Ground Reaction Force Variables Research Articles

The association between obesity, knee pain, and gait during stair descent in older adults with knee osteoarthritis

BackgroundObesity and knee osteoarthritis adversely affect activities of daily living in older adults. Together, the complexities of their interaction on mobility, including stair negotiation, are unresolved. The purpose of this study was to determine the relationship between obesity, pain, and stair negotiation in older adults with knee osteoarthritis. MethodsOlder adults with symptomatic knee osteoarthritis and overweight or obesity participated in the study (n = 28; age range = 57.0–78.0 yrs.; body mass index range = 26.6–42.8 kg•m−2). The Western Ontario and McMaster Universities Osteoarthritis Index pain subscale was used to measure knee pain. Measurements included a three-dimensional biomechanical analysis during descent on a set of force plate-instrumented stairs and a timed stair descent test. Pearson's r was used to determine associations between body mass index and pain, stair descent weight-acceptance phase vertical ground reaction force (vGRF) variables and lower extremity joint kinematics and kinetics, and timed stair descent performance. FindingsSignificant correlations existed between body mass index and pain (r = 0.41; p = 0.03), peak vGRF (r = 0.39; p = 0.04), vertical impulse (r = 0.49; p = 0.008), and peak ankle plantar flexor moments (r = 0.50; p = 0.007) in older adults with knee osteoarthritis. InterpretationGreater obesity in older adults with knee osteoarthritis was associated with greater knee pain and higher ankle joint loads during stair descent. These results support the recommendations of osteoarthritis treatment guidelines for weight-loss as a first-line of treatment for older adults with obesity and knee osteoarthritis.

Ground reaction force analysis in flexible and rigid flatfoot subjects

BackgroundFlatfoot is a structural and functional deformity of the foot that might change ground reaction force variables of gait. Evaluating the components of ground reaction force in three dimensions during gait is considered clinically important. This study aimed to investigate the components of ground reaction force, impulse, and loading rate during gait in people with flexible and rigid flatfoot compared to healthy subjects. 20 young women with flatfoot in two experimental groups (10 with rigid flatfoot and 10 with flexible flatfoot) and 10 healthy women in the control group participated in this study. Ground reaction force components during gait were measured using two force plates. The peak of ground reaction forces, impulse, and loading rate were then extracted. Data were processed and analyzed using MATLAB and SPSS software. One-way ANOVA with a significant level (P˂0.05) was used for statistical analysis. The results showed that peak braking force was higher in the rigid flatfoot group than in the control group (p = 0.016) and the flexible flatfoot group (p = 0.003). The posterior force loading rate was significantly higher in the rigid flatfoot group than in the flexible flatfoot group (P = 0.04). There was no significant difference in vertical loading rate between groups (P˃0.05). Since the maximal posterior ground reaction force was higher in the subjects with rigid flatfoot than in those with flexible flatfoot and healthy subjects, the increase in posterior ground reaction force is associated with an increase in anterior shear force at the knee.

Jumping towards field-based ground reaction force estimation and assessment with OpenCap

Low-cost and field-viable methods that can simultaneously assess external kinetics and kinematics are necessary to enhance field-based biomechanical monitoring. The aim of this study was to determine the accuracy and usability of ground reaction force (GRF) profiles estimated from segmental kinematics, measured with OpenCap (a low-cost markerless motion-capture system), during common jumping movements. Full-body segmental kinematics were recorded for fifteen recreational athletes performing countermovement, squat, bilateral drop, and unilateral drop jumps, and used to estimate vertical GRFs with a mechanics-based method. Eleven distinct performance-, fatigue-, or injury-related GRF variables were then validated against a gold-standard force platform. Across jumping movements, a total of six and three GRF variables were estimated with a bias or limits of agreement <5 % respectively. Bias and limits of agreement were between 5 and 15 % for seventeen and nineteen variables respectively. Moreover, we show that estimated force variables with a bias <15 % can adequately assess the within-athlete changes in GRF variables between jumping conditions (arm swing or leg dominance). These findings indicate that using a low-cost and field-viable markerless motion capture system (OpenCap) to estimate and assess GRF profiles during common jumping movements is approaching acceptable limits of accuracy. The presented method can be used to monitor force variables of interest and examine underlying segmental kinematics. This application is a jump towards researchers and sports practitioners performing biomechanical monitoring of jumping efficiently, regularly, and extensively in field settings.

Acute effects of caffeine supplementation on kinematics and kinetics of sprinting.

We investigated the acute effects of caffeine supplementation (6 mg･kg-1 ) on 60-m sprint performance and underlying components with a step-to-step ground reaction force measurement in 13 male sprinters. After the first round sprint as a control, caffeine supplementation-induced improvement in 60-m sprint times (7.811 s at the first versus 7.648 s at the second round, 2.05%) were greater compared with the placebo condition (7.769 s at the first versus 7.768 s at the second round, 0.02%). Using average values for every four steps, in the caffeine condition, higher running speed (all six step groups), higher step frequency (5th-16th and 21st-24th step groups), shorter support time (all the step groups except for 13th-16th step) and shorter braking time (9th-24th step groups) were found. Regarding ground reaction forces variables, greater braking mean force (13th-19th step group), propulsive mean force (1st-12th and 17th-20th step groups), and effective vertical mean force (9th-12th step group) were found in the caffeine condition. For the block clearance phase at the sprint start, push-off and reaction times did not change, while higher total anteroposterior mean force, average horizontal external power, and ratio of force were found in the caffeine condition. These results indicate that, compared with placebo, acute caffeine supplementation improved sprint performance regardless of sprint sections during the entire acceleration phase from the start through increases in step frequency with decreases in support time. Moreover, acute caffeine supplementation promoted increases in the propulsive mean force, resulting in the improvement of sprint performance.

Validity of spatiotemporal and ground reaction force estimates during resisted sprinting with a motorized loading device.

We aimed to examine the validity of estimating spatiotemporal and ground reaction force (GRF) parameters during resisted sprinting using a robotic loading device (1080 Sprint). Twelve male athletes (age: 20.9 ± 2.2 years; height: 174.6 ± 4.2 cm; weight: 69.4 ± 6.1 kg; means ± SDs) performed maximal resisted sprinting with three different loads using the device. The step frequency and length and step-averaged velocity, anteroposterior GRF (Fap ), and the ratio of Fap to resultant GRF (RF) were estimated using the velocity and towing force data measured using the device. Simultaneously, the corresponding values were measured using a 50-m force plate system. The proportional and fixed biases of the estimated values against those measured using the force plate system were determined using ordinary least product (OLP) regression analysis. Proportional and fixed biases were observed for most variables. However, the proportional bias was small or negligible except for the step frequency. Conversely, the fixed bias was small for step-averaged velocity (0.11 m/s) and step length (0.04 m), whereas it was large for step frequency (0.54 step/s), Fap (16N), and RF (2.22%). For all variables except step frequency, the prediction intervals in the OLP regression dramatically decreased when the corresponding values were smoothed using a two-step moving average. These results indicate that by using the velocity and force data recorded in the loading device, most of the spatiotemporal and GRF variables during resisted sprinting can be estimated with some correction of the fixed bias and data smoothing using the two-step moving average.

Constant low-to-moderate mechanical asymmetries during 800-m track running.

Modifications in asymmetry in response to self-paced efforts have not been thoroughly documented, particularly regarding horizontally-derived ground reaction force variables. We determined the magnitude and range of gait asymmetries during 800 m track running. Eighteen physical education students completed an 800 m self-paced run on a 200 m indoor track. During the run, vertical and horizontal ground reaction forces were measured at a sampling frequency of 500 Hz using a 5 m-long force platform system, with data collected once per lap. The following mechanical variables were determined for two consecutive steps: contact time and duration of braking/push-off phases along with vertical/braking/push-off peak forces and impulses. The group mean asymmetry scores were evaluated using the "symmetry angle" (SA) formula, where scores of 0% and 100% correspond to perfect symmetry and perfect asymmetry, respectively. There was no influence of distance interval on SA scores for any of the nine biomechanical variables (P ≥ 0.095). The SA scores were ∼1%-2% for contact time (1.3 ± 0.5%), peak vertical forces (1.8 ± 0.9%), and vertical impulse (1.7 ± 1.0%). The SA scores were ∼3%-8% for duration of braking (3.6 ± 1.1%) and push-off (3.2 ± 1.4%) phases, peak braking (5.0 ± 2.1%) and push-off (6.9 ± 3.1%) forces as well as braking (7.6 ± 2.3%) and push-off (7.7 ± 3.3%) impulses. The running velocity progressively decreased at 300 m and 500 m compared to that at 100 m but levelled off at 700 m (P < 0.001). There were no modifications in gait asymmetries, as measured at 200-m distance intervals during 800-m track running in physical education students. The 800 m self-paced run did not impose greater mechanical constraints on one side of the body. Experimental procedures for characterizing the gait pattern during 800 m track running could be simplified by collecting leg mechanical data from only one side.

Influence of horizontal resistance loads on spatiotemporal and ground reaction force variables during maximal sprint acceleration

This study aimed to elucidate the influence of horizontal resistance loads on the spatiotemporal and ground reaction force (GRF) variables during maximal sprint acceleration. Nine male sprinters (20.2 ± 1.2 years; 175.3 ± 4.5 cm, 69.7 ± 6.1 kg) performed sprint-running with six loading conditions of one unresisted and five resisted loads of 4, 6, 8, 10, and 12 kg using a resistance training device with intelligent drag technology. During the trials, the GRFs for all steps were determined using a 50-m force plate system. The spatiotemporal and GRF variables at running velocity of every 0.5 m/s were obtained and compared across the loading conditions. The maximal running velocity under 0, 4, 6, 8, 10, and 12 kg loading conditions were 9.84 ± 0.41, 8.55 ± 0.41, 8.09 ± 0.33, 7.62 ± 0.34, 7.11 ± 0.31, and 6.71 ± 0.29 m/s, respectively. ANOVA revealed significant main effects of load on the measured variables (η2 = 0.236–0.715, p &lt; 0.05), except for stance-averaged anteroposterior GRF and braking impulse. However, the observed differences between the loading conditions were small, with approximately 4% (1.3–7.5%) for the GRF variables and approximately 9% (1.2–22.3%) for the spatiotemporal variables. The present study indicates that horizontal resistance load in sprint acceleration has little impact on the spatiotemporal and GRF variables at a given running velocity. In contrast to a general recommendation, one should adopt a heavy load in resisted sprint aiming to improve performance in the earlier stage of maximal sprint acceleration.

Hip and knee kinematics, center of pressure position, and ground reaction force are associated with Achilles tendon force during jump landing.

Jump-landing exercises are often performed during the rehabilitation of Achilles tendon (AT) injuries. However, the factors that affect the AT force (ATF) during landing are unclear. This study aimed to determine the kinematics and ground reaction force (GRF) variables associated with the peak ATF during a drop vertical jump (DVJ). The landing phase of DVJ was evaluated in 101 healthy participants (46 males, age: 21.2 ± 1.4 years old) using a three-dimensional motion analysis system with two force plates. ATF was estimated from the ankle flexion angle and moment. Univariate and multivariate regression analyses were performed with the peak ATF as the dependent variable. The vertical GRF (VGRF), center of pressure (COP), forward trunk leaning, hip/knee/ankle joint angles at peak ATF, and sex were used as independent variables. In the univariate regression analysis, larger VGRF (β = 0.813), more anterior COP position (β = 0.214), smaller knee flexion (β = -0.251) and adduction (β = -0.252), smaller hip flexion (β = -0.407), smaller forward trunk lean (β = -0.492), and male sex (β = -0.282) were significantly associated with a larger peak ATF. Multivariate analysis revealed that larger VGRF (β = 1.018), more anterior COP position (β = 0.320), a larger knee (β = 0.442), and smaller hip flexion (β = -0.205) were associated with the larger peak ATF. The VGRF, COP position, and knee and hip flexion were independently associated with ATF. Modifying these factors may be useful in managing tendon loading during jump-landing exercises.

Effects of Body Weight Support in Running on Achilles Tendon Loading.

Achilles tendon (AT) tendinopathy is common in runners. Repetitive AT loading may play a role in etiology. Interventions such as body weight support (BWS) may reduce loading on the AT in running. Examine how ground reaction force, AT loading, foot strike and cadence variables change in running with BWS. Twenty-four healthy female runners free from injury were examined. Participants ran on an instrumented treadmill with and without BWS using a harness-based system at a standardized speed. The system has 4 elastic cords affixed to a harness that is attached to a frame-like structure. Kinematic data and kinetic data were used in a musculoskeletal model (18 segments and 16 degrees of freedom) to determine AT loading variables, foot strike angle and cadence. Paired t-tests were used to compare each variable between conditions. Ground reaction force was 9.0% lower with BWS (p<.05). Peak AT stress, force, and impulse were 9.4%, 11.7% and 14.8% lower when using BWS in running compared to no support (p<.05). Foot strike angle was similar (p<.05) despite cadence being reduced (p<.05). BWS may reduce AT loading and impulse variables during running. This may be important in the rehabilitation efforts.

Raw Acceleration from Wrist- and Hip-Worn Accelerometers Corresponds with Mechanical Loading in Children and Adolescents.

The purpose of this study was to investigate associations between peak magnitudes of raw acceleration (g) from wrist- and hip-worn accelerometers and ground reaction force (GRF) variables in a large sample of children and adolescents. A total of 269 participants (127 boys, 142 girls; age: 12.3 ± 2.0 yr) performed walking, running, jumping (<5 cm; >5 cm) and single-leg hopping on a force plate. A GENEActiv accelerometer was worn on the left wrist, and an Actigraph GT3X+ was worn on the right wrist and hip throughout. Mixed-effects linear regression was used to assess the relationships between peak magnitudes of raw acceleration and loading. Raw acceleration from both wrist and hip-worn accelerometers was strongly and significantly associated with loading (all p's < 0.05). Body mass and maturity status (pre/post-PHV) were also significantly associated with loading, whereas age, sex and height were not identified as significant predictors. The final models for the GENEActiv wrist, Actigraph wrist and Actigraph hip explained 81.1%, 81.9% and 79.9% of the variation in loading, respectively. This study demonstrates that wrist- and hip-worn accelerometers that output raw acceleration are appropriate for use to monitor the loading exerted on the skeleton and are able to detect short bursts of high-intensity activity that are pertinent to bone health.

Normative spatiotemporal and ground reaction force data for female and male sprinting

ABSTRACT This study aimed to demonstrate the differences in spatiotemporal and ground reaction force (GRF) variables during overground sprinting between performance levels for female and male sprinters with providing normative data during the entire acceleration phase. Forty-four female and 102 male sprinters performed 60-m sprints, during which the spatiotemporal and GRF variables were obtained using a long force platform system. Female and male sprinters were each allocated into four groups based on their maximal speed (7.5–9.5 m/s and 8.5–10.5 m/s, respectively) with 0.5 m/s intervals, and average values for 50-m distance were calculated. Using the GRF data, normative data for four groups of female and male sprinters were successfully obtained. For female sprinters using average values of all steps, there were differences between performance levels for step frequency (SF) and support time (ST), all impulses, and all mean forces. For male sprinters using average values of all steps, there were differences between performance levels for SF, ST and flight time, all impulses except for braking impulse, and all of the mean forces. The normative data indicate that most of the spatiotemporal and GRF variables may be changed, particularly increasing SF and propulsive force, when sprint performance is improved.

Asymmetries of kinematics and kinetics in female and male sprinting.

This study examined asymmetries in spatiotemporal (e.g. step length and frequency) and kinetic variables during maximal speed sprinting and aimed to determine differences in the asymmetries between female and male sprinters, and to examine relationships between magnitudes of asymmetries and sprint performance. Thirty-two female and 32 male sprinters, who were of comparable performance levels, performed 60-m sprints. Spatiotemporal and ground reaction force variables during maximal speed phase were measured using a long force platform system. The asymmetry was calculated as a difference between values obtained from right and left sides divided by the mean of the two sides. The magnitudes of asymmetries in step length (4.60% vs. 3.08%), step frequency (4.70% vs. 3.11%), stance time (3.81% vs. 2.12%), vertical impulse (8.41% vs. 5.30%) and braking mean force (13.32% vs. 8.55%) for male sprinters were greater than those for female sprinters. No significant correlation was found between maximal running speed and magnitudes of asymmetries for female or male sprinters. The results demonstrate that the magnitudes of asymmetries in step length, step frequency, stance time, vertical impulse and braking mean force during sprinting could be greater in male sprinters. Moreover, no magnitude of asymmetries could be associated with sprint performance for female and male sprinters. Although it is likely beneficial to be aware that there are greater asymmetries in male sprinting during the maximal speed phase compared to female sprinting as a baseline, the magnitudes of asymmetries can be individually different regardless of performance level.

Effect of freezing of gait and dopaminergic medication in the biomechanics of lower limbs in the gait of patients with Parkinson’s disease compared to neurologically healthy

IntroductionThis study aims to evaluate the effects of medication, and the freezing of gait (FoG) on the kinematic and kinetic parameters of gait in people with Parkinson’s disease (pwPD) compared to neurologically healthy. MethodsTwenty-two people with a clinical diagnosis of idiopathic PD in ON and OFF medication (11 FoG), and 18 healthy participants (control) were selected from two open data sets. All participants walked on the floor on a 10-meter-long walkway. The joint kinematic and ground reaction forces (GRF) variables of gait and the clinical characteristics were compared: (1) PD with FoG (pwFoG) and PD without FoG (pwoFoG) in the ON condition and control; (2) PD with FoG and PD without FoG in the OFF condition and control; (3) Group (PD with FoG and PD without FoG) and Medication. Results(1) FoG mainly affects distal joints, such as the ankle and knee; (2) PD ON showed changes in the range of motion of both distal and proximal joints, which may explain the increase in step length and gait speed expected with the use of L-Dopa; and (3) the medication showed improvements in the kinematic and kinetic parameters of the gait of people with pwFoG and pwoFoG equally; (4) pwPD showed a smaller second peak of the vertical component of the GRF than the control. ConclusionThe presence of FoG mainly affects distal joints, such as the ankle and knee. PD presents a lower application of GRF during the impulse period than healthy people, causing lower gait performances.

Association of Ground Reaction Force Measurements in Runners with Symptomatic Iliotibial Band Friction Syndrome: A Cross-Sectional Study

Iliotibial band syndrome (ITBS) is a common running related injury. While previous studies have evaluated the relationship between biomechanical variables and ITBS, most have found limited evidence, particularly with measures related to ground reaction force (GRF). The purpose of this study was to use a classification and regression tree (CART) analysis to determine whether the combination of GRF measures would be strongly associated in runners with ITBS. A cross-sectional study was performed at an outpatient center focused on running injuries. A convenience sample of 52 runners with ITBS, assessed between September 2012 and July 2022, were evaluated for eligibility, from which, 30 rearfoot strike runners with ITBS and no secondary running-related injuries were selected. Injured runners were matched to 30 healthy controls from a normative database. Each ran on an instrumented treadmill at a self-selected speed. GRF variables were calculated, including peak GRFs, loading rates, and impulses. CART analysis was performed to identify interactions between GRF data and runners with ITBS. An ROC curve was executed, to determine the accuracy of the model. Posterior GRF impulse (PGRFI), anterior GRF (AGRFI), peak anterior GRF (PAGRF), and vertical stiffness at initial loading (VSIL) all emerged as variables associated with ITBS in the CART analysis. The model was able to correctly identify 25 (83.3%) runners with ITBS and 25 (83.3%) controls. The area under the ROC curve (accuracy) was 0.87 (95% CI, 0.77–0.96; SE, 0.04; p &lt; 0.001). In conclusion, interactions between GRF variables were associated with ITBS in runners. The best classification included interactions between PGRFI, AGRFI, AGRFP, and VSIL, using specific cut-off values. Loading rates were not independently associated with ITBS.

Does Nordic Walking technique influence the ground reaction forces?

BackgroundNordic Walking (NW) practice has increased during the last decade, generating great benefits related to the reduction of ground reaction forces (GRF). However, there is still limited evidence regarding how the NW technique could affect GRF. Research questionTo analyze the effect of the speed and the differences in ground reaction forces (GRF) between NW with Diagonal technique (DT) versus Alpha technique (AT) and compare them with normal walking (W) Methods29 male physically active sport science students were randomly assigned to one of the training groups: AT (n = 15) or DT (n = 14). After 5 technique familiarization sessions, participants performed 5 experimental trials on a walkway for both NW and W at two different walking speeds, previously randomized. A two-way repeated measures ANOVA analysis was carried out to find differences between speeds (preferred, fast) and gait (NW, W) as within-subject factors and NW techniques (DT vs AT) as between-subject factor. ResultsDuring NW, both technique groups (AT, DT) showed an increase in GRF variables compared to W, such as in stance time (2.9 % mean increment, p < 0.01, ES = 0.3; 95 %IC[−0.027, −0.008]), vertical force impact or vertical heel strike variables (4.9 % mean increment, p < 0.01, ES = 0.4; 95 %IC[0.101, 0.036]; 7.3 % mean increment, p < 0.01, ES = 0.8; 95 %IC[−0.133, −0.081] respectively). Moreover, AT group experienced significant lower forces at vertical force at midstance (10.1 % mean descent, p = 0.036, ES = 0.3; 95 %IC[−0.083, −0.009]) and higher forces at AP propulsive forces (23.7 % mean increment, p < 0.001, ES = 0.6; 95 %IC[0.078, 0.202) and ML max force (14.0 % mean increment, p = 0.045, ES = 0.3; 95 %IC[0.002, 0.026]) compared to DT group. Walking speed was significantly higher during NW (Preferred: 1.89 ± 0.18 m/s; Fast: 2.17 ± 0.21 m/s) compared to W (Preferred: 1.76 ± 0.15 m/s; Fast: 2.04 ± 0.19 m/s) in both speed conditions. SignificanceNW favours an increase in GRF and speed in comparison with Walking, independently of the technique, with no evidence that justifies the use of one technique or another.

An exploratory study of clinical characteristics and gait features of adolescents with hypermobility disorders

BackgroundIn adolescents with non-pathological and pathological joint hypermobility, gait deviations have been associated with pain and fatigue. It remains unclear what distinguishes the non-pathological form of joint hypermobility (JH) from pathological forms (i.e. hypermobile Ehlers-Danlos syndrome (hEDS) or hypermobility spectrum disorders (HSD). Our objective was to identify discriminative clinical characteristics and biomechanical gait features between adolescents with hEDS/HSD, JH, and healthy controls (HC). MethodsThirty-two adolescents were classified into three subgroups (hEDS/HSD=12, JH=5, HC=15). Clinical characteristics (e.g. pain intensity and surface, fatigue, functional disability) were inventoried.The gait pattern was assessed using a three-dimensional, eight-camera VICON MX1.3 motion capture system, operating at a sample rate of 100 Hz (VICON, Oxford, UK). Spatiotemporal parameters, joint angles (sagittal plane), joint work, joint impulse, ground reaction force and gait variability expressed as percentage using Principal Component Analysis (PCA) were assessed and analysed using multivariate analysis. Multivariate analysis data is expressed in mean differences(MD), standard error(SE) and P-values. ResultsThe hEDS/HSD-group had significantly higher fatigue score (+51.5 points, p = <0.001) and functional disability (+1.6, p < .001) than the HC-group. Pain intensity was significantly higher in the hEDS/HSD-group than the other subgroups (JH; +37 mm p = .004, HC; +38 mm, p = .001). The hEDS/HSD-group showed significantly more gait variability (JH; +7.2(2.0)% p = .003, HC; + 7.8(1.4)%, p = <0.001) and lower joint work (JH; −0.07(0.03)J/kg, p = .007, HC; − 0.06(0.03)J/kg, p = .013) than the other subgroups. The JH-group showed significantly increased ankle dorsiflexion during terminal stance (+5.0(1.5)degree, p = .001) compared to hEDS/HSD-group and knee flexion during loading response compared to HC-group (+5.7(1.8) degree, p = .011). SignificanceA distinctive difference in gait pattern between adolescents with non-pathological and pathological joint hypermobility is found in gait variability, rather than in the biomechanical features of gait. This suggests that a specific gait variability metric is more appropriate than biomechanical individual joint patterns for assessing gait in adolescents with hEDS/HSD.

Relationship between ground reaction force in horizontal plane and mechanical energy flow in torso during baseball tee batting

ABSTRACT The purpose of this study was to clarify the relationship between the ground reaction force (GRF) in the horizontal plane and the mechanical energy flow in the torso during baseball tee batting. The batting motion and GRF acting on each foot of 30 collegiate baseball players were recorded using a motion capture system and two force plates. To measure the mechanical energy inflow into the torso from both hip joints, the mechanical power of the torso by the force and torque of both hip joints was calculated. The horizontal GRF variables of the stride foot were significantly correlated with mechanical energy inflow into the lower torso from the hip joint of the stride foot side. Conversely, the horizontal GRF variables of the pivot foot were not significantly correlated with mechanical energy inflow into the lower torso from the hip joint of the pivot foot side. Thus, these results suggest that exploring the posture easily to receive the horizontal GRF by the stride foot (i.e., optimisation of magnitude and/or angle of GRF acting on the stride foot) increases the mechanical energy inflow into the lower torso from the hip joint of the stride foot side during baseball batting.

Machine Learning-Based Peripheral Artery Disease Identification Using Laboratory-Based Gait Data.

Peripheral artery disease (PAD) manifests from atherosclerosis, which limits blood flow to the legs and causes changes in muscle structure and function, and in gait performance. PAD is underdiagnosed, which delays treatment and worsens clinical outcomes. To overcome this challenge, the purpose of this study is to develop machine learning (ML) models that distinguish individuals with and without PAD. This is the first step to using ML to identify those with PAD risk early. We built ML models based on previously acquired overground walking biomechanics data from patients with PAD and healthy controls. Gait signatures were characterized using ankle, knee, and hip joint angles, torques, and powers, as well as ground reaction forces (GRF). ML was able to classify those with and without PAD using Neural Networks or Random Forest algorithms with 89% accuracy (0.64 Matthew’s Correlation Coefficient) using all laboratory-based gait variables. Moreover, models using only GRF variables provided up to 87% accuracy (0.64 Matthew’s Correlation Coefficient). These results indicate that ML models can classify those with and without PAD using gait signatures with acceptable performance. Results also show that an ML gait signature model that uses GRF features delivers the most informative data for PAD classification.

Biomechanical Analysis on Skilled Badminton Players during Take-Off Phase in Forehand Overhead Strokes: A Pilot Study.

Simple SummaryDifferent movement speeds can contribute to different joint loading in sports. Joint contact force is the actual force acting on the articular surface, which could predict performance and injury, but is rarely reported for badminton overhead strokes. From the perspective of sports biomechanics, this paper analyzes the characteristics of kinematics and mechanics at each stage of the fast and moderately paced movements and studies the changes in the force of the lower extremity joints caused by the characteristics of the movements at different speeds so that athletes and enthusiasts can clarify the essentials of the movements and prevent sports injuries.Different movement speeds can contribute to different joint loading in sports. Joint contact force is the actual force acting on the articular surface, which could predict performance and injury, but is rarely reported for badminton overhead strokes. Through an approach using musculoskeletal modelling, six male elite badminton players performed forehand overhead strokes at different movement speeds (fast (100%) vs. moderate (90%)). The synchronized kinematics and ground reaction force (GRF) data were measured using a motion capturing system and a force platform. All kinematics and GRF information were input into the AnyBody musculoskeletal modelling to determine the three-dimensional hip, knee and ankle contact forces. Paired t-tests were performed to assess the significant differences among the GRF, joint kinematics and contact force variables between the movement speed conditions. The results showed that when compared with the moderate movement condition, participants performing faster stroke movements induced larger first and second vertical peaks and larger first horizontal peak but lower second horizontal peak, and it also led to higher peak ankle lateral and distal contact forces, knee lateral and distal contact forces, and hip distal contact forces. Additionally, fast movements corresponded with distinct joint angles and velocities at the instant of initial contact, peak and take-off among the hip, knee and ankle joints compared with moderate movement speeds. The current results suggest that changes in joint kinematics and loading could contribute to changes in movement speeds. However, the relationship between lower limb joint kinematics and contact forces during overhead stroke is unclear and requires further investigation.

Less Vibrotactile Feedback Is Effective to Improve Human Balance Control during Sensory Cues Alteration.

For individuals with altered sensory cues, vibrotactile feedback improves their balance control. However, should vibrotactile feedback be provided every time balance control is compromised, or only one-third of the time their balance is compromised? We hypothesized that vibrotactile feedback would improve balance control more when provided every time their balance is compromised. Healthy young adults were randomly assigned to two groups: group 33% feedback (6 males and 6 females) and group 100% feedback (6 males and 6 females). Vibrotactile feedbacks related to the body’s sway angle amplitude and direction were provided, while participants stood upright on a foam surface with their eyes closed. Then, we assessed if balance control improvement lasted when the vibrotactile feedback was removed (i.e., post-vibration condition). Finally, we verified whether or not vibrotactile feedback unrelated to the body’s sway angle and direction (sham condition) altered balance control. The results revealed no significant group difference in balance control improvement during vibrotactile feedback. Immediately following vibrotactile feedback, both groups reduced their balance control commands; body sway velocity and the ground reaction forces variability decreased. For both groups, unrelated vibrotactile feedback worsened balance control. These results confirmed that participants processed and implemented vibrotactile feedback to control their body sways. Less vibrotactile feedback was effective in improving balance control.