Introdução: No Karatê o chute frontal Mae geri é considerado uma técnica de simples execução, porém muito eficiente e muito utilizada em competições. Os fundamentos do Karatê descrevem que o melhor desempenho do chute será alcançado quando as forças de todas as partes do corpo forem utilizadas simultaneamente, do centro do corpo para as extremidades, o que parece ser suportado pelo princípio biomecânico de coordenação de impulsos parciais. Para que o chute seja eficiente e atinja a máxima velocidade, a transferência de energia mecânica entre os segmentos deve acontecer de tal maneira que os segmentos envolvidos no golpe se movimentem dentro de uma sequência no sentido proximal-distal. Objetivos: O presente estudo tem como objetivo geral avaliar parâmetros cinemáticos e cinéticos do Mae geri para compreender a dinâmica do golpe realizado por caratecas de diferentes níveis de treinamento. Método: Doze caratecas do grupo faixa preta (12,75 ± 8,91 anos de prática) e sete caratecas do grupo faixa branca (1,18 ± 0,88 anos de prática) executaram o Mae geri. Com os dados de cinemática dos segmentos (pelve, coxa, perna e pé) do membro inferior de ataque e de força de reação do solo foram calculadas as velocidades lineares, velocidades angulares, os torques, as potências e as transferências de energia entre os segmentos. Resultados: No grupo faixa preta as magnitudes de velocidade linear dos segmentos foram significativamente maiores do que no grupo faixa branca, resultando em menor duração total do golpe no grupo faixa preta. O Mae geri do grupo faixa preta é caracterizado no início do golpe por uma transferência de energia mecânica dos segmentos distais para os segmentos proximais de todas articulações analisadas (quadril, joelho e tornozelo), com maior magnitude de energia mecânica sendo transferida do pé para a perna, ainda com o pé no chão. Após tirar o pé de ataque do chão, a transferência de energia mecânica da coxa para a pelve apresenta um aumento de magnitude. No último terço do golpe, há uma transferência de energia mecânica da perna para a coxa na articulação do joelho e da perna para o pé na articulação do tornozelo. O grupo faixa branca tem um comportamento diferente de transferência de energia mecânica entre os segmentos comparado ao grupo faixa preta, principalmente no último terço do golpe. Além disso, magnitudes de geração de potência pelos músculos para os segmentos, de absorção de potência pelos músculos a partir dos segmentos e transferência de energia mecânica entre segmentos foram significativamente maiores no grupo faixa preta. Conclusão: Os resultados sugerem que a transferência de energia mecânica entre os segmentos permite que caratecas faixa preta executem o Mae geri de acordo com os princípios biomecânicos de coordenação dos impulsos parciais, respeitando uma sequência de movimentos no sentido proximal-distal. O nível de treinamento dos caratecas implica em diferenças no comportamento das velocidades dos segmentos e na transferência de energia entre os segmentos, o que influencia na eficiência e no desempenho do golpe / Introduction: In karate the Mae geri front kick is considered a simple execution technique, however very efficient and widely used in competitions. The karate\'s fundamentals describe that the best kick performance will be achieved when the strengths of all parts of the body are used simultaneously, from the body\'s center to outside, which seems to be supported by the biomechanical principle of partial impulse coordination. In order for the kick to be efficient and reach maximum speed, the mechanical energy transfer between segments must occur in such a way that the segments involved in the stroke move within a sequence in the proximal-distal direction. Purpose: The present study has as general purpose to evaluate kinematic and kinetic parameters of the Mae geri to understand the dynamics of the stroke made by karate practitioners of different levels of training. Method: Twelve karate practitioners of black belt group (12,75 ± 8,91 years of practice) and seven karate practitioners of white belt group (1,18 ± 0,88 years of practice) performed the Mae geri. With the kinematics data of the segments (pelvis, thigh, leg and foot) of the lower attack member and the ground reaction force were calculated the linear velocities, angular velocities, the moments of force, the powers and the mechanical energy transfer between segments. Results: At black belt group the linear velocity magnitudes of segments were significantly higher than in the white belt group, resulting in a shorter total stroke duration in the black belt group. The Mae geri of the black belt group is characterized at the beginning of the stroke by a transfer of mechanical energy from the distal segments to the proximal segments of all joints analyzed (hip, knee and ankle), with higher magnitude of mechanical energy being transferred from the foot to the leg, still with the foot on the ground. After removing the attack foot on the ground, the mechanical energy transfer from the thigh to pelvis presents an increase of magnitude. At the last third of the stroke, there is a mechanical energy transfer from the leg to the thigh at the knee joint and from the leg to the foot at the ankle joint. The white belt group has a different behavior of mechanical energy transfer between the segments compared to the black belt group, specially at the last third of the stroke. Besides that, magnitudes of power generation by the muscles to the segments, power absorption by the muscles from the segments and mechanical energy transfer between segments were significantly higher in the black belt group. Conclusion: The results suggest that the transfer of mechanical energy between segments allows black belt karate practitioners perform the Mae geri according to the biomechanical principles of the coordination of partial impulses, respecting a sequence of movements in the proximal-distal direction. The training level of the karate practitioners implies in differences in the behavior of the velocities of the segments and in the mechanical energy transfer between segments, which influences the efficiency and the performance of the stroke

本研究では小型軽量な移動式床反力計と加速度センサ,ジャイロセンサおよび地磁気センサからなるウエアラブルな運動計測装置を開発し,本計測装置に適した動力学解析手法を提案して,動作解析システムとしての妥当性の検証を行なうことを目的とした.移動式床反力計の計測精度について定量的に評価し,本運動計測装置を用いて運動中の下肢の姿勢を算出した.さらに,本運動計測装置に適した動力学解析手法を提案し,提案手法にて算出された足関節モーメントの妥当性を検証した. / 博士(工学) / Doctor of Philosophy in Engineering / 同志社大学 / Doshisha University

Parmi les blessures sportives reliées au genou, 20 % impliquent le ligament croisé antérieur (LCA). Le LCA étant le principal stabilisateur du genou, une lésion à cette structure engendre une importante instabilité articulaire influençant considérablement la fonction du genou. L’évaluation clinique actuelle des patients ayant une atteinte au LCA présente malheureusement des limitations importantes à la fois dans l’investigation de l’impact de la blessure et dans le processus diagnostic. Une évaluation biomécanique tridimensionnelle (3D) du genou pourrait s’avérer une avenue innovante afin de pallier à ces limitations. L’objectif général de la thèse est de démontrer la valeur ajoutée du domaine biomécanique dans (1) l’investigation de l’impact de la blessure sur la fonction articulaire du genou et dans (2) l’aide au diagnostic. Pour répondre aux objectifs de recherche un groupe de 29 patients ayant une rupture du LCA (ACLD) et un groupe contrôle de 15 participants sains ont pris part à une évaluation biomécanique 3D du genou lors de tâches de marche sur tapis roulant. L’évaluation des patrons biomécaniques 3D du genou a permis de démontrer que les patients ACLD adoptent un mécanisme compensatoire que nous avons intitulé pivot-shift avoidance gait. Cette adaptation biomécanique a pour objectif d’éviter de positionner le genou dans une condition susceptible de provoquer une instabilité antérolatérale du genou lors de la marche. Par la suite, une méthode de classification a été développée afin d’associer de manière automatique et objective des patrons biomécaniques 3D du genou soit au groupe ACLD ou au groupe contrôle. Pour cela, des paramètres ont été extraits des patrons biomécaniques en utilisant une décomposition en ondelettes et ont ensuite été classifiés par la méthode du plus proche voisin. Notre méthode de classification a obtenu un excellent niveau précision, de sensibilité et de spécificité atteignant respectivement 88%, 90% et 87%. Cette méthode a donc le potentiel de servir d’outil d’aide à la décision clinique. La présente thèse a démontré l’apport considérable d’une évaluation biomécanique 3D du genou dans la prise en charge orthopédique de patients présentant une rupture du LCA; plus spécifiquement dans l’investigation de l’impact de la blessure et dans l’aide au diagnostic. / The anterior cruciate ligament (ACL) is involved in approximately 20% of all sports-related knee injuries. An injury to the ACL, the primary stabilizer of the knee, will lead to knee joint instability and functional impairment. Unfortunately, current clinical assessments of ACL-deficient patients present limitations with respect to the investigation of the impact of the injury on knee function. A 3D knee biomechanical assessment could provide innovative information to overcome these drawbacks. The main objective of the doctoral theses is to demonstrate the role of biomechanics in (1) the investigation of the impact of the injury on knee function and in (2) the diagnostic process. Twenty-nine ACL-deficient patients and a control group of fifteen healthy participants took part in a 3D knee biomechanical assessment during treadmill walking. By assessing the 3D knee biomechanical patterns of each group we observed that ACL-deficient patients adopted a gait compensatory mechanism: the Pivot-shift avoidance gait. The explanation for this adaptative strategy is to avoid placing the knee in a position biomechanically favorable to anterolateral rotatory instability during gait. Furthermore, an automatic classification method capable of distinguishing ACL deficient patients from an asymptomatic population was developed. Features were extracted from the 3D knee biomechanical patterns using a wavelet decomposition method and then classified by the nearest neighbour rule. The proposed classification method obtained a level of accuracy, sensitivity and specificity of 88%, 90% and 87% respectively. This method shows great potential as a diagnostic aid in a clinical setting. This thesis demonstrates that biomechanics plays a substantial role in the management of ACL injuries by improving the understanding of the impact of the injury on knee function and by its capacity to serve as a diagnostic aid.

Parmi les blessures sportives reliées au genou, 20 % impliquent le ligament croisé antérieur (LCA). Le LCA étant le principal stabilisateur du genou, une lésion à cette structure engendre une importante instabilité articulaire influençant considérablement la fonction du genou. L’évaluation clinique actuelle des patients ayant une atteinte au LCA présente malheureusement des limitations importantes à la fois dans l’investigation de l’impact de la blessure et dans le processus diagnostic. Une évaluation biomécanique tridimensionnelle (3D) du genou pourrait s’avérer une avenue innovante afin de pallier à ces limitations. L’objectif général de la thèse est de démontrer la valeur ajoutée du domaine biomécanique dans (1) l’investigation de l’impact de la blessure sur la fonction articulaire du genou et dans (2) l’aide au diagnostic. Pour répondre aux objectifs de recherche un groupe de 29 patients ayant une rupture du LCA (ACLD) et un groupe contrôle de 15 participants sains ont pris part à une évaluation biomécanique 3D du genou lors de tâches de marche sur tapis roulant. L’évaluation des patrons biomécaniques 3D du genou a permis de démontrer que les patients ACLD adoptent un mécanisme compensatoire que nous avons intitulé pivot-shift avoidance gait. Cette adaptation biomécanique a pour objectif d’éviter de positionner le genou dans une condition susceptible de provoquer une instabilité antérolatérale du genou lors de la marche. Par la suite, une méthode de classification a été développée afin d’associer de manière automatique et objective des patrons biomécaniques 3D du genou soit au groupe ACLD ou au groupe contrôle. Pour cela, des paramètres ont été extraits des patrons biomécaniques en utilisant une décomposition en ondelettes et ont ensuite été classifiés par la méthode du plus proche voisin. Notre méthode de classification a obtenu un excellent niveau précision, de sensibilité et de spécificité atteignant respectivement 88%, 90% et 87%. Cette méthode a donc le potentiel de servir d’outil d’aide à la décision clinique. La présente thèse a démontré l’apport considérable d’une évaluation biomécanique 3D du genou dans la prise en charge orthopédique de patients présentant une rupture du LCA; plus spécifiquement dans l’investigation de l’impact de la blessure et dans l’aide au diagnostic. / The anterior cruciate ligament (ACL) is involved in approximately 20% of all sports-related knee injuries. An injury to the ACL, the primary stabilizer of the knee, will lead to knee joint instability and functional impairment. Unfortunately, current clinical assessments of ACL-deficient patients present limitations with respect to the investigation of the impact of the injury on knee function. A 3D knee biomechanical assessment could provide innovative information to overcome these drawbacks. The main objective of the doctoral theses is to demonstrate the role of biomechanics in (1) the investigation of the impact of the injury on knee function and in (2) the diagnostic process. Twenty-nine ACL-deficient patients and a control group of fifteen healthy participants took part in a 3D knee biomechanical assessment during treadmill walking. By assessing the 3D knee biomechanical patterns of each group we observed that ACL-deficient patients adopted a gait compensatory mechanism: the Pivot-shift avoidance gait. The explanation for this adaptative strategy is to avoid placing the knee in a position biomechanically favorable to anterolateral rotatory instability during gait. Furthermore, an automatic classification method capable of distinguishing ACL deficient patients from an asymptomatic population was developed. Features were extracted from the 3D knee biomechanical patterns using a wavelet decomposition method and then classified by the nearest neighbour rule. The proposed classification method obtained a level of accuracy, sensitivity and specificity of 88%, 90% and 87% respectively. This method shows great potential as a diagnostic aid in a clinical setting. This thesis demonstrates that biomechanics plays a substantial role in the management of ACL injuries by improving the understanding of the impact of the injury on knee function and by its capacity to serve as a diagnostic aid.