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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 (up) Am J Sports Med
Volume Issue 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
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0363-5465 ISBN Medium
Area Expedition Conference
Notes PMID:35604127 Approved no
Call Number Serial 112
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Author Hoffman, J.R.; Liebermann, D.; Gusis, A.
Title Relationship of leg strength and power to ground reaction forces in both experienced and novice jump trained personnel Type Journal Article
Year 1997 Publication Aviation, Space, and Environmental Medicine Abbreviated Journal (up) Aviat Space Environ Med
Volume 68 Issue 8 Pages 710-714
Keywords *Aerospace Medicine; *Aviation; Biomechanics; Humans; Leg/*physiology; Male; Military Personnel/*education; *Physical Education and Training; Physical Fitness/*physiology; Range of Motion, Articular; Wounds and Injuries/etiology/*prevention & control
Abstract METHODS: There were 14 male soldiers who participated in this study examining the relationship of leg strength and power on landing performance. Subjects were separated into two groups. The first group (E, n = 7) were parachute training instructors and highly experienced in parachute jumping. The second group of subjects (N, n = 7) had no prior parachute training experience and were considered novice jumpers. All subjects were tested for one-repetition maximum (1 RM) squat strength and maximal jump power. Ground reaction forces (GRF) and the time to peak force (TPF) at landing were measured from jumps at four different heights (95 cm, 120 cm, 145 cm, and 170 cm). All jumps were performed from a customized jump platform onto a force plate. RESULTS: No differences were seen between E and N in either IRM squat strength or in MJP. In addition, no differences were seen between the groups for time to peak force at any jump height. However, significantly greater GRF were observed in E compared to N. Moderate to high correlations between maximal jump power and GRF (r values ranging from 0.62-0.93) were observed in E. Although maximal jump power and the TPF was significantly correlated (r = -0.89) at only 120 cm for E, it was interesting to note that the correlations between MJP and the time to peak force in E were all negative and that the correlations between these variables in N were all positive. CONCLUSIONS: These results suggest that experienced parachutists may use a different landing strategy than novice jumpers. This difference may be reflected by differences in GRF generated during impact and a more efficient utilization of muscle power during the impact phase of the landing.
Address Aeromedical Center, Physiological Training Unit, Israel Air Force, Israel
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0095-6562 ISBN Medium
Area Expedition Conference
Notes PMID:9262813 Approved no
Call Number Serial 60
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Author Roijezon, U.; Djupsjobacka, M.; Bjorklund, M.; Hager-Ross, C.; Grip, H.; Liebermann, D.G.
Title Kinematics of fast cervical rotations in persons with chronic neck pain: a cross-sectional and reliability study Type Journal Article
Year 2010 Publication BMC Musculoskeletal Disorders Abbreviated Journal (up) BMC Musculoskelet Disord
Volume 11 Issue Pages 222
Keywords Adult; Aged; Biomechanics/*physiology; Cervical Vertebrae/*physiopathology; Chronic Disease; Cross-Sectional Studies; Female; Head Movements/*physiology; Humans; Middle Aged; Neck Pain/*diagnosis/*etiology/physiopathology; Physical Examination/methods; Reproducibility of Results; Rotation/*adverse effects; Time Factors; Young Adult
Abstract BACKGROUND: Assessment of sensorimotor function is useful for classification and treatment evaluation of neck pain disorders. Several studies have investigated various aspects of cervical motor functions. Most of these have involved slow or self-paced movements, while few have investigated fast cervical movements. Moreover, the reliability of assessment of fast cervical axial rotation has, to our knowledge, not been evaluated before. METHODS: Cervical kinematics was assessed during fast axial head rotations in 118 women with chronic nonspecific neck pain (NS) and compared to 49 healthy controls (CON). The relationship between cervical kinematics and symptoms, self-rated functioning and fear of movement was evaluated in the NS group. A sub-sample of 16 NS and 16 CON was re-tested after one week to assess the reliability of kinematic variables. Six cervical kinematic variables were calculated: peak speed, range of movement, conjunct movements and three variables related to the shape of the speed profile. RESULTS: Together, peak speed and conjunct movements had a sensitivity of 76% and a specificity of 78% in discriminating between NS and CON, of which the major part could be attributed to peak speed (NS: 226 +/- 88 degrees /s and CON: 348 +/- 92 degrees /s, p < 0.01). Peak speed was slower in NS compared to healthy controls and even slower in NS with comorbidity of low-back pain. Associations were found between reduced peak speed and self-rated difficulties with running, performing head movements, car driving, sleeping and pain. Peak speed showed reasonably high reliability, while the reliability for conjunct movements was poor. CONCLUSIONS: Peak speed of fast cervical axial rotations is reduced in people with chronic neck pain, and even further reduced in subjects with concomitant low back pain. Fast cervical rotation test seems to be a reliable and valid tool for assessment of neck pain disorders on group level, while a rather large between subject variation and overlap between groups calls for caution in the interpretation of individual assessments.
Address Centre for Musculoskeletal Research, University of Gavle, Sweden. ulrik.roijezon@ltu.se
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 1471-2474 ISBN Medium
Area Expedition Conference
Notes PMID:20875135 Approved no
Call Number Serial 31
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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 (up) 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
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0268-0033 ISBN Medium
Area Expedition Conference
Notes PMID:20724044 Approved no
Call Number Serial 51
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Author Liebermann, D.G.; Levin, M.F.; McIntyre, J.; Weiss, P.L.; Berman, S.
Title Arm path fragmentation and spatiotemporal features of hand reaching in healthy subjects and stroke patients Type Journal Article
Year 2010 Publication Conference Proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Conference Abbreviated Journal (up) Conf Proc IEEE Eng Med Biol Soc
Volume 2010 Issue Pages 5242-5245
Keywords Aged; Aged, 80 and over; Analysis of Variance; Arm/*physiology; Biomechanics/physiology; Female; Hand/*physiology; *Health; Humans; Male; Middle Aged; Movement/*physiology; Posture/physiology; Principal Component Analysis; Stroke/*physiopathology; Time Factors
Abstract Arm motion in healthy humans is characterized by smooth and relatively short paths. The current study focused on 3D reaching in stroke patients. Sixteen right-hemiparetic stroke patients and 8 healthy adults performed 42 reaching movements towards 3 visual targets located at an extended arm distance. Performance was assessed in terms of spatial and temporal features of the movement; i.e., hand path, arm posture and smoothness. Differences between groups and within subjects were hypothesized for spatial and temporal aspects of reaching under the assumption that both are independent. As expected, upper limb motion of patients was characterized by longer and jerkier hand paths and slower speeds. Assessment of the number of sub-movements within each movement did not clearly discriminate between groups. Principal component analyses revealed specific clusters of either spatial or temporal measures, which accounted for a large proportion of the variance in patients but not in healthy controls. These findings support the notion of a separation between spatial and temporal features of movement. Stroke patients may fail to integrate the two aspects when executing reaching movements towards visual targets.
Address Physical Therapy Dept., Sackler Faculty of Medicine, Tel Aviv University, 69978 Israel. dlieberm@post.tau.ac.il
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 1557-170X ISBN Medium
Area Expedition Conference
Notes PMID:21096047 Approved no
Call Number Serial 30
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