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ankle biomechanics

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https://www.readbyqxmd.com/read/28445855/speed-dependent-effects-of-laterally-wedged-insoles-on-gait-biomechanics-in-healthy-subjects
#1
Felix Kluge, Sebastian Krinner, Matthias Lochmann, Bjoern M Eskofier
Laterally wedged insoles have been shown to be effective for the reduction of the knee adduction moment and other biomechanical variables that are associated with the pathogenesis of knee osteoarthritis. However, inconclusive results such as adverse effects in individual subjects or even no group-wise wedge effects have been presented in different studies and it has been suggested to identify variables that potentially confound the wedge effect. The main objective of this study was the investigation of interaction effects of lateral wedges with walking speed, as different self-selected speeds have mainly been used in previous studies...
April 9, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28437637/analysis-of-free-moment-and-center-of-pressure-frequency-components-during-quiet-standing-using-magnitude-squared-coherence
#2
Dean C Hay, Mark P Wachowiak
To date, no postural studies have investigated the specific relationship between linear (anteroposterior (AP) and mediolateral (ML)) postural sway and the free moment (FM) over the range of biomechanically important frequencies. The goal of the current paper is to study the relationship between FM and the AP/ML movements during quiet standing with respect to individual frequencies. Mean squared coherence, which measures the degree of the relationship between two signals as a function of frequency, is employed to address this question...
April 21, 2017: Human Movement Science
https://www.readbyqxmd.com/read/28437567/people-with-patellofemoral-oa-walk-with-different-pelvic-and-hip-kinematics-compared-to-healthy-aged-matched-controls
#3
Kay M Crossley, Anthony G Schache, Hannah Ozturk, Jonathan Lentzos, Melissa Munanto, Marcus G Pandy
Objective, Patellofemoral joint (PFJ) osteoarthritis (OA) is common, yet little is known about how this condition influences lower-limb biomechanical function. This study compared pelvis and lower-limb kinematics in people with and without PFJOA., Methods, Sixty-nine participants (64% women, mean age 56±10 years) with anterior knee pain aggravated by PFJ loaded activities (stair ambulation, rising from sitting, squatting) and radiographic lateral PFJOA on skyline radiographs were compared with 18 controls (78% women, mean age 53±7 years) with no lower-limb pain or radiographic OA...
April 24, 2017: Arthritis Care & Research
https://www.readbyqxmd.com/read/28437130/lower-limb-and-trunk-biomechanics-after-fatigue-in-competitive-female-irish-dancers
#4
Catherine Y Wild, Avril Grealish, Diana Hopper
CONTEXT:   Because of the increasing popularity of participation in Irish dance, the incidence of lower limb injuries is high among this competitive population. OBJECTIVE:   To investigate the effects of fatigue on the peak lower limb and trunk angles as well as the peak lower limb joint forces and moments of competitive female Irish dancers during the performance of a dance-specific single-limb landing. DESIGN:   Cross-sectional study...
April 24, 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/28437129/acute-ankle-sprain-in-a-mouse-model-changes-in-knee-joint-space
#5
Tricia Hubbard-Turner, Erik A Wikstrom, Sophie Guderian, Michael J Turner
CONTEXT:   Ankle sprains remain the most common orthopaedic injury. Conducting long-term studies in humans is difficult and costly, so the long-term consequences of an ankle sprain are not entirely known. OBJECTIVE:   To measure knee-joint space after a single surgically induced ankle sprain in mice. DESIGN:   Randomized controlled trial. SETTING:   University research laboratory. PATIENTS OR OTHER PARTICIPANTS:   Thirty male mice (CBA/2J) were randomly placed into 1 of 3 surgical groups: the transected calcaneofibular ligament (CFL) group, the transected anterior talofibular ligament/CFL group, and a sham treatment group...
April 24, 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/28436878/biofeedback-for-gait-retraining-based-on-real-time-estimation-of-tibiofemoral-joint-contact-forces
#6
Claudio Pizzolato, Monica Reggiani, David J Saxby, Elena Ceseracciu, Luca Modenese, David G Lloyd
Biofeedback assisted rehabilitation and intervention technologies have the potential to modify clinically relevant biomechanics. Gait retraining has been used to reduce the knee adduction moment, a surrogate of medial tibiofemoral joint loading often used in knee osteoarthritis research. In this study we present an electromyogram-driven neuromusculoskeletal model of the lower-limb to estimate, in real-time, the tibiofemoral joint loads. The model included 34 musculotendon units spanning the hip, knee, and ankle joints...
April 18, 2017: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/28433387/how-do-rocker-soled-shoes-influence-the-knee-adduction-moment-in-people-with-knee-osteoarthritis-an-analysis-of-biomechanical-mechanisms
#7
Elizabeth G Madden, Crystal O Kean, Tim V Wrigley, Kim L Bennell, Rana S Hinman
The primary objective was to examine mechanisms behind previously observed changes in the knee adduction moment (KAM) with rocker-soled shoes, in participants sub-grouped according to whether they experienced an immediate decrease, or increase, in peak KAM. In subgroups where frontal plane knee ground reaction force (GRF) lever-arm emerged as a significant predictor, a secondary aim was to examine biomechanical factors that contributed to change in this parameter. Thirty individuals with symptomatic, radiographic knee osteoarthritis (OA) underwent 3D gait analysis in unstable rocker-soled shoes and non-rocker-soled shoes...
April 9, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/28422559/the-influence-of-ambulatory-aid-on-lower-extremity-muscle-activation-during-gait
#8
Michael Sanders, Anton E Bowden, Spencer Baker, Ryan Jensen, McKenzie Nichols
CONTEXT: Foot and ankle injuries are common, and often require a non-weight bearing period of immobilization for the involved leg. This non-weight bearing period usually results in muscle atrophy for the involved leg. There is a dearth of objective data describing muscle activation for different ambulatory aids that are used during the aforementioned non-weight bearing period. OBJECTIVE: To compare activation amplitudes for four leg muscles during (1) able-bodied gait and (2) ambulation involving three different ambulatory aids that can be used during the acute phase of foot and ankle injury care...
April 19, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28419756/posterior-ankle-labral-changes-at-mri-a-preliminary-study
#9
Nasir Khan, Navdeep Sahota, Michael L Shepel, Haron Obaid
INTRODUCTION: The transverse ligament in the ankle joint has been described as a labrum-like structure in a previous cadaveric study. The purpose of this study is to assess the spectrum of abnormal changes related to this structure on imaging/MRI, and correlate these findings with other ankle joint findings and patient symptoms. METHOD: A retrospective observational review of 172 ankle MRI scans was carried out independently by two fellowship trained musculoskeletal Radiologists...
April 17, 2017: Journal of Medical Imaging and Radiation Oncology
https://www.readbyqxmd.com/read/28417667/immediate-and-short-term-biomechanical-adaptation-of-habitual-barefoot-runners-who-start-shod-running
#10
Ivan P H Au, Fannie O Y Lau, Winko W An, Janet H Zhang, Tony L Chen, Roy T H Cheung
This study investigated the immediate and short-term effects of minimalist shoes (MS) and traditional running shoes (TRS) on vertical loading rates, foot strike pattern and lower limb kinematics in a group of habitual barefoot runners. Twelve habitual barefoot runners were randomly given a pair of MS or TRS and were asked to run with the prescribed shoes for 1 month. Outcome variables were obtained before, immediate after and 1 month after shoe prescription. Average and instantaneous vertical loading rates at the 1-month follow-up were significantly higher than that at the pre-shod session (P < 0...
April 18, 2017: Journal of Sports Sciences
https://www.readbyqxmd.com/read/28410094/stiffness-perception-during-active-ankle-and-knee-movement
#11
Alejandro F Azocar, Elliott J Rouse
OBJECTIVE: Recently, human joint impedance-the instantaneous mechanical response to a perturbation-has been quantified during gait, providing new insight beyond the traditional biomechanical descriptions of kinetics and kinematics. However, the role of joint impedance in neuromotor control and the development of exoskeletons and other wearable robotic systems remains unknown. One approach to studying the role of impedance in neuromotor control involves characterizing the human ability to discriminate changes in external impedance properties...
April 6, 2017: IEEE Transactions on Bio-medical Engineering
https://www.readbyqxmd.com/read/28406358/bone-health-in-elite-kenyan-runners
#12
Nicholas Tam, Jordan Santos-Concejero, Ross Tucker, Robert P Lamberts, Lisa K Micklesfield
Impact loading in athletes participating in various sports has been positively associated with increased bone mineral density (BMD), but this has not been investigated in elite Kenyan runners. Body composition and site-specific BMD measures quantified with dual x-ray absorptiometry were measured in 15 elite male Kenyan runners and 23 apparently healthy South African males of different ethnicities. Training load and biomechanical variables associated with impact loading, such as joint stiffness, were determined in the elite Kenyan runners...
April 13, 2017: Journal of Sports Sciences
https://www.readbyqxmd.com/read/28394742/side-to-side-differences-in-lower-extremity-biomechanics-during-multi-directional-jump-landing-in-volleyball-athletes
#13
Komsak Sinsurin, Sarun Srisangboriboon, Roongtiwa Vachalathiti
Side-to-side differences of lower extremities may influence the likelihood of injury. Moreover, adding the complexity of jump-landing direction would help to explain lower extremity control during sport activities. The aim was to determine the effects of limb dominance and jump-landing direction on lower extremity biomechanics. Nineteen female volleyball athletes participated. Both dominant limbs (DLs) and non-dominant limbs (NLs) were examined in single-leg jump-landing tests in four directions, including forward (0°), diagonal (30° and 60°), and lateral (90°) directions...
April 10, 2017: European Journal of Sport Science
https://www.readbyqxmd.com/read/28391516/management-of-acute-injuries-of-the-tibiofibular-syndesmosis
#14
REVIEW
Nicholas M Fort, Amiethab A Aiyer, Jonathan R Kaplan, Niall A Smyth, Anish R Kadakia
The syndesmosis is important for ankle stability and load transmission and is commonly injured in association with ankle sprains and fractures. Syndesmotic disruption is associated with between 5 and 10% of ankle sprains and 11-20% of operative ankle fractures. Failure to recognize and appropriately treat syndesmotic disruption can portend poor functional outcomes for patients; therefore, early recognition and appropriate treatment are critical. Syndesmotic injuries are difficult to diagnose, and even when identified and treated, a slightly malreduced syndesmosis can lead to joint destruction and poor functional outcomes...
April 8, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28374052/stress-fractures-of-the-foot-and-ankle-part-1-biomechanics-of-bone-and-principles-of-imaging-and-treatment
#15
REVIEW
Jacob C Mandell, Bharti Khurana, Stacy E Smith
A stress fracture is a focal failure of bone induced by the summation of repetitive forces, which overwhelms the normal bone remodeling cycle. This review, the first of two parts, discusses the general principles of stress fractures of the foot and ankle. This includes bone structure, biomechanics of stress applied to bone, bone remodeling, risk factors for stress fracture, and general principles of imaging and treatment of stress fractures. Cortical bone and trabecular bone have a contrasting macrostructure, which leads to differing resistances to externally applied forces...
April 4, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28367693/outcomes-of-the-modified-brostr%C3%A3-m-procedure-augmented-with-suture-tape-for-ankle-instability-in-patients-with-generalized-ligamentous-laxity
#16
Byung-Ki Cho, Kyoung-Jin Park, Ji-Kang Park, Nelson F SooHoo
BACKGROUND: Although recent biomechanical studies have reported mechanical superiority of augmented anterior talofibular ligament reconstruction using suture-tape, clinical evidence regarding the efficacy of suture-tape augmentation is still insufficient. This prospective study was performed to evaluate the outcomes of the modified Broström procedure augmented with suture-tape for chronic ankle instability with generalized ligamentous laxity, which has been known to be a poor prognostic factor for anatomic ligament repair...
April 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28367686/biomechanical-metabolic-and-cardiopulmonary-responses-of-masters-recreational-runners-during-running-at-different-speeds
#17
Hallie Hahn, Kevin R Vincent, Daniel C Herman, Cong Chen, Laura Ann Zdziarski, Christine Morgan, Heather K Vincent
This study tested interactions between age and running speed on biomechanics, metabolic responses and cardiopulmonary responses. Three-hundred participants ran at preferred and standardized speeds. Age group (younger, masters [≥40 years]) by speed (self-selected 8.8 km/h, 11.2 km/h and 13.6 km/h) interactions were tested on main outcomes of sagittal kinematic, temporal spatial, metabolic and cardiopulmonary parameters. At all speeds, angular displacements of the ankle, pelvis and knee were less in masters than younger runners (Hedges g effect size range = 0...
April 2017: Research in Sports Medicine
https://www.readbyqxmd.com/read/28365220/adaptation-of-running-pattern-to-the-drop-of-standard-cushioned-shoes-a-randomised-controlled-trial-with-a-6-month-follow-up
#18
Laurent Malisoux, Paul Gette, Nicolas Chambon, Axel Urhausen, Daniel Theisen
OBJECTIVES: While several cross-sectional studies have investigated the acute effects of shoe drop on running biomechanics, the long-term consequences are currently unknown. This study aimed to investigate if the drop of standard cushioned shoes induces specific adaptations in running technique over a six-month period in leisure-time runners. DESIGN: Double-blinded randomised controlled trial. METHODS: The participants (n=59) received a pair of shoes with a heel-to-toe drop of 10mm (D10), 6mm (D6) or 0mm (D0) and were followed-up regarding running training over 6 months or 500km, whichever came first...
March 18, 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/28358780/the-cure-that-lies-within-the-mind-body-connection-in-orthopaedics
#19
Erin Sullivan, Jeremy Hudson
The mind and the body are clearly intertwined in ways that are only now being discovered. In the orthopaedic world, injuries and diseases are often classified and described in a very organized, discrete fashion-The radius is fractured, the ACL or meniscus or rotator cuff is torn, the ankle is sprained, and/or the lumbar spine has a disc herniation. Although it is, in many ways, almost comforting to think about injuries or orthopaedic issues in this manner, what about the many patients who fail to fall into this classification? What about the thousands of patients with severe unexplained chronic pain or patients who just are not improving with the typical treatment algorithm...
March 2017: Orthopaedic Nursing
https://www.readbyqxmd.com/read/28353683/model-based-estimation-of-ankle-joint-stiffness
#20
Berno J E Misgeld, Tony Zhang, Markus J Lüken, Steffen Leonhardt
We address the estimation of biomechanical parameters with wearable measurement technologies. In particular, we focus on the estimation of sagittal plane ankle joint stiffness in dorsiflexion/plantar flexion. For this estimation, a novel nonlinear biomechanical model of the lower leg was formulated that is driven by electromyographic signals. The model incorporates a two-dimensional kinematic description in the sagittal plane for the calculation of muscle lever arms and torques. To reduce estimation errors due to model uncertainties, a filtering algorithm is necessary that employs segmental orientation sensor measurements...
March 29, 2017: Sensors
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