An evaluation of gastrocnemius muscle structure and function in endurance runners and low physical activity individuals

Includes abstract.Includes bibliographical references.Distance running has become increasingly popular in recreational runners. The gastrocnemius is the main muscle used for propulsion in running, and may be at risk for injury due to its morphology. In previous studies, changes in the morphology and architecture of the gastrocnemius muscle have been evident following training, but it is unclear whether these changes are related to training or youth. Previous studies of runners have shown a decrease in gastrocnemius and soleus flexibility, as well as changes in the fascicle length and pennation angle. Gastrocnemius volume has not been compared in low physical activity and active participants. Physiological cross sectional area, based on volume and fascicle length measurements may also provide valuable information about the muscle’s ability to produce force. Ultrasound may be a useful tool in assessing potential training adaptations in the morphology and architecture of the gastrocnemius muscle. The aim of this cross-sectional descriptive study was to assess the differences in architecture and function of the gastrocnemius in endurance runners compared to low physical activity participants. (a) To assess differences in calf function and flexibility between endurance runners and low physical activity individuals, and between male and female participants; (b) To determine differences in gastrocnemius muscle architecture and composition between endurance runners versus low physical activity individuals, and between males and females; and (c) To determine whether there are any relationships between training factors and the structure and function of the gastrocnemius muscle. Thirty participants between 20 and 45 years old were recruited for this study and allocated to groups based on their level of physical activity. The low physical activity group (n = 14) were not participating in any regular physical activity, while the endurance running group (n = 16) were running a minimum of 40 km.wk-1, and had participated in at least one full marathon (42.2 km) in the previous six months. All participants completed informed consent, a physical activity and training questionnaire, and a Physical Activity Readiness Questionnaire (PAR-Q) at the first session. The first session also included body composition measurements; ultrasound imaging to measure gastrocnemius length, thickness, fascicle length, pennation angle and volume; and familiarisation with all physical tests. Physical tests were conducted in the second session, including gastrocnemius and soleus flexibility, calf raise endurance and vertical jump height to assess the function of the components of the triceps surae. There were no significant differences between low physical activity and running groups for gastrocnemius thickness, fascicle length, pennation angle and gastrocnemius length. Gastrocnemius volume (p = 0.02) and physiological cross sectional area (p = 0.01) were significantly greater in the running group compared to the low physical activity group. There were no significant differences between low physical activity and running groups in flexibility or vertical jump height, although male participants had significantly decreased gastrocnemius muscle flexibility (p = 0.046) and significantly greater vertical jump heights (p = 0.01) than females. Calf raise endurance was significantly greater in the running group than in the low physical activity group (p = 0.03). Endurance running leads to specific adaptations in participants in both structure and function. While ultrasound appears to be a reliable measure for assessing architectural components of the gastrocnemius muscle in both active and inactive populations, further cadaver studies may provide valuable information on muscle architecture

Balance and agility in mountain bikers: a reliability and validity study on skills affecting control in mountain biking

Background Cycling is a popular recreational and competitive form of physical activity and method of transport. Cycling is broadly categorised as road cycling or mountain biking, and each form presents unique challenges and has different skill requirements. While cycling, in general, provides many benefits to both physical health and social behaviours, there are legitimate concerns about injuries related to both road and mountain cycling. Most of the available research presents the injury incidence in commuter or road cycling, with an apparent lack of evidence in mountain biking. The van Mechelen model of injury prevention outlines four stages in injury prevention research; the first stage investigates the extent of the injury and provides the basis on which the remaining stages depend. Based on the van Mechelen conceptual model, the broad aim of this thesis was to investigate acute injury epidemiology in mountain biking and the factors affecting bicycle control and falling. Investigations We performed a systematic review of the incidence of injury in mountain biking. Acute injury incidence ranged from 4% to 71% in cross-country mountain bike races. The causal indicators of bicycle control may include balance, agility and visual perception. In a pilot study, we developed novel tests to assess static bicycle balance and bicycle agility as measures of bicycle control. In the following study, we developed additional dynamic bicycle balance with four increasingly difficult levels. In this study, twenty-nine participants attended three days of repeated testing for reliability assessments of these tests. Participants also completed an outdoor downhill run. Performance in the balance tests were compared to performance in the outdoor downhill test to assess their ecological validity. All tests were assessed for reliability using typical error of measurement, standardised typical error, intraclass correlation coefficients, limits of agreement, effect sizes and repeated measures ANOVA's (with post hoc testing) analyses. The novel bicycle balance and agility were significantly associated with the performance in the outdoor downhill run (r=-0.51 to 0.78; p=0.01 to 0.0001). Cognitive and physical fatigue are factors that may contribute to loss of control of the bicycle. In our final study, we aimed to assess the effect of these factors on the performance in the novel tests. Rate of perceived exertion was significantly increased for all tests following physical fatigue (Cliff's d effect size= 0.27-0.40; p=0.001 to 0.037), but balance and agility performance were not affected. Cognitive fatigue had no effect on balance and agility performance. The fatigue induced in these protocols was insufficient to change performance in the bicycle-specific balance and agility tests. This indicates that either the fatigue protocols did not sufficiently replicate the fatigue experienced in mountain biking or that the tests are too blunt to be affected by the magnitude of fatigue in these protocols. Conclusion The overall incidence of injury in mountain biking is difficult to determine due to different injury definitions in the research. However, the available data clearly indicates an area of concern in sports and exercise medicine. We developed novel tests to assess the skill components of balance and agility on a mountain bike. The novel bicycle-specific tests are robust assessments of mountain biking performance and can be applied in clinical and research environments to determine bicycle control. Cognitive and physical fatigue did not affect performance on these novel tests. Based on the overall findings of our studies, we recommend that further research is conducted on the epidemiology of mountain biking injuries. The effect of fatigue on the novel tests needs to be investigated further using a combination of physical and cognitive fatigue

An evaluation of bicycle-specific agility and reaction times in mountain bikers and road cyclists

Background: Cycling is a popular recreational and competitive sport with many health benefits but also significant risks, with 85% of recreational cyclists reporting an injury each season. The most common mechanism of injury is through a loss of control of the bicycle, and collisions with other objects. Reaction time and agility in cyclists may contribute to the ability to control a bicycle. Objectives: To evaluate bicycle-specific agility and reaction time in cyclists. Methods: The study was a cross-sectional observational study. Thirty-five cyclists (27 males, eight females) participated in this study. Participants attended a single testing session where they completed a bicycle-specific agility test, and online simple and choice reaction time testing while cycling at three different exercise intensities. Results: There was a significant difference in agility between males and females (p=0.01). There was also a significant difference in choice reaction time between cycling at ‘light’ and ‘very hard’ intensities (p=0.004), and a significant positive relationship between agility and simple reaction time at a ‘hard’ intensity. Discussion: Choice reaction time improved at ‘very hard’ cycling intensity, supporting the theory that increased exercise intensity improves cognitive arousal. This reaction time may be essential as a means to avoid collisions and falls from bicycles. Bicycle-specific agility appears to be related to simple reaction time, but there are no existing validated bicycle-specific agility tests available. The value of the tests undertaken by the authors needs to be assessed further. Conclusion: Choice reaction time was significantly decreased in high intensity cycling compared to cycling at low intensities. Further prospective studies are needed to establish links between reaction times and bicycle-specific agility

Does a greater training load increase the risk of injury and illness in ultramarathon runners? : A prospective, descriptive, longitudinal design

Background: Ultramarathon running has become extremely popular over the years. Despite the numerous health benefits of running, there are also many negative effects of running, such as increased risk of musculoskeletal injury and illness. Monitoring of an athlete’s training load has become extremely important in terms of injury prevention. Currently, the relationship between training loads and injury and illness incidence is uncertain. Objectives: To determine if there are any associations between injury and illness incidences and training loads among ultramarathon runners in the 12 week period preceding an ultramarathon event and the four week period after the event. Methods: This prospective, descriptive, longitudinal study design was conducted in 119 runners who were training for the 2019 Two Oceans ultramarathon event. Data were collected once a week via an online logbook over 16 weeks. Training parameters measured included weekly average running distance, average duration, average frequency and average sessional RPE. Injury data included injury counts, the structure injured, the main anatomical location and the time-loss as a result of injury. Illness data included illness counts, the main illness-related symptoms and the time-loss as a result of illness. Results: The overall injury incidence was five per 1000 training hours and the overall illness incidence was 16 per 1000 training days. There was a significant relationship between external training load and injury and illness incidence for those who ran less than 30 km per week. There was also a significant relationship between the ACWR (Acute Chronic Workload Ratio) and injury incidence when the ACWR was >1.5 and for illness incidence when the ACWR was <0.5. Conclusion: The use of both absolute and relative workloads in the monitoring of an athlete’s training load with the aim of minimising injury and illness risk and maximising performance in ultramarathon runners is recommended

Gastrocnemius muscle architecture in distance runners with and without Achilles tendinopathy

Background: Achilles tendinopathy is a common condition amongst distance runners due to the cumulative repetitive overload of the tendon. Gastrocnemius weakness and inflexibility can predispose to this condition. Thesepredisposing functional deficits could have architectural underpinnings, but the gastrocnemius architecture of distance runners with Achilles tendinopathy has not been previously described or compared to the architecture of healthy distance runners. Objectives: We aimed to investigate the differences in gastrocnemius architecture between distance runners withAchilles tendinopathy and uninjured counterparts. Methods: Twenty distance runners (10 with Achilles tendinopathy; 10 uninjured) were recruited to this study. Ultrasound measurement of the gastrocnemius muscle architecture (pennation angle; fascicle length; muscle thickness; muscle belly length; muscle volume; physiological cross-sectional area) was performed. Results: Gastrocnemius Medial Head (GM) fascicle length was significantly greater (p = 0.02), whilst the physiological cross-sectional area (PCSA) was significantly less (p = 0.01) in the case group. Gastrocnemius Lateral Head (GL) pennation angle (p = 0.01) and PCSA (p = 0.01) were significantly lower, whilst fascicle length was significantly greater (p = 0.01) in the case group. There were no significant between-group differences in GM and GL muscle thickness, muscle belly length, or muscle volume. Conclusion: Components of gastrocnemius architecture differ significantly between distance runners with Achillestendinopathy and uninjured controls in our study sample. This study cannot infer whether these results are secondary or predisposing to the condition. Further longitudinal investigation is required to explore these relationships further

Motivation and Behaviour Change in Parkrun Participants in the Western Cape Province, South Africa

Mass participation events are promoted in South Africa as a positive public health initiative. Parkrun has grown to be one of the most popular. The present study identifies the motives of residents in the Western Cape Province to join parkrun and how their involvement influences future physical activity levels. Participants (N = 1787) completed a survey consisting of demographic history, parkrun participation history, motivations for participation, and physical activity-related behaviour changes associated with parkrun participation. The majority of participants were female (n = 952) and over 50 years of age (median = 50; IQR = 38–59). Along with health-related benefits, the provision of a safe and organised event was reported as a key motive to participate. The social connectedness developed by parkrun encouraged continued participation and promoted uptake of more physical activity. Close to half the participants reported increases in physical activity levels after joining parkrun, which demonstrates the benefit obtained from participation in structured mass participation events. With the large diversity in socioeconomic status in South Africa related to physical activity levels, parkrun provides a protected and engaging environment that provides opportunity for increased physical activity and potentially reducing the burden on the healthcare system

Singular Vortex in Narrow Cylinders of Superfluid 3He-A Phase

Motivated by the on-going rotating cryostat experiments in ISSP, Univ. of Tokyo, we explore the textures and vortices in superfluid 3He-A phase confined in narrow cylinders, whose radii are R=50mum and 115mum. The calculations are based on the Ginzburg-Landau (GL) framework, which fully takes into account the orbital (l-vector) and spin (d-vector) degrees of freedom for chiral p-wave pairing superfluid. The GL free energy functional is solved numerically by using best known GL parameters appropriate for the actual experimental situations at P=3.2MPa and H=21.6mT. We identify the ground state l-vector configuration as radial disgyration (RD) texture with the polar core both at rest and low rotations and associated d-vector textures for both narrow cylinder systems under high magnetic fields. The RD which has a singularity at center, changes into Mermin-Ho texture above the critical rotation speed which is determined precisely, providing an experimental check for own proposal.Comment: 22 pages, 12 figure

Infrared Conductivity in Layered dd-wave Superconductors

We calculate the infrared conductivity of a stack of coupled, two-dimensional superconducting planes within the Fermi liquid theory of superconductivity. We include the effects of random scattering processes and show that the presence of even a small concentration of resonant impurities, in a $d$-wave superconductor, has an important effect on both the in-plane and $c$-axis transport properties, which could serve as signatures for $d$-wave pairing.Comment: 18 pages in a RevTex (3.0) file plus 5 postscript figures (uuencoded). Replaced with minor changes as it will appear in the Physical Review B {\bf 52} issue 1 Oct. 199

Patellofemoral joint Medial Rotation Grades I-IV

File Size: 170.57 MBThis video demonstrates the patellofemoral joint Maitland mobilisation medial rotation treatment technique. This technique may be used for treatment of both pain and stiffness.DVC Teaching Gran