EFFECTS OF SHOD AND BAREFOOT RUNNING ON THE IN VIVO KINEMATICS OF THE FIRST METATARSOPHALANGEAL JOINT

The purpose of this study is to investigate the differences of the first metatarsophalangeal joint’s 6 degree-of-freedom (6DOF) kinematics during shod and barefoot conditions by using a high-speed dual fluoroscopic imaging system (DFIS). Fifteen healthy male runners were recruited. Computed tomography (CT) scans were taken of each participant’s right foot for the construction of 3D models and local coordinate system. The fluoroscopic images of the right foot during the stance period were acquired under shod and barefoot condition with rearfoot strike pattern Radiographic images were acquired at 100 Hz while the participants ran at a speed of 3±5% m/s in a track and 6DOF kinematics were calculated by 2D-3D registration. Paired sample t-test was used to compare the kinematic characteristics of the first MTPJ 6DOF kinematics between shod and barefoot. Compared with barefoot, wearing shoes 1) decreased the peak medial, posterior, and superior translation of the first MTPJ during stance (P ＜ 0.05); 2) decreased maximum extension angle, minimum extension angle, and flexion/extension range of motion of the first MTPJ during stance (P ＜ 0.05); 3) increased minimum adduction angle of the first MTPJ during stance (P ＜ 0.05). It suggests that shoes may affect the function of the first MTPJ and increase the risk of hallux valgus. Our study makes up for the deficiency of traditional motion measurement methods that only focus on the sagittal flexion and extension movement of the first MTPJ and provides a more comprehensive understanding of the potential relationship between joint motion and injurie

EFFECTS OF SHOD AND BAREFOOT CONDITIONS ON MEDIAL LONGITUDINAL ARCH ANGLE DURING RUNNING

The structure of the medial longitudinal arch (MLA) affects the spring-like function of the foot and is crucial to running performance. The purpose of this study was to investigate the differences in the MLA angle between barefoot and shod conditions by using a high-speed dual fluoroscopic imaging system (DFIS). Computed tomography was taken of each participant’s right foot for the construction of 3D models and local coordinate systems. Fifteen participants ran with or without running shoes at 3 m/s±5% speed. We recorded foot kinematics using DFIS. After the process of 3D-2D registration, MLA angles were calculated. Compared to barefoot, wearing shoes 1) decreased the initial landing MLA angle, maximum MLA angle and range of motion of the MLA angle (p \u3c 0.05); 2) decreased the MLA angles during 0%-70% of the stance phase (p \u3c 0.05). It suggests that shoes limit the MLA compression and recoil and its spring-like function

Effects of different habitual foot strike patterns on in vivo kinematics of the first metatarsophalangeal joint during shod running—a statistical parametric mapping study

Existing studies on the biomechanical characteristics of the first metatarsophalangeal joint (1st MTPJ) during shod running are limited to sagittal plane assessment and rely on skin marker motion capture, which can be affected by shoes wrapping around the 1st MTPJ and may lead to inaccurate results. This study aims to investigate the in vivo effects of different habitual foot strike patterns (FSP) on the six degrees of freedom (6DOF) values of the 1st MTPJ under shod condition by utilizing a dual-fluoroscopic imaging system (DFIS). Long-distance male runners with habitual forefoot strike (FFS group, n = 15) and rearfoot strike (RFS group, n = 15) patterns were recruited. All participants underwent foot computed tomography (CT) scan to generate 3D models of their foot. The 6DOF kinematics of the 1st MTPJ were collected using a DFIS at 100 Hz when participants performed their habitual FSP under shod conditions. Independent t-tests and one-dimensional statistical parametric mapping (1-d SPM) were employed to analyze the differences between the FFS and RFS groups’ 1st MTPJ 6DOF kinematic values during the stance phase. FFS exhibited greater superior translation (3.5–4.9 mm, p = 0.07) during 51%–82% of the stance and higher extension angle (8.4°–10.1°, p = 0.031) during 65%–75% of the stance in the 1st MTPJ than RFS. Meanwhile, FFS exhibited greater maximum superior translation (+3.2 mm, p = 0.022), maximum valgus angle (+6.1°, p = 0.048) and varus–valgus range of motion (ROM) (+6.5°, p = 0.005) in the 1st MTPJ during stance. The greater extension angle of the 1st MTPJ in the late stance suggested that running with FFS may enhance the propulsive effect. However, the higher maximum valgus angle and the ROM of varus–valgus in FFS may potentially lead to the development of hallux valgus

Weight-loss and exercise for communities with arthritis in North Carolina (we-can): design and rationale of a pragmatic, assessor-blinded, randomized controlled trial

Background: Recently, we determined that in a rigorously monitored environment an intensive diet-induced weight loss of 10% combined with exercise was significantly more effective at reducing pain in men and women with symptomatic knee osteoarthritis (OA) than either intervention alone. Compared to previous long-term weight loss and exercise trials of knee OA, our intensive diet-induced weight loss and exercise intervention was twice as effective at reducing pain intensity. Whether these results can be generalized to less intensively monitored cohorts is unknown. Thus, the policy relevant and clinically important question is: Can we adapt this successful solution to a pervasive public health problem in real-world clinical and community settings? This study aims to develop a systematic, practical, cost-effective diet-induced weight loss and exercise intervention implemented in community settings and to determine its effectiveness in reducing pain and improving other clinical outcomes in persons with knee OA. Methods/Design: This is a Phase III, pragmatic, assessor-blinded, randomized controlled trial. Participants will include 820 ambulatory, community-dwelling, overweight and obese (BMI ≥ 27 kg/m2) men and women aged ≥ 50 years who meet the American College of Rheumatology clinical criteria for knee OA. The primary aim is to determine whether a community-based 18-month diet-induced weight loss and exercise intervention based on social cognitive theory and implemented in three North Carolina counties with diverse residential (from urban to rural) and socioeconomic composition significantly decreases knee pain in overweight and obese adults with knee OA relative to a nutrition and health attention control group. Secondary aims will determine whether this intervention improves self-reported function, health-related quality of life, mobility, and is cost-effective. Discussion: Many physicians who treat people with knee OA have no practical means to implement weight loss and exercise treatments as recommended by numerous OA treatment guidelines. This study will establish the effectiveness of a community program that will serve as a blueprint and exemplar for clinicians and public health officials in urban and rural communities to implement a diet-induced weight loss and exercise program designed to reduce knee pain and improve other clinical outcomes in overweight and obese adults with knee OA

Measurement and Investigation on 1-D Consolidation Permeability of Saturated Clay considering Consolidation Stress Ratio and Stress History

To study the influence of consolidation stress ratio and stress history on 1-D consolidation permeability of saturated clay, one-dimensional consolidation permeability tests were carried out with GDS triaxial device. The results indicated that the permeability coefficient and void ratio of normally and overconsolidated saturated clay decreased with the increase of consolidation stress ratio under different consolidation stress ratios but the same stress history. And the amount of final sample’s compression increased with the increase of the consolidation stress ratio. Under the condition of the same consolidation stress ratio but different stress history, the amount of final compression of the overconsolidated saturated clay was smaller than that of the normally consolidated saturated clay. Besides, the stress difference σdv between consolidation pressure σ and gravity stress σcz was fitted to the amount of the final sample’s compression, and a good linear relationship between the stress difference σdv and the amount of the final sample’s compression under each consolidation pressure was obtained. The results showed that it is necessary to consider the influence of consolidation stress ratio and stress history simultaneously on 1-D consolidation permeability of saturated clay. Meanwhile, it can accurately predict the amount of the final sample’s compression after knowing the gravity stress. Moreover, a model prediction analysis was conducted on the saturated clay and recommended to use the modified Kozeny-Carman’s equation to predict the permeability coefficient of Luochuan saturated clay during one-dimensional consolidation

Calculation Method of Earth Pressure Considering Wall Displacement and Axial Stress Variations

Current earth pressure calculation methods suffer from certain limitations because they do not consider the effect of retaining wall displacement. In this study, the soil behind the wall is assumed to be in a plane strain state, and drawing upon nonlinear elastic constitutive theory, an earth pressure calculation method is proposed, capable of considering both axial stress and wall displacement. To account for changes in soil modulus with confining pressure, the tangent modulus from the Duncan-Chang nonlinear model is introduced. Depending on the direction of the principal stress behind the retaining wall, the static earth pressure point, the major principal stress inflection point, and the minor principal stress second inflection point are determined. The conditions for the existence of the second inflection point are also given. These specific points, together with the limit earth pressure point, divide the earth pressures acting on the wall into six regions. The study provides earth pressure calculation formulas for T (translation) mode, RBT (rotation about a point below the base) mode, and RTT (rotation about a point above the top) mode based on the characteristics of wall displacement distribution in each mode. The proposed method exhibits good agreement with the test results, offering an effective approach for accurately calculating earth pressures related to displacement

Effect of Liquid Nitrogen Cooling and Heating on Mechanical Properties and Acoustic Emission Characteristics of Coal

The instability of rock fractures has been extensively studied in domestic and international research. This paper investigates two coal types from the Jiaozuo area, which were subjected to liquid nitrogen cyclic treatment using Brazil’s indirect tensile testing (BITT). The study analyzes the characteristics of acoustic emission (AE) and crack formation during the coal cracking process and evaluates the impact of freeze-thaw treatment with liquid nitrogen cycles on the mechanical properties of coals. The results demonstrate that liquid nitrogen has a significant impact on the formation and development of coal fractures under the Brazil splitting test conditions. As the number of cyclic treatments increases, the maximum load-bearing capacity of coal decreases, indicating a gradual reduction in the effective stress on coal samples. Furthermore, the acoustic emission activity intensity of coal mass during phased loading increases as the number of freeze-thaw cycles of liquid nitrogen increases. Finally, during phased loading of coal specimens, the primary factor is the germination, extension, and failure of tensile cracks, while the secondary factor is the development, extension, and failure of shear cracks. Overall, this study provides valuable insights into the behavior of coals under freeze-thaw cycles of liquid nitrogen treatment and highlights the importance of understanding the characteristics of coal fracture instability