Patellofemoral Joint Loading in Forward Lunge With Step Length and Height Variations

The objective was to assess how patellofemoral loads (joint force and stress) change while lunging with step length and step height variations. Sixteen participants performed a forward lunge using short and long steps at ground level and up to a 10-cm platform. Electromyography, ground reaction force, and 3D motion were captured, and patellofemoral loads were calculated as a function of knee angle. Repeated-measures 2-way analysis of variance (P < .05) was employed. Patellofemoral loads in the lead knee were greater with long step at the beginning of landing (10°-30° knee angle) and the end of pushoff (10°-40°) and greater with short step during the deep knee flexion portion of the lunge (50°-100°). Patellofemoral loads were greater at ground level than 10-cm platform during lunge descent (50°-100°) and lunge ascent (40°-70°). Patellofemoral loads generally increased as knee flexion increased and decreased as knee flexion decreased. To gradually increase patellofemoral loads, perform forward lunge in the following sequence: (1) minimal knee flexion (0°-30°), (2) moderate knee flexion (0°-60°), (3) long step and deep knee flexion (0°-100°) up to a 10-cm platform, and (4) long step and deep knee flexion (0°-100°) at ground level.

The Impact of Circular Exercise Diameter on Bone and Joint Health of Juvenile Animals

Circular exercise is used in many equestrian disciplines and this study aimed to determine if circle diameter impacts juvenile animal forelimb bone and joint health. On day 0, 24 calves at 9 weeks of age were assigned the following exercise treatments: small circle (12 m clockwise), large circle (18-m clockwise), treadmill, or non-exercised control. Exercise was initiated at 1.1−1.5 m/s for 5 min/d and increased 5 min weekly until reaching 30 min/d. On day 49, synovial fluid was collected from multiple joints, cartilage was collected from the proximal surface of fused third and fourth metacarpi (MC III and IV), and forelimbs underwent computed tomography scans. A statistical analysis (PROC mixed) was performed in SAS 9.4. The inside leg of the small circle treatment had a larger MC III and IV dorsopalmar external diameter than the outside (p = 0.05). The medial proximal phalanx had a greater mediolateral diameter than the lateral proximal phalanx of the small circle treatment (p = 0.01). Fetlock nitric oxide was greater in the large circle and treadmill treatments (p < 0.0001). Cartilage glycosaminoglycan concentration was greater in the outside leg of the small circle exercise treatment than the inside leg (p = 0.03). Even at slow speeds, circular exercise diameter can impact joint and bone health, but faster speeds may have greater alterations.

The Pattern of Superficial Body Temperatures in Leisure Horses Lunged with Commonly Used Lunging Aids

Simple Summary

In the training of horses, special lunging aids may be used to regulate head and neck position during exercise without the intervention of a rider. The rubber band and triangle side reins and the chambon have an impact on thoracolumbar kinematics and the motion of the fore- and hindlimbs. Lunging aids are assumed to modulate the work of horses’ muscles, which results in altering the superficial thermographic patterns. Thermography is a non-invasive, contactless imaging technique based on detecting emitted infrared radiation representing the temperature of the body surface, influenced by muscle metabolism and blood circulation. Training sessions for 16 horses performed in the study included exercises at walk, freely active trot, and canter. Surface temperatures of 11 regions of interest were evaluated on all images, corresponding to areas influenced by neck fixation and engaging hindquarters. In conclusion, thermography was shown as a useful tool in lunging aids’ usefulness evaluation. Different types of lunging aids influence the mobility of horse neck and back and its choice for leisure horses lunging should be made individually. Lunging aids change the surface temperature of different body parts during the leisure horse work on the lunge.

Abstract

Background: The natural head and neck position (HNP) of horses differs from the position in horse riding when bit is used. The special lunging aids (LAs) are applied in order to modify HNP. Different types of LAs have the potential to affect the work of horse muscles and the superficial thermographic patterns (STPs). The effects of thre LAs on STPs of neck, chest, back, and hindquarters were investigated. Methods: Sixteen leisure horses were lunged with freely moving head (FMH), rubber band (RB), chambon (CH), and triangle side reins (TRs). The thermographic images (n = 896) were analyzed before/after lunging for mean temperatures (T_mean) and minimum–maximum difference (T_diff). Results: Superficial T_mean increased (p < 0.001) in cranial part of neck, back, thoracic area, and limbs after lunging regardless of LAs application or its type. In comparison to other LAs: With RB, T_mean was higher in regions of interest (ROIs) 2,7 and lower in ROIs 3–4 (p < 0.05); with CH, T_mean was higher in ROIs 2–4 and 7 (p < 0.01); and with TRs, T_mean was higher in ROIs 2–4,7,9–11 (p < 0.01). In ROIs 2–4 and 7, T_diff was lower with LAs than with FMH (p < 0.01) and in ROIs 9–10 with TRs. Conclusions: The choice of LAs should be dictated by the expected effect; however, all LAs increase the quality of the leisure horse lunging. LA use is more desirable than lunging with FMH.

Stair Climbing and High Knee Flexion Activities in Bi-Cruciate Retaining Total Knee Arthroplasty: In Vivo Kinematics and Articular Contact Analysis

BACKGROUND

Bi-cruciate retaining (BCR) total knee arthroplasty (TKA) preserves both anterior and posterior cruciate ligaments with the potential to restore normal posterior femoral rollback and joint kinematics. However, there is limited information regarding articular contact behavior in the contemporary BCR TKA design during high knee flexion activities. This study aimed to investigate the articular knee contact performance in unilateral BCR TKA patients during strenuous flexion activities.

METHODS

Twenty-nine unilateral BCR TKA patients were evaluated for both knees during single deep lunges, step-ups, and sit-to-stand (STS) using a validated combined computer tomography and dual fluoroscopic imaging system. Medial and lateral condylar contact positions were quantified during weight-bearing flexion.

RESULTS

Contact excursions of the lateral condyle in BCR TKAs were significantly more anteriorly located than the contralateral non-operated knees during STS (-4.9 ± 3.1 vs -9.7 ± 4.6 mm, P < .05), single deep lunge (-5.7 ± 3.2 vs -10.0 ± 4.5 mm, P < .05), and step-ups (-4.8 ± 3.6 vs -9.1 ± 3.9 mm, P < .05). Contact points of BCR TKAs indicated reduced femoral external rotation during STS (2.1 ± 4.8° vs 7.7 ± 5.4°, P < .05), single deep lunges (1.8 ± 4.8° vs 7.0 ± 7.1°, P < .05), and step-ups (0.1 ± 4.1° vs 6.2 ± 4.9°, P < .05). Medial pivoting patterns were observed in only 59%, 56%, and 48% of the BCR TKA knees for step-ups, STS, and single deep lunge, respectively.

CONCLUSION

The contemporary BCR TKA design demonstrated asymmetric femoral rollback, medial translation, as well as lateral pivoting in about half of the patient cohort, suggesting that in vivo tibiofemoral kinematic parameters were not fully restored in BCR patients during strenuous flexion activities.

Can hip and knee kinematics be improved by eliminating thigh markers?

BACKGROUND

Marker sets developed for gait analysis are often applied to more dynamic tasks with little or no validation, despite known complications of soft tissue artifact.

METHODS

This study presents a comparison of hip and knee kinematics as calculated by five concurrently-worn tracking marker sets during eight different tasks. The first three marker sets were based on Helen Hayes but used (1) proximal thigh wands, (2) distal thigh wands, and (3) patellar markers instead of thigh wands. The remaining two marker sets used rigid clusters on the (4) thighs and shanks and (5) only shanks. Pelvis and foot segments were shared by all marker sets. The first three tasks were maximal femoral rotations using different knee and hip positions to quantify the ability of each marker set to capture this motion. The remaining five tasks were walking, walking a 1m radius circle, running, jumping, and lunging.

FINDINGS

In general, few and small differences in knee and hip flexion-extension were observed between marker sets, while many and large differences in adduction-abduction and external-internal rotations were observed. The shank-only tracking marker set was capable of detecting the greatest hip external-internal rotation, yet only did so during dynamic tasks where greater hip axial motions would be expected. All data are available in the Appendix.

INTERPRETATION

Marker set selection is critical to non-sagittal hip and knee motions. The shank-only tracking marker set presented here is a viable alternative that may improve knee and hip kinematics by eliminating errors from thigh soft tissue artifact.