Kinematic and electromyography analysis of submaximal differences running on a firm surface compared with soft, dry sand.

Kinematic and electromyography (EMG) aspects of running on a firm surface and on soft, dry sand were studied to elucidate mechanisms contributing to the higher energy cost (EC) of sand running. Eight well-trained males (mean 64.3±8.6 ml·kg^–1·min^–1) performed barefoot running trials on a firm surface (wooden floor) and on a soft, dry sand surface (track dimensions 8.8 m×60 cm; depth 13 cm) at 8 and 11 km·h^–1. Kinematic and EMG data were collected simultaneously using an integrated six-camera 50 Hz VICON motion analysis system, an AMTI force-plate and a 10-channel EMG system. Running at 8 km·h^–1 on sand resulted in a greater (P<0.05) stance time (t_s) compared with the firm surface. At 11 km·h^–1, sand running resulted in a greater stance-to-stride ratio (P<0.005), a shorter stride length (SL) (P<0.05), and a greater cadence (P<0.001) compared with the firm surface values. Hip and knee flexion at initial foot contact (IFC), mid-support (MS) and flexion maximum were greater (P<0.001) running on sand compared with firm surface values at 8 and 11 km·h^–1. Over duration of stride, Hamstring (semimembranosus and biceps femoris) EMG was greater running on sand compared with the firm surface at 8 (P<0.001) and 11 (P<0.05) km·h^–1. During the stance phase in the 8-km·h^–1 trials, EMG in the Hamstrings (P<0.001), Vastii (Vastus lateralis and Vastus Medialis) (P<0.02), Rectus femoris (Rec Fem) (P<0.01) and Tensor Fascia Latae (Tfl) (P<0.0001) were greater than the firm surface measures. During stance in the 11-km·h^–1 trials, Tfl EMG was greater (P<0.02) running on sand compared with the firm surface. At IFC and MS, Hamstrings EMG was greater on sand at both running speeds (P<0.001). For the Vastii (P<0.02), Rec Fem (P<0.0001) and Tfl (P<0.0001) muscles, the EMG at MS running on sand at both speeds was greater than the firm surface values. The increased EC of running on sand can be attributed in part to the increased EMG activation associated with greater hip and knee range of motion compared with firm surface running.     

Can tibio-femoral kinematic and kinetic parameters reveal poor functionality and underlying deficits after total knee replacement? A systematic review

BackgroundExtensive efforts have been made to understand joint kinematics and kinetics in total knee arthroplasty (TKA) in subjects with satisfactory outcomes during daily functional activities and clinical tests, but it remains unclear whether such movement characteristics hold the potential to indicate the underlying aetiology of unsatisfactory or bad TKA outcomes.PurposeTo investigate which kinematic and kinetic parameters assessed during passive clinical tests and functional activities of daily living are associated with poor functionality and underlying deficits after total knee replacement.MethodsWe focused on studies characterizing the kinematic or kinetic parameters of the knee joint that are associated with poor clinical outcome after TKA. Seventeen articles were included for the review, and kinematic and kinetic data from 719 patients with minimal follow up of 6 months were extracted and analyzed.ResultsPassive posterior translation at 90° flexion exhibited good potential for differentiating stable and unstable TKAs. Anterior-posterior (A-P) translation of the medial condyle at 0–30° and 30–60° flexion, A-P translation of the lateral condyle at 60–90° during closed chain exercises, as well as knee extension moment during stair ascent and descent, knee abduction moment during stair descent, knee internal rotation moment and plantar flexion moment during walking, 2nd peak ground reaction force during stair ascent and walking showed the greatest promise as functional biomarkers for a dissatisfied/poor outcome knee after TKA.ConclusionIn this study, we systematically reviewed the state-of-the-art knowledge of kinematics and kinetics associated with functional deficits, and found 11 biomechanical parameters that showed promise for supporting decision making in TKA.     

Anticipatory locomotor adjustments for accommodating versus avoiding level changes in humans

 The control of locomotion has been studied from various perspectives related to the tasks of pattern generation, equilibrium control or adaptation to the environment. The last of these locomotor components has received comparably less attention, specifically pertaining to anticipatory adjustments. Continuing the work which has been conducted on both humans and cats, the present paper explores the nature of the differences in anticipatory locomotor adjustments for obstacle avoidance versus the accommodation to level changes. Six subjects walked in six different environments including no obstructions, a simple obstacle, two different level changes (a platform and stairs), and a combination of an obstacle with each respective level change. Full dynamic analyses allowed comparison of muscle torques as well as muscle power generated and absorbed at the lower limb joints across conditions. It was found that the previously shown robust lower limb reorganization characterized by a knee flexor generation strategy was upheld in all conditions when the obstacle was present. Pure level changes involved an augmentation of the ongoing hip strategy inherent in normal level walking. In the compound environment of obstructed level changes, subjects chose to combine an augmentation of hip flexor power with a reorganization to active knee flexion. The results are discussed from the point of view of general principles of mechanical coordination and the exploitation of intersegmental dynamics for foot transport. Received: 31 May 1996 / Accepted: 1 November 1996     

全髋关节置换术后脱位的风险分析

目的探讨分析全髋关节置换术后常见的脱位失效的风险。方法利用光学运动捕捉系统对正常人群进行日常行为的下肢运动学测量,设计并开发可视化髋关节假体运动分析软件。利用该软件测量不同设计参数的髋关节假体的最大安全活动范围,分析臼杯假体和股骨柄假体的相对运动关系,判断假体的活动安全性。结果利用测量得到的人体行为运动学数据,通过软件对比天然髋关节的活动度与全髋关节置换术后的活动范围,获得了髋关节假体脱位与人体行为运动的关系,并检测了植入假体的脱位风险。结论全髋关节置换术后的高屈曲动作脱位风险较大,尤其是下蹲、下跪动作。     

Patellar resurfacing has minimal impact on in vitro tibiofemoral kinematics during deep knee flexion in total knee arthroplasty

BackgroundWhile patellar resurfacing can affect patellofemoral kinematics, the effect on tibiofemoral kinematics is unknown. We hypothesized that patellar resurfacing would affect tibiofemoral kinematics during deep knee flexion due to biomechanical alteration of the extensor mechanism.MethodsWe performed cruciate-retaining TKA in fresh-frozen human cadaveric knees (N = 5) and recorded fluoroscopic kinematics during deep knee flexion before and after the patellar resurfacing. To simulate deep knee flexion, cadaver knees were tested on a dynamic, quadriceps-driven, closed-kinetic chain simulator based on the Oxford knee rig design under loads equivalent to stair climbing. To measure knee kinematics, a 2-dimensional to 3-dimensional fluoroscopic registration technique was used. Component rotation, varus-valgus angle, and anteroposterior translation of medial and lateral contact points of the femoral component relative to the tibial component were calculated over the range of flexion.ResultsThere were no significant differences in femoral component external rotation (before patellar resurfacing: 6.6 ± 2.3°, after patellar resurfacing: 7.2 ± 1.8°, p = 0.36), and less than 1° difference in femorotibial varus-valgus angle between patellar resurfacing and non-resurfacing (p = 0.01). For both conditions, the medial and lateral femorotibial contact points moved posteriorly from 0° to 30° of flexion, but not beyond 30° of flexion. At 10° of flexion, after patellar resurfacing, the medial contact point was more anteriorly located than before patellar resurfacing.ConclusionDespite the potential for alteration of the knee extensor biomechanics, patellar resurfacing had minimal effect on tibiofemoral kinematics. Patellar resurfacing, if performed adequately, is unlikely to affect postoperative knee function.     

Effect of gap balancing and measured resection techniques on implant migration and contact kinematics of a cementless total knee arthroplasty

BackgroundThe purpose of this study was to compare implant migration and tibiofemoral contact kinematics of a cementless primary total knee arthroplasty (TKA) implanted using either a gap balancing (GB) or measured resection (MR) surgical technique.MethodsThirty-nine patients underwent TKA via a GB (n = 19) or a MR (n = 20) surgical technique. Patients received an identical fixed-bearing, cruciate-retaining cementless implant. Patients underwent a baseline radiostereometric analysis (RSA) exam at two weeks post-operation, with follow-up visits at six weeks, three months, six months, and one year post-operation. Migration including maximum total point motion (MTPM) of the femoral and tibial components was calculated over time. At the one year visit patients also underwent a kinematic exam via RSA.ResultsMean MTPM of the tibial component at one year post-operation was not different (mean difference = 0.09 mm, p = 0.980) between the GB group (0.85 ± 0.37 mm) and the MR group (0.94 ± 0.41 mm). Femoral component MTPM at one year post-operation was also not different (mean difference = 0.27 mm, p = 0.463) between the GB group (0.62 ± 0.34 mm) and the MR group (0.89 ± 0.44 mm). Both groups displayed similar kinematic patterns.ConclusionsThere was no difference in implant migration and kinematics of a single-radius, cruciate retaining cementless TKA performed using a GB or MR surgical technique. The magnitude of migration suggests there is low risk of early loosening. The results provide support for using the cementless implant with either a GB or MR technique.     

Effects of foot rotation positions on knee valgus during single-leg drop landing: Implications for ACL injury risk reduction

Background

Non-contact anterior cruciate ligament (ACL) injuries commonly occur when athletes land in high risk positions such as knee valgus. The position of the foot at landing may influence the transmission of forces from the ankle to the knee. Using an experimental approach to manipulate foot rotation positions, this study aimed to provide new insights on how knee valgus during single-leg landing may be influenced by foot positions.

Physiological costs and temporo-spatial parameters of walking on a treadmill vary with body weight unloading and speed in both healthy young and older women

Walking on a treadmill with Body Weight Unloading (BWU), which has been successfully used on patients with neurological conditions, may also be used as a training tool to increase walking speed in healthy individuals. We hypothesised that BWU enables individuals to walk at a faster speed on a treadmill than they would do in normal gravity conditions without increasing their effort and with an increase in both stride length (SL) and stride frequency (SF). Oxygen uptake, heart rate (HR), SL and SF of six older women (mean ± SD; 70 ± 4 years) and six young women (26 ± 3 years) were measured during treadmill walking at three self-selected speeds (comfortable, slow and fast) and three different percentages of BWU (0, 20 and 40%). No significant differences were found between the groups in any self-selected walking speeds and any of the other variables. The combined data of the two groups showed that walking energy cost per unit of time (WECt) and HR at fast speed with 40% of BWU (258 ± 60 J kg⁻¹ min⁻¹ and 95 ± 15 beats min⁻¹, respectively) were similar to those measured at comfortable speed with no BWU (273 ± 47 J kg⁻¹ min⁻¹ and 101 ± 16 beats min⁻¹, respectively). Also SL and SF increased significantly with speed (P < 0.017) at any given percentage of BWU. The results suggest that 40% of BWU enables both young and older women to walk at a faster speed on a treadmill without increasing their effort and with an increase in both SL and SF.     

Grasping at ‘thin air’: multimodal contact cues for reaching and grasping

Two experiments investigated the effects of haptic, auditory and graphic contact cues on reaching to grasp augmented objects (physical and graphic) and virtual objects (graphic only) of various sizes. In Experiment 1, auditory contact cues were presented either to enhance or to replace natural haptic contact cues in grasping. In Experiment 2, graphic contact cues were presented alone or in combination with auditory cues, and were provided either to enhance or to replace haptic contact information. Visual information of the hand was not available. Experiment 1 showed that enhancing haptic contact information with redundant auditory cues (augmented object) led to faster movement times than haptic cues alone. When haptic information was not available (virtual object), it could be replaced to some extent by auditory contact cues. In Experiment 2 movement times were fastest when both auditory and graphic cues were provided, and slowest when no contact cues were provided. Further, movement times were scaled to target width when reaching to grasp augmented objects, thus following Fitts’ law. In contrast, movement times showed a less pronounced decrease with increasing object size for virtual objects. However, even in the absence of haptic information, movement times showed a more pronounced scaling to object size when auditory contact cues were provided. These results emphasize the importance of contact information, especially haptic and auditory information, for planning and control of reaching and grasping.     

Visual cortex activation in kinesthetic guidance of reaching

The purpose of this research was to determine the cortical circuit involved in encoding and controlling kinesthetically guided reaching movements. We used ¹⁵O-butanol positron emission tomography in ten blindfolded able-bodied volunteers in a factorial experiment in which arm (left/right) used to encode target location and to reach back to the remembered location and hemispace of target location (left/right side of midsagittal plane) varied systematically. During encoding of a target the experimenter guided the hand to touch the index fingertip to an external target and then returned the hand to the start location. After a short delay the subject voluntarily moved the same hand back to the remembered target location. SPM99 analysis of the PET data contrasting left versus right hand reaching showed increased (P < 0.05, corrected) neural activity in the sensorimotor cortex, premotor cortex and posterior parietal lobule (PPL) contralateral to the moving hand. Additional neural activation was observed in prefrontal cortex and visual association areas of occipital and parietal lobes contralateral and ipsilateral to the reaching hand. There was no statistically significant effect of target location in left versus right hemispace nor was there an interaction of hand and hemispace effects. Structural equation modeling showed that parietal lobe visual association areas contributed to kinesthetic processing by both hands but occipital lobe visual areas contributed only during dominant hand kinesthetic processing. This visual processing may also involve visualization of kinesthetically guided target location and use of the same network employed to guide reaches to visual targets when reaching to kinesthetic targets. The present work clearly demonstrates a network for kinesthetic processing that includes higher visual processing areas in the PPL for both upper limbs and processing in occipital lobe visual areas for the dominant limb.