Bicycle saddle height configurations have been shown to affect knee joint biomechanics. Research suggests that an excessively low saddle height may lead to Patellofemoral Pain Syndrome, which is thought to be caused by the knee adduction moment during cycling. However, how saddle heights affect frontal plane knee biomechanics was not clear. We aimed to compare different saddle heights on frontal plane knee biomechanics during cycling. Twenty healthy young recreational cyclists (23.4 ± 0.5 years) performed 3 min of cycling at four different saddle heights (Medium [25°knee flexion angle], Preferred [a height chosen by cyclists], Low [Preferred + 15°], High [Preferred -15°] measured at the bottom-dead-center). Cycling workload and cadence were set at 60 w and 60 RPM, respectively, since our project was focused on rehabilitation. A motion analysis system and a custom instrumented pedal were used to collect three-dimensional kinematics d (200 Hz) and pedal reaction force (1000 Hz). Results showed that, compared with other saddle heights, Low saddle height produced greater adduction knee moments (11.9 ± 1.9 Nm, P < 0.05), a longer duration (0.15 ± 0.01 s, P < 0.05), larger knee flexion (58.5 ± 2.6°, P < 0.05) and larger abduction angles (−4.5 ± 0.8°, P < 0.05). We showed that Low saddle height resulted in increased knee adduction moments with longer duration. In contrast, High saddle height reduced both knee moments and time duration. The results suggest that increased saddle heights may provide a safe and efficient cycling strategy for healthy young recreational cyclists.

The purpose of this study was to investigate the effects of surface slope and body posture (i.e., seated and standing) on lower extremity joint kinetics during cycling. Fourteen participants cycled at 250 watts power in three cycling conditions: level seated, uphill seated and uphill standing at a 14% slope. A motion analysis system and custom instrumented pedal were used to collect the data of fifteen consecutive cycles of kinematics and pedal reaction force. One crank cycle was equally divided into four phases (90° for each phase). A two-factor repeated measures MANOVA was used to examine the effects of the slope and posture on the selected variables. Results showed that both slope and posture influenced joint moments and mechanical work in the hip, knee and ankle joints (p < 0.05). Specifically, the relative contribution of the knee joint to the total mechanical work increased when the body posture changed from a seated position to a standing position. In conclusion, both surface slope and body posture significantly influenced the lower extremity joint kinetics during cycling. Besides the hip joint, the knee joint also played the role as the power source during uphill standing cycling in the early downstroke phase. Therefore, adopting a standing posture for more power output during uphill cycling is recommended, but not for long periods, in view of the risk of knee injury.

In this study, we investigated the effects of football shoes with different collar heights on ankle biomechanics and dynamic postural stability. Fifteen healthy college football players performed anterior and lateral single-leg jump landings when wearing high collar, elastic collar, or low collar football shoes. The kinematics of lower limbs and ground reaction forces were collected by simultaneously using a stereo-photogrammetric system with markers (Vicon) and a force plate (Kistler). During the anterior single-leg jump landing, a high collar shoe resulted in a significantly smaller ankle dorsiflexion range of motion (ROM), compared to both elastic (p = 0.031, dz = 0.511) and low collar (p = 0.043, dz = 0.446) types, while also presenting lower total ankle sagittal ROM, compared to the low collar type (p = 0.023, dz = 0.756). Ankle joint stiffness was significantly greater for the high collar, compared to the elastic collar (p = 0.003, dz = 0.629) and low collar (p = 0.030, dz = 1.040). Medial-lateral stability was significantly improved with the high collar, compared to the low collar (p = 0.001, dz = 1.232). During the lateral single-leg jump landing, ankle inversion ROM (p = 0.028, dz = 0.615) and total ankle frontal ROM (p = 0.019, dz = 0.873) were significantly smaller for the high collar, compared to the elastic collar. The high collar also resulted in a significantly smaller total ankle sagittal ROM, compared to the low collar (p = 0.001, dz = 0.634). Therefore, the high collar shoe should be effective in decreasing the amount of ROM and increasing the dynamic stability, leading to high ankle joint stiffness due to differences in design and material characteristics of the collar types.

The dual fluoroscopic imaging system (DFIS) is a new non-invasive motion analysis system that does not interfere with movement, has high precision and repeatability and is not affected by the errors caused by the relative movement of skin and soft tissues. DFIS has been recently used in the field of sports medicine. This narrative review focuses on relevant literature on the origin, development and mechanism of action of DFIS and summarises the application of DFIS in injury and rehabilitation treatment, such as the reliability of test results; the position relationships of bony structures in the shoulder, lumbar spine, knee joint and ankle joint during exercise and its six degree-of-freedom (6DOF) movement to calculate cartilage deformation, contact area/trajectory and ligament strain. This article puts forward the problems encountered in practice that need to be solved and looks forward to the future applications of DFIS in the field of sports, especially in injury prevention and treatment.