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Topic:Biomechanics

Biomechanics in horses refers to the study of the mechanical principles that govern movement and physical function in equine species. This field encompasses the analysis of gait, locomotion, and the forces exerted by and upon the horse's musculoskeletal system. Biomechanical studies often involve the use of motion capture technology, force plates, and computer modeling to assess how horses move and how various factors, such as conformation, training, and health status, influence their performance and soundness. Research in equine biomechanics contributes to understanding injury prevention, rehabilitation, and performance optimization. This page compiles peer-reviewed research studies and scholarly articles that explore the mechanics of movement, the impact of external and internal forces, and the applications of biomechanical analysis in equine care and management.
Bilateral Change in Vertical Hoof Force Distribution in Horses with Unilateral Forelimb Lameness before and after Successful Diagnostic Anaesthesia.
Animals : an open access journal from MDPI    September 19, 2022   Volume 12, Issue 18 2485 doi: 10.3390/ani12182485
Hoffmann JR, Geburek F, Hagen J, Büttner K, Cruz AM, Röcken M.Kinetic examinations of horses with induced lameness as well as the effect of perineural anaesthesia in sound horses have shown promise, but clinical studies regarding the effect of diagnostic anaesthesia during the different stance phases are rare. Fourteen horses with unilateral forelimb lameness were examined with the Hoof™ System during trot to assess vertical force distribution (in kg) affecting both front hooves before and after diagnostic anaesthesia during landing, midstance, and breakover. For statistical analysis, a covariance analysis with repeated measurements regarding the limb ...
Development of a Novel Approach for Detection of Equine Lameness Based on Inertial Sensors: A Preliminary Study.
Sensors (Basel, Switzerland)    September 19, 2022   Volume 22, Issue 18 7082 doi: 10.3390/s22187082
Crecan CM, Morar IA, Lupsan AF, Repciuc CC, Rus MA, Pestean CP.Both as an aid for less experienced clinicians and to enhance objectivity and sharp clinical skills in professionals, quantitative technologies currently bring the equine lameness diagnostic closer to evidence-based veterinary medicine. The present paper describes an original, inertial sensor-based wireless device system, the Lameness Detector 0.1, used in ten horses with different lameness degrees in one fore- or hind-leg. By recording the impulses on three axes of the incorporated accelerometer in each leg of the assessed horse, and then processing the data using custom-designed software, th...
A comparison of different established and novel methods to determine horses’ laterality and their relation to rein tension.
Frontiers in veterinary science    September 15, 2022   Volume 9 789260 doi: 10.3389/fvets.2022.789260
Kuhnke S, König von Borstel U.The present study aimed to assess an agreement between established and novel methods to determine laterality and to identify the distribution of laterality in warmbloods and Thoroughbreds. Nine different methods to investigate a horses' laterality outside a riding context and during riding were compared across two groups of horses (sample A: 67 warmblood- type horses, sample B: 61 Thoroughbreds). Agreement between any two methods was assessed by calculating Cohen's kappa with McNemar's test or Bowker's Test of Symmetry, and the deviation from equal distributions was assessed with chi2-tests. C...
Combined Antenna-Channel Modeling for the Harsh Horse Hoof Environment.
Sensors (Basel, Switzerland)    September 10, 2022   Volume 22, Issue 18 6856 doi: 10.3390/s22186856
Goethals J, Nikolayev D, Thielens A, Vermeeren G, Verloock L, Deruyck M, Martens L, Joseph W.This paper describes the exploration of the combined antenna-channel model for a horse hoof. An antenna of 25 mm × 40 mm is designed in the ISM 868 MHz band. During the characterization and design of the antenna, the dynamic and harsh environment of the horse hoof is taken into account throughout every step of the procedure because it is impossible to de-embed the antenna from its environment. The antenna and channel model are verified extensively by measurements in phantom and ex vivo. The antenna is verified to be robust against changes in the morphology of the horse's hoof up to 50%. The d...
Physiological Demands and Muscle Activity of Jockeys in Trial and Race Riding.
Animals : an open access journal from MDPI    September 8, 2022   Volume 12, Issue 18 doi: 10.3390/ani12182351
Legg K, Cochrane D, Gee E, Macdermid P, Rogers C.Physiological parameters and muscle activity of jockeys may affect their fall and injury risk, performance, and career longevity, as well as the performance and welfare of the horses they ride. Therefore, this study aimed to quantify the physiological demands, body displacement, and electromyographic (EMG) activity of twelve jockeys riding 52 trials and 16 professional races. The jockeys were instrumented with heart rate (HR) monitors, accelerometers, and integrated EMG clothing (recording eight muscle groups: quadriceps, hamstrings, gluteal, erector spinae/lower back, abdominal external obliq...
2D-SWE of the Metacarpophalangeal Joint Capsule in Horses.
Veterinary sciences    September 4, 2022   Volume 9, Issue 9 doi: 10.3390/vetsci9090478
Guerri G, Palozzo A, Straticò P, Varasano V, Celani G, Di Francesco P, Vignoli M, Petrizzi L.(1) Two-dimensional shear wave elastography (2D-SWE) employs an ultrasound impulse to produce transversely oriented shear waves, which travel through the surrounding tissue according to the stiffness of the tissue itself. The study aimed to assess the reliability of 2D-SWE for evaluating the elastosonographic appearance of the distal attachment of the fetlock joint capsule (DJC) in sound horses and in horses with osteoarthritis (OA) (2). According to a thorough evaluation of metacarpophalangeal joint (MCPJ), adult horses were divided in a sound Group (H) and in OA Group (P). Thereafter, a 2D-S...
Detection of Indiscriminate Genetic Manipulation in Thoroughbred Racehorses by Targeted Resequencing for Gene-Doping Control.
Genes    September 4, 2022   Volume 13, Issue 9 doi: 10.3390/genes13091589
Tozaki T, Ohnuma A, Nakamura K, Hano K, Takasu M, Takahashi Y, Tamura N, Sato F, Shimizu K, Kikuchi M, Ishige T, Kakoi H, Hirota KI, Hamilton NA....The creation of genetically modified horses is prohibited in horse racing as it falls under the banner of gene doping. In this study, we developed a test to detect gene editing based on amplicon sequencing using next-generation sequencing (NGS). We designed 1012 amplicons to target 52 genes (481 exons) and 147 single-nucleotide variants (SNVs). NGS analyses showed that 97.7% of the targeted exons were sequenced to sufficient coverage (depth > 50) for calling variants. The targets of artificial editing were defined as homozygous alternative (HomoALT) and compound heterozygous alternative (ALT1/...
Study on ultrasonic wave propagation in equine leg bone for screening bucked shin.
The Journal of the Acoustical Society of America    September 2, 2022   Volume 152, Issue 2 890 doi: 10.1121/10.0012689
Miyashita K, Suzuyama H, Chiba K, Osaki M, Mita H, Tamura N, Matsukawa M.For simple, safe, portable, and inexpensive evaluation suitable for leg bone diseases of racehorses in the field, an ultrasonic measurement technique was applied to evaluate wave velocities. A digital model of the third metacarpal bone with the bucked shin was fabricated using high-resolution peripheral quantitative computerized tomography data of a racehorse. This model was anisotropic and heterogeneous, and was constructed using the measured ultrasonic wave velocities in the bone. With this model, ultrasonic wave propagation along the bone axis was simulated using the elastic finite-differen...
Does sex of the jockey influence racehorse physiology and performance.
PloS one    August 31, 2022   Volume 17, Issue 8 e0273310 doi: 10.1371/journal.pone.0273310
Schrurs C, Dubois G, Van Erck-Westergren E, Gardner DS.The racing industry is supported by a predominance of female stablehands and work riders, but few become professional jockeys. Female jockeys have recently had notable race success. No study has assessed whether the sex of the rider may subtly influence racehorse physiology to affect performance. Here, using a validated exercise tracking system (the 'Equimetre'â„¢) that records many physiological parameters simultaneously, this study characterised racehorse cardiovascular (heart rate, heart rate recovery) and biomechanical (stride length and frequency) parameters at various exercise intensitie...
Estimates of Genetic Parameters for Shape Space Data in Franches-Montagnes Horses.
Animals : an open access journal from MDPI    August 25, 2022   Volume 12, Issue 17 2186 doi: 10.3390/ani12172186
Gmel AI, Burren A, Neuditschko M.Conformation traits such as joint angles are important selection criteria in equine breeding, but mainly consist of subjective evaluation scores given by breeding judges, showing limited variation. The horse shape space model extracts shape data from 246 landmarks (LM) and objective joint angle measurements from triplets of LM on standardized horse photographs. The heritability was estimated for 10 joint angles (seven were measured twice with different LM placements), and relative warp components of the whole shape, in 608 Franches-Montagnes (FM) horses (480 stallions, 68 mares and 60 geldings...
Fetlock Joint Angle Pattern and Range of Motion Quantification Using Two Synchronized Wearable Inertial Sensors per Limb in Sound Horses and Horses with Single Limb Naturally Occurring Lameness.
Veterinary sciences    August 25, 2022   Volume 9, Issue 9 456 doi: 10.3390/vetsci9090456
Pagliara E, Marenchino M, Antenucci L, Costantini M, Zoppi G, Giacobini MDL, Bullone M, Riccio B, Bertuglia A.Fetlock joint angle (FJA) pattern is a sensitive indicator of lameness. The first aim of this study is to describe a network of inertial measurement units system (IMUs) for quantifying FJA simultaneously in all limbs. The second aim is to evaluate the accuracy of IMUs for quantifying the sagittal plane FJA overground in comparison to bi-dimensional (2-D) optical motion capture (OMC). 14 horses (7 free from lameness and 7 lame) were enrolled and analyzed with both systems at walk and trot on a firm surface. All enrolled horses were instrumented with 8 IMUs (a pair for each limb) positioned at t...
Equine hoof wall: Structure, properties, and bioinspired designs.
Acta biomaterialia    August 20, 2022   Volume 151 426-445 doi: 10.1016/j.actbio.2022.08.028
Lazarus BS, Luu RK, Ruiz-Pérez S, Bezerra WBA, Becerra-Santamaria K, Leung V, Durazo VHL, Jasiuk I, Barbosa JDV, Meyers MA.The horse hoof wall exhibits exceptional impact resistance and fracture control due to its unique hierarchical structure which contains tubular, lamellar, and gradient configurations. In this study, structural characterization of the hoof wall was performed revealing features previously unknown. Prominent among them are tubule bridges, which are imaged and quantified. The hydration-dependent viscoelasticity of the hoof wall is described by a simplified Maxwell-Weichert model with two characteristic relaxation times corresponding to nanoscale and mesoscale features. Creep and relaxation tests r...
An objective study into the effects of an incline on naturally occurring lameness in horses.
Veterinary medicine and science    August 18, 2022   Volume 8, Issue 6 2390-2395 doi: 10.1002/vms3.900
Bailey J, Redpath A, Hallowell G, Bowen M.The clinical examination of lame horses in real world settings often requires the use of sloped surfaces. This pilot study aimed to evaluate the effects of uphill and downhill locomotion on asymmetry in horses with naturally occurring lameness affecting forelimbs and hindlimbs. Ten horses (8-19 years) with forelimb lameness and eight horses (7-16 years) with hindlimb lameness were fitted with inertial sensors at the poll, withers, sacrum and both tuber coxae. Data were collected whilst the horses were trotted in hand on a level surface (20 mm) among conditions in individual horses. Two horse...
Biomechanical Comparison of a Headless Compression Screw Fastener and AO Cortical Bone Screw for Fixation of a Simulated Equine Third Carpal Bone Slab Fracture.
Journal of equine veterinary science    August 7, 2022   Volume 118 104094 doi: 10.1016/j.jevs.2022.104094
Salinger A, Mochal-King C, Clinton K, Priddy LB, Elder S, Fontenot R, Eddy A, Wills R, Jaffe M.Frontal plane slab fractures account for the majority of third carpal bone (C3) fractures in racing and performance horses. Recommended treatment is stabilization with a lagged AO cortical screw. Associated complications are fragment splitting, fragment spinning, and irritation of dorsal soft tissue structures. A novel, headless, cannulated screw with interlocking threads the Headless Compression Screw Fastener (HCSF) has been developed to resist multidirectional forces and bending moments; however, it has not been applied in the horse. Simulated C3 frontal plane slab fractures were created in...
The Development of Equestrian Policies in China between 2015 and 2020.
Animals : an open access journal from MDPI    July 27, 2022   Volume 12, Issue 15 1913 doi: 10.3390/ani12151913
Li J, López Adán E, de la Rubia Riaza A.China competed in equestrian sports for the first time at the 2008 Beijing Olympics. China's modern equine business has developed significantly over the past decade, and the lessons from the expansion between 2015 and 2020 are important considerations as China implements further legislation to aid in the development of its modern equestrian sports. Equestrian sports can propel the Chinese horse industry forward, and the horse industry is a unique business in that it integrates one, two, and three industries, with much growth potential. This paper assesses the development of equestrianism in Ch...
Structure and Strength of Bovine and Equine Amniotic Membrane.
Biology    July 23, 2022   Volume 11, Issue 8 1096 doi: 10.3390/biology11081096
Wells HC, Sizeland KH, Kirby N, Haverkamp RG.Thin, strong scaffold materials are needed for surgical applications. New materials are required, particularly those readily available, such as from non-human sources. Bovine amniotic membrane (antepartum) and equine amniotic membrane (postpartum) were characterized with tear and tensile tests. The structural arrangement of the collagen fibrils was determined by small-angle X-ray scattering, scanning electron microscopy, and ultrasonic imaging. Bovine amnion had a thickness-normalized tear strength of 12.6 (3.8) N/mm, while equine amnion was 14.8 (5.3) N/mm. SAXS analysis of the collagen fibri...
Increase of skin temperature prior to parturition in mares.
Theriogenology    July 19, 2022   Volume 190 46-51 doi: 10.1016/j.theriogenology.2022.07.007
Müller A, Glüge S, Vidondo B, Wróbel A, Ott T, Sieme H, Burger D.Prediction of impending foaling is highly desirable as early intervention may improve mare and foal outcomes. However, monitoring the peripartum mare is a time-consuming challenge for breeders and many foaling prediction systems have limitations. "Heating up" of the mare is empirically used by breeders as a sign of upcoming parturition in mares. The purpose of this study was to investigate if an increase in skin temperature shortly before parturition is detectable and to determine whether such physiological changes could be an additional valuable parameter to predict foaling. For that, 56 foal...
The effect of repeated freezing and thawing on the suture pull-out strength in equine arytenoid and cricoid cartilages.
Veterinary surgery : VS    July 11, 2022   Volume 51, Issue 7 1106-1110 doi: 10.1111/vsu.13855
Gray SM, Gutierrez-Nibeyro SD, Horn GP, McCoy AM, Schaeffer DJ, Stewart M.To assess the effect of repeated freezing and thawing on the suture pull-out strength in arytenoid and cricoid cartilages subjected to the laryngoplasty (LP) procedure. Methods: Ex vivo experimental study. Methods: Ten grossly normal equine cadaveric larynges. Methods: Bilateral LP constructs were created using a standard LP technique. One hemilarynx was randomly allocated to the single freeze and thaw group and the other allocated to the repeated freeze and thaw (3 complete cycles) group. The suture ends of each LP construct were attached to a load frame and subjected to monotonic loading unt...
Functional Electrical Stimulation (FES) in the Diagnosis and Treatment of Musculoskeletal and Neuromuscular Control Abnormalities in Horses – Selected Case Studies.
Journal of equine veterinary science    July 10, 2022   Volume 117 104078 doi: 10.1016/j.jevs.2022.104078
Schils S, Ober T.When diagnosing neuromuscular injury and pain, the use of biomechanical evaluations to assess the mechanics of movement patterns has been useful in the human population. Functional electrical stimulation (FES) is a technology that can create action potentials to produce musculoskeletal movement that is almost indistinguishable from the voluntary kinematics produced by the nervous system. To create controlled and precise musculoskeletal movements in humans and in horses, FES has been shown to be effective. In humans, the kinematic information obtained from FES data has been utilized to direct f...
Quantitative Gait Analysis Before and After a Cross-country Test in a Population of Elite Eventing Horses.
Journal of equine veterinary science    July 9, 2022   Volume 117 104077 doi: 10.1016/j.jevs.2022.104077
Scheidegger MD, Gerber V, Dolf G, Burger D, Flammer SA, Ramseyer A.Early recognition of lameness is crucial for injury prevention. Quantitative gait analysis systems can detect low-grade asymmetries better than the human eye and may be useful in early lameness recognition. The aims of this study were (1) to investigate the frequency of gait asymmetries based on head and pelvic movement in elite eventing horses using inertial mounted measurement units and (2) to assess the association between asymmetries and muscle enzymes and blood lactate (LA) levelspost-exercise. Movement asymmetry of the head, wither, and pelvis were quantified in 33 elite eventing horses ...
Relationship between Thoroughbred workloads in racing and the fatigue life of equine subchondral bone.
Scientific reports    July 7, 2022   Volume 12, Issue 1 11528 doi: 10.1038/s41598-022-14274-y
Morrice-West AV, Hitchens PL, Walmsley EA, Tasker K, Lim SL, Smith AD, Whitton RC.Fatigue life (FL) is the number of cycles of load sustained by a material before failure, and is dependent on the load magnitude. For athletes, 'cycles' translates to number of strides, with load proportional to speed. To improve previous investigations estimating workload from distance, we used speed (m/s, x) per stride collected using 5 Hz GPS/800 Hz accelerometer sensors as a proxy for limb load to investigate factors associated with FL in a Thoroughbred race start model over 25,234 race starts, using a combination of mathematical and regression modelling. Fore-limb vertical force (NKg) w...
Detection of Horse Locomotion Modifications Due to Training with Inertial Measurement Units: A Proof-of-Concept.
Sensors (Basel, Switzerland)    July 1, 2022   Volume 22, Issue 13 4981 doi: 10.3390/s22134981
Pasquiet B, Biau S, Trébot Q, Debril JF, Durand F, Fradet L.Detecting fatigue during training sessions would help riders and trainers to optimize their training. It has been shown that fatigue could affect movement patterns. Inertial measurement units (IMUs) are wearable sensors that measure linear accelerations and angular velocities, and can also provide orientation estimates. These sensors offer the possibility of a non-invasive and continuous monitoring of locomotion during training sessions. However, the indicators extracted from IMUs and their ability to show these locomotion changes are not known. The present study aims at defining which kinemat...
Biomechanical and Microstructural Properties of Subchondral Bone From Three Metacarpophalangeal Joint Sites in Thoroughbred Racehorses.
Frontiers in veterinary science    June 28, 2022   Volume 9 923356 doi: 10.3389/fvets.2022.923356
Pearce DJ, Hitchens PL, Malekipour F, Ayodele B, Lee PVS, Whitton RC.Fatigue-induced subchondral bone (SCB) injury is common in racehorses. Understanding how subchondral microstructure and microdamage influence mechanical properties is important for developing injury prevention strategies. Mechanical properties of the disto-palmar third metacarpal condyle (MCIII) correlate poorly with microstructure, and it is unknown whether the properties of other sites within the metacarpophalangeal (fetlock) joint are similarly complex. We aimed to investigate the mechanical and structural properties of equine SCB from specimens with minimal evidence of macroscopic disease....
Site- and Zone-Dependent Changes in Proteoglycan Content and Biomechanical Properties of Bluntly and Sharply Grooved Equine Articular Cartilage.
Annals of biomedical engineering    June 26, 2022   Volume 50, Issue 12 1787-1797 doi: 10.1007/s10439-022-02991-4
Mohammadi A, Te Moller NCR, Ebrahimi M, Plomp S, Brommer H, van Weeren PR, Mäkelä JTA, Töyräs J, Korhonen RK.In this study, we mapped and quantified changes of proteoglycan (PG) content and biomechanical properties in articular cartilage in which either blunt or sharp grooves had been made, both close to the groove and more remote of it, and at the opposing joint surface (kissing site) in equine carpal joints. In nine adult Shetland ponies, standardized blunt and sharp grooves were surgically made in the radiocarpal and middle carpal joints of a randomly chosen front limb. The contralateral control limb was sham-operated. At 39 weeks after surgery, ponies were euthanized. In 10 regions of interest (...
A review of equine tibial fractures.
Equine veterinary journal    June 15, 2022   Volume 55, Issue 2 171-181 doi: 10.1111/evj.13599
Bowers K, Weinhandl JT, Anderson DE.Equine tibial fractures are relatively infrequent in racing and non-racing sport horses, but limitations in successful treatment of tibial fractures in adult horses result in relatively high mortality compared with other musculoskeletal injuries. The aetiology of tibial fracture can be classified into two general categories: traumatic impact or fatigue failure. Tibial stress fractures, also known as fatigue fractures, are often rated as the second most common stress fracture in racing Thoroughbreds; young age, early stage in race training, and initiation of training after a period of rest are ...
Changes in Thoroughbred speed and stride characteristics over successive race starts and their association with musculoskeletal injury.
Equine veterinary journal    June 9, 2022   Volume 55, Issue 2 194-204 doi: 10.1111/evj.13581
Wong ASM, Morrice-West AV, Whitton RC, Hitchens PL.Certain stride characteristics have been shown to affect changes in biomechanical factors that are associated with injuries in human athletes. Determining the relationship between stride characteristics and musculoskeletal injury (MSI) may be key in limiting injury occurrence in the racehorse. Objective: This study aimed to determine whether changes in race day speed and stride characteristics over career race starts are associated with an increased risk of MSI in racehorses. Methods: Case-control study. Methods: Speed, stride length, and stride frequency data were obtained from the final 200â...
Proximal sesamoid bone microdamage is localized to articular subchondral regions in Thoroughbred racehorses, with similar fracture toughness between fracture and controls.
Veterinary surgery : VS    June 7, 2022   Volume 51, Issue 6 952-962 doi: 10.1111/vsu.13816
Luedke LK, Ilevbare P, Noordwijk KJ, Palomino PM, McDonough SP, Palmer SE, Basran PS, Donnelly E, Reesink HL.To determine whether proximal sesamoid bone (PSB) microdamage and fracture toughness differ between Thoroughbred racehorses sustaining PSB fracture and controls. Methods: Cadaveric case-control. Methods: Twenty-four Thoroughbred racehorses (n = 12 PSB fracture, n = 12 control). Methods: Proximal sesamoid bones were dissected, and gross pathological changes and morphological measurements were documented. High-speed exercise history data were evaluated. Microdamage was assessed in fracture, fracture-contralateral limb (FXCL) and control PSBs using whole bone lead uranyl acetate (LUA) stainin...
Fore-Aft Asymmetry Improves the Stability of Trotting in the Transverse Plane: A Modeling Study.
Frontiers in bioengineering and biotechnology    June 3, 2022   Volume 10 807777 doi: 10.3389/fbioe.2022.807777
Adachi M, Aoi S, Kamimura T, Tsuchiya K, Matsuno F.Quadrupedal mammals have fore-aft asymmetry in their body structure, which affects their walking and running dynamics. However, the effects of asymmetry, particularly in the transverse plane, remain largely unclear. In this study, we examined the effects of fore-aft asymmetry on quadrupedal trotting in the transverse plane from a dynamic viewpoint using a simple model, which consists of two rigid bodies connected by a torsional joint with a torsional spring and four spring legs. Specifically, we introduced fore-aft asymmetry into the model by changing the physical parameters between the fore a...
An Investigation Into Different Measurement Techniques to Assess Equine Proximal Hoof Circumference.
Journal of equine veterinary science    June 2, 2022   Volume 115 104028 doi: 10.1016/j.jevs.2022.104028
Shahkhosravi NA, Son J, Davies HMS, Komeili A.Equine hoof conformation is integral to equine performance and soundness. Consequently, it is a major area of interest within the field of equine health. Researchers have measured several hoof shape parameters to study the hoof conformation. Proximal hoof circumference (PHC) is a primary hoof shape parameter, and its assessment may help to recognize the early stages of the development of changes in hoof morphology or poor hoof shape. Previous studies have mainly used a measuring tape to measure PHC. However, some doubts still exist regarding the reliability, repeatability and accuracy of measu...
Kinematics of the equine distal sesamoid (navicular) bone of the thoracic limb.
American journal of veterinary research    June 1, 2022   Volume 83, Issue 7 ajvr.21.07.0090 doi: 10.2460/ajvr.21.07.0090
Elane GL, Biedrzycki AH, McCarrel TM, Banks SA, Morton AJ.To quantify the translation and angular rotation of the distal sesamoid bone (DSB) using computed tomography (CT) and medical modeling software. Methods: 30 thoracic limbs from equine cadavers. Methods: Partial (n = 12), full (8), and matched full and subsequently transected (10) thoracic limbs were collected. Bone volume CT images were acquired in three positions: extension (200° metacarpophalangeal angle), neutral (180°), and maximal flexion (110°). Mean translation and angular rotation of each DSB were recorded. Differences were determined with two-way ANOVA and post hoc Tukey's tests fo...
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