Hip Angles and the Stepping
Efficiency in Children
The creation of factual and
dependable tests of the cardiorespiratory fitness for children is of
importance for physical fitness and exercise professionals. As a
result, a study was conducted to determine if VO2, oxygen
consumption, while performing step aerobics in children is affected
by altering the step platform height based on the length of the leg.
Shahnawaz was one of the first to come to the conclusion that VO2
was associated to limb length and height-adjusted stepping exercise
in adults. That conclusion led to the idea that perhaps the influence
of leg length in stepping performance could be even greater in
children. It was also thought that the modification of the step
height and leg length might benefit young children in activities that
use the bench for doing aerobic exercises (Francis et al. 337).
In the study, nineteen healthy,
non-smoking, non-overweight children, ranging in age from 8 to 17
years old were used in the experiment. The following study was
conducted to determine if VO2 of stepping in young
children was affected by the step platform height based on leg
length. As a result, the optimum platform height for stepping was
determined (Francis et al. 338).
The height of the platform used in
the test was based on the height of the subjects foot when the
hip was flexed at a given angle. First, the height of the foot when
the hip was flexed (Hf), the femur length (h), and the
angle of the hip (q) needed to be
calculated. They were concluded from the geometric relationship of
the subjects stature and femur length as shown below.

From those connections, h was
found to be Lf, the length of the femur for each age,
times the stature (Ih) in centimeters. Thus, the platform height was
found to be:
Hf = (Lf *
Ih)(1- cosq)
The heights of the platforms were
calculated from the above equation for hip angles of 65°,
73°, 83°, 90°, and 98°. To insure that the angles
for stepping were correct, the hip angles of the subjects were
measured with a goniometer. The subjects kept their backs flat next
to a wall with the right hip flexed and the foot set on the platform
with the heel of the foot even with the edge of the step (Francis et
at. 339). The average of the hip angle for three measurements was used.
The subjects were allowed time
between tests to allow for their heart rates to return to a resting
level. Each of the subjects stepped for a five-minute period. The
stepping procedure consisted of stepping up while fully extending
both legs and stepping down with both legs to a set count. During the
test, VO2 and HR were continuously measured (Francis et
al. 340).

The results revealed that at the
hip angle of 82°, the mean VO2 at each of the
calculated hip angles was 30.46 ± 2.56 ml·kg-1·min-1
which was lower than the recorded values at the other hip angles. In
the previous graph one can see that an 82° hip angle resulted in
the lowest VO2 at the lowest point on the graph, and the
hip angles of 65° and 98° represented the highest VO2
values. Similarly, at the optimum hip angle of 82°, the mean HR
was 152.0 ± 15.9 beats per minute. The HR data was similar to
that of VO2 with 82° resulting in the lowest point of
the graph and 65° and 98° resulting in high HR values
(Francis et al. 342).
All in all, the conclusion was
that the VO2 and HR in children is greatly influenced by
leg length, and that the stepping efficiency is at a maximum at a hip
angle of 82°. The practical suggestions of this study reveal
that the legitimacy of any kind of step test can be improved if bench
height is related to the stature of a child rather than a fixed bench
height. By determining an optimal hip angle, the development of an
algorithm for a height-adjustable step test can be implemented to
evaluate the cardiorespiratory fitness in healthy children (Francis
et al. 345).
The Use of Geometry in
Technological Advances
Geometry has also helped in the
creation of new items that are supposed to reduce the medical
problems a person may have. One new item, like the Body Geometry
Saddle below, is a Y-shaped saddle for bicycles with the rear portion
removed to reduce pressure on critical arteries. Many bike riders
lean forward and, by not standing up while biking long distances,
reduce blood flow to all parts of the body. Designed by Othopedic
Seating Specialist Roger Minkow, M.D., the Body Geometry Saddle
cushions and supports your sit bones while eliminating
numbness and discomfort in pressure areas (Specialized 1). Today,
many different forms of the Body Geometry Saddle, like the following,
are being produced for different body shapes.

Along with new devices like the
Body Geometry Saddle, new computer software, which uses geometry to
help doctors, is also becoming increasingly popular.
Today computers play a big part in
aiding surgeons. In the last couple of years, new technology has
given doctors like Dr. Patrick J. Kelly at New York University
Medical Center new ways of diagnosing and planning surgical
procedures involving certain parts of the body (Junnarker 1). By
looking at how computers can help surgeons, we see how computers are
helping us enter a new century with a greater amount of medical
excellence due to technology. Approved by the Food and Drug
Administration, virtual-reality computer programs, like the Compass,
can help surgeons glide through a patients brain past blood
vessels and towards obstructions like a tumor, without harming any
parts of the humans brain (Junnarker 2). The surgeon looks at a
computer screen and sees a 3-D model of the patients brain,
like in the following Compass pictures:

Compass lets surgeons plan
the safest, least invasive route to a tumor before the scalpel even
touches the patient (Junnarker 1). Computers are actually
becoming cheaper and more powerful, and by using CT or CAT scans,
computers can provide 3-D data on a Euclidean plane.
Computers can aid in indicating
where a tumor end and blood vessels begin, which prevents damaging
brain tissue. At Massachusetts Institute of Technology, Dr. Michael
Feld uses spectroscopy (separation of light into primary color
components to gather information about the light source) to detect
colon cancer and heart disease (Junnarker 3). Gamma knife surgery
also helps radiate tumors, but does not remove them from the brain.
Most of these devices render 10 million triangulations per
second. Triangulations are a method of dividing a three-dimensional
surface into an extremely large number of triangles. These triangles
are transformed onto the Euclidean plane, and the surface now appears three-dimensional
on a computer screen. Triangulations are the basic
geometry used in calculating and rendering three-dimensional
spaces (Junnarker 5). Some virtual-reality medical software is
even free for doctors over the Internet. The uses of virtual reality
software are overall very effective and relatively inexpensive.
Geometry was also very useful for
advances in the branch of science know as biomechanics. At the 1996
Summer Olympics, specialized high-speed cameras recorded the
slightest movements of athletes in 10 different sports, aiming to
perfect the intricate movements of an athlete. Coaches then use the
data to help them win future events. Mont Hubbard of the University
of California at Davis became the first engineer to trace the precise
journey of a baseball from a pitchers hand to the catchers
mitt (Tobin 1). Some coaches feel that athletes in some sports
may be approaching the limits of human potential, so the
smallest improvements carry great implications. Yet, the
International Olympic Committee requires that these
photographers must do their work without giving athletes
any hint they are being studied. The photographers must
shoot in silence and then study after the Olympics are over.
The cameras these researchers use
shoot athletes from two or more angles at rates up to 200 frames per
second (Tobin 2). For example, a tennis player serving may have four
cameras attentive on the game--one following the players
movement, two trained on the server, and one checking to see if the
serves are in or not. This means that a 2-second serve will have 400
pictures of the servers wrist, elbow, etc., and that around 4
to 5 million data points would be collected over the course of the
Olympics (Tobin 2). These data points are converted into computerized
human figures, whose movements are now viewed with exact precision in
three dimensions. From these pictures, researchers hope to find the
differences between mens and womens serves, especially in
the areas where most injuries occur, the shoulder and elbows. They
will use what they find and try to help young athletes moving up
towards Olympic capability.
Concluding Remarks
Geometry is used in many different
medical professions. In treating joint problems, physical therapists
use geometry in order to help relieve pain problems. Geometry is also
used in studying the performance of different body parts, and through
technological advances geometry has possibly even saved lives. The
medical profession has improved greatly through the use of geometry.
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