Individualized Technique Feedback for Instant Technique Improvements and Knee Abduction Moment Reductions - A New Approach for 'Sidestepping' ACL Injuries?

Background: Sidestep cutting technique is highly individual and has been shown to influence knee joint loading. However, studies assessing whether individualized technique feedback improves technique and ACL injury-relevant knee joint loads instantly in a sport-specific task are lacking. Purpose: To determine the instant effects of individualized augmented technique feedback and instructions on technique and the peak external knee abduction moment (pKAM) in a handball-specific sidestep cut. Additionally, to determine the effects of technique modifications on the resultant ground reaction force and its frontal plane moment arm to the knee joint center. Study Design: Controlled laboratory cohort study. Methods: Three-dimensional biomechanics of 48 adolescent female handball players were recorded during a handball-specific sidestep cut. Following baseline cuts to each side, leg-specific visual and verbal technique feedback on foot strike angle, knee valgus motion, or vertical impact velocity using a hierarchically organized structure accounting for the variables' association with performance was provided. Subsequently, sidestep cuts were performed again while verbal instructions were provided to guide technique modifications. Combined effects of feedback and instructions on technique and pKAM as well as on the resultant ground reaction force and its frontal plane moment arm to the knee joint center were assessed. Results: On average, each targeted technique variable improved following feedback and instructions, leading to instant reductions in pKAM of 13.4% to 17.1%. High inter-individual differences in response to feedback-instruction combinations were observed. These differences were evident in both the adherence to instructions and the impact on pKAM and its components. Conclusion: Most players were able to instantly adapt their technique and decrease ACL injury-relevant knee joint loads through individualized augmented technique feedback, thereby potentially reducing the risk of injury. More research is needed to assess the retention of these adaptations and move towards on-field technique assessments using low-cost equipment. Level of Evidence: Level 3.

Lateral Ankle Joint Injuries in Indoor and Court Sports: A Systematic Video Analysis of 445 Nonconsecutive Case Series.

BACKGROUND: Lateral ankle sprains are one of the most common injuries in indoor and court sports. Self-reports and case studies have indicated that these injuries occur via both contact and noncontact injury mechanisms typically because of excessive inversion in combination with plantarflexion and adduction of the foot. Video-based documentation of the injury mechanism exists, but the number of cases reported in the literature is limited. PURPOSE: To retrieve and systematically analyze a large number of video-recorded lateral ankle injuries from indoor and court sports, as well as describe the injury mechanism, injury motion, and injury pattern across different sports. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: A total of 445 unique video-recorded lateral ankle sprain injuries were retrieved from indoor and court sports of broadcasted levels of competition. The videos were independently analyzed by 2 different reviewers. Outcomes included classification of the injury mechanism according to the International Olympic Committee consensus guidelines, primary and secondary motions of ankle joint distortion, and documentation of the fixation point (fulcrum) around which the foot rotates. RESULTS: Overall, 298 (67%) injuries were direct contact, 113 (25%) were noncontact, and 32 (7%) were indirect contact incidents. Direct contact injuries were especially prevalent in basketball (76%), handball (80%), and volleyball (85%), while noncontact injuries dominated in tennis and badminton (96% vs 95% across both). Inversion (65%) and internal rotation (33%) were the primary distortion motions, with the lateral forefoot (53%) and lateral midfoot (40%) serving as the main fulcrums. Landing on another player's foot was the leading cause of injury (n = 246; 55%), primarily characterized by inversion (79%) around a midfoot fulcrum (54%). The noncontact and indirect landings on floor (n = 144; 33%) were primarily characterized by a distortion around a forefoot fulcrum (69%). CONCLUSION: Two of 3 ankle sprains from online video platforms were direct contact injuries, with most involving landing on another player's foot. The distortion motion seems to be related to the injury mechanism and the fixation point between the foot and the floor. The injury mechanisms varied greatly between sports, and future studies should clearly differentiate and investigate the specific injury mechanisms.

A biomechanical report of an acute lateral ankle sprain during a handball-specific cutting movement.

Biomechanical measurements of accidental ankle sprain injuries are rare but make important contributions to a more detailed understanding of the injury mechanism. In this case study, we present the kinematics and kinetics of a lateral ankle sprain of a female athlete performing handball-specific fake-and-cut manoeuvres. Three-dimensional kinematics and kinetics were recorded and six previously performed trials were used as reference. Plantarflexion, inversion, and internal rotation angles were substantially larger than the reference trials and peaked between 190 and 200 ms after initial ground contact. We observed a highly increased inversion and internal rotation moment. However, compared to the non-injury trials the data also revealed a reduction in the second dorsiflexion moment peak. Ground reaction forces were lower throughout the injury trial. Other parameters at initial ground contact including ankle and hip position, step length, and the traction coefficient indicate that a preparatory maladjustment occurred. This study adds valuable contributions to the understanding of lateral ankle sprains by building upon previously published reports and considering the shoe-surface interaction as an important factor for injury.

How Approaching Angle, Bottleneck Width and Walking Speed Affect the Use of a Bottleneck by Individuals.

Understanding pedestrian dynamics at bottlenecks and how pedestrians interact with their environment-particularly how they use and move in the space available to them-is of safety importance, since bottlenecks are a key point for pedestrian flow. We performed a series of experiments in which participants walked through a bottleneck individually for varying combinations of approaching angle, bottleneck width and walking speed, to investigate the dependence of the movement on safety-relevant influencing factors. Trajectories as well as 3D motion data were recorded for every participant. This paper shows that (1) the maximum amplitude of shoulder rotation is mainly determined by the ratio of the bottleneck width to the shoulder width of the participant, while the direction is determined by the starting angle and the foot position; (2) the 'critical point' is not invariant to the starting angle and walking speed; (3) differences between the maximum and minimum speed values arise mainly from the distribution of deceleration patterns; and (4) the position of crossing shifts by 1.75 cm/10 cm, increasing the bottleneck width in the direction of origin.

The effect of footwear outsole material on slip resistance on dry and contaminated surfaces with geometrically controlled outsoles.

Previous studies have compared slip resistance of commercially available footwear, however, often lacking the ability to isolate factors such as material and surface properties, or/and geometry. The aim of this study was to compare slip resistance of geometrically identical shoes with varying outsole materials. Three left Ecco Xpedition III shoes were constructed out of three different outsole materials: polyurethane (PU), thermoplastic polyurethane (TPU) and vulcanised rubber (RU). The shoes were tested for dynamic coefficient of friction (DCOF) on a steel and a tile surface, without contamination and with glycerine and canola oil as contaminants. The shoes were significantly (p < 0.001) different from each other across all surface/contaminant conditions/combinations, with the PU having a significantly 61-125% (p < 0.001) higher DCOF on contaminated surfaces compared to the RU outsole.Practitioner summary: Previous research has suggested the importance of studying individual parameters separately of footwear in relation to slip resistance. In this study, we managed to construct geometrically identical shoes and compare the slip resistance between three different outsole materials. We found that the polyurethane outsole was the least slippery choice of material for this specific footwear model on contaminated surfaces.

Futsal playing surface characteristics significantly affect perceived traction and change of direction performance among experienced futsal players.

We aimed to clarify the effect of different futsal playing surface structural properties on the resultant change of direction (COD) performance, perceived traction and frictional properties. Twenty experienced male university soccer players performed a COD slalom-course test and perceived traction evaluation on three different types of playing surfaces (area-elastic: AE, point-elastic no.1: PE1 and point-elastic no.2: PE2). Frictional properties of these surfaces were mechanically evaluated against a futsal shoe, using a hydraulic moving force platform, and expressed as available friction coefficient (AFC). In the COD performance test, the participants performed significantly better on the point-elastic surfaces (PE1 and PE2) when compared to the area-elastic surface (AE) (p < 0.05). Also, the PE2 surface was found to have the highest perceived traction (p < 0.001). The findings suggest that the relatively higher (4%) AFC explains the improvement in performance and traction perception on the PE2 surface. In this study, we successfully demonstrated that the structural difference (AE or PE) of futsal playing surface has a significant impact on the COD performance of experienced futsal players and their perceived level of traction (PE2) and the frictional properties.

Unanticipated fake-and-cut maneuvers do not increase knee abduction moments in sport-specific tasks: Implication for ACL injury prevention and risk screening.

Non-contact anterior cruciate ligament injuries typically occur during cutting maneuvers and are associated with high peak knee abduction moments (KAM) within early stance. To screen athletes for injury risk or quantify the efficacy of prevention programs, it may be necessary to design tasks that mimic game situations. Thus, this study compared KAMs and ranking consistency of female handball players in three sport-specific fake-and-cut tasks of increasing complexity. The biomechanics of female handball players (n = 51, mean ± SD: 66.9 ± 7.8 kg, 1.74 ± 0.06 m, 19.2 ± 3.4 years) were recorded with a 3D motion capture system and force plates during three standardized fake-and-cut tasks. Task 1 was designed as a simple pre-planned cut, task 2 included catching a ball before a pre-planned cut in front of a static defender, and task 3 was designed as an unanticipated cut with three dynamic defenders involved. Inverse dynamics were used to calculate peak KAM within the first 100 ms of stance. KAM was decomposed into the frontal plane knee joint moment arm and resultant ground reaction force. RANOVAs (α ≤ 0.05) were used to reveal differences in the KAM magnitudes, moment arm, and resultant ground reaction force for the three tasks. Spearman's rank correlations were calculated to test the ranking consistency of the athletes' KAMs. There was a significant task main effect on KAM (p = 0.02; η p 2 = 0.13). The KAM in the two complex tasks was significantly higher (task 2: 1.73 Nm/kg; task 3: 1.64 Nm/kg) than the KAM in the simplest task (task 1: 1.52 Nm/kg). The ranking of the peak KAM was consistent regardless of the task complexity. Comparing tasks 1 and 2, an increase in KAM resulted from an increased frontal plane moment arm. Comparing tasks 1 and 3, higher KAM in task 3 resulted from an interplay between both moment arm and the resultant ground reaction force. In contrast to previous studies, unanticipated cutting maneuvers did not produce the highest KAMs. These findings indicate that the players have developed an automated sport-specific cutting technique that is utilized in both pre-planned and unanticipated fake-and-cut tasks.

Athletes with high knee abduction moments show increased vertical center of mass excursions and knee valgus angles across sport-specific fake-and-cut tasks of different complexities.

Young female handball players represent a high-risk population for anterior cruciate ligament (ACL) injuries. While the external knee abduction moment (KAM) is known to be a risk factor, it is unclear how cutting technique affects KAMs in sport-specific cutting maneuvers. Further, the effect of added game specificity (e.g., catching a ball or faking defenders) on KAMs and cutting technique remains unknown. Therefore, this study aimed: (i) to test if athletes grouped into different clusters of peak KAMs produced during three sport-specific fake-and-cut tasks of different complexities differ in cutting technique, and (ii) to test whether technique variables change with task complexity. Fifty-one female handball players (67.0 ± 7.7 kg, 1.70 ± 0.06 m, 19.2 ± 3.4 years) were recruited. Athletes performed at least five successful handball-specific sidestep cuts of three different complexities ranging from simple pre-planned fake-and-cut maneuvers to catching a ball and performing an unanticipated fake-and-cut maneuver with dynamic defenders. A k-means cluster algorithm with squared Euclidean distance metric was applied to the KAMs of all three tasks. The optimal cluster number of k optimal = 2 was calculated using the average silhouette width. Statistical differences in technique variables between the two clusters and the tasks were analyzed using repeated-measures ANOVAs (task complexity) with nested groupings (clusters). KAMs differed by 64.5%, on average, between clusters. When pooling all tasks, athletes with high KAMs showed 3.4° more knee valgus, 16.9% higher downward and 8.4% higher resultant velocity at initial ground contact, and 20.5% higher vertical ground reaction forces at peak KAM. Unlike most other variables, knee valgus angle was not affected by task complexity, likely due to it being part of inherent movement strategies and partly determined by anatomy. Since the high KAM cluster showed higher vertical center of mass excursions and knee valgus angles in all tasks, it is likely that this is part of an automated motor program developed over the players' careers. Based on these results, reducing knee valgus and downward velocity bears the potential to mitigate knee joint loading and therefore ACL injury risk.

Reliability of Running Economy Measurements: Influence of Shoe Familiarisation.

The purpose was to investigate differences in reliability of running economy measurements between familiar and unfamiliar shoes. Thirty-seven runners were included who all ran in familiar and unfamiliar running shoes while running economy was measured at steady state using a treadmill. Each participant was tested on two different visits (three sessions in total), with two trials in each of the three shoe conditions completed at each visit. Coefficient of variation, standard deviation of differences, and limits of agreement of running economy were used to quantify the repeatability (within-visit variation) and reproducibility (between-visit variation). The coefficient of variation showed a marginal difference in reproducibility across shoe conditions, whereas no differences were seen in coefficient of variation, standard deviation of the differences, or limits of agreement for repeatability across shoes. All three shoe conditions showed greater repeatability than reproducibility for running economy, and enhanced repeatability at visit 3 compared to visit 2. Our results indicate that familiarisation to shoes might not be needed for reliable measurements of running economy. Based on our results, when evaluating benefits in running shoes we suggest that running economy be assessed within the same day. Further, our data suggest a beneficial effect of using multiple familiarisation sessions if small differences between shoe conditions are expected.

Carbon Plate Shoes Improve Metabolic Power and Performance in Recreational Runners.

This study compared metabolic power (MP) and time trial (TT) running performance between Adidas Adizero Adios (AAA) and Nike VaporFly 4% (NVP). Thirty-seven runners completed three laboratory sessions and two field sessions (n=30). After familiarization (visit 1), participants completed eight 6-min treadmill running bouts (four with each shoe, counterbalanced) at their preferred pace, and MP was assessed using indirect calorimetry (visits 2 and 3). During visits 4 and 5, participants completed two outdoor TTs (~3.5 km) in NVP and AAA (counterbalanced). Compared with AAA, NVP exhibited superior MP (NVP: median=13.88 (Q1-Q3=12.90-15.08 W/kg; AAA: median=14.08 (Q1-Q3=13.12-15.44 W/kg; z=-4.81, p<.001, effect size=.56) and TT (NVP=793±98 s; AAA=802±100 s, p=.001; effect size=.09). However, there was no relationship between changes in MP and changes in TT between shoes (r=.151 p=.425, 95% confidence interval=[-.22; .48]). Our results demonstrate that NVP, compared with AAA, improves MP and TT in recreational runners. The lack of correlation between changes in MP and TT indicates that factors other than improved MP contribute to faster short-distance TT with NVP.

Effect of Box Height on Box Jump Performance in Elite Female Handball Players.

ABSTRACT: Koefoed, N, Dam, S, and Kersting, UG. Effect of box height on box jump performance in elite female team handball players. J Strength Cond Res 36(2): 508-512, 2022-This study aimed at investigating whether a link exists between performance in a countermovement jump and the height of the box an athlete could successfully jump onto. Furthermore, it was investigated whether the height of the box influences the takeoff. Ten, elite, female team, handball players were recruited for the study (age: 20.9 ± 3.2 years; height: 174.7 ± 7.6 cm; mass: 73.8 ± 6.7 kg). Subjects performed 3 maximal countermovement jumps. Subsequently, subjects jumped onto boxes of increasing height until they could no longer successfully jump onto the box. Subjects then performed 3 box jumps with maximal intention to boxes corresponding to 70% of their maximal center of mass displacement (LOW) and 90% of their maximal achieved box height (HIGH). Finally, subjects completed another 3 maximal countermovement jumps. There was no relationship between the maximal center of mass displacement in countermovement jumps and the maximal achievable box jump height (r2 = 0.35; p = 0.071). Between jumps to LOW and HIGH boxes, there were no differences in the chosen variables, peak force (-156 ± 390 N; p = 0.239), peak power (25 ± 236 W; p = 0.747), peak center of mass displacement (0.003 ± 0.039 m; p = 0.840), peak rate of force development (-3.055 ± 6264 N·s-1; p = 0.157), and concentric time to takeoff (0.005 ± 0.044 seconds; p = 0.721). Because no differences could be found, the added risk of failure leading to injury and the limited possibilities of improving specific landing technique with low impact when jumping to high boxes in training cannot be justified.

The influence of shaft stiffness on joint kinematics and kinetics during hiking.

Hiking boots provide an interface for walking in challenging environments, typically equipped with a shaft to provide ankle joint stability in rough terrains. Currently it is unclear if the ankle joint is stabilized to an extent that protects against ankle injuries, and if so, to what degree this added ankle stability sacrifices ankle mobility and hence decreases efficient gait propulsion. The aim of the present study was to compare the effect of shaft construction and stiffness on lower extremity kinematics and kinetics during level and step-down walking to simulate hiking conditions. Thirteen healthy males walked in one low-cut and three shafted commercially available hiking shoes with varying shaft stiffness. Lower extremity kinematics and ground reaction forces were recorded simultaneously. During level walking, ankle plantar-dorsiflexion range of motion was significantly reduced for the stiffest shaft hiking shoe compared to the low-cut shoe. A reduction in the muscle contribution to ankle joint work was found for all shafted shoes compared to the low-cut shoe. The reduced ankle joint work for the shafted shoes conversely increased eccentric knee joint work. Kinematic and kinetic differences between shoes diminished during box step-down walking. The present study shows that shaft height and stiffness can influence ankle joint range of motion, and ankle and knee joint work, with the high-shaft shoes redistributing load from the ankle to the knee joint. This may have implications for gait efficiency and increase the risk of knee joint loading or injuries.

Asymmetries in Ground Reaction Forces During Turns by Elite Slalom Alpine Skiers Are Not Related to Asymmetries in Muscular Strength.

The ground reaction forces (GRF) associated with competitive alpine skiing, which are relatively large, might be asymmetric during left and right turns due to asymmetries in the strength of the legs and torso and the present investigation was designed to evaluate this possibility. While skiing a symmetrical, 20-gate slalom course, the asymmetries of 9 elite alpine skiers were calculated on the basis of measurements provided by inertial motion units (IMU), a Global Navigation Satellite System and pressure insoles. In addition, specialized dynamometers were utilized to assess potential asymmetry in the strength of their legs and torso in the laboratory. In total, seven variables related to GRF were assessed on-snow and eight related to strength of the legs and torso in the laboratory. The asymmetries in these parameters between left and right turns on snow were expressed in terms of the symmetry (SI) and Jaccard indices (JI), while the asymmetries between the left and right sides of the body in the case of the laboratory measurements were expressed as the SIs. The three hypotheses to be tested were examined using multivariable regression models. Our findings resulted in rejection of all three hypotheses: The asymmetries in total GRF (H1), as well as in the GRF acting on the inside and outside legs (H2) and on the rear- and forefeet GRF (H3) during left and right turns were not associated with asymmetries in parameters related to muscular strength. Nevertheless, this group of elite slalom skiers exhibited significant asymmetry between their right and left legs with respect to MVC during ankle flexion (0.53 ± 0.06 versus 0.60 ± 0.07 Nm/kg, respectively) and hip extension (2.68 ± 0.39 versus 2.17 ± 0.26 Nm/kg), as well as with respect to the GRFs on the inside leg while skiing (66.8 ± 7.39 versus 76.0 ± 10.0 %BW). As indicated by the JI values, there were also large asymmetries related to GRF as measured by pressure insoles (range: 42.7-56.0%). In conclusion, inter-limb asymmetries in GRFs during elite alpine skiing are not related to corresponding asymmetries in muscular strength. Although our elite athletes exhibited relatively small inter-limb asymmetries in strength, their asymmetries in GRF on-snow were relatively large.

Shoulder function after constraint-induced movement therapy assessed with 3D kinematics and clinical and patient reported outcomes: A prospective cohort study.

INTRODUCTION: We hypothesised that reduced shoulder function post stroke improves during constraint-induced movement therapy and that improvement in scapula upward rotation measured with three-dimensional kinematics is associated with improvements in clinical and patient reported outcomes. METHODS: Thirty-seven patients were tested pre and post constraint-induced movement therapy and again at three-month follow-up. Kinematic outcome measures - with scapula upward rotation as the primary outcome - during tasks 5 (ReachLow) and 6 (ReachHigh) from the Wolf Motor Function Test were included together with clinical and patient reported outcomes. Changes in outcome measures were analysed with linear mixed models and logistic regression analysis. FINDINGS: Scapula upward rotation was reduced from 16.2° pre intervention through 15.9° post intervention to 15.6° at three-month follow-up during ReachHigh. Statistically significant reductions of <2° were also found for shoulder flexion during ReachLow and trunk lateral flexion during ReachHigh. The clinical and patient reported outcomes showed improvements post constraint-induced movement therapy, and at follow-up, the outcomes resembled post values. INTERPRETATION: The minimal improvements in selected 3D kinematic measures of upper extremity movements did not reflect any clinically meaningful changes. Therefore, the clinical and patient reported improvements could not be related to restitution of shoulder function.

A new method for measuring treadmill belt velocity fluctuations: effects of treadmill type, body mass and locomotion speed.

Treadmills are essential to the study of human and animal locomotion as well as for applied diagnostics in both sports and medicine. The quantification of relevant biomechanical and physiological variables requires a precise regulation of treadmill belt velocity (TBV). Here, we present a novel method for time-efficient tracking of TBV using standard 3D motion capture technology. Further, we analyzed TBV fluctuations of four different treadmills as seven participants walked and ran at target speeds ranging from 1.0 to 4.5 m/s. Using the novel method, we show that TBV regulation differs between treadmill types, and that certain features of TBV regulation are affected by the subjects' body mass and their locomotion speed. With higher body mass, the TBV reductions in the braking phase of stance became higher, even though this relationship differed between locomotion speeds and treadmill type (significant body mass × speed × treadmill type interaction). Average belt speeds varied between about 98 and 103% of the target speed. For three of the four treadmills, TBV reduction during the stance phase of running was more intense (> 5% target speed) and occurred earlier (before 50% of stance phase) unlike the typical overground center of mass velocity patterns reported in the literature. Overall, the results of this study emphasize the importance of monitoring TBV during locomotor research and applied diagnostics. We provide a novel method that is freely accessible on Matlab's file exchange server ("getBeltVelocity.m") allowing TBV tracking to become standard practice in locomotion research.

Does the Spraino low-friction shoe patch prevent lateral ankle sprain injury in indoor sports? A pilot randomised controlled trial with 510 participants with previous ankle injuries.

BACKGROUND: Lateral ankle sprains are common in indoor sports. High shoe-surface friction is considered a risk factor for non-contact lateral ankle sprains. Spraino is a novel low-friction patch that can be attached to the outside of sports shoes to minimise friction at the lateral edge, which could mitigate the risk of such injury. We aimed to determine preliminary effectiveness (incidence rate and severity) and safety (harms) of Spraino to prevent lateral ankle sprains among indoor sport athletes. METHODS: In this exploratory, parallel-group, two-arm pilot randomised controlled trial, 510 subelite indoor sport athletes with a previous lateral ankle sprain were randomly allocated (1:1) to Spraino or 'do-as-usual'. Allocation was concealed and the trial was outcome assessor blinded. Match and training exposure, number of injuries and associated time loss were captured weekly via text messages. Information on harms, fear-of-injury and ankle pain was also documented. RESULTS: 480 participants completed the trial. They reported a total of 151 lateral ankle sprains, of which 96 were categorised as non-contact, and 50 as severe. All outcomes favoured Spraino with incidence rate ratios of 0.87 (95% CI 0.62 to 1.23) for all lateral ankle sprains; 0.64 (95% CI 0.42 to 0.98) for non-contact lateral ankle sprains; and 0.47 (95% CI 0.25 to 0.88) for severe lateral ankle sprains. Time loss per injury was also lower in the Spraino group (1.8 vs 2.8 weeks, p=0.014). Six participants reported minor harms because of Spraino. CONCLUSION: Compared with usual care, athletes allocated to Spraino had a lower risk of lateral ankle sprains and less time loss, with only few reported minor harms. TRIAL REGISTRATION NUMBER: NCT03311490.

Application of Inertial Motion Unit-Based Kinematics to Assess the Effect of Boot Modifications on Ski Jump Landings-A Methodological Study.

Biomechanical studies of winter sports are challenging due to environmental conditions which cannot be mimicked in a laboratory. In this study, a methodological approach was developed merging 2D video recordings with sensor-based motion capture to investigate ski jump landings. A reference measurement was carried out in a laboratory, and subsequently, the method was exemplified in a field study by assessing the effect of a ski boot modification on landing kinematics. Landings of four expert skiers were filmed under field conditions in the jump plane, and full body kinematics were measured with an inertial motion unit (IMU) -based motion capture suit. This exemplary study revealed that the combination of video and IMU data is viable. However, only one skier was able to make use of the added boot flexibility, likely due to an extended training time with the modified boot. In this case, maximum knee flexion changed by 36° and maximum ankle flexion by 13°, whereas the other three skiers changed only marginally. The results confirm that 2D video merged with IMU data are suitable for jump analyses in winter sports, and that the modified boot will allow for alterations in landing technique provided that enough time for training is given.

Differences in impact characteristics, joint kinetics and measurement reliability between forehand and backhand forward badminton lunges.

This study identified the effect of badminton lunging directions on impact characteristics, joint kinetics and measurement reliability. A total of 14 badminton players performed 20 lunges in both forehand and backhand sides. Ground reaction force (GRF) and three-dimensional joint moment variables were determined for further analyses. Paired t-tests and Wilcoxon signed-rank tests were performed to determine any differences between the two lunge directions and intra-class correlation (ICC) and sequential averaging analysis (SAA) were used to estimate the minimum number of trials. Compared to the forehand side, participants experienced significantly larger total GRF impulse (+ 3.8%, p = 0.021) and transverse moment (hip + 63.5%, p < 0.001; knee + 80.7%, p = 0.011), but smaller hip (-7.7%), knee (-18.7%) and ankle frontal moments (-58.0%, p < 0.05) in backhand lunges. The minimum number of trials was similar for both lunge directions, as the averaged absolute differences was less than one in both ICC and SAA. Furthermore, smaller minimal number of trials was determined by the ICC (7.9-8.0), compared with the SAA approach (9.5-10.3). Lunge direction would influence GRF and joint loading, but not on the measurement reliability. These results give important insights to establish performance or equipment evaluation protocols during badminton lunges.

Three-dimensional kinematics of shoulder function in stroke patients: Inter- and intra-rater reliability.

BACKGROUND: It is important to monitor progress during rehabilitation of stroke patients. To that end, clinical function tests may be supported by three-dimensional kinematic measures. The aim of this study was to evaluate the inter- and intra-rater reliability of three-dimensional kinematic measures of shoulder movements in stroke patients with reduced shoulder function. METHODS: Seventeen patients were tested in three sessions by two trained raters. Three-dimensional motion capture was performed of the more affected upper extremity and the trunk. Measures of movements of the scapula and humerus related to the trunk, the trunk related to the laboratory, the forearm related to the humerus, and temporospatial measures were obtained during two reach tasks from the Wolf Motor Function Test, ReachLow and ReachHigh. Inter- and intra-rater reliability was quantified with intraclass correlation coefficients (ICC). FINDINGS: In general, range of movements of scapula, shoulder, trunk and elbow and movement time and reach length showed high inter-rater reliability (ICC∞ 0.84-0.98) and intra-rater reliability (ICC∞ 0.75-1.00), A minimum of five trials per task were required to achieve reliable ICC estimates. INTERPRETATION: Selected three-dimensional kinematic measures can be used reliably to evaluate specific movements of the shoulder in stroke patients with reduced shoulder function.