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Landing heel first has been associated with elevated external knee abduction moments (KAM), thereby potentially increasing the risk of sustaining a non-contact ACL injury. Apart from the foot strike angle, knee valgus angle (VAL) and vertical center of mass velocity at initial ground contact (IC) have been associated with increased KAM in females across different sidestep cuts. While real-time biofeedback training has been proven effective for gait retraining [4], the highly dynamic, non-cyclical nature of cutting maneuvers makes real-time feedback unsuitable and alternative approaches necessary. This study aimed at assessing the efficacy of immediate software-aided feedback on cutting technique in reducing KAM during handball-specific cutting maneuvers.
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 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.
Recent advances in spiked shoe design, characterized by increased longitudinal stiffness, thicker midsole foams, and reconfigured geometry are considered to improve sprint performance. However, so far there is no empirical data on the effects of advanced spikes technology on maximal sprinting speed (MSS) published yet. Consequently, we assessed MSS via ‘flying 30m’ sprints of 44 trained male (PR: 10.32 s - 12.08 s) and female (PR: 11.56 s - 14.18 s) athletes, wearing both traditional and advanced spikes in a randomized, repeated measures design. The results revealed a statistically significant increase in MSS by 1.21% on average when using advanced spikes technology. Notably, 87% of participants showed improved MSS with the use of advanced spikes. A cluster analysis unveiled that athletes with higher MSS may benefit to a greater extent. However, individual responses varied widely, suggesting the influence of multiple factors that need detailed exploration. Therefore, coaches and athletes are advised to interpret the promising performance enhancements cautiously and evaluate the appropriateness of the advanced spike technology for their athletes critically.