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Assessing Balance Loss and Stability Control in Older Adults Exposed to Gait Perturbations under Different Environmental Conditions: A Feasibility Study 评估在不同环境条件下暴露于步态扰动的老年人的平衡丧失和稳定性控制:一项可行性研究
Pub Date : 2022-07-29 DOI: 10.3390/biomechanics2030030
Gonzalo Varas-Díaz, Udai Jayakumar, Bradford Taras, Shuaijie Wang, T. Bhatt
This study investigated the feasibility of a perturbation-based balance protocol that incorporates a novel computer-controlled movable platform, the Surefooted Trainer, to induce losses of balance during overground walking under various environmental conditions. Twenty apparently healthy older adults (66.7 ± years old) participated in this study. The acceptability and safety of the perturbation-based balance protocol were assessed by tracking adherence, adverse events, and subjective physical and mental demands after the intervention. Additionally, biomechanical variables during perturbed and non-perturbed trials were analyzed and compared with behavioral outcomes. Overall, 95% of the participants completed the study. There were no serious or non-serious adverse events. The margin of stability and step length after perturbations were significantly lower during slip-perturbations in which the environmental conditions were more challenging. For trip-perturbation conditions, the maximum trunk angle was higher during the trials that resulted in losses of balance. We conclude that the Surefooted Trainer is an acceptable and valid device for an overground walking perturbation-based assessment and training protocol in older adults.
这项研究调查了一种基于扰动的平衡协议的可行性,该协议结合了一种新型的计算机控制的可移动平台Surefooted Trainer,以在各种环境条件下的地上行走中导致平衡损失。20名明显健康的老年人(66.7±岁)参与了这项研究。通过跟踪干预后的依从性、不良事件和主观身心需求来评估基于扰动的平衡方案的可接受性和安全性。此外,还分析了扰动和非扰动试验中的生物力学变量,并将其与行为结果进行了比较。总体而言,95%的参与者完成了这项研究。无严重或非严重不良事件。在环境条件更具挑战性的滑移扰动期间,扰动后的稳定裕度和步长明显较低。对于跳闸扰动条件,试验期间的最大躯干角较高,导致平衡损失。我们得出的结论是,对于老年人基于地上行走扰动的评估和训练方案,Surefoot Trainer是一种可接受且有效的设备。
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引用次数: 1
Comparison of Measured and Observed Exercise Fidelity during a Neuromuscular Training Warm-Up 神经肌肉训练热身中测量和观察运动保真度的比较
Pub Date : 2022-07-19 DOI: 10.3390/biomechanics2030029
L. Benson, A. Räisänen, Sartaj S. Sidhu, C. Emery
Neuromuscular training (NMT) warm-up programs effectively prevent injuries in youth, but monitoring exercise fidelity is challenging. The purpose of this study was to compare the exercise fidelity as measured via an inertial measurement unit (IMU) with direct observations of selected exercises. Youth basketball and soccer players performed single leg jumps, squat jumps, Nordic hamstring curls, and/or single leg balance exercises as part of an NMT warm-up. An IMU was placed on the lower back of each participant and the warm-up was video recorded. A physiotherapist evaluated the volume aspect of exercise fidelity (i.e., performing the prescribed number of repetitions) using the video recordings and a checklist. Algorithms were developed to count the number of repetitions from the IMU signal. The repetitions from the algorithms were compared with the physiotherapist’s evaluation, and accuracy, precision, and recall were calculated for each exercise. A total of 91 (39 female, 52 male) athletes performed at least one of the four warm-up exercises. There was an accuracy, precision, and recall of greater than 88% for all exercises. The single leg jump algorithm classified all sets correctly. IMUs may be used to quantify exercise volume for exercises that involve both impact during landing and changes in orientation during rotations.
神经肌肉训练(NMT)热身项目可以有效地预防青少年受伤,但监测运动保真度是一项挑战。本研究的目的是将通过惯性测量单元(IMU)测量的运动保真度与所选运动的直接观测值进行比较。作为NMT热身的一部分,青少年篮球和足球运动员进行了单腿跳跃、深蹲跳跃、北欧腘绳肌卷曲和/或单腿平衡练习。在每位参与者的下背部放置一个IMU,并录制热身视频。理疗师使用视频记录和检查表评估了运动保真度的音量方面(即进行规定次数的重复)。开发了算法来计算IMU信号的重复次数。将算法的重复次数与理疗师的评估进行比较,并计算每次锻炼的准确性、准确性和回忆力。共有91名(39名女性,52名男性)运动员进行了四项热身运动中的至少一项。所有练习的准确率、准确率和回忆率都超过88%。单腿跳跃算法对所有集合进行了正确的分类。IMU可用于量化涉及着陆期间的影响和旋转期间的方向变化的锻炼的锻炼量。
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引用次数: 0
Differences in Biomechanical Characteristics between Made and Missed Jump Shots in Male Basketball Players 男子篮球运动员跳投命中与未命中生物力学特征的差异
Pub Date : 2022-07-17 DOI: 10.3390/biomechanics2030028
D. Cabarkapa, A. Fry, Damjana V. Cabarkapa, Chloe A. Myers, Grant T. Jones, Nicolas M Philipp, Daniel Yu, M. Deane
While the importance of optimal two-point and three-point jump-shooting performance for securing the desired game outcome on various levels of basketball competition has been well documented, there is a limited amount of scientific literature on what biomechanical adjustments in shooting technique comprise the success of each shooting attempt. Therefore, the purpose of the present study was to examine the difference in kinetic and kinematic characteristics during the preparatory and release phases of the shooting motion between made and missed jump shots. While standing on a force plate, twenty-nine recreationally active males with prior basketball playing experience attempted 10 two-point and 10 three-point jump shots, combining for a total of 580 attempts. Simultaneously, two high-definition cameras were used to capture kinematic characteristics of interest. Higher elbow positioning during the preparatory phase of the shooting motion, relative to the shooter’s stature, was shown to be a critical kinematic adjustment that differentiated made from missed two-point jump shots. Alongside identical observations regarding the importance of the elbow placement, keeping the torso in a more erect position during the preparatory phase of the shooting motion, having a greater release angle and vertical jump height at the timepoint of the ball release, and attaining higher maximal trajectory height were critical kinematic adjustments that differentiated made from missed three-point jump shots.
虽然在各种级别的篮球比赛中,最佳的两分和三分球跳投表现对于确保预期比赛结果的重要性已经得到了很好的证明,但关于投篮技术中哪些生物力学调整构成了每次投篮尝试的成功,科学文献的数量有限。因此,本研究的目的是研究在投篮动作的准备和释放阶段,投中和未投中之间的动力学和运动学特征的差异。站在测力板上,29名有篮球经验的娱乐活动男性尝试了10次两分和10次三分球跳投,总共尝试了580次。同时,使用两台高清摄像机捕捉感兴趣的运动特征。在投篮动作的准备阶段,相对于射手的身材,更高的肘部位置被证明是一个关键的运动学调整,可以区分错过两分跳投。除了对肘部位置的重要性的相同观察外,在投篮动作的准备阶段保持躯干更直立的位置,在球释放的时间点有更大的释放角度和垂直跳跃高度,以及获得更高的最大轨迹高度是区分三分球失误的关键运动学调整。
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引用次数: 2
Can Slight Variations to Lateral Wedge Insoles Induce Significant Biomechanical Changes in Patients with Knee Osteoarthritis? 侧楔鞋垫的轻微变化能引起膝关节骨关节炎患者显著的生物力学变化吗?
Pub Date : 2022-07-16 DOI: 10.3390/biomechanics2030027
V. Ferreira, Leandro Machado, A. Vilaca, F. Xará-Leite, P. Roriz
Lateral wedge insoles are recommended in order to minimize the impacts of osteoarthritis of the knee. The amount of wedging required to induce a biomechanical response with clinical significance is still controversial. This study aimed to investigate the immediate biomechanical effects of different amounts of wedging in symptomatic medial knee OA. A 3D motion capture system and five force platforms were used to acquire walking kinematic and kinetic data along a 10 m walkway. Each participant was tested for six different lateral wedge insoles (0, 2, 4, 6, 8, and 10°) in a randomized order. Thirty-eight patients with medial osteoarthritis of the knee were recruited. The application of insoles resulted in an incremental reduction of the first peak of the external knee adduction moment under all experimental conditions in comparison with the control condition (0° insole). A significant increase (p < 0.05) was observed in peak ankle eversion and in ankle eversion at the first peak of the external knee adduction moment with insoles higher than 8° and 6°, respectively. Slight variations to lateral wedge insoles, greater than 2°, appear to induce significant biomechanical changes in patients with knee osteoarthritis.
为了尽量减少膝关节骨关节炎的影响,建议使用侧楔鞋垫。诱导具有临床意义的生物力学反应所需的楔入量仍然存在争议。本研究旨在探讨不同数量楔入对症状性膝内侧OA的直接生物力学影响。采用三维运动捕捉系统和五个力平台,沿10米的人行道获取步行运动学和动力学数据。每个参与者按随机顺序测试六种不同的侧向楔形鞋垫(0、2、4、6、8和10°)。38例膝关节内侧骨关节炎患者被招募。与控制条件(0°鞋垫)相比,在所有实验条件下,鞋垫的应用导致膝关节外内收力矩的第一个峰值的增量减少。鞋垫分别高于8°和6°时,踝关节外翻峰值和膝关节外内收力矩第一峰值踝关节外翻显著增加(p < 0.05)。侧楔鞋垫的轻微变化,大于2°,似乎会引起膝关节骨关节炎患者显著的生物力学变化。
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引用次数: 1
Cyclograms Reveal Alteration of Inter-Joint Coordination during Gait in People with Multiple Sclerosis Minimally Disabled 环线图显示多发性硬化症患者步态中关节间协调的改变
Pub Date : 2022-07-13 DOI: 10.3390/biomechanics2030026
M. Pau, B. Leban, M. Porta, J. Frau, G. Coghe, E. Cocco
Subtle alterations of gait patterns in people with Multiple Sclerosis (pwMS) with minimal or no disability often coexist with normal spatio-temporal parameters. Here, we retrospectively investigate the existence of possible anomalies in lower limb inter-joint coordination (i.e., the functional relationship between joint pairs) in pwMS with apparently physiologic gait features. Twenty-seven pwMS with Expanded Disability Status Scale scores ≤ 2, and 27 unaffected age-and-sex-matched individuals, were tested using 3D computerized gait analysis. Raw data were processed to extract the main spatio-temporal parameters and the kinematics in the sagittal plane at the hip, knee, and ankle joints. Angle-angle diagrams (cyclograms) were obtained by coupling the flexion-extension values for the hip-knee and knee-ankle joint pairs at each point of the gait cycle. Cyclogram area, perimeter, and dimensionless ratio were employed to quantify inter-joint coordination. The results demonstrate that cyclograms of pwMS are characterized by significantly reduced perimeters for both investigated joint pairs and reduced area at the hip–knee joint pair. In the latter pair, the differences between groups involved the entire swing phase. For the knee-ankle pair, the average cyclogram of pwMS departed from normality from the late stance until the mid-swing phase. Such findings suggest that inter-joint coordination is impaired even in minimally disabled pwMS who exhibit a normal gait pattern in terms of spatio-temporal parameters. The quantitative and qualitative study of cyclogram features may provide information that is useful for better understanding the underlying mechanisms of walking dysfunctions in MS.
轻度残疾或无残疾的多发性硬化症(pwMS)患者步态模式的细微改变通常与正常的时空参数共存。在这里,我们回顾性地研究了具有明显生理步态特征的pwMS患者下肢关节间协调(即关节对之间的功能关系)可能存在的异常。27名扩展残疾状态量表评分≤2分的pwMS和27名年龄和性别匹配的未受影响的个体,使用3D计算机步态分析进行测试。对原始数据进行处理,提取髋关节、膝关节和踝关节矢状面主要时空参数和运动学。通过耦合髋关节-膝关节和膝关节-踝关节对在步态周期的每个点的屈伸值,得到角-角图(cyclograms)。采用环图面积、周长和无因次比来量化关节间的协调性。结果表明,pwMS的环图特征是在所研究的关节对的周长和髋关节-膝关节对的面积显着减小。在后一组中,两组之间的差异包括整个摇摆阶段。对于膝-踝对,从站立后期到摆动中期,pwMS的平均环图偏离正常。这些发现表明,即使在表现出正常步态模式的轻度残疾pwMS中,关节间协调也受到损害。环行图特征的定量和定性研究可能为更好地理解MS中行走功能障碍的潜在机制提供有用的信息。
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引用次数: 2
Effect of Additional Loads on Joint Kinetics and Joint Work Contribution in Males and Females Performing Vertical Countermovement Jumps 附加负荷对男女垂直反跳关节动力学和关节功贡献的影响
Pub Date : 2022-07-08 DOI: 10.3390/biomechanics2030025
Isabella Fessl, Eric Harbour, J. Kröll, H. Schwameder
This study aimed to investigate the effect of additional loads and sex on countermovement jump (CMJ) joint kinetics during the entire take-off impulse in males and females. Twelve female and 13 male sport students performed vertical countermovement jumps without and with additional loads up to +80% of body mass using a straight barbell. Ground reaction forces and body kinematics were collected simultaneously. A significant increase was found for peak ankle power, whereas knee and hip peak power decreased significantly as additional load increased in both males and females. Joint work increased in each joint as additional load increased, although significance was observed only in the hip joint. Peak power of each joint (22–47%) and total hip work (61%) were significantly higher for males than females. Relative joint contributions to total joint work (“joint work contribution”) remained stable as additional loads increased, whereas meaningful differences were found in the magnitudes of joint work contribution between males and females. CMJ joint kinetics and joint work contributions were distinctly influenced by additional load and sex. Hence, these differences should be considered when prescribing loaded jumps for training or testing.
本研究旨在探讨附加载荷和性别对男性和女性在整个起飞冲动期间的反动作跳跃(CMJ)关节动力学的影响。12名女学生和13名男学生使用直杠铃进行垂直反动作跳跃,在没有体重80%以上的额外负荷的情况下进行。同时收集地面反作用力和人体运动学。在男性和女性中,随着额外负荷的增加,脚踝的峰值功率显著增加,而膝盖和臀部的峰值功率显著下降。随着附加负荷的增加,每个关节的关节工作增加,尽管仅在髋关节观察到显著性。每个关节的峰值功率(22-47%)和髋关节总功(61%),男性明显高于女性。随着额外负荷的增加,相对联合贡献对总联合工作的贡献(“联合工作贡献”)保持稳定,而男性和女性在联合工作贡献的大小上发现了有意义的差异。附加载荷和性别对CMJ关节动力学和关节功贡献有明显影响。因此,在为训练或测试规定负载跳跃时,应该考虑到这些差异。
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引用次数: 1
Quantification of the Dependence of the Measurement Error on the Quantization of the A/D Converter for Center of Pressure Measurements 压力中心测量误差与A/D转换器量化关系的量化
Pub Date : 2022-06-14 DOI: 10.3390/biomechanics2020024
J. Koltermann, M. Gerber
In this scientific study, the question of the influence of the quantization error on the CoP measurement is be clarified. For this purpose, the quantization error is investigated in two scenarios, first with the technical/physical reproduction of the CoP, and then with test persons. From the results, a model is derived with which a technical and economic optimum between resolution and error can be generated for an individual case. The study was carried out with 170 healthy volunteers, aged 20–30 years. The test persons stood in a bipedal position for 15 s on a Kislter force plate (type 9260AA). In the investigation, it was shown that, for the measurement of center of pressure (CoP), signals to mostly 16-bit analog/digital converters are suitable but not, per se, the most economical variant. With the introduction of a quality criterion, a reasonable design for the planned test case can be made.
在这项科学研究中,阐明了量化误差对CoP测量的影响问题。为此,在两种情况下研究量化误差,首先是CoP的技术/物理复制,然后是测试人员。从结果中,导出了一个模型,利用该模型可以为单个情况生成分辨率和误差之间的技术和经济最优值。这项研究由170名年龄在20-30岁之间的健康志愿者进行。受试者在Kislter力板(9260AA型)上以两足姿势站立15 s。在调查中,结果表明,对于压力中心(CoP)的测量,大多数16位模拟/数字转换器的信号是合适的,但本身不是最经济的变体。通过引入质量标准,可以对计划的测试用例进行合理的设计。
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引用次数: 0
Measurement of Suture Pullout Forces of the Pancreatic Duct and Capsule 胰管和胰囊缝线拔出力的测定
Pub Date : 2022-06-01 DOI: 10.3390/biomechanics2020023
A. Gong, Sophia L. Bidinger, A. DeSchmidt, J. E. Batista, Agnes Y. Song, A. Schul, Everet Y. Wang, Jack Norfleet, M. Palavecino, R. Sweet
A thorough biomechanical understanding of human organs is of increasing importance for designing and improving a wide range of medical technologies from simulators to medical devices. Despite the crucial need for data, little procedure-specific biomechanical testing on human tissue has been published. Specifically, pancreatic duct anastomosis, which has high rates of complications related to pancreatic duct leakage and patency, could benefit from improved assistive technologies. This study aims to help characterize the biomechanics of this critical step of the procedure by measuring the suture pullout force (SPOF) of the pancreatic duct and capsule. 216 tests were performed on 33 fresh, unfixed donated human pancreases. A previously reported uniaxial testing frame, was used to measure the SPOF of the pancreases. The mean pancreatic duct SPOF was 2.62 ± 1.11 N and the mean pancreatic capsule SPOF was 1.99 ± 1.33 N. To our knowledge, this is the first reported human pancreatic duct and capsule suture pullout measurement. These data can be used to inform a wide variety of biomedical technologies with primary interest in high-fidelity training simulators.
对人体器官的彻底生物力学理解对于设计和改进从模拟器到医疗设备的广泛医疗技术越来越重要。尽管迫切需要数据,但很少有针对人体组织的特定程序生物力学测试发表。具体来说,胰管吻合因胰管渗漏和通畅而并发症发生率很高,可以受益于辅助技术的改进。本研究旨在通过测量胰管和胰腺囊的缝线拔出力(SPOF)来帮助表征该手术关键步骤的生物力学特性。对33个新鲜的、未固定的捐赠的人类胰腺进行了216次测试。先前报道的单轴测试框架用于测量胰腺的SPOF。平均胰管SPOF为2.62±1.11N,平均胰腺包膜SPOF为1.99±1.33N。据我们所知,这是首次报道的人类胰管和包膜缝线拉出测量。这些数据可用于为各种生物医学技术提供信息,这些技术主要关注高保真训练模拟器。
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引用次数: 0
Biomechanical Risk Factors of Injury-Related Single-Leg Movements in Male Elite Youth Soccer Players 青年优秀男子足球运动员单腿运动损伤的生物力学危险因素
Pub Date : 2022-05-26 DOI: 10.3390/biomechanics2020022
Mathias Kolodziej, Steffen Willwacher, Kevin Nolte, Marcus Schmidt, T. Jaitner
Altered movement patterns during single-leg movements in soccer increase the risk of lower-extremity non-contact injuries. The identification of biomechanical parameters associated with lower-extremity injuries can enrich knowledge of injury risks and facilitate injury prevention. Fifty-six elite youth soccer players performed a single-leg drop landing task and an unanticipated side-step cutting task. Three-dimensional ankle, knee and hip kinematic and kinetic data were obtained, and non-contact lower-extremity injuries were documented throughout the season. Risk profiling was assessed using a multivariate approach utilising a decision tree model (classification and regression tree method). The decision tree model indicated peak knee frontal plane angle, peak vertical ground reaction force, ankle frontal plane moment and knee transverse plane angle at initial contact (in this hierarchical order) for the single-leg landing task as important biomechanical parameters to discriminate between injured and non-injured players. Hip sagittal plane angle at initial contact, peak ankle transverse plane angle and hip sagittal plane moment (in this hierarchical order) were indicated as risk factors for the unanticipated cutting task. Ankle, knee and hip kinematics, as well as ankle and hip kinetics, during single-leg high-risk movements can provide a good indication of injury risk in elite youth soccer players.
在足球运动中单腿运动时改变的运动模式增加了下肢非接触性损伤的风险。识别与下肢损伤相关的生物力学参数可以丰富对损伤风险的认识,促进损伤预防。56名优秀的青少年足球运动员完成了单腿落地任务和意想不到的侧身切球任务。获得了三维踝关节、膝关节和髋关节的运动学和动力学数据,并记录了整个赛季的非接触性下肢损伤。采用决策树模型(分类和回归树方法)的多变量方法评估风险分析。决策树模型表明,单腿着地任务初始接触时膝关节正面角峰值、垂直地面反力峰值、踝关节正面力矩和膝关节横切面角(按此顺序)是区分受伤和未受伤运动员的重要生物力学参数。首次接触时髋矢状面角、踝关节横切面角峰值和髋矢状面力矩(按此顺序)是意外切割任务的危险因素。踝关节、膝关节和髋关节运动学,以及踝关节和髋关节动力学,在单腿高风险运动中,可以很好地指示精英青年足球运动员的受伤风险。
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引用次数: 2
Modeling Joint Stiffness Change by Pelvic Tightening Based on Pelvic Alignment 基于骨盆对齐的骨盆紧固关节刚度变化建模
Pub Date : 2022-05-22 DOI: 10.3390/biomechanics2020021
Michihiro Yoshida, Takayuki Tanaka, Yoshio Tsuchiya
This paper aims to develop a regression model that explains the relationship between changes in lumbar joint stiffness and pelvic alignment (posture or shape of the bones of the pelvis and lumbar spine) due to pelvic tightening. The proposed model is based on the hypothesis that lumbar joint stiffness increases with changes in pelvic alignment. The proposed model is based on experimentally measured stiffness values and pelvic alignment data sets. The stiffness of the lumbar joint was estimated by motion analysis using a motion-capture system. Ninety-six volunteers participated in the experiment to estimate stiffness values, and the validity of using lumbar joint stiffness as the output of the model was examined. The pelvic alignment was measured through X-ray images. Pelvic alignment was measured using radiographic images, and 25 volunteers participated. The Results section states that the amount of change in the posture of the sacrum relative to the pelvis and the curvature of the lumbar spine contributes to the change in lumbar joint stiffness. Future work will include FEM analysis to validate the overall hypothesis and the validity of applying the model to a group other than those who participated in the development of the model.
本文旨在建立一个回归模型,解释由于骨盆收紧导致的腰椎关节硬度变化与骨盆对齐(骨盆和腰椎的姿势或形状)之间的关系。所提出的模型基于这样的假设,即腰椎关节硬度随着骨盆排列的变化而增加。所提出的模型基于实验测量的刚度值和骨盆对齐数据集。通过使用运动捕捉系统的运动分析来估计腰椎关节的刚度。96名志愿者参与了评估刚度值的实验,并检查了使用腰椎关节刚度作为模型输出的有效性。通过X射线图像测量骨盆的排列。使用射线照相图像测量骨盆排列,25名志愿者参与其中。结果部分指出,骶骨相对于骨盆的姿势和腰椎弯曲的变化量有助于腰椎关节硬度的变化。未来的工作将包括有限元分析,以验证总体假设以及将模型应用于除参与模型开发的群体之外的群体的有效性。
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引用次数: 0
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Biomechanics (Basel, Switzerland)
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