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1.
Phys Ther Sport ; 69: 67-75, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39088901

RESUMO

OBJECTIVE: The Landing Error Scoring System (LESS) is a movement analysis tool proposed to identify the risk of anterior cruciate ligament injuries, very useful for injury prevention. The aim of this study is to review the variants of the LESS, their normative scores and the differences according to sex and sport practiced. METHODS: PubMed, Scopus and ScienceDirect databases were searched from inception to October 19, 2023. Studies were eligible if the objective was finding normative or reference scores for the LESS, analyze the differences between sexes or sports, or used some variant of the test. Results were limited to available full-text articles published in English in peer-reviewed journals. RESULTS: Of the 360 articles identified, 20 were included for a full analysis (18,093 participants, age = 8-30 years, males = 70.6%). The military population was the most frequently analyzed (7 studies, n = 16,603). Results showed six variants of the LESS and average values ranged from 2.56 to 7.1. Males and females showed different pattern landing with errors in different planes. CONCLUSIONS: Our findings highlight the need for more field studies on LESS reference scores, particularly for females and basketball or hockey players. Further research is required before conducting a systematic review and meta-analysis.


Assuntos
Lesões do Ligamento Cruzado Anterior , Humanos , Feminino , Masculino , Fatores Sexuais , Valores de Referência , Traumatismos em Atletas/prevenção & controle , Basquetebol/lesões , Adolescente , Movimento , Adulto , Criança , Hóquei/lesões , Esportes , Adulto Jovem
2.
Knee ; 50: 154-162, 2024 Aug 22.
Artigo em Inglês | MEDLINE | ID: mdl-39178724

RESUMO

BACKGROUND: Soccer is one of the most popular sports worldwide, which subsequently increases the number of injuries experienced by players. Furthermore, a large percentage of all anterior cruciate ligament injuries occur while playing soccer. In order to more clearly understand injury mechanisms, it is important to make the testing environment as real-life as possible. Inclusion of an external focus and secondary task, such as heading a soccer ball, may increase joint loading during landing. The purpose of this study was to investigate the effect of a forward heading motion on lower extremity kinetics and kinematics between sexes during a stop-jump task and a jump-heading task. METHODS: Ten male and ten female soccer players performed stop-jumps with no soccer ball present and jump-headings with a soccer ball present. Three-dimensional kinematics and kinetics were collected and analyzed during the landing. 2 × 2 mixed design analysis of variances (ANOVA) were performed to examine sex × jump task interactions and determine the main effects of sex and jump task. RESULTS: Results indicated jump-heading yields greater peak vertical ground reaction forces, an 8% increase in peak knee extension moments, a reduced initial knee flexion angle by approximately 5°, and an increased initial hip flexion angle by approximately 7°. Additionally, females exhibited 5.6° greater peak knee abduction angles compared to men, regardless of task. CONCLUSIONS: Inclusion of an overhead target may have distracted the athletes from focusing on frontal plane knee control when landing, and could potentially lead to increased ACL stress.

3.
Front Bioeng Biotechnol ; 12: 1431988, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39188374

RESUMO

Objective: This study aims to investigate the plantar biomechanics of healthy young males as they descend a single transition step from varying heights. Methods: Thirty healthy young males participated the experiment using the F-scan insole plantar pressure system in which participants made single transition steps descent from four step heights (5, 15, 25, and 35 cm), leading with their dominant or non-dominant foot. Plantar pressure data were collected for 5 s during the period between landing touchdown and standing on the ground. Landing at each step height was repeated three times, with a five-minute rest between different height trials. Results: At 5 cm and 15 cm steps, participants demonstrated a rearfoot landing strategy on both sides. However, forefoot contact was observed at heights of 25 cm and 35 cm. Parameters related to center of plantar pressure (COP) of the leading foot were significantly larger compared to the trailing foot (P < 0.001), increased with higher step heights. Vertical ground reaction forces for the biped, leading and trailing feet decreased with increasing step height (all P < 0.05). The leading foot had a higher proportion of overall and forefoot loads, and a lower proportion of rearfoot load compared to the trailing foot (P < 0.001). The overall load on the dominant side was lower than that on the non-dominant side for both the leading and trailing feet (P < 0.001). For the trailing foot, forefoot load on the dominant side was lower than that on the non-dominant side, however, the opposite result appeared in rearfoot load (P < 0.001). Upon the leading foot landing, forefoot load exceeded the rearfoot load for the dominant (P < 0.001) and non-dominant sides (P < 0.001). Upon the trailing foot landing, forefoot load was lower than the rearfoot load for the dominant (P < 0.001) and non-dominant sides (P = 0.019). Conclusion: When the characteristics of biomechanical stability are compromised by step height, landing foot, and footedness factors - due to altered foot landing strategies, changing COP, or uneven force distribution - ability to control motion efficiently and respond adaptively to the forces experienced during movement is challenged, increasing the likelihood of loss of dynamic balance, with a consequent increased risk of ankle sprains and falls.

4.
Gait Posture ; 113: 462-467, 2024 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-39126958

RESUMO

BACKGROUND: Anterior cruciate ligament (ACL) injuries may correlate with lower limb angles and biomechanical factors in both dominant and non-dominant legs at initial contact (IC) post-landing. This study aims to investigate the correlation between ankle angles in three axes at IC and knee and hip joint angles during post-spike landings in professional volleyball players, both pre- and post-fatigue induction. RESEARCH QUESTION: To what extent does fatigue influence lower limb joint angles, and what is the relationship between ankle joint angles and hip and knee angles at IC during the landing phase following a volleyball spike? METHODS: Under conditions involving the peripheral fatiguing protocol, the lower limb joint angles at IC following post-spike landings were measured in 28 professional male volleyball players aged between 19 and 28 years, who executed the Bosco fatigue protocol both before and after inducing fatigue. A paired t-test was utilized to compare the joint angles pre- and post-fatigue in both dominant and non-dominant legs. Furthermore, Pearson's correlation test was conducted to explore the relationship between ankle angles at IC and the corresponding knee and hip joint angles. RESULTS: The findings of the study revealed that fatigue significantly increased hip external rotation and decreased knee joint flexion and external rotation in both the dominant and non-dominant legs (p < 0.05). Additionally, correlation analysis demonstrated that the ankle joint's positioning in the frontal and horizontal planes was significantly associated with hip flexion and external rotation at the IC, as well as with knee flexion and rotation (0.40 < r < 0.80). CONCLUSION: Fatigue increased hip external rotation and ankle internal rotation, weakening the correlation between these joints while strengthening the ankle-knee relationship, indicating a reduced hip control in jumps. This suggests a heightened ACL injury risk in the dominant leg due to the weakened ankle-hip connection, contrasting with the non-dominant leg.

5.
Knee ; 50: 96-106, 2024 Aug 10.
Artigo em Inglês | MEDLINE | ID: mdl-39128175

RESUMO

BACKGROUND: A deficit in neuromuscular trunk control can impact the lower limb motion, predisposing runners to injuries. This deficit may show a greater impact on runners with dynamic knee valgus. This study aimed to compare the effect of core fatigue on kinetic, kinematic, and electromyographic parameters of the trunk and lower limbs during single-leg drop landing between runners with and without dynamic knee valgus. METHODS: Twenty-seven recreational runners were allocated to the valgus (n = 14) and non-valgus groups (n = 13). They performed the test before and after a fatigue protocol, taking a step forward and landing on the force platform while maintaining balance. The fatigue protocol included isometric and dynamic exercises performed consecutively until voluntary exhaustion. The vertical ground reaction force, the sagittal and frontal plane angles, and the electromyographic activity were evaluated. The integral of electromyographic activity was calculated into three movement phases. ANOVA with repeated measures was used to verify the group, time, and interaction effects. RESULTS: After fatigue, both groups showed a significant reduction in the minimum (p = 0.01) and maximum (p = 0.02) knee angles in the frontal plane (more dynamic knee valgus) and greater gluteus medius activity (p = 0.05) from the peak of knee flexion to the end of the movement. The valgus group had a greater hip excursion (p = 0.01) and vertical linear shoulder displacement (p = 0.02) than the non-valgus. CONCLUSION: Our results suggest that core fatigue can impact the local muscle and the distal joint and that the groups presented different strategies to deal with the demand during landing.

6.
Sci Rep ; 14(1): 19091, 2024 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-39154026

RESUMO

Quadrotor unmanned aerial vehicles (QUAVs) have attracted significant research focus due to their outstanding Vertical Take-Off and Landing (VTOL) capabilities. This research addresses the challenge of maintaining precise trajectory tracking in QUAV systems when faced with external disturbances by introducing a robust, two-tier control system based on sliding mode technology. For position control, this approach utilizes a virtual sliding mode control signal to enhance tracking precision and includes adaptive mechanisms to adjust for changes in mass and external disruptions. In controlling the attitude subsystem, the method employs a sliding mode control framework that secures system stability and compliance with intermediate commands, eliminating the reliance on precise models of the inertia matrix. Furthermore, this study incorporates a deep learning approach that combines Particle Swarm Optimization (PSO) with the Long Short-Term Memory (LSTM) network to foresee and mitigate trajectory tracking errors, thereby significantly enhancing the reliability and safety of mission operations. The robustness and effectiveness of this innovative control strategy are validated through comprehensive numerical simulations.

7.
Sensors (Basel) ; 24(15)2024 Aug 03.
Artigo em Inglês | MEDLINE | ID: mdl-39124078

RESUMO

Sports-related concussions are caused by one substantial impact or several smaller-magnitude impacts to the head or body that lead to an acceleration of the head, causing shaking of the brain. Athletes with a history of sports-related concussion demonstrate lower-extremity biomechanics during landing tasks that are conducive to elevated injury risk. However, the effect of head acceleration on lower-extremity biomechanics during landing tasks is unknown. Twenty participants were evenly separated into a vertical hopping group and a lateral hopping group. Participants performed several land-and-cut maneuvers before and after a hopping intervention. Vertical head acceleration (g) was measured via an accelerometer during the hopping interventions. Comparisons in head acceleration during the hopping tasks were made between groups. Additionally, kinematic and kinetic variables were compared pre- and post-intervention within groups as well as post-intervention between groups. The vertical hopping group demonstrated greater vertical head acceleration compared to the lateral hopping group (p = 0.04). Additionally, the vertical hopping group demonstrated greater knee abduction angles during landing post-intervention compared to the lateral hopping group (p < 0.000). Inducing head acceleration via continuous hopping had an influence on lower-extremity biomechanics during a landing task.


Assuntos
Aceleração , Cabeça , Extremidade Inferior , Humanos , Fenômenos Biomecânicos/fisiologia , Masculino , Cabeça/fisiologia , Extremidade Inferior/fisiologia , Feminino , Adulto Jovem , Adulto , Concussão Encefálica/fisiopatologia , Traumatismos em Atletas/fisiopatologia , Traumatismos em Atletas/prevenção & controle , Acelerometria
8.
Int J Sports Physiol Perform ; : 1-7, 2024 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-39168459

RESUMO

PURPOSE: To compare the effects of 6-week barbell weighted-jump-squat (WJS) training with and without eccentric load reduction on explosive performance. METHODS: Twenty well-trained male athletes were randomly assigned to either an experimental group (n = 10) or a control group (n = 10). Participants completed 12 WJS training sessions (6 sets of 5 repetitions of barbell back squat at 30% of 1-repetition maximum [1RM]) twice a week over a 6-week period. While the control group used 0% eccentric loading (ie, traditional WJS), the experimental group utilized a 50% eccentric loading reduction with a mechanical braking unit (ie, eccentric load set at 15% of 1RM). Performance assessments, including countermovement jump, 20-m sprint, standing long jump, and 1RM barbell back squat, were conducted both before (pretests) and after (posttests) the intervention. RESULTS: Both the experimental group and the control group demonstrated a significant increase in countermovement-jump height (+6.4% [4.0%] vs +4.9% [5.7%]; P < .001) and peak power output (+2.3% [2.7%] vs +1.9% [5.1%]; P = .017), faster 20-m sprint times (+9.4% [4.8%] vs +9.2% [5.5%]; P < .001), longer standing long jump (+3.1% [2.5%] vs +3.0% [3.3%]; P < .001), and higher 1RM back squat (+6.4% [4.0%] vs +4.9% [5.7%]; P < .001) from pretests to posttests. However, there was no significant condition × time interaction for any variable (all P ≥ .294). CONCLUSIONS: Both WJS training methods, with and without load reduction in the eccentric phase, effectively enhance explosive performance. Nevertheless, athletes in later stages of injury rehabilitation or intense training may find reducing eccentric load a more tolerable strategy for achieving similar performance gains compared with traditional isoinertial loading.

9.
J Fish Biol ; 2024 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-39080822

RESUMO

Government policies for marine fisheries have been implemented in Cabo Verde since its independence in 1975, with the aim to prevent overexploitation of wild fish species and promote sustainable fishing practices. Nonetheless, only minor amendments have been made to the legal harvesting size, considering biological sciences. This study, therefore, adopted a transdisciplinary approach to assess the political, ecological, and social dimensions of current fishery policy interventions applicable to the commercially valuable pelagic species Decapterus macarellus (mackerel scad). An ex-post analysis of relevant fishery management policies targeting D. macarellus was conducted. This was supplemented by strengths, weaknesses, opportunities, and threats (SWOT) analysis conducted by key fisheries stakeholders. Stocks assessment was conducted on catch data before (2003-2007) and after (2017-2021) the policy interventions. This was followed by a survey of 175 fishery sector actors to understand their perception of the policies, compliance challenges, and recommendations for reforms. Results showed that although the mackerel scad landing size comparably increased, landing catches were on the decline. Most fisheries stakeholders are aware of the policies implemented and acknowledge their favorable developmental outcomes. However, certain gaps exist in the national marine fisheries policies. For example, there is an absence of follow-up research on implemented fishing policies and a lack of monitoring data on the ecology and distribution of the mackerel scad, which hinders our understanding of the exact causes of the reported continual decrease in catches. There is, therefore, a need for regular monitoring of the environmental health of coastal and marine habitats to inform prioritization and/or reformulation of policy intervention measures to achieve intended conservation outcomes.

10.
Comput Biol Med ; 180: 108965, 2024 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-39084051

RESUMO

BACKGROUND: Single-leg landing (SL) is an essential technique in sports such as basketball, soccer, and volleyball, which is often associated with a high risk of knee-related injury. The ankle motion pattern plays a crucial role in absorbing the load shocks during SL, but the effect on the knee joint is not yet clear. This work aims to explore the effects of different ankle plantarflexion angles during SL on the risk of knee-related injury. METHODS: Thirty healthy male subjects were recruited to perform SL biomechanics tests, and one standard subject was selected to develop the finite element model of foot-ankle-knee integration. The joint impact force was used to evaluate the impact loads on the knee at various landing angles. The internal load forces (musculoskeletal modeling) and stress (finite element analysis) around the knee joint were simulated and calculated to evaluate the risk of knee-related injury during SL. To more realistically revert and simulate the anterior cruciate ligament (ACL) injury mechanics, we developed a knee musculoskeletal model that reverts the ACL ligament to a nonlinear short-term viscoelastic mechanical mechanism (strain rate-dependent) generated by the dense connective tissue as a function of strain. RESULTS: As the ankle plantarflexion angle increased during landing, both the peak knee vertical impact force (p = 0.001) and ACL force (p = 0.001) decreased significantly. The maximum von Mises stress of ACL, meniscus, and femoral cartilage decreased as the ankle plantarflexion angle increased. The overall range of variation in ACL stress was small and was mainly distributed in the femoral and tibial attachment regions, as well as in the mid-lateral region. CONCLUSION: The current findings revealed that the use of larger ankle plantarflexion angles during landing may be an effective solution to reduce knee impact load and the risk of rupture of the medial femoral attachment area in the ACL. The findings of this study have the potential to offer novel perspectives in the optimized application of landing strategies, thus giving crucial theoretical backing for decreasing the risk of knee-related injury.

11.
Eur J Sport Sci ; 24(8): 1095-1109, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39022860

RESUMO

This study investigated the effects of plyometric training on lower-limb muscle strength and knee biomechanical characteristics during the landing phase. Twenty-four male subjects were recruited for this study with a randomised controlled design. They were randomly divided into a plyometric training group and a traditional training group and underwent training for 16 weeks. Each subject was evaluated every 8 weeks for knee and hip isokinetic muscle strength as well as knee kinematics and kinetics during landing. The results indicated significant group and time interaction effects for knee extension strength (F = 74.942 and p = 0.001), hip extension strength (F = 99.763 and p = 0.000) and hip flexion strength (F = 182.922 and p = 0.000). For landing kinematics, there were significant group main effects for knee flexion angle range (F = 4.429 and p = 0.047), significant time main effects for valgus angle (F = 6.502 and p = 0.011) and significant group and time interaction effects for internal rotation angle range (F = 5.475 and p = 0.008). The group main effect for maximum knee flexion angle was significant (F = 7.534 and p = 0.012), and the group and time interaction effect for maximum internal rotation angle was significant (F = 15.737 and p = 0.001). For landing kinetics, the group main effect of the loading rate was significant (F = 4.576 and p = 0.044). Significant group and time interaction effects were observed for knee extension moment at the moment of maximum vertical ground reaction force (F = 5.095 and p = 0.010) and for abduction moment (F = 8.250 and p = 0.001). These findings suggest that plyometric training leads to greater improvements in hip and knee muscle strength and beneficial changes in knee biomechanics during landing compared to traditional training.


Assuntos
Articulação do Joelho , Força Muscular , Exercício Pliométrico , Humanos , Masculino , Fenômenos Biomecânicos , Adulto Jovem , Força Muscular/fisiologia , Articulação do Joelho/fisiologia , Joelho/fisiologia , Atletas , Adulto , Amplitude de Movimento Articular/fisiologia , Quadril/fisiologia
12.
Gait Posture ; 113: 287-294, 2024 Jul 03.
Artigo em Inglês | MEDLINE | ID: mdl-38972170

RESUMO

BACKGROUND: Biomechanical evaluations of sport-specific jump-landing tasks may provide a more ecologically valid interpretation compared to generic jump-landing tasks. For accurate interpretation of longitudinal research, it is essential to understand the reliability of biomechanical parameters of sport-specific jump-landing tasks. RESEARCH QUESTION: How reliable are hip, knee and ankle joint angles and moment curves during two volleyball-specific jump-landing tasks and is this comparable with the reliability of a generic jump-landing task? METHODS: Three-dimensional (3D) biomechanical analyses of 27 male volleyball players were performed in two sessions separated by one week. Test-retest reliability was analyzed by calculating integrated as well as 1D intraclass correlation coefficient (ICC) and integrated standard error of measurement (SEM) for hip, knee and ankle angles and moments during a spike and block jump (volleyball-specific tasks), and during a drop vertical jump (generic task). RESULTS: Reliability of joint angles of volleyball-specific and generic jump-landing tasks are similar with excellent-to-good integrated ICC for hip, knee and ankle flexion/extension (ICC= 0.61-0.89) and hip and knee abduction/adduction (ICC=0.61-0.78) but fair-to-poor ICC for ankle abduction/adduction (ICC=0.28-0.52) and hip, knee and ankle internal/external rotation (ICC=0.29-0.53). Reliability of hip, knee and ankle joint moments was good-to excellent (ICC= 0.62-0.86) except for hip flexion moment during spike jump and drop vertical jump (ICC=0.43-0.47) and knee flexion moment during both volleyball-specific tasks (ICC=0.56-0.57). For all tasks, curve analysis revealed poorer reliability at start and end of the landing phase than during the midpart. SIGNIFICANCE: Our data suggests that kinematic evaluations of volleyball-specific jump-landing tasks are reliable to use in screening programs, especially in the sagittal plane. Notably, reliability is poorer at the beginning and end of the landing phase, requiring careful interpretation. In conclusion, the results of this study indicate the potential for integration of sport-specific jump-landing tasks in screening programs, which will be more ecologically valid.

13.
Phys Ther Sport ; 69: 8-14, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38971091

RESUMO

OBJECTIVES: To undertake a systematic analysis of 17 medical attention and time-loss lateral ankle ligament sprain (LALS) events from televised Australian professional netball games during the 2020-2023 seasons. DESIGN: Case series. METHODS: Three analysts independently assessed the video footage and then convened to review and discuss each case until a consensus was reached. RESULTS: When in possession (7 cases) a player was commonly performing an agility-based manoeuvre to break free from an opponent and reposition themselves to be a passing option (5/7 cases). When out of possession (10 cases) a player was either attempting to intercept a pass (6 cases) or marking an opponent (4 cases). Players tended to land on the anterior one-third of the plantar surface of the foot - forefoot or shoe tip (7 cases). Players often landed on either the ground (7 cases) or the opponent's shoe then the ground (8 cases). In 9 cases the ankle-foot was considered to be in a neutral alignment in the frontal plane at landing. At the estimated index frame the players' weight tended to be all on the foot on the injured side (11 cases) or favouring the foot on the injured side (5 cases). Inversion and adduction was a common injury mechanism. Plantar-flexion was rarely involved. CONCLUSION: Landing on the anterior one-third of the plantar surface of the foot and subsequent weight transference onto the injured limb side was more important than ankle-foot inversion at initial ground contact. Exercises involving external perturbations that challenge the control of frontal and transverse plane ankle-foot motion and improve proprioception, neuromuscular control, and dynamic balance are warranted.


Assuntos
Traumatismos do Tornozelo , Ligamentos Laterais do Tornozelo , Gravação em Vídeo , Humanos , Traumatismos do Tornozelo/fisiopatologia , Ligamentos Laterais do Tornozelo/lesões , Austrália , Traumatismos em Atletas , Entorses e Distensões , Fenômenos Biomecânicos , Pé/fisiologia , Pé/fisiopatologia
14.
Artigo em Chinês | MEDLINE | ID: mdl-39075003

RESUMO

Objective: To investigate the relationship between ankle stability and associated muscle load around the ankle and the effect of a parachute ankle brace (PAB) on ankle inversion and associated muscle load around the ankle during landing through the simulated paratrooper semi-squat landing field experiment. Methods: In August 2021, 37 male paratroopers were randomly selected as the study objects to perform parachute landing training in the semi-squat posture on the 1.5 m and 2.0 m jump platforms with or without PAB, respectively. The coronal plane tilt angle of ankle joint and the percentage of maximum voluntary contraction (MVC%) of associated muscles around ankle joint during the process were measured and correlation analysis was conducted. And the effect of wearing PAB on the coronal plane tilt angle of ankle joint and the associated muscles around the ankle joint was analyzed. Results: During the semi-squat landing, the MVC% of the tibialis anterior muscle, lateral gastrocnemius muscle and peroneus longus muscle were positively correlated with the ankle coronal plane tilt angle in paratroopers wearing and without wearing PAB, and the correlations were statistically significant (P<0.05). At the same height, compared with those without PAB, the coronal plane tilt angle of the ankle joint decreased during semi-squat landing in paratroopers PAB, and the differences were statistically significant (P<0.05). At the landing moment of the same height, compared with those without PAB, the MVC% of lateral gastrocnemius muscle decreased and the MVC% of peroneus longus muscle increased in paratroopers wearing PAB, and the differences were statistically significant (P<0.05). After the landing moment until the standing stage (100-200 ms) at 1.5 m height, the MVC% of the tibialis anterior muscle decreased in paratroopers wearing PAB compared with those without PAB, and the differences were statistically significant (P<0.05). In the post-standing stage (200 ms) at 2.0 m height, the MVC% of the tibialis anterior muscle decreased in paratroopers wearing PAB compared with those without PAB, and the difference was statistically significant (P<0.05) . Conclusion: Wearing PAB can reduce the ankle coronal plane tilt angle, improve ankle stability, reduce the muscle load of the lateral gastrocnemius muscle at the moment of landing, and reduce the load of the tibialis anterior muscle after landing, but increase the peroneus longus muscle load at the moment of landing.


Assuntos
Articulação do Tornozelo , Músculo Esquelético , Humanos , Masculino , Articulação do Tornozelo/fisiologia , Músculo Esquelético/fisiologia , Adulto Jovem , Postura/fisiologia , Adulto , Braquetes , Fenômenos Biomecânicos , Suporte de Carga/fisiologia , Tornozelo/fisiologia
15.
Bioengineering (Basel) ; 11(6)2024 Jun 20.
Artigo em Inglês | MEDLINE | ID: mdl-38927867

RESUMO

Fatigue is believed to increase the risk of anterior cruciate ligament (ACL) injury by directly promoting high-risk biomechanics in the lower limbs. Studies have shown that dynamic taping can help normalize inadequate biomechanics during landings. This study aims to examine the effects of dynamic taping on landing biomechanics in fatigued football athletes. Twenty-seven high-school football athletes were recruited and randomly allocated to groups of either active taping or sham taping, with a crossover allocation two weeks later. In each group, the participants underwent a functional agility short-term fatigue protocol and were evaluated using the landing error scoring system before and after the fatigue protocol. The landing error scoring system (LESS) scores in the sham taping group increased from 4.24 ± 1.83 to 5.36 ± 2.00 (t = -2.07, p = 0.04, effect size = 0.61). In contrast, the pre-post difference did not reach statistical significance in the active taping group (from 4.24 ± 1.69 to 4.52 ± 1.69, t = -1.50, p = 0.15, effect size 0.46). Furthermore, the pre-post changes between the sham and active taping groups were statistically significant (sham taping: 1.12 ± 1.20; active taping: 0.28 ± 0.94, p = 0.007). Dynamic taping, particularly using the spiral technique, appeared to mitigate faulty landing biomechanics in the fatigued athletes by reducing hip and knee flexion and increasing hip internal rotation during landing. These results suggest that dynamic taping can potentially offer protective benefits in landing mechanics, which could further be applied to prevent ACL injuries in fatigued athletes.

16.
J Biomech ; 171: 112200, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38905926

RESUMO

Low-cost markerless motion capture systems offer the potential for 3D measurement of joint angles during human movement. This study aimed to validate a smartphone-based markerless motion capture system's (OpenCap) derived lower extremity kinematics during common return-to-sport tasks, comparing it to an established optoelectronic motion capture system. Athletes with prior anterior cruciate ligament reconstruction (12-18 months post-surgery) performed three movements: a jump-landing-rebound, single-leg hop, and lateral-vertical hop. Kinematics were recorded concurrently with two smartphones running OpenCap's software and with a 10-camera, marker-based motion capture system. Validity of lower extremity joint kinematics was assessed across 437 recorded trials using measures of agreement (coefficient of multiple correlation: CMC) and error (mean absolute error: MAE, root mean squared error: RMSE) across the time series of movement. Agreement was best in the sagittal plane for the knee and hip in all movements (CMC > 0.94), followed by the ankle (CMC = 0.84-0.93). Lower agreement was observed for frontal (CMC = 0.47-0.78) and transverse (CMC = 0.51-0.6) plane motion. OpenCap presented a grand mean error of 3.85° (MAE) and 4.34° (RMSE) across all joint angles and movements. These results were comparable to other available markerless systems. Most notably, OpenCap's user-friendly interface, free software, and small physical footprint have the potential to extend motion analysis applications beyond conventional biomechanics labs, thus enhancing the accessibility for a diverse range of users.


Assuntos
Volta ao Esporte , Humanos , Fenômenos Biomecânicos , Masculino , Feminino , Adulto , Movimento/fisiologia , Articulação do Joelho/fisiologia , Articulação do Joelho/cirurgia , Extremidade Inferior/fisiologia , Reconstrução do Ligamento Cruzado Anterior/métodos , Amplitude de Movimento Articular/fisiologia , Adulto Jovem , Smartphone , Captura de Movimento
17.
Front Sports Act Living ; 6: 1418598, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38832309

RESUMO

Introduction: Neuromuscular fatigue causes a transient reduction of muscle force, and alters the mechanisms of motor control. Whether these alterations increase the risk of anterior cruciate ligament (ACL) injury is still debated. Here we compare the biomechanics of single-leg drop jumps before and after the execution of a fatiguing exercise, evaluating whether this exercise causes biomechanical alterations typically associated with an increased risk of ACL lesion. The intensity of the fatiguing protocol was tailored to the aerobic capacity of each participant, minimizing potential differential effects due to inter-individual variability in fitness. Methods: Twenty-four healthy male volunteers performed single leg drop jumps, before and after a single-set fatiguing session on a cycle ergometer until exhaustion (cadence: 65-70 revolutions per minute). For each participant, the intensity of the fatiguing exercise was set to 110% of the power achieved at their anaerobic threshold, previously identified by means of a cardiopulmonary exercise test. Joint angles and moments, as well as ground reaction forces (GRF) before and after the fatiguing exercise were compared for both the dominant and the non-dominant leg. Results: Following the fatiguing exercise, the hip joint was more extended (landing: Δ=-2.17°, p = 0.005; propulsion: Δ=-1.83°, p = 0.032) and more abducted (landing: Δ=-0.72°, p = 0.01; propulsion: Δ=-1.12°, p = 0.009). Similarly, the knee joint was more extended at landing (non-dominant leg: Δ=-2.67°, p < 0.001; dominant: Δ=-1.4°, p = 0.023), and more abducted at propulsion (both legs: Δ=-0.99°, p < 0.001) and stabilization (both legs: Δ=-1.71°, p < 0.001) hence increasing knee valgus. Fatigue also caused a significant reduction of vertical GRF upon landing (Δ=-0.21 N/kg, p = 0.003), but not during propulsion. Fatigue did not affect joint moments significantly. Conclusion: The increased hip and knee extension, as well as the increased knee abduction we observed after the execution of the fatiguing exercise have been previously identified as risk factors for ACL injury. These results therefore suggest an increased risk of ACL injury after the execution of the participant-tailored fatiguing protocol proposed here. However, the reduced vertical GRF upon landing and the preservation of joint moments are intriguing, as they may suggest the adoption of protective strategies in the fatigued condition to be evaluated in future studied.

18.
Sci Rep ; 14(1): 14603, 2024 06 25.
Artigo em Inglês | MEDLINE | ID: mdl-38918533

RESUMO

Malaria in eastern Indonesia remains high despite significant reduction and elimination in other parts of the country. A rapid entomological assessment was conducted in eight high malaria endemic regencies of Papua Province, Indonesia, to expedite malaria elimination efforts in this region. This study aims to characterize specific, actionable endpoints toward understanding where and when malaria transmission is happening, where interventions may function best, and identify gaps in protection that result in continued transmission. The entomological assessment included identifying potential vectors through human landing catch (HLC), indoor morning and night resting collections, identification of larval sites through surveillance of water bodies, and vector incrimination toward understanding exposure to malaria transmission. Human landing catches (HLCs) and larval collections identified 10 Anopheles species, namely Anopheles koliensis, Anopheles punctulatus, Anopheles farauti, Anopheles hinesorum, Anopheles longirostris, Anopheles peditaeniatus, Anopheles tesselatus, Anopheles vagus, Anopheles subpictus and Anopheles kochi. The most common and abundant species found overall were An. koliensis and An. punctulatus, while An. farauti was found in large numbers in the coastal areas of Mimika and Sarmi Regencies. Vector incrimination on Anopheles collected from HLCs and night indoor resting demonstrated that An. koliensis and An. punctulatus carried Plasmodium in Keerom, Jayapura, and Sarmi Regencies. Analysis of HLCs for the most common species revealed that the An. koliensis and An. punctulatus, bite indoors and outdoors at equal rates, while An. farauti predominantly bite outdoors. Larval surveillance demonstrated that most water bodies in and surrounding residential areas contained Anopheles larvae. This study demonstrated indoor and outdoor exposure to mosquito bites and gaps in protection, enabling exposure to infectious bites in all regencies. This explains why current malaria control efforts focusing on indoor protection have failed to substantially reduce malaria incidence in the region. Optimization of insecticide-treated bed nets (ITNs), as well as installment of mosquito screens in houses, may further reduce indoor transmission. For outdoor transmission, the use of community-centric approaches to reduce or eliminate larval sources within and surrounding the village through the guidance of locally stationed entomologists, along with Social and Behavior Change mediated health education towards the local adoption of mosquito protection tools during outdoor activities, may reduce malaria transmission.


Assuntos
Anopheles , Malária , Mosquitos Vetores , Animais , Anopheles/parasitologia , Anopheles/fisiologia , Malária/transmissão , Malária/epidemiologia , Malária/prevenção & controle , Humanos , Mosquitos Vetores/parasitologia , Mosquitos Vetores/fisiologia , Indonésia/epidemiologia , Larva , Doenças Endêmicas
19.
Angew Chem Int Ed Engl ; 63(36): e202405846, 2024 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-38871656

RESUMO

Understanding the diverse electrochemical reactions occurring at electrode-electrolyte interfaces (EEIs) is a critical challenge to developing more efficient energy conversion and storage technologies. Establishing a predictive molecular-level understanding of solid electrolyte interphases (SEIs) is challenging due to the presence of multiple intertwined chemical and electrochemical processes occurring at battery electrodes. Similarly, chemical conversions in reactive electrochemical systems are often influenced by the heterogeneous distribution of active sites, surface defects, and catalyst particle sizes. In this mini review, we highlight an emerging field of interfacial science that isolates the impact of specific chemical species by preparing precisely-defined EEIs and visualizing the reactivity of their individual components using single-entity characterization techniques. We highlight the broad applicability and versatility of these methods, along with current state-of-the-art instrumentation and future opportunities for these approaches to address key scientific challenges related to batteries, chemical separations, and fuel cells. We establish that controlled preparation of well-defined electrodes combined with single entity characterization will be crucial to filling key knowledge gaps and advancing the theories used to describe and predict chemical and physical processes occurring at EEIs and accelerating new materials discovery for energy applications.

20.
Knee ; 49: 8-16, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38824769

RESUMO

BACKGROUND: Anterior cruciate ligament deficiency (ACL-D) causes dysfunction in the quadriceps femoris muscle, and this dysfunction hampers a safe return to sports. However, how the dysfunctional quadriceps femoris muscle affects instantaneous re-programming of motor command in response to unpredictable events remains unknown. This study aimed to examine the effects of ACL-D on re-programming of preparatory muscle activity during an unpredictable landing task. METHODS: Eighteen patients with ACL-D and 20 healthy participants (controls) performed normal landing and surprise landing tasks. In the surprise landing task, a false floor, designed to dislodge easily under load, was positioned in the middle of the descent path. This setup causes participants to unpredictably fall through the false floor onto the actual landing surface. Electromyography data collected during the period after passing through the false floor until landing was segmented into two equal halves. The average electromyography amplitude for each muscle in each period was compared between patients and controls. RESULTS: In the vastus medialis and rectus femoris during the surprise landing task, the average electromyography amplitude during only the second half period in patients with ACL-D was significantly smaller than that in controls (p = 0.011 and 0.004, respectively). CONCLUSIONS: Abnormalities were detected in the re-programming of preparatory muscle activation during an unpredictable landing task in the vastus medialis and rectus femoris of patients with ACL-D. The surprise landing task used in the present study has the potential to become a diagnostic tool to evaluate readiness for safely returning to sports.


Assuntos
Lesões do Ligamento Cruzado Anterior , Eletromiografia , Músculo Quadríceps , Humanos , Lesões do Ligamento Cruzado Anterior/fisiopatologia , Masculino , Feminino , Músculo Quadríceps/fisiopatologia , Adulto Jovem , Adulto , Volta ao Esporte , Estudos de Casos e Controles , Fenômenos Biomecânicos
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