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Biomedical subjects

Nicholas Stergiou

Publications and source records attributed to Nicholas Stergiou.

25 records · Page 2Linked to original sources

Effect of normalization and phase angle calculations on continuous relative phase.

The purpose of this investigation was to determine if phase plot normalization and phase angle definitions would have an affect on continuous relative phase calculations. A subject ran on a treadmill while sagittal plane kinematic data were collected with a high-speed (180 Hz) camera. Segmental angular displacements and velocities were used to create phase plots, and examine the coordination between the leg and thigh. Continuous relative phase was calculated with a combination of two different amplitude normalization techniques, and two different phase angle definitions. Differences between the techniques were noted with a root mean square (RMS) calculation. RMS values indicated that there were differences in the configuration of the non-normalized and normalized continuous relative phase curves. Graphically and numerically, it was noted that normalization tended to modify the continuous relative phase curve configuration. Differences in continuous relative phase curves were due to a loss in the aspect ratio of the phase plot during normalization. Normalization tended to neglect the nonlinear forces acting on the system since it did not maintain the aspect ratio of the phase plot. Normalization is not necessary because the arc tangent function accounts for differences in amplitudes between the segments. RMS values indicated that there were profound differences in the continuous relative phase curve when the phase angle was normalized and a phase angle was calculated relative to the right horizontal axis.

Biomechanical Phenomena↗

Frequency domain characteristics of ground reaction forces during walking of young and elderly females.

OBJECTIVE: To examine the frequency domain characteristics of the ground reaction forces of young and elderly females during free walking. DESIGN: Independent t-tests were used to examine the frequency content of all three components of the ground reaction force. BACKGROUND: Frequency domain analysis has the potential to assist in identifying changes in gait that may be masked in the time domain. No research has been done to identify changes in gait due to age-related impairments in the frequency domain. METHODS: Ten young and ten elderly females walked at a prescribed speed while ground reaction forces were collected via a force platform. The highest frequency required to reconstruct the 99% of the signal's power in each direction was calculated from the ground reaction forces. RESULTS: The frequency content significantly decreased in the anterior-posterior direction for the young group. No significant differences were found for the other two directions (vertical and mediolateral) between the two groups. The elderly had a significantly higher frequency content compared with the young in the anterior-posterior direction. CONCLUSIONS: Ageing differences were detected using the frequency domain analysis for the anterior-posterior direction. It is possible that these differences were the result of the decrease in walking speed associated with the elderly group. RELEVANCE: Frequency domain analysis of the ground reaction forces is a useful addition to the gait analyst's armamentarium especially when such changes are not obvious in the time domain.

Adult↗

Foot strike patterns after obstacle clearance during running.

PURPOSE: Running over obstacles of sufficient height requires heel strike (HS) runners to make a transition in landing strategy to a forefoot (FF) strike, resulting in similar ground reaction force patterns to those observed while landing from a jump. Identification of the biomechanical variables that distinguish between the landing strategies may offer some insight into the reasons that the transition occurs. The purpose of this study was to investigate the difference in foot strike patterns and kinetic parameters of heel strike runners between level running and running over obstacles of various heights. METHODS: Ten heel strike subjects ran at their self-selected pace under seven different conditions: unperturbed running (no obstacle) and over obstacles of six different heights (10%, 12.5%, 15%, 17.5%, 20%, and 22.5% of their standing height). The obstacle was placed directly before a Kistler force platform. Repeated measures ANOVAs were performed on the subject means of selected kinetic parameters. RESULTS: The statistical analysis revealed significant differences (P < 0.004) for all of the parameters analyzed. The evaluation of the center of pressure and the ground reaction forces indicated that the foot strike patterns were affected by the increased obstacle height. Between the 12.5% and 15% obstacle conditions, the group response changed from a heel strike to a forefoot strike pattern. CONCLUSIONS: At height > 15%, the pattern was more closely related to the foot strike patterns found in jumping activities. This strategy change may represent a gait transition effected as a mechanism to protect against increased impact forces. Greater involvement of the ankle and the calf muscles could have assisted in attenuating the increased impact forces while maintaining speed after clearing the obstacle.

Adult↗

Comparison of gait patterns between young and elderly women: an examination of coordination.

This study investigated intralimb coordination during walking in young and elderly women using the theoretical model of dynamical systems. 20 women, 10 Young (M age=24.6 yr., SD= 3.2 yr.) and 10 Elderly (M age=73.7 yr., SD=4.9 yr.), were videotaped during free speed gait and gait perturbed by an ankle weight. Two parameters, one describing the phasing relationship between segments (mean absolute relative phase) and the other the variability of this relationship (deviation in phase), were calculated from the kinematics. Two-way analysis of variance (age and weight) with repeated measures on weight indicated that during the braking period the weight increased the mean absolute relative phase between the shank and the thigh and decreased it between the foot and the shank. The Elderly women had significant smaller values for the mean absolute relative phase between the shank and the thigh during the braking period. For the same period, deviation in phase increased for the segmental 'relationship between the shank and the thigh. The findings suggest that changes in intralimb coordination take place with asymmetrical weighting and the aging process. These changes are most clearly present during the braking period.

Adult↗

Three-dimensional tibiofemoral kinematics of the anterior cruciate ligament-deficient and reconstructed knee during walking.

BACKGROUND: It is possible that gait abnormalities may play a role in the pathogenesis of meniscal or chondral injury as well as osteoarthritis of the knee in patients with anterior cruciate ligament deficiency. HYPOTHESIS: The three-dimensional kinematics of anterior cruciate ligament-deficient knees are changed even during low-stress activities, such as walking, but can be restored by reconstruction. STUDY DESIGN: Case control study. METHODS: Using a three-dimensional optoelectronic gait analysis system, we examined 13 patients with anterior cruciate ligament-deficient knees, 21 patients with anterior cruciate ligament-reconstructed knees, and 10 control subjects with uninjured knees during walking. RESULTS: Normal patterns of knee flexion-extension, abduction-adduction, and internal-external rotation during the gait cycle were maintained by all subjects. A significant difference in tibial rotation angle during the initial swing phase was found in anterior cruciate ligament-deficient knees compared with reconstructed and control knees. The patients with anterior cruciate ligament-deficient knees rotated the tibia internally during the initial swing phase, whereas the others rotated externally. CONCLUSIONS: Patients with anterior cruciate ligament-deficient knees experienced repeated episodes of rotational instability during walking, whereas patients with reconstruction experienced tibial rotation that is closer to normal. CLINICAL RELEVANCE: Repeated episodes of knee rotational instability may play a role in the development of pathologic knee conditions.

Adult↗

Does footwear affect ankle coordination strategies?

The hypothesis of this study was that shoe hardness and footwear affect ankle coordinative strategies during the running stance period. Subjects ran at a self-selected pace under three conditions-barefoot, wearing a hard shoe, and wearing a soft shoe-while sagittal and frontal view kinematic data were collected. Dynamic systems theory tools were used to explore ankle coordinative strategies under the three conditions. No significant differences in coordination were found between the two shoe conditions. However, significant differences in ankle coordinative strategies existed between the shoe conditions and the barefoot condition. Changes in coordinative strategies may be related to different mechanisms to attenuate impact forces while running barefoot.

Ankle↗

Recovery of postural control after cerebral concussion: new insights using approximate entropy.

CONTEXT: The return-to-play decision after sport-related cerebral concussion depends in part on knowing when an athlete has fully recovered postural control after injury. OBJECTIVE: To describe the postconcussion recovery of postural control using approximate entropy (ApEn), a regularity statistic from nonlinear dynamics. DESIGN: Retrospective case series analysis. SETTING: Sports medicine research laboratory. PATIENTS OR OTHER PARTICIPANTS: Collegiate athletes from whom center-of-pressure and symptom data were collected at preseason, less than 48 hours after injury, and 48 to 96 hours after injury. MAIN OUTCOME MEASURE(S): Approximate entropy values reflecting the amount of randomness contained in center-of-pressure oscillations were calculated for anterior-posterior (AP) and medial-lateral (ML) time series. Equilibrium scores reflecting the amplitude of center-of-pressure AP oscillations were used to indicate postural stability. The number and severity of symptoms were described. RESULTS: Compared with the healthy preseason state, ApEn values for the AP and ML time series generally declined immediately after injury in both steady and unsteady injured athletes. At 48 to 96 hours after injury, ApEn values for the ML time series remained significantly depressed (mean difference compared with preseason = -0.268, standard error = 0.072), even among athletes whose initial postural instability had resolved. We found few significant relationships between changes in ApEn values and changes in symptoms before and after injury. CONCLUSIONS: The effects of cerebral concussion on postural control appear to persist for longer than 3 to 4 days, even among athletes with no signs of unsteadiness. Our results may reflect changes in neurophysiologic or mechanical constraints on postural control. Approximate entropy provides a theoretically distinct, valuable measurement alternative that may prove useful for reducing uncertainty in the return-to-play decision.

Journal Article↗