Development of a novel biofeedback system for the sprint start

This study developed and evaluated a novel concurrent biofeedback system for the sprint start. Previous studies have investigated sprint start biofeedback applications, but these have either not considered important kinematics, coaching implications or key motor learning principles. The biofeedback system was developed to convey rear knee angle information, obtained from 3D motion capture to novice participants as changes in the colour of an LED start line when they were in the “set” position. Based on initial user feedback, the system indicated whether the participants’ rear knee angles were within ± 2° of 130° (green) or not (red). A two-group experimental study was then employed to explore the acute responses of novices to the use of the biofeedback system during the sprint start. When exposed to biofeedback, the experimental group (EXP, n = 10) exhibited less deviation (4.0 ± 2.4°) from the target rear knee angle than they did in either a pre-test (11.9 ± 6.9°) or post-test (10.4 ± 4.4°) condition without biofeedback. The control group (CON, n = 10) with no biofeedback exhibited greater deviation from the target rear knee angle than the EXP group in all three condition blocks (pre-test = 21.8 ± 15.1°, no intervention = 15.6 ± 7.3°, post-test = 14.3 ± 6.5°) but the group × condition interaction effect was not significant (P = 0.210). The novel biofeedback system can be used to manipulate selected “set” position kinematics and has the potential to be incorporated with different input systems (e.g. inertial measurement units (IMUs)) or in longitudinal designs.

Angle-angle diagrams in the assessment of locomotion in persons with multiple sclerosis: A preliminary study

Gait analysis is clinically relevant in persons with multiple sclerosis (PwMS) and consists of several joint angular displace-ment-time relationships and spatiotemporal parameters. However, it lacks representation by means of diagrams in which knee angle-hip angle and knee angle-ankle angle variations are plotted against each other at the same instants of time. Three-dimensional kinematic analysis was performed on 20 subjects (10 PwMS/10 healthy controls, HCs), and the knee-angle/hip-angle and knee-angle/ankle-angle diagrams of both lower limbs were determined in the sagittal plane while walking on a motorized treadmill. The area (a quantifier of conjoint range of motion) and the perimeter (a quantifier of coordina-tion) of angle-angle diagram loops were calculated. PwMS showed reduced knee-angle/ankle-angle loops compared to HCs (P<0.05, ES = 0.80), whereas the hip-angle/ankle-angle loops between the PwMS and HCs was not significant (P> 0.05). Similarly, the activation of leg muscles showed significant differences between PwMS and HCs (p ranged from 0.05-to 0.001; ES ranged from 1.30 to 1.89). The results indicate that the proposed knee-angle/hip-angle diagram is feasible and could be applied as a reliable tool in future studies aimed at assessing the acute and long-term effects of specific exercise programmes and/or pharmacological treatment in PwMS.

The Effect of Limb Position on a Static Knee Extension Task can be Explained with a Simple Spinal Cord Circuit Model

The influence of proprioceptive feedback on muscle activity during isometric tasks is the subject of conflicting studies. We performed an isometric knee extension task experiment based on two common clinical tests for mobility and flexibility. The task was carried out at four pre-set angles of the knee and we recorded from five muscles for two different hip positions. We applied muscle synergy analysis using non-negative matrix factorisation on surface electromyograph recordings to identify patterns in the data which changed with internal knee angle, suggesting a link between proprioception and muscle activity. We hypothesised that such patterns arise from the way proprioceptive and cortical signals are integrated in neural circuits of the spinal cord. Using the MIIND neural simulation platform, we developed a computational model based on current understanding of spinal circuits with an adjustable afferent input. The model produces the same synergy trends as observed in the data, driven by changes in the afferent input. In order to match the activation patterns from each knee angle and position of the experiment, the model predicts the need for three distinct inputs: two to control a non-linear bias towards the extensors and against the flexors, and a further input to control additional inhibition of rectus femoris. The results show that proprioception may be involved in modulating muscle synergies encoded in cortical or spinal neural circuits.

Postural Variabilities Associated with the Most Comfortable Sitting Postures: A Preliminary Study

This study examined postural variabilities based on the self-perceived most comfortable postures of 12 participants (six men and six women) when sitting on three commonly used types of chairs (a stool, computer chair, and gaming chair). Participants’ global joint angles were recorded and analyzed. Of the chairs studied, the stool was not adjustable, but the computer and gaming chairs were moderately and highly adjustable, respectively. During the test, participants were encouraged to adjust the chairs until they perceived that the most comfortable posture had been reached. The results demonstrated that in a sitting position perceived to be comfortable, the participants’ postural variabilities with respect to global joint angle, calculated from five repetitions, were unexpectedly high for all three chair types, at approximately 9.4, 10.2, and 11.1° for head inclination, trunk angle, and knee angle, respectively. The average differences in range for each joint angle among the three chair types were relatively low, with all values within 3°. The result also showed that gender (p < 0.01) and chair type (p < 0.001) significantly affected trunk angle, whereas these variables did not affect head inclination or knee angle (p > 0.05). The preliminary results observed unexpectedly high variabilities in sitting posture when the participants sat at a posture that they perceived to be the most comfortable. The findings also indicated an inherent difference in comfortable sitting posture between genders; women tend to extend their trunk backward more than men. For permanent use with only an initial adjustment and memory-aided seat design, designers should minimize the loads that are borne by body parts over a prolonged period due to an unchanging sitting posture.

Vertical Drop Jump Biomechanics of Patients With a 3- to 10-Year History of Youth Sport–Related Anterior Cruciate Ligament Reconstruction

Background: A better understanding of movement biomechanics after anterior cruciate ligament reconstruction (ACLR) could inform injury prevention, knee injury rehabilitation, and osteoarthritis prevention strategies. Purpose: To investigate differences in vertical drop jump (VDJ) biomechanics between patients with a 3- to 10-year history of youth sport–related ACLR and uninjured peers of a similar age, sex, and sport. Study Design: Cross-sectional study. Level of evidence III. Methods: Lower limb kinematics and bilateral ground-reaction forces (GRFs) were recorded for participants performing 10 VDJs. Joint angles and GRF data were analyzed, and statistical analysis was performed using 2 multivariate models. Dependent variables included sagittal (ankle, knee, and hip) and coronal (knee and hip) angles at initial contact and maximum knee flexion, the rate of change of coronal knee angles (35%-90% of the support phase; ie, slopes of linear regression lines), and vertical and mediolateral GRFs (normalized to body weight [BW]). Fixed effects included group, sex, and time since injury. Participant clusters, defined by sex and sport, were considered as random effects. Results: Participants included 48 patients with a history of ACLR and 48 uninjured age-, sex-, and sport-matched controls (median age, 22 years [range, 18-26 years]; 67% female). Patients with ACLR demonstrated steeper negative coronal knee angle slopes (β = –0.04 deg/% [95% CI, –0.07 to –0.00 deg/%]; P = .025). A longer time since injury was associated with reduced knee flexion (β = –0.2° [95% CI, –0.3° to –0.0°]; P = .014) and hip flexion (β = –0.1° [95% CI, –0.2° to –0.0°]; P = .018). Regardless of ACLR history, women displayed greater knee valgus at initial contact (β = 2.1° [95% CI, 0.4° to 3.8°]; P = .017), greater coronal knee angle slopes (β = 0.05 deg/% [95% CI, 0.02 to 0.09 deg/%]; P = .004), and larger vertical GRFs (landing: β = –0.34 BW [95% CI, –0.61 to –0.07 BW]; P = .014) (pushoff: β = –0.20 BW [95% CI, –0.32 to –0.08 BW]; P = .001). Conclusion: Women and patients with a 3- to 10-year history of ACLR demonstrated VDJ biomechanics that may be associated with knee motion control challenges. Clinical Relevance: It is important to consider knee motion control during activities such as VDJs when developing injury prevention and rehabilitation interventions aimed at improving joint health after youth sport–related ACLR.

An Alternative Method to Develop Embroidery Textile Strain Sensors

In this paper, a method to develop embroidered textile strain resistive sensors is presented. The method is based on two overlapped zigzag conductive yarn patterns embroidered in an elastic textile. To demonstrate the functionality of the proposed configuration, a textile sensor embroidered with a conductor yarn composed of 99% pure silver-plated nylon yarn 140/17 dtex has been experimentally characterised for an elongation range from 0% to 65%. In order to show the sensor applicability, a second test with the sensor embroidered in a knee-pad has been done to evaluate the flexion knee angle from 180° to 300°. The experimental results show the usefulness of the proposed method to develop fabric strain sensors that can help to manufacture commercial applications on the healthcare sector.

Key Parameters Affecting Kick Start Performance in Competitive Swimming

The study aims to determine the contribution of kinematic parameters to time to 5 m without underwater undulating and kicking. Eighteen male competitive swimmers started from three weighted positions and set the kick plate to positions 1–5. We used SwimPro cameras and the Dartfish© software. In the on-block phase, we found significant correlations (p < 0.01) between the front ankle angle and block time. The correlations between start phases were statistically significant (p < 0.01) between block time and rear ankle angle, respectively, to time to 2 m; rear knee angle and glide time; block time and time to 5 m; time to 2 m and time to 5 m; and flight distance and glide distance. The multiple regression analysis showed that the on-block phase and flight phase parameters, respectively, contributed 64% and 65% to the time to 5 m. The key block phase parameters included block time and rear knee angle. The key flight phase parameters determining time to 5 m included take-off angle and time to 2 m. The key parameters determining the performance to 5 m during the above-water phase include rear knee angle, block time, takeoff angle, and time to 2 m.

Establishing Reference Values for Isometric Knee Extension and Flexion Strength

Single-joint isometric and isokinetic knee strength assessment plays an important role in strength and conditioning, physical therapy, and rehabilitation. The literature, however, lacks absolute reference values. We systematically reviewed the available studies that assessed isometric knee strength. Two scientific databases (PubMed and PEDro) were searched for the papers that are published from the inception of the field to the end of 2019. We included studies that involved participants of both genders and different age groups, regardless of the study design, that involved isometric knee extension and/or flexion measurement. The extracted data were converted to body-mass-normalized values. Moreover, the data were grouped according to the knee angle condition (extended, mid-range, and flexed). A meta-analysis was performed on 13,893 participants from 411 studies. In adult healthy males, the pooled 95% confidence intervals (CI) for knee extension were 1.34–2.23Nm/kg for extended knee angle, 2.92–3.45Nm/kg for mid-range knee angle, and 2.50–3.06Nm/kg for flexed knee angle, while the CIs for flexion were 0.85–1.20, 1.15–1.62, and 0.96–1.54Nm/kg, respectively. Adult females consistently showed lower strength than adult male subgroups (e.g., the CIs for knee extension were 1.01–1.50, 2.08–2.74, and 2.04–2.71Nm/kg for extended, mid-range, and flexed knee angle condition). Older adults consistently showed lower values than adults (e.g., pooled CIs for mid-range knee angle were 1.74–2.16Nm/kg (male) and 1.40–1.64Nm/kg (female) for extension, and 0.69–0.89Nm/kg (male) and 0.46–0.81Nm/kg (female) for flexion). Reliable normative for athletes could not be calculated due to limited number of studies for individual sports.