Effects of inversion perturbation after step down on the latency of the peroneus longus and peroneus brevis.

The purpose of this investigation was to determine the effect of different types of ankle sprains on the response latency of the peroneus longus and peroneus brevis to an inversion perturbation, as well as the time to complete the perturbation (time to maximum inversion). To create a forced inversion moment of the ankle, an outer sole with fulcrum was used to cause 25 degrees of inversion at the ankle upon landing from a 27 cm step-down task. Forty participants completed the study: 15 participants had no history of any ankle sprain, 15 participants had a history of a lateral ankle sprain, and 10 participants had a history of a high ankle sprain. There was not a significant difference between the injury groups for the latency measurements or the time to maximum inversion. These findings indicate that a previous lateral ankle sprain or high ankle sprain does not affect the latency of the peroneal muscles or the time to complete the inversion range of motion.

Lower extremity joints and their contributions to whole limb extension.

Lower extremity multi-joint strength curves tend not to evaluate individual joint contributions to endpoint force in maximum effort isometric whole limb extension. Therefore, the purpose of this study was to measure the contribution of the hip, knee, and ankle to vertical ground reaction force in maximum effort isometric whole limb extension at various postures. An effect of posture on the contributions of the hip, knee, and ankle to vertical ground reaction force was found (F(3,96) = 85.31, p < 0.0001; F(3,96) = 21.32, p < 0.0001; F(3,96) = 130.61, p < 0.0001 for the hip, knee, and ankle, respectively). The hip and knee contributed most to vertical endpoint force when the lower limb was in a flexed posture, and their contributions decreased when posture was extended. Conversely, the ankle contributed least when the limb was flexed, but its contribution increased as posture was changed from flexed to more extended. In comparison to recent research involving induced acceleration analysis, it appears that the hip, knee, and ankle utilize the same force allocation strategy in multi-joint maximum effort isometric leg extensions and activities of daily living.

Caudal paw displacement during movement initiation and its implications for possible injury mechanisms.

OBJECTIVES: The purpose of this study was to quantify and determine the degree to which dogs experience negative displacement of the paw during movement initiation on natural surfaces, the frequency of that displacement, and whether or not the negative displacement could yield injuries. METHODS: Seven retired racing Greyhound dogs were selected to participate in sprint starts on two natural (non-vegetated and vegetated) surfaces. Kinematic analysis was conducted to quantify the displacements. RESULTS: All dogs in all trials experienced a negative paw displacement in at least one or more limbs. Significant effects were found for negative displacement across surfaces, limb, and for the surface x limb interactions. Rear paw negative displacement was -6.68 ± 2.55% body length (BL) for the non-vegetated surface and -5.29 ± 1.92% BL for the vegetated surface. Front paw negative displacement was -21.42 ± 2.62% BL for the non-vegetated surface and -17.25 ± 3.82% BL for the vegetated surface. There was no significant difference between average torso velocity on the two track surfaces. This study verified that the paw does negatively displace (moves backwards) during movement initiation. The magnitude of the displacements suggests that multiple injury mechanisms could be present. CLINICAL RELEVANCE: These findings demonstrate the extreme kinematics placed on the canine body during movement initiation, which might further the understanding of the mechanism of injury and contribute to enhanced surgical and rehabilitation techniques.

Biomechanics of wheelchair propulsion as a function of seat position and user-to-chair interface.

This study investigated the biomechanics of lever and hand-rim propulsion and the effects of seat position on propulsion mechanics. Nine able-bodied and six paraplegic spinal cord injured persons participated. Subjects performed hand-rim and lever propulsion on a wheelchair test simulator at a speed and load of 3km/hr and 7.5 watts/side, respectively. A 2 x 3 matrix of randomized seat positions was used. Three-dimensional motion measures of the trunk, shoulder, elbow, and wrist were collected over four-second sample periods for each seat position. Hub torque and stroke arc measurements were determined. Upper extremity motions were significantly different (p less than .05) for the two methods of propulsion. Hand-rim propulsion required less elbow motion, greater shoulder extension, less shoulder rotation and less arm abduction than lever propulsion. Both methods of propulsion required a substantial amount of internal rotation at the shoulder. Seat position changes had a greater effect on joint motion ranges when hand-rim propulsion was performed. No significant differences (p greater than .05) were found for trunk motion for the treatments. The findings provide additional information for development of a model for the optimization of wheelchair propulsion.