THE EFFECT OF FATIGUE ON LOWER LIMB MOTOR VARIABILITY DURING A CONTROLLED REPETITIVE STRETCH-SHORTEN CYCLE TASK

This study evaluated changes in lower limb joint coupling variability during single-leg hopping to exhaustion. Twenty recreationally active male and female participants performed single-leg hopping at 2.2 Hz to a target height. At 0, 20, 40, 60, 80 and 100% of the total duration of hopping, spatio-temporal characteristics and variability of the kneeankle (KA) and hip-knee (HK) joint couplings were determined. There was a significant increase in variability of the KA and HK joint couplings in the flexion-extension axes during the loading and propulsion phases as hopping progressed. However, there was maintenance of performance output characteristics throughout the task. These findings suggest that changes in joint coupling variability may be a compensatory strategy to allow continuous single-leg hopping as the effects of muscular fatigue increase

DOES THE METHOD OF MEASURING CENTRE OF MASS DISPLACEMENT AFFECT VERTICAL STIFFNESS CALCULATION IN SINGLE-LEG HOPPING?

The purpose of this study was to compare vertical stiffness values calculated from two kinetic and two kinematic estimations of the vertical displacement of the centre of mass. Twenty recreationally active male and female participants completed one 15 s single-leg hopping trial at 2.2 Hz with vertical stiffness calculated for the first 10 complete hop cycles. Vertical displacement was estimated using double integration (DI), first principle (FP), sacral marker cluster (SMC) and segmental analysis (SA) methods. Bland-Altman plots demonstrated the SA and DI methods to have a small bias (0.92 kN/m) and tight 95% limits of agreement (-1.16 to 3.08 kN/m). In contrast, the SMC and FP methods underestimated and overestimated vertical stiffness, respectively. These findings suggest the SA and DI methods can be used interchangeably to calculate vertical stiffness

ACUTE EFFECTS OF MASSAGE ON PASSIVE ANKLE STIFFNESS FOLLOWING AN EXHAUSTIVE STRET CHSHORTEN CYCLE TASK: A PILOT STUDY

This preliminary study evaluated the effect of massage on the passive stiffness of the calf muscle complex following single-leg hopping to volitional exhaustion. Four young and healthy male participants had their ankle taken through full joint excursion to determine the resistance to ankle dorsiflexion both prior to and immediately following hopping. A 10 minute rest and massage were then applied in a random order and follow up measures taken immediately Mer each intervention. Calf muscle stiffness increased in three of the four participants following hopping and two participants had a decrease following massage. This study suggests that changes in calf muscle stiffness are sensitive to both exercise and massage. It is important to determine the underlying mechanism(s) to changes in calf stiffness following exercise and whether massage offers any benefit

SEX DIFFERENCES IN LOWER LIMB MOVEMENT VARIABILITY DURING A FATIGUING REPETITIVE LOADING TASK

This study evaluated differences in lower limb joint coupling variability between recreationally-active male (n = 21) and female participants (n = 20) during single-leg hopping to exhaustion. Spatio-temporal characteristics and variability of the knee-ankle and hip-knee joint couplings were determined over the duration of hopping. As fatigue progressed joint coupling variability increased by a greater magnitude in females compared to males. Females had significantly lower variability compared to males in the knee-ankle couplings during the propulsion phase at the beginning of the trial but this effect progressively disappeared during the trial. These findings suggest that as fatigue progresses, there is a regression to a similar magnitude of joint coupling variability which may represent a common level of synchronous joint interaction between sexes

A RANDOMISED CONTROLLED TRIAL EVALUATING THE EFFECTS OF COMPRESSION GARMENTS DURING SINGLE-LEG HOPPING TO EXHAUSTION

The purpose of this investigation was to determine the effect of compression garments on spatiotemporal and leg mechanical characteristics during single-leg-hopping (2.2 Hz) to volitional exhaustion. This study demonstrated that compression garments had no significant effect on leg mechanical characteristics or performance parameters of single-leg hopping to volitional exhaustion. There was a significant increase in the duration of the loading phase and decrease in the flight phase from the start to the end during single-leg hopping task indicating that there may have been a shift in the motor control strategy used to preserve vertical leg stiffness and hopping frequency in a repeated and rapid loading task

Prediction of gait trajectories based on the Long Short Term Memory neural networks

The forecasting of lower limb trajectories can improve the operation of assistive devices and minimise the risk of tripping and balance loss. The aim of this work was to examine four Long Short Term Memory (LSTM) neural network architectures (Vanilla, Stacked, Bidirectional and Autoencoders) in predicting the future trajectories of lower limb kinematics, i.e. Angular Velocity (AV) and Linear Acceleration (LA). Kinematics data of foot, shank and thigh (LA and AV) were collected from 13 male and 3 female participants (28 ± 4 years old, 1.72 ± 0.07 m in height, 66 ± 10 kg in mass) who walked for 10 minutes at preferred walking speed (4.34 ± 0.43 km.h-1) and at an imposed speed (5km.h-1, 15.4% ± 7.6% faster) on a 0% gradient treadmill. The sliding window technique was adopted for training and testing the LSTM models with total kinematics time-series data of 10,500 strides. Results based on leave-one-out cross validation, suggested that the LSTM autoencoders is the top predictor of the lower limb kinematics trajectories (i.e. up to 0.1s). The normalised mean squared error was evaluated on trajectory predictions at each time-step and it obtained 2.82-5.31% for the LSTM autoencoders. The ability to predict future lower limb motions may have a wide range of applications including the design and control of bionics allowing improved human-machine interface and mitigating the risk of falls and balance loss

The need for a paradigm shift in the development of military exoskeletons

An exoskeleton is a body-worn mechanical device designed to work in concert with the user to enhance human capabilities. For the dismounted close combatant, an exoskeleton could be worn whilst performing a variety of complex tasks and duties. As such, there is a requirement for the human and the exoskeleton to readily adapt to different movements in different contexts. There have been many attempts to design an exoskeleton to improve the performance of the complex adaptive human system with limited success. Despite a vast investment in time and resources, exoskeletons have not yet been adopted for operational use by military leadership for use by the dismounted close combatant as they are yet to demonstrate substantive augmentation to individual warfighter and collective team capability. We argue that a major limitation of current exoskeleton systems is their inability to concurrently adapt to the user, task and environment. Unless a device can meet this requirement, it is unlikely to offer a comparative benefit to the dismounted close combatant. This paper will present the state of the art of current exoskeleton technology, and recommend future research necessary to reach an acceptable standard of augmentation and thereby lead to widespread adoption

Control of the lower limb during a fatiguing dynamic task

Human locomotion often requires the performance of submaximal, repeated and rhythmical efforts over an extended period of time. The ability to maintain consistent performance for extended periods is likely due to multiple adaptive mechanisms and may be affected by the progression of fatigue. However, it remains unclear whether changes in movement strategies are due to fatigue, changes in task performance or the repetitive nature of the task. Further, it is unknown if there are differences in movement strategies between the sexes during extended and fatiguing locomotive tasks. The aims of this thesis were to investigate the influence of fatigue and the effect of sex on neuromechanical characteristics during a repetitive and rapid lower limb loading task while performance output was maintained. To address these aims, a series of experimental investigations were completed. The findings of these studies demonstrated a relationship between increased muscle activity and variability between adjoining lower limb segments as fatigue progressed. Further, men and women demonstrated differential changes as the level of fatigue increased. Women demonstrated a greater increase in joint coupling variability than men, which may have been associated with the greater relative dependence on the knee extensor muscle as the task progressed. These results extend the understanding of how there is an optimisation of variability in the neuromechanical system during the performance of repetitive tasks to fatigue in a healthy recreationally active population. Importantly, these results provide insight into what compensatory strategy may be utilised when motor performance was stereotypical