Running into Fatigue: The Effects of Footwear on Kinematics, Kinetics, and Energetics.

Recent studies identified a redistribution of positive mechanical work from distal to proximal joints during prolonged runs, which might partly explain the reduced running economy observed with running-induced fatigue. Higher mechanical demand of plantar flexor muscle-tendon-units, e.g., through minimal footwear, can lead to an earlier onset of fatigue, which might affect the redistribution of lower extremity joint work during prolonged runs. Therefore, the purpose of this study was to examine the effects of a racing-flat and cushioned running shoe on the joint-specific contributions to lower extremity joint work during a prolonged fatiguing run. On different days, eighteen runners performed two 10-km runs with near-maximal effort in a racing-flat and a cushioned shoe on an instrumented treadmill synchronized with a motion-capture-system. Joint kinetics and kinematics were calculated at 13 pre-determined distances throughout the run. The effects of shoes, distance, and their interaction were analyzed using a two-factor repeated-measures ANOVA. For both shoes, we found a redistribution of positive joint work from ankle (-6%) to knee (+3%) and hip (+3%) throughout the entire run. Negative ankle joint work was higher (p<0.01) with the racing-flat compared to the cushioned shoe. Initial differences in foot-strike patterns between shoes disappeared after 2 km of running distance. Irrespective of the shoe design, alterations in the running mechanics occurred in the first 2 km of the run, which might be attributed to the existence of a habituation rather than fatigue effect. While we did not find a difference between shoes in the fatigue-related redistribution of joint work from distal to more proximal joints, more systematical studies are needed to explore the effects of specific footwear design features. [Abstract copyright: Copyright © 2020 American College of Sports Medicine.

INTERACTION BETWEEN THE POLE AND THE HUMAN BODY AND ITS EFFECT ON THE POLE VAULTING PERFORMANCE

The purposes of this study were: (a) to examine the utilization of pole elasticity by the athletes through muscular work and to develope performance criteria throughout the pole vault and (b) to examine the reproducibility and the athlete's specificity of the developed criteria. In the study, 6 athletes performed from 4 to 11 trials each, at 90% of their respective personal best performance. All trials were recorded using four synchronized, genlocked video cameras operating at 50 Hz. The ground reaction forces exerted on the bottom of the pole were measured using a planting box fixed on a kistler force plate (1000 Hz). The interaction between athlete and pole may be split into two parts. During the first part of the interaction, energy is transferred into the pole and the total energy of the athlete decreases. The difference between the energy decrease of the athlete and the pole energy indicates if the athletes are producing additional energy by means of muscular work (criterion 1). In the second part of the interaction, energy is transferred back to the athlete and the total energy of the athlete increases. The difference between the returned pole energy and the amount of energy increase of the athlete defines criterion 2. The criteria are reproducible, specific to each athlete, capable of identifying deficits or strengths of the athlete's performance during his interaction with the pole; they can therefore estimate the quality of the technique during each of the phases of the interaction athlete-pole

MEN'S AND WOMEN'S POLE VAULT AT THE SYDNEY 2000 OLYMPIC GAMES WITH RESPECT TO MECHANICAL ENERGY AND ANGULAR MOMENTUM

The purpose of this study was to identify differences between male and female pole vaulters with regard to the athlete's mechanical energy and angular momentum on elite level. On the basis of 3-D kinematic data of the pole vault finals at the Sydney Olympic Games the athlete's mechanical energy and angular momentum have been calculated. The development of the total, kinetic and potential energy shows similar characteristics for men and women. The initial energy of the vault, the energy at maximum pole bend position and the final energy are significantly higher for male athletes, while the energy gain produced by the athletes during the vault shows no significant differences. The angular momentum is higher for the female vaulters during the initial pole bend and the bar clearance

THE EFFECT OF DIFFERENT FOOTWEAR ON THE MYOELECTRIC ACTIVITY OF M. TIBIALIS POSTERIOR DURING TREADMILL RUNNING

Overload running injuries of the lower extremity, particularly the knee, are associated with excessive pronation of the foot resulting in tibial rotation (Nigg et al., 1995). M. tibialis posterior (TP) is shown to have an active influence on pronation and the medial longitudinal arch (Kaye & Jahss, 1991). Its functional role during running and interaction with footwear is still not clearly understood (Reber et al., 1993; O’Connor & Hamill, 2004). Therefore the purpose of this study is to investigate the influence of different footwear on the muscle’s EMG pattern

WIRE EMG OF FLEXOR HALLUCIS LONGUS DURING BAREFOOT AND SHOD RUNNING ON A TREADMILL: A PILOT STUDY

Excessive pronation is associated with overload injuries of the lower extremity (Nigg, 1995). The flexor hallucis longus (FHL) acts against the pronation of the calcaneus (Klein, 1996). The influence of different footwear on the activity of the FHL was neither measured in walking nor running. The purpose of this study was to investigate the activity of the FHL during different phases in stance of walking and running in different footwear conditions

Positive Work Contribution Shifts from Distal to Proximal Joints during a Prolonged Run

PURPOSE: To investigate the joint-specific contributions to the total lower extremity joint work during a prolonged fatiguing run. METHODS: Recreational long-distance runners (RR; n = 13) and competitive long-distance runners (CR; n = 12) performed a 10-km treadmill run with near-maximal effort. A three-dimensional motion capture system synchronized with a force-instrumented treadmill was used to calculate joint kinetics and kinematics of the lower extremity in the sagittal plane during the stance phase at 13 distance points over the 10-km run. RESULTS: A significant (P < 0.05) decrease of positive ankle joint work as well as an increase of positive knee and hip joint work was found. These findings were associated with a redistribution of the individual contributions to total lower extremity work away from the ankle towards the knee and hip joint which was more distinctive in the RR group than in the CR group. This redistribution was accomplished by significant (P < 0.05) reductions of the external ground-reaction force (GRF) lever arm and joint torque at the ankle and by the significant (P < 0.05) increase of the external GRF lever arm and joint torque at the knee and hip. CONCLUSION: The redistribution of joint work from the ankle to more proximal joints might be a biomechanical mechanism that could partly explain the decreased running economy in a prolonged fatiguing run. This might be because muscle-tendon units crossing proximal joints are less equipped for energy storage and return compared to ankle plantar flexors and require greater muscle volume activation for a given force. In order to improve running performance, long-distance runners may benefit from an exercise-induced enhancement of ankle plantar flexor muscle-tendon unit capacities

Locomotor stability and adaptation during perturbed walking across the adult female lifespan.

The aim of this work was to examine locomotor stability and adaptation across the adult female lifespan during perturbed walking on the treadmill. 11 young, 11 middle and 14 older-aged female adults (mean and SD: 25.5(2.1), 50.6(6.4) and 69.0(4.7) years old respectively) walked on a treadmill. We applied a sustained perturbation to the swing phase of the right leg for 18 consecutive gait cycles, followed by a step with the resistance unexpectedly removed, via an ankle strap connected to a break-and-release system. The margin of stability (MoS) at foot touchdown was calculated as the difference between the anterior boundary of the base of support (BoS) and extrapolated center of mass. Older participants showed lower MoS adaptation magnitude in the early adaptation phase (steps 1-3) compared to the young and middle-aged groups. However, in the late adaptation phase (steps 16-18) there were no significant differences in adaptation magnitude between the three age groups. After removing the resistance, all three age groups showed similar aftereffects (i.e. increased BoS). The current results suggest that in old age, the ability to recalibrate locomotion to control stability is preserved, but the rate of adaptive improvement in locomotor stability is diminished

Effect Of Triceps Surae Muscle-Tendon Unit Mechanical Properties On Gait Stability And Adaptability In Older Female Adults

INTRODUCTION Ageing induces a gradual degradation in the human neuro-motor system resulting in decreased mobility and locomotor performance (Beijersbergen et al., 2013). Moreover, inadequate recovery responses following tripping have been associated with age-related deteriorations in ankle plantar flexion moment output (magnitude and rate) in the push-off phase (Pijnappels et al., 2004). Therefore, the objective of this study was (1) to examine if gait stability and adaptability during perturbed walking is associated with TS muscle strength and Achilles tendon (AT) stiffness in older female adults, and (2) to determine whether elderly with different TS muscle strength capacities show an altered dynamic stability control during perturbed walking, and (3) whether gait plasticity is preserved in old age. METHODS Thirty-four older female adults (65±7yrs) experienced unexpected trip perturbations to the swing phase of the right leg while walking on a treadmill (Süptitz et al., 2013). Using a motion capture system (VICON; Oxford, UK) the margin of stability (MoS) and base of support (BoS) were assessed at touchdown (TD) of the perturbed leg and at each following six recovery steps. In order to examine the reactive adaptation potential, the MoS at TD of the perturbed leg was examined in eight unexpected perturbation trials. In an additional session, TS muscle strength and AT stiffness were determined using simultaneous ultrasonography and dynamometry. Pearson correlations were used to inspect the relationship between TS MTU mechanical properties and dynamic stability parameters (both MoS and BoS) of the recovery steps in first perturbation trial. A median split was implemented to classify the subjects into two groups based on their TS muscle strength (strong: n = 16; weak: n = 18). RESULTS The strong group had about 42% higher voluntary isometric plantarflexion moments and 33% higher AT stiffness than the weak group (138±22Nm vs. 97±10Nm; 588±156Nmm-1 vs. 441±129Nmm-1; p<0.01). The gait perturbation reduced the MoS at TD of the perturbed leg (-0.10±0.08m) compared to baseline unperturbed walking, indicating instability. The strong group needed three recovery steps to return to MoS baseline and the weak group was unable to return to baseline level within the analysed six recovery steps. Significant correlations between both TS muscle strength and AT stiffness, and MoS and BoS at TD of the first recovery step were found (0.41<r<0.68; p<0.05). After eight gait perturbations, both groups were able to adapt their reactive response to the perturbation (increasing MoS at TD), with no between-group differences. DISCUSSION The current data suggest that TS muscle strength and AT stiffness partly limit dynamic gait stability control after an unexpected perturbation during walking in older female adults. Recovery stepping behaviour seems to be less effective in weaker older adults, which is explained mainly by the reduced ability to effectively increase the BoS after perturbations. However, independent of TS MTU mechanical properties, older adults seem to be able to improve their reactive response. CONCLUSION TS MTU mechanical properties partly limit dynamic stability during perturbed walking in older adults, but they preserve their gait plasticity independent of their TS muscle strength. Thus, in order to reduce falls risk, older adults may benefit from interventions increasing TS muscle strength and tendon stiffness, and by improving reactive recovery responses via repeated gait perturbations. REFERENCES Beijersbergen et al., (2013). Ageing Res Rev. 12, 618-27. doi:10.1016/j.arr.2013.03.001 Pijnappels et al., (2004). J Biomech. 37, 1811-18. doi:10.1016/j.jbiomech.2004.02.038 Süptitz et al., (2013). Hum Mov Sci 32, 1404-14. doi:10.1016/j.humov.2013.07.00

What do we currently know from in vivo bone strain measurements in humans

Introduction It is well accepted that bones adapt to different types of loading, e.g. by various exercises or by disuse, the former being followed by anabolic responses and the latter by bone losses. Literature suggests that specific exercises or training can improve people&apos;s bone mass and strength 1 . On the other hand, disuse during space flight was shown to induce a loss of more than 2% in hip trabecular volumetric bone mineral density (vBMD) per month 2 . Inevitably, bone deformation will be induced by dynamic loading (because the static bone loading rarely happens in vivo, it is not included in this discussion). The effects of the various factors involved in bone loading, which include strain magnitude, strain rate, and the number of loading cycles are well documented Abstract Bone strains are the most important factors for osteogenic adaptive responses. During the past decades, scientists have been trying to describe the relationship between bone strain and bone osteogenic responses quantitatively. However, only a few studies have examined bone strains under physiological condition in humans, owing to technical difficulty and ethical restrictions. The present paper reviews previous work on in vivo bone strain measurements in humans, and the various methodologies adopted in these measurements are discussed. Several proposals are made for future work to improve our understanding of the human musculoskeletal system. Literature suggests that strains and strain patterns vary systematically in response to different locomotive activities, foot wear, and even different venues. The principal compressive, tension and engineering shear strain, compressive strain rate and shear strain rate in the tibia during running seem to be higher than those during walking. The high impact exercises, such as zig-zag hopping and basketball rebounding induced greater principal strains and strain rates in the tibia than normal activities. Also, evidence suggests an increase of tibia strain and strain rate after muscle fatigue, which strongly supports the opinion that muscle contractions play a role on the alteration of bone strain patterns

Prevalence of spontaneous, induced labour or planned caesarean section and factors associated with caesarean scetion and factors associated with caesarian section in low-risk women in southern Brazil

Objective This study aimed to examine the prevalence of spontaneous labour, induced labour and planned caesarean section in low-risk women; to identify the contribution of each group to the overall caesarean section rate; and to estimate factors associated with caesarean section in low-risk women according to spontaneous labour, induced labour and planned caesarean section. Design Cross-sectional hospital-based study of postpartum women and newborns, using data from the survey Birth in Brazil, Southern region. In the sample of 2,668 low-risk women, a descriptive analysis was undertaken and a Multinomial Logistic Regression model was applied to verify associations among caesarean section and spontaneous labour, induced labour and planned caesarean section in comparison with vaginal birth. Measurements and Findings The results showed the prevalence of spontaneous labour (48.0%), induced labour (14.0%) and planned caesarean sections (38.0%); these frequencies contributed to an overall caesarean section rate of 50.5%. Obstetric characteristics like previous vaginal birth or previous caesarean section were differentially associated with caesarean section, independently of the labour. Caesarean section without labour was significantly associated with age ≥ 35 years (ORadj 5.45 95%CI 3.16-9.39), economic class A and B (ORadj 3.10 95%CI 1.92-4.99), pregnancy between 37 and 38 weeks (ORadj 1.65 95%CI 1.22-2.24), same obstetrician in prenatal and childbirth (ORadj 13.83 95%CI 8.85-21.61) and private payment source at birth (ORadj 11.50 95%CI 6.64-19.93). Key conclusion For low-risk women in Southern Brazil, the results identify high planned caesarean section rates, not associated with socioeconomic, obstetric, institutional or prenatal factors that justify these rates