Saturday, January 25, 2020

Study of Impact Shocks in Fencing

Study of Impact Shocks in Fencing Abstract Fencing is a high intensity sport involving dynamic movements which expose the musculoskeletal system to high impact forces that may lead to overuse injuries. One of the most frequently used high impact movements is the lunge. With many different types of sports footwear available providing different levels of midsole cushioning, selecting the most suitable for a sport may be a factor in preventing the onset of injury. The aim of this study was to investigate the magnitudes of the transient axial impact shock experienced at the tibia between traditional fencing shoes and standard athletic footwear during the impact phase of the fencing lunge. Peak tibial shock was measured in 19 male fencers in 4 different footwear conditions using an accelerometer placed on the distal aspect of the tibia. The standard footwear resulted in significant reductions in peak impact shock in comparison to the traditional fencing shoes. Thus the reduction in impact shock found suggests that running or squas h specific footwear may reduce overuse injury occurrence. However, despite this, the majority of participants indicated that they preferred fencing specific footwear for fencing. The results of this study suggest that there is justification for a re-design of fencing shoes. Introduction Competitive fencing (foil, sabre and epee) has experienced a rapid increase in participation rates during the past decade (Harmer, 2008). The sport places unique demands on the athlete and is characterised by asymmetry and the incidence of rapid motions which have the potential to generate large forces (Geil, 2002). In particular, the frequently used lunge which is the basis of most attacking motions is a high impact movement (Kopetka Stewart, 2005). The expansion in participation combined with the biomechanical demands of the sport has led to enhanced awareness of the incidence of injuries associated with fencing. Nonetheless, prospective, epidemiological studies of the incidence of repetitive strain and overuse injuries in fencing are scarce. As a result, it is difficult to draw dependable conclusions regarding the etiology of fencing injuries and their prevention based on impartial information (Roi Bianchedi, 2008). However existing studies indicate that overuse injuries account for approximately 30% of injuries that interfere with training (Carter et al., 1993). The majority of injuries are confined to the lower extremities (e.g., stress fractures, impingement enthesopathies of the patellar tendon and tibia and plantar fascia) associated with fencing (Harmer, 2008, Wild et al., 2001; Zemper Harmer, 1996) characteristic of dynamic activities involving high velocity change in momentum actions (Harmer, 2008). No apparent data has been published providing information regarding the total number of lunges executed during a competitive bout. However, Roi and Bianchedi (2008) suggest that there are anywhere between 66 and 210 attacks (depending on the weapon) during a competition, which given the lunges function as the most common attacking mechanism, it appears that fencers will be regularly subjected to the impact forces imposed by the lunge. One of the characteristics of the foot impacting the surface during a lunge is a rapid change in velocity of the foot and this velocity reaches zero upon foot placement in a short period of time (Whittle, 1999). This impact leads to the transmission of an axial transient shock wave through the body and carries with it the potential for injury. It is important to recognise that loading is necessary for maintenance of cartilage, bone, and muscle health (Stone, 1988). An optimal loading window for tissue strength can be characterized by frequent impacts of certain magnitude, duration, and frequency. Movements beyond the optimal loading window can lead to the breakdown of body tissue and overuse injuries (Hardin et al., 2003). The magnitude of the impact shock is commonly measured using accelerometers. Accelerometers are traditionally placed onto the skin overlying the tibia to quantify the transient impact shockwave during motion. Despite the consensus that soft tissue interferes with the acceleration recording of underlying bone, the utilization of skin mounted devices is considered appropriate provided they are lightweight and rigidly attached to the overlying skin (Shorten and Windslow, 1992). This method has been used to examine the cushioning properties of athletic footwear (Lake Greenhalgh, 2005) and better differentiates between impact conditions compared to data acquired using a force platform (Lafortune Hennig, 1992). The high impact nature of the lunge implies that the lower extremities may be at risk from overuse injuries. To date there is no information available regarding the potentially detrimental effect of the impact accelerations experienced during this movement. However, epidemiological studies suggest that a relationship exists between the magnitude of the transient shockwave and the etiology of a number of lower extremity overuse injuries (Nigg Segesser, 1992). Therefore with a significant number of lunges being undertaken by a fencer and the potential connection between the magnitude of the impact shockwave and the incidence of overuse injuries makes it important to investigate the shock attenuation properties of fencing footwear. The 1992 U.S Fencing Association review of the factors that may contribute to fencing injuries indicates that of the three primary areas for prevention, deficient equipment and facilities may be responsible for as many as 28% of the injuries associated with fencing, with ineffective footwear forming a significant component (Carter et al., 1993). The review noted problems with fencing shoes citing inadequate cushioning as well as the lack of footwear designs that could shield against the high impact nature of the sport, particularly lunging. To reduce injury, Zemper and Harmer (1996) have suggested a redesign of fencing shoes. The primary function of athletic footwear as described by Stacoff et al., (1988) is to provide shock attenuation. The properties of athletic footwear have been linked to the prevention of overuse injuries. With many different types of sports footwear available providing different levels of midsole cushioning, selecting the most suitable for a sport can be vital in preventing the onset of injury. Fencing equipment retailers in the UK offer very few options for specific footwear, with only 2 major brands on offer (Adidas and Hi Tec). It also appears that the fencing shoe has been more specifically designed for the function of the trail foot to enable good grip on the piste as well as maximising the life span of the shoe if dragging the back foot, which is common in fencing. The limited availability of specific shock attenuating footwear to the fencer may predispose fencers to overuse injuries. The majority of studies analyzing the influence of different footwear conditions on impact kinetics have focused on running. Therefore, the aim of the present study was twofold. First, to assess the magnitude of the peak axial tibial transient accelerations associated with the lunge in fencing to provide practitioners with information regarding the potential causes of injury. Secondly, to compare two specific fencing shoes with two standard sports shoes (running and squash) with regards to their shock attenuating properties during the lunge movement. In particular, it was predicted that peak axial transient accelerations were lower in shoes which have been particularly developed for shock absorbing qualities (running and squash shoes) in comparison to fencing shoes during the stance phase of the fencing lunge. Methods Participants Nineteen male (17 right handed and 2 left handed) competitive fencers with a minimum of 2 years experience (Age 25.6 + 8.3 years; Height 1.78 + 0.5 m; Weight 76.8 + 9.0 kg) comprising a mixture of the foil (n=2), epee (n=15) and sabre (n=1) disciplines, volunteered to take part in this study. All were injury free at the time of data collection and completed an informed consent form. The procedure was approved by a university ethical board. Materials Each participant was fitted with four pairs of shoes for the study. The shoes were the same for each participant; they differed in size only (sizes 9 and 10 mens UK sizes) and consisted of a conventional running shoe (Saucony Grid forum), squash shoe (Hi-Tec squash indoor) and fencing shoes (Hi-Tec blade) and (Adidas en guard). A tri-axial (Biometircs ACL 300) accelerometer sampling at 1000Hz was utilized to measure axial accelerations at the tibia. The device was mounted on a piece of lightweight carbon-fibre material. The combined weight of the accelerometer and mounting instrument was 9g. The voltage sensitivity of the signal was set to 100mV/g, allowing adequate sensitivity with a measurement range of  ± 100 g. The device was attached securely to leading leg on the distal anterio-medial aspect of the shank 8 cm above the medial maleolus in alignment with its longitudinal axis. This location was selected as the boniest prominence of the distal tibia in accordance with the Nokes et al., (1984) conclusions to improve the mechanical coupling of the accelerometer mounting to the tibia and reduce artefact due to interposing soft-tissue. The accelerometer was positioned so that acceleration was measured in the direction up the tibia (Figure 1). Strong adhesive tape was placed over the device and the lower leg to avoid overestimating the peak positive acceleration due to tissue artefact. The device was attached as close to the tibia as possible, the skin on overlying the bone itself was stretched thus ensuring a more rigid coupling between accelerometer and tibia. Furthermore, adhesive tape was positioned over the device itself to ensure it was maintained in a fixed position along the longitudinal axis of the tibia. The acceleration signal was sent to a Biometrics data logger with a 2 GB memory card. The data logger was fastened securely to a lightweight backpack to reduce movement of the device during trials. Procedure The fencers completed a suitable warm-up and were allowed two minutes to familiarize themselves with the experimental protocol and footwear condition prior to the commencement of data collection. They were then required to complete ten lunges hitting a dummy with their weapon in each footwear condition whilst returning to a starting point (pre-determined by each participant prior to the commencement of data capture) following each trial to control lunge distance. Each trial was comprised of a lunge where contact between the sword and dummy defined a successful outcome. The starting point for the movement was adjusted and maintained. The order in which the different footwear conditions were worn was randomized. Upon conclusion of the data collection participants were asked to subjectively indicate which shoe they preferred for fencing. Kinetic data was quantified/processed using Biometrics data-log software. The stance phase of each trial was acquired from each accelerometer signal for analysis. Peak positive axial tibial acceleration was defined as the highest positive acceleration peak measured during the stance phase after a 60Hz 1st order low pass filter had been implemented in accordance with the Lake and Greenhalgh (2005) recommendations. The mean values of the footfalls per participant/condition for the axial component of the acceleration signal was quantified and used for statistical analysis. Descriptive statistics were calculated for each variable including means and standard deviations. Differences between footwear conditions were examined via a within subjects repeated measures analysis of variance with significance accepted at the p Results A statistical power analysis of pilot data was conducted in order to reduce the likelihood of a type II error and determine the minimum number of participants needed for this investigation. It was found that the sample size was sufficient to provide more than 80% of statistical power in the experimental measure. Figure 2 provides the mean and standard deviations for the peak tibial accelerations for the four different shoe types. The Mauchlys sphericity assumption was violated and as such the degrees of freedom of the F statistic was adjusted via the Greenhouse Geisser correction. The Shapiro-Wilk statistic for each footwear condition confirmed that the data was normally distributed. The analysis of variance was significant (F (1.97, 35.52) = 16.31; P Discussion The aim of this study was to determine the differences in the magnitude of the transient acceleration between traditional fencing shoes and standard athletic footwear during the impact phase of the fencing lunge. The results of this study support our hypothesis, in that the magnitudes of the axial impact shockwaves were significantly lower in both the running and squash shoes compared to the traditional fencing footwear. The transient shockwave is linked to the development of a variety of overuse injuries (Whittle, 1999). It is essential to acknowledge the link between the magnitude of these forces and overuse injuries, as the frequency of these conditions can be reduced by attenuating the impact magnitude (Whittle, 1999). Therefore the significant reduction in impact shock found would suggest that running/squash footwear may assist in the reduction of overuse injury occurrence. Interestingly, despite the higher impact magnitude and concerns regarding the potential development of overuse injuries, the majority of participants indicated that they preferred fencing specific footwear for fencing. This finding agrees with those of Geil (2002) who hypothesized that this finding centred on plantar sensory proprioceptive mechanisms, whereby the feel of the fencing piste underneath the foot is reduced in shoes that offer a high degree of midsole cushioning. Geil (2002) suggested that footwear may influence fencing performance. They noted that increased midsole cushioning and travel of the foot during compression may lead to slower motion of the feet, which in turn could contribute to diminished velocity of the weapon hand, reducing the overall execution quality of the movement itself. Based on these findings it appears that midsole cushioning properties should play only a partial role in the design characteristics of an effective fencing shoe. Fencing involves a number of movement strategies in addition to the lunge, and as such shoe designs must cater to this. Fencers like most athletes require sure footing during competition; as such footwear designs must deliver adequate traction to provide stability during lunging, attacking and retreating motions. Furthermore, the medial forefoot of the trail shoe is an area traditionally subjected to high abrasion forces and thus heavy wear. Manufacturers should therefore focus attention on developing more resistant materials for this purpose to prolong the lifespan of the shoe. Whilst shock attenuation is the primary function of midsole cushioning, the elastic energy stored and recovered by cushioning systems has been proposed as a mechanism by which the oxygen cost of movement can be reduced. Given the aerobic demands the sport of fencing places on the athlete (Roi Bianchedi, 2008) additional research should focus on this factor as it may serve to slow the onset of fatigue and improve performance. The results of this study however, suggest that there is some justification for the Zemper and Harmer (1996) recommendations regarding the re-design of fencing shoes due to the demonstrated high transient impact forces on the front foot during the lunge. The primary design dilemma facing footwear manufacturers is to include features that would serve to attenuate the large impact forces and help reduce overuse injuries. At the same time, the design characteristics should also provide the fencer with an adequate feel for the fencing piste beneath the foot. The severe angle between foot-segment and ground on initial contact is also significant when designing the shoe. The shoe cushioning system must therefore provide protection in the extreme rear of the heel, an area not normally associated with consistent high impact forces in other sports. The obvious asymmetry of the sport presents a challenge to footwear manufacturers and arguments can be made for the development of asymmetrical footwear designs. Several different surfaces in fencing are used. Surface stiffness can have a significant influence on the magnitude of the impact shock during landing (Kim et al., 1994). This study was conducted during training sessions on a training surface as opposed to a traditional piste used during competition thus the results obtained may not adequately represent actual competition. During competition a hard floor can be used, as well as a metallic piste (either a cloth placed over the hard floor or a hard metallic piste). Future research should therefore concentrate on the magnitude of the impact shock during competition on a true fencing piste. Limitations Accelerometry is a complicated approach and methodological problems can affect the efficacy of collected data (Lake and Greenhalgh 2005). The magnitude of the signal obtained from the accelerometer is dependent on the mounting interaction, making cross study comparisons difficult. Soft tissue artefact can also influence the acceleration recording of underlying bone (Light et al., 1980). Attaching the device directly to bone represents the most accurate method of measuring impact shock and further work is necessary to determine the efficacy of the less traumatic skin mounting technique. The device signal is also reliant on the centripetal acceleration due to angular motion of the shank in the sagittal plane during ground contact (Lafortune and Hennig 1991). Lake and Greenhalgh (2005) noted that despite the application of a distally mounted device, correction for angular motion may still be necessary. Further research should be conducted to investigate the necessary signal corrections for angular motion. Another potential limitation/restriction of this study is that the results obtained are entirely specific to the footwear and ground surface conditions, any variation in these parameters would most likely cause changes to the participants fencing kinetics/kinematics. In addition this study analyzed the lunge motion only. The lunge represents a high impact motion; however there are other movements of lower intensity which may still be important in terms of the development of overuse injuries. Therefore, additional research is necessary regarding the influence of footwear on the magnitude of the transient shockwave during different fencing movements before appropriate prescriptions of fencing footwear can be made. References Carter, C., Heil, J., and Zemper E. (1993). What hurts and why Data from the 1992 USFA Fencing Injury Survey shows some common culprits. American Fencing. 43, p 16-17. Geil, M.D. (2002). The Role of Footwear on Kinematics and Plantar Foot Pressure in Fencing. Journal of Applied Biomechanics, 18, p 155-162. Harmer, P.A. (2008). Getting to the point: injury patterns and medical care in competitive fencing. Current Sports Medicine Reports. 7, 303-307. Kim, W., Voloshin, A.S., and Johnson S.H. (1994). Modelling of the heel strike transients during running. Human Movement Science, 13, 221-244. Kopetka, B., and Stewart, S.L. (2005).The kinematic determinants of speed in the fencing lunge. (Part 1). Journal of Sports Sciences, 2, 105. Lafortune, M., and Hennig, E. (1991). Contribution of angular motion and gravity to tibial acceleration. Medicine and Science in Sports and Exercise, 23, 360-363. Lafortune, M. A., Hennig, E. M. (1992). Cushioning properties of footwear during walking: accelerometer and force platform measurements. Clinical Biomechanics, 7, 181-184. Lake, M.J. (2000). Determining the protective function of sports footwear. Ergonomics, 43, 1610-1621. Lake, M.J., and Greenhalgh, A. (2005). Impact shock measurements during running correction for angular velocity of the shank is necessary. Proceedings of the 7th Symposium on Footwear Biomechanics. Cleveland, Ohio, USA. Nigg, B.M., Segesser, B. (1992). Biomechanical and orthopaedic concepts in sport shoe construction. Medicine and Science in Sports and Exercise, 24, 595-602. Nokes, L., Fairclough, J.A., Mintowt-Czyz, W.J., Mackie, I., and Williams, J., (1984). Vibrational analysis of human tibia: The effect of soft tissue on the output from skin mounted accelerometers. Journal of Biomedical Engineering, 6, 223-226. Roi, G.S., and Bianchedi, D. (2008). The Science of Fencing Implications for Performance and Injury Prevention. Sports Medicine, 38, 465-481. Shorten, M.R., and Winslow, D.S. (1992). Spectral Analysis of Impact Shock During Running. International Journal of Sports Biomechanics, 8, 288-304. Stacoff, A., Denoth, J., Kaelin, X., and Stuessi, E. (1988). Running injuries and shoe construction: some possible relationships. International Journal of Sport Biomechanics 4, 342-357. Whittle, M.W. (1999). The generation and attenuation of transient forces beneath the foot; a review. Gait and Posture, 10, 264-275. Wild, AM., Jaeger, C., Poehl, C., Werner, A., Raab, P., and Krauspe, R. (2001). Morbidity profile of high performance fencers. Sportverletz Sportschaden, 15, 59-61. Zemper, E.D., Harmer, P.A. (1996). Fencing. In D.J. Calne, C.G. Caine, K.J. Lindner (ed.), Epidemiology of Sports Injuries (pp 186-195). Champaign, IL Human Kinetics.

Friday, January 17, 2020

A question arises as to how governments

Employment is important for every individual. Employment is a source of income whether it is a private job or a government job. Depending on education, experience and caliber, individuals are offered jobs in specific cadres. Every job carries certain responsibilities whether it is a labor job, clerical job or a senior management job.There are certain management principles that are required to be practiced   for every employee at every level of job functioning. Government and businesses cannot function without people and in fact efficient employees are the greatest asset for organizations to grow towards profit and development. A question arises as to how governments have a role to play in private sector.The answer to this question is, in order to bring transparency in private sector businesses, there are certain legal enactments i.e. Employment relations Act 2004, Companies Act, Corporate Insolvency Law and many other legal rules for every purpose of public or private sector.   T hese enactments contain rules and regulations which can be referred whenever there is a requirement for fulfilling a provision.For instance Employment Relations Act 2004 states about employee and employer relations and how these have to be maintained which is required to be followed by both private sector and public sector, which reduces a number of conflicts and disputes that could occur without these legal rules.The relation of employee and employer is slightly a difficult task to manage with, and at one point of time, appears much easier depending on the situation.   However, every employee and employer have to be careful with the jobs being held with in respective organizations.There are many human resource management books which detail and discuss about employee and employer relations within office environment as well with office related aspects of management. Management of relation involves both personal manners as well treating others with respect.In management, there are a lso barriers of culture, origin of a person and much in respect of working environment. Especially in industrial sector, where there are quite a number of workers and who carry grievances or demands in paying high salaries, asking for more number of leisure hours or bonus payments etc., The skill and efficiency of management is evident in handling trade unions of industries.Trade unions are very tough to deal with and when the demands of union are not met with, closure of factories, stopping production or working on strike, or slow production and such other activities are undertaken. Therefore, management of industries have to be extremely careful with industrial workers.Governments in order to assist industries have enacted Employment Relations Act 2004. This Act specially deals with labor laws and trade union rights.  Ã‚   UK government also introduced Employment Bill 2007 – 2008 which covers all aspects of employment law. This would further improve the effectiveness of e mployment law which would benefit employers, trade unions, individuals and public sector.   It also protects workers and encourages law-abiding businesses.Dispute resolutions is one area which is always required in workplaces.   In this regard, the Bill details about statutory procedures and related provisions about dismissal cases.   Apart from the above, the Bill clarifies about National Minimum Wage and which imposes penalties on non-compliance methods in respects of payment of salaries, calculation of arrears and also strengthens employment agencies.

Thursday, January 9, 2020

Unexpected Critiques in Walden Essay - 1057 Words

Unexpected Critiques in Walden In Walden, Henry David Thoreau utilizes many different styles and themes to explain his ideas about shelter in further detail. Thoreau uses lists, long and short sentences, imagery, and different narrative voices. But out of all the things Thoreau uses to strengthen his argument, the most powerful is his unexpected comparisons and his sarcasm towards shelter. Thoreau uses these to get the reader interested, but more importantly it gets the reader to reconsider his/her contentment and think about how ridiculous society was then concerning shelter. Early in Economy, Thoreau writes about shelter in regards to how humans first came to use and later need shelter. The passage starts off by explaining†¦show more content†¦This list changes the pace from the first couple of sentences about child rearing from eloquent, long sentences to a quick, easy-to-digest list. This progression of images shows how humans have advanced over time. But at the end of this list, Thoreau throws in a quick but simple sentence to change the rhythm, which changes the whole meaning of the list. Thoreau uses this quick sentence to make a very unexpected critique. He asserts that as humans we know not what it is to live in the open air, and our lives are domestic in more senses than we think (28). Here he pokes fun at societys inability to live without shelter. Thoreau includes himself by using we and our lives in this generalization to keep the reader from putting the book down After this change in pace Thoreaus sarcasm is more visible to the reader for he blatantly points out the basic need for shelter. He explains that from the hearth to the field is a great distance, even though that distance in reality is quite short (28). By saying this distance is far, Thoreau suggests that humans are so used to being indoors and under a roof that nature is something they never think about or want to be a part of. This obstruction between us and the celestial bodies, keeps creative minds from thinking at their best, according to Thoreau (28). The punch line that ties Thoreaus sarcasm together is in the last sentence, where Thoreau states that birds do not sing in cages, nor do dovesShow MoreRelatedMovie Analysis : Think For Yourself 1633 Words   |  7 Pagesbasic ideas we put upon ourselves in life. Conformity is also not run by one person or thing; it is us joined together making up these synthetic ideas. Along with Emerson, our other transcendentalist, Henry Dav id Thoreau, pleases us with his work, Walden. Walden revolves around the idea of simplicity and finding one s spirit. Thoreau also touches on the idea of needing the companionship of others. As a person living amongst this crowded world with people’s opinionated ideas I can only agree with EmersonRead MoreCritique Template For A Quantitative Study Essay2233 Words   |  9 PagesCritique Template for a Quantitative Study NURS 5052/NURS 6052 Week 6 Assignment: Application: Critiquing Quantitative, Qualitative, or Mixed Methods Studies (due by Day 7 of Week 7) Date: 7/17/2016 Your name: Adetola Stephen Okutubo Article reference (in APA style): Sofroniadou, S., Revela, I., Smirloglou, D., Makriniotou, I., Zerbala, S., Kouloubinis, A., ... Iatrou, C. (2012). Linezolid versus Vancomycin Antibiotic Lock Solution for the Prevention of Nontunneled Catheter-relatedRead MoreThe Barriers of Implementing Total Quality Management in Syria19376 Words   |  78 Pageswithout being negotiated with other members at the organization. Employees at the bottom line only have to do what they were told to do and report any faced problem. They perform their duties without even thinking about their right to negotiate or critique the decisions made by empowered people. And this keeps them quite when they know that the decision made is not effective. 4.4 Recruitment and Promotion Standards As Syria has a collectivist society, people interact socially and economically

Wednesday, January 1, 2020

Carper, M., Traeger, L., Gonzalez, J., Wexler, D., Psaros,

Carper, M., Traeger, L., Gonzalez, J., Wexler, D., Psaros, C., Safren, S. (2013). The differential associations of depression and diabetes distress with quality of life domains in type 2 diabetes. Journal of Behavioral Medicine, 37, 501-510. The article by Carper et al. (2014) discusses a research study, with the aim to establish domains of quality of life (QOL) that are significant for adults with diabetes and depressive symptoms and to determine the association of depression severity and diabetes distress which are relevant to domains of QOL. The author’s used a cross-sectional study design, and†¦show more content†¦The author’s used a cross-sectional study design, and collected data over the phone utilising a range of assessment tools, including self rating depression scale to assess depressive symptoms, QOL and social support using self rating questionnaires. The authors recruited 667 people with type 2 diabetes. They were then split into 2 groups, including 295 participants with depressive symptoms and 372 participants without depressive symptoms. People were excluded from the study if they were hospitalised during the study period, or had already had a diagnosis of mental illness. The findings in this research concluded that higher salary and subjective social support improved QOL of participants with depressive symptom, while a history of diabetic complications, depressive symptoms and using hypoglycemic agents or insulin, impaired participants QOL. Limitations of this study include the use of self-reporting questionnaires as this have the potential of self-report response bias preventing a true indicator of the results. Schmitz, N., Garià ©py, G., Smith, K., Malla, A., Boyer, R., Strychar, I., Lesage, A., Wang, J. (2013). Longitudinal Relationships Between Depression and Functioning in People