Reliable biomechanical methods to assess interlimb coordination during the double-support phase in post-stroke subjects are needed for assessing movement dysfunction and related variability. The data ...obtained could provide a significant contribution for designing rehabilitation programs and for their monitorisation. The present study aimed to determine the minimum number of gait cycles needed to obtain adequate values of repeatability and temporal consistency of lower limb kinematic, kinetic, and electromyographic parameters during the double support of walking in people with and without stroke sequelae. Eleven post-stroke and thirteen healthy participants performed 20 gait trials at self-selected speed in two separate moments with an interval between 72 h and 7 days. The joint position, the external mechanical work on the centre of mass, and the surface electromyographic activity of the tibialis anterior, soleus, gastrocnemius medialis, rectus femoris, vastus medialis, biceps femoris, and gluteus maximus muscles were extracted for analysis. Both the contralesional and ipsilesional and dominant and non-dominant limbs of participants with and without stroke sequelae, respectively, were evaluated either in trailing or leading positions. The intraclass correlation coefficient was used for assessing intra-session and inter-session consistency analysis. For most of the kinematic and the kinetic variables studied in each session, two to three trials were required for both groups, limbs, and positions. The electromyographic variables presented higher variability, requiring, therefore, a number of trials ranging from 2 to >10. Globally, the number of trials required inter-session ranged from 1 to >10 for kinematic, from 1 to 9 for kinetic, and 1 to >10 for electromyographic variables. Thus, for the double support analysis, three gait trials were required in order to assess the kinematic and kinetic variables in cross-sectional studies, while for longitudinal studies, a higher number of trials (>10) were required for kinematic, kinetic, and electromyographic variables.
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IZUM, KILJ, NUK, PILJ, PNG, SAZU, UL, UM, UPUK
The analysis of the external forces of swimming starts has revealed how swimmers propel themselves out of the block, but data should be properly interpreted to fully understand force-generation ...mechanisms. This study aimed to assess horizontal and vertical forces in the backstroke start based on swimmers’ structural and propulsive actions. Firstly, a simulated structural force was estimated by two transient backstroke-start inter-segmental realistic body positions: a maximally tucked position and an extended one (just before the hands-off and the take-off, respectively). Secondly, 10 competitive backstroke swimmers performed four 15 m maximal backstroke starts with the external forces estimated. Thirdly, the simulated structural force was subtracted from raw horizontal and vertical force data, measured between hands-off and take-off instants, resulting in the propulsive forces. The application of the algorithm has evidenced that backstrokers’ horizontal and vertical simulated-structural-force components contributed to ~40% of total force during start propulsion (~0.2–0.12 s before the take-off), followed by the propulsive horizontal force increment and a progressive vertical component reduction (~0.05 s) with ~20° take-off angle. Based on these findings, researchers and coaches can better guide swimmers as to the proper mechanical strategies to achieve effectiveness in the backstroke start, and to improve direct transfer of resistance training programs.
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IZUM, KILJ, NUK, PILJ, PNG, SAZU, UL, UM, UPUK
Polyetheretherketone is a high-performance thermoplastic polymer that can be used in 3D printing by fused deposition modeling, and is a promising material for dental applications. Some printing ...parameters are sensitive and can influence the properties of the printed object. Thus, this work aims to evaluate the influence of the print layer thickness on the surface roughness of polyetheretherketone before and after polishing and to verify the effectiveness of the polishing method used, as well as to compare it with the results obtained using polymethyl methacrylate as the control group. Specimens with different impression layer thicknesses were printed with polyetheretherketone (Group A—0.1 mm and Group B—0.3 mm). Additionally, a control group with polymethyl methacrylate specimens was milled. Roughness evaluation was conducted using a contact profilometer after the specimens had been printed (before polishing). Then, silicon carbide sandpaper was used to polish the surface, and the roughness was reassessed. Differences were observed between specimens regarding the print layer thickness and the roughness, with the 0.3 mm layer thickness showing the lowest roughness values. The results of this pilot study suggest that the surface roughness of fused deposition modeling printed polyetheretherketone is influenced by print layer thickness, with the lowest roughness seen at a thickness of 0.3 mm.
Objective: To identify and summarize biomechanical assessment approaches in interlimb coordination on poststroke gait. Introduction: Interlimb coordination involves complex neurophysiological ...mechanisms that can be expressed through the biomechanical output. The deepening of this concept would have a significant contribution in gait rehabilitation in patients with an asymmetric neurological impairment as poststroke adults. Inclusion criteria: Poststroke adults (>19 years old), with assessment of interlimb coordination during gait, in an open context, according to the Population, Concept, Context framework. Methods: A literature search was performed in PubMed, Web of Science™, Scopus, and gray literature in Google Scholar™, according to the PRISMA-ScR recommendations. Studies written in Portuguese or English language and published between database inception and 14 November 2021 were included. Qualitative studies, conference proceedings, letters, and editorials were excluded. The main conceptual categories were “author/year”, “study design”, “participant’s characteristics”, “walking conditions”, “instruments” and “outcomes”. Results: The search identified 827 potentially relevant studies, with a remaining seven fulfilling the established criteria. Interlimb coordination was assessed during walking in treadmill (n = 3), overground (n = 3) and both (n = 1). The instruments used monitored electromyography (n = 2), kinetics (n = 2), and kinematics (n = 4) to assess spatiotemporal parameters (n = 4), joint kinematics (n = 2), anteroposterior ground reaction forces (n = 2), and electromyography root mean square (n = 2) outcomes. These outcomes were mostly used to analyze symmetry indices or ratios, to calculate propulsive impulse and external mechanical power produced on the CoM, as well as antagonist coactivation. Conclusions: Assessment of interlimb coordination during gait is important for consideration of natural auto-selected overground walking, using kinematic, kinetic, and EMG instruments. These allow for the collection of the main biomechanical outcomes that could contribute to improve better knowledge of interlimb coordination assessment in poststroke patients.
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The external forces applied in swimming starts have been often studied, but using direct analysis and simple interpretation data processes. This study aimed to develop a tool for vertical and ...horizontal force assessment based on the swimmers' propulsive and structural forces (passive forces due to dead weight) applied during the block phase. Four methodological pathways were followed: the experimented fall of a rigid body, the swimmers' inertia effect, the development of a mathematical model to describe the outcome of the rigid body fall and its generalization to include the effects of the inertia, and the experimental swimmers' starting protocol analysed with the inclusion of the developed mathematical tool. The first three methodological steps resulted in the description and computation of the passive force components. At the fourth step, six well-trained swimmers performed three 15 m maximal grab start trials and three-dimensional (3D) kinetic data were obtained using a six degrees of freedom force plate. The passive force contribution to the start performance obtained from the model was subtracted from the experimental force due to the swimmers resulting in the swimmers' active forces. As expected, the swimmers' vertical and horizontal active forces accounted for the maximum variability contribution of the experimental forces. It was found that the active force profile for the vertical and horizontal components resembled one another. These findings should be considered in clarifying the active swimmers' force variability and the respective geometrical profile as indicators to redefine steering strategies.
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DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
This study aims to identify differences between participants with and without stroke regarding the ipsilesional and contralesional lower limbs kinematics, kinetics, muscle activity and their ...variability during double support phase of gait. Eleven post-stroke and thirteen healthy participants performed 10 gait trials at a self-selected speed while being monitored by an optoelectronic motion capture system, two force plates and an electromyographic system. The following outcomes were evaluated during the double support: the time and the joint position; the external mechanical work on the centre of mass; and the relative electromyographic activity. Both, contralesional/ipsilesional and dominant/non-dominant of participants with and without stroke, respectively, were evaluated during double support phase of gait in trailing or leading positions. The average value of each parameter and the coefficient of variation of the 10 trials were analysed. Post-stroke participants present bilateral decreased mechanical work on the centre of mass and increased variability, decreased contralesional knee and ankle flexion in trailing position, increased ipsilesional knee flexion in leading position and increased variability. Increased relative muscle activity was observed in post-stroke participants with decreased variability. Mechanical work on the centre of mass seems to be the most relevant parameter to identify interlimb coordination impairments in post-stroke subjects.
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Ergonomic interventions such as increased scheduled breaks or job rotation have been proposed to reduce upper limb muscle fatigue in repetitive low-load work. This review was performed to summarize ...and analyze the studies investigating the effect of job rotation and work-rest schemes, as well as, work pace, cycle time and duty cycle, on upper limb muscle fatigue. The effects of these work organization factors on subjective fatigue or discomfort were also analyzed. This review was based on relevant articles published in PubMed, Scopus and Web of Science. The studies included in this review were performed in humans and assessed muscle fatigue in upper limbs. 14 articles were included in the systematic review. Few studies were performed in a real work environment and the most common methods used to assess muscle fatigue were surface electromyography (EMG). No consistent results were found related to the effects of job rotation on muscle activity and subjective measurements of fatigue. Rest breaks had some positive effects, particularly in perceived discomfort. The increase in work pace reveals a higher muscular load in specific muscles. The duration of experiments and characteristics of participants appear to be the factors that most have influenced the results. Future research should be focused on the improvement of the experimental protocols and instrumentation, in order to the outcomes represent adequately the actual working conditions.
Introducing more physical workload variation in low-load repetitive work is considered an effective ergonomic intervention against muscle fatigue and musculoskeletal disorders in industry. Results will be useful to identify the need of future research, which will eventually lead to the adoption of best industrial work practices according to the workers capabilities.
•A systematic review regarding the influence of task design on upper limb muscles fatigue in low-load work was performed.•14 studies fulfilled the eligibility criteria and were examined.•Introduction of breaks had a positive effect on perceived discomfort.•EMG manifestation of muscle fatigue was more evident with an increase of work pace.•Future studies should be more representative of real work conditions.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UL, UM, UPCLJ, UPUK, ZRSKP
In sprint kayaking the role that paddling technique plays in optimizing paddle forces and resultant kayak kinematics is still unclear. The aim of this study was to analyze the magnitude and shape of ...the paddle force-time curve at different stroke rates, and their implications for kayak performance. Ten elite kayak paddlers (5 males and 5 females) were analyzed while performing 2000-m on-water trials, at 4 different paces (60, 80, and 100 strokes per minute, and race pace). The paddle and kayak were instrumented with strain gauges and accelerometers, respectively. For both sexes, the force-time curves were characterized at training pace by having a bell shape and at race pace by a first small peak, followed by a small decrease in force and then followed by a main plateau. The force profile, represented by the mean force/peak force ratio, became more rectangular with increasing stroke rate (F3,40 = 7.87, P < .01). To obtain a rectangular shape to maximize performance, kayak paddlers should seek a stronger water phase with a rapid increase in force immediately after blade entry, and a quick exit before the force dropping far below the maximum force. This pattern should be sought when training at race pace and in competition.
Using theoretical principles, the components of drag (friction D
F
, pressure D
PR
and wave D
W
) of a single-seat kayak were analysed. The purpose was to examine the effect of changes in wetted ...surface area due to changes in kayaker's weight and the relative contribution of D
F
, D
PR
and D
W
to the total passive drag as function of velocity. The total passive drag values were based on experimental data collected in a single-seat kayak. Three different kayaker simulated weights were tested - 65, 75 and 85 kg. D
F
was the drag component that contributed the greatest percentage (between 60 and 68% at 5.56 m/s the top velocity tested) to the total passive drag for all the velocities tested and simulated weights. D
W
was the most affected by the increase in kayaker's simulated weight, mainly when comparing 65/75 to 85 kg. Results support the importance of a kayak design selection that minimises the kayak's drag for the individual weight of the kayaker. Also, the results suggest that the path for better hydrodynamic kayak performance should seek changes that can reduce D
F
, D
PR
and D
W
with D
F
offering the most potential to reduce passive drag.
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BFBNIB, FSPLJ, GIS, IJS, KISLJ, NUK, PNG, UL, UM, UPUK
Reliable and valid instruments are essential for understanding fatigue in occupational settings. This study analyzed the psychometric properties of the Portuguese version of the Swedish Occupational ...Fatigue Inventory (SOFI).
A cross-sectional study was conducted with 218 workers from an automotive industry involved in assembly tasks for fabrication of mechanical cables. Convergent and discriminant validity, internal consistency reliability and confirmatory factor analysis were performed.
Results showed adequate fit to data, yielding a 20-item, 5-factor structure (all intercorrelated): Chi
/df (ratio Chi
and degrees of freedom) = 2.530, confirmatory fit index (CFI) = 0.919, goodness of fit index (GFI) = 0.845, root mean square error of approximation (RMSEA) = 0.084. The SOFI presented an adequate internal consistency, with the sub-scales and total scale presenting good reliability values (Cronbach's α values from 0.742 to 0.903 and 0.943 respectively).
Findings suggest that the Portuguese version of the SOFI may be a useful tool to assess fatigue and prevent work-related injuries. In future research, other instruments should be used as an external criterion to correlate with the SOFI dimensions. Int J Occup Med Environ Health 2017;30(3):407-417.
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