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ankle biomechanics

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https://www.readbyqxmd.com/read/29768121/a-biomechanical-comparison-of-initial-sprint-acceleration-performance-and-technique-in-an-elite-athlete-with-cerebral-palsy-and-able-bodied-sprinters
#1
Ian N Bezodis, James Cowburn, Adam Brazil, Rhian Richardson, Cassie Wilson, Timothy A Exell, Gareth Irwin
Cerebral palsy is known to generally limit range of motion and force producing capability during movement. It also limits sprint performance, but the exact mechanisms underpinning this are not well known. One elite male T36 multiple-Paralympic sprint medallist (T36) and 16 well-trained able-bodied (AB) sprinters each performed 5-6 maximal sprints from starting blocks. Whole-body kinematics (250 Hz) in the block phase and first two steps, and synchronised external forces (1,000 Hz) in the first stance phase after block exit were combined to quantify lower limb joint kinetics...
May 16, 2018: Sports Biomechanics
https://www.readbyqxmd.com/read/29762541/biomechanical-gait-variable-estimation-using-wearable-sensors-after-unilateral-total-knee-arthroplasty
#2
Ik-Hyun Youn, Jong-Hoon Youn, Joseph A Zeni, Brian A Knarr
Total knee arthroplasty is a common surgical treatment for end-stage osteoarthritis of the knee. The majority of existing studies that have explored the relationship between recovery and gait biomechanics have been conducted in laboratory settings. However, seamless gait parameter monitoring in real-world conditions may provide a better understanding of recovery post-surgery. The purpose of this study was to estimate kinematic and kinetic gait variables using two ankle-worn wearable sensors in individuals after unilateral total knee arthroplasty...
May 15, 2018: Sensors
https://www.readbyqxmd.com/read/29736568/emerging-concepts-in-treating-cartilage-osteochondral-defects-and-osteoarthritis-of-the-knee-and-ankle
#3
Hélder Pereira, Ibrahim Fatih Cengiz, Carlos Vilela, Pedro L Ripoll, João Espregueira-Mendes, J Miguel Oliveira, Rui L Reis, C Niek van Dijk
The management and treatment of cartilage lesions, osteochondral defects, and osteoarthritis remain a challenge in orthopedics. Moreover, these entities have different behaviors in different joints, such as the knee and the ankle, which have inherent differences in function, biology, and biomechanics. There has been a huge development on the conservative treatment (new technologies including orthobiologics) as well as on the surgical approach. Some surgical development upraises from technical improvements including advanced arthroscopic techniques but also from increased knowledge arriving from basic science research and tissue engineering and regenerative medicine approaches...
2018: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/29734124/ankle-joint-function-during-walking-in-tophaceous-gout-a-biomechanical-gait-analysis-study
#4
Matthew Carroll, Mark Boocock, Nicola Dalbeth, Sarah Stewart, Christopher Frampton, Keith Rome
BACKGROUND: The foot and ankle are frequently affected in tophaceous gout, yet kinematic and kinetic changes in this region during gait are unknown. The aim of the study was to evaluate ankle biomechanical characteristics in people with tophaceous gout using three-dimensional gait analysis. METHODS: Twenty-four participants with tophaceous gout were compared with 24 age-and sex-matched control participants. A 9-camera motion analysis system and two floor-mounted force plates were used to calculate kinematic and kinetic parameters...
April 17, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29729612/joint-kinematics-and-ground-reaction-forces-in-overground-versus-treadmill-graded-running
#5
Colin R Firminger, Gianluca Vernillo, Aldo Savoldelli, Darren J Stefanyshyn, Guillaume Y Millet, W Brent Edwards
BACKGROUND: Treadmills are often used to assess running biomechanics, however the validity of applying results from treadmill graded running to overground graded running is currently unknown. RESEARCH QUESTION: The purpose of this study was to investigate whether treadmill and overground graded running have comparable kinematics and ground reaction force parameters. METHODS: Eleven healthy male adults ran overground and on an instrumented treadmill as motion capture and force platform data were collected for the following conditions: downhill running at a slope of -8° at 10, 13 and 16 km⋅h-1 ; level running at 10 and 13 km⋅h-1 ; uphill running at a slope of +8° at 8, 10 and 13 km⋅h-1 ...
April 26, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29724536/ankle-and-foot-power-in-gait-analysis-implications-for-science-technology-and-clinical-assessment
#6
REVIEW
Karl E Zelik, Eric C Honert
In human gait analysis studies, the entire foot is typically modeled as a single rigid-body segment; however, this neglects power generated/absorbed within the foot. Here we show how treating the entire foot as a rigid body can lead to misunderstandings related to (biological and prosthetic) foot function, and distort our understanding of ankle and muscle-tendon dynamics. We overview various (unconventional) inverse dynamics methods for estimating foot power, partitioning ankle vs. foot contributions, and computing combined anklefoot power...
April 18, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29723652/kinetic-differences-between-level-walking-and-ramp-descent-in-individuals-with-unilateral-transfemoral-amputation-using-a-prosthetic-knee-without-a-stance-control-mechanism
#7
Yusuke Okita, Nobuya Yamasaki, Takashi Nakamura, Tsutomu Kubo, Atsuko Mitsumoto, Toru Akune
BACKGROUND: Individuals with transfemoral amputation (TFA) have difficulty in descending ramps. Although individuals with TFA who descend ramps are speculated to have greater biomechanical demands, this has not been quantified. RESEARCH QUESTION: How do individuals with TFA wearing a prosthetic knee without a stance control mechanism adapt their gait biomechanics to a slightly declined surface? METHODS: We retrospectively analyzed data of level walking and ramp descent (5° decline) from six subjects with TFA who used a prosthesis without a stance control mechanism...
April 26, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29723229/effects-of-an-acute-bout-of-dynamic-stretching-on-biomechanical-properties-of-the-gastrocnemius-muscle-determined-by-shear-wave-elastography
#8
George M Pamboris, Marika Noorkoiv, Vasilios Baltzopoulos, Hulya Gokalp, Robert Marzilger, Amir A Mohagheghi
AIMS: The aim of this study was to examine the acute effects of dynamic stretching (DS) exercise on passive ankle range of motion (RoM), resting localized muscle stiffness, as measured by shear wave speed (SWS) of medial gastrocnemius muscle, fascicle strain, and thickness. METHODS/RESULTS: Twenty-three participants performed a DS protocol. Before and after stretching, SWS was measured in the belly of the resting medial gastrocnemius muscle (MGM) using shear wave elastography...
2018: PloS One
https://www.readbyqxmd.com/read/29715361/assessment-of-mechanical-characteristics-of-ankle-foot-orthoses
#9
Amanda Wach, Linda McGrady, Mei Wang, Barbara Silver-Thorn
Recent designs of ankle-foot orthoses (AFOs) have been influenced by the increasing demand for higher function from active individuals. The biomechanical function of the individual and device is dependent upon the underlying mechanical characteristics of the AFO. Prior mechanical testing of AFOs has primarily focused on rotational stiffness to provide insight into expected functional outcomes; mechanical characteristics pertaining to energy storage and release have not yet been investigated. A pseudostatic bench testing method is introduced to characterize compressive stiffness, device deflection, and motion of solid-ankle, anterior floor reaction, posterior leaf spring, and the intrepid dynamic exoskeletal orthosis (IDEO) AFOs...
July 1, 2018: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/29708573/medial-compartment-decompression-by-proximal-fibular-osteotomy-a-biomechanical-cadaver-study
#10
Todd Baldini, Jesse Roberts, Jiandong Hao, Kenneth Hunt, Michael Dayton, Craig Hogan
Medial compartment knee osteoarthritis is a painful and debilitating disease. A proximal fibular osteotomy is a novel, simple surgical technique that may reduce pain and improve function for patients with osteoarthritis. The purpose of this biomechanical cadaver study was to determine what effect proximal fibular osteotomy had on knee joint and ankle pressures and tibia strain. Ten matched pairs of cadaver legs were tested in compression to 1.1 times body weight comparing intact and with proximal fibular osteotomy at 0°, 15°, and 30° of flexion...
April 27, 2018: Orthopedics
https://www.readbyqxmd.com/read/29701100/in-defence-of-the-posterior-malleolus
#11
T O White
The posterior malleolus of the ankle is the object of increasing attention, with considerable enthusiasm for CT scanning and surgical fixation, as expressed in a recent annotation in The Bone & Joint Journal. Undoubtedly, fractures with a large posterior malleolar fragment that allow posterior talar subluxation from the mortise are served better by fixation. However, in all other situations, the existing literature does not support this widespread change in practice. The available biomechanical evidence shows that the posterior malleolus has little part to play in the stability or contact stresses of the ankle joint...
May 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29681437/comparison-of-locking-versus-nonlocking-plates-for-distal-fibula-fractures
#12
Shirley A Lyle, Catherine Malik, Michael J Oddy
Locking plates might offer a biomechanical fixation advantage for distal fibula fractures with comminution or osteoporotic bone. In January 2011, our unit introduced a bone-specific locking plate for the distal fibula. The aim of the present study was to compare it against more conventional plating system implants for lateral malleolar fixation in terms of outcomes, crude costs, and complications. We retrospectively reviewed a consecutive cohort of patients with closed ankle fractures who presented within a 24-month period...
April 19, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29679921/electromyographic-and-biomechanical-analysis-of-step-negotiation-in-charcot-marie-tooth-subjects-whose-level-walk-is-not-impaired
#13
Tiziana Lencioni, Giuseppe Piscosquito, Marco Rabuffetti, Enrica Di Sipio, Manuela Diverio, Isabella Moroni, Luca Padua, Emanuela Pagliano, Angelo Schenone, Davide Pareyson, Maurizio Ferrarin
BACKGROUND: Charcot-Marie-Tooth (CMT) is a slowly progressive disease characterized by muscular weakness and wasting with a length-dependent pattern. Mildly affected CMT subjects showed slight alteration of walking compared to healthy subjects (HS). RESEARCH QUESTION: To investigate the biomechanics of step negotiation, a task that requires greater muscle strength and balance control compared to level walking, in CMT subjects without primary locomotor deficits (foot drop and push off deficit) during walking...
April 13, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29679256/biomechanical-features-of-six-design-of-the-delta-external-fixator-for-treating-pilon-fracture-a-finite-element-study
#14
Muhammad Hanif Ramlee, Mohd Ayub Sulong, Evelyn Garcia-Nieto, Daniel Angure Penaranda, Antonio Ros Felip, Mohammed Rafiq Abdul Kadir
Pilon fractures can be caused by high-energy vertical forces which may result in long-term patient immobilization. Many experts in orthopedic surgery recommend the use of a Delta external fixator for type III Pilon fracture treatment. This device can promote immediate healing of fractured bone, minimizing the rate of complications as well as allowing early mobilization. The characteristics of different types of the Delta frame have not been demonstrated yet. By using the finite element method, this study was conducted to determine the biomechanical characteristics of six different configurations (Model 1 until Model 6)...
April 21, 2018: Medical & Biological Engineering & Computing
https://www.readbyqxmd.com/read/29667844/lower-extremity-biomechanics-during-a-drop-vertical-jump-in-participants-with-or-without-chronic-ankle-instability
#15
C Collin Herb, Kaitlyn Grossman, Mark A Feger, Luke Donovan, Jay Hertel
CONTEXT:   Chronic ankle instability (CAI) is a condition characterized by range-of-motion, neuromuscular, and postural-control deficits and subjective disability, reinjury, and posttraumatic osteoarthritis. Differences have been reported in kinematics, kinetics, surface electromyography (EMG), and ground reaction forces during functional tasks performed by those with CAI. These measures are often collected independently, and the research on collecting measures simultaneously during a movement task is limited...
April 18, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29662779/finite-element-analysis-of-biomechanical-effects-of-total-ankle-arthroplasty-on-the-foot
#16
Yan Wang, Zengyong Li, Duo Wai-Chi Wong, Cheng-Kung Cheng, Ming Zhang
Background: Total ankle arthroplasty is gaining popularity as an alternation to ankle arthrodesis for end-stage ankle arthritis. Owing to the complex anatomical characteristics of the ankle joint, total ankle arthroplasty has higher failure rates. Biomechanical exploration of the effects of total ankle arthroplasty on the foot and ankle is imperative for the precaution of postoperative complications. The objectives of this study are (1) to investigate the biomechanical differences of the foot and ankle between the foot with total ankle arthroplasty and the intact foot and (2) to investigate the performance of the three-component ankle prosthesis...
January 2018: Journal of Orthopaedic Translation
https://www.readbyqxmd.com/read/29658979/mini-fragment-fixation-is-equivalent-to-bicortical-screw-fixation-for-horizontal-medial-malleolus-fractures
#17
Adam M Wegner, Philip R Wolinsky, Michael A Robbins, Tanya C Garcia, Derek F Amanatullah
Horizontal fractures of the medial malleolus occur through application of valgus or abduction force through the ankle that creates a tension failure of the medial malleolus. The authors hypothesize that mini-fragment T-plates may offer improved fixation, but the optimal fixation construct for these fractures remains unclear. Forty synthetic distal tibiae with identical osteotomies were randomized into 4 fixation constructs: (1) two parallel unicortical cancellous screws; (2) two parallel bicortical cortical screws; (3) a contoured mini-fragment T-plate with 2 unicortical screws in the fragment and 2 bicortical screws in the shaft; and (4) a contoured mini-fragment T-plate with 2 bicortical screws in the fragment and 2 unicortical screws in the shaft...
April 16, 2018: Orthopedics
https://www.readbyqxmd.com/read/29658524/reference-values-of-spatiotemporal-parameters-joint-angles-ground-reaction-forces-and-plantar-pressure-distribution-during-normal-gait-in-young-women
#18
Anna Fryzowicz, Michał Murawa, Jarosław Kabaciński, Agata Rzepnicka, Lechosław B Dworak
PURPOSE: The aim of this study was to establish the reference values of spatiotemporal parameters, joint angles, ground reaction forces and plantar pressure distribution collected simultaneously on the same measurement path during normal gait in a homogenous group of young, healthy women. METHODS: The studied group consisted of 28 healthy women aged 21 years on average. The motion capture system BTS Smart-D, 2 AMTI force platforms and Footscan pedobarographic platform were used in this research...
2018: Acta of Bioengineering and Biomechanics
https://www.readbyqxmd.com/read/29658519/biomechanical-evaluation-of-tendon-connection-with-novel-suture-techniques
#19
Zhe Chen, Jun Wang, Jia-Sen Wei, Zhao-Yang Hou, Min Li, Qi-Xin Chen
PURPOSE: Achilles tendon rupture is a severe injury with poor curative effect due to its anatomical characteristic and mechanical peculiarity. Internal fixation of limited loop (IFLL) with steel-wire has been applied on patients with tendon rupture to fix the broken ends before physical rehabilitation. The purpose of this study is to investigate the biomechanical property and radiological characteristic of such suture technique for the repairment of tendon rupture. METHODS: Tendons of pigs' hint feet were separated for the biomechanical study...
2018: Acta of Bioengineering and Biomechanics
https://www.readbyqxmd.com/read/29657842/repair-of-syndesmosis-injury-in-ankle-fractures-current-state-of-the-art
#20
May Fong Mak, Richard Stern, Mathieu Assal
Conventional treatment of syndesmosis injuries in rotationally unstable ankle fractures is associated with an unacceptably high rate of malreduction, and this has led to a paradigm shift in the approach to a newer concept of anatomical repair.In the anatomical approach, the principle is to 'directly fix what is broken and repair what is torn'. The approach is effective in reducing the rate of syndesmosis malreduction, increasing the biomechanical strength of syndesmosis fixation and avoiding the need for trans-syndesmotic fixation and its secondary removal...
January 2018: EFORT open reviews
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