Search Results (673)

Background and Objectives: Horse riding simulators (HRS) provide rhythmic, repetitive, and multidirectional movements analogous to horseback riding, which may facilitate postural control, balance, and functional abilities in children with cerebral palsy (CP). This study aimed to investigate the effects of the HRS application on the muscle tone of the lower extremity, gross motor function, trunk postural control, balance, gait functions, and functional independence in children with CP. Materials and Methods: A quasi-experimental study included 30 children with cerebral palsy (17 hemiparetic, 13 diparetic; mean age, 9.3 ± 3.2 years). All participants received Neurodevelopmental Therapy (NDT) for eight weeks, followed by eight weeks of HRS plus NDT, in a sequential design. Outcomes included the Modified Ashworth Scale (MAS), Myoton^®PRO, Gross Motor Function Measures (GMFM)-88, Pedalo^® Sensamove Balance Test (Pedalo^® SBT), Pediatric Balance Scale (PBS), Trunk Impairment Scale (TIS), gait analysis parameters, and Functional Independence Measure (WeeFIM). Assessments were made at baseline, the 8th, and the 16th week. Results: At week 16, after incorporating HRS, all MAS parameters demonstrated greater improvements compared to those achieved during the first eight weeks of NDT alone (ES: 0.728–0.931, p < 0.05). Myoton^®PRO measurements showed a significant reduction in gastrocnemius stiffness (ES = 0.672, p < 0.05) in hemiparetic children and decreases in hip adductor (ES: 0.649, p < 0.05) and gastrocnemius-soleus (ES: 0.766–0.865, p < 0.05) stiffness from week 8 to 16 in diparetic children following HRS intervention. Total scores on the GMFM-88, WeeFIM, TIS, and PBS improved significantly, with large effect sizes observed both from baseline to week 16 and from week 8 to 16 (ES: 0.771–0.886, p < 0.05). Additionally, Pedalo^® SBT scores increased following HRS intervention from baseline to week 16 (ES = 0.599–0.602, p < 0.05). Conclusions: HRS integrated with conventional NDT may improve muscle tone, motor function, balance, gait, and functional independence in children with cerebral palsy, representing a valuable adjunct to standard rehabilitation. These findings provide the first evidence that simulator-assisted interventions may benefit daily activities in children with cerebral palsy. Full article

Background: Healthcare professionals are at significant risk of musculoskeletal injuries due to the physically demanding nature of patient-handling tasks. While various ergonomic interventions have been introduced to mitigate these risks, comprehensive methods for assessing and addressing musculoskeletal hazards remain limited. Purpose: This study presents a novel approach to evaluating musculoskeletal injury risks among healthcare workers, marking the first instance in which two motion tracking systems are used simultaneously. This dual-system setup enables a more comprehensive and dynamic analysis of worker interactions in real time. Healthcare professionals were divided into three groups to perform patient transfer tasks. Three key poses within the task, associated with peak lumbar forces, were identified and analyzed. Results: The resulting compressive forces on the participants’ lower back ranged from 581.0 N to 3589.1 N, and the Anterior–Posterior (A/P) shear forces ranged from 33.1 N to 912.3 N across the three poses. Relative differences in trunk flexion showed strong correlations with compressive and A/P shear forces at each pose, respectively. Discussion and conclusion: Strong associations were found between lumbar loads and participant’s anthropometrics. Recommendations for optimal postures and partner pairings were developed to help reduce the risk of lower back injuries during patient handling. Full article

This paper examines the advances and challenges of Bus Rapid Transit (BRT) systems in Brazil, considering their potential in promoting sustainable urban mobility. Rapid urbanization and the predominance of private motorized transport have intensified the need for efficient, accessible, and environmentally sound collective transport solutions. BRT has emerged as a cost-effective alternative to rail systems, combining high capacity, lower implementation costs, and operational flexibility. The study focuses on three Brazilian cities (Rio de Janeiro, Belo Horizonte, and Fortaleza) selected for their regional diversity and distinct BRT models. Using the Delphi method, the analysis was structured around three dimensions: road infrastructure, transport planning and networks, and system operation and performance. Results indicate significant progress in terms of exclusive corridors, integration terminals, express services, and the adoption of Intelligent Transport Systems. However, structural gaps persist, particularly regarding incomplete infrastructure, weak integration between trunk and feeder lines, limited monitoring of feeder services, and insufficient adaptation of networks to urban dynamics. The findings highlight that the effectiveness of Brazilian BRT systems depends on strengthening feeder lines, improving physical and fare integration, and expanding sustainable infrastructure. Full article

‘Korla fragrant’ pear has a long history of cultivation in Xinjiang, China, with favorable economic and social benefits. The selection of tree growth has a direct impact on improvements in fruit yield and quality. In order to provide a theoretical basis for the efficient and high-quality cultivation of ‘Korla fragrant’ pear, two ‘Korla fragrant’ pear tree growth forms, namely trunk shape and small-canopy shape, were selected as experimental materials to study the differences in the parameters of different tree growth forms, as well as the effect on photosynthetic activity and fruit quality. The results show that the small-canopy-shape trees exhibited significantly improved photosynthetic activity, with a 60.64% higher net photosynthetic rate (Pn) in the upper canopy compared to the trunk-shape trees. Fruit quality was also superior in the small-canopy-shape trees, with increases in single-fruit weight (29.36–46.91%), soluble solids content (13.51–14.39%), soluble sugar content (25.79–27.56%), and vitamin C content (up to 0.4363 mg·100 g⁻¹ in the upper layer). However, the yield per unit area of the trunk-shape trees was significantly higher than that of the small-canopy-shape trees by 19.32% because of the higher number of short fruit branches and increased prevalence of smaller row spacing. In addition, within the same tree growth forms, photosynthetic activity and fruit quality were improved in the upper layers compared to the lower layers. Full article

Background: Patients with adolescent idiopathic scoliosis (AIS) require effective bracing to control curve progression. However, most traditional spinal braces commonly pose challenges in terms of undesired bulkiness and restricted mobility. Recent advancements have focused on innovative brace designs, utilizing novel materials and structural configurations to improve wearability and functionality. However, it remains unclear how effective these next-generation braces are biomechanically compared to traditional braces. Objectives: This review aimed to analyze the design features of next-generation AIS braces and assess their biomechanical effectiveness via reviewing contemporary studies. Methods: Studies on newly designed scoliosis braces over the past decade were searched in databases, including Web of Science, PubMed, ScienceDirect, Wiley, EBCOHost and SpringerLink. The Joanna Briggs Institute Critical Appraisal Checklist for Cohort Studies was adopted to evaluate the quality of the included studies. The data extracted for biomechanical effect analysis included brace components/materials, design principle, interfacial pressure, morphological changes, and intercomparison parameters. Results: A total of 19 studies encompassing 12 different kinds of braces met the inclusion/exclusion criteria. Clinical effectiveness was reported in 14 studies, with an average short-term Cobb angle correction of 25.4% (range: 12.41–34.3%) and long-term correction of 18.22% (range: 15.79–19.3%). This result aligned broadly with the previously reported efficacy of the traditional braces in short-term cases (range: 12.36–31.33%), but was lower than the long-term ones (range: 23.02–33.6%). Two included studies reported an interface pressure range between 6.0 kPa and 24.4 kPa for novel braces, which was comparable to that of the traditional braces (4.8–30.0 kPa). Additionally, five of six studies reported the trunk asymmetric parameters and demonstrated improvement in trunk alignment. Conclusions: This study demonstrates that most newly designed scoliosis braces could achieve comparable biomechanical efficacy to the conventional designs, particularly in interface pressure management and Cobb angle correction. However, future clinical adoption of these novel braces requires further improvements of ergonomic design and three-dimensional correction, as well as more investigation and rigorous evidence on the long-term treatment outcomes and cost-effectiveness. Full article

Background: Mixed martial arts (MMA) is becoming increasingly popular and is developing dynamically in terms of training methods and number of participants involved, while weightlifting, powerlifting, and other kinds of strength disciplines are well established. In this study, the aim was to compare the body composition, as an anthropometric effect of training in MMA fighters and strength athletes, and then analyze and find reasoning for observed differences. Methods: Thirty-four young healthy male participants (body weight 84.9 ± 10.2 kg, body height 182.0 ± 6.8 cm, BMI 25.8 ± 2.51 kg/m², tier 2/3 in McKay’s sports level classification) represented two groups: MMA (n = 17) and powerlifting athletes (STR, n = 17). The measured anthropometric characteristics were skeletal muscle mass (SMM), percentage of body fat (PBF), body fat mass (FM) and visceral fat mass (VFM). Phase angle (º) was measured as an indicator of tissue quality and we performed detailed investigations of soft fat-free tissue mass (SLM) and of fat mass in body parts separately in each lower and upper limb and trunk. Results: The groups did not differ in terms of body weight, height, BMI, SMM, PBF, FM, VFM, SLM in upper limbs and trunk, FM in the body parts, or the phase angle (all p > 0.05). The statistically significant differences were only observed in the SLM of both lower limbs (greater in STR, p < 0.05) but, after statistical correction with the Holm’s method, these parameters also did not show statistically significant differences despite high effect sizes. Conclusions: The MMA athletes do not differ significantly from strength training athletes in measured anthropometric parameters despite distinct differences in training methodology. The reasons for these observations need future research, combining anthropometric measurements with training and competing load monitoring. Full article

This study examined muscle coordination during cutting movements in athletes with a history of groin pain. A total of 15 athletes who had experienced groin pain in the past two years (GP) and 14 healthy controls (CON) participated. Electromyography (EMG) and ground reaction force (GRF) data were collected, and EMG was analyzed using non-negative matrix factorization to extract muscle synergies. Three synergies were identified in both groups: Synergy 1 (landing), Synergy 2 (deceleration), and Synergy 3 (acceleration). No group differences were observed in GRF. However, compared with the CON, the GP demonstrated a 58.1% greater contribution of the latissimus dorsi and a 31.5% greater contribution of the erector spinae (SES) in Synergy 1, suggesting excessive trunk involvement during landing. In Synergy 2, SES contribution was 97.0% lower in the GP. In Synergy 3, the external oblique contribution decreased by 118.4%, while rectus abdominis contribution increased by 54.3%. These muscles are critical for pelvic stability, and their altered contributions indicate disrupted neuromuscular coordination in athletes with GP. Full article

Existing clinical assessments of Parkinson’s disease (PD) primarily focus on stratifying symptom severity or progression rate, which limits their ability to capture changes in functional mobility—an important factor in evaluating rehabilitation outcomes. To address this gap, we developed a novel methodology, the Functional Mobility Assessment for Parkinson’s (FMA-P), which integrates motion capture and pressure-sensitive gait analysis to explore key aspects of functional mobility. Study 1. To develop the FMA-P, we conducted a pilot study involving 12 individuals with PD and 12 age-matched healthy controls, who each completed the FMA-P sequence three times. The sequence included the following tasks: rising from a chair, walking through a doorway, turning, bending to pick up and place an object, and returning to a seated position. Results from Study 1 demonstrated that the FMA-P is a sensitive tool for identifying functional impairments in PD. In particular, significant differences between people with Parkinson’s (PwP) and controls were observed during chair rise (higher peak trunk inclination, p = 0.006; lower mean trunk jerk, p = 0.003) and turning task (longer task duration, p = 0.026 and lower mean heel strike angle, p = 0.007), providing critical insights into postural stability. Study 2. To assess changes in functional mobility over time, we conducted a 12-week repeated-measures intervention study with 12 participants with PD. Results from Study 2 indicated notable improvements in turning stability and balance. Participants demonstrated reduced turning time (p = 0.006) and increased yaw rotation in the head (p = 0.001), trunk (p = 0.002), and pelvis (p = 0.012). In contrast, no significant changes were observed in standard clinical measures (i.e., Timed Up and Go and task duration). The FMA-P offers fine-grained insights into movement quality, making it a valuable tool for early diagnosis, monitoring intervention efficacy, and guiding rehabilitation strategies in individuals with PD. Full article

Background/Objectives: Standing training is essential for individuals with spinal cord injury (SCI), yet maintaining regular practice after acute rehabilitation remains challenging. To address the need for more practical and accessible standing equipment, we developed a novel spring-assisted standing training device designed to overcome barriers to regular standing practice. This study aimed to assess the safety and feasibility of our newly developed device in individuals with SCI. Methods: Six participants with chronic SCI (neurological level of injury T4-L3, American Spinal Injury Association Impairment Scale A-C; 2 females, mean age 41.7 ± 13.4 years) underwent a single session using our chair-based device incorporating passive gas spring mechanisms. We designed this device to enable independent sit-to-stand transitions without electrical power or complex controls. Primary outcomes included safety (adverse events) and feasibility (number of repetitions, Modified Borg Scale). Changes in Modified Ashworth Scale (MAS) scores were assessed as exploratory measures. Results: All participants successfully completed training without adverse events. Repetitions ranged from 5 to 60 (median 37), with Modified Borg Scale ratings of 0–4. Notably, the participant with T4 complete injury performed the training without requiring trunk orthosis, demonstrating the device’s inherent stability. MAS sum scores showed a reduction from median 8.75 to 4.25, though this did not reach statistical significance (p = 0.13). Conclusions: Our newly developed spring-assisted standing training device proved safe and feasible for individuals with SCI, including those with complete thoracic injuries. The device successfully enabled independent sit-to-stand transitions with low perceived exertion, potentially addressing key barriers to regular standing practice and offering a practical rehabilitation solution. Full article

The Timed Up and Go (TUG) test is used to assess mobility in older adults, but its reliance on completion time limits its insight into detailed movement patterns that could serve as early indicators of functional decline. This study aimed to identify lower limb and trunk kinematic biomarkers during the TUG test that distinguish between older adults with and without functional disability, emphasizing the potential for wearable sensor applications. Sixty adults aged 60+ participated in this cross-sectional study. Three-dimensional lower limb and trunk range of motion (ROM), velocity, center of mass (CoM) displacement, and velocity were analyzed using an optoelectronic system across TUG subphases: sit-to-walk, walk-forward, turn, walk-back, and turn-to-sit. Principal component analysis identified eleven principal components (PCs), explaining 84.33% of the total variance. PCs included sagittal hip and knee motion and CoM velocity during turn-to-sit and walking (PC1); tri-dimensional trunk velocity during turning, walk-back, and sit-to-walk transitions (PC2, PC4, PC6); sagittal knee and hip velocity in sit-to-walk (PC3); and frontal and transverse plane knee ROM and velocity during turning (PC5). Significant differences between functional disability groups were found for PC1 and PC4. These findings provide benchmark data for developing and validating wearable biosensors aimed at monitoring kinematic biomarkers. Full article

Pelvis and trunk counter-rotation are key factors known to effect throwing arm kinematics in baseball pitching, where energy or momentum is transferred from the lower extremities through to the trunk during the pitching cycle. The purpose of this study was to retrospectively analyze previously recorded motion capture data of 19 skilled competitive pitchers to test the a priori hypothesis whether different stride lengths affect transverse pelvis and trunk biomechanics. A blinded randomized crossover design was used where pitchers threw two simulated games at ±25% from desired stride length (DSL), respective of overstride (OS) and under-stride (US). Variables of interest included pelvic–trunk separation (PTS) angle or degree of uncoupling and proximal plyometric effect (PPE) or ratio between trunk–pelvis angular velocities, as surrogate measures of rotational and elastic energy transfer. Paired t-tests were used to compare across stride conditions. A one-way ANOVA with a Bonferroni post hoc analysis demonstrated stride lengths differed statistically, (DSL vs. OS p = 0.006), (DSL vs. US, p < 0.001), and (US vs. OS, p < 0.001). Despite the statistically different stride lengths, fastball velocities tracked with radar were consistent. No significant differences within and across innings pitched between OS and OS conditions were found. The ±25% stride length changes influenced temporal parameters within the pitching cycle. Shorter stride elicited by early SFC reduced time during the Generation phase and extended the Brace-Transfer duration (p < 0.001). Statistically different transverse pelvis and trunk kinematics at hallmark events and phases consequently influenced pelvic–trunk separation and proximal plyometrics. During the Generation (PKH-SFC) and Brace-Transfer (SFC-MER) phases, the pelvis and trunk were significantly more externally rotated (p < 0.001) with shorter strides, concomitant with less separation at the instant of SFC and the Generation phase with greater peak proximal plyometrics effect ratios peak during throwing arm acceleration, indicative of greater contribution of trunk angular velocity (p < 0.05). Greater transverse trunk angular velocities relative to the pelvis late in double support necessitates the throwing arm to “catch up” from a position of greater arm lag, which compromises the dynamic and passive stabilizers. In conclusion, stride length alters pitching biomechanics and timing of peak pelvic–trunk separation and trunk angular velocity relative to the pelvis. Increased shoulder and elbow tensile stress is to be expected, consequently increasing risk for injury. Full article

Optokinetic motion capture (OMC) is the gold standard for measuring the kinematics associated with lifting posture. Unfortunately, limitations exist, including cost, portability, and marker occlusion. The purpose of this study is to evaluate the agreement between OMC and inertial measurement units (IMUs) for quantifying joint kinematics during squat–pivot and stoop–twist lifting tasks. Ten unimpaired adults wearing both IMUs and OMC markers performed 24 lifting trials. Correlation coefficients and Root Mean Square Error (RMSE) between IMU and OMC time-series signals were computed for trunk and lower-extremity joints. Peak values obtained from each system during each trial were analyzed via Bland–Altman plots. Results show high correlations for trunk, knee, and ankle flexion angles (>0.9) and ankle rotation angles (>0.7). Moderate correlation was found for trunk axial rotation and lateral flexion angles (0.5–0.7). RMSE was under 9° for each angle. Biases between systems ranged from 0.3° to 16°. Both systems were able to detect statistically significant differences in peak angles between the two postures (p < 0.05). IMUs show promise for recording field data on complex lifting tasks. Full article

Objectives: The lat pulldown machine is one of the most versatile pieces of equipment for back strengthening, allowing variations in grip and load. However, there are significant gaps in the literature regarding the relationship between exercise modality and specific muscle activation. Methods: This study examined the electromyographic (EMG) activity of major back muscles during seven lat pulldown exercise variants that differed in grip type, width, and trunk inclination. Forty male subjects, with at least 5 years of resistance training experience, performed five repetitions of lat pulldown exercise using 70% of their repetition maximum. Prior to the surface EMG analysis, maximal voluntary contraction (MVC) tests were performed for each muscle group analysed, specifically the latissimus dorsi, posterior deltoid, brachial biceps, middle and lower trapezium, and infraspinatus. The normalised root mean square of the EMG (NrmsEMG) activity for each muscle was recorded during full, concentric, and eccentric movements. Results: Multivariate analysis of variance (MANOVA) showed no significant difference in the NrmsEMG muscle activation across the different lat pulldown exercise variations (all p > 0.05). A significant difference was found in the posterior deltoid where the wide-pronated grip with a 30° trunk inclination showed greater EMG activation compared to the wide pronated grip (p = 0.011) and wide neutral grip (p = 0.017). Conclusions: These findings suggest that grip variations may not significantly alter latissimus dorsi recruitment, challenging the assumption that grip effectiveness targets this muscle. The results highlight the need for individualised approaches to exercise selection, given the variability in muscle activation patterns observed. Full article

Background: This study investigated the biomechanical and physiological demands of the hiking position in Laser sailing, a posture requiring sailors to extend their upper bodies outside the boat to counter wind-induced heeling. This study utilized a mixed-methods approach. Methods: Twenty-two experienced Laser sailors participated in both on-land and offshore assessments. The study combined subjective discomfort ratings, biomechanical measurements, digital human modeling, and muscle activation analysis to evaluate the effects of hiking during and after exertion. Results: A two-way ANOVA showed significant effects by body region and time. The quadriceps, abdominals, and lower back reported the highest discomfort. Key postural angles were identified, including knee and hip flexion, trunk inclination, and ankle dorsiflexion. Muscle activation analysis revealed the highest engagement in the rectus abdominis (46.1% MVC), brachialis (~45%), and psoas major (~41%), with notable bilateral asymmetries. The trunk region had the highest overall activation (28.7% MVC), followed by the upper limbs (~18.7%), while the lower limbs were minimally engaged during static hiking. Conclusions: On-water conditions resulted in greater variability in joint angles, likely reflecting wind fluctuations and wave-induced boat motion. Findings highlight the quadriceps, abdominals, and lower back as primary contributors to sustained hiking, while also emphasizing the importance of targeted endurance training and ergonomic equipment design. These insights can guide training, recovery, and ergonomic strategies to optimize performance and reduce injury risk in Laser sailors. Full article

Background: This study evaluated the effects of veno-arterial (V-A) and veno-venoarterial (V-VA) ECMO in a porcine model of septic endotoxemia-induced acute pulmonary arterial hypertension (PAH). Our hypotheses were as follows: (1) V-VA ECMO lowers pulmonary vascular resistance (PVR) by delivering oxygenated blood to the pulmonary circulation, and (2) both V-A and V-VA ECMO improve perfusion to vital organs while simultaneously unloading the right ventricle (RV). Methods: Acute PAH was induced with Salmonella abortus equi lipopolysaccharide (LPS) in 34 pigs. Animals were randomized to either a control group without ECMO or to two groups receiving V-A or V-VA ECMO. Results: All animals developed PAH after one hour of LPS infusion: mean pulmonary artery pressure (PAP) increased significantly from 26 (24–30) mmHg to 40 (34–46) mmHg (p < 0.0001), and PVR increased from 314 (221–390) to 787 (549–1073) (p < 0.0001). Neither V-A nor V-VA ECMO significantly reduced PVR compared to controls. RV end-diastolic area increased in the control group [6.1 (4.3–8.6) cm vs. 8.5 (7.8–9.7) cm, p = 0.2], but not in the V-A [4.7 (3.3–7.6) cm] and V-VA [4.3 (2.5–8.3) cm] ECMO groups. Blood flow in the cranial mesenteric artery and celiac trunk did not differ significantly with or without ECMO. Conclusions: Elevating pulmonary artery oxygen tension through V-A or V-VA ECMO did not reduce PVR or PAP. However, both ECMO configurations effectively unloaded the RV and maintained perfusion to abdominal organs. Full article