On the Influence of the Shoulder Kinematic Chain on Joint Kinematics and Musculotendon Lengths During Wheelchair Propulsion Estimated From Multibody Kinematics Optimization.

Multibody kinematic optimization is frequently used to assess shoulder kinematics during manual wheelchair (MWC) propulsion, but multiple kinematics chains are available. It is hypothesized that these different kinematic chains affect marker tracking, shoulder kinematics, and resulting musculotendon (MT) lengths. In this study, shoulder kinematics and MT lengths obtained from four shoulder kinematic chains (open-loop thorax-clavicle-scapula-humerus (M1), closed-loop with contact ellipsoid (M2), scapula rhythm from regression equations (M3), and a single ball-and- socket joint between the thorax and the humerus (M4) were compared. Right-side shoulder kinematics from seven subjects were obtained with 34 reflective markers and a scapula locator using an optoelectronic motion capture system while propelling on a MWC simulator. Data were processed based on the four models. The results showed the impact of shoulder kinematic chains on all studied variables. Marker reconstruction errors were found to be similar between M1 and M2 and lower than for M3 and M4. Few degrees-of-freedom (DoF) were noticeably different between M1 and M2, but all shoulder DoFs were significantly affected between M1 and M4. As a consequence of differences in joint kinematics, MT lengths were affected by the kinematic chain definition. The contact ellipsoid (M2) was found as a good trade-off between marker tracking and penetration avoidance of the scapula. The regression-based model (M3) was less efficient due to limited humerus elevation during MWC propulsion, as well as the ball-and-socket model (M4) which appeared not suitable for upper limbs activities, including MWC propulsion.

Influence of shoe torsional stiffness on foot and ankle biomechanics during tennis forehand strokes.

Tennis shoe characteristics need to minimise the risk of athletes suffering ankle injuries and improve players' feet performance. This study aims to evaluate the influence of shoe torsional stiffness on running velocity, stance duration, ground reaction forces and ankle biomechanics during two different tennis forehand runs and strokes. Ten right-handed advanced male tennis players performed two specific tennis forehand runs and strokes at maximal effort (a shuttle run with a defensive open stance forehand - SRDF and a lateral jab run with an offensive open stance forehand - JROF) with four different pairs of tennis shoes with different torsional stiffness. A force platform measured ground reaction forces (GRF). A motion capture system recorded the 3D trajectories of markers located on players' anatomical landmarks. The minimum, maximum angle value, and range of motion were computed using inverse kinematics for each rotation axis of the right ankle. Normalised maximal ankle torques were also computed using inverse dynamics. Shoe torsional stiffness had no effect on running velocity, on stance duration and maximal values of GRF. Shoe torsional stiffness influenced forefoot inversion which was significantly higher for the most flexible shoes. For SRDF, the maximal ankle inversion angle was significantly and largely increased for the stiffest shoe. The stiffest shoe may put the ankle at a higher risk of lateral sprains during SRDF while it was not the case during JROF.HighlightsShoe torsional stiffness has no effect on performance parameters (running velocity of the centre of mass, ground reaction forces, and stance duration) during tennis forehand strokes.Decreased shoe torsional stiffness increased the maximal forefoot inversion angle and the range of motion of forefoot inversion-eversion during tennis forehand strokes and movements.Increased footwear torsional stiffness causes higher maximal ankle inversion angle which may increase the risk for ankle sprains in SRDF.

Comparison of shoulder kinematic chain models and their influence on kinematics and kinetics in the study of manual wheelchair propulsion.

Several kinematic chains of the upper limbs have been designed in musculoskeletal models to investigate various upper extremity activities, including manual wheelchair propulsion. The aim of our study was to compare the effect of an ellipsoid mobilizer formulation to describe the motion of the scapulothoracic joint with respect to regression-based models on shoulder kinematics, shoulder kinetics and computational time, during manual wheelchair propulsion activities. Ten subjects, familiar with manual wheelchair propulsion, were equipped with reflective markers and performed start-up and propulsion cycles with an instrumented field wheelchair. Kinematic data obtained from the optoelectronic system and kinetic data measured by the sensors on the wheelchair were processed using the OpenSim software with three shoulder joint modeling versions (ellipsoid mobilizer, regression equations or fixed scapula) of an upper-limb musculoskeletal model. As expected, the results obtained with the three versions of the model varied, for both segment kinematics and shoulder kinetics. With respect to the model based on regression equations, the model describing the scapulothoracic joint as an ellipsoid could capture the kinematics of the upper limbs with higher fidelity. In addition, the mobilizer formulation allowed to compute consistent shoulder moments at a low computer processing cost. Further developments should be made to allow a subject-specific definition of the kinematic chain.