Kinematics of Maximal Speed Sprinting With Different Running Speed, Leg Length, and Step Characteristics.

This study investigated the changes in running mechanics and spring-mass behavior over a 24-h treadmill run (24TR). Kinematics, kinetics, and spring-mass characteristics of the running step were assessed in 10 experienced ultralong-distance runners before, every 2 h, and after a 24TR using an instrumented treadmill dynamometer. These measurements were performed at 10 km·h, and mechanical parameters were sampled at 1000 Hz for 10 consecutive steps. Contact and aerial times were determined from ground reaction force (GRF) signals and used to compute step frequency. Maximal GRF, loading rate, downward displacement of the center of mass, and leg length change during the support phase were determined and used to compute both vertical and leg stiffness. Subjects' running pattern and spring-mass behavior significantly changed over the 24TR with a 4.9% higher step frequency on average (because of a significantly 4.5% shorter contact time), a lower maximal GRF (by 4.4% on average), a 13.0% lower leg length change during contact, and an increase in both leg and vertical stiffness (+9.9% and +8.6% on average, respectively). Most of these changes were significant from the early phase of the 24TR (fourth to sixth hour of running) and could be speculated as contributing to an overall limitation of the potentially harmful consequences of such a long-duration run on subjects' musculoskeletal system. During a 24TR, the changes in running mechanics and spring-mass behavior show a clear shift toward a higher oscillating frequency and stiffness, along with lower GRF and leg length change (hence a reduced overall eccentric load) during the support phase of running.

1) To evaluate the effects of a 12-wk high-intensity knee extensor and flexor resistance training program on strength, pain, and adherence in patients with advanced knee osteoarthritis and varus malalignment and 2) to generate pilot data for change in dynamic knee joint load, patent-reported outcomes, and self-efficacy after training. Fourteen patients (48.35 +/- 6.51 yr) with radiographically confirmed medial compartment knee osteoarthritis and varus malalignment of the lower limb were recruited from a surgical waiting list for high tibial osteotomy. Participants completed a high-intensity isokinetic resistance training program three times per week for 12 wk. Knee extensor and flexor strength were assessed every third week, whereas pain and adherence were recorded at every training session. The external knee adduction moment during the gait, the 6-min-walk test, the Knee Injury and Osteoarthritis Outcome Score (KOOS), and the Arthritis Self-Efficacy Scale (ASES) were also evaluated before and after training. Significant improvements in knee extensor and flexor strength were observed without increases in pain during or after training. Adherence to the high-intensity program was high. No significant changes were observed for dynamic knee joint load or the KOOS. There was a significant increase in the function subscale of the ASES only. These findings suggest that patients with advanced knee osteoarthritis and malalignment can experience substantial gains in strength after a high-intensity resistance training program without concomitant increases in pain, adverse events, or compromised adherence. These findings provide support for future clinical trials with longer-term outcomes.

Maximum sprinting speed constitutes an optimum relation between the stride length and the step rate in addition to an appropriate sprinting technique. The kinematics of the sprint step at maximum sprinting speed have already been examined in numerous studies, without reaching a consensus. The aim of this study was to analyze the relationship between maximum sprinting speed and the stride kinematics based on the “Swing-Pull Technique”. German elite sprinters (N = 26, body height = 182 ± 6 cm, leg length 93.8 ± 4.1 cm) were tested while performing a 30-meter flying sprint at maximum sprinting speed. The relationship between sprinting speed and kinematic variables was determined via Pearson correlation. Sprinting speed (10.1 – 11.3 m/s) correlated with stride length (r = 0.53), ground contact time (r = -0.53) and variables from the technique model: the knee angle at the end of the knee lift swing (r = 0.40), the maximum knee angle prior to backswing (r = 0.40), the hip extension angle velocity (r = 0.63), and vertical foot velocity (r = 0.77) during pre-support, the ankle angle at the take-on (r = -0.43), knee flexion (r = -0.54), and knee extension (r = -0.47) during support. The results indicate that greater stride length, smaller contact time, and the mentioned kinematic step characteristics are relevant for the production of maximum sprinting speed in athletes at an intermediate to advanced performance level. The association of sprinting speed and these features should primarily be taken into account in conditioning and technical training.

The main purpose of this study was to determine the absolute and relative reliability of isokinetic peak torque (PT), angle of peak torque (APT), average power (PW) and total work (TW) for knee flexion and extension during concentric and eccentric actions measured in a prone position at 60, 180 and 240° s(-1). A total of 50 recreational athletes completed the study. PT, APT, PW and TW for concentric and eccentric knee extension and flexion were recorded at three different angular velocities (60, 180 and 240° s(-1)) on three different occasions with a 72- to 96-h rest interval between consecutive testing sessions. Absolute reliability was examined through typical percentage error (CV(TE)), percentage change in the mean (ChM) and relative reliability with intraclass correlations (ICC(3,1)). For both the knee extensor and flexor muscle groups, all strength data (except APT during knee flexion movements) demonstrated moderate absolute reliability (ChM < 3%; ICCs > 0·70; and CV(TE) < 20%) independent of the knee movement (flexion and extension), type of muscle action (concentric and eccentric) and angular velocity (60, 180 and 240° s(-1)). Therefore, the current study suggests that the CV(TE) values reported for PT (8-20%), APT (8-18%) (only during knee extension movements), PW (14-20%) and TW (12-28%) may be acceptable to detect the large changes usually observed after rehabilitation programmes, but not acceptable to examine the effect of preventative training programmes in healthy individuals.

Relationship between muscle strength and knee pain in knee osteoarthritis patients

National Institute of Aging; University of Wisconsin Graduate School. Isokinetic equipment is used for measuring muscular strength for both experimental and rehabilitative purposes. In this study two LIDO(R) isokinetic dynamometer systems, the LIDO-digital and the LIDO-active, were compared at 60, 180, 240, and 300 degrees /see for peak torque (PT) and average work output (WO) of knee flexion and extension. Twenty-five elderly women (age range = 65-86) were tested on both systems within seven days. The data were compared by using a repeated measures ANOVA followed by a Dunn-Bonferroni posthoc comparison (p </= .0125). Knee flexion PT was significantly different (p </= .0125) at all angular velocities tested. Knee extension PT was significantly different (p </= .0125) at all speeds except 180 degrees /sec. Knee flexion WO was significantly different (p </= .0125) at all angular velocities except 60 degrees /sec; whereas, knee extension WO was not significantly different. The data indicate that for healthy women over 65, these two systems are not totally comparable for knee extension and flexion. Therefore, in both clinical and experimental settings, caution should be taken when comparing results across systems or when comparing patients' results with norms established from data obtained on a different system. J Orthop Sports Phys Ther 1991;13(4):199-202.

This study investigated acute effects of different conditioning activities on sprint performance of collegiate sprinters using a randomized, crossover design. Male sprinters (N = 10; 20.1 ± 0.6 years; 174.6 ± 4.4 cm; 66.7 ± 3.5 kg; 100-m race personal best time, 11.46 ± 0.57 s; means ± SDs) performed two 60-m sprints and one of three treatments within the same day, with an interval of 2 days between the treatments. The baseline sprint was followed by one of three different conditioning activities: mini-hurdles, bounding jumps, or a free sprint. Participants then performed the post treatment sprint. In the mini-hurdle drill, the participants ran over 10 × 10 mini-hurdles (height 22 cm) as fast as possible. In the bounding jump drill, the participants performed three 60-m bounding jumps as explosively and far as possible, with 3 min intervals between trials. In the free-sprint conditioning activity, the participants performed a 60-m maximal sprint twice, with a 5 min interval between sprints. Sprint kinematics in the baseline and post treatment sprints were recorded using a high-speed camera (300 Hz). Using these films, sprint time, running velocity, step length, and step frequency were analyzed over 10 m intervals. The results of ANOVAs indicated that the mini-hurdle drill increased the maximal sprint velocity (3.2 %) and maximal step frequency (3.3 %); the other conditioning activities had no such effects. Step length did not change after any of the conditioning activities. These results suggest that conditioning activities with mini-hurdles, which require movements with a high step frequency, acutely enhances velocity during sprinting, possibly as a result of increasing step frequency.

Background: The regulation of muscle force is a vital aspect of sensorimotor control, requiring intricate neural processes. While neural activity associated with upper extremity force control has been documented, extrapolation to lower extremity force control is limited. Knowledge of how the brain regulates force control for knee extension and flexion may provide insights as to how pathology or intervention impacts central control of movement.Objectives: To develop and implement a neuroimaging-compatible force control paradigm for knee extension and flexion.Methods: A magnetic resonance imaging (MRI) safe load cell was used in a customized apparatus to quantify force (N) during neuroimaging (Philips Achieva 3T). Visual biofeedback and a target sinusoidal wave that fluctuated between 0 and 5 N was provided via an MRI-safe virtual reality display. Fifteen right leg dominant female participants (age = 20.3 ± 1.2 years, height = 1.6 ± 0.10 m, weight = 64.8 ± 6.4 kg) completed a knee extension and flexion force matching paradigm during neuroimaging. The force-matching error was calculated based on the difference between the visual target and actual performance. Brain activation patterns were calculated and associated with force-matching error and the difference between quadriceps and hamstring force-matching tasks were evaluated with a mixed-effects model (z > 3.1, p < 0.05, cluster corrected).Results: Knee extension and flexion force-matching tasks increased BOLD signal among cerebellar, sensorimotor, and visual-processing regions. Increased knee extension force-matching error was associated with greater right frontal cortex and left parietal cortex activity and reduced left lingual gyrus activity. Increased knee flexion force-matching error was associated with reduced left frontal and right parietal region activity. Knee flexion force control increased bilateral premotor, secondary somatosensory, and right anterior temporal activity relative to knee extension. The force-matching error was not statistically different between tasks.Conclusion: Lower extremity force control results in unique activation strategies depending on if engaging knee extension or flexion, with knee flexion requiring increased neural activity (BOLD signal) for the same level of force and no difference in relative error. These fMRI compatible force control paradigms allow precise behavioral quantification of motor performance concurrent with brain activity for lower extremity sensorimotor function and may serve as a method for future research to investigate how pathologies affect lower extremity neuromuscular function.

Controlled laboratory study, cross-sectional data. To investigate isometric knee flexion and extension strength, failure of voluntary muscle activation, and antagonist cocontraction of subjects with knee osteoarthritis (OA) compared with age-matched asymptomatic control subjects. Quadriceps weakness is a common impairment in individuals with knee OA. Disuse atrophy, failure of voluntary muscle activation, and antagonist muscle cocontraction are thought to be possible mechanisms underlying this weakness; but antagonist cocontraction has not been examined during testing requiring maximum voluntary isometric contraction. Fifty-four subjects with knee OA (mean +/- SD age, 65.6 +/- 7.6 years) and 27 similarly aged control subjects (age, 64.2 +/- 5.1 years) were recruited for this study. Isometric knee flexion and extension strength were measured, and electromyographic data were recorded, from 7 muscles crossing the knee and used to calculate cocontraction ratios during maximal effort knee flexion and extension trials. The burst superimposition technique was used to measure failure of voluntary activation. Knee extension strength of subjects with knee OA (mean +/- SD, 115.9 +/- 6.7 Nm) was significantly lower than for those in the control group (152.3 +/- 9.6 Nm). No significant between-group difference was found for failure of voluntary muscle activation, or the cocontraction ratios during maximum effort knee flexion or extension. These results demonstrate that the reduction in isometric extension strength, measured with a 90 degrees knee flexion angle, in subjects with knee OA is not associated with increased antagonist cocontraction.

Blood Flow Restriction Training preserves knee flexion and extension torque following anterior cruciate ligament reconstruction: A systematic review

BACKGROUND: An increase in the compensatory action of the quadratus lumborum (QL) during side-lying hip abduction (SHA) can lead to lateral movement impairment of the pelvis. OBJECTIVE: To compare the effects of knee flexion (KF) and knee extension (KE) during SHA at abduction angles of 25[Formula: see text], 35[Formula: see text], and 45[Formula: see text] on the activity and onset time of the gluteus medius (GM) and QL. METHODS: Thirty healthy men were recruited and randomly divided into two groups: those with SHA with KF and those with SHA with KE. The subjects performed SHA at three angles of abduction in a random order. Surface electromyography was used to record the muscle activities of the GM and QL. RESULTS: The QL activity decreased significantly more in the KE group than in the KF group at each of the three angles of abduction during SHA. The GM/QL activity ratio increased significantly in the KE compared to the KF group. In addition, in the KE group, the onset of the GM activity was significantly earlier than that of the QL activity. On the other hand, in the KF group, the onset of the GM activity occurred later than that of the QL activity. CONCLUSIONS: These findings indicate that KE is more effective than KF in selectively activating the GM during SHA by reducing the QL activity and firing the GM earlier than the QL.

During a 10 km run at race pace, lower extremity mechanics have been observed to change in male runners. Whether similar changes in mechanics occur in female runners is unknown. PURPOSE: The purpose of this study was to examine lower extremity running mechanics in female distance runners during a simulated 10 km race on a treadmill. METHODS: Five female distance runners (age: 30.6 ± 3.5yrs; ht: 169.4 ± 8.9 cm; wt: 59.1 ± 73 kg; VO2max = 3.45 ± 0.33 L/min) completed a pre-screening and graded exercise test (Day 1); 10 km time trial on a 400 m track (Day 2); and simulated 10 km run at race pace on a treadmill. Treadmill speed was 95 % of average running velocity of the Day 2 time trial. Reflective markers were placed on both the right and left lower extremities and kinematic data were sampled at 120Hz at 50 m (BASE), 4450 m (MID) and 9950 m (END) using a 6-camera optoelectronic motion capture system. Mechanical measures calculated: right and left step length and frequency, right and left maximum knee flexion (swing phase) and extension (stance phase). RESULTS: A time by side interaction for step length was found (BASE left: 1.27±0.05 meters; END left: 1.28±0.05 meters; BASE right: 1.27±0.05 meters; END right: 1.32±0.05 meters P>0.05) indicating differential changes in mechanics on the left and right extremities. Overall maximum knee flexion increased (BASE: 96.9±2.3°; MID: 99.6±3.1°; END: 102.4±4.5°; P<0.05) with no other significant changes found. Although not significant, effect sizes indicated trends for step frequency to decrease (BASE: 93.1±2.9 steps/min; END: 90.7±2.2 steps/min; P>0.05; ES=0.94) and maximum knee extension to increase (BASE: 2.0±3.6°; END: 5.8±5.3°; P>0.05; ES=0.85). CONCLUSION: These results indicate that knee flexion had the greatest change over a simulated 10 km race, however a trend for increased max knee extension and decreased step frequency were observed. The most noticeable effect was the maintenance of step length on the left lower extremity and increase in step length on the right lower extremity. The mechanism for this bilateral deviation is under investigation. These results confirm changes in lower body running mechanics occur in trained female runners and these changes are magnified over the duration of a race.

Background: The spinal nerves, which start at the lumbar level, are connected to the nerve innervation in the knees. Currently, there is a lack of research on the treatment of knee pain through lumbar mobilization. Objectives: To investigate the effects of lumbar joint mobilization (LJM) and transcutaneous electronic nerve stimulation (TENS) on proprioception and muscular strength in volleyball players with chronic knee pain. Design: Two group pre-posttest. Methods: A total of 26 professional volleyball players with chronic knee pain were allocated to the LJM (n=13) and TENS (n=13) groups. In the LJM group, grade III - IV amplitude was applied 3 times for 1 minute (80 times per minute) at the affected lumbar (L2-3) facet joint in the prone position. In the TENS group, the TENS treatment device was used to directly apply or 15 minutes to the area of chronic knee pain (100 Hz, 150 ㎲). Proprioception was measured by knee flexion and extension angles, and muscle strength was evaluated using an isokinetic test. Measurements were taken before and after interventions. Results: In the eye opened conditiond, proprioception significantly increased during both knee extension and flexion after LJM, while only knee extension was significantly increased in the TENS group. There was also a significant difference in knee extension between the two groups. In the eye close conditiond, proprioception was significantly improved only during knee extension in the LJM group, and the difference in knee extension between the groups was also significant (P<.05). The maximum torque of the affected knee joint was significantly improved at 60°/sec in both groups (P<.05); however, there was no difference between the two groups. There was no significant difference in the maximum flexion torque within or between the groups. Conclusion: This study suggests that LJM improved proprioception and muscular strength in volleyball players with chronic knee pain.

Inertial measurement units (IMUs) have been validated for measuring sagittal plane lower-limb kinematics during moderate-speed running, but their accuracy at maximal speeds remains less understood. This study aimed to assess IMU measurement accuracy during high-speed running and maximal effort sprinting on a curved non-motorized treadmill using discrete (Bland–Altman analysis) and continuous (root mean square error [RMSE], normalised RMSE, Pearson correlation, and statistical parametric mapping analysis [SPM]) metrics. The hip, knee, and ankle flexions and the pelvic orientation (tilt, obliquity, and rotation) were captured concurrently from both IMU and optical motion capture systems, as 20 participants ran steadily at 70%, 80%, 90%, and 100% of their maximal effort sprinting speed (5.36 ± 0.55, 6.02 ± 0.60, 6.66 ± 0.71, and 7.09 ± 0.73 m/s, respectively). Bland–Altman analysis indicated a systematic bias within ±1° for the peak pelvic tilt, rotation, and lower-limb kinematics and −3.3° to −4.1° for the pelvic obliquity. The SPM analysis demonstrated a good agreement in the hip and knee flexion angles for most phases of the stride cycle, albeit with significant differences noted around the ipsilateral toe-off. The RMSE ranged from 4.3° (pelvic obliquity at 70% speed) to 7.8° (hip flexion at 100% speed). Correlation coefficients ranged from 0.44 (pelvic tilt at 90%) to 0.99 (hip and knee flexions at all speeds). Running speed minimally but significantly affected the RMSE for the hip and ankle flexions. The present IMU system is effective for measuring lower-limb kinematics during sprinting, but the pelvic orientation estimation was less accurate.

Residual limb strength and functional performance measures in individuals with unilateral transtibial amputation