A Biomechanically Based Observational Tennis Serve Analysis Method Can be Used to Assess Serve Mechanics

Traditional sports science motion analysis techniques using three-dimensional (3D) kinematics have demonstrated that proper mechanics enhance serve performance and improper mechanics overload tissues resulting in injury. However 3D analysis is costly, time-consuming, and requires extensive knowledge of biomechanical properties and data analysis. Currently there are no simple, reliable, and valid observational methods for health care providers (HCP) and tennis professionals to evaluate tennis serve mechanics. Researchers investigating observational analyses have determined that superior reliability may be a result of specific operational definitions and the incorporation of educational training sessions on how to perform the analysis. The first purpose of this dissertation was to investigate the reliability of an observational tennis serve analysis (OTSA) tool between two HCPs that helped create the analysis method. The OTSA assesses nine key body positions/motions during the service motion. These specific body positions have been called “nodes.” The second purpose was to determine the OTSA reliability in a group of novice users unfamiliar with the analysis method undergoing two different forms of instructional training. The third purpose was to determine the discriminant and convergent validity of the OTSA in grading tennis serve mechanics among tennis players using the national tennis ranking program commonly used in the United States to evaluate level of tennis play. The first study demonstrated that reliability of the OTSA ranged from 0.36-1.0 across the nodes, with five out of the nine nodes displaying substantial reliability (\u3e0.61). In the second study results demonstrated there were no statistical differences in the intra-observer reliability values between the two instructional training groups. Additionally, the majority of the inter-observer kappa values were not statistically different between the two instructional training groups. In the third study, six of the nine nodes were able to discriminate between high and low ranked tennis players. Additionally, there was a strong correlation between the OTSA and ranking level, indicating that there is convergent validity and supports the construct of the OTSA as deficits in the service motion are associated with lower ranked tennis players. These results suggest that nearly all of the nodes associated with the OTSA are reliable and valid and can be used to assess tennis serve mechanics

Effects of Direction Time Constraints and Walking Speed on Turn Strategies and Gait Adaptations in Healthy Older and Young Adults

Hip fractures can be life-threatening, debilitating, and costly. The odds for hip fracture increases from impact of sideways falls. While turning has been strongly associated with hip fracture & sideways falls, the distinction between the risks for walking-turns as opposed to low-velocity in-place turning is not clear. The present study sought to fill a gap as previous research had not compared walking-turn performance in young & healthy older adults at low-fall risk within the same study and response-conditions of speed interacting with direction-cue time constraints. Spatial-temporal variables representative of AP braking/propulsion (i.e. stride-length & speed) & ML stability (left/right H-H BOS) were collected with the Gaitrite upon approach of a turning zone whose entrance width was just 73 cm; and turn-strategy categorical data for stable wide-BOS step-turns, biomechanically challenging narrow-BOS spin-turns, and combined subtypes of mixed-turns either of the “extra-step” variety representative of an AP stability/braking issue or “small-amplitude” variety representative of a ML stability/balance issue were captured on video. Mixed-ANOVA of gait measures for AP propulsion/braking revealed no age-group differences in speed despite a trend for less of a fast-pace increase in elderly stride-length, yet similar anticipatory slowing and shorter strides approaching turns. Measures of ML stability revealed similar anticipatory widening of right BOS approaching turns, and a three-way interaction showed both had similar anticipatory narrowing of left BOS when approaching turns at fast-pace and similar reactive narrowing of left BOS following an unexpected turn-cue at preferred pace. Loglinear analysis of turn-strategies revealed no age-related associations as both preferred mixed-turns the least. At fast speeds preference for spin-turns decreased, yet when late-cued preference for both step-turns and spin-turns decreased 5.5-fold & 4.0-fold, respectively, indicating other factors besides biomechanical. Furthermore, the standardized residual reached significance for the elderly mixed-turns cell at the most constrained fast-speed*late-cue response-condition, with the “extra-step” sub-type contributing greatest possibly implying an AP rather than ML stability issue. The findings suggest that when approaching turns across an interaction of response-time conditions, healthy older adults show similar anticipatory/reactive gait adaptations and turn-strategy preferences with regards to AP propulsion/deceleration and ML stability/balance. In conclusion, within study limits, fall-prevention gait-training for healthy elderly with low-fall-risk and no age-related speed declines, in addition to addressing important ML stability issues of turn execution, are best served by not losing sight of the fundamental prerequisite to arrest forward momentum upon approach, and being inclusive of spin-turns for their ML space-efficiency

Effects of Direction Time Constraints and Walking Speed on Turn Strategies and Gait Adaptations in Healthy Older and Young Adults

Hip fractures can be life-threatening, debilitating, and costly. The odds for hip fracture increases from impact of sideways falls. While turning has been strongly associated with hip fracture & sideways falls, the distinction between the risks for walking-turns as opposed to low-velocity in-place turning is not clear. The present study sought to fill a gap as previous research had not compared walking-turn performance in young & healthy older adults at low-fall risk within the same study and response-conditions of speed interacting with direction-cue time constraints. Spatial-temporal variables representative of AP braking/propulsion (i.e. stride-length & speed) & ML stability (left/right H-H BOS) were collected with the Gaitrite upon approach of a turning zone whose entrance width was just 73 cm; and turn-strategy categorical data for stable wide-BOS step-turns, biomechanically challenging narrow-BOS spin-turns, and combined subtypes of mixed-turns either of the “extra-step” variety representative of an AP stability/braking issue or “small-amplitude” variety representative of a ML stability/balance issue were captured on video. Mixed-ANOVA of gait measures for AP propulsion/braking revealed no age-group differences in speed despite a trend for less of a fast-pace increase in elderly stride-length, yet similar anticipatory slowing and shorter strides approaching turns. Measures of ML stability revealed similar anticipatory widening of right BOS approaching turns, and a three-way interaction showed both had similar anticipatory narrowing of left BOS when approaching turns at fast-pace and similar reactive narrowing of left BOS following an unexpected turn-cue at preferred pace. Loglinear analysis of turn-strategies revealed no age-related associations as both preferred mixed-turns the least. At fast speeds preference for spin-turns decreased, yet when late-cued preference for both step-turns and spin-turns decreased 5.5-fold & 4.0-fold, respectively, indicating other factors besides biomechanical. Furthermore, the standardized residual reached significance for the elderly mixed-turns cell at the most constrained fast-speed*late-cue response-condition, with the “extra-step” sub-type contributing greatest possibly implying an AP rather than ML stability issue. The findings suggest that when approaching turns across an interaction of response-time conditions, healthy older adults show similar anticipatory/reactive gait adaptations and turn-strategy preferences with regards to AP propulsion/deceleration and ML stability/balance. In conclusion, within study limits, fall-prevention gait-training for healthy elderly with low-fall-risk and no age-related speed declines, in addition to addressing important ML stability issues of turn execution, are best served by not losing sight of the fundamental prerequisite to arrest forward momentum upon approach, and being inclusive of spin-turns for their ML space-efficiency

Speed-dependent modulation of the locomotor behavior in adult Mice reveals attractor and transitional gaits

Locomotion results from an interplay between biomechanical constraints of the muscles attached to the skeleton and the neuronal circuits controlling and coordinating muscle activities. Quadrupeds exhibit a wide range of locomotor gaits. Given our advances in the genetic identification of spinal and supraspinal circuits important to locomotion in the mouse, it is now important to get a better understanding of the full repertoire of gaits in the freely walking mouse. To assess this range, young adult C57BL/6J mice were trained to walk and run on a treadmill at different locomotor speeds. Instead of using the classical paradigm defining gaits according to their footfall pattern, we combined the inter-limb coupling and the duty cycle of the stance phase, thus identifying several types of gaits: lateral walk, trot, out-of-phase walk, rotary gallop, transverse gallop, hop, half-bound, and full-bound. Out-of-phase walk, trot, and full-bound were robust and appeared to function as attractor gaits (i.e., a state to which the network flows and stabilizes) at low, intermediate, and high speeds respectively. In contrast, lateral walk, hop, transverse gallop, rotary gallop, and half-bound were more transient and therefore considered transitional gaits (i.e., a labile state of the network from which it flows to the attractor state). Surprisingly, lateral walk was less frequently observed. Using graph analysis, we demonstrated that transitions between gaits were predictable, not random. In summary, the wild-type mouse exhibits a wider repertoire of locomotor gaits than expected. Future locomotor studies should benefit from this paradigm in assessing transgenic mice or wild-type mice with neurotraumatic injury or neurodegenerative disease affecting gait

Humanoid Robot Soccer Locomotion and Kick Dynamics: Open Loop Walking, Kicking and Morphing into Special Motions on the Nao Robot

Striker speed and accuracy in the RoboCup (SPL) international robot soccer league is becoming increasingly important as the level of play rises. Competition around the ball is now decided in a matter of seconds. Therefore, eliminating any wasted actions or motions is crucial when attempting to kick the ball. It is common to see a discontinuity between walking and kicking where a robot will return to an initial pose in preparation for the kick action. In this thesis we explore the removal of this behaviour by developing a transition gait that morphs the walk directly into the kick back swing pose. The solution presented here is targeted towards the use of the Aldebaran walk for the Nao robot. The solution we develop involves the design of a central pattern generator to allow for controlled steps with realtime accuracy, and a phase locked loop method to synchronise with the Aldebaran walk so that precise step length control can be activated when required. An open loop trajectory mapping approach is taken to the walk that is stabilized statically through the use of a phase varying joint holding torque technique. We also examine the basic princples of open loop walking, focussing on the commonly overlooked frontal plane motion. The act of kicking itself is explored both analytically and empirically, and solutions are provided that are versatile and powerful. Included as an appendix, the broader matter of striker behaviour (process of goal scoring) is reviewed and we present a velocity control algorithm that is very accurate and efficient in terms of speed of execution

THE ROLE OF ACCELERATION RELATED VARIABLES FOR HAMSTRING MUSCLE (RE-) INJURY PREVENTION IN ELITE ASSOCIATION FOOTBALL

Hamstring muscle injuries constitute a major concern in football and a major challenge for physiotherapists working in this sport, being an injury with long absence from playing and training. Although clinical strategies to rehabilitate these injuries and clinical injury risk assessments have been explored over the years, a broader comprehension of how variables regarding running performance may in some form relate to hamstring injury risk has been missing for clinical professionals. Together with this, its incidence has been increasing despite many preventive efforts, which reveals a necessity for developing risk assessment methods to better inform preventive strategies. The key involvement of hamstring muscles during accelerations and decelerations during football running actions justifies research into acceleration related observations. Therefore, the aims of the current programme of research were to develop new laboratorial and load monitoring strategies related to acceleration actions, by exploring biomechanical factors from a physiotherapist perspective. Additionally, implementing assessments and exposing some key limitations of these assessments in professional clubs is also described throughout the experimental studies of this thesis (chapters 3 and 5). For the purposes of this thesis, force development variables were analysed in chapter 3, during maximal accelerations on a non-motorised treadmill, and comparisons between professional players with and without previous injuries were performed. Results from this study revealed no differences between groups during both maximal acceleration and steady state of a maximal sprint effort. A second approach regarding risk analysis and acceleration variables considered the mechanical load based on trunk-mounted accelerometry used in outfield training, as detailed in chapter 5 of the present thesis. In this study mechanical load expressed by PlayerLoadTM, an accelerometer-derived variable aimed to express the rate of change in acceleration, was collected for the training sessions during three weeks previous to a hamstring injury event, in English Premier League clubs, using matched healthy controls. Although the results did not show significant differences between experimental and control group, this exploratory method may constitute a promising method to assess hamstring injury risk. Reliability and validity of the acceleration related variables were addressed first for each of the two experimental studies detailed in chapter 3 and 5. For this purpose, a pilot study on reliability of force collection using a non-motorised treadmill was performed to test the experimental protocol with results showing good overall reliability. For the PlayerLoadTM, a laboratorial study detailed in chapter 4 using a laboratorial overground soccer simulation protocol was adopted and convergent validity with subjects´ anthropometrics together with reliability analysis of four isolated football actions (jogging, side cut, stride and sprint) was performed. Results of this study revealed no association between PlayerLoadTM and the subjects height or body mass and also an overall good reliability for the four actions analysed. In summary, the research presented in this thesis helped better understand the current value and limitations of screening and monitoring acceleration related variables in the context of hamstring (re-)injury prevention in professional football, introducing to the clinical field a different perspective of addressing hamstring behaviour during acceleration actions, and its hypothetical relation with hamstring injury

Effect of Visual Motor Coordination with Body Awareness Training on Balance, Coordination and Intensity of Tremor in patients with Cerebellar Ataxia

This study is to find out the effectiveness of visual motor coordination and body awareness training on balance, coordination and intensity of tremor in patients with cerebellar ataxia. Based on the selection criteria 15 subjects were selected. They were assigned into a single group, All 15 subjects were involved for pre-test assessment for balance, coordination and intensity of tremor using the Berg balance scale, Nine hole peg test and Fahn’s tremor rating scale. The 8 weeks treatment program was given for 5 days per week, 60 minutes per session. where each session consists of 5 mins of warm-up, followed by physiotherapy intervention including Proximal stability training, Balance training, Functional movement training using the principles of Visual Motor Coordination and Body Awareness Training, after the 8 weeks of the treatment program the post-test assessment for the Balance, Coordination and Intensity of Tremor was done using the outcome measures. The results were analyzed using student‘t’ test, that showed a significant improvement. Hence it can be concluded that the visual motor coordination with body awareness training is effective in patients with cerebellar ataxia

Kinematic Basis for Body Specific Locomotor Mechanics and Perturbation Responses

Animals have evolved mechanical and neural strategies for locomotion in almost every environment, overcoming the complexities of their habitats using specializations in body structure and animal behavior. These specializations are created by neural networks responsible for generating and altering muscle activation. Species specific musculoskeletal anatomy and physiology determine how locomotion is controlled through the transformation of motor patterns into body movements. Furthermore, when these species specific locomotor systems encounter perturbations during running and walking their behavioral and mechanical attributes determine how stability is established during and after the perturbation. It is still not understood how species specific structural and behavioral variables contribute to locomotion in non-uniform environments. To understand how these locomotor properties produce unique gaits and stability strategies we compared three species of brachyuran crabs during normal and perturbed running. Although all crabs ran sideways, morphological and kinematic differences explained how each species produced its unique gait and stability response. Despite the differences in running behavior and perturbation response, animals tended to use locomotor resources that were in abundance during stabilizing responses. Each crab regained stability during the perturbation response by altering leg joint movements or harnessing the body\u27s momentum. These species body designs and running behavior show how slight changes in body structure and joint kinematics can produce locomotor systems with unique mechanical profiles and abilities. Understanding how evolutionary pressures have optimized animals\u27 locomotor ability to successfully move in different environments will provide a deeper understanding of how to mimic these movements through mathematical models and robotics

Evidence for a Time-Invariant Phase Variable in Human Ankle Control

Human locomotion is a rhythmic task in which patterns of muscle activity are modulated by state-dependent feedback to accommodate perturbations. Two popular theories have been proposed for the underlying embodiment of phase in the human pattern generator: a time-dependent internal representation or a time-invariant feedback representation (i.e., reflex mechanisms). In either case the neuromuscular system must update or represent the phase of locomotor patterns based on the system state, which can include measurements of hundreds of variables. However, a much simpler representation of phase has emerged in recent designs for legged robots, which control joint patterns as functions of a single monotonic mechanical variable, termed a phase variable. We propose that human joint patterns may similarly depend on a physical phase variable, specifically the heel-to-toe movement of the Center of Pressure under the foot. We found that when the ankle is unexpectedly rotated to a position it would have encountered later in the step, the Center of Pressure also shifts forward to the corresponding later position, and the remaining portion of the gait pattern ensues. This phase shift suggests that the progression of the stance ankle is controlled by a biomechanical phase variable, motivating future investigations of phase variables in human locomotor control.United States Army Medical Research Acquisition Activity (USAMRAA grant W81XWH-09-2-0020)National Institute of Neurological Disorders and Stroke (U.S.) (NIH award number F31NS074687)Burroughs Wellcome Fund (Career Award at the Scientific Interface

Biomechanical gait pattern changes associated with functional fitness levels and falls in the elderly

Doutoramento em Motricidade Humana na especialidade de BiomecânicaThis thesis aimed to provide a better understanding on the determinant factors for falling in Portuguese older adults, with a special emphasis on the biomechanical changes in gait patterns associated with the functional fitness decline in this population. Our methodological approach to this problem encompassed two different levels of analysis: in the first part two epidemiological studies were conducted in order to establish the determinant factors for falling within the Portuguese older adults; in the second part three laboratory-based studies were performed in order to determine the influence of functional fitness levels on elderly gait patterns. Falls were shown to result from the interaction of many risk factors. Within these, gender, functional fitness level and health parameters were found to be the strongest fall determinants. Interestingly, age was not a determinant factor for falling, even within very old individuals (≥75 years or ≥80 years). Therefore, in the subsequent studies, the gait patterns of a subgroup of older adults, who had participated in the epidemiological studies, were characterized according with their functional fitness levels. The results showed that older subjects with a lower functional fitness level score, consistently re-distribute lower limb joint moments while performing different locomotor tasks (walking, stair ascent and stair descent). Because the success of physical activity interventions aiming at falls and disability prevention is dependent on subgroup characterization, these biomechanical gait pattern changes may yield important information for the health and exercise professionals working with the elderly.RESUMO: A presente dissertação objetiva o aprofundamento do conhecimento sobre os determinantes das quedas na população idosa portuguesa, com especial enfoque nas alterações biomecânicas nos padrões de marcha associadas ao declínio funcional característico desta população. A abordagem metodológica preconizada para a análise do problema compreende duas fases complementares: uma primeira fase, que englobou dois estudos epidemiológicos com o objetivo de estabelecer os fatores determinantes de quedas na população idosa portuguesa; uma segunda fase, onde foram considerados três estudos experimentais (laboratoriais), com o propósito de determinar a influência de diferentes níveis de aptidão funcional nos padrões de marcha desta população. Os resultados demonstraram que as quedas resultam da interação de diversos fatores de risco, destacando-se os seguintes: género, parâmetros de aptidão funcional e de saúde. De relevar que o fenómeno de queda se revelou independente da idade, mesmo quando analisada a sua associação com os fatores determinantes em grupos etários mais avançados (≥75 e ≥80 anos). Neste sentido, nos estudos subsequentes, foram analisados os padrões de marcha de subgrupos de idosos recrutados do grupo de participantes dos estudos anteriores e estratificados em função do seu nível de aptidão funcional. Observou-se então que os idosos com baixos níveis de aptidão funcional adotavam estratégias consistentes de redistribuição dos momentos de força articulares dos membros inferiores, aquando da execução de diferentes tarefas locomotoras (marcha, subir e descer escadas). Considerando o sucesso demonstrado das intervenções sustentadas em programas de atividade física para a prevenção de quedas e incapacidade, as alterações biomecânicas dos padrões de marcha observadas poderão constituir um importante suporte informacional para os profissionais de saúde e exercício que trabalham com a população idosa.FCT - Fundação para a Ciência e a Tecnologi