reinjuries. Due to the kinematic deviations following ACLR, it is critical to identify those deficits in clinical practice. Three-dimensional (3D) motion analysis is considered most accurate for evaluating kinematics during dynamic movements; however, it requires expensive equipment, designated space, and
Kai-Yu Ho, Brenda Benson Deaver, Tyrel Nelson and Catherine Turner
Debra G. George-Reichley and Jill S. Higginson
The understanding of individual muscle impairments that affect swing phase in stroke gait will lead to better rehabilitation strategies for this population. We used induced acceleration analysis to evaluate the potential each muscle has to accelerate the hip and knee joints of the swing limb, using kinematics from three stroke subjects and five healthy subjects. To determine the influence of altered limb position on muscle function, we augmented hip extension by 10° in swing phase for all subjects. We found that in early swing, healthy subjects had greater potential to accelerate the knee into flexion than stroke subjects, whereas stroke subjects had greater potential to accelerate the hip into flexion. Perturbing the hip flexion angle into greater extension increased the potential of biarticular muscles to flex the knee in swing phase. The potential of muscles to improve swing phase dynamics depends on the initial posture of the limb and highlights the importance of subject-specific evaluations in the design of appropriate therapeutic interventions.
Melanie Krüger, Thomas Eggert and Andreas Straube
Empirical evidence suggests that the ability to stabilize important task variables of everyday movements by synergistically coordinating redundant degrees of freedom decreases with aging. The aim of the current study was to investigate whether this decrease may be regarded as a characteristic that also applies for the control of multiple task variables. We asked younger and older subjects to repeatedly reach towards and grasp a handle, while joint angle movement of the arm was recorded. The handle constrained final hand position and final hand orientation. Movement variability was analyzed during movement execution by using the uncontrolled manifold method. Results showed that hand orientation was less stabilized in younger than in older subjects. We conclude that aging changes the stability of important task variables. These changes may lead to decreased stability in some task variables, as reported in the literature, but also to increased stability in other task variables.
Agnès Roby-Brami, Johanna V.G. Robertson, Alexandra Roren and Marie-Martine Lefèvre-Colau
This study explored the coordination between the components of the shoulder girdle (clavicle, scapula and humerus), and how they contribute to hand movement in the peri-personal space. Shoulder girdle motion was recorded in 10 healthy subjects during pointing movements to 9 targets in the peri-personal space, using electromagnetic sensors fixed to the trunk, scapula and upper arm. Most of the 9 degrees of freedom (DoF) of the shoulder girdle were finely scaled to target position. Principle component analysis revealed that the 6 DoF of scapula-thoracic motion were coordinated in three elementary patterns (protraction, shrug and lateral rotation). The ratio of gleno-humeral to scapulo-thoracic global motion was close to 2:1. A direct kinematic procedure showed that if no scapular motion occurred, the workspace would be reduced by 15.8 cm laterally, 13.7 cm vertically and 4.8 cm anteriorly. Scapulo-thoracic motion should be taken into account when investigating the physiology of upper-limb movements.
Wen-Hao Hsu, Daniel Miranda, Diana Young, Kelly Cakert, Mona Qureshi and Eugene Goldfield
We conducted a longitudinal kinematic study of spontaneous arm and leg motions in 4 supine infants at 3, 4½, and 6 months of age. The study addressed two questions: (a) whether there was a longitudinal change in the synchronization of joint rotations at the hips, knees, shoulders, and elbows, indicating that the arms and legs were moving more independently of each other; and (b) whether, during this period, the spatial location of the hands relative to the shoulders was different from that of the feet relative to the hips, indicating that the infants were beginning to use their upper limbs differently than their lower limbs. We found that, in general, the arms and legs were moving more independently of each other by 6 months of age. At the same time, the infants were more likely to hold their hands away from the body in preparation for making contact with an object in the midline, but they brought their feet close to the body to maximize propulsive kicks. Thus, a reorganization of the relative timing of joint rotations appears to be related to the emergence of different arm and leg functions.
C. Collin Herb, Lisa Chinn and Jay Hertel
Lateral ankle sprain (LAS) is one of the most common injuries in active individuals. Chronic ankle instability (CAI) is a condition that commonly occurs after LAS and is associated with long-term disability and a high risk of multiple ankle sprains. Ankle taping is a commonly used intervention for the prevention of ankle sprains.
To analyze the ankle-joint coupling using vector coding during walking and jogging gait with the application of ankle tape and without ankle tape in young adults with and without CAI.
Observational laboratory study design. Patients walked and jogged on an instrumented treadmill while taped and not taped. Fifteen strides for each subject were collected and analyzed using a vector-coding technique to compare magnitude coupled motion, ratio of coupled motion, and the variability (VCV) within groups. Within-group means and 90% confidence intervals (CI) were compared between the taped and nontaped condition, and where the CIs did not overlap was considered significant.
A 12-camera 3D motion-capture system with instrumented treadmill.
12 patients with CAI and 11 healthy controls.
Main Outcome Measures:
Magnitude to coupled motion, ratio of coupled motion, and the VCV of shank–rear-foot joint coupling.
Magnitude of coupled motion and VCV were significantly lower in the taped condition than in the nontaped condition in both groups. Magnitude differences were identified near initial contact during walking and during swing phase of jogging. VCV differences were identified throughout the gait cycle at both walking and jogging. No differences were identified in theta between tape and nontaped conditions.
A decrease in the magnitude of coupled motion and VCV may represent a protective mechanism of ankle taping in CAI and healthy patients during gait.
Keith A. Stern and Jinger S. Gottschall
The purpose of our study was to determine if altering the insoles within footwear or walking barefoot, as an attempt to increase or decrease cutaneous stimuli, would improve dynamic balance during a hill-walking task. We hypothesize that compared with foam insoles or iced bare feet, textured insoles or bare feet will result in greater speeds, longer step lengths, narrower step width, shorter stance time, and less tibialis anterior (TA), soleus (SOL), and lateral gastrocnemius (LG) activity during key gait cycle phases. Ten, healthy college students, 5 men and 5 women, completed the protocol that consisted of level walking and downhill transition walking in five different footwear insole or barefoot conditions. During level walking, conditions with the hypothesized greater cutaneous stimuli resulted in greater step length, which relates to a more stable gait. In detail, the texture insole condition average step length was 3% longer than the regular insole condition, which was 5% longer than the ice condition (p < .01). The same signals of increased stability were evident during the more challenging downhill transition stride. Step length during the barefoot condition was 8% longer than the ice condition (p < .05) and step width during the regular footwear condition was 5% narrower than the foam condition (p = .05). To add, during the preswing phase of level walking, TA activity of the textured insole condition was 30% less than the foam insole. Although our data show that footwear conditions alter gait patterns and lower leg muscle activity during walking, there is not enough evidence to support the hypothesis that textured insoles will improve dynamic balance as compared with other footwear types.
Jenya Iuzzini-Seigel, Tiffany P. Hogan, Panying Rong and Jordan R. Green
Lip shape in adult talkers is primarily driven by vertical opening; however, little is known about how children converge on this highly organized and efficient lip shape pattern. This longitudinal study investigated the development of lip shape control and its relation to speech and vocabulary acquisition in 28 typically developing children between 3 months and 5 years of age. Results suggested that during infancy lip shape was characterized by horizontal spreading of the lips, but that the contribution of vertical opening increased nonmonotonically over time. This change co-occurred with gains in expressive communication. These data suggest that lip shape may represent an important marker of normal oromotor development. Future work is required to determine the functional significance of the observed changes in lip shape control for identifying children at risk for speech and language impairments.
Jocelyn K. Mara, Kevin G. Thompson and Kate L. Pumpa
To investigate the physical and physiological response to different formats of various-sided games.
Eighteen elite women’s soccer players wore 15-Hz global positioning system devices and heart-rate (HR) monitors during various-sided games (small, 4 vs 4 and 5 vs 5; medium, 6 vs 6 and 7 vs 7; large, 8 vs 8 and 9 vs 9).
Players covered more relative sprinting distance during large-sided games than in small-sided (P < .001, d = 0.69) and medium-sided (P < .001, d = 0.54) games. In addition, a greater proportion of total acceleration efforts that had a commencement velocity <1 m/s were observed in small-sided games (44.7% ± 5.5%) than in large-sided games (36.7% ± 10.6%) (P = .018, d = 0.94). This was accompanied by a greater proportion of acceleration efforts with a final velocity equivalent to the sprint threshold in large-sided games (15.4% ± 7.7%) than in small-sided games (5.2% ± 2.5%) (P < .001, d = 1.78). The proportion of time spent in HR zone 4 (>85% maximum HR) was greater during small-sided games (69.8% ± 2.5%) than in medium- (62.1% ± 2.8%, d = 2.90) and large-sided games (54.9% ± 3.1%) (P < .001, d = 5.29).
The results from this study demonstrate that coaches can use small-sided games as an aerobic conditioning stimulus and to develop players’ explosiveness and repeat-sprint ability over short durations. Large-sided games can be used to maintain aerobic capacity and develop maximum speed over longer distances.
Markus J. Klusemann, David B. Pyne, Will G. Hopkins and Eric J. Drinkwater
Competition-specific conditioning for tournament basketball games is challenging, as the demands of tournament formats are not well characterized.
To compare the physical, physiological, and tactical demands of seasonal and tournament basketball competition and determine the pattern of changes within an international tournament.
Eight elite junior male basketball players (age 17.8 ± 0.2 y, height 1.93 ± 0.07 m, mass 85 ± 3 kg; mean ± SD) were monitored in 6 seasonal games played over 4 mo in an Australian second-division national league and in 7 games of an international under-18 tournament played over 8 days. Movement patterns and tactical elements were coded from video and heart rates recorded by telemetry.
The frequency of running, sprinting, and shuffling movements in seasonal games was higher than in tournament games by 8–15% (99% confidence limits ± ~8%). Within the tournament, jogging and low- to medium-intensity shuffling decreased by 15–20% (± ~14%) over the 7 games, while running, sprinting, and high-intensity shuffling increased 11–81% (± ~25%). There were unclear differences in mean and peak heart rates. The total number of possessions was higher in seasonal than in tournament games by 8% (± 10%).
Coaches should consider a stronger emphasis on strength and power training in their conditioning programs to account for the higher activity of seasonal games. For tournament competition, strategies that build a sufficient aerobic capacity and neuromuscular resilience to maintain high-intensity movements need to be employed. A focus on half-court tactics accounts for the lower number of possessions in tournaments.