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Quest, 2008, 60, 31-44 © 2008 American Academy of Kinesiology and Physical Education Interdisciplinary Vertical Integration: The Future of Biomechanics Robert J. Gregor The field of biomechanics has grown rapidly in the past 30 years in both size and complexity. As a result, the term might mean different things to different people. This article addresses the issues facing the field in the form of challenges biomechanists face in the future. Because the field is so diverse, strength within the different areas of biomechanics also varies. Although the term might not always appear in the curriculum, principles in biomechanics are felt to be highly integrated into the broader fields of kinesiology, exercise science, etc. The major challenges facing the field, as suggested in this paper, include the development of significant hypotheses, integration with other disciplines such as psychology and motor control, “cross training” our graduate students so they might bring a richer perspective to collaborations with colleagues in other subdisciplines, and the development of funded postdoctoral experiences to support this aspect of student development. Because of the integrative nature of our work, questions are also posed related to the use of particular names, which at times places us in possibly more-restricted categories then we wish. These issues are, of course, open to debate. The field of biomechanics has grown markedly in the past 30 years (e.g., the American Society of Biomechanics (ASB) celebrated its 30th anniversary, the International Society of Biomechanics (ISB) was 35 years old in 2007, and the 5th World Congress in Biomechanics hosted a full week of parallel sessions on topics ranging from cell mechanics to comparative neuromechanics in Munich in 2006). During this period of rapid growth, the field of biomechanics also became more diverse through its integration with related disciplines (e.g., rehabilitation medicine, psychology, orthopedics, motor development, physiology, and neurophysiology). As with any discipline, change is requisite to success and important in successfully challenging students and colleagues to advance the field. The boundaries of subject matter, course work, and research objectives have become more focused on integrative hypotheses and collaborative efforts in teaching, service, and research, and general interests now overlap to the degree that rigid structures must be reevaluated as possible impedances to the needed change. Integration has been a theme in science and education for some time. Hence, the purpose of this article is to describe the previous growth in the field of biomechanics and to provide examples using vertical integration to suggest ways in which future challenges to our field can be addressed. Transfer of these ideas to the development of undergraduate curriculum will not be The author (AAPKE Fellow #465) is with the School of Applied Physiology, Georgia Institute of Technology, Atlanta, GA 30332-0356. E-mail: [email protected] 31 32 Gregor discussed because the content and relevance of the curriculum in biomechanics to the movement sciences has recently been presented (Hamill, 2007). Previously, Richard Nelson (Nelson, 1994) published a summary of progress (i.e., 40 Years of Progress: Biomechanics in Exercise Science and Sports Medicine) describing the growth of sports biomechanics in the United States and its relationship to the American College of Sports Medicine (ACSM). While concentrating primarily on sport and sport injury applications, Dr. Nelson provided some very interesting comments on the future of our discipline. These comments included (a) “prospects of modifying the environment to meet the needs of each individual offer unlimited opportunities to apply the science of biomechanics,”(p. 6) (b) the rehabilitation/clinical area will expand, (c) influence in the industrial setting will expand, (d) interaction between biomechanists, physiologists, and motor-control specialists will become more common, and (e) as a word of caution, “high-tech systems are no substitute for human thought” (p. 7). Sport and human performance were two of the most-important applications of principles of biomechanics during the 1960s and 1970s, but the comments made by Dr. Nelson apply to our current challenges and will be discussed again later. Further to the comments provided by Nelson (Nelson, 1994), Enoka (2004) discussed the interface between biomechanics and neuroscience as affected by the ACSM. There is general agreement that collaborations are successful only if the individual disciplines of each scientist are strong. In this case, both biomechanics (the study of structure and function of biological systems using the methods in mechanics) and neuroscience (the study of the function of the brain and nervous system) have a strong foundation in the ACSM with the current challenge being the need for better communication/collaboration between these two disciplines as it applies to the mission of the ACSM. The concept of integration and the development of strong questions or hypotheses produced through collaboration between scientists from each field was the issue addressed by Enoka (2004). The need to achieve this goal (i.e., to enhance the general communication between these two disciplines within the College in this case) remains. Biomechanists, despite the attraction of other society meetings, (e.g., ASB, ISB, Neuroscience, the World Congress in Biomechanics, and student meetings for ASB) still maintain a strong presence in the ACSM for discussions related to studies applied to sport and human performance (Gregor, 2004). To reemphasize, however, biomechanists should continue to join/integrate with other disciplines, presenting joint seminars, tutorials, symposia, etc. at meetings of all related societies, not just in reference to the ACSM, and follow the natural interface of subject matter moving the integrated field of movement science forward. Integration The lessons learned in the just-mentioned examples related to neuroscience, biomechanics, and the ACSM apply to all disciplines in the movement sciences whether or not they are related to sport and sports medicine. Regardless of application (e.g., the study of children at play, the study of falls prevention in the elderly, or the study of individuals with physical or mental challenges in everyday life), the overall principle of collaborative, interdisciplinary, integrative research and the development of interdisciplinary educational training programs applies. Diane Interdisciplinary Vertical Integration 33 Gill (2007, p. 270) stated that “Integration is the key to sustaining kinesiology as an academic and professional discipline in higher education.” Kinesiology is the science of movement; biomechanics is a subdiscipline in that field. Integration of all subdisciplines, when appropriate to address a specific question, is important. Development of interdisciplinary research serving as the base for interdisciplinary curricula is critical to our success in meeting the challenges of the future. Gill (2007) focused on integration in three ways, the first focus being integration of our multidisciplinary scholarship (research) with a clear focus on physical activity (movement science). Within the field of biomechanics, this integration can occur with scientists in neural control, for example, interested in sensorimotor integration. Cell biologists, neurophysiologists, biomechanists, and behavioral psychologists would collaborate to address the challenges of rehabilitating someone with a specific movement disorder. Efficient gait for everyday activity might be the objective, or achievement in sport performance might be the higher goal. Certainly movement is the domain, and an interdisciplinary approach is warranted. Translation of this information to other clinical populations (e.g., stroke patients or even children with cerebral palsy) addresses the challenges raised by Gill in her second form of integration—integration of academic scholarship and professional practice. Physical educators teaching adaptive classes or physical therapists dealing with these special clinical populations should use the results of integrative research to improve their education and/or rehabilitation of individuals with movement disorders. Of course, these examples might also serve as models related to Gill’s third aspect of integration, that is, public service. Certainly public service related to education and rehabilitation of challenged populations is important and a general responsibility of scientists and educators in all subdisciplines of kinesiology. The opposite of these interdisciplinary integrative efforts is the problem of the silos of information or the silos of curriculum content. Focus on a particular subject matter and strengthening expertise in that discipline are essential to the development of any scientist and educator. Once strength has been achieved in a certain area, however, it is incumbent on researchers and educators to reach out to other disciplines, either by training themselves in another subject area (this relates to interdisciplinary research, which will be addressed later) or by initially collaborating with others on a common problem. Strength in a particular subdiscipline comes first but must be followed by collaborative, integrative efforts to solve problems. In this regard, each scientist and educator “brings a certain set of tools or expertise to the table” and then integrates his or her toolbox with others, making an even larger set of tools to address a common problem (sharing is good). Generally, the more tools you have, the greater the chance of solving the problem whether it be in a research laboratory or in curriculum development where the explanation of certain complex principles might be more-easily understood. In the field of biomechanics, the silo approach comes at times not in the methodologies used (e.g., instrumentation used) but rather in the application of analysis techniques to a given population. Sports biomechanists, for example, do not have to study sport alone but can use the same tools and instrumentation to study movement in less-skilled populations and learn a great deal about how principles in mechanics and biology apply to all levels of performance capabilities. Likewise, scientists in the basic sciences can use the same instrumentation to study particular aspects of sport as an appropriate model. 34 Gregor First Challenge The first challenge to biomechanists in the near future is posed as a result of conclusions drawn from the recent publication by Thomas and Reeve (2006), which reported on 32 university programs in the United States offering programs in kinesiology or related disciplines. Of the 32 universities in the report, 17 had kinesiology in the department name. Of the top 10 schools reported, 50% did not have biomechanics listed in the graduate curriculum. It seems then, that the first challenge to biomechanists is to make sure biomechanics programs are offered in the graduate programs of the top 10 schools. Does the silos-of-information approach detract from the integrative presentation of information in biomechanics and ultimately from its integration with other disciplines in kinesiology, OR are we already integrated into larger domains within kinesiology and therefore not specifically mentioned in graduate programs and areas of research emphasis? Is kinesiology the preferred name, or do some university departments feel other names are equally appropriate? Can kinesiology also be considered a philosophical approach to curriculum development in that exercise science, human movement science, or human performance departments are philosophically the same as kinesiology? Kinesiology is the science of movement with the objective to take an integrative approach to the study of movement including, for example, mechanics, physiology, behavioral aspects of movement, etc. Because all of the programs mentioned in the study (Thomas & Reeve, 2006) have very common objectives, is using the name kinesiology requisite to achieving the goals? It might be the muchpreferred term but not always necessary. Likewise, does biomechanics have to be specifically mentioned in the graduate curriculum to be inherent in the graduate training? Again, it might be preferred but not always necessary. It seems the answer is no in 50% of the top 10 schools in the report. It also seems that the name kinesiology is not requisite to success, preferred, but not requisite to success in 47% of the schools in the report. These data suggest that we already integrate material in our study of movement, and the science base used to teach our students is already integrated. These data also suggest that success might not require either the phrase kinesiology or the term biomechanics. Our challenge is to study these results and use this information to continue integrating material at both the graduate and undergraduate levels of education from all subdisciplines. Counter the limitations imposed by silos of information, listen to colleagues in other disciplines, think outside the box, and develop question-oriented curricula and research programs that use the expanded toolbox available from the integration of subdisciplines to approach challenges in kinesiology, movement science, human performance, exercise science, and similar fields of study. Interdisciplinary Integration The terms integration, multidisciplinary, and interdisciplinary are widely used in both research and curriculum development. Indeed, these forms of interaction are preferred by administrators, funding agencies, and educators in general. Integration, by definition, means the act or the instance of combining into an integral whole Interdisciplinary Vertical Integration 35 (e.g., a harmonious whole) and is a widely used term common to all levels of education. In the context of this article, however, a distinction will be drawn between multi- and interdisciplinary work. Multidisciplinary work involves the collective efforts of a group of scientists well trained in a specific discipline. Each brings his or her own specific toolbox to the table and relies on experts in other fields to solve certain aspects of the problem being addresses. For example, the evaluation of running efficiency might involve both biomechanical and physiological data. The experiments might be conducted in a physiology laboratory using a treadmill, and the biomechanics expert will bring or supply the motion-capture system and kinetics equations to help perform the analysis. It might also be done in a biomechanics laboratory with a metabolic cart brought in for the indirect calorimetry measures. The exercise physiologist relies on the biomechanist’s expertise and vice versa. Two scientists trained in two separate disciplines are each relying on the other for specific expertise needed to address the research goal (i.e., running efficiency). Interdisciplinary research, on the other hand, involves scientists trained in more than one discipline interacting to solve a problem. One example might involve an individual trained as a physical therapist and as a biomechanist working with a physical therapist also trained in cognitive neuroscience. The objective might be to design an intervention to improve the quality of life of a physically and mentally disabled child. The bond between the two investigators is training in physical therapy, with the development of more-efficient movement patterns being the goal of the interaction. One individual brings skills in movement quantification, the other in the cognitive sciences. Although a very long list of examples could be developed to explain the difference between multi- and interdisciplinary work, the point is that scientists and educators trained in more than one discipline bring a certain degree of richness to the interaction that can only benefit the situation. If a graduate or undergraduate class were developed by the two scientists described in the second example, it would be an interdisciplinary integration of course content and very likely would provide a very rich environment for interactive, outside-ofthe-box thinking. Second Challenge The second challenge to biomechanists in the near future is to encourage the training of our students in other disciplines in the movement sciences. Postdoctoral experiences are growing, and new avenues and funding sources must be developed to cross train our students and enrich their contribution in both research and education. If someone has training and a vested interest in two separate disciplines, their contributions will only further enrich the collaboration. Some methods of cross training currently used in many successful programs include (a) laboratory rotations, which might be used to learn different skills or might just be used to acquaint new students with the various laboratories in the program; (b) minor areas of subject matter, which might focus, for example, on a technical skill (e.g., statistics) or actually on a discipline other than biomechanics (e.g., motor control); and (c) actually collecting data in another experimental setting, an integrative setting involving the students’ primary and secondary mentors. 36 Gregor The idea here is not to build bigger silos but actually, especially at the graduate and postgraduate levels, to break them down. Imagine common laboratory space for biomechanical, physiological, and behavioral measures and common goals to improve motor performance, movement efficiency, etc., with the resource being a very large toolbox. Scientists and educators would be cross trained and able to contribute in an enriched environment. The challenge to biomechanists is to cross train their students—not just take other classes, but to engage in another discipline, listen and learn and become familiar with hypotheses and ideas from a discipline other than biomechanics, and then subsequently to make a larger contribution to a more-integrated problem. Integrated, interdisciplinary research is fundable and supported at the university, state, and federal levels. The greatest challenge to young faculty is indeed the dilemma that independence (i.e., an independent focus to research) is one of the major criteria for promotion and tenure, whereas integrated, interdisciplinary research is extremely fundable. The message here, of course, is that strength must first be attained by independent young scientists, and once this is achieved, they bring this strength to the table in their future collaborative work. Interdisciplinary Integration: An Example The major areas of research and education in the School of Applied Physiology at Georgia Tech are shown in Figure 1, indicating four major disciplines of study. These include (1) exercise physiology, (2) motor control and motor behavior, (3) biomechanics and neuromechanics, and (4) muscle physiology and cell biology. Faculty in the School are truly interdisciplinary in that many of them, individually, are trained in more than one discipline. This cross training mentioned previously includes, for example, combinations of exercise physiology, systems physiology, and biomechanics; mechanical engineering, cell biology, and systems physiology; and neurophysiology, muscle physiology, and biomechanics. In some instances, data can be collected in more than one discipline in the same laboratory, and in some cases, two or more laboratories are involved. The School also has common laboratory space, specifically for muscle physiology, mechanics, and neuromechanics, designed to support the faculty’s strong interest in interdisciplinary research. Although at times department names are selected for reasons outside the domain of science and education, philosophically, the School of Applied Physiology teaches integrated systems physiology using the integration of disciplines common to many kinesiology, exercise science, and departments of human performance across the United States. The disciplines found in the School of Applied Physiology are also commonly found, but to a lesser degree currently, in departments of physiology in the United States. When these well-established disciplines engage in an integrated approach to research and education, whether it is multidisciplinary or interdisciplinary as defined in this article, the field of kinesiology and movement science in general move forward. In our case, the interests in systems physiology move forward as well. Interdisciplinary Vertical Integration 37 Figure 1 — Schematic diagram of the four disciplines in the School of Applied Physiology at Georgia Tech. Arrows show the strong interconnections and integrated interests of the School faculty. Vertical Integration Vertical integration is analogous to the phrase molecules to movement. Vertical integration of subject matter ranges from the study of molecules and cells to the study of movement in a complex organ system (e.g., the human body). Laws that govern the interaction of protein molecules (i.e., systems biology) might some day be applied to the integrated interaction of physiological systems involved in movement control. The plasticity of the human body in response to age, disease, gender, or trauma exemplifies the interdependence of all physiological systems designed to maintain the homeostasis of human function. The interdependence of the respiratory and renal systems, for example, in maintaining blood pH during acute exercise and the interdependence of the brain, spinal cord, peripheral nervous system, and muscle in learning a new physical skill as a child or in response to an intervention designed to attenuate falls in the elderly represent only two of a large number of examples that could be used to make this point. Although the four subdisciplines described in the previous section are interdependent, and faculty are trained in interdisciplinary integration of material, vertical integration of subject matter is the theme of the graduate curriculum in the School of Applied Physiology at Georgia Tech. Three semesters of systems physiology, for example, start with cell biology and end with a discussion of the integration and adaptation, and eventually homeostasis, of physiological systems in response to interventions (e.g., trauma, age). The text that follows focuses on two examples of vertical integration in which knowledge of cell and tissue response, as well as knowledge of systems mechanics and physiology, is needed in the investigation of a selected problem. 38 Gregor Peripheral Nerve Injury Peripheral nerve injuries are common, and despite the well-known capacity for these injuries to heal, poor functional outcomes following peripheral nerve injuries remain an important clinical problem. The Centers for Disease Control and Prevention estimate that in 2002, more than 250,000 US patients suffered major traumatic wounds to peripheral nerves. Probably because of the low efficacy of treating peripheral nerve injuries, only about 15% of these patients were actually treated. More than half of those patients who received treatment made no measurable signs of recovery or suffered drastically reduced muscle strength or sensitivity. In addition, more than 485,000 patients in 2002 were treated for nontraumatic peripheral nerve injuries, the vast majority of which were attributed to nerve compression and adhesion problems known as entrapment syndromes. The most common entrapment syndrome is carpal tunnel syndrome, which has been studied and reported in the biomechanics literature in human factors research. Peripheral nerve injury results in both sensory and motor loss to the muscles involved. Understanding recovery from such injury begins with the interface between the motor neuron and the muscle cells (i.e., the motor endplate). Reinnervation of the muscle fiber is requisite to regaining motor function in the muscle. Hence, the study of peripheral nerve injury and its effect on total-body motor function begins at the level of the cell (i.e., the motor endplate and muscle fiber). Unlike development and synaptogenesis, reinnervation of the muscle fiber post traumatic injury can be relatively complete depending on the severity of the injury. There will remain, however, some loss of motor function. Understanding the recovery process involves the vertical integration of information beginning at the level of the cell, on to the recovery of the whole muscle, and eventual recovery of motor coordination in human performance. Knowledge of cell behavior, muscle-fiber behavior, and whole-muscle function, function of the integrated neuromuscular system, and eventually quantification of the recovery of motor coordination will involve an understanding of cell physiology, neuromuscular integration, and biomechanics. An interdisciplinary scientist working on these projects might have training in biomechanics, neurophysiology, and sensorimotor integration, whereas another might have interdisciplinary training in neurophysiology and motor control. A third might have training in cell biology and muscle physiology. Each would bring their interdisciplinary training to the group, and given the overlap in expertise, the group would perform very effectively with common interests and individual contributions. The actual performance of muscle fibers in specific muscles (i.e., length changes in muscle fascicles) and the electrical output of the whole muscle (which is representative of the use of that muscle in a given task) during recovery from peripheral nerve injury are illustrated in Figure 2. This form of information represents the next two steps in the vertical integration process (i.e., the level of the muscle fibers and then the whole muscle including electrical and force output; see Figure 3 for normal muscle). The analysis of total-joint mechanics during the recovery process, a traditional approach taken in the field of biomechanics, represents the next level of information (i.e., the mechanical output of the total joint integrating all muscles involved in the control of the ankle during recovery; see Figure 4 for patterns of joint moments during slope walking). Understanding the mechanics of joint function is requisite to the final step in the integration process, a step involving analysis of Figure 2 — EMG patterns and changes in muscle-fascicle length in the soleus muscle during successive step cycles in over-ground walking. PC represents the point of ground contact, and PO represents the end of stance and the beginning of swing. Notice the increase in muscle-fascicle length immediately after ground contact together with a very high level of muscle activity in the soleus at the beginning of stance. Figure 3 — Electrical activity and muscle force from the gastrocnemius muscle during a single step cycle in over-ground walking. Vertical lines (the line most left in the figure) indicate ground contact and the beginning of stance, the second line represents the beginning of swing, and the last line is the end of the step cycle. Note the period of silence in the muscle immediately after ground contact and that most of the force is developed during stance. Note. Reprinted from Sherif, Gregor, Liu, Roy, and Hager (1983), with permission from Elsevier. 39 40 Gregor Figure 4 — Ankle-joint moment patterns during seven conditions of slope walking during recovery from peripheral nerve injury involving the plantar flexors. Notice the increase in peak moments and successively greater kinetic demands placed on the joint as slope intensity varies from a 50% downslope to a 100% upslope (i.e., 45°). the control and coordination of adjacent joints in the performance of a given task, in this case locomotion (data not shown). Application of the information obtained in this last step is relevant to studies in other disciplines as well. For example, information related to total-joint mechanics and mechanical work can be used in the study of gait efficiency, which might involve exercise physiologists or scientists in motor control. In understanding movement behaviors, one might find information about total-joint mechanics very useful in the interpretation of behavioral outcomes. In short, there are a wide variety of interdisciplinary integrated investigations involving a variety of scientists and educators from many subdisciplines (e.g., biomechanics) in which the process of vertically integrating information from the cell to total-body performance is useful. Knee Ligament Damage During Exercise Some of the most-common injuries incurred during physical activity involve strains or tears of a tendon and/or ligament in the knee joint. Magnitudes of the loads placed on these tissues and, more important, the rate of loading of these tissues can be extremely high during very strenuous activity in elite athletes (e.g., weightlifting; Figure 5). While most musculoskeletal injuries do not occur under conditions permitting quantitative analysis, a single case study has been reported in the literature involving the rupture of the patellar tendon during a weightlifting competition (Whiting & Zernicke, 1998). During the second phase of a clean-and-jerk attempt, a world-class lifter ruptured his patellar tendon. Using a rigid link biomechanical model (Figure 5), the tensile load in the tendon at the time of rupture was estimated Interdisciplinary Vertical Integration 41 Figure 5 — The figure at the left shows the “clean” portion of the clean-and-jerk weightlifting technique when the bar is resting near the shoulders of the lifter (Position 1 of graph b). The figure on the right shows the calculated joint moment during five movement phases in the “jerk” phase of the movement. Position 4 shows the largest knee moment and the time of rupture of the patellar tendon. Note. Reprinted with permission from Whiting and Zernicke (1998, p. 161). Originally adapted with permission from The Journal of Bone and Joint Surgery, Inc. (Zernicke, Garhammer, & Jobe, 1977). to be 17.5 times the individual’s body weight (i.e., 14.5 kN of load; Whiting & Zernicke, 1998). Understanding this injury, planning a surgical approach, and then recommending rehabilitation protocols involves the interdisciplinary vertical integration of information from cell behavior to total-joint kinetics. The development of any strength training program in an injury-free young athlete should use the appropriate information regarding the ability of both hard and soft tissues, bone and muscle, ligament and tendon, respectively, to withstand load. Age, for example, will complicate the issue because the properties of the muscle, tendon, ligament, and bone are dependent on age, initial degree of physical activity and training, etc. When injury occurs (e.g., the patellar-tendon rupture just mentioned), the surgeon should know the nature of the injury (e.g., the loads involved at the time of injury) to plan a surgical approach. The surgeon will also know the physiology and mechanics of the tissues involved and the general picture, at the level of the cell, regarding how these tissues will recover. Kinesiologists (e.g., biomechanists) study the science of movement, and movement, as we well know, is critical to the recovery process in the example just mentioned. Although an 42 Gregor understanding of tissue repair is important, using this information in the design of a physical therapy program and extended, rehabilitative strength training program is also important. At the level of the muscle-tendon unit, understanding aspects of muscle stimulation, the load-sharing between muscles used synergistically to control movement, and the general interdependence of other physiological systems are all important to the recovery process. And maybe the most-important part of the process is the psychology of recovery. The mental approach injured athletes take in dealing with the recovery process, how they are encouraged to continue with rehabilitation, is a critical element in recovery. In this example, vertical integration of knowledge progresses from the level of the cell, the tendon, muscle and the bone, to the level of the whole muscle, synergistic groups of muscles, joint kinetics and interjoint coordination, and the mental and behavioral approach to the recovery process. Certainly someone trained in physical therapy and biomechanics could contribute to the recovery team, and certainly someone trained in sports psychology, physical therapy, and generalsystems physiology would be a valuable member of the team. Meeting Future Challenges The growth of biomechanics over the past 30 years has resulted in such a broadly based discipline that the name itself now means something different to different people. As referenced in the paper by Hamill (2007), the 5th World Congress in Biomechanics hosted a full week of parallel sessions, sometimes 16 parallel sessions per day, invited lectures, and plenary sessions on topics ranging from cell mechanics to cardiovascular fluid mechanics to sport movement analysis. Even within the domain of human performance, the domain most aligned with kinesiology, the topics in biomechanics are very broad. Because the discipline is so expansive, my comments regarding future challenges in biomechanics will be restricted to those most appropriate to human performance and the science of movement more closely associated with kinesiology and physical education. In this regard, the future challenges to the field of biomechanics as they relate to kinesiology and physical education include the following: • The development of hypothesis-driven research must continue to improve. Some programs and scientists already have developed some interesting hypotheses driving their research, but improvement is needed here. • Historically, biomechanics has been a technically driven discipline. As stated at the beginning of this article, however, Nelson (1994) warned us that technology is no substitute for human thought. On many occasions, much of the discussion in biomechanics is related to methods. Although understanding the laws of physics and mechanics is requisite to successful science, so is the development of good hypotheses (Challenge #1). The comments made by Hamill (2007) on current challenges in undergraduate biomechanics classes that focus on math and physics (i.e., challenges related to students’ interest in the field) apply here. In this regard, our challenge might be to teach using a top down approach rather than a bottom up approach. Instead of teaching all the details of methodology to undergraduates, we should be teaching them why Interdisciplinary Vertical Integration 43 the field is important. Get them excited. If they wait until their senior year to integrate all the material and understand why biomechanics is an important part of the curriculum, it will be too late. The top down approach dictates the teaching of general principles to lower-division students, general hypotheses in biomechanics that apply to human movement within the field. Once they see these applications, then the specifics of how we study them can be taught. • Make sure our subject matter is integrated into the general curriculum. This issue was presented in Challenge #1 at the beginning of this article, discussed elsewhere in the article forming questions designed to stimulate discussion, and is extremely important to the integration concept. Fifty percent of the programs in the top 10 programs reported by Thomas and Reeve (2006) did not mention the field of biomechanics in their graduate curriculum. Maybe the information is already integrated in the programs but not specified in the program description. Or, maybe the programs would like to have a biomechanist on site but do not at the present time. I think the former answer is more correct and that the principles in biomechanics are integrated into the existing program. If this is not the case, biomechanists face another challenge, that is curriculum design and the integration of our material into the current curriculum. • Students in biomechanics, and I would assume in all disciplines, should be cross trained in another discipline. Completing a minor concentration during their graduate work is a start, but postdoctoral work serves this purpose much better. The challenge here is to develop, use, and fund postdoctoral fellows, students who have just completed their training in biomechanics, and train them in another field. Although biomechanics seems better aligned with physiology, neurophysiology, comparative zoology, rehabilitation medicine, prosthetics and orthotics, and physical therapy, I feel a richer challenge is to integrate the analysis of movement mechanics into the behavioral sciences (e.g., psychology). For example, biomechanists interested in learning in children about the acquisition of a skilled movement pattern, should integrate their work with scientists in psychology and motor behavior. Cognition, using fMRI scans to study brain function during learning, and knowledge of mechanical outcomes or the mechanical demands on the human system during the process of learning are all very important to the study of the overall developmental process in children. The challenge is to expand existing programs that have already started. • Finally, the last challenge is to vertically integrate knowledge within the discipline of biomechanics, as well as our interdisciplinary efforts with scientists in related fields. The two examples provided previously, vertically integrate information within the field of biomechanics but also across fields such as cell biology and electrophysiology. The systems person, and many biomechanists in the human movement sciences are systems scientists, must look to the level of the cell to properly evaluate human movement. Likewise, analyzing and understanding the mechanics of interjoint coordination is important, but collaborating with behavioral psychologists in these studies would stimulate new questions requiring the synthesis of information across levels of study, cells to organ systems, and across disciplines. We can no longer look to silos 44 Gregor of information or take this limited view of science and be successful. The real strength and future of biomechanics lies in the more-expanded, integrated domains looking across levels of human performance and across traditional disciplines. Being cross trained in interdisciplinary science will only enrich this approach for the many challenges ahead. References Enoka, R.M. (2004). Biomechanics and neuroscience: A failure to communicate. In: C. Oldham (Ed.), Advances in sports medicine and exercise science: 50 years of ACSM (pp. 140–141). Tampa, FL: Faircount. Gill, D. (2007). Integration: The key to sustaining kinesiology in higher education. Quest, 59, 270–286. Gregor, R.J. (1993). Skeletal muscle mechanics and movement. In M.D. Grabiner (Ed.), Current issues in biomechanics (pp. 171–211). Champaign, IL: Human Kinetics. Gregor, R.J. (2004). ACSM: Biomechanics of movement performance. In: C. Oldham (Ed.), Advances in sports medicine and exercise science: 50 years of ACSM (p. 102). Tampa, FL: Faircount. Hamill, J. (2007). Biomechanics curriculum: Its content and relevance to movement science. Quest, 59, 25–33. Nelson, R.C. (1994). Biomechanics in exercise science and sports medicine. American College of Sports Medicine 40th anniversary lectures (pp. 1-9). Indianapolis, IN: American College of Sports Medicine. Sherif, M.H., Gregor, R.J., Liu, L.M., Roy, R.R., & Hager, C.L. (1983). Correlation of myoelectric activity and muscle force during selected cat treadmill locomotion. Journal of Biomechanics, 16, 691–701. Thomas, J.R., & Reeve, T.G. (2006). A review and evaluation of doctoral programs 2000–2004 by the American Academy of Kinesiology and Physical Education. Quest, 58, 176–196. Whiting, W.C., & Zernicke, R.F. (1998). Biomechanics of musculoskeletal injury. Champaign, IL: Human Kinetics. Zernicke, R.F., Garhammer, J., & Jobe, F.W. (1977). Human patellar-tendon rupture: A kinetic analysis. Journal of Bone and Joint Surgery, 59A, 179–193.