A Cadaveric Study: Is There a Correlation Between Clinical Tests for Anterior-Posterior Laxity and Rotary Instability?

2011 ◽  
Author(s):  
Kaity H. Fucinaro ◽  
Linda Denney ◽  
Adam J. Cyr ◽  
Lorin P. Maletsky
Keyword(s):  
Functional Status ◽  
Sagittal Plane ◽  
Frontal Plane ◽  
Knee Laxity ◽  
Cadaveric Study ◽  
Clinical Tests ◽  
Single Plane ◽  
Definition Of ◽  
Rotary Instability ◽  
Anterior Posterior

Instability is not necessarily determined by knee laxity, yet passive clinical tests are included in the examination which determines the functional status of the knee. The current arthrokinematic findings and validated clinical tests support the definition of excessive sagittal plane and frontal-plane laxity; however it is unknown if these findings in a single plane predict rotary instability of the knee.

Lumbar and cervical erector spinae fatigue elicit compensatory postural responses to assist in maintaining head stability during walking

2006 ◽  
Vol 101 (4) ◽  
pp. 1118-1126 ◽  
Author(s):  
Justin J. Kavanagh ◽  
Steven Morrison ◽  
Rod S. Barrett
Keyword(s):  
Sagittal Plane ◽  
Frontal Plane ◽  
Erector Spinae ◽  
Upper Body ◽  
Lower Trunk ◽  
Trunk Segment ◽  
Postural Responses ◽  
Posterior Direction ◽  
Head Stability ◽  
Anterior Posterior

The purpose of this study was to examine how inducing fatigue of the 1) lumbar erector spinae and 2) cervical erector spinae (CES) muscles affected the ability to maintain head stability during walking. Triaxial accelerometers were attached to the head, upper trunk, and lower trunk to measure accelerations in the vertical, anterior-posterior, and mediolateral directions during walking. Using three accelerometers enabled two adjacent upper body segments to be defined: the neck segment and trunk segment. A transfer function was applied to root mean square acceleration, peak power, and harmonic data derived from spectral analysis of accelerations to quantify segmental gain. The structure of upper body accelerations were examined using measures of signal regularity and smoothness. The main findings were that head stability was only affected in the anterior-posterior direction, as accelerations of the head were less regular following CES fatigue. Furthermore, following CES fatigue, the central nervous system altered the attenuation properties of the trunk segment in the anterior-posterior direction, presumably to enhance head stability. Following lumbar erector spinae fatigue, the trunk segment had greater gain and increased regularity and smoothness of accelerations in the mediolateral direction. Overall, the results of this study suggest that erector spinae fatigue differentially altered segmental attenuation during walking, according to the level of the upper body that was fatigued and the direction that oscillations were attenuated. A compensatory postural response was not only elicited in the sagittal plane, where greater segmental attenuation occurred, but also in the frontal plane, where greater segmental gain occurred.

The Effects of Femoral Fixed Body Coordinate System Definition on Knee Kinematic Description

2008 ◽  
Vol 130 (2) ◽  
Author(s):  
Nathaniel M. Lenz ◽  
Amitkumar Mane ◽  
Lorin P. Maletsky ◽  
Nicholas A. Morton
Keyword(s):  
Sagittal Plane ◽  
External Rotation ◽  
Frontal Plane ◽  
Helical Axis ◽  
Anatomical Landmarks ◽  
Knee Kinematic ◽  
Coordinate Systems ◽  
Knee Simulator ◽  
Flexion Extension ◽  
Anterior Posterior

Understanding the differences in knee kinematic descriptions is important for comparing data from different laboratories and observing small but important changes within a set of knees. The purpose of this study was to identify how differences in fixed body femoral coordinate systems affect the described tibiofemoral and patellofemoral kinematics for cadaveric knee studies with no hip present. Different methods for describing kinematics were evaluated on a set of seven cadaveric knees during walking in a dynamic knee simulator. Three anatomical landmark coordinate systems, a partial helical axis, and an experimental setup-based system were examined. The results showed that flexion-extension was insensitive to differences in the kinematic systems tested, internal-external rotation was similar for most femoral coordinate systems although there were changes in absolute position, varus-valgus was the most sensitive to variations in flexion axis direction, and anterior-posterior motion was most sensitive to femoral origin location. Femoral coordinate systems that define the sagittal plane using anatomical landmarks and locate the flexion axis perpendicular to the femur’s mechanical axis in the frontal plane were typically similar and described kinematics most consistently.

scholarly journals Using Biofeedback to Reduce Step Length Asymmetry Impairs Dynamic Balance in People Poststroke

2021 ◽  
pp. 154596832110193
Author(s):  
Sungwoo Park ◽  
Chang Liu ◽  
Natalia Sánchez ◽  
Julie K. Tilson ◽  
Sara J. Mulroy ◽  
...  
Keyword(s):  
Angular Momentum ◽  
Sagittal Plane ◽  
Dynamic Balance ◽  
Objective Measure ◽  
Frontal Plane ◽  
Step Length ◽  
Berg Balance Scale ◽  
Whole Body ◽  
Functional Gait ◽  
Full Body

Background People poststroke often walk with a spatiotemporally asymmetric gait, due in part to sensorimotor impairments in the paretic lower extremity. Although reducing asymmetry is a common objective of rehabilitation, the effects of improving symmetry on balance are yet to be determined. Objective We established the concurrent validity of whole-body angular momentum as a measure of balance, and we determined if reducing step length asymmetry would improve balance by decreasing whole-body angular momentum. Methods We performed clinical balance assessments and measured whole-body angular momentum during walking using a full-body marker set in a sample of 36 people with chronic stroke. We then used a biofeedback-based approach to modify step length asymmetry in a subset of 15 of these individuals who had marked asymmetry and we measured the resulting changes in whole-body angular momentum. Results When participants walked without biofeedback, whole-body angular momentum in the sagittal and frontal plane was negatively correlated with scores on the Berg Balance Scale and Functional Gait Assessment supporting the validity of whole-body angular momentum as an objective measure of dynamic balance. We also observed that when participants walked more symmetrically, their whole-body angular momentum in the sagittal plane increased rather than decreased. Conclusions Voluntary reductions of step length asymmetry in people poststroke resulted in reduced measures of dynamic balance. This is consistent with the idea that after stroke, individuals might have an implicit preference not to deviate from their natural asymmetry while walking because it could compromise their balance. Clinical Trials Number: NCT03916562.

scholarly journals DOES BRAIN ACTIVATION DURING FUNCTIONAL MOVEMENT TASKS DIFFERENTIATE BETWEEN GOOD AND BAD MOVERS? AN INTEGRATED NEUROIMAGING ASSESSMENT OF MOTOR CONTROL IN YOUNG ATHLETES

2021 ◽  
Vol 9 (7_suppl3) ◽  
pp. 2325967121S0013
Author(s):  
Manish Anand ◽  
Jed A. Diekfuss ◽  
Dustin R. Grooms ◽  
Alexis B. Slutsky-Ganesh ◽  
Scott Bonnette ◽  
...  
Keyword(s):  
Motor Control ◽  
Range Of Motion ◽  
Brain Function ◽  
Sagittal Plane ◽  
Brain Activity ◽  
Frontal Plane ◽  
Acl Injury ◽  
Timing Error ◽  
Lingual Gyrus ◽  
Increased Activity

Background: Aberrant frontal and sagittal plane knee motor control biomechanics contribute to increased anterior cruciate ligament (ACL) injury risk. Emergent data further indicates alterations in brain function may underlie ACL injury high risk biomechanics and primary injury. However, technical limitations have limited our ability to assess direct linkages between maladaptive biomechanics and brain function. Hypothesis/Purpose: (1) Increased frontal plane knee range of motion would associate with altered brain activity in regions important for sensorimotor control and (2) increased sagittal plane knee motor control timing error would associate with altered activity in sensorimotor control brain regions. Methods: Eighteen female high-school basketball and volleyball players (14.7 ± 1.4 years, 169.5 ± 7 cm, 65.8 ± 20.5 kg) underwent brain functional magnetic resonance imaging (fMRI) while performing a bilateral, combined hip, knee, and ankle flexion/extension movements against resistance (i.e., leg press) Figure 1(a). The participants completed this task to a reference beat of 1.2 Hz during four movement blocks of 30 seconds each interleaved in between 5 rest blocks of 30 seconds each. Concurrent frontal and sagittal plane range of motion (ROM) kinematics were measured using an MRI-compatible single camera motion capture system. Results: Increased frontal plane ROM was associated with increased brain activity in one cluster extending over the occipital fusiform gyrus and lingual gyrus ( p = .003, z > 3.1). Increased sagittal plane motor control timing error was associated with increased brain activity in multiple clusters extending over the occipital cortex (lingual gyrus), frontal cortex, and anterior cingulate cortex ( p < .001, z > 3.1); see Figure 1 (b). Conclusion: The associations of increased knee frontal plane ROM and sagittal plane timing error with increased activity in regions that integrate visuospatial information may be indicative of an increased propensity for knee injury biomechanics that are, in part, driven by reduced spatial awareness and an inability to adequately control knee abduction motion. Increased activation in these regions during movement tasks may underlie an impaired ability to control movements (i.e., less neural efficiency), leading to compromised knee positions during more complex sports scenarios. Increased activity in regions important for cognition/attention associating with motor control timing error further indicates a neurologically inefficient motor control strategy. [Figure: see text]

scholarly journals Biologically Inspired Design and Development of a Variable Stiffness Powered Ankle-Foot Prosthesis

2019 ◽  
Vol 11 (4) ◽  
Author(s):  
Alexander Agboola-Dobson ◽  
Guowu Wei ◽  
Lei Ren
Keyword(s):  
Lower Limb ◽  
Degrees Of Freedom ◽  
Sagittal Plane ◽  
Frontal Plane ◽  
Variable Stiffness ◽  
Plane Motion ◽  
Biologically Inspired ◽  
Passive Rotation ◽  
Ground Conditions ◽  
Biologically Inspired Design

Recent advancements in powered lower limb prostheses have appeased several difficulties faced by lower limb amputees by using a series-elastic actuator (SEA) to provide powered sagittal plane flexion. Unfortunately, these devices are currently unable to provide both powered sagittal plane flexion and two degrees of freedom (2-DOF) at the ankle, removing the ankle’s capacity to invert/evert, thus severely limiting terrain adaption capabilities and user comfort. The developed 2-DOF ankle system in this paper allows both powered flexion in the sagittal plane and passive rotation in the frontal plane; an SEA emulates the biomechanics of the gastrocnemius and Achilles tendon for flexion while a novel universal-joint system provides the 2-DOF. Several studies were undertaken to thoroughly characterize the capabilities of the device. Under both level- and sloped-ground conditions, ankle torque and kinematic data were obtained by using force-plates and a motion capture system. The device was found to be fully capable of providing powered sagittal plane motion and torque very close to that of a biological ankle while simultaneously being able to adapt to sloped terrain by undergoing frontal plane motion, thus providing 2-DOF at the ankle. These findings demonstrate that the device presented in this paper poses radical improvements to powered prosthetic ankle-foot device (PAFD) design.

scholarly journals Habitual Physical Activity as a Determinant of the Effect of Moderate Physical Exercise on Postural Control in Older Men

2012 ◽  
Vol 7 (1) ◽  
pp. 58-65 ◽  
Author(s):  
Rafał Stemplewski ◽  
Janusz Maciaszek ◽  
Maciej Tomczak ◽  
Robert Szeklicki ◽  
Dorota Sadowska ◽  
...  
Keyword(s):  
Physical Activity ◽  
Postural Control ◽  
Sagittal Plane ◽  
Center Of Pressure ◽  
Force Plate ◽  
Frontal Plane ◽  
Habitual Physical Activity ◽  
Similar Reaction ◽  
Mean Velocity ◽  
Ergometer Exercise

The aim of the study was to compare the effect of exercise on postural control (PC) among the elderly with lower or higher level of habitual physical activity (HPA). The study involved 17 elderly men (mean age 72.9 ± 4.79 years). Mean velocity of the center of pressure (COP) displacements was measured using a force plate both before and after cycle ergometer exercise. A significantly higher increase in mean velocity of COP displacements and its component in the sagittal plane were observed in the group with lower level of HPA in comparison with the group with higher HPA level. Simultaneously, a relatively similar reaction to the exercise in the frontal plane was observed in both groups, possibly connected to the specific type of used exercise, which mainly activated the sagittal muscles.

Correlation between craniovertebral angle in the sagittal plane and angles and indices measured in the frontal plane at the moment of inducing forward head posture

Work ◽  
2021 ◽  
pp. 1-7
Author(s):  
Samira Molaeifar ◽  
Farzaneh Yazdani ◽  
Amin Kordi Yoosefinejad ◽  
Mohammad Taghi Karimi
Keyword(s):  
Head And Neck ◽  
Negative Correlation ◽  
Sagittal Plane ◽  
Frontal Plane ◽  
Forward Head Posture ◽  
Head Posture ◽  
Digital Devices ◽  
Moderate Negative Correlation ◽  
The Moment ◽  
Craniovertebral Angle

BACKGROUND: Forward head posture (FHP) is the most common malposition in the head and neck area. With the growing use of digital devices, the prevalence of FHP may be expected to increase dramatically. Thus far, FHP has been evaluated only in the sagittal plane. OBJECTIVE: The objective of this study was to measure angles and indices from anatomical landmarks in the frontal plane and determine the possible correlations between these variables and craniovertebral angle (CVA) as an index of FHP in the sagittal plane. METHODS: Fifty eight healthy individuals (29 men, 29 women) between 18 and 40 years old participated in this cross-sectional study. Participants were evaluated with an 8-camera motion analysis system. After markers were placed on predetermined landmarks, the participants were asked to maintain their head and neck in the neutral position for 5 seconds. Then participants induced FHP by flexing and lowering their head. The correlation between CVA and a set of angles and indices was calculated at the moment of FHP induction. RESULTS: A moderate correlation was observed between 3-D CVA and the angle formed between the sternum and both tragi for the whole sample and separately in both sexes. A moderate negative correlation was observed between 3-D CVA and height, weight, and BMI in women. A moderate negative correlation was observed between 3-D CVA and height, weight, BMI, and hours on digital devices in men. CONCLUSIONS: Changes in CVA in the sagittal plane can be predicted from changes in the angle formed between the midpoint of the sternum and the left and right tragi in the frontal plane.

scholarly journals Static Range of Motion of the First Metatarsal in the Sagittal and Frontal Planes

2018 ◽  
Vol 7 (11) ◽  
pp. 456 ◽  
Author(s):  
Sandra Tavara-Vidalón ◽  
Manuel Monge-Vera ◽  
Guillermo Lafuente-Sotillos ◽  
Gabriel Domínguez-Maldonado ◽  
Pedro Munuera-Martínez
Keyword(s):  
Range Of Motion ◽  
Least Squares Method ◽  
Sagittal Plane ◽  
Frontal Plane ◽  
Neutral Position ◽  
Future Design ◽  
First Metatarsal ◽  
Medial Cuneiform ◽  
First Ray ◽  
Degree Equation

The first metatarsal and medial cuneiform form an important functional unit in the foot, called “first ray”. The first ray normal range of motion (ROM) is difficult to quantify due to the number of joints that are involved. Several methods have previously been proposed. Controversy exists related to normal movement of the first ray frontal plane accompanying that in the sagittal plane. The objective of this study was to investigate the ROM of the first ray in the sagittal and frontal planes in normal feet. Anterior-posterior radiographs were done of the feet of 40 healthy participants with the first ray in a neutral position, maximally dorsiflexed and maximally plantarflexed. They were digitalized and the distance between the tibial malleolus and the intersesamoid crest in the three positions mentioned was measured. The rotation of the first ray in these three positions was measured. A polynomic function that fits a curve describing the movement observed in the first ray was obtained using the least squares method. ROM of the first ray in the sagittal plane was 6.47 (SD 2.59) mm of dorsiflexion and 6.12 (SD 2.55) mm of plantarflexion. ROM in the frontal plane was 2.69 (SD 4.03) degrees of inversion during the dorsiflexion and 2.97 (SD 2.72) degrees during the plantarflexion. A second-degree equation was obtained, which represents the movement of the first ray. Passive dorsiflexion and plantarflexion of the first ray were accompanied by movements in the frontal plane: 0.45 degrees of movement were produced in the frontal plane for each millimeter of displacement in the sagittal plane. These findings might be useful for the future design of instruments for clinically quantifying first ray mobility.

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