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Females with knee osteoarthritis use a detrimental knee loading strategy when squatting
Background: The purpose of this study was to identify sex differences in lower limb kinematics, kinetics, and muscle activation patterns between individuals with osteoarthritis and healthy controls during a two-legged squat. Method: Thirty OA (15 females) and 30 healthy (15 females) participants performed three 2-legged squats. Sagittal and frontal plane hip, knee, and ankle kinematics and kinetic
In vivo knee kinematics during gait reveals new rotation profiles and smaller translations
In order to identify abnormal or pathological motions associated with clinically relevant questions such as injury mechanisms or factors leading to joint degeneration, it is essential to determine the range of normal tibiofemoral motion of the healthy knee. In this study we measured in vivo 3D tibiofemoral motion of the knee during gait and characterized the nonsagittal plane rotations and transla
Translation and validation of the hospital for special surgery pediatric functional activity brief scale for french paediatric populations
Purpose: Physical activity level is a prognostic variable for patients with injuries. Self-report questionnaires exist to obtain these measures; however, they are not accessible to all populations because of language barriers. Therefore, the purpose of this study was to translate and validate the Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS) for francophone
Anterior cruciate ligament reconstruction improves subjective ability but not neuromuscular biomechanics during dynamic tasks
Purpose: The purpose of this study was to identify high-functioning anterior cruciate ligament-deficient patients and assess the effects of reconstruction on their self-reported functionality, muscle activations and biomechanical properties. Methods: Twenty young and active patients participated pre- (11.5 ± 14.3 months post-injury) and again 10.5 ± 1.7 months post-reconstruction and were individu
Anatomic repair of the distal biceps tendon cannot be consistently performed through a classic single-incision suture anchor technique
Background: Distal biceps tendon ruptures commonly occur in active men, and surgical repair through a single-incision technique using suture anchors has become common. The current study assessed whether an anatomic repair of the biceps to the radial tuberosity can be consistently achieved through a single-incision technique. Methods: Acute distal biceps tendon repairs using the single-incision tec
Do kinematic models reduce the effects of soft tissue artefacts in skin marker-based motion analysis? An in vivo study of knee kinematics
We investigated the effects of including kinematic constraints in the analysis of knee kinematics from skin markers and compared the result to simultaneously recorded trajectories of bone pin markers during gait of six healthy subjects. The constraint equations that were considered for the knee were spherical and revolute joints, which have been frequently used in musculoskeletal modelling. In the
Muscle activation and length changes during two lunge exercises : Implications for rehabilitation
Eccentric exercises are commonly used as a treatment for various muscle and tendon injuries. During complex motions such as the forward lunge, however, it is not always clear which muscles may be contracting eccentrically and at what time. Because this exercise is used during rehabilitation, the purpose of this investigation was to determine what type of contractions take place during two differen
Predicting the Functional Roles of Knee Joint Muscles from Internal Joint Moments
Introduction Knee muscles are commonly labeled as flexors or extensors and aptly stabilize the knee against sagittal plane loads. However, how these muscles stabilize the knee against adduction-abduction and rotational loads remains unclear. Our study sought 1) to classify muscle roles as they relate to joint stability by quantifying the relationship between individual muscle activation patterns a
Assessment of objective dynamic knee joint control in anterior cruciate ligament deficient and reconstructed individuals
Background: There is a lack of objective dynamic knee joint control measures that can be related to the status of the anterior cruciate ligament (ACL). The purpose of this study was to introduce two novel measures and apply a third to determine how dynamic knee joint control changes in relation to ACL status during dynamic movements. Methods: Twenty patients (13 male) were tested pre- (ACLd) and 1
Altered movement strategy during functional movement after an ACL injury, despite ACL reconstruction
Knee joint functional deficits are common after anterior cruciate ligament (ACL) injury, but different assessment methods of joint function seem to provide contradicting information complicating recovery monitoring. We previously reported improved perceived knee function and functional performance (forward lunge ground contact time) in patients with an ACL injury from pre to 10 months post ACL rec
Criteria Used to Determine Unrestricted Return to Activity After ACL Reconstruction in Pediatric and Adolescent Patients : A Systematic Review
BACKGROUND: The rates of anterior cruciate ligament (ACL) graft failure or contralateral ACL rupture range from 17% to 30% in pediatric patients after ACL reconstruction (ACLR). A contributing factor to the high reinjury rate in this population may be the limited evidence regarding appropriate criteria for allowing unrestricted return to activity (RTA) postoperatively.PURPOSE: To review the litera
The Accuracy of the Use of Functional Hip Motions on Localization of the Center of the Hip
Background: The hip joint is generally considered a ball-and-socket joint, the center of which is used as an anatomic landmark in functional analyses and by surgical navigation systems. The location of the hip center has been estimated using functional techniques using various limb motions. However, it is not clear which specific motions best predicted the functional center. Purpose: This study ai
Methodological concerns using intra-cortical pins to measure tibiofemoral kinematics
The complexity of human tibiofemoral joint motion is now better understood with the advancement of new methodologies to measure tibiofemoral kinematics in vivo. Marker clusters anchored to stainless steel bone pins inserted directly into the femur and tibia provide the most sensitive and accurate means for directly measuring skeletal tibiofemoral joint motion. Despite its invasiveness, this techni
In vivo anterior cruciate ligament strain behaviour during a rapid deceleration movement : Case report
The mechanism of anterior cruciate ligament (ACL) injury is still unclear. To gain this insight, knowledge of the mechanical behaviour of the healthy ACL during activities that may stress the ligament must be investigated in vivo. The goal of this research was to measure ACL strain in vivo during rapid deceleration, a sport type movement that has been previously shown to precede injuries to the AC
A time-efficient multi-deviant paradigm to determine the effects of gap duration on the mismatch negativity
The insertion of a silent period (or gap) in a frequently occurring standard stimulus elicits a negative-going event-related potential (ERP), called the Deviant-Related Negativity (DRN). This is often studied using a single-deviant paradigm. To study the effects of gaps with multiple durations, a different sequence would be required for each gap. A more time-efficient multi-deviant paradigm has be
Relationship of Knee Forces to Subjective Function Pre- and Post-ACL Reconstruction
Purpose: Although basic objective measures (e.g., knee laxity, strength, and hop tests) have been related to subjective measures of function, associations between knee-specific objective and subjective measures have yet to be completed. The objective was to determine if knee joint contact and ligament forces differ between pre- and post-anterior cruciate ligament (ACL) reconstructed states and if
A practical solution to reduce soft tissue artifact error at the knee using adaptive kinematic constraints
Musculoskeletal modeling and simulations have vast potential in clinical and research fields, but face various challenges in representing the complexities of the human body. Soft tissue artifact from skin-mounted markers may lead to non-physiological representation of joint motions being used as inputs to models in simulations. To address this, we have developed adaptive joint constraints on five
Effect of skin movement artifact on knee kinematics during gait and cutting motions measured in vivo
Eight healthy male subjects had intra-cortical bone-pins inserted into the proximal tibia and distal femur. Three reflective markers were attached to each bone-pin and four reflective markers were mounted on the skin of the tibia and thigh, respectively. Roentgen-stereophotogrammetric analysis (RSA) was used to determine the anatomical reference frame of the tibia and femur. Knee joint motion was
Reliability of knee joint muscle activity during weight bearing force control
We developed a novel approach that requires subjects to produce and finely tune ground reaction forces (GRFs) while standing. The aim of this study was to examine the reliability of electromyographic data recorded during these tasks. Healthy young adults stood with their dominant leg in a boot fixed to a force platform. A target matching protocol required subjects to control both the direction and