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

PURPOSE: 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, for example, 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. METHODS: On different days, 18 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 predetermined distances throughout the run. The effects of shoes, distance, and their interaction were analyzed using a two-factor repeated-measures ANOVA. RESULTS: For both shoes, we found a redistribution of positive joint work from the ankle (-6%) to the knee (+3%) and the hip (+3%) throughout the entire run. Negative ankle joint work was higher (P < 0.01) with the racing flat compared with the cushioned shoe. Initial differences in foot strike patterns between shoes disappeared after 2 km of running distance. CONCLUSIONS: 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. Although 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.

Fatigue matters: An intense 10 km run alters frontal and transverse plane joint kinematics in competitive and recreational adult runners.

BACKGROUND: Fatigue is an essential component of distance running. Still, little is known about the effects of running induced fatigue on three-dimensional lower extremity joint movement, in particular in the frontal and transverse planes of motion. RESEARCH QUESTION: How are non-sagittal plane lower extremity joint kinematics of runners altered during a 10 km treadmill run with near-maximum effort? METHODS: In a cross-sectional study design, we captured three-dimensional kinematics and kinetics at regular intervals throughout a 10 km treadmill run in 24 male participants (subdivided into a competitive and recreational runner group) at a speed corresponding to 105 % of their season-best time. We calculated average and peak joint angles at the hip, knee and ankle during the stance phase. RESULTS: We observed peak deviations of 3.5°, 3° and 5° for the hip (more adduction), knee (more abduction) and ankle (more eversion) in the frontal plane when comparing the final (10 km) with the first (0 km) measurement. At the end of the run peak knee internal rotation angles increased significantly (up to 3° difference). Running with a more abducted knee joint and with a higher demand for hip abductor muscles in the unfatigued state was related to greater fatigue-induced changes of joint kinematics at the knee and hip. SIGNIFICANCE: The fatigue related change of non-sagittal joint kinematics needs to be considered when addressing risk factors for running-related injuries, when designing shoe interventions as well as strengthening and gait retraining protocols for runners. We speculate that strengthening ankle invertors and hip abductors and monitoring the dynamic leg axis during running appear to be promising in preventing fatigue induced alterations of non-sagittal joint kinematics.

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 (n = 13) and competitive long-distance runners (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 toward the knee and hip joint which was more distinctive in the recreational runner group than in the competitive runner group. This redistribution was accomplished by significant (P < 0.05) reductions of the external ground-reaction force lever arm and joint torque at the ankle and by the significant (P < 0.05) increase of the external ground-reaction force lever arm and joint torque at the knee and hip. CONCLUSIONS: 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 with ankle plantar flexors and require greater muscle volume activation for a given force. To improve running performance, long-distance runners may benefit from an exercise-induced enhancement of ankle plantar flexor muscle-tendon unit capacities.

Aqua Cycling Does Not Affect Recovery of Performance, Damage Markers, and Sensation of Pain.

Wahl, P, Sanno, M, Ellenberg, K, Frick, H, Böhm, E, Haiduck, B, Goldmann, J-P, Achtzehn, S, Brüggemann, G-P, Mester, J, and Bloch, W. Aqua cycling does not affect recovery of performance, damage markers, and sensation of pain. J Strength Cond Res 31(1): 162-170, 2017-To examine the effects of aqua cycling (AC) vs. passive recovery (P) on performance, markers of muscle damage, delayed onset of muscle soreness (DOMS), and the persons perceived physical state (PEPS) after 300 countermovement jumps (CMJs). Twenty male participants completed 300 CMJs. Afterward, they were randomly assigned to either the P group or the AC group, the latter performing 30 minutes of AC. Before, directly after the 300 CMJs, after the recovery session, and up to 72 hours post, performance of leg extensor muscles, damage markers, the PEPS, and DOMS were measured. Jumping height during 300 CMJs significantly decreased in both groups (AC: 13.4% and P: 14.6%). Maximal isometric strength (AC: 21% and P: 22%) and dynamic fatigue test (AC: 35% and P: 39%) of leg extensor muscles showed significant decreases in both groups. Myoglobin, creatine kinase, and lactate dehydrogenase significantly increased over time in both groups. Each of the 4 dimensions of the PEPS and DOMS showed significant changes over time. However, no significant differences between both groups were found for any of the parameters. Coaches and athletes should be aware that vertical jumping-induced fatigue decreases the ability to generate maximal isometric and submaximal dynamic force for more than 3 days after training. A single 30-minute session of AC was not able to attenuate the effects on muscular performance, markers of muscle damage, DOMS, or the PEPS compared with passive rest.

On the relationship between tibia torsional deformation and regional muscle contractions in habitual human exercises in vivo.

The mechanical relationship between bone and muscle has been long recognized. However, it still remains unclear how muscles exactly load on bone. In this study, utilizing an optical segment tracking technique, the in vivo tibia loading regimes in terms of tibia segment deformation in humans were investigated during walking, forefoot and rear foot stair ascent and running and isometric plantar flexion. Results suggested that the proximal tibia primarily bends to the posterior aspect and twists to the external aspect with respect to the distal tibia. During walking, peak posterior bending and peak torsion occurred in the first half (22%) and second half (76%) of the stance phase, respectively. During stair ascent, two noticeable peaks of torsion were found with forefoot strike (38% and 82% of stance phase), but only one peak of torsion was found with rear foot strike (78% of stance phase). The torsional deformation angle during both stair ascent and running was larger with forefoot strike than rear foot strike. During isometric plantar flexion, the tibia deformation regimes were characterized more by torsion (maximum 1.35°) than bending (maximum 0.52°). To conclude, bending and torsion predominated the tibia loading regimes during the investigated activities. Tibia torsional deformation is closely related to calf muscle contractions, which further confirm the notion of the muscle-bone mechanical link and shift the focus from loading magnitude to loading regimes in bone mechanobiology. It thus is speculated that torsion is another, yet under-rated factor, besides the compression and tension, to drive long bone mechano-adaptation.

In vivo application of an optical segment tracking approach for bone loading regimes recording in humans: a reliability study.

This paper demonstrates an optical segment tracking (OST) approach for assessing the in vivo bone loading regimes in humans. The relative movement between retro-reflective marker clusters affixed to the tibia cortex by bone screws was tracked and expressed as tibia loading regimes in terms of segment deformation. Stable in vivo fixation of bone screws was tested by assessing the resonance frequency of the screw-marker structure and the relative marker position changes after hopping and jumping. Tibia deformation was recorded during squatting exercises to demonstrate the reliability of the OST approach. Results indicated that the resonance frequencies remain unchanged prior to and after all exercises. The changes of Cardan angle between marker clusters induced by the exercises were rather minor, maximally 0.06°. The reproducibility of the deformation angles during squatting remained small (0.04°/m-0.65°/m). Most importantly, all surgical and testing procedures were well tolerated. The OST method promises to bring more insights of the mechanical loading acting on bone than in the past.

Fast-roping: potential consequences of vibrations for sensation and regulation of movement.

OBJECTIVES: Short-term exposure (2?30 seconds) to segmental mechanical vibrations with frequencies between 20 and 80 Hz affects proprioception of the central nervous system and manual dexterity and strength of man. It could be supposed that during fast-roping, Soldiers are exposed to hand?arm vibrations caused by the geometry of the rope. After the maneuver, Soldiers are encouraged to operate with high precision (e.g., aiming and shooting) within a few seconds. For safety, disturbances of the sensory system should be strongly avoided. The purpose of the study was to determine the vibrations induced by different rope geometries during fast-roping. METHODS: Eight men of the German Special Forces performed 10 fast-roping maneuvers with two different shaped ropes (slightly molded versus deeply molded). Vibration data and frequency spectrum for each trial were measured by using fast Fourier transformation. RESULTS: The analysis of data showed that fast-roping with a slightly molded rope produced frequencies of up to 10 Hz, while the frequencies with a deeply molded rope accounted for 18 to 60 Hz. The ropes differed significantly (p<.001) in frequencies between 20 and 50 Hz. The exposure time of vibration lasted between 3 and 5 seconds. CONCLUSION: Considering the negative effects associated with vibrations, prudence is required when using deeply molded ropes due to the increased vibrations of about 20 Hz.

Torsion and antero-posterior bending in the in vivo human tibia loading regimes during walking and running.

Bending, in addition to compression, is recognized to be a common loading pattern in long bones in animals. However, due to the technical difficulty of measuring bone deformation in humans, our current understanding of bone loading patterns in humans is very limited. In the present study, we hypothesized that bending and torsion are important loading regimes in the human tibia. In vivo tibia segment deformation in humans was assessed during walking and running utilizing a novel optical approach. Results suggest that the proximal tibia primarily bends to the posterior (bending angle: 0.15°-1.30°) and medial aspect (bending angle: 0.38°-0.90°) and that it twists externally (torsion angle: 0.67°-1.66°) in relation to the distal tibia during the stance phase of overground walking at a speed between 2.5 and 6.1 km/h. Peak posterior bending and peak torsion occurred during the first and second half of stance phase, respectively. The peak-to-peak antero-posterior (AP) bending angles increased linearly with vertical ground reaction force and speed. Similarly, peak-to-peak torsion angles increased with the vertical free moment in four of the five test subjects and with the speed in three of the test subjects. There was no correlation between peak-to-peak medio-lateral (ML) bending angles and ground reaction force or speed. On the treadmill, peak-to-peak AP bending angles increased with walking and running speed, but peak-to-peak torsion angles and peak-to-peak ML bending angles remained constant during walking. Peak-to-peak AP bending angle during treadmill running was speed-dependent and larger than that observed during walking. In contrast, peak-to-peak tibia torsion angle was smaller during treadmill running than during walking. To conclude, bending and torsion of substantial magnitude were observed in the human tibia during walking and running. A systematic distribution of peak amplitude was found during the first and second parts of the stance phase.

The potential of toe flexor muscles to enhance performance.

The metatarsal phalangeal joint (MPJ) and its crossing toe flexor muscles (TFM) represent the link between the large energy generating leg extensor muscles and the ground. The purpose of this study was to examine the functional adaptability of TFM to increased mechanical stimuli and the effects on walking, running and jumping performance. Fifteen men performed a heavy resistance TFM strength training with 90% of the maximal voluntary isometric contraction (MVIC) for 7 weeks (560 contractions) for the left and right foot. Maximal MPJ and ankle plantar flexion moments during MVICs were measured in dynamometers before and after the intervention. Motion analyses (inverse dynamics) were performed during barefoot walking, running, and vertical and horizontal jumping. Athletic performance was determined by measuring jump height and distance. Left (0.21 to 0.38 Nm · kg(-1); P < 0.001) and right (0.24 to 0.40 Nm · kg(-1); P < 0.001) MPJ plantar flexion moments in the dynamometer, external MPJ dorsiflexion moments (0.69 to 0.75 Nm · kg(-1); P = 0.012) and jump distance (2.25 to 2.31 m; P = 0.006) in horizontal jumping increased significantly. TFM responded highly to increased loading within a few weeks. The increased force potential made a contribution to an athlete's performance enhancement.

Evaluation of the performance of a motion capture system for small displacement recording and a discussion for its application potential in bone deformation in vivo measurements.

The aim of this study is to evaluate the performance of a motion capture system and discuss the application potential of the proposed system in in vivo bone-segment deformation measurements. In this study, the effects of the calibration procedure, camera distance and marker size on the accuracy and precision of the motion capture system have been investigated by comparing the captured movement of the markers with reference movement. The results indicated that the system resolution is at least 20 microm in a capture volume of 400 X 300 X 300 mm3, which mostly covers the range of motion of the tibia during the stance phase of one gait cycle. Within this volume, the system accuracy and precision decreased following the increase of camera distance along the optical axis of the cameras. With the best configuration, the absolute error and precision for the range of 20 microm displacement were 1.2-1.8 microm and 1.5-2.5 microm, respectively. Small markers (Ø3-8 mm) yielded better accuracy and repeatability than the larger marker (Ø10.5 mm). We conclude that the proposed system is capable of recording minor displacements in a relative large volume.