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Biomechanics and Gait Analysis
Biomechanics and
Gait Analysis
Nick Stergiou
Department of Biomechanics, University of Nebraska at Omaha,
Omaha, NE, United States
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This book and the individual contributions contained in it are protected under copyright by the Publisher
(other than as may be noted herein).
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding,
changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information,
methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own
safety and the safety of others, including parties for whom they have a professional responsibility.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/
or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any
methods, products, instructions, or ideas contained in the material herein.
This book is dedicated to my mentors and all those people who helped me
become the person I am.
Contents
LIST OF FIGURES........................................................................................ xi
LIST OF CONTRIBUTORS .......................................................................... xxi
PREFACE ................................................................................................ xxiii
Figure 2.15 Angles are analyzed from video recordings. We start with 46
certain coordinates as we see below. Let us assume that we
want to calculate the absolute angle of the shank with respect
to the horizontal. Using trigonometry for each segment, we get
the following summarized formula: tan θshank=(y proximaly
distal)/(x proximalx distal)=y kneey ankle/x kneex ankle=
(51)/(21)=4/1=3=inverse tan(4)=76 degrees.
Figure 2.16 Linear displacement is the product of radius of rotation and 48
angular displacement (d=rθ). Thus the farther away is the point
of interest in the rotating object from the axis of rotation
(r2 . r1), the larger the linear displacement (d2 . d1). The
angular displacement θ is the same for all rotating points.
Figure 2.17 A subject is stepping on force platforms like those shown 50
installed on the ground of a gait analysis laboratory at the
Biomechanics Research Building (see Fig. 2.14A). (A) A closer
look at these force platforms. (B) A visual 3D generated model
of the subject with the resultant ground reaction force vector
identified in blue. (C) The three separate components of the
resultant ground reaction force vector during walking.
Figure 2.18 The relationship between applied force and friction force. 51
Figure 2.19 The three classes of levers. (A) First class where the fulcrum or 56
axis is between the effort and the resistance. (B) Second class
where the resistance is between the axis and the effort. (C)
Third class where the effort is between the resistance and the
axis.
Figure 3.1 The progression of scientific production. 68
Figure 3.2 The steps of scientific inquiry. 68
Figure 3.3 Here we can observe the strategy of the solution we selected to 71
flex and extend our knee during walking. We also observe the
variability from one trial to the next or from one stride to the
next over this strategy, as the trajectories do not perfect
overlap. Data are provided from the University of Nebraska
Biomechanics Research Building database.
Figure 3.4 In this graph we observe impact ground reaction force data from 71
three different landing conditions. It is evident that the group
response reveals almost negligible differences between
conditions, resulting in a lack of statistical significance in a group
model. However, the five subjects have quite different responses.
These individual responses are missed when all the subjects are
group together. Data are provided from Dr. Barry Bates’ personal
database.
Figure 4.1 The Stickman and Stickwoman as drawn by Dr. Barry Bates. 82
His artistic abilities are clearly displayed.
Figure 4.2 The complex interactions of human movement and 83
performance present a dilemma to Stickman in executing
motor skills.
Figure 4.3 An overall conceptual model of the Stickman as an individual. 83
Figure 4.4 The components of movement. 85
Figure 4.5 A schematic of what we are as humans from a movement 86
perspective.
List of Figures xiii
Figure 5.4 The frequency domain of the digital periodic waveforms (A) 116
WA=sinðω0 t Þ, (B) WB=1=3sinð23ω0 t Þ, (C) WAB=sinðω0 t Þ 1 1=3
sinð23ω0 t Þ, with ω0=2π rad/s ( f0=1 Hz) are represented by bars
located at the different harmonics. The harmonics are
calculated as multipliers of the fundamental frequency f0 and
are measured in Hertz. The length of the bars is the absolute
value of the amplitude of each harmonic. When the recorded
time t is not equal to the period T0 of the waveforms (or an
integer multiple of it), the energy of the harmonic is leaked
over adjacent frequency bins.
Figure 5.5 (A) Signal to be recorded. (B) An example in which periodic 118
waveforms have circular continuity because the recorded time
equals to their period T0. (C) An example in which periodic
waveforms do not have circular continuity because the recorded
time is different to their period T0. The sudden gaps at the end
of the repeated waves provoke leakage in the frequency domain.
Figure 5.6 The Hann window reduces the spectral leakage of the digital 120
periodic waveform in the frequency domain. The spectral plot
of the waveform without tapered by a window function and
without leakage is presented in Fig. 5.4C.
Figure 5.7 Spectral and power spectrum density (PSD) plots of a digital 123
time series data.
Figure 5.8 (A) Signal to be recorded. (B) Discrete Fourier transform (DFT) 126
and (C) short-time discrete Fourier transform (STDFT) of a
nonstationary signal. Only the timefrequency analysis
provides time localization of the frequency components of the
signal. However, to achieve a good time localization, narrow
windows are needed at the expense of blurring the frequency
domain. In contrast, wider windows provide precision in the
frequency domain.
Figure 5.9 The first derivative (velocity) and the second derivative 131
(acceleration) of WAB, previously presented in Fig. 5.2C. The
blue line is the first derivative of the WA signal. Compare
the oscillations with Fig. 5.2C. Note the dramatic increase of
the high-frequency (WB) component of the signal WAB.
Figure 5.10 The power spectrum of the Lanshammar data (1982) and 132
of its two first derivatives. The power of the higher
frequency band increases dramatically, especially at the
second derivative.
Figure 5.11 There are four types of filters, although in human movement 134
we frequently use the lowpass for kinematic data filtering
and the band pass for EMG data filtering. The type chosen
depends on the frequencies that we want to eliminate. To
eliminate the higher frequencies we use a low-pass filter, to
eliminate the lower frequencies we use a high-pass filter, to
remove frequency components at the central part of the
power spectrum we use a band-stop filter, to keep central
frequency components and remove the components at the
lowest and the highest band of the spectrum we use a band-
pass filter. In the low-pass and high-pass filters Fc indicates
the cutoff frequency. In the band-stop and band-pass filters
Fc1 and Fc2 define a range in the frequency spectrum to
keep or remove specific frequency bands.
List of Figures xv
Figure 5.12 The angular displacement time-series data of the elbow joint 135
collected by Pezzack et al. (1977) and modified by
Lanshammar (1982a) filtered with the fourth-order zero-
phase-shift low-pass filter from Eq. (5.37) at three different
cutoff frequencies (1, 2, and 3 Hz). A higher cutoff frequency
will “push” the reconstructed signal toward the raw signal.
The cutoff frequency of 3 Hz provides an
acceptable reconstruction of the angular displacement data.
Figure 5.13 The calculated acceleration of a free-falling ball as recorded by 137
Vaughan (1982) after being filtered with a Butterworth digital
filter (cutoff frequency 4 Hz). The acceleration should be equal
to the gravitational acceleration (29.8 m/s2), but it appears not
to be. This graph demonstrates the effect of the order of the
filter. The increase in order from two to four and then to six
introduces unwanted oscillations in the acceleration pattern.
The problem of a nonconstant acceleration around the area of
29.84 m/s2 is more evident at the edges.
Figure 5.14 (A) Example of a low-pass filter (cutoff frequency=2 Hz) 142
applied to a sine wave sampled at 40 Hz, with amplitude equal
to 1 m, and frequency equal to 2 Hz. (B) The signal
interpolated by a factor of 2, and filtered with cutoff frequency
equal to the frequency of the sine wave (cutoff
frequency=2 Hz). (C) Since the amplitude of the filtered signal
has been reduced by a ratio of 0.707, the low-pass filter
correctly attenuated the signal. The power spectra of the
original and reconstructed signal are shown.
Figure 5.15 Example of a recursive low-pass filter applied to a sine wave 144
with amplitude equal to 1 m and cutoff frequency equal to the
frequency of the sine wave. Since the amplitude of the filtered
signal has been reduced by a ratio of 0.707, the low-pass filter
correctly attenuated the signal. However, the function without
the correction factor reduced the amplitude by nearly one-half
(0.51), indicating that the coefficients need correction.
Figure 6.1 The force produced during a twitch, unfused tetanus, and 151
tetanus.
Figure 6.2 The forcevelocity relationship in blue (Eq. 6.1) and the 152
powervelocity relationship in green (Eq. 6.2). Maximum
force is produced at zero velocity, while maximum power is
produced at less than half of the maximum velocity.
Figure 6.3 The mechanical structure of the muscle with the contractile 152
component (CE), the parallel elastic component (PE), and the
series elastic component (SE).
Figure 6.4 The lengthtension curves of the tetanized (green) muscle and 154
passive (blue) and active (red) components. The difference
between the tetanized and passive curve determines the active
elastic component of the muscle.
Figure 6.5 An example stressstrain relationship for a ductile material. 155
Stress is represented on the x-axis and strain is on the y-axis. 1:
Ultimate strength; 2: yield strength; 3: proportional limit stress;
4: point of rupture; 5: offset strain.
xvi List of Figures
Figure 6.6 Concentrations of lactic acid (red, circles), adenosine triphosphate 162
(ATP) (blue, crosses) and phosphocreatine (PCr) (yellow, diamonds)
during sustained tetanus. It can be seen that the concentration of
ATP stays about the same for the duration of tetanus while there
is a decrease in PCr and an increase in lactic acid.
Figure 6.7 The different types of muscle organization. Unipennate 164
muscles (A) have the tendon running along one side of the
muscle fibers. In a bipennate muscle (B), the tendon passes up
the center of the muscle and the fibers are attached on either
side. Multipennate muscles (C) have tendon material
approaching the belly of the muscle from both ends.
Figure 6.8 A schematic representation of a muscle fiber, and zoomed in as 165
a myofibril.
Figure 6.9 Schematic representation of the actin and myosin overlap during 167
relaxed and contracted conditions. This representation is updated
to include titin as a spring element connected to the myosin
filaments.
Figure 6.10 The tensionlength curves of a single muscle fiber for different 168
sarcomere lengths.
Figure 6.11 The percentage of attached crossbridges for different 175
displacements. At zero shortening speed the number of
crossbridges remains constant. As the speed of shortening
increases, the number of attached crossbridges decreases for all
displacements.
Figure 6.12 The rate of energy liberation comparison between Hill original 177
(1938) and an updated (1964) model.
Figure 6.13 The organization of the central nervous system with arrows 182
showing the connections between different regions of the brain.
Figure 6.14 The muscle proprioceptors and the associated reflex pathway. 186
Reflex pathways typically only involve the spinal cord and do
not require any further central nervous system interaction. This
specific illustration details the extensor digitorum reflex.
Figure 6.15 The principle of reciprocal inhibition: (left) cocontraction and 192
(right) inhibition when a force is applied to the wrist.
Figure 6.16 A mechanical oscillator based on reflex reversal. 193
Figure 6.17 The setup of a motion-capture laboratory at the University of 198
Nebraska at Omaha with forceplates embedded into the
treadmill. Cameras are seen attached to the wall (see boxes).
Figure 6.18 The force profiles generated while walking over a forceplate. 199
Figure 6.19 A loglog graph with stride frequency and shoulder height 207
comparisons for different animals in Serengeti National Park.
Figure 7.1 The three separate components of the resultant ground 233
reaction force vector during the gait cycle; mediallateral,
anteriorposterior, and vertical (in Newtons).
Figure 7.2 (A) Bauby and Kuo’s theoretical perspective for motor control 237
of gait. Note that the Bauby and Kuo (2000) model shows a
distinct division between the anatomical planes with no
potential for passive stabilization in the lateral direction.
(B) Proposed modifications of Bauby and Kuo’s theoretical
perspective for motor control of gait. In the proposed modified
List of Figures xvii
Figure 9.2 (A) Phase portrait of a simple sinusoid. The horizontal axis has 291
arbitrary units and the vertical axis depicts its time derivative.
(B) Phase portrait of a lower limb segment captured from
several walking cycles on a treadmill. (C) Simulation of a
strange attractor, the Rössler equation, projected into the xy
plane. Panel (C) also has arbitrary units.
Figure 9.3 (A) Demonstration of right thigh phase angle calculation for 292
approximately one stride of treadmill walking. The phase
portrait traces out its trajectory in a clockwise fashion. (B)
Phase portrait of right thigh angle over several cycles of
treadmill walking. Deviations from limit cycle behavior
resulted from a brief halt of the treadmill belts.
Figure 9.4 (A) Graphical representations of the segment angles. (B) Mean 298
ensemble continuous relative phase (CRP) curve showing
coordination patterns between shank and thigh segments
during several minutes of walking performed by a single
healthy exemplar subject. The dashed line reflects the mean
ensemble curve. Solid lines represent 6 1 standard deviation
from the mean. The dashed vertical line separates the stance
and swing phases of the gait cycle.
Figure 9.5 (A) Time series plots of nonsinusoidal signals. The signals are 301
identical, but one is shifted by 45 degrees. (B) Comparison of
normalization techniques with the Hilbert transform method
of continuous relative phase (CRP) estimation.
Figure 10.1 (A) Experimental setup for a visual-motor tracking experiment. 314
(B) Lateral position time series obtained for several cycles from
the experiment in depicted in (A). (C) Time series of
oscillation amplitudes obtained from the time series partially
depicted in (B).
Figure 10.2 Brassica oleracea (aka Romanesco broccoli). This vegetable is 317
famous for its characteristic fractal shape. The entire
vegetable is composed of a unique spiraling texture such that
small portions of the bud look like the entire thing.
Figure 10.3 Three drawings of Great Britain, with the length of its coastline 317
measured using three different rulers. Each successive ruler is
one-half the length of the previous one. This demonstrates the
scale-free property of fractals: changing ruler size changes the
length measurement. Hence, the coastline of Great Britain has
no characteristic length.
Figure 10.4 (A) Line drawing of a square. The area of the square does not 318
change as a function of the ruler used to measure it. Measuring
the perimeter with increasingly smaller rulers does not alter the
result of measurement. (B) The von Koch curve after 03
iterations (top to bottom). The von Koch curve is defined over an
infinite number of iterations, with the length of the curve also
increasing upon each iteration. Hence the von Koch curve has
no characteristic measurement of length.
Figure 10.5 Zooming into the amplitude time series from Fig. 10.1C. (A) 320
The entire time series. (B, C) Plots half and one-fourth of that
time series, respectively. Plotting the data in this way suggests
that, consistent with fractal theory, smaller portions of the time
series bear a striking resemblance to the entire series.
1.2 The history of biomechanics 3
Author: F. C. Hipkins
Language: English
Repton Church.
REPTON
AND ITS NEIGHBOURHOOD:
A DESCRIPTIVE GUIDE OF
THE ARCHÆOLOGY, &c., OF THE DISTRICT.
BY
F. C. HIPKINS, M.A., F.S.A.,
ASSISTANT MASTER AT REPTON SCHOOL.
SECOND EDITION.
REPTON:
A. J. LAWRENCE, PRINTER.
PREFACE.
In the year 1892, I ventured to write, for Reptonians, a short History
of Repton, its quick sale emboldened me to set about obtaining
materials for a second edition. The list of Authors, &c., consulted
(printed at the end of this preface), will enable any one, who wishes
to do so, to investigate the various events further, or to prove the
truth of the facts recorded. Round the Church, Priory, and School
centre all that is interesting, and, naturally, they occupy nearly all the
pages of this second attempt to supply all the information possible to
those who live in, or visit our old world village, whose church, &c.,
might well have served the poet Gray as the subject of his Elegy.