Prescribing joint co-ordinates during model preparation to improve inverse kinematic estimates of elbow joint angles.

To appropriately use inverse kinematic (IK) modelling for the assessment of human motion, a musculoskeletal model must be prepared 1) to match participant segment lengths (scaling) and 2) to align the model׳s virtual markers positions with known, experimentally derived kinematic marker positions (marker registration). The purpose of this study was to investigate whether prescribing joint co-ordinates during the marker registration process (within the modelling framework OpenSim) will improve IK derived elbow kinematics during an overhead sporting task. To test this, the upper limb kinematics of eight cricket bowlers were recorded during two testing sessions, with a different tester each session. The bowling trials were IK modelled twice: once with an upper limb musculoskeletal model prepared with prescribed participant specific co-ordinates during marker registration - MRPC - and once with the same model prepared without prescribed co-ordinates - MR; and by an established direct kinematic (DK) upper limb model. Whilst both skeletal model preparations had strong inter-tester repeatability (MR: Statistical Parametric Mapping (SPM1D)=0% different; MRPC: SPM1D=0% different), when compared with DK model elbow FE waveform estimates, IK estimates using the MRPC model (RMSD=5.2±2.0°, SPM1D=68% different) were in closer agreement than the estimates from the MR model (RMSD=44.5±18.5°, SPM1D=100% different). Results show that prescribing participant specific joint co-ordinates during the marker registration phase of model preparation increases the accuracy and repeatability of IK solutions when modelling overhead sporting tasks in OpenSim.

Changes in muscle activation following balance and technique training and a season of Australian football.

OBJECTIVES: Determine if balance and technique training implemented adjunct to 1001 male Australian football players' training influenced the activation/strength of the muscles crossing the knee during pre-planned and unplanned sidestepping. DESIGN: Randomized Control Trial. METHODS: Each Australian football player participated in either 28 weeks of balance and technique training or 'sham' training. Twenty-eight Australian football players (balance and technique training, n=12; 'sham' training, n=16) completed biomechanical testing pre-to-post training. Peak knee moments and directed co-contraction ratios in three degrees of freedom, as well as total muscle activation were calculated during pre-planned and unplanned sidestepping. RESULTS: No significant differences in muscle activation/strength were observed between the 'sham' training and balance and technique training groups. Following a season of Australian football, knee extensor (p=0.023) and semimembranosus (p=0.006) muscle activation increased during both pre-planned sidestepping and unplanned sidestepping. Following a season of Australian football, total muscle activation was 30% lower and peak valgus knee moments 80% greater (p=0.022) during unplanned sidestepping when compared with pre-planned sidestepping. CONCLUSIONS: When implemented in a community level training environment, balance and technique training was not effective in changing the activation of the muscles crossing the knee during sidestepping. Following a season of Australian football, players are better able to support both frontal and sagittal plane knee moments. When compared to pre-planned sidestepping, Australian football players may be at increased risk of anterior cruciate ligament injury during unplanned sidestepping in the latter half of an Australian football season.

An anterior cruciate ligament injury prevention framework: incorporating the recent evidence.

Anterior cruciate ligament (ACL) injury rates have increased by ∼50% over the last 10 years. These figures suggest that ACL focused research has not been effective in reducing injury rates among community level athletes. Training protocols designed to reduce ACL injury rates have been both effective (n = 3) and ineffective (n = 7). Although a rationale for the use of exercise to reduce ACL injuries is established, the mechanisms by which they act are relatively unknown. This article provides an injury prevention framework specific to noncontact ACL injuries and the design of prophylactic training protocols. It is also apparent that feedback within this framework is needed to determine how biomechanically relevant risk factors like peak joint loading and muscular support are influenced following training. It is by identifying these links that more effective ACL injury prevention training programs can be developed, and, in turn, lead to reduced ACL injury rates in the future.

Optimizing whole-body kinematics to minimize valgus knee loading during sidestepping: implications for ACL injury risk.

The kinematic mechanisms associated with elevated externally applied valgus knee moments during non-contact sidestepping and subsequent anterior cruciate ligament (ACL) injury risk are not well understood. To address this issue, the residual reduction algorithm (RRA) in OpenSim was used to create nine subject-specific, full-body (37 degrees of freedom) torque-driven simulations of athletic males performing unplanned sidestep (UnSS) sport tasks. The RRA was used again to produce an optimized kinematic solution with reduced peak valgus knee torques during the weight acceptance phase of stance. Pre-to-post kinematic optimization, mean peak valgus knee moments were significantly reduced by 44.2 Nm (p=0.045). Nine of a possible 37 upper and lower body kinematic changes in all three planes of motion were consistently used during the RRA to decrease peak valgus knee moments. The generalized kinematic strategy used by all nine simulations to reduce peak valgus knee moments and subsequent ACL injury risk during UnSS was to redirect the whole-body center of mass medially, towards the desired direction of travel.

Comparison of endpoint data treatment methods for estimation of kinematics and kinetics near impact during the tennis serve.

Tennis stroke mechanics have attracted considerable biomechanical analysis, yet current filtering practice may lead to erroneous reporting of data near the impact of racket and ball. This research had three aims: (1) to identify the best method of estimating the displacement and velocity of the racket at impact during the tennis serve, (2) to demonstrate the effect of different methods on upper limb kinematics and kinetics and (3) to report the effect of increased noise on the most appropriate treatment method. The tennis serves of one tennis player, fit with upper limb and racket retro-reflective markers, were captured with a Vicon motion analysis system recording at 500 Hz. The raw racket tip marker displacement and velocity were used as criterion data to compare three different endpoint treatments and two different filters. The 2nd-order polynomial proved to be the least erroneous extrapolation technique and the quintic spline filter was the most appropriate filter. The previously performed "smoothing through impact" method, using a quintic spline filter, underestimated the racket velocity (9.1%) at the time of impact. The polynomial extrapolation method remained effective when noise was added to the marker trajectories.

MRI development and validation of two new predictive methods of glenohumeral joint centre location identification and comparison with established techniques.

Identification of the centre of the glenohumeral joint (GHJ) is essential for three-dimensional (3D) upper limb motion analysis. A number of convenient, yet un-validated methods are routinely used to estimate the GHJ location in preference to the International Society of Biomechanics (ISB) recommended methods. The current study developed a new regression model, and simple 3D offset method for GHJ location estimation, employing easy to administer measures, and compared the estimates with the known GHJ location measured with magnetic resonance imaging (MRI). The accuracy and reliability of the new regression and simple 3D offset techniques were compared with six established predictive methods. Twenty subjects wore a 3D motion analysis marker set that was also visible in MRI. Immediately following imaging, they underwent 3D motion analysis acquisition. The GHJ and anatomical landmark positions of 15 participants were used to determine the new regression and simple 3D generic offset methods. These were compared for accuracy with six established methods using 10 subject's data. A cross validation on 5 participants not used for regression model development was also performed. Finally, 10 participants underwent a further two MRI's and subsequent 3D motion analysis analyses for inter-tester and intra-tester reliability quantification. When compared with any of the other established methods, our newly developed regression model found an average GHJ location closer to the actual MRI location, having an GHJ location error of 13+/-2 mm, and had significantly lower inter-tester reliability error, 6+/-4 mm (p<0.01).

Effects of different technical coordinate system definitions on the three dimensional representation of the glenohumeral joint centre.

This study aimed to find the most appropriate marker location, or combination thereof, for the centre of the humeral head (Wang et al. in J Biomech 31: 899-908, 1998) location representation during humeral motion. Ten male participants underwent three MRI scans in three different humeral postures. Seven technical coordinate systems (TCS) were defined from various combinations of an acromion, distal upper arm and proximal upper arm clusters of markers in a custom Matlab program. The CHH location was transformed between postures and then compared with the original MRI CHH location. The results demonstrated that following the performance of two near 180 degrees humeral elevations, a combined acromion TCS and proximal upper arm TCS produced an average error of 23 +/- 9 mm, and 18 +/- 4 mm, which was significantly smaller (p < 0.01) than any other TCS. A combination of acromion and proximal upper arm TCSs should therefore be used to reference the CHH location when analysing movements incorporating large ranges of shoulder motion.

Use of field-based tests to identify risk factors for injury to fast bowlers in cricket.

OBJECTIVE: To identify risk factors for injury to cricket fast bowlers using field-based tests. DESIGN: Prospective cohort study. SETTING: High performance Australian cricket. PARTICIPANTS: Ninety-one male adolescent and adult fast bowlers (aged 12-33 years). ASSESSMENT OF RISK FACTORS: A field-based pre-participation screening, consisting of musculoskeletal, fitness and anthropometric assessments and analysis of bowling technique was undertaken. Bowlers were prospectively monitored over the 2003-4 season and bowling workload and injuries were recorded. Logistic regression was used to identify injury risk factors. MAIN OUTCOME MEASUREMENT: Repetitive microtrauma injury to the trunk, back or lower limb associated with fast bowling. RESULTS: Two variables were identified as independent predictors of injury in the multivariate logistic regression analysis. Bowlers with hip internal rotation of < or =30 degrees on the leg ipsilateral to the bowling arm were at a significantly reduced risk of injury (OR 0.20, 95% CI 0.06 to 0.73) compared with bowlers with >40 degrees of rotation. Bowlers with an ankle dorsiflexion lunge of 12.1-14.0 cm on the leg contralateral to the bowling arm were at a significantly increased risk (OR 4.03, 95% CI 1.07 to 15.21) than bowlers with a lunge of >14 cm. Bowlers with a lunge of < or =12 cm were also at an increased risk, but not significantly so (OR 1.38, 95% CI 0.40 to 4.84). CONCLUSIONS: Biomechanical research is needed to investigate how these two intrinsic risk factors increase injury risk so that appropriate interventions can be developed.

Comparison of buoyancy, passive and net active drag forces between Fastskin and standard swimsuits.

A cross-sectional comparison between the buoyancy, passive and net active drag force characteristics of full-length, Fastskin swimsuits with that of standard swimsuits was completed with nine Open National level swimmers (5 males and 4 females). Subjects were weighed in a hydrostatic tank and then towed via a mechanical winch on the surface and 0.4 m deep at 1.6, 2.2 and 2.8 m/s. The subjects performed a prone streamlined glide and maximum effort flutter kick at each towing velocity and depth. Hydrostatic weight differences between swimsuit types were not significant (p> 0.05. Fastskin passive drag values were significantly less than normal swimsuits during surface towing at 1.6 and 2.8 m/s: and at 0.4 m deep towing at 1.6, 2.2 and 2.8 m/s. Net active drag force values also were lower for the Fastskin suits when compared with those of normal swimsuits and a significant difference existed for surface towing at all three velocities of 1.6, 2.2 and 2.8 m/s. The full-length, Fastskin swimsuits created less total hydrodynamic resistance than normal swimsuits while providing no additional buoyancy benefits.

Net forces during tethered simulation of underwater streamlined gliding and kicking techniques of the freestyle turn.

We assessed the net forces created when towing swimmers while gliding and kicking underwater to establish an appropriate speed for initiating underwater kicking, and the most effective gliding position and kicking technique to be applied after a turn. Sixteen experienced male swimmers of similar body shape were towed by a motorized winch and pulley system. A load cell measured net force (propulsive force - drag force) at speeds of 1.6, 1.9, 2.2, 2.5 and 3.1 m x s(-1). At each speed, the swimmers performed a prone streamline glide, a lateral streamline glide, a prone freestyle kick, a prone dolphin kick and a lateral dolphin kick. A two-way repeated-measures analysis of variance revealed significant differences between the gliding and kicking conditions at different speeds. The results demonstrated an optimal range of speeds (1.9 to 2.2 m x s(-1)) at which to begin underwater kicking to prevent energy loss from excessive active drag. No significant differences were found between the prone and lateral streamline glide positions or between the three underwater kicking techniques. Therefore, there appears to be no significant advantage in using one streamlining technique over another or in using one kicking style over another.

Long-axis rotation: the missing link in proximal-to-distal segmental sequencing.

Most assessments of segmental sequencing in throwing, striking or kicking have indicated a proximal-to-distal sequencing of end-point linear speeds, joint angular velocities, segment angular velocities and resultant joint moments. However, the role of long-axis rotations has not been adequately quantified and located in the proximal-to-distal sequence. The timing and importance of upper arm internal-external rotation and pronation-supination in the development of racquet head speed have been examined in the tennis serve and squash forehand drive and considered in relation to conventional concepts of proximal-to-distal sequencing. Both long-axis rotations reached their peak angular speeds late in both strokes, typically after shoulder flexion-extension, shoulder abduction-adduction and elbow extension. These results clarify and confirm the importance of upper limb long-axis rotations in the production of racquet head speed. It appears that traditional proximal-to-distal sequencing concepts are inadequate to describe accurately the complexity of the tennis serve or squash forehand drive. It is essential to consider upper arm and forearm longitudinal axis rotations in explaining the mechanics of these movements and in developing coaching emphases, strength training schedules and injury prevention programmes.

An upper limb kinematic model for the examination of cricket bowling: a case study of Mutiah Muralitharan.

We show how biomechanics can be used to accurately assess spin-bowling techniques (offspin, legspin and topspin) in cricket, under controlled conditions, when the player is suspected of throwing. A 50 Hz six-camera Vicon Motion Analysis system was used to record the movements of markers strategically placed on the upper limb during each of the above bowling actions. A kinematic model of the upper limb, created using Vicon BodyBuilder software, enabled the movements of the upper arm and forearm to be described during each delivery. Selected physical characteristics of the upper limb were also measured. The present 'no ball' law in cricket with reference to throwing states that 'the arm should not be straightened in the part of the delivery that immediately precedes ball release'. The bowler, Mutiah Muralitharan, was shown to maintain a relatively constant elbow angle in the 0.06 s before ball release. Furthermore, this angle changed little from the time that the upper arm was angled vertically downward until ball release during the three spin-bowling actions.

Back injuries and the fast bowler in cricket.

Here, I review research that has investigated the aetiology of injuries experienced by adolescent and adult fast bowlers. Mechanical factors play an important role in the aetiology of degenerative processes and injuries to the lumbar spine. This is particularly so in fast bowling, where a player must absorb vertical and horizontal components of the ground reaction force that are approximately five and two times body weight at front-foot and rear-foot impact, respectively. Attenuated forces are transmitted to the spine through the lower limb, while additional forces at the lumbo-sacral junction are caused by trunk hyperextension, lateral flexion and twisting during the delivery stride. Fast bowlers are classified as side-on, front-on or mixed. The mixed action is categorized by the lower body configuration of the front-on action and the upper body configuration of the side-on technique. This upper body configuration is produced by counter-rotation away from the batsman in the transverse plane about the longitudinal axis of the body of a line through the two shoulders. Counter-rotations of 12-40 degrees during a delivery stride have predicted an increased incidence of lumbar spondylolysis, disc abnormality and muscle injury in fast bowlers. During the delivery stride, the mixed bowling action also shows: more lateral flexion and hyperextension of the lumbar spine at front-foot impact, and a greater range of motion of the trunk over the delivery stride when compared with the side-on and front-on techniques. The pars interarticularis of each vertebra is vulnerable to injury if repetitive flexion, rotation and hyperextension are present in the activity. Fast bowlers should reduce shoulder counter-rotation during the delivery stride to reduce the incidence of back injuries. When a player is required to bowl for extended periods irrespective of technique, overuse is also related to an increased incidence of back injuries and must be avoided.

Landing in netball: effects of taping and bracing the ankle.

OBJECTIVES: To investigate the effect of bracing and taping on selected electromyographic, kinematic, and kinetic variables when landing from a jump. METHODS: Fifteen netball players performed a jump, so as to land on their dominant limb on a force plate. Electromyographic activity was recorded from the gastrocnemius, tibialis anterior, and peroneus longus muscles. Subjects were also filmed and measures of rearfoot motion were derived. RESULTS: Significantly less electromyographic activity (p<0.007) was observed from the gastrocnemius and peroneus longus muscle groups when subjects were braced. No other significant electromyographical findings were observed. Peak vertical ground reaction force and time to peak for vertical ground reaction force were not affected by bracing and taping, nor were the rearfoot and Achilles tendon angles at foot strike. CONCLUSIONS: The effect of bracing and taping on the selected biomechanics variables associated with landing was specifically limited to a reduction in muscle action, particularly for the braced condition. Netball players can be confident that the biomechanics of their landing patterns will not be altered whether they choose to wear a brace or tape their ankle joints.

Measures to prevent cricket injuries: an overview.

Cricket is a major international sport, generally played in British Common-wealth nations. Although strictly a non-contact sport, injuries in cricket can result in a number of ways. In high level cricket, overuse injuries are common and related to the physical demands of the sport, particularly in the delivery of the ball. The bowling action involves repetitive twisting, extension and rotation of the trunk at the same time as absorption of large ground reaction forces over a short period of time. These movements, if performed incorrectly or too frequently, can lead to overuse injuries of the back, particularly in elite and high level cricketers. Cross-sectional studies have demonstrated that spinal overuse injuries occur more frequently to cricketers adopting a mixed bowling action than to those who favour a front- or side-on bowling technique. Strategies to ensure that cricketers do not adopt the mixed action or bowl too fast for extended periods can prevent these back injuries. Injuries resulting from impacts, generally from the cricket ball, can also occur and are more common during low level competition or informal participation. Because of the potential severity of these impacts, a range of protective equipment ranging from body padding to gloves and face protectors are now common features of standard cricket equipment. Although a number of measures to prevent cricket injuries have been widely suggested in the literature, there have been very few studies that have formally assessed their effectiveness in preventing injury. Further research is needed to gain a greater understanding of the biomechanics of cricket actions, the mechanisms of resultant injuries and the role of various risk factors in injury causation.

The influence of plyometric training on the freestyle tumble turn.

This study examined the effects of a plyometric training program on freestyle tumble turns. Thirty-eight age group swimmers were assigned to a control group which swam 1.5 hours, three times per week for 20 weeks; or an experimental group which supplemented 1.25 hours of swimming with 15 minutes of plyometrics for the same time frame. The same coach conducted all swimming and plyometric sessions to ensure uniformity. Swimming performance was assessed from 50 m time. Freestyle turning performance was measured by 2.5 m round trip time (RTT), 5 m RTT, wall contact time and selected kinematic and kinetic variables associated with the turn. A Plyopower system was also used to test jump height and velocity. Repeated measures, multivariate analysis of variance showed no significant differences between the groups (pre-, mid- and post-intervention) over the period of the study for any swimming, kinetic or plyopower measures. Thus, equal benefits were derived from normal practice time in the water or land based plyometric exercises.

Three-dimensional measurement of lumbar spine kinematics for fast bowlers in cricket.

OBJECTIVE: To determine whether the three-dimensional (3-D) lumbar spine kinematics for the mixed fast bowling technique differed to those of the side-on and front-on fast bowling techniques. BACKGROUND: It has been previously shown that bowlers who utilise a mixed bowling technique are more likely to show lumbar spine pathology than those who bowl with either the side-on or front-on techniques. METHODS: An electromagnetic device (3-Space(R)Fastrak(TM)) operating at 120 Hz captured range of motion and 3-D lumbar spine kinematics during the delivery stride of 20 young high performance subjects. The trajectory of shoulder and pelvic girdle markers were simultaneously captured and these data were used to classify bowlers into either a side-on, front-on or mixed technique group. RESULTS: No significant differences (P<0.004) existed between the side-on/front-on and mixed groups for 12 selected variables derived from the lumbar spine kinematic data. However, an examination of effect sizes revealed evidence that the mixed group showed: a greater amount of left lateral bend and an extended lumbar spine at front foot impact; a body position further from a neutral orientation at lease; and a greater range of motion and angular velocity of the trunk in the lateral bending and flexion/extension axes. CONCLUSIONS: Selected lumbar range of motion and velocity measures tended to be higher for mixed bowlers than side-on/front-on bowlers. RELEVANCE: Overuse injuries to fast bowlers in bricket are common. To better understand the mechanics of injury it is necessary to understand the 3-D rotations of the lumbar spine during this activity.

Aetiology and occurrence of diving injuries. A review of diving safety.

This paper examines multifaceted aspects of diving entries into water which are the cause of many critical injuries (costed at $A150 million) and therefore have important safety ramifications. Wedge and compression fractures are most commonly found in the cervical area of the spine with off-centre impacts with the pool or sea bottom. Diving-related injuries range from 2.3 in a South African study to 21% of spinal cord injuries in Poland. Alcohol and diving do not mix because of diminished awareness and information processing. Children aged under 13 years suffer fewer cervical injuries (1 to 4%), but complication rates are relatively high for this group. Sports trauma (diving-related in particular) is one of the more prevalent causes of spinal cord injury in children aged 6 to 15 years. The highest incidence occurs among those aged 10 to 14, followed by the group aged 5 to 9 years. This contradicts the common perception that 15-to 19-year-olds comprise the highest risk group. Boys are more frequently injured, and swimming pools are more common as an injury location then is the case with adults. The role played by water depth has been conclusively ascertained; technique, and therefore education, appear to be more important considerations in injury prevention. Although 89% of injuries occur in water < 1.52m, injuries are rare in water of 0.46 to 0.61m. Care with pool design to avoid sudden depth changes and the resultant "spinal wall' is necessary. Minimum depth values for diving vary from 1 to 1.52 m. Velocities and angles of entry are considered to ascertain the body's decelerative capacity upon entry. The scoop, racing start dive has been shown to require at least 1.22 m of water even when practised by trained divers; the risks involved must therefore be weighed against the fact that it may be no faster than more conventional dives. While it may be safe to perform kneeling and crouching dives into shallowers water, standing dives by untrained divers require a greater margin of error. Lack of education is an issue which needs to be addressed and this paper makes recommendations for safety practices such as steering up to the surface, head protection with the arms and only diving when absolutely necessary.

The biomechanics of fast bowling in men's cricket: a review.

This review concentrates on synthesizing and analysing the biomechanical research which has been carried out on fast bowling in men's cricket. Specifically, it relates to those elements of the bowling technique which contribute towards a fast ball release, the aerodynamics and technique of swing bowling, and the association between fast bowling and lower back injury. With regard to bowling technique, no firm conclusions are drawn on the relationships between elements of the fast bowling technique and ball release speed. Recommendations for future research in this area include intra-player studies to establish the bowler-specific factors which contribute to fast ball release and features of body segment dynamics. There is general agreement that the phenomenon of differential boundary layer separation is the reason for normal and reverse cricket ball swing. Systematic research to establish the essential aspects of the bowling technique which contribute to successful swing bowling is recommended, along with studies of the behaviour of the ball in games to ascertain the effects of ball asymmetries on ball swing. There is sufficient evidence in the literature to establish a strong link between injury to the lower back and the use of the mixed technique. Recommendations are made for screening and intervention to reduce the use of the mixed technique, and for research into other aspects of injury. Fundamental research to develop biomechanical models of the lower back in fast bowling is strongly recommended.