Reliability and Repeatability of ACL Quick Check®: A Methodology for on Field Lower Limb Joint Kinematics and Kinetics Assessment in Sport Applications

Anterior cruciate ligament (ACL) lesion represents one of the most dramatic sport injuries. Even though clinical screenings aiming at identifying subjects at risk of injuries are gaining popularity, the use of sophisticated equipment still represents a barrier towards their widespread use. This study aimed to test both reliability and repeatability of a new methodology to assess lower limb joints kinematics and kinetics directly on field with the aid of video cameras and plantar pressure insoles. Ten athletes and one case study (post ACL surgery) were assessed in a gait laboratory, while performing double leg squats, through the simultaneous acquisition of stereophotogrammetry, force plates, commercial video cameras and plantar pressure insoles. Different sources of errors were investigated and both reliability and repeatability analysis performed. Minimum and maximum RMSE values of 0.74% (right knee joint center trajectory) and 64.51%, respectively (ankle dorsi-plantarflexion moment), were detected. Excellent to good correlation was found for the majority of the measures, even though very poor and inverse between-trials correlation was found on a restricted number of trials especially for the ankle dorsi-plantarflexion moment. These findings could be used in combination with already available screening tools in order to provide more repeatable results.

The Influence of the Mechanism of Double-Sided FSW on Microstructure and Mechanical Performance of AZ31 Alloy

In the friction stir welding (FSW) process, the final performance of weld joints is determined by microstructures influenced mainly by the heat input and mechanical deformation. In this research, the effects of FSW parameters, rotation speeds, and welding passes, on microstructure and mechanical properties of AZ31 alloy were systematically and comparatively studied. It was found that the microstructure at the joint center with multi-pass FSW could obtain a smaller average grain size compared with the single pass. The differences of the grain size were reduced significantly when the samples experienced the double-side FSW process. The mechanical performance results showed that the optimum strength (315 MPa) was achieved through the double-side FSW process with a rotation speed of 500 r/min and welding speed of 60 mm/min. The mechanism of the parameters and double-sided process on mechanical properties of the joint samples was elaborated.

Hydrodynamic Characteristics of Different Undulatory Underwater Swimming Positions Based on Multi-Body Motion Numerical Simulation Method

The study of hydrodynamic characteristics of swimming is the main way to optimize the swimming movement. The relationship between position, water depth, and swimming performance of undulatory underwater swimming are one of the main concerns of scholars. Therefore, the aim of this study is to analyze the swimming performance of three different undulatory underwater swimming positions under various swimming depths using a numerical simulation method based on multi-body motion. The simulation was conducted using 3D incompressible Navier–Stokes equations using the RNG k-ε turbulence closure equations, and in combination with the VOF method thus that we could include the water surface in our calculations. Different swimming depths based on the distance from the shoulder joint center to the initial water surface were considered. The velocity of the shoulder joint center was captured with a swimming motion monitoring system (KiSwim) and compared with the calculated results. The study found that there was a significant difference in the hydrodynamic characteristics of the three undulatory underwater swimming positions (i.e., the dorsal, lateral, and frontal positions) when swimming near the water surface, and the difference decreased as the swimming depth increased. There was a negative correlation (R(dorsal)= −0.928, R(frontal)= −0.937, R(lateral)= −0.930) between the swimming velocities of the three undulatory underwater swimming positions and the water depth (water depth= 0.2–0.7 m) and that the lateral position had the greatest average velocity. Therefore, it is recommended that swimmers travel at least 0.5 m below the water surface in any undulatory underwater swimming position in order to avoid excessive drag forces. As the swimmer approaches the water surface, the lateral position is worth considering, which has better velocity and hydrodynamic advantage than the other two undulatory underwater swimming positions.

Lateralization in Reverse Shoulder Arthroplasty

Indications for Reverse Shoulder Arthroplasty (RSA) have been extended over the last 25 years, and RSA has become the most frequently implanted shoulder arthroplasty worldwide. The initial Grammont design with medialization of the joint center of rotation (JCOR), placement of the JCOR at the bone–implant interface, distalization and semi-constrained configuration has been associated with drawbacks such as reduced rotation and range of motion (ROM), notching, instability and loss of shoulder contour. This review summarizes new strategies to overcome these drawbacks and analyzes the use of glenoid-sided, humeral-sided or global bipolar lateralization, which are applied differently by surgeons and current implant manufacturers. Advantages and drawbacks are discussed. There is evidence that lateralization addresses the initial drawbacks of the Grammont design, improving stability, rates of notching, ROM and shoulder contour, but the ideal extent of lateralization of the glenoid and humerus remains unclear, as well as the maximal acceptable joint reaction force after reduction. Overstuffing and spine of scapula fractures are potential risks. CT-based 3D planning as well as artificial intelligence will help surgeons with planning and execution of appropriate lateralization in RSA. Long-term follow-up of lateralization with new implant designs and implantation strategies is needed.

Orbit Simulator for Satellite and Near Space Platforms Supporting Observing System Simulation Experiments

Developed at the National Oceanic and Atmospheric Administration (NOAA) and the Joint Center for Satellite Data Assimilation (JCSDA), the Community Global Observing System Simulation Experiment (OSSE) Package (CGOP) provides a vehicle to quantitatively evaluate the impacts of emerging environmental observing systems or emerging in-situ or remote sensing instruments on NOAA numerical weather prediction (NWP) forecast skill. The typical first step for the OSSE is to simulate observations from the so-called “nature run”. Therefore, the observation spatial, temporal, and view geometry are needed to extract the atmospheric and surface variables from the nature run, which are then input to the observation forward operator (e.g., radiative transfer models) to simulate the new observations. This is a challenge for newly proposed systems for which instruments are not yet built or platforms are not yet deployed. To address this need, this study introduces an orbit simulator to compute these parameters based on the specific hosting platform and onboard instrument characteristics, which has been recently developed by the NOAA Center for Satellite Applications and Research (STAR) and added to the GCOP framework. In addition to simulating existing polar-orbiting and geostationary orbits, it is also applicable to emerging near space platforms (e.g., stratospheric balloons), cube satellite constellations, and Tundra orbits. The observation geometry simulator includes not only passive microwave and infrared sounders but also Global Navigation Satellite System/Radio Occultation (GNSS/RO) instruments. For passive atmospheric sounders, it calculates the geometric parameters of proposed instruments on different platforms, such as time varying location (latitude and longitude), scan geometry (satellite zenith and azimuth angles), and Ground Instantaneous Field of View (GIFOV) parameters for either cross-track or conical scanning mechanisms. For RO observations, it determines the geometry of the transmitters and receivers either on satellites or stratospheric balloons and computes their slant paths. The simulator has been successfully applied for recent OSSE studies (e.g., evaluating the impacts of future geostationary hyperspectral infrared sounders and RO observations from stratospheric balloons).

A Linkage Representation of the Human Hand Skeletal System Using CT Hand Scan Images

The present study proposed a method for establishing a linkage representation of the human hand skeletal system. Hand skeletons of 15 male subjects were reconstructed from computed tomography (CT) scans in 10 different postures selected from a natural hand-closing motion. The wrist joint center was estimated as the intersection of the centerline of the metacarpal of the middle finger and the distal wrist crease. The remaining joint centers were kinematically estimated based on the relative motion between the distal bone segment and the proximal bone segment of a given joint. A hand linkage representation was then formed by connecting the derived joint centers. Regression models for predicting internal hand link lengths using hand length as the independent variable were established. In addition, regression models for predicting the joint center coordinates of the thumb carpometacarpal (CMC) and finger metacarpophalangeal (MCP) joints using hand length or hand breadth were established. Our models showed higher R2 values and lower maximum standard errors than the existing models. The findings of the present study can be applied to hand models for ergonomic design and biomechanical modeling.

3D free-hand ultrasound to register anatomical landmarks at the pelvis and localize the hip joint center in lean and obese individuals

Abstract3D free-hand ultrasound (3DFUS) is becoming increasingly popular to assist clinical gait analysis because it is cost- and time-efficient and does not expose participants to radiation. The aim of this study was to evaluate its reliability in localizing the anterior superior iliac spine (ASIS) at the pelvis and the hip joint centers (HJC). Additionally, we evaluated its accuracy to get a rough estimation of the potential to use of 3DFUS to segment bony surface. This could offer potential to register medical images to motion capture data in future. To evaluate reliability, a test–retest study was conducted in 16 lean and 19 obese individuals. The locations of the ASIS were determined by manual marker placement (MMP), an instrumented pointer technique (IPT), and with 3DFUS. The HJC location was also determined with 3DFUS. To quantify reliability, intraclass correlation coefficients (ICCs), the standard error of measurement (SEm), among other statistical parameters, were calculated for the identified locations between the test and retest. To assess accuracy, the surface of a human plastic pelvic phantom was segmented with 3DFUS in a distilled water bath in 27 trials and compared to a 3D laser scan of the pelvis. Regarding reliability, the MMP, but especially the IPT showed high reliability in lean (SEm: 2–3 mm) and reduced reliability in obese individuals (SEm: 6–15 mm). Compared to MMP and IPT, 3DFUS presented lower reliability in the lean group (SEm: 2–4 mm vs. 2–8 mm, respectively) but slightly better values in the obese group (SEm: 7–11 mm vs. 6–16 mm, respectively). Correlations between test–retest reliability and torso body fat mass (% of body mass) indicated a moderate to strong relationship for MMP and IPT but only a weak correlation for the 3DFUS approach. The water-bath experiments indicated an acceptable level of 3.5 (1.7) mm of accuracy for 3DFUS in segmenting bone surface. Despite some difficulties with single trials, our data give further rise to the idea that 3DFUS could serve as a promising tool in future to inform marker placement and hip joint center location, especially in groups with higher amount of body fat.