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NO.1 2008 Vicon Setting the standard for Life Sciences The School of Sport Science, Exercise and Health (SSEH) at the University of Western Australia (UWA) currently run two motion analysis laboratories, a 12 camera Vicon MX system for sports research, and a 7 camera Vicon MX motion analysis system for clinical research. The UWA group has always been heavily involved in sports and clinical biomechanics research, but now a team of researchers (Drs. Jonas Rubenson, David Lloyd and Paul Fournier) have also branched into investigating the locomotion of birds to understand the principles of human bipedal locomotion. To study the mechanics and energetics of gait in the largest bird species, the ostrich (Struthio camelus), they implemented a range of techniques normally used in clinical gait analysis. Initially, the team trained birds to walk and run on a treadmill, while collecting both metabolic (oxygen consumption) data and 2D kinematic data using high-speed video cameras. Subsequently, an outdoor gait laboratory was built (in collaboration with Denham Heliams and Fauna Technologies) that integrated kinematic data from high-speed cameras and force-plate data using Vicon’s BodyBuilder software to analyze 3D joint biomechanics. UWA INVESTIGATING THE LOCOMOTION OF BIRDS TO UNDERSTAND THE PRINCIPLES OF HUMAN BIPEDAL LOCOMOTION TheStandard BY DR. DAVID LLOYD AND DR. JONAS RUBENSON Ostriches, ligaments and chucking: Research at the University of Western Australia / 10 Literature update Dr. Ed Biden / 08 Vicon 2008 Conferences / 06 Vicon Profiles Professor Rami Abboud

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This issue contains articles on the University of Western Australia, University of Dundee’s Orthopedic and Trauma Surgery Department, Nuffield Orthopaedic Centre and mch more.

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Page 1: Vicon Standard 2008

NO.1 2008

Vicon Setting the standard for Life Sciences

The School of Sport Science, Exercise andHealth (SSEH) at the University of WesternAustralia (UWA) currently run two motionanalysis laboratories, a 12 camera ViconMX system for sports research, and a 7camera Vicon MX motion analysis systemfor clinical research. The UWA group hasalways been heavily involved in sports and clinical biomechanics research, butnow a team of researchers (Drs. JonasRubenson, David Lloyd and Paul Fournier)have also branched into investigating thelocomotion of birds to understand the principles of human bipedal locomotion. To study the mechanics and energetics ofgait in the largest bird species, the ostrich(Struthio camelus), they implemented arange of techniques normally used in clinical gait analysis.

Initially, the team trained birds to walk andrun on a treadmill, while collecting bothmetabolic (oxygen consumption) data and2D kinematic data using high-speed videocameras. Subsequently, an outdoor gaitlaboratory was built (in collaboration withDenham Heliams and Fauna Technologies)that integrated kinematic data from high-speed cameras and force-plate datausing Vicon’s BodyBuilder software to analyze 3D joint biomechanics.

UWA INVESTIGATING THE LOCOMOTION OFBIRDS TO UNDERSTAND THE PRINCIPLES OFHUMAN BIPEDAL LOCOMOTION

TheStandard

BY DR. DAVID LLOYD AND DR. JONAS RUBENSON

Ostriches, ligaments and chucking: Research at the University of Western Australia

/10Literature update Dr. Ed Biden

/08Vicon 2008Conferences

/06Vicon ProfilesProfessor Rami Abboud

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Vicon Setting the standard for Life Sciences

Their findings are providing insight intomusculoskeletal form and function, aswell as long-standing questions of bipedalgait. The team’s work has contributed to a shift in the way we interpret walking and running. Traditionally, running is distinguished from walking on the basis of having an aerial phase, i.e. when bothfeet are off the ground. However, they have shown that this definition of walkingand running may be misleading [1]. An alternate definition of walking and runningis based on mechanical energetics, walking being defined as a pendulum-likeexchange between gravitational potentialenergy and horizontal kinetic energy, whilerunning defined as a bouncing-likeexchange of both gravitational and kineticenergy with the elastic energy stored inthe legs. Their findings showed thatbouncing running can occur without anaerial phase in ostriches, which theauthors have called “grounded running”. It has now been speculated that humansmay use grounded running when movingon very compliant surfaces or in altered

gravity environments (such as those onother planets), and that some childrenwith cerebral palsy are using a groundedrunning gait rather than a walking gait.

The study also found that the selectionbetween walking and grounded running is associated with a reduction of the metabolic cost of locomotion in ostriches.This finding solidifies the view that energyuse is a key factor dictating gait selectionin animals, including humans. Importantly,the study shows that the shift in dynamicsof the body probably explains the reductionin energy use when humans choose toswitch to a run.

The researchers are further exploring therelationship between locomotor mechanicsand energetics. Ostriches possess a strikinglydifferent limb morphology compared tohumans, yet share a similar body mass.Because of this, ostriches are an excellentcomparative model for understanding the mechanical determinants of humanlocomotor energy use.

The first step in this research was thedevelopment of a 3D kinetic model of theostrich limb. The model was constructedfrom both static anatomical data and jointmotion data using the school’s Viconmotion capture system. The model hasbeen used to explore whether mechanicaland/or muscular work can explain the differences in the energy cost of locomotionbetween ostriches and humans. The investigators have also used their 3Dmodel to explore the control of 3D jointand limb motions of running ostriches [2].

Ostriches may prove to be useful modelsfor other areas of biomechanics. Forexample, these animals are capable ofrunning and maneuvering at incrediblespeeds and, as the researchers have discovered, with remarkably high loads at their joints. Ostriches may yet reveal afew secrets of knee joint stabilization andinjury prevention.

AN EXCELLENT COMPARATIVE MODEL FOR UNDERSTANDING THEMECHANICAL DETERMINANTS OF HUMAN LOCOMOTOR ENERGY USE

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Vicon Setting the standard for Life Sciences

Preventing Sports Injury

Understanding knee joint loading and stabilization during running and sidesteppingis a key to preventing anterior cruciate ligament (ACL) injuries in sport. Thesecostly injuries occur all too often in manysports around the world, which is the reason for the large ACL injury researchprogramme at UWA (Drs David Lloyd, TimDoyle, Jacque Alderson, Profs Bruce Elliottand Tim Ackland, and PhD studentsAlasdair Dempsey, Jon Donnelly, JamesDunne and Marcus Lee). The reason whythe ACL ruptures is very simple: it breakswhen the load applied to the ligamentexceeds its’ current strength. However, thisraises two much more difficult questions toanswer. The first, why does the strength ofthe ligament get too low? The second, whydoes the load applied to ligament get toobig? This latter question is the focus of theUWA research.

ACL ruptures most commonly occur justafter initial foot contact during non-contactsidestepping [3-5]. The UWA group hasshown that in this period of the sidestep the knee is loaded with large valgus andinternal rotation moments, while thequadriceps are extending the knee [6-8].However, there were no broken ACL’s in theirlaboratory studies. Reviewing videos of ACLinjuries actually occurring has shown thatwhen the ACL breaks the knee gives wayinto valgus and internal rotation [3-5]. Sovalgus and internal rotation moments, combined with the quadriceps extendingthe knee, all which highly loaded the ACL in cadaveric studies [9], are the probably loads causing ACL injury during sidesteps.

To prevent ACL injuries from occurringexternal valgus and internal rotationmoments need to be reduced. But there is another way to prevent injury. It appears the knee loads recorded during laboratory sidestepping were on many occasions largerthan those required to completely break allthe knee ligaments [10], not just the ACL.But people did not break their knee ligamentsin the laboratory! This suggested to theUWA group that muscles stabilize the knee preventing ACL rupture [11, 12]. So to reduce the incidence of ACL injuries one must lower loading and/or improve the muscular stabilization of the knee in sidestepping [13].

The UWA group has engaged in two laboratory based training studies funded by the Australian Football League Researchand Development Board. The findingsrevealed that while sidestepping, certainfacets of the player’s technique can bechanged to decrease knee loading. and that specially designed balance training willimprove muscular stabilization of the knee.But does such training actually work toreduce injury ACL injury?

Some very good research from other groups has shown the promise of balancetraining [14, 15], but no work has addressedtechnique training. By teaming up withsports epidemiologist Professor CarolineFinch at University of Ballarat, the UWAgroup has received over $1,000,000 from the Australian National Health and MedicalFoundation to see if their technique and balance training can reduce the incidence of ACL in community level AustralianFootball. This four year study is half completedand has shown some exciting data regardingthis scientifically developed training.

u CONTINUED OVERLEAF

h Side stepping in UWA sports motion analysis laboratoryPhoto - Alasdair Dempsey

Vicon is very pleased to have AaronChin on board as the new SupportEngineer for Australia. Aaron hasworked with the International Cricketcouncil in assessing bowling actionlegality and helped develop spin bowling models with Cricket Australia.Aaron completed his Bachelor ofScience at the University of WesternAustralia and is close to completing his PhD on developing a 2 degree offreedom model of the elbow for usewith Vicon systems. n

New Support Engineer For Australia

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Upper Limb Modelling and International Cricket CouncilWhile this lower limb ACL injury researchcontinues, the UWA group (Drs YanxinZhang, David Lloyd, Si Reid and JacqueAlderson, with PhD candidates Aaron Chin,Amity Campbell, and Kane Middleton) hasbeen continually developing and testing newupper body motion analysis models.

The first upper limb model developed by thegroup was applied to “chucking in cricketbowling” [16]. The International CricketCouncil is currently using the model inBiomechanics of Bowling testing unit [17].

Based on the experience gained from thiswork and the development of their lowerbody model [18], UWA is finishing the development of their “new” upper body model.

This new model uses multiple marker triads per segment, functional calibrationmethods and MRI imaging to best representand measure torso, shoulder, elbow andwrist motion in many and varied upper limb tasks.

This very active group continues to developinnovative motion analysis modelingmethods and apply them to movementresearch in sports performance, sportsinjury, comparative animal work, and clinical musculo-skeletal conditions. n

1. Rubenson, J., B. D. Heliams, D. G. Lloyd, and P. A. Fournier. Gait selection in the ostrich: mechanical and metabolic characteristics of walking and running with and without an aerial phase. Proc. R. Soc. B. 2004;271:1091 - 1099.

2. Rubenson, J., T. F. Besier, B. D. Heliams, D. G. Lloyd, and P. A. Fournier. Running in ostriches (Struthio camelus): three-dimensional joint axes alignment and joint kinematics. J. Exp. Biol. 2007;210:2548-2562.

3. Boden, B. P., G. S. Dean, J. A. Feagin, Jr., and W. E. Garrett, Jr. Mechanisms of anterior cruciate ligament injury. Orthopedics. 2000;23:573-578.

4. Cochrane, J. L., D. G. Lloyd, A. Buttfield, H. Seward, and J. McGivern. Characteristics of anterior cruciate ligament injuries in Australian football. Journal of Science and Medicine in Sport. 2007;10:96-104.

5. Olsen, O. E., G. Myklebust, L. Engebretsen, and R. Bahr. Injury mechanisms for anterior cruciate ligament injuries in team handball: a systematic video analysis. Am J Sports Med. 2004;32:1002-1012.

6. Besier, T. F., D. G. Lloyd, T. R. Ackland, and J. L. Cochrane. Anticipatory effects on knee joint loading during running and cutting maneuvers. Med Sci Sports Exerc. 2001;33:1176-1181.

7. Besier, T. F., D. G. Lloyd, J. L. Cochrane, and T. R. Ackland. External loading of the knee joint during running and cutting maneuvers. Med Sci Sports Exerc. 2001;33:1168-1175.

8. Dempsey, A. R., D. G. Lloyd, B. C. Elliott, J. R. Steele, B. J. Munro, and K. A. Russo. The effect of technique change on knee loads during sidestep cutting. Med Sci Sports Exerc. 2007;39:1765-1773.

9. Markolf, K. L., D. M. Burchfield, M. M. Shapiro, M. F. Shepard, G. A. Finerman, and J. L. Slauterbeck. Combined knee loadingstates that generate high anterior cruciate ligament forces. J Orthop Res. 1995;13:930-935.

10. Piziali, R. L., D. A. Nagel, T. Koogle, and R. Whalen. Knee and tibia strength in snow skiing. In: Ski Trauma and Skiing Safety R. J. Johnson, W. Hauser, and M. Magi (Eds.) Munich: TUV Publication Series, 1982:24-31.

11. Besier, T. F., D. G. Lloyd, and T. R. Ackland. Muscle activation strategies at the knee during running and cutting maneuvers.Med Sci Sports Exerc. 2003;35:119-127.

12. Lloyd, D. G., T. S. Buchanan, and T. F. Besier. Neuromuscular biomechanical modeling to understand knee ligament loading.Med Sci Sports Exerc. 2005;37:1939-1947.

13. Lloyd, D. G. Rationale for training programs to reduce anteriorcruciate ligament injuries in Australian football. J Orthop Sports Phys Ther. 2001;31:645-654; discussion 661.

14. Hewett, T. E., T. N. Lindenfeld, J. V. Riccobene, and F. R. Noyes. The effect of neuromuscular training on the incidence of knee injury in female athletes. A prospective study. American Journal of Sports Medicine. 1999;27:699-706.

15. Mandelbaum, B. R., H. J. Silvers, D. S. Watanabe, J. F. Knarr, S. D. Thomas, L. Y. Griffin, et al. Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow-up. Am J Sports Med. 2005;33:1003-1010.

16. Lloyd, D. G., J. Alderson, and B. C. Elliott. An upper limb kinematic model for the examination of cricket bowling: a case study of Mutiah Muralitharan. J Sports Sci. 2000;18:975-982.

17. Elliott, B. C., J. Alderson, S. Reid, and D. G. Lloyd. Technology and the Law in Cricket: The Muralitharan “Doosra”. . Sports Health. 2005 23:13-15, .

18. Besier, T. F., D. L. Sturnieks, J. A. Alderson, and D. G. Lloyd. Repeatability of gait data using a functional hip joint centre and a mean helical knee axis. J Biomech. 2003;36:1159-1168.

REFERENCES

h Markers for new upper motion analysis modelPhoto - Amity Campbell

h MRI images of shoulder and markers for new upper motion analysis model Images – Amity Campbell

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Vicon Setting the standard for Life Sciences

THE I-FAB INITIATIVE (INTERNATIONAL FOOT AND ANKLE BIOMECHANICS COMMUNITY)HAS BEEN LAUNCHED TO SUPPORT THE INTERNATIONAL COMMUNITY OF RESEARCHERSAND RESEARCH USERS RELATED TO FOOT AND ANKLE BIOMECHANICS.

International Foot and AnkleBiomechanics Community

Dr Chris Nester from University of SalfordUK explains, “i-FAB aims to develop a co-ordinated approach to address the challenges of foot and ankle biomechanicsresearch and connect a wide range ofstakeholders in common research

activities. i-FAB is being created by peoplewith a passion for research on the foot andankle and we hope it can support the activities of like minded researchers andresearch users internationally.”

Visit www.i-FAB.org for information on how to join, to download the i-FAB launchpresentation and for details of theSeptember 2008 Congress in Bologna. n

Complete Our Survey and WIN a Digital Camera We value your opinion on the service you've received from Vicon and wouldappreciate it if you would complete our customer satisfaction survey. All completed surveys will be entered in to a prize draw to win a digital camera. To complete the survey you'll need to login to your Vicon Online Support account www.vicon.com/support. Terms and conditions apply. n

The Biomedical EngineeringDepartment of NED University ofEngineering & Technology, Karachi has opened the first clinical gait analysis laboratory in Pakistan.

The lab is equipped with 8 Vicon MX3+cameras, Vicon Nexus and Polygon,three AMTI OR6-7 force plates andNoraxon wireless EMG system.

The lab will be used for diagnostic andtreatment purposes for cerebral palsy,

spina bifida, clubfoot and flat feet inchildren; stroke, traumatic brain andspinal cord injury, osteoarthritis, sports injuries and mechanical mal-alignments for adults.

The team consists of Dr.S.M.WasimRaza, Orthopedic Surgeon, Ms. TajwarSultana and Ms. S.Kanwal Zaidi,Computer Engineers, Abu ZeeshanBari, Mechanical Engineer and Mr. Abdul Ghaffar Qureshi, Lab Technician.

First Gait Analysis LabTo Open In Pakistan

Editors Note

Check out the Vicon Standard website for archived articles, clinical paper summaries, the image library as well as the current issue of The Standard. If you have a colleague who would like to register for The Standard visitwww.vicon.com/standard

We welcome your feedback and encourage you to contact us if you’dlike to contribute or be featured in our upcoming edition. Contact [email protected]

Emma Wixey Tara ValgoiRest of World North America

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Vicon ProfilesPROFESSOR RAMI ABBOUD

Vicon Setting the standard for Life Sciences

/06

The University of Dundee’s Orthopedicand Trauma Surgery Department hasbeen at the forefront of the use ofmotion capture, by clinicians andresearchers, for more than 30 years.

The current Director of the Institute ofMotion Analysis and Research (IMAR),Professor Rami Abboud, has worked in thefield of motion analysis, in Dundee, since1988 and has overseen a number of ground-breaking developments startingwith the establishment of the Foot PressureAnalysis Clinic and Laboratory in 1993 andsubsequently IMAR in 2003.

One of the most recent developments wasthe addition of the sports biomechanics labin January 2007. This brings IMAR to five

motion labs with facilities used for both clinical and research work. “This new labwas added to IMAR to compliment our other facilities and to focus specifically onsports-related biomechanics research andassessment, using the excellence from ourclinical service to benefit the sports arena,”explains Professor Abboud. The lab is 32metres long with twelve Vicon® MX13 cameras, eight Vicon® F40 cameras, two100 Hz digital cameras, two AMTI force platforms and other pressure related systems (e.g. Emed-X platform). One of theforce platforms is sited on rails such thatthe different stride lengths of various athletes during running or walking can beaccommodated. The Vicon® F40 camerasare ideal for the work being done at theInstitute as they are able to capture up

to 370 Hz at 4 million pixels, significantlyfaster and more accurate than previousgenerations of Vicon® cameras. “We haverecently invested in dedicated high-techtreadmills, rowing machines, exercisecycles and a golf simulator that will be synchronised with our existing equipmentand the Vicon® systems”.

All of these elements have enabledProfessor Abboud and his team to undertake studies based on a degree ofdetail beyond the reach of other facilities, as the professor himself explains: “We nowhave an extremely flexible Institute whichwe use for a wide variety of research studiesand clinical work. The ability to use thesmaller 3mm Vicon markers (rather thanthe traditional 25mm markers) have allowed

Rami Abboud BEng, MSc, PhD, SMIEEE, ILTM

Professor of Education in BiomechanicsHead of Orthopedic & Trauma Surgery DepartmentDirector of Institute of Motion Analysis & Research (IMAR)

Institute of Motion Analysis & Research (IMAR)Orthopedic & Trauma Surgery, University of DundeeTORT CentreNinewells Hospital & Medical SchoolDundee DD1 9SYScotland UK

Tel: 44-(0)1382 496276Fax: 44-(0)1382 496200email: [email protected]

Page 7: Vicon Standard 2008

us to evaluate aspects of movement such as the joints of the spine, hands and feet.We have several studies of this nature

underway and more in the pipeline.”An example of the wide reaching aspects ofthe work of IMAR is from a large study offootwear. One such study was the evaluationof the support offered by running shoes.This study was originally started around sixyears ago. The proposal was to take a sample of running shoes from three brandsand three price categories – inexpensive,medium and expensive. It is quite likely thatmost people would assume that the moreexpensive the running shoe the better itsdesign and structure, and also that theywould offer the runner a superior level ofcomfort and support. Not so, says ProfessorAbboud. “We compared comfort, pressureattenuation and shock absorption withineach of these categories of sports shoes,and the results showed that the inexpensiveand medium shoes were as good as themost expensive, if not better in someinstances. In other words, paying more foryour sports shoes does not guarantee a better quality. The first phase of this study,

published in the British Journal of SportsMedicine, formed a small part of a biggerproject which evaluated many aspects ofrunning shoes, and in fact, we have nowstudied over 100 pairs of running shoes ofdifferent designs.” IMAR is engaged in aseries of projects concerning footwear andbiomechanics, which could ultimately helpshoe manufacturers design better footwear.

“Proprioception is another element of biomechanics that we strongly believeneeds to be examined,” says ProfessorAbboud. “We have been investigating it now for almost 10 years and it has been our firm belief, for some time, that footwear is the main cause of ankle injuries. Recentstudies have confirmed this by showing adirect link. “Here is an example that mostpeople should be able to relate to. Imagineyourself walking. If you are walking barefoot you will never twist or invert yourfeet/ankles. However, if you are wearingshoes or sandals, the possibility of twistingthem would be higher.”

An area of research that is a particularfocus for Professor Abboud is the issue offootwear support, proprioception and thediabetic foot. “When I was doing my ownPhD, almost 18 years ago, I found that somediabetic patients suffered from muscle dysfunction. The Tibialis Anterior muscle,which decelerates the foot following heelstrike, during normal walking, shows anabnormal firing pattern in diabetic patientsand results in a forefoot slap as they walk.

This increases the pressure under the forefoot; the contact time of the foot on theground; the duration of that contact, and soforth. Together, these factors facilitate thedevelopment of ulcers of the foot, whichmay ultimately result in amputation” saysProfessor Abboud.

Another major element of the work at IMARis the Clinical Gait Analysis Service, run byMrs Sheila Gibbs, Senior Clinical Scientist.This service has grown over the past 17years and has seen through the variousdevelopments of the Vicon® hardware andsoftware and continues to contribute to current developments.

Looking ahead, Professor Abboud and his IMAR team are working to further theirresearch into the diabetic foot, by quantifyingand modelling both motion and pressuredata. The aim is to provide clinicians with a clinical service whose aim is to facilitatemore effective treatment regimes. There arealso studies underway evaluating the samegroup of patients using Vicon technology toexamine endothelial (circulatory) dysfunctionduring gait.

Dundee is committed to using motioncapture for the benefit of patients andsports enthusiasts, now and well into the future, by taking the research carriedout in the Institute into the clinical and sporting arenas. n

Vicon Setting the standard for Life Sciences

/07

WE HAVE BEEN INVESTIGATINGIT NOW FOR ALMOST 10 YEARSAND IT HAS BEEN OUR FIRMBELIEF, FOR SOME TIME, THATFOOTWEAR IS THE MAIN CAUSEOF ANKLE INJURIES

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Vicon Setting the standard for Life Sciences Vicon Setting the standard for Life Sciences

ConferencesNorth America

April

GAIT AND CLINICAL MOVEMENT ANALYSIS SOCIETY- 13TH ANNUAL MEETING *VICON EXHIBITING02-05 April 2008Richmond, Virginiawww.amrms.com/ssl/gcmas/

AMERICAN ALLIANCE FOR HEALTH, PHYSICALEDUCATION, RECREATION & DANCE08-12 April 2008Fort Worth, Texashttp://iweb.aahperd.org/Memberweb/convention/

SOUTHERN CALIFORNIA CONFERENCE ON BIOMECHANICS11-12 April 2008California Lutheran University, Thousand Oaks, Californiahttp://public.clunet.edu/~mleblanc/SCCB/

SOUTHEASTERN MEETING OF THE AMERICANSOCIETY OF BIOMECHANICS27-29 April 2008Birmingham, Alabamawww.seasb.org/schedule.htm

May

NORTHWEST BIOMECHANICS SYMPOSIUM09-10 May 2008Boise State Universityhttp://coen.boisestate.edu/NBSymposium/index.asp

INJURY BIOMECHANICS SYMPOSIUM19 May 2008Columbus, Ohiohttp://medicine.osu.edu/ibrl/

AMERICAN COLLEGE OF SPORTS MEDICINE - 55THANNUAL MEETING28-31 May 2008Indianapolis, Indianahttp://www.acsm.org/Content/NavigationMenu/Education/Conferences/AnnualMeeting1/Annual_Meeting_Wrap_.htm

18TH ANNUAL CLINICAL GAIT ANALYSIS GAIT COURSE28-31 May 2008Hosted by Connecticut Children's Medical CenterHartford, [email protected]

June

4TH INTERNATIONAL SYMPOSIUM ON ADAPTIVEMOTION OF ANIMALS & MACHINES01-06 June 2008Cleveland, Ohiohttp://amam.case.edu/

SOCIETY FOR EXPERIMENTAL MECHANICS - SEM XIINTERNATIONAL CONGRESS & EXPOSITION02-05 June 2008Orlando, Floridahttp://www.sem.org/CONF-AC-TOP.asp

2008 SUMMER BIOENGINEERING CONFERENCE25-29 June 2008Marco Island, Floridahttp://divisions.asme.org/bed/events/summer08.html

July

AMERICAN COLLEGE OF SPORTS MEDICINE - REGIONAL MEETINGS *VICON EXHIBITING16-19 July 2008Sitka, Alaskahttp://www.acsm.org/AM/Template.cfm?Section=Regional_Chapter_Meetings&Template=/CM/HTMLDisplay.cfm&ContentID=3535

August

AMERICAN SOCIETY OF BIOMECHANICS - 2008ANNUAL MEETING05-09 August 2008University of Michiganhttp://www.asbweb.org/

NORTH AMERICAN CONGRESS ON BIOMECHANICS*VICON EXHIBITING05-09 August 2008Ann Arbor, MIwww.nacob2008.org

October

AMERICAN COLLEGE OF SPORTS MEDICINE - REGIONAL MEETINGS16-17 October 2008Springfield, MOhttp://www.acsm.org/AM/Template.cfm?Section=Regional_Chapter_Meetings&Template=/CM/HTMLDisplay.cfm&ContentID=3535

SOCIETY FOR EXPERIMENTAL MECHANICS - 2008SEM FALL CONFERENCE27-29 October 2008Springfield, Massachusettshttp://www.sem.org/CONF-FALL-TOP.asp

AMERICAN COLLEGE OF SPORTS MEDICINE -REGIONAL MEETINGSOctober 2008St Cloud, MNhttp://www.acsm.org/AM/Template.cfm?Section=Regional_Chapter_Meetings&Template=/CM/HTMLDisplay.cfm&ContentID=3535

AMERICAN COLLEGE OF SPORTS MEDICINE -REGIONAL MEETINGSOctober 2008Mid Westhttp://www.acsm.org/AM/Template.cfm?Section=Regional_Chapter_Meetings&Template=/CM/HTMLDisplay.cfm&ContentID=3535

November

AMERICAN COLLEGE OF SPORTS MEDICINE -REGIONAL MEETINGSNovember 2008Southwest USAhttp://www.acsm.org/AM/Template.cfm?Section=Regional_Chapter_Meetings&Template=/CM/HTMLDisplay.cfm&ContentID=3535

AMERICAN COLLEGE OF SPORTS MEDICINE -REGIONAL MEETINGSNovember 2008Mid Atlantichttp://www.acsm.org/AM/Template.cfm?Section=Regional_Chapter_Meetings&Template=/CM/HTMLDisplay.cfm&ContentID=3535

AMERICAN COLLEGE OF SPORTS MEDICINE -REGIONAL MEETINGS13-14 November 2008Boston, MAhttp://www.acsm.org/AM/Template.cfm?Section=Regional_Chapter_Meetings&Template=/CM/HTMLDisplay.cfm&ContentID=3535

December

AMERICAN COLLEGE OF SPORTS MEDICINE -ADVANCED TEAM PHYSICIAN COURSE11-14 December 2008Austin, Texashttp://www.acsm.org/AM/Template.cfm?Section=Advanced_Team_Physician_Course

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April

THE BRITISH ASSOCIATION OF SPORT & EXERCISESCIENCES - 2008 ANNUAL STUDENT CONFERENCE*VICON EXHIBITING03-04 April 2008Bedfordshire University, UKhttp://www.bases.org.uk/newsite/studentconf.asp

ENDOCORONARY BIOMECHANICS RESEARCH SYMPOSIUM10-11 April 2008Marseilles, Francehttp://www.congres-ebr.com/

5TH WORLD CONGRESS OF SPORTS TRAUMA & 6TH ASIA PACIFIC SOCIETY FOR SPORTS MEDICINE MEETING11-13 April 2008Hong Kong, Chinahttp://www.cuhk.edu.hk/whoctr/wcst2008/

6TH STAFFORDSHIRE CONFERENCE ON CLINICALBIOMECHANICS *VICON EXHIBITING25-26 April 2008Staffordshire University, UKhttp://www.staffs.ac.uk/sccb/

NSCA EUROPEAN CONFERENCE 2008 FORSCIENTIFIC STRENGTH & CONDITIONING28-29 April 2008Amsterdam, Netherlandshttp://www.associationhq.com/nsca/2008/

May

4TH INTERNATIONAL SYMPOSIUM ON SWIMMING & SCIENCE15-16 May 2008Warsaw, Polandhttp://www.awf.wroc.pl/awfnew/english/site.php?ID=K21

June

INTERNATIONAL SPORTS ENGINEERINGASSOCIATION - 7TH INTERNATIONAL CONFERENCE02-06 June 2008Biarritz, Francehttp://www.isea2008.estia.fr/

INTERNATIONAL SOCIETY OF BIOMECHANCIS INSPORTS ANNUAL MEETING14-18 June 2008Seoul, Koreahttp://www.isbs2008.org/

INTERNATIONAL SOCIETY OF ELECTROPHYSIOLOGY& KINESIOLOGY - XVII ANNUAL CONGREE18-21 June 2008Ontario, Canadahttps://www.isek2008.ca/default.asp

July

INTERNATIONAL SOCIETY OF BIOMECHANICS IN SPORTS *VICON EXHIBITING14-18 July 2008Seoul, Koreahttp://http://www.isbs2007.com

10TH INTERNATIONAL SYMPOSIUM OF3D ANALYSIS OF HUMAN MOVEMENT

02-04 July 2008Amsterdam, Netherlandshttp://www.3dma-08.org/

EUROPEAN SOCIETY OF BIOMECHANICS - 16TH CONGRESS *VICON EXHIBITING06-09 July 2008Lucerne, Switzerlandhttp://www.esb2008.org/

EUROPEAN COLLEGE OF SPORT SCIENCE - 13TH ANNUAL CONGRESS *VICON EXHIBITING09-12 July 2008Estoril, Portugalhttp://www.ecss-congress.eu/index.php

ESM2008: INTERNATIONAL CONFERENCE ON DYNAMIC LOAD DISTRIBUTION IN BIOMECHANICS28-31 July 2008Dundee, Scotlandhttp://www.ESM2008.com/

August

JOINT PRE-OLYMPIC CONGRESS ON SPORTSSCEINCE & SPORTS ENGINEERING05-07 August 2008Nanjing, Chinahttp://olympiccongress.org

IEEE 30TH ANNUAL INTERNATIONAL CONFERENCEOF ENGINEERING IN MEDICINE & BIOLOGY SOCIETY20-24 August 2008Vancouver, Canadahttp://www.embc2008.com/

INTERNATIONAL CONGRESS OF THE POLISHSOCIETY OF BIOMECHANICS 200831 August-03 September 2008Warsaw, Polandhttp://www.biomechanics2008.awf.wroc.pl/index_en.php

September

THE BRITISH ASSOCIATION OF SPORT & EXERCISESCIENCES - 2008 ANNUAL CONFERENCE *VICON EXHIBITING02-04 September 2008Brunel University, UKhttp://www.bases.org.uk/newsite/annualconf.asp

1ST CONGRESS FOR THE INTERNATIONAL FOOT &ANKLE BIOMECHANICS COMMUNITY04-06 September 2008Bologna, Italyhttp://www.i-fab.org/

EUROPEAN SOCIETY OF MOVEMENT ANALYSIS FORADULTS & CHILDREN - XVII ANNUAL MEETING*VICON EXHIBITING11-13 September 2008Antalya, Turkeyhttp://www.esmac.org/

3RD WORKSHOP ON BIOMECHANIALEXPERIMENTATION16 September 2008Bern, Switzerlandhttp://www.ircobi.org/

October

ASICS CONFERENCE OF SCIENCE & MEDICINE IN SPORT16-18 October 2008Hamilton Island, Australiahttp://www.sma.org.au/ACSMS/2008/

Rest of the World

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Sports MovementWe begin with Bartlett, R., Wheat, J.,Robins, M.,”Is movement variability important for sports biomechanists?”Sports Biomechanics, Vol 6, # 2 2007, pp224-243. This paper surveys a wide rangeof work on movement variations in sport.They examine the variability reported inthree different sports, javelin throwing,basketball shooting and running. For thetwo throwing activities they find that thepatterns of motion for different athletes arequite different and they speculate thatthere is not actually such a thing as anoptimal pattern which would work foreveryone. They find that among high levelathletes in the javelin throw, variability isreduced during competitions when compared to training. This suggests tothem that the observed variations in movement patterns may not be “noise”,but rather be the end result of mechanisms which adjust so that excessive repetitions of identical loads are avoided to protect the body.

Their discussion of locomotion, particularlyrunning, was of most interest to me. Theydraw on various sources and conclude thatthere is evidence that risk of injury is related, in an inverse fashion, to variability.Their thesis, which they admit is notdemonstrated conclusively at this point, isthat variability in movement patterns protectthe athlete from overuse syndromes. Their

conclusion is that in analysis of sportsthere should be considerably more attentionpaid to measurement of multiple cycles toallow assessment of variation within theindividual as well as comparisons to groupaverages. If this is the case in sports, thenis it also something which should be considered in clinical settings.

Milwaukee Foot ModelIt is interesting to speculate whether being able to separate intra and inter subject variations would have affected theresults reported in: Canseco, K., Long, J.,Marks, R., Khazzam, M., Harris, G.,“Quantitative characterization of gait kinematics in patients with hallux rigidususing the milwaukee foot model”, Journalof Orthopedic Research, EPub Ahead ofPrint, Oct 30, 2007. These authors use a 15 camera VICON and the Milwaukee FootModel (MFM) to compare a group of 22people with Hallux Rigidus to a group of 25 normals. This should be recognized as a substantial series. The biomechanics isof interest because the foot model whichthey use approximates the foot as fourinteracting segments and allows measurements of quite subtle motions.Using the MFM they are able to measureand report that the primary differencesseen in this population were consistentreduction in hallux dorsiflexion andmetatarsal plantarflexion. Both these

motions would be difficult to observe using a less flexible model.

They approach the comparison between thetwo groups from the standpoint of populationcomparisons and produce a set of resultswhich identifies statistically significant differences in motion ranges. Their resultshave quite high variability and it would be very interesting to know whether thevariation within an individual is as high asthe variation of the group and how muchimpact this has on the comparisons.

Increasingly, motion analysis is beingapplied to analysis of the arm. Also, theuse of motion analysis is being taken up by more and more disciplines in order to

Literature Update: The Standard

DR. ED BIDEN

THE MOST ENJOYABLE ASPECT OF WRITING A BRIEF COLUMN SUCH AS THIS IS THAT IT PROVIDES THE OPPORTUNITY, PERHAPS “EXCUSE”, TO REVIEW A MUCH WIDER RANGE OF MATERIAL THAN WOULD BE THE CASE IN ONES DAY TO DAY ACTIVITIES.

THEIR CONCLUSION ISTHAT IN ANALYSIS OFSPORTS THERE SHOULDBE CONSIDERABLY MOREATTENTION PAID TOMEASUREMENT OF MULTIPLE CYCLES TOALLOW ASSESSMENT OF VARIATION WITHIN THE INDIVIDUAL AS WELLAS COMPARISONS TOGROUP AVERAGES.

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/11provide quantitative assessment. The nextthree papers look at an application inwhole body motion in sports; one in brainresearch; and a very nice presentation of the development of a model for assessment in primates.

Arm Biomechanics in ThrowingSachlikidis, A., Salter, C., “A biomechanicalcomparison of dominant and non-dominantarm throws for speed and accuracy”,Sports Biomechanics, Vol 6, #= 3 2007 , pp334-344 develop an argument that highlevel athletes may benefit from becomingas ambidextrous as possible. The argumentis that the ability to use both hands, or bothfeet, increases performance capacity ingeneral and in some sports is critical. Theythen proceed to conduct an experimentwith high level cricket players performingoverhand throws. Using a combination of a250 Hz 8 camera VICON 612 and other highspeed video they measure whole bodymovement using a previously definedmodel which divides the throw into 6 phases.They then compare timing and postureswithin each phase. The paper provides anexample of good use of multiple technology.The VICON system is used to track thethrowing motion but the actual ball motiontracked separately using high speed video.They demonstrate that the throws with thedominant and non-dominant arms arequantitatively different and the resultscould be used to create training regimes toachieve the objective of making the throwermore “ambi-lateral”. An interesting aspect,in light of the paper by Bartlett et al, is thatthe variability as measured by standarddeviation was consistently higher on thedominant side than was the case on thenon-dominant side. One might speculatewhether these athletes were consciously orunconsciously introducing variation in theirstrong throws to protect themselves from injury.

Neural ControlAssessment of motion as way of demonstrating various neural controlstrategies is the subject of Lee, G., Fradet,L., Ketcham, C., Dounskaia, N., “Efficientcontrol of arm movements in advancedage”, Journal Experimental BrainResearch, Volume 177, #1, 2007, pp 78-94.Drawing straight lines is a task that has

been used widely to assess coordinationand how well people can regulate motions.This paper looks at the ability to drawstraight lines on a flat surface and comparesyoung adults, in roughly their third andfourth decades, with older adults in theirseventh and eighth decades. The line drawing task was done seated with thetrunk restrained and a sling used to supportthe arm so as to minimize the effect ofgravity. The participants drew a sequenceof straight lines following a pattern whiletheir arm motions were captured using

a 3D motion tracking system. Their movements were assessed for the frequency content, accuracy, and relativeinertial and muscular moments. It is interesting to me that the only consistentlysignificant differences were in the frequencycontent of the motions, with the older population being generally slower. Onewonders if the extreme simplification of the tasks and the constraints placed on thesubjects contributes to this result. At somelevel this approach of reducing the task toan extremely simple one which can beanalysed with planar models is the oppositeof Canseco et al where they try to take an actual activity and approach it with a measurement model of sufficient complexity to measure the subtleties.

Primate ReachingThe final paper in this review is Chan, S.,Moran, D., “Computational model of a primate arm: from hand position to jointangles, joint torques and muscle forces”,Journal of Neural Engineering, Vol 3,2006, pp 327-337. This paper appliesmotion analysis and modeling techniqueswhich have been used in human movementanalysis to a primate model. They use a 3D motion tracking system and the SIMMmuscle modeling system to assessreaching in small primates. In some ways there is nothing particularly new in this paper other than it seems they are

addressing an audience who are unfamiliarwith such techniques. As a result, thiswould make an excellent teaching paperbecause it provides a very high level ofdetail as to how they approached theproblem of defining the limb, and particularly muscle, geometry and howthey then used this in combination with movement tracking to model thekinematics and kinetics of the arm. They even provide a supplementallink to Matlab software to implement their solution.

These papers have made me curious aboutwhether we should be more focused onintra-subject variation. When quantitativemovement analysis began 50 years ago thefocus had to be on measuring “typical”examples because the effort involved infilm digitization made multiple measuresfor single individuals impractical. With thesystems we have today this is much less ofa limitation and these papers suggestexplicitly or by implication that there maybe elements in within-subject variationswhich are important. n

WITH THE SYSTEMS WE HAVE TODAY THIS IS MUCH LESS OF A LIMITATION AND THESE PAPERSSUGGEST EXPLICITLY OR BY IMPLICATION THATTHERE MAY BE ELEMENTS IN WITHIN-SUBJECT VARIATIONS WHICH ARE IMPORTANT.

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Nuffield Orthopedic CentreRaises £10,000.00 For ActionMedical Research

Vicon would like to congratulatethe Nuffield Orthopedic Centerin Oxford, UK for participating in the challenge of a lifetime and cycling 300 miles fromLondon to Paris. The teamraised a staggering £10,000.00for Action Medical Researchwww.action.org.uk as well aschallenging their fitness levelsand willpower. n

From left to right: Andy Wainwright, Rob Buckingham, Vince Webb (front row),Rachel Buckingham (back row), Jo Bates (middle), Jennifer McCahill(middle), Hilary Bridge (back row), Jon Warwick, Mark Selfridge, Tim Theologis

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