INFLUENCE OF THE STEP LENGTH AND POSITION OF THE FRONT KNEE ON THE LOAD CONDITIONS OF THE KNEE AND HIP DURING LUNGES

The aim of this study was to quantify the differences in the loading conditions of the lunge strength exercise at different step lengths and different tibia angles of the front leg. Eleven subjects performed lunges with 25 % body mass (BM) barbell extra load on two force plates. The movement was recorded with a motion capture system. The angles and the forces were calculated using inverse dynamics. A larger tibia angle led to a smaller ROM of the front knee, a larger ROM of the rear knee and hip, whereas a larger step length decreased the ROM of the rear knee and hip. A larger tibia angle resulted in a decreased moment in the front knee, front and rear hip and an increased moment in the rear knee. This possibility for varying the angles and corresponding moments allows coaches and therapists to adapt the lunge to an efficient exercise for strength training

MUSCULOSKELETAL SQUAT SIMULATION EVALUATION BY MEANS OF AN INSTRUMENTED TOTAL KNEE ARTHROPLASTY

Knowledge of internal loading conditions based on validated musculoskeletal (MS) simulations can allow improved training and rehabilitation design and monitoring. The aim of this study was to evaluate the ability of individualised reference MS models, based on comprehensive motion analysis, to determine knee joint contact forces (JCFs), as measured in 6 subjects with instrumented total knee arthroplasties (TKA) during squat exercises. Maximum simulated JCFs reached approximately 100% higher than the in vivo measured values at high joint flexion angles; however, at knee flexion angles of below -l0 degree, the models underestimated the real forces by up to 50%. Improvements of reference MS models, even if they are individualised, are clearly required, especially at joint angles -50 degree

ISB clinical biomechanics award winner 2021: Tibio-femoral kinematics of natural versus replaced knees - A comparison using dynamic videofluoroscopy

BACKGROUND A comparison of natural versus replaced tibio-femoral kinematics in vivo during challenging activities of daily living can help provide a detailed understanding of the mechanisms leading to unsatisfactory results and lay the foundations for personalised implant selection and surgical implantation, but also enhance further development of implant designs towards restoring physiological knee function. The aim of this study was to directly compare in vivo tibio-femoral kinematics in natural versus replaced knees throughout complete cycles of different gait activities using dynamic videofluoroscopy. METHODS Twenty-seven healthy and 30 total knee replacement subjects (GMK Sphere, GMK PS, GMK UC) were assessed during multiple complete gait cycles of level walking, downhill walking, and stair descent using dynamic videofluoroscopy. Following 2D/3D registration, tibio-femoral rotations, condylar antero-posterior translations, and the location of the centre of rotation were compared. FINDINGS The total knee replacement groups predominantly experienced reduced tibial internal/external rotation and altered medial and lateral condylar antero-posterior translations compared to natural knees. An average medial centre of rotation was found for the natural and GMK sphere groups in all three activities, whereas the GMK PS and UC groups experienced a more central to lateral centre of rotation. INTERPRETATION Each total knee replacement design exhibited characteristic motion patterns, with the GMK Sphere most closely replicating the medial centre of rotation found for natural knees. Despite substantial similarities between the subject groups, none of the implant geometries was able to replicate all aspects of natural tibio-femoral kinematics, indicating that different implant geometries might best address individual functional needs

Influence of Bone Morphology on In Vivo Tibio-Femoral Kinematics in Healthy Knees during Gait Activities

An improved understanding of the relationships between bone morphology and in vivo tibio-femoral kinematics potentially enhances functional outcomes in patients with knee disorders. The aim of this study was to quantify the influence of femoral and tibial bony morphology on tibio-femoral kinematics throughout complete gait cycles in healthy subjects. Twenty-six volunteers underwent clinical examination, radiographic assessment, and dynamic video-fluoroscopy during level walking, downhill walking, and stair descent. Femoral computer-tomography (CT) measurements included medial condylar (MC) and lateral condylar (LC) width, MC and LC flexion circle, and lateral femoral condyle index (LFCI). Tibial CT measurements included both medial (MTP) and lateral tibial plateau (LTP) slopes, depths, lengths, and widths. The influence of bony morphology on tibial internal/external rotation and anteroposterior (AP)-translation of the lateral and medial compartments were analyzed in a multiple regression model. An increase in tibial internal/external rotation could be demonstrated with decreasing MC width β: -0.30 (95% CI: -0.58 to -0.03) (p = 0.03) during the loaded stance phase of level walking. An increased lateral AP-translation occurred with both a smaller LC flexion circle β: -0.16 (95% CI: -0.28 to -0.05) (p = 0.007) and a deeper MTP β: 0.90 (95% CI: 0.23 to 1.56) (p = 0.01) during the loaded stance phase of level walking. The identified relationship between in vivo tibio-femoral kinematics and bone morphology supports a customized approach and individual assessment of these factors in patients with knee disorders and potentially enhances functional outcomes in anterior cruciate ligament injuries and total knee arthroplasty

Evaluation of the accuracy of musculoskeletal simulation during squats by means of instrumented knee prostheses

Standard musculoskeletal simulation tools now offer widespread access to internal loading conditions for use in improving rehabilitation concepts or training programmes. However, despite broad reliance on their outcome, the accuracy of such loading estimations, specifically in deep knee flexion, remains generally unknown. The aim of this study was to evaluate the error of tibio-femoral joint contact force (JCF) calculations using musculoskeletal simulation compared to in vivo measured JCFs in subjects with instrumented total knee endoprostheses during squat exercises. Using the early but common “Gait2392_simbody” (OpenSim) scaled musculoskeletal models, tibio-femoral JCFs were calculated in 6 subjects for 5 repetitions of squats. Tibio-femoral JCFs of 0.8–3.2 times bodyweight (BW) were measured. While the musculoskeletal simulations underestimated the measured knee JCFs at low flexion angles, an average error of less than 20% was achieved between approximately 25°–60° knee flexion. With an average error that behaved almost linearly with knee flexion angle, an overestimation of approximately 60% was observed at deep flexion (ca. 80°), with an absolute maximum error of ca. 1.9BW. Our data indicate that loading estimations from early musculoskeletal gait models at both high and low knee joint flexion angles should be interpreted carefully

Éterville – Route de Maltot

La découverte de corps de soldats de la Seconde Guerre mondiale est beaucoup moins fréquente en Normandie que sur le front du premier conflit mondial. Celles qui nous sont déclarées ont malheureusement souvent fait l’objet de pillages ou de fouilles clandestines.Le 8 octobre 2020, à Éterville, des travaux d’agrandissement du parking d’une boulangerie située sur la route entre Caen et Évrecy ont permis la mise au jour fortuite d’un squelette de soldat portant un uniforme allemand. Si une tell..

Directed evolution of G protein-coupled receptors in yeast for higher functional production in eukaryotic expression hosts

Despite recent successes, many G protein-coupled receptors (GPCRs) remained refractory to detailed molecular studies due to insufficient production yields, even in the most sophisticated eukaryotic expression systems. Here we introduce a robust method employing directed evolution of GPCRs in yeast that allows fast and efficient generation of receptor variants which show strongly increased functional production levels in eukaryotic expression hosts. Shown by evolving three different receptors in this study, the method is widely applicable, even for GPCRs which are very difficult to express. The evolved variants showed up to a 26-fold increase of functional production in insect cells compared to the wild-type receptors. Next to the increased production, the obtained variants exhibited improved biophysical properties, while functional properties remained largely unaffected. Thus, the presented method broadens the portfolio of GPCRs accessible for detailed investigations. Interestingly, the functional production of GPCRs in yeast can be further increased by induced host adaptation

In vivo measurements and simulations to investigate the role of muscle coordination on knee contact and tendon loading after total knee replacement

Peer ReviewedPostprint (published version

The prediction of visual stimuli influences auditory loudness discrimination

The brain combines information from different senses to improve performance on perceptual tasks. For instance, auditory processing is enhanced by the mere fact that a visual input is processed simultaneously. However, the sensory processing of one modality is itself subject to diverse influences. Namely, perceptual processing depends on the degree to which a stimulus is predicted. The present study investigated the extent to which the influence of one processing pathway on another pathway depends on whether or not the stimulation in this pathway is predicted. We used an action–effect paradigm to vary the match between incoming and predicted visual stimulation. Participants triggered a bimodal stimulus composed of a Gabor and a tone. The Gabor was either congruent or incongruent compared to an action–effect association that participants learned in an acquisition phase.We tested the influence of action–effect congruency on the loudness perception of the tone. We observed that an incongruent–task-irrelevant Gabor stimulus increases participant’s sensitivity to loudness discrimination. An identical result was obtained for a second condition in which the visual stimulus was predicted by a cue instead of an action. Our results suggest that prediction error is a driving factor of the crossmodal interplay between vision and audition

Crowdsourcing hypothesis tests: Making transparent how design choices shape research results

To what extent are research results influenced by subjective decisions that scientists make as they design studies? Fifteen research teams independently designed studies to answer fiveoriginal research questions related to moral judgments, negotiations, and implicit cognition. Participants from two separate large samples (total N > 15,000) were then randomly assigned to complete one version of each study. Effect sizes varied dramatically across different sets of materials designed to test the same hypothesis: materials from different teams renderedstatistically significant effects in opposite directions for four out of five hypotheses, with the narrowest range in estimates being d = -0.37 to +0.26. Meta-analysis and a Bayesian perspective on the results revealed overall support for two hypotheses, and a lack of support for three hypotheses. Overall, practically none of the variability in effect sizes was attributable to the skill of the research team in designing materials, while considerable variability was attributable to the hypothesis being tested. In a forecasting survey, predictions of other scientists were significantly correlated with study results, both across and within hypotheses. Crowdsourced testing of research hypotheses helps reveal the true consistency of empirical support for a scientific claim.</div