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Jiang Y, Yang J, Tian H, Jiang C, Wang H. Comparative study of the effects of custom-made insole and ordinary insole in adults with flexible flatfoot on different slopes. Technol Health Care 2024:THC231785. [PMID: 39031402 DOI: 10.3233/thc-231785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/22/2024]
Abstract
BACKGROUND Flatfoot (pes planus) is a common foot deformity, and its causes are mainly related to age, gender, weight, and genetics. Previous studies have shown that custom-made insoles could have a positive effect in improving plantar pressure and symptoms in individuals with flexible flatfeet, but it remains to be explored whether they can still show benefits in daily walking on different slopes. OBJECTIVE This study aims to investigate a custom-made insole based on plantar pressure redistribution and to verify its effectiveness by gait analysis on different slopes. METHODS We recruited 10 subjects and compared the peak pressure and impulse in each area between custom-made insole (CI) and ordinary insole (OI) groups. RESULTS The results illustrate that CI raises the pressure in T area, improves the ability of the subjects to move forward in the slope walking, which was beneficial to gait stability. CONCLUSION The redistribution of pressure in MF and MH area is promoted to provide active protection for subjects. Meanwhile, CI could decrease the impulse in MF area during uphill and level walking, which effectively reduces the accumulation of fatigue during gait. Moreover, avoiding downhill walking could be able to protect foot from injury in daily life.
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Affiliation(s)
- Yangzheng Jiang
- Women's Hospital School of Medicine Zhejiang University, Hangzhou, China
| | - Jiantao Yang
- Institute of Rehabilitation Engineering and Technology, University of Shanghai for Science and Technology, Shanghai, China
| | - Hui Tian
- Women's Hospital School of Medicine Zhejiang University, Hangzhou, China
| | - Chuan Jiang
- Women's Hospital School of Medicine Zhejiang University, Hangzhou, China
| | - Hongzhu Wang
- Women's Hospital School of Medicine Zhejiang University, Hangzhou, China
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Jimenez-Perez I, Priego-Quesada JI, Camacho-García A, Cibrián Ortiz de Anda RM, Pérez-Soriano P. Impact accelerations during a prolonged run using a microwavable self-customised foot orthosis. Sports Biomech 2024; 23:935-948. [PMID: 34126852 DOI: 10.1080/14763141.2021.1902553] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2020] [Accepted: 03/08/2021] [Indexed: 10/21/2022]
Abstract
The use of custom-made foot orthoses has been associated with numerous benefits, such as decreased impact accelerations. However, it is not known whether this effect could be due to better customisation. The present study analysed the effects of the first generation of a microwavable prefabricated self-customised foot orthosis vs. a prefabricated standard one on impact accelerations throughout a prolonged run. Thirty runners performed two tests of 30-min running on a treadmill, each one with an orthosis condition. Impact acceleration variables of tibia and head were recorded every 5 min. Microwavable self-customised foot orthosis increased the following variables in the first instants compared to the prefabricated standard one: tibial peak (min1: 6.5 (1.8) vs. 6.0 (1.7) g, P = .009, min5: 6.6 (1.7) vs. 6.2 (1.7) g, P = .035), tibial magnitude (min1: 8.3 (2.6) vs. 7.7 (2.4) g, P = .030, min5: 8.5 (2.6) vs. 7.9 (2.5) g, P = .026) and shock attenuation (min1: 61.4 (16.8) vs. 56.3 (16.3)%, P = .014, min5: 62.0 (15.5) vs. 57.2 (15.3)%, P = .040), and tibial rate throughout the entire run (504.3 (229.7) vs. 422.7 (212.9) g/s, P = .006). However, it was more stable throughout 30-min running (P < .05). These results show that the shape customisation entailed by the thermoformable material does not provide impact acceleration improvements.
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Affiliation(s)
- Irene Jimenez-Perez
- Research Group in Sports Biomechanics (GIBD), Department of Physical Education and Sports, Universitat de València, Valencia, Spain
- Research Group in Medical Physics (GIFIME), Department of Physiology, Universitat de València, Valencia, Spain
| | - Jose Ignacio Priego-Quesada
- Research Group in Sports Biomechanics (GIBD), Department of Physical Education and Sports, Universitat de València, Valencia, Spain
- Research Group in Medical Physics (GIFIME), Department of Physiology, Universitat de València, Valencia, Spain
| | - Andrés Camacho-García
- Department of Communications, Universitat Politècnica de València, Alcoy, Alicante, Spain
| | | | - Pedro Pérez-Soriano
- Research Group in Sports Biomechanics (GIBD), Department of Physical Education and Sports, Universitat de València, Valencia, Spain
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Danko M, Sekac J, Dzivakova E, Zivcak J, Hudak R. 3D Printing of Individual Running Insoles - A Case Study. Orthop Res Rev 2023; 15:105-118. [PMID: 37275301 PMCID: PMC10237191 DOI: 10.2147/orr.s399624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2022] [Accepted: 05/03/2023] [Indexed: 06/07/2023] Open
Abstract
Purpose The study's starting point is to find a low-cost and best-fit solution for comfortable movement for a recreational runner with knee pain using an orthopedic device. It is a case study. The research aims to apply digitization, CAD/CAM tools, and 3D printing to create an individual 3D running insole. The objective is to incorporate flexible shape optimization would provide comfort reductions in foot plantar pressures in one subject with knee pain while running. The test hypothesis was if it is possible to make it from one material. For this purpose, we created a new digital workflow based on the Decision Tree method and analyzed pain and comfort scores during user testing of prototypes. Patient and Methods The input data were obtained during a professional examination by a specialist doctor in the orthopedic outpatient clinic in the motion laboratory (DIERS 4D Motion Lab, Germany) with the output of data on the proband's complex movement stereotype. Surface and volumetric data were obtained in the biomedical laboratory with the 3D scanner. We modified the digital 3D foot models in 3D mesh software, developed the design in SW Gensole (Gyrobot, UK), and finally incorporated the internal structure and the surface layer of the insole data of the knowledge from the medical examination, comfort analyses, and scientific studies findings. Results Four complete 3D-printed prototypes (n=4) with differences in density and correction elements were designed. All of them were fabricated on a 3D printer (Prusa i3 MK3S, Czech Republic) with flexible TPU material suitable for skin contact. The Participant tested each of them five times in the field during a workout and final insoles three months on the routine training. Conclusion A novel workflow was created for designing, producing, and testing full 3D-printed insoles. The product is fit for immediate use.
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Affiliation(s)
- Maria Danko
- Department of Biomedical Engineering and Measurement, Technical University of Kosice, Kosice, Slovak Republic
| | - Jan Sekac
- Department of Biomedical Engineering and Measurement, Technical University of Kosice, Kosice, Slovak Republic
| | - Eva Dzivakova
- Department of Biomedical Engineering and Measurement, Technical University of Kosice, Kosice, Slovak Republic
| | - Jozef Zivcak
- Department of Biomedical Engineering and Measurement, Technical University of Kosice, Kosice, Slovak Republic
| | - Radovan Hudak
- Department of Biomedical Engineering and Measurement, Technical University of Kosice, Kosice, Slovak Republic
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Mason R, Pearson LT, Barry G, Young F, Lennon O, Godfrey A, Stuart S. Wearables for Running Gait Analysis: A Systematic Review. Sports Med 2023; 53:241-268. [PMID: 36242762 PMCID: PMC9807497 DOI: 10.1007/s40279-022-01760-6] [Citation(s) in RCA: 27] [Impact Index Per Article: 27.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/21/2022] [Indexed: 01/12/2023]
Abstract
BACKGROUND Running gait assessment has traditionally been performed using subjective observation or expensive laboratory-based objective technologies, such as three-dimensional motion capture or force plates. However, recent developments in wearable devices allow for continuous monitoring and analysis of running mechanics in any environment. Objective measurement of running gait is an important (clinical) tool for injury assessment and provides measures that can be used to enhance performance. OBJECTIVES We aimed to systematically review the available literature investigating how wearable technology is being used for running gait analysis in adults. METHODS A systematic search of the literature was conducted in the following scientific databases: PubMed, Scopus, Web of Science and SPORTDiscus. Information was extracted from each included article regarding the type of study, participants, protocol, wearable device(s), main outcomes/measures, analysis and key findings. RESULTS A total of 131 articles were reviewed: 56 investigated the validity of wearable technology, 22 examined the reliability and 77 focused on applied use. Most studies used inertial measurement units (n = 62) [i.e. a combination of accelerometers, gyroscopes and magnetometers in a single unit] or solely accelerometers (n = 40), with one using gyroscopes alone and 31 using pressure sensors. On average, studies used one wearable device to examine running gait. Wearable locations were distributed among the shank, shoe and waist. The mean number of participants was 26 (± 27), with an average age of 28.3 (± 7.0) years. Most studies took place indoors (n = 93), using a treadmill (n = 62), with the main aims seeking to identify running gait outcomes or investigate the effects of injury, fatigue, intrinsic factors (e.g. age, sex, morphology) or footwear on running gait outcomes. Generally, wearables were found to be valid and reliable tools for assessing running gait compared to reference standards. CONCLUSIONS This comprehensive review highlighted that most studies that have examined running gait using wearable sensors have done so with young adult recreational runners, using one inertial measurement unit sensor, with participants running on a treadmill and reporting outcomes of ground contact time, stride length, stride frequency and tibial acceleration. Future studies are required to obtain consensus regarding terminology, protocols for testing validity and the reliability of devices and suitability of gait outcomes. CLINICAL TRIAL REGISTRATION CRD42021235527.
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Affiliation(s)
- Rachel Mason
- Department of Sport, Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK
| | - Liam T Pearson
- Department of Sport, Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK
| | - Gillian Barry
- Department of Sport, Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK
| | - Fraser Young
- Department of Computer and Information Sciences, Northumbria University, Newcastle upon Tyne, UK
| | | | - Alan Godfrey
- Department of Computer and Information Sciences, Northumbria University, Newcastle upon Tyne, UK
| | - Samuel Stuart
- Department of Sport, Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.
- Northumbria Healthcare NHS Foundation Trust, Newcastle upon Tyne, UK.
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Machado ÁS, Priego-Quesada JI, Jimenez-Perez I, Gil-Calvo M, Carpes FP, Perez-Soriano P. Effects of different hydration supports on stride kinematics, comfort, and impact accelerations during running. Gait Posture 2022; 97:115-121. [PMID: 35917702 DOI: 10.1016/j.gaitpost.2022.07.234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Revised: 07/12/2022] [Accepted: 07/17/2022] [Indexed: 02/02/2023]
Abstract
BACKGROUND Different supports for hydration can influence total body mass and affect running biomechanics. RESEARCH QUESTION Do different hydration supports affect the perceived exertion and comfort, stride kinematics, and impact accelerations during running? METHODS This was a crossover study design. Thirteen trail runners completed a treadmill running test divided into four different durations and randomized hydration supports conditions, lasting 8 min each at moderate intensity: A) waist bag (0.84 kg); B) medium load backpack (0.84 kg); C) full load backpack (3.40 kg); and D) a control condition without water support. Impact accelerations were measured for 30 s in 4, 6, and 8 min. The rate of perceived exertion and heart rate were registered on minutes 4 and 8. At the last minute of each condition, comfort perception was registered RESULTS AND SIGNIFICANCE: No condition affected the stride kinematics. Full load backpack condition reduced head acceleration peak (-0.21 g; p = 0.04; ES=0.4) and head acceleration magnitude (-0.23 g; p = 0.03; ES=0.4), and increased shock attenuation (3.08 g; p = 0.04; ES=0.3). It also elicited higher perceived exertion (p < 0.05; ES>0.8) being considered heavier (p < 0.01; ES > 1.1). The waist bag condition was more comfortable in terms of noise (p = 0.006; ES=1.3) and humidity/heat (p = 0.001; ES=0.8). The waist bag was the most comfortable support. On the other hand, the full backpack elicited lower comfort and was the only generating compensatory adjustments. These results may help to improve design of full load backpack aiming at comfort for runners.
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Affiliation(s)
- Álvaro S Machado
- Applied Neuromechanics Group, Laboratory of Neuromechanics, Federal University of Pampa, Uruguaiana, Brazil
| | - Jose Ignacio Priego-Quesada
- Research Group in Sports Biomechanics (GIBD), Department of Physical Education and Sports, University of Valencia, Valencia, Spain; Research Group in Medical Physics (GIFIME), Department of Physiology, University of Valencia, Valencia, Spain.
| | - Irene Jimenez-Perez
- Research Group in Sports Biomechanics (GIBD), Department of Physical Education and Sports, University of Valencia, Valencia, Spain; Research Group in Medical Physics (GIFIME), Department of Physiology, University of Valencia, Valencia, Spain
| | - Marina Gil-Calvo
- Research Group in Sports Biomechanics (GIBD), Department of Physical Education and Sports, University of Valencia, Valencia, Spain; IIS Aragon - iHealthy, Department of physiatry and nursing, University of Zaragoza, Huesca, Spain
| | - Felipe P Carpes
- Applied Neuromechanics Group, Laboratory of Neuromechanics, Federal University of Pampa, Uruguaiana, Brazil
| | - Pedro Perez-Soriano
- Research Group in Sports Biomechanics (GIBD), Department of Physical Education and Sports, University of Valencia, Valencia, Spain
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Lewin M, Price C, Nester C. Validation of the RunScribe inertial measurement unit for walking gait measurement. PLoS One 2022; 17:e0273308. [PMID: 35994458 PMCID: PMC9394823 DOI: 10.1371/journal.pone.0273308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Accepted: 08/07/2022] [Indexed: 11/19/2022] Open
Abstract
Introduction The use of portable gait measurement systems in research is appealing to collect real-world data at low-cost, low participant burden, and without requirement for dedicated lab space. Most commercially available inertial measurement units (IMU’s) designed for running only capture temporospatial data, the ability to capture biomechanics data such as shock and motion metrics with the RunScribe IMU makes it the closest to a lab alternative. The RunScribe system has been validated in running, however, is yet to be validated for walking. Method Qualisys motion capture, AMTI force plates, and Delsys Trigno accelerometers were used as gold standard lab measures for comparison against the RunScribe IMU. Twenty participants completed 10 footsteps per foot (20 total) measured by both systems simultaneously. Variables for validation included: Vertical Ground reaction force (GRF), instantaneous GRF rate, pronation excursion, pronation velocity, total shock, impact force, braking force. Interclass correlation (ICC) was used to determine agreement between the measurement systems, mean differences were used to evaluate group level accuracy. Results ICC results showed moderate agreement between measurement systems when both limbs were averaged. The greatest agreement was seen for GRF rate, pronation excursion, and pronation velocity (ICC = 0.627, 0.616, 0.539), low agreement was seen for GRF, total shock, impact shock, braking shock (ICC = 0.269, 0.351, 0.244, 0.180). However mean differences show the greatest level of accuracy for GRF, GRF rate, and impact shock. Discussion Results show mixed agreement between the RunScribe and gold standard lab measures, and varied agreement across left and right limbs. Kinematic variables showed the greatest agreement, however GRF had the lowest relative mean difference for group results. The results show acceptable levels of agreement for most variables, however further work must be done to assess the repeatability and sensitivity of the RunScribe to be applied within areas such as footwear testing and gait retraining protocols.
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Affiliation(s)
- Max Lewin
- School of Health and Society, University of Salford, Manchester, United Kingdom
- * E-mail:
| | - Carina Price
- School of Health and Society, University of Salford, Manchester, United Kingdom
| | - Christopher Nester
- School of Health and Society, University of Salford, Manchester, United Kingdom
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Daryabor A, Kobayashi T, Saeedi H, Lyons SM, Maeda N, Naimi SS. Effect of 3D printed insoles for people with flatfeet: a systematic review. Assist Technol 2022; 35:169-179. [PMID: 35882078 DOI: 10.1080/10400435.2022.2105438] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022] Open
Abstract
This systematic review aimed to evaluate custom-made 3D printed insoles for people with flatfeet. PubMed, Embase, ISI web of knowledge, ProQuest, Scopus, and Cochrane databases, were searched from inception until January 2022. The quality assessment of included studies was performed through the Downs and Black checklist. A narrative analysis was performed since a meta-analysis could not be conducted. Ten studies including 225 subjects with flexible flatfeet were chosen for final evaluation. Although the evidence from selected literature was generally weak, using insoles with 3D printing technology may positively affect pain (comfort score) and foot function, with no significant change in vertical loading rate during walking or running. There were discrepancies among studies for plantar pressures, center of pressure trajectories, 3D ankle joint kinematics and kinetics of gait while wearing these insoles. Dose-response effects of medial posting on 3D printed insoles suggested beneficial effects on lower limb gait biomechanics in people with flatfeet. There was insufficient evidence to conclude the comparison between 3D printed insoles and other types of insoles. In conclusion, using a 3D printed insole may improve comfort score and foot function in people with flatfeet.
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Affiliation(s)
- Aliyeh Daryabor
- Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Toshiki Kobayashi
- Department of Biomedical Engineering, Faculty of Engineering, Hong Kong Polytechnic University, Hong Kong, China
| | - Hassan Saeedi
- School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Samuel M Lyons
- Motion Analysis and Sports Performance Lab, Department of Orthopedic Sports Medicine, Lucile Packard Children's Hospital Stanford, Palo Alto, CA, USA
| | - Noriaki Maeda
- Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Sedighe Sadat Naimi
- Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Preatoni E, Bergamini E, Fantozzi S, Giraud LI, Orejel Bustos AS, Vannozzi G, Camomilla V. The Use of Wearable Sensors for Preventing, Assessing, and Informing Recovery from Sport-Related Musculoskeletal Injuries: A Systematic Scoping Review. SENSORS (BASEL, SWITZERLAND) 2022; 22:3225. [PMID: 35590914 PMCID: PMC9105988 DOI: 10.3390/s22093225] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Revised: 04/13/2022] [Accepted: 04/18/2022] [Indexed: 02/06/2023]
Abstract
Wearable technologies are often indicated as tools that can enable the in-field collection of quantitative biomechanical data, unobtrusively, for extended periods of time, and with few spatial limitations. Despite many claims about their potential for impact in the area of injury prevention and management, there seems to be little attention to grounding this potential in biomechanical research linking quantities from wearables to musculoskeletal injuries, and to assessing the readiness of these biomechanical approaches for being implemented in real practice. We performed a systematic scoping review to characterise and critically analyse the state of the art of research using wearable technologies to study musculoskeletal injuries in sport from a biomechanical perspective. A total of 4952 articles were retrieved from the Web of Science, Scopus, and PubMed databases; 165 were included. Multiple study features-such as research design, scope, experimental settings, and applied context-were summarised and assessed. We also proposed an injury-research readiness classification tool to gauge the maturity of biomechanical approaches using wearables. Five main conclusions emerged from this review, which we used as a springboard to propose guidelines and good practices for future research and dissemination in the field.
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Affiliation(s)
- Ezio Preatoni
- Department for Health, University of Bath, Bath BA2 7AY, UK; (E.P.); (L.I.G.)
- Centre for Health and Injury and Illness Prevention in Sport, University of Bath, Bath BA2 7AY, UK
| | - Elena Bergamini
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, Piazza L. de Bosis 6, 00135 Rome, Italy; (E.B.); (A.S.O.B.); (V.C.)
- Interuniversity Centre of Bioengineering of the Human Neuromusculoskeletal System (BOHNES), University of Rome “Foro Italico”, Piazza L. de Bosis 6, 00135 Rome, Italy
| | - Silvia Fantozzi
- Department of Electrical, Electronic, and Information Engineering “Guglielmo Marconi”, University of Bologna, Viale Risorgimento 2, 40136 Bologna, Italy;
- Health Sciences and Technologies—Interdepartmental Centre for Industrial Research, University of Bologna, Viale Risorgimento 2, 40136 Bologna, Italy
| | - Lucie I. Giraud
- Department for Health, University of Bath, Bath BA2 7AY, UK; (E.P.); (L.I.G.)
| | - Amaranta S. Orejel Bustos
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, Piazza L. de Bosis 6, 00135 Rome, Italy; (E.B.); (A.S.O.B.); (V.C.)
- Interuniversity Centre of Bioengineering of the Human Neuromusculoskeletal System (BOHNES), University of Rome “Foro Italico”, Piazza L. de Bosis 6, 00135 Rome, Italy
| | - Giuseppe Vannozzi
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, Piazza L. de Bosis 6, 00135 Rome, Italy; (E.B.); (A.S.O.B.); (V.C.)
- Interuniversity Centre of Bioengineering of the Human Neuromusculoskeletal System (BOHNES), University of Rome “Foro Italico”, Piazza L. de Bosis 6, 00135 Rome, Italy
| | - Valentina Camomilla
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, Piazza L. de Bosis 6, 00135 Rome, Italy; (E.B.); (A.S.O.B.); (V.C.)
- Interuniversity Centre of Bioengineering of the Human Neuromusculoskeletal System (BOHNES), University of Rome “Foro Italico”, Piazza L. de Bosis 6, 00135 Rome, Italy
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Marotta L, Scheltinga BL, van Middelaar R, Bramer WM, van Beijnum BJF, Reenalda J, Buurke JH. Accelerometer-Based Identification of Fatigue in the Lower Limbs during Cyclical Physical Exercise: A Systematic Review. SENSORS (BASEL, SWITZERLAND) 2022; 22:3008. [PMID: 35458993 PMCID: PMC9025833 DOI: 10.3390/s22083008] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Revised: 04/11/2022] [Accepted: 04/12/2022] [Indexed: 02/01/2023]
Abstract
Physical exercise (PE) is beneficial for both physical and psychological health aspects. However, excessive training can lead to physical fatigue and an increased risk of lower limb injuries. In order to tailor training loads and durations to the needs and capacities of an individual, physical fatigue must be estimated. Different measurement devices and techniques (i.e., ergospirometers, electromyography, and motion capture systems) can be used to identify physical fatigue. The field of biomechanics has succeeded in capturing changes in human movement with optical systems, as well as with accelerometers or inertial measurement units (IMUs), the latter being more user-friendly and adaptable to real-world scenarios due to its wearable nature. There is, however, still a lack of consensus regarding the possibility of using biomechanical parameters measured with accelerometers to identify physical fatigue states in PE. Nowadays, the field of biomechanics is beginning to open towards the possibility of identifying fatigue state using machine learning algorithms. Here, we selected and summarized accelerometer-based articles that either (a) performed analyses of biomechanical parameters that change due to fatigue in the lower limbs or (b) performed fatigue identification based on features including biomechanical parameters. We performed a systematic literature search and analysed 39 articles on running, jumping, walking, stair climbing, and other gym exercises. Peak tibial and sacral acceleration were the most common measured variables and were found to significantly increase with fatigue (respectively, in 6/13 running articles and 2/4 jumping articles). Fatigue classification was performed with an accuracy between 78% and 96% and Pearson's correlation with an RPE (rate of perceived exertion) between r = 0.79 and r = 0.95. We recommend future effort toward the standardization of fatigue protocols and methods across articles in order to generalize fatigue identification results and increase the use of accelerometers to quantify physical fatigue in PE.
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Affiliation(s)
- Luca Marotta
- Roessingh Research and Development, 7522 AH Enschede, The Netherlands; (B.L.S.); (J.R.); (J.H.B.)
- Department of Biomedical Signals and Systems, Faculty of Electrical Engineering, Mathematics and Computer Science (EEMCS), University of Twente, 7522 NB Enschede, The Netherlands; (R.v.M.); (B.-J.F.v.B.)
| | - Bouke L. Scheltinga
- Roessingh Research and Development, 7522 AH Enschede, The Netherlands; (B.L.S.); (J.R.); (J.H.B.)
- Department of Biomedical Signals and Systems, Faculty of Electrical Engineering, Mathematics and Computer Science (EEMCS), University of Twente, 7522 NB Enschede, The Netherlands; (R.v.M.); (B.-J.F.v.B.)
| | - Robbert van Middelaar
- Department of Biomedical Signals and Systems, Faculty of Electrical Engineering, Mathematics and Computer Science (EEMCS), University of Twente, 7522 NB Enschede, The Netherlands; (R.v.M.); (B.-J.F.v.B.)
| | - Wichor M. Bramer
- Medical Library, Erasmus University Medical Center, 3000 CA Rotterdam, The Netherlands;
| | - Bert-Jan F. van Beijnum
- Department of Biomedical Signals and Systems, Faculty of Electrical Engineering, Mathematics and Computer Science (EEMCS), University of Twente, 7522 NB Enschede, The Netherlands; (R.v.M.); (B.-J.F.v.B.)
| | - Jasper Reenalda
- Roessingh Research and Development, 7522 AH Enschede, The Netherlands; (B.L.S.); (J.R.); (J.H.B.)
- Department of Biomedical Signals and Systems, Faculty of Electrical Engineering, Mathematics and Computer Science (EEMCS), University of Twente, 7522 NB Enschede, The Netherlands; (R.v.M.); (B.-J.F.v.B.)
| | - Jaap H. Buurke
- Roessingh Research and Development, 7522 AH Enschede, The Netherlands; (B.L.S.); (J.R.); (J.H.B.)
- Department of Biomedical Signals and Systems, Faculty of Electrical Engineering, Mathematics and Computer Science (EEMCS), University of Twente, 7522 NB Enschede, The Netherlands; (R.v.M.); (B.-J.F.v.B.)
- Roessingh Rehabilitation Centre, 7522 AH Enschede, The Netherlands
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Benson LC, Räisänen AM, Clermont CA, Ferber R. Is This the Real Life, or Is This Just Laboratory? A Scoping Review of IMU-Based Running Gait Analysis. SENSORS 2022; 22:s22051722. [PMID: 35270869 PMCID: PMC8915128 DOI: 10.3390/s22051722] [Citation(s) in RCA: 24] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Revised: 02/16/2022] [Accepted: 02/17/2022] [Indexed: 01/19/2023]
Abstract
Inertial measurement units (IMUs) can be used to monitor running biomechanics in real-world settings, but IMUs are often used within a laboratory. The purpose of this scoping review was to describe how IMUs are used to record running biomechanics in both laboratory and real-world conditions. We included peer-reviewed journal articles that used IMUs to assess gait quality during running. We extracted data on running conditions (indoor/outdoor, surface, speed, and distance), device type and location, metrics, participants, and purpose and study design. A total of 231 studies were included. Most (72%) studies were conducted indoors; and in 67% of all studies, the analyzed distance was only one step or stride or <200 m. The most common device type and location combination was a triaxial accelerometer on the shank (18% of device and location combinations). The most common analyzed metric was vertical/axial magnitude, which was reported in 64% of all studies. Most studies (56%) included recreational runners. For the past 20 years, studies using IMUs to record running biomechanics have mainly been conducted indoors, on a treadmill, at prescribed speeds, and over small distances. We suggest that future studies should move out of the lab to less controlled and more real-world environments.
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Affiliation(s)
- Lauren C. Benson
- Faculty of Kinesiology, University of Calgary, Calgary, AB T2N 1N4, Canada; (A.M.R.); (C.A.C.); (R.F.)
- Tonal Strength Institute, Tonal, San Francisco, CA 94107, USA
- Correspondence:
| | - Anu M. Räisänen
- Faculty of Kinesiology, University of Calgary, Calgary, AB T2N 1N4, Canada; (A.M.R.); (C.A.C.); (R.F.)
- Department of Physical Therapy Education, College of Health Sciences—Northwest, Western University of Health Sciences, Lebanon, OR 97355, USA
| | - Christian A. Clermont
- Faculty of Kinesiology, University of Calgary, Calgary, AB T2N 1N4, Canada; (A.M.R.); (C.A.C.); (R.F.)
- Sport Product Testing, Canadian Sport Institute Calgary, Calgary, AB T3B 6B7, Canada
| | - Reed Ferber
- Faculty of Kinesiology, University of Calgary, Calgary, AB T2N 1N4, Canada; (A.M.R.); (C.A.C.); (R.F.)
- Cumming School of Medicine, Faculty of Nursing, University of Calgary, Calgary, AB T2N 1N4, Canada
- Running Injury Clinic, Calgary, AB T2N 1N4, Canada
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11
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Son SM, Lee JW, Chang MC. Successful Application of an Insole with a Metatarsal Inhibition Bar and Deep Heel Cup for Improving Gait Dysfunction in a Patient with Poor Coordination with Disrupted Corticoreticular Tracts: A Case Report. CHILDREN-BASEL 2021; 8:children8050320. [PMID: 33921951 PMCID: PMC8143587 DOI: 10.3390/children8050320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Revised: 04/14/2021] [Accepted: 04/21/2021] [Indexed: 11/17/2022]
Abstract
We report the successful management of gait dysfunction in a patient with coordination problems using an insole with a metatarsal inhibition bar (MIB) and a deep heel cup. Furthermore, we investigated the state of the neural tracts via diffusion tensor tractography (DTT). A 23-month-old boy with gait dysfunction presented with toe walking with a wide base and decreased hip flexion. Motor weakness or spasticity was not observed. Conventional brain magnetic resonance imaging did not reveal any abnormal findings, but DTT revealed disrupted bilateral corticoreticulospinal tracts (CRTs). No abnormalities were observed in the corticospinal tract or the medial lemniscus. We applied a custom-made insole with an MIB and a deep heel cup. Immediately after application, the patient’s gait pattern stabilized significantly and was nearly normalized. Our therapeutic experience indicates that the application of an insole with an MIB and deep heel cups could be beneficial for patients with coordination problems and gait dysfunction. Our DTT results showed that CRTs could be the causative brain pathology for gait dysfunction in patients with coordination problems.
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12
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Fong DTP, Lue KBK, Chung MML, Chu VWS, Yung PSH. An individually moulded insole with 5-mm medial arch support reduces peak impact and loading at the heel after a one-hour treadmill run. Gait Posture 2020; 82:90-95. [PMID: 32911096 DOI: 10.1016/j.gaitpost.2020.08.109] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Revised: 07/15/2020] [Accepted: 08/06/2020] [Indexed: 02/02/2023]
Abstract
BACKGROUND Foot pain experienced by long-distance runners could be relieved by functional insoles which aim at evenly distributing the plantar pressure. RESEARCH QUESTION We hypothesised that an individually moulded insole with medial arch support would reduce the impact and loading under the heel and metatarsal regions. METHODS Twelve male recreational runners ran on a treadmill at 10 km/h for 1 hour with flat insoles and medial arch supported insoles. A pressure insole system (Novel Pedar, Germany) was used to obtain the peak pressure, peak force, time normalised pressure-time integrals, and the percentage of the total force-time integrals under 10 regions. RESULTS Medial arch supported insoles reduced the peak force under the heel (medial: -15.3%, p = 0.001; lateral: -19.2%, p = 0.037) during the initial run, and reduced peak pressure under the heel (medial: -13.3%, p = 0.005; lateral: -9.9%, p = 0.006), and peak force under the medial heel (-17.8%, p = 0.006) after the run. The percentage of the total force-time integrals under the heel was reduced (medial: -23.8%, p = 0.004; lateral: -13.6%, p = 0.022) after the run. No significant difference was found under the metatarsal regions. There is shift of load from the metatarsal regions to the medial mid-foot as indicated by the change of the percentage of total force-time integrals. SIGNIFICANCE Medial arch supported insoles were effective in reducing the impact and loading under the heel region in prolonged running on a treadmill. LEVEL OF EVIDENCE Controlled laboratory study, Level V.
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Affiliation(s)
- Daniel T P Fong
- National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| | - Ken B K Lue
- Department of Orthopaedics and Traumatology, Prince of Wales Hospital, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong
| | - Mandy M L Chung
- Department of Orthopaedics and Traumatology, Prince of Wales Hospital, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong; Sports Medicine Centre, Elite Training Science & Technology Division, Hong Kong Sports Institute, Hong Kong
| | - Vikki W S Chu
- Department of Orthopaedics and Traumatology, Prince of Wales Hospital, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong
| | - Patrick S H Yung
- Department of Orthopaedics and Traumatology, Prince of Wales Hospital, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong.
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13
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Hoitz F, Mohr M, Asmussen M, Lam WK, Nigg S, Nigg B. The effects of systematically altered footwear features on biomechanics, injury, performance, and preference in runners of different skill level: a systematic review. FOOTWEAR SCIENCE 2020. [DOI: 10.1080/19424280.2020.1773936] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Fabian Hoitz
- Biomedical Engineering, University of Calgary, Calgary, Alberta, Canada
- Human Performance Laboratory, University of Calgary, Calgary, Alberta, Canada
| | - Maurice Mohr
- Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
- Department of Sports Science, University of Innsbruck, Innsbruck, Austria
| | - Michael Asmussen
- Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
- Department of Health and Physical Education, Mount Royal University, Calgary, Alberta, Canada
| | - Wing-Kai Lam
- Li Ning Sports Science Research Center, Beijing, China
| | - Sandro Nigg
- Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
| | - Benno Nigg
- Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
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14
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Gil-Calvo M, Jimenez-Perez I, Priego-Quesada JI, Lucas-Cuevas ÁG, Pérez-Soriano P. Effect of custom-made and prefabricated foot orthoses on kinematic parameters during an intense prolonged run. PLoS One 2020; 15:e0230877. [PMID: 32214390 PMCID: PMC7098605 DOI: 10.1371/journal.pone.0230877] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2019] [Accepted: 03/10/2020] [Indexed: 11/19/2022] Open
Abstract
Foot orthoses are one of the most used strategies by healthy runners in injury prevention and performance improvement. However, their effect on running kinematics throughout an intense prolonged run in this population is unknown. Moreover, there is some controversy regarding the use of custom-made versus prefabricated foot orthoses. This study analysed the effect of different foot orthoses (custom-made, prefabricated and a control condition) on spatio-temporal and angular (knee flexion and foot eversion) kinematic parameters and their behaviour during an intense prolonged run. Twenty-four recreational runners performed three similar tests that consisted of running 20 min on a treadmill at 80% of their maximal aerobic speed, each one with a different foot orthosis condition. Contact and flight time, and stride length and stride rate were measured every 5 min by an optical measurement photoelectric cell system. Knee flexion and foot eversion kinematic parameters were measured by two high-speed cameras. No significant differences were found between the different foot orthoses in any of the time points studied and between the interaction of foot orthosis and behaviour over time, in any of the variables studied (P > 0.05). The use of custom-made and prefabricated foot orthoses during an intense prolonged run does not produce changes in spatio-temporal and kinematic parameters in healthy runners. These results suggest that a healthy runner maintains its ideal movement pattern throughout a 20 minute prolonged run, regardless the type of foot orthosis used.
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Affiliation(s)
- Marina Gil-Calvo
- Department of Physical Education and Sports, Research Group in Sport Biomechanics (GIBD), University of Valencia, Valencia, Spain
| | - Irene Jimenez-Perez
- Department of Physical Education and Sports, Research Group in Sport Biomechanics (GIBD), University of Valencia, Valencia, Spain
- Department of Physiology, Research Group in Medical Physics (GIFIME), University of Valencia, Valencia, Spain
| | - Jose Ignacio Priego-Quesada
- Department of Physical Education and Sports, Research Group in Sport Biomechanics (GIBD), University of Valencia, Valencia, Spain
- Department of Physiology, Research Group in Medical Physics (GIFIME), University of Valencia, Valencia, Spain
| | - Ángel G. Lucas-Cuevas
- Department of Physical Education and Sports, Research Group in Sport Biomechanics (GIBD), University of Valencia, Valencia, Spain
| | - Pedro Pérez-Soriano
- Department of Physical Education and Sports, Research Group in Sport Biomechanics (GIBD), University of Valencia, Valencia, Spain
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15
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Mo S, Leung SH, Chan ZY, Sze LK, Mok KM, Yung PS, Ferber R, Cheung RT. The biomechanical difference between running with traditional and 3D printed orthoses. J Sports Sci 2019; 37:2191-2197. [DOI: 10.1080/02640414.2019.1626069] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Shiwei Mo
- Gait & Motion Analysis Laboratory, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong
| | - Sam H.S. Leung
- Department of Orthopaedics & Traumatology, Chinese University of Hong Kong, Hong Kong
| | - Zoe Y.S. Chan
- Gait & Motion Analysis Laboratory, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong
| | - Louis K.Y. Sze
- Persona Surgical Modelling, Hong Kong Science Park, Hong Kong
| | - Kam-Ming Mok
- Department of Orthopaedics & Traumatology, Chinese University of Hong Kong, Hong Kong
| | - Patrick S.H. Yung
- Department of Orthopaedics & Traumatology, Chinese University of Hong Kong, Hong Kong
| | - Reed Ferber
- Faculties of Kinesiology and Nursing, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
- Running Injury Clinic, University of Calgary, Calgary, Alberta, Canada
| | - Roy T.H. Cheung
- Gait & Motion Analysis Laboratory, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong
- Department of Orthopaedics & Traumatology, Chinese University of Hong Kong, Hong Kong
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16
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Lavender SA, Wang Z, Allread WG, Sommerich CM. Quantifying the effectiveness of static and dynamic insoles in reducing the tibial shock experienced during walking. APPLIED ERGONOMICS 2019; 74:118-123. [PMID: 30487090 DOI: 10.1016/j.apergo.2018.08.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Revised: 08/08/2018] [Accepted: 08/10/2018] [Indexed: 06/09/2023]
Abstract
Many individuals work in jobs that require them to spend much of their day walking. There is evidence to suggest that shoe insoles may reduce the lower extremity discomfort for these workers. This study compared the effects of static and dynamic shoe insoles on lower extremity forces when walking at different speeds. Tibial acceleration (a.k.a. tibial shock) was assessed bilaterally in 30 participants who walked in both athletic shoes and work boots without any additional insole, with additional static insoles, and with additional dynamic insoles. The participants walked a prescribed course at a "slow", "normal", and "fast" pace. With both shoe types, there were significant reductions in tibial shock values when insoles were used. With the work boots, the dynamic insole further reduced tibial shock relative to the static insole. The significant interactions show that the differences between insole conditions become greater with faster walking speeds.
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Affiliation(s)
- Steven A Lavender
- Integrated Systems Engineering, The Ohio State University, USA; Orthopaedics, The Ohio State University, USA.
| | - Zimei Wang
- Integrated Systems Engineering, The Ohio State University, USA
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