Clinical Biomechanics RSS feed. https://www.clinbiomech.com/issues?journalCode=jclb&publicationCode=jclb&rss=yes Elsevier Inc. en © 2026 Published by Elsevier Inc. All rights reserved. Clinical Biomechanics 0268-0033 2026-06-09-07:00 © 2026 Published by Elsevier Inc. All rights reserved. permissionshelpdesk@elsevier.com https://www.clinbiomech.com/article/S0268-0033(26)00147-6/fulltext?rss=yes Early restoration of affected-side hip flexion PROM and sagittal-plane hip excursion is a clinically interpretable biomechanical correlate of walking-speed recovery after hip fracture. This movement-specific signal supports a range-of-motion-to-kinematics-to-speed pathway warranting testing in larger studies. Affected-side hip flexion recovery is associated with gait-speed gain during early inpatient rehabilitation after hip fracture: A pilot prospective biomechanical analysis Junil So, Seohee Park, Yongwun Cho, Chang Han Lee, Min-Kyun Oh, Hayoung Byun 10.1016/j.clinbiomech.2026.106892 Clinical Biomechanics (2026) 2026-06-07 Clinical Biomechanics 2026-06-07 https://www.clinbiomech.com/article/S0268-0033(26)00146-4/fulltext?rss=yes Functional classification using the SPPB provided greater sensitivity than chronological age in detecting early mobility decline. Gait variability emerged as a salient biomarker of impaired neuromuscular control. Integrating quantitative gait profiling with validated functional assessments may improve early screening, targeted intervention, and fall prevention strategies. Functional stratification reveals speed-independent gait impairments beyond chronological age Yuetong Wu, Xiangrui Wang, Todd M. Manini, Boyi Hu 10.1016/j.clinbiomech.2026.106891 Clinical Biomechanics (2026) 2026-06-06 Clinical Biomechanics 2026-06-06 https://www.clinbiomech.com/article/S0268-0033(26)00135-X/fulltext?rss=yes Cooper’s ligaments tether the dermis to the pectoral fascia and play a key role in breast suspension, but they are still poorly represented in finite element (FE) models used for surgical planning. This work proposes a patient-specific computational framework that explicitly incorporates anatomically informed Cooper’s ligament networks into three-dimensional breast FE models. A computational framework for patient-specific breast modeling with anatomically informed Cooper’s ligament networks Hadil Khalifa, Fabrice Morestin, Benyebka Bou-Said, Francesco Marchetti 10.1016/j.clinbiomech.2026.106880 Clinical Biomechanics (2026) 2026-05-28 Clinical Biomechanics 2026-05-28 Original articles https://www.clinbiomech.com/article/S0268-0033(26)00087-2/fulltext?rss=yes A five-minute session of plantar stimulation — particularly vibratory stimulation — can immediately enhance balance, proprioception, and plantar sensitivity in CAI patients, with some effects persisting up to 60 min. These findings support the use of sensory stimulation as a potential treatment for CAI, though further research is needed to determine long-term efficacy and optimal protocols. Effects of different types of plantar stimulation on plantar tactility, proprioception and balance in patients with chronic ankle instability Chuanyi Chen, Shiyang Xue, Chunyan Zhao, Yunfei Yao, Jiangna Wang, Zhenxiang Tian, Wei Sun 10.1016/j.clinbiomech.2026.106832 Clinical Biomechanics 136, (2026) 2026-04-05 Clinical Biomechanics 2026-04-05 136 S0268-0033(26)X2003-4 https://www.clinbiomech.com/article/S0268-0033(26)00085-9/fulltext?rss=yes This review highlights that patients with ASD show impairments in balance control across a range of domains. Balance assessment in ASD can be used to identify targets for intervention. Balance control in adult spinal deformity: systematic review of the literature Paul A. Oakley, Cecilia R. Power, William H. Gage, George Mochizuki 10.1016/j.clinbiomech.2026.106830 Clinical Biomechanics 136, (2026) 2026-03-31 Clinical Biomechanics 2026-03-31 136 S0268-0033(26)X2003-4 https://www.clinbiomech.com/article/S0268-0033(26)00084-7/fulltext?rss=yes The proposed method accurately reproduces physiological spinal motion characteristics, demonstrating its feasibility and validity for in vitro studies of three-dimensional spinal biomechanics. Exploration of an admittance control method for multi-segment spinal motion loading Xiuling Huang, Zhiyao Ma, Xilong Cui, Xin Xie, Zikai Hua 10.1016/j.clinbiomech.2026.106829 Clinical Biomechanics 136, (2026) 2026-03-31 Clinical Biomechanics 2026-03-31 136 S0268-0033(26)X2003-4 https://www.clinbiomech.com/article/S0268-0033(26)00083-5/fulltext?rss=yes These findings highlight the heterogeneous strain distribution in fixed bones under loading, suggesting that rehabilitation strategies should account for localized mechanical responses. This study provides a foundation for the individualized customization of postoperative rehabilitation exercises. (196 words). Local microstrain variation in the compression of bionic bone with fracture fixation Jiabao Tang, Huanlong Chen, Yanlin Jiang, Li-Hong Liu, Wenyang Liu 10.1016/j.clinbiomech.2026.106828 Clinical Biomechanics 136, (2026) 2026-03-26 Clinical Biomechanics 2026-03-26 136 S0268-0033(26)X2003-4 https://www.clinbiomech.com/article/S0268-0033(26)00082-3/fulltext?rss=yes A longer AT relative to foot MA length may improve the tendon's safety factor by reducing mechanical stress. This ratio may serve as an accessible intrinsic risk factor for AT injuries, even when assessed only using simple 2-D anatomical measures. Mechanical equilibrium of the ankle joint: Implications for Achilles tendon injury Ra'’ad M. Khair, Afet Mustafaoglu, Yu Chou Lin, Maria Sukanen, Taija Finni 10.1016/j.clinbiomech.2026.106827 Clinical Biomechanics 136, (2026) 2026-03-19 Clinical Biomechanics 2026-03-19 136 S0268-0033(26)X2003-4 https://www.clinbiomech.com/article/S0268-0033(26)00080-X/fulltext?rss=yes University students with low muscle mass exhibited altered cervical kinematics only during extension movements, accompanied by more neck pain and disability. This study provides evidence of the relationship of muscle mass and cervical spine health in early adulthood. The effect of low muscle mass on neck disorder and cervical movement kinematics in university students: A comparative study Minghe Yao, Lingxian Zhong, Zhijun Li, Yingbo Xu, Tingkui Wu, Kangkang Huang, Shihao Chen, Xiaoqiang Zhao, Yi Deng, Beiyu Wang 10.1016/j.clinbiomech.2026.106825 Clinical Biomechanics 136, (2026) 2026-03-18 Clinical Biomechanics 2026-03-18 136 S0268-0033(26)X2003-4 https://www.clinbiomech.com/article/S0268-0033(26)00078-1/fulltext?rss=yes These findings indicate substantial anterior abdominal wall remodeling following pregnancy, including increased strength and stiffness in the early postpartum period. Alterations in this remodeling response may reduce abdominal wall load-bearing capacity and increase susceptibility to inter-rectus separation, as observed in DRA. Postpartum biomechanical adaptations of the anterior abdominal wall in a rat model: Implications for diastasis rectus abdominis Mya Lax, Mary Morgan, Sabrina I. Sinopoli, Diane E. Gregory 10.1016/j.clinbiomech.2026.106823 Clinical Biomechanics 136, (2026) 2026-03-13 Clinical Biomechanics 2026-03-13 136 S0268-0033(26)X2003-4 https://www.clinbiomech.com/article/S0268-0033(26)00079-3/fulltext?rss=yes This study supports the use of a parallel robotic system as a viable instrument for assessing knee proprioception in people with patellar tendinopathy. Significant proprioceptive deficits were identified in this population compared to healthy controls, particularly in passive JPS at 30° and 50°, and in active JPS at 30°. Robotic assessment of proprioception in individuals with patellar tendinopathy: A feasibility and pilot study Elena Muñoz-Gómez, Héctor González-Pons, Marta Inglés, Marina Vallés, Noemí Moreno-Segura, Sara Mollà-Casanova, Ángel Valera, Pilar Serra-Añó 10.1016/j.clinbiomech.2026.106824 Clinical Biomechanics 136, (2026) 2026-03-12 Clinical Biomechanics 2026-03-12 136 S0268-0033(26)X2003-4 https://www.clinbiomech.com/article/S0268-0033(26)00077-X/fulltext?rss=yes No method of normalization demonstrated consistently superior performance and results were similar to non-normalized sEMG. Findings support adapting sEMG normalization methods based on individual functional abilities to improve spasticity assessment accuracy. Can we normalize surface electromyography in patients with spasticity of the upper limb? Anna Pennekamp, Mirjam Thielen, Fraser Philp, Anand Pandyan, Julia Glaser, Ursula Trinler 10.1016/j.clinbiomech.2026.106822 Clinical Biomechanics 136, (2026) 2026-03-12 Clinical Biomechanics 2026-03-12 136 S0268-0033(26)X2003-4 https://www.clinbiomech.com/article/S0268-0033(26)00062-8/fulltext?rss=yes The authors regret a discrepancy was identified between the sign convention described in the Methods and the sign used for computing pelvic axial rotation. Pelvic rotation values displayed in Fig. 3 were updated to reflect the correct sign convention. No other results or sections of the manuscript required revision and conclusion of the paper remain unchanged. The caption for Fig. 3 was also corrected to accurately report the multiplicity correction used and described in the Methods; it now lists the Benjamini–Hochberg procedure rather than Holm–Šidák. Corrigendum to “Standing anterior pelvic tilt is correlated with the proximal femur shape of individuals with cam morphology” [Clinical Biomechanics 133 (2026) 106767] Seth J. Kussow, Rich J. Lisonbee, Bergen Braun, Jared L. Zitnay, Megan K. Mills, Stephen K. Aoki, Travis G. Maak, Penny R. Atkins, Andrew E. Anderson 10.1016/j.clinbiomech.2026.106807 Clinical Biomechanics 136, (2026) 2026-03-12 Clinical Biomechanics 2026-03-12 136 S0268-0033(26)X2003-4 https://www.clinbiomech.com/article/S0268-0033(26)00074-4/fulltext?rss=yes Individuals with patellar tendinopathy may exhibit similar strength and power metrics compared with healthy controls but exhibit less neuromuscular control during tasks involving slow speed flexion strength at the knee. Furthermore, nonlinear analyses may provide additional information regarding neuromuscular function that traditional measures do not capture. Sample entropy detects altered neuromuscular control in female athletes with patellar tendinopathy Madison J. Mingo, Sarah L. Woelfel, Samuel J. Wilkins, Adam B. Rosen, Brian A. Knarr 10.1016/j.clinbiomech.2026.106819 Clinical Biomechanics 136, (2026) 2026-03-11 Clinical Biomechanics 2026-03-11 136 S0268-0033(26)X2003-4 https://www.clinbiomech.com/article/S0268-0033(26)00073-2/fulltext?rss=yes Medium- to low-energy EPAT and focused ESWT did not affect knot integrity or loop dimensions under loading, indicating safety and potential for early postoperative use. Biomechanical performance of shock wave interventions on the knot after rotator cuff repair Amila Kuati, Qingfa Song, Xingzuan Lin, Hao Fu, Xiali Xue, Bingbing Xu, Ye Li, Guoqing Cui 10.1016/j.clinbiomech.2026.106818 Clinical Biomechanics 136, (2026) 2026-03-11 Clinical Biomechanics 2026-03-11 136 S0268-0033(26)X2003-4 https://www.clinbiomech.com/article/S0268-0033(26)00076-8/fulltext?rss=yes The unified mobility assessment identified two distinct pre-operative mobility phenotypes with substantial cross-domain heterogeneity among higher-functioning patients. The implications of this assessment approach may support domain-specific interventions to personalize care and potentially improve recovery after knee arthroplasty. Functional mobility profiles in pre-operative knee osteoarthritis patients: A cluster analysis of self-report, in-clinic, and free-living measures Vincenzo E. Di Bacco, Matthew C. Ruder, Kim Madden, Anthony Adili, Dylan Kobsar 10.1016/j.clinbiomech.2026.106821 Clinical Biomechanics 136, (2026) 2026-03-10 Clinical Biomechanics 2026-03-10 136 S0268-0033(26)X2003-4 https://www.clinbiomech.com/article/S0268-0033(26)00075-6/fulltext?rss=yes This study shows that the free AT length is longer in CP than in TD peers, with no differences in AT CSA. Only limited structure-function associations were observed, suggesting altered involvement of AT stretch-recoil during walking in CP. These explorative results require further evaluation with larger samples and homogenous CP groups. How are Achilles tendon properties associated with gait performance in cerebral palsy? Nathalie Alexander, Maria Sukanen, Iida Laatikainen-Raussi, Afet Mustafaoglu, Taija Finni, Francesco Cenni 10.1016/j.clinbiomech.2026.106820 Clinical Biomechanics 136, (2026) 2026-03-10 Clinical Biomechanics 2026-03-10 136 S0268-0033(26)X2003-4 https://www.clinbiomech.com/article/S0268-0033(26)00063-X/fulltext?rss=yes Long-term treatment with T-PEMF changed forearm EMG power and hand acceleration in the tremor frequency spectrum towards healthy values. Thus, the present results add further knowledge to the effects of T-PEMF treatment in PD. Effects of long-term treatment with transcranial pulsed electromagnetic fields in Parkinson's disease on kinematic and electrophysiological tremor Anne Sofie Bøgh Malling, Meaghan Elizabeth Spedden, Lene Wermuth, Bente Rona Jensen 10.1016/j.clinbiomech.2026.106808 Clinical Biomechanics 136, (2026) 2026-03-07 Clinical Biomechanics 2026-03-07 136 S0268-0033(26)X2003-4 https://www.clinbiomech.com/article/S0268-0033(26)00065-3/fulltext?rss=yes Older age is associated with gait and balance disturbances, including under dual-task conditions. This underscores the need for targeted interventions to enhance dual-task performance and potentially reduce fall risks among older adults. Age-related differences in balance, gait, and dual-task costs: A cross-sectional study Daria Goulets, Jennifer O’Neil, Lisa Sheehy 10.1016/j.clinbiomech.2026.106810 Clinical Biomechanics 136, (2026) 2026-03-06 Clinical Biomechanics 2026-03-06 136 S0268-0033(26)X2003-4 https://www.clinbiomech.com/article/S0268-0033(26)00064-1/fulltext?rss=yes In patients with mild hemiparesis, trunk sway and gait-cycle variability were associated with decreased walking efficiency. The mediolateral and vertical RMS values and CV may serve as sensitive indicators of gait-related energy inefficiency. Association of trunk sway and gait-cycle variability measured by triaxial accelerometry with heart rate-based walking efficiency in patients with mild hemiparesis Sota Kajiwara, Yoshino Terui, Kyoji Okada, Masahiko Wakasa, Sachiko Uemura, Akira Saito, Minoru Kimoto, Motoki Maruyama, Takuto Oikawa, Manabu Horikawa, Masahiro Sasaki, Masahiro Satake 10.1016/j.clinbiomech.2026.106809 Clinical Biomechanics 136, (2026) 2026-03-06 Clinical Biomechanics 2026-03-06 136 S0268-0033(26)X2003-4 https://www.clinbiomech.com/article/S0268-0033(26)00061-6/fulltext?rss=yes Evidence indicates reduced plantar flexor and second peak knee flexor moments in people with diabetes, without clear exacerbation by clinically defined neuropathy. This pattern is consistent with gait alterations emerging early in the disease course and suggests that muscular and neuropathy-related kinetic changes may be subtle or not consistently captured by current study methods. Non-significant hip joint moment differences leave competing flexor versus extensor hip strategy explanations unresolved. Lower-limb joint moments during gait in individuals with diabetes with and without peripheral neuropathy – A systematic review with meta-analysis Ricardo Sebastião, Pedro Fonseca, Manoela Sousa, Leandro Machado, Filipa Sousa, Davide Carvalho, Isabel Sacco, João Paulo Vilas-Boas 10.1016/j.clinbiomech.2026.106806 Clinical Biomechanics 136, (2026) 2026-03-04 Clinical Biomechanics 2026-03-04 136 S0268-0033(26)X2003-4 https://www.clinbiomech.com/article/S0268-0033(26)00035-5/fulltext?rss=yes The publisher regrets that the paper above is missing Supplementary material in the published version but this information must be added separately in context. The Publisher apologizes for this oversight. Erratum to <“Importance of analyzing spasticity and co-activation as complementary biomarkers of gait in children with cerebral palsy”> <[Clinical Biomechanics Volume 132, February 2026, 106743]> Gabriel Graffagnino, Benoît Sijobert, Karine Patte, Christine Azevedo-Coste, David Gasq 10.1016/j.clinbiomech.2026.106780 Clinical Biomechanics 136, (2026) 2026-02-27 Clinical Biomechanics 2026-02-27 136 S0268-0033(26)X2003-4 https://www.clinbiomech.com/article/S0268-0033(26)00032-X/fulltext?rss=yes Generic gait modifications produced small, phase-dependent changes in internal tibiofemoral loading, with early-stance increases, late-stance reductions, and occasional compensatory lateral loading. Longer-term, individualised retraining incorporating symptoms is needed to determine net clinical benefit. Altered gait strategies show inconsistent medial compartment unloading in varus medial knee osteoarthritis awaiting high tibial osteotomy Jake Bowd, Sam Van Rossom, David W. Elson, Chris Wilson, Ilse Jonkers, Cathy Holt, Gemma M. Whatling 10.1016/j.clinbiomech.2026.106777 Clinical Biomechanics 136, (2026) 2026-02-10 Clinical Biomechanics 2026-02-10 136 S0268-0033(26)X2003-4 https://www.clinbiomech.com/article/S0268-0033(25)00297-9/fulltext?rss=yes This study provides a comparative assessment of healed-state strain distributions across common fixation constructs. By characterizing these environments, these data establish a biomechanical framework and highlight the interplay between implant design and bone quality. Further population-based studies are required to refine implant selection. In silico analysis of fixation device strain patterns in the postoperative proximal femur: Effects of bone quality during gait Yogesh Kumaran, Sophia Soehnlen, Christopher Haritos, Sanam Jhaveri, Sudharshan Tripathi, Humza Shaikh, Stephanie Di Stasi, Carmen E. Quatman 10.1016/j.clinbiomech.2025.106724 Clinical Biomechanics (2025) 2025-11-27 Clinical Biomechanics 2025-11-27 https://www.clinbiomech.com/article/S0268-0033(25)00293-1/fulltext?rss=yes Biofidelic finite element models built using image data captures population-based differences in hip fracture risk for the three main ethnic groups in Singapore. In the absence of 3D optical scans, predicting soft tissue shapes based on whole-body DXA scans, commonly available in clinical practice, yields similar fracture predictions based on simulated falls. Dual-energy X-ray absorptiometry based biofidelic finite element models for simulating falls to the hip: Impact of trochanteric soft tissue thickness on fracture risk Dheeraj Jha, Anitha D. Praveen, Alexander Baker, Anita Fung, Vee San Cheong, Preeti Gupta, Ecosse L. Lamoureux, Namki Hong, Yumie Rhee, Vanessa Jean Wen Koh, Halldór Pálsson, William R. Taylor, Angelique Wei-Ming Chan, Stephen J. Ferguson, Benedikt Helgason 10.1016/j.clinbiomech.2025.106720 Clinical Biomechanics (2025) 2025-11-21 Clinical Biomechanics 2025-11-21 https://www.clinbiomech.com/article/S0268-0033(25)00262-1/fulltext?rss=yes The distribution of hip fracture incidence predicted by the model included the clinical data for both groups. This In Silico trial can be applied in the future to improve clinical trial design and drug development, enabling a virtual pathway to the efficacy assessment of bone drugs. In silico clinical trial to predict the efficacy of alendronate for preventing hip fractures Sara Oliviero, Giacomo Savelli, Marco Viceconti, Antonino A. La Mattina 10.1016/j.clinbiomech.2025.106689 Clinical Biomechanics (2025) 2025-10-29 Clinical Biomechanics 2025-10-29 https://www.clinbiomech.com/article/S0268-0033(25)00080-4/fulltext?rss=yes All investigated devices could be safely used for stable and unstable intertrochanteric fractures. The extramedullary plate may present some biomechanical advantage with unstable fractures. Biomechanical comparison between three intramedullary nails and percutaneous compression plate in stable and unstable trochanteric fractures Luigi La Barbera, Atsuki Tanaka, Francesca Berti, Guido Antonini, Tomaso Villa 10.1016/j.clinbiomech.2025.106507 Clinical Biomechanics (2025) 2025-03-27 Clinical Biomechanics 2025-03-27 https://www.clinbiomech.com/article/S0268-0033(25)00076-2/fulltext?rss=yes The findings demonstrate that the individual motion parameters and fracture morphology influence the local healing parameters and create individual weight-bearing recommendations. Individual postoperative and preoperative workflow for patients with fractures of the lower extremities Annchristin Andres, Michael Roland, Kerstin Wickert, Bergita Ganse, Tim Pohlemann, Marcel Orth, Stefan Diebels 10.1016/j.clinbiomech.2025.106503 Clinical Biomechanics (2025) 2025-03-22 Clinical Biomechanics 2025-03-22 https://www.clinbiomech.com/article/S0268-0033(12)00269-0/fulltext?rss=yes This article has been withdrawn at the request of the Authors/Editor/Publisher. The Publisher apologizes for any inconvenience this may cause.The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy. WITHDRAWN: Somatic sensibility to mechanical vibrations on the forearms of seniors and transradial amputees Tae Soo Bae, Mu Seong Mun 10.1016/j.clinbiomech.2012.11.012 Clinical Biomechanics (2012) 2012-12-26 Clinical Biomechanics 2012-12-26 https://www.clinbiomech.com/article/S0268-0033(26)00093-8/fulltext?rss=yes Editorial Board 10.1016/S0268-0033(26)00093-8 Clinical Biomechanics 136, (2026) 2026-06 Clinical Biomechanics 2026-06 136 S0268-0033(26)X2003-4