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Xu D, Zhou H, Quan W, Ma X, Chon TE, Fernandez J, Gusztav F, Kovács A, Baker JS, Gu Y. New Insights Optimize Landing Strategies to Reduce Lower Limb Injury Risk. CYBORG AND BIONIC SYSTEMS 2024; 5:0126. [PMID: 38778877 PMCID: PMC11109754 DOI: 10.34133/cbsystems.0126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2024] [Accepted: 04/12/2024] [Indexed: 05/25/2024] Open
Abstract
Single-leg landing (SL) is often associated with a high injury risk, especially anterior cruciate ligament (ACL) injuries and lateral ankle sprain. This work investigates the relationship between ankle motion patterns (ankle initial contact angle [AICA] and ankle range of motion [AROM]) and the lower limb injury risk during SL, and proposes an optimized landing strategy that can reduce the injury risk. To more realistically revert and simulate the ACL injury mechanics, we developed a knee musculoskeletal model that reverts the ACL ligament to a nonlinear short-term viscoelastic mechanical mechanism (strain rate-dependent) generated by the dense connective tissue as a function of strain. Sixty healthy male subjects were recruited to collect biomechanics data during SL. The correlation analysis was conducted to explore the relationship between AICA, AROM, and peak vertical ground reaction force (PVGRF), joint total energy dissipation (TED), peak ankle knee hip sagittal moment, peak ankle inversion angle (PAIA), and peak ACL force (PAF). AICA exhibits a negative correlation with PVGRF (r = -0.591) and PAF (r = -0.554), and a positive correlation with TED (r = 0.490) and PAIA (r = 0.502). AROM exhibits a positive correlation with TED (r = 0.687) and PAIA (r = 0.600). The results suggested that the appropriate increases in AICA (30° to 40°) and AROM (50° to 70°) may reduce the lower limb injury risk. This study has the potential to offer novel perspectives on the optimized application of landing strategies, thus giving the crucial theoretical basis for decreasing 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
| | - Wenjing Quan
- Faculty of Sports Science,
Ningbo University, Ningbo, China
| | - Xin Ma
- Department of Orthopedics, Huashan Hospital,
Fudan University, Shanghai, China
| | - Teo-Ee Chon
- Faculty of Sports Science,
Ningbo University, Ningbo, China
- School of Chemical and Biomedical Engineering,
Nanyang Technological University, Singapore 639798, Singapore
| | - Justin Fernandez
- Auckland Bioengineering Institute,
University of Auckland, Auckland, New Zealand
- Department of Engineering Science,
University of Auckland, Auckland, New Zealand
| | - Fekete Gusztav
- Department of Material Science and Technology, Audi Hungaria Faculty of Automotive Engineering,
Széchenyi István University, Gyor, Hungary
| | - András Kovács
- Faculty of Engineering,
University of Pannonia, Veszprém, Hungary
| | - Julien S. Baker
- Faculty of Sports Science,
Ningbo University, Ningbo, China
- Department of Sport and Physical Education,
Hong Kong Baptist University, Hong Kong, China
| | - Yaodong Gu
- Faculty of Sports Science,
Ningbo University, Ningbo, China
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Gao X, Xu D, Baker JS, Ee-Chon T, Liang M, Gu Y. Exploring biomechanical variations in ankle joint injuries among Latin dancers with different stance patterns: utilizing OpenSim musculoskeletal models. Front Bioeng Biotechnol 2024; 12:1359337. [PMID: 38659647 PMCID: PMC11039862 DOI: 10.3389/fbioe.2024.1359337] [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: 12/21/2023] [Accepted: 03/22/2024] [Indexed: 04/26/2024] Open
Abstract
Background: Dancers represent the primary demographic affected by ankle joint injuries. In certain movements, some Latin dancers prefer landing on the Forefoot (FT), while others prefer landing on the Entire foot (ET). Different stance patterns can have varying impacts on dancers' risk of ankle joint injuries. The purpose of this study is to investigate the differences in lower limb biomechanics between Forefoot (FT) dancers and Entire foot (ET) dancers. Method: A group of 21 FT dancers (mean age 23.50 (S.D. 1.12) years) was compared to a group of 21 ET dancers (mean age 23.33 (S.D. 0.94) years), performing the kicking movements of the Jive in response to the corresponding music. We import data collected from Vicon and force plates into OpenSim to establish musculoskeletal models for computing kinematics, dynamics, muscle forces, and muscle co-activation. Result: In the sagittal plane: ankle angle (0%-100%, p < 0.001), In the coronal plane: ankle angle (0%-9.83%, p = 0.001) (44.34%-79.52%, p = 0.003), (88.56%-100%, p = 0.037), ankle velocity (3.73%-11.65%, p = 0.017) (94.72-100%, p = 0.031); SPM analysis revealed that FT dancers exhibited significantly smaller muscle force than ET dancers around the ankle joint during the stance phase. Furthermore, FT dancers displayed reduced co-activation compared to ET dancers around the ankle joint during the descending phase, while demonstrating higher co-activation around the knee joint than ET dancers. Conclusion: This study biomechanically demonstrates that in various stance patterns within Latin dance, a reduction in lower limb stance area leads to weakened muscle strength and reduced co-activation around the ankle joint, and results in increased ankle inversion angles and velocities, thereby heightening the risk of ankle sprains. Nevertheless, the increased co-activation around the knee joint in FT dancers may be a compensatory response for reducing the lower limb stance area in order to maintain stability.
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Affiliation(s)
- Xiangli Gao
- Faculty of Sports Science, Ningbo University, Ningbo, China
| | - Datao Xu
- Faculty of Sports Science, Ningbo University, Ningbo, China
- Faculty of Engineering, University of Pannonia, Veszprem, Hungary
| | | | - Teo Ee-Chon
- Faculty of Sports Science, Ningbo University, Ningbo, China
- School of Mechanical and Aerospace Engineering, Nanyang Technological University, Singapore, Singapore
| | - Minjun Liang
- Faculty of Sports Science, Ningbo University, Ningbo, China
| | - Yaodong Gu
- Faculty of Sports Science, Ningbo University, Ningbo, China
- Department of Radiology, Ningbo No. 2 Hospital, Ningbo, China
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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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Xu D, Zhou H, Quan W, Gusztav F, Baker JS, Gu Y. Adaptive neuro-fuzzy inference system model driven by the non-negative matrix factorization-extracted muscle synergy patterns to estimate lower limb joint movements. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2023; 242:107848. [PMID: 37863010 DOI: 10.1016/j.cmpb.2023.107848] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/04/2023] [Revised: 09/16/2023] [Accepted: 10/05/2023] [Indexed: 10/22/2023]
Abstract
BACKGROUND AND OBJECTIVE For patients with movement disorders, the main clinical focus is on exercise rehabilitation to help recover lost motor function, which is achieved by relevant assisted equipment. The basis for seamless control of the assisted equipment is to achieve accurate inference of the user's movement intentions in the human-machine interface. This study proposed a novel movement intention detection technology for estimating lower limb joint continuous kinematic variables following muscle synergy patterns, to develop applications for more efficient assisted rehabilitation training. METHODS This study recruited 16 healthy males and 16 male patients with symptomatic patellar tendinopathy (VISA-P: 59.1 ± 8.7). The surface electromyography of 12 muscles and lower limb joint kinematic and kinetic data from healthy subjects and patients during step-off landings from 30 cm-high stair steps were collected. We subsequently solved the preprocessed data based on the established recursive model of second-order differential equation to obtain the muscle activation matrix, and then imported it into the non-negative matrix factorization model to obtain the muscle synergy matrix. Finally, the lower limb neuromuscular synergy pattern was then imported into the developed adaptive neuro-fuzzy inference system non-linear regression model to estimate the human movement intention during this movement pattern. RESULTS Six muscle synergies were determined to construct the muscle synergy pattern driven ANFIS model. Three fuzzy rules were determined in most estimation cases. Combining the results of the four error indicators across the estimated variables indicates that the current model has excellent estimated performance in estimating lower limb joint movement. The estimation errors between the healthy (Angle: R2=0.98±0.03; Torque: R2=0.96±0.04) and patient (Angle: R2=0.98±0.02; Torque: R2=0.96±0.03) groups are consistent. CONCLUSION The proposed model of this study can accurately and reliably estimate lower limb joint movements, and the effectiveness will also be radiated to the patient group. This revealed that our models also have certain advantages in the recognition of motor intentions in patients with relevant movement disorders. Future work from this study can be focused on sports rehabilitation in the clinical field by achieving more flexible and precise movement control of the lower limb assisted equipment to help the rehabilitation of patients.
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Affiliation(s)
- Datao Xu
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China; Faculty of Engineering, University of Pannonia, Veszprém 8201, Hungary; Savaria Institute of Technology, Eötvös Loránd University, Szombathely 9700, Hungary
| | - Huiyu Zhou
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China; School of Health and Life Sciences, University of the West of Scotland, Scotland G72 0LH, United Kingdom
| | - Wenjing Quan
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China; Faculty of Engineering, University of Pannonia, Veszprém 8201, Hungary; Savaria Institute of Technology, Eötvös Loránd University, Szombathely 9700, Hungary
| | - Fekete Gusztav
- Faculty of Engineering, University of Pannonia, Veszprém 8201, Hungary; Savaria Institute of Technology, Eötvös Loránd University, Szombathely 9700, Hungary
| | - Julien S Baker
- Department of Sport and Physical Education, Hong Kong Baptist University, Hong Kong 999077, China
| | - Yaodong Gu
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China.
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Xu D, Zhou H, Quan W, Gusztav F, Wang M, Baker JS, Gu Y. Accurately and effectively predict the ACL force: Utilizing biomechanical landing pattern before and after-fatigue. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2023; 241:107761. [PMID: 37579552 DOI: 10.1016/j.cmpb.2023.107761] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Revised: 08/08/2023] [Accepted: 08/09/2023] [Indexed: 08/16/2023]
Abstract
BACKGROUND AND OBJECTIVE As a fundamental exercise technique, landing can commonly be associated with anterior cruciate ligament (ACL) injury, especially during after-fatigue single-leg landing (SL). Presently, the inability to accurately detect ACL loading makes it difficult to recognize the risk degree of ACL injury, which reduces the effectiveness of injury prevention and sports monitoring. Increased risk of ACL injury during after-fatigue SL may be related to changes in ankle motion patterns. Therefore, this study aims to develop a highly accurate and easily implemented ACL force prediction model by combining deep learning and the explored relationship between ACL force and ankle motion pattern. METHODS First, 56 subjects' during before and after-fatigue SL data were collected to explore the relationship between the ankle initial contact angle (AIC), ankle range of motion (AROM) and peak ACL force (PAF). Then, the musculoskeletal model was developed to simulate and calculate the ACL force. Finally, the ACL force prediction model was constructed by combining the explored relationship and sparrow search algorithm (SSA) to optimize the extreme learning machine (ELM) and long short-term memory (LSTM). RESULTS There was almost a stronger linear relationship between the PAF and AIC (R = -0.70), AROM (R2 = -0.61). By substituting AIC and AROM as independent variables in the SSA-ELM prediction model, the model shows excellent prediction performance because of very strong correlation (R2 = 0.9992, MSE = 0.0023, RMSE = 0.0474). Based on the equal scaling by combining results of SSA-ELM and SSA-LSTM, the prediction model achieves excellent performance in ACL force prediction of the overall waveform (R2 = 0.9947, MSE = 0.0076, RMSE = 0.0873). CONCLUSION By increasing the AIC and AROM during SL, the lower limb joint energy dissipation can be increased and the PAF reduced, thus reducing the impact loads on the lower limb joints and reducing ACL injuries. The proposed ACL dynamic load force prediction model has low input variable demands (sagittal joint angles), excellent generalization capabilities and superior performance in terms of high accuracy. In the future, we plan to use it as an accurate ACL injury risk assessment tool to promote and apply it to a wider range of sports training and injury monitoring.
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Affiliation(s)
- Datao Xu
- Faculty of Sports Science, Ningbo University, Ningbo, 315211, China; Faculty of Engineering, University of Pannonia, Veszprém, 8201, Hungary; Savaria Institute of Technology, Eötvös Loránd University, Szombathely, 9700, Hungary
| | - Huiyu Zhou
- Faculty of Sports Science, Ningbo University, Ningbo, 315211, China; School of Health and Life Sciences, University of the West of Scotland, Scotland, G72 0LH, United Kingdom
| | - Wenjing Quan
- Faculty of Sports Science, Ningbo University, Ningbo, 315211, China; Faculty of Engineering, University of Pannonia, Veszprém, 8201, Hungary; Savaria Institute of Technology, Eötvös Loránd University, Szombathely, 9700, Hungary
| | - Fekete Gusztav
- Faculty of Engineering, University of Pannonia, Veszprém, 8201, Hungary; Savaria Institute of Technology, Eötvös Loránd University, Szombathely, 9700, Hungary
| | - Meizi Wang
- Faculty of Sports Science, Ningbo University, Ningbo, 315211, China; Department of Biomedical Engineering, Faculty of Engineering, The Hong Kong Polytechnic University, 999077, Hong Kong, China
| | - Julien S Baker
- Department of Sport and Physical Education, Hong Kong Baptist University, Hong Kong, 999077, China
| | - Yaodong Gu
- Faculty of Sports Science, Ningbo University, Ningbo, 315211, China.
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Huang C, Ye J, Song Y, Kovács B, Baker JS, Mao Z, Gu Y. The Effects of Fatigue on the Lower Limb Biomechanics of Amateur Athletes during a Y-Balance Test. Healthcare (Basel) 2023; 11:2565. [PMID: 37761762 PMCID: PMC10530907 DOI: 10.3390/healthcare11182565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Revised: 08/27/2023] [Accepted: 09/12/2023] [Indexed: 09/29/2023] Open
Abstract
The Y-Balance Test (YBT) is a reliable tool for assessing the dynamic balance of athletes' lower limbs. This study aimed to compare the effects of the YBT on lower limb biomechanics before and after fatigue. Sixteen adult male recreational athletes were recruited for the study, and motion capture in combination with a force plate was used to collect kinematic, dynamics, and center of pressure (COP) data of the dominant leg during YBT testing before and after fatigue. Based on the research findings, there were significant statistical differences in the distances reached during the YBT in three directions before and after fatigue. After fatigue, there is a significant decrease in the ROM of the hip and knee joints in all three directions. Also, there is a significant increase in hip joint torque in the anterior- and posterior-lateral directions, while a significant decrease in hip and ankle joint torque is observed in the posterior-medial direction. Moreover, there is an increasing trend in positive and negative joint work for the hip, knee, and ankle joints in all three directions after fatigue. The range of COP displacement also increases following fatigue. The decline in YBT scores demonstrates the detrimental impact of fatigue on the dynamic balance of the lower limbs of adult male amateur athletes. We hope that these results can provide information for athletes and coaches to better understand the effects of fatigue on the dynamic balance of lower limbs, so as to carry out targeted lower limb balance training and prevent sports injuries.
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Affiliation(s)
- Congyu Huang
- Faculty of Sport Science, Ningbo University, Ningbo 315832, China
| | - Jingyi Ye
- Faculty of Sport Science, Ningbo University, Ningbo 315832, China
| | - Yang Song
- Faculty of Sport Science, Ningbo University, Ningbo 315832, China
- Doctoral School of Safety and Security Sciences, Obuda University, 1034 Budapest, Hungary
- Faculty of Engineering, University of Szeged, 6724 Szeged, Hungary
| | - Balint Kovács
- Faculty of Sport Science, Ningbo University, Ningbo 315832, China
- Department of Kinesiology, University of Physical Education, Alkotás u. 44, 1123 Budapest, Hungary
| | - Julien S. Baker
- Centre for Health and Exercise Science Research, Hong Kong Baptist University, Hong Kong 999077, China;
| | - Zhuqing Mao
- Faculty of Sport Science, Ningbo University, Ningbo 315832, China
| | - Yaodong Gu
- Faculty of Sport Science, Ningbo University, Ningbo 315832, China
- Department of Radiology, Ningbo No. 2 Hospital, Ningbo 315010, China
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Gao L, Ye J, Bálint K, Radak Z, Mao Z, Gu Y. Biomechanical effects of exercise fatigue on the lower limbs of men during the forward lunge. Front Physiol 2023; 14:1182833. [PMID: 37664426 PMCID: PMC10470642 DOI: 10.3389/fphys.2023.1182833] [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: 03/09/2023] [Accepted: 07/25/2023] [Indexed: 09/05/2023] Open
Abstract
Background: During competition and training, exercises involving the lungs may occur throughout the sport, and fatigue is a major injury risk factor in sport, before and after fatigue studies of changes in the lungs are relatively sparse. This study is to investigate into how fatigue affects the lower limb's biomechanics during a forward lunge. Methods: 15 healthy young men participate in this study before and after to exposed to a fatigue protocol then we tested the forward lunge to obtain kinematic, kinetic changing during the task, and to estimate the corresponding muscles' strength changes in the hip, knee, and ankle joints. The measurement data before and after the fatigue protocol were compared with paired samples t-test. Results: In the sagittal and horizontal planes of the hip and knee joints, in both, the peak angles and joint range of motion (ROM) increased, whereas the moments in the sagittal plane of the knee joint smaller. The ankle joint's maximum angle smaller after fatigue. Peak vertical ground reaction force (vGRF) and peak contact both significantly smaller after completing the fatigue protocol and the quadriceps mean and maximum muscular strength significantly increased. Conclusion: After completing a fatigue protocol during lunge the hip, knee, and ankle joints become less stable in both sagittal and horizontal planes, hip and knee range of motion becomes greater. The quadriceps muscles are more susceptible to fatigue and reduced muscle force. Trainers should focus more on the thigh muscle groups.
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Affiliation(s)
- Lidong Gao
- Faculty of Sports Science, Ningbo University, Ningbo, China
| | - Jingyi Ye
- Faculty of Sports Science, Ningbo University, Ningbo, China
| | - Kovács Bálint
- Faculty of Sports Science, Ningbo University, Ningbo, China
| | - Zsolt Radak
- Research Institute of Sport Science, University of Physical Education, Budapest, Hungary
| | - Zhuqing Mao
- Faculty of Sports Science, Ningbo University, Ningbo, China
| | - Yaodong Gu
- Faculty of Sports Science, Ningbo University, Ningbo, China
- Research Academy of Medicine Combining Sports, Ningbo No 2 Hospital, Ningbo, China
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9
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Jiang X, Xu D, Fang Y, Bíró I, Baker JS, Gu Y. PCA of Running Biomechanics after 5 km between Novice and Experienced Runners. Bioengineering (Basel) 2023; 10:876. [PMID: 37508903 PMCID: PMC10376576 DOI: 10.3390/bioengineering10070876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2023] [Revised: 07/09/2023] [Accepted: 07/19/2023] [Indexed: 07/30/2023] Open
Abstract
Increased running experience appears to lower the risk of running-related injuries, but the mechanisms underlying this are unknown. Studying the biomechanics of runners with different running experiences before and after long-distance running can improve our understanding of the relationship between faulty running mechanics and injury. The purpose of the present study was to investigate if there were any differences in lower-limb biomechanics between runners after a 5 km run. Biomechanical data were collected from 15 novice and 15 experienced runners. Principal component analysis (PCA) with single-component reconstruction was used to identify variations in running biomechanics across the gait waveforms. A two-way repeated-measures ANOVA was conducted to explore the effects of runner and a 5 km run. Significant runner group differences were found for the kinematics and kinetics of lower-limb joints and ground reaction force (GRF) with respect to the magnitude across the stance phase. We found that novice runners exhibited greater changes in joint angles, joint moments, and GRFs than experienced runners regardless of the prolonged running session, and those patterns may relate to lower-limb injuries. The results of this study suggest that the PCA approach can provide unique insight into running biomechanics and injury mechanisms. The findings from the study could potentially guide training program developments and injury prevention protocols for runners with different running experiences.
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Affiliation(s)
- Xinyan Jiang
- Research Academy of Medicine Combining Sports, Ningbo No. 2 Hospital, Ningbo 315010, China
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China
- Doctoral School on Safety and Security Sciences, Obuda University, 1034 Budapest, Hungary
- Faculty of Engineering, University of Szeged, 6720 Szeged, Hungary
| | - Datao Xu
- Research Academy of Medicine Combining Sports, Ningbo No. 2 Hospital, Ningbo 315010, China
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China
- Faculty of Engineering, University of Pannonia, 8201 Veszprém, Hungary
| | - Yufei Fang
- Research Academy of Medicine Combining Sports, Ningbo No. 2 Hospital, Ningbo 315010, China
| | - István Bíró
- Doctoral School on Safety and Security Sciences, Obuda University, 1034 Budapest, Hungary
- Faculty of Engineering, University of Szeged, 6720 Szeged, Hungary
| | - Julien S Baker
- Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, China
| | - Yaodong Gu
- Research Academy of Medicine Combining Sports, Ningbo No. 2 Hospital, Ningbo 315010, China
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China
- Department of Radiology, Ningbo No. 2 Hospital, Ningbo 315010, China
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10
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He Y, Liang M, Fang Y, Fekete G, Baker JS, Gu Y. Lumbar and pelvis movement comparison between cross-court and long-line topspin forehand in table tennis: based on musculoskeletal model. Front Bioeng Biotechnol 2023; 11:1185177. [PMID: 37404682 PMCID: PMC10315575 DOI: 10.3389/fbioe.2023.1185177] [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: 03/13/2023] [Accepted: 06/09/2023] [Indexed: 07/06/2023] Open
Abstract
Introduction: Cross-court and the long-line topspin forehand is the common and basic stroke skill in table tennis. The purpose of this study was to investigate the differences in lumbar and pelvis movements between cross-court and long-line topspin forehand strokes in table tennis based on musculoskeletal demands using OpenSim. Materials and Methods: The eight-camera Vicon system and Kistler force platform were used to measure kinematics and kinetics in the lumbar and pelvis movement of sixteen participants (Weight: 69.89 ± 1.58 kg; Height: 1.73 ± 0.03 m; Age: 22.89 ± 2.03 years; BMI: 23.45 ± 0.69 kg/m2; Experience: 8.33 ± 0.71 years) during cross-court and long-line topspin forehand play. The data was imputed into OpenSim providing the establishment of the Giat2392 musculoskeletal model for simulation. One-dimensional statistical parametric mapping and independent samples t-test was performed in MATLAB and SPSS to analyze the kinematics and kinetics. Results: The results show that the range of motion, peak moment, and maximum angle of the lumbar and pelvis movement in cross-court play were significantly higher than in the long-line stroke play. The moment of long-line in the sagittal and frontal plane was significantly higher than cross-court play in the early stroke phase. Conclusion: The lumbar and pelvis embody greater weight transfer and greater energy production mechanisms when players performed cross-court compared to long-line topspin forehand. Beginners could enhance their motor control strategies in forehand topspin skills and master this skill more easily based on the results of this study.
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Affiliation(s)
- Yuqi He
- Research Academy of Medicine Combining Sports, Ningbo No.2 Hospital, Ningbo, China
- Faculty of Engineering, University of Pannonia, Veszprém, Hungary
- Savaria Institute of Technology, Eötvös Loránd University, Szombathely, Hungary
| | - Minjun Liang
- Research Academy of Medicine Combining Sports, Ningbo No.2 Hospital, Ningbo, China
- Faculty of Sports Science, Ningbo University, Ningbo, China
| | - Yufei Fang
- Research Academy of Medicine Combining Sports, Ningbo No.2 Hospital, Ningbo, China
| | - Gusztáv Fekete
- Savaria Institute of Technology, Eötvös Loránd University, Szombathely, Hungary
| | - Julien S. Baker
- Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, China
| | - Yaodong Gu
- Research Academy of Medicine Combining Sports, Ningbo No.2 Hospital, Ningbo, China
- Faculty of Sports Science, Ningbo University, Ningbo, China
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Quan W, Gao L, Xu D, Zhou H, Korim T, Shao S, Baker JS, Gu Y. Simulation of Lower Limb Muscle Activation Using Running Shoes with Different Heel-to-Toe Drops Using Opensim. Healthcare (Basel) 2023; 11:healthcare11091243. [PMID: 37174785 PMCID: PMC10178672 DOI: 10.3390/healthcare11091243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 04/06/2023] [Accepted: 04/24/2023] [Indexed: 05/15/2023] Open
Abstract
BACKGROUND Although numerous studies have been conducted to investigate the acute effects of shoe drops on running kinematics and kinetic variables, their effects on muscle forces remain unknown. Thus, the primary aim of this study was to compare the muscle force, kinematics, and kinetic variables of habitually rearfoot runners with heel-to-toe drops of negative 8 mm shoes (minimalist shoes) and positive 9 mm shoes (normal shoes) during the running stance phase by using musculoskeletal modeling and simulation techniques. METHODS Experimental data of lower limb kinematics, ground reaction force, and muscle activation from 16 healthy runners with rearfoot strike patterns were collected and analyzed in OpenSim. Using Matlab, the statistical parameter mapping paired t-test was used to compare the joint angle, moment, and muscle force waveform. RESULTS The results revealed differences in the sagittal ankle and hip angles and sagittal knee moments between the different heel-to-toe drops of running shoes. Specifically, it showed that the negative 8 mm running shoes led to significantly smaller values than the positive 9 mm running shoes in terms of the angle of ankle dorsiflexion, ankle eversion, knee flexion, hip flexion, and hip internal and hip external rotation. The peak ankle dorsiflexion moment, ankle plantarflexion moment, ankle eversion moment, knee flexion moment, knee abduction moment, and knee internal rotation also decreased obviously with the minimalist running shoes, while the lateral gastrocnemius, Achilleas tendon, and extensor hallucis longus muscles were obviously greater in the minimalist shoes compared to normal shoes. The vastus medialis, vastus lateralis and extensor digitorum longus muscles force were smaller in the minimalist shoes. CONCLUSIONS Runners may shift to a midfoot strike pattern when wearing negative running shoes. High muscle forces in the gastrocnemius lateral, Achilleas tendon, and flexor hallucis longus muscles may also indicate an increased risk of Achilleas tendonitis and ankle flexor injuries.
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Affiliation(s)
- Wenjing Quan
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China
- Department of Materials Engineering, Faculty of Engineering, University of Pannonia, H-8201 Veszprem, Hungary
| | - Linna Gao
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China
| | - Datao Xu
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China
- Department of Materials Engineering, Faculty of Engineering, University of Pannonia, H-8201 Veszprem, Hungary
| | - Huiyu Zhou
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China
- School of Health and Life Sciences, University of the West of Scotland, Glasgow G72 0LH, UK
| | - Tamás Korim
- Department of Materials Engineering, Faculty of Engineering, University of Pannonia, H-8201 Veszprem, Hungary
| | - Shirui Shao
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China
| | - Julien S Baker
- Centre for Health and Exercise Science Research, Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong 999077, China
| | - Yaodong Gu
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China
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Chen L, Jiang Z, Yang C, Cheng R, Zheng S, Qian J. Effect of different landing actions on knee joint biomechanics of female college athletes: Based on opensim simulation. Front Bioeng Biotechnol 2022; 10:899799. [DOI: 10.3389/fbioe.2022.899799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2022] [Accepted: 10/10/2022] [Indexed: 11/13/2022] Open
Abstract
Background: The anterior cruciate ligament (ACL) is one of the most injurious parts of the knee in the biomechanical environment during landing actions. The purpose of this study was to compare the lower limb differences in movement patterns, muscle forces and ACL forces during drop landing (DL), drop vertical jump (DVJ) and forward vertical jump (FVJ).Methods: Eleven basketball and volleyball female college athletes (Division II and I) were recruited. Landing actions of DL, DVJ and FVJ, kinematics and dynamics data were collected synchronously using a motion capture system. OpenSim was used to calculate the ACL load, knee joint angle and moment, and muscle force.Results: At initial contact, different landing movements influenced knee flexion angle; DL action was significantly less than FVJ action (p = 0.046). Different landing actions affected quadriceps femoris forces; FVJ was significantly greater than DL and DVJ actions (p = 0.002 and p = 0.037, respectively). However, different landing movements had no significant effects on other variables (knee extension moment, knee valgus angle and moment, hamstring and gastrocnemius muscle forces, and ACL forces) (p > 0.050).Conclusion: There was no significant difference in the knee valgus, knee valgus moment, and the ACL forces between the three landing actions. However, knee flexion angle, knee extension moments sagittal factors, and quadriceps and gastrocnemius forces are critical factors for ACL injury. The DL action had a significantly smaller knee flexion angle, which may increase the risk of ACL injury, and not recommended to assess the risk of ACL injuries. The FVJ action had a larger knee flexion angle and higher quadriceps femoris forces that were more in line with daily training and competition needs. Therefore, it is recommended to use FVJ action in future studies on risk assessment of ACL injuries and injury prevention in female college athletes.
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Running Velocity and Longitudinal Bending Stiffness Influence the Asymmetry of Kinematic Variables of the Lower Limb Joints. Bioengineering (Basel) 2022; 9:bioengineering9110607. [PMID: 36354518 PMCID: PMC9687503 DOI: 10.3390/bioengineering9110607] [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: 09/11/2022] [Revised: 10/10/2022] [Accepted: 10/19/2022] [Indexed: 11/17/2022] Open
Abstract
Running-related limb asymmetries suggest specific sports injuries and recovery circumstances. It is debatable if running speed affected asymmetry, and more research is required to determine how longitudinal bending stiffness (LBS) affected asymmetry. The purpose of this study was to investigate the influence of running velocity and LBS on kinematic characteristics of the hip, knee, ankle, metatarsophalangeal joint (MTP) and the corresponding asymmetry. Kinematic (200 Hz) running stance phase data were collected bilaterally for 16 healthy male recreational runners (age: 23.13 ± 1.17, height: 175.2 ± 1.6 cm, body mass: 75.7 ± 3.6 kg, BMI: 24.7 ± 1.3 kg/m2) running on a force plate at three different velocities (10, 12 and 14 km/h) and three increasing-LBS shoes in a randomized order. The symmetry angle (SA) was calculated to quantify gait asymmetry magnitude at each running velocity and LBS. Changes in running velocity and LBS led to differences in kinematic variables between the hip, knee, ankle and MTP (p < 0.05). Significant changes in SA caused by running velocity were found in the knee flexion angle (p = 0.001) and flexion angle peak velocity (p < 0.001), ankle plantarflexion angle (p = 0.001) and plantarflexion angle peak velocity (p = 0.043) and MTP dorsiflexion angle (p = 0.001) and dorsiflexion angle peak velocity (p = 0.019). A significant change in the SA caused by LBS was found in the MTP dorsiflexion peak angle velocity (p = 0.014). There were interaction effects between running velocity and LBS on the MTP plantarflexion angle (p = 0.033) and plantarflexion angle peak velocity (p = 0.038). These findings indicate the existence of bilateral lower limb asymmetry. Meanwhile, it was proved that running velocity and LBS can influence the asymmetry of lower limb joints. Additionally, there was an interaction between running velocity and LBS on the asymmetry of the lower limb. These findings can provide some information for sports injuries, such as metatarsal stress fractures and anterior cruciate ligament injuries. They can also provide some useful information for running velocities and running shoes.
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Development and Validation of a Subject-Specific Coupled Model for Foot and Sports Shoe Complex: A Pilot Computational Study. BIOENGINEERING (BASEL, SWITZERLAND) 2022; 9:bioengineering9100553. [PMID: 36290521 PMCID: PMC9598393 DOI: 10.3390/bioengineering9100553] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Revised: 10/09/2022] [Accepted: 10/11/2022] [Indexed: 11/07/2022]
Abstract
Nowadays, footwear serves an essential role in improving athletic performance and decreasing the risk of unexpected injuries in sports games. Finite element (FE) modeling is a powerful tool to reveal the biomechanical interactions between foot and footwear, and establishing a coupled foot-shoe model is the prerequisite. The purpose of this pilot study was to develop and validate a 3D FE coupled model of the foot and sports shoe complex during balanced standing. All major foot and shoe structures were constructed based on the participant’s medical CT images, and 3D gait analysis was conducted to define the loading and boundary conditions. Sensitivity analysis was applied to determine the optimum material property for shoe sole. Both the plantar and shoe sole areas were further divided into four regions for model validation, and the Bland–Altman method was used for consistency analysis between methods. The simulated peak plantar and sole pressure distribution showed good consistency with experimental pressure data, and the prediction errors were all less than 10% during balanced standing with only two exceptions (medial and lateral forefoot regions). Meanwhile, the Bland–Altman analysis demonstrated a good agreement between the two approaches. The sensitivity analysis suggested that shoe sole with Young’s modulus of 2.739 MPa presented the greatest consistency with the measured data in our scenario. The established model could be used for investing the complex biomechanical interactions between the foot and sports shoe and optimizing footwear design, after it has been fully validated in the subsequent works under different conditions.
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Chen H, Shao E, Sun D, Xuan R, Baker JS, Gu Y. Effects of footwear with different longitudinal bending stiffness on biomechanical characteristics and muscular mechanics of lower limbs in adolescent runners. Front Physiol 2022; 13:907016. [PMID: 36060684 PMCID: PMC9437943 DOI: 10.3389/fphys.2022.907016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Accepted: 07/01/2022] [Indexed: 12/03/2022] Open
Abstract
Background: Running shoes with carbon plates have been identified to have positive effects on improving running performance from a biomechanical perspective. However, the specific difference between the effects of carbon plates with different longitudinal bending stiffness (LBS)on biomechanical characteristics and muscular mechanics of lower limbs in adolescent runners remains unclear. This study aimed to identify the difference in biomechanical characteristics and muscular mechanics in lower limbs during running stance phases between wearing shoes with low longitudinal bending stiffness (Llbs) and high longitudinal bending stiffness (Hlbs) carbon plates in adolescent runners. Methods: 10 male adolescent runners with a habit of daily running exercise (age: 13.5 ± 0.6 years; height: 166.3 ± 1.9 cm; bodyweight: 50.8 ± 3.1 kg; foot length: 25.4 ± 0.2 cm) were recruited and asked to conduct two times of tests by wearing shoes with Llbs and Hlbs carbon plates in a randomized order. Paired t-test and statistical parametric mapping (SPM) analysis were used to identify the difference in biomechanical characteristics and muscular mechanics in lower limbs during running stance phases. Result: Under the condition of wearing shoes with Hlbs, the time of foot contact significantly increased, whereas the range of motion (ROM) of hip and metatarsophalangeal (MTP) in the sagittal plane significantly reduced as well as the peak moment of ankle joint in the sagittal plane. The activations of vastus medialis, vastus lateralis, flexor digitorum brevis (flex dig brevis), and flexor hallucis longus (flex hall long) significantly increased under the condition of wearing shoes with Hlbs. According to the results of the SPM analysis, the joint angles (hip, ankle, and MTP), the net joint moments (knee, ankle, and MTP), and the muscle forces (gluteus maximus and tibialis anterior) were significant difference during the running stance phase between conditions of wearing shoes with Hlbs and Llbs. Conclusion: Running shoes with Llb carbon plates are appropriate for adolescent runners due to the advantages of biomechanical characteristics and muscular mechanics.
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Affiliation(s)
- Hairong Chen
- Faculty of Sports Science, Ningbo University, Ningbo, China
| | - Enze Shao
- Faculty of Sports Science, Ningbo University, Ningbo, China
| | - Dong Sun
- Faculty of Sports Science, Ningbo University, Ningbo, China
| | - Rongrong Xuan
- The Affiliated Hospital of Medical School, Ningbo University, Ningbo, China
- *Correspondence: Rongrong Xuan, ; Yaodong Gu,
| | - Julien S. Baker
- Department of Sport Physical Education and Health, Hong Kong Baptist University, Kowloon, Hong Kong SAR, China
- Center for Health and Exercise Science Research, Hong Kong Baptist University, Kowloon, Hong Kong SAR, China
| | - Yaodong Gu
- Faculty of Sports Science, Ningbo University, Ningbo, China
- *Correspondence: Rongrong Xuan, ; Yaodong Gu,
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Influence of Different Load Conditions on Lower Extremity Biomechanics during the Lunge Squat in Novice Men. Bioengineering (Basel) 2022; 9:bioengineering9070272. [PMID: 35877323 PMCID: PMC9311947 DOI: 10.3390/bioengineering9070272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2022] [Revised: 06/19/2022] [Accepted: 06/20/2022] [Indexed: 11/29/2022] Open
Abstract
Objective: The lunge squat is one of the exercises to strengthen the lower limbs, however, there is little evidence of the effects of different equipment. The purpose of this study was to investigate the biomechanical effects of different types of equipment and loads on the lunge squat’s effect on the lower limbs. Methods: Fourteen male fitness novices participated in the experiment. Kinematics and kinetics in the sagittal plane using dumbbells, barbells, and weighted vests were measured using OpenSim. Two-way repeated measures ANOVA and one-dimensional statistical parametric mapping were used in the statistical analysis (SPM1D). Results: Range of motion (ROM) change in the knee joint was more obvious when using a barbell, whereas ROM when using a dumbbell was minimal. Compared to other joints, the joint moment at the hip joint was the largest and changed more significantly with increasing weight-bearing intensity, and the change was more pronounced with the dumbbell. For the center of pressure (COP) overall displacement, the dumbbell produced a smaller range of displacement. Conclusions: Dumbbells are suggested for male beginners to improve stability, barbells for the more experienced, and a low-weighted vest may be more appropriate for those with knee pain.
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