scholarly journals Indices of Loading and Propulsive Ability in the Gait of Patients With Chronic Stroke With Equinus Foot Deviation: A Correlation Study

2022 ◽  
Vol 15 ◽  
Author(s):  
Davide Mazzoli ◽  
Giacomo Basini ◽  
Paolo Prati ◽  
Martina Galletti ◽  
Francesca Mascioli ◽  
...  

In literature, indices of overall walking ability that are based on ground reaction forces have been proposed because of their ease of administration with patients. In this study, we analyzed the correlation between the indices of dynamic loading and propulsion ability of 40 chronic hemiparetic post-stroke patients with equinus foot deviation and a set of clinical assessments of ankle joint deviations and walking ability. Ankle passive and active range of motion (ROM) and triceps surae spasticity were considered, along with walking speed and three complementary scales of walking ability focusing respectively on the need for assistance on functional mobility, including balance and transfers, and the limitation in social participation. The correlation between the ground reaction force-based indices and both clinical and functional variables was carried out using the non-parametric Spearman correlation coefficient. Both indices were correlated to 8 of the 10 investigated variables, thus supporting their use. In particular, the dynamic propulsive ability was correlated with all functional scales (rho = 0.5, p < 0.01), and has the advantage of being a continuous variable. Among clinical assessments, limited ankle ROM affected walking ability the most, while spasticity did not. Since the acquisition of ground reaction forces does not require any patient prepping, the derived indices can be used during the rehabilitation period to quickly detect small improvements that, over time, might lead to the broad changes detectable by clinical scales, as well as to immediately highlight the lack of these improvements, thus suggesting adjustments to the ongoing rehabilitation approach.

2019 ◽  
Vol 126 (5) ◽  
pp. 1315-1325 ◽  
Author(s):  
Andrew B. Udofa ◽  
Kenneth P. Clark ◽  
Laurence J. Ryan ◽  
Peter G. Weyand

Although running shoes alter foot-ground reaction forces, particularly during impact, how they do so is incompletely understood. Here, we hypothesized that footwear effects on running ground reaction force-time patterns can be accurately predicted from the motion of two components of the body’s mass (mb): the contacting lower-limb (m1 = 0.08mb) and the remainder (m2 = 0.92mb). Simultaneous motion and vertical ground reaction force-time data were acquired at 1,000 Hz from eight uninstructed subjects running on a force-instrumented treadmill at 4.0 and 7.0 m/s under four footwear conditions: barefoot, minimal sole, thin sole, and thick sole. Vertical ground reaction force-time patterns were generated from the two-mass model using body mass and footfall-specific measures of contact time, aerial time, and lower-limb impact deceleration. Model force-time patterns generated using the empirical inputs acquired for each footfall matched the measured patterns closely across the four footwear conditions at both protocol speeds ( r2 = 0.96 ± 0.004; root mean squared error  = 0.17 ± 0.01 body-weight units; n = 275 total footfalls). Foot landing angles (θF) were inversely related to footwear thickness; more positive or plantar-flexed landing angles coincided with longer-impact durations and force-time patterns lacking distinct rising-edge force peaks. Our results support three conclusions: 1) running ground reaction force-time patterns across footwear conditions can be accurately predicted using our two-mass, two-impulse model, 2) impact forces, regardless of foot strike mechanics, can be accurately quantified from lower-limb motion and a fixed anatomical mass (0.08mb), and 3) runners maintain similar loading rates (ΔFvertical/Δtime) across footwear conditions by altering foot strike angle to regulate the duration of impact. NEW & NOTEWORTHY Here, we validate a two-mass, two-impulse model of running vertical ground reaction forces across four footwear thickness conditions (barefoot, minimal, thin, thick). Our model allows the impact portion of the impulse to be extracted from measured total ground reaction force-time patterns using motion data from the ankle. The gait adjustments observed across footwear conditions revealed that runners maintained similar loading rates across footwear conditions by altering foot strike angles to regulate the duration of impact.


Sensors ◽  
2019 ◽  
Vol 19 (9) ◽  
pp. 2011 ◽  
Author(s):  
Bessone ◽  
Petrat ◽  
Schwirtz

In the past, technological issues limited research focused on ski jump landing. Today, thanks to the development of wearable sensors, it is possible to analyze the biomechanics of athletes without interfering with their movements. The aims of this study were twofold. Firstly, the quantification of the kinetic magnitude during landing is performed using wireless force insoles while 22 athletes jumped during summer training on the hill. In the second part, the insoles were combined with inertial motion units (IMUs) to determine the possible correlation between kinematics and kinetics during landing. The maximal normal ground reaction force (GRFmax) ranged between 1.1 and 5.3 body weight per foot independently when landing using the telemark or parallel leg technique. The GRFmax and impulse were correlated with flying time (p < 0.001). The hip flexions/extensions and the knee and hip rotations of the telemark front leg correlated with GRFmax (r = 0.689, p = 0.040; r = −0.670, p = 0.048; r = 0.820, p = 0.007; respectively). The force insoles and their combination with IMUs resulted in promising setups to analyze landing biomechanics and to provide in-field feedback to the athletes, being quick to place and light, without limiting movement.


2006 ◽  
Vol 3 (4) ◽  
pp. 209-216 ◽  
Author(s):  
Pia Gustås ◽  
Christopher Johnston ◽  
Stig Drevemo

AbstractThe objective of the present study was to compare the hoof deceleration and ground reaction forces following impact on two different surfaces. Seven unshod Standardbreds were trotted by hand at 3.0–5.7 m s− 1 over a force plate covered by either of the two surfaces, sandpaper or a 1 cm layer of sand. Impact deceleration data were recorded from one triaxial accelerometer mounted on the fore- and hind hooves, respectively. Ground reaction force data were obtained synchronously from a force plate, sampled at 4.8 kHz. The differences between the two surfaces were studied by analysing representative deceleration and force variables for individual horses. The maximum horizontal peak deceleration and the loading rates of the vertical and the horizontal forces were significantly higher on sandpaper compared with the sand surface (P < 0.001). In addition, the initial vertical deceleration was significantly higher on sandpaper in the forelimb (P < 0.001). In conclusion, it was shown that the different qualities of the ground surface result in differences in the hoof-braking pattern, which may be of great importance for the strength of the distal horse limb also at slow speeds.


2007 ◽  
Vol 23 (3) ◽  
pp. 180-189 ◽  
Author(s):  
Niell G. Elvin ◽  
Alex A. Elvin ◽  
Steven P. Arnoczky

Modern electronics allow for the unobtrusive measurement of accelerations outside the laboratory using wireless sensor nodes. The ability to accurately measure joint accelerations under unrestricted conditions, and to correlate them with jump height and landing force, could provide important data to better understand joint mechanics subject to real-life conditions. This study investigates the correlation between peak vertical ground reaction forces, as measured by a force plate, and tibial axial accelerations during free vertical jumping. The jump heights calculated from force-plate data and accelerometer measurements are also compared. For six male subjects participating in this study, the average coefficient of determination between peak ground reaction force and peak tibial axial acceleration is found to be 0.81. The coefficient of determination between jump height calculated using force plate and accelerometer data is 0.88. Data show that the landing forces could be as high as 8 body weights of the jumper. The measured peak tibial accelerations ranged up to 42 g. Jump heights calculated from force plate and accelerometer sensors data differed by less than 2.5 cm. It is found that both impact accelerations and landing forces are only weakly correlated with jump height (the average coefficient of determination is 0.12). This study shows that unobtrusive accelerometers can be used to determine the ground reaction forces experienced in a jump landing. Whereas the device also permitted an accurate determination of jump height, there was no correlation between peak ground reaction force and jump height.


1986 ◽  
Vol 15 (1) ◽  
pp. 27-34 ◽  
Author(s):  
R Seliktar ◽  
J Mizrahi

Human locomotion studies employing cinematography and force plates have been conducted during the last five decades with the goal of producing a clinically acceptable gait evaluation technique. The bulk of information contained in the kinetic studies was the major obstacle in achieving this goal. Our aim in this work was to explore the possibility of representing some locomotor abnormalities solely by their reflection on the ground reaction force characteristics. As a first stage towards the establishment of these relationships, the gait characteristics of below-knee amputees were examined. One hundred and thirty ground force test results as obtained on twenty three below-knee amputees were analysed. Different variables such as time durations of the various phases, peak forces, impulses, rate of change of the forces, and others, were examined. The conclusions suggest that some of these variables are suitable for evaluation of gait and some, such as small perturbations superimposed on the curve, may serve as indicators of specific malfunction of the prosthetic system.


2019 ◽  
Vol 14 (5) ◽  
pp. 658-666 ◽  
Author(s):  
Steffi L Colyer ◽  
Philip Graham-Smith ◽  
Aki IT Salo

Ground reaction forces produced on the blocks determine an athlete’s centre of mass motion during the sprint start, which is crucial to sprint performance. This study aimed to understand how force waveforms are associated with better sprint start performance. Fifty-seven sprinters (from junior to world elite) performed a series of block starts during which the ground reaction forces produced by the legs and arms were separately measured. Statistical parametric mapping (linear regression) revealed specific phases of these waveforms where forces were associated with average horizontal external power. Better performances were achieved by producing higher forces and directing the force vector more horizontally during the initial parts of the block phase (17–34% and 5–37%, respectively). During the mid-push (around the time of rear block exit: ∼54% of the block push), magnitudes of front block force differentiated performers, but orientation did not. Consequently, the ability to sustain high forces during the transition from bilateral to unilateral pushing was a performance-differentiating factor. Better athletes also exhibited a higher ratio of forces on the front block in the latter parts of unilateral pushing (81–92% of the block push), which seemed to allow these athletes to exit the blocks with lower centre of mass projection angles. Training should reflect these kinetic requirements, but also include technique-based aspects to increase both force production and orientation capacities. Specific training focused on enhancing anteroposterior force production during the transition between double- to single-leg propulsion could be beneficial for overall sprint start performance.


Author(s):  
Ritwik Rakshit ◽  
Yujiang Xiang ◽  
James Yang

This article presents an optimization formulation and experimental validation of a dynamic-joint-strength-based two-dimensional symmetric maximum weight-lifting simulation. Dynamic joint strength (the net moment capacity as a function of joint angle and angular velocity), as presented in the literature, is adopted in the optimization formulation to predict the symmetric maximum lifting weight and corresponding motion. Nineteen participants were recruited to perform a maximum-weight-box-lifting task in the laboratory, and kinetic and kinematic data including motion and ground reaction forces were collected using a motion capture system and force plates, respectively. For each individual, the predicted spine, shoulder, elbow, hip, knee, and ankle joint angles, as well as vertical and horizontal ground reaction force and box weight, were compared with the experimental data. Both root-mean-square error and Pearson’s correlation coefficient ( r) were used for the validation. The results show that the proposed two-dimensional optimization-based motion prediction formulation is able to accurately predict all joint angles, box weights, and vertical ground reaction forces, but not horizontal ground reaction forces.


Proceedings ◽  
2020 ◽  
Vol 49 (1) ◽  
pp. 136
Author(s):  
Ophelie Lariviere ◽  
Thomas Provot ◽  
Laura Valdes-Tamayo ◽  
Maxime Bourgain ◽  
Delphine Chadefaux

Although accelerometers’ responses during running are not perfectly understood, they are widely used to study performance and the risk of injury. To outline the typical tibial acceleration pattern during running, this study aims to investigate the repeatability of acceleration signals with respect to the ground reaction force waveforms. Ten amateur runners were asked to perform ten trials along a straight line. One participant was asked to perform this protocol over ten sessions. Tibial accelerations and ground reaction forces were measured during the stance phase. The coefficient of multiple correlation R was computed to study the intra- and inter-test and subject repeatability of accelerometric and force waveforms. A good (R>0.8) intra- and inter-test repeatability was observed for all measured signals. Similar results were observed for intra-subject repeatability. A good inter-subject repeatability was observed only for the longitudinal acceleration and vertical and antero-posterior forces. Typical accelerometric signatures were outlined for each case studied.


1989 ◽  
Vol 1 (1) ◽  
pp. 45-53 ◽  
Author(s):  
Nancy L. Greer ◽  
Joseph Hamill ◽  
Kevin R. Campbell

Ground reaction force patterns during walking were observed in 18 children 3 and 4 years of age. The children walked barefoot at a self-chosen walking pace. Selected variables representing the vertical, anteroposterior, and mediolateral force components were evaluated. The results indicated that children in this age range contact the ground with greater vertical force measures relative to body mass than do adults. In addition, the minimum vertical force was lower, the transition from braking to propulsion occurred earlier, and the mediolateral force excursions were higher than typically found in adults. When the children were divided into groups on the basis of sex, differences were observed between those groups. The boys exhibited a greater difference in the vertical peak forces, a lower minimum force, a greater braking force, and a higher mediolateral force excursion value. The results indicated that children display a different ground reaction force pattern than do adults and that differences between boys and girls may be observed as early as ages 3 and 4 years.


2011 ◽  
Vol 366 (1570) ◽  
pp. 1516-1529 ◽  
Author(s):  
Maarten F. Bobbert ◽  
L. J. Richard Casius

The purpose of this study was to understand how humans regulate their ‘leg stiffness’ in hopping, and to determine whether this regulation is intended to minimize energy expenditure. ‘Leg stiffness’ is the slope of the relationship between ground reaction force and displacement of the centre of mass (CM). Variations in leg stiffness were achieved in six subjects by having them hop at maximum and submaximum heights at a frequency of 1.7 Hz. Kinematics, ground reaction forces and electromyograms were measured. Leg stiffness decreased with hopping height, from 350 N m −1 kg −1 at 26 cm to 150 N m −1 kg −1 at 14 cm. Subjects reduced hopping height primarily by reducing the amplitude of muscle activation. Experimental results were reproduced with a model of the musculoskeletal system comprising four body segments and nine Hill-type muscles, with muscle stimulation STIM( t ) as only input. Correspondence between simulated hops and experimental hops was poor when STIM( t ) was optimized to minimize mechanical energy expenditure, but good when an objective function was used that penalized jerk of CM motion, suggesting that hopping subjects are not minimizing energy expenditure. Instead, we speculated, subjects are using a simple control strategy that results in smooth movements and a decrease in leg stiffness with hopping height.


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