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      A Wider Pelvis Does Not Increase Locomotor Cost in Humans, with Implications for the Evolution of Childbirth

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          Abstract

          The shape of the human female pelvis is thought to reflect an evolutionary trade-off between two competing demands: a pelvis wide enough to permit the birth of large-brained infants, and narrow enough for efficient bipedal locomotion. This trade-off, known as the obstetrical dilemma, is invoked to explain the relative difficulty of human childbirth and differences in locomotor performance between men and women. The basis for the obstetrical dilemma is a standard static biomechanical model that predicts wider pelves in females increase the metabolic cost of locomotion by decreasing the effective mechanical advantage of the hip abductor muscles for pelvic stabilization during the single-leg support phase of walking and running, requiring these muscles to produce more force. Here we experimentally test this model against a more accurate dynamic model of hip abductor mechanics in men and women. The results show that pelvic width does not predict hip abductor mechanics or locomotor cost in either women or men, and that women and men are equally efficient at both walking and running. Since a wider birth canal does not increase a woman’s locomotor cost, and because selection for successful birthing must be strong, other factors affecting maternal pelvic and fetal size should be investigated in order to help explain the prevalence of birth complications caused by a neonate too large to fit through the birth canal.

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          Most cited references34

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          Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study.

          Female athletes participating in high-risk sports suffer anterior cruciate ligament injury at a 4- to 6-fold greater rate than do male athletes. Prescreened female athletes with subsequent anterior cruciate ligament injury will demonstrate decreased neuromuscular control and increased valgus joint loading, predicting anterior cruciate ligament injury risk. Cohort study; Level of evidence, 2. There were 205 female athletes in the high-risk sports of soccer, basketball, and volleyball prospectively measured for neuromuscular control using 3-dimensional kinematics (joint angles) and joint loads using kinetics (joint moments) during a jump-landing task. Analysis of variance as well as linear and logistic regression were used to isolate predictors of risk in athletes who subsequently ruptured the anterior cruciate ligament. Nine athletes had a confirmed anterior cruciate ligament rupture; these 9 had significantly different knee posture and loading compared to the 196 who did not have anterior cruciate ligament rupture. Knee abduction angle (P<.05) at landing was 8 degrees greater in anterior cruciate ligament-injured than in uninjured athletes. Anterior cruciate ligament-injured athletes had a 2.5 times greater knee abduction moment (P<.001) and 20% higher ground reaction force (P<.05), whereas stance time was 16% shorter; hence, increased motion, force, and moments occurred more quickly. Knee abduction moment predicted anterior cruciate ligament injury status with 73% specificity and 78% sensitivity; dynamic valgus measures showed a predictive r2 of 0.88. Knee motion and knee loading during a landing task are predictors of anterior cruciate ligament injury risk in female athletes. Female athletes with increased dynamic valgus and high abduction loads are at increased risk of anterior cruciate ligament injury. The methods developed may be used to monitor neuromuscular control of the knee joint and may help develop simpler measures of neuromuscular control that can be used to direct female athletes to more effective, targeted interventions.
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            Adjustments to Zatsiorsky-Seluyanov's segment inertia parameters.

            P. de Leva (1996)
            Zatsiorsky et al. (in Contemporary Problems in Biomechanics, pp. 272-291, CRC Press, Massachusetts, 1990a) obtained, by means of a gamma-ray scanning technique, the relative body segment masses, center of mass (CM) positions, and radii of gyration for samples of college-aged Caucasian males and females. Although these data are the only available and comprehensive set of inertial parameters regarding young adult Caucasians, they have been rarely utilized for biomechanical analyses of subjects belonging to the same or a similar population. The main reason is probably that Zatsiorsky et al. used bony landmarks as reference points for locating segment CMs and defining segment lengths. Some of these landmarks were markedly distant from the joint centers currently used by most researchers as reference points. The purpose of this study was to adjust the mean relative CM positions and radii of gyration reported by Zatsiorsky et al., in order to reference them to the joint centers or other commonly used landmarks, rather than the original landmarks. The adjustments were based on a number of carefully selected sources of anthropometric data.
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              Anterior cruciate ligament injuries in female athletes: Part 1, mechanisms and risk factors.

              The mechanism underlying gender disparity in anterior cruciate ligament injury risk is likely multifactorial in nature. Several theories have been proposed to explain the mechanisms underlying the gender difference in anterior cruciate ligament injury rates. These theories include the intrinsic variables of anatomical, hormonal, neuromuscular, and biomechanical differences between genders and extrinsic variables. Identification of both extrinsic and intrinsic risk factors associated with the anterior cruciate ligament injury mechanism may provide direction for targeted prophylactic treatment to high-risk individuals.
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                Author and article information

                Contributors
                Role: Academic Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                11 March 2015
                2015
                : 10
                : 3
                : e0118903
                Affiliations
                [1 ]Department of Human Evolutionary Biology, Harvard University, 11 Divinity Avenue, Cambridge, Massachusetts, 02138, United States of America
                [2 ]Department of Anatomy and Neurobiology, Boston University School of Medicine, 72 East Concord St. (L 1004), Boston, Massachusetts, 02118, United States of America
                [3 ]Department of Anthropology, Hunter College, 695 Park Ave., New York, New York, 10065, United States of America
                University of Utah, UNITED STATES
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Conceived and designed the experiments: AGW KLL HP DEL. Performed the experiments: AGW KLL. Analyzed the data: AGW KLL. Contributed reagents/materials/analysis tools: AGW HP DEL. Wrote the paper: AGW KLL HP DEL.

                Article
                PONE-D-14-27249
                10.1371/journal.pone.0118903
                4356512
                25760381
                10a639ed-ec9f-46b9-af62-3df5dbc5bc88
                Copyright @ 2015

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

                History
                : 18 June 2014
                : 21 January 2015
                Page count
                Figures: 3, Tables: 2, Pages: 14
                Funding
                This research was supported by grants from the National Science Foundation ( www.nsf.gov), BSN # 0850841, The Leakey Foundation ( www.leakeyfoundation.org) and The Wenner-Gren Foundation ( www.wennergren.org). Grants were obtained by AGW. Institutional support was provided by Washington University in St. Louis and obtained by AGW and HP. Institutional support for Harvard University was obtained by DEL and KLL. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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                Research Article
                Custom metadata
                All relevant data are within the paper and its Supporting Information files.

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