Effects of nordic walking training on gait and exercise tolerance in male ischemic heart disease patients.

This technique-focused observational study explores the impact of a 6-week Nordic Walking (NW) program on physiological and biomechanical aspects in ischemic heart disease (IHD) patients. Twelve male IHD patients (66.2 ± 5.2 years, 12.2 ± 7.5 years of disease duration) were evaluated pre- and post-training for (i) gait parameters, (ii) exercise tolerance using electrocardiographic (ECG) stress test, (iii) a 6-min walk test (6MWT). The NW training, adhering to IHD patient guidelines, involved a 100-m walk at a self-selected, preferred speed without sticks, with classic NW sticks and mechatronic sticks. A mechatronic measuring system, specifically engineered for measuring, diagnosing and monitoring the patient's gait, was integrated into mechatronic sticks. Post-training, significant enhancements were observed in ECG stress test duration, metabolic equivalency, and 6MWT distance, irrespective of the stick type. However, no significant changes were noted in spatiotemporal parameters concerning the measured side, stick utilisation, or type. The results suggest that NW training boosts exercise capacity and refines gait mechanics in male IHD patients. However, the improvement in exercise capacity was not linked to changes in gait mechanics from NW training but rather to the movement during NW gait. Hence, the key to enhancing exercise capacity in IHD patients is the movement during NW gait, not the quality of gait mechanics.

Ebbing Strength, Fading Power: Unveiling the Impact of Persistent Fatigue on Muscle Performance in COVID-19 Survivors.

The total number of confirmed cases of COVID-19 caused by SARS-CoV-2 virus infection is over 621 million. Post-COVID-19 syndrome, also known as long COVID or long-haul COVID, refers to a persistent condition where individuals experience symptoms and health issues after the acute phase of COVID-19. The aim of this study was to assess the strength and fatigue of skeletal muscles in people recovered from COVID-19. A total of 94 individuals took part in this cross-sectional study, with 45 participants (referred to as the Post-COVID Cohort, PCC) and 49 healthy age-matched volunteers (Healthy Control Cohort, HCC). This research article uses the direct dynamometry method to provide a detailed analysis of post-COVID survivors' strength and power characteristics. The Biodex System 4 Pro was utilized to evaluate muscle strength characteristics during the fatigue test. The fatigue work in extensors and flexors was significantly higher in the PCC. The PCC also showed significantly less power in both extensors and flexors compared to the HCC. In conclusion, this study provides compelling evidence of the impact of post-COVID-19 fatigue on muscle performance, highlighting the importance of considering these effects in the rehabilitation and care of individuals recovering from the virus. PCC achieved lower muscle strength values than HCC.

Mechatronic Pole System for Monitoring the Correctness of Nordic Walking.

Marching with Nordic walking (NW) poles is a common form of physical activity. It is recommended in the treatment and rehabilitation of many diseases. NW's wide range of applications in rehabilitation and its effectiveness are limited by the need for experienced physiotherapists to supervise patients during the training. A prerequisite for good rehabilitation results is correctly using the poles during walking. Essential parameters of NW include the angle of inclination of the pole, the force of the pole on the ground, and proper coordination of performed movements. The purpose of this paper is to present the design and operating principle of a mechatronic NW pole system for measuring and recording the gait parameters. The subject of the work was the assessment of the usefulness of the mechatronic NW pole system for phases identified during marching. The study was conducted in field conditions. The study's main objective was to compare the obtained results from the developed system with those of a commercial system for measuring foot pressure distributions on the ground. The paper also presents sample results measuring walkers' gait with NW poles in the field and the resulting gait phase analysis.

Effect of COVID-19 on Musculoskeletal Performance in Gait and the Timed-Up and Go Test.

INTRODUCTION: The total number of confirmed cases of COVID-19 caused by the SARS-CoV-2 virus infection is over 621 million in the world. In approximately 63% of cases, the patient still experiences persistent symptoms 30 days after the onset of symptoms or hospitalisation, and 45.9% of patients have experienced or will experience symptoms for at least three months. Despite the prevalence of chronic symptoms and pathological changes that may affect gait and functional mobility in people with a history of COVID-19, there are few publications investigating the impact of these abnormalities. This study aims to determine the long-term effects of COVID-19 on gait and the Timed-Up and Go Task. MATERIAL AND METHODS: A total of 30 individuals took part in the experiment. The subjects in the study group were infected with the COVID-19 virus and required hospital treatment. Prior to the study, the subjects had no chronic diseases or other conditions affecting the musculoskeletal system. The non-infected by COVID-19 group was a healthy population with no history of COVID-19 disease. The study used the inertial system wireless motion analysis system based on 15 inertial sensors (inertial measurement units, IMUs). IMU sensors were placed on the following body segments: head, sternum, middle and lower spine, shoulder, arm, forearm, hand, shank, for the left and right limb. Movement task reports generated from the recording were created using myoRESEARCH 3.10. The subjects in the study group were asked to perform a movement task test-the Timed-Up and Go Test (TUG): sit-to-stand, walk (3 m) without change in direction, walk termination, and stand-to-sit. RESULTS: It took 46% longer for those infected by COVID-19 (participants) to complete the entire movement task compared to those in the not-infected by COVID-19 group. Sit-to-Stand Time [s] was greater in the infected by COVID-19 group and was 2.1 ± 0.7. Mean Walking Speed [m/s] was lower than in the not-infected by COVID-19 group and was 0.26 ± 0.07. Walking cadence [steps/min] was lower and was 21.2 ± 1.2. Infected by COVID-19 participants achieved a smaller anterior pelvic tilt angle (p < 0.001) and a smaller hip flexion angle (p = 0.025), with an increase in knee (p < 0.001) and ankle (p < 0.001) flexion angles. CONCLUSIONS: Individuals in the infected by COVID-19 group present changes in the ranges of motion and the time to complete the TUG task, despite the fact that at least eight weeks passed after hospital discharge.

Do Mechatronic Poles Change the Gait Technique of Nordic Walking in Patients with Ischemic Heart Disease?

The study aimed to compare the technique of normal gait with the Nordic walking (NW) gait with classical and mechatronic poles in patients with ischemic heart disease. It was assumed that equipping classical NW poles with sensors enabling biomechanical gait analysis would not cause a change in the gait pattern. The study involved 12 men suffering from ischemic heart disease (age: 66.2 ± 5.2 years, body height: 173.8 ± 6.74 cm; body mass: 87.3 ± 10.89 kg; disease duration: 12.2 ± 7.5 years). The MyoMOTION 3D inertial motion capture system (Noraxon Inc., Scottsdale, AZ, USA) was used to collect biomechanical variables of gait (spatiotemporal and kinematic parameters). The subject's task was to cover the 100 m distance with three types of gait-walking without poles (normal gait), walking with classical poles to NW, and walking with mechatronic poles from the so-called preferred velocity. Parameters were measured on the right and left sides of the body. The data were analyzed using two-way repeated measures analysis of variance with the between-subject factor "body side." Friedman's test was used when necessary. For most kinematic parameters, with the exception of knee flexion-extension (p = 0.474) and shoulder flexion-extension (p = 0.094), significant differences were found between normal and walking with poles for both the left and right side of the body and no differences due to the type of pole. Differences between the left and right movement ranges were identified only for the ankle inversion-eversion parameter (gait without poles p = 0.047; gait with classical poles p = 0.013). In the case of spatiotemporal parameters, a reduction in the cadence step value using mechatronic poles and the stance phase using classical poles compared to normal walking was observed. There was also an increase in the values for step length and step time regardless of the type of poles, stride length, and swing phase when using classical poles and stride time when using mechatronic poles. The differences between the right and left sides of the measurement occurred when walking with both types of poles for single support (gait with classical poles p = 0.003; gait with mechatronic poles p = 0.030), stance phase (gait with classical poles p = 0.028; gait with mechatronic poles p = 0.017) and swing phase (gait with classical poles p = 0.028; gait with mechatronic poles p = 0.017). Mechatronic poles can be used in the study of the biomechanics of gait in real-time with feedback on its regularity because no statistically significant differences were found between the NW gait with classical and mechatronic poles in the studied men with ischemic heart disease.

Symmetry Function: The Differences between Active and Non-Active Above-the-Knee Amputees.

The number of patients with unilateral above-knee amputation (AKA) due to non-vascular causes has remained stable over the years, at 0.92 per 1000 people per year. Post-AKA individuals are at risk of experiencing a higher incidence of chronic pain. Post rehabilitation, it is estimated that between 16−62% of patients with musculoskeletal disabilities fail to meet the minimum criteria for physical activity in comparison to a healthy population. The current study included 14 participants (11 men and 3 women) with a mean age of 46.1 ± 14.2 years, body height of 1.76 ± 0.09 m, and weight of 79.6 ± 18.3 kg, who were all post-unilateral above-the-knee amputees. Patients in the study were divided into two groups: active (AC) and non-active (NAC). This study was conducted in a certified Laboratory of Biomechanical Analysis using the BTS Smart-E system (BTS Bioengineering). In order to investigate the symmetry function (SF) of gait, the only measurements included were the time series assessment of gait variables defining pelvic and lower limb joint motion and ground reaction forces (GRF). Both groups had an asymmetrical gait pattern with a different magnitude and relative position in the gait cycle, which was revealed by SF. The differences in terms of median, minimum, and maximum were statistically significant (p < 0.05), with SF ranging from −25 to 24% for the AC group and from 43 to 77% (59% on average) for the NAC group. The AC's pattern was more symmetrical compared to the NAC's pattern, especially in the case of pelvic and hip joint motion.

No Influence of Mechatronic Poles on the Movement Pattern of Professional Nordic Walkers.

This study compared selected temporal and kinematic parameters of normal gait and Nordic Walking (NW) performed with classic and mechatronic poles (classic poles equipped with sensors). It was assumed that equipping NW poles with sensors for biomechanical gait analysis would not impair the NW walking technique. Six professional NW instructors and athletes, including three women, participated in the study. The MyoMotion MR3 motion analysis system was used to collect gait kinematic variables. The subject's task was to cover a 100-m distance with three types of gait: a gait without poles, a gait with classic NW poles, and a gait with mechatronic poles at the preferred speed. Parameters were measured both on the right and left sides of the body. No significant differences were found between gait types for three temporal parameters: step cadence, step, and stride time. For the other variables, all the differences identified were between free-walking and walking with poles, with no differences between standard and mechatronic poles. For nine kinematic parameters, differences between free-walking and walking with poles for both the left and right sides were found, while no differences were due to the pole type. All temporal parameters were characterized by symmetry, while among kinematic parameters, only two were asymmetrical (shoulder abduction-adduction in walking with regular poles and elbow flexion-extension in walking without poles). Equipping classic NW poles with additional signaling and measuring devices (mechatronic poles) does not impair the NW technique, making it possible to use them in further studies of gait biomechanics.

Symmetry function - An effective tool for evaluating the gait symmetry of trans-femoral amputees.

BACKGROUND: Prostheses can help persons with trans-femoral amputation (TFA) regain normal function, but such individuals still exhibit gait deviations expressed in gait asymmetries. We apply a specialised tool, the Symmetry Function (SF), to evaluate the symmetry of walking in terms of kinematic and dynamic variables and to identify areas with large side deviations (exceeding defined ±5% threshold) in the movement cycle. RESEARCH QUESTION: Which movements and joints or GRF components revealed the most significant side deviations in the movement cycle? When exactly are they located in the gate cycle? METHODS: In this retrospective observational study, an instrumented motion analysis system was used to register the gait of fourteen patients after unilateral TFA. Measurements involved evaluating the time series of gait variables characterising a range of motion and the ground reaction force components. Comparison of the prosthetic (involved) limb with the sound (uninvolved) limb in TFA patients was carried out on the basis of the Symmetry Function values. RESULTS: The Symmetry Function proved to be an effective tool to localise the regions of asymmetry and limb dominance in the full gait cycle. The difference between sides revealed by the Symmetry Function was the highest for the pelvis and the hip. In the sagittal plane, the pelvis was asymmetrically tilted, reaching the highest SF value of more than 25 % at 60 % cycle time. In the transverse plane, the pelvis was even more asymmetrically positioned throughout the entire gait cycle (50 % difference). The hip in the frontal plane reached a 60 % difference throughout the single support phase for the involved and then for the uninvolved limb. SIGNIFICANCE: The Symmetry Function allows for the detection of gait asymmetries, temporal shifts in the gait phases and may assess the precise in time adaptation of prostheses and rehabilitation monitoring, especially in unilateral impairments.

The Application of Statistical Parametric Mapping to Evaluate Differences in Topspin Backhand between Chinese and Polish Female Table Tennis Players.

The research is aimed at comparing the kinematics (the movement pattern in the most important joints and accelerations of the playing hand) between female table tennis players coached in Poland (POL) and China (CHIN) during the performance of a topspin backhand stroke (so-called quick topspin). The study involved six female table tennis players at a high sports skill level, playing in Poland's highest league. Three were national team members of Poland (age: 20.3 ± 1.9), while the other three were players from China (age: 20.0 ± 0.0). Kinematics was measured using MR3 myoMuscle Master Edition system-inertial measurement unit (IMU) system. The participants performed one task of topspin backhand as a response to a topspin ball, repeated 15 times. Statistical parametric mapping (SPM) was calculated using SPM1D in a Python package that offered a high-level interface to SPM1D. The SPM method allowed for the determination of differences between the Chinese and Polish female athletes. The differences found are probably mainly due to differences in the training methodologies caused by different coaching systems. The observed differences include, among others, greater use of the so-called small steps in order to adapt and be ready during the back to ready position and backswing phases, which gives the CHIN players slightly better conditions for preparation for the next plays. The CHIN players' position compared to that of the POL players favours a quicker transition from the backhand to the forehand play. This difference is probably related to the difference in the dominant playing styles of the groups studied. Despite the differences in movement patterns in both groups, the exact value of playing hand was achieved. This may be a manifestation of the phenomenon of equifinality and compensation. All the differences found are probably mainly due to differences in the training methodologies caused by different coaching systems.

Symmetry function in gait pattern analysis in patients after unilateral transfemoral amputation using a mechanical or microprocessor prosthetic knee.

BACKGROUND: Above-knee amputations (AKAs) contribute to gait asymmetry. The level of asymmetry is affected by the type of knee prosthetic module. There is limited evidence suggesting that more technically advanced solutions (microprocessor modules; MicPK) are superior to less advanced ones (mechanical modules; MechPK). The study aimed to evaluate the variable range of hip and pelvic joint movements during gait and look for differentiating areas with an increased level of asymmetry of the gait cycle in individuals who underwent an AKA and are equipped with MicPK or MechPK. METHODS: Twenty-eight individuals participated in the study; 14 were assigned to a study group of individuals who underwent a unilateral AKA, and the other 14 were healthy participants as a control group. The movement task was recorded using the optoelectronic SMART-E system following the standard Davis protocol (the Newington model). A new method of quantifying gait symmetry using the symmetry function (SF) is proposed. SF is an integral measure of absolute differences in time-standardized signals between sides throughout the whole cycle of motion variability. RESULTS: In the frontal plane, there were significant differences between groups in the asymmetry of the range of movement in the hip joint of the intact limb. In the middle of the support phase, the intact limb was more adducted in individuals with MicPK and less abducted in people with MechPK (differences in mean 180%, p < 0.000; max 63%, p < 0.000; min 65%, p < 0.000). In the sagittal plane, the range of asymmetry of the flexion and thigh extension of the intact limb was similar to and only slightly different from the physiological gait. In the transverse plane, higher asymmetry values were noted for individuals with MicPK. In the final stage of the swing phase, the thigh was more rotated both externally and internally. The size of the asymmetry, when compared to gait of healthy individuals, reached 50% (differences in mean 115%, p < 0.232; max 62% p < 0.26; min 50, p < 0.154). CONCLUSIONS: In the study group, the assessed ranges of pelvic and thigh movement in the hip joint differed only in the frontal plane. Individuals who underwent a unilateral above-knee amputation may gain less from using MicPK than anticipated.

Statistical Parametric Mapping Reveals Subtle Gender Differences in Angular Movements in Table Tennis Topspin Backhand.

Background: Statistical parametric mapping (SPM) is an innovative method based on the analysis of time series (data series) and is equivalent to statistical methods for numerical (discrete) data series. This study aimed to analyze the patterns of movement in the topspin backhand stroke in table tennis and to use SPM to compare these patterns between advanced female and male players. Methods: The research involved seven advanced male and six advanced female players. The kinematic parameters were measured using an inertial motion analysis system. The SPM was computed using the SPM1D Python package. Results: Our study made it possible to reproduce the pattern of movement in the joints during topspin backhand strokes in the studied athletes. During multiple comparisons, the analysis of variance (ANOVA) SPM test revealed many areas in the studied parameter series with statistically significant differences (p ≤ 0.01). Conclusions: The study presents the movement patterns in the topspin backhand shot and describes the proximal-to-distal sequencing principle during this shot. The SPM study revealed differences between men and women in the contribution of thoracic rotation, external shoulder rotation, dorsal flexion, and supination in the wrist during the hitting phase. These differences may result from the anatomical gender differences or variations in other functionalities of individual body segments between the study groups. Another possible source for these discrepancies may reside in tactical requirements, especially the need for a more vigorous attack in men. The gender differences presented in this study can help in the individualization of the training process in table tennis.

Gender Differences in Kinematic Parameters of Topspin Forehand and Backhand in Table Tennis.

Background: The identification of gender differences in kinematics and coordination of movement in different body segments in sports may improve the training process by emphasizing the necessity of its differentiation, and consequently individualization, developing, and improving the technique in women and men. Indicating differences can also help in determining the risk of injury in order to prevent from them by diversifying training programs. However, there is no information regarding this problem in the existing literature pertaining to table tennis. Therefore, the aim of the study was to evaluate the differences in the values of selected angular and kinematic parameters during topspin forehand and topspin backhand shots between male and female table tennis players. Methods: Six male and six female advanced table tennis players performed topspin forehand and topspin backhand shots, both receiving a backspin ball. The angular parameters in four events (ready position, backswing, maximum acceleration, and forward) at chosen joints as well as the maximal acceleration of the playing hand were measured, using the myoMotion system, and were compared between male and female players. Results: Significant differences (p ≤ 0.05) were found in the magnitude of angular parameters and maximum hand acceleration between men and women. The movement pattern of topspin strokes performed by men takes into account, more than that in the case of women, movements that use large muscle groups and large joints (hip joints, trunk joints, shoulder joints in extension, and flexion). The difference in the values of maximal acceleration reached almost 50 m/s2 in topspin forehand (p < 0.01) and 20 m/s2 in backhand (p < 0.01). Conclusions: Differentiation of movement patterns can be a manifestation of movement optimization due to anthropological differences and limitations. The differences in the values of maximal acceleration suggest that women could use both sides to perform a topspin attack against the backspin ball, while men should seek opportunities to make a stronger shot with a forehand topspin.

Using Wearable Inertial Sensors to Estimate Kinematic Parameters and Variability in the Table Tennis Topspin Forehand Stroke.

The study examined kinematic parameters and their inter- and intrasubject variability in the topspin forehand of seven top-level table tennis players. A wireless inertial measurement unit (IMU) system measured the movement of the playing hand to analyze the Ready position, Backswing, and Forward events, and a racket-mounted piezoelectric sensor captured the racket-ball Contact. In a four-phase cycle (Backswing, Hitting, Followthrough, and Back to Ready position), body sensors recorded the cycle and phase duration; angles in the sagittal plane at the shoulder, elbow, and wrist of the playing hand and at the knee joints; and acceleration of the playing hand at the moment of racket-ball contact. The coefficient of variation (CV) was calculated to determine the variability of kinematic parameters within and between players. The observed variability in stroke time duration was low (CV < 20%) indicating constancy. The small-to-medium intraindividual variability of angles (CV < 40%) indicates that each player used a broadly repeatable technique. The large intraindividual variability in movement was probably functional (i.e., motor adjustment and injury avoidance). Interindividual and intraindividual variability of knee and elbow angles was low; wrist extension was the most variable parameter (CV > 40%) for all tasks, and shoulder joint variability was medium-to-large. Variability in hand acceleration was low (CV < 20%). Individual players achieved relatively constant hand acceleration at the moment of contact, possibly because angular changes at one joint (e.g., shoulder) could be compensated for by changes at another (e.g., wrist). These findings can help to guide the teaching-learning process and to individualize the training process.

Kinematic Parameters of Topspin Forehand in Table Tennis and Their Inter- and Intra-Individual Variability.

The aims of the research were to (1) determine the values of kinematic parameters in two modifications of the topspin forehand stroke as well as the differences between them and (2) assess the inter-individual and intra-individual variability of the values. Two modifications of a topspin forehand were evaluated: topspin after a topspin ball (TF1) and topspin after a backspin ball (TF2). The MyoMotion Noraxon analysis system was used to record the kinematic data. A piezo-electric sensor was used to identify the moment when the ball made contact with the racket. The coefficient of variation determined the variability of the kinematic parameters. Most of the joint angles in four identified events reflected how the individual segments of a player's body should move. The difference in acceleration at the moment of contact between the two types of the topspin forehand was significant, but the variability of the acceleration values was small. Large variability in the angular parameters was found, and this result was considered a manifestation of different coordination patterns in the stroke movements. It is possible that even though the players used different methods of performing the movement, they obtained similar values for some parameters (e.g., acceleration), which should be taken into account by coaches. There were small differences in many parameters within individual players, which can indicate that a player performs tasks in a similar way each time. However, there was high variability in some angular parameters, indicating that the repetitions of particular strokes were not performed in an identical way. The reasons for this phenomenon include movement functionality and functional variability.

A New Method of Evaluating the Symmetry of Movement Used to Assess the Gait of Patients after Unilateral Total Hip Replacement.

PURPOSE: We propose a new concept of symmetry, the symmetry function, as a continuous function of the percentage of differences between sides of body movement and normalised throughout the whole range of motion. The method is used to assess the dynamical symmetry of gait of patients after unilateral total hip replacement (asymmetric group) and healthy people (symmetric group) and also to reveal discrepancies between normal and abnormal movement patterns. METHODS: The gait of twelve male patients (49.7 ± 2.8 y), six weeks after unilateral total hip replacement (uTHR), was analysed against the gait of thirteen healthy men (36.1 ± 3.1 y). The speed of healthy men was matched to the speed of the patients. Comparison of the affected limb in uTHR patients with the healthy limb of able-bodied men was carried out on the basis of the highest symmetry values in the sagittal plane. RESULTS: In uTHR patients, the symmetry function provides information on the symmetry of movements in the whole range of motion in contrast to symmetry indices which are calculated for selected parameters or peak values. Research revealed average asymmetric discrepancies for pelvic tilt up to 250% for the entire gait cycle with a peak of approx. 400% at the end of the loading response and terminal swing phases. Asymmetry of gait observed in other joints was below 200% of the mean range of motion. CONCLUSIONS: Regions of the greatest asymmetry in pathological movements are usually different from the region of the greatest range of motion. Therefore, it is insufficient to measure symmetry only for selected regions during motion. The symmetry function is a simple method which can complement other robust methods in time series data evaluation and interpretation.

Three-Dimensional Human Gait Pattern: Reference Data for Young, Active Women Walking with Low, Preferred, and High Speeds.

Normal gait pattern is the key component in the investigation of pathological gait patterns. In computer motion analysis there is a need to include data from participants with different somatic structures to develop a normative database or to limit the database results to a specific population. The aim of this study was to determine kinematic gait patterns for young, active women walking with low, preferred, and self-selected speeds with regard to their somatic characteristics. Laboratory-based gait analysis was performed on 1320 gait cycles taken from 20 young, active women walking with three different speeds. Comprehensive anthropometric measurements and descriptive statistics were used to describe spatiotemporal and angular variables at each walking condition. The results demonstrated some significant differences in young, active women walking between different speeds and compared to the literature. This suggests that there is a need to include data from participants with different somatic structures to develop a normative database or limit the database results to a specific population. Detailed linear and angular kinematic variables allow for proper adjustment of parameters depending on the gait speed of people with locomotion disorders.

Correlations between Angular Velocities in Selected Joints and Velocity of Table Tennis Racket during Topspin Forehand and Backhand.

The aim of this study was to determine the correlations between angular velocities in individual joints and racket velocity for different topspin forehand and backhand strokes in table tennis. Ten elite female table tennis players participated, presenting different kinds of topspin forehands and backhands - after a no-spin ball (FH1, BH1), after a backspin ball (FH2, BH2) and "heavy" topspin (FH3, BH3). Range of motion was measured with the BTS Smart-E (BTS Bioengineering, Milan, Italy) motion analysis system with a specially developed marker placement protocol for the upper body parts and an acoustic sensor attached to the racket to identify ball-racket contact. In forehand strokes angular velocities of internal arm rotation and adduction in shoulder joint correlated with racket velocity. Racket velocity was correlated with angular velocities (hip extension on the playing side; hip flexion on the opposite side; ankle flexion) in the case of a topspin forehand performed with maximal force -"heavy" topspin (FH3). In backhand strokes the velocities of arm abduction and shoulder girdle rotation towards the playing side correlated with racket velocity. The angular velocity of internal arm rotation and adduction in shoulder joint may be important components of a coordinated stroke, whilst angular velocity can substantially affect the racket speed when one is changing the type of stroke.

Relationship between Asymmetry of Gait and Muscle Torque in Patients after Unilateral Transfemoral Amputation.

Many studies have shown that unilateral transfemoral amputation involves asymmetric gait. Transfemoral amputation leads to muscle atrophy in a tight stump resulting in asymmetry in muscle torque between the amputated and intact limb. This research is aimed at verifying if a relationship between torque values of hip joint flexors and extensors and gait asymmetry in patients with TFA exists. Fourteen adult subjects with unilateral TFA took part in the experiment. Gait symmetry was evaluated based on the ground reaction force (GRF). Measurements of muscle torque of hip flexors and extensors were taken with a Biodex System. All measurements were taken under isokinetic (60°/s and 120°/s) and isometric conditions. The symmetry index of vertical GRF components was from 7.5 to 11.5%, and anterio-posterior GRF from 6.2 to 9.3%. The symmetry index for muscle torque was from 24.3 to 44% for flexors, from 39 to 50.5% for extensors, and from 28.6 to 50% in the flexor/extensor ratio. Gait asymmetry correlated with muscle torque in hip joint extensors. Therapy which enhances muscle torque may be an effective form of patient therapy. The patient needs to undergo evaluation of their muscle strength and have the therapy programme adjusted to their level of muscle torque deficit.

The Evaluation of Changes of Angles in Selected Joints During Topspin Forehand in Table Tennis.

The aims of this study were to evaluate movement patterns of topspin forehand, to define the main principles of performing this shot, and to determine the essential differences in individual types of topspin forehand. In total, 10 female high-level athletes participated in this study. The BTS analysis system was used with a novel model for the range-of-motion measurement. An acoustic sensor was attached to the racket for identification of a ball-racket contact. Players, performing topspin forehand, attempt to achieve maximal racket velocity based on the principles of proximal-to-distal sequences and summation of speed with a stretch-shortening character of cycle. The essential differences between type of topspin forehand occurred in the range of motion. Increased power of topspin shot was accompanied by a significant increase in range of motion in most of the studied joints and body segments, in particular in the rotation movement of the upper body, pelvis and shoulders, flexion and rotation in the shoulder and elbow joints, and flexion and rotation in knee joints.

Foot mechanics in young women are altered after walking in high-heeled shoes.

PURPOSE: Nowadays, fashion has caused that many young women are wearing high-heeled shoes. Therefore, the aim of this study was to examine the effects of long-term walking in high-heeled shoes on the foot mechanics during barefoot gait. METHODS: Forty-three young women (22 ± 2.1 years) divided into two groups participated in this retrospective cohort study. The first group was composed of women who frequently wear high-heeled footwear. The second, infrequent wearers group, consisted of women who preferred flat-heeled shoes. Measurements of gait parameters were recorded for barefoot gait. A motion analysis system and two force plates were used in order to evaluate the lower-limb rocker mechanism, transverse foot arch height and parameters of ground reaction force. RESULTS: Walking in high-heeled shoes modified barefoot foot mechanics, which manifested itself in a shorter duration (by ca. 4%) of the first and second rocker and a significantly longer duration (by 5%) of the third rocker phase as well as a substantial reduction in height of the transverse foot arch (by around 50%) in women habitually walking in high-heeled shoes. A significantly shorter relative duration of the third rocker (44.3% of cycle time) and greater value of the vertical component of ground reaction force (114.7% BW) in the third rocker phase were found in the group of women habitually walking in high-heeled shoes. CONCLUSIONS: The mechanism of foot rolling, with flattened foot arch, and significantly higher values of the vertical component of ground reaction force and shorter time might lead to overload in lowerlimb joints in young women.