Running gait modifications can lead to immediate reductions in patellofemoral pain

Gait modifications are commonly advocated to decrease knee forces and pain in runners with patellofemoral pain (PFP). However, it remains unknown if clinicians can expect immediate effects on symptoms. Our objectives were (1) to compare the immediate effects of gait modifications on pain and kinetics of runners with PFP; (2) to compare kinetic changes in responders and non-responders; and (3) to compare the effects between rearfoot strikers (RFS) and non-RFS. Sixty-eight runners with PFP (42 women, 26 men) ran normally on a treadmill before testing six modifications: 1- increase step rate by 10%; 2- 180 steps per minute; 3- decrease step rate by 10%; 4- forefoot striking; 5- heel striking; 6- running softer. Overall, there were more responders (pain decreased ≥1/10 compared with normal gait) during forefoot striking and increasing step rate by 10% (both 35%). Responders showed greater reductions in peak patellofemoral joint force than non-responders during all conditions except heel striking. When compared with non-RFS, RFS reduced peak patellofemoral joint force in a significant manner (P < 0.001) during forefoot striking (partial η2 = 0.452) and running softer (partial η2 = 0.302). Increasing step rate by 10% reduced peak patellofemoral joint force in both RFS and non-RFS. Forty-two percent of symptomatic runners reported immediate reductions in pain during ≥1 modification, and 28% had reduced pain during ≥3 modifications. Gait modifications leading to decreased patellofemoral joint forces may be associated with immediate pain reductions in runners with PFP. Other mechanisms may be involved, given that some runners reported decreased symptoms regardless of kinetic changes

ExoPranayama: a biofeedback-driven actuated environment for supporting yoga breathing practices

Both breathing and internal self-awareness are an integral part of any yoga practice. We describe and discuss the development of ExoPranayama, an actuated environment that physically manifests users’ breathing in yoga. Through a series of trials with yoga practitioners and expert teachers, we explore its role in the practice of yoga. Our interview results reveal that biofeedback through the environment supported teaching and improved self-awareness, but it impacted group cohesion. Two practical uses of the technology emerged for supporting breath control in yoga: (1) biofeedback can provide new information about users’ current internal states; (2) machine-driven feedback provides users with a future state or goal, and leads to improved cohesiveness

Metabolic and performance responses of male runners wearing 3 types of footwear: Nike Vaporfly 4%, Saucony Endorphin racing flats, and their own shoes

Purpose We compared running economy (RE) and 3-km time-trial (TT) variables of runners wearing Nike Vaporfly 4% (VP4), Saucony Endorphin lightweight racing flats (FLAT), and their habitual running (OWN) footwear. Methods Eighteen male recreational runners (age = 33.5 ± 11.9 year (mean ± SD), peak oxygen uptake (VO2peak) = 55.8 ± 4.4 mL/kg·min) attended 4 sessions approximately 7 days apart. The first session consisted of a VO2peak test to inform subsequent RE speeds set at 60%, 70%, and 80% of the speed eliciting VO2peak. In subsequent sessions, treadmill RE and 3-km TTs were assessed in the 3 footwear conditions in a randomized, counterbalanced crossover design. Results Oxygen consumption (mL/kg·min) was less in VP4 (from 4.3% to 4.4%, p ≤ 0.002) and FLAT (from 2.7% to 3.4%, p ≤ 0.092) vs. OWN across intensities, with a non-significant difference between VP4 and FLAT (1.0%–1.7%, p ≥ 0.292). Findings related to energy cost (W/kg) and energetics cost of transport (J/kg·m) were comparable. VP4 3-km TT performance (11:07.6 ± 0:56.6 mm:ss) was enhanced vs. OWN by 16.6 s (2.4%, p = 0.005) and vs. FLAT by 13.0 s (1.8%, p = 0.032). The 3-km times between OWN and FLAT (0.5%, p = 0.747) were similar. Most runners (n = 11, 61%) ran their fastest TT in VP4. Conclusion Overall, VP4 improved laboratory-based RE measures in male recreational runners at relative speeds compared to OWN, but the RE improvements in VP4 were not significant vs. FLAT. More runners exhibited better treadmill TT performances in VP4 (61%) vs. FLAT (22%) and OWN (17%). The variability in RE (–10.3% to 13.3%) and TT (–4.7% to 9.3%) improvements suggests that responses to different types of shoes are individualized and warrant further investigation

2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures

Patellofemoral pain (PFP) typically presents as diffuse anterior knee pain, usually with activities such as squatting, running, stair ascent and descent. It is common in active individuals across the lifespan,1–4 and is a frequent cause for presentation at physiotherapy, general practice, orthopaedic and sports medicine clinics in particular.5 ,6 Its impact is profound, often reducing the ability of those with PFP to perform sporting, physical activity and work-related activities pain-free. Increasing evidence suggests that it is a recalcitrant condition, persisting for many years.7–9 In an attempt to share recent innovations, build on the first three successful biennial retreats and define the ‘state of the art’ for this common, impactful condition; the 4th International Patellofemoral Pain Research Retreat was convened. The 4th International Patellofemoral Research Retreat was held in Manchester, UK, over 3 days (September 2–4th, 2015). After undergoing peer-review for scientific merit and relevance to the retreat, 67 abstracts were accepted for the retreat (50 podium presentations, and 17 short presentations). The podium and short presentations were grouped into five categories; (1) PFP, (2) factors that influence PFP (3) the trunk and lower extremity (4) interventions and (5) systematic analyses. Three keynote speakers were chosen for their scientific contribution in the area of PFP. Professor Andrew Amis spoke on the biomechanics of the patellofemoral joint. Professor David Felson spoke on patellofemoral arthritis,10 and Dr Michael Ratleff's keynote theme was PFP in the adolescent patient.11 As part of the retreat, we held structured, whole-group discussions in order to develop consensus relating to the work presented at the meeting as well as evidence gathered from the literature

Effects of two neuromuscular training programs on running biomechanics with load carriage: a study protocol for a randomised controlled trial

Background In recent years, athletes have ventured into ultra-endurance and adventure racing events, which tests their ability to race, navigate, and survive. These events often require race participants to carry some form of load, to bear equipment for navigation and survival purposes. Previous studies have reported specific alterations in biomechanics when running with load which potentially influence running performance and injury risk. We hypothesize that a biomechanically informed neuromuscular training program would optimize running mechanics during load carriage to a greater extent than a generic strength training program. Methods This will be a two group, parallel randomized controlled trial design, with single assessor blinding. Thirty healthy runners will be recruited to participate in a six weeks neuromuscular training program. Participants will be randomized into either a generic training group, or a biomechanically informed training group. Primary outcomes include self-determined running velocity with a 20 % body weight load, jump power, hopping leg stiffness, knee extensor and triceps-surae strength. Secondary outcomes include running kinetics and kinematics. Assessments will occur at baseline and post-training. Discussion To our knowledge, no training programs are available that specifically targets a runner’s ability to carry load while running. This will provide sport scientists and coaches with a foundation to base their exercise prescription on

Contribution à l'étude d'une Liliacée : Allium ursinum L. et ses variations

Clappaz J.-P., Esculier R. Contribution à l'étude d'une Liliacée : Allium ursinum L. et ses variations. In: Bulletin mensuel de la Société linnéenne de Lyon, 32ᵉ année, n°8, octobre 1963. pp. 229-235

Long-term socioecological trajectories of agro-food systems revealed by N and P flows in French regions from 1852 to 2014

International audienceWe present a quantitative description of the N and P flows characterizing the agro-food system metabolism of 33 agricultural regions in France and their time evolution since the middle of the 19th century. The data were interpreted in terms of connection between crop production, livestock breeding, human nutrition and trade of agricultural goods, and were linked to their historical background. Until the early 20th century, the integrated crop and livestock farming model dominated everywhere, and the slow increase in crop production was only possible because of an increase in livestock density. Specialized cash crop farming systems appeared in the central Paris basin only in the first half of the 20th century together with the increase in the use of industrial fertilizers. Only after WWll, under the pressure of strong interventionist policies, did specialization of French territories lead to five types of systems, favoring their openness and integration into the international market, with harmful environmental impacts. The 1980s were marked by a policy shift towards more liberalism, which reinforced specialization. However, greater environmental concern stabilized or decreased nutrient losses, while maintaining largely open biogeochemical cycles

Evidence of variable performance responses to the Nike 4% shoe: Definitely not a game-changer for all recreational runners

Purpose: We compared running economy (RE) and 3-km time-trial (TT) performances of male recreational runners wearing the Nike Vaporfly 4% (NIKE), lightweight racing flats (FLAT), and their habitual footwear (OWN). Methods: Eighteen male recreational runners [age: 33.5 (11.9) y, V̇O2peak: 55.8 (4.4) mL·kg-1·min-1] attended 4 sessions ~7 days apart. The first session consisted of a V̇O2peak test to inform subsequent RE speeds set at 60, 70, and 80% of the speed eliciting V̇O2peak. In subsequent sessions, treadmill RE and 3-km TT were assessed in the three footwear in a randomised, counterbalanced crossover design. Results: RE was improved in NIKE (3.6 to 4.5%, p ≤ 0.002) and FLAT (2.4 to 4.0%, p ≤ 0.042) versus OWN across intensities, with a trivial difference between NIKE and FLAT (1.0 to 1.6%, p ≥ 0.325). NIKE 3-km TT (11:07.6 ± 0:56.6 mm:ss) was superior to OWN by 16.6 s (2.4%, p = 0.005) and FLAT by 13.0 s (1.8%, , p = 0.032), with similar times between OWN and FLAT (0.5%, , p = 0.747). Only 29% of runners were more economical across intensities and faster in NIKE. Conclusions: Overall, our findings indicate that NIKE could benefit RE in male recreational runners at relative speeds when compared to OWN, but not when compared to FLAT. More runners exhibited better TT performances in NIKE (61%) versus FLAT (22%) and OWN (17%). The high variability in individual RE (-3.1 to 12.1%) and TT (-3.8 to 8.2%) shoe-responses suggests that individualisation of running footwear prescription is warranted