Isokinetic analysis of ankle and ground reaction forces in runners and triathletes

Not Lower-Limb Joint Strength and Stiffness but Vertical Stiffness and Isometric Force-Time Characteristics Correlate With Running Economy in Recreational Male Runners

Neuromuscular characteristics, such as lower-limb joint strength, the ability to reuse elastic energy, and to generate force are essential factors influencing running performance. However, their relationship with running economy (RE) remains unclear. The aim of this study was to evaluate the correlations between isokinetic lower-limb joint peak torque (PT), lower-limb stiffness, isometric force-time characteristics and RE among recreational-trained male runners. Thirty male collegiate runners (aged 20–22 years, VO2max: 54.02 ± 4.67 ml·kg−1·min−1) participated in test sessions on four separate days. In the first session, the body composition and RE at 10 km·h−1 were determined. In the second session, leg and vertical stiffness (Kleg and Kvert), knee and ankle stiffness (Kknee and Kankle) were evaluated. In the third session, isokinetic knee and ankle joint PT at velocity of 60°s−1 were tested. The force-time characteristics of isometric mid-thigh pull (IMTP) were evaluated in the final session. The Pearson’s product-moment correlations analysis shows that there were no significant relationships between knee and ankle joint concentric and eccentric PT, Kknee and Kankle, Kleg, and RE at 10 km·h−1. However, Kvert (r = −0.449, p < 0.05) and time-specific rate of force development (RFD) for IMTP from 0 to 50 to 0–300 ms (r = −0.434 to −0.534, p < 0.05) were significantly associated with RE. Therefore, superior RE in recreational runners may not be related to knee and ankle joint strength and stiffness. It seems to be associated with vertical stiffness and the capacity to rapidly produce force within 50–300 ms throughout the lower limb.

Biomechanical evaluation in runners with Achilles tendinopathy

OBJECTIVES

To evaluate the clinical characteristics, ground reaction force (GRF), and function of the plantar muscles and dorsiflexors of the ankle in runners with and without Achilles tendinopathy (AT) and in non-runners.

METHODS

Seventy-two participants (42 men, 30 women; mean age: 37.3±9.9 years) were enrolled in this cross-sectional study and divided into three groups: AT group (ATG, n=24), healthy runners' group (HRG, n=24), and non-runners' group (NRG, n=24). Both ankles were evaluated in each group. The American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale was used for clinical and functional evaluation. GRF was evaluated using force plates and muscle strength was evaluated using an isokinetic dynamometer.

RESULTS

The AOFAS scores were lower in the ATG. The strike impulse was higher in the ATG than in the HRG and NRG. However, GRF was similar among the groups. The ATG exhibited lower total work at 120°/s speed than the HRG. The peak torque in concentric dorsiflexion was lower in the NRG than in the ATG and HRG. The peak torque and total work in concentric plantar flexion were lower in the NRG than in the ATG. The peak torque and total work in eccentric plantar flexion were lower in the NRG than in the ATG and HRG.

CONCLUSION

Runners with AT showed higher strike impulse, lower muscle strength of the plantar flexors, and higher clinical and functional damage.

Obesity and foot muscle strength are associated with high dynamic plantar pressure during running

Obese people are often encouraged to lose body mass by exercise. The aim of the study was to determine the effect of body mass and ankle muscle strength on the dynamic foot-pressure distribution before and after running. Twenty-five normal weight (72.0±5.3kg), 25 overweight (80.8±5.6kg) and 25 obese (96.8±6.5kg) age- and height-matched male recreational runners joined the study. Before and after 30min running, dynamic foot-pressure distribution during running, and ankle plantarflexor, dorsiflexor, invertor and evertor muscle strength were measured using a foot-scan pressure-plate and isokinetic dynamometer, respectively. Body mass index and percentage fat mass correlated positively to almost all components of foot-pressure distribution; this explantion was extracted from 14% (for toe 1) to 52% (for dynamic arch index) of peak foot pressure and between 21% (for metatarsal 1) to 48% (for midfoot) of the impulse underneath different foot zones. Only plantarflexor muscle strength significantly predicted plantar pressure and impulse underneath the T1, T2-5, midfoot area and the dynamic arch index. After running, plantarflexor and invertor muscle strength predicted from 30% (for metatarsal 2) to 58% (for metatarsal 1) of peak foot-pressure and impulse underneath the different foot zones. Obesity is associated with excessive plantar loading that is aggravated after running by fatigue-related reductions in plantar flexor and invertor muscle strength. To prevent foot pain and injuries related to excessive foot pressures, at the start of the weight control process non-weight bearing rather than weight-bearing exercise is advisable.

Foam Rolling and Muscle and Joint Proprioception After Exercise-Induced Muscle Damage

CONTEXT

Foam rolling (FR) is considered an effective postexercise modality for reducing delayed-onset muscle soreness and enhancing recovery of muscle function. However, the effects of FR on muscle and joint proprioception have not been investigated.

OBJECTIVE

To examine the effects of FR on muscle and joint proprioception after an intense exercise protocol.

DESIGN

Controlled laboratory study.

SETTING

University-based laboratory.

PATIENTS OR OTHER PARTICIPANTS

A total of 80 healthy, physically active male students were randomly assigned to either the FR (n = 40; age = 22.8 ± 3.3 years, height = 176.4 ± 5.3 cm, mass = 74.2 ± 6.4 kg) or passive-recovery (PR; n = 40; age = 23.0 ± 3.2 years, height = 178.1 ± 5.5 cm, mass = 74.6 ± 6.2 kg) group.

INTERVENTION(S)

Participants in both groups performed 4 sets of 25 repetitions of voluntary maximal eccentric contractions at 60°/s from 20° to 100° of knee flexion to induce exercise-induced muscle damage. The exercise was followed by either PR or 2 minutes of FR immediately (1 hour) and 24, 48, and 72 hours postexercise.

MAIN OUTCOME MEASURE(S)

Muscle soreness, pressure-pain threshold, quadriceps-muscle strength, joint position sense, isometric force sense, and threshold to detect passive movement at baseline and immediately, 24, 48, and 72 hours postexercise after FR.

RESULTS

Foam rolling resulted in decreased muscle pain, increased pressure-pain threshold, improved joint position sense, attenuated force loss, and reduced threshold to detect passive movement compared with PR at 24 and 48 hours postexercise.

CONCLUSIONS

Foam rolling postexercise diminished delayed-onset muscle soreness and improved recovery of muscle strength and joint proprioception. These results suggested that FR enhanced recovery from exercise-induced damage.

Running Stride Length And Rate Are Changed And Mechanical Efficiency Is Preserved After Cycling In Middle-Level Triathletes

Although cycling impairs the subsequent metabolic cost and performance of running in some triathletes, the consequences on mechanical efficiency (Eff) and kinetic and potential energy fluctuations of the body center of mass are still unknown. The aim of this study was to investigate the effects of previous cycling on the cost-of-transport, Eff, mechanical energy fluctuations (W_tot), spring stiffness (K_leg and K_vert) and spatiotemporal parameters. Fourteen middle-level triathletes (mean ± SD: maximal oxygen uptake, \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\dot{{\rm{V}}}$$\end{document}V˙O_2max = 65.3 ± 2.7 ml.kg⁻¹.min⁻¹, age = 30 ± 5 years, practice time = 6.8 ± 3.0 years) performed four tests. Two maximal oxygen uptake tests on a cycle ergometer and treadmill, and two submaximal 20-minute running tests (14 km.h⁻¹) with (prior-cycling) and without (control) a previous submaximal 30-minute cycling test. No differences were observed between the control and post-cycling groups in Eff or W_tot. The Eff remains unchanged between conditions. On the other hand, the K_vert (20.2 vs 24.4 kN.m⁻¹) and K_leg (7.1 vs 8.2 kN.m⁻¹, p < 0.05) were lower and the cost-of-transport was higher (p = 0.018, 3.71 vs 3.31 J.kg⁻¹.m⁻¹) when running was preceded by cycling. Significantly higher stride frequency (p < 0.05, 1.46 vs 1.43 Hz) and lower stride length (p < 0.05, 2.60 vs 2.65 m) were observed in the running after cycling condition in comparison with control condition. Mechanical adjustments were needed to maintain the Eff, even resulting in an impaired metabolic cost after cycling performed at moderate intensity. These findings are compatible with the concept that specific adjustments in spatiotemporal parameters preserve the Eff when running is preceded by cycling in middle-level triathletes, though the cost-of-transport increased.

The effects of motor adaptation on ankle isokinetic assessments in older drivers

OBJECTIVES

This study sought to analyze the extent of motor adaptation in ankle plantar flexors and dorsiflexors among older drivers during clinical isokinetic testing.

METHODS

One hundred older adults (70.4±5.7 years) participated in two bilateral ankle plantar flexor and dorsiflexor isokinetic assessments at 30°/sec. Peak torque (PTQ), PTQ adjusted for body weight (PTQ/BW), and total work (TW) were analyzed.

RESULTS

On the dominant side, PTQ/BW and TW were significantly greater for the second plantar flexion test than were those for the first such test (p<0.001), whereas PTQ, PTQ/BW, and TW (p<0.001) were significantly greater for the second dorsiflexion test than were those for the first such test. On the non-dominant side, plantar flexion PTQ and TW were significantly lower for the second test than were those for the first test (p<0.001).

CONCLUSION

Older drivers demonstrated better performance with the dominant limb on the second test. The low variability in test execution showed the existence of a motor adaptation effect for the tested movements, despite the short recovery period between the assessments.

Análise isocinética e cinética de corredores e triatletas com e sem histórico de fratura por estresse

INTRODUÇÃO: A associação da fadiga muscular com o aumento da força vertical de reação do solo representa risco de fratura por estresse de tíbia em esportes como a corrida de longa distância e o triatlo. Objetivo: Analisar e comparar parâmetros do componente vertical das forças de reação do solo e parâmetros musculares isocinéticos da flexão plantar (FP) e dorsiflexão (DF) do tornozelo entre grupos de corredores de longa distância e triatletas com e sem histórico de fratura por estresse de tíbia.MÉTODOS: Setenta e cinco atletas de corrida de longa distância e triatletas do sexo masculino, com média de idade de 30,26 ± 6,51 anos foram divididos de acordo com a história pregressa de fratura por estresse de tíbia em: grupo fratura (GF), composto por 12 indivíduos com história de fratura por estresse da tíbia, e grupo não-fratura (GNF), composto por 37 indivíduos sem história de fratura por estresse de tíbia. Os parâmetros cinéticos foram medidos durante a corrida por meio de uma plataforma de força AMTI, e os parâmetros isocinéticos por meio de dinamômetro isocinético Biodex (System 3).RESULTADOS: Para todas as variáveis isocinéticas e cinéticas, não houve diferenças entre GF e GNF.CONCLUSÃO: Ainda que não se tenha identificado uma diferença de desempenho entre os grupos estudados, o perfil cinético (impacto) e isocinético (atividade muscular) mostra que o treinamento da corrida com déficits em cuidados com a condição muscular e o controle de fatores extrínsecos pode criar uma situação de risco de ocorrência de fraturas por estresse.

Serial changes in knee muscle strength after anterior cruciate ligament reconstruction using hamstring tendon autografts

PURPOSE

The purpose of this study was to evaluate serial changes in quadriceps and hamstring muscle strength over the first postoperative year in patients who underwent anterior cruciate ligament (ACL) reconstruction with an autologous hamstring tendon graft and to reveal which of these 2 muscles lost more strength and recovered more slowly after autologous hamstring ACL reconstruction.

METHODS

Isokinetic muscle strength was measured preoperatively and at 6 months and 1 year postoperatively in 20 patients who underwent ACL reconstruction. The maximal torque (60°/s) and total work (180°/s) of the quadriceps and hamstring were evaluated using an isokinetic testing device. The isokinetic muscle strength and endurance of the injured legs were expressed as percentages of those of the uninjured legs at the same time point.

RESULTS

Both quadriceps and hamstring muscle strength at 60°/s and endurance at 180°/s of the injured relative to the uninjured leg was 50% preoperatively. Quadriceps muscle strength and endurance of the injured leg increased to 70% at 6 months and 80% at 1 year postoperatively, whereas hamstring muscle strength and endurance increased to 80% at 6 months and 80% at 1 year.

CONCLUSIONS

Knee muscle strength recovered progressively after ACL reconstruction using autologous hamstring tendons but did not fully recover, being about 80% that of the uninjured leg even 1 year after surgery.

LEVEL OF EVIDENCE

Level IV, therapeutic case series.