Shock attenuation and stride frequency during running

Tibial acceleration alone is not a valid surrogate measure of tibial load in response to stride length manipulation

PURPOSE

This study aimed to evaluate the relationship between peak tibial acceleration and peak ankle joint contact forces in response to stride length manipulation during level-ground running.

METHODS

Twenty-seven physically active participants ran 10 trials at preferred speed in each of 5 stride length conditions: preferred, ±5 %, and ±10 % of preferred stride length. Motion capture, force platform, and tibial acceleration data were directly measured, and ankle joint contact forces were estimated using an inverse-dynamics-based static optimization routine.

RESULTS

In general, peak axial tibial accelerations (p < 0.001) as well as axial (p < 0.001) and resultant (p < 0.001) ankle joint contact forces increased with stride length. When averaged within the 10 strides of each stride condition, moderate positive correlations were observed between peak axial acceleration and joint contact force (r = 0.49) as well as peak resultant acceleration and joint contact force (r = 0.51). However, 37% of participants illustrated either no relationship or negative correlations. Only weak correlations across participants existed between peak axial acceleration and joint contact force (r = 0.12) as well as peak resultant acceleration and ankle joint contact force (r = 0.18) when examined on a step-by-step basis.

CONCLUSION

These results suggest that tibial acceleration should not be used as a surrogate for ankle joint contact force on a step-by-step basis in response to stride length manipulations during level-ground running. A 10-step averaged tibial acceleration metric may be useful for some runners, but an initial laboratory assessment would be required to identify these individuals.

Comparison of bone mineral density of runners with inactive males: A cross-sectional 4HAIE study

The purpose of the study was to determine whether running is associated with greater bone mineral density (BMD) by comparing the BMD of regularly active male runners (AR) with inactive nonrunner male controls (INC). This cross-sectional study recruited 327 male AR and 212 male INC (aged 18-65) via a stratified recruitment strategy. BMD of the whole body (WB) and partial segments (spine, lumbar spine (LS), leg, hip, femoral neck (FN), and arm for each side) were measured by dual-energy x-ray absorptiometry (DXA) and lower leg dominance (dominant-D/nondominant-ND) was established by functional testing. An ANCOVA was used to compare AR and INC. The AR had greater BMD for all segments of the lower limb (p<0.05), but similar BMD for all segments of the upper limb (p>0.05) compared with INC. Based on the pairwise comparison of age groups, AR had greater BMD of the ND leg in every age group compared with INC (p<0.05). AR had grater BMD of the D leg in every age group except for (26-35 and 56-65) compare with INC (p<0.05). In the youngest age group (18-25), AR had greater BMD in every measured part of lower extremities (legs, hips, femoral necks) compared with INC (p<0.05). In the 46-55 age group AR had greater BMD than INC (p < 0.05) only in the WB, D Leg, D neck, and ND leg. In the 56-65 age group AR had greater BMD than INC (p<0.05) only in the ND leg. Overall, AR had greater BMD compared with INC in all examined sites except for the upper limbs, supporting the notion that running may positively affect bone parameters. However, the benefits differ in the skeletal sites specifically, as the legs had the highest BMD difference between AR and INC. Moreover, the increase in BMD from running decreased with age.

A Review of the Validity and Reliability of Accelerometer-Based Metrics From Upper Back-Mounted GNSS Player Tracking Systems for Athlete Training Load Monitoring

ABSTRACT

Dawson, L, Beato, M, Devereux, G, and McErlain-Naylor, SA. A review of the validity and reliability of accelerometer-based metrics from upper back-mounted GNSS player tracking systems for athlete training load monitoring. J Strength Cond Res 38(8): e459-e474, 2024-Athlete load monitoring using upper back-mounted global navigation satellite system (GNSS) player tracking is common within many team sports. However, accelerometer-based load monitoring may provide information that cannot be achieved with GNSS alone. This review focuses on the accelerometer-based metrics quantifying the accumulation of accelerations as an estimation of athlete training load, appraising the validity and reliability of accelerometer use in upper back-mounted GNSS player tracking systems, the accelerometer-based metrics, and their potential for application within athlete monitoring. Reliability of GNSS-housed accelerometers and accelerometer-based metrics are dependent on the equipment model, signal processing methods, and the activity being monitored. Furthermore, GNSS unit placement on the upper back may be suboptimal for accelerometer-based estimation of mechanical load. Because there are currently no feasible gold standard comparisons for field-based whole-body biomechanical load, the validity of accelerometer-based load metrics has largely been considered in relation to other measures of training load and exercise intensity. In terms of convergent validity, accelerometer-based metrics (e.g., PlayerLoad, Dynamic Stress Load, Body Load) have correlated, albeit with varying magnitudes and certainty, with measures of internal physiological load, exercise intensity, total distance, collisions and impacts, fatigue, and injury risk and incidence. Currently, comparisons of these metrics should not be made between athletes because of mass or technique differences or between manufacturers because of processing variations. Notable areas for further study include the associations between accelerometer-based metrics and other parts of biomechanical load-adaptation pathways of interest, such as internal biomechanical loads or methods of manipulating these metrics through effective training design.

The effect of regular running on the bone tissue of middle-aged men and women

BACKGROUND

Many authors consider running to be a protective physical activity (PA) in bone health. However, many studies also show inconsistencies in their results. The objective of the study is to analyze the effect of cumulative loading rate (TCL) on the bone mass of middle-aged runners and non-runners is assessed.

METHODS

This cross-sectional study included 322 individuals. There were 212 runners (109 male, 103 female) and those were individuals who did >10 km of running per week. There were 110 non-runners (54 male, 56 female). This group included individuals who did not adhere to the WHO (2020) recommendations for PA. The average age in the individual groups ranged from 40.9±4.1 to 42.3±4.8 years. Bone parameters were measured on the lower extremities and vertebral spine using the DXA method (Hologic QDR Horizon A). Multi-regression dependencies analysis was used to assess the results.

RESULTS

The results of the multi-regression dependencies analysis showed that the bone mineral content (BMC) and bone mineral density (BMD) are significantly influenced by the TCL and gender.

CONCLUSIONS

Therefore, we can conclude that running could be a suitable PA for preventing the reduction of BMD in the middle-aged population, especially in the lower limbs.

Increasing Step Rate Reduces Peak and Cumulative Insole Force in Collegiate Runners

PURPOSE

The primary goal of this study was to examine changes in peak insole force and cumulative weighted peak force (CWPF)/km with increased step rate in collegiate runners. The secondary goal was to determine whether sacral acceleration correlates with insole force when increasing step rate.

METHODS

Twelve collegiate distance runners ran 1000 m outdoors at 3.83 m·s -1 at preferred and 10% increased step rates while insole force and sacral acceleration were recorded. Cumulative weighted peak force/km was calculated from insole force based on cumulative damage models. The effects of step rate on peak insole force and CWPF·km -1 were tested using paired t tests or Wilcoxon tests. Correlation coefficients between peak axial (approximately vertical) sacral acceleration times body mass and peak insole force were calculated on cohort and individual levels.

RESULTS

Peak insole force and CWPF·km -1 decreased ( P < 0.001) with increased step rate. Peak axial sacral acceleration did not correlate with peak insole force on the cohort level ( r = 0.35, P = 0.109) but did within individuals (mean, r = 0.69-0.78; P < 0.05).

CONCLUSIONS

Increasing step rate may reduce peak vGRF and CWPF·km -1 in collegiate runners. Therefore, clinicians should consider step rate interventions to reduce peak and cumulative vGRF in this population. Individual-specific calibrations may be required to assess changes in peak vGRF in response to increasing step rate using wearable accelerometers.

Parameterization of Biomechanical Variables through Inertial Measurement Units (IMUs) in Occasional Healthy Runners

Running is one of the most popular sports practiced today and biomechanical variables are fundamental to understanding it. The main objectives of this study are to describe kinetic, kinematic, and spatiotemporal variables measured using four inertial measurement units (IMUs) in runners during treadmill running, investigate the relationships between these variables, and describe differences associated with different data sampling and averaging strategies. A total of 22 healthy recreational runners (M age = 28 ± 5.57 yrs) participated in treadmill measurements, running at their preferred speed (M = 10.1 ± 1.9 km/h) with a set-up of four IMUs placed on tibias and the lumbar area. Raw data was processed and analysed over selections spanning 30 s, 30 steps and 1 step. Very strong positive associations were obtained between the same family variables in all selections. The temporal variables were inversely associated with the step rate variable in the selection of 30 s and 30 steps of data. There were moderate associations between kinetic (forces) and kinematic (displacement) variables. There were no significant differences between the biomechanics variables in any selection. Our results suggest that a 4-IMU set-up, as presented in this study, is a viable approach for parameterization of the biomechanical variables in running, and also that there are no significant differences in the biomechanical variables studied independently, if we select data from 30 s, 30 steps or 1 step for processing and analysis. These results can assist in the methodological aspects of protocol design in future running research.

Association between fat and fat-free body mass indices on shock attenuation during running

High amplitudes of shock during running have been thought to be associated with an increased injury risk. This study aimed to quantify the association between dual-energy X-ray absorptiometry (DEXA) quantified body composition, and shock attenuation across the time and frequency domains. Twenty-four active adults participated. A DEXA scan was performed to quantify the fat and fat-free mass of the whole-body, trunk, dominant leg, and viscera. Linear accelerations at the tibia, pelvis, and head were collected whilst participants ran on a treadmill at a fixed dimensionless speed 1.00 Fr. Shock attenuation indices in the time- and frequency-domain (lower frequencies: 3-8 Hz; higher frequencies: 9-20 Hz) were calculated. Pearson correlation analysis was performed for all combinations of DEXA and attenuation indices. Regularised regression was performed to predict shock attenuation indices using DEXA variables. A greater power attenuation between the head and pelvis within the higher frequency range was associated with a greater trunk fat-free mass (r = 0.411, p = 0.046), leg fat-free mass (r = 0.524, p = 0.009), and whole-body fat-free mass (r = 0.480, p = 0.018). For power attenuation of the high-frequency component between the pelvis and head, the strongest predictor was visceral fat mass (β = 48.79). Passive and active tissues could represent important anatomical factors aiding in shock attenuation during running. Depending on the type and location of these masses, an increase in mass may benefit injury risk reduction. Also, our findings could implicate the injury risk potential during weight loss programs.

A 0.05 m Change in Inertial Measurement Unit Placement Alters Time and Frequency Domain Metrics during Running

Inertial measurement units (IMUs) provide exciting opportunities to collect large volumes of running biomechanics data in the real world. IMU signals may, however, be affected by variation in the initial IMU placement or movement of the IMU during use. To quantify the effect that changing an IMU's location has on running data, a reference IMU was 'correctly' placed on the shank, pelvis, or sacrum of 74 participants. A second IMU was 'misplaced' 0.05 m away, simulating a 'worst-case' misplacement or movement. Participants ran over-ground while data were simultaneously recorded from the reference and misplaced IMUs. Differences were captured as root mean square errors (RMSEs) and differences in the absolute peak magnitudes and timings. RMSEs were ≤1 g and ~1 rad/s for all axes and misplacement conditions while mean differences in the peak magnitude and timing reached up to 2.45 g, 2.48 rad/s, and 9.68 ms (depending on the axis and direction of misplacement). To quantify the downstream effects of these differences, initial and terminal contact times and vertical ground reaction forces were derived from both the reference and misplaced IMU. Mean differences reached up to -10.08 ms for contact times and 95.06 N for forces. Finally, the behavior in the frequency domain revealed high coherence between the reference and misplaced IMUs (particularly at frequencies ≤~10 Hz). All differences tended to be exaggerated when data were analyzed using a wearable coordinate system instead of a segment coordinate system. Overall, these results highlight the potential errors that IMU placement and movement can introduce to running biomechanics data.

The effects of non-Newtonian fluid material midsole footwear on tibial shock acceleration and attenuation

Introduction: Given the possibility of higher ground temperatures in the future, the pursuit of a cushioning material that can effectively reduce sports injuries during exercise, particularly one that retains its properties at elevated temperatures, has emerged as a serious concern. Methods: A total of 18 man recreational runners were recruited from Ningbo University and local clubs for participation in this study. Frequency analysis was employed to investigate whether there is a distinction between non-Newtonian (NN) shoes and ethylene vinyl acetate (EVA) shoes. Results: The outcomes indicated that the utilization of NN shoes furnished participants with superior cushioning when engaging in a 90° cutting maneuver subsequent to an outdoor exercise, as opposed to the EVA material. Specifically, participants wearing NN shoes exhibited significantly lower peak resultant acceleration (p = 0.022) and power spectral density (p = 0.010) values at the distal tibia compared to those wearing EVA shoes. Moreover, shock attenuation was significantly greater in subjects wearing NN shoes (p = 0.023) in comparison to EVA shoes. Performing 90° cutting maneuver in NN shoes resulted in significantly lower peak ground reaction force (p = 0.010), vertical average loading rate (p < 0.010), and vertical instantaneous loading rate (p = 0.030) values compared to performing the same maneuvers in EVA shoes. Conclusion: The study found that the PRA and PSD of the distal tibia in NN footwear were significantly lower compared to EVA footwear. Additionally, participants exhibited more positive SA while using NN footwear compared to EVA. Furthermore, during the 90° CM, participants wearing NN shoes showed lower PGRF, VAIL, and VILR compared to those in EVA shoes. All these promising results support the capability of NN footwear to offer additional reductions in potential injury risk to runners, especially in high-temperature conditions.

PCA of Running Biomechanics after 5 km between Novice and Experienced Runners

Increased running experience appears to lower the risk of running-related injuries, but the mechanisms underlying this are unknown. Studying the biomechanics of runners with different running experiences before and after long-distance running can improve our understanding of the relationship between faulty running mechanics and injury. The purpose of the present study was to investigate if there were any differences in lower-limb biomechanics between runners after a 5 km run. Biomechanical data were collected from 15 novice and 15 experienced runners. Principal component analysis (PCA) with single-component reconstruction was used to identify variations in running biomechanics across the gait waveforms. A two-way repeated-measures ANOVA was conducted to explore the effects of runner and a 5 km run. Significant runner group differences were found for the kinematics and kinetics of lower-limb joints and ground reaction force (GRF) with respect to the magnitude across the stance phase. We found that novice runners exhibited greater changes in joint angles, joint moments, and GRFs than experienced runners regardless of the prolonged running session, and those patterns may relate to lower-limb injuries. The results of this study suggest that the PCA approach can provide unique insight into running biomechanics and injury mechanisms. The findings from the study could potentially guide training program developments and injury prevention protocols for runners with different running experiences.

Effect of stride length on the running biomechanics of healthy women of different statures

BACKGROUND

Tibial stress fracture is a debilitating musculoskeletal injury that diminishes the physical performance of individuals who engage in high-volume running, including Service members during basic combat training (BCT) and recreational athletes. While several studies have shown that reducing stride length decreases musculoskeletal loads and the potential risk of tibial injury, we do not know whether stride-length reduction affects individuals of varying stature differently.

METHODS

We investigated the effects of reducing the running stride length on the biomechanics of the lower extremity of young, healthy women of different statures. Using individualized musculoskeletal and finite-element models of women of short (N = 6), medium (N = 7), and tall (N = 7) statures, we computed the joint kinematics and kinetics at the lower extremity and tibial strain for each participant as they ran on a treadmill at 3.0 m/s with their preferred stride length and with a stride length reduced by 10%. Using a probabilistic model, we estimated the stress-fracture risk for running regimens representative of U.S. Army Soldiers during BCT and recreational athletes training for a marathon.

RESULTS

When study participants reduced their stride length by 10%, the joint kinetics, kinematics, tibial strain, and stress-fracture risk were not significantly different among the three stature groups. Compared to the preferred stride length, a 10% reduction in stride length significantly decreased peak hip (p = 0.002) and knee (p < 0.001) flexion angles during the stance phase. In addition, it significantly decreased the peak hip adduction (p = 0.013), hip internal rotation (p = 0.004), knee extension (p = 0.012), and ankle plantar flexion (p = 0.026) moments, as well as the hip, knee, and ankle joint reaction forces (p < 0.001) and tibial strain (p < 0.001). Finally, for the simulated regimens, reducing the stride length decreased the relative risk of stress fracture by as much as 96%.

CONCLUSIONS

Our results show that reducing stride length by 10% decreases musculoskeletal loads, tibial strain, and stress-fracture risk, regardless of stature. We also observed large between-subject variability, which supports the development of individualized training strategies to decrease the incidence of stress fracture.

The "impacts cause injury" hypothesis: Running in circles or making new strides?

Some of the earliest biomechanics research focused on running and the ground reaction forces generated with each step. Research in running gait accelerated in the 1970's as the growing popularity in running increased attention to the musculoskeletal injuries sustained by runners. Despite decades of high-quality research, running remains the most common cause of exercise-related musculoskeletal injuries and rates of overuse running-related injuries (RRI) have not appreciably declined since the research began. One leading area of running gait research focuses on discrete variables derived from the vertical ground reaction force, such as the vertical loading rate. Across sub-disciplines of running gait research, vertical loading rate is often discussed as the primary and undisputed variable associated with RRI despite only low to moderate evidence that retrospectively or prospectively injured runners generate greater vertical loading rates than uninjured counterparts. The central thesis of this review is that relying on vertical loading rate is insufficient to establish causal mechanisms for RRI etiology. To present this argument, this review examines the history of the 'impacts cause injury' hypothesis, including a historical look at ground reaction forces in human running and the research from which this hypothesis was generated. Additionally, a synthesis of studies that have tested the hypothesis is provided and recommendations for future research are discussed. Although it is premature to reject or support the 'impacts cause injury' hypothesis, new knowledge of biomechanical risk factors for RRI will remain concealed until research departs from the current path or adopts new approaches to previous paradigms.

Unsupervised Gait Event Identification with a Single Wearable Accelerometer and/or Gyroscope: A Comparison of Methods across Running Speeds, Surfaces, and Foot Strike Patterns

We evaluated 18 methods capable of identifying initial contact (IC) and terminal contact (TC) gait events during human running using data from a single wearable sensor on the shank or sacrum. We adapted or created code to automatically execute each method, then applied it to identify gait events from 74 runners across different foot strike angles, surfaces, and speeds. To quantify error, estimated gait events were compared to ground truth events from a time-synchronized force plate. Based on our findings, to identify gait events with a wearable on the shank, we recommend the Purcell or Fadillioglu method for IC (biases +17.4 and -24.3 ms; LOAs -96.8 to +131.6 and -137.0 to +88.4 ms) and the Purcell method for TC (bias +3.5 ms; LOAs -143.9 to +150.9 ms). To identify gait events with a wearable on the sacrum, we recommend the Auvinet or Reenalda method for IC (biases -30.4 and +29.0 ms; LOAs -149.2 to +88.5 and -83.3 to +141.3 ms) and the Auvinet method for TC (bias -2.8 ms; LOAs -152.7 to +147.2 ms). Finally, to identify the foot in contact with the ground when using a wearable on the sacrum, we recommend the Lee method (81.9% accuracy).

The combined influence of body weight support and running direction on self-selected movement patterns

We investigated metabolic costs, muscle activity, and perceptual responses during forward and backward running at matched speeds at different body weight support (BWS) conditions. Participants ran forward and backward on a lower body positive pressure treadmill at 0%BWS, 20%BWS, and 50%BWS conditions. We measured oxygen uptake, carbon dioxide production, heart rate, muscle activity, and stride frequency. Additionally, we calculated metabolic cost of transport. Furthermore, we used rating of perceived exertion and feeling scale to investigate perceptual responses. Feeling scale during running was higher with increasing BWS (0-50%BWS), regardless of running direction (p < 0.05). Oxygen uptake, heart rate, and metabolic cost of transport were influenced by the interaction of running direction and BWS (p < 0.01). For example, metabolic cost of transport during backward running was greater than when running forward only when running at 0%BWS (i.e., 4.4 ± 1.1 and 5.8 ± 1.4 J/kg/m for forward and backward running, respectively: p < 0.001). However, rectus femoris muscle activity, stride frequency, and rating of perceived exertion during backward running were averages of 113.5%, 11.3%, and 2.8 rankings greater than when running forward, respectively, regardless of BWS (p < 0.001). We interpret our observations to indicate that environment (in the context of effective body weight) is a critical factor that determines self-selected movement patterns during forward and backward running.

The influence of midsole shear on running economy and smoothness with a 3D-printed midsole

The objectives of this study were to first determine whether a newly designed 3D-printed midsole, configured with a mechanism to increase anterior-posterior deformation, could increase anterior midsole shear during the stance phase of running. We then wanted to determine whether these shoes could affect running economy and smoothness. Two footwear conditions, differing in midsole technology, were used in this study. The control condition consisted of a thermoplastic polyurethane midsole (TPU-Control), whereas the prototype shoes (3D-Shear) were constructed with a 3D-printed lattice midsole designed for greater anterior foot displacement during early to mid-stance. Twenty male participants ran on a treadmill for 6 min in each condition, and data were collected during the final 2 min. Midsole shear was measured using 3D kinematic data; running smoothness was quantified with peak acceleration and jerk magnitudes from the foot, sacrum, and head; and running economy was determined with oxygen consumption data. As hypothesised, the anterior midsole shear was greater in the 3D-Shear condition compared to the TPU-Control. The 3D-Shear did not improve running economy. Runners exhibited significantly lower peak accelerations at the sacrum, along with lower magnitudes of jerk at the foot, sacrum, and head in the 3D-Shear condition, indicating smoother running patterns.

Auditory interaction between runners: Does footstep sound affect step frequency of neighboring runners?

This study aimed to investigate the effect of footsteps of a neighboring runner (NR) on the main runner's step frequency (SF), heart rate (HR), and rating of perceived exertion (RPE). The participants were male long-distance runners belonging to a university track and field team. Two experiments were conducted in which the main runner (participant) and NR (examiner) ran with the same running speed on two adjacent treadmills separated by a thin wall. The participants were instructed that the experimental purpose was to investigate the HR when running with others and running alone. In Experiment 1, NR performed three trials of changing the footstep tempo in 5 bpm (beat per minute) faster (+5bpmFS), 5 bpm slower (-5bpmFS), or no footsteps (NF) conditions. The results showed that the footstep condition affected the variability of the SF but not the mean SF. Next, Experiment 2 was conducted by increasing the footstep tempo condition. NR performed seven trials of changing the footstep tempo by ±3 bpm, ±5 bpm, ±10 bpm, or no footstep. The results showed that the footstep condition affected the mean SF and the SF decreased at -10bpmFS compared to NF. There were no differences in the HR and RPE between conditions. These results indicated that the footsteps of NR could influence the SF, although it was unclear whether footsteps were involved in the synchronization between runners. Overall, our findings emphasize the environmental factors that influence running behavior, including the NR's footsteps.

Modifications to head-trunk coordination dynamics during running and sidestepping

The purpose of this study was to determine how the intrinsic head-trunk coordination dynamics that exist during forward running are modified during a dynamic sidestepping task. Fourteen athletes performed both forward running and sidestepping tasks. Head-trunk coordination and range of motion were assessed during the flight and stance phases in the transverse and sagittal planes. The sidestepping task resulted in greater in-phase head-trunk coordination during stance in the transverse plane (p < .001, ES = -1.71) and in reduced anti-phase coordination between head and trunk in the sagittal plane (p < .001, ES = 1.52). Statistical non-parametric mapping revealed that during sidestepping the sagittal plane coupling angle shifted away from anti-phase earlier during midstance. The sidestepping task resulted in greater transverse and sagittal plane head and trunk range of motion and greater vertical trunk centre of mass displacement. Sidestepping modified the intrinsic coordination dynamics that are present during forward running, with greater transverse plane head contributions and reductions in compensatory sagittal plane head motion, which may occur during the transition from weight acceptance to propulsion during the stance phase. These changes in the intrinsic coordination dynamics of the upper body during sidestepping tasks may impact visual perception and readiness compared to forward running during complex sports tasks.

Neuromechanical control of impact absorption during induced lower limb loading in individuals post-stroke

Decreased loading of the paretic lower limb and impaired weight transfer between limbs negatively impact balance control and forward progression during gait in individuals post-stroke. However, the biomechanical and neuromuscular control mechanisms underlying such impaired limb loading remain unclear, partly due to their tendency of avoiding bearing weight on the paretic limb during voluntary movement. Thus, an approach that forces individuals to more fully and rapidly load the paretic limb has been developed. The primary purpose of this study was to compare the neuromechanical responses at the ankle and knee during externally induced limb loading in people with chronic stroke versus able-bodied controls, and determine whether energy absorption capacity, measured during induced limb loading of the paretic limb, was associated with walking characteristics in individuals post-stroke. Results revealed reduced rate of energy absorption and dorsiflexion velocity at the ankle joint during induced limb loading in both the paretic and non-paretic side in individuals post-stroke compared to healthy controls. The co-contraction index was higher in the paretic ankle and knee joints compared to the non-paretic side. In addition, the rate of energy absorption at the paretic ankle joint during the induced limb loading was positively correlated with maximum walking speed and negatively correlated with double limb support duration. These findings demonstrated that deficits in ankle dorsiflexion velocity may limit the mechanical energy absorption capacity of the joint and thereby affect the lower limb loading process during gait following stroke.

Dynamic visual acuity during asymmetric walking

Necessary for effective ambulation, head stability affords optimal conditions for the perception of visual information during dynamic tasks. This maintenance of head-in-space equilibrium is achieved, in part, by the attenuation of the high frequency impact shock resulting from ground contact. While a great deal of experimentation has been done on the matter during steady state locomotion, little is known about how locomotor asymmetry might affect head stability or dynamic visual acuity. In this study, fifteen participants walked on a split-belt treadmill while verbally reporting the orientation of a randomized Landolt-C optotype that was projected at heel strike. Participants were exposed to baseline, adaptation, and washout conditions, as characterized by belt speed ratios of 1:1, 1:3, and 1:1, respectively. Step length asymmetry, shock attenuation, high and low frequency head signal power, and dynamic visual acuity were averaged across the first and last fifty strides of each condition. Across the first fifty strides, step length asymmetry was significantly greater during adaptation than during baseline (p < 0.001; d = 2.442), and shock attenuation was significantly lower during adaptation than during baseline (p = 0.041; d = -0.679). High frequency head signal power was significantly greater during adaptation than during baseline (p < 0.001; d = -1.227), indicating a reduction in head stability. While dynamic visual acuity was not significantly lower during adaptation than during baseline (p = 0.052), a moderate effect size suggests a decrease in the measure between the two conditions (d = 0.653). Across the last fifty strides, many of the decrements observed between the baseline and adaptation conditions were greatly reduced. The results of this study indicate that the locomotor asymmetry imposed by the split-belt treadmill during early adaptation might lead to moderate decrements in shock attenuation, head stability, and dynamic visual acuity. Moreover, the relative reduction in magnitude of these decrements across the last fifty strides underscores the adaptive nature of the locomotor and visuomotor systems.

Shock Acceleration and Attenuation during Running with Minimalist and Maximalist Shoes: A Time- and Frequency-Domain Analysis of Tibial Acceleration

Tibial shock attenuation is part of the mechanism that maintains human body stabilization during running. It is crucial to understand how shock characteristics transfer from the distal to proximal joint in the lower limb. This study aims to investigate the shock acceleration and attenuation among maximalist shoes (MAXs), minimalist shoes (MINs), and conventional running shoes (CONs) in time and frequency domains. Time-domain parameters included time to peak acceleration and peak resultant acceleration, and frequency-domain parameters contained lower (3−8 Hz) and higher (9−20 Hz) frequency power spectral density (PSD) and shock attenuation. Compared with CON and MAX conditions, MINs significantly increased the peak impact acceleration of the distal tibia (p = 0.01 and p < 0.01). Shock attenuation in the lower frequency depicted no difference but was greater in the MAXs in the higher frequency compared with the MIN condition (p < 0.01). MINs did not affect the tibial shock in both time and frequency domains at the proximal tibia. These findings may provide tibial shock information for choosing running shoes and preventing tibial stress injuries.

Effects of Central and Peripheral Fatigue on Impact Characteristics during Running

Fatigue and impact can represent an injury risk factor during running. The objective of this study was to compare the impact transmission along the locomotor system between the central and peripheral fatigued states during running. Tibial and head acceleration as well as shock attenuation in the time- and frequency-domain were analyzed during 2-min of treadmill running in the pre- and post-fatigue state in eighteen male popular runners (N = 18). The impact transmission was measured before and after a 30-min central fatigue protocol on the treadmill or a peripheral fatigue protocol in the quadricep and hamstring muscles using an isokinetic dynamometer. The time-domain acceleration variables were not modified either by peripheral or central fatigue (p > 0.05). Nevertheless, central fatigue increased the maximum (p = 0.006) and total (p = 0.007) signal power magnitude in the high-frequency range in the tibia, and the attenuation variable in the low- (p = 0.048) and high-frequency area (p = 0.000), while peripheral fatigue did not cause any modifications in the frequency-domain variables (p > 0.05). Furthermore, the attenuation in the low (p = 0.000)- and high-frequency area was higher with central fatigue than peripheral fatigue (p = 0.003). The results demonstrate that central fatigue increases the severity of impact during running as well as the attenuation of low and high components.

The Coupling of Stride Length and Foot Strike in Running

Modifying stride length and/or foot strike in running results in mechanical alterations associated with injury risk. Stride length and foot strike have often been treated as independent factors that affect running mechanics, but there is evidence to suggest that they may be coupled. The purpose of this study was to determine if foot strike and stride length are coupled in running, and if so, can these variables be independently manipulated? Additionally, we sought to determine how independently and simultaneously manipulating stride length and foot strike influenced running kinematics and kinetics. Fifteen individuals ran over ground with stride lengths +/– 10 % of their preferred stride length while adopting both a fore/mid foot strike and rear foot strike pattern, as well as running with their self-selected stride length and foot strike when the opposite variable was controlled. Three-dimensional motion capture and force plate data were captured synchronously during the manipulated stride length x foot strike trials. The results indicate that foot strike and stride length are coupled, with shorter stride lengths being associated with a F/MFS and longer stride lengths being associated with a RFS pattern. Impact peak magnitude was primarily dependent on foot strike, with a F/MFS pattern reducing the magnitude of the impact peak force regardless of stride length. Peak vertical and horizontal ground reaction forces were found to be primarily dependent on stride length, with longer stride lengths resulting in increased vertical and horizontal ground reaction forces, regardless of foot strike. It is difficult, but possible, to independently manipulate stride length and foot strike. Clinicians should be aware of the coupled changes in stride length and foot strike.

A Study Comparing Gait and Lower Limb Muscle Activity During Aquatic Treadmill Running with Different Water Depth and Land Treadmill Running

Aquatic treadmill running is a partial weight-bearing exercise for rehabilitation. The purpose of this study was to investigate the surface electromyography activities of the rectus femoris, tibialis anterior, biceps femoris and medial head of gastrocnemius, and gait kinematics during aquatic treadmill running in water levels at waist, mid-thigh and mid-shin and on land. Seventeen healthy subjects (9 males and 8 females) were recruited by convenience sampling. Participants performed 2-min aquatic treadmill running at a specific speed for each water depth. The test speed was selected based upon the speed that elicited 110 steps per min. The surface electromyography data of lower limb muscles and the joint angles at three different water depths and on land were collected to evaluate the muscle activity and gait kinematics using a waterproofed surface electromyography system and inertial measurement unit for each muscle. Results showed that rectus femoris electromyography was different between depths during the swing and stance phases. Likewise, biceps femoris and tibialis anterior electromyography were different between depths for the swing phase. However, it was not the case for gastrocnemius electromyography. Peak flexion angles in both left and right hips were different between depths. A significant increase in a stance/swing ratio was observed with rising water depths. Water depth influenced muscle activity as well as kinematics. Aquatic treadmill running in the mid-thigh level should be further evaluated for its effectiveness, training value and applicability.

Using Musical Feedback Increases Stride Frequency in Recreational Runners

The number of participants in popular races has increased in recent years, with most of them being amateurs. In addition, it has been observed that there is a high percentage of injuries among them, and some of these injuries may be related to a low stride frequency. The aim of this research was to check if a continuous running training program with a musical base improves the stride frequency of popular runners. For this purpose, the effect of a 6 week continuous running training program with the help of a musical track with a constant rhythm that was 10% higher than the preferred stride frequency of the subjects was analyzed and compared to a control group that performed the continuous running training without sound stimuli. Significant increases were found in the evolution of stride frequency in the experimental group between the pre- and post-test (p = 0.002). No significant changes were observed in the stride frequency of the control group. These results show that training with music feedback helps to improve stride frequency in recreational runners. Future research should study the evolution of the improvement obtained in time as it is unknown if the increase in stride rate has been integrated in the runner’s technique, making the improvement obtained permanent. Future research is needed to confirm these results by enlarging the sample and carrying out an exhaustive biomechanical study.

Relationship between Step Characteristics and Race Performance during 5000-m Race

This study examined the relationship between step characteristics and race time in a 5000-m race. Twenty-one male Japanese endurance runners performed a 5000-m race. Step length, step frequency, contact time, and flight time of two gait cycles (i.e., four consecutive ground contacts) were measured every 400-m by using high-speed video image. Moreover, step length was normalized to body height to minimize the effect of body size. In addition to step characteristics on each lap, the averages of all laps and the per cent change from the first half to the second half were calculated. The average step frequency and step length normalized to body height correlated significantly with the 5000-m race time (r = −0.611, r = −0.575, respectively, p < 0.05 for both). Per cent changes in contact time and step length correlated significantly with the 5000-m race time (r = 0.514, r = −0.486, respectively, p < 0.05 for both). These findings suggest that, in addition to higher step frequency and step length normalized to body height, smaller changes in step length during a given race may be an important step characteristic to achieving superior race performance in endurance runners.

The menisci are not shock absorbers: A biomechanical and comparative perspective

The lateral and medial menisci are fibrocartilaginous structures in the knee that play a crucial role in normal knee biomechanics. However, one commonly cited role of the menisci is that they function as "shock absorbers." Here we provide a critique of this notion, drawing upon a review of comparative anatomical and biomechanical data from humans and other tetrapods. We first review those commonly, and often exclusively, cited studies in support of a shock absorption function and show that evidence for a shock absorptive function is dubious. We then review the evolutionary and comparative evidence to show that (1) the human menisci are unremarkable in morphology compared with most other tetrapods, and (2) "shock" during locomotion is uncommon, with humans standing out as one of the only tetrapods that regularly experiences high levels of shock during locomotion. A shock-absorption function does not explain the origin of menisci, nor are human menisci specialized in any way that would explain a unique shock-absorbing function during human gait. Finally, we show that (3) the material properties of menisci are distinctly poorly suited for energy dissipation and that (4) estimations of meniscal energy absorption based on published data are negligible, both in their absolute amount and in comparison to other well-accepted structures which mitigate shock during locomotion. The menisci are evolutionarily ancient structures crucial for joint congruity, load distribution, and stress reduction, among a number of other functions. However, the menisci are not meaningful shock absorbers, neither in tetrapods broadly, nor in humans.

Stable Coordination Variability in Overground Walking and Running at Preferred and Fixed Speeds

Coordination variability (CV) is commonly analyzed to understand dynamical qualities of human locomotion. The purpose of this study was to develop guidelines for the number of trials required to inform the calculation of a stable mean lower limb CV during overground locomotion. Three-dimensional lower limb kinematics were captured for 10 recreational runners performing 20 trials each of preferred and fixed speed walking and running. Stance phase CV was calculated for 9 segment and joint couplings using a modified vector coding technique. The number of trials required to achieve a CV mean within 10% of 20 strides average was determined for each coupling and individual. The statistical outputs of mode (walking vs running) and speed (preferred vs fixed) were compared when informed by differing numbers of trials. A minimum of 11 trials were required for stable mean stance phase CV. With fewer than 11 trials, CV was underestimated and led to an oversight of significant differences between mode and speed. Future overground locomotion CV research in healthy populations using a vector coding approach should use 11 trials as a standard minimum. Researchers should be aware of the notable consequences of an insufficient number of trials for overall study findings.

Leg Stiffness, Joint Stiffness, and Running-Related Injury: Evidence From a Prospective Cohort Study

Background:

The spring-like behavior of the leg and the joints of the lower body during running are thought to influence a wide range of physiologic and mechanical phenomena, including susceptibility to overuse injury. If leg and joint stiffness are associated with running-related injuries, altering joint or leg stiffness may be a useful avenue for injury rehabilitation and injury prevention programs.

Purpose:

To test the associations between running-related injury and leg stiffness, knee stiffness, and ankle stiffness in a prospective study of recreational runners.

Study Design:

Cohort study; Level of evidence, 2.

Methods:

A total of 49 healthy recreational runners took part in a year-long study. Participants completed a 3-dimensional kinematic and kinetic biomechanical assessment at baseline and reported training volume and injury status in a weekly survey during the follow-up period. Relationships between stiffness and injury were assessed at the level of individual legs (n = 98) using spline terms in Cox proportional hazards models.

Results:

During follow-up, 23 participants (29 legs) sustained injury. The median time to injury was 27 weeks (53.27 hours of training). Relative injury rate as a function of knee stiffness displayed a weak and nonsignificant U-shaped curve (P = .187-.661); ankle and leg stiffness displayed no discernable associations with relative injury rate (leg stiffness, P = .215-.605; ankle stiffness, P = .419-.712).

Conclusion:

Leg and joint stiffness may not be important factors in the development of running-related injuries. Moderate changes in leg and joint stiffness are unlikely to substantially alter injury risk.

Dynamic testing to determine and predict trampoline function

Safety standards for domestic trampolines are based on static-load testing using a factor of five times the maximum intended user mass. This paper presents a dynamic test method for trampolines, and provides measures of the users’ performance (e.g., peak acceleration, Accmax) and injury risk (e.g., mean rate of change of acceleration, Jerkmean). Uniform masses (41–116 kg) were dropped from 0.66 m onto the bed centre of nineteen different trampolines. Trampoline bed and spring stretches, mass flight time (FlightT) and accelerations were recorded using motion capture and accelerometers. Thirty-seven percent of trampolines exceeded the static safety standard bed deformation limits (80% of frame height) by 11 ± 6% with dynamic testing (mean ± standard deviation). Across all trampolines and masses dropped, the Accmax ranged from 5.1 to 7.6 g, suggesting the factor of five used in static-loading safety standards needs reviewing. Statistically significant negative correlations (p < 0.05) were found between trampoline bed diameter and Accmax (r =  – 0.88), Jerkmean (r =  – 0.77) and FlightT (r =  – 0.82). Furthermore, significant correlations (p < 0.05) were also found between the mass dropped and Accmax (r =  – 0.27), Jerkmean (r =  – 0.59) and FlightT (r = 0.25). The combined effects of the spring constants, number of springs, bed diameters and masses dropped were described in predictive multivariate equations for Accmax (explained variance, R2 = 95%) and maximum vertical bed deformation (R2 = 85%). These findings from dynamic testing may assist manufacturers in designing trampolines that meet safety standards while maximising user performance and reducing injury risk.

Treadmill and Running Speed Effects on Acceleration Impacts: Curved Non-Motorized Treadmill vs. Conventional Motorized Treadmill

An increase in the popularity of running can be seen over the last decades, with a large number of injuries on it. Most of the running injuries are related to impact accelerations and are due to overuse. In order to reduce the risk of injury or to improve performance and health new treadmill designs have been created, as it can be the curved non-motorized treadmill. The aim of this study was to analyse impact accelerations, spatio-temporal parameters and perceptual differences while running on curved non-motorized treadmill (cNMT) compared to motorized treadmill (MT) at different speeds. Therefore, 27 recreational runners completed two tests consisting of 10 min warm-up and three bouts of 8 min running at 2.77 m/s, 3.33 m/s and self-selected speed on cNMT and MT, previously randomised. Although the surface did not influence spatio-temporal parameters, a reduction in impact accelerations, head acceleration rate (mean effect size [ES] = 0.86), tibia peak (mean ES = 0.45) and tibia magnitude (mean ES = 0.55), was observed while running on cNMT in comparison with running on MT. Moreover, higher heart rate (HR) (mean ES = 0.51) and rating of perceived effort (RPE) (mean ES = 0.34) were found while running on cNMT. These findings demonstrated that higher intensity training and lower impact accelerations are experimented on cNMT, what can be used by trainers and athletes while planning training sessions.

Effects of locomotion task constraints on running in boys with overweight/obesity: The mediating role of developmental delays

BACKGROUND

Childhood obesity adversely affects the musculoskeletal system and is accompanied with motor development delays. Movement interventions that change the body composition and movement patterns is suggested as an effective way to minimise the childhood obesity adverse effects.

RESEARCH QUESTION

Whether a locomotion task constraints intervention is effective to change body composition, motor performance and running efficiency in overweight/obese boys with different levels of motor development.

METHODS

Forty young boys (age: 8.21 ± 1.01 years) whose body mass index (BMI) was above the 85th normative ranked score were divided into 4 independent groups according to their development and BMI: intervention-typical, intervention-delay, control-typical and control-delay. A 6-week task constraints intervention with an emphasis on improving locomotion skills such as fast walking, running, jumping, hopping, skipping and leaping were carried out in the intervention group.

RESULTS

The pre and post-intervention difference score on the sample dependent variables showed decreases in body mass and BMI and improvements in agility, joint kinematics and running economy in the intervention-typical group relative to other groups.

SIGNIFICANCE

The findings highlight that the boys with overweight/obesity and typical development can benefit more from a short-term developmentally-appropriate intervention to refine the running pattern and agility skill that was accompanied by positive changes in body composition.

Factors Associated With Self-Selected Step Rate in High School Cross Country Runners

ABSTRACT

Luedke, LE, Heiderscheit, BC, Williams, DSB, and Rauh, MJ. Factors associated with self-selected step rate in high school cross country runners. J Strength Cond Res 35(4): 1141-1148, 2021-Recommendations for step rate, or cadence, during distance running come from varying perspectives including performance, running economy, and injury risk. Studies of adult runners suggest that running experience and leg length may influence step rate, but limited evidence is available on factors that influence adolescent runner step rates. The purpose was to evaluate relationships between running experience, anthropometric factors, and lower extremity muscle strength with self-selected step rate in adolescent runners. Sixty-eight high school cross country runners (47 young women; age 16.2 ± 1.3 years) reported height, body mass, and running experience. Mean step rate was assessed at 3.3 m·s-1 and self-selected (mean 3.8 ± 0.5 m·s-1) speeds. Leg length and peak isometric strength of the hip abductors, knee extensors, and flexors were also measured. Step rates at 3.3 m·s-1 {r (95% confidence interval [CI]) = 0.44 [0.22, 0.61], p < 0.001} and self-selected (r [95% CI] = 0.45 [0.20, 0.66], p < 0.001) speeds were correlated with running experience. Step rates at 3.3 m·s-1 and self-selected speeds were inversely associated with body mass (r [95% CI] = -0.32 [-0.52, -0.09], p = 0.007 and r [95% CI] = -0.34 [-0.53, -0.11], p = 0.005, respectively), height (r [95% CI] = -0.40 [-0.58, -0.18], p = 0.01 and r [95% CI] = -0.32 [-0.52, -0.09], p = 0.008, respectively), and leg length (r [95% CI] = -0.48 [-0.64, -0.27], p < 0.001 and r [95% CI] = -0.35 [-0.52, -0.12], p = 0.004, respectively). No significant relationships were found between isometric strength values and step rate at either speed (p > 0.05). Adolescent runners with greater running experience displayed higher step rates. Hence, the lower step rates in runners with less experience may factor in the higher injury risk previously reported in novice runners. Runners with shorter leg length displayed higher step rates. Step rate recommendations should consider runner experience and anthropometrics.

Validity and Reliability of an Instrumented Treadmill with an Accelerometry System for Assessment of Spatio-Temporal Parameters and Impact Transmission

Running retraining programs focused on concurrent feedback of acceleration impacts have been demonstrated to be a good strategy to reduce running-related injuries (RRI), as well as to improve running economy and reduce acceleration impacts and injury running incidence. Traditionally, impacts have been registered by mean of accelerometers attached directly to the athletes, which is inaccessible to the entire population, because it requires laboratory conditions. This study investigated the validity and reliability of a new device integrated directly into the treadmill, compared to a traditional acceleration impact system. Thirty healthy athletes with no history of RRI were tested on two separate days over the instrumented treadmill (AccTrea) and simultaneously with an acceleration impact system attached to the participant (AccAthl). AccTrea was demonstrated to be a valid and reliable tool for measuring spatio-temporal parameters like step length (validity intraclass correlation coefficient (ICC) = 0.94; reliability ICC = 0.92), step time (validity ICC = 0.95; reliability ICC = 0.96), and step frequency (validity ICC = 0.95; reliability ICC = 0.96) during running. Peak acceleration impact variables showed a high reliability for the left (reliability ICC = 0.88) and right leg (reliability ICC = 0.85), and peak impact asymmetry showed a modest validity (ICC = 0.55). These results indicated that the AccTrea system is a valid and reliable way to assess spatio-temporal variables, and a reliable tool for measuring acceleration impacts during running.

Surface acceleration transmission during drop landings in humans

The purpose of this study was to quantify the magnitude and frequency content of surface-measured accelerations at each major human body segment from foot to head during impact landings. Twelve males performed two single leg drop landings from each of 0.15 m, 0.30 m, and 0.45 m. Triaxial accelerometers (2000 Hz) were positioned over the: first metatarsophalangeal joint; distal anteromedial tibia; superior to the medial femoral condyle; L5 vertebra; and C6 vertebra. Analysis of acceleration signal power spectral densities revealed two distinct components, 2-14 Hz and 14-58 Hz, which were assumed to correspond to time domain signal joint rotations and elastic wave tissue deformation, respectively. Between each accelerometer position from the metatarsophalangeal joint to the L5 vertebra, signals exhibited decreased peak acceleration, increased time to peak acceleration, and decreased power spectral density integral of both the 2-14 Hz and 14-58 Hz components, with no further attenuation beyond the L5 vertebra. This resulted in peak accelerations close to vital organs of less than 10% of those at the foot. Following landings from greater heights, peak accelerations measured distally were greater, as was attenuation prior to the L5 position. Active and passive mechanisms within the lower limb therefore contribute to progressive attenuation of accelerations, preventing excessive accelerations from reaching the torso and head, even when distal accelerations are large.

Training Load and Injury: Causal Pathways and Future Directions

Causal pathways between training loads and the mechanisms of tissue damage and athletic injury are poorly understood. Here, the relation between specific training load measures and metrics, and causal pathways of gradual onset and traumatic injury are examined. Currently, a wide variety of internal and external training load measures and metrics exist, with many of these being commonly utilized to evaluate injury risk. These measures and metrics can conceptually be related to athletic injury through the mechanical load-response pathway, the psycho-physiological load-response pathway, or both. However, the contributions of these pathways to injury vary. Importantly, tissue fatigue damage and trauma through the mechanical load-response pathway is poorly understood. Furthermore, considerable challenges in quantifying this pathway exist within applied settings, evidenced by a notable absence of validation between current training load measures and tissue-level mechanical loads. Within this context, the accurate quantification of mechanical loads holds considerable importance for the estimation of tissue damage and the development of more thorough understandings of injury risk. Despite internal load measures of psycho-physiological load speculatively being conceptually linked to athletic injury through training intensity and the effects of psycho-physiological fatigue, these measures are likely too far removed from injury causation to provide meaningful, reliable relationships with injury. Finally, we used a common training load metric as a case study to show how the absence of a sound conceptual rationale and spurious links to causal mechanisms can disclose the weaknesses of candidate measures as tools for altering the likelihood of injuries, aiding the future development of more refined injury risk assessment methods.

Combining wearable sensor signals, machine learning and biomechanics to estimate tibial bone force and damage during running

There are tremendous opportunities to advance science, clinical care, sports performance, and societal health if we are able to develop tools for monitoring musculoskeletal loading (e.g., forces on bones or muscles) outside the lab. While wearable sensors enable non-invasive monitoring of human movement in applied situations, current commercial wearables do not estimate tissue-level loading on structures inside the body. Here we explore the feasibility of using wearable sensors to estimate tibial bone force during running. First, we used lab-based data and musculoskeletal modeling to estimate tibial force for ten participants running across a range of speeds and slopes. Next, we converted lab-based data to signals feasibly measured with wearables (inertial measurement units on the foot and shank, and pressure-sensing insoles) and used these data to develop two multi-sensor algorithms for estimating peak tibial force: one physics-based and one machine learning. Additionally, to reflect current running wearables that utilize running impact metrics to infer musculoskeletal loading or injury risk, we estimated tibial force using a commonly measured impact metric, the ground reaction force vertical average loading rate (VALR). Using VALR to estimate peak tibial force resulted in a mean absolute percent error of 9.9%, which was no more accurate than a theoretical step counter that assumed the same peak force for every running stride. Our physics-based algorithm reduced error to 5.2%, and our machine learning algorithm reduced error to 2.6%. Further, to gain insights into how force estimation accuracy relates to overuse injury risk, we computed bone damage expected due to a given loading cycle. We found that modest errors in tibial force translated into large errors in bone damage estimates. For example, a 9.9% error in tibial force using VALR translated into 104% error in estimated bone damage. Encouragingly, the physics-based and machine learning algorithms reduced damage errors to 41% and 18%, respectively. This study highlights the exciting potential to combine wearables, musculoskeletal biomechanics and machine learning to develop more accurate tools for monitoring musculoskeletal loading in applied situations.

Barefoot Running: Between Fashion and Real Way to Prevent Joint Osteo Lesions?

Background and objectives

Running has gone from a vital necessity for the man to a playful sport. Different rheumatic and orthopedic pathologies have appeared, in front of which the shoe industry has reacted by creating reinforced shoes that are supposed to overcome the induced lesions. Several years later, the trend toward reinforcement has gone toward minimalism, which is the absence of reinforcement, that is, a more natural race.

Method

We observed variations of kinetics and kinematics in young, unprofessional, healthy runners during a shoe race and a shoeless race, which is the form of maximum minimalism. We then correlated minimalism variations with the variables of the race and the joint angles.

Results

We observed significant difference (P < 0.01) in the cycle rate, the cycle length, the step rate, and the angle of attack between running with and without shoes. A small variation of the minimalism index is associated with an increase in knee angle (r²> 0.5). Conversely, a large variation in the minimalism index is related to a decrease in the knee angle (r²> 0.5). The minimalism index has no impact on the angulation of the ankle and hip (r²< 0.3).

Conclusion

Slow transition will bring gains in terms of decreasing the length of the stride, which limits the load on the shin. Greater flexibility can be achieved by decreasing the flexion angle of the knee, which decreases the demand for quadriceps muscles and the risk of knee injury with a greater risk of injury at the tibial level.

Changes in coordination and variability during running as a function of head stability demands

The purpose of this study was to identify changes in segment/joint coordination and coordination variability in running with increasing head stability requirements. Fifteen strides from twelve recreational runners while running on a treadmill at their preferred speed were collected. Head stability demands were manipulated through real-time visual feedback that required head-gaze orientation to be contained within boxes of different sizes, ranging from 21 to 3 degrees of visual angle in 3-degree decrements. Coordination patterns and coordination variability were assessed between head and trunk segments, hip and knee joints, and knee and ankle joints in the three cardinal planes, respectively. Mean coupling angles and the standard deviation of the coupling angles at each individual point of the stance phase were calculated using a modified vector coding technique and circular statistics. As head stability demands increased, transverse plane head-trunk coordination was more anti-phase and showed increased head‑leading and decreased trunk‑leading patterns; for the lower extremity, there was increased in-phase and decreased anti-phase sagittal plane coordination. Increased head stability demands also resulted in an increase in coordination variability for both upper body and lower extremity couplings during the second half of the stance phase. Overall, the results provide evidence that coordinative adaptations to increasing head stability demands occur throughout the entire body: 1) through more independent control of the head relative to the trunk; 2) by increasing in-phase coordination between lower extremity joints, and 3) through increased coordination variability in the second half of stance in both upper body segmental and lower extremity joint couplings. These adaptations likely contribute to the reduction of the range of motion of the trunk in vertical direction.

A real-time feedback method to reduce loading rate during running: Effect of combining direct and indirect feedback

Impact loading plays a key role in the pathophysiology of running-related injuries. Providing real-time feedback may be an effective strategy to reduce impact loading; however, it is currently unclear what an effective training method to help runners achieve a habitual low loading rate is. We subjected 20 healthy non-runners to a structured sequence of direct and indirect biofeedback designed to facilitate broader exploration of neuro-mechanical workspace for potential movement solutions (indirect feedback on cadence and foot-strike angle) and to refine and converge upon an optimal sub-set of that space to match the task goal (direct feedback on loading rate). While indirect biofeedback on foot-strike angle yielded a lower impact load than providing direct biofeedback on loading rate, compared to indirect biofeedback on foot-strike angle, providing direct feedback on loading rate statistically increased (+58%, p = 0.007) the range of goal-relevant solutions participants used to lower their impact loading. Results showed that structured feedback was effective in increasing the range of input parameters that match the task goal, hence expanding the size of goal-relevant solutions, which may benefit running performance under changing environmental constraints.

The Influence of Prolonged Running and Footwear on Lower Extremity Joint Stiffness

INTRODUCTION

The purpose of this study was to compare leg, sagittal plane knee and ankle, and frontal plane ankle stiffness over the course of a prolonged treadmill run in neutral and stability footwear.

METHODS

Thirteen male habitual rearfoot runners completed two biomechanical testing sessions in which they ran for 21 min at their preferred running speed in a neutral shoe, then changed either into the same neutral shoe or a stability shoe and ran a further 21 min on a force-instrumented treadmill. Three-dimensional kinematics and kinetics were recorded at the beginning and end of each 21-min interval.

RESULTS

No differences were observed in leg stiffness between footwear conditions throughout the run (P > 0.05). Knee stiffness increased during the first 21 min (P = 0.009), whereas ankle stiffness reduced at minute 21 (P = 0.004) and minute 44 (P = 0.006). These changes were modulated by an increase in ankle joint compliance and knee joint moments. No differences were observed between footwear conditions for leg and sagittal plane lower extremity joint stiffness (P > 0.05). During the second half of the run, frontal plane ankle stiffness increased in the stability shoe but decreased in the neutral shoe (P = 0.019), attributed to reduced eversion range of motion caused by the added medial post.

CONCLUSIONS

These results suggest that over the course of a prolonged treadmill run, shock attenuation strategies change, which may affect the knee joint.

The effects of stride frequency manipulation on physiological and perceptual responses during backward and forward running with body weight support

PURPOSE

We investigated the influence of a change in stride frequency on physiological and perceptual responses during forward and backward running at different body weight support (BWS) levels.

METHODS

Participants ran forward and backward at 0% BWS, 20% BWS, and 50% BWS conditions on a lower body positive pressure treadmill. The stride frequency conditions consisted of forward and backward running at preferred stride frequency (PSF), PSF + 10%, and PSF-10%. We measured oxygen uptake ([Formula: see text]O₂), carbon dioxide production, heart rate (HR), muscle activity from the lower extremity, and rating of perceived exertion (RPE). Furthermore, we calculated the metabolic cost of transport (CoT).

RESULTS

[Formula: see text]O_2, HR, CoT, and muscle activity from the rectus femoris were significantly different between stride frequency conditions (P < 0.05). [Formula: see text]O₂, HR, and CoT during running at PSF + 10% were significantly higher than when running at PSF, regardless of running direction and BWS (P < 0.05). However, RPE was not different between stride frequency conditions (P > 0.05: e.g., 12.8-13.8 rankings in RPE for backward running at 0% BWS).

CONCLUSIONS

Manipulation of stride frequency during running may have a greater impact on physiological responses than on perceptual responses at a given speed, regardless of running direction and BWS. Individuals who need to increase their physiological demands during running may benefit from a 10% increase in stride frequency from the PSF, regardless of BWS and running direction.

Locomotor Coordination, Visual Perception and Head Stability during Running

Perception and action are coupled such that information from the perceptual system is related to the dynamics of action in order to regulate behavior adaptively. Using running as a model of a cyclic behavior, this coupling involves a continuous, cyclic relationship between the runner’s perception of the environment and the necessary adjustments of the body that ultimately result in a stable pattern of behavior. The purpose of this paper is to illustrate how individuals relate visual perception to rhythmic locomotor coordination patterns in conditions during which foot–ground collisions and visual task demands are altered. We review the findings of studies conducted to illustrate how humans change their behavior to maintain head stability during running with and without various degrees of visual challenge from the environment. Finally, we show that the human body adapts specific segment/joint configuration and coordination patterns to maintain head stability, both in the lower extremity and upper body segments, together with an increase in coordinative variability. These results indicate that in human locomotion, under higher speed (running) and visual task demands, systematic adaptations occur in the rhythmic coupling between the perceptual and movement systems.

Using Time-Frequency Analysis to Characterize Altered Knee Dynamics in Post ACL Reconstruction Individuals

More than 250,000 individuals suffer an anterior cruciate ligament (ACL) injury in the United States each year requiring surgery and rehabilitation. However, despite exhaustive rehabilitation individuals are often plagued by neuromuscular deficits that lead to detrimental knee loading and knee osteoarthritis. Traditionally, time domain-based metrics like peak sagittal plane knee angle are used to quantify differences in knee mechanics; however, additional information can potentially be elucidated from time-frequency analyses. Here Smoothed Pseudo Wigner-Ville (SPWV), a time-frequency analysis technique, was used to investigate differences in knee loading dynamics between healthy controls and post ACL reconstruction individuals during running. The results indicated that post ACL reconstruction individuals adopt significantly different loading strategies in their injured limb than their non-injured limb. Individuals adopt a stiffer, more restrictive movement strategy delineated by a stronger low frequency to high frequency (LF/HF) ratio while the non-injured limb exhibit a more oscillatory motion (p<; 0.001). The time domain metrics were unable to identify differences between the ACL injured and non-injured limbs. The ability of SPWV to provide both quantitative and visual means to detect these differences supports its use as a clinical tool to track and monitor joint health.

Assessment of the gait-related acceleration patterns in adults with autism spectrum disorder

Individuals with autism spectrum disorder (ASD) can exhibit a range of movement issues, which are often characterized by a general slowing of movement responses that can extend to walking speed. The current study was designed to examine the spatio-temporal features and pattern of acceleration for the trunk, neck and head during walking for a cohort of adults with ASD compared to neurotypical individuals. Twenty young adults with ASD and 20 age-matched neurotypical adults participated in this study. Participants performed five walking trials across a 20ft Protokinetics pressure sensitive surface at their preferred walking speed. Accelerations were collected using three triaxial accelerometers affixed to the head, neck, and lower trunk. Comparisons of acceleration amplitude (i.e., RMS), frequency, segmental gain and regularity (i.e., SampEn) during the walking tasks were performed. Results revealed that the adults with ASD walked slower than the neurotypical persons with a greater proportion of time spent in double stance. Despite walking at a slower pace overall, the adults with ASD exhibited a decreased ability to attenuate gait-related oscillations from the trunk to the head. Overall, these findings suggest that adults with ASD exhibited a decreased ability to accommodate and dampen those accelerations related to walking. As declines in gait speed are often linked with loss of head control, one suggestion is that the inability to appropriately compensate for gait-related oscillations may, in part, explain why persons with ASD walk slower.

Influence of the structural components of artificial turf systems on impact attenuation in amateur football players

The purpose of this research was to evaluate the influence of the structural components of different 3rd generation artificial turf football field systems on the biomechanical response of impact attenuation in amateur football players. A total of 12 amateur football players (24.3 ± 3.7 years, 73.5 ± 5.5 kg, 178.3 ± 4.1 cm and 13.7 ± 4.3 years of sport experience) were evaluated on three third generation artificial turf systems (ATS) with different structural components. ATS were composed of asphalt sub-base and 45 mm of fibre height with (ATS1) and without (ATS2) elastic layer or compacted granular sub-base, 60 mm of fibre height without elastic layer (ATS3). Two triaxial accelerometers were firmly taped to the forehead and the distal end of the right tibia of each individual. The results reveal a higher force reduction on ATS3 in comparison to ATS1 (+6.24%, CI95%: 1.67 to 10.92, ES: 1.07; p < 0.05) and ATS2 (+21.08%, CI95%: 16.51 to 25.66, ES: 2.98; p < 0.05) elastic layer. Tibia acceleration rate was lower on ATS3 than ATS1 (-0.32, CI95%: -0.60 to -0.03, ES: 4.23; p < 0.05) and ATS2 (-0.35, CI95%: -0.64 to -0.06; ES: 4.69; p < 0.05) at 3.3 m/s. A very large correlation (r = 0.7 to 0.9; p < 0.05) was found between energy restitution and fibre height in both head and tibial peak acceleration and stride time. In conclusion, structural components (fibre height, infill, sub-base and elastic layer) determine the mechanical properties of artificial turf fields. A higher force reduction and lower energy restitution diminished the impact received by the player which could protect against injuries associated with impacts compared to harder artificial turf surfaces.