A graph-based approach can improve keypoint detection of complex poses: a proof-of-concept on injury occurrences in alpine ski racing.

For most applications, 2D keypoint detection works well and offers a simple and fast tool to analyse human movements. However, there remain many situations where even the best state-of-the-art algorithms reach their limits and fail to detect human keypoints correctly. Such situations may occur especially when individual body parts are occluded, twisted, or when the whole person is flipped.

Model-based estimation of muscle and ACL forces during turning maneuvers in alpine skiing.

In alpine skiing, estimation of the muscle forces and joint loads such as the forces in the ACL of the knee are essential to quantify the loading pattern of the skier during turning maneuvers. Since direct measurement of these forces is generally not feasible, non-invasive methods based on musculoskeletal modeling should be considered. In alpine skiing, however, muscle forces and ACL forces have not been analyzed during turning maneuvers due to the lack of three dimensional musculoskeletal models.

Estimation of Joint Moments During Turning Maneuvers in Alpine Skiing Using a Three Dimensional Musculoskeletal Skier Model and a Forward Dynamics Optimization Framework.

In alpine skiing, estimation of the joint moments acting onto the skier is essential to quantify the loading of the skier during turning maneuvers. In the present study, a novel forward dynamics optimization framework is presented to estimate the joint moments acting onto the skier incorporating a three dimensional musculoskeletal model (53 kinematic degrees of freedom, 94 muscles). Kinematic data of a professional skier performing a turning maneuver were captured and used as input data to the optimization framework.

Predicting neuromuscular control patterns that minimize ACL forces during injury-prone jump-landing manoeuvres in downhill skiing using a musculoskeletal simulation model.

Competitive skiers encounter a high risk of sustaining an ACL injury during jump-landing in downhill ski racing. Facing an injury-prone landing manoeuvre, there is a lack of knowledge regarding optimum control strategies. So, the purpose of the present study was to investigate possible neuromuscular control patterns to avoid injury during injury-prone jump-landing manoeuvres.

Developing a Technique for the Imaging-Based Measurement of ACL Elongation: A Proof of Principle.

Towards the goal of obtaining non-invasive biomarkers reflecting the anterior cruciate ligament's (ACL) loading capacity, this project aimed to develop a magnetic resonance imaging (MRI)-based method facilitating the measurement of ACL elongations during the execution of knee stress tests. An MRI-compatible, computer-controlled, and pneumatically driven knee loading device was designed to perform Lachman-like tests and induce ACL strain. A human cadaveric leg was used for test purposes.

A model-based approach to predict neuromuscular control patterns that minimize ACL forces during jump landing.

Jump landing is a common situation leading to knee injuries involving the anterior cruciate ligament (ACL) in sports. Although neuromuscular control is considered as a key injury risk factor, there is a lack of knowledge regarding optimum control strategies that reduce ACL forces during jump landing. In the present study, a musculoskeletal model-based computational approach is presented that allows identifying neuromuscular control patterns that minimize ACL forces during jump landing.

Efficient trajectory optimization for curved running using a 3D musculoskeletal model with implicit dynamics.

Trajectory optimization with musculoskeletal models can be used to reconstruct measured movements and to predict changes in movements in response to environmental changes. It enables an exhaustive analysis of joint angles, joint moments, ground reaction forces, and muscle forces, among others. However, its application is still limited to simplified problems in two dimensional space or straight motions.

Metabolic cost calculations of gait using musculoskeletal energy models, a comparison study.

This paper compares predictions of metabolic energy expenditure in gait using seven metabolic energy expenditure models to assess their correlation with experimental data. Ground reaction forces, marker data, and pulmonary gas exchange data were recorded for six walking trials at combinations of two speeds, 0.8 m/s and 1.

Individual flexion stiffness of ski boots.

Objectives: Ski boots are designed to transfer forces from skier to ski. This transfer is among others affected by the flexion stiffness (FS) and so effects safety and skiing performance. Previous studies have used devices with prosthetic legs to evaluate FS, however, influencing factors like the foot and lower leg shape or individual buckle closure are not considered.

Peak ACL force during jump landing in downhill skiing is less sensitive to landing height than landing position.

Background: Competitive skiers face a high risk of sustaining an ACL injury during jump landing in downhill skiing. There is a lack of knowledge on how landing height affects this risk.

Objectives: To evaluate the effect of varied landing height on peak ACL force during jump landing and to compare the effect of the landing height with the effect of the landing position varied by the trunk lean of the skier.

Is it possible to voluntarily increase hamstring muscle activation during landing from a snow jump in alpine skiing? - a pilot study.

Activation of the hamstrings has been discussed as a measure for reducing strain on the ACL during jump landings in alpine skiing. The current study tested the hypothesis that hamstring and quadriceps activation can be voluntarily increased by the athlete. Specifically, two different instructions - to increase hamstring activation or to increase upper-leg co-contraction - were compared to normal landings.

Does Kinesiology tape counter exercise-related impairments of balance in the elderly?

Background: Maintaining balance is an essential requirement for the performance of daily tasks and sporting activities, particularly in older adults to prevent falls and associated injuries. Kinesiology tape has gained great popularity in sports and is frequently used as a tool for performance enhancement. However, there is little research investigating its influence on balance.

Effect of ski boot rear stiffness (SBRS) on maximal ACL force during injury prone landing movements in alpine ski racing: A study with a musculoskeletal simulation model.

A common anterior cruciate ligament (ACL) injury situation in alpine ski racing is landing back-weighted after a jump. Simulated back-weighted landing situations showed higher ACL-injury risk for increasing ski boot rear stiffness (SBRS) without considering muscles. It is well known that muscle forces affect ACL tensile forces during landing.

Effects of a 12-day maximal shuttle-run shock microcycle in hypoxia on soccer specific performance and oxidative stress.

The purpose of this study was to investigate the effect of a maximal shuttle-run shock microcycle in hypoxia on repeated sprint ability (RSA, 6 × 40-m (6 × 20 m back and forth, 20" rest in between)), Yo-Yo-intermittent-recovery (YYIR) test performance, and redox-status. Fourteen soccer players (age: 23.9 ± 2.

Performance limitation and the role of core temperature when wearing light-weight workwear under moderate thermal conditions.

The objective of this investigation was to achieve an understanding about the relationship between heat stress and performance limitation when wearing a two-layerfire-resistant light-weight workwear (full-clothed ensemble) compared to an one-layer short sports gear (semi-clothed ensemble) in an exhaustive, stressful situation under moderate thermal condition (25°C). Ten well trained male subjects performed a strenuous walking protocol with both clothing ensembles until exhaustion occurred in a climatic chamber. Wearing workwear reduced the endurance performance by 10% (p=0.

The Effect of Uphill and Downhill Walking on Joint-Position Sense: A Study on Healthy Knees.

Context: During sport activity, knee proprioception might worsen. This decrease in proprioceptive acuity negatively influences motor control and therefore may increase injury risk. Hiking is a common activity characterized by a higher-intensity-exercise phase during uphill walking and a lower-intensity-exercise phase during downhill walking.

A pilot study of the effect of Kinesiology tape on knee proprioception after physical activity in healthy women.

Objectives: Kinesiology tape has gained significant popularity in recent years and is widely used as an adjunct for treatment and prevention of musculoskeletal injuries. However, evidence regarding its influence on knee proprioception is scarce. The purpose of this study was to evaluate the effect of Kinesiology tape on knee proprioception after physical activity in healthy women.

Resting arterial oxygen saturation and breathing frequency as predictors for acute mountain sickness development: a prospective cohort study.

Introduction: The study evaluated the predictive value of arterial oxygen saturation (SaO2) after 30-min hypoxic exposure on subsequent development of acute mountain sickness (AMS) and tested if additional resting cardio-respiratory measurements improve AMS prognosis.

Methods: Fifty-five persons were exposed to a simulated altitude of 4,500 m (normobaric hypoxia, FiO2 = 12.5%).

Effects of individual aerobic performance on finish time in mountain running.

It was hypothesized that for each mountain running competition, there is a certain individual performance level below which running times increase dramatically. The running times of 869 finishers of 3 international mountain running competitions have been analysed. A hyperbolic association was demonstrated between finish times in mountain running competitions and individual performance at the anaerobic threshold (VO2AT(Race)).

Implicit methods for efficient musculoskeletal simulation and optimal control.

The ordinary differential equations for musculoskeletal dynamics are often numerically stiff and highly nonlinear. Consequently, simulations require small time steps, and optimal control problems are slow to solve and have poor convergence. In this paper, we present an implicit formulation of musculoskeletal dynamics, which leads to new numerical methods for simulation and optimal control, with the expectation that we can mitigate some of these problems.

A parameter optimization method to determine ski stiffness properties from ski deformation data.

The deformation of skis and the contact pressure between skis and snow are crucial factors for carved turns in alpine skiing. The purpose of the current study was to develop and to evaluate an optimization method to determine the bending and torsional stiffness that lead to a given bending and torsional deflection of the ski. Euler-Bernoulli beam theory and classical torsion theory were applied to model the deformation of the ski.