Clinical Pilates in Practice: Knee Joint Biomechanics in Transtibial Amputees (May 2022)

 

This study looked at knee joint biomechanics in a young, healthy population with no activity restrictions, with a focus on energy storage and return (ESAR)  prostheses. The authors recognise that the study had a small sample size, and discuss potential sources of error for their data collection, but are confident about the clinical application of their findings.

 

Orekhov G, Robinson AM, Hazelwood SJ, Klisch SM (2019) Knee joint biomechanics in transtibial amputees in gait, cycling, and elliptical training. PLoS ONE 14(12): e0226060.

 

KEY POINTS: KNEE BIOMECHANICS FOR TRANSTIBIAL AMPUTEES

  • There is a high prevalence of joint pain and osteoarthritis (OA) in unilateral transtibial and transfemoral amputee populations.
  • Transtibial amputees are more likely to develop OA in the intact knee.

 

Abnormal gait biomechanics include asymmetric ground reaction forces, muscle activation patterns, and knee joint kinetics between limbs.

 

  • ...
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Clinical Conversation: Footwork Options for Pregnancy (March 2022)

This transcript includes highlights from the live, interactive session of our Clinical Conversation: Footwork Options for Pregnancy.

If you missed the live webinar, you can read about some of the biomechanical changes during pregnancy, as well as footwork options for your clinical Pilates practice below. 

Please join our next live event, where you can participate in our Case Study discussion and Q&A session. 

Check out our upcoming Clinical Conversations here

 

OUR FEET AS OUR FOUNDATION

  •  Pilates sessions traditionally begin with footwork and other strength work to set a foundation for movement.
  • By spending time building strength through the feet, you can help to support a stable and dynamic support for standing, and for upright movement.
  • This is an incredibly functional place to begin, and it's no different when working with a pregnant body.

 

 CLINICAL PILATES EMBODIED ANATOMY: FOOTWORK...

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Clinical Conversation: What is a Neutral Head Position? (January 2022)

 

This transcript includes highlights from the live, interactive session of our Clinical Conversation: What is a Neutral Head Position? 

If you missed the live webinar, you can read about neutral head position and how to integrate it into your clinical Pilates practice below. 

Please join our next live event, where you can participate in our Case Study discussion and Q&A session. 

Check out our upcoming Clinical Conversations here

 

WHAT DO WE MEAN BY NEUTRAL? 

  • The optimal alignment of a joint.
    • A position of efficiency.
  • The position of a joint where the bones that make up the joint are placed in the optimal position for maximal movement.
  • The midrange of a joint, where there is the least amount of load on the ligaments and non-muscular tissues around the joint.
    • Stabilizing muscles are working...
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Clinical Pilates in Practice: Biomechanics & The Formation of Nervous Tissue (August 2021)

 

This review is a critical assessment of recent advances in the utilization of mechanical stimuli towards exploiting nervous tissue growth and formation. The authors discuss current in vitro systems designed to restate the mechanical environment of developing neural tissues, and the advancements made in integrating these systems into the clinical setting.

 

Pfister, Bryan J., Jonathan M. Grasman, and Joseph R. Loverde. "Exploiting biomechanics to direct the formation of nervous tissue." Current Opinion in Biomedical Engineering 14 (2020), 59-66. doi:10.1016/j.cobme.2020.05.009.

 

KEY POINTS: BIOMECHANICS & THE FORMATION OF NERVOUS TISSUE

  • Mechanics can be used to guide and accelerate neuronal expansion.
  • The central nervous system plays a key role in initiating the autonomic functions and coordinated actions of every being.
  • The peripheral nervous system coordinates signal transmission between the central nervous systems...
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Research Roundup: May 2021

 

Interested in keeping up to date with research relevant to your clinical practice?

The Calibrate Pilates team rounds this up so that you can integrate new information into your evidence-informed practice: join our newsletter now.

 

Age-Related Reduction in Motor Adaptation

Wolpe N, Ingram J, Tsvetanov K, et al. (2020). Age-related reduction in motor adaptation: brain structural correlates and the role of explicit memory. Neurobiology of Aging 90: 13-23.

The authors of this study examined the differences in the brain structure and cognition underlying motor adaptation in a population-based cohort. Results support the hypothesis that sensorimotor adaptation is a composite of multiple learning strategies, which are differentially affected by age, and the authors conclude that "that across the lifespan, motor adaptation declines with age as a result of the deteriorating explicit learning system".

 

Key Points: Motor Adaptation and Age Related Changes

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Clinical Pilates in Practice: Biokinetic Analysis of the Foot & Ankle (February 2021)

 

This literature review argues that clinically we need to observe functional - rather than conventional - biomechanics at the ankle and foot. Functional biomechanics observes that all segments in a joint can be simultaneously mobile. The authors suggest that:

 "The reader should be able to understand how the 3-dimensional biokinetic analysis of the ankle and foot can contribute along with imaging examinations to the clinical setting, thus allowing the construction of a more complete profile of the patient."

 

Metsavaht L, Leporace G. Current trends for the biokinetic analysis of the foot and ankle. J Foot Ankle. 2020;14(2):191-6.

 

KEY POINTS: BIOKINETIC ANALYSIS OF THE FOOT & ANKLE

  • The central nervous system works as the generator of complex movement patterns based on muscular synergies; the control of active joint stability is coordinated by the neuromuscular system and not by isolated muscle strength or range of motion.
  • Functional...
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Research Roundup: September 2020

 

Interested in keeping up to date with research relevant to your clinical practice?

The Calibrate Pilates team rounds this up so that you can integrate new information into your evidence-informed practice: join our newsletter now.

 

Current trends in the biokinetic analysis of the foot and ankle

Metsavaht L, Leporace G. Current trends for the biokinetic analysis of the foot and ankle. J Foot Ankle. 2020;14(2):191-6.

This literature review argues that clinically we need to observe functional - rather than conventional - biomechanics at the ankle and foot. Functional biomechanics observes that all segments in a joint can be simultaneously mobile. The authors suggest that "the reader should be able to understand how the 3-dimensional biokinetic analysis of the ankle and foot can contribute along with imaging examinations to the clinical setting, thus allowing the construction of a more complete profile of the patient."

 

Key Points

  • The central...
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Clinical Pilates in Practice: Joint Impairment & Gait in Juvenile Idiopathic Arthritis (July 2020)

 

Researchers used a musculoskeletal model to predict joint contact forces and investigate the variations of joint contact forces due to joint impairment in 18 juvenile idiopathic arthritis patients.

 

Erica Montefiori et al. Linking Joint Impairment and Gait Biomechanics in Patients with Juvenile Idiopathic Arthritis. Annals of Biomedical Engineering 2019; 47(11): 2155-2167

 

KEY POINTS: JOINT IMPAIRMENT & GAIT BIOMECHANICS IN JUVENILE IDIOPATHIC ARTHRITIS

  • Juvenile idiopathic arthritis (JIA) is the commonest rheumatic condition in childhood, although the etiology remains unknown.
  • JIA encompasses several subgroups but most generally presents as peripheral arthritis.
    • Clinical presentation includes fever, joint swelling and pain, hepatomegaly, lymphadenopathy, cardiac involvement, splenomegaly, and skin rashes.
  • Medical imaging of JIA:
    • Ultrasound is used to assess joint synovial and tendon inflammation.
    • MRI helps with...
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Research Roundup: May 2020

 

Interested in keeping up to date with research relevant to your clinical practice?

The Calibrate Pilates team rounds this up so that you can integrate new information into your evidence-informed practice: join our newsletter now.

 

Consolidation of Use-Dependent Motor Memories Induced By Passive Movement Training

G. Tays et al. Consolidation of use-dependent motor memories induced by passive movement training. Neuroscience Letters 732 (2020) 135080.

This study examined the lasting effect of passive training on visuomotor adaptation within a 24-hour timeline.

 

Key Points

  • Adapting to a sensorimotor environment requires complex and dynamic systems that can adjust to the environment within minutes, resulting in long-term performance changes.
  • Adaptation is driven by two primary learning mechanisms:
    • Error-based, model-based, or algorithmic learning; and
    • Use-dependent, model-free, or instant-reliant training.
  • Use-dependent learning occurs both during active...
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Clinical Pilates in Practice: Biomechanics of Functional Tasks (May 2020)

 

This small study of healthy volunteers explored differences in the coronal biomechanics of the trunk, pelvis, hip, and knee joints, as well as gluteus medius muscle activity during walking and step down tasks.

 

Komsak Sinsurin, Raul Valldecabres & Jim Richards (2020) An exploration of the differences in hip strength, gluteus medius activity, and trunk, pelvis, and lower-limb biomechanics during different functional tasks, International Biomechanics, 7:1, 35-43, DOI: 10.1080/23335432.2020.1728381

 

KEY POINTS: BIOMECHANICS OF FUNCTIONAL TASKS

  • Functional impairment of glute med can lead to excessive lateral trunk bending, which is often observed in people with knee problems.
  • During gait, the following was observed:
    • Increased contralateral pelvic drop and pelvic obliquity excursion, compared to step-down tasks.
    • Increased lateral bending versus step-down tasks.
    • Significantly greater knee adduction, compared to step-down tasks.
    • Peak hip...
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