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Lower Extremity Mechanics in Runners with a Converted Forefoot Strike Pattern

Dorsey S. Williams III, Irene S. McClay, and Kurt T. Manal

Runners are sometimes advised to alter their strike pattern as a means of increasing performance or in response to injury. The purpose of this study was to compare lower extremity mechanics of rearfoot strikers (RFS), who were instructed to run with a forefoot strike pattern (CFFS) to those of a preferred forefoot striker (FFS). Three-dimensional mechanics of 9 FFS and 9 CFFS were evaluated. Peak values for most kinematic and kinetic variables and all patterns of movement were not found to be statistically different between CFFS and FFS. Only peak vertical ground reaction force and peak ankle plantarflexion moment were found to be significantly lower (p ≤ .05) in the CFFS group. This suggests that RFS are able to assume a FFS pattern with very little practice that is very similar to that of a preferred FFS. The impact of changing one's strike pattern on injury risk and running performance needs further study.

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Frontal Plane Knee and Hip Kinematics During Sit-to-Stand and Proximal Lower Extremity Strength in Persons With Patellofemoral Osteoarthritis: A Pilot Study

Lisa T. Hoglund, Howard J. Hillstrom, Ann E. Barr-Gillespie, Margery A. Lockard, Mary F. Barbe, and Jinsup Song

Increased joint stress and malalignment are etiologic factors in osteoarthritis. Static tibiofemoral frontal plane malalignment is associated with patellofemoral osteoarthritis (PFOA). Patellofemoral joint stress is increased by activities such as sit-to-stand (STS); this stress may be even greater if dynamic frontal plane tibiofemoral malalignment occurs. If hip muscle or quadriceps weakness is present in persons with PFOA, aberrant tibiofemoral frontal plane movement may occur, with increased patellofemoral stress. No studies have investigated frontal plane tibiofemoral and hip kinematics during STS in persons with PFOA or the relationship of hip muscle and quadriceps strength to these motions. Eight PFOA and seven control subjects performed STS from a stool during three-dimensional motion capture. Hip muscle and quadriceps strength were measured as peak isometric force. The PFOA group demonstrated increased peak tibial abduction angles during STS, and decreased hip abductor, hip extensor, and quadriceps peak force versus controls. A moderate inverse relationship between peak tibial abduction angle and peak hip abductor force was present. No difference between groups was found for peak hip adduction angle or peak hip external rotator force. Dynamic tibiofemoral malalignment and proximal lower extremity weakness may cause increased patellofemoral stress and may contribute to PFOA incidence or progression.

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Lower-Extremity Energetic Distribution During Rate-Controlled Ballet Jumps (Sautés) in Healthy Dancers

Amanda C. Yamaguchi, Lindsey H. Trejo, Hai-Jung Steffi Shih, David Ortiz-Weissberg, and Kornelia Kulig

length–tension position. The type of dance jump also impacts the lower-extremity biomechanics. A rate-driven bipedal hop in combination with the upright trunk requires greater contribution from the ankle and knee joints. Thus, dance jumps, especially bipedal hops, are driven by the ankle and knee joints

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Within-Session Reliability and Minimum Detectable Differences for Discrete Lower-Extremity Angles and Moments During Walking

Jillian L. Hawkins and Clare E. Milner

been determined for several lower-extremity biomechanical variables, but only for between-session comparisons. 1 , 2 Within- and between-session reliability are influenced by differences in participants’ performance between trials; in addition, between-session reliability is influenced by marker

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Concussion History Moderates Trunk Motion and Lower Extremity Biomechanical Relationships During Jump Landing and Cutting

Kayla M. Kowalczyk, Eric J. Shumski, Julianne D. Schmidt, and Robert C. Lynall

downstream effects, such as muscle atrophy or mental health issues associated with time away from sport. 2 , 3 Concussions, and concussion history, pose an additional concern for athletes and coaches. The risk of sustaining a lower extremity injury increases following a concussion. 4 – 6 Further, female

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Lower-Extremity Motor Synergies in Individuals With and Without Chronic Ankle Instability

Adam E. Jagodinsky, Rebecca Angles, Christopher Wilburn, and Wendi H. Weimar

potential adaptations manifesting in motor strategies, previous studies have primarily focused on investigating individual lower-extremity joint movement and motor patterns during gait or drop landing between individuals with and without chronic ankle instability. 17 – 21 Yet, fewer studies have focused on

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Lower Extremity Joint Moments during Uphill Cycling

Graham E. Caldwell, James M. Hagberg, Steve D. McCole, and Li Li

Lower extremity joint moments were investigated in three cycling conditions: level seated, uphill seated and uphill standing. Based on a previous study (Caldwell, Li, McCole, & Hagberg, 1998), it was hypothesized that joint moments in the uphill standing condition would be altered in both magnitude and pattern. Eight national caliber cyclists were filmed while riding their own bicycles mounted to a computerized ergometer. Applied forces were measured with an instrumented pedal, and inverse dynamics were used to calculate joint moments. In the uphill seated condition the joint moments were similar in profile to the level seated but with a modest increase in magnitude. In the uphill standing condition the peak ankle plantarflexor moment was much larger and occurred later in the downstroke than in the seated conditions. The extensor knee moment that marked the first portion of the down-stroke for the seated trials was extended much further into the downstroke while standing, and the subsequent knee flexor moment period was of lower magnitude and shorter duration. These moment changes in the standing condition can be explained by a combination of more forward hip and knee positions, increased magnitude of pedal force, and an altered pedal force vector direction. The data support the notion of an altered contribution of both muscular and non-muscular sources to the applied pedal force. Muscle length estimates and muscle activity data from an earlier study (Li & Caldwell, 1996) support the unique roles of mono-articular muscles for energy generation and bi-articular muscles for balancing of adjacent joint moments in the control of pedal force vector direction.

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An Alternative Model of the Lower Extremity during Locomotion

Saunders N. Whittlesey and Joseph Hamill

An alternative to the Iterative Newton-Euler or linked segment model was developed to compute lower extremity joint moments using the mechanics of the double pendulum. The double pendulum model equations were applied to both the swing and stance phases of locomotion. Both the Iterative Newton-Euler and double pendulum models computed virtually identical joint moment data over the entire stride cycle. The double pendulum equations, however, also included terms for other mechanical factors acting on limb segments, namely hip acceleration and segment angular velocities and accelerations Thus, the exact manners in which the lower extremity segments interacted with each other could be quantified throughout the gait cycle. The linear acceleration of the hip and the angular acceleration of the thigh played comparable roles to muscular actions during both swing and stance.

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Adolescent Baseball Pitching Technique: Lower Extremity Biomechanical Analysis

Matthew D. Milewski, Sylvia Õunpuu, Matthew Solomito, Melany Westwell, and Carl W. Nissen

Documentation of the lower extremity motion patterns of adolescent pitchers is an important part of understanding the pitching motion and the implication of lower extremity technique on upper extremity loads, injury and performance. The purpose of this study was to take the initial step in this process by documenting the biomechanics of the lower extremities during the pitching cycle in adolescent pitchers and to compare these findings with the published data for older pitchers. Three-dimensional motion analysis using a comprehensive lower extremity model was used to evaluate the fast ball pitch technique in adolescent pitchers. Thirty-two pitchers with a mean age of 12.4 years (range 10.5–14.7 years) and at least 2 years of experience were included in this study. The pitchers showed a mean of 49 ± 12° of knee flexion of the lead leg at foot contact. They tended to maintain this position through ball release, and then extended their knee during the follow through phase (ball release to maximal internal glenohumeral rotation). The lead leg hip rapidly progressed into adduction and flexion during the arm cocking phase with a range of motion of 40 ± 10° adduction and 30 ± 13° flexion. The lead hip mean peak adduction velocity was 434 ± 83°/s and flexion velocity was 456 ± 156°/s. Simultaneously, the trailing leg hip rapidly extended approaching to a mean peak extension of –8 ± 5° at 39% of the pitch cycle, which is close to passive range of motion constraints. Peak hip abduction of the trailing leg at foot contact was –31 ± 12°, which also approached passive range of motion constraints. Differences and similarities were also noted between the adolescent lower extremity kinematics and adult pitchers; however, a more comprehensive analysis using similar methods is needed for a complete comparison.

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The Effects of Track Turns on Lower Extremity Function

Joseph Hamill, Michael Murphy, and Donald Sussman

The mechanics of moving along a curved path suggest that runners must change their body positions and thus adjust their lower extremity function as they accomplish a track turn. The purpose of the present study was to investigate the changes in the kinetics and kinematics of the lower extremity as runners proceed around the turn of a 400-m track (radius 31.5 m). Five skilled runners served as subjects in the study and were required to perform 10 trials in three conditions, running at 6.31 m/s plus or minus 5% (4:15 min/mile pace). The right and left limbs on a track turn and the right limb on the straightaway were evaluated using ground reaction force data and kinematic data from high-speed film. Statistical analysis of the 18 ground reaction force variables and 4 kinematic variables suggested that the right and left limbs at the midpoint of the track turn were asymmetrical and that most of the differences occurred in the first portion of the footfall Significant differences were found in the touchdown angle, maximum pronation angle, all mediolateral variables, and in the vertical variables describing the collision phase of the footfall (p < .05). The data suggest that the etiologies of injuries to the right and left lower extremity differ, with right foot injuries being of the impact type and left leg injuries being of the overpronation type.