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Jump rope is a widely applied basic training technique in various sports, yet it is understudied biomechanically. This study investigates the impact of cycle-tempo-induced motor control changes in elite jump rope athletes, addressing the biomechanical gap of cyclic skill control. The hypothesis posited two accelerations per jump cycle—one in front of and one behind the body—and anticipated that increased cycle frequency would alter the distribution of acceleration time within a cycle. Using 3D motion capture technology, 12 young elite jump rope athletes were analyzed at 100, 140, and 180 revolutions per minute (rpm). The kinematic parameters obtained confirmed the presence of two distinct accelerations per cycle. As tempo increased, the percentage of rear acceleration time increased from 9.58% at 100 rpm to 17.42% at 180 rpm, while front acceleration time decreased from 39.03% at 100 rpm to 31.40% at 180 rpm, along with peak velocities increasing from 12.94 m/s at 100 rpm to 22.74 m/s at 180 rpm significantly (p < 0.01). Rope trajectory analysis indicated a consistent movement pattern across tempos, primarily in the sagittal plane. Variations in skill control revealed shorter contact phases, decreasing from 61.53% at 100 rpm to 48.25% at 180 rpm, as well as a reduced vertical range of motion for the center of gravity (from 0.15 body height at 100 rpm to 0.06 body height at 180 rpm) and feet (from 0.05 body height at 100 rpm to 0.03 body height at 180 rpm) (p < 0.05). Significant reductions were also observed in the flexion/extension range of motion for the hip (from 22.31° at 100 rpm to 3.47° at 180 rpm), knee (from 49.31° at 100 rpm to 9.35° at 180 rpm), and ankle (from 52.99° at 100 rpm to 21.41° at 180 rpm) (p < 0.01). These findings enhance the understanding of motor control adaptations to different tempos and have practical implications for developing coaching programs aimed at optimizing performance, stability, and efficiency in jump rope training. [ABSTRACT FROM AUTHOR]

Abstract Background Sagittal balance, commonly impaired in lumbar spinal stenosis (LSS) patients, is typically assessed using the sagittal vertical axis (SVA) with EOS imaging. However, to limit X-ray exposure and medical costs, it could be interesting to evaluate the capacity of quantified motion analysis to estimate the 3D modeling of SVA in patients with symptomatic LSS. Methods An estimation of the SVA in patients with LSS was performed with 3D motion analysis. SVA and “C7_PSI” (orthogonal horizontal distance between the vertical lines through the markers of the C7 vertebra and the middle of the posterosuperior iliac spine) were measured on 37 LSS patients using EOS radiography and postural and 3D motion analysis, respectively. Multiple stepwise linear regressions were performed with EOS SVA according to age, body mass index, C7_PSI and/or postural variables. Results A highly significant relationship was found between SVA and C7_PSI, mediolateral amplitude of CoP displacements and age (adjusted R²=0.69, p

Background: Sagittal balance, commonly impaired in lumbar spinal stenosis (LSS) patients, is typically assessed using the sagittal vertical axis (SVA) with EOS imaging. However, to limit X-ray exposure and medical costs, it could be interesting to evaluate the capacity of quantified motion analysis to estimate the 3D modeling of SVA in patients with symptomatic LSS. Methods: An estimation of the SVA in patients with LSS was performed with 3D motion analysis. SVA and "C7_PSI" (orthogonal horizontal distance between the vertical lines through the markers of the C7 vertebra and the middle of the posterosuperior iliac spine) were measured on 37 LSS patients using EOS radiography and postural and 3D motion analysis, respectively. Multiple stepwise linear regressions were performed with EOS SVA according to age, body mass index, C7_PSI and/or postural variables. Results: A highly significant relationship was found between SVA and C7_PSI, mediolateral amplitude of CoP displacements and age (adjusted R²=0.69, p < 0.0001). While the postural analysis did not reveal significant relationships, the model using 3D parameters revealed significant relationships between radiographic SVA and C7_PSI and age (adjusted R²=0.65, p < 0.0001). 3D motion parameters with or without postural parameters may explain more than 65% of the variance seen in EOS imaging performed on LSS patients. Conclusions: These promising results in LSS patients suggest that the estimation of SVA with 3D motion analysis offers an alternative to EOS. In addition, SVA could be assessed at rest and during dynamic tasks. Trial registration: This study has been published in Clinical Trial registration (reference NCT03194607). [ABSTRACT FROM AUTHOR]

Addressing the risk of musculoskeletal disorders (MSDs) during a tennis serve is a challenge for both protecting athletes and maintaining performance. The aim of this study was to investigate the risk of MSD occurrence using the rapid whole-body assessment (REBA) ergonomic tool at each time step, using 3D kinematic analysis of joint angles for slow and fast serves. Two force platforms (750 Hz) and an optoelectronic system including 10 infrared cameras (150 Hz, 82 markers located on the whole body and on the racket) were used to capture the kinematics of the six REBA joint areas over five services in two young male and two young female ranked players. The mean REBA score was 9.66 ± 1.11 (ranging from 7.75 to 11.85) with the maximum value observed for the loading and cocking stage (REBA score > 11). The intermediate scores for each of the six joint areas ranged between 2 and 3 and the maximum value of their respective scales. The lowest scores were observed for the shoulder. Neck rotation and shoulder flexion are parameters that could be taken into account when analyzing performance in the context of MSD prevention. [ABSTRACT FROM AUTHOR]

An inertial measurement system, using a combination of accelerometers, gyroscopes and magnetometers, is of great interest to capture tennis movements. We have assessed the key biomechanical moments of the serve phases and events, as well as the kinematic metrics during the serve, to analyze their influence on serve speed. Eighteen male competitive tennis players, equipped with the inertial measurement units, performed a prolonged serve game consisting of 12 simulated points. Participants were divided into groups A and B in accordance with their positioning above or below the sample average serve speed. Group A (compared with their counterparts) presented with lower back hip adduction and knee flexion, and a higher leftward thoracic tilt during the impact event (−14.9 ± 6.9 vs. 13.8 ± 6.4, 2.8 ± 5.9 vs. 14.3 ± 13.0 and −28.9 ± 6.3 vs. 28.0 ± 7.3°). In addition, group A exhibited higher maximal angular velocities in the wrist and thorax, as well as a lower maximal angular velocity in the back hip than group B (427.0 ± 99.8 vs. 205.4 ± 9.7, 162.4 ± 81.7 vs. 193.5 ± 43.8, 205.4 ± 9.7 vs. 308.3 ± 111.7, 193.5 ± 43.8 vs. 81.1 ± 49.7°/s). The relevant biomechanical differences during the serve were identified, highlighting the changes in joint angles and angular velocities between the groups, providing meaningful information for coaches and players to improve their serve proficiency. [ABSTRACT FROM AUTHOR]

OpenPose-based motion analysis (OpenPose-MA), utilizing deep learning methods, has emerged as a compelling technique for estimating human motion. It addresses the drawbacks associated with conventional three-dimensional motion analysis (3D-MA) and human visual detection-based motion analysis (Human-MA), including costly equipment, time-consuming analysis, and restricted experimental settings. This study aims to assess the precision of OpenPose-MA in comparison to Human-MA, using 3D-MA as the reference standard. The study involved a cohort of 21 young and healthy adults. OpenPose-MA employed the Open-Pose algorithm, a deep learning-based open-source two-dimensional (2D) pose estimation method. Human-MA was conducted by a skilled physiotherapist. The knee valgus angle during a drop vertical jump task was computed by OpenPose-MA and Human-MA using the same frontal-plane video image, with 3D-MA serving as the reference standard. Various metrics were utilized to assess the reproducibility, accuracy and similarity of the knee valgus angle between the different methods, including the intraclass correlation coefficient (ICC) (1, 3), mean absolute error (MAE), coefficient of multiple correlation (CMC) for waveform pattern similarity, and Pearson's correlation coefficients (OpenPose-MA vs. 3D-MA, Human-MA vs. 3D-MA). Unpaired t-tests were conducted to compare MAEs and CMCs between OpenPose-MA and Human-MA. The ICCs (1,3) for OpenPose-MA, Human-MA, and 3D-MA demonstrated excellent reproducibility in the DVJ trial. No significant difference between OpenPose-MA and Human-MA was observed in terms of the MAEs (OpenPose: 2.4° [95%CI: 1.9 - 3.0°], Human: 3.2° [95%CI: 2.1 - 4.4°]) or CMCs (OpenPose: 0.83 [range: 0.99 - 0.53], Human: 0.87 [range: 0.24 - 0.98]) of knee valgus angles. The Pearson's correlation coefficients of OpenPose-MA and Human-MA relative to that of 3DMA were 0.97 and 0.98, respectively. This study demonstrated that OpenPose-MA achieved satisfactory reproducibility, accuracy and exhibited waveform similarity comparable to 3D-MA, similar to Human-MA. Both OpenPose-MA and Human-MA showed a strong correlation with 3D-MA in terms of knee valgus angle excursion. [ABSTRACT FROM AUTHOR]

Biomechanical evaluations of sport-specific jump-landing tasks may provide a more ecologically valid interpretation compared to generic jump-landing tasks. For accurate interpretation of longitudinal research, it is essential to understand the reliability of biomechanical parameters of sport-specific jump-landing tasks. How reliable are hip, knee and ankle joint angles and moment curves during two volleyball-specific jump-landing tasks and is this comparable with the reliability of a generic jump-landing task? Three-dimensional (3D) biomechanical analyses of 27 male volleyball players were performed in two sessions separated by one week. Test-retest reliability was analyzed by calculating integrated as well as 1D intraclass correlation coefficient (ICC) and integrated standard error of measurement (SEM) for hip, knee and ankle angles and moments during a spike and block jump (volleyball-specific tasks), and during a drop vertical jump (generic task). Reliability of joint angles of volleyball-specific and generic jump-landing tasks are similar with excellent-to-good integrated ICC for hip, knee and ankle flexion/extension (ICC= 0.61–0.89) and hip and knee abduction/adduction (ICC=0.61–0.78) but fair-to-poor ICC for ankle abduction/adduction (ICC=0.28–0.52) and hip, knee and ankle internal/external rotation (ICC=0.29–0.53). Reliability of hip, knee and ankle joint moments was good-to excellent (ICC= 0.62–0.86) except for hip flexion moment during spike jump and drop vertical jump (ICC=0.43–0.47) and knee flexion moment during both volleyball-specific tasks (ICC=0.56–0.57). For all tasks, curve analysis revealed poorer reliability at start and end of the landing phase than during the midpart. Our data suggests that kinematic evaluations of volleyball-specific jump-landing tasks are reliable to use in screening programs, especially in the sagittal plane. Notably, reliability is poorer at the beginning and end of the landing phase, requiring careful interpretation. In conclusion, the results of this study indicate the potential for integration of sport-specific jump-landing tasks in screening programs, which will be more ecologically valid. • Kinematics and kinetics of volleyball-specific and generic landing tasks are similar reliable. • Ankle frontal plane and transversal plane angles of all joints are poor reliable. • Start and end of the landing phase are poorer reliable than the midpart. • Biomechanical analysis of sport-specific tasks could be used in screening programs. [ABSTRACT FROM AUTHOR]

Three-dimensional (3D) motion analysis (MA) techniques are progressively being used in biomechanics research and for clinical applications to assess the risk of injuries. A marker-based 3D MA protocol has been developed to measure the upper and lower extremity (UE and LE) joints' active and passive ranges of motion (AROM and PROM) in children. The joints that were included in this protocol are shoulder, elbow, wrist, hip, knee and ankle. The anatomical joint coordinate systems (JCS) have been defined for the upper and lower extremities to standardize reporting. A marker placement model was defined according to the International Society of Biomechanics (ISB) recommendations and used to develop the protocol. The proposed movements will be captured and analyzed using the Motion Analysis Corporations 3D MA system integrated with Cortex software. The movements adopted in this study have been selected from various sources to incorporate all joint rotations while ensuring the isolation of each joint motion during the movements. It is recommended that future studies utilize this protocol to draw a relationship between the joints' range of motion (ROM) and the adjacent segments characteristics, i.e., segment length, joint stiffness, etc. [ABSTRACT FROM AUTHOR]

Running is the basis of many sports and has highly beneficial effects on health. To increase the understanding of running, DSPro® insoles were developed to collect running parameters during tasks. However, no validation has been carried out for running gait analysis. The aims of this study were to assess the test–retest reliability and criterion validity of running gait parameters from DSPro® insoles compared to a motion-capture system. Equipped with DSPro® insoles, a running gait analysis was performed on 30 healthy participants during overground and treadmill running using a motion-capture system. Using an intraclass correlation coefficient (ICC), the criterion validity and test–retest reliability of spatiotemporal parameters were calculated. The test–retest reliability shows moderate to excellent ICC values (ICC > 0.50) except for propulsion time during overground running at a fast speed with the motion-capture system. The criterion validity highlights a validation of running parameters regardless of speeds (ICC > 0.70). This present study validates the good criterion validity and test–retest reliability of DSPro® insoles for measuring spatiotemporal running gait parameters. Without the constraints of a 3D motion-capture system, such insoles seem to be helpful and relevant for improving the care management of active patients or following running performance in sports contexts. [ABSTRACT FROM AUTHOR]

Background: The root of a plant is a fundamental organ for the multisensory perception of the environment. Investigating root growth dynamics as a mean of their interaction with the environment is of key importance for improving knowledge in plant behaviour, plant biology and agriculture. To date, it is difficult to study roots movements from a dynamic perspective given that available technologies for root imaging focus mostly on static characterizations, lacking temporal and three-dimensional (3D) spatial information. This paper describes a new system based on time-lapse for the 3D reconstruction and analysis of roots growing in hydroponics. Results: The system is based on infrared stereo-cameras acquiring time-lapse images of the roots for 3D reconstruction. The acquisition protocol guarantees the root growth in complete dark while the upper part of the plant grows in normal light conditions. The system extracts the 3D trajectory of the root tip and a set of descriptive features in both the temporal and frequency domains. The system has been used on Zea mays L. (B73) during the first week of growth and shows good inter-reliability between operators with an Intra Class Correlation Coefficient (ICC) > 0.9 for all features extracted. It also showed measurement accuracy with a median difference of < 1 mm between computed and manually measured root length. Conclusions: The system and the protocol presented in this study enable accurate 3D analysis of primary root growth in hydroponics. It can serve as a valuable tool for analysing real-time root responses to environmental stimuli thus improving knowledge on the processes contributing to roots physiological and phenotypic plasticity. [ABSTRACT FROM AUTHOR]

Three-dimensional (3D) motion analysis (MA) techniques are progressively being used in biomechanics research and for clinical applications to assess the risk of injuries. A marker-based 3D MA protocol has been developed to measure the upper and lower extremity (UE and LE) joints’ active and passive ranges of motion (AROM and PROM) in children. The joints that were included in this protocol are shoulder, elbow, wrist, hip, knee and ankle. The anatomical joint coordinate systems (JCS) have been defined for the upper and lower extremities to standardize reporting. A marker placement model was defined according to the International Society of Biomechanics (ISB) recommendations and used to develop the protocol. The proposed movements will be captured and analyzed using the Motion Analysis Corporations 3D MA system integrated with Cortex software. The movements adopted in this study have been selected from various sources to incorporate all joint rotations while ensuring the isolation of each joint motion during the movements. It is recommended that future studies utilize this protocol to draw a relationship between the joints’ range of motion (ROM) and the adjacent segments characteristics, i.e., segment length, joint stiffness, etc.

The Xsens Link motion capture suit has become a popular tool in investigating 3D running kinematics based on wearable inertial measurement units outside of the laboratory. In this study, we investigated the reliability of Xsens-based lower extremity joint angles during unconstrained running on stable (asphalt) and unstable (woodchip) surfaces within and between five different testing days in a group of 17 recreational runners (8 female, 9 male). Specifically, we determined the within-day and between-day intraclass correlation coefficients (ICCs) and minimal detectable changes (MDCs) with respect to discrete ankle, knee, and hip joint angles. When comparing runs within the same day, the investigated Xsens-based joint angles generally showed good to excellent reliability (median ICCs > 0.9). Between-day reliability was generally lower than the within-day estimates: Initial hip, knee, and ankle angles in the sagittal plane showed good reliability (median ICCs > 0.88), while ankle and hip angles in the frontal plane showed only poor to moderate reliability (median ICCs 0.38–0.83). The results were largely unaffected by the surface. In conclusion, within-day adaptations in lower-extremity running kinematics can be captured with the Xsens Link system. Our data on between-day reliability suggest caution when trying to capture longitudinal adaptations, specifically for ankle and hip joint angles in the frontal plane. [ABSTRACT FROM AUTHOR]

Classical ballet dancers are exposed daily to physically demanding movements. Among these, the Grand Plié stands out for its biomechanical complexity, particularly the stress applied to the knee joint. This study investigates the knee kinematics of healthy professional classical ballet dancers performing the Grand Plié. Twenty dancers were evaluated with a motion analysis system using a marker-based protocol. Before measurements, the self-reported Global Knee Functional Assessment Scale was delivered for the knees' functional ability, and the passive range of knee motion was also assessed. The average score on the Global Knee Functional Assessment Scale was 94.65 ± 5.92. During a complete circle of the Grand Plié movement, executed from the upright position, the average maximum internal rotation of the knee joint was 30.28° ± 6.16°, with a simultaneous knee flexion of 134.98° ± 4.62°. This internal rotation observed during knee flexion exceeds the typical range of motion for the joint, suggesting a potential risk for knee injuries, such as meniscal tears. The findings provide an opportunity for future kinematic analysis research, focusing on the movement of the Grand Plié and other common ballet maneuvers. These data have the potential to yield valuable information about the knee kinematics concerning meniscus damage. [ABSTRACT FROM AUTHOR]

The objective of this study was to explore the effects of static and dynamic hamstring muscles stretching on kinematics and esthetics of grand battement (high velocity kicks) in adolescent recreational dancers. Sixteen participants were assessed before and immediately after both stretching modalities. Kinematics of movement was measured by an optoelectronic system and esthetics was scored by a jury of professional dancers. Both stretching modalities led to significant kinematic differences compared with without stretching. Significant linear correlations between kinematic parameters and esthetic scores have been observed: improving dancers' physical performances has noticeable impact on the perception of their movements. [ABSTRACT FROM AUTHOR]

Age-related declines in the musculoskeletal system may place additional demands on the lumbar spine during everyday activities such as walking. This study aimed to investigate age-related differences in the functional demand (FD) of walking on the lumbar spine in older and younger adults. A motion analysis system with integrated force plates was used to acquire kinematic and kinetic data on 12 older (67.3 ± 6.0 years) and 12 younger (24.7 ± 3.1 years) healthy men during walking at a self-selected speed along a 10 m walkway. Isokinetic dynamometry was used to acquire the maximal joint moment capacity of the lumbar spine. The FD of the lumbar spine was calculated as the muscle moment during key phases of the gait cycle (GC) relative to the maximum moment capacity of the lumbar spine. The difference in FD between age groups was not significant (p = 0.07) and there were no significant differences between the young group (YG) and older group (OG) for any individual phase in the GC. Despite the lack of statistical significance, the results indicate that a practical difference may exist, as walking was approximately 20% more functionally demanding on the lumbar spine in the OG compared to the YG. Therefore, older adults may employ modified gait strategies to reduce mechanical load whilst walking to fall within the limits of their maximal force-producing capacity in the lumbar spine, which may have implications for injury risk.

Objective: This study aimed at quantifying the difference in kinematic and joint moments calculation for lower limbs during gait utilizing a markerless motion system (TsingVA Technology, Beijing, China) in comparison to values estimated using a marker-based motion capture system (Nokov Motion Capture System, Beijing, China).Methods: Sixteen healthy participants were recruited for the study. The kinematic data of the lower limb during walking were acquired simultaneously based on the markerless motion capture system (120 Hz) and the marker-based motion capture system (120 Hz). The ground reaction force was recorded synchronously using a force platform (1,200 Hz). The kinematic and force data were input into Visual3D for inverse dynamics calculations.Results: The difference in the lower limb joint center position between the two systems was the least at the ankle joint in the posterior/anterior direction, with the mean absolute deviation (MAD) of 0.74 cm. The least difference in measuring lower limb angles between the two systems was found in flexion/extension movement, and the greatest difference was found in internal/external rotation movement. The coefficient of multiple correlations (CMC) of the lower limb three joint moments for both systems exceeded or equaled 0.75, except for the ad/abduction of the knee and ankle. All the Root Mean Squared Deviation (RMSD) of the lower limb joint moment are below 18 N·m.Conclusion: The markerless motion capture system and marker-based motion capture system showed a high similarity in kinematics and inverse dynamic calculation for lower limbs during gait in the sagittal plane. However, it should be noted that there is a notable deviation in ad/abduction moments at the knee and ankle.

Wireless wearable insoles are interesting tools to collect gait parameters during daily life activities. However, studies have to be performed specifically for each type of insoles on a big data set to validate the measurement in ecological situations. This study aims to assess the criterion validity and test-retest reliability of gait parameters from wearable insoles compared to motion capture system. Gait of 30 healthy participants was recorded using DSPro® insoles and a motion capture system during overground and treadmill walking at three different speeds. Criterion validity and test-retest reliability of spatio-temporal parameters were estimated with an intraclass correlation coefficient (ICC). For both systems, reliability was found higher than 0.70 for all variables (p < 0.001) except for minimum toe clearance (ICC < 0.50) with motion capture system during overground walking. Regardless of speed and condition of walking, Speed, Cadence, Stride Length, Stride Time and Stance Time variables were validated (ICC > 0.90; p < 0.001). During walking on treadmill, loading time was not validated during slow speed (ICC < 0.70). This study highlights good criterion validity and test-retest reliability of spatiotemporal gait parameters measurement using wearable insoles and opens a new possibility to improve care management of patients using clinical gait analysis in daily life activities. [ABSTRACT FROM AUTHOR]

The topspin forehand is the most frequent and effective shot in top-level table tennis matches. The present study assesses the biomechanical differences in the topspin forehand stroke technique when the incoming ball is in different rotations. Eight national level-1 male table tennis athletes (176.6 ± 4.8 cm, 70.8 ± 6.6 kg, 20.9 ± 2.4 yr) performed two kinds of techniques—topspin forehand strokes against topspin (AT) and against backspin (AB) balls, respectively. The kinematic parameters of their bodies and rackets were calculated. Meanwhile, the force plates analyzed their lower limb moments through inverse dynamics. Paired t-test and non-parametric paired t-test mapping were used to assess the differences between the two conditions. Their center of gravity (COG) vertical distance, elbow flexion, thorax–pelvis flexion, and knee flexion angles had significant differences during the stroke phase (p < 0.05). The moment of the racket-side hip rotation and ankle dorsiflexion showed significant differences during the stroke phase (p < 0.05). The racket velocity, angle, and trajectories showed significant differences at characteristic moments (p < 0.05). This study revealed the different topspin forehand stroke techniques in table tennis, even though the two movements look similar. Compared with AT strokes, the athletes kept a straight elbow and lower center of gravity than they did during the stroke phase of AB strokes. They increased the distance of the racket trajectory and velocity to meet the incoming ball with a backspin, especially in the vertical direction. This detailed information is necessary for beginners to improve the efficiency of their forehand topspin technique, especially in strokes against incoming balls with different rotations. [ABSTRACT FROM AUTHOR]

Objective Obesity and overweight have changed to very important factors in people movements in the modern world. Therefore, the present study was carried out to examine the effects of overweight on gait kinematic factors in children, young adults, middle-aged, and older adults. Methods The present study was a causal-comparative study in which 40 participants aged 9-85 were selected based on purposive sampling and were divided into eight groups (four normal groups and four overweight groups) based on body mass index (BMI). All the participants were healthy and had no physical abnormalities. The participants gait was normal. The 3D motion analysis system was used for measuring gait parameters such as walking speed, stride length, stride width, single support phase duration, double support and swing phase duration. Two-way ANOVA was run for the purpose of data analysis. SPSS 19 was used for statistical analyses at a significance level of p

This study investigated age-related differences in trunk kinematics during walking in healthy men. Secondary aims were to investigate the covarying effects of physical activity (PA) and lumbar paravertebral muscle (LPM) morphology on trunk kinematics, and the effect of age on interplanar coupling between the trunk and pelvis. Three-dimensional (3D) trunk and pelvis motion data were obtained for 12 older (67.3 ± 6.0 years) and 12 younger (24.7 ± 3.1 years) healthy men during walking at a self-selected speed along a 10 m walkway. Phase-specific differences were observed in the coronal and transverse planes, with midstance and swing phases highlighted as instances when trunk and pelvic kinematics differed significantly (p < 0.05) between the younger group and older group. Controlling for age, fewer significant positive correlations were revealed between trunk and pelvic ranges and planes of motion. LPM morphology and PA were not significant covariates of age-related differences in trunk kinematics. Age-related differences in trunk kinematics were most apparent in the coronal and transverse planes. The results further indicate ageing causes an uncoupling of interplanar upper body movements during gait. These findings provide important information for rehabilitation programmes in older adults designed to improve trunk motion, as well as enable identification of higher-risk movement patterns related to falling. [ABSTRACT FROM AUTHOR]

Classical ballet dancers are exposed daily to physically demanding movements. Among these, the Grand Plié stands out for its biomechanical complexity, particularly the stress applied to the knee joint. This study investigates the knee kinematics of healthy professional classical ballet dancers performing the Grand Plié. Twenty dancers were evaluated with a motion analysis system using a marker-based protocol. Before measurements, the self-reported Global Knee Functional Assessment Scale was delivered for the knees’ functional ability, and the passive range of knee motion was also assessed. The average score on the Global Knee Functional Assessment Scale was 94.65 ± 5.92. During a complete circle of the Grand Plié movement, executed from the upright position, the average maximum internal rotation of the knee joint was 30.28° ± 6.16°, with a simultaneous knee flexion of 134.98° ± 4.62°. This internal rotation observed during knee flexion exceeds the typical range of motion for the joint, suggesting a potential risk for knee injuries, such as meniscal tears. The findings provide an opportunity for future kinematic analysis research, focusing on the movement of the Grand Plié and other common ballet maneuvers. These data have the potential to yield valuable information about the knee kinematics concerning meniscus damage.

Background: Anterior cruciate ligament (ACL) injury is a common sport injury and investigation of landing biomechanics is helpful in injury prevention and rehabilitation. Recent study found a lateral single-leg drop landing test resulted in the highest peak knee valgus angle (PKVA), but its reliability on patients who received ACL reconstruction (ACLR) is unknown. Objective: This study aimed to investigate the reliability in both within and between days on the normalized vertical ground reaction force (NVGRF) and kinematics of lower limbs after receiving ACLR. The findings can form the cornerstone for further study related to lateral jumping-and-landing biomechanics in patients with ACLR. Methods: This was a test-retest reliability study. Twelve patients (four females and eight males) who received ACLR with mean age of 29.4 (SD [Formula: see text] 1.66) were recruited. The subjects were instructed to jump laterally from 30[Formula: see text]cm height and landed with single-leg for five times. The procedure was conducted on both legs for comparison. The NVGRF and local maxima of the hip, knee and ankle angles during the first 100[Formula: see text]ms in all three planes were analyzed. The measurement was conducted by the same assessor to evaluate the within-session reliability, and the whole procedure was repeated one week later for the evaluation of the between-session reliability. Intra-class correlation coefficient (ICC) test was used to assess the within- and between-session reliability by ICC (3, 1) and ICC (3, K) respectively. Results: The within-session reliability of NVGRF [ICC (3, 1)] was 0.899–0.936, and its between-session reliability [ICC (3, K)] was 0.947–0.923. Overall reliability for kinematics within-session [ICC (3, 1)] was 0.948–0.988, and the between-session reliability [ICC (3, K)] was 0.618–0.982, respectively. Good to excellent reliability for the lateral single-leg drop landing test was observed in most of the outcome measures for within- and between-session. The ICC value of NVGRF of ACLR leg was lower than that of the good leg in the within-session which may associate with lower neuromuscular control in ACLR leg than that of the good leg. Conclusion: The results of this study support the use of a lateral single-leg drop landing test to evaluate lower limb biomechanics for ACLR.

Acetabular retroversion is a form of hip dysplasia that may cause femoroacetabular impingement syndrome (FAIS), leading to pain and restricted hip range of motion. An exercise intervention aiming at altering pelvis tilt and related functional biomechanics may be a useful first-line intervention for patients who are not eligible for surgical repositioning. Does squat and gait biomechanics change following an 8-week targeted exercise program in individuals with symptomatic acetabular retroversion and FAIS? This prospective intervention study used participants as their own controls. Examinations were conducted at three time-points: T1 baseline; T2 following an 8-week control period; T3 after 8 weeks' intervention. At each time-point, three-dimensional motion analysis of a deep squat and level gait was performed, and pain intensity was recorded using a numerical rating scale (NRS 0–10). The intervention consisted of a home-exercise program to improve core stability and pelvic movement. Differences in waveforms between time-points across pelvis and lower-limb biomechanics were evaluated using statistical parametric mapping. Delta (Δ, differences between T1-T2 and T2-T3) was used to evaluate changes in spatiotemporal gait parameters and pain. Nineteen patients (18 females), mean age 22.6 (SD 4.5) years, BMI (kg/m2) 23.0 (SD 4.1), were included. Changes (Δ T1-T2 vs. Δ T2-T3) in squat biomechanics were observed as: (i) decreased anterior pelvic tilt, (ii) deeper vertical pelvis position, and (iii) increased knee flexion angle. Contrary, no significant changes in gait biomechanics, Δ walking speed, Δ step length, or NRS for pain were found. Following a targeted exercise intervention, participants were able to squat deeper, potentially allowing better hip function. The deepened squat position was accompanied by increased knee flexion and reduced anterior pelvic tilt. Gait biomechanics and patient-reported pain remained unchanged post-intervention. These findings are important for future design of exercise interventions targeting pelvic tilt in symptomatic individuals. • Patients with acetabular retroversion were able to squat deeper post-intervention. • Greater knee flexion and less anterior pelvic tilt accompanied the deeper squat. • Gait biomechanics and patient-reported pain remained unchanged post-intervention. • Perspectives for future design of interventions targeting pelvis inclination. [ABSTRACT FROM AUTHOR]

Background: The movement of the arm relative to the trunk results from 3-dimensional (3D) coordinated movements of the glenohumeral (GH) and scapulothoracic (ST) joints and dictates the scapulohumeral rhythm (SHR). Alterations in SHR increase joint overload and may lead to low functional scores, pain, and failures in patients undergoing reverse total shoulder arthroplasty (RSA). The goal of this systematic review and meta-analysis was to examine 3D SHR kinematics after RSA and compare it to that of asymptomatic shoulders. Methods: A systematic review and meta-analysis of articles in English were performed using PubMed, Embase, Cochrane Library, and SciELO. Additional studies were identified by searching bibliographies. Search terms included “Reverse shoulder arthroplasty”, “3D”, and “scapula”. It was selected cross-sectional studies that reported SHR with 3D motion analysis systems in patients who underwent RSA and asymptomatic controls. Two authors independently performed the extraction of articles using predefined data fields, including study quality indicators. Results: Data from four studies were included in quantitative analysis, totaling 48 shoulders with RSA and 63 asymptomatic shoulders. Pooled analyses were based on random-effects model (DerSimonian-Laird). A statistically smaller SHR ratio was observed in the RSA group than that in the control group (P < .00001), meaning a greater contribution of ST joint in relation to GH joint for arm elevation. The standardized mean difference was −1.16 (95% confidence interval: −1.64, −0.67). A sensitivity analysis with three more studies that had imputed data on control group did not change the direction of the effect. The standardized mean difference on sensitivity analysis was −0.60 (P = .03; 95% confidence interval: −1.13, −0.06). It was detected as “not important heterogeneity” within the comparison (I2: 22%). Chi-square was not statistically significant (Chi2: 3.85), and I2 was 22%. Tau2 was not zero (Tau2: 0.05). Sensitivity analysis showed an I2 of 74%, which might represent substantial heterogeneity, Chi-square was not statistically significant (Chi2: 23.01), and Tau2 was not zero (Tau2: 0.37). Conclusion: This study found that RSA shoulders have an increased contribution of ST joint during arm elevation, compared with asymptomatic shoulders. More movement in ST joint in proportion to GH joint increases GH joint contact forces, which could lead to component loosening or other complications. Further studies should address the clinical implications of this kinematic finding.

(1) Background: The present study investigated the agreement between the Azure Kinect and marker-based motion analysis during functional movements. (2) Methods: Twelve healthy adults participated in this study and performed a total of six different tasks including front view squat, side view squat, forward reach, lateral reach, front view lunge, and side view lunge. Movement data were collected using an Azure Kinect and 12 infrared cameras while the participants performed the movements. The comparability between marker-based motion analysis and Azure Kinect was visualized using Bland–Altman plots and scatter plots. (3) Results: During the front view of squat motions, hip and knee joint angles showed moderate and high level of concurrent validity, respectively. The side view of squat motions showed moderate to good in the visible hip joint angles, whereas hidden hip joint angle showed poor concurrent validity. The knee joint angles showed variation between excellent and moderate concurrent validity depending on the visibility. The forward reach motions showed moderate concurrent validity for both shoulder angles, whereas the lateral reach motions showed excellent concurrent validity. During the front view of lunge motions, both the hip and knee joint angles showed moderate concurrent validity. The side view of lunge motions showed variations in concurrent validity, while the right hip joint angle showed good concurrent validity; the left hip joint showed poor concurrent validity. (4) Conclusions: The overall agreement between the Azure Kinect and marker-based motion analysis system was moderate to good when the body segments were visible to the Azure Kinect, yet the accuracy of tracking hidden body parts is still a concern. [ABSTRACT FROM AUTHOR]

Background: Children with developmental coordination disorder (DCD) often experience difficulties with handwriting legibility and speed. This study investigates the relationship between handwriting and upper limb kinematics to characterize movement patterns of children with DCD and typically developing (TD) children. Methods: 30 children with and without DCD matched for age, gender, and parent education were compared across handwriting abilities using a standardized handwriting assessment of both copied and dictated tasks (A-A Handwriting). The 3D motion capture system (Qualysis) was used to analyze upper limb kinematics and characterize movement patterns during handwriting and contrasted with written output. Results: Children with DCD wrote fewer legible letters in both copying and dictation. Children with DCD also showed poor automatization of key writing concepts. Atypical wrist postures were associated with reduced legibility for children with DCD (F (1,27) 4.71, p = 0.04, p-η2 = 0.15); whereas for TD children, better legibility was associated with greater variations in movement speed, particularly of the wrist (rho = −0.578, p < 0.05). Conclusion: Results reflect different movement parameters influencing handwriting in children with DCD. An improved understanding of the movement characteristics during handwriting of these children may assist intervention design. [ABSTRACT FROM AUTHOR]

The aim was to compare movement patterns of lips and jaw in lateral, vertical and anteroposterior directions during vowel production in children with typical speech development (TSD) and in children with speech sound disorders (SSD) persisting after the age of six. A total of 93 children were included, 42 children with TSD (6:0–12:2 years, mean age 8:9 ± 1:5, 19 girls and 23 boys) and 51 children with SSD (6:0–16:7 years, mean age 8:5 ± 3:0, 14 girls and 37 boys). Range of motion (ROM) in lips and jaw in the vowels [a, ʊ, ɪ] produced in a syllable repetition task and median values in resting position were measured with a system for 3D motion analysis. The analysis was based on the coordinates for the mouth corners and the chin centre. There were significant differences between the groups on movements in lateral direction in both lips and jaw. Children with TSD had generally smaller and more, symmetrical movements in the lips and jaw, in all three dimensions compared to children with SSD. There were no significant differences between the groups in resting position. Children with SSD persisting after the age of six years show more asymmetrical and more variable movement patterns in lips and jaw during vowel production compared with children with TSD in a simple syllable repetition task. Differences were more pronounced in lateral direction in both lips and jaw. [ABSTRACT FROM AUTHOR]

PURPOSE This study aimed to verify the accuracy of three-dimensional (3D) motion data produced through artificial intelligence-based user motion recognition technology with images obtained using a smartphone monocular camera. This was done to explore the possibility of developing an application that can improve the reliability of the measurement of physical activity performing motions and feedback provision. METHODS To check the accuracy of the artificial intelligence-based 3D motion analysis system that utilized a semi-supervised learning method, a commercialized 3D infrared motion analysis system measured and compared motions on three movement planes, motions with limited joint movement, and fast motions in a wide moving range. RESULTS The motions on the coronal and sagittal planes produced through the 3D motion analysis application showed very high measurement accuracy; however, the accuracy of the measurement of motions on the horizontal plane, which could not be measured directly with a camera, was relatively lower than that of the coronal and sagittal planes. Accuracy in measuring 3D motion was moderate in moving motions and low in motions with limited joint movement. CONCLUSIONS For the developed 3D motion analysis system to be used in online physical education, the types of physical activities included in the program should be comprehensively composed through the analysis of the content system of the physical education curriculum and the resultant physical activities.

The topspin forehand is the most frequent and effective shot in top-level table tennis matches. The present study assesses the biomechanical differences in the topspin forehand stroke technique when the incoming ball is in different rotations. Eight national level-1 male table tennis athletes (176.6 ± 4.8 cm, 70.8 ± 6.6 kg, 20.9 ± 2.4 yr) performed two kinds of techniques—topspin forehand strokes against topspin (AT) and against backspin (AB) balls, respectively. The kinematic parameters of their bodies and rackets were calculated. Meanwhile, the force plates analyzed their lower limb moments through inverse dynamics. Paired t-test and non-parametric paired t-test mapping were used to assess the differences between the two conditions. Their center of gravity (COG) vertical distance, elbow flexion, thorax–pelvis flexion, and knee flexion angles had significant differences during the stroke phase (p < 0.05). The moment of the racket-side hip rotation and ankle dorsiflexion showed significant differences during the stroke phase (p < 0.05). The racket velocity, angle, and trajectories showed significant differences at characteristic moments (p < 0.05). This study revealed the different topspin forehand stroke techniques in table tennis, even though the two movements look similar. Compared with AT strokes, the athletes kept a straight elbow and lower center of gravity than they did during the stroke phase of AB strokes. They increased the distance of the racket trajectory and velocity to meet the incoming ball with a backspin, especially in the vertical direction. This detailed information is necessary for beginners to improve the efficiency of their forehand topspin technique, especially in strokes against incoming balls with different rotations.

The ability to score from placekicks discriminates winning from losing Rugby Union teams. We aimed to identify which biomechanical variables related to successful placekicking in professional Rugby Union players, and use self-organising maps (SOM) to determine whether meaningful sub-groups existed. Three professional placekickers performed 10 kicks outdoors. Placekicks were categorised into best, worst, and typical performances based on outcomes and coach and player perceptions. Seven 3D biomechanical variables consistently and meaningfully (moderate Cohen's effect size) discriminated best from worst placekicks in all players. The three-cluster solution from SOM on these seven variables highlighted differences between players rather than best, worst, and typical attempts. Within-clusters, however, the best and worst placekicks tended to be represented in separate map regions. The seven variables identified using standardised effect sizes can be useful for group-level coaching of placekicking skills in absence of individual data, and translated in an applied setting using verbal and visual cues to promote overall placekicking performance. However, players' idiosyncrasies formed the main SOM boundaries, indicating that optimising placekicking success would benefit from an individualised approach and numerous effective movement templates may exist. [ABSTRACT FROM AUTHOR]

Introduction: Discerning whether range of motion (ROM) is restricted by morphology or other pain sources is challenging in patients with femoroacetabular impingement syndrome (FAIS). Computed tomography (CT) motion simulation provides a hypothetical ROM based on morphology. This study aimed to explore associations between ROM measured using CT motion simulation and maximum passive ROM measured clinically using three dimensional (3D) motion analysis in patients with FAIS, prior to and post arthroscopic hip surgery. Materials and methods: Eight males with FAIS (in total 12 hip joints) were included in this explorative feasibility study. Participants were examined using CT according to a low-dose protocol prior to and 7-months post arthroscopic surgery. Software was used to simulate at which ROM the impingement would occur. With the hip in 90 degrees' flexion, maximum passive range of internal hip rotation, and maximum passive internal hip rotation coupled with adduction was examined clinically using 3D motion analysis pre- and postoperatively. Spearman rank correlation coefficients and linear regressions examined associations between methods. Results: Preoperatively, the correlation between maximum internal hip rotation measured using CT motion simulation and 3D motion analysis was strong (r = 0.71, p = 0.009). Linear regressions demonstrated that maximal internal rotation measured using CT motion simulation was predominantly larger than when measured using 3D motion analysis. Postoperatively, and when maximum internal rotation was coupled with adduction, no correlations were found between the two methods. Conclusions: The hypothetical morphology restricted ROM is larger than clinically assessed pain restricted ROM, both prior to and post hip arthroscopy. These findings suggest that ROM is restricted by pain rather than mechanical, morphology-based impingement in individuals with FAIS. [ABSTRACT FROM AUTHOR]

Simple Summary: Running is a physical activity practiced by many people to maintain good levels of movement. Recreational runners commonly strike the ground with the postero–lateral zone of the foot, which may be associated with a higher biomechanical load on the lower limb, called impact peak. Different running shoes with specific cushioning are available to overcome the biomechanical load, e.g., shoes with a thickness difference between the forefoot and heel parts of the sole, called heel-to-toe drop. Analyzing the running pattern of recreational runners may be challenging because biomechanics laboratories mainly analyze these characteristics in individuals with visible alterations. To overcome these limitations, we employed a 3D markerless system; furthermore, we investigated footwear use. These parameters were studied to understand the behavior of those runners with and without a higher impact peak. Thirty participants underwent a running analysis and a questionnaire about their footwear. The study's main finding highlighted kinematic and spatiotemporal differences between the runners presenting a higher impact peak and those without it. Furthermore, we observed that runners without an impact peak prefer shoes with a lower heel-to-toe drop, while the other group prefers shoes with a higher heel-to-toe drop. Investigating biomechanics characteristics is essential to reduce possible injury. Running is a physical activity and the investigation of its biomechanical aspects is crucial both to avoid injuries and enhance performance. Recreational runners may be liable to increased stress over the body, particularly to lower limb joints. This study investigates the different running patterns of recreational runners by analyzing characteristics of the footwear impact peak, spatiotemporal, and kinematic parameters among those that present with a peak impact and those that do not, with a 3D markerless system. Thirty recreational runners were divided into two groups: impact peak group (IP) (n = 16) and no impact peak group (n = 14) (n-IP). Kinematic and spatiotemporal parameters showed a large Cohen's d effect size between the groups. The mean hip flexion was IP 40.40° versus n-IP 32.30° (d = −0.82). Hip extension was IP 30.20° versus n-IP 27.70° (d = −0.58), and ankle dorsiflexion was IP 20.80°, versus n-IP 13.37° (d = −1.17). Stride length was IP 117.90 cm versus n-IP 105.50 cm (d = −0.84). Steps per minute was IP group 170 spm, versus n-IP 163 spm (d = −0.51). The heel-to-toe drop was mainly 10–12 mm for the IP group and 4–6 mm for the n-IP group. Recreational runners whose hip extension is around 40°, ankle dorsiflexion around 20°, and initial foot contact around 14°, may be predisposed to the presence of an impact peak. [ABSTRACT FROM AUTHOR]

Abstract Background Therapeutic management of the upper extremity (UE) function of people with spinal muscular atrophy (SMA) requires sensitive and objective assessment. Therefore, we aimed to measure physiologic UE function of SMA patients with different functional abilities and evaluate the relation between these physiologic measures and functional UE scales. Methods 12 male and 5 female SMA patients (mean age 42 years; range 6–62 years) participated in this explorative study. Concerning the physiologic level, the maximal muscle torque, the maximal and normalized surface electromyography (sEMG) amplitudes, and the maximal passive and active joint angles were measured. Concerning the activity level, the Performance of the Upper Limb (PUL) scale was used, and hand function was examined using the Nine-Hole Peg Test and the Timed Test of In-Hand Manipulation (TIHM). Results Outcome measures that significantly related to the functional ability were: the PUL score (all dimensions); the finger to palm task of the Timed TIHM; biceps, triceps, and forearm extensor strength; and the active range of motion of shoulder abduction, shoulder flexion, and wrist extension. In addition, the following physiologic variables were related to the activity level (PUL score): hand function (the Nine-Hole Peg Test; Rs = − 0.61), the Timed TIHM (Rs = − 0.53), the maximal muscle torque (Rs = 0.74), the maximal sEMG amplitude (Rs = 0.79), and the maximal active joint angle (Rs = 0.88). Conclusions Muscle functions in SMA patients are already affected before activity limitations are noticeable. Consequently, monitoring the maximal muscle strength and the normalized muscle activity during task performance could play a role in the early detection of UE limitations. The mechanism behind the loss of arm activities due to SMA is primarily caused by decreasing muscle capacity, which influences the ability to move an arm actively. In clinical practices, these dimensions should be considered separately when monitoring disease progression in order to better evaluate the need for interventions.

This study aimed to investigate the changes in kinematics and muscle activity with increasing swimming velocity during underwater undulatory swimming (UUS). In a water flume, 8 male national-level swimmers performed three UUS trials at 70, 80, and 90% of their maximum swimming velocity (70, 80, and 90%V, respectively). A motion capture system was used for three-dimensional kinematic analysis, and surface electromyography (EMG) data were collected from eight muscles in the gluteal region and lower limbs. The results indicated that kick frequency, vertical toe velocity, and angular velocity increased with increasing UUS velocity, whereas kick length and kick amplitude decreased. Furthermore, the symmetry of the peak toe velocity improved at 90%V. The integrated EMG values of the rectus femoris, biceps femoris, gluteus maximus, gluteus medius, tibialis anterior, and gastrocnemius were higher at 90%V than at the lower flow speeds, and the sum of integrated EMGs increased with increasing UUS velocity. These results suggest that an increase in the intensity of muscle activity in the lower limbs contributed to an increase in kick frequency. Furthermore, muscle activity of the biceps femoris and gastrocnemius commenced slightly earlier with increasing UUS velocity, which may be related to improving kick symmetry. In conclusion, this study suggests the following main findings: 1) changes in not only kick frequency but also in kicking velocity are important for increasing UUS velocity, 2) the intensity of specific muscle activity increases with increasing UUS velocity, and 3) kick symmetry is related to changes in UUS velocity, and improvements in kick symmetry may be caused by changes in the muscle activity patterns.

This study aimed to develop a method for calculation of camera pan and tilt angles using a fixpoint for which the three-dimensional coordinates and their corresponding points were unknown, and filmed by multiple cameras. The filming process was as follows. (1) The camera platform position and focal length were set to allow filming of a 4-m range within the control-volume range of 1.17 m × 20.00 m × 1.80 m. (2) Without changing the camera platform position or and focal length, cameras at 3 positions were panned and tilted to film the points whose threedimensional coordinates beyond the control volume range were known. (3) The cameras were then panned and tilted to film a fixpoint and corresponding points within the control volume range. The digitizer coordinates of the fixpoints, the corresponding points, and the points for which the three-dimensional coordinates were known were collected. The focal length, camera platform position, and roll angle of the camera platform were estimated using the points of which three-dimensional coordinates were known. The pan and tilt angles of the camera platform at each moment during the filming of the control volume were estimated using the fixpoint and corresponding points. Hybrid particle swarm optimization and a genetic algorithm were used for estimating the camera parameters. The three-dimensional coordinates used as accuracy verification markers (105 points) within the control volume range were reconstructed using the estimated camera parameters. The RMS error of the accuracy verification markers was 6.8 mm. These results show that the proposed method can be adapted for collection of three-dimensional coordinates. [ABSTRACT FROM AUTHOR]

• This study provides new evidence for the contribution of finger-counting to children with developmental coordination disorder (DCD). • 3D motion analyses were used to examine finger-counting functionality. • Children with DCD were less accurate than typically developing children in a finger-counting task that put heavy demands on working memory. • Difficulties reported in children with DCD could be more related to a limitation of working memory resources than to dysfunctional finger-counting gestures. A limited number of studies have attempted to understand how motor deficits affect numerical abilities in children with developmental coordination disorder (DCD). The purpose of this study was to explore the functionality of finger-counting (FC) in children with DCD. The participants, 15 children with DCD and 15 typically developing (TD) children matched on school level and fluid reasoning abilities, were asked to use FC to solve an ordinal task with high working memory (WM) load. Behavioral measures supplemented with biomechanical measures, from three-dimensional motion analysis synchronized to a voice recording were used to assess children's performance and FC functionality (total duration, inter-finger [IF] transition, IF variance, finger/voice synchronization, and automatization of FC movements). Children with DCD were less accurate than TD children in using FC to solve ordinal problems with high WM load. This group difference could not be accounted for by poor FC skills given that FC movement turned out to be as functional in children with DCD as in their TD peers. When added to the model as a covariate, WM captured a greater proportion of intergroup variability than manual dexterity, further suggesting that their difficulties would be better accounted for by limited WM resources than by fine motor skills. [ABSTRACT FROM AUTHOR]

Valerie Sparkes,1 Gemma M Whatling,2,3 Paul Biggs,2,3 Nidal Khatib,2,3 Mohammad Al-Amri,1,3 David Williams,2,3 Rebecca Hemming,1,3 Martina Hagen,4 Ishaak Saleem,2,3 Ramesh Swaminathan,2,3 Cathy Holt2,3 1School of Healthcare Sciences, Biomechanics and Bioengineering Research Centre Versus Arthritis, College of Biomedical and Life Sciences, Cardiff University, Cardiff CF24 0AB, UK; 2School of Engineering, College of Physical Sciences and Engineering, Cardiff University, Cardiff CF24 3AA, UK; 3Arthritis Research UK Biomechanics and Bioengineering Centre, Cardiff University, Cardiff CF10 3AT, UK; 4Medical Affairs, Pain Relief Category, GSK Consumer Healthcare S.A., Nyon 1260, SwitzerlandCorrespondence: Valerie Sparkes Newport Road, Cardiff CF24 0AB UKTel +44 29 2068 7560Email sparkesv@cardiff.ac.ukObjective: To examine functional performance differences using kinematic and kinetic analysis between participants with and without knee osteoarthritis (OA) to determine which outcomes best characterize persons with and without knee OA.Methods: Participants with unilateral moderate knee OA (Kellgren–Lawrence grades 2 or 3) and controls without knee pain were matched for age, gender, and body mass index. Primary outcomes included temporal parameters, joint rotations and moments, and ground reaction forces assessed via 3D motion capture during walking and ascending/descending stairs. Secondary outcomes included timed functional activities (sit to stand; tying shoelaces), 48 hrs lower limb activity monitoring, and patient-reported outcome measures (Knee Injury and Osteoarthritis Outcome Score, Western Ontario and McMaster Universities Osteoarthritis Index, European Quality of Life–5 Dimensions).Results: Eight matched pairs were analyzed. Compared with controls, OA participants exhibited significant reductions in peak frontal hip and sagittal knee moments, and decreased peak anterior ground reaction force with the affected limb while walking. Ascending stairs, OA participants had slower speed, fewer strides per minute, longer cycle and stance times, and increased trunk range of motion (ROM) in assessments of both limbs; longer swing time and reduced ankle ROM in the affected limb; and increased knee frontal ROM in the unaffected limb. Descending stairs, OA participants had fewer strides per minute and decreased trunk transverse ROM in assessments of both limbs; increased knee frontal ROM in the affected limb; and longer strides, shorter stance and cycle times, increased trunk sagittal and decreased knee transverse ROMs in the unaffected limbs vs controls. Compared with controls, OA participants had slower walking cadence (120–130 vs 100–110 steps/min, respectively), took significantly longer on timed functional measures, and had significantly worse scores in patient-reported outcomes.Conclusion: Several objectives and patient-reported measures examined in this study could potentially be considered as outcomes in pharmacologic or physical therapy OA trials.Keywords: osteoarthritis, knee, 3D motion analysis, biomechanics, kinetics, gait

The purpose of this study was to investigate the validity and reliability of methods for determining barbell displacement during heavy back squats. Twelve well-trained rugby union players (mean ± SD 1 repetition maximum [1RM] 908 squat = 196.3 ± 29.2 kg) completed 2 sets of 2 repetitions at 70, 80, and 90% of 1RM squats. Barbell displacement was derived from 3 methods across 4 load categories (120-129, 140-149, 160-169, and 180-189 kg) including: a (a) linear position transducer (LPT) attached 65 cm left of barbell center, (b) 3D motion analysis tracking of markers attached to either end of a barbell, and (c) cervical marker (C7) (criterion measurement). Validity was calculated using the typical error of the estimate as a coefficient of variation (CV%) 690% confidence interval (CI), mean bias as a percentage, and the Pearson product moment correlation (r). Intraday reliability was calculated using the intraclass correlation coefficient and the typical error expressed as a percentage of CV% 690% (CI). Mean displacement for C7, LPT, and the barbell ends was 520, 529, and 550-564 mm, respectively. Validity of the LPT compared with the criterion was acceptable (CV% = 2.1-3.0; bias = 0.9-1.5%; r = 0.96-0.98), whereas that of the barbell ends was less (CV% = 2.7-7.5; bias = 4.9-11.2%; r = 0.71-0.97). The CV% reliability of the C7 marker across the load categories was 6.6%, the LPT 6.6%, and the barbell ends between 5.9 and 7.2%. Despite reliable measures, overestimation of displacement occurs as the tracking location moves to the barbell ends in weighted back squats. The LPT demonstrated high validity to the criterion and high trial-to-trial reliability. [ABSTRACT FROM AUTHOR]

Purpose: To establish the proper smartphone placement between two positions (thoracic vs. lumbar) for balance assessment using an accelerometer (ACC)-based application. Methods: Eighteen young adults were recruited. The smartphone was attached at either of the T3-5 and L3-5 vertebra levels. Acceleration data were recorded using an ACC application for the Android operating system. Each participant was asked to perform: static balance (the Modified Clinical Test of Sensory Interaction in Balance (MCTSIB) and a single-leg stance (SL) test) and dynamic balance (a limit of stability (LOS) test). Three-dimensional (3D) motion analysis was also recorded. Results: The thoracic level had a higher correlation between smartphone ACC and 3D motion analysis during the MCTSIB and SL tests than the lumbar level. Conversely, the lumbar level had a higher correlation than the thoracic level for the LOS test. The test–retest reliabilities showed a high to excellent reliability, except the lumbar level during the MCTSIB had moderate reliability. Conclusions: For the static balance tests using the smartphone ACC, thoracic placement appears to be better than lumbar placement. In contrast, for the dynamic balance test, lumbar placement is more appropriate than thoracic placement. [ABSTRACT FROM AUTHOR]

Sacral marker and pelvis reconstruction methods have been proposed to approximate total body center of mass during relatively low intensity gait and hopping tasks, but not during a maximum effort vertical jumping task. In this study, center of mass displacement was calculated using the pelvic kinematic method and compared with center of mass displacement using the ground-reaction force-impulse method, in experienced athletes (n = 13) performing restricted countermovement vertical jumps. Maximal vertical jumps were performed in a biomechanics laboratory, with data collected using an 8-camera motion analysis system and two force platforms. The pelvis center of mass was reconstructed from retro-reflective markers placed on the pelvis. Jump height was determined from the peak height of the pelvis center of mass minus the standing height. Strong linear relationships were observed between the pelvic kinematic and impulse methods (R2 = .86; p < .01 ). The pelvic kinematic method underestimated jump height versus the impulse method, however, the difference was small (CV = 4.34%). This investigation demonstrates concurrent validity for the pelvic kinematic method to determine vertical jump height. [ABSTRACT FROM AUTHOR]

Abstract Background The aim of this study is to compare the functional midterm outcome of stemless shoulder prostheses with standard anatomical stemmed shoulder prostheses and to show that the STEMLESS results are comparable to the STEMMED with respect to active maximum range of shoulder motion (ROM) and Constant score (CS). Methods Seventeen patients underwent total shoulder arthroplasty (TSA) in 25 shoulder joints. Stemless TSA was performed in 12 shoulder joints (group STEMLESS), third-generation stemmed TSA in 13 shoulder joints (group STEMMED). Functional results were documented using the CS. 3D-motion-analysis using the Heidelberg upper extremity model (HUX) was conducted to measure active maximum (ROM). Results The group STEMLESS achieved a CS of 67.9 (SD 12.0) points and the group STEMMED of 70.2 (SD 5.8 points) without significant difference between the groups (p = 0.925). The maximum ROM of the group STEMLESS, ascertained by 3-D-motion-analysis, was in forward flexion 125.5° (SD 17.2°), in extension 49.4° (SD 13.8°), in abduction 126.2° (SD 28.5°) and in external rotation 40.3° (SD 13.9°). The maximum ROM of the group STEMMED, also ascertained by 3-D-motion analysis, was in forward flexion 135.0° (SD 16.8°), in extension 47.2° (SD 11.5°), in abduction 136.3° (SD 24.2°) and in external rotation 40.1° (SD 12.2°). The maximum ROM of the STEMLESS group was lower in forward flexion and abduction, higher in extension and almost identical in external rotation. But there was no significant difference (forward flexion p = 0.174, extension p = 0.470, abduction p = 0.345, external rotation p = 0.978). Conclusion Both types of shoulder prostheses achieve a similar and good active ROM and similar results in CS. Trial registration DRKS00013166 , retrospectively registered, 11.10.2017

Abstract Background Therapeutic management of upper extremity (UE) function of boys and men with Duchenne Muscular Dystrophy (DMD) requires sensitive and objective assessment. Therefore, we aimed to measure physiologic UE function of healthy subjects and DMD patients in different disease stages, and to evaluate the relation between these physiologic measures and functional UE scales. Methods Twenty-three DMD patients and twenty healthy controls (7–23 years) participated in this explorative case–control study. Maximal muscle torque, maximal and normalized surface electromyography (sEMG) amplitudes, muscle thickness, echogenicity and maximal passive and active joint angles were measured. At activity level, Brooke upper extremity rating scale and the Performance of Upper Limb (PUL) scale were used. Results Outcome measures related to proximal UE function could discriminate between disease stages. Increased normalized sEMG amplitudes were found in patients, even in early disease stages. Maximal active joint angles showed the strongest relation to Brooke scale (R 2 = 0.88) and PUL scale (R 2 = 0.85). Conclusions The decline of muscle functions precedes the decline in performance of UE activities, and therefore may play a role in early detection of UE limitations. Increased sEMG levels demonstrate that DMD patients use more of their muscle capacity compared to healthy subjects, to perform daily activities. This might result in increased fatigability. Active maximal joint angles are highly related to functional scales, so preserving the ability to use the full range of motion is important for the performance of daily activities. Close monitoring of active joint angles could therefore help in starting interventions that minimize functional UE decline in DMD patients timely.

The purpose of this study was to examine the influence of a history of low back pain (LBP) on pelvic and lumbar kinematics during baseball hitting. Twenty collegiate male baseball players (age, 21±1 years; height, 172.8±4.7 cm; weight, 72.7±6.2 kg; baseball experience, 13±1 years) performed 5 bat swings. Participants were categorized into the LBP group (n=10) or control group (n=10) based on having experienced lumbar spine pain due to bat swing that lasted more than 24 h within the last 12 months. Three-dimensional kinematic data of the pelvis and lumbar spine during bat swing were measured. Two-way ANOVAs were used to compare pelvic and lumbar kinematics throughout the bat swing between groups, and independent t-tests were used to compare the other outcomes between groups. There was a significant main effect between groups in lumbar flexion angle throughout the bat swing (p=0.047). The mean lumbar flexion angle of the LBP group throughout the bat swing was less than that of the control group. Additionally, the peak angular velocity of lumbar flexion of the LBP group was significantly faster than that of control group (p=0.047). These results can be helpful for longitudinal studies that identify the risk factors of LBP due to bat swing. [ABSTRACT FROM AUTHOR]

The purpose of this pilot study was to evaluate the relationship between the kinematic variables of the right hand and left leg with ball velocity during jump-throwing phases in handball for better-informed training. We investigated ball velocity and the key kinematic variables of jump throwing during different throwing phases in three strides. Ten right-handed male handball professional players who had competed in the Egyptian Handball Super League participated in this study. Jump throwing performance was divided into three phases (cocking, acceleration and follow-through), which included eight events during the throwing. Five trials were captured for each player, and a 3D analysis was performed on the best trial. Results indicated that the velocity of the throwing hand was the most important variable during jump throwing, which was correlated with ball velocity during the three phases of performance in four events: Initial contact (IC) (r = 0.66*), initial flight (IF) (r = 63*), maximum height of the throwing hand (Max-HH) (r = 0.78*) and ground contact (GC) (r = 0.83*). In addition, the initial flight was the most important event in which players need to be using the best angles during performance, particularly the shoulder angle. [ABSTRACT FROM AUTHOR]

The human hand is the most frequently used body part in activities of daily living. With its complex anatomical structure and the small size compared to the body, assessing the functional capability is highly challenging. The aim of this review was to provide a systematic overview on currently available 3D motion analysis based on skin markers for the assessment of hand function during activities of daily living. It is focused on methodology rather than results. A systematic review according to the PRISMA guidelines was performed. The systematic search yielded 1349 discrete articles. Of 147 articles included on basis of title, 123 were excluded after abstract review, and 24 were included in the full-text analysis with 13 key articles. There is still limited knowledge about hand and finger kinematics during activities of daily living. A standardization of the task is required in order to overcome the nonrepetitive nature and high variability of upper limb motion and ensure repeatability of task performance. To yield a progress in the analysis of human hand movements, an assessment of human kinematics including fingers, wrist, and thumb and an identification of relevant parameters that characterize a healthy motion pattern during functional tasks are needed. [ABSTRACT FROM AUTHOR]