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Linear acceleration is a key performance determinant and major training component of many sports. Although extensive research about lower limb kinetics and kinematics is available, consistent definitions of distinctive key body positions, the underlying mechanisms and their related movement strategies are lacking. The aim of this ‘Method and Theoretical Perspective’ article is to introduce a conceptual framework which classifies the sagittal plane ‘shin roll’ motion during accelerated sprinting. By emphasising the importance of the shin segment’s orientation in space, four distinctive key positions are presented (‘shin block’, ‘touchdown’, ‘heel lock’ and ‘propulsion pose’), which are linked by a progressive ‘shin roll’ motion during swing-stance transition. The shin’s downward tilt is driven by three different movement strategies (‘shin alignment’, ‘horizontal ankle rocker’ and ‘shin drop’). The tilt’s optimal amount and timing will contribute to a mechanically efficient acceleration via timely staggered proximal-to-distal power output. Empirical data obtained from athletes of different performance levels and sporting backgrounds are required to verify the feasibility of this concept. The framework presented here should facilitate future biomechanical analyses and may enable coaches and practitioners to develop specific training programs and feedback strategies to provide athletes with a more efficient acceleration technique.
The majority of anterior cruciate ligament (ACL) injuries in team sports are non-contact injuries, with cutting maneuvers identified as high-risk tasks. Young female handball players have been shown to be at greater risk for ACL injuries than males. One risk factor for ACL injuries is the magnitude of the knee abduction moment (KAM). Cutting technique variables on foot placement, overall approach and knee kinematics have been shown to influence the KAM. Since injury risk is believed to increase with increasing task complexity, the purpose of the study was to test the effect of task complexity on technique variables that influence the KAM in female handball players during fake-and-cut tasks.
The purpose of this study was to 1) compare knee joint kinematics and kinetics of fake-and-cut tasks of varying complexity in 51 female handball players and 2) present a case study of one athlete who ruptured her ACL three weeks post data collection. External knee joint moments and knee joint angles in all planes at the instance of the peak external knee abduction moment (KAM) as well as moment and angle time curves were analyzed. Peak KAMs and knee internal rotation moments were substantially higher than published values obtained during simple change-of-direction tasks and, along with flexion angles, differed significantly between the tasks. Introducing a ball reception and a static defender increased joint loads while they partially decreased again when anticipation was lacking. Our results suggest to use game-specific assessments of injury risk while complexity levels do not directly increase knee loading. Extreme values of several risk factors for a post-test injured athlete highlight the need and usefulness of appropriate screenings.
Background
To assess the in-field walking mechanics during downhill hiking of patients with total knee arthroplasty five to 14 months after surgery and an age-matched healthy control group and relate them to the knee flexor and extensor muscle strength.
Methods
Participants walked on a predetermined hiking trail at a self-selected, comfortable pace wearing an inertial sensor system for recording the whole-body 3D kinematics. Sagittal plane hip, knee, and ankle joint angles were evaluated over the gait cycle at level walking and two different negative slopes. The concentric and eccentric lower extremity muscle strength of the knee flexors and extensors isokinetically at 50 and 120°/s were measured.
Findings
Less knee flexion angles during stance have been measured in patients in the operated limb compared to healthy controls in all conditions (level walking, moderate downhill, steep downhill). The differences increased with steepness. Muscle strength was lower in patients for both muscle groups and all measured conditions. The functional hamstrings to quadriceps ratio at 120°/sec correlated with knee angle during level and downhill walking at the moderate slope in patients, showing higher ratios with lower peak knee flexion angles.
Interpretation
The study shows that even if rehabilitation has been completed successfully and complication-free, five to 14 months after surgery, the muscular condition was still insufficient to display a normal gait pattern during downhill hiking. The muscle balance between quadriceps and hamstring muscles seems related to the persistence of a stiff knee gait pattern after knee arthroplasty. LoE: III.
In diesem Artikel werden die neuesten Entwicklungen in der Forschungsgruppe um Herrn Prof. Dr. Wendt vorgestellt. Es wird der Einsatz des neuen 3-D-Druckers der Firma Neotech, sowie die neuesten Entwicklungen im Leuchtturmprojekt Flitzmo beschrieben. Zudem konnte dieses Jahr mit dem Projekt zum Einsatz von Robotik im Bereich Assisted Living begonnen werden.
Weitsprung mit und ohne Unterschenkelprothese – gleiche Sportart, unterschiedliche Disziplinen
(2022)
In this paper, we propose an approach for gait phase detection for flat and inclined surfaces that can be used for an ankle-foot orthosis and the humanoid robot Sweaty. To cover different use cases, we use a rule-based algorithm. This offers the required flexibility and real-time capability. The inputs of the algorithm are inertial measurement unit and ankle joint angle signals. We show that the gait phases with the orthosis worn by a human participant and with Sweaty are reliably recognized by the algorithm under the condition of adapted transition conditions. E.g., the specificity for human gait on flat surfaces is 92 %. For the robot Sweaty, 95 % results in fully recognized gait cycles. Furthermore, the algorithm also allows the determination of the inclination angle of the ramp. The sensors of the orthosis provide 6.9 and that of the robot Sweaty 7.7 when walking onto the reference ramp with slope angle 7.9.
The aim of this review was to determine whether smartphone applications are reliable and valid to measure range of motion (RoM) in lower extremity joints. A literature search was performed up to October 2020 in the databases PubMed and Cochrane Library. Studies that reported reliability or validity of smartphone applications for RoM measurements were included. The study quality was assessed with the QUADAS-2 tool and baseline information, validity and reliability were extracted. Twenty-five studies were included in the review. Eighteen studies examined knee RoM, whereof two apps were analysed as having good to excellent reliability and validity for knee flexion (“DrGoniometer”, “Angle”) and one app showed good results for knee extension (“DrGoniometer”). Eight studies analysed ankle RoM. One of these apps showed good intra-rater reliability and excellent validity for dorsiflexion RoM (“iHandy level”), another app showed excellent reliability and moderate validity for plantarflexion RoM (“Coach’s Eye”). All other apps concerning lower extremity RoM had either insufficient results, lacked study quality or were no longer available. Some apps are reliable and valid to measure RoM in the knee and ankle joint. No app can be recommended for hip RoM measurement without restrictions.