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Biomechanics, Volume 5, Issue 3 (September 2025) – 28 articles

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12 pages, 604 KB  
Article
Achieving Competitive Excellence in Taekwondo: The Relationship Between Unloaded Countermovement Jump Kinetic Variables and Sport-Specific Motor Tasks
by Alex Ojeda-Aravena, Rafael Lima Kons, Eduardo Báez-San Martín, Jairo Azócar-Gallardo and Xurxo Dopico-Calvo
Biomechanics 2025, 5(3), 70; https://doi.org/10.3390/biomechanics5030070 - 12 Sep 2025
Viewed by 362
Abstract
Background. In taekwondo (TKD), high-intensity actions—particularly kicks and rapid changes of direction—are key determinants of sport-specific performance. Kinetic vari-ables derived from unloaded countermovement jumps (CMJs) are employed as proxies of neuromuscular efficiency. However, most studies have examined the link between CMJ outputs and [...] Read more.
Background. In taekwondo (TKD), high-intensity actions—particularly kicks and rapid changes of direction—are key determinants of sport-specific performance. Kinetic vari-ables derived from unloaded countermovement jumps (CMJs) are employed as proxies of neuromuscular efficiency. However, most studies have examined the link between CMJ outputs and TKD using jump height alone in sport-specific tasks. Objective. To determine the associations between unloaded CMJ-derived kinetic variables and sport-specific performance, identifying key determinants of repeated high-intensity kicking capacity and change-of-direction ability. Methods. Fifteen national-team athletes (nine men, six women; 18–27 years) completed unloaded CMJ testing (Day 1) and, after 48 h, the Taekwondo-Specific Agility Test (TSAT) and the Multiple Frequency Speed of Kick Test (FSKTMULT) (Day 2). Results. For FSKTMULT, jump height (r = 0.545–0.746), take-off velocity (r = 0.548–0.799), and mean power (r = 0.602–0.799) were positively correlated with the number of kicks across all sets (p = 0.001–0.044). Stepwise regression identified mean power as the sole significant predictor, explaining 32–46% of the variance across sets. For TSAT, time correlated negatively with mean power (r = −0.678, p = 0.008), mean force (r = −0.536, p = 0.048), and RFD (0–30%) (r = −0.655, p = 0.011). Mean power and mid-propulsion impulse (30–60%) jointly explained 72.8% of the variance in TSAT time (R2 = 0.728, p < 0.001). Conclusions. Unloaded CMJ mean power and mid-propulsion impulse (30–60%) emerge as proxies of neuromuscular efficiency linked to sport-specific perfor-mance, supporting their use for athlete monitoring and targeted training. Full article
(This article belongs to the Special Issue Biomechanics in Sport, Exercise and Performance)
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14 pages, 265 KB  
Article
Effect of Intra-Set Rest Periods on Back Squat Propulsive Impulse
by Liam J. Houlton, Jeremy A. Moody, Theodoros M. Bampouras and Joseph I. Esformes
Biomechanics 2025, 5(3), 69; https://doi.org/10.3390/biomechanics5030069 - 6 Sep 2025
Viewed by 487
Abstract
Background: Cluster sets (CSs) maintain velocity and power in compound movements by employing similar propulsion strategies or maintaining impulse through different mechanisms. This study aimed to explore the effect of four CS conditions on back squat (BS) propulsion and provide models for estimating [...] Read more.
Background: Cluster sets (CSs) maintain velocity and power in compound movements by employing similar propulsion strategies or maintaining impulse through different mechanisms. This study aimed to explore the effect of four CS conditions on back squat (BS) propulsion and provide models for estimating changes in propulsion based on repetition and set number. Methods: Twenty male participants (age = 28.3 ± 3.1 years, stature = 1.74 ± 8.21 m, body mass = 84.80 ± 7.80 kg, BS 1RM = 140.90 ± 24.20 kg) completed four data collection sessions. Each session consisted of three sets of five repetitions at 80% 1RM BS with three minutes of unloaded inter-set rest, using varying intra-set rest intervals. Experimental conditions included 0 s (TRAD), 10 s (CS10), 20 s (CS20), and 30 s (CS30) inter-repetition rest, randomly assigned to sessions in a counterbalanced order. Ground reaction force data were collected on dual force platforms sampling at 1000 Hz, from which net propulsive impulse (JPROP), mean force (MF), and propulsion time (tPROP) were calculated. Conditions and sets were analysed using a 4 × 3 (CONDITION*SET) repeated-measures ANOVA to assess differences between conditions and sets, and linear mixed models (LMMs) were used to provide regression equations for each dependent variable in each condition. Results: The ANOVA revealed no significant interactions for any dependent variable. No main effects of CONDITION or SET were observed for JPROP. The main effects of CONDITION showed that MF was significantly lower in TRAD than CS20 (g = 0.757) and CS30 (g = 0.749). tPROP was significantly higher in TRAD than CS20 (g = 0.437) and CS30 (g = 0.569). The main effects of SET showed that MF was significantly lower in S2 (g = 0.691) and S3 (g = 1.087) compared to S1. tPROP was significantly higher in S2 (g = 0.866) and S3 (g = 1.179) compared to S1. LMMs for CS20 and CS30 revealed no significant effect (p > 0.05) between repetition or set number and dependent variables. Conclusions: The results suggest that CS20 and CS30 maintain JPROP by limiting MF and tPROP attenuation. This is less rest than that suggested by the previous literature, which may influence programming decisions during strength and power mesocycles to maximise training time and training density. LMMs provide accurate estimates of BS propulsive force attenuation when separating repetitions by up to 30 s, which may help practitioners optimise training load for long-term adaptations. Full article
19 pages, 1490 KB  
Article
Three-Dimensional Electrogoniometry Device and Methods for Measuring and Characterizing Knee Mobility and Multi Directional Instability During Gait
by Jose I. Sanchez, Mauricio Plaza and Nicolas Echeverria
Biomechanics 2025, 5(3), 68; https://doi.org/10.3390/biomechanics5030068 - 2 Sep 2025
Viewed by 364
Abstract
Background/Objectives: this study describes the development of a novel three-dimensional electrogoniometer for the quantitative assessment of knee mobility and stability during gait. The primary objective is to determine whether real-time measurements obtained during dynamic activity provide more clinically relevant information than traditional static [...] Read more.
Background/Objectives: this study describes the development of a novel three-dimensional electrogoniometer for the quantitative assessment of knee mobility and stability during gait. The primary objective is to determine whether real-time measurements obtained during dynamic activity provide more clinically relevant information than traditional static assessments. Methods: the device employs angular position encoders to capture knee joint kinematics—specifically flexion, extension, rotation, and tibial translation—during locomotion. Data are transmitted in real time to an Android-based application, enabling immediate graphical visualization. A descriptive observational study was conducted involving healthy participants and individuals with anterior cruciate ligament (ACL) injuries to evaluate the device’s performance. Results: results showed that the electrogoniometer captured knee flexion-extension with a range of up to 90°, compared to 45° typically recorded using conventional systems. The device also demonstrated enhanced sensitivity in detecting variations in tibial translation during gait cycles. Conclusions: this electrogoniometer provides a practical tool for clinical assessment of knee function, enabling real-time monitoring of joint behavior during gait. By capturing functional mobility and stability more accurately than static methods, it may enhance diagnostic precision and support more effective rehabilitation planning in orthopedic settings. Full article
(This article belongs to the Section Gait and Posture Biomechanics)
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12 pages, 430 KB  
Brief Report
Do Outcome or Movement Strategy Variables Provide Better Insights into Asymmetries During Multiple-Hops?
by Anthony Sharp, Jonathon Neville, Ryu Nagahara, Tomohito Wada and John Cronin
Biomechanics 2025, 5(3), 67; https://doi.org/10.3390/biomechanics5030067 - 2 Sep 2025
Viewed by 408
Abstract
Multiple-hops performed horizontally in series effectively assess return-to-play readiness, as they mimic the propulsive and decelerative demands of sports. Movement strategy variables (kinetic variables) offer more insight into injury recovery than outcome-based measures (kinematic variables) like hop distance alone. This study focused on [...] Read more.
Multiple-hops performed horizontally in series effectively assess return-to-play readiness, as they mimic the propulsive and decelerative demands of sports. Movement strategy variables (kinetic variables) offer more insight into injury recovery than outcome-based measures (kinematic variables) like hop distance alone. This study focused on kinematic and kinetic variables to assess asymmetries during triple-hop (3-Hop) and quintuple-hop (5-Hop) tests with 44 male athletes from university sports clubs and teams. The aim was to determine the magnitude and potential direction of asymmetry and compare the sensitivity of kinematic and kinetic variables. Results showed mean kinematic asymmetries below 7.1% (range: 0.00 to 28.9%), while average kinetic asymmetries were as high as 38.8% (range: 0.0% to 95.4%). These findings suggest that kinetic variables are more sensitive in assessing movement strategy, providing more detailed insight into rehabilitation and return-to-play decisions. The study emphasizes the importance of considering both outcome and movement strategy variables in injury recovery. These results have practical applications for clinicians and coaches supporting those in return-to-play scenarios, as well as those addressing performance deficits, therefore offering valuable information to refine exercise prescriptions and athletic program design. Full article
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9 pages, 1024 KB  
Brief Report
Increased Hip-Flexion Gait as an Exercise Modality for the Reduction of Knee Joint Contact Forces: A Preliminary Investigation
by Tanner Thorsen and Nuno Oliveira
Biomechanics 2025, 5(3), 66; https://doi.org/10.3390/biomechanics5030066 - 2 Sep 2025
Viewed by 464
Abstract
Background: Increased hip-flexion gait (HFgait) has been shown to promote increased aerobic demands by increasing peak swing-phase hip-flexion angles while walking at comfortable speeds. Biomechanically, HFgait produces a gait pattern similar to walking, while removing the flight phase from running and reducing [...] Read more.
Background: Increased hip-flexion gait (HFgait) has been shown to promote increased aerobic demands by increasing peak swing-phase hip-flexion angles while walking at comfortable speeds. Biomechanically, HFgait produces a gait pattern similar to walking, while removing the flight phase from running and reducing tibial accelerations. We sought to identify knee joint contact forces between HFgait and common exercise modalities, including running, walking, and cycling, across intensity levels. Methods: Ten healthy participants completed two bouts (low and high intensity) of four different exercises: treadmill running, walking, HFgait, and cycling. Tibiofemoral joint compressive force (TCF) was estimated using a static optimization-based approach. Results: Peak TCF was greater in running compared to HFgait, walking, and cycling; greater in HFgait compared to cycling; and greater in walking compared to cycling. The integral of TCF (iTCF) was greater in running compared to cycling, greater in HFgait compared to running, walking, and cycling, and greater in walking compared to running and cycling. Conclusions: HFgait produced lower knee joint loading than running, comparable joint loading to walking, and greater joint loading than cycling. Thus, HFgait may serve as an exercise modality for populations where joint loading is of particular concern, while achieving aerobic demands similar to running or increased functional demands compared to stationary cycling. Full article
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23 pages, 2203 KB  
Review
Gait Analysis in Multiple Sclerosis: A Scoping Review of Advanced Technologies for Adaptive Rehabilitation and Health Promotion
by Anna Tsiakiri, Spyridon Plakias, Georgios Giarmatzis, Georgia Tsakni, Foteini Christidi, Marianna Papadopoulou, Daphne Bakalidou, Konstantinos Vadikolias, Nikolaos Aggelousis and Pinelopi Vlotinou
Biomechanics 2025, 5(3), 65; https://doi.org/10.3390/biomechanics5030065 - 2 Sep 2025
Viewed by 509
Abstract
Background/Objectives: Multiple sclerosis (MS) often leads to gait impairments, even in early stages, and can affect autonomy and quality of life. Traditional assessment methods, while widely used, have been criticized because they lack sensitivity to subtle gait changes. This scoping review aims [...] Read more.
Background/Objectives: Multiple sclerosis (MS) often leads to gait impairments, even in early stages, and can affect autonomy and quality of life. Traditional assessment methods, while widely used, have been criticized because they lack sensitivity to subtle gait changes. This scoping review aims to map the landscape of advanced gait analysis technologies—both wearable and non-wearable—and evaluate their application in detecting, characterizing, and monitoring possible gait dysfunction in individuals with MS. Methods: A systematic search was conducted across PubMed and Scopus databases for peer-reviewed studies published in the last decade. Inclusion criteria focused on original human research using technological tools for gait assessment in individuals with MS. Data from 113 eligible studies were extracted and categorized based on gait parameters, technologies used, study design, and clinical relevance. Results: Findings highlight a growing integration of advanced technologies such as inertial measurement units, 3D motion capture, pressure insoles, and smartphone-based tools. Studies primarily focused on spatiotemporal parameters, joint kinematics, gait variability, and coordination, with many reporting strong correlations to MS subtype, disability level, fatigue, fall risk, and cognitive load. Real-world and dual-task assessments emerged as key methodologies for detecting subtle motor and cognitive-motor impairments. Digital gait biomarkers, such as stride regularity, asymmetry, and dynamic stability demonstrated high potential for early detection and monitoring. Conclusions: Advanced gait analysis technologies can provide a multidimensional, sensitive, and ecologically valid approach to evaluating and detecting motor function in MS. Their clinical integration supports personalized rehabilitation, early diagnosis, and long-term disease monitoring. Future research should focus on standardizing metrics, validating digital biomarkers, and leveraging AI-driven analytics for real-time, patient-centered care. Full article
(This article belongs to the Section Gait and Posture Biomechanics)
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26 pages, 1643 KB  
Review
Exploring Opportunities for Advancements in Lower Limb Socket Fabrication and Testing: A Review
by Juan Sebastián Salgado Manrique and Christian Cifuentes-De la Portilla
Biomechanics 2025, 5(3), 64; https://doi.org/10.3390/biomechanics5030064 - 1 Sep 2025
Viewed by 765
Abstract
Limb amputation causes significant challenges for patients in achieving effective mobility and functionality through prosthetic limbs. The prosthetic socket plays a pivotal role in the success of rehabilitation. This review explores the current advancements in prosthetic socket design and fabrication, focusing on traditional [...] Read more.
Limb amputation causes significant challenges for patients in achieving effective mobility and functionality through prosthetic limbs. The prosthetic socket plays a pivotal role in the success of rehabilitation. This review explores the current advancements in prosthetic socket design and fabrication, focusing on traditional techniques like casting and lamination, and emerging technologies such as 3D printing and computer-aided design (CAD). By comparing these methods, this review highlights the advantages, limitations, and suitability for different clinical needs. This article discusses the importance of pressure distribution in socket design, emphasizing the need to relieve pressure in sensitive areas to prevent skin complications. It also examines the materials used in socket fabrication, from high-density polymers to advanced composites, assessing their impact on patient comfort and prosthetic performance. Additionally, we discuss the challenges practitioners face in prosthetic care, particularly in low-resource settings, and propose potential solutions through innovative techniques and materials. Advancements in computational modeling improved socket design and validation, enhancing patient comfort and improving the overall biomechanical interaction between the prosthesis and the user. The manuscript concludes by identifying future research opportunities, particularly in personalized prosthetic design and the integration of smart materials, to further enhance the comfort, functionality, and accessibility of prosthetic sockets. Full article
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17 pages, 3688 KB  
Article
Feature-Based Modeling of Subject-Specific Lower Limb Skeletons from Medical Images
by Sentong Wang, Itsuki Fujita, Koun Yamauchi and Kazunori Hase
Biomechanics 2025, 5(3), 63; https://doi.org/10.3390/biomechanics5030063 - 1 Sep 2025
Viewed by 401
Abstract
Background/Objectives: In recent years, 3D shape models of the human body have been used for various purposes. In principle, CT and MRI tomographic images are necessary to create such models. However, CT imaging and MRI generally impose heavy physical and financial burdens on [...] Read more.
Background/Objectives: In recent years, 3D shape models of the human body have been used for various purposes. In principle, CT and MRI tomographic images are necessary to create such models. However, CT imaging and MRI generally impose heavy physical and financial burdens on the person being imaged, the model creator, and the hospital where the imaging facility is located. To reduce these burdens, the purpose of this study was to propose a method of creating individually adapted models by using simple X-ray images, which provide relatively little information and can therefore be easily acquired, and by transforming an existing base model. Methods: From medical images, anatomical feature values and scanning feature values that use the points that compose the contour line that can represent the shape of the femoral knee joint area were acquired, and deformed by free-form deformation. Free-form deformations were automatically performed to match the feature values using optimization calculations based on the confidence region method. The accuracy of the deformed model was evaluated by the distance between surfaces of the deformed model and the node points of the reference model. Results: Deformation and evaluation were performed for 13 cases, with a mean error of 1.54 mm and a maximum error of 12.88 mm. In addition, the deformation using scanning feature points was more accurate than the deformation using anatomical feature points. Conclusions: This method is useful because it requires only the acquisition of feature points from two medical images to create the model, and overall average accuracy is considered acceptable for applications in biomechanical modeling and motion analysis. Full article
(This article belongs to the Section Injury Biomechanics and Rehabilitation)
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16 pages, 2067 KB  
Article
Ankle Joint Kinematics in Expected and Unexpected Trip Responses with Dual-Tasking and Physical Fatigue
by Sachini N. K. Kodithuwakku Arachchige, Harish Chander and Adam C. Knight
Biomechanics 2025, 5(3), 62; https://doi.org/10.3390/biomechanics5030062 - 6 Aug 2025
Viewed by 1052
Abstract
Concurrent cognitive tasks, such as avoiding visual, auditory, chemical, and electrical hazards, and concurrent motor tasks, such as load carriage, are prevalent in ergonomic settings. Trips are extremely common in the workplace, leading to fatal and non-fatal fall-related injuries. Intrinsic factors, such as [...] Read more.
Concurrent cognitive tasks, such as avoiding visual, auditory, chemical, and electrical hazards, and concurrent motor tasks, such as load carriage, are prevalent in ergonomic settings. Trips are extremely common in the workplace, leading to fatal and non-fatal fall-related injuries. Intrinsic factors, such as attention, fatigue, and anticipation, as well as extrinsic factors, including tasks at hand, affect trip recovery responses. Objective: The purpose of this study was to investigate the ankle joint kinematics in unexpected and expected trip responses during single-tasking (ST), dual-tasking (DT), and triple-tasking (TT), before and after a physically fatiguing protocol among young, healthy adults. Methods: Twenty volunteers’ (10 females, one left leg dominant, age 20.35 ± 1.04 years, height 174.83 ± 9.03 cm, mass 73.88 ± 15.55 kg) ankle joint kinematics were assessed using 3D motion capture system during unperturbed gait (NG), unexpected trip (UT), and expected trip (ET), during single-tasking (ST), cognitive dual-tasking (CDT), motor dual-tasking (MDT), and triple-tasking (TT), under both PRE and POST fatigue conditions. Results: Greater dorsiflexion angles were observed during UT compared to NG, MDT compared to ST, and TT compared to ST. Significantly greater plantar flexion angles were observed during ET compared to NG and during POST compared to PRE. Conclusions: Greater dorsiflexion angles during dual- and triple-tasking suggest that divided attention affects trip recovery. Greater plantar flexion angles following fatigue are likely an anticipatory mechanism due to altered muscle activity and increased postural control demands. Full article
(This article belongs to the Section Gait and Posture Biomechanics)
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13 pages, 1169 KB  
Article
Scanning When Passing: A Reliable and Valid Standardized Soccer Test
by Andrew H. Hunter, Nicholas M. A. Smith, Bella Bello Bitugu, Austin Wontepaga Luguterah and Robbie S. Wilson
Biomechanics 2025, 5(3), 61; https://doi.org/10.3390/biomechanics5030061 - 6 Aug 2025
Viewed by 631
Abstract
Background/Objectives: In soccer, scanning before receiving the ball helps players better perceive and interpret their surroundings, enabling faster and more effective passes. Despite its importance, no standardized tests currently incorporate scanning actions into assessments of passing abilities. In this study, we test the [...] Read more.
Background/Objectives: In soccer, scanning before receiving the ball helps players better perceive and interpret their surroundings, enabling faster and more effective passes. Despite its importance, no standardized tests currently incorporate scanning actions into assessments of passing abilities. In this study, we test the reliability and validity of a battery of passing tests that assess a player’s ability to control and pass the ball while also scanning for the appropriate target. Methods: We designed three passing tests that reflect different scanning demands that are routinely placed upon players during matches. Using players from the first and reserve teams of two professional clubs in Ghana (Club A, first-team n = 11, reserve-team n = 10; Club B, first-team n = 16, reserve-team n = 17), we: (i) tested the repeatability of each passing test (intraclass correlations), (ii) assessed whether the tests could distinguish between first and reserve team players (linear mixed-effects model), and (iii) examined whether players who were better in the passing tests had higher performances in 3v1 Rondo possession games (linear models). Results: All passing tests were significantly repeatable (ICCs = 0.77–0.85). Performance was highest in the 120-degree test (30.11 ± 7.22 passes/min), where scanning was not required, and was lowest in the 360-degree test (25.55 ± 5.94 passes/min), where players needed to constantly scan behind them. When players were scanning through an arc of 180 degrees, their average performance was 27.41 ± 6.14 passes/min. Overall passing performance significantly distinguished first from reserve team players (β = −1.47, t (51) = −4.32, p < 0.001)) and was positively associated with 3v1 Rondo possession performance (R2 = 0.51, p < 0.001). Conclusions: Our results show that these passing tests are reliable, distinguish players across competitive levels, and correlate with performance in possession games. These tests offer a simple, ecologically valid way to assess scanning and passing abilities for elite players. Full article
(This article belongs to the Section Sports Biomechanics)
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16 pages, 612 KB  
Article
Examination of Step Kinematics Between Children with Different Acceleration Patterns in Short-Sprint Dash
by Ilias Keskinis, Vassilios Panoutsakopoulos, Evangelia Merkou, Savvas Lazaridis and Eleni Bassa
Biomechanics 2025, 5(3), 60; https://doi.org/10.3390/biomechanics5030060 - 4 Aug 2025
Viewed by 647
Abstract
Background/Objectives: Sprinting is a fundamental locomotor skill and a key indicator of lower limb strength and anaerobic power in early childhood. The aim of the study was to examine possible differences in the step kinematic parameters and their contribution to sprint speed [...] Read more.
Background/Objectives: Sprinting is a fundamental locomotor skill and a key indicator of lower limb strength and anaerobic power in early childhood. The aim of the study was to examine possible differences in the step kinematic parameters and their contribution to sprint speed between children with different patterns of speed development. Methods: 65 prepubescent male and female track athletes (33 males and 32 females; 6.9 ± 0.8 years old) were examined in a maximal 15 m short sprint running test, where photocells measured time for each 5 m segment. At the last 5 m segment, step length, frequency, and velocity were evaluated via a video analysis method. The symmetry angle was calculated for the examined step kinematic parameters. Results: Based on the speed at the final 5 m segment of the test, two groups were identified, the maximum sprint phase (MAX) and the acceleration phase (ACC) group. Speed was significantly (p < 0.05) higher in ACC in the final 5 m segment, while there was a significant (p < 0.05) interrelationship between step length and frequency in ACC but not in MAX. No other differences were observed. Conclusions: The difference observed in the interrelationship between speed and step kinematic parameters between ACC and MAX highlights the importance of identifying the speed development pattern to apply individualized training stimuli for the optimization of training that can lead to better conditioning and wellbeing of children involved in sports with requirements for short-sprint actions. Full article
(This article belongs to the Collection Locomotion Biomechanics and Motor Control)
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18 pages, 1434 KB  
Review
An Integrative Review of Strength Milestoning in Mid-Stage Achilles Tendon Rehab
by Chris Toland, John Cronin, Duncan Reid, Mitzi S. Laughlin and Jeremy L. Fleeks
Biomechanics 2025, 5(3), 59; https://doi.org/10.3390/biomechanics5030059 - 3 Aug 2025
Viewed by 1457
Abstract
Current rehabilitation protocols for transitioning patients to late-stage recovery, evaluating return-to-play (RTP) clearance, and assessing tendon characteristics exhibit significant heterogeneity. Clinicians frequently interpret and apply research findings based on individual philosophies, resulting in varied RTP criteria and performance expectations. Despite medical clearance, patients [...] Read more.
Current rehabilitation protocols for transitioning patients to late-stage recovery, evaluating return-to-play (RTP) clearance, and assessing tendon characteristics exhibit significant heterogeneity. Clinicians frequently interpret and apply research findings based on individual philosophies, resulting in varied RTP criteria and performance expectations. Despite medical clearance, patients recovering from Achilles tendon (AT) injuries often exhibit persistent impairments in muscle volume, tendon structure, and force-generating capacity. Inconsistencies in assessment frameworks, compounded by a lack of quantitative data and the utilization of specific metrics to quantify certain strength characteristics (endurance, maximal, explosive, etc.) and standardized protocols, hinder optimal functional recovery of the plantar flexors during the final stages of rehabilitation and RTP. With this in mind, the aim of this integrative review was to provide an overview of AT rehabilitation, with particular critique around mid-stage strengthening and the use of the heel-raise assessment in milestoning rehabilitation progress. From this critique, new perspectives in mid-stage strengthening are suggested and future research directions identified. Full article
(This article belongs to the Special Issue Advances in Sport Injuries)
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16 pages, 2388 KB  
Article
Evaluating Lumbar Biomechanics for Work-Related Musculoskeletal Disorders at Varying Working Heights During Wall Construction Tasks
by Md. Sumon Rahman, Tatsuru Yazaki, Takanori Chihara and Jiro Sakamoto
Biomechanics 2025, 5(3), 58; https://doi.org/10.3390/biomechanics5030058 - 3 Aug 2025
Viewed by 587
Abstract
Objectives: The aim of this study was to evaluate the impact of four working heights on lumbar biomechanics during wall construction tasks, focusing on work-related musculoskeletal disorders (WMSDs). Methods: Fifteen young male participants performed simulated mortar-spreading and bricklaying tasks while actual [...] Read more.
Objectives: The aim of this study was to evaluate the impact of four working heights on lumbar biomechanics during wall construction tasks, focusing on work-related musculoskeletal disorders (WMSDs). Methods: Fifteen young male participants performed simulated mortar-spreading and bricklaying tasks while actual body movements were recorded using Inertial Measurement Unit (IMU) sensors. Muscle activities of the lumbar erector spinae (ES), quadratus lumborum (QL), multifidus (MF), gluteus maximus (GM), and iliopsoas (IL) were estimated using a 3D musculoskeletal (MSK) model and measured via surface electromyography (sEMG). The analysis of variance (ANOVA) test was conducted to identify the significant differences in muscle activities across four working heights (i.e., foot, knee, waist, and shoulder). Results: Findings showed that working at foot-level height resulted in the highest muscle activity (7.6% to 40.6% increase), particularly in the ES and QL muscles, indicating an increased risk of WMSDs. The activities of the ES, MF, and GM muscles were statistically significant across both tasks and all working heights (p < 0.01). Conclusions: Both MSK and sEMG analyses indicated significantly lower muscle activities at knee and waist heights, suggesting these as the best working positions (47 cm to 107 cm) for minimizing the risk of WMSDs. Conversely, working at foot and shoulder heights was identified as a significant risk factor for WMSDs. Additionally, the similar trends observed between MSK simulations and sEMG data suggest that MSK modeling can effectively substitute for sEMG in future studies. These findings provide valuable insights into ergonomic work positioning to reduce WMSD risks among wall construction workers. Full article
(This article belongs to the Section Tissue and Vascular Biomechanics)
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18 pages, 2976 KB  
Article
Biomechanical Modeling and Simulation of the Knee Joint: Integration of AnyBody and Abaqus
by Catarina Rocha, João Lobo, Marco Parente and Dulce Oliveira
Biomechanics 2025, 5(3), 57; https://doi.org/10.3390/biomechanics5030057 - 2 Aug 2025
Viewed by 1172
Abstract
Background: The knee joint performs a vital function in human movement, supporting significant loads and ensuring stability during daily activities. Methods: The objective of this study was to develop and validate a subject-specific framework to model knee flexion–extension by integrating 3D gait data [...] Read more.
Background: The knee joint performs a vital function in human movement, supporting significant loads and ensuring stability during daily activities. Methods: The objective of this study was to develop and validate a subject-specific framework to model knee flexion–extension by integrating 3D gait data with individualized musculoskeletal (MS) and finite element (FE) models. In this proof of concept, gait data were collected from a 52-year-old woman using Xsens inertial sensors. The MS model was based on the same subject to define realistic loading, while the 3D knee FE model, built from another individual’s MRI, included all major anatomical structures, as subject-specific morphing was not possible due to unavailable scans. Results: The FE simulation showed principal stresses from –28.67 to +44.95 MPa, with compressive stresses between 2 and 8 MPa predominating in the tibial plateaus, consistent with normal gait. In the ACL, peak stress of 1.45 MPa occurred near the femoral insertion, decreasing non-uniformly with a compressive dip around –3.0 MPa. Displacement reached 0.99 mm in the distal tibia and decreased proximally. ACL displacement ranged from 0.45 to 0.80 mm, following a non-linear pattern likely due to ligament geometry and local constraints. Conclusions: These results support the model’s ability to replicate realistic, patient-specific joint mechanics. Full article
(This article belongs to the Section Gait and Posture Biomechanics)
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13 pages, 544 KB  
Article
Normative Data for Vertical Jump Tests in Pre-School Children Aged 3 to 6 Years
by Vilko Petrić, Sanja Ljubičić and Dario Novak
Biomechanics 2025, 5(3), 56; https://doi.org/10.3390/biomechanics5030056 - 1 Aug 2025
Viewed by 1687
Abstract
Background/Objectives: Vertical jump is considered a reliable and valid method of assessing the level of muscular power and coordination across one’s lifespan. The main aim of the present study was to establish sex- and age-normative data for vertical jump outcomes in pre-school [...] Read more.
Background/Objectives: Vertical jump is considered a reliable and valid method of assessing the level of muscular power and coordination across one’s lifespan. The main aim of the present study was to establish sex- and age-normative data for vertical jump outcomes in pre-school children. Methods: We recruited 411 boys and girls aged 3−6 years from four major cities in Croatia and Slovenia. Vertical jump was assessed with two tests: countermovement jump (CMJ) without and with arm swing using a reliable and valid Optojump measuring platform. Data were presented for the 5th, 15th, 25th, 50th (median), 75th, 90th, and 95th percentile. Results: No significant differences were observed in multiple vertical jump outcomes between boys and girls. The mean values for CMJ without and with arm swing between boys and girls were as follows: contact time (1.4 vs. 1.4 s/1.8 vs. 1.7 s), flight time (0.32 vs. 0.31 s/0.33 vs. 0.32), height (12.3 vs. 12.2 cm/13.0 vs. 12.5 cm), power (9.4 vs. 9.5 W/kg/9.3 vs. 9.1 W/kg), pace (0.7 vs. 0.7 steps/s/0.6 vs. 0.6 steps/s), reactive strength index (RSI; 0.10 vs. 0.09 m/s/0.08 vs. 0.08 m/s), and verticality (2.5 vs. 2.3/1.9 vs. 1.9). A gradual increase in all measures according to ‘age’ was observed (p for trend < 0.05). No significant ‘sex*age’ interaction was observed (p > 0.05). Conclusions: This is one of the first studies to provide sex- and age-normative data for complete vertical jump outcomes in pre-school children. These data will serve as an avenue for monitoring and tracking motor development in this sensitive period. Full article
(This article belongs to the Section Sports Biomechanics)
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13 pages, 3980 KB  
Article
Simulation–Driven Design of Ankle–Foot Orthoses Using DoE Optimization and 4D Visualization
by Marta Carvalho and João Milho
Biomechanics 2025, 5(3), 55; https://doi.org/10.3390/biomechanics5030055 - 1 Aug 2025
Viewed by 443
Abstract
Background/Objectives: The simulation of human movement offers transformative potential for the design of medical devices, particularly in understanding the cause–effect dynamics in individuals with neurological or musculoskeletal impairments. This study presents a simulation-driven framework to determine the optimal ankle–foot orthosis (AFO) stiffness [...] Read more.
Background/Objectives: The simulation of human movement offers transformative potential for the design of medical devices, particularly in understanding the cause–effect dynamics in individuals with neurological or musculoskeletal impairments. This study presents a simulation-driven framework to determine the optimal ankle–foot orthosis (AFO) stiffness for mitigating the risk of ankle sprains due to excessive subtalar inversion during high-impact activities, such as landing from a free fall. Methods: We employed biomechanical simulations to assess the influence of translational stiffness on subtalar inversion control, given that inversion angles exceeding 25 degrees are strongly correlated with injury risk. Simulations were conducted using a musculoskeletal model with and without a passive AFO; the stiffness varied in three anatomical directions. A Design of Experiments (DoE) approach was utilized to capture nonlinear interactions among stiffness parameters. Results: The results indicated that increased translational stiffness significantly reduced inversion angles to safer levels, though direction–dependent effects were noted. Based on these insights, we developed a 4D visualization tool that integrates simulation data with an interactive color–coded interface to depict ”safe design” zones for various AFO stiffness configurations. This tool supports clinicians in selecting stiffness values that optimize both safety and functional performance. Conclusions: The proposed framework enhances clinical decision-making and engineering processes by enabling more accurate and individualized AFO designs. Full article
(This article belongs to the Section Injury Biomechanics and Rehabilitation)
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12 pages, 1677 KB  
Article
Validating Capacitive Pressure Sensors for Mobile Gait Assessment
by John Carver Middleton, David Saucier, Samaneh Davarzani, Erin Parker, Tristen Sellers, James Chalmers, Reuben F. Burch, John E. Ball, Charles Edward Freeman, Brian Smith and Harish Chander
Biomechanics 2025, 5(3), 54; https://doi.org/10.3390/biomechanics5030054 - 1 Aug 2025
Viewed by 473
Abstract
Background: This study was performed to validate the addition of capacitive-based pressure sensors to an existing smart sock developed by the research team. This study focused on evaluating the accuracy of soft robotic sensor (SRS) pressure data and its relationship with laboratory-grade Kistler [...] Read more.
Background: This study was performed to validate the addition of capacitive-based pressure sensors to an existing smart sock developed by the research team. This study focused on evaluating the accuracy of soft robotic sensor (SRS) pressure data and its relationship with laboratory-grade Kistler force plates in collecting ground force reaction data. Methods: Nineteen participants performed walking trials while wearing the smart sock with and without shoes. Data was collected simultaneously with the sock and the force plates for each gait phase including foot-flat, heel-off, and midstance. The correlation between the smart sock and force plates was analyzed using Pearson’s correlation coefficient and R-squared values. Results: Overall, the strength of the relationship between the smart sock’s SRS data and the vertical ground reaction force (GRF) data from the force plates showed a strong correlation, with a Pearson’s correlation coefficient of 0.85 ± 0.1; 86% of the trials had a value higher than 0.75. The linear regression models also showed a strong correlation, with an R-squared value of 0.88 ± 0.12, which improved to 0.90 ± 0.07 when including a stretch-SRS for measuring ankle flexion. Conclusions: With these strong correlation results, there is potential for capacitive pressure sensors to be integrated into the proposed device and utilized in telehealth and sports performance applications. Full article
(This article belongs to the Section Gait and Posture Biomechanics)
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15 pages, 1849 KB  
Article
Evolution of Gait Biomechanics During a Nine-Month Exercise Program for Parkinson’s Disease: An Interventional Cohort Study
by Dielise Debona Iucksch, Elisangela Ferretti Manffra and Vera Lucia Israel
Biomechanics 2025, 5(3), 53; https://doi.org/10.3390/biomechanics5030053 - 1 Aug 2025
Viewed by 746
Abstract
It is well established that combining exercise with medication may benefit functionality in individuals with PD (Parkinson’s disease). However, the long-term evolution of gait biomechanics under this combination remains poorly understood. Objectives: This study aims to analyze the evolution of spatiotemporal gait parameters, [...] Read more.
It is well established that combining exercise with medication may benefit functionality in individuals with PD (Parkinson’s disease). However, the long-term evolution of gait biomechanics under this combination remains poorly understood. Objectives: This study aims to analyze the evolution of spatiotemporal gait parameters, kinetics, and kinematics throughout a long-term exercise program conducted in water and on dry land. Methods: We have compared the trajectories of biomechanical variables across the treatment phases using statistical parametric mapping (SPM). A cohort of fourteen individuals with PD (mean age: 65.6 ± 12.1 years) participated in 24 sessions of aquatic exercises over three months, followed by a three-month retention phase, and then 24 additional sessions of land-based exercises. Three-dimensional gait data and spatiotemporal parameters were collected before and after each phase. Two-way ANOVA with repeated measures was used to compare spatiotemporal parameters. Results: The walking speed increased while the duration of the double support phase decreased. Additionally, the knee extensor moment consistently increased in the entire interval from midstance to midswing (20% to 70% of the stride period), approaching normal gait patterns. Regarding kinematics, significant increases were observed in both hip and knee flexion angles. Furthermore, the abnormal ankle dorsiflexion observed at the foot strike disappeared. Conclusions: These findings collectively suggest positive adaptations in gait biomechanics during the observation period. Full article
(This article belongs to the Special Issue Gait and Balance Control in Typical and Special Individuals)
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14 pages, 895 KB  
Article
Biomechanical Trade-Offs Between Speed and Agility in the Northern Brown Bandicoot
by Kaylah Del Simone, Skye F. Cameron, Christofer J. Clemente, Taylor J. M. Dick and Robbie S. Wilson
Biomechanics 2025, 5(3), 52; https://doi.org/10.3390/biomechanics5030052 - 17 Jul 2025
Viewed by 522
Abstract
Background/Objectives: Australian terrestrial mammals that fall within the critical weight range (35 g–5.5 kg) have experienced large population declines due to a combination of habitat loss and modification, and the introduction of non-native cats, dogs, and foxes. Because running speed typically increases with [...] Read more.
Background/Objectives: Australian terrestrial mammals that fall within the critical weight range (35 g–5.5 kg) have experienced large population declines due to a combination of habitat loss and modification, and the introduction of non-native cats, dogs, and foxes. Because running speed typically increases with body size, predators are usually faster but less agile than their prey due to the biomechanical trade-offs between speed and agility. Quantifying the maximum locomotor capacities of Australian mammals in the critical weight range, and the magnitude of the trade-off between speed and agility, can aid in estimating species’ vulnerability to predation. Methods: To do this, we quantified the trade-off between speed and agility in both males and females (n = 36) of a critical weight range species, the northern brown bandicoot (Isoodon macrourus), and determined if there was an influence of morphology on locomotor performance. Results: When turning, individuals who had higher turn approach speeds, and higher within-turn speeds, had greater turning radii and lower angular velocities, meaning a decrease in overall maneuverability. Females were more agile and exhibited greater turning speeds at similar turning radii than males. For both sexes, individuals with longer relative hind digits had relatively faster sprint speeds, while those with longer forearms had relatively smaller turning radii and higher agility. Conclusions: Due to the constrained limb morphology of the bandicoot species, these findings could translate across this group to provide a better understanding of their escape performance and risk of predation. Full article
(This article belongs to the Section Sports Biomechanics)
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17 pages, 4138 KB  
Article
From Control Algorithm to Human Trial: Biomechanical Proof of a Speed-Adaptive Ankle–Foot Orthosis for Foot Drop in Level-Ground Walking
by Pouyan Mehryar, Sina Firouzy, Uriel Martinez-Hernandez and Abbas Dehghani-Sanij
Biomechanics 2025, 5(3), 51; https://doi.org/10.3390/biomechanics5030051 - 4 Jul 2025
Viewed by 578
Abstract
Background/Objectives: This study focuses on the motion planning and control of an active ankle–foot orthosis (AFO) that leverages biomechanical insights to mitigate footdrop, a deficit that prevents safe toe clearance during walking. Methods: To adapt the motion of the device to the user’s [...] Read more.
Background/Objectives: This study focuses on the motion planning and control of an active ankle–foot orthosis (AFO) that leverages biomechanical insights to mitigate footdrop, a deficit that prevents safe toe clearance during walking. Methods: To adapt the motion of the device to the user’s walking speed, a geometric model was used, together with real-time measurement of the user’s gait cycle. A geometric speed-adaptive model also scales a trapezoidal ankle-velocity profile in real time using the detected gait cycle. The algorithm was tested at three different walking speeds, with a prototype of the AFO worn by a test subject. Results: At walking speeds of 0.44 and 0.61 m/s, reduced tibialis anterior (TA) muscle activity was confirmed by electromyography (EMG) signal measurement during the stance phase of assisted gait. When the AFO was in assistance mode after toe-off (initial and mid-swing phase), it provided an average of 48% of the estimated required power to make up for the deliberate inactivity of the TA muscle. Conclusions: Kinematic analysis of the motion capture data showed that sufficient foot clearance was achieved at all three speeds of the test. No adverse effects or discomfort were reported during the experiment. Future studies should examine the device in populations with footdrop and include a comprehensive evaluation of safety. Full article
(This article belongs to the Section Injury Biomechanics and Rehabilitation)
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9 pages, 339 KB  
Article
Plyometric Training in Prepubertal Soccer Players: Is It Really Effective for Soccer Performance?
by Edoardo Lo Russo, Matteo Levi Micheli, Andrea Vieri, Pascal Izzicupo and Gabriele Mascherini
Biomechanics 2025, 5(3), 50; https://doi.org/10.3390/biomechanics5030050 - 1 Jul 2025
Viewed by 932
Abstract
Background/Objectives: Plyometric training is a method of increasing soccer performance which leverages the muscle stretch-shortening cycle. This study aimed to evaluate the safety and effectiveness of plyometric training in prepubertal soccer players. Methods: Twenty-three young athletes (age 9.4 ± 0.3 years) from an [...] Read more.
Background/Objectives: Plyometric training is a method of increasing soccer performance which leverages the muscle stretch-shortening cycle. This study aimed to evaluate the safety and effectiveness of plyometric training in prepubertal soccer players. Methods: Twenty-three young athletes (age 9.4 ± 0.3 years) from an elite club, training three times per week, were enrolled. During one of the weekly training sessions, twelve players formed the experimental group (PLYO), incorporating a 45 min plyometric training component into their routine, while the control group (CON), consisting of eleven players continued with their usual training program. At baseline and after 12 weeks, anthropometric parameters, flexibility, lower limb strength, and agility were assessed. Results: At baseline, no differences were observed between the two groups in anthropometric or physical performance parameters. No injuries occurred during the study. After 12 weeks, both groups showed significant growth and performance improvements. However, the PLYO showed a significantly greater increase in lower limb strength (Δ + 10.7%) compared to the CON (Δ + 6.0%). Conversely, although not statistically significant, agility improvements were greater in the CON (Δ + 12.4%) than in the PLYO (Δ + 8.6%). Conclusions: Plyometric training appears to be a safe and effective method for enhancing lower limb strength in prepubertal athletes. However, this strength gain did not directly translate into greater agility, which may benefit more from sport-specific training during this developmental stage. Full article
(This article belongs to the Collection Locomotion Biomechanics and Motor Control)
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14 pages, 889 KB  
Article
Neuromuscular Assessment of Maximal Shoulder Flexion/Extension Torque Development in Male Gymnasts
by Dimitrios C. Milosis, Costas Dallas, Dimitrios A. Patikas, George Dallas and Theophanis Siatras
Biomechanics 2025, 5(3), 49; https://doi.org/10.3390/biomechanics5030049 - 1 Jul 2025
Viewed by 915
Abstract
Background/Objectives: The objective of this study was to compare muscular strength and neuromuscular activation characteristics between male gymnasts and physical education (PE) students during isometric shoulder extension and flexion tasks. Methods: Thirteen competitive male gymnasts (age: 19.59 ± 1.90 years; body [...] Read more.
Background/Objectives: The objective of this study was to compare muscular strength and neuromuscular activation characteristics between male gymnasts and physical education (PE) students during isometric shoulder extension and flexion tasks. Methods: Thirteen competitive male gymnasts (age: 19.59 ± 1.90 years; body mass: 66.54 ± 6.10 kg; height: 169.38 ± 6.28 cm; mean ± SD) and thirteen male physical education (PE) students (age: 20.96 ± 2.30 years; body mass: 74.00 ± 8.69 kg; height: 174.96 ± 4.93 cm) voluntarily participated in the study. Peak torque (PT), rate of torque development (RTD), RTD normalized to body mass (RTD/BM), and muscle activation assessed via surface electromyography (EMG), normalized to maximal EMG activity (EMG/EMGmax), were evaluated during bilateral isometric shoulder extension and flexion at a joint angle of 45°. Measurements were analyzed across the following time intervals: −50 to 0 ms (pre-tension), 0–30 ms, 0–50 ms, 0–100 ms, and 0–200 ms relative to contraction onset. Custom MATLAB R2024b scripts were used for data processing and visualization. One-way and two-way multivariate analyses of variance (MANOVAs) were conducted to test for group differences. Results: Gymnasts exhibit higher values of PT, PT/BM, RTD, and RTD/BM particularly within the early contraction phases (i.e., 0–50 ms and 0–100 ms) compared to PE students (p < 0.05 to <0.001; η2 = 0.04–0.66). Additionally, EMG activity normalized to maximal activation (EMG/EMGmax) was significantly greater in gymnasts during both early and mid-to-late contraction phases (0–100 ms and 0–200 ms), (p < 0.05 to <0.001; η2 = 0.04–0.48). Conclusions: These findings highlight gymnasts’ superior explosive neuromuscular capacity. Metrics like RTD, RTD/BM, and EMG offer valuable insights into rapid force production and neural activation, supporting performance monitoring, training optimization, and injury prevention across both athletic and general populations. Full article
(This article belongs to the Section Neuromechanics)
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16 pages, 1782 KB  
Systematic Review
Relationship Between Shooting Performance and Biomechanical Parameters Associated with Body Stability in Archery: A Systematic Review
by João Santos, Joana Barreto, Tiago Atalaia and Pedro Aleixo
Biomechanics 2025, 5(3), 48; https://doi.org/10.3390/biomechanics5030048 - 1 Jul 2025
Cited by 1 | Viewed by 1190
Abstract
Background/Objectives: Body stability plays a decisive role in archery, particularly during the aiming phase. A systematic review was conducted, in accordance with PRISMA guidelines, to critically examine the existing evidence on the association between body stability parameters and shooting performance. Methods: [...] Read more.
Background/Objectives: Body stability plays a decisive role in archery, particularly during the aiming phase. A systematic review was conducted, in accordance with PRISMA guidelines, to critically examine the existing evidence on the association between body stability parameters and shooting performance. Methods: A comprehensive search of the MEDLINE Complete, CINAHL Complete, SportDiscus, and Cochrane Reviews databases was performed. Studies published until 12 July 2024 were considered. Results: Sixteen articles were selected, and we analyzed the following biomechanical parameters related to body stability: center of pressure displacement, velocity, and ellipse area; bow sway; and sway of markers placed on the head, sternum, and pelvis. The findings consistently showed that reduced center of pressure displacement and velocity, along with smaller center of pressure ellipse area, were associated with superior shooting outcomes. Although studies are scarce, data suggest that lower bow sway is associated with better shooting performance. The scarcity of research on the sway of markers placed in anatomical points does not allow for conclusions about their effectiveness as performance predictors. Despite its relevance, no studies have assessed the center of gravity data. Therefore, further research is needed to address this important point. Conclusions: Although studies have examined several parameters, the literature remains inconclusive regarding which of these parameters best predicts shooting quality. Full article
(This article belongs to the Section Sports Biomechanics)
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19 pages, 3933 KB  
Article
Effects of Artificial Achilles Tendon on Hindlimb Movement Biomechanics and Muscle Morphology in Rabbits
by Obinna P. Fidelis, Katrina L. Easton, Madison Smith, Gabriela Bastos, Kristin Bowers, David E. Anderson and Dustin L. Crouch
Biomechanics 2025, 5(3), 47; https://doi.org/10.3390/biomechanics5030047 - 1 Jul 2025
Viewed by 463
Abstract
Background/Objectives: Artificial tendons offer an alternative to biological tendon grafts and may restore normative biomechanical functions in humans and animals suffering segmental or complete tendon loss. The aim of this study was to quantify movement biomechanics during hopping gait and muscle properties of [...] Read more.
Background/Objectives: Artificial tendons offer an alternative to biological tendon grafts and may restore normative biomechanical functions in humans and animals suffering segmental or complete tendon loss. The aim of this study was to quantify movement biomechanics during hopping gait and muscle properties of New Zealand White rabbits with a polyester silicone-coated (PET-SI) artificial tendon. Methods: In five rabbits, the biological Achilles tendon of the left hindlimb was surgically replaced with a PET-SI artificial tendon; five operated control rabbits underwent complete surgical excision of the biological Achilles tendon in the left hindlimb with no replacement (TE). Results: Across both groups at 2 and 8 weeks post-surgery compared to baseline, the maximum ankle angle during stance and swing phases of stride was significantly lower (i.e., more dorsiflexed) (p < 0.001), the peak vertical force was significantly higher (p < 0.001), and the average ground contact area was significantly lower (p < 0.001). At 8 weeks post-surgery, the muscle cross-sectional area of the lateral gastrocnemius was significantly higher in the PET-SI group than in the TE group (p = 0.006). Muscle mass and length were lower in the operated limb compared to the non-operated limb across the two groups (TE and PET-SI), with no significant differences between groups. Conclusions: The artificial Achilles tendon did not appear to provide superior biomechanical support during hopping compared to the TE group. However, the artificial tendon preserved muscle structural properties that correspond to the muscle’s capacity to generate force. Future studies should optimize the tendon–tissue interface. Full article
(This article belongs to the Section Injury Biomechanics and Rehabilitation)
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15 pages, 1324 KB  
Article
A Prospective Study Evaluating Gait and Clinical Outcome Following First Metatarsophalangeal Arthrodesis for Hallux Rigidus
by Robin T. A. L. de Bot, Jasper Stevens, Heleen M. Staal, Kenneth Meijer and Adhiambo M. Witlox
Biomechanics 2025, 5(3), 46; https://doi.org/10.3390/biomechanics5030046 - 1 Jul 2025
Viewed by 666
Abstract
Background: Arthrodesis of the first metatarsophalangeal joint (MTP1) is a common intervention for hallux rigidus (HR). The procedure eliminates MTP1 motion but results in significant pain relief and high satisfaction rates, although MTP1 is eliminated. Less evidence is available regarding the effects on [...] Read more.
Background: Arthrodesis of the first metatarsophalangeal joint (MTP1) is a common intervention for hallux rigidus (HR). The procedure eliminates MTP1 motion but results in significant pain relief and high satisfaction rates, although MTP1 is eliminated. Less evidence is available regarding the effects on gait and the presence of compensatory mechanisms. The aim of this study is to investigate the effects of MTP1 arthrodesis on gait and patient-reported outcome measures (PROMs) compared with preoperative functioning and healthy individuals. Methods: In this prospective study, 10 patients (10 feet) with HR who underwent MTP1 arthrodesis were evaluated before and after surgery and compared with 15 healthy controls (30 feet). Gait analysis was performed with a motion capturing system using the multi-segment Oxford foot model. Spatiotemporal parameters and kinematics were quantitatively analyzed. PROMs were evaluated using validated questionnaires including the American Orthopedic Foot and Ankle Society Hallux Metatarsophalangeal-Interphalangeal (AOFAS-HMI) scale, the Numeric Pain Rating Scale (NPRS), and the Manchester–Oxford Foot Questionnaire (MOXFQ). Results: MTP1 joint motion was reduced in HR and further reduced after MTP1 arthrodesis compared with healthy controls. Furthermore, intersegmental ROM analysis revealed increased forefoot frontal plane motion (pronation and supination) in HR compared with healthy controls. This was also observed after MTP1 arthrodesis, while additionally increased frontal plane motion in the hindfoot (inversion and eversion) was observed compared with HR and healthy controls. PROM evaluation revealed improved AOFAS-HMI (from 55.7 to 79.1 points, p = 0.002) and NPRS (from 5.7 to 1.5 points, p = 0.004) scores after surgery. Additionally, improvements in the MOXFQ score (from 51.0 to 20.0 points, p = 0.002) were observed. Conclusions: Due to the loss of sagittal hallux motion, foot and ankle kinematics are changed in HR patients and after MTP1 arthrodesis compared with healthy controls. Loss of MTP1 motion results in increased frontal plane motion of the forefoot in HR, and increased frontal plane motion of the fore- and hindfoot after MTP1 arthrodesis. Additionally, substantial improvements in PROMs were recorded after surgery. Full article
(This article belongs to the Section Gait and Posture Biomechanics)
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11 pages, 1156 KB  
Article
Assessing the Contribution of Arm Swing to Countermovement Jump Height Using Three Different Measurement Methods in Physically Active Men
by Daichi Yamashita, Frederick James Henderson and Yuko Ishida
Biomechanics 2025, 5(3), 45; https://doi.org/10.3390/biomechanics5030045 - 1 Jul 2025
Viewed by 1637
Abstract
Background/Objectives: This study evaluated the reliability and validity of three methods to measure jump height during countermovement jumps performed with (CMJAS) and without (CMJNAS) arm swing: (1) an impulse–momentum method with force platforms (FPimp), (2) a flight [...] Read more.
Background/Objectives: This study evaluated the reliability and validity of three methods to measure jump height during countermovement jumps performed with (CMJAS) and without (CMJNAS) arm swing: (1) an impulse–momentum method with force platforms (FPimp), (2) a flight time method with force platforms (FPtime), and (3) an inertial measurement unit (PUSH Band 2.0; PUSH2). Methods: Eighteen physically active men performed CMJAS and CMJNAS on force platforms while wearing PUSH2 over two days. Besides jump height, we computed intraclass correlation coefficients (ICC) and the absolute and relative increases in jump height due to arm swing, compared to CMJNAS. Results: The reliability of intra-session, inter-session, and concurrent measures were good to excellent (intra-session ICC2,1 = 0.957–0.979, inter-session ICC2,1 = 0.806–0.990, concurrent ICC3,1 = 0.940–0.973) for CMJAS and CMJNAS heights, in all three methods. The three methods showed high to very high reliability for both the absolute and relative indices of arm swing contribution (ICC2,1 = 0.649–0.812). FPtime significantly overestimated CMJNAS height relative to FPimp (p < 0.01). The absolute index of arm swing contribution was similar in FPimp and FPtime (p = 0.38) but higher in PUSH2 (p < 0.01), indicating that arm swing amplified overestimation. Conclusions: All three methods demonstrated high reliability for jump height measurements, but FPtime and PUSH2 misestimated jump height depending on jump modalities. Caution is advised when assessing the absolute and relative contribution of arm swing, because errors in CMJNAS and CMJAS height measurements can affect these values and their interpretation. Full article
(This article belongs to the Special Issue Inertial Sensor Assessment of Human Movement)
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10 pages, 921 KB  
Article
Electromyographic Activation of Flexed Arm Circumference, With or Without Contralateral Opposition
by Rafael Bizarelo, Luiz Paulo Pimenta Rambal, Taís de Souza Lopes, Sara Lucia Silveira de Menezes, Pablo B. Costa and Claudio Melibeu Bentes
Biomechanics 2025, 5(3), 44; https://doi.org/10.3390/biomechanics5030044 - 1 Jul 2025
Viewed by 625
Abstract
Flexed and tensed arm (FTA) circumference is a fundamental anthropometric measurement for determining the mesomorphic component in somatotype. This study examined the impact of contralateral limb opposition (+OP) on arm circumference measurement and biceps brachii muscle activation. Fifty physically active men and women, [...] Read more.
Flexed and tensed arm (FTA) circumference is a fundamental anthropometric measurement for determining the mesomorphic component in somatotype. This study examined the impact of contralateral limb opposition (+OP) on arm circumference measurement and biceps brachii muscle activation. Fifty physically active men and women, mean (22.7 ± 2.9 years), participated in this study. FTA circumference measurements were taken with FTA + OP and without opposition FTA, following ISAK protocols. Additionally, biceps brachii muscle activation was assessed using surface electromyography (sEMG). Significant differences were identified in the flexed and tensed arm circumference (>1%) and in the mesomorphic component between the FTA and FTA + OP conditions (p < 0.001). In addition, contralateral limb opposition resulted in a significant average increase of 39.02% in biceps brachii muscle activation, with variations between 24.57% to 47.46% across the time intervals analyzed (p < 0.05). A moderate correlation was observed between the percentage difference in sEMG and arm circumference during the middle second of contraction (r = 0.418). However, during the first (r = 0.393), third (r = 0.376), and mean (r = 0.385) contraction periods, the correlation was considered weak. Contralateral limb opposition caused greater biceps brachii muscle activation, resulting in an increase in flexed and tensed arm circumference in physically active young adults. Full article
(This article belongs to the Section Neuromechanics)
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14 pages, 1340 KB  
Article
The Effects of Aging and Cognition on Gait Coordination Analyzed Through a Network Analysis Approach
by Mario De Luca, Roberta Minino, Arianna Polverino, Enrica Gallo, Laura Mandolesi, Pierpaolo Sorrentino, Giuseppe Sorrentino and Emahnuel Troisi Lopez
Biomechanics 2025, 5(3), 43; https://doi.org/10.3390/biomechanics5030043 - 27 Jun 2025
Viewed by 723
Abstract
Background/Objectives: Walking coordination is crucial for maintaining independence and quality of life, but it is significantly affected by aging and cognitive decline. This study investigates how age and cognitive status relate to lower limb coordination during gait, using a network-based analysis of joint [...] Read more.
Background/Objectives: Walking coordination is crucial for maintaining independence and quality of life, but it is significantly affected by aging and cognitive decline. This study investigates how age and cognitive status relate to lower limb coordination during gait, using a network-based analysis of joint kinematics. Methods: Fifty-six healthy participants (31–82 years old) underwent gait analysis with a stereophotogrammetric system and cognitive assessment through standardized neuropsychological tests. Kinematic data were processed to build “kinectomes”, representing the inter-joint coordination across the gait cycle. Results: The results showed that the mean lower limb coordination on the sagittal plane negatively correlated with age and positively with cognitive performance. Detailed analysis revealed that age-related declines in coordination were primarily driven by reduced synchronization at the knees, while cognitive status was associated with overall coordination rather than joint-specific changes. Conclusion: These findings emphasize the knees’ critical role in preserving gait coordination with aging and underline the involvement of cognitive aspects in global coordination mechanisms. In summary, our network-based approach provides a refined perspective on gait dynamics, highlighting the relationship between coordination and both age and cognition. Full article
(This article belongs to the Special Issue Biomechanics in Sport and Ageing: Artificial Intelligence)
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