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In the wake of the quest to break the 2-h marathon barrier, carbon-fiber plates have become commonplace in marathon racing shoes. Despite the controversy surrounding this shoe technology, studies on the effects of increased longitudinal bending stiffness on running economy report mixed results. Here, we provide a comprehensive review of the current literature on midsole bending stiffness and carbon-fiber plates in distance running shoes, focusing on how longitudinal bending stiffness affects running energetics and lower limb mechanics. The current literature reports changes in running economy with increased longitudinal bending stiffness ranging from ~ 3% deterioration to ~ 3% improvement. In some studies, larger improvements have been observed, but often those shoes varied in many aspects, not just longitudinal bending stiffness. Biomechanically, increased longitudinal bending stiffness has the largest impact on metatarsal–phalangeal (MTP) and ankle joint mechanics. Plate location [top loaded (an insole), embedded (in between midsole foam), and bottom loaded (along the bottom of the shoe)] and geometry (flat/curved) affect joint moments and angular velocities at the MTP and ankle joint differently, which partly explains the mixed running economy results. Further research investigating how carbon-fiber plates interact with other footwear features (such as foam and midsole geometry), scaling of those with shoe size, body mass, and strike pattern, and comparing various plate placements is needed to better understand how longitudinal bending stiffness affects running economy. [ABSTRACT FROM AUTHOR]

Fatigue, developed over the course of a run, may cause changes in running kinematics. Training status may influence the effect of fatigue on running kinematics, since well trained, competitive runners are used to running until exhaustion, whereas novice runners are not. This study aimed to determine changes in running kinematics during an exhaustive run in both novice (NOVICE) and competitive (COMP) longdistance runners. About 15 NOVICE and 15 COMP runners performed a treadmill run, until voluntary exhaustion at 3,200 m time trial pace. Joint angles and global trunk and pelvis angles were recorded at the beginning and at the end of the run. In both groups, peak pelvic anterior tilt, pelvic rotation range of motion (both during stance phase) and ankle plantar flexion during swing phase increased after the exhaustive run. There was a significant interaction effect between group and exhaustion for peak forward trunk lean, which increased only in the NOVICE group, and for hip abduction during mid-swing, which increased in NOVICE and decreased in COMP runners. In conclusion, NOVICE runners showed larger kinematic adjustments when exhausted than COMP runners. This may affect their running performance and should be taken into account when assessing a runner's injury risk. [ABSTRACT FROM AUTHOR]

Background: Individuals with visual impairment (VI) have often been observed to walk slower than individuals with unimpaired vision. These observations might be confounded by typical low levels of physical activity and greater sedentary behavior in individuals with VI than the overall population.Research Question: Here, we compared gait and balance measures between individuals with VI who participate in disability sports, and activity level matched sighted individuals.Methods: We assessed static balance, anthropometry, self-selected walking speed, locomotion rehabilitation index, and lower limb muscular endurance; and applied physical activity level and fear of falling questionnaires.Results: Individuals with VI who participate in disability sports, self-selected a similar walking speed (1.29 ± 0.26 m/s) as active sighted individuals (1.39 ± 0.21 m/s). Locomotor rehabilitation index and muscular endurance of lower limbs were also similar between groups. Individuals with VI presented lower static balance (42.0 ± 17.0s) than the sighted control group (45.0 ± 0s) when the controls were tested with their eyes open. However, no difference was found when the controls were tested with their eyes closed (30.3 ± 17.0s). Furthermore, individuals with VI showed a greater fear of falling.Significance: In conclusion, individuals with VI who participate in disability sports, as goalball and football, walk with similar self-selected walking speeds as active sighted individuals, but have slightly worse static balance and fear of falling. [ABSTRACT FROM AUTHOR]

Many patients with traumatic brain injury (TBI) suffer from postural control impairments that can profoundly affect daily life. The cerebellum and brain stem are crucial for the neural control of posture and have been shown to be vulnerable to primary and secondary structural consequences of TBI. The aim of this study was to investigate whether morphometric differences in the brain stem and cerebellum can account for impairments in static and dynamic postural control in TBI. TBI patients (n = 18) and healthy controls (n = 30) completed three challenging postural control tasks on the EquiTest® system (Neurocom). Infratentorial grey matter (GM) and white matter (WM) volumes were analyzed with cerebellum-optimized voxel-based morphometry using the spatially unbiased infratentorial toolbox. Volume loss in TBI patients was revealed in global cerebellar GM, global infratentorial WM, middle cerebellar peduncles, pons and midbrain. In the TBI group and across both groups, lower postural control performance was associated with reduced GM volume in the vermal/paravermal regions of lobules I-IV, V and VI. Moreover, across all participants, worse postural control performance was associated with lower WM volume in the pons, medulla, midbrain, superior and middle cerebellar peduncles and cerebellum. This is the first study in TBI patients to demonstrate an association between postural impairments and reduced volume in specific infratentorial brain areas. Volumetric measures of the brain stem and cerebellum may be valuable prognostic markers of the chronic neural pathology, which complicates rehabilitation of postural control in TBI. [ABSTRACT FROM AUTHOR]