A case study of Chinese bound feet: application of footprint analysis

Foot print patterns of the bound feet of a 90-year-old Chinese female were made to obtain insight into the ergonomic consequences of a Chinese custom that caused significant disabilities for many women throughout history. Pressure patterns were evaluated using the techniques applied to standard thumb print analsyis. A digital summary of the pressure patterns were compared to the patterns obtained from a normal subject. The outcomes indicated that the bound foot produced greater plantar tissue pressures than the non-bound foot. These observations help explain the discomfort, gait abnormalities, and disabilities exhibited by many older women with bound feet living in China today. Although foot-binding is no longer practiced, this study offers an ergonomic perspective on a custom practiced in China for centuries.     

Flat Feet,Happy Feet? Comparison of the Dynamic Plantar Pressure Distribution and Static Medial Foot Geometry between Malawian and Dutch Adults

In contrast to western countries, foot complaints are rare in Africa. This is remarkable, as many African adults walk many hours each day, often barefoot or with worn-out shoes. The reason why Africans can withstand such loading without developing foot complaints might be related to the way the foot is loaded. Therefore, static foot geometry and dynamic plantar pressure distribution of 77 adults from Malawi were compared to 77 adults from the Netherlands. None of the subjects had a history of foot complaints. The plantar pressure pattern as well as the Arch Index (AI) and the trajectory of the center of pressure during the stance phase were calculated and compared between both groups. Standardized pictures were taken from the feet to assess the height of the Medial Longitudinal Arch (MLA). We found that Malawian adults: (1) loaded the midfoot for a longer and the forefoot for a shorter period during roll off, (2) had significantly lower plantar pressures under the heel and a part of the forefoot, and (3) had a larger AI and a lower MLA compared to the Dutch. These findings demonstrate that differences in static foot geometry, foot loading, and roll off technique exist between the two groups. The advantage of the foot loading pattern as shown by the Malawian group is that the plantar pressure is distributed more equally over the foot. This might prevent foot complaints.     

Snatch technique of collegiate national level weightlifters

Bar trajectory during weightlifting movements is related to the position of the body during the lift and the displacement of the feet during the drop-under phase. The purpose of this study was to examine anterior-posterior foot displacement and its relationship with performance in the snatch of collegiate weightlifters. Snatch attempts of men weightlifters from the 1998 U.S.A. Weightlifting Collegiate National Championships were analyzed for horizontal displacement of the feet by video analysis. Lifts were analyzed under 2 conditions: all lifts combined and the heaviest successful attempt for each lifter. Lifts (n = 74) were placed into 4 groups: forward displacement (FD, >2.5 cm); no displacement (ND, +/-2.5 cm); rearward displacement (RD, >2.5 cm); and those that showed asymmetric (AS, >7 cm difference in right and left foot) displacement of the feet. Chi-square revealed no significant difference in success rate between groups for all attempts. No statistically significant differences were noted between groups in body mass to bar mass ratio or Sinclair formula for heaviest successful attempts. Results indicate that foot displacement did not significantly affect snatch success or lifting ability in collegiate national level lifters.     

Standard Loading Profile in Matrix Rigidity Sensing

It is important to learn features of locally applied forces by cells during matrix rigidity sensing, since the function of mechanosensing proteins would be affected by force magnitude, loading velocity, or even loading history. Here, we investigate a rigidity-sensing apparatus consisting of a contractile unit on matrices. Strikingly, our analysis indicates that the matrix rigidity is not only sensed with a fixed step size in displacement but also with a fixed apparent loading velocity. The fixed step size is shown to be correlated with the monomer size of actin filament. This work suggests that the loading profile during rigidity sensing is regulated by various aspects of the contractile unit, which then serves as the standard in sensing varied rigidity of the matrix.     

The influence of foot position on standing balance

To test the hypothesis that variations in foot position would significantly affect standing balance, we studied ten normal subjects on a Kistler force platform which measured the travel and center of pressure displacement. With the feet together there was substantially more mediolateral (ML) travel than with the axes of the feet 15, 30 or 45 cm apart and the mean ML position of the center of pressure was displaced toward the right; there was no consistent effect on anteroposterior (AP) travel or position. As the right foot was placed 10 and 30 cm forward or back, the least amount of ML and AP travel occurred with the feet even or at 10 cm either direction; the mean AP and ML position moved toward the foot which was placed more posteriorly. Of the five foot angles ranging from toes-out 45 degrees to toes-in 45 degrees, the extent of ML and AP travel was lowest in the toes-out 25 degrees position and greatest in the toes-in 45 degrees position; the mean AP and ML position was farthest forward and to the right with toes-in 45 degrees. These findings have implications for the prosthetic replacement of the lower limbs, sports, ergonomics and postural sway studies.     

The contribution of body weight distribution and center of pressure location in the control of mediolateral stance

The study investigated the mediolateral control of upright stance in 16 healthy, young adults. The model analyzed the body weight distribution and center of pressure location mechanisms under three stance width conditions (feet close, under standard condition, and apart). Our first objective was to discuss some methodological requirements to investigate the contribution of both mechanisms by means of two platforms. It is proposed that both the amplitude contribution (in variability analyses) and active contribution (in cross-correlation analyses) need to be studied distinctively. These analyses may be concerned with the strength and the degree of active contributions, respectively. Based on this theoretical proposition, we expected and found that the amplitude contribution of both mechanisms was higher and lower in wide and narrow stances compared with that in the standard stance, respectively. Indeed, the closer the two reaction forces, the lower their mechanical contribution. As expected, the active contribution of both mechanisms was significantly lower and higher in wide and narrow stances, respectively. Indeed, the further the feet apart, the less active both mechanisms needed to be to control mediolateral stance. Overall, only the center of pressure location mechanism really changed its significant contribution to control mediolateral stance under the three conditions. The result is important because this mechanism is known to be secondary, weaker than the body weight distribution mechanism to control mediolateral stance. In practical terms, these findings may explain why the mediolateral variability of center of pressure displacement was significantly higher in narrow stance but not lower in wide stance.     

Influence of Achilles tendon vibration on the vertical posture during standing with asymmetrical leg loading

The shift of the common center of pressure (CCP) and the center of pressure (CP) of one leg was studied during the Achilles tendon vibration of one or both legs while the subject was standing with symmetrical load on the legs or with the load transferred to one leg. The CP shift of the standing subject during unilateral Achilles tendon vibration depended on both the side of application of vibration and on the distribution of the leg load. During standing with a asymmetrical load on the legs, the shift of the CCP was larger than when the vibration was applied to the loaded leg. The CP shift of one leg was greater if both vibration and the load were applied to it. Vibration of the unloaded leg caused a CP shift in the loaded contralateral leg. In this case, vibration of the left unloaded leg did not cause any noticeable CP shift of the left leg, while vibration of the unloaded right leg caused a CP shift of the right leg. Under the similar conditions of loading and vibration, the displacement of the CP of the right leg was larger than the displacement of the CP of the left leg. It may be suggested that postural asymmetry and unilateral vibration of the leg muscles change the internal representation of the position of the body axis in relation to the vertical, which affects the displacement of the CP of one leg in response to afferent stimulation of the leg muscles.     

Dynamic postural stability during advancing pregnancy

Pregnant women are at an increased risk of experiencing a fall. Numerous anatomical, physiological, and hormonal alterations occur during pregnancy, but the influence of these factors on dynamic postural stability has not been explored. The purpose of this study was to examine dynamic postural stability in pregnant women during their second and third trimesters as well as in a group of non-pregnant control women.MethodsEighty-one women (41 pregnant, 40 controls) participated stood on a force plate that translated anteroposteriorly at small, medium, and large magnitudes. Reaction time and center of pressure (COP) movement during the translations were analyzed. Trimester, perturbation direction, and perturbation magnitude were the independent variables in a mixed-model analysis of variance on each of the following dependent variables: reaction time, initial sway, total sway, and sway velocity.ResultsReaction time to the perturbation was not significantly different between the groups. Initial sway, total sway, and sway velocity were significantly less during the third trimester than during the second trimester and when compared to the non-pregnant controls (P<0.05). No differences were found in any of the measures between the pregnant women in their second trimesters and the control group.ConclusionAlterations in sway responses to perturbations are seen in the third trimester in healthy women with uncomplicated pregnancies. Further study is needed to examine the biomechanical and physiological reasons behind this altered dynamic postural stability.     

Gender differences in cardiovascular tolerance to short radius centrifugation

In preparing for the NASA Artificial Gravity Pilot Study the planned centrifuge loading protocol was tested in 11 ambulatory subjects (6 men, 5 women). Each was subjected to a single 60 min trial with 2.5G of equivalent gravitational load feet and 1G at the level of the mediastinum. Amongst the men, 5/6 completed the trial successfully with no adverse sequelae. However, amongst the women, 4/5 tests were stopped early because of presyncope. Women are known to have a greater predisposition to syncope following orthostatic stress under normal tilt table conditions, during lower body negative pressure and following space flight. Amongst the factors which may have contributed to their lower tolerance to centrifugation are anthropometric factors, the vasoactive effects of sex hormones, catecholamine levels, ability to augment total peripheral resistance in response to orthostatic stress, and structural differences in cardiac anatomy and physiology. However, determining the true cause of this difference will require further investigation.     

Dynamic unconfined compression of articular cartilage under a cyclic compressive load

To study the effect of dynamic mechanical force on cartilage metabolism, many investigators have applied a cyclic compressive load to cartilage disc explants in vitro. The most frequently used in vitro testing protocol has been the cyclic unconfined compression of articular cartilage in a bath of culture medium. Cyclic compression has been achieved by applying either a prescribed cyclic displacement or a prescribed cyclic force on a loading platen placed on the top surface of a cylindrical cartilage disc. It was found that the separation of the loading platen from the tissue surface was likely when a prescribed cyclic displacement was applied at a high frequency.The purpose of the present study was to simulate mathematically the dynamic behavior of a cylindrical cartilage disc subjected to cyclic unconfined compression under a dynamic force boundary condition protocol, and to provide a parametric analysis of mechanical deformations within the extracellular matrix. The frequency-dependent dynamic characteristics of dilatation, hydrostatic pressure and interstitial fluid velocity were analyzed over a wide range of loading frequencies without the separation of the loading platen. The result predicted that a cyclic compressive force created an oscillating positive-negative hydrostatic pressure together with a forced circulation of interstitial fluid within the tissue matrix. It was also found that the load partitioning mechanism between the solid and fluid phases was a function of loading frequency. At a relatively high loading frequency, a localized dynamic zone was developed near the peripheral free surface of the cartilage disc, where a large dynamic pressure gradient exists, causing vigorous interstitial fluid flow.     

The biomechanics of leaping in gibbons

Gibbons are skilled brachiators but they are also highly capable leapers, crossing distances in excess of 10 m in the wild. Despite this impressive performance capability, no detailed biomechanical studies of leaping in gibbons have been undertaken to date. We measured ground reaction forces and derived kinematic parameters from high-speed videos during gibbon leaps in a captive zoo environment. We identified four distinct leap types defined by the number of feet used during take-off and the orientation of the trunk, orthograde single-footed, orthograde two-footed, orthograde squat, and pronograde single-footed leaps. The center of mass trajectories of three of the four leap types were broadly similar, with the pronograde single-footed leaps exhibiting less vertical displacement of the center of mass than the other three types. Mechanical energy at take-off was similar in all four leap types. The ratio of kinetic energy to mechanical energy was highest in pronograde single-footed leaps and similar in the other three leap types. The highest mechanical work and power were generated during orthograde squat leaps. Take-off angle decreased with take-off velocity and the hind limbs showed a proximal to distal extension sequence during take-off. In the forelimbs, the shoulder joints were always flexed at take-off, while the kinematics of the distal joints (elbow and wrist joints) were variable between leaps. It is possible that gibbons may utilize more metabolically expensive orthograde squat leaps when a safe landing is uncertain, while more rapid (less expensive) pronograde single-footed leaps might be used during bouts of rapid locomotion when a safe landing is more certain.     

Gender influence on jejunal migrating motor complex

The role of gender and the menstrual cycle in small bowel motility has not been clearly elucidated. Jejunal motility was recorded with a nasojejunal catheter incorporating five solid-state pressure transducers in ambulatory menstruating women and men of comparable age over 24 h. All women were studied twice, in the early follicular (early-F) and midluteal (mid-L) phases of the menstrual cycle, verified by determining serum levels of gonadal steroids and gonadotropins. The propagation velocity of phase III was slow and the contraction amplitude was high in both menstrual cycle phases compared with men, and these parameters were correlated with serum estrogen levels in the mid-L phase. In the early-F phase, migrating motor complex (MMC) cycle duration during sleep was long compared with other groups and positively correlated with estrogen concentrations, whereas in the mid-L phase MMC cycle duration during sleep was negatively correlated with serum progesterone levels. In all groups, the frequency of phase III contractions was low and the intercontractile interval measured from pressure peak to peak was long during sleep compared with the awake state. Postprandial motility did not display gender difference in any parameter examined. The results demonstrate that the majority of patterns of motility are similar in menstruating women and men, whereas certain aspects of the MMC, most conspicuously propagation velocity and phase III contraction amplitude, differ. We have also documented circadian variation of phase III contraction frequency in both women and men.     

Effects of an oral glucose tolerance test on the myogenic response in healthy individuals

The myogenic response, the inherent ability of blood vessels to rapidly respond to changes in transmural pressure, is involved in local blood flow autoregulation. Animal studies suggest that both acute hyperglycemia and hyperinsulinemia may impair myogenic vasoconstriction. The purpose of this study was to examine the effects of an oral glucose load on brachial mean blood velocity (MBV) during increases in forearm transmural pressure in humans. Eight healthy men and women (38 +/- 5 yr) underwent an oral glucose tolerance test (OGTT). MBV (in cm/s; Doppler ultrasound) responses to a rise in forearm transmural pressure (arm tank suction, -50 mmHg) were studied before and every 30 min for 120 min during the OGTT. Before the start of the OGTT, MBV was lower than baseline values 30 and 60 s after the application of negative pressure. This suggests that myogenic constriction was present. During the OGTT, blood glucose rose from 88 +/- 2 to 120 +/- 6 mg/dl (P < 0.05) and insulin rose from 14 +/- 1 to 101 +/- 32 microU/ml (P < 0.05). Glucose loading attenuated the reduction in MBV with arm suction (Delta-0.73 +/- 0.14 vs. Delta-1.67 +/- 0.43 cm/s and Delta-1.07 +/- 0.14 vs. Delta-2.38 +/- 0.54 cm/s, respectively, during 30 and 60 s of suction postglucose compared with preglucose values; all P < 0.05). We observed no such time effect for myogenic responses during a sham OGTT. In an additional 5 subjects, glucose loading had no effect on brachial diameters with the application of negative pressure. Oral glucose loading leads to attenuated myogenic vasoconstriction in healthy individuals. The role that this diminished postglucose reactivity plays in mediating postprandial hypotension and/or orthostasis needs to be further explored.     

Cortical Structure of Hallucal Metatarsals and Locomotor Adaptations in Hominoids

Diaphyseal morphology of long bones, in part, reflects in vivo loads experienced during the lifetime of an individual. The first metatarsal, as a cornerstone structure of the foot, presumably expresses diaphyseal morphology that reflects loading history of the foot during stance phase of gait. Human feet differ substantially from those of other apes in terms of loading histories when comparing the path of the center of pressure during stance phase, which reflects different weight transfer mechanisms. Here we use a novel approach for quantifying continuous thickness and cross-sectional geometric properties of long bones in order to test explicit hypotheses about loading histories and diaphyseal structure of adult chimpanzee, gorilla, and human first metatarsals. For each hallucal metatarsal, 17 cross sections were extracted at regularly-spaced intervals (2.5% length) between 25% and 65% length. Cortical thickness in cross sections was measured in one degree radially-arranged increments, while second moments of area were measured about neutral axes also in one degree radially-arranged increments. Standardized thicknesses and second moments of area were visualized using false color maps, while penalized discriminant analyses were used to evaluate quantitative species differences. Humans systematically exhibit the thinnest diaphyseal cortices, yet the greatest diaphyseal rigidities, particularly in dorsoplantar regions. Shifts in orientation of maximum second moments of area along the diaphysis also distinguish human hallucal metatarsals from those of chimpanzees and gorillas. Diaphyseal structure reflects different loading regimes, often in predictable ways, with human versus non-human differences probably resulting both from the use of arboreal substrates by non-human apes and by differing spatial relationships between hallux position and orientation of the substrate reaction resultant during stance. The novel morphological approach employed in this study offers the potential for transformative insights into form-function relationships in additional long bones, including those of extinct organisms (e.g., fossils).     

Why Do the Karo Batak Prefer Women with Big Feet?

Men may find women with small feet relative to body size more attractive because foot size reliably indexes nubility—i.e., age and parity. I collected judgments of attractiveness in response to drawings of women with varying foot sizes from a sample of 159 Karo Batak respondents from North Sumatra, Indonesia, as part of a collaborative project on foot size and attractiveness. The data revealed a contrarian preference among the Karo Batak for women with big feet. The judgments were compared with the results of an existing cross-cultural study that found a preference for women with small feet in aggregate, but a mix of small- and large-foot preferences in the societies taken individually. Using contingency table analysis, I found that ecology and less exposure to Western media were associated with a preference for women with big feet; patriarchal values were not. The findings suggest that human mating preferences may arise in response to local ecological conditions, and may persist and spread via cultural transmission. This has implications for the concept of universality espoused in some versions of evolutionary psychology.     

Time-frequency analysis of surface electromyographic signals during fatiguing isokinetic muscle actions

The purpose of this study was to use a wavelet analysis designed specifically for electromyography (EMG) signals in combination with a trend plot to examine changes in EMG intensity patterns during maximal, fatiguing isokinetic muscle actions. Eleven men (mean ± SD age = 22.4 ± 1.1 years) and 7 women (mean ± SD age = 22.7 ± 2.1 years) performed 50 consecutive maximal concentric isokinetic muscle actions of the dominant leg extensors at a velocity of 180°·s(-1). During each muscle action, a bipolar surface EMG signal was detected from the vastus lateralis. All signals were then processed with a wavelet analysis designed specifically for EMG signals, which resulted in EMG intensity patterns. The patterns for each subject were then analyzed with a trend plot, which provided information regarding the changes that occurred because of fatigue. The results indicated that for all the 18 subjects, the EMG intensity patterns moved in a predictable manner in pattern space, but the changes to the patterns were different for each subject. These findings reflect the complex changes that occur in the EMG signal during fatigue. These changes cannot be characterized fully with a single amplitude and center frequency parameter and can be useful for athletes and coaches who need to track the fatigue status of individual muscles.     

Effects of anterior offsetting of humeral head component in posteriorly unstable total shoulder arthroplasty: Finite element modeling of cadaver specimens

A novel technique of “anterior offsetting” of the humeral head component to address posterior instability in total shoulder arthroplasty has been proposed, and its biomechanical benefits have been previously demonstrated experimentally. The present study sought to characterize the changes in joint mechanics associated with anterior offsetting with various amounts of glenoid retroversion using cadaver specimen-specific 3-dimensional finite element models. Specimen-specific computational finite element models were developed through importing digitized locations of six musculotendinous units of the rotator cuff and deltoid muscles based off three cadaveric shoulder specimens implanted with total shoulder arthroplasty in either anatomic or anterior humeral head offset. Additional glenoid retroversion angles (0°, 10°, 20°, and 30°) other than each specimen׳s actual retroversion were modeled. Contact area, contact force, peak pressure, center of pressure, and humeral head displacement were calculated at each offset and retroversion for statistical analysis. Anterior offsetting was associated with significant anterior shift of center of pressure and humeral head displacement upon muscle loading (p<0.05). Although statistically insignificant, anterior offsetting was associated with increased contact area and decreased peak pressure (p > 0.05). All study variables showed significant differences when compared between the 4 different glenoid retroversion angles (p < 0.05) except for total force (p < 0.05). The study finding suggests that the anterior offsetting technique may contribute to joint stability in posteriorly unstable shoulder arthroplasty and may reduce eccentric loading on glenoid components although the long term clinical results are yet to be investigated in future.     

Effect of four different starting stances on sprint time in collegiate volleyball players

Starting stance plays an important role in influencing short-distance sprint speed and, therefore, the ability to reach a ball during sport play. The purpose of this study was to evaluate 4 different starting stances on sprint time. Twenty-six male and female collegiate volleyball players volunteered to participate in 1 testing session. Each subject performed 3 15-ft sprint trials at each of 4 different starting stances (P-parallel, FS-false step, S-staggered, and SFS-staggered false step) in random order. Analysis of variance revealed that there was no significant interaction of sex by stance, but there were main effects for sex (men were faster than women) and stance. The FS (1.18 ± 0.10 seconds), S (1.16 ± 0.07 seconds), and SFS (1.14 ± 0.06 seconds) stances were faster than the P (1.25 ± 0.09 seconds) stance, and the SFS stance was faster than the FS stance. This indicates that starting with a staggered stance (regardless of stepping back) produced the greatest sprinting velocity over the initial 15 feet. Although taking a staggered stance seems counterproductive, the resultant stretch-shortening cycle action and forward body lean likely increase force production of the push-off phase and place the total body center of mass ahead of the contacting foot, thereby, decreasing sprint time.     

Exercise plus volume loading prevents orthostatic intolerance but not reduction in cerebral blood flow velocity after bed rest

This study tested the hypothesis that reduction in cerebral blood flow (CBF) during orthostatic stress after bed rest can be ameliorated with volume loading, exercise, or both. Transcranial Doppler was used to measure changes in CBF velocity during lower body negative pressure (LBNP) before and after an 18-day bed rest in 33 healthy subjects. Subjects were assigned into four groups with similar age and sex: 1) supine cycling during bed rest (Exercise group; n = 7), 2) volume loading with Dextran infusion after bed rest to restore reduced left ventricular filling pressure (Dextran group; n = 7), 3) exercise combined with volume loading to prevent orthostatic intolerance (Ex-Dex group; n = 7), and 4) a control group (n = 12). LBNP tolerance was measured using a cumulative stress index (CSI). After bed rest, CBF velocity was reduced at a lower level of LBNP in the Control group, and the magnitude of reduction was greater in the Ex-Dex group. However, reduction in orthostatic tolerance was prevented in the Ex-Dex group. Notably, volume loading alone prevented greater reductions in CBF velocity after bed rest, but CSI was reduced still by 25%. Finally, decreases in CBF velocity during LBNP were correlated with reduction in cardiac output under all conditions (r(2) = 0.86; P = < 0.001). Taken together, these findings demonstrate that volume loading alone can ameliorate reductions in CBF during LBNP. However, the lack of associations between changes in CBF velocity and orthostatic tolerance suggests that reductions in CBF during LBNP under steady-state conditions by itself are unlikely to be a primary factor leading to orthostatic intolerance.     

Center of pressure and center of mass behavior during gait initiation on inclined surfaces: A statistical parametric mapping analysis

This study analyzed gait initiation (GI) on inclined surfaces with 68 young adult subjects of both sexes. Ground reaction forces and moments were collected using two AMTI force platforms, of which one was in a horizontal position and the other was inclined by 8% in relation to the horizontal plane. Departing from a standing position, each participant executed three trials in the following conditions: horizontal position (HOR), inclined position at ankle dorsi-flexion (UP), and inclined position at ankle plantar-flexion (DOWN). Statistical parametric mapping analysis was performed over the entire center of pressure (COP) and center of mass (COM) time series. COP excursion did not show significant differences in the medial-lateral (ML) direction in both inclined conditions, but it was greater in the anterior-posterior (AP) direction for both inclined conditions. COP velocities are smaller in discrete portions of GI for the UP and DOWN conditions. COM displacement was greater in the ML direction during anticipatory postural adjustments (APA) in the UP condition, and COM moves faster in the ML direction during APA in the UP condition but slower at the end of GI for both the UP and the DOWN conditions. The COP-COM vector showed a greater angle in the DOWN condition. We observed changes for COP and COM in GI in both the UP and the DOWN conditions, with the latter showing changes for a great extent of the task. Both the UP and the DOWN conditions showed increased COM displacement and velocity. The predominant characteristic during GI on inclined surfaces, including APA, appears to be the displacement of the COM.