Systematic Reductions in Differential Ratings of Perceived Exertion Across a 2-Week Repeated-Sprint-Training Intervention That Improved Soccer Players' High-Speed-Running Abilities.

PURPOSE: To quantify changes in differential ratings of perceived exertion (dRPE) across a 2-wk repeated-sprint-training intervention that improved high-intensity intermittent-running ability and linear speed of semiprofessional soccer players. METHODS: Thirteen players completed 3 (sessions 1-3) or 4 (sessions 4-6) sets of 7 sprints (group 1 [n = 7]: 30-m straight; group 2 [n = 6]: 2 × 10-m shuttle), with 20 s and 4 min of recovery between sprints and sets, respectively. Postset perceptions of breathlessness (RPE-B) and leg-muscle exertion (RPE-L) were rated using the CR100 scale. RESULTS: Overall, RPE-B (mean [SD]: 46 [13] arbitrary units [AU], "hard") was most likely higher than RPE-L (39 [13] AU, "somewhat hard," mean difference: 8 AU; 90% confidence limits [CLs]: ±2). Set-to-set increases in dRPE (in AU; 90% CL: approximately ±2) were large in session 1 (RPE-B: 15; RPE-L: 14), moderate in sessions 2-5 (RPE-B: 7-10; RPE-L: 7-8), and small (RPE-B: 6) to moderate (RPE-L: 7) in session 6. Across the intervention, RPE-B reduced moderately in sets 3 (-13; 90% CL: ±4) and 4 (-12; 90% CL: ±12) and RPE-L reduced by a small magnitude in set 3 (-5; 90% CL: ±6). The set 4 change in RPE-L was unclear (-11; 90% CL: ±13). CONCLUSIONS: The authors observed systematic intrasession and intersession changes in dRPE across a 2-wk repeated-sprint-training intervention, with a fixed prescription of external load that improved semiprofessional soccer players' high-speed-running abilities. These findings could support dRPE as a measure of internal load and highlight its usefulness in evaluating repeated-sprint-training dose-response.

Differential training loads and individual fitness responses to pre-season in professional rugby union players.

We aimed to compare differentiated training loads (TL) between fitness responders and non-responders to an eight-week pre-season training period in a squad of thirty-five professional rugby union players. Differential TL were calculated by multiplying player's perceptions of breathlessness (sRPE-B) and leg muscle exertion (sRPE-L) with training duration for each completed session. Performance-based fitness measures included the Yo-Yo Intermittent Recovery Test Level 1 (YYIRTL1), 10-, 20-, and 30-m linear sprint times, countermovement jump height (CMJ) and predicted one-repetition maximum back squat (P1RM Squat). The proportion of responders (≥ 75% chance that the observed change in fitness was > typical error and smallest worthwhile change) were 37%, 50%, 52%, 82% and 70% for YYIRTL1, 20/30-m, 10-m, CMJ and P1RM Squat, respectively. Weekly sRPE-B-TL was very likely higher in YYIRTL1 responders (mean difference = 18%; ±90% confidence limits 11%), likely lower in 20/30-m (19%; ±20%) and 10-m (18%; ±17%) responders, and likely higher in CMJ responders (15%; ±16%). All other comparisons were unclear. Weekly sRPE-B discriminate between rugby union players who respond to pre-season training when compared with players who do not. Our findings support the collection of differential ratings of perceived exertion and the use of individual response analysis in team-sport athletes.

The Relationships Between Internal and External Measures of Training Load and Intensity in Team Sports: A Meta-Analysis.

BACKGROUND: The associations between internal and external measures of training load and intensity are important in understanding the training process and the validity of specific internal measures. OBJECTIVES: We aimed to provide meta-analytic estimates of the relationships, as determined by a correlation coefficient, between internal and external measures of load and intensity during team-sport training and competition. A further aim was to examine the moderating effects of training mode on these relationships. METHODS: We searched six electronic databases (Scopus, Web of Science, PubMed, MEDLINE, SPORTDiscus, CINAHL) for original research articles published up to September 2017. A Boolean search phrase was created to include search terms relevant to team-sport athletes (population; 37 keywords), internal load (dependent variable; 35 keywords), and external load (independent variable; 81 keywords). Articles were considered for meta-analysis when a correlation coefficient describing the association between at least one internal and one external measure of session load or intensity, measured in the time or frequency domain, was obtained from team-sport athletes during normal training or match-play (i.e., unstructured observational study). The final data sample included 122 estimates from 13 independent studies describing 15 unique relationships between three internal and nine external measures of load and intensity. This sample included 295 athletes and 10,418 individual session observations. Internal measures were session ratings of perceived exertion (sRPE), sRPE training load (sRPE-TL), and heart-rate-derived training impulse (TRIMP). External measures were total distance (TD), the distance covered at high and very high speeds (HSRD ≥ 13.1-15.0 km h-1 and VHSRD ≥ 16.9-19.8 km h-1, respectively), accelerometer load (AL), and the number of sustained impacts (Impacts > 2-5 G). Distinct training modes were identified as either mixed (reference condition), skills, metabolic, or neuromuscular. Separate random effects meta-analyses were conducted for each dataset (n = 15) to determine the pooled relationships between internal and external measures of load and intensity. The moderating effects of training mode were examined using random-effects meta-regression for datasets with at least ten estimates (n = 4). Magnitude-based inferences were used to interpret analyses outcomes. RESULTS: During all training modes combined, the external load relationships for sRPE-TL were possibly very large with TD [r = 0.79; 90% confidence interval (CI) 0.74 to 0.83], possibly large with AL (r = 0.63; 90% CI 0.54 to 0.70) and Impacts (r = 0.57; 90% CI 0.47 to 0.64), and likely moderate with HSRD (r = 0.47; 90% CI 0.32 to 0.59). The relationship between TRIMP and AL was possibly large (r = 0.54; 90% CI 0.40 to 0.66). All other relationships were unclear or not possible to infer (r range 0.17-0.74, n = 10 datasets). Between-estimate heterogeneity [standard deviations (SDs) representing unexplained variation; τ] in the pooled internal-external relationships were trivial to extremely large for sRPE (τ range = 0.00-0.47), small to large for sRPE-TL (τ range = 0.07-0.31), and trivial to moderate for TRIMP (τ range= 0.00-0.17). The internal-external load relationships during mixed training were possibly very large for sRPE-TL with TD (r = 0.82; 90% CI 0.75 to 0.87) and AL (r = 0.81; 90% CI 0.74 to 0.86), and TRIMP with AL (r = 0.72; 90% CI 0.55 to 0.84), and possibly large for sRPE-TL with HSRD (r = 0.65; 90% CI 0.44 to 0.80). A reduction in these correlation magnitudes was evident for all other training modes (range of the change in r when compared with mixed training - 0.08 to - 0.58), with these differences being unclear to possibly large. Training mode explained 24-100% of the between-estimate variance in the internal-external load relationships. CONCLUSION: Measures of internal load derived from perceived exertion and heart rate show consistently positive associations with running- and accelerometer-derived external loads and intensity during team-sport training and competition, but the magnitude and uncertainty of these relationships are measure and training mode dependent.

A detailed quantification of differential ratings of perceived exertion during team-sport training.

OBJECTIVES: To investigate the application of differential ratings of perceived exertion (dRPE) to team-sport training. DESIGN: Single cohort, observational study. METHODS: Twenty-nine professional rugby union players were monitored over a six-week intensified training period. Training sessions were classified as: high-intensity intervals, repeated high-intensity efforts, speed, skill-based conditioning, skills, whole-body resistance, or upper-body resistance. After each session, players recorded a session rating of perceived exertion (sRPE; CR100®), along with differential session ratings for breathlessness (sRPE-B), leg muscle exertion (sRPE-L), upper-body muscle exertion (sRPE-U), and cognitive/technical demands (sRPE-T). Each score was multiplied by the session duration to calculate session training loads. Data were analysed using mixed linear modelling and multiple linear regression, with magnitude-based inferences subsequently applied. RESULTS: Between-session differences in dRPE scores ranged from very likely trivial to most likely extremely large and within-session differences amongst dRPE scores ranged from unclear to most likely very large. Differential RPE training loads combined to explain 66-91% of the variance in sRPE training loads, and the strongest associations with sRPE training load were with sRPE-L for high-intensity intervals (r=0.67; 90% confidence limits ±0.22), sRPE-B for repeated high-intensity efforts (0.89; ±0.08) and skill-based conditioning (0.67; ±0.19), sRPE-T for Speed (0.63; ±0.17) and Skills (0.51; ±0.28), and sRPE-U for resistance training (whole-body: 0.61; ±0.21, upper-body: 0.92; ±0.07). CONCLUSIONS: Differential RPE can provide a detailed quantification of internal load during training activities commonplace in team sports. Knowledge of the relationships between dRPE and sRPE can isolate the specific perceptual demands of different training modes.

Repeated Sprints: An Independent Not Dependent Variable.

The ability to repeatedly perform sprints has traditionally been viewed as a key performance measure in team sports, and the relationship between repeated-sprint ability (RSA) and performance has been explored extensively. However, when reviewing the repeated-sprint profile of team-sports match play it appears that the occurrence of repeated-sprint bouts is sparse, indicating that RSA is not as important to performance as commonly believed. Repeated sprints are, however, a potent and time-efficient training strategy, effective in developing acceleration, speed, explosive leg power, aerobic power, and high-intensity-running performance--all of which are crucial to team-sport performance. As such, we propose that repeated-sprint exercise in team sports should be viewed as an independent variable (eg, a means of developing fitness) as opposed to a dependent variable (eg, a means of assessing fitness/performance).

Real-time measurement of pelvis and trunk kinematics during treadmill locomotion using a low-cost depth-sensing camera: A concurrent validity study.

There is currently no suitable kinematic system for a large-scale prospective trial assessing risk factors of musculoskeletal disorders. A practical kinematic system is described which involves the use of a single low-cost depth-sensing camera for the real-time measurement of 3-dimensional linear and angular pelvic and trunk range-of-movement (ROM). The method is based on the creation and processing of dynamic point clouds taken from the posterior surface of the pelvis and trunk. Nine healthy participants performed 3 trials of treadmill locomotion when walking at self-selected speed (3.6-5.6 km/h), running at 70% (10.9-14.0 km/h) and 90% of maximal speed (14.0-18.0 km/h). Stride-by-stride linear and angular ROM data were captured concurrently using the single depth-sensing camera running at 30 Hz (Kinect(TM) for Windows, Microsoft, USA) and a six-camera motion capture system at 100 Hz (Vicon MX13, Vicon Motion Systems, United Kingdom). Within subject correlation coefficients between the practical and criterion method ranged from very large to nearly perfect (r=0.87-1.00) for the linear ROM. Correlation coefficients for the angular ROM ranged from moderate to very large (r=0.41-0.80). The limits of agreement between the two systems for linear movements were ≤ 9.9 mm at all velocities of gait and ≤ 4.6° at all velocities of gait. The single camera system using depth-sensing technology is capable of capturing linear pelvic and trunk ROM during treadmill locomotion with reasonable precision when compared to the criterion method. Further improvements to the measurement of angles and validation across a wider population are recommended.

The Sensitivity of Differential Ratings of Perceived Exertion as Measures of Internal Load.

PURPOSE: To investigate the sensitivity of differential ratings of perceived exertion (dRPE) as measures of internal load. METHODS: Twenty-two male university soccer players performed 2 maximal incremental-exercise protocols (cycle, treadmill) on separate days. Maximal oxygen uptake (VO2max), maximal heart rate (HRmax), peak blood lactate concentration (B[La]peak), and the preprotocol-to-postprotocol change in countermovement-jump height (ΔCMJH) were measured for each protocol. Players provided dRPE (CR100) for breathlessness (RPE-B) and leg-muscle exertion (RPE-L) immediately on exercise termination (RPE-B0, RPE-L0) and 30 min postexercise (RPE-B30, RPE-L30). Data were analyzed using magnitude-based inferences. RESULTS: There were clear between-protocols differences for VO2max (cycle 46.5 ± 6.3 vs treadmill 51.0 ± 5.1 mL · kg-1 · min-1, mean difference -9.2%; ±90% confidence limits 3.7%), HRmax (184.7 ± 12.7 vs 196.7 ± 7.8 beats/min, -6.0%; ±1.7%), B[La]peak (9.7 ± 2.1 vs 8.5 ± 2.0 mmol/L, 15%; ± 10%), and ΔCMJH (-7.1 ± 4.2 vs 0.6 ± 3.6 cm, -23.2%; ± 5.4%). Clear between-protocols differences were recorded for RPE-B0 (78.0 ± 11.7 vs 94.7 ± 9.5 AU, -18.1%; ± 4.5%), RPE-L0 (92.6 ± 9.7 vs 81.3 ± 14.1 AU, 15.3%; ± 7.6%), RPE-B30 (70 ± 11 vs 82 ± 13 AU, -13.8%; ± 7.3%), and RPE-L30 (86 ± 12 vs 65 ± 19 AU, 37%; ±17%). A substantial timing effect was observed for dRPE, with moderate to large reductions in all scores 30 min postexercise compared with scores collected on exercise termination. CONCLUSION: dRPE enhance the precision of internal-load measurement and therefore represent a worthwhile addition to training-load-monitoring procedures.

Musculoskeletal injuries in British Army recruits: a prospective study of diagnosis-specific incidence and rehabilitation times.

BACKGROUND: Musculoskeletal injuries during initial military training are a significant medical problem facing military organisations globally. In order to develop an injury management programme, this study aims to quantify the incidence and rehabilitation times for injury specific diagnoses. METHODS: This was a prospective follow-up study of musculoskeletal injuries in 6608 British Army recruits during a 26-week initial military training programme over a 2-year period. Incidence and rehabilitation times for injury specific diagnoses were recorded and analysed. RESULTS: During the study period the overall incidence of musculoskeletal injuries was 48.6%, and the most common diagnosis was iliotibial band syndrome (6.2%). A significant proportion of the injuries occurred during the first 11 weeks of the programme. The longest rehabilitation times were for stress fractures of the femur, calcaneus and tibia (116 ± 17 days, 92 ± 12 days, and 85 ± 11 days, respectively). The combination of high incidence and lengthy rehabilitation indicates that medial tibial stress syndrome had the greatest impact on training, accounting for almost 20% of all days spent in rehabilitation. CONCLUSION: When setting prevention priorities consideration should be given to both the incidence of specific injury diagnoses and their associated time to recovery.

Isolated core training improves sprint performance in national-level junior swimmers.

PURPOSE: To quantify the effects of a 12-wk isolated core-training program on 50-m front-crawl swim time and measures of core musculature functionally relevant to swimming. METHODS: Twenty national-level junior swimmers (10 male and 10 female, 16±1 y, 171±5 cm, 63±4 kg) participated in the study. Group allocation (intervention [n=10], control [n=10]) was based on 2 preexisting swim-training groups who were part of the same swimming club but trained in different groups. The intervention group completed the core training, incorporating exercises targeting the lumbopelvic complex and upper region extending to the scapula, 3 times/wk for 12 wk. While the training was performed in addition to the normal pool-based swimming program, the control group maintained their usual pool-based swimming program. The authors made probabilistic magnitude-based inferences about the effect of the core training on 50-m swim time and functionally relevant measures of core function. RESULTS: Compared with the control group, the core-training intervention group had a possibly large beneficial effect on 50-m swim time (-2.0%; 90% confidence interval -3.8 to -0.2%). Moreover, it showed small to moderate improvements on a timed prone-bridge test (9.0%; 2.1-16.4%) and asymmetric straight-arm pull-down test (23.1%; 13.7-33.4%), and there were moderate to large increases in peak EMG activity of core musculature during isolated tests of maximal voluntary contraction. CONCLUSION: This is the first study to demonstrate a clear beneficial effect of isolated core training on 50-m front-crawl swim performance.

Gait retraining and incidence of medial tibial stress syndrome in army recruits.

PURPOSE: Gait retraining, comprising biofeedback and/or an exercise intervention, might reduce the risk of musculoskeletal conditions. The purpose was to examine the effect of a gait-retraining program on medial tibial stress syndrome incidence during a 26-wk basic military training regimen. METHODS: A total of 450 British Army recruits volunteered. On the basis of a baseline plantar pressure variable (mean foot balance during the first 10% of stance), participants classified as at risk of developing medial tibial stress syndrome (n = 166) were randomly allocated to an intervention (n = 83) or control (n = 83) group. The intervention involved supervised gait retraining, including exercises to increase neuromuscular control and flexibility (three sessions per week) and biofeedback enabling internalization of the foot balance variable (one session per week). Both groups continued with the usual military training regimen. Diagnoses of medial tibial stress syndrome over the 26-wk regimen were made by physicians blinded to the group assignment. Data were modeled in a survival analysis using Cox regression, adjusting for baseline foot balance and time to peak heel rotation. RESULTS: The intervention was associated with a substantially reduced instantaneous relative risk of medial tibial stress syndrome versus control, with an adjusted HR of 0.25 (95% confidence interval, 0.05-0.53). The number needed to treat to observe one additional injury-free recruit in intervention versus control at 20 wk was 14 (11 to 23) participants. Baseline foot balance was a nonspecific predictor of injury, with an HR per 2 SD increment of 5.2 (1.6 to 53.6). CONCLUSIONS: The intervention was effective in reducing incidence of medial tibial stress syndrome in an at-risk military sample.

The effect of isolated core training on selected measures of golf swing performance.

PURPOSE: This study aimed to quantify the effect of an 8-wk isolated core training program on selected ball and club parameters during the golf swing and also the variability of these measures. METHODS: Thirty-six club-level golfers were randomly assigned to an exercise (n = 18) or control (n =18) group. The exercise group participated in an 8-wk core training program, which included eight basic exercises. Both groups continued with their normal activity levels including golf. Baseline and postintervention measurements included club-head speed, backspin, sidespin, and timed core endurance. RESULTS: Baseline measures for club-head speed, backspin, sidespin, and core endurance test were 79.9 ± 8.4 mph, 3930 ± 780 rpm, 1410 ± 610 rpm, and 91 ± 56 s for the intervention group and 77.6 ± 8.8 mph, 3740 ± 910 rpm, 1290 ± 730 rpm, and 69 ± 55 s for the control group (mean ± SD). The effect of our core training, when compared with control, was a likely small improvement in club-head speed (3.6%; 90% confidence limits = ±2.7%) and a very likely small improvement in muscular endurance (61%; ±33%). The effect on backspin (5%; ±10%) and sidespin (-6%; ±20%) was unclear. Baseline variability for club-head speed, backspin, and sidespin (based on 10 swings per golfer) was 5.7% ± 5.3%, 43% ± 19%, and 140% ± 180% for the intervention group and 6.5% ± 5.3%, 53% ± 53%, and 170% ± 130% for control group. The effect of the intervention on within-subject variability was a moderate decrease for club-head speed, a small decrease for backspin, and a small increase for sidespin when compared with control. CONCLUSION: The benefits achieved from our isolated core training program are comparable with those from other studies.

Biomechanical and lifestyle risk factors for medial tibia stress syndrome in army recruits: a prospective study.

Medial tibial stress syndrome (MTSS) is a common injury in active populations and has been suggested to be a result of both biomechanical and lifestyle factors. The main aim of this study was to determine prospectively whether gait biomechanics and lifestyle factors can be used as a predictor of MTSS development. British infantry male recruits (n=468) were selected for the study. Plantar pressure variables, lifestyle factors comprising smoking habit and aerobic fitness as measured by a 1.5 mile timed-run were collected on the first day of training. Injury data were collected during the 26 week training period and incidence rate was 7.9% (n=37). A logistic regression model for membership of the MTSS and non-MTSS groups was developed. An imbalance in foot pressure with greater pressure on the medial side than on the lateral side was the primary risk factor. Low aerobic fitness, as deduced from a 1.5 mile timed-run and smoking habit were also important, but were additive risk factors for MTSS. In conclusion, "poor" biomechanics were the strongest predictors of MTSS development but lifestyle factors were also important. The logistic regression model combining all three risk factors was capable of predicting 96.9% of the non-injured group and 67.5% of the MTSS group with an overall accuracy of 87.7%. While the model has yet to be validated against an external sample and limitations exist with regards to the quality of the data collected, it is nonetheless suggested that the combined analysis of biomechanical and lifestyle factors has the potential to improve the prediction of MTSS.

An exploratory study on the combined effects of external and internal morphology on load dissipation in primate capitates: its potential for an understanding of the positional and locomotor repertoire of early hominins.

This pilot study explored whether the redirection of stress through trabeculae within morphologically constrained capitates provides information about habitual/positional behaviours unavailable from the study of external morphology alone. To assess this possibility, an experimental finite element approach was taken, whereby no attempt was made to reconstruct the actual magnitudes and loading conditions experienced by the capitates in vivo. Rather, this work addressed fundamental biological questions relating to bone plasticity, i.e. internal versus external bone morphology. The capitates of 7 species with different and - in the case of fossils - inferred locomotor behaviours were selected. Virtual models of capitates were created, scaled to the same size and subjected to the same theoretical load. In the first set of analyses, models were assigned the material properties of bone throughout, whereas in the second set, models were assigned 11 different material properties representing the trabecular architecture derived from high-resolution CT. Species with arboreal behaviours consistently redirected loads towards the ulnar aspect of the capitate when trabeculae were introduced, while terrestrial species, and the bipedal Homo, redirected stress towards the radial side. From these preliminary analyses, it is tentatively concluded that Australopithecus anamensis habitually engaged in arboreal behaviours, whereas Australopithecus afarensis did not.

Automated method to measure trabecular thickness from microcomputed tomographic scans and its application.

Trabeculae form the internal bony mesh work and provide strength to the bone; interconnectivity, overall density, and trabecular thickness are important measures of the integrity of the internal architecture. Such strength is achieved only gradually during ontogeny, whereby an increase in trabecular thickness precedes an increase in mineralization. Loss of bone mass later in life may be compensated for by thickening of the remaining trabeculae. These facts, and the role of trabeculae in mineral homeostasis, highlight the importance of investigating trabecular thickness within and between species. While nondestructive imaging techniques (i.e., muCT and MRI) are becoming increasingly popular, quantification of trabecular thickness using nondestructive techniques has proved difficult owing to limitations imposed by scanning parameters, uniform thresholding, and partial volume averaging. Here we present a computer application, which aims to overcome these problems. Validation is carried out against a phantom and against trabecular thickness measured in corresponding histological sections. Good agreement was found between these measurements. Furthermore, when trabecular thickness is recorded for modern human fetal ilia, a trend toward trabecular thickness increase is found and is in line with reports of ontogenetic morphometric changes using histological sections. However, there are discrepancies. These may in part be due to partial volume effects of obliquely oriented structures. More crucial, however, are problems inherent in histological sections, e.g., shrinkage and distortion, especially where differences in mineralization are concerned; this may affect biological interpretations.

The effect of heel-pad thickness and loading protocol on measured heel-pad stiffness and a standardized protocol for inter-subject comparability.

BACKGROUND: Heel-pad stiffness is an important parameter in clinical assessments of the lower limb and is usually quantified by the slope of the force-deformation curve. However, the data produced is affected by the geometry of the heel, thus making inferences about tissue behaviour difficult. METHOD: With the use of finite element analysis the aim of this study is to explore the possibility of expressing heel-pad stiffness in terms of stress-strain data. An axisymmetric, non-linear and time-dependent representation of the heel was created. The material model, incorporating non-linearity and viscoelasticity, was based on a series of experiments involving healthy, cadaveric specimens and loading at different loading rates (0, 175 and 350 mm/s). The conditions of an in vivo study were then replicated and stress-strain data of the model were compared. Good agreement was achieved (error <5%) at higher strains (>0.2). Probe diameter, loading rate and heel-pad thickness were then varied and heel-pad stiffness, expressed in terms of both force-deformation and stress-strain characteristics, reported. FINDINGS: In terms of the force-deformation characteristics, thin heels are consistently stiffer than thick heels. In terms of stress-strain characteristics, thicker heels are stiffer than thin heels using small probes whereas thinner heels are stiffer than thick heels using large probes. It was possible to predict stress-strain data of the heel-pad that are least-dependent of heel-pad thickness using large probes and slow-rising loads. INTERPRETATION: It is suggested that stress-strain curves derived from large probes under slow loads would provide the most robust and standardized measure of heel-pad stiffness.

The effect of loading conditions on stress in the barefooted heel pad.

PURPOSE: High internal stress is considered to be a possible cause of heel-pad problems. External biomechanical measurements are used to attempt to understand the causes of heel pain. However, internal stress cannot be measured experimentally. Therefore, the purpose of this study was to quantify the relationship between magnitude of force, time to peak force, and sole angle with internal stresses in the heel using a finite element model. METHODS: Computer tomography (CT) was used to create a nonlinear time-dependent three-dimensional finite element model of the heel pad. The material model was based on previously reported force-displacement data derived from in vitro experiments. Although it was not possible to compare internal calculations of stress with experimental data, good agreement was found for external plantar pressures and strains when compared with in vivo values. Internal stresses and external plantar pressures were then investigated for different forces, loading rates (i.e., time to peak force), and angles of foot inclination in the sagittal plane (i.e., sole angle). RESULTS: The results of the model indicate that compressive stress is localized in the region inferior to the calcaneal tuberosity. Peak internal compressive stress was greater than external plantar pressure. Increasing the loading rate (i.e., reducing the time to peak force) caused plantar pressure to increase to a greater extent than internal stress. The general levels of stress were higher when the heel was loaded in an inclined position (i.e., greater sole angle). CONCLUSION: The finite element technique provides a useful step in bridging the gap between external measures and internal mechanics of the heel pad. A combined kinematic, kinetic, and modeling approach may be required when attempting to identify the biomechanical source of heel pain.

Australopithecus anamensis: a finite-element approach to studying the functional adaptations of extinct hominins.

Australopithecus anamensis is the stem species of all later hominins and exhibits the suite of characters traditionally associated with hominins, i.e., bipedal locomotion when on the ground, canine reduction, and thick-enameled teeth. The functional consequences of its thick enamel are, however, unclear. Without appropriate structural reinforcement, these thick-enameled teeth may be prone to failure. This article investigates the mechanical behavior of A. anamensis enamel and represents the first in a series that will attempt to determine the functional adaptations of hominin teeth. First, the microstructural arrangement of enamel prisms in A. anamensis teeth was reconstructed using recently developed software and was compared with that of extant hominoids. Second, a finite-element model of a block of enamel containing one cycle of prism deviation was reconstructed for Homo, Pan, Gorilla, and A. anamensis and the behavior of these tissues under compressive stress was determined. Despite similarities in enamel microstructure between A. anamensis and the African great apes, the structural arrangement of prismatic enamel in A. anamensis appears to be more effective in load dissipation under these compressive loads. The findings may imply that this hominin species was well adapted to puncture crushing and are in some respects contrary to expectations based on macromorphology of teeth. Taking together, information obtained from both finite-element analyses and dental macroanatomy leads us to suggest that A. anamensis was probably adapted for habitually consuming a hard-tough diet. However, additional tests are needed to understand the functional adaptations of A. anamensis teeth fully.

Effect of prism orientation and loading direction on contact stresses in prismatic enamel of primates: implications for interpreting wear patterns.

The ability of prisms to effectively dissipate contact stress at the surface will influence wear rates in teeth. The aim of this investigation was to begin to quantify the effect of prism orientation on surface stresses. Seven finite element models of enamel microstructure were created, each model differing in the angulation of prism orientation with regard to the wear surface. For validation purposes, the mechanical behavior of the model was compared with published experimental data. In order to test the enamel under lateral loads, a compressed food particle was dragged across the surface from the dentino-enamel junction (DEJ) towards the outer enamel surface (OES). Under these conditions, tensile stresses in the enamel model increased with increases in the coefficient of friction. More importantly, stresses were found to be lowest in models in which the prisms approach the surface at lower angles (i.e., more obliquely cut prisms), and highest when the prisms approached the surface at 60 degrees (i.e., less obliquely cut). Finally, the direction of travel of the simulated food particle was reversed, allowing comparison of the difference in behavior between trailing and leading edge enamels (i.e., when the food particle was dragged either towards or away from the DEJ). Stresses at the trailing edge were usually lower than stresses at the leading edge. Taken together with what is known about prism orientation in primate teeth, such findings imply greater wear resistance at the intercuspal region and less wear resistance at the lateral enamel at midcrown. Such findings appear to be supported by archeological evidence.

The effect of saddle design on stresses in the perineum during cycling.

PURPOSE: Repetitive internal stress in the perineum has been associated with soft-tissue trauma in bicyclists. Using an engineering approach, the purpose of this study was to quantify the amount of compression exerted in the perineum for a range of saddle widths and orientations. METHODS: Computer tomography was used to create a three-dimensional voxel-based finite element model of the right side of the male perineum-pelvis. For the creation of the saddle model, a commercially available saddle was digitized and the surface manipulated to represent a variety of saddle widths and orientations. The two models were merged, and a static downward load of 189 N was applied to the model at the region representing the sacroiliac joint. For validation purposes, external stresses along the perineum-saddle interface were compared with the results of pressure sensitive film. Good agreement was found for these external stresses. The saddles were then stretched and rotated, and the magnitude and location of maximum stresses within the perineum were both recorded. In all cases, the model of the pelvis-perineum was held in an upright position. RESULTS: Stresses within the perineum were reduced when the saddle was sufficiently wide to support both ischial tuberosities. This supporting mechanism was best achieved when the saddle was at least two times wider than the bi-ischial width of the cyclist. Stresses in the anterior of the perineum were reduced when the saddle was tilted downward, whereas stresses in the posterior were reduced when the saddle was tilted upward. CONCLUSIONS: Recommendations that saddles should be sufficiently wide to support the ischial tuberosities appear to be well founded. Recommendations that saddles be tilted downward (i.e., nose down) are supported by the model, but with caution, given the limitations of the model.