Biomechanics, Volume 6, Issue 2 (June 2026) – 16 articles

Background/Objectives: The A-Palp enables a calibrated anatomical systems technique (CAST) approach. Previous studies have demonstrated repeatability and concurrent validity for selected spinal curvature angles in patients with scoliosis. However, the inter-operator reproducibility, temporal repeatability, and reliability of sagittal spinal curvature measurements and spinopelvic parameters remain to be established. Methods: Eighteen healthy adults without spinal pathology were assessed. Two operators sampled sagittal spinal profiles with the A-Palp in a 14-camera optoelectronic setup, applying reflective markers and palpating spinous processes. One operator repeated measurements after seven days. Marker data were processed in MATLAB (R2019b) to smooth trajectories, fit curvature arcs, and compute extracorporeal kyphosis, lordosis, and pelvic parameters. Reliability and repeatability were evaluated using Bland & Altman analysis, intraclass correlations (ICCs), standard error of measurement (SEM), mean detectable change (MDC₉₅), root-mean-squared errors (RMSEs), and Statistical Parametric Mapping (SPM). Results: Reliability and repeatability were strong. For global spinal angles, ICCs exceeded 0.90 across operators and sessions. The tangent method yielded low SEM (1–2°) and MDC₉₅ (3–6°) values, whereas the circle-fit/trigonometric methods showed larger errors. Most spinopelvic angles had moderate-to-excellent ICCs (0.65–0.98) with SEM/MDC₉₅ values ≈2.1–4.5°/5.9–12.4°. Ground reaction force-referenced distances showed good ICCs and small intra-operator error (SEM: 3.8–4.8 mm; MDC₉₅: 10.7–13.4 mm) but wider inter-session thresholds (SEM: 10.3–11.6 mm; MDC₉₅: 28.6–32.8 mm). Bland & Altman biases were ~0, with narrower limits for the tangent (≈±5°) than circle-fit/trigonometric (≈±8–12°) methods. Curve tracking was consistent (RMSE: 2.7–3.7 mm, <5% amplitude), and SPM detected no point-wise differences. Conclusion: The A-Palp method demonstrated high reliability and repeatability for extracorporeal sagittal spinal and sacro-spinal evaluation. Variability was low across operators and sessions, supporting its use as a robust, non-invasive clinical and research tool. Full article

Background/Objectives: Strain energy density-based algorithms are widely applied in modelling bone healing, yet their use under patient-specific geometry-based conditions remains underdeveloped. This study proposes a patient-specific geometry-based framework for fracture healing simulation and investigates how different postoperative loading conditions influence the mechanical environment of callus remodeling. Methods: Using postoperative radiographic data of a 63-year-old male patient with a distal diaphyseal tibial fracture and concomitant proximal and distal fibular fractures, a three-dimensional finite element model of the tibia was reconstructed, imported into a multiphysics simulation environment, and coupled with an iterative numerical algorithm. A uniform initial callus density of 750 kg/m³ was assumed as a simplified and homogenized representation of the healing tissue. The effects of different mechanical loading conditions (partial weight-bearing, physiological loading, and supraphysiological loading) on the mechanical response and density evolution of the callus were evaluated. Results: Partial weight-bearing resulted in insufficient mechanical stimulation and progressive density loss within the callus. Physiological loading generated strain energy density levels consistent with known osteogenic ranges and contributed to continuous cortical shell formation and overall density increase. Supraphysiological loading was associated with overload-related resorption and spatial heterogeneity, which may reduce callus stability. Conclusions: The findings suggest that loading magnitude may influence the simulated remodeling response of the callus under the assumptions of the present model. These results indicate that intermediate loading conditions were associated with a more pronounced remodeling response compared to reduced or excessive loading for the investigated case. The comparison with postoperative clinical imaging showed qualitative agreement in the spatial distribution of mineralized and less mineralized regions, supporting the feasibility of the proposed patient-specific geometry-based SED-based framework. Full article

Background/Objectives: Industry 5.0 emphasizes the protection and empowerment of human workers. Passive wearables reduce physical strain, but the evaluation of their efficacy remains incomplete when based solely on kinematics or electromyographic (EMG) envelope amplitude, failing to capture the underlying neural “cost” or the compensatory strategies. This paper proposes a computational framework centered on muscle synergy analysis to bridge the gap between laboratory-grade neural assessment and real-world industrial applications. The goal is to move beyond simple biomechanical metrics toward a deeper understanding of neural coordination during device interaction. Methods: Given the practical limitations of high-density EMG in industrial settings, we propose a “streamlining” approach: laboratory-derived synergy models guide the understanding of neural processes and the selection of a minimal set of sensors capable of detecting maladaptive motor compensations and early signs of fatigue. Results: This approach allows for long-term monitoring without compromising natural movement. By decoupling neural strategies from kinematic output, “silent” risk situations can be identified even when movement appears correct but the neural coordination is altered by the passive device. This supports personalized ergonomic indices and predictive prevention protocols, transforming wearables from simple mechanical aids into intelligent, human-centric systems. Conclusions: This framework provides a roadmap for translating complex motor control theories into practical tools for the next generation of safe and sustainable manufacturing. Full article

Background: Standard clinical scales for pediatric and adolescent ataxia lack biomechanical granularity, limiting precision rehabilitation. This study aimed to identify compensatory gait phenotypes using unsupervised machine learning and establish a robust, highly accessible clinical decision model. Methods: Spatiotemporal gait data from 51 youths (31 ataxia and 20 healthy controls) were analyzed. To ensure pathological specificity, Principal Component Analysis (PCA) and hierarchical clustering were applied exclusively to 13 biomechanical variables from the ataxia cohort (n = 31) to extract underlying domains and identify patient subgroups. Healthy controls were subsequently used as a normative reference. A Classification and Regression Tree (CRT) algorithm was developed for clinical translation. Results: Two distinct phenotypes reflecting the evolution of compensatory strategies were identified: a “Rapid Rhythm” strategy (n = 24) and a severe “Prolonged Stance” strategy (n = 7). Unlike previous assumptions, the phenotypes strongly correlated with clinical severity (Scale for the Assessment and Rating of Ataxia (SARA) scores: 9.79 vs. 16.78, p = 0.012) and exhibited significantly different gait speeds (p < 0.001). The CRT model identified the stance phase duration as the primary discriminator. A recalibrated critical cut-off of >69.68% effectively classified the severe Prolonged Stance phenotype. This threshold sits distinctly above the healthy pediatric norm, achieving an overall cross-validated accuracy of 96.8%, with 100% specificity. Conclusions: Gait phenotypes in pediatric and adolescent ataxia represent progressive stages of neuromechanical compensation driven by disease severity. The established 69.68% stance-phase threshold provides clinicians with a powerful, single-variable biomechanical red flag to identify severe pathological gait and guide phase-specific precision rehabilitation. Full article

Background/Objectives: While restricted dorsiflexion range of motion (DF-ROM) is linked to deleterious sagittal and frontal plane knee and hip kinematics during landing, the literature is conflicted as to whether excessive foot pronation is linked to knee injury. The purpose of this study was to examine the relationship between static foot posture, DF-ROM, and lower extremity biomechanics during a drop-landing task. Methods: Fifteen physically active adults (age: 22.6 ± 2.4 years, height: 1.69 ± 0.08 m, mass: 66.40 ± 9.95 kg) volunteered to participate in this study. Static foot posture was measured by the six criteria of the Foot Posture Index (FPI-6) and DF-ROM was measured using the weight-bearing lunge test (WB-LT). Sagittal and frontal plane kinematics and kinetics of the hip, knee, and ankle were captured using a 3D motion capture system and force plate during a drop-landing task. Results: FPI-6 scores (4.67 ± 2.94) correlated with knee abduction angle at initial contact (1.08 ± 3.30°, r = −0.59, p = 0.02), ankle sagittal plane excursion (39.11 ± 7.67°, r = −0.63, p = 0.01) and knee adduction moment (0.58 ± 0.51 N/kg, r = 0.60, p = 0.017). DF-ROM correlated with knee adduction moment (r = −0.59, p = 0.02). The combination of FPI-6 and DF-ROM accounted for 56% of the variance in knee adduction moment (r = 0.746, p = 0.008). No significant relationships were identified for hip variables (p > 0.05). Conclusions: Participants with a more pronated static foot posture displayed less knee adduction angle at initial contact and decreased ankle sagittal plane excursion. Those with less DF-ROM and a pronated static foot posture exhibited increased maximum knee adduction moment. Foot and ankle structure influence lower extremity biomechanics. Full article

Background. Walking is a fundamental human activity, vital for daily living, social connection, employment, etc. Methods. In the current study, we present a mathematical model of it, based on the planar double pendulum system influenced by gravity. For parameters of the pendulum, i.e., the characteristic of the limbs (thigh + shank), we use realistic mass–inertial parameters. The model incorporates anthropometric and inertial data specific to the average Bulgarian, Russian, German, and American male, including segment masses, centres of mass, as well as densities of the segments taken from experimental studies. Results. We derive the corresponding nonlinear differential equations governing the model. We solve them analytically, when possible, and, in the general case, numerically. For moderate initial angles (from the frontal plane) and angular velocities of the thigh and shank, the pendulum exhibits motion closely resembling natural human gait. The results for all nationalities considered are very close to each other. For comparatively slow walking speeds, the model provides realistic results. Conclusions. Our approach highlights how a relatively simple biomechanical model can capture essential features of human locomotion and provides a foundation for further refinement and comparison with more complex gait modelling techniques. Such modifications are outlined. Full article

Background: Ancient depictions of Pankration techniques have traditionally been interpreted through qualitative comparison with modern combat sports, without systematic biomechanical evaluation. The present study examines whether postural configurations derived from archeological artifacts are geometrically compatible with a continuous sagittal-plane trajectory under constrained inverse kinematics. Methods: A reduced planar humanoid model with three active rotational degrees of freedom was implemented in MATLAB Simulink(2024b), and artifact-derived initial and terminal postures were treated as boundary conditions. An analytical inverse kinematics solution was used to generate a continuous end-effector trajectory, from which joint kinematics and center-of-gravity displacement were computed. Motion capture data from ten participants were used solely to assess whether the generated trajectory is physically executable within human joint limits. Results: The results demonstrated strong agreement in selected local horizontal joint trajectories, while larger discrepancies were observed in vertical motion and global center-of-gravity behavior, reflecting the limitations of the reduced model. Conclusions: The study provides a reproducible framework for evaluating the kinematic feasibility of artifact-derived movements under explicitly defined constraints, limited to the assessment of geometric compatibility and physical executability. Full article

Objective: To analyze the relationship between weekly accumulated external load and pre-match neuromuscular performance assessed through the countermovement jump (CMJ), in under-21 (U21) football players across 10 competitive microcycles. Methods: Sixteen U21 football players (age: 18.9 ± 0.42 years; height: 180 ± 6.3 cm; body mass: 78.5 ± 8.5 kg) from a Chilean professional club were monitored over 10 consecutive weeks. In each microcycle, the relationship between changes in neuromuscular performance estimated from CMJ-derived variables and two components of external load was analyzed: (1) weekly accumulated external load and (2) the acute–chronic workload ratio (ACWR). External load variables included total distance (TD), high-speed running distance (HSR), accelerations (ACC), decelerations (DC), and PlayerLoad (PL). CMJ variables included jump height (JH), modified reactive strength index (RSI-mod), and peak eccentric velocity (PEV). Performance changes were calculated as the percentage change (Δ%) between MD + 2 (start of the microcycle) and MD − 1 (pre-match). Pearson or Spearman correlation coefficients were applied depending on data distribution. Results: Significant negative associations were observed between weekly accumulated external load and changes in CMJ performance. Reductions in JH were associated with TD, HSR, ACC, and PL. Similar patterns were found for RSI-mod, while PEV showed a particularly strong association with ACC. Additionally, ACWR demonstrated significant negative relationships with CMJ changes, especially for HSR, ACC, and PL. Conclusions: Higher weekly accumulated external loads and elevated ACWR, particularly in high-intensity metrics such as high-speed running and accelerations, are associated with impaired pre-match neuromuscular performance. Consequently, monitoring CMJ-derived variables alongside external load data is recommended to manage fatigue and optimize match readiness in young football players. Full article

Background/Objectives: The Gait Variable Score (GVS) and Gait Abnormality Score (GAS) have been proposed as methods for quantitatively evaluating deviations from normal gait patterns. This study aimed to investigate whether the GVS or GAS is more useful for evaluating gait in stroke survivors. Methods: We used open-access motion capture datasets from 43 stroke survivors and 82 healthy individuals. Nine kinematics and seven muscle activities were extracted. The GVS was calculated as the root mean square difference between the pathological and healthy gait patterns. The modified GAS (mGAS) newly defined in this study was calculated as the mean value of the absolute differences between the pathological and healthy gait patterns divided by the standard deviation of healthy gait patterns. The amplitudes of kinematics and muscle activities were calculated. Results: Both the GVS and mGAS were significantly higher in stroke survivors than in healthy individuals. A significant strong correlation for 16 variables (nine kinematics and seven muscle activities) was observed between the GVS and amplitude (r = 0.921), but no significant correlation was found between the mGAS and amplitude (r = 0.167). Conclusions: As the mGAS is not affected by the amplitude of kinematics and muscle activities, it allows for a comprehensive comparison of abnormalities in both kinematics and muscle activities. The mGAS may be more useful than the GVS for evaluating gait abnormalities in stroke survivors. Full article

Background: Multibody models are essential for studying knee joint mechanics, but their reliability and subsequent clinical utility are limited by uncertainties in ligament and contact parameters. Currently, no consensus exists on which parameters to prioritize or which statistical distributions best establish model credibility. Objectives: This scoping review aims to systematize reported uncertainty values for ligament and contact parameters in multibody models of the natural knee to identify trends and research gaps. Methods: Following PRISMA-ScR guidelines, a systematic search was conducted across PubMed, Scopus, and Web of Science. Methodological quality was assessed using a customized 13-item checklist, and the data were synthesized via a narrative approach by charting parameter types, quantification methods, and model structures. Results: In total, 19 articles were included (out of 494 identified), showing a wide variability in uncertain parameter types, values, and modeling approaches. Ligaments were typically represented as deformable cables with quadratic–linear behavior, while articular contact utilized elastic foundation formulations or mechanisms. Standard deviations of 30% of the mean for ligament stiffness and 0.02 for reference strain (typically modeled within Gaussian distributions) were the most frequently quantified uncertain parameters. Geometric uncertainties for ligament attachment points varied widely, ranging from 1.0 to 5.0 mm. Idealized contact geometry also varied within 2.5 mm for linear coordinates and 15° for angular coordinates. Conclusions: Wide variability and inconsistent reports highlight a need for standardized definitions of parameter uncertainty in multibody knee modeling to improve reproducibility of musculoskeletal knee simulations and ensure a reliable transition of these models into clinical practice. Full article

Background/Objectives: This paper investigates the application of radial basis function (RBF) interpolation to adapt the Toyota Human Model for Safety (THUMS) version 6 finite element (FE) models to diverse anthropometric profiles using ANSUR II data. The research focuses on generating personalized human body models (HBMs) across 50th, 80th, and 98th percentiles for both sexes in standing and seated postures, evaluating mesh quality with quantitative metrics, and assessing posture-dependent transformations. Methods: The geometric accuracy for the standing configuration was quantified using DICE similarity coefficients and the 95th percentile Hausdorff distance (HD95). Results: While global whole-body DICE similarity averaged approximately 0.40 due to an inherent variability in distal limb positioning, regional analysis demonstrated strong volumetric overlap in the critical chest and torso regions with DICE values ranging from 0.80 to 0.88. Regional HD95 values were within 20–30 mm across most of the surface area. Surfaces distance analyses showed that more than 95% of the nodes were within $\pm 20$ mm of the target surfaces with the distribution centered near zero across all the percentiles. The mesh quality for both standing and seated morphs demonstrated low violation rates with the aspect ratio being 28% to 30%, while warpage, skewness and, Jacobian determinants were less than 15%. The seated morphs preserved anatomical alignment and posture despite mesh density differences between the postures. Conclusions: These findings indicate that the morphing process preserves anatomical fidelity while highlighting the need for further optimization to mitigate localized distortions in dynamic simulations. Full article

Background/Objectives: Biomechanical research in surfing provides important insights into performance optimization and injury prevention, but the evidence remains fragmented across multiple domains. Methods: This scoping review aimed to systematically organize the existing literature on surfing biomechanics and evaluate the quality of the included studies. Searches were conducted by two independent reviewers in PubMed, Scopus, and Web of Science in accordance with the PRISMA Extension for Scoping Reviews. Systematic searches were performed up to 31 July 2025 using Boolean operators guided by the PECO framework. Methodological quality was assessed using the Downs and Black Quality Assessment Checklist. Results: Of the 195 records identified, 53 duplicates were removed. Following screening and fulltext review, 26 studies were included. Five studies employed randomized controlled designs, while 21 were non-randomized. Publications ranged from 2010 to 2025, with the majority conducted in Australia (65.4%). A total of 490 healthy surfers (mean age: 22.9 ± 16.1 years) were analyzed, with sample sizes ranging from 6 to 42 participants. Research topics included anthropometry, paddling biomechanics, aerial maneuvers, core and trunk strength and mobility, lower-limb function, frontside bottom turns, and pop-up performance. The studies’ methodological quality score was 11.7 points with substantial inter-reviewer agreement (κ = 0.77). Research on surf biomechanics remains limited in volume and exhibits methodological heterogeneity. Conclusions: Although existing studies provide valuable insights into key performance actions, further high-quality and standardized research on performance phases (e.g., paddling, pop-up, turns, aerials) and with different research designs (e.g., longitudinal, sex inclusive, ecological designs integrating lab and in-water measures) is needed. Full article

Objective: The effects of fatigue on swimming propulsion are unclear. This study examined upper-limb propulsive force and bilateral coordination during constant-speed front crawl performed until exhaustion. Methods: Twelve competitive swimmers completed a visually paced front-crawl trial performed at a constant speed (95% of maximal speed) until volitional exhaustion. Upper-limb propulsion (pressure-derived) was quantified using wearable differential-pressure mini-paddles synchronized with high-speed video. Propulsive force and impulse were analyzed at ten standardized time points (10–100% of test duration), distinguishing the early (entry–catch–pull) phase and the push phase of the stroke cycle. Results: Total overall propulsive impulse (time-integral of propulsive force) and mean propulsive force decreased significantly as early as 30–40% of test duration, with the largest reductions occurring during the push phase. Interestingly, push-phase impulse declined earlier in the non-dominant left arm (from 20% of test duration) compared to the dominant right arm (from 40%), whereas force generated during the early phase did not change. Peak propulsive force decreased at later stages, while intra-cycle timing indices (peak timing and force centroid) and inter-limb asymmetry remained unchanged. Stroke frequency increased from mid-test onward and was strongly negatively associated with stroke efficiency (r = −0.79). Stroke efficiency correlated positively with push-phase impulse and peak force. Conclusions: During constant-speed front crawl performed to exhaustion, propulsion progressively declines, primarily through reduced force and impulse during the push phase rather than changes in the early (entry–catch–pull) phase or temporal and asymmetry-related variables. Increased stroke frequency initially compensates for declining propulsion but ultimately fails to maintain the imposed swimming velocity. Full article

Background: We assessed the effects of a 6-week, low-volume Nordic hamstring exercise (NHE) intervention on hamstring flexibility, muscle mechanical properties and eccentric and isometric isokinetic knee flexion strength in recreationally active adults. Methods: Eighteen recreationally active adults were randomized into an NHE intervention group (IG; n = 9; females/males: 3/6; mean ± SD, age: 24.1 ± 1.3 years) and control group (CG; n = 9; females/males: 5/4; mean ± SD, age: 23.5 ± 1.8 years). The NHE intervention involved a progressive, supplementary training program performed initially one (weeks 1 and 2) and then two times per week over a 6-week period. The number of repetitions per session increased from 15 to 36 repetitions/week. The CG maintained their usual exercise routine over the same period. Standard goniometry, myotonometry, and isokinetic dynamometry (60°/s) were used to measure hamstring flexibility, muscle properties and isometric and eccentric isokinetic strength prior to and five days following the intervention. Results: The Linear Mixed Methods analysis identified a significant group × time interactions for isometric torque (IG: +5% vs. CG: −12%, p = 0.022) and flexibility (IG: +1% vs. CG: +7%, p = 0.023). Peak eccentric torque (IG: +7% vs. CG: −7%, p = 0.053) and muscle mechanical properties remained unchanged over the intervention period. Conclusions: Six weeks of low-volume NHE training marginally improved isometric and eccentric hamstring strength in recreationally active adults without changing hamstring flexibility or mechanical properties. The findings may have important implications for performance enhancement and hamstring injury risk reduction during high-intensity recreational sports. Full article

Background/Objectives: Traditional biomechanical models describe human locomotion as an articulated chain of rigid segments with constrained degrees of freedom, primarily focusing on kinematic descriptions of movement. While this approach facilitates modelling and teaching, it may limit the representation of internal force transmission and dynamic interactions, particularly during transitional phases such as gait initiation. The objective of this article is to propose a conceptual framework, Unconstrained Segmental Biomechanics (USB), to reinterpret locomotor mechanics beyond rigid joint assumptions. Methods: An exploratory analysis of recent PubMed-indexed publications (2024) and commonly adopted educational references in sport science institutions was conducted to examine how locomotion is conceptually represented and to identify possible models analogous to the framework. The aim was to situate the framework within current modelling approaches rather than to provide a systematic literature evaluation. Results: The exploratory analysis provided an exploratory contextual impression that kinematic representations were more readily identifiable than conceptually analogous models explicitly addressing dynamic intersegmental force transmission. USB is presented as a conceptual framework generating testable biomechanical hypotheses concerning the temporal organisation of intersegmental force transmission during locomotor transitions, including the expectation that during gait initiation gluteus maximus activation precedes observable segmental displacement, that early CoP/GRF changes precede the visible step, and that trunk activation actively contributes to intersegmental force regulation during the transition. Conclusions: USB offers a conceptual framework that enriches the interpretation of gait initiation and locomotor transitions. Future empirical investigations will be necessary to test the biomechanical hypotheses generated by this framework and to evaluate its potential contribution to biomechanics research, education, and applied movement sciences. Full article

Background/Objectives: The vibrotactile system, which is essential for guiding behavior in nocturnal rodents such as mice and rats, provides critical sensory input. To investigate the role of vibrotactile sensory inflow in neonatal locomotion, we used previsual rat pups that underwent bilateral vibrissectomy. Subsequently, their motor behavior was evaluated in an open field test. Methods: A total of 42 previsual pups from four litters were assigned to either bilateral vibrissectomy or sham surgery groups on postnatal days (PND) 9–12, with group allocation balanced across litters. Results: Open-field testing on PND 13 revealed that while vibrissectomy (VE) did not affect gross locomotor activity—such as distance traveled, speed, acceleration, or freezing episodes (all >0.05)—it significantly altered spatial behavior. To quantify spatial patterns of curvy tracks, we analyzed trajectorial compaction within the central zone, lacking the tactile guidance of the walls: trajectories were smoothed using virtual coatings scaled to the vibrissal length (16 mm). For each track, an individual linearized reference path was generated and subjected to identical smoothing. The compaction ratio—calculated as the coated area of the smoothed linearized reference divided by the coated area of the experimental track—was significantly greater in VE pups than in sham controls (p = 0.03). This effect was not attributable to differences in the path length traveled within the central zone. The increased compaction persisted when the smoothing scale was increased 2–3 fold (32–64 mm radii, approximating the pups’ mean body size), but not at smaller scales (2–4 mm). Conclusions: These results demonstrate that tactile input specifically modulates the spatial, rather than locomotor, components of nonvisual navigation. Consequently, the track compaction may serve as a sensitive marker for assessing vibrotactile function in developing laboratory rodents. Full article