Relationship between peak oxygen uptake and regional body composition in Japanese subjects

PurposeTo investigate the link between peak oxygen uptake and regional body composition by dual energy X-ray absorptiometry (DEXA) in Japanese subjects.MethodsA total of 93 men (42.2 ± 12.3 years old) and 106 women (43.5 ± 12.3 years old) were enrolled in this cross-sectional investigation study. Peak oxygen uptake was measured by the breath-by-breath method. Regional body composition i.e., body fat mass, lean body mass, and body fat percentage was evaluated using DEXA. In addition, metabolic risk parameters were also evaluated.ResultsPeak oxygen uptake was 37.6 ± 8.7 mL/kg/min in men and 31.1 ± 6.4 mL/kg/min in women, and decreased with age in both genders. Peak oxygen uptake was significantly correlated with total body fat percentage (men: r = −0.684, p < 0.0001; women: r = −0.681, p < 0.0001). These associations remained even after adjusting for age and total lean body mass. However, peak work rate was positively and significantly correlated with leg lean body mass.ConclusionPeak oxygen uptake was closely correlated with total body fat percentage in both genders. Aerobic exercise as well as leg resistance training might be useful for improving peak oxygen uptake in Japanese subjects.     

Association between knee-to-hip flexion ratio during single-leg vertical landings,and strength and range of motion in professional soccer players

Abstract

The aim of this study was to test the correlation between knee-to-hip flexion ratio during a single leg landing task and hip and knee strength, and ankle range of motion. Twenty-four male participants from a professional soccer team performed a continuous single leg jump-landing test during 10s, while lower limb kinematics data were collected using a motion analysis system. After biomechanical testing, maximal isometric hip (abduction, extension, external rotation), knee extension and flexion strength were measured. Maximum ankle dorsiflexion range of motion was assessed statically using the weight bearing lunge test. Pearson correlation coefficients were calculated to determine the associations between the predictor variables (knee and hip strength, and ankle ROM) and the main outcome measure (knee-to-hip flexion ratio). Correlation between knee-to-hip flexion ratio and hip abductors strength was significant (r = ?0.47; p = 0.019). No other significant correlations were observed among the variables (p > 0.05). These results demonstrated that a lower hip abductors strength in male soccer players was correlated with a high knee-to-hip flexion ratio during landing from a single leg jump, potentially increasing knee overload by decreasing energy absorption at the hip. The results provide a novel proposal for the functioning of hip muscles to control knee overload.     

Relationship of proprioception,cutaneous sensitivity,and muscle strength with the balance control among older adults

BackgroundBalance impairment is one of the strongest risk factors for falls. Proprioception, cutaneous sensitivity, and muscle strength are 3 important contributors to balance control in older adults. The relationship that dynamic and static balance control has to proprioception, cutaneous sensitivity, and muscle strength is still unclear. This study was performed to investigate the relationship these contributors have to dynamic and static balance control.MethodsA total of 164 older adults (female = 89, left dominant = 15, age: 73.5 ± 7.8 years, height: 161.6 ± 7.1 cm, weight: 63.7 ± 8.9 kg, mean ± SD) participated in this study. It tested the proprioception of their knee flexion/extension and ankle dorsi/plantarflexion, along with cutaneous sensitivity at the great toe, first and fifth metatarsals, arch, and heel, and the muscle strength of their ankle dorsi/plantarflexion and hip abduction. The Berg Balance Scale (BBS) and the root mean square (RMS) of the center of pressure (CoP) were collected as indications of dynamic and static balance control. A partial correlation was used to determine the relationship between the measured outcomes variables (BBS and CoP-RMS) and the proprioception, cutaneous sensitivity, and muscle strength variables.ResultsProprioception of ankle plantarflexion (r = –0.306, p = 0.002) and dorsiflexion (r = –0.217, p = 0.030), and muscle strength of ankle plantarflexion (r = 0.275, p = 0.004), dorsiflexion (r = 0.369, p < 0.001), and hip abduction (r = 0.342, p < 0.001) were weakly to moderately correlated with BBS. Proprioception of ankle dorsiflexion (r = 0.218, p = 0.020) and cutaneous sensitivity at the great toe (r = 0.231, p = 0.041) and arch (r = 0.285, p = 0.002) were weakly correlated with CoP-RMS in the anteroposterior direction. Proprioception of ankle dorsiflexion (r = 0.220, p = 0.035), knee flexion (r = 0.308, p = 0.001) and extension (r = 0.193, p = 0.040), and cutaneous sensitivity at the arch (r = 0.206, p = 0.028) were weakly to moderately correlated with CoP-RMS in the mediolateral direction.ConclusionThere is a weak-to-moderate relationship between proprioception and dynamic and static balance control, a weak relationship between cutaneous sensitivity and static balance control, and a weak-to-moderate relationship between muscle strength and dynamic balance control.     

Do ankle braces provide similar effects on ankle biomechanical variables in subjects with and without chronic ankle instability during landing?

PurposeThe purpose of this study was to examine effects of a sport version of a semi-rigid ankle brace (Element?) and a soft ankle brace (ASO) on ankle biomechanics and ground reaction forces (GRFs) during a drop landing activity in subjects with chronic ankle instability (CAI) compared to healthy subjects with no history of CAI.MethodsTen healthy subjects and 10 subjects who had multiple ankle sprains participated in the study as the control and unstable subjects, respectively. The CAI subjects were age, body mass index and gender matched with the control subjects. The arch index and ankle functions of the subjects were measured in a subject screening session. During the biomechanical test session, participants performed five trials of drop landing from 0.6 m, wearing no brace (NB), Element? brace and ASO brace. Simultaneous recording of three-dimensional kinematic (240 Hz) and GRF (1200 Hz) data were performed.ResultsThe CAI subjects had lower ankle functional survey scores. The arch index and deformity results showed greater arch deformity of Element? against a static load than in NB and ASO due to greater initial arch position held by the brace. CAI participants had greater eversion velocity than healthy controls. The ASO brace reduced the first peak vertical GRF whereas Element? increased 2nd peak vertical GRF. Element? brace reduced eversion range of motion (ROM) and peak eversion velocity compared to NB and ASO. In addition, Element? reduced dorsiflexion ROM and increased peak plantarflexion moment compared to NB and ASO.ConclusionResults of static arch measurements and dynamic ankle motion suggest that the restrictions offered by both braces are in part due to more dorsiflexed ankle positions at contact, and higher initial arch position and stiffer ankle for Element?.     

Effects of small-volume soccer and vibration training on body composition,aerobic fitness,and muscular PCr kinetics for inactive women aged 20–45

PurposeThe present study investigated the effects of 16 weeks of small-volume, small-sided soccer training soccer group (SG, n = 13) and oscillating whole-body vibration training vibration group (VG, n = 17) on body composition, aerobic fitness, and muscle PCr kinetics in healthy inactive premenopausal women in comparison with an inactive control group (CO, n = 14).MethodsTraining for SG and VG consisted of twice-weekly 15-min sessions with average heart rates (HRs) of ∼155 and 90 bpm respectively. Pre- and post-measurements of body composition (DXA), phosphocreatine (PCr) on- and off-kinetics, and HR measurements during standardised submaximal exercise were performed.ResultsAfter 16 weeks of training in SG, fat percentage was lowered (p = 0.03) by 1.7% ± 2.4% from 37.5% ± 6.9% to 35.8% ± 6.2% and the PCr decrease in the quadriceps during knee-extension ramp exercise was attenuated (4% ± 8%, p = 0.04), with no changes in VG or CO (time-group effect: p = 0.03 and p = 0.03). Submaximal exercise HR was also reduced in SG after 16 weeks of training (6% ± 5% of HR_max, p = 0.01).ConclusionShort duration soccer training for 16 weeks appears to be sufficient to induce favourable changes in body composition and indicators of aerobic fitness and muscle oxidative capacity in untrained premenopausal women.     

Sleep quality improved following a single session of moderate-intensity aerobic exercise in older women: Results from a pilot study

BackgroundPoor sleep quality is associated with adverse effects on health outcomes. It is not clear whether exercise can improve sleep quality and whether intensity of exercise affects any of the effects.MethodsFifteen healthy, non-obese (body mass index = 24.4 ± 2.1 kg/m², mean ± SD), sedentary (<20 min of exercise on no more than 3 times/week) older women (66.1 ± 3.9 years) volunteered for the study. Peak oxygen consumption (VO_2peak) was evaluated using a graded exercise test on a treadmill with a metabolic cart. Following a 7-day baseline period, each participant completed two exercise sessions (separated by 1 week) with equal caloric expenditure, but at different intensities (60% and 45% VO_2peak, sequence randomized) between 9:00 and 11:00 am. A wrist ActiGraph monitor was used to assess sleep at baseline and two nights following each exercise session.ResultsThe average duration of the exercise was 54 and 72 min, respectively at 60% (moderate-intensity) and 45% VO_2peak (light-intensity). Wake time after sleep onset was significantly shorter (p = 0.016), the number of awakenings was less (p = 0.046), and total activity counts were lower (p = 0.05) after the moderate-intensity exercise compared to baseline no-exercise condition.ConclusionOur data showed that a single moderate-intensity aerobic exercise session improved sleep quality in older women.     

Kinematic and kinetic differences in the execution of vertical jumps between people with good and poor ankle joint dorsiflexion

Abstract

The aim of the present study was to investigate the kinematic and kinetic differences in the execution of vertical jumps between individuals with good and poor ankle dorsiflexion. Fifteen physical education students were assigned to the flexible group (FG), while another 15 were assigned to the inflexible group (IFG). The two groups executed countermovement jumps (CMJ) and drop jumps from a 60 cm height (DJ60). For the CMJ, the FG jumped higher (32.0 ± 4.0 cm vs. 30.2 ± 4.9 cm, P = 0.27) and used a greater range of motion in all leg joints. The IFG jumpers raised their heels off the ground and had a greater horizontal distance between the centre of mass of the trunk and the centre of the hip joint (L_CMh 25.6 ± 3.4 cm vs. 30.9 ± 4.3 cm, P < 0.001). In the DJ60 the FG jumped higher (22.4 ± 5.9 cm vs. 19.5 ± 4.6 cm, P = 0.14) with a greater vertical shift of the body centre of mass (BCM) (S = 0.45 ± 0.11 cm vs. 0.36 ± 0.05 cm, P < 0.01) and better joint coordination. The IFG jumpers changed the position of their trunk and heels depending on the jump type. Trainers should reconsider the technical issues of vertical jumps according to the flexibility of the ankle joint.     

Neuromuscular control during stepping down in continuous gait in individuals with and without ankle instability

Abstract

Ankle sprains are a common injury and those affected are at a risk of developing chronic ankle instability (CAI). Complications of an acute sprain include increased risk of re-injury and persistent disability; however, the exact link between ankle sprains and chronic instability has yet to be elucidated. The purpose of this study was to investigate neuromuscular control (including kinematics, kinetics and EMG) during stepping down from a curb, a common yet challenging daily activity, in persons with ankle instability (n = 11), those with a history of ankle sprain without persistent instability, called ankle sprain “copers” (CPRs) (n = 9) and uninjured controls (CTLs) (n = 13). A significant group difference was noted as the CPR group demonstrated increased tibialis anterior activity in both the preparatory (pre-touchdown) and reactive (post-touchdown) phases when compared to healthy and unstable groups (P < 0.05). It follows that the CPR group also demonstrated a significantly less plantar-flexed position at touchdown than the other two groups (P < 0.05). This is a more stable position to load the ankle and this strategy differed from that used by participants with CAI and uninjured CTLs. These findings provide insight into the neuromuscular control strategies of CPRs, which may allow them to more appropriately control ankle stability following sprains.     

Assessment of balance among adolescent track and field athletes

Track and field events place different demands on athletes and may have an effect on balance. This study investigated the effects of event specialty, gender, and leg dominance on balance among adolescent track and field athletes. Forty healthy adolescent track and field athletes (male = 23, female = 17) categorised into three different groups (sprinter = 20, distance runners = 13, throwers = 7) had their single leg static balance measured with the eyes open and the eyes closed using an AMTI force platform. Dependent variables included average displacement (cm) of the centre of pressure (COP) in the anterior/posterior direction and medial/lateral directions, the average velocity of the COP (cm/s) and the 95% ellipse area (cm²). Variables were analysed using a 3 (event specialty) × 2 (gender) × 2 (leg) ANOVA with repeated measures on the leg variable (p < 0.05). There was a significant difference (p < 0.05) in the average displacement of the COP in the medial/lateral direction for both the eyes open and closed condition, with the non-dominant leg demonstrating greater displacement than the dominant leg. This might increase the risk of injury for the non-dominant leg, but additional data should be collected and analysed on both dynamic balance and performance.     

The potential of toe flexor muscles to enhance performance

Abstract

The metatarsal phalangeal joint (MPJ) and its crossing toe flexor muscles (TFM) represent the link between the large energy generating leg extensor muscles and the ground. The purpose of this study was to examine the functional adaptability of TFM to increased mechanical stimuli and the effects on walking, running and jumping performance.

Fifteen men performed a heavy resistance TFM strength training with 90% of the maximal voluntary isometric contraction (MVIC) for 7 weeks (560 contractions) for the left and right foot. Maximal MPJ and ankle plantar flexion moments during MVICs were measured in dynamometers before and after the intervention. Motion analyses (inverse dynamics) were performed during barefoot walking, running, and vertical and horizontal jumping. Athletic performance was determined by measuring jump height and distance.

Left (0.21 to 0.38 Nm · kg^?1; P < 0.001) and right (0.24 to 0.40 Nm · kg^?1; P < 0.001) MPJ plantar flexion moments in the dynamometer, external MPJ dorsiflexion moments (0.69 to 0.75 Nm · kg^?1; P = 0.012) and jump distance (2.25 to 2.31 m; P = 0.006) in horizontal jumping increased significantly.

TFM responded highly to increased loading within a few weeks. The increased force potential made a contribution to an athlete's performance enhancement.     

Intensity-level assessment of lower body plyometric exercises based on mechanical output of lower limb joints

Abstract

The present study aimed to quantify the intensity of lower extremity plyometric exercises by determining joint mechanical output. Ten men (age, 27.3 ± 4.1 years; height, 173.6 ± 5.4 cm; weight, 69.4 ± 6.0 kg; 1-repetition maximum [1RM] load in back squat 118.5 ± 12.0 kg) performed the following seven plyometric exercises: two-foot ankle hop, repeated squat jump, double-leg hop, depth jumps from 30 and 60 cm, and single-leg and double-leg tuck jumps. Mechanical output variables (torque, angular impulse, power, and work) at the lower limb joints were determined using inverse-dynamics analysis. For all measured variables, ANOVA revealed significant main effects of exercise type for all joints (P < 0.05) along with significant interactions between joint and exercise (P < 0.01), indicating that the influence of exercise type on mechanical output varied among joints. Paired comparisons revealed that there were marked differences in mechanical output at the ankle and hip joints; most of the variables at the ankle joint were greatest for two-foot ankle hop and tuck jumps, while most hip joint variables were greatest for repeated squat jump or double-leg hop. The present results indicate the necessity for determining mechanical output for each joint when evaluating the intensity of plyometric exercises.     

Volleyball

The purpose of this investigation was to detect whether differences exist concerning the dynamic and kinematic parameters of vertical squat jump (SJ) on rigid (RS) and sand (SS) surface. Fifteen elite male beach volleyball players (age: 25.6±6.2 years; height: 188.0±3.5cm; body mass: 83.2±6.0 kg; mean ±SD, respectively) performed SJ. Force platform and kinematic analyses were used with paired sample T‐tests to evaluate the differences. Vertical jump height was significantly smaller (p < .001) on SS than RS. Maximal force and maximal power were significantly higher on RS than SS (p < .05 and p < .01 respectively). Impulse time was larger in SS but with no significant difference (p = .286). Kinematic analysis revealed significant differences between the values of ankle joint during starting posture (p < .01) and of hip joint at the moment of take‐off (p < .05). Ankle joint range of motion and angular velocity was larger in SS (p < .05). In conclusion, SJ height on SS was smaller than on RS because of the compliance and the instability of the sand. This resulted in a reduction in maximum force and take‐off velocity. Furthermore, the compliance of SS made it hard for the ankle to push along the vertical axis of the movement of the body and as a result it slipped behind in an attempt to maximise propulsion. As a result, the body tries to balance and equalise this movement and move the hip to larger extension.     

Sport specificity background affects the principal component structure of vertical squat jump performance of young adult female athletes

PurposeLong-term training specificity is thought to alter performance in tests evaluating strength and power production capability. The aim of the present study was to provide additional information to the limited existing knowledge concerning the possible differences of the force/time profile of squat jumping among different groups of young female athletes.MethodsOne hundred and seventy-three adult women (20.1 ± 2.8 years, 1.71 ± 0.09 m, 65.6 ± 10.3 kg, mean ± SD for age, height, and mass, respectively) engaged in track and field (TF), volleyball (VO), handball (HA), basketball (BA), and physical education students (PE) executed maximal squat jumps (SQJ) on a force plate. Pearson's correlation was used to identify the relationship between SQJ performance, the anthropometric characteristics and the biomechanical parameters. Differences concerning the biomechanical parameters among groups were investigated with analysis of variance, while the force- (FPD) or time- (TPD) dependency of SQJ execution was examined using principal components analysis (PCA).ResultsSQJ was unrelated to body height but significantly correlated with body mass (r = −0.26, p = 0.001). TF jumped higher and produced larger peak body power output compared to all the other groups (p < 0.05). All athletes were superior to PE since they performed the SQJ with a longer (p < 0.05) vertical body center of mass trajectory during the propulsion phase. PCA results revealed that TF significantly differentiated than the other groups by relying on FPD.ConclusionVarious different profiles of FPD and TPD were detected due to different sporting background in young female athletes. Since TF superiority in SQJ was relied on the larger power production and a greater FPD, female indoor team sport athletes are suggested to execute jumping exercises adopting the jumping strategies utilized by TF.     

Reliability and validity of field-based measures of leg stiffness and reactive strength index in youths

Abstract

The aim of the study was to assess the reliability of a mobile contact mat in measuring a range of stretch–shortening cycle parameters in young adolescents. Additionally, vertical leg stiffness using contact mat data was validated against a criterion method using force–time data. The reliability study involved 18 youths completing a habituation and three separate test sessions, while 20 youths completed a single test session for the validity study. Participants completed three trials of a squat jump, countermovement jump, and maximal hopping test and a single trial of repeated sub-maximal hopping at 2.0 Hz and 2.5 Hz. All tests were performed on the contact mat. Reliability statistics included repeated-measures analysis of variance, intraclass correlation coefficient, and coefficient of variation (CV), while the correlation coefficient (r) and typical error of estimate (TEE) were reported for the validity study. Squat jump height was the most reliable measure (CV = 8.64%), while leg stiffness during sub-maximal hopping, and reactive strength index produced moderate reliability (CV = 10.17–13.93% and 13.98% respectively). Measures of leg stiffness obtained from contact mat data during sub-maximal hopping were in agreement with the criterion measure (r = 0.92–0.95; TEE = 6.5–7.5%), but not during maximal hopping (r = 0.59; TEE = 41.9%). The contact mat was deemed a valid tool for measuring stretch–shortening cycle ability in sub-maximal but not maximal hopping. Although reliability of performance was generally moderate, the tests offer a replicable assessment method for use with paediatric populations.     

Maximalist shoes do not alter performance or joint mechanical output during the countermovement jump

ABSTRACT

This study examined potential differences between maximally cushioned (MAX) shoes and standard cushioned (STND) shoes during countermovement vertical jump (CMVJ) performance. Twenty-one males (23[2] y; 86.5[15.4] kg; 179.8[6.3] cm) completed eight jumps each in MAX and STND shoes while three-dimensional kinematic and kinetic data were collected. Paired-samples t-tests (α = 0.05) and Cohen’s d effect sizes (ES) were used to compare the following variables: vertical jump displacement, jump time, hip, knee and ankle joint angles at the start of the countermovement, the end of the unloading phase, the end of the eccentric phase, and at takeoff, peak joint power, and the joint contributions to total lower extremity work during the eccentric and concentric phases. The ankle was more dorsiflexed at the end of the countermovement in the MAX shoe (p = 0.002; ES = 0.55) but greater plantarflexion occurred in the STND shoes at takeoff (p = 0.028; ES = 0.56). No other differences were observed. The result of this study suggests that unique ankle joint angular positioning may be employed when wearing MAX versus STND shoes. Since the unique ankle joint positioning did not alter jump performance, potential MAX footwear users might not need to consider the potential for altered CMVJ performance when determining whether to adopt MAX footwear.     

Biomechanical analysis of the “running” vs. “conventional” diagonal stride uphill techniques as performed by elite cross-country skiers

PurposeThis study aimed to compare biomechanical aspects of a novel “running” diagonal stride (DS_RUN) with “conventional” diagonal stride (DS_CONV) skiing techniques performed at high speed.MethodsTen elite Italian male junior cross-country skiers skied on a treadmill at 10 km/h and at a 10° incline utilizing both variants of the diagonal stride technique. The 3-dimensional kinematics of the body, poles, and roller skis; the force exerted through the poles and foot plantar surfaces; and the angular motion of the leg joints were determined.ResultsCompared to DS_CONV, DS_RUN demonstrated shorter cycle times (1.05 ± 0.05 s vs. 0.75 ± 0.03 s (mean ± SD), p < 0.001) due to a shorter rolling phase (0.40 ± 0.04 s vs. 0.09 ± 0.04 s, p < 0.001); greater force applied perpendicularly to the roller skis when they had stopped rolling forward (413 ± 190 N vs. 890 ± 170 N, p < 0.001), with peak force being attained earlier; prolonged knee extension, with a greater range of motion during the roller ski-stop phase (28° ± 4° vs. 16° ± 3°, p = 0.00014); and more pronounced hip and knee flexion during most of the forward leg swing. The mechanical work performed against friction during rolling was significantly less with DS_RUN than with DS_CONV (0.04 ± 0.01 J/m/kg vs. 0.10 ± 0.02 J/m/kg, p < 0.001).ConclusionOur findings demonstrate that DS_RUN is characterize by more rapid propulsion, earlier leg extension, and a greater range of motion of knee joint extension than DS_CONV. Further investigations, preferably on snow, should reveal whether DS_RUN results in higher acceleration and/or higher peak speed.     

Endurance tests are the most reliable core stability related measurements

PurposeTo determine the intra-tester reliability of clinical measurements that assess five components related to core stability: strength, endurance, flexibility, motor control, and function.MethodsParticipants were 15 college-aged males who had not suffered any orthopedic injury in the past year. Core strength measurements included eight isometric tests and a sit-up test. The four core endurance tests were the trunk flexor test, trunk extensor test, and bilateral side bridge tests. Flexibility tests included the sit-and-reach test and active range of the trunk and hip joint motions. Proprioception via passive reposition tests of the hips and a single limb balance test on an unsteady platform were used to evaluate core motor control. Functional measurements consisted of a squat test and a single leg hop test for time and distance. Measurements were performed during two data collection sessions with a week's rest between the sessions. Intra-class correlation coefficients were calculated to establish reliability.ResultsThe overall intra-rater reliability for all core stability related measurements ranged from low (ICC = 0.35, left hip reposition) to very high (ICC = 0.98, sit-and-reach). As a group, the core endurance tests were observed to be the most reliable.ConclusionThere are highly reliable tests in each of the five groups. Overall, core endurance tests are the most reliable measurements, followed by the flexibility, strength, neuromuscular control, and functional tests, respectively.     

A systematic review of running-related musculoskeletal injuries in runners

ObjectiveRunning-related musculoskeletal injuries (RRMIs), especially stemming from overuse, frequently occur in runners. This study aimed to systematically review the literature and determine the incidence and prevalence proportion of RRMIs by anatomic location and specific pathology.MethodsAn electronic database search with no date beginning restrictions was performed in SPORTDiscus, PubMed, and MEDLINE up to June 2020. Prospective studies were used to find the anatomic location and the incidence proportion of each RRMI, whereas retrospective or cross-sectional studies were used to find the prevalence proportion of each RRMI. A separate analysis for ultramarathon runners was performed.ResultsThe overall injury incidence and prevalence were 40.2% ± 18.8% and 44.6% ± 18.4% (mean ± SD), respectively. The knee, ankle, and lower leg accounted for the highest proportion of injury incidence, whereas the knee, lower leg, and foot/toes had the highest proportion of injury prevalence. Achilles tendinopathy (10.3%), medial tibial stress syndrome (9.4%), patellofemoral pain syndrome (6.3%), plantar fasciitis (6.1%), and ankle sprains (5.8%) accounted for the highest proportion of injury incidence, whereas patellofemoral pain syndrome (16.7%), medial tibial stress syndrome (9.1%), plantar fasciitis (7.9%), iliotibial band syndrome (7.9%), and Achilles tendinopathy (6.6%) had the highest proportion of injury prevalence. The ankle (34.5%), knee (28.1%), and lower leg (12.9%) were the 3 most frequently injured sites among ultramarathoners.ConclusionThe injury incidence proportions by anatomic location between ultramarathoners and non-ultramarathoners were not significantly different (p = 0.798). The pathologies with the highest incidence proportion of injuries were anterior compartment tendinopathy (19.4%), patellofemoral pain syndrome (15.8%), and Achilles tendinopathy (13.7%). The interpretation of epidemiological data in RRMIs is limited due to several methodological issues encountered.     

Functional hamstrings: quadriceps ratios in elite women's soccer players

Abstract

We compared starters and non-starters for various isokinetic strength variables in elite women’s soccer players. A convenience sample of 10 starters (mean ± s; age = 20 ± 2 years; height = 170 ± 4 cm; body mass = 65 ± 5 kg) and 7 non-starters (age = 20 ± 1 years; height = 164 ± 3 cm; body mass = 63 ± 4 kg) performed maximal voluntary muscle actions of the leg extensors (concentric) and flexors (eccentric) on an isokinetic dynamometer in order to measure concentric peak torque for the leg extensors, eccentric peak torque for the leg flexors, and the functional hamstrings:quadriceps (H:Q) ratio at 1.047 rad · s^-1 and 4.189 rad · s^-1 concentric peak torque for the leg extensors was not different between starters and non-starters. However, it was greater at 1.047 rad · s^-1 than at 4.189 rad · s^-1 in both groups. Eccentric peak torque for the leg flexors was greater for the starters versus non-starters at 4.189 rad · s^-1. Eccentric strength of the leg flexors at fast movement velocities may be used as an effective physiological profile and may discriminate between playing status in elite women’s soccer players.