SBMA1403
SBMA1403
1.1 Biomechanics
Biomechanics is the study of the structure, function and motion of the mechanical aspects of
biological systems, at any level from whole organisms to organs, cells and cell organelles, using
the methods of mechanics.
Biomechanics is defined as mechanics applied to biology, and mechanics itself is the response of
bodies to forces or displacements.
Biomechanics applies mechanical principles to the human body in order to understand the
mechanical influences on bone and joint health.
Developments in the field of biomechanics have improved our understanding of normal and
pathologic gait, mechanics of neuromuscular control, and mechanics of growth and form. This
knowledge has contributed to the development of medical diagnostic and treatment procedures.
It has provided the basis for the design and manufacture of medical implants and orthotic devices
and has enhanced rehabilitation therapy practices. Biomechanics has also been used to improve
human performance in the workplace and in athletic competition.
1.2 History of Biomechanics
Aristotle
Aristotle was fascinated by anatomy and structure of living things. Aristotle might be considered
the first biomechanician. He wrote the first book called "De Motu Animalium" - On the
Movement of Animals. He saw animals' bodies as mechanical systems and what causes these
movements.
Galen
The second century anatomist, Galen, wrote his monumental work, On the Function of the Parts
(meaning the parts of the human body) as the world's standard medical text for the next 1,400
years.
Leonardo Da Vinci
He had an understanding of components of force vectors, friction coefficients, and the
acceleration of falling objects, and had a glimmering of Newton's 3rd law. By studying anatomy
in the context of mechanics, da Vinci also gained some insight into biomechanics. He analyzed
muscle forces as acting along lines connecting origins and insertions and studied joint function.
Da Vinci tended to mimic some animal features in his machines. For example, he studied the
flight of birds to find means by which humans could fly; and because horses were the principal
source of mechanical power in that time, he studied their muscular systems to design machines
that would better benefit from the forces applied by this animal.
Galileo
Galileo , the father of mechanics and part time biomechanic made important contributions to
biomechanics. He was particularly aware of the mechanical aspects of bone structure and the
basic principles of allometry. Galileo Galilei was interested in the strength of bones and
suggested that bones are hollow because this affords maximum strength with minimum weight.
He noted that animals' bone masses increased disproportionately to their size.
Borelli
Borelli embraced this idea and studied walking, running, jumping, the flight of birds, the
swimming of fish, and even the piston action of the heart within a mechanical framework. He
could determine the position of the human center of gravity, calculate and measured inspired and
expired air volumes, and showed that inspiration is muscle-driven and expiration is due to tissue
elasticity. Borelli was the first to understand that the levers of the musculoskeletal system
magnify motion rather than force, so that muscles must produce much larger forces than those
resisting the motion.
1.3 Applications of Biomechanics
1. Sports Biomechanics - Subfield of biomechanics where the laws of mechanics are applied
in order to gain a greater understanding of athletic performance through mathematical
modeling, computer simulation and measurement.
2. Locomotion and Gait- Walking pattern analysis. Locomotion of humans and animals.
3. Fluid Biomechanics- the study of the fundamentals of biological fluid flow, has been
recognized to be extremely important for the understanding of how changes in the flow
behavior within living tissue maybe affect both the fluid and the tissue.
4. Cardiovascular Biomechanics - The Cardiovascular Biomechanics group performs
research in the field of computational and experimental biomechanical analysis of the
cardiovascular system.
5. Ergonomics - Ergonomics applies theory, principles, data and methods to design in order
to optimize human well-being and overall system performance. Ergonomics is the study
of people while they use equipment in specific environments to perform certain tasks.
Ergonomics seeks to minimize adverse effects of the environment upon people and thus
to enable each person to maximize his or her contribution to a given job.
6. Rehabilitation - Rehabilitation biomechanics is a field of study that addresses the impact
of disability and the effectiveness of rehabilitation therapies and interventions on human
performance. Engineering and physics principles are applied to evaluate and analyze
body movement and manipulation.
7. Plant Biomechanics - Interdisciplinary science describing behavior of plants subjected to
forces and displacements at the level of molecules, cells, tissues, organs, whole
organisms, and ecosystems.
8. Forensics - Forensic biomechanics is the application of biomechanical engineering
science to litigation where biomechanical experts determine whether an accident was the
cause of an alleged injury.
9. Implant Designing- Designing of orthotic and prosthetic devices, heart valves, etc
10. Biomechatronics - Biomechatronics is an applied interdisciplinary science that aims to
integrate biology, mechanics, and electronics. It also encompasses the fields of robotics
and neuroscience. Biomechatronic devices encompass a wide range of applications from
the development of prosthetic limbs to engineering solutions concerning respiration,
vision, and the cardiovascular system.
1.4 Perspectives of Biomechanics
1. Historical Perspective
2. Technological Perspective - Incorporation of engineering, physics, computer, and
mathematical concepts applied to human movement patterns.
3. Philosophical Perspective-Multidisciplinary, Creativity and theorizing.
4. Future Perspectives- continuation of descriptive types of biomechanical analyses,
continued modification and improvement of equipment, continued invasion of the
discipline by other professions
1.5 Fundamentals of Biomechanics
Biomechanics has 9 fundamental principles.
1. Force Motion Principle
Unbalanced forces are acting on our bodies or objects when we either create or modify
movement.
Free-body diagram is a simplified model of any system or object drawn with the significant
forces acting on the object.
II. Force –Time Principle
It is not only the amount of force that can increase the motion of an object; the amount of time
over which force can be applied also affects the resulting motion.
III. Range of Motion
Overall motion used in a movement and can be specified by linear or angular motion of the body
segments.
Increasing the range of motion in a movement can be an effective way to increase speed or to
gradually slow down from a high speed.
IV. Balance
Person's ability to control their body position relative to some base of support.
Stability and mobility ofbody postures are inversely related
V. Coordination Continuum
How the muscle actions and body segment motions are timed in a human movement.
Two strategies -simultaneous/ sequential can be viewed as a continuum,
VI. Segmental Interaction
Forces acting in a system of linked rigid bodies can be transferred through the links and joints.
VII. Optimal Projection
Optimal range of projection angles for a specific goal.
VIII. Spin
Rotations imparted to projectiles.
Lift force is used to create a curve or to counter gravity, which affects the trajectory and bounce
of the ball.
IX. Inertia
Property of all objects to resist changes in their state of motion.
Linear and angular measures of inertia are mass (m) and moment of inertia (I).
1.6 Elements of Biomechanics
Dynamics: Studying systems that are in motion with acceleration and deceleration
Kinematics: Describing the effect of forces on a system, motion patterns including linear
and angular changes in velocity over time as well as position, displacement, velocity, and
acceleration are studied.
Kinetics: Studying what causes motion, the forces, and moments at work
Statics: Studying systems that are in equilibrium, either at rest or moving at a constant
velocity
(viii) Creep
Creep is a slow, progressive deformation of a material under constant stress/load. A Time-
dependent deformation under a certain applied load. Generally occurs at high temperature.
Rate of deformation is called the creep rate.
Stages of Creep
Primary Creep: starts at a rapid rate and slows with time.
Secondary Creep: has a relatively uniform rate.
Tertiary Creep: has an accelerated creep rate and terminates when the material breaks or
ruptures. It is associated with both necking and formation of grain boundary voids.
(ix) Fatigue
It is the weakening of material caused by the repeated loading of the material.
When a material is subjected to cyclic loading, and loading greater than certain threshold value
but much below the strength of material (ultimate tensile strength limit or yield stress limit),
microscopic cracks begin to form at grain boundaries and interfaces.
Statics
Dynamics
Kinetics
Kinematics
Rigid Body - A body is said to be rigid if the position of its various particles remain fixed
relative to one another. A rigid body can be considered as a combination of a large number of
particles in which all the particles remain at a fixed distance from one another, both before and
after applying a load.
Mass- Matter contained in a body. Mass is scalar property of matter that does not change from
one location to another.
Weight - Force by which the body is attracted towards the center of earth. It is defined as the
force of gravity on the object and may be calculated as the mass times the acceleration of gravity,
w = mg.
Time: Time is the measure of succession of events.
Space: Any geometric region in which the study of a body has been done is called space.
Displacement - Velocity of an object is the rate of change of its position with respect to a frame
of reference, and is a function of time velocity.
Acceleration - Rate of change of velocity
Distance - Numerical description of how far apart objects are
Particle - Body with mass but with dimensions that can be neglected
Momentum: The product of mass and velocity is called momentum
Mechanical testing is a standard and essential part of any design and manufacturing process.
Whether it is characterizing the properties of materials or providing validation for final products,
ensuring safety is the primary mission of all mechanical testing. Testing also plays a crucial role
in ensuring a cost-effective design as well as technological evolution and superiority.
Two types of material testing
Destructive Testing/Mechanical Tests – Material may be physically tested to destruction or
indentation. • To measure the strength, hardness, toughness, etc. • Example: Tensile testing,
Impact testing, Hardness Testing etc.
Non-Destructive Tests (NDT) • Samples or finished articles are tested before being used and as
routine maintenance checks. • Example: Radiography, Dye Penetration tests etc.
Testing Techniques
Tensile testing of materials
Impact testing of materials
Bend testing of materials
Hardness testing of materials
(i) Tensile Testing
Universal Testing Machine- It is used to test the tensile stress and compressive strength of
materials. It can perform many standard tensile and compression tests on materials, components,
and structures.
It can be used to perform following tests:
Tensile Test
Compression Test
Shear Test
UTM Components
Load frame - Consists of two strong supports for the machine.
Load cell - A force transducer or other means of measuring the load is required. Periodic
calibration is usually called for.
Cross head - A movable cross head is controlled to move up or down. Usually this is at a
constant speed
Output device - Means of providing the test result. Some machines have dial or digital
displays and chart recorders. Many newer machines have a computer interface for
analysis and printing.
Conditioning - The machine can be in a controlled room or a special environmental
chamber can be placed around the test specimen for the test.
Test fixtures, specimen holding jaws, and related sample making equipment are called for
in many test methods.
Collinear Force System- The force system in which line of action of forces lies on the
same path.
Coplanar Force System -The force system in which line of action of forces lie on the
same plane.
Resolution of Forces
A given force F can be resolved into (or replaced by) two forces, which together produces the
same effects that of force F. These forces are called the components of the force F. The process
of replacing a force into its components is known as resolution of a force into components.
A force can be resolved into two components, which are either perpendicular to each other or
inclined to each other. If the two components are perpendicular to one another, then they are
known as rectangular components and when the components are inclined to each other, they are
called as inclined components.
Question Bank
PART A
S.No. Questions
1 List out the mechanical properties derivable from tensile test with units.
2 State Newton’s laws of motion. State Hooke’s law
3 Define creep, fatigue and stress relaxation
4 What is a microstructure?
5 Differentiate tension and compression.
6 What is brittle fracture? Plot the graph
7 Define isotropy. Give examples of isotropic materials.
8 How is bend test and torsion test conducted?
9 What is the reason for plastic deformation?
10 What is resolution of forces?
PART B
S.No. Questions
1 Explain with examples three Newton’s Laws of motion
2 Considering the stress-strain diagram of ductile material, explain the
various properties derived from it.
3 Explain the mechanical testing of biomaterials.
4 Write notes on a) Plastic deformation b) Microstructure
6 Describe the various mechanical properties and discuss a method to test
them
7 Explain the resolution of forces for two and three dimensions.
8 With diagram representation explain Tension and compression
9 Explain various mechanical testing methods.
10 Discuss on the fundamental concepts in biomechanics.
SCHOOL OF BIO AND CHEMICAL ENGINEERING
DEPARTMENT OF BIOMEDICAL ENGINEERING
2.1 Viscosity
Viscosity is a measure of a fluid's resistance to flow. It is the property of a fluid which offers
resistance to the movement of one layer of fluid over another adjacent layer of the fluid. It
describes the internal friction and thickness of a moving fluid.
A fluid with large viscosity resists motion because its molecular makeup gives it a lot of internal
friction. A fluid with low viscosity flows easily because its molecular makeup results in very
little friction when it is in motion.
Viscosity is measured in terms of a ratio of shearing stress to the velocity gradient in a fluid.
Viscosity is measured in Pascal seconds (Pa s). More viscous a fluid is, the more resistance it
offers to any object moving inside it.
When 2 layers of fluid, a distance ‘dy’ apart, move over one another at different velocities, u and
u+dv, viscosity together with relative viscosity causes shear stress acting between the fluid
layers. The top layer causes shear stress on bottom layer and vice versa.
Specific weight - Weight possessed by unit volume of a fluid. Specific weight is dependent on
acceleration due to gravity as it changes from place to place. The specific weight of water is
9.81 × 1000 N.m-3
Specific Volume – It is the reciprocal of density. It can be expressed as the volume that a fluid
occupies per unit mass.
Surface tension – The phenomenon in which the surface of liquid is in contact with another
phase.
The Unsteady flow is defined as that type of flow in which the fluid characteristics like velocity,
density, pressure, etc at a point change respected to time. E.g. flow of water with varying
discharge though a pipe is as unsteady flow.
Non-uniform fluid flow is defined as the type of flow in which the velocity at any given time
changes with respect to space (i.e length of the direction of the flow).
Elasticity refers to the material’s ability to return to its original state after deformation. Viscosity
refers to a material’s resistance to flow. It is a fluid property and depends on the PG and water
composition of the tissue. A tissue with high viscosity will exhibit high resistance to
deformation. When forces are applied to viscous materials, the tissues exhibit time dependent
and rate-dependent properties. Viscosity diminishes as temperature rises and increases as
pressure increases. All connective tissues are viscoelastic materials
Stages of Creep
Primary Creep: starts at a rapid rate and slows with time.
Secondary Creep: has a relatively uniform rate.
Tertiary Creep: has an accelerated creep rate and terminates when the material breaks or
ruptures. It is associated with both necking and formation of grain boundary voids.
Stress Relaxation
Indicates stress acting upon a tendon will eventually reduce under a constant deformation. It is
studied by applying a constant deformation to the specimen and measuring the stress required to
maintain that strain as a function of time. It is due to a re-arrangement of the material on the
molecular or micro-scale.
If s and d denote the spring and dashpot, respectively, then a stress ‘s’ applied to the entire
system will produce stresses σ s and σ d in the spring and the dashpot.
Total stress applied to the system will be shared by the spring and the dashpot.
b) Maxwell Model
Force inducing motion is gradient in pressure. Flow is from positive to negative pressure. In
viscous fluids, resistance to motion is produced as shear stress is induced between layers. The
viscous drag force opposing motion depends on the surface area of the cylinder (length L and
radius r).
From the velocity gradient equation, and using the empirical velocity gradient limits, an
integration can be made to get an expression for the velocity.
Substituting the velocity profile equation and the surface area of the moving cylinder
Poiseuille's equation
Where,
Q= Flow rate (cm3/s or m3/s)
R= the radius of the tube (cm or m)
ΔP= Pressure gradient
η = the dynamic viscosity of the fluid (poise or Pa.s)
L= the length of the tube (cm or m)
Poiseuille’s law states that the flow of liquid depends on following factors like the pressure
gradient (∆P), the length of the narrow tube (L) of radius (r) and the viscosity of the
fluid (η) along with relationship among them.
References
1. Susan J Hall, Basic Biomechanics, Mc Graw Hill, 5th Edition, 2006.
2. Fung, Y.G., Biomechanics, Springer, New York Inc., 2008.
3. Joseph Bronzino, Hand book of Biomedical Engineering, Springer, 2 nd Edition, 2000.
4. Joseph Hamill and Kathleen M. Knutzen, Biomechanical Basis of Human Movement,
Lippincott Williams & Wilkins, 3 rd Edition, 2008, Philadelphia.
5. Duane Knudson, Fundamental of Biomechanics, Kluwer Academic/Plenum publishers, 2nd
Edition, 2007.
Question Bank
PART A
S.No. Questions
PI = 103 3√ W/H
3.Somatotype
Somatotype, human body shape and physique type. The term somatotype is used in the system of
classification of human physical types.
The system, uses the terms ectomorph, endomorph, or mesomorph to describe the body build of
an individual.
Endomorph
Short and Fat - A pear-shaped body, Wide hips and shoulders, A lot of fat on the body, upper
arms and thighs
An endomorphic individual typically has short arms and legs and a large amount of mass on their
frame. Sports of pure strength, like powerlifting, are perfect for an endomorph. They can gain
weight easily and lose condition quickly if training stops.
Sports Benefits
Size benefits sports such as rugby where bulk is useful, provided it can be moved powerfully,
Tend to have large lung capacity which can make them suited to sports such as rowing.
Ectomorph
Tall and Thin - Narrow shoulders and hips, A narrow chest and abdomen ,Thin arms and legs,
Little muscle and fat
Ectomorphic individuasl are long, slender and thin. Ectomorphs dominate endurance sports and
gymnastics. They can archive low levels of body fat which can be detrimental to health.
Sports Benefits
The light frame makes them suited for aerobic activity like gymnastics, Smaller body surface
area also enhances their suitability for endurance activity.
Mesomorph
Athletic Build - A wedge-shaped body, Wide broad shoulders, Muscled arms and legs, Narrow
Hips, A minimum amount of fat
A mesomorphic individual excels in strength, agility, and speed. Their medium structure and
height, along with their tendency to gain muscle and strength easily make them a strong
candidate for a top athlete in any sport. They can sustain low body fat levels and find it easy to
lose and gain weight.
Sports Benefits
Respond well to cardiovascular and resistance training, All muscle groups can be used to derive
positive training adoption
4.Crural index
The ratio of thigh length to leg length. It describes the proportion of the legs. A high crural index
is advantageous to long-jumpers since it enables the jumper to apply a force against the ground
for a longer time than someone with a low crural index.
Ratio > 1, Lower leg longer than thigh
Ratio < 1, Lower leg shorter than thigh.
5.Body Proportions
Absolute Measures – Height of the body and length of its segments are important.
For equal height persons, different proportions are noticed.
Example:
Person 1 : Long legs & Short trunk
Person 2: Short Legs & Long trunk
Person 3 : Equal Lengths
3.2 Types of motion in Humans
Anatomical Concepts in Biomechanics
1. Anatomical Reference Position- Standing up straight with the body at rest. The feet are
slightly separated and arms relaxed and palms facing forward. It is the starting point for
describing the body. It helps to talk about different parts of human body.
2. Reference Plane
Three basic reference planes used in anatomy:
Sagittal plane- Divides the body into left and right halves.
Coronal/Frontal plane- Divides the body into back and front halves.
Transverse plane - Divides the body into top and bottom halves.
3. Forms of Motion
Linear Motion- A uniform 1 D motion with all parts in same direction and same speed. Velocity
does not continuously change direction.
Rectilinear- Straight Line
Curvilinear- Curved line
Angular Motion - The motion of a body about a fixed point or fixed axis.
Axis of Rotation - Equal to the angle passed over at the point or axis by a line drawn to the body.
4. Plane Movements
Sagittal Plane Movements
Flexion- Movement that decreases the angle between two body parts.
Extension- Movement that increases the angle between two body parts.
Hyperextension- Rotation beyond anatomical position. Excessive movement of a joint in one
direction
Frontal Plane Movements
Abduction- Taking the body part away from the central line.
Adduction- Moving the body part towards the central line.
Lateral Flexion-Bending movement of a body part in the lateral direction – side wards.
Shoulder,Fingers and hip joints undergo these movements.
Transverse Plane Movements
Rotation- It is twisting motion. Joints which permit rotation include the shoulder and hip. Ex-
Ball and socket joints.
Medial rotation - rotational movement towards the midline.(Internal rotation)
Lateral rotation - rotational movement away from the midline.
Supination- Outward rotation of forearm
Pronation- Inward rotation of forearm
Dorsiflexion - Flexion at the ankle, so that the foot points more superiorly.
Plantarflexion -Extension at the ankle, so that the foot points inferiorly.
Circumduction- Conical movement of a limb extending from the joint at which the movement is
controlled. A general motion with circular movement
Inversion -Movement of the sole towards the median plane
Eversion- Movement of the sole of the foot away from the median plane.
Elevation - Movement in a superior direction (e.g. shoulder shrug),
Depression -Movement in an inferior direction.
Protraction- Occurs when shoulder is moved forward or when jaw is pushed forward.
Retraction - the scapula being pulled posteriorly and medially, toward the vertebral column or
pulls the lower jaw backward.
Opposition is the thumb movement that brings the tip of the thumb in contact with the tip of a
finger.
Reposition - Returning the thumb to its anatomical position next to the index finger.
Excursion - Side to side movement of the mandible. Lateral excursion moves the mandible away
from the midline, toward either the right or left side. Medial excursion returns the mandible to its
resting position at the midline.
3.3 Gait Analysis
A series of rhythmical, alternating movements of the trunk & limbs which results in the forward
progression of the center of gravity. Activities that occur from the point of initial contact of one
lower extremity to the point at which the same extremity contacts the ground again.
Measurement of body in space(kinematics) and the forces which produce the
movement(kinetics).
Equipments and Techniques
1. Photography – Basic method
2. Video recording – Single and multiple cameras
3. Active markers- Markers triggered by IR cameras and produce signals of their own
4. Passive markers – Reflective markers. IR signals produced and cameras pick the reflected
light.
Gait Cycle
A single sequence of function by one limb. It begins when reference foot contacts the ground and
ends with subsequent floor contact of the same foot
Step Length
Distance between corresponding successive points of heel contact of the opposite feet
Rt step length = Lt step length (in normal gait)
Stride Length
Distance between successive points of heel contact of the same foot
Double the step length (in normal gait)
Walking Base
Side-to-side distance between the line of the two feet
Also known as ‘stride width’
Cadence
Number of steps per unit time
Normal: 100 – 115 steps/min
Support:
Single Support: only one foot in contact with the floor
Double Support: both feet in contact with floor
Gait Phases
Each extremity passes through two phases, a single stance phase and a single swing phase
Stance Phase: Reference limb in contact with floor.
Swing Phase: Reference limb not in contact with the floor.
Stance Phase
Stance phase comprises 60% of the gait cycle
Heel strike – moment when the heel first strikes the ground
Foot flat – from heel strike to when the full foot is in contact with the ground
Midstance – body weight is directly over the stance leg
Heel off – moment the heel of the stance leg leaves the ground
Toe off – when only the toe of the stance leg is in contact with the ground
3.4 Goniometry
A goniometer is an instrument used to measure angles. The term goniometry is derived from two
Greek words, gonia meaning angle and metron, meaning measure.
Goniometry is used to measure the total amount of available motion at a specific joint.
Goniometry can be used to measure both active and passive range of motion.
A goniometer is often used in patients who have limitations of movement due to muscle
tightness, joint stiffness or other conditions affecting their joint range of motion. Goniometers
are produced in a variety of sizes and shapes and are usually constructed of either plastic or
metal. Small goniometers are available to measure range of motion around the joints of the
fingers, thumbs and hands. Large goniometers are used to measure the range of motion around
the hips or knees.
Types of goniometer
The two most common types of instruments used to measure joint angles are the bubble
goniometer and the traditional goniometer.
Bubble goniometer- The bubble goniometer, which has a 360° rotating dial and scale with fluid
indicator can be used for flexion and extension; abduction and adduction; and rotation in the
neck, shoulder, elbow, wrist, hip, knee, ankle, and the spine.
Traditional goniometer - The traditional goniometer, can be used for flexion and extension;
abduction and adduction; and rotation in the shoulder, elbow, wrist, hip, knee, and ankle.
Digital goniometers are also available, but they are quite expensive.
Parts of goniometer
A body - The body of the goniometer is designed like a protractor and may form a full or half
circle. A measuring scale is located around the body. The scale can extend either from 0 to 180
degrees and 180 to 0 degrees for the half circle models, or from 0 to 360 degrees and from 360 to
0 degrees on the full circle models.The intervals on the scales can vary from 1 to 10 degrees
A stationary arm - The stationary arm is structurally a part of the body and therefore cannot
move independently of the body
A moving arm - The moving arm is attached to the fulcrum in the center of the body by a rivet or
screw-like device that allows the moving arm to move freely on the body of the device.
The correct selection of which goniometer device to use depends on the joint angle to be
measured. The length of arms varies among instruments and can range from 3-18 inches.
Range of Motion
Starting position for ROM is anatomical position except rotations in transverse plane.
It provides the examiner with information about the subject’s willingness to move, coordination,
muscle strength and joint range of motion.
Passive Rom
PROM is the arc of motion attained by an examiner without assistance from the subject.
Normally PROM is slightly greater than AROM. It provides the examiner with information
about the integrity of the articular surfaces and the extensibility of soft tissues around the joint.
Procedure
Each arm is positioned at specific points on the body and the center of the goniometer is aligned
at the joint to be measured.
The patient is positioned in the recommended testing position. While stabilizing the proximal
joint component, the clinician gently moves the distal joint component through the available
range of motion until the end feel is determined. An estimate is made of the available range of
motion and the distal joint component is returned to the starting position. A record is made of the
starting measurement. The goniometer is then removed and the patient moves the joint through
the available range of motion. Once the joint has been moved through the available range of
motion, the goniometer is replaced and realigned, and a measurement is read and recorded.
Applications
2. To establish diagnosis
3.5 Accelerometer
An accelerometer is an electromechanical device used to measure acceleration forces. Such
forces may be static, like the continuous force of gravity or, as is the case with many mobile
devices, dynamic to sense movement or vibrations. Acceleration is the measurement of the
change in velocity, or speed divided by time.
Types of accelerometers
Piezoelectric rely on piezoceramics (e.g. lead zirconate titanate) or single crystals (e.g. quartz,
tourmaline). The piezoelectric effect is the most common form of accelerometer and uses
microscopic crystal structures that become stressed due to accelerative forces. These crystals
create a voltage from the stress, and the accelerometer interprets the voltage to determine
velocity and orientation.
Medical applications
CPR-D•padz which contain an accelerometer to measure the depth of CPR chest compressions.
Footpods, containing accelerometers help determine the speed and distance for the runner
wearing the unit.
Herman Digital Trainer uses accelerometers to measure strike force in physical training.
Football helmets with accelerometers in order to measure the impact of head collisions.
Accelerometers have been used to calculate gait parameters, such as stance and swing phase.
This kind of sensor can be used to measure or monitor people.
Accelerometers may help save the lives of those who are elderly or who have difficulty standing.
These accelerometers are used in different fall detection devices. They sense when someone has
suddenly fallen by determining the change in their velocity and in the direction they are moving.
If the device determines that the values for these two variables fall into the danger category, it
will automatically send out a call for help.
3.6 Pedobarograph
The instrument is used as a gait analysis tool that measures the pressure distribution on the
bottom of the foot through all stages of the gait cycle.
Types
Optical Pedobarograph
It uses digital video capture technology to record the pressure variations on the sole of the foot.
The subject walks across the force plate fitted with an illuminated glass plate. As the foot hits the
device, the glass surface deflects due to the force, causing the horizontal light beams to reflect
downwards and be read by the video camera. The amount of light reflected is proportional to the
pressure caused by the foot striking the plate.
Musgrave Foot pedobarograph - Computerized form of gait analysis that is used in the
measurement and evaluation On the bottom of the foot through all stages of the gait cycle.
3.7 Podiascan
A Simple and noninvasive procedure that assesses abnormalities of the nerves based on the
plantar distribution of pressure. It assesses deformity, infection, breakdown of skin, temperature,
edema, ischemia, and callosities. It produces instantaneous and high resolution images of the
pressure distribution across the plantar surface.
Diabetic Neuropathy
Diabetic neuropathy is a common complication that affects numerous patients with diabetes.
Disorder of the nerves caused due to diabetes is called diabetic neuropathy. Neuropathy is caused
when patients have high blood sugar levels for a prolonged period of time. It also caused due to
smoking and alcohol abuse.
High blood sugar levels lead to a damage of the blood vessels and the nerves of the feet. Over a
period of time, this damage leads to a decreased sensation in the feet. When these add up, the
patient is at a higher risk of damage to the feet. Patients have ulcers on the feet. These ulcers take
a long time to heal as the immunity system of a diabetic is compromised. Wounds and ulcers
take a lot of time to heal and in some cases, lead to amputation of the feet.
With such high risk factor involved, it is important for every diabetic to get a periodical foot
exam. This foot exam is done with a procedure called PodioScan.
Components
It consists of Harris mat, special scanner copier and printer, image analysis software and patient
reporting software. When the patient steps over the Harris mat, greater local foot forces deposit
more ink and detects the area of greatest concern for ulceration. Harris mat produces a weight
bearing imprint of the foot and the podia scan produces qualitative multi color output and makes
the pressure reading easier. Easily interpreted visuals obtained in seconds.
Applications
Identify potential ulcerations
Pre and post surgical evaluations
Prescription of foot orthoses
Determine degree of pronation and supination.
Monitoring degenerative foot disorders
Detection of scoliosis.
Screening diabetes.
3.8 Force Platform
They are measuring instruments that measure the ground reaction forces generated by a body
standing on or moving across them, to quantify balance, gait and other parameters of
biomechanics. Force Plates can be used for: Gait, Sport and Balance. A force plate measures the
force that is exerted by the ground in opposition to the weight on it.
Force plate is also able to provide information about the forces exerted parallel to the ground and
the location of the force vector. Portable in which case it looks like a giant set of scales or fixed.
Force plate has sensors, built into feet of its platform, which constantly measures the take-off
force and relays it hundreds of times per second to a computer. The height of jump, jump power
and other parameters are automatically calculated from the take off force.
Load cells are employed to read forces. They are strain gauges, which essentially are variable
resistors that change their resistance relative to their strain (basically how much they stretch). By
measuring the resistance, and calibrating each load cell so that the resistance is meaningful in
proportion to force.
Ideal Force Plate
Be able to resolve the vertical, forward and lateral components of the force
Have low ‘cross talk’ between the measured components of the force
Have sufficient sensitivity and resolution for the subject of interest
Have a linear response
Have a response independent of where on the plate surface the force is exerted
Have a high natural frequency of oscillation
Have sufficient safety margin to protect both the plate and the subject from damage due
to failure
Be Simple and inexpensive
Components
1. AMTI force plates
2. Amplifiers
3. A/D Interface Unit (ADIU)
4. Event and video control unit (E&VCU) (for use with peak video/optical motion capture
system)
5. Data acquisition computer with A/D converter card
Foot arches assist the foot in supporting the body weight; in absorbing shock of weight bearing;
and in providing a space on the plantar aspect of the foot for the blood vessels, nerves, and
muscles. There are 4 arches: The metatarsal, transverse arch, medial longitudinal arch, lateral
longitudinal arch.
Plantar Fascia
These are thick bands of fascia that cover the plantar aspects of the foot. During weight bearing=
mechanical energy is stored in the stretched ligaments, tendons, and plantar fascia of the foot.
This energy is released to assist with push-off of the foot from the surface.
Foot Joints
Interphalangeal Joint: located at the distal extremities of the proximal and middle phalanges.
Designed for flexion and extension.(hinge joint)
Tarsometatarsal Joint: allows some gliding and restriction of flexion, extension adduction and
abduction.
They are divided into two distinct groups; extrinsic and intrinsic muscles. Extrinsic muscles
arise from the anterior, posterior and lateral compartments of the leg. They are mainly
responsible for actions such as eversion, inversion, plantarflexion and dorsiflexion of the foot.
Intrinsic muscles are located within the foot and are responsible for the fine motor actions of the
foot, for example movement of individual digits.
References
1. Susan J Hall, Basic Biomechanics, Mc Graw Hill, 5th Edition, 2006.
2. Fung, Y.G., Biomechanics, Springer, New York Inc., 2008.
3. Joseph Bronzino, Hand book of Biomedical Engineering, Springer, 2 nd Edition, 2000.
4. Joseph Hamill and Kathleen M. Knutzen, Biomechanical Basis of Human Movement,
Lippincott Williams & Wilkins, 3 rd Edition, 2008, Philadelphia.
5. Duane Knudson, Fundamental of Biomechanics, Kluwer Academic/Plenum publishers, 2nd
Edition, 2007.
Question Bank
PART A
S.No. Questions
1 What is gait analysis?
2 What is Pondreal Index? Give its equation.
3 What are the advantages, disadvantages and applications of a
pedobarograph?
4 What are the requisites of an ideal force plate?
5 Name few instruments to measure foot pressure.
6 State the difference between goniometer and accelerometer.
7 Write about the stages in a gait cycle.
8 What are the movements possible at ankle?
9 Give the classification of somatotype.
10 What is a pedobarograph?
PART B
S.No. Questions
1 Explain the various stages of human locomotion.
2 Explain the mechanics of foot.
3 What is gait analysis? Give an account of gait analysis with various stages
4 Explain the working of a pedobarograph.
5 How is a force platform/plate used to measure the foot pressures?
Describe the components
6 Describe the various anthropometric considerations of human body.
7 Discuss on the instruement used to measure body angles.
8 Write short notes on
a)Accelerometer
b)Podiascan
SCHOOL OF BIO AND CHEMICAL ENGINEERING
DEPARTMENT OF BIOMEDICAL ENGINEERING
The elbow increases the flexibility of the upper limb. It also transmits forces between the arm
and the forearm and acts as the axis for the forearm lever system. The elbow is a complex of
three joints of humerus, ulna and radius: humeroulnar, humeroradial and proximal radioulnar
joints. All three joints are enclosed within the same capsule.
The distal humerus is divided into medial and lateral columns, which are tilted anteriorly
approximately 40° from the humeral shaft. The columns form two articulating surfaces at the
elbow joint: capitellum and trochlea.
The humeroulnar joint is a hinge joint formed by the hourglass-shaped trochlea articulating with
the saddle-shaped trochlea notch of the ulna. This is an inherently stable configuration, and
restricts undue relative motion between the articulating surfaces. The humeroradial joint is a ball
and socket joint. It is an unconstrained joint formed between capitellum, which is an almost
perfect hemisphere, and radial head, which has little contact with the capitellum. The proximal
radioulnar joint is a pivot joint formed by articulation between the adjacent surfaces of the radius
and ulna. It is a relatively constrained joint.
Articulating Surface
Ligaments
The joint capsule of the elbow is strengthened by ligaments medially and laterally.
The radial collateral ligament is found on the lateral side of the joint, extending from the lateral
epicondyle, and blending with the annular ligament of the radius (a ligament from the proximal
radioulnar joint).
The ulnar collateral ligament originates from the medial epicondyle, and attaches to the coronoid
process and olecranon of the ulna.
Movements
The elbow joint complex allows two types of motion: flexion and extension occur at the
humeroulnar and humeroradial joints; and pronation and supination occur at the humeroradial
and proximal radioulnar joints, and also require simultaneous motion at the distal radioulnar
joint. The two types of motion are independent of each other. The normal range of flexion–
extension is 0°–140°, and pronation–supination is 75° pronation – 85° supination. The functional
range of flexion–extension is 30°–120°, and pronation–supination is 50° pronation – 50°
supination.
Articulating Surfaces
The shoulder joint is formed by the articulation of the head of the humerus with the glenoid
cavity (or fossa) of the scapula. This gives rise to the alternate name for the shoulder joint – the
glenohumeral joint. Like most synovial joints, the articulating surfaces are covered with hyaline
cartilage. The head of the humerus is much larger than the glenoid fossa, giving the joint a wide
range of movement at the cost of inherent instability.
The shoulder complex involves 3 physiological joints and one floating joint:
Glenohumeral (GH) joint - Ball and socket synovial joint, where the head of the humerus
(convex surface) articulates with the glenoid fossa (concave surface) of the scapula. Because of
the relatively large surface area of the humeral head in relation to the fossa, the joint itself has
limited bony congruency, and consequentially heavily depends on surrounds soft tissues for
structural support.
Acromioclavicular (AC) joint- diarthrodial and synovial joint. It allows for axial rotations and
antero-posterior glides. Because there are not direct attachements of muscles to the joint, all
movements are passive and initiated by movements at other joints
The joint capsule is a fibrous sheath which encloses the structures of the joint. It extends from
the anatomical neck of the humerus to the border or ‘rim’ of the glenoid fossa. The joint capsule
is lax, permitting greater mobility (particularly abduction).
The synovial membrane lines the inner surface of the joint capsule, and produces synovial fluid
to reduce friction between the articular surfaces. To reduce friction in the shoulder joint, several
synovial bursae are present. A bursa is a synovial fluid filled sac, which acts as a cushion
between tendons and other joint structures.
Ligaments
In the shoulder joint, the ligaments play a key role in stabilising the bony structures.
Glenohumeral ligaments (superior, middle and inferior) – the joint capsule is formed by this
group of ligaments connecting the humerus to the glenoid fossa. They are the main source of
stability for the shoulder, holding it in place and preventing it from dislocating anteriorly. They
act to stabilise the anterior aspect of the joint.
Coracohumeral ligament – attaches the base of the coracoid process to the greater tubercle of the
humerus. It supports the superior part of the joint capsule.
Transverse humeral ligament – spans the distance between the two tubercles of the humerus. It
holds the tendon of the long head of the biceps in the intertubercular groove.]
Coraco–clavicular ligament – composed of the trapezoid and conoid ligaments and runs from the
clavicle to the coracoid process of the scapula. They work alongside the acromioclavicular
ligament to maintain the alignment of the clavicle in relation to the scapula.
The other major ligament is the coracoacromial ligament. Running between the acromion and
coracoid process of the scapula it forms the coraco-acromial arch. This structure overlies the
shoulder joint, preventing superior displacement of the humeral head.
Movements
As a ball and socket synovial joint, there is a wide range of movement permitted:
The hip joint is a ball and socket synovial joint, formed by an articulation between the pelvic
acetabulum and the head of the femur. It forms a connection from the lower limb to the pelvic
girdle, and thus is designed for stability and weight-bearing – rather than a large range of
movement.
Articulating Surfaces
The hip joint consists of an articulation between the head of femur and acetabulum of the pelvis.
The acetabulum is a cup-like depression located on the inferolateral aspect of the pelvis. Its
cavity is deepened by the presence of a fibrocartilaginous collar – the acetabular labrum. The
head of femur is hemispherical, and fits completely into the concavity of the acetabulum. Both
the acetabulum and head of femur are covered in articular cartilage, which is thicker at the places
of weight bearing.
Ligaments
The ligaments of the hip joint act to increase stability. They can be divided into two groups –
intracapsular and extracapsular:
Intracapsular
Extracapsular
There are three main extracapsular ligaments, continuous with the outer surface of the hip joint
capsule:
Iliofemoral ligament – arises from the anterior inferior iliac spine and then bifurcates before
inserting into the intertrochanteric line of the femur. It has a ‘Y’ shaped appearance, and prevents
hyperextension of the hip joint. It is the strongest of the three ligaments.
Pubofemoral – spans between the superior pubic rami and the intertrochanteric line of the femur,
reinforcing the capsule anteriorly and inferiorly. It has a triangular shape, and prevents excessive
abduction and extension.
Ischiofemoral– spans between the body of the ischium and the greater trochanter of the femur,
reinforcing the capsule posteriorly. It has a spiral orientation, and prevents hyperextension and
holds the femoral head in the acetabulum.
Movements
Knee joint is a hinge type synovial joint, which mainly allows for flexion and extension (and a
small degree of medial and lateral rotation). It is formed by articulations between the patella,
femur and tibia.
Articulating Surfaces
The knee joint consists of two articulations – tibiofemoral and patellofemoral. The joint surfaces
are lined with hyaline cartilage and are enclosed within a single joint cavity.
Tibiofemoral – medial and lateral condyles of the femur articulate with the tibial condyles. It is
the weight-bearing component of the knee joint.
Patellofemoral – anterior aspect of the distal femur articulates with the patella. It allows the
tendon of the quadriceps femoris (knee extensor) to be inserted directly over the knee –
increasing the efficiency of the muscle.
Menisci
The medial and lateral menisci are fibrocartilage structures in the knee that serve two functions:
To deepen the articular surface of the tibia, thus increasing stability of the joint.
They are C shaped and attached at both ends to the intercondylar area of the tibia.
Ligaments
Patellar ligament – a continuation of the quadriceps femoris tendon distal to the patella
Collateral ligaments – two strap-like ligaments. They act to stabilise the hinge motion of the
knee, preventing excessive medial or lateral movement
Tibial (medial) collateral ligament – wide and flat ligament, found on the medial side of the joint.
Proximally, it attaches to the medial epicondyle of the femur, distally it attaches to the medial
condyle of the tibia.
Fibular (lateral) collateral ligament – thinner and rounder than the tibial collateral, this attaches
proximally to the lateral epicondyle of the femur, distally it attaches to a depression on the lateral
surface of the fibular head.
Cruciate Ligaments – these two ligaments connect the femur and the tibia. In doing so, they cross
each other, hence the term ‘cruciate’.
Anterior cruciate ligament – attaches at the anterior intercondylar region of the tibia where it
blends with the medial meniscus. It prevents anterior dislocation of the tibia onto the femur.
Posterior cruciate ligament – attaches at the posterior intercondylar region of the tibia and
ascends anteriorly to attach to the anteromedial femoral condyle. It prevents posterior dislocation
of the tibia onto the femur.
Movements
Ligament - Tough fibrous band of connective tissue that serves to support the internal organs
and hold bones together in proper articulation at the joints. A ligament is composed of dense
fibrous bundles of collagenous fibres and spindleshaped cells known as fibrocytes, with little
ground substance (a gel-like component of the various connective tissues). Ligaments may be of
two major types: white ligament is rich in collagenous fibres, which are sturdy and inelastic; and
yellow ligament is rich in elastic fibres, which are quite tough even though they allow elastic
movement.
Tendons are the connective tissues that transmit the mechanical force of muscle contraction to
the bones; the tendon is firmly connected to muscle fibres at one end and to components of the
bone at its other end. Tendons are remarkably strong, having one of the highest tensile strengths
found among soft tissues. Their great strength, which is necessary for withstanding the stresses
generated by muscular contraction, is attributed to the hierarchical structure, parallel orientation,
and tissue composition of tendon fibres.
Mechanical Properties
Connective tissues are described as heterogeneous because they are composed of a variety of
solid and semisolid components.
Force and Elongation
The force values in the load-deformation curve depend on both the size of the structure and its
composition. A larger structure (cross-sectional area) will be able to withstand more force, and a
longer structure will elongate further when a force is applied. Thus, if two tissues are composed
of the same material, a larger tissue will have greater tensile strength, and a longer tissue will
have less stiffness.
A primary group of tissue which binds, supports and protects our human body and structures
such as organs is soft connective tissue. In contrary to other tissues, it is a wide-ranging
biological material in which the cells are separated by extracellular material.
Examples for soft tissues are tendons, ligaments, blood vessels, skins or articular cartilages
among many others. Tendons are muscle-to-bone linkages to stabilize the bony skeleton (or to
produce motion), while ligaments are bone-to-bone linkages to restrict relative motion. Blood
vessels are prominent organs composed of soft tissues which have to distend in response to pulse
waves. The skin is the largest single organ (16% of the human adult weight). It supports internal
organs and protects our body. Articular cartilages form the surface of body joints (which is a
layer of connective tissue with a thickness of 1-5 mm) and distribute loads across joints and
minimize contact stresses and friction.
Collagen. Collagen is a protein which is a major constituent of the extracellular matrix of
connective tissue. It is the main load carrying element in a wide variety of soft tissues and is very
important to human physiology (for example, the collagen content of (human) achilles tendon is
about 20 times that of elastin).
Collagen is a macromolecule with length of about 280 nm. Collagen molecules are linked to each
other by covalent bonds building collagen fibrils. Depending on the primary function and the
requirement of strength of the tissue the diameter of collagen fibrils varies. In the structure of
tendons and ligaments, for example, collagen appears as parallel oriented fibers , while many
other tissues have an intricate disordered network of collagen fibers embedded in a gelatinous
matrix of proteoglycans.
More than 12 types of collagen have been identified . The most common collagen is type I,
which can be isolated from any tissue. It is the major constituent in blood vessels.
4.8 Properties of cortical and Cancellous Bone
Structural Properties- Mechanical properties that a structure possesses due to its size &
geometry. Structural properties are usually determined by plotting load-deformation relationships
of structures made up of like tissues.
Material properties - Mechanical properties that a material or tissue possesses due to the make-up
the tissue (the content as well as the arrangement of fibers & cells). Material properties are
usually determined by plotting stress-strain relationships of different tissues.
Mechanical parameters depend on the content of organic and inorganic materials. Inorganic
materials are responsible for giving the bones elastic properties, are related to the activity of cells
which in turn depends on the correct blood supply of the bone tissue.
The forces to which the bone is usually exposed include compression, tension, torsion, bending
and shear stress.
1.Elastic behavior (Hookes law)
Law of elasticity states that a material subjected to tensile force would extend in the direction of
traction by an amount that is proportional to the load, in other words Stress is directly
proportional to the strain.
Fig 4.14 Elastic Behaviour
2.Stress and Strain
Stress: The force per unit of cross sectional area. The SI Unit of stress is newton per square
meter.
Strain : It is the ratio of the change in size or shape to the original size or shape. It has no
dimensions, it is just a number.
5.Torsion
If we hold one end of a cylinder fixed and twist the other end as shown in the figure below, we
are applying a torsional (or twisting) stress.
Bulk Properties
Ductility - Characteristic of a material that undergoes considerable plastic deformation under
tensile load before rupture
Brittleness- Absence of any plastic deformation prior to failure
Malleability- Characteristic of a material that undergoes considerable plastic deformation under
compressive load before rupture
Resilience- Ability of a material to absorb energy when it is deformed elastically, and release
that energy upon unloading.
Toughness – property of a material enabling it to endure high-impact or shock loads; ability to
absorb energy during plastic deformation
Hardness - Resistance of a material to scratching, wear, or penetration
Elastic properties of bones
1.Young’s Modulus
The gradient of the straight-line graph is the Young's modulus, E
E is constant and does not change for a given material. It in fact represents 'stiffness' property of
the material.
2.Fracture:
Separation of a body into pieces due to stress.
Depending on the ability of material to undergo plastic deformation before the fracture two
fracture modes can be defined - ductile or brittle.
3.Plastic Deformation:
At some point, the strain is no longer proportional to the applied stress. At this point, bonds with
original atom neighbors start to break and reform with a new group of atoms. When this occurs
and the stress is relieved, the material will no longer return to its original form, i.e., the
deformation is permanent and non recoverable. The material has now moved into the region
referred to as plastic deformation. It produces a permanent change in the shape or size of a solid
body without fracture, resulting from the application of sustained stress beyond the elastic limit.
The mechanical testing of skin can be further classified into in vivo and in vitro tests. In vitro
tests provide a simple and easy to model Stress-Strain relationship under controlled conditions.
In vitro tests can also be used to calculate the ultimate tensile stress and strain when the skin
ruptures. In comparison, in vivo tensile measures are able to include anatomical and
physiological effects on skin properties. For example, skin ageing provides a negative impact on
skin’s ability to perform functions like body temperature regulation and water loss prevention.
Longitudinal studies of Young’s Modulus values of skin must therefore be done in vivo.
Tensile test
Tensile testing is the most common type of test performed ex vivo under controlled conditions .
In tensile tests, the skin is stretched parallel to the plane of the skin. The load can either be
uniaxial or biaxial. The maximum and minimum values of the Young’s Modulus across the tibial
axis were found to be 0.32 and 4 MPa respectively and 0.3 and 20 MPa, respectively. A
customised tensile device was used to measure the ultimate stress along with the longitudinal,
transverse and shear strain field in an I-shaped tissue sample (taken from an 85-year old male)
using Image Correlation Method. The machine had been divided into an upper chamber and a
lower chamber to clamp the tissue from both ends. Young’s Modulus was calculated for
longitudinal, transverse and shear strains.
Indentation test
Indentation is one of the most widely used and accepted means of measurement of skin’s bio-
mechanical properties in vivo. It employs the use of an indenter which comes in to contact with
and applies a perpendicular force on a small area of skin. The indentation method delivers
Young’s Modulus in the perpendicular direction without any skin pre-stressing Laser or
ultrasound sensors are employed to measure the distance of depths on indentation. Spherical and
cylindrical indentors are employed for the test. The cylindrical indenter measured a higher
average value of Young’s Modulus than the spherical indenter at higher indentation depths.
Suction test
The mechanical properties of thin elastic membranes of materials like rubber can be determined
using Diaphragm tests, where the membrane is clamped at two ends and inflated in the form of a
dome while the pressure of suction is controlled by a pressure controller.
The suction method to investigate anisotropy of skin has evolved to become a common
procedure for skin mechanical testing. Generally, it employs the measurement of skin elevation
in a circular aperture caused due to vacuum conditions using optical systems like Dermaflex and
Cutometer.
Dermaflex is a device with an aperture size of 10 mm, the cup being adhered to the skin to
prevent creep. It has been used to measure skin distensibility and to account for mechanical
properties of dermis in by measuring elasticities as a percentage of skin retraction after the
stretch. The Cutometer is a suction device employing probe apertures between 2-8 mm with the
application of negative pressure through a vacuum pump.
Torsion test
Torsion measurements are carried out by applying a constant torque through a guard ring and an
intermediary disc and measuring the resultant rotation of skin. As the torque is applied, an
immediate elastic deformation occurs followed by the occurrence of creeping viscoelastic
deformation which is time dependent. The release of torque leads to immediate recovery
followed by a slow recovery process which is usually not completed. In torsion, the elongation is
replaced by rotation and hence the measurement of elasticity becomes more complex.
References
1. Susan J Hall, Basic Biomechanics, Mc Graw Hill, 5th Edition, 2006.
2. Fung, Y.G., Biomechanics, Springer, New York Inc., 2008.
3. Joseph Bronzino, Hand book of Biomedical Engineering, Springer, 2 nd Edition, 2000.
4. Joseph Hamill and Kathleen M. Knutzen, Biomechanical Basis of Human Movement,
Lippincott Williams & Wilkins, 3 rd Edition, 2008, Philadelphia.
5. Duane Knudson, Fundamental of Biomechanics, Kluwer Academic/Plenum publishers, 2nd
Edition, 2007.
Question Bank
PART A
S.No. Questions
1 What are the types of bone tissue?
2 Specify few mechanical properties of soft tissues.
3 What are the types of cortical bone?
4 Mention on the shoulder ligaments.
5 Give the movements available in the elbow.
6 State few problems associated with mechanical testing of soft tissues.
7 Draw the stress strain curve for tissue, elastin and collagen
8 What are the features of soft tissues?
9 What is the role of mesnisci in a knee joint?
10 List the properties of cancellous bone.
PART B
S.No. Questions
1 Explain the biomechanics of knee joints.
2 Give an account of biomechanics of elbow.
A lag in the neuromuscular reaction time can result in dynamic joint instability with recurrent
episodes of joint subluxation and deterioration. Therefore, both mechanical stability and
neuromuscular control are probably important for long-term functional outcome, and both
aspects must be considered in the design of a neuromuscular rehabilitation program
The muscular system can be mechanically or metabolically overloaded. These mechanisms result
in specific and different adaptations that enhance performance.
The mode of exercise (e.g. strength training or endurance training) influences the type and
magnitude of adaptation in the neuromuscular system. For example if endurance training (high
repetition, low load contractions) is undertaken the muscular system will undergo specific
changes that targets aerobic metabolism and improved fatigue resistance. Strength training (low
repetitions with high load contractions), in contrast, will cause muscle adaptations such as
increased myofibrillar protein synthesis. As a result muscle size, strength and power may
increase and improve.
Gain an understanding of the techniques used in gymnastics skills from a perspective of sports
biomechanics and motor control research. Such investigations can explain, for example, how a
twist may be introduced into a somersault after takeoff, can quantify the contributions of various
twisting techniques to actual performances, and can determine the extent to which twisting
somersaults can be controlled by means of in-flight corrections.
Major applications are on twisting somersaults, swinging on rings, swinging on high bar, uneven
bars and parallel bars, vaulting and tumbling.
Tumbling
Tumbling is a dynamic activity performed in both gymnastics and tumbling disciplines. Linear
and angular momentum produced during the approach phase is used during the final takeoff
phase along with appropriate muscle activation time histories to produce the necessary linear and
angular momentum at takeoff to perform a particular skill.
High Bar
A routine on high bar comprises circling skills, release and regrasp skills and a dismount. The
giant circle is a fundamental skill on this piece of apparatus since it is used to link the circling
skills and to generate the required linear and angular momentum for the complex release skills.
Parallel Bars
Routines are performed on two parallel bars and consist of a mount, swinging skills, some with
flight, held elements, and a dismount. Many of the swinging elements on parallel bars are similar
to movements performed on the high bar, with the main difference being the shape and
orientation of the bars and their effect on grasp and point of rotation.
Fig 5.4 Parallel Bar
Vaulting
Vaulting is a dynamic activity performed in both mens and womens artistic gymnastics. Linear
and angular momentum generated during the approach and the takeoff from the springboard are
used during the contact with the vaulting table to produce the flight and rotation necessary for a
particular vault.
Rings
The long swing to still handstand is a key element of a competitive rings exercise. The forces on
the gymnast are around twice those in a giant circle on high bar but are limited because of the
elasticity of the rings equipment and the technique used by the gymnast. The difficulty in
reaching a completely motionless handstand is a consequence of the marked sensitivity to timing
the joint angle changes in the second half of the movement.
Fig 5.6 Ring movements
The basic aerodynamic and hydrodynamic principles that govern most sports are identified. In
turn, each concept is applied to a wide variety of individual sports, demonstrating how surface
textures, form and shape of the equipment or athlete govern speed and motion and how
performance can be enhanced.
BASEBALL AERODYNAMICS
For a pitch such as the curveball, the ball is released with topspin about the horizontal axis. This
results in a Magnus force that makes the ball curve faster towards the ground than it would under
the action of gravity alone.
Swimming is a sport that relies on hydrodynamic principles. Also known as fluid dynamics, this
branch of science deals with the study of liquids in motion. Swimmers engage in hydrodynamics
every time they set foot in the water. Competitive swimmers, especially, work with basic
hydrodynamic principles to reduce drag, streamline their forms and optimize their strokes for the
best possible performance.
Water Resistance
Buoyancy
Another aspect of hydrodynamics and swimming is the principle of buoyancy. Buoyancy is the
upward force which causes the pressure below a person to be greater than the pressure above the
person, resulting in the ability to float on top of the water rather than be pushed to the bottom.
The closer a person is to the top of the water, the greater the buoyancy. Competitive swimmers
establish greater buoyancy by trying to keep their shoulders above the water, which improves
their ability to move through the water with greater buoyancy.
Propulsion Forces
When a person swims, they propel themselves through the water with their legs and arms due to
the high density of water. The arms perform a levering action to propel through the water while
the legs typically perform a kicking motion. Forward power of the body through water deals with
two main forces of hydrodynamics: the resistance, or drag force, and the lift force of water.
When a person swims, they work with lift force by swimming as closely to the surface of the
water as possible. However, to overcome the drag, or resistance, of water, they must produce a
propulsion force greater than the opposing resistance force of water. To maximize forward
motion, fingers are pressed together and hands are moved in a pulling motion, taking advantage
of the water density. Kicking the legs also reduces drag force, although kicking produces less
force than the arms do when they swim.
The water resistance, i.e. drag, is generated mainly due to the collision of the water molecules
with the athlete and to the friction between the water and the surface of the body. In swimming, a
third form of drag is created due to the waves generated by the motion of the athlete, wave drag.
The appearance of waves will obstruct the efforts of the athlete. In open water events this form of
drag is greater than in swimming pools that are designed so as to minimize the effect.
Because water acts as a resistance force on the body, it has to streamline the form to reduce drag.
For example, a larger body moves more slowly through the water than a smaller person because
of the difference in surface area. Because resistance force is proportional to surface area, a
person can decrease drag if he can make himself smaller in the water. Competitive swimmer's
bathing suits do not resemble the typical bathing suit you might find at a store; instead, they are
designed to cover the entire body, compressing the swimmer as much as possible. These suits
tighten the body to achieve a torpedo shape, which reduces drag and contributes to faster
swimming. Swim caps also reduce drag, which is why they are worn in competitions.
Push-and-Pull Motions
A segment motion that involves moving an object, either directly by part of the body or by
means of implement, in pushing and pulling pattern. For example, a pitcher throws a baseball or
a tennis player serves a tennis or a worker lifts a box from the floor onto an overhead rack an
archer shoots an arrow from a bow
A segmental motion that all forces are continuously applied onto an external object (continuous
application pattern of sequential movement)
The simultaneous nature of the joint motions in push and pull patterns produces a rectilinear
path of motion at the distal end point of the segments involved, as opposed to a curvilinear path.
Such a rectilinear path means that all forces produced by segmental motion are applied directly
to the object and that this force is applied in the direction of motion. Keeping this in mind makes
it apparent that the primarily simultaneous push-pull patterns are of greatest value when it is
important to apply a large force (overcome a large resistance) or to apply a force with maximum
accuracy. All the forces involved are applied directly in line with the object being moved. There
are no large-magnitude tangential forces.
Ball Throwing
Stage 1- ball thrown primarily with elbow extension – no rotation of thorax or arm
Stage 2 - Thoracic rotation accompanies backward motion of the arm. The throw is initiated by
the arm swing forward. Some arm rotation as well as forearm extension at various times
Stage 3 - step is taken with same side foot to initiate throw
Stage 4 – step is taken with contralateral foot, thoracic rotation, arm rotation, elbow extension
Sports medicine focuses on helping people improve their athletic performance, recover from
injury and prevent future injuries. Sports medicine professionals treat amateur athletes, those
who want better results from their exercise program, people who have suffered injuries and are
trying to regain full function and those with disabilities who are trying to increase mobility and
capability. The goal of sports medicine is to help people engage in exercise safely and effectively
in order to achieve their training goals.
Sports medicine specialists treat a wide range of physical conditions, including acute traumas
such as fractures, sprains, strains, and dislocations. They also treat chronic overuse injuries,
including tendonitis, degenerative diseases, and overtraining syndrome.
Sports medicine combines general medical education with the specific principles of sports
science, exercise physiology, orthopedics, biomechanics, sports nutrition, and sports psychology.
A sports medicine team may involve medical and non-medical specialists, including physicians,
surgeons, athletic trainers, sports psychologists, physical therapists, nutritionists, coaches, and
personal trainers. Most sports medicine healthcare providers are certified in internal medicine,
emergency medicine, family medicine, or another specialty. They then get additional training.
There are other non-physician medical professionals who are critical to delivering care in sports
medicine. They include: physical therapists, certified athletic trainers and nutritionists. They each
play an important role in your care:
Certified athletic trainers offer rehabilitative exercises to help you regain strength and develop
programs to prevent future injury.
Registered Dietitians help you with needed weight loss or weight gain, and they offer dietary
advice to help you improve how well your body is functioning.
Sports psychology is a specific branch of psychology that focuses on the mental and emotional
needs of athletes and sports enthusiasts.Because athletes face unique stresses, a sports
psychologist can help regulate anxiety and improve focus in a way that is specific to their sport.
They will use a variety of psychology tools and skills (including psychotherapy, stress
management, and goal-setting) to help athletes maintain a strong emotional balance during
competition or recovery from a severe sports injury.
References
1. Susan J Hall, Basic Biomechanics, Mc Graw Hill, 5th Edition, 2006.
2. Fung, Y.G., Biomechanics, Springer, New York Inc., 2008.
3. Joseph Bronzino, Hand book of Biomedical Engineering, Springer, 2 nd Edition, 2000.
4. Joseph Hamill and Kathleen M. Knutzen, Biomechanical Basis of Human Movement,
Lippincott Williams & Wilkins, 3 rd Edition, 2008, Philadelphia.
5. Duane Knudson, Fundamental of Biomechanics, Kluwer Academic/Plenum publishers, 2nd
Edition, 2007.
Question Bank
PART A
S.No. Questions
1 What is the resistance devices used in neuromuscular training?
2 Define muscular strength.
3 What are the methods of stretching?
4 List the different floating positions of the human body.
5 List the different gymnastics techniques.
6 What factors distinguish a push like pattern from a throw like pattern.
7 Define wave drag.
8 What are the factors that influence the swimming efficiency?
9 How is a gill ball aerodynamics work?
10 Differentiate between active and passive flexibility
PART B
S.No. Questions
1 Elaborate on the aaplication of biomechanics
2 Explain the conditions occurring in aerodynamic lift force.
3 What are the movements that propel the human body while swimming?
Explain.
4 Discuss on sports medicine.
5 Write notes on: a) Movement pattern b) Skill c) Throw like patterns d)
Push like patterns with examples
6 Write in detail about the resistive forces in swimming.
7 How do you apply the principles of biomechanics to gymnastics?