title: Scientific Investigation of the Calf Raise Test Using the Calf Raise Mobile Application to Inform Test Administration and Interpretation

authors: Fernandez, Ma. Roxanne

subjects: heel raises

abstract: The Calf Raise Test (CRT) is a widely used functional assessment of triceps surae muscle-tendon unit function. While it exhibits acceptable reliability, administration inconsistencies and test parameter variations likely contribute to observed normative value discrepancies in the literature. Additionally, devices employed in research for standardisation and quantification of outcomes beyond the number of repetitions are often inaccessible in clinics. This Thesis addresses these gaps by conducting an evidence-based assessment of the CRT and examining how changes in test parameters affect outcomes. The overarching aims of this Thesis were to: (1) develop a valid and reliable method to assess the CRT in clinical practice that provides research-grade outcomes, and (2) examine the influence of changing CRT parameters on outcomes and triceps surae muscle function. To achieve these overarching aims, two literature reviews and three experimental studies were conducted.

The first literature review, aligned with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, provides an overview of CRT devices used in research. Thirty-five studies were included, identifying seven CRT devices. The linear encoder emerged as the most used, quantifying all three main CRT outcomes (repetitions, peak height, and total work). However, its limited clinical use is attributed to hardware costs and need for programming skills.

Chapter 3 introduces the Calf Raise application (CRapp), a smartphone application designed to aid standardise CRT procedures and automate outcomes. Thirteen individuals underwent single-leg CRT on both legs across three occasions. CRapp outcomes (i.e., repetitions, total work, total height, peak height, fatigue index, and peak power) were validated against 3D motion capture and force plate data, demonstrating excellent concurrent validity and agreement levels. The CRapp proved valid, reliable, and suitable for both research and clinical practice.

Chapter 4 explores the impact of varying ankle starting positions on CRT outcomes in 49 healthy individuals, accounting for gender, age, body mass index (BMI), and physical activity levels. Participants performed single-leg CRT in three randomised conditions on three occasions: flat (0°), incline (10° dorsiflexion), and step (full dorsiflexion). Analysis of CRapp data indicate significant effects of ankle starting position on all CRT outcomes, emphasising the importance of ankle start position for CRT administration and interpreting test outcomes. 

Chapter 5 investigates the effects of varying cadence on CRT outcomes in 36 healthy individuals, considering gender, age, BMI, and physical activity levels. Participants performed single-leg CRT in three randomised conditions on three occasions: 30, 60, and 120 beats per minute. Significant cadence effects were observed on CRapp outcomes, hence this study confirmed that cadence does matter when administering the CRT and interpreting its outcomes.

Chapter 6, a systematic review following PRISMA guidelines, examines changes in standing CRT parameters on triceps surae surface electromyography (EMG) activity and fatigue measures. Seven studies were included, indicating increased activity in medial gastrocnemius increased with feet externally rotated, knees straight, and added load; lateral gastrocnemius with feet internally rotated, knees straight, and added load; and soleus with knees bent, whole-body vibration, and added load. These findings can inform evidence-based practices, though further training studies are recommended.

Overall, this Thesis introduces the CRapp, an innovative, valid, and reliable method of quantifying key CRT outcomes. Also, this Thesis provides a better understanding of the influence of varying CRT parameters on outcomes. The evidence-base generated from this Thesis may be used to inform best practice use and interpretation of the CRT and guide future research.

text: Scientific Investigation of the Calf Raise Test Using the Calf Raise Mobile Application to Inform Test Administration and Interpretation The Calf Raise Test (CRT) is a widely used functional assessment of triceps surae muscle-tendon unit function. While it exhibits acceptable reliability, administration inconsistencies and test parameter variations likely contribute to observed normative value discrepancies in the literature. Additionally, devices employed in research for standardisation and quantification of outcomes beyond the number of repetitions are often inaccessible in clinics. This Thesis addresses these gaps by conducting an evidence-based assessment of the CRT and examining how changes in test parameters affect outcomes. The overarching aims of this Thesis were to: (1) develop a valid and reliable method to assess the CRT in clinical practice that provides research-grade outcomes, and (2) examine the influence of changing CRT parameters on outcomes and triceps surae muscle function. To achieve these overarching aims, two literature reviews and three experimental studies were conducted.

The first literature review, aligned with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, provides an overview of CRT devices used in research. Thirty-five studies were included, identifying seven CRT devices. The linear encoder emerged as the most used, quantifying all three main CRT outcomes (repetitions, peak height, and total work). However, its limited clinical use is attributed to hardware costs and need for programming skills.

Chapter 3 introduces the Calf Raise application (CRapp), a smartphone application designed to aid standardise CRT procedures and automate outcomes. Thirteen individuals underwent single-leg CRT on both legs across three occasions. CRapp outcomes (i.e., repetitions, total work, total height, peak height, fatigue index, and peak power) were validated against 3D motion capture and force plate data, demonstrating excellent concurrent validity and agreement levels. The CRapp proved valid, reliable, and suitable for both research and clinical practice.

Chapter 4 explores the impact of varying ankle starting positions on CRT outcomes in 49 healthy individuals, accounting for gender, age, body mass index (BMI), and physical activity levels. Participants performed single-leg CRT in three randomised conditions on three occasions: flat (0°), incline (10° dorsiflexion), and step (full dorsiflexion). Analysis of CRapp data indicate significant effects of ankle starting position on all CRT outcomes, emphasising the importance of ankle start position for CRT administration and interpreting test outcomes. 

Chapter 5 investigates the effects of varying cadence on CRT outcomes in 36 healthy individuals, considering gender, age, BMI, and physical activity levels. Participants performed single-leg CRT in three randomised conditions on three occasions: 30, 60, and 120 beats per minute. Significant cadence effects were observed on CRapp outcomes, hence this study confirmed that cadence does matter when administering the CRT and interpreting its outcomes.

Chapter 6, a systematic review following PRISMA guidelines, examines changes in standing CRT parameters on triceps surae surface electromyography (EMG) activity and fatigue measures. Seven studies were included, indicating increased activity in medial gastrocnemius increased with feet externally rotated, knees straight, and added load; lateral gastrocnemius with feet internally rotated, knees straight, and added load; and soleus with knees bent, whole-body vibration, and added load. These findings can inform evidence-based practices, though further training studies are recommended.

Overall, this Thesis introduces the CRapp, an innovative, valid, and reliable method of quantifying key CRT outcomes. Also, this Thesis provides a better understanding of the influence of varying CRT parameters on outcomes. The evidence-base generated from this Thesis may be used to inform best practice use and interpretation of the CRT and guide future research.

year: 2023

title: A quick, reliable solution for modelling cheese chilling process

authors: Hoang, Duy

subjects: Modelling

abstract: Optimisation of the refrigerating system for cheese processing requires an accurate prediction of chilling time, product temperature distributions and heat flow. Many existing CFD models can provide the best predictions by directly solving the three-dimensional heat transfer problem within the product and for air flow around the product; however, they are time-consuming and not suitable for routine use. A one-dimensional numerical solution proposed by Ghraizi, Chumak, Onistchenko, and Terziev (1996) has been used to provide the quick answer to food processing engineers with a good accuracy. In this method, the partial differential equation describing one-dimensional non-linear unsteady heat conduction inside the product has been solved by a finite difference technique. The method can take into account the temperature-dependence of thermal properties of foods and a general shape factor was used to reflect the product geometry. The model was applied to a single block of cheese, and agar. Predicted results are compared to experimentally-measured temperature profiles as well as to results generated by the Food Product Modeller, FPM, software.

text: A quick, reliable solution for modelling cheese chilling process Optimisation of the refrigerating system for cheese processing requires an accurate prediction of chilling time, product temperature distributions and heat flow. Many existing CFD models can provide the best predictions by directly solving the three-dimensional heat transfer problem within the product and for air flow around the product; however, they are time-consuming and not suitable for routine use. A one-dimensional numerical solution proposed by Ghraizi, Chumak, Onistchenko, and Terziev (1996) has been used to provide the quick answer to food processing engineers with a good accuracy. In this method, the partial differential equation describing one-dimensional non-linear unsteady heat conduction inside the product has been solved by a finite difference technique. The method can take into account the temperature-dependence of thermal properties of foods and a general shape factor was used to reflect the product geometry. The model was applied to a single block of cheese, and agar. Predicted results are compared to experimentally-measured temperature profiles as well as to results generated by the Food Product Modeller, FPM, software.

year: 2018

title: Aroha

authors: Maxwell, Te Kahautu

abstract: Waita Tira (choral), Lyrics composed by Te Kahautu Maxwell and Performed by Ōpotoki Mai Tawhiti (Kapa Haka group)

Waiata ā Tira: Aroha
Whakaeke: Pinepine Te Kura, Hau Te Kura
Mōteatea: Te Ao o Te Pārerā
Waiata ā Ringa: E pā to reo, Te Matatini, Herewini Parata
Poi: E ia e ia
Haka: Te Kōtiritiri, Te Kōtaratara
Whakawātea: Ōranga Tōiti, tōnui kōrero

text: Aroha Waita Tira (choral), Lyrics composed by Te Kahautu Maxwell and Performed by Ōpotoki Mai Tawhiti (Kapa Haka group)

Waiata ā Tira: Aroha
Whakaeke: Pinepine Te Kura, Hau Te Kura
Mōteatea: Te Ao o Te Pārerā
Waiata ā Ringa: E pā to reo, Te Matatini, Herewini Parata
Poi: E ia e ia
Haka: Te Kōtiritiri, Te Kōtaratara
Whakawātea: Ōranga Tōiti, tōnui kōrero

year: 2023-02-22