Gender and Foot Orthotic Device Effect on Frontal Plane Hip Motion During Landing From a Vertical Jump

2011 ◽  
Vol 27 (2) ◽  
pp. 130-136 ◽  
Author(s):  
Walter L. Jenkins ◽  
D.S. Williams ◽  
Brandon Bevil ◽  
Sara Stanley ◽  
Michael Blemker ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Vertical Jump ◽  
Three Dimensional ◽  
Frontal Plane ◽  
Foot Orthoses ◽  
Functional Activities ◽  
Hip Motion ◽  
Hip Kinematics ◽  
Biomechanical Effect ◽  
Foot Orthotic

Excessive hip motion has been linked to lower extremity pathology. Foot orthoses are commonly used to control motion within lower extremity joints when lower extremity pathology and dysfunction are present. Few studies have investigated the effect of foot orthoses on hip angular kinematics during functional activities. Eighteen females and 18 males performed a vertical jump with and without a prefabricated foot orthoses to determine the biomechanical effect of foot orthoses on hip kinematics when landing from a jump. Data collection included three-dimensional motion analysis of the lower extremity. Pairedttests were performed to determine if differences existed within genders with and without foot orthoses. At the hip joint, there was significantly less hip adduction motion in the foot orthoses condition as compared with the no foot orthoses condition in females (p< .05). There were no differences between foot orthoses conditions in males. Females appear to have a different proximal response to foot orthoses when landing from a forward jump than males.

Influence of Custom Foot Orthotic Intervention on Lower Extremity Intralimb Coupling during a 30-Minute Run

2010 ◽  
Vol 26 (4) ◽  
pp. 390-399 ◽  
Author(s):  
Christopher L. MacLean ◽  
Richard van Emmerik ◽  
Joseph Hamill
Keyword(s):  
Lower Extremity ◽  
Stance Phase ◽  
Three Dimensional ◽  
Frontal Plane ◽  
Transverse Plane ◽  
Control Group ◽  
Foot Orthoses ◽  
History Of ◽  
Coupling Angle ◽  
Foot Orthotic

The purpose of this study was to analyze the influence of a custom foot orthotic (CFO) intervention on lower extremity intralimb coupling during a 30-min run in a group of injured runners and to compare the results to a control group of healthy runners. Three-dimensional kinematic data were collected during a 30-min run on healthy female runners (Shoe-only) and a group of female runners who had a recent history of overuse injury (Shoe-only and Shoe with custom foot orthoses). Results from the study revealed that the coordination variability and pattern for the some couplings were influenced by history of injury, foot orthotic intervention and the duration of the run. These data suggest that custom foot orthoses worn by injured runners may play a role in the maintenance of coordination variability of the tibia (transverse plane) and calcaneus (frontal plane) coupling during the Early Stance phase. In addition, it appears that the coupling angle between the knee (transverse plane) and rearfoot (frontal plane) joints becomes more symmetrical in the late stance phase as a run progresses.

Sex Differences and Discriminative Value of Lower Extremity Alignments and Kinematics during Two Functional Tasks

2010 ◽  
Vol 26 (3) ◽  
pp. 295-304 ◽  
Author(s):  
Jennifer M. Medina McKeon ◽  
Craig R. Denegar ◽  
Jay Hertel
Keyword(s):  
Lower Extremity ◽  
Vertical Jump ◽  
Three Dimensional ◽  
Frontal Plane ◽  
Discriminative Value ◽  
Discriminant Analyses ◽  
Males And Females ◽  
Kinematic Measures ◽  
The Right ◽  
Dynamic Variables

The purpose of this study was to formulate a predictive equation to discriminate males from females using static and dynamic lower extremity (LE) alignments. Twenty-four healthy adults volunteered to participate. Three-dimensional motion analysis was used to assess the kinematics of the right hip and knee during two functional tasks. Six measures of static LE alignment were also performed. Statistical comparisons were made between males and females for all variables. Static and dynamic variables that were significantly different by sex were entered into separate discriminant analyses for each task. The resulting equations were each able to correctly predict 87% of the subjects by sex. Fifty-eight percent and 55% of the variance was explained by sex for the vertical jump and plant & jump, respectively. The frontal plane hip angle was the best predictor of sex for both tasks. While there were statistically significant differences between the sexes for static measures of LE alignment, kinematic measures were better at discriminating between sexes.

Influence of Running Shoe Midsole Composition and Custom Foot Orthotic Intervention on Lower Extremity Dynamics during Running

2009 ◽  
Vol 25 (1) ◽  
pp. 54-63 ◽  
Author(s):  
Christopher L. MacLean ◽  
Irene S. Davis ◽  
Joseph Hamill
Keyword(s):  
Lower Extremity ◽  
Three Dimensional ◽  
Foot Orthoses ◽  
Orthotic Device ◽  
Rearfoot Eversion ◽  
Foot Orthotic ◽  
Dynamic Variables

The purpose of this study was to analyze the influence of varying running shoe midsole composition on lower extremity dynamics with and without a custom foot orthotic intervention. Three-dimensional dynamics were collected on 12 female runners who had completed 6 weeks of custom foot orthotic therapy. Participants completed running trials in 3 running shoe midsole conditions—with and without a custom foot orthotic intervention. Results from the current study revealed that only maximum rearfoot eversion velocity was influenced by the midsole durometer of the shoe. Maximum rearfoot eversion velocity was significantly decreased for the hard shoe compared with the soft shoe. However, the orthotic intervention in the footwear led to significant decreases in several dynamic variables. The results suggest that the major component influencing the rearfoot dynamics was the orthotic device and not the shoe composition. In addition, data suggest that the foot orthoses appear to compensate for the lesser shoe stability enabling it to function in a way similar to that of a shoe of greater stability.

Foot Orthotic Devices Decrease Transverse Plane Motion during Landing from a Forward Vertical Jump in Healthy Females

2009 ◽  
Vol 25 (4) ◽  
pp. 387-395 ◽  
Author(s):  
Walter L. Jenkins ◽  
Dorsey Shelton Williams ◽  
Alex Durland ◽  
Brandon Adams ◽  
Kevin O’Brien
Keyword(s):  
Internal Rotation ◽  
Repeated Measures ◽  
Vertical Jump ◽  
Three Dimensional ◽  
Plane Motion ◽  
Transverse Plane ◽  
Foot Orthoses ◽  
Over The Counter ◽  
Custom Made ◽  
Biomechanical Effect

The use of foot orthoses has been evaluated during a variety of functional activities. Twelve college-aged active females wore two types of foot orthoses and performed a vertical jump to determine the biomechanical effect of the orthoses on lower extremity transverse plane movement during landing. Data collection included three-dimensional analysis of the tibia, knee, and hip. A repeated-measures ANOVA was performed to determine the differences between no orthoses, over-the-counter, and custom-made orthoses with transverse plane motion. At the hip joint, there was significantly less internal rotation (p< .05) in the over-the-counter condition as compared with the no orthoses condition. There was significantly less tibial internal rotation (p< .05) in the custom-made condition as compared with no orthoses. Over-the-counter devices decreased transverse plane motion at the hip, whereas custom-made devices decreased transverse plane motion of the tibia.

Modulation of Frontal-Plane Knee Kinematics by Hip-Extensor Strength and Gluteus Maximus Recruitment During a Jump-Landing Task in Healthy Women

2013 ◽  
Vol 22 (3) ◽  
pp. 184-190 ◽  
Author(s):  
John H. Hollman ◽  
Jeffrey M. Hohl ◽  
Jordan L. Kraft ◽  
Jeffrey D. Strauss ◽  
Katie J. Traver
Keyword(s):  
Outcome Measures ◽  
Weight Bearing ◽  
Three Dimensional ◽  
Knee Kinematics ◽  
Frontal Plane ◽  
Gluteus Maximus ◽  
Neuromuscular Control ◽  
Knee Motion ◽  
Jump Landing ◽  
Hip Motion

Context:Abnormal lower extremity kinematics during dynamic activities may be influenced by impaired gluteus maximus function.Objective:To examine whether hip-extensor strength and gluteus maximus recruitment are associated with dynamic frontal-plane knee motion during a jump-landing task.Design:Exploratory study.Setting:Biomechanics laboratory.Participants:40 healthy female volunteers.Main Outcome Measures:Isometric hip-extension strength was measured bilaterally with a handheld dynamometer. Three-dimensional hip and knee kinematics and gluteus maximus electromyography data were collected bilaterally during a jumplanding test. Data were analyzed with hierarchical linear regression and partial correlation coefficients (α = .05).Results:Hip motion in the transverse plane was highly correlated with knee motion in the frontal plane (partial r = .724). After controlling for hip motion, reduced magnitudes of isometric hip-extensor strength (partial r = .470) and peak gluteus maximus recruitment (partial r = .277) were correlated with increased magnitudes of knee valgus during the jump-landing task.Conclusion:Hip-extensor strength and gluteus maximus recruitment, which represents a measure of the muscle’s neuromuscular control, are both associated with frontal-plane knee motions during a dynamic weight-bearing task.

scholarly journals Effect of Laterally Wedged Foot Orthoses on Rearfoot and Hip Mechanics in Patients with Medial Knee Osteoarthritis

2009 ◽  
Vol 33 (2) ◽  
pp. 107-116 ◽  
Author(s):  
Robert J. Butler ◽  
Joaquin A. Barrios ◽  
Todd Royer ◽  
Irene S. Davis
Keyword(s):  
Knee Osteoarthritis ◽  
Three Dimensional ◽  
Frontal Plane ◽  
Knee Adduction Moment ◽  
Orthotic Devices ◽  
Medial Knee ◽  
Medial Knee Osteoarthritis ◽  
Peak Knee ◽  
Wedge Condition ◽  
Foot Orthotic

The purpose of this study was to examine the effects of laterally wedged foot orthotic devices, used to treat knee osteoarthritis, on frontal plane mechanics at the rearfoot and hip during walking. Thirty individuals with diagnosed medial knee osteoarthritis were recruited for this study. Three dimensional kinematics and kinetics were recorded as the subjects walked in the laboratory at an intentional walking speed. Peak eversion, eversion excursion and peak eversion moment were increased while the peak knee adduction moment was reduced in the laterally wedged orthotic condition compared to the no wedge condition. In contrast, no changes were observed in the variables of interest at the hip. There was no significant relationship between the change in the peak frontal plane moment at the rearfoot and change in the peak frontal plane moment at the knee or hip as a result of the lateral wedge. Laterally wedged foot orthotic devices, used to treat knee osteoarthritis, do not influence hip mechanics. However, they do result in increased rearfoot eversion and inversion moment. Therefore, a full medical screen of the foot should occur before laterally wedged foot orthotic devices are prescribed as a treatment for knee osteoarthritis.

In-Shoe Pressure Measurement and Foot Orthosis Research

2010 ◽  
Vol 100 (6) ◽  
pp. 518-529 ◽  
Author(s):  
Simon K. Spooner ◽  
David K. Smith ◽  
Kevin A. Kirby
Keyword(s):  
Pressure Measurement ◽  
Three Dimensional ◽  
Foot Orthoses ◽  
Deformation Characteristics ◽  
Locomotor Apparatus ◽  
Measurement Systems ◽  
Reaction Forces ◽  
Kinetic Effects ◽  
Foot Orthotic ◽  
Foot Orthosis

Foot orthoses are believed to exert their therapeutic effect on the human locomotor apparatus by altering the location, magnitude, and temporal patterns of ground reaction forces acting on the plantar foot during weightbearing activities. In-shoe pressure-measurement systems are increasingly being used by clinicians and researchers to assess kinetic changes at the foot-orthosis interface to better understand the function of foot orthoses and to derive more efficacious treatments for many painful foot and lower-extremity abnormalities. This article explores how the inherent three-dimensional surface topography and load-deformation characteristics of foot orthoses may challenge the validity, reliability, and clinical usefulness of the data obtained from in-shoe pressure-measurement systems in the context of foot orthotic therapy and research. The inability of in-shoe pressure-measurement systems to measure shearing forces beneath the foot, the required bending of the flat two-dimensional sensor insole to fit the pressure insole to the three-dimensional curves of the orthosis, the subsequent unbending of the sensor insole to display it on a computer monitor, and variations in the load-deformation characteristics of orthoses are all sources of potential error in examination of the kinetic effects of foot orthoses. Consequently, caution is required when interpreting the results of orthotic research that has used in-shoe pressure insole technology. The limitations of the technology should also be given due respect when in-shoe pressure measurement is used to make clinical decisions and prescribe custom foot orthoses for patients. (J Am Podiatr Med Assoc 100(6): 518–529, 2010)

Reliability of Using a Handheld Tablet and Application to Measure Lower-Extremity Alignment Angles

2015 ◽  
Vol 24 (4) ◽  
Author(s):  
Deborah L. King ◽  
Barbara C. Belyea
Keyword(s):  
At Risk ◽  
Lower Extremity ◽  
Knee Flexion ◽  
Interrater Reliability ◽  
Knee Injury ◽  
Vertical Jump ◽  
Frontal Plane ◽  
Initial Contact ◽  
Experience Level ◽  
Lower Extremity Injuries

Context: Landing kinematics have been identified as a risk factor for knee injury. Detecting atypical kinematics in clinical settings is important for identifying individuals at risk for these injuries. Objective: To determine the reliability of a handheld tablet and application (app) for measuring lower-extremity kinematics during drop vertical-jump landings. Design: Measurement reliability. Setting: Laboratory. Participants: 23 healthy young adults with no lower-extremity injuries and no contraindications for jumping and landing. Intervention: Subjects performed 6 drop vertical jumps that were captured with an iPad2 and analyzed with a KinesioCapture app by 2 novice and 2 experienced raters. Three trials each were captured in the frontal and sagittal planes. Main Outcome Measures: Frontal-plane projection angles, knee flexion, and hip flexion at initial contact and maximum knee flexion were measured. ICC and SEM were calculated to determine intertrial and interrater reliability. One-way ANOVAs were used to examine differences between the measured angles of the raters. Results: Average intertrial reliability ranged from .71 to .98 for novice raters and .77 to .99 for experienced raters. SEMs were 2.3-4.3° for novice raters and 1.6-3.9° for experienced raters. Interrater ICC2,1 was .39-.98 for the novice raters and .69-.93 for the experienced raters. SEMs were smallest with the experienced raters, all less than 1.5°. Conclusion: A handheld tablet and app is promising for evaluating landing kinematics and identifying individuals at risk for knee injury in a clinical setting. Intertrial reliability is good to excellent when using average trial measures. Interrater reliability is fair to excellent depending on experience level. Multiple trials should be assessed by a single rater when assessing lower-extremity mechanics with a handheld tablet and app, and results may vary with experience level or training.

High-Risk Lower-Extremity Biomechanics Evaluated in Simulated Soccer-Specific Virtual Environments

2020 ◽  
Vol 29 (3) ◽  
pp. 294-300 ◽  
Author(s):  
Christopher A. DiCesare ◽  
Adam W. Kiefer ◽  
Scott Bonnette ◽  
Gregory D. Myer
Keyword(s):  
Lower Extremity ◽  
Injury Risk ◽  
Medical Center ◽  
Vertical Jump ◽  
Frontal Plane ◽  
Female Adolescent ◽  
Lower Extremity Injury ◽  
Skill Transfer ◽  
Targeted Interventions ◽  
Drop Vertical Jump

Context: Laboratory-based biomechanical analyses of sport-relevant movements such as landing and cutting have classically been used to quantify kinematic and kinetic factors in the context of injury risk, which are then used to inform targeted interventions designed to improve risky movement patterns during sport. However, the noncontextual nature of standard assessments presents challenges for assessing sport-relevant skill transfer. Objective: To examine injury-risk biomechanical differences exhibited by athletes during a jump-landing task performed as part of both a standard biomechanical assessment and a simulated, sport-specific virtual reality (VR)-based assessment. Design: Observational study. Setting: Medical center laboratory. Participants: Twenty-two female adolescent soccer athletes (age = 16.0 [1.4] y, height = 165.6 [4.9] cm, and weight = 60.2 [11.4] kg). Interventions: The landing performance was analyzed for a drop vertical jump task and a VR-based, soccer-specific corner-kick scenario in which the athletes were required to jump to head a virtual soccer ball and land. Main Outcome Measures: Hip, knee, and ankle joint kinematic differences in the frontal and sagittal planes. Results: Athletes exhibited reduced hip and ankle flexion, hip abduction, and frontal plane ankle excursion during landing in realistic sport scenario compared with the standard drop vertical jump task. Conclusion: VR-based assessments can provide a sport-specific context in which to assess biomechanical deficits that predispose athletes for lower-extremity injury and offer a promising approach to better evaluate skill transfer to sport that can guide future injury prevention efforts.

scholarly journals Biomechanical Characteristics on the Lower Extremity of Three Typical Yoga Manoeuvres

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Elizabeth Whissell ◽  
Lin Wang ◽  
Pan Li ◽  
Jing Xian Li ◽  
Zhen Wei
Keyword(s):  
Knee Joint ◽  
Lower Extremity ◽  
Hip Joint ◽  
Sagittal Plane ◽  
Knee Injuries ◽  
Three Dimensional ◽  
Knee Extensor ◽  
Frontal Plane ◽  
Significant Difference ◽  
Angular Impulse

This study was aimed at exploring the biomechanical characteristics of the lower extremity amongst three typical yoga manoeuvres. A total of thirteen experienced female yoga practitioners were recruited in the current study; they were all certified with the Yoga Alliance. A three-dimensional motion capture system with 10 cameras combined with four synchronised force plates was used to collect kinematics of the lower extremity and ground reactive force whilst the participants performed the crescent lunge pose, warrior II pose, and triangle pose. One-way repeated ANOVA was used in exploring the differences amongst the three yoga movements, and the significance was set to alpha < 0.05 . The triangle pose performed the largest range of motion (ROM) of the hip ( 90.5 ° ± 22.9 ° ), knee ( 68.8 ° ± 23.1 ° ), and ankle ( 46.4 ° ± 11.3 ° ) in the sagittal plane and the hip ( 54.8 ° ± 6.5 ° ), knee ( 42.4 ° ± 12.8 ° ), and ankle ( 4.8 ° ± 1.7 ° ) in the frontal plane amongst the three manoeuvres ( P < 0.05 ). No significant difference was found for the hip and ankle joint moment amongst the three manoeuvres ( P > 0.05 ). Knee joint travelled into 9.5° of extension and slight adduction of 1.94° whilst expressing the largest knee joint adduction moments ( 0.30 ± 0.22   Nm / kg ) in the triangle pose. The distribution of the angular impulse of the lower limb joints indicated that the hip joint contributed significantly the most in the sagittal and frontal planes of the three yoga manoeuvres ( P < 0.05 ), ranging from 51.67% to 70.56%. Results indicated that triangle pose may be superior to the other two manoeuvres, which improved hip joint ROM, strength, and dynamic stability. However, knee injuries such as osteoarthritis (OA) should be considered because of the large knee extensor angle and adductor moments.

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