Reliability of Xsens IMU-Based Lower Extremity Joint Angles during In-Field Running.

The Xsens Link motion capture suit has become a popular tool in investigating 3D running kinematics based on wearable inertial measurement units outside of the laboratory. In this study, we investigated the reliability of Xsens-based lower extremity joint angles during unconstrained running on stable (asphalt) and unstable (woodchip) surfaces within and between five different testing days in a group of 17 recreational runners (8 female, 9 male). Specifically, we determined the within-day and between-day intraclass correlation coefficients (ICCs) and minimal detectable changes (MDCs) with respect to discrete ankle, knee, and hip joint angles. When comparing runs within the same day, the investigated Xsens-based joint angles generally showed good to excellent reliability (median ICCs > 0.9). Between-day reliability was generally lower than the within-day estimates: Initial hip, knee, and ankle angles in the sagittal plane showed good reliability (median ICCs > 0.88), while ankle and hip angles in the frontal plane showed only poor to moderate reliability (median ICCs 0.38-0.83). The results were largely unaffected by the surface. In conclusion, within-day adaptations in lower-extremity running kinematics can be captured with the Xsens Link system. Our data on between-day reliability suggest caution when trying to capture longitudinal adaptations, specifically for ankle and hip joint angles in the frontal plane.

Bilateral Deficits in Dynamic Postural Stability in Females Persist Years after Unilateral ACL Injury and Are Modulated by the Match between Injury Side and Leg Dominance.

Previous research has documented brain plasticity after an anterior cruciate ligament (ACL) tear and suggests that these neural adaptations contribute to poorer motor control. Since both brain hemispheres show adaptations, we hypothesized that reduced dynamic stability occurs not only in the injured, but also the contralateral, uninjured leg. Further, given brain hemispheric specialization's impact on motor coordination, we hypothesized the need to consider the injury side. A total of 41 female athletes and 18 controls performed single-leg jump-landings. Dynamic postural stability was measured as time-to-stabilization (TTS). We found reduced medio-lateral dynamic stability for the ACL injured leg (p = 0.006) with a similar trend for the contralateral leg (p = 0.050) compared to the control group. However, when distinguishing between injuries to the dominant and non-dominant legs, we found increased medio-lateral TTS only if the injury had occurred on the dominant side where landings on injured (p = 0.006) and contralateral (p = 0.036) legs required increased TTS. Assessments of dynamic stability, e.g., in the context of return-to-sport, should consider the injury side and compare results not only between the injured and the contralateral leg, but also to uninjured controls. Future research should not pool data from the dominant-leg ACL with non-dominant-leg ACL injuries when assessing post-injury motor performance.

Ergonomic saddle design features influence lumbar spine motion and can reduce low back pain in mountain biking.

Low back pain is common in mountain biking due to the sustained flexion of the lumbar spine, particularly during fatiguing hill climbs. In this study, we investigated whether an ergonomic mountain bike saddle including a raised rear, a longitudinal dip, and a subtle lateral instability (the 'Active'-technology) can reduce acute low back pain at the end of a hill climb (>1 h) in a group of mountain bikers with a history of cycling-related low back pain (n = 28). In addition, we conducted a laboratory experiment to investigate the isolated effects of the 'Active'-technology on the cyclists' pelvis and spine motion as well as on the activity of surrounding muscles. The field test demonstrated a significant reduction in numerical low back pain ratings with the experimental saddle compared to the riders' own standard saddle (p = 0.001, strong effect). The laboratory-based data suggested that the 'Active'-technology does lead to potentially beneficial effects on pelvis-spine kinematics and muscle activity, which in combination with an optimised saddle geometry may explain the observed reduction in low back pain following mountain bike hill climbing.

Whole-body movement analysis using principal component analysis: What is the internal consistency between outcomes originating from the same movement simultaneously recorded with different measurement devices?

A growing number of studies apply Principal Component Analysis (PCA) on whole-body kinematic data to facilitate an analysis of posture changes in human movement. An unanswered question is, how much the PCA outcomes depend on the chosen measurement device. This study aimed to assess the internal consistency of PCA outcomes from treadmill walking motion capture data simultaneously collected through laboratory-grade optical motion capture and field-suitable inertial-based motion tracking. Data was simultaneously collected using VICON (whole-body plug-in gait marker positions) and Xsens (body segment positions) from 20 participants during 2-min treadmill walking. Using PCA, Principal Movements (PMs) were determined using two commonly used practices: on an individual and a grouped basis. For both, correlation matrices were used to determine internal consistency between outcomes from either measurement system for each PM. Both individual and grouped approach showed excellent internal consistency between outcomes from the two systems among the lower order PMs. For the individual analysis, high correlations were only found along the diagonal of the correlation matrix while the grouped analysis also showed high off-diagonal correlations. These results have important implications for future application of PCA in terms of the independence of the resulting PM data, the way group-differences are expressed in higher-order PMs and the interpretation of movement complexity. Concluding, while PCA-outcomes from the two systems start to deviate in the higher order PMs, excellent internal consistency was found in the lower order PMs which already represent about 98% of the variance in the dataset.

Intervention for Better Knee Alignment during Jump Landing: Is There an Effect of Internally vs. Externally Focused Instructions?

Externally focused attention is known to induce superior results in the movement outcome, whereas focusing attention on the moving body (internal focus) causes conscious control and constrains action. The study investigated effects on knee trajectory and whole-body movement complexity when addressing knee alignment using externally (EF) vs. internally (IF) focused instructions. Young ski racers, n = 24 (12 male), performed landings with subsequent jumps to submaximal height. Movements were tracked and analyzed during the ground contact phase. Sets of jumps were executed without instruction (CON), followed by EF and IF instructions on knee alignment in a random order. Medial-lateral displacement of the knee in landing quantified task achievement, and whole-body principal component analysis was used to compute movement complexity. Knee alignment instructions led to a significantly lower medial knee displacement compared to CON (p = 0.001, ηp2 = 0.35). EF vs. IF did not reach significance. EF, as well as IF instructions increased the prominence of the first movement pattern (p = 0.01, ηp2 = 0.22) with a reduction of higher-order patterns (p = 0.002, W = 0.11), suggesting a strategy of freezing degrees of freedom. Both instructions addressing the movement form positively influenced knee displacement during landing, and both led to a freezing strategy, simplifying whole-body coordination.

Systematic reduction of leg muscle activity throughout a standard assessment of running footwear.

PURPOSE: This study aimed to investigate whether there is a systematic change of leg muscle activity, as quantified by surface electromyography (EMG), throughout a standard running footwear assessment protocol at a predetermined running speed. METHODS: Thirty-one physically active adults (15 females and 16 males) completed 5 testing rounds consisting of overground running trials at a speed of 3.5 m/s. The level of muscle activity from 6 major leg muscles was recorded using surface EMG. The variables assessed were the EMG total intensity as a function of time and the cumulative EMG overall intensity. Systematic effects of the chronological testing round (independent variable) on the normalized EMG overall intensity (dependent variable) were examined using Friedman analysis of variates and post hoc pairwise Wilcoxon signed-rank tests (α = 0.05). RESULTS: There was a systematic reduction in overall EMG intensity for all 6 muscles over the time course of the running protocol (p < 0.001) until the fourth testing round when EMG intensities reached a steady state. The one exception was the biceps femoris muscle, which showed a significant reduction of EMG intensity during the stance phase (p < 0.001) but not the swing phase (p = 0.16). CONCLUSION: While running at a predetermined speed, the neuromuscular system undergoes an adaptation process characterized by a progressive reduction in the activity level of major leg muscles. This process may represent an optimization strategy of the neuromuscular system towards a more energetically efficient running style. Future running protocols should include a familiarization period of at least 7 min or 600 strides of running at the predetermined speed.

Fatigue-related reductions in movement smoothness during a lateral shuffle and side-cutting movement.

Although movement smoothness is considered a hallmark of well-coordinated motor tasks, it is unknown whether markers of movement smoothness can be used to assess the quality of neuromuscular control in athletes. As a first step into this direction, the purpose of this study was to test whether movement smoothness is reduced following a fatiguing lateral shuffle protocol due to fatigue-related adaptations in neuromuscular control. Sixteen healthy adults (7 females) completed a submaximal 3-minute lateral shuffle trial and a maximal fatiguing shuffle trial until task failure. The movement of the pelvis and feet was determined using 3D motion capture at 250 Hz. Movement smoothness was quantified using the log-dimensionless jerk, which represents how often and abruptly the segment acceleration changes over time. Pelvis and foot movement smoothness along with spatiotemporal variables characterizing the shuffling pattern were compared between the beginning and end of the fatiguing shuffle trial using Wilcoxon signed-rank tests (α = 0.05). Pelvis movement smoothness was significantly reduced in all movement directions (p ≤ 0.005, strong effects) while foot movement smoothness was predominantly reduced in the shuffle direction (p ≤ 0.018, moderate to strong effects). Reductions in movement smoothness coincided with a lower peak pelvis speed in shuffle direction (p = 0.007, strong effect) and shorter contact times when changing direction (p = 0.049, moderate effect). These reductions in movement smoothness may be explained by a change in the overall shuffle pattern characterized by "harder" side-cuts as well as by a muscle fatigue-related decline in the ability to precisely plan and execute foot trajectories.

Implications of Optimal Feedback Control Theory for Sport Coaching and Motor Learning: A Systematic Review.

Best practice in skill acquisition has been informed by motor control theories. The main aim of this study is to screen existing literature on a relatively novel theory, Optimal Feedback Control Theory (OFCT), and to assess how OFCT concepts can be applied in sports and motor learning research. Based on 51 included studies with on average a high methodological quality, we found that different types of training seem to appeal to different control processes within OFCT. The minimum intervention principle (founded in OFCT) was used in many of the reviewed studies, and further investigation might lead to further improvements in sport skill acquisition. However, considering the homogenous nature of the tasks included in the reviewed studies, these ideas and their generalizability should be tested in future studies.

Sex-Specific Hip Movement Is Correlated With Pelvis and Upper Body Rotation During Running.

There is a sex bias for common overuse running injuries that are associated with sex-specific hip kinematics. Gait retraining programs aimed at altering hip kinematics may be more efficient if they incorporated an understanding of how hip kinematics are correlated with the movement of the remaining body segments. We applied a principal component analysis to structure the whole-body running kinematics of 23 runners (12 ♀) into k = 12 principal movements (PMk), describing correlated patterns of upper and lower body movements. We compared the time-dependent movement amplitudes with respect to each PMk between males and females using a waveform analysis and interpreted our findings according to stick figure animations. The movement amplitudes of two PMs (PM6 and PM8) showed statistically significant effects of "sex," which were independent of running speed. According to PM8, females showed more hip adduction, which correlated with increased transverse rotation of the pelvis and upper body compared to men. We propose that increased hip adduction and upper body rotation in female runners may be a strategy to compensate for a less efficient arm and upper body swing compared to men. Gait interventions aimed at reducing hip adduction and running-related injuries in female runners should consider instructions for both upper and lower body to maximize training efficacy.

Principal postural acceleration and myoelectric activity: Interrelationship and relevance for characterizing neuromuscular function in postural control.

One approach to investigating sensorimotor control is to assess the accelerations that produce changes in the kinematic state of the system. When assessing complex whole-body movements, structuring the multi-segmental accelerations is important. A useful structuring can be achieved through a principal component analysis (PCA) performed on segment positions followed by double-differentiation to obtain "principal accelerations" (PAs). In past research PAs have proven sensitive to altered motor control strategies, however, the interrelationship between PAs and muscle activation (surface electromyography, sEMG) have never been determined. The purpose of the current study was therefore to assess the relationship between PAs and sEMG signals recorded from muscles controlling the ankle joint during one-leg standing trials. It was hypothesized that medium correlation should be observed when accounting for neurophysiologic latencies (electro-mechanical delay). Unipedal balancing on a level-rigid ground was performed by 25 volunteers. sEMG activities were recorded from the tibialis anterior, peroneus longus, gastrocnemius medialis, and soleus muscles of the stance leg. The first eight PA-time series were determined from kinematic marker data. Then, a cross-correlation analysis was performed between sEMG and PA time series. We found that peak correlation coefficients for many participants aligned at time delays between 0.116 and 0.362 s and were typically in the range small to medium (|r| = 0.1 to 0.6). Thus, the current study confirmed a direct association between many principal accelerations PA(t) and muscle activation signals recorded from four muscles crossing the ankle joint complex. The combined analysis of PA and sEMG signals allowed exploring the neuromuscular function of each muscle in different postural movement components.

Shoe feature recommendations for different running levels: A Delphi study.

Providing runners with footwear that match their functional needs has the potential to improve footwear comfort, enhance running performance and reduce the risk of overuse injuries. It is currently not known how footwear experts make decisions about different shoe features and their properties for runners of different levels. We performed a Delphi study in order to understand: 1) definitions of different runner levels, 2) which footwear features are considered important and 3) how these features should be prescribed for runners of different levels. Experienced academics, journalists, coaches, bloggers and physicians that examine the effects of footwear on running were recruited to participate in three rounds of a Delphi study. Three runner level definitions were refined throughout this study based on expert feedback. Experts were also provided a list of 20 different footwear features. They were asked which features were important and what the properties of those features should be. Twenty-four experts, most with 10+ years of experience, completed all three rounds of this study. These experts came to a consensus for the characteristics of three different running levels. They indicated that 12 of the 20 footwear features initially proposed were important for footwear design. Of these 12 features, experts came to a consensus on how to apply five footwear feature properties for all three different running levels. These features were: upper breathability, forefoot bending stiffness, heel-to-toe drop, torsional bending stiffness and crash pad. Interestingly, the experts were not able to come to a consensus on one of the most researched footwear features, rearfoot midsole hardness. These recommendations can provide a starting point for further biomechanical studies, especially for features that are considered as important, but have not yet been examined experimentally.

Reply to Comments: Hurdle Clearance Detection and Spatiotemporal Analysis in 400 Meters Hurdles Races Using Shoe-Mounted Magnetic and Inertial Sensor.

The current document answers the comment addressed by Schmidt, M [...].

Adolescent Awkwardness: Alterations in Temporal Control Characteristics of Posture with Maturation and the Relation to Movement Exploration.

A phenomenon called adolescent awkwardness is believed to alter motor control, but underlying mechanisms remain largely unclear. Since adolescents undergo neurological and anthropometrical changes during this developmental phase, we hypothesized that adolescents control their movements less tightly and use a different coordinative structure compared to adults. Moreover, we tested if emerging differences were driven by body height alterations between age groups. Using 39 reflective markers, postural movements during tandem stance with eyes open and eyes closed of 12 adolescents (height 168.1 ± 8.8 cm) and 14 adults were measured, in which 9 adults were smaller or equal than 180 cm (177.9 ± 3.0 cm) and 5 taller or equal than 190 cm (192.0 ± 2.5 cm). A principal component analysis (PCA) was used to extract the first nine principal movement components (PMk). The contribution of each PMk to the overall balancing movement was determined according to their relative variance share (rVARk) and tightness of motor control was examined using the number of times that the acceleration of each PMk changed direction (Nk). Results in rVARk did not show significant differences in coordinative structure between adolescents and adults, but Nk revealed that adolescents seem to control their movements less tightly in higher-order PMk, arguably due to slower processing times and missing automatization of postural control or potential increases in exploration. Body height was found to not cause motor control differences between age groups.

Hurdle Clearance Detection and Spatiotemporal Analysis in 400 Meters Hurdles Races Using Shoe-Mounted Magnetic and Inertial Sensors.

This research aimed to determine whether: (1) shoe-worn magnetic and inertial sensors can be used to detect hurdle clearance and identify the leading leg in 400-m hurdles, and (2) to provide an analysis of the hurdlers' spatiotemporal parameters in the intervals defined by the hurdles' position. The data set is composed of MIMU recordings of 15 athletes in a competitive environment. The results show that the method based on the duration of the flight phase was able to detect hurdle clearance and identify the leading leg with 100% accuracy. Moreover, by combining the swing phase duration with the orientation of the foot, we achieved, in unipedal configuration, 100% accuracy in hurdle clearance detection, and 99.7% accuracy in the identification of the leading leg. Finally, this study provides statistical evidence that contact time significantly increases, while speed and step frequency significantly decrease with time during 400 m hurdle races.

Quadriceps-hamstrings intermuscular coherence during single-leg squatting 3-12 years following a youth sport-related knee injury.

The purpose of this study was to determine the degree of co-contraction as per electromyographic gamma-band intermuscular coherence of the quadricep (Q) and hamstring (H) muscles during single-leg squatting (SLS), and to assess the influence of sex and self-reported knee complaints on the association between knee injury history and medial and lateral Q-H intermuscular coherence. Participants included 34 individuals who suffered a youth sport-related intra-articular knee injury 3-12 years previously, and 37 individuals with no knee injury history. Surface electromyographic signals were recorded from medial and lateral thigh muscles bilaterally to determine the gamma-band (30-60 Hz) intermuscular coherence between medial and lateral Q-H muscle pairs during SLS. Multivariable linear regression (α = 0.05) was performed to investigate the relationship between knee injury history (main exposure) and medial and lateral Q-H coherence (outcome) while accounting for the influence of sex and self-reported knee pain and symptoms (covariates). The median age of participants was 25 (range 18-30) and 67% were female. Q-H gamma-band coherence was present for 60-90% of legs. Medial and lateral Q-H coherence was higher in females compared to males. There was no evidence for an association between medial Q-H coherence, knee injury history, knee pain, or symptoms. There was evidence for an association between knee injury history and lateral Q-H coherence, which was modified by sex such that previously injured males demonstrated reduced Q-H coherence compared to uninjured males. These finding suggest that females demonstrate a more pronounced Q-H co-contraction strategy during a SLS than males regardless of knee injury history. Further, that male who suffered a youth sport-related knee injury 3-12 years previously demonstrate less Q-H co-contraction during a SLS than uninjured males. The mechanisms behind differences in neuromuscular control between males and females as well as previously injured and uninjured males require further investigation.

Classification of gait muscle activation patterns according to knee injury history using a support vector machine approach.

Abnormal muscle activation patterns during gait following knee injury that persist past the acute injury and rehabilitation phase (>three years) are not well characterized but may be related to post-traumatic knee osteoarthritis. The aim was to characterize the abnormal muscle activity from electromyograms of five leg muscles that were recorded during treadmill walking for young adults with and without a previous knee injury 3-12 years prior. The wavelet transformed and amplitude normalized electromyograms yielded intensity patterns that reflect the muscle activity of these muscles resolved in time and frequency. Patterns belonging to the affected or unaffected leg in previously injured participants and patterns belonging to a previously injured vs. uninjured participant were grouped and then classified using a principal component analysis followed by a support vector machine. A leave-one-out cross-validation was used to test the model significance and generalization. The results showed that trained classifiers could successfully recognize whether muscle activation patterns belonged to the affected or unaffected leg of previously injured individuals. Classification rates of 83% were obtained for all subjects, 100% for females only, indicating sex-specific knee injury effects. In contrast, it was not possible to discriminate between patterns belonging to the previously injured legs or dominant legs of control subjects. For females, the injured leg showed a stronger muscle activity for hamstring muscles and a lower activity for the vastus lateralis. In conclusion, systematic knee injury effects on the neuromuscular control of the knee during gait were present 3-12 years later.

Beta, gamma band, and high-frequency coherence of EMGs of vasti muscles caused by clustering of motor units.

The vasti muscles stabilize the knee joint during the running movement. This requires some motor units to synchronize. Test the hypothesis that EMGs from the vasti muscles (VM and VL) are coherent in four frequency bands, one below 30 Hz, the 40 Hz (30-45 Hz), the middle band up to 120 Hz, and the high-frequency band (135-280 Hz). Because the VM during one step and the VL during another step contain common EMG signal parts the inter-step coherence at low frequencies does not disappear when the coherence is computed between the EMGVM obtained from one step and the EMGVL of the previous step. Twelve participants ran on a treadmill at 2.9 m/s for 15 min. EMGs were recorded from the vasti muscles using bipolar current amplifiers. Ordinary coherence was computed between the EMGVM and EMGVL and for the inter-step-condition. Significant coherence was observed in all frequency bands. In the mid- and high-frequency range, coherence disappears for the inter-step condition, whereas the low-frequency coherence is still present. Four frequency bands must be considered. It was proposed that coherence at low frequencies reflects cortico-muscular interactions. However, the clustering of motor unit action potentials is sufficient to generate the low-frequency coherence as well. There is a low-frequency coherence resulting from EMGs of the vasti muscles that are similar in different steps. Therefore, at least these three effects must be considered to draw conclusions from the coherence of the vasti muscles at low frequencies that occur while running.

Intermuscular Coherence Between Surface EMG Signals Is Higher for Monopolar Compared to Bipolar Electrode Configurations.

Introduction: The vasti muscles have to work in concert to control knee joint motion during movements like walking, running, or squatting. Coherence analysis between surface electromyography (EMG) signals is a common technique to study muscle synchronization during such movements and gain insight into strategies of the central nervous system to optimize neuromuscular performance. However, different assessment methods related to EMG data acquisition, e.g., different electrode configurations or amplifier technologies, have produced inconsistent observations. Therefore, the aim of this study was to elucidate the effect of different EMG acquisition techniques (monopolar vs. bipolar electrode configuration, potential vs. current amplifier) on the magnitude, reliability, and sensitivity of intermuscular coherence between two vasti muscles during stable and unstable squatting exercises. Methods: Surface EMG signals from vastus lateralis (VL) and medialis (VM) were obtained from eighteen adults while performing series of stable und unstable bipedal squats. The EMG signals were acquired using three different recording techniques: (1) Bipolar with a potential amplifier, (2) monopolar with a potential amplifier, and (3) monopolar electrodes with a current amplifier. VL-VM coherence between the respective raw EMG signals was determined during two trials of stable squatting and one trial of unstable squatting to compare the coherence magnitude, reliability, and sensitivity between EMG recording techniques. Results: VL-VM coherence was about twice as high for monopolar recordings compared to bipolar recordings for all squatting exercises while coherence was similar between monopolar potential and current recordings. Reliability measures were comparable between recording systems while the sensitivity to an increase in intermuscular coherence during unstable vs. stable squatting was lowest for the monopolar potential system. Discussion and Conclusion: The choice of electrode configuration can have a significant effect on the magnitude of EMG-EMG coherence, which may explain previous inconsistencies in the literature. A simple simulation of cross-talk could not explain the large differences in intermuscular coherence. It is speculated that inevitable errors in the alignment of the bipolar electrodes with the muscle fiber direction leads to a reduction of information content in the differential EMG signals and subsequently to a lower resolution for the detection of intermuscular coherence.