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The aim of the present study was to assess the effect of the use of high-heeled shoes on static balance in young adult women. Fifty-three women between 18 and 30 years of age and accustomed to wearing high-heeled shoes participated in the study. None of the participants had any orthopedic or neurologic alterations. Static balance was assessed using a force plate. Oscillations from the center of pressure in the mediolateral and anteroposterior directions were measured both when barefoot and when wearing high-heeled shoes [7 centimeters (cm) in height and 1cm in diameter] under the conditions of eyes open and eyes closed. Two-way analysis of variance was employed for the statistical analysis, with the level of significance set at 5% (p<.05). The results revealed statistically significant differences between tests when barefoot and when wearing high-heeled shoes as well as with eyes open and eyes closed (p<.01). With the use of high-heeled shoes, there was a significant increase in mediolateral oscillation with eyes closed (p<.01). The present study demonstrates that the use of seven-cm high heels altered static balance in the healthy young women analyzed, increasing the oscillation of the center of pressure, regardless of visual restriction., (Copyright © 2012 Elsevier B.V. All rights reserved.)

The purpose of the study was to test the hypothesis on whether individuals with patellofemoral pain syndrome (PFPS) try to avoid knee position during upward squatting so as not to aggravate this syndrome. Also, we tested whether PFPS would generate changes in the kinetic and electromyographic (EMG) strategies used to perform this task. Eight healthy subjects and 8 subjects with PFPS, but without a history of pain for at least 30 days, took part in the experiment. They were asked to perform upward squatting with knees initially flexed at 60° (very flexed) until reaching an upright position. Angle, velocity, and acceleration (kinematic) were reconstructed for knee and ankle joints. The torques at these joints were calculated using inverse dynamics, taking into account anthropometric and inertial characteristics of each subject, including records from force data. Only activities of major muscles were recorded. The kinetic and EMG profiles were quantified during acceleration and deceleration phases of the upward squatting. Both healthy and PFPS subjects used the same kinetic and EMG strategies to perform the upward squatting, even though the magnitude of the muscle activities were decreased for the latter group. Compared to the control group, the PFPS subjects presented larger joint ankle torques and smaller knee joint torques. However, the subjects avoided keeping their knees very flexed at the initial position. Group differences in the kinetic and EMG strategies can be explained by differences in the initial position, suggesting a protective strategy used by subjects with PFPS. Therefore, for these subjects, coaches and therapists should avoid using this exercise when the knee is required to move above 40° flexion.

In 1996, Gottlieb et al. [Gottlieb GL, Song Q, Hong D, Almeida GL, Corcos DM. Coordinating movement at two joints: A principle of linear covariance. J Neurophysiol 1996;75(4):1760-4] identified a linear co-variance between the joint muscle torques generated at two connected joints. The joint muscle torques changed directions and magnitudes in a synchronized and linear fashion and called it the principle of linear co-variance. Here we showed that this principle cannot hold for some class of movements. Neurologically normal subjects performed multijoint movements involving elbow and shoulder with reversal towards three targets in the sagittal plane without any constraints. The movement kinematics was calculated using the X and Y coordinates of the markers positioned over the joints. Inverse dynamics was used to calculate the joint muscle, interaction and net torques. We found that for the class of voluntary movements analyzed, the joint muscle torques of the elbow and the shoulder were not linearly correlated. The same was observed for the interaction torques. But, the net torques at both joints, i.e., the sum of the interaction and the joint muscle torques were linearly correlated. We showed that by decoupling the joint muscle torques, but keeping the net torques linearly correlated, the CNS was able to generate fast and accurate movements with straight fingertip paths. The movement paths were typical of the ones in which the joint muscle torques were linearly correlated.

Purpose: This study tested the hypothesis that muscle and interaction torques can be altered independently in order to improve in specific kinematics performance observed following practice. We also tested the hypothesis that a simple set of rules of EMG-control and kinetic-control models could explain the EMG and kinetic changes due to practice of movements with reversal., Scope: Kinematics of the upper arm with reversal, performed over three distances, was reconstructed using motion analysis. The muscle and interaction torques were calculated using inverse-dynamics. EMG activities of the major arm muscles were also recorded. The results demonstrate that improved performance is facilitated by an increase in muscle torque (and therefore acceleration) at the proximal joint (shoulder) and by an increase in the interaction torque at the distal joint (elbow). No changes were observed in the amount of muscle activity underlying these kinetic modifications, except for a decrease in the shoulder antagonist latency., Conclusion: The results confirm Bernstein's idea that the central nervous system takes advantage of the passive-interactive properties of the moving system. Also the modulation of the EMG patterns should be explained taking in account the reactive forces and the dual functions (maintenance of posture and generation of movement) of the muscles.

In this study we investigated the hypothesis that the simple set of rules used to explain the modulation of muscle activities during single-joint movements could also be applied for reversal movements of the shoulder and elbow joints. The muscle torques of both joints were characterized by a triphasic impulse. The first impulse of each joint accelerated the limb to the target and was generated by an initial burst of the muscles activated first (primary mover). The second impulse decelerated the limb to the target, reversed movement direction and accelerated the limb back to the initial position, and was generated by an initial burst of the muscles activated second (secondary movers). A third impulse, in each joint, decelerated the limb to the initial position due to the generation of a second burst of the primary movers. The first burst of the primary mover decreased abruptly, and the latency between the activation of the primary and secondary movers varied in proportion with target distances for the elbow, but not for the shoulder muscles. All impulses and bursts increased with target distances and were well coupled. Therefore, as predicted, the bursts of muscle activities were modulated to generate the appropriate level of muscle torque.

The design of the present study enabled the authors to distinguish between the possible effects of movement displacement and trajectory length on the pattern of final positions of planar reaching movements. With their eyes closed, 9 subjects performed series of fast and accurate movements from different initial positions to the same target. For some series, the movements were unconstrained and were therefore performed along an approximately straight vertical line. For other series, an obstacle was positioned so that trajectory length was increased because of an increase in movement curvature. Ellipses of variability obtained by means of principal component analysis applied to the scatter of movement final positions enabled the authors to assess the pattern of movement variable errors. The results showed that the orientation of the ellipses was not affected by movement displacement or by trajectory length, whereas variable errors increased with movement displacement. An increase in trajectory length as a consequence of increased curvature caused no change in variable error. From the perspective of current motor control theory, that finding was quite unexpected. Further studies are required so that one can distinguish among the possible effects of various kinematics, kinetics, and other variables that could affect the pattern of variable errors of reaching movements.