scholarly journals The Validity and Reliability of the Microsoft Kinect for Measuring Trunk Compensation during Reaching

Sensors ◽  
2020 ◽  
Vol 20 (24) ◽  
pp. 7073
Author(s):  
Matthew H. Foreman ◽  
Jack R. Engsberg
Keyword(s):  
Repeated Measures ◽  
Elbow Flexion ◽  
Microsoft Kinect ◽  
Clinical Population ◽  
Neurological Injury ◽  
Motion Sensors ◽  
Lateral Flexion ◽  
Validity And Reliability ◽  
Trunk Flexion ◽  
Shoulder Flexion

Compensatory movements at the trunk are commonly utilized during reaching by persons with motor impairments due to neurological injury such as stroke. Recent low-cost motion sensors may be able to measure trunk compensation, but their validity and reliability for this application are unknown. The purpose of this study was to compare the first (K1) and second (K2) generations of the Microsoft Kinect to a video motion capture system (VMC) for measuring trunk compensation during reaching. Healthy participants (n = 5) performed reaching movements designed to simulate trunk compensation in three different directions and on two different days while being measured by all three sensors simultaneously. Kinematic variables related to reaching range of motion (ROM), planar reach distance, trunk flexion and lateral flexion, shoulder flexion and lateral flexion, and elbow flexion were calculated. Validity and reliability were analyzed using repeated-measures ANOVA, paired t-tests, Pearson’s correlations, and Bland-Altman limits of agreement. Results show that the K2 was closer in magnitude to the VMC, more valid, and more reliable for measuring trunk flexion and lateral flexion during extended reaches than the K1. Both sensors were highly valid and reliable for reaching ROM, planar reach distance, and elbow flexion for all conditions. Results for shoulder flexion and abduction were mixed. The K2 was more valid and reliable for measuring trunk compensation during reaching and therefore might be prioritized for future development applications. Future analyses should include a more heterogeneous clinical population such as persons with chronic hemiparetic stroke.

Kinematic Differences Exist Between the Fastball, Changeup, Curveball, and Dropball Pitch Types in Collegiate Softball Pitchers

2021 ◽  
Vol 49 (4) ◽  
pp. 1065-1072
Author(s):  
Jessica L. Downs ◽  
Nicole M. Bordelon ◽  
Kenzie B. Friesen ◽  
David M. Shannon ◽  
Gretchen D. Oliver
Keyword(s):  
Stride Length ◽  
Center Of Mass ◽  
Elbow Flexion ◽  
Trunk Rotation ◽  
Lateral Flexion ◽  
Trunk Flexion ◽  
Significant Difference ◽  
Main Effect ◽  
And Performance ◽  
Trunk Extension

Background: A majority of softball literature focuses on the mechanics associated with pain and injury within a single pitch type per study; however, the generalizability of these findings is unknown since a kinematic comparison has yet to be performed between pitch types. Understanding kinematic differences between pitch types can be used to identify risk factors for injury, improve safety guidelines, and improve performance by linking specific mechanics with desired pitch outcomes. Hypothesis/Purpose: The purpose of this study was to compare kinematics between the fastball, changeup, curveball, and dropball pitch types in collegiate softball pitchers. It was hypothesized that there would be significant kinematic differences between pitch types. Study Design: Descriptive laboratory study. Methods: A total of 28 female collegiate softball pitchers pitched 3 trials of each pitch type to a catcher at regulation distance. Pitch speed, stride length, trunk extension, trunk rotation, trunk lateral flexion, elbow flexion, and center of mass for each trial were calculated using an electromagnetic motion capture system and were averaged for analysis. A 1-way analysis of variance (ANOVA) was used to investigate pitch speed differences between the 4 pitch types. A 4 (pitch type) × 5 (event) within-athlete multivariate ANOVA was also used to determine kinematic differences. Results: The results revealed a significant difference in pitch speed between pitch types; a pitch type main effect for trunk extension, trunk rotation, trunk lateral flexion, and center of mass; and an event main effect for all variables except stride length. The results also revealed a pitch type by event interaction for trunk flexion, trunk lateral flexion, and center of mass. Specifically, the dropball type had less trunk extension than the fastball at all pitching events. Similarly, the curveball type had a more posteriorly shifted center of mass than the dropball at the last 3 pitching events of foot contact, ball release and follow-through. Conclusion: Significant kinematic differences exist between pitch types, but these differences may be necessary to execute desired pitch outcomes. Clinical Relevance: This is the first study to analyze kinematic differences between pitch types in softball pitchers. Understanding the effects of different pitch types on kinematic parameters may enhance injury prevention and performance strategies for softball pitchers.

Biomechanical Evaluation of Back-Support Exoskeletons during Patient Transfers

2021 ◽  
Vol 65 (1) ◽  
pp. 408-412
Author(s):  
Jaejin Hwang ◽  
Venkata Naveen Kumar Yerriboina ◽  
Hemateja Ari ◽  
Jeong Ho Kim
Keyword(s):  
Repeated Measures ◽  
Patient Transfer ◽  
Erector Spinae ◽  
Lateral Flexion ◽  
Trunk Flexion ◽  
Patient Handling ◽  
Patient Transfers ◽  
Erector Spinae Muscle ◽  
Transfer Method ◽  
Voluntary Contractions

The purpose of this study was to investigate the effects of three back-support exoskeletons (FLx ErgoSkeleton, V22 ErgoSkeleton, Laevo V2.5) and patient transfer methods (Squat pivot, stand pivot, scoot) on the musculoskeletal loading and self-reported usability measures during patient transfers between a bed and a wheelchair. In a repeated-measures laboratory study, 20 experienced caregivers (17 females and 3 males) performed a series of 24 bed-to-wheelchair transfer tasks (2 directions × 4 exoskeleton conditions × 3 patient transfer methods). The trunk flexion and lateral flexion angles, bilateral hand pull forces, and muscle activities of the erector spinae were significantly different by exoskeleton conditions and patient transfer methods (p’s < 0.01). The usability measures were significantly affected by exoskeleton designs (p’s < 0.01). There were significant two-way interaction effects on the trunk flexion and lateral flexion angles and muscle activities of the erector spinae (p’s < 0.01). For the squat pivot method, three back-support exoskeletons showed the largest reduction of erector spinae muscle activities (47.4 to 83.5% reference voluntary contractions) compared to no exoskeleton. This indicated the effects of exoskeleton conditions on the trunk postures and erector spinae muscle activities depended on the patient transfer method. More research could be needed to improve the trunk postures and usability of back-support exoskeletons suitable for patient handling.

scholarly journals SINGLE LEG SQUAT COMPENSATIONS ASSOCIATE WITH SOFTBALL PITCHING PATHOMECHANICS IN ADOLESCENT SOFTBALL PITCHERS

2021 ◽  
Vol 9 (7_suppl3) ◽  
pp. 2325967121S0006
Author(s):  
Gretchen D. Oliver ◽  
Kenzie B. Friesen ◽  
Regan E. Shaw ◽  
David Shannon ◽  
Jeffrey Dugas ◽  
...  
Keyword(s):  
Center Of Mass ◽  
Knee Valgus ◽  
Trunk Rotation ◽  
Lateral Flexion ◽  
Trunk Flexion ◽  
Backward Elimination ◽  
Potential Risk Factors ◽  
Single Leg Squat ◽  
Tracking Device ◽  
The Relationship

Background: Softball pitchers have an eminent propensity for injury due to the high repetition and ballistic nature of the pitch. As such, trunk pathomechanics during pitching have been associated with upper extremity pain. The single leg squat (SLS) is a simple diagnostic tool used to examine LPHC and trunk stability. Research shows a lack of LPHC stability is often associated with altered pitching mechanics consequently increasing pain and injury susceptibility. Hypothesis/Purpose: The purpose of this study was to examine the relationship between trunk compensatory kinematics during the SLS and kinematics during foot contact of the windmill pitch. The authors hypothesized there would be a relationship between SLS compensations and pitch kinematics previously associated with injury. In using a simple clinical assessment such as the SLS, athletes, coaches, parents, and clinicians can identify potential risk factors that may predispose the athlete to injurious movement patterns. Methods: Fifty-five youth and high school softball pitchers (12.6±2.2 years, 160.0±11.0 cm, 60.8±15.5 kg) were recruited to participate. Kinematic data were collected at 100Hz using an electromagnetic tracking device. Participants were asked to complete a SLS on their stride leg (contralateral to their throwing arm), then throw 3 fastballs at maximal effort. Values of trunk flexion, trunk lateral flexion, and trunk rotation at peak depth of the SLS were used as the dependent variables in three separate backward elimination regression analyses. Independent variables examined at foot contact of the pitch included: trunk flexion, trunk lateral flexion, trunk rotation, center of mass, stride length, and stride knee valgus. Results: The SLS trunk rotation regression, F(1,56) = 4.980, p = .030, revealed trunk flexion significantly predicted SLS trunk rotation (SE = .068, t = 2.232, p = .030) and explained approximately 7% of variance (Adj. R2 = .066). The SLS trunk flexion regression, F(1,56) = 5.755, p = .020, revealed stride knee valgus significantly predicted SLS trunk flexion (SE = .256, t = 2.399, p = .020) and explained approximately 8% of variance (Adj. R2 = .078). Conclusion/Significance: Additional trunk rotation and trunk flexion at peak depth of the SLS indicate increased knee valgus and trunk flexion at foot contact of the pitch, both of which suggest poor LPHC stability, may increase the potential for injury. Athletes, coaches and clinicians should acknowledge the risk of poor LPHC in softball pitching and implement exercises to improve LPHC stability in effort to decrease pitching pathomechanics and associated pain.

scholarly journals GAMBARAN KEKUATAN OTOT PADA LANSIA DI BPLU SENJA CERAH PANIKI BAWAH

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Prisilia M. Pinontoan ◽  
Sylvia R. Marunduh ◽  
Herlina I. S. Wungouw
Keyword(s):  
Muscle Strength ◽  
Elderly Women ◽  
Elbow Flexion ◽  
Knee Extension ◽  
Shoulder Abduction ◽  
Elderly Men ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Shoulder Flexion ◽  
Cross Sectional Design

Abstract: The aim of this study was to find out the profile of muscle strength on elderly at BPLU Senja Cerah Paniki Bawah. This was a descriptive study with cross sectional design. There were 26 respondents who met the inclusion criteria, consisted of 10 elderly men and 16 elderly women. Respondents were selected by using purposive sampling method. The measurements of the muscle strength were done by using 1 RM method while doing elbow flexion, elbow extension, shoulder flexion, shoulder extension, shoulder abduction, knee flexion, knee extension and dorsoflexion. Data were analyzed manually and computerized then presented in tabular form. The result shows that the average muscle strength in elderly men were greater than women and the average muscle strength of respondents that were included in the age group 60-79 years old were greater than those in 80-99 years.Keywords: muscle strength, elderly.1 RMAbstrak: Tujuan dari penelitian ini yaitu untuk mengetahui gambaran kekuatan otot pada Lansia di BPLU Senja Cerah Paniki Bawah. Penelitian ini merupakan peneliltian deskriptif dengan rancangan potong lintang. Responden yang memenuhi kriteria inklusi terdiri dari 26 orang yang terdiri dari 10 orang laki-laki dan 16 orang perempuan. Sampel dipilih menggunakan cara purposive sampling. Kekuatan otot pada lansia diukur dengan menggunakan metode 1 RM yang diukur pada gerakan fleksi siku, ekstensi siku, fleksi bahu, ekstensi bahu, abduksi bahu, fleksi lutut, ekstensi lutut serta dorsofleksi. Data yang sudah didapatkan kemudian dikumpul dan diolah secara manual dan komputerisasi serta disajikan dalam bentuk tabel. Hasil penelitian menunjukkan rerata kekuatan otot responden laki-laki lebih besar dibanding perempuan dan rerata kekuatan responden yang termasuk dalam kelompok umur 60-79 tahun lebih besar dibanding kelompok umur 80-99 tahun.Kata kunci: kekuatan otot, lansia, 1 RM.

scholarly journals Validity and Reliability of a Smartphone App for Gait and Balance Assessment

Sensors ◽  
2021 ◽  
Vol 22 (1) ◽  
pp. 124
Author(s):  
Usman Rashid ◽  
David Barbado ◽  
Sharon Olsen ◽  
Gemma Alder ◽  
Jose L. L. Elvira ◽  
...  
Keyword(s):  
Repeated Measures ◽  
Postural Stability ◽  
Step Length ◽  
Repetition Effect ◽  
Validity And Reliability ◽  
Balance Assessment ◽  
Compliant Surface ◽  
Eyes Closed ◽  
Straight Line ◽  
Gait Parameters

Advances in technology provide an opportunity to enhance the accuracy of gait and balance assessment, improving the diagnosis and rehabilitation processes for people with acute or chronic health conditions. This study investigated the validity and reliability of a smartphone-based application to measure postural stability and spatiotemporal aspects of gait during four static balance and two gait tasks. Thirty healthy participants (aged 20–69 years) performed the following tasks: (1) standing on a firm surface with eyes opened, (2) standing on a firm surface with eyes closed, (3) standing on a compliant surface with eyes open, (4) standing on a compliant surface with eyes closed, (5) walking in a straight line, and (6) walking in a straight line while turning their head from side to side. During these tasks, the app quantified the participants’ postural stability and spatiotemporal gait parameters. The concurrent validity of the smartphone app with respect to a 3D motion capture system was evaluated using partial Pearson’s correlations (rp) and limits of the agreement (LoA%). The within-session test–retest reliability over three repeated measures was assessed with the intraclass correlation coefficient (ICC) and the standard error of measurement (SEM). One-way repeated measures analyses of variance (ANOVAs) were used to evaluate responsiveness to differences across tasks and repetitions. Periodicity index, step length, step time, and walking speed during the gait tasks and postural stability outcomes during the static tasks showed moderate-to-excellent validity (0.55 ≤ rp ≤ 0.98; 3% ≤ LoA% ≤ 12%) and reliability scores (0.52 ≤ ICC ≤ 0.92; 1% ≤ SEM% ≤ 6%) when the repetition effect was removed. Conversely, step variability and asymmetry parameters during both gait tasks generally showed poor validity and reliability except step length asymmetry, which showed moderate reliability (0.53 ≤ ICC ≤ 0.62) in both tasks when the repetition effect was removed. Postural stability and spatiotemporal gait parameters were found responsive (p < 0.05) to differences across tasks and test repetitions. Along with sound clinical judgement, the app can potentially be used in clinical practice to detect gait and balance impairments and track the effectiveness of rehabilitation programs. Further evaluation and refinement of the app in people with significant gait and balance deficits is needed.

scholarly journals Side-to-side elbow range of movement variability in an ulnar neurodynamic test sequence variant in asymptomatic people

2018 ◽  
Vol 38 (02) ◽  
pp. 133-139 ◽  
Author(s):  
Michelle Meng Yim Tong ◽  
Vincent Cheng-Hsin Liu ◽  
Toby Hall
Keyword(s):  
Repeated Measures ◽  
Elbow Flexion ◽  
Background Information ◽  
Test Sequence ◽  
Sequence Variant ◽  
Movement Variability ◽  
Range Of Movement ◽  
Difference Formula ◽  
Significant Difference ◽  
Opposite Limb

Background: Range of motion (ROM) asymmetry between sides is one indicator of a positive neurodynamic test, but this has been less well studied for the ulnar nerve. Objective: The purpose of this study was to investigate side-to-side variation in elbow ROM during an ulnar neurodynamic test sequence, including contralateral cervical side flexion, in 40 asymptomatic subjects. Methods: A traditional goniometer was used to measure elbow flexion ROM at two end points, onset of resistance ([Formula: see text]1) and symptom onset ([Formula: see text]1). Two repeated measures of [Formula: see text]1 and [Formula: see text]1 were taken on each side. Results: Reliability for [Formula: see text]1 and [Formula: see text]1 was found to be good (ICC [Formula: see text], SEM [Formula: see text]) with no significant difference in mean ROM between sides. A significant relationship between sides was seen ([Formula: see text] values [Formula: see text]) and [Formula: see text] values [Formula: see text]; this indicates at least 23% of the variance observed in one limb was accounted for by range in the opposite limb. This relationship was slightly stronger for [Formula: see text]1 than [Formula: see text]1. Lower bound scores indicate that intra-individual ROM difference [Formula: see text] for [Formula: see text]1 and 22° for [Formula: see text]1 would exceed normal ROM asymmetry. Conclusion: These findings provide clinicians with background information of ROM asymmetry during the ulnar neurodynamic test.

Maximal Isometric Muscle Strength and Socioeconomic Status, Health, and Physical Activity in 75-Year-Old Persons

1994 ◽  
Vol 2 (3) ◽  
pp. 206-220 ◽  
Author(s):  
Taina Rantanen ◽  
Pertti Era ◽  
Markku Kauppinen ◽  
Eino Heikkinen
Keyword(s):  
Physical Activity ◽  
Socioeconomic Status ◽  
Health Indicators ◽  
Elbow Flexion ◽  
The Elderly ◽  
Knee Extension ◽  
Isometric Strength ◽  
Musculoskeletal Symptoms ◽  
Trunk Flexion ◽  
Self Rated Health

This study analyzes the associations of socioeconomic status (SES), health, and physical activity with maximal isometric strength in 75-year-old men (n= 104) and women (n= 191). Maximal isometric strength was measured with dynamometers; the forces were adjusted using body weight. The maximal forces for women varied from 66% (trunk flexion) to 73% (knee extension) of those of the men. SES was not associated with muscle force. For men the trunk forces and elbow flexion force correlated negatively with the number of chronic diseases, index of musculoskeletal pain, and self-rated health. For women all the strength test results correlated with self-rated health; the other health indicators showed significant correlation with trunk extension force only. For both sexes the physically more active exhibited greater strength. The index of musculoskeletal symptoms explained the variance on trunk force factor in both sexes. It was concluded that a higher level of everyday physical activity and good values in the state-of-health indicators were the most important variables explaining greater strength among the elderly.

Tinnitus and Hearing Survey: A Polish Study of Validity and Reliability in a Clinical Population

2017 ◽  
Vol 22 (4-5) ◽  
pp. 197-204 ◽  
Author(s):  
Danuta Raj-Koziak ◽  
Elzbieta Gos ◽  
Joanna Rajchel ◽  
Adam Piłka ◽  
Henryk Skarżyński ◽  
...  
Keyword(s):  
Clinical Population ◽  
Validity And Reliability ◽  
Polish Study

scholarly journals The Reliability and Validity of Wearable Inertial Sensors Coupled with the Microsoft Kinect to Measure Shoulder Range-of-Motion

Sensors ◽  
2020 ◽  
Vol 20 (24) ◽  
pp. 7238
Author(s):  
Peter Beshara ◽  
Judy F. Chen ◽  
Andrew C. Read ◽  
Pierre Lagadec ◽  
Tian Wang ◽  
...  
Keyword(s):  
Construct Validity ◽  
Range Of Motion ◽  
Inertial Sensors ◽  
Objective Assessment ◽  
Reliability And Validity ◽  
Human Movement ◽  
Microsoft Kinect ◽  
Rater Reliability ◽  
Shoulder Range Of Motion ◽  
Shoulder Flexion

Background: Objective assessment of shoulder joint active range of motion (AROM) is critical to monitor patient progress after conservative or surgical intervention. Advancements in miniature devices have led researchers to validate inertial sensors to capture human movement. This study investigated the construct validity as well as intra- and inter-rater reliability of active shoulder mobility measurements using a coupled system of inertial sensors and the Microsoft Kinect (HumanTrak). Methods: 50 healthy participants with no history of shoulder pathology were tested bilaterally for fixed and free ROM: (1) shoulder flexion, and (2) abduction using HumanTrak and goniometry. The repeat testing of the standardised protocol was completed after seven days by two physiotherapists. Results: All HumanTrak shoulder movements demonstrated adequate reliability (intra-class correlation (ICC) ≥ 0.70). HumanTrak demonstrated higher intra-rater reliability (ICCs: 0.93 and 0.85) than goniometry (ICCs: 0.75 and 0.53) for measuring free shoulder flexion and abduction AROM, respectively. Similarly, HumanTrak demonstrated higher intra-rater reliability (ICCs: 0.81 and 0.94) than goniometry (ICCs: 0.70 and 0.93) for fixed flexion and abduction AROM, respectively. Construct validity between HumanTrak and goniometry was adequate except for free abduction. The differences between raters were predominately acceptable and below ±10°. Conclusions: These results indicated that the HumanTrak system is an objective, valid and reliable way to assess and track shoulder ROM.

scholarly journals Educational attainment trajectories among children and adolescents with depression, and the role of sociodemographic characteristics: longitudinal data-linkage study

2020 ◽  
pp. 1-7
Author(s):  
Alice Wickersham ◽  
Hannah Dickson ◽  
Rebecca Jones ◽  
Megan Pritchard ◽  
Robert Stewart ◽  
...  
Keyword(s):  
Educational Attainment ◽  
Ethnic Groups ◽  
Repeated Measures ◽  
Reference Population ◽  
Linkage Study ◽  
Clinical Population ◽  
Sociodemographic Characteristics ◽  
Depression Diagnosis ◽  
Educational Trajectories ◽  
School Year

Background Depression is associated with lower educational attainment, but there has been little investigation of long-term educational trajectories in large cohorts with diagnosed depression. Aims To describe the educational attainment trajectories of children with a depression diagnosis in secondary care, and to investigate whether these trajectories vary by sociodemographic characteristics. Method We identified new referrals to South London and Maudsley's NHS Foundation Trust between 2007 and 2013 who received a depression diagnosis at under 18 years old. Linking their health records to the National Pupil Database, we standardised their performance on three assessments (typically undertaken at ages 6–7 years (school Year 2), 10–11 (Year 6) and 15–16 (Year 11)) relative to the local reference population in each academic year. We used mixed models for repeated measures to estimate attainment trajectories. Results In our sample of 1492 children, the median age at depression diagnosis was 15 years (interquartile range = 14–16). Their attainment showed a decline between school Years 6 and 11. Attainment was consistently lower among males and those eligible for free school meals. Black ethnic groups also showed lower attainment than White ethnic groups between Years 2 and 6, but showed a less pronounced drop in attainment at Year 11. Conclusions Those who receive a depression diagnosis during their school career show a drop in attainment in Year 11. Although this pattern was seen among multiple sociodemographic groups, gender, ethnicity and socioeconomic status predict more vulnerable subgroups within this clinical population who might benefit from additional educational support or more intensive treatment.

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