Uneven running: How does trunk-leaning affect the lower-limb joint mechanics and energetics?

This study aimed to investigate the role of trunk posture in running locomotion. Twelve recreational runners ran in the laboratory across even and uneven ground surface (expected 10 cm drop-step) with three trunk-lean angles from the vertical (self-selected, ∼15°; anterior, ∼25°; posterior, ∼0°) while 3D kinematic and kinetic data were collected using a 3D motion-capture-system and two embedded force-plates. Two-way repeated measures ANOVAs (α = 0.05) compared lower-limb joint mechanics (angles, moments, energy absorption and generation) and ground-reaction-force parameters (braking and propulsive impulse) between Step (level and drop) and Posture conditions. The Step-by-Posture interaction revealed decreased hip energy generation, and greater peak knee extension moment in the drop-step during running with posterior versus anterior trunk-lean. Furthermore, energy absorption across hip and ankle nearly doubled in the drop-step across all running conditions. The Step main effect revealed that the knee and ankle energy absorption, ankle energy generation, ground-reaction-force, and braking impulse significantly increased in the drop-step. The Posture main effect revealed that, compared with a self-selected trunk-lean, the knee's energy absorption/generation, ankle's energy generation and the braking impulse were either retained or attenuated when leaning the trunk anteriorly. The opposite effects occurred with a posterior trunk-lean. In conclusion, while the pronounced mechanical ankle stress in drop-steps is marginally affected by posture, changing the trunk-lean reorganizes the load distribution across the knee and hip joints. Leaning the trunk anteriorly in running shifts loading from the knee to the hip not only in level running but also when coping with ground-level changes.Highlights Changing the trunk-lean when running reorganizes the load distribution across the knee and hip joints.Leaning the trunk anteriorly from a habitual trunk posture during running attenuates the mechanical stress on the knee, while the opposite effect occurs with a posterior trunk-lean, irrespective to the ground surface uniformity.The effect of posture on pronounced mechanical ankle stress in small perturbation height during running is marginal.Leaning the trunk anteriorly shifts loading from the knee to the hip not only in level running but also when coping with small perturbation height

Muscle-tendon unit mechanobiological responses to consecutive high strain cyclic loading

In response to a mechanical stimulus, tendons have a slower tissue renewal rate compared to muscles. This could over time lead to a higher mechanical demand (experienced strain) for the tendon, especially when a high strain magnitude exercise is repeated without sufficient recovery. The current study investigated the adaptive responses of the triceps surae (TS) muscle-tendon unit (MTU) and extracellular matrix turnover-related biomarkers to repetitive high tendon strain cyclic loading. Eleven young male adults performed a progressive resistance exercise over 12 consecutive days, consisting of high Achilles tendon (AT) strain cyclic loading (90% MVC) with one leg once a day (LegT1) and the alternate leg three times a day (LegT3). Exercise-related changes in TS MTU mechanical properties and serum concentrations of extracellular matrix turnover-related biomarkers were analysed over the intervention period. Both legs demonstrated similar increases in maximal AT force (∼10%) over the 12-day period of exercise. A ∼20% increase in maximal AT strain was found for LegT3 (p<0.05) already after 8 consecutive exercise days, along with a corresponding decrease in AT stiffness. These effects were maintained even after a 48h rest period. The AT mechanical properties for LegT1 were unaltered. Biomarker analysis revealed no sign of inflammation, but altered collagen turnover and delayed increase in the collagen type I synthesis rate. Accordingly, we suggest that tendon is vulnerable to frequent high-magnitude and volume of cyclic mechanical loading, as accumulation of micro-damage can potentially exceed the rate of biological repair, leading to increased maximal tendon strai

Stability-normalised walking speed: A new approach for human gait perturbation research

© 2019 In gait stability research, neither self-selected walking speeds, nor the same prescribed walking speed for all participants, guarantee equivalent gait stability among participants. Furthermore, these options may differentially affect the response to different gait perturbations, which is problematic when comparing groups with different capacities. We present a method for decreasing inter-individual differences in gait stability by adjusting walking speed to equivalent margins of stability (MoS). Eighteen healthy adults walked on a split-belt treadmill for two-minute bouts at 0.4 m/s up to 1.8 m/s in 0.2 m/s intervals. The stability-normalised walking speed (MoS = 0.05 m) was calculated using the mean MoS at touchdown of the final 10 steps of each speed. Participants then walked for three minutes at this speed and were subsequently exposed to a treadmill belt acceleration perturbation. A further 12 healthy adults were exposed to the same perturbation while walking at 1.3 m/s: the average of the previous group. Large ranges in MoS were observed during the prescribed speeds (6–10 cm across speeds) and walking speed significantly (P < 0.001) affected MoS. The stability-normalised walking speeds resulted in MoS equal or very close to the desired 0.05 m and reduced between-participant variability in MoS. The second group of participants walking at 1.3 m/s had greater inter-individual variation in MoS during both unperturbed and perturbed walking compared to 12 sex, height and leg length-matched participants from the stability-normalised walking speed group. The current method decreases inter-individual differences in gait stability which may benefit gait perturbation and stability research, in particular studies on populations with different locomotor capacities. [Preprint: https://doi.org/10.1101/314757

Evidence of different sensitivity of muscle and tendon to mechano-metabolic stimuli

This study aimed to examine the temporal dynamics of muscle-tendon adaptation and whether differences between their sensitivity to mechano-metabolic stimuli would lead to non-uniform changes within the triceps surae (TS) muscle-tendon unit (MTU). Twelve young adults completed a 12-week training intervention of unilateral isometric cyclic plantarflexion contractions at 80% of maximal voluntary contraction until failure to induce a high TS activity and hence metabolic stress. Each participant trained one limb at a short (plantarflexed position, 115°: PF) and the other at a long (dorsiflexed position, 85°: DF) MTU length to vary the mechanical load. MTU mechanical, morphological, and material properties were assessed biweekly via simultaneous ultrasonography-dynamometry and magnetic resonance imaging. Our hypothesis that tendon would be more sensitive to the operating magnitude of tendon strain but less to metabolic stress exercise was confirmed as tendon stiffness, Young's modulus, and tendon size were only increased in the DF condition following the intervention. The PF leg demonstrated a continuous increment in maximal AT strain (i.e., higher mechanical demand) over time along with lack of adaptation in its biomechanical properties. The premise that skeletal muscle adapts at a higher rate than tendon and does not require high mechanical load to hypertrophy or increase its force potential during exercise was verified as the adaptive changes in morphological and mechanical properties of the muscle did not differ between DF and PF. Such differences in muscle-tendon sensitivity to mechano-metabolic stimuli may temporarily increase MTU imbalances that could have implications for the risk of tendon overuse injury

Improving Trip- and Slip-Resisting Skills in Older People: Perturbation Dose Matters

Aging negatively affects balance recovery responses after trips and slips. We hypothesize that older people can benefit from brief treadmill-based trip and slip perturbation exposure despite reduced muscular capacities, but with neuropathology, their responsiveness to these perturbations will be decreased. Thus, to facilitate long-term benefits and their generalizability to everyday life, one needs to consider the individual threshold for perturbation dose. This is a non-final version of an article published in final form in Exercise and Sport Sciences Review

A wearable sensor and framework for accurate remote monitoring of human motion

Remote monitoring and evaluation of human motion during daily life require accurate extraction of kinematic quantities of body segments. Current approaches use inertial sensors that require numerical time differentiation to access the angular acceleration vector, a mathematical operation that greatly increases noise in the acceleration value. Here we introduce a wearable sensor that utilises a spatially defined cluster of inertial measurement units on a rigid base for directly measuring the angular acceleration vector. For this reason, we used computational modelling and experimental data to demonstrate that our new sensor configuration improves the accuracy of tracking angular acceleration vectors. We confirmed the feasibility of tracking human movement by automatic assessment of experimental fall initiation and balance recovery responses. The sensor therefore presents an opportunity to pioneer reliable assessment of human movement and balance in daily life

ADAPTATIONS IN TRICEPS SURAE MUSCLE-TENDON UNIT MECHANICAL PROPERTIES IN ELITE JUMPERS

The purpose of this study was to analyse the triceps surae (TS) muscle-tendon unit (MTU) mechanical properties (muscle strength, maximal tendon strain and tendon stiffness) in elite track and field jumpers (long jump, triple jump, high jump, pole vault) over several years, in order to examine potential alterations in the uniformity of adaptation within the TS MTU. The findings demonstrated a higher TS muscle strength and tendon stiffness for the take-off leg in comparison to the swing leg, irrespective of the jumping discipline. Similar symmetry indexes for muscle strength and tendon stiffness indicated to a uniform TS MTU adaptation in healthy elite track and field jumpers. Longitudinal investigation demonstrated greater fluctuations in TS MTU properties over one year in elite jumpers compared to age-matched controls, predominantly for the take-off leg, irrespective of the training period (preparation vs. competition period). Nevertheless, athletes with lower adaptive similarities between muscle and tendon adaptation may experience temporary increased demand on the tendon and potentially be at greater risk for tendon injuries

SYMMETRY AND REPRODUCIBILITY OF KINEMATIC PARAMETERS DURING VARIOUS RUNNING TECHNIQUES

The purpose of this study was to examine the reproducibility and the symmetry of a wide number of kinematic parameters while running with various running techniques. Each of twelve tested persons ran on a treadmill in combinations of three velocities (2.5, 3.0 and 3.5m/s) and three stride frequencies (preferred. +/-10% from preferred). Three cycles were recorded for each running task using a video camera (250 Hz) at each side of the body. Intraclass correlation coefficients (ICC generally> 0.80 ) for both legs were high. Only the angular velocity parameters demonstrated low reproducibility (ICC < 0.75). Significant (P 10%)

Contributions of Training Programs Supported by VR Techniques to the Prevention of STF Accidents

© 2020, Springer Nature Switzerland AG. Occupational safety and health (OSH) is active at all levels of the hierarchy of controls to prevent accidents associated with slips, trips and falls (STF). Training programs related to STF prevention are increasingly supported by virtual reality (VR) techniques. A review revealed a wide range of applications in practical and scientific areas. Trainings for operational practice vary regarding objectives, target groups, application contexts, media, and effectiveness, if available. Trainings in scientific studies are well designed for specific purposes at hand, but not suitable for direct application in operational practice. Research is required to bridge the gap. An investigation on gait stability and control in a VR-based obstacle avoidance training scenario has been conducted to contribute to developments in STF prevention. Initial results indicated a high level of presence and no evidence for detrimental effects on body and gait stability through application of VR techniques. This provides a sound basis for analysis of other data still required and for guiding similar and subsequent studies along knowledge gained by training programs available