Pub Date : 2023-04-07DOI: 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.
{"title":"Inter-Professional and Methodological Agreement in Using the Cutting Movement Assessment Score (CMAS)","authors":"Paul A. Jones, A. Rai, Thomas Dos’Santos, L. Herrington","doi":"10.3390/biomechanics3020016","DOIUrl":"https://doi.org/10.3390/biomechanics3020016","url":null,"abstract":"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.","PeriodicalId":72381,"journal":{"name":"Biomechanics (Basel, Switzerland)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48370234","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}
Pub Date : 2023-04-03DOI: 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.
{"title":"A Simple, Efficient Method for an Automatic Adjustment of the Lumbar Curvature Alignment in an MBS Model of the Spine","authors":"Ivanna Kramer, S. Bauer, V. Keppler","doi":"10.3390/biomechanics3020015","DOIUrl":"https://doi.org/10.3390/biomechanics3020015","url":null,"abstract":"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.","PeriodicalId":72381,"journal":{"name":"Biomechanics (Basel, Switzerland)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46075548","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}
Pub Date : 2023-03-20DOI: 10.3390/biomechanics3010014
A. Alanen, Olivia L. Bruce, L. Benson, Mathieu Chin, C. van den Berg, M. Jordan, R. Ferber, K. Pasanen
This study aimed to examine the utility of inertial measurement unit (IMU) technology to identify angle, step-specific, and side-specific differences between youth soccer players with and without a history of lower limb injury during soccer-specific field tests. Thirty-two youths (mean age 16.4 years) who were elite soccer players (Females n = 13, Males n = 19) wore IMUs during pre- and postseason soccer-specific change-of-direction assessments. A response feature analysis was used to compare the change in peak resultant acceleration of the groups at a level of significance of p < 0.05. Statistical analysis revealed significant differences in change of peak resultant acceleration of right leg final foot contact in a 180° pivot turn (p = 0.012, ES = 1.0) and a 90° cut (p = 0.04, ES = 0.75) between the two groups. These data suggest that players with a history of lower limb injury might experience greater angle and side-specific change within a season in peak resultant acceleration when compared with injury-free athletes. This study demonstrates that IMUs may present a useful method to analyze youth soccer players’ change of direction movement after returning to play. These results can inform future studies investigating player monitoring and may prove to be a useful tool for coaches when designing individualized training programs in this population.
{"title":"Capturing in Season Change-of-Direction Movement Pattern Change in Youth Soccer Players with Inertial Measurement Units","authors":"A. Alanen, Olivia L. Bruce, L. Benson, Mathieu Chin, C. van den Berg, M. Jordan, R. Ferber, K. Pasanen","doi":"10.3390/biomechanics3010014","DOIUrl":"https://doi.org/10.3390/biomechanics3010014","url":null,"abstract":"This study aimed to examine the utility of inertial measurement unit (IMU) technology to identify angle, step-specific, and side-specific differences between youth soccer players with and without a history of lower limb injury during soccer-specific field tests. Thirty-two youths (mean age 16.4 years) who were elite soccer players (Females n = 13, Males n = 19) wore IMUs during pre- and postseason soccer-specific change-of-direction assessments. A response feature analysis was used to compare the change in peak resultant acceleration of the groups at a level of significance of p < 0.05. Statistical analysis revealed significant differences in change of peak resultant acceleration of right leg final foot contact in a 180° pivot turn (p = 0.012, ES = 1.0) and a 90° cut (p = 0.04, ES = 0.75) between the two groups. These data suggest that players with a history of lower limb injury might experience greater angle and side-specific change within a season in peak resultant acceleration when compared with injury-free athletes. This study demonstrates that IMUs may present a useful method to analyze youth soccer players’ change of direction movement after returning to play. These results can inform future studies investigating player monitoring and may prove to be a useful tool for coaches when designing individualized training programs in this population.","PeriodicalId":72381,"journal":{"name":"Biomechanics (Basel, Switzerland)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42331747","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}
Pub Date : 2023-03-08DOI: 10.3390/biomechanics3010011
Raffaele Pertusio, Silvestro Roatta
In biomedical studies as well as in clinical trials, it is often useful to have a reliable measure of the force exerted by the body (e.g., clenching force at the teeth or pinch force at fingertips) or on the body by external stimuli (e.g., taps to elicit reflexes or local pressure for nociceptive stimulation). Thin-film sensors such as FlexiForce® provide a very handy and versatile solution for these applications, but can be easily damaged and offer poor accuracy and repeatability, being heavily affected by the surface material they come into contact with. The aim of the study is the realization of a 3D-printed housing that completely embeds the sensor, thus providing mechanical protection and increasing the reliability of the measurement. The increasing availability of 3D printers and of printing materials for medical use allows the user to shape the housing according to specific needs, with short developing time and low cost.
{"title":"3D-Printed Encapsulation of Thin-Film Transducers for Reliable Force Measurement in Biomedical Applications","authors":"Raffaele Pertusio, Silvestro Roatta","doi":"10.3390/biomechanics3010011","DOIUrl":"https://doi.org/10.3390/biomechanics3010011","url":null,"abstract":"In biomedical studies as well as in clinical trials, it is often useful to have a reliable measure of the force exerted by the body (e.g., clenching force at the teeth or pinch force at fingertips) or on the body by external stimuli (e.g., taps to elicit reflexes or local pressure for nociceptive stimulation). Thin-film sensors such as FlexiForce® provide a very handy and versatile solution for these applications, but can be easily damaged and offer poor accuracy and repeatability, being heavily affected by the surface material they come into contact with. The aim of the study is the realization of a 3D-printed housing that completely embeds the sensor, thus providing mechanical protection and increasing the reliability of the measurement. The increasing availability of 3D printers and of printing materials for medical use allows the user to shape the housing according to specific needs, with short developing time and low cost.","PeriodicalId":72381,"journal":{"name":"Biomechanics (Basel, Switzerland)","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136245249","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}
Pub Date : 2023-03-08DOI: 10.3390/biomechanics3010012
P. Bazyar, Andreas Baumgart, H. Altenbach, A. Usbeck
Specific finite detail modeling of the human body gives a capable primary enhancement to the prediction of damage risk through automobile impact. Currently, car crash protection countermeasure improvement is based on an aggregate of testing with installed anthropomorphic test devices (i.e., ATD or dummy) and a mixture of multibody (dummy) and finite element detail (vehicle) modeling. If an incredibly easy finite element detail version can be advanced to capture extra statistics beyond the abilities of the multi-body structures, it might allow advanced countermeasure improvement through a more targeted prediction of overall performance. Numerous research has been done on finite element analysis of broken femurs. However, there are two missing pieces of information: 1- choosing the right material properties, and 2- designing a precise model including the inner structure of the bone. In this research, most of the chosen material properties for femur bone will be discussed and evaluated.
{"title":"An Overview of Selected Material Properties in Finite Element Modeling of the Human Femur","authors":"P. Bazyar, Andreas Baumgart, H. Altenbach, A. Usbeck","doi":"10.3390/biomechanics3010012","DOIUrl":"https://doi.org/10.3390/biomechanics3010012","url":null,"abstract":"Specific finite detail modeling of the human body gives a capable primary enhancement to the prediction of damage risk through automobile impact. Currently, car crash protection countermeasure improvement is based on an aggregate of testing with installed anthropomorphic test devices (i.e., ATD or dummy) and a mixture of multibody (dummy) and finite element detail (vehicle) modeling. If an incredibly easy finite element detail version can be advanced to capture extra statistics beyond the abilities of the multi-body structures, it might allow advanced countermeasure improvement through a more targeted prediction of overall performance. Numerous research has been done on finite element analysis of broken femurs. However, there are two missing pieces of information: 1- choosing the right material properties, and 2- designing a precise model including the inner structure of the bone. In this research, most of the chosen material properties for femur bone will be discussed and evaluated.","PeriodicalId":72381,"journal":{"name":"Biomechanics (Basel, Switzerland)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47128420","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}
Pub Date : 2023-03-01Epub Date: 2023-01-05DOI: 10.3390/biomechanics3010003
Rudri Purohit, Shuaijie Wang, Tanvi Bhatt
We examined the effect of aging and cortical stroke on the rate of motor adaptation (adaptation rate) and amount of performance gains (adaptation plateau) in balance skills. Fourteen older (≥60 years) and fifteen younger (<60 years) adults with chronic stroke, and thirteen healthy older adults (≥60 years) participated. Participants experienced 8 consecutive gait-slips (≤45 cm) to their non-paretic/dominant limb. Slip outcome (backward/no balance loss) was compared using generalized estimating equations (GEE). Proactive (pre-slip stability) and reactive adjustments (post-slip stability, slip displacement and velocity, and compensatory step length) were compared using non-linear regression models. GEE showed the main effect of group, trial, and group × trial interaction for slip outcome (p < 0.05). There were no differences in the adaptation rate for proactive and reactive variables and plateau for proactive variables (p > 0.05). However, both stroke groups demonstrated a smaller adaptation plateau for the majority of reactive variables compared to healthy older adults (p < 0.05). The rate of adaptation to gait-slips does not slow with aging and cortical stroke; however, cortical stroke, age notwithstanding, may reduce performance gains in reactive balance skills, possibly hindering retention and transfer to real-life scenarios. People with stroke may need adjunctive therapies/supplemental agents to apply laboratory-acquired balance skills to daily life.
{"title":"Effect of Aging and Cortical Stroke on Motor Adaptation to Overground Gait-Slips: Quantifying Differences in Adaptation Rate and Adaptation Plateau.","authors":"Rudri Purohit, Shuaijie Wang, Tanvi Bhatt","doi":"10.3390/biomechanics3010003","DOIUrl":"10.3390/biomechanics3010003","url":null,"abstract":"<p><p>We examined the effect of aging and cortical stroke on the rate of motor adaptation (adaptation rate) and amount of performance gains (adaptation plateau) in balance skills. Fourteen older (≥60 years) and fifteen younger (<60 years) adults with chronic stroke, and thirteen healthy older adults (≥60 years) participated. Participants experienced 8 consecutive gait-slips (≤45 cm) to their non-paretic/dominant limb. Slip outcome (backward/no balance loss) was compared using generalized estimating equations (GEE). Proactive (pre-slip stability) and reactive adjustments (post-slip stability, slip displacement and velocity, and compensatory step length) were compared using non-linear regression models. GEE showed the main effect of group, trial, and group × trial interaction for slip outcome (<i>p</i> < 0.05). There were no differences in the adaptation rate for proactive and reactive variables and plateau for proactive variables (<i>p</i> > 0.05). However, both stroke groups demonstrated a smaller adaptation plateau for the majority of reactive variables compared to healthy older adults (<i>p</i> < 0.05). The rate of adaptation to gait-slips does not slow with aging and cortical stroke; however, cortical stroke, age notwithstanding, may reduce performance gains in reactive balance skills, possibly hindering retention and transfer to real-life scenarios. People with stroke may need adjunctive therapies/supplemental agents to apply laboratory-acquired balance skills to daily life.</p>","PeriodicalId":72381,"journal":{"name":"Biomechanics (Basel, Switzerland)","volume":" ","pages":"29-44"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11722462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44924284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-01Epub Date: 2023-03-10DOI: 10.3390/biomechanics3010013
John L Cerillo, Alexander N Becsey, Chai P Sanghadia, Kevin T Root, Brandon Lucke-Wold
Spinal bracing is a common non-surgical technique that allows clinicians to prevent and correct malformations or injuries of a patient's spinal column. This review will explore the current standards of practice on spinal brace utilization. Specifically, it will highlight bracing usage in traumatic injuries, pregnancy, pediatrics, osteoporosis, and hyperkyphosis; address radiological findings concurrent with brace usage; and provide an overview of the braces currently available and advancements in the field. In doing so, we aim to improve clinicians' understanding and knowledge of bracing in common spinal pathologies to promote their appropriate use and improve patient outcomes.
{"title":"Spine Bracing: When to Utilize-A Narrative Review.","authors":"John L Cerillo, Alexander N Becsey, Chai P Sanghadia, Kevin T Root, Brandon Lucke-Wold","doi":"10.3390/biomechanics3010013","DOIUrl":"10.3390/biomechanics3010013","url":null,"abstract":"<p><p>Spinal bracing is a common non-surgical technique that allows clinicians to prevent and correct malformations or injuries of a patient's spinal column. This review will explore the current standards of practice on spinal brace utilization. Specifically, it will highlight bracing usage in traumatic injuries, pregnancy, pediatrics, osteoporosis, and hyperkyphosis; address radiological findings concurrent with brace usage; and provide an overview of the braces currently available and advancements in the field. In doing so, we aim to improve clinicians' understanding and knowledge of bracing in common spinal pathologies to promote their appropriate use and improve patient outcomes.</p>","PeriodicalId":72381,"journal":{"name":"Biomechanics (Basel, Switzerland)","volume":"3 1","pages":"136-154"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10295338","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}
Pub Date : 2023-02-24DOI: 10.3390/biomechanics3010010
Keita Honda, Yusuke Sekiguchi, S. Izumi
Older adults have a smaller effective living space and reduced physical activity. Although walking ability in various living spaces is necessary to maintain a healthy life and a high level of physical activity, it is unclear how older adults adapt to compliant surfaces when walking. The purpose of this study was to determine the differences in the trunk and lower limb kinematics while walking on a level versus compliant surface, and the effect of aging on these kinematic changes. Twenty-two healthy individuals (aged from 20–80 years) were asked to walk along a 7-m walkway at a comfortable speed on a level and compliant surface. Gait kinematics were measured using a three-dimensional camera-based motion analysis system. We found that knee and hip flexion and ankle plantarflexion angles in the early stance phase and thoracic flexion angle throughout the gait cycle were significantly increased when walking on a compliant surface versus a level surface. The change in the thoracic flexion angle, ankle plantarflexion angle, and cadence between level and compliant surfaces was significantly correlated with age. Therefore, older adults use increased thoracic flexion and ankle plantarflexion angles along with a higher cadence to navigate compliant surfaces.
{"title":"Effect of Aging on the Trunk and Lower Limb Kinematics during Gait on a Compliant Surface in Healthy Individuals","authors":"Keita Honda, Yusuke Sekiguchi, S. Izumi","doi":"10.3390/biomechanics3010010","DOIUrl":"https://doi.org/10.3390/biomechanics3010010","url":null,"abstract":"Older adults have a smaller effective living space and reduced physical activity. Although walking ability in various living spaces is necessary to maintain a healthy life and a high level of physical activity, it is unclear how older adults adapt to compliant surfaces when walking. The purpose of this study was to determine the differences in the trunk and lower limb kinematics while walking on a level versus compliant surface, and the effect of aging on these kinematic changes. Twenty-two healthy individuals (aged from 20–80 years) were asked to walk along a 7-m walkway at a comfortable speed on a level and compliant surface. Gait kinematics were measured using a three-dimensional camera-based motion analysis system. We found that knee and hip flexion and ankle plantarflexion angles in the early stance phase and thoracic flexion angle throughout the gait cycle were significantly increased when walking on a compliant surface versus a level surface. The change in the thoracic flexion angle, ankle plantarflexion angle, and cadence between level and compliant surfaces was significantly correlated with age. Therefore, older adults use increased thoracic flexion and ankle plantarflexion angles along with a higher cadence to navigate compliant surfaces.","PeriodicalId":72381,"journal":{"name":"Biomechanics (Basel, Switzerland)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41867751","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}
Pub Date : 2023-02-08DOI: 10.3390/biomechanics3010009
Akihiro Tamura, Keita Shimura, Yuri Inoue
The purpose of this study was to clarify the characteristics of lower-extremity kinematics during the running of soccer players with chronic ankle instability (CAI) in comparison to those without CAI. Twenty-two male college soccer players participated in this study. Twelve players were assigned to the CAI group and ten players to the non-CAI group, and players were diagnosed according to the Cumberland Ankle Instability Tool. Kinematic data of the hip, knee, ankle, foot, and ground reaction force components during the stance phase of running were obtained using a three-dimensional motion analysis system. The results revealed that soccer players with CAI who landed with ankle inversion and other characteristic kinematics in their lower extremity during the stance phase of running were similar to those without CAI. These results show that running kinematics in soccer players are not affected by the presence or absence of CAI. Future studies based on the results of this study may contribute to the analysis of the risk of developing CAI during soccer and may also help prevent lateral ankle sprains.
{"title":"Lower-Extremity Kinematics of Soccer Players with Chronic Ankle Instability during Running: A Case-Control Study","authors":"Akihiro Tamura, Keita Shimura, Yuri Inoue","doi":"10.3390/biomechanics3010009","DOIUrl":"https://doi.org/10.3390/biomechanics3010009","url":null,"abstract":"The purpose of this study was to clarify the characteristics of lower-extremity kinematics during the running of soccer players with chronic ankle instability (CAI) in comparison to those without CAI. Twenty-two male college soccer players participated in this study. Twelve players were assigned to the CAI group and ten players to the non-CAI group, and players were diagnosed according to the Cumberland Ankle Instability Tool. Kinematic data of the hip, knee, ankle, foot, and ground reaction force components during the stance phase of running were obtained using a three-dimensional motion analysis system. The results revealed that soccer players with CAI who landed with ankle inversion and other characteristic kinematics in their lower extremity during the stance phase of running were similar to those without CAI. These results show that running kinematics in soccer players are not affected by the presence or absence of CAI. Future studies based on the results of this study may contribute to the analysis of the risk of developing CAI during soccer and may also help prevent lateral ankle sprains.","PeriodicalId":72381,"journal":{"name":"Biomechanics (Basel, Switzerland)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43568438","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}
Pub Date : 2023-02-06DOI: 10.3390/biomechanics3010008
A. Behboodi, Ashwini Sansare, Samuel C. K. Lee
Smoothness is a hallmark of skilled, coordinated movement, however, mathematically quantifying movement smoothness is nuanced. Several smoothness metrics exist, each having its own limitations and may be specific to a particular motion such as upper limb reaching. To date, there is no consensus on which smoothness metric is the most appropriate for assessing cycling motion in children with cerebral palsy (CP). We evaluated the ability of four preexisting metrics, dimensionless jerk, spectral arc length measure, roughness index, and cross-correlation; and two new metrics, arc length and root mean square error, to quantify the smoothness of cycling in a preexisting dataset from children with CP (mean age 13.7 ± 2.6 years). First, to measure the repeatability of each measure in distinguishing between different levels of un-smoothness, we applied each metric to a set of simulated crank motion signals with a known number of aberrant revolutions using subjects’ actual crank angle data. Second, we used discriminant function analysis to statistically compare the strength of the six metrics, relative to each other, to discriminate between a smooth cycling motion obtained from a dataset of typically developed children (TD), the control group (mean age 14.9 ± 1.4 years), and a less smooth, halted cycling motion obtained from children with CP. Our results show that (1) ArcL showed the highest repeatability in accurately quantifying an unsmooth motion when the same cycling revolutions were presented in a different order, and (2) ArcL and DJ had the highest discriminatory ability to differentiate between an unsmooth and smooth cycling motion. Combining the results from the repeatability and discriminatory analysis, ArcL was the most repeatable and sensitive metric in identifying unsmooth, halted cycling motion from smooth motion. ArcL can hence be used as a metric in future studies to quantify changes in the smoothness of cycling motion pre- vs. post-interventions. Further, this metric may serve as a tool to track motor recovery not just in individuals with CP but in other patient populations with similar neurological deficits that may present with halted, unsmooth cycling motion.
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