Three-Dimensional Loading of the Knee During Internal-External Rotation: The Effect of Ankle Constraint

Author(s):  
TP Quinn ◽  
CD Mote ◽  
HB Skinner
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Phob Ganokroj ◽  
Nuchanun Sompornpanich ◽  
Pichitpol Kerdsomnuek ◽  
Bavornrat Vanadurongwan ◽  
Pisit Lertwanich

Abstract Background Measurement of hip rotation is a crucial clinical parameter for the identification of hip problems and the monitoring of symptoms. The objective of this study was to determine whether the use of two smartphone applications is valid and reliable for the measurement of hip rotation. Methods An experimental, cross-sectional study was undertaken to assess passive hip internal and external rotation in three positions by two examiners. The hip rotational angles were measured by a smartphone clinometer application in the sitting and prone positions, and by a smartphone compass application in the supine position; their results were compared with those of the standard, three-dimensional, motion analysis system. The validities and inter-rater and intra-rater reliabilities of the smartphone applications were evaluated. Results The study involved 24 participants. The validities were good to excellent for the internal rotation angles in all positions (ICC 0.81–0.94), good for the external rotation angles in the prone position (ICC 0.79), and fair for the sitting and supine positions (ICC 0.70–0.73). The measurement of the hip internal rotation in the supine position had the highest ICC value of 0.94 (0.91, 0.96). The two smartphone applications showed good-to-excellent intra-rater reliability, but good-to-excellent inter-rater reliability for only three of the six positions (two other positions had fair reliability, while one position demonstrated poor reliability). Conclusions The two smartphone applications have good-to-excellent validity and intra-rater reliability, but only fair-to-good inter-rater reliability for the measurement of the hip rotational angle. The most valid hip rotational position in this study was the supine IR angle measurement, while the lowest validity was the ER angle measurement in the sitting position. The smartphone application is one of the practical measurements in hip rotational angles. Trial registration Number 20181022003 at the Thai Clinical Trials Registry (http://www.clinicaltrials.in.th) which was retrospectively registered at 2018-10-18 15:30:29.


2004 ◽  
Vol 29 (3) ◽  
pp. 257-262 ◽  
Author(s):  
H. E. J. VEEGER ◽  
M. KREULEN ◽  
M. J. C. SMEULDERS

We simulated pronator teres rerouting using a three-dimensional biomechanical model of the arm. Simulations comprised the evaluation of changes in muscle length and the moment arm of pronator teres with changes in forearm axial rotation and elbow flexion. The rerouting of Pronator Teres was simulated by defining a path for it through the interosseous membrane with re-attachment to its original insertion. However the effect of moving the insertion to new positions, 2 cm below and above, the original position was also assessed. The effect on total internal rotation and external rotation capacity was determined by calculating the potential moments for pronator teres, supinator, pronator quadratus, biceps brachii and brachioradialis. Pronator teres was found to be a weak internal rotator in extreme pronation, but a strong internal rotator in neutral rotation and in supination. After rerouting pronator teres was only a strong external rotator in full pronation and not at other forearm positions, where the effect of rerouting was comparable to a release procedure.


2017 ◽  
Vol 829 ◽  
pp. 328-344 ◽  
Author(s):  
V. D. Borisevich ◽  
E. P. Potanin ◽  
J. Whichello

A model of a laminar viscous conducting flow, near a dielectric disc in a uniform magnetic field and in the presence of external rotation, is considered, where there is a uniform suction and an axial temperature gradient between the flow and the disc’s surface. It is assumed that the parameters of the suction or the magnetohydrodynamic (MHD) interaction are such that the nonlinear inertial terms, related to the circulation flow, are negligible in the differential equations of the MHD boundary layer on a rotating disc. Analysis of the motion and energy equations, taking the dependence of density on temperature into account, is carried out using the Dorodnitsyn transformation. The exact analytical solution for the boundary layer and heat transfer equations is obtained and analysed, neglecting the viscous and Joule dissipation. The dependence of the flow characteristics in the boundary layer on the rate of suction and the magnetic field induction is studied. It is shown that the direction of the radial flow in the boundary layer on a disc can be changed, not only by variation of the ratio between the angular velocities in the external flow and the boundary layer, but also by changing the ratio of the temperatures in these two flows, as well as by varying the hydrodynamic Prandtl number. The approximate calculation of a three-dimensional flow in a rotating cylinder with a braking disc (or lid) is carried out, demonstrating that a magnetic field slows the circulation velocity in a rotating cylinder.


2020 ◽  
Vol 33 (5) ◽  
pp. 761-767
Author(s):  
Yongwook Kim ◽  
Seungmook Kang

BACKGROUND: Few studies have explored the relationship between muscle strength, range of motion (ROM), and balance in the horizontal plane of the hip joint using three-dimensional (3D) motion analysis. OBJECTIVE: We investigate the relationships of hip internal rotation (IR) and external rotation (ER) ROM, measured using a 3D motion capture system, with hip internal and external rotator strength and single-leg standing balance. METHODS: The participants were 40 healthy adults. Kinematic data on hip ROM were collected using an eight-camera motion analysis system. Hip rotational strength measurements were obtained using hand-held isometric dynamometry. A Single-leg standing test and a pendular test were conducted to evaluate static and dynamic balance ability using BioRescue. RESULTS: Significant correlations were found between hip strength and each variable measured during hip ROM assessments (p< 0.05). Significant positive correlations were found between the hip IR/ER strength ratio and the IR/ER ROM ratio (r= 0.72, p< 0.01). The subgroup with a normal IR/ER ratio of hip rotator strength and ROM showed significantly better dynamic balance ability than the subgroup with a hip rotator muscle imbalance (p< 0.05). CONCLUSIONS: There is a significant relationship between hip IR/ER strength and IR/ER ROM with a normal hip IR/ER strength and ROM ratio positively affecting dynamic balance ability.


Author(s):  
Batbayar Khuyagbaatar ◽  
Tserenchimed Purevsuren ◽  
Yoon Hyuk Kim

In golf, the trunk and pelvis kinematic variables are often related to measures of performance due to the highly complex and multi-joint movements involved in swings. However, it is unclear how specific body segments or joints contributed to the golf performance parameters. Therefore, the purpose of this study was to identify the key joints, including those of the upper and lower trunk, that are associated with golf performance parameters, such as X-Factor and pelvis motion. A motion capture system was used to obtain three-dimensional kinematics of golf swings performed by 10 low handicap male golfers. Based on regression analysis, right knee adduction, right shoulder external rotation and left elbow extension in ball address to top of the backswing and left knee adduction and lower trunk right bending with left rotation in top of the backswing to end of follow-through were presented as predictor variables for the X-Factor. For pelvis movement, a greater number of joint angles were associated with pelvis posterior tilt during backswing and pelvis motion to target with right rotation during downswing/follow-through. This study provides fundamental details of the movement mechanisms of major joints, as well as their relationships with performance parameters. Such understanding can be combined with training to improve the golfing skill and prevent possible injuries.


2016 ◽  
Vol 25 (3-4) ◽  
pp. 261-275 ◽  
Author(s):  
Cain C. T. Clark ◽  
Claire M. Barnes ◽  
Mark Holton ◽  
Huw D. Summers ◽  
Gareth Stratton

Abstract Fundamental movement skills are considered the basic building blocks for movement and provide the foundation for specialized and sport-specific movement skills required for participation in a variety of physical activities. However, kinematic analyses of fundamental movement has not been performed. The aims of this study were to, (1) characterise the relationship between facets of fundamental movement and, (2) characterise the relationship between overall integrated acceleration and three-dimensional kinematic variables whilst performing fundamental movement skills. Eleven participants (10±0.8y, 1.41±0.07m, 33.4±8.6kg, body mass index; 16.4±3.1 kg·m2) took part in this study, had anthropometric variables recorded and performed a series of fundamental movement tasks, whilst wearing a tri-axial accelerometer and were recorded using a three-dimensional motion capture system. Maximum shoulder external rotation (°) and maximum shoulder internal rotation velocity (°.s−1) (r=0.86, p<0.001), mediolateral centre of mass range (cm) and centre of mass coefficient of variation (%) (r=0.83, p<0.001), maximum stride angle (°) in the jog and walk (r=0.74, p=0.01) and maximum sprint stride angle and maximum shoulder internal rotation velocity (°.s−1) (r=0.67, p<0.02) were significantly correlated. Maximum sprint stride angle (hip: r=0.96, p<0.001, ankle: r=0.97, p<0.001) and maximum internal rotation velocity (ankle: r=0.6, p=0.05) were significantly correlated to overall integrated acceleration. Overall integrated acceleration was comparable between participants (CV: 10.5), whereas three-dimensional variables varied by up to 65%. Although overall integrated acceleration was comparable between participants, three-dimensional variables were much more varied. Indicating that although overall activity may be correspondent, the characteristics of a child’s movement may be highly varied.


2011 ◽  
Vol 27 (3) ◽  
pp. 258-265 ◽  
Author(s):  
Yanxin Zhang ◽  
David G. Lloyd ◽  
Amity C. Campbell ◽  
Jacqueline A. Alderson

The purpose of this study was to quantify the effect of soft tissue artifact during three-dimensional motion capture and assess the effectiveness of an optimization method to reduce this effect. Four subjects were captured performing upper-arm internal-external rotation with retro-reflective marker sets attached to their upper extremities. A mechanical arm, with the same marker set attached, replicated the tasks human subjects performed. Artificial sinusoidal noise was then added to the recorded mechanical arm data to simulate soft tissue artifact. All data were processed by an optimization model. The result from both human and mechanical arm kinematic data demonstrates that soft tissue artifact can be reduced by an optimization model, although this error cannot be successfully eliminated. The soft tissue artifact from human subjects and the simulated soft tissue artifact from artificial sinusoidal noise were demonstrated to be considerably different. It was therefore concluded that the kinematic noise caused by skin movement artifact during upper-arm internal-external rotation does not follow a sinusoidal pattern and cannot be effectively eliminated by an optimization model.


2008 ◽  
Vol 24 (1) ◽  
pp. 24-34 ◽  
Author(s):  
Kristin E. Meyer ◽  
Erin E. Saether ◽  
Emily K. Soiney ◽  
Meegan S. Shebeck ◽  
Keith L. Paddock ◽  
...  

Proper scapular motion is crucial for normal shoulder mechanics. Scapular motion affects glenohumeral joint function during throwing, yet little is known about this dynamic activity. Asymptomatic subjects (10 male and 10 female), ages 21 to 45, were analyzed. Electromagnetic surface sensors on the sternum, acromion, and humerus were used to collect 3-D motion data during three trials of low-velocity throwing. Scapular angular position data were described for five predetermined events throughout the throw corresponding with classic descriptions of throwing phases, and trial-to-trial reliability was determined. ANOVA compared scapular angles across events. Subjects demonstrated good to excellent reliability between trials of the throw (ICC 0.74–0.98). The scapula demonstrated a pattern of external rotation, upward rotation (peak of approx. 40°), and posterior tilting during the initial phases of the throw, progressing into internal rotation after maximum humeral horizontal abduction. During the arm acceleration phase, the scapula moved toward greater internal rotation and began anteriorly tilting. At maximum humeral internal rotation, the scapula ended in internal rotation (55°), upward rotation (20°), and anterior tilting (3°).


2017 ◽  
Vol 25 (1) ◽  
pp. 230949901668501 ◽  
Author(s):  
Xiaoreng Feng ◽  
Huijie Fan ◽  
Frankie Leung ◽  
Bin Chen

Purpose: This study aims at sharing our experience as how to obtain and identify axial view image of the acetabular anterior column in patients. Methods: Pelvic computed tomography data of six normal adults were used to reconstruct three-dimensional (3D) models. The transparency of each 3D model was downgraded at the view perpendicular to the cross section of the anterior column axis to simulate the anterior column axial view image. Fluoroscopy was performed in all patients to obtain the anterior column axial view image in the operating room. Each fluoroscopic image was compared with the corresponding simulation image to analyze potential anatomic landmarks that were helpful to identify the translucent area (projection of the screw path) in the patients. Results and Conclusions: To obtain ideal anterior column axial fluoroscopic image, the patient should be positioned supine with the leg of “abnormal side” straight and contralateral side flexion, abduction, and external rotation; the C-arm machine should be placed at the caudal end of the operation table with the C-arm fluoroscopic intensifier first positioned at the pelvic lateral view and then tilted approximately 30° toward the “abnormal side” and rotated approximately 45° toward the caudal end of the operation table. To identify the translucent area on the anterior column axial view fluoroscopic image obtained from the patient, the greater sciatic notch, the true pelvis edge, and the acetabulum should be identified first and the translucent area is located in the area surrounded by these three anatomic landmarks.


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