Abstract

Acute ergogenic effects of wearing occlusal splints have been reported for aerobic and anaerobic exercises, but the literature centered on performance improvement by using jaw repositioning splints is scarce. We aimed to analyze the effect of wearing a 50% lower jaw advancement splint on biophysical and perceptual responses at low to severe running intensities. Sixteen middle- and long-distance runners performed twice a 7 × 800 m intermittent running protocol (with 1 km·h−1 increments and 30 s rest periods) in an outdoor track field using two lower intraoral splints (a placebo and a lower jaw advancer). These devices were custom manufactured for each participant and a randomized and repeated measure design was used to compare conditions. No differences between placebo and lower jaw advancer were found (e.g., 52.1 ± 9.9 vs. 53.9 ± 10.7 mL·kg−1·min−1 of oxygen uptake, 3.30 ± 0.44 vs. 3.29 ± 0.43 m of stride length and 16 ± 3 vs. 16 ± 2 Borg scores), but small effects were sometimes observed (e.g., 109.2 ± 22.5 vs. 112.7 ± 25.2 L·min−1 of ventilation, ES = −0.42). Therefore, this jaw advancement splint had no substantial ergogenic effect on biophysical and perceptual responses when running at different intensities.

Highlights

  • Ranging from sprint to ultramarathon, running performance depends on the time required to cover a given distance and results from the interplay between physiological and biomechanical determinants [1,2,3]

  • Since further research is required to clarify the likely outcomes on improving exercise performance, we have aimed to analyze the effect of wearing a 50% lower jaw advancement splint on the biophysics of running across a wide range of intensities

  • Running velocity was assessed by dividing the 800 m distance by the times accomplished at each running stage and was similar between placebo vs. 50% lower jaw advancement splint experimental conditions at the low, moderate, heavy and severe running intensity domains: 13.5 ± 2.9 vs. 13.4 ± 2.7, 15.3 ± 2.9 vs. 15.4 ± 2.7, 17.1 ± 2.7 vs. 17.2 ± 2.7 and 18.1 ± 2.5 vs. 18.1 ± 2.6 km·h−1, respectively

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Summary

Introduction

Ranging from sprint to ultramarathon, running performance depends on the time required to cover a given distance and results from the interplay between physiological and biomechanical determinants [1,2,3]. Since middle- and long-distance performances are mainly dependent on runners’ maximal oxygen uptake, exercise economy and technical skills [1,2,3], some preliminary studies aimed to understand how the dental occlusion and the mandibular position may impact running exercise. In this regard, occlusal splints have been manufactured aiming for muscular strength, endurance and lower limb kinematic improvements [4,5,6] and generic use for overall performance enhancement. It is unclear how far to advance the lower jaw to achieve ergogenic exercise effects, and more satisfactory outcomes seem to be obtained by dragging the jaw to a more prominent forward position (established at 50% of the maximal protrusion range position) [14]

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