Push-off Force Research Articles

Biomechanical and morphological determinants of maximal jumping performance in callitrichine monkeys.

Jumping is a crucial behavior in fitness-critical activities including locomotion, resource acquisition, courtship displays and predator avoidance. In primates, paleontological evidence suggests selection for enhanced jumping ability during their early evolution. However, our interpretation of the fossil record remains limited, as no studies have explicitly linked levels of jumping performance with interspecific skeletal variation. We used force platform analyses to generate biomechanical data on maximal jumping performance in three genera of callitrichine monkeys falling along a continuum of jumping propensity: Callimico (relatively high propensity jumper), Saguinus (intermediate jumping propensity) and Callithrix (relatively low propensity jumper). Individuals performed vertical jumps to perches of increasing height within a custom-built tower. We coupled performance data with high-resolution micro-CT data quantifying bony features thought to reflect jumping ability. Levels of maximal performance between species - e.g. maximal take-off velocity of the center of mass (CoM) - parallel established gradients of jumping propensity. Both biomechanical analysis of jumping performance determinants (e.g. CoM displacement, maximal force production and peak mechanical power during push-off) and multivariate analyses of bony hindlimb morphology highlight different mechanical strategies among taxa. For instance, Callimico, which has relatively long hindlimbs, followed a strategy of fully extending of the limbs to maximize CoM displacement - rather than force production - during push-off. In contrast, relatively shorter-limbed Callithrix depended mostly on relatively high push-off forces. Overall, these results suggest that leaping performance is at least partially associated with correlated anatomical and behavioral adaptations, suggesting the possibility of improving inferences about performance in the fossil record.

Inertial Sensor-Based Quantification of Movement Symmetry in Trotting Warmblood Show-Jumping Horses after "Limb-by-Limb" Re-Shoeing of Forelimbs with Rolled Rocker Shoes.

Hoof care providers are pivotal for implementing biomechanical optimizations of the musculoskeletal system in the horse. Regular visits allow for the collection of longitudinal, quantitative information ("normal ranges"). Changes in movement symmetry, e.g., after shoeing, are indicative of alterations in weight-bearing and push-off force production. Ten Warmblood show jumping horses (7-13 years; 7 geldings, 3 mares) underwent forelimb re-shoeing with rolled rocker shoes, one limb at a time ("limb-by-limb"). Movement symmetry was measured with inertial sensors attached to the head, withers, and pelvis during straight-line trot and lunging. Normalized differences pre/post re-shoeing were compared to published test-retest repeatability values. Mixed-model analysis with random factors horse and limb within horse and fixed factors surface and exercise direction evaluated movement symmetry changes (p < 0.05, Bonferroni correction). Withers movement indicated increased forelimb push-off with the re-shod limb on the inside of the circle and reduced weight-bearing with the re-shod limb and the ipsilateral hind limb on hard ground compared to soft ground. Movement symmetry measurements indicate that a rolled rocker shoe allows for increased push-off on soft ground in trot in a circle. Similar studies should study different types of shoes for improved practically relevant knowledge about shoeing mechanics, working towards evidence-based preventative shoeing.

"Calcaneogenesis" with secondary Achilles tendon-bone allograft for repair of the loss of hindfoot function : A12-year case report

Calcanectomy and Achilles tendon resection are very hard to repair. Ilizarov's "calcaneogenesis" is possible with ankle joint preservation. Even after 3.5years of functio laesa of the triceps surae muscle it can be rebuilt. A25-year-old motorcyclist suffered a3rd degree open calcaneal dislocation fracture (type5). Osteitis and necrosis required calcanectomy, resection of the Achilles tendon and alatissimus dorsi muscle transfer. Atalus corpus osteotomy with Ilizarov distraction created in the 1st step a"neo-calcaneus". In adelayed 2nd step afresh-frozen Achilles tendon-bone block allograft was transplanted to regain active plantar flexion. The initial AOFAS score of 35points was significantly improved to 70points 12years after step1. After both operations the patient could walk without an orthosis and regained 88% of normal plantar flexion strength. Quantitative measure of health outcome according to EQ-5D-5L was marked by the patient with 80out of 100points. "Calcaneogenesis" with preservation of the ankle joint is possible and innovative. Despite 3.5years of disconnection of the triceps surae muscle, an Achilles tendon-bone block allograft could restore 88% of the push-off force even attached to aneo-calcaneus that is 1/3 smaller than normal, which is also new.

Towards a more individualised assessment of post-training fatigue in young footballers

Despite improvements in training load and fatigue monitoring, fatigue status may adversely affect intrinsic risk factors, particularly in young footballers. This study aimed to better individualise the fatigue effects of a 75-min football training session in young elite male players.Eighteen players (15.6 ± 1.7 years) completed a test battery before and after a football training session. Assessments included capillary blood samples (HCO3−, lactate, pH), subjective ratings of muscle soreness and fatigue. Functional tests included 30 m field sprint, laboratory drop jump (DJ) and horizontal force-velocity (H-FvP). The k-means method was applied to the first two dimensions of principal component analysis of changes in the H-FvP and DJ tests.Football training resulted in significant physiological changes and functional impairments, in particular an increase in interlimb asymmetry in the DJ test. No significant fatigue effect was found on the H-FvP test data. However, confirming the interest of combining the two tests, cluster analysis revealed two subgroups: In the H-FvP test, Cluster 1 decreased in V‾0 (p < 0.001) and P‾max (p < 0.01), while Cluster 2 decreased in F‾0 (p < 0.001). In the DJ test, Cluster 1 decreased in mean velocity (p < 0.01), relative mean and maximum power (p < 0.01) during push-off, while Cluster 2 decreased in relative mean push-off force (p < 0.01) and increased in interlimb asymmetry during braking (p < 0.01).This study highlights the contribution and complementarity of the H-FvP and DJ tests to improve individual screening for fatigue-related functional changes in footballers. Extrapolated values from the H-FvP test led to the identification of two subgroups with opposite fatigue profiles. One subgroup showed increased interlimb asymmetry in DJ, indicating an increased risk of injury with fatigue. These findings highlight the need for individualised fatigue assessment in young footballers.

Visual feedback improves propulsive force generation during treadmill walking in people with Parkinson disease

Persons with Parkinson's disease experience gait alterations, such as reduced step length. Gait dysfunction is a significant research priority as the current treatments targeting gait impairment are limited. This study aimed to investigate the effects of visual biofeedback on propulsive force during treadmill walking in persons with Parkinson's. Sixteen ambulatory persons with Parkinson's participated in the study. They received real-time biofeedback of anterior ground reaction force during treadmill walking at a constant speed. Peak propulsive force values were measured and normalized to body weight. Spatiotemporal parameters were also assessed, including stride length and double support percent. Persons with Parkinson's significantly increased peak propulsive force during biofeedback compared to baseline (p <.0001, Cohen's dz = 1.69). Variability in peak anterior ground reaction force decreased across repeated trials (p <.0001, dz = 1.51). While spatiotemporal parameters did not show significant changes individually, stride length and double support percent improved marginally during biofeedback trials. Persons with Parkinson's can increase propulsive force with visual biofeedback, suggesting the presence of a propulsive reserve. Though stride length did not significantly change, clinically meaningful improvements were observed. Targeting push-off force through visual biofeedback may offer a potential rehabilitation technique to enhance gait performance in Persons with Parkinson's. Future studies could explore the long-term efficacy of this intervention and investigate additional strategies to improve gait in Parkinson's disease.

The effects of improvement in upper extremity function on gait and balance in children with upper extremity affected

BackgroundThis study aimed to investigate the effects of functional improvement in the upper extremity on gait and balance in children with upper extremity affected. Research questionWhat are the effects of functional improvement in the upper extremity on gait and balance in children with upper extremity affected? MethodsEighteen children with a diagnosis of rheumatologic diseases and 15 healthy children were evaluated with Shriners Hospital Upper Extremity Assessment, Jebsen-Taylor Hand Function Test, Abilhand Rheumatoid Arthritis Scale, 10-meter walk test and Childhood Health Assessment Questionnaire. For static balance assessment, the Biodex Balance was used. Ground reaction forces (peak forces (heel strike and push-off) and minimum force (loading response), single-limb support duration, Center-of-Force displacement and walking speed were evaluated with the Sensor Medica. Arm swing was evaluated with the Kinovea 2D motion analysis. ResultsBefore treatment, single-limb support duration and push-off force was higher and center-of-force displacement was lower on affected side compared to unaffected side in rheumatologic group. After the 6-week rehabilitation program, upper extremity function, quality of life and functional gait score improved. Single-limb support duration decreased on affected side and increased on unaffected side. On affected side, push-off force decreased. The arm swing parameters were similar before and after treatment. SignificanceImproving upper extremity function can help with gait balance by decreasing the difference in walking and balance parameters between the affected and unaffected sides and providing for more symmetrical weight transfer.

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

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

Mechanical asymmetries remain low-to-moderate during 30min of self-paced treadmill running.

Introduction: We characterized the magnitude and range of gait asymmetry during self-paced treadmill running. Methods: On an instrumented treadmill, twelve trained runners (11 males, 1 female) completed a 30-min self-paced run, during which participants were instructed to cover the most distance possible. Ground reaction force recordings at a constant velocity corresponding to 70% of their maximal aerobic velocity (13.3 ± 0.8km.h-1) allowed for the measurement of running kinetics and kinematics, as well as the calculation of spring-mass characteristics at the beginning, middle, and end of the run (minutes 1, 14, and 29, respectively). Group mean asymmetry scores were assessed using the "symmetry angle" (SA) formulae, where scores of 0% and 100% represent perfect symmetry and perfect asymmetry, respectively. Results: There was no time effect on SA scores for any of the 13 biomechanical variables (p ≥ 0.128). Mean SA scores were <2.5% for contact time (0.8% ± 0.7%), flight time (1.4% ± 0.6%), step frequency (0.7% ± 0.3%), duty factor (0.7% ± 0.3%), duration of braking (1.3% ± 0.7%) and push-off phases (0.9% ± 0.8%), as well as peak braking (2.3% ± 1.3%) and push-off forces (1.4% ± 0.9%). Mean SA scores were ≥2.5% for peak vertical loading rate (3.1% ± 1.7%), mean vertical loading rate (3.4% ± 2.1%), peak vertical forces (2.9% ± 2.2%), as well as vertical stiffness (5.2% ± 3.5%) and leg stiffness (2.5% ± 1.5%). Conclusion: Throughout a 30-min running time trial, there were consistently low-to-moderate mechanical asymmetries for spatiotemporal variables, kinetics, and spring-mass model characteristics. This suggests that trained runners maintained relatively even strides during the self-paced treadmill run, with lower extremities behaving similarly when controlling for velocity.

An exploration of the mechanistic link between the enhanced paper grip test and the risk of falling

The enhanced paper grip test (EPGT) offers an easy-to-use measure of hallux plantar-flexion strength that does not need expensive specialised equipment. Literature suggests that it could be a useful screening tool to assess the risk of falling in older people. However, research on a specific mechanistic link to the risk of falling is lacking. It is hypothesised here that muscle weakening (assessed by the EPGT) is indicative of impaired ability to recover balance after a slip or a trip. To get an initial assessment of validity of the above hypothesis, the EPGT is compared against an established lab-based measure of lower-limb strength that is capable of assessing a person’s ability to recover balance after a slip or a trip: maximum isometric leg press push-off force (leg press force). A gender-balanced sample of twenty people (median age=34 y) was recruited. Two different but equaly valid techniques of administering the EPGT were included regarding whether the participants’ ankle was supported by the examiner or not. Results for the two EPGT techniques differed susbtantialy but they were both significantly associated with leg press force and therefore linked to better ability to maintain balance after a slip or a trip. The “ankle not held” EPGT technique was more strongly correlated to leg press force (r(18) = 0.652, p = 0.002) than the “ankle held” (r(18) = 0.623, p = 0.003) and appears to be the more favourable technique to administer the EPGT. These findings offer new insight on a potential mechanistic link between the EPGT and the risk of falling and support its optimal use in future research involving older people.

Mechanical Asymmetries during Treadmill Running: Effects of Running Velocity and Hypoxic Exposure

Studies evaluating mechanical asymmetry across a range of running velocities during treadmill runs have yielded inconsistent findings, while the impact of additional hypoxic exposure has never been investigated. The aim of this study was to characterize the effects of manipulating running velocity and hypoxic exposure on gait asymmetry during treadmill running. Eleven trained individuals performed seven runs at different velocities (8, 10, 12, 14, 16, 18, and 20 km·h−1) in a randomized order, each lasting 45 s. The running took place on an instrumented treadmill for normoxia (FiO2 = 20.9%), moderate hypoxia (FiO2 = 16.1%), high hypoxia (FiO2 = 14.1%), and severe hypoxia (FiO2 = 13.0%). Vertical and antero-posterior ground reaction force recordings over 20 consecutive steps (i.e., after running ∼25 s) allowed the measurement of running mechanics. Lower-limb asymmetry was assessed from the ‘symmetry angle’ (SA) score. Two-way repeated-measures ANOVA (seven velocities × four conditions) was used. There was no significant difference in SA scores for any of the biomechanical variables for velocity (except contact time and braking phase duration; p = 0.003 and p = 0.002, respectively), condition, or interaction. Mean SA scores varied between ∼1% and 2% for contact time (1.5 ± 0.8%), flight time (1.6 ± 0.6%), step length (0.8 ± 0.2%), peak vertical force (1.2 ± 0.5%), and mean vertical loading rate (2.1 ± 1.0%). Mean SA scores ranged from ∼2% to 5% for duration of braking (1.6 ± 0.7%) and push-off phases (1.9 ± 0.6%), as well as peak braking (5.0 ± 1.9%) and push-off forces (4.8 ± 1.7%). In conclusion, the trained runners exhibited relatively even strides, with mechanical asymmetries remaining low-to-moderate across a range of submaximal, constant running velocities (ranging from 8 to 20 km·h−1) and varying levels of hypoxia severity (between normoxia and severe hypoxia).

Muscle coordination patterns in regulation of medial gastrocnemius activation during walking

The ankle plantar flexion in the late stance phase is referred to as the ankle push-off. When the ankle push-off force is enhanced, compensatory adjustments occur in the adjacent phases. The muscle control that achieves these compensatory movements remains unknown, although they are expected to be coordinately regulated across multiple muscles and phases. Muscle synergy is used as a quantification technique for muscle coordination, and this analysis enables the comparison of synchronized activity between multiple muscles. Therefore, this study aimed to elucidate the tuning of muscle synergies in muscle activation adjustment of push-off. It is hypothesized that muscle activation adjustment of push-off is performed in the muscle synergy related to ankle push-off and in the muscle synergy that activates during the adjacent push-off phase. Eleven healthy men participated, and participants manipulated the activity of the medial gastrocnemius during walking through visual feedback. Two conditions were compared as experimental conditions: increasing the muscle activity to 1.6 times that during normal walking (High) and matching it with that during normal walking (Normal). Twelve muscle activities in the trunk and lower limb and kinematic data were recorded. Muscle synergies were extracted by the non-negative matrix factorization. No significant difference was observed in the number of synergies (High: 3.5 ± 0.8, Normal: 3.7 ± 0.9, p = 0.21) and muscle synergy activation timing and duration between the High and Normal conditions (p > 0.27). However, significant differences were observed in the peak muscle activity during the late stance phase of the rectus femoris (RF), biceps femoris (BF) between conditions (RF at High: 0.32 ± 0.21, RF at Normal: 0.45 ± 0.17, p = 0.02; BF at High: 0.16 ± 0.01, BF at Normal: 0.08 ± 0.06 p = 0.02). Although the quantification of force exertion has not been conducted, the modulation of RF and BF activation could have occurred due to the attempts to help knee flexion. Muscle synergies during normal walking are therefore maintained, and slight adjustments in the amplitude of muscle activity occurred for each muscle.

Hip resurfacing arthroplasty in women: A novel ceramic device enables near normal gait function

BackgroundGait function improves after Total Hip Arthroplasty (THA) but is not restored to normal levels. Metal-on-metal Resurfacing Arthroplasty (MoM-HRA) is an alternative to THA and has shown to restore normal levels gait function and physical activity but has been restricted to men owing to problems of metal-ion release. Ceramic HRA (cHRA) removes the cobalt-chrome bearing surfaces, thereby eliminating these specific metal-ion concerns and aiming to be safe for females. Research questionIs there a difference in gait function of female cHRA patients compared to female THA using subjective and objective measures? MethodsFifteen unilateral cHRA and 15 unilateral THA, age and BMI matched, completed patient reported outcome measures (PROMs) (Oxford Hip Score, EQ5d and MET score) and underwent gait analysis using an instrumented treadmill pre- (2–10 weeks) and post-operatively (52–74 weeks). Maximum walking speed (MWS), Vertical GRF of the stance phase, GRF symmetry index (SI) and spatiotemporal gait measures were recorded. Patients were compared to age, gender and BMI healthy controls (CON). ResultsThere were no differences in PROMs or gait function between groups pre-operatively. Post- operatively, cHRA had a higher MET score (11.2 vs 7.1, p = 0.02) and a higher MWS (6.2 vs 6.8 km/hr, p = 0.003) compared to THA. cHRA had a similar GRF profile to CON, whereas THA had a reduced push-off force at 70–77 % of the stance phase compared to CON. At faster walking speeds of 6 km/hr walking speed, THA displayed an asymmetric GRF profile (SI<4.4 %) whereas the cHRA patients continued to display a symmetrical gait profile. cHRA was able to increase step length from pre-op levels (63 vs 66 cm, p = 0.02) and produced a larger step length compared to THA (73 vs 79 cm, p = 0.02). SignificanceFemale cHRA returned to levels of gait function and activity similar to healthy controls unlike female THA.

Biomechanical analysis of countermovement jump performance among sports players with flatfoot and normal foot structures

The purpose of this study was to compare the kinetic parameters of counter-movement jump between sports players in flatfoot and normal foot groups. In this cross-sectional study, random sampling method was used to draw a group of 20 players with normal foot and a group of 20 players with flatfoot. Navicular drop test was used to classify two groups (flat foot and normal foot). Quattro Jump Kistler force platform (model 9290DD) was used to record kinetic parameters of Countermovement jump. The findings of this study showed that the players with flatfoot exhibited higher peak vertical ground reaction forces (VGRFs) (p < 0.001) and lower push-off force impulse (p < 0.001) than players in normal foot group; however, no significant differences were observed in jump height and average force between the normal foot and flatfoot groups (p > 0.05). The results revealed that flatfoot has no effect on jump height but have significant impact on other kinetic parameters of jump performance. Players with flatfoot produced higher VGRFs during landing which may lead to greater forces imposed on foot region as compared to the players with normal foot which can induce various musculoskeletal injuries.

Mechanisms that stabilize human walking

&#x0D; &#x0D; &#x0D; In this paper we review what mechanisms are used to stabilize human bipedal gait. Based on mechanical reasoning, potential mechanisms to control the body center of mass trajectory are modulation of foot placement, stance leg control consisting of modulation of ankle moments and push-off forces, and modulations of the body’s angular momentum. The first two mechanisms and especially the first are dominant in controlling center of mass accelerations during gait, while angular momentum control plays a lesser role, but may be important to control body alignment and orientation. The same control mechanisms stabilize both steady-state and perturbed gait in both the mediolateral and antero-posterior directions. Control is at least in part active and is affected by proprioceptive, visual and vestibular information. Results support that this reflects a feedback process in which sensory information is used to obtain an estimate of the center of mass state based on which foot placement and ankle moments are modulated. These active feedback mechanisms suggest training approaches for populations at risk of falling, such as augmenting their effective use by means of augmented feedback, or using their complementary nature to train one mechanism by constraining the other mechanisms.&#x0D; &#x0D; &#x0D;

Predicting 2d Ground Reaction Forces In Running: Combining Inertial Measurement Units With Neural Networks

Knowing the ground reaction force (GRF) helps to quantify biomechanical load during running. However, GRF measurement is restricted to the lab. Artificial neural networks (ANNs) are capable to model complex relations and thus could be used to predict GRF from inertial measurement units (IMUs). This prediction would be a step towards the quantification of biomechanical load in the field. PURPOSE: Show the possibilities of an ANN to estimate GRFs in vertical and posterior/anterior direction using three IMUs. METHODS: 6 experienced heel strike runners (3 F, 3 M; age 31.5y ± 11.7y, height 1.77 m ± 0.07 m, mass 60.7 kg ± 16.0 kg) ran 9 trials on a force-instrumented treadmill at combination of three velocities (10, 12 and 14 km/h) and three stride frequencies (preferred, -10% of preferred and + 10% of preferred). Subjects were instrumented with IMUs (240 Hz) mounted at both proximal tibias and pelvis. With a per subject approach, 40 strides were extracted per trial, 20% of this data was used as validation and 80% as training set. Two layer ANNs (250 and 100 neurons) were then trained with the gravity subtracted acceleration in the global frame as input to fit the vertical and posterior/anterior GRF. Performance of the models was analysed with the root mean squared error (RMSE) and the Pearson’s correlation coefficient (r). The mean of the absolute error of the vertical peak during stance was calculated as an absolute value and percentage. The absolute and percentual error of the posterior/anterior breaking and push-off force peaks were determined. RESULTS: The ANN modelled peak GRF forces with high accuracy (vertical: r > 0.99, mean absolute peak error < 2.4%; posterior/anterior: r > 0.96, mean absolute peak error < 11.0%; Table 1). CONCLUSION: Deployment of ANNs to predict 2D GRFs directly from gravity subtracted acceleration in the global frame is very promising with a subject specific approach.

Improving tumble turn performance in swimming-the impact of wall contact time and tuck index.

Race time can be shortened by improving turn performance in competitive swimming, but this requires insight into the optimal turn technique. The aim of the present study was to examine the effect of Wall Contact Time (WCT) and Tuck Index on tumble turn performance and their interrelations by experimentally manipulating both variables, which has not been done in previous research. Eighteen Dutch national level swimmers (FINA points 552 ± 122) performed tumble turns with three different WCTs (shorter, preferred, longer) and three different Tuck Indices (higher, preferred, lower), which were recorded by four underwater cameras and a wall-mounted force plate. Linear kinematic and kinetic variables, including the approach velocity (Vin), wall adaptation time (Tadapt), percentage of active WCT (aWCT), peak push-off force (FPeak) and exit velocity (Vexit), were extracted from the recordings and analyzed statistically, using the 5 m round trip time (5mRTT) as performance measure. The results indicated that the WCT should be sufficiently long to generate a high push-off force at the end of wall contact when the body is in a streamlined position. This led to a significantly shorter 5mRTT than a shorter or longer WCT. A linear mixed effect model yielded negative significant effects of WCT (−4.22, p < 0.001), FPeak (−2.18, p = 0.04), Vin (−4.83, p = 0.02), Tadapt (−2.68, p = 0.002), and Vexit (−9.52, p < 0.001) on the 5mRTT. The best overall turning performance was achieved with a Tuck Index of 0.7, which suggests that some of the participating swimmers could benefit from adapting their distance to the wall while turning, as was exemplified by calculating the optimal Tuck Index for individual swimmers. These results underscore the importance of WCT and Tuck Index vis-à-vis tumble turn performance, as well as their interrelations with other performance determining variables in this regard.

Cross slope gait biomechanics for individuals with and without a unilateral transtibial amputation

BackgroundThis research was conducted to better understand compensatory strategies during cross-slope walking for adults with and without a unilateral transtibial amputation. MethodsFourteen individuals with unilateral transtibial amputation and 14 individuals with no lower limb amputation participated in this study. Motion and force data were captured while participants walked on a treadmill in a virtual reality environment for level and ± 5° cross slopes. Temporal-spatial parameters, kinematics (ankle, knee, hip, pelvis, trunk), and ground reaction forces were examined. FindingsCompared to level, participants had similar step width but slightly longer steps for top-cross-slope and slightly shorter steps for bottom-cross-slope. Top-cross-slope required a more flexed limb with ankle eversion, and bottom-cross-slope required a more extended limb with ankle inversion. Participants had similar lateral pelvis and trunk motion for all walking conditions, but slightly more anterior trunk lean for top cross-slope with more anterior trunk lean observed for individuals with a lower limb amputation than without lower limb amputation. Participants with a lower limb amputation compensated for limited prosthetic ankle-foot dorsiflexion on the top-cross-slope by increasing prosthetic side hip flexion, reducing intact ankle/knee flexion, and increasing intact push-off force. InterpretationGait adaptations during cross-slope walking were primarily in the lower extremities and were largely similar for those with and without a transtibial amputation. The information presented in this paper provides a better understanding of gait strategies adopted during cross-slope walking and can guide researchers and industry in prosthetic development.

Differences in balance control despite self-reported resolution of pregnancy-related pelvic girdle pain. A cross-sectional study

BackgroundMotor control patterns are altered when women with pregnancy-related pelvic girdle pain (PGP) experience pain. In low back pain, these adaptations can persist after recovery. ObjectivesThis study aimed to assess balance control in postpartum women with and without a history of PGP during pregnancy. DesignCross-sectional study. MethodEighteen postpartum women who reported to be recovered from PGP, and twelve postpartum women without a history of PGP during pregnancy performed two clinical tests: the single leg stance and active straight leg raise test. Primary outcomes were ground reaction forces measured with a force platform. ResultsMultiple linear regression analyses showed smaller lateral displacement (β = −11cm; 95%CI: 19 to −3; p = 0.008) and lower displacement velocity of the Centre of Pressure (COP) (Ratio of Geometric Means (RGM) 0.76; 95%CI: 0.59 to 0.99; p = 0.043) during single leg stance in the participants with a history of PGP compared to participants without a history of PGP. Push-off force (β = −4.8 N; 95%CI: 22.0 to 12.5; p = 0.57) and asymmetry of push-off force (RGM 1.77; 95%CI: 0.62 to 5.04; p = 0.27) did not differ between groups. During the active straight leg raise test, no differences in lateral displacement (β = 3 cm; 95%CI: 3 to 8; p = 0.30) and COP displacement velocity (RGM 1.03; 95%CI: 0.70 to 1.52; p = 0.87) were observed. ConclusionsAlthough the women with a history of PGP considered themselves recovered, their balance control during single leg stance was poorer compared to those without a history of PGP. No differences were found during the active straight leg raise test.

Knee and ankle biomechanics in 90° side cutting on synthetic turf with shock pad

The purpose of this study was to examine differences in knee and ankle biomechanics on synthetic turf with and without a shock pad in two approach velocities during a 90° cutting movement. Twelve recreational male American football or soccer players performed five trials of 90° side cutting in each of four conditions: turf only and turf with shock pad at approach velocity of 3.0 and 4.0 m/s. A two-way (surface × approach velocity) ANOVA was used to analyse selected variables. Knee and ankle variables were generally similar across surface conditions. However, peak knee frontal-plane loading eccentric power was greater (p = 0.013) while peak knee frontal-plane push-off eccentric power was reduced on the shock pad (p = 0.020). A surface × approach velocity interaction was detected for peak knee sagittal-plane eccentric power (p = 0.018), and a post-hoc analysis found a significant increase of peak knee sagittal-plane eccentric power at a faster approach speed on the turf only condition compared to the turf with the shock pad. There were increases in the knee extension moments (p = 0.004), peak push-off medial ground reaction force (GRF, p = 0.025), peak ankle eversion moment (p < 0.001), and ankle inversion ROM (p = 0.001) as approach velocity increased while peak push-off vertical GRF decreased (p = 0.011). The effects of the inclusion of a shock pad on lower extremity loading during a 90° cutting movement are limited. The results indicate that the turf with the shock pad absorbs more kinetic energy as speed increases than the turf alone.

Biomechanical Features of Backstroke to Breaststroke Transition Techniques in Age-Group Swimmers.

This study aimed to identify the biomechanical features of backstroke to breaststroke transition techniques (open, somersault, bucket, and crossover) in age-group swimmers. Eighteen preadolescent swimmers (12.2 ± 0.4 years old and 3–4 Tanner stages) underwent 4 weeks of systematic contextual interference training, comprising 16 sessions (40 min·session−1). Soon after, experimental testing was conducted where swimmers randomly performed 12 × 15 m maximal turns (composed of 7.5 m turn-in and 7.5 m turn-out of the wall segments), three in each transition technique. Kinematical, kinetic, and hydrodynamic variables were assessed with a dual-media motion capture system (12 land and 11 underwater cameras), triaxial underwater force plates, and inverse dynamics. Variables were grouped in turn-in (approach and rotation) and turn-out (wall contact, gliding, and pull-out) phases, with factor analysis used to select the variables entering on multiple regressions. For the turn-in phase, 86, 77, 89, and 87% of the variance for open, somersault, bucket, and crossover turning techniques, respectively, was accounted by the 7.5 and 2.5 m times, mean stroke length, and rotation time. For the turn-out phase, first gliding distance and time, second gliding depth, turn-out time, and dominating peak_Z push-off force accounted for 93% in open turn, while wall contact time, first gliding distance, breakout distance and time, turn-out time, dominating peak_Y push-off force, and second gliding drag coefficient accounted for 92% in a somersault turn. The foot plant index, push-off velocity, second gliding distance, and turn-out time accounted for 92% in bucket turn while breakout and turn-out time, non-dominating peak_Y and peak_Z push-off force, first and second gliding drag force and second gliding drag coefficient accounted for 90% in crossover turn, respectively. The findings in this study were novel and provided relevant biomechanical contribution, focusing on the key kinematic–temporal determinant during turn-in, rotation, and push-off efficacy, and the kinetic and hydrodynamic during turn-out, which would lead to improved backstroke to breaststroke transition techniques in 11–13 years-old age-group swimmers.