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1.
Res Q Exerc Sport ; : 1-10, 2024 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-38905703

RESUMO

Purpose: The aims of the present study were to: (1) investigate the magnitude and direction of the cross-education effect in a unilateral sport skill (overhand throw) and (2) to establish which practice condition (dominant hand only or alternating hands) would yield the best results. Methods: The study involved three experimental groups of 11-year-old children (n = 59). The first group (n = 20) used only the dominant hand to throw the ball. The second group (n = 19) used the nondominant hand only, while the third (n = 20) alternated hands for each throw. A pre- and post-testing of both hands preceded and followed the intervention period. Results: The results of our study revealed no asymmetry in cross-education effect between the limbs for children's overhand ball throwing. It was also shown that training both hands is superior to training the dominant hand alone. Conclusion: Our findings would be of particular interest to physical education teachers and coaches of unilateral sports who are advised to review their unilateral skill teaching methods as bilateral training offers a superior approach to augmenting the process of motor learning and performance.

2.
Scand J Med Sci Sports ; 34(1): e14502, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37740586

RESUMO

Ballet class represents a considerable portion of professional ballet training, yet the external training load demands associated with class-and particularly the jumping demands-have not been investigated. The purpose of this study was to measure the jumping demands of ballet class by sex and rank. Eleven female and eight male elite professional ballet dancers participated in 109 ballet classes taught by 12 different teachers. Jump counts and jump heights were measured during each class. A Poisson generalized linear mixed effects model was used to examine the differences in jump counts between sexes and ranks. Greater jump counts were observed during class in men than in women (153, 95% confidence intervals [CI] [137, 170] vs. 119, 95% CI [109, 131], p = 0.004) and in junior ranking dancers compared with senior ranking dancers (151, 95% CI [138, 165] vs. 121, 95% CI [108, 135], p = 0.006). Female junior and senior ranking dancers jumped at rates of 9.2 ± 2.6 and 8.6 ± 4.7 jumps·min-1 , respectively, while male junior and senior ranking dancers jumped at rates of 9.1 ± 2.6 and 8.7 ± 2.6 jumps·min-1 , respectively. Across all classes, 73% of jumps observed were below 50% of maximum double-legged countermovement jump height. Unlike rehearsals and performances, class offers dancers an opportunity to self-regulate load, and as such, are a useful session to manage jump load, and facilitate gradual return-to-dance pathways. Communication between health care and artistic staff is essential to facilitate load management during class.


Assuntos
Dança , Humanos , Masculino , Feminino , Dança/fisiologia
3.
Sports (Basel) ; 11(8)2023 Jul 28.
Artigo em Inglês | MEDLINE | ID: mdl-37624121

RESUMO

Impact force and maximum velocity are important indicators of kick efficiency. Therefore, this systematic review compared the front kick (FK) and roundhouse kick (RK), including their impact force, maximum velocity, angular velocity, and execution time, considering various target types and experience levels. Following PRISMA guidelines, the Web of Science, SportDiscus, and PubMed were systematically searched for articles published from January 1982 to May 2022. Normalized kicking values were compared using one-way ANOVA. Eighteen articles included FKs (sample: 113 elite men, 109 sub-elite men, and 46 novices), and twenty-five articles included RKs (sample: 238 elite men, 143 sub-elite men, and 27 novice men). The results indicate that the impact force of the FK were 47% (p < 0.01), 92% (p < 0.01), and 120% (p < 0.01) higher than those of the RK across novice, sub-elite, and elite groups, respectively. Moreover, the maximum foot velocity of the RK was 44% (p < 0.01) and 48% (p < 0.01) higher than that of the FK for the sub-elite and elite groups, respectively. Furthermore, the elite group had 65% (p < 0.01) higher knee extension angular velocity with the RK than with the FK and 138% (p < 0.01) higher hip extension angular velocity with the FK than with the RK. In summary, the findings suggest that the FK is more effective in generating forceful kicks, while the RK has the potential for rapid execution.

4.
J Strength Cond Res ; 37(10): 2106-2117, 2023 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-37639646

RESUMO

ABSTRACT: Femoroacetabular impingement (FAI) in ice hockey is a concern for many athletes. The biomechanics of skating and the injury mechanism, prevalence, identification, and treatment protocols currently available for FAI in ice hockey athletes are important for all coaches and practitioners to understand. This article discusses the underlying anatomical issues and biomechanical considerations surrounding FAI. Furthermore, this article describes the interventions that can be used when encountering FAI and well-established protocols to aid in the return to play. Finally, prevention strategies that can aid in injury prevention are discussed.


Assuntos
Impacto Femoroacetabular , Hóquei , Patinação , Humanos , Impacto Femoroacetabular/diagnóstico por imagem , Impacto Femoroacetabular/etiologia , Atletas , Fenômenos Biomecânicos
5.
Knee ; 44: 100-109, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37562119

RESUMO

INTRODUCTION: The aim of In this study was to verify the relationship among clinical indicators of patellofemoral pain syndrome (PFPS) and the results of modifying radiological investigation. Previous research suggests that there is a poor association between them. Therefore we have employed a technique for the functional evaluation of PFPS based on measuring the stiffness of the knee joint during passive flexion (biorheometry). METHOD: The correlation between clinical examination and a standardized Lysholm score, radiological and biorheometric measures was investigated in the 28 knee joints of 14 subjects exhibiting clinical features of PFPS. A modified axial radiological projection of the patellofemoral articulation in 90° of flexion provided the parameters quantifying the anatomical - morphological arrangement of the patellofemoral joint. The biorheometric properties of the knee were evaluated using a custom made measuring apparatus during passive flexion and extension of the knee. RESULTS: Our results confirm that the link between the clinical findings and the X-ray imaging examinations was not evident. On the contrary, the biorheometric examination proved to correlate well with the clinical symptoms of PFPS. Parameters were identified which can characterize the biorheograms of people suffering PFPS. CONCLUSIONS: Analysis of the relationship among the clinical, radiological and biorheometric examinations leads to the recommendation that biorheometric examination is an effective method for the objective assessment of PFPS.


Assuntos
Articulação Patelofemoral , Síndrome da Dor Patelofemoral , Humanos , Articulação do Joelho/diagnóstico por imagem , Joelho , Articulação Patelofemoral/diagnóstico por imagem
6.
Biol Sport ; 40(3): 899-918, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37398950

RESUMO

Ice-hockey requires high acceleration and speed sprint abilities, but it is unclear what the distance characteristic is for measuring these capabilities. Therefore, this systematic meta-analysis aims to summarize the sprint reference values for different sprint distances and suggest the appropriate use of ice-hockey straight sprint testing protocols. A total of 60 studies with a pooled sample of 2254 males and 398 females aged 11-37 years were included. However, the pooled data for women was not large enough to permit statistical analysis. The sprint distance used for measuring the reported acceleration and speed was between 4-48 m. Increased test distance was positively associated with increased speed (r = 0.70) and negatively with average acceleration (r = -0.87). Forward skating sprint speed increases with the measured distance up to 26 m and do not differ much from longer distance tests, while acceleration decreases with a drop below 3 m/s at distances 15 m and longer. The highest acceleration (5.89 m/s2 peak, 3.31 m/s2 average) was achieved in the shortest distances up to 7 m which significantly differs from 8-14 m tests. The highest speed (8.1 m/s peak, 6.76 m/s average) has been recorded between 26-39 m; therefore, distances over 39 m are not necessary to achieve maximum speed. Considering match demands and most reported test distances, 6.1 m is the recommended distance for peak acceleration and 30 m for peak speed. The sprint time, acceleration, and speed of each individual and the number of skating strides should be reported in future studies.

7.
Motor Control ; 27(2): 354-372, 2023 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-36476973

RESUMO

Contemporary descriptions of motor control suggest that variability in movement can be indicative of skilled or unskilled performance. Here we used principal component analysis to study the kicking performance of elite and sub-elite soldiers who were highly familiar with the skill in order to compare the variability in the first and second principal components. The subjects kicked a force plate under a range of loaded conditions, and their movement was recorded using optical motion capture. The first principal component explained >92% of the variability across all kinematic variables when analyzed separately for each condition, and both groups and explained more of the variation in the movement of the elite group. There was more variation in the loading coefficient of the first principal component for the sub-elite group. In contrast, for the second principal component, there was more variation in the loading coefficient for the elite group, and the relative magnitude of the variation was greater than for the first principal component for both groups. These results suggest that the first principal component represented the most fundamental movement pattern, and there was less variation in this mode for the elite group. In addition, more of the variability was explained by the hip than the knee angle entered when both variables were entered into the same PCA, which suggests that the movement is driven by the hip.


Assuntos
Extremidade Inferior , Movimento , Humanos , Análise de Componente Principal , Fenômenos Biomecânicos
8.
J Strength Cond Res ; 36(7): 1853-1859, 2022 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-35730770

RESUMO

ABSTRACT: Davies, WT, Ryu, JH, Graham-Smith, P, Goodwin, JE, and Cleather, DJ. Stronger subjects select a movement pattern that may reduce anterior cruciate ligament loading during cutting. J Strength Cond Res 36(7): 1853-1859, 2022-Increased strength has been suggested to reduce the incidence of anterior cruciate ligament (ACL) injury as part of wider neuromuscular training programs; however, the mechanism of this is not clear. Cutting is a high-risk maneuver for ACL injury, but limited research exists as to how strength affects sagittal plane biomechanics during this movement. Sixteen subjects were split into a stronger and weaker group based on their relative peak isometric strength in a unilateral squat (stronger: 29.0 ± 3.4 N·kg-1 and weaker: 18.3 ± 4.1 N·kg-1). Subjects performed 45° cuts with maximal intent 3 times, at 3 different approach velocities (2, 4, and 6 m·s-1). Kinematics and ground reaction forces were collected using optical motion capture and a force platform. The stronger group had lower knee extensor moments, larger hip extensor moments, and a greater peak knee flexion angle than the weaker group (p < 0.05). There was a trend for greater knee flexion at initial contact in the stronger group. There were no differences in resultant ground reaction forces between groups. The stronger group relied more on the hip than the knee during cutting and reached greater knee flexion angles. This could decrease ACL loading by reducing the extensor moment required at the knee during weight acceptance. Similarly, the greater knee flexion angle during weight acceptance is likely to be protective of the ACL.


Assuntos
Lesões do Ligamento Cruzado Anterior , Reconstrução do Ligamento Cruzado Anterior , Ligamento Cruzado Anterior/cirurgia , Lesões do Ligamento Cruzado Anterior/prevenção & controle , Lesões do Ligamento Cruzado Anterior/cirurgia , Fenômenos Biomecânicos , Humanos , Articulação do Joelho , Movimento
9.
J Mot Behav ; 54(1): 44-56, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-33596775

RESUMO

The aim of this study was to investigate the motor control strategies adopted when performing two jumping tasks with different task demands when analysed at an individual and group level. Twenty-two healthy individuals performed two jumping tasks: jumping without the use of an arm swing (CMJnas) and jumping starting in a plantar flexed position with the use of an arm swing (PF). Principal component analysis (PCA) was performed using hip, knee and ankle joint moment data on individual (PCAi) and group data (PCAc). The results demonstrate that a greater number of PCs are required to explain the majority of variance within the dataset in the PF condition at both an individual and group level, compared to CMJnas condition. Although common control strategies were observed between the two jumping conditions, differences in the organisation of the movement (PC loading coefficients) were observed. Results from the group analysis did not completely reflect the individual strategies used to perform each jumping task and highlight the value in performing individual analysis to determine emergent control strategies.


Assuntos
Articulação do Joelho , Joelho , Fenômenos Biomecânicos , Humanos , Movimento , Amplitude de Movimento Articular
10.
Mil Med ; 187(1-2): e147-e153, 2022 01 04.
Artigo em Inglês | MEDLINE | ID: mdl-33387442

RESUMO

INTRODUCTION: The efficiency of front kick is related to the kicking technique. Thus, the aim of this study was to find the kinematic determinants of front kick dynamics across different performance and loading levels (no load to 45-kg load). MATERIALS AND METHODS: Twenty-four elite and sub-elite professional military personnel (26.8 ± 10.1 years, 84.2 ± 5.4 kg, 181.1 ± 6.4 cm) performed six front kicks into a force plate across five different loading conditions. Three-dimensional kinematics of the kicks was quantified and included velocity of the hip (Vhip), velocity of the knee (Vknee), velocity of the shoulder (Vshoulder), velocity of the foot (Vfoot), angular velocity of the knee (AVknee), and angular velocity of the hip (AVhip). RESULTS: The main kinematic differences between the two groups were that the sub-elite group had an increased kick time for all loading conditions (P < .001) and a lower Vfoot (P = .05) and a decreased Vhip and Vshoulder (P < .05) in the highest load condition. Vhip and AVhip were the best predictors (up to R2 = 0.58; P = .020) of peak force and impact force during no-load or loaded kicking at the elite level. Typical predictors of impulse in the elite group were AVhip, Vhip, and Vshoulder and those in the sub-elite group were AVknee and Vfoot. CONCLUSIONS: The kinematic variables provide good predictions of kicking dynamics; however, the best predictor varies with the loading conditions and performance levels. Hip motion is the main differentiating factor.


Assuntos
Joelho , Extremidade Inferior , Fenômenos Biomecânicos , , Humanos , Articulação do Joelho
11.
Sports (Basel) ; 9(11)2021 Nov 19.
Artigo em Inglês | MEDLINE | ID: mdl-34822356

RESUMO

It has been suggested that sex differences exist in recovery following strength training. This study aimed to investigate the differences in recovery kinetics between resistance trained males and females following two different back squat (BSq) protocols. The first protocol (eight females and eight males) consisted of five sets of five repetitions at 80% of their one-repetition maximum (1RM) in the BSq (SMRT), while the second (seven females and eight males) consisted of five sets to muscular failure (MF) with a 4-6RM load (RMRT). The recovery was quantified with the mean concentric velocity (MV) at 80% of the 1RM immediately before and 5 min, 24, 48, and 72 h after the training protocol. Following the SMRT, a significant between-sex difference, favoring the females, was observed at 5 min, 24 h, and 48 h following the SMRT (p < 0.05, Effect Size (ES) = 1.01-2.25). Following the RMRT, only the males experienced a significant drop in performance after 5 min compared to the baseline (p = 0.025, ES = 1.34). However, no sex differences were observed at any timepoint (p > 0.05). These results suggest that males experienced more fatigue than females following a protocol where the volume relative to the 1RM was matched, while no differences in fatigue were evident following a protocol in which multiple sets were performed to MF.

13.
J Mot Behav ; 53(4): 471-482, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-32744143

RESUMO

The purpose of this study was to examine the motor control strategies employed to control the degrees of freedom when performing a lower limb task with constraints applied at the hip, knee, and ankle. Thirty-five individuals performed vertical jumping tasks: hip flexed, no knee bend, and plantar flexed. Joint moment data from the hip, knee, and ankle were analyzed using principal component analysis (PCA). In all PCA performed, a minimum of two and maximum of six principal components (PC) were required to describe the movements. Similar reductions in dimensionality were observed in the hip flexed and no knee bend conditions (3PCs), compared to the plantar flexed condition (5PCs). A proximal to distal reduction in variability was observed for the hip flexed and no knee bend conditions but not for the plantar flexed condition. Collectively, the results suggest a reduction in the dimensionality of the movement occurs despite the constraints imposed within each condition and would suggest that dimensionality reduction and motor control strategies are a function of the task demands.


Assuntos
Tornozelo , Movimento , Fenômenos Biomecânicos , Humanos , Joelho , Articulação do Joelho
14.
J Hum Kinet ; 75: 29-39, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33312293

RESUMO

Increased involvement of the hip musculature during some movements is associated with enhanced performance and reduced injury risk. However, the impact of hip dominant weight training methods on movement strategy has seen limited attention within the literature. The aim of this study was to evaluate if a 9-week hip dominant weight training intervention promotes a more hip dominant movement strategy leading to an improvement in countermovement jump performance. Twenty-two experienced female dancers were recruited and separated into an intervention (age 24.4 ± 6.3 years, body height 165.5 ± 5.8 cm, body mass 65.9 ± 5.6 kg) and a control (age 22.9 ± 5.6 years, body height 163.3 ± 5.4 cm, body mass 57.4 ± 6.8 kg) group. The intervention group participated in a 9-week hip dominant training intervention, which consisted of a wide stance back squat, Romanian deadlift, hip thrusters, and a bent over row. Hip and knee kinematics and kinetics, and countermovement jump performance were assessed pre and post training. Significant interaction effects were found for peak hip joint moment (p = 0.030, η2 = 0.214) and countermovement jump performance (p = 0.003, η2 = 0.356), indicating an increase in peak hip joint moment and countermovement jump performance for the intervention group. Specifically, the intervention group showed a mean increase in jump height of 11.5%. The data show that the use of a hip dominant weight training strategy can improve hip contribution in the propulsion phase of the countermovement jump. Strength and conditioning specialists should incorporate hip dominant weight training exercises to increase hip strength and improve performance.

15.
J Hum Kinet ; 68: 177-192, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31531143

RESUMO

Sex differences in biomechanics may provide one explanation for the greater incidence of knee injuries in women, but few studies have compared internal forces. In this study, a musculoskeletal model was used to compare male and female, bilateral and unilateral landings based on motion capture and force plate data. Participants were classified as landing medially or laterally loaded based upon the mediolateral load share at the knee (bilateral: p < 0.001, η2=0.452; unilateral: p < 0.001, η2 = 0.444). Knee kinematics and ground reaction forces were not different between the two groups (p > 0.05, η2 = 0.001 - 0.059), but there were differences in muscular recruitment. Landing strategy did not appear to be dependent on sex. However, for both medially and laterally loaded bilateral landings men had greater gluteal (p = 0.017, η2 = 0.085) and hamstrings forces (p < 0.001, η2 = 0.183), whereas women had greater quadriceps forces (p = 0.004, η2 = 0.116). This study demonstrates an association between muscular recruitment and medially loaded landings. Landing strategy seems to be a function of skill not sex; however, within a particular landing strategy there may be sex differences in muscular activation that contribute to the difference in injury rates.

16.
Artigo em Inglês | MEDLINE | ID: mdl-31440505

RESUMO

The successful completion of motor tasks requires effective control of multiple degrees of freedom (DOF), with adaptations occurring as a function of varying performance constraints. In this study we sought to compare the emergent coordination strategies employed in vertical jumping under different task constraints [countermovement jump (CMJ) with arm swing-CMJas and no arm swing-CMJnas]. In order to achieve this, principal component analysis (PCA) was conducted on joint moment waveform data from the hip, knee and ankle. This statistical approach has the advantage of analyzing the whole movement within a time series and reduces multidimensional datasets to lower dimensions for analysis. Both individual and group analyses were conducted. For individual analysis, PCA was conducted on combined hip, knee, and ankle joint moment data for each individual across both CMJnas (thirty-eight participants), and CMJas (twenty-two participants) conditions. PCA was also performed comparing all data from each individual across CMJnas and CMJas conditions. The results revealed a maximum of three principal components (PC) explained over 90% of the variance in the data sets for both conditions and within individual and group analyses. For individual analysis, no more than 2PCs were required for both conditions. For group analysis, CMJas required 3PCs to explain over 90% of the variance within the dataset and CMJnas only required 2PCs. Reconstruction of the original NJM waveforms from the PCA output demonstrates a greater loading of hip and knee joint moments to PC1, with PC2 showing a greater loading to ankle joint moment. The reduction in dimensions of the original data shows the proximal to distal extension pattern in the sagittal plane, typical of vertical jumping tasks, is governed by only 2 functional DOF, at both a group, and individual level, rather than the typically reported 3 mechanical DOF in some forms of jumping.

17.
Sports (Basel) ; 7(2)2019 Jan 22.
Artigo em Inglês | MEDLINE | ID: mdl-30678251

RESUMO

The force-vector theory contends that horizontal exercises are more specific to horizontal sports skills. In this context, the focus is on horizontal force production relative to the global coordinate frame. However, according to the principle of dynamic correspondence, the direction of force relative to the athlete is more important, and thus the basis for the force-vector theory is flawed. The purpose of this study was therefore to test the force-vector theory. According to the force-vector theory, hip thrust is a horizontally loaded exercise, and so hip thrust training would be expected to create greater improvements in horizontal jump performance than vertical jump performance. Eleven collegiate female athletes aged 18⁻24 years completed a 14-week hip thrust training programme. Pre and post testing was used to measure the following: vertical squat jump, vertical countermovement jump, horizontal squat jump, horizontal countermovement jump and hip thrust 3 repetition maximum (3RM). Subjects improved their 3 repetition maximum hip thrust performance by 33.0% (d = 1.399, p < 0.001, η² = 0.784) and their vertical and horizontal jump performance (improvements ranged from 5.4⁻7.7%; d = 0.371⁻0.477, p = 0.004, η² = 0.585). However, there were no differences in the magnitude of the improvement between horizontal and vertical jumping (p = 0.561, η² = 0.035). The results of this study are contrary to the predictions of the force-vector theory. Furthermore, this paper concludes with an analysis of the force-vector theory, presenting the mechanical inconsistencies in the theory. Coaches should use the well established principle of dynamic correspondence in order to assess the mechanical similarity of exercises to sports skills.

19.
J Theor Biol ; 455: 101-108, 2018 10 14.
Artigo em Inglês | MEDLINE | ID: mdl-30012516

RESUMO

Most research considering biarticular muscle function has tended to focus on the sagittal plane. Instead, the purpose of this study was to evaluate the internal/external rotation moment arms of the biarticular muscles of the knee, and then to explore their function. The FreeBody musculoskeletal model of the lower limb was used to calculate the moment arms and moments that each of the muscles of the knee exerted on the proximal tibia of 12 athletic males during vertical jumping. Biceps femoris and tensor fascia latae were external rotators of the tibia, whereas semimembranosus, semitendinosus, sartorius, gracilis, popliteus and the patellar tendon were internal rotators. The magnitudes of the internal/external rotation and flexion moments exerted on the tibia by the biarticular hamstrings were similar, suggesting that the creation of internal/external rotation is a key aspect of their role. One potential reason is to stabilise the tibia during femoral extension (and it is argued that it may be helpful to characterise the creation of active joint stability as the stabilisation of one segment during the rotation of an adjacent segment). A second explanation may be to mechanically couple hip abduction when the hip is flexed with internal rotation of the tibia.


Assuntos
Músculos Isquiossurais/fisiologia , Articulação do Joelho/fisiologia , Modelos Biológicos , Rotação , Tíbia/fisiologia , Adulto , Fenômenos Biomecânicos , Humanos , Masculino
20.
J Theor Biol ; 446: 205-211, 2018 06 07.
Artigo em Inglês | MEDLINE | ID: mdl-29548734

RESUMO

The patella is traditionally understood to be a "joint spacer" that increases the moment arm of the patellar tendon. This characterisation is unsatisfactory as it fails to explain the more interesting characteristics of the patella: 1) that the changing pivot point of the patella causes the ratio of quadriceps to patellar tendon force to almost double as the knee flexes; 2) that the patellar tendon exerts an anteriorly directed force on the tibia when the knee is extended but this switches to a posterior draw as the knee flexes; and 3) that the presence of the patella allows the quadriceps to exert different moments on the femur and tibia. Here, I use a simple, model of the geometry of the knee to calculate the changes in the effective moment arms of the quadriceps on the femur and tibia as the knee extends during vertical jumping. These effective moment arms are then contrasted with the actual changes in moments seen during a vertical jump. This analysis demonstrates that the changing geometry of the knee alone can explain 93% (p < 0.05) of the variance in the characteristic femoral to tibial pattern of moment production during jumping - suggesting that the mechanics of the patella have a crucial influence on the coordination of jumping. These results lend support to the contention that mechanical considerations play a pivotal role in the control of movement by creating a stronger imperative towards a particular movement solution than might be suggested by the large degree of redundancy in the neuromuscular system. This idea is consistent with dynamic systems theories of motor control, i.e. the mechanical structure of the musculoskeletal system itself is important in the organisation of movement (so called mechanical intelligence).


Assuntos
Articulação do Joelho/fisiologia , Locomoção/fisiologia , Modelos Biológicos , Patela/fisiologia , Ligamento Patelar/fisiologia , Fenômenos Biomecânicos , Fêmur/fisiologia , Humanos , Tíbia/fisiologia
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