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1.
Med Sci Sports Exerc ; 55(9): 1592-1600, 2023 09 01.
Article in English | MEDLINE | ID: mdl-37057713

ABSTRACT

INTRODUCTION: Although bodyweight wall and ball squats are commonly used during patellofemoral rehabilitation, patellofemoral loading while performing these exercises is unknown, which makes it difficult for clinicians to know how to use these exercises in progressing a patient with patellofemoral pathology. Therefore, the purpose was to quantify patellofemoral force and stress between two bodyweight squat variations (ball squat vs wall squat) and between two heel-to-wall-distance (HTWD) variations (long HTWD vs short HTWD). METHODS: Sixteen participants performed a dynamic ball squat and wall squat with long HTWD and short HTWD. Ground reaction force and kinematic data were used to measure resultant knee force and torque from inverse dynamics, whereas electromyographic data were used in a knee muscle model to predict resultant knee force and torque, and subsequently, all these data were inputted into a biomechanical computer optimization model to output patellofemoral joint force and stress at select knee angles. A repeated-measures two- and three-way ANOVA ( P < 0.01) was used for statistical analyses. RESULTS: Collapsed across long HTWD and short HTWD, patellofemoral joint force and stress were greater in ball squat than wall squat at 30° ( P = 0.009), 40° ( P = 0.008), 90° ( P = 0.003), and 100° ( P = 0.005) knee angles during the squat descent, and greater in wall squat than ball squat at 100° ( P < 0.001), 90° ( P < 0.001), 80° ( P = 0.004), and 70° ( P = 0.009) knee angles during squat ascent. Collapsed across ball and wall squats, patellofemoral joint force and stress were greater with a short HTWD than a long HTWD at 100° ( P = 0.007) and 90° ( P = 0.008) knee angles during squat ascent. CONCLUSIONS: Patellofemoral joint loading changed according to both squat type and HTWD variations. These differences occurred in part due to differences in forces the wall or ball exerted on the trunk, including friction forces. Overall, patellofemoral force and stress were greater performing the bodyweight wall squat compared with the bodyweight ball squat. Moreover, squatting with short HTWD produced anterior knee displacement beyond the toes at higher knee angles, resulting in greater patellofemoral force and stress compared with squatting with long HTWD.


Subject(s)
Patellofemoral Joint , Humans , Heel , Knee Joint/physiology , Posture , Knee , Biomechanical Phenomena
2.
J Appl Biomech ; 38(4): 210-220, 2022 Aug 01.
Article in English | MEDLINE | ID: mdl-35697336

ABSTRACT

The objective was to assess how patellofemoral loads (joint force and stress) change while lunging with step length and step height variations. Sixteen participants performed a forward lunge using short and long steps at ground level and up to a 10-cm platform. Electromyography, ground reaction force, and 3D motion were captured, and patellofemoral loads were calculated as a function of knee angle. Repeated-measures 2-way analysis of variance (P < .05) was employed. Patellofemoral loads in the lead knee were greater with long step at the beginning of landing (10°-30° knee angle) and the end of pushoff (10°-40°) and greater with short step during the deep knee flexion portion of the lunge (50°-100°). Patellofemoral loads were greater at ground level than 10-cm platform during lunge descent (50°-100°) and lunge ascent (40°-70°). Patellofemoral loads generally increased as knee flexion increased and decreased as knee flexion decreased. To gradually increase patellofemoral loads, perform forward lunge in the following sequence: (1) minimal knee flexion (0°-30°), (2) moderate knee flexion (0°-60°), (3) long step and deep knee flexion (0°-100°) up to a 10-cm platform, and (4) long step and deep knee flexion (0°-100°) at ground level.


Subject(s)
Patellofemoral Joint , Biomechanical Phenomena , Electromyography , Humans , Knee , Knee Joint
3.
Int J Sports Phys Ther ; 17(2): 174-184, 2022.
Article in English | MEDLINE | ID: mdl-35136686

ABSTRACT

BACKGROUND: Forward and side lunge exercises strengthen hip and thigh musculature, enhance patellofemoral joint stability, and are commonly used during patellofemoral rehabilitation and training for sport. HYPOTHESIS/PURPOSE: The purpose was to quantify, via calculated estimates, patellofemoral force and stress between two lunge type variations (forward lunge versus side lunge) and between two step height variations (ground level versus 10 cm platform). The hypotheses were that patellofemoral force and stress would be greater at all knee angles performing the bodyweight side lunge compared to the bodyweight forward lunge, and greater when performing the forward and side lunge at ground level compared to up a 10cm platform. STUDY DESIGN: Controlled laboratory biomechanics repeated measures, counterbalanced design. METHODS: Sixteen participants performed a forward and side lunge at ground level and up a 10cm platform. Electromyographic, ground reaction force, and kinematic variables were collected and input into a biomechanical optimization model, and patellofemoral joint force and stress were calculated as a function of knee angle during the lunge descent and ascent and assessed with a repeated measures 2-way ANOVA (p<0.05). RESULTS: At 10° (p=0.003) knee angle (0° = full knee extension) during lunge descent and 10° and 30° (p<0.001) knee angles during lunge ascent patellofemoral joint force and stress were greater in forward lunge than side lunge. At 40°(p=0.005), 50°(p=0.002), 60°(p<0.001), 70°(p=0.006), 80°(p=0.005), 90°(p=0.002), and 100°(p<0.001) knee angles during lunge descent and 50°(p=0.002), 60°(p<0.001), 70°(p<0.001), 80°(p<0.001), and 90°(p<0.001) knee angles during lunge ascent patellofemoral joint force and stress were greater in side lunge than forward lunge. At 60°(p=0.009) knee angle during lunge descent and 40°(p=0.008), 50°(p=0.009), and 60°(p=0.007) knee angles during lunge ascent patellofemoral joint force and stress were greater lunging at ground level than up a 10cm platform. CONCLUSIONS: Patellofemoral joint loading changed according to lunge type, step height, and knee angle. Patellofemoral compressive force and stress were greater while lunging at ground level compared to lunging up to a 10 cm platform between 40° - 60° knee angles, and greater while performing the side lunge compared to the forward lunge between 40° - 100° knee angles. LEVEL OF EVIDENCE: II.

4.
Sports Health ; 8(4): 372-9, 2016 Jul.
Article in English | MEDLINE | ID: mdl-27302152

ABSTRACT

BACKGROUND: Prone, supine, and side position exercises are employed to enhance core stability. HYPOTHESIS: Overall core muscle activity would be greater in prone position exercises compared with supine and side position exercises. STUDY DESIGN: Controlled laboratory study. METHODS: Eighteen men and women between 23 and 45 years of age served as subjects. Surface electrodes were positioned over the upper and lower rectus abdominis, external and internal obliques, rectus femoris, latissimus dorsi, and lumbar paraspinals. Electromyography data were collected during 5 repetitions of 10 exercises, then normalized by maximum voluntary isometric contractions (MVIC). Differences in muscle activity were assessed using 1-way repeated-measures analysis of variance, while t tests with a Bonferroni correction were employed to assess pairwise comparisons. RESULTS: Upper and lower rectus abdominis activity was generally significantly greater in the crunch, bent-knee sit-up, and prone position exercises compared with side position exercises. External oblique activity was significantly greater in the prone on ball with right hip extension, side crunch on ball, and side bridge (plank) on toes compared with the prone and side bridge (plank) on knees, the crunch, or the bent-knee sit-up positions. Internal oblique activity was significantly greater in the prone bridge (plank) on ball and prone on ball with left and right hip extension compared with the side crunch on ball and prone and side bridge (plank) on knees positions. Lumbar paraspinal activity was significantly greater in the 3 side position exercises compared with all remaining exercises. Latissimus dorsi activity was significantly greater in the prone on ball with left and right hip extension and prone bridge (plank) on ball and on toes compared with the crunch, bent-knee sit-up, and prone and side bridge (plank) on knees positions. Rectus femoris activity was significantly greater in the prone on ball with left hip extension, bent-knee sit-up, or prone bridge (plank) on toes compared with the remaining exercises. CONCLUSION: Prone position exercises are good alternatives to supine position exercises for recruiting core musculature. Side position exercises are better for oblique and lumbar paraspinal recruitment. CLINICAL RELEVANCE: Because high core muscle activity is associated with high spinal compressive loading, muscle activation patterns should be considered when prescribing trunk exercises to those in which high spinal compressive loading may be deleterious.


Subject(s)
Abdominal Muscles/physiology , Back Muscles/physiology , Exercise , Posture/physiology , Sports Equipment , Adult , Electromyography , Female , Humans , Male , Middle Aged , Prone Position/physiology , Supine Position/physiology , Young Adult
5.
J Appl Biomech ; 30(1): 95-103, 2014 Feb.
Article in English | MEDLINE | ID: mdl-23878265

ABSTRACT

This study was conducted to investigate whether adding mass to subjects' feet affects the preferred transition speed (PTS), and to ascertain whether selected swing phase variables (maximum ankle dorsiflexion angular velocity, angular acceleration, joint moment, and joint power) are determinants of the PTS, based upon four previously established criteria. After the PTS of 24 healthy active male subjects was found, using an incremental protocol in loaded (2 kg mass added to each shoe) and unloaded (shoes only) conditions, subjects walked at three speeds (60%, 80%, and 100% of PTS) and ran at one speed (100% of PTS) on a motor-driven treadmill while relevant data were collected. The PTS of the unloaded condition (2.03 ± 0.12 m/s) was significantly greater (P < .05) than the PTS of the loaded condition (1.94 ± 0.13 m/s). Within both load conditions, all dependent variables increased significantly with walking speed, decreased significantly when gait changed to a run, and were assumed to provide the necessary input to signal a gait transition, fulfilling the requirements of the first three criteria, but only ankle angular velocity reached a critical level before the transition, satisfying all four criteria to be considered a determinant of the PTS.


Subject(s)
Acceleration , Foot/physiology , Locomotion/physiology , Physical Exertion/physiology , Range of Motion, Articular/physiology , Walking/physiology , Weight-Bearing/physiology , Adaptation, Physiological/physiology , Adult , Computer Simulation , Humans , Male , Models, Biological , Torque
6.
J Orthop Sports Phys Ther ; 40(5): 265-76, 2010 May.
Article in English | MEDLINE | ID: mdl-20436242

ABSTRACT

STUDY DESIGN: Controlled laboratory study using a repeated-measures, counterbalanced design. OBJECTIVES: To test the ability of 8 Swiss ball exercises (roll-out, pike, knee-up, skier, hip extension right, hip extension left, decline push-up, and sitting march right) and 2 traditional abdominal exercises (crunch and bent-knee sit-up) on activating core (lumbopelvic hip complex) musculature. BACKGROUND: Numerous Swiss ball abdominal exercises are employed for core muscle strengthening during training and rehabilitation, but there are minimal data to substantiate the ability of these exercises to recruit core muscles. It is also unknown how core muscle recruitment in many of these Swiss ball exercises compares to core muscle recruitment in traditional abdominal exercises such as the crunch and bent-knee sit-up. METHODS: A convenience sample of 18 subjects performed 5 repetitions for each exercise. Electromyographic (EMG) data were recorded on the right side for upper and lower rectus abdominis, external and internal oblique, latissimus dorsi, lumbar paraspinals, and rectus femoris, and then normalized using maximum voluntary isometric contractions (MVICs). RESULTS: EMG signals during the roll-out and pike exercises for the upper rectus abdominis (63% and 46% MVIC, respectively), lower rectus abdominis (53% and 55% MVIC, respectively), external oblique (46% and 84% MVIC, respectively), and internal oblique (46% and 56% MVIC, respectively) were significantly greater compared to most other exercises, where EMG signals ranged between 7% to 53% MVIC for the upper rectus abdominis, 7% to 44% MVIC for the lower rectus abdominis, 14% to 73% MVIC for the external oblique, and 16% to 47% MVIC for the internal oblique. The lowest EMG signals were consistently found in the sitting march right exercise. Latissimus dorsi EMG signals were greatest in the pike, knee-up, skier, hip extension right and left, and decline push-up (17%-25% MVIC), and least with the sitting march right, crunch, and bent-knee sit-up exercises (7%-8% MVIC). Rectus femoris EMG signal was greatest with the hip extension left exercise (35% MVIC), and least with the crunch, roll-out, hip extension right, and decline push-up exercises (6%-10% MVIC). Lumbar paraspinal EMG signal was relative low (less than 10% MVIC) for all exercises. CONCLUSIONS: The roll-out and pike were the most effective exercises in activating upper and lower rectus abdominis, external and internal obliques, and latissimus dorsi muscles, while minimizing lumbar paraspinals and rectus femoris activity. J Orthop Sports Phys Ther 2010;40(5):265-276, Epub 22 April 2010. doi:10.2519/jospt.2010.3073.


Subject(s)
Exercise Therapy/methods , Low Back Pain/rehabilitation , Lumbar Vertebrae/physiology , Lumbosacral Region/physiology , Muscle, Skeletal/physiology , Rectus Abdominis/physiology , Adult , Analysis of Variance , Electromyography , Exercise Test , Female , Humans , Male , Muscle Contraction/physiology , Posture , Regression Analysis
7.
Med Sci Sports Exerc ; 42(10): 1932-42, 2010 Oct.
Article in English | MEDLINE | ID: mdl-20195182

ABSTRACT

PURPOSE: The purpose of this study was to compare cruciate ligament forces between the forward lunge with a short step (forward lunge short) and the forward lunge with a long step (forward lunge long). METHODS: Eighteen subjects used their 12-repetition maximum weight while performing the forward lunge short and long with and without a stride. EMG, force, and kinematic variables were input into a biomechanical model using optimization, and cruciate ligament forces were calculated as a function of knee angle. A two-factor repeated-measure ANOVA was used with a Bonferroni adjustment (P < 0.0025) to assess differences in cruciate forces between lunging techniques. RESULTS: Mean posterior cruciate ligament (PCL) forces (69-765 N range) were significantly greater (P < 0.001) in the forward lunge long compared with the forward lunge short between 0 degrees and 80 degrees knee flexion angles. Mean PCL forces (86-691 N range) were significantly greater (P < 0.001) without a stride compared with those with a stride between 0 degrees and 20 degrees knee flexion angles. Mean anterior cruciate ligament (ACL) forces were generated (0-50 N range between 0 degrees and 10 degrees knee flexion angles) only in the forward lunge short with stride. CONCLUSIONS: All lunge variations appear appropriate and safe during ACL rehabilitation because of minimal ACL loading. ACL loading occurred only in the forward lunge short with stride. Clinicians should be cautious in prescribing forward lunge exercises during early phases of PCL rehabilitation, especially at higher knee flexion angles and during the forward lunge long, which generated the highest PCL forces. Understanding how varying lunging techniques affect cruciate ligament loading may help clinicians prescribe lunging exercises in a safe manner during ACL and PCL rehabilitation.


Subject(s)
Anterior Cruciate Ligament/physiology , Knee/physiology , Posterior Cruciate Ligament/physiology , Adult , Anterior Cruciate Ligament Injuries , Biomechanical Phenomena , Female , Humans , Knee Injuries/rehabilitation , Male , Posterior Cruciate Ligament/injuries , Range of Motion, Articular/physiology , Tibia/physiology , Young Adult
8.
Clin Biomech (Bristol, Avon) ; 25(3): 213-21, 2010 Mar.
Article in English | MEDLINE | ID: mdl-20004502

ABSTRACT

BACKGROUND: Although weight bearing lunge exercises are frequently employed during anterior cruciate ligament and posterior cruciate ligament rehabilitation, cruciate ligament tensile forces are currently unknown while performing forward and side lunge exercises with and without a stride. METHODS: Eighteen subjects used their 12 repetition maximum weight while performing a forward lunge and side lunge with and without a stride. A motion analysis system and biomechanical model were used to estimate cruciate ligament forces during lunging as a function of 0-90 degrees knee angles. FINDINGS: Comparing the forward lunge to the side lunge across stride variations, mean posterior cruciate ligament forces ranged between 205 and 765N and were significantly greater (P<0.0025) in the forward lunge long at 40 degrees , 50 degrees , 60 degrees , 70 degrees , and 80 degrees knee angles of the descent phase and at 80 degrees , 70 degrees , 60 degrees knee angles of the ascent phase. There were no significant differences (P<0.0025) in mean posterior cruciate ligament forces between with and without stride differences across lunging variations. There were no anterior cruciate ligament forces quantified while performing forward and side lunge exercises. INTERPRETATION: Clinicians should be cautious in prescribing forward and side lunge exercises during early phases of posterior cruciate ligament rehabilitation due to relatively high posterior cruciate ligament forces that are generated, especially during the forward lunge at knee angles between 40 degrees and 90 degrees knee angles. Both the forward and side lunges appear appropriate during all phases of anterior cruciate ligament rehabilitation. Understanding how forward and side lunging affect cruciate ligament loading over varying knee angles may help clinicians better prescribe lunging exercises in a safe manner during anterior cruciate ligament and posterior cruciate ligament rehabilitation.


Subject(s)
Anterior Cruciate Ligament/physiology , Models, Biological , Movement/physiology , Adult , Computer Simulation , Female , Humans , Male , Stress, Mechanical , Tensile Strength/physiology
9.
J Appl Biomech ; 25(3): 203-9, 2009 Aug.
Article in English | MEDLINE | ID: mdl-19827469

ABSTRACT

A motion system collected 120-Hz data from 14 baseball adult hitters using normal and choke-up bat grips. Six swings were digitized for each hitter, and temporal and kinematic parameters were calculated. Compared with a normal grip, the choke-up grip resulted in 1) less time during stride phase and swing; 2) the upper torso more opened at lead foot contact; 3) the pelvis more closed and less bat linear velocity at bat-ball contact; 4) less range of motion of the upper torso and pelvis during swing; 5) greater elbow flexion at lead foot contact; and 6) greater peak right elbow extension angular velocity. The decreased time during the stride phase when using a choke-up grip implies that hitters quicken their stride when they choke up. Less swing time duration and less upper torso and pelvis rotation range of motion using the choke-up grip supports the belief of many coaches and players that using a choke-up grip results in a "quicker" swing. However, the belief that using a choke-up grip leads to a faster moving bat was not supported by the results of this study.


Subject(s)
Baseball/physiology , Hand Strength/physiology , Muscle Contraction/physiology , Muscle, Skeletal/physiology , Adult , Biomechanical Phenomena , Humans , Imaging, Three-Dimensional , Male , Pilot Projects
10.
J Appl Biomech ; 25(3): 210-8, 2009 Aug.
Article in English | MEDLINE | ID: mdl-19827470

ABSTRACT

We propose that learning proper hitting kinematics should be encouraged at a young age during youth baseball because this may help reinforce proper hitting kinematics as a player progresses to higher levels of baseball in their adult years. To enhance our understanding between youth and adult baseball hitting, kinematic and temporal analyses of baseball hitting were evaluated with a high-speed motion analysis system between 12 skilled youth and 12 skilled adult baseball players. There were only a small number of temporal differences between youth and adult hitters, with adult hitters taking significantly greater time than youth hitters during the stride phase and during the swing. Compared with youth hitters, adult hitters a) had significantly greater (p < .01) lead knee flexion when the hands started to move forward; b) flexed the lead knee over a greater range of motion during the transition phase (31 degrees versus 13 degrees); c) extended the lead knee over a greater range of motion during the bat acceleration phase (59 degrees versus 32 degrees); d) maintained a more open pelvis position at lead foot off ground; and e) maintained a more open upper torso position when the hands started to move forward and a more closed upper torso position at bat-ball contact. Moreover, adult hitters had greater peak upper torso angular velocity (857 degrees/s versus 717 degrees/s), peak left elbow extension angular velocity (752 degrees/s versus 598 degrees/s), peak left knee extension angular velocity (386 degrees/s versus 303 degrees/s), and bat linear velocity at bat-ball contact (30 m/s versus 25 m/s). The numerous differences in kinematic and temporal parameters between youth and adult hitters suggest that hitting mechanics are different between these two groups.


Subject(s)
Baseball/physiology , Muscle Contraction , Muscle, Skeletal , Adolescent , Adult , Age Factors , Analysis of Variance , Biomechanical Phenomena , Body Height , Child , Female , Humans , Imaging, Three-Dimensional , Knowledge , Male , Posture , Young Adult
11.
Med Sci Sports Exerc ; 41(4): 879-88, 2009 Apr.
Article in English | MEDLINE | ID: mdl-19276845

ABSTRACT

PURPOSE: To compare patellofemoral compressive force and stress during the one-leg squat and two variations of the wall squat. METHODS: Eighteen subjects used their 12 repetition maximum (12 RM) weight while performing the wall squat with the feet closer to the wall (wall squat short), the wall squat with the feet farther away from the wall (wall squat long), and the one-leg squat. EMG, force platform, and kinematic variables were input into a biomechanical model to calculate patellofemoral compressive force and stress as a function of knee angle. To asses differences among exercises, a one-factor repeated-measure ANOVA (P = 0.0025) was used. RESULTS: During the squat ascent, there were significant differences in patellofemoral force and stress among the three squat exercises at 90 degrees knee angle (P = 0.002), 80 degrees knee angle (P = 0.002), 70 degrees knee angle (P < 0.001), and 60 degrees knee angle (P = 0.001). Patellofemoral force and stress were significantly greater at 90 degrees knee angle in the wall squat short compared with wall squat long and one-leg squat, significantly greater at 70 degrees and 80 degrees knee angles in the wall squat short and long compared with the one-leg squat and significantly greater at 60 degrees knee angle in the wall squat long compared with the wall squat short and one-leg squat. CONCLUSIONS: Except at 60 degrees and 90 degrees knee angles, patellofemoral compressive force and stress were similar between the wall squat short and the wall squat long. Between 60 degrees and 90 degrees knee angles, wall squat exercises generally produced greater patellofemoral compressive force and stress compared with the one-leg squat. When the goal is to minimize patellofemoral compressive force and stress, it may be prudent to use a smaller knee angle range between 0 degrees and 50 degrees compared with a larger knee angle range between 60 degrees and 90 degrees .


Subject(s)
Femur/physiology , Patella/physiology , Patellofemoral Pain Syndrome/etiology , Stress, Physiological/physiology , Weight-Bearing/physiology , Adolescent , Adult , Biomechanical Phenomena , Electromyography , Exercise Test , Female , Humans , Male , Posture , Range of Motion, Articular/physiology , Young Adult
12.
Med Sci Sports Exerc ; 41(2): 408-17, 2009 Feb.
Article in English | MEDLINE | ID: mdl-19127183

ABSTRACT

PURPOSE: To compare cruciate ligament forces during wall squat and one-leg squat exercises. METHODS: Eighteen subjects performed the wall squat with feet closer to the wall (wall squat short), the wall squat with feet farther from the wall (wall squat long), and the one-leg squat. EMG, force, and kinematic variables were input into a biomechanical model using optimization. A three-factor repeated-measure ANOVA (P < 0.05) with planned comparisons was used. RESULTS: Mean posterior cruciate ligament (PCL) forces were significantly greater in 1) wall squat long compared with wall squat short (0 degrees -80 degrees knee angles) and one-leg squat (0 degrees -90 degrees knee angles); 2) wall squat short compared with one-leg squat between 0 degrees -20 degrees and 90 degrees knee angles; 3) wall squat long compared with wall squat short (70 degrees -0 degrees knee angles) and one-leg squat (90 degrees -60 degrees and 20 degrees -0 degrees knee angles); and 4) wall squat short compared with one-leg squat between 90 degrees -70 degrees and 0 degrees knee angles. Peak PCL force magnitudes occurred between 80 degrees and 90 degrees knee angles and were 723 +/- 127 N for wall squat long, 786 +/- 197 N for wall squat short, and 414 +/- 133 N for one-leg squat. Anterior cruciate ligament (ACL) forces during one-leg squat occurred between 0 degrees and 40 degrees knee angles, with a peak magnitude of 59 +/- 52 N at 30 degrees knee angle. Quadriceps force ranged approximately between 30 and 720 N, whereas hamstring force ranged approximately between 15 and 190 N. CONCLUSIONS: Throughout the 0 degrees -90 degrees knee angles, the wall squat long generally exhibited significantly greater PCL forces compared with the wall squat short and one-leg squat. PCL forces were similar between the wall squat short and the one-leg squat. ACL forces were generated only in the one-leg squat. All exercises appear to load the ACL and the PCL within a safe range in healthy individuals.


Subject(s)
Anterior Cruciate Ligament/physiology , Posterior Cruciate Ligament/physiology , Resistance Training , Adult , Biomechanical Phenomena , Cohort Studies , Exercise/physiology , Female , Humans , Male , Range of Motion, Articular/physiology , Young Adult
13.
J Orthop Sports Phys Ther ; 38(11): 681-90, 2008 Nov.
Article in English | MEDLINE | ID: mdl-18978453

ABSTRACT

STUDY DESIGN: Controlled laboratory biomechanics study using a repeated-measures, counterbalanced design. OBJECTIVES: To compare patellofemoral joint force and stress between a short- and long-step forward lunge both with and without a stride. BACKGROUND: Although weight-bearing forward-lunge exercises are frequently employed during rehabilitation for individuals with patellofemoral joint syndrome, patellofemoral joint force and stress and how they change with variations of the lunge exercise are currently unknown. METHODS AND MEASURES: Eighteen subjects used their 12-repetition maximum weight while performing a short- and long-step forward lunge both with and without a stride. Electromyography, ground reaction force, and kinematic variables were put into a biomechanical optimization model, and patellofemoral joint force and stress were calculated as a function of knee angle. RESULTS: Visual observation of the data show that during the forward lunge, patellofemoral joint force and stress increased progressively as knee flexion increased, and decreased progressively as knee flexion decreased. Between 70 degrees and 90 degrees of knee flexion, patellofemoral joint force and stress were significantly greater when performing a forward lunge with a short step compared to a long step (P<.025). Between 10 degrees and 40 degrees of knee flexion, patellofemoral joint force and stress were significantly greater when performing a forward lunge with a stride compared to without a stride (P<.025). CONCLUSIONS: When the goal is to minimize patellofemoral joint force and stress during the forward lunge performed between 0 degrees to 90 degrees knee angles, it may be prudent to perform the lunge with a long step compared to a short step and without a stride compared to with a stride, because patellofemoral joint force and stress magnitudes were greater with a short step compared to a long step at higher knee flexion angles and were greater with a stride compared to without a stride at lower knee flexion angles.


Subject(s)
Gait/physiology , Knee Joint/physiology , Stress, Mechanical , Adult , Algorithms , Biomechanical Phenomena , Electromyography , Female , Humans , Male
14.
Clin Biomech (Bristol, Avon) ; 23(8): 1026-37, 2008 Oct.
Article in English | MEDLINE | ID: mdl-18632195

ABSTRACT

BACKGROUND: Although weight bearing lunge exercises are frequently employed during patellofemoral rehabilitation, patellofemoral compressive force and stress are currently unknown for these exercises. METHODS: Eighteen subjects used their 12 repetition maximum weight while performing forward and side lunges with and without a stride. EMG, force platform, and kinematic variables were input into a biomechanical model, and patellofemoral compressive force and stress were calculated as a function of knee angle. FINDINGS: Patellofemoral force and stress progressively decreased as knee flexion increased and progressively increased as knee flexion decreased. Patellofemoral force and stress were greater in the side lunge compared to the forward lunge between 80 degrees and 90 degrees knee angles, and greater with a stride compared to without a stride between 10 degrees and 50 degrees knee angles. There were no significant interactions between lunge variations and stride variations. INTERPRETATION: A more functional knee flexion range between 0 degrees and 50 degrees may be appropriate during the early phases of patellofemoral rehabilitation due to lower patellofemoral compressive force and stress during this range compared to higher knee angles between 60 degrees and 90 degrees. Moreover, when the goal is to minimize patellofemoral compressive force and stress, it may be prudent to employ forward and side lunges without a stride compared to with a stride, especially at lower knee angles between 0 degrees and 50 degrees. Understanding differences in patellofemoral compressive force and stress among lunge variations may help clinicians prescribe safer and more effective exercise interventions.


Subject(s)
Femur/physiopathology , Gait/physiology , Knee Joint/physiopathology , Movement/physiology , Patella/physiopathology , Weight-Bearing/physiology , Adolescent , Adult , Compressive Strength/physiology , Exercise/physiology , Female , Humans , Lower Extremity/physiopathology , Male , Range of Motion, Articular/physiology , Stress, Mechanical
15.
J Appl Biomech ; 24(2): 149-57, 2008 May.
Article in English | MEDLINE | ID: mdl-18579907

ABSTRACT

The primary purpose of this project was to examine whether lower extremity joint kinetic factors are related to the walk-run gait transition during human locomotion. Following determination of the preferred transition speed (PTS), each of the 16 subjects walked down a 25-m runway, and over a floor-mounted force platform at five speeds (70, 80, 90, 100, and 110% of the PTS), and ran over the force platform at three speeds (80, 100, and 120% of the PTS) while being videotaped (240 Hz) from the right sagittal plane. Two-dimensional kinematic data were synchronized with ground reaction force data (960 Hz). After smoothing, ankle and knee joint moments and powers were calculated using standard inverse dynamics calculations. The maximum dorsiflexor moment was the only variable tested that increased as walking speed increased and then decreased when gait changed to a run at the PTS, meeting the criteria set to indicate that this variable influences the walk-run gait transition during human locomotion. This supports previous research suggesting that an important factor in changing gaits at the PTS is the prevention of undue stress in the dorsiflexor muscles.


Subject(s)
Gait/physiology , Locomotion/physiology , Adult , Ankle Joint/physiopathology , Female , Humans , Lower Extremity/physiology , Male , Muscle, Skeletal/physiopathology , Stress, Mechanical
16.
Gait Posture ; 25(3): 419-24, 2007 Mar.
Article in English | MEDLINE | ID: mdl-16793272

ABSTRACT

Although the preferred transition speed (PTS) reported by various researchers is relatively consistent, the amount of observed hysteresis (difference between the walk-run and the run-walk transition speed) varies considerably. Variations in reported hysteresis appear to be related to the protocol used to determine the transition speeds. This investigation compared the PTS, and the amount of hysteresis observed between the incremental and continuous protocols at various inclination conditions. The PTS was significantly greater in the continuous than the incremental protocol within both the 10% and 15% inclination conditions. The amount of hysteresis, however, did not vary significantly between protocols nor between inclination conditions. In the incremental protocol, the amount of hysteresis appears to be related to the size of the speed increment used. In the continuous protocol, the amount of hysteresis could be related to the rate of treadmill acceleration.


Subject(s)
Adaptation, Physiological , Gait/physiology , Locomotion/physiology , Running/physiology , Acceleration , Exercise Test , Female , Humans , Male
17.
J Sports Sci Med ; 6(1): 36-43, 2007.
Article in English | MEDLINE | ID: mdl-24149222

ABSTRACT

When a treadmill accelerates continuously, the walk-run transition has generally been assumed to occur at the instant when a flight phase is first observed, while the run-walk transition has been assumed to occur at the instant of the first double support period. There is no theoretical or empirical evidence to suggest that gait transitions occur at the instant of these events, nor even whether transitions are abrupt events. The purpose of this study was to determine whether the gait transitions during human locomotion occur abruptly, and if so, to determine the instant during a stride at which a transition occurs. The time history of the vertical velocity of the hip (vhip) and the angular velocity of the ankle (ωankle) were compared between constant speed strides (walking or running) and strides at and near the walk-run and run-walk transitions to determine if and when the transition strides resemble the stride of the corresponding constant speed strides. For both the walk-run and run-walk transitions, the stride prior to the transition resembled the original gait pattern, while the stride following the transition resembled the new gait pattern. The transition stride, however, did not resemble either a walking or a running stride during either of the transition directions. It was concluded that gait transitions are initiated at about midstance of the transition stride, but the transition is not completed until after an adjustment period of between one step and one stride. Thus, gait transitions are not abrupt events during human locomotion. Key pointsGait transitions are not abrupt events.Initiation of a gait transitions occur at about midstance of the transition stride.Gait transitions are completed approximately at the next heelstrike of the ipsilateral foot.Time period between initiation and completion of transition does not resemble either a walk or a run.

18.
J Sports Sci Med ; 6(CSSI-2): 15-22, 2007.
Article in English | MEDLINE | ID: mdl-24198698

ABSTRACT

The purpose of this study was to compare the kinematics of kuzushi/tsukuri (KT) phases of the harai-goshi throw under competitive and non-competitive conditions. A third degree black belt subject served as the tori (thrower) for both conditions. Two black belt participants ranked as first degree and fourth degree served as the uke (faller) for the competitive and non-competitive conditions, respectively. Two video cameras (JVC 60 Hz) and a three dimensional motion analysis system (Vicon-Peak Performance Technologies, Inc., Englewood, CO) were used to collect and analyze peak velocity for the center of mass (COM) of uke and tori and peak angular velocity of tori's trunk (TAV). Data were smoothed using a 4(th) order zero lag Butterworth filter with a cut-off frequency set by the Peak software optimization technique. All variables were normalized by time as a percentage of the KT phase. In general, the COM directional velocity patterns were similar between conditions. Uke's defensive efforts during the competitive condition created differences in timing and magnitude of peak COM and TAV velocities. During competition, tori created larger peak COM velocities onto uke which indicated greater throwing power. Peak velocities for tori's COM were larger during the non-competitive condition since uke's resistance was minimal. Findings of the competitive condition suggested that mediolateral COM movement towards tori's pulling (left) hand can be an ideal set-up movement prior to execution. Tori's TAV was also greater during the competitive condition. Two distinct TAVs were observed, a counterclockwise TAV created by tori turning their hips during the entrance of the throw and a clockwise TAV created by the shoulders turning to complete the 180 degree body turn with the simultaneous leg sweep. It is thought that the counterclockwise rotation aids in producing a pre-stretch of trunk muscles which helps to create greater trunk rotation power. Key pointsCOM directional velocity patterns were similar between conditions and were consistent with the findings from previous kinetic studies.Uke's defensive efforts during the competitive condition created differences in timing and magnitude of peak COM and TAV velocities.Mediolateral COM movement towards tori's pulling (left) hand can be an ideal set-up movement prior to execuation.It is thought that the counterclockwise rotation aids in producing a pre-stretch of trunk muscles which helps to create greater trunk rotation power.

19.
Phys Ther ; 86(5): 656-71, 2006 May.
Article in English | MEDLINE | ID: mdl-16649890

ABSTRACT

BACKGROUND AND PURPOSE: Performing nontraditional abdominal exercises with devices such as abdominal straps, the Power Wheel, and the Ab Revolutionizer has been suggested as a way to activate abdominal and extraneous (nonabdominal) musculature as effectively as more traditional abdominal exercises, such as the crunch and bent-knee sit-up. The purpose of this study was to test the effectiveness of traditional and nontraditional abdominal exercises in activating abdominal and extraneous musculature. SUBJECTS: Twenty-one men and women who were healthy and between 23 and 43 years of age were recruited for this study. METHODS: Surface electromyography (EMG) was used to assess muscle activity from the upper and lower rectus abdominis, external and internal oblique, rectus femoris, latissimus dorsi, and lumbar paraspinal muscles while each exercise was performed. The EMG data were normalized to maximum voluntary muscle contractions. Differences in muscle activity were assessed by a 1-way, repeated-measures analysis of variance. RESULTS: Upper and lower rectus abdominis, internal oblique, and latissimus dorsi muscle EMG activity were highest for the Power Wheel (pike, knee-up, and roll-out), hanging knee-up with straps, and reverse crunch inclined 30 degrees. External oblique muscle EMG activity was highest for the Power Wheel (pike, knee-up, and roll-out) and hanging knee-up with straps. Rectus femoris muscle EMG activity was highest for the Power Wheel (pike and knee-up), reverse crunch inclined 30 degrees, and bent-knee sit-up. Lumbar paraspinal muscle EMG activity was low and similar among exercises. DISCUSSION AND CONCLUSION: The Power Wheel (pike, knee-up, and roll-out), hanging knee-up with straps, and reverse crunch inclined 30 degrees not only were the most effective exercises in activating abdominal musculature but also were the most effective in activating extraneous musculature. The relatively high rectus femoris muscle activity obtained with the Power Wheel (pike and knee-up), reverse crunch inclined 30 degrees, and bent-knee sit-up may be problematic for some people with low back problems.


Subject(s)
Abdominal Muscles/physiology , Electromyography , Exercise Therapy , Exercise/physiology , Low Back Pain/rehabilitation , Adult , Biomechanical Phenomena , Data Interpretation, Statistical , Electrodes , Female , Humans , Lumbar Vertebrae/physiology , Male , Rectus Abdominis/physiology
20.
J Sports Sci Med ; 5(CSSI): 122-31, 2006.
Article in English | MEDLINE | ID: mdl-24357984

ABSTRACT

Four black belt throwers (tori) and one black belt faller (uke) were filmed and analyzed in three-dimensions using two video cameras (JVC 60 Hz) and motion analysis software. Average linear momentum in the anteroposterior (x), vertical (y), and mediolateral (z) directions and average resultant impulse of uke's center of mass (COM) were investigated for three different throwing techniques; harai-goshi (hip throw), seoi-nage (hand throw), and osoto-gari (leg throw). Each throw was broken down into three main phases; kuzushi (balance breaking), tsukuri (fit-in), and kake (throw). For the harai-goshi and osoto-gari throws, impulse measurements were the largest within kuzushi and tsukuri phases (where collision between tori and uke predominantly occurs). Both throws indicated an importance for tori to create large momentum prior to contact with uke. The seoi-nage throw demonstrated the lowest impulse and maintained forward momentum on the body of uke throughout the entire throw. The harai-goshi and osoto-gari are considered power throws well-suited for large and strong judo players. The seoi-nage throw is considered more technical and is considered well-suited for shorter players with good agility. A form of resistance by uke was found during the kuzushi phase for all throws. The resistance which can be initiated by tori's push or pull allows for the tsukuri phase to occur properly by freezing uke for a good fit-in. Strategies for initiating an effective resistance include initiating movement of uke so that their COM is shifted to their left (for right handed throw) by incorporating an instantaneous "snap pull "with the pulling hand during kuzushi to create an opposite movement from uke. Key PointsThe degree of collision between the thrower (tori) and person being thrown (uke) may be a reflection of throwing power.The hip throw (harai-goshi) and leg throw (osoto-gari) created large collisions onto uke and are considered power throws well-suited for stronger and heavier players.The shoulder throw (seio-nage) created small collisions onto uke emphasizing the importance for skill rather than strength.A theoretical resistance to tori's pull was found during the kuzushi phase indicating a propensity for uke to freeze and allow tori to better fit into the throw during the tsukuri phase.

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