Category Archives: Uncategorized

Paper Accepted (July 2018)

Image result for plos one

Browne MG and Franz JR. More push from your push-off: joint-level modifications to modulate propulsive forces in old age. Plos One (In press).

Abstract: 

Introduction: Compared to young adults, older adults walk with smaller propulsive forces and a redistribution to more proximal leg muscles for power generation during push-off. Despite this deficit in propulsive function, older adults can increase push-off intensity when encouraged to via real-time biofeedback. However, the specific joint-level modifications used by older adults to enhance propulsive force generation has yet to be elucidated. The purpose of this study was to identify the joint-level modifications used by young and older adults to modulate propulsive forces when walking at their preferred speed.

Methods: 9 young and 16 older adults walked at their preferred speed while visual biofeedback prompted them to modulate their propulsive forces using targets prescribed at ±10% and ±20% of their preferred value. Older adults were then divided into groups exhibiting relatively larger or smaller baseline redistribution to more proximal leg muscles for power generation.

Results: Neither young nor either older adult cohort modulated propulsive forces by altering their peak ankle power generation. Instead, subjects increased trailing limb extension and attenuated mechanical power demands at the hip during push-off. Older adults that had a larger baseline redistribution exhibited larger responses to enhanced push-off intensity than their peers – for example, walking with 11% less hip flexor power and 10% more trailing limb extension during push-off when exerting larger than preferred propulsive forces.

Conclusion: Propulsive force biofeedback that elicits larger than preferred propulsive forces also increases trailing limb extension and attenuates mechanical power demands at the hip in older adults most exhibiting a distal-to-proximal redistribution. Our results suggest that considering baseline redistribution may be important in the personalized prescription of interventions aimed at enhancing walking performance by improving push-off intensity.

ABL attends World Congress of Biomechanics

Image result for world congress of biomechanics

The Applied Biomechanics Lab recently traveled to Dublin, Ireland to present our research at the 8th World Congress of Biomechanics. Congratulations to all our students and trainees! Thanks for the great time!

Dublin2 (1)

Dublin1 (1)

 

 

 

 

 

 

 

Abstracts:

Conway KA, Bissette RG, Franz JR, Increasing the propulsive demands of walking to their maximum elucidates functionally limiting impairments in elderly gait.

Waanders JB, Hortobágyi T, Murgia A, DeVita P, Franz JR, The distal-to-proximal shift of muscle function during gait in old age is absent for negative work.

Franz JR and Clark WH, Triceps surae muscle-subtendon interaction differs between young and older adults.

DeVita, P, Moulder A, Akindahunsi O, Curran C, Bell E, Knaus K, Ebrahimi A, Kuhman D, Drazen J, Paquette M, Miller R, Willy R, McNitt-Gray J, Dufek J, Franz JR, Darkenwald T, Breloff S, Carpes F. National Biomechanics Day: STEM Outreach for High School Students through the 21st Century’s Breakthrough Science.

Browne MG and Franz JR, Older adults reverse their distal-to-proximal redistribution and walk faster with ankle power biofeedback.

Paper Accepted (June 2018) 4

Image result for peerjClark WH and Franz JR. Do triceps surae muscle dynamics govern non-uniform Achilles tendon tissue displacements? PeerJ (In press).

Abstract. The human Achilles tendon (AT) consists of sub-tendons arising from the gastrocnemius and soleus muscles that exhibit non-uniform tissue displacements thought to facilitate some independent actuation. However, the mechanisms governing non-uniform displacement patterns within the AT, and their relevance to triceps surae muscle contractile dynamics, have remained elusive. We used a dual-probe ultrasound imaging approach to investigate triceps surae muscle dynamics (i.e., medial gastrocnemius-GAS, soleus-SOL) as a determinant of non-uniform tendon tissue displacements in the human AT. We hypothesized that superficial versus deep differences in AT tissue displacements would be accompanied by and correlate with anatomically consistent differences in GAS versus SOL muscle shortening. Nine subjects performed ramped isometric contractions at each of five ankle joint angles spanning 10° dorsiflexion to 30° plantarflexion. For all conditions, SOL shortened by an average of 78% more than GAS during moment generation. This was accompanied by, on average, 51% more displacement in the deep versus superficial region of the AT. The magnitude of GAS and SOL muscle shortening positively correlated with displacement in their associated sub-tendons within the AT. Moreover, and as hypothesized, superficial versus deep differences in sub-tendon tissue displacements positively correlated with anatomically consistent differences in GAS versus SOL muscle shortening. We present the first in vivo evidence that triceps surae muscle dynamics may precipitate non-uniform displacement patterns in the architecturally complex AT.

Paper Accepted (June 2018) 3

Image result for gait & posture

Luc-Harkey BA, Franz JR, Losina E, Pietrosimone B. Association between Kinesiophobia and Walking Gait Characteristics in Individuals with Anterior Cruciate Ligament Reconstruction. Gait & Posture (In press).

Abstract:

Background: Individuals with anterior cruciate ligament reconstruction (ACLR) demonstrate persistent alterations in walking gait characteristics that contribute to poor long-term outcomes. Higher kinesiophobia, or fear of movement/re-injury, may result in the avoidance of movements that increase loading on the ACLR limb. Research Question: Determine the association between kinesiophobia and walking gait characteristics in physically active individuals with ACLR. Methods: We enrolled thirty participants with a history of unilateral ACLR (49.35±27.29 months following ACLR) into this cross-sectional study. We used the Tampa Scale for Kinesiophobia (TSK-11) to measure kinesiophobia. We collected walking gait characteristics during a 60-second walking trial, which included gait speed, peak vertical ground reaction force (vGRF), instantaneous vGRF loading rate, peak internal knee extension moment (KEM), and knee flexion excursion. We calculated lower extremity kinetic and kinematic measures on the ACLR limb, and limb symmetry indices between ACLR and contralateral limbs (LSI= [ACLR/contralateral]*100). We used linear regression models to determine the association between TSK-11 score and each walking gait characteristic. We determined the change in R2 (ΔR2) when adding TSK-11 scores into the linear regression model after accounting for demographic covariates (sex, Tegner activity score, graft type, time since reconstruction, history of concomitant meniscal procedure). Results: We did not find a significant association between kinesiophobia and self-selected gait speed (ΔR2 0.038, P=0.319). Kinesiophobia demonstrated weak, non-significant associations with kinetic and kinematic outcomes on the ACLR limb and all LSI outcomes (ΔR2 range = 0.001 to 0.098). Significance: These data do not support that kinesiophobia is a critical factor contributing to walking gait characteristics in physically active individuals with ACLR.

Paper Accepted (June 2018) 2

00219290_20160610Rasske K and Franz JR. Aging effects on the Achilles tendon moment arm during walking. Journal of Biomechanics (In press).

Abstract. The Achilles tendon (AT) moment arm transforms triceps surae muscle forces into a moment about the ankle which is critical for functional activities like walking. Moreover, the AT moment arm changes continuously during walking, as it depends on both ankle joint rotation and triceps surae muscle loading (presumably due to bulging of the muscle belly). Here, we posit that aging negatively effects the architecturally complex AT moment arm during walking, which thereby contributes to well-documented reductions in ankle moment generation during push-off. We used motion capture-guided ultrasound imaging to quantify instantaneous variations in the AT moment arms of young (23.9±4.3 years) and older (69.9±2.6 years) adults during walking, their dependence on triceps surae muscle loading, and their association with ankle moment generation during push-off. Older adults walked with 11% smaller AT moment arms and 11% smaller peak ankle moments during push-off than young adults. Moreover, as hypothesized, these unfavourable changes were significantly and positively correlated (r2=0.38, p<0.01). More surprisingly, aging attenuated load-dependent increases in AT moment arm (i.e., that between heel-strike and push-off at the same ankle angle); only young adults exhibited a significant increase in their AT moment arm due to triceps surae muscle-loading. Age-associated reductions in triceps surae volume or activation, and thus muscle bulging during force generation, may compromise the mechanical advantage of the AT during the critical push-off phase of walking in older adults. Thus, strategies to restore and/or improve locomotor performance in our aging population should consider these functionally important changes in musculoskeletal behavior.

Paper Accepted (June 2018) 1

Image result for journal of biomechanics

Luc-Harkey BA, Franz JR, Blackburn JT, Padua DA, Hackney AC, Pietrosimone B. Real-time Biofeedback Can Increase and Decrease Vertical Ground Reaction Force, Knee Flexion Excursion, and Knee Extension Moment during Walking in Individuals with Anterior Cruciate Ligament Reconstruction. Journal of Biomechanics (In press).

Abstract: Individuals with anterior cruciate ligament reconstruction (ACLR) often exhibit a “stiffened knee strategy” or an excessively extended knee during gait, characterized by lesser knee flexion excursion and peak internal knee extension moment (KEM). The purpose of this study was to determine the effect of real-time biofeedback (RTBF) cuing an acute change in peak vertical ground reaction force (vGRF) during the first 50% of the stance phase of walking gait on: 1) root mean square error (RMSE) between actual vGRF and RTBF target vGRF; 2) perceived difficulty; and 3) knee biomechanics. Acquisition and short-term recall of these outcomes were evaluated. Thirty individuals with unilateral ACLR completed 4 separate walking sessions on a force-measuring treadmill that consisted of a control (no RTBF) and 3 experimental loading conditions using RTBF including: 1) 5% vGRF increase (high-loading), 2) 5% vGRF decrease (low-loading) and 3) symmetric vGRF between limbs. Bilateral biomechanical outcomes were analyzed during the first 50% of the stance phase, and included KEM, knee flexion excursion, peak vGRF, and instantaneous vGRF loading rate (vGRF-LR) for each loading condition. Peak vGRF significantly increased and decreased during high-loading and low-loading, respectively compared to control loading. Instantaneous vGRF-LR, peak KEM and knee flexion excursion significantly increased during the high-loading condition compared to low-loading. Perceived difficultly and RMSE were lower during the symmetrical loading condition compared to the low-loading condition. Cuing an increase in peak vGRF may be beneficial for increasing KEM, knee flexion excursion, peak vGRF, and vGRF-LR in individuals with ACLR. Clinical Trials Number:NCT03035994

Paper Accepted (May 2018)

Image result for journal of applied biomechanics

Conway KA, Bissette RG, Franz JR (2018). The functional utilization of propulsive capacity during human walking. Journal of Applied Biomechanics (in press).

Abstract: Aging and many gait pathologies are characterized by reduced propulsive forces and ankle moment and power generation during trailing leg push-off in walking. Despite those changes, we posit that many individuals retain an underutilized reserve for enhancing push-off intensity during walking that may be missed using conventional dynamometry. By using a maximum ramped impeding force protocol and maximum speed walking, we gained mechanistic insight into the factors that govern push-off intensity and the available capacity thereof during walking in young subjects. We discovered in part that young subjects walking at their preferred speed retain a reserve capacity for exerting larger propulsive forces of 49%, peak ankle power of 43%, and peak ankle moment of 22% during push-off – the latter overlooked by maximum isometric dynamometry. We also provide evidence that these reserve capacities are governed at least in part by the neuromechanical behavior of the plantarflexor muscles, at least with regard to ankle moment generation. We envision that a similar paradigm used to quantify propulsive reserves in older adults or people with gait pathology would empower the more discriminate and personalized prescription of gait interventions seeking to improve push-off intensity and thus walking performance.

 

Paper Accepted (March 2018)

Image result for gait posture

Qiao M, Truong K, Franz JR (2018). Does local dynamic stability during unperturbed walking predict the response to balance perturbations? An examination across age and falls history. Gait & Posture. In Press.

Abstract.

Background: Older adults are at an exceptionally high risk of falls, and most falls occur during locomotor activities such as walking. Reduced local dynamic stability in old age is often interpreted to suggest a lessened capacity to respond to more significant balance challenges encountered during walking and future falls risk. However, it remains unclear whether local dynamic stability during normal, unperturbed walking predicts the response to larger external balance disturbances.

Research question: We tested the hypothesis that larger values of local dynamic instability during unperturbed walking would positively correlate with larger changes thereof due to optical flow balance perturbations.

Methods: We used trunk kinematics collected in subjects across a spectrum of walking balance integrity – young adults, older non-fallers, and older fallers – during walking with and without mediolateral optical flow perturbations of four different amplitudes.

Results: We first found evidence that optical flow perturbations of sufficient amplitude appear capable of revealing independent effects of aging and falls history that are not otherwise apparent during normal, unperturbed walking. We also reject our primary hypothesis; a significant negative correlation only in young adults indicated that individuals with more local dynamic instability during normal, unperturbed walking exhibited smallerresponses to optical flow perturbations. In contrast, most prominently in older fallers, the response to optical flow perturbations appeared independent of their baseline level of dynamic instability.

Significance: We propose that predicting the response to balance perturbations in older fallers, at least that measured using local dynamic stability, likely requires measuring that response directly.

Paper Accepted (February 2018)

Image result for gait & Posture

 

 

Qiao M and Franz JR (2018). Aging effects on leg joint variability during walking with balance perturbations. Gait & Posture. In press.

Abstract

Background: Older adults are more susceptible to balance perturbations during walking than young adults. However, we lack an individual joint-level understanding of how aging affects the neuromechanical strategies used to accommodate balance perturbations.

Research Question: We investigated gait phase-dependence in and aging effects on leg joint kinematic variability during walking with balance perturbations. We hypothesized that leg joint variability would: 1) vary across the gait cycle and 2) increase with balance perturbations. We also hypothesized that perturbation effects on leg joint kinematic variability would be larger and more pervasive in older versus young adults.

Methods: We collected leg joint kinematics in young and older adults walking with and without mediolateral optical flow perturbations of different amplitudes.

Results: We first found that leg joint variability during walking is gait phase-dependent, with step-to-step adjustments occurring predominantly during push-off and early swing. Second, young adults accommodated perturbations almost exclusively by increasing coronal plane hip joint variability, likely to adjust step width. Third, perturbations elicited larger and more pervasive increases in all joint kinematic outcome measures in older adults. Finally, we also provide insight into which joints contribute more to foot placement variability in walking, adding that variability in sagittal plane knee and coronal plane hip joint angles contributed most to that in step length and step width, respectively.

Significance: Taken together, our findings may be highly relevant to identifying specific joint-level therapeutic targets to mitigate balance impairment in our aging population.