Kinematic Adaptations Research Articles

Changes in leg kinematics in response to unpredictability in lateral jump execution

Lateral movements like cutting are essential in many team sport disciplines. The aim of the present study was to analyse adaptations in motor control in response to task unpredictability during lateral movement execution. Twelve subjects performed lateral jumps with different landing modalities (stable, sliding or counteracting) that were either known (predictable setting) or unknown (unpredictable setting) prior to movement execution. Results revealed that regardless of the landing modality, hip joint abduction was significantly greater in the unpredictable compared to predictable setting. Furthermore, during the sliding landing modality, hip flexion decreased from 211 ± 7° to 207 ± 7° and knee flexion decreased from 26 ± 4° to 24 ± 4° at the instant of ground contact in the unpredictable compared to predictable condition. During the stable landing modality, the knee joint abduction increased from −0.3 ± 6° to −3 ± 6° after initial ground contact in the unpredictable compared to predictable setting. The present results support our hypothesis that pre-programmed motor activity depends on the predictability of the landing modality during lateral movements. According to its adaptation in the frontal plane and in some extent in the sagittal plane, the hip joint seems to play the major role in the modulation of the pre-programmed activity for successful lateral jump execution in an unpredictable setting. However, these kinematic adaptations are concerning since these changes were associated with higher knee abduction during the stable landing modality and therefore with possible higher risk of injury.

The physiological and biomechanical effects of forwards and reverse sports wheelchair propulsion

ObjectiveTo explore the physiological and biomechanical differences between forwards (FOR) and reverse (REV) sports wheelchair propulsion.DesignFourteen able-bodied males with previous wheelchair propulsion experience pushed a sports wheelchair on a single-roller ergometer in a FOR and REV direction at three sub-maximal speeds (4, 6, and 8 km/hour). Each trial lasted 3 minutes, and during the final minute physiological and biomechanical measures was collected.ResultsThe physiological results revealed that oxygen uptake (1.51 ± 0.29 vs. 1.38 ± 0.26 L/minute, P = 0.005) and heart rate (121 ± 19 vs. 109 ± 14 beats/minute, P < 0.0005) were significantly greater during REV than FOR only during the 8 km/hour trials. From a biomechanical perspective, push frequencies were similar between FOR and REV across all speeds (P > 0.05). However, greater mean resultant forces were applied during FOR (P < 0.0005) at 4 km/hour (66.7 ± 19.5 vs. 49.2 ± 10.3 N), 6 km/hour (90.7 ± 21.9 vs. 65.3 ± 18.6 N), and 8 km/hour (102.5 ± 17.6 vs. 68.7 ± 13.5 N) compared to REV. Alternatively, push times and push angles were significantly lower (P ≤ 0.001) during FOR at each speed.ConclusionsThe current study demonstrated that at higher speeds physiological demand becomes elevated during REV. This was likely to be associated with an inability to apply sufficient force to the wheels, thus requiring kinematic adaptations in order to maintain constant speeds in REV.

Individual and generalized lower limb muscle activity and kinematic adaptations during running on an unpredictable irregular surface

Individual and generalized lower limb muscle activity and kinematic adaptations during running on an unpredictable irregular surface

Individual and generalized lower limb muscle activity and kinematic adaptations during walking on an unpredictable irregular surface

Background Natural surfaces are irregular but limited studies have researched their effect on gait because of the predominantly flat surfaces where measurements are taken [1]. Regularly, biomechanical research also tends to group mean results of many subjects together to find the generalised response to a constraint. This often hides individual adaptation strategies [2]. Therefore, the purpose of this study was to analyse biomechanical responses during walking on an unpredictable irregular surface (UIS), at the individual level.

The effects of surface traction characteristics on frictional demand and kinematics in tennis

The interaction between footwear and surfaces influences the forces experienced by tennis players. The purpose of this study was to investigate traction demand and kinematic adaptation during tennis-specific movements with changes in traction characteristics of surfaces. We hypothesised that players would increase the utilised coefficient of friction (horizontal to vertical ground reaction force ratio) when the shoe surface combination had a high coefficient of friction and flex their knee after contact to facilitate braking. Eight participants performed two separate movements, side jump out of stance and running forehand. Ground reaction force was measured and three-dimensional kinematic data were recorded. Clay surface and cushioned acrylic hard court (low vs. high shoe–surface friction) were used. The peak utilised coefficient of friction was greater on clay than the hard court. The knee was less flexed at impact on clay ( − 5.6 ± 10.2°) and at peak flexion ( − 13.1 ± 12.0°) during the running forehand. Our results indicate that tennis players adapt the level of utilised friction according to the characteristics of the surface, and this adaptation favours sliding on the low friction surface. Less knee flexion facilitates sliding on clay, whereas greater knee flexion contributes to braking on the hard court.

Control approaches for robotic knee exoskeleton and their effects on human motion

In this paper we compare three noninvasive control methods for a robotic knee exoskeleton and asses their kinematic influences on the repetitive squatting motions of able-bodied human subjects. The motion of the subjects wearing the knee exoskeleton was also compared to the motion of the subjects performing the same task without using the assistance of the knee exoskeleton. We chose the squatting motion because it approximates common movements with high metabolic cost, such as standing up from a chair and ascending or descending the stairs. Beside the two classical robotic control approaches, i.e. the position control and the gravity compensation, we propose a method that is based on a single adaptive frequency oscillator combined with an adaptive Fourier series in a feedback loop. The method can extract frequency and phase of an arbitrary periodic signal in real-time. This method is particularly appropriate for controlling novel robotic assisting devices since it does not require complex signal sensing or user calibration. The results show that the total knee torque was increased while using the exoskeleton device compared to the squatting without the assistance of the exoskeleton device. In effect, there were significant kinematic adaptations observed when the exoskleton device assisted the motion of the subjects. However, no significant kinematic differences were found between different control methods. We conclude that an assistive device can augment the abilities of the able-bodied humans in the targeted joints (i.e. the joints provided with additional mechanical power) but, on the other hand, significantly alters whole body kinematics.

P.10.8 Comparison of the static and dynamic balance in different neuromuscular diseases

It is known that the kinetic and kinematic adaptations occur in Duchenne Muscular Dystrophy (DMD) patients depend on generalized muscle weakness during walking performance. Furthermore, their balance is adversely affected. In this study, we aimed to compare the static and dynamic balance in neuromuscular diseases with proximal and distal weakness. 20 cases with proximal muscle weakness (Neuropathy- mean ages: 12.9 ± 3.3 years) and 20 cases with distal muscle weakness (DMD- mean ages: 9 ± 3.1), who were in the early stages of their diseases were included in this study. Pediatric Functional Reach Test (PFRT) and Timed Up and Go Test (TUGT) were used to assess balance. 6-min walk test (6MWT) and the 10-m walk test were used to evaluate for patients’ performance. There were significant differences among the groups in anterior reaching, right reaching and total scores of PFRT in sitting position ( p p p > 0.05). For the distal group, we found a negative and weak correlation between TUGT and 6MWT ( r = −0.206), and a positive and a very strong correlation ( p r = 0.971). The results show that the balance is affected in both groups starting from early stages of the disease. Static balance was poor in DMD group while there was poor dynamic balance in the patients with neuropathy. These results showed that localization of the muscle weakness has affected patient balance in the natural course of neuromuscular diseases.

Posture-movement responses to stance perturbations and upper limb fatigue during a repetitive pointing task

Localized muscle fatigue and postural perturbation have separately been shown to alter whole-body movement but little is known about how humans respond when subjected to both factors combined. Here we sought to quantify the kinematics of postural control and repetitive upper limb movement during standing surface perturbations and in the presence of fatigue. Subjects stood on a motion-based platform and repetitively reached between two shoulder-height targets until noticeably fatigued (rating of perceived exertion=8/10). Every minute, subjects experienced a posterior and an anterior platform translation while reaching to the distal target. Outcomes were compared prior to and with fatigue (first vs. final minute data). When fatigued, regardless of the perturbation condition, subjects decreased their shoulder abduction and increased contralateral trunk flexion, a strategy that may relieve the load on the fatiguing upper limb musculature. During perturbations, kinematic adaptations emerged across the trunk and arm to preserve task performance. In contrast to our expectation, the kinematic response to the perturbations did not alter in the presence of fatigue. Kinematic adaptations in response to the perturbation predominantly occurred in the direction of the reach whereas fatigue adaptations occurred orthogonal to the reach. These findings suggest that during repetitive reaching, fatigue and postural perturbation compensations organize so as to minimize interaction with each other and preserve the global task characteristics of endpoint motion.

Kinematic adaptations in sprint acceleration performances without and with the constraint of holding a field hockey stick

The aim of this study was to investigate the technique adaptations made when performing sprint-based tasks without (free condition) and with (constrained condition) the constraints of carrying a field hockey stick. Three free and three constrained maximal sprint accelerations were performed by 18 experienced university male field hockey players (age = 20 ± 1 years, body mass = 73.3 ± 7.1 kg, and stature = 1.78 ± 0.05 m). An automatic motion analysis system tracked sagittal plane active marker locations (200 Hz). M sprint velocity during the 18–22 m (free: 8.03 ± 0.43 m/s; constrained: 7.93 ± 0.36 m/s) interval was significantly (p = 0.03) different between free and constrained conditions. While the M stride length and stride frequency was similar between free and constrained conditions in the 2–13 m capture volume, the free condition elicited a 0.10 m/s faster (p = 0.03) stride velocity. Further significant differences were found between free and constrained kinematic profiles (p ≤ 0.05) for the hip angular velocity at touchdown during the 2–12 m interval of the sprints and in the overall sprint technique coordination between free and constrained conditions. Performance and technique adaptations indicated that sprint-training protocols for field sports should integrate specific equipment constraints to ensure explicit replication of the mechanical demands of the skills underpinning superior performance.

Center of mass trajectory and orientation to ankle and knee in sagittal plane is maintained with forward lean when backpack load changes during treadmill walking

Maintaining the normal shape and amplitude of the vertical trajectory of the center of mass (COM) during stance has been shown to maximize the efficiency of unloaded gait. Kinematic adaptations to load carriage, such as forward lean have yet to be understood in relation to COM movement. The purpose of this study is to better understand how load impacts the vertical COMTSYS trajectory and to clarify the impact of forward lean as it relates to the dynamics of sagittal plane COMTSYS movement during stance with changing load. 17 subjects walked on treadmill at a constant preferred walking velocity while nine different loads ranging from 12.5% to 40% bodyweight were systematically added and removed from a backpack. Kinematic data were collected using an Optotrak, three-dimensional motion analysis system and used to estimate position of the COM as well as segment and COM-to-joint vector orientation angles. The shape and amplitude of the COM vertical trajectory was maintained across all loaded conditions. The orientations of COM-to-ankle and -knee vectors were maintained in all loaded conditions except the heaviest load (40% BW). Results suggest that forward lean changed linearly with changes in load to maintain the COM-to-ankle and -knee vector orientations. COM vertical trajectory was maintained by a combination of invariants including lower-limb segment angles and a constant direction of toe-off impulse vector. The kinematic invariants found suggest a simplified control mechanism by which the system limits degrees of freedom and potentially minimizes torque about lower-extremity joints with added load.

Validation of occupational estimates of cumulative low-back load

In most genuine industrial settings, it is not yet feasible to directly measure in vivo tissue loads, nor is it practical to estimate dynamic load-time histories using biomechanical models. Thus, data extrapolation techniques are often used for obtaining occupational estimates of shift or daily cumulative low-back load exposures. These techniques are reliant on the assumption that the observed duty cycle of apparently stereotypical work is consistent over long working durations. This investigation evaluated the validity of this assumption using a controlled laboratory-based repetitive lifting task. Nine men performed 30-minutes of sagittal plane repetitive lifting tasks. Upper body kinematics were captured during the tasks, and a two-dimensional dynamic biomechanical model was used to generate peak and cumulative estimates of low-back loads. Over the course of the 30-minute testing sessions, kinematic adaptations at the elbow were responsible for an 8% reduction in duty cycle duration while peak low-back load magnitudes remained consistent. Combining reductions in duty cycle duration with negligible changes in peak loading contributed to a small decrease (⩽ 10%) in cumulative low-back load over the final 20-minutes of lifting. However, when data extrapolation was incorporated to estimate a shift exposure it was found that these changes could overestimate occupational cumulative low-back loading exposures by 10–27% inferences made regarding the risk of low-back pain or injury reporting associated with exposure.

Kinematic adaptations to a variable stiffness shoe: Mechanisms for reducing joint loading

A recently described variable-stiffness shoe has been shown to reduce the adduction moment and pain in patients with medial-compartment knee osteoarthritis. The mechanism associated with how this device modifies overall gait patterns to reduce the adduction moment is not well understood. Yet this information is important for applying load modifying intervention for the treatment of knee osteoarthritis.A principal component analysis (PCA) was used to test the hypothesis that there are differences in the frontal plane kinematics that are correlated with differences in the ground reaction forces (GRFs) and center of pressure (COP) for a variable-stiffness compared to a constant-stiffness control shoe. Eleven healthy adults were tested in a constant-stiffness control shoe and a variable-stiffness shoe while walking at self-selected speeds. The PCA was performed on trial vectors consisting of all kinematic, GRF and COP data.The projection of trial vectors onto the linear combination of four PCs showed there were significant differences between shoes. The interpretation of the PCs indicated an increase in the ankle eversion, knee abduction and adduction, decreases in the hip adduction and pelvic obliquity angles and reduced excursion of both the COP and peak medial–lateral GRFs for the variable-stiffness compared to the control shoe.The variable-stiffness shoe produced a unique dynamic change in the frontal plane motion of the ankle, hip and pelvis that contributed to changes in the GRF and COP and thus reduced the adduction moment at a critical instant during gait suggesting a different mechanism that was seen with fixed interventions (e.g. wedges).

Lower extremity kinematics in children with and without flexible flatfoot: a comparative study

BackgroundA high percentage of young children present with flatfeet. Although the percentage of those with flatfeet declines with age, about 15% of the population maintains a flat arch. A reduction in longitudinal arch height usually combines with excessive subtalar joint pronation and may be related to other musculoskeletal problems of the lower extremity kinetic chain. The purpose of this study is to describe and compare the lower extremity kinematics between children with normal arches and those with flexible flatfeet, with the intent of providing practical information for decision making when treating children with flexible flatfeet.MethodsTwenty children with flexible flatfeet (years age mean (SD), 9.7 (0.9) years) and 10 children with normal arches (yeas age mean (SD), 9.6 (1.2) years) were included. Kinematic data (maximum and minimum angles, and movement range, velocity, and excursion) of the hip, knee and rearfoot were collected during walking using Liberty Electromagnetic Tracking System. Kinematic variables were compared between the normal arches and flexible flatfeet groups using repeated measures mixed effects ANOVA.ResultsMovement patterns at the hip, knee and ankle joints were similar between children with flexible flatfeet and with normal arches. The results of ANOVA showed no significant main effect or interaction in any of the kinematic variables (P ≥ 0.05).ConclusionsThis study identified no kinematic adaptation during walking in children with flexible flatfoot. We suggested that future research should take the influence of the mid-foot and forefoot into consideration when examining lower extremity kinematics in children with flexible flatfoot.

Analyses of Gait and Jump Tasks in Female Obese Adolescents

In spite of the advances in knowledge on the multi-factorial nature of obesity, many questions related to the consequences of the disease continue to be unanswered. Several studies have reported biomechanic and kinematic adaptation and alterations in walking and in tasks of every day life, motivated by the additional load of fat mass in children and adults. The main objective of this study was to understand the effect of obesity in the electromyographic activity of four lower extremity muscles during three speeds of walking and during a countermovement jump (CMJ) in twenty two (9 obese and 13 normal weight) female adolescents aged 13. Although electromyographic differences were not observed between groups for normal, slow and fast speeds, data suggests that the preferred pace of the obese is less efficient than that of the normal weight group. In CMJ task, differences in the after-fall jump phase were observed. More studies are needed to explain if the few differences observed between groups are caused by the bigger amount of fat mass.

Three-dimensional kinematics of the lower limbs in hip osteoarthritis during walking

To describe the kinematic adaptations of all lower limb joints in hip osteoarthritis patients during walking. Patients with unilateral primary hip OA, without associated joint disorders were included. Normal subjects were included as controls. Gait analysis, using a 3-dimensional computerised gait analysis system was used to evaluate the usual spatiotemporal parameters, the peak motion of the hips, knees, and ankles during walking, and the intersegmental coordination of the lower limbs. Eleven patients, mean age =60.5 ± 7 years and nine controls, mean age=60.3 ± 7 years, were included. The gait of hip OA patients was characterised as follows: a reduced stride length, a reduced maximal flexion and extension in the OA hip, a reduced maximal contralateral hip range of motion, an increased ipsi- and contralateral ankle dorsal flexion, a decreased ipsilateral relative temporal phase between the thighs and shanks segments and an increased ipsilateral relative phase between the shanks and foot segments. The present results suggest that hip OA patients use shorter stride length, less contra lateral and especially ipsilateral hip motion, modify ankles motion, and have a different intra-limb coordination pattern compared to control subjects.

Individuals with patellofemoral joint osteoarthritis exhibit different proximal and distal kinematic adaptations to foot orthoses

Patellofemoral joint (PFJ) osteoarthritis (OA) is becoming increasingly recognised as an important source of knee pain and morbidity associated with degenerative knee joint disease, a common sequelae of sport-related injuries. Considering limitations of current surgical strategies for PFJ OA, it is vital to develop an understanding of simple, conservative strategies to reduce the burden of this common condition. While previous studies have shown that foot orthoses reduce pain, improve function and change kinematics in young adults with PFJ pain, their effects have yet to be investigated in an older cohort with OA.

Comfort and midfoot mobility rather than orthosis hardness or contouring influence their immediate effects on lower limb function in patients with anterior knee pain

BackgroundDespite evidence for use of foot orthoses in the treatment of anterior knee pain, there is a paucity of research into their mechanisms of action. This study (i) determined the immediate lower limb kinematics and muscle activity adaptations, and (ii) evaluated the effect of individual's comfort and foot mobility. MethodsForty individuals diagnosed with anterior knee pain were measured for lower limb kinematics and electromyographic activity (via surface electrodes) while they jogged in three prefabricated contoured orthoses (hard, medium and soft) and a soft-flat orthosis. Subjects ranked orthoses in order of comfort. FindingsSoft orthoses were more comfortable. No immediate adaptations in kinematics and electromyographic activity were observed when orthoses were added to shoes. There were few effects of perceived comfort and foot mobility, one being a significant interaction in frontal plane hip motion (Pillai's V=0.089, P=0.031) with the least comfortable orthosis producing the greatest relative adduction in those with mobile feet (0.54° (standard deviation 0.87)). Other main effects were a significant increase in vastus lateralis activity when wearing the least comfortable orthosis (6.94%, P=0.007) and a delay in offset of medial gastrocnemius in individuals with less mobile feet (1.51%, P=0.045). InterpretationIt is becoming apparent that it is important to use more comfortable foot orthoses in a condition like anterior knee pain, where there is an associated increased hip adduction and vastus lateralis activity with least comfortable orthoses. Future research is needed to determine adaptations after ongoing wearing of orthoses.

Intrinsic foot and ankle mobility during cross-slope running

The biomechanics of level running are well researched (Novacheck 1998). However, less is known about the kinematic adaptations during cross-slope running (Fujii et al. 1999, Sussman et al. 2001). C...

Kinematic adaptations to a lateral stiffness shoe in walking

Kinematic adaptations to a lateral stiffness shoe in walking

Inter-segment foot kinematics during cross-slope running

Cross-slopes are a common terrain characteristic, however there is no biomechanical knowledge of the intra-foot adaptations required for running on these surface inclinations. The purpose of this study was to evaluate the kinematic changes induced within the foot while running on a transversely inclined surface. A three-segment foot model distinguishing between the hindfoot, forefoot, and hallux was used for this purpose. Nine healthy experienced male runners volunteered to perform level (0°) and cross-slope (10°) running trials barefoot at a moderate speed. Multivariate analysis of variance (MANOVA) for repeated measures was used to analyze the kinematics of the hindfoot with respect to tibia (HF/TB), forefoot with respect to hindfoot (FF/HF), and hallux with respect to forefoot (HX/FF) during level running (LR), incline running up-slope (IRU), and incline running down-slope (IRD) conditions. In the sagittal plane, the FF/HF angle showed greater dorsiflexion at peak vertical force production (MaxFz) in IRD compared to LR (p=0.042). The HX/FF was significantly more extended during IRU than LR at foot strike (p=0.027). More importantly, frontal plane asymmetries were also found. HF/TB angles revealed greater inversion at foot strike followed by greater eversion at MaxFz for IRU compared to IRD (p=0.042 and p=0.018, respectively). For the FF/HF angle, maximum eversion was greater during IRD than LR (p=0.035). Data suggests that running on cross-slopes can induce substantial intra-foot kinematic adaptations, whether this represents a risk of injury to both recreational and professional runners remains to be determined.