IMUs Can Estimate Hip and Knee Range of Motion during Walking Tasks but Are Not Sensitive to Changes in Load or Grade.

The ability to estimate lower-extremity mechanics in real-world scenarios may untether biomechanics research from a laboratory environment. This is particularly important for military populations where outdoor ruck marches over variable terrain and the addition of external load are cited as leading causes of musculoskeletal injury As such, this study aimed to examine (1) the validity of a minimal IMU sensor system for quantifying lower-extremity kinematics during treadmill walking and running compared with optical motion capture (OMC) and (2) the sensitivity of this IMU system to kinematic changes induced by load, grade, or a combination of the two. The IMU system was able to estimate hip and knee range of motion (ROM) with moderate accuracy during walking but not running. However, SPM analyses revealed IMU and OMC kinematic waveforms were significantly different at most gait phases. The IMU system was capable of detecting kinematic differences in knee kinematic waveforms that occur with added load but was not sensitive to changes in grade that influence lower-extremity kinematics when measured with OMC. While IMUs may be able to identify hip and knee ROM during gait, they are not suitable for replicating lab-level kinematic waveforms.

Optimizing Wearable Device and Testing Parameters to Monitor Running-Stride Long-Range Correlations for Fatigue Management in Field Settings.

PURPOSE: There are important methodological considerations for translating wearable-based gait-monitoring data to field settings. This study investigated different devices' sampling rates, signal lengths, and testing frequencies for athlete monitoring using dynamical systems variables. METHODS: Secondary analysis of previous wearables data (N = 10 runners) from a 5-week intensive training intervention investigated impacts of sampling rate (100-2000 Hz) and signal length (100-300 strides) on detection of gait changes caused by intensive training. Primary analysis of data from 13 separate runners during 1 week of field-based testing determined day-to-day stability of outcomes using single-session data and mean data from 2 sessions. Stride-interval long-range correlation coefficient α from detrended fluctuation analysis was the gait outcome variable. RESULTS: Stride-interval α reduced at 100- and 200- versus 300- to 2000-Hz sampling rates (mean difference: -.02 to -.08; P ≤ .045) and at 100- compared to 200- to 300-stride signal lengths (mean difference: -.05 to -.07; P < .010). Effects of intensive training were detected at 100, 200, and 400 to 2000 Hz (P ≤ .043) but not 300 Hz (P = .069). Within-athlete α variability was lower using 2-session mean versus single-session data (smallest detectable change: .13 and .22, respectively). CONCLUSIONS: Detecting altered gait following intensive training was possible using 200 to 300 strides and a 100-Hz sampling rate, although 100 and 200 Hz underestimated α compared to higher rates. Using 2-session mean data lowers smallest detectable change values by nearly half compared to single-session data. Coaches, runners, and researchers can use these findings to integrate wearable-device gait monitoring into practice using dynamic systems variables.

Cue utilisation is partially related to performance on an urban operations course but not experience.

INTRODUCTION: Decision making in use of force relies on accurate cue identification to inform appropriate response. This research was designed to test the relationship between cue utilisation and performance prior to, and following participation in an urban operations course (UOC). METHODS: A total of 37 participants were assessed on cue utilisation measures, course outcome and between group changes following course participation. RESULTS: A significant main effect was evident for Cue utilisation and administration, (p = 0.005), but not training group, (p = 0.54), nor between groups and point of administration, (p = 0.410). No main effect was evident between groups and training outcome, (p = 0.11). However, there was a main effect for point of administration, (p = 0.02) and training outcome and point of administration (p = 0.02). CONCLUSION: Although cue utilisation is an essential component of perception-action tasks, cues may be more specific to the relevant training environment with limited transfer to the operational context.

A Minimal Sensor Inertial Measurement Unit System Is Replicable and Capable of Estimating Bilateral Lower-Limb Kinematics in a Stationary Bodyweight Squat and a Countermovement Jump.

This study aimed to validate a 7-sensor inertial measurement unit system against optical motion capture to estimate bilateral lower-limb kinematics. Hip, knee, and ankle sagittal plane peak angles and range of motion (ROM) were compared during bodyweight squats and countermovement jumps in 18 participants. In the bodyweight squats, left peak hip flexion (intraclass correlation coefficient [ICC] = .51), knee extension (ICC = .68) and ankle plantar flexion (ICC = .55), and hip (ICC = .63) and knee (ICC = .52) ROM had moderate agreement, and right knee ROM had good agreement (ICC = .77). Relatively higher agreement was observed in the countermovement jumps compared to the bodyweight squats, moderate to good agreement in right peak knee flexion (ICC = .73), and right (ICC = .75) and left (ICC = .83) knee ROM. Moderate agreement was observed for right ankle plantar flexion (ICC = .63) and ROM (ICC = .51). Moderate agreement (ICC > .50) was observed in all variables in the left limb except hip extension, knee flexion, and dorsiflexion. In general, there was poor agreement for peak flexion angles, and at least moderate agreement for joint ROM. Future work will aim to optimize methodologies to increase usability and confidence in data interpretation by minimizing variance in system-based differences and may also benefit from expanding planes of movement.

Sex-Specific Physical Performance Adaptive Responses Are Elicited After 10 Weeks of Load Carriage Conditioning.

INTRODUCTION: The purpose of this study was to identify and characterize sex-specific physical and psychophysical performance adaptations in response to a novel 10-week training program. MATERIALS AND METHODS: Fifteen males and thirteen females completed a standardized load carriage task (5 km at 5.5 km.h-1, wearing a 23 kg torso-borne vest) before and after 10 weeks of resistance and load carriage training. Psychophysical responses (i.e., heart rate and ratings of perceived exertion) were measured throughout the load carriage task. Physical performance (i.e., countermovement and squat jumps, push-ups, sit-ups, and beep test) was measured at before, mid-way, and after the training program (weeks 0, 6, and 11, respectively). RESULTS: Training elicited significant improvements in squat jump maximal force, push-ups, and beep test performance (P < .05). Males outperformed females in all performance measures, with interactions (time, sex) for push-ups, sit-ups, and beep test performance. After training, aerobic capacity improved by 5.4% (42.9 mL· kg-1· min-1 to 45.2 mL· kg-1· min-1) in males but did not improve in females. Psychophysical responses decreased for both sexes (P < .05) during the load carriage task post-training. CONCLUSION: While 10 weeks of standardized training elicited positive adaptations in both physical and psychophysical performance, sex-specific differences were still evident. To lessen these differences, sex-specific training should be considered to optimize load carriage performance.

Evaluating the intra- and inter-day reliability of output measures for the VALD HumanTrak: dynamic movements and range of motion of the shoulder and hip with body armour.

The HumanTrak captures human movement through markerless motion tracking and can be a crucial tool in military physical screening. Reliability was examined in eighteen healthy participants who completed shoulder and hip ROM, and dynamic tasks in three body armour conditions. Generally, for all conditions, good to excellent reliability was observed in shoulder abduction and flexion, hip abduction and adduction, and dynamic squats knee and hip flexion (ICC ≥ 0.75 excluding outliers). Shoulder adduction and hip flexion demonstrated moderate to excellent reliability (ICC ≥ 0.50). Shoulder and hip extension and the drop jump were unreliable (ICC: 0.10-0.94, 0.15-0.89, and 0.30-0.82, respectively) due to the large distribution of ICC scores. Tasks with ROM values ≥ 100° involving movement towards or perpendicular to the HumanTrak camera tended to have greater reliability than movements moving away from the camera and out of the perpendicular plane regardless if body armour was worn.Practitioner summary: The HumanTrak analyses ROM in a time-efficient manner in a military setting. This study established that shoulder abduction and adduction (no body armour) and shoulder, hip, and knee flexion were the most reliable measurement for all conditions. Further work is required for movements across different planes.Abbreviations: ROM: range of motion; NBA: no body armour; BA: unloaded body armour; BA9: body armour with 9 kg; RGB: red, green, blue; ICC: intra-class correlation; SEM: standard error of measurement; MDC: minimal detectable change: MSE: mean square error; r: pearson correlations; N: sample size.

Measures of Lower Body Strength Associated With Injuries in Australian Special Forces Selection Candidates.

The diverse and grueling nature of activities undertaken during Special Forces selection makes it difficult to develop physical training to improve performance and reduce injury risk. It is generally accepted that increased strength is protective against injury, but it is unclear if this is evident in a Special Forces selection environment. This study investigated the effect of the rigors of a Special Forces selection course has on performance of the isometric mid-thigh pull, countermovement jump, squat jump, drop landing, elastic utilization ratio (EUR), and injury occurrence. Throughout the course, 26% of participants sustained a preventable lower limb injury, with 65% of these occurring at the knee. The uninjured had higher values of absolute strength as measured by isometric mid-thigh pull peak absolute force (3399 [371] N, 3146 [307] N; P = .022) and lower EUR (0.94 [0.08], 1.01 [0.09]; P = .025) compared to the injured. Preventable knee injury was significantly correlated with isometric mid-thigh pull (r = -.245, P = .031) and EUR (r = .227, P = .044). The selection course altered EUR for uninjured individuals only (P = .004). Findings indicate that individuals with higher strength levels may be at a lower risk of injury than their weaker counterparts.

Changes in acceleration load as measured by inertial measurement units manifest in the upper body after an extended running task.

The purpose of this study was to investigate the behaviour of physiological load measures as well as ground reaction forces (GRF) and acceleration load during a prolonged running task that simulated the running demands of an intermittent team sport. Nineteen males completed a maximal aerobic fitness test and an extended running protocol across two sessions. Participants wore a portable metabolic system, and four inertial measurement units (IMU), one on each foot, the lower back and upper back. GRF were measured via an instrumented treadmill. Change in metabolic, IMU and GRF variables across five blocks during the running protocol were assessed using a one-way repeated measures ANOVA. The running protocol elicited large increases in heart rate and oxygen consumption over time. No statistically significant changes in any peak impact accelerations were observed. Resultant acceleration area under the curve (AUC) increased at the lower and upper back locations but was unchanged at the foot. GRF active peak but not impact peak increased during the prolonged run. The results of this study indicate that the effect of an extended running task on IMU measures of external mechanical load is manifested in the upper body, and is effectively measured by AUC.

Negative Consequences of Pressure on Marksmanship May be Offset by Early Training Exposure to Contextually Relevant Threat Training: A Systematic Review and Meta-Analysis.

OBJECTIVE: The purpose of this meta-analytic review is to examine the relationship between increased psychological pressure and Use of Force (UOF) behaviours, identifying current training methodologies and effectiveness of transfer of training interventions in high threat-simulated scenarios. BACKGROUND: Data from UOF performance within Law Enforcement indicates a low transfer of marksmanship training into real-world UOF, resulting in unnecessary damage to property, personal injury and increased risk to loss of life. This meta-analysis examines both the impact of increased pressure and current training interventions. METHOD: A meta-analysis was conducted across a wide range of published research to answer the primary research questions. RESULTS: Increased levels of perceived pressure demonstrated an average decrease in marksmanship accuracy of 14.8%, together with a small increase in incorrect Decision Making (DM) and faster reaction Times (RT). Experience demonstrated a mitigating effect for pressure for marksmanship with a 1.1% increase for every one year of service but no effect on DM or RT. Training interventions utilizing a variety of early contextually relevant exposures to increased pressure improved performance over traditional training on average by 10.6%. CONCLUSION: The outcomes illustrate the negative effect of pressure on marksmanship and UOF behaviours, and that early exposure to contextually relevant pressure may increase the transfer of training to real-world performance. APPLICATION: Occupational experience is an important component in reducing the impact of pressure on UOF performance, and transfer of training may be enhanced through training methodologies that combine early exposure to contextually relevant pressure, that may replicate the benefits of experience.

Lower Limb Biomechanical Responses During a Standardized Load Carriage Task are Sex Specific.

INTRODUCTION: The purpose of this study was to investigate sex-specific lower limb biomechanical adaptations during a standardized load carriage task in response to a targeted physical training program. MATERIALS AND METHODS: Twenty-five healthy civilians (males [n = 13] and females [n = 12]) completed a load carriage task (5 km at 5.5 km·h-1, wearing a 23 kg vest) before and after a 10-week lower-body-focused training program. Kinematics and ground reaction force data were collected during the task and were used to estimate lower limb joint kinematics and kinetics (i.e., moments and powers). Direct statistical comparisons were not conducted due to different data collection protocols between sexes. A two-way repeated measures ANOVA tested for significant interactions between, and main effects of training and distance marched for male and female data, respectively. RESULTS: Primary kinematic and kinetic changes were observed at the knee and ankle joints for males and at the hip and knee joints for females. Knee joint moments increased for both sexes over the 5 km distance marched (P > .05), with males demonstrating significant reductions in peak knee joint extension after training. Hip adduction, internal rotation, and knee internal rotation angles significantly increased after the 5 km load carriage task for females but not males. CONCLUSION: Differences in adaptive gait strategies between sexes indicate that physical training needs to be tailored to sex-specific requirements to meet standardized load carriage task demands. The findings highlighted previously unfound sex-specific responses that could inform military training and facilitate the integration of female soldiers into physically demanding military roles.

Physiological Responses of Female Load Carriage Improves after 10 Weeks of Training.

PURPOSE: This study aimed to characterize and evaluate female-specific physiological and perceptual responses during a load carriage walking task before and after a 10-wk physical training program. METHODS: Eleven recreationally active women (age, 21.5 ± 2.2 yr; stature, 1.66 ± 0.8 m; body mass, 64.4 ± 6.8 kg) completed a load carriage task (5 km at 5.5 km·h, wearing a 23-kg torso-borne vest) before and after a 10-wk physical training program. Physiological (i.e., maximal oxygen uptake, carbon dioxide production, respiratory exchange ratio (RER), breathing frequency, and pulmonary ventilation) and perceptual (i.e., rating of perceived exertion [RPE]) responses were collected during the load carriage task. Additional physical performance measures (i.e., push-ups, sit-ups, beep test, and isometric midthigh pull) were collected in a separate session before and after the 10-wk of training. RESULTS: Compared with before training, maximal oxygen uptake requirements reduced during the load carriage task (P < 0.05), whereas heart rate and RPE remained similar. RER reductions over the 5-km march indicated a shift toward fat utilization, with other physiological responses demonstrating an increased ability to sustain the metabolic demands of the load carriage task. Increases in push-up and isometric midthigh pull performance demonstrated improvements in upper-body muscular endurance and lower-body strength after the 10-wk training program (P < 0.05). CONCLUSIONS: During a standardized load carriage task, physiological and perceptual responses indicated physical adaptations to specific training in women. Although positive physiological responses were elicited, additional strategies (i.e., cognitive resilience training, female-specific vest design to reduce pain burden) to build load carriage task-specific resilience (perceptual responses) may be required.

Ankle and knee moment and power adaptations are elicited through load carriage conditioning in males.

Soldiers routinely conduct load carriage and physical training to meet occupational requirements. These tasks are physically arduous and are believed to be the primary cause of musculoskeletal injury. Physical training can help mitigate injury risk when specifically designed to address injury mechanisms and meet task demands. This study aimed to assess lower-limb biomechanics and neuromuscular adaptations during load carriage walking in response to a 10-week evidence-based physical training program. Thirteen male civilian participants donned 23 kg and completed 5 km of load carriage treadmill walking, at 5.5 km h-1 before and after a 10-week physical training program. Three-dimensional motion capture and force plate data were acquired in over-ground walking trials before and after treadmill walking. These data were inputs to a musculoskeletal model which estimated lower-limb joint kinematics and kinetics (i.e., moments and powers) using inverse kinematics and dynamics, respectively. A two-way analysis of variance revealed significant main effect of training for kinematic and kinetics parameters at the knee and ankle joints (p < 0.05). Post-Hoc comparisons demonstrated a significant decrease (4.2%) in total negative knee power between pre- and post-March 5 km measures after training (p < 0.05). Positive power contribution shifted distally after training, increasing at the post-march measure from 39.9% to 43.6% at the ankle joint (p < 0.05). These findings demonstrate that a periodised training program may reduce injury risk through favourable ankle and knee joint adaptations.

Load-Carriage Conditioning Elicits Task-Specific Physical and Psychophysical Improvements in Males.

Wills, JA, Saxby, DJ, Glassbrook, DJ, and Doyle, TLA. Load-carriage conditioning elicits task-specific physical and psychophysical improvements in males. J Strength Cond Res 33(9): 2338-2343, 2019-Load carriage is a requirement of many military roles and is commonly used as an assessment of soldier physical readiness. Loaded, compared with unloaded, walking tasks elicit increased physical demands, particularly around the hip joint, which can exceed the initial capacity of military personnel. This study aimed to identify and characterize physical performance responses to a lower-limb focused physical training program targeted toward load-carriage task demands. Fifteen healthy male civilians (22.6 ± 1.5 years, 1.82 ± 0.06 m, and 84.1 ± 6.9 kg) completed a 10-week physical training program consisting of resistance training and weighted walking. A load-carriage task representing the Australian Army All Corps minimum standard (5 km at 5.5 km·h, wearing a 23-kg torso-borne vest) was completed before and on completion of the 10-week training program. Heart rate and rating of perceived exertion measures were collected throughout the load-carriage task. The performance measures of countermovement and squat jumps, push-ups, sit-ups, and beep test were performed before, mid-way, and on completion (weeks 0, 6, and 11) of the 10-week training program. Psychophysical performance, as measured by rating of perceived exertion, significantly decreased (p < 0.05) during the load-carriage task after training, demonstrating improvements in psychophysical responses. The training program resulted in significant increases in squat jump maximal force, push-ups, sit-ups (p < 0.05), and estimated maximal oxygen uptake (p < 0.05). Physical performance improvements and positive physiological adaptations to a load-carriage task were elicited in males after completing a 10-week training program. Military organizations could use this evidence-based training program to efficiently train soldiers to improve their load-carriage capacity.

Prolonged running increases knee moments in sidestepping and cutting manoeuvres in sport.

OBJECTIVES: To investigate how knee kinematics, kinetics and loading changes during sidestepping tasks following a prolonged running protocol performed in a laboratory setting. DESIGN: All participants performed sidestepping, and crossover cutting tasks in a randomised order before and after a 60min running protocol on a non-motorised treadmill that simulated an AF game. METHODS: Eight healthy male participants who partook in semi-professional and amateur Australian Football undertook a series of straight line runs, sidestepping (SS), and crossover cutting (XO) tasks before and after a simulated game of Australian football. Kinematic data were analysed at initial foot contact of the SS and XO manoeuvres and kinetic data were analysed during the weight acceptance phase of the stance. RESULTS: The knee was significantly more flexed at foot contact following fatigue compared to pre-fatigue states. Fatigue was also a factor contributing to significant increases in internal knee extension moments. Significant differences were also observed between SS and XO trials with flexion/extension moments, with notable differences in varus/valgus and internal/external rotation moments. CONCLUSIONS: Acute angles of knee flexion at foot strike in a fatigued state may place the joint at an increased risk of injury. Increases in knee extension moments in the fatigued state suggests the knee joint must withstand significantly high stresses once fatigued.