E. van der Kruk
Please Note
23 records found
1
Ankle-foot orthoses (AFOs) can improve walking mobility in individuals with calf muscle weakness, but their impact on sit-to-walk, a common daily activity, is underexplored. Using predictive simulations, we tested the effects of AFO stiffness on sit-to-walk in case of different degrees of plantarflexor weakness. Results showed that AFO stiffness significantly affects sit-to-walk kinematics and kinetics, with an optimal stiffness for minimizing effort. This optimum stiffness depends on severity of weakness and seat height. These findings emphasize the need to assess and consider the effects of AFO stiffness in daily life activities besides walking.
What the PCSA? Addressing diversity in lower-limb musculoskeletal models
Age- and sex-related differences in PCSA and muscle mass
Musculoskeletal (MSK) models offer a non-invasive way to understand biomechanical loads on joints and tendons, which are difficult to measure directly. Variations in muscle strength, especially relative differences between muscles, significantly impact model outcomes. Typically, scaled generic MSK models use maximum isometric forces that are not adjusted for different demographics, raising concerns about their accuracy. This review provides an overview on experimentally derived strength parameters, including physiological cross-sectional area (PCSA), muscle mass (Mm), and relative muscle mass (%Mm), which is the relative distribution of muscle mass across the leg. Limited lower extremity PCSA data prevented assessment of differences in PCSA distribution. We analysed differences by age and sex, and compared open-source lower limb MSK model parameters with experimental data from 57 studies. Our dataset, with records dating back to 1884, shows that uniformly increasing all maximum isometric forces in MSK models does not capture key age-and sex-related differences in muscle ratio. Males have a significantly higher proportion of muscle mass in the rectus femoris(12%) and semimembranosus(15%) muscles, while females have a greater relative muscle mass in the pelvic (gluteus maximus(17%) and medius(23%)) and ankle muscles (tibialis anterior(14%) and posterior(15%), and extensor digitorum longus(16%)). Older adults have a higher relative muscle mass in the gluteus medius(37%), while younger individuals show more in the gastrocnemius(31%). Current MSK models do not accurately represent muscle mass distribution for specific age or sex groups. None of them accurately reflect female muscle mass distribution. Further research is needed to explore musculotendon age- and sex differences.
BIASMECHANICS
Does an unconscious bias still persist in biomechanics, positioning males as the default in human research? A meta-analysis on the Journal of Biomechanics 2024 publications
Articles published in the Journal of Biomechanics still reflect bias, with males positioned as the default in human research. This meta-analysis on the 2024 articles reveals a large disparity in female representation. One in four studies showed an imbalance (<30 % female representation) favouring male participants, while only 8 % favoured females. Male-only studies outnumbered female-only studies by over fivefold. Of particular concern is that male-only studies often lack justification for their single-gender focus, whereas female-only studies typically provide clear reasoning. This inconsistency not only lacks accountability but also reinforces the notion that male data is the standard in biomechanics research. I named this issue biasmechanics to encourage efforts to address them. While there are valid scientific reasons for focusing on specific gender/sex groups, this should not be the default. Authors must consider sex- and gender-based differences, and reviewers and editors should adopt stricter standards for accepting articles with unjustified imbalances. The Journal of Biomechanics could establish standardized guidelines promoting equitable representation in research. Exclusions of any sex or gender must include clear scientific justification in the introduction and methodology sections. The discussion and limitations sections should assess the implications of such exclusions, including their effects on validity, generalizability, and bias. If appropriate, titles and abstracts should clearly indicate single-sex or gender-specific studies to ensure transparency about the research's scope and applicability. By collectively affirming as a scientific community that, except for legitimate scientific justification, we oppose the exclusion of female participants, we can shift the default approach in our research studies.
Age and initial position affect movement biomechanics in sit to walk transitions
Lower limb muscle activity and joint moments
Facilitating forward movement while maintaining dynamic stability during transitions like sit-to-walk (STW) requires coordination from many muscles. Age-related muscle, sensory, and neural decline can introduce compensatory biomechanics when completing STW, such as adjusting initial foot position or rising with arm support. Many previous STW studies restrict arm movement and prescribe symmetric foot positions, therefore the purpose of this study was to quantify lower limb muscle excitations and joint moments in STW transitions from four initial foot positions [symmetric, posterior offset, wide, narrow] and two arm placements [hands on knees, arms folded] in 15 younger and 15 older adults. Peak knee and ankle joint extension moments, as well as peak electromyography of five bilateral lower-limb muscles were analyzed. In all conditions, older adults had larger knee extension moments, whereas younger adults had larger ankle plantarflexion moments. Older adults generated larger peak excitation from the knee extensor muscles during rising compared to younger adults, consistent with the higher knee extension moments. Older adults had greater peak dorsiflexor and plantarflexor muscle excitation while rising compared to younger adults. Posterior offset and wide foot positions required the largest peak ankle plantarflexion and knee extension moments and plantarflexor muscle excitation. Arm-supported rising decreased peak knee extensor muscle excitation. In addition, there were interaction effects between age and initial foot position/arm placement for multiple quantities, indicating that the effects of foot and arm placement vary with age. These results inform assessments of movement performance and guidelines for rising given individual lower limb capability.
Age and initial position affect movement biomechanics in sit to walk transitions
Whole body balance and trunk control
Maintaining dynamic balance during transitional movements like sit-to-walk (STW) can be challenging for older adults. Age-related neuromuscular decline can alter movement in STW, such as rising with greater trunk flexion, narrowing the feet, or using arms to push off. Initial foot and arm position can affect subsequent movement biomechanics, with different ground reaction forces (GRFs) that stabilize and advance the body center of mass (COM). The purpose of this study was to quantify whole-body biomechanics and trunk control of STW transitions. Fifteen younger adults (18–35 years) and fifteen older adults (50–79 years) performed STW from four initial foot positions and two arm positions. Three-dimensional (3D) GRFs, 3D body COM displacement, and integrated electromyography values from the lumbar paraspinals and gluteus medius were evaluated. Younger adults generated greater mediolateral GRF ranges while rising, whereas older adults generated greater mediolateral GRF ranges when stepping forward suggesting different strategies to laterally control the body COM. Initial foot position affected the STW movement, with narrow foot positions having smaller body COM displacement than wide foot positions, associated with smaller medial GRFs to move the body COM toward the stance limb. Rising with arm support required less lumbar paraspinal excitation, which was further reduced when with a posteriorly offset foot. Gluteus medius activity was greater for older adults compared to younger adults in STW. Completing STW with arm support can reduce the muscle activity required to stabilize the torso when rising, which likely has implications for balance control and low back loading.
The ollie is the base aerial human–board maneuver, foundational to most modern skateboarding tricks. We formulate and solve an optimal control problem of a two-dimensional simplified human model and a rigid body skateboard with the objective of maximizing the height of the ollie. Our solution simultaneously discovers realistic human-applied force trajectories and optimal board geometry. We accomplish this with a direct collocation formulation using a null seed initial guess by carefully modeling the discontinuous aspects of board–ground impact and foot–board friction. This leads to efficient and robust solutions that are 10 times more computationally efficient than prior work on similar problems. The solutions show that ollie height can increase 3% by decreasing the wheelbase and that a smaller board with a back-foot-dominated force strategy can give 12% higher ollies. Our model can be used to inform jump strategy and the effects of changes to the essential board geometry.
Age-related compensation
Neuromusculoskeletal capacity, reserve & movement objectives
The prevention, mitigation and treatment of movement impairments, ideally, requires early diagnosis or identification. As the human movement system has physiological and functional redundancy, movement limitations do not promptly arise at the onset of physical decline. A such, prediction of movement limitations is complex: it is unclear how much decline can be tolerated before movement limitations start. Currently, the term ‘homeostatic reserve’ or ‘physiological reserve’ is used to refer to the redundancy of the human biological system, but these terms do not describe the redundancy in the muscle architecture of the human body. The result of functional redundancy is compensation. Although compensation is an early predictor of movement limitations, clear definitions are lacking and the topic is underexposed in literature. The aim of this article is to provide a definition of compensation and emphasize its importance. Compensation is defined as an alteration in the movement trajectory and/or altering muscle recruitment to complete a movement task. Compensation for capacity is the result of a lack in neuromusculoskeletal reserve, where reserve is defined as the difference between the capacity (physiological abilities of the neuromusculoskeletal system) and the task demand. Compensation for movement objectives is a result of a shift in weighting of movement objectives, reflecting changing priorities. Studying compensation in biomechanics requires altered protocols in experimental set-ups, musculoskeletal models that are not reliant on prescribed movement, and inclusion of alternative movement objectives in optimal control theory.
Capacity is the physiological ability of the neuromusculoskeletal systems; this declines with age. This decline in capacity may result in the inability to stand up (sit-to-stand, sit-to-walk), which is an important movement for independent living. Compensation, as a result of functional redundancy, is key in understanding how much age-related decline can be tolerated before movement limitations arise. Yet, this topic has been underexposed in the biomechanics literature. The purpose of this systematic review was to approach the literature on sit-to-stand and sit-to-walk studies from the perspective of compensation and create an overview of our current understanding of compensation in standing up, identifying the limitations and providing future recommendations. A literature search was performed, using the keywords and their synonyms: strateg*(approach, technique, way) AND, sit-to-walk OR sit-to-stand OR rise (raise, arise, stand, stand-up) AND chair (seat). Inclusion criteria: full articles on biomechanics or motor control on sit-to-stand or sit-to-walk in healthy adults (<60y), healthy or frail elderly adults (>60y), and adults with osteoarthritis. The results show that the experimental set-ups and musculoskeletal models in STS and STW studies generally exclude compensation by using restricted protocols and simplifications. Moreover, factors are mostly analysed in isolation, excluding confounding causes within capacity and/or movement objectives which limits the generalization of the results. Future studies in the standing up task should consider to (1) determine the effect of varying arm push-off strategies, (2) focus on sit-to-walk, (3) determine the biomechanical implications of asymmetry, and (4) incorporate assessments of physical capacity as well as changes in psychological priorities.
Getting in shape
Reconstructing three-dimensional long-track speed skating kinematics by comparing several body pose reconstruction techniques
This study performed an analysis of the push-off forces of elite-short-track speed skaters using a new designed instrumented short-track speed skate with the aim to improve short-track skating performance. Four different skating strokes were distinguished for short-track speed skaters at speed. The strokes differed in stroke time, force level in both normal and lateral directions, and the centre of pressure (COP) on the blade. Within the homogeneous group of male elite speed skaters (N = 6), diversity of execution of the force patterns in the four phases of skating was evident, while skating at the same velocities. The male participants (N = 6) with a better personal record (PR) kept the COP more to the rear of their blades while hanging into the curve (r = 0.82, p < 0.05), leaving the curve (r = 0.86, p < 0.05), and entering the straight (r = 0.76, p < 0.10). Furthermore, the male skaters with a better PR showed a trend of a lower lateral peak force while entering the curve (r = 0.74, p < 0.10). Females showed a trend towards applying higher body weight normalised lateral forces than the males, while skating at imposed lower velocities.
Power in sports
A literature review on the application, assumptions, and terminology of mechanical power in sport research
Objective: Sport research often requires human motion capture of an athlete. It can, however, be labour-intensive and difficult to select the right system, while manufacturers report on specifications which are determined in set-ups that largely differ from sport research in terms of volume, environment and motion. The aim of this review is to assist researchers in the selection of a suitable motion capture system for their experimental set-up for sport applications. An open online platform is initiated, to support (sport)researchers in the selection of a system and to enable them to contribute and update the overview. Design: systematic review; Method: Electronic searches in Scopus, Web of Science and Google Scholar were performed, and the reference lists of the screened articles were scrutinised to determine human motion capture systems used in academically published studies on sport analysis. Results: An overview of 17 human motion capture systems is provided, reporting the general specifications given by the manufacturer (weight and size of the sensors, maximum capture volume, environmental feasibilities), and calibration specifications as determined in peer-reviewed studies. The accuracy of each system is plotted against the measurement range. Conclusion: The overview and chart can assist researchers in the selection of a suitable measurement system. To increase the robustness of the database and to keep up with technological developments, we encourage researchers to perform an accuracy test prior to their experiment and to add to the chart and the system overview (online, open access).
Advice about the optimal coordination pattern for an individual speed skater, could be addressed by simulation and optimization of a biomechanical speed skating model. But before getting to this optimization approach one needs a model that can reasonably match observed behaviour. Therefore, the objective of this study is to present a verified three dimensional inverse skater model with minimal complexity, which models the speed skating motion on the straights. The model simulates the upper body transverse translation of the skater together with the forces exerted by the skates on the ice. The input of the model is the changing distance between the upper body and the skate, referred to as the leg extension (Euclidean distance in 3. D space). Verification shows that the model mimics the observed forces and motions well. The model is most accurate for the position and velocity estimation (respectively 1.2% and 2.9% maximum residuals) and least accurate for the force estimations (underestimation of 4.5-10%). The model can be used to further investigate variables in the skating motion. For this, the input of the model, the leg extension, can be optimized to obtain a maximal forward velocity of the upper body.
In the current project, we aim to provide speed skaters with real-time feedback on how to improve their skating performance within an individual stroke. The elite skaters and their coaches wish for a system that determines the mechanical power per stroke. The push-off force of the skater is a crucial variable in this power determination. In this study, we present the construction and calibration of a pair of wireless instrumented klapskates that can continuously and synchronously measure this push-off force in both the lateral direction and normal direction of the skate and the centre of pressure of these forces. The skate consists of a newly designed rigid bridge (0.6 kg), embedding two three-dimensional force sensors (Kistler 9602, Kistler Group, Winterthur, Switzerland), which fits between most individual skate shoes and Maple skate blades. The instrumented klapskates were calibrated on a tensile testing machine, where they proved to be unaffected to temperature conditions and accurate up to an RMS of 42 N (SEM = 1 N) in normal and up to an RMS of 27 N (SEM = 1 N) in lateral direction. Furthermore, the centre of pressure of these forces on the blade was determined up to a mean error of 10.1 mm (SD = 6.9 mm). On-ice measurements showed the possibility of recording with both skates simultaneously and synchronously, straights as well as curves. The option to send data wirelessly and real-time to other devices makes it possible to eventually provide skaters and coaches with visual real-time feedback during practice.