Rationale for a Modified Crutch Use Methodology for Individuals With Weak or Paralyzed Hip Abductor Muscles

2013 ◽  
Author(s):  
James Borrelli ◽  
Henry W. Haslach
Keyword(s):  
Three Dimensional ◽  
Frontal Plane ◽  
The Body ◽  
Moment Arm ◽  
Gait Kinematics ◽  
Hip Abductor ◽  
Pathological Gait ◽  
The Moment ◽  
Positive Effect ◽  
Traditional Manner

Individuals with weak or paralyzed hip abductors may make use of two methods to reduce pathological gait kinematics as a result of their disability; reducing the need for the hip abductors or developing an equivalent torque on the body. Compensatory motions such as torso tilting or hip hiking “balance” the body reducing the need for the torque that would be developed by the hip abductors. A contralateral crutch develops a body torque that is equivalent to that developed by the hip abductors. Individuals with weak or paralyzed hip abductors intuitively adopt a wide crutch stance, contrary to the prescribed method where the crutches are vertical in the frontal plane. Using a wide stance angle in the frontal plane is hypothesized to improve gait with weak or paralyzed hip abductors more so than when using crutches in the traditional manner. Crutches develop a torque on the body that is equivalent to what would be developed by the hip abductors while standing still. A wide stance angle increases the moment arm that the crutch force acts through while standing still, increasing the torque developed, potentially increasing the positive effect of the crutch which may reduce the need for compensatory motions. However, a similar effect has not been characterized during gait. The hypothesis is that a wide crutch stance angle improves a gait with paralyzed hip abductors more so than a crutch used vertically in the frontal plane. The assumption is that this is accomplished by decreasing energy expenditure and/or reducing the need for compensatory motions more so than a crutch used vertically in the frontal plane. A three-dimensional dynamic model is used to test the hypothesis. The model predicts that excessive pelvis depression and decreased pelvic rotation result when the hip abductors are paralyzed. Compensatory motions, hip hiking and torso tilting, and crutch use are shown to decrease the prevalence of pathological kinematics. Crutch use with a wide stance angle improves gait kinematics more than a vertical crutch with the same body weight supported on it. This study provides evidence that the need for compensatory motions and the prevalence of pathological gait kinematics may be reduced when using a wide crutch stance angle compared to a vertical crutch stance angle.

scholarly journals EFFECTS OF THE SCHROTH METHOD IN CHILDREN WITH IDIOPATHIC SCOLIOSIS

2019 ◽  
Vol 16 (2) ◽  
pp. 749
Author(s):  
Bojan Jorgić ◽  
Petra Mančić ◽  
Saša Milenković ◽  
Nikola Jevtić ◽  
Mladen Živković
Keyword(s):  
Idiopathic Scoliosis ◽  
Sagittal Plane ◽  
Three Dimensional ◽  
Exercise Program ◽  
Frontal Plane ◽  
Axial Rotation ◽  
The Body ◽  
Scoliosis Correction ◽  
Lateral Curvature ◽  
Positive Effect

Scoliosis is a multifactorial three-dimensional (3D) spinal deformation which always includes elementary deformations on three planes: a lateral curvature on the frontal plane, loss of natural physiological curvature on the sagittal plane and, in most cases, increase of lordosis in the lumbosacral joint (hyperlordosis), and a (very typical) vertebral axial rotation on the horizontal plane. One of the best methods in scoliosis correction is the Schroth method. In view of the above, the objective of this study is to identify the effects of the Schroth method on correcting functional-motor status in children with adolescent idiopathic scoliosis (IS). The participant sample comprised 20 children, of an average age of 14.5, who took part in the 10-day Schroth Camp. The following measure instruments were used for the assessment of the effect of the Schroth method: the Sorensen test, the Sit-and-reach test, and height assessment. Statistically significant improvements were identified across the results of all three tests, for the Sorensen test: 45.6±19.29 s, the Sit-and-reach test: 4.05±2.25 cm, and height 1.4±0.66 cm. It can be concluded that the conducted Schroth method exercise program exerted a positive effect on improving motor functionality, as well as enhancing flexibility and isometric endurance of the lumbar extensors of the spine. Additionally, there was an increase in height, which indicates a positive effect in terms of the functionality and symmetry of the left and right sides of the body, and in terms of improved posture on the frontal and sagittal planes.

CPG-Controlled Frontal Biped Model for the Evaluation of Pathological Gait

2009 ◽  
Author(s):  
Betsy V. Hunter ◽  
Yasin Y. Dhaher
Keyword(s):  
Three Dimensional ◽  
Frontal Plane ◽  
Experimental Conditions ◽  
Gait Adaptation ◽  
Gait Kinematics ◽  
Model Dynamics ◽  
Stable Gait ◽  
Pathological Gait ◽  
Inclined Surface

Increased frontal-plane hip movement of the affected leg during the swing phase is a commonly observed gait adaptation in stroke patients. Recent evidence suggests that pathologically-induced torque coupling may contribute to asymmetric gait behaviors observed following stroke. This study proposes to use a CPG-controlled three-dimensional (3D) bipedal model to quantify the effects of abnormal torque coupling on frontal plane gait kinematics. Model dynamics have been evaluated using overground data collection observed under comparable in vivo experimental conditions. The CPG controller has demonstrated ability to provide sustained stable gait over an inclined surface in a simplified model. Preliminary results indicate that the proposed framework is feasible to control a 3D model for investigating the effects of torque coupling on the abnormal frontal plane kinematics of pathological gait.

The Effects of a Lateral Wedge Insole on Knee and Ankle Joints During Slope Walking

2015 ◽  
Vol 31 (6) ◽  
pp. 476-483 ◽  
Author(s):  
Yuki Uto ◽  
Tetsuo Maeda ◽  
Ryoji Kiyama ◽  
Masayuki Kawada ◽  
Ken Tokunaga ◽  
...  
Keyword(s):  
Ground Reaction Force ◽  
Reaction Force ◽  
Force Plate ◽  
Three Dimensional ◽  
Frontal Plane ◽  
Knee Adduction Moment ◽  
Moment Arm ◽  
Level Walking ◽  
Ankle Valgus ◽  
The Moment

The purpose of this study was to determine whether a lateral wedge insole reduces the external knee adduction moment during slope walking. Twenty young, healthy subjects participated in this study. Subjects walked up and down a slope using 2 different insoles: a control flat insole and a 7° lateral wedge insole. A three-dimensional motion analysis system and force plate were used to examine the knee adduction moment, the ankle valgus moment, and the moment arm of the ground reaction force to the knee joint center in the frontal plane. The lateral wedge insole significantly decreased the moment arm of the ground reaction force, resulting in a reduction of the knee adduction moment during slope walking, similar to level walking. The reduction ratio of knee adduction moment by the lateral wedge insole during the early stance of up-slope walking was larger than that of level walking. Conversely, the lateral wedge insole increased the ankle valgus moment during slope walking, especially during the early stance phase of up-slope walking. Clinicians should examine the utilization of a lateral wedge insole for knee osteoarthritis patients who perform inclined walking during daily activity, in consideration of the load on the ankle joint.

Analysis of Foot Kinematics with Unstable Sole Structure Using Oxford Foot Model

2017 ◽  
Vol 34 ◽  
pp. 1-9 ◽  
Author(s):  
Ying Yue Zhang ◽  
Gusztáv Fekete ◽  
Justin Fernandez ◽  
Yao Dong Gu
Keyword(s):  
Sagittal Plane ◽  
Plantar Flexion ◽  
Three Dimensional ◽  
Frontal Plane ◽  
The Body ◽  
Control Effect ◽  
Foot Kinematics ◽  
Foot Model ◽  
Contrast Group ◽  
Oxford Foot Model

To determine the influence of the unstable sole structure on foot kinematics and provide theoretical basis for further application.12 healthy female subjects walked through a 10-meter experimental channel with normal speed wearing experimental shoes and control shoes respectively at the gait laboratory. Differences between the groups in triplanar motion of the forefoot, rearfoot and hallux during walking were evaluated using a three-dimensional motion analysis system incorporating with Oxford Foot Model (OFM). Compare to contrast group, participants wearing experimental shoes demonstrated greater peak forefoot dorsiflexion, forefoot supination and longer halluces plantar flexion time in support phase. Additionally, participants with unstable sole structure also demonstrated smaller peak forefoot plantarflexion, rearfoot dorsiflexion and range of joint motion in sagittal plane and frontal plane.. The difference mainly appeared in sagittal and frontal plane. With a stimulation of unstable, it may lead to the reinforcement of different flexion between middle and two ends of the foot model. The greater forefoot supination is infered that the unstable element structure may affect the forefoot motion on the frontal plane and has a control effect to strephexopodia people. The stimulation also will reflexes reduce the range of rearfoot motion in sagittal and frontal planes to control the gravity center of the body and keep a steady state in the process of walking.

THE BIOLOGICAL ROLE OF VITAMIN D

Vestnik ◽  
2021 ◽  
pp. 169-172
Author(s):  
Д.Т. Джатдоева ◽  
А.А. Гочияев ◽  
М.Б. Семенов ◽  
З.М. Каппушева
Keyword(s):  
Vitamin D ◽  
Respiratory Diseases ◽  
Postoperative Recovery ◽  
The Body ◽  
Uv Treatment ◽  
Protective Properties ◽  
Acute Respiratory Diseases ◽  
The Moment ◽  
Positive Effect

В статье рассматриваются заболевания, зависящие от уровня витамина D в организме, возможные методы коррекции его уровня и их последствия. Рассматривается зависимость организма -как единого целого от уровня данного витамина в крови. На данный момент во всем мире наблюдается глобальный дефицит витамина D, у всех пациентов, которые сдают данный анализ, которое так же было выявлено на фоне глобальной пандемии “COVID-19”. Влияние витамина D на иммунитет абсолютно точно доказано, и поэтому его дефицитное состояние может ухудшать течение различных заболеваний. Также витамин D выступает в качестве гормона, недостаток которого приводит к патологиям сердечно-сосудистой системы, рахиту, остеопорозу, сахарному диабету, ожирению и другим серьезным заболеваниям. Неоднократно рассматривалось влияние его уровня на постоперационное восстановление. В статье так же приводятся методы коррекции посредством UV в зимнее время, которое как показали данные является опасной. В статье описываются нейродегенеративные расстройства, на которых оказывает огромное влияние уровень данного витамина и его профилактика. Проанализировано влияние его уровня на здоровье пациенток в постменопаузе, приводящее к нежелательным последствиям в том числе и остеопорозу. Приведены примеры влияния на защитные свойства ротовой полости при пародонте и кариесе. Описывается влияние на процесс течения острых респираторных заболеваний у детей, а также влияние на течение болезни при сахарном диабете. The article discusses diseases that depend on the level of vitamin D in the body, possible methods of correcting its level and their consequences. The dependence of the body on the level of this vitamin in the blood is considered. At the moment, there is a global vitamin D deficiency worldwide, which was revealed during the global COVID-19 pandemic. The positive effect of vitamin D on the immune system has been proven, and therefore its deficiency can worsen the course of various diseases. Vitamin D also acts as a hormone, the lack of which leads to pathologies of the cardiovascular system, rickets, osteoporosis, diabetes, obesity, and other serious diseases. The influence of its level on postoperative recovery is also considered. In addition, the article provides methods of correction by means of UV treatment in winter, which, as the data has shown, is dangerous. The article describes neurodegenerative disorders, which are greatly influenced by the level of this vitamin and its prevention. The influence of its level on the health of postmenopausal patients, leading to undesirable consequences, including osteoporosis, is analyzed. Examples of the effect on the protective properties of the oral cavity in periodontal disease and caries are given. The article describes the effect on the course of acute respiratory diseases in children, as well as the effect on the course of the disease in diabetes mellitus.

The impact of 60-minute swimming training on the quality of body posture and the level of balance of young adults

2019 ◽  
Vol 4 (3) ◽  
pp. 1-6
Author(s):  
Dżesika Aksamit ◽  
Tomasz Sidor ◽  
Adrian Gądek ◽  
Agnieszka Jankowicz-Szymańska
Keyword(s):  
Thoracic Kyphosis ◽  
Three Dimensional ◽  
Frontal Plane ◽  
The Body ◽  
Body Posture ◽  
Swimming Training ◽  
Significance Level ◽  
Before And After ◽  
The Impact

Introduction: Postural abnormalities are common in every age group. They often involve discomfort or pain. Unfortunately, specialist posture correcting body postures are almost exclusively for pre-school and school children. There is a widespread belief in the beneficial effects of swimming on the body posture. Some even think that swimming can replace corrective exercises. The aim of the study was to evaluate the changes in the quality of body posture and body balance under the influence of 60-minute intensive swimming training in people aged 20-22 years, whose level of swimming skills was determined as average. Material and methods: The study was conducted on a group of 9 people, students of the State Higher Vocational School in Tarnów. Ultrasonic device Zebris Pointer was used for three-dimensional assessment of body posture. The position of the shoulder and iliac girdle, the shape of the spine, the inclination of the sacrum bone and the inclination of the body in the sagittal and frontal plane were analyzed. The test was repeated before and after the one-hour lecture and before and after one-hour, intensive classes at the swimming pool. The results were developed in the Statistika v10 program. Descriptive statistics, non-parametric Friedman test and Kruskal posthoc test were used. The significance level α = 0.05 was assumed. Results: There was a statistically significant increase in pelvic rotation under the influence of swimming training. There was also a slight deterioration of the spine position in the frontal plane. Exercises improving swimming in the classic style did not affect the depth of thoracic kyphosis and lumbar lordosis. After 60 minutes spent in a relaxed sitting position, deepening thoracic kyphosis was observed. However, this change was not statistically significant. Conclusions: It is not recommended to treat swimming as a substitute for corrective gymnastics. Intensive swimming training can exacerbate existing body posture errors in people who are just improving their swimming technique.

Biomechanical Role of the Locomotor System in Controlling Body Center of Mass Motion in Older Adults During Obstructed Gait

2010 ◽  
Vol 26 (2) ◽  
pp. 195-203 ◽  
Author(s):  
T.-M. Wang ◽  
H.-L. Chen ◽  
W.-C. Hsu ◽  
M.-W. Liu ◽  
T.-W. Lu
Keyword(s):  
Center Of Mass ◽  
Three Dimensional ◽  
Knee Extensor ◽  
Frontal Plane ◽  
The Elderly ◽  
The Body ◽  
Mass Motion ◽  
Obstacle Crossing ◽  
Locomotor System ◽  
Risk Of Falls

AbstractFifteen young and fifteen older healthy adults walked and crossed obstacles of three different heights while kinematic data and ground reaction forces were acquired to calculate the three-dimensional motion of the centre of mass (COM) and lower limb joint moments. The older group had greater normalized jerk score of the COM. When the leading limb was crossing, the older group kept the COM more posterior and on the trailing stance limb for longer with increased knee extensor crossing moments and thus decreased anterioposterior COM deceleration. When the trailing limb was crossing, the older group decreased vertical COM deceleration through increased hip extensor crossing moments. The older group maintained the same COM motion as the young in the frontal plane with greater hip and knee abductor crossing moments. The older group exhibited significant kinetic changes in their locomotor system with increased muscular demand, leading to a more jerky motion of the body COM. However, these changes helped to maintain the frontal COM motion and to achieve a sagittal COM motion pattern which is thought to be helpful for a safe and successful obstacle-crossing. Failure to meet the kinetic demands in the elderly may increase the risk of falls during obstacle-crossing.

scholarly journals The evolution of pelvic limb muscle moment arms in bird-line archosaurs

2021 ◽  
Vol 7 (12) ◽  
pp. eabe2778
Author(s):  
V. R. Allen ◽  
B. M. Kilbourne ◽  
J. R. Hutchinson
Keyword(s):  
Three Dimensional ◽  
Knee Extensors ◽  
Form And Function ◽  
Moment Arms ◽  
Theropod Dinosaurs ◽  
Musculoskeletal Models ◽  
Hip Abductor ◽  
Pelvic Limb ◽  
The Moment ◽  
And Function

Bipedal locomotion evolved along the archosaurian lineage to birds, shifting from “hip-based” to “knee-based” mechanisms. However, the roles of individual muscles in these changes and their evolutionary timings remain obscure. Using 13 three-dimensional musculoskeletal models of the hindlimbs of bird-line archosaurs, we quantify how the moment arms (i.e., leverages) of 35 locomotor muscles evolved. Our results support two hypotheses: From early theropod dinosaurs to birds, knee flexors’ moment arms decreased relative to knee extensors’, and medial long-axis rotator moment arms for the hip increased (trading off with decreased hip abductor moment arms). Our results reveal how, from the Triassic Period, bipedal theropod dinosaurs gradually modified their hindlimb form and function, shifting more from hip-based to knee-based locomotion and hip-abductor to hip-rotator balancing mechanisms inherited by birds. Yet, we also discover unexpected ancestral specializations in larger Jurassic theropods, lost later in the bird-line, complicating the paradigm of gradual transformation.

A Biomechanical Assessment of the Sliding Motion of Curling Delivery in Elite and Subelite Curlers

2012 ◽  
Vol 28 (6) ◽  
pp. 694-700 ◽  
Author(s):  
Kyoung-Seok Yoo ◽  
Hyun-Kyung Kim ◽  
Jin-Hoon Park
Keyword(s):  
Balance Control ◽  
Center Of Mass ◽  
Three Dimensional ◽  
The Body ◽  
Movement Speed ◽  
Biomechanical Assessment ◽  
Sliding Motion ◽  
Angular Velocities ◽  
Posterior Direction ◽  
The Moment

The present study examined the technical characteristics of sliding performance from push-off until stone release in curling delivery. Five elite performance level curlers (> 7 years experience) and five subelite level curlers (< 3 years experience) were analyzed during the action of delivery of a curling stone. The joint angles, angular velocities, and moments of the body center of mass (COM) were determined based on three-dimensional kinematic data. The plantar pressure data were measured using a validated in-shoe system. The results indicated that the gliding time and horizontal velocity of the mass center of the body during the sliding phase were not significantly different between the elite and subelite groups. However, there were significant differences in the gliding distance and the rate of changes in velocity profiles of body COM between the two groups. The moment of the body COM from its relative position to the ankle of the support limb in the anterior/posterior direction was positive in elite curlers and negative in subelite curlers. In addition, larger ankle dorsiflexion and greater contact area of the sliding foot were observed in elite curlers. These data suggest a superior ability of elite curlers to maintain a regulated movement speed and balance control during the performance of a curling stone delivery.

Control of Frontal Plane Motion of the Hindlimbs in the Unrestrained Walking Cat

2006 ◽  
Vol 96 (4) ◽  
pp. 1816-1828 ◽  
Author(s):  
John E. Misiaszek
Keyword(s):  
Stance Phase ◽  
Frontal Plane ◽  
Plane Motion ◽  
The Body ◽  
Three Dimensions ◽  
Support Surface ◽  
Electromyographic Activity ◽  
Lateral Stability ◽  
Adductor Muscles ◽  
Hip Abductor

This study describes the patterns of activity of hip abductor and adductor muscles and relates their activity to the frontal plane motions of the hindlimbs during unrestrained walking in the cat to provide insight into the function of these muscles in maintaining stability during walking. Electromyographic activity was recorded from hindlimb muscles while cats walked across a walkway. Four video cameras were used to record the movement of the animal in three dimensions. To further delineate the role of the hip abductors and adductors in regulating frontal plane movements of the legs, medial-lateral translations of the walking surface were periodically introduced. During walking, the hip abducts throughout much of the stance phase and adducts during swing. Normally, the abductors and adductors are co-active during much of the stance phase and are quiescent during swing. Consequently, the adduction observed during swing is likely the result of passive events. It is argued that the activity of the hip abductors during stance phase plays a prominent role in regulating frontal plane motion of the legs during walking. However, when medial-lateral stability is disturbed, both the hip abductors and adductors respond to stabilize the frontal plane motion of the body mass while also adjusting the frontal plane swing trajectory and subsequent paw placement. The balance corrective reactions observed in the cat after medial-lateral perturbations of the support surface reasonably approximate the reactions observed previously in humans, indicating that the cat is a reasonable model to explore the neural mechanisms of lateral stability during walking.

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