See discussions, stats, and author profiles for this publication at: https://www.researchgate.net/publication/328810994 Head, trunk and pelvic kinematics in the frontal plane in un-mounted horseback riders rocking a balance chair from side-to-side Article in Comparative Exercise Physiology · November 2018 DOI: 10.3920/CEP170036 CITATIONS READS 5 909 7 authors, including: Maria Terese Engell Elin Hernlund Swedish University of Agricultural Sciences Swedish University of Agricultural Sciences 8 PUBLICATIONS 35 CITATIONS 47 PUBLICATIONS 168 CITATIONS SEE PROFILE SEE PROFILE Anna Byström Agneta Egenvall Swedish University of Agricultural Sciences Swedish University of Agricultural Sciences 38 PUBLICATIONS 358 CITATIONS 174 PUBLICATIONS 3,933 CITATIONS SEE PROFILE SEE PROFILE Some of the authors of this publication are also working on these related projects: Does it hurt? -identification of orthopaedic pain in large animals. View project Hind limb lameness in horses - why is it so difficult to see and how do we improve detection? View project All content following this page was uploaded by Maria Terese Engell on 06 December 2018. The user has requested enhancement of the downloaded file. Wageningen Academic P u b l i s h e r s Comparative Exercise Physiology, 2018; 14 (4): 249-259 Head, trunk and pelvic kinematics in the frontal plane in un-mounted horseback riders rocking a balance chair from side-to-side M.T. Engell1*, E. Hernlund2, A. Byström2, A. Egenvall3, A. Bergh3, H. Clayton4 and L. Roepstorff2 1Swedish University of Agricultural Sciences, Faculty of Veterinary Medicine and Animal Science, Unit of Equine Studies, Box 7046, 750 07 Uppsala, Sweden; 2Swedish University of Agricultural Sciences, Faculty of Veterinary Medicine and Animal Science, Department of Anatomy, Physiology and Biochemistry, Box 7011, 750 07 Uppsala, Sweden; 3Swedish University of Agricultural Sciences, Faculty of Veterinary Medicine and Animal Science, Department of Clinical Sciences, Box 7057, 750 07 Uppsala, Sweden; 4Sport Horse Science, 3145 Sandhill Road, Mason, MI 48854, USA; mariaterese.engell@slu.se Received: 20 November 2017 / Accepted: 1 July 2018 © 2018 Wageningen Academic Publishers OPEN ACCESS RESEARCH ARTICLE Abstract For efficient rider-horse communication, the rider needs to maintain a balanced position on the horse, allowing independent and controlled movements of the rider’s body segments. The rider’s balance will most likely be negatively affected by postural asymmetries. The aims of this study were to evaluate inter-segmental symmetry of movements of the rider’s pelvis, trunk, and head segments in the frontal plane while rocking a balance chair from side to side and to compare this to the rider’s frontal plane symmetry when walking. Frontal plane rotations (roll) of the pelvis, trunk and head segments and relative translations between the segments were analysed in twenty moderately-skilled riders seated on a balance chair and rocking it from side to side. Three-dimensional kinematic data were collected using motion capture video. Principal component analysis and linear regression were used to evaluate the data. None of the riders displayed a symmetrical right-left pattern of frontal plane rotation and translation in any of their core body segments. The intersegmental pattern of asymmetries varied to a high degree between individuals. The first three principal components explained the majority of between-rider variation in these patterns (89%). A significant relationship was found indicating that during walking, when foot eversion was present on one side, pelvic/trunk roll during rocking the chair was asymmetric and larger to that same side (P=0.02, slope=0.95 in degrees). The inter-individual variation in the rider’s intersegmental strategies when rocking a balance chair was markedly large. However, there was a significant association to the rider’s foot pattern while walking, suggesting consistent intraindividual patterns over multiple situations. Although further studies are needed to confirm associations between the findings in this study and rider asymmetry while riding, riders’ postural control can likely be improved and this may enhance their sport performance. Keywords: posture, pelvic symmetry, motor control, riding 1. Introduction Riding is the most popular female (fourth overall) sport in Sweden based on the number of registered active athletes. In order to perform optimally in this sport, the rider needs to communicate precisely with the horse, using predominantly physical cues that are transmitted to the horse via the rider’s seat (pelvis), legs and hands. A prerequisite for efficient rider-horse communication is the rider’s ability to maintain a position on the horse that ISSN 1755-2540 print, ISSN 1755-2559 online, DOI 10.3920/CEP170036 allows independent and controlled movements of the limbs and core body segments (pelvis, trunk and head). The horse’s back movements involve gait-specific translations (vertical, longitudinal, transverse) and rotations (yaw-, roll-, pitch-rotations around the vertical, longitudinal and transverse axes) (Faber et al., 2001; Van Weeren, 2006), which determine the movement control strategies required from the rider (Hobbs et al., 2014). The rider’s movements are generated by perturbations (motion pattern disturbance) arising from the movements of the horse (Münz et al., 2014; M.T. Engell et al. Wolframm et al., 2013). Expert riders solve this task with a lower variability of sagittal plane movements in relation to the horse (Lagarde et al., 2005) and a lower phase-shift (vertical displacement) relative to the horse’s movements (Lagarde et al., 2005; Olivier et al., 2017) compared to less experienced riders. Expert riders are also able to maintain a more consistent movement pattern in their mount (Lagarde et al., 2005; Peham et al., 2004). The term balance is defined as the state of an object when the resultant of the loads acting upon it is zero (Pollock et al., 2000). The ability of a human to balance in a static situation is related to the position of the centre of mass (COM) within the area of the base of support. Balance control involves the visual, vestibular and somatosensory systems (Olivier et al., 2017; Pollock et al., 2000). Athletes strive to develop good responses to multiple sensory information sources (proprioceptive, tactile, auditory). This process is refined over many years of training. For, example, studies have shown that the contribution of vision in the regulation of balance and posture tends to decrease with expertise (Stambolieva et al., 2011). However, the relative contributions of different types of sensory information to postural control differ according to the level of practice, the type of physical activity and the degree of focus on posture and skilled movement (Olivier et al., 2017). Inter-segmental position, stability and movement of the pelvis trunk and head in both the frontal and sagittal planes, are central to determining the rider’s effectiveness; if the core body segments (pelvis, trunk, head) are not adequately balanced, stabilised and controlled, it will adversely affect the rider’s balance and coordination (Roussouly et al., 2005). Symmetry is suggested to be confirmed when no statistical difference is noted on kinetic or kinematic parameters measured bilaterally (Hesse et al., 1997), or when both sides of the body behave identically (Olney and Richards, 1996). The degree of symmetry in both the horse and the rider is suggested to be highly relevant to excel in the sport (Symes and Ellis, 2009; Hobbs et al., 2014). In many equestrian disciplines, such as dressage and show-jumping, the aim is for the horse to be equally dynamic, balanced and flexible when being ridden to the left as it is when being ridden to the right (Blokhuis Zetterqvist et al., 2008; Münz et al., 2014). The symmetry of the rider is therefore highly relevant, and the equestrian community generally agrees that a symmetrical rider has a better possibility to influence the horse in an optimal way (Hobbs et al., 2014). Rider asymmetry, is on the other hand, has been suggested to be associated with under-performance and injury to both the horse and the rider (Symes and Ellis, 2009). Even so, several studies have documented systematic asymmetries in the riders’ movement pattern while riding. Experienced riders have been reported to sit in an asymmetrical posture with the pelvis rotated and twisted to the right (Alexander et al., 2015), the trunk twisted to the left (Symes and Ellis, 2009), 250 and with greater external rotation of the right hip (Gandy et al., 2014). Postural and functional asymmetries in riders have also been documented through various unmounted tests (Hobbs et al., 2014; Guire et al., 2016), and unmounted physiotherapy exercise programs that focus on symmetry have been developed to improve the rider’s symmetry during riding (Nevison and Timmis, 2013). There are purpose-made stools with a mobile seat constructions that can be tilted in various directions and these are commonly called balance chairs. Several brands are found around the world, but one type known to be used by riders is the Balimo chair (www.balimo.info). The principle of balance chairs is to challenge the subject’s ability to control the direction and amount of centre of mass (COM) displacement when sitting. Because of these properties, a balance chair can be used as a tool to evaluate a person’s inter-segmental coordination of the head, trunk and pelvis, and movement symmetry during lateral leftright rocking movements. The use of an unmounted test situation, such as a balance chair, to evaluate riders’ postural strategies offers an advantage over the mounted situation by isolating the rider’s movements from the movements of the horse. Foot posture is known to influence pelvic alignment both in the sagittal and frontal planes. Studies performed have shown that during standing with one foot showing excessive foot eversion, the pelvis will drop (roll) towards the same foot (Khamis and Yizhar, 2007; Pinto et al., 2008; Resende et al., 2015; Rothbart and Estabrook, 1988). The pelvic roll may affect spinal posture, and studies have shown that different degrees of scoliosis might be the result (Gurney, 2002; Legaye et al., 1998; Levine and Whittle, 1996). Research has shown that certain degrees of scoliosis might be associated with low back pain (Aebi, 2005; Gurney, 2002; Pinto et al., 2008). Riders competing at advanced levels have been shown to have a high risk of developing morphological asymmetries and, potentially, chronic back pain, rather than improving their symmetry during training (Hobbs et al., 2014). In the equestrian community, movements of the pelvis are thought to offer the optimal means of communication for higher performance (Blokhuis Zetterqvist et al., 2008). If there is a correlation between foot eversion during walking, and asymmetry when rocking a balance chair from side to side, then it may validate the use of a balance chair to evaluate postural asymmetries. The primary objective of this study was to evaluate the rider’s ability to perform a symmetric movement with regards to the frontal plane rotational and translational movements of the pelvis, trunk, and head segments when rocking a balance chair from side to side. The second objective was to investigate if there were any similarities between movement symmetry when walking and when rocking the balance chair. Based on previous studies of Comparative Exercise Physiology 14 (4) Frontal plane kinematics in un-mounted horseback riders symmetry in riders (Alexander et al., 2015; Gandy et al., 2014; Symes and Ellis, 2009) it was hypothesised that the riders` movement pattern would be asymmetrical in general, and that asymmetries detected in individual riders might display a relationship with left-right differences in foot eversion during walking. 2. Materials and methods Experimental design The riders were 24 female moderately skilled riders (age mean: 22 years, range: 21-25 years; mean body mass: 68 kg, range: 61-75 kg) who were students in equine studies, and were competing in show jumping (115-130 cm) and/or dressage (Intermediate A or B). Subjects with previous orthopaedic injury of the pelvis or the lower limbs, or obvious foot abnormalities other than eversion were excluded (Engell et al., 2015). Kinematic measurements Spherical markers, 8 mm diameter, were fixed to the rider’s skin according to a full body-marker model. Once attached, all markers remained on the skin throughout the calibration trials and the dynamic trials. The markers used for this analysis were positioned bilaterally on the following anatomical points: acromial edge, spinous process of C7 and T10, anterior and posterior superior iliac spine, greater trochanter, lateral and medial malleoli, heads of the first, second and fifth metatarsi, and the distal aspect of the Achilles tendon insertion on the calcaneus. Clusters of markers were attached bilaterally to the participant’s mid shanks and mid thighs. Figure 1. Subject seated on the reference position chair that was used to define the neutral zero position for the kinematic analysis. Kinematic data were collected in 3D (250 Hz) using eight motion capture cameras (Qualisys Oqus, AB, Gothenburg). The participants were positioned in a custom designed chair (Figure 1) that provided a reference position for the kinematic recordings, before they were introduced to the dynamic balance chair (Figure 2). In the reference position, each subject’s acromial edges and iliac crests were aligned horizontally so that they were symmetrical in the frontal plane. In the sagittal plane, the head, trunk and pelvis were aligned vertically, in a neutral spine position. For the walking trials, the baseline marker positions were recorded in a stance trial with each participant in a neutral standing position on a marked area on the floor. The feet were placed 10 cm apart, toes pointing forward. Shoulders and hips were aligned along the walking direction. Data collection The riders were seated on a balance chair, constructed with a stable base, and an adjustable height element with a seat on top. This chair had a metal rod that tilted around a Comparative Exercise Physiology 14 (4) Figure 2. Subject seated on the balance chair. The movement performed on this chair was rocking from side to side at 40 beats per minute. 251 M.T. Engell et al. pivot point located 0.3-0.7 m below the seat (adjusted to the height of the rider). The seat could be tilted and rotated in all directions, forward/backwards and sideways, around a rotation and tilt element positioned about midway between the seat and the floor, incorporating a spring element giving progressive resistance towards the outer endpoint on each side, and helping the rider, to a small degree, to return the seat to a neutral position (Figure 2). The chair was moved and controlled by the rider. The riders were instructed to rock the chair by placing more weight alternately on their left and right seat bones (t. ischii), as they would do during different exercises on horseback (De Cocq et al., 2010). When doing this, the chair would rock sideways from right to left and left to right. They were told to follow a frequency of 40 beats per minute, which was defined by a metronome. The riders were allowed to try the chair for 2 min to get comfortable with the situation before the measurement was performed. Three to seven complete movement cycles per subject were used for the analysis (this large variation was due to technical difficulties during data collection). In addition, four trials were recorded for each subject as the riders walked barefoot along a straight 10 m walkway. Kinematic data were collected with the same measurement technique as for the balance chair, but with additional markers placed on the feet. Details of the walking data have been reported previously (Engell et al., 2015). Data analysis Data processing and model building were performed in Visual 3D™ (C-Motion, Germantown, MD, USA) (Cappozzo et al., 1995). Marker data were gap-filled and signals were filtered with a low-pass Butterworth filter at 15 Hz. Data from four riders could not be used because of technical problems (markers fell off (n=1), or markers not correctly detected by cameras (n=3)), therefore leaving complete data from 20 riders for further data analysis. For each segment, the X-axis was oriented mediolaterally and was positive towards the right; the Z-axis was oriented vertically and was positive cranially and the Y-axis was oriented in the posterior-anterior direction and was positive anteriorly. For the pelvic segment, the origin of the coordinate system was located mid-way between the left and right anterior and posterior superior iliac spines, and the left and right greater trochanters (Standard human model in Visual 3D) (Figure 3). Definition of the given rotations are: rotation around Y = roll, rotation around X = pitch and rotation around Z = yaw. The rotations were positive clockwise. Segment rotations were calculated using a Cardan x-y-z sequence (Cappozzo et al., 1995) of rotations. In the seated data, the segment angles were expressed relative to the reference position (reference-chair). Head, trunk and pelvic translation was measured along the transverse axis of the 252 Figure 3. Coordinate system of the pelvic segment, Standard human model in Visual 3D. The markers shown are used to produce the segment ‘pelvis’ in Visual 3D. PSIS = posterior superior iliac spine, ASIS = anterior superior iliac spine. The mid-(ASIS/PSIS) markers are produced by the model. laboratory-based coordinate system, which was aligned with the balance chair. Relative head and trunk translations were calculated with the pelvic position as reference. Data for roll of the head, trunk and pelvis and relative mediolateral translations of the head and trunk were exported to MATLAB (The Math Works Inc., Natick, MA, USA) for further processing. The symmetry of rotation and translation to the right and left sides was evaluated as differences between positive (larger degree of rotation or translation to right) and negative (larger degree of rotation or translation to left) areas under the curve (AUC). The foot model and its specific terminology during walking have been described previously (Engell et al., 2015). A positive value for foot roll difference indicated greater foot eversion on the right foot. A negative value indicated greater foot eversion on the left foot. Statistical analysis To identify intersegmental asymmetry strategies, a principal component analysis (PCA) was performed in MATLAB. Asymmetry variables were normalised to have a zero mean and unit variance. Only riders with complete data were included. Principal component analysis rearranges a multidimensional variable space (in this case our body segment rotation and translation asymmetry) so that as much as possible of the variation is described in the first principal component. The second principal component is constructed so that it is orthogonal to the first principal component, and explains as much of the remaining variance as possible, etc., until the total variance is explained. For each principal component, the variable weights quantify Comparative Exercise Physiology 14 (4) Frontal plane kinematics in un-mounted horseback riders the relative contribution of each original variable to the principal component. Looking at the sign of the weight the relation between two variables can be studied. This means that if two weights have opposite signs those variables have a negative correlation. Technically, the PCA transforms the normalised data (X5×n) into principal components, eigenvectors, using an eigenvector decomposition method on the input’s covariance matrix. The eigenvectors (V5×5) and eigenvalues (L5×1) were produced and used to compute the principal component scores (Z5× n) by multiplying the normalised input data matrix (X5×n) by the eigenvector matrix (V5×5). The principal components were then sorted by the percentage of variance explained by each. Regression analysis (PROC REG, SAS version 9.4, SAS Institute Inc., Cary, North Carolina) was utilised to compare intersegmental coordination while rocking on the balance chair, with foot eversion during walking. The dependent variable (y axis) designates the difference in degree of eversion between the left and right foot and the independent variables (x axis) were translations and rotational symmetry variables as well as sum of the pelvic and thoracic symmetry values, six models in total. The dependent variable was found to be normally distributed after applying the ShapiroWilks test. Independent variables were plotted versus the dependent variable to evaluate departure from linearity. In this analysis, only riders with an eversion asymmetry were included. The cut-off for determining if eversion asymmetry was present was set at 1.5 degree because it was judged by the authors that asymmetries below this level would not be accurately detected. This established cut-off level excluded the data of one rider (no 3) for the analysis. A P-value of <0.05 was used to determine if a significant relationship existed. The trunk and pelvic roll data were summed to include both riders that compensated for COM displacement more with the pelvis or more with the trunk, to eliminate the variation of individual segmental strategies. Since the main aim was to evaluate if there was any correlation between torso roll asymmetry and the foot with the highest degree of eversion. 3. Results Examples of the raw kinematic data series are shown in Figure 4. Symmetry values for each rider’s translational and roll movements along or around the Y axis of the head, trunk and pelvic segments are shown in Table 1. Some riders, e.g. (11, 6, 8) and (1, 7, 17), could be grouped together based on having the same pattern of deviation from baseline, across the five variables (marked with the same grey shade), but in general there was considerable variation between the riders. In spite of displaying individual characteristics, the data reveal some tendencies to common strategies as well: when one or two segments were rotated or translated more to one side, another body segment automatically compensated for the COM displacement by rotating or translating to the Comparative Exercise Physiology 14 (4) opposite side. The trunk was the segment with the most pronounced tendency for roll (a higher range of motion]. The pelvis showed only a small degree of roll but more translation. The head had a more pronounced tendency for translation compared to the trunk (both translations relative to the pelvis). Table 2 (from n=17 riders with complete data in Table 1) displays the first 4 principal components (eigenvectors) that accounted for 98% of the explained variance. The first 3 principal components alone explain the majority of different strategies between riders (89%). For the first principal component, the major effects (having the largest weights) are the trunk and head translations, which are in the same direction and, to compensate for the COM translation, the pelvis rolls to the opposite side. For the second principal component the pelvis, trunk and head roll have the major effect, with the head and pelvis rotating to the same side and the trunk to the opposite side. The third principal component also has roll rotation of head, trunk and pelvis as the major effect but, in this principal component, the pelvis and trunk rotate to the same side and the head towards the opposite side. When comparing segmental coordination while sitting with foot eversion during walking, the cut off for the eversion (excluding subjects with absolute eversion values <1.5 degrees because such low asymmetry values were considered to have less biological significance and accurate detection within the study measurement setup) excluded one rider (no 3). Of the six regression models only one regression model produced a significant result. Significance (P=0.0232) was found for the sum of the trunk and pelvis roll asymmetry values during rocking a balance chair modelled as the independent variable (x-axis), while the dependent variables (y-axis) was the degree of eversion during walking. The intercept was -2.71 (standard error 1.47) and the slope was 0.95 (standard error 0.37), in degree units. The data suggest an association between eversion on one foot and a higher degree of rotation in either the pelvis or trunk, or a combination of the two, to the opposite side of the more everted foot. A plot of the data, and a regression line, for the regression of pelvis and trunk roll asymmetry added, versus left-right difference for foot eversion (n=16) is shown Figure 5. 4. Discussion The frontal view kinematics of the pelvis, trunk and head segments in twenty riders have been analysed in a seated position while rocking a balance chair from side to side in rhythm with a metronome (40 bpm). It is not within the scope of this paper to evaluate how well this balance chair is suited for evaluating rider-specific skills, but our goal with the chair was rather to use it in a test situation in order to evaluate specific postural skills for a sitting 253 M.T. Engell et al. A Rider 1 0.4 30 0.3 20 10 0.1 0 0 Angle (degrees) Distance from lab center (m) 0.2 -0.1 -10 -0.2 -20 -0.3 -0.4 B 0 2 4 6 8 10 Time (sec) 12 14 16 18 Rider 4 0.4 -30 20 30 0.3 20 10 0.1 0 0 Angle (degrees) Distance from lab center (m) 0.2 -0.1 -10 -0.2 -20 -0.3 -0.4 Pelv trans Trunk rel trans Head rel trans 0 2 4 6 8 10 Time (sec) 12 14 16 Pelv roll Trunk roll Head roll 18 -30 20 Figure 4. (A) Raw data series from two (a and b) individual riders. The graph displays head, trunk and pelvis roll (degrees) with interrupted lines; and head, trunk and pelvis translation (distance in meter) with solid lines. (B) 254 Comparative Exercise Physiology 14 (4) Frontal plane kinematics in un-mounted horseback riders Table 1. Individual level symmetry values for translations (mm) relative to pelvis and roll (degrees) variables for 20 riders.1 Test person Head roll Head translation Trunk roll Trunk translation Pelvis roll Eversion left foot Eversion right foot Eversion diff Pelvis and trunk roll added 11 6 8 3 10 15 18 1 7 17 2 4 9 12 13 14 16 20 5 19 4.4 4.3 -0.7 2.9 7.4 0.1 3.3 3.3 5.3 11.2 -3.1 -1.6 -1.5 -4.9 -4.0 -2.6 4.5 24 42 -30 -12 40 -11 -9 11 78 38 27 20 36 8 -1 -32 15 0 1.8 -1.9 4.2 1.3 5.2 -2.6 -0.2 -4.4 -3.1 -4.0 0.0 -7.6 -1.5 -0.2 0 -1 -0.3 3.2 0.2 26.0 10.9 8.9 13.4 16.3 21.3 10.9 30.6 23.0 -8.5 -4.3 2.8 -1.1 -3.1 -4.5 13.8 -15.9 -2.3 15.9 11.5 13.6 19.0 18.4 21.0 18.8 26.8 -2.5 -9.5 -5.2 -7.8 20.9 11.7 9.6 16.9 10.0 11.4 4.1 1.6 -1.8 -3 11 7 -11 1 15 1 -19 4 22 2 10 9 10 9 2 -20 1 3 -5 28 17.4 6.7 11.7 12.4 13.2 16.7 24.7 14.7 20.7 -0.8 2.9 0.0 -1.2 4.2 -4.6 1.1 -5.5 2.4 9.8 2.9 0.0 4.3 3.4 1.9 1.2 0.9 -2.8 -2.5 5.5 0.8 13.2 9.5 3.7 2.9 1.8 -3.1 8.3 -3.4 6.3 -8.1 2.1 5.4 -0.1 -4.1 4.3 -4.2 0.4 1.0 0.8 -3.4 -2.8 8.7 1.0 1 Values are averages over available motion cycles (3-7 per subject). Negative value = offset to left side, positive = offset to right side. Eversion diff is the difference between left and right foot eversion. Negative value = left foot more everted, positive = right foot more everted. The grey shades indicate similar strategies among individuals with regard to direction of asymmetry between segments. The light-grey-marked riders have the same sign throughout, either only positive or only negative values; light light-grey riders are similar to dark blue, but have one upper segment variable with the opposite sign; dark-grey riders has pelvis roll to one side and all upper segment variables to the other side and light dark-grey coloured riders are similar to those with dark grey colour, but have head roll to the same side as pelvis roll. Table 2. The relative contribution (weights) of 5 variables to the principal components analysis (PCA) (n=17). The variance explained by each of the first 4 principal components is shown. Principal components Pelvis roll Trunk translation Trunk roll Head translation Head roll Explained variance (%) 1 2 3 4 -0.27 0.57 0.40 0.62 0.26 47.90 0.47 -0.01 -0.39 0.14 0.78 22.96 0.78 0.26 0.51 -0.15 -0.19 18.05 -0.17 -0.54 0.66 -0.19 0.46 9.95 athlete. The riders were instructed to alternately place more weight on their left or right seat bone, just as they should do during many ridden exercises, such as on circles, in canter transitions, and during lateral movements. Because the subjects were educated riders, it was expected that they would accomplish this weight shift primarily by displacing Comparative Exercise Physiology 14 (4) their pelvis (translation and/or rotation). It is generally accepted that the rider should communicate with the horse mainly by the use of the pelvis (Blokhuis Zetterqvist et al., 2008; Münz et al., 2014), while avoiding large lateral deviations of the head and trunk. 255 M.T. Engell et al. 15 10 Eversion 5 0 Observations 16 Parameters 2 Error DF 14 MSE 33,602 R-Square 0.3302 Adj R-square 0.2824 -5 -10 Data Fit Confidence bounds -15 -20 -8 -6 -4 -2 0 2 4 Pelvis + trunk roll 6 8 10 Figure 5. Fit plot for eversion (Y) versus trunk and pelvis roll added (X). To tilt the balance chair to the side, the rider needs to create a lateral movement of one or more body segments from baseline, resulting in a lateral displacement of the rider’s COM. The effect will be dependent on the segments’ relative mass. A larger mass in the upper segments (head, trunk, arms) requires less translation and/or rotation to create the necessary leverage (lever arm * mass). But the rider could also create the desired effect by moving both upper and lower segments to one side simultaneously, by initiating a small translation of the trunk before translating the pelvis to apply a force onto the chair and move it laterally. Moving the upper or lower segments simultaneously will require a smaller lateral displacement to move the chair, likely making it easier to stop the chair before it reaches its endpoint where the rider might lose control over the chair movement. We anticipated that total movement of the pelvis, translation and roll, would be at least as large as in the upper segments, but this was true only for a minority of the riders. Almost all riders displayed either a high degree of trunk roll (in general more than 1.5 times the degree of pelvic rotation, Table 1) or trunk translation combined with a very low degree of translation and roll of the pelvis. A reason for this unexpected pattern could be that the balance chair presents an artificial situation that does not replicate the typical movements performed on horseback, which are driven by the horse and followed by the rider. On the other hand, the chair is constructed so that, as the rider feels the progressive resistance in one direction, the force applied in that direction is reduced and transferred towards the opposite side, which mimics how the weight is transferred on the horse during midstance of each hind limb (von Peinen et al. 2009). Perhaps the strategy of rolling the trunk and head laterally is the simplest and most intuitive way of rocking the chair since it takes advantage of the long lever arms of these segments. But when riding a horse, it is assumed that the optimal way of communication should be through the pelvis (Blokhuis Zetterqvist et al., 2008; Münz et al., 2014). This implies that if the riders performed the lateral movements similar to changing seat bone when riding, the rider should initiate, control, and stop the movements (range of motion in rotation/translation) from the pelvis while the upper segments (trunk and head) are maintained more stationary, so the rider COM is not on the outer limit of the base of support. If the riders are initiating the movement from side to side on the chair with the trunk or head, resulting in a large range of rotation or translation of these segments, the Figure 6. Snapshots of a rider on the balance chair. This rider displays a higher left pelvic roll during moving from left towards right (B) compared to right pelvic roll during moving from right to left (A). This rider had a higher degree of eversion on the right foot, compared to the left foot, during walking (not shown in figure). 256 Comparative Exercise Physiology 14 (4) Frontal plane kinematics in un-mounted horseback riders pelvis will need to compensate with the opposite rotation/ translation and this will cause a higher degree of phase shift (vertical displacement) between segments (Leirdal et al., 2006) and probably also between horse and rider. It is important to keep the phase shift at a low level in order to maintain the rhythm, which is one of the main goals during riding (Lagarde et al., 2005; Olivier et al., 2017). The riders were instructed to put weight on each seat bone assuming that they would be able to create movements similar to movements they would do when riding. We suggest that these riders may use more or less the same strategy on horseback as on the chair. Future studies will clarify the relationship between movement patterns on the balance chair and during riding. The data reported here are part of a series of studies designed to investigate associations between postural asymmetries during walking, sitting and riding. We have previously reported that during walking the majority of riders had significantly greater contralateral pelvic drop when the foot with the higher degree of eversion was in early stance (Engell et al., 2015). For the task of rocking a balance chair from side to side, the data display an association between eversion on one foot and a higher degree of rotation to the opposite side in either the pelvis or trunk, or a combination of the two segments. The reason for this observation might be that over time walking with the same postural asymmetry (e.g. contralateral pelvic drop due to a highly everted foot) eventually leads to a change in the organisation of movement representations in the primary motor cortex (Jensen et al., 2004; Lakhani et al., 2016). Future studies will investigate if the same postural asymmetries present during walking and rocking a balance chair are also present during riding. The findings of this study showed that educated riders did not have a symmetrical right-left pattern of frontal plane rotation and translation in any of their core body segments while rocking the balance chair (i.e. motion cycle mean position was not zero, Table 1). The specific pattern of asymmetries varied between individuals (Table 1), but the data revealed some common tendencies as well. Generally, when one or two segments were rotated or translated significantly more to one side, another body segment compensated for the COM displacement by increased rotation and/or translation to the opposite side. Only two riders displayed a larger range of movement to the same side for all segments in both translation and rotation. This compensatory pattern is further reflected in the weights of the principal components, with each principal component having negative weight for at least one variable (Table 2). Roll asymmetry in two of the core body segments (head, trunk, pelvis) to one side was typically compensated by roll asymmetry to the contralateral side in the remaining segment. This was evident in the first three principal components. Less often predominant roll to one side was Comparative Exercise Physiology 14 (4) compensated by translation to the contralateral side as indicated by opposite signs for the weights of these two movements for the head and pelvis in the fourth principal component (explained 10% of the variance, Table 2). One reason might be that the human motor cortex has a low ability for precise repetition of a given movement and a remarkably high flexibility with regards to motor control (Sanes, 2000), unless it is specifically trained through skilled learning/deliberate training (training at different speeds with high precision) (Jensen et al., 2004). We might assume that the more advanced level rider, like athletes performing at a high level in other sports (Jensen et al., 2004), needs to refine their skill training and define what type of movement strategy is optimal for superior sports performance. If the same postural asymmetries that are present during walking and sitting are also present during riding, the riders in our study could potentially benefit from balance control training, since asymmetry is recognised as a negative trait with regards to equestrian performance (Hobbs et al., 2014; Symes and Ellis, 2009). Further studies are needed to define this in detail. The practice of training on different instruments to develop an athlete’s skill or precision is well accepted in many other sports (Anderson et al., 2005; Leirdal et al., 2006). It has been shown that the rider’s balance and symmetry during riding can be improved through unmounted training (Nevison and Timmis, 2013), but more studies are needed to clarify if this correlates to improved rider-horse communication efficiency and competition results. Some riders had a significant, persistent lateral rotation of the head towards one side. As discussed in Olivier et al., 2017, it is well known that vision is of great importance for postural control. Other studies have shown that the visual contribution to the regulation of postural balance tends to decrease with expertise, while somatosensory and vestibular information become more important (Olivier et al., 2017; Stambolieva et al., 2011). If the head is out of vertical alignment, however, the other segments might need to compensate, which could explain some of the asymmetrical patterns seen. It is generally accepted among riders that, in order to develop symmetric movements in the horse, the rider should exhibit a high degree of symmetric communication from the left and right seat-bones, as well as from the hands and legs (Alexander et al., 2015; Hobbs et al., 2014; Peham et al., 2004). It is, therefore, somewhat intriguing that in a seated test condition, which is not too unlike sitting on a saddle, the riders’ performances were asymmetric. This also included the head movements. One of the limitations of this study is the use of skinmounted markers. It has been shown that skin markers move in relation to the underlying bone position, but the possibility of use of bone markers was not an option. Another limitation is the fact that the leg position on the balance chair is somewhat different to that of sitting on a 257 M.T. Engell et al. saddle with the feet supported in the stirrups. To determine whether these limitations present major differences when comparing with the mounted situation, these data need to be compared with mounted data. In addition a limitation is that the population only comprised women. The riders in the study were deemed as moderately skilled based on their competition level. Unambiguous determination of rider skill level is problematic. Unambiguous determination of rider skill level is problematic. Considerable variation between evaluators performing subjective assessments of rider skills has been shown (Blokhuis Zetterqvist et al., 2008). Currently there are no objective methods available that are sufficiently validated. Therefore we cannot determine if moderate variation in rider skill level has confounded our results. 5. Conclusions The frontal view kinematics of pelvis, trunk and head segments in twenty riders have been analysed in a seated position, while rocking a balance chair from side to side in rhythm with the beat of a metronome. Our findings show that the riders positioned themselves and moved asymmetrically on the chair. None of the riders displayed a symmetrical pattern of right-left rotations and translations in the frontal plane. A significant relationship (P=0.02) was found between the within subject difference in of foot eversion during walking and the rotation of the pelvic and trunk segments during sitting. The side of the body that had a higher degree of foot eversion displayed greater trunk and pelvic roll to the opposite side when sitting and rocking the chair. It needs to be confirmed whether riders in general, and specifically those performing at higher levels, maintain this asymmetrical movement pattern while riding. We suggest that the riders’ postural control can be improved and that this possibly would have a positive effect on sport performance. Acknowledgements We express our gratitude to Ulla Håkansons Stiftelse for funding the study. The authors thank Håvard Engell for expertise on the analysis on the rider’s posture, and the riders for their participation. Blokhuis Zetterqvist, M., Aronsson, A., Hartmann, E., Van Reenen, C. and Keeling L., 2008. Assessing the rider’s seat and horse’s behavior: difficulties and perspectives. Journal of Applied Animal Welfare Science 11: 191-203. Capozzo, A., Catani, F., Della Croce, U. and Leardini, A., 1995. 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