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This case study aims to examine changes in the lower limb joint kinematic profile and performance stability induced by repeated ski runs in two world-class alpine skiers. Two Olympic medallist alpine skiers were tested during their slalom training, with continuous recording of right knee and hip angles, along with turn time and run time. The eight runs of the training session were analysed with linear mixed models. Results showed no effect of runs repetition on performance (i.e., run and turn time; P ≥ 0.279). There was no global effect of runs repetition on minimal and maximal angles for either the knee or the hip (P > 0.151). There was an interaction between run and leg for the maximal angle of both the knee and hip (P ≤ 0.047), which increased across runs for the outside leg and decreased for the inside leg. The maximal angular velocity for both the knee and hip increased with runs repetition in extension (P ≤ 0.028). There were no overall changes in maximal angular velocity in flexion with runs repetition (P ≥ 0.264), but there was an interaction between run and leg for the knee (P < 0.001) due to faster eccentric velocities across runs for the outside leg and slower velocities for the inside leg. In conclusion, the observed joint kinematic alterations without concomitant performance impairment support the concept of multiple movement strategies in athletes to achieve similar performance, especially under fatigue conditions.
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http://dx.doi.org/10.1113/EP091743 | DOI Listing |
BMJ Open
September 2025
Department of Rehabilitation, Shengjing Hospital of China Medical University, Shenyang, Liaoning, Chinax
Objectives: This study evaluated the effects of proximal core training on biomechanical risk factors and strength parameters in individuals at high risk of anterior cruciate ligament (ACL) injury (specifically: those exhibiting pathological movement patterns, neuromuscular deficits or biomechanical risk factors) and compared direct versus indirect interventions. We hypothesised that targeted training enhances dynamic knee stabilisation and hip control during high-risk manoeuvres, with direct approaches providing superior biomechanical benefits through neuromuscular control optimisation.
Design: Systematic review and meta-analysis using the Grading of Recommendation, Assessment, Development and Evaluation (GRADE) approach.
J Arthroplasty
September 2025
Dept of Quantitative Health Sciences, Mayo Clinic 200 First Street SW, Rochester, MN 55905; Dept of Orthopedic Surgery, Mayo Clinic 200 First Street SW, Rochester, MN 55905. Electronic address:
Background: Individuals who have had total joint arthroplasty (TJA) are subject to lifelong exposure to metal-based implants. The relationship between chronic exposure to metal-based implants and systemic effects on the brain remains unclear. We aimed to determine the association between TJA and the subsequent long-term risk of dementia.
View Article and Find Full Text PDFJMIR Med Inform
September 2025
Department of Mechanical and Industrial Engineering, Faculty of Engineering, University of Toronto, Toronto, ON, Canada.
Background: Total knee and hip arthroplasty (TKA and THA) are among the most performed elective procedures. Rising demand and the resource-intensive nature of these procedures have contributed to longer wait times despite significant health care investment. Current scheduling methods often rely on average surgical durations, overlooking patient-specific variability.
View Article and Find Full Text PDFTraffic Inj Prev
September 2025
Department of Biomedical Engineering, Medical College of Wisconsin, Milwaukee, Wisconsin.
Objective: Assessment of submarining occurrence in PMHS (Post-Mortem Human Subject) testing can be challenging, particularly for obese PMHS. This study investigates varied kinetic and kinematic response parameters as potential indicators of submarining. Data from 36 whole-body PMHS frontal sled tests conducted under varying boundary conditions were analyzed, incorporating three spring-controlled seat configurations, two extreme anthropometric profiles, two crash pulses, and two seatback angles.
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