Landing ground reaction forces in figure skaters and non-skaters

Abstract

Researchers and clinicians have suggested that overuse injuries to the lower back and lower extremities of figure skaters may be associated with the repeated high impact forces sustained during jump landings. Our primary aim was to compare the vertical ground reaction forces (GRFs) in freestyle figure skaters (n = 26) and non-skaters (n = 18) for the same barefoot single leg landing on a force plate from a 20 cm platform. Compared with non-skaters, skaters exhibited a significantly greater normalised peak GRF (3.50 ± 0.47 × body weight for skaters vs. 3.13 ± 0.45 × body weight for non-skaters), significantly shorter time to peak GRF (81.21 ± 14.01 ms for skaters vs. 93.81 ± 16.49 ms for non-skaters), and significantly longer time to stabilisation (TTS) of the GRF (2.38 ± 0.07 s for skaters vs. 2.22 ± 0.07 s for non-skaters). Skaters also confined their centre of pressure (CoP) to a significantly smaller mediolateral (M–L) (25%) and anterior–posterior (A–P) (40%) range during the landing phase, with the position of the CoP located in the mid to forefoot region. The narrower and more forward position of the CoP in skaters may at least partially explain the greater peak GRF, shorter time to peak, and longer TTS. Training and/or equipment modification serve as potential targets to decrease peak GRF by distributing it over a longer time period. More comprehensive studies including electromyography and motion capture are needed to fully characterise the unique figure skater landing strategy.     

Validation of two accelerometers to determine mechanical loading of physical activities in children

The purpose of this study was to assess the validity of accelerometers using force plates (i.e., ground reaction force (GRF)) during the performance of different tasks of daily physical activity in children. Thirteen children (10.1 (range 5.4–15.7) years, 3 girls) wore two accelerometers (ActiGraph GT3X+ (ACT), GENEA (GEN)) at the hip that provide raw acceleration signals at 100 Hz. Participants completed different tasks (walking, jogging, running, landings from boxes of different height, rope skipping, dancing) on a force plate. GRF was collected for one step per trial (10 trials) for ambulatory movements and for all landings (10 trials), rope skips and dance procedures. Accelerometer outputs as peak loading (g) per activity were averaged. ANOVA, correlation analyses and Bland–Altman plots were computed to determine validity of accelerometers using GRF. There was a main effect of task with increasing acceleration values in tasks with increasing locomotion speed and landing height (P < 0.001). Data from ACT and GEN correlated with GRF (r = 0.90 and 0.89, respectively) and between each other (r = 0.98), but both accelerometers consistently overestimated GRF. The new generation of accelerometer models that allow raw signal detection are reasonably accurate to measure impact loading of bone in children, although they systematically overestimate GRF.     

Identification of types of landings after blocking in volleyball associated with risk of ACL injury

Landing with a low knee flexion angle after volleyball block jumps may be associated with an increased risk of anterior cruciate ligament (ACL) injury. The aim of the present study was to identify the types of volleyball landings after blocks where the knee flexion angle is found to be under a critical knee flexion angle value of 30° at the instant of the first peak of the ground reaction force (GRF). Synchronized kinematic and kinetic data were collected for each trial. T-tests were used to determine if each knee flexion angle at the instant of the peak GRF was significantly different from the critical value of 30°. A repeated measures ANOVA was used to compare knee flexion angle, time to first peak and the magnitude of the first peak of the resultant GRF and knee stiffness. Significantly lower knee flexion angles were found in the “go” landing (p?=?.01, ES?=?0.6) and the “reverse” landing (p?=?.02, ES?=?0.6) only. The results for knee flexion angle and GRF parameters indicated a significant difference between a “reverse” and “go” and other types of landings, except the “side stick” landing for GRF. The “reverse” and “go” landings may present a risk for ACL injury due to the single-leg landing of these activities that have an associated mediolateral movement.     

Classifying performer strategies in drop landing activities

Our purpose was to use group and single-case methods to examine inter-individual variability in the context of factors related to landing injuries. We tested the load accommodation strategies model (An exploration of load accommodation strategies during walking with extremity-carried weights. Human Movement Science, 35, 17–29) using landing impulse, revealing pre-landing strategies following height and external load manipulations. Ten healthy volunteers (8 male, 2 female, 24.0 ± 1.4 years, 1.72 ± 0.06 m, 73.5 ± 8.7 kg) were analysed across 12 trials in each of three load conditions (100% body weight [BW], 110% BW, 120% BW) from two landing heights (30 cm, 60 cm). Landing impulse (BW ? s) was computed for each participant-condition-trial, using impulse ratios (unit-less; BW ? s/BW ? s) to evaluate load accommodation strategies between adjacent load conditions (110%/100%, 120%/110%) at each landing height. Load accommodation strategy classifications were based on 95% confidence intervals (CIs) containing mechanically predicted impulse ratios (1.10 and 1.09 for 110/100% BW and 120/110% BW, respectively; α = 0.05). Mean group impulse ratios matched and exceeded predicted impulse ratios. Single-case analyses revealed a range of individual landing strategies that might be overlooked during group analyses, possibly uncovering individuals at greater risk of injury during landing activities.     

Running speed increases plantar load more than per cent body weight on an AlterG® treadmill

AlterG® treadmills allow for running at different speeds as well as at reduced bodyweight (BW), and are used during rehabilitation to reduce the impact load. The aim of this study was to quantify plantar loads borne by the athlete during rehabilitation. Twenty trained male participants ran on the AlterG® treadmill in 36 conditions: all combinations of indicated BW (50–100%) paired with different walking and running speeds (range 6–16 km · hr^–1) in a random order. In-shoe maximum plantar force (Fmax) was recorded using the Pedar-X system. Fmax was lowest at the 6 km · hr^–1 at 50% indicated BW condition at 1.02 ± 0.21BW and peaked at 2.31 ± 0.22BW for the 16 km · hr^–1 at 100% BW condition. Greater increases in Fmax were seen when increasing running speed while holding per cent BW constant than the reverse (0.74BW–0.91BW increase compared to 0.19–0.31BW). A table is presented with each of the 36 combinations of BW and running speed to allow a more objective progression of plantar loading during rehabilitation. Increasing running speed rather than increasing indicated per cent BW was shown to have the strongest effect on the magnitude of Fmax across the ranges of speeds and indicated per cent BWs examined.     

Acute and chronic effects of aquatic treadmill training on land treadmill running kinematics: A cross-over and single-subject design approach

The aim of this study was to determine if selected kinematic measures (foot strike index [SI], knee contact angle and overstride angle) were different between aquatic treadmill (ATM) and land treadmill (LTM) running, and to determine if these measures were altered during LTM running as a result of 6 weeks of ATM training. Acute effects were tested using 15 competitive distance runners who completed 1 session of running on each treadmill type at 5 different running speeds. Subsequently, three recreational runners completed 6 weeks of ATM training following a single-subject baseline, intervention and withdrawal experiment. Kinematic measures were quantified from digitisation of video. Regardless of speed, SI values during ATM running (61.3 ± 17%) were significantly greater (P = 0.002) than LTM running (42.7 ± 23%). Training on the ATM did not change (pre/post) the SI (26 ± 3.2/27 ± 3.1), knee contact angle (165 ± 0.3/164 ± 0.8) or overstride angle (89 ± 0.4/89 ± 0.1) during LTM running. Although SI values were different between acute ATM and LTM running, 6 weeks of ATM training did not appear to alter LTM running kinematics as evidenced by no change in kinematic values from baseline to post intervention assessments.     

Upper and lower limb loading during weight-bearing activity in children: reaction forces and influence of body weight

Weight bearing (WB) activity is important for healthy skeletal development. The magnitude of loading during WB activities, especially upper limb impacts, has yet to be quantified in children. This study quantifies ground reaction forces (GRF) experienced by children performing WB activities and examines the contribution of body weight (BW) to GRF. Fifty children, aged 8–12 were recruited (34 males). GRF were measured using force plates during 20 upper and lower limb activities (such as landing on the feet and hands). Sex differences in GRF and associations between peak force and BW were examined using independent sample t-tests and linear regressions (p < 0.05), respectively. Lower limb GRF varied from 2-6x BW with no significant sex differences. GRF during upper limb activities varied from 1/3–1.7x BW with males experiencing significantly greater GRF for 25% of activities. BW was significantly associated with peak force in almost all activities; however, GRF variation explained by BW was wide-ranging across activities and not dependent on limb or activity type (static vs dynamic). Therefore, factors other than BW, such as technique, may be important in determining forces experienced by children performing WB activity and should be considered when choosing activities for WB activity interventions.     

The effects of an unanticipated side-cut on lower extremity kinematics and ground reaction forces during a drop landing

Unanticipated direction to cut after landing may alter the lower extremity landing biomechanics when performing landing motions. These alterations may potentially increase the risk of ACL injury. The purpose of this study was to determine if an unanticipated side-cut affects lower extremity landing biomechanics in females. Eighteen recreational female athletes participated in two blocks of testing: the first block of testing consisted of three acceptable trials of anticipated dominant limb and non-dominant limb 45-degree diagonal cutting after landing, which were performed in a counterbalanced order. The second block of testing consisted of three acceptable trials of unanticipated dominant limb and non-dominant limb diagonal cutting after landing. Data analysis mainly focused on the dominant limb landing biomechanics. Unanticipated side-cut landing, compared (paired t-test, p < 0.05) to the anticipated landings, resulted in less hip abduction and tibial internal rotation angle at initial contact (IC) and a lower maximum ankle inversion angle and a greater maximum knee abduction angle, and knee and hip displacement. Also, greater posterior GRF and a longer time to peak medial GRF were exhibited. These outcomes indicate that athletes may adapt their landing mechanics to land unsafely when encountering an unanticipated event.     

Do accelerometers mounted on the back provide a good estimate of impact loads in jumping and landing tasks?

Artistic gymnasts are frequently exposed to both low- and high-magnitude loads through impacts with the apparatus. These impact loads are thought to be associated with the high injury rates observed in gymnastics. Due to the variable apparatus and surfaces in gymnastics, impact loads during training are difficult to quantify. This study aimed to use triaxial accelerometers mounted on the back to assess impact loading during jumping and landing tasks. Twelve participants were fitted with an accelerometer on their upper and lower back, before performing a continuous hopping task, as well as drop landings and rebound jumps from various heights (37.5, 57.5, and 77.5 cm) onto a force platform. Peak resultant acceleration (PRA) was low-pass filtered with four cut-off frequencies (8, 15, 20, and 50 Hz). Filtering of PRA with the 20 Hz cut-off frequency showed the highest correlations between ground reaction force (GRF) and PRA. PRA recorded at the upper back, filtered with a 20 Hz cut-off frequency, appears to provide a good estimate of impact loading for continuous hopping and rebound jumps, but less so for drop landings since correlations between GRF and PRA were only significant when landing from 57.5 cm.     

Is it possible to voluntarily increase hamstring muscle activation during landing from a snow jump in alpine skiing? - a pilot study

Activation of the hamstrings has been discussed as a measure for reducing strain on the ACL during jump landings in alpine skiing. The current study tested the hypothesis that hamstring and quadriceps activation can be voluntarily increased by the athlete. Specifically, two different instructions – to increase hamstring activation or to increase upper-leg co-contraction – were compared to normal landings. Eight members of the German national and junior national squad in freestyle skiing (age 19.6 ± 3.8 years; weight 66.1 ± 13.2 kg; height 172.2 ± 7.7 cm) performed 12 jump landings on a prepared run, 4 with no specific instruction, 4 with the instruction to generally activate the thigh muscles, and 4 with the instruction to specifically activate the hamstrings. Electromyographic (EMG) signals were recorded on the biceps femoris (BF), semitendinosus (ST), vastus lateralis (VL), rectus femoris (RF) and vastus medialis (VM). EMG activation levels were integrated over three landing phases and analysed with a repeated measures ANOVA. The instruction produced a significant main effect in ST (p = .026), VM (p = .032) and RF (p = .001). Contrary to previous research, the current study suggests that hamstring muscle activation levels can be voluntarily increased during jump landing, particularly in co-activation with its antagonists.     

Vertical Ground Reaction Force During a Water-Based Exercise Performed by Elderly Women: Equipment Use Effects

ABSTRACT

Purpose: The present study aimed to compare the vertical ground reaction force responses during the performance of the stationary running water-based exercise with and without equipment at different cadences by elderly women. Method: Nineteen elderly women (age: 68.6 ± 5.0 years; body mass: 69.0 ± 9.5 kg; height: 154.9 ± 5.6 cm) completed one session consisting of the performance of the water-based stationary running with elbow flexion and extension immersed to the xiphoid process depth. The exercise was performed in three conditions, without equipment, with water-floating and with water-resistance equipment, at three cadences (80 b·min^?1, 100 b·min^?1 and maximal) in a randomized order. Peak and impulse of vertical ground reaction force were collected during the exercise using an underwater force plate. Repeated measures two-way ANOVA was used (α = 0.05). Results: Peak vertical ground reaction force (p < .001) and impulse (p ≤ 0.002) resulted in lower values for the water-floating use (0.42–0.48 BW and 0.07–0.13 N.s/BW) in comparison to the water-resistance equipment use (0.46–0.60 BW and 0.09–0.16 N.s/BW) and to the non-use of equipment (0.45–0.60 BW and 0.07–0.17 N.s/BW), except for the impulse at the maximal cadence. In addition, peak vertical ground reaction force at 80 b·min^?1 (p = .002) and impulse at the maximal cadence (p < .001) showed lower values compared to the other cadences. Conclusion: The use of water-floating equipment minimizes the vertical ground reaction force during the stationary running water-based exercise performed by elderly women regardless of the cadence.     

A modified TRIMP to quantify the in-season training load of team sport players

Abstract

The aims of the study were to modify the training impulse (TRIMP) method of quantifying training load for use with intermittent team sports, and to examine the relationship between this modified TRIMP (TRIMP_MOD) and changes in the physiological profile of team sport players during a competitive season. Eight male field hockey players, participating in the English Premier Division, took part in the study (mean±s: age 26±4 years, body mass 80.8±5.2 kg, stature 1.82±0.04 m). Participants performed three treadmill exercise tests at the start of the competitive season and mid-season: a submaximal test to establish the treadmill speed at a blood lactate concentration of 4 mmol · l^?1; a maximal incremental test to determine maximal oxygen uptake ([Vdot]O_2max) and peak running speed; and an all-out constant-load test to determine time to exhaustion. Heart rate was recorded during all training sessions and match-play, from which TRIMP_MOD was calculated. Mean weekly TRIMP_MOD was correlated with the change in [Vdot]O_2max and treadmill speed at a blood lactate concentration of 4 mmol · l^?1 from the start of to mid-season (P<0.05). The results suggest that TRIMP_MOD is a means of quantifying training load in team sports and can be used to prescribe training for the maintenance or improvement of aerobic fitness during the competitive season.     

Three-dimensional kinematic comparison of treadmill and overground running

The treadmill is an attractive device for the investigation of human locomotion, yet the extent to which lower limb kinematics differ from overground running remains a controversial topic. This study aimed to provide an extensive three-dimensional kinematic comparison of the lower extremities during overground and treadmill running. Twelve participants ran at 4.0 m/s ( ± 5%) in both treadmill and overground conditions. Angular kinematic parameters of the lower extremities during the stance phase were collected at 250 Hz using an eight-camera motion analysis system. Hip, knee, and ankle joint kinematics were quantified in the sagittal, coronal, and transverse planes, and contrasted using paired t-tests. Of the analysed parameters hip flexion at footstrike and ankle excursion to peak angle were found to be significantly reduced during treadmill running by 12° (p = 0.001) and 6.6° (p = 0.010), respectively. Treadmill running was found to be associated with significantly greater peak ankle eversion (by 6.3°, p = 0.006). It was concluded that the mechanics of treadmill running cannot be generalized to overground running.     

The effects of limb dominance and a short term,high intensity exercise protocol on both landings of the vertical drop jump: implications for the vertical drop jump as a screening tool

The effectiveness of vertical drop jumps (VDJs) to screen for non-contact ACL injuries is unclear. This may be contributed to by discrete point analysis, which does not evaluate patterns of movement. Also, limited research exists on the second landing of VDJs, potential lower limb performance asymmetries and the effect of fatigue. Statistical parametric mapping investigated the main effects of landing, limb dominance and a high intensity, intermittent exercise protocol (HIIP) on VDJ biomechanics. Twenty-two male athletes (21.9 ± 1.1 years, 180.5 ± 5.5 cm, 79.4 ± 7.8 kg) performed VDJs pre- and post-HIIP. Repeated measures ANOVA identified pattern differences during the eccentric phases of the first and second landings bilaterally. The first landing displayed greater (internal) knee flexor (η² = 0.165), external rotator (η² = 0.113) and valgus (η² = 0.126) moments and greater hip (η² = 0.062) and knee (η² = 0.080) flexion. The dominant limb generated greater knee flexor (η² = 0.062), external rotator (η² = 0.110) and valgus (η² = 0.065) moments. The HIIP only had one effect, increased thoracic flexion relative to the pelvis (η² = 0.088). Finally, the dominant limb demonstrated greater knee extensor moments during the second landing (η² = 0.100). ACL injury risk factors were present in both landings of VDJs with the dominant limb at potentially greater injury risk. Therefore, VDJ screenings should analyse both landings bilaterally.     

Effects of different percentages of body weight support on spatiotemporal step characteristics during running

This study aimed to determine the effect of different percentages of body weight support (BWS) on spatiotemporal step characteristics during running. 26 endurance runners (age: 37 ± 9 years) completed a running treadmill protocol consisting of 6 different conditions (BWS combinations: 0–50%), with velocity maintained at 12 km/h. Each condition lasted 1 minute. Step angle, ground contact time (CT), flight time (FT), step length (SL) and frequency (SF), and duration of phases during stance time (phase1: initial contact; phase2: midstance; phase3: propulsion) were measured for every step during the test using a photoelectric cell system. Compared with the baseline condition (100% BW), FT was longer, CT was shorter, SL was longer, SF was lower, and the step angle was higher with each increase in BWS (p < 0.05). Also, some changes were observed in the duration of phases during stance time: phase1 did not experience changes across experimental conditions (p = 0.096), phase2 decreased and phase3 increased as BW was supported (p < 0.05). These results indicate that as BW was supported, runners showed longer FT and SL, shorter CT, lower SF, and greater step angle as well as some changes in the phases during the ground contact. Therefore, this study highlights the effect of different percentages of BWS on spatiotemporal parameters.     

Effects of a combined inversion and plantarflexion surface on knee and hip kinematics during landing

Although landing in a plantarflexion and inversion position is a well-known characteristic of lateral ankle sprains, the associated kinematics of the knee and hip is largely unknown. Therefore, the purpose of this study was to examine the changes in knee and hip kinematics during landings on an altered landing surface of combined plantarflexion and inversion. Participants performed five drop landings from 30 cm onto a trapdoor platform in three different conditions: flat landing surface, 25° inversion, or a combined 25° plantarflexion and 25° inversion. Kinematic data were collected using a seven camera motion capture system. A 2 × 3 (leg × surface) repeated measures ANOVA was used for statistical analysis. The combined surface showed decreased knee and hip flexion range of motion (ROM) and increased knee abduction ROM (p < 0.05). The altered landing surface creates a stiff landing pattern where reductions in sagittal plane motion are transferred to the frontal plane, resulting in increased knee abduction. A stiff landing pattern is frequently related to increased risk of anterior cruciate ligament injury. It may be beneficial for athletes at risk to train for alternate methods of increasing their sagittal plane motion of the knee and hip with active knee or trunk flexion.     

Metabolic cost of running is greater on a treadmill with a stiffer running platform

Exercise testing on motorised treadmills provides valuable information about running performance and metabolism; however, the impact of treadmill type on these tests has not been investigated. This study compared the energy demand of running on two laboratory treadmills: an HP Cosmos (C) and a Quinton (Q) model, with the latter having a 4.5 times stiffer running platform. Twelve experienced runners ran identical bouts on these treadmills at a range of four submaximal velocities (reported data is for the velocity that approximated 75–81% VO_2max). The stiffer treadmill elicited higher oxygen consumption (C: 46.7 ± 3.8; Q: 50.1 ± 4.3 ml·kg^?1 · min^?1), energy expenditure (C: 16.0 ± 2.5; Q: 17.7 ± 2.9 kcal · min^?1), carbohydrate oxidation (C: 9.6 ± 3.1; Q: 13.0 ± 3.9 kcal · min^?1), heart rate (C: 155 ± 16; Q: 163 ± 16 beats · min^?1) and rating of perceived exertion (C: 13.8 ± 1.2; Q: 14.7 ± 1.2), but lower fat oxidation (C: 6.4 ± 2.3; Q: 4.6 ± 2.5 kcal · min^?1) (all analysis of variance treadmill comparisons P < 0.01). This study confirms that caution is required when comparing performance and metabolic results between different treadmills and suggests that treadmills will vary in their comparability to over-ground running depending on the running platform stiffness.     

The influence of a hurdle target point on the kinematics of the handspring vault approach run during training

ABSTRACT

The aim of this study was to investigate if a visible target for the hurdle take-off would influence the onset of visual regulation and hurdle kinematics during the approach run. Ten elite male gymnasts (age 23.4 ± 4.9 years, height 1.68 ± 0.06 m, mass 63.3 ± 6.2 kg) performed six handspring vaults with a full approach run under two controlled conditions: (a) with a 5-cm white tape on the runway marking the last touchdown of the approach run and the commencement of the hurdle (tape condition—T) and (b) under the standard vaulting regulations (non-tape condition—NT). Spatiotemporal data of the approach run and the hurdle were collected by four stationary and one panning cameras (sampling rate 300 fps). Eight out of 10 gymnasts commenced regulation earlier under T than under NT. Under T condition, horizontal velocity (Vx _to = 9.06 ± 0.41 m/s) and vertical velocity (V _to = 9.35 ± 0.37 m/s) was significantly faster than under NT condition (Vx _to = 8.85 ± 0.49 m/s; V _to = 9.11 ± 0.47 m/s). Introducing a target for the hurdle facilitates an early onset of step regulation and significantly improves the kinematics of the hurdle.