Background:
The National Center for Injury Prevention and Control, noting flaws in previous running injury research, called for more rigorous prospective designs and comprehensive analyses to define ...the origin of running injuries.
Purpose:
To determine the risk factors that differentiate recreational runners who remain uninjured from those diagnosed with an overuse running injury during a 2-year observational period.
Study Design:
Cohort study; Level of evidence, 2.
Methods:
Inclusion criteria were running a minimum of 5 miles per week and being injury free for at least the past 6 months. Data were collected at baseline on training, medical and injury histories, demographics, anthropometrics, strength, gait biomechanics, and psychosocial variables. Injuries occurring over the 2-year observation period were diagnosed by an orthopaedic surgeon on the basis of predetermined definitions.
Results:
Of the 300 runners who entered the study, 199 (66%) sustained at least 1 injury, including 73% of women and 62% of men. Of the injured runners, 111 (56%) sustained injuries more than once. In bivariate analyses, significant (P ≤ .05) factors at baseline that predicted injury were as follows: Short Form Health Survey–12 mental component score (lower mental health–related quality of life), Positive and Negative Affect Scale negative affect score (more negative emotions), sex (higher percentage of women were injured), and knee stiffness (greater stiffness was associated with injury); subsequently, knee stiffness was the lone significant predictor of injury (odds ratio = 1.18) in a multivariable analysis. Flexibility, quadriceps angle, arch height, rearfoot motion, strength, footwear, and previous injury were not significant risk factors for injury.
Conclusion:
The results of this study indicate the following: (1) among recreational runners, women sustain injuries at a higher rate than men; (2) greater knee stiffness, more common in runners with higher body weights (≥80 kg), significantly increases the odds of sustaining an overuse running injury; and (3) contrary to several long-held beliefs, flexibility, arch height, quadriceps angle, rearfoot motion, lower extremity strength, weekly mileage, footwear, and previous injury are not significant etiologic factors across all overuse running injuries.
An evaluation of a six-week Combined minimal footwear transition and gait-retraining combination vs. gait retraining only on impact characteristics and leg stiffness. Twenty-four trained male runners ...were randomly assigned to either (1) Minimalist footwear transition Combined with gait-retraining over a six-week period ("Combined" group; n = 12) examined in both footwear, or (2) a gait-retraining group only with no minimalist footwear exposure ("Control"; n = 12). Participants were assessed for loading rate, impact peak, vertical, knee and ankle stiffness, and foot-strike using 3D and kinetic analysis. Loading rate was significantly higher in the Combined group in minimal shoes in pre-tests compared to a Control (P ≤ 0.001), reduced significantly in the Combined group over time (P ≤ 0.001), and was not different to the Control group in post-tests (P = 0.16). The impact peak (P = 0.056) and ankle stiffness reduced in both groups (P = 0.006). Loading rate and vertical stiffness was higher in minimalist footwear than conventional running shoes both pre (P ≤ 0.001) and post (P = 0.046) the intervention. There has a higher tendency to non-rearfoot strike in both interventions, but more acute changes in the minimalist footwear. A Combined intervention can potentially reduce impact variables. However, higher loading rate initially in minimalist footwear may increase the risk of injury in this condition.
1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) induces permanent neurochemical and functional deficits. Following the administration of either two or four injections of the dopamine neurotoxin, ...MPTP, at a dose of 40 mg/kg, C57/BL6 mice were given access to running-wheels (30-min sessions, four times/week, Monday-Thursday) and treatment with the treated yeast, Milmed.sup.#174; (four times/week, Monday-Thursday), or simply running-wheel exercise by itself, over ten weeks. It was observed that the combination of physical exercise and Milmed.sup.#174; treatment, the MPTP + Exercise + Yeast (MC) group MPTP + Exercise + Milmed.sup.#174; (MC), restored spontaneous motor activity markedly by test day 10, restored completely subthreshold L-Dopa-induced activity, and dopamine concentration to 76% of control values, in the condition wherein two administrations of MPTP (2 x 40 mg/kg) were given prior to initiation of exercise and/or Milmed.sup.#174; treatment. Physical exercise by itself, MPTP + Exercise (MC) group, attenuated these deficits only partially. Administration of MPTP four times (i.e., 40 mg/kg, s.c., once weekly over four weeks for a total of 160 mg/kg, MPTP + Exercise + Yeast (MC) group MPTP + Exercise + Milmed.sup.#174; (SC) and MPTP + Exercise (SC), induced a lesioning effect that was far too severe for either exercise alone or the exercise + Milmed.sup.#174; combination to ameliorate. Nevertheless, these findings indicate a powerful effect of physical exercise reinforced by Milmed.sup.#174; treatment in restoring MPTP-induced deficits of motor function and dopamine neurochemistry in mice.
Injuries and lack of motivation are common reasons for discontinuation of running. Real-time feedback from wearables can reduce discontinuation by reducing injury risk and improving performance and ...motivation. There are however several limitations and challenges with current real-time feedback approaches. We discuss these limitations and challenges and provide a framework to optimise real-time feedback for reducing injury risk and improving performance and motivation. We first discuss the reasons why individuals run and propose that feedback targeted to these reasons can improve motivation and compliance. Secondly, we review the association of running technique and running workload with injuries and performance and we elaborate how real-time feedback on running technique and workload can be applied to reduce injury risk and improve performance and motivation. We also review different feedback modalities and motor learning feedback strategies and their application to real-time feedback. Briefly, the most effective feedback modality and frequency differ between variables and individuals, but a combination of modalities and mixture of real-time and delayed feedback is most effective. Moreover, feedback promoting perceived competence, autonomy and an external focus can improve motivation, learning and performance. Although the focus is on wearables, the challenges and practical applications are also relevant for laboratory-based gait retraining.
Esteve-Lanao, J, Del Rosso, S, Larumbe-Zabala, E, Cardona, C, Alcocer-Gamboa, A, and Boullosa, DA. Predicting marathon performance time throughout the training preparation in recreational runners. J ...Strength Cond Res 35(11): 3218-3224, 2021-The objective of this study was to predict marathon performance at different time points along the season using different speeds derived from ventilatory thresholds and running economy (RE). Sixteen recreational runners (8 women and 8 men) completed a 16-week marathon training macrocycle. Aerobic threshold (AeT), anaerobic threshold (AnT), and maximal oxygen uptake were assessed at the beginning of the season, whereas speeds eliciting training zones at AeT and AnT, and RE were evaluated at 5-time points during the season (M1-M5). Analyses of variance and hierarchical regression analyses were conducted. Training improved AeT and AnT speeds at M2 vs. M1 (p = 0.001) and remained significantly higher at M3, M4, and M5 (p = 0.001). There was a significant effect of time (p = 0.003) for RE, being higher at M4 and M5 compared with M1 and M3. Significant correlations were found between marathon performance and speeds at AeT and AnT at every time point (r = 0.81-0.94; p < 0.05). Speed at AnT represented the main influence (65.9 and 71.41%) in the final time prediction at M1 and M2, whereas speed at AeT took its place toward the end of the macrocycle (76.0, 80.4, and 85.0% for M3, M4, and M5, respectively). In conclusion, assessment of speeds at AeT and AnT permits for reasonable performance prediction during the training preparation, therefore avoiding maximal testing while monitoring 2 fundamental training speeds. Future research should verify if these findings are applicable to runners of different levels and other periodization models.
Abstract Recent developments in wearable and wireless sensor technology allow for a continuous three dimensional analysis of running mechanics in the sport specific setting. The present study is the ...first to demonstrate the possibility of analyzing three dimensional (3D) running mechanics continuously, by means of inertial magnetic measurement units, to objectify changes in mechanics over the course of a marathon. Three well trained male distance runners ran a marathon while equipped with inertial magnetic measurement units on trunk, pelvis, upper legs, lower legs and feet to obtain a 3D view of running mechanics and to asses changes in running mechanics over the course of a marathon. Data were continuously recorded during the entire 42.2 km (26.2 Miles) of the Marathon. Data from the individual sensors were transmitted wirelessly to a receiver, mounted on the handlebar of an accompanying cyclist. Anatomical calibration was performed using both static and dynamic procedures and sensor orientations were thus converted to body segment orientations by means of transformation matrices obtained from the segment calibration. Joint angle (hip, knee and ankle) trajectories as well as center of mass (COM) trajectory and acceleration were derived from the sensor data after segment calibration. Data were collected and repeated measures one way ANOVA׳s, with Tukey post-hoc test, were used to statistically analyze differences between the defined kinematic parameters (max hip angle, peak knee flexion at mid-stance and at mid-swing, ankle angle at initial contact and COM vertical displacement and acceleration), averaged over 100 strides, between the first and the last stages (8 and 40 km) of the marathon. Significant changes in running mechanics were witnessed between the first and the last stage of the marathon. This study showed the possibility of performing a 3D kinematic analysis of the running technique, in the sport specific setting, by using inertial magnetic measurement units. For the three runners analyzed, significant changes were observed in running mechanics over the course of a marathon. The present measurement technique therefore allows for more in-depth study of running mechanics outside the laboratory setting.
Performance Factors in a Mountain Ultramarathon Balducci, Pascal; Clémençon, Michel; Trama, Robin ...
International journal of sports medicine,
10/2017, Volume:
38, Issue:
11
Journal Article
Peer reviewed
This study aimed to determine mountain ultra-marathon (MUM) performance factors in a large group of endurance mountain runners. Maximal aerobic speed (MAS) was assessed one week prior to the MUM. The ...level and graded (10%) energy cost of running, stiffness, knee extensors force (KE
), and jump height on a counter movement jump (CMJ) were measured in 24 male ultra runners before (pre) and immediately after (post) the Interlacs Trail (75 km and 3 930/3 700 m d+/d-). Performance time was correlated with MAS (r=- 0.74, p<0.001), fraction of MAS (F
) sustained (r=- 0.89, p<0.001), KE
(r=- 0.51, p<0.05), and KE
loss (r=- 0.51, p<0.05). A multiple regression analysis was performed using performance time in minutes (T) and the calculated individual characteristics, resulting in T=- 11.852×F
-37.195×MAS-0.118×KE
+2090.581 (R
=0.98, with 95% confidence interval). Contrary to expectations, performance was neither correlated to the level or uphill energy cost of running nor to the changes of these costs post-MUM. To perform in a MUM, training should take into account muscle strength of the KE, MAS and F
.
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