Height of chair seat and movement characteristics in sit-to-stand by young and elderly adults

The height of a chair seat affects the burden on the lower limbs during the sit-to-stand (STS). To develop an objective test to evaluate muscle function of the lower limbs using floor reaction force during a STS, the relationship between chair-seat height and the burden on the lower legs must be assessed. To examine the influence of the chair-seat height, floor reaction forces during a STS performed with 5 chair heights adjusted to each subject's lower leg length were compared. The force production and quickness of movement tended to decrease in the phases of trunk flexion and knee and hip joint extension when performing a STS from a lower chair, when the chair height differed by 20% (6.2 cm) from the lower leg length, and was marked when the difference between chair height and lower leg length became larger. In 52 elderly and 50 young adults, floor reaction forces during a STS performed from a chair of the same height as subjects' lower leg lengths were compared. Elderly persons were inferior in force production (strength) and quickness of movement, which decreased as elderly stood up from a chair of a lower height.     

Premovement posture and focal movement velocity affects on postural responses accompanying rapid arm movement

Coordination of intentional upper limb movement concurrent with supporting postural activity was investigated in adult males under varying task conditions. Seven subjects performed a 60 deg rapid elbow flexion (focal movement) to a target in movement times of 170, 195, or 220 ms while standing. Measurement of center of pressure via a force platform revealed that subjects adopted individual premovement postural preferences such that locus of center of pressure resided in one predominant quadrant of the foot. Each premovement postural preference was accompanied by one most common postural muscle onset sequence as indicated by bilateral EMG analysis of rectus femoris and biceps femoris. In addition, onset times for postural muscles exhibiting anticipatory postural activity occurred earlier relative to biceps branchii as focal movement velocity increased. The finding that each premovement postural condition was accompanied by one particular postural muscle onset sequence suggested that postural synergies were flexibly organized with respect to onset sequence.     

Ground reaction force adaptations during cross-slope walking and running

Though transversely inclined (cross-sloped) surfaces are prevalent, our understanding of the biomechanical adaptations required for cross-slope locomotion is limited. The purpose of this study was to examine ground reaction forces (GRF) in cross-sloped and level walking and running. Nine young adult males walked and ran barefoot along an inclinable walkway in both level (0°) and cross-slope (10°) configurations. The magnitude and time of occurrence of selected features of the GRF were extracted from the force plate data. GRF data were collected in level walking and running (LW and LR), inclined walking and running up-slope (IWU and IRU), and down-slope (IWD and IRD), respectively. The GRF data were then analyzed using repeated measures MANOVA. In the anteroposterior direction, the timing of the peak force values differed across conditions during walking (p=.041), while the magnitude of forces were modified across conditions for running (p=.047). Most significant differences were observed in the mediolateral direction, where generally force values were up to 390% and 530% (p<.001) larger during the cross-slope conditions compared to level for walking and running, respectively. The maximum force peak during running occurred earlier at IRU compared to the other conditions (p≤.031). For the normal axis a significant difference was observed in the first maximum force peak during walking (p=.049). The findings of this study showed that compared to level surfaces, functional adaptations are required to maintain forward progression and dynamic stability in stance during cross-slope walking and running.     

Biological motion task performance predicts superior temporal sulcus activity

Numerous studies implicate superior temporal sulcus (STS) in the perception of human movement. More recent theories hold that STS is also involved in the understanding of human movement. However, almost no studies to date have associated STS function with observable variability in action understanding. The present study directly associated STS activity with performance on a challenging task requiring the interpretation of human movement. During functional MRI scanning, fourteen adults were asked to identify the direction (left or right) in which either a point-light walking figure or spinning wheel were moving. The task was made challenging by perturbing the dot trajectories to a level (determined via pretesting) where each participant achieved 72% accuracy. The walking figure condition was associated with increased activity in a constellation of social information processing and biological motion areas, including STS, MT+/V5, right pars opercularis (inferior frontal gyrus), fusiform gyrus, and amygdala. Correctly answered walking figure trials were uniquely associated with increased activity in two right hemisphere STS clusters and right amygdala. Present findings provide some of the strongest evidence to date that STS plays a critical role in the successful interpretation of human movement.     

Biological motion task performance predicts superior temporal sulcus activity

Numerous studies implicate superior temporal sulcus (STS) in the perception of human movement. More recent theories hold that STS is also involved in the understanding of human movement. However, almost no studies to date have associated STS function with observable variability in action understanding. The present study directly associated STS activity with performance on a challenging task requiring the interpretation of human movement. During functional MRI scanning, fourteen adults were asked to identify the direction (left or right) in which either a point-light walking figure or spinning wheel were moving. The task was made challenging by perturbing the dot trajectories to a level (determined via pretesting) where each participant achieved 72% accuracy. The walking figure condition was associated with increased activity in a constellation of social information processing and biological motion areas, including STS, MT+/V5, right pars opercularis (inferior frontal gyrus), fusiform gyrus, and amygdala. Correctly answered walking figure trials were uniquely associated with increased activity in two right hemisphere STS clusters and right amygdala. Present findings provide some of the strongest evidence to date that STS plays a critical role in the successful interpretation of human movement.     

Anticipating ankle inversion perturbations during a single-leg drop landing alters ankle joint and impact kinetics

Anticipatory responses to inversion perturbations can prevent an accurate assessment of lateral ankle sprain mechanics when using injury simulations. Despite recent evidence of the anticipatory motor control strategies utilized during inversion perturbations, kinetic compensations during anticipated inversion perturbations are currently unknown. The purpose of this investigation was to examine the influence of anticipation to an inversion perturbation during a single-leg drop landing on ankle joint and impact kinetics. Fifteen young adults with no lateral ankle sprain history completed unanticipated and anticipated single-leg drop landings onto a 25° laterally inclined platform from a height of 30 cm. One-dimensional statistical parametric mapping (SPM) was used to analyze net ankle moments and ground reaction forces (GRF) during the first 150 ms post-landing, while peak GRFs, time to peak GRF, peak and average loading rates were compared using a dependent samples t-test (p ≤ 0.05). Results from the SPM analysis revealed significantly greater plantar flexion moment from 58 to 83 ms post-landing (p = 0.004; d = 0.64–0.77), inversion moment from 89 to 91 ms post-landing (p = 0.050; d = 0.58–0.60), and medial GRF from 62 to 97 ms post-landing (p < 0.001; d = 1.00–2.39) during the unanticipated landing condition. Moreover, significantly greater peak plantarflexion (p < 0.001; d = 1.10) and peak inversion moment (p = 0.007; d = 0.94), as well as greater peak (p = 0.002; d = 1.03) and average (p = 0.042; d = 0.66) medial loading rates, were found during the unanticipated landing condition. Our findings suggest alterations to ankle joint and impact kinetics occur during a single-leg drop landing when inversion perturbations are anticipated. Researchers and practitioners using drop-landings onto a tilted surface to assess lateral ankle sprain injury risk should consider implementing protocols that mitigate anticipatory responses.     

Older adults exhibit altered motor coordination during an upper limb object transport task requiring a lateral change in support

Investigating an ecologically relevant upper limb task, such as manually transporting an object with a concurrent lateral change in support (sidestepping alongside a kitchen counter), may provide greater insight into potential deficits in postural stability, variability and motor coordination in older adults. Nine healthy young and eleven older, community dwelling adults executed an upper limb object transport task requiring a lateral change in support in two directions at two self-selected speeds, self-paced and fast-paced. Dynamic postural stability and movement variability was quantified via whole-body center of mass motion. The onset of lead lower limb movement in relation to object movement onset was quantified as a measure of motor coordination. Older adults demonstrated similar levels of stability and variability as their younger counterparts, but at slower peak movement velocity and increased task duration. Furthermore, older adults demonstrated asymmetrical motor coordination between left and right task directions, while younger adults remained consistent regardless of task direction. Thus, older adults significantly modulated movement speed and motor coordination to maintain similar levels of stability and variability compared to their younger counterparts.     

Understanding individual differences in lifting mechanics: Do some people adopt motor control strategies that minimize biomechanical exposure

The movement strategy an individual uses to complete a lift can influence the resultant biomechanical exposure on their low back. We hypothesize that some lifters may choose a motor control strategy to minimize exposure to the low back, where others may not. Lower magnitudes of exposure to the low back coupled with less variability in lift-to-lift exposure and in features of movement strategy related to biomechanical exposure would support that such lifters consider minimizing exposure in their motor control strategy. We tested this hypothesis by investigating if differences in variability of low back exposure measures, as well as features of movement strategy related to resultant low back exposures differed across lifters. Twenty-eight healthy adults participated in the study where ten repetitions of a lifting task with the load scaled to 75% of participant's one-repetition maximum were completed. In all trials, whole-body kinematics and ground reaction forces were collected. Lifters were grouped as low, moderate or high relative exposure based on low back flexion angles and normalized L4/L5 extensor moments when lifting. Principal component analysis was used to identify independent movement strategy features, and statistical testing determined which features differed between high and low exposure lifts. Variability in low back exposures and movement features associated with relative biomechanical exposure were compared across lifter classifications. Significantly less variability was observed in low back exposures among the low exposure lifter group. Additionally, a trend towards lower variability in movement features associated with relative biomechanical exposure was also observed in low exposure lifters. These findings provide initial support for the hypothesis that some lifters likely define a motor control strategy that considers minimizing biomechanical exposure in addition to completing the lift demands. Future work should explore how state and trait-based factors influence an individual to consider biomechanical exposure within their motor control strategy in lifting.     

A functional modulation for timing a movement: a coordinative structure in baseball hitting

In baseball hitting, a powerful bat-swing needs to be produced by utilizing ground reaction force (GRF) and it should also be temporally coordinated relative to the flight of the pitch. The temporal organization of hitting movements associated with these task requirements was investigated by analyzing GRF during hitting slow and fast pitches. The timing of stepping with a front foot and shifting weight forward was modulated relative to the pitch's speed. The temporal relation between successive motion phases was compensatory and timing variability progressively reduced up to ball-bat contact. These results demonstrated the coordinative structure of the hitting movement for timing the bat-swing relative to the pitch's flight.     

Rhythmic performance during a whole body movement: dynamic analysis of force-time curves

The purpose of this study was to investigate rhythmic performance during two-legged hopping in place. In particular, it was tested whether (a) timing control is independent of force control, (b) a dynamic timer model explains rhythmic performance, and (c) it is a force related parameter that carries the timing information. Eleven participants performed two-legged hopping at their preferred hopping frequency (PHF) and at two hopping frequencies set by an external rhythmic stimulus as lower (LHF) and higher (HHF) than their PHF, respectively. A force plate was used to record the ground reaction force (GRF) time curves during two-legged hopping. The primary temporal and force related parameters determined from the GRF-time curves were the durations of the cycle of movement (t(cycle)), of the contact phase (t(contact)), of the flight phase (t(flight)), the magnitude of peak force (Fz(peak)) and the rate of peak force development (RFD). Control of t(cycle) was independent of force control as shown by the non-significant correlations between t(cycle) and the force parameters of the GRF-time curve. Lag 1 autocorrelations of t(cycle) were not significant in any of the HF, thereby a dynamic timer model is considered to explain the timing of t(cycle) during two-legged hopping. RFD varied more than any other GRF-time curve parameter, exhibited consistent significant strong correlations with the GRF-time curve parameters and significant negative lag 1 autocorrelations in PHF, thus, it was highlighted as the potent timing control parameter. Finally, we provide a practical application for the optimization of rhythmic performance.     

Effect of movement speed on lower and upper body biomechanics during sit-to-stand-to-sit transfers: Self-selected speed vs. fast imposed speed

Preferred and fast speed sit-to-stand and stand-to-sit (STS) tests are prevalent in literature, but biomechanical changes between the different speeds of STS have never been studied. Understanding differences between these STS techniques will better inform experimental design for research assessing functional ability in clinical populations. The purpose of this study was to investigate the effect of different speeds of STS transfers on lower body and trunk kinematics and kinetics in healthy adults. Nineteen healthy middle-aged and older adults participated in this study. Two different speeds of STS were tested: self-selected speed and fast speed (as quickly as possible). Ten Vicon cameras and two AMTI force platforms were used to collect three-dimensional kinematic and kinetic data. During sit-to-stand transfer, peak knee extension velocity and knee extension moment were significantly increased for the fast speed STS as compared to the preferred speed STS. During stand-to-sit transfer, peak knee extension moment and lower back moment were significantly increased while STS time was decreased for the fast speed STS as compared to the preferred speed STS. Our results indicate that the fast speed STS could be more challenging for participants compared to the preferred speed STS evidenced by greater knee and lower back joint movements. Therefore, fast STS tests should be reconsidered when testing middle-aged and older adults with chronic low back pain and knee joint problems.     

Focus of attention effects on lower extremity biomechanics during vertical jump landings

This study examined biomechanical differences between external and internal foci of attention during vertical jump landings in males and females. Twenty-four healthy adults performed eight vertical jump landings using both internal and external foci while three-dimensional kinematic and ground reaction force (GRF) data were obtained. Two (focus) by two (sex) analyses of variance (α = 0.05) and Cohen's d effect sizes (ES) were used to compare differences in vertical GRF, joint angular positions and displacements, and lower limb joint angular work between foci and between sexes. Significantly greater knee contributions to total angular work occurred during external versus internal focus landings regardless of sex (p = .013; ES = 0.30). Significantly smaller plantarflexion angles (p = .019; ES = 0.53) and significantly greater knee flexion angles were observed at ground contact (p < .001; ES = 1.11) in males during external focus landings. Females exhibited significantly smaller knee flexion angles at both ground contact during external versus internal focus landings (p = .031; ES = 0.20) and compared to males during external focus landings (p < .001; ES = 1.76). Both peak vertical GRF (p = .003; ES = 1.54) and the ankle contributions to total angular work during loading (p = .026; ES = 1.07) were greater in females versus males regardless of foci, whereas the knee contributions to total angular work during loading were smaller in women (p = .026; ES = 1.07). Males and females might consider adopting an external focus during vertical jump landings to increase knee joint contributions to lower limb energy absorption. Females, in particular, might consider external focus use to decrease peak vertical GRF and increase the knee joint's contribution to total energy absorption to magnitudes similar to those exhibited by males.     

Effects of Visual Manipulation in Sit-to-Stand Movement in Children With Cerebral Palsy

The authors sought to verify the effects of vision on sit-to-stand (STS) movement performance by means of postural sway in children with cerebral palsy (CP) and typical children (TC). Participants were 42 TC and 21 children with CP. STS movement was assessed with eyes open and with eyes closed. Area and velocity of center of pressure sway were analyzed in each of the 3 STS phases. We observed greater postural sway during STS movement with eyes closed. Children with CP presented greater postural sway than TC did. Both groups exhibited greater postural instability with absence of vision expressing the role of vision to keep postural stability. Moreover, the greater postural instability was observed in children with CP.     

Coordination modes in sensorimotor synchronization of whole-body movement: a study of street dancers and non-dancers

This study investigated whole-body sensorimotor synchronization (SMS) in street dancers and non-dancers. Two kinds of knee bending movement in a standing position to a metronome beat were explored in terms of stability under different movement frequencies: down-movement condition (knee flexion on the beat) and up-movement condition (knee extension on the beat). Analyses of phase relation between movement and beat revealed several distinct differences between the down- and up-movement conditions, and between dancers and non-dancers. In both groups under the up-movement condition, deviation from intended phase relation at higher beat rates, and enhanced fluctuations were observed. The deviation from intended phase relation under up-movement condition, and movement fluctuations were greater in non-dancers than in dancers. Moreover, subjective difficulty rating revealed that both groups felt that the up-movement condition was more difficult at higher beat rates. These findings suggest that down and up movements are two distinguishable coordination modes in whole-body coordination, and that street dancers have superior whole-body SMS ability.     

Whole-body kinematics and coordination in a complex dance sequence: Differences across skill levels

This study examined differences across skill levels in the kinematics of a complex, whole-body, asymmetrical, cyclical dance sequence, the ‘Alternate Basic’ in Cha-Cha-Cha, to determine whether observed differences were consistent with Bernstein's (1967) model of development of coordination. Bernstein proposed that with novel motor skills, beginners move their bodies rigidly and spastically, freezing kinematic degrees of freedom (DOF) to constrain the motor system. As the skill becomes practised, the DOF unfreeze and movements become more dynamic, allowing the integration of reactional elements (passive forces, moments, etc.) and organisation of more complex coordinative structures. Twenty-nine dancers - beginners (n = 10), intermediates (n = 10), experts (n = 9) - performed 12 cycles of the dance sequence (total duration ~60 s). Three-dimensional kinematic data from 36 joint angles were collected using a 14-camera infrared motion capture system. Most joints displayed increased amplitude and speed of movement, especially early in skill progression (beginner-intermediate stage), with no evidence of any decreases, showing that unfreezing occurred around the general movement pattern early. Speed of movement continued to increase later (intermediate-expert stage), as well as further unfreezing of the upper limbs. Changes to intra-limb couplings were limited, comprising some early reductions in coupling strength. Principal component analyses (PCA) showed that the structure of movement became more organised with increased skill. There was an early reduction in the number of coordinative structures, while later, movement was integrated more into the first coordinative structure. As predicted by Bernstein's coordination development model, therefore, the kinematic DOF unfroze as skill level progressed, leading to increased organisation of coordinative structures. The results of this study support the importance of a whole-body perspective in studies of coordination, with incorporation of kinetic variables in future research in order to examine the role that reactional elements play in motor skill development.     

Sit-to-stand movement in children: A longitudinal study based on kinematics data

Although the ability to stand from a seated posture is relevant for clinical practice, there are few studies investigating the process of acquisition and refinement of the motor components involved in sit-to-stand movement (STS) in children. Therefore, this longitudinal study aims to describe kinematic characteristics of the STS movement in children from 12 to 18 months, and also to investigate the relationship between changes in STS movement and childrens’ daily-life mobility. Ten healthy children were evaluated at 12,13,14,15 and 18 months of age. A motion analysis system was used to measure total duration of STS movement and angular movements of each joint, and frequencies of successful and unsupported STS were obtained. The Pediatric Evaluation of Disability Inventory was used to assess childrens’ daily-life mobility. Results showed that children tend to increase the frequency of successful trials over the months by reducing the total duration and decreasing peak ankle dorsiflexion and trunk flexion during STS. Children also started to stand up from chair with decreased trunk flexion angle among ages. At the end of the STS, we observed decreases in trunk flexion and knee flexion over age. Furthermore, kinematic characteristics that reflect improvements in STS movement are related to better performance of functional skills and decreased level of assistance provided by the caregiver in daily-life mobility of younger children. However, the strength of these associations decreases from 14 months of age onwards.     

Benefits of Blocked Over Serial Feedback on Complex Motor Skill Learning

The effects of blocked versus serial feedback (FB) on the learning of a complex motor skill-the production of slalom-type movements on a ski-simulator-were examined. FB was given about force onset, which is considered to be a measure of movement efficiency; relatively late force onsets characterize expert performance. One group of participants (blocked FB; n = 10) received FB about 1 foot per day; for example, for the right foot on Days 1 and 3 and for the left foot on Days 2 and 4. For another group (serial FB; n = 10), the foot about which FB was received was switched on consecutive trials on each of 4 days of practice. Learning was assessed on no-FB trials at the beginning of Days 2, 3, and 4, and on Day 5. Even though there were no differences between groups in force onset, the blocked FB group produced significantly larger movement amplitudes and higher movement frequencies than the serial FB group on the retention test on Day 5. Thus, contrary to the learning of more simple skills (e.g., T. D. Lee & H. Carnahan, 1990), constantly changing the movement component that FB is provided about did not seem to be beneficial for the learning of more complex skills. The findings add to the increasing evidence showing that practice variables that have been shown to enhance the learning of simple skills can actually be detrimental to the learning of complex skills.     

Instruction in reliability and magnitude of evaluation parameters at each phase of a sit-to-stand movement

The sit-to-stand movement strategy of each subject is different depending on whether the subjects perform voluntary movements or have concrete instructions (i.e., stand quickly), which is strongly reflected in the performance of each sit-to-stand movement phase. Thirty young-adult male subjects participated in this study (M age=20.7 yr; SD=2.6). Subjects performed the two movements from a chair height adjusted to the subject's lower thigh length. In the self-administered (SA) condition, subjects voluntarily stood up from the chair without instruction, and in the assigned-ordered (AO) condition subjects stood up from the chair as fast as possible. Vertical floor reaction force and electromyograms of the rectus femoris and tibialis anterior muscles were measured, and 15 parameters were selected. The parameters in the phase between the peak value of the floor reaction force and completion of the movement was highly reliable regardless of instruction. However, other parameters had different reliabilities between the instruction conditions. In particular, the parameters in the phase between starting the movement and the peak value of the floor reaction force under the assigned-order were higher than those of the self-administered condition. Moreover, the sit-to-stand movement was conducted faster in the assigned-order condition during the phase between starting the movement and buttocks-syneresis, and the peak value of the floor reaction force and completion of the movement. From the above, in the assigned-order condition "as fast as possible," the anteflexion bending movement and extension of knee and trunk joints were faster, and anteflexion movement was repeated more similarly under a concrete instruction such as moving as fast as possible.     

The influence of speed and force on bimanual finger tapping patterns.

The current study investigated factors that affect the stability of anti-phase bimanual finger tapping. Past research employing the order parameter and control parameter concepts, has identified frequency of movement as a control parameter that affects the stability of finger movement patterns (the order parameter). The present study investigated the hypothesis that multiple movement related variables can interact to influence the stability of an order parameter. Specifically, the combined effect of the rate of movement and movement force on the stability of bimanual finger tapping was examined. Participants were required to initiate an anti-phase tapping pattern under three different movement rate conditions (600, 400, and 200 ms), and were required to increase the force of one finger at the onset of a randomly presented stimulus. The results indicate that an increase in the force parameter at lower tapping rates (600 ms) did not affect the phase relation of the fingers, however at higher rates (200 and 400 ms), the introduction of a force parameter resulted in fluctuations of the phase relation of the fingers, which were followed by pattern shifts from anti-phase to in-phase tapping. The results indicate that movement force and rate of movement interact to influence the outcome of the tapping pattern. Further research is required to investigate force as a control parameter.     

The Relationship of Impulse to Response Timing Error

This paper examines the relationship between response impulse and timing error in 200 msec discrete timing responses over a range of movement velocities and system masses. The results from two experiments showed that variable timing error decreased as both movement velocity and the mass of the system to be moved increased. The variability of force proportional to force (measured either as impulse or peak force) decreased curvilinearly as force output increased. The correlations between each of these parameters and variable timing errors, calculated on a group mean basis, ranged between .91 and .95. The ability to predict the movement time outcome of each individual trial from impulse-related parameters was considerably reduced, although the relationship between the various kinematic and kinetic parameters did strengthen as the movement velocity approached maximum. Collectively, the findings show that size of impulse is related to movement timing error, although it is premature to argue that impulse variability is a causal agent of timing error.