Background Altered muscle-tendon properties in clubfoot patients could play a role in the occurrence of a relapse and negatively affect physical functioning. However, there is a lack of literature about muscle-tendon properties of clubfoot relapse patients. Research question The aim of this study was to determine whether the muscle architecture of the medial gastrocnemius and the morphology of the Achilles tendon differ between typically developing children (TDC) and clubfoot patients with and without a relapse clubfoot and to determine the relationships between morphological and functional gait outcomes. Methods A cross-sectional study was carried out in clubfoot patients treated according to the Ponseti method and TDC aged 4–8 years. A division between clubfoot patients with and without a relapse was made. Fifteen clubfoot patients, 10 clubfoot relapse patients and 19 TDC were included in the study. Morphologic properties of the medial head of the Gastrocnemius muscle and Achilles tendon were assessed by ultrasonography. Functional gait outcomes were assessed using three-dimensional gait analysis. Mean group differences were analysed with ANOVA and non-parametric alternatives. Relationships between functional and morphologic parameters were determined for all clubfoot patients together and for TDC with Spearman’s rank correlation. Results Morphological and functional gait parameters did not differ between clubfoot patients with and without a relapse, with exception of lower maximal dorsiflexor moment in clubfoot relapse patients. Compared to TDC, clubfoot and relapse patients did show lower functional gait outcomes, as well as shorter and more pennate muscles with a longer Achilles tendon. In all clubfoot patients, this longer relative tendon was related to higher ankle power and plantarflexor moment. Significance In clubfoot and relapse patients, abnormalities in morphology did not always relate to worse functional gait outcomes. Understanding these relationships in all clubfoot patients may improve the knowledge about clubfoot and aid future treatment planning.
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In a multinational project (N = 3707), we factor analyzed a commonly used self-report measure of intrasexual competition and found a three-dimensional system. We called these factors envy (i.e., wanting what others have), jealousy (i.e., protecting what one has), and competitiveness (i.e., beliefs that one is better). To better understand these factors and test whether the solution is sensible, we examined sex differences and correlations with the Dark Triad traits (i.e., psychopathy, narcissism, and Machiavellianism), life history strategies, and age. Results are discussed using an adaptationist lens.
Pokémon Go, Facebook check-ins, Google Maps, public transport apps and especially smartphone apps are increasingly becoming traceable and locatable. As ‘check-in’, features in social media and games grow in popularity they pinpoint users in relation to everything else in the network, making physical context an essential input for online interactions. But what are the practical consequences of the increased proliferation of devices that can determine our location? Could one say that surveillance is already taken for granted as we passively provide our coordinates to others?
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