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Max R. Paquette, Audrey Zucker-Levin, Paul DeVita, Joseph Hoekstra and David Pearsall

The purpose of this study was to compare lower extremity joint angular position and muscle activity during elliptical exercise using different foot positions and also during exercise on a lateral elliptical trainer. Sixteen men exercised on a lateral elliptical and on a standard elliptical trainer using straight foot position, increased toe-out angle, and a wide step. Motion capture and electromyography systems were used to obtain 3D lower extremity joint kinematics and muscle activity, respectively. The lateral trainer produced greater sagittal and frontal plane knee range of motion (ROM), greater peak knee flexion and extension, and higher vastus medialis activation compared with other conditions (P < .05). Toe-out and wide step produced the greatest and smallest peak knee adduction angles, respectively (P < .05). The lateral trainer produced greater sagittal and frontal plane hip ROM and greater peak hip extension and flexion compared with all other conditions (P < .05). Toe-out angle produced the largest peak hip external rotation angle and lowest gluteus muscle activation (P < .05). Findings from this study indicate that standard elliptical exercise with wide step may place the knee joint in a desirable frontal plane angular position to reduce medial knee loads, and that lateral elliptical exercise could help improve quadriceps strength but could also lead to larger knee contact forces.

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Renato Rodano and Roberto Squadrone

Stability and consistency is a critical aspect in joint kinetic measurements. By applying a statistical technique, called sequential estimation procedure, the aim of this work was to determine the minimum number of trials required to obtain a stable mean for peak hip, knee, and ankle moments and powers during vertical jump. Nine competitive track and field sprinters (21.7 ± 3.5 yrs, 177.6 ± 4.3 cm, 70.8 ± 3.6 kg) performed 5 series of 5 double-legged maximum-height countermovement vertical jumps. From force platform and kinematic data, moment and power output were calculated for hip, knee, and ankle joints. The sequential estimation procedure applied to these data revealed that at least a 12-trial protocol is needed to establish a true measure for all the selected parameters. The mean number of trials for each variable was greater than 8 and less than 13. When hip moments were excluded from the analysis, a 10-trial protocol could be sufficient to reach a stable mean. In conclusion. the results of this study gave statistical evidence for the need to adopt multiple-trial protocols in order to obtain a stable mean for joint kinetic data.

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Mansour Eslami, Mohsen Damavandi and Reed Ferber

There is evidence to suggest that navicular drop measures are associated with specific lower-extremity gait biomechanical parameters. The aim of this study was to examine the relationship between navicular drop and a) rearfoot eversion excursion, b) tibial internal rotation excursion, c) peak ankle inversion moment, and d) peak knee adduction moment during the stance phase of running. Sixteen able-bodied men having an average age of 28.1 (SD = 5.30) years, weight of 81.5 (SD = 10.40) kg, height of 179.1 (SD = 5.42) cm volunteered and ran barefoot at 170 steps/minute over a force plate. Navicular drop measures were negatively correlated with tibial internal rotation excursion (r = −0.53, P = .01) but not with rearfoot eversion excursion (r = −0.19; P = .23). Significant positive correlations were found between navicular drop and peak knee adduction moment (r = .62, P < .01) and peak ankle inversion moment (r = .60, P < .01). These findings suggest that a low navicular drop measure could be associated with increasing tibial rotation excursion while high navicular drop measure could be associated with increased peak ankle and knee joint moments. These findings indicate that measures of navicular drop explained between 28% and 38% of the variability for measures of tibial internal rotation excursion, peak knee adduction moment and peak ankle inversion moments.

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Bruce Elliott, J. Robert Grove and Barry Gibson

Eight international baseball pitchers were filmed in a laboratory while throwing from a pitching rubber attached to a Kistler force platform. Following a warm-up, all subjects threw fastballs (FB) until two strike pitches were assessed by an umpire positioned behind the catcher for both wind-up and set pitching techniques. Subjects then followed the same procedures for curveball pitches (CB). Both vertical (Z) and horizontal (Y) ground reaction force (GRF) data were recorded. A shutter correlation pulse was encoded so the temporal data from the film could be synchronized with the kinetic data from the force platform. Analysis of variance was used to analyze differences in force data at selected points in both pitching actions for both techniques. Vertical and horizontal GRFs increased from the first balance position to maximum levels at the cocked position for both techniques. Nonsignificant changes in GRF then occurred between the cocked position and front-foot landing. The Z GRFs were similar throughout the pitching action but higher in magnitude for the CB compared to the FB. Mean resultant forces were similar for the three fastest FB pitchers when compared to the three slowest pitchers. However, the slower group produced their peak resultant force earlier in the action, thus reducing the ability to drive over a stabilized front leg.

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Gabriel Andrade Paz, Jason DeFreitas, Marianna de Freitas Maia, Jurandir Silva, Vicente Lima and Humberto Miranda

Study Design:

Crossover design.


Excessive valgus and varus force which affected the knee joint during dynamic tasks has been often associated to lower extremity injuries. Strategies to increase the resistance against these asymmetries (eg, the use of a physioball between the knees or elastic bands around the knees) are often applied in rehabilitation and conditioning programs.


The purpose of this study was to investigate the effect of performing leg press (LP) 45° using a physioball and elastic band over multiple sets with submaximal loads on electromyographic (EMG) amplitude and fatigue indices.


18 trained females volunteered (age: 24.4 ± 2.1 y; height: 168.1 ± 4 cm; body mass: 65.1 ± 4.4 kg) participated in this study. The 10 repetition maximum (RM) loads were determined for the LP. Then, 3 experimental protocols were followed in a randomized crossover design over 3 nonconsecutive days: control protocol—the participants performed 4 LP sets; physioball between knees—4 LP sets were performed with the physioball between the knees; elastic band—4 LP sets were performed with the elastic band involving the knees. Ten repetitions were performed during each set with 70% of 10-RM loads; EMG spectral indices (CRMS and Cf5) was collected from the biceps femoris (BF), vastus lateralis (VL), vastus medialis obliquus (VMO), and rectus femoris (RF) muscles.


Higher levels of CRMS and Cf5 were noted for RF, VL, and VM muscles using the physioball and elastic band when compared with control protocol, respectively. CRMS index of BF muscle was significantly higher using physioball and elastic band protocol versus control condition, respectively.


Therefore, both physioball and elastic band can be adopted during LP with the goal to reduce excessive varus and valgus forces, respectively, even performing consecutive sets with submaximal loads. Furthermore, this may be an interesting alternative to increasing quadriceps activation and improving the knee joint stabilization.

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Mati Pääsuke, Jaan Ereline, Helena Gapeyeva, Kadri Joost, Karin Mõttus and Pille Taba

The lower extremity performance in elderly female patients with mild to moderate Parkinson’s disease (PD; n = 12) and controls (n = 16) was compared. Isometric dynamometry and force-plate measurements were used. PD patients had lower (p < .05) bilateral (BL) maximal isometric leg-extension force (MF), BL isometric MF relative to body mass, and maximal rate of isometric force development than control participants. BL strength deficit was greater (p < .05) in PD patients than in controls. A significantly longer chair-rise time and lower maximal rate of vertical-ground-reaction-force development while rising from a chair was found in PD patients than in controls. These findings suggest that elderly women with PD have lowered voluntary isometric force-generation capacity of the leg-extensor muscles. Reduced BL leg-extension strength might contribute to the difficulty of individuals with PD to rise from a chair.

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Marcos de Noronha, Eleisha K. Lay, Madelyn R. Mcphee, George Mnatzaganian and Guilherme S. Nunes

Context: Ankle sprains are common injuries in sports, but it is unclear whether they are more likely to occur in a specific period of a sporting game. Objective: To systematically review the literature investigating when in a match ankle sprains most likely occurred. Evidence Acquisition: The databases CINAHL, EMBASE, MEDLINE, and SPORTDiscus were searched up to August 2016, with no restriction of date or language. The search targeted studies that presented data on the time of occurrence of ankle sprains during sports matches. Data from included studies were analyzed as a percentage of ankle sprain occurrence by halftime and by quarters. Meta-analyses were run using a random effects model. The quality assessment tool for quantitative studies was used to assess the article’s quality. Evidence Synthesis: The searches identified 1142 studies, and 8 were included in this review. A total of 500 ankle sprains were reported during follow-up time, which ranged from 1 to 15 years, in 5 different sports (soccer, rugby, futsal, American football, and Gaelic football). The meta-analyses, including all 8 studies, showed that the proportion of ankle sprains during the first half (0.44; 95% confidence interval [CI], 0.38–0.50) was smaller than the second half (0.56; 95% CI, 0.50–0.62). For the analyses by quarters, the proportion of ankle sprains in the first quarter (0.14; 95% CI, 0.09–0.19) was considerably smaller than the second (0.28; 95% CI, 0.24–0.32), third (0.25; 95% CI, 0.17–0.34), and fourth (0.29; 95% CI, 0.22–0.36) quarters. Conclusion: The results of this review indicate that ankle sprains are more likely to occur later in the game during the second half or during the latter minutes of the first half.

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Montassar Tabben, Daniele Conte, Monoem Haddad and Karim Chamari

, Kizami-Zuki, Gyaku-zuki, Oi-zuki, etc). Lower limb actions represent any kicking techniques (eg,  Mae-geri, Uko-geri , Mawashi-geri , etc). Throwing is defined as any grappling techniques that involve off-balancing an opponent, and throwing him/her to the ground regardless of the fact that it leads to punch

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Ryan S. Garten, Matthew C. Scott, Tiffany M. Zúñiga, Austin C. Hogwood, R. Carson Fralin and Jennifer Weggen

more sitting and sedentary time further exacerbates this problem. 4 Prolonged sitting interventions have emerged as a useful tool to better understand the impact of sitting, a common sedentary activity, on the development of vascular dysfunction and atherosclerosis in the lower limbs. 5 , 6 Indeed

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José Pino-Ortega, Alejandro Hernández-Belmonte, Carlos D. Gómez-Carmona, Alejandro Bastida-Castillo, Javier García-Rubio and Sergio J. Ibáñez

not only able to specifically assess different anatomical locations but also able to assess by body segment. Moreover, it would be possible to perform a comparative analysis in relation to subject laterality that is defined as the lower limb used to kick a ball. Sports science researchers recognize