Background: Netball is a popular sport. Due to high impact and quick movement, there is an enormous load on the lower extremities which increases the risk for injury. Aim: The aim of this study was to investigate the ...Background: Netball is a popular sport. Due to high impact and quick movement, there is an enormous load on the lower extremities which increases the risk for injury. Aim: The aim of this study was to investigate the relationship between the quadricep and hamstring strength and the prevalence of lower extremity injuries in netball players. Setting: Twenty-five female netball players (age: 20.8 ± 1.4 years) voluntarily participated. Methods: The Cybex Isokinetic dynamometer was used to determine concentric knee torques. Quadriceps:hamstring strength ratio was determined. Occurrence of lower extremity injuries was documented bi-weekly. Results: Medium effect sizes were noted for flexion torque:work for the left leg and for the quadriceps:hamstring ratio (≥60%) for the right leg. All the other measured variables have a small effect size. 18.75% of lower extremity injuries and ConQ:ConH of Conclusion: Injuries to the ankle and knee are especially common among netball players. Hamstring and quadriceps muscle asymmetry (>10%) were found to be a potential indicator of lower extremity injury. Contribution: This study highlights awareness on lower extremity injuries and the strength ratio between the quadriceps and hamstrings. This can aid coaches and netball players to lower the risk for injuries and thus improve individual- and team performance.展开更多
Though the bumper of a vehicle plays a major role in protecting the vehicle body against damage in low speed impacts, many bumpers, particularly in large vehicles, are too stiff for pedestrian protection. In designing...Though the bumper of a vehicle plays a major role in protecting the vehicle body against damage in low speed impacts, many bumpers, particularly in large vehicles, are too stiff for pedestrian protection. In designing a bumper for an automobile, pedestrian protection is as important as bumper energy absorption in low speed collisions. To prevent lower extremity injuries in car-pedestrian collisions, it is important to determine the loadings that car front structures impart on the lower extremities and the mechanisms by which injury is caused by these loadings. The present work was focused on gaining more insight into the injury mechanisms leading to both ligament damage and bone fracture during bumper-pedestrian collisions. The European Enhanced Vehicle-safety Committee （EEVC） legform impactor model was introduced and validated against EEVCAVG17 criteria. The collision mechanism between a bumper and this legform impactor was investigated numerically using LS-DYNA software. To identify the effect of the bumper beam material on leg injuries, four analyses were performed on bumpers that had the same assembly but were made from different materials.展开更多
Lower extremity peripheral nerve injuries can be highly morbid to patients and challenging problems for reconstructive surgeons to manage.Nerve transfers have recently emerged as a promising technique in the treatment...Lower extremity peripheral nerve injuries can be highly morbid to patients and challenging problems for reconstructive surgeons to manage.Nerve transfers have recently emerged as a promising technique in the treatment of these injuries.The nerve-transfer paradigm is predicated on the use of an expendable,unaffected nerve as a donor of axons to restore motor or sensory function in the target end organ.Distal transfers close to the end motor or sensory organ may allow for earlier and more robust reinnervation compared to more proximal primary repair or grafting.However,as clinical data on outcomes and rigorous comparative studies remain scarce,reconstructive surgeons must rely on principle-based treatment including a detailed understanding of lower extremity neuromuscular anatomy,gait mechanics,and nerve physiology to develop an appropriate treatment plan for each patient with the goal of functional limb restoration and independent gait.In this article,we review current concepts of lower extremity nerve transfers,including techniques and outcomes according to indication.展开更多
文摘Background: Netball is a popular sport. Due to high impact and quick movement, there is an enormous load on the lower extremities which increases the risk for injury. Aim: The aim of this study was to investigate the relationship between the quadricep and hamstring strength and the prevalence of lower extremity injuries in netball players. Setting: Twenty-five female netball players (age: 20.8 ± 1.4 years) voluntarily participated. Methods: The Cybex Isokinetic dynamometer was used to determine concentric knee torques. Quadriceps:hamstring strength ratio was determined. Occurrence of lower extremity injuries was documented bi-weekly. Results: Medium effect sizes were noted for flexion torque:work for the left leg and for the quadriceps:hamstring ratio (≥60%) for the right leg. All the other measured variables have a small effect size. 18.75% of lower extremity injuries and ConQ:ConH of Conclusion: Injuries to the ankle and knee are especially common among netball players. Hamstring and quadriceps muscle asymmetry (>10%) were found to be a potential indicator of lower extremity injury. Contribution: This study highlights awareness on lower extremity injuries and the strength ratio between the quadriceps and hamstrings. This can aid coaches and netball players to lower the risk for injuries and thus improve individual- and team performance.
文摘Though the bumper of a vehicle plays a major role in protecting the vehicle body against damage in low speed impacts, many bumpers, particularly in large vehicles, are too stiff for pedestrian protection. In designing a bumper for an automobile, pedestrian protection is as important as bumper energy absorption in low speed collisions. To prevent lower extremity injuries in car-pedestrian collisions, it is important to determine the loadings that car front structures impart on the lower extremities and the mechanisms by which injury is caused by these loadings. The present work was focused on gaining more insight into the injury mechanisms leading to both ligament damage and bone fracture during bumper-pedestrian collisions. The European Enhanced Vehicle-safety Committee （EEVC） legform impactor model was introduced and validated against EEVCAVG17 criteria. The collision mechanism between a bumper and this legform impactor was investigated numerically using LS-DYNA software. To identify the effect of the bumper beam material on leg injuries, four analyses were performed on bumpers that had the same assembly but were made from different materials.
文摘Lower extremity peripheral nerve injuries can be highly morbid to patients and challenging problems for reconstructive surgeons to manage.Nerve transfers have recently emerged as a promising technique in the treatment of these injuries.The nerve-transfer paradigm is predicated on the use of an expendable,unaffected nerve as a donor of axons to restore motor or sensory function in the target end organ.Distal transfers close to the end motor or sensory organ may allow for earlier and more robust reinnervation compared to more proximal primary repair or grafting.However,as clinical data on outcomes and rigorous comparative studies remain scarce,reconstructive surgeons must rely on principle-based treatment including a detailed understanding of lower extremity neuromuscular anatomy,gait mechanics,and nerve physiology to develop an appropriate treatment plan for each patient with the goal of functional limb restoration and independent gait.In this article,we review current concepts of lower extremity nerve transfers,including techniques and outcomes according to indication.
