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Munjed Al Muderis Horst Heinrich Aschoff Belinda Bosley Guy Raz Ludger Gerdesmeyer Brendan Burkett 《Sports Engineering》2016,19(3):141-145
Lower limb amputees often experience complications with the use of conventional socket-type prostheses, which further reduce their already compromised ability to perform the activities of daily living, or to participate in sporting activities. During the last two decades, a new technology of direct skeletal attachment (osseointegration) of prosthesis to the femoral residuum has been developed. The aim of this research was to assess the implant design, surgery protocols, and functional testing of this new technology on the first 100 patients using the Integral Leg Prosthesis procedure. This new knowledge can guide future engineering developments of osseointegration within the sporting arena. Between 1999 and 2013, direct skeletal implantation was performed on 112 amputees, from two centres in Germany and Australia. From the experience of the surgical team, modifications were made to the implant design. This re-engineering of the implant has reduced the surgical revisions due to infection from 29 % with the early implant design down to 7 %. The functional testing of the 34 Australian cases were assessed pre- and 12 months post-implant with significant improvements of one complete K-scale; the Q-TFA measures increased (50.9–86.7), whilst the Timed Up and Go decreased significantly (12.43 s ± 3.89 to 8.03 s ± 2.80), and the 6 min walk increased (304.0–383.9 m). From these findings, osseointegration technology is realistically the way of the future for amputee athletes. Further refinement of the implant design and sports-specific functional testing are required to define the potential of this technology. 相似文献
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In this study, we used recently developed technology to determine the force-time profile of elite swimmers, which enabled coaches to make informed decisions on technique modifications. Eight elite male swimmers with a FINA (Federation Internationale de Natation) rank of 900+ completed five passive (streamline tow) and five net force (arms and leg swimming) trials. Three 50-Hz cameras were used to video each trial and were synchronized to the kinetic data output from a force-platform, upon which a motorized towing device was mounted. Passive and net force trials were completed at the participant's maximal front crawl swimming velocity. For the constant tow velocity, the net force profile was presented as a force-time graph, and the limitation of a constant velocity assumption was acknowledged. This allowed minimum and maximum net forces and arm symmetry to be identified. At a mean velocity of 1.92+0.06 m s?1, the mean passive drag for the swimmers was 80.3+4.0 N, and the mean net force was 262.4+33.4 N. The mean location in the stroke cycle for minimum and maximum net force production was at 45% (insweep phase) and 75% (upsweep phase) of the stroke, respectively. This force-time profile also identified any stroke asymmetry. 相似文献
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Kicking is a key component of freestyle swimming yet the optimum combination of kick rate and kick amplitude remains unknown. For Paralympic swimmers, with upper and lower limb disabilities, the influence of the kick plays an important role in net force production. To determine optimum kick characteristics, 12 Paralympic swimmers aged 19.8 ± 2.9 years (mean ± s) were towed at their individual peak freestyle speed. The experimental conditions were (i) a prone streamline glide for passive trials and (ii) maximal freestyle kicking in a prone streamline for active trials at different speeds and kick amplitudes. Kick rate was quantified using inertial sensor technology. Towing speed was assessed using a novel and validated dynamometer, and net force was assessed using a Kistler force-platform system. When peak speed was increased by 5%, the active force increased 24.2 ± 5.3% (90% confidence limits), while kick rate remained at approximately 150 kicks per minute. Larger amplitude kicking increased the net active force by 25.1 ± 10.6%, although kick rate decreased substantially by 13.6 ± 5.1%. Based on the current kick rate and amplitude profile adopted by Paralympic swimmers, these characteristics are appropriate for optimizing net force. 相似文献
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Abstract In freestyle swimming the arm action is routinely quantified by stroke count and rate, yet no method is currently available for quantifying kick. In this study, we assessed the validity and reliability of inertial sensor technology (gyroscope) to assess kick count and rate. Twelve Paralympic swimmers completed a 100-m freestyle-swimming time-trial and freestyle kicking-only time-trial three times each in a season. An algorithm was developed to detect the up and down beat of individual kicks from the gyroscope trace. For comparative purposes, underwater video analysis provided the criterion measure. The standard error of the estimate (validity) for kick count, expressed as a coefficient of variation, was 5.9% (90% confidence interval 5.5 to 6.4) for swimming, and 0.6% (0.5 to 0.6) for kicking-only trials. The mean bias for kick count was ?1.7% (?2.4 to ?1.1) for swimming, and ?0.1% (?0.2 to ?0.1) for kicking-only trials. Correlations between the sensor and video for kick count were 0.96 (0.95 to 0.97) for swimming, and 1.00 (1.00 to 1.00) for kicking-only trials. The typical error of the measurement (reliability) between trials was approximately 4% for kick count and rate. The inertial sensors and associated software used generated sufficient validity and reliability estimates to quantify moderate to large changes in kick count and rate in freestyle swimming. 相似文献
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