scholarly journals Kinematic gait analysis of a young man after amputation of the toes

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Wanda Forczek ◽  
Tadeusz Ruchlewicz ◽  
Anna Gawęda

Summary Study aim: the foot is recognised as a “functional unit” with two important aims: to support body weight and to serve as a lever to propel the body forward. When it is impaired, the locomotor pattern has to adapt to compensate for the dysfunction. The purpose of this study was to investigate gait kinematics of a man after bilateral partial amputation of the toes. Material and methods: the subject of the study was a young man aged 30 years (body height and mass: 186 cm, 82 kg) who suffered a frostbite injury in the feet while climbing in the severe mountain conditions. After a few months of treatment, the necessary amputation occurred. Three-dimensional lower limb kinematics was collected from motion capture system (Vicon 250) and Golem marker set-up using 5 video-based cameras with infrared strobes. The subject performed over-ground walking at self-selected speed, first barefoot, then wearing athletic shoes. Results: the patient’s results are the mean values of sixteen full gait cycles. The spatiotemporal parameters were lower during gait without shoes. In terms of the angular changes of the lower limb joints in sagittal plane, the analysis revealed similar functional patterns and typical trends in both recorded conditions. The differences, however, occurred in their amplitude. A larger range of motion was generally noted in shod conditions. The higher the joint was, the smaller the differences were. Conclusion: changes in gait due to the forefoot dysfunction may be stabilizing adaptations related to fear of falling. Footwear provided more stable conditions.

2021 ◽  
Vol 15 (2) ◽  
pp. 9-14
Author(s):  
Eliza Smoła ◽  
Katarzyna Wódka ◽  
Marta A. Bibro ◽  
Agnieszka Jankowicz-Szymańska

<p><b>Introduction: </b>The objective of the study was to assess the flexibility of the hamstring muscles and their relationship with the position of the spine, shoulder and pelvic girdles in individual planes in boys training football. <p><b>Material and methods: </b>The study included 28 boys aged 10-14, training football 3 times a week for at least 2 years. The subjects were divided into two groups: correct bilateral flexibility of the hamstring muscles, bilateral shortening of the hamstring muscles. Body height and weight were measured and BMI was calculated. The three-dimensional position of the trunk was examined using the Zebris pointer ultrasound system. The passive straightleg- raising test was used to assess the flexibility of the hamstring muscles. <p><b>Results: </b>32% of people were diagnosed with the correct length of both hamstring muscles, 57% had shortened muscles in both limbs. Mean values determining the depth of thoracic kyphosis indicated its deepening in each of the groups, however, lower values were recorded in boys with reduced flexibility of the hamstring muscle mass. This group was also characterised by a better balance of the trunk in the sagittal plane. The average depth of lumbar lordosis in both groups was within the normal range. In the frontal plane, in both groups of footballers there was a tendency to lift the left shoulder (more frequent in the group with normal flexibility), the pelvis on the left side and shift the trunk to the right. <p><b>Conclusion: </b>Shortening of the hamstring muscles is common in boys who train football, but no evidence of a relationship between the limited flexibility of these muscles and the position of the trunk was found.


Author(s):  
Joanna M. Bukowska ◽  
Małgorzata Jekiełek ◽  
Dariusz Kruczkowski ◽  
Tadeusz Ambroży ◽  
Jarosław Jaszczur-Nowicki

Background: The aim of the study is to assess the body balance and podological parameters and body composition of young footballers in the context of the control of football training. Methods: The study examined the distribution of the pressure of the part of the foot on the ground, the arch of the foot, and the analysis of the body composition of the boys. The pressure center for both feet and the whole body was also examined. The study involved 90 youth footballers from Olsztyn and Barczewo in three age groups: 8–10 years, 11–13 years old, and 14–16 years. The study used the Inbody 270 body composition analyzer and the EPSR1, a mat that measures the pressure distribution of the feet on the ground. Results: The results showed statistically significant differences in almost every case for each area of the foot between the groups of the examined boys. The most significant differences were observed for the metatarsal area and the left heel. In the case of stabilization of the whole body, statistically significant differences were noted between all study groups. In the case of the body composition parameters, in the examined boys, a coherent direction of changes was noticed for most of them. The relationships and correlations between the examined parameters were also investigated. The significance level in the study was set at p < 0.05. Conclusions: Under the training rigor, a statistically significant increase in stability was observed with age. The total length of the longitudinal arch of both feet of the examined boys showed a tendency to flatten in direct proportion to the age of the examined boys. Mean values of the body composition parameters reflect changes with the ontogenetic development, basic somatic parameters (body height and weight) and training experience, and thus with the intensity and volume of training. This indicates a correct training process that does not interfere with the proper development of the body in terms of tissue and biochemical composition.


2013 ◽  
pp. 1-6
Author(s):  
K. SHITARA ◽  
H. KANEHISA ◽  
T. FUKUNAGA ◽  
T. YANAI ◽  
Y. KAWAKAMI

Background:Three-dimensional photonic scanning (3DPS) was recently developed to measuredimensions of a human body surface. Objective:The purpose of this study was to explore the validity of bodyvolume measured by 3DPS for estimating the percent body fat (%fat). Design, setting, participants, andmeasurement:The body volumes were determined by 3DPS in 52 women. The body volume was corrected forresidual lung volume. The %fat was estimated from body density and compared with the corresponding referencevalue determined by the dual-energy x-ray absorptiometry (DXA). Results:No significant difference was foundfor the mean values of %fat obtained by 3DPS (22.2 ± 7.6%) and DXA (23.5 ± 4.9%). The root mean squareerror of %fat between 3DPS and reference technique was 6.0%. For each body segment, there was a significantpositive correlation between 3DPS- and DXA-values, although the corresponding value for the head was slightlylarger in 3DPS than in DXA. Residual lung volume was negatively correlated with the estimated error in %fat.Conclusions:The body volume determined with 3DPS is potentially useful for estimating %fat. A possiblestrategy for enhancing the measurement accuracy of %fat might be to refine the protocol for preparing thesubject’s hair prior to scanning and to improve the accuracy in the measurement of residual lung volume.


Author(s):  
AN Nithyaa ◽  
S Poonguzhali ◽  
N Vigneshwari

Hemiplegia is a type of paralysis that affects one side of the body due to stroke, characterizing severe weakness or rigid movement. Many people of different age groups are affected by this condition which cannot be completely cured but can be minimized through proper physiotherapy. A continuous and repeated exercise has to be given to the hemiplegic subjects to regain their motor function. To serve this purpose, a three-dimensional model of wheelchair contrived with lower limb exoskeleton is designed and motion analysis is done using SolidWorks. This virtual model of the object is created with the assistance of computer-aided design software. Professionals can be able to do the experiment on what-if scenarios with their three-dimensional designs, which helps to validate their devices and identify any snags with design quality. The pattern of behaviour of lower limb exoskeleton is predicted using SimMechanics in MATLAB.


2008 ◽  
Vol 32 (1) ◽  
pp. 111-126 ◽  
Author(s):  
Lexyne L. McNealy ◽  
Steven A. Gard

In able-bodied individuals, the ankle joint functions to provide shock absorption, aid in foot clearance during the swing phase, and provides a rocker mechanism during stance phase to facilitate forward progression of the body. Prosthetic ankles currently used by persons with lower limb amputations provide considerably less function than their anatomical counterparts. However, increased ankle motion in the sagittal plane may improve the gait of persons with lower limb amputations while providing a more versatile prosthesis. The primary aim of this study was to examine and quantify temporal-spatial, kinematic, and kinetic changes in the gait of four male subjects with bilateral trans-femoral amputations who walked with and without prosthetic ankle units. Two prosthesis configurations were examined: (i) Baseline with only two Seattle LightFoot2 prosthetic feet, and (ii) with the addition of Endolite Multiflex Ankle units. Data from the gait analyses were compared between prosthetic configurations and with a control group of able-bodied subjects. The amputee subjects' freely-selected walking speeds, 0.74 ± 0.19 m/s for the Baseline condition and 0.81 ± 0.15 m/s with the ankle units, were much less than that of the control subjects (1.35 ± 0.10 m/s). The amputee subjects demonstrated no difference in walking speed, step length, cadence, or ankle, knee, and hip joint moments and powers between the two prosthesis configurations. Sagittal plane ankle range of motion, however, increased by 3–8° with the addition of the prosthetic ankle units. Compared to the control group, following initial contact the amputee subjects passively increased the rate of energy storage or dissipation at the prosthetic ankle joint, actively increased the power generation at the hip, and increased the extension moment at the hip while wearing the prosthetic ankle configuration. The amputee subjects increased the power generation at their hips, possibly as compensation for the reduced rate of energy return at their prosthetic ankles. Results from subject questionnaires administered following the gait analyses revealed that the prosthetic ankle units provided more comfort during gait and did not increase the perceived effort to walk. The subjects also indicated that they preferred walking with the prosthetic ankle units compared to the Baseline configuration. The results of the study showed that the prosthetic ankle units improved sagittal plane ankle range of motion and increased the comfort and functionality of the amputee subjects’ prostheses by restoring a significant portion of the ankle rocker mechanism during stance phase. Therefore, prosthetic ankle mechanisms should be considered a worthwhile option when prostheses are prescribed for persons with trans-femoral amputations.


Author(s):  
Ying Yue Zhang ◽  
Gusztáv Fekete ◽  
Justin Fernandez ◽  
Yao Dong Gu

To determine the influence of the unstable sole structure on foot kinematics and provide theoretical basis for further application.12 healthy female subjects walked through a 10-meter experimental channel with normal speed wearing experimental shoes and control shoes respectively at the gait laboratory. Differences between the groups in triplanar motion of the forefoot, rearfoot and hallux during walking were evaluated using a three-dimensional motion analysis system incorporating with Oxford Foot Model (OFM). Compare to contrast group, participants wearing experimental shoes demonstrated greater peak forefoot dorsiflexion, forefoot supination and longer halluces plantar flexion time in support phase. Additionally, participants with unstable sole structure also demonstrated smaller peak forefoot plantarflexion, rearfoot dorsiflexion and range of joint motion in sagittal plane and frontal plane.. The difference mainly appeared in sagittal and frontal plane. With a stimulation of unstable, it may lead to the reinforcement of different flexion between middle and two ends of the foot model. The greater forefoot supination is infered that the unstable element structure may affect the forefoot motion on the frontal plane and has a control effect to strephexopodia people. The stimulation also will reflexes reduce the range of rearfoot motion in sagittal and frontal planes to control the gravity center of the body and keep a steady state in the process of walking.


2020 ◽  
Author(s):  
Azadeh Nasseri ◽  
David G Lloyd ◽  
Adam L Bryant ◽  
Jonathon Headrick ◽  
Timothy Sayer ◽  
...  

AbstractThis study determined anterior cruciate ligament (ACL) force and its contributors during a standardized drop-land-lateral jump task using a validated computational model. Healthy females (n=24) who were recreationally active performed drop-land-lateral jump and straight run tasks. Three-dimensional whole-body kinematics, ground reaction forces, and muscle activation patterns from eight lower limb muscles were collected concurrently during both tasks, but only the jump was analyzed computationally, with the run included for model calibration. External biomechanics, muscle-tendon unit kinematics, and muscle activation patterns were used to model lower limb muscle and ACL forces. Peak ACL force (2.3±0.5 BW) was observed at 13% of the stance phase during the drop-land-lateral jump task. The ACL force was primarily developed through the sagittal plane, and muscle was the dominant source of ACL loading. The gastrocnemii and quadriceps were main ACL antagonists (i.e., loaders), while hamstrings were the main ACL agonists (i.e., supporters).


2019 ◽  
Vol 82 (3) ◽  
pp. 273-285
Author(s):  
Anna Siniarska ◽  
Joanna Nieczuja-Dwojacka ◽  
Sławomir Kozieł ◽  
Napoleon Wolański

Abstract The purpose of this study was to find out the differences in body physique and its proportions between children from Creole, Maya and Mestizo ethnic groups living in Merida, Mexico. The study was conducted between 1996–1999 and comprised of 4636 children and youth aged 6–18 years from three ethnic groups: Maya, Mestizo, and Creole. There were 1362 boys and 1314 girls from Creole group and 803 boys and 857 girls from the pooled Maya/Mestizo group. Anthropometric measurements included body height, arm and leg length, shoulder and hip width. The following indexes were calculated: leg length-to-body height, upper-to-lower limb, shoulder-to-body height, hip-to-body height, and hip-to-shoulder. Two-way analysis of variance (two-way ANOVA) was used to test the main effect and the interaction effects of age and ethnicity on height, leg length and body proportions, separately for boys and girls. All statistical analyses were performed using Statistica software version 13.1. All p-values lower than 0.05 were considered significant. Results of this study revealed that average values of body height, leg length and upper-to-lower limb and shoulder width proportions were statistically significantly different between ethnic groups. Creole children were taller and longer-legged than their Maya/Mestizo peers, and the greatest difference was noted after puberty. Maya/Mestizo children had relatively longer arm as compared to Creoles. Results of two-way ANOVA revealed that age and ethnicity were combined (interaction effect) factors for variation in body height both in boys and girls, and upper-to-lower limb proportion in boys, shoulder-to-body height proportion in girls. Ethnicity was the main effect factor for leg length both in boys and girls, and for the body proportions: upper-to-lower limb in girls and shoulder-to-body height in boys. Age was the main effect factor for upper-to-lower limb proportion in girls, shoulder-to-body height in boys, hip-to-body height in boys and girls, and hip-to-shoulder, both in boys and girls. In conclusion it may be stated that variation in body physique and body proportions during the postnatal growth in different ethnic groups is under the influence of complex interaction between genetic and environmental factors to which the individual is exposed.


2019 ◽  
Vol 16 (2) ◽  
pp. 749
Author(s):  
Bojan Jorgić ◽  
Petra Mančić ◽  
Saša Milenković ◽  
Nikola Jevtić ◽  
Mladen Živković

Scoliosis is a multifactorial three-dimensional (3D) spinal deformation which always includes elementary deformations on three planes: a lateral curvature on the frontal plane, loss of natural physiological curvature on the sagittal plane and, in most cases, increase of lordosis in the lumbosacral joint (hyperlordosis), and a (very typical) vertebral axial rotation on the horizontal plane. One of the best methods in scoliosis correction is the Schroth method. In view of the above, the objective of this study is to identify the effects of the Schroth method on correcting functional-motor status in children with adolescent idiopathic scoliosis (IS). The participant sample comprised 20 children, of an average age of 14.5, who took part in the 10-day Schroth Camp. The following measure instruments were used for the assessment of the effect of the Schroth method: the Sorensen test, the Sit-and-reach test, and height assessment. Statistically significant improvements were identified across the results of all three tests, for the Sorensen test: 45.6±19.29 s, the Sit-and-reach test: 4.05±2.25 cm, and height 1.4±0.66 cm. It can be concluded that the conducted Schroth method exercise program exerted a positive effect on improving motor functionality, as well as enhancing flexibility and isometric endurance of the lumbar extensors of the spine. Additionally, there was an increase in height, which indicates a positive effect in terms of the functionality and symmetry of the left and right sides of the body, and in terms of improved posture on the frontal and sagittal planes.


Author(s):  
Ruoli Wang ◽  
Laura Martín de Azcárate ◽  
Paul Sandamas ◽  
Anton Arndt ◽  
Elena M. Gutierrez-Farewik

BackgroundAt the beginning of a sprint, the acceleration of the body center of mass (COM) is driven mostly forward and vertically in order to move from an initial crouched position to a more forward-leaning position. Individual muscle contributions to COM accelerations have not been previously studied in a sprint with induced acceleration analysis, nor have muscle contributions to the mediolateral COM accelerations received much attention. This study aimed to analyze major lower-limb muscle contributions to the body COM in the three global planes during the first step of a sprint start. We also investigated the influence of step width on muscle contributions in both naturally wide sprint starts (natural trials) and in sprint starts in which the step width was restricted (narrow trials).MethodMotion data from four competitive sprinters (2 male and 2 female) were collected in their natural sprint style and in trials with a restricted step width. An induced acceleration analysis was performed to study the contribution from eight major lower limb muscles (soleus, gastrocnemius, rectus femoris, vasti, gluteus maximus, gluteus medius, biceps femoris, and adductors) to acceleration of the body COM.ResultsIn natural trials, soleus was the main contributor to forward (propulsion) and vertical (support) COM acceleration and the three vasti (vastus intermedius, lateralis and medialis) were the main contributors to medial COM acceleration. In the narrow trials, soleus was still the major contributor to COM propulsion, though its contribution was considerably decreased. Likewise, the three vasti were still the main contributors to support and to medial COM acceleration, though their contribution was lower than in the natural trials. Overall, most muscle contributions to COM acceleration in the sagittal plane were reduced. At the joint level, muscles contributed overall more to COM support than to propulsion in the first step of sprinting. In the narrow trials, reduced COM propulsion and particularly support were observed compared to the natural trials.ConclusionThe natural wide steps provide a preferable body configuration to propel and support the COM in the sprint starts. No advantage in muscular contributions to support or propel the COM was found in narrower step widths.


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