Epidemiological studies on groin injuries in soccer have often linked them to kicking and cutting... more Epidemiological studies on groin injuries in soccer have often linked them to kicking and cutting manoeuvres (CM) although no biomechanical studies exist that prove this link for CMs. The present study investigated the hip joint kinematics and kinetics of a 90° CM. Thirteen participants were investigated with a 3D movement analysis system and a force platform. Results showed hip joint angles to be slightly higher than in previous studies on smaller CM angles. Hip moments in the frontal and transverse plane were similar to those of inside passing while the muscle stress in gracilis and adductor longus were 43 % and 44 % lower compared to passing. Therefore, CMs might not put the groin region under a dangerous load, allowing for a shift of focus in injury prevention to kicking and passing movements.
The application of artificial intelligence techniques to wearable sensor data may facilitate accu... more The application of artificial intelligence techniques to wearable sensor data may facilitate accurate analysis outside of controlled laboratory settings—the holy grail for gait clinicians and sports scientists looking to bridge the lab to field divide. Using these techniques, parameters that are difficult to directly measure in-the-wild, may be predicted using surrogate lower resolution inputs. One example is the prediction of joint kinematics and kinetics based on inputs from inertial measurement unit (IMU) sensors. Despite increased research, there is a paucity of information examining the most suitable artificial neural network (ANN) for predicting gait kinematics and kinetics from IMUs. This paper compares the performance of three commonly employed ANNs used to predict gait kinematics and kinetics: multilayer perceptron (MLP); long short-term memory (LSTM); and convolutional neural networks (CNN). Overall high correlations between ground truth and predicted kinematic and kinetic...
For human locomotion, varying environments require adjustments of the motor system. We asked whet... more For human locomotion, varying environments require adjustments of the motor system. We asked whether age affects gait balance recovery adaptation, its retention over months and the transfer of adaptation to an untrained reactive balance task. Healthy adults (26 young, 27 middle-aged and 25 older; average ages 24, 52 and 72 years respectively) completed two tasks. The primary task involved treadmill walking: either unperturbed (control; n=39) or subject to unexpected trip perturbations (training; n=39). A single trip perturbation was repeated after a 14-week retention period. The secondary transfer task, before and after treadmill walking, involved sudden loss of balance in a lean-and-release protocol. For both tasks the anteroposterior margin of stability (MoS) was calculated at foot touchdown. For the first (i.e. novel) trip, older adults required one more recovery step ( P=0.03) to regain positive MoS compared to younger, but not middle-aged, adults. However, over several trip per...
European journal of applied physiology, Jan 8, 2018
Although sprinters with unilateral (UTF) and bilateral transfemoral (BTF) amputations and functio... more Although sprinters with unilateral (UTF) and bilateral transfemoral (BTF) amputations and functional impairments (FIs) without amputation were allocated into different classifications because of the recent revision of the International Paralympic Committee Athletics Rules and Regulations, it is unclear whether running mechanics differ among the three groups. The aim of this study was to investigate the differences in the spatiotemporal parameters of the three groups during 100-m sprint in official competitions. Using publicly available Internet broadcasts, we analyzed 11 elite-level sprinters with UTF amputation, 4 sprinters with BTF amputation, and 5 sprinters with FI without amputation. The best personal times for nearly all individuals were included. For each sprinter's race, the average speed, step frequency, and step length were calculated using the number of steps in conjunction with the official race time. Although there were no significant differences in the average spee...
Groin injuries are common in soccer and often cause time-loss from training. While groin injuries... more Groin injuries are common in soccer and often cause time-loss from training. While groin injuries have been linked to full effort kicking, the role of inside passing is unclear. Therefore, the purpose of this study was to investigate hip joint kinematics and muscle force, stress and contraction velocity for adductor longus and gracilis during inside passing. 3D kinematics of ten soccer players (23.4 yrs; 77.5 kg; 1.81 m) were captured with a motion capture system inside a Footbonaut. Muscle force and contraction velocity were determined with AnyBody Modelling System. Gracilis muscle forces were 9% lower compared to adductor longus (p = 0.005), but muscle stress was 183% higher in gracilis (p = 0.005). Contraction velocity reveals eccentric contraction of gracilis in the last quarter of the swing phase. Considering the combination of eccentric contraction, high muscle stress and the repetitive nature of inside passing, gracilis accumulates high loads in matches and training. These re...
International journal of sports physiology and performance, Jan 18, 2017
In the sprint events, the first two steps are used to accelerate the center of mass horizontally ... more In the sprint events, the first two steps are used to accelerate the center of mass horizontally and vertically. Amputee athletes cannot actively generate energy with their running specific prosthesis. It is likely that sprint acceleration mechanics, including step asymmetry, are altered compared to able-bodied athletes. Therefore, the aim of this study was to investigate spatio-temporal and kinetic variables of amputee compared to able-bodied sprinters. Kinematic and kinetic data of the first and second stance were collected from 15 able-bodied and 7 amputee sprinters (2 unilateral-transfemoral, 4 unilateral-transtibial, 1 bilateral-transtibial) with a motion-capture system (250 Hz) and two force plates (1000 Hz), additionally bilateral asymmetry was quantified and compared between groups. Compared to able-bodied athletes, amputee athletes demonstrated significantly lower performance values for 5 m and 10 m times. Step length, step velocity, step frequency were decreased and contac...
The lower limb kinetics of curve sprinting in amputees are not well described in the literature, ... more The lower limb kinetics of curve sprinting in amputees are not well described in the literature, particularly with respect to the effect of the side of amputation. This is an issue due to the importance of the knowledge for prosthetic design and classification of athletes. Thus, the aim of this study was to investigate the influence of side of amputation on curve sprinting performance in athletes with a unilateral leg amputation. A three-dimensional motion analysis system (Vicon), four force plates (Kistler) and a modified mathematical human model (ALASKA) were used to compare clockwise and counter clockwise curve sprinting lower limb kinematics and kinetics of a Paralympic medalist with a left-sided knee exarticular amputation. Results reveal that vertical ground reaction force application and total vertical impulse were lower when the affected limb was at the inside of the curve. The unaffected limb showed joint mechanics different to those established for non-amputee athletes and...
The use of technological aids to improve sport performance ('techno doping') and inclusio... more The use of technological aids to improve sport performance ('techno doping') and inclusion of Paralympic athletes in Olympic events are matters of ongoing debate. Recently, a long jumper with a below the knee amputation (BKA) achieved jump distances similar to world-class athletes without amputations, using a carbon fibre running-specific prosthesis (RSP). We show that athletes with BKA utilize a different, more effective take-off technique in the long jump, which provided the best athlete with BKA a performance advantage of at least 0.13 m compared to non-amputee athletes. A maximum speed constraint imposed by the use of RSPs would indicate a performance disadvantage for the long jump. We found slower maximum sprinting speeds in athletes with BKA, but did not find a difference in the overall vertical force from both legs of athletes with BKA compared to non-amputees. Slower speeds might originate from intrinsically lower sprinting abilities of athletes with BKA or from more...
Journal of science and medicine in sport, Jan 25, 2017
Approximately 70% of anterior cruciate ligament (ACL) injuries occur in non-contact situations du... more Approximately 70% of anterior cruciate ligament (ACL) injuries occur in non-contact situations during cutting and landing maneuvers. Parameters such as footstrike patterns and trunk orientation were found to influence ACL relevant knee loading, however, the relationship between the whole body movement and injury risk is debated. This study identifies whole body movement strategies that increase injury risk, and provides training recommendations to reduce this risk or enable a save return to sports after injury. Experimental cross-sectional study design. Three dimensional movement analysis was carried out to investigate 50 participants performing anticipated 90° cutting maneuvers. To identify and characterize movement strategies, footstrike pattern, knee valgus moment, knee internal rotation moment, angle of attack, shoulder and pelvis axis were analyzed using statistical parametric mapping. Three different movement strategies were identified. One strategy included rearfoot striking ...
This is the first study examining functionality of subjects with anterior cruciate ligament (ACL)... more This is the first study examining functionality of subjects with anterior cruciate ligament (ACL) tears and a subsequent reconstruction comprehensively by multiple test sessions from pre- to six months post-reconstruction. The purpose was to evaluate if a generally applied rehabilitation program restores functionality to levels of healthy controls. Subjects with unilateral tears of the ACL were compared to matched healthy controls throughout the rehabilitation. 20 recreational athletes were tested: T1 (preoperative), 6 weeks after tear; T2, 6 weeks, T3, 3 months, T4, 6 months post-reconstruction. At all test sessions, subjects self-evaluated their activity level with the Tegner activity score and their knee state with the Knee Injury and Osteoarthritis Outcome Score. Passive range of motion during knee flexion and extension and leg circumference were measured as functional clinical tests. Bilateral countermovement jumps, one-leg jumps for distance and isometric force tests in knee f...
The conventional methods to assess human gait are either expensive or complex to be applied regul... more The conventional methods to assess human gait are either expensive or complex to be applied regularly in clinical practice. To reduce the cost and simplify the evaluation, inertial sensors and adaptive algorithms have been utilized, respectively. This paper aims to summarize studies that applied adaptive also called artificial intelligence (AI) algorithms to gait analysis based on inertial sensor data, verifying if they can support the clinical evaluation. Articles were identified through searches of the main databases, which were encompassed from 1968 to October 2016. We have identified 22 studies that met the inclusion criteria. The included papers were analyzed due to their data acquisition and processing methods with specific questionnaires. Concerning the data acquisition, the mean score is 6.1±1.62, what implies that 13 of 22 papers failed to report relevant outcomes. The quality assessment of AI algorithms presents an above-average rating (8.2±1.84). Therefore, AI algorithms ...
Journal of the Royal Society, Interface, Oct 1, 2016
Insects show a remarkable diversity of muscle configurations, yet the factors leading to this fun... more Insects show a remarkable diversity of muscle configurations, yet the factors leading to this functional diversity are poorly understood. Here, we use musculoskeletal modelling to understand the spatio-temporal activity of an insect muscle in several dragonfly species and to reveal potential mechanical factors leading to a particular muscle configuration. Bite characteristics potentially show systematic signal, but absolute bite force is not correlated with size. Muscle configuration and inverse dynamics show that the wider relative area of muscle attachment and the higher activity of subapical muscle groups are responsible for this high bite force. This wider attachment area is, however, not an evolutionary trend within dragonflies. Our inverse dynamic data, furthermore, show that maximum bite forces most probably do not reflect maximal muscle force production capability in all studied species. The thin head capsule and the attachment areas of muscles most probably limit the maximu...
After knee arthroplasty (KA) surgery, patients experience abnormal kinematics and kinetics during... more After knee arthroplasty (KA) surgery, patients experience abnormal kinematics and kinetics during numerous activities of daily living. Biomechanical investigations have focused primarily on level walking, whereas walking on sloped surfaces, which is stated to affect knee kinematics and kinetics considerably, has been neglected to this day. This study aimed to analyze over-ground walking on level and sloped surfaces with a special focus on transverse and frontal plane knee kinematics and kinetics in patients with KA. A three-dimensional (3D) motion analysis was performed by means of optoelectronic stereophogrammetry 1.8 ± 0.4 years following total knee arthroplasty (TKA) and unicompartmental arthroplasty surgery (UKA). AnyBody™ Modeling System was used to conduct inverse dynamics. The TKA group negotiated the decline walking task with reduced peak knee internal rotation angles compared with a healthy control group (CG). First-peak knee adduction moments were diminished by 27% (TKA gr...
Epidemiological studies on groin injuries in soccer have often linked them to kicking and cutting... more Epidemiological studies on groin injuries in soccer have often linked them to kicking and cutting manoeuvres (CM) although no biomechanical studies exist that prove this link for CMs. The present study investigated the hip joint kinematics and kinetics of a 90° CM. Thirteen participants were investigated with a 3D movement analysis system and a force platform. Results showed hip joint angles to be slightly higher than in previous studies on smaller CM angles. Hip moments in the frontal and transverse plane were similar to those of inside passing while the muscle stress in gracilis and adductor longus were 43 % and 44 % lower compared to passing. Therefore, CMs might not put the groin region under a dangerous load, allowing for a shift of focus in injury prevention to kicking and passing movements.
The application of artificial intelligence techniques to wearable sensor data may facilitate accu... more The application of artificial intelligence techniques to wearable sensor data may facilitate accurate analysis outside of controlled laboratory settings—the holy grail for gait clinicians and sports scientists looking to bridge the lab to field divide. Using these techniques, parameters that are difficult to directly measure in-the-wild, may be predicted using surrogate lower resolution inputs. One example is the prediction of joint kinematics and kinetics based on inputs from inertial measurement unit (IMU) sensors. Despite increased research, there is a paucity of information examining the most suitable artificial neural network (ANN) for predicting gait kinematics and kinetics from IMUs. This paper compares the performance of three commonly employed ANNs used to predict gait kinematics and kinetics: multilayer perceptron (MLP); long short-term memory (LSTM); and convolutional neural networks (CNN). Overall high correlations between ground truth and predicted kinematic and kinetic...
For human locomotion, varying environments require adjustments of the motor system. We asked whet... more For human locomotion, varying environments require adjustments of the motor system. We asked whether age affects gait balance recovery adaptation, its retention over months and the transfer of adaptation to an untrained reactive balance task. Healthy adults (26 young, 27 middle-aged and 25 older; average ages 24, 52 and 72 years respectively) completed two tasks. The primary task involved treadmill walking: either unperturbed (control; n=39) or subject to unexpected trip perturbations (training; n=39). A single trip perturbation was repeated after a 14-week retention period. The secondary transfer task, before and after treadmill walking, involved sudden loss of balance in a lean-and-release protocol. For both tasks the anteroposterior margin of stability (MoS) was calculated at foot touchdown. For the first (i.e. novel) trip, older adults required one more recovery step ( P=0.03) to regain positive MoS compared to younger, but not middle-aged, adults. However, over several trip per...
European journal of applied physiology, Jan 8, 2018
Although sprinters with unilateral (UTF) and bilateral transfemoral (BTF) amputations and functio... more Although sprinters with unilateral (UTF) and bilateral transfemoral (BTF) amputations and functional impairments (FIs) without amputation were allocated into different classifications because of the recent revision of the International Paralympic Committee Athletics Rules and Regulations, it is unclear whether running mechanics differ among the three groups. The aim of this study was to investigate the differences in the spatiotemporal parameters of the three groups during 100-m sprint in official competitions. Using publicly available Internet broadcasts, we analyzed 11 elite-level sprinters with UTF amputation, 4 sprinters with BTF amputation, and 5 sprinters with FI without amputation. The best personal times for nearly all individuals were included. For each sprinter's race, the average speed, step frequency, and step length were calculated using the number of steps in conjunction with the official race time. Although there were no significant differences in the average spee...
Groin injuries are common in soccer and often cause time-loss from training. While groin injuries... more Groin injuries are common in soccer and often cause time-loss from training. While groin injuries have been linked to full effort kicking, the role of inside passing is unclear. Therefore, the purpose of this study was to investigate hip joint kinematics and muscle force, stress and contraction velocity for adductor longus and gracilis during inside passing. 3D kinematics of ten soccer players (23.4 yrs; 77.5 kg; 1.81 m) were captured with a motion capture system inside a Footbonaut. Muscle force and contraction velocity were determined with AnyBody Modelling System. Gracilis muscle forces were 9% lower compared to adductor longus (p = 0.005), but muscle stress was 183% higher in gracilis (p = 0.005). Contraction velocity reveals eccentric contraction of gracilis in the last quarter of the swing phase. Considering the combination of eccentric contraction, high muscle stress and the repetitive nature of inside passing, gracilis accumulates high loads in matches and training. These re...
International journal of sports physiology and performance, Jan 18, 2017
In the sprint events, the first two steps are used to accelerate the center of mass horizontally ... more In the sprint events, the first two steps are used to accelerate the center of mass horizontally and vertically. Amputee athletes cannot actively generate energy with their running specific prosthesis. It is likely that sprint acceleration mechanics, including step asymmetry, are altered compared to able-bodied athletes. Therefore, the aim of this study was to investigate spatio-temporal and kinetic variables of amputee compared to able-bodied sprinters. Kinematic and kinetic data of the first and second stance were collected from 15 able-bodied and 7 amputee sprinters (2 unilateral-transfemoral, 4 unilateral-transtibial, 1 bilateral-transtibial) with a motion-capture system (250 Hz) and two force plates (1000 Hz), additionally bilateral asymmetry was quantified and compared between groups. Compared to able-bodied athletes, amputee athletes demonstrated significantly lower performance values for 5 m and 10 m times. Step length, step velocity, step frequency were decreased and contac...
The lower limb kinetics of curve sprinting in amputees are not well described in the literature, ... more The lower limb kinetics of curve sprinting in amputees are not well described in the literature, particularly with respect to the effect of the side of amputation. This is an issue due to the importance of the knowledge for prosthetic design and classification of athletes. Thus, the aim of this study was to investigate the influence of side of amputation on curve sprinting performance in athletes with a unilateral leg amputation. A three-dimensional motion analysis system (Vicon), four force plates (Kistler) and a modified mathematical human model (ALASKA) were used to compare clockwise and counter clockwise curve sprinting lower limb kinematics and kinetics of a Paralympic medalist with a left-sided knee exarticular amputation. Results reveal that vertical ground reaction force application and total vertical impulse were lower when the affected limb was at the inside of the curve. The unaffected limb showed joint mechanics different to those established for non-amputee athletes and...
The use of technological aids to improve sport performance ('techno doping') and inclusio... more The use of technological aids to improve sport performance ('techno doping') and inclusion of Paralympic athletes in Olympic events are matters of ongoing debate. Recently, a long jumper with a below the knee amputation (BKA) achieved jump distances similar to world-class athletes without amputations, using a carbon fibre running-specific prosthesis (RSP). We show that athletes with BKA utilize a different, more effective take-off technique in the long jump, which provided the best athlete with BKA a performance advantage of at least 0.13 m compared to non-amputee athletes. A maximum speed constraint imposed by the use of RSPs would indicate a performance disadvantage for the long jump. We found slower maximum sprinting speeds in athletes with BKA, but did not find a difference in the overall vertical force from both legs of athletes with BKA compared to non-amputees. Slower speeds might originate from intrinsically lower sprinting abilities of athletes with BKA or from more...
Journal of science and medicine in sport, Jan 25, 2017
Approximately 70% of anterior cruciate ligament (ACL) injuries occur in non-contact situations du... more Approximately 70% of anterior cruciate ligament (ACL) injuries occur in non-contact situations during cutting and landing maneuvers. Parameters such as footstrike patterns and trunk orientation were found to influence ACL relevant knee loading, however, the relationship between the whole body movement and injury risk is debated. This study identifies whole body movement strategies that increase injury risk, and provides training recommendations to reduce this risk or enable a save return to sports after injury. Experimental cross-sectional study design. Three dimensional movement analysis was carried out to investigate 50 participants performing anticipated 90° cutting maneuvers. To identify and characterize movement strategies, footstrike pattern, knee valgus moment, knee internal rotation moment, angle of attack, shoulder and pelvis axis were analyzed using statistical parametric mapping. Three different movement strategies were identified. One strategy included rearfoot striking ...
This is the first study examining functionality of subjects with anterior cruciate ligament (ACL)... more This is the first study examining functionality of subjects with anterior cruciate ligament (ACL) tears and a subsequent reconstruction comprehensively by multiple test sessions from pre- to six months post-reconstruction. The purpose was to evaluate if a generally applied rehabilitation program restores functionality to levels of healthy controls. Subjects with unilateral tears of the ACL were compared to matched healthy controls throughout the rehabilitation. 20 recreational athletes were tested: T1 (preoperative), 6 weeks after tear; T2, 6 weeks, T3, 3 months, T4, 6 months post-reconstruction. At all test sessions, subjects self-evaluated their activity level with the Tegner activity score and their knee state with the Knee Injury and Osteoarthritis Outcome Score. Passive range of motion during knee flexion and extension and leg circumference were measured as functional clinical tests. Bilateral countermovement jumps, one-leg jumps for distance and isometric force tests in knee f...
The conventional methods to assess human gait are either expensive or complex to be applied regul... more The conventional methods to assess human gait are either expensive or complex to be applied regularly in clinical practice. To reduce the cost and simplify the evaluation, inertial sensors and adaptive algorithms have been utilized, respectively. This paper aims to summarize studies that applied adaptive also called artificial intelligence (AI) algorithms to gait analysis based on inertial sensor data, verifying if they can support the clinical evaluation. Articles were identified through searches of the main databases, which were encompassed from 1968 to October 2016. We have identified 22 studies that met the inclusion criteria. The included papers were analyzed due to their data acquisition and processing methods with specific questionnaires. Concerning the data acquisition, the mean score is 6.1±1.62, what implies that 13 of 22 papers failed to report relevant outcomes. The quality assessment of AI algorithms presents an above-average rating (8.2±1.84). Therefore, AI algorithms ...
Journal of the Royal Society, Interface, Oct 1, 2016
Insects show a remarkable diversity of muscle configurations, yet the factors leading to this fun... more Insects show a remarkable diversity of muscle configurations, yet the factors leading to this functional diversity are poorly understood. Here, we use musculoskeletal modelling to understand the spatio-temporal activity of an insect muscle in several dragonfly species and to reveal potential mechanical factors leading to a particular muscle configuration. Bite characteristics potentially show systematic signal, but absolute bite force is not correlated with size. Muscle configuration and inverse dynamics show that the wider relative area of muscle attachment and the higher activity of subapical muscle groups are responsible for this high bite force. This wider attachment area is, however, not an evolutionary trend within dragonflies. Our inverse dynamic data, furthermore, show that maximum bite forces most probably do not reflect maximal muscle force production capability in all studied species. The thin head capsule and the attachment areas of muscles most probably limit the maximu...
After knee arthroplasty (KA) surgery, patients experience abnormal kinematics and kinetics during... more After knee arthroplasty (KA) surgery, patients experience abnormal kinematics and kinetics during numerous activities of daily living. Biomechanical investigations have focused primarily on level walking, whereas walking on sloped surfaces, which is stated to affect knee kinematics and kinetics considerably, has been neglected to this day. This study aimed to analyze over-ground walking on level and sloped surfaces with a special focus on transverse and frontal plane knee kinematics and kinetics in patients with KA. A three-dimensional (3D) motion analysis was performed by means of optoelectronic stereophogrammetry 1.8 ± 0.4 years following total knee arthroplasty (TKA) and unicompartmental arthroplasty surgery (UKA). AnyBody™ Modeling System was used to conduct inverse dynamics. The TKA group negotiated the decline walking task with reduced peak knee internal rotation angles compared with a healthy control group (CG). First-peak knee adduction moments were diminished by 27% (TKA gr...
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Papers by Wolfgang Potthast