R.N. Marshall

A three-dimensional kinematic method for determining the effectiveness of arm segment rotations in producing racquet-head speed

The contribution that a segments anatomical rotations make to racquet-head speed depends on both the segments angular velocity and the instantaneous position of the head of the racquet with respect to the segments axes of rotation. Any analysis of racquet swing technique that does not consider both of these factors simultaneously is, at best, incomplete. With this in mind, a three-dimensional kinematic method was developed to determine the effectiveness of the anatomical rotations of the upper arm, forearm, and hand in producing racquet-head speed. The method entailed developing a system of vector equations for three-dimensional upper limb rotations that used displacement histories of 10 selected landmarks as input. The required three-dimensional displacement histories were obtained using three cine cameras and the DLT approach. To test the diagnostic capabilities of the method, a tennis serve was selected for analysis. For the player and serve analyzed, the greatest contribution to racquet-head speed at impact was produced by internal rotation of the upper arm (8 m s-1). Forearm pronation, although exhibiting the fastest rotation at impact (24 rad s-1), ranked only fourth in terms of its contribution (4 m s-1) to racquet-head speed. To test the performance of the method, a comparison was made between the racquet-head speed measured directly from film and the racquet-head speed computed by summing all of the individual segment contributions to speed commencing at the start of forward swing and ending at ball contact. The results indicate that the method can successfully determine the individual contributions that the different anatomical rotational velocities of the arm segments make to the measured instantaneous racquet-head speed.

The accuracy of DLT extrapolation in three-dimensional film analysis

An analysis of errors arising from the Direct Linear Transformation (DLT) approach to three-dimensional reconstructions from two-dimensional images has been undertaken, the principal factor studied being the number and distribution of control points used in the calibration procedure. Significantly increased error was found to be associated with extrapolation to unknown points outside the control point distribution space. Differences in accuracy between two camera position set-ups and 11 vs 12 DLT parameter solutions were also examined.

Stiffness of the hamstring muscles and its relationship to function in anterior cruciate ligament deficient individuals

The relationship between hamstring muscle stiffness and the functional ability level of 17 subjects with complete anterior cruciate ligament rupture confirmed at arthroscopy was examined. The hamstring muscles were modelled as a single degree of freedom mass spring system with a damping component. Using this model the stiffness of these muscles was examined at 30, 45, and 60% of a maximum voluntary isometric muscle action. The functional ability of the subjects, attained using the Noyes knee rating system, was then correlated to muscle stiffness measures. Positive correlations of 0.71, 0.72, and 0.62 at the three respective muscle loading levels were observed. These findings suggested that hamstring muscle stiffness may have an important role to play in the functional ability of subjects with anterior cruciate ligament deficiency. At this time there is no single effective treatment for all individuals with anterior cruciate ligament deficiency. Those individuals who undergo a conservative management programme are usually treated with hamstring muscle exercises for improving knee flexion strength. The current study provides evidence that hamstring exercises may alter other properties of muscles, such as their active stiffness, which in turn may influence the functional ability of the anterior cruciate ligament deficient individual.

The effects of intraarticular administration of hyaluronan in a model of early osteoarthritis in sheep I. Gait analysis and radiological and morphological studies

Using a model of early osteoarthritis (OA) induced in ovine joints by medial meniscectomy, the intraarticular effects of two hyaluronic acid (HA) preparations (AHA and DHA) were investigated. DHA was an HA preparation with an average molecular weight (MW) of approximately 2.0 x 10(6) d, and AHA had a MW of approximately 8 x 10(5) d. Animals (n = 5) were injected intraarticularly with 1 mL (10 mg/mL) of either HA preparation once a week for 5 weeks beginning 16 weeks after initiation of arthropathy. Meniscectomized, saline (1.0 mL)-injected animals (n = 5) and nonoperated sheep (n = 5) were used for controls. Force-plate analysis of gait and radiographic changes in joints were evaluated in these groups before and after intraarticular treatment. At necropsy, cartilage gross morphology, osteophyte development, and cartilage histopathology were examined. Meniscectomized joints were characterized by erosions and fissuring of cartilage of the medial compartment with areas of decreased matrix staining for proteoglycans. Osteophytes were present at the medial joint margins. Saline-treated meniscectomized animals showed reduced loading of the operated limb using the force plate. Force-plate analysis of walking animals before and after treatment with either AHA or DHA indicated some normalization of joint loading. However, osteophyte scores for meniscectomized joints injected with AHA and DHA were higher after treatment than those of the corresponding saline-treated group. Although the gross cartilage damage was lower than in saline-treated controls for both the HA-treated groups, the histological scores did not support this conclusion. Indeed, the tibial score for the DHA group was higher than for the AHA group (P < .05). These studies confirmed previous reports that meniscectomy of sheep stifle (knee) joints resulted in matrix changes similar to those described for early OA in humans. Both HA preparations appeared to improve gait, suggesting decreased lameness. Increased joint loading associated with gait improvement may account for the higher osteophyte scores in the treated groups. However, cartilage damage with DHA was found to be higher than when the lower-MW HA preparation (AHA) was used.

The effect of a 12‐over spell on fast bowling technique in cricket

Nine members of the Western Australian Cricket Association fast bowling development squad were selected to determine the effects that a 12-over spell would have on fast bowling technique and selected physiological variables. Three high-speed cameras operating at 100 Hz filmed the subjects bowling the 5th and 6th balls of their 1st, 6th, 10th and 12th overs. Blood lactate and heart rate were recorded and the bowlers were shown to work at between 80.3% (1st over) to 84.7% (12th over) of their maximum heart rate during the 12-over bowling spell. Data from the 5th and 6th deliveries from each over were averaged to provide representative data, as no significant differences were evident between these two deliveries for the selected kinematic variables. For all subjects, no significant differences were recorded for the selected kinematic variables throughout the duration of the 12-over spell, indicating that in general fast bowling technique does not change over this length of spell. In addition, there was some evidence of change in technique for the bowlers who used a front-on action, where counter-rotation of the shoulders was found to increase; however, this could only be confirmed by a more comprehensive study.

Swelling of the knee joint: Effects of exercise on quadriceps muscle strength

OBJECTIVEnTo investigate the effects of excessive fluid in the knee joint on the performance of the quadriceps muscles and to determine whether quadriceps muscle performance can be altered by exercising the swollen joint.nnnDESIGN AND SETTINGnA before-after trial design was used, and the procedures were performed in a laboratory setting.nnnSUBJECTSnA random sample of 27 adult men with no musculoskeletal problems was divided into intervention and control groups.nnnINTERVENTIONnFirst, in all groups, torque generated by the quadriceps muscle was examined by isokinetic muscle testing undertaken at a joint angular velocity of 120 degrees/sec over a range of motion from 5 degrees to 80 degrees flexion. After this initial test, in group 1, 60mL saline and dextrose was injected into the knee joint and subjects repeated the maximal effort procedure. Subjects then performed submaximal exercise for 3 to 4 minutes, after which maximal effort testing was undertaken again. In group 2, subjects received no injection of fluid, undertook 2 maximum effort tests, then performed submaximal exercise for 3 to 4 minutes, after which maximum effort testing was undertaken again. In group 3 (control group), subjects undertook three maximum effort tests over a time period similar to that for the other groups.nnnMAIN OUTCOME MEASUREnQuadriceps muscle torque generated at 60 degrees from full knee extension.nnnRESULTSnTorque decreased (p < .05) 30% immediately after the injection of fluid. However, torque returned to preinjection levels after submaximal exercise (p > .05). These findings were related to joint capsule compliance and fluid movement. No significant changes (p > .05) in torque were observed for the other two groups.nnnCONCLUSIONnSubmaximal exercise of swollen knee joints can decrease artificially induced quadriceps muscle inhibition. These findings may have implications for patients with perennial effusions who at times undertake gait activities.

Functional torque-velocity and power-velocity characteristics of elite athletes.

SummaryTechnical limitations of some isokinetic dynamometers have called into question the validity of some data on human muscle mechanics. The Biodex dynamometer has been shown to minimize the impact artefact while permitting automatic gravity correction. This dynamometer was used to study quadriceps muscle torque and power generation in elite power (n = 6) and elite endurance (n = 7) athletes over 12 randomly assigned isokinetic velocities from 30° · s−1 to 300° · s−1. The angle at peak torque varied as a negative, linear function of angular velocity, with the average angle across test velocities being 59.5° (SD 10.2°). Power athletes developed greater peak torque at each angular velocity (P < 0.05) and experienced a 39.7% decrement in torque over the velocity range tested. En-, durance athletes encountered a 38.8% decline in peak torque. Torques measured at 60° of knee flexion followed a similar trend in both groups; however the greatest torques were recorded at 60° s−1 rather than at 30° · s−1 Leg extensor muscle power increased monotonically with angular velocity in both power (r2 = 0.728) and endurance athletes (r2 = 0.839); however these curves diverged significantly so that the power athletes produced progressively more power with each velocity increment. These inter group differences probably reflected a combination of natural selection and training adaptation.

Three-dimensional surfaces for human muscle kinetics

SummaryTorque, angular velocity and angular position data were collected on six subjects performing maximum knee extensions at 11 speeds. Three-dimensional (3-D) surfaces were drawn for each subject and for the normalised, averaged data. For each subject, the moment arms of knee extensor and patella excursion were determined from radiographs and averaged across subjects. These data were then used to convert the angular data to linear force, velocity and information on muscle length. Surfaces were plotted for these data and evaluated. Results indicate a major difference between the knee positions for production of peak force or torque. Peak linear force was found to occur at an average of 75° of flexion, while peak torque was found at 57°. It was also suggested that 3-D surfaces provide more information than the traditional methods of presenting dynamic strength results.

Skeletal muscle mechanics in osteoporotic and nonosteoporotic postmenopausal women.

The purpose of this study was to evaluate single-joint, dynamic muscle function of osteoporotic (OST) and nonosteoporotic (N-OST) women. Knee flexor and extensor function in postmenopausal women (6th decade OST,n = 15; 7th decade OST,n = 10; 6th decade N-OST,n = 6; 7th decade N-OST,n = 5) were evaluated at five angular velocities from 60° · s−1 to 300° · s−1. All subject groups had similar anthropometric measurements, but the 6th decade N-OST group were more physically active than the age-matched OST group. The OST and N-OST women produced peak torque at similar knee angles. The 6th decade N-OST women produced significantly greater knee extensor mean peak torque and angle specific torque, and mean work than any of the other three groups (P<0.05). However, knee flexor function was equivalent throughout the groups for most comparisons, except those between the 6th decade N-OST and 7th decade OST. While previous research has shown an early loss of flexor muscle function in ageing women, our data indicated that women with osteoporosis also experience a deterioration in quadriceps muscle function not encountered within the N-OST subjects. It is possible that such a change is precipitated by reduced physical activity, and may mirror deterioration in bone mineral content.

Knee effusion and quadriceps muscle strength

Ten healthy subjects with no musculoskeletal problems were tested using a computerized exercise dynamometer. Quadriceps femoris concentric performance was examined during maximal effort isokinetic knee extension at joint angular velocities of 2.09 and 4.18 rad s(-1). A saline and dextrose solution was injected into the knee joint cavity in 30-ml increments, and peak torque and power tests were undertaken with knee effusions of 0, 30, 60, and 90 ml. A protocol which included and excluded a local skin anaesthetic and submaximal exercise prior to the maximal effort test was also undertaken. The results showed that quadriceps peak torque and power were not significantly affected by the amount of knee effusion at either joint angular velocity when submaximal exercise was performed prior to the maximal effort test. However, peak torques were significantly decreased during isokinetic muscle action without prior submaximal muscle work. It was suggested that these findings may be related to fluid movement in the knee joint compartments, the compliance of the joint capsule, and the location that fluid was injected into the joint cavity. Joint swelling is a common symptom of individuals with osteoarthritis and rheumatoid arthritis, as well as those suffering acute joint trauma. This study has extended previous work on joint swelling by examining quadriceps function during joint movement, thus moreeffectivelysimulating joint and muscle activity which occursduring functional activities. Patients with knee joint swelling are thought to experience greater difficulty undertaking quadriceps exercises, and will not perform these exercises effectively until swelling in the joint is reduced. The current study provides some evidence to suggest that a moderate amount of swelling does not impair performance. Assuming that patients do not have other symptoms that contraindicate exercise, they can be encouraged to do more active muscle work.