Maximum Extension Research Articles

Effects of Maximal Eccentric Trunk Extensor Exercise on Lumbar Extramuscular Connective Tissue: A Matched-Pairs Ultrasound Study.

Recently, it has been shown that the extramuscular connective tissue (ECT) is likely involved in delayed onset muscle soreness (DOMS). Therefore, the aim of the present study was to investigate the effects of maximal trunk extension eccentric exercise (EE) on ECT thickness, self-reported DOMS, ECT stiffness, skin temperature, and possible correlations between these outcomes. Healthy adults (n = 16, 29.34 ± 9.87 years) performed fatiguing EE of the trunk. A group of highly active individuals (TR, n = 8, > 14 h of sport per week) was compared with a group of less active individuals (UTR, n = 8, < 2 h of sport per week). Ultrasound measurements of ECT thickness, stiffness with MyotonPro and IndentoPro, skin temperature with infrared thermography, and pain on palpation (100 mm visual analog scale, VAS) as a surrogate for DOMS were recorded before (t0), immediately (t1), 24 h (t24), and 48 h (t48) after EE. ECT thickness increased after EE from t0 to t24 (5.96 mm to 7.10 mm, p = 0.007) and from t0 to t48 (5.96 mm to 7.21 mm, p < 0.001). VAS also increased from t0 to t24 (15.6 mm to 23.8 mm, p < 0.001) and from t0 to t48 (15.6 mm to 22.8 mm, p < 0.001). Skin temperature increased from t1 to t24 (31.6° Celsius to 32.7° Celsius, p = 0.032) and t1 to t48 (31.6° Celsius to 32.9° Celsius, p = 0.003), while stiffness remained unchanged (p > 0.05). Correlation analysis revealed no linear relationship between the outcomes within the 48-hour measurement period. The results may confirm previous findings of possible ECT involvement in the genesis of DOMS in the extremities also for the paraspinal ECT of trunk extensors. Subsequent work should focus on possible interventions targeting the ECT to prevent or reduce DOMS after strenuous muscle EE.

Superimposed electromyostimulation of the thigh muscles during passive isokinetic cycling increases muscle strength without effort.

This study was designed to investigate the effects of a completely passive isokinetic cycle (PIC) exercise with electromyostimulation (EMS) on improving muscle strength and the changes in kinesthesia during daily activities. Twenty-nine sedentary females were divided into three groups. The EMS anterior and whole groups performed the PIC exercise without EMS 3 times a week for 3 weeks, followed by a 1-week break, and then performed it with EMS applied to the anterior and entire thigh muscles, respectively, 3 times a week for 3 weeks. The control group did not perform any training. The PIC exercise with EMS significantly increased the 30s chair stand test scores by 12-16% and the maximum isometric knee extension and flexion torques by 38-68% in both EMS-applied groups. The participants found its exercise easy and felt more comfortable with daily physical activities. The exercise without EMS did not show similar improvements. Muscle soreness was significantly greater in the EMS anterior group than in the EMS whole group; however, it was not severe. The PIC exercise with EMS resulted in significant increases in muscle strength, facilitating a perceived ease of daily physical activities, while minimizing difficulties, effort, and notable muscle soreness.

Effect of Different Foot Orthosis Inverted Angles on Walking Kinematics in Females with Flexible Flatfeet.

Although the inverted technique was shown to be more effective compared to other orthotic designs for the treatment of flatfeet, the biomechanical mechanisms underlying the therapeutic effect of the inverted angle orthoses is still unclear. Therefore, the aim of this study was to examine the effect of different inverted angles of foot orthoses on walking kinematics in females with flexible flatfeet. Thirty-one female adults with flexible flatfeet aged 18-35 years old participated in this study. Kinematic data of the hip, knee, and ankle were collected via BTS motion-capture system during walking under three test conditions in random order: with shoes only; with 15° inverted orthoses; and with 25° inverted orthoses. Compared to the shoes only condition, both the 15° and 25° inverted orthotic conditions significantly decreased the maximum ankle plantarflexion angle during loading response, maximum ankle dorsiflexion angle during mid-stance, maximum ankle external rotation angle, and maximum ankle internal rotation angle. The maximum ankle plantarflexion angle at toe-off showed a significant decrease with the 25° inverted angle orthosis compared to both the 15° inverted angle and shoes only conditions. No significant differences were found in the knee kinematic variables, maximum hip extension angle, and maximum hip adduction angle between test conditions. Using inverted orthoses at 15° and 25° inverted angles resulted in significant changes in ankle joint kinematics during walking in female adults with flexible flatfeet. A 25° inverted angle orthosis significantly decreased ankle plantarflexion during push-off, potentially impacting gait mechanics. This suggests that a smaller inverted angle may be more effective for managing flexible flatfeet in female adults.

Prevalence of global spinal malalignment and the influence on LBP and HR-QOL in a healthy, nonelderly population. A cross sectional analysis, including bone mineral density, skeletal muscle mass index, and back muscle extensor strength

BackgroundIn healthy, nonelderly populations, prevalence of 3 modifiers of global spinal malalignment (GS-MalAlign) (PT ≧20°, PI-LL≧10°, SVA≧40 mm) remains unknown. The clinical significance has not been determined. The purposes are to disclose the prevalence of the 3 modifiers of GS-MalAlign, and evaluate the influence on LBP, and HR-QOL related to bone mineral density (BMD), skeletal muscle mass index (SMI), and back muscle extensors strength (BMES) in a healthy, nonelderly population. MethodsA mono-centric, cross-sectional survey. Three hundred and 2 participants (18< age <65 years) without ADL disturbance were consecutively enrolled. Sagittal parameters of the spine and the pelvis were measure on whole spine radiograms. BMD and SMI were determined using DEXA. BMES was defined as a maximum extension force at the T4 to T7 level and measured by a strain-gauge dynamotor. LBP was checked through interview. HR-QOL was ascertained by score of Medical Outcome Study Short-Form 36-Health Survey (SF-36v2). ResultsThe final analysis could be done in 84 females and 179 males. PT≧20°, PI-LL≧10°, and SVA≧40 mm were found in 12% (31/263), 11% (31/263), and 6% (16/263), and each mean value was 25.0 ± 4.0°, 15.3 ± 5.9°, and 52.7 ± 12.2 mm (Mean ± S.D.). Prevalence of LBP was significantly higher in the participants with PI-LL≧10° than with PI-LL<10°; 43% (12/28) versus 21% (49/235) (p<.05). PI-LL≧10° only had an association with LBP (OR: 3.0435, 95% CI, 1.1378–8.141, p<.05). Four 2% of participants (4/263) associated with all 3 modifiers had LBP and a significantly lower mental component summary score of SF-36v2 (p<.05). ConclusionsSome of individuals are associated with GS-MalAlign even in healthy, nonelderly populations. There is a possibility that PI-LL ≧10° results in LBP within a degree of no ADL disturbance, and it is speculated that coexistence of all 3 modifiers of GS-MalAlign would lead to a poor mental HR-QOL.

Analogue experiments on releasing and restraining bends and their application to the study of the Barents Shear Margin

Abstract. The Barents Shear Margin separates the Svalbard and Barents Sea from the North Atlantic. During the break-up of the North Atlantic the plate tectonic configuration was characterized by sequential dextral shear, extension, and eventually contraction and inversion. This generated a complex zone of deformation that contains several structural families of overlapping and reactivated structures. A series of crustal-scale analogue experiments, utilizing a scaled and stratified sand–silicon polymer sequence, was used in the study of the structural evolution of the shear margin. The most significant observations for interpreting the structural configuration of the Barents Shear Margin are the following. Prominent early-stage positive structural elements (e.g. folds, push-ups) interacted with younger (e.g. inversion) structures and contributed to a hybrid final structural pattern. Several structural features that were initiated during the early (dextral shear) stage became overprinted and obliterated in the subsequent stages. All master faults, pull-apart basins, and extensional shear duplexes initiated during the shear stage quickly became linked in the extension stage, generating a connected basin system along the entire shear margin at the stage of maximum extension. The fold pattern was generated during the terminal stage (contraction–inversion became dominant in the basin areas) and was characterized by fold axes striking parallel to the basin margins. These folds, however, strongly affected the shallow intra-basin layers. The experiments reproduced the geometry and positions of the major basins and relations between structural elements (fault-and-fold systems) as observed along and adjacent to the Barents Shear Margin. This supports the present structural model for the shear margin.

Joint pressure stimuli increase quadriceps strength and neuromuscular activity in patients with knee osteoarthritis

The study investigated the effects of periarticular knee pressure stimuli on quadriceps strength and neuromuscular activity in subjects with knee osteoarthritis. Twenty-five subjects with knee osteoarthritis and 25 age-matched healthy controls performed maximal voluntary knee extension tasks on an isometric dynamometer. Three different pressure stimuli (no-pressure, 60-mmHg, 120-mmHg) were applied using a sphygmomanometer via the cuff covering the knee joint. Peak torque and root-mean-square peak of rectus femoris (RF), vastus medialis (VM), and vastus lateralis (VL) were collected and normalized for the no-pressure condition (nTorque-peak and nRMS-peak). Normalized Torque-peak increased from no-pressure to 60-mmHg and 120-mmHg in patients, which revealed higher nTorque-peak during 60-mmHg (MD: 10.9%, IC95: 1.8%, 20.1%, p = 0.020) and 120-mmHg (MD: 16.0%, IC95: 4.4%, 27.6%, p = 0.008) conditions than healthy subjects. Moreover, nRMS-peak increased from no-pressure to 60-mmHg for RF, from no-pressure to 120-mmHg for RF, VM and VL, and from 60-mmHg to 120 mm-Hg for VL in patients. Patients revealed higher nRMS-peak of RF and VM during 60-mmHg and 120-mmHg conditions than healthy subjects. Periarticular knee pressure stimuli enhanced quadriceps strength and neuromuscular activity in subjects with knee osteoarthritis. This approach may represent a new strength training modality in patients with neuromuscular activation deficits for knee osteoarthritis.

Lower limb muscle activation pattern in male soccer players with lumbar hyperlordosis

Objectivethe aim of the current study was to compare the lower limb muscle activation pattern in soccer players with and without lumbar hyperlordosis during single-leg squat performance. Methodsthirty male collegiate soccer players (15 with and 15 without lumbar hyperlordosis) performed the SLS task. Surface EMG was used to record the activation of eleven lower limb muscles. The activation of these muscles reduces to 100 points during the SLS cycle, where 50% demonstrates the maximum knee flexion, and 0% and 99% demonstrate the maximum knee extension. Resultssoccer players with lumbar hyperlordosis had higher muscle activation than those with normal lumbar lordosis in gluteus maximus, biceps femoris, and medial gastrocnemius. By contrast, they had lower gluteus medius, vastus medialis oblique, rectus femoris, soleus, and medial gastrocnemius (only in the final ascent phase of the SLS) muscle activity than the normal group during the SLS. Conclusionthis alteration may negatively affect targeted muscle performance during the SLS. Subsequent study is required to specify whether such an alteration in the lower limb muscle could be accompanied by injury in soccer players and change in their athletic performance.

Median nerve versus flexor tendons: visualization of median nerve level changes in the proximal carpal tunnel during wrist movement with dynamic high-resolution ultrasound.

The purpose of this prospective ultrasound study was to document dorso-palmar (vertical) displacement of the median nerve in relation to the superficial flexor tendons at the level of the carpal tunnel. Furthermore, the gliding patterns of the median nerve were characterized. The presence of vertical gliding was intended to serve as an additional bio-kinematic parameter of median nerve movement, and will be referred to as a 'level change'. In this study, a total of 32 healthy young individuals underwent dynamic high-resolution ultrasound examinations of both wrists. The neutral position, and maximum flexion and extension of the wrist had to be reached in active and passive movement. The gliding patterns were determined in relation to the superficial flexor tendons. When no vertical nerve gliding was observed, it was characterized as 'no level change'. The presence of a level change prevailed in the healthy young cohort and was observed in 84% (27/32) of individuals during wrist flexion. The following gliding pattern was distinctively the most common: gliding of the entire nerve in between the flexor tendons in active but not in passive movement of the right and left wrists (13/27; 48%). The extent of vertical displacement was found to be associated with the gliding pattern (Kruskal-Wallis test). Movement in the carpal tunnel allows the median nerve to adapt to biomechanical stress. Dynamic ultrasound can demonstrate median nerve level changes in response to wrist movements. Furthermore, a typical gliding pattern was characterized. The presence of level change and gliding patterns were proposed as additional movement parameters during wrist flexion in healthy individuals.

Life-expectancy changes during the COVID-19 pandemic from 2019-2021: estimates from Japan, a country with low pandemic impact.

The COVID-19 pandemic had a low impact on Japan in 2020, but the size of the epidemic increased considerably there in 2021. This study made a statistical analysis of life expectancy changes up to the end of 2021 in Japan. We aimed to estimate changes in life expectancy from 2019 to 2021 associated with the COVID-19 pandemic. To do so, we decomposed the life expectancy changes from 2020-2021 into age-specific and cause of death-specific contributions. We used the absolute number of deaths by age and prefecture in Japan to calculate life expectancy from 2019-21 at both national and prefectural levels, and also examined the correlation between life expectancy gap and annual number of COVID-19 cases, total person-days spent in intensive care, and documented deaths due to COVID-19. We used the Arriaga decomposition method to decompose national life expectancy changes from 2020 to 2021 into age and cause of death components. From 2019-2020, Japan's national level life expectancy across the entire population was extended by 0.24 years. From 2020-2021, it shortened by 0.15 years. The life expectancy shortened more among women (0.15 years) than men (0.12 years). There was significant heterogeneity in life expectancy changes from 2020-2021 by prefecture. It ranged from the maximum shortening of 0.57 years in Tottori prefecture to the maximum extension of 0.23 years in Fukui. The regression analysis revealed the negative correlation between the life expectancy change and burden of COVID-19 at prefectural level. The decomposition of life expectancy changes at birth from 2020-2021 showed that losses in life expectancy were largely attributable to the mortality of the population over 70 years old. Changes in life expectancy among infants and working-age adults mostly contributed to lengthening overall life expectancy. Among leading major causes of death, deaths due to neoplastic tumor and cardiovascular diseases contributed to shortening life expectancy, whereas respiratory diseases did not. The decades-long increasing trend in life expectancy was suspended by the COVID-19 pandemic. However, life expectancy changes from 2019-2020 and 2020-2021 were small in Japan. This may be attributable to the small epidemiological impact of COVID-19 during this time period, but nonetheless, the negative impact of COVID-19 on life expectancy was indicated in the present study. The chance of death accelerated in older people in 2021, but a smaller number of deaths than usual among infants and working age adults contributed to extended life expectancy, and the change in the cause of death structure under the COVID-19 pandemic also significantly contributed to shortening life expectancy.

Characterization of the Erosion Basin Shaped by the Jet Flow of Sky-Jump Spillways

The sky-jump spillway is an economical solution to return water to rivers, but an unsuitable flip bucket design might jeopardize the spillway, the dam, or other appurtenant works. Characterizing in advance, during the design phase, the position, size, and shape of the erosion basin would be useful to ensure that water flow is returned to the river in a safe way. Also, it would be useful for the safety assessment throughout the exploitation phase when erosion has not yet reached its maximum extension. Here, based on experimental laboratory work, the location, size, and shape of the erosion basin are analyzed, and a procedure is given for its characterization according to the design of the sky-jump spillway.

Dose-response analysis after administration of a human platelet-derived exosome product on neurite outgrowth in vitro.

Modulating the nerve's local microenvironment using exosomes is proposed to enhance nerve regeneration. This study aimed to determine the optimal dose of purified exosome product (PEP) required to exert maximal neurite extension. An in vitro dorsal root ganglion (DRG) neurite outgrowth assay was used to evaluate the effect of treatment with (i) 5% PEP, (ii) 10% PEP, (iii) 15% PEP, or (iv) 20% PEP on neurite extension (N = 9/group), compared to untreated controls. After 72 h, neurite extension was measured to quantify nerve regeneration. Live cell imaging was used to visualize neurite outgrowth during incubation. Treatment with 5% PEP resulted in the longest neurite extension and was superior to the untreated DRG (p = 0.003). Treatment with 10% PEP, 15% PEP, and 20% PEP was found to be comparable to controls (p = 0.12, p = 0.06, and p = 0.41, respectively) and each other. Live cell imaging suggested that PEP migrated towards the DRG neural regeneration site, compared to the persistent homogenous distribution of PEP in culture media alone. 5% PEP was found to be the optimal concentration for nerve regeneration based on this in vitro dose-response analysis.

Specific collagen peptides increase adaptions of patellar tendon morphology following 14-weeks of high-load resistance training: A randomized-controlled trial

ABSTRACT The purpose of this study was to investigate the effect of a supplementation with specific collagen peptides (SCP) combined with resistance training (RT) on changes in structural properties of the patellar tendon. Furthermore, tendon stiffness as well as maximal voluntary knee extension strength and cross-sectional area (CSA) of the rectus femoris muscle were assessed. In a randomized, placebo-controlled study, 50 healthy, moderately active male participants completed a 14-week resistance training program with three weekly sessions (70–85% of 1 repetition maximum [1RM]) for the knee extensors. While the SCP group received 5g of specific collagen peptides daily, the other group received the same amount of a placebo (PLA) supplement. The SCP supplementation led to a significant greater (p < 0.05) increase in patellar tendon CSA compared with the PLA group at 60% and 70% of the patellar tendon length starting from the proximal insertion. Both groups increased tendon stiffness (p < 0.01), muscle CSA (p < 0.05) and muscular strength (p < 0.001) throughout the intervention without significant differences between the groups. The current study shows that in healthy, moderately active men, supplementation of SCP in combination with RT leads to greater increase in patellar tendon CSA than RT alone. Since underlying mechanisms of tendon hypertrophy are currently unknown, further studies should investigate potential mechanisms causing the increased morphology adaptions following SCP supplementation. Trial registration: German Clinical Trials Register identifier: DRKS00029244..

The Magnetic Fields of Starburst Galaxies. I. Identification and Characterization of the Thermal Polarization in the Galactic Disk and Outflow

Far-infrared polarized emission by means of magnetically aligned dust grains is an excellent tracer of the magnetic fields (B-fields) in the cold phase of the galactic outflows of starburst galaxies. We present a comprehensive study of the B-fields in three nearby (3.5–17.2 Mpc) starbursts (M82, NGC 253, and NGC 2146) at 5 pc–1.5 kpc resolutions using publicly available 53–890 μm imaging polarimetric observations with Stratospheric Observatory for Infrared Astronomy/HAWC+, James Clerk Maxwell Telescope/POL-2, and ALMA. We find that the polarized spectral energy distributions (SEDs) of the full galaxies are dominated by the polarized SEDs of the outflows with dust temperatures of K and an emissive index of . The disks are characterized by low K and . We show that disk- and outflow-dominated galaxies can be better distinguished by using polarized SEDs instead of total SEDs. We compute the 53–850 μm polarization spectrum of the disk and outflow, and find that dust models of the diffuse ISM can reproduce the fairly constant polarization spectrum of the disk, 〈 P disk〉 = 1.2% ± 0.5%. The dust models of heterogenous clouds and two-temperature components are required to explain the polarization spectrum of the outflow (2%–4% at 53 μm, ∼1% at 850 μm, and a minimum within 89–154 μm). We conclude that the polarized dust grains in the outflow arise from a dust population with higher dust temperature and emissivities than those from the total flux. The B-fields of the outflows have maximum extensions within 89–214 μm reaching heights of ∼4 kpc, and have flatter polarized fluxes than total fluxes. The extension of the B-field permeating the circumgalactic medium increases as the star formation rate increases.

Low back pain and biomechanical characteristics of back muscles in firefighters

Firefighters often experience low back pain (LBP), but their back muscle characteristics are not well studied. This study aimed to 1) compare the biomechanical characteristics of back muscles and self-reported back disabilities in frontline firefighters with and without LBP history, and 2) examine the relationships between back disability and biomechanical measurements. We recruited 42 male firefighters and assessed their perceived pain and disabilities, maximum isometric back extension strength, passive stiffness, and fatigability of the longissimus. 54.8% of the participants experienced LBP within the past year. Those indicating higher pain intensity also had greater disability as indicated by the Oswestry Disability Index. There were no significant differences in strength, stiffness or fatigability of the back muscles between firefighters with and without LBP history. Multiple linear regression analysis revealed no significant relationship between the back disability and any biomechanical or demographic measures, likely due to the high functional abilities of the participants.

Relationships between isokinetic knee and shoulder peak strength with maximal punch force in boxing athletes

BACKGROUND: Muscle strength in the upper and lower limbs is a major contributing factor to punch force and is one of the keys to success in boxing. OBJECTIVE: This study aimed to investigate the relationship between knee and shoulder strength and punching force in boxers. METHODS: Twenty-one boxers completed knee flexion, knee extension, shoulder external rotation and internal rotation isokinetic concentric contractions at slow (60∘/s) and fast (180∘/s) angular velocities. Maximal punch force tests included lead and rear straight arm punching were assessed using a force platform. RESULTS: Pearson’s correlation coefficients revealed that knee extension (r= 0.646–0.848) and knee flexion (r= 0.470–0.646) peak torques were moderately to very strongly correlated with maximal punching force in lead and rear arms. The shoulder internal rotation (r= 0.492–0.634) and shoulder external rotation (r= 0.441–0.588) peak torques were moderate to strongly correlated with maximal punching force. Moreover, knee extension peak torques at 60∘/s had higher correlation with maximal punching force. In contrast, shoulder internal rotation peak torques at 180∘/s had a larger correlation with maximal punching force. CONCLUSIONS: The main findings indicated the importance of the capacity to generate maximum knee extension and rapid shoulder internal rotation strength, contributing to punch force production.

Rethinking the Huatabampo Archaeological Tradition of Northwest Mexico

The Huatabampo tradition was first defined by Gordon Ekholm, in 1938, and refers to those sites in the coastal plain in northern Sinaloa and southern Sonora lacking architecture but containing well-manufactured plain ceramics with complex shapes. Recent investigations in the region are helping to refine the chronology, geographical extension, cultural attributes, and ethnicity. With 20 radiocarbon dates, we can place this tradition as spanning from 200 BC to AD 1450. The maximum geographical extension ranges from the Middle Rio Yaqui in the north to the Rio San Lorenzo in Sinaloa. The associated sites of this complex are represented by dispersed houses, indicative of ranchería-type settlements, funerary mounds, shell middens, and petroglyph sites. At about AD 1150, Aztatlán pottery and other commodities from southern Sinaloa were incorporated mostly as mortuary offerings. We also provide evidence that the Huatabampo archaeological tradition is a local culture representing the occupation of the Cahitan-speaking groups, Yoremem/Mayos and Yoemem/Yaquis, of the coastal plain.

Contribution of different strength determinants on distinct phases of Olympic rowing performance in adolescent athletes

ABSTRACT Aerobic metabolism dominates Olympic rowing, but research on the relative contribution of strength and power demands is limited. This study aimed to identify the contribution of different strength determinants for distinct phases of rowing ergometer performance. The cross-sectional analysis comprised of 14 rowing athletes (4 female, 10 male, age: 18.8 ± 3.0y, 16.9 ± 2.2y). Measurements included anthropometrics, maximal strength of leg press, trunk extension and flexion, mid-thigh pull (MTP) and handgrip strength, VO2max, and a 2000 m time trial, where peak forces at the start, middle and end phase were assessed. Additionally, rate of force development (RFD) was assessed during the isometric leg press and MTP with intervals of 150, 350 ms and 150, 300 ms, respectively. Stepwise regression models for ergometer performance showed that the start phase was mainly explained by maximal trunk extension and RFD 300 ms of MTP (R2 = 0.91, p < 0.001) and the middle section by VO2max, maximal leg press strength and sitting height (R2 = 0.84, p < 0.001). For the end phase, a best fit was observed for trunk flexion, RFD 350 ms of leg press, body height and sex (R2 = 0.97 p < 0.001), whereas absolute VO2max, trunk flexion and sex explained variance over the entire 2000 m time trial (R2 = 0.98, p < 0.001). It appears that for the high acceleration in the start phase, force transmission through maximum strength for trunk extension is essential, while fast power production along the kinetic chain is also relevant. Additionally, the results support that maximal force complements the reliance on VO2max. Further intervention studies are needed to refine training recommendations.

Energy Storage Management of a Solar Photovoltaic–Biomass Hybrid Power System

Remote areas that are not within the maximum breakeven grid extension distance limit will not be economical or feasible for grid connections to provide electrical power to the community (remote area). An integrated autonomous sustainable energy system is a feasible option. We worked on a novel multi optimization electrical energy assessment/power management system of a microgrid network that adopted combined dispatch, load-following, and cycle-charging strategies (control system) that acted as a power interface module over the hybrid configuration of energy sources (grid network/downdraft biomass generator/solar photovoltaic), thermal load controller-boiler systems, and hybrid energy-storage technologies (lithium, iron flow, sodium sulfur, and flywheel) to enable the microgrid network to operate in the island (off grid), grid, and island-able (ability to isolate itself when it is connected to the grid network) modes efficiently and effectively. An optimal multitask control algorithm and the storage units of modeled power generation sources were executed with the HOMER software application to improve the energy system’s efficiency, promote effective storage management, minimize energy loss, and improve the lifespan of the microgrid network. The integrated energy system can work for both rural and urban areas.

Posterior Hip Impingement at Maximal Hip Extension in Female Patients With Increased Femoral Version or Increased McKibbin Index and Its Effect on Sports Performance.

The location of posterior hip impingement at maximal extension in patients with posterior femoroacetabular impingement (FAI) is unclear. To investigate the frequency and area of impingement at maximal hip extension and at 10° and 20° of extension in female patients with increased femoral version (FV) and posterior hip pain. Cross-sectional study; Level of evidence, 3. Osseous patient-specific 3-dimensional (3D) models were generated of 50 hips (37 female patients, 3D computed tomography) with a positive posterior impingement test and increased FV (defined as >35°). The McKibbin index (combined version) was calculated as the sum of FV and acetabular version (AV). Subgroups of patients with an increased McKibbin index >70° (24 hips) and FV >50° (20 hips) were analyzed. A control group of female participants (10 hips) had normal FV, normal AV, and no valgus deformity (neck-shaft angle, <139°). Validated 3D collision detection software was used for simulation of osseous impingement-free hip extension (no rotation). The mean impingement-free maximal hip extension was significantly lower in patients with FV >35° compared with the control group (15° ± 15° vs 55° ± 19°; P < .001). At maximal hip extension, 78% of patients with FV >35° had osseous posterior extra-articular ischiofemoral hip impingement. At 20° of extension, the frequency of posterior extra-articular ischiofemoral impingement was significantly higher for patients with a McKibbin index >70° (83%) and for patients with FV >35° (76%) than for controls (0%) (P < .001 for both). There was a significant correlation between maximal extension (no rotation) and FV (r = 0.46; P < .001) as well as between impingement area at 20° of extension (external rotation [ER], 0°) and McKibbin index (0.61; P < .001). Impingement area at 20° of extension (ER, 0°) was significantly larger for patients with McKibbin index >70° versus <70° (251 vs 44 mm2; P = .001). The limited hip extension found in our study could theoretically affect the performance of sports activities such as running, ballet dancing, or lunges. Therefore, although not examined directly in this study, these activities are not advisable for these patients. Preoperative evaluation of FV and the McKibbin index is important in female patients with posterior hip pain before hip preservation surgery (eg, hip arthroscopy).

Cable-Driven Haptic Interface With Movable Bases Achieving Maximum Workspace and Isotropic Force Exertion.

Haptic interactions play an essential role in education to enhance learning efficiency; however, haptic information for virtual educational content remains lacking. This paper proposes a planar cable-driven haptic interface with movable bases that can display isotropic force feedback with maximum workspace extension on a commercial screen display. A generalized kinematic and static analysis of the cable-driven mechanism is derived by considering movable pulleys. Based on the analyses, a system including movable bases is designed and controlled to maximize the workspace subject to isotropic force exertion for the target screen area. The proposed system is evaluated experimentally as a haptic interface represented by the workspace, isotropic force-feedback range, bandwidth, Z-width, and user experiment. The results indicate that the proposed system can maximize workspace to the target rectangular area and exert isotropic force up to 94.0% of the theoretical computed one within the workspace.