| Records |
| Author |
Markstrom, J.L.; Liebermann, D.G.; Schelin, L.; Hager, C.K. |
| Title |
Atypical Lower Limb Mechanics During Weight Acceptance of Stair Descent at Different Time Frames After Anterior Cruciate Ligament Reconstruction |
Type |
Journal Article |
| Year |
2022 |
Publication |
The American Journal of Sports Medicine |
Abbreviated Journal |
Am J Sports Med |
| Volume |
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Issue |
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Pages |
1-9 |
Keywords  |
Acl; biomechanics; functional data analysis; motion analysis; stepping down |
| Abstract |
BACKGROUND: An anterior cruciate ligament (ACL) rupture may result in poor sensorimotor knee control and, consequentially, adapted movement strategies to help maintain knee stability. Whether patients display atypical lower limb mechanics during weight acceptance of stair descent at different time frames after ACL reconstruction (ACLR) is unknown. PURPOSE: To compare the presence of atypical lower limb mechanics during the weight acceptance phase of stair descent among athletes at early, middle, and late time frames after unilateral ACLR. STUDY DESIGN: Controlled laboratory study. METHODS: A total of 49 athletes with ACLR were classified into 3 groups according to time after ACLR-early (<6 months; n = 17), middle (6-18 months; n = 16), and late (>18 months; n = 16)-and compared with asymptomatic athletes (control; n = 18). Sagittal plane hip, knee, and ankle angles; angular velocities; moments; and powers were compared between the ACLR groups' injured and noninjured legs and the control group as well as between legs within groups using functional data analysis methods. RESULTS: All 3 ACLR groups showed greater knee flexion angles and moments than the control group for injured and noninjured legs. For the other outcomes, the early group had, compared with the control group, less hip power absorption, more knee power absorption, lower ankle plantarflexion angle, lower ankle dorsiflexion moment, and less ankle power absorption for the injured leg and more knee power absorption and higher vertical ground reaction force for the noninjured leg. In addition, the late group showed differences from the control group for the injured leg revealing more knee power absorption and lower ankle plantarflexion angle. Only the early group took a longer time than the control group to complete weight acceptance and demonstrated asymmetry for multiple outcomes. CONCLUSION: Athletes with different time frames after ACLR revealed atypically large knee angles and moments during weight acceptance of stair descent for both the injured and the noninjured legs. These findings may express a chronically adapted strategy to increase knee control. In contrast, atypical hip and ankle mechanics seem restricted to an early time frame after ACLR. CLINICAL RELEVANCE: Rehabilitation after ACLR should include early training in controlling weight acceptance. Including a control group is essential when evaluating movement patterns after ACLR because both legs may be affected. |
| Address |
Department of Community Medicine and Rehabilitation, Physiotherapy, Umea University, Umea, Sweden |
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| Language |
English |
Summary Language |
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Original Title |
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Abbreviated Series Title |
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Series Issue |
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Edition |
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| ISSN |
0363-5465 |
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| Notes |
PMID:35604127 |
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no |
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Serial |
112 |
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| Author |
Melzer, I.; Krasovsky, T.; Oddsson, L.I.E.; Liebermann, D.G. |
| Title |
Age-related differences in lower-limb force-time relation during the push-off in rapid voluntary stepping |
Type |
Journal Article |
| Year |
2010 |
Publication |
Clinical Biomechanics (Bristol, Avon) |
Abbreviated Journal |
Clin Biomech (Bristol, Avon) |
| Volume |
25 |
Issue |
10 |
Pages |
989-994 |
| Keywords |
Accidental Falls/prevention & control; Age Factors; Aged; Aged, 80 and over; Aging/physiology; *Biomechanics; Female; Gait/*physiology; Humans; Male; *Postural Balance; Walking/*physiology |
| Abstract |
BACKGROUND: This study investigated the force-time relationship during the push-off stage of a rapid voluntary step in young and older healthy adults, to study the assumption that when balance is lost a quick step may preserve stability. The ability to achieve peak propulsive force within a short time is critical for the performance of such a quick powerful step. We hypothesized that older adults would achieve peak force and power in significantly longer times compared to young people, particularly during the push-off preparatory phase. METHODS: Fifteen young and 15 older volunteers performed rapid forward steps while standing on a force platform. Absolute anteroposterior and body weight normalized vertical forces during the push-off in the preparation and swing phases were used to determine time to peak and peak force, and step power. Two-way analyses of variance ('Group' [young-older] by 'Phase' [preparation-swing]) were used to assess our hypothesis (P </= 0.05). FINDINGS: Older people exerted lower peak forces (anteroposterior and vertical) than young adults, but not necessarily lower peak power. More significantly, they showed a longer time to peak force, particularly in the vertical direction during the preparation phase. INTERPRETATIONS: Older adults generate propulsive forces slowly and reach lower magnitudes, mainly during step preparation. The time to achieve a peak force and power, rather than its actual magnitude, may account for failures in quickly performing a preventive action. Such delay may be associated with the inability to react and recruit muscles quickly. Thus, training elderly to step fast in response to relevant cues may be beneficial in the prevention of falls. |
| Address |
Department of Physical Therapy, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel |
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English |
Summary Language |
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Edition |
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| ISSN |
0268-0033 |
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| Notes |
PMID:20724044 |
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no |
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Serial |
51 |
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| Author |
Falk, B.; Eliakim, A.; Dotan, R.; Liebermann, D.G.; Regev, R.; Bar-Or, O. |
| Title |
Birth weight and physical ability in 5- to 8-yr-old healthy children born prematurely |
Type |
Journal Article |
| Year |
1997 |
Publication |
Medicine and Science in Sports and Exercise |
Abbreviated Journal |
Med Sci Sports Exerc |
| Volume |
29 |
Issue |
9 |
Pages |
1124-1130 |
| Keywords |
*Birth Weight; Child; Child Development/physiology; Child, Preschool; Female; Follow-Up Studies; Humans; Infant, Newborn; *Infant, Premature; Male; *Motor Skills; *Physical Fitness |
| Abstract |
Recent advances in perinatal care have resulted in increased survival rates of extremely small and immature newborns. This has resulted in some neurodevelopmental impairment. The purpose of this study was to quantitatively evaluate and compare neuromuscular performance in children born prematurely at various levels of subnormal birth weight (BW). Subjects were 5- to 8-yr-old children born prematurely at different levels of subnormal BW (535-1760 g, N = 22, PM), and age-matched controls born at full term (> 2500 g, N = 15, CON). None of the subjects had any clinically defined neuromuscular disabilities. Body mass (BM) of PM was lower than that of CON (18.3 +/- 2.7 vs 21.7 +/- 3.8 kg) with no difference in height or sum of 4 skinfolds. Peak mechanical power output determined with a 15-s modified Wingate Anaerobic Test and corrected for BM was lower (P = 0.07) in PM than in CON (5.11 +/- 1.07 vs 5.94 +/- 1.00 W.kg-1). This was especially noticeable in children born at extremely low BW (ELBW, < 1000 g, 4.49 +/- 1.04 W.kg-1, P < 0.01). Peak power, determined in a force-plate vertical jump, corrected for BM was lower in PM vs CON (25.5 +/- 5.4 vs 30.8 +/- 5.2 W.kg-1, respectively P = 0.01), especially in the ELBW group (20.0 +/- 5.5 W.kg-1). Similarly, the elapsed time between peak velocity and actual jump take-off was longer in PM than in CON (41.2 +/- 9.4 vs 35.8 +/- 5.8 ms, respectively, P = 0.04). No differences were observed in peak force. The results suggest that performance deficiencies of prematurely-born children may be a result of inferior inter-muscular coordination. The precise neuromotor factors responsible for this should be identified by future research. |
| Address |
Ribstein Center for Research and Sport Medicine Sciences, Wingate Institute, Netanya, Israel. bfalk@ccsg.tau.ac.il |
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English |
Summary Language |
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Series Issue |
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Edition |
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| ISSN |
0195-9131 |
ISBN |
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Expedition |
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Conference |
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| Notes |
PMID:9309621 |
Approved |
no |
| Call Number |
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Serial |
64 |
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| Author |
Liebermann, D.G.; Katz, L.; Hughes, M.D.; Bartlett, R.M.; McClements, J.; Franks, I.M. |
| Title |
Advances in the application of information technology to sport performance |
Type |
Journal Article |
| Year |
2002 |
Publication |
Journal of Sports Sciences |
Abbreviated Journal |
J Sports Sci |
| Volume |
20 |
Issue |
10 |
Pages |
755-769 |
| Keywords |
*Biofeedback, Psychology; *Computer Simulation; Humans; Models, Biological; Physical Education and Training/*methods; Psychomotor Performance/physiology; Sports Medicine/methods; *Task Performance and Analysis; Videotape Recording |
| Abstract |
This paper overviews the diverse information technologies that are used to provide athletes with relevant feedback. Examples taken from various sports are used to illustrate selected applications of technology-based feedback. Several feedback systems are discussed, including vision, audition and proprioception. Each technology described here is based on the assumption that feedback would eventually enhance skill acquisition and sport performance and, as such, its usefulness to athletes and coaches in training is critically evaluated. |
| Address |
Department of Physical Therapy, Sackler Faculty of Medicine, University of Tel Aviv, Israel |
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Thesis |
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Place of Publication |
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Editor |
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| Language |
English |
Summary Language |
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Original Title |
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Series Title |
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Abbreviated Series Title |
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Series Issue |
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Edition |
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| ISSN |
0264-0414 |
ISBN |
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Medium |
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Expedition |
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Conference |
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| Notes |
PMID:12363293 |
Approved |
no |
| Call Number |
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Serial |
40 |
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| Author |
Krasovsky, T.; Berman, S.; Liebermann, D.G. |
| Title |
Kinematic features of continuous hand reaching movements under simple and complex rhythmical constraints |
Type |
Journal Article |
| Year |
2010 |
Publication |
Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology |
Abbreviated Journal |
J Electromyogr Kinesiol |
| Volume |
20 |
Issue |
4 |
Pages |
636-641 |
| Keywords |
*Acoustic Stimulation; Adult; Biomechanics; *Cues; Female; Hand/*physiology; Humans; Male; Movement/*physiology |
| Abstract |
BACKGROUND: Auditory cues are known to alter movement kinematics in healthy people as well as in people with neurological conditions (e.g., Parkinson's disease or stroke). Pacing movement to rhythmical constraints is known to change both the spatial and temporal features of movement. However, the effect of complexity of pacing on the spatial and temporal kinematic properties is still poorly understood. The current study investigated spatial and temporal aspects of movement (path and speed, respectively) and their integration while subjects followed simple isochronous or complex non-isochronous rhythmical constraints. Spatiotemporal decoupling was expected under the latter constraint. METHODS: Ten subjects performed point-to-point hand movements towards visual targets on the surface of a hemisphere, while following continuous auditory cues of different pace and meter. The spatial and temporal properties of movement were compared to geodesic paths and unimodal bell-shaped speed profiles, respectively. Multiple two-way RM-ANOVAs (pace [1-2 Hz] x meter [duple-triple]) were performed on the different kinematic variables calculated to assess hand deviations from the model data (p< or = 0.05). RESULTS: As expected, increasing pace resulted in straighter hand paths and smoother speed profiles. Meter, however, affected only the path (shorter and straighter under triple) without significantly changing speed. Such an effect was observed at the slow pace only. CONCLUSIONS: Under simple rhythmic cues, an increase in pace causes spontaneous adjustments in spatial features (straighter hand paths) while preserving temporal ones (maximally-smoothed hand speeds). Complex rhythmical cues in contrast perturb spatiotemporal coupling and challenge movement control. These results may have important practical implications in motor rehabilitation. |
| Address |
Department of Physical and Occupational Therapy, Faculty of Medicine, McGill University, Canada |
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Thesis |
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Place of Publication |
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English |
Summary Language |
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Original Title |
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Series Title |
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Abbreviated Series Title |
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Series Issue |
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Edition |
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| ISSN |
1050-6411 |
ISBN |
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Expedition |
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Conference |
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| Notes |
PMID:20382031 |
Approved |
no |
| Call Number |
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Serial |
32 |
| Permanent link to this record |
