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Kember LS, Myer GD, Lloyd RS. Interlimb kinetic asymmetries during the tuck jump assessment are more exposed following kinetic stabilization. Phys Ther Sport 2024; 67:61-67. [PMID: 38593626 PMCID: PMC11178106 DOI: 10.1016/j.ptsp.2024.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Revised: 03/09/2024] [Accepted: 03/10/2024] [Indexed: 04/11/2024]
Abstract
OBJECTIVE To analyse interlimb kinetics and asymmetries during the tuck jump assessment (TJA), before and after kinetic stabilization, to identify injury risk in healthy female athletes. DESIGN Cross-sectional study. SETTING Laboratory. PARTICIPANTS Twenty-five healthy females (age 21.0 ± 1.83 yrs; height 1.68 ± 0.06 m; body mass 69.4 ± 10.7 kg). MAIN OUTCOME MEASURES Kinetics were measured during 10-s trials of the TJA and absolute asymmetries compared, before and after kinetic stabilization using paired sample t-tests. Statistical parametric mapping (SPM) compared vertical ground reaction force (VGRF) data for each limb during the jumping cycles before and after stabilization. RESULTS Small to moderate increases in interlimb asymmetries were observed after stabilization for VGRF, relative vertical leg stiffness, average loading rate, total and propulsive impulse, peak braking and propulsive force (p < 0.05). SPM revealed significant interlimb differences between 77-98% and 83-99% of ground contact for the jumping cycles pre- and post-stabilization respectively. CONCLUSIONS Larger asymmetries were evident after kinetic stabilization, with increased VGRF in the non-dominant limb. We speculate that participants sacrificed interlimb landing symmetry to achieve kinetic stability, which may reflect a primal landing strategy that forgoes movement quality. Assessing lower limb biomechanics using the TJA should involve examining kinetic stability and interlimb kinetic asymmetries.
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Affiliation(s)
- Lucy S Kember
- School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, UK.
| | - Gregory D Myer
- Emory Sport Performance and Research Center, Flowery Branch, GA, USA; Emory Sports Medicine Center, Atlanta, GA, USA; Department of Orthopaedics, Emory University School of Medicine, Atlanta, GA, USA; The Micheli Center for Sports Injury Prevention, Waltham, MA, USA. https://twitter.com/gregmyer11
| | - Rhodri S Lloyd
- School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, UK; Sport Performance Research Institute, New Zealand, Auckland University of Technology, Auckland, New Zealand; Centre for Sport Science and Human Performance, Waikato Institute of Technology, Hamilton, New Zealand. https://twitter.com/DrRSLloyd
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2
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Yona T, Kamel N, Cohen-Eick G, Ovadia I, Fischer A. One-dimension statistical parametric mapping in lower limb biomechanical analysis: A systematic scoping review. Gait Posture 2024; 109:133-146. [PMID: 38306782 DOI: 10.1016/j.gaitpost.2024.01.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2023] [Revised: 12/26/2023] [Accepted: 01/16/2024] [Indexed: 02/04/2024]
Abstract
BACKGROUND Biomechanics significantly impacts sports performance and injury prevention. Traditional methods like discrete point analysis simplify continuous kinetic and kinematic data, while one-dimensional Statistical Parametric Mapping (spm1d) evaluates entire movement curves. Nevertheless, spm1d's application in sports and injury research is limited. As no systematic review exists, we conducted a scoping systematic review, synthesizing the current applications of spm1d across various populations, activities, and injuries. This review concludes by identifying gaps in the literature and suggesting areas for future research. RESEARCH QUESTION What research exists using spm1d in sports biomechanics, focusing on the lower limbs, in what populations, and what are the current research gaps? METHODS We searched PubMed, Embase, Web of Science, and ProQuest databases for the following search string: "(((knee) OR (hip)) OR (ankle)) OR (foot) OR (feet) AND (statistical parametric mapping)". English peer-reviewed studies assessing lower limb kinetics or kinematics in different sports or sports-related injuries were included. Reviews, meta-analyses, conference abstracts, and grey literature were excluded. RESULTS Our search yielded 165 papers published since 2012. Among these, 112 examined healthy individuals (67 %), and 53 focused on injured populations (33 %). Running (n = 45), cutting (n = 25), and jumping/landing (n = 18) were the most common activities. The predominant injuries were anterior cruciate ligament rupture (n = 21), chronic ankle instability (n = 18), and hip-related pain (n = 9). The main research gaps included the unbalanced populations, underrepresentation of common sports and sport-related injuries, gender inequality, a lack of studies in non-laboratory settings, a lack of studies on varied sports gear, and a lack of reporting standardization. SIGNIFICANCE This review spotlights crucial gaps in spm1d research within sports biomechanics. Key issues include a lack of studies beyond laboratory settings, underrepresentation of various sports and injuries, and gender disparities in research populations. Addressing these gaps can significantly enhance the application of spm1d in sports performance, injury analysis, and rehabilitation.
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Affiliation(s)
- Tomer Yona
- Department of Biomedical Engineering, Technion, Israel Institute of Technology, Haifa, Israel
| | - Netanel Kamel
- The Ruth and Bruce Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa, Israel
| | - Galya Cohen-Eick
- Department of Biomedical Engineering, Technion, Israel Institute of Technology, Haifa, Israel
| | - Inbar Ovadia
- Department of Mechanical Engineering, Technion, Israel Institute of Technology, Haifa, Israel
| | - Arielle Fischer
- Department of Biomedical Engineering, Technion, Israel Institute of Technology, Haifa, Israel.
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Xu D, Zhou H, Quan W, Ugbolue UC, Gusztav F, Gu Y. A new method applied for explaining the landing patterns: Interpretability analysis of machine learning. Heliyon 2024; 10:e26052. [PMID: 38370177 PMCID: PMC10869904 DOI: 10.1016/j.heliyon.2024.e26052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Revised: 02/07/2024] [Accepted: 02/07/2024] [Indexed: 02/20/2024] Open
Abstract
As one of many fundamental sports techniques, the landing maneuver is also frequently used in clinical injury screening and diagnosis. However, the landing patterns are different under different constraints, which will cause great difficulties for clinical experts in clinical diagnosis. Machine learning (ML) have been very successful in solving a variety of clinical diagnosis tasks, but they all have the disadvantage of being black boxes and rarely provide and explain useful information about the reasons for making a particular decision. The current work validates the feasibility of applying an explainable ML (XML) model constructed by Layer-wise Relevance Propagation (LRP) for landing pattern recognition in clinical biomechanics. This study collected 560 groups landing data. By incorporating these landing data into the XML model as input signals, the prediction results were interpreted based on the relevance score (RS) derived from LRP. The interpretation obtained from XML was evaluated comprehensively from the statistical perspective based on Statistical Parametric Mapping (SPM) and Effect Size. The RS has excellent statistical characteristics in the interpretation of landing patterns between classes, and also conforms to the clinical characteristics of landing pattern recognition. The current work highlights the applicability of XML methods that can not only satisfy the traditional decision problem between classes, but also largely solve the lack of transparency in landing pattern recognition. We provide a feasible framework for realizing interpretability of ML decision results in landing analysis, providing a methodological reference and solid foundation for future clinical diagnosis and biomechanical analysis.
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Affiliation(s)
- Datao Xu
- Research Academy of Medicine Combining Sports, Ningbo No. 2 Hospital, Ningbo, China
- Faculty of Sports Science, Ningbo University, Ningbo, China
- Faculty of Engineering, University of Pannonia, Veszprém, Hungary
| | - Huiyu Zhou
- Research Academy of Medicine Combining Sports, Ningbo No. 2 Hospital, Ningbo, China
- Faculty of Sports Science, Ningbo University, Ningbo, China
| | - Wenjing Quan
- Research Academy of Medicine Combining Sports, Ningbo No. 2 Hospital, Ningbo, China
- Faculty of Sports Science, Ningbo University, Ningbo, China
| | - Ukadike Chris Ugbolue
- School of Health and Life Sciences, University of the West of Scotland, Scotland, United Kingdom
| | - Fekete Gusztav
- Vehicle Industry Research Center, Széchenyi István University, Gyor, Hungary
| | - Yaodong Gu
- Research Academy of Medicine Combining Sports, Ningbo No. 2 Hospital, Ningbo, China
- Faculty of Sports Science, Ningbo University, Ningbo, China
- Department of Radiology, Ningbo No. 2 Hospital, Ningbo, China
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Dennis JD, Choe KH, Montgomery MM, Lynn SK, Crews BM, Pamukoff DN. Lower extremity coordination strategies to mitigate dynamic knee valgus during landing in males and females. J Biomech 2023; 156:111689. [PMID: 37364395 DOI: 10.1016/j.jbiomech.2023.111689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Revised: 05/23/2023] [Accepted: 06/14/2023] [Indexed: 06/28/2023]
Abstract
Frontal and sagittal plane landing biomechanics differ between sexes but reported values don't account for simultaneous segment or joint motion necessary for a coordinated landing. Frontal and sagittal plane coordination patterns, angles, and moments were compared between 28 males and 28 females throughout the landing phase of a drop vertical jump. Females landed with less isolated thigh abduction (p = 0.018), more in-phase motion (p < 0.001), and more isolated shank adduction (p = 0.028) between the thigh and shank in the frontal plane compared with males. Females landed with less in-phase (p = 0.012) and more anti-phase motion (p = 0.019) between the thigh and shank in the sagittal plane compared with males. Females landed with less isolated knee flexion (p = 0.001) and more anti-phase motion (p < 0.001) between the sagittal and frontal plane knee coupling compared with males. Waveform and discrete metric analyses revealed females land with less thigh abduction from 20 % to 100 % and more shank abduction from 0 to 100 % of landing, smaller knee adduction at initial contact (p = 0.002), greater peak knee abduction angles (p = 0.015), smaller knee flexion angles at initial contact (p = 0.035) and peak (p = 0.034), greater peak knee abduction moments (p = 0.024), greater knee abduction angles from 0 to 13 % and 19 to 30 %, greater knee abduction moments from 19 to 25 %, and smaller knee flexion moments from 3 to 5 % of landing compared with males. Females utilize greater frontal plane motion compared with males, which may be due to different inter-segmental joint coordination and smaller sagittal plane angles. Larger knee abduction angles and greater knee adduction motion in females are due to aberrant shank abduction rather than thigh adduction.
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Affiliation(s)
- Justin D Dennis
- Department of Kinesiology, California State University, Fullerton, CA, United States; Department of Exercise and Sports Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
| | - Kevin H Choe
- Department of Kinesiology, California State University, Fullerton, CA, United States; Department of Kinesiology, Whittier College, Whittier, CA, United States
| | - Melissa M Montgomery
- Department of Kinesiology, California State University, Fullerton, CA, United States
| | - Scott K Lynn
- Department of Kinesiology, California State University, Fullerton, CA, United States
| | - Brock M Crews
- Department of Kinesiology, California State University, Fullerton, CA, United States; Sanford Sports, Sanford Health, Irvine, CA, United States
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Hogg JA, Avedesian JM, Diekfuss JA, Acocello SN, Shimmin RD, Kelley EA, Kostrub DA, Myer GD, Wilkerson GB. Sex Moderates the Relationship between Perceptual-Motor Function and Single-Leg Squatting Mechanics. J Sports Sci Med 2022; 21:104-111. [PMID: 35250339 PMCID: PMC8851119 DOI: 10.52082/jssm.2022.104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Accepted: 12/28/2021] [Indexed: 06/14/2023]
Abstract
To examine the isolated and combined effects of sex and perceptual-motor function on single-leg squatting mechanics in males and females. We employed a cross-sectional design in a research laboratory. Fifty-eight females (22.2 ± 3.5 yrs, 1.60 ± .07 m, 64.1 ± 13.0 kg) and 35 males (23.5 ± 5.0 yrs, 1.80 ± .06m, 84.7 ± 15.3 kg) free from time-loss injury in the six months prior, vertigo, and vestibular conditions participated in this study. Independent variables were sex, perceptual-motor metrics (reaction time, efficiency index, conflict discrepancy), and interaction effects. Dependent variables were peak frontal plane angles of knee projection, ipsilateral trunk flexion, and contralateral pelvic drop during single-leg squatting. After accounting for the sex-specific variance and perceptual-motor function effects on frontal plane squatting kinematics, female sex amplified the associations of: higher reaction time, lower efficiency index, and higher conflict discrepancy with greater right ipsilateral peak trunk lean (R2 = .13; p = .05); higher reaction time, lower efficiency index, and higher conflict discrepancy with decreased right contralateral pelvic drop (R2 = .22; p < .001); higher reaction time and lower conflict discrepancy with greater right frontal plane knee projection angle (R2 = .12; p = .03); and higher reaction time with greater left frontal plane knee projection angle (R2 = .22; p < .001). Female sex amplified the relationship between perceptual-motor function and two-dimensional frontal plane squatting kinematics. Future work should determine the extent to which perceptual-motor improvements translate to safer movement strategies.
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Affiliation(s)
- Jennifer A Hogg
- Department of Health and Human Performance, The University of Tennessee Chattanooga, Chattanooga, TN, USA
| | | | - Jed A Diekfuss
- Emory Sports Performance And Research Center (SPARC), Flowery Branch, GA, USA
- Emory Sports Medicine Center, Atlanta, GA, USA
- Department of Orthopaedics, Emory University School of Medicine, Atlanta, GA, USA
| | - Shellie N Acocello
- Department of Health and Human Performance, The University of Tennessee Chattanooga, Chattanooga, TN, USA
| | | | | | | | - Gregory D Myer
- Emory Sports Performance And Research Center (SPARC), Flowery Branch, GA, USA
- Emory Sports Medicine Center, Atlanta, GA, USA
- Department of Orthopaedics, Emory University School of Medicine, Atlanta, GA, USA
- The Micheli Center for Sports Injury Prevention, Waltham, MA, USA
| | - Gary B Wilkerson
- Department of Health and Human Performance, The University of Tennessee Chattanooga, Chattanooga, TN, USA
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Xu D, Zhou H, Baker JS, István B, Gu Y. An Investigation of Differences in Lower Extremity Biomechanics During Single-Leg Landing From Height Using Bionic Shoes and Normal Shoes. Front Bioeng Biotechnol 2021; 9:679123. [PMID: 34434925 PMCID: PMC8381337 DOI: 10.3389/fbioe.2021.679123] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Accepted: 07/27/2021] [Indexed: 11/17/2022] Open
Abstract
Bionic shoes utilizing an actual foot shape sole structure can alter lower limb’s biomechanics, which may help in the development of specific training or rehabilitation programs. The purpose of this study was to investigate the biomechanical differences in the lower limb during a single-leg landing task using bionic shoes (BS) and normal shoes (NS). Fifteen healthy male subjects participated in this study, sagittal, and frontal plane data were collected during the landing phase (drop landing from 35 cm platform). Our study showed that BS depicted a significantly greater minimum knee flexion angle at initial contact (p = 0.000), a significantly greater minimum (initial contact) hip flexion angle at initial contact (p = 0.009), a significantly smaller sagittal plane total energy dissipation (p = 0.028), a significantly smaller frontal plane total energy dissipation (p = 0.008), a significantly smaller lower limb total energy dissipation (p = 0.017) than NS during the landing phase. SPM analysis revealed that BS depicted a significantly smaller knee joint vertical reaction force during the 13.8–19.8% landing phase (p = 0.01), a significantly smaller anterior tibia shear force during the 14.2–17.5% landing phase (p = 0.024) than NS. BS appears to change lower limb kinematics at initial contact and then readjust the landing strategies for joint work and joint reaction force, thereby reducing the risk of lower limb skeletal muscle injury. BS have great potential for future development and application uses, which may help athletes to reduce lower limb injury risk.
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Affiliation(s)
- Datao Xu
- Faculty of Sports Science, Ningbo University, Ningbo, China
| | - Huiyu Zhou
- Faculty of Sports Science, Ningbo University, Ningbo, China.,School of Health and Life Sciences, University of the West of Scotland, Scotland, United Kingdom
| | - Julien S Baker
- Centre for Health and Exercise Science Research, Department of Sport and Physical Education, Hong Kong Baptist University, Hong Kong, China
| | - Bíró István
- Faculty of Engineering, University of Szeged, Szeged, Hungary
| | - Yaodong Gu
- Faculty of Sports Science, Ningbo University, Ningbo, China
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Xu D, Cen X, Wang M, Rong M, István B, Baker JS, Gu Y. Temporal Kinematic Differences between Forward and Backward Jump-Landing. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17186669. [PMID: 32933208 PMCID: PMC7559031 DOI: 10.3390/ijerph17186669] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Revised: 09/04/2020] [Accepted: 09/11/2020] [Indexed: 12/14/2022]
Abstract
Backward jump-landing during sports performance will result in dynamic postural instability with a greater risk of injury, and most research studies have focused on forward landing. Differences in kinematic temporal characteristics between single-leg and double-leg backward jump-landing are seldom researched and understood. The purpose of this study was to compare and analyze lower extremity kinematic differences throughout the landing phases of forward and backward jumping using single-leg and double-leg landings (FS and BS, FD and BD). Kinematic data were collected during the landing phases of FS and BS, FD and BD in 45 participants. Through statistical parametric mapping (SPM) analysis, we found that the BS showed smaller hip and knee flexion and greater vertical ground reactive force (VGRF) than the FS during 0–37.42% (p = 0.031), 16.07–32.11% (p = 0.045), and 23.03–17.32% (p = 0.041) landing phases. The BD showed smaller hip and knee flexion than the FD during 0–20.66% (p = 0.047) and 0–100% (p < 0.001) landing phases. Most differences appeared within a time frame during the landing phase at 30–50 ms in which non-contact anterior cruciate ligament (ACL) injuries are thought to occur and are consistent with the identification of risk in biomechanical analysis. A landing strategy that consciously increases the knee and hip flexion angles during backward landing should be considered for people as a measure to avoid injury during the performance of this type of physical activity.
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Affiliation(s)
- Datao Xu
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China; (D.X.); (X.C.)
| | - Xuanzhen Cen
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China; (D.X.); (X.C.)
| | - Meizi Wang
- Savaria Institute of Technology, Eötvös Loránd University, 9700 Szombathely, Hungary;
| | - Ming Rong
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China; (D.X.); (X.C.)
- Correspondence: (M.R.); (Y.G.); Tel.: +86-574-87600456 (M.R.); +86-574-87600208 (Y.G.)
| | - Bíró István
- Faculty of Engineering, University of Szeged, 6724 Szeged, Hungary;
| | - Julien S. Baker
- Centre for Health and Exercise Science Research, Hong Kong Baptist University, Hong Kong 999077, China;
| | - Yaodong Gu
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China; (D.X.); (X.C.)
- Correspondence: (M.R.); (Y.G.); Tel.: +86-574-87600456 (M.R.); +86-574-87600208 (Y.G.)
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