Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 41
Filtrar
1.
Sci Rep ; 13(1): 21465, 2023 12 05.
Artigo em Inglês | MEDLINE | ID: mdl-38052814

RESUMO

For most applications, 2D keypoint detection works well and offers a simple and fast tool to analyse human movements. However, there remain many situations where even the best state-of-the-art algorithms reach their limits and fail to detect human keypoints correctly. Such situations may occur especially when individual body parts are occluded, twisted, or when the whole person is flipped. Especially when analysing injuries in alpine ski racing, such twisted and rotated body positions occur frequently. To improve the detection of keypoints for this application, we developed a novel method that refines keypoint estimates by rotating the input videos. We select the best rotation for every frame with a graph-based global solver. Thereby, we improve keypoint detection of an arbitrary pose estimation algorithm, in particular for 'hard' keypoints. In the current proof-of-concept study, we show that our approach outperforms standard keypoint detection results in all categories and in all metrics, in injury-related out-of-balance and fall situations by a large margin as well as previous methods, in performance and robustness. The Injury Ski II dataset was made publicly available, aiming to facilitate the investigation of sports accidents based on computer vision in the future.


Assuntos
Algoritmos , Traumatismos em Atletas , Esqui , Humanos , Esqui/lesões , Traumatismos em Atletas/diagnóstico
2.
Sci Rep ; 13(1): 9026, 2023 06 03.
Artigo em Inglês | MEDLINE | ID: mdl-37270655

RESUMO

In alpine skiing, estimation of the muscle forces and joint loads such as the forces in the ACL of the knee are essential to quantify the loading pattern of the skier during turning maneuvers. Since direct measurement of these forces is generally not feasible, non-invasive methods based on musculoskeletal modeling should be considered. In alpine skiing, however, muscle forces and ACL forces have not been analyzed during turning maneuvers due to the lack of three dimensional musculoskeletal models. In the present study, a three dimensional musculoskeletal skier model was successfully applied to track experimental data of a professional skier. During the turning maneuver, the primary activated muscles groups of the outside leg, bearing the highest loads, were the gluteus maximus, vastus lateralis as well as the medial and lateral hamstrings. The main function of these muscles was to generate the required hip extension and knee extension moments. The gluteus maximus was also the main contributor to the hip abduction moment when the hip was highly flexed. Furthermore, the lateral hamstrings and gluteus maximus contributed to the hip external rotation moment in addition to the quadratus femoris. Peak ACL forces reached 211 N on the outside leg with the main contribution in the frontal plane due to an external knee abduction moment. Sagittal plane contributions were low due to consistently high knee flexion (> 60[Formula: see text]), substantial co-activation of the hamstrings and the ground reaction force pushing the anteriorly inclined tibia backwards with respect to the femur. In conclusion, the present musculoskeletal simulation model provides a detailed insight into the loading of a skier during turning maneuvers that might be used to analyze appropriate training loads or injury risk factors such as the speed or turn radius of the skier, changes of the equipment or neuromuscular control parameters.


Assuntos
Lesões do Ligamento Cruzado Anterior , Esqui , Humanos , Esqui/fisiologia , Articulação do Joelho/fisiologia , Músculo Esquelético/fisiologia , Joelho , Nádegas , Fenômenos Biomecânicos
3.
Eur J Sport Sci ; 23(5): 703-713, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-35400304

RESUMO

Competitive skiers encounter a high risk of sustaining an ACL injury during jump-landing in downhill ski racing. Facing an injury-prone landing manoeuvre, there is a lack of knowledge regarding optimum control strategies. So, the purpose of the present study was to investigate possible neuromuscular control patterns to avoid injury during injury-prone jump-landing manoeuvres. A computational approach was used to generate a series of 190 injury-prone jump-landing manoeuvres based on a 25-degree-of-freedom sagittal plane musculoskeletal skier model. Using a dynamic optimization framework, each injury-prone landing manoeuvre was resolved to identify muscle activation patterns of the lower limbs and corresponding kinematic changes that reduce peak ACL force. In the 190 injury-prone jump-landing simulations, ACL forces peaked during the first 50 ms after ground contact. Optimized muscle activation patterns, that reduced peak ACL forces, showed increased activation of the monoarticular hip flexors, ankle dorsi- and plantar flexors as well as hamstrings prior to or during the early impact phase (<50 ms). The corresponding kinematic changes were characterized by increased hip and knee flexion and less backward lean of the skier at initial ground contact and the following impact phase. Injury prevention strategies should focus on increased activation of the monoarticular hip flexors, ankle plantar flexors and rapid and increased activation of the hamstrings in combination with a flexed landing position and decreased backward lean to reduce ACL injury risk during the early impact phase (<50 ms) of jump landing.HighlightsFirst study investigating advantageous control strategies during injury-prone jump-landing manoeuvres in downhill skiing using a musculoskeletal simulation model and dynamic optimization framework.The simulation results predicted high injury risk during the first 50 ms after initial ground contact.Optimized neuromuscular control patterns showed adapted activation patterns (timing and amplitude) of muscles crossing the knee as well as the hip and ankle joints prior to and after initial ground contact, respectively.An optimized control strategy during an injury-prone landing manoeuvre was characterized kinematically by increasing hip and knee flexion and less backward lean of the skier at initial ground contact and the following impact phase.


Assuntos
Lesões do Ligamento Cruzado Anterior , Esqui , Humanos , Lesões do Ligamento Cruzado Anterior/prevenção & controle , Esqui/fisiologia , Articulação do Joelho/fisiologia , Extremidade Inferior , Fenômenos Biomecânicos
4.
Med Eng Phys ; 110: 103907, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36307365

RESUMO

Alpine skiing is an attractive but highly risky sport, and the anterior cruciate ligament (ACL) tear is one of the most common diagnoses of skiing-related injuries. To better prevent such injuries among athletes and recreational skiers, we developed a facile and reliable biomechanical method to analyze the differences between "right" and "wrong" movements during skiing and their impacts on ACL stress loading. Unlike those conventional methods that are very difficult to implement and time-consuming, our method was developed based on inverse dynamics analyses and video capture, which were much easier to implement in the real-world setting. It is shown that, with a harmful skiing action, the knee joint's maximum reaction force significantly increases compared to nonharmful skiing actions. The peak front-and-rear force increased from 1242 N to 3105 N, and the peak axial force increased from 1023 N to 3443 N, which significantly exceeded the maximum tensile loading (2000 N) in the ACL. Our results are proven to be reliable and consistent with findings obtained with other methods. This method may substitute current complex analytical methods and be easier to apply in sports-related injury-prevention applications.


Assuntos
Lesões do Ligamento Cruzado Anterior , Traumatismos em Atletas , Esqui , Humanos , Lesões do Ligamento Cruzado Anterior/diagnóstico por imagem , Esqui/lesões , Articulação do Joelho/diagnóstico por imagem , Diagnóstico por Imagem , Fenômenos Biomecânicos
5.
Front Bioeng Biotechnol ; 10: 894568, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35814020

RESUMO

In alpine skiing, estimation of the joint moments acting onto the skier is essential to quantify the loading of the skier during turning maneuvers. In the present study, a novel forward dynamics optimization framework is presented to estimate the joint moments acting onto the skier incorporating a three dimensional musculoskeletal model (53 kinematic degrees of freedom, 94 muscles). Kinematic data of a professional skier performing a turning maneuver were captured and used as input data to the optimization framework. In the optimization framework, the musculoskeletal model of the skier was applied to track the experimental data of a skier and to estimate the underlying joint moments of the skier at the hip, knee and ankle joints of the outside and inside leg as well as the lumbar joint. During the turning maneuver the speed of the skier was about 14 m/s with a minimum turn radius of about 16 m. The highest joint moments were observed at the lumbar joint with a maximum of 1.88 Nm/kg for lumbar extension. At the outside leg, the highest joint moments corresponded to the hip extension moment with 1.27 Nm/kg, the knee extension moment with 1.02 Nm/kg and the ankle plantarflexion moment with 0.85 Nm/kg. Compared to the classical inverse dynamics analysis, the present framework has four major advantages. First, using a forward dynamic optimization framework the underlying kinematics of the skier as well as the corresponding ground reaction forces are dynamically consistent. Second, the present framework can cope with incomplete data (i.e., without ground reaction force data). Third, the computation of the joint moments is less sensitive to errors in the measurement data. Fourth, the computed joint moments are constrained to stay within the physiological limits defined by the musculoskeletal model.

6.
Sports Med Open ; 8(1): 4, 2022 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-35022852

RESUMO

BACKGROUND: To increase safety in elite alpine ski racing Injury Surveillance Systems were implemented and preventive measures introduced. However, studies analysing the change in athletes' injury risk by controlling for their exposure are still scarce. OBJECTIVES: This study aimed to describe and analyse the risk of in-competition severe injury events (SIEcomp) in elite alpine ski racing. METHODS: Data recorded in the Austrian Ski Federation's Injury Surveillance System were used to analyse the SIEcomp incidence. Information on athletes' competition exposure was obtained from the official website of the International Ski Federation. In 23 seasons, 2333 skier seasons were recorded for the Austrian Ski Team. Within a total of 114,531 runs 169 SIEcomp occurred. Generalised Estimating Equation for Poisson Regressions were applied. RESULTS: The SIEcomp incidence per 1000 runs was 1.48 [95% confidence interval (CI) 1.26-1.73] for elite alpine ski racers and 2.21 (95% CI 1.79-2.75) for the subgroup of World Cup racers. A significant sex difference was detected for the subgroup of junior racers with a higher risk for female athletes [risk ratio (RR): 2.97, 95% CI 1.46-6.05]. Between the seasons of 1997 and 2020, the seasonal SIEcomp incidence increased by a factor of 2.67 for elite alpine ski racers and 3.53 for World Cup racers. Downhill (2.75, 95% CI 2.18-3.47) had the highest SIEcomp incidence, followed by super-G (1.94, 95% CI 1.30-2.88), giant slalom (1.40, 95% CI 1.06-1.85), and slalom (0.64, 95% CI 0.43-0.96). CONCLUSION: Although many preventive measures have been implemented in elite alpine ski racing, the risk of SIEcomp has increased over the last two decades.

8.
Comput Methods Biomech Biomed Engin ; 24(6): 612-622, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33185129

RESUMO

Jump landing is a common situation leading to knee injuries involving the anterior cruciate ligament (ACL) in sports. Although neuromuscular control is considered as a key injury risk factor, there is a lack of knowledge regarding optimum control strategies that reduce ACL forces during jump landing. In the present study, a musculoskeletal model-based computational approach is presented that allows identifying neuromuscular control patterns that minimize ACL forces during jump landing. The approach is demonstrated for a jump landing maneuver in downhill skiing, which is one out of three main injury mechanisms in competitive skiing.


Assuntos
Ligamento Cruzado Anterior/fisiologia , Locomoção/fisiologia , Modelos Biológicos , Junção Neuromuscular/fisiologia , Articulação do Tornozelo/fisiologia , Fenômenos Biomecânicos , Simulação por Computador , Articulação do Quadril/fisiologia , Humanos , Articulação do Joelho/fisiologia
9.
J Sci Med Sport ; 24(10): 1044-1048, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32807655

RESUMO

OBJECTIVES: To assess the effects of alpine competition equipment regulations from 2003, 2007 and 2012 on severe injury incidence. DESIGN: Case study METHOD: Data originated from records of the injury surveillance system of the Austrian Ski Federation. Injuries from the seasons 2001-2017 were divided in four periods between the equipment regulations. For comparison of consecutive periods, risk ratios (RR = later period / preceding period) with 95% CI were calculated. Total severe injury events, events with severe knee injuries, and events with severe ACL injuries were separately investigated. RESULTS: A significant increase of total severe injury incidence was found after the equipment regulation in 2003 (RR1.52, 95% CI 1.00-2.31). None of the other comparisons revealed significance (p<0.05) or statistical trends (p<0.1). Only the minority (40%) of the RR showed a reduction in the injury incidence of the Austrian Ski Team (lowest RR 0.78). 60% of the RR increased after the regulations (highest RR 1.63). CONCLUSIONS: Even though statistical uncertainties remain, our findings allow the conclusion, that the implemented equipment regulations did not cause a noticeable reduction of injuries. The three analysed equipment regulations were not appropriate or were counteracted by other factors.


Assuntos
Traumatismos em Atletas/prevenção & controle , Desenho de Equipamento/normas , Vigilância da População/métodos , Esqui/lesões , Equipamentos Esportivos/normas , Áustria/epidemiologia , Feminino , Humanos , Incidência , Masculino , Razão de Chances
10.
Br J Sports Med ; 2020 Oct 06.
Artigo em Inglês | MEDLINE | ID: mdl-33023882

RESUMO

OBJECTIVES: The study aimed to (1) determine the incidence and gender-specific risk ratio of acute on-snow severe injury events (SIE) in elite alpine ski racing, (2) examine the development of SIE over 22 seasons, and (3) analyse SIE with respect to the severely injured body parts and structures. METHODS: Data recorded in the Austrian Ski Federation's Injury Surveillance System over 22 seasons were analysed. The Austrian Ski Team consists of four groups: Team National (n=477), Team A (n=444), Team B (n=696) and Team C (n=608). Team National and Team A comprised World Cup, Team B European Cup and Team C junior alpine ski racers. Simple and multiple Poisson regressions were calculated. RESULTS: The SIE incidence was 15.7 (95% CI 14.2 to 17.5) per 100 skier seasons. ACL injury events accounted for 70.8% of severe knee injury events and 48.6% of SIE. The incidence of severe ACL injury events was 7.6 (95% CI 6.6 to 8.9). Female World Cup alpine ski racers had a 1.65 times (95% CI 1.02 to 2.69) higher risk of severe ACL injury events than their male counterparts. CONCLUSION: The incidence of acute on-snow SIE in World Cup alpine ski racing was higher than previously reported. Despite various prevention efforts, the average seasonal incidence of SIE in World and European Cup alpine ski racers has grown from approximately 11 in 1997 to 23 in 2019; thus with roughly one more injured athlete every second season.

11.
High Alt Med Biol ; 20(2): 192-197, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-30896981

RESUMO

The importance of arterial oxygen saturation for the prediction of acute mountain sickness (AMS) is still a matter of debate. Reasons for discrepancies may result from varying laboratory or field conditions and their interactions. Thus, we analyzed data from our prior high-altitude studies, including participants of a broad range of age of both sexes (20 males and 20 females, aged between 20 and 67 years) under strictly standardized conditions of pre-exposure and acute exposure to real high altitude (3480 m). A set of resting cardiovascular, respiratory, hematological, and metabolic variables were recorded at high altitude (Testa Grigia, Plateau Rosa, 3480 m; Swiss-Italian boarder) after performing pretests at low altitude (Innsbruck, 600 m, Austria). Our analyses indicate that (1) smaller changes in resting minute ventilation (VE) and a larger decrease of peripheral oxygen saturation (SpO2) during the first 3 hours of acute exposure to high altitude were independent predictors for subsequent development of AMS (90% correct prediction), (2) there are no differences of responses between sexes, and (3) there is no association of responses with age. Considering the independent effects of both responses (VE and SpO2) may be of clinical/practical relevance. Moreover, the presented data derived from a broad age range of both sexes might be of interest for comparative purposes.


Assuntos
Doença da Altitude/fisiopatologia , Oxigênio/sangue , Ventilação Pulmonar/fisiologia , Adulto , Idoso , Pressão Sanguínea/fisiologia , Diástole/fisiologia , Suscetibilidade a Doenças , Feminino , Frequência Cardíaca/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
12.
J Sci Med Sport ; 22 Suppl 1: S55-S59, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30765315

RESUMO

OBJECTIVES: Ski boots are designed to transfer forces from skier to ski. This transfer is among others affected by the flexion stiffness (FS) and so effects safety and skiing performance. Previous studies have used devices with prosthetic legs to evaluate FS, however, influencing factors like the foot and lower leg shape or individual buckle closure are not considered. The purpose of the study was to (i) develop a device to measure the individual flexion stiffness (IFS) of ski boots worn by skiers, to (ii) determine the repeatability of the measurement, and to (iii) compare the IFS with the nominal flex index of the manufacturers. METHODS: 21 subjects were tested twice to assess repeatability. The IFS of 135 subjects were measured on ski slopes and compared with the nominal flex indices. RESULTS: Repeated measurements revealed a correlation rp of 0.98 (p<0.001) and a relative standard error of SEMrel=3.0%. The correlation between IFS and nominal flex index was moderate with rs=0.64 (p<0.001). Post hoc analysis showed no statistical differences between flex index 80 and 90 (p=0.29) and flex index 100 and 110 (p=0.60). CONCLUSION: The determination of IFS was sufficiently repeatable. Considerable differences were found between IFS and the nominal flex indices of the manufacturers. The introduction of a measurement standard may improve the comparability among the manufacturers. Our method is not suitable as standardization method due to the measurements with subjects. However, the data collected may provide a valuable baseline for a future standardization.


Assuntos
Maleabilidade , Sapatos , Esqui , Equipamentos Esportivos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Teste de Materiais , Pessoa de Meia-Idade , Adulto Jovem
13.
Eur J Sport Sci ; 19(3): 354-364, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30293527

RESUMO

The extracellular matrix (ECM) plays an essential role in the development, growth and repair of skeletal muscles and serves to transmit contractile force. However, its regulation is poorly understood. This study investigates the age-specificity of the effects of acute resistance exercise on ECM gene expression. To this purpose, five young (YM, 23.8 ± 2.2 yrs.) and 5 elderly (EM, 66.8 ± 4.1 yrs.) men performed one session of unilateral leg press and leg extension exercises. Six hours post-exercise, biopsies were taken from the vastus lateralis muscles of both legs. A PCR array was used to profile the expression of 84 ECM-related genes, of which 6 were validated by qPCR. The PCR array found 9 and 4 ECM-associated genes to be selectively altered (>1.5-fold change) in YM or EM only. Four further genes were upregulated in YM but downregulated in EM. Of the 6 genes validated on individual samples MMP9 expression increased in YM (9.7-fold) and decreased (0.2-fold) in EM. MMP15 was downregulated in EM only (0.6-fold). A significant correlation between leg extension 1 RM and changes in COL7A1 expression (ρ = 0.71) suggests a potential influence of fitness levels. In conclusion, acute resistance exercise affects ECM gene expression at least partly in an age-specific manner. The altered expression of genes encoding matrix metalloproteinases (MMP3, MMP9, MMP15) highlights the role of remodelling processes in the response to an acute bout of resistance exercise. Larger studies are required to verify the age-associated differences in gene expression profiles and establish their functional implications.


Assuntos
Fatores Etários , Matriz Extracelular/genética , Expressão Gênica , Músculo Esquelético/metabolismo , Treinamento Resistido , Adulto , Idoso , Colágeno Tipo VII/genética , Humanos , Masculino , Metaloproteinases da Matriz/genética , Pessoa de Meia-Idade , Projetos Piloto , Adulto Jovem
14.
J Sci Med Sport ; 22 Suppl 1: S50-S54, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30409720

RESUMO

OBJECTIVES: In winter terrain parks special airbags are used for skiers and snowboarders to practice jumps and achieve safe landings. However, in 2010 two skiers landed at the end of oval airbags. One suffered fatal, the other severe, injuries. The aim of this study was to identify parameters that lead to jumping over the airbag and to suggest preventive measures. DESIGN: Simulation study. METHODS: For the calculation of the flight distance the equation of motion was solved for the jumper's approach and flight phase. Measured data of five jumps into an airbag employed in a similar geometry and conditions as in the second accident case were used to validate the simulation and to measure typical takeoff velocities. The effect of approach and takeoff parameters on the flight distance for oval and flat airbags was analyzed with the simulations. RESULTS: In both accident cases a too long approach led to a too high takeoff speed, which was the cause for landing at the end of the oval airbags. The effect of flight distance is considerably more sensitive to approach and takeoff parameters with oval versus flat airbags. CONCLUSIONS: Three measures are recommended to prevent jumping over an airbag. An approach corridor with top and lateral fences has to be set up and the approach should be steep. Flat airbags are preferable to oval airbags. Airbags should be equipped with a heightening at the end.


Assuntos
Prevenção de Acidentes/instrumentação , Air Bags , Traumatismos em Atletas/prevenção & controle , Esqui/lesões , Acidentes , Simulação por Computador , Humanos
15.
J Sci Med Sport ; 22 Suppl 1: S60-S64, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30527901

RESUMO

OBJECTIVES: Since the polymeric materials commonly used for ski boots feature viscoelastic properties, the results of ski boot flexion tests are expected to be influenced by flexion velocity. Devices testing at all skiing specific ankle angular velocities are currently not available. Therefore, the aims of this study were to (i) develop a system allowing the testing of ski boots at high ankle angular velocities, (ii) quantify the effect of ankle angular velocity on viscoelasticity and (iii) determine the repeatability of the system. DESIGN AND METHOD: A test bench and a lower limb prosthesis were developed to determine tibia angle and applied torque. To assess the effect of angular velocity, two pairs of ski boots were tested at 5°/s, 50°/s, 75°/s and 100°/s. To assess stiffness variation and measurement repeatability, ten different used ski boots of different manufacturers were tested twice. RESULTS: Four ski boot flexion stiffness parameters and two energy dissipation factors were reported. The repeatability of the stiffness and the energy dissipation parameters was better than 4% and 3%, respectively. Stiffnesses and dissipation factors increased with increasing angular velocity. CONCLUSION: In the present study a reliable system facilitating the testing of ski boots at velocities of up to 100°/s was developed. To comprehensively characterise the viscoelastic properties of ski boots, we propose to report four ski boot stiffness parameters and two energy dissipation factors. An ankle angular velocity above 50°/s was recommended to perform mechanical tests of ski boots if employed in slalom-like skiing.


Assuntos
Elasticidade , Sapatos , Esqui , Equipamentos Esportivos , Articulação do Tornozelo , Humanos , Extremidade Inferior , Teste de Materiais , Próteses e Implantes , Tíbia , Torque
16.
Br J Sports Med ; 52(17): 1086-1090, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29954827

RESUMO

BACKGROUND: Competitive skiers face a high risk of sustaining an ACL injury during jump landing in downhill skiing. There is a lack of knowledge on how landing height affects this risk. OBJECTIVES: To evaluate the effect of varied landing height on peak ACL force during jump landing and to compare the effect of the landing height with the effect of the landing position varied by the trunk lean of the skier. METHODS: A 25-degree-of-freedom sagittal plane musculoskeletal model of an alpine skier, accompanied by a dynamic optimisation framework, was used to simulate jump landing manoeuvres in downhill skiing. First, a reference simulation was computed tracking experimental data of competitive downhill skier performing a jump landing manoeuvre. Second, sensitivity studies were performed computing 441 landing manoeuvres with perturbed landing height and trunk lean of the skier, and the corresponding effects on peak ACL force were determined. RESULTS: The sensitivity studies revealed that peak ACL force increased with jump height and backward lean of the skier as expected. However, peak ACL was about eight times more sensitive to the trunk lean of the skier compared with landing height. The decreased sensitivity of the landing height was based on the lower effects on the knee muscle forces and the shear component of the knee joint reaction force. CONCLUSION: Preventive measures are suggested to focus primarily on avoiding trunk backward lean of the skier, and consequently on proper jump preparation and technique, and secondarily on strategies to reduce landing height during jumps.


Assuntos
Ligamento Cruzado Anterior/fisiologia , Articulação do Joelho/fisiologia , Esqui/fisiologia , Lesões do Ligamento Cruzado Anterior/prevenção & controle , Traumatismos em Atletas/prevenção & controle , Fenômenos Biomecânicos , Humanos , Traumatismos do Joelho/prevenção & controle , Modelos Anatômicos , Tronco
17.
Gait Posture ; 62: 167-172, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29550696

RESUMO

BACKGROUND: Maintaining balance is an essential requirement for the performance of daily tasks and sporting activities, particularly in older adults to prevent falls and associated injuries. Kinesiology tape has gained great popularity in sports and is frequently used as a tool for performance enhancement. However, there is little research investigating its influence on balance. RESEARCH QUESTION: The purpose of this study was to evaluate the effect of Kinesiology tape on dynamic balance, postural stability and knee proprioception after physical activity in healthy, older adults. METHODS: Twelve physically active, healthy men aged 63-77 years performed the test on two separate days, with and without Kinesiology tape at the knee joint (prospective intervention with cross-over design). Dynamic balance during an obstacle-crossing task, postural stability in a single-leg stance test, and knee joint position sense as a measure of proprioception were examined before and after 30 min of downhill walking on a treadmill. The influences of taping condition and physical activity on all parameters were statistically tested using factorial ANOVAs. RESULTS: Factorial ANOVA revealed significant time × taping condition interaction effects on all performance parameters (p < 0.05), indicating that the exercise-related changes in dynamic balance, postural stability and knee proprioception differed between the two taping conditions. The deterioration of performance was always greater when no tape was used. SIGNIFICANCE: This study demonstrated that physical exercise significantly deteriorated dynamic balance, postural stability and knee proprioception in older men. These effects can be attenuated through the usage of Kinesiology tape. By preventing exercise-related impairments of balance, Kinesiology tape might help reduce the risk of sports-associated falls and associated injuries.


Assuntos
Acidentes por Quedas/prevenção & controle , Fita Atlética , Exercício Físico/fisiologia , Articulação do Joelho , Equilíbrio Postural/fisiologia , Caminhada/fisiologia , Idoso , Análise de Variância , Estudos Cross-Over , Teste de Esforço , Humanos , Cinesiologia Aplicada , Masculino , Pessoa de Meia-Idade , Propriocepção/fisiologia , Estudos Prospectivos
18.
Front Physiol ; 9: 1924, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30692936

RESUMO

Objectives: Downhill skiing represents one of the most popular winter sports worldwide. Whereas a plethora of studies dealt with the risk of injury and death associated with downhill skiing, data on its favorable health effects are scarce. A more comprehensive overview on such effects might emerge from a multidisciplinary perspective. Methods: A literature search has been performed to identify original articles on downhill/alpine skiing interventions or questionnaire-based evaluation of skiing effects and the assessment of health effects (cardiorespiratory, neurophysiological, musculoskeletal, psycho-social). Results and Discussion: A total of 21 original articles dealing with potentially favorable health effects resulting from downhill skiing were included in this review. Results indicate that downhill skiing, especially when performed on a regular basis, may contribute to healthy aging by its association with a healthier life style including higher levels of physical activity. Several other mechanisms suggest further favorable health effects of downhill skiing in response to specific challenges and adaptations in the musculo-skeletal and postural control systems, to exposures to cold temperatures and intermittent hypoxia, and/or emotional and social benefits from outdoor recreation. However, reliable data corroborating these mechanisms is scarce.

19.
J Athl Train ; 52(7): 636-642, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28418696

RESUMO

CONTEXT: Deficits in balance have been identified as a possible risk factor for knee injuries in athletes. Despite a lack of evidence for its effectiveness, kinesiology tape (KT) is widely used to prevent knee injuries. OBJECTIVE: To investigate the influence of KT at the knee joint on balance ability in healthy men after eccentric exercise. DESIGN: Crossover study. SETTING: University laboratory. PATIENTS OR OTHER PARTICIPANTS: Twelve young men with no history of lower limb injury volunteered for the study (age = 23.3 ± 2.6 years). All participants were students enrolled in a sports science program. INTERVENTION(S): Participants performed the balance test with and without KT at the knee joint on 2 separate days. MAIN OUTCOME MEASURE(S): The ability to maintain balance was assessed during a single-legged-stance test using a computerized balance-stability test system. The test was performed before and after 30 minutes of downhill walking on a treadmill. RESULTS: Eccentric exercise resulted in a deterioration of balance ability, which was attenuated by the use of KT. Further analyses revealed that the effectiveness of KT depended on the participant's balance status, with the preventive effect being greater in participants presenting with poorer baseline balance ability. CONCLUSIONS: Applied to the knee joint, KT counteracted the exercise-related deterioration of balance ability observed when no tape was used. Participants presenting with below-average balance ability received more benefit from KT. By preventing exercise-related impairment of balance ability, KT might help to reduce the risk of sport-associated knee injuries.


Assuntos
Atletas , Fita Atlética , Exercício Físico/fisiologia , Articulação do Joelho/fisiologia , Equilíbrio Postural/fisiologia , Adulto , Traumatismos em Atletas/prevenção & controle , Estudos Cross-Over , Teste de Esforço , Feminino , Humanos , Masculino , Caminhada/fisiologia , Adulto Jovem
20.
Sports (Basel) ; 5(2)2017 May 23.
Artigo em Inglês | MEDLINE | ID: mdl-29910391

RESUMO

In Europe and North America, approximately 150 fatalities occur as a result of avalanches every year. However, it is unclear whether certain shovel shapes are more effective than others in snow removal during avalanche victim recovery. The objective was to determine the performance parameters with a developed standardized test using different shovel shapes and to determine sex-specific differences. Hence, several parameters were determined for clearing the snow from a snow filled box (15 men, 14 women). A flat (F) and a deep (D) shovel blade with the shaft connected straight (S) or in clearing mode (C) were used for the investigation of the shovel shapes FS, DC and the subsequent use of DC&DS. Mean snow mass shifted per unit time increased significantly from 1.50 kg/s with FS to 1.71 kg/s (14%) with DS and further to 1.79 kg/s (4%) with DC&DS for all participants. Snow mass shifted per unit time was 44% higher (p < 0.05) for men than for women. In excavation operations, the sex-specific physical performance should be taken into account. The results were limited to barely binding snow, because only with this snow did the tests show a high reliability.

SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...