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Lower limb kinematics

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https://www.readbyqxmd.com/read/29148138/artificial-walking-technologies-to-improve-gait-in-cerebral-palsy-multichannel-neuromuscular-stimulation
#1
Jessica Rose, Katelyn Cahill-Rowley, Erin E Butler
Cerebral palsy (CP) is the most common childhood motor disability and often results in debilitating walking abnormalities, such as flexed-knee and stiff-knee gait. Current medical and surgical treatments are only partially effective in improving gait abnormalities and may cause significant muscle weakness. However, emerging artificial walking technologies, such as step-initiated, multichannel neuromuscular electrical stimulation (NMES), can substantially improve gait patterns and promote muscle strength in children with spastic CP...
November 2017: Artificial Organs
https://www.readbyqxmd.com/read/29137725/a-gait-retraining-system-using-augmented-reality-to-modify-footprint-parameters-effects-on-lower-limb-sagittal-plane-kinematics
#2
Sami Bennour, Baptiste Ulrich, Thomas Legrand, Brigitte M Jolles, Julien Favre
Improving lower-limb flexion/extension angles during walking is important for the treatment of numerous pathologies. Currently, these gait retraining procedures are mostly qualitative, often based on visual assessment and oral instructions. This study aimed to propose an alternative method combining motion capture and display of target footprints on the floor. The second objectives were to determine the error in footprint modifications and the effects of footprint modifications on lower-limb flexion/extension angles...
November 11, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/29132264/leg-amputation-side-determines-performance-in-curve-sprinting-a-case-study-on-a-paralympic-medalist
#3
Johannes Funken, Kai Heinrich, Steffen Willwacher, Ralf Müller, Jonas Böcker, Hiroaki Hobara, Gert-Peter Brüggemann, Wolfgang Potthast
The lower limb kinetics of curve sprinting in amputees are not well described in the literature, particularly with respect to the effect of the side of amputation. This is an issue due to the importance of the knowledge for prosthetic design and classification of athletes. Thus, the aim of this study was to investigate the influence of side of amputation on curve sprinting performance in athletes with a unilateral leg amputation. A three-dimensional motion analysis system (Vicon), four force plates (Kistler) and a modified mathematical human model (ALASKA) were used to compare clockwise and counter clockwise curve sprinting lower limb kinematics and kinetics of a Paralympic medalist with a left-sided knee exarticular amputation...
November 13, 2017: Sports Biomechanics
https://www.readbyqxmd.com/read/29122192/physiological-consequences-of-using-an-upper-limb-exoskeleton-during-manual-handling-tasks
#4
Jean Theurel, Kevin Desbrosses, Terence Roux, Adriana Savescu
This study aimed to assess the physiological consequences of using an upper limb exoskeleton during manual handling task, as muscle activity, upper limb kinematics, postural balance and cardiac cost. Participants performed three tasks (load lifting (LIFT), carrying (WALK) and stacking-unstacking (STACK)) with (EXOS) and without (FREE) an exoskeleton. During LIFT and STACK, the activity of the deltoid anterior muscle was significantly lower for EXOS than for FREE. During LIFT, the activity of the triceps brachii (TB) and tibialis anterior muscles significantly increased for EXO...
February 2018: Applied Ergonomics
https://www.readbyqxmd.com/read/29121964/muscle-force-distribution-of-the-lower-limbs-during-walking-in-diabetic-individuals-with-and-without-polyneuropathy
#5
Aline A Gomes, Marko Ackermann, Jean P Ferreira, Maria Isabel V Orselli, Isabel C N Sacco
BACKGROUND: Muscle force estimation could advance the comprehension of the neuromuscular strategies that diabetic patients adopt to preserve walking ability, which guarantees their independence as they deal with their neural and muscular impairments due to diabetes and neuropathy. In this study, the lower limb's muscle force distribution during gait was estimated and compared in diabetic patients with and without polyneuropathy. METHODS: Thirty individuals were evaluated in a cross-sectional study, equally divided among controls (CG) and diabetic patients with (DNG) and without (DG) polyneuropathy...
November 9, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29111608/approach-for-gait-analysis-in-persons-with-limb-loss-including-residuum-and-prosthesis-socket-dynamics
#6
A K LaPrè, M Price, R Wedge, B R Umberger, F Sup
Musculoskeletal modeling and marker based motion capture techniques are commonly used to quantify the motions of body segments, and the forces acting on them during human gait. However, when these techniques are applied to analyze the gait of people with lower limb loss, the clinically relevant interaction between the residual limb and prosthesis socket is typically overlooked. It is known that there is considerable motion and loading at the residuum-socket interface, yet traditional gait analysis techniques do not account for these factors due to the inability to place tracking markers on the residual limb inside of the socket...
November 7, 2017: International Journal for Numerical Methods in Biomedical Engineering
https://www.readbyqxmd.com/read/29106655/pathological-movements-of-the-pelvis-and-trunk-during-gait-in-children-with-cerebral-palsy-a-cross-sectional-study-with-3-dimensional-kinematics-and-lower-lumbar-spinal-loading
#7
Damien Kiernan, Rory O'Sullivan, Ailish Malone, Timothy O'Brien, Ciaran K Simms
Background: Increased loading at the lumbar spine, particularly in the coronal plane, has been reported in children with cerebral palsy (CP). As pelvic and trunk movements associated with Trendelenburg and Duchenne type gait are most significant in the coronal plane, the potential exists for lower lumbar spinal loading to be negatively affected in children with CP and these types of movement patterns. Objective: The objective of this study was to assess trunk and pelvic kinematics and lower lumbar spinal loading patterns in children with CP and Trendelenburg and Duchenne type gait...
November 2, 2017: Physical Therapy
https://www.readbyqxmd.com/read/29104363/towards-total-energy-shaping-control-of-lower-limb-exoskeletons
#8
Ge Lv, Robert D Gregg
Current robotic exoskeletons enforce fixed reference joint patterns during gait rehabilitation. These control methods aim to replicate normative joint kinematics but do not facilitate learning patient-specific kinematics. Trajectory-free control methods for exoskeletons are required to promote user control over joint kinematics. Our prior work on potential energy shaping provides virtual body-weight support through a trajectory-free control law, but altering only the gravitational forces does not assist the subject in accelerating/decelerating the body forward...
May 2017: Proceedings of the ... American Control Conference
https://www.readbyqxmd.com/read/29101394/interactions-between-transfemoral-amputees-and-a-powered-knee-prosthesis-during-load-carriage
#9
Andrea Brandt, Yue Wen, Ming Liu, Jonathan Stallings, He Helen Huang
Machines and humans become mechanically coupled when lower limb amputees walk with powered prostheses, but these two control systems differ in adaptability. We know little about how they interact when faced with real-world physical demands (e.g. carrying loads). Here, we investigated how each system (i.e. amputee and powered prosthesis) responds to changes in the prosthesis mechanics and gravitational load. Five transfemoral amputees walked with and without load (i.e. weighted backpack) and a powered knee prosthesis with two pre-programmed controller settings (i...
November 3, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29100184/does-a-not-so-recent-ankle-sprain-influence-interjoint-coordination-during-walking
#10
Philippe Dedieu, Rima Chamoun, Guilhaume Lacaud, Thibault Moulinat, Maxime Queron, Pier-Giorgio Zanone
BACKGROUND: Ankle sprains are common joint injuries in daily and sports activities, whose underlying mechanisms have been amply studied. If joint structures are directly damaged, neuromuscular activity can be affected, particularly in the time domain. This study aims to establish whether previous ankle injury correlates with changes in the inter-joint synergy of the entire lower limb and in the muscle activity pattern during walking. METHODS: Three-dimensional walking-gait analysis was conducted on twenty-four adults...
October 18, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/29096266/mobile-assessment-of-the-lower-limb-kinematics-in-healthy-persons-and-in-persons-with-degenerative-knee-disorders-a-systematic-review
#11
REVIEW
R van der Straaten, L De Baets, I Jonkers, A Timmermans
Inertial sensor systems are increasingly used in the assessment of persons with knee osteoarthritis (KOA) and total knee replacement (TKR). This systematic review aims to (1) investigate the application of inertial sensor systems and kinematics derived from these systems, and (2) assess if current assessment protocols consist of tasks which are, according to the International Classification of Functioning, Disability and Health (ICF) for KOA, relevant for persons with KOA and TKR. A search was conducted in six electronic databases (ACM, CINAHL, EMBASE, IEEE, PubMed, Web of Science) to include papers assessing the knee and one or more adjacent joints by means of inertial sensors in healthy persons or persons with KOA or TKR...
October 5, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29093757/movement-coordination-patterns-between-the-foot-joints-during-walking
#12
John B Arnold, Paolo Caravaggi, François Fraysse, Dominic Thewlis, Alberto Leardini
Background: In 3D gait analysis, kinematics of the foot joints are usually reported via isolated time histories of joint rotations and no information is provided on the relationship between rotations at different joints. The aim of this study was to identify movement coordination patterns in the foot during walking by expanding an existing vector coding technique according to an established multi-segment foot and ankle model. A graphical representation is also described to summarise the coordination patterns of joint rotations across multiple patients...
2017: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/29091512/knee-frontal-plane-projection-angle-a-comparison-study-between-drop-vertical-jump-and-step-down-tests-with-young-volleyball-athletes
#13
Gabriel Andrade Paz, Marianna de Freitas Maia, Haroldo Gualter Santana, Humberto Miranda, Vicente Lima, John D Willson
STUDY DESIGN: Observational study. CONTEXT: Altered frontal plane knee mechanics during dynamic tasks have been often associated with lower extremity injuries. Strategies to decrease these risk factors and improve knee joint stability are often applied in rehabilitation and training environments. OBJECTIVE: The purpose of this study was to compare knee joint frontal plane projection angles (FPPA) via two dimensional (2D) video analysis during drop vertical jump (DVJ) and step-down test (SDT) tasks in the preferred and non-preferred limbs of young male and female volleyball players...
November 1, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29079261/lateral-extra-articular-tenodesis-has-no-effect-in-knees-with-isolated-anterior-cruciate-ligament-injury
#14
Elmar Herbst, Fabio V Arilla, Daniel Guenther, Carlos Yacuzzi, Ata A Rahnemai-Azar, Freddie H Fu, Richard E Debski, Volker Musahl
PURPOSE: To investigate knee kinematics in response to physical examinations to determine the effect of anterolateral capsular injury and lateral extra-articular tenodesis (LET) in anterior cruciate ligament (ACL)-deficient and -reconstructed knees. METHODS: Seven human lower limb cadavers were used in this study (mean age, 60 years; age range, 56-63 years). Physical examinations were performed, including the pivot-shift test, Lachman test, anterior drawer at 90°, and internal and external tibial rotation at 30°, 60°, and 90° of knee flexion...
October 24, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29077638/gait-kinematics-in-individuals-with-acute-and-chronic-patellofemoral-pain
#15
Aaron Fox, Reed Ferber, Natalie Saunders, Sean Osis, Jason Bonacci
PURPOSE: This study aimed to identify the discriminating kinematic gait characteristics between individuals with acute and chronic patellofemoral pain (PFP), and healthy controls. METHODS: Ninety-eight runners with PFP (39 male, 59 female) and 98 healthy control runners (38 male, 60 female) ran on a treadmill at a self-selected speed while three-dimensional lower limb kinematic data were collected. Runners with PFP were split into acute (n = 25) and chronic (n = 73) sub-groups based on whether they had been experiencing pain for less or greater than three months, respectively...
October 26, 2017: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/29075175/three-dimensional-trunk-and-lower-limbs-characteristics-during-gait-in-patients-with-huntington-s-disease
#16
Elzbieta Mirek, Magdalena Filip, Wiesław Chwała, Krzysztof Banaszkiewicz, Monika Rudzinska-Bar, Jadwiga Szymura, Szymon Pasiut, Andrzej Szczudlik
Objective: A number of studies on gait disturbances have been conducted, however, no clear pattern of gait disorders was described. The aim of the study was to characterize the gait pattern in HD patients by conducting analysis of mean angular movement changes the lower limb joints and trunk (kinematics parameters). Methods: The study group consisted of 30 patients with HD (17 women and 13 men). The reference data include the results of 30 healthy subjects (17 women and 13 men). Registration of gait with the Vicon 250 system was performed using passive markers attached to specific anthropometric points directly on the skin, based on the Golem biomechanical model (Oxford Metrics Ltd...
2017: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/29074324/does-calipered-kinematically-aligned-tka-restore-native-left-to-right-symmetry-of-the-lower-limb-and-improve-function
#17
Alexander J Nedopil, Avreeta K Singh, Stephen M Howell, Maury L Hull
BACKGROUND: Kinematically aligned total knee arthroplasty (KA TKA) strives to restore the native left to right symmetry of the lower limb; however, the reproducibility of achieving this target is unknown. The present study determined the proportion of patients with left to right symmetry and the improvement in patient-reported function after calipered KA TKA. METHODS: A review of 562 postoperative scanograms identified 102 patients (53 women) with a KA TKA in one limb, no other skeletal abnormalities in either limb, and symmetrical rotation between limbs on the scanogram...
September 25, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29065674/two-segment-foot-model-for-the-biomechanical-analysis-of-squat
#18
E Panero, L Gastaldi, W Rapp
Squat exercise is acquiring interest in many fields, due to its benefits in improving health and its biomechanical similarities to a wide range of sport motions and the recruitment of many body segments in a single maneuver. Several researches had examined considerable biomechanical aspects of lower limbs during squat, but not without limitations. The main goal of this study focuses on the analysis of the foot contribution during a partial body weight squat, using a two-segment foot model that considers separately the forefoot and the hindfoot...
2017: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29065630/influence-of-gait-speeds-on-contact-forces-of-lower-limbs
#19
Xin Wang, Yue Ma, Bo Yi Hou, Wing-Kai Lam
While walking with fast speed aims to promote health and fitness of individuals, the potential risk on lower limb joint loading across walking speed is still unknown. In order to determine the joint contact force loading associated with different walking speeds, fifteen young male and fifteen female participants performed barefoot walking across different speeds (regular = 1.1 m/s, medium = 1.4 m/s, and fast = 1.7 m/s). The synchronized motion and ground reaction force (GRF) data were captured by Codamotion capture system and AMTI force platform...
2017: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29065485/a-wearable-magneto-inertial-system-for-gait-analysis-h-gait-validation-on-normal-weight-and-overweight-obese-young-healthy-adults
#20
Valentina Agostini, Laura Gastaldi, Valeria Rosso, Marco Knaflitz, Shigeru Tadano
Background: Wearable magneto-inertial sensors are being increasingly used to obtain human motion measurements out of the lab, although their performance in applications requiring high accuracy, such as gait analysis, are still a subject of debate. The aim of this work was to validate a gait analysis system (H-Gait) based on magneto-inertial sensors, both in normal weight (NW) and overweight/obese (OW) subjects. The validation is performed against a reference multichannel recording system (STEP32), providing direct measurements of gait timings (through foot-switches) and joint angles in the sagittal plane (through electrogoniometers)...
October 21, 2017: Sensors
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