Magnitude Of Ground Reaction Force Research Articles

The effect of center of pressure alteration on the ground reaction force during gait: A statistical model

BackgroundFoot problems and lower-limb diseases (e.g., foot ulcers, osteoarthritis, etc.), are presented with a ground reaction force (GRF) that may deviate substantially from the normal. Thus, GRF manipulation is a key parameter when treating symptoms of these diseases. In the current study, we examined the impact of footwear-generated center of pressure (COP) manipulations on the GRF components, and the ability to predict this impact using statistical models. MethodsA foot-worn biomechanical device which allows manual manipulation of the COP location was utilized. Twelve healthy young men underwent gait analysis with the device set to convey seven COP conditions: (1) a neutral condition, (2) lateral and (3) medial offset along the medio-lateral foot axis, (4) anterior and (5) posterior offset along the antero-posterior foot axis, and (6) a dorsi-flexion and (7) plantar-flexion condition. Changes in the magnitude and the early stance-phase impulse of the GRF components across COP conditions were observed. Linear models were used to describe relationships between COP conditions and GRF magnitude and impulse. ResultsWith respect to ANOVA, the vertical and antero-posterior components of the GRF were significantly influenced by the COP configuration throughout the different stages of the stance-phase, whereas the medio-lateral components were not. The models of vertical, antero-posterior and medio-lateral GRF components were statistically significant. SignificanceThe study results are valuable for the development of a method and means for efficient treatment of foot and lower-limb pathologies. The ability to predict and control the GRF components along three orthogonal axes, for a given COP location, provides a strong tool for efficient treatment of foot and lower-limb diseases and may also have relevant implications in sports shoe design. This study is a preliminary investigation for our ultimate goal to develop an effective treatment method by developing an autonomous GRF manipulations device based on closed-loop feedback.

Force dynamics and synergist muscle activation in stick insects: the effects of using joint torques as mechanical stimuli.

Many sensory systems are tuned to specific parameters of behaviors and have effects that are task-specific. We have studied how force feedback contributes to activation of synergist muscles in serially homologous legs of stick insects. Forces were applied using conventional half-sine or ramp and hold functions. We also utilized waveforms of joint torques calculated from experiments in freely walking animals. In all legs, forces applied to either the tarsus (foot) or proximal leg segment (trochanter) activated synergist muscles that generate substrate grip and support, but coupling of the depressor muscle to tarsal forces was weak in the front legs. Activation of trochanteral receptors using ramp and hold functions generated positive feedback to the depressor muscle in all legs when animals were induced to seek substrate grip. However, discharges of the synergist flexor muscle showed adaptation at moderate force levels. In contrast, application of forces using torque waveforms, which do not have a static hold phase, produced sustained discharges in muscle synergies with little adaptation. Firing frequencies reflected the magnitude of ground reaction forces, were graded to changes in force amplitude, and could also be modulated by transient force perturbations added to the waveforms. Comparison of synergist activation by torques and ramp and hold functions revealed a strong influence of force dynamics (dF/d t). These studies support the idea that force receptors can act to tune muscle synergies synchronously to the range of force magnitudes and dynamics that occur in each leg according to their specific use in behavior. NEW & NOTEWORTHY The effects of force receptors (campaniform sensilla) on leg muscles and synergies were characterized in stick insects using both ramp and hold functions and waveforms of joint torques calculated by inverse dynamics. Motor responses were sustained and showed reduced adaptation to the more "natural" and nonlinear torque stimuli. Calculation of the first derivative (dF/d t) of the torque waveforms demonstrated that this difference was correlated with the dynamic sensitivities of the system.

Bilateral Comparison of Vertical Jump Landings and Step-off Landings From Equal Heights.

Harry, JR, Silvernail, JF, Mercer, JA, and Dufek, JS. Bilateral comparison of vertical jump landings and step-off landings from equal heights. J Strength Cond Res 32(7): 1937-1947, 2018-The purpose of this investigation was to examine kinetic, kinematic, and temporal parameters during vertical jump landings (VJL) and step-off landings (STL) from equal heights. Five men (25.0 ± 1.6 years; 1.7 ± 0.4 m; 79.7 ± 7.1 kg) and 5 women (20.8 ± 1.6 years; 1.6 ± 0.4 m; 68.5 ± 7.1 kg) performed 15 VJL and 15 STL. Paired-samples t-tests (α = 0.05) compared impact velocity and the times to the first (F1) and second (F2) peak vertical ground reaction force magnitudes (tF1 and tF2) and the end of impact. Two-way analyses of variance (α = 0.05) compared limb and task differences in F1, F2, hip, knee, and ankle joint angles at ground contact, F1, F2, and the end of impact, and hip, knee, and ankle joint displacements between contact and F1, F1 and F2, and F2 and the end of impact. Impact velocity was not different between STL and VJL, although STL produced a greater F1 and a more rapid tF2. Greater hip, knee, and ankle flexion/dorsiflexion occurred during STL throughout the majority of impact regardless of limb. Lesser hip, knee, and ankle joint displacements occurred during STL regardless of limb between F1 and F2, whereas greater joint displacement occurred between F2 and the end of impact. Lastly, knee joint angles at ground contact differed between limbs during STL only. Strength and conditioning professionals aiming to improve an athlete's performance during sport-specific jump landings should consider the likely impact attenuation outcomes before selecting STL or VJL in training.

Gait Biomechanics at Different Time Periods Following Anterior Cruciate Ligament Reconstruction

Aberrant gait biomechanics following anterior cruciate ligament reconstruction (ACLR) are hypothesized to contribute to the increased risk of developing knee osteoarthritis (OA). It remains unclear how time since ACLR influences gait biomechanics. PURPOSE: To determine how time since ACLR influences loading characteristics during walking gait following ACLR. METHODS: Ninety-five (64 F, 31 M; 73.4±11.5 kg) individuals at least 6 months removed from unilateral ACLR and 25 (20 females, 5 males; 62.8±11.0 kg) uninjured controls volunteered for the study. The ACLR cohort was categorized into four groups based on time since ACLR: 6 months (n=24); 7-12 months (n=24); 13-36 months (n=21); >36 months (n=26). Kinetics and kinematics were sampled during walking gait at a self-selected speed with peak vertical ground reaction force magnitude (vGRF), peak instantaneous loading rate (ILR; first time derivative), and linear loading rate (LLR; slope), and peak internal knee extension, valgus, and varus moments identified during the first 50% of the stance phase. vGRF, ILR, and LLR were normalized to body weight (xBW) and moments were normalized to the product of BW and height (BW*ht). Outcomes were compared between groups via one-way ANOVA with Bonferroni corrections. RESULTS: vGRF was significantly lower in the 6 month (1.04±0.07 xBW) group compared to the uninjured (1.12±0.09 xBW; p=0.03) and 13-36 month (1.13±0.10 xBW; p=0.005) groups. LLR was significantly less in the 6 month (6.88±1.5 xBW/s) group compared to the 13-36 (9.02±2.0 xBW/s; p=0.005) and >36 month (8.57±2.2 xBW/s; p=0.038) groups. The internal knee extension moment was significantly larger in the 7-12 (-0.059±0.02 xBW*ht; p=0.006) and >36 month (-0.057±0.02 xBW*ht; p=0.01) groups compared to the uninjured group (-0.038±0.015 xBW*ht). CONCLUSION: Based on these results, walking gait biomechanics fluctuate following ACLR as representative of lower loading early and increasing over time. Continued research should be conducted to determine the necessary ranges for joint loading during walking gait to preserve joint health following injury and take into consideration the changes in walking gait over time to establish how these alterations influence risk of OA.

Gait strategies to reduce the dynamic joint load in the lower limbs during a loading response in young healthy adults

Reducing external joint moments during gait can lead to a reduction in dynamic joint load. There has yet to be a detailed investigation of gait strategies that can reduce external joint moments by decreasing the magnitude of ground reaction force (GRF) without reducing the walking speed. The objectives of this study were to verify whether it is possible to reduce external joint moments by decreasing the GRF magnitude without reducing the walking speed and to identify the alternative walking strategy involved in young healthy adults. This study included 14 young healthy subjects. They performed two types of walking: normal and impact reduction walking. For impact reduction walking, the subjects walked in a manner that reduced the impact upon foot contact. Cadence and step length were unified between the two conditions. The walking speed, peak value of vertical GRF, braking-accelerating force, loading rate, joint angle, and external joint moments of the two conditions were recorded and compared. No significant difference was noted in the walking speed. However, the first peak of vertical GRF, braking force, and loading rate during loading response were significantly reduced during impact reduction walking, and external joint moments in the hip, knee, and ankle joints were reduced. In contrast, the second peak of vertical GRF, hip extension angle, and external ankle dorsiflexion moment were significantly increased during terminal stance. Our data imply that the ankle joint function during the terminal stance is important in reducing the dynamic joint load in the contralateral leg during the loading response.

Application of dGNSS in Alpine Ski Racing: Basis for Evaluating Physical Demands and Safety.

External forces, such as ground reaction force or air drag acting on athletes' bodies in sports, determine the sport-specific demands on athletes' physical fitness. In order to establish appropriate physical conditioning regimes, which adequately prepare athletes for the loads and physical demands occurring in their sports and help reduce the risk of injury, sport-and/or discipline-specific knowledge of the external forces is needed. However, due to methodological shortcomings in biomechanical research, data comprehensively describing the external forces that occur in alpine super-G (SG) and downhill (DH) are so far lacking. Therefore, this study applied new and accurate wearable sensor-based technology to determine the external forces acting on skiers during World Cup (WC) alpine skiing competitions in the disciplines of SG and DH and to compare these with those occurring in giant slalom (GS), for which previous research knowledge exists. External forces were determined using WC forerunners carrying a differential global navigation satellite system (dGNSS). Combining the dGNSS data with a digital terrain model of the snow surface and an air drag model, the magnitudes of ground reaction forces were computed. It was found that the applied methodology may not only be used to track physical demands and loads on athletes, but also to simultaneously investigate safety aspects, such as the effectiveness of speed control through increased air drag and ski–snow friction forces in the respective disciplines. Therefore, the component of the ground reaction force in the direction of travel (ski–snow friction) and air drag force were computed. This study showed that (1) the validity of high-end dGNSS systems allows meaningful investigations such as characterization of physical demands and effectiveness of safety measures in highly dynamic sports; (2) physical demands were substantially different between GS, SG, and DH; and (3) safety-related reduction of skiing speed might be most effectively achieved by increasing the ski–snow friction force in GS and SG. For DH an increase in the ski–snow friction force might be equally as effective as an increase in air drag force.

Differences in greater trunk acceleration frequency in badminton games between high-school and junior high-school players

Background: The incidence of sports injury is higher during competitions or games than in practice. Especially in female adolescents, the risk of anterior cruciate ligament (ACL) injury rapidly increases during games. The magnitude and patterns of ground reaction force (GRF) affect the knee valgus moment, which potentially increases mechanical stress on the ACL. Some studies recently estimated the GRF without using a force platform or quantified the physical load during game situations by using an inertia sensor. However, the competitive movement with greater load for peripubertal players is unknown. The purpose of this study was to compare the frequency of greater acceleration movement during real game situations between high-school and junior high-school players.

Ontogenetic changes in foot strike pattern and calcaneal loading during walking in young children

The assumption that the morphology of the human calcaneus reflects high and cyclical impact forces at heel strike during adult human walking has never been experimentally tested. Since a walking step with a heel strike is an emergent behavior in children, an ontogenetic study provides a natural experiment to begin testing the relationship between the mechanics of heel strike and calcaneal anatomy. This study examined the ground reaction forces (GRFs) of stepping in children to determine the location of the center of pressure (COP) relative to the calcaneus and the orientation and magnitude of ground reaction forces during foot contact. Three-dimensional kinematic and kinetic data were analyzed for 18 children ranging in age from 11.5 to 43.1 months. Early steppers used a flat foot contact (FFC) and experienced relatively high vertical and resultant GRFs with COP often anterior to the calcaneus. More experienced walkers used an initial heel contact (IHC) in which GRFs were significantly lower but the center of pressure remained under the heel a greater proportion of time. Thus, during FFC the foot experienced higher loading, but the heel itself was relatively wider and the load was distributed more evenly. In IHC walkers load was concentrated on the anterior calcaneus and a narrower heel, suggesting a need for increased calcaneal robusticity during development to mitigate injury. These results provide new insight into foot loading outside of typical mature contact patterns, inform structure-function relationships during development, and illuminate potential causes of heel injury in young walkers.

Locomotion Strategy and Magnitude of Ground Reaction Forces During Treadmill Training on ISS.

Creation of the cosmonaut in-flight physical training process is currently based on the leading role of support afferents in the development of hypogravity changes in the motor system. We assume that the strength of support afferents is related to the magnitude of the ground reaction forces (GRF). For this purpose it was necessary to compare the GRF magnitude on the Russian BD-2 treadmill for different locomotion types (walking and running), modes (active and passive), and subjects. Relative GRF values were analyzed while subjects performed walking and running during active and passive modes of treadmill belt movement under 1 G (N = 6) and 0 G (N = 4) conditions. For different BD-2 modes and both types of locomotion, maximum GRF values varied in both 0 G and 1 G. Considerable individual variations were also found in the locomotion strategies, as well as in maximum GRF values. In 0 G, the smallest GRF values were observed for walking in active mode, and the largest during running in passive mode. In 1 G, GRF values were higher during running than while walking, but the difference between active and passive modes was not observed; we assume this was due to the uniqueness of the GRF profile. The maximum GRF recorded during walking and running in active and passive modes depended on the individual pattern of locomotion. The maximum GRF values that we recorded on BD-2 were close to values found by other researchers. The observations from this study could guide individualized countermeasures prescriptions for microgravity.Fomina E, Savinkina A. Locomotion strategy and magnitude of ground reaction forces during treadmill training on ISS. Aerosp Med Hum Perform. 2017; 88(9):841-849.

Ground reaction forces produced by two different hockey skating arm swing techniques

The arm swing in hockey skating can have a positive effect on the forces produced by each skate, and the resulting velocity from each push off. The main purpose of this study was to measure the differences in ground reaction forces (GRFs) produced from an anteroposterior versus a mediolateral style hockey skating arm swing. Twenty-four elite-level female hockey players performed each technique while standing on a ground-mounted force platform, and all trials were filmed using two video cameras. Force data was assessed for peak scaled GRFs in the frontal and sagittal planes, and resultant GRF magnitude and direction. Upper limb kinematics were assessed from the video using Dartfish video analysis software, confirming that the subjects successfully performed two distinct arm swing techniques. The mediolateral arm swing used a mean of 18.38° of glenohumeral flexion/extension and 183.68° of glenohumeral abduction/adduction while the anteroposterior technique used 214.17° and 28.97° respectively. The results of this study confirmed that the mediolateral arm swing produced 37% greater frontal plane and 33% less sagittal plane GRFs than the anteroposterior arm swing. The magnitudes of the resultant GRFs were not significantly different between the two techniques; however, the mediolateral technique produced a resultant GRF with a significantly larger angle from the direction of travel (44.44°) as compared to the anteroposterior technique (31.60°). The results of this study suggest that the direction of GRFs produced by the mediolateral arm swing more closely mimic the direction of lower limb propulsion during the skating stride.

Prediction of active peak force using a multilayer perceptron

Both kinematic parameters and ground reaction forces (GRFs) are necessary for understanding the biomechanics of running. Kinematic information of a runner is typically measured by a motion capture system whereas GRF during the support phase of running is measured by force platforms. To analyze both kinematics and kinetics of a runner over several subsequent contacts, an instrumented treadmill or alternatively several force platforms installed over a regulated space are available options, but they are highly immovable, expensive, and sometimes even impractical options. Naturally, it would be highly useful to predict GRFs using a motion capture system only and this way reduce costs and complexity of the analysis. In this study, the machine learning model for vertical GRF magnitude prediction based on running motion information of 128 healthy adults is proposed. The predicted outputs of a multilayer perceptron model were compared with the actual force platform measurements. The results were evaluated with Pearson’s correlation coefficient through a tenfold cross validation. The mean standard error of the estimate was 0.107 body weights showing that our method is sufficiently accurate to identify abnormalities in running technique among recreational runners.

Ankle brace attenuates the medial-lateral ground reaction force during basketball rebound jump

ABSTRACT Introduction: The jump landing is the leading cause for ankle injuries in basketball. It has been shown that the use of ankle brace is effective to prevent these injuries by increasing the mechanical stability of the ankle at the initial contact of the foot with the ground. Objective: To investigate the effects of ankle brace on the ground reaction force (GRF) during the simulation of a basketball rebound jump. Method: Eleven young male basketball players randomly carried out a simulated basketball rebound jump under two conditions, with and without ankle brace (lace-up). Dynamic parameters of vertical GRF (take-off and landing vertical peaks, time to take-off and landing vertical peaks, take-off impulse peak, impulse at 50 milliseconds of landing, and jump height) and medial-lateral (take-off and landing medial-lateral peaks, and time to reach medial-lateral peaks at take-off and landing) were recorded by force platform during rebound jumps in each tested condition. The comparisons between the tested conditions were performed by paired t test (P<0.05). Results: The use of ankle braces reduced the medial and lateral peaks of the GRF by -15.7% (P=0.035) and -24.9% (P=0.012), respectively, during the landing of the rebound jump. Additionally, wearing the brace did not affect any dynamic parameters of vertical GRF or temporal parameters of the medial-lateral GRF (P>0.05). Conclusion: The use of ankle brace during basketball rebound jumps attenuates the magnitude of medial-lateral GRF on the landing phase, without changing the vertical GRF. This finding indicates that the use of brace increases the medial-lateral mechanical protection by decreasing the shear force exerted on the athlete’s body without change the application of propulsive forces in the take-off and the impact absorption quality in the landing during the basketball rebound jump.

How do rocker-soled shoes influence the knee adduction moment in people with knee osteoarthritis? An analysis of biomechanical mechanisms

The primary objective was to examine mechanisms behind previously observed changes in the knee adduction moment (KAM) with rocker-soled shoes, in participants sub-grouped according to whether they experienced an immediate decrease, or increase, in peak KAM. In subgroups where frontal plane knee ground reaction force (GRF) lever-arm emerged as a significant predictor, a secondary aim was to examine biomechanical factors that contributed to change in this parameter. Thirty individuals with symptomatic, radiographic knee osteoarthritis (OA) underwent 3D gait analysis in unstable rocker-soled shoes and non-rocker-soled shoes. Multiple regression analyses, within each subgroup, examined relationships between changes in frontal plane knee-GRF lever arm and frontal plane resultant GRF magnitude and changes in peak KAM and KAM impulse between shoe conditions. In the subgroup that decreased peak KAM with rocker-soled shoes (n=23), change in knee-GRF lever arm and frontal plane GRF magnitude at peak KAM together were significant predictors of change in peak KAM; however, only change in mean knee-GRF lever arm significantly predicted change in KAM impulse. Decreased medial GRF magnitude, increased lateral trunk lean towards the stance limb and reduced varus/increased valgus hip-knee-ankle angle were associated with a lower knee-GRF lever arm in this group, with rocker-soled shoes. In contrast, none of the independent variables predicted changes in KAM in the subgroup who increased peak KAM with rocker-soled shoes (n=7).

Reliability of the Kinetics of British Army Foot Drill in Untrained Personnel

Rawcliffe, AJ, Simpson, RJ, Graham, SM, Psycharakis, SG, Moir, GL, and Connaboy, C. Reliability of the kinetics of British Army foot drill in untrained personnel. J Strength Cond Res 31(2): 435-444, 2017-The purpose of this study was to quantify the reliability of kinetic variables of British Army foot drill performance within untrained civilians and report the magnitude of vertical ground reaction force (vGRF) and vertical rate of force development (RFD) of foot drills. Fifteen recreational active males performed 3 testing sessions across a 1-week period, with each session separated by 24 hours. Within each testing session participants (mean ± SD; age 22.4 ± 1.7 years; height 177 ± 5.6 cm; weight 83 ± 8.7 kg) completed 10 trials of stand-at-attention (SaA), stand-at-ease (SaE), Halt, quick-march (QM) and a normal walking gait, with vGRF and vertical RFD measured on a force plate. Between-session and within-session reliability was calculated as systematic bias, coefficient of variation calculated from the typical error (CVte%), and intraclass correlation coefficient (ICC). Significant (p ≤ 0.05) between-session differences were found for the vGRF SaA and SaE, and vertical RFD SaA and SaE conditions. Significant (p ≤ 0.05) within-session differences were found for the vGRF SaA and SaE conditions. A mean vGRF CVte% ≤10% was observed across all foot drills. However, the mean vertical RFD CVte% observed was ≥10% (excluding SaE) across all foot drills. The ICC analyses indicated that the vGRF Halt, QM, SaA, and Walk condition achieved moderate to large levels of test-retest reliability, with only SaE failing to achieve an ICC value ≥0.75. The vertical RFD QM, SaE, and Walk condition achieved moderate levels of test-retest reliability, with Halt and SaA failing to achieve an ICC value ≥0.75. It was determined that a single familiarization session and using the mean of 8 trials of vGRF are required to achieve acceptable levels of reliability.

Effect of an Arm Swing on Countermovement Vertical Jump Performance in Elite Volleyball Players: FINAL.

The aim of this study was to determine how elite volleyball players employed the arm swing (AS) to enhance their jump performance. The study assessed how the AS influenced the duration and magnitude of the vertical ground reaction force (VGRF) during the main phases (preparatory, braking and accelerating) of the countermovement vertical jump (CMVJ), the starting position of the body at the beginning of the accelerating phase and the moment when the AS began contributing to increasing the jump height. Eighteen elite volleyball players performed three CMVJs with and without an AS. Kinetics and kinematics data were collected using two Kistler force plates and the C-motion system. The time and force variables were evaluated based on the VGRF, and the position of the body and the trajectory of the arm movement were determined using kinematic analysis. The AS improved the CMVJ by increasing the jump height by 38% relative to jumping without an AS. The AS significantly shortened the braking phase and prolonged the accelerating phase, however, it did not influence the preparatory phase or the overall jump duration. The AS also significantly increased the average force during the accelerating phase as well as the accelerating impulse. The AS upward began at 76% into the overall jump duration. The AS did not influence the body position at the beginning of the accelerating phase. These findings can be used to improve performance of the CMVJ with the AS and in teaching beginning volleyball players proper jumping technique.

Changing Sagittal-Plane Landing Styles to Modulate Impact and Tibiofemoral Force Magnitude and Directions Relative to the Tibia.

Ground reaction force (GRF) and tibiofemoral force magnitudes and directions have been shown to affect anterior cruciate ligament loading during landing. However, the kinematic and kinetic factors modifying these 2 forces during landing are unknown. To clarify the intersegmental kinematic and kinetic links underlying the alteration of the GRF and tibiofemoral force vectors secondary to changes in the sagittal-plane body position during single-legged landing. Crossover study. Laboratory. Twenty recreationally active participants (age = 23.4 ± 3.6 years, height = 171.0 ± 9.4 cm, mass = 73.3 ± 12.7 kg). Participants performed single-legged landings using 3 landing styles: self-selected landing (SSL), body leaning forward and landing on the toes (LFL), and body upright with flat-footed landing (URL). Three-dimensional kinetics and kinematics were recorded. Sagittal-plane tibial inclination and knee-flexion angles, GRF magnitude and inclination angles relative to the tibia, and proximal tibial forces at peak tibial axial forces. The URL resulted in less time to peak tibial axial forces, smaller knee-flexion angles, and greater magnitude and a more anteriorly inclined GRF vector relative to the tibia than did the SSL. These changes led to the greatest peak tibial axial and anterior shear forces in the URL among the 3 landing styles. Conversely, the LFL resulted in longer time to peak tibial axial forces, greater knee-flexion angles, and reduced magnitude and a more posteriorly inclined GRF vector relative to the tibia than the SSL. These changes in LFL resulted in the lowest peak tibial axial and largest posterior shear forces among the 3 landing styles. Sagittal-plane intersegmental kinematic and kinetic links strongly affected the magnitude and direction of GRF and tibiofemoral forces during the impact phase of single-legged landing. Therefore, improving sagittal-plane landing mechanics is important in reducing harmful magnitudes and directions of impact forces on the anterior cruciate ligament.

The Sensitivity of Joint Torques During Running to Forceplate Data Error

The purpose of this study was to evaluate the relationship between forceplate inaccuracies and joint torques during running. Instrumented gait analysis data were collected on a single subject running above ground. A Monte Carlo analysis was performed using 60 simulations. In each simulation, joint torques were computed as the ground reaction force (GRF) data were perturbed. Errors in joint torques were larger for proximal joints compared to the distal joints. These errors in joint torques were due more to inaccuracies in the GRF magnitude than the center of pressure (COP) measurements. Clinically, these results may be used to determine a priori the forceplate accuracy needed to measure a desired difference in joint torque between patient populations.

Association of spinal deformity and pelvic tilt with gait asymmetry in adolescent idiopathic scoliosis patients: Investigation of ground reaction force

BackgroundAdolescent idiopathic scoliosis is a prevalent orthopedic problem in children ages 10 to 16years. Although genetic, physiological and biomechanical factors are considered to contribute to the onset and progression of adolescent idiopathic scoliosis, the underlying mechanisms are not yet clear. The purpose of this study was to investigate the association between spinal deformity and inter-leg ground reaction force asymmetry during walking in adolescent idiopathic scoliosis patients. MethodsFourteen patients (3 males and 11 females) participated in this study. Maximum Cobb's angle, adjusted Cobb's angle, and pelvic tilt were calculated from X-ray images. Asymmetry indices between legs were also calculated from ground reaction force magnitude and time variables from their preferred speed walking. Pearson coefficients of correlation were used to investigate associations of asymmetry indices with angle variables. FindingsAsymmetry indices of ground reaction force magnitudes positively correlated with adjusted Cobb's angle and maximum Cobb's angle mainly during the peak of braking phase, average of braking phase, while asymmetry indices of ground reaction force time variables showed no significant correlation with adjusted or maximum Cobb's angle. In contrast, asymmetry indices of ground reaction force time variables positively correlated with pelvic tilt during stance phase. InterpretationWe concluded that the spinal deformity of adolescent idiopathic scoliosis patients estimated using the maximum and adjusted Cobb's angles is generally associated with greater asymmetry of ground reaction force magnitudes in walking, while the pelvic tilt is associated with the greater asymmetry of ground reaction force time variables.

The Effects of Running Speed on Ground Reaction Forces and Lower Limb Kinematics During Single-Leg Stop Movement

The purpose of this study was to investigate the effects of running speed on both ground reaction forces (GRFs) and lower limb kinematics during the deceleration phase of the single-leg stop movement. With 7 male university students participating in this study, each subject accelerated forwards at 3 approach speeds (2.50, 2.75, and 3.00 m·s), and stopped with the right leg landing on the force plate. Kinematic data were recorded from a lateral view using 1 high-speed camera. The result was that all subjects indicated the same stopping pattern, and 3 peaks of the resultant GRF were observed. The first peak (P1) appeared before full foot-ground contact, and the time to peak from initial foot contact to P1 was significantly shorter with increasing approach speeds (p ≤ 0.05). The second (P2) and third (P3) peaks were observed after full foot-ground contact, and the resultant GRF at P3 and the posterior GRF at P2 and P3 were significantly greater with increasing approach speeds (p ≤ 0.05). The hip flexion and the planter flexion angles at each peak were larger with increasing approach speeds (p ≤ 0.05). However, there was no significant difference in the vertical GRF, range of motion, and angular velocity of hip, knee, and ankle joints when comparing different approach speeds. This study suggests that to improve the stop movement strategy under faster approach speeds, it is important to increase the magnitude of posterior GRF and the hip and ankle flexion angles under increasing speeds.

Shock absorption during transtibial amputee gait: Does longitudinal prosthetic stiffness play a role?

Reduced-stiffness components are often prescribed in lower-limb prostheses, but their efficacy in augmenting shock absorption has been inconclusive. To perform a systematic variation of longitudinal prosthetic stiffness over a wide range of values and to evaluate its effect on shock absorption during gait. Repeated-measures crossover experiment. Twelve subjects with a unilateral transtibial amputation walked at normal and fast self-selected speeds. Longitudinal prosthetic stiffness was modified by springs within a shock-absorbing pylon: normal (manufacturer recommended), 75% of normal (medium), 50% of normal (soft), and rigid (displacement blocked). The variables of interest were kinematic (stance-phase knee flexion and pelvic obliquity) and kinetic (prosthetic-side ground reaction force loading peak magnitude and timing). No changes were observed in kinematic measures during gait. A significant difference in peak ground reaction force magnitudes between medium and normal ( p = 0.001) during freely selected walking was attributed to modified walking speed ( p = 0.008). Ground reaction force peaks were found to be statistically different during fast walking, but only between isolated stiffness conditions. Thus, altering longitudinal prosthesis stiffness produced no appreciable change in gait biomechanics. Prosthesis stiffness does not appear to substantially influence shock absorption in transtibial prosthesis users. Clinical relevance Varying the level of longitudinal prosthesis stiffness did not meaningfully influence gait biomechanics at self-selected walking speeds. Thus, as currently prescribed within a transtibial prosthesis, adding longitudinal stiffness in isolation may not provide the anticipated shock absorption benefits. Further research into residual limb properties and compensatory mechanisms is needed.