Lower Limb Asymmetry Research Articles

Assessment Of Lower Limb Asymmetries In Soccer Players According To The Stage Of The Season

Assessment Of Lower Limb Asymmetries In Soccer Players According To The Stage Of The Season

Changes in Lower Limb Asymmetry following Intensive Balance Training in adults with Chronic Stroke

Changes in Lower Limb Asymmetry following Intensive Balance Training in adults with Chronic Stroke

Effects of an 8-Week In-Season Explosive Power Training Program on Neuromuscular Performance and Lower-Limb Asymmetries in Young Male Soccer Players.

Vasileiou, SS, Asimakidis, ND, Dalamitros, AA, and Manou, V. Effects of an 8-week in-season explosive power training program on neuromuscular performance and lower limb asymmetries in young male soccer players. J Strength Cond Res XX(X): 000-000, 2024-This study analyzed the effects of incorporating 8 weeks of twice-weekly explosive power training on neuromuscular performance and lower-limb asymmetries applied to soccer. Thirty-five young male soccer players were randomly assigned to either the experimental group (EXP: n = 18; mean age: 13.7 ± 0.8 years; height: 166.9 ± 8.4 cm; body mass: 58.5 ± 12.8 kg) or the control group (CON: n = 17; mean age: 13.7 ± 0.9 years; height: 168.8 ± 9.1 cm; body mass: 58.0 ± 11.4 kg). Before (TP1) and after the training period (TP2) neuromuscular performance (countermovement jump [CMJ], 10 and 20 m sprint times [T10 and T20], change of direction ability [COD]) and lower-limb asymmetries (single-leg CMJ [SLCMJ]) were evaluated. The asymmetry index (AI) for COD and CMJ tests was also calculated. Significant differences (from TP1 to TP2) were revealed for all the tested parameters in the EXP group (1.50-4.9%, p < 0.00 to 0.12, effect size [ES] = -0.44 to 0.27). For the CON group, T10, T20 505 for nondominant limb and SLCMJ performances for both limbs were significantly improved (0.85 to 1.5%, p < 0.00 to 0.21, ES = -0.36 to 0.37). Finally, the AI remained relatively unchanged for both tests and groups (1.28-3.33%, p = 0.162-0.521). These results indicate that adding twice-weekly explosive power training for 8 weeks can improve neuromuscular performance and reduce lower-limb asymmetries to a greater degree than soccer training alone in young male soccer players.

Evaluation of Lower Limb Asymmetry Index Based on the 30-Second Skater Squat Functional Test in Young Men.

Introduction: Physical performance tests (PPTs) are used for the pre-season evaluation of athletes and to monitor and control the rehabilitation process. PPTs include single-leg jumps, single-leg squats, and balance tests. One of the physical fitness tests is the skater squat test. The 30 s skater squat functional test (SSFT) is used as one of the tests to assess fitness and symmetry in the lower limbs. The present study aimed to calculate and compare the asymmetry index using the 30 s skater squat functional test, the single-leg distance jump test, and the isometric measurement of knee joint extensor strength. Materials and Methods: The study examined 25 men aged 23 ± 3.17 years. The study used the 30 s SSFT, the single-leg long jump test (SLLJT), and an isometric dynamometer test to measure peak moment of force values for extensors of the knee using the JBA Zbigniew Staniak® measuring station ("JBA" Zb. Staniak, Poland). The statistical analysis of functional test results and iso-metric dynamometry results was based on correlation analysis. Results: There was a moderate correlation between 30 s SSFT and SLLJT (r = 0.540), and between SLLJT and measurements of peak moment of force of the knee joint extensors (r = 0.533). Conclusions: The asymmetry index calculated based on functional tests and peak moment of force of the knee extensors in a group of young men should not be used interchangeably. The asymmetry index calculated from the 30 s skater squat functional test detects greater differences in knee extensor strength than the ASI index calculated from the single-leg long jump test in a group of young male athletes. The practical significance of this study was that its results could play an important role in the training process and monitoring the return to sports after a possible injury.

Cyclogram-based evaluation of inter-limb gait symmetry in Prader-Willi Syndrome

BackgroundPrader-Willi syndrome (PWS) is characterized by a complex clinical condition, whose typical features lead to impaired motor and functional skills. To date, limited data is available as regards symmetry of gait in PWS. Research questionThe aim of this study was to characterize lower-limb asymmetry during gait in a group of Prader-Willi Syndrome (PWS) individuals by using the synchronized cyclograms and to compare it with those of two different control groups, a normal-weight group and an obese group. MethodsA total of 18 PWS, 30 normal weight (NW) and 28 obese individuals (OG) matched for age, sex and height were assessed via 3D gait analysis. Gait spatio-temporal parameters were computed together with angle-angle diagrams, characterized in terms of their geometric features (i.e. area, orientation, and trend symmetry index). ResultsIndividuals with PWS exhibit reduced speed, stride length and cadence and increased duration of both stance and double support phase than the other groups. OG was characterized by the same pattern when compared to NW. With respect to inter-limb symmetry, individuals with PWS exhibited significantly larger cyclogram areas at hip joint with respect to the other two groups (203.32 degrees2 vs. 130.73 degrees2 vs. 111.59 degrees2) and significantly higher orientation angle (4.17° vs. 2.11° vs. 1.22°) and Trend Symmetry (3.72 vs. 2.02 vs. 1.21) with respect to the other two groups at knee joint; no differences were found at ankle joint. Both individuals with PWS and those of OG exhibited reduced ROM at knee and ankle joints with respect with normal weight, but no statistically significant differences were observed between PWS and OG. SignificanceThe obtained results may provide novel and useful insights to understand better the impairments in motor control associated with this pathological state, supporting clinics in the identification of the best rehabilitation program for this rare pathological state, aimed to improve stability and motor control.

DEXA Body Composition Asymmetry Analysis and Association to Injury Risk and Low Back Pain in University Soccer Players.

Soccer is a laterally dominant sport owing to the repetitive nature of unilateral kicking. The relationship between functional and body composition asymmetries related to limb dominance in soccer players has yet to be established. When present, asymmetries can increase the risk of injury and low back pain. Our study investigated whether lateral dominance is associated with limb asymmetries in a comprehensive body composition assessment among varsity soccer players. Twenty-seven varsity soccer players (age 20.4 ± 1.7 years old; BMI 22.6 ± 4.6 kg/m2) participated in this study. Body composition was assessed through dual-energy X-ray absorptiometry scans. Results showed low lower limb asymmetry indices in both males (3.82%) and females (3.36%) compared to normal ranges. However, upper limb lean mass exhibited high asymmetry, surpassing thresholds in males (7.3%) and females (4.39%). Significant differences were found in total bone mass among males and total lean body mass among females. Male players exhibited higher asymmetry indices in both arm and trunk mass compared to females. Despite these asymmetries, no significant correlations were found between asymmetry indices and occurrences of lower limb injury or low back pain. The study suggests that while evaluating body composition for injury prevention in soccer shows potential, lateral dominance may be influenced by factors extending beyond sport-specific adaptations.

The relationship among swing speed and strength and asymmetry of lower limbs of college baseball hitters

&lt;p&gt;目的：本研究旨在檢視大專棒球打者之大腿中部等長拉力測驗 (isometric mid-thighpull test, IMTP ) 的肌力表現以及其雙側差異與揮棒速度的關聯。方法：大學棒球野手20 名，進行 IMTP 與揮棒速度測驗後，依照其絕對力量對稱指數值分為低 (LSI)、中 (MSI)、高 (HSI) 力量對稱組，比較三組在揮棒速度與力量表現的差別，以及分析全體及分組在變項之間的關係。結果：全體參與者的力量峰值與揮棒速度有顯著的關係 (p &lt; .05)。各組間在揮棒速度、力量的峰值和發力率皆無顯著的差異。HIS 的力量表現與球速有正相關，而 LSI 則相反。各組的發力率、力量峰值間有不同的正向關聯：HIS 的力量峰值與 250 毫秒的發力率有關，MSI 的各分段的發力率幾乎都有所關聯，LSI 的 150 毫秒發力率與力量峰值有顯著的關係。結論：下肢等長拉力的峰值越大，揮棒速度越快。不同程度的力量不對稱性，會有不同的力量發展型態以及與揮棒速度的關係。&lt;/p&gt; &lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Purpose: The presented study aimed to examine the relationship between isometric mid-thigh-pull test (IMTP) and swing speed in college baseball hitters. Methods: Twenty college fielders participated and implemented the tests of IMTP and swing speed. They then were divided into low (LSI), medium (MSI), and high (HSI) force symmetry groups according to their absolute force symmetry index values. The differences in swing speed and IMTP performances were compared between three groups, and the patterns of relationship in variables for overall and groups were analyzed. Results: There was a significant relationship between peak force and swing speed (p &lt; .05). No significant difference was found between groups in swing speed and IMTP performances. HSI and LSI have different relationships between force and ball speed in which the HSI has positive relationship while reverse for LSI. The relation between force development rate and peak force value were varied in groups in which the HSI had related peak force value and force development rate of 250ms, the MSI had relations in most force development rates, and the LSI had significant relation between force development rate of 150ms and peak force value. Conclusion: The greater the peak isometric midthigh pull force of the lower body, the faster the swing. Different degrees of force asymmetry will have different force development patterns and relationships with swing speed.&lt;/p&gt; &lt;p&gt;&amp;nbsp;&lt;/p&gt;

Spatiotemporal lower-limb asymmetries during stair descent in athletes following anterior cruciate ligament reconstruction

PurposeThis study evaluated motor control recovery at different times following anterior cruciate ligament reconstruction (ACLR) by investigating lower-limb spatiotemporal symmetry during stair descent performances. MethodsWe used a cross-sectional design to compare asymptomatic athletes (Controls, n = 18) with a group of people with ACLR (n = 49) divided into three time-from-ACLR subgroups (Early: <6 months, n = 17; Mid: 6–18 months, n = 16; Late: ≥18 months, n = 16). We evaluated: “temporal symmetry” during the stance subphases (single-support, first and second double-support) and “spatial symmetry” for hip-knee-ankle intra-joint angular displacements during the stance phase using a dissimilarity index applied on superimposed 3D phase plots. ResultsWe found significant between-group differences in temporal variables (p ≤ 0.001). Compared to Controls, both Early and Mid (p ≤ 0.05) showed asymmetry in the first double-support time (longer for their injured vs. non-injured leg), while Early generally also showed longer durations in all other phases, regardless of stepping leg. No statistically significant differences were found for spatial intra-joint symmetry between groups. ConclusionTemporal but not spatial asymmetry in stair descent is often present early after ACLR; it may remain for up to 18 months and may underlie subtle intra- and inter-joint compensations. Spatial asymmetry may need further exploration.

Effects of plyometric jump training on measures of physical fitness and lower-limb asymmetries in prepubertal male soccer players: a randomized controlled trial

BackgroundHigh level of physical fitness is a paramount soccer performance factor. As such, developing key components of physical fitness such as sprinting, jumping, and change of direction (CoD) at an early age empowers both short- and long-term performance success. Although previous research in prepubertal male soccer players has reported physical fitness performance enhancements following plyometric jump training (PJT), the effects on inter-limb asymmetries remain unclear.ObjectiveTo assess the effects of PJT on measures of physical fitness and inter-limb asymmetries in prepubertal male soccer players.MethodsA total of 27 participants were recruited, and randomly assigned to either a PJT group (n = 13; age = 12.7 ± 0.2 years; maturity offset = -1.6 ± 0.7) or an active control group (CG) (n = 14; age = 11.8 ± 0.4 years; maturity offset = -2.51 ± 0.61). The training intervention lasted eight-week and was conducted during the in-season period, with twice-weekly sessions. Physical fitness tests were conducted before and after the intervention, including the 505 change-of-direction (CoD; [505 CoD test]), countermovement-jump (CMJ) height, standing-long-jump (SLJ) distance, and single-leg hop test for distance with dominant (SHTD-D) and non-dominant legs (SHTD-ND). A jump-based asymmetry score was calculated as the difference between HTD and HTND.ResultsANCOVA analysis revealed significant between-group differences in all physical fitness measures at post-test. Specifically, the PJT group showed significant large improvements in CMJ height, SLJ distance, HTD and HTND, and CoD speed (d = 0.84 to 2.00; ∆1.05% to 16.85%). Moreover, the PJT group showed a significant, small reduction in the inter-limb asymmetry score (d = 0.43; ∆-45.21%). In contrast, no significant changes were reported in the CG between pre-and post-tests (d = 0.07 to 0.24; ∆0.21% to 0.98%).ConclusionsThe incorporation of PJT into the training schedules of prepubertal male soccer players resulted in positive effects on various measures of physical fitness. Furthermore, our findings suggest that PJT can reduce lower-limb asymmetry, which could potentially decrease the risk of lower limb injuries.Trial registrationThis study does not report results related to healthcare interventions using human participants and therefore it was not prospectively registered.

Exploring the Implications of Inter-Limb Asymmetries on Sprint, Agility, and Jump Performance in Young Highly-Trained Basketball Athletes: Is There a Relevant Threshold?

Background and Objectives: This study aimed to investigate the magnitude of vertical jump inter-limb asymmetries among young highly-trained basketball athletes and to analyze its impact on sport performance, specifically in sprints, agility, and vertical jumps. Materials and Methods: A unilateral countermovement jump (CMJ) was employed to determine Inter-limb Index Asymmetry (IAI) in 320 participants aged from 14 to 18 years, from the Valencia Basket youth academy. IAI was categorized into three groups: 0-9.9%, 10-14.9%, and >15%. The relationship between IAI and performance variables was analyzed through correlation studies (Pearson or Spearman's). The influence of IAI magnitude was assessed using ANOVA or Kruskal-Wallis analysis, with leg dominance as a covariable. SPSS Statistics version 26 was used for analysis. Results: Among all the participants, the mean IAI was 10.6%. Correlation studies revealed non-significant values (p < 0.05) between IAI and sport performance variables. The three IAI magnitude groups did not show statistically significant differences in sprint, agility, and jump outcomes. Leg dominance did not seem to influence performance outcomes, except for unilateral CMJ. Conclusions: The results obtained challenge the assumption that an IAI above 10% negatively affects sprint, agility, or jump performance in young basketball athletes. Notably, the magnitude of IAI did not influence sport performance parameters, suggesting that the 10-15% threshold from previous studies may not be applicable to this population. The study emphasizes the need to understand lower-limb asymmetries in the context of specific sport task performance, considering the potential evolution over time among affected young athletes.

Effects of Exercise-Induced Neuromuscular Fatigue on Jump Performance and Lower-Limb Asymmetries in Youth Female Team Sport Athletes.

The objective of the present study was to examine the effect of acute neuromuscular fatigue on unilateral jump performance and inter-limb asymmetries. Thirty elite youth female team sport athletes (age: U-14 to U-18) performed the Unilateral Countermovement Jump (UCJ) and the Unilateral Drop Jump (UDJ) (18-cm box) tests before and approximately 10 minutes after the 30-15 intermittent fitness test (30-15 IFT). A paired samples t-test showed significant reductions in UCJ jump height in the right leg after the 30-15 IFT (p = 0.018; d = 0.33), but not in the left leg (p = 0.459; d = 0.48). For the UDJ, significant reductions in jump height were shown in both the right (p < 0.001; d = 0.33) and left (p < 0.001; d = 0.33) legs. In addition, for the reactive strength index (UDJ), significant reductions were seen in the left leg after the 30-15 IFT (p < 0.001; d = 0.31), but not in the right leg (p = 0.948; d < 0.001). Only UCJ inter-limb jump height asymmetries increased significantly post 30-15 IFT (p = 0.033; d = 0.46). In conclusion, the current study indicates that the 30-15 IFT provides a sufficient dose of activity for inducing acute fatigue in elite youth female team sport athletes. Therefore, monitoring jump height in unilateral jump testing is recommended given the tests' sensitivity to detect significant differences in physical performance and inter-limb asymmetries under acutely fatigued conditions in healthy youth female athletes.

Aspects relating to the development of motor skills, strength, and balance in U16 football

Regarding the process of development of young athletes, our primary focus is their health. It is widely recognized that a significant injury can slow down the process of development in the best-case scenario, or prematurely end an athlete’s career, in the worst-case scenario. The nature of football introduces a heightened risk of injuries due to its dynamic and unpredictable characteristics. In order to optimize our efforts in the process of preventing these injuries, we believe that the best practice is to understand the pillars on which performance in football is based, and adapt our training plans and sessions to address particular weaknesses. The two pillars that need our full attention are strength and balance. To pinpoint the vulnerabilities of young athletes, we employed two devices to measure both balance and strength in each athlete. A total of two tests were conducted for each athlete, measuring maximal power in the lower body, dynamic balance from one foot to the other, limb asymmetry in terms of muscle strength, and dynamic balance. The study confirmed that neuromuscular control has a key role in the effective utilization of power by the athlete, as in the dynamic balance test, football team B used less power and recorded (at the same time) a lower limb asymmetry score than team A.

Improved weight bearing during gait at 6 weeks post-surgery with an angle stable locking system after distal tibial fracture

BackgroundFunctional recovery after intramedullary nailing of distal tibial fractures can be monitored using ipsilateral vertical ground reaction forces (vGRF), giving insight into recovery of patients’ gait symmetry. Previous work compared patient cohorts to healthy controls, but it remains unclear if these metrics can identify treatment-based differences in return to function post-surgery. Research questionIs treatment of a distal tibial fracture with intramedullary nailing with an angle stable locking system (ASLS) associated with higher ipsilateral vGRF and improved symmetry compared to conventional intramedullary nailing at an early time point? MethodsThirty-nine patients treated with ASLS intramedullary nailing were retrospectively compared to thirty-nine patients with conventional locking. vGRFs were collected at 1, 6, 12, 26, and 52 weeks post-surgery during standing and gait. Discrete metrics of ipsilateral vGRF (maximal force, impulse) and asymmetry were compared between treatments at each time point. Time-scale comparisons of ipsilateral vGRF and lower limb asymmetry were additionally performed for gait trials. Mann-Whitney Test or a two-way analysis of variance tested discrete comparisons; statistical non-parametric mapping tested time-scale data between treatment groups. ResultsDuring gait, ASLS-treated patients applied more load on the operated limb (17–38% stance, p = 0.015) and consequently loaded limbs more symmetrically (8–37% stance, p = 0.008) during the loading response at 6 weeks post-surgery compared to conventional IM treatment. Discrete measures of symmetry at the same time point identified treatment-based differences in maximal force (p = 0.039) and impulse (p = 0.012), with ASLS-treated patients exhibiting more symmetry. No differences were identified in gait trials at later time points nor from all standing trials. SignificanceDuring the initial loading response of gait, increased ipsilateral vGRF and improved weightbearing symmetry were identified in ASLS patients at 6 weeks post-surgery compared to conventional IM nailing. Early and objective metrics of dynamic movement are suggested to identify treatment-based differences in functional recovery.

Relationship between latent trigger points, lower limb asymmetry and muscle fatigue in elite short-track athletes

BackgroundShort-track speed skating movement involves asymmetric overloading of the lower left side of the body. The gluteus maximus fatigue limits the physical and mental athletic capacity to perform set tasks. A possible link between the presence of latent trigger points (LTrPs) and muscle fatigue development/persistence has been posited. The aim of the study was to determine whether elite short-track speed skating can result in the impairment of the musculoskeletal system of the lower limbs.MethodsElite short-track athletes as the experimental group (EXP) = 9, 19.5 ± 1.8 years, and healthy subjects as the control group (CON) = 18, 20.8 ± 1.2 years, were tested for: (i) lower limb loading asymmetry using ground reaction force (GRF) measurements during quiet standing, (ii) gluteus maximus fatigue measured with surface electromyography (sEMG) during the Biering-Sorensen test, and (iii) LTrPs presence in the 14 examined muscles of the pelvic girdle and lower limbs.ResultsThere were between-group differences in the number of LTrPs, with the EXP group (left lower limb (LLL) n = 18, right lower limb (RLL) n = 9) showing more LTrPs compared to the CON group (LLL n = 2, RLL n = 1), (p < 0.001), and within-group differences in the EXP group only (p < 0.001). There were also significant differences in muscle fatigue for the left side (p < 0.001) both between the groups and within the EXP group (p ≤ 0.001). The vertical ground reaction force (GRF) measurement showed a loading rate of 2% (p = 0.013) in the athletes’ LLL exclusively.ConclusionsThe study confirmed an increased prevalence of LTrPs, increased muscle fatigue and left-sided limb load asymmetry in elite short-track athletes.Trial registrationThe study was conducted in accordance with the Declaration of Helsinki and approved by the Ethics Committee of the Poznan University of Medical Sciences (Resolution No 110/22 of 10 March 2022). Trial registration: 20/07/2022, Trial Id: ACTRN12622001016729.

Minimally Invasive Surgery for Managing Grade IV and V Spondylolisthesis.

Surgical treatment of high-grade spondylolisthesis is controversial and aims at restoring the spinopelvic sagittal balance through complete or partial reduction of the listhesis. Nerve decompression and interbody fusion are necessary for patients presenting with neurological deficit, severe pain, lower limb asymmetry, or deformities. We present the case and the results of a patient with high-grade spondylolisthesis, in whom minimally invasive management was performed. A narrative review in this topic is also provided. We performed a literature review of high-grade spondylolisthesis to compare our technique to current surgical alternatives. We included articles from PubMed, Embase, Scopus, Ovid, and Science Direct published between 1963 and 2022 that were written in English, German, and Spanish. The terms used were the following: "high grade spondylolisthesis," "spondyloptosis," "surgical management," "interbody fusion," and "arthrodesis." In all, 485 articles were displayed, from which we filtered 112 by title and abstract. At the end, 75 references were selected for the review. Different interbody fusion techniques can be used to correct the lumbosacral kyphosis and restore the spinopelvic parameters. A complete reduction of the listhesis is not always required. The surgical procedure carried out in our patient corresponds to the first known case of minimally invasive circumferential arthrodesis with iliac screws and sacral fixation in a high-grade dysplastic spondylolisthesis. This approach guarantees the correction of the lumbosacral kyphosis and a complete reduction of the listhesis. Further studies are required to determine whether the results of this case can be extrapolated to other patients with high-grade spondylolisthesis.

Monitoring lower limb biomechanical asymmetry and psychological measures in athletic populations-A scoping review.

Lower limb biomechanics, including asymmetry, are frequently monitored to determine sport performance level and injury risk. However, contributing factors extend beyond biomechanical and asymmetry measures to include psychological, sociological, and environmental factors. Unfortunately, inadequate research has been conducted using holistic biopsychosocial models to characterize sport performance and injury risk. Therefore, this scoping review summarized the research landscape of studies concurrently assessing measures of lower limb biomechanics, asymmetry, and introspective psychological state (e.g., pain, fatigue, perceived exertion, stress, etc.) in healthy, competitive athletes. A systematic search of MEDLINE, Embase, CINAHL, SPORTDiscus, and Web of Science Core Collections was designed and conducted in accordance with PRISMA guidelines. Fifty-one articles were included in this review. Significant relationships between biomechanics (k = 22 studies) or asymmetry (k = 20 studies) and introspective state were found. Increased self-reported pain was associated with decreased range of motion, strength, and increased lower limb asymmetry. Higher ratings of perceived exertion were related to increased lower limb asymmetry, self-reported muscle soreness, and worse jump performance. Few studies (k = 4) monitored athletes longitudinally throughout one or more competitive season(s). This review highlights the need for concurrent analysis of introspective, psychological state, and biomechanical asymmetry measures along with longitudinal research to understand the contributing factors to sport performance and injury risk from biopsychosocial modeling. In doing so, this framework of biopsychosocial preventive and prognostic patient-centered practices may provide an actionable means of optimizing health, well-being, and sport performance in competitive athletes.

Power and anaerobic capacity in female soccer: A comparison between different age-categories

IntroductionNowadays, female soccer can be considered one of fastest growing sports trends. However, investigations regarding female soccer players’ performance are still scarce comparing to male soccer players. The purpose of this study was to compare the athletic profile of female soccer players from adult and youth categories of a professional soccer club. Material and methodsForty-two female soccer players from a professional soccer club were recruited for this investigation (adult category n = 21; youth category n = 21). Performance tests were randomly assigned. Aerobic capacity, sprint, change-of-direction ability, and power performance were assessed. ResultsThere were no significant differences between groups for any of the proposed parameters. Also, better unilateral jump performance for the right leg was observed among adult players (p = 0.05). ConclusionsThe study suggests that there is no clear discrepancy between youth and adult categories regarding power, sprint, change-of-direction ability, and aerobic performance. However, a trend towards lower limb asymmetry was observed among adult players.

Mechanical Asymmetries during Treadmill Running: Effects of Running Velocity and Hypoxic Exposure

Studies evaluating mechanical asymmetry across a range of running velocities during treadmill runs have yielded inconsistent findings, while the impact of additional hypoxic exposure has never been investigated. The aim of this study was to characterize the effects of manipulating running velocity and hypoxic exposure on gait asymmetry during treadmill running. Eleven trained individuals performed seven runs at different velocities (8, 10, 12, 14, 16, 18, and 20 km·h−1) in a randomized order, each lasting 45 s. The running took place on an instrumented treadmill for normoxia (FiO2 = 20.9%), moderate hypoxia (FiO2 = 16.1%), high hypoxia (FiO2 = 14.1%), and severe hypoxia (FiO2 = 13.0%). Vertical and antero-posterior ground reaction force recordings over 20 consecutive steps (i.e., after running ∼25 s) allowed the measurement of running mechanics. Lower-limb asymmetry was assessed from the ‘symmetry angle’ (SA) score. Two-way repeated-measures ANOVA (seven velocities × four conditions) was used. There was no significant difference in SA scores for any of the biomechanical variables for velocity (except contact time and braking phase duration; p = 0.003 and p = 0.002, respectively), condition, or interaction. Mean SA scores varied between ∼1% and 2% for contact time (1.5 ± 0.8%), flight time (1.6 ± 0.6%), step length (0.8 ± 0.2%), peak vertical force (1.2 ± 0.5%), and mean vertical loading rate (2.1 ± 1.0%). Mean SA scores ranged from ∼2% to 5% for duration of braking (1.6 ± 0.7%) and push-off phases (1.9 ± 0.6%), as well as peak braking (5.0 ± 1.9%) and push-off forces (4.8 ± 1.7%). In conclusion, the trained runners exhibited relatively even strides, with mechanical asymmetries remaining low-to-moderate across a range of submaximal, constant running velocities (ranging from 8 to 20 km·h−1) and varying levels of hypoxia severity (between normoxia and severe hypoxia).

Exploring of two different equated instability resistance training programs on measure of physical fitness and lower limb asymmetry in pre-pubertal weightlifters

BackgroundAlthough previous research in pediatric populations has reported performance enhancements following instability resistance training, the effects of different volumes on measures of balance, strength and power and lower limb asymmetry remain unclear.ObjectiveTo compare the effect of two 8-week instability resistance training programs (IRT1: 2 sets x 8 repetitions, 20% one-repetition maximum (1RM); IRT2: 2 sets x 4 repetitions, 40% 1RM) in balance (center of pressure displacements), 1RM, single-leg jumps, and inter-limb asymmetry of prepubescent weightlifters.MethodsThirty-two male athletes (10.94 ± 0.47 yrs, 17.05 ± 0.14 kg/m2, and 6.44 ± 0.93% bodyfat) voluntarily participated and combined IRT (front and back squat, lunge, and deadlift) with their usual weightlifting training. Nonparametric tests evaluated the differences between pre- and post-intervention.ResultsSignificant improvements were encountered in all the variables for both groups (effect sizes [ES] from 0.46 to 2.60), except the inter-limb asymmetry and the velocity of displacement of the center of pressure, which did not improve in IRT2. It is also worth highlighting that in the single-leg jumps and center of pressure displacements, whereas no significant differences were observed between IRT1 and IRT2 in the baseline, significant differences appeared in the follow-up measurements.ConclusionIRT combined with weight-lifting training improves prepubescent weightlifters’ performance; therefore, strength and conditioning coaches may consider including unstable devices with low loads into an overall conditioning program and warm-ups for prepuberal male weightlifters to promote their physical fitness and potentially decrease inter-limb asymmetry.Trial registrationThis study does not report results related to healthcare interventions using human participants; therefore, it was not prospectively registered.

Detection of The Lower Limb Asymmetries and Discomfort Considering Foot Pressure as an Attribute

A greater number of diseases and chronic conditions are making their presence since more than a decade. It has really taken its toll during the COVID-19 period. Our concern is totally the lower part of our body which includes the hip portion along with upper thigh, knees, lower limbs and ankles. Some diseases which we have surveyed has been taking place as such are Achilles’s tendonitis, arthritis in the ankle or ankles, bunions, hammertoes, plantar pressure diseases, et cetera. There are also a lot of conditions associated with lower limb muscles such as irregular muscle toning, muscle stressing, fatigue, et cetera which takes place in individuals of almost all kinds of ages. In order to nullify these conditions, we have decided to concentrate on various foot pressure points in our body. We will be analyzing the positions and intensity of these pressure points and conclude our experiment by chalking out a graphical representation of all the data accumulated with the help of certain equipment. We will be asking the subject by giving instructions to place his or her feet on the multiple sensors insole normally (with no extra pressure from the subject’s side). Each sole sensor will send analog input data as the values of the applied foot pressure. Voltage outputs are collected from each input sensor. We will then compare the different output from different sensors with predetermined standard data (collecting from those who have normal Body Mass Index range). The comparative graph of the current subject and the standard data will then be able to help us to analyze where the disease condition is taking place. Key Words: Foot pathology, foot pressure points, lower-limb asymmetry, sole sensor, body mass index range.