weight was lifted with the Olympic barbell compared to the Squatbar® barbell (148 ± 21 kg vs. 144.5 ± 20 kg) and was accompanied by greater shoulder external rotation (74 ± 7.5° vs. 59.6 ± 9.2°). No differences in joint kinematics of the lower limbs, kinetics, or EMG were observed between the two barbells. The results of the current study indicate the Squatbar® to be a suitable substitution for the Olympic barbell for athletes with reduced shoulder mobility when performing the squat. It was concluded that the Squatbar® induces similar kinetics, kinematics, and EMG when compared to the Olympic barbell, except for reducing external rotation of the shoulder.
在进行传统的杠铃后蹲时,运动员可能会感到肩部不适或肩部活动受限。Squatbar®是一种肩部符合人体工程学的杠铃,但在科学文献中从未被拿来与传统的奥运会杠铃相比较。因此,目前的研究调查了Squatbar®杠铃和奥运会杠铃在进行一次重复最大(1-RM)后蹲时的运动学、动力学和肌电活动(EMG)。12名受过力量训练的男子(体重:83.5±7.8公斤,年龄:27.3±3.8 年,身高:180.3±6.7厘米)用奥林匹克杠铃和Squatbar®杠铃进行了1米深蹲。配对样本t检验显示,与Squatbar®杠铃相比,奥林匹克杠铃的举重量显著增加(148±21 kg vs.144.5±20 kg),并伴有更大的肩部外旋(74±7.5°vs.59.6±9.2°)。两个杠铃在下肢关节运动学、动力学或肌电图方面没有观察到差异。目前的研究结果表明,对于肩部活动能力下降的运动员来说,Squatbar®是奥运会杠铃的合适替代品。得出的结论是,与奥运会杠铃相比,Squatbar®可诱导类似的动力学、运动学和肌电图,只是减少了肩部的外部旋转。
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引用次数: 1
Effects of Game-Specific Demands on Accelerations during Change of Direction Movements: Analysis of Youth Female Soccer 比赛专项需求对青少年女子足球变向运动加速度的影响
Pub Date : 2023-05-29 DOI: 10.3390/biomechanics3020021
A. Alanen, L. Benson, M. Jordan, R. Ferber, K. Pasanen
The aim of this study was to assess center of mass (COM) acceleration and movement during change of direction (COD) maneuvers during a competitive soccer game to elucidate situation-specific demands of COD performance. This information can assist in developing soccer-specific tests and training methods. Fifteen elite-level female youth soccer players were tracked for one game with inertial measurement units (IMU) attached to the lower back. COD movements in combination with situational patterns were identified using high-speed video. LASSO regression was used to identify the most important predictors associated with higher vertical peak accelerations (PAv) of the COM during COD movements. COD angle, running speed, contact, and challenge from the opposition were identified as important features related to higher PAv. This study adds to the literature on the demands of COD performance in soccer match-play. The unique approach with game-specific situational data from female youth players provides increased insight into the game-demands of COD and agility performance. PAv in games was higher with larger COD angles, increased running speed, or with contact when the player was challenged by the opposition. A larger study including more games is warranted to increase confidence in using these variables as a basis for training or testing agility.
本研究的目的是评估竞技足球比赛中改变方向(COD)动作过程中的质心(COM)加速度和运动,以阐明COD性能的特定情况要求。这些信息可以帮助制定足球专项测试和训练方法。15名精英级女子青年足球运动员被跟踪了一场比赛,下背部安装了惯性测量单元(IMU)。利用高速视频识别了COD运动与情景模式的结合。LASSO回归用于确定COD运动过程中COM垂直峰值加速度(PAv)较高的最重要预测因素。COD角度、运行速度、接触和来自对手的挑战被确定为与较高PAv相关的重要特征。本研究补充了有关足球比赛中COD表现要求的文献。这种独特的方法利用女性青少年玩家的游戏特定情境数据,增强了对COD和敏捷性能的游戏需求的洞察力。COD角度越大,跑动速度越快,或者在对手挑战时有接触,比赛中的PAv越高。有必要进行一项更大规模的研究,包括更多的比赛,以增加使用这些变量作为训练或测试敏捷性基础的信心。
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引用次数: 0
A Novel Method to Assist Clinical Management of Mild Traumatic Brain Injury by Classifying Patient Subgroups Using Wearable Sensors and Exertion Testing: A Pilot Study 一种通过可穿戴传感器和运动测试对患者亚群进行分类来辅助轻度创伤性脑损伤临床管理的新方法:一项试点研究
Pub Date : 2023-05-26 DOI: 10.3390/biomechanics3020020
J. McGeown, M. Pedersen, P. Hume, A. Theadom, S. Kara, B. Russell
Although injury mechanisms of mild traumatic brain injury (mTBI) may be similar across patients, it is becoming increasingly clear that patients cannot be treated as one homogenous group. Several predominant symptom clusters (PSC) have been identified, each requiring specific and individualised treatment plans. However, objective methods to support these clinical decisions are lacking. This pilot study explored whether wearable sensor data collected during the Buffalo Concussion Treadmill Test (BCTT) combined with a deep learning approach could accurately classify mTBI patients with physiological PSC versus vestibulo-ocular PSC. A cross-sectional design evaluated a convolutional neural network model trained with electrocardiography (ECG) and accelerometry data. With a leave-one-out approach, this model classified 11 of 12 (92%) patients with physiological PSC and 3 of 5 (60%) patients with vestibulo-ocular PSC. The same classification accuracy was observed in a model only using accelerometry data. Our pilot results suggest that adding wearable sensors during clinical tests like the BCTT, combined with deep learning models, may have the utility to assist management decisions for mTBI patients in the future. We reiterate that more validation is needed to replicate the current results.
尽管轻度创伤性脑损伤(mTBI)的损伤机制在不同患者中可能相似,但越来越清楚的是,患者不能作为一个单一的群体进行治疗。已经确定了几个主要症状群(PSC),每个症状群都需要具体和个性化的治疗计划。然而,缺乏支持这些临床决策的客观方法。这项试点研究探讨了在水牛脑震荡跑步机测试(BCTT)期间收集的可穿戴传感器数据与深度学习方法相结合,是否可以准确地对患有生理性PSC和前庭-眼部PSC的mTBI患者进行分类。横断面设计评估了用心电图(ECG)和加速度测量数据训练的卷积神经网络模型。采用留一法,该模型对12例(92%)生理性PSC患者中的11例和5例(60%)前庭-眼部PSC患者进行了分类。在仅使用加速度测量数据的模型中观察到相同的分类精度。我们的试点结果表明,在BCTT等临床测试中添加可穿戴传感器,结合深度学习模型,可能有助于未来mTBI患者的管理决策。我们重申,需要更多的验证来复制当前的结果。
{"title":"A Novel Method to Assist Clinical Management of Mild Traumatic Brain Injury by Classifying Patient Subgroups Using Wearable Sensors and Exertion Testing: A Pilot Study","authors":"J. McGeown, M. Pedersen, P. Hume, A. Theadom, S. Kara, B. Russell","doi":"10.3390/biomechanics3020020","DOIUrl":"https://doi.org/10.3390/biomechanics3020020","url":null,"abstract":"Although injury mechanisms of mild traumatic brain injury (mTBI) may be similar across patients, it is becoming increasingly clear that patients cannot be treated as one homogenous group. Several predominant symptom clusters (PSC) have been identified, each requiring specific and individualised treatment plans. However, objective methods to support these clinical decisions are lacking. This pilot study explored whether wearable sensor data collected during the Buffalo Concussion Treadmill Test (BCTT) combined with a deep learning approach could accurately classify mTBI patients with physiological PSC versus vestibulo-ocular PSC. A cross-sectional design evaluated a convolutional neural network model trained with electrocardiography (ECG) and accelerometry data. With a leave-one-out approach, this model classified 11 of 12 (92%) patients with physiological PSC and 3 of 5 (60%) patients with vestibulo-ocular PSC. The same classification accuracy was observed in a model only using accelerometry data. Our pilot results suggest that adding wearable sensors during clinical tests like the BCTT, combined with deep learning models, may have the utility to assist management decisions for mTBI patients in the future. We reiterate that more validation is needed to replicate the current results.","PeriodicalId":72381,"journal":{"name":"Biomechanics (Basel, Switzerland)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42567566","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}
引用次数: 1
Split-Belt Treadmill Training Improves Mechanical Energetics and Metabolic Cost in Women with Unilateral Hip Osteoarthritis: A Proof-of-Concept Study 分带跑步机训练提高单侧髋关节骨关节炎女性的机械能量和代谢成本:一项概念验证研究
Pub Date : 2023-05-20 DOI: 10.3390/biomechanics3020019
Chun-Hao Huang, Burcu Aydemir, K. Foucher
We have shown that step length asymmetry seen in hip osteoarthritis (OA) is associated with poorer mechanical energy exchange and higher metabolic cost. Thus, we conducted this proof-of-concept study to investigate whether modifying step length through split-belt treadmill training can improve walking energetics. We conducted split-belt treadmill training in four periods with simultaneous motion and metabolic analyses in 10 women with unilateral hip OA. Using repeated measures ANOVA, we evaluated changes across each period, in step length asymmetry, mechanical energy exchange, and O2 rate. We also examined changes in hip range of motion and peak plantarflexor moment. We used Spearman correlations (rho) to assess the strength of associations between variables at baseline and after adaptation. We found that step length asymmetry and O2 rate decreased (p = 0.007, p < 0.001) and mechanical energy exchange increased (p < 0.001). Reduced step length asymmetry was associated with reduced O2 rate (rho = 0.732, p = 0.016). Hip range of motion increased (p < 0.001) and was associated with decreased step length asymmetry (rho = 0.818, p = 0.004), indicating a potential mechanism. These findings suggest that reducing step length asymmetry by split-belt treadmill training could improve walking energetics in hip OA people.
我们已经表明,髋关节骨关节炎(OA)中出现的步长不对称与较差的机械能交换和较高的代谢成本有关。因此,我们进行了这项概念验证研究,以研究通过分体式带式跑步机训练来改变步长是否可以改善步行能量学。我们对10名患有单侧髋关节骨性关节炎的女性进行了四个时期的分体式带式跑步机训练,同时进行了运动和代谢分析。使用重复测量方差分析,我们评估了每个时期步长不对称性、机械能交换和O2速率的变化。我们还检查了髋关节活动范围和跖屈肌峰值力矩的变化。我们使用Spearman相关性(rho)来评估基线和适应后变量之间的关联强度。我们发现步长不对称性和O2速率降低(p=0.007,p<0.001),机械能交换增加(p<0.001。这些发现表明,通过分带跑步机训练减少步长不对称可以改善髋关节骨性关节炎患者的行走能量学。
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引用次数: 2
Reliability of a Pendulum Apparatus for the Execution of Plyometric Rebound Exercises and the Comparison of Their Biomechanical Parameters with Load-Matching Vertical Drop Jumps 用于增强式弹跳训练的钟摆装置的可靠性及其生物力学参数与负载匹配垂直落体跳的比较
Pub Date : 2023-04-22 DOI: 10.3390/biomechanics3020018
V. Panoutsakopoulos, I. Kollias
The inability to control the body center of mass (BCM) initial conditions, when executing plyometric exercises, comprises a restrictive factor to accurately compare jumps executed vertically and horizontally. The purpose of the study was to present a methodological approach for the examination of BCM initial conditions during vertical drop jumps (VDJ) and plyometric rebound jumps performed with a pendulum swing (HPRJ). A system consisting of two force plates was used for the evaluation of VDJ. A bifilar pendulum, equipped with a goniometer and accelerometer, was constructed for the evaluation of the HPRJ. Kinematic parameters from both jump modalities were obtained by means of videography (100 Hz). Thirty-eight physically active young males executed VDJ and HPRJ with identical BCM kinetic energy at the instant of impact (KEI). Results revealed that participants produced higher power and lower force outputs at HPRJ (p < 0.01). The rate of force development was larger in VDJ, while hip movement was less in HPRJ. The use of the presented methodology provided the means to reliably determine the exact BCM release height during the execution of the examined jumps. This provided an accurate determination of the amount of KEI, being the main parameter of calculating load during plyometric exercise.
在进行增力训练时,无法控制身体重心(BCM)初始条件,这是一个限制因素,无法准确比较垂直和水平的跳跃。本研究的目的是提出一种方法学方法,用于检查垂直落差跳(VDJ)和增力式摆摆反弹跳(HPRJ)中BCM初始条件。采用由两个力板组成的系统对VDJ进行评价。搭建了一个双线摆,配有角计和加速度计,用于评价HPRJ。通过录像(100 Hz)获得两种跳跃方式的运动学参数。38名体力活跃的年轻男性在撞击瞬间(KEI)以相同的BCM动能执行VDJ和HPRJ。结果显示,在HPRJ下,参与者产生了更高的功率和更低的力输出(p < 0.01)。VDJ组的力发展速率较大,而HPRJ组的髋关节运动速率较小。所提出的方法的使用提供了可靠地确定在检查跳跃执行期间确切的BCM释放高度的手段。这提供了KEI量的准确测定,是计算增强运动负荷的主要参数。
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引用次数: 0
Relationship between Swimming Velocity and Trunk Twist Motion in Short-Distance Crawl Swimming 短距离爬泳游泳速度与躯干扭转运动的关系
Pub Date : 2023-04-19 DOI: 10.3390/biomechanics3020017
Hiroki Hyodo, Daiki Koga, Yasuo Sengoku, Tadashi Wada
This study aimed to estimate the trunk twist angle from the shoulder and hip rotation angles in short-distance crawl swimming and to elucidate the twist motion of the relationship between the trunk and the rotation angular velocity in response to changes in swimming speed. Swimming speed during the experimental trials was computed from the subject’s best times in the 50 and 100 m crawl swims. Wireless self-luminous LED markers were attached to seven locations on the body. The actual coordinate values of the LED markers were obtained using 18 cameras for underwater movements and 4 on the water for above-water movements. A comparison of the rate of change between trials revealed a high correlation (r = 0.722, p < 0.01) between the twist angle and shoulder rotation angular velocity in the Push phase. In the same phase, a high correlation (r = 0.748, p < 0.01) was also found between the twist angle and the angular velocity of hip rotation. These results suggest that swimmers increase the twist angle of their trunks to obtain a higher swimming speed.
本研究旨在从肩部和髋部的旋转角度来估计短距离爬泳时躯干的扭转角度,阐明随着游泳速度的变化躯干的扭转运动与旋转角速度的关系。实验中的游泳速度是根据受试者在50米和100米自由泳中的最佳成绩计算的。无线自发光LED标记贴在身体的7个位置。LED标记的实际坐标值在水下运动时使用18台摄像机,在水上运动时使用4台摄像机。比较试验之间的变化率显示出高度相关性(r = 0.722, p <推阶段扭转角与肩转角速度之间的比值为0.01)。在同一阶段,高相关性(r = 0.748, p <扭转角与髋部旋转角速度之间也存在0.01)。这些结果表明,游泳者增加了他们的躯干扭转角度,以获得更高的游泳速度。
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引用次数: 0
Inter-Professional and Methodological Agreement in Using the Cutting Movement Assessment Score (CMAS) 使用切割运动评估分数的专业间和方法论协议(CMAS)
Pub Date : 2023-04-07 DOI: 10.3390/biomechanics3020016
Paul A. Jones, A. Rai, Thomas Dos’Santos, L. Herrington
Background: The cutting movement assessment score (CMAS) provides a qualitative assessment of the side-step cutting (S-SC) technique. Previous research has been undertaken primarily by biomechanists experienced with S-SC evaluations. Little is known about the agreement between various sports science and medicine practitioners to ascertain whether the tool can be used effectively by different practitioners in the field. Currently, the CMAS uses three camera views (CVS) to undertake the evaluation, and it would be worthwhile to know whether the CMAS can be effectively conducted with fewer camera views to improve clinical utility. Therefore, the aim of the study was to examine the inter-rater agreement between different sports science and medicine practitioners and agreement between using different CVS to evaluate the S-SC technique using the CMAS. Methods: Video data were collected from 12 male rugby union players performing a 45° S-SC manoeuvre toward both the left and right directions. Five different sports science and medicine practitioners evaluated footage from three cameras of one left and one right trial from each player using the CMAS. Twelve different trials were also evaluated by the sports rehabilitator using single and multiple CVS. Agreements (percentage; Kappa coefficients (K)) between different practitioners and configurations of the CVS were explored. Results: Good to excellent inter-rater agreements were found between all practitioners for total score (K = 0.63–0.84), with moderate to excellent inter-rater agreements observed across all items of the CMAS (K = 0.5–1.0). Excellent agreement was found between using three CVS vs. two CVS that included at least a sagittal view (K = 0.96–0.97). Lower agreement (K = 0.83) was found between angle-frontal views with three CVS. Conclusions: The CMAS can be used effectively by various practitioners to evaluate the movement quality of S-SC. The use of two CVS that include at least a sagittal plane view would suffice to evaluate the S-SC technique against the CMAS.
背景:切削运动评估分数(CMAS)提供了侧台阶切削(S-SC)技术的定性评估。先前的研究主要由具有S-SC评估经验的生物机械师进行。人们对各种体育科学和医学从业者之间达成的协议知之甚少,以确定该工具是否能被该领域的不同从业者有效使用。目前,CMAS使用三个摄像头视图(CVS)进行评估,值得知道的是,CMAS是否可以用更少的摄像头视图有效地进行,以提高临床实用性。因此,本研究的目的是检验不同体育科学和医学从业者之间的评分者之间的一致性,以及使用不同CVS使用CMAS评估S-SC技术之间的一致。方法:从12名男性橄榄球联盟球员身上收集视频数据,他们向左右方向进行45°S-SC动作。五位不同的体育科学和医学从业者使用CMAS评估了每位球员一次左试和一次右试的三台摄像机拍摄的视频。运动康复者还使用单个和多个CVS对12个不同的试验进行了评估。探讨了不同从业者和CVS配置之间的一致性(百分比;Kappa系数(K))。结果:所有从业者之间的总分从良好到优秀(K=0.63-0.84),在CMAS的所有项目中观察到中等到极好的评分者间一致性(K=0.5-1.0)。使用三个CVS与至少包括矢状位视图的两个CVS之间的一致性极好(K=0.96–0.97)。使用两个CVS的前角视图之间的一致度较低(K=0.83)。结论:CMAS可以有效地被不同的从业者用来评估S-SC的运动质量。使用至少包括矢状平面图的两个CVS将足以相对于CMAS评估S-SC技术。
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引用次数: 1
A Simple, Efficient Method for an Automatic Adjustment of the Lumbar Curvature Alignment in an MBS Model of the Spine 一种简单、有效的自动调节脊柱MBS模型腰椎曲度的方法
Pub Date : 2023-04-03 DOI: 10.3390/biomechanics3020015
Ivanna Kramer, S. Bauer, V. Keppler
In many fields of spinal health care, efforts have been made to offer individualized products and therapy tailored to the patient. Therefore, the prevailing alignment of the spine must be considered, which varies from person to person and depends on the movement and loading situation. With the help of patient-specific simulation models of the spine, the geometrical parameters in a specific body position can be analyzed, and the load situation of the spinal structures during dynamic processes can be assessed. However, to enable the future usability of such simulation models in medical reality, as many patient-specific conditions as possible need to be considered. Another critical requirement is that simulation models must be quickly and easily created for use in clinical routine. Building new or adapting existing spine multibody simulation (MBS) models is time-consuming due to their complex structure. To overcome this limitation, we developed a simple, efficient method by which to automatically adjust the lumbar curvature orientation of the spine model. The method extracts a new 3D lordosis curve from patient-specific data in the preprocessing step. Then the vertebrae and all linked spinal structures of an existing spinal simulation model are transformed so that the lumbar lordosis follows the curve obtained in the first part of the method. To validate the proposed approach, three independent experts measured the Cobb angle in the source and the generated spine alignments. We calculated a mean absolute error of 1.29° between the generated samples and the corresponded ground truth. Furthermore, the minor deviation in the root mean square error (RMSE) of 0.0012 m2 between the areas under the alignment curves in the original and target lordosis curvatures indicated the accuracy of the proposed method. The proposed method demonstrated that a new patient-specific simulation model can be generated in a short time from any suitable data source.
在脊柱保健的许多领域,已经努力提供个性化的产品和治疗量身定制的病人。因此,必须考虑脊柱的主流对齐,这因人而异,取决于运动和负载情况。借助患者脊柱仿真模型,可以分析特定体位下脊柱结构的几何参数,评估脊柱结构在动力过程中的载荷情况。然而,为了使这些模拟模型在未来的医疗现实中可用,需要考虑尽可能多的患者特定情况。另一个关键的要求是,模拟模型必须快速和容易地创建用于临床常规。建立新的或适应现有的脊柱多体仿真模型由于其复杂的结构是耗时的。为了克服这一限制,我们开发了一种简单有效的方法来自动调整脊柱模型的腰椎弯曲方向。该方法在预处理步骤中从患者特定数据中提取新的三维前凸曲线。然后对现有脊柱仿真模型的椎骨和所有连接的脊柱结构进行转换,使腰椎前凸遵循该方法第一部分中获得的曲线。为了验证所提出的方法,三位独立的专家测量了源的Cobb角和生成的脊柱对齐。我们计算出生成的样本与相应的地面真实值之间的平均绝对误差为1.29°。此外,原始前凸曲线与目标前凸曲线对齐曲线下面积的均方根误差(RMSE)偏差较小,为0.0012 m2,表明了所提出方法的准确性。所提出的方法表明,可以在短时间内从任何合适的数据源生成新的特定患者的仿真模型。
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引用次数: 1
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Biomechanics (Basel, Switzerland)
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