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Klaus Schneider and Ronald F. Zernicke

With a validated mathematical model of the head-neck consisting of nine rigid bodies (skull, seven cervical vertebrae, and torso), we simulated head impacts to estimate the injury risk associated with soccer heading. Experimental data from head-linear accelerations during soccer heading were used to validate the nine-body head-neck model for short duration impact loading of the head. In the computer simulations, the mass ratios between head mass and impacting body mass, the velocity of the impacting body, and the impact elasticity were varied. Head-linear and angular accelerations were compared to standard head-injury tolerance levels, and the injury risk specifically related to soccer heading was estimated. Based on our choice of tolerance levels in general, our simulations showed that injury risk from angular head accelerations was greater than from linear head accelerations, and compared to frontal impacts, lateral impacts had greater angular and less linear head accelerations. During soccer heading, our simulations indicated an unacceptable injury risk caused by angular head accelerations for frontal and lateral impacts at relatively low impact velocities for children, and at medium range impact velocities for adults. For linear head accelerations, injury risk existed for frontal and lateral impacts at medium range to relatively larger impact velocities for children, while no injury risk was shown for adults throughout the entire velocity range. For injury prevention, we suggest that head-injury risk can be reduced most substantially by increasing the mass ratio between head and impacting body. In soccer with children, the mass of the impacting body has to be adjusted to the reduced head mass of a child, that is, it must be clearly communicated to parents, coaches, and youngsters to only use smaller soccer balls.

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Robin S. Vealey, Robin Cooley, Emma Nilsson, Carly Block and Nick Galli

effectiveness as a consultant     Coaches/administrators like to have quantitative data   Cross-validate observations/interviews Validation of my observations; cross-checking with interviews     Identify discrepancies between objective and subjective data   Selection Draft selection Build Relationships Rapport

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Francisco Javier Alonso, Publio Pintado and José María Del Castillo

The use of the Hodrick-Prescott (HP) filter is presented as an alternative to the traditional digital filtering and spline smoothing methods currently used in biomechanics. In econometrics, HP filtering is a standard tool used to decompose a macroeconomic time series into a nonstationary trend component and a stationary residual component. The use of the HP filter in the present work is based on reasonable assumptions about the jerk and noise components of the raw displacement signal. Its applicability was tested on 4 kinematic signals with different characteristics. Two are well known signals taken from the literature on biomechanical signal filtering, and the other two were acquired with our own motion capture system. The criterion for the selection of cutoff frequency was based on the power spectral density of the raw displacement signals. The results showed the technique to be well suited to filtering biomechanical displacement signals in order to obtain accurate higher derivatives in a simple and systematic way. Namely, the HP filter and the generalized cross-validated quintic spline (GCVSPL) produce similar RMS errors on the first (0.1063 vs. 0.1024 m/s2) and second (23.76 vs. 23.24 rad/s2) signals. The HP filter performs slightly better than GCVSPL on the third (0.209 vs. 0.236 m/s2) and fourth (1.596 vs. 2.315 m/s2) signals.

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Mark L. McMulkin, Jeffrey C. Woldstad and Richard E. Hughes

Biomechanical optimization models are often used to estimate muscular and intervertebral disc forces during physical exertions. The purpose of this study was to determine whether an optimization-based biomechanical model predicts torso muscular activity of males and females equally well. The Minimum Intensity Compression (MIC) model, which has been extensively applied in industrial ergonomic task analysis, was used to estimate muscle forces for 3D moments. Participants (6 M, 6 F) performed 18 isometric exertions resisting 3D L3/L4 moments while electromyographic (EMG) activity was recorded for 8 muscles. Overall, model force estimates correlated better with male EMG activity (R 2 = 0.43) than with female EMG activity (R 2 = 0.33). Model force estimates of 4 muscles (LRA, RRA, REO, and RES) correlated better with male EMG activity than with female EMG. We conclude that trunk muscle forces estimated by current biomechanical modeling do not correlate equally well to male and female EMG activity. Future research needs to address validation or improvement of biomechanical trunk models for females.

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John F. Swigart, Arthur G. Erdman and Patrick J. Cain

A new method for quantifying shoe cushioning durability was developed. This method used a computer-controlled, closed-loop materials testing system to subject the shoes to force-time profiles that were indicative of running. The change in the magnitude of the maximum energy absorbed by a shoe and the change in the magnitude of the energy balance of the shoe were quantified after the shoe had been worn running for a given distance. A shoe that changed very little in these quantities had a small energy wear factor and was deemed to have durable cushioning. The test method was roughly validated through comparison of three shoes of different midsole constructions with known relative durabilities. The shoes were tested at four simulated running speeds for energy properties when they were new and after they were run in for 161 km. The relative durabilities of the tested shoes were consistent with expectations based on the shoes' materials and constructions, showing that the new method has promise in predicting shoe cushioning durability, and thus more complete studies of the method may prove useful.

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Sabrina S.M. Lee, Gregory S. Lewis and Stephen J. Piazza

The accuracy of an algorithm for the automated tracking of tendon excursion from ultrasound images was tested in three experiments. Because the automated method could not be tested against direct measurements of tendon excursion in vivo, an indirect validation procedure was employed. In one experiment, a wire “phantom” was moved a known distance across the ultrasound probe and the automated tracking results were compared with the known distance. The excursion of the musculotendinous junction of the gastrocnemius during frontal and sagittal plane movement of the ankle was assessed in a single cadaver specimen both by manual tracking and with a cable extensometer sutured to the gastrocnemius muscle. A third experiment involved estimation of Achilles tendon excursion in vivo with both manual and automated tracking. Root mean squared (RMS) error was calculated between pairs of measurements after each test. Mean RMS errors of less than 1 mm were observed for the phantom experiments. For the in vitro experiment, mean RMS errors of 8–9% of the total tendon excursion were observed. Mean RMS errors of 6–8% of the total tendon excursion were found in vivo. The results indicate that the proposed algorithm accurately tracks Achilles tendon excursion, but further testing is necessary to determine its general applicability.

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Christopher Joyce, Angus Burnett and Miccal Matthews

No method currently exists to determine the location of the kick point during the golf swing. This study consisted of two phases. In the first phase, the static kick point of 10 drivers (having identical grip and head but fitted with shafts of differing mass and stiffness) was determined by two methods: (1) a visual method used by professional club fitters and (2) an algorithm using 3D locations of markers positioned on the golf club. Using level of agreement statistics, we showed the latter technique was a valid method to determine the location of the static kick point. In phase two, the validated method was used to determine the dynamic kick point during the golf swing. Twelve elite male golfers had three shots analyzed for two drivers fitted with stiff shafts of differing mass (56 g and 78 g). Excellent between-trial reliability was found for dynamic kick point location. Differences were found for dynamic kick point location when compared with static kick point location, as well as between-shaft and within-shaft. These findings have implications for future investigations examining the bending behavior of golf clubs, as well as being useful to examine relationships between properties of the shaft and launch parameters.

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Louis A. DiBerardino III, Chantal A. Ragetly, Sungjin Hong, Dominique J. Griffon and Elizabeth T. Hsiao-Wecksler

The regions of deviation method has been proposed as a technique for identifying regions of the gait cycle where joint motion deviates from normal (Shorter et al., 2008). The original statistical analysis distinguished only peak values during stance and swing. In the current article, we extend the approach by examining deviations from normal throughout the entire gait cycle using pointwise t tests. These methods were demonstrated on hind-limb joint angles of 21 Labrador Retrievers without and with cranial cruciate ligament disease. Results were compared with peak difference analysis previously performed on these subjects. All points in the gait cycle where symmetry deviations were significantly affected by cranial cruciate ligament disease (via pointwise t tests) were defined as regions of deviation from symmetry. Discriminant function analysis was used to consider single subjects and validate that these regions were truly areas of difference between groups. Regions of deviation encompassed previously determined significant peak differences, while extending analysis to additional areas of asymmetry. Discriminant function analysis suggested that the region of deviation method is a viable approach for distinguishing motion pattern differences. This enhanced method may help researchers better understand the mechanisms behind lameness and compensation.

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Andre Filipe Santos-Magalhaes and Karen Hambly

Context:

The assessment of physical activity and return to sport and exercise activities is an important component in the overall evaluation of outcome after autologous cartilage implantation (ACI).

Objective:

To identify the patient-report instruments that are commonly used in the evaluation of physical activity and return to sport after ACI and provide a critical analysis of these instruments from a rehabilitative perspective.

Evidence Acquisition:

A computerized search was performed in January 2013 and repeated in March 2013. Criteria for inclusion required that studies (1) be written in English and published between 1994 and 2013; (2) be clinical studies where knee ACI cartilage repair was the primary treatment, or comparison studies between ACI and other techniques or between different ACI generations; (3) report postoperative physical activity and sport participation outcomes results, and (4) have evidence level of I–III.

Evidence Synthesis:

Twenty-six studies fulfilled the inclusion criteria. Three physical activity scales were identified: the Tegner Activity Scale, Modified Baecke Questionnaire, and Activity Rating Scale. Five knee-specific instruments were identified: the Lysholm Knee Function Scale, International Knee Documentation Committee Score Subjective Form, Knee Injury and Osteoarthritis Outcome Score, Modified Cincinnati Knee Score, and Stanmore-Bentley Functional Score.

Conclusions:

Considerable heterogeneity exists in the reporting of physical activity and sports participation after ACI. Current instruments do not fulfill the rehabilitative needs in the evaluation of physical activity and sports participation. The validated instruments fail in the assessment of frequency, intensity, and duration of sports participation.

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Sean P. Flanagan and George J. Salem

In the analysis of human movement, researchers often sum individual joint kinetics to obtain a single measure of lower extremity function. The extent to which these summed measures relate to the mechanical objectives of the task has not been formally validated. The criterion validity of these measures was established with comparisons to the mechanical objective of two multiple-joint tasks. For the Work task 18 participants performed a loaded barbell squat using 4 resistances while instrumented for biomechanical analysis. For the Power they performed 2 predetermined amounts of work at both self-selected and fast speeds. Using inverse dynamics techniques, the peak net joint moment (PM) was calculated bilaterally in the sagittal plane at the ankle, knee, and hip and was summed into a single measure. This measure was correlated with the task objectives using simple linear regression. Similar procedures were used for the average net joint moment (AM), peak (PP), and average (AP) net joint moment power, and the net joint moment impulse (IM) and work (IP). For the Work task all 6 measures were significantly correlated with the task objective, but only AM, PM, and IP had correlation coefficients above 0.90. For the Power task, IM was not significantly correlated with the task objective, and only AP had a correlation coefficient above 0.90. These findings indicate that the validity of summing individual kinetic measures depends on both the measure chosen and the mechanical objective of the task.