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Biomedical subjects

Dirk De Clercq

Publications and source records attributed to Dirk De Clercq.

At least 19 recordsLinked to original sources

Is energy expenditure taken into account in human sub-maximal jumping?--A simulation study.

This paper presents a simulation study that was conducted to investigate whether the stereotyped motion pattern observed in human sub-maximal jumping can be interpreted from the perspective of energy expenditure. Human sub-maximal vertical countermovement jumps were compared to jumps simulated with a forward dynamic musculo-skeletal model. This model consisted of four interconnected rigid segments, actuated by six Hill-type muscle actuators. The only independent input of the model was the stimulation of muscles as a function of time. This input was optimized using an objective function, in which targeting a specific sub-maximal height value was combined with minimizing the amount of muscle work produced. The characteristic changes in motion pattern observed in humans jumping to different target heights were reproduced by the model. As the target height was lowered, two major changes occurred in the motion pattern. First, the countermovement amplitude was reduced; this helped to save energy because of reduced dissipation and regeneration of energy in the contractile elements. Second, the contribution of rotation of the heavy proximal segments of the lower limbs to the vertical velocity of the centre of gravity at take-off was less; this helped to save energy because of reduced ineffective rotational energies at take-off. The simulations also revealed that, with the observed movement adaptations, muscle work was reduced through improved relative use of the muscle's elastic properties in sub-maximal jumping. According to the results of the simulations, the stereotyped motion pattern observed in sub-maximal jumping is consistent with the idea that in sub-maximal jumping, subjects are trying to achieve the targeted jump height with minimal energy expenditure.

Computer Simulation↗

Back posture education in elementary schoolchildren: a 2-year follow-up study.

Within the scope of primary prevention regarding back functioning in children, research on the stability of intervention effects is indispensable. Along this line, the transition from childhood to adolescence is an important phase to evaluate the potential stability of intervention effects because of the typically mechanical and psychological demands related to adolescence. The main aim of the current study was to investigate the effects of a back education program at 2-year follow-up, in youngsters aged 13-14 years, on back posture knowledge, fear-avoidance beliefs and self-reported pain. An additional purpose was to evaluate which aspects of postural behavior were integrated in youngsters' lifestyles. At 2-year follow-up, the study sample included 94 secondary schoolchildren in the intervention group (mean age 13.3 +/- 0.8 years) and 101 controls (mean age 13.2 +/- 0.7 years). The back posture program that had been implemented for two school years consisted of back education and the stimulation of postural dynamism in the class through support and environmental changes. A questionnaire was completed comparable to the pretest, posttest and follow-up evaluations. The current study demonstrated at 2-year follow-up stability of the improved general (F = 1.590, ns) and specific (F = 0.049, ns) back posture knowledge in children who had received early back posture education. Back posture education did not result in increased fear-avoidance beliefs (F = 1.163, ns) or mounting back and/or neck pain reports (F = 0.001, ns). Based on self-reports for postural behavior, youngsters who had received the back posture program in the elementary school curriculum integrated crucial sitting and lifting principles conform to biomechanical favorable postural behavior. The steady intervention effects 2-year post-intervention demonstrated that intensive back posture education through the elementary school curriculum is effective till adolescence. Future research on the impact of early school-based back posture promotion in relation to the integration of back posture principles according to a biomechanical favorable lifestyle and back pain prevalence later in life is essential.

Back↗

Effects of back posture education on elementary schoolchildren's back function.

The possible effects of back education on children's back function were never evaluated. Therefore, main aim of the present study was to evaluate the effects of back education in elementary schoolchildren on back function parameters. Since the reliability of back function measurement in children is poorly defined, another objective was to test the selected instruments for reliability in 8-11-year olds. The multi-factorial intervention lasting two school-years consisted of a back education program and the stimulation of postural dynamism in the class. Trunk muscle endurance, leg muscle capacity and spinal curvature were evaluated in a pre-post design including 41 children who received the back education program (mean age at post-test: 11.2 +/- 0.9 years) and 28 controls (mean age at post-test: 11.4 +/- 0.6 years). Besides, test-retest reliability with a 1-week interval was investigated in a separate sample. Therefore, 47 children (mean age: 10.1 +/- 0.5 years) were tested for reliability of trunk muscle endurance and 40 children (mean age: 10.2 +/- 0.7 years) for the assessment of spinal curvatures. Reliability of endurance testing was very good to good for the trunk flexors (ICC = 0.82) and trunk extensors (ICC = 0.63). The assessment of the thoracic (ICC = 0.69) and the lumbar curvature (ICC = 0.52) in seating position showed good to acceptable reliability. Low ICCs were found for the assessment of the thoracic (ICC = 0.39) and the lumbar curvature (ICC = 0.37) in stance. The effects of 2 year back education showed an increase in trunk flexor endurance in the intervention group compared to a decrease in the controls and a trend towards significance for a higher increase in trunk extensor endurance in the intervention group. For leg muscle capacity and spinal curvature no intervention effects were found. The small samples recommend cautious interpretation of intervention effects. However, the present study's findings favor the implementation of back education with focus on postural dynamism in the class as an integral part of the elementary school curriculum in the scope of optimizing spinal loading through the school environment.

Anthropometry↗

Effects of a two-school-year multifactorial back education program in elementary schoolchildren.

STUDY DESIGN: A quasi-experimental pre/post design. OBJECTIVE: To investigate effects of a 2-school-year multifactorial back education program on back posture knowledge and postural behavior in elementary schoolchildren. Additionally, self-reported back or neck pain and fear-avoidance beliefs were evaluated. SUMMARY OF BACKGROUND DATA: Epidemiologic studies report mounting nonspecific back pain prevalence among youngsters, characterized by multifactorial risk factors. Study findings of school-based interventions are promising. Furthermore, biomechanical discomfort is found in the school environment. METHODS: The study sample included 193 intervention children and 172 controls (baseline, 9-to-11-year-olds). The multifactorial intervention consisted of a back education program and the stimulation of postural dynamism in the class through support and environmental changes. Evaluation consisted of a questionnaire, an observation of postural behavior in the classroom, and an observation of material handling during a movement session. RESULTS: The intervention resulted in increased back posture knowledge (P < 0.001), improved postural behavior during material handling (P < 0.001), and decreased duration of trunk flexion (P < 0.05) and neck torsion (P < 0.05) during lesson time. The intervention did not change fear-avoidance beliefs. There was a trend for decreased pain reports in boys of the intervention group (P < 0.09). CONCLUSIONS: The intervention resulted in improved postural aspects related to spinal loading. The long-term effect of improved postural behavior at young age on back pain prevalence later in life is of interest for future research.

Back↗

The significance of peroneus tertius muscle in ankle injuries: a prospective study.

BACKGROUND: The peroneus tertius is absent in 5% to 17% of the human white population. The function of the peroneus tertius is eversion and dorsiflexion of the foot. These 2 strength parameters have been identified as important parameters in the development of ankle ligament injuries. HYPOTHESIS: Subjects without the peroneus tertius are at higher risk for ankle ligament injuries. STUDY DESIGN: Cohort study (Prevalence); Level of evidence, 1. METHODS: One hundred physical education students were palpated for the presence of peroneus tertius before the start of their education; they were also isokinetically measured for eversion and dorsiflexion strength. All ankle injuries were registered during 2 years, and exposure to sport was recorded. RESULTS: The peroneus tertius was absent in 37 of the 200 subjects (18.5%). In the group with peroneus tertius (n = 163), 21 ankle sprains (12.9%) were observed during the 2-year follow-up. In the group without peroneus tertius (n = 37), 7 ankle sprains (18.9%) were noted. Statistical analysis (Cox regression) showed no significant difference between both groups in the incidence of ankle sprains (P = .335). Comparisons between the group of subjects with peroneus tertius and the group without peroneus tertius concerning the concentric and eccentric isokinetic eversion and the concentric dorsiflexion strength did not attain significance at any tested velocity (P > .05). CONCLUSION: This study shows that subjects without peroneus tertius are not at higher risk for an ankle ligament injury. In addition, subjects without peroneus tertius do not exhibit decreased eversion or dorsiflexion strength. CLINICAL RELEVANCE: This study is the first to clarify the exact contribution of the peroneus tertius within the muscular system around the ankle. As a result, the clinical importance of the peroneus tertius concerning prevention and treatment of ankle ligament injuries is low.

Adolescent↗

Static and dynamic standing balance: test-retest reliability and reference values in 9 to 10 year old children.

INTRODUCTION: Based on the literature, reliability reports and normative data for bilateral stance assessments in elementary schoolchildren are limited. The present study was designed to report test-retest reliability and reference values for postural stability in 9 to 10 years old schoolchildren using the Balance Master system. MATERIALS AND METHODS: Twenty children participated in the reproducibility study (mean age 10.1+/-0.7) including test and retest measurement with a one-week interval. The modified clinical test of sensory interaction on balance (mCTSIB) quantified children's static standing balance. The test for the limits of stability (LOS) measured dynamic standing balance. The study sample to determine reference values consisted of 99 children (mean age 9.8+/0.5). RESULTS: The ICCs for inter-item reliability of the four sensory conditions of the mCTSIB showed fair to excellent reliability (ICCs between 0.62 and 0.80). The reproducibility between test and retest was non-significant for the condition 'firm surface with eyes closed' (ICC of 0.37), fair to good for the three other sensory conditions (ICCs between 0.59 and 0.68), and excellent for the composite sway velocity (ICC of 0.77). For all LOS parameters, the significant ICCs showed fair to good reproducibility (ICCs between 0.44 and 0.62), with the exception of the non-significant ICC for the composite reaction time. The ICCs for the separate LOS parameters showed fair to good and excellent reliability for nine parameters (ICCs between 0.46 and 0.81), while 11 separate LOS scores did not demonstrate significant ICCs. DISCUSSION: Analysing reference values, girls performed better on all the composite balance parameters compared to boys, with the exception of reaction time and movement velocity. No differences were found on standing balance scores between 9 and 10 year olds. CONCLUSION: In conclusion, the Balance Master showed fair to good reliability for most postural parameters in 9 to 10 year olds. The current data on postural control in children aged 9 to 10 years are relevant for research in other domains within the clinical field, like obesitas and developmental coordination disorder or in relation to back pain prevalence at early age.

Child↗

Changes in foot-function parameters during the first 5 months after the onset of independent walking: a longitudinal follow-up study.

Foot-function parameters (foot-contact patterns, oscillations of the centre of pressure (COP), peak pressures, relative vertical impulses and foot shape indices) were characterized in 10 toddlers at 1, 2, 3, 4, 6, 8, 10, 12, 16 and 20 weeks after the onset of independent walking. Significant changes were found in foot-contact patterns and COP oscillations. Improvements in balance, reflected in the decreased oscillations of the COP, coincided with changes in foot roll-over. These findings suggest that the development of a "heel-to-toe" roll-over pattern after 1 year of walking already starts early after the onset of independent walking. We could not identify any changes in load distribution underneath the plantar surface of the foot, suggesting that maturation of foot loading develops at a slower pace.

Biomechanical Phenomena↗

The energetics and benefit of an arm swing in submaximal and maximal vertical jump performance.

The aims of this study were to investigate the energy build-up and dissipation mechanisms associated with using an arm swing in submaximal and maximal vertical jumping and to establish the energy benefit of this arm swing. Twenty adult males were asked to perform a series of submaximal and maximal vertical jumps while using an arm swing. Force, motion and electromyographic data were recorded during each performance and used to compute a range of kinematic and kinetic variables, including ankle, knee, hip, shoulder and elbow joint powers and work done. It was found that the energy benefit of using an arm swing appears to be closely related to the maximum kinetic energy of the arms during their downswing, and increases as jump height increases. As jump height increases, energy in the arms is built up by a greater range of motion at the shoulder and greater effort of the shoulder and elbow muscles but, as jump height approaches maximum, these sources are supplemented by energy supplied by the trunk due to its earlier extension in the movement. The kinetic energy developed by the arms is used to increase their potential energy at take-off but also to store and return energy from the lower limbs and to "pull" on the rest of the body. These latter two mechanisms become more important as jump height increases with the pull being the more important of the two. We conclude that an arm swing contributes to jump performance in submaximal as well as maximal jumping but the energy generation and dissipation sources change as performance approaches maximum.

Adolescent↗

The measurement of competitive anxiety during balance beam performance in gymnasts.

The purpose of the present study was to investigate competitive anxiety during balance beam performance in gymnasts. Competitive anxiety was assessed continuously by heart rate monitoring and by retrospective self-report of nervousness in eight female national level gymnasts during their balance beam routine during one competition and two training sessions. A significant negative correlation was found between the score of the retrospective self-report of nervousness and performance during the routine. There were no significant differences in performance score by the judges between the three test sessions. There were also no differences in the retrospective self-report of nervousness. However, heart rate was significantly higher during the competition session than during the training sessions. The potential value of the retrospective report of nervousness for the study of critical events during gymnastic performance is illustrated. The results are discussed in the light of catastrophe theory.

Adolescent↗

Differences in gait between children with and without developmental coordination disorder.

In the present study the walking pattern of 10 children with developmental coordination disorder (DCD) was investigated and compared to that of 10 typically developing, matched control children. All children walked at a similar velocity that was scaled to the length of the leg on a motor-driven treadmill. Three-dimensional kinematics were recorded with a motion capture digital camera system. The spatiotemporal parameters of the gait pattern revealed that children with DCD walked with shorter steps and at a higher frequency than the typically developing children. In addition, the children with DCD exhibited a body configuration that demonstrated increased trunk inclination during the entire gait cycle and enhanced during the entire gait cycle. At toe-off a less pronounced plantar flexion of the ankle was observed in children with DCD. In conclusion, it appeared that children with DCD make adaptations to their gait pattern on a treadmill to compensate for problems with neuromuscular and/or balance control. These adaptations seem to result in a safer walking strategy where the compromise between equilibrium and propulsion is different compared to typically developing children.

Biomechanical Phenomena↗

Changes in 3D joint dynamics during the first 5 months after the onset of independent walking: a longitudinal follow-up study.

A longitudinal follow-up study of 10 normally developing children was performed in order to identify changes in mechanical control of gait during the first months after initiation of independent walking. Changes in spatio-temporal parameters and kinematics were recorded (336 trials spread over 83 recording sessions) and linked to kinetic features of gait. At the onset of independent walking, all children in our study group showed the same walking strategy: a dominance of the extending moments around the lower extremity joints was observed and could be linked to the flexed position of the hip and knee during stance. In a subset of our study population, the dominance of the extending moments disappeared with increasing walking experience, though reversal to immature patterns was frequently observed. A linear mixed model showed that with increasing walking experience, there was an increase in dimensionless walking speed, dimensionless cadence and dimensionless stride length (without correction for the increase in speed). Maximal hip extension in stance, knee flexion and ankle plantar flexion at foot contact also increased (even when the increase in speed is taken into account). Dimensionless step width, duty factor, double support time, maximal hip flexion in swing and hip abduction significantly decreased (with correction for speed). Important changes were also observed in ground reaction force patterns, evolving towards a double "hump". No significant changes could be observed in other kinetic parameters, probably due to the high degree of variability.

Ankle Joint↗

Functional analysis of the gibbon foot during terrestrial bipedal walking: plantar pressure distributions and three-dimensional ground reaction forces.

This paper gives a detailed analysis of bipedal walking in the white-handed gibbon, based on collected pressure and force data. These data were obtained from four gibbons in the Wild Animal Park, Planckendael, Belgium, by using a walkway with integrated force plate and pressure mat. This is the first study that collects and describes dynamic plantar pressure data of bipedally walking gibbons, and combines these with force plate data. The combination of these data with previously described roll-off patterns of gibbons, based on general observations, video images, force plates, and EMG data, gives us a detailed description of foot function during gibbon bipedalism. In addition, we compare the observed characteristics of hylobatid bipedalism with the main characteristics of bonobo and human bipedalism. We found that gibbons are midfoot/heel plantigrade, and lack the typical heel-strike of other hominoids. The hallux is widely abducted and touches down at the onset of the stance phase, which results in an L-shaped course of the center of pressure. The vertical force curve is trapezoid to triangular in shape, with high peak values compared to humans. The braking component is shorter than the accelerating component, and shortens further at higher walking velocities. Speed has a significant influence on the forefoot peak pressures and on most of the defined gait parameters (e.g., vertical force peak), and it alters the foot contact pattern as well. The investigation of existing form-function relationships in nonhuman primates is essential for the interpretation of fossil remains, and might help us understand the evolution of habitual bipedal walking in hominids.

Animals↗

The "how" and "why" of the ancient Greek long jump with weights: a five-fold symmetric jump in a row?

A plausible explanation for the ancient long jump records from Greek antiquity is sought on the basis of pictorial and written sources, and corroborated with practical tests. Ancient sources report that athletes jumped more than 15 m with weights in their hands, which enabled them to jump further than without these weights. It is proposed that the ancient Greek long jump was a continuous succession of five standing broad jumps, in which the landing phase of one jump was also the countermovement for the next jump. Four trained athletes jumped further with (14.64 +/- 0.76 m, range 13.64-15.63 m) than without weights (13.88 +/- 0.70 m, range 12.60-14.75 m; P = 0.001). These results show that this technique is executable, fits with ancient written and pictorial sources, and allows trained modern athletes to jump distances well over 15 m. The extra distance jumped when using weights may be due to changes in the position of the jumper's centre of mass at take-off and at landing, and an increase in take-off velocity stemming from several biomechanical mechanisms.

Adolescent↗

Intrinsic risk factors for inversion ankle sprains in male subjects: a prospective study.

BACKGROUND: Many variables have been retrospectively associated with ankle sprains. However, very little is known about factors predisposing people to these injuries. HYPOTHESIS: Measurable intrinsic factors might predispose male athletes to ankle sprains. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: A total of 241 male physical education students were evaluated for possible intrinsic risk factors for inversion sprains at the beginning of their academic study. The evaluated intrinsic risk factors included anthropometrical characteristics, functional motor performances, ankle joint position sense, isokinetic ankle muscle strength, lower leg alignment characteristics, postural control, and muscle reaction time during a sudden inversion perturbation. Subjects were followed prospectively for 1 to 3 years. RESULTS: A total of 44 (18%) of the 241 male subjects sustained an inversion sprain; 4 sprained both ankles. Cox regression analysis revealed that male subjects with slower running speed, less cardiorespiratory endurance, less balance, decreased dorsiflexion muscle strength, decreased dorsiflexion range of motion, less coordination, and faster reaction of the tibialis anterior and gastrocnemius muscles are at greater risk of ankle sprains. CONCLUSION: Based on our findings, it is suggested that running speed, cardiorespiratory endurance, balance, dorsiflexion strength, coordination, muscle reaction, and dorsiflexion range of motion at the ankle are associated with the risk of ankle inversion sprains in male subjects.

Adolescent↗

3D joint dynamics of walking in toddlers A cross-sectional study spanning the first rapid development phase of walking.

This study aims at giving an insight into the causative forces of walking in toddlers. Therefore, joint angle, moment and power profiles of 10 toddlers with less than 6 months of walking experience are compared to the stereotype adult patterns. In general, joint moments are small, which can be explained both by the small size of toddlers and differences in walking strategy. Also mass specific powers are reduced due to the low average walking speed. Balance problems in toddlers lead to a dominance of hip and knee extending moments throughout stance. The joint moment profiles are characterized by a reduced complexity, which might suggest an immature control of movement. Another feature of toddler gait is that virtually no power is generated at the ankle joint prior to foot-off (no active push-off). We also examined the effect of walking experience on the toddler gait pattern. In general, an evolution towards a more mature gait becomes evident after 4 months of independent walking. Changes are observed in step-time parameters, ankle dorsiflexing moment and power absorption at the hip joint.

Ankle↗

Performing the vertical jump: movement adaptations for submaximal jumping.

The purpose of this study was to gain insight into the kinematics and kinetics of the vertical jump when jumping for different heights and to investigate movement effectiveness as a criterion for movement control in submaximal jumping. In order to jump high a countermovement is used and large body segments are rotated, both of which consume energy which is not directly used to gain extra jump height. It was hypothesized that the energy used to reach a specified jump height is minimized by limiting the non-effective energy consumed. Standing vertical jumps attempting 100%, 75%, 50%, and 25% of maximal height were performed by a group of 10 subjects. Force and motion data were recorded simultaneously during each performance. We found that jump height increased due to increasing vertical velocity at take off. This was primarily related to an increase in countermovement amplitude. As such, flexion amplitude of the hip joint increased with jump height whereas the ankle and knee joint flexion did not. These findings revealed that for submaximal jumping a consistent strategy was used of maximizing the contribution of distal joints and minimizing the contribution of proximal joints. Taking into account the high inertia of proximal segments, the potential energy deficit due to countermovement prior to joint extension, the advantageous horizontal orientation of the foot segment during stance and the tendon lengths in distal muscles, it was concluded that movement effectiveness is a likely candidate for the driving criterion of this strategy.

Adaptation, Physiological↗

Understanding how an arm swing enhances performance in the vertical jump.

This investigation was conducted to examine the various theories that have been proposed to explain the enhancement of jumping performance when using an arm swing compared to when no arm swing is used. Twenty adult males were asked to perform a series of maximal vertical jumps while using an arm swing and again while holding their arms by their sides. Force, motion and electromyographical data were recorded during each performance. Participants jumped higher (0.086 m) in the arm swing compared to the no-arm swing condition and was due to increased height (28%) and velocity (72%) of the center of mass at take-off. The increased height at take-off was due to the elevation of the arm segments. The increased velocity of take-off stemmed from a complex series of events which allowed the arms to build up energy early in the jump and transfer it to the rest of the body during the later stages of the jump. This energy came from the shoulder and elbow joints as well as from extra work done at the hip. This energy was used to (i) increase the kinetic and potential energy of the arms at take-off, (ii) store and release energy from the muscles and tendons around the ankle, knee and hip joint, and (iii) 'pull' on the body through an upward force acting on the trunk at the shoulder. It was concluded that none of the prevailing theories exclusively explains the enhanced performance in the arm swing jump, but rather the enhanced performance is based on several mechanisms operating together.

Adolescent↗

Sitting habits in elementary schoolchildren: a traditional versus a "Moving school".

This study evaluated differences in sitting habits in the classroom between the project "Moving school" and a traditional school in 8-year-old children. Twenty-two children, since 1.5 years involved in the project were compared to 25 children in a traditional school. Making use of the Portable Ergonomic Observation (PEO) method, it was observed that children from a traditional school spend an average of 97% of the lesson time sitting statically, from which one-third with the trunk bend over 45 degrees. In the "Moving school" this posture was replaced by dynamic sitting (53%), standing (31%) and walking around (10%), while trunk flexion over 45 degrees was nearly not observed. Children from the "Moving school" also showed significantly less neck and trunk rotation. Additionally, accelerometric data showed significantly more physical activity in lessons of the "Moving school". Rates of self-reported back or neck pain did not differ significantly between both study groups. Results show that sitting habits are more favourable in a "Moving school". Further research is needed to study the impact of implementing "Moving school" concepts in traditional schools on sitting habits.

Acceleration↗