Thoracic injury potential of basic competition taekwondo kicks.

A major concern in competition taekwondo is the injury potential posed by many of the powerful kicks used. An investigation of the kinetics of four kicks frequently used in competition was performed with high speed video. Velocities were measured, and energy was calculated. Typical values for basic swing kicks were 15 ms-1 and 200 J. Basic thrust kicks possessed 45% less velocity but 28% more energy than swing kicks. Linkage models were developed to simulate the motion and kinetics of the kicking leg. Injury potential was evaluated through thoracic compression and viscous criterion models. These models predict a significant probability of serious injury with all kicks, with thoracic deflections from 3 to 5 cm and peak viscous tolerance values from 0.9-1.4 ms-1, when no protective body equipment is used.     

Analysis of Biomechanical Characteristics of Football Players at Different Levels Kicking with the Inner Edge of Instep

This study aims to analyze the difference in biomechanical properties of football players at different levels when kicking the football with the inner edge of the instep. Before the experiment, ten football players were selected; five were higher than the national level (group A), and the other five players were lower than the national level II (group B). During the experiment, the motion process was captured by a high-speed camera for biomechanical analysis. It was found that in group A, the thigh and leg swung in less time and larger amplitude, the acceleration of backswing and forward swing of the leg was larger, and the angular velocity of forward swing was also larger. At the moment of touching the ball, in the sagittal plane, the ankle joint angle and angular velocity of group A were larger than those of group B (P < 0.05). In conclusion, the high-level athletes can complete the high-quality kicking through a larger swing amplitude and speed of the kicking leg. In the training process, the athletes should pay attention to the speed and strength of the kicking leg to improve the kicking level.     

Mechanisms that influence accuracy of the soccer kick

Goal scoring represents the ultimate purpose of soccer and this is achieved when players perform accurate kicks. The purpose of the present study was to compare accurate and inaccurate soccer kicks aiming to top and bottom targets. Twenty-one soccer players performed consecutive kicks against top and bottom targets (0.5 m²) placed in the center of the goal. The kicking trials were categorized as accurate or inaccurate. The activation of tibialis anterior (TA), rectus femoris (RF), biceps femoris (BF) and gastrocnemius muscle (GAS) of the swinging leg and the ground reaction forces (GRFs) of the support leg were analyzed. The GRFs did not differ between kicking conditions (P > 0.05). There was significantly higher TA and BF and lower GAS EMG activity during accurate kicks to the top target (P < 0.05) compared with inaccurate kicks. Furthermore, there was a significantly lower TA and RF activation during accurate kicks against the bottom target (P < 0.05) compared with inaccurate kicks. Enhancing muscle activation of the TA and BF and reducing GAS activation may assist players to kick accurately against top targets. In contrast, players who display higher TA and RF activation may be less accurate against a bottom target. It was concluded that muscle activation of the kicking leg represents a significant mechanism which largely contributes to soccer kick accuracy.     

Modeling the two-dimensional accuracy of soccer kicks

In many sports, athletes perform motor tasks that simultaneously require both speed and accuracy for success, such as kicking a ball. Because of the biomechanical trade-off between speed and accuracy, athletes must balance these competing demands. Modelling the optimal compromise between speed and accuracy requires one to quantify how task speed affects the dispersion around a target, a level of experimental detail not previously addressed. Using soccer penalties as a system, we measured two-dimensional kicking error over a range of speeds, target heights, and kicking techniques. Twenty experienced soccer players executed a total of 8466 kicks at two targets (high and low). Players kicked with the side of their foot or the instep at ball speeds ranging from 40% to 100% of their maximum. The inaccuracy of kicks was measured in horizontal and vertical dimensions. For both horizontal and vertical inaccuracy, variance increased as a power function of speed, whose parameter values depended on the combination of kicking technique and target height. Kicking precision was greater when aiming at a low target compared to a high target. Side-foot kicks were more accurate than instep kicks. The centre of the dispersion of shots shifted as a function of speed. An analysis of the covariance between horizontal and vertical error revealed right-footed kickers tended to miss below and to the left of the target or above and to the right, while left-footed kickers tended along the reflected axis. Our analysis provides relationships needed to model the optimal strategy for penalty kickers.     

Neuromuscular performance of Bandal Chagui: Comparison of subelite and elite taekwondo athletes

With the aim of comparing kinematic and neuromuscular parameters of Bandal Chagui kicks between 7 elite and 7 subelite taekwondo athletes, nine Bandal Chaguis were performed at maximal effort in a selective reaction time design, simulating the frequency of kicks observed in taekwondo competitions. Linear and angular leg velocities were recorded through 3D motion capture system. Ground reaction forces (GRF) were evaluated by a force platform, and surface electromyographic (sEMG) signals were evaluated in the vastus lateralis, biceps femoris, rectus femoris, tensor fasciae lata, adductor magnus, gluteus maximus, gluteus medius, and gastrocnemius lateralis muscles of the kicking leg. sEMG data were processed to obtain the cocontraction indices (CI) of antagonist vs. overall (agonist and antagonist) muscle activity. CI was measured for the hip and knee, in flexion and extension, and for hip abduction. Premotor, reaction (kinetic and kinematic), and kicking times were evaluated. Timing parameters, except kinetic reaction time, were faster in elite athletes. Furthermore, CI and angular velocity during knee extension, foot and knee linear velocity, and horizontal GRF were significantly higher in elite than in subelite athletes. In conclusion, selected biomechanical parameters of Bandal Chagui appear to be useful in controlling the training status of the kick and in orienting the training goal of black belt competitors.     

Avoidance reaction and defensive reflex in the rabbit based on hypothalamic stimulation inducing strokes of the paws

In experiments on rabbits electrical stimulation of the medial hypothalamic area elicited a biphasic reaction: running during the current action and species-specific reaction of kicking the floor with the hind limbs in poststimulous period. Conditioning with acoustic stimulus led in the half of rabbits to elaboration of a habit of jumping on a safe platform in experimental model of active avoidance and to a weak conditioned reaction of kicking without running in the model of classical defensive reflex. The number of conditioned limb kicks was 7-10 times less than that of analogous responses to the reinforcing stimulus. With the increase of the number of combinations, the conditioned habit of kicking became deteriorated: the response became weaker and its latency more prolonged. The results of experiments are discussed in the light of Anokhin's theory of functional system of goal-directed behavioural act.     

The influence of pedaling rate on bilateral asymmetry in cycling.

The objectives of this study were to (1) determine whether bilateral asymmetry in cycling changed systematically with pedaling rate, (2) determine whether the dominant leg as identified by kicking contributed more to average power over a crank cycle than the other leg, and (3) determine whether the dominant leg asymmetry changed systematically with pedaling rate. To achieve these objectives, data were collected from 11 subjects who pedaled at five different pedaling rates ranging from 60 to 120 rpm at a constant workrate of 260 W. Bilateral pedal dynamometers measured two orthogonal force components in the plane of the bicycle. From these measurements, asymmetry was quantified by three dependent variables, the percent differences in average positive power (%AP), average negative power (%AN), and average crank power (%AC). Differences were taken for two cases--with respect to the leg generating the greater total average for each power quantity at 60 rpm disregarding the measure of dominance, and with respect to the dominant leg as determined by kicking. Simple linear regression analyses were performed on these quantities both for the subject sample and for individual subjects. For the subject sample, only the percent difference in average negative power exhibited a significant linear relationship with pedaling rate; as pedaling rate increased, the asymmetry decreased. Although the kicking dominant leg contributed significantly greater average crank power than the non-dominant leg for the subject sample, the non-dominant leg contributed significantly greater average positive power and average negative power than the dominant leg. However, no significant linear relationships for any of these three quantities with pedaling rate were evident for the subject sample because of high variability in asymmetry among the subjects. For example, significant linear relationships existed between pedaling rates and percent difference in total average power per leg for only four of the 11 subjects and the nature of these relationships was different (e.g. positive versus negative slopes). It was concluded that pedaling asymmetry is highly variable among subjects and that individual subjects may exhibit different systematic changes in asymmetry with pedaling rate depending on the quantity of interest.     

Evaluation of a composite test of kicking performance

The aim of this study was to evaluate the reliability and sensitivity of variables for the direct assessment of kicking performance in young soccer players. One hundred and six elite young soccer players were divided into 4 age groups (12-15 years). Absolute error (AE), variable error (VE), and constant error (CE) were evaluated as the variables of kicking accuracy, whereas the kicking velocity variables involved the maximum ball velocity (BVmax) and the ball velocity during accurate kicks (BVacc). Results suggested low-to-moderate reliability of the kicking accuracy (intraclass correlation coefficient [ICC] = 0.00-0.67) and high reliability of the kicking velocity variables (ICC = 0.87-0.94). Regarding the sensitivity, most of the variables detected the differences both between the dominant and nondominant legs and among the age groups. Because the evaluated variables should have a property of face validity, the findings obtained generally suggest that AE (and perhaps VE, as the measures of kicking accuracy) and both BVmax and BVacc (as the measures of kicking velocity) could be used within a routine composite test of kicking performance in young elite soccer players. Further development of the evaluated composite test of kicking performance could be based on the involvement of other kicking techniques and on testing the athletes of different ages, levels of skill, or sport specialization.     

Thermal biofeedback and periodic movements in sleep: Patients' subjective reports and a case study

Periodic movements in sleep (PMS) is a sleep disorder characterized by repetitive leg kicks accompanied by arousals. In our clinical experience, many patients with PMS anecdotally report that they suffer from cold feet. This study explored whether there is an increased incidence of cold feet complaints in patients with periodic movements in sleep. Results indicated that, indeed, significantly more patients with leg kicks complain of cold feet as compared to patients without leg kicks. A case study was then conducted to determine whether foot thermal biofeedback training would alleviate symptoms of periodic movements in sleep. The number of leg kicks decreased from a mean of 536 per night before biofeedback training to a mean of 19.5 after training. These data lend support to our hypothesis that poor circulation may be contributing to the severity of periodic movements in sleep and that thermal biofeedback may afford an alternative treatment strategy.     

Thermal biofeedback and periodic movements in sleep: patients' subjective reports and a case study

Periodic movements in sleep (PMS) is a sleep disorder characterized by repetitive leg kicks accompanied by arousals. In our clinical experience, many patients with PMS anecdotally report that they suffer from cold feet. This study explored whether there is an increased incidence of cold feet complaints in patients with periodic movements in sleep. Results indicated that, indeed, significantly more patients with leg kicks complain of cold feet as compared to patients without leg kicks. A case study was then conducted to determine whether foot thermal biofeedback training would alleviate symptoms of periodic movements in sleep. The number of leg kicks decreased from a mean of 536 per night before biofeedback training to a mean of 19.5 after training. These data lend support to our hypothesis that poor circulation may be contributing to the severity of periodic movements in sleep and that thermal biofeedback may afford an alternative treatment strategy.     

Metabolic energy and muscular activity required for leg swing in running.

The metabolic cost of leg swing in running is highly controversial. We investigated the cost of initiating and propagating leg swing at a moderate running speed and some of the muscular actions involved. We constructed an external swing assist (ESA) device that applied small anterior pulling forces to each foot during the first part of the swing phase. Subjects ran on a treadmill at 3.0 m/s normally and with ESA forces up to 4% body weight. With the greatest ESA force, net metabolic rate was 20.5% less than during normal running. Thus we infer that the metabolic cost of initiating and propagating leg swing comprises approximately 20% of the net cost of normal running. Even with the greatest ESA, mean electromyograph (mEMG) of the medial gastrocnemius and soleus muscles during later portions of stance phase did not change significantly compared with normal running, indicating that these muscles are not responsible for the initiation of leg swing. However, with ESA, rectus femoris mEMG during the early portions of swing phase was as much as 74% less than during normal running, confirming that it is responsible for the propagation of leg swing.     

Biomimetic Design and Optimal Swing of a Hexapod Robot Leg

Biological inspiration has spawned a wealth of solutions to both mechanical design and control schemes in the efforts to develop agile legged machines. This paper presents a compliant leg mechanism for a small six-legged robot, HITCR-ll, based on abstracted anatomy from insect legs. Kinematic structure, relative proportion of leg segment lengths and actuation system were analyzed in consideration of anatomical structure as well as muscle system of insect legs and desired mobility. A spring based passive compliance mechanism inspired by musculoskeletal structures of biological systems was integrated into distal segment of the leg to soften foot impact on touchdown. In addition, an efficient locomotion planner capable of generating natural movements for the legs during swing phase was proposed. The problem of leg swing was formulated as an optimal control procedure that satisfies a series of locomotion task terms while minimizing a biologically-based objective function, which was solved by a Gauss Pseudospectral Method （GPM） based numerical technique. We applied this swing generation algorithm to both a simulation platform and a robot prototype. Results show that the proposed leg structure and swing planner are able to successfully perform effective swing movements on rugged terrains.     

A joint kinetic analysis of rugby place kicking technique to understand why kickers achieve different performance outcomes

We aimed to identify differences in kicking leg and torso mechanics between groups of rugby place kickers who achieve different performance outcomes, and to understand why these features are associated with varying levels of success. Thirty-three experienced place kickers performed maximum effort place kicks, whilst three-dimensional kinematic (240 Hz) and ground reaction force (960 Hz) data were recorded. Kicking leg and torso mechanics were compared between the more successful (‘long’) kickers and two sub groups of less successful kickers (’short’ and ‘wide-left’) using magnitude-based inferences and statistical parametric mapping. Short kickers achieved substantially slower ball velocities compared with the long kickers (20.8 ± 2.2 m/s vs. 27.6 ± 1.7 m/s, respectively) due to performing substantially less positive hip flexor (normalised mean values = 0.071 vs. 0.092) and knee extensor (0.004 vs. 0.009) joint work throughout the downswing, which may be associated with their more front-on body orientation, and potentially a lack of strength or intent. Wide-left kickers achieved comparable ball velocities (26.9 ± 1.6 m/s) to the long kickers, but they were less accurate due to substantially more longitudinal ball spin and a misdirected linear ball velocity. Wide-left kickers created a tension arc across the torso and therefore greater positive hip flexor joint work (normalised mean = 0.112) throughout the downswing than the long kickers. Whilst this may have assisted kicking foot velocity, it also induced greater longitudinal torso rotation during the downswing, and may have affected the ability of the hip to control the direction of the foot trajectory.     

重症颅脑损伤合并胸外伤患者的救治和预后研究

目的:探讨重症颅脑损伤合并胸外伤患者的临床救治要点和预后。方法:对2006年1月至2015年12月陕西省森工医院收治的重型颅脑损伤及重型颅脑损伤合并胸外伤患者的临床资料进行回顾性研究,并随访观察其预后情况。结果:我院10年间收治单纯重症颅脑损伤患者137例及重症颅脑损伤合并胸外伤患者86例,单纯重症颅脑损伤患者死亡率为9.5(13/137),主要死亡原因为:脑内出血(36/26.3%)、脑挫裂伤(31/22.6%)、呼吸衰竭(27/19.7%)等;重症颅脑损伤合并胸外伤患者死亡率为17.4(15/86),主要死亡原因为:呼吸衰竭(18/20.9%)、脑挫裂伤(18/20.9%)、脑内出血(15/17.4%)等。单纯重症颅脑损伤患者手术时间为187.6±11.3分钟、术后住院时间为10.9±1.8天、肢体运动障碍12例(8.8%)、植物生存2例(1.5%);重症颅脑损伤合并胸外伤患者手术时间为265.4±18.9分钟、术后住院时间为14.3±2.1天、肢体运动障碍10例(11.6%)、植物生存3例(3.5%)。其中,两组间在手术时间、术后住院时间及肢体运动障碍方面有统计学差异。结论:重症颅脑损伤合并胸外伤较单纯重症颅脑损伤的致死率更高,手术时间长,术后并发症发生率更高,术后住院天数较长。对于重症颅脑损伤合并胸外伤的患者,应尽量保全肢体功能,提高患者存活率和术后生活质量。     

Hamstring muscle kinematics and activation during overground sprinting

Hamstring muscle strain injury is one of the most commonly seen injuries in sports such as track and field, soccer, football, and rugby. The purpose of this study was to advance our understanding of the mechanisms of hamstring muscle strain injuries during over ground sprinting by investigating hamstring muscle-tendon kinematics and muscle activation. Three-dimensional videographic and electromyographic (EMG) data were collected for 20 male runners, soccer or lacrosse players performing overground sprinting at their maximum effort. Hamstring muscle-tendon lengths, elongation velocities, and linear envelop EMG data were analyzed for a running gait cycle of the dominant leg. Hamstring muscles exhibited eccentric contractions during the late stance phase as well as during the late swing phase of overground sprinting. The peak eccentric contraction speeds of the hamstring muscles were significantly greater during the late swing phase than during the late stance phase (p=0.001) while the hamstring muscle-tendon lengths at the peak eccentric contraction speeds were significantly greater during the late stance phase than during the late swing phase (p=0.001). No significant differences existed in the maximum hamstring muscle-tendon lengths between the two eccentric contractions. The potential for hamstring muscle strain injury exists during the late stance phase as well as during the late swing phases of overground sprinting.     

Relation between the dynamics of a species-specific motor reaction and the duration of diencephalic stimulation

Species-specific reaction of thumping behaviour with the hind limbs in response to electrical stimulation of the ventromedial, dorsomedial and caudal parts of the hypothalamus was studied in chronic experiments on rabbits. Reaction of avoidance dominated during current action of various durations (1-20 s). The specific reaction under study appeared after the termination of stimulation and lasted for 30-120 s. The number of kicks in response to single stimulation depended on its duration (T). With T rising from 1 to 10 s, the number of kicks increased; with T being equal to 20 s, it decreased. The latency of the first kick after the termination of stimulation regularily increased with increase of its duration, and reaction intensity maxima shifted to the right along the axis of time. Possible mechanisms of limb kicking behaviour are discussed based on a transition of avoidance reaction during stimulus action to emotional reaction in post-stimulus period.     

Miss to the Right: The Effect of Attentional Asymmetries on Goal-Kicking

Cerebral asymmetries for spatial attention generate a bias of attention – causing lines to be bisected to the left or right in near (within reach) and far (outside reach) space, respectively. This study explored whether the rightward deviation for bisecting lines in far space extends to tasks where a ball is aimed between two goal-posts. Kicking was assessed in a laboratory and a real-life setting. In the laboratory setting, 212 participants carried out three conditions: (a) kick a soccer ball at a single goal post, (b) kick a soccer ball between two goal posts and (c) use a stick to indicate the middle between two goal posts. The goals were placed at a distance of 4.0 m. There was no deviation in the one-goal kicking condition – demonstrating that no asymmetries exist in the perceptual motor system when aiming at a single point. When kicking or pointing at the middle between two goal posts, rightward deviations were observed. In the real-world setting, the number of misses to the left or right of goal (behinds) in the Australian Rules football for the 2005–2009 seasons was assessed. The data showed more rightward deviations for kicks at goal. Combined, the studies suggest that the rightward deviation for lines placed in far space extends to the kicking of a football in laboratory and real-life settings. This asymmetry in kicking builds on a body of research showing that attentional asymmetries impact everyday activities.     

Posterior acceleration as a mechanism of blunt traumatic injury of the aorta

Rupture of the thoracic aorta is a leading cause of rapid fatality in automobile crashes, but the exact mechanisms of this injury remain unidentified. One commonly postulated mechanism is a differential motion of the aortic arch relative to the heart and its neighboring vessels caused by high-magnitude acceleration of the thorax. This paper investigates acceleration as an aortic injury mechanism using nine impact-sled tests with human cadaver thoraces. The test system utilized generates very high posteriorly directed thoracic accelerations with minimal compression of the chest. The sled tests resulted in peak mid-spine accelerations of 169+/-35.0 g (mean+/-standard deviation) with sustained mid-spine accelerations of up to 80 g for 20 ms in most cases. The tests resulted in maximum chest compressions of 7+/-3.1% of the total chest depth, and maximum recorded increases in intra-aortic, tracheal, and esophageal pressure of 177, 112, and 156 kPa, respectively. No macroscopic injuries to the thoracic aorta resulted from these tests, though other limited visceral injury was observed. The results suggest that posteriorly directed acceleration alone (up to the magnitudes studied here) is not sufficient to cause gross aortic injury. Furthermore, the observed transient increases in intra-aortic and extra-aortic pressure indicate that complex pressure distributions are present during dynamic thoracic deceleration events. This suggests that any attempt to model traumatic aortic injury should include consideration for both the intra-aortic fluid pressure and the extra-aortic, intra-thoracic pressure present during the event.     

Linear approximations for swing leg motion during gait

The applicability of a linear systems analysis of two-dimensional swing leg motion was investigated. Two different linear systems were developed. A linear time-varying system was developed by linearizing the nonlinear equations describing swing leg motion about a set of nominal system and control trajectories. Linear time invariant systems were developed by linearizing about three different fixed limb positions. Simulations of swing leg motion were performed with each of these linear systems. These simulations were compared to previously performed nonlinear simulations of two-dimensional swing leg motion and the actual subject motion. Additionally, a linear system analysis was used to gain some insight into the interdependency of the state variables and controls. It was shown that the linear time varying approximation yielded an accurate representation of limb motion for the thigh and shank but with diminished accuracy for the foot. In contrast, all the linear time invariant systems, if used to simulate more than a quarter of the swing phase, yielded generally inaccurate results for thigh shank and foot motion.     

Energy cost and muscular activity required for leg swing during walking.

To investigate the metabolic cost and muscular actions required for the initiation and propagation of leg swing, we applied a novel combination of external forces to subjects walking on a treadmill. We applied a forward pulling force at each foot to assist leg swing, a constant forward pulling force at the waist to provide center of mass propulsion, and a combination of these foot and waist forces to evaluate leg swing. When the metabolic cost and muscle actions were at a minimum, the condition was considered optimal. We reasoned that the difference in energy consumption between the optimal combined waist and foot force trial and the optimal waist force-only trial would reflect the metabolic cost of initiating and propagating leg swing during normal walking. We also reasoned that a lower muscle activity with these assisting forces would indicate which muscles are normally responsible for initiating and propagating leg swing. With a propulsive force at the waist of 10% body weight (BW), the net metabolic cost of walking decreased to 58% of normal walking. With the optimal combination, a propulsive force at the waist of 10% BW plus a pulling force at the feet of 3% BW the net metabolic cost of walking further decreased to 48% of normal walking. With the same combination, the muscle activity of the iliopsoas and rectus femoris muscles during the swing phase was 27 and 60% lower, respectively, but the activity of the medial gastrocnemius and soleus before swing did not change. Thus our data indicate that approximately 10% of the net metabolic cost of walking is required to initiate and propagate leg swing. Additionally, the hip flexor muscles contribute to the initiation and propagation leg swing.