Head supported mass, moment of inertia, neck loads and stability: A simulation study.

Occupations or activities where donning head-supported mass (HSM) is commonplace put operators at an elevated risk of chronic neck pain. Yet, there is no consensus about what features of HSM influence the relative contributions to neck loads. Therefore, we tested four hypotheses that could increase neck loads: (i) HSM increases gravitational moments; (ii) more muscle activation is required to stabilize the head with HSM; (iii) the position of the HSM centre of mass (COM) induces gravitational moments; and (iv) the added moment of inertia (MOI) from HSM increases neck loads during head repositioning tasks. We performed a sensitivity analysis on the C5-C6 compression evaluated from a 24-degree freedom cervical spine model in OpenSim for static and dynamic movement trials. For static trials, we varied the magnitude of HSM, the position of its COM, and developed a novel stability constraint for static optimization. In dynamic trials, we varied HSM and the three principle MOIs. HSM magnitude and compression were linearly related to one another for both static and dynamic trials, with amplification factors varying between 1.9 and 3.9. Similar relationships were found for the COM position, although the relationship between C5-C6 peak compression and MOI in dynamic trials was generally nonlinear. This sensitivity analysis uncovered evidence in favour of hypotheses (i), (ii) and (iii). However, the model's prediction of C5-C6 compression was not overly sensitive to the magnitude of MOI. Therefore, the HSM mass properties may be more influential on neck compression than MOI properties, even during dynamic tasks.

Cervical Spine Motion Requirements From Night Vision Goggles May Play a Greater Role in Chronic Neck Pain than Helmet Mass Properties.

BACKGROUND: Chronic Neck Pain (CNP) among rotary-wing aircrew is thought to stem from night vision goggles (NVG) and counterweight (CW) systems which displace the centre of mass of the head. This investigation aimed to quantify the loads acting on the neck as a function of movement magnitude (MM), helmet conditions, and movement axes in rapid movements. METHODS: Cervical spine kinematics during rapid head repositioning tasks for flexion-extension (FE) and axial rotation (AR) movements were measured from 15 males and 15 females. Participants moved in either a 35° (Near MM) or 70° arc (Far MM), while donning a helmet, helmet with NVG, helmet with NVG and a typical CW, and a CW Liner (CWL). Measured EMG from three muscles bilaterally and used to drive a biomechanical model to quantify the compression and shear acting at the C5-C6 joint. RESULTS: In AR, the NVGs were associated with the largest compression magnitudes, 252 (24) N. CW conditions decreased the maximum compression to 249 (53) N. For FE, the compression was 340 N for the Far MM trials and 246 N for Near MMs. Changing the helmet configuration only modestly influenced these magnitudes in FE. CONCLUSION: Every 30° of MM increased compression by 57 to 105 N. The reduction of the moment of inertia by 16% in the CWL did not reduce reaction forces. Joint loads scaled proportionately with head-supported weight by a factor of 2.05. The magnitudes of loads suggest a cumulative loading pathway for CNP development.

Longitudinal bending stiffness does not affect running economy in Nike Vaporfly Shoes.

PURPOSE: This study aimed to determine the independent effect of the curved carbon-fiber plate in the Nike Vaporfly 4% shoe on running economy and running biomechanics. METHODS: Fifteen healthy male runners completed a metabolic protocol and a biomechanics protocol. In both protocols participants wore 2 different shoes, an intact Nike Vaporfly 4% (VFintact) and a cut Nike Vaporfly 4% (VFcut). The VFcut had 6 medio-lateral cuts through the carbon-fiber plate in the forefoot to reduce the effectiveness of the plate. In the metabolic protocol, participants ran at 14 km/h for 5 min, twice with each shoe, on a force-measuring treadmill while we measured metabolic rate. In the biomechanics protocol, participants ran across a runway with embedded force plates at 14 km/h. We calculated running economy, kinetics, and lower limb joint mechanics. RESULTS: Running economy did not significantly differ between shoe conditions (on average, 0.55% ± 1.77% (mean ± SD)) worse in the VFcut compared to the VFintact; 95% confidence interval (-1.44% to 0.40%). Biomechanical differences were only found in the metatarsophalangeal (MTP) joint with increased MTP dorsiflexion angle, angular velocity, and negative power in the VFcut. Contact time was 1% longer in the VFintact. CONCLUSION: Cutting the carbon-fiber plate and reducing the longitudinal bending stiffness did not have a significant effect on the energy savings in the Nike Vaporfly 4%. This suggests that the plate's stiffening effect on the MTP joint plays a limited role in the reported energy savings, and instead savings are likely from a combination and interaction of the foam, geometry, and plate.

Energetics and Biomechanics of Running Footwear with Increased Longitudinal Bending Stiffness: A Narrative Review.

In the wake of the quest to break the 2-h marathon barrier, carbon-fiber plates have become commonplace in marathon racing shoes. Despite the controversy surrounding this shoe technology, studies on the effects of increased longitudinal bending stiffness on running economy report mixed results. Here, we provide a comprehensive review of the current literature on midsole bending stiffness and carbon-fiber plates in distance running shoes, focusing on how longitudinal bending stiffness affects running energetics and lower limb mechanics. The current literature reports changes in running economy with increased longitudinal bending stiffness ranging from ~ 3% deterioration to ~ 3% improvement. In some studies, larger improvements have been observed, but often those shoes varied in many aspects, not just longitudinal bending stiffness. Biomechanically, increased longitudinal bending stiffness has the largest impact on metatarsal-phalangeal (MTP) and ankle joint mechanics. Plate location [top loaded (an insole), embedded (in between midsole foam), and bottom loaded (along the bottom of the shoe)] and geometry (flat/curved) affect joint moments and angular velocities at the MTP and ankle joint differently, which partly explains the mixed running economy results. Further research investigating how carbon-fiber plates interact with other footwear features (such as foam and midsole geometry), scaling of those with shoe size, body mass, and strike pattern, and comparing various plate placements is needed to better understand how longitudinal bending stiffness affects running economy.

Night Vision Goggle and Counterweight Use Affect Neck Muscle Activity During Reciprocal Scanning.

BACKGROUND: Mass, moment of inertia, and amplitude of neck motion were altered during a reciprocal scanning task to investigate how night vision goggles (NVGs) use mechanistically is associated with neck trouble among rotary-wing aircrew.METHODS: There were 30 subjects measured while scanning between targets at 2 amplitudes (near and far) and under 4 head supported mass conditions (combinations of helmet, NVGs, and counterweights). Electromyography (EMG) was measured bilaterally from the sternocleidomastoid and upper neck extensors. Kinematics were measured from the trunk and head.RESULTS: Scanning between the far amplitude targets required higher peak angular accelerations (7% increase) and neck EMG (between 1.24.5% increase), lower muscle cocontraction ratios (6.7% decrease), and fewer gaps in EMG (up to a 59% decrease) relative to the near targets. Increasing the mass of the helmet had modest effects on neck EMG, while increasing the moment of inertia did not.DISCUSSION: Target amplitude, not head supported mass configuration, had a greater effect on exposure metrics. Use of NVGs restricts field-of-view, requiring an increased amplitude of neck movement. This may play an important role in understanding links between neck trouble and NVG use.Healey LA, Derouin AJ, Callaghan JP, Cronin DS, Fischer SL. Night vision goggle and counterweight use affect neck muscle activity during reciprocal scanning. Aerosp Med Hum Perform. 2021; 92(3):172181.