Biomechanical maturation of joint dynamics during early childhood: Updated conclusions

Dynamic parameters have been commonly explored to characterize the biomechanical maturation of children's gaits, i.e., age-revealing joint moment and power patterns similar to adult patterns. However, the literature revealed a large disparity of conclusions about maturation depending on the study, which was most likely due to an inappropriate scaling strategy and uncontrolled walking speed. With the first years of independent walking, a large growth in height and a large variability of dimensionless walking speed are observed. Moreover, the dynamic parameters were not well studied during early childhood.     

A biomechanical approach on the optimal stance of Anhanguera piscator (Pterodactyloidea) and its implications for pterosaur gait on land

The stance of pterosaurs on land is traditionally a controversial question. Here, we show that pterosaurs like Anhanguera piscator were quadrupeds. An osteological model of A. piscator was three-dimensionally built in digital space. The reconstructed muscles of its pelvic girdle were then placed on their points of origin and insertion to allow the biomechanical calculations to find the most efficient stance on land to be performed. The hindlimb readjustment (i.e. the repositioning of the hindlimb according to the achieved results) led to a pelvic counterclockwise displacement at 10°, which means that the ilium previously placed at 0° regarding an axis parallel to the ground was moved (and so the whole pelvis) 10° up from the preacetabular process. This new position prevents A. piscator from having a fully upright stance. A 10° displacement of the pelvic girdle would compel the forelimbs to be highly sprawled. Therefore, this study affords A. piscator having a quadrupedal gait and demonstrates that a bipedal stance is not viable once the lever arm values decrease abruptly both for extensor and flexor muscles during the femoral extension. This is the first time this approach is used to shed light on this question.     

Modulation of the rate of force development in hip abductor muscles by neuromuscular electrical stimulation during gait

Abstract

Purpose/aim of the study: An increase of hip abductor muscle strength contributes to the increase in gait speed. It is known that the rate of force development (RFD), an indicator of muscle strength, is increased by the combined use of low-intensity neuromuscular electrical stimulation (NMES) to the glutaeus medius (GM) and low-load resistance training (RT). However, it is unclear whether low-intensity neuromuscular electrical stimulation of the glutaeus medius during walking also increases the rate of force development. The aim of this study was to clarify whether NMES to the GM during gait modulates the RFD of the hip abductor muscles in healthy adults.

Materials and methods: Twenty-two healthy adults randomly received both gait with sub-motor threshold NMES and gait with sham NMES conditions. The RFD was assessed at pre- and post-intervention. A two-way repeated measures analysis of variance was used to analyse the effects of time and intervention.

Results: Gait with sub-motor threshold NMES condition significantly increased the RFD in shorter time interval (0–50 and 0–100?ms) compared to gait with sham NMES condition.

Conclusions: These findings suggest that the adding low-intensity NMES of the GM to gait is effective in increasing the RFD of the hip abductor muscles.     

The impact of adding trunk motion to the interpretation of the role of joint moments during normal walking

Biomechanical model assumptions affect the interpretation of the role of the muscle or joint moments to the segmental power estimated by induced acceleration analysis (IAA). We evaluated the effect of modeling the pelvis and trunk segments as two separate segments (8 SM) versus as a single segment (7 SM) on the segmental power, support of the body, knee and hip extension acceleration produced by the joint moments during the stance phase of normal walking. Significant differences were observed in the contribution of the stance hip abductor and extensor moments to support, ipsilateral knee and hip acceleration, and ipsilateral thigh and upper body power. The primary finding was that the role of the stance hip moment in generating ipsilateral thigh and upper body power differed based on degrees of freedom in the model. Secondarily, the magnitude of contributions also differed. For example, the hip abductor and extensor moments showed greater contribution to support, hip and knee acceleration in the 8 SM. IAA and segment power analysis are sensitive to the degrees of freedom between the pelvis and trunk. There is currently no gold standard by which to evaluate the accuracy of IAA predictions. However, modeling the pelvis and trunk as separate segments is closer to the anatomical architecture of the body. An 8 SM appears to be more appropriate for estimating the role of joint moments, particularly to motion of more proximal segments during normal walking.     

Muscle demand and kinematic similarities between pediatric-modified motor-assisted elliptical training at fast speed and fast overground walking: Real-world implications for pediatric gait rehabilitation

The purpose of this research was to compare children’s lower extremity muscle activity and kinematics while walking at fast pace and training at fast speeds with and without motor-assistance on a pediatric-modified motor-assisted elliptical. Twenty-one children without disabilities were recruited and fifteen completed all three training conditions at self-selected fast pace. Repeated-measures ANOVAs identified muscle demand (peak, mean, duration) differences across device conditions and fast walking. Root mean square error compared overall kinematic profiles and statistical parametric mapping identified kinematic differences between conditions. Motor-assisted training reduced lower extremity muscle demands compared to training without the motor’s assistance (16 of 21 comparisons) and to fast walking (all but one comparison). Training without the motor’s assistance required less muscle effort than fast walking (16 of 21 comparisons). Kinematic differences between device conditions and fast walking were greater distally (thigh, knee, ankle) than proximally (trunk, pelvis, hip). In summary, transitioning from training with to without the motor’s assistance promoted progressively greater activity across the lower extremity muscles studied, with sagittal plane kinematic changes most apparent at the distal joints. Our findings highlight how motor-assistance can be manipulated to customize physiologic challenges to lower extremity muscles prior to fast overground walking.     

Analysis of the spatio-temporal parameters of gaits in Dasypus novemcinctus (Xenarthra: Dasypodidae)

Armadillos comprise a particular group of armoured animals whose functional morphology of locomotion remains unclear. For the first time, the kinematic patterns of Dasypus novemcinctus are analysed. Eight specimens of nine-banded armadillos were studied at a research institute in São Paulo State, Brazil. The individuals were induced to cross a horizontal corridor and each gait performed during the time each of them was kept inside this structure was recorded to a detailed analysis posteriorly performed in a computer program. Four parameters regarding speed range were considered: stride frequency (Hz) (1/stride period), stride length (m), speed (ms⁻¹) and duty factor (%). A total of 89 strides have been analysed among symmetrical (60.6%) and asymmetrical gaits (39.4%), and six footfall patterns were here reported as follows: lateral sequences (symmetrical), transverse gallop, canter, bound, half-bound and crutch walk (asymmetrical). This kind of analysis implements our knowledge on the locomotory aspects of these animals, hence contributing to the improvement of our knowledge on this still poorly known group.     

The effect on conventional gait model kinematics and kinetics of hip joint centre equations in adult healthy gait

The Conventional Gait Model (CGM) needs to benefit from large investigations on localization of the hip joint centre (HJC). Incorrect positions from the native equations were demonstrated (Sangeux et al., 2014; Harrington et al., 2007). More accurate equations were proposed but their impact on kinematics and kinetic CGM outputs was never evaluated. This short communication aims at examining if adoption of new HJC equations would alter standard CGM outputs. Sixteen able bodied participants underwent a full 3-D optoelectronic gait analysis followed by a 3-D ultrasound localization of their hips. Data were processed through the open source python package pyCGM2 replicating kinematic and kinetic processing of the native CGM. Compared with 3D ultrasound location, Hara equations improved the accuracy of sagittal plane kinematics (0.6°) and kinetics (0.02 N m kg⁻¹) for the hip. The worst case participant exhibited Harrington’s equations reached a deviation of 3° for the sagittal kinematics. In the coronal plane, Hara and Harrington equations presented similar differences (1°) for the hip whilst Davis equations had the largest deviation for hip abduction (2.7°) and hip abductor moment (0.10 N m kg⁻¹).Both Harrington and Hara equations improved the CGM location of the HJC. Hara equations improved results in the sagittal plane, plus utilise a single anthropometrics measurement, leg length, that may be more robust. However, neither set of equations had significant effect on kinematics. We reported some effects on kinetics, particularly in the coronal plane, which warrant caution in interpreting outputs using different sets of equations.