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Background: Knee pain during stair managing is a common complaint among individuals with PFP and can negatively affect their activities of daily living. Gait modification programs can be used to decrease patellofemoral pain. Immediate effects of a stair descent distal gait modification session that intended to emphasize forefoot landing during stair descent are described in this study. Objectives: To analyze the immediate effects of a distal gait modification session on lower extremity movements and intensity of pain in women with patellofemoral pain during stair descent. Method: Nonrandomized controlled trial. Sixteen women with patellofemoral pain were allocated into two groups: (1) Gait Modification Group (n = 8); and 2) Control Group (n = 8). The intensity of pain (visual analog scale) and kinematics of knee, ankle, and forefoot (multi-segmental foot model) during stair descent were assessed before and after the intervention. Results: After the gait modification session, there was an increase of forefoot eversion and ankle plantarflexion as well as a decrease of knee flexion. An immediate decrease in patellofemoral pain intensity during stair descent was also observed. Conclusion: The distal gait modification session changed the lower extremity kinetic chain strategy of movement, increasing foot and ankle movement contribution and decreasing knee contribution to the task. An immediate decrease in patellofemoral pain intensity during stair descent was also observed. To emphasize forefoot landing may be a useful intervention to immediately relieve pain in patients with patellofemoral pain during stair descent. Clinical studies are needed to verify the gait modification session effects in medium and long terms. [ABSTRACT FROM AUTHOR]

This study analysed the behaviour of the geometric curvature of the spine during sirshasana. The position of dorsal retroreflective markers was computed via stereophotogrammetric analysis in six males and five females (29.4 ± 8.8 years, 63.0 ± 11.4 kg, 1.66 ± 0.08 m [average ± standard deviation]). The spinal points were projected onto the sagittal and frontal planes of the trunk, a polynomial was fitted to the data and the two-dimensional geometric curvature was quantified. The inferior lumbar lordosis decreased compared to the orthostatic position and gait, which may favour the posterior protrusion of the lumbar spinal nucleus pulposus in people with posterior herniation. The lateral deviation at the middle of the thoracic spine increases during sirshasana, which may reflect increased difficulties for postural control and spinal loads. It could be useful for promoting positive spinal structural and functional chronic adaptations for healthy participants, if the yoga programme is carefully planned and the spinal alignment is carefully monitored during a headstand. However, it may aggravate some spinal diseases, especially scoliosis. [ABSTRACT FROM AUTHOR]

Although the link between sagittal plane motion and exercise intensity has been highlighted, no study assessed if different workloads lead to changes in three-dimensional cycling kinematics. This study compared three-dimensional joint and segment kinematics between competitive and recreational road cyclists across different workloads. Twenty-four road male cyclists (12 competitive and 12 recreational) underwent an incremental workload test to determine aerobic peak power output. In a following session, cyclists performed four trials at sub-maximal workloads (65, 75, 85 and 95% of their aerobic peak power output) at 90 rpm of pedalling cadence. Mean hip adduction, thigh rotation, shank rotation, pelvis inclination (latero-lateral and anterior-posterior), spine inclination and rotation were computed at the power section of the crank cycle (12 o'clock to 6 o'clock crank positions) using three-dimensional kinematics. Greater lateral spine inclination (p < .01, 5-16%, effect sizes = 0.09-0.25) and larger spine rotation (p < .01, 16-29%, effect sizes = 0.31-0.70) were observed for recreational cyclists than competitive cyclists across workload trials. No differences in segment and joint angles were observed from changes in workload with significant individual effects on spine inclination (p < .01). No workload effects were found in segment angles but differences, although small, existed when comparing competitive road to recreational cyclists. When conducting assessment of joint and segment motions, workload between 65 and 95% of individual cyclists' peak power output could be used. [ABSTRACT FROM AUTHOR]