Dataset Information

Supine leg press as an alternative to standing lunge in high-speed stereo radiography.

ABSTRACT: The standing lunge is an activity commonly used to quantify in-vivo knee kinematics with fluoroscopy. The ability to perform the standing lunge varies between subjects and can necessitate movement accommodations to successfully complete the desired range of motion. We proposed a supine leg press as an alternative to the standing lunge that aimed to provide a similar evaluation of knee motion while increasing the measured range of motion. Tibiofemoral kinematics of 53 non-symptomatic adults (27 men, 26 women, 50.8 ± 7.0 yrs.) were calculated from the tracked high-speed stereo radiography (HSSR) images for supine leg press and standing lunge using CT-segmented bony geometries of the right lower limb. The supine leg press proved to be a useful alternative to the standing lunge while providing 46.2° greater range of motion in knee flexion. The difference in angle-matched kinematics across a 100° flexion range between the leg press and lunge was 0.70° in varus-valgus rotation, 1.5° in internal-external rotation, 1.0 mm in medial-lateral translation, 2.3 mm in anterior-posterior translation, and 0.46 mm in superior-inferior translation for men. The angle-matched difference for women across 100° was 0.58° in varus-valgus rotation, 2.4° internal-external rotation, 0.70 mm medial-lateral translation, 2.1 mm anterior-posterior translation, and 0.78 mm superior-inferior translation. The similar kinematics, while having a greater range of motion, and control of the applied load makes the supine leg press an alternative for quantifying in-vivo knee kinematics.

SUBMITTER: Hamilton LD

PROVIDER: S-EPMC10863335 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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Supine leg press as an alternative to standing lunge in high-speed stereo radiography.

Hamilton Landon D LD Andreassen Thor E TE Myers Casey C Shelburne Kevin B KB Clary Chadd C Rullkoetter Paul J PJ

Journal of biomechanics 20220506

The standing lunge is an activity commonly used to quantify in-vivo knee kinematics with fluoroscopy. The ability to perform the standing lunge varies between subjects and can necessitate movement accommodations to successfully complete the desired range of motion. We proposed a supine leg press as an alternative to the standing lunge that aimed to provide a similar evaluation of knee motion while increasing the measured range of motion. Tibiofemoral kinematics of 53 non-symptomatic adults (27 m ...[more]

PMID: 35576630

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Project description:IntroductionNeck-shaft angle (NSA) is of paramount importance to orthopedic surgeons due to its implications for various pathologies of the hip and femur. The primary aim of the study was to establish if NSA measurement may be affected by imaging position (standing and supine) and provide evidence regarding whether the contralateral NSA can be used as a template. The secondary aim was to determine a reference value and precisely understand the effects of sex on NSA measurement.Materials and methodsWe measured bilateral NSA in a retrospective study of 200 standing and 200 supine anteroposterior pelvis radiographs that met the inclusion criteria, while paying special attention to bilateral hip symmetry. The overall inter-rater reliability was 0.688 (CI 0.128-0.851). Matching was performed according to sex (exact matching) and age. Paired t-test, Pearson correlation coefficient, and independent sample t-test were used (p < 0.01).ResultsA total of 400 pairs of femoral necks were reviewed, comprising of 200 males and 200 females. In the upright radiograph, the overall mean NSA was 131.21° ± 4.72°. There was no significant difference between right and left femur NSA among the patients (p = 0.95). On both sides, male NSA was higher than female NSA (p < 0.001). In supine radiograph, the overall mean NSA for the supine position was 133.06° ± 5.71°. There was a significant difference between NSA of the right and left femur among the patients in the supine position (p < 0.001). On supine radiographs there was no statistically significant difference between male and female NSA (p = 0.85).ConclusionOur findings indicated no significant variability in upright radiographs between the right and left NSA. In contrast, significant asymmetry between the right and left NSA was found in the supine radiographs. However, this study does not provide definitive clinical evidence, and further clinical-oriented research is required.Level of evidenceLevel III; retrospective comparative study.

Project description:This study aimed to provide multiple regression equations taking into account differences in running speed, leg length, and step characteristics to predict kinematics of maximal speed sprinting. Seventy-nine male sprinters performed a maximal effort 60-m sprint, during which they were videoed through the section from the 40- to 50-m mark. From the video images, leg kinematic variables were obtained and used as dependent variables for multiple linear regression equation with predictors of running speed, leg length, step frequency, and swing/support ratio. Multiple regression equations to predict leg kinematics of maximal speed sprinting were successfully obtained. For swing leg kinematics, a significant regression model was obtained to predict thigh angle at the contralateral foot strike, maximal knee flexion and thigh lift angular velocities, and maximal leg backward swing velocity (adjusted R 2 = 0.194-0.378, medium to large effect). For support leg kinematics, a significant regression model was obtained to predict knee flexion and extension angular displacements, maximal knee extension velocity, maximal leg backward swing angular velocity, and the other 13 kinematic variables (adjusted R 2 = 0.134-0.757, medium to large effect). Based on the results, at a given leg length, faster maximal speed sprinting will be accompanied with greater thigh angle at the contralateral foot strike, greater maximal leg backward swing velocity during the swing phase, and smaller knee extension range during the support phase. Longer-legged sprinters will accomplish the same running speed with a greater thigh angle at contralateral foot strike, greater knee flexion range, and smaller maximal leg backward swing velocity during the support phase. At a given running speed and leg length, higher step frequencies will be achieved with a greater thigh angle at contralateral foot strike and smaller knee flexion and extension ranges during the support phase. At a given running speed, leg length and step frequency, a greater swing/support ratio will be accompanied with a greater thigh angle at contralateral foot strike and smaller knee extension angular displacement and velocity during the support phase. The regression equations obtained in this study will be useful for sprinters when trying to improve their maximal speed sprinting motion.

Dataset Information

Supine leg press as an alternative to standing lunge in high-speed stereo radiography.

Publications

Supine leg press as an alternative to standing lunge in high-speed stereo radiography.

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