basics of biomechanics dusan radovanovic, zurich duesseldorf 14th nov. 2006
TRANSCRIPT
Basics of Biomechanics
Dusan Radovanovic, Zurich
Duesseldorf 14th Nov. 2006
History
Summer 1997 until April 1998 Gaitway Kistler System under test in own practice
Study of patients with knee disorders Publication
„Gait- and motion analysis in physiotherapy. Possibilities of therapy for knee disorders for leisure athletes by altering the running technique".
Scientific Award of Association for Sports Medicine Switzerland
Practice
Practice
Treadmill Gaitway used since May 1998
Used Measurement System Gaitway
Action – Reaction„Center of Pressure“
Registration of Patients
Acceptance
Vertical Bottom-Reaction-Force-Curve
20-30% des KG
110-120% des KG
80% des KG
130% des KG
Recording min. 10‘‘4.0km/h
links
rechts
walking in normal shoes
Ideal Vertical Bottom-Reaction-Force-Curve
walking 4.03 km/h cadence 112 / min. 10“ 9x left 8x right
Horizontal (frontal) Bottom-Reaction-Force-Curve
First peak
Standing phase
rightleft
Heel strike
Push-off-phase
Vertical Bottom-Reaction-Force-Curve
running, barefoot 8 km/h
2.5 x KG
Practical Examples
Arthritis in the upper ankle (left) & Femoropatellares syndrome
(right)4 weeks later
Calcaneal Spur
walking
8 weeks later
Calcaneal Spur
running
10 weeks later
Tendovaginitis Tibialis posterior, Flexor hallucis longus and Flexor digitorum
longus
Jumpers knee left
0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8-10
0
10
20
30
40
50
60
70
80
90
100
Relative Time (s)
Kil
og
ram
s (k
gf)
Force
0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8-100
102030405060708090
100
Relative Time (s)
Kilo
gram
s (k
gf)
Force
21 days later
“ Runners knee “
0 0.04 0.08 0.12 0.16 0.20 0.24-20
0
20
40
60
80
100
120
140
160
Relative Time (s)
Kilo
gra
ms
(kg
f)
Force
running shoes
barefoot
VKB plastic right
2 years after operation
Several surgeries left knee
0 0.02 0.04 0.06 0.08 0.10 0.12 0.14 0.16 0.18 0.20 0.22-40
0
40
80
120
160
200
240
280
Relative Time (s)
Kil
og
ram
s (k
gf)
Force
8 kmh
8 km/h
13 km/h
Knee pains left > right after 10 min. running with heel run technique
Forefoot run technique
with running shoes barefoot
Gonarthritis right
0 0.04 0.08 0.12 0.16 0.20 0.24 0.28 0.32-20
0
20
40
60
80
100
120
140
160
180
Relative Time (s)
Kilo
gra
ms
(kg
f)
Force
0 0.05 0.10 0.15 0.20 0.25 0.30-200
20406080
100120140160180
Relative Time (s)
Kil
og
ram
s (
kg
f)
Force
heel run technique forefoot run technique
Patellae multiple fracture
heel run technique
forefoot run technique
Total implant left knee
0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8-100
102030405060708090
100
Relative Time (s)
Kilo
gram
s (k
gf)
Force
VKB plastic3 weeks after surgery 6 weeks after surgery
8 weeks after surgery 12 weeks after surgery
Running after 12 and 14 weeks
Femoropatellares syndrome8 weeks later
Gonarthritis3 months later
VKB plastic, Tibia head synthesis, metal removed
Coxarthritis bds
20 min. after specific exercises
Femoroacetabulare impingement syndrome right
Status after arthroscopic surgery
After correction of walking technique
Hip pain bds
ISG blocking
6 weeks after specifictraining
Blocked ISG on surgery side
Adductore strain right; ISG blocking right
Disk hernia L5 / S1
4 days later
Tractus Iliotibialis syndrome
Conclusion
The running machine with integrated force platforms is perfect for
Diagnostics Documentation of Results Trend Monitoring Control of Results Control Quality Assurance for Physiotherapy and Sports Medicine
Thank you