Resultant Ground Reaction Force Research Articles

Individualized Technique Feedback for Instant Technique Improvements and Knee Abduction Moment Reductions - A New Approach for 'Sidestepping' ACL Injuries?

Sidestep cutting technique is highly individual and has been shown to influence knee joint loading. However, studies assessing whether individualized technique feedback improves technique and ACL injury-relevant knee joint loads instantly in a sport-specific task are lacking. To determine the instant effects of individualized augmented technique feedback and instructions on technique and the peak external knee abduction moment (pKAM) in a handball-specific sidestep cut. Additionally, to determine the effects of technique modifications on the resultant ground reaction force and its frontal plane moment arm to the knee joint center. Controlled laboratory cohort study. Three-dimensional biomechanics of 48 adolescent female handball players were recorded during a handball-specific sidestep cut. Following baseline cuts to each side, leg-specific visual and verbal technique feedback on foot strike angle, knee valgus motion, or vertical impact velocity using a hierarchically organized structure accounting for the variables' association with performance was provided. Subsequently, sidestep cuts were performed again while verbal instructions were provided to guide technique modifications. Combined effects of feedback and instructions on technique and pKAM as well as on the resultant ground reaction force and its frontal plane moment arm to the knee joint center were assessed. On average, each targeted technique variable improved following feedback and instructions, leading to instant reductions in pKAM of 13.4% to 17.1%. High inter-individual differences in response to feedback-instruction combinations were observed. These differences were evident in both the adherence to instructions and the impact on pKAM and its components. Most players were able to instantly adapt their technique and decrease ACL injury-relevant knee joint loads through individualized augmented technique feedback, thereby potentially reducing the risk of injury. More research is needed to assess the retention of these adaptations and move towards on-field technique assessments using low-cost equipment. Level 3.

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

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

Are the ground reaction forces altered by the curve and with the increasing sprinting velocity?

In 200- and 400-m races, 58% of the total distance to cover is in the curve. In the curve, the sprinting performance is decreased in comparison to the straight. However, the reasons for this decreased performance is not well understood. Thus, the aim of this study was to identify the kinetic parameters underpinning the sprinting performance in the curve in comparison to the straight. Nineteen experienced-to-elite curve specialists performed five sprints in the straight and in the curve (radius 41.58 m): 10, 15, 20, 30, and 40 m. The left and the right vertical, anterior-posterior, medial-lateral, and resultant ground reaction forces (respectively , , , and ), the associated impulses (respectively , , , and ) and thestance times of each side were averaged over each distance. In the curve, the time to cover the 40-m sprint was longer than in the straight (5.52 ± 0.25 vs. 5.47 ± 0.23 s, respectively). Additionally, the left and the right and were lower than in the straight while the left and the right increased, meaning that the was more medial. The left was also lower than in the straight while the left stance times increased to keep the left similar to the straight to maintain the subsequent swing time. Overall, the sprinting performance was reduced in the curve due to a reduction in the left and the right and , that were likely attributed to the concomitant increased to adopt a curvilinear motion.

Maximum velocity and leg-specific ground reaction force production change with radius during flat curve sprinting.

Humans attain slower maximum velocity (vmax) on curves versus straight paths, potentially due to centripetal ground reaction force (GRF) production, and this depends on curve radius. Previous studies found GRF production differences between an athlete's inside versus outside leg relative to the center of the curve. Further, sprinting clockwise (CW) versus counterclockwise (CCW) slows vmax. We determined vmax, step kinematics and individual leg GRF on a straight path and on curves with 17.2 and 36.5 m radii for nine (8 male, 1 female) competitive sprinters running CW and CCW and compared vmax with three predictive models. We combined CW and CCW directions and found that vmax slowed by 10.0±2.4% and 4.1±1.6% (P<0.001) for the 17.2 and 36.5 m radius curves versus the straight path, respectively. vmax values from the predictive models were up to 3.5% faster than the experimental data. Contact length was 0.02 m shorter and stance average resultant GRF was 0.10 body weights (BW) greater for the 36.5 versus 17.2 m radius curves (P<0.001). Stance average centripetal GRF was 0.10 BW greater for the inside versus outside leg (P<0.001) on the 36.5 m radius curve. Stance average vertical GRF was 0.21 BW (P<0.001) and 0.10 BW (P=0.001) lower for the inside versus outside leg for the 17.2 and 36.5 m radius curves, respectively. For a given curve radius, vmax was 1.6% faster in the CCW compared with CW direction (P=0.003). Overall, we found that sprinters change contact length and modulate GRFs produced by their inside and outside legs as curve radius decreases, potentially limiting vmax.

Evaluation of Resultant Ground Reaction Force and Its Velocity Using the Elapsed Time and Peak Reaction Force at 3-Dimensional Direction During Landing Task

The purpose of this study was to analyze the effects of bilateral landing leg and sex on resultant ground reaction force (GRF) and its velocity, using peak vertical GRF and elapsed time during drop landing tasks. A repeated-measures two-way analysis of variance explored the impact of landing legs and sex on the resultant vector, three-dimensional GRF, elapsed time, and velocity in 40 participants (20 males and 20 females). Participants performed drop landings from a 35-cm box. Effects of sex and landing leg were analyzed using a repeated-measures model (two sexes × two legs) on GRF magnitude and velocity. Females displayed shorter elapsed times to peak GRF compared to males in the anterior-posterior and vertical directions. Significant differences emerged between sexes in both magnitude and velocity of resultant and peak vertical GRF, with females exhibiting higher values. This suggests the adoption of distinct landing strategies between sexes. Notably, no significant differences were found in GRF magnitude or velocity between bilateral leg landings. These results indicate that healthy individuals of both sexes utilize different landing strategies during drop landings. This knowledge has potential applications in clinical settings for evaluating impulse force and stress transfer to the musculoskeletal system during landing tasks.

Lower extremity kinematic and kinetic factors associated with bat speed at ball contact during the baseball swing

ABSTRACT The purpose of this study was to determine which biomechanical variables measured during the baseball swing are associated with linear bat speed at ball contact (bat speed). Twenty collegiate baseball players hit a baseball from a tee into a net. Kinematics were recorded with a motion capture system sampling at 500 Hz and kinetics were measured by force plates under each foot sampling at 1000 Hz. Associations between bat speed, individual joint and segment kinematics, joint moments and ground reaction forces (GRF) were assessed using Pearson correlations and stepwise linear regression. Average bat speed was 30 ± 2 m/s. Lead foot peak vertical (159 ± 29% BW, r = 0.622, P = 0.001), posterior (−57 ± 12% BW, r = –0.574, P = 0.008) and resultant (170 ± 30% BW, r = 0.662, P = 0.001) GRF were all correlated with bat speed. No combination of factors strengthened the relationship to bat speed beyond these individual variables. These results illustrate the role of the lead leg in generating and transferring ground reaction forces through the kinetic chain in order to accelerate the bat. Training to improve bat speed should include both general lower extremity strengthening exercises and sport-specific hitting drills to improve lower extremity force production following lead foot contact.

The motor and the brake of the trailing leg in human walking: transtibial amputation limits ankle-knee torque covariation.

Lower-limb amputation limits inherent motor abundance in the locomotor system and impairs walking mechanics. Able-bodied walkers vary ankle torque to adjust step-to-step leg force production as measured by resultant ground reaction forces. Simultaneously, knee torque covaries with ankle torque to act as a brake, resulting in consistent peak leg power output measured by external mechanical power generated on the center of mass. Our objective was to test how leg force control during gait is affected by joint torque variance structure in the amputated limb. Within the framework of the uncontrolled manifold analysis, we measured the Index of Motor Abundance (IMA) to quantify joint torque variance structure of amputated legs and its effect on leg force, where IMA > 0 indicates a stabilizing structure. We further evaluated the extent to which IMA in amputated legs used individual (INV) and coordinated (COV) joint control strategies. Amputated legs produced IMA and INV values similar to intact legs, indicating that torque deviations of the prosthetic ankle can modulate leg force at the end of stance phase. However, we observed much lower COV values in the amputated leg relative to intact legs indicating that biological knee joint torque of the amputated leg does not covary with prosthetic ankle torque. This observation suggests inter-joint coordination during gait is significantly limited as a result of transtibial amputation and may help explain the higher rate of falls and impaired balance recovery in this population, pointing to a greater need to focus on inter-joint coordination within the amputated limb.

Unanticipated fake-and-cut maneuvers do not increase knee abduction moments in sport-specific tasks: Implication for ACL injury prevention and risk screening.

Non-contact anterior cruciate ligament injuries typically occur during cutting maneuvers and are associated with high peak knee abduction moments (KAM) within early stance. To screen athletes for injury risk or quantify the efficacy of prevention programs, it may be necessary to design tasks that mimic game situations. Thus, this study compared KAMs and ranking consistency of female handball players in three sport-specific fake-and-cut tasks of increasing complexity. The biomechanics of female handball players (n = 51, mean ± SD: 66.9 ± 7.8 kg, 1.74 ± 0.06 m, 19.2 ± 3.4 years) were recorded with a 3D motion capture system and force plates during three standardized fake-and-cut tasks. Task 1 was designed as a simple pre-planned cut, task 2 included catching a ball before a pre-planned cut in front of a static defender, and task 3 was designed as an unanticipated cut with three dynamic defenders involved. Inverse dynamics were used to calculate peak KAM within the first 100 ms of stance. KAM was decomposed into the frontal plane knee joint moment arm and resultant ground reaction force. RANOVAs (α ≤ 0.05) were used to reveal differences in the KAM magnitudes, moment arm, and resultant ground reaction force for the three tasks. Spearman's rank correlations were calculated to test the ranking consistency of the athletes' KAMs. There was a significant task main effect on KAM (p = 0.02; = 0.13). The KAM in the two complex tasks was significantly higher (task 2: 1.73 Nm/kg; task 3: 1.64 Nm/kg) than the KAM in the simplest task (task 1: 1.52 Nm/kg). The ranking of the peak KAM was consistent regardless of the task complexity. Comparing tasks 1 and 2, an increase in KAM resulted from an increased frontal plane moment arm. Comparing tasks 1 and 3, higher KAM in task 3 resulted from an interplay between both moment arm and the resultant ground reaction force. In contrast to previous studies, unanticipated cutting maneuvers did not produce the highest KAMs. These findings indicate that the players have developed an automated sport-specific cutting technique that is utilized in both pre-planned and unanticipated fake-and-cut tasks.

Upper Body Muscle Activation And Measures Of Sprint Performance

PURPOSE: Effective arm swing and core muscle activation are involved in acceleration and maximal sprinting, yet muscle activity in these areas have not been measured via electromyography (EMG) during over ground sprinting trials. The purpose of this study was to explore the relationship between muscle activation of the upper body and measures of performance during sprint acceleration and maximal sprinting. METHODS: Sixteen participants (20.93 ± 0.96 yrs.; 1.71 ± 0.07 m; 67.69 ± 11.81 kg) completed six 40-m sprint trials on an outdoor track, with three from a block start and three from a split start. Muscle activation was measured via EMG in the triceps brachii, biceps brachii, upper trapezius, anterior deltoid, latissimus dorsi, erector spinae, rectus abdominis, and oblique muscles, recorded as a percentage of maximal voluntary isometric contraction. Split times recorded during each sprint were used to calculate acceleration, net horizontal force (Fh), and the ratio of Fh and resultant ground reaction force (%RF) using previously validated methods. Repeated measures multilevel modeling was used to evaluate the relationship between mean upper body muscle activation and average acceleration, Fh, and %RF during each 10-m window of the sprint. RESULTS: During the 0-10 m window, mean activation of the upper trapezius showed a significant positive relationship with acceleration (t = 2.66, p = 0.01), Fh (t = 2.20, p = 0.03), and %RF (t = 2.57, p = 0.01), erector spinae activation was positively associated with %RF (t = 2.42, p = 0.02), and biceps activation was negatively associated with Fh (t = -2.23, p = 0.03). In the 30-40 m window, there was a significant negative relationship between mean latissimus dorsi activation and %RF (t = -2.16, p = 0.04). There were no significant relationships between upper body muscle activation and indicators of sprint performance detected during the 10-20 m or 20-30 m windows. CONCLUSIONS: These results indicate that upper trapezius muscle activity is important during initial sprint acceleration, which agrees with past research on scapular restriction limiting maximal acceleration while sprinting. After the initial period of sprint acceleration, there was no evidence that greater activation of certain upper body muscles was related to improving maximal sprinting performance.

Forces required in repositioning a patient in bed using regular sheet and slide film

Repositioning patients in bed (boosting) is a common daily task of health care workers. Our aim was to measure the physical load on nurses in a patient handling situation where a supine patient is repositioned toward the head of the bed. The study was conducted in a laboratory setting. Assistive devices used in boosting were a cotton draw sheet on top of a fitted draw sheet in bed (regular sheet) and a cotton draw sheet on top of a slide film, which was in double sheet condition. Ground reaction forces (GRF) and perceived physical load (Borg CR10 scale) were measured in two experienced nurses who repositioned two voluntary test persons weighing 90 kg and 125 kg. The boosting tasks (n = 16) were performed on both sides of the bed and measured in both nurses. The lowest rate of perceived exertion and the lowest requirement of force were measured when the slide film was used. Difference between peak and baseline of resultant ground reaction force was used to describe the force needed in boosting. The peak force needed in boosting was on average 38.1% less with slide film compared to regular sheet, and the impulse of force was on average 40.6% less. Friction-reducing assistive devices can decrease the force needed in boosting heavy patients. The results of our study can be used in workplace training programs aiming to enhance ergonomics and reduce the physical load of nurses and caregivers who perform boosting tasks many times a day in their work.

Biomechanical asymmetries differ between autograft types during unplanned change of direction after ACL reconstruction.

Nine months after anterior cruciate ligament (ACL) reconstruction, athletes who undergo surgery using a bone-patellar-tendon-bone (BPTB) autograft demonstrate higher loading asymmetries during vertical jumping than those with a hamstring tendon (HT) autograft. These asymmetries may transfer into sporting movements with a greater ACL injury risk. The aim of this study was to compare between-limb asymmetries in knee mechanics and task performance during an unplanned 90° change-of-direction (CoD) task in male field sport athletes reconstructed with BPTB or HT autografts. Seventy-eight male multidirectional field sport athletes with either a BPTB (n=39) or HT (n=39) autograft completed maximal unplanned CoD trials in a three-dimensional motion capture laboratory at approximately 9months post-surgery. A mixed-model 2x2 ANOVA (autograft type x limb) was used to compare variables related to ACL injury risk (e.g., internal knee moments) and performance (e.g., completion time) between autografts and limbs. Statistical parametric mapping was used for a waveform comparison throughout stance, supplemented with a discrete point analyses of peak knee moments and performance variables. Interaction effects were found at the knee joint, with BPTB demonstrating greater asymmetries than HT in knee extension moment (p<0.001); resultant ground reaction force (p<0.001); peak knee external rotation moment (p=0.04); and knee adduction (p=0.05), medial rotation (p<0.001), and flexion (p<0.001) angles. No differences were found between autografts for any performance variable. BPTB demonstrated greater lower-limb biomechanical asymmetries than HT during CoD, which may influence knee loading and longer-term outcomes and should thus be targeted during rehabilitation prior to return to play.

Development of a Three-Axis Monolithic Flexure-Based Ground Reaction Force Sensor for Various Gait Analysis

In this letter, we developed a monolithic flexure-based three-axis ground reaction force (GRF) sensor to analyze various gaits, including walking, running, and jumping. The GRF sensor requires different force capacities on each axis. In order to satisfy the force range requirements, a simple circular cross-section flexure was designed. The use of a monolithic flexure allows the sensor to have broad measurement range with enhanced durability in a compact, simple and lightweight structure. The proposed sensor can measure vertical force up to 2400 N and shear force up to 240 N that can measure wide range of GRF for walking, running and jumping. The deformation of the flexure under applied force is measured through capacitance changes and these values are converted into the three-axis force. The performance of the sensor was evaluated through several experiments. An outsole GRF measurement system was designed by embedding two developed sensors. The resultant GRF data during several in-place motions were measured with the developed system.

Effects of a novel inclined-adaptive footwear on change-of-direction performance in male athletes

BackgroundAlthough enhancing change of direction (COD) performance is a crucial factor for improving athletic performance in many sports, few studies have explored its effective methods. Research questionThis study aimed to investigate the effects of inclined-adaptive footwear (IAF) on force-time characteristics during a COD task. MethodsThirteen male team sport athletes were randomly assigned to wear IAF or footwear without adaptive technology to perform a COD60° task at their best effort. A three-dimensional force plate was used to obtain the force-time curve and related parameters at the turning step (plant foot). ResultsIAF led to a significantly higher resultant ground reaction force (GRF), horizontal GRF, vertical GRF, and horizontal/vertical ratio during the braking phase, followed by a significantly shorter contact time and higher resultant horizontal GRF and vertical GRF during the propulsive phase. SignificanceThis indicated that a greater GRF output, redistributed GRF, and shorter contact time occurred with the IAF. Therefore, IAF has the potential to enhance COD performance for sports involving multi-directional footwork and contribute to the development of new functional footwear.

The effect of a low-load plyometric running intervention on leg stiffness in youth with cerebral palsy: A randomised controlled trial.

To determine whether a running intervention utilising plyometric activities improved leg stiffness in youth with cerebral palsy (CP), GMFCS levels I and II. This stratified randomised controlled trial examined the lower limb kinetics and kinematics of a sample of youths with CP during sub-maximal hopping and running, prior to and immediately following a 12-week running intervention that incorporated low load plyometric training. Included participants were 13 in the control group (mean age 13 years 2 months [SD 2 years 7 months]; six males; nine GMFCS level I; six unilateral) and 18 in the intervention group (mean age 12 years 9 months [SD 2 years 10 months]; 13 males; 11 GMFCS level I; nine unilateral). Derived variables included three-dimensional leg stiffness as well as resultant ground reaction force and change in leg length. Generalised linear mixed models were developed for statistical analysis. At follow-up the intervention group had greater leg stiffness than the control group during submaximal hopping (Intervention median = 3278Nm-1; Control median = 1556Nm-1; p < 0.01). At follow-up, participants in the intervention group in GMFCS Level I had greater leg stiffness than the control group during jogging (Intervention mean=38.84 (SD=25.55); Control mean=29.38 (SD=11.11); t = 2.61 p = 0.01). A running training intervention which includes plyometric activities can improve leg stiffness in young people with CP, especially those in GMFCS level I.

Leg and Joint Stiffness Adaptations to Minimalist and Maximalist Running Shoes.

The running footwear literature reports a conceptual disconnect between shoe cushioning and external impact loading: footwear or surfaces with greater cushioning tend to result in greater impact force characteristics during running. Increased impact loading with maximalist footwear may reflect an altered lower-extremity gait strategy to adjust for running in compliant footwear. The authors hypothesized that ankle and knee joint stiffness would change to maintain the effective vertical stiffness, as cushioning changed with minimalist, traditional, and maximalist footwear. Eleven participants ran on an instrumental treadmill (3.5m·s-1) for a 5-minute familiarization in each footwear, plus an additional 110 seconds before data collection. Vertical, leg, ankle, and knee joint stiffness and vertical impact force characteristics were calculated. Mixed model with repeated measures tested differences between footwear conditions. Compared with traditional and maximalist, the minimalist shoes were associated with greater average instantaneous and average vertical loading rates (P < .050), greater vertical stiffness (P ≤ .010), and less change in leg length between initial contact and peak resultant ground reaction force (P < .050). No other differences in stiffness or impact variables were observed. The shoe cushioning paradox did not hold in this study due to a similar musculoskeletal strategy for running in traditional and maximalist footwear and running with a more rigid limb in minimalist footwear.

A Computational Gait Model With a Below-Knee Amputation and a Semi-Active Variable-Stiffness Foot Prosthesis.

Simulations based on computational musculoskeletal models are powerful tools for evaluating the effects of potential biomechanical interventions, such as implementing a novel prosthesis. However, the utility of simulations to evaluate the effects of varied prosthesis design parameters on gait mechanics has not been fully realized due to the lack of a readily-available limb loss-specific gait model and methods for efficiently modeling the energy storage and return dynamics of passive foot prostheses. The purpose of this study was to develop and validate a forward simulation-capable gait model with lower-limb loss and a semi-active variable-stiffness foot (VSF) prosthesis. A seven-segment 28-DoF gait model was developed and forward kinematics simulations, in which experimentally observed joint kinematics were applied and the resulting contact forces under the prosthesis evolved accordingly, were computed for four subjects with unilateral below-knee amputation walking with a VSF. Model-predicted resultant ground reaction force (GRFR) matched well under trial-specific optimized parameter conditions (mean R2: 0.97, RMSE: 7.7% body weight (BW)) and unoptimized (subject-specific, but not trial-specific) parameter conditions (mean R2: 0.93, RMSE: 12% BW). Simulated anterior-posterior center of pressure demonstrated a mean R2 = 0.64 and RMSE = 14% foot length. Simulated kinematics remained consistent with input data (0.23 deg RMSE, R2 > 0.99) for all conditions. These methods may be useful for simulating gait among individuals with lower-limb loss and predicting GRFR arising from gait with novel VSF prostheses. Such data are useful to optimize prosthesis design parameters on a user-specific basis.

Ratio of forces during sprint acceleration: A comparison of different calculation methods

The orientation of the ground reaction force (GRF) vector is a key determinant of human sprint acceleration performance and has been described using ratio of forces (RF) which quantifies the ratio of the antero-posterior component to the resultant GRF. Different methods have previously been used to calculate step-averaged RF, and this study therefore aimed to compare the effects of three calculation methods on two key “technical” ability measures: decline in ratio of forces (DRF) and theoretical maximal RF at null velocity (RF0). Twenty-four male sprinters completed maximal effort 60 m sprints from block and standing starts on a fully instrumented track (force platforms in series). RF-horizontal velocity profiles were determined from the measured GRFs over the entire acceleration phase using three different calculation methods for obtaining an RF value for each step: A) the mean of instantaneous RF during stance, B) the step-averaged antero-posterior component divided by the step-averaged resultant GRF, C) the step-averaged antero-posterior component divided by the resultant of the step-averaged antero-posterior and vertical components. Method A led to significantly greater RF0 and shallower DRF slopes than Methods B and C. These differences were very large (Effect size Cohen’s d = 2.06 – 4.04) and varied between individuals due to differences in the GRF profiles, particularly during late stance as the acceleration phase progressed. Method B provides RF values which most closely approximate the mechanical reality of step averaged accelerations progressively approaching zero and it is recommended for future analyses although it should be considered a ratio of impulses.

Comparison of Joint and Muscle Biomechanics in Maximal Flywheel Squat and Leg Press.

The aim was to compare the musculoskeletal load distribution and muscle activity in two types of maximal flywheel leg-extension resistance exercises: horizontal leg press, during which the entire load is external, and squat, during which part of the load comprises the body weight. Nine healthy adult habitually strength-training individuals were investigated. Motion analysis and inverse dynamics-based musculoskeletal modelling were used to compute joint loads, muscle forces, and muscle activities. Total exercise load (resultant ground reaction force; rGRF) and the knee-extension net joint moment (NJM) were slightly and considerably greater, respectively, in squat than in leg press (p ≤ 0.04), whereas the hip-extension NJM was moderately greater in leg press than in squat (p = 0.03). Leg press was performed at 11° deeper knee-flexion angle than squat (p = 0.01). Quadriceps muscle activity was similar in squat and leg press. Both exercise modalities showed slightly to moderately greater force in the vastii muscles during the eccentric than concentric phase of a repetition (p ≤ 0.05), indicating eccentric overload. That the quadriceps muscle activity was similar in squat and leg press, while rGRF and NJM about the knee were greater in squat than leg press, may, together with the finding of a propensity to perform leg press at deeper knee angle than squat, suggest that leg press is the preferable leg-extension resistance exercise, both from a training efficacy and injury risk perspective.

A Reduced-Order Computational Model of a Semi-Active Variable-Stiffness Foot Prosthesis.

Passive energy storage and return (ESR) feet are current performance standard in lower limb prostheses. A recently developed semi-active variable-stiffness foot (VSF) prosthesis balances the simplicity of a passive ESR device with the adaptability of a powered design. The purpose of this study was to model and simulate the ESR properties of the VSF prosthesis. The ESR properties of the VSF were modeled as a lumped parameter overhung beam. The overhung length is variable, allowing the model to exhibit variable ESR stiffness. Foot-ground contact was modeled using sphere-to-plane contact models. Contact parameters were optimized to represent the geometry and dynamics of the VSF and its foam base. Static compression tests and gait were simulated. Simulation outcomes were compared to corresponding experimental data. Stiffness of the model matched that of the physical VSF (R2: 0.98, root-mean-squared error (RMSE): 1.37 N/mm). Model-predicted resultant ground reaction force (GRFR) matched well under optimized parameter conditions (R2: 0.98, RMSE: 5.3% body weight,) and unoptimized parameter conditions (R2: 0.90, mean RMSE: 13% body weight). Anterior-posterior center of pressure matched well with R2 > 0.94 and RMSE < 9.5% foot length in all conditions. The ESR properties of the VSF were accurately simulated under benchtop testing and dynamic gait conditions. These methods may be useful for predicting GRFR arising from gait with novel prostheses. Such data are useful to optimize prosthesis design parameters on a user-specific basis.

Does Site Matter? Impact of Inertial Measurement Unit Placement on the Validity and Reliability of Stride Variables During Running: A Systematic Review and Meta-analysis

Inertial measurement units (IMUs) are used for running gait analysis in a variety of sports. These sensors have been attached at various locations to capture stride data. However, it is unclear if different placement sites affect the derived outcome measures. The aim of this systematic review and meta-analysis was to investigate the impact of placement on the validity and reliability of IMU-derived measures of running gait. Online databases SPORTDiscus with Full Text, CINAHL Complete, MEDLINE (EBSCOhost), EMBASE (Ovid) and Scopus were searched from the earliest record to 6 August 2020. Articles were included if they (1) used an IMU during running (2) reported spatiotemporal variables, peak ground reaction force (GRF) or vertical stiffness and (3) assessed validity or reliability. Meta-analyses were performed for a pooled validity estimate when (1) studies reported means and standard deviation for variables derived from the IMU and criterion (2) used the same IMU placement and (3) determined validity at a comparable running velocity (≤ 1m·s-1 difference). Thirty-nine articles were included, where placement varied between the foot, tibia, hip, sacrum, lumbar spine (LS), torso and thoracic spine (TS). Initial contact, toe-off, contact time (CT), flight time (FT), step time, stride time, swing time, step frequency (SF), step length (SL), stride length, peak vertical and resultant GRF and vertical stiffness were analysed. Four variables (CT, FT, SF and SL) were meta-analysed, where CT was compared between the foot, tibia and LS placements and SF was compared between foot and LS. Foot placement data were meta-analysed for FT and SL. All data are the mean difference (MD [95%CI]). No significant difference was observed for any site compared to the criterion for CT (foot: - 11.47ms [- 45.68, 22.74], p = 0.43; tibia: 22.34ms [- 18.59, 63.27], p = 0.18; LS: - 48.74ms [- 120.33, 22.85], p = 0.12), FT (foot: 11.93ms [- 8.88, 32.74], p = 0.13), SF (foot: 0.45 step·min-1 [- 1.75, 2.66], p = 0.47; LS: - 3.45 step·min-1 [- 16.28, 9.39], p = 0.37) and SL (foot: 0.21cm [- 1.76, 2.18], p = 0.69). Reliable derivations of CT (coefficient of variation [CV] < 9.9%), FT (CV < 11.6%) and SF (CV < 4.4%) were shown using foot- and LS-worn IMUs, while the CV was < 7.8% for foot-determined stride time, SL and stride length. Vertical GRF was reliable from the LS (CV = 4.2%) and TS (CV = 3.3%) using a spring-mass model, while vertical stiffness was moderately (r = 0.66) and nearly perfectly (r = 0.98) correlated with criterion measures from the TS. Placement of IMUs on the foot, tibia and LS is suitable to derive valid and reliable stride data, suggesting measurement site may not be a critical factor. However, evidence regarding the ability to accurately detect stride events from the TS is unclear and this warrants further investigation.