Biomedical subjects

Joseph Hamill

Publications and source records attributed to Joseph Hamill.

At least 19 recordsLinked to original sources

PubMed2006

Biomechanical factors associated with tibial stress fracture in female runners.

PURPOSE: Tibial stress fractures (TSF) are among the most serious running injuries, typically requiring 6-8 wk for recovery. This cross-sectional study was conducted to determine whether differences in structure and running mechanics exist between trained distance runners with a history of prior TSF and those who have never sustained a fracture. METHODS: Female runners with a rearfoot strike pattern, aged between 18 and 45 yr and running at least 32 km.wk(-1), were recruited for this study. Participants in the study were 20 subjects with a history of TSF and 20 age- and mileage-matched control subjects with no previous lower extremity bony injuries. Kinematic and kinetic data were collected during overground running at 3.7 m.s(-1) using a six-camera motion capture system, force platform, and accelerometer. Variables of interest were vertical impact peak, instantaneous and average vertical loading rates, instantaneous and average loading rates during braking, knee flexion excursion, ankle and knee stiffness, and peak tibial shock. Tibial varum was measured in standing. Tibial area moment of inertia was calculated from tibial x-ray studies for a subset of runners. RESULTS: The TSF group had significantly greater instantaneous and average vertical loading rates and tibial shock than the control group. The magnitude of tibial shock predicted group membership successfully in 70% of cases. CONCLUSION: These data indicate that a history of TSF in runners is associated with increases in dynamic loading-related variables.

Adolescent↗

PubMed2005

Kinetic asymmetry in female runners with and without retrospective tibial stress fractures.

Gait asymmetry may be linked to the tendency for runners to sustain chronic overuse injuries. This paper compares gait asymmetry in female runners who have never sustained a running-related injury to those who have sustained unilateral tibial stress fractures. The symmetry index was used to characterize asymmetry in the kinetics of both subject groups. There were three aims to this study: (1) to report natural levels of asymmetry for healthy, never-injured female runners, (2) to compare asymmetry levels between never-injured runners and those who have sustained stress fractures, and (3) to examine the kinetics between the involved and uninvolved limbs of runners who have sustained stress fractures. In all three aims, peak medial, lateral, braking, vertical impact, and vertical ground reaction forces, average and peak instantaneous vertical loading rates, and peak shock were examined. In the never-injured runner group, natural levels of asymmetry ranged from 3.1% for peak vertical ground reaction force up to 49.8% for peak lateral ground reaction force. Symmetry indices were not significantly different in the runners who had previously sustained stress fractures. The involved limb of the previously injured runners demonstrated higher values for braking and vertical impact ground reaction force and peak shock. Interestingly, these runners appeared to have bilaterally-elevated lateral ground reaction forces and loading rates as compared to the never-injured group, although this was not statistically tested. This suggests that previously injured runners may be closer to the injury threshold and, thus, more susceptible. Asymmetry may simply influence the side on which they become injured.

Adolescent↗

PubMed2005

Free moment as a predictor of tibial stress fracture in distance runners.

Stress fractures are a common and serious overuse injury in runners, particularly female runners. They may be related to loading characteristics of the lower extremity during running stance. Some tibial stress fractures (TSFs) are spiral in nature and, therefore, may be related to torque. Free moment (FM) is a measure of torque about a vertical axis at the interface with the shoe and ground. Increases in FM variables may be related to a history of TSF in runners. The purpose of this cross-sectional study was to investigate differences in FM between female distance runners with and without a history of TSF and, additionally, to investigate the relationship between absolute FM and the occurrence of TSF. A group of 25 currently uninjured female distance runners with a history of TSF (28+/-10 years, 46+/-15 km week(-1)) and an age- and mileage-matched control group of 25 healthy runners with no previous lower extremity fractures (26+/-9 years, 46+/-19 km week(-1)) participated in this study. Ground reaction forces and foot placement on the force platform were recorded during running at 3.7 ms(-1) (+/-5%). Peak adduction, braking peak and absolute peak FM and impulse were compared between groups using one-tailed t-tests. The predictive value of absolute peak FM was investigated via a binary logistic regression. All variables, except impulse, were significantly greater in runners with a history of TSF. Absolute peak FM had a significant predictive relationship with history of TSF. There is a significant relationship between higher values for FM variables and a history of TSF.

Adolescent↗

PubMed2005

Examination of extrinsic foot muscles during running using mfMRI and EMG.

Over-pronation has been cited as a key contributor to many types of running injuries. However, the roles of the extrinsic foot muscles during running have not been adequately identified. The purpose of this study was to examine the muscle functional (mf) MRI and EMG responses to perturbations of the foot by running in varus, neutral and valgus wedged shoes. Ten males ran at 3.6 m/s in specially constructed shoes for 5 min with T2-weighted mfMRI collected before and after each run. The change in T2 from before to after each run characterized the level of metabolic activity in each of muscle. Kinematic and EMG data were also collected while subjects ran on a treadmill. There were no T2 differences across the three shoe conditions. In contrast, there was significantly less EMG activity in the tibialis anterior and soleus while wearing the neutral shoe. Overall, the results did not support the theory that muscle activity would increase as the degree of eversion increased. It also appears that surface EMG was more sensitive to differences between conditions than mfMRI. However, this study illustrated that mfMRI may be a useful tool for quantifying muscle activity in cases where surface EMG is inadequate.

Adaptation, Physiological↗

PubMed2005

Adaptations in interlimb and intralimb coordination to asymmetrical loading in human walking.

The purpose of this study was to examine both the intralimb (within a limb) and interlimb (between the right and left limbs) adaptations that occur in response to a unilaterally applied leg load as subjects walked at their preferred walking speed. It was hypothesized that this adaptation would alter interlimb coordination while intralimb coordination remained invariant. Subjects (n = 12) were required to walk on a treadmill at preferred walking speed. Bilateral 3-D kinematic data were collected while a load placed on the leg was increased. Gait adaptations to leg-loading were assessed through changes in coordination patterns between specific limb couplings. Continuous relative phase (CRP) was used to evaluate changes in limb coordination under each experimental load condition compared to a no load baseline condition. Both changes in magnitude of CRP (root-mean-square (RMS) analysis) as well as temporal changes in CRP across the stride cycle (cross-correlation) were assessed. Cross-Correlation values changed with load for all interlimb couplings assessed suggesting alterations in interlimb coordination across the stride cycle. CRP cross-correlation values were close to 1.0 in all the intralimb couplings examined, showing a relative invariance in intralimb coordination. Coordination changes in RMS were also observed for the interlimb couplings. RMS changes were also observed in the intralimb couplings on the loaded side. It appears that gait adaptations to a unilaterally applied leg load appear both at the intralimb and interlimb level. However, the majority of changes did appear at the interlimb level, where CRP as assessed through both cross-correlation and RMS measures changed. This study supports previous results that suggested a tighter coupling exists at the intralimb level, leaving the majority of gait adaptations to occur at the interlimb level. The observed adaptation in differences between interlimb and intralimb coordination may provide insight into gait adaptations in pathological gait.

Adult↗

PubMed2005

Stability and variability may respond differently to changes in walking speed.

In gait research it has often been assumed that variability and stability are negatively correlated, where increases in variability are assumed to equate with increases in instability. The purpose of this paper is to illustrate that variability does not always equate with stability. To proof this point, a method was developed to directly assess stability and variability during the application of a visual perturbation at different walking speeds. Walking variability was measured by using the average standard deviation of the knee joint angle across the gait cycle. Walking stability was measured by the recovery time of the knee joint angle trajectory from the distortion induced by a visual perturbation that was delivered at the beginning of the stance phase. Five participants were required to walk at six different velocities on a treadmill (0.67, 0.80, 0.94, 1.07, 1.21, and 1.34 m/s). The coefficients of intraclass correlations for the experiment were 83% and 80% for the calculated stability and variability, respectively. The calculated stabilities were not sensitive to changes in walking speed (p>0.98). The calculated variability however decreased with increases in walking speed (p=0.004). No significant correlation between variability and stability was observed (r=-0.002). We suggest that gait stability is independent of variability during locomotion and should thus be measured independently.

Acceleration↗

PubMed2005

Biomechanics, exercise physiology, and the 75th anniversary of RQES.

The purpose of this paper is to review the biomechanics and exercise physiology studies published in the Research Quarterly for Exercise and Sport (RQES) over the past 75 years. Studies in biomechanics, a relatively new subdiscipline that evolved from kinesiology, first appeared in the journal about 40 years ago. Exercise physiology studies have been published in RQES throughout its history. Studies in both subdisciplines reflect areas of research that were of great interest at the time of their publication. Many of the leading scholars, past and present, in both biomechanics and exercise physiology were authors of papers in RQES.

Biomechanical Phenomena↗

PubMed2005

Gender differences in lower extremity coupling variability during an unanticipated cutting maneuver.

The purpose of this study was to determine if gender differences exist in the variability of various lower extremity (LE) segment and joint couplings during an unanticipated cutting maneuver. 3-D kinematics were collected on 24 college soccer players (12 M, 12 F) while each performed the cutting maneuver. The following intralimb couplings were studied: thigh rotation (rot)/leg rot; thigh abduction-adduction/leg abd-add; hip abd-add/knee rot; hip rot/knee abd-add; knee flexion-extension/knee rot; knee flx-ext/hip rot. A vector-coding technique applied to angle-angle plots was used to quantify the coordination of each coupling. The average between-trial standard deviation of the coordination pattern during the initial 40 % of stance was used to indicate the coordination variability. One-tailed t-tests were used to determine differences between genders in coordination variability for each coupling. Women had decreased variability in four couplings: 32 % less thigh rot/leg rot variability; 40 % less thigh abd-add/leg abd-add variability; 46 % less knee flx-ext/knee rot variability; and 44 % less knee flx-ext/hip rot variability. These gender differences in LE coordination variability may be associated with the increased incidence of ACL injury in women. If women exhibit less flexible coordination patterns during competition, they may be less able to adapt to the environmental perturbations experienced during sports. These perturbations applied to a less flexible system may result in ligament injury.

Adaptation, Physiological↗

PubMed2005

Frontal plane moments do not accurately reflect ankle dynamics during running.

The ankle joint has typically been treated as a universal joint with moments calculated about orthogonal axes and the frontal plane moment generally used to represent the net muscle action about the subtalar joint. However, this joint acts about an oblique axis. The purpose of this study was to examine the differences between joint moments calculated about the orthogonal frontal plane axis and an estimated subtalar joint axis. Three-dimensional data were collected on 10 participants running at 3.6 m/s. Joint moments, power, and work were calculated about the orthogonal frontal plane axis of the foot and about an oblique axis representing the subtalar joint. Selected parameters were compared with a paired t-test (alpha = 0.05). The results indicated that the joint moments calculated about the two axes were characteristically different. A moment calculated about an orthogonal frontal plane axis of the foot resulted in a joint moment that was invertor in nature during the first half of stance, but evertor during the second half of stance. The subtalar joint axis moment, however, was invertor during most of the stance. These two patterns may result in qualitatively different interpretations of the muscular contributions at the ankle during the stance phase of running.

Adult↗

PubMed2004

A three-dimensional data visualization technique for reporting movement pattern deviations.

Relative motion plots are the most prevalent method for displaying interjoint coupling. The method, however, is limited when amplitude and timing comparisons of like data are of interest. Another limitation of relative motion plots is that the second parameter (e.g., angle) is included at the expense of a continuous time reference. In this paper, we present a novel method for displaying three-dimensional movement pattern deviations. Parameter-parameter-time data (e.g., knee and hip angle as a function of time) are color-coded based on the magnitude and direction of the deviation. The color-coded deviations are mapped to an individual's three-dimensional parameter-parameter-time trajectory, resulting in a multi-color, three-dimensional curve depicting how an individual's parameter-parameter-time pattern differs relative to a reference pattern. The algorithmic development of the color-coded parameter-parameter-time display is presented and comparative patient and normative data are reported.

Algorithms↗

PubMed2004

The role of selected extrinsic foot muscles during running.

OBJECTIVE: To determine the kinematic, kinetic and EMG responses to perturbations of the foot by running in varus, neutral, and valgus-wedged shoes. DESIGN: Within-subjects study comparing kinematics, kinetics and EMG while running in three different shoe conditions. BACKGROUND: Excessive pronation has been cited as a key contributor to many types of running injuries. However, the roles of the extrinsic foot muscles (those that control motion of the foot) during the stance phase of running have not been adequately identified, which is critical to determining the relationship between pronation and injury. METHODS: Ten males ran in varus, valgus, and neutral-wedged shoes while three-dimensional kinematic and kinetic data and EMG data were collected. Surface EMG data were collected from the tibialis anterior, peroneus longus, medial and lateral gastrocnemius, and soleus. Indwelling EMG was obtained from the tibialis posterior. The net joint moment, power, and total positive and negative work was calculated in the frontal plane. EMG onset, offset, and integrated values were reported. RESULTS: The maximum eversion angle, maximum inversion moment and total negative work done in the frontal plane were greatest while running in the valgus shoe and least in the varus shoe. The greater joint moment was not accompanied by changes in muscle activation patterns, although the tibialis posterior data were inconclusive in this respect. CONCLUSIONS: Greater pronation leads to greater energy absorption in the foot invertor muscles and tendons. While not conclusive, the EMG data suggest that for these muscles there was not a neuromuscular adaptation to the perturbation.

Adult↗

PubMed2004

Orthotic intervention in forefoot and rearfoot strike running patterns.

OBJECTIVE: To compare the differential effect of custom orthoses on the lower extremity mechanics of a forefoot and rearfoot strike pattern. DESIGN: Fifteen subjects ran with both a forefoot and a rearfoot strike pattern with and without orthoses. Lower extremity kinematic and kinetic variables were compared between strike pattern and orthotic conditions. BACKGROUND: Foot orthoses have been shown to be effective in controlling excessive rearfoot motion in rearfoot strikers. The effect of orthotic intervention on rearfoot motion in forefoot strikers has not been previously reported. METHODS: Five trials were collected for each condition. Peak rearfoot eversion, eversion excursion, eversion velocity, peak inversion moment, and inversion work were compared between conditions. Kinematic variables in the sagittal plane of the rearfoot and in the frontal and sagittal plane of the knee were also determined. RESULTS: Increased rearfoot excursions and velocities and decreased peak eversion were noted in the forefoot strike pattern compared to the rearfoot strike pattern. Orthotic intervention, however,did not significantly change rearfoot motion in either strike pattern. Reductions in internal rotation and abduction of the knee were noted with orthotic intervention. CONCLUSIONS: Foot orthoses do not differentially effect rearfoot motion of a rearfoot strike and a forefoot strike running pattern. Orthotic intervention has a larger and more systematic effect on rearfoot kinetics compared to rearfoot kinematics.

Adolescent↗

PubMed2004

Influence of gender on hip and knee mechanics during a randomly cued cutting maneuver.

OBJECTIVE: To investigate gender differences in three-dimensional hip and knee joint mechanics in collegiate athletes during a randomly cued cutting maneuver. DESIGN: Three-dimensional kinematics and kinetics were collected on 24 collegiate soccer players (12 females and 12 males) while each performed the cutting maneuver. In order to create a randomly cued condition, subjects were signaled by a lighted target board that directed them to perform one of three tasks. Hip and knee joint mechanics were compared between genders using one-tailed t-tests. BACKGROUND: Female athletes have an anterior cruciate ligament injury rate that is larger than their male counterparts. Gender differences in hip and knee joint mechanics during a randomly cued cutting maneuver have not been previously reported. METHODS: Five randomly cued cutting trials were included in the analysis. Selected peak hip and knee joint angles and moments were measured during the first 40 degrees of knee flexion across the stance phase. RESULTS: Females demonstrated significantly less peak hip abduction than did males. Otherwise, there were no gender differences in selected peak hip and knee joint kinematics and moments. CONCLUSIONS: Male and female collegiate soccer players demonstrate similar hip and knee joint mechanics while performing a randomly cued cutting maneuver. RELEVANCE: Because it is known that females incur a greater number of anterior cruciate ligament injuries than males, it is of interest to identify gender differences in lower extremity mechanics when performing sport specific tasks. Understanding of these differences will contribute to the development of prevention training programs.

Adolescent↗

PubMed2004

High-arched runners exhibit increased leg stiffness compared to low-arched runners.

Leg stiffness between high-arched (HA) and low-arched (LA) runners was compared. It was hypothesized that high-arched runners would exhibit increased leg stiffness, increased sagittal plane support moment, greater vertical loading rates, decreased knee flexion excursion and increased activation of the knee extensor musculature. Twenty high-arched and 20 low-arched subjects were included in this study. Leg stiffness, knee stiffness, vertical loading rate and lower extremity support moment were compared between groups. Electromyographic data were collected in an attempt to explain differences in leg stiffness between groups. High-arched subjects were found to have increased leg stiffness and vertical loading rate compared to low-arched runners. Support moment at the impact peak of the vertical ground reaction force was related to leg stiffness across all subjects. High-arched subjects demonstrated decreased knee flexion excursion during stance. Finally, high-arched subjects exhibited a significantly earlier onset of the vastus lateralis (VL) than the low-arched runners. Differences exist in leg stiffness and vertical loading rate between runners with different foot types. Differences in lower extremity kinetics in individuals with different foot types may have implications for new treatment strategies or preventative measures.

Adolescent↗

PubMed2004

Kinematic adaptations during running: effects of footwear, surface, and duration.

UNLABELLED: Repetitive impacts encountered during locomotion may be modified by footwear and/or surface. Changes in kinematics may occur either as a direct response to altered mechanical conditions or over time as active adaptations. PURPOSE: : To investigate how midsole hardness, surface stiffness, and running duration influence running kinematics. METHODS: In the first of two experiments, 12 males ran at metabolic steady state under six conditions; combinations of midsole hardness (40 Shore A, 70 Shore A), and surface stiffness (100 kN x m, 200 kN x m, and 350 kN x m). In the second experiment, 10 males ran for 30 min on a 12% downhill grade. In both experiments, subjects ran at 3.4 m x s on a treadmill while 2-D hip, knee, and ankle kinematics were determined using high-speed videography (200 Hz). Oxygen cost and heart rate data were also collected. Kinematic adaptations to midsole, surface, and running time were studied. RESULTS: Stance time, stride cycle time, and maximal knee flexion were invariant across conditions in each experiment. Increased midsole hardness resulted in greater peak ankle dorsiflexion velocity (P = 0.0005). Increased surface stiffness resulted in decreased hip and knee flexion at contact, reduced maximal hip flexion, and increased peak angular velocities of the hip, knee, and ankle. Over time, hip flexion at contact decreased, plantarflexion at toe-off increased, and peak dorsiflexion and plantarflexion velocity increased. CONCLUSION: Lower-extremity kinematics adapted to increased midsole hardness, surface stiffness, and running duration. Changes in limb posture at impact were interpreted as active adaptations that compensate for passive mechanical effects. The adaptations appeared to have the goal of minimizing metabolic cost at the expense of increased exposure to impact shock.

Adaptation, Physiological↗

PubMed2003

Running training and adaptive strategies of locomotor-respiratory coordination.

It has been suggested that stronger coupling between locomotory and breathing rhythms may occur as a result of training in the particular movement pattern and also may reduce the perceived workload or metabolic cost of the movement. Research findings on human locomotor-respiratory coordination are equivocal, due in part to the fact that assessment techniques range in sensitivity to important aspects of coordination (e.g. temporal ordering of patterns, half-integer couplings and changes in frequency and phase coupling). An additional aspect that has not received much attention is the adaptability of this coordination to changes in task constraints. The current study investigated the effect of running training on the locomotor-respiratory coordination and the adaptive strategies observed across a wide range of walking and running speeds. Locomotor-respiratory coordination was evaluated by the strength and variability of both frequency and phase coupling patterns that subjects displayed within and across the speed conditions. Male subjects (five runners, five non-runners) locomoted at seven different treadmill speeds. Group results indicated no differences between runners and non-runners with respect to breathing parameters, stride parameters, as well as the strength and variability of the coupling at each speed. Individual results, however, showed that grouping subjects masks large individual differences and strategies across speeds. Coupling strategies indicated that runners show more stable dominant couplings across locomotory speeds than non-runners do. These findings suggest that running training does not change the strength of locomotor-respiratory coupling but rather how these systems adapt to changing speeds.

Adaptation, Physiological↗

PubMed2003

Limitations in the use and interpretation of continuous relative phase.

Continuous relative phase (CRP), a variable used to quantify intersegmental coordination, is difficult to interpret if care is not taken regarding the assumptions and limitations of the measure. Specifically, CRP is often interpreted as a higher resolution form of discrete relative phase (DRP). DRP, however, yields information regarding the relative dispersion of events in oscillatory signals while CRP describes their relationship in a higher order phase-plane domain. In this paper we address issues surrounding the calculation of CRP and suggest a new interpretation based on the aforementioned methodological issues. Through the use of test signals, with known properties, it was found that the CRP information will be arbitrary if no normalization procedures are used to account for frequency differences in the component oscillators. In addition, signals with non-sinusoidal trajectories will produce patterns in CRP that are not equivalent to discrete relative phase (DRP) measures. The implications of these issues are discussed.

Computer Simulation↗

PubMed2002

Relationship between shock attenuation and stride length during running at different velocities.

The purpose of the study was to investigate the characteristics of shock attenuation during high-speed running. Maximal running speed was identified for each subject [n = 8 males, 25 (SD 4.6) years; 80 (8.9) kg; 1.79 (0.06) m] as the highest speed that could be sustained for about 20 s on a treadmill. During testing, light-weight accelerometers were securely mounted to the surface of the distal antero-medial aspect of the leg and frontal aspect of the forehead. Subjects completed running conditions of 50, 60, 70, 80, 90, and 100% of their maximal speeds with each condition lasting about 20 s. Stride length, stride frequency, leg and head peak impact acceleration were recorded from the acceleration profiles. Shock attenuation was analyzed by extracting specific sections of the acceleration profiles and calculating the ratio of head to leg power spectral densities across the 10-20 Hz frequency range. Both stride length and stride frequency increased across speeds (P < 0.05) and were correlated with running speed (stride length r = 0.92, stride frequency r = 0.89). Shock attenuation increased about 20% per m x s(-1) across speeds (P< 0.05), which was similar to the 17% increase in stride length per m x s(-1). Additionally, shock attenuation was correlated with stride length (r = 0.71) but only moderately correlated with stride frequency (r = 0.40) across speeds. It was concluded that shock attenuation increased linearly with running speed and running kinematic changes were characterized primarily by stride length changes. Furthermore, the change in shock attenuation was due to increased leg not head peak impact acceleration across running speeds.

Acceleration↗